"Version 2.8, Mid Year Update - Professional Services and Supplies Charge Table, Including Ambulance",,,,,,,,,,,,,,,,,,,,,
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Item Code,Code Type,Description,Modifier,"Technical, Professional Indicator",Service Category Code,Primary/Bundled Indicator,Charge Type Indicator,Work Expense Units,Provider-Based Practice Expense Units,Non-Provider-Based Practice Expense Units,Total Expense Units, Anesthesia Base Units,Unit Charge,Base Charge,Unit Type,Facility Indicator,Outpatient Indicator,Inpatient Indicator,Skilled Nursing Facility Carveout,Freestanding Carve-out,Start Date
00100,CPT,Anes-Proc Salivary Glands Incl Bx,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00102,CPT,Anes-Proc Plastic Repair Cleft Lip,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
00103,CPT,Anes-Reconstructive Proc Eyelid,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00104,CPT,Anes-Electroculvulsive Therapy,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00120,CPT,Anes-Ext Mid&Innr Ear W/Bx; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00124,CPT,Anes-Ext Mid&Innr Ear W/Bx; Otscpy,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00126,CPT,Anes-Ext Mid&Innr Ear W/Bx; Tympnot,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00140,CPT,Anesthesia Procedures On Eye; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00142,CPT,Anesthesia Proc Eye; Lens Surgery,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00144,CPT,Anes-Proc Eye; Corneal Transplant,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
00145,CPT,Anes-Proc Eye; Vitreoretinal Surg,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
00147,CPT,Anesthesia Proc Eye; Iridectomy,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00148,CPT,Anesthesia Proc Eye; Ophthalmoscopy,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00160,CPT,Anes-Proc Nose&Access Sinuses; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00162,CPT,Anes-Nse&Acss Sinuses; Radl Surg,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
00164,CPT,Anes-Nse&Acss Sinuses; Bx Sft Tiss,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00170,CPT,Anes-Intraoral Including Bx; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00172,CPT,Anes-Intraorl W/Bx; Repr Clt Palate,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
00174,CPT,Anes-Intraoral W/Bx; Exc Tumor,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
00176,CPT,Anes-Intraorl Incl Bx; Radl Surgery,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
00190,CPT,Anes-Proc Facial Bones/Skull; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00192,CPT,Anes-Proc Fce Bns/Skull; Radl Surg,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
00210,CPT,Anes-Intracran; Nos,,,3 ,,Anesth,,,,,11.0,$1.00,,3,0,1,1,1,1,20061001
00212,CPT,Anes-Intracran; Subdural Taps,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00214,CPT,Anes-Cran; Burr Holes-Ventricgrph,,,3 ,,Anesth,,,,,9.0,$1.00,,3,0,1,1,1,1,20061001
00215,CPT,Anes-Intracran;Elev Skl Fx-Xtradurl,,,3 ,,Anesth,,,,,9.0,$1.00,,3,0,1,1,1,1,20061001
00216,CPT,Anes-Intracran; Vascular Procedures,,,3 ,,Anesth,,,,,15.0,$1.00,,3,0,1,1,1,1,20061001
00218,CPT,Anes-Intracran; Proc Sitting Pstn,,,3 ,,Anesth,,,,,13.0,$1.00,,3,0,1,1,1,1,20061001
00220,CPT,Anes-Intracran;Cerebrosp Fl Shnting,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20061001
00222,CPT,Anes-Intracran;Elec-Coag Cran Nerv,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
00300,CPT,Anes-Integ-Musc&Nerv-Head-Trunk;Nos,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00320,CPT,Anes-Esoph Thyrd Trachea;Nos 1 Yr/>,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
00322,CPT,Anes-Esoph Thyroid Trach;Bx Thyroid,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
00326,CPT,Anes-Larynx&Trach Chld < 1 Yr Age,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
00350,CPT,Anes-Proc Major Vessels Neck; Nos,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20061001
00352,CPT,Anes-Proc Maj Ves Neck; Simple Lig,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00400,CPT,Anes-Integ Extrem Trnk Perin; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
00402,CPT,Anes-Integ Extrem Trnk; Brst Recon,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00404,CPT,Anes-Integ Trunk; Radl Breast Proc,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00406,CPT,Anes-Integ;Radl Brst W/Node Dissect,,,3 ,,Anesth,,,,,13.0,$1.00,,3,0,1,1,1,1,20061001
00410,CPT,Anes-Integ Extrm Trnk;Convrt Arryth,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00450,CPT,Anes-Proc Clavicle&Scapula; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00452,CPT,Anes-Proc Clav&Scapula; Radl Surg,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
00454,CPT,Anes-Proc Clav&Scapula; Bx Clav,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
00470,CPT,Anes-Partial Rib Resection; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
00472,CPT,Anes-Part Rib Res; Thoracoplasty,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20061001
00474,CPT,Anes-Part Rib Resection; Radl Proc,,,3 ,,Anesth,,,,,13.0,$1.00,,3,0,1,1,1,1,20061001
00500,CPT,Anes-On Esophagus,,,3 ,,Anesth,,,,,15.0,$1.00,,3,0,1,1,1,1,20061001
00520,CPT,Anes-Closed Chest; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
00522,CPT,Anes-Closed Chest; Needle Bx Pleura,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00524,CPT,Anes-Closed Chest; Pneumocentesis,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00528,CPT,Anes-Clo Chst;Mediastnscp No 1 Lung,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20061001
00529,CPT,Anes-Clos Chst; Mediastnscpy 1 Lung,,,3 ,,Anesth,,,,,11.0,$1.00,,3,0,1,1,1,1,20061001
00530,CPT,Anes-Perm Trns Pacemkr Insertion,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00532,CPT,Anes-Access Cntrl Venous Circ,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00534,CPT,Anes-Trns Insrt/Repl Pacing Defib,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
00537,CPT,Anes-Card Eps Incl Radiofreq Ablat,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
00539,CPT,Anes-Tracheobronchial Reconstruct,,,3 ,,Anesth,,,,,18.0,$1.00,,3,0,1,1,1,1,20061001
00540,CPT,Anes-Thoracot; Nos,,,3 ,,Anesth,,,,,12.0,$1.00,,3,0,1,1,1,1,20061001
00541,CPT,Anes-Thoracot; Util 1 Lung Vent,,,3 ,,Anesth,,,,,15.0,$1.00,,3,0,1,1,1,1,20061001
00542,CPT,Anes-Thoracot; Decortication,,,3 ,,Anesth,,,,,15.0,$1.00,,3,0,1,1,1,1,20061001
00546,CPT,Anes-Thoracot Lungs;Thoracoplasty,,,3 ,,Anesth,,,,,15.0,$1.00,,3,0,1,1,1,1,20061001
00548,CPT,Anes-Thoracot Lungs;Intrathor Trach,,,3 ,,Anesth,,,,,17.0,$1.00,,3,0,1,1,1,1,20061001
00550,CPT,Anesthesia For Sternal Debridement,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20061001
00560,CPT,Anes-Hrt Pericard Sac; W/O Oxygntr,,,3 ,,Anesth,,,,,15.0,$1.00,,3,0,1,1,1,1,20061001
00561,CPT,"Anesth, heart surg < age 1",,,3 ,,Anesth,,,,,25.0,$1.00,,3,0,0,1,1,1,20061001
00562,CPT,Anes-Hrt Pericard Sac; W/Oxygntr,,,3 ,,Anesth,,,,,20.0,$1.00,,3,0,1,1,1,1,20061001
00563,CPT,Anes-Hrt Pericard Sac;Oxygntr&Arrst,,,3 ,,Anesth,,,,,25.0,$1.00,,3,0,1,1,1,1,20061001
00566,CPT,Anes-Direct Cabg W/O Pump Oxygenatr,,,3 ,,Anesth,,,,,25.0,$1.00,,3,0,1,1,1,1,20061001
00580,CPT,Anes-Hrt Tplnt/Hrt/Lung Tplnt,,,3 ,,Anesth,,,,,20.0,$1.00,,3,0,1,1,1,1,20061001
00600,CPT,Anesthesia Proc C-Spine&Cord; Nos,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20061001
00604,CPT,Anes-Cerv Spine&Cord; Pt Sit Pstn,,,3 ,,Anesth,,,,,13.0,$1.00,,3,0,1,1,1,1,20061001
00620,CPT,Anesthesia Proc T-Spine&Cord; Nos,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20061001
00622,CPT,Anes-Thoracic;Thoracolum Sympathect,,,3 ,,Anesth,,,,,13.0,$1.00,,3,0,1,1,1,1,20061001
00630,CPT,Anesthesia Proc Lumbar Region; Nos,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20061001
00632,CPT,Anes-Proc Lumb Rgn; Lumb Sympathect,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
00634,CPT,Anes-Lumb Rgn; Chemonucleolysis,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20061001
00635,CPT,Anes-Lumb Rgn; Dx/Tx Lumb Punct,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00640,CPT,Anes-Manip Spn/Clos Proc Spn,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
00670,CPT,Anes-Exten Spine & Spinal Cord,,,3 ,,Anesth,,,,,13.0,$1.00,,3,0,1,1,1,1,20061001
00700,CPT,Anes-Proc Upper Ant Abd Wall; Nos,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00702,CPT,Anes-Up Ant Abd Wall; Perq Livr Bx,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00730,CPT,Anes-Proc Upper Posterior Abd Wall,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00740,CPT,Anes-Ugi Endoscopy-Intro Prox Duod,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00750,CPT,Anes-Hernia Repairs Upper Abd; Nos,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00752,CPT,Anes-Hernia Repr Up Abd; &/Dehis,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
00754,CPT,Anes-Hern Repr Up Abd; Omphalocele,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
00756,CPT,Anes-Hernia Repr Up Abd;Transabd,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
00770,CPT,Anes-On Major Abd Blood Vessels,,,3 ,,Anesth,,,,,15.0,$1.00,,3,0,1,1,1,1,20061001
00790,CPT,Anes-Intraper Up Abd W/Lap;Nos,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
00792,CPT,Anes-Intraper Up Abd W/Lap;Hepatec,,,3 ,,Anesth,,,,,13.0,$1.00,,3,0,1,1,1,1,20061001
00794,CPT,Anes-Intraper Up W/Lap;Pancreatect,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20061001
00796,CPT,Anes-Intraper Up W/Lap;Liver Tplnt,,,3 ,,Anesth,,,,,30.0,$1.00,,3,0,1,1,1,1,20061001
00797,CPT,Anes-Intraper W/Lap; Gastr Restirct,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20061001
00800,CPT,Anes-Proc Lower Ant Abd Wall; Nos,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00802,CPT,Anes-Lw Ant Abd Wall; Panniculect,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00810,CPT,Anes-Low Intest Endo-Dist To Duod,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00820,CPT,Anes-Proc Lower Posterior Abd Wall,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00830,CPT,Anes-Hernia Repairs Lower Abd; Nos,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00832,CPT,Anes-Hern Rep ; Ventral&Inci Hern S,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
00834,CPT,Anes-Hern Repr Nos Under 1 Yr Age,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00836,CPT,Anes-Hern Nos<37Wk Brth &<50Wk Surg,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
00840,CPT,Anes-Intraper W/Laparscpy; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
00842,CPT,Anes-Intraper W/Laparscpy; Amnio,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00844,CPT,Anes-Intraper;Abd-Perinl Resection,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
00846,CPT,Anes-Intraper Low W/Lap;Radl Hyst,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20061001
00848,CPT,Anes-Intraper W/Lap;Pelv Exentratn,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20061001
00851,CPT,Anes-Intraper W/Lap; Tubal Lig,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
00860,CPT,Anes-Xtraper W/Urin Tract; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
00862,CPT,Anes-Xtraper;Up 1/3 Ureter/Nephrect,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
00864,CPT,Anes-Xtraper Low Abd;Tot Cystect,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20061001
00865,CPT,Anes-Xtraper Low;Radl Prostatect,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
00866,CPT,Anes-Xtraper Low Abd;Adrenalectomy,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20061001
00868,CPT,Anes-Xtraper Low Abd;Renal Trsplnt,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20061001
00870,CPT,Anes-Xtraper Low Abd;Cystolithtomy,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00872,CPT,Anes-Lith Etracorp;W/Water Bath,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
00873,CPT,Anes-Lith Xtracorp;W/O Water Bath,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00880,CPT,Anes-Proc Major Lower Abd Ves; Nos,,,3 ,,Anesth,,,,,15.0,$1.00,,3,0,1,1,1,1,20061001
00882,CPT,Anes-Maj Ves; Inf Vena Cava Lig,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20061001
00902,CPT,Anesthesia For; Anorectal Procedure,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00904,CPT,Anes-For; Radical Perineal Proc,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
00906,CPT,Anesthesia For; Vulvectomy,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00908,CPT,Anes-For; Perineal Prostatectomy,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
00910,CPT,Anes-Transurethral; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
00912,CPT,Anes-Trnsureth;Resect Bladder Tumor,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00914,CPT,Anes-Transurethral ; Turp,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00916,CPT,Anes-Trnsureth;Post Resection Bleed,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00918,CPT,Anes-Trnsureth;W/Manip&/Remv Calcu,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00920,CPT,Anesthesia Proc Male Genitalia; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
00921,CPT,Anes-Male Gnt; Vasect Unilat/Bilat,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
00922,CPT,Anes-Proc Male Gnt; Seminl Vesicles,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
00924,CPT,Anes-Male;Undescend Testis Uni/Bil,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00926,CPT,Anes-Male Gnt; Radl Orchect Ing,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00928,CPT,Anes-Male Gnt; Radl Orchect Abd,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
00930,CPT,Anes-Male Genit;Orchiopexy Uni/Bil,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00932,CPT,Anes-Proc Male Gnt; Cmpl Amp Penis,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00934,CPT,Anes-Male;Radl Amp Penis-Ing Lymph,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
00936,CPT,Anes Male;Radl Amp Penis-Ing&Iliac,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20061001
00938,CPT,Anes-Male Genit;Insrt Penile Prosth,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00940,CPT,Anes-Vag; Not Otherwise Specified,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
00942,CPT,Anes-Vag; Colpot Vaginect&Opn Ureth,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00944,CPT,Anes-Vag; Vaginal Hysterectomy,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
00948,CPT,Anes-Vag; Cervical Cerclage,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
00950,CPT,Anes-Vag ; Culdoscopy,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
00952,CPT,Anes-Vag;Hysteroscopy&/Salpingraphy,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01112,CPT,Anes-Bn Marrow Asp&/Bx Iliac Crest,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01120,CPT,Anesthesia Procedures Bony Pelvis,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
01130,CPT,Anes-Body Cast Application/Rev,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01140,CPT,Anesthesia Interpelviabd Amputation,,,3 ,,Anesth,,,,,15.0,$1.00,,3,0,1,1,1,1,20061001
01150,CPT,Anes-Radl Tumor Pelv No Hndqtr Amp,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20061001
01160,CPT,Anes-Clos Proc Invlv Pubis/Si Jnt,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01170,CPT,Anes-Open Proc Invlv Pubis/Si Jnt,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20061001
01173,CPT,Anes-Opn Rep Fx Pelv/Column Acetab,,,3 ,,Anesth,,,,,12.0,$1.00,,3,0,1,1,1,1,20061001
01180,CPT,Anes-Obtur Neurectomy; Extrapelvic,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01190,CPT,Anes-Obtur Neurectomy; Intrapelvic,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01200,CPT,Anes-All Clos Proc Invlv Hip Joint,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01202,CPT,Anes-Arthroscopic Proc Hip Joint,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01210,CPT,Anes-Open Proc Invlv Hip Joint; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
01212,CPT,Anes-Open Proc Invlv Hip;Disartic,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20061001
01214,CPT,Anes-Opn Hip Jnt; Tot Hip Arthplsty,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20061001
01215,CPT,Anes-Open Invlv Hip;Total Hip Rev,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20061001
01220,CPT,Anes-All Clos Proc Invlv Up 2/3 Fem,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01230,CPT,Anes-Open Invlv Upper 2/3 Femur;Nos,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
01232,CPT,Anes-Open Invlv Upper 2/3 Femur;Amp,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01234,CPT,Anes-Open Upper 2/3 Femur;Radl Res,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20061001
01250,CPT,Anes-All Nerv Musc Tend Fasc Up Leg,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01260,CPT,Anes-Invlv Vns Upper Leg Incl Expl,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01270,CPT,Anes-Invlv Artery Up Leg W/Gft;Nos,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20061001
01272,CPT,Anes-Invlv Art Up Leg W/Gft;Fem Lig,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01274,CPT,Anes-Invlv Art Up Leg W/Gft;Fem Emb,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
01320,CPT,Anes-Nerv Musc Fasc Burs Knee&/Pop,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01340,CPT,Anes-All Clos Proc Lower 1/3 Femur,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01360,CPT,Anes-All Open Proc Lower 1/3 Femur,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01380,CPT,Anes-All Closed Proc Knee Joint,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01382,CPT,Anes-Dx Arthroscopic Proc Knee Jnt,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01390,CPT,Anes-All Clos Up Ends Tib Fib&/Pat,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01392,CPT,Anes-All Open Up Ends Tib Fib&/Pat,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01400,CPT,Anes-Open/Scope Proc Knee Jnt; Nos,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01402,CPT,Anes-Open/Scope Knee Jnt; Tot Plsty,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
01404,CPT,Anes-Open/Scope Knee Jnt; Disartic,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01420,CPT,Anes-All Cast Applic/Repr W/Knee,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01430,CPT,Anes-Proc Veins Knee&Pop Area; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01432,CPT,Anes-Vns Knee&Pop Area; Av Fist,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
01440,CPT,Anes-Proc Art Knee&Pop Area; Nos,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20061001
01442,CPT,Anes-Art Knee;Pop Thrombendartect,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20061001
01444,CPT,Anes-Art Knee;Pop Exc Occl/Aneur,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20061001
01462,CPT,Anes-All Clos Proc Low Leg Ank&Foot,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01464,CPT,Anes-Arthroscopic Proc Ank &Or Foot,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01470,CPT,Anes-Nerv Musc Fasc Leg Ank&Ft;Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01472,CPT,Anes-Nerv Musc Leg&Ft;Repr Achilles,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01474,CPT,Anes-Nrv Musc Leg&Ft;Gastroc Recess,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01480,CPT,Anes-Open Bones Low Leg Ank&Ft;Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01482,CPT,Anes-Open Bones Lw Leg;Radl Res/Amp,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01484,CPT,Anes-Open Bns Lw Leg;Osteot Tib Fib,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01486,CPT,Anes-Open Bones Lw Leg;Tot Ank Repl,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
01490,CPT,Anes-Lw Leg Cast Applic Removl/Repr,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01500,CPT,Anes-Art Lw Leg W/Byps Gft; Nos,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20061001
01502,CPT,Anes-Art Low Leg W/Gft;Embolectomy,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
01520,CPT,Anes-Proc Veins Lower Leg; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01522,CPT,Anes-Veins Lw Leg;Thrombect Direct,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01610,CPT,Anes-Nerv Musc Tend Fasc Burs Shldr,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01620,CPT,Anes-All Clos Hum Sc Ac&Shldr Jnt,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01622,CPT,Anes-Dx Arthroscopic Proc Shldr Jnt,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01630,CPT,Anes-Open/Scope Hum Sc Ac&Shldr;Nos,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01632,CPT,Anes-Opn/Scope Hum Sc&Shldr;Rad Res,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
01634,CPT,Anes-Opn/Scope Hum Sc&Shldr;Disartc,,,3 ,,Anesth,,,,,9.0,$1.00,,3,0,1,1,1,1,20061001
01636,CPT,Anes-Opn/Scope Hum Sc Ac&Shldr; Amp,,,3 ,,Anesth,,,,,15.0,$1.00,,3,0,1,1,1,1,20061001
01638,CPT,Anes-Open/Scope Hum Ac&Shldr; Repl,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20061001
01650,CPT,Anes-Proc Art Shoulder&Axilla; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
01652,CPT,Anes-Art Shldr&Ax; Ax-Brach Aneur,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20061001
01654,CPT,Anes-Proc Art Shldr&Ax; Byps Graft,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20061001
01656,CPT,Anes-Art Shldr&Ax; Ax-Fem Byps Gft,,,3 ,,Anesth,,,,,10.0,$1.00,,3,0,1,1,1,1,20061001
01670,CPT,Anes-On Veins Of Shoulder&Axilla,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01680,CPT,Anes-Shldr Cast Applc/Remv/Repr;Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01682,CPT,Anes-Shldr Cast Applic/Remv;Spica,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01710,CPT,Anes-Nrv Musc Burs Up Arm&Elb;Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01712,CPT,Anes-Nrv Musc Burs Up Arm&Elb;Tenot,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01714,CPT,Anes-Nrv Musc Up Arm&Elb;Tenoplasty,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01716,CPT,Anes-Nrv Musc Up Arm&Elb;Tenodesis,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01730,CPT,Anes-All Closed Proc Humerus&Elbow,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01732,CPT,Anes-Dx Arthroscopic Proc Elb Joint,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01740,CPT,Anes-Open/Surg Scope Proc Elb; Nos,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01742,CPT,Anes-Open/Scope Proc Elb;Osteot Hum,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01744,CPT,Anes-Open/Scope Elb;Rep Non/Mal Hum,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01756,CPT,Anes-Open/Scope Proc Elb; Radl Proc,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
01758,CPT,Anes-Opn/Scope Elb;Exc Cyst/Tum Hum,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01760,CPT,Anes-Open/Scope Elb; Tot Elb Repl,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
01770,CPT,Anes-Proc Art Upper Arm&Elbow; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
01772,CPT,Anes-Proc Art Upper Arm&Elb; Embo,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
01780,CPT,Anes-Proc Veins Upper Arm&Elb; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01782,CPT,Anes-Proc Vns Up Arm&Elb; Phleborr,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01810,CPT,Anes-All Nerv Musc Forarm Wrst&Hnd,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01820,CPT,Anes-Clos Radius Ulna Wrst/Hnd Bone,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01829,CPT,Anes-Dx Arthroscopic Proc Wrist,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01830,CPT,Anes-Opn/Scope/Endo Wrst/Hnd; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01832,CPT,Anes-Open/Scope/Endo Wrst/Hnd; Tot,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
01840,CPT,Anes-Proc Art Forarm Wrst&Hand; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
01842,CPT,Anes-Proc Art Forarm Wrst&Hnd; Embo,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
01844,CPT,Anes-Vasc Shnt/Shnt Rev Any Type,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
01850,CPT,Anes-Proc Vns Forarm Wrst&Hand; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01852,CPT,Anes-Vns Forarm Wrst&Hnd; Phleborr,,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01860,CPT,Anes-Forarm/Hand Cast Applic/Remv,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01905,CPT,Anes-Myelgrph Diskgrph Vertplsty,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01916,CPT,Anes-Diagnostic Artrgrph/Venography,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01920,CPT,Anes-Card Cath Cor Angio&Ventrcgrph,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
01922,CPT,Anes-Non-Invasive Imaging/Rad Tx,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
01924,CPT,Anes-Tx Intrvn Rad Art Sys; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01925,CPT,Anes-Tx Intrvn Rad Art; Carotid/Cor,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
01926,CPT,Anes-Tx Rad Art;Intrcran -Card/Aort,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20061001
01930,CPT,Anes-Tx Intrvn Rad Venus/Lymph; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01931,CPT,Anes-Tx Rad Venus; Intrahep/Portal,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
01932,CPT,Anes-Tx Rad Venus; Intrathr/Jugular,,,3 ,,Anesth,,,,,6.0,$1.00,,3,0,1,1,1,1,20061001
01933,CPT,Anes-Tx Rad Venus/Lymph; Intracran,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
01951,CPT,Anes-2&3 Deg Brn Exc/Debrid; < 4%,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01952,CPT,Anes-2&3 Deg Brn Exc/Debrid; 4-9%,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01953,CPT,Anes-2-3 Deg Exc/Debrid;Ea Add 9%,,,3 ,,Anesth,,,,,1.0,$1.00,,3,0,1,1,1,1,20061001
01958,CPT,Anes-External Cephalic Version Proc,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01960,CPT,Anesthesia Vaginal Delivery Only,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01961,CPT,Anesthesia Cesarean Delivery Only,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
01962,CPT,Anes-Urgent Hyst Follow Deliv,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20061001
01963,CPT,Anes-C/S Hyst W/O Labr Analg/Anes,,,3 ,,Anesth,,,,,8.0,$1.00,,3,0,1,1,1,1,20061001
01965,CPT,"Anesth, inc/missed ab proc",,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01966,CPT,"Anesth, induced ab procedure",,,3 ,,Anesth,,,,,4.0,$1.00,,3,0,1,1,1,1,20061001
01967,CPT,Neurax Labr Anlg/Anes-Plan Vag Del,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01968,CPT,Anes-Cd Flw Neurax Labr Analg/Anes,,,3 ,,Anesth,,,,,2.0,$1.00,,3,0,1,1,1,1,20061001
01969,CPT,Anes-C/S Hyst Flw Neurax Labr Analg,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01990,CPT,Physiolog Supp-Harv Org-Brain Dead,,,3 ,,Anesth,,,,,7.0,$1.00,,3,0,1,1,1,1,20061001
01991,CPT,Anes-Dx/Tx Nrv Blks&Inj; Not Prone,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01992,CPT,Anes-Dx/Tx Nrv Blks&Inj; Prone Pstn,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01995,CPT,Rgn Iv Admn Loc Anes Agt/Oth Med,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
01996,CPT,Daily Hos Epidurl/Subarach Cont Rx,,,3 ,,Anesth,,,,,3.0,$1.00,,3,0,1,1,1,1,20061001
01999,CPT,Unlisted Anesthsia Procedure,,,3 ,,Anesth,,,,,5.0,$1.00,,3,0,1,1,1,1,20061001
10021,CPT,Fna w/o image,,,21 ,,RBRVS,1.27 ,0.54 ,2.16 ,,,,,1,0,1,1,1,1,20061001
10022,CPT,Fna w/image,,,21 ,,RBRVS,1.27 ,0.42 ,2.55 ,,,,,1,0,1,1,1,1,20061001
10040,CPT,Acne surgery,,,21 ,,RBRVS,1.18 ,0.79 ,1.01 ,,,,,1,0,1,1,1,1,20061001
10060,CPT,Drainage of skin abscess,,,21 ,,RBRVS,1.17 ,0.93 ,1.21 ,,,,,1,0,1,1,1,1,20061001
10061,CPT,Drainage of skin abscess,,,21 ,,RBRVS,2.40 ,1.50 ,1.83 ,,,,,1,0,1,1,1,1,20061001
10080,CPT,Drainage of pilonidal cyst,,,21 ,,RBRVS,1.17 ,1.11 ,3.11 ,,,,,1,0,1,1,1,1,20061001
10081,CPT,Drainage of pilonidal cyst,,,21 ,,RBRVS,2.45 ,1.50 ,4.08 ,,,,,1,0,1,1,1,1,20061001
10120,CPT,Remove foreign body,,,21 ,,RBRVS,1.22 ,0.97 ,2.18 ,,,,,1,0,1,1,1,1,20061001
10121,CPT,Remove foreign body,,,21 ,,RBRVS,2.69 ,1.79 ,3.52 ,,,,,1,0,1,1,1,1,20061001
10140,CPT,Drainage of hematoma/fluid,,,21 ,,RBRVS,1.53 ,1.29 ,1.78 ,,,,,1,0,1,1,1,1,20061001
10160,CPT,Puncture drainage of lesion,,,21 ,,RBRVS,1.20 ,1.08 ,1.60 ,,,,,1,0,1,1,1,1,20061001
10180,CPT,"Complex drainage, wound",,,21 ,,RBRVS,2.25 ,1.99 ,2.99 ,,,,,1,0,1,1,1,1,20061001
11000,CPT,Debride infected skin,,,21 ,,RBRVS,0.60 ,0.22 ,0.58 ,,,,,1,0,1,1,1,1,20061001
11001,CPT,Debride infected skin add-on,,,21 ,,RBRVS,0.30 ,0.11 ,0.23 ,,,,,1,0,1,1,1,1,20061001
11004,CPT,Debride genitalia & perineum,,,21 ,,RBRVS,10.31 ,3.91 ,3.91 ,,,,,1,0,0,1,1,1,20061001
11005,CPT,Debride abdom wall,,,21 ,,RBRVS,13.75 ,5.58 ,5.58 ,,,,,1,0,0,1,1,1,20061001
11006,CPT,Debride genit/per/abdom wall,,,21 ,,RBRVS,12.61 ,4.86 ,4.86 ,,,,,1,0,0,1,1,1,20061001
11008,CPT,Remove mesh from abd wall,,,21 ,,RBRVS,5.00 ,2.03 ,2.03 ,,,,,1,0,0,1,1,1,20061001
11010,CPT,"Debride skin, fx",,,21 ,,RBRVS,4.19 ,2.63 ,6.89 ,,,,,1,0,1,1,1,1,20061001
11011,CPT,"Debride skin/muscle, fx",,,21 ,,RBRVS,4.94 ,2.35 ,8.18 ,,,,,1,0,1,1,1,1,20061001
11012,CPT,"Debride skin/muscle/bone, fx",,,21 ,,RBRVS,6.87 ,3.85 ,12.14 ,,,,,1,0,1,1,1,1,20061001
11040,CPT,"Debride skin, partial",,,21 ,,RBRVS,0.50 ,0.21 ,0.52 ,,,,,1,0,1,1,1,1,20061001
11041,CPT,"Debride skin, full",,,21 ,,RBRVS,0.82 ,0.33 ,0.66 ,,,,,1,0,1,1,1,1,20061001
11042,CPT,Debride skin/tissue,,,21 ,,RBRVS,1.12 ,0.44 ,0.97 ,,,,,1,0,1,1,1,1,20061001
11043,CPT,Debride tissue/muscle,,,21 ,,RBRVS,2.38 ,2.60 ,3.39 ,,,,,1,0,1,1,1,1,20061001
11044,CPT,Debride tissue/muscle/bone,,,21 ,,RBRVS,3.06 ,3.76 ,4.46 ,,,,,1,0,1,1,1,1,20061001
11055,CPT,Trim skin lesion,,,21 ,,RBRVS,0.43 ,0.17 ,0.56 ,,,,,1,0,1,1,1,1,20061001
11056,CPT,"Trim skin lesions, 2 to 4",,,21 ,,RBRVS,0.61 ,0.23 ,0.64 ,,,,,1,0,1,1,1,1,20061001
11057,CPT,"Trim skin lesions, over 4",,,21 ,,RBRVS,0.79 ,0.30 ,0.74 ,,,,,1,0,1,1,1,1,20061001
11100,CPT,Biopsy of skin lesion,,,21 ,,RBRVS,0.81 ,0.37 ,1.25 ,,,,,1,0,1,1,1,1,20061001
11101,CPT,"Biopsy, skin add-on",,,21 ,,RBRVS,0.41 ,0.19 ,0.33 ,,,,,1,0,1,1,1,1,20061001
11200,CPT,Removal of skin tags,,,21 ,,RBRVS,0.77 ,0.76 ,1.04 ,,,,,1,0,1,1,1,1,20061001
11201,CPT,Remove skin tags add-on,,,21 ,,RBRVS,0.29 ,0.12 ,0.16 ,,,,,1,0,1,1,1,1,20061001
11300,CPT,Shave skin lesion,,,21 ,,RBRVS,0.51 ,0.21 ,0.99 ,,,,,1,0,1,1,1,1,20061001
11301,CPT,Shave skin lesion,,,21 ,,RBRVS,0.85 ,0.38 ,1.11 ,,,,,1,0,1,1,1,1,20061001
11302,CPT,Shave skin lesion,,,21 ,,RBRVS,1.05 ,0.46 ,1.30 ,,,,,1,0,1,1,1,1,20061001
11303,CPT,Shave skin lesion,,,21 ,,RBRVS,1.24 ,0.52 ,1.58 ,,,,,1,0,1,1,1,1,20061001
11305,CPT,Shave skin lesion,,,21 ,,RBRVS,0.67 ,0.27 ,0.85 ,,,,,1,0,1,1,1,1,20061001
11306,CPT,Shave skin lesion,,,21 ,,RBRVS,0.99 ,0.42 ,1.10 ,,,,,1,0,1,1,1,1,20061001
11307,CPT,Shave skin lesion,,,21 ,,RBRVS,1.14 ,0.49 ,1.29 ,,,,,1,0,1,1,1,1,20061001
11308,CPT,Shave skin lesion,,,21 ,,RBRVS,1.41 ,0.59 ,1.45 ,,,,,1,0,1,1,1,1,20061001
11310,CPT,Shave skin lesion,,,21 ,,RBRVS,0.73 ,0.32 ,1.11 ,,,,,1,0,1,1,1,1,20061001
11311,CPT,Shave skin lesion,,,21 ,,RBRVS,1.05 ,0.49 ,1.23 ,,,,,1,0,1,1,1,1,20061001
11312,CPT,Shave skin lesion,,,21 ,,RBRVS,1.20 ,0.55 ,1.42 ,,,,,1,0,1,1,1,1,20061001
11313,CPT,Shave skin lesion,,,21 ,,RBRVS,1.62 ,0.72 ,1.81 ,,,,,1,0,1,1,1,1,20061001
11400,CPT,Exc tr-ext b9+marg 0.5 < cm,,,21 ,,RBRVS,0.85 ,0.88 ,2.00 ,,,,,1,0,1,1,1,1,20061001
11401,CPT,Exc tr-ext b9+marg 0.6-1 cm,,,21 ,,RBRVS,1.23 ,1.02 ,2.06 ,,,,,1,0,1,1,1,1,20061001
11402,CPT,Exc tr-ext b9+marg 1.1-2 cm,,,21 ,,RBRVS,1.51 ,1.08 ,2.23 ,,,,,1,0,1,1,1,1,20061001
11403,CPT,Exc tr-ext b9+marg 2.1-3 cm,,,21 ,,RBRVS,1.79 ,1.32 ,2.40 ,,,,,1,0,1,1,1,1,20061001
11404,CPT,Exc tr-ext b9+marg 3.1-4 cm,,,21 ,,RBRVS,2.06 ,1.40 ,2.71 ,,,,,1,0,1,1,1,1,20061001
11406,CPT,Exc tr-ext b9+marg > 4.0 cm,,,21 ,,RBRVS,2.76 ,1.65 ,3.07 ,,,,,1,0,1,1,1,1,20061001
11420,CPT,Exc h-f-nk-sp b9+marg 0.5 <,,,21 ,,RBRVS,0.98 ,0.93 ,1.77 ,,,,,1,0,1,1,1,1,20061001
11421,CPT,Exc h-f-nk-sp b9+marg 0.6-1,,,21 ,,RBRVS,1.42 ,1.11 ,2.07 ,,,,,1,0,1,1,1,1,20061001
11422,CPT,Exc h-f-nk-sp b9+marg 1.1-2,,,21 ,,RBRVS,1.63 ,1.33 ,2.26 ,,,,,1,0,1,1,1,1,20061001
11423,CPT,Exc h-f-nk-sp b9+marg 2.1-3,,,21 ,,RBRVS,2.01 ,1.45 ,2.59 ,,,,,1,0,1,1,1,1,20061001
11424,CPT,Exc h-f-nk-sp b9+marg 3.1-4,,,21 ,,RBRVS,2.43 ,1.60 ,2.81 ,,,,,1,0,1,1,1,1,20061001
11426,CPT,Exc h-f-nk-sp b9+marg > 4 cm,,,21 ,,RBRVS,3.77 ,2.11 ,3.49 ,,,,,1,0,1,1,1,1,20061001
11440,CPT,Exc face-mm b9+marg 0.5 < cm,,,21 ,,RBRVS,1.06 ,1.31 ,2.21 ,,,,,1,0,1,1,1,1,20061001
11441,CPT,Exc face-mm b9+marg 0.6-1 cm,,,21 ,,RBRVS,1.48 ,1.49 ,2.34 ,,,,,1,0,1,1,1,1,20061001
11442,CPT,Exc face-mm b9+marg 1.1-2 cm,,,21 ,,RBRVS,1.72 ,1.57 ,2.55 ,,,,,1,0,1,1,1,1,20061001
11443,CPT,Exc face-mm b9+marg 2.1-3 cm,,,21 ,,RBRVS,2.29 ,1.82 ,2.92 ,,,,,1,0,1,1,1,1,20061001
11444,CPT,Exc face-mm b9+marg 3.1-4 cm,,,21 ,,RBRVS,3.14 ,2.19 ,3.48 ,,,,,1,0,1,1,1,1,20061001
11446,CPT,Exc face-mm b9+marg > 4 cm,,,21 ,,RBRVS,4.48 ,2.78 ,4.05 ,,,,,1,0,1,1,1,1,20061001
11450,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,2.73 ,2.03 ,5.04 ,,,,,1,0,1,1,1,1,20061001
11451,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,3.94 ,2.55 ,6.62 ,,,,,1,0,1,1,1,1,20061001
11462,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,2.51 ,2.02 ,5.12 ,,,,,1,0,1,1,1,1,20061001
11463,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,3.94 ,2.69 ,6.84 ,,,,,1,0,1,1,1,1,20061001
11470,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,3.25 ,2.27 ,5.07 ,,,,,1,0,1,1,1,1,20061001
11471,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,4.40 ,2.77 ,6.72 ,,,,,1,0,1,1,1,1,20061001
11600,CPT,Exc tr-ext mlg+marg 0.5 < cm,,,21 ,,RBRVS,1.31 ,0.97 ,2.64 ,,,,,1,0,1,1,1,1,20061001
11601,CPT,Exc tr-ext mlg+marg 0.6-1 cm,,,21 ,,RBRVS,1.80 ,1.22 ,2.71 ,,,,,1,0,1,1,1,1,20061001
11602,CPT,Exc tr-ext mlg+marg 1.1-2 cm,,,21 ,,RBRVS,1.95 ,1.26 ,2.83 ,,,,,1,0,1,1,1,1,20061001
11603,CPT,Exc tr-ext mlg+marg 2.1-3 cm,,,21 ,,RBRVS,2.19 ,1.33 ,3.08 ,,,,,1,0,1,1,1,1,20061001
11604,CPT,Exc tr-ext mlg+marg 3.1-4 cm,,,21 ,,RBRVS,2.40 ,1.39 ,3.38 ,,,,,1,0,1,1,1,1,20061001
11606,CPT,Exc tr-ext mlg+marg > 4 cm,,,21 ,,RBRVS,3.42 ,1.74 ,4.07 ,,,,,1,0,1,1,1,1,20061001
11620,CPT,Exc h-f-nk-sp mlg+marg 0.5 <,,,21 ,,RBRVS,1.19 ,0.95 ,2.60 ,,,,,1,0,1,1,1,1,20061001
11621,CPT,Exc h-f-nk-sp mlg+marg 0.6-1,,,21 ,,RBRVS,1.76 ,1.24 ,2.71 ,,,,,1,0,1,1,1,1,20061001
11622,CPT,Exc h-f-nk-sp mlg+marg 1.1-2,,,21 ,,RBRVS,2.09 ,1.39 ,2.97 ,,,,,1,0,1,1,1,1,20061001
11623,CPT,Exc h-f-nk-sp mlg+marg 2.1-3,,,21 ,,RBRVS,2.61 ,1.58 ,3.34 ,,,,,1,0,1,1,1,1,20061001
11624,CPT,Exc h-f-nk-sp mlg+marg 3.1-4,,,21 ,,RBRVS,3.06 ,1.78 ,3.75 ,,,,,1,0,1,1,1,1,20061001
11626,CPT,Exc h-f-nk-sp mlg+mar > 4 cm,,,21 ,,RBRVS,4.29 ,2.40 ,4.64 ,,,,,1,0,1,1,1,1,20061001
11640,CPT,Exc face-mm malig+marg 0.5 <,,,21 ,,RBRVS,1.35 ,1.11 ,2.66 ,,,,,1,0,1,1,1,1,20061001
11641,CPT,Exc face-mm malig+marg 0.6-1,,,21 ,,RBRVS,2.16 ,1.53 ,3.03 ,,,,,1,0,1,1,1,1,20061001
11642,CPT,Exc face-mm malig+marg 1.1-2,,,21 ,,RBRVS,2.59 ,1.71 ,3.41 ,,,,,1,0,1,1,1,1,20061001
11643,CPT,Exc face-mm malig+marg 2.1-3,,,21 ,,RBRVS,3.10 ,1.97 ,3.81 ,,,,,1,0,1,1,1,1,20061001
11644,CPT,Exc face-mm malig+marg 3.1-4,,,21 ,,RBRVS,4.02 ,2.46 ,4.69 ,,,,,1,0,1,1,1,1,20061001
11646,CPT,Exc face-mm mlg+marg > 4 cm,,,21 ,,RBRVS,5.94 ,3.48 ,5.77 ,,,,,1,0,1,1,1,1,20061001
11719,CPT,Trim nail(s),,,21 ,,RBRVS,0.17 ,0.07 ,0.25 ,,,,,1,0,1,1,1,1,20061001
11720,CPT,"Debride nail, 1-5",,,21 ,,RBRVS,0.32 ,0.12 ,0.34 ,,,,,1,0,1,1,1,1,20061001
11721,CPT,"Debride nail, 6 or more",,,21 ,,RBRVS,0.54 ,0.21 ,0.44 ,,,,,1,0,1,1,1,1,20061001
11730,CPT,Removal of nail plate,,,21 ,,RBRVS,1.13 ,0.43 ,1.03 ,,,,,1,0,1,1,1,1,20061001
11732,CPT,"Remove nail plate, add-on",,,21 ,,RBRVS,0.57 ,0.22 ,0.44 ,,,,,1,0,1,1,1,1,20061001
11740,CPT,Drain blood from under nail,,,21 ,,RBRVS,0.37 ,0.35 ,0.55 ,,,,,1,0,1,1,1,1,20061001
11750,CPT,Removal of nail bed,,,21 ,,RBRVS,1.86 ,1.76 ,2.17 ,,,,,1,0,1,1,1,1,20061001
11752,CPT,Remove nail bed/finger tip,,,21 ,,RBRVS,2.67 ,3.00 ,3.00 ,,,,,1,0,1,1,1,1,20061001
11755,CPT,"Biopsy, nail unit",,,21 ,,RBRVS,1.31 ,0.77 ,1.57 ,,,,,1,0,1,1,1,1,20061001
11760,CPT,Repair of nail bed,,,21 ,,RBRVS,1.58 ,1.79 ,2.63 ,,,,,1,0,1,1,1,1,20061001
11762,CPT,Reconstruction of nail bed,,,21 ,,RBRVS,2.89 ,2.35 ,2.89 ,,,,,1,0,1,1,1,1,20061001
11765,CPT,"Excision of nail fold, toe",,,21 ,,RBRVS,0.69 ,0.76 ,1.79 ,,,,,1,0,1,1,1,1,20061001
11770,CPT,Removal of pilonidal lesion,,,21 ,,RBRVS,2.61 ,1.50 ,3.49 ,,,,,1,0,1,1,1,1,20061001
11771,CPT,Removal of pilonidal lesion,,,21 ,,RBRVS,5.73 ,3.32 ,5.66 ,,,,,1,0,1,1,1,1,20061001
11772,CPT,Removal of pilonidal lesion,,,21 ,,RBRVS,6.97 ,5.08 ,7.52 ,,,,,1,0,1,1,1,1,20061001
11900,CPT,Injection into skin lesions,,,21 ,,RBRVS,0.52 ,0.21 ,0.65 ,,,,,1,0,1,1,1,1,20061001
11901,CPT,Added skin lesions injection,,,21 ,,RBRVS,0.80 ,0.35 ,0.66 ,,,,,1,0,1,1,1,1,20061001
11920,CPT,Correct skin color defects,,,21 ,,RBRVS,1.61 ,1.09 ,3.71 ,,,,,1,0,1,1,1,1,20061001
11921,CPT,Correct skin color defects,,,21 ,,RBRVS,1.93 ,1.27 ,3.97 ,,,,,1,0,1,1,1,1,20061001
11922,CPT,Correct skin color defects,,,21 ,,RBRVS,0.49 ,0.25 ,1.14 ,,,,,1,0,1,1,1,1,20061001
11950,CPT,Therapy for contour defects,,,21 ,,RBRVS,0.84 ,0.39 ,1.14 ,,,,,1,0,1,1,1,1,20061001
11951,CPT,Therapy for contour defects,,,21 ,,RBRVS,1.19 ,0.51 ,1.49 ,,,,,1,0,1,1,1,1,20061001
11952,CPT,Therapy for contour defects,,,21 ,,RBRVS,1.69 ,0.68 ,1.86 ,,,,,1,0,1,1,1,1,20061001
11954,CPT,Therapy for contour defects,,,21 ,,RBRVS,1.85 ,0.90 ,2.45 ,,,,,1,0,1,1,1,1,20061001
11960,CPT,Insert tissue expander(s),,,21 ,,RBRVS,9.07 ,10.42 ,10.42 ,,,,,1,0,1,1,1,1,20061001
11970,CPT,Replace tissue expander,,,21 ,,RBRVS,7.05 ,6.15 ,6.15 ,,,,,1,0,1,1,1,1,20061001
11971,CPT,Remove tissue expander(s),,,21 ,,RBRVS,2.13 ,3.80 ,9.14 ,,,,,1,0,1,1,1,1,20061001
11975,CPT,Insert contraceptive cap,,,21 ,,RBRVS,1.48 ,0.57 ,1.42 ,,,,,1,0,1,1,1,1,20061001
11976,CPT,Removal of contraceptive cap,,,21 ,,RBRVS,1.78 ,0.68 ,1.72 ,,,,,1,0,1,1,1,1,20061001
11977,CPT,Removal/reinsert contra cap,,,21 ,,RBRVS,3.30 ,1.26 ,2.28 ,,,,,1,0,1,1,1,1,20061001
11980,CPT,Implant hormone pellet(s),,,21 ,,RBRVS,1.48 ,0.54 ,1.08 ,,,,,1,0,1,1,1,1,20061001
11981,CPT,Insert drug implant device,,,21 ,,RBRVS,1.48 ,0.68 ,1.70 ,,,,,1,0,1,1,1,1,20061001
11982,CPT,Remove drug implant device,,,21 ,,RBRVS,1.78 ,0.83 ,1.95 ,,,,,1,0,1,1,1,1,20061001
11983,CPT,Remove/insert drug implant,,,21 ,,RBRVS,3.30 ,1.47 ,2.29 ,,,,,1,0,1,1,1,1,20061001
12001,CPT,Repair superficial wound(s),,,21 ,,RBRVS,1.70 ,0.77 ,1.99 ,,,,,1,0,1,1,1,1,20061001
12002,CPT,Repair superficial wound(s),,,21 ,,RBRVS,1.86 ,0.90 ,2.05 ,,,,,1,0,1,1,1,1,20061001
12004,CPT,Repair superficial wound(s),,,21 ,,RBRVS,2.24 ,1.01 ,2.33 ,,,,,1,0,1,1,1,1,20061001
12005,CPT,Repair superficial wound(s),,,21 ,,RBRVS,2.86 ,1.20 ,2.83 ,,,,,1,0,1,1,1,1,20061001
12006,CPT,Repair superficial wound(s),,,21 ,,RBRVS,3.66 ,1.51 ,3.40 ,,,,,1,0,1,1,1,1,20061001
12007,CPT,Repair superficial wound(s),,,21 ,,RBRVS,4.11 ,1.82 ,3.83 ,,,,,1,0,1,1,1,1,20061001
12011,CPT,Repair superficial wound(s),,,21 ,,RBRVS,1.76 ,0.78 ,2.14 ,,,,,1,0,1,1,1,1,20061001
12013,CPT,Repair superficial wound(s),,,21 ,,RBRVS,1.99 ,0.93 ,2.28 ,,,,,1,0,1,1,1,1,20061001
12014,CPT,Repair superficial wound(s),,,21 ,,RBRVS,2.46 ,1.06 ,2.58 ,,,,,1,0,1,1,1,1,20061001
12015,CPT,Repair superficial wound(s),,,21 ,,RBRVS,3.19 ,1.25 ,3.14 ,,,,,1,0,1,1,1,1,20061001
12016,CPT,Repair superficial wound(s),,,21 ,,RBRVS,3.92 ,1.52 ,3.56 ,,,,,1,0,1,1,1,1,20061001
12017,CPT,Repair superficial wound(s),,,21 ,,RBRVS,4.70 ,1.90 ,1.90 ,,,,,1,0,1,1,1,1,20061001
12018,CPT,Repair superficial wound(s),,,21 ,,RBRVS,5.52 ,2.26 ,2.26 ,,,,,1,0,1,1,1,1,20061001
12020,CPT,Closure of split wound,,,21 ,,RBRVS,2.62 ,1.93 ,3.83 ,,,,,1,0,1,1,1,1,20061001
12021,CPT,Closure of split wound,,,21 ,,RBRVS,1.84 ,1.41 ,1.83 ,,,,,1,0,1,1,1,1,20061001
12031,CPT,Layer closure of wound(s),,,21 ,,RBRVS,2.15 ,0.96 ,2.29 ,,,,,1,0,1,1,1,1,20061001
12032,CPT,Layer closure of wound(s),,,21 ,,RBRVS,2.47 ,1.80 ,3.85 ,,,,,1,0,1,1,1,1,20061001
12034,CPT,Layer closure of wound(s),,,21 ,,RBRVS,2.92 ,1.45 ,3.20 ,,,,,1,0,1,1,1,1,20061001
12035,CPT,Layer closure of wound(s),,,21 ,,RBRVS,3.42 ,2.16 ,5.21 ,,,,,1,0,1,1,1,1,20061001
12036,CPT,Layer closure of wound(s),,,21 ,,RBRVS,4.04 ,2.55 ,5.57 ,,,,,1,0,1,1,1,1,20061001
12037,CPT,Layer closure of wound(s),,,21 ,,RBRVS,4.66 ,2.97 ,6.11 ,,,,,1,0,1,1,1,1,20061001
12041,CPT,Layer closure of wound(s),,,21 ,,RBRVS,2.37 ,1.13 ,2.55 ,,,,,1,0,1,1,1,1,20061001
12042,CPT,Layer closure of wound(s),,,21 ,,RBRVS,2.74 ,1.46 ,3.27 ,,,,,1,0,1,1,1,1,20061001
12044,CPT,Layer closure of wound(s),,,21 ,,RBRVS,3.14 ,1.60 ,3.22 ,,,,,1,0,1,1,1,1,20061001
12045,CPT,Layer closure of wound(s),,,21 ,,RBRVS,3.63 ,2.29 ,5.28 ,,,,,1,0,1,1,1,1,20061001
12046,CPT,Layer closure of wound(s),,,21 ,,RBRVS,4.24 ,2.76 ,6.52 ,,,,,1,0,1,1,1,1,20061001
12047,CPT,Layer closure of wound(s),,,21 ,,RBRVS,4.64 ,3.09 ,6.36 ,,,,,1,0,1,1,1,1,20061001
12051,CPT,Layer closure of wound(s),,,21 ,,RBRVS,2.47 ,1.45 ,3.28 ,,,,,1,0,1,1,1,1,20061001
12052,CPT,Layer closure of wound(s),,,21 ,,RBRVS,2.77 ,1.43 ,3.23 ,,,,,1,0,1,1,1,1,20061001
12053,CPT,Layer closure of wound(s),,,21 ,,RBRVS,3.12 ,1.53 ,3.25 ,,,,,1,0,1,1,1,1,20061001
12054,CPT,Layer closure of wound(s),,,21 ,,RBRVS,3.45 ,1.63 ,3.57 ,,,,,1,0,1,1,1,1,20061001
12055,CPT,Layer closure of wound(s),,,21 ,,RBRVS,4.42 ,2.13 ,4.49 ,,,,,1,0,1,1,1,1,20061001
12056,CPT,Layer closure of wound(s),,,21 ,,RBRVS,5.23 ,3.06 ,6.77 ,,,,,1,0,1,1,1,1,20061001
12057,CPT,Layer closure of wound(s),,,21 ,,RBRVS,5.95 ,3.76 ,6.15 ,,,,,1,0,1,1,1,1,20061001
13100,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.12 ,2.31 ,4.06 ,,,,,1,0,1,1,1,1,20061001
13101,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.91 ,2.69 ,4.67 ,,,,,1,0,1,1,1,1,20061001
13102,CPT,Repair wound/lesion add-on,,,21 ,,RBRVS,1.24 ,0.57 ,1.17 ,,,,,1,0,1,1,1,1,20061001
13120,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.30 ,2.35 ,4.15 ,,,,,1,0,1,1,1,1,20061001
13121,CPT,Repair of wound or lesion,,,21 ,,RBRVS,4.32 ,2.80 ,4.86 ,,,,,1,0,1,1,1,1,20061001
13122,CPT,Repair wound/lesion add-on,,,21 ,,RBRVS,1.44 ,0.63 ,1.51 ,,,,,1,0,1,1,1,1,20061001
13131,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.78 ,2.69 ,4.37 ,,,,,1,0,1,1,1,1,20061001
13132,CPT,Repair of wound or lesion,,,21 ,,RBRVS,5.94 ,4.17 ,5.92 ,,,,,1,0,1,1,1,1,20061001
13133,CPT,Repair wound/lesion add-on,,,21 ,,RBRVS,2.19 ,1.03 ,1.66 ,,,,,1,0,1,1,1,1,20061001
13150,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.80 ,2.77 ,4.88 ,,,,,1,0,1,1,1,1,20061001
13151,CPT,Repair of wound or lesion,,,21 ,,RBRVS,4.44 ,3.15 ,4.81 ,,,,,1,0,1,1,1,1,20061001
13152,CPT,Repair of wound or lesion,,,21 ,,RBRVS,6.32 ,4.05 ,6.05 ,,,,,1,0,1,1,1,1,20061001
13153,CPT,Repair wound/lesion add-on,,,21 ,,RBRVS,2.38 ,1.14 ,1.94 ,,,,,1,0,1,1,1,1,20061001
13160,CPT,Late closure of wound,,,21 ,,RBRVS,10.46 ,7.18 ,7.18 ,,,,,1,0,1,1,1,1,20061001
14000,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,5.88 ,5.48 ,7.87 ,,,,,1,0,1,1,1,1,20061001
14001,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,8.46 ,7.09 ,9.44 ,,,,,1,0,1,1,1,1,20061001
14020,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,6.58 ,6.55 ,8.63 ,,,,,1,0,1,1,1,1,20061001
14021,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,10.04 ,8.30 ,10.01 ,,,,,1,0,1,1,1,1,20061001
14040,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,7.86 ,7.22 ,8.83 ,,,,,1,0,1,1,1,1,20061001
14041,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,11.47 ,8.70 ,10.62 ,,,,,1,0,1,1,1,1,20061001
14060,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,8.49 ,7.45 ,8.81 ,,,,,1,0,1,1,1,1,20061001
14061,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,12.27 ,9.53 ,11.63 ,,,,,1,0,1,1,1,1,20061001
14300,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,11.74 ,9.20 ,11.16 ,,,,,1,0,1,1,1,1,20061001
14350,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,9.60 ,7.16 ,7.16 ,,,,,1,0,1,1,1,1,20061001
15000,CPT,Skin graft,,,21 ,,RBRVS,3.99 ,2.19 ,3.80 ,,,,,1,0,1,1,1,1,20061001
15001,CPT,Skin graft add-on,,,21 ,,RBRVS,1.00 ,0.41 ,1.35 ,,,,,1,0,1,1,1,1,20061001
15040,CPT,Harvest cultured skin graft,,,21 ,,RBRVS,2.00 ,1.13 ,4.57 ,,,,,1,0,1,1,1,1,20061001
15050,CPT,Skin pinch graft,,,21 ,,RBRVS,4.29 ,5.12 ,6.93 ,,,,,1,0,1,1,1,1,20061001
15100,CPT,Skin split graft,,,21 ,,RBRVS,9.04 ,7.84 ,12.62 ,,,,,1,0,1,1,1,1,20061001
15101,CPT,Skin split graft add-on,,,21 ,,RBRVS,1.72 ,1.17 ,3.74 ,,,,,1,0,1,1,1,1,20061001
15110,CPT,Epidrm autogrft trnk/arm/leg,,,21 ,,RBRVS,9.50 ,7.02 ,10.70 ,,,,,1,0,1,1,1,1,20061001
15111,CPT,Epidrm autogrft t/a/l add-on,,,21 ,,RBRVS,1.85 ,0.79 ,1.29 ,,,,,1,0,1,1,1,1,20061001
15115,CPT,Epidrm a-grft face/nck/hf/g,,,21 ,,RBRVS,9.81 ,7.37 ,9.25 ,,,,,1,0,1,1,1,1,20061001
15116,CPT,Epidrm a-grft f/n/hf/g addl,,,21 ,,RBRVS,2.50 ,1.12 ,1.58 ,,,,,1,0,1,1,1,1,20061001
15120,CPT,Skin split graft,,,21 ,,RBRVS,9.82 ,7.80 ,10.75 ,,,,,1,0,1,1,1,1,20061001
15121,CPT,Skin split graft add-on,,,21 ,,RBRVS,2.67 ,1.85 ,4.51 ,,,,,1,0,1,1,1,1,20061001
15130,CPT,"Derm autograft, trnk/arm/leg",,,21 ,,RBRVS,7.00 ,6.36 ,9.89 ,,,,,1,0,1,1,1,1,20061001
15131,CPT,Derm autograft t/a/l add-on,,,21 ,,RBRVS,1.50 ,0.64 ,1.07 ,,,,,1,0,1,1,1,1,20061001
15135,CPT,Derm autograft face/nck/hf/g,,,21 ,,RBRVS,10.50 ,8.15 ,9.90 ,,,,,1,0,1,1,1,1,20061001
15136,CPT,"Derm autograft, f/n/hf/g add",,,21 ,,RBRVS,1.50 ,0.67 ,0.89 ,,,,,1,0,1,1,1,1,20061001
15150,CPT,Cult epiderm grft t/arm/leg,,,21 ,,RBRVS,8.25 ,6.46 ,8.48 ,,,,,1,0,1,1,1,1,20061001
15151,CPT,Cult epiderm grft t/a/l addl,,,21 ,,RBRVS,2.00 ,0.85 ,1.31 ,,,,,1,0,1,1,1,1,20061001
15152,CPT,Cult epiderm graft t/a/l +%,,,21 ,,RBRVS,2.50 ,1.06 ,1.56 ,,,,,1,0,1,1,1,1,20061001
15155,CPT,"Cult epiderm graft, f/n/hf/g",,,21 ,,RBRVS,9.00 ,6.98 ,7.84 ,,,,,1,0,1,1,1,1,20061001
15156,CPT,Cult epidrm grft f/n/hfg add,,,21 ,,RBRVS,2.75 ,1.24 ,1.56 ,,,,,1,0,1,1,1,1,20061001
15157,CPT,Cult epiderm grft f/n/hfg +%,,,21 ,,RBRVS,3.00 ,1.35 ,1.78 ,,,,,1,0,1,1,1,1,20061001
15170,CPT,Cell graft trunk/arms/legs,,,21 ,,RBRVS,5.00 ,2.37 ,3.84 ,,,,,1,0,1,1,1,1,20061001
15171,CPT,Cell graft t/arm/leg add-on,,,21 ,,RBRVS,1.55 ,0.62 ,0.68 ,,,,,1,0,1,1,1,1,20061001
15175,CPT,"Acellular graft, f/n/hf/g",,,21 ,,RBRVS,7.00 ,4.01 ,5.44 ,,,,,1,0,1,1,1,1,20061001
15176,CPT,"Acell graft, f/n/hf/g add-on",,,21 ,,RBRVS,2.45 ,0.99 ,1.11 ,,,,,1,0,1,1,1,1,20061001
15200,CPT,Skin full graft,,,21 ,,RBRVS,8.02 ,6.22 ,9.43 ,,,,,1,0,1,1,1,1,20061001
15201,CPT,Skin full graft add-on,,,21 ,,RBRVS,1.32 ,0.62 ,2.57 ,,,,,1,0,1,1,1,1,20061001
15220,CPT,Skin full graft,,,21 ,,RBRVS,7.86 ,6.70 ,9.21 ,,,,,1,0,1,1,1,1,20061001
15221,CPT,Skin full graft add-on,,,21 ,,RBRVS,1.19 ,0.56 ,2.33 ,,,,,1,0,1,1,1,1,20061001
15240,CPT,Skin full graft,,,21 ,,RBRVS,9.03 ,7.97 ,10.23 ,,,,,1,0,1,1,1,1,20061001
15241,CPT,Skin full graft add-on,,,21 ,,RBRVS,1.86 ,0.91 ,2.45 ,,,,,1,0,1,1,1,1,20061001
15260,CPT,Skin full graft,,,21 ,,RBRVS,10.04 ,8.60 ,10.24 ,,,,,1,0,1,1,1,1,20061001
15261,CPT,Skin full graft add-on,,,21 ,,RBRVS,2.23 ,1.40 ,2.70 ,,,,,1,0,1,1,1,1,20061001
15300,CPT,"Apply skinallogrft, t/arm/lg",,,21 ,,RBRVS,3.99 ,2.24 ,3.21 ,,,,,1,0,1,1,1,1,20061001
15301,CPT,Apply sknallogrft t/a/l addl,,,21 ,,RBRVS,1.00 ,0.40 ,0.47 ,,,,,1,0,1,1,1,1,20061001
15320,CPT,Apply skin allogrft f/n/hf/g,,,21 ,,RBRVS,4.70 ,2.54 ,3.63 ,,,,,1,0,1,1,1,1,20061001
15321,CPT,Aply sknallogrft f/n/hfg add,,,21 ,,RBRVS,1.50 ,0.59 ,0.69 ,,,,,1,0,1,1,1,1,20061001
15330,CPT,Aply acell alogrft t/arm/leg,,,21 ,,RBRVS,3.99 ,2.23 ,3.20 ,,,,,1,0,1,1,1,1,20061001
15331,CPT,Aply acell grft t/a/l add-on,,,21 ,,RBRVS,1.00 ,0.40 ,0.46 ,,,,,1,0,1,1,1,1,20061001
15335,CPT,"Apply acell graft, f/n/hf/g",,,21 ,,RBRVS,4.50 ,2.45 ,3.48 ,,,,,1,0,1,1,1,1,20061001
15336,CPT,Aply acell grft f/n/hf/g add,,,21 ,,RBRVS,1.43 ,0.57 ,0.69 ,,,,,1,0,1,1,1,1,20061001
15340,CPT,Apply cult skin substitute,,,21 ,,RBRVS,3.72 ,2.76 ,4.01 ,,,,,1,0,1,1,1,1,20061001
15341,CPT,Apply cult skin sub add-on,,,21 ,,RBRVS,0.50 ,0.20 ,0.61 ,,,,,1,0,1,1,1,1,20061001
15360,CPT,"Apply cult derm sub, t/a/l",,,21 ,,RBRVS,3.87 ,3.09 ,4.48 ,,,,,1,0,1,1,1,1,20061001
15361,CPT,Aply cult derm sub t/a/l add,,,21 ,,RBRVS,1.15 ,0.46 ,0.58 ,,,,,1,0,1,1,1,1,20061001
15365,CPT,Apply cult derm sub f/n/hf/g,,,21 ,,RBRVS,4.15 ,3.20 ,4.56 ,,,,,1,0,1,1,1,1,20061001
15366,CPT,Apply cult derm f/hf/g add,,,21 ,,RBRVS,1.45 ,0.58 ,0.70 ,,,,,1,0,1,1,1,1,20061001
15400,CPT,Skin heterograft,,,21 ,,RBRVS,3.99 ,4.02 ,4.02 ,,,,,1,0,1,1,1,1,20061001
15401,CPT,Skin heterograft add-on,,,21 ,,RBRVS,1.00 ,0.44 ,1.90 ,,,,,1,0,1,1,1,1,20061001
15420,CPT,"Apply skin xgraft, f/n/hf/g",,,21 ,,RBRVS,4.50 ,3.80 ,4.79 ,,,,,1,0,1,1,1,1,20061001
15421,CPT,Apply skn xgrft f/n/hf/g add,,,21 ,,RBRVS,1.50 ,0.62 ,1.32 ,,,,,1,0,1,1,1,1,20061001
15430,CPT,Apply acellular xenograft,,,21 ,,RBRVS,5.75 ,6.63 ,6.92 ,,,,,1,0,1,1,1,1,20061001
15431,CPT,Apply acellular xgraft add,,,28 ,,NW,,,,,,$337.81,,1,0,1,1,1,1,20061001
15570,CPT,Form skin pedicle flap,,,21 ,,RBRVS,9.20 ,6.78 ,11.33 ,,,,,1,0,1,1,1,1,20061001
15572,CPT,Form skin pedicle flap,,,21 ,,RBRVS,9.26 ,6.47 ,9.52 ,,,,,1,0,1,1,1,1,20061001
15574,CPT,Form skin pedicle flap,,,21 ,,RBRVS,9.87 ,7.81 ,10.71 ,,,,,1,0,1,1,1,1,20061001
15576,CPT,Form skin pedicle flap,,,21 ,,RBRVS,8.68 ,6.90 ,9.78 ,,,,,1,0,1,1,1,1,20061001
15600,CPT,Skin graft,,,21 ,,RBRVS,1.91 ,3.07 ,7.62 ,,,,,1,0,1,1,1,1,20061001
15610,CPT,Skin graft,,,21 ,,RBRVS,2.42 ,3.43 ,4.70 ,,,,,1,0,1,1,1,1,20061001
15620,CPT,Skin graft,,,21 ,,RBRVS,2.94 ,3.89 ,7.80 ,,,,,1,0,1,1,1,1,20061001
15630,CPT,Skin graft,,,21 ,,RBRVS,3.27 ,4.16 ,7.06 ,,,,,1,0,1,1,1,1,20061001
15650,CPT,Transfer skin pedicle flap,,,21 ,,RBRVS,3.96 ,4.22 ,7.16 ,,,,,1,0,1,1,1,1,20061001
15732,CPT,"Muscle-skin graft, head/neck",,,21 ,,RBRVS,17.81 ,12.25 ,18.09 ,,,,,1,0,1,1,1,1,20061001
15734,CPT,"Muscle-skin graft, trunk",,,21 ,,RBRVS,17.76 ,12.41 ,18.16 ,,,,,1,0,1,1,1,1,20061001
15736,CPT,"Muscle-skin graft, arm",,,21 ,,RBRVS,16.25 ,11.25 ,18.28 ,,,,,1,0,1,1,1,1,20061001
15738,CPT,"Muscle-skin graft, leg",,,21 ,,RBRVS,17.89 ,11.75 ,18.02 ,,,,,1,0,1,1,1,1,20061001
15740,CPT,Island pedicle flap graft,,,21 ,,RBRVS,10.23 ,8.28 ,10.16 ,,,,,1,0,1,1,1,1,20061001
15750,CPT,Neurovascular pedicle graft,,,21 ,,RBRVS,11.39 ,9.07 ,9.07 ,,,,,1,0,1,1,1,1,20061001
15756,CPT,Free myo/skin flap microvasc,,,21 ,,RBRVS,35.18 ,20.62 ,20.62 ,,,,,1,0,1,1,1,1,20061001
15757,CPT,"Free skin flap, microvasc",,,21 ,,RBRVS,35.18 ,21.65 ,21.65 ,,,,,1,0,1,1,1,1,20061001
15758,CPT,"Free fascial flap, microvasc",,,21 ,,RBRVS,35.05 ,21.63 ,21.63 ,,,,,1,0,1,1,1,1,20061001
15760,CPT,Composite skin graft,,,21 ,,RBRVS,8.73 ,7.28 ,10.05 ,,,,,1,0,1,1,1,1,20061001
15770,CPT,Derma-fat-fascia graft,,,21 ,,RBRVS,7.51 ,6.70 ,6.70 ,,,,,1,0,1,1,1,1,20061001
15775,CPT,Hair transplant punch grafts,,,21 ,,RBRVS,3.95 ,1.30 ,4.24 ,,,,,1,0,1,1,1,1,20061001
15776,CPT,Hair transplant punch grafts,,,21 ,,RBRVS,5.53 ,2.81 ,5.37 ,,,,,1,0,1,1,1,1,20061001
15780,CPT,Abrasion treatment of skin,,,21 ,,RBRVS,7.28 ,8.27 ,11.55 ,,,,,1,0,1,1,1,1,20061001
15781,CPT,Abrasion treatment of skin,,,21 ,,RBRVS,4.84 ,5.38 ,6.93 ,,,,,1,0,1,1,1,1,20061001
15782,CPT,Abrasion treatment of skin,,,21 ,,RBRVS,4.31 ,6.57 ,9.88 ,,,,,1,0,1,1,1,1,20061001
15783,CPT,Abrasion treatment of skin,,,21 ,,RBRVS,4.28 ,4.19 ,6.89 ,,,,,1,0,1,1,1,1,20061001
15786,CPT,"Abrasion, lesion, single",,,21 ,,RBRVS,2.03 ,1.32 ,3.36 ,,,,,1,0,1,1,1,1,20061001
15787,CPT,"Abrasion, lesions, add-on",,,21 ,,RBRVS,0.33 ,0.16 ,1.09 ,,,,,1,0,1,1,1,1,20061001
15788,CPT,"Chemical peel, face, epiderm",,,21 ,,RBRVS,2.09 ,3.09 ,6.73 ,,,,,1,0,1,1,1,1,20061001
15789,CPT,"Chemical peel, face, dermal",,,21 ,,RBRVS,4.91 ,4.81 ,8.11 ,,,,,1,0,1,1,1,1,20061001
15792,CPT,"Chemical peel, nonfacial",,,21 ,,RBRVS,1.86 ,4.46 ,7.11 ,,,,,1,0,1,1,1,1,20061001
15793,CPT,"Chemical peel, nonfacial",,,21 ,,RBRVS,3.73 ,4.39 ,6.30 ,,,,,1,0,1,1,1,1,20061001
15819,CPT,"Plastic surgery, neck",,,21 ,,RBRVS,9.37 ,7.20 ,7.20 ,,,,,1,0,1,1,1,1,20061001
15820,CPT,Revision of lower eyelid,,,21 ,,RBRVS,5.14 ,5.58 ,6.99 ,,,,,1,0,1,1,1,1,20061001
15821,CPT,Revision of lower eyelid,,,21 ,,RBRVS,5.71 ,5.73 ,7.37 ,,,,,1,0,1,1,1,1,20061001
15822,CPT,Revision of upper eyelid,,,21 ,,RBRVS,4.44 ,4.50 ,5.85 ,,,,,1,0,1,1,1,1,20061001
15823,CPT,Revision of upper eyelid,,,21 ,,RBRVS,7.04 ,6.45 ,7.87 ,,,,,1,0,1,1,1,1,20061001
15824,CPT,Removal of forehead wrinkles,,,21 ,,TotalUnits,,,,17.87 ,,,,1,0,1,1,1,1,20061001
15825,CPT,Removal of neck wrinkles,,,21 ,,TotalUnits,,,,20.42 ,,,,1,0,1,1,1,1,20061001
15826,CPT,Removal of brow wrinkles,,,21 ,,TotalUnits,,,,17.87 ,,,,1,0,1,1,1,1,20061001
15828,CPT,Removal of face wrinkles,,,21 ,,TotalUnits,,,,47.23 ,,,,1,0,1,1,1,1,20061001
15829,CPT,Removal of skin wrinkles,,,21 ,,TotalUnits,,,,52.34 ,,,,1,0,1,1,1,1,20061001
15831,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,12.38 ,8.18 ,8.18 ,,,,,1,0,1,1,1,1,20061001
15832,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,11.57 ,8.36 ,8.36 ,,,,,1,0,1,1,1,1,20061001
15833,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,10.62 ,8.23 ,8.23 ,,,,,1,0,1,1,1,1,20061001
15834,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,10.83 ,7.71 ,7.71 ,,,,,1,0,1,1,1,1,20061001
15835,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,11.65 ,7.56 ,7.56 ,,,,,1,0,1,1,1,1,20061001
15836,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,9.33 ,6.80 ,6.80 ,,,,,1,0,1,1,1,1,20061001
15837,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,8.42 ,7.39 ,8.57 ,,,,,1,0,1,1,1,1,20061001
15838,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,7.12 ,6.08 ,6.08 ,,,,,1,0,1,1,1,1,20061001
15839,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,9.37 ,6.41 ,8.85 ,,,,,1,0,1,1,1,1,20061001
15840,CPT,Graft for face nerve palsy,,,21 ,,RBRVS,13.24 ,10.00 ,10.00 ,,,,,1,0,1,1,1,1,20061001
15841,CPT,Graft for face nerve palsy,,,21 ,,RBRVS,23.23 ,15.03 ,15.03 ,,,,,1,0,1,1,1,1,20061001
15842,CPT,Flap for face nerve palsy,,,21 ,,RBRVS,37.90 ,22.98 ,22.98 ,,,,,1,0,1,1,1,1,20061001
15845,CPT,"Skin and muscle repair, face",,,21 ,,RBRVS,12.55 ,9.33 ,9.33 ,,,,,1,0,1,1,1,1,20061001
15850,CPT,Removal of sutures,,,21 ,,RBRVS,0.78 ,0.30 ,1.56 ,,,,,1,0,1,1,1,1,20061001
15851,CPT,Removal of sutures,,,21 ,,RBRVS,0.86 ,0.31 ,1.68 ,,,,,1,0,1,1,1,1,20061001
15852,CPT,"Dressing change,not for burn",,,21 ,,RBRVS,0.86 ,0.33 ,1.85 ,,,,,1,0,1,1,1,1,20061001
15860,CPT,Test for blood flow in graft,,,21 ,,RBRVS,1.95 ,0.78 ,0.83 ,,,,,1,0,1,1,1,1,20061001
15876,CPT,Suction assisted lipectomy,,,21 ,,TotalUnits,,,,11.19 ,,,,1,0,1,1,1,1,20061001
15877,CPT,Suction assisted lipectomy,,,21 ,,TotalUnits,,,,15.70 ,,,,1,0,1,1,1,1,20061001
15878,CPT,Suction assisted lipectomy,,,21 ,,TotalUnits,,,,14.19 ,,,,1,0,1,1,1,1,20061001
15879,CPT,Suction assisted lipectomy,,,21 ,,TotalUnits,,,,13.98 ,,,,1,0,1,1,1,1,20061001
15920,CPT,Removal of tail bone ulcer,,,21 ,,RBRVS,7.94 ,5.57 ,5.57 ,,,,,1,0,1,1,1,1,20061001
15922,CPT,Removal of tail bone ulcer,,,21 ,,RBRVS,9.89 ,7.23 ,7.23 ,,,,,1,0,1,1,1,1,20061001
15931,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,9.23 ,5.70 ,5.70 ,,,,,1,0,1,1,1,1,20061001
15933,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,10.83 ,7.87 ,7.87 ,,,,,1,0,1,1,1,1,20061001
15934,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,12.67 ,8.06 ,8.06 ,,,,,1,0,1,1,1,1,20061001
15935,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,14.55 ,10.35 ,10.35 ,,,,,1,0,1,1,1,1,20061001
15936,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,12.36 ,8.24 ,8.24 ,,,,,1,0,1,1,1,1,20061001
15937,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,14.19 ,9.85 ,9.85 ,,,,,1,0,1,1,1,1,20061001
15940,CPT,Remove hip pressure sore,,,21 ,,RBRVS,9.33 ,6.19 ,6.19 ,,,,,1,0,1,1,1,1,20061001
15941,CPT,Remove hip pressure sore,,,21 ,,RBRVS,11.41 ,9.48 ,9.48 ,,,,,1,0,1,1,1,1,20061001
15944,CPT,Remove hip pressure sore,,,21 ,,RBRVS,11.44 ,8.62 ,8.62 ,,,,,1,0,1,1,1,1,20061001
15945,CPT,Remove hip pressure sore,,,21 ,,RBRVS,12.67 ,9.67 ,9.67 ,,,,,1,0,1,1,1,1,20061001
15946,CPT,Remove hip pressure sore,,,21 ,,RBRVS,21.54 ,14.41 ,14.41 ,,,,,1,0,1,1,1,1,20061001
15950,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,7.53 ,5.43 ,5.43 ,,,,,1,0,1,1,1,1,20061001
15951,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,10.70 ,7.88 ,7.88 ,,,,,1,0,1,1,1,1,20061001
15952,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,11.37 ,7.77 ,7.77 ,,,,,1,0,1,1,1,1,20061001
15953,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,12.61 ,9.02 ,9.02 ,,,,,1,0,1,1,1,1,20061001
15956,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,15.50 ,10.80 ,10.80 ,,,,,1,0,1,1,1,1,20061001
15958,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,15.46 ,11.07 ,11.07 ,,,,,1,0,1,1,1,1,20061001
15999,CPT,Removal of pressure sore,,,21 ,,TotalUnits,,,,20.99 ,,,,1,0,1,1,1,1,20061001
16000,CPT,Initial treatment of burn(s),,,21 ,,RBRVS,0.89 ,0.26 ,0.86 ,,,,,1,0,1,1,1,1,20061001
16020,CPT,Treatment of burn(s),,,21 ,,RBRVS,0.80 ,0.58 ,1.29 ,,,,,1,0,1,1,1,1,20061001
16025,CPT,Treatment of burn(s),,,21 ,,RBRVS,1.85 ,0.96 ,1.77 ,,,,,1,0,1,1,1,1,20061001
16030,CPT,Treatment of burn(s),,,21 ,,RBRVS,2.08 ,1.12 ,2.18 ,,,,,1,0,1,1,1,1,20061001
16035,CPT,"Incision of burn scab, initi",,,21 ,,RBRVS,3.74 ,1.58 ,1.58 ,,,,,1,0,1,1,1,1,20061001
16036,CPT,"Incise burn scab, addl incis",,,21 ,,RBRVS,1.50 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20061001
17000,CPT,Destroy benign/premlg lesion,,,21 ,,RBRVS,0.60 ,0.54 ,0.97 ,,,,,1,0,1,1,1,1,20061001
17003,CPT,"Destroy lesions, 2-14",,,21 ,,RBRVS,0.15 ,0.07 ,0.11 ,,,,,1,0,1,1,1,1,20061001
17004,CPT,"Destroy lesions, 15 or more",,,21 ,,RBRVS,2.79 ,1.59 ,2.31 ,,,,,1,0,1,1,1,1,20061001
17106,CPT,Destruction of skin lesions,,,21 ,,RBRVS,4.58 ,3.34 ,4.61 ,,,,,1,0,1,1,1,1,20061001
17107,CPT,Destruction of skin lesions,,,21 ,,RBRVS,9.15 ,5.47 ,7.22 ,,,,,1,0,1,1,1,1,20061001
17108,CPT,Destruction of skin lesions,,,21 ,,RBRVS,13.18 ,7.68 ,9.29 ,,,,,1,0,1,1,1,1,20061001
17110,CPT,"Destruct lesion, 1-14",,,21 ,,RBRVS,0.65 ,0.70 ,1.62 ,,,,,1,0,1,1,1,1,20061001
17111,CPT,"Destruct lesion, 15 or more",,,21 ,,RBRVS,0.92 ,0.81 ,1.67 ,,,,,1,0,1,1,1,1,20061001
17250,CPT,"Chemical cautery, tissue",,,21 ,,RBRVS,0.50 ,0.34 ,1.22 ,,,,,1,0,1,1,1,1,20061001
17260,CPT,Destruction of skin lesions,,,21 ,,RBRVS,0.91 ,0.67 ,1.28 ,,,,,1,0,1,1,1,1,20061001
17261,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.17 ,0.83 ,1.61 ,,,,,1,0,1,1,1,1,20061001
17262,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.58 ,1.02 ,1.89 ,,,,,1,0,1,1,1,1,20061001
17263,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.79 ,1.09 ,2.06 ,,,,,1,0,1,1,1,1,20061001
17264,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.94 ,1.12 ,2.23 ,,,,,1,0,1,1,1,1,20061001
17266,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.34 ,1.22 ,2.51 ,,,,,1,0,1,1,1,1,20061001
17270,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.32 ,0.87 ,1.70 ,,,,,1,0,1,1,1,1,20061001
17271,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.49 ,0.98 ,1.78 ,,,,,1,0,1,1,1,1,20061001
17272,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.77 ,1.11 ,2.00 ,,,,,1,0,1,1,1,1,20061001
17273,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.05 ,1.21 ,2.21 ,,,,,1,0,1,1,1,1,20061001
17274,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.59 ,1.44 ,2.57 ,,,,,1,0,1,1,1,1,20061001
17276,CPT,Destruction of skin lesions,,,21 ,,RBRVS,3.20 ,1.68 ,2.95 ,,,,,1,0,1,1,1,1,20061001
17280,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.17 ,0.81 ,1.61 ,,,,,1,0,1,1,1,1,20061001
17281,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.72 ,1.09 ,1.91 ,,,,,1,0,1,1,1,1,20061001
17282,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.04 ,1.24 ,2.16 ,,,,,1,0,1,1,1,1,20061001
17283,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.64 ,1.49 ,2.55 ,,,,,1,0,1,1,1,1,20061001
17284,CPT,Destruction of skin lesions,,,21 ,,RBRVS,3.21 ,1.76 ,2.93 ,,,,,1,0,1,1,1,1,20061001
17286,CPT,Destruction of skin lesions,,,21 ,,RBRVS,4.43 ,2.45 ,3.68 ,,,,,1,0,1,1,1,1,20061001
17304,CPT,"1 stage mohs, up to 5 spec",,,21 ,,RBRVS,7.59 ,3.57 ,8.26 ,,,,,1,0,1,1,1,1,20061001
17305,CPT,"2 stage mohs, up to 5 spec",,,21 ,,RBRVS,2.85 ,1.34 ,3.90 ,,,,,1,0,1,1,1,1,20061001
17306,CPT,"3 stage mohs, up to 5 spec",,,21 ,,RBRVS,2.85 ,1.35 ,3.92 ,,,,,1,0,1,1,1,1,20061001
17307,CPT,Mohs addl stage up to 5 spec,,,21 ,,RBRVS,2.85 ,1.36 ,3.57 ,,,,,1,0,1,1,1,1,20061001
17310,CPT,Mohs any stage > 5 spec each,,,21 ,,RBRVS,0.95 ,0.46 ,1.62 ,,,,,1,0,1,1,1,1,20061001
17340,CPT,Cryotherapy of skin,,,21 ,,RBRVS,0.76 ,0.36 ,0.37 ,,,,,1,0,1,1,1,1,20061001
17360,CPT,Skin peel therapy,,,21 ,,RBRVS,1.43 ,0.87 ,1.44 ,,,,,1,0,1,1,1,1,20061001
17380,CPT,Hair removal by electrolysis,,,21 ,,TotalUnits,,,,0.76 ,,,,1,0,1,1,1,1,20061001
17999,CPT,Skin tissue procedure,,,21 ,,TotalUnits,,,,1.74 ,,,,1,0,1,1,1,1,20061001
19000,CPT,Drainage of breast lesion,,,21 ,,RBRVS,0.84 ,0.31 ,1.99 ,,,,,1,0,1,1,1,1,20061001
19001,CPT,Drain breast lesion add-on,,,21 ,,RBRVS,0.42 ,0.14 ,0.25 ,,,,,1,0,1,1,1,1,20061001
19020,CPT,Incision of breast lesion,,,21 ,,RBRVS,3.56 ,2.68 ,6.35 ,,,,,1,0,1,1,1,1,20061001
19030,CPT,Injection for breast x-ray,,,21 ,,RBRVS,1.53 ,0.50 ,2.87 ,,,,,1,0,1,1,1,1,20061001
19100,CPT,Bx breast percut w/o image,,,21 ,,RBRVS,1.27 ,0.42 ,2.09 ,,,,,1,0,1,1,1,1,20061001
19101,CPT,"Biopsy of breast, open",,,21 ,,RBRVS,3.18 ,1.92 ,4.51 ,,,,,1,0,1,1,1,1,20061001
19102,CPT,Bx breast percut w/image,,,21 ,,RBRVS,2.00 ,0.66 ,3.84 ,,,,,1,0,1,1,1,1,20061001
19103,CPT,Bx breast percut w/device,,,21 ,,RBRVS,3.69 ,1.23 ,11.52 ,,,,,1,0,1,1,1,1,20061001
19110,CPT,Nipple exploration,,,21 ,,RBRVS,4.29 ,2.87 ,5.81 ,,,,,1,0,1,1,1,1,20061001
19112,CPT,Excise breast duct fistula,,,21 ,,RBRVS,3.66 ,2.69 ,6.08 ,,,,,1,0,1,1,1,1,20061001
19120,CPT,Removal of breast lesion,,,21 ,,RBRVS,5.55 ,3.07 ,4.55 ,,,,,1,0,1,1,1,1,20061001
19125,CPT,"Excision, breast lesion",,,21 ,,RBRVS,6.05 ,3.29 ,4.79 ,,,,,1,0,1,1,1,1,20061001
19126,CPT,"Excision, addl breast lesion",,,21 ,,RBRVS,2.93 ,1.00 ,1.00 ,,,,,1,0,1,1,1,1,20061001
19140,CPT,Removal of breast tissue,,,21 ,,RBRVS,5.13 ,3.40 ,7.16 ,,,,,1,0,1,1,1,1,20061001
19160,CPT,Removal of breast tissue,,,21 ,,RBRVS,5.98 ,3.43 ,3.43 ,,,,,1,0,1,1,1,1,20061001
19162,CPT,"Remove breast tissue, nodes",,,21 ,,RBRVS,13.51 ,6.35 ,6.35 ,,,,,1,0,1,1,1,1,20061001
19180,CPT,Removal of breast,,,21 ,,RBRVS,8.79 ,5.03 ,5.03 ,,,,,1,0,1,1,1,1,20061001
19182,CPT,Removal of breast,,,21 ,,RBRVS,7.72 ,4.76 ,4.76 ,,,,,1,0,1,1,1,1,20061001
19200,CPT,Removal of breast,,,21 ,,RBRVS,15.47 ,7.98 ,7.98 ,,,,,1,0,1,1,1,1,20061001
19220,CPT,Removal of breast,,,21 ,,RBRVS,15.70 ,8.25 ,8.25 ,,,,,1,0,1,1,1,1,20061001
19240,CPT,Removal of breast,,,21 ,,RBRVS,15.98 ,8.22 ,8.22 ,,,,,1,0,1,1,1,1,20061001
19260,CPT,Removal of chest wall lesion,,,21 ,,RBRVS,15.42 ,11.18 ,11.18 ,,,,,1,0,1,1,1,1,20061001
19271,CPT,Revision of chest wall,,,21 ,,RBRVS,18.87 ,18.00 ,18.00 ,,,,,1,0,1,1,1,1,20061001
19272,CPT,Extensive chest wall surgery,,,21 ,,RBRVS,21.52 ,18.98 ,18.98 ,,,,,1,0,1,1,1,1,20061001
19290,CPT,"Place needle wire, breast",,,21 ,,RBRVS,1.27 ,0.42 ,2.86 ,,,,,1,0,1,1,1,1,20061001
19291,CPT,"Place needle wire, breast",,,21 ,,RBRVS,0.63 ,0.21 ,1.21 ,,,,,1,0,1,1,1,1,20061001
19295,CPT,"Place breast clip, percut",,,21 ,,RBRVS,0.00 ,2.70 ,2.70 ,,,,,1,1,1,0,1,1,20061001
19296,CPT,Place po breast cath for rad,,,21 ,,RBRVS,3.63 ,1.53 ,125.75 ,,,,,1,0,1,1,1,1,20061001
19297,CPT,Place breast cath for rad,,,21 ,,RBRVS,1.72 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20061001
19298,CPT,Place breast rad tube/caths,,,21 ,,RBRVS,6.00 ,2.42 ,42.28 ,,,,,1,0,1,1,1,1,20061001
19316,CPT,Suspension of breast,,,21 ,,RBRVS,10.67 ,7.53 ,7.53 ,,,,,1,0,1,1,1,1,20061001
19318,CPT,Reduction of large breast,,,21 ,,RBRVS,15.60 ,11.20 ,11.20 ,,,,,1,0,1,1,1,1,20061001
19324,CPT,Enlarge breast,,,21 ,,RBRVS,5.84 ,4.90 ,4.90 ,,,,,1,0,1,1,1,1,20061001
19325,CPT,Enlarge breast with implant,,,21 ,,RBRVS,8.44 ,6.54 ,6.54 ,,,,,1,0,1,1,1,1,20061001
19328,CPT,Removal of breast implant,,,21 ,,RBRVS,5.67 ,5.03 ,5.03 ,,,,,1,0,1,1,1,1,20061001
19330,CPT,Removal of implant material,,,21 ,,RBRVS,7.58 ,6.05 ,6.05 ,,,,,1,0,1,1,1,1,20061001
19340,CPT,Immediate breast prosthesis,,,21 ,,RBRVS,6.32 ,3.12 ,3.12 ,,,,,1,0,1,1,1,1,20061001
19342,CPT,Delayed breast prosthesis,,,21 ,,RBRVS,11.18 ,8.95 ,8.95 ,,,,,1,0,1,1,1,1,20061001
19350,CPT,Breast reconstruction,,,21 ,,RBRVS,8.91 ,7.19 ,13.88 ,,,,,1,0,1,1,1,1,20061001
19355,CPT,Correct inverted nipple(s),,,21 ,,RBRVS,7.56 ,4.71 ,10.28 ,,,,,1,0,1,1,1,1,20061001
19357,CPT,Breast reconstruction,,,21 ,,RBRVS,18.13 ,15.66 ,15.66 ,,,,,1,0,1,1,1,1,20061001
19361,CPT,Breast reconstruction,,,21 ,,RBRVS,19.23 ,12.47 ,12.47 ,,,,,1,0,1,1,1,1,20061001
19364,CPT,Breast reconstruction,,,21 ,,RBRVS,40.94 ,23.61 ,23.61 ,,,,,1,0,1,1,1,1,20061001
19366,CPT,Breast reconstruction,,,21 ,,RBRVS,21.25 ,11.61 ,11.61 ,,,,,1,0,1,1,1,1,20061001
19367,CPT,Breast reconstruction,,,21 ,,RBRVS,25.69 ,16.74 ,16.74 ,,,,,1,0,1,1,1,1,20061001
19368,CPT,Breast reconstruction,,,21 ,,RBRVS,32.37 ,18.97 ,18.97 ,,,,,1,0,1,1,1,1,20061001
19369,CPT,Breast reconstruction,,,21 ,,RBRVS,29.78 ,18.45 ,18.45 ,,,,,1,0,1,1,1,1,20061001
19370,CPT,Surgery of breast capsule,,,21 ,,RBRVS,8.04 ,6.92 ,6.92 ,,,,,1,0,1,1,1,1,20061001
19371,CPT,Removal of breast capsule,,,21 ,,RBRVS,9.34 ,7.84 ,7.84 ,,,,,1,0,1,1,1,1,20061001
19380,CPT,Revise breast reconstruction,,,21 ,,RBRVS,9.13 ,7.72 ,7.72 ,,,,,1,0,1,1,1,1,20061001
19396,CPT,Design custom breast implant,,,21 ,,RBRVS,2.17 ,0.99 ,1.08 ,,,,,1,0,1,1,1,1,20061001
19499,CPT,Breast surgery procedure,,,21 ,,TotalUnits,,,,8.77 ,,,,1,0,1,1,1,1,20061001
20000,CPT,Incision of abscess,,,21 ,,RBRVS,2.12 ,1.74 ,2.70 ,,,,,1,0,1,1,1,1,20061001
20005,CPT,Incision of deep abscess,,,21 ,,RBRVS,3.41 ,2.26 ,3.50 ,,,,,1,0,1,1,1,1,20061001
20100,CPT,"Explore wound, neck",,,21 ,,RBRVS,10.06 ,4.47 ,4.47 ,,,,,1,0,1,1,1,1,20061001
20101,CPT,"Explore wound, chest",,,21 ,,RBRVS,3.22 ,1.62 ,5.94 ,,,,,1,0,1,1,1,1,20061001
20102,CPT,"Explore wound, abdomen",,,21 ,,RBRVS,3.93 ,1.91 ,7.48 ,,,,,1,0,1,1,1,1,20061001
20103,CPT,"Explore wound, extremity",,,21 ,,RBRVS,5.29 ,3.40 ,8.60 ,,,,,1,0,1,1,1,1,20061001
20150,CPT,Excise epiphyseal bar,,,21 ,,RBRVS,13.67 ,7.05 ,7.05 ,,,,,1,0,1,1,1,1,20061001
20200,CPT,Muscle biopsy,,,21 ,,RBRVS,1.46 ,0.75 ,3.04 ,,,,,1,0,1,1,1,1,20061001
20205,CPT,Deep muscle biopsy,,,21 ,,RBRVS,2.35 ,1.19 ,3.90 ,,,,,1,0,1,1,1,1,20061001
20206,CPT,"Needle biopsy, muscle",,,21 ,,RBRVS,0.99 ,0.63 ,6.52 ,,,,,1,0,1,1,1,1,20061001
20220,CPT,"Bone biopsy, trocar/needle",,,21 ,,RBRVS,1.27 ,0.79 ,4.57 ,,,,,1,0,1,1,1,1,20061001
20225,CPT,"Bone biopsy, trocar/needle",,,21 ,,RBRVS,1.87 ,1.13 ,24.52 ,,,,,1,0,1,1,1,1,20061001
20240,CPT,"Bone biopsy, excisional",,,21 ,,RBRVS,3.23 ,2.56 ,2.56 ,,,,,1,0,1,1,1,1,20061001
20245,CPT,"Bone biopsy, excisional",,,21 ,,RBRVS,7.77 ,6.59 ,6.59 ,,,,,1,0,1,1,1,1,20061001
20250,CPT,Open bone biopsy,,,21 ,,RBRVS,5.02 ,3.51 ,3.51 ,,,,,1,0,1,1,1,1,20061001
20251,CPT,Open bone biopsy,,,21 ,,RBRVS,5.55 ,4.17 ,4.17 ,,,,,1,0,1,1,1,1,20061001
20500,CPT,Injection of sinus tract,,,21 ,,RBRVS,1.23 ,1.53 ,2.27 ,,,,,1,0,1,1,1,1,20061001
20501,CPT,Inject sinus tract for x-ray,,,21 ,,RBRVS,0.76 ,0.25 ,2.92 ,,,,,1,0,1,1,1,1,20061001
20520,CPT,Removal of foreign body,,,21 ,,RBRVS,1.85 ,1.77 ,2.92 ,,,,,1,0,1,1,1,1,20061001
20525,CPT,Removal of foreign body,,,21 ,,RBRVS,3.49 ,2.63 ,9.17 ,,,,,1,0,1,1,1,1,20061001
20526,CPT,"Ther injection, carp tunnel",,,21 ,,RBRVS,0.94 ,0.52 ,0.97 ,,,,,1,0,1,1,1,1,20061001
20550,CPT,Inj tendon sheath/ligament,,,21 ,,RBRVS,0.75 ,0.23 ,0.71 ,,,,,1,0,1,1,1,1,20061001
20551,CPT,Inject tendon origin/insert,,,21 ,,RBRVS,0.75 ,0.33 ,0.68 ,,,,,1,0,1,1,1,1,20061001
20552,CPT,"Inject trigger point, 1 or 2",,,21 ,,RBRVS,0.66 ,0.20 ,0.72 ,,,,,1,0,1,1,1,1,20061001
20553,CPT,"Inject trigger points, =/> 3",,,21 ,,RBRVS,0.75 ,0.22 ,0.82 ,,,,,1,0,1,1,1,1,20061001
20600,CPT,"Drain/inject, joint/bursa",,,21 ,,RBRVS,0.66 ,0.35 ,0.65 ,,,,,1,0,1,1,1,1,20061001
20605,CPT,"Drain/inject, joint/bursa",,,21 ,,RBRVS,0.68 ,0.36 ,0.76 ,,,,,1,0,1,1,1,1,20061001
20610,CPT,"Drain/inject, joint/bursa",,,21 ,,RBRVS,0.79 ,0.42 ,0.95 ,,,,,1,0,1,1,1,1,20061001
20612,CPT,Aspirate/inj ganglion cyst,,,21 ,,RBRVS,0.70 ,0.36 ,0.71 ,,,,,1,0,1,1,1,1,20061001
20615,CPT,Treatment of bone cyst,,,21 ,,RBRVS,2.28 ,1.85 ,3.52 ,,,,,1,0,1,1,1,1,20061001
20650,CPT,Insert and remove bone pin,,,21 ,,RBRVS,2.23 ,1.55 ,2.37 ,,,,,1,0,1,1,1,1,20061001
20660,CPT,"Apply, rem fixation device",,,21 ,,RBRVS,2.51 ,1.61 ,3.06 ,,,,,1,0,1,1,1,1,20061001
20661,CPT,Application of head brace,,,21 ,,RBRVS,4.88 ,4.92 ,4.92 ,,,,,1,0,1,1,1,1,20061001
20662,CPT,Application of pelvis brace,,,21 ,,RBRVS,6.06 ,5.54 ,5.54 ,,,,,1,0,1,1,1,1,20061001
20663,CPT,Application of thigh brace,,,21 ,,RBRVS,5.42 ,4.84 ,4.84 ,,,,,1,0,1,1,1,1,20061001
20664,CPT,Halo brace application,,,21 ,,RBRVS,8.05 ,7.06 ,7.06 ,,,,,1,0,1,1,1,1,20061001
20665,CPT,Removal of fixation device,,,21 ,,RBRVS,1.31 ,1.35 ,2.16 ,,,,,1,0,1,1,1,1,20061001
20670,CPT,Removal of support implant,,,21 ,,RBRVS,1.74 ,2.11 ,11.57 ,,,,,1,0,1,1,1,1,20061001
20680,CPT,Removal of support implant,,,21 ,,RBRVS,3.34 ,3.73 ,8.81 ,,,,,1,0,1,1,1,1,20061001
20690,CPT,Apply bone fixation device,,,21 ,,RBRVS,3.51 ,2.52 ,2.52 ,,,,,1,0,1,1,1,1,20061001
20692,CPT,Apply bone fixation device,,,21 ,,RBRVS,6.40 ,3.78 ,3.78 ,,,,,1,0,1,1,1,1,20061001
20693,CPT,Adjust bone fixation device,,,21 ,,RBRVS,5.85 ,5.46 ,5.46 ,,,,,1,0,1,1,1,1,20061001
20694,CPT,Remove bone fixation device,,,21 ,,RBRVS,4.15 ,4.05 ,7.16 ,,,,,1,0,1,1,1,1,20061001
20802,CPT,"Replantation, arm, complete",,,21 ,,RBRVS,41.09 ,21.01 ,21.01 ,,,,,1,0,1,1,1,1,20061001
20805,CPT,"Replant forearm, complete",,,21 ,,RBRVS,49.93 ,34.41 ,34.41 ,,,,,1,0,1,1,1,1,20061001
20808,CPT,"Replantation hand, complete",,,21 ,,RBRVS,61.56 ,42.34 ,42.34 ,,,,,1,0,1,1,1,1,20061001
20816,CPT,"Replantation digit, complete",,,21 ,,RBRVS,30.89 ,37.90 ,37.90 ,,,,,1,0,1,1,1,1,20061001
20822,CPT,"Replantation digit, complete",,,21 ,,RBRVS,25.55 ,34.69 ,34.69 ,,,,,1,0,1,1,1,1,20061001
20824,CPT,"Replantation thumb, complete",,,21 ,,RBRVS,30.89 ,36.65 ,36.65 ,,,,,1,0,1,1,1,1,20061001
20827,CPT,"Replantation thumb, complete",,,21 ,,RBRVS,26.37 ,36.58 ,36.58 ,,,,,1,0,1,1,1,1,20061001
20838,CPT,"Replantation foot, complete",,,21 ,,RBRVS,41.35 ,22.34 ,22.34 ,,,,,1,0,1,1,1,1,20061001
20900,CPT,Removal of bone for graft,,,21 ,,RBRVS,5.57 ,5.69 ,8.45 ,,,,,1,0,1,1,1,1,20061001
20902,CPT,Removal of bone for graft,,,21 ,,RBRVS,7.54 ,6.90 ,6.90 ,,,,,1,0,1,1,1,1,20061001
20910,CPT,Remove cartilage for graft,,,21 ,,RBRVS,5.33 ,5.20 ,5.20 ,,,,,1,0,1,1,1,1,20061001
20912,CPT,Remove cartilage for graft,,,21 ,,RBRVS,6.34 ,5.81 ,5.81 ,,,,,1,0,1,1,1,1,20061001
20920,CPT,Removal of fascia for graft,,,21 ,,RBRVS,5.30 ,4.23 ,4.23 ,,,,,1,0,1,1,1,1,20061001
20922,CPT,Removal of fascia for graft,,,21 ,,RBRVS,6.60 ,4.88 ,7.56 ,,,,,1,0,1,1,1,1,20061001
20924,CPT,Removal of tendon for graft,,,21 ,,RBRVS,6.47 ,5.90 ,5.90 ,,,,,1,0,1,1,1,1,20061001
20926,CPT,Removal of tissue for graft,,,21 ,,RBRVS,5.52 ,4.76 ,4.76 ,,,,,1,0,1,1,1,1,20061001
20930,CPT,Spinal bone allograft,,,21 ,,TotalUnits,,,,3.65 ,,,,1,0,1,1,1,1,20061001
20931,CPT,Spinal bone allograft,,,21 ,,RBRVS,1.81 ,0.93 ,0.93 ,,,,,1,0,1,1,1,1,20061001
20936,CPT,Spinal bone autograft,,,21 ,,TotalUnits,,,,5.55 ,,,,1,0,1,1,1,1,20061001
20937,CPT,Spinal bone autograft,,,21 ,,RBRVS,2.79 ,1.45 ,1.45 ,,,,,1,0,1,1,1,1,20061001
20938,CPT,Spinal bone autograft,,,21 ,,RBRVS,3.02 ,1.56 ,1.56 ,,,,,1,0,1,1,1,1,20061001
20950,CPT,"Fluid pressure, muscle",,,21 ,,RBRVS,1.26 ,0.99 ,6.86 ,,,,,1,0,1,1,1,1,20061001
20955,CPT,"Fibula bone graft, microvasc",,,21 ,,RBRVS,39.15 ,24.34 ,24.34 ,,,,,1,0,1,1,1,1,20061001
20956,CPT,"Iliac bone graft, microvasc",,,21 ,,RBRVS,39.21 ,24.81 ,24.81 ,,,,,1,0,1,1,1,1,20061001
20957,CPT,"Mt bone graft, microvasc",,,21 ,,RBRVS,40.59 ,18.99 ,18.99 ,,,,,1,0,1,1,1,1,20061001
20962,CPT,"Other bone graft, microvasc",,,21 ,,RBRVS,39.21 ,26.60 ,26.60 ,,,,,1,0,1,1,1,1,20061001
20969,CPT,"Bone/skin graft, microvasc",,,21 ,,RBRVS,43.85 ,26.71 ,26.71 ,,,,,1,0,1,1,1,1,20061001
20970,CPT,"Bone/skin graft, iliac crest",,,21 ,,RBRVS,43.00 ,25.45 ,25.45 ,,,,,1,0,1,1,1,1,20061001
20972,CPT,"Bone/skin graft, metatarsal",,,21 ,,RBRVS,42.93 ,20.64 ,20.64 ,,,,,1,0,1,1,1,1,20061001
20973,CPT,"Bone/skin graft, great toe",,,21 ,,RBRVS,45.69 ,25.23 ,25.23 ,,,,,1,0,1,1,1,1,20061001
20974,CPT,Electrical bone stimulation,,,21 ,,RBRVS,0.62 ,0.54 ,0.69 ,,,,,1,1,1,0,1,1,20061001
20975,CPT,Electrical bone stimulation,,,21 ,,RBRVS,2.60 ,1.71 ,1.71 ,,,,,1,0,1,1,1,1,20061001
20979,CPT,Us bone stimulation,,,21 ,,RBRVS,0.62 ,0.34 ,0.80 ,,,,,1,1,1,0,1,1,20061001
20982,CPT,"Ablate, bone tumor(s) perq",,,21 ,,RBRVS,7.27 ,2.98 ,109.86 ,,,,,1,0,1,1,1,1,20061001
20999,CPT,Musculoskeletal surgery,,,21 ,,TotalUnits,,,,1.41 ,,,,1,0,1,1,1,1,20061001
21010,CPT,Incision of jaw joint,,,21 ,,RBRVS,10.12 ,7.11 ,7.11 ,,,,,1,0,1,1,1,1,20061001
21015,CPT,Resection of facial tumor,,,21 ,,RBRVS,5.28 ,5.02 ,5.02 ,,,,,1,0,1,1,1,1,20061001
21025,CPT,"Excision of bone, lower jaw",,,21 ,,RBRVS,10.04 ,9.38 ,12.28 ,,,,,1,0,1,1,1,1,20061001
21026,CPT,Excision of facial bone(s),,,21 ,,RBRVS,4.84 ,6.34 ,7.88 ,,,,,1,0,1,1,1,1,20061001
21029,CPT,Contour of face bone lesion,,,21 ,,RBRVS,7.70 ,7.03 ,9.40 ,,,,,1,0,1,1,1,1,20061001
21030,CPT,Excise max/zygoma b9 tumor,,,21 ,,RBRVS,4.49 ,5.04 ,6.35 ,,,,,1,0,1,1,1,1,20061001
21031,CPT,"Remove exostosis, mandible",,,21 ,,RBRVS,3.24 ,3.63 ,5.18 ,,,,,1,0,1,1,1,1,20061001
21032,CPT,"Remove exostosis, maxilla",,,21 ,,RBRVS,3.24 ,3.52 ,5.36 ,,,,,1,0,1,1,1,1,20061001
21034,CPT,Excise max/zygoma mlg tumor,,,21 ,,RBRVS,16.15 ,12.70 ,15.97 ,,,,,1,0,1,1,1,1,20061001
21040,CPT,Excise mandible lesion,,,21 ,,RBRVS,4.49 ,4.73 ,6.41 ,,,,,1,0,1,1,1,1,20061001
21044,CPT,Removal of jaw bone lesion,,,21 ,,RBRVS,11.84 ,9.40 ,9.40 ,,,,,1,0,1,1,1,1,20061001
21045,CPT,Extensive jaw surgery,,,21 ,,RBRVS,16.15 ,12.39 ,12.39 ,,,,,1,0,1,1,1,1,20061001
21046,CPT,Remove mandible cyst complex,,,21 ,,RBRVS,12.98 ,11.93 ,11.93 ,,,,,1,0,1,1,1,1,20061001
21047,CPT,Excise lwr jaw cyst w/repair,,,21 ,,RBRVS,18.72 ,13.48 ,13.48 ,,,,,1,0,1,1,1,1,20061001
21048,CPT,Remove maxilla cyst complex,,,21 ,,RBRVS,13.48 ,12.17 ,12.17 ,,,,,1,0,1,1,1,1,20061001
21049,CPT,Excis uppr jaw cyst w/repair,,,21 ,,RBRVS,17.97 ,13.06 ,13.06 ,,,,,1,0,1,1,1,1,20061001
21050,CPT,Removal of jaw joint,,,21 ,,RBRVS,10.75 ,9.47 ,9.47 ,,,,,1,0,1,1,1,1,20061001
21060,CPT,Remove jaw joint cartilage,,,21 ,,RBRVS,10.21 ,8.63 ,8.63 ,,,,,1,0,1,1,1,1,20061001
21070,CPT,Remove coronoid process,,,21 ,,RBRVS,8.19 ,7.12 ,7.12 ,,,,,1,0,1,1,1,1,20061001
21076,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,13.40 ,10.03 ,12.39 ,,,,,1,0,1,1,1,1,20061001
21077,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,33.70 ,26.08 ,31.42 ,,,,,1,0,1,1,1,1,20061001
21079,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,22.31 ,17.20 ,21.56 ,,,,,1,0,1,1,1,1,20061001
21080,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,25.06 ,19.42 ,24.56 ,,,,,1,0,1,1,1,1,20061001
21081,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,22.85 ,17.54 ,22.36 ,,,,,1,0,1,1,1,1,20061001
21082,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,20.84 ,15.78 ,19.40 ,,,,,1,0,1,1,1,1,20061001
21083,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,19.27 ,14.47 ,18.84 ,,,,,1,0,1,1,1,1,20061001
21084,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,22.48 ,17.75 ,22.50 ,,,,,1,0,1,1,1,1,20061001
21085,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,8.99 ,6.80 ,8.31 ,,,,,1,0,1,1,1,1,20061001
21086,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,24.88 ,19.49 ,23.81 ,,,,,1,0,1,1,1,1,20061001
21087,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,24.88 ,19.25 ,23.35 ,,,,,1,0,1,1,1,1,20061001
21088,CPT,Prepare face/oral prosthesis,,,21 ,,TotalUnits,,,,10.85 ,,,,1,0,1,1,1,1,20061001
21089,CPT,Prepare face/oral prosthesis,,,21 ,,TotalUnits,,,,16.97 ,,,,1,0,1,1,1,1,20061001
21100,CPT,Maxillofacial fixation,,,21 ,,RBRVS,4.21 ,4.75 ,11.56 ,,,,,1,0,1,1,1,1,20061001
21110,CPT,Interdental fixation,,,21 ,,RBRVS,5.20 ,8.38 ,9.59 ,,,,,1,0,1,1,1,1,20061001
21116,CPT,"Injection, jaw joint x-ray",,,21 ,,RBRVS,0.81 ,0.33 ,4.34 ,,,,,1,0,1,1,1,1,20061001
21120,CPT,Reconstruction of chin,,,21 ,,RBRVS,4.92 ,7.51 ,10.61 ,,,,,1,0,1,1,1,1,20061001
21121,CPT,Reconstruction of chin,,,21 ,,RBRVS,7.63 ,7.84 ,9.76 ,,,,,1,0,1,1,1,1,20061001
21122,CPT,Reconstruction of chin,,,21 ,,RBRVS,8.51 ,8.64 ,8.64 ,,,,,1,0,1,1,1,1,20061001
21123,CPT,Reconstruction of chin,,,21 ,,RBRVS,11.14 ,10.83 ,10.83 ,,,,,1,0,1,1,1,1,20061001
21125,CPT,"Augmentation, lower jaw bone",,,21 ,,RBRVS,10.60 ,8.34 ,55.38 ,,,,,1,0,1,1,1,1,20061001
21127,CPT,"Augmentation, lower jaw bone",,,21 ,,RBRVS,11.10 ,9.48 ,42.92 ,,,,,1,0,1,1,1,1,20061001
21137,CPT,Reduction of forehead,,,21 ,,RBRVS,9.81 ,7.75 ,7.75 ,,,,,1,0,1,1,1,1,20061001
21138,CPT,Reduction of forehead,,,21 ,,RBRVS,12.17 ,9.56 ,9.56 ,,,,,1,0,1,1,1,1,20061001
21139,CPT,Reduction of forehead,,,21 ,,RBRVS,14.59 ,11.09 ,11.09 ,,,,,1,0,1,1,1,1,20061001
21141,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,18.07 ,13.69 ,13.69 ,,,,,1,0,1,1,1,1,20061001
21142,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,18.78 ,12.86 ,12.86 ,,,,,1,0,1,1,1,1,20061001
21143,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,19.55 ,14.35 ,14.35 ,,,,,1,0,1,1,1,1,20061001
21145,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,19.91 ,13.94 ,13.94 ,,,,,1,0,1,1,1,1,20061001
21146,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,20.68 ,15.37 ,15.37 ,,,,,1,0,1,1,1,1,20061001
21147,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,21.74 ,15.09 ,15.09 ,,,,,1,0,1,1,1,1,20061001
21150,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,25.20 ,16.81 ,16.81 ,,,,,1,0,1,1,1,1,20061001
21151,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,28.26 ,23.02 ,23.02 ,,,,,1,0,1,1,1,1,20061001
21154,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,30.47 ,23.19 ,23.19 ,,,,,1,0,1,1,1,1,20061001
21155,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,34.40 ,23.96 ,23.96 ,,,,,1,0,1,1,1,1,20061001
21159,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,42.32 ,29.16 ,29.16 ,,,,,1,0,1,1,1,1,20061001
21160,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,46.37 ,27.55 ,27.55 ,,,,,1,0,1,1,1,1,20061001
21172,CPT,Reconstruct orbit/forehead,,,21 ,,RBRVS,27.76 ,13.79 ,13.79 ,,,,,1,0,1,1,1,1,20061001
21175,CPT,Reconstruct orbit/forehead,,,21 ,,RBRVS,33.12 ,17.84 ,17.84 ,,,,,1,0,1,1,1,1,20061001
21179,CPT,Reconstruct entire forehead,,,21 ,,RBRVS,22.22 ,14.17 ,14.17 ,,,,,1,0,1,1,1,1,20061001
21180,CPT,Reconstruct entire forehead,,,21 ,,RBRVS,25.15 ,15.42 ,15.42 ,,,,,1,0,1,1,1,1,20061001
21181,CPT,Contour cranial bone lesion,,,21 ,,RBRVS,9.89 ,7.48 ,7.48 ,,,,,1,0,1,1,1,1,20061001
21182,CPT,Reconstruct cranial bone,,,21 ,,RBRVS,32.14 ,19.17 ,19.17 ,,,,,1,0,1,1,1,1,20061001
21183,CPT,Reconstruct cranial bone,,,21 ,,RBRVS,35.26 ,20.89 ,20.89 ,,,,,1,0,1,1,1,1,20061001
21184,CPT,Reconstruct cranial bone,,,21 ,,RBRVS,38.18 ,22.00 ,22.00 ,,,,,1,0,1,1,1,1,20061001
21188,CPT,Reconstruction of midface,,,21 ,,RBRVS,22.43 ,18.92 ,18.92 ,,,,,1,0,1,1,1,1,20061001
21193,CPT,Reconst lwr jaw w/o graft,,,21 ,,RBRVS,17.12 ,12.69 ,12.69 ,,,,,1,0,1,1,1,1,20061001
21194,CPT,Reconst lwr jaw w/graft,,,21 ,,RBRVS,19.81 ,13.79 ,13.79 ,,,,,1,0,1,1,1,1,20061001
21195,CPT,Reconst lwr jaw w/o fixation,,,21 ,,RBRVS,17.21 ,14.86 ,14.86 ,,,,,1,0,1,1,1,1,20061001
21196,CPT,Reconst lwr jaw w/fixation,,,21 ,,RBRVS,18.88 ,15.74 ,15.74 ,,,,,1,0,1,1,1,1,20061001
21198,CPT,Reconstr lwr jaw segment,,,21 ,,RBRVS,14.14 ,12.74 ,12.74 ,,,,,1,0,1,1,1,1,20061001
21199,CPT,Reconstr lwr jaw w/advance,,,21 ,,RBRVS,15.98 ,9.14 ,9.14 ,,,,,1,0,1,1,1,1,20061001
21206,CPT,Reconstruct upper jaw bone,,,21 ,,RBRVS,14.08 ,12.67 ,12.67 ,,,,,1,0,1,1,1,1,20061001
21208,CPT,Augmentation of facial bones,,,21 ,,RBRVS,10.21 ,9.61 ,22.39 ,,,,,1,0,1,1,1,1,20061001
21209,CPT,Reduction of facial bones,,,21 ,,RBRVS,6.71 ,8.09 ,10.83 ,,,,,1,0,1,1,1,1,20061001
21210,CPT,Face bone graft,,,21 ,,RBRVS,10.21 ,9.38 ,24.94 ,,,,,1,0,1,1,1,1,20061001
21215,CPT,Lower jaw bone graft,,,21 ,,RBRVS,10.75 ,9.39 ,42.00 ,,,,,1,0,1,1,1,1,20061001
21230,CPT,Rib cartilage graft,,,21 ,,RBRVS,10.75 ,8.06 ,8.06 ,,,,,1,0,1,1,1,1,20061001
21235,CPT,Ear cartilage graft,,,21 ,,RBRVS,6.71 ,6.43 ,9.87 ,,,,,1,0,1,1,1,1,20061001
21240,CPT,Reconstruction of jaw joint,,,21 ,,RBRVS,14.03 ,12.08 ,12.08 ,,,,,1,0,1,1,1,1,20061001
21242,CPT,Reconstruction of jaw joint,,,21 ,,RBRVS,12.93 ,11.54 ,11.54 ,,,,,1,0,1,1,1,1,20061001
21243,CPT,Reconstruction of jaw joint,,,21 ,,RBRVS,20.76 ,17.48 ,17.48 ,,,,,1,0,1,1,1,1,20061001
21244,CPT,Reconstruction of lower jaw,,,21 ,,RBRVS,11.84 ,12.13 ,12.13 ,,,,,1,0,1,1,1,1,20061001
21245,CPT,Reconstruction of jaw,,,21 ,,RBRVS,11.84 ,9.88 ,14.44 ,,,,,1,0,1,1,1,1,20061001
21246,CPT,Reconstruction of jaw,,,21 ,,RBRVS,12.45 ,9.07 ,9.07 ,,,,,1,0,1,1,1,1,20061001
21247,CPT,Reconstruct lower jaw bone,,,21 ,,RBRVS,22.60 ,17.40 ,17.40 ,,,,,1,0,1,1,1,1,20061001
21248,CPT,Reconstruction of jaw,,,21 ,,RBRVS,11.46 ,9.43 ,12.17 ,,,,,1,0,1,1,1,1,20061001
21249,CPT,Reconstruction of jaw,,,21 ,,RBRVS,17.49 ,12.73 ,16.77 ,,,,,1,0,1,1,1,1,20061001
21255,CPT,Reconstruct lower jaw bone,,,21 ,,RBRVS,16.69 ,16.18 ,16.18 ,,,,,1,0,1,1,1,1,20061001
21256,CPT,Reconstruction of orbit,,,21 ,,RBRVS,16.17 ,11.85 ,11.85 ,,,,,1,0,1,1,1,1,20061001
21260,CPT,Revise eye sockets,,,21 ,,RBRVS,16.50 ,12.80 ,12.80 ,,,,,1,0,1,1,1,1,20061001
21261,CPT,Revise eye sockets,,,21 ,,RBRVS,31.44 ,24.30 ,24.30 ,,,,,1,0,1,1,1,1,20061001
21263,CPT,Revise eye sockets,,,21 ,,RBRVS,28.38 ,19.13 ,19.13 ,,,,,1,0,1,1,1,1,20061001
21267,CPT,Revise eye sockets,,,21 ,,RBRVS,18.87 ,19.83 ,19.83 ,,,,,1,0,1,1,1,1,20061001
21268,CPT,Revise eye sockets,,,21 ,,RBRVS,24.44 ,20.27 ,20.27 ,,,,,1,0,1,1,1,1,20061001
21270,CPT,"Augmentation, cheek bone",,,21 ,,RBRVS,10.21 ,7.27 ,11.68 ,,,,,1,0,1,1,1,1,20061001
21275,CPT,"Revision, orbitofacial bones",,,21 ,,RBRVS,11.22 ,8.18 ,8.18 ,,,,,1,0,1,1,1,1,20061001
21280,CPT,Revision of eyelid,,,21 ,,RBRVS,6.02 ,5.94 ,5.94 ,,,,,1,0,1,1,1,1,20061001
21282,CPT,Revision of eyelid,,,21 ,,RBRVS,3.48 ,4.49 ,4.49 ,,,,,1,0,1,1,1,1,20061001
21295,CPT,Revision of jaw muscle/bone,,,21 ,,RBRVS,1.53 ,2.54 ,2.54 ,,,,,1,0,1,1,1,1,20061001
21296,CPT,Revision of jaw muscle/bone,,,21 ,,RBRVS,4.24 ,4.92 ,4.92 ,,,,,1,0,1,1,1,1,20061001
21299,CPT,Cranio/maxillofacial surgery,,,21 ,,TotalUnits,,,,20.01 ,,,,1,0,1,1,1,1,20061001
21300,CPT,Treatment of skull fracture,,,21 ,,RBRVS,0.72 ,0.26 ,2.37 ,,,,,1,0,1,1,1,1,20061001
21310,CPT,Treatment of nose fracture,,,21 ,,RBRVS,0.58 ,0.15 ,2.29 ,,,,,1,0,1,1,1,1,20061001
21315,CPT,Treatment of nose fracture,,,21 ,,RBRVS,1.51 ,1.89 ,4.24 ,,,,,1,0,1,1,1,1,20061001
21320,CPT,Treatment of nose fracture,,,21 ,,RBRVS,1.85 ,1.62 ,3.92 ,,,,,1,0,1,1,1,1,20061001
21325,CPT,Treatment of nose fracture,,,21 ,,RBRVS,3.76 ,8.64 ,8.64 ,,,,,1,0,1,1,1,1,20061001
21330,CPT,Treatment of nose fracture,,,21 ,,RBRVS,5.37 ,9.73 ,9.73 ,,,,,1,0,1,1,1,1,20061001
21335,CPT,Treatment of nose fracture,,,21 ,,RBRVS,8.60 ,9.65 ,9.65 ,,,,,1,0,1,1,1,1,20061001
21336,CPT,Treat nasal septal fracture,,,21 ,,RBRVS,5.71 ,9.64 ,9.64 ,,,,,1,0,1,1,1,1,20061001
21337,CPT,Treat nasal septal fracture,,,21 ,,RBRVS,2.70 ,3.58 ,6.14 ,,,,,1,0,1,1,1,1,20061001
21338,CPT,Treat nasoethmoid fracture,,,21 ,,RBRVS,6.45 ,14.06 ,14.06 ,,,,,1,0,1,1,1,1,20061001
21339,CPT,Treat nasoethmoid fracture,,,21 ,,RBRVS,8.08 ,13.94 ,13.94 ,,,,,1,0,1,1,1,1,20061001
21340,CPT,Treatment of nose fracture,,,21 ,,RBRVS,10.75 ,8.42 ,8.42 ,,,,,1,0,1,1,1,1,20061001
21343,CPT,Treatment of sinus fracture,,,21 ,,RBRVS,12.93 ,15.51 ,15.51 ,,,,,1,0,1,1,1,1,20061001
21344,CPT,Treatment of sinus fracture,,,21 ,,RBRVS,19.69 ,16.55 ,16.55 ,,,,,1,0,1,1,1,1,20061001
21345,CPT,Treat nose/jaw fracture,,,21 ,,RBRVS,8.15 ,7.19 ,9.87 ,,,,,1,0,1,1,1,1,20061001
21346,CPT,Treat nose/jaw fracture,,,21 ,,RBRVS,10.59 ,12.24 ,12.24 ,,,,,1,0,1,1,1,1,20061001
21347,CPT,Treat nose/jaw fracture,,,21 ,,RBRVS,12.67 ,16.24 ,16.24 ,,,,,1,0,1,1,1,1,20061001
21348,CPT,Treat nose/jaw fracture,,,21 ,,RBRVS,16.66 ,11.14 ,11.14 ,,,,,1,0,1,1,1,1,20061001
21355,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,3.76 ,3.49 ,6.25 ,,,,,1,0,1,1,1,1,20061001
21356,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,4.14 ,4.56 ,7.14 ,,,,,1,0,1,1,1,1,20061001
21360,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,6.45 ,5.95 ,5.95 ,,,,,1,0,1,1,1,1,20061001
21365,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,14.93 ,10.86 ,10.86 ,,,,,1,0,1,1,1,1,20061001
21366,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,17.74 ,11.36 ,11.36 ,,,,,1,0,1,1,1,1,20061001
21385,CPT,Treat eye socket fracture,,,21 ,,RBRVS,9.15 ,8.30 ,8.30 ,,,,,1,0,1,1,1,1,20061001
21386,CPT,Treat eye socket fracture,,,21 ,,RBRVS,9.15 ,7.09 ,7.09 ,,,,,1,0,1,1,1,1,20061001
21387,CPT,Treat eye socket fracture,,,21 ,,RBRVS,9.69 ,8.98 ,8.98 ,,,,,1,0,1,1,1,1,20061001
21390,CPT,Treat eye socket fracture,,,21 ,,RBRVS,10.11 ,7.82 ,7.82 ,,,,,1,0,1,1,1,1,20061001
21395,CPT,Treat eye socket fracture,,,21 ,,RBRVS,12.66 ,9.05 ,9.05 ,,,,,1,0,1,1,1,1,20061001
21400,CPT,Treat eye socket fracture,,,21 ,,RBRVS,1.40 ,1.88 ,2.62 ,,,,,1,0,1,1,1,1,20061001
21401,CPT,Treat eye socket fracture,,,21 ,,RBRVS,3.26 ,3.50 ,8.01 ,,,,,1,0,1,1,1,1,20061001
21406,CPT,Treat eye socket fracture,,,21 ,,RBRVS,7.00 ,6.10 ,6.10 ,,,,,1,0,1,1,1,1,20061001
21407,CPT,Treat eye socket fracture,,,21 ,,RBRVS,8.60 ,6.88 ,6.88 ,,,,,1,0,1,1,1,1,20061001
21408,CPT,Treat eye socket fracture,,,21 ,,RBRVS,12.36 ,8.91 ,8.91 ,,,,,1,0,1,1,1,1,20061001
21421,CPT,Treat mouth roof fracture,,,21 ,,RBRVS,5.13 ,8.33 ,9.36 ,,,,,1,0,1,1,1,1,20061001
21422,CPT,Treat mouth roof fracture,,,21 ,,RBRVS,8.31 ,8.10 ,8.10 ,,,,,1,0,1,1,1,1,20061001
21423,CPT,Treat mouth roof fracture,,,21 ,,RBRVS,10.38 ,9.35 ,9.35 ,,,,,1,0,1,1,1,1,20061001
21431,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,7.04 ,9.55 ,9.55 ,,,,,1,0,1,1,1,1,20061001
21432,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,8.60 ,8.08 ,8.08 ,,,,,1,0,1,1,1,1,20061001
21433,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,25.31 ,16.45 ,16.45 ,,,,,1,0,1,1,1,1,20061001
21435,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,17.22 ,12.74 ,12.74 ,,,,,1,0,1,1,1,1,20061001
21436,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,28.00 ,18.27 ,18.27 ,,,,,1,0,1,1,1,1,20061001
21440,CPT,Treat dental ridge fracture,,,21 ,,RBRVS,2.70 ,6.18 ,7.12 ,,,,,1,0,1,1,1,1,20061001
21445,CPT,Treat dental ridge fracture,,,21 ,,RBRVS,5.37 ,8.39 ,9.78 ,,,,,1,0,1,1,1,1,20061001
21450,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,2.97 ,6.89 ,7.40 ,,,,,1,0,1,1,1,1,20061001
21451,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,4.86 ,8.42 ,9.38 ,,,,,1,0,1,1,1,1,20061001
21452,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,1.98 ,4.62 ,13.06 ,,,,,1,0,1,1,1,1,20061001
21453,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,5.53 ,10.76 ,10.77 ,,,,,1,0,1,1,1,1,20061001
21454,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,6.45 ,6.28 ,6.28 ,,,,,1,0,1,1,1,1,20061001
21461,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,8.08 ,12.70 ,24.53 ,,,,,1,0,1,1,1,1,20061001
21462,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,9.78 ,12.75 ,27.69 ,,,,,1,0,1,1,1,1,20061001
21465,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,11.89 ,9.84 ,9.84 ,,,,,1,0,1,1,1,1,20061001
21470,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,15.32 ,12.05 ,12.05 ,,,,,1,0,1,1,1,1,20061001
21480,CPT,Reset dislocated jaw,,,21 ,,RBRVS,0.61 ,0.19 ,1.78 ,,,,,1,0,1,1,1,1,20061001
21485,CPT,Reset dislocated jaw,,,21 ,,RBRVS,3.98 ,7.68 ,8.24 ,,,,,1,0,1,1,1,1,20061001
21490,CPT,Repair dislocated jaw,,,21 ,,RBRVS,11.84 ,9.72 ,9.72 ,,,,,1,0,1,1,1,1,20061001
21495,CPT,Treat hyoid bone fracture,,,21 ,,RBRVS,5.68 ,8.44 ,8.44 ,,,,,1,0,1,1,1,1,20061001
21497,CPT,Interdental wiring,,,21 ,,RBRVS,3.85 ,7.66 ,8.47 ,,,,,1,0,1,1,1,1,20061001
21499,CPT,Head surgery procedure,,,21 ,,TotalUnits,,,,7.51 ,,,,1,0,1,1,1,1,20061001
21501,CPT,Drain neck/chest lesion,,,21 ,,RBRVS,3.80 ,3.83 ,6.44 ,,,,,1,0,1,1,1,1,20061001
21502,CPT,Drain chest lesion,,,21 ,,RBRVS,7.11 ,5.65 ,5.65 ,,,,,1,0,1,1,1,1,20061001
21510,CPT,Drainage of bone lesion,,,21 ,,RBRVS,5.73 ,5.68 ,5.68 ,,,,,1,0,1,1,1,1,20061001
21550,CPT,Biopsy of neck/chest,,,21 ,,RBRVS,2.06 ,1.72 ,3.59 ,,,,,1,0,1,1,1,1,20061001
21555,CPT,"Remove lesion, neck/chest",,,21 ,,RBRVS,4.34 ,3.20 ,5.53 ,,,,,1,0,1,1,1,1,20061001
21556,CPT,"Remove lesion, neck/chest",,,21 ,,RBRVS,5.56 ,4.11 ,4.11 ,,,,,1,0,1,1,1,1,20061001
21557,CPT,"Remove tumor, neck/chest",,,21 ,,RBRVS,8.87 ,5.37 ,5.37 ,,,,,1,0,1,1,1,1,20061001
21600,CPT,Partial removal of rib,,,21 ,,RBRVS,6.88 ,5.75 ,5.75 ,,,,,1,0,1,1,1,1,20061001
21610,CPT,Partial removal of rib,,,21 ,,RBRVS,14.59 ,8.89 ,8.89 ,,,,,1,0,1,1,1,1,20061001
21615,CPT,Removal of rib,,,21 ,,RBRVS,9.86 ,6.70 ,6.70 ,,,,,1,0,1,1,1,1,20061001
21616,CPT,Removal of rib and nerves,,,21 ,,RBRVS,12.02 ,8.04 ,8.04 ,,,,,1,0,1,1,1,1,20061001
21620,CPT,Partial removal of sternum,,,21 ,,RBRVS,6.78 ,5.99 ,5.99 ,,,,,1,0,1,1,1,1,20061001
21627,CPT,Sternal debridement,,,21 ,,RBRVS,6.80 ,6.32 ,6.32 ,,,,,1,0,1,1,1,1,20061001
21630,CPT,Extensive sternum surgery,,,21 ,,RBRVS,17.35 ,11.87 ,11.87 ,,,,,1,0,1,1,1,1,20061001
21632,CPT,Extensive sternum surgery,,,21 ,,RBRVS,18.11 ,11.14 ,11.14 ,,,,,1,0,1,1,1,1,20061001
21685,CPT,Hyoid myotomy & suspension,,,21 ,,RBRVS,12.98 ,10.00 ,10.00 ,,,,,1,0,1,1,1,1,20061001
21700,CPT,Revision of neck muscle,,,21 ,,RBRVS,6.18 ,4.45 ,4.45 ,,,,,1,0,1,1,1,1,20061001
21705,CPT,Revision of neck muscle/rib,,,21 ,,RBRVS,9.59 ,5.60 ,5.60 ,,,,,1,0,1,1,1,1,20061001
21720,CPT,Revision of neck muscle,,,21 ,,RBRVS,5.67 ,2.47 ,2.47 ,,,,,1,0,1,1,1,1,20061001
21725,CPT,Revision of neck muscle,,,21 ,,RBRVS,6.98 ,5.46 ,5.46 ,,,,,1,0,1,1,1,1,20061001
21740,CPT,Reconstruction of sternum,,,21 ,,RBRVS,16.48 ,8.54 ,8.54 ,,,,,1,0,1,1,1,1,20061001
21742,CPT,Repair stern/nuss w/o scope,,,21 ,,TotalUnits,,,,25.36 ,,,,1,0,1,1,1,1,20061001
21743,CPT,Repair sternum/nuss w/scope,,,21 ,,TotalUnits,,,,33.37 ,,,,1,0,1,1,1,1,20061001
21750,CPT,Repair of sternum separation,,,21 ,,RBRVS,10.75 ,6.13 ,6.13 ,,,,,1,0,1,1,1,1,20061001
21800,CPT,Treatment of rib fracture,,,21 ,,RBRVS,0.96 ,1.34 ,1.34 ,,,,,1,0,1,1,1,1,20061001
21805,CPT,Treatment of rib fracture,,,21 ,,RBRVS,2.75 ,3.21 ,3.21 ,,,,,1,0,1,1,1,1,20061001
21810,CPT,Treatment of rib fracture(s),,,21 ,,RBRVS,6.85 ,4.98 ,4.98 ,,,,,1,0,1,1,1,1,20061001
21820,CPT,Treat sternum fracture,,,21 ,,RBRVS,1.28 ,1.77 ,1.83 ,,,,,1,0,1,1,1,1,20061001
21825,CPT,Treat sternum fracture,,,21 ,,RBRVS,7.40 ,6.41 ,6.41 ,,,,,1,0,1,1,1,1,20061001
21899,CPT,Neck/chest surgery procedure,,,21 ,,TotalUnits,,,,7.88 ,,,,1,0,1,1,1,1,20061001
21920,CPT,Biopsy soft tissue of back,,,21 ,,RBRVS,2.06 ,1.47 ,3.29 ,,,,,1,0,1,1,1,1,20061001
21925,CPT,Biopsy soft tissue of back,,,21 ,,RBRVS,4.48 ,3.25 ,5.18 ,,,,,1,0,1,1,1,1,20061001
21930,CPT,"Remove lesion, back or flank",,,21 ,,RBRVS,4.99 ,3.41 ,5.73 ,,,,,1,0,1,1,1,1,20061001
21935,CPT,"Remove tumor, back",,,21 ,,RBRVS,17.93 ,9.65 ,9.65 ,,,,,1,0,1,1,1,1,20061001
22010,CPT,"I&d, p-spine, c/t/cerv-thor",,,21 ,,RBRVS,11.05 ,8.91 ,8.91 ,,,,,1,0,0,1,1,1,20061001
22015,CPT,"I&d, p-spine, l/s/ls",,,21 ,,RBRVS,10.94 ,8.85 ,8.85 ,,,,,1,0,0,1,1,1,20061001
22100,CPT,Remove part of neck vertebra,,,21 ,,RBRVS,9.72 ,7.55 ,7.55 ,,,,,1,0,1,1,1,1,20061001
22101,CPT,"Remove part, thorax vertebra",,,21 ,,RBRVS,9.80 ,7.77 ,7.77 ,,,,,1,0,1,1,1,1,20061001
22102,CPT,"Remove part, lumbar vertebra",,,21 ,,RBRVS,9.80 ,8.13 ,8.13 ,,,,,1,0,1,1,1,1,20061001
22103,CPT,Remove extra spine segment,,,21 ,,RBRVS,2.34 ,1.21 ,1.21 ,,,,,1,0,1,1,1,1,20061001
22110,CPT,Remove part of neck vertebra,,,21 ,,RBRVS,12.72 ,9.19 ,9.19 ,,,,,1,0,1,1,1,1,20061001
22112,CPT,"Remove part, thorax vertebra",,,21 ,,RBRVS,12.79 ,9.30 ,9.30 ,,,,,1,0,1,1,1,1,20061001
22114,CPT,"Remove part, lumbar vertebra",,,21 ,,RBRVS,12.79 ,9.28 ,9.28 ,,,,,1,0,1,1,1,1,20061001
22116,CPT,Remove extra spine segment,,,21 ,,RBRVS,2.32 ,1.17 ,1.17 ,,,,,1,0,1,1,1,1,20061001
22210,CPT,Revision of neck spine,,,21 ,,RBRVS,23.78 ,15.45 ,15.45 ,,,,,1,0,1,1,1,1,20061001
22212,CPT,Revision of thorax spine,,,21 ,,RBRVS,19.39 ,13.31 ,13.31 ,,,,,1,0,1,1,1,1,20061001
22214,CPT,Revision of lumbar spine,,,21 ,,RBRVS,19.42 ,13.85 ,13.85 ,,,,,1,0,1,1,1,1,20061001
22216,CPT,"Revise, extra spine segment",,,21 ,,RBRVS,6.03 ,3.14 ,3.14 ,,,,,1,0,1,1,1,1,20061001
22220,CPT,Revision of neck spine,,,21 ,,RBRVS,21.34 ,13.66 ,13.66 ,,,,,1,0,1,1,1,1,20061001
22222,CPT,Revision of thorax spine,,,21 ,,RBRVS,21.49 ,11.16 ,11.16 ,,,,,1,0,1,1,1,1,20061001
22224,CPT,Revision of lumbar spine,,,21 ,,RBRVS,21.49 ,14.26 ,14.26 ,,,,,1,0,1,1,1,1,20061001
22226,CPT,"Revise, extra spine segment",,,21 ,,RBRVS,6.03 ,3.10 ,3.10 ,,,,,1,0,1,1,1,1,20061001
22305,CPT,Treat spine process fracture,,,21 ,,RBRVS,2.05 ,1.93 ,2.32 ,,,,,1,0,1,1,1,1,20061001
22310,CPT,Treat spine fracture,,,21 ,,RBRVS,2.61 ,2.36 ,2.81 ,,,,,1,0,1,1,1,1,20061001
22315,CPT,Treat spine fracture,,,21 ,,RBRVS,8.83 ,7.35 ,9.71 ,,,,,1,0,1,1,1,1,20061001
22318,CPT,Treat odontoid fx w/o graft,,,21 ,,RBRVS,21.47 ,13.42 ,13.42 ,,,,,1,0,1,1,1,1,20061001
22319,CPT,Treat odontoid fx w/graft,,,21 ,,RBRVS,23.96 ,14.75 ,14.75 ,,,,,1,0,1,1,1,1,20061001
22325,CPT,Treat spine fracture,,,21 ,,RBRVS,18.27 ,12.11 ,12.11 ,,,,,1,0,1,1,1,1,20061001
22326,CPT,Treat neck spine fracture,,,21 ,,RBRVS,19.56 ,12.74 ,12.74 ,,,,,1,0,1,1,1,1,20061001
22327,CPT,Treat thorax spine fracture,,,21 ,,RBRVS,19.17 ,12.40 ,12.40 ,,,,,1,0,1,1,1,1,20061001
22328,CPT,Treat each add spine fx,,,21 ,,RBRVS,4.60 ,2.27 ,2.27 ,,,,,1,0,1,1,1,1,20061001
22505,CPT,Manipulation of spine,,,21 ,,RBRVS,1.87 ,0.94 ,0.94 ,,,,,1,0,1,1,1,1,20061001
22520,CPT,Percut vertebroplasty thor,,,21 ,,RBRVS,8.90 ,5.11 ,61.84 ,,,,,1,0,1,1,1,1,20061001
22521,CPT,Percut vertebroplasty lumb,,,21 ,,RBRVS,8.33 ,4.96 ,56.13 ,,,,,1,0,1,1,1,1,20061001
22522,CPT,Percut vertebroplasty addl,,,21 ,,RBRVS,4.30 ,1.68 ,1.68 ,,,,,1,0,1,1,1,1,20061001
22523,CPT,"Percut kyphoplasty, thor",,,21 ,,RBRVS,8.94 ,5.92 ,5.92 ,,,,,1,0,1,1,1,1,20061001
22524,CPT,"Percut kyphoplasty, lumbar",,,21 ,,RBRVS,8.54 ,5.71 ,5.71 ,,,,,1,0,1,1,1,1,20061001
22525,CPT,"Percut kyphoplasty, add-on",,,21 ,,RBRVS,4.47 ,2.28 ,2.28 ,,,,,1,0,1,1,1,1,20061001
22532,CPT,Lat thorax spine fusion,,,21 ,,RBRVS,23.96 ,14.86 ,14.86 ,,,,,1,0,1,1,1,1,20061001
22533,CPT,Lat lumbar spine fusion,,,21 ,,RBRVS,23.09 ,13.63 ,13.63 ,,,,,1,0,1,1,1,1,20061001
22534,CPT,"Lat thor/lumb, add?l seg",,,21 ,,RBRVS,5.99 ,3.04 ,3.04 ,,,,,1,0,1,1,1,1,20061001
22548,CPT,Neck spine fusion,,,21 ,,RBRVS,25.78 ,15.85 ,15.85 ,,,,,1,0,1,1,1,1,20061001
22554,CPT,Neck spine fusion,,,21 ,,RBRVS,18.59 ,12.38 ,12.38 ,,,,,1,0,1,1,1,1,20061001
22556,CPT,Thorax spine fusion,,,21 ,,RBRVS,23.42 ,14.77 ,14.77 ,,,,,1,0,1,1,1,1,20061001
22558,CPT,Lumbar spine fusion,,,21 ,,RBRVS,22.25 ,13.33 ,13.33 ,,,,,1,0,1,1,1,1,20061001
22585,CPT,Additional spinal fusion,,,21 ,,RBRVS,5.52 ,2.80 ,2.80 ,,,,,1,0,1,1,1,1,20061001
22590,CPT,Spine & skull spinal fusion,,,21 ,,RBRVS,20.48 ,13.36 ,13.36 ,,,,,1,0,1,1,1,1,20061001
22595,CPT,Neck spinal fusion,,,21 ,,RBRVS,19.36 ,12.87 ,12.87 ,,,,,1,0,1,1,1,1,20061001
22600,CPT,Neck spine fusion,,,21 ,,RBRVS,16.12 ,11.22 ,11.22 ,,,,,1,0,1,1,1,1,20061001
22610,CPT,Thorax spine fusion,,,21 ,,RBRVS,16.00 ,11.44 ,11.44 ,,,,,1,0,1,1,1,1,20061001
22612,CPT,Lumbar spine fusion,,,21 ,,RBRVS,20.97 ,14.24 ,14.24 ,,,,,1,0,1,1,1,1,20061001
22614,CPT,"Spine fusion, extra segment",,,21 ,,RBRVS,6.43 ,3.36 ,3.36 ,,,,,1,0,1,1,1,1,20061001
22630,CPT,Lumbar spine fusion,,,21 ,,RBRVS,20.81 ,13.64 ,13.64 ,,,,,1,0,1,1,1,1,20061001
22632,CPT,"Spine fusion, extra segment",,,21 ,,RBRVS,5.22 ,2.67 ,2.67 ,,,,,1,0,1,1,1,1,20061001
22800,CPT,Fusion of spine,,,21 ,,RBRVS,18.22 ,12.81 ,12.81 ,,,,,1,0,1,1,1,1,20061001
22802,CPT,Fusion of spine,,,21 ,,RBRVS,30.83 ,19.65 ,19.65 ,,,,,1,0,1,1,1,1,20061001
22804,CPT,Fusion of spine,,,21 ,,RBRVS,36.22 ,22.76 ,22.76 ,,,,,1,0,1,1,1,1,20061001
22808,CPT,Fusion of spine,,,21 ,,RBRVS,26.23 ,16.35 ,16.35 ,,,,,1,0,1,1,1,1,20061001
22810,CPT,Fusion of spine,,,21 ,,RBRVS,30.22 ,18.41 ,18.41 ,,,,,1,0,1,1,1,1,20061001
22812,CPT,Fusion of spine,,,21 ,,RBRVS,32.65 ,20.12 ,20.12 ,,,,,1,0,1,1,1,1,20061001
22818,CPT,"Kyphectomy, 1-2 segments",,,21 ,,RBRVS,31.78 ,18.92 ,18.92 ,,,,,1,0,1,1,1,1,20061001
22819,CPT,"Kyphectomy, 3 or more",,,21 ,,RBRVS,36.39 ,20.11 ,20.11 ,,,,,1,0,1,1,1,1,20061001
22830,CPT,Exploration of spinal fusion,,,21 ,,RBRVS,10.83 ,7.98 ,7.98 ,,,,,1,0,1,1,1,1,20061001
22840,CPT,Insert spine fixation device,,,21 ,,RBRVS,12.52 ,6.51 ,6.51 ,,,,,1,0,1,1,1,1,20061001
22841,CPT,Insert spine fixation device,,,21 ,,TotalUnits,,,,9.26 ,,,,1,0,1,1,1,1,20061001
22842,CPT,Insert spine fixation device,,,21 ,,RBRVS,12.56 ,6.52 ,6.52 ,,,,,1,0,1,1,1,1,20061001
22843,CPT,Insert spine fixation device,,,21 ,,RBRVS,13.44 ,6.62 ,6.62 ,,,,,1,0,1,1,1,1,20061001
22844,CPT,Insert spine fixation device,,,21 ,,RBRVS,16.42 ,8.78 ,8.78 ,,,,,1,0,1,1,1,1,20061001
22845,CPT,Insert spine fixation device,,,21 ,,RBRVS,11.94 ,6.09 ,6.09 ,,,,,1,0,1,1,1,1,20061001
22846,CPT,Insert spine fixation device,,,21 ,,RBRVS,12.40 ,6.35 ,6.35 ,,,,,1,0,1,1,1,1,20061001
22847,CPT,Insert spine fixation device,,,21 ,,RBRVS,13.78 ,7.04 ,7.04 ,,,,,1,0,1,1,1,1,20061001
22848,CPT,Insert pelv fixation device,,,21 ,,RBRVS,5.99 ,3.19 ,3.19 ,,,,,1,0,1,1,1,1,20061001
22849,CPT,Reinsert spinal fixation,,,21 ,,RBRVS,18.48 ,11.76 ,11.76 ,,,,,1,0,1,1,1,1,20061001
22850,CPT,Remove spine fixation device,,,21 ,,RBRVS,9.51 ,7.01 ,7.01 ,,,,,1,0,1,1,1,1,20061001
22851,CPT,Apply spine prosth device,,,21 ,,RBRVS,6.70 ,3.37 ,3.37 ,,,,,1,0,1,1,1,1,20061001
22852,CPT,Remove spine fixation device,,,21 ,,RBRVS,9.00 ,6.81 ,6.81 ,,,,,1,0,1,1,1,1,20061001
22855,CPT,Remove spine fixation device,,,21 ,,RBRVS,15.11 ,9.69 ,9.69 ,,,,,1,0,1,1,1,1,20061001
22899,CPT,Spine surgery procedure,,,21 ,,TotalUnits,,,,19.09 ,,,,1,0,1,1,1,1,20061001
22900,CPT,Remove abdominal wall lesion,,,21 ,,RBRVS,5.79 ,3.23 ,3.23 ,,,,,1,0,1,1,1,1,20061001
22999,CPT,Abdomen surgery procedure,,,21 ,,TotalUnits,,,,9.07 ,,,,1,0,1,1,1,1,20061001
23000,CPT,Removal of calcium deposits,,,21 ,,RBRVS,4.35 ,4.43 ,8.55 ,,,,,1,0,1,1,1,1,20061001
23020,CPT,Release shoulder joint,,,21 ,,RBRVS,8.92 ,7.58 ,7.58 ,,,,,1,0,1,1,1,1,20061001
23030,CPT,Drain shoulder lesion,,,21 ,,RBRVS,3.42 ,2.91 ,7.41 ,,,,,1,0,1,1,1,1,20061001
23031,CPT,Drain shoulder bursa,,,21 ,,RBRVS,2.74 ,2.73 ,7.88 ,,,,,1,0,1,1,1,1,20061001
23035,CPT,Drain shoulder bone lesion,,,21 ,,RBRVS,8.60 ,8.29 ,8.29 ,,,,,1,0,1,1,1,1,20061001
23040,CPT,Exploratory shoulder surgery,,,21 ,,RBRVS,9.19 ,7.88 ,7.88 ,,,,,1,0,1,1,1,1,20061001
23044,CPT,Exploratory shoulder surgery,,,21 ,,RBRVS,7.11 ,6.45 ,6.45 ,,,,,1,0,1,1,1,1,20061001
23065,CPT,Biopsy shoulder tissues,,,21 ,,RBRVS,2.27 ,1.62 ,2.49 ,,,,,1,0,1,1,1,1,20061001
23066,CPT,Biopsy shoulder tissues,,,21 ,,RBRVS,4.15 ,3.99 ,7.69 ,,,,,1,0,1,1,1,1,20061001
23075,CPT,Removal of shoulder lesion,,,21 ,,RBRVS,2.39 ,1.79 ,3.67 ,,,,,1,0,1,1,1,1,20061001
23076,CPT,Removal of shoulder lesion,,,21 ,,RBRVS,7.62 ,5.57 ,5.57 ,,,,,1,0,1,1,1,1,20061001
23077,CPT,Remove tumor of shoulder,,,21 ,,RBRVS,16.07 ,10.24 ,10.24 ,,,,,1,0,1,1,1,1,20061001
23100,CPT,Biopsy of shoulder joint,,,21 ,,RBRVS,6.02 ,5.67 ,5.67 ,,,,,1,0,1,1,1,1,20061001
23101,CPT,Shoulder joint surgery,,,21 ,,RBRVS,5.57 ,5.35 ,5.35 ,,,,,1,0,1,1,1,1,20061001
23105,CPT,Remove shoulder joint lining,,,21 ,,RBRVS,8.22 ,7.14 ,7.14 ,,,,,1,0,1,1,1,1,20061001
23106,CPT,Incision of collarbone joint,,,21 ,,RBRVS,5.95 ,5.72 ,5.72 ,,,,,1,0,1,1,1,1,20061001
23107,CPT,Explore treat shoulder joint,,,21 ,,RBRVS,8.61 ,7.41 ,7.41 ,,,,,1,0,1,1,1,1,20061001
23120,CPT,"Partial removal, collar bone",,,21 ,,RBRVS,7.10 ,6.48 ,6.48 ,,,,,1,0,1,1,1,1,20061001
23125,CPT,Removal of collar bone,,,21 ,,RBRVS,9.38 ,7.58 ,7.58 ,,,,,1,0,1,1,1,1,20061001
23130,CPT,"Remove shoulder bone, part",,,21 ,,RBRVS,7.54 ,7.15 ,7.15 ,,,,,1,0,1,1,1,1,20061001
23140,CPT,Removal of bone lesion,,,21 ,,RBRVS,6.88 ,5.24 ,5.24 ,,,,,1,0,1,1,1,1,20061001
23145,CPT,Removal of bone lesion,,,21 ,,RBRVS,9.08 ,7.46 ,7.46 ,,,,,1,0,1,1,1,1,20061001
23146,CPT,Removal of bone lesion,,,21 ,,RBRVS,7.82 ,7.13 ,7.13 ,,,,,1,0,1,1,1,1,20061001
23150,CPT,Removal of humerus lesion,,,21 ,,RBRVS,8.47 ,6.94 ,6.94 ,,,,,1,0,1,1,1,1,20061001
23155,CPT,Removal of humerus lesion,,,21 ,,RBRVS,10.33 ,8.35 ,8.35 ,,,,,1,0,1,1,1,1,20061001
23156,CPT,Removal of humerus lesion,,,21 ,,RBRVS,8.67 ,7.40 ,7.40 ,,,,,1,0,1,1,1,1,20061001
23170,CPT,Remove collar bone lesion,,,21 ,,RBRVS,6.85 ,6.04 ,6.04 ,,,,,1,0,1,1,1,1,20061001
23172,CPT,Remove shoulder blade lesion,,,21 ,,RBRVS,6.89 ,6.30 ,6.30 ,,,,,1,0,1,1,1,1,20061001
23174,CPT,Remove humerus lesion,,,21 ,,RBRVS,9.50 ,8.38 ,8.38 ,,,,,1,0,1,1,1,1,20061001
23180,CPT,Remove collar bone lesion,,,21 ,,RBRVS,8.52 ,9.02 ,9.02 ,,,,,1,0,1,1,1,1,20061001
23182,CPT,Remove shoulder blade lesion,,,21 ,,RBRVS,8.14 ,8.57 ,8.57 ,,,,,1,0,1,1,1,1,20061001
23184,CPT,Remove humerus lesion,,,21 ,,RBRVS,9.37 ,9.34 ,9.34 ,,,,,1,0,1,1,1,1,20061001
23190,CPT,Partial removal of scapula,,,21 ,,RBRVS,7.23 ,6.19 ,6.19 ,,,,,1,0,1,1,1,1,20061001
23195,CPT,Removal of head of humerus,,,21 ,,RBRVS,9.80 ,7.75 ,7.75 ,,,,,1,0,1,1,1,1,20061001
23200,CPT,Removal of collar bone,,,21 ,,RBRVS,12.06 ,8.75 ,8.75 ,,,,,1,0,1,1,1,1,20061001
23210,CPT,Removal of shoulder blade,,,21 ,,RBRVS,12.47 ,9.02 ,9.02 ,,,,,1,0,1,1,1,1,20061001
23220,CPT,Partial removal of humerus,,,21 ,,RBRVS,14.54 ,10.85 ,10.85 ,,,,,1,0,1,1,1,1,20061001
23221,CPT,Partial removal of humerus,,,21 ,,RBRVS,17.71 ,11.75 ,11.75 ,,,,,1,0,1,1,1,1,20061001
23222,CPT,Partial removal of humerus,,,21 ,,RBRVS,23.88 ,15.83 ,15.83 ,,,,,1,0,1,1,1,1,20061001
23330,CPT,Remove shoulder foreign body,,,21 ,,RBRVS,1.85 ,1.89 ,3.69 ,,,,,1,0,1,1,1,1,20061001
23331,CPT,Remove shoulder foreign body,,,21 ,,RBRVS,7.37 ,6.81 ,6.81 ,,,,,1,0,1,1,1,1,20061001
23332,CPT,Remove shoulder foreign body,,,21 ,,RBRVS,11.60 ,9.35 ,9.35 ,,,,,1,0,1,1,1,1,20061001
23350,CPT,Injection for shoulder x-ray,,,21 ,,RBRVS,1.00 ,0.33 ,3.47 ,,,,,1,0,1,1,1,1,20061001
23395,CPT,"Muscle transfer,shoulder/arm",,,21 ,,RBRVS,16.82 ,12.90 ,12.90 ,,,,,1,0,1,1,1,1,20061001
23397,CPT,Muscle transfers,,,21 ,,RBRVS,16.11 ,11.40 ,11.40 ,,,,,1,0,1,1,1,1,20061001
23400,CPT,Fixation of shoulder blade,,,21 ,,RBRVS,13.52 ,10.10 ,10.10 ,,,,,1,0,1,1,1,1,20061001
23405,CPT,Incision of tendon & muscle,,,21 ,,RBRVS,8.36 ,6.94 ,6.94 ,,,,,1,0,1,1,1,1,20061001
23406,CPT,Incise tendon(s) & muscle(s),,,21 ,,RBRVS,10.77 ,8.36 ,8.36 ,,,,,1,0,1,1,1,1,20061001
23410,CPT,"Repair rotator cuff, acute",,,21 ,,RBRVS,12.43 ,9.43 ,9.43 ,,,,,1,0,1,1,1,1,20061001
23412,CPT,"Repair rotator cuff, chronic",,,21 ,,RBRVS,13.29 ,9.92 ,9.92 ,,,,,1,0,1,1,1,1,20061001
23415,CPT,Release of shoulder ligament,,,21 ,,RBRVS,9.96 ,8.01 ,8.01 ,,,,,1,0,1,1,1,1,20061001
23420,CPT,Repair of shoulder,,,21 ,,RBRVS,13.28 ,10.87 ,10.87 ,,,,,1,0,1,1,1,1,20061001
23430,CPT,Repair biceps tendon,,,21 ,,RBRVS,9.97 ,8.12 ,8.12 ,,,,,1,0,1,1,1,1,20061001
23440,CPT,Remove/transplant tendon,,,21 ,,RBRVS,10.46 ,8.28 ,8.28 ,,,,,1,0,1,1,1,1,20061001
23450,CPT,Repair shoulder capsule,,,21 ,,RBRVS,13.38 ,9.87 ,9.87 ,,,,,1,0,1,1,1,1,20061001
23455,CPT,Repair shoulder capsule,,,21 ,,RBRVS,14.35 ,10.47 ,10.47 ,,,,,1,0,1,1,1,1,20061001
23460,CPT,Repair shoulder capsule,,,21 ,,RBRVS,15.35 ,11.40 ,11.40 ,,,,,1,0,1,1,1,1,20061001
23462,CPT,Repair shoulder capsule,,,21 ,,RBRVS,15.28 ,10.78 ,10.78 ,,,,,1,0,1,1,1,1,20061001
23465,CPT,Repair shoulder capsule,,,21 ,,RBRVS,15.83 ,11.21 ,11.21 ,,,,,1,0,1,1,1,1,20061001
23466,CPT,Repair shoulder capsule,,,21 ,,RBRVS,14.20 ,11.40 ,11.40 ,,,,,1,0,1,1,1,1,20061001
23470,CPT,Reconstruct shoulder joint,,,21 ,,RBRVS,17.12 ,12.29 ,12.29 ,,,,,1,0,1,1,1,1,20061001
23472,CPT,Reconstruct shoulder joint,,,21 ,,RBRVS,21.07 ,14.45 ,14.45 ,,,,,1,0,1,1,1,1,20061001
23480,CPT,Revision of collar bone,,,21 ,,RBRVS,11.16 ,8.80 ,8.80 ,,,,,1,0,1,1,1,1,20061001
23485,CPT,Revision of collar bone,,,21 ,,RBRVS,13.41 ,9.92 ,9.92 ,,,,,1,0,1,1,1,1,20061001
23490,CPT,Reinforce clavicle,,,21 ,,RBRVS,11.84 ,8.72 ,8.72 ,,,,,1,0,1,1,1,1,20061001
23491,CPT,Reinforce shoulder bones,,,21 ,,RBRVS,14.19 ,10.74 ,10.74 ,,,,,1,0,1,1,1,1,20061001
23500,CPT,Treat clavicle fracture,,,21 ,,RBRVS,2.08 ,2.53 ,2.88 ,,,,,1,0,1,1,1,1,20061001
23505,CPT,Treat clavicle fracture,,,21 ,,RBRVS,3.68 ,3.85 ,4.42 ,,,,,1,0,1,1,1,1,20061001
23515,CPT,Treat clavicle fracture,,,21 ,,RBRVS,7.40 ,6.57 ,6.57 ,,,,,1,0,1,1,1,1,20061001
23520,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,2.16 ,2.75 ,2.86 ,,,,,1,0,1,1,1,1,20061001
23525,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,3.59 ,3.95 ,4.55 ,,,,,1,0,1,1,1,1,20061001
23530,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,7.30 ,5.95 ,5.95 ,,,,,1,0,1,1,1,1,20061001
23532,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,8.00 ,6.99 ,6.99 ,,,,,1,0,1,1,1,1,20061001
23540,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,2.23 ,2.37 ,2.87 ,,,,,1,0,1,1,1,1,20061001
23545,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,3.25 ,3.37 ,4.20 ,,,,,1,0,1,1,1,1,20061001
23550,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,7.23 ,6.39 ,6.39 ,,,,,1,0,1,1,1,1,20061001
23552,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,8.44 ,7.34 ,7.34 ,,,,,1,0,1,1,1,1,20061001
23570,CPT,Treat shoulder blade fx,,,21 ,,RBRVS,2.23 ,2.90 ,3.02 ,,,,,1,0,1,1,1,1,20061001
23575,CPT,Treat shoulder blade fx,,,21 ,,RBRVS,4.05 ,4.32 ,4.89 ,,,,,1,0,1,1,1,1,20061001
23585,CPT,Treat scapula fracture,,,21 ,,RBRVS,8.95 ,7.66 ,7.66 ,,,,,1,0,1,1,1,1,20061001
23600,CPT,Treat humerus fracture,,,21 ,,RBRVS,2.93 ,3.56 ,4.56 ,,,,,1,0,1,1,1,1,20061001
23605,CPT,Treat humerus fracture,,,21 ,,RBRVS,4.86 ,5.12 ,6.17 ,,,,,1,0,1,1,1,1,20061001
23615,CPT,Treat humerus fracture,,,21 ,,RBRVS,9.34 ,8.86 ,8.86 ,,,,,1,0,1,1,1,1,20061001
23616,CPT,Treat humerus fracture,,,21 ,,RBRVS,21.24 ,14.18 ,14.18 ,,,,,1,0,1,1,1,1,20061001
23620,CPT,Treat humerus fracture,,,21 ,,RBRVS,2.40 ,2.99 ,3.62 ,,,,,1,0,1,1,1,1,20061001
23625,CPT,Treat humerus fracture,,,21 ,,RBRVS,3.92 ,4.29 ,4.95 ,,,,,1,0,1,1,1,1,20061001
23630,CPT,Treat humerus fracture,,,21 ,,RBRVS,7.34 ,6.65 ,6.65 ,,,,,1,0,1,1,1,1,20061001
23650,CPT,Treat shoulder dislocation,,,21 ,,RBRVS,3.38 ,2.77 ,3.78 ,,,,,1,0,1,1,1,1,20061001
23655,CPT,Treat shoulder dislocation,,,21 ,,RBRVS,4.56 ,4.18 ,4.18 ,,,,,1,0,1,1,1,1,20061001
23660,CPT,Treat shoulder dislocation,,,21 ,,RBRVS,7.48 ,6.40 ,6.40 ,,,,,1,0,1,1,1,1,20061001
23665,CPT,Treat dislocation/fracture,,,21 ,,RBRVS,4.46 ,4.73 ,5.35 ,,,,,1,0,1,1,1,1,20061001
23670,CPT,Treat dislocation/fracture,,,21 ,,RBRVS,7.89 ,6.85 ,6.85 ,,,,,1,0,1,1,1,1,20061001
23675,CPT,Treat dislocation/fracture,,,21 ,,RBRVS,6.04 ,5.85 ,6.85 ,,,,,1,0,1,1,1,1,20061001
23680,CPT,Treat dislocation/fracture,,,21 ,,RBRVS,10.04 ,8.13 ,8.13 ,,,,,1,0,1,1,1,1,20061001
23700,CPT,Fixation of shoulder,,,21 ,,RBRVS,2.52 ,2.18 ,2.18 ,,,,,1,0,1,1,1,1,20061001
23800,CPT,Fusion of shoulder joint,,,21 ,,RBRVS,14.14 ,10.44 ,10.44 ,,,,,1,0,1,1,1,1,20061001
23802,CPT,Fusion of shoulder joint,,,21 ,,RBRVS,16.58 ,10.20 ,10.20 ,,,,,1,0,1,1,1,1,20061001
23900,CPT,Amputation of arm & girdle,,,21 ,,RBRVS,19.69 ,11.74 ,11.74 ,,,,,1,0,1,1,1,1,20061001
23920,CPT,Amputation at shoulder joint,,,21 ,,RBRVS,14.59 ,9.95 ,9.95 ,,,,,1,0,1,1,1,1,20061001
23921,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,5.48 ,5.09 ,5.09 ,,,,,1,0,1,1,1,1,20061001
23929,CPT,Shoulder surgery procedure,,,21 ,,TotalUnits,,,,13.58 ,,,,1,0,1,1,1,1,20061001
23930,CPT,Drainage of arm lesion,,,21 ,,RBRVS,2.94 ,2.32 ,6.34 ,,,,,1,0,1,1,1,1,20061001
23931,CPT,Drainage of arm bursa,,,21 ,,RBRVS,1.79 ,2.18 ,5.93 ,,,,,1,0,1,1,1,1,20061001
23935,CPT,Drain arm/elbow bone lesion,,,21 ,,RBRVS,6.08 ,5.93 ,5.93 ,,,,,1,0,1,1,1,1,20061001
24000,CPT,Exploratory elbow surgery,,,21 ,,RBRVS,5.81 ,5.43 ,5.43 ,,,,,1,0,1,1,1,1,20061001
24006,CPT,Release elbow joint,,,21 ,,RBRVS,9.30 ,7.77 ,7.77 ,,,,,1,0,1,1,1,1,20061001
24065,CPT,Biopsy arm/elbow soft tissue,,,21 ,,RBRVS,2.08 ,1.75 ,3.22 ,,,,,1,0,1,1,1,1,20061001
24066,CPT,Biopsy arm/elbow soft tissue,,,21 ,,RBRVS,5.20 ,4.14 ,8.96 ,,,,,1,0,1,1,1,1,20061001
24075,CPT,Remove arm/elbow lesion,,,21 ,,RBRVS,3.91 ,3.41 ,7.37 ,,,,,1,0,1,1,1,1,20061001
24076,CPT,Remove arm/elbow lesion,,,21 ,,RBRVS,6.29 ,4.87 ,4.87 ,,,,,1,0,1,1,1,1,20061001
24077,CPT,Remove tumor of arm/elbow,,,21 ,,RBRVS,11.74 ,7.76 ,7.76 ,,,,,1,0,1,1,1,1,20061001
24100,CPT,Biopsy elbow joint lining,,,21 ,,RBRVS,4.92 ,4.53 ,4.53 ,,,,,1,0,1,1,1,1,20061001
24101,CPT,Explore/treat elbow joint,,,21 ,,RBRVS,6.12 ,5.95 ,5.95 ,,,,,1,0,1,1,1,1,20061001
24102,CPT,Remove elbow joint lining,,,21 ,,RBRVS,8.02 ,6.88 ,6.88 ,,,,,1,0,1,1,1,1,20061001
24105,CPT,Removal of elbow bursa,,,21 ,,RBRVS,3.60 ,4.40 ,4.40 ,,,,,1,0,1,1,1,1,20061001
24110,CPT,Remove humerus lesion,,,21 ,,RBRVS,7.38 ,6.68 ,6.68 ,,,,,1,0,1,1,1,1,20061001
24115,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,9.62 ,7.23 ,7.23 ,,,,,1,0,1,1,1,1,20061001
24116,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,11.79 ,9.10 ,9.10 ,,,,,1,0,1,1,1,1,20061001
24120,CPT,Remove elbow lesion,,,21 ,,RBRVS,6.64 ,5.94 ,5.94 ,,,,,1,0,1,1,1,1,20061001
24125,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,7.88 ,6.18 ,6.18 ,,,,,1,0,1,1,1,1,20061001
24126,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,8.30 ,7.04 ,7.04 ,,,,,1,0,1,1,1,1,20061001
24130,CPT,Removal of head of radius,,,21 ,,RBRVS,6.24 ,6.04 ,6.04 ,,,,,1,0,1,1,1,1,20061001
24134,CPT,Removal of arm bone lesion,,,21 ,,RBRVS,9.72 ,8.88 ,8.88 ,,,,,1,0,1,1,1,1,20061001
24136,CPT,Remove radius bone lesion,,,21 ,,RBRVS,7.98 ,7.24 ,7.24 ,,,,,1,0,1,1,1,1,20061001
24138,CPT,Remove elbow bone lesion,,,21 ,,RBRVS,8.04 ,7.80 ,7.80 ,,,,,1,0,1,1,1,1,20061001
24140,CPT,Partial removal of arm bone,,,21 ,,RBRVS,9.17 ,9.13 ,9.13 ,,,,,1,0,1,1,1,1,20061001
24145,CPT,Partial removal of radius,,,21 ,,RBRVS,7.57 ,8.08 ,8.08 ,,,,,1,0,1,1,1,1,20061001
24147,CPT,Partial removal of elbow,,,21 ,,RBRVS,7.53 ,8.62 ,8.62 ,,,,,1,0,1,1,1,1,20061001
24149,CPT,Radical resection of elbow,,,21 ,,RBRVS,14.18 ,11.65 ,11.65 ,,,,,1,0,1,1,1,1,20061001
24150,CPT,Extensive humerus surgery,,,21 ,,RBRVS,13.25 ,10.02 ,10.02 ,,,,,1,0,1,1,1,1,20061001
24151,CPT,Extensive humerus surgery,,,21 ,,RBRVS,15.56 ,11.54 ,11.54 ,,,,,1,0,1,1,1,1,20061001
24152,CPT,Extensive radius surgery,,,21 ,,RBRVS,10.04 ,7.75 ,7.75 ,,,,,1,0,1,1,1,1,20061001
24153,CPT,Extensive radius surgery,,,21 ,,RBRVS,11.52 ,5.59 ,5.59 ,,,,,1,0,1,1,1,1,20061001
24155,CPT,Removal of elbow joint,,,21 ,,RBRVS,11.71 ,8.42 ,8.42 ,,,,,1,0,1,1,1,1,20061001
24160,CPT,Remove elbow joint implant,,,21 ,,RBRVS,7.82 ,6.91 ,6.91 ,,,,,1,0,1,1,1,1,20061001
24164,CPT,Remove radius head implant,,,21 ,,RBRVS,6.22 ,5.79 ,5.79 ,,,,,1,0,1,1,1,1,20061001
24200,CPT,Removal of arm foreign body,,,21 ,,RBRVS,1.76 ,1.63 ,3.42 ,,,,,1,0,1,1,1,1,20061001
24201,CPT,Removal of arm foreign body,,,21 ,,RBRVS,4.55 ,4.24 ,9.84 ,,,,,1,0,1,1,1,1,20061001
24220,CPT,Injection for elbow x-ray,,,21 ,,RBRVS,1.31 ,0.44 ,3.64 ,,,,,1,0,1,1,1,1,20061001
24300,CPT,Manipulate elbow w/anesth,,,21 ,,RBRVS,3.74 ,5.73 ,5.73 ,,,,,1,0,1,1,1,1,20061001
24301,CPT,Muscle/tendon transfer,,,21 ,,RBRVS,10.18 ,8.20 ,8.20 ,,,,,1,0,1,1,1,1,20061001
24305,CPT,Arm tendon lengthening,,,21 ,,RBRVS,7.44 ,6.73 ,6.73 ,,,,,1,0,1,1,1,1,20061001
24310,CPT,Revision of arm tendon,,,21 ,,RBRVS,5.97 ,5.60 ,5.60 ,,,,,1,0,1,1,1,1,20061001
24320,CPT,Repair of arm tendon,,,21 ,,RBRVS,10.54 ,7.55 ,7.55 ,,,,,1,0,1,1,1,1,20061001
24330,CPT,Revision of arm muscles,,,21 ,,RBRVS,9.59 ,7.90 ,7.90 ,,,,,1,0,1,1,1,1,20061001
24331,CPT,Revision of arm muscles,,,21 ,,RBRVS,10.63 ,8.70 ,8.70 ,,,,,1,0,1,1,1,1,20061001
24332,CPT,"Tenolysis, triceps",,,21 ,,RBRVS,7.44 ,6.79 ,6.79 ,,,,,1,0,1,1,1,1,20061001
24340,CPT,Repair of biceps tendon,,,21 ,,RBRVS,7.88 ,7.00 ,7.00 ,,,,,1,0,1,1,1,1,20061001
24341,CPT,Repair arm tendon/muscle,,,21 ,,RBRVS,7.89 ,7.94 ,7.94 ,,,,,1,0,1,1,1,1,20061001
24342,CPT,Repair of ruptured tendon,,,21 ,,RBRVS,10.60 ,8.54 ,8.54 ,,,,,1,0,1,1,1,1,20061001
24343,CPT,Repr elbow lat ligmnt w/tiss,,,21 ,,RBRVS,8.64 ,8.17 ,8.17 ,,,,,1,0,1,1,1,1,20061001
24344,CPT,Reconstruct elbow lat ligmnt,,,21 ,,RBRVS,13.98 ,11.55 ,11.55 ,,,,,1,0,1,1,1,1,20061001
24345,CPT,Repr elbw med ligmnt w/tissu,,,21 ,,RBRVS,8.64 ,8.04 ,8.04 ,,,,,1,0,1,1,1,1,20061001
24346,CPT,Reconstruct elbow med ligmnt,,,21 ,,RBRVS,13.98 ,11.37 ,11.37 ,,,,,1,0,1,1,1,1,20061001
24350,CPT,Repair of tennis elbow,,,21 ,,RBRVS,5.24 ,5.60 ,5.60 ,,,,,1,0,1,1,1,1,20061001
24351,CPT,Repair of tennis elbow,,,21 ,,RBRVS,5.90 ,5.94 ,5.94 ,,,,,1,0,1,1,1,1,20061001
24352,CPT,Repair of tennis elbow,,,21 ,,RBRVS,6.42 ,6.20 ,6.20 ,,,,,1,0,1,1,1,1,20061001
24354,CPT,Repair of tennis elbow,,,21 ,,RBRVS,6.47 ,6.17 ,6.17 ,,,,,1,0,1,1,1,1,20061001
24356,CPT,Revision of tennis elbow,,,21 ,,RBRVS,6.67 ,6.33 ,6.33 ,,,,,1,0,1,1,1,1,20061001
24360,CPT,Reconstruct elbow joint,,,21 ,,RBRVS,12.32 ,9.50 ,9.50 ,,,,,1,0,1,1,1,1,20061001
24361,CPT,Reconstruct elbow joint,,,21 ,,RBRVS,14.06 ,10.61 ,10.61 ,,,,,1,0,1,1,1,1,20061001
24362,CPT,Reconstruct elbow joint,,,21 ,,RBRVS,14.97 ,10.07 ,10.07 ,,,,,1,0,1,1,1,1,20061001
24363,CPT,Replace elbow joint,,,21 ,,RBRVS,18.46 ,13.75 ,13.75 ,,,,,1,0,1,1,1,1,20061001
24365,CPT,Reconstruct head of radius,,,21 ,,RBRVS,8.38 ,7.22 ,7.22 ,,,,,1,0,1,1,1,1,20061001
24366,CPT,Reconstruct head of radius,,,21 ,,RBRVS,9.12 ,7.56 ,7.56 ,,,,,1,0,1,1,1,1,20061001
24400,CPT,Revision of humerus,,,21 ,,RBRVS,11.04 ,8.88 ,8.88 ,,,,,1,0,1,1,1,1,20061001
24410,CPT,Revision of humerus,,,21 ,,RBRVS,14.80 ,10.34 ,10.34 ,,,,,1,0,1,1,1,1,20061001
24420,CPT,Revision of humerus,,,21 ,,RBRVS,13.42 ,10.57 ,10.57 ,,,,,1,0,1,1,1,1,20061001
24430,CPT,Repair of humerus,,,21 ,,RBRVS,12.79 ,9.77 ,9.77 ,,,,,1,0,1,1,1,1,20061001
24435,CPT,Repair humerus with graft,,,21 ,,RBRVS,13.15 ,10.91 ,10.91 ,,,,,1,0,1,1,1,1,20061001
24470,CPT,Revision of elbow joint,,,21 ,,RBRVS,8.73 ,7.74 ,7.74 ,,,,,1,0,1,1,1,1,20061001
24495,CPT,Decompression of forearm,,,21 ,,RBRVS,8.11 ,8.77 ,8.77 ,,,,,1,0,1,1,1,1,20061001
24498,CPT,Reinforce humerus,,,21 ,,RBRVS,11.90 ,9.29 ,9.29 ,,,,,1,0,1,1,1,1,20061001
24500,CPT,Treat humerus fracture,,,21 ,,RBRVS,3.21 ,3.69 ,4.86 ,,,,,1,0,1,1,1,1,20061001
24505,CPT,Treat humerus fracture,,,21 ,,RBRVS,5.16 ,5.41 ,6.62 ,,,,,1,0,1,1,1,1,20061001
24515,CPT,Treat humerus fracture,,,21 ,,RBRVS,11.63 ,9.41 ,9.41 ,,,,,1,0,1,1,1,1,20061001
24516,CPT,Treat humerus fracture,,,21 ,,RBRVS,11.63 ,9.14 ,9.14 ,,,,,1,0,1,1,1,1,20061001
24530,CPT,Treat humerus fracture,,,21 ,,RBRVS,3.49 ,4.05 ,5.22 ,,,,,1,0,1,1,1,1,20061001
24535,CPT,Treat humerus fracture,,,21 ,,RBRVS,6.86 ,6.64 ,7.86 ,,,,,1,0,1,1,1,1,20061001
24538,CPT,Treat humerus fracture,,,21 ,,RBRVS,9.42 ,8.73 ,8.73 ,,,,,1,0,1,1,1,1,20061001
24545,CPT,Treat humerus fracture,,,21 ,,RBRVS,10.44 ,8.47 ,8.47 ,,,,,1,0,1,1,1,1,20061001
24546,CPT,Treat humerus fracture,,,21 ,,RBRVS,15.67 ,11.35 ,11.35 ,,,,,1,0,1,1,1,1,20061001
24560,CPT,Treat humerus fracture,,,21 ,,RBRVS,2.80 ,3.20 ,4.49 ,,,,,1,0,1,1,1,1,20061001
24565,CPT,Treat humerus fracture,,,21 ,,RBRVS,5.55 ,5.54 ,6.63 ,,,,,1,0,1,1,1,1,20061001
24566,CPT,Treat humerus fracture,,,21 ,,RBRVS,7.78 ,8.18 ,8.18 ,,,,,1,0,1,1,1,1,20061001
24575,CPT,Treat humerus fracture,,,21 ,,RBRVS,10.64 ,8.42 ,8.42 ,,,,,1,0,1,1,1,1,20061001
24576,CPT,Treat humerus fracture,,,21 ,,RBRVS,2.86 ,3.72 ,4.77 ,,,,,1,0,1,1,1,1,20061001
24577,CPT,Treat humerus fracture,,,21 ,,RBRVS,5.78 ,5.86 ,6.95 ,,,,,1,0,1,1,1,1,20061001
24579,CPT,Treat humerus fracture,,,21 ,,RBRVS,11.58 ,8.86 ,8.86 ,,,,,1,0,1,1,1,1,20061001
24582,CPT,Treat humerus fracture,,,21 ,,RBRVS,8.54 ,9.14 ,9.14 ,,,,,1,0,1,1,1,1,20061001
24586,CPT,Treat elbow fracture,,,21 ,,RBRVS,15.19 ,11.26 ,11.26 ,,,,,1,0,1,1,1,1,20061001
24587,CPT,Treat elbow fracture,,,21 ,,RBRVS,15.14 ,11.05 ,11.05 ,,,,,1,0,1,1,1,1,20061001
24600,CPT,Treat elbow dislocation,,,21 ,,RBRVS,4.22 ,3.51 ,4.87 ,,,,,1,0,1,1,1,1,20061001
24605,CPT,Treat elbow dislocation,,,21 ,,RBRVS,5.41 ,5.38 ,5.38 ,,,,,1,0,1,1,1,1,20061001
24615,CPT,Treat elbow dislocation,,,21 ,,RBRVS,9.41 ,7.84 ,7.84 ,,,,,1,0,1,1,1,1,20061001
24620,CPT,Treat elbow fracture,,,21 ,,RBRVS,6.97 ,6.27 ,6.27 ,,,,,1,0,1,1,1,1,20061001
24635,CPT,Treat elbow fracture,,,21 ,,RBRVS,13.17 ,14.09 ,14.09 ,,,,,1,0,1,1,1,1,20061001
24640,CPT,Treat elbow dislocation,,,21 ,,RBRVS,1.20 ,0.80 ,1.85 ,,,,,1,0,1,1,1,1,20061001
24650,CPT,Treat radius fracture,,,21 ,,RBRVS,2.16 ,2.76 ,3.79 ,,,,,1,0,1,1,1,1,20061001
24655,CPT,Treat radius fracture,,,21 ,,RBRVS,4.39 ,4.80 ,5.97 ,,,,,1,0,1,1,1,1,20061001
24665,CPT,Treat radius fracture,,,21 ,,RBRVS,8.13 ,7.53 ,7.53 ,,,,,1,0,1,1,1,1,20061001
24666,CPT,Treat radius fracture,,,21 ,,RBRVS,9.48 ,8.09 ,8.09 ,,,,,1,0,1,1,1,1,20061001
24670,CPT,Treat ulnar fracture,,,21 ,,RBRVS,2.54 ,3.08 ,4.12 ,,,,,1,0,1,1,1,1,20061001
24675,CPT,Treat ulnar fracture,,,21 ,,RBRVS,4.71 ,4.98 ,6.02 ,,,,,1,0,1,1,1,1,20061001
24685,CPT,Treat ulnar fracture,,,21 ,,RBRVS,8.79 ,7.54 ,7.54 ,,,,,1,0,1,1,1,1,20061001
24800,CPT,Fusion of elbow joint,,,21 ,,RBRVS,11.18 ,8.77 ,8.77 ,,,,,1,0,1,1,1,1,20061001
24802,CPT,Fusion/graft of elbow joint,,,21 ,,RBRVS,13.67 ,10.41 ,10.41 ,,,,,1,0,1,1,1,1,20061001
24900,CPT,Amputation of upper arm,,,21 ,,RBRVS,9.59 ,7.08 ,7.08 ,,,,,1,0,1,1,1,1,20061001
24920,CPT,Amputation of upper arm,,,21 ,,RBRVS,9.53 ,6.96 ,6.96 ,,,,,1,0,1,1,1,1,20061001
24925,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.06 ,6.10 ,6.10 ,,,,,1,0,1,1,1,1,20061001
24930,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,10.23 ,7.26 ,7.26 ,,,,,1,0,1,1,1,1,20061001
24931,CPT,Amputate upper arm & implant,,,21 ,,RBRVS,12.70 ,5.74 ,5.74 ,,,,,1,0,1,1,1,1,20061001
24935,CPT,Revision of amputation,,,21 ,,RBRVS,15.54 ,8.04 ,8.04 ,,,,,1,0,1,1,1,1,20061001
24940,CPT,Revision of upper arm,,,21 ,,TotalUnits,,,,23.19 ,,,,1,0,1,1,1,1,20061001
24999,CPT,Upper arm/elbow surgery,,,21 ,,TotalUnits,,,,8.53 ,,,,1,0,1,1,1,1,20061001
25000,CPT,Incision of tendon sheath,,,21 ,,RBRVS,3.37 ,6.89 ,6.89 ,,,,,1,0,1,1,1,1,20061001
25001,CPT,Incise flexor carpi radialis,,,21 ,,RBRVS,3.37 ,4.24 ,4.24 ,,,,,1,0,1,1,1,1,20061001
25020,CPT,Decompress forearm 1 space,,,21 ,,RBRVS,5.91 ,9.59 ,9.59 ,,,,,1,0,1,1,1,1,20061001
25023,CPT,Decompress forearm 1 space,,,21 ,,RBRVS,12.94 ,14.98 ,14.98 ,,,,,1,0,1,1,1,1,20061001
25024,CPT,Decompress forearm 2 spaces,,,21 ,,RBRVS,9.49 ,7.49 ,7.49 ,,,,,1,0,1,1,1,1,20061001
25025,CPT,Decompress forarm 2 spaces,,,21 ,,RBRVS,16.52 ,10.00 ,10.00 ,,,,,1,0,1,1,1,1,20061001
25028,CPT,Drainage of forearm lesion,,,21 ,,RBRVS,5.24 ,8.18 ,8.18 ,,,,,1,0,1,1,1,1,20061001
25031,CPT,Drainage of forearm bursa,,,21 ,,RBRVS,4.13 ,7.94 ,7.94 ,,,,,1,0,1,1,1,1,20061001
25035,CPT,Treat forearm bone lesion,,,21 ,,RBRVS,7.35 ,13.63 ,13.63 ,,,,,1,0,1,1,1,1,20061001
25040,CPT,Explore/treat wrist joint,,,21 ,,RBRVS,7.17 ,7.32 ,7.32 ,,,,,1,0,1,1,1,1,20061001
25065,CPT,Biopsy forearm soft tissues,,,21 ,,RBRVS,1.99 ,1.91 ,3.23 ,,,,,1,0,1,1,1,1,20061001
25066,CPT,Biopsy forearm soft tissues,,,21 ,,RBRVS,4.12 ,7.08 ,7.08 ,,,,,1,0,1,1,1,1,20061001
25075,CPT,Removel forearm lesion subcu,,,21 ,,RBRVS,3.73 ,5.91 ,5.91 ,,,,,1,0,1,1,1,1,20061001
25076,CPT,Removel forearm lesion deep,,,21 ,,RBRVS,4.91 ,9.57 ,9.57 ,,,,,1,0,1,1,1,1,20061001
25077,CPT,"Remove tumor, forearm/wrist",,,21 ,,RBRVS,9.75 ,12.12 ,12.12 ,,,,,1,0,1,1,1,1,20061001
25085,CPT,Incision of wrist capsule,,,21 ,,RBRVS,5.49 ,7.14 ,7.14 ,,,,,1,0,1,1,1,1,20061001
25100,CPT,Biopsy of wrist joint,,,21 ,,RBRVS,3.89 ,5.29 ,5.29 ,,,,,1,0,1,1,1,1,20061001
25101,CPT,Explore/treat wrist joint,,,21 ,,RBRVS,4.68 ,5.91 ,5.91 ,,,,,1,0,1,1,1,1,20061001
25105,CPT,Remove wrist joint lining,,,21 ,,RBRVS,5.84 ,7.32 ,7.32 ,,,,,1,0,1,1,1,1,20061001
25107,CPT,Remove wrist joint cartilage,,,21 ,,RBRVS,6.42 ,8.36 ,8.36 ,,,,,1,0,1,1,1,1,20061001
25110,CPT,Remove wrist tendon lesion,,,21 ,,RBRVS,3.91 ,7.07 ,7.07 ,,,,,1,0,1,1,1,1,20061001
25111,CPT,Remove wrist tendon lesion,,,21 ,,RBRVS,3.38 ,4.71 ,4.71 ,,,,,1,0,1,1,1,1,20061001
25112,CPT,Reremove wrist tendon lesion,,,21 ,,RBRVS,4.52 ,5.27 ,5.27 ,,,,,1,0,1,1,1,1,20061001
25115,CPT,Remove wrist/forearm lesion,,,21 ,,RBRVS,8.81 ,14.07 ,14.07 ,,,,,1,0,1,1,1,1,20061001
25116,CPT,Remove wrist/forearm lesion,,,21 ,,RBRVS,7.10 ,13.18 ,13.18 ,,,,,1,0,1,1,1,1,20061001
25118,CPT,Excise wrist tendon sheath,,,21 ,,RBRVS,4.36 ,5.76 ,5.76 ,,,,,1,0,1,1,1,1,20061001
25119,CPT,Partial removal of ulna,,,21 ,,RBRVS,6.03 ,7.62 ,7.62 ,,,,,1,0,1,1,1,1,20061001
25120,CPT,Removal of forearm lesion,,,21 ,,RBRVS,6.09 ,12.12 ,12.12 ,,,,,1,0,1,1,1,1,20061001
25125,CPT,Remove/graft forearm lesion,,,21 ,,RBRVS,7.47 ,12.88 ,12.88 ,,,,,1,0,1,1,1,1,20061001
25126,CPT,Remove/graft forearm lesion,,,21 ,,RBRVS,7.54 ,13.05 ,13.05 ,,,,,1,0,1,1,1,1,20061001
25130,CPT,Removal of wrist lesion,,,21 ,,RBRVS,5.25 ,6.44 ,6.44 ,,,,,1,0,1,1,1,1,20061001
25135,CPT,Remove & graft wrist lesion,,,21 ,,RBRVS,6.88 ,7.53 ,7.53 ,,,,,1,0,1,1,1,1,20061001
25136,CPT,Remove & graft wrist lesion,,,21 ,,RBRVS,5.96 ,6.61 ,6.61 ,,,,,1,0,1,1,1,1,20061001
25145,CPT,Remove forearm bone lesion,,,21 ,,RBRVS,6.36 ,12.09 ,12.09 ,,,,,1,0,1,1,1,1,20061001
25150,CPT,Partial removal of ulna,,,21 ,,RBRVS,7.08 ,8.23 ,8.23 ,,,,,1,0,1,1,1,1,20061001
25151,CPT,Partial removal of radius,,,21 ,,RBRVS,7.38 ,12.76 ,12.76 ,,,,,1,0,1,1,1,1,20061001
25170,CPT,Extensive forearm surgery,,,21 ,,RBRVS,11.07 ,15.19 ,15.19 ,,,,,1,0,1,1,1,1,20061001
25210,CPT,Removal of wrist bone,,,21 ,,RBRVS,5.94 ,6.81 ,6.81 ,,,,,1,0,1,1,1,1,20061001
25215,CPT,Removal of wrist bones,,,21 ,,RBRVS,7.88 ,8.78 ,8.78 ,,,,,1,0,1,1,1,1,20061001
25230,CPT,Partial removal of radius,,,21 ,,RBRVS,5.22 ,6.16 ,6.16 ,,,,,1,0,1,1,1,1,20061001
25240,CPT,Partial removal of ulna,,,21 ,,RBRVS,5.16 ,6.97 ,6.97 ,,,,,1,0,1,1,1,1,20061001
25246,CPT,Injection for wrist x-ray,,,21 ,,RBRVS,1.45 ,0.48 ,3.45 ,,,,,1,0,1,1,1,1,20061001
25248,CPT,Remove forearm foreign body,,,21 ,,RBRVS,5.13 ,8.54 ,8.54 ,,,,,1,0,1,1,1,1,20061001
25250,CPT,Removal of wrist prosthesis,,,21 ,,RBRVS,6.59 ,6.12 ,6.12 ,,,,,1,0,1,1,1,1,20061001
25251,CPT,Removal of wrist prosthesis,,,21 ,,RBRVS,9.56 ,7.94 ,7.94 ,,,,,1,0,1,1,1,1,20061001
25259,CPT,Manipulate wrist w/anesthes,,,21 ,,RBRVS,3.74 ,5.74 ,5.74 ,,,,,1,0,1,1,1,1,20061001
25260,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,7.79 ,13.35 ,13.35 ,,,,,1,0,1,1,1,1,20061001
25263,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,7.81 ,13.30 ,13.30 ,,,,,1,0,1,1,1,1,20061001
25265,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,9.87 ,14.35 ,14.35 ,,,,,1,0,1,1,1,1,20061001
25270,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,5.99 ,12.06 ,12.06 ,,,,,1,0,1,1,1,1,20061001
25272,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,7.03 ,12.83 ,12.83 ,,,,,1,0,1,1,1,1,20061001
25274,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,8.74 ,13.66 ,13.66 ,,,,,1,0,1,1,1,1,20061001
25275,CPT,Repair forearm tendon sheath,,,21 ,,RBRVS,8.49 ,7.60 ,7.60 ,,,,,1,0,1,1,1,1,20061001
25280,CPT,Revise wrist/forearm tendon,,,21 ,,RBRVS,7.21 ,12.67 ,12.67 ,,,,,1,0,1,1,1,1,20061001
25290,CPT,Incise wrist/forearm tendon,,,21 ,,RBRVS,5.28 ,15.03 ,15.03 ,,,,,1,0,1,1,1,1,20061001
25295,CPT,Release wrist/forearm tendon,,,21 ,,RBRVS,6.54 ,12.19 ,12.19 ,,,,,1,0,1,1,1,1,20061001
25300,CPT,Fusion of tendons at wrist,,,21 ,,RBRVS,8.79 ,8.47 ,8.47 ,,,,,1,0,1,1,1,1,20061001
25301,CPT,Fusion of tendons at wrist,,,21 ,,RBRVS,8.39 ,8.08 ,8.08 ,,,,,1,0,1,1,1,1,20061001
25310,CPT,Transplant forearm tendon,,,21 ,,RBRVS,8.13 ,13.07 ,13.07 ,,,,,1,0,1,1,1,1,20061001
25312,CPT,Transplant forearm tendon,,,21 ,,RBRVS,9.56 ,13.98 ,13.98 ,,,,,1,0,1,1,1,1,20061001
25315,CPT,Revise palsy hand tendon(s),,,21 ,,RBRVS,10.18 ,14.44 ,14.44 ,,,,,1,0,1,1,1,1,20061001
25316,CPT,Revise palsy hand tendon(s),,,21 ,,RBRVS,12.31 ,16.27 ,16.27 ,,,,,1,0,1,1,1,1,20061001
25320,CPT,Repair/revise wrist joint,,,21 ,,RBRVS,10.75 ,11.42 ,11.42 ,,,,,1,0,1,1,1,1,20061001
25332,CPT,Revise wrist joint,,,21 ,,RBRVS,11.39 ,9.20 ,9.20 ,,,,,1,0,1,1,1,1,20061001
25335,CPT,Realignment of hand,,,21 ,,RBRVS,12.86 ,11.62 ,11.62 ,,,,,1,0,1,1,1,1,20061001
25337,CPT,Reconstruct ulna/radioulnar,,,21 ,,RBRVS,10.15 ,11.11 ,11.11 ,,,,,1,0,1,1,1,1,20061001
25350,CPT,Revision of radius,,,21 ,,RBRVS,8.77 ,14.01 ,14.01 ,,,,,1,0,1,1,1,1,20061001
25355,CPT,Revision of radius,,,21 ,,RBRVS,10.15 ,14.65 ,14.65 ,,,,,1,0,1,1,1,1,20061001
25360,CPT,Revision of ulna,,,21 ,,RBRVS,8.42 ,13.91 ,13.91 ,,,,,1,0,1,1,1,1,20061001
25365,CPT,Revise radius & ulna,,,21 ,,RBRVS,12.38 ,15.69 ,15.69 ,,,,,1,0,1,1,1,1,20061001
25370,CPT,Revise radius or ulna,,,21 ,,RBRVS,13.34 ,16.12 ,16.12 ,,,,,1,0,1,1,1,1,20061001
25375,CPT,Revise radius & ulna,,,21 ,,RBRVS,13.02 ,16.47 ,16.47 ,,,,,1,0,1,1,1,1,20061001
25390,CPT,Shorten radius or ulna,,,21 ,,RBRVS,10.38 ,14.62 ,14.62 ,,,,,1,0,1,1,1,1,20061001
25391,CPT,Lengthen radius or ulna,,,21 ,,RBRVS,13.63 ,16.60 ,16.60 ,,,,,1,0,1,1,1,1,20061001
25392,CPT,Shorten radius & ulna,,,21 ,,RBRVS,13.93 ,16.01 ,16.01 ,,,,,1,0,1,1,1,1,20061001
25393,CPT,Lengthen radius & ulna,,,21 ,,RBRVS,15.85 ,17.63 ,17.63 ,,,,,1,0,1,1,1,1,20061001
25394,CPT,"Repair carpal bone, shorten",,,21 ,,RBRVS,10.38 ,8.08 ,8.08 ,,,,,1,0,1,1,1,1,20061001
25400,CPT,Repair radius or ulna,,,21 ,,RBRVS,10.90 ,15.23 ,15.23 ,,,,,1,0,1,1,1,1,20061001
25405,CPT,Repair/graft radius or ulna,,,21 ,,RBRVS,14.36 ,17.32 ,17.32 ,,,,,1,0,1,1,1,1,20061001
25415,CPT,Repair radius & ulna,,,21 ,,RBRVS,13.33 ,16.56 ,16.56 ,,,,,1,0,1,1,1,1,20061001
25420,CPT,Repair/graft radius & ulna,,,21 ,,RBRVS,16.31 ,18.32 ,18.32 ,,,,,1,0,1,1,1,1,20061001
25425,CPT,Repair/graft radius or ulna,,,21 ,,RBRVS,13.19 ,21.45 ,21.45 ,,,,,1,0,1,1,1,1,20061001
25426,CPT,Repair/graft radius & ulna,,,21 ,,RBRVS,15.80 ,16.60 ,16.60 ,,,,,1,0,1,1,1,1,20061001
25430,CPT,Vasc graft into carpal bone,,,21 ,,RBRVS,9.24 ,7.36 ,7.36 ,,,,,1,0,1,1,1,1,20061001
25431,CPT,Repair nonunion carpal bone,,,21 ,,RBRVS,10.42 ,8.42 ,8.42 ,,,,,1,0,1,1,1,1,20061001
25440,CPT,Repair/graft wrist bone,,,21 ,,RBRVS,10.42 ,9.43 ,9.43 ,,,,,1,0,1,1,1,1,20061001
25441,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,12.88 ,10.03 ,10.03 ,,,,,1,0,1,1,1,1,20061001
25442,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,10.83 ,8.91 ,8.91 ,,,,,1,0,1,1,1,1,20061001
25443,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,10.37 ,8.80 ,8.80 ,,,,,1,0,1,1,1,1,20061001
25444,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,11.13 ,9.06 ,9.06 ,,,,,1,0,1,1,1,1,20061001
25445,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,9.68 ,8.01 ,8.01 ,,,,,1,0,1,1,1,1,20061001
25446,CPT,Wrist replacement,,,21 ,,RBRVS,16.53 ,11.95 ,11.95 ,,,,,1,0,1,1,1,1,20061001
25447,CPT,Repair wrist joint(s),,,21 ,,RBRVS,10.35 ,8.68 ,8.68 ,,,,,1,0,1,1,1,1,20061001
25449,CPT,Remove wrist joint implant,,,21 ,,RBRVS,14.47 ,10.70 ,10.70 ,,,,,1,0,1,1,1,1,20061001
25450,CPT,Revision of wrist joint,,,21 ,,RBRVS,7.86 ,10.22 ,10.22 ,,,,,1,0,1,1,1,1,20061001
25455,CPT,Revision of wrist joint,,,21 ,,RBRVS,9.48 ,10.89 ,10.89 ,,,,,1,0,1,1,1,1,20061001
25490,CPT,Reinforce radius,,,21 ,,RBRVS,9.53 ,13.77 ,13.77 ,,,,,1,0,1,1,1,1,20061001
25491,CPT,Reinforce ulna,,,21 ,,RBRVS,9.95 ,14.50 ,14.50 ,,,,,1,0,1,1,1,1,20061001
25492,CPT,Reinforce radius and ulna,,,21 ,,RBRVS,12.31 ,15.34 ,15.34 ,,,,,1,0,1,1,1,1,20061001
25500,CPT,Treat fracture of radius,,,21 ,,RBRVS,2.45 ,2.72 ,3.58 ,,,,,1,0,1,1,1,1,20061001
25505,CPT,Treat fracture of radius,,,21 ,,RBRVS,5.20 ,5.44 ,6.56 ,,,,,1,0,1,1,1,1,20061001
25515,CPT,Treat fracture of radius,,,21 ,,RBRVS,9.17 ,7.48 ,7.48 ,,,,,1,0,1,1,1,1,20061001
25520,CPT,Treat fracture of radius,,,21 ,,RBRVS,6.25 ,6.08 ,6.88 ,,,,,1,0,1,1,1,1,20061001
25525,CPT,Treat fracture of radius,,,21 ,,RBRVS,12.22 ,10.02 ,10.02 ,,,,,1,0,1,1,1,1,20061001
25526,CPT,Treat fracture of radius,,,21 ,,RBRVS,12.96 ,13.54 ,13.54 ,,,,,1,0,1,1,1,1,20061001
25530,CPT,Treat fracture of ulna,,,21 ,,RBRVS,2.09 ,2.87 ,3.77 ,,,,,1,0,1,1,1,1,20061001
25535,CPT,Treat fracture of ulna,,,21 ,,RBRVS,5.13 ,5.31 ,6.03 ,,,,,1,0,1,1,1,1,20061001
25545,CPT,Treat fracture of ulna,,,21 ,,RBRVS,8.89 ,7.68 ,7.68 ,,,,,1,0,1,1,1,1,20061001
25560,CPT,Treat fracture radius & ulna,,,21 ,,RBRVS,2.44 ,2.61 ,3.70 ,,,,,1,0,1,1,1,1,20061001
25565,CPT,Treat fracture radius & ulna,,,21 ,,RBRVS,5.62 ,5.44 ,6.72 ,,,,,1,0,1,1,1,1,20061001
25574,CPT,Treat fracture radius & ulna,,,21 ,,RBRVS,7.00 ,7.22 ,7.22 ,,,,,1,0,1,1,1,1,20061001
25575,CPT,Treat fracture radius/ulna,,,21 ,,RBRVS,10.43 ,9.54 ,9.54 ,,,,,1,0,1,1,1,1,20061001
25600,CPT,Treat fracture radius/ulna,,,21 ,,RBRVS,2.63 ,2.98 ,4.10 ,,,,,1,0,1,1,1,1,20061001
25605,CPT,Treat fracture radius/ulna,,,21 ,,RBRVS,5.80 ,6.24 ,7.25 ,,,,,1,0,1,1,1,1,20061001
25611,CPT,Treat fracture radius/ulna,,,21 ,,RBRVS,7.76 ,8.99 ,8.99 ,,,,,1,0,1,1,1,1,20061001
25620,CPT,Treat fracture radius/ulna,,,21 ,,RBRVS,8.54 ,7.28 ,7.28 ,,,,,1,0,1,1,1,1,20061001
25622,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,2.61 ,3.11 ,4.28 ,,,,,1,0,1,1,1,1,20061001
25624,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,4.52 ,5.08 ,6.32 ,,,,,1,0,1,1,1,1,20061001
25628,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,8.42 ,7.84 ,7.84 ,,,,,1,0,1,1,1,1,20061001
25630,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,2.88 ,2.95 ,4.19 ,,,,,1,0,1,1,1,1,20061001
25635,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,4.38 ,3.91 ,5.96 ,,,,,1,0,1,1,1,1,20061001
25645,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,7.24 ,6.65 ,6.65 ,,,,,1,0,1,1,1,1,20061001
25650,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,3.05 ,3.18 ,4.32 ,,,,,1,0,1,1,1,1,20061001
25651,CPT,Pin ulnar styloid fracture,,,21 ,,RBRVS,5.35 ,5.50 ,5.50 ,,,,,1,0,1,1,1,1,20061001
25652,CPT,Treat fracture ulnar styloid,,,21 ,,RBRVS,7.59 ,7.02 ,7.02 ,,,,,1,0,1,1,1,1,20061001
25660,CPT,Treat wrist dislocation,,,21 ,,RBRVS,4.75 ,4.72 ,4.72 ,,,,,1,0,1,1,1,1,20061001
25670,CPT,Treat wrist dislocation,,,21 ,,RBRVS,7.91 ,7.01 ,7.01 ,,,,,1,0,1,1,1,1,20061001
25671,CPT,Pin radioulnar dislocation,,,21 ,,RBRVS,5.99 ,6.17 ,6.17 ,,,,,1,0,1,1,1,1,20061001
25675,CPT,Treat wrist dislocation,,,21 ,,RBRVS,4.66 ,4.66 ,5.67 ,,,,,1,0,1,1,1,1,20061001
25676,CPT,Treat wrist dislocation,,,21 ,,RBRVS,8.03 ,7.32 ,7.32 ,,,,,1,0,1,1,1,1,20061001
25680,CPT,Treat wrist fracture,,,21 ,,RBRVS,5.98 ,4.75 ,4.75 ,,,,,1,0,1,1,1,1,20061001
25685,CPT,Treat wrist fracture,,,21 ,,RBRVS,9.77 ,7.82 ,7.82 ,,,,,1,0,1,1,1,1,20061001
25690,CPT,Treat wrist dislocation,,,21 ,,RBRVS,5.49 ,5.52 ,5.52 ,,,,,1,0,1,1,1,1,20061001
25695,CPT,Treat wrist dislocation,,,21 ,,RBRVS,8.33 ,7.11 ,7.11 ,,,,,1,0,1,1,1,1,20061001
25800,CPT,Fusion of wrist joint,,,21 ,,RBRVS,9.75 ,9.12 ,9.12 ,,,,,1,0,1,1,1,1,20061001
25805,CPT,Fusion/graft of wrist joint,,,21 ,,RBRVS,11.26 ,10.28 ,10.28 ,,,,,1,0,1,1,1,1,20061001
25810,CPT,Fusion/graft of wrist joint,,,21 ,,RBRVS,10.55 ,9.93 ,9.93 ,,,,,1,0,1,1,1,1,20061001
25820,CPT,Fusion of hand bones,,,21 ,,RBRVS,7.44 ,7.87 ,7.87 ,,,,,1,0,1,1,1,1,20061001
25825,CPT,Fuse hand bones with graft,,,21 ,,RBRVS,9.26 ,9.26 ,9.26 ,,,,,1,0,1,1,1,1,20061001
25830,CPT,"Fusion, radioulnar jnt/ulna",,,21 ,,RBRVS,10.04 ,14.45 ,14.45 ,,,,,1,0,1,1,1,1,20061001
25900,CPT,Amputation of forearm,,,21 ,,RBRVS,9.00 ,12.60 ,12.60 ,,,,,1,0,1,1,1,1,20061001
25905,CPT,Amputation of forearm,,,21 ,,RBRVS,9.11 ,12.33 ,12.33 ,,,,,1,0,1,1,1,1,20061001
25907,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.79 ,11.79 ,11.79 ,,,,,1,0,1,1,1,1,20061001
25909,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,8.95 ,12.31 ,12.31 ,,,,,1,0,1,1,1,1,20061001
25915,CPT,Amputation of forearm,,,21 ,,RBRVS,17.05 ,18.93 ,18.93 ,,,,,1,0,1,1,1,1,20061001
25920,CPT,Amputate hand at wrist,,,21 ,,RBRVS,8.67 ,7.87 ,7.87 ,,,,,1,0,1,1,1,1,20061001
25922,CPT,Amputate hand at wrist,,,21 ,,RBRVS,7.41 ,7.07 ,7.07 ,,,,,1,0,1,1,1,1,20061001
25924,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,8.45 ,8.11 ,8.11 ,,,,,1,0,1,1,1,1,20061001
25927,CPT,Amputation of hand,,,21 ,,RBRVS,8.79 ,11.71 ,11.71 ,,,,,1,0,1,1,1,1,20061001
25929,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.58 ,5.89 ,5.89 ,,,,,1,0,1,1,1,1,20061001
25931,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.80 ,11.49 ,11.49 ,,,,,1,0,1,1,1,1,20061001
25999,CPT,Forearm or wrist surgery,,,21 ,,TotalUnits,,,,8.21 ,,,,1,0,1,1,1,1,20061001
26010,CPT,Drainage of finger abscess,,,21 ,,RBRVS,1.54 ,1.63 ,5.58 ,,,,,1,0,1,1,1,1,20061001
26011,CPT,Drainage of finger abscess,,,21 ,,RBRVS,2.19 ,2.33 ,8.84 ,,,,,1,0,1,1,1,1,20061001
26020,CPT,Drain hand tendon sheath,,,21 ,,RBRVS,4.66 ,5.37 ,5.37 ,,,,,1,0,1,1,1,1,20061001
26025,CPT,Drainage of palm bursa,,,21 ,,RBRVS,4.81 ,5.13 ,5.13 ,,,,,1,0,1,1,1,1,20061001
26030,CPT,Drainage of palm bursa(s),,,21 ,,RBRVS,5.92 ,5.74 ,5.74 ,,,,,1,0,1,1,1,1,20061001
26034,CPT,Treat hand bone lesion,,,21 ,,RBRVS,6.22 ,6.37 ,6.37 ,,,,,1,0,1,1,1,1,20061001
26035,CPT,Decompress fingers/hand,,,21 ,,RBRVS,9.50 ,7.89 ,7.89 ,,,,,1,0,1,1,1,1,20061001
26037,CPT,Decompress fingers/hand,,,21 ,,RBRVS,7.24 ,6.34 ,6.34 ,,,,,1,0,1,1,1,1,20061001
26040,CPT,Release palm contracture,,,21 ,,RBRVS,3.33 ,4.06 ,4.06 ,,,,,1,0,1,1,1,1,20061001
26045,CPT,Release palm contracture,,,21 ,,RBRVS,5.55 ,5.66 ,5.66 ,,,,,1,0,1,1,1,1,20061001
26055,CPT,Incise finger tendon sheath,,,21 ,,RBRVS,2.69 ,3.95 ,14.39 ,,,,,1,0,1,1,1,1,20061001
26060,CPT,Incision of finger tendon,,,21 ,,RBRVS,2.81 ,3.52 ,3.52 ,,,,,1,0,1,1,1,1,20061001
26070,CPT,Explore/treat hand joint,,,21 ,,RBRVS,3.68 ,3.37 ,3.37 ,,,,,1,0,1,1,1,1,20061001
26075,CPT,Explore/treat finger joint,,,21 ,,RBRVS,3.78 ,3.79 ,3.79 ,,,,,1,0,1,1,1,1,20061001
26080,CPT,Explore/treat finger joint,,,21 ,,RBRVS,4.23 ,4.86 ,4.86 ,,,,,1,0,1,1,1,1,20061001
26100,CPT,Biopsy hand joint lining,,,21 ,,RBRVS,3.66 ,4.14 ,4.14 ,,,,,1,0,1,1,1,1,20061001
26105,CPT,Biopsy finger joint lining,,,21 ,,RBRVS,3.70 ,4.24 ,4.24 ,,,,,1,0,1,1,1,1,20061001
26110,CPT,Biopsy finger joint lining,,,21 ,,RBRVS,3.52 ,4.05 ,4.05 ,,,,,1,0,1,1,1,1,20061001
26115,CPT,Removel hand lesion subcut,,,21 ,,RBRVS,3.85 ,4.78 ,13.13 ,,,,,1,0,1,1,1,1,20061001
26116,CPT,"Removel hand lesion, deep",,,21 ,,RBRVS,5.52 ,6.02 ,6.02 ,,,,,1,0,1,1,1,1,20061001
26117,CPT,"Remove tumor, hand/finger",,,21 ,,RBRVS,8.54 ,7.08 ,7.08 ,,,,,1,0,1,1,1,1,20061001
26121,CPT,Release palm contracture,,,21 ,,RBRVS,7.53 ,6.98 ,6.98 ,,,,,1,0,1,1,1,1,20061001
26123,CPT,Release palm contracture,,,21 ,,RBRVS,9.28 ,8.88 ,8.88 ,,,,,1,0,1,1,1,1,20061001
26125,CPT,Release palm contracture,,,21 ,,RBRVS,4.60 ,2.45 ,2.45 ,,,,,1,0,1,1,1,1,20061001
26130,CPT,Remove wrist joint lining,,,21 ,,RBRVS,5.41 ,5.36 ,5.36 ,,,,,1,0,1,1,1,1,20061001
26135,CPT,"Revise finger joint, each",,,21 ,,RBRVS,6.95 ,6.48 ,6.48 ,,,,,1,0,1,1,1,1,20061001
26140,CPT,"Revise finger joint, each",,,21 ,,RBRVS,6.16 ,6.06 ,6.06 ,,,,,1,0,1,1,1,1,20061001
26145,CPT,"Tendon excision, palm/finger",,,21 ,,RBRVS,6.31 ,6.07 ,6.07 ,,,,,1,0,1,1,1,1,20061001
26160,CPT,Remove tendon sheath lesion,,,21 ,,RBRVS,3.15 ,4.13 ,12.41 ,,,,,1,0,1,1,1,1,20061001
26170,CPT,"Removal of palm tendon, each",,,21 ,,RBRVS,4.76 ,4.95 ,4.95 ,,,,,1,0,1,1,1,1,20061001
26180,CPT,Removal of finger tendon,,,21 ,,RBRVS,5.17 ,5.43 ,5.43 ,,,,,1,0,1,1,1,1,20061001
26185,CPT,Remove finger bone,,,21 ,,RBRVS,5.24 ,6.05 ,6.05 ,,,,,1,0,1,1,1,1,20061001
26200,CPT,Remove hand bone lesion,,,21 ,,RBRVS,5.50 ,5.37 ,5.37 ,,,,,1,0,1,1,1,1,20061001
26205,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,7.69 ,6.91 ,6.91 ,,,,,1,0,1,1,1,1,20061001
26210,CPT,Removal of finger lesion,,,21 ,,RBRVS,5.14 ,5.44 ,5.44 ,,,,,1,0,1,1,1,1,20061001
26215,CPT,Remove/graft finger lesion,,,21 ,,RBRVS,7.09 ,6.33 ,6.33 ,,,,,1,0,1,1,1,1,20061001
26230,CPT,Partial removal of hand bone,,,21 ,,RBRVS,6.32 ,5.93 ,5.93 ,,,,,1,0,1,1,1,1,20061001
26235,CPT,"Partial removal, finger bone",,,21 ,,RBRVS,6.18 ,5.83 ,5.83 ,,,,,1,0,1,1,1,1,20061001
26236,CPT,"Partial removal, finger bone",,,21 ,,RBRVS,5.31 ,5.34 ,5.34 ,,,,,1,0,1,1,1,1,20061001
26250,CPT,Extensive hand surgery,,,21 ,,RBRVS,7.54 ,6.45 ,6.45 ,,,,,1,0,1,1,1,1,20061001
26255,CPT,Extensive hand surgery,,,21 ,,RBRVS,12.41 ,9.40 ,9.40 ,,,,,1,0,1,1,1,1,20061001
26260,CPT,Extensive finger surgery,,,21 ,,RBRVS,7.02 ,6.20 ,6.20 ,,,,,1,0,1,1,1,1,20061001
26261,CPT,Extensive finger surgery,,,21 ,,RBRVS,9.08 ,6.19 ,6.19 ,,,,,1,0,1,1,1,1,20061001
26262,CPT,Partial removal of finger,,,21 ,,RBRVS,5.66 ,5.35 ,5.35 ,,,,,1,0,1,1,1,1,20061001
26320,CPT,Removal of implant from hand,,,21 ,,RBRVS,3.97 ,4.32 ,4.32 ,,,,,1,0,1,1,1,1,20061001
26340,CPT,Manipulate finger w/anesth,,,21 ,,RBRVS,2.50 ,4.89 ,4.89 ,,,,,1,0,1,1,1,1,20061001
26350,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,5.98 ,14.65 ,14.65 ,,,,,1,0,1,1,1,1,20061001
26352,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,7.67 ,15.40 ,15.40 ,,,,,1,0,1,1,1,1,20061001
26356,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,8.06 ,18.42 ,18.42 ,,,,,1,0,1,1,1,1,20061001
26357,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,8.57 ,15.68 ,15.68 ,,,,,1,0,1,1,1,1,20061001
26358,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,9.13 ,16.69 ,16.69 ,,,,,1,0,1,1,1,1,20061001
26370,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,7.10 ,15.15 ,15.15 ,,,,,1,0,1,1,1,1,20061001
26372,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,8.75 ,16.58 ,16.58 ,,,,,1,0,1,1,1,1,20061001
26373,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,8.15 ,16.09 ,16.09 ,,,,,1,0,1,1,1,1,20061001
26390,CPT,Revise hand/finger tendon,,,21 ,,RBRVS,9.18 ,13.32 ,13.32 ,,,,,1,0,1,1,1,1,20061001
26392,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,10.24 ,16.77 ,16.77 ,,,,,1,0,1,1,1,1,20061001
26410,CPT,Repair hand tendon,,,21 ,,RBRVS,4.62 ,11.97 ,11.97 ,,,,,1,0,1,1,1,1,20061001
26412,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,6.30 ,13.31 ,13.31 ,,,,,1,0,1,1,1,1,20061001
26415,CPT,"Excision, hand/finger tendon",,,21 ,,RBRVS,8.33 ,11.81 ,11.81 ,,,,,1,0,1,1,1,1,20061001
26416,CPT,Graft hand or finger tendon,,,21 ,,RBRVS,9.36 ,14.63 ,14.63 ,,,,,1,0,1,1,1,1,20061001
26418,CPT,Repair finger tendon,,,21 ,,RBRVS,4.24 ,12.36 ,12.36 ,,,,,1,0,1,1,1,1,20061001
26420,CPT,Repair/graft finger tendon,,,21 ,,RBRVS,6.76 ,13.67 ,13.67 ,,,,,1,0,1,1,1,1,20061001
26426,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,6.14 ,13.20 ,13.20 ,,,,,1,0,1,1,1,1,20061001
26428,CPT,Repair/graft finger tendon,,,21 ,,RBRVS,7.20 ,13.90 ,13.90 ,,,,,1,0,1,1,1,1,20061001
26432,CPT,Repair finger tendon,,,21 ,,RBRVS,4.01 ,10.29 ,10.29 ,,,,,1,0,1,1,1,1,20061001
26433,CPT,Repair finger tendon,,,21 ,,RBRVS,4.55 ,10.82 ,10.82 ,,,,,1,0,1,1,1,1,20061001
26434,CPT,Repair/graft finger tendon,,,21 ,,RBRVS,6.08 ,11.57 ,11.57 ,,,,,1,0,1,1,1,1,20061001
26437,CPT,Realignment of tendons,,,21 ,,RBRVS,5.81 ,11.60 ,11.60 ,,,,,1,0,1,1,1,1,20061001
26440,CPT,Release palm/finger tendon,,,21 ,,RBRVS,5.01 ,13.47 ,13.47 ,,,,,1,0,1,1,1,1,20061001
26442,CPT,Release palm & finger tendon,,,21 ,,RBRVS,8.15 ,15.99 ,15.99 ,,,,,1,0,1,1,1,1,20061001
26445,CPT,Release hand/finger tendon,,,21 ,,RBRVS,4.30 ,13.18 ,13.18 ,,,,,1,0,1,1,1,1,20061001
26449,CPT,Release forearm/hand tendon,,,21 ,,RBRVS,6.99 ,15.82 ,15.82 ,,,,,1,0,1,1,1,1,20061001
26450,CPT,Incision of palm tendon,,,21 ,,RBRVS,3.66 ,7.35 ,7.35 ,,,,,1,0,1,1,1,1,20061001
26455,CPT,Incision of finger tendon,,,21 ,,RBRVS,3.63 ,7.30 ,7.30 ,,,,,1,0,1,1,1,1,20061001
26460,CPT,Incise hand/finger tendon,,,21 ,,RBRVS,3.45 ,7.16 ,7.16 ,,,,,1,0,1,1,1,1,20061001
26471,CPT,Fusion of finger tendons,,,21 ,,RBRVS,5.72 ,11.27 ,11.27 ,,,,,1,0,1,1,1,1,20061001
26474,CPT,Fusion of finger tendons,,,21 ,,RBRVS,5.31 ,11.42 ,11.42 ,,,,,1,0,1,1,1,1,20061001
26476,CPT,Tendon lengthening,,,21 ,,RBRVS,5.17 ,10.96 ,10.96 ,,,,,1,0,1,1,1,1,20061001
26477,CPT,Tendon shortening,,,21 ,,RBRVS,5.14 ,11.09 ,11.09 ,,,,,1,0,1,1,1,1,20061001
26478,CPT,Lengthening of hand tendon,,,21 ,,RBRVS,5.79 ,11.87 ,11.87 ,,,,,1,0,1,1,1,1,20061001
26479,CPT,Shortening of hand tendon,,,21 ,,RBRVS,5.73 ,11.59 ,11.59 ,,,,,1,0,1,1,1,1,20061001
26480,CPT,Transplant hand tendon,,,21 ,,RBRVS,6.68 ,15.08 ,15.08 ,,,,,1,0,1,1,1,1,20061001
26483,CPT,Transplant/graft hand tendon,,,21 ,,RBRVS,8.28 ,15.54 ,15.54 ,,,,,1,0,1,1,1,1,20061001
26485,CPT,Transplant palm tendon,,,21 ,,RBRVS,7.69 ,15.40 ,15.40 ,,,,,1,0,1,1,1,1,20061001
26489,CPT,Transplant/graft palm tendon,,,21 ,,RBRVS,9.54 ,12.09 ,12.09 ,,,,,1,0,1,1,1,1,20061001
26490,CPT,Revise thumb tendon,,,21 ,,RBRVS,8.40 ,12.86 ,12.86 ,,,,,1,0,1,1,1,1,20061001
26492,CPT,Tendon transfer with graft,,,21 ,,RBRVS,9.61 ,13.64 ,13.64 ,,,,,1,0,1,1,1,1,20061001
26494,CPT,Hand tendon/muscle transfer,,,21 ,,RBRVS,8.46 ,13.01 ,13.01 ,,,,,1,0,1,1,1,1,20061001
26496,CPT,Revise thumb tendon,,,21 ,,RBRVS,9.58 ,13.27 ,13.27 ,,,,,1,0,1,1,1,1,20061001
26497,CPT,Finger tendon transfer,,,21 ,,RBRVS,9.56 ,13.61 ,13.61 ,,,,,1,0,1,1,1,1,20061001
26498,CPT,Finger tendon transfer,,,21 ,,RBRVS,13.98 ,16.21 ,16.21 ,,,,,1,0,1,1,1,1,20061001
26499,CPT,Revision of finger,,,21 ,,RBRVS,8.97 ,13.08 ,13.08 ,,,,,1,0,1,1,1,1,20061001
26500,CPT,Hand tendon reconstruction,,,21 ,,RBRVS,5.95 ,11.47 ,11.47 ,,,,,1,0,1,1,1,1,20061001
26502,CPT,Hand tendon reconstruction,,,21 ,,RBRVS,7.13 ,12.05 ,12.05 ,,,,,1,0,1,1,1,1,20061001
26504,CPT,Hand tendon reconstruction,,,21 ,,RBRVS,7.46 ,12.62 ,12.62 ,,,,,1,0,1,1,1,1,20061001
26508,CPT,Release thumb contracture,,,21 ,,RBRVS,6.00 ,11.71 ,11.71 ,,,,,1,0,1,1,1,1,20061001
26510,CPT,Thumb tendon transfer,,,21 ,,RBRVS,5.42 ,11.37 ,11.37 ,,,,,1,0,1,1,1,1,20061001
26516,CPT,Fusion of knuckle joint,,,21 ,,RBRVS,7.14 ,12.27 ,12.27 ,,,,,1,0,1,1,1,1,20061001
26517,CPT,Fusion of knuckle joints,,,21 ,,RBRVS,8.82 ,13.54 ,13.54 ,,,,,1,0,1,1,1,1,20061001
26518,CPT,Fusion of knuckle joints,,,21 ,,RBRVS,9.01 ,13.43 ,13.43 ,,,,,1,0,1,1,1,1,20061001
26520,CPT,Release knuckle contracture,,,21 ,,RBRVS,5.29 ,13.93 ,13.93 ,,,,,1,0,1,1,1,1,20061001
26525,CPT,Release finger contracture,,,21 ,,RBRVS,5.32 ,14.01 ,14.01 ,,,,,1,0,1,1,1,1,20061001
26530,CPT,Revise knuckle joint,,,21 ,,RBRVS,6.68 ,6.16 ,6.16 ,,,,,1,0,1,1,1,1,20061001
26531,CPT,Revise knuckle with implant,,,21 ,,RBRVS,7.90 ,7.14 ,7.14 ,,,,,1,0,1,1,1,1,20061001
26535,CPT,Revise finger joint,,,21 ,,RBRVS,5.23 ,3.75 ,3.75 ,,,,,1,0,1,1,1,1,20061001
26536,CPT,Revise/implant finger joint,,,21 ,,RBRVS,6.36 ,9.68 ,9.68 ,,,,,1,0,1,1,1,1,20061001
26540,CPT,Repair hand joint,,,21 ,,RBRVS,6.42 ,11.90 ,11.90 ,,,,,1,0,1,1,1,1,20061001
26541,CPT,Repair hand joint with graft,,,21 ,,RBRVS,8.61 ,13.43 ,13.43 ,,,,,1,0,1,1,1,1,20061001
26542,CPT,Repair hand joint with graft,,,21 ,,RBRVS,6.77 ,12.06 ,12.06 ,,,,,1,0,1,1,1,1,20061001
26545,CPT,Reconstruct finger joint,,,21 ,,RBRVS,6.91 ,12.17 ,12.17 ,,,,,1,0,1,1,1,1,20061001
26546,CPT,Repair nonunion hand,,,21 ,,RBRVS,8.91 ,15.07 ,15.07 ,,,,,1,0,1,1,1,1,20061001
26548,CPT,Reconstruct finger joint,,,21 ,,RBRVS,8.02 ,12.89 ,12.89 ,,,,,1,0,1,1,1,1,20061001
26550,CPT,Construct thumb replacement,,,21 ,,RBRVS,21.21 ,17.63 ,17.63 ,,,,,1,0,1,1,1,1,20061001
26551,CPT,Great toe-hand transfer,,,21 ,,RBRVS,46.51 ,32.53 ,32.53 ,,,,,1,0,1,1,1,1,20061001
26553,CPT,"Single transfer, toe-hand",,,21 ,,RBRVS,46.20 ,22.75 ,22.75 ,,,,,1,0,1,1,1,1,20061001
26554,CPT,"Double transfer, toe-hand",,,21 ,,RBRVS,54.87 ,37.64 ,37.64 ,,,,,1,0,1,1,1,1,20061001
26555,CPT,Positional change of finger,,,21 ,,RBRVS,16.61 ,18.23 ,18.23 ,,,,,1,0,1,1,1,1,20061001
26556,CPT,Toe joint transfer,,,21 ,,RBRVS,47.19 ,33.42 ,33.42 ,,,,,1,0,1,1,1,1,20061001
26560,CPT,Repair of web finger,,,21 ,,RBRVS,5.37 ,9.83 ,9.83 ,,,,,1,0,1,1,1,1,20061001
26561,CPT,Repair of web finger,,,21 ,,RBRVS,10.90 ,12.38 ,12.38 ,,,,,1,0,1,1,1,1,20061001
26562,CPT,Repair of web finger,,,21 ,,RBRVS,14.98 ,17.19 ,17.19 ,,,,,1,0,1,1,1,1,20061001
26565,CPT,Correct metacarpal flaw,,,21 ,,RBRVS,6.73 ,12.04 ,12.04 ,,,,,1,0,1,1,1,1,20061001
26567,CPT,Correct finger deformity,,,21 ,,RBRVS,6.81 ,11.98 ,11.98 ,,,,,1,0,1,1,1,1,20061001
26568,CPT,Lengthen metacarpal/finger,,,21 ,,RBRVS,9.07 ,15.47 ,15.47 ,,,,,1,0,1,1,1,1,20061001
26580,CPT,Repair hand deformity,,,21 ,,RBRVS,18.15 ,13.68 ,13.68 ,,,,,1,0,1,1,1,1,20061001
26587,CPT,Reconstruct extra finger,,,21 ,,RBRVS,14.03 ,9.24 ,9.24 ,,,,,1,0,1,1,1,1,20061001
26590,CPT,Repair finger deformity,,,21 ,,RBRVS,17.93 ,13.98 ,13.98 ,,,,,1,0,1,1,1,1,20061001
26591,CPT,Repair muscles of hand,,,21 ,,RBRVS,3.25 ,9.65 ,9.65 ,,,,,1,0,1,1,1,1,20061001
26593,CPT,Release muscles of hand,,,21 ,,RBRVS,5.30 ,11.16 ,11.16 ,,,,,1,0,1,1,1,1,20061001
26596,CPT,Excision constricting tissue,,,21 ,,RBRVS,8.94 ,8.85 ,8.85 ,,,,,1,0,1,1,1,1,20061001
26600,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,1.96 ,2.66 ,3.62 ,,,,,1,0,1,1,1,1,20061001
26605,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,2.85 ,3.66 ,4.57 ,,,,,1,0,1,1,1,1,20061001
26607,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,5.35 ,6.29 ,6.29 ,,,,,1,0,1,1,1,1,20061001
26608,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,5.35 ,6.27 ,6.27 ,,,,,1,0,1,1,1,1,20061001
26615,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,5.32 ,5.32 ,5.32 ,,,,,1,0,1,1,1,1,20061001
26641,CPT,Treat thumb dislocation,,,21 ,,RBRVS,3.93 ,3.54 ,4.58 ,,,,,1,0,1,1,1,1,20061001
26645,CPT,Treat thumb fracture,,,21 ,,RBRVS,4.40 ,4.20 ,5.18 ,,,,,1,0,1,1,1,1,20061001
26650,CPT,Treat thumb fracture,,,21 ,,RBRVS,5.71 ,6.71 ,6.71 ,,,,,1,0,1,1,1,1,20061001
26665,CPT,Treat thumb fracture,,,21 ,,RBRVS,7.59 ,6.63 ,6.63 ,,,,,1,0,1,1,1,1,20061001
26670,CPT,Treat hand dislocation,,,21 ,,RBRVS,3.68 ,2.95 ,4.27 ,,,,,1,0,1,1,1,1,20061001
26675,CPT,Treat hand dislocation,,,21 ,,RBRVS,4.63 ,4.48 ,5.49 ,,,,,1,0,1,1,1,1,20061001
26676,CPT,Pin hand dislocation,,,21 ,,RBRVS,5.51 ,6.71 ,6.71 ,,,,,1,0,1,1,1,1,20061001
26685,CPT,Treat hand dislocation,,,21 ,,RBRVS,6.97 ,6.16 ,6.16 ,,,,,1,0,1,1,1,1,20061001
26686,CPT,Treat hand dislocation,,,21 ,,RBRVS,7.93 ,6.92 ,6.92 ,,,,,1,0,1,1,1,1,20061001
26700,CPT,Treat knuckle dislocation,,,21 ,,RBRVS,3.68 ,2.87 ,3.77 ,,,,,1,0,1,1,1,1,20061001
26705,CPT,Treat knuckle dislocation,,,21 ,,RBRVS,4.18 ,4.31 ,5.35 ,,,,,1,0,1,1,1,1,20061001
26706,CPT,Pin knuckle dislocation,,,21 ,,RBRVS,5.11 ,5.10 ,5.10 ,,,,,1,0,1,1,1,1,20061001
26715,CPT,Treat knuckle dislocation,,,21 ,,RBRVS,5.73 ,5.53 ,5.53 ,,,,,1,0,1,1,1,1,20061001
26720,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,1.66 ,2.06 ,2.79 ,,,,,1,0,1,1,1,1,20061001
26725,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,3.33 ,3.51 ,4.78 ,,,,,1,0,1,1,1,1,20061001
26727,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,5.22 ,6.25 ,6.25 ,,,,,1,0,1,1,1,1,20061001
26735,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,5.97 ,5.57 ,5.57 ,,,,,1,0,1,1,1,1,20061001
26740,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,1.94 ,2.71 ,3.14 ,,,,,1,0,1,1,1,1,20061001
26742,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,3.84 ,3.89 ,5.00 ,,,,,1,0,1,1,1,1,20061001
26746,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,5.80 ,5.58 ,5.58 ,,,,,1,0,1,1,1,1,20061001
26750,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,1.70 ,2.02 ,2.49 ,,,,,1,0,1,1,1,1,20061001
26755,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,3.10 ,3.01 ,4.43 ,,,,,1,0,1,1,1,1,20061001
26756,CPT,"Pin finger fracture, each",,,21 ,,RBRVS,4.38 ,5.74 ,5.74 ,,,,,1,0,1,1,1,1,20061001
26765,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,4.16 ,4.40 ,4.40 ,,,,,1,0,1,1,1,1,20061001
26770,CPT,Treat finger dislocation,,,21 ,,RBRVS,3.02 ,2.42 ,3.44 ,,,,,1,0,1,1,1,1,20061001
26775,CPT,Treat finger dislocation,,,21 ,,RBRVS,3.70 ,3.82 ,5.21 ,,,,,1,0,1,1,1,1,20061001
26776,CPT,Pin finger dislocation,,,21 ,,RBRVS,4.79 ,6.02 ,6.02 ,,,,,1,0,1,1,1,1,20061001
26785,CPT,Treat finger dislocation,,,21 ,,RBRVS,4.20 ,4.54 ,4.54 ,,,,,1,0,1,1,1,1,20061001
26820,CPT,Thumb fusion with graft,,,21 ,,RBRVS,8.25 ,13.29 ,13.29 ,,,,,1,0,1,1,1,1,20061001
26841,CPT,Fusion of thumb,,,21 ,,RBRVS,7.12 ,13.27 ,13.27 ,,,,,1,0,1,1,1,1,20061001
26842,CPT,Thumb fusion with graft,,,21 ,,RBRVS,8.23 ,13.41 ,13.41 ,,,,,1,0,1,1,1,1,20061001
26843,CPT,Fusion of hand joint,,,21 ,,RBRVS,7.60 ,12.39 ,12.39 ,,,,,1,0,1,1,1,1,20061001
26844,CPT,Fusion/graft of hand joint,,,21 ,,RBRVS,8.72 ,13.40 ,13.40 ,,,,,1,0,1,1,1,1,20061001
26850,CPT,Fusion of knuckle,,,21 ,,RBRVS,6.96 ,12.24 ,12.24 ,,,,,1,0,1,1,1,1,20061001
26852,CPT,Fusion of knuckle with graft,,,21 ,,RBRVS,8.45 ,12.93 ,12.93 ,,,,,1,0,1,1,1,1,20061001
26860,CPT,Fusion of finger joint,,,21 ,,RBRVS,4.68 ,11.22 ,11.22 ,,,,,1,0,1,1,1,1,20061001
26861,CPT,"Fusion of finger jnt, add-on",,,21 ,,RBRVS,1.74 ,0.93 ,0.93 ,,,,,1,0,1,1,1,1,20061001
26862,CPT,Fusion/graft of finger joint,,,21 ,,RBRVS,7.36 ,12.38 ,12.38 ,,,,,1,0,1,1,1,1,20061001
26863,CPT,Fuse/graft added joint,,,21 ,,RBRVS,3.89 ,2.12 ,2.12 ,,,,,1,0,1,1,1,1,20061001
26910,CPT,Amputate metacarpal bone,,,21 ,,RBRVS,7.59 ,11.25 ,11.25 ,,,,,1,0,1,1,1,1,20061001
26951,CPT,Amputation of finger/thumb,,,21 ,,RBRVS,4.58 ,10.18 ,10.18 ,,,,,1,0,1,1,1,1,20061001
26952,CPT,Amputation of finger/thumb,,,21 ,,RBRVS,6.30 ,11.69 ,11.69 ,,,,,1,0,1,1,1,1,20061001
26989,CPT,Hand/finger surgery,,,21 ,,TotalUnits,,,,7.89 ,,,,1,0,1,1,1,1,20061001
26990,CPT,Drainage of pelvis lesion,,,21 ,,RBRVS,7.47 ,7.23 ,7.23 ,,,,,1,0,1,1,1,1,20061001
26991,CPT,Drainage of pelvis bursa,,,21 ,,RBRVS,6.67 ,5.45 ,11.19 ,,,,,1,0,1,1,1,1,20061001
26992,CPT,Drainage of bone lesion,,,21 ,,RBRVS,13.00 ,10.41 ,10.41 ,,,,,1,0,1,1,1,1,20061001
27000,CPT,Incision of hip tendon,,,21 ,,RBRVS,5.61 ,5.30 ,5.30 ,,,,,1,0,1,1,1,1,20061001
27001,CPT,Incision of hip tendon,,,21 ,,RBRVS,6.93 ,6.11 ,6.11 ,,,,,1,0,1,1,1,1,20061001
27003,CPT,Incision of hip tendon,,,21 ,,RBRVS,7.33 ,6.50 ,6.50 ,,,,,1,0,1,1,1,1,20061001
27005,CPT,Incision of hip tendon,,,21 ,,RBRVS,9.65 ,7.84 ,7.84 ,,,,,1,0,1,1,1,1,20061001
27006,CPT,Incision of hip tendons,,,21 ,,RBRVS,9.67 ,8.00 ,8.00 ,,,,,1,0,1,1,1,1,20061001
27025,CPT,Incision of hip/thigh fascia,,,21 ,,RBRVS,11.14 ,8.57 ,8.57 ,,,,,1,0,1,1,1,1,20061001
27030,CPT,Drainage of hip joint,,,21 ,,RBRVS,12.99 ,9.67 ,9.67 ,,,,,1,0,1,1,1,1,20061001
27033,CPT,Exploration of hip joint,,,21 ,,RBRVS,13.37 ,9.95 ,9.95 ,,,,,1,0,1,1,1,1,20061001
27035,CPT,Denervation of hip joint,,,21 ,,RBRVS,16.66 ,11.26 ,11.26 ,,,,,1,0,1,1,1,1,20061001
27036,CPT,Excision of hip joint/muscle,,,21 ,,RBRVS,12.86 ,10.03 ,10.03 ,,,,,1,0,1,1,1,1,20061001
27040,CPT,Biopsy of soft tissues,,,21 ,,RBRVS,2.87 ,2.02 ,5.25 ,,,,,1,0,1,1,1,1,20061001
27041,CPT,Biopsy of soft tissues,,,21 ,,RBRVS,9.88 ,6.66 ,6.66 ,,,,,1,0,1,1,1,1,20061001
27047,CPT,Remove hip/pelvis lesion,,,21 ,,RBRVS,7.44 ,4.78 ,7.13 ,,,,,1,0,1,1,1,1,20061001
27048,CPT,Remove hip/pelvis lesion,,,21 ,,RBRVS,6.24 ,4.81 ,4.81 ,,,,,1,0,1,1,1,1,20061001
27049,CPT,"Remove tumor, hip/pelvis",,,21 ,,RBRVS,13.64 ,8.42 ,8.42 ,,,,,1,0,1,1,1,1,20061001
27050,CPT,Biopsy of sacroiliac joint,,,21 ,,RBRVS,4.35 ,4.43 ,4.43 ,,,,,1,0,1,1,1,1,20061001
27052,CPT,Biopsy of hip joint,,,21 ,,RBRVS,6.22 ,5.90 ,5.90 ,,,,,1,0,1,1,1,1,20061001
27054,CPT,Removal of hip joint lining,,,21 ,,RBRVS,8.53 ,7.36 ,7.36 ,,,,,1,0,1,1,1,1,20061001
27060,CPT,Removal of ischial bursa,,,21 ,,RBRVS,5.42 ,4.38 ,4.38 ,,,,,1,0,1,1,1,1,20061001
27062,CPT,Remove femur lesion/bursa,,,21 ,,RBRVS,5.36 ,5.21 ,5.21 ,,,,,1,0,1,1,1,1,20061001
27065,CPT,Removal of hip bone lesion,,,21 ,,RBRVS,5.89 ,5.46 ,5.46 ,,,,,1,0,1,1,1,1,20061001
27066,CPT,Removal of hip bone lesion,,,21 ,,RBRVS,10.31 ,8.46 ,8.46 ,,,,,1,0,1,1,1,1,20061001
27067,CPT,Remove/graft hip bone lesion,,,21 ,,RBRVS,13.81 ,10.69 ,10.69 ,,,,,1,0,1,1,1,1,20061001
27070,CPT,Partial removal of hip bone,,,21 ,,RBRVS,10.70 ,9.16 ,9.16 ,,,,,1,0,1,1,1,1,20061001
27071,CPT,Partial removal of hip bone,,,21 ,,RBRVS,11.44 ,10.15 ,10.15 ,,,,,1,0,1,1,1,1,20061001
27075,CPT,Extensive hip surgery,,,21 ,,RBRVS,34.95 ,19.26 ,19.26 ,,,,,1,0,1,1,1,1,20061001
27076,CPT,Extensive hip surgery,,,21 ,,RBRVS,22.09 ,14.55 ,14.55 ,,,,,1,0,1,1,1,1,20061001
27077,CPT,Extensive hip surgery,,,21 ,,RBRVS,39.94 ,22.73 ,22.73 ,,,,,1,0,1,1,1,1,20061001
27078,CPT,Extensive hip surgery,,,21 ,,RBRVS,13.42 ,9.97 ,9.97 ,,,,,1,0,1,1,1,1,20061001
27079,CPT,Extensive hip surgery,,,21 ,,RBRVS,13.73 ,9.57 ,9.57 ,,,,,1,0,1,1,1,1,20061001
27080,CPT,Removal of tail bone,,,21 ,,RBRVS,6.38 ,4.84 ,4.84 ,,,,,1,0,1,1,1,1,20061001
27086,CPT,Remove hip foreign body,,,21 ,,RBRVS,1.87 ,1.83 ,4.56 ,,,,,1,0,1,1,1,1,20061001
27087,CPT,Remove hip foreign body,,,21 ,,RBRVS,8.53 ,6.68 ,6.68 ,,,,,1,0,1,1,1,1,20061001
27090,CPT,Removal of hip prosthesis,,,21 ,,RBRVS,11.13 ,8.81 ,8.81 ,,,,,1,0,1,1,1,1,20061001
27091,CPT,Removal of hip prosthesis,,,21 ,,RBRVS,22.11 ,14.03 ,14.03 ,,,,,1,0,1,1,1,1,20061001
27093,CPT,Injection for hip x-ray,,,21 ,,RBRVS,1.30 ,0.48 ,4.47 ,,,,,1,0,1,1,1,1,20061001
27095,CPT,Injection for hip x-ray,,,21 ,,RBRVS,1.50 ,0.52 ,5.74 ,,,,,1,0,1,1,1,1,20061001
27096,CPT,Inject sacroiliac joint,,,21 ,,RBRVS,1.40 ,0.33 ,4.36 ,,,,,1,0,1,1,1,1,20061001
27097,CPT,Revision of hip tendon,,,21 ,,RBRVS,8.79 ,6.43 ,6.43 ,,,,,1,0,1,1,1,1,20061001
27098,CPT,Transfer tendon to pelvis,,,21 ,,RBRVS,8.82 ,7.04 ,7.04 ,,,,,1,0,1,1,1,1,20061001
27100,CPT,Transfer of abdominal muscle,,,21 ,,RBRVS,11.06 ,8.69 ,8.69 ,,,,,1,0,1,1,1,1,20061001
27105,CPT,Transfer of spinal muscle,,,21 ,,RBRVS,11.75 ,9.19 ,9.19 ,,,,,1,0,1,1,1,1,20061001
27110,CPT,Transfer of iliopsoas muscle,,,21 ,,RBRVS,13.24 ,9.14 ,9.14 ,,,,,1,0,1,1,1,1,20061001
27111,CPT,Transfer of iliopsoas muscle,,,21 ,,RBRVS,12.13 ,9.16 ,9.16 ,,,,,1,0,1,1,1,1,20061001
27120,CPT,Reconstruction of hip socket,,,21 ,,RBRVS,17.98 ,11.87 ,11.87 ,,,,,1,0,1,1,1,1,20061001
27122,CPT,Reconstruction of hip socket,,,21 ,,RBRVS,14.96 ,11.07 ,11.07 ,,,,,1,0,1,1,1,1,20061001
27125,CPT,Partial hip replacement,,,21 ,,RBRVS,14.67 ,10.65 ,10.65 ,,,,,1,0,1,1,1,1,20061001
27130,CPT,Total hip arthroplasty,,,21 ,,RBRVS,20.09 ,13.34 ,13.34 ,,,,,1,0,1,1,1,1,20061001
27132,CPT,Total hip arthroplasty,,,21 ,,RBRVS,23.27 ,15.68 ,15.68 ,,,,,1,0,1,1,1,1,20061001
27134,CPT,Revise hip joint replacement,,,21 ,,RBRVS,28.48 ,17.84 ,17.84 ,,,,,1,0,1,1,1,1,20061001
27137,CPT,Revise hip joint replacement,,,21 ,,RBRVS,21.14 ,13.97 ,13.97 ,,,,,1,0,1,1,1,1,20061001
27138,CPT,Revise hip joint replacement,,,21 ,,RBRVS,22.14 ,14.43 ,14.43 ,,,,,1,0,1,1,1,1,20061001
27140,CPT,Transplant femur ridge,,,21 ,,RBRVS,12.22 ,9.44 ,9.44 ,,,,,1,0,1,1,1,1,20061001
27146,CPT,Incision of hip bone,,,21 ,,RBRVS,17.40 ,12.17 ,12.17 ,,,,,1,0,1,1,1,1,20061001
27147,CPT,Revision of hip bone,,,21 ,,RBRVS,20.55 ,13.29 ,13.29 ,,,,,1,0,1,1,1,1,20061001
27151,CPT,Incision of hip bones,,,21 ,,RBRVS,22.48 ,7.97 ,7.97 ,,,,,1,0,1,1,1,1,20061001
27156,CPT,Revision of hip bones,,,21 ,,RBRVS,24.59 ,16.11 ,16.11 ,,,,,1,0,1,1,1,1,20061001
27158,CPT,Revision of pelvis,,,21 ,,RBRVS,19.71 ,11.00 ,11.00 ,,,,,1,0,1,1,1,1,20061001
27161,CPT,Incision of neck of femur,,,21 ,,RBRVS,16.68 ,12.14 ,12.14 ,,,,,1,0,1,1,1,1,20061001
27165,CPT,Incision/fixation of femur,,,21 ,,RBRVS,17.88 ,12.95 ,12.95 ,,,,,1,0,1,1,1,1,20061001
27170,CPT,Repair/graft femur head/neck,,,21 ,,RBRVS,16.05 ,11.33 ,11.33 ,,,,,1,0,1,1,1,1,20061001
27175,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,8.45 ,6.69 ,6.69 ,,,,,1,0,1,1,1,1,20061001
27176,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,12.03 ,9.04 ,9.04 ,,,,,1,0,1,1,1,1,20061001
27177,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,15.06 ,10.92 ,10.92 ,,,,,1,0,1,1,1,1,20061001
27178,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,11.97 ,8.44 ,8.44 ,,,,,1,0,1,1,1,1,20061001
27179,CPT,Revise head/neck of femur,,,21 ,,RBRVS,12.96 ,10.02 ,10.02 ,,,,,1,0,1,1,1,1,20061001
27181,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,14.66 ,10.23 ,10.23 ,,,,,1,0,1,1,1,1,20061001
27185,CPT,Revision of femur epiphysis,,,21 ,,RBRVS,9.17 ,7.54 ,7.54 ,,,,,1,0,1,1,1,1,20061001
27187,CPT,Reinforce hip bones,,,21 ,,RBRVS,13.52 ,10.35 ,10.35 ,,,,,1,0,1,1,1,1,20061001
27193,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,5.55 ,5.10 ,5.10 ,,,,,1,0,1,1,1,1,20061001
27194,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,9.64 ,7.67 ,7.67 ,,,,,1,0,1,1,1,1,20061001
27200,CPT,Treat tail bone fracture,,,21 ,,RBRVS,1.84 ,2.16 ,2.23 ,,,,,1,0,1,1,1,1,20061001
27202,CPT,Treat tail bone fracture,,,21 ,,RBRVS,7.03 ,16.91 ,16.91 ,,,,,1,0,1,1,1,1,20061001
27215,CPT,Treat pelvic fracture(s),,,21 ,,RBRVS,10.03 ,7.10 ,7.10 ,,,,,1,0,1,1,1,1,20061001
27216,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,15.17 ,9.62 ,9.62 ,,,,,1,0,1,1,1,1,20061001
27217,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,14.09 ,10.17 ,10.17 ,,,,,1,0,1,1,1,1,20061001
27218,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,20.12 ,11.43 ,11.43 ,,,,,1,0,1,1,1,1,20061001
27220,CPT,Treat hip socket fracture,,,21 ,,RBRVS,6.17 ,5.65 ,5.74 ,,,,,1,0,1,1,1,1,20061001
27222,CPT,Treat hip socket fracture,,,21 ,,RBRVS,12.68 ,10.00 ,10.00 ,,,,,1,0,1,1,1,1,20061001
27226,CPT,Treat hip wall fracture,,,21 ,,RBRVS,14.89 ,7.83 ,7.83 ,,,,,1,0,1,1,1,1,20061001
27227,CPT,Treat hip fracture(s),,,21 ,,RBRVS,23.41 ,15.44 ,15.44 ,,,,,1,0,1,1,1,1,20061001
27228,CPT,Treat hip fracture(s),,,21 ,,RBRVS,27.12 ,17.67 ,17.67 ,,,,,1,0,1,1,1,1,20061001
27230,CPT,Treat thigh fracture,,,21 ,,RBRVS,5.49 ,5.11 ,5.53 ,,,,,1,0,1,1,1,1,20061001
27232,CPT,Treat thigh fracture,,,21 ,,RBRVS,10.66 ,7.19 ,7.19 ,,,,,1,0,1,1,1,1,20061001
27235,CPT,Treat thigh fracture,,,21 ,,RBRVS,12.14 ,9.48 ,9.48 ,,,,,1,0,1,1,1,1,20061001
27236,CPT,Treat thigh fracture,,,21 ,,RBRVS,15.58 ,11.08 ,11.08 ,,,,,1,0,1,1,1,1,20061001
27238,CPT,Treat thigh fracture,,,21 ,,RBRVS,5.51 ,5.15 ,5.15 ,,,,,1,0,1,1,1,1,20061001
27240,CPT,Treat thigh fracture,,,21 ,,RBRVS,12.48 ,9.50 ,9.50 ,,,,,1,0,1,1,1,1,20061001
27244,CPT,Treat thigh fracture,,,21 ,,RBRVS,15.92 ,11.33 ,11.33 ,,,,,1,0,1,1,1,1,20061001
27245,CPT,Treat thigh fracture,,,21 ,,RBRVS,20.28 ,13.78 ,13.78 ,,,,,1,0,1,1,1,1,20061001
27246,CPT,Treat thigh fracture,,,21 ,,RBRVS,4.70 ,4.43 ,4.47 ,,,,,1,0,1,1,1,1,20061001
27248,CPT,Treat thigh fracture,,,21 ,,RBRVS,10.43 ,8.23 ,8.23 ,,,,,1,0,1,1,1,1,20061001
27250,CPT,Treat hip dislocation,,,21 ,,RBRVS,6.94 ,4.63 ,4.63 ,,,,,1,0,1,1,1,1,20061001
27252,CPT,Treat hip dislocation,,,21 ,,RBRVS,10.37 ,7.45 ,7.45 ,,,,,1,0,1,1,1,1,20061001
27253,CPT,Treat hip dislocation,,,21 ,,RBRVS,12.90 ,9.81 ,9.81 ,,,,,1,0,1,1,1,1,20061001
27254,CPT,Treat hip dislocation,,,21 ,,RBRVS,18.23 ,12.05 ,12.05 ,,,,,1,0,1,1,1,1,20061001
27256,CPT,Treat hip dislocation,,,21 ,,RBRVS,4.11 ,2.09 ,3.53 ,,,,,1,0,1,1,1,1,20061001
27257,CPT,Treat hip dislocation,,,21 ,,RBRVS,5.21 ,2.82 ,2.82 ,,,,,1,0,1,1,1,1,20061001
27258,CPT,Treat hip dislocation,,,21 ,,RBRVS,15.41 ,10.90 ,10.90 ,,,,,1,0,1,1,1,1,20061001
27259,CPT,Treat hip dislocation,,,21 ,,RBRVS,21.52 ,14.16 ,14.16 ,,,,,1,0,1,1,1,1,20061001
27265,CPT,Treat hip dislocation,,,21 ,,RBRVS,5.04 ,4.80 ,4.80 ,,,,,1,0,1,1,1,1,20061001
27266,CPT,Treat hip dislocation,,,21 ,,RBRVS,7.48 ,6.36 ,6.36 ,,,,,1,0,1,1,1,1,20061001
27275,CPT,Manipulation of hip joint,,,21 ,,RBRVS,2.27 ,2.11 ,2.11 ,,,,,1,0,1,1,1,1,20061001
27280,CPT,Fusion of sacroiliac joint,,,21 ,,RBRVS,13.37 ,10.29 ,10.29 ,,,,,1,0,1,1,1,1,20061001
27282,CPT,Fusion of pubic bones,,,21 ,,RBRVS,11.32 ,8.02 ,8.02 ,,,,,1,0,1,1,1,1,20061001
27284,CPT,Fusion of hip joint,,,21 ,,RBRVS,23.41 ,14.80 ,14.80 ,,,,,1,0,1,1,1,1,20061001
27286,CPT,Fusion of hip joint,,,21 ,,RBRVS,23.41 ,15.84 ,15.84 ,,,,,1,0,1,1,1,1,20061001
27290,CPT,Amputation of leg at hip,,,21 ,,RBRVS,23.25 ,14.10 ,14.10 ,,,,,1,0,1,1,1,1,20061001
27295,CPT,Amputation of leg at hip,,,21 ,,RBRVS,18.62 ,11.34 ,11.34 ,,,,,1,0,1,1,1,1,20061001
27299,CPT,Pelvis/hip joint surgery,,,21 ,,TotalUnits,,,,33.30 ,,,,1,0,1,1,1,1,20061001
27301,CPT,Drain thigh/knee lesion,,,21 ,,RBRVS,6.48 ,5.15 ,10.10 ,,,,,1,0,1,1,1,1,20061001
27303,CPT,Drainage of bone lesion,,,21 ,,RBRVS,8.27 ,7.00 ,7.00 ,,,,,1,0,1,1,1,1,20061001
27305,CPT,Incise thigh tendon & fascia,,,21 ,,RBRVS,5.91 ,5.20 ,5.20 ,,,,,1,0,1,1,1,1,20061001
27306,CPT,Incision of thigh tendon,,,21 ,,RBRVS,4.61 ,4.73 ,4.73 ,,,,,1,0,1,1,1,1,20061001
27307,CPT,Incision of thigh tendons,,,21 ,,RBRVS,5.79 ,5.40 ,5.40 ,,,,,1,0,1,1,1,1,20061001
27310,CPT,Exploration of knee joint,,,21 ,,RBRVS,9.26 ,7.60 ,7.60 ,,,,,1,0,1,1,1,1,20061001
27315,CPT,"Partial removal, thigh nerve",,,21 ,,RBRVS,6.96 ,4.96 ,4.96 ,,,,,1,0,1,1,1,1,20061001
27320,CPT,"Partial removal, thigh nerve",,,21 ,,RBRVS,6.29 ,5.25 ,5.25 ,,,,,1,0,1,1,1,1,20061001
27323,CPT,"Biopsy, thigh soft tissues",,,21 ,,RBRVS,2.28 ,1.89 ,3.52 ,,,,,1,0,1,1,1,1,20061001
27324,CPT,"Biopsy, thigh soft tissues",,,21 ,,RBRVS,4.89 ,4.19 ,4.19 ,,,,,1,0,1,1,1,1,20061001
27327,CPT,Removal of thigh lesion,,,21 ,,RBRVS,4.46 ,3.73 ,6.01 ,,,,,1,0,1,1,1,1,20061001
27328,CPT,Removal of thigh lesion,,,21 ,,RBRVS,5.56 ,4.38 ,4.38 ,,,,,1,0,1,1,1,1,20061001
27329,CPT,"Remove tumor, thigh/knee",,,21 ,,RBRVS,14.12 ,9.05 ,9.05 ,,,,,1,0,1,1,1,1,20061001
27330,CPT,"Biopsy, knee joint lining",,,21 ,,RBRVS,4.96 ,4.58 ,4.58 ,,,,,1,0,1,1,1,1,20061001
27331,CPT,Explore/treat knee joint,,,21 ,,RBRVS,5.87 ,5.54 ,5.54 ,,,,,1,0,1,1,1,1,20061001
27332,CPT,Removal of knee cartilage,,,21 ,,RBRVS,8.26 ,7.14 ,7.14 ,,,,,1,0,1,1,1,1,20061001
27333,CPT,Removal of knee cartilage,,,21 ,,RBRVS,7.29 ,6.69 ,6.69 ,,,,,1,0,1,1,1,1,20061001
27334,CPT,Remove knee joint lining,,,21 ,,RBRVS,8.69 ,7.43 ,7.43 ,,,,,1,0,1,1,1,1,20061001
27335,CPT,Remove knee joint lining,,,21 ,,RBRVS,9.99 ,8.24 ,8.24 ,,,,,1,0,1,1,1,1,20061001
27340,CPT,Removal of kneecap bursa,,,21 ,,RBRVS,4.17 ,4.57 ,4.57 ,,,,,1,0,1,1,1,1,20061001
27345,CPT,Removal of knee cyst,,,21 ,,RBRVS,5.91 ,5.64 ,5.64 ,,,,,1,0,1,1,1,1,20061001
27347,CPT,Remove knee cyst,,,21 ,,RBRVS,5.77 ,5.44 ,5.44 ,,,,,1,0,1,1,1,1,20061001
27350,CPT,Removal of kneecap,,,21 ,,RBRVS,8.16 ,7.26 ,7.26 ,,,,,1,0,1,1,1,1,20061001
27355,CPT,Remove femur lesion,,,21 ,,RBRVS,7.64 ,6.79 ,6.79 ,,,,,1,0,1,1,1,1,20061001
27356,CPT,Remove femur lesion/graft,,,21 ,,RBRVS,9.47 ,7.87 ,7.87 ,,,,,1,0,1,1,1,1,20061001
27357,CPT,Remove femur lesion/graft,,,21 ,,RBRVS,10.51 ,8.73 ,8.73 ,,,,,1,0,1,1,1,1,20061001
27358,CPT,Remove femur lesion/fixation,,,21 ,,RBRVS,4.73 ,2.53 ,2.53 ,,,,,1,0,1,1,1,1,20061001
27360,CPT,"Partial removal, leg bone(s)",,,21 ,,RBRVS,10.48 ,9.58 ,9.58 ,,,,,1,0,1,1,1,1,20061001
27365,CPT,Extensive leg surgery,,,21 ,,RBRVS,16.25 ,11.71 ,11.71 ,,,,,1,0,1,1,1,1,20061001
27370,CPT,Injection for knee x-ray,,,21 ,,RBRVS,0.96 ,0.32 ,3.73 ,,,,,1,0,1,1,1,1,20061001
27372,CPT,Removal of foreign body,,,21 ,,RBRVS,5.06 ,4.70 ,10.08 ,,,,,1,0,1,1,1,1,20061001
27380,CPT,Repair of kneecap tendon,,,21 ,,RBRVS,7.15 ,7.30 ,7.30 ,,,,,1,0,1,1,1,1,20061001
27381,CPT,Repair/graft kneecap tendon,,,21 ,,RBRVS,10.32 ,9.12 ,9.12 ,,,,,1,0,1,1,1,1,20061001
27385,CPT,Repair of thigh muscle,,,21 ,,RBRVS,7.75 ,7.65 ,7.65 ,,,,,1,0,1,1,1,1,20061001
27386,CPT,Repair/graft of thigh muscle,,,21 ,,RBRVS,10.54 ,9.54 ,9.54 ,,,,,1,0,1,1,1,1,20061001
27390,CPT,Incision of thigh tendon,,,21 ,,RBRVS,5.32 ,5.12 ,5.12 ,,,,,1,0,1,1,1,1,20061001
27391,CPT,Incision of thigh tendons,,,21 ,,RBRVS,7.19 ,6.58 ,6.58 ,,,,,1,0,1,1,1,1,20061001
27392,CPT,Incision of thigh tendons,,,21 ,,RBRVS,9.19 ,7.61 ,7.61 ,,,,,1,0,1,1,1,1,20061001
27393,CPT,Lengthening of thigh tendon,,,21 ,,RBRVS,6.38 ,5.85 ,5.85 ,,,,,1,0,1,1,1,1,20061001
27394,CPT,Lengthening of thigh tendons,,,21 ,,RBRVS,8.49 ,7.24 ,7.24 ,,,,,1,0,1,1,1,1,20061001
27395,CPT,Lengthening of thigh tendons,,,21 ,,RBRVS,11.71 ,9.35 ,9.35 ,,,,,1,0,1,1,1,1,20061001
27396,CPT,Transplant of thigh tendon,,,21 ,,RBRVS,7.85 ,7.02 ,7.02 ,,,,,1,0,1,1,1,1,20061001
27397,CPT,Transplants of thigh tendons,,,21 ,,RBRVS,11.26 ,9.07 ,9.07 ,,,,,1,0,1,1,1,1,20061001
27400,CPT,Revise thigh muscles/tendons,,,21 ,,RBRVS,9.01 ,7.27 ,7.27 ,,,,,1,0,1,1,1,1,20061001
27403,CPT,Repair of knee cartilage,,,21 ,,RBRVS,8.32 ,7.20 ,7.20 ,,,,,1,0,1,1,1,1,20061001
27405,CPT,Repair of knee ligament,,,21 ,,RBRVS,8.64 ,7.51 ,7.51 ,,,,,1,0,1,1,1,1,20061001
27407,CPT,Repair of knee ligament,,,21 ,,RBRVS,10.26 ,8.34 ,8.34 ,,,,,1,0,1,1,1,1,20061001
27409,CPT,Repair of knee ligaments,,,21 ,,RBRVS,12.88 ,9.98 ,9.98 ,,,,,1,0,1,1,1,1,20061001
27412,CPT,Autochondrocyte implant knee,,,21 ,,RBRVS,23.23 ,14.84 ,14.84 ,,,,,1,0,1,1,1,1,20061001
27415,CPT,Osteochondral knee allograft,,,21 ,,RBRVS,18.49 ,12.59 ,12.59 ,,,,,1,0,1,1,1,1,20061001
27418,CPT,Repair degenerated kneecap,,,21 ,,RBRVS,10.83 ,8.93 ,8.93 ,,,,,1,0,1,1,1,1,20061001
27420,CPT,Revision of unstable kneecap,,,21 ,,RBRVS,9.82 ,8.13 ,8.13 ,,,,,1,0,1,1,1,1,20061001
27422,CPT,Revision of unstable kneecap,,,21 ,,RBRVS,9.77 ,8.14 ,8.14 ,,,,,1,0,1,1,1,1,20061001
27424,CPT,Revision/removal of kneecap,,,21 ,,RBRVS,9.80 ,8.11 ,8.11 ,,,,,1,0,1,1,1,1,20061001
27425,CPT,Lat retinacular release open,,,21 ,,RBRVS,5.21 ,5.54 ,5.54 ,,,,,1,0,1,1,1,1,20061001
27427,CPT,"Reconstruction, knee",,,21 ,,RBRVS,9.35 ,7.82 ,7.82 ,,,,,1,0,1,1,1,1,20061001
27428,CPT,"Reconstruction, knee",,,21 ,,RBRVS,13.98 ,11.27 ,11.27 ,,,,,1,0,1,1,1,1,20061001
27429,CPT,"Reconstruction, knee",,,21 ,,RBRVS,15.50 ,12.45 ,12.45 ,,,,,1,0,1,1,1,1,20061001
27430,CPT,Revision of thigh muscles,,,21 ,,RBRVS,9.66 ,8.02 ,8.02 ,,,,,1,0,1,1,1,1,20061001
27435,CPT,Incision of knee joint,,,21 ,,RBRVS,9.48 ,8.50 ,8.50 ,,,,,1,0,1,1,1,1,20061001
27437,CPT,Revise kneecap,,,21 ,,RBRVS,8.45 ,7.26 ,7.26 ,,,,,1,0,1,1,1,1,20061001
27438,CPT,Revise kneecap with implant,,,21 ,,RBRVS,11.21 ,8.56 ,8.56 ,,,,,1,0,1,1,1,1,20061001
27440,CPT,Revision of knee joint,,,21 ,,RBRVS,10.41 ,6.01 ,6.01 ,,,,,1,0,1,1,1,1,20061001
27441,CPT,Revision of knee joint,,,21 ,,RBRVS,10.80 ,6.73 ,6.73 ,,,,,1,0,1,1,1,1,20061001
27442,CPT,Revision of knee joint,,,21 ,,RBRVS,11.87 ,8.94 ,8.94 ,,,,,1,0,1,1,1,1,20061001
27443,CPT,Revision of knee joint,,,21 ,,RBRVS,10.91 ,8.75 ,8.75 ,,,,,1,0,1,1,1,1,20061001
27445,CPT,Revision of knee joint,,,21 ,,RBRVS,17.65 ,12.39 ,12.39 ,,,,,1,0,1,1,1,1,20061001
27446,CPT,Revision of knee joint,,,21 ,,RBRVS,15.82 ,11.30 ,11.30 ,,,,,1,0,1,1,1,1,20061001
27447,CPT,Total knee arthroplasty,,,21 ,,RBRVS,21.45 ,14.64 ,14.64 ,,,,,1,0,1,1,1,1,20061001
27448,CPT,Incision of thigh,,,21 ,,RBRVS,11.04 ,8.62 ,8.62 ,,,,,1,0,1,1,1,1,20061001
27450,CPT,Incision of thigh,,,21 ,,RBRVS,13.96 ,10.61 ,10.61 ,,,,,1,0,1,1,1,1,20061001
27454,CPT,Realignment of thigh bone,,,21 ,,RBRVS,17.53 ,12.54 ,12.54 ,,,,,1,0,1,1,1,1,20061001
27455,CPT,Realignment of knee,,,21 ,,RBRVS,12.80 ,9.91 ,9.91 ,,,,,1,0,1,1,1,1,20061001
27457,CPT,Realignment of knee,,,21 ,,RBRVS,13.43 ,9.95 ,9.95 ,,,,,1,0,1,1,1,1,20061001
27465,CPT,Shortening of thigh bone,,,21 ,,RBRVS,13.85 ,10.25 ,10.25 ,,,,,1,0,1,1,1,1,20061001
27466,CPT,Lengthening of thigh bone,,,21 ,,RBRVS,16.31 ,11.86 ,11.86 ,,,,,1,0,1,1,1,1,20061001
27468,CPT,Shorten/lengthen thighs,,,21 ,,RBRVS,18.94 ,12.39 ,12.39 ,,,,,1,0,1,1,1,1,20061001
27470,CPT,Repair of thigh,,,21 ,,RBRVS,16.05 ,11.82 ,11.82 ,,,,,1,0,1,1,1,1,20061001
27472,CPT,Repair/graft of thigh,,,21 ,,RBRVS,17.69 ,12.72 ,12.72 ,,,,,1,0,1,1,1,1,20061001
27475,CPT,Surgery to stop leg growth,,,21 ,,RBRVS,8.63 ,7.23 ,7.23 ,,,,,1,0,1,1,1,1,20061001
27477,CPT,Surgery to stop leg growth,,,21 ,,RBRVS,9.84 ,7.75 ,7.75 ,,,,,1,0,1,1,1,1,20061001
27479,CPT,Surgery to stop leg growth,,,21 ,,RBRVS,12.78 ,9.67 ,9.67 ,,,,,1,0,1,1,1,1,20061001
27485,CPT,Surgery to stop leg growth,,,21 ,,RBRVS,8.83 ,7.42 ,7.42 ,,,,,1,0,1,1,1,1,20061001
27486,CPT,Revise/replace knee joint,,,21 ,,RBRVS,19.24 ,13.53 ,13.53 ,,,,,1,0,1,1,1,1,20061001
27487,CPT,Revise/replace knee joint,,,21 ,,RBRVS,25.23 ,16.60 ,16.60 ,,,,,1,0,1,1,1,1,20061001
27488,CPT,Removal of knee prosthesis,,,21 ,,RBRVS,15.72 ,11.73 ,11.73 ,,,,,1,0,1,1,1,1,20061001
27495,CPT,Reinforce thigh,,,21 ,,RBRVS,15.53 ,11.44 ,11.44 ,,,,,1,0,1,1,1,1,20061001
27496,CPT,Decompression of thigh/knee,,,21 ,,RBRVS,6.10 ,5.62 ,5.62 ,,,,,1,0,1,1,1,1,20061001
27497,CPT,Decompression of thigh/knee,,,21 ,,RBRVS,7.16 ,5.45 ,5.45 ,,,,,1,0,1,1,1,1,20061001
27498,CPT,Decompression of thigh/knee,,,21 ,,RBRVS,7.98 ,5.97 ,5.97 ,,,,,1,0,1,1,1,1,20061001
27499,CPT,Decompression of thigh/knee,,,21 ,,RBRVS,8.99 ,6.84 ,6.84 ,,,,,1,0,1,1,1,1,20061001
27500,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,5.91 ,5.00 ,6.14 ,,,,,1,0,1,1,1,1,20061001
27501,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,5.91 ,5.40 ,5.81 ,,,,,1,0,1,1,1,1,20061001
27502,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,10.56 ,8.13 ,8.13 ,,,,,1,0,1,1,1,1,20061001
27503,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,10.56 ,8.31 ,8.31 ,,,,,1,0,1,1,1,1,20061001
27506,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,17.42 ,12.82 ,12.82 ,,,,,1,0,1,1,1,1,20061001
27507,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,13.97 ,9.87 ,9.87 ,,,,,1,0,1,1,1,1,20061001
27508,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,5.82 ,5.50 ,6.48 ,,,,,1,0,1,1,1,1,20061001
27509,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,7.70 ,7.98 ,7.98 ,,,,,1,0,1,1,1,1,20061001
27510,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,9.12 ,7.35 ,7.35 ,,,,,1,0,1,1,1,1,20061001
27511,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,13.62 ,11.23 ,11.23 ,,,,,1,0,1,1,1,1,20061001
27513,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,17.89 ,13.92 ,13.92 ,,,,,1,0,1,1,1,1,20061001
27514,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,17.27 ,13.39 ,13.39 ,,,,,1,0,1,1,1,1,20061001
27516,CPT,Treat thigh fx growth plate,,,21 ,,RBRVS,5.36 ,5.53 ,6.37 ,,,,,1,0,1,1,1,1,20061001
27517,CPT,Treat thigh fx growth plate,,,21 ,,RBRVS,8.77 ,7.47 ,7.47 ,,,,,1,0,1,1,1,1,20061001
27519,CPT,Treat thigh fx growth plate,,,21 ,,RBRVS,15.00 ,11.62 ,11.62 ,,,,,1,0,1,1,1,1,20061001
27520,CPT,Treat kneecap fracture,,,21 ,,RBRVS,2.86 ,3.45 ,4.55 ,,,,,1,0,1,1,1,1,20061001
27524,CPT,Treat kneecap fracture,,,21 ,,RBRVS,9.99 ,8.25 ,8.25 ,,,,,1,0,1,1,1,1,20061001
27530,CPT,Treat knee fracture,,,21 ,,RBRVS,3.77 ,4.43 ,5.33 ,,,,,1,0,1,1,1,1,20061001
27532,CPT,Treat knee fracture,,,21 ,,RBRVS,7.29 ,6.47 ,7.38 ,,,,,1,0,1,1,1,1,20061001
27535,CPT,Treat knee fracture,,,21 ,,RBRVS,11.48 ,10.14 ,10.14 ,,,,,1,0,1,1,1,1,20061001
27536,CPT,Treat knee fracture,,,21 ,,RBRVS,15.63 ,11.64 ,11.64 ,,,,,1,0,1,1,1,1,20061001
27538,CPT,Treat knee fracture(s),,,21 ,,RBRVS,4.86 ,5.21 ,6.15 ,,,,,1,0,1,1,1,1,20061001
27540,CPT,Treat knee fracture,,,21 ,,RBRVS,13.08 ,9.54 ,9.54 ,,,,,1,0,1,1,1,1,20061001
27550,CPT,Treat knee dislocation,,,21 ,,RBRVS,5.75 ,4.94 ,6.03 ,,,,,1,0,1,1,1,1,20061001
27552,CPT,Treat knee dislocation,,,21 ,,RBRVS,7.89 ,6.97 ,6.97 ,,,,,1,0,1,1,1,1,20061001
27556,CPT,Treat knee dislocation,,,21 ,,RBRVS,14.39 ,11.68 ,11.68 ,,,,,1,0,1,1,1,1,20061001
27557,CPT,Treat knee dislocation,,,21 ,,RBRVS,16.74 ,13.16 ,13.16 ,,,,,1,0,1,1,1,1,20061001
27558,CPT,Treat knee dislocation,,,21 ,,RBRVS,17.69 ,13.08 ,13.08 ,,,,,1,0,1,1,1,1,20061001
27560,CPT,Treat kneecap dislocation,,,21 ,,RBRVS,3.81 ,3.19 ,4.85 ,,,,,1,0,1,1,1,1,20061001
27562,CPT,Treat kneecap dislocation,,,21 ,,RBRVS,5.78 ,4.78 ,4.78 ,,,,,1,0,1,1,1,1,20061001
27566,CPT,Treat kneecap dislocation,,,21 ,,RBRVS,12.21 ,9.35 ,9.35 ,,,,,1,0,1,1,1,1,20061001
27570,CPT,Fixation of knee joint,,,21 ,,RBRVS,1.74 ,1.78 ,1.78 ,,,,,1,0,1,1,1,1,20061001
27580,CPT,Fusion of knee,,,21 ,,RBRVS,19.34 ,14.84 ,14.84 ,,,,,1,0,1,1,1,1,20061001
27590,CPT,Amputate leg at thigh,,,21 ,,RBRVS,12.01 ,6.69 ,6.69 ,,,,,1,0,1,1,1,1,20061001
27591,CPT,Amputate leg at thigh,,,21 ,,RBRVS,12.66 ,8.67 ,8.67 ,,,,,1,0,1,1,1,1,20061001
27592,CPT,Amputate leg at thigh,,,21 ,,RBRVS,10.00 ,6.19 ,6.19 ,,,,,1,0,1,1,1,1,20061001
27594,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,6.91 ,5.18 ,5.18 ,,,,,1,0,1,1,1,1,20061001
27596,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,10.58 ,6.83 ,6.83 ,,,,,1,0,1,1,1,1,20061001
27598,CPT,Amputate lower leg at knee,,,21 ,,RBRVS,10.51 ,7.04 ,7.04 ,,,,,1,0,1,1,1,1,20061001
27599,CPT,Leg surgery procedure,,,21 ,,TotalUnits,,,,19.68 ,,,,1,0,1,1,1,1,20061001
27600,CPT,Decompression of lower leg,,,21 ,,RBRVS,5.64 ,4.54 ,4.54 ,,,,,1,0,1,1,1,1,20061001
27601,CPT,Decompression of lower leg,,,21 ,,RBRVS,5.63 ,4.86 ,4.86 ,,,,,1,0,1,1,1,1,20061001
27602,CPT,Decompression of lower leg,,,21 ,,RBRVS,7.34 ,5.14 ,5.14 ,,,,,1,0,1,1,1,1,20061001
27603,CPT,Drain lower leg lesion,,,21 ,,RBRVS,4.93 ,4.17 ,7.51 ,,,,,1,0,1,1,1,1,20061001
27604,CPT,Drain lower leg bursa,,,21 ,,RBRVS,4.46 ,3.97 ,6.10 ,,,,,1,0,1,1,1,1,20061001
27605,CPT,Incision of achilles tendon,,,21 ,,RBRVS,2.87 ,2.33 ,7.70 ,,,,,1,0,1,1,1,1,20061001
27606,CPT,Incision of achilles tendon,,,21 ,,RBRVS,4.13 ,3.37 ,3.37 ,,,,,1,0,1,1,1,1,20061001
27607,CPT,Treat lower leg bone lesion,,,21 ,,RBRVS,7.96 ,6.19 ,6.19 ,,,,,1,0,1,1,1,1,20061001
27610,CPT,Explore/treat ankle joint,,,21 ,,RBRVS,8.33 ,7.02 ,7.02 ,,,,,1,0,1,1,1,1,20061001
27612,CPT,Exploration of ankle joint,,,21 ,,RBRVS,7.32 ,6.11 ,6.11 ,,,,,1,0,1,1,1,1,20061001
27613,CPT,Biopsy lower leg soft tissue,,,21 ,,RBRVS,2.17 ,1.81 ,3.24 ,,,,,1,0,1,1,1,1,20061001
27614,CPT,Biopsy lower leg soft tissue,,,21 ,,RBRVS,5.65 ,4.45 ,7.15 ,,,,,1,0,1,1,1,1,20061001
27615,CPT,"Remove tumor, lower leg",,,21 ,,RBRVS,12.54 ,9.42 ,9.42 ,,,,,1,0,1,1,1,1,20061001
27618,CPT,Remove lower leg lesion,,,21 ,,RBRVS,5.08 ,4.00 ,6.03 ,,,,,1,0,1,1,1,1,20061001
27619,CPT,Remove lower leg lesion,,,21 ,,RBRVS,8.39 ,5.97 ,9.54 ,,,,,1,0,1,1,1,1,20061001
27620,CPT,Explore/treat ankle joint,,,21 ,,RBRVS,5.97 ,5.48 ,5.48 ,,,,,1,0,1,1,1,1,20061001
27625,CPT,Remove ankle joint lining,,,21 ,,RBRVS,8.29 ,6.48 ,6.48 ,,,,,1,0,1,1,1,1,20061001
27626,CPT,Remove ankle joint lining,,,21 ,,RBRVS,8.90 ,6.94 ,6.94 ,,,,,1,0,1,1,1,1,20061001
27630,CPT,Removal of tendon lesion,,,21 ,,RBRVS,4.79 ,4.39 ,7.58 ,,,,,1,0,1,1,1,1,20061001
27635,CPT,Remove lower leg bone lesion,,,21 ,,RBRVS,7.77 ,6.76 ,6.76 ,,,,,1,0,1,1,1,1,20061001
27637,CPT,Remove/graft leg bone lesion,,,21 ,,RBRVS,9.84 ,8.31 ,8.31 ,,,,,1,0,1,1,1,1,20061001
27638,CPT,Remove/graft leg bone lesion,,,21 ,,RBRVS,10.55 ,8.31 ,8.31 ,,,,,1,0,1,1,1,1,20061001
27640,CPT,Partial removal of tibia,,,21 ,,RBRVS,11.35 ,10.34 ,10.34 ,,,,,1,0,1,1,1,1,20061001
27641,CPT,Partial removal of fibula,,,21 ,,RBRVS,9.23 ,8.36 ,8.36 ,,,,,1,0,1,1,1,1,20061001
27645,CPT,Extensive lower leg surgery,,,21 ,,RBRVS,14.15 ,12.08 ,12.08 ,,,,,1,0,1,1,1,1,20061001
27646,CPT,Extensive lower leg surgery,,,21 ,,RBRVS,12.64 ,11.06 ,11.06 ,,,,,1,0,1,1,1,1,20061001
27647,CPT,Extensive ankle/heel surgery,,,21 ,,RBRVS,12.22 ,7.63 ,7.63 ,,,,,1,0,1,1,1,1,20061001
27648,CPT,Injection for ankle x-ray,,,21 ,,RBRVS,0.96 ,0.33 ,3.53 ,,,,,1,0,1,1,1,1,20061001
27650,CPT,Repair achilles tendon,,,21 ,,RBRVS,9.68 ,7.53 ,7.53 ,,,,,1,0,1,1,1,1,20061001
27652,CPT,Repair/graft achilles tendon,,,21 ,,RBRVS,10.31 ,8.05 ,8.05 ,,,,,1,0,1,1,1,1,20061001
27654,CPT,Repair of achilles tendon,,,21 ,,RBRVS,10.00 ,7.16 ,7.16 ,,,,,1,0,1,1,1,1,20061001
27656,CPT,Repair leg fascia defect,,,21 ,,RBRVS,4.56 ,3.78 ,8.55 ,,,,,1,0,1,1,1,1,20061001
27658,CPT,"Repair of leg tendon, each",,,21 ,,RBRVS,4.97 ,4.57 ,4.57 ,,,,,1,0,1,1,1,1,20061001
27659,CPT,"Repair of leg tendon, each",,,21 ,,RBRVS,6.80 ,5.66 ,5.66 ,,,,,1,0,1,1,1,1,20061001
27664,CPT,"Repair of leg tendon, each",,,21 ,,RBRVS,4.58 ,4.56 ,4.56 ,,,,,1,0,1,1,1,1,20061001
27665,CPT,"Repair of leg tendon, each",,,21 ,,RBRVS,5.39 ,4.98 ,4.98 ,,,,,1,0,1,1,1,1,20061001
27675,CPT,Repair lower leg tendons,,,21 ,,RBRVS,7.17 ,5.75 ,5.75 ,,,,,1,0,1,1,1,1,20061001
27676,CPT,Repair lower leg tendons,,,21 ,,RBRVS,8.41 ,6.77 ,6.77 ,,,,,1,0,1,1,1,1,20061001
27680,CPT,Release of lower leg tendon,,,21 ,,RBRVS,5.73 ,5.12 ,5.12 ,,,,,1,0,1,1,1,1,20061001
27681,CPT,Release of lower leg tendons,,,21 ,,RBRVS,6.81 ,5.93 ,5.93 ,,,,,1,0,1,1,1,1,20061001
27685,CPT,Revision of lower leg tendon,,,21 ,,RBRVS,6.49 ,5.48 ,7.31 ,,,,,1,0,1,1,1,1,20061001
27686,CPT,Revise lower leg tendons,,,21 ,,RBRVS,7.45 ,6.51 ,6.51 ,,,,,1,0,1,1,1,1,20061001
27687,CPT,Revision of calf tendon,,,21 ,,RBRVS,6.23 ,5.33 ,5.33 ,,,,,1,0,1,1,1,1,20061001
27690,CPT,Revise lower leg tendon,,,21 ,,RBRVS,8.70 ,6.37 ,6.37 ,,,,,1,0,1,1,1,1,20061001
27691,CPT,Revise lower leg tendon,,,21 ,,RBRVS,9.95 ,7.78 ,7.78 ,,,,,1,0,1,1,1,1,20061001
27692,CPT,Revise additional leg tendon,,,21 ,,RBRVS,1.87 ,0.93 ,0.93 ,,,,,1,0,1,1,1,1,20061001
27695,CPT,Repair of ankle ligament,,,21 ,,RBRVS,6.50 ,5.89 ,5.89 ,,,,,1,0,1,1,1,1,20061001
27696,CPT,Repair of ankle ligaments,,,21 ,,RBRVS,8.26 ,6.45 ,6.45 ,,,,,1,0,1,1,1,1,20061001
27698,CPT,Repair of ankle ligament,,,21 ,,RBRVS,9.35 ,6.96 ,6.96 ,,,,,1,0,1,1,1,1,20061001
27700,CPT,Revision of ankle joint,,,21 ,,RBRVS,9.28 ,5.70 ,5.70 ,,,,,1,0,1,1,1,1,20061001
27702,CPT,Reconstruct ankle joint,,,21 ,,RBRVS,13.65 ,10.49 ,10.49 ,,,,,1,0,1,1,1,1,20061001
27703,CPT,"Reconstruction, ankle joint",,,21 ,,RBRVS,15.85 ,11.26 ,11.26 ,,,,,1,0,1,1,1,1,20061001
27704,CPT,Removal of ankle implant,,,21 ,,RBRVS,7.61 ,5.61 ,5.61 ,,,,,1,0,1,1,1,1,20061001
27705,CPT,Incision of tibia,,,21 ,,RBRVS,10.36 ,8.19 ,8.19 ,,,,,1,0,1,1,1,1,20061001
27707,CPT,Incision of fibula,,,21 ,,RBRVS,4.36 ,4.95 ,4.95 ,,,,,1,0,1,1,1,1,20061001
27709,CPT,Incision of tibia & fibula,,,21 ,,RBRVS,9.94 ,8.15 ,8.15 ,,,,,1,0,1,1,1,1,20061001
27712,CPT,Realignment of lower leg,,,21 ,,RBRVS,14.23 ,10.77 ,10.77 ,,,,,1,0,1,1,1,1,20061001
27715,CPT,Revision of lower leg,,,21 ,,RBRVS,14.37 ,10.80 ,10.80 ,,,,,1,0,1,1,1,1,20061001
27720,CPT,Repair of tibia,,,21 ,,RBRVS,11.77 ,9.43 ,9.43 ,,,,,1,0,1,1,1,1,20061001
27722,CPT,Repair/graft of tibia,,,21 ,,RBRVS,11.80 ,9.16 ,9.16 ,,,,,1,0,1,1,1,1,20061001
27724,CPT,Repair/graft of tibia,,,21 ,,RBRVS,18.17 ,12.40 ,12.40 ,,,,,1,0,1,1,1,1,20061001
27725,CPT,Repair of lower leg,,,21 ,,RBRVS,15.57 ,11.94 ,11.94 ,,,,,1,0,1,1,1,1,20061001
27727,CPT,Repair of lower leg,,,21 ,,RBRVS,13.99 ,10.37 ,10.37 ,,,,,1,0,1,1,1,1,20061001
27730,CPT,Repair of tibia epiphysis,,,21 ,,RBRVS,7.40 ,6.44 ,6.44 ,,,,,1,0,1,1,1,1,20061001
27732,CPT,Repair of fibula epiphysis,,,21 ,,RBRVS,5.31 ,4.94 ,4.94 ,,,,,1,0,1,1,1,1,20061001
27734,CPT,Repair lower leg epiphyses,,,21 ,,RBRVS,8.47 ,6.30 ,6.30 ,,,,,1,0,1,1,1,1,20061001
27740,CPT,Repair of leg epiphyses,,,21 ,,RBRVS,9.29 ,8.01 ,8.01 ,,,,,1,0,1,1,1,1,20061001
27742,CPT,Repair of leg epiphyses,,,21 ,,RBRVS,10.28 ,5.58 ,5.58 ,,,,,1,0,1,1,1,1,20061001
27745,CPT,Reinforce tibia,,,21 ,,RBRVS,10.05 ,8.19 ,8.19 ,,,,,1,0,1,1,1,1,20061001
27750,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,3.19 ,3.86 ,4.77 ,,,,,1,0,1,1,1,1,20061001
27752,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,5.83 ,5.69 ,6.67 ,,,,,1,0,1,1,1,1,20061001
27756,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,6.77 ,6.48 ,6.48 ,,,,,1,0,1,1,1,1,20061001
27758,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,11.65 ,9.21 ,9.21 ,,,,,1,0,1,1,1,1,20061001
27759,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,13.74 ,10.34 ,10.34 ,,,,,1,0,1,1,1,1,20061001
27760,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,3.01 ,3.60 ,4.69 ,,,,,1,0,1,1,1,1,20061001
27762,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,5.24 ,5.29 ,6.35 ,,,,,1,0,1,1,1,1,20061001
27766,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,8.35 ,7.24 ,7.24 ,,,,,1,0,1,1,1,1,20061001
27780,CPT,Treatment of fibula fracture,,,21 ,,RBRVS,2.65 ,3.22 ,4.19 ,,,,,1,0,1,1,1,1,20061001
27781,CPT,Treatment of fibula fracture,,,21 ,,RBRVS,4.39 ,4.65 ,5.51 ,,,,,1,0,1,1,1,1,20061001
27784,CPT,Treatment of fibula fracture,,,21 ,,RBRVS,7.10 ,6.49 ,6.49 ,,,,,1,0,1,1,1,1,20061001
27786,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,2.84 ,3.34 ,4.47 ,,,,,1,0,1,1,1,1,20061001
27788,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,4.44 ,4.66 ,5.66 ,,,,,1,0,1,1,1,1,20061001
27792,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,7.65 ,6.98 ,6.98 ,,,,,1,0,1,1,1,1,20061001
27808,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,2.83 ,3.71 ,4.81 ,,,,,1,0,1,1,1,1,20061001
27810,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,5.12 ,5.16 ,6.26 ,,,,,1,0,1,1,1,1,20061001
27814,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,10.66 ,8.58 ,8.58 ,,,,,1,0,1,1,1,1,20061001
27816,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,2.89 ,3.42 ,4.39 ,,,,,1,0,1,1,1,1,20061001
27818,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,5.49 ,5.18 ,6.39 ,,,,,1,0,1,1,1,1,20061001
27822,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,10.98 ,10.68 ,10.68 ,,,,,1,0,1,1,1,1,20061001
27823,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,12.98 ,11.50 ,11.50 ,,,,,1,0,1,1,1,1,20061001
27824,CPT,Treat lower leg fracture,,,21 ,,RBRVS,2.89 ,3.57 ,4.07 ,,,,,1,0,1,1,1,1,20061001
27825,CPT,Treat lower leg fracture,,,21 ,,RBRVS,6.18 ,5.40 ,6.62 ,,,,,1,0,1,1,1,1,20061001
27826,CPT,Treat lower leg fracture,,,21 ,,RBRVS,8.53 ,8.85 ,8.85 ,,,,,1,0,1,1,1,1,20061001
27827,CPT,Treat lower leg fracture,,,21 ,,RBRVS,14.04 ,12.80 ,12.80 ,,,,,1,0,1,1,1,1,20061001
27828,CPT,Treat lower leg fracture,,,21 ,,RBRVS,16.21 ,13.97 ,13.97 ,,,,,1,0,1,1,1,1,20061001
27829,CPT,Treat lower leg joint,,,21 ,,RBRVS,5.48 ,6.80 ,6.80 ,,,,,1,0,1,1,1,1,20061001
27830,CPT,Treat lower leg dislocation,,,21 ,,RBRVS,3.78 ,3.86 ,4.40 ,,,,,1,0,1,1,1,1,20061001
27831,CPT,Treat lower leg dislocation,,,21 ,,RBRVS,4.55 ,4.47 ,4.47 ,,,,,1,0,1,1,1,1,20061001
27832,CPT,Treat lower leg dislocation,,,21 ,,RBRVS,6.48 ,6.19 ,6.19 ,,,,,1,0,1,1,1,1,20061001
27840,CPT,Treat ankle dislocation,,,21 ,,RBRVS,4.57 ,3.77 ,3.77 ,,,,,1,0,1,1,1,1,20061001
27842,CPT,Treat ankle dislocation,,,21 ,,RBRVS,6.20 ,5.13 ,5.13 ,,,,,1,0,1,1,1,1,20061001
27846,CPT,Treat ankle dislocation,,,21 ,,RBRVS,9.78 ,7.95 ,7.95 ,,,,,1,0,1,1,1,1,20061001
27848,CPT,Treat ankle dislocation,,,21 ,,RBRVS,11.18 ,9.74 ,9.74 ,,,,,1,0,1,1,1,1,20061001
27860,CPT,Fixation of ankle joint,,,21 ,,RBRVS,2.34 ,1.99 ,1.99 ,,,,,1,0,1,1,1,1,20061001
27870,CPT,"Fusion of ankle joint, open",,,21 ,,RBRVS,13.89 ,10.55 ,10.55 ,,,,,1,0,1,1,1,1,20061001
27871,CPT,Fusion of tibiofibular joint,,,21 ,,RBRVS,9.16 ,7.60 ,7.60 ,,,,,1,0,1,1,1,1,20061001
27880,CPT,Amputation of lower leg,,,21 ,,RBRVS,11.83 ,7.15 ,7.15 ,,,,,1,0,1,1,1,1,20061001
27881,CPT,Amputation of lower leg,,,21 ,,RBRVS,12.32 ,8.87 ,8.87 ,,,,,1,0,1,1,1,1,20061001
27882,CPT,Amputation of lower leg,,,21 ,,RBRVS,8.93 ,6.50 ,6.50 ,,,,,1,0,1,1,1,1,20061001
27884,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,8.20 ,5.77 ,5.77 ,,,,,1,0,1,1,1,1,20061001
27886,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,9.31 ,6.53 ,6.53 ,,,,,1,0,1,1,1,1,20061001
27888,CPT,Amputation of foot at ankle,,,21 ,,RBRVS,9.66 ,7.52 ,7.52 ,,,,,1,0,1,1,1,1,20061001
27889,CPT,Amputation of foot at ankle,,,21 ,,RBRVS,9.97 ,6.49 ,6.49 ,,,,,1,0,1,1,1,1,20061001
27892,CPT,Decompression of leg,,,21 ,,RBRVS,7.38 ,5.61 ,5.61 ,,,,,1,0,1,1,1,1,20061001
27893,CPT,Decompression of leg,,,21 ,,RBRVS,7.34 ,5.48 ,5.48 ,,,,,1,0,1,1,1,1,20061001
27894,CPT,Decompression of leg,,,21 ,,RBRVS,10.47 ,7.79 ,7.79 ,,,,,1,0,1,1,1,1,20061001
27899,CPT,Leg/ankle surgery procedure,,,21 ,,TotalUnits,,,,11.65 ,,,,1,0,1,1,1,1,20061001
28001,CPT,Drainage of bursa of foot,,,21 ,,RBRVS,2.73 ,1.96 ,2.99 ,,,,,1,0,1,1,1,1,20061001
28002,CPT,Treatment of foot infection,,,21 ,,RBRVS,4.61 ,3.78 ,5.00 ,,,,,1,0,1,1,1,1,20061001
28003,CPT,Treatment of foot infection,,,21 ,,RBRVS,8.40 ,5.24 ,6.25 ,,,,,1,0,1,1,1,1,20061001
28005,CPT,Treat foot bone lesion,,,21 ,,RBRVS,8.67 ,6.06 ,6.06 ,,,,,1,0,1,1,1,1,20061001
28008,CPT,Incision of foot fascia,,,21 ,,RBRVS,4.44 ,3.21 ,4.56 ,,,,,1,0,1,1,1,1,20061001
28010,CPT,Incision of toe tendon,,,21 ,,RBRVS,2.84 ,2.38 ,2.38 ,,,,,1,0,1,1,1,1,20061001
28011,CPT,Incision of toe tendons,,,21 ,,RBRVS,4.13 ,3.31 ,3.31 ,,,,,1,0,1,1,1,1,20061001
28020,CPT,Exploration of foot joint,,,21 ,,RBRVS,5.00 ,4.14 ,6.03 ,,,,,1,0,1,1,1,1,20061001
28022,CPT,Exploration of foot joint,,,21 ,,RBRVS,4.66 ,3.86 ,5.21 ,,,,,1,0,1,1,1,1,20061001
28024,CPT,Exploration of toe joint,,,21 ,,RBRVS,4.37 ,3.93 ,5.23 ,,,,,1,0,1,1,1,1,20061001
28030,CPT,Removal of foot nerve,,,21 ,,RBRVS,6.14 ,3.66 ,3.66 ,,,,,1,0,1,1,1,1,20061001
28035,CPT,Decompression of tibia nerve,,,21 ,,RBRVS,5.08 ,4.10 ,5.87 ,,,,,1,0,1,1,1,1,20061001
28043,CPT,Excision of foot lesion,,,21 ,,RBRVS,3.53 ,3.18 ,3.82 ,,,,,1,0,1,1,1,1,20061001
28045,CPT,Excision of foot lesion,,,21 ,,RBRVS,4.71 ,3.61 ,5.39 ,,,,,1,0,1,1,1,1,20061001
28046,CPT,"Resection of tumor, foot",,,21 ,,RBRVS,10.16 ,6.49 ,8.79 ,,,,,1,0,1,1,1,1,20061001
28050,CPT,Biopsy of foot joint lining,,,21 ,,RBRVS,4.24 ,3.60 ,4.90 ,,,,,1,0,1,1,1,1,20061001
28052,CPT,Biopsy of foot joint lining,,,21 ,,RBRVS,3.93 ,3.44 ,4.92 ,,,,,1,0,1,1,1,1,20061001
28054,CPT,Biopsy of toe joint lining,,,21 ,,RBRVS,3.44 ,3.24 ,4.73 ,,,,,1,0,1,1,1,1,20061001
28060,CPT,"Partial removal, foot fascia",,,21 ,,RBRVS,5.22 ,3.88 ,5.49 ,,,,,1,0,1,1,1,1,20061001
28062,CPT,Removal of foot fascia,,,21 ,,RBRVS,6.51 ,4.02 ,6.53 ,,,,,1,0,1,1,1,1,20061001
28070,CPT,Removal of foot joint lining,,,21 ,,RBRVS,5.09 ,3.82 ,5.23 ,,,,,1,0,1,1,1,1,20061001
28072,CPT,Removal of foot joint lining,,,21 ,,RBRVS,4.57 ,4.31 ,5.54 ,,,,,1,0,1,1,1,1,20061001
28080,CPT,Removal of foot lesion,,,21 ,,RBRVS,3.57 ,3.69 ,5.12 ,,,,,1,0,1,1,1,1,20061001
28086,CPT,Excise foot tendon sheath,,,21 ,,RBRVS,4.77 ,4.69 ,8.00 ,,,,,1,0,1,1,1,1,20061001
28088,CPT,Excise foot tendon sheath,,,21 ,,RBRVS,3.85 ,3.90 ,5.77 ,,,,,1,0,1,1,1,1,20061001
28090,CPT,Removal of foot lesion,,,21 ,,RBRVS,4.40 ,3.46 ,5.15 ,,,,,1,0,1,1,1,1,20061001
28092,CPT,Removal of toe lesions,,,21 ,,RBRVS,3.63 ,3.53 ,5.23 ,,,,,1,0,1,1,1,1,20061001
28100,CPT,Removal of ankle/heel lesion,,,21 ,,RBRVS,5.65 ,4.70 ,7.98 ,,,,,1,0,1,1,1,1,20061001
28102,CPT,Remove/graft foot lesion,,,21 ,,RBRVS,7.72 ,5.96 ,5.96 ,,,,,1,0,1,1,1,1,20061001
28103,CPT,Remove/graft foot lesion,,,21 ,,RBRVS,6.49 ,4.62 ,4.62 ,,,,,1,0,1,1,1,1,20061001
28104,CPT,Removal of foot lesion,,,21 ,,RBRVS,5.11 ,3.93 ,5.50 ,,,,,1,0,1,1,1,1,20061001
28106,CPT,Remove/graft foot lesion,,,21 ,,RBRVS,7.15 ,4.44 ,4.44 ,,,,,1,0,1,1,1,1,20061001
28107,CPT,Remove/graft foot lesion,,,21 ,,RBRVS,5.55 ,4.21 ,6.54 ,,,,,1,0,1,1,1,1,20061001
28108,CPT,Removal of toe lesions,,,21 ,,RBRVS,4.15 ,3.26 ,4.60 ,,,,,1,0,1,1,1,1,20061001
28110,CPT,Part removal of metatarsal,,,21 ,,RBRVS,4.07 ,3.23 ,5.23 ,,,,,1,0,1,1,1,1,20061001
28111,CPT,Part removal of metatarsal,,,21 ,,RBRVS,5.00 ,3.66 ,6.29 ,,,,,1,0,1,1,1,1,20061001
28112,CPT,Part removal of metatarsal,,,21 ,,RBRVS,4.48 ,3.58 ,5.82 ,,,,,1,0,1,1,1,1,20061001
28113,CPT,Part removal of metatarsal,,,21 ,,RBRVS,4.78 ,4.32 ,6.07 ,,,,,1,0,1,1,1,1,20061001
28114,CPT,Removal of metatarsal heads,,,21 ,,RBRVS,9.78 ,8.39 ,11.65 ,,,,,1,0,1,1,1,1,20061001
28116,CPT,Revision of foot,,,21 ,,RBRVS,7.74 ,5.18 ,6.81 ,,,,,1,0,1,1,1,1,20061001
28118,CPT,Removal of heel bone,,,21 ,,RBRVS,5.95 ,4.35 ,6.26 ,,,,,1,0,1,1,1,1,20061001
28119,CPT,Removal of heel spur,,,21 ,,RBRVS,5.38 ,3.73 ,5.44 ,,,,,1,0,1,1,1,1,20061001
28120,CPT,Part removal of ankle/heel,,,21 ,,RBRVS,5.39 ,4.42 ,7.30 ,,,,,1,0,1,1,1,1,20061001
28122,CPT,Partial removal of foot bone,,,21 ,,RBRVS,7.28 ,5.28 ,6.85 ,,,,,1,0,1,1,1,1,20061001
28124,CPT,Partial removal of toe,,,21 ,,RBRVS,4.80 ,3.66 ,5.00 ,,,,,1,0,1,1,1,1,20061001
28126,CPT,Partial removal of toe,,,21 ,,RBRVS,3.51 ,3.00 ,4.22 ,,,,,1,0,1,1,1,1,20061001
28130,CPT,Removal of ankle bone,,,21 ,,RBRVS,8.10 ,6.73 ,6.73 ,,,,,1,0,1,1,1,1,20061001
28140,CPT,Removal of metatarsal,,,21 ,,RBRVS,6.90 ,4.77 ,7.24 ,,,,,1,0,1,1,1,1,20061001
28150,CPT,Removal of toe,,,21 ,,RBRVS,4.08 ,3.29 ,4.84 ,,,,,1,0,1,1,1,1,20061001
28153,CPT,Partial removal of toe,,,21 ,,RBRVS,3.65 ,2.69 ,4.32 ,,,,,1,0,1,1,1,1,20061001
28160,CPT,Partial removal of toe,,,21 ,,RBRVS,3.73 ,3.34 ,4.57 ,,,,,1,0,1,1,1,1,20061001
28171,CPT,Extensive foot surgery,,,21 ,,RBRVS,9.59 ,5.44 ,5.44 ,,,,,1,0,1,1,1,1,20061001
28173,CPT,Extensive foot surgery,,,21 ,,RBRVS,8.79 ,5.21 ,7.61 ,,,,,1,0,1,1,1,1,20061001
28175,CPT,Extensive foot surgery,,,21 ,,RBRVS,6.04 ,3.71 ,5.72 ,,,,,1,0,1,1,1,1,20061001
28190,CPT,Removal of foot foreign body,,,21 ,,RBRVS,1.96 ,1.48 ,3.40 ,,,,,1,0,1,1,1,1,20061001
28192,CPT,Removal of foot foreign body,,,21 ,,RBRVS,4.63 ,3.65 ,5.49 ,,,,,1,0,1,1,1,1,20061001
28193,CPT,Removal of foot foreign body,,,21 ,,RBRVS,5.72 ,3.93 ,5.62 ,,,,,1,0,1,1,1,1,20061001
28200,CPT,Repair of foot tendon,,,21 ,,RBRVS,4.59 ,3.56 ,5.10 ,,,,,1,0,1,1,1,1,20061001
28202,CPT,Repair/graft of foot tendon,,,21 ,,RBRVS,6.83 ,4.50 ,7.23 ,,,,,1,0,1,1,1,1,20061001
28208,CPT,Repair of foot tendon,,,21 ,,RBRVS,4.36 ,3.31 ,4.82 ,,,,,1,0,1,1,1,1,20061001
28210,CPT,Repair/graft of foot tendon,,,21 ,,RBRVS,6.34 ,4.03 ,6.23 ,,,,,1,0,1,1,1,1,20061001
28220,CPT,Release of foot tendon,,,21 ,,RBRVS,4.52 ,3.43 ,4.68 ,,,,,1,0,1,1,1,1,20061001
28222,CPT,Release of foot tendons,,,21 ,,RBRVS,5.61 ,4.13 ,5.25 ,,,,,1,0,1,1,1,1,20061001
28225,CPT,Release of foot tendon,,,21 ,,RBRVS,3.65 ,2.91 ,4.29 ,,,,,1,0,1,1,1,1,20061001
28226,CPT,Release of foot tendons,,,21 ,,RBRVS,4.52 ,3.75 ,4.80 ,,,,,1,0,1,1,1,1,20061001
28230,CPT,Incision of foot tendon(s),,,21 ,,RBRVS,4.23 ,3.68 ,4.68 ,,,,,1,0,1,1,1,1,20061001
28232,CPT,Incision of toe tendon,,,21 ,,RBRVS,3.38 ,3.32 ,4.53 ,,,,,1,0,1,1,1,1,20061001
28234,CPT,Incision of foot tendon,,,21 ,,RBRVS,3.36 ,3.36 ,4.68 ,,,,,1,0,1,1,1,1,20061001
28238,CPT,Revision of foot tendon,,,21 ,,RBRVS,7.72 ,4.94 ,7.26 ,,,,,1,0,1,1,1,1,20061001
28240,CPT,Release of big toe,,,21 ,,RBRVS,4.35 ,3.49 ,4.64 ,,,,,1,0,1,1,1,1,20061001
28250,CPT,Revision of foot fascia,,,21 ,,RBRVS,5.91 ,4.14 ,5.64 ,,,,,1,0,1,1,1,1,20061001
28260,CPT,Release of midfoot joint,,,21 ,,RBRVS,7.95 ,5.00 ,6.34 ,,,,,1,0,1,1,1,1,20061001
28261,CPT,Revision of foot tendon,,,21 ,,RBRVS,11.71 ,7.32 ,8.63 ,,,,,1,0,1,1,1,1,20061001
28262,CPT,Revision of foot and ankle,,,21 ,,RBRVS,15.81 ,10.94 ,13.59 ,,,,,1,0,1,1,1,1,20061001
28264,CPT,Release of midfoot joint,,,21 ,,RBRVS,10.33 ,7.30 ,7.75 ,,,,,1,0,1,1,1,1,20061001
28270,CPT,Release of foot contracture,,,21 ,,RBRVS,4.75 ,3.74 ,4.90 ,,,,,1,0,1,1,1,1,20061001
28272,CPT,"Release of toe joint, each",,,21 ,,RBRVS,3.79 ,2.86 ,4.19 ,,,,,1,0,1,1,1,1,20061001
28280,CPT,Fusion of toes,,,21 ,,RBRVS,5.18 ,4.49 ,6.26 ,,,,,1,0,1,1,1,1,20061001
28285,CPT,Repair of hammertoe,,,21 ,,RBRVS,4.58 ,3.43 ,4.87 ,,,,,1,0,1,1,1,1,20061001
28286,CPT,Repair of hammertoe,,,21 ,,RBRVS,4.55 ,3.26 ,4.80 ,,,,,1,0,1,1,1,1,20061001
28288,CPT,Partial removal of foot bone,,,21 ,,RBRVS,4.73 ,4.89 ,5.95 ,,,,,1,0,1,1,1,1,20061001
28289,CPT,Repair hallux rigidus,,,21 ,,RBRVS,7.03 ,5.78 ,8.00 ,,,,,1,0,1,1,1,1,20061001
28290,CPT,Correction of bunion,,,21 ,,RBRVS,5.65 ,4.73 ,6.27 ,,,,,1,0,1,1,1,1,20061001
28292,CPT,Correction of bunion,,,21 ,,RBRVS,7.03 ,5.55 ,7.48 ,,,,,1,0,1,1,1,1,20061001
28293,CPT,Correction of bunion,,,21 ,,RBRVS,9.14 ,6.12 ,10.77 ,,,,,1,0,1,1,1,1,20061001
28294,CPT,Correction of bunion,,,21 ,,RBRVS,8.55 ,4.72 ,7.45 ,,,,,1,0,1,1,1,1,20061001
28296,CPT,Correction of bunion,,,21 ,,RBRVS,9.17 ,5.43 ,8.17 ,,,,,1,0,1,1,1,1,20061001
28297,CPT,Correction of bunion,,,21 ,,RBRVS,9.17 ,6.27 ,8.97 ,,,,,1,0,1,1,1,1,20061001
28298,CPT,Correction of bunion,,,21 ,,RBRVS,7.93 ,5.01 ,7.23 ,,,,,1,0,1,1,1,1,20061001
28299,CPT,Correction of bunion,,,21 ,,RBRVS,10.56 ,6.08 ,8.79 ,,,,,1,0,1,1,1,1,20061001
28300,CPT,Incision of heel bone,,,21 ,,RBRVS,9.53 ,7.05 ,7.05 ,,,,,1,0,1,1,1,1,20061001
28302,CPT,Incision of ankle bone,,,21 ,,RBRVS,9.54 ,6.90 ,6.90 ,,,,,1,0,1,1,1,1,20061001
28304,CPT,Incision of midfoot bones,,,21 ,,RBRVS,9.15 ,5.75 ,7.96 ,,,,,1,0,1,1,1,1,20061001
28305,CPT,Incise/graft midfoot bones,,,21 ,,RBRVS,10.48 ,6.74 ,6.74 ,,,,,1,0,1,1,1,1,20061001
28306,CPT,Incision of metatarsal,,,21 ,,RBRVS,5.85 ,4.18 ,6.85 ,,,,,1,0,1,1,1,1,20061001
28307,CPT,Incision of metatarsal,,,21 ,,RBRVS,6.32 ,5.30 ,11.05 ,,,,,1,0,1,1,1,1,20061001
28308,CPT,Incision of metatarsal,,,21 ,,RBRVS,5.28 ,3.69 ,5.76 ,,,,,1,0,1,1,1,1,20061001
28309,CPT,Incision of metatarsals,,,21 ,,RBRVS,12.76 ,7.97 ,7.97 ,,,,,1,0,1,1,1,1,20061001
28310,CPT,Revision of big toe,,,21 ,,RBRVS,5.42 ,3.56 ,5.76 ,,,,,1,0,1,1,1,1,20061001
28312,CPT,Revision of toe,,,21 ,,RBRVS,4.54 ,3.64 ,5.45 ,,,,,1,0,1,1,1,1,20061001
28313,CPT,Repair deformity of toe,,,21 ,,RBRVS,5.00 ,4.84 ,5.29 ,,,,,1,0,1,1,1,1,20061001
28315,CPT,Removal of sesamoid bone,,,21 ,,RBRVS,4.85 ,3.34 ,4.90 ,,,,,1,0,1,1,1,1,20061001
28320,CPT,Repair of foot bones,,,21 ,,RBRVS,9.17 ,6.73 ,6.73 ,,,,,1,0,1,1,1,1,20061001
28322,CPT,Repair of metatarsals,,,21 ,,RBRVS,8.33 ,6.35 ,9.20 ,,,,,1,0,1,1,1,1,20061001
28340,CPT,Resect enlarged toe tissue,,,21 ,,RBRVS,6.97 ,4.25 ,6.46 ,,,,,1,0,1,1,1,1,20061001
28341,CPT,Resect enlarged toe,,,21 ,,RBRVS,8.40 ,4.82 ,6.95 ,,,,,1,0,1,1,1,1,20061001
28344,CPT,Repair extra toe(s),,,21 ,,RBRVS,4.25 ,3.64 ,5.76 ,,,,,1,0,1,1,1,1,20061001
28345,CPT,Repair webbed toe(s),,,21 ,,RBRVS,5.91 ,4.69 ,6.21 ,,,,,1,0,1,1,1,1,20061001
28360,CPT,Reconstruct cleft foot,,,21 ,,RBRVS,13.32 ,10.52 ,10.52 ,,,,,1,0,1,1,1,1,20061001
28400,CPT,Treatment of heel fracture,,,21 ,,RBRVS,2.16 ,3.06 ,3.64 ,,,,,1,0,1,1,1,1,20061001
28405,CPT,Treatment of heel fracture,,,21 ,,RBRVS,4.56 ,4.63 ,4.84 ,,,,,1,0,1,1,1,1,20061001
28406,CPT,Treatment of heel fracture,,,21 ,,RBRVS,6.30 ,6.81 ,6.81 ,,,,,1,0,1,1,1,1,20061001
28415,CPT,Treat heel fracture,,,21 ,,RBRVS,15.95 ,13.32 ,13.32 ,,,,,1,0,1,1,1,1,20061001
28420,CPT,Treat/graft heel fracture,,,21 ,,RBRVS,16.62 ,12.95 ,12.95 ,,,,,1,0,1,1,1,1,20061001
28430,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,2.09 ,2.57 ,3.40 ,,,,,1,0,1,1,1,1,20061001
28435,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,3.39 ,3.75 ,3.89 ,,,,,1,0,1,1,1,1,20061001
28436,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,4.70 ,5.93 ,5.93 ,,,,,1,0,1,1,1,1,20061001
28445,CPT,Treat ankle fracture,,,21 ,,RBRVS,15.60 ,11.06 ,11.06 ,,,,,1,0,1,1,1,1,20061001
28450,CPT,"Treat midfoot fracture, each",,,21 ,,RBRVS,1.90 ,2.48 ,3.12 ,,,,,1,0,1,1,1,1,20061001
28455,CPT,"Treat midfoot fracture, each",,,21 ,,RBRVS,3.09 ,3.43 ,3.43 ,,,,,1,0,1,1,1,1,20061001
28456,CPT,Treat midfoot fracture,,,21 ,,RBRVS,2.68 ,4.16 ,4.16 ,,,,,1,0,1,1,1,1,20061001
28465,CPT,"Treat midfoot fracture, each",,,21 ,,RBRVS,7.00 ,6.33 ,6.33 ,,,,,1,0,1,1,1,1,20061001
28470,CPT,Treat metatarsal fracture,,,21 ,,RBRVS,1.99 ,2.45 ,3.13 ,,,,,1,0,1,1,1,1,20061001
28475,CPT,Treat metatarsal fracture,,,21 ,,RBRVS,2.97 ,3.22 ,3.34 ,,,,,1,0,1,1,1,1,20061001
28476,CPT,Treat metatarsal fracture,,,21 ,,RBRVS,3.37 ,4.99 ,4.99 ,,,,,1,0,1,1,1,1,20061001
28485,CPT,Treat metatarsal fracture,,,21 ,,RBRVS,5.70 ,5.46 ,5.46 ,,,,,1,0,1,1,1,1,20061001
28490,CPT,Treat big toe fracture,,,21 ,,RBRVS,1.09 ,1.64 ,2.02 ,,,,,1,0,1,1,1,1,20061001
28495,CPT,Treat big toe fracture,,,21 ,,RBRVS,1.58 ,2.07 ,2.18 ,,,,,1,0,1,1,1,1,20061001
28496,CPT,Treat big toe fracture,,,21 ,,RBRVS,2.33 ,3.20 ,8.27 ,,,,,1,0,1,1,1,1,20061001
28505,CPT,Treat big toe fracture,,,21 ,,RBRVS,3.80 ,3.91 ,8.12 ,,,,,1,0,1,1,1,1,20061001
28510,CPT,Treatment of toe fracture,,,21 ,,RBRVS,1.09 ,1.53 ,1.53 ,,,,,1,0,1,1,1,1,20061001
28515,CPT,Treatment of toe fracture,,,21 ,,RBRVS,1.46 ,1.90 ,1.90 ,,,,,1,0,1,1,1,1,20061001
28525,CPT,Treat toe fracture,,,21 ,,RBRVS,3.32 ,3.44 ,7.53 ,,,,,1,0,1,1,1,1,20061001
28530,CPT,Treat sesamoid bone fracture,,,21 ,,RBRVS,1.06 ,1.44 ,1.44 ,,,,,1,0,1,1,1,1,20061001
28531,CPT,Treat sesamoid bone fracture,,,21 ,,RBRVS,2.35 ,2.07 ,7.28 ,,,,,1,0,1,1,1,1,20061001
28540,CPT,Treat foot dislocation,,,21 ,,RBRVS,2.04 ,2.41 ,2.41 ,,,,,1,0,1,1,1,1,20061001
28545,CPT,Treat foot dislocation,,,21 ,,RBRVS,2.45 ,2.35 ,2.35 ,,,,,1,0,1,1,1,1,20061001
28546,CPT,Treat foot dislocation,,,21 ,,RBRVS,3.20 ,4.39 ,6.93 ,,,,,1,0,1,1,1,1,20061001
28555,CPT,Repair foot dislocation,,,21 ,,RBRVS,6.29 ,5.69 ,9.93 ,,,,,1,0,1,1,1,1,20061001
28570,CPT,Treat foot dislocation,,,21 ,,RBRVS,1.66 ,2.34 ,2.43 ,,,,,1,0,1,1,1,1,20061001
28575,CPT,Treat foot dislocation,,,21 ,,RBRVS,3.31 ,3.73 ,3.73 ,,,,,1,0,1,1,1,1,20061001
28576,CPT,Treat foot dislocation,,,21 ,,RBRVS,4.16 ,4.18 ,4.18 ,,,,,1,0,1,1,1,1,20061001
28585,CPT,Repair foot dislocation,,,21 ,,RBRVS,7.98 ,5.85 ,7.34 ,,,,,1,0,1,1,1,1,20061001
28600,CPT,Treat foot dislocation,,,21 ,,RBRVS,1.89 ,2.69 ,2.82 ,,,,,1,0,1,1,1,1,20061001
28605,CPT,Treat foot dislocation,,,21 ,,RBRVS,2.71 ,3.13 ,3.13 ,,,,,1,0,1,1,1,1,20061001
28606,CPT,Treat foot dislocation,,,21 ,,RBRVS,4.89 ,4.70 ,4.70 ,,,,,1,0,1,1,1,1,20061001
28615,CPT,Repair foot dislocation,,,21 ,,RBRVS,7.76 ,8.06 ,8.06 ,,,,,1,0,1,1,1,1,20061001
28630,CPT,Treat toe dislocation,,,21 ,,RBRVS,1.70 ,1.00 ,1.57 ,,,,,1,0,1,1,1,1,20061001
28635,CPT,Treat toe dislocation,,,21 ,,RBRVS,1.91 ,1.53 ,2.03 ,,,,,1,0,1,1,1,1,20061001
28636,CPT,Treat toe dislocation,,,21 ,,RBRVS,2.77 ,2.63 ,3.88 ,,,,,1,0,1,1,1,1,20061001
28645,CPT,Repair toe dislocation,,,21 ,,RBRVS,4.21 ,3.28 ,4.96 ,,,,,1,0,1,1,1,1,20061001
28660,CPT,Treat toe dislocation,,,21 ,,RBRVS,1.23 ,0.79 ,1.26 ,,,,,1,0,1,1,1,1,20061001
28665,CPT,Treat toe dislocation,,,21 ,,RBRVS,1.92 ,1.43 ,1.43 ,,,,,1,0,1,1,1,1,20061001
28666,CPT,Treat toe dislocation,,,21 ,,RBRVS,2.66 ,2.59 ,5.90 ,,,,,1,0,1,1,1,1,20061001
28675,CPT,Repair of toe dislocation,,,21 ,,RBRVS,2.92 ,3.36 ,7.16 ,,,,,1,0,1,1,1,1,20061001
28705,CPT,Fusion of foot bones,,,21 ,,RBRVS,18.77 ,12.47 ,12.47 ,,,,,1,0,1,1,1,1,20061001
28715,CPT,Fusion of foot bones,,,21 ,,RBRVS,13.08 ,9.78 ,9.78 ,,,,,1,0,1,1,1,1,20061001
28725,CPT,Fusion of foot bones,,,21 ,,RBRVS,11.59 ,8.26 ,8.26 ,,,,,1,0,1,1,1,1,20061001
28730,CPT,Fusion of foot bones,,,21 ,,RBRVS,10.74 ,8.50 ,8.50 ,,,,,1,0,1,1,1,1,20061001
28735,CPT,Fusion of foot bones,,,21 ,,RBRVS,10.83 ,7.84 ,7.84 ,,,,,1,0,1,1,1,1,20061001
28737,CPT,Revision of foot bones,,,21 ,,RBRVS,9.63 ,6.82 ,6.82 ,,,,,1,0,1,1,1,1,20061001
28740,CPT,Fusion of foot bones,,,21 ,,RBRVS,8.01 ,6.48 ,10.89 ,,,,,1,0,1,1,1,1,20061001
28750,CPT,Fusion of big toe joint,,,21 ,,RBRVS,7.29 ,6.68 ,11.94 ,,,,,1,0,1,1,1,1,20061001
28755,CPT,Fusion of big toe joint,,,21 ,,RBRVS,4.73 ,3.76 ,6.12 ,,,,,1,0,1,1,1,1,20061001
28760,CPT,Fusion of big toe joint,,,21 ,,RBRVS,7.74 ,5.53 ,7.99 ,,,,,1,0,1,1,1,1,20061001
28800,CPT,Amputation of midfoot,,,21 ,,RBRVS,8.20 ,5.81 ,5.81 ,,,,,1,0,1,1,1,1,20061001
28805,CPT,Amputation thru metatarsal,,,21 ,,RBRVS,8.38 ,5.66 ,5.66 ,,,,,1,0,1,1,1,1,20061001
28810,CPT,Amputation toe & metatarsal,,,21 ,,RBRVS,6.20 ,4.48 ,4.48 ,,,,,1,0,1,1,1,1,20061001
28820,CPT,Amputation of toe,,,21 ,,RBRVS,4.40 ,3.79 ,7.57 ,,,,,1,0,1,1,1,1,20061001
28825,CPT,Partial amputation of toe,,,21 ,,RBRVS,3.58 ,3.49 ,7.01 ,,,,,1,0,1,1,1,1,20061001
28890,CPT,"High energy eswt, plantar f",,,21 ,,RBRVS,3.30 ,2.09 ,5.73 ,,,,,1,0,1,1,1,1,20061001
28899,CPT,Foot/toes surgery procedure,,,21 ,,TotalUnits,,,,9.04 ,,,,1,0,1,1,1,1,20061001
29000,CPT,Application of body cast,,,21 ,,RBRVS,2.25 ,1.74 ,2.97 ,,,,,1,0,1,1,1,1,20061001
29010,CPT,Application of body cast,,,21 ,,RBRVS,2.06 ,1.78 ,3.29 ,,,,,1,0,1,1,1,1,20061001
29015,CPT,Application of body cast,,,21 ,,RBRVS,2.41 ,1.60 ,2.98 ,,,,,1,0,1,1,1,1,20061001
29020,CPT,Application of body cast,,,21 ,,RBRVS,2.11 ,1.41 ,3.19 ,,,,,1,0,1,1,1,1,20061001
29025,CPT,Application of body cast,,,21 ,,RBRVS,2.40 ,1.86 ,3.15 ,,,,,1,0,1,1,1,1,20061001
29035,CPT,Application of body cast,,,21 ,,RBRVS,1.77 ,1.58 ,3.62 ,,,,,1,0,1,1,1,1,20061001
29040,CPT,Application of body cast,,,21 ,,RBRVS,2.22 ,1.51 ,2.47 ,,,,,1,0,1,1,1,1,20061001
29044,CPT,Application of body cast,,,21 ,,RBRVS,2.12 ,1.91 ,3.98 ,,,,,1,0,1,1,1,1,20061001
29046,CPT,Application of body cast,,,21 ,,RBRVS,2.41 ,2.10 ,3.24 ,,,,,1,0,1,1,1,1,20061001
29049,CPT,Application of figure eight,,,21 ,,RBRVS,0.89 ,0.53 ,1.30 ,,,,,1,0,1,1,1,1,20061001
29055,CPT,Application of shoulder cast,,,21 ,,RBRVS,1.78 ,1.47 ,2.99 ,,,,,1,0,1,1,1,1,20061001
29058,CPT,Application of shoulder cast,,,21 ,,RBRVS,1.31 ,0.72 ,1.56 ,,,,,1,0,1,1,1,1,20061001
29065,CPT,Application of long arm cast,,,21 ,,RBRVS,0.87 ,0.75 ,1.33 ,,,,,1,0,1,1,1,1,20061001
29075,CPT,Application of forearm cast,,,21 ,,RBRVS,0.77 ,0.68 ,1.26 ,,,,,1,0,1,1,1,1,20061001
29085,CPT,Apply hand/wrist cast,,,21 ,,RBRVS,0.87 ,0.63 ,1.28 ,,,,,1,0,1,1,1,1,20061001
29086,CPT,Apply finger cast,,,21 ,,RBRVS,0.62 ,0.49 ,0.96 ,,,,,1,0,1,1,1,1,20061001
29105,CPT,Apply long arm splint,,,21 ,,RBRVS,0.87 ,0.51 ,1.23 ,,,,,1,0,1,1,1,1,20061001
29125,CPT,Apply forearm splint,,,21 ,,RBRVS,0.59 ,0.39 ,1.02 ,,,,,1,0,1,1,1,1,20061001
29126,CPT,Apply forearm splint,,,21 ,,RBRVS,0.77 ,0.46 ,1.21 ,,,,,1,0,1,1,1,1,20061001
29130,CPT,Application of finger splint,,,21 ,,RBRVS,0.50 ,0.17 ,0.47 ,,,,,1,0,1,1,1,1,20061001
29131,CPT,Application of finger splint,,,21 ,,RBRVS,0.55 ,0.24 ,0.74 ,,,,,1,0,1,1,1,1,20061001
29200,CPT,Strapping of chest,,,21 ,,RBRVS,0.65 ,0.34 ,0.72 ,,,,,1,0,1,1,1,1,20061001
29220,CPT,Strapping of low back,,,21 ,,RBRVS,0.64 ,0.39 ,0.72 ,,,,,1,0,1,1,1,1,20061001
29240,CPT,Strapping of shoulder,,,21 ,,RBRVS,0.71 ,0.36 ,0.85 ,,,,,1,0,1,1,1,1,20061001
29260,CPT,Strapping of elbow or wrist,,,21 ,,RBRVS,0.55 ,0.32 ,0.74 ,,,,,1,0,1,1,1,1,20061001
29280,CPT,Strapping of hand or finger,,,21 ,,RBRVS,0.51 ,0.32 ,0.80 ,,,,,1,0,1,1,1,1,20061001
29305,CPT,Application of hip cast,,,21 ,,RBRVS,2.03 ,1.77 ,3.35 ,,,,,1,0,1,1,1,1,20061001
29325,CPT,Application of hip casts,,,21 ,,RBRVS,2.32 ,1.96 ,3.54 ,,,,,1,0,1,1,1,1,20061001
29345,CPT,Application of long leg cast,,,21 ,,RBRVS,1.40 ,1.06 ,1.77 ,,,,,1,0,1,1,1,1,20061001
29355,CPT,Application of long leg cast,,,21 ,,RBRVS,1.53 ,1.12 ,1.71 ,,,,,1,0,1,1,1,1,20061001
29358,CPT,Apply long leg cast brace,,,21 ,,RBRVS,1.43 ,1.09 ,2.07 ,,,,,1,0,1,1,1,1,20061001
29365,CPT,Application of long leg cast,,,21 ,,RBRVS,1.18 ,0.95 ,1.66 ,,,,,1,0,1,1,1,1,20061001
29405,CPT,Apply short leg cast,,,21 ,,RBRVS,0.86 ,0.71 ,1.22 ,,,,,1,0,1,1,1,1,20061001
29425,CPT,Apply short leg cast,,,21 ,,RBRVS,1.01 ,0.74 ,1.23 ,,,,,1,0,1,1,1,1,20061001
29435,CPT,Apply short leg cast,,,21 ,,RBRVS,1.18 ,0.93 ,1.56 ,,,,,1,0,1,1,1,1,20061001
29440,CPT,Addition of walker to cast,,,21 ,,RBRVS,0.57 ,0.27 ,0.69 ,,,,,1,0,1,1,1,1,20061001
29445,CPT,Apply rigid leg cast,,,21 ,,RBRVS,1.78 ,0.96 ,1.81 ,,,,,1,0,1,1,1,1,20061001
29450,CPT,Application of leg cast,,,21 ,,RBRVS,2.08 ,1.09 ,1.47 ,,,,,1,0,1,1,1,1,20061001
29505,CPT,"Application, long leg splint",,,21 ,,RBRVS,0.69 ,0.45 ,1.18 ,,,,,1,0,1,1,1,1,20061001
29515,CPT,Application lower leg splint,,,21 ,,RBRVS,0.73 ,0.46 ,0.87 ,,,,,1,0,1,1,1,1,20061001
29520,CPT,Strapping of hip,,,21 ,,RBRVS,0.54 ,0.47 ,0.85 ,,,,,1,0,1,1,1,1,20061001
29530,CPT,Strapping of knee,,,21 ,,RBRVS,0.57 ,0.33 ,0.79 ,,,,,1,0,1,1,1,1,20061001
29540,CPT,Strapping of ankle and/or ft,,,21 ,,RBRVS,0.51 ,0.31 ,0.42 ,,,,,1,0,1,1,1,1,20061001
29550,CPT,Strapping of toes,,,21 ,,RBRVS,0.47 ,0.28 ,0.42 ,,,,,1,0,1,1,1,1,20061001
29580,CPT,Application of paste boot,,,21 ,,RBRVS,0.57 ,0.35 ,0.65 ,,,,,1,0,1,1,1,1,20061001
29590,CPT,Application of foot splint,,,21 ,,RBRVS,0.76 ,0.29 ,0.51 ,,,,,1,0,1,1,1,1,20061001
29700,CPT,Removal/revision of cast,,,21 ,,RBRVS,0.57 ,0.28 ,0.89 ,,,,,1,0,1,1,1,1,20061001
29705,CPT,Removal/revision of cast,,,21 ,,RBRVS,0.76 ,0.38 ,0.82 ,,,,,1,0,1,1,1,1,20061001
29710,CPT,Removal/revision of cast,,,21 ,,RBRVS,1.34 ,0.70 ,1.53 ,,,,,1,0,1,1,1,1,20061001
29715,CPT,Removal/revision of cast,,,21 ,,RBRVS,0.94 ,0.40 ,1.17 ,,,,,1,0,1,1,1,1,20061001
29720,CPT,Repair of body cast,,,21 ,,RBRVS,0.68 ,0.39 ,1.16 ,,,,,1,0,1,1,1,1,20061001
29730,CPT,Windowing of cast,,,21 ,,RBRVS,0.75 ,0.35 ,0.81 ,,,,,1,0,1,1,1,1,20061001
29740,CPT,Wedging of cast,,,21 ,,RBRVS,1.12 ,0.49 ,1.15 ,,,,,1,0,1,1,1,1,20061001
29750,CPT,Wedging of clubfoot cast,,,21 ,,RBRVS,1.26 ,0.58 ,1.06 ,,,,,1,0,1,1,1,1,20061001
29799,CPT,Casting/strapping procedure,,,21 ,,TotalUnits,,,,1.43 ,,,,1,0,1,1,1,1,20061001
29800,CPT,Jaw arthroscopy/surgery,,,21 ,,RBRVS,6.42 ,6.99 ,6.99 ,,,,,1,0,1,1,1,1,20061001
29804,CPT,Jaw arthroscopy/surgery,,,21 ,,RBRVS,8.13 ,7.64 ,7.64 ,,,,,1,0,1,1,1,1,20061001
29805,CPT,"Shoulder arthroscopy, dx",,,21 ,,RBRVS,5.88 ,5.69 ,5.69 ,,,,,1,0,1,1,1,1,20061001
29806,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,14.35 ,11.19 ,11.19 ,,,,,1,0,1,1,1,1,20061001
29807,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,13.88 ,11.02 ,11.02 ,,,,,1,0,1,1,1,1,20061001
29819,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.61 ,6.81 ,6.81 ,,,,,1,0,1,1,1,1,20061001
29820,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.06 ,6.24 ,6.24 ,,,,,1,0,1,1,1,1,20061001
29821,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.71 ,6.82 ,6.82 ,,,,,1,0,1,1,1,1,20061001
29822,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.42 ,6.71 ,6.71 ,,,,,1,0,1,1,1,1,20061001
29823,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,8.16 ,7.24 ,7.24 ,,,,,1,0,1,1,1,1,20061001
29824,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,8.24 ,7.55 ,7.55 ,,,,,1,0,1,1,1,1,20061001
29825,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.61 ,6.78 ,6.78 ,,,,,1,0,1,1,1,1,20061001
29826,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,8.98 ,7.55 ,7.55 ,,,,,1,0,1,1,1,1,20061001
29827,CPT,Arthroscop rotator cuff repr,,,21 ,,RBRVS,15.34 ,11.56 ,11.56 ,,,,,1,0,1,1,1,1,20061001
29830,CPT,Elbow arthroscopy,,,21 ,,RBRVS,5.75 ,5.36 ,5.36 ,,,,,1,0,1,1,1,1,20061001
29834,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,6.27 ,5.85 ,5.85 ,,,,,1,0,1,1,1,1,20061001
29835,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,6.47 ,5.90 ,5.90 ,,,,,1,0,1,1,1,1,20061001
29836,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,7.54 ,6.81 ,6.81 ,,,,,1,0,1,1,1,1,20061001
29837,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,6.86 ,6.15 ,6.15 ,,,,,1,0,1,1,1,1,20061001
29838,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,7.70 ,6.91 ,6.91 ,,,,,1,0,1,1,1,1,20061001
29840,CPT,Wrist arthroscopy,,,21 ,,RBRVS,5.53 ,5.34 ,5.34 ,,,,,1,0,1,1,1,1,20061001
29843,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,6.00 ,5.64 ,5.64 ,,,,,1,0,1,1,1,1,20061001
29844,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,6.36 ,5.84 ,5.84 ,,,,,1,0,1,1,1,1,20061001
29845,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,7.51 ,6.49 ,6.49 ,,,,,1,0,1,1,1,1,20061001
29846,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,6.74 ,6.07 ,6.07 ,,,,,1,0,1,1,1,1,20061001
29847,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,7.07 ,6.21 ,6.21 ,,,,,1,0,1,1,1,1,20061001
29848,CPT,Wrist endoscopy/surgery,,,21 ,,RBRVS,5.43 ,5.62 ,5.62 ,,,,,1,0,1,1,1,1,20061001
29850,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.18 ,5.05 ,5.05 ,,,,,1,0,1,1,1,1,20061001
29851,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,13.08 ,9.82 ,9.82 ,,,,,1,0,1,1,1,1,20061001
29855,CPT,Tibial arthroscopy/surgery,,,21 ,,RBRVS,10.60 ,8.79 ,8.79 ,,,,,1,0,1,1,1,1,20061001
29856,CPT,Tibial arthroscopy/surgery,,,21 ,,RBRVS,14.12 ,10.70 ,10.70 ,,,,,1,0,1,1,1,1,20061001
29860,CPT,"Hip arthroscopy, dx",,,21 ,,RBRVS,8.04 ,6.97 ,6.97 ,,,,,1,0,1,1,1,1,20061001
29861,CPT,Hip arthroscopy/surgery,,,21 ,,RBRVS,9.14 ,7.36 ,7.36 ,,,,,1,0,1,1,1,1,20061001
29862,CPT,Hip arthroscopy/surgery,,,21 ,,RBRVS,9.89 ,8.58 ,8.58 ,,,,,1,0,1,1,1,1,20061001
29863,CPT,Hip arthroscopy/surgery,,,21 ,,RBRVS,9.89 ,8.53 ,8.53 ,,,,,1,0,1,1,1,1,20061001
29866,CPT,"Autgrft implnt, knee w/scope",,,21 ,,RBRVS,13.88 ,11.38 ,11.38 ,,,,,1,0,1,1,1,1,20061001
29867,CPT,"Allgrft implnt, knee w/scope",,,21 ,,RBRVS,17.00 ,13.26 ,13.26 ,,,,,1,0,1,1,1,1,20061001
29868,CPT,"Meniscal trnspl, knee w/scpe",,,21 ,,RBRVS,23.59 ,16.84 ,16.84 ,,,,,1,0,1,1,1,1,20061001
29870,CPT,"Knee arthroscopy, dx",,,21 ,,RBRVS,5.06 ,4.90 ,4.90 ,,,,,1,0,1,1,1,1,20061001
29871,CPT,Knee arthroscopy/drainage,,,21 ,,RBRVS,6.54 ,5.89 ,5.89 ,,,,,1,0,1,1,1,1,20061001
29873,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,5.99 ,6.59 ,6.59 ,,,,,1,0,1,1,1,1,20061001
29874,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,7.04 ,6.09 ,6.09 ,,,,,1,0,1,1,1,1,20061001
29875,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,6.30 ,5.87 ,5.87 ,,,,,1,0,1,1,1,1,20061001
29876,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,7.91 ,7.04 ,7.04 ,,,,,1,0,1,1,1,1,20061001
29877,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,7.34 ,6.76 ,6.76 ,,,,,1,0,1,1,1,1,20061001
29879,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.03 ,7.14 ,7.14 ,,,,,1,0,1,1,1,1,20061001
29880,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.49 ,7.38 ,7.38 ,,,,,1,0,1,1,1,1,20061001
29881,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,7.75 ,6.98 ,6.98 ,,,,,1,0,1,1,1,1,20061001
29882,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.64 ,7.26 ,7.26 ,,,,,1,0,1,1,1,1,20061001
29883,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,11.03 ,9.09 ,9.09 ,,,,,1,0,1,1,1,1,20061001
29884,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,7.32 ,6.72 ,6.72 ,,,,,1,0,1,1,1,1,20061001
29885,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,9.08 ,7.99 ,7.99 ,,,,,1,0,1,1,1,1,20061001
29886,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,7.53 ,6.87 ,6.87 ,,,,,1,0,1,1,1,1,20061001
29887,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,9.03 ,7.95 ,7.95 ,,,,,1,0,1,1,1,1,20061001
29888,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,13.88 ,10.23 ,10.23 ,,,,,1,0,1,1,1,1,20061001
29889,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,15.98 ,12.47 ,12.47 ,,,,,1,0,1,1,1,1,20061001
29891,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,8.39 ,7.53 ,7.53 ,,,,,1,0,1,1,1,1,20061001
29892,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,8.99 ,7.76 ,7.76 ,,,,,1,0,1,1,1,1,20061001
29893,CPT,"Scope, plantar fasciotomy",,,21 ,,RBRVS,5.21 ,4.00 ,6.30 ,,,,,1,0,1,1,1,1,20061001
29894,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,7.20 ,5.49 ,5.49 ,,,,,1,0,1,1,1,1,20061001
29895,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,6.98 ,5.49 ,5.49 ,,,,,1,0,1,1,1,1,20061001
29897,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,7.17 ,5.90 ,5.90 ,,,,,1,0,1,1,1,1,20061001
29898,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,8.31 ,6.21 ,6.21 ,,,,,1,0,1,1,1,1,20061001
29899,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,13.89 ,10.57 ,10.57 ,,,,,1,0,1,1,1,1,20061001
29900,CPT,"Mcp joint arthroscopy, dx",,,21 ,,RBRVS,5.41 ,5.88 ,5.88 ,,,,,1,0,1,1,1,1,20061001
29901,CPT,"Mcp joint arthroscopy, surg",,,21 ,,RBRVS,6.12 ,6.28 ,6.28 ,,,,,1,0,1,1,1,1,20061001
29902,CPT,"Mcp joint arthroscopy, surg",,,21 ,,RBRVS,6.69 ,6.56 ,6.56 ,,,,,1,0,1,1,1,1,20061001
29999,CPT,Arthroscopy of joint,,,21 ,,TotalUnits,,,,14.57 ,,,,1,0,1,1,1,1,20061001
30000,CPT,Drainage of nose lesion,,,21 ,,RBRVS,1.43 ,1.39 ,4.08 ,,,,,1,0,1,1,1,1,20061001
30020,CPT,Drainage of nose lesion,,,21 ,,RBRVS,1.43 ,1.47 ,3.28 ,,,,,1,0,1,1,1,1,20061001
30100,CPT,Intranasal biopsy,,,21 ,,RBRVS,0.94 ,0.82 ,1.98 ,,,,,1,0,1,1,1,1,20061001
30110,CPT,Removal of nose polyp(s),,,21 ,,RBRVS,1.63 ,1.57 ,3.25 ,,,,,1,0,1,1,1,1,20061001
30115,CPT,Removal of nose polyp(s),,,21 ,,RBRVS,4.34 ,5.78 ,5.78 ,,,,,1,0,1,1,1,1,20061001
30117,CPT,Removal of intranasal lesion,,,21 ,,RBRVS,3.16 ,4.64 ,13.18 ,,,,,1,0,1,1,1,1,20061001
30118,CPT,Removal of intranasal lesion,,,21 ,,RBRVS,9.68 ,9.22 ,9.22 ,,,,,1,0,1,1,1,1,20061001
30120,CPT,Revision of nose,,,21 ,,RBRVS,5.26 ,6.02 ,6.51 ,,,,,1,0,1,1,1,1,20061001
30124,CPT,Removal of nose lesion,,,21 ,,RBRVS,3.10 ,3.62 ,3.62 ,,,,,1,0,1,1,1,1,20061001
30125,CPT,Removal of nose lesion,,,21 ,,RBRVS,7.15 ,8.34 ,8.34 ,,,,,1,0,1,1,1,1,20061001
30130,CPT,Removal of turbinate bones,,,21 ,,RBRVS,3.37 ,5.61 ,5.61 ,,,,,1,0,1,1,1,1,20061001
30140,CPT,Removal of turbinate bones,,,21 ,,RBRVS,3.42 ,6.21 ,6.21 ,,,,,1,0,1,1,1,1,20061001
30150,CPT,Partial removal of nose,,,21 ,,RBRVS,9.13 ,11.04 ,11.04 ,,,,,1,0,1,1,1,1,20061001
30160,CPT,Removal of nose,,,21 ,,RBRVS,9.57 ,10.24 ,10.24 ,,,,,1,0,1,1,1,1,20061001
30200,CPT,Injection treatment of nose,,,21 ,,RBRVS,0.78 ,0.74 ,1.62 ,,,,,1,0,1,1,1,1,20061001
30210,CPT,Nasal sinus therapy,,,21 ,,RBRVS,1.08 ,1.31 ,2.11 ,,,,,1,0,1,1,1,1,20061001
30220,CPT,Insert nasal septal button,,,21 ,,RBRVS,1.54 ,1.53 ,4.24 ,,,,,1,0,1,1,1,1,20061001
30300,CPT,Remove nasal foreign body,,,21 ,,RBRVS,1.04 ,1.92 ,4.64 ,,,,,1,0,1,1,1,1,20061001
30310,CPT,Remove nasal foreign body,,,21 ,,RBRVS,1.96 ,3.11 ,3.11 ,,,,,1,0,1,1,1,1,20061001
30320,CPT,Remove nasal foreign body,,,21 ,,RBRVS,4.51 ,7.06 ,7.06 ,,,,,1,0,1,1,1,1,20061001
30400,CPT,Reconstruction of nose,,,21 ,,RBRVS,9.82 ,15.53 ,15.53 ,,,,,1,0,1,1,1,1,20061001
30410,CPT,Reconstruction of nose,,,21 ,,RBRVS,12.96 ,18.42 ,18.42 ,,,,,1,0,1,1,1,1,20061001
30420,CPT,Reconstruction of nose,,,21 ,,RBRVS,15.86 ,17.96 ,17.96 ,,,,,1,0,1,1,1,1,20061001
30430,CPT,Revision of nose,,,21 ,,RBRVS,7.20 ,16.06 ,16.06 ,,,,,1,0,1,1,1,1,20061001
30435,CPT,Revision of nose,,,21 ,,RBRVS,11.69 ,19.41 ,19.41 ,,,,,1,0,1,1,1,1,20061001
30450,CPT,Revision of nose,,,21 ,,RBRVS,18.62 ,21.95 ,21.95 ,,,,,1,0,1,1,1,1,20061001
30460,CPT,Revision of nose,,,21 ,,RBRVS,9.95 ,9.97 ,9.97 ,,,,,1,0,1,1,1,1,20061001
30462,CPT,Revision of nose,,,21 ,,RBRVS,19.54 ,20.30 ,20.30 ,,,,,1,0,1,1,1,1,20061001
30465,CPT,Repair nasal stenosis,,,21 ,,RBRVS,11.62 ,12.00 ,12.00 ,,,,,1,0,1,1,1,1,20061001
30520,CPT,Repair of nasal septum,,,21 ,,RBRVS,5.69 ,6.68 ,6.68 ,,,,,1,0,1,1,1,1,20061001
30540,CPT,Repair nasal defect,,,21 ,,RBRVS,7.74 ,9.30 ,9.30 ,,,,,1,0,1,1,1,1,20061001
30545,CPT,Repair nasal defect,,,21 ,,RBRVS,11.36 ,11.93 ,11.93 ,,,,,1,0,1,1,1,1,20061001
30560,CPT,Release of nasal adhesions,,,21 ,,RBRVS,1.26 ,2.14 ,4.78 ,,,,,1,0,1,1,1,1,20061001
30580,CPT,Repair upper jaw fistula,,,21 ,,RBRVS,6.68 ,5.81 ,7.79 ,,,,,1,0,1,1,1,1,20061001
30600,CPT,Repair mouth/nose fistula,,,21 ,,RBRVS,6.01 ,5.03 ,7.54 ,,,,,1,0,1,1,1,1,20061001
30620,CPT,Intranasal reconstruction,,,21 ,,RBRVS,5.96 ,8.86 ,8.86 ,,,,,1,0,1,1,1,1,20061001
30630,CPT,Repair nasal septum defect,,,21 ,,RBRVS,7.11 ,7.97 ,7.97 ,,,,,1,0,1,1,1,1,20061001
30801,CPT,"Cauterization, inner nose",,,21 ,,RBRVS,1.09 ,1.93 ,4.14 ,,,,,1,0,1,1,1,1,20061001
30802,CPT,"Cauterization, inner nose",,,21 ,,RBRVS,2.03 ,2.37 ,4.62 ,,,,,1,0,1,1,1,1,20061001
30901,CPT,Control of nosebleed,,,21 ,,RBRVS,1.21 ,0.32 ,1.36 ,,,,,1,0,1,1,1,1,20061001
30903,CPT,Control of nosebleed,,,21 ,,RBRVS,1.54 ,0.50 ,2.72 ,,,,,1,0,1,1,1,1,20061001
30905,CPT,Control of nosebleed,,,21 ,,RBRVS,1.97 ,0.76 ,3.52 ,,,,,1,0,1,1,1,1,20061001
30906,CPT,Repeat control of nosebleed,,,21 ,,RBRVS,2.45 ,1.20 ,3.90 ,,,,,1,0,1,1,1,1,20061001
30915,CPT,"Ligation, nasal sinus artery",,,21 ,,RBRVS,7.19 ,6.71 ,6.71 ,,,,,1,0,1,1,1,1,20061001
30920,CPT,"Ligation, upper jaw artery",,,21 ,,RBRVS,9.82 ,9.00 ,9.00 ,,,,,1,0,1,1,1,1,20061001
30930,CPT,"Therapy, fracture of nose",,,21 ,,RBRVS,1.26 ,1.62 ,1.62 ,,,,,1,0,1,1,1,1,20061001
30999,CPT,Nasal surgery procedure,,,21 ,,TotalUnits,,,,6.88 ,,,,1,0,1,1,1,1,20061001
31000,CPT,"Irrigation, maxillary sinus",,,21 ,,RBRVS,1.15 ,1.40 ,2.85 ,,,,,1,0,1,1,1,1,20061001
31002,CPT,"Irrigation, sphenoid sinus",,,21 ,,RBRVS,1.91 ,3.25 ,3.25 ,,,,,1,0,1,1,1,1,20061001
31020,CPT,"Exploration, maxillary sinus",,,21 ,,RBRVS,2.94 ,5.20 ,8.55 ,,,,,1,0,1,1,1,1,20061001
31030,CPT,"Exploration, maxillary sinus",,,21 ,,RBRVS,5.91 ,6.68 ,11.53 ,,,,,1,0,1,1,1,1,20061001
31032,CPT,"Explore sinus, remove polyps",,,21 ,,RBRVS,6.56 ,7.25 ,7.25 ,,,,,1,0,1,1,1,1,20061001
31040,CPT,Exploration behind upper jaw,,,21 ,,RBRVS,9.41 ,9.85 ,9.85 ,,,,,1,0,1,1,1,1,20061001
31050,CPT,"Exploration, sphenoid sinus",,,21 ,,RBRVS,5.27 ,6.37 ,6.37 ,,,,,1,0,1,1,1,1,20061001
31051,CPT,Sphenoid sinus surgery,,,21 ,,RBRVS,7.10 ,8.26 ,8.26 ,,,,,1,0,1,1,1,1,20061001
31070,CPT,Exploration of frontal sinus,,,21 ,,RBRVS,4.27 ,5.95 ,5.95 ,,,,,1,0,1,1,1,1,20061001
31075,CPT,Exploration of frontal sinus,,,21 ,,RBRVS,9.15 ,9.76 ,9.76 ,,,,,1,0,1,1,1,1,20061001
31080,CPT,Removal of frontal sinus,,,21 ,,RBRVS,11.40 ,13.57 ,13.57 ,,,,,1,0,1,1,1,1,20061001
31081,CPT,Removal of frontal sinus,,,21 ,,RBRVS,12.73 ,14.04 ,14.04 ,,,,,1,0,1,1,1,1,20061001
31084,CPT,Removal of frontal sinus,,,21 ,,RBRVS,13.49 ,13.54 ,13.54 ,,,,,1,0,1,1,1,1,20061001
31085,CPT,Removal of frontal sinus,,,21 ,,RBRVS,14.18 ,14.00 ,14.00 ,,,,,1,0,1,1,1,1,20061001
31086,CPT,Removal of frontal sinus,,,21 ,,RBRVS,12.84 ,13.32 ,13.32 ,,,,,1,0,1,1,1,1,20061001
31087,CPT,Removal of frontal sinus,,,21 ,,RBRVS,13.08 ,12.57 ,12.57 ,,,,,1,0,1,1,1,1,20061001
31090,CPT,Exploration of sinuses,,,21 ,,RBRVS,9.52 ,12.59 ,12.59 ,,,,,1,0,1,1,1,1,20061001
31200,CPT,Removal of ethmoid sinus,,,21 ,,RBRVS,4.96 ,9.24 ,9.24 ,,,,,1,0,1,1,1,1,20061001
31201,CPT,Removal of ethmoid sinus,,,21 ,,RBRVS,8.36 ,9.20 ,9.20 ,,,,,1,0,1,1,1,1,20061001
31205,CPT,Removal of ethmoid sinus,,,21 ,,RBRVS,10.22 ,11.91 ,11.91 ,,,,,1,0,1,1,1,1,20061001
31225,CPT,Removal of upper jaw,,,21 ,,RBRVS,19.20 ,17.87 ,17.87 ,,,,,1,0,1,1,1,1,20061001
31230,CPT,Removal of upper jaw,,,21 ,,RBRVS,21.91 ,19.42 ,19.42 ,,,,,1,0,1,1,1,1,20061001
31231,CPT,"Nasal endoscopy, dx",,,21 ,,RBRVS,1.10 ,0.88 ,3.39 ,,,,,1,0,1,1,1,1,20061001
31233,CPT,"Nasal/sinus endoscopy, dx",,,21 ,,RBRVS,2.18 ,1.48 ,4.31 ,,,,,1,0,1,1,1,1,20061001
31235,CPT,"Nasal/sinus endoscopy, dx",,,21 ,,RBRVS,2.64 ,1.72 ,4.92 ,,,,,1,0,1,1,1,1,20061001
31237,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,2.98 ,1.89 ,5.21 ,,,,,1,0,1,1,1,1,20061001
31238,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,3.26 ,2.10 ,5.25 ,,,,,1,0,1,1,1,1,20061001
31239,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,8.69 ,8.02 ,8.02 ,,,,,1,0,1,1,1,1,20061001
31240,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,2.61 ,1.74 ,1.74 ,,,,,1,0,1,1,1,1,20061001
31254,CPT,Revision of ethmoid sinus,,,21 ,,RBRVS,4.64 ,2.86 ,2.86 ,,,,,1,0,1,1,1,1,20061001
31255,CPT,Removal of ethmoid sinus,,,21 ,,RBRVS,6.95 ,4.12 ,4.12 ,,,,,1,0,1,1,1,1,20061001
31256,CPT,Exploration maxillary sinus,,,21 ,,RBRVS,3.29 ,2.12 ,2.12 ,,,,,1,0,1,1,1,1,20061001
31267,CPT,"Endoscopy, maxillary sinus",,,21 ,,RBRVS,5.45 ,3.30 ,3.30 ,,,,,1,0,1,1,1,1,20061001
31276,CPT,"Sinus endoscopy, surgical",,,21 ,,RBRVS,8.84 ,5.13 ,5.13 ,,,,,1,0,1,1,1,1,20061001
31287,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,3.91 ,2.46 ,2.46 ,,,,,1,0,1,1,1,1,20061001
31288,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,4.57 ,2.82 ,2.82 ,,,,,1,0,1,1,1,1,20061001
31290,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,17.21 ,12.08 ,12.08 ,,,,,1,0,1,1,1,1,20061001
31291,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,18.16 ,12.51 ,12.51 ,,,,,1,0,1,1,1,1,20061001
31292,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,14.74 ,10.64 ,10.64 ,,,,,1,0,1,1,1,1,20061001
31293,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,16.19 ,11.41 ,11.41 ,,,,,1,0,1,1,1,1,20061001
31294,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,19.03 ,12.91 ,12.91 ,,,,,1,0,1,1,1,1,20061001
31299,CPT,Sinus surgery procedure,,,21 ,,TotalUnits,,,,5.43 ,,,,1,0,1,1,1,1,20061001
31300,CPT,Removal of larynx lesion,,,21 ,,RBRVS,14.27 ,15.02 ,15.02 ,,,,,1,0,1,1,1,1,20061001
31320,CPT,"Diagnostic incision, larynx",,,21 ,,RBRVS,5.25 ,10.33 ,10.33 ,,,,,1,0,1,1,1,1,20061001
31360,CPT,Removal of larynx,,,21 ,,RBRVS,17.05 ,16.77 ,16.77 ,,,,,1,0,1,1,1,1,20061001
31365,CPT,Removal of larynx,,,21 ,,RBRVS,24.12 ,20.42 ,20.42 ,,,,,1,0,1,1,1,1,20061001
31367,CPT,Partial removal of larynx,,,21 ,,RBRVS,21.83 ,21.95 ,21.95 ,,,,,1,0,1,1,1,1,20061001
31368,CPT,Partial removal of larynx,,,21 ,,RBRVS,27.05 ,25.56 ,25.56 ,,,,,1,0,1,1,1,1,20061001
31370,CPT,Partial removal of larynx,,,21 ,,RBRVS,21.35 ,22.32 ,22.32 ,,,,,1,0,1,1,1,1,20061001
31375,CPT,Partial removal of larynx,,,21 ,,RBRVS,20.18 ,20.44 ,20.44 ,,,,,1,0,1,1,1,1,20061001
31380,CPT,Partial removal of larynx,,,21 ,,RBRVS,20.18 ,20.66 ,20.66 ,,,,,1,0,1,1,1,1,20061001
31382,CPT,Partial removal of larynx,,,21 ,,RBRVS,20.49 ,21.67 ,21.67 ,,,,,1,0,1,1,1,1,20061001
31390,CPT,Removal of larynx & pharynx,,,21 ,,RBRVS,27.49 ,24.45 ,24.45 ,,,,,1,0,1,1,1,1,20061001
31395,CPT,Reconstruct larynx & pharynx,,,21 ,,RBRVS,31.04 ,28.38 ,28.38 ,,,,,1,0,1,1,1,1,20061001
31400,CPT,Revision of larynx,,,21 ,,RBRVS,10.29 ,13.81 ,13.81 ,,,,,1,0,1,1,1,1,20061001
31420,CPT,Removal of epiglottis,,,21 ,,RBRVS,10.20 ,9.57 ,9.57 ,,,,,1,0,1,1,1,1,20061001
31500,CPT,Insert emergency airway,,,21 ,,RBRVS,2.33 ,0.55 ,0.55 ,,,,,1,0,1,1,1,1,20061001
31502,CPT,Change of windpipe airway,,,21 ,,RBRVS,0.65 ,0.28 ,0.31 ,,,,,1,0,1,1,1,1,20061001
31505,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,0.61 ,0.61 ,1.45 ,,,,,1,0,1,1,1,1,20061001
31510,CPT,Laryngoscopy with biopsy,,,21 ,,RBRVS,1.92 ,1.25 ,3.31 ,,,,,1,0,1,1,1,1,20061001
31511,CPT,"Remove foreign body, larynx",,,21 ,,RBRVS,2.16 ,1.06 ,3.13 ,,,,,1,0,1,1,1,1,20061001
31512,CPT,Removal of larynx lesion,,,21 ,,RBRVS,2.07 ,1.36 ,3.21 ,,,,,1,0,1,1,1,1,20061001
31513,CPT,Injection into vocal cord,,,21 ,,RBRVS,2.10 ,1.46 ,1.46 ,,,,,1,0,1,1,1,1,20061001
31515,CPT,Laryngoscopy for aspiration,,,21 ,,RBRVS,1.80 ,1.06 ,3.55 ,,,,,1,0,1,1,1,1,20061001
31520,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,2.56 ,1.56 ,1.56 ,,,,,1,0,1,1,1,1,20061001
31525,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,2.63 ,1.66 ,3.65 ,,,,,1,0,1,1,1,1,20061001
31526,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,2.57 ,1.72 ,1.72 ,,,,,1,0,1,1,1,1,20061001
31527,CPT,Laryngoscopy for treatment,,,21 ,,RBRVS,3.27 ,1.88 ,1.88 ,,,,,1,0,1,1,1,1,20061001
31528,CPT,Laryngoscopy and dilation,,,21 ,,RBRVS,2.37 ,1.46 ,1.46 ,,,,,1,0,1,1,1,1,20061001
31529,CPT,Laryngoscopy and dilation,,,21 ,,RBRVS,2.68 ,1.71 ,1.71 ,,,,,1,0,1,1,1,1,20061001
31530,CPT,Operative laryngoscopy,,,21 ,,RBRVS,3.38 ,1.96 ,1.96 ,,,,,1,0,1,1,1,1,20061001
31531,CPT,Operative laryngoscopy,,,21 ,,RBRVS,3.58 ,2.28 ,2.28 ,,,,,1,0,1,1,1,1,20061001
31535,CPT,Operative laryngoscopy,,,21 ,,RBRVS,3.16 ,2.00 ,2.00 ,,,,,1,0,1,1,1,1,20061001
31536,CPT,Operative laryngoscopy,,,21 ,,RBRVS,3.55 ,2.26 ,2.26 ,,,,,1,0,1,1,1,1,20061001
31540,CPT,Operative laryngoscopy,,,21 ,,RBRVS,4.12 ,2.55 ,2.55 ,,,,,1,0,1,1,1,1,20061001
31541,CPT,Operative laryngoscopy,,,21 ,,RBRVS,4.52 ,2.79 ,2.79 ,,,,,1,0,1,1,1,1,20061001
31545,CPT,Remove vc lesion w/scope,,,21 ,,RBRVS,6.30 ,3.48 ,3.48 ,,,,,1,0,1,1,1,1,20061001
31546,CPT,Remove vc lesion scope/graft,,,21 ,,RBRVS,9.73 ,4.98 ,4.98 ,,,,,1,0,1,1,1,1,20061001
31560,CPT,Operative laryngoscopy,,,21 ,,RBRVS,5.45 ,3.16 ,3.16 ,,,,,1,0,1,1,1,1,20061001
31561,CPT,Operative laryngoscopy,,,21 ,,RBRVS,5.99 ,3.38 ,3.38 ,,,,,1,0,1,1,1,1,20061001
31570,CPT,Laryngoscopy with injection,,,21 ,,RBRVS,3.86 ,2.39 ,5.69 ,,,,,1,0,1,1,1,1,20061001
31571,CPT,Laryngoscopy with injection,,,21 ,,RBRVS,4.26 ,2.61 ,2.61 ,,,,,1,0,1,1,1,1,20061001
31575,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,1.10 ,0.89 ,1.91 ,,,,,1,0,1,1,1,1,20061001
31576,CPT,Laryngoscopy with biopsy,,,21 ,,RBRVS,1.97 ,1.29 ,3.67 ,,,,,1,0,1,1,1,1,20061001
31577,CPT,"Remove foreign body, larynx",,,21 ,,RBRVS,2.47 ,1.53 ,3.77 ,,,,,1,0,1,1,1,1,20061001
31578,CPT,Removal of larynx lesion,,,21 ,,RBRVS,2.84 ,1.52 ,4.29 ,,,,,1,0,1,1,1,1,20061001
31579,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,2.26 ,1.48 ,3.79 ,,,,,1,0,1,1,1,1,20061001
31580,CPT,Revision of larynx,,,21 ,,RBRVS,12.36 ,15.96 ,15.96 ,,,,,1,0,1,1,1,1,20061001
31582,CPT,Revision of larynx,,,21 ,,RBRVS,21.59 ,25.87 ,25.87 ,,,,,1,0,1,1,1,1,20061001
31584,CPT,Treat larynx fracture,,,21 ,,RBRVS,19.61 ,18.20 ,18.20 ,,,,,1,0,1,1,1,1,20061001
31587,CPT,Revision of larynx,,,21 ,,RBRVS,11.97 ,9.29 ,9.29 ,,,,,1,0,1,1,1,1,20061001
31588,CPT,Revision of larynx,,,21 ,,RBRVS,13.09 ,13.65 ,13.65 ,,,,,1,0,1,1,1,1,20061001
31590,CPT,Reinnervate larynx,,,21 ,,RBRVS,6.96 ,15.58 ,15.58 ,,,,,1,0,1,1,1,1,20061001
31595,CPT,Larynx nerve surgery,,,21 ,,RBRVS,8.33 ,10.58 ,10.58 ,,,,,1,0,1,1,1,1,20061001
31599,CPT,Larynx surgery procedure,,,21 ,,TotalUnits,,,,2.88 ,,,,1,0,1,1,1,1,20061001
31600,CPT,Incision of windpipe,,,21 ,,RBRVS,7.17 ,3.20 ,3.20 ,,,,,1,0,1,1,1,1,20061001
31601,CPT,Incision of windpipe,,,21 ,,RBRVS,4.44 ,2.41 ,2.41 ,,,,,1,0,1,1,1,1,20061001
31603,CPT,Incision of windpipe,,,21 ,,RBRVS,4.14 ,1.71 ,1.71 ,,,,,1,0,1,1,1,1,20061001
31605,CPT,Incision of windpipe,,,21 ,,RBRVS,3.57 ,1.19 ,1.19 ,,,,,1,0,1,1,1,1,20061001
31610,CPT,Incision of windpipe,,,21 ,,RBRVS,8.75 ,8.28 ,8.28 ,,,,,1,0,1,1,1,1,20061001
31611,CPT,Surgery/speech prosthesis,,,21 ,,RBRVS,5.63 ,7.08 ,7.08 ,,,,,1,0,1,1,1,1,20061001
31612,CPT,Puncture/clear windpipe,,,21 ,,RBRVS,0.91 ,0.35 ,1.10 ,,,,,1,0,1,1,1,1,20061001
31613,CPT,Repair windpipe opening,,,21 ,,RBRVS,4.58 ,6.01 ,6.01 ,,,,,1,0,1,1,1,1,20061001
31614,CPT,Repair windpipe opening,,,21 ,,RBRVS,7.11 ,8.74 ,8.74 ,,,,,1,0,1,1,1,1,20061001
31615,CPT,Visualization of windpipe,,,21 ,,RBRVS,2.09 ,1.20 ,2.60 ,,,,,1,0,1,1,1,1,20061001
31620,CPT,Endobronchial us add-on,,,21 ,,RBRVS,1.40 ,0.55 ,5.66 ,,,,,1,0,1,1,1,1,20061001
31622,CPT,Dx bronchoscope/wash,,,21 ,,RBRVS,2.78 ,1.06 ,5.67 ,,,,,1,0,1,1,1,1,20061001
31623,CPT,Dx bronchoscope/brush,,,21 ,,RBRVS,2.88 ,1.05 ,6.44 ,,,,,1,0,1,1,1,1,20061001
31624,CPT,Dx bronchoscope/lavage,,,21 ,,RBRVS,2.88 ,1.05 ,5.79 ,,,,,1,0,1,1,1,1,20061001
31625,CPT,Bronchoscopy w/biopsy(s),,,21 ,,RBRVS,3.36 ,1.21 ,5.83 ,,,,,1,0,1,1,1,1,20061001
31628,CPT,"Bronchoscopy/lung bx, each",,,21 ,,RBRVS,3.80 ,1.30 ,7.04 ,,,,,1,0,1,1,1,1,20061001
31629,CPT,"Bronchoscopy/needle bx, each",,,21 ,,RBRVS,4.09 ,1.40 ,14.29 ,,,,,1,0,1,1,1,1,20061001
31630,CPT,Bronchoscopy dilate/fx repr,,,21 ,,RBRVS,3.81 ,1.72 ,1.72 ,,,,,1,0,1,1,1,1,20061001
31631,CPT,"Bronchoscopy, dilate w/stent",,,21 ,,RBRVS,4.36 ,1.77 ,1.77 ,,,,,1,0,1,1,1,1,20061001
31632,CPT,"Bronchoscopy/lung bx, add?l",,,21 ,,RBRVS,1.03 ,0.31 ,0.81 ,,,,,1,0,1,1,1,1,20061001
31633,CPT,Bronchoscopy/needle bx add?l,,,21 ,,RBRVS,1.32 ,0.40 ,0.92 ,,,,,1,0,1,1,1,1,20061001
31635,CPT,Bronchoscopy w/fb removal,,,21 ,,RBRVS,3.67 ,1.43 ,6.13 ,,,,,1,0,1,1,1,1,20061001
31636,CPT,"Bronchoscopy, bronch stents",,,21 ,,RBRVS,4.30 ,1.77 ,1.77 ,,,,,1,0,1,1,1,1,20061001
31637,CPT,"Bronchoscopy, stent add-on",,,21 ,,RBRVS,1.58 ,0.56 ,0.56 ,,,,,1,0,1,1,1,1,20061001
31638,CPT,"Bronchoscopy, revise stent",,,21 ,,RBRVS,4.88 ,1.98 ,1.98 ,,,,,1,0,1,1,1,1,20061001
31640,CPT,Bronchoscopy w/tumor excise,,,21 ,,RBRVS,4.93 ,2.08 ,2.08 ,,,,,1,0,1,1,1,1,20061001
31641,CPT,"Bronchoscopy, treat blockage",,,21 ,,RBRVS,5.02 ,1.89 ,1.89 ,,,,,1,0,1,1,1,1,20061001
31643,CPT,Diag bronchoscope/catheter,,,21 ,,RBRVS,3.49 ,1.23 ,1.23 ,,,,,1,0,1,1,1,1,20061001
31645,CPT,"Bronchoscopy, clear airways",,,21 ,,RBRVS,3.16 ,1.12 ,5.15 ,,,,,1,0,1,1,1,1,20061001
31646,CPT,"Bronchoscopy, reclear airway",,,21 ,,RBRVS,2.72 ,1.00 ,4.87 ,,,,,1,0,1,1,1,1,20061001
31656,CPT,"Bronchoscopy, inj for x-ray",,,21 ,,RBRVS,2.17 ,0.83 ,7.31 ,,,,,1,0,1,1,1,1,20061001
31700,CPT,Insertion of airway catheter,,,21 ,,RBRVS,1.34 ,0.68 ,2.16 ,,,,,1,0,1,1,1,1,20061001
31708,CPT,Instill airway contrast dye,,,21 ,,RBRVS,1.41 ,0.46 ,2.04 ,,,,,1,0,1,1,1,1,20061001
31710,CPT,Insertion of airway catheter,,,21 ,,RBRVS,1.30 ,0.41 ,0.41 ,,,,,1,0,1,1,1,1,20061001
31715,CPT,Injection for bronchus x-ray,,,21 ,,RBRVS,1.11 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20061001
31717,CPT,Bronchial brush biopsy,,,21 ,,RBRVS,2.12 ,0.79 ,8.27 ,,,,,1,0,1,1,1,1,20061001
31720,CPT,Clearance of airways,,,21 ,,RBRVS,1.06 ,0.33 ,0.33 ,,,,,1,0,1,1,1,1,20061001
31725,CPT,Clearance of airways,,,21 ,,RBRVS,1.96 ,0.58 ,0.65 ,,,,,1,0,1,1,1,1,20061001
31730,CPT,"Intro, windpipe wire/tube",,,21 ,,RBRVS,2.85 ,1.00 ,2.20 ,,,,,1,0,1,1,1,1,20061001
31750,CPT,Repair of windpipe,,,21 ,,RBRVS,13.00 ,17.60 ,17.60 ,,,,,1,0,1,1,1,1,20061001
31755,CPT,Repair of windpipe,,,21 ,,RBRVS,15.91 ,24.59 ,24.59 ,,,,,1,0,1,1,1,1,20061001
31760,CPT,Repair of windpipe,,,21 ,,RBRVS,22.32 ,10.74 ,10.74 ,,,,,1,0,1,1,1,1,20061001
31766,CPT,Reconstruction of windpipe,,,21 ,,RBRVS,30.38 ,13.69 ,13.69 ,,,,,1,0,1,1,1,1,20061001
31770,CPT,Repair/graft of bronchus,,,21 ,,RBRVS,22.48 ,10.27 ,10.27 ,,,,,1,0,1,1,1,1,20061001
31775,CPT,Reconstruct bronchus,,,21 ,,RBRVS,23.50 ,11.82 ,11.82 ,,,,,1,0,1,1,1,1,20061001
31780,CPT,Reconstruct windpipe,,,21 ,,RBRVS,17.69 ,11.08 ,11.08 ,,,,,1,0,1,1,1,1,20061001
31781,CPT,Reconstruct windpipe,,,21 ,,RBRVS,23.49 ,12.16 ,12.16 ,,,,,1,0,1,1,1,1,20061001
31785,CPT,Remove windpipe lesion,,,21 ,,RBRVS,17.20 ,10.21 ,10.21 ,,,,,1,0,1,1,1,1,20061001
31786,CPT,Remove windpipe lesion,,,21 ,,RBRVS,23.94 ,13.13 ,13.13 ,,,,,1,0,1,1,1,1,20061001
31800,CPT,Repair of windpipe injury,,,21 ,,RBRVS,7.42 ,9.27 ,9.27 ,,,,,1,0,1,1,1,1,20061001
31805,CPT,Repair of windpipe injury,,,21 ,,RBRVS,13.11 ,7.23 ,7.23 ,,,,,1,0,1,1,1,1,20061001
31820,CPT,Closure of windpipe lesion,,,21 ,,RBRVS,4.48 ,3.66 ,5.68 ,,,,,1,0,1,1,1,1,20061001
31825,CPT,Repair of windpipe defect,,,21 ,,RBRVS,6.80 ,5.39 ,7.68 ,,,,,1,0,1,1,1,1,20061001
31830,CPT,Revise windpipe scar,,,21 ,,RBRVS,4.49 ,3.99 ,5.78 ,,,,,1,0,1,1,1,1,20061001
31899,CPT,Airways surgical procedure,,,21 ,,TotalUnits,,,,4.39 ,,,,1,0,1,1,1,1,20061001
32000,CPT,Drainage of chest,,,21 ,,RBRVS,1.54 ,0.48 ,3.06 ,,,,,1,0,1,1,1,1,20061001
32002,CPT,Treatment of collapsed lung,,,21 ,,RBRVS,2.19 ,1.06 ,3.22 ,,,,,1,0,1,1,1,1,20061001
32005,CPT,Treat lung lining chemically,,,21 ,,RBRVS,2.19 ,0.70 ,6.47 ,,,,,1,0,1,1,1,1,20061001
32019,CPT,Insert pleural catheter,,,21 ,,RBRVS,4.17 ,1.65 ,20.02 ,,,,,1,0,1,1,1,1,20061001
32020,CPT,Insertion of chest tube,,,21 ,,RBRVS,3.97 ,1.35 ,1.35 ,,,,,1,0,1,1,1,1,20061001
32035,CPT,Exploration of chest,,,21 ,,RBRVS,8.66 ,5.87 ,5.87 ,,,,,1,0,1,1,1,1,20061001
32036,CPT,Exploration of chest,,,21 ,,RBRVS,9.67 ,6.45 ,6.45 ,,,,,1,0,1,1,1,1,20061001
32095,CPT,Biopsy through chest wall,,,21 ,,RBRVS,8.35 ,5.38 ,5.38 ,,,,,1,0,1,1,1,1,20061001
32100,CPT,Exploration/biopsy of chest,,,21 ,,RBRVS,15.22 ,7.84 ,7.84 ,,,,,1,0,1,1,1,1,20061001
32110,CPT,Explore/repair chest,,,21 ,,RBRVS,22.97 ,10.76 ,10.76 ,,,,,1,0,1,1,1,1,20061001
32120,CPT,Re-exploration of chest,,,21 ,,RBRVS,11.52 ,7.09 ,7.09 ,,,,,1,0,1,1,1,1,20061001
32124,CPT,Explore chest free adhesions,,,21 ,,RBRVS,12.70 ,7.23 ,7.23 ,,,,,1,0,1,1,1,1,20061001
32140,CPT,Removal of lung lesion(s),,,21 ,,RBRVS,13.91 ,7.70 ,7.70 ,,,,,1,0,1,1,1,1,20061001
32141,CPT,Remove/treat lung lesions,,,21 ,,RBRVS,13.98 ,7.57 ,7.57 ,,,,,1,0,1,1,1,1,20061001
32150,CPT,Removal of lung lesion(s),,,21 ,,RBRVS,14.13 ,7.62 ,7.62 ,,,,,1,0,1,1,1,1,20061001
32151,CPT,Remove lung foreign body,,,21 ,,RBRVS,14.19 ,8.02 ,8.02 ,,,,,1,0,1,1,1,1,20061001
32160,CPT,Open chest heart massage,,,21 ,,RBRVS,9.29 ,5.28 ,5.28 ,,,,,1,0,1,1,1,1,20061001
32200,CPT,"Drain, open, lung lesion",,,21 ,,RBRVS,15.27 ,8.63 ,8.63 ,,,,,1,0,1,1,1,1,20061001
32201,CPT,"Drain, percut, lung lesion",,,21 ,,RBRVS,3.99 ,1.30 ,20.76 ,,,,,1,0,1,1,1,1,20061001
32215,CPT,Treat chest lining,,,21 ,,RBRVS,11.31 ,6.92 ,6.92 ,,,,,1,0,1,1,1,1,20061001
32220,CPT,Release of lung,,,21 ,,RBRVS,23.96 ,12.99 ,12.99 ,,,,,1,0,1,1,1,1,20061001
32225,CPT,Partial release of lung,,,21 ,,RBRVS,13.94 ,7.67 ,7.67 ,,,,,1,0,1,1,1,1,20061001
32310,CPT,Removal of chest lining,,,21 ,,RBRVS,13.42 ,7.41 ,7.41 ,,,,,1,0,1,1,1,1,20061001
32320,CPT,Free/remove chest lining,,,21 ,,RBRVS,23.96 ,12.19 ,12.19 ,,,,,1,0,1,1,1,1,20061001
32400,CPT,Needle biopsy chest lining,,,21 ,,RBRVS,1.76 ,0.55 ,2.13 ,,,,,1,0,1,1,1,1,20061001
32402,CPT,Open biopsy chest lining,,,21 ,,RBRVS,7.55 ,5.12 ,5.12 ,,,,,1,0,1,1,1,1,20061001
32405,CPT,"Biopsy, lung or mediastinum",,,21 ,,RBRVS,1.93 ,0.63 ,0.67 ,,,,,1,0,1,1,1,1,20061001
32420,CPT,Puncture/clear lung,,,21 ,,RBRVS,2.18 ,0.68 ,0.68 ,,,,,1,0,1,1,1,1,20061001
32440,CPT,Removal of lung,,,21 ,,RBRVS,24.96 ,12.93 ,12.93 ,,,,,1,0,1,1,1,1,20061001
32442,CPT,Sleeve pneumonectomy,,,21 ,,RBRVS,26.20 ,14.80 ,14.80 ,,,,,1,0,1,1,1,1,20061001
32445,CPT,Removal of lung,,,21 ,,RBRVS,25.05 ,14.10 ,14.10 ,,,,,1,0,1,1,1,1,20061001
32480,CPT,Partial removal of lung,,,21 ,,RBRVS,23.71 ,12.09 ,12.09 ,,,,,1,0,1,1,1,1,20061001
32482,CPT,Bilobectomy,,,21 ,,RBRVS,24.96 ,12.95 ,12.95 ,,,,,1,0,1,1,1,1,20061001
32484,CPT,Segmentectomy,,,21 ,,RBRVS,20.66 ,11.41 ,11.41 ,,,,,1,0,1,1,1,1,20061001
32486,CPT,Sleeve lobectomy,,,21 ,,RBRVS,23.88 ,13.28 ,13.28 ,,,,,1,0,1,1,1,1,20061001
32488,CPT,Completion pneumonectomy,,,21 ,,RBRVS,25.67 ,13.82 ,13.82 ,,,,,1,0,1,1,1,1,20061001
32491,CPT,Lung volume reduction,,,21 ,,RBRVS,21.22 ,12.66 ,12.66 ,,,,,1,0,1,1,1,1,20061001
32500,CPT,Partial removal of lung,,,21 ,,RBRVS,21.97 ,12.39 ,12.39 ,,,,,1,0,1,1,1,1,20061001
32501,CPT,Repair bronchus add-on,,,21 ,,RBRVS,4.68 ,1.54 ,1.54 ,,,,,1,0,1,1,1,1,20061001
32503,CPT,Resect apical lung tumor,,,21 ,,RBRVS,30.00 ,15.11 ,15.11 ,,,,,1,0,0,1,1,1,20061001
32504,CPT,Resect apical lung tum/chest,,,21 ,,RBRVS,34.80 ,16.72 ,16.72 ,,,,,1,0,0,1,1,1,20061001
32540,CPT,Removal of lung lesion,,,21 ,,RBRVS,14.62 ,9.66 ,9.66 ,,,,,1,0,1,1,1,1,20061001
32601,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,5.45 ,2.36 ,2.36 ,,,,,1,0,1,1,1,1,20061001
32602,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,5.95 ,2.53 ,2.53 ,,,,,1,0,1,1,1,1,20061001
32603,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,7.80 ,3.04 ,3.04 ,,,,,1,0,1,1,1,1,20061001
32604,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,8.77 ,3.46 ,3.46 ,,,,,1,0,1,1,1,1,20061001
32605,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,6.92 ,2.91 ,2.91 ,,,,,1,0,1,1,1,1,20061001
32606,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,8.39 ,3.34 ,3.34 ,,,,,1,0,1,1,1,1,20061001
32650,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,10.73 ,6.78 ,6.78 ,,,,,1,0,1,1,1,1,20061001
32651,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,12.89 ,7.25 ,7.25 ,,,,,1,0,1,1,1,1,20061001
32652,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,18.63 ,10.17 ,10.17 ,,,,,1,0,1,1,1,1,20061001
32653,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,12.85 ,6.99 ,6.99 ,,,,,1,0,1,1,1,1,20061001
32654,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,12.42 ,7.55 ,7.55 ,,,,,1,0,1,1,1,1,20061001
32655,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,13.08 ,7.26 ,7.26 ,,,,,1,0,1,1,1,1,20061001
32656,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,12.89 ,7.96 ,7.96 ,,,,,1,0,1,1,1,1,20061001
32657,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,13.63 ,7.70 ,7.70 ,,,,,1,0,1,1,1,1,20061001
32658,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,11.61 ,7.37 ,7.37 ,,,,,1,0,1,1,1,1,20061001
32659,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,11.57 ,7.47 ,7.47 ,,,,,1,0,1,1,1,1,20061001
32660,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,17.40 ,9.51 ,9.51 ,,,,,1,0,1,1,1,1,20061001
32661,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,13.23 ,7.81 ,7.81 ,,,,,1,0,1,1,1,1,20061001
32662,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,16.42 ,8.85 ,8.85 ,,,,,1,0,1,1,1,1,20061001
32663,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,18.44 ,10.79 ,10.79 ,,,,,1,0,1,1,1,1,20061001
32664,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,14.18 ,7.65 ,7.65 ,,,,,1,0,1,1,1,1,20061001
32665,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,15.52 ,8.15 ,8.15 ,,,,,1,0,1,1,1,1,20061001
32800,CPT,Repair lung hernia,,,21 ,,RBRVS,13.67 ,7.43 ,7.43 ,,,,,1,0,1,1,1,1,20061001
32810,CPT,Close chest after drainage,,,21 ,,RBRVS,13.03 ,7.54 ,7.54 ,,,,,1,0,1,1,1,1,20061001
32815,CPT,Close bronchial fistula,,,21 ,,RBRVS,23.12 ,11.00 ,11.00 ,,,,,1,0,1,1,1,1,20061001
32820,CPT,Reconstruct injured chest,,,21 ,,RBRVS,21.45 ,12.20 ,12.20 ,,,,,1,0,1,1,1,1,20061001
32851,CPT,"Lung transplant, single",,,21 ,,RBRVS,38.57 ,27.74 ,27.74 ,,,,,1,0,1,1,1,1,20061001
32852,CPT,Lung transplant with bypass,,,21 ,,RBRVS,41.74 ,33.26 ,33.26 ,,,,,1,0,1,1,1,1,20061001
32853,CPT,"Lung transplant, double",,,21 ,,RBRVS,47.74 ,31.84 ,31.84 ,,,,,1,0,1,1,1,1,20061001
32854,CPT,Lung transplant with bypass,,,21 ,,RBRVS,50.90 ,34.83 ,34.83 ,,,,,1,0,1,1,1,1,20061001
32900,CPT,Removal of rib(s),,,21 ,,RBRVS,20.24 ,9.91 ,9.91 ,,,,,1,0,1,1,1,1,20061001
32905,CPT,Revise & repair chest wall,,,21 ,,RBRVS,20.72 ,10.16 ,10.16 ,,,,,1,0,1,1,1,1,20061001
32906,CPT,Revise & repair chest wall,,,21 ,,RBRVS,26.73 ,12.09 ,12.09 ,,,,,1,0,1,1,1,1,20061001
32940,CPT,Revision of lung,,,21 ,,RBRVS,19.40 ,9.50 ,9.50 ,,,,,1,0,1,1,1,1,20061001
32960,CPT,Therapeutic pneumothorax,,,21 ,,RBRVS,1.84 ,0.56 ,1.74 ,,,,,1,0,1,1,1,1,20061001
32997,CPT,Total lung lavage,,,21 ,,RBRVS,5.99 ,1.92 ,1.92 ,,,,,1,0,1,1,1,1,20061001
32999,CPT,Chest surgery procedure,,,21 ,,TotalUnits,,,,5.42 ,,,,1,0,1,1,1,1,20061001
33010,CPT,Drainage of heart sac,,,21 ,,RBRVS,2.24 ,0.78 ,0.78 ,,,,,1,0,1,1,1,1,20061001
33011,CPT,Repeat drainage of heart sac,,,21 ,,RBRVS,2.24 ,0.81 ,0.81 ,,,,,1,0,1,1,1,1,20061001
33015,CPT,Incision of heart sac,,,21 ,,RBRVS,6.79 ,4.96 ,4.96 ,,,,,1,0,1,1,1,1,20061001
33020,CPT,Incision of heart sac,,,21 ,,RBRVS,12.59 ,6.80 ,6.80 ,,,,,1,0,1,1,1,1,20061001
33025,CPT,Incision of heart sac,,,21 ,,RBRVS,12.07 ,6.37 ,6.37 ,,,,,1,0,1,1,1,1,20061001
33030,CPT,Partial removal of heart sac,,,21 ,,RBRVS,18.68 ,9.55 ,9.55 ,,,,,1,0,1,1,1,1,20061001
33031,CPT,Partial removal of heart sac,,,21 ,,RBRVS,21.76 ,10.06 ,10.06 ,,,,,1,0,1,1,1,1,20061001
33050,CPT,Removal of heart sac lesion,,,21 ,,RBRVS,14.34 ,7.86 ,7.86 ,,,,,1,0,1,1,1,1,20061001
33120,CPT,Removal of heart lesion,,,21 ,,RBRVS,24.52 ,11.61 ,11.61 ,,,,,1,0,1,1,1,1,20061001
33130,CPT,Removal of heart lesion,,,21 ,,RBRVS,21.36 ,10.14 ,10.14 ,,,,,1,0,1,1,1,1,20061001
33140,CPT,Heart revascularize (tmr),,,21 ,,RBRVS,19.97 ,10.91 ,10.91 ,,,,,1,0,1,1,1,1,20061001
33141,CPT,Heart tmr w/other procedure,,,21 ,,RBRVS,4.83 ,1.58 ,1.58 ,,,,,1,0,1,1,1,1,20061001
33200,CPT,Insertion of heart pacemaker,,,21 ,,RBRVS,12.46 ,6.86 ,6.86 ,,,,,1,0,1,1,1,1,20061001
33201,CPT,Insertion of heart pacemaker,,,21 ,,RBRVS,10.16 ,6.60 ,6.60 ,,,,,1,0,1,1,1,1,20061001
33206,CPT,Insertion of heart pacemaker,,,21 ,,RBRVS,6.66 ,4.47 ,4.47 ,,,,,1,0,1,1,1,1,20061001
33207,CPT,Insertion of heart pacemaker,,,21 ,,RBRVS,8.03 ,4.67 ,4.67 ,,,,,1,0,1,1,1,1,20061001
33208,CPT,Insertion of heart pacemaker,,,21 ,,RBRVS,8.12 ,4.78 ,4.78 ,,,,,1,0,1,1,1,1,20061001
33210,CPT,Insertion of heart electrode,,,21 ,,RBRVS,3.30 ,1.25 ,1.25 ,,,,,1,0,1,1,1,1,20061001
33211,CPT,Insertion of heart electrode,,,21 ,,RBRVS,3.39 ,1.31 ,1.31 ,,,,,1,0,1,1,1,1,20061001
33212,CPT,Insertion of pulse generator,,,21 ,,RBRVS,5.51 ,3.37 ,3.37 ,,,,,1,0,1,1,1,1,20061001
33213,CPT,Insertion of pulse generator,,,21 ,,RBRVS,6.36 ,3.73 ,3.73 ,,,,,1,0,1,1,1,1,20061001
33214,CPT,Upgrade of pacemaker system,,,21 ,,RBRVS,7.74 ,4.90 ,4.90 ,,,,,1,0,1,1,1,1,20061001
33215,CPT,Reposition pacing-defib lead,,,21 ,,RBRVS,4.75 ,3.19 ,3.19 ,,,,,1,0,1,1,1,1,20061001
33216,CPT,"Insert lead pace-defib, one",,,21 ,,RBRVS,5.77 ,4.21 ,4.21 ,,,,,1,0,1,1,1,1,20061001
33217,CPT,"Insert lead pace-defib, dual",,,21 ,,RBRVS,5.74 ,4.24 ,4.24 ,,,,,1,0,1,1,1,1,20061001
33218,CPT,"Repair lead pace-defib, one",,,21 ,,RBRVS,5.43 ,4.31 ,4.31 ,,,,,1,0,1,1,1,1,20061001
33220,CPT,"Repair lead pace-defib, dual",,,21 ,,RBRVS,5.51 ,4.28 ,4.28 ,,,,,1,0,1,1,1,1,20061001
33222,CPT,"Revise pocket, pacemaker",,,21 ,,RBRVS,4.95 ,4.30 ,4.30 ,,,,,1,0,1,1,1,1,20061001
33223,CPT,"Revise pocket, pacing-defib",,,21 ,,RBRVS,6.45 ,4.60 ,4.60 ,,,,,1,0,1,1,1,1,20061001
33224,CPT,Insert pacing lead & connect,,,21 ,,RBRVS,9.04 ,4.01 ,4.01 ,,,,,1,0,1,1,1,1,20061001
33225,CPT,L ventric pacing lead add-on,,,21 ,,RBRVS,8.33 ,3.26 ,3.26 ,,,,,1,0,1,1,1,1,20061001
33226,CPT,Reposition l ventric lead,,,21 ,,RBRVS,8.68 ,3.83 ,3.83 ,,,,,1,0,1,1,1,1,20061001
33233,CPT,Removal of pacemaker system,,,21 ,,RBRVS,3.29 ,3.28 ,3.28 ,,,,,1,0,1,1,1,1,20061001
33234,CPT,Removal of pacemaker system,,,21 ,,RBRVS,7.81 ,4.92 ,4.92 ,,,,,1,0,1,1,1,1,20061001
33235,CPT,Removal pacemaker electrode,,,21 ,,RBRVS,9.39 ,6.83 ,6.83 ,,,,,1,0,1,1,1,1,20061001
33236,CPT,Remove electrode/thoracotomy,,,21 ,,RBRVS,12.58 ,7.45 ,7.45 ,,,,,1,0,1,1,1,1,20061001
33237,CPT,Remove electrode/thoracotomy,,,21 ,,RBRVS,13.69 ,7.80 ,7.80 ,,,,,1,0,1,1,1,1,20061001
33238,CPT,Remove electrode/thoracotomy,,,21 ,,RBRVS,15.20 ,8.22 ,8.22 ,,,,,1,0,1,1,1,1,20061001
33240,CPT,Insert pulse generator,,,21 ,,RBRVS,7.59 ,4.59 ,4.59 ,,,,,1,0,1,1,1,1,20061001
33241,CPT,Remove pulse generator,,,21 ,,RBRVS,3.24 ,2.97 ,2.97 ,,,,,1,0,1,1,1,1,20061001
33243,CPT,Remove eltrd/thoracotomy,,,21 ,,RBRVS,22.61 ,11.49 ,11.49 ,,,,,1,0,1,1,1,1,20061001
33244,CPT,"Remove eltrd, transven",,,21 ,,RBRVS,13.74 ,8.92 ,8.92 ,,,,,1,0,1,1,1,1,20061001
33245,CPT,Insert epic eltrd pace-defib,,,21 ,,RBRVS,14.28 ,7.92 ,7.92 ,,,,,1,0,1,1,1,1,20061001
33246,CPT,Insert epic eltrd/generator,,,21 ,,RBRVS,20.68 ,10.31 ,10.31 ,,,,,1,0,1,1,1,1,20061001
33249,CPT,Eltrd/insert pace-defib,,,21 ,,RBRVS,14.21 ,8.38 ,8.38 ,,,,,1,0,1,1,1,1,20061001
33250,CPT,Ablate heart dysrhythm focus,,,21 ,,RBRVS,21.82 ,11.05 ,11.05 ,,,,,1,0,1,1,1,1,20061001
33251,CPT,Ablate heart dysrhythm focus,,,21 ,,RBRVS,24.84 ,11.69 ,11.69 ,,,,,1,0,1,1,1,1,20061001
33253,CPT,Reconstruct atria,,,21 ,,RBRVS,31.01 ,13.86 ,13.86 ,,,,,1,0,1,1,1,1,20061001
33261,CPT,Ablate heart dysrhythm focus,,,21 ,,RBRVS,24.84 ,11.80 ,11.80 ,,,,,1,0,1,1,1,1,20061001
33282,CPT,Implant pat-active ht record,,,21 ,,RBRVS,4.16 ,4.03 ,4.03 ,,,,,1,0,1,1,1,1,20061001
33284,CPT,Remove pat-active ht record,,,21 ,,RBRVS,2.50 ,3.54 ,3.54 ,,,,,1,0,1,1,1,1,20061001
33300,CPT,Repair of heart wound,,,21 ,,RBRVS,17.89 ,9.26 ,9.26 ,,,,,1,0,1,1,1,1,20061001
33305,CPT,Repair of heart wound,,,21 ,,RBRVS,21.41 ,10.64 ,10.64 ,,,,,1,0,1,1,1,1,20061001
33310,CPT,Exploratory heart surgery,,,21 ,,RBRVS,18.48 ,9.61 ,9.61 ,,,,,1,0,1,1,1,1,20061001
33315,CPT,Exploratory heart surgery,,,21 ,,RBRVS,22.34 ,10.91 ,10.91 ,,,,,1,0,1,1,1,1,20061001
33320,CPT,Repair major blood vessel(s),,,21 ,,RBRVS,16.76 ,8.24 ,8.24 ,,,,,1,0,1,1,1,1,20061001
33321,CPT,Repair major vessel,,,21 ,,RBRVS,20.17 ,9.81 ,9.81 ,,,,,1,0,1,1,1,1,20061001
33322,CPT,Repair major blood vessel(s),,,21 ,,RBRVS,20.59 ,10.39 ,10.39 ,,,,,1,0,1,1,1,1,20061001
33330,CPT,Insert major vessel graft,,,21 ,,RBRVS,21.40 ,10.29 ,10.29 ,,,,,1,0,1,1,1,1,20061001
33332,CPT,Insert major vessel graft,,,21 ,,RBRVS,23.92 ,10.54 ,10.54 ,,,,,1,0,1,1,1,1,20061001
33335,CPT,Insert major vessel graft,,,21 ,,RBRVS,29.96 ,13.37 ,13.37 ,,,,,1,0,1,1,1,1,20061001
33400,CPT,Repair of aortic valve,,,21 ,,RBRVS,28.46 ,15.71 ,15.71 ,,,,,1,0,1,1,1,1,20061001
33401,CPT,"Valvuloplasty, open",,,21 ,,RBRVS,23.87 ,13.54 ,13.54 ,,,,,1,0,1,1,1,1,20061001
33403,CPT,"Valvuloplasty, w/cp bypass",,,21 ,,RBRVS,24.85 ,14.34 ,14.34 ,,,,,1,0,1,1,1,1,20061001
33404,CPT,Prepare heart-aorta conduit,,,21 ,,RBRVS,28.50 ,14.58 ,14.58 ,,,,,1,0,1,1,1,1,20061001
33405,CPT,Replacement of aortic valve,,,21 ,,RBRVS,34.95 ,18.34 ,18.34 ,,,,,1,0,1,1,1,1,20061001
33406,CPT,Replacement of aortic valve,,,21 ,,RBRVS,37.44 ,19.18 ,19.18 ,,,,,1,0,1,1,1,1,20061001
33410,CPT,Replacement of aortic valve,,,21 ,,RBRVS,32.41 ,16.63 ,16.63 ,,,,,1,0,1,1,1,1,20061001
33411,CPT,Replacement of aortic valve,,,21 ,,RBRVS,36.20 ,18.79 ,18.79 ,,,,,1,0,1,1,1,1,20061001
33412,CPT,Replacement of aortic valve,,,21 ,,RBRVS,41.94 ,20.46 ,20.46 ,,,,,1,0,1,1,1,1,20061001
33413,CPT,Replacement of aortic valve,,,21 ,,RBRVS,43.43 ,20.87 ,20.87 ,,,,,1,0,1,1,1,1,20061001
33414,CPT,Repair of aortic valve,,,21 ,,RBRVS,30.30 ,14.17 ,14.17 ,,,,,1,0,1,1,1,1,20061001
33415,CPT,"Revision, subvalvular tissue",,,21 ,,RBRVS,27.11 ,12.05 ,12.05 ,,,,,1,0,1,1,1,1,20061001
33416,CPT,Revise ventricle muscle,,,21 ,,RBRVS,30.30 ,13.54 ,13.54 ,,,,,1,0,1,1,1,1,20061001
33417,CPT,Repair of aortic valve,,,21 ,,RBRVS,28.49 ,13.65 ,13.65 ,,,,,1,0,1,1,1,1,20061001
33420,CPT,Revision of mitral valve,,,21 ,,RBRVS,22.67 ,9.59 ,9.59 ,,,,,1,0,1,1,1,1,20061001
33422,CPT,Revision of mitral valve,,,21 ,,RBRVS,25.90 ,13.69 ,13.69 ,,,,,1,0,1,1,1,1,20061001
33425,CPT,Repair of mitral valve,,,21 ,,RBRVS,26.96 ,13.09 ,13.09 ,,,,,1,0,1,1,1,1,20061001
33426,CPT,Repair of mitral valve,,,21 ,,RBRVS,32.95 ,17.18 ,17.18 ,,,,,1,0,1,1,1,1,20061001
33427,CPT,Repair of mitral valve,,,21 ,,RBRVS,39.94 ,19.42 ,19.42 ,,,,,1,0,1,1,1,1,20061001
33430,CPT,Replacement of mitral valve,,,21 ,,RBRVS,33.45 ,17.34 ,17.34 ,,,,,1,0,1,1,1,1,20061001
33460,CPT,Revision of tricuspid valve,,,21 ,,RBRVS,23.56 ,11.33 ,11.33 ,,,,,1,0,1,1,1,1,20061001
33463,CPT,"Valvuloplasty, tricuspid",,,21 ,,RBRVS,25.58 ,12.95 ,12.95 ,,,,,1,0,1,1,1,1,20061001
33464,CPT,"Valvuloplasty, tricuspid",,,21 ,,RBRVS,27.29 ,13.56 ,13.56 ,,,,,1,0,1,1,1,1,20061001
33465,CPT,Replace tricuspid valve,,,21 ,,RBRVS,28.75 ,13.00 ,13.00 ,,,,,1,0,1,1,1,1,20061001
33468,CPT,Revision of tricuspid valve,,,21 ,,RBRVS,30.07 ,13.69 ,13.69 ,,,,,1,0,1,1,1,1,20061001
33470,CPT,Revision of pulmonary valve,,,21 ,,RBRVS,20.78 ,10.72 ,10.72 ,,,,,1,0,1,1,1,1,20061001
33471,CPT,"Valvotomy, pulmonary valve",,,21 ,,RBRVS,22.22 ,9.78 ,9.78 ,,,,,1,0,1,1,1,1,20061001
33472,CPT,Revision of pulmonary valve,,,21 ,,RBRVS,22.22 ,11.89 ,11.89 ,,,,,1,0,1,1,1,1,20061001
33474,CPT,Revision of pulmonary valve,,,21 ,,RBRVS,23.01 ,10.91 ,10.91 ,,,,,1,0,1,1,1,1,20061001
33475,CPT,"Replacement, pulmonary valve",,,21 ,,RBRVS,32.95 ,15.41 ,15.41 ,,,,,1,0,1,1,1,1,20061001
33476,CPT,Revision of heart chamber,,,21 ,,RBRVS,25.73 ,11.99 ,11.99 ,,,,,1,0,1,1,1,1,20061001
33478,CPT,Revision of heart chamber,,,21 ,,RBRVS,26.70 ,13.09 ,13.09 ,,,,,1,0,1,1,1,1,20061001
33496,CPT,"Repair, prosth valve clot",,,21 ,,RBRVS,27.21 ,12.78 ,12.78 ,,,,,1,0,1,1,1,1,20061001
33500,CPT,Repair heart vessel fistula,,,21 ,,RBRVS,25.51 ,11.49 ,11.49 ,,,,,1,0,1,1,1,1,20061001
33501,CPT,Repair heart vessel fistula,,,21 ,,RBRVS,17.75 ,8.30 ,8.30 ,,,,,1,0,1,1,1,1,20061001
33502,CPT,Coronary artery correction,,,21 ,,RBRVS,21.01 ,11.10 ,11.10 ,,,,,1,0,1,1,1,1,20061001
33503,CPT,Coronary artery graft,,,21 ,,RBRVS,21.75 ,9.76 ,9.76 ,,,,,1,0,1,1,1,1,20061001
33504,CPT,Coronary artery graft,,,21 ,,RBRVS,24.62 ,11.84 ,11.84 ,,,,,1,0,1,1,1,1,20061001
33505,CPT,Repair artery w/tunnel,,,21 ,,RBRVS,26.80 ,12.94 ,12.94 ,,,,,1,0,1,1,1,1,20061001
33506,CPT,"Repair artery, translocation",,,21 ,,RBRVS,35.45 ,14.60 ,14.60 ,,,,,1,0,1,1,1,1,20061001
33507,CPT,"Repair art, intramural",,,21 ,,RBRVS,30.00 ,13.68 ,13.68 ,,,,,1,0,0,1,1,1,20061001
33508,CPT,Endoscopic vein harvest,,,21 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
33510,CPT,"CABG, vein, single",,,21 ,,RBRVS,28.96 ,16.38 ,16.38 ,,,,,1,0,1,1,1,1,20061001
33511,CPT,"CABG, vein, two",,,21 ,,RBRVS,29.96 ,17.12 ,17.12 ,,,,,1,0,1,1,1,1,20061001
33512,CPT,"CABG, vein, three",,,21 ,,RBRVS,31.75 ,17.65 ,17.65 ,,,,,1,0,1,1,1,1,20061001
33513,CPT,"CABG, vein, four",,,21 ,,RBRVS,31.95 ,17.83 ,17.83 ,,,,,1,0,1,1,1,1,20061001
33514,CPT,"CABG, vein, five",,,21 ,,RBRVS,32.70 ,18.10 ,18.10 ,,,,,1,0,1,1,1,1,20061001
33516,CPT,"Cabg, vein, six or more",,,21 ,,RBRVS,34.95 ,18.85 ,18.85 ,,,,,1,0,1,1,1,1,20061001
33517,CPT,"CABG, artery-vein, single",,,21 ,,RBRVS,2.57 ,0.84 ,0.84 ,,,,,1,0,1,1,1,1,20061001
33518,CPT,"CABG, artery-vein, two",,,21 ,,RBRVS,4.84 ,1.58 ,1.58 ,,,,,1,0,1,1,1,1,20061001
33519,CPT,"CABG, artery-vein, three",,,21 ,,RBRVS,7.11 ,2.33 ,2.33 ,,,,,1,0,1,1,1,1,20061001
33521,CPT,"CABG, artery-vein, four",,,21 ,,RBRVS,9.39 ,3.08 ,3.08 ,,,,,1,0,1,1,1,1,20061001
33522,CPT,"CABG, artery-vein, five",,,21 ,,RBRVS,11.65 ,3.82 ,3.82 ,,,,,1,0,1,1,1,1,20061001
33523,CPT,"Cabg, art-vein, six or more",,,21 ,,RBRVS,13.93 ,4.54 ,4.54 ,,,,,1,0,1,1,1,1,20061001
33530,CPT,"Coronary artery, bypass/reop",,,21 ,,RBRVS,5.85 ,1.92 ,1.92 ,,,,,1,0,1,1,1,1,20061001
33533,CPT,"CABG, arterial, single",,,21 ,,RBRVS,29.96 ,16.51 ,16.51 ,,,,,1,0,1,1,1,1,20061001
33534,CPT,"CABG, arterial, two",,,21 ,,RBRVS,32.15 ,17.76 ,17.76 ,,,,,1,0,1,1,1,1,20061001
33535,CPT,"CABG, arterial, three",,,21 ,,RBRVS,34.45 ,18.18 ,18.18 ,,,,,1,0,1,1,1,1,20061001
33536,CPT,"Cabg, arterial, four or more",,,21 ,,RBRVS,37.44 ,18.34 ,18.34 ,,,,,1,0,1,1,1,1,20061001
33542,CPT,Removal of heart lesion,,,21 ,,RBRVS,28.81 ,13.03 ,13.03 ,,,,,1,0,1,1,1,1,20061001
33545,CPT,Repair of heart damage,,,21 ,,RBRVS,36.72 ,15.67 ,15.67 ,,,,,1,0,1,1,1,1,20061001
33548,CPT,"Restore/remodel, ventricle",,,21 ,,RBRVS,37.97 ,19.35 ,19.35 ,,,,,1,0,0,1,1,1,20061001
33572,CPT,Open coronary endarterectomy,,,21 ,,RBRVS,4.44 ,1.45 ,1.45 ,,,,,1,0,1,1,1,1,20061001
33600,CPT,Closure of valve,,,21 ,,RBRVS,29.47 ,12.55 ,12.55 ,,,,,1,0,1,1,1,1,20061001
33602,CPT,Closure of valve,,,21 ,,RBRVS,28.50 ,12.48 ,12.48 ,,,,,1,0,1,1,1,1,20061001
33606,CPT,Anastomosis/artery-aorta,,,21 ,,RBRVS,30.69 ,13.71 ,13.71 ,,,,,1,0,1,1,1,1,20061001
33608,CPT,Repair anomaly w/conduit,,,21 ,,RBRVS,31.04 ,14.14 ,14.14 ,,,,,1,0,1,1,1,1,20061001
33610,CPT,Repair by enlargement,,,21 ,,RBRVS,30.56 ,13.64 ,13.64 ,,,,,1,0,1,1,1,1,20061001
33611,CPT,Repair double ventricle,,,21 ,,RBRVS,33.95 ,14.17 ,14.17 ,,,,,1,0,1,1,1,1,20061001
33612,CPT,Repair double ventricle,,,21 ,,RBRVS,34.95 ,15.19 ,15.19 ,,,,,1,0,1,1,1,1,20061001
33615,CPT,"Repair, modified fontan",,,21 ,,RBRVS,33.95 ,13.18 ,13.18 ,,,,,1,0,1,1,1,1,20061001
33617,CPT,Repair single ventricle,,,21 ,,RBRVS,36.94 ,16.04 ,16.04 ,,,,,1,0,1,1,1,1,20061001
33619,CPT,Repair single ventricle,,,21 ,,RBRVS,44.93 ,20.86 ,20.86 ,,,,,1,0,1,1,1,1,20061001
33641,CPT,Repair heart septum defect,,,21 ,,RBRVS,21.36 ,9.60 ,9.60 ,,,,,1,0,1,1,1,1,20061001
33645,CPT,Revision of heart veins,,,21 ,,RBRVS,24.78 ,11.80 ,11.80 ,,,,,1,0,1,1,1,1,20061001
33647,CPT,Repair heart septum defects,,,21 ,,RBRVS,28.69 ,13.81 ,13.81 ,,,,,1,0,1,1,1,1,20061001
33660,CPT,Repair of heart defects,,,21 ,,RBRVS,29.96 ,13.52 ,13.52 ,,,,,1,0,1,1,1,1,20061001
33665,CPT,Repair of heart defects,,,21 ,,RBRVS,28.56 ,13.87 ,13.87 ,,,,,1,0,1,1,1,1,20061001
33670,CPT,Repair of heart chambers,,,21 ,,RBRVS,34.95 ,13.21 ,13.21 ,,,,,1,0,1,1,1,1,20061001
33681,CPT,Repair heart septum defect,,,21 ,,RBRVS,30.56 ,14.72 ,14.72 ,,,,,1,0,1,1,1,1,20061001
33684,CPT,Repair heart septum defect,,,21 ,,RBRVS,29.61 ,13.66 ,13.66 ,,,,,1,0,1,1,1,1,20061001
33688,CPT,Repair heart septum defect,,,21 ,,RBRVS,30.57 ,10.50 ,10.50 ,,,,,1,0,1,1,1,1,20061001
33690,CPT,Reinforce pulmonary artery,,,21 ,,RBRVS,19.52 ,10.19 ,10.19 ,,,,,1,0,1,1,1,1,20061001
33692,CPT,Repair of heart defects,,,21 ,,RBRVS,30.70 ,13.96 ,13.96 ,,,,,1,0,1,1,1,1,20061001
33694,CPT,Repair of heart defects,,,21 ,,RBRVS,33.95 ,14.26 ,14.26 ,,,,,1,0,1,1,1,1,20061001
33697,CPT,Repair of heart defects,,,21 ,,RBRVS,35.95 ,14.91 ,14.91 ,,,,,1,0,1,1,1,1,20061001
33702,CPT,Repair of heart defects,,,21 ,,RBRVS,26.50 ,12.60 ,12.60 ,,,,,1,0,1,1,1,1,20061001
33710,CPT,Repair of heart defects,,,21 ,,RBRVS,29.67 ,14.00 ,14.00 ,,,,,1,0,1,1,1,1,20061001
33720,CPT,Repair of heart defect,,,21 ,,RBRVS,26.52 ,12.32 ,12.32 ,,,,,1,0,1,1,1,1,20061001
33722,CPT,Repair of heart defect,,,21 ,,RBRVS,28.37 ,13.89 ,13.89 ,,,,,1,0,1,1,1,1,20061001
33730,CPT,Repair heart-vein defect(s),,,21 ,,RBRVS,34.20 ,14.16 ,14.16 ,,,,,1,0,1,1,1,1,20061001
33732,CPT,Repair heart-vein defect,,,21 ,,RBRVS,28.12 ,13.42 ,13.42 ,,,,,1,0,1,1,1,1,20061001
33735,CPT,Revision of heart chamber,,,21 ,,RBRVS,21.36 ,8.98 ,8.98 ,,,,,1,0,1,1,1,1,20061001
33736,CPT,Revision of heart chamber,,,21 ,,RBRVS,23.48 ,11.88 ,11.88 ,,,,,1,0,1,1,1,1,20061001
33737,CPT,Revision of heart chamber,,,21 ,,RBRVS,21.73 ,10.96 ,10.96 ,,,,,1,0,1,1,1,1,20061001
33750,CPT,Major vessel shunt,,,21 ,,RBRVS,21.38 ,10.24 ,10.24 ,,,,,1,0,1,1,1,1,20061001
33755,CPT,Major vessel shunt,,,21 ,,RBRVS,21.76 ,8.83 ,8.83 ,,,,,1,0,1,1,1,1,20061001
33762,CPT,Major vessel shunt,,,21 ,,RBRVS,21.76 ,10.18 ,10.18 ,,,,,1,0,1,1,1,1,20061001
33764,CPT,Major vessel shunt & graft,,,21 ,,RBRVS,21.76 ,10.25 ,10.25 ,,,,,1,0,1,1,1,1,20061001
33766,CPT,Major vessel shunt,,,21 ,,RBRVS,22.73 ,11.70 ,11.70 ,,,,,1,0,1,1,1,1,20061001
33767,CPT,Major vessel shunt,,,21 ,,RBRVS,24.46 ,11.75 ,11.75 ,,,,,1,0,1,1,1,1,20061001
33768,CPT,Cavopulmonary Shunting,,,21 ,,RBRVS,8.00 ,2.67 ,2.67 ,,,,,1,0,0,1,1,1,20061001
33770,CPT,Repair great vessels defect,,,21 ,,RBRVS,36.94 ,14.72 ,14.72 ,,,,,1,0,1,1,1,1,20061001
33771,CPT,Repair great vessels defect,,,21 ,,RBRVS,34.60 ,12.42 ,12.42 ,,,,,1,0,1,1,1,1,20061001
33774,CPT,Repair great vessels defect,,,21 ,,RBRVS,30.93 ,14.70 ,14.70 ,,,,,1,0,1,1,1,1,20061001
33775,CPT,Repair great vessels defect,,,21 ,,RBRVS,32.15 ,15.03 ,15.03 ,,,,,1,0,1,1,1,1,20061001
33776,CPT,Repair great vessels defect,,,21 ,,RBRVS,33.99 ,15.85 ,15.85 ,,,,,1,0,1,1,1,1,20061001
33777,CPT,Repair great vessels defect,,,21 ,,RBRVS,33.41 ,15.66 ,15.66 ,,,,,1,0,1,1,1,1,20061001
33778,CPT,Repair great vessels defect,,,21 ,,RBRVS,39.94 ,16.94 ,16.94 ,,,,,1,0,1,1,1,1,20061001
33779,CPT,Repair great vessels defect,,,21 ,,RBRVS,36.16 ,15.41 ,15.41 ,,,,,1,0,1,1,1,1,20061001
33780,CPT,Repair great vessels defect,,,21 ,,RBRVS,41.69 ,19.14 ,19.14 ,,,,,1,0,1,1,1,1,20061001
33781,CPT,Repair great vessels defect,,,21 ,,RBRVS,36.40 ,13.37 ,13.37 ,,,,,1,0,1,1,1,1,20061001
33786,CPT,Repair arterial trunk,,,21 ,,RBRVS,38.94 ,16.76 ,16.76 ,,,,,1,0,1,1,1,1,20061001
33788,CPT,Revision of pulmonary artery,,,21 ,,RBRVS,26.58 ,11.98 ,11.98 ,,,,,1,0,1,1,1,1,20061001
33800,CPT,Aortic suspension,,,21 ,,RBRVS,16.22 ,8.13 ,8.13 ,,,,,1,0,1,1,1,1,20061001
33802,CPT,Repair vessel defect,,,21 ,,RBRVS,17.63 ,9.25 ,9.25 ,,,,,1,0,1,1,1,1,20061001
33803,CPT,Repair vessel defect,,,21 ,,RBRVS,19.57 ,9.79 ,9.79 ,,,,,1,0,1,1,1,1,20061001
33813,CPT,Repair septal defect,,,21 ,,RBRVS,20.62 ,10.94 ,10.94 ,,,,,1,0,1,1,1,1,20061001
33814,CPT,Repair septal defect,,,21 ,,RBRVS,25.73 ,12.68 ,12.68 ,,,,,1,0,1,1,1,1,20061001
33820,CPT,Revise major vessel,,,21 ,,RBRVS,16.27 ,8.38 ,8.38 ,,,,,1,0,1,1,1,1,20061001
33822,CPT,Revise major vessel,,,21 ,,RBRVS,17.29 ,8.98 ,8.98 ,,,,,1,0,1,1,1,1,20061001
33824,CPT,Revise major vessel,,,21 ,,RBRVS,19.49 ,10.01 ,10.01 ,,,,,1,0,1,1,1,1,20061001
33840,CPT,Remove aorta constriction,,,21 ,,RBRVS,20.60 ,10.32 ,10.32 ,,,,,1,0,1,1,1,1,20061001
33845,CPT,Remove aorta constriction,,,21 ,,RBRVS,22.09 ,11.38 ,11.38 ,,,,,1,0,1,1,1,1,20061001
33851,CPT,Remove aorta constriction,,,21 ,,RBRVS,21.24 ,10.71 ,10.71 ,,,,,1,0,1,1,1,1,20061001
33852,CPT,Repair septal defect,,,21 ,,RBRVS,23.67 ,11.39 ,11.39 ,,,,,1,0,1,1,1,1,20061001
33853,CPT,Repair septal defect,,,21 ,,RBRVS,31.67 ,14.86 ,14.86 ,,,,,1,0,1,1,1,1,20061001
33860,CPT,Ascending aortic graft,,,21 ,,RBRVS,37.94 ,16.50 ,16.50 ,,,,,1,0,1,1,1,1,20061001
33861,CPT,Ascending aortic graft,,,21 ,,RBRVS,41.94 ,17.76 ,17.76 ,,,,,1,0,1,1,1,1,20061001
33863,CPT,Ascending aortic graft,,,21 ,,RBRVS,44.93 ,18.74 ,18.74 ,,,,,1,0,1,1,1,1,20061001
33870,CPT,Transverse aortic arch graft,,,21 ,,RBRVS,43.93 ,18.43 ,18.43 ,,,,,1,0,1,1,1,1,20061001
33875,CPT,Thoracic aortic graft,,,21 ,,RBRVS,33.01 ,14.13 ,14.13 ,,,,,1,0,1,1,1,1,20061001
33877,CPT,Thoracoabdominal graft,,,21 ,,RBRVS,42.54 ,16.36 ,16.36 ,,,,,1,0,1,1,1,1,20061001
33880,CPT,Endovasc taa repr incl subcl,,,21 ,,RBRVS,33.00 ,13.51 ,13.51 ,,,,,1,0,0,1,1,1,20061001
33881,CPT,Endovasc taa repr w/o subcl,,,21 ,,RBRVS,28.00 ,11.99 ,11.99 ,,,,,1,0,0,1,1,1,20061001
33883,CPT,"Insert endovasc prosth, taa",,,21 ,,RBRVS,20.00 ,9.21 ,9.21 ,,,,,1,0,0,1,1,1,20061001
33884,CPT,"Endovasc prosth, taa, add-on",,,21 ,,RBRVS,8.20 ,2.58 ,2.58 ,,,,,1,0,0,1,1,1,20061001
33886,CPT,"Endovasc prosth, delayed",,,21 ,,RBRVS,17.00 ,8.25 ,8.25 ,,,,,1,0,0,1,1,1,20061001
33889,CPT,Artery transpose/endovas taa,,,21 ,,RBRVS,15.92 ,5.19 ,5.19 ,,,,,1,0,0,1,1,1,20061001
33891,CPT,Car-car bp grft/endovas taa,,,21 ,,RBRVS,20.00 ,6.98 ,6.98 ,,,,,1,0,0,1,1,1,20061001
33910,CPT,Remove lung artery emboli,,,21 ,,RBRVS,24.55 ,11.46 ,11.46 ,,,,,1,0,1,1,1,1,20061001
33915,CPT,Remove lung artery emboli,,,21 ,,RBRVS,20.99 ,9.66 ,9.66 ,,,,,1,0,1,1,1,1,20061001
33916,CPT,Surgery of great vessel,,,21 ,,RBRVS,25.79 ,11.37 ,11.37 ,,,,,1,0,1,1,1,1,20061001
33917,CPT,Repair pulmonary artery,,,21 ,,RBRVS,24.46 ,12.22 ,12.22 ,,,,,1,0,1,1,1,1,20061001
33920,CPT,Repair pulmonary atresia,,,21 ,,RBRVS,31.90 ,13.86 ,13.86 ,,,,,1,0,1,1,1,1,20061001
33922,CPT,Transect pulmonary artery,,,21 ,,RBRVS,23.48 ,10.93 ,10.93 ,,,,,1,0,1,1,1,1,20061001
33924,CPT,Remove pulmonary shunt,,,21 ,,RBRVS,5.49 ,1.85 ,1.85 ,,,,,1,0,1,1,1,1,20061001
33925,CPT,Rpr pul art unifocal w/o cpb,,,21 ,,RBRVS,29.50 ,14.70 ,14.70 ,,,,,1,0,0,1,1,1,20061001
33926,CPT,"Repr pul art, unifocal w/cpb",,,21 ,,RBRVS,42.00 ,17.73 ,17.73 ,,,,,1,0,0,1,1,1,20061001
33935,CPT,"Transplantation, heart/lung",,,21 ,,RBRVS,60.87 ,28.85 ,28.85 ,,,,,1,0,1,1,1,1,20061001
33940,CPT,Removal of donor heart,,,21 ,,TotalUnits,,,,46.15 ,,,,1,0,1,1,1,1,20061001
33945,CPT,Transplantation of heart,,,21 ,,RBRVS,42.04 ,21.45 ,21.45 ,,,,,1,0,1,1,1,1,20061001
33960,CPT,External circulation assist,,,21 ,,RBRVS,19.33 ,4.92 ,4.92 ,,,,,1,0,1,1,1,1,20061001
33961,CPT,External circulation assist,,,21 ,,RBRVS,10.91 ,3.62 ,3.62 ,,,,,1,0,1,1,1,1,20061001
33967,CPT,Insert ia percut device,,,21 ,,RBRVS,4.84 ,1.85 ,1.85 ,,,,,1,0,1,1,1,1,20061001
33968,CPT,Remove aortic assist device,,,21 ,,RBRVS,0.64 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
33970,CPT,Aortic circulation assist,,,21 ,,RBRVS,6.74 ,2.29 ,2.29 ,,,,,1,0,1,1,1,1,20061001
33971,CPT,Aortic circulation assist,,,21 ,,RBRVS,9.68 ,6.02 ,6.02 ,,,,,1,0,1,1,1,1,20061001
33973,CPT,Insert balloon device,,,21 ,,RBRVS,9.75 ,3.32 ,3.32 ,,,,,1,0,1,1,1,1,20061001
33974,CPT,Remove intra-aortic balloon,,,21 ,,RBRVS,14.39 ,7.90 ,7.90 ,,,,,1,0,1,1,1,1,20061001
33975,CPT,Implant ventricular device,,,21 ,,RBRVS,20.97 ,6.30 ,6.30 ,,,,,1,0,1,1,1,1,20061001
33976,CPT,Implant ventricular device,,,21 ,,RBRVS,22.97 ,7.57 ,7.57 ,,,,,1,0,1,1,1,1,20061001
33977,CPT,Remove ventricular device,,,21 ,,RBRVS,19.26 ,11.10 ,11.10 ,,,,,1,0,1,1,1,1,20061001
33978,CPT,Remove ventricular device,,,21 ,,RBRVS,21.70 ,11.78 ,11.78 ,,,,,1,0,1,1,1,1,20061001
33979,CPT,Insert intracorporeal device,,,21 ,,RBRVS,45.93 ,14.96 ,14.96 ,,,,,1,0,1,1,1,1,20061001
33980,CPT,Remove intracorporeal device,,,21 ,,RBRVS,56.17 ,25.31 ,25.31 ,,,,,1,0,1,1,1,1,20061001
33999,CPT,Cardiac surgery procedure,,,21 ,,TotalUnits,,,,40.06 ,,,,1,0,1,1,1,1,20061001
34001,CPT,Removal of artery clot,,,21 ,,RBRVS,12.89 ,6.73 ,6.73 ,,,,,1,0,1,1,1,1,20061001
34051,CPT,Removal of artery clot,,,21 ,,RBRVS,15.19 ,7.80 ,7.80 ,,,,,1,0,1,1,1,1,20061001
34101,CPT,Removal of artery clot,,,21 ,,RBRVS,9.99 ,5.37 ,5.37 ,,,,,1,0,1,1,1,1,20061001
34111,CPT,Removal of arm artery clot,,,21 ,,RBRVS,9.99 ,5.37 ,5.37 ,,,,,1,0,1,1,1,1,20061001
34151,CPT,Removal of artery clot,,,21 ,,RBRVS,24.96 ,10.43 ,10.43 ,,,,,1,0,1,1,1,1,20061001
34201,CPT,Removal of artery clot,,,21 ,,RBRVS,10.01 ,5.43 ,5.43 ,,,,,1,0,1,1,1,1,20061001
34203,CPT,Removal of leg artery clot,,,21 ,,RBRVS,16.48 ,8.08 ,8.08 ,,,,,1,0,1,1,1,1,20061001
34401,CPT,Removal of vein clot,,,21 ,,RBRVS,24.96 ,10.69 ,10.69 ,,,,,1,0,1,1,1,1,20061001
34421,CPT,Removal of vein clot,,,21 ,,RBRVS,11.98 ,6.31 ,6.31 ,,,,,1,0,1,1,1,1,20061001
34451,CPT,Removal of vein clot,,,21 ,,RBRVS,26.96 ,11.47 ,11.47 ,,,,,1,0,1,1,1,1,20061001
34471,CPT,Removal of vein clot,,,21 ,,RBRVS,10.16 ,5.32 ,5.32 ,,,,,1,0,1,1,1,1,20061001
34490,CPT,Removal of vein clot,,,21 ,,RBRVS,9.85 ,5.44 ,5.44 ,,,,,1,0,1,1,1,1,20061001
34501,CPT,"Repair valve, femoral vein",,,21 ,,RBRVS,15.98 ,8.51 ,8.51 ,,,,,1,0,1,1,1,1,20061001
34502,CPT,Reconstruct vena cava,,,21 ,,RBRVS,26.91 ,12.33 ,12.33 ,,,,,1,0,1,1,1,1,20061001
34510,CPT,Transposition of vein valve,,,21 ,,RBRVS,18.92 ,9.44 ,9.44 ,,,,,1,0,1,1,1,1,20061001
34520,CPT,Cross-over vein graft,,,21 ,,RBRVS,17.92 ,8.47 ,8.47 ,,,,,1,0,1,1,1,1,20061001
34530,CPT,Leg vein fusion,,,21 ,,RBRVS,16.62 ,8.63 ,8.63 ,,,,,1,0,1,1,1,1,20061001
34800,CPT,Endovasc abdo repair w/tube,,,21 ,,RBRVS,20.72 ,9.19 ,9.19 ,,,,,1,0,1,1,1,1,20061001
34802,CPT,Endovasc abdo repr w/device,,,21 ,,RBRVS,22.97 ,9.81 ,9.81 ,,,,,1,0,1,1,1,1,20061001
34803,CPT,Endovas aaa repr w/3-p part,,,21 ,,RBRVS,24.00 ,10.24 ,10.24 ,,,,,1,0,0,1,1,1,20061001
34804,CPT,Endovasc abdo repr w/device,,,21 ,,RBRVS,22.97 ,9.83 ,9.83 ,,,,,1,0,1,1,1,1,20061001
34805,CPT,Endovasc abdo repair w/pros,,,21 ,,RBRVS,21.85 ,9.67 ,9.67 ,,,,,1,0,1,1,1,1,20061001
34808,CPT,Endovasc abdo occlud device,,,21 ,,RBRVS,4.12 ,1.37 ,1.37 ,,,,,1,0,1,1,1,1,20061001
34812,CPT,"Xpose for endoprosth, femorl",,,21 ,,RBRVS,6.74 ,2.24 ,2.24 ,,,,,1,0,1,1,1,1,20061001
34813,CPT,Femoral endovas graft add-on,,,21 ,,RBRVS,4.79 ,1.57 ,1.57 ,,,,,1,0,1,1,1,1,20061001
34820,CPT,"Xpose for endoprosth, iliac",,,21 ,,RBRVS,9.74 ,3.24 ,3.24 ,,,,,1,0,1,1,1,1,20061001
34825,CPT,"Endovasc extend prosth, init",,,21 ,,RBRVS,11.98 ,6.16 ,6.16 ,,,,,1,0,1,1,1,1,20061001
34826,CPT,"Endovasc exten prosth, addl",,,21 ,,RBRVS,4.12 ,1.37 ,1.37 ,,,,,1,0,1,1,1,1,20061001
34830,CPT,Open aortic tube prosth repr,,,21 ,,RBRVS,32.54 ,13.73 ,13.73 ,,,,,1,0,1,1,1,1,20061001
34831,CPT,Open aortoiliac prosth repr,,,21 ,,RBRVS,35.29 ,11.76 ,11.76 ,,,,,1,0,1,1,1,1,20061001
34832,CPT,Open aortofemor prosth repr,,,21 ,,RBRVS,35.29 ,14.66 ,14.66 ,,,,,1,0,1,1,1,1,20061001
34833,CPT,"Xpose for endoprosth, iliac",,,21 ,,RBRVS,11.98 ,4.44 ,4.44 ,,,,,1,0,1,1,1,1,20061001
34834,CPT,"Xpose, endoprosth, brachial",,,21 ,,RBRVS,5.34 ,2.20 ,2.20 ,,,,,1,0,1,1,1,1,20061001
34900,CPT,Endovasc iliac repr w/graft,,,21 ,,RBRVS,16.36 ,7.60 ,7.60 ,,,,,1,0,1,1,1,1,20061001
35001,CPT,Repair defect of artery,,,21 ,,RBRVS,19.61 ,9.58 ,9.58 ,,,,,1,0,1,1,1,1,20061001
35002,CPT,"Repair artery rupture, neck",,,21 ,,RBRVS,20.97 ,9.72 ,9.72 ,,,,,1,0,1,1,1,1,20061001
35005,CPT,Repair defect of artery,,,21 ,,RBRVS,18.09 ,8.87 ,8.87 ,,,,,1,0,1,1,1,1,20061001
35011,CPT,Repair defect of artery,,,21 ,,RBRVS,17.97 ,8.00 ,8.00 ,,,,,1,0,1,1,1,1,20061001
35013,CPT,"Repair artery rupture, arm",,,21 ,,RBRVS,21.97 ,9.70 ,9.70 ,,,,,1,0,1,1,1,1,20061001
35021,CPT,Repair defect of artery,,,21 ,,RBRVS,19.62 ,9.44 ,9.44 ,,,,,1,0,1,1,1,1,20061001
35022,CPT,"Repair artery rupture, chest",,,21 ,,RBRVS,23.15 ,9.88 ,9.88 ,,,,,1,0,1,1,1,1,20061001
35045,CPT,Repair defect of arm artery,,,21 ,,RBRVS,17.54 ,7.52 ,7.52 ,,,,,1,0,1,1,1,1,20061001
35081,CPT,Repair defect of artery,,,21 ,,RBRVS,27.97 ,11.49 ,11.49 ,,,,,1,0,1,1,1,1,20061001
35082,CPT,"Repair artery rupture, aorta",,,21 ,,RBRVS,38.44 ,15.33 ,15.33 ,,,,,1,0,1,1,1,1,20061001
35091,CPT,Repair defect of artery,,,21 ,,RBRVS,35.35 ,13.60 ,13.60 ,,,,,1,0,1,1,1,1,20061001
35092,CPT,"Repair artery rupture, aorta",,,21 ,,RBRVS,44.93 ,17.68 ,17.68 ,,,,,1,0,1,1,1,1,20061001
35102,CPT,Repair defect of artery,,,21 ,,RBRVS,30.71 ,12.39 ,12.39 ,,,,,1,0,1,1,1,1,20061001
35103,CPT,"Repair artery rupture, groin",,,21 ,,RBRVS,40.44 ,15.89 ,15.89 ,,,,,1,0,1,1,1,1,20061001
35111,CPT,Repair defect of artery,,,21 ,,RBRVS,24.96 ,10.49 ,10.49 ,,,,,1,0,1,1,1,1,20061001
35112,CPT,"Repair artery rupture,spleen",,,21 ,,RBRVS,29.96 ,11.99 ,11.99 ,,,,,1,0,1,1,1,1,20061001
35121,CPT,Repair defect of artery,,,21 ,,RBRVS,29.96 ,12.40 ,12.40 ,,,,,1,0,1,1,1,1,20061001
35122,CPT,"Repair artery rupture, belly",,,21 ,,RBRVS,34.95 ,13.84 ,13.84 ,,,,,1,0,1,1,1,1,20061001
35131,CPT,Repair defect of artery,,,21 ,,RBRVS,24.96 ,10.77 ,10.77 ,,,,,1,0,1,1,1,1,20061001
35132,CPT,"Repair artery rupture, groin",,,21 ,,RBRVS,29.96 ,12.41 ,12.41 ,,,,,1,0,1,1,1,1,20061001
35141,CPT,Repair defect of artery,,,21 ,,RBRVS,19.97 ,8.94 ,8.94 ,,,,,1,0,1,1,1,1,20061001
35142,CPT,"Repair artery rupture, thigh",,,21 ,,RBRVS,23.27 ,10.39 ,10.39 ,,,,,1,0,1,1,1,1,20061001
35151,CPT,Repair defect of artery,,,21 ,,RBRVS,22.61 ,10.01 ,10.01 ,,,,,1,0,1,1,1,1,20061001
35152,CPT,"Repair artery rupture, knee",,,21 ,,RBRVS,25.58 ,11.40 ,11.40 ,,,,,1,0,1,1,1,1,20061001
35180,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,13.60 ,6.96 ,6.96 ,,,,,1,0,1,1,1,1,20061001
35182,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,29.96 ,12.83 ,12.83 ,,,,,1,0,1,1,1,1,20061001
35184,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,17.97 ,8.31 ,8.31 ,,,,,1,0,1,1,1,1,20061001
35188,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,14.26 ,7.65 ,7.65 ,,,,,1,0,1,1,1,1,20061001
35189,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,27.96 ,11.98 ,11.98 ,,,,,1,0,1,1,1,1,20061001
35190,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,12.73 ,6.49 ,6.49 ,,,,,1,0,1,1,1,1,20061001
35201,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,16.12 ,8.01 ,8.01 ,,,,,1,0,1,1,1,1,20061001
35206,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,13.23 ,6.57 ,6.57 ,,,,,1,0,1,1,1,1,20061001
35207,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,10.13 ,7.37 ,7.37 ,,,,,1,0,1,1,1,1,20061001
35211,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,22.09 ,10.64 ,10.64 ,,,,,1,0,1,1,1,1,20061001
35216,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,18.72 ,9.00 ,9.00 ,,,,,1,0,1,1,1,1,20061001
35221,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,24.35 ,9.96 ,9.96 ,,,,,1,0,1,1,1,1,20061001
35226,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,14.48 ,7.45 ,7.45 ,,,,,1,0,1,1,1,1,20061001
35231,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,19.97 ,9.79 ,9.79 ,,,,,1,0,1,1,1,1,20061001
35236,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,17.08 ,7.90 ,7.90 ,,,,,1,0,1,1,1,1,20061001
35241,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,23.09 ,11.15 ,11.15 ,,,,,1,0,1,1,1,1,20061001
35246,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,26.41 ,11.45 ,11.45 ,,,,,1,0,1,1,1,1,20061001
35251,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,30.15 ,11.82 ,11.82 ,,,,,1,0,1,1,1,1,20061001
35256,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,18.33 ,8.37 ,8.37 ,,,,,1,0,1,1,1,1,20061001
35261,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,17.77 ,8.03 ,8.03 ,,,,,1,0,1,1,1,1,20061001
35266,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,14.89 ,7.02 ,7.02 ,,,,,1,0,1,1,1,1,20061001
35271,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,22.09 ,10.54 ,10.54 ,,,,,1,0,1,1,1,1,20061001
35276,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,24.21 ,11.23 ,11.23 ,,,,,1,0,1,1,1,1,20061001
35281,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,27.96 ,11.73 ,11.73 ,,,,,1,0,1,1,1,1,20061001
35286,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,16.14 ,8.07 ,8.07 ,,,,,1,0,1,1,1,1,20061001
35301,CPT,Rechanneling of artery,,,21 ,,RBRVS,18.67 ,8.45 ,8.45 ,,,,,1,0,1,1,1,1,20061001
35311,CPT,Rechanneling of artery,,,21 ,,RBRVS,26.96 ,11.77 ,11.77 ,,,,,1,0,1,1,1,1,20061001
35321,CPT,Rechanneling of artery,,,21 ,,RBRVS,15.98 ,7.40 ,7.40 ,,,,,1,0,1,1,1,1,20061001
35331,CPT,Rechanneling of artery,,,21 ,,RBRVS,26.16 ,11.26 ,11.26 ,,,,,1,0,1,1,1,1,20061001
35341,CPT,Rechanneling of artery,,,21 ,,RBRVS,25.07 ,10.89 ,10.89 ,,,,,1,0,1,1,1,1,20061001
35351,CPT,Rechanneling of artery,,,21 ,,RBRVS,22.97 ,9.62 ,9.62 ,,,,,1,0,1,1,1,1,20061001
35355,CPT,Rechanneling of artery,,,21 ,,RBRVS,18.47 ,8.10 ,8.10 ,,,,,1,0,1,1,1,1,20061001
35361,CPT,Rechanneling of artery,,,21 ,,RBRVS,28.16 ,11.73 ,11.73 ,,,,,1,0,1,1,1,1,20061001
35363,CPT,Rechanneling of artery,,,21 ,,RBRVS,30.15 ,12.62 ,12.62 ,,,,,1,0,1,1,1,1,20061001
35371,CPT,Rechanneling of artery,,,21 ,,RBRVS,14.70 ,6.97 ,6.97 ,,,,,1,0,1,1,1,1,20061001
35372,CPT,Rechanneling of artery,,,21 ,,RBRVS,17.97 ,8.06 ,8.06 ,,,,,1,0,1,1,1,1,20061001
35381,CPT,Rechanneling of artery,,,21 ,,RBRVS,15.79 ,7.83 ,7.83 ,,,,,1,0,1,1,1,1,20061001
35390,CPT,"Reoperation, carotid add-on",,,21 ,,RBRVS,3.19 ,1.06 ,1.06 ,,,,,1,0,1,1,1,1,20061001
35400,CPT,Angioscopy,,,21 ,,RBRVS,3.00 ,1.11 ,1.11 ,,,,,1,0,1,1,1,1,20061001
35450,CPT,Repair arterial blockage,,,21 ,,RBRVS,10.05 ,3.57 ,3.57 ,,,,,1,0,1,1,1,1,20061001
35452,CPT,Repair arterial blockage,,,21 ,,RBRVS,6.90 ,2.61 ,2.61 ,,,,,1,0,1,1,1,1,20061001
35454,CPT,Repair arterial blockage,,,21 ,,RBRVS,6.03 ,2.32 ,2.32 ,,,,,1,0,1,1,1,1,20061001
35456,CPT,Repair arterial blockage,,,21 ,,RBRVS,7.34 ,2.77 ,2.77 ,,,,,1,0,1,1,1,1,20061001
35458,CPT,Repair arterial blockage,,,21 ,,RBRVS,9.48 ,3.48 ,3.48 ,,,,,1,0,1,1,1,1,20061001
35459,CPT,Repair arterial blockage,,,21 ,,RBRVS,8.62 ,3.18 ,3.18 ,,,,,1,0,1,1,1,1,20061001
35460,CPT,Repair venous blockage,,,21 ,,RBRVS,6.03 ,2.28 ,2.28 ,,,,,1,0,1,1,1,1,20061001
35470,CPT,Repair arterial blockage,,,21 ,,RBRVS,8.62 ,3.36 ,89.12 ,,,,,1,0,1,1,1,1,20061001
35471,CPT,Repair arterial blockage,,,21 ,,RBRVS,10.05 ,3.96 ,100.55 ,,,,,1,0,1,1,1,1,20061001
35472,CPT,Repair arterial blockage,,,21 ,,RBRVS,6.90 ,2.75 ,64.54 ,,,,,1,0,1,1,1,1,20061001
35473,CPT,Repair arterial blockage,,,21 ,,RBRVS,6.03 ,2.43 ,60.01 ,,,,,1,0,1,1,1,1,20061001
35474,CPT,Repair arterial blockage,,,21 ,,RBRVS,7.35 ,2.90 ,87.98 ,,,,,1,0,1,1,1,1,20061001
35475,CPT,Repair arterial blockage,,,21 ,,RBRVS,9.48 ,3.57 ,56.26 ,,,,,1,0,1,1,1,1,20061001
35476,CPT,Repair venous blockage,,,21 ,,RBRVS,6.03 ,2.36 ,44.86 ,,,,,1,0,1,1,1,1,20061001
35480,CPT,"Atherectomy, open",,,21 ,,RBRVS,11.06 ,4.05 ,4.05 ,,,,,1,0,1,1,1,1,20061001
35481,CPT,"Atherectomy, open",,,21 ,,RBRVS,7.60 ,2.88 ,2.88 ,,,,,1,0,1,1,1,1,20061001
35482,CPT,"Atherectomy, open",,,21 ,,RBRVS,6.64 ,2.57 ,2.57 ,,,,,1,0,1,1,1,1,20061001
35483,CPT,"Atherectomy, open",,,21 ,,RBRVS,8.09 ,3.03 ,3.03 ,,,,,1,0,1,1,1,1,20061001
35484,CPT,"Atherectomy, open",,,21 ,,RBRVS,10.42 ,3.78 ,3.78 ,,,,,1,0,1,1,1,1,20061001
35485,CPT,"Atherectomy, open",,,21 ,,RBRVS,9.48 ,3.54 ,3.54 ,,,,,1,0,1,1,1,1,20061001
35490,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,11.06 ,4.71 ,4.71 ,,,,,1,0,1,1,1,1,20061001
35491,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,7.60 ,3.30 ,3.30 ,,,,,1,0,1,1,1,1,20061001
35492,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,6.64 ,3.20 ,3.20 ,,,,,1,0,1,1,1,1,20061001
35493,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,8.09 ,3.81 ,3.81 ,,,,,1,0,1,1,1,1,20061001
35494,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,10.42 ,4.47 ,4.47 ,,,,,1,0,1,1,1,1,20061001
35495,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,9.48 ,4.40 ,4.40 ,,,,,1,0,1,1,1,1,20061001
35500,CPT,Harvest vein for bypass,,,21 ,,RBRVS,6.44 ,2.03 ,2.03 ,,,,,1,0,1,1,1,1,20061001
35501,CPT,Artery bypass graft,,,21 ,,RBRVS,19.16 ,8.48 ,8.48 ,,,,,1,0,1,1,1,1,20061001
35506,CPT,Artery bypass graft,,,21 ,,RBRVS,19.64 ,9.49 ,9.49 ,,,,,1,0,1,1,1,1,20061001
35507,CPT,Artery bypass graft,,,21 ,,RBRVS,19.64 ,9.45 ,9.45 ,,,,,1,0,1,1,1,1,20061001
35508,CPT,Artery bypass graft,,,21 ,,RBRVS,18.62 ,9.47 ,9.47 ,,,,,1,0,1,1,1,1,20061001
35509,CPT,Artery bypass graft,,,21 ,,RBRVS,18.04 ,8.79 ,8.79 ,,,,,1,0,1,1,1,1,20061001
35510,CPT,Artery bypass graft,,,21 ,,RBRVS,22.97 ,10.20 ,10.20 ,,,,,1,0,1,1,1,1,20061001
35511,CPT,Artery bypass graft,,,21 ,,RBRVS,21.17 ,9.38 ,9.38 ,,,,,1,0,1,1,1,1,20061001
35512,CPT,Artery bypass graft,,,21 ,,RBRVS,22.47 ,10.03 ,10.03 ,,,,,1,0,1,1,1,1,20061001
35515,CPT,Artery bypass graft,,,21 ,,RBRVS,18.62 ,9.31 ,9.31 ,,,,,1,0,1,1,1,1,20061001
35516,CPT,Artery bypass graft,,,21 ,,RBRVS,16.30 ,6.82 ,6.82 ,,,,,1,0,1,1,1,1,20061001
35518,CPT,Artery bypass graft,,,21 ,,RBRVS,21.17 ,9.00 ,9.00 ,,,,,1,0,1,1,1,1,20061001
35521,CPT,Artery bypass graft,,,21 ,,RBRVS,22.17 ,9.86 ,9.86 ,,,,,1,0,1,1,1,1,20061001
35522,CPT,Artery bypass graft,,,21 ,,RBRVS,21.73 ,9.78 ,9.78 ,,,,,1,0,1,1,1,1,20061001
35525,CPT,Artery bypass graft,,,21 ,,RBRVS,20.60 ,9.40 ,9.40 ,,,,,1,0,1,1,1,1,20061001
35526,CPT,Artery bypass graft,,,21 ,,RBRVS,29.91 ,12.54 ,12.54 ,,,,,1,0,1,1,1,1,20061001
35531,CPT,Artery bypass graft,,,21 ,,RBRVS,36.15 ,14.51 ,14.51 ,,,,,1,0,1,1,1,1,20061001
35533,CPT,Artery bypass graft,,,21 ,,RBRVS,27.96 ,11.75 ,11.75 ,,,,,1,0,1,1,1,1,20061001
35536,CPT,Artery bypass graft,,,21 ,,RBRVS,31.65 ,12.98 ,12.98 ,,,,,1,0,1,1,1,1,20061001
35541,CPT,Artery bypass graft,,,21 ,,RBRVS,25.76 ,11.23 ,11.23 ,,,,,1,0,1,1,1,1,20061001
35546,CPT,Artery bypass graft,,,21 ,,RBRVS,25.50 ,10.89 ,10.89 ,,,,,1,0,1,1,1,1,20061001
35548,CPT,Artery bypass graft,,,21 ,,RBRVS,21.54 ,9.45 ,9.45 ,,,,,1,0,1,1,1,1,20061001
35549,CPT,Artery bypass graft,,,21 ,,RBRVS,23.31 ,10.40 ,10.40 ,,,,,1,0,1,1,1,1,20061001
35551,CPT,Artery bypass graft,,,21 ,,RBRVS,26.63 ,11.52 ,11.52 ,,,,,1,0,1,1,1,1,20061001
35556,CPT,Artery bypass graft,,,21 ,,RBRVS,21.73 ,9.75 ,9.75 ,,,,,1,0,1,1,1,1,20061001
35558,CPT,Artery bypass graft,,,21 ,,RBRVS,21.17 ,9.57 ,9.57 ,,,,,1,0,1,1,1,1,20061001
35560,CPT,Artery bypass graft,,,21 ,,RBRVS,31.95 ,13.35 ,13.35 ,,,,,1,0,1,1,1,1,20061001
35563,CPT,Artery bypass graft,,,21 ,,RBRVS,24.16 ,10.55 ,10.55 ,,,,,1,0,1,1,1,1,20061001
35565,CPT,Artery bypass graft,,,21 ,,RBRVS,23.17 ,10.16 ,10.16 ,,,,,1,0,1,1,1,1,20061001
35566,CPT,Artery bypass graft,,,21 ,,RBRVS,26.88 ,11.41 ,11.41 ,,,,,1,0,1,1,1,1,20061001
35571,CPT,Artery bypass graft,,,21 ,,RBRVS,24.02 ,10.87 ,10.87 ,,,,,1,0,1,1,1,1,20061001
35572,CPT,Harvest femoropopliteal vein,,,21 ,,RBRVS,6.81 ,2.25 ,2.25 ,,,,,1,0,1,1,1,1,20061001
35583,CPT,Vein bypass graft,,,21 ,,RBRVS,22.34 ,10.18 ,10.18 ,,,,,1,0,1,1,1,1,20061001
35585,CPT,Vein bypass graft,,,21 ,,RBRVS,28.35 ,12.25 ,12.25 ,,,,,1,0,1,1,1,1,20061001
35587,CPT,Vein bypass graft,,,21 ,,RBRVS,24.71 ,11.48 ,11.48 ,,,,,1,0,1,1,1,1,20061001
35600,CPT,Harvest artery for cabg,,,21 ,,RBRVS,4.94 ,1.62 ,1.62 ,,,,,1,0,1,1,1,1,20061001
35601,CPT,Artery bypass graft,,,21 ,,RBRVS,17.47 ,8.64 ,8.64 ,,,,,1,0,1,1,1,1,20061001
35606,CPT,Artery bypass graft,,,21 ,,RBRVS,18.68 ,9.04 ,9.04 ,,,,,1,0,1,1,1,1,20061001
35612,CPT,Artery bypass graft,,,21 ,,RBRVS,15.74 ,7.90 ,7.90 ,,,,,1,0,1,1,1,1,20061001
35616,CPT,Artery bypass graft,,,21 ,,RBRVS,15.68 ,8.12 ,8.12 ,,,,,1,0,1,1,1,1,20061001
35621,CPT,Artery bypass graft,,,21 ,,RBRVS,19.97 ,8.70 ,8.70 ,,,,,1,0,1,1,1,1,20061001
35623,CPT,"Bypass graft, not vein",,,21 ,,RBRVS,23.96 ,10.52 ,10.52 ,,,,,1,0,1,1,1,1,20061001
35626,CPT,Artery bypass graft,,,21 ,,RBRVS,27.71 ,12.00 ,12.00 ,,,,,1,0,1,1,1,1,20061001
35631,CPT,Artery bypass graft,,,21 ,,RBRVS,33.95 ,13.87 ,13.87 ,,,,,1,0,1,1,1,1,20061001
35636,CPT,Artery bypass graft,,,21 ,,RBRVS,29.46 ,12.33 ,12.33 ,,,,,1,0,1,1,1,1,20061001
35641,CPT,Artery bypass graft,,,21 ,,RBRVS,24.53 ,11.09 ,11.09 ,,,,,1,0,1,1,1,1,20061001
35642,CPT,Artery bypass graft,,,21 ,,RBRVS,17.95 ,8.71 ,8.71 ,,,,,1,0,1,1,1,1,20061001
35645,CPT,Artery bypass graft,,,21 ,,RBRVS,17.44 ,8.29 ,8.29 ,,,,,1,0,1,1,1,1,20061001
35646,CPT,Artery bypass graft,,,21 ,,RBRVS,30.95 ,13.14 ,13.14 ,,,,,1,0,1,1,1,1,20061001
35647,CPT,Artery bypass graft,,,21 ,,RBRVS,27.96 ,11.80 ,11.80 ,,,,,1,0,1,1,1,1,20061001
35650,CPT,Artery bypass graft,,,21 ,,RBRVS,18.97 ,8.38 ,8.38 ,,,,,1,0,1,1,1,1,20061001
35651,CPT,Artery bypass graft,,,21 ,,RBRVS,25.00 ,10.75 ,10.75 ,,,,,1,0,1,1,1,1,20061001
35654,CPT,Artery bypass graft,,,21 ,,RBRVS,24.96 ,10.68 ,10.68 ,,,,,1,0,1,1,1,1,20061001
35656,CPT,Artery bypass graft,,,21 ,,RBRVS,19.50 ,8.62 ,8.62 ,,,,,1,0,1,1,1,1,20061001
35661,CPT,Artery bypass graft,,,21 ,,RBRVS,18.97 ,8.95 ,8.95 ,,,,,1,0,1,1,1,1,20061001
35663,CPT,Artery bypass graft,,,21 ,,RBRVS,21.97 ,10.00 ,10.00 ,,,,,1,0,1,1,1,1,20061001
35665,CPT,Artery bypass graft,,,21 ,,RBRVS,20.97 ,9.47 ,9.47 ,,,,,1,0,1,1,1,1,20061001
35666,CPT,Artery bypass graft,,,21 ,,RBRVS,22.16 ,10.67 ,10.67 ,,,,,1,0,1,1,1,1,20061001
35671,CPT,Artery bypass graft,,,21 ,,RBRVS,19.30 ,9.39 ,9.39 ,,,,,1,0,1,1,1,1,20061001
35681,CPT,Composite bypass graft,,,21 ,,RBRVS,1.60 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20061001
35682,CPT,Composite bypass graft,,,21 ,,RBRVS,7.19 ,2.39 ,2.39 ,,,,,1,0,1,1,1,1,20061001
35683,CPT,Composite bypass graft,,,21 ,,RBRVS,8.49 ,2.83 ,2.83 ,,,,,1,0,1,1,1,1,20061001
35685,CPT,Bypass graft patency/patch,,,21 ,,RBRVS,4.04 ,1.35 ,1.35 ,,,,,1,0,1,1,1,1,20061001
35686,CPT,Bypass graft/av fist patency,,,21 ,,RBRVS,3.34 ,1.13 ,1.13 ,,,,,1,0,1,1,1,1,20061001
35691,CPT,Arterial transposition,,,21 ,,RBRVS,18.02 ,8.42 ,8.42 ,,,,,1,0,1,1,1,1,20061001
35693,CPT,Arterial transposition,,,21 ,,RBRVS,15.34 ,7.74 ,7.74 ,,,,,1,0,1,1,1,1,20061001
35694,CPT,Arterial transposition,,,21 ,,RBRVS,19.13 ,8.62 ,8.62 ,,,,,1,0,1,1,1,1,20061001
35695,CPT,Arterial transposition,,,21 ,,RBRVS,19.13 ,8.57 ,8.57 ,,,,,1,0,1,1,1,1,20061001
35697,CPT,Reimplant artery each,,,21 ,,RBRVS,3.00 ,1.02 ,1.02 ,,,,,1,0,1,1,1,1,20061001
35700,CPT,"Reoperation, bypass graft",,,21 ,,RBRVS,3.08 ,1.02 ,1.02 ,,,,,1,0,1,1,1,1,20061001
35701,CPT,"Exploration, carotid artery",,,21 ,,RBRVS,8.49 ,5.16 ,5.16 ,,,,,1,0,1,1,1,1,20061001
35721,CPT,"Exploration, femoral artery",,,21 ,,RBRVS,7.17 ,4.44 ,4.44 ,,,,,1,0,1,1,1,1,20061001
35741,CPT,Exploration popliteal artery,,,21 ,,RBRVS,7.99 ,4.67 ,4.67 ,,,,,1,0,1,1,1,1,20061001
35761,CPT,Exploration of artery/vein,,,21 ,,RBRVS,5.36 ,4.02 ,4.02 ,,,,,1,0,1,1,1,1,20061001
35800,CPT,Explore neck vessels,,,21 ,,RBRVS,7.01 ,4.66 ,4.66 ,,,,,1,0,1,1,1,1,20061001
35820,CPT,Explore chest vessels,,,21 ,,RBRVS,12.86 ,7.22 ,7.22 ,,,,,1,0,1,1,1,1,20061001
35840,CPT,Explore abdominal vessels,,,21 ,,RBRVS,9.76 ,5.30 ,5.30 ,,,,,1,0,1,1,1,1,20061001
35860,CPT,Explore limb vessels,,,21 ,,RBRVS,5.54 ,4.04 ,4.04 ,,,,,1,0,1,1,1,1,20061001
35870,CPT,Repair vessel graft defect,,,21 ,,RBRVS,22.14 ,9.79 ,9.79 ,,,,,1,0,1,1,1,1,20061001
35875,CPT,Removal of clot in graft,,,21 ,,RBRVS,10.11 ,5.20 ,5.20 ,,,,,1,0,1,1,1,1,20061001
35876,CPT,Removal of clot in graft,,,21 ,,RBRVS,16.97 ,7.53 ,7.53 ,,,,,1,0,1,1,1,1,20061001
35879,CPT,Revise graft w/vein,,,21 ,,RBRVS,15.98 ,7.71 ,7.71 ,,,,,1,0,1,1,1,1,20061001
35881,CPT,Revise graft w/vein,,,21 ,,RBRVS,17.97 ,8.69 ,8.69 ,,,,,1,0,1,1,1,1,20061001
35901,CPT,"Excision, graft, neck",,,21 ,,RBRVS,8.18 ,5.32 ,5.32 ,,,,,1,0,1,1,1,1,20061001
35903,CPT,"Excision, graft, extremity",,,21 ,,RBRVS,9.38 ,6.17 ,6.17 ,,,,,1,0,1,1,1,1,20061001
35905,CPT,"Excision, graft, thorax",,,21 ,,RBRVS,31.20 ,13.22 ,13.22 ,,,,,1,0,1,1,1,1,20061001
35907,CPT,"Excision, graft, abdomen",,,21 ,,RBRVS,34.95 ,14.20 ,14.20 ,,,,,1,0,1,1,1,1,20061001
36000,CPT,Place needle in vein,,,21 ,,RBRVS,0.18 ,0.05 ,0.57 ,,,,,1,0,1,1,1,1,20061001
36002,CPT,Pseudoaneurysm injection trt,,,21 ,,RBRVS,1.96 ,0.97 ,2.87 ,,,,,1,0,1,1,1,1,20061001
36005,CPT,Injection ext venography,,,21 ,,RBRVS,0.95 ,0.31 ,7.67 ,,,,,1,0,1,1,1,1,20061001
36010,CPT,Place catheter in vein,,,21 ,,RBRVS,2.43 ,0.79 ,19.36 ,,,,,1,0,1,1,1,1,20061001
36011,CPT,Place catheter in vein,,,21 ,,RBRVS,3.14 ,1.06 ,27.90 ,,,,,1,0,1,1,1,1,20061001
36012,CPT,Place catheter in vein,,,21 ,,RBRVS,3.51 ,1.19 ,19.00 ,,,,,1,0,1,1,1,1,20061001
36013,CPT,Place catheter in artery,,,21 ,,RBRVS,2.52 ,0.69 ,21.42 ,,,,,1,0,1,1,1,1,20061001
36014,CPT,Place catheter in artery,,,21 ,,RBRVS,3.02 ,1.03 ,20.18 ,,,,,1,0,1,1,1,1,20061001
36015,CPT,Place catheter in artery,,,21 ,,RBRVS,3.51 ,1.19 ,23.73 ,,,,,1,0,1,1,1,1,20061001
36100,CPT,Establish access to artery,,,21 ,,RBRVS,3.02 ,1.11 ,12.11 ,,,,,1,0,1,1,1,1,20061001
36120,CPT,Establish access to artery,,,21 ,,RBRVS,2.01 ,0.65 ,10.73 ,,,,,1,0,1,1,1,1,20061001
36140,CPT,Establish access to artery,,,21 ,,RBRVS,2.01 ,0.64 ,12.81 ,,,,,1,0,1,1,1,1,20061001
36145,CPT,Artery to vein shunt,,,21 ,,RBRVS,2.01 ,0.66 ,12.59 ,,,,,1,0,1,1,1,1,20061001
36160,CPT,Establish access to aorta,,,21 ,,RBRVS,2.52 ,0.84 ,13.52 ,,,,,1,0,1,1,1,1,20061001
36200,CPT,Place catheter in aorta,,,21 ,,RBRVS,3.02 ,1.01 ,16.56 ,,,,,1,0,1,1,1,1,20061001
36215,CPT,Place catheter in artery,,,21 ,,RBRVS,4.67 ,1.61 ,27.11 ,,,,,1,0,1,1,1,1,20061001
36216,CPT,Place catheter in artery,,,21 ,,RBRVS,5.27 ,1.80 ,29.16 ,,,,,1,0,1,1,1,1,20061001
36217,CPT,Place catheter in artery,,,21 ,,RBRVS,6.29 ,2.18 ,55.60 ,,,,,1,0,1,1,1,1,20061001
36218,CPT,Place catheter in artery,,,21 ,,RBRVS,1.01 ,0.34 ,5.10 ,,,,,1,0,1,1,1,1,20061001
36245,CPT,Place catheter in artery,,,21 ,,RBRVS,4.67 ,1.68 ,32.18 ,,,,,1,0,1,1,1,1,20061001
36246,CPT,Place catheter in artery,,,21 ,,RBRVS,5.27 ,1.83 ,30.05 ,,,,,1,0,1,1,1,1,20061001
36247,CPT,Place catheter in artery,,,21 ,,RBRVS,6.29 ,2.15 ,49.65 ,,,,,1,0,1,1,1,1,20061001
36248,CPT,Place catheter in artery,,,21 ,,RBRVS,1.01 ,0.34 ,4.05 ,,,,,1,0,1,1,1,1,20061001
36260,CPT,Insertion of infusion pump,,,21 ,,RBRVS,9.70 ,4.89 ,4.89 ,,,,,1,0,1,1,1,1,20061001
36261,CPT,Revision of infusion pump,,,21 ,,RBRVS,5.44 ,3.67 ,3.67 ,,,,,1,0,1,1,1,1,20061001
36262,CPT,Removal of infusion pump,,,21 ,,RBRVS,4.01 ,2.76 ,2.76 ,,,,,1,0,1,1,1,1,20061001
36299,CPT,Vessel injection procedure,,,21 ,,TotalUnits,,,,4.04 ,,,,1,0,1,1,1,1,20061001
36400,CPT,Bl draw < 3 yrs fem/jugular,,,21 ,2,RBRVS,0.38 ,0.09 ,0.28 ,,,,,1,1,1,0,1,1,20061001
36405,CPT,Bl draw < 3 yrs scalp vein,,,21 ,2,RBRVS,0.31 ,0.08 ,0.26 ,,,,,1,1,1,0,1,1,20061001
36406,CPT,Bl draw < 3 yrs other vein,,,21 ,2,RBRVS,0.18 ,0.05 ,0.28 ,,,,,1,1,1,0,1,1,20061001
36410,CPT,Non-routine bl draw > 3 yrs,,,21 ,2,RBRVS,0.18 ,0.05 ,0.29 ,,,,,1,1,1,0,1,1,20061001
36415,CPT,Routine venipuncture,,,14 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20061001
36416,CPT,Capillary blood draw,,,14 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20061001
36420,CPT,Vein access cutdown < 1 yr,,,21 ,,RBRVS,1.01 ,0.27 ,0.34 ,,,,,1,1,1,0,1,1,20061001
36425,CPT,Vein access cutdown > 1 yr,,,21 ,,RBRVS,0.76 ,0.22 ,0.22 ,,,,,1,1,1,0,1,1,20061001
36430,CPT,Blood transfusion service,,,21 ,,RBRVS,0.00 ,1.01 ,1.01 ,,,,,1,1,1,0,1,1,20061001
36440,CPT,"Bl push transfuse, 2 yr or <",,,21 ,,RBRVS,1.03 ,0.29 ,0.29 ,,,,,1,1,1,0,1,1,20061001
36450,CPT,"Bl exchange/transfuse, nb",,,21 ,,RBRVS,2.23 ,0.71 ,0.71 ,,,,,1,1,1,0,1,1,20061001
36455,CPT,Bl exchange/transfuse non-nb,,,21 ,,RBRVS,2.43 ,1.01 ,1.01 ,,,,,1,1,1,0,1,1,20061001
36460,CPT,"Transfusion service, fetal",,,21 ,,RBRVS,6.58 ,2.25 ,2.25 ,,,,,1,1,1,0,1,1,20061001
36468,CPT,"Injection(s), spider veins",,,21 ,,TotalUnits,,,,1.97 ,,,,1,0,1,1,1,1,20061001
36469,CPT,"Injection(s), spider veins",,,21 ,,TotalUnits,,,,2.10 ,,,,1,0,1,1,1,1,20061001
36470,CPT,Injection therapy of vein,,,21 ,,RBRVS,1.09 ,0.73 ,2.69 ,,,,,1,0,1,1,1,1,20061001
36471,CPT,Injection therapy of veins,,,21 ,,RBRVS,1.57 ,0.96 ,3.08 ,,,,,1,0,1,1,1,1,20061001
36475,CPT,"Endovenous rf, 1st vein",,,21 ,,RBRVS,6.72 ,2.54 ,51.54 ,,,,,1,0,1,1,1,1,20061001
36476,CPT,"Endovenous rf, vein add-on",,,21 ,,RBRVS,3.38 ,1.14 ,7.90 ,,,,,1,0,1,1,1,1,20061001
36478,CPT,"Endovenous laser, 1st vein",,,21 ,,RBRVS,6.72 ,2.54 ,46.91 ,,,,,1,0,1,1,1,1,20061001
36479,CPT,Endovenous laser vein addon,,,21 ,,RBRVS,3.38 ,1.14 ,8.01 ,,,,,1,0,1,1,1,1,20061001
36481,CPT,"Insertion of catheter, vein",,,21 ,,RBRVS,6.98 ,2.60 ,5.75 ,,,,,1,0,1,1,1,1,20061001
36500,CPT,"Insertion of catheter, vein",,,21 ,,RBRVS,3.51 ,1.37 ,1.37 ,,,,,1,0,1,1,1,1,20061001
36510,CPT,"Insertion of catheter, vein",,,21 ,,RBRVS,1.09 ,0.61 ,3.90 ,,,,,1,0,1,1,1,1,20061001
36511,CPT,Apheresis wbc,,,21 ,,RBRVS,1.74 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20061001
36512,CPT,Apheresis rbc,,,21 ,,RBRVS,1.74 ,0.74 ,0.74 ,,,,,1,1,1,0,1,1,20061001
36513,CPT,Apheresis platelets,,,21 ,,RBRVS,1.74 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20061001
36514,CPT,Apheresis plasma,,,21 ,,RBRVS,1.74 ,0.71 ,17.02 ,,,,,1,1,1,0,1,1,20061001
36515,CPT,"Apheresis, adsorp/reinfuse",,,21 ,,RBRVS,1.74 ,0.66 ,66.49 ,,,,,1,1,1,0,1,1,20061001
36516,CPT,"Apheresis, selective",,,21 ,,RBRVS,1.22 ,0.48 ,84.29 ,,,,,1,1,1,0,1,1,20061001
36522,CPT,Photopheresis,,,21 ,,RBRVS,1.67 ,0.96 ,32.46 ,,,,,1,1,1,0,1,1,20061001
36540,CPT,Collect blood venous device,,,21 ,2,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20061001
36550,CPT,Declot vascular device,,,21 ,,RBRVS,0.00 ,0.39 ,0.39 ,,,,,1,1,1,0,1,1,20061001
36555,CPT,Insert non-tunnel cv cath,,,21 ,,RBRVS,2.68 ,0.80 ,5.77 ,,,,,1,0,1,1,1,1,20061001
36556,CPT,Insert non-tunnel cv cath,,,21 ,,RBRVS,2.50 ,0.74 ,5.64 ,,,,,1,0,1,1,1,1,20061001
36557,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,5.09 ,2.66 ,21.20 ,,,,,1,0,1,1,1,1,20061001
36558,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,4.79 ,2.56 ,21.10 ,,,,,1,0,1,1,1,1,20061001
36560,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,6.24 ,3.04 ,29.76 ,,,,,1,0,1,1,1,1,20061001
36561,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,5.99 ,2.96 ,29.67 ,,,,,1,0,1,1,1,1,20061001
36563,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,6.19 ,2.99 ,26.82 ,,,,,1,0,1,1,1,1,20061001
36565,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,5.99 ,2.96 ,24.77 ,,,,,1,0,1,1,1,1,20061001
36566,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,6.49 ,3.12 ,25.57 ,,,,,1,0,1,1,1,1,20061001
36568,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,1.92 ,0.58 ,7.55 ,,,,,1,0,1,1,1,1,20061001
36569,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,1.82 ,0.57 ,7.36 ,,,,,1,0,1,1,1,1,20061001
36570,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,5.31 ,2.73 ,33.27 ,,,,,1,0,1,1,1,1,20061001
36571,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,5.29 ,2.72 ,33.34 ,,,,,1,0,1,1,1,1,20061001
36575,CPT,Repair tunneled cv cath,,,21 ,,RBRVS,0.67 ,0.26 ,4.06 ,,,,,1,0,1,1,1,1,20061001
36576,CPT,Repair tunneled cv cath,,,21 ,,RBRVS,3.19 ,1.85 ,6.96 ,,,,,1,0,1,1,1,1,20061001
36578,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,3.49 ,2.31 ,11.16 ,,,,,1,0,1,1,1,1,20061001
36580,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,1.31 ,0.41 ,6.96 ,,,,,1,0,1,1,1,1,20061001
36581,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,3.43 ,1.93 ,19.55 ,,,,,1,0,1,1,1,1,20061001
36582,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,5.19 ,2.87 ,26.09 ,,,,,1,0,1,1,1,1,20061001
36583,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,5.24 ,2.89 ,26.11 ,,,,,1,0,1,1,1,1,20061001
36584,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,1.20 ,0.55 ,6.99 ,,,,,1,0,1,1,1,1,20061001
36585,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,4.79 ,2.74 ,27.90 ,,,,,1,0,1,1,1,1,20061001
36589,CPT,Removal tunneled cv cath,,,21 ,,RBRVS,2.27 ,1.39 ,2.25 ,,,,,1,0,1,1,1,1,20061001
36590,CPT,Removal tunneled cv cath,,,21 ,,RBRVS,3.30 ,1.72 ,3.38 ,,,,,1,0,1,1,1,1,20061001
36595,CPT,Mech remov tunneled cv cath,,,21 ,,RBRVS,3.59 ,1.45 ,17.30 ,,,,,1,0,1,1,1,1,20061001
36596,CPT,Mech remov tunneled cv cath,,,21 ,,RBRVS,0.75 ,0.50 ,3.70 ,,,,,1,0,1,1,1,1,20061001
36597,CPT,Reposition venous catheter,,,21 ,,RBRVS,1.21 ,0.44 ,2.41 ,,,,,1,0,1,1,1,1,20061001
36598,CPT,"Inj w/fluor, eval cv device",,,21 ,,RBRVS,0.74 ,2.65 ,2.65 ,,,,,1,0,1,1,1,1,20061001
36600,CPT,Withdrawal of arterial blood,,,21 ,,RBRVS,0.32 ,0.09 ,0.49 ,,,,,1,0,1,1,1,1,20061001
36620,CPT,"Insertion catheter, artery",,,21 ,,RBRVS,1.15 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
36625,CPT,"Insertion catheter, artery",,,21 ,,RBRVS,2.11 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20061001
36640,CPT,"Insertion catheter, artery",,,21 ,,RBRVS,2.10 ,1.04 ,1.04 ,,,,,1,0,1,1,1,1,20061001
36660,CPT,"Insertion catheter, artery",,,21 ,,RBRVS,1.40 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20061001
36680,CPT,"Insert needle, bone cavity",,,21 ,,RBRVS,1.20 ,0.49 ,0.49 ,,,,,1,0,1,1,1,1,20061001
36800,CPT,Insertion of cannula,,,21 ,,RBRVS,2.43 ,1.81 ,1.81 ,,,,,1,0,1,1,1,1,20061001
36810,CPT,Insertion of cannula,,,21 ,,RBRVS,3.96 ,1.68 ,1.68 ,,,,,1,0,1,1,1,1,20061001
36815,CPT,Insertion of cannula,,,21 ,,RBRVS,2.62 ,1.17 ,1.17 ,,,,,1,0,1,1,1,1,20061001
36818,CPT,"Av fuse, uppr arm, cephalic",,,21 ,,RBRVS,11.52 ,6.05 ,6.05 ,,,,,1,0,1,1,1,1,20061001
36819,CPT,Av fusion/uppr arm vein,,,21 ,,RBRVS,13.98 ,6.39 ,6.39 ,,,,,1,0,1,1,1,1,20061001
36820,CPT,Av fusion/forearm vein,,,21 ,,RBRVS,13.98 ,6.40 ,6.40 ,,,,,1,0,1,1,1,1,20061001
36821,CPT,Av fusion direct any site,,,21 ,,RBRVS,8.92 ,4.66 ,4.66 ,,,,,1,0,1,1,1,1,20061001
36822,CPT,Insertion of cannula(s),,,21 ,,RBRVS,5.41 ,4.39 ,4.39 ,,,,,1,0,1,1,1,1,20061001
36823,CPT,Insertion of cannula(s),,,21 ,,RBRVS,20.97 ,9.40 ,9.40 ,,,,,1,0,1,1,1,1,20061001
36825,CPT,Artery-vein autograft,,,21 ,,RBRVS,9.83 ,5.06 ,5.06 ,,,,,1,0,1,1,1,1,20061001
36830,CPT,Artery-vein nonautograft,,,21 ,,RBRVS,11.98 ,5.25 ,5.25 ,,,,,1,0,1,1,1,1,20061001
36831,CPT,Open thrombect av fistula,,,21 ,,RBRVS,7.99 ,3.95 ,3.95 ,,,,,1,0,1,1,1,1,20061001
36832,CPT,"Av fistula revision, open",,,21 ,,RBRVS,10.48 ,4.73 ,4.73 ,,,,,1,0,1,1,1,1,20061001
36833,CPT,Av fistula revision,,,21 ,,RBRVS,11.93 ,5.22 ,5.22 ,,,,,1,0,1,1,1,1,20061001
36834,CPT,Repair A-V aneurysm,,,21 ,,RBRVS,9.92 ,4.80 ,4.80 ,,,,,1,0,1,1,1,1,20061001
36835,CPT,Artery to vein shunt,,,21 ,,RBRVS,7.14 ,4.33 ,4.33 ,,,,,1,0,1,1,1,1,20061001
36838,CPT,"Dist revas ligation, hemo",,,21 ,,RBRVS,20.60 ,9.41 ,9.41 ,,,,,1,0,1,1,1,1,20061001
36860,CPT,External cannula declotting,,,21 ,,RBRVS,2.01 ,0.68 ,1.78 ,,,,,1,0,1,1,1,1,20061001
36861,CPT,Cannula declotting,,,21 ,,RBRVS,2.52 ,1.49 ,1.49 ,,,,,1,0,1,1,1,1,20061001
36870,CPT,Percut thrombect av fistula,,,21 ,,RBRVS,5.15 ,3.16 ,53.18 ,,,,,1,0,1,1,1,1,20061001
37140,CPT,Revision of circulation,,,21 ,,RBRVS,23.56 ,10.51 ,10.51 ,,,,,1,0,1,1,1,1,20061001
37145,CPT,Revision of circulation,,,21 ,,RBRVS,24.57 ,10.89 ,10.89 ,,,,,1,0,1,1,1,1,20061001
37160,CPT,Revision of circulation,,,21 ,,RBRVS,21.57 ,9.28 ,9.28 ,,,,,1,0,1,1,1,1,20061001
37180,CPT,Revision of circulation,,,21 ,,RBRVS,24.57 ,10.32 ,10.32 ,,,,,1,0,1,1,1,1,20061001
37181,CPT,Splice spleen/kidney veins,,,21 ,,RBRVS,26.64 ,11.03 ,11.03 ,,,,,1,0,1,1,1,1,20061001
37182,CPT,Insert hepatic shunt (tips),,,21 ,,RBRVS,16.97 ,6.08 ,6.08 ,,,,,1,0,1,1,1,1,20061001
37183,CPT,Remove hepatic shunt (tips),,,21 ,,RBRVS,7.99 ,3.02 ,3.02 ,,,,,1,0,1,1,1,1,20061001
37184,CPT,Prim art mech thrombectomy,,,21 ,,RBRVS,8.66 ,3.36 ,71.90 ,,,,,1,0,1,1,1,1,20061001
37185,CPT,Prim art m-thrombect add-on,,,21 ,,RBRVS,3.28 ,1.11 ,22.95 ,,,,,1,0,1,1,1,1,20061001
37186,CPT,Sec art m-thrombect add-on,,,21 ,,RBRVS,4.92 ,1.66 ,49.53 ,,,,,1,0,1,1,1,1,20061001
37187,CPT,Venous mech thrombectomy,,,21 ,,RBRVS,8.03 ,3.15 ,70.38 ,,,,,1,0,1,1,1,1,20061001
37188,CPT,Venous m-thrombectomy add-on,,,21 ,,RBRVS,5.71 ,2.37 ,62.15 ,,,,,1,0,1,1,1,1,20061001
37195,CPT,"Thrombolytic therapy, stroke",,,21 ,,RBRVS,4.99 ,2.55 ,2.55 ,,,,,1,0,1,1,1,1,20061001
37200,CPT,Transcatheter biopsy,,,21 ,,RBRVS,4.55 ,1.50 ,1.50 ,,,,,1,0,1,1,1,1,20061001
37201,CPT,Transcatheter therapy infuse,,,21 ,,RBRVS,4.99 ,2.55 ,2.55 ,,,,,1,0,1,1,1,1,20061001
37202,CPT,Transcatheter therapy infuse,,,21 ,,RBRVS,5.67 ,3.04 ,3.04 ,,,,,1,0,1,1,1,1,20061001
37203,CPT,Transcatheter retrieval,,,21 ,,RBRVS,5.02 ,2.04 ,32.97 ,,,,,1,0,1,1,1,1,20061001
37204,CPT,Transcatheter occlusion,,,21 ,,RBRVS,18.11 ,5.92 ,5.92 ,,,,,1,0,1,1,1,1,20061001
37205,CPT,Transcatheter stent,,,21 ,,RBRVS,8.27 ,3.76 ,3.76 ,,,,,1,0,1,1,1,1,20061001
37206,CPT,Transcatheter stent add-on,,,21 ,,RBRVS,4.12 ,1.43 ,1.43 ,,,,,1,0,1,1,1,1,20061001
37207,CPT,Transcatheter stent,,,21 ,,RBRVS,8.27 ,3.17 ,3.17 ,,,,,1,0,1,1,1,1,20061001
37208,CPT,Transcatheter stent add-on,,,21 ,,RBRVS,4.12 ,1.38 ,1.38 ,,,,,1,0,1,1,1,1,20061001
37209,CPT,Exchange arterial catheter,,,21 ,,RBRVS,2.27 ,0.74 ,0.74 ,,,,,1,0,1,1,1,1,20061001
37215,CPT,"Transcath stent, cca w/eps",,,21 ,,RBRVS,18.71 ,9.12 ,9.12 ,,,,,1,0,0,1,1,1,20061001
37216,CPT,"Transcath stent, cca w/o eps",,,21 ,,RBRVS,17.98 ,8.84 ,8.84 ,,,,,1,0,0,1,1,1,20061001
37250,CPT,Iv us first vessel add-on,,,21 ,,RBRVS,2.10 ,0.75 ,0.75 ,,,,,1,0,1,1,1,1,20061001
37251,CPT,Iv us each add vessel add-on,,,21 ,,RBRVS,1.60 ,0.55 ,0.55 ,,,,,1,0,1,1,1,1,20061001
37500,CPT,Endoscopy ligate perf veins,,,21 ,,RBRVS,10.98 ,6.87 ,6.87 ,,,,,1,0,1,1,1,1,20061001
37501,CPT,Vascular endoscopy procedure,,,21 ,,TotalUnits,,,,18.10 ,,,,1,0,1,1,1,1,20061001
37565,CPT,Ligation of neck vein,,,21 ,,RBRVS,10.86 ,5.64 ,5.64 ,,,,,1,0,1,1,1,1,20061001
37600,CPT,Ligation of neck artery,,,21 ,,RBRVS,11.23 ,6.65 ,6.65 ,,,,,1,0,1,1,1,1,20061001
37605,CPT,Ligation of neck artery,,,21 ,,RBRVS,13.09 ,6.92 ,6.92 ,,,,,1,0,1,1,1,1,20061001
37606,CPT,Ligation of neck artery,,,21 ,,RBRVS,6.27 ,4.57 ,4.57 ,,,,,1,0,1,1,1,1,20061001
37607,CPT,Ligation of a-v fistula,,,21 ,,RBRVS,6.15 ,3.57 ,3.57 ,,,,,1,0,1,1,1,1,20061001
37609,CPT,Temporal artery procedure,,,21 ,,RBRVS,3.00 ,1.97 ,4.51 ,,,,,1,0,1,1,1,1,20061001
37615,CPT,Ligation of neck artery,,,21 ,,RBRVS,5.72 ,4.12 ,4.12 ,,,,,1,0,1,1,1,1,20061001
37616,CPT,Ligation of chest artery,,,21 ,,RBRVS,16.47 ,8.10 ,8.10 ,,,,,1,0,1,1,1,1,20061001
37617,CPT,Ligation of abdomen artery,,,21 ,,RBRVS,22.03 ,9.20 ,9.20 ,,,,,1,0,1,1,1,1,20061001
37618,CPT,Ligation of extremity artery,,,21 ,,RBRVS,4.83 ,3.62 ,3.62 ,,,,,1,0,1,1,1,1,20061001
37620,CPT,Revision of major vein,,,21 ,,RBRVS,10.54 ,5.73 ,5.73 ,,,,,1,0,1,1,1,1,20061001
37650,CPT,Revision of major vein,,,21 ,,RBRVS,7.79 ,4.69 ,4.69 ,,,,,1,0,1,1,1,1,20061001
37660,CPT,Revision of major vein,,,21 ,,RBRVS,20.97 ,9.08 ,9.08 ,,,,,1,0,1,1,1,1,20061001
37700,CPT,Revise leg vein,,,21 ,,RBRVS,3.72 ,2.80 ,2.80 ,,,,,1,0,1,1,1,1,20061001
37718,CPT,Ligate/strip short leg vein,,,21 ,,RBRVS,6.76 ,4.07 ,4.07 ,,,,,1,0,1,1,1,1,20061001
37722,CPT,Ligate/strip long leg vein,,,21 ,,RBRVS,7.79 ,4.42 ,4.42 ,,,,,1,0,1,1,1,1,20061001
37735,CPT,Removal of leg veins/lesion,,,21 ,,RBRVS,10.51 ,5.52 ,5.52 ,,,,,1,0,1,1,1,1,20061001
37760,CPT,"Ligation, leg veins, open",,,21 ,,RBRVS,10.45 ,5.36 ,5.36 ,,,,,1,0,1,1,1,1,20061001
37765,CPT,Phleb veins - extrem - to 20,,,21 ,,RBRVS,7.34 ,4.63 ,4.63 ,,,,,1,0,1,1,1,1,20061001
37766,CPT,Phleb veins - extrem 20+,,,21 ,,RBRVS,9.29 ,5.34 ,5.34 ,,,,,1,0,1,1,1,1,20061001
37780,CPT,Revision of leg vein,,,21 ,,RBRVS,3.83 ,2.86 ,2.86 ,,,,,1,0,1,1,1,1,20061001
37785,CPT,Revise secondary varicosity,,,21 ,,RBRVS,3.83 ,2.73 ,5.21 ,,,,,1,0,1,1,1,1,20061001
37788,CPT,"Revascularization, penis",,,21 ,,RBRVS,21.98 ,9.11 ,9.11 ,,,,,1,0,1,1,1,1,20061001
37790,CPT,Penile venous occlusion,,,21 ,,RBRVS,8.33 ,4.38 ,4.38 ,,,,,1,0,1,1,1,1,20061001
37799,CPT,Vascular surgery procedure,,,21 ,,TotalUnits,,,,0.11 ,,,,1,0,1,1,1,1,20061001
38100,CPT,"Removal of spleen, total",,,21 ,,RBRVS,14.48 ,6.19 ,6.19 ,,,,,1,0,1,1,1,1,20061001
38101,CPT,"Removal of spleen, partial",,,21 ,,RBRVS,15.29 ,6.54 ,6.54 ,,,,,1,0,1,1,1,1,20061001
38102,CPT,"Removal of spleen, total",,,21 ,,RBRVS,4.79 ,1.64 ,1.64 ,,,,,1,0,1,1,1,1,20061001
38115,CPT,Repair of ruptured spleen,,,21 ,,RBRVS,15.80 ,6.66 ,6.66 ,,,,,1,0,1,1,1,1,20061001
38120,CPT,"Laparoscopy, splenectomy",,,21 ,,RBRVS,16.97 ,7.40 ,7.40 ,,,,,1,0,1,1,1,1,20061001
38129,CPT,"Laparoscope proc, spleen",,,21 ,,TotalUnits,,,,24.40 ,,,,1,0,1,1,1,1,20061001
38200,CPT,Injection for spleen x-ray,,,21 ,,RBRVS,2.64 ,0.89 ,0.89 ,,,,,1,0,1,1,1,1,20061001
38204,CPT,MGMT RECIP HEM PROGNATOR CELLS DONR SEARCH&ACQN,,,28 ,,NW,,,,,,$132.94,,1,0,1,1,1,1,20061001
38205,CPT,Harvest allogenic stem cells,,,21 ,,RBRVS,1.50 ,0.67 ,0.67 ,,,,,1,0,1,1,1,1,20061001
38206,CPT,Harvest auto stem cells,,,21 ,,RBRVS,1.50 ,0.67 ,0.67 ,,,,,1,0,1,1,1,1,20061001
38207,CPT,Cryopreserve stem cells,,,21 ,,TotalUnits,,,,1.75 ,,,,1,1,1,0,1,1,20061001
38208,CPT,Thaw preserved stem cells,,,21 ,,TotalUnits,,,,1.91 ,,,,1,1,1,0,1,1,20061001
38209,CPT,Wash harvest stem cells,,,21 ,,TotalUnits,,,,1.68 ,,,,1,1,1,0,1,1,20061001
38210,CPT,T-cell depletion of harvest,,,21 ,,TotalUnits,,,,1.83 ,,,,1,1,1,0,1,1,20061001
38211,CPT,Tumor cell deplete of harvst,,,21 ,,TotalUnits,,,,1.83 ,,,,1,1,1,0,1,1,20061001
38212,CPT,Rbc depletion of harvest,,,21 ,,TotalUnits,,,,1.83 ,,,,1,1,1,0,1,1,20061001
38213,CPT,Platelet deplete of harvest,,,21 ,,TotalUnits,,,,1.83 ,,,,1,1,1,0,1,1,20061001
38214,CPT,Volume deplete of harvest,,,21 ,,TotalUnits,,,,1.52 ,,,,1,1,1,0,1,1,20061001
38215,CPT,Harvest stem cell concentrte,,,21 ,,TotalUnits,,,,1.83 ,,,,1,1,1,0,1,1,20061001
38220,CPT,Bone marrow aspiration,,,21 ,,RBRVS,1.08 ,0.52 ,3.73 ,,,,,1,0,1,1,1,1,20061001
38221,CPT,Bone marrow biopsy,,,21 ,,RBRVS,1.37 ,0.65 ,3.94 ,,,,,1,0,1,1,1,1,20061001
38230,CPT,Bone marrow collection,,,21 ,,RBRVS,4.53 ,3.23 ,3.23 ,,,,,1,0,1,1,1,1,20061001
38240,CPT,Bone marrow/stem transplant,,,21 ,,RBRVS,2.24 ,1.03 ,1.03 ,,,,,1,0,1,1,1,1,20061001
38241,CPT,Bone marrow/stem transplant,,,21 ,,RBRVS,2.24 ,1.04 ,1.04 ,,,,,1,0,1,1,1,1,20061001
38242,CPT,Lymphocyte infuse transplant,,,21 ,,RBRVS,1.71 ,0.78 ,0.78 ,,,,,1,0,1,1,1,1,20061001
38300,CPT,"Drainage, lymph node lesion",,,21 ,,RBRVS,1.99 ,2.06 ,4.31 ,,,,,1,0,1,1,1,1,20061001
38305,CPT,"Drainage, lymph node lesion",,,21 ,,RBRVS,5.99 ,4.45 ,4.45 ,,,,,1,0,1,1,1,1,20061001
38308,CPT,Incision of lymph channels,,,21 ,,RBRVS,6.44 ,3.75 ,3.75 ,,,,,1,0,1,1,1,1,20061001
38380,CPT,Thoracic duct procedure,,,21 ,,RBRVS,7.45 ,5.70 ,5.70 ,,,,,1,0,1,1,1,1,20061001
38381,CPT,Thoracic duct procedure,,,21 ,,RBRVS,12.86 ,6.90 ,6.90 ,,,,,1,0,1,1,1,1,20061001
38382,CPT,Thoracic duct procedure,,,21 ,,RBRVS,10.06 ,5.77 ,5.77 ,,,,,1,0,1,1,1,1,20061001
38500,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,3.74 ,2.09 ,3.70 ,,,,,1,0,1,1,1,1,20061001
38505,CPT,"Needle biopsy, lymph nodes",,,21 ,,RBRVS,1.14 ,0.78 ,2.06 ,,,,,1,0,1,1,1,1,20061001
38510,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,6.42 ,3.49 ,5.56 ,,,,,1,0,1,1,1,1,20061001
38520,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,6.66 ,4.06 ,4.06 ,,,,,1,0,1,1,1,1,20061001
38525,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,6.06 ,3.30 ,3.30 ,,,,,1,0,1,1,1,1,20061001
38530,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,7.97 ,4.40 ,4.40 ,,,,,1,0,1,1,1,1,20061001
38542,CPT,"Explore deep node(s), neck",,,21 ,,RBRVS,5.90 ,4.49 ,4.49 ,,,,,1,0,1,1,1,1,20061001
38550,CPT,"Removal, neck/armpit lesion",,,21 ,,RBRVS,6.91 ,3.92 ,3.92 ,,,,,1,0,1,1,1,1,20061001
38555,CPT,"Removal, neck/armpit lesion",,,21 ,,RBRVS,14.12 ,8.55 ,8.55 ,,,,,1,0,1,1,1,1,20061001
38562,CPT,"Removal, pelvic lymph nodes",,,21 ,,RBRVS,10.47 ,5.79 ,5.79 ,,,,,1,0,1,1,1,1,20061001
38564,CPT,"Removal, abdomen lymph nodes",,,21 ,,RBRVS,10.81 ,5.26 ,5.26 ,,,,,1,0,1,1,1,1,20061001
38570,CPT,"Laparoscopy, lymph node biop",,,21 ,,RBRVS,9.24 ,3.98 ,3.98 ,,,,,1,0,1,1,1,1,20061001
38571,CPT,"Laparoscopy, lymphadenectomy",,,21 ,,RBRVS,14.66 ,5.66 ,5.66 ,,,,,1,0,1,1,1,1,20061001
38572,CPT,"Laparoscopy, lymphadenectomy",,,21 ,,RBRVS,16.57 ,7.09 ,7.09 ,,,,,1,0,1,1,1,1,20061001
38589,CPT,"Laparoscope proc, lymphatic",,,21 ,,TotalUnits,,,,13.18 ,,,,1,0,1,1,1,1,20061001
38700,CPT,"Removal of lymph nodes, neck",,,21 ,,RBRVS,8.23 ,6.25 ,6.25 ,,,,,1,0,1,1,1,1,20061001
38720,CPT,"Removal of lymph nodes, neck",,,21 ,,RBRVS,13.59 ,9.38 ,9.38 ,,,,,1,0,1,1,1,1,20061001
38724,CPT,"Removal of lymph nodes, neck",,,21 ,,RBRVS,14.52 ,9.86 ,9.86 ,,,,,1,0,1,1,1,1,20061001
38740,CPT,Remove armpit lymph nodes,,,21 ,,RBRVS,10.01 ,4.95 ,4.95 ,,,,,1,0,1,1,1,1,20061001
38745,CPT,Remove armpit lymph nodes,,,21 ,,RBRVS,13.08 ,6.09 ,6.09 ,,,,,1,0,1,1,1,1,20061001
38746,CPT,Remove thoracic lymph nodes,,,21 ,,RBRVS,4.88 ,1.61 ,1.61 ,,,,,1,0,1,1,1,1,20061001
38747,CPT,Remove abdominal lymph nodes,,,21 ,,RBRVS,4.88 ,1.67 ,1.67 ,,,,,1,0,1,1,1,1,20061001
38760,CPT,Remove groin lymph nodes,,,21 ,,RBRVS,12.93 ,6.14 ,6.14 ,,,,,1,0,1,1,1,1,20061001
38765,CPT,Remove groin lymph nodes,,,21 ,,RBRVS,19.95 ,8.83 ,8.83 ,,,,,1,0,1,1,1,1,20061001
38770,CPT,Remove pelvis lymph nodes,,,21 ,,RBRVS,13.21 ,5.76 ,5.76 ,,,,,1,0,1,1,1,1,20061001
38780,CPT,Remove abdomen lymph nodes,,,21 ,,RBRVS,16.57 ,8.22 ,8.22 ,,,,,1,0,1,1,1,1,20061001
38790,CPT,Inject for lymphatic x-ray,,,21 ,,RBRVS,1.29 ,0.76 ,7.37 ,,,,,1,0,1,1,1,1,20061001
38792,CPT,Identify sentinel node,,,21 ,,RBRVS,0.52 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20061001
38794,CPT,Access thoracic lymph duct,,,21 ,,RBRVS,4.44 ,3.46 ,3.46 ,,,,,1,0,1,1,1,1,20061001
38999,CPT,Blood/lymph system procedure,,,21 ,,TotalUnits,,,,5.81 ,,,,1,0,1,1,1,1,20061001
39000,CPT,Exploration of chest,,,21 ,,RBRVS,6.09 ,4.66 ,4.66 ,,,,,1,0,1,1,1,1,20061001
39010,CPT,Exploration of chest,,,21 ,,RBRVS,11.77 ,7.56 ,7.56 ,,,,,1,0,1,1,1,1,20061001
39200,CPT,Removal chest lesion,,,21 ,,RBRVS,13.60 ,7.55 ,7.55 ,,,,,1,0,1,1,1,1,20061001
39220,CPT,Removal chest lesion,,,21 ,,RBRVS,17.39 ,9.39 ,9.39 ,,,,,1,0,1,1,1,1,20061001
39400,CPT,Visualization of chest,,,21 ,,RBRVS,5.60 ,4.86 ,4.86 ,,,,,1,0,1,1,1,1,20061001
39499,CPT,Chest procedure,,,21 ,,TotalUnits,,,,10.47 ,,,,1,0,1,1,1,1,20061001
39501,CPT,Repair diaphragm laceration,,,21 ,,RBRVS,13.17 ,6.47 ,6.47 ,,,,,1,0,1,1,1,1,20061001
39502,CPT,Repair paraesophageal hernia,,,21 ,,RBRVS,16.31 ,7.16 ,7.16 ,,,,,1,0,1,1,1,1,20061001
39503,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,94.86 ,33.47 ,33.47 ,,,,,1,0,1,1,1,1,20061001
39520,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,16.08 ,8.06 ,8.06 ,,,,,1,0,1,1,1,1,20061001
39530,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,15.39 ,7.15 ,7.15 ,,,,,1,0,1,1,1,1,20061001
39531,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,16.40 ,7.40 ,7.40 ,,,,,1,0,1,1,1,1,20061001
39540,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,13.30 ,6.24 ,6.24 ,,,,,1,0,1,1,1,1,20061001
39541,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,14.39 ,6.60 ,6.60 ,,,,,1,0,1,1,1,1,20061001
39545,CPT,Revision of diaphragm,,,21 ,,RBRVS,13.35 ,7.56 ,7.56 ,,,,,1,0,1,1,1,1,20061001
39560,CPT,"Resect diaphragm, simple",,,21 ,,RBRVS,11.98 ,6.30 ,6.30 ,,,,,1,0,1,1,1,1,20061001
39561,CPT,"Resect diaphragm, complex",,,21 ,,RBRVS,17.47 ,9.36 ,9.36 ,,,,,1,0,1,1,1,1,20061001
39599,CPT,Diaphragm surgery procedure,,,21 ,,TotalUnits,,,,21.04 ,,,,1,0,1,1,1,1,20061001
40490,CPT,Biopsy of lip,,,21 ,,RBRVS,1.22 ,0.61 ,1.63 ,,,,,1,0,1,1,1,1,20061001
40500,CPT,Partial excision of lip,,,21 ,,RBRVS,4.27 ,4.34 ,6.91 ,,,,,1,0,1,1,1,1,20061001
40510,CPT,Partial excision of lip,,,21 ,,RBRVS,4.69 ,4.02 ,6.63 ,,,,,1,0,1,1,1,1,20061001
40520,CPT,Partial excision of lip,,,21 ,,RBRVS,4.66 ,4.12 ,7.56 ,,,,,1,0,1,1,1,1,20061001
40525,CPT,Reconstruct lip with flap,,,21 ,,RBRVS,7.54 ,6.32 ,6.32 ,,,,,1,0,1,1,1,1,20061001
40527,CPT,Reconstruct lip with flap,,,21 ,,RBRVS,9.12 ,7.37 ,7.37 ,,,,,1,0,1,1,1,1,20061001
40530,CPT,Partial removal of lip,,,21 ,,RBRVS,5.39 ,4.59 ,7.83 ,,,,,1,0,1,1,1,1,20061001
40650,CPT,Repair lip,,,21 ,,RBRVS,3.63 ,3.30 ,6.81 ,,,,,1,0,1,1,1,1,20061001
40652,CPT,Repair lip,,,21 ,,RBRVS,4.25 ,4.27 ,7.76 ,,,,,1,0,1,1,1,1,20061001
40654,CPT,Repair lip,,,21 ,,RBRVS,5.30 ,4.94 ,8.62 ,,,,,1,0,1,1,1,1,20061001
40700,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,12.77 ,9.10 ,9.10 ,,,,,1,0,1,1,1,1,20061001
40701,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,15.83 ,11.36 ,11.36 ,,,,,1,0,1,1,1,1,20061001
40702,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,13.02 ,8.27 ,8.27 ,,,,,1,0,1,1,1,1,20061001
40720,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,13.53 ,9.92 ,9.92 ,,,,,1,0,1,1,1,1,20061001
40761,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,14.70 ,10.30 ,10.30 ,,,,,1,0,1,1,1,1,20061001
40799,CPT,Lip surgery procedure,,,21 ,,TotalUnits,,,,2.91 ,,,,1,0,1,1,1,1,20061001
40800,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,1.17 ,1.78 ,2.97 ,,,,,1,0,1,1,1,1,20061001
40801,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,2.53 ,2.75 ,4.03 ,,,,,1,0,1,1,1,1,20061001
40804,CPT,"Removal, foreign body, mouth",,,21 ,,RBRVS,1.24 ,1.86 ,3.40 ,,,,,1,0,1,1,1,1,20061001
40805,CPT,"Removal, foreign body, mouth",,,21 ,,RBRVS,2.69 ,2.82 ,4.49 ,,,,,1,0,1,1,1,1,20061001
40806,CPT,Incision of lip fold,,,21 ,,RBRVS,0.31 ,0.50 ,1.84 ,,,,,1,0,1,1,1,1,20061001
40808,CPT,Biopsy of mouth lesion,,,21 ,,RBRVS,0.96 ,1.48 ,2.66 ,,,,,1,0,1,1,1,1,20061001
40810,CPT,Excision of mouth lesion,,,21 ,,RBRVS,1.31 ,1.66 ,2.89 ,,,,,1,0,1,1,1,1,20061001
40812,CPT,Excise/repair mouth lesion,,,21 ,,RBRVS,2.31 ,2.41 ,3.73 ,,,,,1,0,1,1,1,1,20061001
40814,CPT,Excise/repair mouth lesion,,,21 ,,RBRVS,3.41 ,3.90 ,4.95 ,,,,,1,0,1,1,1,1,20061001
40816,CPT,Excision of mouth lesion,,,21 ,,RBRVS,3.66 ,4.01 ,5.18 ,,,,,1,0,1,1,1,1,20061001
40818,CPT,Excise oral mucosa for graft,,,21 ,,RBRVS,2.41 ,3.98 ,5.18 ,,,,,1,0,1,1,1,1,20061001
40819,CPT,Excise lip or cheek fold,,,21 ,,RBRVS,2.41 ,3.10 ,4.09 ,,,,,1,0,1,1,1,1,20061001
40820,CPT,Treatment of mouth lesion,,,21 ,,RBRVS,1.28 ,2.45 ,3.94 ,,,,,1,0,1,1,1,1,20061001
40830,CPT,Repair mouth laceration,,,21 ,,RBRVS,1.76 ,2.10 ,3.73 ,,,,,1,0,1,1,1,1,20061001
40831,CPT,Repair mouth laceration,,,21 ,,RBRVS,2.46 ,3.06 ,4.67 ,,,,,1,0,1,1,1,1,20061001
40840,CPT,Reconstruction of mouth,,,21 ,,RBRVS,8.72 ,6.99 ,9.81 ,,,,,1,0,1,1,1,1,20061001
40842,CPT,Reconstruction of mouth,,,21 ,,RBRVS,8.72 ,6.80 ,10.09 ,,,,,1,0,1,1,1,1,20061001
40843,CPT,Reconstruction of mouth,,,21 ,,RBRVS,12.08 ,7.83 ,11.98 ,,,,,1,0,1,1,1,1,20061001
40844,CPT,Reconstruction of mouth,,,21 ,,RBRVS,15.99 ,11.59 ,15.81 ,,,,,1,0,1,1,1,1,20061001
40845,CPT,Reconstruction of mouth,,,21 ,,RBRVS,18.55 ,13.25 ,17.11 ,,,,,1,0,1,1,1,1,20061001
40899,CPT,Mouth surgery procedure,,,21 ,,TotalUnits,,,,5.25 ,,,,1,0,1,1,1,1,20061001
41000,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,1.30 ,1.41 ,2.32 ,,,,,1,0,1,1,1,1,20061001
41005,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,1.26 ,1.72 ,3.34 ,,,,,1,0,1,1,1,1,20061001
41006,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.24 ,3.18 ,4.80 ,,,,,1,0,1,1,1,1,20061001
41007,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.10 ,3.03 ,5.15 ,,,,,1,0,1,1,1,1,20061001
41008,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.36 ,3.21 ,4.69 ,,,,,1,0,1,1,1,1,20061001
41009,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.58 ,3.58 ,4.98 ,,,,,1,0,1,1,1,1,20061001
41010,CPT,Incision of tongue fold,,,21 ,,RBRVS,1.06 ,1.60 ,3.43 ,,,,,1,0,1,1,1,1,20061001
41015,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.95 ,4.15 ,5.42 ,,,,,1,0,1,1,1,1,20061001
41016,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,4.06 ,4.23 ,5.63 ,,,,,1,0,1,1,1,1,20061001
41017,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,4.06 ,4.31 ,5.65 ,,,,,1,0,1,1,1,1,20061001
41018,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,5.09 ,4.58 ,6.15 ,,,,,1,0,1,1,1,1,20061001
41100,CPT,Biopsy of tongue,,,21 ,,RBRVS,1.63 ,1.42 ,2.43 ,,,,,1,0,1,1,1,1,20061001
41105,CPT,Biopsy of tongue,,,21 ,,RBRVS,1.42 ,1.32 ,2.31 ,,,,,1,0,1,1,1,1,20061001
41108,CPT,Biopsy of floor of mouth,,,21 ,,RBRVS,1.05 ,1.13 ,2.08 ,,,,,1,0,1,1,1,1,20061001
41110,CPT,Excision of tongue lesion,,,21 ,,RBRVS,1.51 ,1.64 ,2.99 ,,,,,1,0,1,1,1,1,20061001
41112,CPT,Excision of tongue lesion,,,21 ,,RBRVS,2.73 ,3.23 ,4.48 ,,,,,1,0,1,1,1,1,20061001
41113,CPT,Excision of tongue lesion,,,21 ,,RBRVS,3.19 ,3.48 ,4.75 ,,,,,1,0,1,1,1,1,20061001
41114,CPT,Excision of tongue lesion,,,21 ,,RBRVS,8.46 ,7.21 ,7.21 ,,,,,1,0,1,1,1,1,20061001
41115,CPT,Excision of tongue fold,,,21 ,,RBRVS,1.74 ,1.86 ,3.30 ,,,,,1,0,1,1,1,1,20061001
41116,CPT,Excision of mouth lesion,,,21 ,,RBRVS,2.44 ,2.81 ,4.36 ,,,,,1,0,1,1,1,1,20061001
41120,CPT,Partial removal of tongue,,,21 ,,RBRVS,9.76 ,15.35 ,15.35 ,,,,,1,0,1,1,1,1,20061001
41130,CPT,Partial removal of tongue,,,21 ,,RBRVS,11.13 ,16.24 ,16.24 ,,,,,1,0,1,1,1,1,20061001
41135,CPT,Tongue and neck surgery,,,21 ,,RBRVS,23.06 ,23.29 ,23.29 ,,,,,1,0,1,1,1,1,20061001
41140,CPT,Removal of tongue,,,21 ,,RBRVS,25.46 ,26.75 ,26.75 ,,,,,1,0,1,1,1,1,20061001
41145,CPT,"Tongue removal, neck surgery",,,21 ,,RBRVS,30.01 ,30.63 ,30.63 ,,,,,1,0,1,1,1,1,20061001
41150,CPT,"Tongue, mouth, jaw surgery",,,21 ,,RBRVS,23.01 ,24.78 ,24.78 ,,,,,1,0,1,1,1,1,20061001
41153,CPT,"Tongue, mouth, neck surgery",,,21 ,,RBRVS,23.73 ,25.09 ,25.09 ,,,,,1,0,1,1,1,1,20061001
41155,CPT,"Tongue, jaw, & neck surgery",,,21 ,,RBRVS,27.68 ,26.88 ,26.88 ,,,,,1,0,1,1,1,1,20061001
41250,CPT,Repair tongue laceration,,,21 ,,RBRVS,1.91 ,1.18 ,2.75 ,,,,,1,0,1,1,1,1,20061001
41251,CPT,Repair tongue laceration,,,21 ,,RBRVS,2.27 ,1.55 ,3.28 ,,,,,1,0,1,1,1,1,20061001
41252,CPT,Repair tongue laceration,,,21 ,,RBRVS,2.97 ,2.26 ,3.90 ,,,,,1,0,1,1,1,1,20061001
41500,CPT,Fixation of tongue,,,21 ,,RBRVS,3.70 ,7.47 ,7.47 ,,,,,1,0,1,1,1,1,20061001
41510,CPT,Tongue to lip surgery,,,21 ,,RBRVS,3.41 ,7.95 ,7.95 ,,,,,1,0,1,1,1,1,20061001
41520,CPT,"Reconstruction, tongue fold",,,21 ,,RBRVS,2.73 ,3.63 ,4.63 ,,,,,1,0,1,1,1,1,20061001
41599,CPT,Tongue and mouth surgery,,,21 ,,TotalUnits,,,,4.52 ,,,,1,0,1,1,1,1,20061001
41800,CPT,Drainage of gum lesion,,,21 ,,RBRVS,1.17 ,1.28 ,2.60 ,,,,,1,0,1,1,1,1,20061001
41805,CPT,"Removal foreign body, gum",,,21 ,,RBRVS,1.24 ,2.22 ,2.68 ,,,,,1,0,1,1,1,1,20061001
41806,CPT,"Removal foreign body,jawbone",,,21 ,,RBRVS,2.69 ,3.04 ,3.59 ,,,,,1,0,1,1,1,1,20061001
41820,CPT,"Excision, gum, each quadrant",,,21 ,,TotalUnits,,,,4.89 ,,,,1,0,1,1,1,1,20061001
41821,CPT,Excision of gum flap,,,21 ,,TotalUnits,,,,1.10 ,,,,1,0,1,1,1,1,20061001
41822,CPT,Excision of gum lesion,,,21 ,,RBRVS,2.31 ,1.88 ,3.90 ,,,,,1,0,1,1,1,1,20061001
41823,CPT,Excision of gum lesion,,,21 ,,RBRVS,3.30 ,4.02 ,5.58 ,,,,,1,0,1,1,1,1,20061001
41825,CPT,Excision of gum lesion,,,21 ,,RBRVS,1.31 ,2.25 ,3.07 ,,,,,1,0,1,1,1,1,20061001
41826,CPT,Excision of gum lesion,,,21 ,,RBRVS,2.31 ,2.11 ,2.44 ,,,,,1,0,1,1,1,1,20061001
41827,CPT,Excision of gum lesion,,,21 ,,RBRVS,3.41 ,3.67 ,5.53 ,,,,,1,0,1,1,1,1,20061001
41828,CPT,Excision of gum lesion,,,21 ,,RBRVS,3.09 ,2.97 ,3.81 ,,,,,1,0,1,1,1,1,20061001
41830,CPT,Removal of gum tissue,,,21 ,,RBRVS,3.34 ,3.63 ,4.97 ,,,,,1,0,1,1,1,1,20061001
41850,CPT,Treatment of gum lesion,,,21 ,,TotalUnits,,,,2.45 ,,,,1,0,1,1,1,1,20061001
41870,CPT,Gum graft,,,21 ,,TotalUnits,,,,6.12 ,,,,1,0,1,1,1,1,20061001
41872,CPT,Repair gum,,,21 ,,RBRVS,2.59 ,3.47 ,5.03 ,,,,,1,0,1,1,1,1,20061001
41874,CPT,Repair tooth socket,,,21 ,,RBRVS,3.09 ,3.18 ,4.85 ,,,,,1,0,1,1,1,1,20061001
41899,CPT,Dental surgery procedure,,,21 ,,TotalUnits,,,,5.92 ,,,,1,0,1,1,1,1,20061001
42000,CPT,Drainage mouth roof lesion,,,21 ,,RBRVS,1.23 ,1.25 ,2.57 ,,,,,1,0,1,1,1,1,20061001
42100,CPT,Biopsy roof of mouth,,,21 ,,RBRVS,1.31 ,1.36 ,2.09 ,,,,,1,0,1,1,1,1,20061001
42104,CPT,"Excision lesion, mouth roof",,,21 ,,RBRVS,1.64 ,1.55 ,2.55 ,,,,,1,0,1,1,1,1,20061001
42106,CPT,"Excision lesion, mouth roof",,,21 ,,RBRVS,2.10 ,2.45 ,3.23 ,,,,,1,0,1,1,1,1,20061001
42107,CPT,"Excision lesion, mouth roof",,,21 ,,RBRVS,4.43 ,3.96 ,5.73 ,,,,,1,0,1,1,1,1,20061001
42120,CPT,Remove palate/lesion,,,21 ,,RBRVS,6.16 ,11.80 ,11.80 ,,,,,1,0,1,1,1,1,20061001
42140,CPT,Excision of uvula,,,21 ,,RBRVS,1.62 ,2.10 ,3.73 ,,,,,1,0,1,1,1,1,20061001
42145,CPT,"Repair palate, pharynx/uvula",,,21 ,,RBRVS,8.04 ,7.51 ,7.51 ,,,,,1,0,1,1,1,1,20061001
42160,CPT,Treatment mouth roof lesion,,,21 ,,RBRVS,1.80 ,2.30 ,4.26 ,,,,,1,0,1,1,1,1,20061001
42180,CPT,Repair palate,,,21 ,,RBRVS,2.50 ,2.11 ,3.08 ,,,,,1,0,1,1,1,1,20061001
42182,CPT,Repair palate,,,21 ,,RBRVS,3.82 ,3.04 ,3.88 ,,,,,1,0,1,1,1,1,20061001
42200,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,11.98 ,10.24 ,10.24 ,,,,,1,0,1,1,1,1,20061001
42205,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,13.27 ,10.10 ,10.10 ,,,,,1,0,1,1,1,1,20061001
42210,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,14.48 ,11.49 ,11.49 ,,,,,1,0,1,1,1,1,20061001
42215,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,8.81 ,9.10 ,9.10 ,,,,,1,0,1,1,1,1,20061001
42220,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,7.01 ,6.80 ,6.80 ,,,,,1,0,1,1,1,1,20061001
42225,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,9.53 ,17.11 ,17.11 ,,,,,1,0,1,1,1,1,20061001
42226,CPT,Lengthening of palate,,,21 ,,RBRVS,9.99 ,14.74 ,14.74 ,,,,,1,0,1,1,1,1,20061001
42227,CPT,Lengthening of palate,,,21 ,,RBRVS,9.51 ,15.59 ,15.59 ,,,,,1,0,1,1,1,1,20061001
42235,CPT,Repair palate,,,21 ,,RBRVS,7.86 ,11.89 ,11.89 ,,,,,1,0,1,1,1,1,20061001
42260,CPT,Repair nose to lip fistula,,,21 ,,RBRVS,9.79 ,7.08 ,10.22 ,,,,,1,0,1,1,1,1,20061001
42280,CPT,"Preparation, palate mold",,,21 ,,RBRVS,1.54 ,1.14 ,1.97 ,,,,,1,0,1,1,1,1,20061001
42281,CPT,"Insertion, palate prosthesis",,,21 ,,RBRVS,1.93 ,1.88 ,2.64 ,,,,,1,0,1,1,1,1,20061001
42299,CPT,Palate/uvula surgery,,,21 ,,TotalUnits,,,,14.65 ,,,,1,0,1,1,1,1,20061001
42300,CPT,Drainage of salivary gland,,,21 ,,RBRVS,1.93 ,1.82 ,2.83 ,,,,,1,0,1,1,1,1,20061001
42305,CPT,Drainage of salivary gland,,,21 ,,RBRVS,6.06 ,4.73 ,4.73 ,,,,,1,0,1,1,1,1,20061001
42310,CPT,Drainage of salivary gland,,,21 ,,RBRVS,1.56 ,1.54 ,2.27 ,,,,,1,0,1,1,1,1,20061001
42320,CPT,Drainage of salivary gland,,,21 ,,RBRVS,2.35 ,2.10 ,3.28 ,,,,,1,0,1,1,1,1,20061001
42330,CPT,Removal of salivary stone,,,21 ,,RBRVS,2.21 ,1.85 ,3.15 ,,,,,1,0,1,1,1,1,20061001
42335,CPT,Removal of salivary stone,,,21 ,,RBRVS,3.31 ,3.15 ,4.91 ,,,,,1,0,1,1,1,1,20061001
42340,CPT,Removal of salivary stone,,,21 ,,RBRVS,4.59 ,3.94 ,6.06 ,,,,,1,0,1,1,1,1,20061001
42400,CPT,Biopsy of salivary gland,,,21 ,,RBRVS,0.78 ,0.72 ,1.65 ,,,,,1,0,1,1,1,1,20061001
42405,CPT,Biopsy of salivary gland,,,21 ,,RBRVS,3.29 ,2.46 ,4.01 ,,,,,1,0,1,1,1,1,20061001
42408,CPT,Excision of salivary cyst,,,21 ,,RBRVS,4.53 ,3.62 ,5.93 ,,,,,1,0,1,1,1,1,20061001
42409,CPT,Drainage of salivary cyst,,,21 ,,RBRVS,2.81 ,2.77 ,4.53 ,,,,,1,0,1,1,1,1,20061001
42410,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,9.33 ,6.24 ,6.24 ,,,,,1,0,1,1,1,1,20061001
42415,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,16.86 ,10.89 ,10.89 ,,,,,1,0,1,1,1,1,20061001
42420,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,19.56 ,12.41 ,12.41 ,,,,,1,0,1,1,1,1,20061001
42425,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,13.00 ,8.63 ,8.63 ,,,,,1,0,1,1,1,1,20061001
42426,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,21.23 ,13.05 ,13.05 ,,,,,1,0,1,1,1,1,20061001
42440,CPT,Excise submaxillary gland,,,21 ,,RBRVS,6.96 ,4.80 ,4.80 ,,,,,1,0,1,1,1,1,20061001
42450,CPT,Excise sublingual gland,,,21 ,,RBRVS,4.61 ,4.26 ,5.92 ,,,,,1,0,1,1,1,1,20061001
42500,CPT,Repair salivary duct,,,21 ,,RBRVS,4.29 ,4.19 ,5.70 ,,,,,1,0,1,1,1,1,20061001
42505,CPT,Repair salivary duct,,,21 ,,RBRVS,6.17 ,5.38 ,7.14 ,,,,,1,0,1,1,1,1,20061001
42507,CPT,Parotid duct diversion,,,21 ,,RBRVS,6.10 ,6.55 ,6.55 ,,,,,1,0,1,1,1,1,20061001
42508,CPT,Parotid duct diversion,,,21 ,,RBRVS,9.09 ,8.36 ,8.36 ,,,,,1,0,1,1,1,1,20061001
42509,CPT,Parotid duct diversion,,,21 ,,RBRVS,11.52 ,10.22 ,10.22 ,,,,,1,0,1,1,1,1,20061001
42510,CPT,Parotid duct diversion,,,21 ,,RBRVS,8.14 ,7.81 ,7.81 ,,,,,1,0,1,1,1,1,20061001
42550,CPT,Injection for salivary x-ray,,,21 ,,RBRVS,1.25 ,0.41 ,3.22 ,,,,,1,0,1,1,1,1,20061001
42600,CPT,Closure of salivary fistula,,,21 ,,RBRVS,4.81 ,4.13 ,6.60 ,,,,,1,0,1,1,1,1,20061001
42650,CPT,Dilation of salivary duct,,,21 ,,RBRVS,0.77 ,0.71 ,1.10 ,,,,,1,0,1,1,1,1,20061001
42660,CPT,Dilation of salivary duct,,,21 ,,RBRVS,1.13 ,0.85 ,1.35 ,,,,,1,0,1,1,1,1,20061001
42665,CPT,Ligation of salivary duct,,,21 ,,RBRVS,2.53 ,2.60 ,4.18 ,,,,,1,0,1,1,1,1,20061001
42699,CPT,Salivary surgery procedure,,,21 ,,TotalUnits,,,,12.02 ,,,,1,0,1,1,1,1,20061001
42700,CPT,Drainage of tonsil abscess,,,21 ,,RBRVS,1.62 ,1.70 ,2.66 ,,,,,1,0,1,1,1,1,20061001
42720,CPT,Drainage of throat abscess,,,21 ,,RBRVS,5.41 ,3.80 ,4.84 ,,,,,1,0,1,1,1,1,20061001
42725,CPT,Drainage of throat abscess,,,21 ,,RBRVS,10.70 ,8.24 ,8.24 ,,,,,1,0,1,1,1,1,20061001
42800,CPT,Biopsy of throat,,,21 ,,RBRVS,1.39 ,1.40 ,2.19 ,,,,,1,0,1,1,1,1,20061001
42802,CPT,Biopsy of throat,,,21 ,,RBRVS,1.54 ,2.07 ,4.77 ,,,,,1,0,1,1,1,1,20061001
42804,CPT,Biopsy of upper nose/throat,,,21 ,,RBRVS,1.24 ,1.74 ,3.75 ,,,,,1,0,1,1,1,1,20061001
42806,CPT,Biopsy of upper nose/throat,,,21 ,,RBRVS,1.58 ,1.94 ,4.08 ,,,,,1,0,1,1,1,1,20061001
42808,CPT,Excise pharynx lesion,,,21 ,,RBRVS,2.30 ,1.94 ,3.10 ,,,,,1,0,1,1,1,1,20061001
42809,CPT,Remove pharynx foreign body,,,21 ,,RBRVS,1.81 ,1.33 ,2.34 ,,,,,1,0,1,1,1,1,20061001
42810,CPT,Excision of neck cyst,,,21 ,,RBRVS,3.25 ,3.55 ,5.73 ,,,,,1,0,1,1,1,1,20061001
42815,CPT,Excision of neck cyst,,,21 ,,RBRVS,7.06 ,6.43 ,6.43 ,,,,,1,0,1,1,1,1,20061001
42820,CPT,Remove tonsils and adenoids,,,21 ,,RBRVS,3.90 ,3.30 ,3.30 ,,,,,1,0,1,1,1,1,20061001
42821,CPT,Remove tonsils and adenoids,,,21 ,,RBRVS,4.28 ,3.51 ,3.51 ,,,,,1,0,1,1,1,1,20061001
42825,CPT,Removal of tonsils,,,21 ,,RBRVS,3.41 ,3.18 ,3.18 ,,,,,1,0,1,1,1,1,20061001
42826,CPT,Removal of tonsils,,,21 ,,RBRVS,3.37 ,3.04 ,3.04 ,,,,,1,0,1,1,1,1,20061001
42830,CPT,Removal of adenoids,,,21 ,,RBRVS,2.57 ,2.57 ,2.57 ,,,,,1,0,1,1,1,1,20061001
42831,CPT,Removal of adenoids,,,21 ,,RBRVS,2.71 ,2.85 ,2.85 ,,,,,1,0,1,1,1,1,20061001
42835,CPT,Removal of adenoids,,,21 ,,RBRVS,2.30 ,2.47 ,2.47 ,,,,,1,0,1,1,1,1,20061001
42836,CPT,Removal of adenoids,,,21 ,,RBRVS,3.18 ,2.97 ,2.97 ,,,,,1,0,1,1,1,1,20061001
42842,CPT,Extensive surgery of throat,,,21 ,,RBRVS,8.75 ,11.02 ,11.02 ,,,,,1,0,1,1,1,1,20061001
42844,CPT,Extensive surgery of throat,,,21 ,,RBRVS,14.29 ,16.28 ,16.28 ,,,,,1,0,1,1,1,1,20061001
42845,CPT,Extensive surgery of throat,,,21 ,,RBRVS,24.25 ,23.25 ,23.25 ,,,,,1,0,1,1,1,1,20061001
42860,CPT,Excision of tonsil tags,,,21 ,,RBRVS,2.22 ,2.41 ,2.41 ,,,,,1,0,1,1,1,1,20061001
42870,CPT,Excision of lingual tonsil,,,21 ,,RBRVS,5.39 ,8.59 ,8.59 ,,,,,1,0,1,1,1,1,20061001
42890,CPT,Partial removal of pharynx,,,21 ,,RBRVS,12.92 ,14.19 ,14.19 ,,,,,1,0,1,1,1,1,20061001
42892,CPT,Revision of pharyngeal walls,,,21 ,,RBRVS,15.81 ,17.22 ,17.22 ,,,,,1,0,1,1,1,1,20061001
42894,CPT,Revision of pharyngeal walls,,,21 ,,RBRVS,22.85 ,22.08 ,22.08 ,,,,,1,0,1,1,1,1,20061001
42900,CPT,Repair throat wound,,,21 ,,RBRVS,5.24 ,3.67 ,3.67 ,,,,,1,0,1,1,1,1,20061001
42950,CPT,Reconstruction of throat,,,21 ,,RBRVS,8.09 ,11.90 ,11.90 ,,,,,1,0,1,1,1,1,20061001
42953,CPT,"Repair throat, esophagus",,,21 ,,RBRVS,8.95 ,17.38 ,17.38 ,,,,,1,0,1,1,1,1,20061001
42955,CPT,Surgical opening of throat,,,21 ,,RBRVS,7.38 ,10.70 ,10.70 ,,,,,1,0,1,1,1,1,20061001
42960,CPT,Control throat bleeding,,,21 ,,RBRVS,2.33 ,1.97 ,1.97 ,,,,,1,0,1,1,1,1,20061001
42961,CPT,Control throat bleeding,,,21 ,,RBRVS,5.58 ,4.97 ,4.97 ,,,,,1,0,1,1,1,1,20061001
42962,CPT,Control throat bleeding,,,21 ,,RBRVS,7.13 ,5.93 ,5.93 ,,,,,1,0,1,1,1,1,20061001
42970,CPT,Control nose/throat bleeding,,,21 ,,RBRVS,5.42 ,4.19 ,4.19 ,,,,,1,0,1,1,1,1,20061001
42971,CPT,Control nose/throat bleeding,,,21 ,,RBRVS,6.20 ,5.13 ,5.13 ,,,,,1,0,1,1,1,1,20061001
42972,CPT,Control nose/throat bleeding,,,21 ,,RBRVS,7.19 ,5.72 ,5.72 ,,,,,1,0,1,1,1,1,20061001
42999,CPT,Throat surgery procedure,,,21 ,,TotalUnits,,,,7.37 ,,,,1,0,1,1,1,1,20061001
43020,CPT,Incision of esophagus,,,21 ,,RBRVS,8.08 ,5.43 ,5.43 ,,,,,1,0,1,1,1,1,20061001
43030,CPT,Throat muscle surgery,,,21 ,,RBRVS,7.68 ,5.51 ,5.51 ,,,,,1,0,1,1,1,1,20061001
43045,CPT,Incision of esophagus,,,21 ,,RBRVS,20.09 ,10.73 ,10.73 ,,,,,1,0,1,1,1,1,20061001
43100,CPT,Excision of esophagus lesion,,,21 ,,RBRVS,9.18 ,6.24 ,6.24 ,,,,,1,0,1,1,1,1,20061001
43101,CPT,Excision of esophagus lesion,,,21 ,,RBRVS,16.22 ,7.90 ,7.90 ,,,,,1,0,1,1,1,1,20061001
43107,CPT,Removal of esophagus,,,21 ,,RBRVS,39.94 ,18.31 ,18.31 ,,,,,1,0,1,1,1,1,20061001
43108,CPT,Removal of esophagus,,,21 ,,RBRVS,34.14 ,14.25 ,14.25 ,,,,,1,0,1,1,1,1,20061001
43112,CPT,Removal of esophagus,,,21 ,,RBRVS,43.43 ,19.42 ,19.42 ,,,,,1,0,1,1,1,1,20061001
43113,CPT,Removal of esophagus,,,21 ,,RBRVS,35.22 ,15.15 ,15.15 ,,,,,1,0,1,1,1,1,20061001
43116,CPT,Partial removal of esophagus,,,21 ,,RBRVS,31.17 ,16.74 ,16.74 ,,,,,1,0,1,1,1,1,20061001
43117,CPT,Partial removal of esophagus,,,21 ,,RBRVS,39.94 ,17.32 ,17.32 ,,,,,1,0,1,1,1,1,20061001
43118,CPT,Partial removal of esophagus,,,21 ,,RBRVS,33.15 ,13.82 ,13.82 ,,,,,1,0,1,1,1,1,20061001
43121,CPT,Partial removal of esophagus,,,21 ,,RBRVS,29.15 ,13.71 ,13.71 ,,,,,1,0,1,1,1,1,20061001
43122,CPT,Partial removal of esophagus,,,21 ,,RBRVS,39.94 ,17.44 ,17.44 ,,,,,1,0,1,1,1,1,20061001
43123,CPT,Partial removal of esophagus,,,21 ,,RBRVS,33.15 ,14.14 ,14.14 ,,,,,1,0,1,1,1,1,20061001
43124,CPT,Removal of esophagus,,,21 ,,RBRVS,27.28 ,13.12 ,13.12 ,,,,,1,0,1,1,1,1,20061001
43130,CPT,Removal of esophagus pouch,,,21 ,,RBRVS,11.73 ,7.58 ,7.58 ,,,,,1,0,1,1,1,1,20061001
43135,CPT,Removal of esophagus pouch,,,21 ,,RBRVS,16.08 ,8.11 ,8.11 ,,,,,1,0,1,1,1,1,20061001
43200,CPT,Esophagus endoscopy,,,21 ,,RBRVS,1.59 ,1.07 ,4.14 ,,,,,1,0,1,1,1,1,20061001
43201,CPT,Esoph scope w/submucous inj,,,21 ,,RBRVS,2.09 ,1.10 ,4.64 ,,,,,1,0,1,1,1,1,20061001
43202,CPT,"Esophagus endoscopy, biopsy",,,21 ,,RBRVS,1.89 ,0.94 ,5.56 ,,,,,1,0,1,1,1,1,20061001
43204,CPT,Esoph scope w/sclerosis inj,,,21 ,,RBRVS,3.76 ,1.52 ,1.52 ,,,,,1,0,1,1,1,1,20061001
43205,CPT,Esophagus endoscopy/ligation,,,21 ,,RBRVS,3.78 ,1.52 ,1.52 ,,,,,1,0,1,1,1,1,20061001
43215,CPT,Esophagus endoscopy,,,21 ,,RBRVS,2.60 ,1.20 ,1.20 ,,,,,1,0,1,1,1,1,20061001
43216,CPT,Esophagus endoscopy/lesion,,,21 ,,RBRVS,2.40 ,1.06 ,1.06 ,,,,,1,0,1,1,1,1,20061001
43217,CPT,Esophagus endoscopy,,,21 ,,RBRVS,2.90 ,1.19 ,6.97 ,,,,,1,0,1,1,1,1,20061001
43219,CPT,Esophagus endoscopy,,,21 ,,RBRVS,2.80 ,1.35 ,1.35 ,,,,,1,0,1,1,1,1,20061001
43220,CPT,"Esoph endoscopy, dilation",,,21 ,,RBRVS,2.10 ,0.97 ,0.97 ,,,,,1,0,1,1,1,1,20061001
43226,CPT,"Esoph endoscopy, dilation",,,21 ,,RBRVS,2.34 ,1.03 ,1.03 ,,,,,1,0,1,1,1,1,20061001
43227,CPT,"Esoph endoscopy, repair",,,21 ,,RBRVS,3.59 ,1.45 ,1.45 ,,,,,1,0,1,1,1,1,20061001
43228,CPT,"Esoph endoscopy, ablation",,,21 ,,RBRVS,3.76 ,1.55 ,1.55 ,,,,,1,0,1,1,1,1,20061001
43231,CPT,Esoph endoscopy w/us exam,,,21 ,,RBRVS,3.19 ,1.31 ,1.31 ,,,,,1,0,1,1,1,1,20061001
43232,CPT,Esoph endoscopy w/us fn bx,,,21 ,,RBRVS,4.47 ,1.82 ,1.82 ,,,,,1,0,1,1,1,1,20061001
43234,CPT,"Upper GI endoscopy, exam",,,21 ,,RBRVS,2.01 ,0.87 ,5.34 ,,,,,1,0,1,1,1,1,20061001
43235,CPT,"Uppr gi endoscopy, diagnosis",,,21 ,,RBRVS,2.39 ,1.02 ,5.18 ,,,,,1,0,1,1,1,1,20061001
43236,CPT,Uppr gi scope w/submuc inj,,,21 ,,RBRVS,2.92 ,1.22 ,6.42 ,,,,,1,0,1,1,1,1,20061001
43237,CPT,"Endoscopic us exam, esoph",,,21 ,,RBRVS,3.98 ,1.59 ,1.59 ,,,,,1,0,1,1,1,1,20061001
43238,CPT,Uppr gi endoscopy w/us fn bx,,,21 ,,RBRVS,5.02 ,1.97 ,1.97 ,,,,,1,0,1,1,1,1,20061001
43239,CPT,"Upper GI endoscopy, biopsy",,,21 ,,RBRVS,2.87 ,1.19 ,5.73 ,,,,,1,0,1,1,1,1,20061001
43240,CPT,Esoph endoscope w/drain cyst,,,21 ,,RBRVS,6.85 ,2.61 ,2.61 ,,,,,1,0,1,1,1,1,20061001
43241,CPT,Upper GI endoscopy with tube,,,21 ,,RBRVS,2.59 ,1.10 ,1.10 ,,,,,1,0,1,1,1,1,20061001
43242,CPT,Uppr gi endoscopy w/us fn bx,,,21 ,,RBRVS,7.30 ,2.74 ,2.74 ,,,,,1,0,1,1,1,1,20061001
43243,CPT,Upper gi endoscopy & inject,,,21 ,,RBRVS,4.56 ,1.80 ,1.80 ,,,,,1,0,1,1,1,1,20061001
43244,CPT,Upper GI endoscopy/ligation,,,21 ,,RBRVS,5.04 ,1.97 ,1.97 ,,,,,1,0,1,1,1,1,20061001
43245,CPT,Uppr gi scope dilate strictr,,,21 ,,RBRVS,3.18 ,1.30 ,1.30 ,,,,,1,0,1,1,1,1,20061001
43246,CPT,Place gastrostomy tube,,,21 ,,RBRVS,4.32 ,1.69 ,1.69 ,,,,,1,0,1,1,1,1,20061001
43247,CPT,Operative upper GI endoscopy,,,21 ,,RBRVS,3.38 ,1.37 ,1.37 ,,,,,1,0,1,1,1,1,20061001
43248,CPT,Uppr gi endoscopy/guide wire,,,21 ,,RBRVS,3.15 ,1.31 ,1.31 ,,,,,1,0,1,1,1,1,20061001
43249,CPT,"Esoph endoscopy, dilation",,,21 ,,RBRVS,2.90 ,1.21 ,1.21 ,,,,,1,0,1,1,1,1,20061001
43250,CPT,Upper GI endoscopy/tumor,,,21 ,,RBRVS,3.20 ,1.31 ,1.31 ,,,,,1,0,1,1,1,1,20061001
43251,CPT,Operative upper GI endoscopy,,,21 ,,RBRVS,3.69 ,1.48 ,1.48 ,,,,,1,0,1,1,1,1,20061001
43255,CPT,Operative upper GI endoscopy,,,21 ,,RBRVS,4.81 ,1.89 ,1.89 ,,,,,1,0,1,1,1,1,20061001
43256,CPT,Uppr gi endoscopy w stent,,,21 ,,RBRVS,4.34 ,1.71 ,1.71 ,,,,,1,0,1,1,1,1,20061001
43257,CPT,Uppr gi scope w/thrml txmnt,,,21 ,,RBRVS,5.50 ,2.21 ,2.21 ,,,,,1,0,1,1,1,1,20061001
43258,CPT,Operative upper GI endoscopy,,,21 ,,RBRVS,4.54 ,1.79 ,1.79 ,,,,,1,0,1,1,1,1,20061001
43259,CPT,Endoscopic ultrasound exam,,,21 ,,RBRVS,5.19 ,2.00 ,2.00 ,,,,,1,0,1,1,1,1,20061001
43260,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,5.95 ,2.29 ,2.29 ,,,,,1,0,1,1,1,1,20061001
43261,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,6.26 ,2.40 ,2.40 ,,,,,1,0,1,1,1,1,20061001
43262,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,2.79 ,2.79 ,,,,,1,0,1,1,1,1,20061001
43263,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.28 ,2.77 ,2.77 ,,,,,1,0,1,1,1,1,20061001
43264,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,8.89 ,3.32 ,3.32 ,,,,,1,0,1,1,1,1,20061001
43265,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,10.00 ,3.70 ,3.70 ,,,,,1,0,1,1,1,1,20061001
43267,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,2.79 ,2.79 ,,,,,1,0,1,1,1,1,20061001
43268,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,2.89 ,2.89 ,,,,,1,0,1,1,1,1,20061001
43269,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,8.20 ,3.08 ,3.08 ,,,,,1,0,1,1,1,1,20061001
43271,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,2.79 ,2.79 ,,,,,1,0,1,1,1,1,20061001
43272,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,2.79 ,2.79 ,,,,,1,0,1,1,1,1,20061001
43280,CPT,"Laparoscopy, fundoplasty",,,21 ,,RBRVS,17.22 ,7.29 ,7.29 ,,,,,1,0,1,1,1,1,20061001
43289,CPT,"Laparoscope proc, esoph",,,21 ,,TotalUnits,,,,24.55 ,,,,1,0,1,1,1,1,20061001
43300,CPT,Repair of esophagus,,,21 ,,RBRVS,9.13 ,6.39 ,6.39 ,,,,,1,0,1,1,1,1,20061001
43305,CPT,Repair esophagus and fistula,,,21 ,,RBRVS,17.36 ,10.72 ,10.72 ,,,,,1,0,1,1,1,1,20061001
43310,CPT,Repair of esophagus,,,21 ,,RBRVS,25.35 ,11.09 ,11.09 ,,,,,1,0,1,1,1,1,20061001
43312,CPT,Repair esophagus and fistula,,,21 ,,RBRVS,28.38 ,11.92 ,11.92 ,,,,,1,0,1,1,1,1,20061001
43313,CPT,Esophagoplasty congenital,,,21 ,,RBRVS,45.21 ,18.86 ,18.86 ,,,,,1,0,1,1,1,1,20061001
43314,CPT,Tracheo-esophagoplasty cong,,,21 ,,RBRVS,50.19 ,19.24 ,19.24 ,,,,,1,0,1,1,1,1,20061001
43320,CPT,Fuse esophagus & stomach,,,21 ,,RBRVS,19.90 ,9.23 ,9.23 ,,,,,1,0,1,1,1,1,20061001
43324,CPT,Revise esophagus & stomach,,,21 ,,RBRVS,20.54 ,8.79 ,8.79 ,,,,,1,0,1,1,1,1,20061001
43325,CPT,Revise esophagus & stomach,,,21 ,,RBRVS,20.03 ,8.81 ,8.81 ,,,,,1,0,1,1,1,1,20061001
43326,CPT,Revise esophagus & stomach,,,21 ,,RBRVS,19.71 ,9.32 ,9.32 ,,,,,1,0,1,1,1,1,20061001
43330,CPT,Repair of esophagus,,,21 ,,RBRVS,19.74 ,8.55 ,8.55 ,,,,,1,0,1,1,1,1,20061001
43331,CPT,Repair of esophagus,,,21 ,,RBRVS,20.10 ,9.81 ,9.81 ,,,,,1,0,1,1,1,1,20061001
43340,CPT,Fuse esophagus & intestine,,,21 ,,RBRVS,19.58 ,8.99 ,8.99 ,,,,,1,0,1,1,1,1,20061001
43341,CPT,Fuse esophagus & intestine,,,21 ,,RBRVS,20.82 ,10.04 ,10.04 ,,,,,1,0,1,1,1,1,20061001
43350,CPT,"Surgical opening, esophagus",,,21 ,,RBRVS,15.76 ,8.46 ,8.46 ,,,,,1,0,1,1,1,1,20061001
43351,CPT,"Surgical opening, esophagus",,,21 ,,RBRVS,18.32 ,9.82 ,9.82 ,,,,,1,0,1,1,1,1,20061001
43352,CPT,"Surgical opening, esophagus",,,21 ,,RBRVS,15.24 ,8.40 ,8.40 ,,,,,1,0,1,1,1,1,20061001
43360,CPT,Gastrointestinal repair,,,21 ,,RBRVS,35.65 ,15.11 ,15.11 ,,,,,1,0,1,1,1,1,20061001
43361,CPT,Gastrointestinal repair,,,21 ,,RBRVS,40.44 ,16.93 ,16.93 ,,,,,1,0,1,1,1,1,20061001
43400,CPT,Ligate esophagus veins,,,21 ,,RBRVS,21.17 ,9.46 ,9.46 ,,,,,1,0,1,1,1,1,20061001
43401,CPT,Esophagus surgery for veins,,,21 ,,RBRVS,22.06 ,9.51 ,9.51 ,,,,,1,0,1,1,1,1,20061001
43405,CPT,Ligate/staple esophagus,,,21 ,,RBRVS,19.98 ,9.61 ,9.61 ,,,,,1,0,1,1,1,1,20061001
43410,CPT,Repair esophagus wound,,,21 ,,RBRVS,13.45 ,7.65 ,7.65 ,,,,,1,0,1,1,1,1,20061001
43415,CPT,Repair esophagus wound,,,21 ,,RBRVS,24.96 ,11.77 ,11.77 ,,,,,1,0,1,1,1,1,20061001
43420,CPT,Repair esophagus opening,,,21 ,,RBRVS,14.33 ,7.42 ,7.42 ,,,,,1,0,1,1,1,1,20061001
43425,CPT,Repair esophagus opening,,,21 ,,RBRVS,21.00 ,10.00 ,10.00 ,,,,,1,0,1,1,1,1,20061001
43450,CPT,Dilate esophagus,,,21 ,,RBRVS,1.38 ,0.69 ,2.64 ,,,,,1,0,1,1,1,1,20061001
43453,CPT,Dilate esophagus,,,21 ,,RBRVS,1.51 ,0.73 ,6.08 ,,,,,1,0,1,1,1,1,20061001
43456,CPT,Dilate esophagus,,,21 ,,RBRVS,2.57 ,1.10 ,13.78 ,,,,,1,0,1,1,1,1,20061001
43458,CPT,Dilate esophagus,,,21 ,,RBRVS,3.06 ,1.28 ,6.67 ,,,,,1,0,1,1,1,1,20061001
43460,CPT,Pressure treatment esophagus,,,21 ,,RBRVS,3.79 ,1.49 ,1.49 ,,,,,1,0,1,1,1,1,20061001
43496,CPT,"Free jejunum flap, microvasc",,,21 ,,TotalUnits,,,,4.58,,,,1,0,0,1,1,1,20061001
43499,CPT,Esophagus surgery procedure,,,21 ,,TotalUnits,,,,4.58,,,,1,0,1,1,1,1,20061001
43500,CPT,Surgical opening of stomach,,,21 ,,RBRVS,11.03 ,4.98 ,4.98 ,,,,,1,0,1,1,1,1,20061001
43501,CPT,Surgical repair of stomach,,,21 ,,RBRVS,20.01 ,8.32 ,8.32 ,,,,,1,0,1,1,1,1,20061001
43502,CPT,Surgical repair of stomach,,,21 ,,RBRVS,23.10 ,9.48 ,9.48 ,,,,,1,0,1,1,1,1,20061001
43510,CPT,Surgical opening of stomach,,,21 ,,RBRVS,13.06 ,6.60 ,6.60 ,,,,,1,0,1,1,1,1,20061001
43520,CPT,Incision of pyloric muscle,,,21 ,,RBRVS,9.98 ,5.27 ,5.27 ,,,,,1,0,1,1,1,1,20061001
43600,CPT,Biopsy of stomach,,,21 ,,RBRVS,1.91 ,0.66 ,0.66 ,,,,,1,0,1,1,1,1,20061001
43605,CPT,Biopsy of stomach,,,21 ,,RBRVS,11.96 ,5.30 ,5.30 ,,,,,1,0,1,1,1,1,20061001
43610,CPT,Excision of stomach lesion,,,21 ,,RBRVS,14.58 ,6.16 ,6.16 ,,,,,1,0,1,1,1,1,20061001
43611,CPT,Excision of stomach lesion,,,21 ,,RBRVS,17.81 ,7.58 ,7.58 ,,,,,1,0,1,1,1,1,20061001
43620,CPT,Removal of stomach,,,21 ,,RBRVS,29.99 ,11.82 ,11.82 ,,,,,1,0,1,1,1,1,20061001
43621,CPT,Removal of stomach,,,21 ,,RBRVS,30.68 ,12.00 ,12.00 ,,,,,1,0,1,1,1,1,20061001
43622,CPT,Removal of stomach,,,21 ,,RBRVS,32.48 ,12.62 ,12.62 ,,,,,1,0,1,1,1,1,20061001
43631,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,22.56 ,9.18 ,9.18 ,,,,,1,0,1,1,1,1,20061001
43632,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,22.56 ,9.18 ,9.18 ,,,,,1,0,1,1,1,1,20061001
43633,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,23.07 ,9.35 ,9.35 ,,,,,1,0,1,1,1,1,20061001
43634,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,25.08 ,10.11 ,10.11 ,,,,,1,0,1,1,1,1,20061001
43635,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,2.06 ,0.70 ,0.70 ,,,,,1,0,1,1,1,1,20061001
43640,CPT,Vagotomy & pylorus repair,,,21 ,,RBRVS,16.99 ,7.27 ,7.27 ,,,,,1,0,1,1,1,1,20061001
43641,CPT,Vagotomy & pylorus repair,,,21 ,,RBRVS,17.24 ,7.38 ,7.38 ,,,,,1,0,1,1,1,1,20061001
43644,CPT,Lap gastric bypass/roux-en-y,,,21 ,,RBRVS,27.83 ,11.24 ,11.24 ,,,,,1,0,0,1,1,1,20061001
43645,CPT,Lap gastr bypass incl smll i,,,21 ,,RBRVS,29.96 ,12.04 ,12.04 ,,,,,1,0,0,1,1,1,20061001
43651,CPT,"Laparoscopy, vagus nerve",,,21 ,,RBRVS,10.13 ,4.77 ,4.77 ,,,,,1,0,1,1,1,1,20061001
43652,CPT,"Laparoscopy, vagus nerve",,,21 ,,RBRVS,12.13 ,5.77 ,5.77 ,,,,,1,0,1,1,1,1,20061001
43653,CPT,"Laparoscopy, gastrostomy",,,21 ,,RBRVS,7.72 ,4.19 ,4.19 ,,,,,1,0,1,1,1,1,20061001
43659,CPT,"Laparoscope proc, stom",,,21 ,,TotalUnits,,,,14.93 ,,,,1,0,1,1,1,1,20061001
43750,CPT,Place gastrostomy tube,,,21 ,,RBRVS,4.48 ,2.20 ,2.20 ,,,,,1,0,1,1,1,1,20061001
43752,CPT,Nasal/orogastric w/stent,,,21 ,,RBRVS,0.81 ,0.26 ,0.28 ,,,,,1,0,1,1,1,1,20061001
43760,CPT,Change gastrostomy tube,,,21 ,,RBRVS,1.10 ,0.45 ,2.09 ,,,,,1,0,1,1,1,1,20061001
43761,CPT,Reposition gastrostomy tube,,,21 ,,RBRVS,2.01 ,0.66 ,1.17 ,,,,,1,0,1,1,1,1,20061001
43770,CPT,"Lap, place gastr adjust band",,,21 ,,RBRVS,16.71 ,7.73 ,7.73 ,,,,,1,0,0,1,1,1,20061001
43771,CPT,"Lap, revise adjust gast band",,,21 ,,RBRVS,19.50 ,8.61 ,8.61 ,,,,,1,0,0,1,1,1,20061001
43772,CPT,"Lap, remove adjust gast band",,,21 ,,RBRVS,15.00 ,6.44 ,6.44 ,,,,,1,0,0,1,1,1,20061001
43773,CPT,"Lap, change adjust gast band",,,21 ,,RBRVS,19.50 ,8.61 ,8.61 ,,,,,1,0,0,1,1,1,20061001
43774,CPT,Lap remov adj gast band/port,,,21 ,,RBRVS,15.00 ,6.58 ,6.58 ,,,,,1,0,0,1,1,1,20061001
43800,CPT,Reconstruction of pylorus,,,21 ,,RBRVS,13.67 ,5.91 ,5.91 ,,,,,1,0,1,1,1,1,20061001
43810,CPT,Fusion of stomach and bowel,,,21 ,,RBRVS,14.63 ,6.19 ,6.19 ,,,,,1,0,1,1,1,1,20061001
43820,CPT,Fusion of stomach and bowel,,,21 ,,RBRVS,15.35 ,6.42 ,6.42 ,,,,,1,0,1,1,1,1,20061001
43825,CPT,Fusion of stomach and bowel,,,21 ,,RBRVS,19.19 ,8.03 ,8.03 ,,,,,1,0,1,1,1,1,20061001
43830,CPT,Place gastrostomy tube,,,21 ,,RBRVS,9.52 ,4.85 ,4.85 ,,,,,1,0,1,1,1,1,20061001
43831,CPT,Place gastrostomy tube,,,21 ,,RBRVS,7.83 ,4.52 ,4.52 ,,,,,1,0,1,1,1,1,20061001
43832,CPT,Place gastrostomy tube,,,21 ,,RBRVS,15.58 ,6.86 ,6.86 ,,,,,1,0,1,1,1,1,20061001
43840,CPT,Repair of stomach lesion,,,21 ,,RBRVS,15.54 ,6.78 ,6.78 ,,,,,1,0,1,1,1,1,20061001
43842,CPT,Gastroplasty for obesity,,,21 ,,RBRVS,18.44 ,7.81 ,7.81 ,,,,,1,0,1,1,1,1,20061001
43843,CPT,Gastroplasty for obesity,,,21 ,,RBRVS,18.62 ,7.78 ,7.78 ,,,,,1,0,1,1,1,1,20061001
43845,CPT,Gastroplasty duodenal switch,,,21 ,,RBRVS,31.00 ,10.80 ,10.80 ,,,,,1,0,0,1,1,1,20061001
43846,CPT,Gastric bypass for obesity,,,21 ,,RBRVS,24.01 ,10.05 ,10.05 ,,,,,1,0,1,1,1,1,20061001
43847,CPT,Gastric bypass for obesity,,,21 ,,RBRVS,26.88 ,10.92 ,10.92 ,,,,,1,0,1,1,1,1,20061001
43848,CPT,Revision gastroplasty,,,21 ,,RBRVS,29.35 ,11.84 ,11.84 ,,,,,1,0,1,1,1,1,20061001
43850,CPT,Revise stomach-bowel fusion,,,21 ,,RBRVS,24.68 ,9.84 ,9.84 ,,,,,1,0,1,1,1,1,20061001
43855,CPT,Revise stomach-bowel fusion,,,21 ,,RBRVS,26.12 ,10.35 ,10.35 ,,,,,1,0,1,1,1,1,20061001
43860,CPT,Revise stomach-bowel fusion,,,21 ,,RBRVS,24.96 ,9.99 ,9.99 ,,,,,1,0,1,1,1,1,20061001
43865,CPT,Revise stomach-bowel fusion,,,21 ,,RBRVS,26.48 ,10.53 ,10.53 ,,,,,1,0,1,1,1,1,20061001
43870,CPT,Repair stomach opening,,,21 ,,RBRVS,9.68 ,4.52 ,4.52 ,,,,,1,0,1,1,1,1,20061001
43880,CPT,Repair stomach-bowel fistula,,,21 ,,RBRVS,24.61 ,9.92 ,9.92 ,,,,,1,0,1,1,1,1,20061001
43886,CPT,"Revise gastric port, open",,,28 ,,NW,,,,,,$337.81,,1,0,1,1,1,1,20061001
43887,CPT,"Remove gastric port, open",,,28 ,,NW,,,,,,$337.81,,1,0,1,1,1,1,20061001
43888,CPT,"Change gastric port, open",,,28 ,,NW,,,,,,$859.47,,1,0,1,1,1,1,20061001
43999,CPT,Stomach surgery procedure,,,21 ,,TotalUnits,,,,21.80 ,,,,1,0,1,1,1,1,20061001
44005,CPT,Freeing of bowel adhesion,,,21 ,,RBRVS,16.21 ,6.73 ,6.73 ,,,,,1,0,1,1,1,1,20061001
44010,CPT,Incision of small bowel,,,21 ,,RBRVS,12.50 ,5.46 ,5.46 ,,,,,1,0,1,1,1,1,20061001
44015,CPT,Insert needle cath bowel,,,21 ,,RBRVS,2.62 ,0.88 ,0.88 ,,,,,1,0,1,1,1,1,20061001
44020,CPT,Explore small intestine,,,21 ,,RBRVS,13.97 ,5.95 ,5.95 ,,,,,1,0,1,1,1,1,20061001
44021,CPT,Decompress small bowel,,,21 ,,RBRVS,14.06 ,5.98 ,5.98 ,,,,,1,0,1,1,1,1,20061001
44025,CPT,Incision of large bowel,,,21 ,,RBRVS,14.26 ,6.04 ,6.04 ,,,,,1,0,1,1,1,1,20061001
44050,CPT,Reduce bowel obstruction,,,21 ,,RBRVS,14.01 ,5.97 ,5.97 ,,,,,1,0,1,1,1,1,20061001
44055,CPT,Correct malrotation of bowel,,,21 ,,RBRVS,21.97 ,8.75 ,8.75 ,,,,,1,0,1,1,1,1,20061001
44100,CPT,Biopsy of bowel,,,21 ,,RBRVS,2.01 ,0.71 ,0.71 ,,,,,1,0,1,1,1,1,20061001
44110,CPT,Excise intestine lesion(s),,,21 ,,RBRVS,11.79 ,5.24 ,5.24 ,,,,,1,0,1,1,1,1,20061001
44111,CPT,Excision of bowel lesion(s),,,21 ,,RBRVS,14.27 ,6.12 ,6.12 ,,,,,1,0,1,1,1,1,20061001
44120,CPT,Removal of small intestine,,,21 ,,RBRVS,16.97 ,7.09 ,7.09 ,,,,,1,0,1,1,1,1,20061001
44121,CPT,Removal of small intestine,,,21 ,,RBRVS,4.44 ,1.52 ,1.52 ,,,,,1,0,1,1,1,1,20061001
44125,CPT,Removal of small intestine,,,21 ,,RBRVS,17.51 ,7.27 ,7.27 ,,,,,1,0,1,1,1,1,20061001
44126,CPT,"Enterectomy w/o taper, cong",,,21 ,,RBRVS,35.45 ,14.15 ,14.15 ,,,,,1,0,1,1,1,1,20061001
44127,CPT,"Enterectomy w/taper, cong",,,21 ,,RBRVS,40.94 ,15.76 ,15.76 ,,,,,1,0,1,1,1,1,20061001
44128,CPT,"Enterectomy cong, add-on",,,21 ,,RBRVS,4.44 ,1.53 ,1.53 ,,,,,1,0,1,1,1,1,20061001
44130,CPT,Bowel to bowel fusion,,,21 ,,RBRVS,14.47 ,6.23 ,6.23 ,,,,,1,0,1,1,1,1,20061001
44132,CPT,"Enterectomy, cadaver donor",,,21 ,,RBRVS,4.44 ,1.52 ,1.52 ,,,,,1,0,0,1,1,1,20061001
44133,CPT,"Enterectomy, live donor",,,21 ,,RBRVS,4.44 ,1.52 ,1.52 ,,,,,1,0,0,1,1,1,20061001
44139,CPT,Mobilization of colon,,,21 ,,RBRVS,2.23 ,0.76 ,0.76 ,,,,,1,0,1,1,1,1,20061001
44140,CPT,Partial removal of colon,,,21 ,,RBRVS,20.97 ,8.67 ,8.67 ,,,,,1,0,1,1,1,1,20061001
44141,CPT,Partial removal of colon,,,21 ,,RBRVS,19.48 ,10.07 ,10.07 ,,,,,1,0,1,1,1,1,20061001
44143,CPT,Partial removal of colon,,,21 ,,RBRVS,22.96 ,10.71 ,10.71 ,,,,,1,0,1,1,1,1,20061001
44144,CPT,Partial removal of colon,,,21 ,,RBRVS,21.50 ,9.64 ,9.64 ,,,,,1,0,1,1,1,1,20061001
44145,CPT,Partial removal of colon,,,21 ,,RBRVS,26.38 ,10.83 ,10.83 ,,,,,1,0,1,1,1,1,20061001
44146,CPT,Partial removal of colon,,,21 ,,RBRVS,27.50 ,12.89 ,12.89 ,,,,,1,0,1,1,1,1,20061001
44147,CPT,Partial removal of colon,,,21 ,,RBRVS,20.68 ,8.71 ,8.71 ,,,,,1,0,1,1,1,1,20061001
44150,CPT,Removal of colon,,,21 ,,RBRVS,23.91 ,12.05 ,12.05 ,,,,,1,0,1,1,1,1,20061001
44151,CPT,Removal of colon/ileostomy,,,21 ,,RBRVS,26.84 ,13.43 ,13.43 ,,,,,1,0,1,1,1,1,20061001
44152,CPT,Removal of colon/ileostomy,,,21 ,,RBRVS,27.79 ,11.62 ,11.62 ,,,,,1,0,1,1,1,1,20061001
44153,CPT,Removal of colon/ileostomy,,,21 ,,RBRVS,30.54 ,14.41 ,14.41 ,,,,,1,0,1,1,1,1,20061001
44155,CPT,Removal of colon/ileostomy,,,21 ,,RBRVS,27.82 ,13.34 ,13.34 ,,,,,1,0,1,1,1,1,20061001
44156,CPT,Removal of colon/ileostomy,,,21 ,,RBRVS,30.74 ,15.07 ,15.07 ,,,,,1,0,1,1,1,1,20061001
44160,CPT,Removal of colon,,,21 ,,RBRVS,18.59 ,7.76 ,7.76 ,,,,,1,0,1,1,1,1,20061001
44180,CPT,"Lap, enterolysis",,,21 ,,RBRVS,14.42 ,6.25 ,6.25 ,,,,,1,0,1,1,1,1,20061001
44186,CPT,"Lap, jejunostomy",,,21 ,,RBRVS,9.77 ,4.80 ,4.80 ,,,,,1,0,1,1,1,1,20061001
44187,CPT,"Lap, ileo/jejuno-stomy",,,21 ,,RBRVS,15.93 ,8.29 ,8.29 ,,,,,1,0,0,1,1,1,20061001
44188,CPT,"Lap, colostomy",,,21 ,,RBRVS,17.61 ,8.87 ,8.87 ,,,,,1,0,0,1,1,1,20061001
44202,CPT,Lap resect s/intestine singl,,,21 ,,RBRVS,22.01 ,8.95 ,8.95 ,,,,,1,0,1,1,1,1,20061001
44203,CPT,"Lap resect s/intestine, addl",,,21 ,,RBRVS,4.44 ,1.50 ,1.50 ,,,,,1,0,1,1,1,1,20061001
44204,CPT,Laparo partial colectomy,,,21 ,,RBRVS,25.04 ,9.98 ,9.98 ,,,,,1,0,1,1,1,1,20061001
44205,CPT,Lap colectomy part w/ileum,,,21 ,,RBRVS,22.20 ,8.87 ,8.87 ,,,,,1,0,1,1,1,1,20061001
44206,CPT,Lap part colectomy w/stoma,,,21 ,,RBRVS,26.96 ,11.28 ,11.28 ,,,,,1,0,1,1,1,1,20061001
44207,CPT,L colectomy/coloproctostomy,,,21 ,,RBRVS,29.96 ,11.51 ,11.51 ,,,,,1,0,1,1,1,1,20061001
44208,CPT,L colectomy/coloproctostomy,,,21 ,,RBRVS,31.95 ,13.17 ,13.17 ,,,,,1,0,1,1,1,1,20061001
44210,CPT,Laparo total proctocolectomy,,,21 ,,RBRVS,27.96 ,11.90 ,11.90 ,,,,,1,0,1,1,1,1,20061001
44211,CPT,Laparo total proctocolectomy,,,21 ,,RBRVS,34.95 ,14.71 ,14.71 ,,,,,1,0,1,1,1,1,20061001
44212,CPT,Laparo total proctocolectomy,,,21 ,,RBRVS,32.45 ,13.72 ,13.72 ,,,,,1,0,1,1,1,1,20061001
44213,CPT,"Lap, mobil splenic fl add-on",,,21 ,,RBRVS,3.50 ,1.22 ,1.22 ,,,,,1,0,1,1,1,1,20061001
44227,CPT,"Lap, close enterostomy",,,21 ,,RBRVS,26.50 ,10.65 ,10.65 ,,,,,1,0,0,1,1,1,20061001
44238,CPT,"Laparoscope proc, intestine",,,21 ,,TotalUnits,,,,20.65 ,,,,1,0,1,1,1,1,20061001
44300,CPT,Open bowel to skin,,,21 ,,RBRVS,12.09 ,5.50 ,5.50 ,,,,,1,0,1,1,1,1,20061001
44310,CPT,Ileostomy/jejunostomy,,,21 ,,RBRVS,15.93 ,6.71 ,6.71 ,,,,,1,0,1,1,1,1,20061001
44312,CPT,Revision of ileostomy,,,21 ,,RBRVS,8.01 ,4.00 ,4.00 ,,,,,1,0,1,1,1,1,20061001
44314,CPT,Revision of ileostomy,,,21 ,,RBRVS,15.03 ,6.57 ,6.57 ,,,,,1,0,1,1,1,1,20061001
44316,CPT,Devise bowel pouch,,,21 ,,RBRVS,21.06 ,8.56 ,8.56 ,,,,,1,0,1,1,1,1,20061001
44320,CPT,Colostomy,,,21 ,,RBRVS,17.61 ,7.67 ,7.67 ,,,,,1,0,1,1,1,1,20061001
44322,CPT,Colostomy with biopsies,,,21 ,,RBRVS,11.96 ,8.59 ,8.59 ,,,,,1,0,1,1,1,1,20061001
44340,CPT,Revision of colostomy,,,21 ,,RBRVS,7.71 ,4.27 ,4.27 ,,,,,1,0,1,1,1,1,20061001
44345,CPT,Revision of colostomy,,,21 ,,RBRVS,15.41 ,6.90 ,6.90 ,,,,,1,0,1,1,1,1,20061001
44346,CPT,Revision of colostomy,,,21 ,,RBRVS,16.96 ,7.40 ,7.40 ,,,,,1,0,1,1,1,1,20061001
44360,CPT,Small bowel endoscopy,,,21 ,,RBRVS,2.59 ,1.10 ,1.10 ,,,,,1,0,1,1,1,1,20061001
44361,CPT,Small bowel endoscopy/biopsy,,,21 ,,RBRVS,2.87 ,1.20 ,1.20 ,,,,,1,0,1,1,1,1,20061001
44363,CPT,Small bowel endoscopy,,,21 ,,RBRVS,3.49 ,1.38 ,1.38 ,,,,,1,0,1,1,1,1,20061001
44364,CPT,Small bowel endoscopy,,,21 ,,RBRVS,3.73 ,1.49 ,1.49 ,,,,,1,0,1,1,1,1,20061001
44365,CPT,Small bowel endoscopy,,,21 ,,RBRVS,3.31 ,1.36 ,1.36 ,,,,,1,0,1,1,1,1,20061001
44366,CPT,Small bowel endoscopy,,,21 ,,RBRVS,4.40 ,1.74 ,1.74 ,,,,,1,0,1,1,1,1,20061001
44369,CPT,Small bowel endoscopy,,,21 ,,RBRVS,4.51 ,1.74 ,1.74 ,,,,,1,0,1,1,1,1,20061001
44370,CPT,Small bowel endoscopy/stent,,,21 ,,RBRVS,4.79 ,1.98 ,1.98 ,,,,,1,0,1,1,1,1,20061001
44372,CPT,Small bowel endoscopy,,,21 ,,RBRVS,4.40 ,1.74 ,1.74 ,,,,,1,0,1,1,1,1,20061001
44373,CPT,Small bowel endoscopy,,,21 ,,RBRVS,3.49 ,1.42 ,1.42 ,,,,,1,0,1,1,1,1,20061001
44376,CPT,Small bowel endoscopy,,,21 ,,RBRVS,5.25 ,2.03 ,2.03 ,,,,,1,0,1,1,1,1,20061001
44377,CPT,Small bowel endoscopy/biopsy,,,21 ,,RBRVS,5.52 ,2.14 ,2.14 ,,,,,1,0,1,1,1,1,20061001
44378,CPT,Small bowel endoscopy,,,21 ,,RBRVS,7.12 ,2.70 ,2.70 ,,,,,1,0,1,1,1,1,20061001
44379,CPT,S bowel endoscope w/stent,,,21 ,,RBRVS,7.46 ,2.92 ,2.92 ,,,,,1,0,1,1,1,1,20061001
44380,CPT,Small bowel endoscopy,,,21 ,,RBRVS,1.05 ,0.55 ,0.55 ,,,,,1,0,1,1,1,1,20061001
44382,CPT,Small bowel endoscopy,,,21 ,,RBRVS,1.27 ,0.63 ,0.63 ,,,,,1,0,1,1,1,1,20061001
44383,CPT,Ileoscopy w/stent,,,21 ,,RBRVS,2.94 ,1.27 ,1.27 ,,,,,1,0,1,1,1,1,20061001
44385,CPT,Endoscopy of bowel pouch,,,21 ,,RBRVS,1.82 ,0.75 ,3.36 ,,,,,1,0,1,1,1,1,20061001
44386,CPT,"Endoscopy, bowel pouch/biop",,,21 ,,RBRVS,2.12 ,0.88 ,6.66 ,,,,,1,0,1,1,1,1,20061001
44388,CPT,Colon endoscopy,,,21 ,,RBRVS,2.82 ,1.15 ,5.09 ,,,,,1,0,1,1,1,1,20061001
44389,CPT,Colonoscopy with biopsy,,,21 ,,RBRVS,3.13 ,1.27 ,6.64 ,,,,,1,0,1,1,1,1,20061001
44390,CPT,Colonoscopy for foreign body,,,21 ,,RBRVS,3.82 ,1.49 ,7.13 ,,,,,1,0,1,1,1,1,20061001
44391,CPT,Colonoscopy for bleeding,,,21 ,,RBRVS,4.31 ,1.69 ,8.75 ,,,,,1,0,1,1,1,1,20061001
44392,CPT,Colonoscopy & polypectomy,,,21 ,,RBRVS,3.81 ,1.49 ,6.60 ,,,,,1,0,1,1,1,1,20061001
44393,CPT,"Colonoscopy, lesion removal",,,21 ,,RBRVS,4.83 ,1.87 ,6.92 ,,,,,1,0,1,1,1,1,20061001
44394,CPT,Colonoscopy w/snare,,,21 ,,RBRVS,4.42 ,1.72 ,7.83 ,,,,,1,0,1,1,1,1,20061001
44397,CPT,Colonoscopy w/stent,,,21 ,,RBRVS,4.70 ,1.80 ,1.80 ,,,,,1,0,1,1,1,1,20061001
44500,CPT,"Intro, gastrointestinal tube",,,21 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
44602,CPT,"Suture, small intestine",,,21 ,,RBRVS,16.01 ,6.41 ,6.41 ,,,,,1,0,1,1,1,1,20061001
44603,CPT,"Suture, small intestine",,,21 ,,RBRVS,18.63 ,7.29 ,7.29 ,,,,,1,0,1,1,1,1,20061001
44604,CPT,"Suture, large intestine",,,21 ,,RBRVS,16.01 ,6.47 ,6.47 ,,,,,1,0,1,1,1,1,20061001
44605,CPT,Repair of bowel lesion,,,21 ,,RBRVS,19.50 ,8.41 ,8.41 ,,,,,1,0,1,1,1,1,20061001
44615,CPT,Intestinal stricturoplasty,,,21 ,,RBRVS,15.91 ,6.69 ,6.69 ,,,,,1,0,1,1,1,1,20061001
44620,CPT,Repair bowel opening,,,21 ,,RBRVS,12.18 ,5.34 ,5.34 ,,,,,1,0,1,1,1,1,20061001
44625,CPT,Repair bowel opening,,,21 ,,RBRVS,15.03 ,6.32 ,6.32 ,,,,,1,0,1,1,1,1,20061001
44626,CPT,Repair bowel opening,,,21 ,,RBRVS,25.32 ,9.84 ,9.84 ,,,,,1,0,1,1,1,1,20061001
44640,CPT,Repair bowel-skin fistula,,,21 ,,RBRVS,21.62 ,8.59 ,8.59 ,,,,,1,0,1,1,1,1,20061001
44650,CPT,Repair bowel fistula,,,21 ,,RBRVS,22.54 ,8.91 ,8.91 ,,,,,1,0,1,1,1,1,20061001
44660,CPT,Repair bowel-bladder fistula,,,21 ,,RBRVS,21.33 ,8.36 ,8.36 ,,,,,1,0,1,1,1,1,20061001
44661,CPT,Repair bowel-bladder fistula,,,21 ,,RBRVS,24.77 ,9.58 ,9.58 ,,,,,1,0,1,1,1,1,20061001
44680,CPT,"Surgical revision, intestine",,,21 ,,RBRVS,15.38 ,6.46 ,6.46 ,,,,,1,0,1,1,1,1,20061001
44700,CPT,Suspend bowel w/prosthesis,,,21 ,,RBRVS,16.09 ,6.68 ,6.68 ,,,,,1,0,1,1,1,1,20061001
44701,CPT,Intraop colon lavage add-on,,,21 ,,RBRVS,3.10 ,1.06 ,1.06 ,,,,,1,0,1,1,1,1,20061001
44720,CPT,Prep donor intestine/venous,,,21 ,,RBRVS,5.00 ,1.71 ,1.71 ,,,,,1,0,0,1,1,1,20061001
44721,CPT,Prep donor intestine/artery,,,21 ,,RBRVS,7.00 ,2.40 ,2.40 ,,,,,1,0,0,1,1,1,20061001
44799,CPT,Intestine surgery procedure,,,21 ,,TotalUnits,,,,24.09 ,,,,1,0,1,1,1,1,20061001
44800,CPT,Excision of bowel pouch,,,21 ,,RBRVS,11.21 ,5.40 ,5.40 ,,,,,1,0,1,1,1,1,20061001
44820,CPT,Excision of mesentery lesion,,,21 ,,RBRVS,12.07 ,5.50 ,5.50 ,,,,,1,0,1,1,1,1,20061001
44850,CPT,Repair of mesentery,,,21 ,,RBRVS,10.72 ,5.01 ,5.01 ,,,,,1,0,1,1,1,1,20061001
44899,CPT,Bowel surgery procedure,,,21 ,,TotalUnits,,,,16.64 ,,,,1,0,1,1,1,1,20061001
44900,CPT,"Drain app abscess, open",,,21 ,,RBRVS,10.12 ,4.70 ,4.70 ,,,,,1,0,1,1,1,1,20061001
44901,CPT,"Drain app abscess, percut",,,21 ,,RBRVS,3.37 ,1.11 ,27.97 ,,,,,1,0,1,1,1,1,20061001
44950,CPT,Appendectomy,,,21 ,,RBRVS,9.99 ,4.32 ,4.32 ,,,,,1,0,1,1,1,1,20061001
44955,CPT,Appendectomy add-on,,,21 ,,RBRVS,1.53 ,0.54 ,0.54 ,,,,,1,0,1,1,1,1,20061001
44960,CPT,Appendectomy,,,21 ,,RBRVS,12.32 ,5.35 ,5.35 ,,,,,1,0,1,1,1,1,20061001
44970,CPT,"Laparoscopy, appendectomy",,,21 ,,RBRVS,8.69 ,4.09 ,4.09 ,,,,,1,0,1,1,1,1,20061001
44979,CPT,"Laparoscope proc, app",,,21 ,,TotalUnits,,,,12.92 ,,,,1,0,1,1,1,1,20061001
45000,CPT,Drainage of pelvic abscess,,,21 ,,RBRVS,4.51 ,2.97 ,2.97 ,,,,,1,0,1,1,1,1,20061001
45005,CPT,Drainage of rectal abscess,,,21 ,,RBRVS,1.99 ,1.58 ,4.06 ,,,,,1,0,1,1,1,1,20061001
45020,CPT,Drainage of rectal abscess,,,21 ,,RBRVS,4.71 ,3.28 ,3.28 ,,,,,1,0,1,1,1,1,20061001
45100,CPT,Biopsy of rectum,,,21 ,,RBRVS,3.67 ,2.37 ,2.37 ,,,,,1,0,1,1,1,1,20061001
45108,CPT,Removal of anorectal lesion,,,21 ,,RBRVS,4.75 ,2.78 ,2.78 ,,,,,1,0,1,1,1,1,20061001
45110,CPT,Removal of rectum,,,21 ,,RBRVS,27.96 ,12.43 ,12.43 ,,,,,1,0,1,1,1,1,20061001
45111,CPT,Partial removal of rectum,,,21 ,,RBRVS,16.46 ,7.18 ,7.18 ,,,,,1,0,1,1,1,1,20061001
45112,CPT,Removal of rectum,,,21 ,,RBRVS,30.49 ,11.79 ,11.79 ,,,,,1,0,1,1,1,1,20061001
45113,CPT,Partial proctectomy,,,21 ,,RBRVS,30.53 ,12.63 ,12.63 ,,,,,1,0,1,1,1,1,20061001
45114,CPT,Partial removal of rectum,,,21 ,,RBRVS,27.28 ,10.90 ,10.90 ,,,,,1,0,1,1,1,1,20061001
45116,CPT,Partial removal of rectum,,,21 ,,RBRVS,24.54 ,10.05 ,10.05 ,,,,,1,0,1,1,1,1,20061001
45119,CPT,Remove rectum w/reservoir,,,21 ,,RBRVS,30.79 ,12.49 ,12.49 ,,,,,1,0,1,1,1,1,20061001
45120,CPT,Removal of rectum,,,21 ,,RBRVS,24.56 ,10.15 ,10.15 ,,,,,1,0,1,1,1,1,20061001
45121,CPT,Removal of rectum and colon,,,21 ,,RBRVS,27.00 ,11.13 ,11.13 ,,,,,1,0,1,1,1,1,20061001
45123,CPT,Partial proctectomy,,,21 ,,RBRVS,16.68 ,6.87 ,6.87 ,,,,,1,0,1,1,1,1,20061001
45126,CPT,Pelvic exenteration,,,21 ,,RBRVS,45.09 ,19.26 ,19.26 ,,,,,1,0,1,1,1,1,20061001
45130,CPT,Excision of rectal prolapse,,,21 ,,RBRVS,16.42 ,6.78 ,6.78 ,,,,,1,0,1,1,1,1,20061001
45135,CPT,Excision of rectal prolapse,,,21 ,,RBRVS,19.25 ,8.43 ,8.43 ,,,,,1,0,1,1,1,1,20061001
45136,CPT,Excise ileoanal reservior,,,21 ,,RBRVS,27.26 ,12.55 ,12.55 ,,,,,1,0,1,1,1,1,20061001
45150,CPT,Excision of rectal stricture,,,21 ,,RBRVS,5.66 ,2.97 ,2.97 ,,,,,1,0,1,1,1,1,20061001
45160,CPT,Excision of rectal lesion,,,21 ,,RBRVS,15.30 ,6.66 ,6.66 ,,,,,1,0,1,1,1,1,20061001
45170,CPT,Excision of rectal lesion,,,21 ,,RBRVS,11.47 ,5.25 ,5.25 ,,,,,1,0,1,1,1,1,20061001
45190,CPT,"Destruction, rectal tumor",,,21 ,,RBRVS,9.73 ,4.63 ,4.63 ,,,,,1,0,1,1,1,1,20061001
45300,CPT,Proctosigmoidoscopy dx,,,21 ,,RBRVS,0.38 ,0.28 ,1.53 ,,,,,1,0,1,1,1,1,20061001
45303,CPT,Proctosigmoidoscopy dilate,,,21 ,,RBRVS,0.44 ,0.33 ,18.73 ,,,,,1,0,1,1,1,1,20061001
45305,CPT,Proctosigmoidoscopy w/bx,,,21 ,,RBRVS,1.01 ,0.50 ,2.64 ,,,,,1,0,1,1,1,1,20061001
45307,CPT,Proctosigmoidoscopy fb,,,21 ,,RBRVS,0.94 ,0.48 ,3.04 ,,,,,1,0,1,1,1,1,20061001
45308,CPT,Proctosigmoidoscopy removal,,,21 ,,RBRVS,0.83 ,0.44 ,2.00 ,,,,,1,0,1,1,1,1,20061001
45309,CPT,Proctosigmoidoscopy removal,,,21 ,,RBRVS,2.01 ,0.84 ,2.82 ,,,,,1,0,1,1,1,1,20061001
45315,CPT,Proctosigmoidoscopy removal,,,21 ,,RBRVS,1.40 ,0.63 ,2.87 ,,,,,1,0,1,1,1,1,20061001
45317,CPT,Proctosigmoidoscopy bleed,,,21 ,,RBRVS,1.50 ,0.66 ,2.44 ,,,,,1,0,1,1,1,1,20061001
45320,CPT,Proctosigmoidoscopy ablate,,,21 ,,RBRVS,1.58 ,0.71 ,2.92 ,,,,,1,0,1,1,1,1,20061001
45321,CPT,Proctosigmoidoscopy volvul,,,21 ,,RBRVS,1.17 ,0.56 ,0.56 ,,,,,1,0,1,1,1,1,20061001
45327,CPT,Proctosigmoidoscopy w/stent,,,21 ,,RBRVS,1.65 ,0.69 ,0.69 ,,,,,1,0,1,1,1,1,20061001
45330,CPT,Diagnostic sigmoidoscopy,,,21 ,,RBRVS,0.96 ,0.50 ,2.28 ,,,,,1,0,1,1,1,1,20061001
45331,CPT,Sigmoidoscopy and biopsy,,,21 ,,RBRVS,1.15 ,0.59 ,3.08 ,,,,,1,0,1,1,1,1,20061001
45332,CPT,Sigmoidoscopy w/fb removal,,,21 ,,RBRVS,1.79 ,0.80 ,5.01 ,,,,,1,0,1,1,1,1,20061001
45333,CPT,Sigmoidoscopy & polypectomy,,,21 ,,RBRVS,1.79 ,0.80 ,4.88 ,,,,,1,0,1,1,1,1,20061001
45334,CPT,Sigmoidoscopy for bleeding,,,21 ,,RBRVS,2.73 ,1.14 ,1.14 ,,,,,1,0,1,1,1,1,20061001
45335,CPT,Sigmoidoscope w/submuc inj,,,21 ,,RBRVS,1.46 ,0.69 ,3.22 ,,,,,1,0,1,1,1,1,20061001
45337,CPT,Sigmoidoscopy & decompress,,,21 ,,RBRVS,2.36 ,1.00 ,1.00 ,,,,,1,0,1,1,1,1,20061001
45338,CPT,Sigmoidoscpy w/tumr remove,,,21 ,,RBRVS,2.34 ,1.00 ,5.23 ,,,,,1,0,1,1,1,1,20061001
45339,CPT,Sigmoidoscopy w/ablate tumr,,,21 ,,RBRVS,3.14 ,1.28 ,3.47 ,,,,,1,0,1,1,1,1,20061001
45340,CPT,Sig w/balloon dilation,,,21 ,,RBRVS,1.89 ,0.83 ,6.19 ,,,,,1,0,1,1,1,1,20061001
45341,CPT,Sigmoidoscopy w/ultrasound,,,21 ,,RBRVS,2.60 ,1.07 ,1.07 ,,,,,1,0,1,1,1,1,20061001
45342,CPT,Sigmoidoscopy w/us guide bx,,,21 ,,RBRVS,4.05 ,1.54 ,1.54 ,,,,,1,0,1,1,1,1,20061001
45345,CPT,Sigmoidoscopy w/stent,,,21 ,,RBRVS,2.92 ,1.16 ,1.16 ,,,,,1,0,1,1,1,1,20061001
45355,CPT,Surgical colonoscopy,,,21 ,,RBRVS,3.51 ,1.38 ,1.38 ,,,,,1,0,1,1,1,1,20061001
45378,CPT,Diagnostic colonoscopy,,,21 ,,RBRVS,3.69 ,1.47 ,6.16 ,,,,,1,0,1,1,1,1,20061001
45379,CPT,Colonoscopy w/fb removal,,,21 ,,RBRVS,4.68 ,1.82 ,7.68 ,,,,,1,0,1,1,1,1,20061001
45380,CPT,Colonoscopy and biopsy,,,21 ,,RBRVS,4.43 ,1.74 ,7.21 ,,,,,1,0,1,1,1,1,20061001
45381,CPT,"Colonoscope, submucous inj",,,21 ,,RBRVS,4.19 ,1.65 ,7.13 ,,,,,1,0,1,1,1,1,20061001
45382,CPT,Colonoscopy/control bleeding,,,21 ,,RBRVS,5.68 ,2.19 ,9.97 ,,,,,1,0,1,1,1,1,20061001
45383,CPT,Lesion removal colonoscopy,,,21 ,,RBRVS,5.86 ,2.23 ,7.94 ,,,,,1,0,1,1,1,1,20061001
45384,CPT,Lesion remove colonoscopy,,,21 ,,RBRVS,4.69 ,1.83 ,6.82 ,,,,,1,0,1,1,1,1,20061001
45385,CPT,Lesion removal colonoscopy,,,21 ,,RBRVS,5.30 ,2.04 ,7.82 ,,,,,1,0,1,1,1,1,20061001
45386,CPT,Colonoscope dilate stricture,,,21 ,,RBRVS,4.57 ,1.79 ,12.44 ,,,,,1,0,1,1,1,1,20061001
45387,CPT,Colonoscopy w/stent,,,21 ,,RBRVS,5.90 ,2.34 ,2.34 ,,,,,1,0,1,1,1,1,20061001
45391,CPT,Colonoscopy w/endoscope us,,,21 ,,RBRVS,5.09 ,1.98 ,1.98 ,,,,,1,0,1,1,1,1,20061001
45392,CPT,Colonoscopy w/endoscopic fnb,,,21 ,,RBRVS,6.54 ,2.49 ,2.49 ,,,,,1,0,1,1,1,1,20061001
45395,CPT,"Lap, removal of rectum",,,21 ,,RBRVS,30.50 ,13.71 ,13.71 ,,,,,1,0,0,1,1,1,20061001
45397,CPT,"Lap, remove rectum w/pouch",,,21 ,,RBRVS,34.00 ,14.30 ,14.30 ,,,,,1,0,0,1,1,1,20061001
45400,CPT,Laparoscopic proctopexy,,,21 ,,RBRVS,18.06 ,7.85 ,7.85 ,,,,,1,0,0,1,1,1,20061001
45402,CPT,Lap proctopexy w/sig resect,,,21 ,,RBRVS,25.04 ,10.01 ,10.01 ,,,,,1,0,0,1,1,1,20061001
45499,CPT,"Laparoscope proc, rectum",,,28 ,,NW,,,,,,"$2,029.72",,1,0,1,1,1,1,20061001
45500,CPT,Repair of rectum,,,21 ,,RBRVS,7.28 ,3.54 ,3.54 ,,,,,1,0,1,1,1,1,20061001
45505,CPT,Repair of rectum,,,21 ,,RBRVS,7.57 ,3.86 ,3.86 ,,,,,1,0,1,1,1,1,20061001
45520,CPT,Treatment of rectal prolapse,,,21 ,,RBRVS,0.55 ,0.37 ,1.64 ,,,,,1,0,1,1,1,1,20061001
45540,CPT,Correct rectal prolapse,,,21 ,,RBRVS,16.25 ,6.81 ,6.81 ,,,,,1,0,1,1,1,1,20061001
45541,CPT,Correct rectal prolapse,,,21 ,,RBRVS,13.38 ,5.96 ,5.96 ,,,,,1,0,1,1,1,1,20061001
45550,CPT,Repair rectum/remove sigmoid,,,21 ,,RBRVS,22.97 ,9.24 ,9.24 ,,,,,1,0,1,1,1,1,20061001
45560,CPT,Repair of rectocele,,,21 ,,RBRVS,10.56 ,5.06 ,5.06 ,,,,,1,0,1,1,1,1,20061001
45562,CPT,Exploration/repair of rectum,,,21 ,,RBRVS,15.36 ,7.00 ,7.00 ,,,,,1,0,1,1,1,1,20061001
45563,CPT,Exploration/repair of rectum,,,21 ,,RBRVS,23.43 ,10.54 ,10.54 ,,,,,1,0,1,1,1,1,20061001
45800,CPT,Repair rect/bladder fistula,,,21 ,,RBRVS,17.74 ,7.44 ,7.44 ,,,,,1,0,1,1,1,1,20061001
45805,CPT,Repair fistula w/colostomy,,,21 ,,RBRVS,20.75 ,9.53 ,9.53 ,,,,,1,0,1,1,1,1,20061001
45820,CPT,Repair rectourethral fistula,,,21 ,,RBRVS,18.45 ,7.64 ,7.64 ,,,,,1,0,1,1,1,1,20061001
45825,CPT,Repair fistula w/colostomy,,,21 ,,RBRVS,21.22 ,9.84 ,9.84 ,,,,,1,0,1,1,1,1,20061001
45900,CPT,Reduction of rectal prolapse,,,21 ,,RBRVS,2.61 ,1.50 ,1.50 ,,,,,1,0,1,1,1,1,20061001
45905,CPT,Dilation of anal sphincter,,,21 ,,RBRVS,2.30 ,1.43 ,1.43 ,,,,,1,0,1,1,1,1,20061001
45910,CPT,Dilation of rectal narrowing,,,21 ,,RBRVS,2.80 ,1.66 ,1.66 ,,,,,1,0,1,1,1,1,20061001
45915,CPT,Remove rectal obstruction,,,21 ,,RBRVS,3.14 ,2.10 ,4.33 ,,,,,1,0,1,1,1,1,20061001
45990,CPT,"Surg dx exam, anorectal",,,21 ,,RBRVS,1.80 ,0.79 ,0.79 ,,,,,1,0,1,1,1,1,20061001
45999,CPT,Rectum surgery procedure,,,21 ,,TotalUnits,,,,5.83 ,,,,1,0,1,1,1,1,20061001
46020,CPT,Placement of seton,,,21 ,,RBRVS,2.90 ,1.86 ,2.34 ,,,,,1,0,1,1,1,1,20061001
46030,CPT,Removal of rectal marker,,,21 ,,RBRVS,1.23 ,0.71 ,1.35 ,,,,,1,0,1,1,1,1,20061001
46040,CPT,Incision of rectal abscess,,,21 ,,RBRVS,4.95 ,3.59 ,5.51 ,,,,,1,0,1,1,1,1,20061001
46045,CPT,Incision of rectal abscess,,,21 ,,RBRVS,4.31 ,2.90 ,2.90 ,,,,,1,0,1,1,1,1,20061001
46050,CPT,Incision of anal abscess,,,21 ,,RBRVS,1.19 ,0.84 ,2.55 ,,,,,1,0,1,1,1,1,20061001
46060,CPT,Incision of rectal abscess,,,21 ,,RBRVS,5.68 ,3.25 ,3.25 ,,,,,1,0,1,1,1,1,20061001
46070,CPT,Incision of anal septum,,,21 ,,RBRVS,2.71 ,1.84 ,1.84 ,,,,,1,0,1,1,1,1,20061001
46080,CPT,Incision of anal sphincter,,,21 ,,RBRVS,2.49 ,1.13 ,2.37 ,,,,,1,0,1,1,1,1,20061001
46083,CPT,Incise external hemorrhoid,,,21 ,,RBRVS,1.40 ,0.92 ,2.53 ,,,,,1,0,1,1,1,1,20061001
46200,CPT,Removal of anal fissure,,,21 ,,RBRVS,3.41 ,2.87 ,3.86 ,,,,,1,0,1,1,1,1,20061001
46210,CPT,Removal of anal crypt,,,21 ,,RBRVS,2.67 ,2.63 ,5.12 ,,,,,1,0,1,1,1,1,20061001
46211,CPT,Removal of anal crypts,,,21 ,,RBRVS,4.24 ,3.51 ,5.42 ,,,,,1,0,1,1,1,1,20061001
46220,CPT,Removal of anal tag,,,21 ,,RBRVS,1.56 ,0.95 ,2.30 ,,,,,1,0,1,1,1,1,20061001
46221,CPT,Ligation of hemorrhoid(s),,,21 ,,RBRVS,2.04 ,1.75 ,2.65 ,,,,,1,0,1,1,1,1,20061001
46230,CPT,Removal of anal tags,,,21 ,,RBRVS,2.57 ,1.29 ,3.08 ,,,,,1,0,1,1,1,1,20061001
46250,CPT,Hemorrhoidectomy,,,21 ,,RBRVS,3.88 ,2.62 ,5.32 ,,,,,1,0,1,1,1,1,20061001
46255,CPT,Hemorrhoidectomy,,,21 ,,RBRVS,4.59 ,2.84 ,5.85 ,,,,,1,0,1,1,1,1,20061001
46257,CPT,Remove hemorrhoids & fissure,,,21 ,,RBRVS,5.39 ,2.88 ,2.88 ,,,,,1,0,1,1,1,1,20061001
46258,CPT,Remove hemorrhoids & fistula,,,21 ,,RBRVS,5.72 ,3.28 ,3.28 ,,,,,1,0,1,1,1,1,20061001
46260,CPT,Hemorrhoidectomy,,,21 ,,RBRVS,6.36 ,3.19 ,3.19 ,,,,,1,0,1,1,1,1,20061001
46261,CPT,Remove hemorrhoids & fissure,,,21 ,,RBRVS,7.07 ,3.61 ,3.61 ,,,,,1,0,1,1,1,1,20061001
46262,CPT,Remove hemorrhoids & fistula,,,21 ,,RBRVS,7.49 ,3.74 ,3.74 ,,,,,1,0,1,1,1,1,20061001
46270,CPT,Removal of anal fistula,,,21 ,,RBRVS,3.71 ,2.84 ,5.00 ,,,,,1,0,1,1,1,1,20061001
46275,CPT,Removal of anal fistula,,,21 ,,RBRVS,4.55 ,2.98 ,4.64 ,,,,,1,0,1,1,1,1,20061001
46280,CPT,Removal of anal fistula,,,21 ,,RBRVS,5.97 ,3.26 ,3.26 ,,,,,1,0,1,1,1,1,20061001
46285,CPT,Removal of anal fistula,,,21 ,,RBRVS,4.08 ,2.75 ,3.77 ,,,,,1,0,1,1,1,1,20061001
46288,CPT,Repair anal fistula,,,21 ,,RBRVS,7.12 ,3.68 ,3.68 ,,,,,1,0,1,1,1,1,20061001
46320,CPT,Removal of hemorrhoid clot,,,21 ,,RBRVS,1.61 ,0.85 ,2.13 ,,,,,1,0,1,1,1,1,20061001
46500,CPT,Injection into hemorrhoid(s),,,21 ,,RBRVS,1.61 ,1.15 ,2.12 ,,,,,1,0,1,1,1,1,20061001
46505,CPT,Chemodenervation anal musc,,,21 ,,RBRVS,2.86 ,1.97 ,3.05 ,,,,,1,0,1,1,1,1,20061001
46600,CPT,Diagnostic anoscopy,,,21 ,,RBRVS,0.50 ,0.34 ,1.56 ,,,,,1,0,1,1,1,1,20061001
46604,CPT,Anoscopy and dilation,,,21 ,,RBRVS,1.31 ,0.62 ,9.15 ,,,,,1,0,1,1,1,1,20061001
46606,CPT,Anoscopy and biopsy,,,21 ,,RBRVS,0.81 ,0.43 ,3.79 ,,,,,1,0,1,1,1,1,20061001
46608,CPT,"Anoscopy, remove for body",,,21 ,,RBRVS,1.51 ,0.65 ,4.41 ,,,,,1,0,1,1,1,1,20061001
46610,CPT,"Anoscopy, remove lesion",,,21 ,,RBRVS,1.32 ,0.61 ,4.04 ,,,,,1,0,1,1,1,1,20061001
46611,CPT,Anoscopy,,,21 ,,RBRVS,1.81 ,0.78 ,3.34 ,,,,,1,0,1,1,1,1,20061001
46612,CPT,"Anoscopy, remove lesions",,,21 ,,RBRVS,2.34 ,0.98 ,5.20 ,,,,,1,0,1,1,1,1,20061001
46614,CPT,"Anoscopy, control bleeding",,,21 ,,RBRVS,2.01 ,0.84 ,2.33 ,,,,,1,0,1,1,1,1,20061001
46615,CPT,Anoscopy,,,21 ,,RBRVS,2.68 ,1.07 ,2.49 ,,,,,1,0,1,1,1,1,20061001
46700,CPT,Repair of anal stricture,,,21 ,,RBRVS,9.12 ,4.21 ,4.21 ,,,,,1,0,1,1,1,1,20061001
46705,CPT,Repair of anal stricture,,,21 ,,RBRVS,6.89 ,3.69 ,3.69 ,,,,,1,0,1,1,1,1,20061001
46706,CPT,Repr of anal fistula w/glue,,,21 ,,RBRVS,2.39 ,1.25 ,1.25 ,,,,,1,0,1,1,1,1,20061001
46710,CPT,Repr per/vag pouch sngl proc,,,21 ,,RBRVS,16.00 ,7.77 ,7.77 ,,,,,1,0,0,1,1,1,20061001
46712,CPT,Repr per/vag pouch dbl proc,,,21 ,,RBRVS,34.00 ,15.08 ,15.08 ,,,,,1,0,0,1,1,1,20061001
46715,CPT,Repair of anovaginal fistula,,,21 ,,RBRVS,7.19 ,3.58 ,3.58 ,,,,,1,0,1,1,1,1,20061001
46716,CPT,Repair of anovaginal fistula,,,21 ,,RBRVS,15.05 ,7.99 ,7.99 ,,,,,1,0,1,1,1,1,20061001
46730,CPT,Construction of absent anus,,,21 ,,RBRVS,26.71 ,12.05 ,12.05 ,,,,,1,0,1,1,1,1,20061001
46735,CPT,Construction of absent anus,,,21 ,,RBRVS,32.12 ,13.58 ,13.58 ,,,,,1,0,1,1,1,1,20061001
46740,CPT,Construction of absent anus,,,21 ,,RBRVS,29.96 ,13.26 ,13.26 ,,,,,1,0,1,1,1,1,20061001
46742,CPT,Repair of imperforated anus,,,21 ,,RBRVS,35.75 ,17.43 ,17.43 ,,,,,1,0,1,1,1,1,20061001
46744,CPT,Repair of cloacal anomaly,,,21 ,,RBRVS,52.55 ,21.17 ,21.17 ,,,,,1,0,1,1,1,1,20061001
46746,CPT,Repair of cloacal anomaly,,,21 ,,RBRVS,58.13 ,25.21 ,25.21 ,,,,,1,0,1,1,1,1,20061001
46748,CPT,Repair of cloacal anomaly,,,21 ,,RBRVS,64.11 ,23.70 ,23.70 ,,,,,1,0,1,1,1,1,20061001
46750,CPT,Repair of anal sphincter,,,21 ,,RBRVS,10.23 ,5.06 ,5.06 ,,,,,1,0,1,1,1,1,20061001
46751,CPT,Repair of anal sphincter,,,21 ,,RBRVS,8.76 ,5.43 ,5.43 ,,,,,1,0,1,1,1,1,20061001
46753,CPT,Reconstruction of anus,,,21 ,,RBRVS,8.28 ,3.85 ,3.85 ,,,,,1,0,1,1,1,1,20061001
46754,CPT,Removal of suture from anus,,,21 ,,RBRVS,2.20 ,1.67 ,3.60 ,,,,,1,0,1,1,1,1,20061001
46760,CPT,Repair of anal sphincter,,,21 ,,RBRVS,14.41 ,7.10 ,7.10 ,,,,,1,0,1,1,1,1,20061001
46761,CPT,Repair of anal sphincter,,,21 ,,RBRVS,13.82 ,6.02 ,6.02 ,,,,,1,0,1,1,1,1,20061001
46762,CPT,Implant artificial sphincter,,,21 ,,RBRVS,12.69 ,5.53 ,5.53 ,,,,,1,0,1,1,1,1,20061001
46900,CPT,"Destruction, anal lesion(s)",,,21 ,,RBRVS,1.91 ,1.27 ,2.59 ,,,,,1,0,1,1,1,1,20061001
46910,CPT,"Destruction, anal lesion(s)",,,21 ,,RBRVS,1.86 ,1.06 ,2.91 ,,,,,1,0,1,1,1,1,20061001
46916,CPT,"Cryosurgery, anal lesion(s)",,,21 ,,RBRVS,1.86 ,1.39 ,3.16 ,,,,,1,0,1,1,1,1,20061001
46917,CPT,"Laser surgery, anal lesions",,,21 ,,RBRVS,1.86 ,1.12 ,9.15 ,,,,,1,0,1,1,1,1,20061001
46922,CPT,Excision of anal lesion(s),,,21 ,,RBRVS,1.86 ,1.07 ,3.28 ,,,,,1,0,1,1,1,1,20061001
46924,CPT,"Destruction, anal lesion(s)",,,21 ,,RBRVS,2.76 ,1.35 ,8.71 ,,,,,1,0,1,1,1,1,20061001
46934,CPT,Destruction of hemorrhoids,,,21 ,,RBRVS,3.50 ,2.96 ,5.08 ,,,,,1,0,1,1,1,1,20061001
46935,CPT,Destruction of hemorrhoids,,,21 ,,RBRVS,2.43 ,1.21 ,3.47 ,,,,,1,0,1,1,1,1,20061001
46936,CPT,Destruction of hemorrhoids,,,21 ,,RBRVS,3.68 ,2.50 ,4.88 ,,,,,1,0,1,1,1,1,20061001
46937,CPT,Cryotherapy of rectal lesion,,,21 ,,RBRVS,2.69 ,1.22 ,2.78 ,,,,,1,0,1,1,1,1,20061001
46938,CPT,Cryotherapy of rectal lesion,,,21 ,,RBRVS,4.65 ,3.06 ,4.00 ,,,,,1,0,1,1,1,1,20061001
46940,CPT,Treatment of anal fissure,,,21 ,,RBRVS,2.32 ,1.09 ,2.00 ,,,,,1,0,1,1,1,1,20061001
46942,CPT,Treatment of anal fissure,,,21 ,,RBRVS,2.04 ,1.02 ,1.84 ,,,,,1,0,1,1,1,1,20061001
46945,CPT,Ligation of hemorrhoids,,,21 ,,RBRVS,1.84 ,2.48 ,3.27 ,,,,,1,0,1,1,1,1,20061001
46946,CPT,Ligation of hemorrhoids,,,21 ,,RBRVS,2.58 ,2.40 ,3.73 ,,,,,1,0,1,1,1,1,20061001
46947,CPT,Hemorrhoidopexy by stapling,,,21 ,,RBRVS,5.20 ,2.72 ,2.72 ,,,,,1,0,1,1,1,1,20061001
46999,CPT,Anus surgery procedure,,,21 ,,TotalUnits,,,,3.55 ,,,,1,0,1,1,1,1,20061001
47000,CPT,Needle biopsy of liver,,,21 ,,RBRVS,1.90 ,0.63 ,3.08 ,,,,,1,0,1,1,1,1,20061001
47001,CPT,"Needle biopsy, liver add-on",,,21 ,,RBRVS,1.90 ,0.65 ,0.65 ,,,,,1,0,1,1,1,1,20061001
47010,CPT,"Open drainage, liver lesion",,,21 ,,RBRVS,15.99 ,8.41 ,8.41 ,,,,,1,0,1,1,1,1,20061001
47011,CPT,"Percut drain, liver lesion",,,21 ,,RBRVS,3.69 ,1.21 ,1.21 ,,,,,1,0,1,1,1,1,20061001
47015,CPT,Inject/aspirate liver cyst,,,21 ,,RBRVS,15.09 ,7.50 ,7.50 ,,,,,1,0,1,1,1,1,20061001
47100,CPT,Wedge biopsy of liver,,,21 ,,RBRVS,11.65 ,6.05 ,6.05 ,,,,,1,0,1,1,1,1,20061001
47120,CPT,Partial removal of liver,,,21 ,,RBRVS,35.45 ,15.18 ,15.18 ,,,,,1,0,1,1,1,1,20061001
47122,CPT,Extensive removal of liver,,,21 ,,RBRVS,55.05 ,21.50 ,21.50 ,,,,,1,0,1,1,1,1,20061001
47125,CPT,Partial removal of liver,,,21 ,,RBRVS,49.12 ,19.56 ,19.56 ,,,,,1,0,1,1,1,1,20061001
47130,CPT,Partial removal of liver,,,21 ,,RBRVS,53.27 ,21.02 ,21.02 ,,,,,1,0,1,1,1,1,20061001
47135,CPT,Transplantation of liver,,,21 ,,RBRVS,81.40 ,31.59 ,31.59 ,,,,,1,0,1,1,1,1,20061001
47136,CPT,Transplantation of liver,,,21 ,,RBRVS,68.50 ,27.09 ,27.09 ,,,,,1,0,1,1,1,1,20061001
47140,CPT,"Partial removal, donor liver",,,21 ,,RBRVS,54.92 ,22.33 ,22.33 ,,,,,1,0,1,1,1,1,20061001
47141,CPT,"Partial removal, donor liver",,,21 ,,RBRVS,67.40 ,26.98 ,26.98 ,,,,,1,0,1,1,1,1,20061001
47142,CPT,"Partial removal, donor liver",,,21 ,,RBRVS,74.89 ,29.55 ,29.55 ,,,,,1,0,1,1,1,1,20061001
47146,CPT,Prep donor liver/venous,,,21 ,,RBRVS,6.00 ,2.06 ,2.06 ,,,,,1,0,0,1,1,1,20061001
47147,CPT,Prep donor liver/arterial,,,21 ,,RBRVS,7.00 ,2.40 ,2.40 ,,,,,1,0,0,1,1,1,20061001
47300,CPT,Surgery for liver lesion,,,21 ,,RBRVS,15.06 ,7.24 ,7.24 ,,,,,1,0,1,1,1,1,20061001
47350,CPT,Repair liver wound,,,21 ,,RBRVS,19.53 ,8.89 ,8.89 ,,,,,1,0,1,1,1,1,20061001
47360,CPT,Repair liver wound,,,21 ,,RBRVS,26.88 ,11.60 ,11.60 ,,,,,1,0,1,1,1,1,20061001
47361,CPT,Repair liver wound,,,21 ,,RBRVS,47.05 ,18.56 ,18.56 ,,,,,1,0,1,1,1,1,20061001
47362,CPT,Repair liver wound,,,21 ,,RBRVS,18.48 ,8.74 ,8.74 ,,,,,1,0,1,1,1,1,20061001
47370,CPT,Laparo ablate liver tumor rf,,,21 ,,RBRVS,19.66 ,8.15 ,8.15 ,,,,,1,0,1,1,1,1,20061001
47371,CPT,Laparo ablate liver cryosurg,,,21 ,,RBRVS,19.66 ,8.16 ,8.16 ,,,,,1,0,1,1,1,1,20061001
47379,CPT,"Laparoscope procedure, liver",,,21 ,,TotalUnits,,,,27.85 ,,,,1,0,1,1,1,1,20061001
47380,CPT,Open ablate liver tumor rf,,,21 ,,RBRVS,22.97 ,9.38 ,9.38 ,,,,,1,0,1,1,1,1,20061001
47381,CPT,Open ablate liver tumor cryo,,,21 ,,RBRVS,23.24 ,9.61 ,9.61 ,,,,,1,0,1,1,1,1,20061001
47382,CPT,Percut ablate liver rf,,,21 ,,RBRVS,15.17 ,6.09 ,6.09 ,,,,,1,0,1,1,1,1,20061001
47399,CPT,Liver surgery procedure,,,21 ,,TotalUnits,,,,2.66 ,,,,1,0,1,1,1,1,20061001
47400,CPT,Incision of liver duct,,,21 ,,RBRVS,32.44 ,13.47 ,13.47 ,,,,,1,0,1,1,1,1,20061001
47420,CPT,Incision of bile duct,,,21 ,,RBRVS,19.85 ,8.78 ,8.78 ,,,,,1,0,1,1,1,1,20061001
47425,CPT,Incision of bile duct,,,21 ,,RBRVS,19.80 ,8.83 ,8.83 ,,,,,1,0,1,1,1,1,20061001
47460,CPT,Incise bile duct sphincter,,,21 ,,RBRVS,18.01 ,8.38 ,8.38 ,,,,,1,0,1,1,1,1,20061001
47480,CPT,Incision of gallbladder,,,21 ,,RBRVS,10.80 ,5.92 ,5.92 ,,,,,1,0,1,1,1,1,20061001
47490,CPT,Incision of gallbladder,,,21 ,,RBRVS,7.22 ,5.58 ,5.58 ,,,,,1,0,1,1,1,1,20061001
47500,CPT,Injection for liver x-rays,,,21 ,,RBRVS,1.96 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20061001
47505,CPT,Injection for liver x-rays,,,21 ,,RBRVS,0.76 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20061001
47510,CPT,"Insert catheter, bile duct",,,21 ,,RBRVS,7.82 ,5.02 ,5.02 ,,,,,1,0,1,1,1,1,20061001
47511,CPT,Insert bile duct drain,,,21 ,,RBRVS,10.48 ,5.09 ,5.09 ,,,,,1,0,1,1,1,1,20061001
47525,CPT,Change bile duct catheter,,,21 ,,RBRVS,5.54 ,2.81 ,15.13 ,,,,,1,0,1,1,1,1,20061001
47530,CPT,Revise/reinsert bile tube,,,21 ,,RBRVS,5.84 ,3.72 ,33.88 ,,,,,1,0,1,1,1,1,20061001
47550,CPT,Bile duct endoscopy add-on,,,21 ,,RBRVS,3.02 ,1.02 ,1.02 ,,,,,1,0,1,1,1,1,20061001
47552,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,6.03 ,2.38 ,2.38 ,,,,,1,0,1,1,1,1,20061001
47553,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,6.34 ,2.07 ,2.07 ,,,,,1,0,1,1,1,1,20061001
47554,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,9.05 ,3.36 ,3.36 ,,,,,1,0,1,1,1,1,20061001
47555,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,7.55 ,2.47 ,2.47 ,,,,,1,0,1,1,1,1,20061001
47556,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,8.55 ,2.79 ,2.79 ,,,,,1,0,1,1,1,1,20061001
47560,CPT,Laparoscopy w/cholangio,,,21 ,,RBRVS,4.88 ,1.67 ,1.67 ,,,,,1,0,1,1,1,1,20061001
47561,CPT,Laparo w/cholangio/biopsy,,,21 ,,RBRVS,5.17 ,1.92 ,1.92 ,,,,,1,0,1,1,1,1,20061001
47562,CPT,Laparoscopic cholecystectomy,,,21 ,,RBRVS,11.07 ,4.99 ,4.99 ,,,,,1,0,1,1,1,1,20061001
47563,CPT,Laparo cholecystectomy/graph,,,21 ,,RBRVS,11.92 ,5.31 ,5.31 ,,,,,1,0,1,1,1,1,20061001
47564,CPT,Laparo cholecystectomy/explr,,,21 ,,RBRVS,14.21 ,5.96 ,5.96 ,,,,,1,0,1,1,1,1,20061001
47570,CPT,Laparo cholecystoenterostomy,,,21 ,,RBRVS,12.56 ,5.38 ,5.38 ,,,,,1,0,1,1,1,1,20061001
47579,CPT,"Laparoscope proc, biliary",,,21 ,,TotalUnits,,,,16.07 ,,,,1,0,1,1,1,1,20061001
47600,CPT,Removal of gallbladder,,,21 ,,RBRVS,13.56 ,6.14 ,6.14 ,,,,,1,0,1,1,1,1,20061001
47605,CPT,Removal of gallbladder,,,21 ,,RBRVS,14.67 ,6.51 ,6.51 ,,,,,1,0,1,1,1,1,20061001
47610,CPT,Removal of gallbladder,,,21 ,,RBRVS,18.79 ,7.94 ,7.94 ,,,,,1,0,1,1,1,1,20061001
47612,CPT,Removal of gallbladder,,,21 ,,RBRVS,18.75 ,7.89 ,7.89 ,,,,,1,0,1,1,1,1,20061001
47620,CPT,Removal of gallbladder,,,21 ,,RBRVS,20.61 ,8.53 ,8.53 ,,,,,1,0,1,1,1,1,20061001
47630,CPT,Remove bile duct stone,,,21 ,,RBRVS,9.10 ,4.89 ,4.89 ,,,,,1,0,1,1,1,1,20061001
47700,CPT,Exploration of bile ducts,,,21 ,,RBRVS,15.60 ,7.42 ,7.42 ,,,,,1,0,1,1,1,1,20061001
47701,CPT,Bile duct revision,,,21 ,,RBRVS,27.77 ,11.50 ,11.50 ,,,,,1,0,1,1,1,1,20061001
47711,CPT,Excision of bile duct tumor,,,21 ,,RBRVS,23.00 ,9.94 ,9.94 ,,,,,1,0,1,1,1,1,20061001
47712,CPT,Excision of bile duct tumor,,,21 ,,RBRVS,30.19 ,12.44 ,12.44 ,,,,,1,0,1,1,1,1,20061001
47715,CPT,Excision of bile duct cyst,,,21 ,,RBRVS,18.77 ,8.44 ,8.44 ,,,,,1,0,1,1,1,1,20061001
47716,CPT,Fusion of bile duct cyst,,,21 ,,RBRVS,16.42 ,7.83 ,7.83 ,,,,,1,0,1,1,1,1,20061001
47720,CPT,Fuse gallbladder & bowel,,,21 ,,RBRVS,15.89 ,7.48 ,7.48 ,,,,,1,0,1,1,1,1,20061001
47721,CPT,Fuse upper gi structures,,,21 ,,RBRVS,19.09 ,8.57 ,8.57 ,,,,,1,0,1,1,1,1,20061001
47740,CPT,Fuse gallbladder & bowel,,,21 ,,RBRVS,18.45 ,8.38 ,8.38 ,,,,,1,0,1,1,1,1,20061001
47741,CPT,Fuse gallbladder & bowel,,,21 ,,RBRVS,21.31 ,9.30 ,9.30 ,,,,,1,0,1,1,1,1,20061001
47760,CPT,Fuse bile ducts and bowel,,,21 ,,RBRVS,25.81 ,10.86 ,10.86 ,,,,,1,0,1,1,1,1,20061001
47765,CPT,Fuse liver ducts & bowel,,,21 ,,RBRVS,24.84 ,10.81 ,10.81 ,,,,,1,0,1,1,1,1,20061001
47780,CPT,Fuse bile ducts and bowel,,,21 ,,RBRVS,26.46 ,11.22 ,11.22 ,,,,,1,0,1,1,1,1,20061001
47785,CPT,Fuse bile ducts and bowel,,,21 ,,RBRVS,31.13 ,12.93 ,12.93 ,,,,,1,0,1,1,1,1,20061001
47800,CPT,Reconstruction of bile ducts,,,21 ,,RBRVS,23.27 ,10.07 ,10.07 ,,,,,1,0,1,1,1,1,20061001
47801,CPT,"Placement, bile duct support",,,21 ,,RBRVS,15.15 ,8.16 ,8.16 ,,,,,1,0,1,1,1,1,20061001
47802,CPT,Fuse liver duct & intestine,,,21 ,,RBRVS,21.52 ,9.68 ,9.68 ,,,,,1,0,1,1,1,1,20061001
47900,CPT,Suture bile duct injury,,,21 ,,RBRVS,19.87 ,8.88 ,8.88 ,,,,,1,0,1,1,1,1,20061001
47999,CPT,Bile tract surgery procedure,,,21 ,,TotalUnits,,,,19.76 ,,,,1,0,1,1,1,1,20061001
48000,CPT,Drainage of abdomen,,,21 ,,RBRVS,28.03 ,11.52 ,11.52 ,,,,,1,0,1,1,1,1,20061001
48001,CPT,"Placement of drain, pancreas",,,21 ,,RBRVS,35.40 ,13.90 ,13.90 ,,,,,1,0,1,1,1,1,20061001
48005,CPT,Resect/debride pancreas,,,21 ,,RBRVS,42.11 ,16.59 ,16.59 ,,,,,1,0,1,1,1,1,20061001
48020,CPT,Removal of pancreatic stone,,,21 ,,RBRVS,15.68 ,7.31 ,7.31 ,,,,,1,0,1,1,1,1,20061001
48100,CPT,"Biopsy of pancreas, open",,,21 ,,RBRVS,12.21 ,5.60 ,5.60 ,,,,,1,0,1,1,1,1,20061001
48102,CPT,"Needle biopsy, pancreas",,,21 ,,RBRVS,4.67 ,1.95 ,7.97 ,,,,,1,0,1,1,1,1,20061001
48120,CPT,Removal of pancreas lesion,,,21 ,,RBRVS,15.83 ,6.86 ,6.86 ,,,,,1,0,1,1,1,1,20061001
48140,CPT,Partial removal of pancreas,,,21 ,,RBRVS,22.91 ,9.55 ,9.55 ,,,,,1,0,1,1,1,1,20061001
48145,CPT,Partial removal of pancreas,,,21 ,,RBRVS,23.98 ,9.84 ,9.84 ,,,,,1,0,1,1,1,1,20061001
48146,CPT,Pancreatectomy,,,21 ,,RBRVS,26.36 ,12.00 ,12.00 ,,,,,1,0,1,1,1,1,20061001
48148,CPT,Removal of pancreatic duct,,,21 ,,RBRVS,17.31 ,7.61 ,7.61 ,,,,,1,0,1,1,1,1,20061001
48150,CPT,Partial removal of pancreas,,,21 ,,RBRVS,47.93 ,19.54 ,19.54 ,,,,,1,0,1,1,1,1,20061001
48152,CPT,Pancreatectomy,,,21 ,,RBRVS,43.68 ,18.23 ,18.23 ,,,,,1,0,1,1,1,1,20061001
48153,CPT,Pancreatectomy,,,21 ,,RBRVS,47.82 ,19.58 ,19.58 ,,,,,1,0,1,1,1,1,20061001
48154,CPT,Pancreatectomy,,,21 ,,RBRVS,44.03 ,18.26 ,18.26 ,,,,,1,0,1,1,1,1,20061001
48155,CPT,Removal of pancreas,,,21 ,,RBRVS,24.60 ,11.68 ,11.68 ,,,,,1,0,1,1,1,1,20061001
48160,CPT,Pancreas removal/transplant,,,21 ,,TotalUnits,,,,56.97 ,,,,1,0,1,1,1,1,20061001
48180,CPT,Fuse pancreas and bowel,,,21 ,,RBRVS,24.68 ,10.17 ,10.17 ,,,,,1,0,1,1,1,1,20061001
48400,CPT,"Injection, intraop add-on",,,21 ,,RBRVS,1.95 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20061001
48500,CPT,Surgery of pancreatic cyst,,,21 ,,RBRVS,15.26 ,7.34 ,7.34 ,,,,,1,0,1,1,1,1,20061001
48510,CPT,Drain pancreatic pseudocyst,,,21 ,,RBRVS,14.29 ,7.45 ,7.45 ,,,,,1,0,1,1,1,1,20061001
48511,CPT,Drain pancreatic pseudocyst,,,21 ,,RBRVS,3.99 ,1.31 ,20.95 ,,,,,1,0,1,1,1,1,20061001
48520,CPT,Fuse pancreas cyst and bowel,,,21 ,,RBRVS,15.57 ,6.71 ,6.71 ,,,,,1,0,1,1,1,1,20061001
48540,CPT,Fuse pancreas cyst and bowel,,,21 ,,RBRVS,19.69 ,8.12 ,8.12 ,,,,,1,0,1,1,1,1,20061001
48545,CPT,Pancreatorrhaphy,,,21 ,,RBRVS,18.15 ,7.99 ,7.99 ,,,,,1,0,1,1,1,1,20061001
48547,CPT,Duodenal exclusion,,,21 ,,RBRVS,25.79 ,10.50 ,10.50 ,,,,,1,0,1,1,1,1,20061001
48552,CPT,Prep donor pancreas/venous,,,21 ,,RBRVS,4.30 ,1.46 ,1.46 ,,,,,1,0,0,1,1,1,20061001
48554,CPT,Transpl allograft pancreas,,,21 ,,RBRVS,34.12 ,18.30 ,18.30 ,,,,,1,0,1,1,1,1,20061001
48556,CPT,"Removal, allograft pancreas",,,21 ,,RBRVS,15.69 ,8.08 ,8.08 ,,,,,1,0,1,1,1,1,20061001
48999,CPT,Pancreas surgery procedure,,,21 ,,TotalUnits,,,,34.90 ,,,,1,0,1,1,1,1,20061001
49000,CPT,Exploration of abdomen,,,21 ,,RBRVS,11.66 ,5.39 ,5.39 ,,,,,1,0,1,1,1,1,20061001
49002,CPT,Reopening of abdomen,,,21 ,,RBRVS,10.47 ,5.02 ,5.02 ,,,,,1,0,1,1,1,1,20061001
49010,CPT,Exploration behind abdomen,,,21 ,,RBRVS,12.26 ,5.91 ,5.91 ,,,,,1,0,1,1,1,1,20061001
49020,CPT,Drain abdominal abscess,,,21 ,,RBRVS,22.81 ,10.21 ,10.21 ,,,,,1,0,1,1,1,1,20061001
49021,CPT,Drain abdominal abscess,,,21 ,,RBRVS,3.37 ,1.11 ,21.11 ,,,,,1,0,1,1,1,1,20061001
49040,CPT,"Drain, open, abdom abscess",,,21 ,,RBRVS,13.50 ,6.43 ,6.43 ,,,,,1,0,1,1,1,1,20061001
49041,CPT,"Drain, percut, abdom abscess",,,21 ,,RBRVS,3.99 ,1.31 ,19.57 ,,,,,1,0,1,1,1,1,20061001
49060,CPT,"Drain, open, retrop abscess",,,21 ,,RBRVS,15.84 ,7.44 ,7.44 ,,,,,1,0,1,1,1,1,20061001
49061,CPT,"Drain, percut, retroper absc",,,21 ,,RBRVS,3.69 ,1.21 ,19.68 ,,,,,1,0,1,1,1,1,20061001
49062,CPT,Drain to peritoneal cavity,,,21 ,,RBRVS,11.34 ,5.44 ,5.44 ,,,,,1,0,1,1,1,1,20061001
49080,CPT,"Puncture, peritoneal cavity",,,21 ,,RBRVS,1.35 ,0.46 ,3.99 ,,,,,1,0,1,1,1,1,20061001
49081,CPT,Removal of abdominal fluid,,,21 ,,RBRVS,1.26 ,0.43 ,2.59 ,,,,,1,0,1,1,1,1,20061001
49085,CPT,Remove abdomen foreign body,,,21 ,,RBRVS,12.12 ,5.51 ,5.51 ,,,,,1,0,1,1,1,1,20061001
49180,CPT,"Biopsy, abdominal mass",,,21 ,,RBRVS,1.73 ,0.57 ,3.11 ,,,,,1,0,1,1,1,1,20061001
49200,CPT,Removal of abdominal lesion,,,21 ,,RBRVS,10.23 ,5.03 ,5.03 ,,,,,1,0,1,1,1,1,20061001
49201,CPT,"Remove abdom lesion, complex",,,21 ,,RBRVS,14.82 ,7.04 ,7.04 ,,,,,1,0,1,1,1,1,20061001
49215,CPT,Excise sacral spine tumor,,,21 ,,RBRVS,33.45 ,14.08 ,14.08 ,,,,,1,0,1,1,1,1,20061001
49220,CPT,"Multiple surgery, abdomen",,,21 ,,RBRVS,14.86 ,6.64 ,6.64 ,,,,,1,0,1,1,1,1,20061001
49250,CPT,Excision of umbilicus,,,21 ,,RBRVS,8.34 ,4.27 ,4.27 ,,,,,1,0,1,1,1,1,20061001
49255,CPT,Removal of omentum,,,21 ,,RBRVS,11.12 ,5.62 ,5.62 ,,,,,1,0,1,1,1,1,20061001
49320,CPT,Diag laparo separate proc,,,21 ,,RBRVS,5.09 ,2.64 ,2.64 ,,,,,1,0,1,1,1,1,20061001
49321,CPT,"Laparoscopy, biopsy",,,21 ,,RBRVS,5.39 ,2.65 ,2.65 ,,,,,1,0,1,1,1,1,20061001
49322,CPT,"Laparoscopy, aspiration",,,21 ,,RBRVS,5.69 ,3.00 ,3.00 ,,,,,1,0,1,1,1,1,20061001
49323,CPT,Laparo drain lymphocele,,,21 ,,RBRVS,9.47 ,4.50 ,4.50 ,,,,,1,0,1,1,1,1,20061001
49329,CPT,"Laparo proc, abdm/per/oment",,,21 ,,TotalUnits,,,,7.73 ,,,,1,0,1,1,1,1,20061001
49400,CPT,Air injection into abdomen,,,21 ,,RBRVS,1.88 ,0.62 ,3.08 ,,,,,1,0,1,1,1,1,20061001
49419,CPT,Insrt abdom cath for chemotx,,,21 ,,RBRVS,6.64 ,3.57 ,3.57 ,,,,,1,0,1,1,1,1,20061001
49420,CPT,"Insert abdom drain, temp",,,21 ,,RBRVS,2.22 ,1.09 ,1.09 ,,,,,1,0,1,1,1,1,20061001
49421,CPT,"Insert abdom drain, perm",,,21 ,,RBRVS,5.53 ,3.16 ,3.16 ,,,,,1,0,1,1,1,1,20061001
49422,CPT,Remove perm cannula/catheter,,,21 ,,RBRVS,6.24 ,2.90 ,2.90 ,,,,,1,0,1,1,1,1,20061001
49423,CPT,Exchange drainage catheter,,,21 ,,RBRVS,1.46 ,0.52 ,14.11 ,,,,,1,0,1,1,1,1,20061001
49424,CPT,"Assess cyst, contrast inject",,,21 ,,RBRVS,0.76 ,0.29 ,3.72 ,,,,,1,0,1,1,1,1,20061001
49425,CPT,Insert abdomen-venous drain,,,21 ,,RBRVS,11.35 ,5.61 ,5.61 ,,,,,1,0,1,1,1,1,20061001
49426,CPT,Revise abdomen-venous shunt,,,21 ,,RBRVS,9.62 ,4.77 ,4.77 ,,,,,1,0,1,1,1,1,20061001
49427,CPT,"Injection, abdominal shunt",,,21 ,,RBRVS,0.89 ,0.30 ,0.30 ,,,,,1,0,1,1,1,1,20061001
49428,CPT,Ligation of shunt,,,21 ,,RBRVS,6.05 ,3.93 ,3.93 ,,,,,1,0,1,1,1,1,20061001
49429,CPT,Removal of shunt,,,21 ,,RBRVS,7.39 ,3.43 ,3.43 ,,,,,1,0,1,1,1,1,20061001
49491,CPT,Rpr hern preemie reduc,,,21 ,,RBRVS,11.11 ,5.06 ,5.06 ,,,,,1,0,1,1,1,1,20061001
49492,CPT,"Rpr ing hern premie, blocked",,,21 ,,RBRVS,14.01 ,6.12 ,6.12 ,,,,,1,0,1,1,1,1,20061001
49495,CPT,"Rpr ing hernia baby, reduc",,,21 ,,RBRVS,5.88 ,2.96 ,2.96 ,,,,,1,0,1,1,1,1,20061001
49496,CPT,"Rpr ing hernia baby, blocked",,,21 ,,RBRVS,8.78 ,4.28 ,4.28 ,,,,,1,0,1,1,1,1,20061001
49500,CPT,"Rpr ing hernia, init, reduce",,,21 ,,RBRVS,5.47 ,3.12 ,3.12 ,,,,,1,0,1,1,1,1,20061001
49501,CPT,"Rpr ing hernia, init blocked",,,21 ,,RBRVS,8.87 ,4.21 ,4.21 ,,,,,1,0,1,1,1,1,20061001
49505,CPT,Prp i/hern init reduc>5 yr,,,21 ,,RBRVS,7.59 ,3.75 ,3.75 ,,,,,1,0,1,1,1,1,20061001
49507,CPT,Prp i/hern init block>5 yr,,,21 ,,RBRVS,9.56 ,4.46 ,4.46 ,,,,,1,0,1,1,1,1,20061001
49520,CPT,"Rerepair ing hernia, reduce",,,21 ,,RBRVS,9.62 ,4.44 ,4.44 ,,,,,1,0,1,1,1,1,20061001
49521,CPT,"Rerepair ing hernia, blocked",,,21 ,,RBRVS,11.95 ,5.25 ,5.25 ,,,,,1,0,1,1,1,1,20061001
49525,CPT,"Repair ing hernia, sliding",,,21 ,,RBRVS,8.56 ,4.08 ,4.08 ,,,,,1,0,1,1,1,1,20061001
49540,CPT,Repair lumbar hernia,,,21 ,,RBRVS,10.37 ,4.75 ,4.75 ,,,,,1,0,1,1,1,1,20061001
49550,CPT,"Rpr rem hernia, init, reduce",,,21 ,,RBRVS,8.62 ,4.13 ,4.13 ,,,,,1,0,1,1,1,1,20061001
49553,CPT,"Rpr fem hernia, init blocked",,,21 ,,RBRVS,9.43 ,4.42 ,4.42 ,,,,,1,0,1,1,1,1,20061001
49555,CPT,"Rerepair fem hernia, reduce",,,21 ,,RBRVS,9.02 ,4.27 ,4.27 ,,,,,1,0,1,1,1,1,20061001
49557,CPT,"Rerepair fem hernia, blocked",,,21 ,,RBRVS,11.13 ,4.99 ,4.99 ,,,,,1,0,1,1,1,1,20061001
49560,CPT,"Rpr ventral hern init, reduc",,,21 ,,RBRVS,11.55 ,5.15 ,5.15 ,,,,,1,0,1,1,1,1,20061001
49561,CPT,"Rpr ventral hern init, block",,,21 ,,RBRVS,14.23 ,6.07 ,6.07 ,,,,,1,0,1,1,1,1,20061001
49565,CPT,"Rerepair ventrl hern, reduce",,,21 ,,RBRVS,11.55 ,5.23 ,5.23 ,,,,,1,0,1,1,1,1,20061001
49566,CPT,"Rerepair ventrl hern, block",,,21 ,,RBRVS,14.38 ,6.14 ,6.14 ,,,,,1,0,1,1,1,1,20061001
49568,CPT,Hernia repair w/mesh,,,21 ,,RBRVS,4.88 ,1.67 ,1.67 ,,,,,1,0,1,1,1,1,20061001
49570,CPT,"Rpr epigastric hern, reduce",,,21 ,,RBRVS,5.68 ,3.17 ,3.17 ,,,,,1,0,1,1,1,1,20061001
49572,CPT,"Rpr epigastric hern, blocked",,,21 ,,RBRVS,6.72 ,3.47 ,3.47 ,,,,,1,0,1,1,1,1,20061001
49580,CPT,"Rpr umbil hern, reduc < 5 yr",,,21 ,,RBRVS,4.10 ,2.60 ,2.60 ,,,,,1,0,1,1,1,1,20061001
49582,CPT,"Rpr umbil hern, block < 5 yr",,,21 ,,RBRVS,6.64 ,3.47 ,3.47 ,,,,,1,0,1,1,1,1,20061001
49585,CPT,"Rpr umbil hern, reduc > 5 yr",,,21 ,,RBRVS,6.22 ,3.30 ,3.30 ,,,,,1,0,1,1,1,1,20061001
49587,CPT,"Rpr umbil hern, block > 5 yr",,,21 ,,RBRVS,7.55 ,3.74 ,3.74 ,,,,,1,0,1,1,1,1,20061001
49590,CPT,Repair spigilian hernia,,,21 ,,RBRVS,8.53 ,4.09 ,4.09 ,,,,,1,0,1,1,1,1,20061001
49600,CPT,Repair umbilical lesion,,,21 ,,RBRVS,10.94 ,5.34 ,5.34 ,,,,,1,0,1,1,1,1,20061001
49605,CPT,Repair umbilical lesion,,,21 ,,RBRVS,75.89 ,28.58 ,28.58 ,,,,,1,0,1,1,1,1,20061001
49606,CPT,Repair umbilical lesion,,,21 ,,RBRVS,18.57 ,7.70 ,7.70 ,,,,,1,0,1,1,1,1,20061001
49610,CPT,Repair umbilical lesion,,,21 ,,RBRVS,10.48 ,5.21 ,5.21 ,,,,,1,0,1,1,1,1,20061001
49611,CPT,Repair umbilical lesion,,,21 ,,RBRVS,8.91 ,6.99 ,6.99 ,,,,,1,0,1,1,1,1,20061001
49650,CPT,Laparo hernia repair initial,,,21 ,,RBRVS,6.26 ,3.20 ,3.20 ,,,,,1,0,1,1,1,1,20061001
49651,CPT,Laparo hernia repair recur,,,21 ,,RBRVS,8.23 ,4.05 ,4.05 ,,,,,1,0,1,1,1,1,20061001
49659,CPT,"Laparo proc, hernia repair",,,21 ,,TotalUnits,,,,9.49 ,,,,1,0,1,1,1,1,20061001
49900,CPT,Repair of abdominal wall,,,21 ,,RBRVS,12.26 ,6.24 ,6.24 ,,,,,1,0,1,1,1,1,20061001
49904,CPT,"Omental flap, extra-abdom",,,21 ,,RBRVS,19.97 ,15.25 ,15.25 ,,,,,1,0,1,1,1,1,20061001
49905,CPT,"Omental flap, intra-abdom",,,21 ,,RBRVS,6.54 ,2.30 ,2.30 ,,,,,1,0,1,1,1,1,20061001
49999,CPT,Abdomen surgery procedure,,,21 ,,TotalUnits,,,,11.47 ,,,,1,0,1,1,1,1,20061001
50010,CPT,Exploration of kidney,,,21 ,,RBRVS,10.96 ,5.23 ,5.23 ,,,,,1,0,1,1,1,1,20061001
50020,CPT,"Renal abscess, open drain",,,21 ,,RBRVS,14.64 ,7.76 ,7.76 ,,,,,1,0,1,1,1,1,20061001
50021,CPT,"Renal abscess, percut drain",,,21 ,,RBRVS,3.37 ,1.10 ,21.71 ,,,,,1,0,1,1,1,1,20061001
50040,CPT,Drainage of kidney,,,21 ,,RBRVS,14.92 ,6.82 ,6.82 ,,,,,1,0,1,1,1,1,20061001
50045,CPT,Exploration of kidney,,,21 ,,RBRVS,15.44 ,6.61 ,6.61 ,,,,,1,0,1,1,1,1,20061001
50060,CPT,Removal of kidney stone,,,21 ,,RBRVS,19.27 ,7.84 ,7.84 ,,,,,1,0,1,1,1,1,20061001
50065,CPT,Incision of kidney,,,21 ,,RBRVS,20.76 ,6.09 ,6.09 ,,,,,1,0,1,1,1,1,20061001
50070,CPT,Incision of kidney,,,21 ,,RBRVS,20.29 ,8.23 ,8.23 ,,,,,1,0,1,1,1,1,20061001
50075,CPT,Removal of kidney stone,,,21 ,,RBRVS,25.30 ,9.92 ,9.92 ,,,,,1,0,1,1,1,1,20061001
50080,CPT,Removal of kidney stone,,,21 ,,RBRVS,14.69 ,6.29 ,6.29 ,,,,,1,0,1,1,1,1,20061001
50081,CPT,Removal of kidney stone,,,21 ,,RBRVS,21.77 ,8.78 ,8.78 ,,,,,1,0,1,1,1,1,20061001
50100,CPT,Revise kidney blood vessels,,,21 ,,RBRVS,16.07 ,7.80 ,7.80 ,,,,,1,0,1,1,1,1,20061001
50120,CPT,Exploration of kidney,,,21 ,,RBRVS,15.89 ,6.78 ,6.78 ,,,,,1,0,1,1,1,1,20061001
50125,CPT,Explore and drain kidney,,,21 ,,RBRVS,16.50 ,6.98 ,6.98 ,,,,,1,0,1,1,1,1,20061001
50130,CPT,Removal of kidney stone,,,21 ,,RBRVS,17.26 ,7.18 ,7.18 ,,,,,1,0,1,1,1,1,20061001
50135,CPT,Exploration of kidney,,,21 ,,RBRVS,19.15 ,7.79 ,7.79 ,,,,,1,0,1,1,1,1,20061001
50200,CPT,Biopsy of kidney,,,21 ,,RBRVS,2.63 ,1.29 ,1.29 ,,,,,1,0,1,1,1,1,20061001
50205,CPT,Biopsy of kidney,,,21 ,,RBRVS,11.29 ,5.02 ,5.02 ,,,,,1,0,1,1,1,1,20061001
50220,CPT,"Remove kidney, open",,,21 ,,RBRVS,17.12 ,7.25 ,7.25 ,,,,,1,0,1,1,1,1,20061001
50225,CPT,"Removal kidney open, complex",,,21 ,,RBRVS,20.20 ,8.16 ,8.16 ,,,,,1,0,1,1,1,1,20061001
50230,CPT,"Removal kidney open, radical",,,21 ,,RBRVS,22.04 ,8.59 ,8.59 ,,,,,1,0,1,1,1,1,20061001
50234,CPT,Removal of kidney & ureter,,,21 ,,RBRVS,22.37 ,8.85 ,8.85 ,,,,,1,0,1,1,1,1,20061001
50236,CPT,Removal of kidney & ureter,,,21 ,,RBRVS,24.82 ,10.27 ,10.27 ,,,,,1,0,1,1,1,1,20061001
50240,CPT,Partial removal of kidney,,,21 ,,RBRVS,21.97 ,9.03 ,9.03 ,,,,,1,0,1,1,1,1,20061001
50250,CPT,Cryoablate renal mass open,,,21 ,,RBRVS,19.97 ,9.18 ,9.18 ,,,,,1,0,0,1,1,1,20061001
50280,CPT,Removal of kidney lesion,,,21 ,,RBRVS,15.65 ,6.70 ,6.70 ,,,,,1,0,1,1,1,1,20061001
50290,CPT,Removal of kidney lesion,,,21 ,,RBRVS,14.71 ,6.47 ,6.47 ,,,,,1,0,1,1,1,1,20061001
50300,CPT,Removal of donor kidney,,,21 ,,TotalUnits,,,,26.89 ,,,,1,0,1,1,1,1,20061001
50320,CPT,Removal of donor kidney,,,21 ,,RBRVS,22.18 ,10.68 ,10.68 ,,,,,1,0,1,1,1,1,20061001
50323,CPT,Prep cadaver renal allograft,,,21 ,,RBRVS,4.00 ,1.35 ,1.35 ,,,,,1,0,0,1,1,1,20061001
50325,CPT,Prep donor renal graft,,,21 ,,RBRVS,4.00 ,1.35 ,1.35 ,,,,,1,0,0,1,1,1,20061001
50327,CPT,Prep renal graft/venous,,,21 ,,RBRVS,4.00 ,1.35 ,1.35 ,,,,,1,0,0,1,1,1,20061001
50328,CPT,Prep renal graft/arterial,,,21 ,,RBRVS,3.50 ,1.18 ,1.18 ,,,,,1,0,0,1,1,1,20061001
50329,CPT,Prep renal graft/ureteral,,,21 ,,RBRVS,3.34 ,1.13 ,1.13 ,,,,,1,0,0,1,1,1,20061001
50340,CPT,Removal of kidney,,,21 ,,RBRVS,12.13 ,6.51 ,6.51 ,,,,,1,0,1,1,1,1,20061001
50360,CPT,Transplantation of kidney,,,21 ,,RBRVS,31.48 ,15.51 ,15.51 ,,,,,1,0,1,1,1,1,20061001
50365,CPT,Transplantation of kidney,,,21 ,,RBRVS,36.75 ,18.24 ,18.24 ,,,,,1,0,1,1,1,1,20061001
50370,CPT,Remove transplanted kidney,,,21 ,,RBRVS,13.70 ,7.16 ,7.16 ,,,,,1,0,1,1,1,1,20061001
50380,CPT,Reimplantation of kidney,,,21 ,,RBRVS,20.73 ,12.05 ,12.05 ,,,,,1,0,1,1,1,1,20061001
50382,CPT,"Change ureter stent, percut",,,21 ,,RBRVS,5.50 ,1.87 ,36.22 ,,,,,1,0,1,1,1,1,20061001
50384,CPT,"Remove ureter stent, percut",,,21 ,,RBRVS,5.00 ,1.71 ,35.32 ,,,,,1,0,1,1,1,1,20061001
50387,CPT,Change ext/int ureter stent,,,21 ,,RBRVS,2.00 ,0.67 ,18.26 ,,,,,1,0,1,1,1,1,20061001
50389,CPT,Remove renal tube w/fluoro,,,21 ,,RBRVS,1.10 ,0.37 ,12.78 ,,,,,1,0,1,1,1,1,20061001
50390,CPT,Drainage of kidney lesion,,,21 ,,RBRVS,1.96 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20061001
50391,CPT,Instll rx agnt into rnal tub,,,21 ,,RBRVS,1.96 ,0.63 ,1.58 ,,,,,1,0,1,1,1,1,20061001
50392,CPT,Insert kidney drain,,,21 ,,RBRVS,3.37 ,1.52 ,1.52 ,,,,,1,0,1,1,1,1,20061001
50393,CPT,Insert ureteral tube,,,21 ,,RBRVS,4.15 ,1.79 ,1.79 ,,,,,1,0,1,1,1,1,20061001
50394,CPT,Injection for kidney x-ray,,,21 ,,RBRVS,0.76 ,0.66 ,2.69 ,,,,,1,0,1,1,1,1,20061001
50395,CPT,Create passage to kidney,,,21 ,,RBRVS,3.37 ,1.50 ,1.50 ,,,,,1,0,1,1,1,1,20061001
50396,CPT,Measure kidney pressure,,,21 ,,RBRVS,2.09 ,1.08 ,1.08 ,,,,,1,0,1,1,1,1,20061001
50398,CPT,Change kidney tube,,,21 ,,RBRVS,1.46 ,0.52 ,16.36 ,,,,,1,0,1,1,1,1,20061001
50400,CPT,Revision of kidney/ureter,,,21 ,,RBRVS,19.47 ,7.89 ,7.89 ,,,,,1,0,1,1,1,1,20061001
50405,CPT,Revision of kidney/ureter,,,21 ,,RBRVS,23.89 ,9.05 ,9.05 ,,,,,1,0,1,1,1,1,20061001
50500,CPT,Repair of kidney wound,,,21 ,,RBRVS,19.54 ,8.40 ,8.40 ,,,,,1,0,1,1,1,1,20061001
50520,CPT,Close kidney-skin fistula,,,21 ,,RBRVS,17.20 ,7.44 ,7.44 ,,,,,1,0,1,1,1,1,20061001
50525,CPT,Repair renal-abdomen fistula,,,21 ,,RBRVS,22.24 ,9.02 ,9.02 ,,,,,1,0,1,1,1,1,20061001
50526,CPT,Repair renal-abdomen fistula,,,21 ,,RBRVS,23.98 ,9.88 ,9.88 ,,,,,1,0,1,1,1,1,20061001
50540,CPT,Revision of horseshoe kidney,,,21 ,,RBRVS,19.90 ,8.34 ,8.34 ,,,,,1,0,1,1,1,1,20061001
50541,CPT,Laparo ablate renal cyst,,,21 ,,RBRVS,15.98 ,6.50 ,6.50 ,,,,,1,0,1,1,1,1,20061001
50542,CPT,Laparo ablate renal mass,,,21 ,,RBRVS,19.97 ,8.15 ,8.15 ,,,,,1,0,1,1,1,1,20061001
50543,CPT,Laparo partial nephrectomy,,,21 ,,RBRVS,25.46 ,10.22 ,10.22 ,,,,,1,0,1,1,1,1,20061001
50544,CPT,"Laparoscopy, pyeloplasty",,,21 ,,RBRVS,22.37 ,8.54 ,8.54 ,,,,,1,0,1,1,1,1,20061001
50545,CPT,Laparo radical nephrectomy,,,21 ,,RBRVS,23.96 ,9.21 ,9.21 ,,,,,1,0,1,1,1,1,20061001
50546,CPT,Laparoscopic nephrectomy,,,21 ,,RBRVS,20.45 ,8.38 ,8.38 ,,,,,1,0,1,1,1,1,20061001
50547,CPT,Laparo removal donor kidney,,,21 ,,RBRVS,25.46 ,11.13 ,11.13 ,,,,,1,0,1,1,1,1,20061001
50548,CPT,Laparo remove k/ureter,,,21 ,,RBRVS,24.36 ,9.20 ,9.20 ,,,,,1,0,1,1,1,1,20061001
50549,CPT,"Laparoscope proc, renal",,,21 ,,TotalUnits,,,,28.75 ,,,,1,0,1,1,1,1,20061001
50551,CPT,Kidney endoscopy,,,21 ,,RBRVS,5.59 ,1.98 ,4.15 ,,,,,1,0,1,1,1,1,20061001
50553,CPT,Kidney endoscopy,,,21 ,,RBRVS,5.98 ,2.18 ,4.37 ,,,,,1,0,1,1,1,1,20061001
50555,CPT,Kidney endoscopy & biopsy,,,21 ,,RBRVS,6.52 ,2.34 ,4.82 ,,,,,1,0,1,1,1,1,20061001
50557,CPT,Kidney endoscopy & treatment,,,21 ,,RBRVS,6.61 ,2.30 ,4.59 ,,,,,1,0,1,1,1,1,20061001
50561,CPT,Kidney endoscopy & treatment,,,21 ,,RBRVS,7.58 ,2.65 ,5.09 ,,,,,1,0,1,1,1,1,20061001
50562,CPT,Renal scope w/tumor resect,,,21 ,,RBRVS,10.90 ,4.32 ,4.32 ,,,,,1,0,1,1,1,1,20061001
50570,CPT,Kidney endoscopy,,,21 ,,RBRVS,9.53 ,3.22 ,3.22 ,,,,,1,0,1,1,1,1,20061001
50572,CPT,Kidney endoscopy,,,21 ,,RBRVS,10.33 ,3.51 ,3.51 ,,,,,1,0,1,1,1,1,20061001
50574,CPT,Kidney endoscopy & biopsy,,,21 ,,RBRVS,11.00 ,3.75 ,3.75 ,,,,,1,0,1,1,1,1,20061001
50575,CPT,Kidney endoscopy,,,21 ,,RBRVS,13.96 ,4.64 ,4.64 ,,,,,1,0,1,1,1,1,20061001
50576,CPT,Kidney endoscopy & treatment,,,21 ,,RBRVS,10.97 ,3.67 ,3.67 ,,,,,1,0,1,1,1,1,20061001
50580,CPT,Kidney endoscopy & treatment,,,21 ,,RBRVS,11.84 ,3.97 ,3.97 ,,,,,1,0,1,1,1,1,20061001
50590,CPT,Fragmenting of kidney stone,,,21 ,,RBRVS,9.08 ,4.12 ,12.43 ,,,,,1,0,1,1,1,1,20061001
50592,CPT,Perc rf ablate renal tumor,,,21 ,,RBRVS,6.75 ,2.99 ,149.45 ,,,,,1,0,1,1,1,1,20061001
50600,CPT,Exploration of ureter,,,21 ,,RBRVS,15.82 ,6.68 ,6.68 ,,,,,1,0,1,1,1,1,20061001
50605,CPT,Insert ureteral support,,,21 ,,RBRVS,15.44 ,6.75 ,6.75 ,,,,,1,0,1,1,1,1,20061001
50610,CPT,Removal of ureter stone,,,21 ,,RBRVS,15.90 ,6.98 ,6.98 ,,,,,1,0,1,1,1,1,20061001
50620,CPT,Removal of ureter stone,,,21 ,,RBRVS,15.14 ,6.35 ,6.35 ,,,,,1,0,1,1,1,1,20061001
50630,CPT,Removal of ureter stone,,,21 ,,RBRVS,14.92 ,6.29 ,6.29 ,,,,,1,0,1,1,1,1,20061001
50650,CPT,Removal of ureter,,,21 ,,RBRVS,17.38 ,7.24 ,7.24 ,,,,,1,0,1,1,1,1,20061001
50660,CPT,Removal of ureter,,,21 ,,RBRVS,19.52 ,7.97 ,7.97 ,,,,,1,0,1,1,1,1,20061001
50684,CPT,Injection for ureter x-ray,,,21 ,,RBRVS,0.76 ,0.47 ,4.98 ,,,,,1,0,1,1,1,1,20061001
50686,CPT,Measure ureter pressure,,,21 ,,RBRVS,1.51 ,0.82 ,3.45 ,,,,,1,0,1,1,1,1,20061001
50688,CPT,Change of ureter tube,,,21 ,,RBRVS,1.17 ,1.06 ,1.06 ,,,,,1,0,1,1,1,1,20061001
50690,CPT,Injection for ureter x-ray,,,21 ,,RBRVS,1.16 ,0.72 ,1.83 ,,,,,1,0,1,1,1,1,20061001
50700,CPT,Revision of ureter,,,21 ,,RBRVS,15.19 ,7.13 ,7.13 ,,,,,1,0,1,1,1,1,20061001
50715,CPT,Release of ureter,,,21 ,,RBRVS,18.87 ,8.76 ,8.76 ,,,,,1,0,1,1,1,1,20061001
50722,CPT,Release of ureter,,,21 ,,RBRVS,16.33 ,7.82 ,7.82 ,,,,,1,0,1,1,1,1,20061001
50725,CPT,Release/revise ureter,,,21 ,,RBRVS,18.46 ,8.06 ,8.06 ,,,,,1,0,1,1,1,1,20061001
50727,CPT,Revise ureter,,,21 ,,RBRVS,8.17 ,4.28 ,4.28 ,,,,,1,0,1,1,1,1,20061001
50728,CPT,Revise ureter,,,21 ,,RBRVS,12.00 ,5.57 ,5.57 ,,,,,1,0,1,1,1,1,20061001
50740,CPT,Fusion of ureter & kidney,,,21 ,,RBRVS,18.39 ,7.75 ,7.75 ,,,,,1,0,1,1,1,1,20061001
50750,CPT,Fusion of ureter & kidney,,,21 ,,RBRVS,19.48 ,8.00 ,8.00 ,,,,,1,0,1,1,1,1,20061001
50760,CPT,Fusion of ureters,,,21 ,,RBRVS,18.39 ,7.69 ,7.69 ,,,,,1,0,1,1,1,1,20061001
50770,CPT,Splicing of ureters,,,21 ,,RBRVS,19.48 ,7.99 ,7.99 ,,,,,1,0,1,1,1,1,20061001
50780,CPT,Reimplant ureter in bladder,,,21 ,,RBRVS,18.33 ,7.60 ,7.60 ,,,,,1,0,1,1,1,1,20061001
50782,CPT,Reimplant ureter in bladder,,,21 ,,RBRVS,19.51 ,8.79 ,8.79 ,,,,,1,0,1,1,1,1,20061001
50783,CPT,Reimplant ureter in bladder,,,21 ,,RBRVS,20.52 ,8.23 ,8.23 ,,,,,1,0,1,1,1,1,20061001
50785,CPT,Reimplant ureter in bladder,,,21 ,,RBRVS,20.49 ,8.31 ,8.31 ,,,,,1,0,1,1,1,1,20061001
50800,CPT,Implant ureter in bowel,,,21 ,,RBRVS,14.50 ,6.48 ,6.48 ,,,,,1,0,1,1,1,1,20061001
50810,CPT,Fusion of ureter & bowel,,,21 ,,RBRVS,20.02 ,9.11 ,9.11 ,,,,,1,0,1,1,1,1,20061001
50815,CPT,Urine shunt to intestine,,,21 ,,RBRVS,19.90 ,8.46 ,8.46 ,,,,,1,0,1,1,1,1,20061001
50820,CPT,Construct bowel bladder,,,21 ,,RBRVS,21.86 ,8.66 ,8.66 ,,,,,1,0,1,1,1,1,20061001
50825,CPT,Construct bowel bladder,,,21 ,,RBRVS,28.14 ,11.15 ,11.15 ,,,,,1,0,1,1,1,1,20061001
50830,CPT,Revise urine flow,,,21 ,,RBRVS,31.23 ,12.20 ,12.20 ,,,,,1,0,1,1,1,1,20061001
50840,CPT,Replace ureter by bowel,,,21 ,,RBRVS,19.97 ,8.44 ,8.44 ,,,,,1,0,1,1,1,1,20061001
50845,CPT,Appendico-vesicostomy,,,21 ,,RBRVS,20.86 ,8.92 ,8.92 ,,,,,1,0,1,1,1,1,20061001
50860,CPT,Transplant ureter to skin,,,21 ,,RBRVS,15.34 ,6.63 ,6.63 ,,,,,1,0,1,1,1,1,20061001
50900,CPT,Repair of ureter,,,21 ,,RBRVS,13.60 ,6.15 ,6.15 ,,,,,1,0,1,1,1,1,20061001
50920,CPT,Closure ureter/skin fistula,,,21 ,,RBRVS,14.31 ,6.58 ,6.58 ,,,,,1,0,1,1,1,1,20061001
50930,CPT,Closure ureter/bowel fistula,,,21 ,,RBRVS,18.69 ,7.98 ,7.98 ,,,,,1,0,1,1,1,1,20061001
50940,CPT,Release of ureter,,,21 ,,RBRVS,14.49 ,6.41 ,6.41 ,,,,,1,0,1,1,1,1,20061001
50945,CPT,Laparoscopy ureterolithotomy,,,21 ,,RBRVS,16.97 ,7.05 ,7.05 ,,,,,1,0,1,1,1,1,20061001
50947,CPT,Laparo new ureter/bladder,,,21 ,,RBRVS,24.46 ,9.71 ,9.71 ,,,,,1,0,1,1,1,1,20061001
50948,CPT,Laparo new ureter/bladder,,,21 ,,RBRVS,22.47 ,8.71 ,8.71 ,,,,,1,0,1,1,1,1,20061001
50949,CPT,"Laparoscope proc, ureter",,,21 ,,TotalUnits,,,,31.09 ,,,,1,0,1,1,1,1,20061001
50951,CPT,Endoscopy of ureter,,,21 ,,RBRVS,5.83 ,2.06 ,4.30 ,,,,,1,0,1,1,1,1,20061001
50953,CPT,Endoscopy of ureter,,,21 ,,RBRVS,6.23 ,2.37 ,4.41 ,,,,,1,0,1,1,1,1,20061001
50955,CPT,Ureter endoscopy & biopsy,,,21 ,,RBRVS,6.74 ,2.69 ,6.43 ,,,,,1,0,1,1,1,1,20061001
50957,CPT,Ureter endoscopy & treatment,,,21 ,,RBRVS,6.78 ,2.38 ,4.57 ,,,,,1,0,1,1,1,1,20061001
50961,CPT,Ureter endoscopy & treatment,,,21 ,,RBRVS,6.04 ,2.19 ,4.37 ,,,,,1,0,1,1,1,1,20061001
50970,CPT,Ureter endoscopy,,,21 ,,RBRVS,7.13 ,2.47 ,2.47 ,,,,,1,0,1,1,1,1,20061001
50972,CPT,Ureter endoscopy & catheter,,,21 ,,RBRVS,6.88 ,2.47 ,2.47 ,,,,,1,0,1,1,1,1,20061001
50974,CPT,Ureter endoscopy & biopsy,,,21 ,,RBRVS,9.16 ,3.11 ,3.11 ,,,,,1,0,1,1,1,1,20061001
50976,CPT,Ureter endoscopy & treatment,,,21 ,,RBRVS,9.03 ,3.07 ,3.07 ,,,,,1,0,1,1,1,1,20061001
50980,CPT,Ureter endoscopy & treatment,,,21 ,,RBRVS,6.84 ,2.38 ,2.38 ,,,,,1,0,1,1,1,1,20061001
51000,CPT,Drainage of bladder,,,21 ,,RBRVS,0.78 ,0.24 ,1.95 ,,,,,1,0,1,1,1,1,20061001
51005,CPT,Drainage of bladder,,,21 ,,RBRVS,1.02 ,0.34 ,4.71 ,,,,,1,0,1,1,1,1,20061001
51010,CPT,Drainage of bladder,,,21 ,,RBRVS,3.52 ,1.88 ,5.62 ,,,,,1,0,1,1,1,1,20061001
51020,CPT,Incise & treat bladder,,,21 ,,RBRVS,6.70 ,3.86 ,3.86 ,,,,,1,0,1,1,1,1,20061001
51030,CPT,Incise & treat bladder,,,21 ,,RBRVS,6.76 ,3.98 ,3.98 ,,,,,1,0,1,1,1,1,20061001
51040,CPT,Incise & drain bladder,,,21 ,,RBRVS,4.39 ,2.77 ,2.77 ,,,,,1,0,1,1,1,1,20061001
51045,CPT,Incise bladder/drain ureter,,,21 ,,RBRVS,6.76 ,3.93 ,3.93 ,,,,,1,0,1,1,1,1,20061001
51050,CPT,Removal of bladder stone,,,21 ,,RBRVS,6.91 ,3.65 ,3.65 ,,,,,1,0,1,1,1,1,20061001
51060,CPT,Removal of ureter stone,,,21 ,,RBRVS,8.84 ,4.51 ,4.51 ,,,,,1,0,1,1,1,1,20061001
51065,CPT,Remove ureter calculus,,,21 ,,RBRVS,8.84 ,4.36 ,4.36 ,,,,,1,0,1,1,1,1,20061001
51080,CPT,Drainage of bladder abscess,,,21 ,,RBRVS,5.95 ,3.55 ,3.55 ,,,,,1,0,1,1,1,1,20061001
51500,CPT,Removal of bladder cyst,,,21 ,,RBRVS,10.12 ,5.01 ,5.01 ,,,,,1,0,1,1,1,1,20061001
51520,CPT,Removal of bladder lesion,,,21 ,,RBRVS,9.28 ,4.68 ,4.68 ,,,,,1,0,1,1,1,1,20061001
51525,CPT,Removal of bladder lesion,,,21 ,,RBRVS,13.95 ,6.14 ,6.14 ,,,,,1,0,1,1,1,1,20061001
51530,CPT,Removal of bladder lesion,,,21 ,,RBRVS,12.36 ,5.76 ,5.76 ,,,,,1,0,1,1,1,1,20061001
51535,CPT,Repair of ureter lesion,,,21 ,,RBRVS,12.55 ,6.12 ,6.12 ,,,,,1,0,1,1,1,1,20061001
51550,CPT,Partial removal of bladder,,,21 ,,RBRVS,15.64 ,6.74 ,6.74 ,,,,,1,0,1,1,1,1,20061001
51555,CPT,Partial removal of bladder,,,21 ,,RBRVS,21.20 ,8.68 ,8.68 ,,,,,1,0,1,1,1,1,20061001
51565,CPT,Revise bladder & ureter(s),,,21 ,,RBRVS,21.59 ,8.98 ,8.98 ,,,,,1,0,1,1,1,1,20061001
51570,CPT,Removal of bladder,,,21 ,,RBRVS,24.20 ,9.76 ,9.76 ,,,,,1,0,1,1,1,1,20061001
51575,CPT,Removal of bladder & nodes,,,21 ,,RBRVS,30.40 ,12.05 ,12.05 ,,,,,1,0,1,1,1,1,20061001
51580,CPT,Remove bladder/revise tract,,,21 ,,RBRVS,31.03 ,12.52 ,12.52 ,,,,,1,0,1,1,1,1,20061001
51585,CPT,Removal of bladder & nodes,,,21 ,,RBRVS,35.18 ,13.73 ,13.73 ,,,,,1,0,1,1,1,1,20061001
51590,CPT,Remove bladder/revise tract,,,21 ,,RBRVS,32.61 ,12.64 ,12.64 ,,,,,1,0,1,1,1,1,20061001
51595,CPT,Remove bladder/revise tract,,,21 ,,RBRVS,37.08 ,14.16 ,14.16 ,,,,,1,0,1,1,1,1,20061001
51596,CPT,Remove bladder/create pouch,,,21 ,,RBRVS,39.46 ,15.26 ,15.26 ,,,,,1,0,1,1,1,1,20061001
51597,CPT,Removal of pelvic structures,,,21 ,,RBRVS,38.29 ,14.86 ,14.86 ,,,,,1,0,1,1,1,1,20061001
51600,CPT,Injection for bladder x-ray,,,21 ,,RBRVS,0.88 ,0.29 ,5.06 ,,,,,1,0,1,1,1,1,20061001
51605,CPT,Preparation for bladder xray,,,21 ,,RBRVS,0.64 ,0.35 ,6.07 ,,,,,1,0,1,1,1,1,20061001
51610,CPT,Injection for bladder x-ray,,,21 ,,RBRVS,1.05 ,0.60 ,2.29 ,,,,,1,0,1,1,1,1,20061001
51700,CPT,Irrigation of bladder,,,21 ,,RBRVS,0.88 ,0.28 ,1.60 ,,,,,1,0,1,1,1,1,20061001
51701,CPT,Insert bladder catheter,,,21 ,,RBRVS,0.50 ,0.19 ,1.58 ,,,,,1,0,1,1,1,1,20061001
51702,CPT,Insert temp bladder cath,,,21 ,,RBRVS,0.50 ,0.24 ,2.09 ,,,,,1,0,1,1,1,1,20061001
51703,CPT,"Insert bladder cath, complex",,,21 ,,RBRVS,1.47 ,0.56 ,2.74 ,,,,,1,0,1,1,1,1,20061001
51705,CPT,Change of bladder tube,,,21 ,,RBRVS,1.02 ,0.61 ,2.28 ,,,,,1,0,1,1,1,1,20061001
51710,CPT,Change of bladder tube,,,21 ,,RBRVS,1.49 ,0.77 ,3.34 ,,,,,1,0,1,1,1,1,20061001
51715,CPT,Endoscopic injection/implant,,,21 ,,RBRVS,3.73 ,1.35 ,3.91 ,,,,,1,0,1,1,1,1,20061001
51720,CPT,Treatment of bladder lesion,,,21 ,,RBRVS,1.96 ,0.69 ,1.75 ,,,,,1,0,1,1,1,1,20061001
51725,CPT,Simple cystometrogram,TC,,21 ,,RBRVS,0.00 ,5.11 ,5.11 ,,,,,1,1,1,0,1,1,20061001
51725,CPT,Simple cystometrogram,26,,21 ,,RBRVS,1.51 ,0.49 ,0.49 ,,,,,1,0,1,1,1,1,20061001
51726,CPT,Complex cystometrogram,TC,,21 ,,RBRVS,0.00 ,6.96 ,6.96 ,,,,,1,1,1,0,1,1,20061001
51726,CPT,Complex cystometrogram,26,,21 ,,RBRVS,1.71 ,0.56 ,0.56 ,,,,,1,0,1,1,1,1,20061001
51736,CPT,Urine flow measurement,TC,,21 ,,RBRVS,0.00 ,0.38 ,0.38 ,,,,,1,1,1,0,1,1,20061001
51736,CPT,Urine flow measurement,26,,21 ,,RBRVS,0.61 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20061001
51741,CPT,"Electro-uroflowmetry, first",TC,,21 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20061001
51741,CPT,"Electro-uroflowmetry, first",26,,21 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20061001
51772,CPT,Urethra pressure profile,TC,,21 ,,RBRVS,0.00 ,5.04 ,5.04 ,,,,,1,1,1,0,1,1,20061001
51772,CPT,Urethra pressure profile,26,,21 ,,RBRVS,1.61 ,0.55 ,0.55 ,,,,,1,0,1,1,1,1,20061001
51784,CPT,Anal/urinary muscle study,TC,,21 ,,RBRVS,0.00 ,3.49 ,3.49 ,,,,,1,1,1,0,1,1,20061001
51784,CPT,Anal/urinary muscle study,26,,21 ,,RBRVS,1.53 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20061001
51785,CPT,Anal/urinary muscle study,TC,,21 ,,RBRVS,0.00 ,3.95 ,3.95 ,,,,,1,1,1,0,1,1,20061001
51785,CPT,Anal/urinary muscle study,26,,21 ,,RBRVS,1.53 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20061001
51792,CPT,Urinary reflex study,TC,,21 ,,RBRVS,0.00 ,5.60 ,5.60 ,,,,,1,1,1,0,1,1,20061001
51792,CPT,Urinary reflex study,26,,21 ,,RBRVS,1.10 ,0.41 ,0.41 ,,,,,1,0,1,1,1,1,20061001
51795,CPT,Urine voiding pressure study,TC,,21 ,,RBRVS,0.00 ,6.81 ,6.81 ,,,,,1,1,1,0,1,1,20061001
51795,CPT,Urine voiding pressure study,26,,21 ,,RBRVS,1.53 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20061001
51797,CPT,Intraabdominal pressure test,TC,,21 ,,RBRVS,0.00 ,5.27 ,5.27 ,,,,,1,1,1,0,1,1,20061001
51797,CPT,Intraabdominal pressure test,26,,21 ,,RBRVS,1.60 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20061001
51798,CPT,Us urine capacity measure,,,21 ,,RBRVS,0.00 ,0.34 ,0.34 ,,,,,1,1,1,0,1,1,20061001
51800,CPT,Revision of bladder/urethra,,,21 ,,RBRVS,17.39 ,7.58 ,7.58 ,,,,,1,0,1,1,1,1,20061001
51820,CPT,Revision of urinary tract,,,21 ,,RBRVS,17.86 ,8.30 ,8.30 ,,,,,1,0,1,1,1,1,20061001
51840,CPT,Attach bladder/urethra,,,21 ,,RBRVS,10.69 ,5.58 ,5.58 ,,,,,1,0,1,1,1,1,20061001
51841,CPT,Attach bladder/urethra,,,21 ,,RBRVS,13.01 ,6.39 ,6.39 ,,,,,1,0,1,1,1,1,20061001
51845,CPT,Repair bladder neck,,,21 ,,RBRVS,9.72 ,4.75 ,4.75 ,,,,,1,0,1,1,1,1,20061001
51860,CPT,Repair of bladder wound,,,21 ,,RBRVS,12.00 ,5.77 ,5.77 ,,,,,1,0,1,1,1,1,20061001
51865,CPT,Repair of bladder wound,,,21 ,,RBRVS,15.02 ,6.69 ,6.69 ,,,,,1,0,1,1,1,1,20061001
51880,CPT,Repair of bladder opening,,,21 ,,RBRVS,7.65 ,3.96 ,3.96 ,,,,,1,0,1,1,1,1,20061001
51900,CPT,Repair bladder/vagina lesion,,,21 ,,RBRVS,12.95 ,6.08 ,6.08 ,,,,,1,0,1,1,1,1,20061001
51920,CPT,Close bladder-uterus fistula,,,21 ,,RBRVS,11.79 ,5.65 ,5.65 ,,,,,1,0,1,1,1,1,20061001
51925,CPT,Hysterectomy/bladder repair,,,21 ,,RBRVS,15.56 ,8.63 ,8.63 ,,,,,1,0,1,1,1,1,20061001
51940,CPT,Correction of bladder defect,,,21 ,,RBRVS,28.39 ,12.11 ,12.11 ,,,,,1,0,1,1,1,1,20061001
51960,CPT,Revision of bladder & bowel,,,21 ,,RBRVS,22.98 ,9.66 ,9.66 ,,,,,1,0,1,1,1,1,20061001
51980,CPT,Construct bladder opening,,,21 ,,RBRVS,11.34 ,5.39 ,5.39 ,,,,,1,0,1,1,1,1,20061001
51990,CPT,Laparo urethral suspension,,,21 ,,RBRVS,12.48 ,6.16 ,6.16 ,,,,,1,0,1,1,1,1,20061001
51992,CPT,Laparo sling operation,,,21 ,,RBRVS,13.99 ,6.22 ,6.22 ,,,,,1,0,1,1,1,1,20061001
51999,CPT,"Laparoscope proc, bladder",,,28 ,,NW,,,,,,"$2,029.72",,1,0,1,1,1,1,20061001
52000,CPT,Cystoscopy,,,21 ,,RBRVS,2.01 ,0.76 ,3.31 ,,,,,1,0,1,1,1,1,20061001
52001,CPT,"Cystoscopy, removal of clots",,,21 ,,RBRVS,5.44 ,1.87 ,5.08 ,,,,,1,0,1,1,1,1,20061001
52005,CPT,Cystoscopy & ureter catheter,,,21 ,,RBRVS,2.37 ,0.89 ,5.58 ,,,,,1,0,1,1,1,1,20061001
52007,CPT,Cystoscopy and biopsy,,,21 ,,RBRVS,3.02 ,1.15 ,16.49 ,,,,,1,0,1,1,1,1,20061001
52010,CPT,Cystoscopy & duct catheter,,,21 ,,RBRVS,3.02 ,1.15 ,10.78 ,,,,,1,0,1,1,1,1,20061001
52204,CPT,Cystoscopy,,,21 ,,RBRVS,2.37 ,0.90 ,14.55 ,,,,,1,0,1,1,1,1,20061001
52214,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.70 ,1.33 ,38.21 ,,,,,1,0,1,1,1,1,20061001
52224,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.14 ,1.15 ,36.56 ,,,,,1,0,1,1,1,1,20061001
52234,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,4.62 ,1.66 ,1.66 ,,,,,1,0,1,1,1,1,20061001
52235,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.44 ,1.94 ,1.94 ,,,,,1,0,1,1,1,1,20061001
52240,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,9.71 ,3.31 ,3.31 ,,,,,1,0,1,1,1,1,20061001
52250,CPT,Cystoscopy and radiotracer,,,21 ,,RBRVS,4.49 ,1.65 ,1.65 ,,,,,1,0,1,1,1,1,20061001
52260,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.91 ,1.42 ,1.42 ,,,,,1,0,1,1,1,1,20061001
52265,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,2.94 ,1.11 ,13.38 ,,,,,1,0,1,1,1,1,20061001
52270,CPT,Cystoscopy & revise urethra,,,21 ,,RBRVS,3.36 ,1.24 ,11.06 ,,,,,1,0,1,1,1,1,20061001
52275,CPT,Cystoscopy & revise urethra,,,21 ,,RBRVS,4.69 ,1.66 ,15.60 ,,,,,1,0,1,1,1,1,20061001
52276,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,4.99 ,1.79 ,1.79 ,,,,,1,0,1,1,1,1,20061001
52277,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,6.16 ,2.23 ,2.23 ,,,,,1,0,1,1,1,1,20061001
52281,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,2.80 ,1.08 ,7.11 ,,,,,1,0,1,1,1,1,20061001
52282,CPT,"Cystoscopy, implant stent",,,21 ,,RBRVS,6.39 ,2.24 ,2.24 ,,,,,1,0,1,1,1,1,20061001
52283,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.73 ,1.38 ,3.95 ,,,,,1,0,1,1,1,1,20061001
52285,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.60 ,1.33 ,4.02 ,,,,,1,0,1,1,1,1,20061001
52290,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,4.58 ,1.65 ,1.65 ,,,,,1,0,1,1,1,1,20061001
52300,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.30 ,1.91 ,1.91 ,,,,,1,0,1,1,1,1,20061001
52301,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.50 ,1.99 ,1.99 ,,,,,1,0,1,1,1,1,20061001
52305,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.30 ,1.86 ,1.86 ,,,,,1,0,1,1,1,1,20061001
52310,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,2.81 ,1.03 ,4.70 ,,,,,1,0,1,1,1,1,20061001
52315,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.20 ,1.84 ,8.69 ,,,,,1,0,1,1,1,1,20061001
52317,CPT,Remove bladder stone,,,21 ,,RBRVS,6.71 ,2.29 ,29.02 ,,,,,1,0,1,1,1,1,20061001
52318,CPT,Remove bladder stone,,,21 ,,RBRVS,9.18 ,3.10 ,3.10 ,,,,,1,0,1,1,1,1,20061001
52320,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,4.69 ,1.63 ,1.63 ,,,,,1,0,1,1,1,1,20061001
52325,CPT,"Cystoscopy, stone removal",,,21 ,,RBRVS,6.15 ,2.12 ,2.12 ,,,,,1,0,1,1,1,1,20061001
52327,CPT,"Cystoscopy, inject material",,,21 ,,RBRVS,5.18 ,1.82 ,31.90 ,,,,,1,0,1,1,1,1,20061001
52330,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.03 ,1.76 ,38.93 ,,,,,1,0,1,1,1,1,20061001
52332,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,2.83 ,1.05 ,5.76 ,,,,,1,0,1,1,1,1,20061001
52334,CPT,Create passage to kidney,,,21 ,,RBRVS,4.82 ,1.74 ,1.74 ,,,,,1,0,1,1,1,1,20061001
52341,CPT,Cysto w/ureter stricture tx,,,21 ,,RBRVS,5.99 ,2.22 ,2.22 ,,,,,1,0,1,1,1,1,20061001
52342,CPT,Cysto w/up stricture tx,,,21 ,,RBRVS,6.49 ,2.35 ,2.35 ,,,,,1,0,1,1,1,1,20061001
52343,CPT,Cysto w/renal stricture tx,,,21 ,,RBRVS,7.19 ,2.59 ,2.59 ,,,,,1,0,1,1,1,1,20061001
52344,CPT,"Cysto/uretero, stone remove",,,21 ,,RBRVS,7.69 ,2.80 ,2.80 ,,,,,1,0,1,1,1,1,20061001
52345,CPT,Cysto/uretero w/up stricture,,,21 ,,RBRVS,8.19 ,2.96 ,2.96 ,,,,,1,0,1,1,1,1,20061001
52346,CPT,Cystouretero w/renal strict,,,21 ,,RBRVS,9.22 ,3.29 ,3.29 ,,,,,1,0,1,1,1,1,20061001
52351,CPT,Cystouretero & or pyeloscope,,,21 ,,RBRVS,5.85 ,2.15 ,2.15 ,,,,,1,0,1,1,1,1,20061001
52352,CPT,Cystouretero w/stone remove,,,21 ,,RBRVS,6.87 ,2.51 ,2.51 ,,,,,1,0,1,1,1,1,20061001
52353,CPT,Cystouretero w/lithotripsy,,,21 ,,RBRVS,7.96 ,2.86 ,2.86 ,,,,,1,0,1,1,1,1,20061001
52354,CPT,Cystouretero w/biopsy,,,21 ,,RBRVS,7.33 ,2.68 ,2.68 ,,,,,1,0,1,1,1,1,20061001
52355,CPT,Cystouretero w/excise tumor,,,21 ,,RBRVS,8.81 ,3.15 ,3.15 ,,,,,1,0,1,1,1,1,20061001
52400,CPT,Cystouretero w/congen repr,,,21 ,,RBRVS,9.67 ,3.74 ,3.74 ,,,,,1,0,1,1,1,1,20061001
52402,CPT,Cystourethro cut ejacul duct,,,21 ,,RBRVS,5.27 ,1.70 ,1.70 ,,,,,1,0,1,1,1,1,20061001
52450,CPT,Incision of prostate,,,21 ,,RBRVS,7.63 ,3.68 ,3.68 ,,,,,1,0,1,1,1,1,20061001
52500,CPT,Revision of bladder neck,,,21 ,,RBRVS,8.46 ,3.93 ,3.93 ,,,,,1,0,1,1,1,1,20061001
52510,CPT,Dilation prostatic urethra,,,21 ,,RBRVS,6.71 ,3.12 ,3.12 ,,,,,1,0,1,1,1,1,20061001
52601,CPT,Prostatectomy (TURP),,,21 ,,RBRVS,12.35 ,5.11 ,5.11 ,,,,,1,0,1,1,1,1,20061001
52606,CPT,Control postop bleeding,,,21 ,,RBRVS,8.12 ,3.56 ,3.56 ,,,,,1,0,1,1,1,1,20061001
52612,CPT,"Prostatectomy, first stage",,,21 ,,RBRVS,7.97 ,3.74 ,3.74 ,,,,,1,0,1,1,1,1,20061001
52614,CPT,"Prostatectomy, second stage",,,21 ,,RBRVS,6.83 ,3.35 ,3.35 ,,,,,1,0,1,1,1,1,20061001
52620,CPT,Remove residual prostate,,,21 ,,RBRVS,6.60 ,2.99 ,2.99 ,,,,,1,0,1,1,1,1,20061001
52630,CPT,Remove prostate regrowth,,,21 ,,RBRVS,7.25 ,3.20 ,3.20 ,,,,,1,0,1,1,1,1,20061001
52640,CPT,Relieve bladder contracture,,,21 ,,RBRVS,6.61 ,2.97 ,2.97 ,,,,,1,0,1,1,1,1,20061001
52647,CPT,Laser surgery of prostate,,,21 ,,RBRVS,10.34 ,4.54 ,74.15 ,,,,,1,0,1,1,1,1,20061001
52648,CPT,Laser surgery of prostate,,,21 ,,RBRVS,11.19 ,4.80 ,4.80 ,,,,,1,0,1,1,1,1,20061001
52700,CPT,Drainage of prostate abscess,,,21 ,,RBRVS,6.79 ,3.19 ,3.19 ,,,,,1,0,1,1,1,1,20061001
53000,CPT,Incision of urethra,,,21 ,,RBRVS,2.28 ,1.54 ,1.54 ,,,,,1,0,1,1,1,1,20061001
53010,CPT,Incision of urethra,,,21 ,,RBRVS,3.63 ,2.92 ,2.92 ,,,,,1,0,1,1,1,1,20061001
53020,CPT,Incision of urethra,,,21 ,,RBRVS,1.77 ,0.67 ,3.01 ,,,,,1,0,1,1,1,1,20061001
53025,CPT,Incision of urethra,,,21 ,,RBRVS,1.13 ,0.51 ,3.74 ,,,,,1,0,1,1,1,1,20061001
53040,CPT,Drainage of urethra abscess,,,21 ,,RBRVS,6.39 ,3.44 ,3.44 ,,,,,1,0,1,1,1,1,20061001
53060,CPT,Drainage of urethra abscess,,,21 ,,RBRVS,2.63 ,1.37 ,2.09 ,,,,,1,0,1,1,1,1,20061001
53080,CPT,Drainage of urinary leakage,,,21 ,,RBRVS,6.28 ,5.97 ,5.97 ,,,,,1,0,1,1,1,1,20061001
53085,CPT,Drainage of urinary leakage,,,21 ,,RBRVS,10.25 ,7.42 ,7.42 ,,,,,1,0,1,1,1,1,20061001
53200,CPT,Biopsy of urethra,,,21 ,,RBRVS,2.59 ,0.98 ,1.32 ,,,,,1,0,1,1,1,1,20061001
53210,CPT,Removal of urethra,,,21 ,,RBRVS,12.55 ,5.85 ,5.85 ,,,,,1,0,1,1,1,1,20061001
53215,CPT,Removal of urethra,,,21 ,,RBRVS,15.56 ,6.64 ,6.64 ,,,,,1,0,1,1,1,1,20061001
53220,CPT,Treatment of urethra lesion,,,21 ,,RBRVS,6.99 ,3.72 ,3.72 ,,,,,1,0,1,1,1,1,20061001
53230,CPT,Removal of urethra lesion,,,21 ,,RBRVS,9.57 ,4.72 ,4.72 ,,,,,1,0,1,1,1,1,20061001
53235,CPT,Removal of urethra lesion,,,21 ,,RBRVS,10.12 ,4.91 ,4.91 ,,,,,1,0,1,1,1,1,20061001
53240,CPT,Surgery for urethra pouch,,,21 ,,RBRVS,6.44 ,3.53 ,3.53 ,,,,,1,0,1,1,1,1,20061001
53250,CPT,Removal of urethra gland,,,21 ,,RBRVS,5.88 ,3.30 ,3.30 ,,,,,1,0,1,1,1,1,20061001
53260,CPT,Treatment of urethra lesion,,,21 ,,RBRVS,2.98 ,1.42 ,2.25 ,,,,,1,0,1,1,1,1,20061001
53265,CPT,Treatment of urethra lesion,,,21 ,,RBRVS,3.12 ,1.42 ,2.72 ,,,,,1,0,1,1,1,1,20061001
53270,CPT,Removal of urethra gland,,,21 ,,RBRVS,3.09 ,1.54 ,2.21 ,,,,,1,0,1,1,1,1,20061001
53275,CPT,Repair of urethra defect,,,21 ,,RBRVS,4.52 ,2.26 ,2.26 ,,,,,1,0,1,1,1,1,20061001
53400,CPT,"Revise urethra, stage 1",,,21 ,,RBRVS,12.75 ,6.04 ,6.04 ,,,,,1,0,1,1,1,1,20061001
53405,CPT,"Revise urethra, stage 2",,,21 ,,RBRVS,14.46 ,6.33 ,6.33 ,,,,,1,0,1,1,1,1,20061001
53410,CPT,Reconstruction of urethra,,,21 ,,RBRVS,16.42 ,7.07 ,7.07 ,,,,,1,0,1,1,1,1,20061001
53415,CPT,Reconstruction of urethra,,,21 ,,RBRVS,19.38 ,7.35 ,7.35 ,,,,,1,0,1,1,1,1,20061001
53420,CPT,"Reconstruct urethra, stage 1",,,21 ,,RBRVS,14.06 ,6.30 ,6.30 ,,,,,1,0,1,1,1,1,20061001
53425,CPT,"Reconstruct urethra, stage 2",,,21 ,,RBRVS,15.96 ,6.90 ,6.90 ,,,,,1,0,1,1,1,1,20061001
53430,CPT,Reconstruction of urethra,,,21 ,,RBRVS,16.32 ,7.01 ,7.01 ,,,,,1,0,1,1,1,1,20061001
53431,CPT,Reconstruct urethra/bladder,,,21 ,,RBRVS,19.86 ,8.07 ,8.07 ,,,,,1,0,1,1,1,1,20061001
53440,CPT,Male sling procedure,,,21 ,,RBRVS,13.60 ,5.99 ,5.99 ,,,,,1,0,1,1,1,1,20061001
53442,CPT,Remove/revise male sling,,,21 ,,RBRVS,11.55 ,5.45 ,5.45 ,,,,,1,0,1,1,1,1,20061001
53444,CPT,Insert tandem cuff,,,21 ,,RBRVS,13.38 ,5.89 ,5.89 ,,,,,1,0,1,1,1,1,20061001
53445,CPT,Insert uro/ves nck sphincter,,,21 ,,RBRVS,14.04 ,7.10 ,7.10 ,,,,,1,0,1,1,1,1,20061001
53446,CPT,Remove uro sphincter,,,21 ,,RBRVS,10.21 ,5.23 ,5.23 ,,,,,1,0,1,1,1,1,20061001
53447,CPT,Remove/replace ur sphincter,,,21 ,,RBRVS,13.47 ,6.44 ,6.44 ,,,,,1,0,1,1,1,1,20061001
53448,CPT,Remov/replc ur sphinctr comp,,,21 ,,RBRVS,21.12 ,9.07 ,9.07 ,,,,,1,0,1,1,1,1,20061001
53449,CPT,Repair uro sphincter,,,21 ,,RBRVS,9.69 ,4.73 ,4.73 ,,,,,1,0,1,1,1,1,20061001
53450,CPT,Revision of urethra,,,21 ,,RBRVS,6.13 ,3.30 ,3.30 ,,,,,1,0,1,1,1,1,20061001
53460,CPT,Revision of urethra,,,21 ,,RBRVS,7.11 ,3.70 ,3.70 ,,,,,1,0,1,1,1,1,20061001
53500,CPT,"Urethrlys, transvag w/ scope",,,21 ,,RBRVS,12.19 ,6.22 ,6.22 ,,,,,1,0,1,1,1,1,20061001
53502,CPT,Repair of urethra injury,,,21 ,,RBRVS,7.62 ,3.99 ,3.99 ,,,,,1,0,1,1,1,1,20061001
53505,CPT,Repair of urethra injury,,,21 ,,RBRVS,7.62 ,3.87 ,3.87 ,,,,,1,0,1,1,1,1,20061001
53510,CPT,Repair of urethra injury,,,21 ,,RBRVS,10.09 ,5.17 ,5.17 ,,,,,1,0,1,1,1,1,20061001
53515,CPT,Repair of urethra injury,,,21 ,,RBRVS,13.29 ,5.94 ,5.94 ,,,,,1,0,1,1,1,1,20061001
53520,CPT,Repair of urethra defect,,,21 ,,RBRVS,8.67 ,4.48 ,4.48 ,,,,,1,0,1,1,1,1,20061001
53600,CPT,Dilate urethra stricture,,,21 ,,RBRVS,1.21 ,0.43 ,1.14 ,,,,,1,0,1,1,1,1,20061001
53601,CPT,Dilate urethra stricture,,,21 ,,RBRVS,0.98 ,0.37 ,1.27 ,,,,,1,0,1,1,1,1,20061001
53605,CPT,Dilate urethra stricture,,,21 ,,RBRVS,1.28 ,0.41 ,0.41 ,,,,,1,0,1,1,1,1,20061001
53620,CPT,Dilate urethra stricture,,,21 ,,RBRVS,1.62 ,0.59 ,2.00 ,,,,,1,0,1,1,1,1,20061001
53621,CPT,Dilate urethra stricture,,,21 ,,RBRVS,1.35 ,0.49 ,2.08 ,,,,,1,0,1,1,1,1,20061001
53660,CPT,Dilation of urethra,,,21 ,,RBRVS,0.71 ,0.31 ,1.31 ,,,,,1,0,1,1,1,1,20061001
53661,CPT,Dilation of urethra,,,21 ,,RBRVS,0.72 ,0.29 ,1.30 ,,,,,1,0,1,1,1,1,20061001
53665,CPT,Dilation of urethra,,,21 ,,RBRVS,0.76 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20061001
53850,CPT,Prostatic microwave thermotx,,,21 ,,RBRVS,9.44 ,3.95 ,94.33 ,,,,,1,0,1,1,1,1,20061001
53852,CPT,Prostatic rf thermotx,,,21 ,,RBRVS,9.87 ,4.38 ,89.03 ,,,,,1,0,1,1,1,1,20061001
53853,CPT,Prostatic water thermother,,,21 ,,RBRVS,5.23 ,2.86 ,55.50 ,,,,,1,0,1,1,1,1,20061001
53899,CPT,Urology surgery procedure,,,21 ,,TotalUnits,,,,4.60 ,,,,1,0,1,1,1,1,20061001
54000,CPT,Slitting of prepuce,,,21 ,,RBRVS,1.54 ,0.93 ,2.92 ,,,,,1,0,1,1,1,1,20061001
54001,CPT,Slitting of prepuce,,,21 ,,RBRVS,2.19 ,1.11 ,3.19 ,,,,,1,0,1,1,1,1,20061001
54015,CPT,Drain penis lesion,,,21 ,,RBRVS,5.31 ,2.56 ,2.56 ,,,,,1,0,1,1,1,1,20061001
54050,CPT,"Destruction, penis lesion(s)",,,21 ,,RBRVS,1.24 ,1.03 ,1.66 ,,,,,1,0,1,1,1,1,20061001
54055,CPT,"Destruction, penis lesion(s)",,,21 ,,RBRVS,1.22 ,0.80 ,1.57 ,,,,,1,0,1,1,1,1,20061001
54056,CPT,"Cryosurgery, penis lesion(s)",,,21 ,,RBRVS,1.24 ,1.13 ,1.69 ,,,,,1,0,1,1,1,1,20061001
54057,CPT,"Laser surg, penis lesion(s)",,,21 ,,RBRVS,1.24 ,0.83 ,2.22 ,,,,,1,0,1,1,1,1,20061001
54060,CPT,Excision of penis lesion(s),,,21 ,,RBRVS,1.93 ,1.06 ,3.11 ,,,,,1,0,1,1,1,1,20061001
54065,CPT,"Destruction, penis lesion(s)",,,21 ,,RBRVS,2.42 ,1.23 ,2.64 ,,,,,1,0,1,1,1,1,20061001
54100,CPT,Biopsy of penis,,,21 ,,RBRVS,1.90 ,0.82 ,2.81 ,,,,,1,0,1,1,1,1,20061001
54105,CPT,Biopsy of penis,,,21 ,,RBRVS,3.49 ,1.94 ,4.29 ,,,,,1,0,1,1,1,1,20061001
54110,CPT,Treatment of penis lesion,,,21 ,,RBRVS,10.11 ,4.76 ,4.76 ,,,,,1,0,1,1,1,1,20061001
54111,CPT,"Treat penis lesion, graft",,,21 ,,RBRVS,13.55 ,5.78 ,5.78 ,,,,,1,0,1,1,1,1,20061001
54112,CPT,"Treat penis lesion, graft",,,21 ,,RBRVS,15.84 ,6.81 ,6.81 ,,,,,1,0,1,1,1,1,20061001
54115,CPT,Treatment of penis lesion,,,21 ,,RBRVS,6.14 ,3.46 ,4.38 ,,,,,1,0,1,1,1,1,20061001
54120,CPT,Partial removal of penis,,,21 ,,RBRVS,9.96 ,4.68 ,4.68 ,,,,,1,0,1,1,1,1,20061001
54125,CPT,Removal of penis,,,21 ,,RBRVS,13.51 ,5.84 ,5.84 ,,,,,1,0,1,1,1,1,20061001
54130,CPT,Remove penis & nodes,,,21 ,,RBRVS,20.11 ,8.19 ,8.19 ,,,,,1,0,1,1,1,1,20061001
54135,CPT,Remove penis & nodes,,,21 ,,RBRVS,26.32 ,10.19 ,10.19 ,,,,,1,0,1,1,1,1,20061001
54150,CPT,Circumcision,,,21 ,,RBRVS,1.81 ,0.70 ,4.36 ,,,,,1,0,1,1,1,1,20061001
54152,CPT,Circumcision,,,21 ,,RBRVS,2.31 ,1.20 ,1.20 ,,,,,1,0,1,1,1,1,20061001
54160,CPT,Circumcision,,,21 ,,RBRVS,2.48 ,1.09 ,4.15 ,,,,,1,0,1,1,1,1,20061001
54161,CPT,Circumcision,,,21 ,,RBRVS,3.27 ,1.56 ,1.56 ,,,,,1,0,1,1,1,1,20061001
54162,CPT,Lysis penil circumic lesion,,,21 ,,RBRVS,3.00 ,1.44 ,4.66 ,,,,,1,0,1,1,1,1,20061001
54163,CPT,Repair of circumcision,,,21 ,,RBRVS,3.00 ,2.01 ,2.01 ,,,,,1,0,1,1,1,1,20061001
54164,CPT,Frenulotomy of penis,,,21 ,,RBRVS,2.50 ,1.84 ,1.84 ,,,,,1,0,1,1,1,1,20061001
54200,CPT,Treatment of penis lesion,,,21 ,,RBRVS,1.06 ,0.97 ,1.80 ,,,,,1,0,1,1,1,1,20061001
54205,CPT,Treatment of penis lesion,,,21 ,,RBRVS,7.92 ,4.69 ,4.69 ,,,,,1,0,1,1,1,1,20061001
54220,CPT,Treatment of penis lesion,,,21 ,,RBRVS,2.42 ,0.95 ,3.85 ,,,,,1,0,1,1,1,1,20061001
54230,CPT,Prepare penis study,,,21 ,,RBRVS,1.34 ,0.63 ,1.08 ,,,,,1,0,1,1,1,1,20061001
54231,CPT,Dynamic cavernosometry,,,21 ,,RBRVS,2.04 ,0.87 ,1.37 ,,,,,1,0,1,1,1,1,20061001
54235,CPT,Penile injection,,,21 ,,RBRVS,1.19 ,0.58 ,0.96 ,,,,,1,0,1,1,1,1,20061001
54240,CPT,Penis study,TC,,21 ,,RBRVS,0.00 ,0.60 ,0.60 ,,,,,1,1,1,0,1,1,20061001
54240,CPT,Penis study,26,,21 ,,RBRVS,1.31 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20061001
54250,CPT,Penis study,TC,,21 ,,RBRVS,0.00 ,0.20 ,0.20 ,,,,,1,1,1,0,1,1,20061001
54250,CPT,Penis study,26,,21 ,,RBRVS,2.22 ,0.71 ,0.71 ,,,,,1,0,1,1,1,1,20061001
54300,CPT,Revision of penis,,,21 ,,RBRVS,10.39 ,5.58 ,5.58 ,,,,,1,0,1,1,1,1,20061001
54304,CPT,Revision of penis,,,21 ,,RBRVS,12.47 ,6.34 ,6.34 ,,,,,1,0,1,1,1,1,20061001
54308,CPT,Reconstruction of urethra,,,21 ,,RBRVS,11.81 ,5.97 ,5.97 ,,,,,1,0,1,1,1,1,20061001
54312,CPT,Reconstruction of urethra,,,21 ,,RBRVS,13.55 ,7.00 ,7.00 ,,,,,1,0,1,1,1,1,20061001
54316,CPT,Reconstruction of urethra,,,21 ,,RBRVS,16.79 ,7.96 ,7.96 ,,,,,1,0,1,1,1,1,20061001
54318,CPT,Reconstruction of urethra,,,21 ,,RBRVS,11.23 ,5.80 ,5.80 ,,,,,1,0,1,1,1,1,20061001
54322,CPT,Reconstruction of urethra,,,21 ,,RBRVS,12.99 ,6.47 ,6.47 ,,,,,1,0,1,1,1,1,20061001
54324,CPT,Reconstruction of urethra,,,21 ,,RBRVS,16.29 ,7.97 ,7.97 ,,,,,1,0,1,1,1,1,20061001
54326,CPT,Reconstruction of urethra,,,21 ,,RBRVS,15.70 ,7.79 ,7.79 ,,,,,1,0,1,1,1,1,20061001
54328,CPT,Revise penis/urethra,,,21 ,,RBRVS,15.63 ,7.26 ,7.26 ,,,,,1,0,1,1,1,1,20061001
54332,CPT,Revise penis/urethra,,,21 ,,RBRVS,17.05 ,7.74 ,7.74 ,,,,,1,0,1,1,1,1,20061001
54336,CPT,Revise penis/urethra,,,21 ,,RBRVS,20.01 ,10.31 ,10.31 ,,,,,1,0,1,1,1,1,20061001
54340,CPT,Secondary urethral surgery,,,21 ,,RBRVS,8.90 ,5.04 ,5.04 ,,,,,1,0,1,1,1,1,20061001
54344,CPT,Secondary urethral surgery,,,21 ,,RBRVS,15.92 ,7.76 ,7.76 ,,,,,1,0,1,1,1,1,20061001
54348,CPT,Secondary urethral surgery,,,21 ,,RBRVS,17.12 ,8.36 ,8.36 ,,,,,1,0,1,1,1,1,20061001
54352,CPT,Reconstruct urethra/penis,,,21 ,,RBRVS,24.70 ,11.20 ,11.20 ,,,,,1,0,1,1,1,1,20061001
54360,CPT,Penis plastic surgery,,,21 ,,RBRVS,11.91 ,6.04 ,6.04 ,,,,,1,0,1,1,1,1,20061001
54380,CPT,Repair penis,,,21 ,,RBRVS,13.16 ,6.62 ,6.62 ,,,,,1,0,1,1,1,1,20061001
54385,CPT,Repair penis,,,21 ,,RBRVS,15.37 ,8.27 ,8.27 ,,,,,1,0,1,1,1,1,20061001
54390,CPT,Repair penis and bladder,,,21 ,,RBRVS,21.58 ,9.43 ,9.43 ,,,,,1,0,1,1,1,1,20061001
54400,CPT,Insert semi-rigid prosthesis,,,21 ,,RBRVS,8.98 ,4.35 ,4.35 ,,,,,1,0,1,1,1,1,20061001
54401,CPT,Insert self-contd prosthesis,,,21 ,,RBRVS,10.26 ,5.74 ,5.74 ,,,,,1,0,1,1,1,1,20061001
54405,CPT,Insert multi-comp penis pros,,,21 ,,RBRVS,13.41 ,5.93 ,5.93 ,,,,,1,0,1,1,1,1,20061001
54406,CPT,Remove muti-comp penis pros,,,21 ,,RBRVS,12.08 ,5.43 ,5.43 ,,,,,1,0,1,1,1,1,20061001
54408,CPT,Repair multi-comp penis pros,,,21 ,,RBRVS,12.73 ,5.74 ,5.74 ,,,,,1,0,1,1,1,1,20061001
54410,CPT,Remove/replace penis prosth,,,21 ,,RBRVS,15.48 ,6.63 ,6.63 ,,,,,1,0,1,1,1,1,20061001
54411,CPT,"Remov/replc penis pros, comp",,,21 ,,RBRVS,15.98 ,7.05 ,7.05 ,,,,,1,0,1,1,1,1,20061001
54415,CPT,Remove self-contd penis pros,,,21 ,,RBRVS,8.19 ,4.20 ,4.20 ,,,,,1,0,1,1,1,1,20061001
54416,CPT,Remv/repl penis contain pros,,,21 ,,RBRVS,10.85 ,5.38 ,5.38 ,,,,,1,0,1,1,1,1,20061001
54417,CPT,"Remv/replc penis pros, compl",,,21 ,,RBRVS,14.17 ,6.18 ,6.18 ,,,,,1,0,1,1,1,1,20061001
54420,CPT,Revision of penis,,,21 ,,RBRVS,11.40 ,5.58 ,5.58 ,,,,,1,0,1,1,1,1,20061001
54430,CPT,Revision of penis,,,21 ,,RBRVS,10.13 ,5.11 ,5.11 ,,,,,1,0,1,1,1,1,20061001
54435,CPT,Revision of penis,,,21 ,,RBRVS,6.11 ,3.62 ,3.62 ,,,,,1,0,1,1,1,1,20061001
54440,CPT,Repair of penis,,,21 ,,TotalUnits,,,,14.95 ,,,,1,0,1,1,1,1,20061001
54450,CPT,Preputial stretching,,,21 ,,RBRVS,1.12 ,0.44 ,0.95 ,,,,,1,0,1,1,1,1,20061001
54500,CPT,Biopsy of testis,,,21 ,,RBRVS,1.31 ,0.56 ,0.61 ,,,,,1,0,1,1,1,1,20061001
54505,CPT,Biopsy of testis,,,21 ,,RBRVS,3.45 ,1.92 ,1.92 ,,,,,1,0,1,1,1,1,20061001
54512,CPT,Excise lesion testis,,,21 ,,RBRVS,8.57 ,4.13 ,4.13 ,,,,,1,0,1,1,1,1,20061001
54520,CPT,Removal of testis,,,21 ,,RBRVS,5.22 ,2.79 ,2.79 ,,,,,1,0,1,1,1,1,20061001
54522,CPT,"Orchiectomy, partial",,,21 ,,RBRVS,9.49 ,4.87 ,4.87 ,,,,,1,0,1,1,1,1,20061001
54530,CPT,Removal of testis,,,21 ,,RBRVS,8.57 ,4.24 ,4.24 ,,,,,1,0,1,1,1,1,20061001
54535,CPT,Extensive testis surgery,,,21 ,,RBRVS,12.14 ,5.55 ,5.55 ,,,,,1,0,1,1,1,1,20061001
54550,CPT,Exploration for testis,,,21 ,,RBRVS,7.77 ,3.81 ,3.81 ,,,,,1,0,1,1,1,1,20061001
54560,CPT,Exploration for testis,,,21 ,,RBRVS,11.11 ,5.16 ,5.16 ,,,,,1,0,1,1,1,1,20061001
54600,CPT,Reduce testis torsion,,,21 ,,RBRVS,7.00 ,3.55 ,3.55 ,,,,,1,0,1,1,1,1,20061001
54620,CPT,Suspension of testis,,,21 ,,RBRVS,4.89 ,2.44 ,2.44 ,,,,,1,0,1,1,1,1,20061001
54640,CPT,Suspension of testis,,,21 ,,RBRVS,6.89 ,3.74 ,3.74 ,,,,,1,0,1,1,1,1,20061001
54650,CPT,Orchiopexy (Fowler-Stephens),,,21 ,,RBRVS,11.43 ,5.41 ,5.41 ,,,,,1,0,1,1,1,1,20061001
54660,CPT,Revision of testis,,,21 ,,RBRVS,5.10 ,3.00 ,3.00 ,,,,,1,0,1,1,1,1,20061001
54670,CPT,Repair testis injury,,,21 ,,RBRVS,6.40 ,3.54 ,3.54 ,,,,,1,0,1,1,1,1,20061001
54680,CPT,Relocation of testis(es),,,21 ,,RBRVS,12.63 ,6.16 ,6.16 ,,,,,1,0,1,1,1,1,20061001
54690,CPT,"Laparoscopy, orchiectomy",,,21 ,,RBRVS,10.94 ,4.94 ,4.94 ,,,,,1,0,1,1,1,1,20061001
54692,CPT,"Laparoscopy, orchiopexy",,,21 ,,RBRVS,12.86 ,5.44 ,5.44 ,,,,,1,0,1,1,1,1,20061001
54699,CPT,"Laparoscope proc, testis",,,21 ,,TotalUnits,,,,18.31 ,,,,1,0,1,1,1,1,20061001
54700,CPT,Drainage of scrotum,,,21 ,,RBRVS,3.42 ,1.94 ,1.94 ,,,,,1,0,1,1,1,1,20061001
54800,CPT,Biopsy of epididymis,,,21 ,,RBRVS,2.33 ,0.90 ,0.94 ,,,,,1,0,1,1,1,1,20061001
54820,CPT,Exploration of epididymis,,,21 ,,RBRVS,5.13 ,2.94 ,2.94 ,,,,,1,0,1,1,1,1,20061001
54830,CPT,Remove epididymis lesion,,,21 ,,RBRVS,5.37 ,3.02 ,3.02 ,,,,,1,0,1,1,1,1,20061001
54840,CPT,Remove epididymis lesion,,,21 ,,RBRVS,5.19 ,2.78 ,2.78 ,,,,,1,0,1,1,1,1,20061001
54860,CPT,Removal of epididymis,,,21 ,,RBRVS,6.31 ,3.31 ,3.31 ,,,,,1,0,1,1,1,1,20061001
54861,CPT,Removal of epididymis,,,21 ,,RBRVS,8.89 ,4.31 ,4.31 ,,,,,1,0,1,1,1,1,20061001
54900,CPT,Fusion of spermatic ducts,,,21 ,,RBRVS,13.18 ,5.80 ,5.80 ,,,,,1,0,1,1,1,1,20061001
54901,CPT,Fusion of spermatic ducts,,,21 ,,RBRVS,17.91 ,7.53 ,7.53 ,,,,,1,0,1,1,1,1,20061001
55000,CPT,Drainage of hydrocele,,,21 ,,RBRVS,1.43 ,0.65 ,2.07 ,,,,,1,0,1,1,1,1,20061001
55040,CPT,Removal of hydrocele,,,21 ,,RBRVS,5.35 ,2.90 ,2.90 ,,,,,1,0,1,1,1,1,20061001
55041,CPT,Removal of hydroceles,,,21 ,,RBRVS,7.73 ,3.97 ,3.97 ,,,,,1,0,1,1,1,1,20061001
55060,CPT,Repair of hydrocele,,,21 ,,RBRVS,5.51 ,3.08 ,3.08 ,,,,,1,0,1,1,1,1,20061001
55100,CPT,Drainage of scrotum abscess,,,21 ,,RBRVS,2.13 ,1.56 ,3.68 ,,,,,1,0,1,1,1,1,20061001
55110,CPT,Explore scrotum,,,21 ,,RBRVS,5.69 ,3.13 ,3.13 ,,,,,1,0,1,1,1,1,20061001
55120,CPT,Removal of scrotum lesion,,,21 ,,RBRVS,5.08 ,2.95 ,2.95 ,,,,,1,0,1,1,1,1,20061001
55150,CPT,Removal of scrotum,,,21 ,,RBRVS,7.21 ,3.84 ,3.84 ,,,,,1,0,1,1,1,1,20061001
55175,CPT,Revision of scrotum,,,21 ,,RBRVS,5.23 ,3.01 ,3.01 ,,,,,1,0,1,1,1,1,20061001
55180,CPT,Revision of scrotum,,,21 ,,RBRVS,10.70 ,5.37 ,5.37 ,,,,,1,0,1,1,1,1,20061001
55200,CPT,Incision of sperm duct,,,21 ,,RBRVS,4.23 ,2.38 ,12.35 ,,,,,1,0,1,1,1,1,20061001
55250,CPT,Removal of sperm duct(s),,,21 ,,RBRVS,3.29 ,2.22 ,11.50 ,,,,,1,0,1,1,1,1,20061001
55300,CPT,"Prepare, sperm duct x-ray",,,21 ,,RBRVS,3.50 ,1.31 ,1.31 ,,,,,1,0,1,1,1,1,20061001
55400,CPT,Repair of sperm duct,,,21 ,,RBRVS,8.48 ,4.06 ,4.06 ,,,,,1,0,1,1,1,1,20061001
55450,CPT,Ligation of sperm duct,,,21 ,,RBRVS,4.11 ,1.87 ,7.01 ,,,,,1,0,1,1,1,1,20061001
55500,CPT,Removal of hydrocele,,,21 ,,RBRVS,5.58 ,3.09 ,3.09 ,,,,,1,0,1,1,1,1,20061001
55520,CPT,Removal of sperm cord lesion,,,21 ,,RBRVS,6.02 ,3.25 ,3.25 ,,,,,1,0,1,1,1,1,20061001
55530,CPT,Revise spermatic cord veins,,,21 ,,RBRVS,5.65 ,3.01 ,3.01 ,,,,,1,0,1,1,1,1,20061001
55535,CPT,Revise spermatic cord veins,,,21 ,,RBRVS,6.55 ,3.40 ,3.40 ,,,,,1,0,1,1,1,1,20061001
55540,CPT,Revise hernia & sperm veins,,,21 ,,RBRVS,7.66 ,3.80 ,3.80 ,,,,,1,0,1,1,1,1,20061001
55550,CPT,Laparo ligate spermatic vein,,,21 ,,RBRVS,6.56 ,3.30 ,3.30 ,,,,,1,0,1,1,1,1,20061001
55559,CPT,"Laparo proc, spermatic cord",,,21 ,,TotalUnits,,,,9.88 ,,,,1,0,1,1,1,1,20061001
55600,CPT,Incise sperm duct pouch,,,21 ,,RBRVS,6.37 ,3.33 ,3.33 ,,,,,1,0,1,1,1,1,20061001
55605,CPT,Incise sperm duct pouch,,,21 ,,RBRVS,7.95 ,4.29 ,4.29 ,,,,,1,0,1,1,1,1,20061001
55650,CPT,Remove sperm duct pouch,,,21 ,,RBRVS,11.78 ,5.28 ,5.28 ,,,,,1,0,1,1,1,1,20061001
55680,CPT,Remove sperm pouch lesion,,,21 ,,RBRVS,5.18 ,2.97 ,2.97 ,,,,,1,0,1,1,1,1,20061001
55700,CPT,Biopsy of prostate,,,21 ,,RBRVS,1.57 ,0.64 ,4.20 ,,,,,1,0,1,1,1,1,20061001
55705,CPT,Biopsy of prostate,,,21 ,,RBRVS,4.56 ,2.30 ,2.30 ,,,,,1,0,1,1,1,1,20061001
55720,CPT,Drainage of prostate abscess,,,21 ,,RBRVS,7.63 ,3.82 ,3.82 ,,,,,1,0,1,1,1,1,20061001
55725,CPT,Drainage of prostate abscess,,,21 ,,RBRVS,8.67 ,4.49 ,4.49 ,,,,,1,0,1,1,1,1,20061001
55801,CPT,Removal of prostate,,,21 ,,RBRVS,17.77 ,7.62 ,7.62 ,,,,,1,0,1,1,1,1,20061001
55810,CPT,Extensive prostate surgery,,,21 ,,RBRVS,22.55 ,8.95 ,8.95 ,,,,,1,0,1,1,1,1,20061001
55812,CPT,Extensive prostate surgery,,,21 ,,RBRVS,27.47 ,10.99 ,10.99 ,,,,,1,0,1,1,1,1,20061001
55815,CPT,Extensive prostate surgery,,,21 ,,RBRVS,30.41 ,11.90 ,11.90 ,,,,,1,0,1,1,1,1,20061001
55821,CPT,Removal of prostate,,,21 ,,RBRVS,14.23 ,6.21 ,6.21 ,,,,,1,0,1,1,1,1,20061001
55831,CPT,Removal of prostate,,,21 ,,RBRVS,15.60 ,6.66 ,6.66 ,,,,,1,0,1,1,1,1,20061001
55840,CPT,Extensive prostate surgery,,,21 ,,RBRVS,22.66 ,9.29 ,9.29 ,,,,,1,0,1,1,1,1,20061001
55842,CPT,Extensive prostate surgery,,,21 ,,RBRVS,24.34 ,9.85 ,9.85 ,,,,,1,0,1,1,1,1,20061001
55845,CPT,Extensive prostate surgery,,,21 ,,RBRVS,28.51 ,10.94 ,10.94 ,,,,,1,0,1,1,1,1,20061001
55859,CPT,"Percut/needle insert, pros",,,21 ,,RBRVS,12.50 ,5.85 ,5.85 ,,,,,1,0,1,1,1,1,20061001
55860,CPT,"Surgical exposure, prostate",,,21 ,,RBRVS,14.43 ,6.41 ,6.41 ,,,,,1,0,1,1,1,1,20061001
55862,CPT,Extensive prostate surgery,,,21 ,,RBRVS,18.36 ,7.85 ,7.85 ,,,,,1,0,1,1,1,1,20061001
55865,CPT,Extensive prostate surgery,,,21 ,,RBRVS,22.84 ,9.27 ,9.27 ,,,,,1,0,1,1,1,1,20061001
55866,CPT,Laparo radical prostatectomy,,,21 ,,RBRVS,30.69 ,11.73 ,11.73 ,,,,,1,0,1,1,1,1,20061001
55870,CPT,Vag hyst w/enterocele repair,,,21 ,,RBRVS,2.58 ,1.08 ,1.53 ,,,,,1,0,1,1,1,1,20061001
55873,CPT,Cryoablate prostate,,,21 ,,RBRVS,19.44 ,8.96 ,8.96 ,,,,,1,0,1,1,1,1,20061001
55899,CPT,Genital surgery procedure,,,21 ,,TotalUnits,,,,4.69 ,,,,1,0,1,1,1,1,20061001
56405,CPT,I & D of vulva/perineum,,,21 ,,RBRVS,1.44 ,1.14 ,1.33 ,,,,,1,0,1,1,1,1,20061001
56420,CPT,Drainage of gland abscess,,,21 ,,RBRVS,1.39 ,1.04 ,2.28 ,,,,,1,0,1,1,1,1,20061001
56440,CPT,Surgery for vulva lesion,,,21 ,,RBRVS,2.84 ,1.71 ,1.71 ,,,,,1,0,1,1,1,1,20061001
56441,CPT,Lysis of labial lesion(s),,,21 ,,RBRVS,1.97 ,1.41 ,1.82 ,,,,,1,0,1,1,1,1,20061001
56501,CPT,"Destroy, vulva lesions, sim",,,21 ,,RBRVS,1.53 ,1.24 ,1.79 ,,,,,1,0,1,1,1,1,20061001
56515,CPT,Destroy vulva lesion/s compl,,,21 ,,RBRVS,2.76 ,1.82 ,2.55 ,,,,,1,0,1,1,1,1,20061001
56605,CPT,Biopsy of vulva/perineum,,,21 ,,RBRVS,1.10 ,0.46 ,1.07 ,,,,,1,0,1,1,1,1,20061001
56606,CPT,Biopsy of vulva/perineum,,,21 ,,RBRVS,0.55 ,0.22 ,0.49 ,,,,,1,0,1,1,1,1,20061001
56620,CPT,Partial removal of vulva,,,21 ,,RBRVS,7.46 ,4.80 ,4.80 ,,,,,1,0,1,1,1,1,20061001
56625,CPT,Complete removal of vulva,,,21 ,,RBRVS,8.39 ,5.33 ,5.33 ,,,,,1,0,1,1,1,1,20061001
56630,CPT,Extensive vulva surgery,,,21 ,,RBRVS,12.34 ,6.85 ,6.85 ,,,,,1,0,1,1,1,1,20061001
56631,CPT,Extensive vulva surgery,,,21 ,,RBRVS,16.18 ,8.83 ,8.83 ,,,,,1,0,1,1,1,1,20061001
56632,CPT,Extensive vulva surgery,,,21 ,,RBRVS,20.26 ,9.54 ,9.54 ,,,,,1,0,1,1,1,1,20061001
56633,CPT,Extensive vulva surgery,,,21 ,,RBRVS,16.45 ,8.61 ,8.61 ,,,,,1,0,1,1,1,1,20061001
56634,CPT,Extensive vulva surgery,,,21 ,,RBRVS,17.85 ,9.45 ,9.45 ,,,,,1,0,1,1,1,1,20061001
56637,CPT,Extensive vulva surgery,,,21 ,,RBRVS,21.94 ,11.09 ,11.09 ,,,,,1,0,1,1,1,1,20061001
56640,CPT,Extensive vulva surgery,,,21 ,,RBRVS,22.14 ,10.64 ,10.64 ,,,,,1,0,1,1,1,1,20061001
56700,CPT,Partial removal of hymen,,,21 ,,RBRVS,2.52 ,1.84 ,1.84 ,,,,,1,0,1,1,1,1,20061001
56720,CPT,Incision of hymen,,,21 ,,RBRVS,0.68 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20061001
56740,CPT,Remove vagina gland lesion,,,21 ,,RBRVS,4.56 ,2.57 ,2.57 ,,,,,1,0,1,1,1,1,20061001
56800,CPT,Repair of vagina,,,21 ,,RBRVS,3.88 ,2.20 ,2.20 ,,,,,1,0,1,1,1,1,20061001
56805,CPT,Repair clitoris,,,21 ,,RBRVS,18.83 ,9.44 ,9.44 ,,,,,1,0,1,1,1,1,20061001
56810,CPT,Repair of perineum,,,21 ,,RBRVS,4.12 ,2.30 ,2.30 ,,,,,1,0,1,1,1,1,20061001
56820,CPT,Exam of vulva w/scope,,,21 ,,RBRVS,1.50 ,0.65 ,1.31 ,,,,,1,0,1,1,1,1,20061001
56821,CPT,Exam/biopsy of vulva w/scope,,,21 ,,RBRVS,2.05 ,0.91 ,1.76 ,,,,,1,0,1,1,1,1,20061001
57000,CPT,Exploration of vagina,,,21 ,,RBRVS,2.97 ,1.72 ,1.72 ,,,,,1,0,1,1,1,1,20061001
57010,CPT,Drainage of pelvic abscess,,,21 ,,RBRVS,6.02 ,3.81 ,3.81 ,,,,,1,0,1,1,1,1,20061001
57020,CPT,Drainage of pelvic fluid,,,21 ,,RBRVS,1.50 ,0.59 ,0.94 ,,,,,1,0,1,1,1,1,20061001
57022,CPT,"I & d vaginal hematoma, pp",,,21 ,,RBRVS,2.56 ,1.49 ,1.49 ,,,,,1,0,1,1,1,1,20061001
57023,CPT,"I & d vag hematoma, non-ob",,,21 ,,RBRVS,4.74 ,2.58 ,2.58 ,,,,,1,0,1,1,1,1,20061001
57061,CPT,"Destroy vag lesions, simple",,,21 ,,RBRVS,1.25 ,1.12 ,1.65 ,,,,,1,0,1,1,1,1,20061001
57065,CPT,"Destroy vag lesions, complex",,,21 ,,RBRVS,2.61 ,1.67 ,2.30 ,,,,,1,0,1,1,1,1,20061001
57100,CPT,Biopsy of vagina,,,21 ,,RBRVS,1.20 ,0.48 ,1.08 ,,,,,1,0,1,1,1,1,20061001
57105,CPT,Biopsy of vagina,,,21 ,,RBRVS,1.69 ,1.42 ,1.80 ,,,,,1,0,1,1,1,1,20061001
57106,CPT,"Remove vagina wall, partial",,,21 ,,RBRVS,6.35 ,4.19 ,4.19 ,,,,,1,0,1,1,1,1,20061001
57107,CPT,"Remove vagina tissue, part",,,21 ,,RBRVS,22.97 ,10.49 ,10.49 ,,,,,1,0,1,1,1,1,20061001
57109,CPT,Vaginectomy partial w/nodes,,,21 ,,RBRVS,26.96 ,11.27 ,11.27 ,,,,,1,0,1,1,1,1,20061001
57110,CPT,"Remove vagina wall, complete",,,21 ,,RBRVS,14.27 ,7.29 ,7.29 ,,,,,1,0,1,1,1,1,20061001
57111,CPT,"Remove vagina tissue, compl",,,21 ,,RBRVS,26.96 ,12.65 ,12.65 ,,,,,1,0,1,1,1,1,20061001
57112,CPT,"Vaginectomy w/nodes, compl",,,21 ,,RBRVS,28.96 ,12.13 ,12.13 ,,,,,1,0,1,1,1,1,20061001
57120,CPT,Closure of vagina,,,21 ,,RBRVS,7.40 ,4.61 ,4.61 ,,,,,1,0,1,1,1,1,20061001
57130,CPT,Remove vagina lesion,,,21 ,,RBRVS,2.43 ,1.54 ,2.16 ,,,,,1,0,1,1,1,1,20061001
57135,CPT,Remove vagina lesion,,,21 ,,RBRVS,2.67 ,1.65 ,2.27 ,,,,,1,0,1,1,1,1,20061001
57150,CPT,Treat vagina infection,,,21 ,,RBRVS,0.55 ,0.21 ,1.10 ,,,,,1,0,1,1,1,1,20061001
57155,CPT,Insert uteri tandems/ovoids,,,21 ,,RBRVS,6.26 ,4.57 ,4.57 ,,,,,1,0,1,1,1,1,20061001
57160,CPT,Insert pessary/other device,,,21 ,,RBRVS,0.89 ,0.34 ,1.01 ,,,,,1,0,1,1,1,1,20061001
57170,CPT,Fitting of diaphragm/cap,,,21 ,,RBRVS,0.91 ,0.33 ,1.48 ,,,,,1,0,1,1,1,1,20061001
57180,CPT,Treat vaginal bleeding,,,21 ,,RBRVS,1.58 ,1.26 ,2.17 ,,,,,1,0,1,1,1,1,20061001
57200,CPT,Repair of vagina,,,21 ,,RBRVS,3.93 ,2.90 ,2.90 ,,,,,1,0,1,1,1,1,20061001
57210,CPT,Repair vagina/perineum,,,21 ,,RBRVS,5.16 ,3.44 ,3.44 ,,,,,1,0,1,1,1,1,20061001
57220,CPT,Revision of urethra,,,21 ,,RBRVS,4.30 ,3.11 ,3.11 ,,,,,1,0,1,1,1,1,20061001
57230,CPT,Repair of urethral lesion,,,21 ,,RBRVS,5.63 ,3.41 ,3.41 ,,,,,1,0,1,1,1,1,20061001
57240,CPT,Repair bladder & vagina,,,21 ,,RBRVS,6.06 ,3.82 ,3.82 ,,,,,1,0,1,1,1,1,20061001
57250,CPT,Repair rectum & vagina,,,21 ,,RBRVS,5.52 ,3.58 ,3.58 ,,,,,1,0,1,1,1,1,20061001
57260,CPT,Repair of vagina,,,21 ,,RBRVS,8.26 ,4.84 ,4.84 ,,,,,1,0,1,1,1,1,20061001
57265,CPT,Extensive repair of vagina,,,21 ,,RBRVS,11.32 ,6.05 ,6.05 ,,,,,1,0,1,1,1,1,20061001
57267,CPT,Insert mesh/pelvic flr addon,,,21 ,,RBRVS,4.88 ,1.98 ,1.98 ,,,,,1,0,1,1,1,1,20061001
57268,CPT,Repair of bowel bulge,,,21 ,,RBRVS,6.75 ,4.20 ,4.20 ,,,,,1,0,1,1,1,1,20061001
57270,CPT,Repair of bowel pouch,,,21 ,,RBRVS,12.09 ,6.26 ,6.26 ,,,,,1,0,1,1,1,1,20061001
57280,CPT,Suspension of vagina,,,21 ,,RBRVS,15.02 ,7.38 ,7.38 ,,,,,1,0,1,1,1,1,20061001
57282,CPT,Repair of vaginal prolapse,,,21 ,,RBRVS,6.86 ,4.51 ,4.51 ,,,,,1,0,1,1,1,1,20061001
57283,CPT,"Colpopexy, intraperitoneal",,,21 ,,RBRVS,10.84 ,5.93 ,5.93 ,,,,,1,0,0,1,1,1,20061001
57284,CPT,Repair paravaginal defect,,,21 ,,RBRVS,12.68 ,7.16 ,7.16 ,,,,,1,0,1,1,1,1,20061001
57287,CPT,Revise/remove sling repair,,,21 ,,RBRVS,10.69 ,5.49 ,5.49 ,,,,,1,0,1,1,1,1,20061001
57288,CPT,Repair bladder defect,,,21 ,,RBRVS,13.00 ,5.92 ,5.92 ,,,,,1,0,1,1,1,1,20061001
57289,CPT,Repair bladder & vagina,,,21 ,,RBRVS,11.56 ,6.05 ,6.05 ,,,,,1,0,1,1,1,1,20061001
57291,CPT,Construction of vagina,,,21 ,,RBRVS,7.94 ,4.93 ,4.93 ,,,,,1,0,1,1,1,1,20061001
57292,CPT,Construct vagina with graft,,,21 ,,RBRVS,13.07 ,6.95 ,6.95 ,,,,,1,0,1,1,1,1,20061001
57295,CPT,Change vaginal graft,,,21 ,,RBRVS,7.45 ,4.44 ,4.44 ,,,,,1,0,1,1,1,1,20061001
57300,CPT,Repair rectum-vagina fistula,,,21 ,,RBRVS,7.60 ,4.29 ,4.29 ,,,,,1,0,1,1,1,1,20061001
57305,CPT,Repair rectum-vagina fistula,,,21 ,,RBRVS,13.75 ,6.28 ,6.28 ,,,,,1,0,1,1,1,1,20061001
57307,CPT,Fistula repair & colostomy,,,21 ,,RBRVS,15.91 ,7.01 ,7.01 ,,,,,1,0,1,1,1,1,20061001
57308,CPT,"Fistula repair, transperine",,,21 ,,RBRVS,9.93 ,5.10 ,5.10 ,,,,,1,0,1,1,1,1,20061001
57310,CPT,Repair urethrovaginal lesion,,,21 ,,RBRVS,6.77 ,3.84 ,3.84 ,,,,,1,0,1,1,1,1,20061001
57311,CPT,Repair urethrovaginal lesion,,,21 ,,RBRVS,7.97 ,4.12 ,4.12 ,,,,,1,0,1,1,1,1,20061001
57320,CPT,Repair bladder-vagina lesion,,,21 ,,RBRVS,8.00 ,4.37 ,4.37 ,,,,,1,0,1,1,1,1,20061001
57330,CPT,Repair bladder-vagina lesion,,,21 ,,RBRVS,12.33 ,5.72 ,5.72 ,,,,,1,0,1,1,1,1,20061001
57335,CPT,Repair vagina,,,21 ,,RBRVS,18.70 ,9.05 ,9.05 ,,,,,1,0,1,1,1,1,20061001
57400,CPT,Dilation of vagina,,,21 ,,RBRVS,2.27 ,1.11 ,1.11 ,,,,,1,0,1,1,1,1,20061001
57410,CPT,Pelvic examination,,,21 ,,RBRVS,1.75 ,0.89 ,2.02 ,,,,,1,0,1,1,1,1,20061001
57415,CPT,Remove vaginal foreign body,,,21 ,,RBRVS,2.17 ,1.42 ,1.42 ,,,,,1,0,1,1,1,1,20061001
57420,CPT,Exam of vagina w/scope,,,21 ,,RBRVS,1.60 ,0.67 ,1.35 ,,,,,1,0,1,1,1,1,20061001
57421,CPT,Exam/biopsy of vag w/scope,,,21 ,,RBRVS,2.20 ,0.96 ,1.85 ,,,,,1,0,1,1,1,1,20061001
57425,CPT,"Laparoscopy, surg, colpopexy",,,21 ,,RBRVS,15.73 ,6.65 ,6.65 ,,,,,1,0,1,1,1,1,20061001
57452,CPT,Exam of cervix w/scope,,,21 ,,RBRVS,1.50 ,0.76 ,1.28 ,,,,,1,0,1,1,1,1,20061001
57454,CPT,Bx/curett of cervix w/scope,,,21 ,,RBRVS,2.33 ,1.15 ,1.64 ,,,,,1,0,1,1,1,1,20061001
57455,CPT,Biopsy of cervix w/scope,,,21 ,,RBRVS,1.99 ,0.87 ,1.72 ,,,,,1,0,1,1,1,1,20061001
57456,CPT,Endocerv curettage w/scope,,,21 ,,RBRVS,1.85 ,0.82 ,1.65 ,,,,,1,0,1,1,1,1,20061001
57460,CPT,"Bx of cervix w/scope, leep",,,21 ,,RBRVS,2.83 ,1.38 ,5.86 ,,,,,1,0,1,1,1,1,20061001
57461,CPT,"Conz of cervix w/scope, leep",,,21 ,,RBRVS,3.43 ,1.47 ,6.12 ,,,,,1,0,1,1,1,1,20061001
57500,CPT,Biopsy of cervix,,,21 ,,RBRVS,0.97 ,0.63 ,2.55 ,,,,,1,0,1,1,1,1,20061001
57505,CPT,Endocervical curettage,,,21 ,,RBRVS,1.14 ,1.10 ,1.46 ,,,,,1,0,1,1,1,1,20061001
57510,CPT,Cauterization of cervix,,,21 ,,RBRVS,1.90 ,1.04 ,1.56 ,,,,,1,0,1,1,1,1,20061001
57511,CPT,Cryocautery of cervix,,,21 ,,RBRVS,1.90 ,1.37 ,1.83 ,,,,,1,0,1,1,1,1,20061001
57513,CPT,Laser surgery of cervix,,,21 ,,RBRVS,1.90 ,1.40 ,1.72 ,,,,,1,0,1,1,1,1,20061001
57520,CPT,Conization of cervix,,,21 ,,RBRVS,4.03 ,2.88 ,3.94 ,,,,,1,0,1,1,1,1,20061001
57522,CPT,Conization of cervix,,,21 ,,RBRVS,3.35 ,2.46 ,3.16 ,,,,,1,0,1,1,1,1,20061001
57530,CPT,Removal of cervix,,,21 ,,RBRVS,4.78 ,3.39 ,3.39 ,,,,,1,0,1,1,1,1,20061001
57531,CPT,"Removal of cervix, radical",,,21 ,,RBRVS,27.96 ,13.20 ,13.20 ,,,,,1,0,1,1,1,1,20061001
57540,CPT,Removal of residual cervix,,,21 ,,RBRVS,12.20 ,6.25 ,6.25 ,,,,,1,0,1,1,1,1,20061001
57545,CPT,Remove cervix/repair pelvis,,,21 ,,RBRVS,13.01 ,6.69 ,6.69 ,,,,,1,0,1,1,1,1,20061001
57550,CPT,Removal of residual cervix,,,21 ,,RBRVS,5.52 ,3.83 ,3.83 ,,,,,1,0,1,1,1,1,20061001
57555,CPT,Remove cervix/repair vagina,,,21 ,,RBRVS,8.94 ,5.09 ,5.09 ,,,,,1,0,1,1,1,1,20061001
57556,CPT,"Remove cervix, repair bowel",,,21 ,,RBRVS,8.36 ,4.86 ,4.86 ,,,,,1,0,1,1,1,1,20061001
57700,CPT,Revision of cervix,,,21 ,,RBRVS,3.54 ,3.11 ,3.11 ,,,,,1,0,1,1,1,1,20061001
57720,CPT,Revision of cervix,,,21 ,,RBRVS,4.12 ,3.11 ,3.11 ,,,,,1,0,1,1,1,1,20061001
57800,CPT,Dilation of cervical canal,,,21 ,,RBRVS,0.77 ,0.47 ,0.76 ,,,,,1,0,1,1,1,1,20061001
57820,CPT,D & c of residual cervix,,,21 ,,RBRVS,1.67 ,1.14 ,1.47 ,,,,,1,0,1,1,1,1,20061001
58100,CPT,Biopsy of uterus lining,,,21 ,,RBRVS,1.53 ,0.72 ,1.32 ,,,,,1,0,1,1,1,1,20061001
58110,CPT,Bx done w/colposcopy add-on,,,21 ,,RBRVS,0.77 ,0.31 ,0.55 ,,,,,1,0,1,1,1,1,20061001
58120,CPT,Dilation and curettage,,,21 ,,RBRVS,3.27 ,1.88 ,2.31 ,,,,,1,0,1,1,1,1,20061001
58140,CPT,Myomectomy abdom method,,,21 ,,RBRVS,14.58 ,7.12 ,7.12 ,,,,,1,0,1,1,1,1,20061001
58145,CPT,Myomectomy vag method,,,21 ,,RBRVS,8.03 ,4.80 ,4.80 ,,,,,1,0,1,1,1,1,20061001
58146,CPT,Myomectomy abdom complex,,,21 ,,RBRVS,18.97 ,9.03 ,9.03 ,,,,,1,0,1,1,1,1,20061001
58150,CPT,Total hysterectomy,,,21 ,,RBRVS,15.22 ,7.50 ,7.50 ,,,,,1,0,1,1,1,1,20061001
58152,CPT,Total hysterectomy,,,21 ,,RBRVS,20.57 ,9.88 ,9.88 ,,,,,1,0,1,1,1,1,20061001
58180,CPT,Partial hysterectomy,,,21 ,,RBRVS,15.27 ,7.47 ,7.47 ,,,,,1,0,1,1,1,1,20061001
58200,CPT,Extensive hysterectomy,,,21 ,,RBRVS,21.56 ,10.02 ,10.02 ,,,,,1,0,1,1,1,1,20061001
58210,CPT,Extensive hysterectomy,,,21 ,,RBRVS,28.81 ,13.23 ,13.23 ,,,,,1,0,1,1,1,1,20061001
58240,CPT,Removal of pelvis contents,,,21 ,,RBRVS,38.33 ,17.66 ,17.66 ,,,,,1,0,1,1,1,1,20061001
58260,CPT,Vaginal hysterectomy,,,21 ,,RBRVS,12.96 ,6.71 ,6.71 ,,,,,1,0,1,1,1,1,20061001
58262,CPT,Vag hyst including t/o,,,21 ,,RBRVS,14.75 ,7.40 ,7.40 ,,,,,1,0,1,1,1,1,20061001
58263,CPT,Vag hyst w/t/o & vag repair,,,21 ,,RBRVS,16.04 ,7.90 ,7.90 ,,,,,1,0,1,1,1,1,20061001
58267,CPT,Vag hyst w/urinary repair,,,21 ,,RBRVS,17.01 ,8.39 ,8.39 ,,,,,1,0,1,1,1,1,20061001
58270,CPT,Vag hyst w/enterocele repair,,,21 ,,RBRVS,14.24 ,7.08 ,7.08 ,,,,,1,0,1,1,1,1,20061001
58275,CPT,Hysterectomy/revise vagina,,,21 ,,RBRVS,15.74 ,7.79 ,7.79 ,,,,,1,0,1,1,1,1,20061001
58280,CPT,Hysterectomy/revise vagina,,,21 ,,RBRVS,16.98 ,8.27 ,8.27 ,,,,,1,0,1,1,1,1,20061001
58285,CPT,Extensive hysterectomy,,,21 ,,RBRVS,22.23 ,9.97 ,9.97 ,,,,,1,0,1,1,1,1,20061001
58290,CPT,Vag hyst complex,,,21 ,,RBRVS,18.97 ,9.15 ,9.15 ,,,,,1,0,1,1,1,1,20061001
58291,CPT,"Vag hyst incl t/o, complex",,,21 ,,RBRVS,20.76 ,9.90 ,9.90 ,,,,,1,0,1,1,1,1,20061001
58292,CPT,"Vag hyst t/o & repair, compl",,,21 ,,RBRVS,22.05 ,10.39 ,10.39 ,,,,,1,0,1,1,1,1,20061001
58293,CPT,"Vag hyst w/uro repair, compl",,,21 ,,RBRVS,23.03 ,10.68 ,10.68 ,,,,,1,0,1,1,1,1,20061001
58294,CPT,"Vag hyst w/enterocele, compl",,,21 ,,RBRVS,20.25 ,9.58 ,9.58 ,,,,,1,0,1,1,1,1,20061001
58300,CPT,Insert intrauterine device,,,21 ,,RBRVS,1.01 ,0.38 ,1.42 ,,,,,1,0,1,1,1,1,20061001
58301,CPT,Remove intrauterine device,,,21 ,,RBRVS,1.27 ,0.48 ,1.32 ,,,,,1,0,1,1,1,1,20061001
58321,CPT,Artificial insemination,,,21 ,,RBRVS,0.92 ,0.37 ,1.15 ,,,,,1,0,1,1,1,1,20061001
58322,CPT,Artificial insemination,,,21 ,,RBRVS,1.10 ,0.42 ,1.20 ,,,,,1,0,1,1,1,1,20061001
58323,CPT,Sperm washing,,,21 ,,RBRVS,0.23 ,0.09 ,0.53 ,,,,,1,0,1,1,1,1,20061001
58340,CPT,Catheter for hysterography,,,21 ,,RBRVS,0.88 ,0.65 ,3.17 ,,,,,1,0,1,1,1,1,20061001
58345,CPT,Reopen fallopian tube,,,21 ,,RBRVS,4.65 ,2.44 ,2.44 ,,,,,1,0,1,1,1,1,20061001
58346,CPT,Insert heyman uteri capsule,,,21 ,,RBRVS,6.74 ,3.93 ,3.93 ,,,,,1,0,1,1,1,1,20061001
58350,CPT,Reopen fallopian tube,,,21 ,,RBRVS,1.01 ,0.92 ,1.49 ,,,,,1,0,1,1,1,1,20061001
58353,CPT,"Endometr ablate, thermal",,,21 ,,RBRVS,3.55 ,2.06 ,35.76 ,,,,,1,0,1,1,1,1,20061001
58356,CPT,Endometrial cryoablation,,,21 ,,RBRVS,6.36 ,2.70 ,61.61 ,,,,,1,0,1,1,1,1,20061001
58400,CPT,Suspension of uterus,,,21 ,,RBRVS,6.35 ,3.94 ,3.94 ,,,,,1,0,1,1,1,1,20061001
58410,CPT,Suspension of uterus,,,21 ,,RBRVS,12.71 ,6.45 ,6.45 ,,,,,1,0,1,1,1,1,20061001
58520,CPT,Repair of ruptured uterus,,,21 ,,RBRVS,11.90 ,6.05 ,6.05 ,,,,,1,0,1,1,1,1,20061001
58540,CPT,Revision of uterus,,,21 ,,RBRVS,14.62 ,6.97 ,6.97 ,,,,,1,0,1,1,1,1,20061001
58545,CPT,Laparoscopic myomectomy,,,21 ,,RBRVS,14.58 ,7.20 ,7.20 ,,,,,1,0,1,1,1,1,20061001
58546,CPT,"Laparo-myomectomy, complex",,,21 ,,RBRVS,18.97 ,8.94 ,8.94 ,,,,,1,0,1,1,1,1,20061001
58550,CPT,Laparo-asst vag hysterectomy,,,21 ,,RBRVS,14.17 ,7.31 ,7.31 ,,,,,1,0,1,1,1,1,20061001
58552,CPT,Laparo-vag hyst incl t/o,,,21 ,,RBRVS,15.98 ,8.03 ,8.03 ,,,,,1,0,1,1,1,1,20061001
58553,CPT,"Laparo-vag hyst, complex",,,21 ,,RBRVS,18.97 ,8.94 ,8.94 ,,,,,1,0,1,1,1,1,20061001
58554,CPT,"Laparo-vag hyst w/t/o, compl",,,21 ,,RBRVS,21.97 ,10.42 ,10.42 ,,,,,1,0,1,1,1,1,20061001
58555,CPT,"Hysteroscopy, dx, sep proc",,,21 ,,RBRVS,3.33 ,1.55 ,2.20 ,,,,,1,0,1,1,1,1,20061001
58558,CPT,"Hysteroscopy, biopsy",,,21 ,,RBRVS,4.74 ,2.18 ,2.18 ,,,,,1,0,1,1,1,1,20061001
58559,CPT,"Hysteroscopy, lysis",,,21 ,,RBRVS,6.16 ,2.74 ,2.74 ,,,,,1,0,1,1,1,1,20061001
58560,CPT,"Hysteroscopy, resect septum",,,21 ,,RBRVS,6.99 ,3.09 ,3.09 ,,,,,1,0,1,1,1,1,20061001
58561,CPT,"Hysteroscopy, remove myoma",,,21 ,,RBRVS,9.99 ,4.29 ,4.29 ,,,,,1,0,1,1,1,1,20061001
58562,CPT,"Hysteroscopy, remove fb",,,21 ,,RBRVS,5.20 ,2.36 ,2.36 ,,,,,1,0,1,1,1,1,20061001
58563,CPT,"Hysteroscopy, ablation",,,21 ,,RBRVS,6.16 ,2.76 ,56.35 ,,,,,1,0,1,1,1,1,20061001
58565,CPT,"Hysteroscopy, sterilization",,,21 ,,RBRVS,7.02 ,3.91 ,49.70 ,,,,,1,0,1,1,1,1,20061001
58578,CPT,"Laparo proc, uterus",,,21 ,,TotalUnits,,,,21.48 ,,,,1,0,1,1,1,1,20061001
58579,CPT,Hysteroscope procedure,,,21 ,,TotalUnits,,,,6.80 ,,,,1,0,1,1,1,1,20061001
58600,CPT,Division of fallopian tube,,,21 ,,RBRVS,5.59 ,3.34 ,3.34 ,,,,,1,0,1,1,1,1,20061001
58605,CPT,Division of fallopian tube,,,21 ,,RBRVS,4.99 ,3.12 ,3.12 ,,,,,1,0,1,1,1,1,20061001
58611,CPT,Ligate oviduct(s) add-on,,,21 ,,RBRVS,1.45 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20061001
58615,CPT,Occlude fallopian tube(s),,,21 ,,RBRVS,3.89 ,2.71 ,2.71 ,,,,,1,0,1,1,1,1,20061001
58660,CPT,"Laparoscopy, lysis",,,21 ,,RBRVS,11.27 ,5.27 ,5.27 ,,,,,1,0,1,1,1,1,20061001
58661,CPT,"Laparoscopy, remove adnexa",,,21 ,,RBRVS,11.03 ,5.13 ,5.13 ,,,,,1,0,1,1,1,1,20061001
58662,CPT,"Laparoscopy, excise lesions",,,21 ,,RBRVS,11.77 ,5.80 ,5.80 ,,,,,1,0,1,1,1,1,20061001
58670,CPT,"Laparoscopy, tubal cautery",,,21 ,,RBRVS,5.59 ,3.28 ,3.28 ,,,,,1,0,1,1,1,1,20061001
58671,CPT,"Laparoscopy, tubal block",,,21 ,,RBRVS,5.59 ,3.28 ,3.28 ,,,,,1,0,1,1,1,1,20061001
58672,CPT,"Laparoscopy, fimbrioplasty",,,21 ,,RBRVS,12.86 ,6.20 ,6.20 ,,,,,1,0,1,1,1,1,20061001
58673,CPT,"Laparoscopy, salpingostomy",,,21 ,,RBRVS,13.72 ,6.59 ,6.59 ,,,,,1,0,1,1,1,1,20061001
58679,CPT,"Laparo proc, oviduct-ovary",,,21 ,,TotalUnits,,,,16.17 ,,,,1,0,1,1,1,1,20061001
58700,CPT,Removal of fallopian tube,,,21 ,,RBRVS,12.03 ,6.00 ,6.00 ,,,,,1,0,1,1,1,1,20061001
58720,CPT,Removal of ovary/tube(s),,,21 ,,RBRVS,11.34 ,5.79 ,5.79 ,,,,,1,0,1,1,1,1,20061001
58740,CPT,Revise fallopian tube(s),,,21 ,,RBRVS,13.98 ,7.15 ,7.15 ,,,,,1,0,1,1,1,1,20061001
58750,CPT,Repair oviduct,,,21 ,,RBRVS,14.82 ,7.38 ,7.38 ,,,,,1,0,1,1,1,1,20061001
58752,CPT,Revise ovarian tube(s),,,21 ,,RBRVS,14.82 ,6.96 ,6.96 ,,,,,1,0,1,1,1,1,20061001
58760,CPT,Remove tubal obstruction,,,21 ,,RBRVS,13.11 ,6.73 ,6.73 ,,,,,1,0,1,1,1,1,20061001
58770,CPT,Create new tubal opening,,,21 ,,RBRVS,13.95 ,6.92 ,6.92 ,,,,,1,0,1,1,1,1,20061001
58800,CPT,Drainage of ovarian cyst(s),,,21 ,,RBRVS,4.13 ,2.91 ,3.65 ,,,,,1,0,1,1,1,1,20061001
58805,CPT,Drainage of ovarian cyst(s),,,21 ,,RBRVS,5.87 ,3.51 ,3.51 ,,,,,1,0,1,1,1,1,20061001
58820,CPT,"Drain ovary abscess, open",,,21 ,,RBRVS,4.21 ,3.30 ,3.30 ,,,,,1,0,1,1,1,1,20061001
58822,CPT,"Drain ovary abscess, percut",,,21 ,,RBRVS,10.11 ,5.23 ,5.23 ,,,,,1,0,1,1,1,1,20061001
58823,CPT,"Drain pelvic abscess, percut",,,21 ,,RBRVS,3.37 ,1.12 ,21.38 ,,,,,1,0,1,1,1,1,20061001
58825,CPT,"Transposition, ovary(s)",,,21 ,,RBRVS,10.96 ,5.81 ,5.81 ,,,,,1,0,1,1,1,1,20061001
58900,CPT,Biopsy of ovary(s),,,21 ,,RBRVS,5.98 ,3.58 ,3.58 ,,,,,1,0,1,1,1,1,20061001
58920,CPT,Partial removal of ovary(s),,,21 ,,RBRVS,11.34 ,5.59 ,5.59 ,,,,,1,0,1,1,1,1,20061001
58925,CPT,Removal of ovarian cyst(s),,,21 ,,RBRVS,11.34 ,5.70 ,5.70 ,,,,,1,0,1,1,1,1,20061001
58940,CPT,Removal of ovary(s),,,21 ,,RBRVS,7.28 ,4.11 ,4.11 ,,,,,1,0,1,1,1,1,20061001
58943,CPT,Removal of ovary(s),,,21 ,,RBRVS,18.40 ,8.67 ,8.67 ,,,,,1,0,1,1,1,1,20061001
58950,CPT,Resect ovarian malignancy,,,21 ,,RBRVS,16.90 ,8.42 ,8.42 ,,,,,1,0,1,1,1,1,20061001
58951,CPT,Resect ovarian malignancy,,,21 ,,RBRVS,22.35 ,10.47 ,10.47 ,,,,,1,0,1,1,1,1,20061001
58952,CPT,Resect ovarian malignancy,,,21 ,,RBRVS,24.97 ,11.78 ,11.78 ,,,,,1,0,1,1,1,1,20061001
58953,CPT,"Tah, rad dissect for debulk",,,21 ,,RBRVS,31.95 ,14.58 ,14.58 ,,,,,1,0,1,1,1,1,20061001
58954,CPT,Tah rad debulk/lymph remove,,,21 ,,RBRVS,34.95 ,15.75 ,15.75 ,,,,,1,0,1,1,1,1,20061001
58956,CPT,"Bso, omentectomy w/tah",,,21 ,,RBRVS,20.78 ,10.34 ,10.34 ,,,,,1,0,0,1,1,1,20061001
58960,CPT,Exploration of abdomen,,,21 ,,RBRVS,14.63 ,7.37 ,7.37 ,,,,,1,0,1,1,1,1,20061001
58970,CPT,Retrieval of oocyte,,,21 ,,RBRVS,3.52 ,1.49 ,2.32 ,,,,,1,0,1,1,1,1,20061001
58974,CPT,Transfer of embryo,,,21 ,,TotalUnits,,,,4.54 ,,,,1,0,1,1,1,1,20061001
58976,CPT,Transfer of embryo,,,21 ,,RBRVS,3.82 ,1.83 ,2.69 ,,,,,1,0,1,1,1,1,20061001
58999,CPT,Genital surgery procedure,,,21 ,,TotalUnits,,,,4.00 ,,,,1,0,1,1,1,1,20061001
59000,CPT,"Amniocentesis, diagnostic",,,12 ,,RBRVS,1.30 ,0.67 ,2.08 ,,,,,1,0,1,1,1,1,20061001
59001,CPT,"Amniocentesis, therapeutic",,,12 ,,RBRVS,3.00 ,1.41 ,1.41 ,,,,,1,0,1,1,1,1,20061001
59012,CPT,"Fetal cord puncture,prenatal",,,12 ,,RBRVS,3.44 ,1.54 ,1.54 ,,,,,1,0,1,1,1,1,20061001
59015,CPT,Chorion biopsy,,,12 ,,RBRVS,2.20 ,1.04 ,1.55 ,,,,,1,0,1,1,1,1,20061001
59020,CPT,Fetal contract stress test,TC,,12 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20061001
59020,CPT,Fetal contract stress test,26,,12 ,,RBRVS,0.66 ,0.26 ,0.26 ,,,,,1,0,1,1,1,1,20061001
59025,CPT,Fetal non-stress test,TC,,12 ,,RBRVS,0.00 ,0.23 ,0.23 ,,,,,1,1,1,0,1,1,20061001
59025,CPT,Fetal non-stress test,26,,12 ,,RBRVS,0.53 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20061001
59030,CPT,Fetal scalp blood sample,,,12 ,,RBRVS,1.99 ,0.77 ,0.77 ,,,,,1,0,1,1,1,1,20061001
59050,CPT,Fetal monitor w/report,,,12 ,,RBRVS,0.89 ,0.35 ,0.35 ,,,,,1,0,1,1,1,1,20061001
59051,CPT,Fetal monitor/interpret only,,,12 ,,RBRVS,0.74 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20061001
59070,CPT,Transabdom amnioinfus w/ us,,,12 ,,RBRVS,5.24 ,2.32 ,5.16 ,,,,,1,0,1,1,1,1,20061001
59072,CPT,Umbilical cord occlud w/ us,,,12 ,,RBRVS,8.99 ,3.13 ,3.13 ,,,,,1,0,1,1,1,1,20061001
59074,CPT,Fetal fluid drainage w/ us,,,12 ,,RBRVS,5.24 ,2.32 ,4.58 ,,,,,1,0,1,1,1,1,20061001
59076,CPT,"Fetal shunt placement, w/ us",,,12 ,,RBRVS,8.99 ,3.13 ,3.13 ,,,,,1,0,1,1,1,1,20061001
59100,CPT,Remove uterus lesion,,,12 ,,RBRVS,12.33 ,6.47 ,6.47 ,,,,,1,0,1,1,1,1,20061001
59120,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,11.47 ,6.26 ,6.26 ,,,,,1,0,1,1,1,1,20061001
59121,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,11.65 ,6.34 ,6.34 ,,,,,1,0,1,1,1,1,20061001
59130,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,14.20 ,4.80 ,4.80 ,,,,,1,0,1,1,1,1,20061001
59135,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,13.86 ,7.24 ,7.24 ,,,,,1,0,1,1,1,1,20061001
59136,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,13.16 ,6.62 ,6.62 ,,,,,1,0,1,1,1,1,20061001
59140,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,5.45 ,2.22 ,2.22 ,,,,,1,0,1,1,1,1,20061001
59150,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,11.65 ,6.01 ,6.01 ,,,,,1,0,1,1,1,1,20061001
59151,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,11.47 ,6.07 ,6.07 ,,,,,1,0,1,1,1,1,20061001
59160,CPT,D & c after delivery,,,12 ,,RBRVS,2.71 ,2.14 ,3.30 ,,,,,1,0,1,1,1,1,20061001
59200,CPT,Insert cervical dilator,,,12 ,,RBRVS,0.79 ,0.30 ,1.19 ,,,,,1,0,1,1,1,1,20061001
59300,CPT,Episiotomy or vaginal repair,,,12 ,,RBRVS,2.41 ,0.96 ,2.18 ,,,,,1,0,1,1,1,1,20061001
59320,CPT,Revision of cervix,,,12 ,,RBRVS,2.48 ,1.24 ,1.24 ,,,,,1,0,1,1,1,1,20061001
59325,CPT,Revision of cervix,,,12 ,,RBRVS,4.06 ,1.90 ,1.90 ,,,,,1,0,1,1,1,1,20061001
59350,CPT,Repair of uterus,,,12 ,,RBRVS,4.94 ,1.88 ,1.88 ,,,,,1,0,1,1,1,1,20061001
59400,CPT,Obstetrical care,,,13 ,,RBRVS,23.03 ,15.36 ,15.36 ,,,,,1,0,1,1,1,1,20061001
59409,CPT,Obstetrical care,,,13 ,,RBRVS,13.48 ,5.32 ,5.32 ,,,,,1,0,1,1,1,1,20061001
59410,CPT,Obstetrical care,,,13 ,,RBRVS,14.76 ,6.32 ,6.32 ,,,,,1,0,1,1,1,1,20061001
59412,CPT,Antepartum manipulation,,,13 ,,RBRVS,1.71 ,0.81 ,0.81 ,,,,,1,0,1,1,1,1,20061001
59414,CPT,Deliver placenta,,,13 ,,RBRVS,1.61 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20061001
59425,CPT,Antepartum care only,,,13 ,,RBRVS,4.80 ,1.86 ,4.21 ,,,,,1,0,1,1,1,1,20061001
59426,CPT,Antepartum care only,,,13 ,,RBRVS,8.27 ,3.23 ,7.56 ,,,,,1,0,1,1,1,1,20061001
59430,CPT,Care after delivery,,,13 ,,RBRVS,2.13 ,0.94 ,1.23 ,,,,,1,0,1,1,1,1,20061001
59510,CPT,Cesarean delivery,,,11 ,,RBRVS,26.18 ,17.31 ,17.31 ,,,,,1,0,1,1,1,1,20061001
59514,CPT,Cesarean delivery only,,,11 ,,RBRVS,15.95 ,6.23 ,6.23 ,,,,,1,0,1,1,1,1,20061001
59515,CPT,Cesarean delivery,,,11 ,,RBRVS,17.34 ,7.85 ,7.85 ,,,,,1,0,1,1,1,1,20061001
59525,CPT,Remove uterus after cesarean,,,21 ,,RBRVS,8.53 ,3.31 ,3.31 ,,,,,1,0,1,1,1,1,20061001
59610,CPT,Vbac delivery,,,13 ,,RBRVS,24.58 ,15.91 ,15.91 ,,,,,1,0,1,1,1,1,20061001
59612,CPT,Vbac delivery only,,,13 ,,RBRVS,15.04 ,6.07 ,6.07 ,,,,,1,0,1,1,1,1,20061001
59614,CPT,Vbac care after delivery,,,13 ,,RBRVS,16.32 ,6.95 ,6.95 ,,,,,1,0,1,1,1,1,20061001
59618,CPT,Attempted vbac delivery,,,11 ,,RBRVS,27.74 ,18.28 ,18.28 ,,,,,1,0,1,1,1,1,20061001
59620,CPT,Attempted vbac delivery only,,,11 ,,RBRVS,17.50 ,6.78 ,6.78 ,,,,,1,0,1,1,1,1,20061001
59622,CPT,Attempted vbac after care,,,11 ,,RBRVS,18.90 ,8.66 ,8.66 ,,,,,1,0,1,1,1,1,20061001
59812,CPT,Treatment of miscarriage,,,12 ,,RBRVS,4.00 ,2.55 ,2.55 ,,,,,1,0,1,1,1,1,20061001
59820,CPT,Care of miscarriage,,,12 ,,RBRVS,4.00 ,3.57 ,4.43 ,,,,,1,0,1,1,1,1,20061001
59821,CPT,Treatment of miscarriage,,,12 ,,RBRVS,4.46 ,3.41 ,4.28 ,,,,,1,0,1,1,1,1,20061001
59830,CPT,Treat uterus infection,,,12 ,,RBRVS,6.10 ,3.99 ,3.99 ,,,,,1,0,1,1,1,1,20061001
59840,CPT,Abortion,,,12 ,,RBRVS,3.01 ,2.13 ,2.13 ,,,,,1,0,1,1,1,1,20061001
59841,CPT,Abortion,,,12 ,,RBRVS,5.23 ,2.98 ,3.50 ,,,,,1,0,1,1,1,1,20061001
59850,CPT,Abortion,,,12 ,,RBRVS,5.90 ,3.26 ,3.26 ,,,,,1,0,1,1,1,1,20061001
59851,CPT,Abortion,,,12 ,,RBRVS,5.92 ,3.75 ,3.75 ,,,,,1,0,1,1,1,1,20061001
59852,CPT,Abortion,,,12 ,,RBRVS,8.23 ,5.05 ,5.05 ,,,,,1,0,1,1,1,1,20061001
59855,CPT,Abortion,,,12 ,,RBRVS,6.11 ,3.55 ,3.55 ,,,,,1,0,1,1,1,1,20061001
59856,CPT,Abortion,,,12 ,,RBRVS,7.47 ,4.07 ,4.07 ,,,,,1,0,1,1,1,1,20061001
59857,CPT,Abortion,,,12 ,,RBRVS,9.28 ,4.72 ,4.72 ,,,,,1,0,1,1,1,1,20061001
59866,CPT,Abortion (mpr),,,12 ,,RBRVS,3.99 ,1.90 ,1.90 ,,,,,1,0,1,1,1,1,20061001
59870,CPT,Evacuate mole of uterus,,,12 ,,RBRVS,6.00 ,4.49 ,4.49 ,,,,,1,0,1,1,1,1,20061001
59871,CPT,Remove cerclage suture,,,12 ,,RBRVS,2.13 ,1.13 ,1.75 ,,,,,1,0,1,1,1,1,20061001
59897,CPT,Fetal invas px w/ us,,,12 ,,TotalUnits,,,,0.98 ,,,,1,0,1,1,1,1,20061001
59898,CPT,"Laparo proc, ob care/deliver",,,12 ,,TotalUnits,,,,17.56 ,,,,1,0,1,1,1,1,20061001
59899,CPT,Maternity care procedure,,,12 ,,TotalUnits,,,,20.51 ,,,,1,0,1,1,1,1,20061001
60000,CPT,Drain thyroid/tongue cyst,,,21 ,,RBRVS,1.76 ,1.71 ,1.93 ,,,,,1,0,1,1,1,1,20061001
60001,CPT,Aspirate/inject thyriod cyst,,,21 ,,RBRVS,0.97 ,0.33 ,1.41 ,,,,,1,0,1,1,1,1,20061001
60100,CPT,Biopsy of thyroid,,,21 ,,RBRVS,1.56 ,0.53 ,1.40 ,,,,,1,0,1,1,1,1,20061001
60200,CPT,Remove thyroid lesion,,,21 ,,RBRVS,9.54 ,6.00 ,6.00 ,,,,,1,0,1,1,1,1,20061001
60210,CPT,Partial thyroid excision,,,21 ,,RBRVS,10.86 ,5.65 ,5.65 ,,,,,1,0,1,1,1,1,20061001
60212,CPT,Partial thyroid excision,,,21 ,,RBRVS,16.01 ,7.69 ,7.69 ,,,,,1,0,1,1,1,1,20061001
60220,CPT,Partial removal of thyroid,,,21 ,,RBRVS,11.88 ,6.16 ,6.16 ,,,,,1,0,1,1,1,1,20061001
60225,CPT,Partial removal of thyroid,,,21 ,,RBRVS,14.17 ,7.42 ,7.42 ,,,,,1,0,1,1,1,1,20061001
60240,CPT,Removal of thyroid,,,21 ,,RBRVS,16.04 ,7.60 ,7.60 ,,,,,1,0,1,1,1,1,20061001
60252,CPT,Removal of thyroid,,,21 ,,RBRVS,20.54 ,10.12 ,10.12 ,,,,,1,0,1,1,1,1,20061001
60254,CPT,Extensive thyroid surgery,,,21 ,,RBRVS,26.95 ,14.18 ,14.18 ,,,,,1,0,1,1,1,1,20061001
60260,CPT,Repeat thyroid surgery,,,21 ,,RBRVS,17.44 ,8.67 ,8.67 ,,,,,1,0,1,1,1,1,20061001
60270,CPT,Removal of thyroid,,,21 ,,RBRVS,20.24 ,10.48 ,10.48 ,,,,,1,0,1,1,1,1,20061001
60271,CPT,Removal of thyroid,,,21 ,,RBRVS,16.80 ,8.60 ,8.60 ,,,,,1,0,1,1,1,1,20061001
60280,CPT,Remove thyroid duct lesion,,,21 ,,RBRVS,5.86 ,4.67 ,4.67 ,,,,,1,0,1,1,1,1,20061001
60281,CPT,Remove thyroid duct lesion,,,21 ,,RBRVS,8.52 ,5.85 ,5.85 ,,,,,1,0,1,1,1,1,20061001
60500,CPT,Explore parathyroid glands,,,21 ,,RBRVS,16.21 ,7.42 ,7.42 ,,,,,1,0,1,1,1,1,20061001
60502,CPT,Re-explore parathyroids,,,21 ,,RBRVS,20.32 ,9.38 ,9.38 ,,,,,1,0,1,1,1,1,20061001
60505,CPT,Explore parathyroid glands,,,21 ,,RBRVS,21.46 ,10.95 ,10.95 ,,,,,1,0,1,1,1,1,20061001
60512,CPT,Autotransplant parathyroid,,,21 ,,RBRVS,4.44 ,1.62 ,1.62 ,,,,,1,0,1,1,1,1,20061001
60520,CPT,Removal of thymus gland,,,21 ,,RBRVS,16.78 ,8.31 ,8.31 ,,,,,1,0,1,1,1,1,20061001
60521,CPT,Removal of thymus gland,,,21 ,,RBRVS,18.84 ,9.57 ,9.57 ,,,,,1,0,1,1,1,1,20061001
60522,CPT,Removal of thymus gland,,,21 ,,RBRVS,23.06 ,11.29 ,11.29 ,,,,,1,0,1,1,1,1,20061001
60540,CPT,Explore adrenal gland,,,21 ,,RBRVS,17.00 ,7.60 ,7.60 ,,,,,1,0,1,1,1,1,20061001
60545,CPT,Explore adrenal gland,,,21 ,,RBRVS,19.85 ,8.55 ,8.55 ,,,,,1,0,1,1,1,1,20061001
60600,CPT,Remove carotid body lesion,,,21 ,,RBRVS,17.90 ,10.99 ,10.99 ,,,,,1,0,1,1,1,1,20061001
60605,CPT,Remove carotid body lesion,,,21 ,,RBRVS,20.21 ,12.29 ,12.29 ,,,,,1,0,1,1,1,1,20061001
60650,CPT,Laparoscopy adrenalectomy,,,21 ,,RBRVS,19.97 ,8.00 ,8.00 ,,,,,1,0,1,1,1,1,20061001
60659,CPT,"Laparo proc, endocrine",,,21 ,,TotalUnits,,,,27.96 ,,,,1,0,1,1,1,1,20061001
60699,CPT,Endocrine surgery procedure,,,21 ,,TotalUnits,,,,18.18 ,,,,1,0,1,1,1,1,20061001
61000,CPT,Remove cranial cavity fluid,,,21 ,,RBRVS,1.58 ,0.95 ,0.95 ,,,,,1,0,1,1,1,1,20061001
61001,CPT,Remove cranial cavity fluid,,,21 ,,RBRVS,1.49 ,1.06 ,1.06 ,,,,,1,0,1,1,1,1,20061001
61020,CPT,Remove brain cavity fluid,,,21 ,,RBRVS,1.51 ,1.34 ,1.34 ,,,,,1,0,1,1,1,1,20061001
61026,CPT,Injection into brain canal,,,21 ,,RBRVS,1.69 ,1.39 ,1.39 ,,,,,1,0,1,1,1,1,20061001
61050,CPT,Remove brain canal fluid,,,21 ,,RBRVS,1.51 ,1.27 ,1.27 ,,,,,1,0,1,1,1,1,20061001
61055,CPT,Injection into brain canal,,,21 ,,RBRVS,2.10 ,1.42 ,1.42 ,,,,,1,0,1,1,1,1,20061001
61070,CPT,Brain canal shunt procedure,,,21 ,,RBRVS,0.89 ,1.01 ,1.01 ,,,,,1,0,1,1,1,1,20061001
61105,CPT,Twist drill hole,,,21 ,,RBRVS,5.13 ,3.94 ,3.94 ,,,,,1,0,1,1,1,1,20061001
61107,CPT,Drill skull for implantation,,,21 ,,RBRVS,4.99 ,2.54 ,2.54 ,,,,,1,0,1,1,1,1,20061001
61108,CPT,Drill skull for drainage,,,21 ,,RBRVS,10.17 ,7.16 ,7.16 ,,,,,1,0,1,1,1,1,20061001
61120,CPT,Burr hole for puncture,,,21 ,,RBRVS,8.75 ,6.01 ,6.01 ,,,,,1,0,1,1,1,1,20061001
61140,CPT,Pierce skull for biopsy,,,21 ,,RBRVS,15.88 ,9.91 ,9.91 ,,,,,1,0,1,1,1,1,20061001
61150,CPT,Pierce skull for drainage,,,21 ,,RBRVS,17.54 ,10.40 ,10.40 ,,,,,1,0,1,1,1,1,20061001
61151,CPT,Pierce skull for drainage,,,21 ,,RBRVS,12.40 ,7.83 ,7.83 ,,,,,1,0,1,1,1,1,20061001
61154,CPT,Pierce skull & remove clot,,,21 ,,RBRVS,14.97 ,9.51 ,9.51 ,,,,,1,0,1,1,1,1,20061001
61156,CPT,Pierce skull for drainage,,,21 ,,RBRVS,16.30 ,9.86 ,9.86 ,,,,,1,0,1,1,1,1,20061001
61210,CPT,"Pierce skull, implant device",,,21 ,,RBRVS,5.83 ,2.92 ,2.92 ,,,,,1,0,1,1,1,1,20061001
61215,CPT,Insert brain-fluid device,,,21 ,,RBRVS,4.88 ,4.01 ,4.01 ,,,,,1,0,1,1,1,1,20061001
61250,CPT,Pierce skull & explore,,,21 ,,RBRVS,10.40 ,6.87 ,6.87 ,,,,,1,0,1,1,1,1,20061001
61253,CPT,Pierce skull & explore,,,21 ,,RBRVS,12.34 ,7.74 ,7.74 ,,,,,1,0,1,1,1,1,20061001
61304,CPT,Open skull for exploration,,,21 ,,RBRVS,21.93 ,12.87 ,12.87 ,,,,,1,0,1,1,1,1,20061001
61305,CPT,Open skull for exploration,,,21 ,,RBRVS,26.57 ,15.35 ,15.35 ,,,,,1,0,1,1,1,1,20061001
61312,CPT,Open skull for drainage,,,21 ,,RBRVS,24.53 ,15.08 ,15.08 ,,,,,1,0,1,1,1,1,20061001
61313,CPT,Open skull for drainage,,,21 ,,RBRVS,24.89 ,14.84 ,14.84 ,,,,,1,0,1,1,1,1,20061001
61314,CPT,Open skull for drainage,,,21 ,,RBRVS,24.19 ,13.07 ,13.07 ,,,,,1,0,1,1,1,1,20061001
61315,CPT,Open skull for drainage,,,21 ,,RBRVS,27.64 ,16.06 ,16.06 ,,,,,1,0,1,1,1,1,20061001
61316,CPT,Implt cran bone flap to abdo,,,21 ,,RBRVS,1.39 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20061001
61320,CPT,Open skull for drainage,,,21 ,,RBRVS,25.58 ,14.79 ,14.79 ,,,,,1,0,1,1,1,1,20061001
61321,CPT,Open skull for drainage,,,21 ,,RBRVS,28.46 ,16.17 ,16.17 ,,,,,1,0,1,1,1,1,20061001
61322,CPT,Decompressive craniotomy,,,21 ,,RBRVS,29.46 ,15.71 ,15.71 ,,,,,1,0,1,1,1,1,20061001
61323,CPT,Decompressive lobectomy,,,21 ,,RBRVS,30.95 ,16.13 ,16.13 ,,,,,1,0,1,1,1,1,20061001
61330,CPT,Decompress eye socket,,,21 ,,RBRVS,23.29 ,13.76 ,13.76 ,,,,,1,0,1,1,1,1,20061001
61332,CPT,Explore/biopsy eye socket,,,21 ,,RBRVS,27.24 ,15.64 ,15.64 ,,,,,1,0,1,1,1,1,20061001
61333,CPT,Explore orbit/remove lesion,,,21 ,,RBRVS,27.91 ,15.62 ,15.62 ,,,,,1,0,1,1,1,1,20061001
61334,CPT,Explore orbit/remove object,,,21 ,,RBRVS,18.24 ,10.66 ,10.66 ,,,,,1,0,1,1,1,1,20061001
61340,CPT,Subtemporal decompression,,,21 ,,RBRVS,18.63 ,11.15 ,11.15 ,,,,,1,0,1,1,1,1,20061001
61343,CPT,Incise skull (press relief),,,21 ,,RBRVS,29.73 ,16.85 ,16.85 ,,,,,1,0,1,1,1,1,20061001
61345,CPT,Relieve cranial pressure,,,21 ,,RBRVS,27.16 ,15.43 ,15.43 ,,,,,1,0,1,1,1,1,20061001
61440,CPT,Incise skull for surgery,,,21 ,,RBRVS,26.59 ,14.24 ,14.24 ,,,,,1,0,1,1,1,1,20061001
61450,CPT,Incise skull for surgery,,,21 ,,RBRVS,25.91 ,14.32 ,14.32 ,,,,,1,0,1,1,1,1,20061001
61458,CPT,Incise skull for brain wound,,,21 ,,RBRVS,27.25 ,15.55 ,15.55 ,,,,,1,0,1,1,1,1,20061001
61460,CPT,Incise skull for surgery,,,21 ,,RBRVS,28.35 ,16.46 ,16.46 ,,,,,1,0,1,1,1,1,20061001
61470,CPT,Incise skull for surgery,,,21 ,,RBRVS,26.02 ,13.89 ,13.89 ,,,,,1,0,1,1,1,1,20061001
61480,CPT,Incise skull for surgery,,,21 ,,RBRVS,26.45 ,15.31 ,15.31 ,,,,,1,0,1,1,1,1,20061001
61490,CPT,Incise skull for surgery,,,21 ,,RBRVS,25.62 ,14.36 ,14.36 ,,,,,1,0,1,1,1,1,20061001
61500,CPT,Removal of skull lesion,,,21 ,,RBRVS,17.89 ,10.83 ,10.83 ,,,,,1,0,1,1,1,1,20061001
61501,CPT,Remove infected skull bone,,,21 ,,RBRVS,14.82 ,9.23 ,9.23 ,,,,,1,0,1,1,1,1,20061001
61510,CPT,Removal of brain lesion,,,21 ,,RBRVS,28.41 ,16.74 ,16.74 ,,,,,1,0,1,1,1,1,20061001
61512,CPT,Remove brain lining lesion,,,21 ,,RBRVS,35.04 ,19.73 ,19.73 ,,,,,1,0,1,1,1,1,20061001
61514,CPT,Removal of brain abscess,,,21 ,,RBRVS,25.22 ,14.47 ,14.47 ,,,,,1,0,1,1,1,1,20061001
61516,CPT,Removal of brain lesion,,,21 ,,RBRVS,24.57 ,14.30 ,14.30 ,,,,,1,0,1,1,1,1,20061001
61517,CPT,Implt brain chemotx add-on,,,21 ,,RBRVS,1.38 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20061001
61518,CPT,Removal of brain lesion,,,21 ,,RBRVS,37.26 ,21.15 ,21.15 ,,,,,1,0,1,1,1,1,20061001
61519,CPT,Remove brain lining lesion,,,21 ,,RBRVS,41.33 ,22.71 ,22.71 ,,,,,1,0,1,1,1,1,20061001
61520,CPT,Removal of brain lesion,,,21 ,,RBRVS,54.76 ,30.41 ,30.41 ,,,,,1,0,1,1,1,1,20061001
61521,CPT,Removal of brain lesion,,,21 ,,RBRVS,44.41 ,24.28 ,24.28 ,,,,,1,0,1,1,1,1,20061001
61522,CPT,Removal of brain abscess,,,21 ,,RBRVS,29.41 ,16.46 ,16.46 ,,,,,1,0,1,1,1,1,20061001
61524,CPT,Removal of brain lesion,,,21 ,,RBRVS,27.82 ,15.71 ,15.71 ,,,,,1,0,1,1,1,1,20061001
61526,CPT,Removal of brain lesion,,,21 ,,RBRVS,52.09 ,29.57 ,29.57 ,,,,,1,0,1,1,1,1,20061001
61530,CPT,Removal of brain lesion,,,21 ,,RBRVS,43.79 ,25.12 ,25.12 ,,,,,1,0,1,1,1,1,20061001
61531,CPT,Implant brain electrodes,,,21 ,,RBRVS,14.61 ,9.15 ,9.15 ,,,,,1,0,1,1,1,1,20061001
61533,CPT,Implant brain electrodes,,,21 ,,RBRVS,19.68 ,11.56 ,11.56 ,,,,,1,0,1,1,1,1,20061001
61534,CPT,Removal of brain lesion,,,21 ,,RBRVS,20.94 ,12.12 ,12.12 ,,,,,1,0,1,1,1,1,20061001
61535,CPT,Remove brain electrodes,,,21 ,,RBRVS,11.61 ,7.44 ,7.44 ,,,,,1,0,1,1,1,1,20061001
61536,CPT,Removal of brain lesion,,,21 ,,RBRVS,35.47 ,19.84 ,19.84 ,,,,,1,0,1,1,1,1,20061001
61537,CPT,Removal of brain tissue,,,21 ,,RBRVS,24.96 ,14.78 ,14.78 ,,,,,1,0,1,1,1,1,20061001
61538,CPT,Removal of brain tissue,,,21 ,,RBRVS,26.77 ,15.35 ,15.35 ,,,,,1,0,1,1,1,1,20061001
61539,CPT,Removal of brain tissue,,,21 ,,RBRVS,32.03 ,17.81 ,17.81 ,,,,,1,0,1,1,1,1,20061001
61540,CPT,Removal of brain tissue,,,21 ,,RBRVS,29.96 ,17.29 ,17.29 ,,,,,1,0,1,1,1,1,20061001
61541,CPT,Incision of brain tissue,,,21 ,,RBRVS,28.81 ,16.25 ,16.25 ,,,,,1,0,1,1,1,1,20061001
61542,CPT,Removal of brain tissue,,,21 ,,RBRVS,30.97 ,17.87 ,17.87 ,,,,,1,0,1,1,1,1,20061001
61543,CPT,Removal of brain tissue,,,21 ,,RBRVS,29.18 ,16.43 ,16.43 ,,,,,1,0,1,1,1,1,20061001
61544,CPT,Remove & treat brain lesion,,,21 ,,RBRVS,25.46 ,13.86 ,13.86 ,,,,,1,0,1,1,1,1,20061001
61545,CPT,Excision of brain tumor,,,21 ,,RBRVS,43.73 ,24.28 ,24.28 ,,,,,1,0,1,1,1,1,20061001
61546,CPT,Removal of pituitary gland,,,21 ,,RBRVS,31.25 ,17.54 ,17.54 ,,,,,1,0,1,1,1,1,20061001
61548,CPT,Removal of pituitary gland,,,21 ,,RBRVS,21.50 ,12.82 ,12.82 ,,,,,1,0,1,1,1,1,20061001
61550,CPT,Release of skull seams,,,21 ,,RBRVS,14.63 ,6.95 ,6.95 ,,,,,1,0,1,1,1,1,20061001
61552,CPT,Release of skull seams,,,21 ,,RBRVS,19.53 ,9.14 ,9.14 ,,,,,1,0,1,1,1,1,20061001
61556,CPT,Incise skull/sutures,,,21 ,,RBRVS,22.23 ,11.39 ,11.39 ,,,,,1,0,1,1,1,1,20061001
61557,CPT,Incise skull/sutures,,,21 ,,RBRVS,22.35 ,13.66 ,13.66 ,,,,,1,0,1,1,1,1,20061001
61558,CPT,Excision of skull/sutures,,,21 ,,RBRVS,25.54 ,14.23 ,14.23 ,,,,,1,0,1,1,1,1,20061001
61559,CPT,Excision of skull/sutures,,,21 ,,RBRVS,32.74 ,19.37 ,19.37 ,,,,,1,0,1,1,1,1,20061001
61563,CPT,Excision of skull tumor,,,21 ,,RBRVS,26.79 ,15.28 ,15.28 ,,,,,1,0,1,1,1,1,20061001
61564,CPT,Excision of skull tumor,,,21 ,,RBRVS,33.78 ,18.33 ,18.33 ,,,,,1,0,1,1,1,1,20061001
61566,CPT,Removal of brain tissue,,,21 ,,RBRVS,30.95 ,17.82 ,17.82 ,,,,,1,0,1,1,1,1,20061001
61567,CPT,Incision of brain tissue,,,21 ,,RBRVS,35.45 ,20.73 ,20.73 ,,,,,1,0,1,1,1,1,20061001
61570,CPT,"Remove foreign body, brain",,,21 ,,RBRVS,24.56 ,13.95 ,13.95 ,,,,,1,0,1,1,1,1,20061001
61571,CPT,Incise skull for brain wound,,,21 ,,RBRVS,26.35 ,15.18 ,15.18 ,,,,,1,0,1,1,1,1,20061001
61575,CPT,Skull base/brainstem surgery,,,21 ,,RBRVS,34.31 ,19.69 ,19.69 ,,,,,1,0,1,1,1,1,20061001
61576,CPT,Skull base/brainstem surgery,,,21 ,,RBRVS,52.35 ,34.83 ,34.83 ,,,,,1,0,1,1,1,1,20061001
61580,CPT,"Craniofacial approach, skull",,,21 ,,RBRVS,30.30 ,25.65 ,25.65 ,,,,,1,0,1,1,1,1,20061001
61581,CPT,"Craniofacial approach, skull",,,21 ,,RBRVS,34.55 ,23.51 ,23.51 ,,,,,1,0,1,1,1,1,20061001
61582,CPT,"Craniofacial approach, skull",,,21 ,,RBRVS,31.61 ,27.38 ,27.38 ,,,,,1,0,1,1,1,1,20061001
61583,CPT,"Craniofacial approach, skull",,,21 ,,RBRVS,36.16 ,25.18 ,25.18 ,,,,,1,0,1,1,1,1,20061001
61584,CPT,Orbitocranial approach/skull,,,21 ,,RBRVS,34.60 ,24.59 ,24.59 ,,,,,1,0,1,1,1,1,20061001
61585,CPT,Orbitocranial approach/skull,,,21 ,,RBRVS,38.55 ,26.57 ,26.57 ,,,,,1,0,1,1,1,1,20061001
61586,CPT,"Resect nasopharynx, skull",,,21 ,,RBRVS,25.06 ,22.65 ,22.65 ,,,,,1,0,1,1,1,1,20061001
61590,CPT,Infratemporal approach/skull,,,21 ,,RBRVS,41.72 ,28.70 ,28.70 ,,,,,1,0,1,1,1,1,20061001
61591,CPT,Infratemporal approach/skull,,,21 ,,RBRVS,43.61 ,29.61 ,29.61 ,,,,,1,0,1,1,1,1,20061001
61592,CPT,Orbitocranial approach/skull,,,21 ,,RBRVS,39.58 ,26.58 ,26.58 ,,,,,1,0,1,1,1,1,20061001
61595,CPT,Transtemporal approach/skull,,,21 ,,RBRVS,29.53 ,22.41 ,22.41 ,,,,,1,0,1,1,1,1,20061001
61596,CPT,Transcochlear approach/skull,,,21 ,,RBRVS,35.58 ,24.51 ,24.51 ,,,,,1,0,1,1,1,1,20061001
61597,CPT,Transcondylar approach/skull,,,21 ,,RBRVS,37.90 ,23.06 ,23.06 ,,,,,1,0,1,1,1,1,20061001
61598,CPT,Transpetrosal approach/skull,,,21 ,,RBRVS,33.36 ,23.30 ,23.30 ,,,,,1,0,1,1,1,1,20061001
61600,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,25.81 ,19.83 ,19.83 ,,,,,1,0,1,1,1,1,20061001
61601,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,27.85 ,20.55 ,20.55 ,,,,,1,0,1,1,1,1,20061001
61605,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,29.29 ,22.02 ,22.02 ,,,,,1,0,1,1,1,1,20061001
61606,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,38.77 ,25.22 ,25.22 ,,,,,1,0,1,1,1,1,20061001
61607,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,36.22 ,23.85 ,23.85 ,,,,,1,0,1,1,1,1,20061001
61608,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,42.04 ,26.66 ,26.66 ,,,,,1,0,1,1,1,1,20061001
61609,CPT,"Transect artery, sinus",,,21 ,,RBRVS,9.88 ,4.86 ,4.86 ,,,,,1,0,1,1,1,1,20061001
61610,CPT,"Transect artery, sinus",,,21 ,,RBRVS,29.63 ,13.18 ,13.18 ,,,,,1,0,1,1,1,1,20061001
61611,CPT,"Transect artery, sinus",,,21 ,,RBRVS,7.41 ,3.83 ,3.83 ,,,,,1,0,1,1,1,1,20061001
61612,CPT,"Transect artery, sinus",,,21 ,,RBRVS,27.84 ,13.35 ,13.35 ,,,,,1,0,1,1,1,1,20061001
61613,CPT,"Remove aneurysm, sinus",,,21 ,,RBRVS,40.80 ,26.34 ,26.34 ,,,,,1,0,1,1,1,1,20061001
61615,CPT,"Resect/excise lesion, skull",,,21 ,,RBRVS,32.02 ,22.79 ,22.79 ,,,,,1,0,1,1,1,1,20061001
61616,CPT,"Resect/excise lesion, skull",,,21 ,,RBRVS,43.27 ,28.73 ,28.73 ,,,,,1,0,1,1,1,1,20061001
61618,CPT,Repair dura,,,21 ,,RBRVS,16.96 ,10.47 ,10.47 ,,,,,1,0,1,1,1,1,20061001
61619,CPT,Repair dura,,,21 ,,RBRVS,20.68 ,12.28 ,12.28 ,,,,,1,0,1,1,1,1,20061001
61623,CPT,Endovasc tempory vessel occl,,,21 ,,RBRVS,9.95 ,4.09 ,4.09 ,,,,,1,0,1,1,1,1,20061001
61624,CPT,"Transcath occlusion, cns",,,21 ,,RBRVS,20.12 ,6.91 ,6.91 ,,,,,1,0,1,1,1,1,20061001
61626,CPT,"Transcath occlusion, non-cns",,,21 ,,RBRVS,16.60 ,5.53 ,5.53 ,,,,,1,0,1,1,1,1,20061001
61630,CPT,Intracranial angioplasty,,,28 ,,NW,,,,,,"$2,691.40",,1,0,1,1,1,1,20061001
61635,CPT,Intracran angioplsty w/stent,,,28 ,,NW,,,,,,"$2,691.40",,1,0,1,1,1,1,20061001
61640,CPT,"Dilate ic vasospasm, init",,,28 ,,NW,,,,,,"$2,691.40",,1,0,1,1,1,1,20061001
61641,CPT,Dilate ic vasospasm add-on,,,28 ,,NW,,,,,,"$2,691.40",,1,0,1,1,1,1,20061001
61642,CPT,Dilate ic vasospasm add-on,,,28 ,,NW,,,,,,"$2,691.40",,1,0,1,1,1,1,20061001
61680,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,30.66 ,17.48 ,17.48 ,,,,,1,0,1,1,1,1,20061001
61682,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,61.48 ,32.30 ,32.30 ,,,,,1,0,1,1,1,1,20061001
61684,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,39.75 ,22.06 ,22.06 ,,,,,1,0,1,1,1,1,20061001
61686,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,64.39 ,34.82 ,34.82 ,,,,,1,0,1,1,1,1,20061001
61690,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,29.27 ,16.77 ,16.77 ,,,,,1,0,1,1,1,1,20061001
61692,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,51.79 ,27.55 ,27.55 ,,,,,1,0,1,1,1,1,20061001
61697,CPT,"Brain aneurysm repr, complx",,,21 ,,RBRVS,50.44 ,28.09 ,28.09 ,,,,,1,0,1,1,1,1,20061001
61698,CPT,"Brain aneurysm repr, complx",,,21 ,,RBRVS,48.34 ,26.77 ,26.77 ,,,,,1,0,1,1,1,1,20061001
61700,CPT,"Brain aneurysm repr, simple",,,21 ,,RBRVS,50.44 ,27.88 ,27.88 ,,,,,1,0,1,1,1,1,20061001
61702,CPT,Inner skull vessel surgery,,,21 ,,RBRVS,48.34 ,26.11 ,26.11 ,,,,,1,0,1,1,1,1,20061001
61703,CPT,Clamp neck artery,,,21 ,,RBRVS,17.44 ,10.49 ,10.49 ,,,,,1,0,1,1,1,1,20061001
61705,CPT,Revise circulation to head,,,21 ,,RBRVS,36.15 ,19.31 ,19.31 ,,,,,1,0,1,1,1,1,20061001
61708,CPT,Revise circulation to head,,,21 ,,RBRVS,35.25 ,15.19 ,15.19 ,,,,,1,0,1,1,1,1,20061001
61710,CPT,Revise circulation to head,,,21 ,,RBRVS,29.63 ,13.68 ,13.68 ,,,,,1,0,1,1,1,1,20061001
61711,CPT,Fusion of skull arteries,,,21 ,,RBRVS,36.28 ,19.86 ,19.86 ,,,,,1,0,1,1,1,1,20061001
61720,CPT,Incise skull/brain surgery,,,21 ,,RBRVS,16.74 ,10.00 ,10.00 ,,,,,1,0,1,1,1,1,20061001
61735,CPT,Incise skull/brain surgery,,,21 ,,RBRVS,20.40 ,12.20 ,12.20 ,,,,,1,0,1,1,1,1,20061001
61750,CPT,Incise skull/brain biopsy,,,21 ,,RBRVS,18.17 ,10.64 ,10.64 ,,,,,1,0,1,1,1,1,20061001
61751,CPT,Brain biopsy w/ct/mr guide,,,21 ,,RBRVS,17.59 ,10.85 ,10.85 ,,,,,1,0,1,1,1,1,20061001
61760,CPT,Implant brain electrodes,,,21 ,,RBRVS,22.24 ,8.74 ,8.74 ,,,,,1,0,1,1,1,1,20061001
61770,CPT,Incise skull for treatment,,,21 ,,RBRVS,21.41 ,12.29 ,12.29 ,,,,,1,0,1,1,1,1,20061001
61790,CPT,Treat trigeminal nerve,,,21 ,,RBRVS,10.84 ,5.93 ,5.93 ,,,,,1,0,1,1,1,1,20061001
61791,CPT,Treat trigeminal tract,,,21 ,,RBRVS,14.59 ,8.94 ,8.94 ,,,,,1,0,1,1,1,1,20061001
61793,CPT,Focus radiation beam,,,21 ,,RBRVS,17.21 ,10.15 ,10.15 ,,,,,1,0,1,1,1,1,20061001
61795,CPT,Brain surgery using computer,,,21 ,,RBRVS,4.03 ,2.04 ,2.04 ,,,,,1,0,1,1,1,1,20061001
61850,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,12.37 ,7.69 ,7.69 ,,,,,1,0,1,1,1,1,20061001
61860,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,20.84 ,12.09 ,12.09 ,,,,,1,0,1,1,1,1,20061001
61863,CPT,Implant neuroelectrode,,,21 ,,RBRVS,18.97 ,11.80 ,11.80 ,,,,,1,0,1,1,1,1,20061001
61864,CPT,"Implant neuroelectrde, add?l",,,21 ,,RBRVS,4.49 ,2.29 ,2.29 ,,,,,1,0,1,1,1,1,20061001
61867,CPT,Implant neuroelectrode,,,21 ,,RBRVS,31.29 ,18.07 ,18.07 ,,,,,1,0,1,1,1,1,20061001
61868,CPT,"Implant neuroelectrde, add?l",,,21 ,,RBRVS,7.91 ,4.02 ,4.02 ,,,,,1,0,1,1,1,1,20061001
61870,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,14.92 ,9.73 ,9.73 ,,,,,1,0,1,1,1,1,20061001
61875,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,15.04 ,8.59 ,8.59 ,,,,,1,0,1,1,1,1,20061001
61880,CPT,Revise/remove neuroelectrode,,,21 ,,RBRVS,6.28 ,4.58 ,4.58 ,,,,,1,0,1,1,1,1,20061001
61885,CPT,Implant neurostim one array,,,21 ,,RBRVS,5.84 ,5.32 ,5.32 ,,,,,1,0,1,1,1,1,20061001
61886,CPT,Implant neurostim arrays,,,21 ,,RBRVS,7.99 ,6.37 ,6.37 ,,,,,1,0,1,1,1,1,20061001
61888,CPT,Revise/remove neuroreceiver,,,21 ,,RBRVS,5.06 ,3.68 ,3.68 ,,,,,1,0,1,1,1,1,20061001
62000,CPT,Treat skull fracture,,,21 ,,RBRVS,12.51 ,5.53 ,5.53 ,,,,,1,0,1,1,1,1,20061001
62005,CPT,Treat skull fracture,,,21 ,,RBRVS,16.15 ,8.82 ,8.82 ,,,,,1,0,1,1,1,1,20061001
62010,CPT,Treatment of head injury,,,21 ,,RBRVS,19.78 ,11.74 ,11.74 ,,,,,1,0,1,1,1,1,20061001
62100,CPT,Repair brain fluid leakage,,,21 ,,RBRVS,22.00 ,12.82 ,12.82 ,,,,,1,0,1,1,1,1,20061001
62115,CPT,Reduction of skull defect,,,21 ,,RBRVS,21.63 ,11.67 ,11.67 ,,,,,1,0,1,1,1,1,20061001
62116,CPT,Reduction of skull defect,,,21 ,,RBRVS,23.55 ,13.40 ,13.40 ,,,,,1,0,1,1,1,1,20061001
62117,CPT,Reduction of skull defect,,,21 ,,RBRVS,26.56 ,15.41 ,15.41 ,,,,,1,0,1,1,1,1,20061001
62120,CPT,Repair skull cavity lesion,,,21 ,,RBRVS,23.31 ,18.53 ,18.53 ,,,,,1,0,1,1,1,1,20061001
62121,CPT,Incise skull repair,,,21 ,,RBRVS,21.55 ,15.49 ,15.49 ,,,,,1,0,1,1,1,1,20061001
62140,CPT,Repair of skull defect,,,21 ,,RBRVS,13.49 ,8.34 ,8.34 ,,,,,1,0,1,1,1,1,20061001
62141,CPT,Repair of skull defect,,,21 ,,RBRVS,14.89 ,9.07 ,9.07 ,,,,,1,0,1,1,1,1,20061001
62142,CPT,Remove skull plate/flap,,,21 ,,RBRVS,10.77 ,7.01 ,7.01 ,,,,,1,0,1,1,1,1,20061001
62143,CPT,Replace skull plate/flap,,,21 ,,RBRVS,13.03 ,8.06 ,8.06 ,,,,,1,0,1,1,1,1,20061001
62145,CPT,Repair of skull & brain,,,21 ,,RBRVS,18.79 ,10.92 ,10.92 ,,,,,1,0,1,1,1,1,20061001
62146,CPT,Repair of skull with graft,,,21 ,,RBRVS,16.10 ,9.66 ,9.66 ,,,,,1,0,1,1,1,1,20061001
62147,CPT,Repair of skull with graft,,,21 ,,RBRVS,19.31 ,11.33 ,11.33 ,,,,,1,0,1,1,1,1,20061001
62148,CPT,Retr bone flap to fix skull,,,21 ,,RBRVS,2.00 ,0.86 ,0.86 ,,,,,1,0,1,1,1,1,20061001
62160,CPT,Neuroendoscopy add-on,,,21 ,,RBRVS,3.00 ,1.53 ,1.53 ,,,,,1,0,1,1,1,1,20061001
62161,CPT,Dissect brain w/scope,,,21 ,,RBRVS,19.97 ,12.13 ,12.13 ,,,,,1,0,1,1,1,1,20061001
62162,CPT,Remove colloid cyst w/scope,,,21 ,,RBRVS,25.21 ,14.89 ,14.89 ,,,,,1,0,1,1,1,1,20061001
62163,CPT,Neuroendoscopy w/fb removal,,,21 ,,RBRVS,15.48 ,9.95 ,9.95 ,,,,,1,0,1,1,1,1,20061001
62164,CPT,Remove brain tumor w/scope,,,21 ,,RBRVS,27.46 ,14.99 ,14.99 ,,,,,1,0,1,1,1,1,20061001
62165,CPT,Remove pituit tumor w/scope,,,21 ,,RBRVS,21.97 ,13.42 ,13.42 ,,,,,1,0,1,1,1,1,20061001
62180,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,21.03 ,12.32 ,12.32 ,,,,,1,0,1,1,1,1,20061001
62190,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,11.05 ,7.10 ,7.10 ,,,,,1,0,1,1,1,1,20061001
62192,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,12.23 ,7.64 ,7.64 ,,,,,1,0,1,1,1,1,20061001
62194,CPT,Replace/irrigate catheter,,,21 ,,RBRVS,5.02 ,2.44 ,2.44 ,,,,,1,0,1,1,1,1,20061001
62200,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,18.29 ,10.87 ,10.87 ,,,,,1,0,1,1,1,1,20061001
62201,CPT,Brain cavity shunt w/scope,,,21 ,,RBRVS,14.84 ,9.47 ,9.47 ,,,,,1,0,1,1,1,1,20061001
62220,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,12.98 ,8.00 ,8.00 ,,,,,1,0,1,1,1,1,20061001
62223,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,12.85 ,8.26 ,8.26 ,,,,,1,0,1,1,1,1,20061001
62225,CPT,Replace/irrigate catheter,,,21 ,,RBRVS,5.40 ,4.10 ,4.10 ,,,,,1,0,1,1,1,1,20061001
62230,CPT,Replace/revise brain shunt,,,21 ,,RBRVS,10.52 ,6.50 ,6.50 ,,,,,1,0,1,1,1,1,20061001
62252,CPT,Csf shunt reprogram,,,21 ,,RBRVS,0.74 ,1.47 ,1.47 ,,,,,1,1,1,0,1,0,20061001
62252,CPT,Csf shunt reprogram,,,21 ,,RBRVS,0.74 ,1.47 ,1.47 ,,,,,1,0,1,1,1,1,20061001
62256,CPT,Remove brain cavity shunt,,,21 ,,RBRVS,6.59 ,4.70 ,4.70 ,,,,,1,0,1,1,1,1,20061001
62258,CPT,Replace brain cavity shunt,,,21 ,,RBRVS,14.52 ,8.74 ,8.74 ,,,,,1,0,1,1,1,1,20061001
62263,CPT,Epidural lysis mult sessions,,,21 ,,RBRVS,6.13 ,3.20 ,12.73 ,,,,,1,0,1,1,1,1,20061001
62264,CPT,Epidural lysis on single day,,,21 ,,RBRVS,4.42 ,1.42 ,7.75 ,,,,,1,0,1,1,1,1,20061001
62268,CPT,Drain spinal cord cyst,,,21 ,,RBRVS,4.73 ,2.15 ,11.56 ,,,,,1,0,1,1,1,1,20061001
62269,CPT,"Needle biopsy, spinal cord",,,21 ,,RBRVS,5.01 ,1.98 ,14.72 ,,,,,1,0,1,1,1,1,20061001
62270,CPT,"Spinal fluid tap, diagnostic",,,21 ,,RBRVS,1.13 ,0.56 ,3.00 ,,,,,1,0,1,1,1,1,20061001
62272,CPT,Drain cerebro spinal fluid,,,21 ,,RBRVS,1.35 ,0.71 ,3.62 ,,,,,1,0,1,1,1,1,20061001
62273,CPT,Treat epidural spine lesion,,,21 ,,RBRVS,2.15 ,0.71 ,2.72 ,,,,,1,0,1,1,1,1,20061001
62280,CPT,Treat spinal cord lesion,,,21 ,,RBRVS,2.63 ,1.01 ,6.95 ,,,,,1,0,1,1,1,1,20061001
62281,CPT,Treat spinal cord lesion,,,21 ,,RBRVS,2.66 ,0.89 ,5.67 ,,,,,1,0,1,1,1,1,20061001
62282,CPT,Treat spinal canal lesion,,,21 ,,RBRVS,2.33 ,0.92 ,8.38 ,,,,,1,0,1,1,1,1,20061001
62284,CPT,Injection for myelogram,,,21 ,,RBRVS,1.54 ,0.68 ,4.97 ,,,,,1,0,1,1,1,1,20061001
62287,CPT,Percutaneous diskectomy,,,21 ,,RBRVS,8.07 ,5.57 ,5.57 ,,,,,1,0,1,1,1,1,20061001
62290,CPT,Inject for spine disk x-ray,,,21 ,,RBRVS,3.00 ,1.38 ,7.15 ,,,,,1,0,1,1,1,1,20061001
62291,CPT,Inject for spine disk x-ray,,,21 ,,RBRVS,2.91 ,1.23 ,5.95 ,,,,,1,0,1,1,1,1,20061001
62292,CPT,Injection into disk lesion,,,21 ,,RBRVS,7.85 ,4.48 ,4.48 ,,,,,1,0,1,1,1,1,20061001
62294,CPT,Injection into spinal artery,,,21 ,,RBRVS,11.81 ,5.60 ,5.60 ,,,,,1,0,1,1,1,1,20061001
62310,CPT,Inject spine c/t,,,21 ,,RBRVS,1.91 ,0.65 ,4.82 ,,,,,1,0,1,1,1,1,20061001
62311,CPT,Inject spine l/s (cd),,,21 ,,RBRVS,1.54 ,0.59 ,4.93 ,,,,,1,0,1,1,1,1,20061001
62318,CPT,"Inject spine w/cath, c/t",,,21 ,,RBRVS,2.04 ,0.65 ,5.74 ,,,,,1,0,1,1,1,1,20061001
62319,CPT,Inject spine w/cath l/s (cd),,,21 ,,RBRVS,1.87 ,0.61 ,4.99 ,,,,,1,0,1,1,1,1,20061001
62350,CPT,Implant spinal canal cath,,,21 ,,RBRVS,6.86 ,3.95 ,3.95 ,,,,,1,0,1,1,1,1,20061001
62351,CPT,Implant spinal canal cath,,,21 ,,RBRVS,9.99 ,7.14 ,7.14 ,,,,,1,0,1,1,1,1,20061001
62355,CPT,Remove spinal canal catheter,,,21 ,,RBRVS,5.44 ,3.17 ,3.17 ,,,,,1,0,1,1,1,1,20061001
62360,CPT,Insert spine infusion device,,,21 ,,RBRVS,2.62 ,2.69 ,2.69 ,,,,,1,0,1,1,1,1,20061001
62361,CPT,Implant spine infusion pump,,,21 ,,RBRVS,5.41 ,3.93 ,3.93 ,,,,,1,0,1,1,1,1,20061001
62362,CPT,Implant spine infusion pump,,,21 ,,RBRVS,7.03 ,4.37 ,4.37 ,,,,,1,0,1,1,1,1,20061001
62365,CPT,Remove spine infusion device,,,21 ,,RBRVS,5.41 ,3.59 ,3.59 ,,,,,1,0,1,1,1,1,20061001
62367,CPT,Analyze spine infusion pump,,,21 ,,TotalUnits,,,,0.56 ,,,,1,0,1,1,1,1,20061001
62368,CPT,Analyze spine infusion pump,,,21 ,,TotalUnits,,,,1.50 ,,,,1,0,1,1,1,1,20061001
63001,CPT,Removal of spinal lamina,,,21 ,,RBRVS,15.80 ,9.54 ,9.54 ,,,,,1,0,1,1,1,1,20061001
63003,CPT,Removal of spinal lamina,,,21 ,,RBRVS,15.93 ,9.89 ,9.89 ,,,,,1,0,1,1,1,1,20061001
63005,CPT,Removal of spinal lamina,,,21 ,,RBRVS,14.90 ,10.00 ,10.00 ,,,,,1,0,1,1,1,1,20061001
63011,CPT,Removal of spinal lamina,,,21 ,,RBRVS,14.50 ,8.29 ,8.29 ,,,,,1,0,1,1,1,1,20061001
63012,CPT,Removal of spinal lamina,,,21 ,,RBRVS,15.38 ,10.15 ,10.15 ,,,,,1,0,1,1,1,1,20061001
63015,CPT,Removal of spinal lamina,,,21 ,,RBRVS,19.32 ,11.90 ,11.90 ,,,,,1,0,1,1,1,1,20061001
63016,CPT,Removal of spinal lamina,,,21 ,,RBRVS,19.17 ,11.81 ,11.81 ,,,,,1,0,1,1,1,1,20061001
63017,CPT,Removal of spinal lamina,,,21 ,,RBRVS,15.92 ,10.42 ,10.42 ,,,,,1,0,1,1,1,1,20061001
63020,CPT,Neck spine disk surgery,,,21 ,,RBRVS,14.79 ,9.70 ,9.70 ,,,,,1,0,1,1,1,1,20061001
63030,CPT,Low back disk surgery,,,21 ,,RBRVS,11.98 ,8.44 ,8.44 ,,,,,1,0,1,1,1,1,20061001
63035,CPT,Spinal disk surgery add-on,,,21 ,,RBRVS,3.15 ,1.59 ,1.59 ,,,,,1,0,1,1,1,1,20061001
63040,CPT,"Laminotomy, single cervical",,,21 ,,RBRVS,18.78 ,11.53 ,11.53 ,,,,,1,0,1,1,1,1,20061001
63042,CPT,"Laminotomy, single lumbar",,,21 ,,RBRVS,17.44 ,11.37 ,11.37 ,,,,,1,0,1,1,1,1,20061001
63043,CPT,"Laminotomy, addl cervical",,,21 ,,TotalUnits,,,,15.61 ,,,,1,0,1,1,1,1,20061001
63044,CPT,"Laminotomy, addl lumbar",,,21 ,,TotalUnits,,,,14.83 ,,,,1,0,1,1,1,1,20061001
63045,CPT,Removal of spinal lamina,,,21 ,,RBRVS,16.48 ,10.38 ,10.38 ,,,,,1,0,1,1,1,1,20061001
63046,CPT,Removal of spinal lamina,,,21 ,,RBRVS,15.78 ,10.21 ,10.21 ,,,,,1,0,1,1,1,1,20061001
63047,CPT,Removal of spinal lamina,,,21 ,,RBRVS,14.59 ,9.92 ,9.92 ,,,,,1,0,1,1,1,1,20061001
63048,CPT,Remove spinal lamina add-on,,,21 ,,RBRVS,3.26 ,1.66 ,1.66 ,,,,,1,0,1,1,1,1,20061001
63050,CPT,Cervical laminoplasty,,,21 ,,RBRVS,20.75 ,11.87 ,11.87 ,,,,,1,0,0,1,1,1,20061001
63051,CPT,C-laminoplasty w/graft/plate,,,21 ,,RBRVS,24.25 ,13.51 ,13.51 ,,,,,1,0,0,1,1,1,20061001
63055,CPT,Decompress spinal cord,,,21 ,,RBRVS,21.96 ,13.17 ,13.17 ,,,,,1,0,1,1,1,1,20061001
63056,CPT,Decompress spinal cord,,,21 ,,RBRVS,20.33 ,12.60 ,12.60 ,,,,,1,0,1,1,1,1,20061001
63057,CPT,Decompress spine cord add-on,,,21 ,,RBRVS,5.25 ,2.64 ,2.64 ,,,,,1,0,1,1,1,1,20061001
63064,CPT,Decompress spinal cord,,,21 ,,RBRVS,24.57 ,14.46 ,14.46 ,,,,,1,0,1,1,1,1,20061001
63066,CPT,Decompress spine cord add-on,,,21 ,,RBRVS,3.26 ,1.66 ,1.66 ,,,,,1,0,1,1,1,1,20061001
63075,CPT,Neck spine disk surgery,,,21 ,,RBRVS,19.38 ,12.12 ,12.12 ,,,,,1,0,1,1,1,1,20061001
63076,CPT,Neck spine disk surgery,,,21 ,,RBRVS,4.04 ,2.06 ,2.06 ,,,,,1,0,1,1,1,1,20061001
63077,CPT,"Spine disk surgery, thorax",,,21 ,,RBRVS,21.41 ,12.83 ,12.83 ,,,,,1,0,1,1,1,1,20061001
63078,CPT,"Spine disk surgery, thorax",,,21 ,,RBRVS,3.28 ,1.64 ,1.64 ,,,,,1,0,1,1,1,1,20061001
63081,CPT,Removal of vertebral body,,,21 ,,RBRVS,23.69 ,14.36 ,14.36 ,,,,,1,0,1,1,1,1,20061001
63082,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,4.36 ,2.23 ,2.23 ,,,,,1,0,1,1,1,1,20061001
63085,CPT,Removal of vertebral body,,,21 ,,RBRVS,26.88 ,15.51 ,15.51 ,,,,,1,0,1,1,1,1,20061001
63086,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,3.19 ,1.59 ,1.59 ,,,,,1,0,1,1,1,1,20061001
63087,CPT,Removal of vertebral body,,,21 ,,RBRVS,35.52 ,19.51 ,19.51 ,,,,,1,0,1,1,1,1,20061001
63088,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,4.32 ,2.18 ,2.18 ,,,,,1,0,1,1,1,1,20061001
63090,CPT,Removal of vertebral body,,,21 ,,RBRVS,28.12 ,16.08 ,16.08 ,,,,,1,0,1,1,1,1,20061001
63091,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,3.03 ,1.46 ,1.46 ,,,,,1,0,1,1,1,1,20061001
63101,CPT,Removal of vertebral body,,,21 ,,RBRVS,31.95 ,19.33 ,19.33 ,,,,,1,0,1,1,1,1,20061001
63102,CPT,Removal of vertebral body,,,21 ,,RBRVS,31.95 ,19.33 ,19.33 ,,,,,1,0,1,1,1,1,20061001
63103,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,4.82 ,2.51 ,2.51 ,,,,,1,0,1,1,1,1,20061001
63170,CPT,Incise spinal cord tract(s),,,21 ,,RBRVS,19.80 ,11.89 ,11.89 ,,,,,1,0,1,1,1,1,20061001
63172,CPT,Drainage of spinal cyst,,,21 ,,RBRVS,17.63 ,10.67 ,10.67 ,,,,,1,0,1,1,1,1,20061001
63173,CPT,Drainage of spinal cyst,,,21 ,,RBRVS,21.96 ,12.84 ,12.84 ,,,,,1,0,1,1,1,1,20061001
63180,CPT,Revise spinal cord ligaments,,,21 ,,RBRVS,18.24 ,11.01 ,11.01 ,,,,,1,0,1,1,1,1,20061001
63182,CPT,Revise spinal cord ligaments,,,21 ,,RBRVS,20.47 ,10.98 ,10.98 ,,,,,1,0,1,1,1,1,20061001
63185,CPT,Incise spinal column/nerves,,,21 ,,RBRVS,15.02 ,8.11 ,8.11 ,,,,,1,0,1,1,1,1,20061001
63190,CPT,Incise spinal column/nerves,,,21 ,,RBRVS,17.42 ,10.16 ,10.16 ,,,,,1,0,1,1,1,1,20061001
63191,CPT,Incise spinal column/nerves,,,21 ,,RBRVS,17.51 ,10.50 ,10.50 ,,,,,1,0,1,1,1,1,20061001
63194,CPT,Incise spinal column & cord,,,21 ,,RBRVS,19.16 ,11.74 ,11.74 ,,,,,1,0,1,1,1,1,20061001
63195,CPT,Incise spinal column & cord,,,21 ,,RBRVS,18.81 ,11.07 ,11.07 ,,,,,1,0,1,1,1,1,20061001
63196,CPT,Incise spinal column & cord,,,21 ,,RBRVS,22.27 ,13.42 ,13.42 ,,,,,1,0,1,1,1,1,20061001
63197,CPT,Incise spinal column & cord,,,21 ,,RBRVS,21.08 ,12.24 ,12.24 ,,,,,1,0,1,1,1,1,20061001
63198,CPT,Incise spinal column & cord,,,21 ,,RBRVS,25.34 ,8.45 ,8.45 ,,,,,1,0,1,1,1,1,20061001
63199,CPT,Incise spinal column & cord,,,21 ,,RBRVS,26.85 ,15.07 ,15.07 ,,,,,1,0,1,1,1,1,20061001
63200,CPT,Release of spinal cord,,,21 ,,RBRVS,19.15 ,11.32 ,11.32 ,,,,,1,0,1,1,1,1,20061001
63250,CPT,Revise spinal cord vessels,,,21 ,,RBRVS,40.70 ,19.98 ,19.98 ,,,,,1,0,1,1,1,1,20061001
63251,CPT,Revise spinal cord vessels,,,21 ,,RBRVS,41.14 ,22.65 ,22.65 ,,,,,1,0,1,1,1,1,20061001
63252,CPT,Revise spinal cord vessels,,,21 ,,RBRVS,41.13 ,22.29 ,22.29 ,,,,,1,0,1,1,1,1,20061001
63265,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,21.53 ,12.80 ,12.80 ,,,,,1,0,1,1,1,1,20061001
63266,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,22.27 ,13.21 ,13.21 ,,,,,1,0,1,1,1,1,20061001
63267,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,17.92 ,11.10 ,11.10 ,,,,,1,0,1,1,1,1,20061001
63268,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,18.49 ,10.39 ,10.39 ,,,,,1,0,1,1,1,1,20061001
63270,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,26.76 ,15.50 ,15.50 ,,,,,1,0,1,1,1,1,20061001
63271,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,26.88 ,15.61 ,15.61 ,,,,,1,0,1,1,1,1,20061001
63272,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,25.28 ,14.72 ,14.72 ,,,,,1,0,1,1,1,1,20061001
63273,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,24.25 ,14.37 ,14.37 ,,,,,1,0,1,1,1,1,20061001
63275,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,23.64 ,13.80 ,13.80 ,,,,,1,0,1,1,1,1,20061001
63276,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,23.41 ,13.71 ,13.71 ,,,,,1,0,1,1,1,1,20061001
63277,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,20.80 ,12.55 ,12.55 ,,,,,1,0,1,1,1,1,20061001
63278,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,20.53 ,12.42 ,12.42 ,,,,,1,0,1,1,1,1,20061001
63280,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,28.31 ,16.35 ,16.35 ,,,,,1,0,1,1,1,1,20061001
63281,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,28.01 ,16.21 ,16.21 ,,,,,1,0,1,1,1,1,20061001
63282,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,26.35 ,15.36 ,15.36 ,,,,,1,0,1,1,1,1,20061001
63283,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,24.96 ,14.69 ,14.69 ,,,,,1,0,1,1,1,1,20061001
63285,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,35.95 ,19.99 ,19.99 ,,,,,1,0,1,1,1,1,20061001
63286,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,35.58 ,19.95 ,19.95 ,,,,,1,0,1,1,1,1,20061001
63287,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,36.64 ,20.47 ,20.47 ,,,,,1,0,1,1,1,1,20061001
63290,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,37.32 ,20.64 ,20.64 ,,,,,1,0,1,1,1,1,20061001
63295,CPT,Repair of laminectomy defect,,,21 ,,RBRVS,5.25 ,2.15 ,2.15 ,,,,,1,0,0,1,1,1,20061001
63300,CPT,Removal of vertebral body,,,21 ,,RBRVS,24.39 ,14.33 ,14.33 ,,,,,1,0,1,1,1,1,20061001
63301,CPT,Removal of vertebral body,,,21 ,,RBRVS,27.56 ,15.59 ,15.59 ,,,,,1,0,1,1,1,1,20061001
63302,CPT,Removal of vertebral body,,,21 ,,RBRVS,27.77 ,15.89 ,15.89 ,,,,,1,0,1,1,1,1,20061001
63303,CPT,Removal of vertebral body,,,21 ,,RBRVS,30.45 ,16.95 ,16.95 ,,,,,1,0,1,1,1,1,20061001
63304,CPT,Removal of vertebral body,,,21 ,,RBRVS,30.28 ,17.31 ,17.31 ,,,,,1,0,1,1,1,1,20061001
63305,CPT,Removal of vertebral body,,,21 ,,RBRVS,31.98 ,18.09 ,18.09 ,,,,,1,0,1,1,1,1,20061001
63306,CPT,Removal of vertebral body,,,21 ,,RBRVS,32.17 ,17.84 ,17.84 ,,,,,1,0,1,1,1,1,20061001
63307,CPT,Removal of vertebral body,,,21 ,,RBRVS,31.58 ,16.85 ,16.85 ,,,,,1,0,1,1,1,1,20061001
63308,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,5.24 ,2.61 ,2.61 ,,,,,1,0,1,1,1,1,20061001
63600,CPT,Remove spinal cord lesion,,,21 ,,RBRVS,14.00 ,5.41 ,5.41 ,,,,,1,0,1,1,1,1,20061001
63610,CPT,Stimulation of spinal cord,,,21 ,,RBRVS,8.72 ,2.26 ,59.85 ,,,,,1,0,1,1,1,1,20061001
63615,CPT,Remove lesion of spinal cord,,,21 ,,RBRVS,16.26 ,9.29 ,9.29 ,,,,,1,0,1,1,1,1,20061001
63650,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,6.73 ,3.18 ,3.18 ,,,,,1,0,1,1,1,1,20061001
63655,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,10.27 ,6.91 ,6.91 ,,,,,1,0,1,1,1,1,20061001
63660,CPT,Revise/remove neuroelectrode,,,21 ,,RBRVS,6.15 ,3.62 ,3.62 ,,,,,1,0,1,1,1,1,20061001
63685,CPT,Implant neuroreceiver,,,21 ,,RBRVS,7.03 ,4.15 ,4.15 ,,,,,1,0,1,1,1,1,20061001
63688,CPT,Revise/remove neuroreceiver,,,21 ,,RBRVS,5.38 ,3.56 ,3.56 ,,,,,1,0,1,1,1,1,20061001
63700,CPT,Repair of spinal herniation,,,21 ,,RBRVS,16.51 ,10.33 ,10.33 ,,,,,1,0,1,1,1,1,20061001
63702,CPT,Repair of spinal herniation,,,21 ,,RBRVS,18.45 ,11.06 ,11.06 ,,,,,1,0,1,1,1,1,20061001
63704,CPT,Repair of spinal herniation,,,21 ,,RBRVS,21.15 ,12.95 ,12.95 ,,,,,1,0,1,1,1,1,20061001
63706,CPT,Repair of spinal herniation,,,21 ,,RBRVS,24.07 ,13.61 ,13.61 ,,,,,1,0,1,1,1,1,20061001
63707,CPT,Repair spinal fluid leakage,,,21 ,,RBRVS,11.24 ,7.72 ,7.72 ,,,,,1,0,1,1,1,1,20061001
63709,CPT,Repair spinal fluid leakage,,,21 ,,RBRVS,14.30 ,9.42 ,9.42 ,,,,,1,0,1,1,1,1,20061001
63710,CPT,Graft repair of spine defect,,,21 ,,RBRVS,14.05 ,9.06 ,9.06 ,,,,,1,0,1,1,1,1,20061001
63740,CPT,Install spinal shunt,,,21 ,,RBRVS,11.34 ,7.36 ,7.36 ,,,,,1,0,1,1,1,1,20061001
63741,CPT,Install spinal shunt,,,21 ,,RBRVS,8.24 ,4.76 ,4.76 ,,,,,1,0,1,1,1,1,20061001
63744,CPT,Revision of spinal shunt,,,21 ,,RBRVS,8.09 ,5.27 ,5.27 ,,,,,1,0,1,1,1,1,20061001
63746,CPT,Removal of spinal shunt,,,21 ,,RBRVS,6.42 ,3.78 ,3.78 ,,,,,1,0,1,1,1,1,20061001
64400,CPT,"N block inj, trigeminal",,,21 ,,RBRVS,1.11 ,0.43 ,1.90 ,,,,,1,0,1,1,1,1,20061001
64402,CPT,"N block inj, facial",,,21 ,,RBRVS,1.25 ,0.60 ,1.61 ,,,,,1,0,1,1,1,1,20061001
64405,CPT,"N block inj, occipital",,,21 ,,RBRVS,1.32 ,0.46 ,1.46 ,,,,,1,0,1,1,1,1,20061001
64408,CPT,"N block inj, vagus",,,21 ,,RBRVS,1.41 ,0.85 ,1.58 ,,,,,1,0,1,1,1,1,20061001
64410,CPT,"N block inj, phrenic",,,21 ,,RBRVS,1.43 ,0.46 ,2.51 ,,,,,1,0,1,1,1,1,20061001
64412,CPT,"N block inj, spinal accessor",,,21 ,,RBRVS,1.18 ,0.43 ,2.66 ,,,,,1,0,1,1,1,1,20061001
64413,CPT,"N block inj, cervical plexus",,,21 ,,RBRVS,1.40 ,0.50 ,1.85 ,,,,,1,0,1,1,1,1,20061001
64415,CPT,"N block inj, brachial plexus",,,21 ,,RBRVS,1.48 ,0.46 ,2.81 ,,,,,1,0,1,1,1,1,20061001
64416,CPT,"N block cont infuse, b plex",,,21 ,,RBRVS,3.49 ,0.79 ,0.79 ,,,,,1,0,1,1,1,1,20061001
64417,CPT,"N block inj, axillary",,,21 ,,RBRVS,1.44 ,0.49 ,3.04 ,,,,,1,0,1,1,1,1,20061001
64418,CPT,"N block inj, suprascapular",,,21 ,,RBRVS,1.32 ,0.44 ,2.63 ,,,,,1,0,1,1,1,1,20061001
64420,CPT,"N block inj, intercost, sng",,,21 ,,RBRVS,1.18 ,0.42 ,3.89 ,,,,,1,0,1,1,1,1,20061001
64421,CPT,"N block inj, intercost, mlt",,,21 ,,RBRVS,1.68 ,0.52 ,6.10 ,,,,,1,0,1,1,1,1,20061001
64425,CPT,N block inj ilio-ing/hypogi,,,21 ,,RBRVS,1.75 ,0.54 ,1.65 ,,,,,1,0,1,1,1,1,20061001
64430,CPT,"N block inj, pudendal",,,21 ,,RBRVS,1.46 ,0.55 ,2.52 ,,,,,1,0,1,1,1,1,20061001
64435,CPT,"N block inj, paracervical",,,21 ,,RBRVS,1.45 ,0.69 ,2.53 ,,,,,1,0,1,1,1,1,20061001
64445,CPT,"N block inj, sciatic, sng",,,21 ,,RBRVS,1.48 ,0.50 ,2.68 ,,,,,1,0,1,1,1,1,20061001
64446,CPT,"N blk inj, sciatic, cont inf",,,21 ,,RBRVS,3.25 ,1.00 ,1.00 ,,,,,1,0,1,1,1,1,20061001
64447,CPT,"N block inj fem, single",,,21 ,,RBRVS,1.50 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20061001
64448,CPT,"N block inj fem, cont inf",,,21 ,,RBRVS,3.00 ,0.81 ,0.81 ,,,,,1,0,1,1,1,1,20061001
64449,CPT,"N block inj, lumbar plexus",,,21 ,,RBRVS,3.00 ,0.96 ,0.96 ,,,,,1,0,1,1,1,1,20061001
64450,CPT,"N block, other peripheral",,,21 ,,RBRVS,1.27 ,0.48 ,1.24 ,,,,,1,0,1,1,1,1,20061001
64470,CPT,Inj paravertebral c/t,,,21 ,,RBRVS,1.85 ,0.71 ,7.25 ,,,,,1,0,1,1,1,1,20061001
64472,CPT,Inj paravertebral c/t add-on,,,21 ,,RBRVS,1.29 ,0.34 ,2.34 ,,,,,1,0,1,1,1,1,20061001
64475,CPT,Inj paravertebral l/s,,,21 ,,RBRVS,1.41 ,0.63 ,6.90 ,,,,,1,0,1,1,1,1,20061001
64476,CPT,Inj paravertebral l/s add-on,,,21 ,,RBRVS,0.98 ,0.24 ,2.13 ,,,,,1,0,1,1,1,1,20061001
64479,CPT,Inj foramen epidural c/t,,,21 ,,RBRVS,2.20 ,0.89 ,7.51 ,,,,,1,0,1,1,1,1,20061001
64480,CPT,Inj foramen epidural add-on,,,21 ,,RBRVS,1.54 ,0.47 ,2.85 ,,,,,1,0,1,1,1,1,20061001
64483,CPT,Inj foramen epidural l/s,,,21 ,,RBRVS,1.90 ,0.83 ,7.91 ,,,,,1,0,1,1,1,1,20061001
64484,CPT,Inj foramen epidural add-on,,,21 ,,RBRVS,1.33 ,0.37 ,3.29 ,,,,,1,0,1,1,1,1,20061001
64505,CPT,"N block, spenopalatine gangl",,,21 ,,RBRVS,1.36 ,0.66 ,1.24 ,,,,,1,0,1,1,1,1,20061001
64508,CPT,"N block, carotid sinus s/p",,,21 ,,RBRVS,1.12 ,0.74 ,3.33 ,,,,,1,0,1,1,1,1,20061001
64510,CPT,"N block, stellate ganglion",,,21 ,,RBRVS,1.22 ,0.51 ,3.46 ,,,,,1,0,1,1,1,1,20061001
64517,CPT,"N block inj, hypogas plxs",,,21 ,,RBRVS,2.20 ,0.87 ,2.73 ,,,,,1,0,1,1,1,1,20061001
64520,CPT,"N block, lumbar/thoracic",,,21 ,,RBRVS,1.35 ,0.55 ,5.15 ,,,,,1,0,1,1,1,1,20061001
64530,CPT,"N block inj, celiac pelus",,,21 ,,RBRVS,1.58 ,0.65 ,4.46 ,,,,,1,0,1,1,1,1,20061001
64550,CPT,Apply neurostimulator,,,21 ,,RBRVS,0.18 ,0.05 ,0.28 ,,,,,1,1,1,0,1,1,20061001
64553,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,2.31 ,1.86 ,2.84 ,,,,,1,0,1,1,1,1,20061001
64555,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,2.27 ,1.19 ,3.11 ,,,,,1,0,1,1,1,1,20061001
64560,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,2.36 ,1.28 ,2.64 ,,,,,1,0,1,1,1,1,20061001
64561,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,6.73 ,2.78 ,30.14 ,,,,,1,0,1,1,1,1,20061001
64565,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,1.76 ,1.26 ,3.29 ,,,,,1,0,1,1,1,1,20061001
64573,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,7.49 ,5.26 ,5.26 ,,,,,1,0,1,1,1,1,20061001
64575,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,4.34 ,2.68 ,2.68 ,,,,,1,0,1,1,1,1,20061001
64577,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,4.61 ,3.29 ,3.29 ,,,,,1,0,1,1,1,1,20061001
64580,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,4.11 ,3.56 ,3.56 ,,,,,1,0,1,1,1,1,20061001
64581,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,13.48 ,5.39 ,5.39 ,,,,,1,0,1,1,1,1,20061001
64585,CPT,Revise/remove neuroelectrode,,,21 ,,RBRVS,2.06 ,2.14 ,11.31 ,,,,,1,0,1,1,1,1,20061001
64590,CPT,Implant neuroreceiver,,,21 ,,RBRVS,2.40 ,2.29 ,7.16 ,,,,,1,0,1,1,1,1,20061001
64595,CPT,Revise/remove neuroreceiver,,,21 ,,RBRVS,1.73 ,1.93 ,10.42 ,,,,,1,0,1,1,1,1,20061001
64600,CPT,Injection treatment of nerve,,,21 ,,RBRVS,3.44 ,1.65 ,9.38 ,,,,,1,0,1,1,1,1,20061001
64605,CPT,Injection treatment of nerve,,,21 ,,RBRVS,5.60 ,2.19 ,9.58 ,,,,,1,0,1,1,1,1,20061001
64610,CPT,Injection treatment of nerve,,,21 ,,RBRVS,7.15 ,3.72 ,8.89 ,,,,,1,0,1,1,1,1,20061001
64612,CPT,"Destroy nerve, face muscle",,,21 ,,RBRVS,1.96 ,1.32 ,2.49 ,,,,,1,0,1,1,1,1,20061001
64613,CPT,"Destroy nerve, spine muscle",,,21 ,,RBRVS,1.96 ,1.22 ,2.94 ,,,,,1,0,1,1,1,1,20061001
64614,CPT,"Destroy nerve, extrem musc",,,21 ,,RBRVS,2.20 ,1.31 ,3.23 ,,,,,1,0,1,1,1,1,20061001
64620,CPT,Injection treatment of nerve,,,21 ,,RBRVS,2.84 ,1.33 ,5.07 ,,,,,1,0,1,1,1,1,20061001
64622,CPT,Destr paravertebrl nerve l/s,,,21 ,,RBRVS,3.00 ,1.37 ,7.78 ,,,,,1,0,1,1,1,1,20061001
64623,CPT,Destr paravertebral n add-on,,,21 ,,RBRVS,0.99 ,0.22 ,2.97 ,,,,,1,0,1,1,1,1,20061001
64626,CPT,Destr paravertebrl nerve c/t,,,21 ,,RBRVS,3.28 ,1.97 ,7.80 ,,,,,1,0,1,1,1,1,20061001
64627,CPT,Destr paravertebral n add-on,,,21 ,,RBRVS,1.16 ,0.27 ,4.54 ,,,,,1,0,1,1,1,1,20061001
64630,CPT,Injection treatment of nerve,,,21 ,,RBRVS,3.00 ,1.41 ,2.74 ,,,,,1,0,1,1,1,1,20061001
64640,CPT,Injection treatment of nerve,,,21 ,,RBRVS,2.76 ,1.85 ,4.19 ,,,,,1,0,1,1,1,1,20061001
64650,CPT,Chemodenerv eccrine glands,,,21 ,,RBRVS,0.70 ,0.30 ,0.87 ,,,,,1,0,1,1,1,1,20061001
64653,CPT,Chemodenerv eccrine glands,,,21 ,,RBRVS,0.88 ,0.38 ,0.92 ,,,,,1,0,1,1,1,1,20061001
64680,CPT,Injection treatment of nerve,,,21 ,,RBRVS,2.62 ,1.43 ,6.73 ,,,,,1,0,1,1,1,1,20061001
64681,CPT,Injection treatment of nerve,,,21 ,,RBRVS,3.54 ,2.07 ,9.32 ,,,,,1,0,1,1,1,1,20061001
64702,CPT,Revise finger/toe nerve,,,21 ,,RBRVS,4.22 ,3.87 ,3.87 ,,,,,1,0,1,1,1,1,20061001
64704,CPT,Revise hand/foot nerve,,,21 ,,RBRVS,4.56 ,3.32 ,3.32 ,,,,,1,0,1,1,1,1,20061001
64708,CPT,Revise arm/leg nerve,,,21 ,,RBRVS,6.11 ,4.87 ,4.87 ,,,,,1,0,1,1,1,1,20061001
64712,CPT,Revision of sciatic nerve,,,21 ,,RBRVS,7.74 ,4.97 ,4.97 ,,,,,1,0,1,1,1,1,20061001
64713,CPT,Revision of arm nerve(s),,,21 ,,RBRVS,10.98 ,5.89 ,5.89 ,,,,,1,0,1,1,1,1,20061001
64714,CPT,Revise low back nerve(s),,,21 ,,RBRVS,10.31 ,4.21 ,4.21 ,,,,,1,0,1,1,1,1,20061001
64716,CPT,Revision of cranial nerve,,,21 ,,RBRVS,6.30 ,5.99 ,5.99 ,,,,,1,0,1,1,1,1,20061001
64718,CPT,Revise ulnar nerve at elbow,,,21 ,,RBRVS,5.98 ,6.01 ,6.01 ,,,,,1,0,1,1,1,1,20061001
64719,CPT,Revise ulnar nerve at wrist,,,21 ,,RBRVS,4.84 ,4.53 ,4.53 ,,,,,1,0,1,1,1,1,20061001
64721,CPT,Carpal tunnel surgery,,,21 ,,RBRVS,4.28 ,5.38 ,5.38 ,,,,,1,0,1,1,1,1,20061001
64722,CPT,Relieve pressure on nerve(s),,,21 ,,RBRVS,4.69 ,3.05 ,3.05 ,,,,,1,0,1,1,1,1,20061001
64726,CPT,Release foot/toe nerve,,,21 ,,RBRVS,4.17 ,2.80 ,2.80 ,,,,,1,0,1,1,1,1,20061001
64727,CPT,Internal nerve revision,,,21 ,,RBRVS,3.10 ,1.50 ,1.50 ,,,,,1,0,1,1,1,1,20061001
64732,CPT,Incision of brow nerve,,,21 ,,RBRVS,4.40 ,3.51 ,3.51 ,,,,,1,0,1,1,1,1,20061001
64734,CPT,Incision of cheek nerve,,,21 ,,RBRVS,4.91 ,4.06 ,4.06 ,,,,,1,0,1,1,1,1,20061001
64736,CPT,Incision of chin nerve,,,21 ,,RBRVS,4.59 ,4.03 ,4.03 ,,,,,1,0,1,1,1,1,20061001
64738,CPT,Incision of jaw nerve,,,21 ,,RBRVS,5.72 ,4.62 ,4.62 ,,,,,1,0,1,1,1,1,20061001
64740,CPT,Incision of tongue nerve,,,21 ,,RBRVS,5.58 ,5.13 ,5.13 ,,,,,1,0,1,1,1,1,20061001
64742,CPT,Incision of facial nerve,,,21 ,,RBRVS,6.21 ,4.71 ,4.71 ,,,,,1,0,1,1,1,1,20061001
64744,CPT,"Incise nerve, back of head",,,21 ,,RBRVS,5.23 ,3.78 ,3.78 ,,,,,1,0,1,1,1,1,20061001
64746,CPT,Incise diaphragm nerve,,,21 ,,RBRVS,5.92 ,4.51 ,4.51 ,,,,,1,0,1,1,1,1,20061001
64752,CPT,Incision of vagus nerve,,,21 ,,RBRVS,7.05 ,4.29 ,4.29 ,,,,,1,0,1,1,1,1,20061001
64755,CPT,Incision of stomach nerves,,,21 ,,RBRVS,13.50 ,5.65 ,5.65 ,,,,,1,0,1,1,1,1,20061001
64760,CPT,Incision of vagus nerve,,,21 ,,RBRVS,6.95 ,3.46 ,3.46 ,,,,,1,0,1,1,1,1,20061001
64761,CPT,Incision of pelvis nerve,,,21 ,,RBRVS,6.40 ,3.53 ,3.53 ,,,,,1,0,1,1,1,1,20061001
64763,CPT,Incise hip/thigh nerve,,,21 ,,RBRVS,6.92 ,5.21 ,5.21 ,,,,,1,0,1,1,1,1,20061001
64766,CPT,Incise hip/thigh nerve,,,21 ,,RBRVS,8.66 ,5.26 ,5.26 ,,,,,1,0,1,1,1,1,20061001
64771,CPT,Sever cranial nerve,,,21 ,,RBRVS,7.34 ,5.57 ,5.57 ,,,,,1,0,1,1,1,1,20061001
64772,CPT,Incision of spinal nerve,,,21 ,,RBRVS,7.20 ,4.93 ,4.93 ,,,,,1,0,1,1,1,1,20061001
64774,CPT,Remove skin nerve lesion,,,21 ,,RBRVS,5.16 ,3.84 ,3.84 ,,,,,1,0,1,1,1,1,20061001
64776,CPT,Remove digit nerve lesion,,,21 ,,RBRVS,5.11 ,3.69 ,3.69 ,,,,,1,0,1,1,1,1,20061001
64778,CPT,Digit nerve surgery add-on,,,21 ,,RBRVS,3.11 ,1.50 ,1.50 ,,,,,1,0,1,1,1,1,20061001
64782,CPT,Remove limb nerve lesion,,,21 ,,RBRVS,6.22 ,3.78 ,3.78 ,,,,,1,0,1,1,1,1,20061001
64783,CPT,Limb nerve surgery add-on,,,21 ,,RBRVS,3.71 ,1.84 ,1.84 ,,,,,1,0,1,1,1,1,20061001
64784,CPT,Remove nerve lesion,,,21 ,,RBRVS,9.81 ,6.61 ,6.61 ,,,,,1,0,1,1,1,1,20061001
64786,CPT,Remove sciatic nerve lesion,,,21 ,,RBRVS,15.44 ,9.86 ,9.86 ,,,,,1,0,1,1,1,1,20061001
64787,CPT,Implant nerve end,,,21 ,,RBRVS,4.29 ,2.13 ,2.13 ,,,,,1,0,1,1,1,1,20061001
64788,CPT,Remove skin nerve lesion,,,21 ,,RBRVS,4.60 ,3.47 ,3.47 ,,,,,1,0,1,1,1,1,20061001
64790,CPT,Removal of nerve lesion,,,21 ,,RBRVS,11.29 ,7.22 ,7.22 ,,,,,1,0,1,1,1,1,20061001
64792,CPT,Removal of nerve lesion,,,21 ,,RBRVS,14.90 ,8.85 ,8.85 ,,,,,1,0,1,1,1,1,20061001
64795,CPT,Biopsy of nerve,,,21 ,,RBRVS,3.01 ,1.56 ,1.56 ,,,,,1,0,1,1,1,1,20061001
64802,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,9.14 ,5.14 ,5.14 ,,,,,1,0,1,1,1,1,20061001
64804,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,14.62 ,7.18 ,7.18 ,,,,,1,0,1,1,1,1,20061001
64809,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,13.65 ,5.78 ,5.78 ,,,,,1,0,1,1,1,1,20061001
64818,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,10.28 ,5.30 ,5.30 ,,,,,1,0,1,1,1,1,20061001
64820,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,10.35 ,7.14 ,7.14 ,,,,,1,0,1,1,1,1,20061001
64821,CPT,Remove sympathestic nerves,,,21 ,,RBRVS,8.74 ,7.36 ,7.36 ,,,,,1,0,1,1,1,1,20061001
64822,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,8.74 ,7.25 ,7.25 ,,,,,1,0,1,1,1,1,20061001
64823,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,10.35 ,8.15 ,8.15 ,,,,,1,0,1,1,1,1,20061001
64831,CPT,Repair of digit nerve,,,21 ,,RBRVS,9.43 ,7.09 ,7.09 ,,,,,1,0,1,1,1,1,20061001
64832,CPT,Repair nerve add-on,,,21 ,,RBRVS,5.65 ,2.94 ,2.94 ,,,,,1,0,1,1,1,1,20061001
64834,CPT,Repair of hand or foot nerve,,,21 ,,RBRVS,10.17 ,7.11 ,7.11 ,,,,,1,0,1,1,1,1,20061001
64835,CPT,Repair of hand or foot nerve,,,21 ,,RBRVS,10.92 ,7.71 ,7.71 ,,,,,1,0,1,1,1,1,20061001
64836,CPT,Repair of hand or foot nerve,,,21 ,,RBRVS,10.92 ,7.68 ,7.68 ,,,,,1,0,1,1,1,1,20061001
64837,CPT,Repair nerve add-on,,,21 ,,RBRVS,6.25 ,3.24 ,3.24 ,,,,,1,0,1,1,1,1,20061001
64840,CPT,Repair of leg nerve,,,21 ,,RBRVS,13.00 ,8.27 ,8.27 ,,,,,1,0,1,1,1,1,20061001
64856,CPT,Repair/transpose nerve,,,21 ,,RBRVS,13.78 ,9.21 ,9.21 ,,,,,1,0,1,1,1,1,20061001
64857,CPT,Repair arm/leg nerve,,,21 ,,RBRVS,14.47 ,9.66 ,9.66 ,,,,,1,0,1,1,1,1,20061001
64858,CPT,Repair sciatic nerve,,,21 ,,RBRVS,16.47 ,10.80 ,10.80 ,,,,,1,0,1,1,1,1,20061001
64859,CPT,Nerve surgery,,,21 ,,RBRVS,4.25 ,2.20 ,2.20 ,,,,,1,0,1,1,1,1,20061001
64861,CPT,Repair of arm nerves,,,21 ,,RBRVS,19.21 ,11.80 ,11.80 ,,,,,1,0,1,1,1,1,20061001
64862,CPT,Repair of low back nerves,,,21 ,,RBRVS,19.41 ,11.96 ,11.96 ,,,,,1,0,1,1,1,1,20061001
64864,CPT,Repair of facial nerve,,,21 ,,RBRVS,12.53 ,8.79 ,8.79 ,,,,,1,0,1,1,1,1,20061001
64865,CPT,Repair of facial nerve,,,21 ,,RBRVS,15.22 ,13.56 ,13.56 ,,,,,1,0,1,1,1,1,20061001
64866,CPT,Fusion of facial/other nerve,,,21 ,,RBRVS,15.72 ,13.20 ,13.20 ,,,,,1,0,1,1,1,1,20061001
64868,CPT,Fusion of facial/other nerve,,,21 ,,RBRVS,14.02 ,11.46 ,11.46 ,,,,,1,0,1,1,1,1,20061001
64870,CPT,Fusion of facial/other nerve,,,21 ,,RBRVS,15.97 ,8.75 ,8.75 ,,,,,1,0,1,1,1,1,20061001
64872,CPT,Subsequent repair of nerve,,,21 ,,RBRVS,1.99 ,1.08 ,1.08 ,,,,,1,0,1,1,1,1,20061001
64874,CPT,Repair & revise nerve add-on,,,21 ,,RBRVS,2.98 ,1.53 ,1.53 ,,,,,1,0,1,1,1,1,20061001
64876,CPT,Repair nerve/shorten bone,,,21 ,,RBRVS,3.37 ,1.75 ,1.75 ,,,,,1,0,1,1,1,1,20061001
64885,CPT,"Nerve graft, head or neck",,,21 ,,RBRVS,17.50 ,11.63 ,11.63 ,,,,,1,0,1,1,1,1,20061001
64886,CPT,"Nerve graft, head or neck",,,21 ,,RBRVS,20.72 ,13.58 ,13.58 ,,,,,1,0,1,1,1,1,20061001
64890,CPT,"Nerve graft, hand or foot",,,21 ,,RBRVS,15.13 ,10.02 ,10.02 ,,,,,1,0,1,1,1,1,20061001
64891,CPT,"Nerve graft, hand or foot",,,21 ,,RBRVS,16.12 ,7.60 ,7.60 ,,,,,1,0,1,1,1,1,20061001
64892,CPT,"Nerve graft, arm or leg",,,21 ,,RBRVS,14.63 ,8.89 ,8.89 ,,,,,1,0,1,1,1,1,20061001
64893,CPT,"Nerve graft, arm or leg",,,21 ,,RBRVS,15.58 ,9.89 ,9.89 ,,,,,1,0,1,1,1,1,20061001
64895,CPT,"Nerve graft, hand or foot",,,21 ,,RBRVS,19.22 ,9.68 ,9.68 ,,,,,1,0,1,1,1,1,20061001
64896,CPT,"Nerve graft, hand or foot",,,21 ,,RBRVS,20.46 ,11.01 ,11.01 ,,,,,1,0,1,1,1,1,20061001
64897,CPT,"Nerve graft, arm or leg",,,21 ,,RBRVS,18.21 ,10.72 ,10.72 ,,,,,1,0,1,1,1,1,20061001
64898,CPT,"Nerve graft, arm or leg",,,21 ,,RBRVS,19.47 ,11.82 ,11.82 ,,,,,1,0,1,1,1,1,20061001
64901,CPT,Nerve graft add-on,,,21 ,,RBRVS,10.20 ,5.28 ,5.28 ,,,,,1,0,1,1,1,1,20061001
64902,CPT,Nerve graft add-on,,,21 ,,RBRVS,11.81 ,5.98 ,5.98 ,,,,,1,0,1,1,1,1,20061001
64905,CPT,Nerve pedicle transfer,,,21 ,,RBRVS,14.00 ,8.51 ,8.51 ,,,,,1,0,1,1,1,1,20061001
64907,CPT,Nerve pedicle transfer,,,21 ,,RBRVS,18.80 ,12.56 ,12.56 ,,,,,1,0,1,1,1,1,20061001
64999,CPT,Nervous system surgery,,,21 ,,TotalUnits,,,,8.64 ,,,,1,0,1,1,1,1,20061001
65091,CPT,Revise eye,,,21 ,,RBRVS,6.45 ,8.37 ,8.37 ,,,,,1,0,1,1,1,1,20061001
65093,CPT,Revise eye with implant,,,21 ,,RBRVS,6.86 ,8.74 ,8.74 ,,,,,1,0,1,1,1,1,20061001
65101,CPT,Removal of eye,,,21 ,,RBRVS,7.02 ,9.55 ,9.55 ,,,,,1,0,1,1,1,1,20061001
65103,CPT,Remove eye/insert implant,,,21 ,,RBRVS,7.56 ,9.76 ,9.76 ,,,,,1,0,1,1,1,1,20061001
65105,CPT,Remove eye/attach implant,,,21 ,,RBRVS,8.48 ,10.49 ,10.49 ,,,,,1,0,1,1,1,1,20061001
65110,CPT,Removal of eye,,,21 ,,RBRVS,13.93 ,13.71 ,13.71 ,,,,,1,0,1,1,1,1,20061001
65112,CPT,Remove eye/revise socket,,,21 ,,RBRVS,16.36 ,16.18 ,16.18 ,,,,,1,0,1,1,1,1,20061001
65114,CPT,Remove eye/revise socket,,,21 ,,RBRVS,17.50 ,16.39 ,16.39 ,,,,,1,0,1,1,1,1,20061001
65125,CPT,Revise ocular implant,,,21 ,,RBRVS,3.12 ,3.61 ,8.83 ,,,,,1,0,1,1,1,1,20061001
65130,CPT,Insert ocular implant,,,21 ,,RBRVS,7.14 ,9.19 ,9.19 ,,,,,1,0,1,1,1,1,20061001
65135,CPT,Insert ocular implant,,,21 ,,RBRVS,7.32 ,9.34 ,9.34 ,,,,,1,0,1,1,1,1,20061001
65140,CPT,Attach ocular implant,,,21 ,,RBRVS,8.01 ,9.90 ,9.90 ,,,,,1,0,1,1,1,1,20061001
65150,CPT,Revise ocular implant,,,21 ,,RBRVS,6.25 ,7.99 ,7.99 ,,,,,1,0,1,1,1,1,20061001
65155,CPT,Reinsert ocular implant,,,21 ,,RBRVS,8.65 ,10.51 ,10.51 ,,,,,1,0,1,1,1,1,20061001
65175,CPT,Removal of ocular implant,,,21 ,,RBRVS,6.27 ,8.50 ,8.50 ,,,,,1,0,1,1,1,1,20061001
65205,CPT,Remove foreign body from eye,,,21 ,,RBRVS,0.71 ,0.29 ,0.64 ,,,,,1,0,1,1,1,1,20061001
65210,CPT,Remove foreign body from eye,,,21 ,,RBRVS,0.84 ,0.38 ,0.81 ,,,,,1,0,1,1,1,1,20061001
65220,CPT,Remove foreign body from eye,,,21 ,,RBRVS,0.71 ,0.28 ,0.64 ,,,,,1,0,1,1,1,1,20061001
65222,CPT,Remove foreign body from eye,,,21 ,,RBRVS,0.93 ,0.38 ,0.89 ,,,,,1,0,1,1,1,1,20061001
65235,CPT,Remove foreign body from eye,,,21 ,,RBRVS,7.56 ,6.76 ,6.76 ,,,,,1,0,1,1,1,1,20061001
65260,CPT,Remove foreign body from eye,,,21 ,,RBRVS,10.94 ,9.68 ,9.68 ,,,,,1,0,1,1,1,1,20061001
65265,CPT,Remove foreign body from eye,,,21 ,,RBRVS,12.57 ,10.65 ,10.65 ,,,,,1,0,1,1,1,1,20061001
65270,CPT,Repair of eye wound,,,21 ,,RBRVS,1.90 ,1.39 ,5.24 ,,,,,1,0,1,1,1,1,20061001
65272,CPT,Repair of eye wound,,,21 ,,RBRVS,3.81 ,3.30 ,7.73 ,,,,,1,0,1,1,1,1,20061001
65273,CPT,Repair of eye wound,,,21 ,,RBRVS,4.35 ,3.59 ,3.59 ,,,,,1,0,1,1,1,1,20061001
65275,CPT,Repair of eye wound,,,21 ,,RBRVS,5.33 ,3.95 ,6.33 ,,,,,1,0,1,1,1,1,20061001
65280,CPT,Repair of eye wound,,,21 ,,RBRVS,7.65 ,6.25 ,6.25 ,,,,,1,0,1,1,1,1,20061001
65285,CPT,Repair of eye wound,,,21 ,,RBRVS,12.88 ,9.24 ,9.24 ,,,,,1,0,1,1,1,1,20061001
65286,CPT,Repair of eye wound,,,21 ,,RBRVS,5.50 ,4.63 ,11.17 ,,,,,1,0,1,1,1,1,20061001
65290,CPT,Repair of eye socket wound,,,21 ,,RBRVS,5.40 ,4.75 ,4.75 ,,,,,1,0,1,1,1,1,20061001
65400,CPT,Removal of eye lesion,,,21 ,,RBRVS,6.05 ,6.14 ,8.35 ,,,,,1,0,1,1,1,1,20061001
65410,CPT,Biopsy of cornea,,,21 ,,RBRVS,1.47 ,0.97 ,2.12 ,,,,,1,0,1,1,1,1,20061001
65420,CPT,Removal of eye lesion,,,21 ,,RBRVS,4.16 ,4.45 ,8.88 ,,,,,1,0,1,1,1,1,20061001
65426,CPT,Removal of eye lesion,,,21 ,,RBRVS,5.24 ,4.93 ,10.20 ,,,,,1,0,1,1,1,1,20061001
65430,CPT,Corneal smear,,,21 ,,RBRVS,1.47 ,0.98 ,1.29 ,,,,,1,0,1,1,1,1,20061001
65435,CPT,Curette/treat cornea,,,21 ,,RBRVS,0.92 ,0.71 ,1.00 ,,,,,1,0,1,1,1,1,20061001
65436,CPT,Curette/treat cornea,,,21 ,,RBRVS,4.18 ,3.68 ,4.10 ,,,,,1,0,1,1,1,1,20061001
65450,CPT,Treatment of corneal lesion,,,21 ,,RBRVS,3.27 ,3.95 ,4.08 ,,,,,1,0,1,1,1,1,20061001
65600,CPT,Revision of cornea,,,21 ,,RBRVS,3.39 ,3.36 ,5.02 ,,,,,1,0,1,1,1,1,20061001
65710,CPT,Corneal transplant,,,21 ,,RBRVS,12.33 ,11.23 ,11.23 ,,,,,1,0,1,1,1,1,20061001
65730,CPT,Corneal transplant,,,21 ,,RBRVS,14.23 ,12.05 ,12.05 ,,,,,1,0,1,1,1,1,20061001
65750,CPT,Corneal transplant,,,21 ,,RBRVS,14.98 ,12.00 ,12.00 ,,,,,1,0,1,1,1,1,20061001
65755,CPT,Corneal transplant,,,21 ,,RBRVS,14.87 ,11.92 ,11.92 ,,,,,1,0,1,1,1,1,20061001
65760,CPT,Revision of cornea,,,21 ,,TotalUnits,,,,30.91 ,,,,1,0,1,1,1,1,20061001
65765,CPT,Revision of cornea,,,21 ,,TotalUnits,,,,35.86 ,,,,1,0,1,1,1,1,20061001
65767,CPT,Corneal tissue transplant,,,21 ,,TotalUnits,,,,33.39 ,,,,1,0,1,1,1,1,20061001
65770,CPT,Revise cornea with implant,,,21 ,,RBRVS,17.53 ,13.24 ,13.24 ,,,,,1,0,1,1,1,1,20061001
65771,CPT,Radial keratotomy,,,21 ,,TotalUnits,,,,18.18 ,,,,1,0,1,1,1,1,20061001
65772,CPT,Correction of astigmatism,,,21 ,,RBRVS,4.28 ,4.14 ,5.55 ,,,,,1,0,1,1,1,1,20061001
65775,CPT,Correction of astigmatism,,,21 ,,RBRVS,5.78 ,5.97 ,5.97 ,,,,,1,0,1,1,1,1,20061001
65780,CPT,"Ocular reconst, transplant",,,21 ,,RBRVS,10.23 ,10.32 ,10.32 ,,,,,1,0,1,1,1,1,20061001
65781,CPT,"Ocular reconst, transplant",,,21 ,,RBRVS,17.64 ,13.71 ,13.71 ,,,,,1,0,1,1,1,1,20061001
65782,CPT,"Ocular reconst, transplant",,,21 ,,RBRVS,14.98 ,12.02 ,12.02 ,,,,,1,0,1,1,1,1,20061001
65800,CPT,Drainage of eye,,,21 ,,RBRVS,1.91 ,1.18 ,1.80 ,,,,,1,0,1,1,1,1,20061001
65805,CPT,Drainage of eye,,,21 ,,RBRVS,1.91 ,1.19 ,2.18 ,,,,,1,0,1,1,1,1,20061001
65810,CPT,Drainage of eye,,,21 ,,RBRVS,4.86 ,4.71 ,4.71 ,,,,,1,0,1,1,1,1,20061001
65815,CPT,Drainage of eye,,,21 ,,RBRVS,5.04 ,4.82 ,10.03 ,,,,,1,0,1,1,1,1,20061001
65820,CPT,Relieve inner eye pressure,,,21 ,,RBRVS,8.12 ,9.08 ,9.08 ,,,,,1,0,1,1,1,1,20061001
65850,CPT,Incision of eye,,,21 ,,RBRVS,10.50 ,8.46 ,8.46 ,,,,,1,0,1,1,1,1,20061001
65855,CPT,Laser surgery of eye,,,21 ,,RBRVS,3.84 ,3.11 ,4.32 ,,,,,1,0,1,1,1,1,20061001
65860,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,3.54 ,2.51 ,4.05 ,,,,,1,0,1,1,1,1,20061001
65865,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,5.59 ,5.64 ,5.64 ,,,,,1,0,1,1,1,1,20061001
65870,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,6.26 ,6.43 ,6.43 ,,,,,1,0,1,1,1,1,20061001
65875,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,6.53 ,6.81 ,6.81 ,,,,,1,0,1,1,1,1,20061001
65880,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,7.08 ,7.05 ,7.05 ,,,,,1,0,1,1,1,1,20061001
65900,CPT,Remove eye lesion,,,21 ,,RBRVS,10.91 ,10.28 ,10.28 ,,,,,1,0,1,1,1,1,20061001
65920,CPT,Remove implant of eye,,,21 ,,RBRVS,8.39 ,8.19 ,8.19 ,,,,,1,0,1,1,1,1,20061001
65930,CPT,Remove blood clot from eye,,,21 ,,RBRVS,7.43 ,6.85 ,6.85 ,,,,,1,0,1,1,1,1,20061001
66020,CPT,Injection treatment of eye,,,21 ,,RBRVS,1.59 ,1.44 ,3.13 ,,,,,1,0,1,1,1,1,20061001
66030,CPT,Injection treatment of eye,,,21 ,,RBRVS,1.25 ,1.28 ,2.97 ,,,,,1,0,1,1,1,1,20061001
66130,CPT,Remove eye lesion,,,21 ,,RBRVS,7.68 ,5.63 ,9.65 ,,,,,1,0,1,1,1,1,20061001
66150,CPT,Glaucoma surgery,,,21 ,,RBRVS,8.29 ,9.43 ,9.43 ,,,,,1,0,1,1,1,1,20061001
66155,CPT,Glaucoma surgery,,,21 ,,RBRVS,8.28 ,9.38 ,9.38 ,,,,,1,0,1,1,1,1,20061001
66160,CPT,Glaucoma surgery,,,21 ,,RBRVS,10.15 ,10.22 ,10.22 ,,,,,1,0,1,1,1,1,20061001
66165,CPT,Glaucoma surgery,,,21 ,,RBRVS,8.00 ,9.27 ,9.27 ,,,,,1,0,1,1,1,1,20061001
66170,CPT,Glaucoma surgery,,,21 ,,RBRVS,12.14 ,12.26 ,12.26 ,,,,,1,0,1,1,1,1,20061001
66172,CPT,Incision of eye,,,21 ,,RBRVS,15.02 ,15.24 ,15.24 ,,,,,1,0,1,1,1,1,20061001
66180,CPT,Implant eye shunt,,,21 ,,RBRVS,14.53 ,10.79 ,10.79 ,,,,,1,0,1,1,1,1,20061001
66185,CPT,Revise eye shunt,,,21 ,,RBRVS,8.13 ,7.40 ,7.40 ,,,,,1,0,1,1,1,1,20061001
66220,CPT,Repair eye lesion,,,21 ,,RBRVS,7.76 ,7.12 ,7.12 ,,,,,1,0,1,1,1,1,20061001
66225,CPT,Repair/graft eye lesion,,,21 ,,RBRVS,11.03 ,8.76 ,8.76 ,,,,,1,0,1,1,1,1,20061001
66250,CPT,Follow-up surgery of eye,,,21 ,,RBRVS,5.97 ,5.50 ,11.72 ,,,,,1,0,1,1,1,1,20061001
66500,CPT,Incision of iris,,,21 ,,RBRVS,3.70 ,4.65 ,4.65 ,,,,,1,0,1,1,1,1,20061001
66505,CPT,Incision of iris,,,21 ,,RBRVS,4.07 ,5.00 ,5.00 ,,,,,1,0,1,1,1,1,20061001
66600,CPT,Remove iris and lesion,,,21 ,,RBRVS,8.67 ,8.24 ,8.24 ,,,,,1,0,1,1,1,1,20061001
66605,CPT,Removal of iris,,,21 ,,RBRVS,12.77 ,10.05 ,10.05 ,,,,,1,0,1,1,1,1,20061001
66625,CPT,Removal of iris,,,21 ,,RBRVS,5.12 ,4.74 ,4.74 ,,,,,1,0,1,1,1,1,20061001
66630,CPT,Removal of iris,,,21 ,,RBRVS,6.15 ,5.73 ,5.73 ,,,,,1,0,1,1,1,1,20061001
66635,CPT,Removal of iris,,,21 ,,RBRVS,6.24 ,5.76 ,5.76 ,,,,,1,0,1,1,1,1,20061001
66680,CPT,Repair iris & ciliary body,,,21 ,,RBRVS,5.43 ,5.29 ,5.29 ,,,,,1,0,1,1,1,1,20061001
66682,CPT,Repair iris & ciliary body,,,21 ,,RBRVS,6.20 ,6.63 ,6.63 ,,,,,1,0,1,1,1,1,20061001
66700,CPT,"Destruction, ciliary body",,,21 ,,RBRVS,4.77 ,3.94 ,5.26 ,,,,,1,0,1,1,1,1,20061001
66710,CPT,"Destruction, ciliary body",,,21 ,,RBRVS,4.77 ,3.85 ,5.18 ,,,,,1,0,1,1,1,1,20061001
66711,CPT,Ciliary endoscopic ablation,,,21 ,,RBRVS,6.60 ,6.49 ,6.49 ,,,,,1,0,1,1,1,1,20061001
66720,CPT,"Destruction, ciliary body",,,21 ,,RBRVS,4.77 ,4.73 ,5.81 ,,,,,1,0,1,1,1,1,20061001
66740,CPT,"Destruction, ciliary body",,,21 ,,RBRVS,4.77 ,3.98 ,5.10 ,,,,,1,0,1,1,1,1,20061001
66761,CPT,Revision of iris,,,21 ,,RBRVS,4.06 ,4.32 ,5.61 ,,,,,1,0,1,1,1,1,20061001
66762,CPT,Revision of iris,,,21 ,,RBRVS,4.57 ,4.30 ,5.67 ,,,,,1,0,1,1,1,1,20061001
66770,CPT,Removal of inner eye lesion,,,21 ,,RBRVS,5.17 ,4.81 ,6.10 ,,,,,1,0,1,1,1,1,20061001
66820,CPT,"Incision, secondary cataract",,,21 ,,RBRVS,3.88 ,5.83 ,5.83 ,,,,,1,0,1,1,1,1,20061001
66821,CPT,After cataract laser surgery,,,21 ,,RBRVS,2.35 ,3.63 ,4.10 ,,,,,1,0,1,1,1,1,20061001
66825,CPT,Reposition intraocular lens,,,21 ,,RBRVS,8.22 ,9.09 ,9.09 ,,,,,1,0,1,1,1,1,20061001
66830,CPT,Removal of lens lesion,,,21 ,,RBRVS,8.19 ,6.97 ,6.97 ,,,,,1,0,1,1,1,1,20061001
66840,CPT,Removal of lens material,,,21 ,,RBRVS,7.90 ,6.88 ,6.88 ,,,,,1,0,1,1,1,1,20061001
66850,CPT,Removal of lens material,,,21 ,,RBRVS,9.10 ,7.66 ,7.66 ,,,,,1,0,1,1,1,1,20061001
66852,CPT,Removal of lens material,,,21 ,,RBRVS,9.96 ,8.12 ,8.12 ,,,,,1,0,1,1,1,1,20061001
66920,CPT,Extraction of lens,,,21 ,,RBRVS,8.85 ,7.32 ,7.32 ,,,,,1,0,1,1,1,1,20061001
66930,CPT,Extraction of lens,,,21 ,,RBRVS,10.16 ,8.16 ,8.16 ,,,,,1,0,1,1,1,1,20061001
66940,CPT,Extraction of lens,,,21 ,,RBRVS,8.92 ,7.62 ,7.62 ,,,,,1,0,1,1,1,1,20061001
66982,CPT,"Cataract surgery, complex",,,21 ,,RBRVS,13.48 ,9.89 ,9.89 ,,,,,1,0,1,1,1,1,20061001
66983,CPT,"Cataract surg w/iol, 1 stage",,,21 ,,RBRVS,8.98 ,6.13 ,6.13 ,,,,,1,0,1,1,1,1,20061001
66984,CPT,"Cataract surg w/iol, 1 stage",,,21 ,,RBRVS,10.21 ,7.44 ,7.44 ,,,,,1,0,1,1,1,1,20061001
66985,CPT,Insert lens prosthesis,,,21 ,,RBRVS,8.38 ,7.47 ,7.47 ,,,,,1,0,1,1,1,1,20061001
66986,CPT,Exchange lens prosthesis,,,21 ,,RBRVS,12.26 ,9.20 ,9.20 ,,,,,1,0,1,1,1,1,20061001
66990,CPT,Ophthalmic endoscope add-on,,,21 ,,RBRVS,1.51 ,0.69 ,0.69 ,,,,,1,0,1,1,1,1,20061001
66999,CPT,Eye surgery procedure,,,21 ,,TotalUnits,,,,17.84 ,,,,1,0,1,1,1,1,20061001
67005,CPT,Partial removal of eye fluid,,,21 ,,RBRVS,5.69 ,4.87 ,4.87 ,,,,,1,0,1,1,1,1,20061001
67010,CPT,Partial removal of eye fluid,,,21 ,,RBRVS,6.86 ,5.43 ,5.43 ,,,,,1,0,1,1,1,1,20061001
67015,CPT,Release of eye fluid,,,21 ,,RBRVS,6.91 ,6.47 ,6.47 ,,,,,1,0,1,1,1,1,20061001
67025,CPT,Replace eye fluid,,,21 ,,RBRVS,6.83 ,6.24 ,9.25 ,,,,,1,0,1,1,1,1,20061001
67027,CPT,Implant eye drug system,,,21 ,,RBRVS,10.83 ,8.02 ,8.02 ,,,,,1,0,1,1,1,1,20061001
67028,CPT,Injection eye drug,,,21 ,,RBRVS,2.52 ,1.46 ,2.71 ,,,,,1,0,1,1,1,1,20061001
67030,CPT,Incise inner eye strands,,,21 ,,RBRVS,4.83 ,5.87 ,5.87 ,,,,,1,0,1,1,1,1,20061001
67031,CPT,"Laser surgery, eye strands",,,21 ,,RBRVS,3.66 ,3.65 ,4.61 ,,,,,1,0,1,1,1,1,20061001
67036,CPT,Removal of inner eye fluid,,,21 ,,RBRVS,11.87 ,9.15 ,9.15 ,,,,,1,0,1,1,1,1,20061001
67038,CPT,Strip retinal membrane,,,21 ,,RBRVS,21.21 ,15.53 ,15.53 ,,,,,1,0,1,1,1,1,20061001
67039,CPT,Laser treatment of retina,,,21 ,,RBRVS,14.50 ,12.22 ,12.22 ,,,,,1,0,1,1,1,1,20061001
67040,CPT,Laser treatment of retina,,,21 ,,RBRVS,17.20 ,13.72 ,13.72 ,,,,,1,0,1,1,1,1,20061001
67101,CPT,Repair detached retina,,,21 ,,RBRVS,7.52 ,6.55 ,9.15 ,,,,,1,0,1,1,1,1,20061001
67105,CPT,Repair detached retina,,,21 ,,RBRVS,7.40 ,6.17 ,8.10 ,,,,,1,0,1,1,1,1,20061001
67107,CPT,Repair detached retina,,,21 ,,RBRVS,14.82 ,11.33 ,11.33 ,,,,,1,0,1,1,1,1,20061001
67108,CPT,Repair detached retina,,,21 ,,RBRVS,20.79 ,14.46 ,14.46 ,,,,,1,0,1,1,1,1,20061001
67110,CPT,Repair detached retina,,,21 ,,RBRVS,8.80 ,7.41 ,10.26 ,,,,,1,0,1,1,1,1,20061001
67112,CPT,Rerepair detached retina,,,21 ,,RBRVS,16.83 ,11.84 ,11.84 ,,,,,1,0,1,1,1,1,20061001
67115,CPT,Release encircling material,,,21 ,,RBRVS,4.98 ,5.09 ,5.09 ,,,,,1,0,1,1,1,1,20061001
67120,CPT,Remove eye implant material,,,21 ,,RBRVS,5.97 ,5.55 ,8.60 ,,,,,1,0,1,1,1,1,20061001
67121,CPT,Remove eye implant material,,,21 ,,RBRVS,10.65 ,8.55 ,8.55 ,,,,,1,0,1,1,1,1,20061001
67141,CPT,Treatment of retina,,,21 ,,RBRVS,5.19 ,4.87 ,5.87 ,,,,,1,0,1,1,1,1,20061001
67145,CPT,Treatment of retina,,,21 ,,RBRVS,5.36 ,4.94 ,5.74 ,,,,,1,0,1,1,1,1,20061001
67208,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,6.69 ,5.53 ,6.14 ,,,,,1,0,1,1,1,1,20061001
67210,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,8.81 ,5.90 ,6.59 ,,,,,1,0,1,1,1,1,20061001
67218,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,18.50 ,12.19 ,12.19 ,,,,,1,0,1,1,1,1,20061001
67220,CPT,Treatment of choroid lesion,,,21 ,,RBRVS,13.11 ,9.04 ,10.45 ,,,,,1,0,1,1,1,1,20061001
67221,CPT,Ocular photodynamic ther,,,21 ,,RBRVS,4.00 ,1.81 ,4.34 ,,,,,1,0,1,1,1,1,20061001
67225,CPT,Eye photodynamic ther add-on,,,21 ,,RBRVS,0.47 ,0.21 ,0.25 ,,,,,1,0,1,1,1,1,20061001
67227,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,6.57 ,5.54 ,6.60 ,,,,,1,0,1,1,1,1,20061001
67228,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,12.72 ,8.56 ,11.51 ,,,,,1,0,1,1,1,1,20061001
67250,CPT,Reinforce eye wall,,,21 ,,RBRVS,8.65 ,9.20 ,9.20 ,,,,,1,0,1,1,1,1,20061001
67255,CPT,Reinforce/graft eye wall,,,21 ,,RBRVS,8.89 ,9.92 ,9.92 ,,,,,1,0,1,1,1,1,20061001
67299,CPT,Eye surgery procedure,,,21 ,,TotalUnits,,,,21.22 ,,,,1,0,1,1,1,1,20061001
67311,CPT,Revise eye muscle,,,21 ,,RBRVS,6.64 ,6.04 ,6.04 ,,,,,1,0,1,1,1,1,20061001
67312,CPT,Revise two eye muscles,,,21 ,,RBRVS,8.53 ,6.77 ,6.77 ,,,,,1,0,1,1,1,1,20061001
67314,CPT,Revise eye muscle,,,21 ,,RBRVS,7.51 ,6.57 ,6.57 ,,,,,1,0,1,1,1,1,20061001
67316,CPT,Revise two eye muscles,,,21 ,,RBRVS,9.65 ,7.52 ,7.52 ,,,,,1,0,1,1,1,1,20061001
67318,CPT,Revise eye muscle(s),,,21 ,,RBRVS,7.84 ,6.95 ,6.95 ,,,,,1,0,1,1,1,1,20061001
67320,CPT,Revise eye muscle(s) add-on,,,21 ,,RBRVS,4.32 ,1.96 ,1.96 ,,,,,1,0,1,1,1,1,20061001
67331,CPT,Eye surgery follow-up add-on,,,21 ,,RBRVS,4.05 ,1.84 ,1.84 ,,,,,1,0,1,1,1,1,20061001
67332,CPT,Rerevise eye muscles add-on,,,21 ,,RBRVS,4.48 ,2.03 ,2.03 ,,,,,1,0,1,1,1,1,20061001
67334,CPT,Revise eye muscle w/suture,,,21 ,,RBRVS,3.97 ,1.80 ,1.80 ,,,,,1,0,1,1,1,1,20061001
67335,CPT,Eye suture during surgery,,,21 ,,RBRVS,2.49 ,1.12 ,1.12 ,,,,,1,0,1,1,1,1,20061001
67340,CPT,Revise eye muscle add-on,,,21 ,,RBRVS,4.92 ,2.21 ,2.21 ,,,,,1,0,1,1,1,1,20061001
67343,CPT,Release eye tissue,,,21 ,,RBRVS,7.34 ,6.53 ,6.53 ,,,,,1,0,1,1,1,1,20061001
67345,CPT,Destroy nerve of eye muscle,,,21 ,,RBRVS,2.96 ,2.02 ,2.59 ,,,,,1,0,1,1,1,1,20061001
67350,CPT,Biopsy eye muscle,,,21 ,,RBRVS,2.87 ,1.88 ,1.88 ,,,,,1,0,1,1,1,1,20061001
67399,CPT,Eye muscle surgery procedure,,,21 ,,TotalUnits,,,,13.06 ,,,,1,0,1,1,1,1,20061001
67400,CPT,Explore/biopsy eye socket,,,21 ,,RBRVS,9.75 ,11.29 ,11.29 ,,,,,1,0,1,1,1,1,20061001
67405,CPT,Explore/drain eye socket,,,21 ,,RBRVS,7.92 ,9.80 ,9.80 ,,,,,1,0,1,1,1,1,20061001
67412,CPT,Explore/treat eye socket,,,21 ,,RBRVS,9.49 ,10.96 ,10.96 ,,,,,1,0,1,1,1,1,20061001
67413,CPT,Explore/treat eye socket,,,21 ,,RBRVS,9.99 ,10.80 ,10.80 ,,,,,1,0,1,1,1,1,20061001
67414,CPT,Explr/decompress eye socket,,,21 ,,RBRVS,11.11 ,12.07 ,12.07 ,,,,,1,0,1,1,1,1,20061001
67415,CPT,"Aspiration, orbital contents",,,21 ,,RBRVS,1.76 ,0.76 ,0.76 ,,,,,1,0,1,1,1,1,20061001
67420,CPT,Explore/treat eye socket,,,21 ,,RBRVS,20.03 ,17.44 ,17.44 ,,,,,1,0,1,1,1,1,20061001
67430,CPT,Explore/treat eye socket,,,21 ,,RBRVS,13.37 ,14.93 ,14.93 ,,,,,1,0,1,1,1,1,20061001
67440,CPT,Explore/drain eye socket,,,21 ,,RBRVS,13.07 ,14.30 ,14.30 ,,,,,1,0,1,1,1,1,20061001
67445,CPT,Explr/decompress eye socket,,,21 ,,RBRVS,14.40 ,13.95 ,13.95 ,,,,,1,0,1,1,1,1,20061001
67450,CPT,Explore/biopsy eye socket,,,21 ,,RBRVS,13.49 ,14.73 ,14.73 ,,,,,1,0,1,1,1,1,20061001
67500,CPT,Inject/treat eye socket,,,21 ,,RBRVS,0.79 ,0.29 ,0.67 ,,,,,1,0,1,1,1,1,20061001
67505,CPT,Inject/treat eye socket,,,21 ,,RBRVS,0.82 ,0.31 ,0.69 ,,,,,1,0,1,1,1,1,20061001
67515,CPT,Inject/treat eye socket,,,21 ,,RBRVS,0.61 ,0.38 ,0.59 ,,,,,1,0,1,1,1,1,20061001
67550,CPT,Insert eye socket implant,,,21 ,,RBRVS,10.17 ,11.33 ,11.33 ,,,,,1,0,1,1,1,1,20061001
67560,CPT,Revise eye socket implant,,,21 ,,RBRVS,10.58 ,11.40 ,11.40 ,,,,,1,0,1,1,1,1,20061001
67570,CPT,Decompress optic nerve,,,21 ,,RBRVS,13.56 ,13.62 ,13.62 ,,,,,1,0,1,1,1,1,20061001
67599,CPT,Orbit surgery procedure,,,21 ,,TotalUnits,,,,1.38 ,,,,1,0,1,1,1,1,20061001
67700,CPT,Drainage of eyelid abscess,,,21 ,,RBRVS,1.35 ,1.27 ,6.04 ,,,,,1,0,1,1,1,1,20061001
67710,CPT,Incision of eyelid,,,21 ,,RBRVS,1.02 ,1.21 ,5.39 ,,,,,1,0,1,1,1,1,20061001
67715,CPT,Incision of eyelid fold,,,21 ,,RBRVS,1.22 ,1.29 ,5.39 ,,,,,1,0,1,1,1,1,20061001
67800,CPT,Remove eyelid lesion,,,21 ,,RBRVS,1.38 ,1.04 ,1.62 ,,,,,1,0,1,1,1,1,20061001
67801,CPT,Remove eyelid lesions,,,21 ,,RBRVS,1.88 ,1.26 ,1.97 ,,,,,1,0,1,1,1,1,20061001
67805,CPT,Remove eyelid lesions,,,21 ,,RBRVS,2.22 ,1.65 ,2.53 ,,,,,1,0,1,1,1,1,20061001
67808,CPT,Remove eyelid lesion(s),,,21 ,,RBRVS,3.79 ,3.78 ,3.78 ,,,,,1,0,1,1,1,1,20061001
67810,CPT,Biopsy of eyelid,,,21 ,,RBRVS,1.48 ,0.68 ,3.34 ,,,,,1,0,1,1,1,1,20061001
67820,CPT,Revise eyelashes,,,21 ,,RBRVS,0.89 ,0.56 ,0.60 ,,,,,1,0,1,1,1,1,20061001
67825,CPT,Revise eyelashes,,,21 ,,RBRVS,1.38 ,1.41 ,1.74 ,,,,,1,0,1,1,1,1,20061001
67830,CPT,Revise eyelashes,,,21 ,,RBRVS,1.70 ,1.50 ,5.55 ,,,,,1,0,1,1,1,1,20061001
67835,CPT,Revise eyelashes,,,21 ,,RBRVS,5.55 ,4.63 ,4.63 ,,,,,1,0,1,1,1,1,20061001
67840,CPT,Remove eyelid lesion,,,21 ,,RBRVS,2.04 ,1.65 ,5.49 ,,,,,1,0,1,1,1,1,20061001
67850,CPT,Treat eyelid lesion,,,21 ,,RBRVS,1.69 ,1.47 ,3.38 ,,,,,1,0,1,1,1,1,20061001
67875,CPT,Closure of eyelid by suture,,,21 ,,RBRVS,1.35 ,0.94 ,3.31 ,,,,,1,0,1,1,1,1,20061001
67880,CPT,Revision of eyelid,,,21 ,,RBRVS,3.79 ,3.81 ,6.63 ,,,,,1,0,1,1,1,1,20061001
67882,CPT,Revision of eyelid,,,21 ,,RBRVS,5.06 ,4.82 ,7.65 ,,,,,1,0,1,1,1,1,20061001
67900,CPT,Repair brow defect,,,21 ,,RBRVS,6.13 ,5.27 ,9.09 ,,,,,1,0,1,1,1,1,20061001
67901,CPT,Repair eyelid defect,,,21 ,,RBRVS,7.39 ,5.42 ,5.42 ,,,,,1,0,1,1,1,1,20061001
67902,CPT,Repair eyelid defect,,,21 ,,RBRVS,9.35 ,5.48 ,5.48 ,,,,,1,0,1,1,1,1,20061001
67903,CPT,Repair eyelid defect,,,21 ,,RBRVS,6.36 ,5.53 ,9.59 ,,,,,1,0,1,1,1,1,20061001
67904,CPT,Repair eyelid defect,,,21 ,,RBRVS,6.25 ,5.25 ,9.66 ,,,,,1,0,1,1,1,1,20061001
67906,CPT,Repair eyelid defect,,,21 ,,RBRVS,6.78 ,5.04 ,5.39 ,,,,,1,0,1,1,1,1,20061001
67908,CPT,Repair eyelid defect,,,21 ,,RBRVS,5.12 ,5.36 ,6.65 ,,,,,1,0,1,1,1,1,20061001
67909,CPT,Revise eyelid defect,,,21 ,,RBRVS,5.39 ,4.96 ,8.05 ,,,,,1,0,1,1,1,1,20061001
67911,CPT,Revise eyelid defect,,,21 ,,RBRVS,5.26 ,4.79 ,4.79 ,,,,,1,0,1,1,1,1,20061001
67912,CPT,Correction eyelid w/ implant,,,21 ,,RBRVS,5.67 ,5.55 ,18.98 ,,,,,1,0,1,1,1,1,20061001
67914,CPT,Repair eyelid defect,,,21 ,,RBRVS,3.67 ,3.06 ,6.36 ,,,,,1,0,1,1,1,1,20061001
67915,CPT,Repair eyelid defect,,,21 ,,RBRVS,3.18 ,2.81 ,6.00 ,,,,,1,0,1,1,1,1,20061001
67916,CPT,Repair eyelid defect,,,21 ,,RBRVS,5.30 ,4.77 ,8.07 ,,,,,1,0,1,1,1,1,20061001
67917,CPT,Repair eyelid defect,,,21 ,,RBRVS,6.01 ,5.08 ,8.48 ,,,,,1,0,1,1,1,1,20061001
67921,CPT,Repair eyelid defect,,,21 ,,RBRVS,3.39 ,2.90 ,6.21 ,,,,,1,0,1,1,1,1,20061001
67922,CPT,Repair eyelid defect,,,21 ,,RBRVS,3.06 ,2.76 ,5.93 ,,,,,1,0,1,1,1,1,20061001
67923,CPT,Repair eyelid defect,,,21 ,,RBRVS,5.87 ,4.98 ,8.14 ,,,,,1,0,1,1,1,1,20061001
67924,CPT,Repair eyelid defect,,,21 ,,RBRVS,5.78 ,4.69 ,8.95 ,,,,,1,0,1,1,1,1,20061001
67930,CPT,Repair eyelid wound,,,21 ,,RBRVS,3.60 ,2.18 ,5.73 ,,,,,1,0,1,1,1,1,20061001
67935,CPT,Repair eyelid wound,,,21 ,,RBRVS,6.21 ,4.42 ,8.54 ,,,,,1,0,1,1,1,1,20061001
67938,CPT,Remove eyelid foreign body,,,21 ,,RBRVS,1.33 ,1.26 ,5.40 ,,,,,1,0,1,1,1,1,20061001
67950,CPT,Revision of eyelid,,,21 ,,RBRVS,5.81 ,5.23 ,8.66 ,,,,,1,0,1,1,1,1,20061001
67961,CPT,Revision of eyelid,,,21 ,,RBRVS,5.68 ,5.04 ,8.71 ,,,,,1,0,1,1,1,1,20061001
67966,CPT,Revision of eyelid,,,21 ,,RBRVS,6.56 ,5.58 ,9.16 ,,,,,1,0,1,1,1,1,20061001
67971,CPT,Reconstruction of eyelid,,,21 ,,RBRVS,9.78 ,7.30 ,7.30 ,,,,,1,0,1,1,1,1,20061001
67973,CPT,Reconstruction of eyelid,,,21 ,,RBRVS,12.85 ,9.34 ,9.34 ,,,,,1,0,1,1,1,1,20061001
67974,CPT,Reconstruction of eyelid,,,21 ,,RBRVS,12.82 ,9.26 ,9.26 ,,,,,1,0,1,1,1,1,20061001
67975,CPT,Reconstruction of eyelid,,,21 ,,RBRVS,9.12 ,6.97 ,6.97 ,,,,,1,0,1,1,1,1,20061001
67999,CPT,Revision of eyelid,,,21 ,,TotalUnits,,,,4.70 ,,,,1,0,1,1,1,1,20061001
68020,CPT,Incise/drain eyelid lining,,,21 ,,RBRVS,1.37 ,1.21 ,1.41 ,,,,,1,0,1,1,1,1,20061001
68040,CPT,Treatment of eyelid lesions,,,21 ,,RBRVS,0.85 ,0.43 ,0.71 ,,,,,1,0,1,1,1,1,20061001
68100,CPT,Biopsy of eyelid lining,,,21 ,,RBRVS,1.35 ,0.95 ,3.26 ,,,,,1,0,1,1,1,1,20061001
68110,CPT,Remove eyelid lining lesion,,,21 ,,RBRVS,1.77 ,1.65 ,4.11 ,,,,,1,0,1,1,1,1,20061001
68115,CPT,Remove eyelid lining lesion,,,21 ,,RBRVS,2.36 ,1.92 ,5.98 ,,,,,1,0,1,1,1,1,20061001
68130,CPT,Remove eyelid lining lesion,,,21 ,,RBRVS,4.92 ,4.61 ,8.74 ,,,,,1,0,1,1,1,1,20061001
68135,CPT,Remove eyelid lining lesion,,,21 ,,RBRVS,1.84 ,1.65 ,1.82 ,,,,,1,0,1,1,1,1,20061001
68200,CPT,Treat eyelid by injection,,,21 ,,RBRVS,0.49 ,0.33 ,0.54 ,,,,,1,0,1,1,1,1,20061001
68320,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,5.36 ,5.54 ,11.31 ,,,,,1,0,1,1,1,1,20061001
68325,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,7.35 ,6.56 ,6.56 ,,,,,1,0,1,1,1,1,20061001
68326,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,7.14 ,6.43 ,6.43 ,,,,,1,0,1,1,1,1,20061001
68328,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,8.17 ,7.31 ,7.31 ,,,,,1,0,1,1,1,1,20061001
68330,CPT,Revise eyelid lining,,,21 ,,RBRVS,4.82 ,4.73 ,9.44 ,,,,,1,0,1,1,1,1,20061001
68335,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,7.18 ,6.40 ,6.40 ,,,,,1,0,1,1,1,1,20061001
68340,CPT,Separate eyelid adhesions,,,21 ,,RBRVS,4.16 ,4.11 ,8.90 ,,,,,1,0,1,1,1,1,20061001
68360,CPT,Revise eyelid lining,,,21 ,,RBRVS,4.36 ,4.19 ,8.06 ,,,,,1,0,1,1,1,1,20061001
68362,CPT,Revise eyelid lining,,,21 ,,RBRVS,7.33 ,6.42 ,6.42 ,,,,,1,0,1,1,1,1,20061001
68371,CPT,"Harvest eye tissue, alograft",,,21 ,,RBRVS,4.89 ,4.74 ,4.74 ,,,,,1,0,1,1,1,1,20061001
68399,CPT,Eyelid lining surgery,,,21 ,,TotalUnits,,,,4.00 ,,,,1,0,1,1,1,1,20061001
68400,CPT,Incise/drain tear gland,,,21 ,,RBRVS,1.69 ,1.83 ,5.92 ,,,,,1,0,1,1,1,1,20061001
68420,CPT,Incise/drain tear sac,,,21 ,,RBRVS,2.30 ,2.11 ,6.21 ,,,,,1,0,1,1,1,1,20061001
68440,CPT,Incise tear duct opening,,,21 ,,RBRVS,0.94 ,1.27 ,2.09 ,,,,,1,0,1,1,1,1,20061001
68500,CPT,Removal of tear gland,,,21 ,,RBRVS,11.00 ,9.76 ,9.76 ,,,,,1,0,1,1,1,1,20061001
68505,CPT,"Partial removal, tear gland",,,21 ,,RBRVS,10.92 ,10.68 ,10.68 ,,,,,1,0,1,1,1,1,20061001
68510,CPT,Biopsy of tear gland,,,21 ,,RBRVS,4.60 ,2.10 ,7.35 ,,,,,1,0,1,1,1,1,20061001
68520,CPT,Removal of tear sac,,,21 ,,RBRVS,7.50 ,7.44 ,7.44 ,,,,,1,0,1,1,1,1,20061001
68525,CPT,Biopsy of tear sac,,,21 ,,RBRVS,4.42 ,2.03 ,2.03 ,,,,,1,0,1,1,1,1,20061001
68530,CPT,Clearance of tear duct,,,21 ,,RBRVS,3.65 ,2.65 ,8.19 ,,,,,1,0,1,1,1,1,20061001
68540,CPT,Remove tear gland lesion,,,21 ,,RBRVS,10.58 ,9.42 ,9.42 ,,,,,1,0,1,1,1,1,20061001
68550,CPT,Remove tear gland lesion,,,21 ,,RBRVS,13.24 ,11.38 ,11.38 ,,,,,1,0,1,1,1,1,20061001
68700,CPT,Repair tear ducts,,,21 ,,RBRVS,6.59 ,6.00 ,6.00 ,,,,,1,0,1,1,1,1,20061001
68705,CPT,Revise tear duct opening,,,21 ,,RBRVS,2.06 ,1.80 ,4.18 ,,,,,1,0,1,1,1,1,20061001
68720,CPT,Create tear sac drain,,,21 ,,RBRVS,8.95 ,7.88 ,7.88 ,,,,,1,0,1,1,1,1,20061001
68745,CPT,Create tear duct drain,,,21 ,,RBRVS,8.62 ,7.88 ,7.88 ,,,,,1,0,1,1,1,1,20061001
68750,CPT,Create tear duct drain,,,21 ,,RBRVS,8.65 ,8.29 ,8.29 ,,,,,1,0,1,1,1,1,20061001
68760,CPT,Close tear duct opening,,,21 ,,RBRVS,1.73 ,1.63 ,3.55 ,,,,,1,0,1,1,1,1,20061001
68761,CPT,Close tear duct opening,,,21 ,,RBRVS,1.36 ,1.32 ,2.28 ,,,,,1,0,1,1,1,1,20061001
68770,CPT,Close tear system fistula,,,21 ,,RBRVS,7.01 ,3.19 ,3.19 ,,,,,1,0,1,1,1,1,20061001
68801,CPT,Dilate tear duct opening,,,21 ,,RBRVS,0.94 ,1.48 ,1.95 ,,,,,1,0,1,1,1,1,20061001
68810,CPT,Probe nasolacrimal duct,,,21 ,,RBRVS,1.90 ,2.68 ,3.67 ,,,,,1,0,1,1,1,1,20061001
68811,CPT,Probe nasolacrimal duct,,,21 ,,RBRVS,2.35 ,2.42 ,2.42 ,,,,,1,0,1,1,1,1,20061001
68815,CPT,Probe nasolacrimal duct,,,21 ,,RBRVS,3.20 ,2.82 ,8.26 ,,,,,1,0,1,1,1,1,20061001
68840,CPT,Explore/irrigate tear ducts,,,21 ,,RBRVS,1.25 ,1.12 ,1.60 ,,,,,1,0,1,1,1,1,20061001
68850,CPT,Injection for tear sac x-ray,,,21 ,,RBRVS,0.80 ,0.68 ,0.88 ,,,,,1,0,1,1,1,1,20061001
68899,CPT,Tear duct system surgery,,,21 ,,TotalUnits,,,,4.65 ,,,,1,0,1,1,1,1,20061001
69000,CPT,Drain external ear lesion,,,21 ,,RBRVS,1.45 ,1.36 ,2.89 ,,,,,1,0,1,1,1,1,20061001
69005,CPT,Drain external ear lesion,,,21 ,,RBRVS,2.11 ,1.84 ,2.94 ,,,,,1,0,1,1,1,1,20061001
69020,CPT,Drain outer ear canal lesion,,,21 ,,RBRVS,1.48 ,2.07 ,4.00 ,,,,,1,0,1,1,1,1,20061001
69090,CPT,Pierce earlobes,,,21 ,,TotalUnits,,,,0.71 ,,,,1,0,1,1,1,1,20061001
69100,CPT,Biopsy of external ear,,,21 ,,RBRVS,0.81 ,0.39 ,1.71 ,,,,,1,0,1,1,1,1,20061001
69105,CPT,Biopsy of external ear canal,,,21 ,,RBRVS,0.85 ,0.77 ,2.35 ,,,,,1,0,1,1,1,1,20061001
69110,CPT,"Remove external ear, partial",,,21 ,,RBRVS,3.43 ,4.48 ,6.76 ,,,,,1,0,1,1,1,1,20061001
69120,CPT,Removal of external ear,,,21 ,,RBRVS,4.04 ,6.20 ,6.20 ,,,,,1,0,1,1,1,1,20061001
69140,CPT,Remove ear canal lesion(s),,,21 ,,RBRVS,7.96 ,13.32 ,13.32 ,,,,,1,0,1,1,1,1,20061001
69145,CPT,Remove ear canal lesion(s),,,21 ,,RBRVS,2.62 ,3.31 ,5.80 ,,,,,1,0,1,1,1,1,20061001
69150,CPT,Extensive ear canal surgery,,,21 ,,RBRVS,13.41 ,13.44 ,13.44 ,,,,,1,0,1,1,1,1,20061001
69155,CPT,Extensive ear/neck surgery,,,21 ,,RBRVS,20.77 ,19.60 ,19.60 ,,,,,1,0,1,1,1,1,20061001
69200,CPT,Clear outer ear canal,,,21 ,,RBRVS,0.77 ,0.55 ,2.39 ,,,,,1,0,1,1,1,1,20061001
69205,CPT,Clear outer ear canal,,,21 ,,RBRVS,1.20 ,1.36 ,1.36 ,,,,,1,0,1,1,1,1,20061001
69210,CPT,Remove impacted ear wax,,,21 ,,RBRVS,0.61 ,0.23 ,0.63 ,,,,,1,0,1,1,1,1,20061001
69220,CPT,Clean out mastoid cavity,,,21 ,,RBRVS,0.83 ,0.73 ,2.37 ,,,,,1,0,1,1,1,1,20061001
69222,CPT,Clean out mastoid cavity,,,21 ,,RBRVS,1.40 ,2.07 ,3.86 ,,,,,1,0,1,1,1,1,20061001
69300,CPT,Revise external ear,,,21 ,,RBRVS,6.35 ,4.23 ,4.23 ,,,,,1,0,1,1,1,1,20061001
69310,CPT,Rebuild outer ear canal,,,21 ,,RBRVS,10.77 ,16.33 ,16.33 ,,,,,1,0,1,1,1,1,20061001
69320,CPT,Rebuild outer ear canal,,,21 ,,RBRVS,16.93 ,21.90 ,21.90 ,,,,,1,0,1,1,1,1,20061001
69399,CPT,Outer ear surgery procedure,,,21 ,,TotalUnits,,,,1.21 ,,,,1,0,1,1,1,1,20061001
69400,CPT,Inflate middle ear canal,,,21 ,,RBRVS,0.83 ,0.67 ,2.17 ,,,,,1,0,1,1,1,1,20061001
69401,CPT,Inflate middle ear canal,,,21 ,,RBRVS,0.63 ,0.65 ,1.24 ,,,,,1,0,1,1,1,1,20061001
69405,CPT,Catheterize middle ear canal,,,21 ,,RBRVS,2.63 ,2.32 ,3.51 ,,,,,1,0,1,1,1,1,20061001
69420,CPT,Incision of eardrum,,,21 ,,RBRVS,1.33 ,1.59 ,3.16 ,,,,,1,0,1,1,1,1,20061001
69421,CPT,Incision of eardrum,,,21 ,,RBRVS,1.73 ,2.17 ,2.17 ,,,,,1,0,1,1,1,1,20061001
69424,CPT,Remove ventilating tube,,,21 ,,RBRVS,0.85 ,0.68 ,2.19 ,,,,,1,0,1,1,1,1,20061001
69433,CPT,Create eardrum opening,,,21 ,,RBRVS,1.52 ,1.64 ,3.10 ,,,,,1,0,1,1,1,1,20061001
69436,CPT,Create eardrum opening,,,21 ,,RBRVS,1.96 ,2.30 ,2.30 ,,,,,1,0,1,1,1,1,20061001
69440,CPT,Exploration of middle ear,,,21 ,,RBRVS,7.56 ,8.80 ,8.80 ,,,,,1,0,1,1,1,1,20061001
69450,CPT,Eardrum revision,,,21 ,,RBRVS,5.56 ,7.05 ,7.05 ,,,,,1,0,1,1,1,1,20061001
69501,CPT,Mastoidectomy,,,21 ,,RBRVS,9.06 ,9.03 ,9.03 ,,,,,1,0,1,1,1,1,20061001
69502,CPT,Mastoidectomy,,,21 ,,RBRVS,12.36 ,11.62 ,11.62 ,,,,,1,0,1,1,1,1,20061001
69505,CPT,Remove mastoid structures,,,21 ,,RBRVS,12.97 ,17.24 ,17.24 ,,,,,1,0,1,1,1,1,20061001
69511,CPT,Extensive mastoid surgery,,,21 ,,RBRVS,13.50 ,17.52 ,17.52 ,,,,,1,0,1,1,1,1,20061001
69530,CPT,Extensive mastoid surgery,,,21 ,,RBRVS,19.16 ,21.69 ,21.69 ,,,,,1,0,1,1,1,1,20061001
69535,CPT,Remove part of temporal bone,,,21 ,,RBRVS,36.09 ,32.05 ,32.05 ,,,,,1,0,1,1,1,1,20061001
69540,CPT,Remove ear lesion,,,21 ,,RBRVS,1.20 ,1.98 ,3.75 ,,,,,1,0,1,1,1,1,20061001
69550,CPT,Remove ear lesion,,,21 ,,RBRVS,10.97 ,14.90 ,14.90 ,,,,,1,0,1,1,1,1,20061001
69552,CPT,Remove ear lesion,,,21 ,,RBRVS,19.43 ,20.73 ,20.73 ,,,,,1,0,1,1,1,1,20061001
69554,CPT,Remove ear lesion,,,21 ,,RBRVS,33.11 ,30.42 ,30.42 ,,,,,1,0,1,1,1,1,20061001
69601,CPT,Mastoid surgery revision,,,21 ,,RBRVS,13.22 ,12.71 ,12.71 ,,,,,1,0,1,1,1,1,20061001
69602,CPT,Mastoid surgery revision,,,21 ,,RBRVS,13.56 ,13.27 ,13.27 ,,,,,1,0,1,1,1,1,20061001
69603,CPT,Mastoid surgery revision,,,21 ,,RBRVS,14.00 ,18.41 ,18.41 ,,,,,1,0,1,1,1,1,20061001
69604,CPT,Mastoid surgery revision,,,21 ,,RBRVS,14.00 ,13.73 ,13.73 ,,,,,1,0,1,1,1,1,20061001
69605,CPT,Mastoid surgery revision,,,21 ,,RBRVS,18.46 ,21.01 ,21.01 ,,,,,1,0,1,1,1,1,20061001
69610,CPT,Repair of eardrum,,,21 ,,RBRVS,4.42 ,3.28 ,5.57 ,,,,,1,0,1,1,1,1,20061001
69620,CPT,Repair of eardrum,,,21 ,,RBRVS,5.88 ,6.31 ,11.15 ,,,,,1,0,1,1,1,1,20061001
69631,CPT,Repair eardrum structures,,,21 ,,RBRVS,9.85 ,11.23 ,11.23 ,,,,,1,0,1,1,1,1,20061001
69632,CPT,Rebuild eardrum structures,,,21 ,,RBRVS,12.73 ,13.51 ,13.51 ,,,,,1,0,1,1,1,1,20061001
69633,CPT,Rebuild eardrum structures,,,21 ,,RBRVS,12.08 ,13.09 ,13.09 ,,,,,1,0,1,1,1,1,20061001
69635,CPT,Repair eardrum structures,,,21 ,,RBRVS,13.31 ,16.79 ,16.79 ,,,,,1,0,1,1,1,1,20061001
69636,CPT,Rebuild eardrum structures,,,21 ,,RBRVS,15.20 ,19.36 ,19.36 ,,,,,1,0,1,1,1,1,20061001
69637,CPT,Rebuild eardrum structures,,,21 ,,RBRVS,15.09 ,19.28 ,19.28 ,,,,,1,0,1,1,1,1,20061001
69641,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,12.69 ,12.82 ,12.82 ,,,,,1,0,1,1,1,1,20061001
69642,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,16.81 ,16.33 ,16.33 ,,,,,1,0,1,1,1,1,20061001
69643,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,15.30 ,14.86 ,14.86 ,,,,,1,0,1,1,1,1,20061001
69644,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,16.94 ,20.46 ,20.46 ,,,,,1,0,1,1,1,1,20061001
69645,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,16.36 ,20.08 ,20.08 ,,,,,1,0,1,1,1,1,20061001
69646,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,17.96 ,20.82 ,20.82 ,,,,,1,0,1,1,1,1,20061001
69650,CPT,Release middle ear bone,,,21 ,,RBRVS,9.65 ,9.94 ,9.94 ,,,,,1,0,1,1,1,1,20061001
69660,CPT,Revise middle ear bone,,,21 ,,RBRVS,11.88 ,11.21 ,11.21 ,,,,,1,0,1,1,1,1,20061001
69661,CPT,Revise middle ear bone,,,21 ,,RBRVS,15.72 ,14.74 ,14.74 ,,,,,1,0,1,1,1,1,20061001
69662,CPT,Revise middle ear bone,,,21 ,,RBRVS,15.42 ,13.79 ,13.79 ,,,,,1,0,1,1,1,1,20061001
69666,CPT,Repair middle ear structures,,,21 ,,RBRVS,9.74 ,10.00 ,10.00 ,,,,,1,0,1,1,1,1,20061001
69667,CPT,Repair middle ear structures,,,21 ,,RBRVS,9.75 ,10.01 ,10.01 ,,,,,1,0,1,1,1,1,20061001
69670,CPT,Remove mastoid air cells,,,21 ,,RBRVS,11.49 ,11.74 ,11.74 ,,,,,1,0,1,1,1,1,20061001
69676,CPT,Remove middle ear nerve,,,21 ,,RBRVS,9.51 ,10.78 ,10.78 ,,,,,1,0,1,1,1,1,20061001
69700,CPT,Close mastoid fistula,,,21 ,,RBRVS,8.22 ,9.27 ,9.27 ,,,,,1,0,1,1,1,1,20061001
69710,CPT,Implant/replace hearing aid,,,21 ,,TotalUnits,,,,18.06 ,,,,1,0,1,1,1,1,20061001
69711,CPT,Remove/repair hearing aid,,,21 ,,RBRVS,10.42 ,10.82 ,10.82 ,,,,,1,0,1,1,1,1,20061001
69714,CPT,Implant temple bone w/stimul,,,21 ,,RBRVS,13.98 ,12.70 ,12.70 ,,,,,1,0,1,1,1,1,20061001
69715,CPT,Temple bne implnt w/stimulat,,,21 ,,RBRVS,18.22 ,15.07 ,15.07 ,,,,,1,0,1,1,1,1,20061001
69717,CPT,Temple bone implant revision,,,21 ,,RBRVS,14.96 ,14.51 ,14.51 ,,,,,1,0,1,1,1,1,20061001
69718,CPT,Revise temple bone implant,,,21 ,,RBRVS,18.47 ,15.34 ,15.34 ,,,,,1,0,1,1,1,1,20061001
69720,CPT,Release facial nerve,,,21 ,,RBRVS,14.36 ,14.56 ,14.56 ,,,,,1,0,1,1,1,1,20061001
69725,CPT,Release facial nerve,,,21 ,,RBRVS,25.34 ,20.19 ,20.19 ,,,,,1,0,1,1,1,1,20061001
69740,CPT,Repair facial nerve,,,21 ,,RBRVS,15.94 ,13.45 ,13.45 ,,,,,1,0,1,1,1,1,20061001
69745,CPT,Repair facial nerve,,,21 ,,RBRVS,16.66 ,15.01 ,15.01 ,,,,,1,0,1,1,1,1,20061001
69799,CPT,Middle ear surgery procedure,,,21 ,,TotalUnits,,,,4.18 ,,,,1,0,1,1,1,1,20061001
69801,CPT,Incise inner ear,,,21 ,,RBRVS,8.55 ,9.49 ,9.49 ,,,,,1,0,1,1,1,1,20061001
69802,CPT,Incise inner ear,,,21 ,,RBRVS,13.08 ,12.36 ,12.36 ,,,,,1,0,1,1,1,1,20061001
69805,CPT,Explore inner ear,,,21 ,,RBRVS,13.80 ,11.91 ,11.91 ,,,,,1,0,1,1,1,1,20061001
69806,CPT,Explore inner ear,,,21 ,,RBRVS,12.33 ,11.07 ,11.07 ,,,,,1,0,1,1,1,1,20061001
69820,CPT,Establish inner ear window,,,21 ,,RBRVS,10.32 ,11.25 ,11.25 ,,,,,1,0,1,1,1,1,20061001
69840,CPT,Revise inner ear window,,,21 ,,RBRVS,10.24 ,13.21 ,13.21 ,,,,,1,0,1,1,1,1,20061001
69905,CPT,Remove inner ear,,,21 ,,RBRVS,11.08 ,11.38 ,11.38 ,,,,,1,0,1,1,1,1,20061001
69910,CPT,Remove inner ear & mastoid,,,21 ,,RBRVS,13.61 ,11.95 ,11.95 ,,,,,1,0,1,1,1,1,20061001
69915,CPT,Incise inner ear nerve,,,21 ,,RBRVS,21.20 ,16.51 ,16.51 ,,,,,1,0,1,1,1,1,20061001
69930,CPT,Implant cochlear device,,,21 ,,RBRVS,16.78 ,14.79 ,14.79 ,,,,,1,0,1,1,1,1,20061001
69949,CPT,Inner ear surgery procedure,,,21 ,,TotalUnits,,,,21.50 ,,,,1,0,1,1,1,1,20061001
69950,CPT,Incise inner ear nerve,,,21 ,,RBRVS,25.60 ,18.95 ,18.95 ,,,,,1,0,1,1,1,1,20061001
69955,CPT,Release facial nerve,,,21 ,,RBRVS,27.00 ,21.44 ,21.44 ,,,,,1,0,1,1,1,1,20061001
69960,CPT,Release inner ear canal,,,21 ,,RBRVS,27.00 ,20.11 ,20.11 ,,,,,1,0,1,1,1,1,20061001
69970,CPT,Remove inner ear lesion,,,21 ,,RBRVS,29.99 ,23.34 ,23.34 ,,,,,1,0,1,1,1,1,20061001
69979,CPT,Temporal bone surgery,,,21 ,,TotalUnits,,,,41.64 ,,,,1,0,1,1,1,1,20061001
69990,CPT,Microsurgery add-on,,,21 ,,RBRVS,3.46 ,1.80 ,1.80 ,,,,,1,0,1,1,1,1,20061001
70010,CPT,Contrast x-ray of brain,TC,,20 ,,RBRVS,0.00 ,4.34 ,4.34 ,,,,,1,1,1,0,1,1,20061001
70010,CPT,Contrast x-ray of brain,26,,20 ,,RBRVS,1.19 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20061001
70015,CPT,Contrast x-ray of brain,TC,,20 ,,RBRVS,0.00 ,1.35 ,1.35 ,,,,,1,1,1,0,1,1,20061001
70015,CPT,Contrast x-ray of brain,26,,20 ,,RBRVS,1.19 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20061001
70030,CPT,X-ray eye for foreign body,TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20061001
70030,CPT,X-ray eye for foreign body,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
70100,CPT,X-ray exam of jaw,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20061001
70100,CPT,X-ray exam of jaw,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
70110,CPT,X-ray exam of jaw,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20061001
70110,CPT,X-ray exam of jaw,26,,20 ,,RBRVS,0.25 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
70120,CPT,X-ray exam of mastoids,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20061001
70120,CPT,X-ray exam of mastoids,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
70130,CPT,X-ray exam of mastoids,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20061001
70130,CPT,X-ray exam of mastoids,26,,20 ,,RBRVS,0.34 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20061001
70134,CPT,X-ray exam of middle ear,TC,,20 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20061001
70134,CPT,X-ray exam of middle ear,26,,20 ,,RBRVS,0.34 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20061001
70140,CPT,X-ray exam of facial bones,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20061001
70140,CPT,X-ray exam of facial bones,26,,20 ,,RBRVS,0.19 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
70150,CPT,X-ray exam of facial bones,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20061001
70150,CPT,X-ray exam of facial bones,26,,20 ,,RBRVS,0.26 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
70160,CPT,X-ray exam of nasal bones,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20061001
70160,CPT,X-ray exam of nasal bones,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
70170,CPT,X-ray exam of tear duct,TC,,20 ,,RBRVS,0.00 ,0.95 ,0.95 ,,,,,1,1,1,0,1,1,20061001
70170,CPT,X-ray exam of tear duct,26,,20 ,,RBRVS,0.30 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
70190,CPT,X-ray exam of eye sockets,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20061001
70190,CPT,X-ray exam of eye sockets,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
70200,CPT,X-ray exam of eye sockets,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20061001
70200,CPT,X-ray exam of eye sockets,26,,20 ,,RBRVS,0.28 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20061001
70210,CPT,X-ray exam of sinuses,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20061001
70210,CPT,X-ray exam of sinuses,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
70220,CPT,X-ray exam of sinuses,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20061001
70220,CPT,X-ray exam of sinuses,26,,20 ,,RBRVS,0.25 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
70240,CPT,"X-ray exam, pituitary saddle",TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20061001
70240,CPT,"X-ray exam, pituitary saddle",26,,20 ,,RBRVS,0.19 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
70250,CPT,X-ray exam of skull,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20061001
70250,CPT,X-ray exam of skull,26,,20 ,,RBRVS,0.24 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
70260,CPT,X-ray exam of skull,TC,,20 ,,RBRVS,0.00 ,0.89 ,0.89 ,,,,,1,1,1,0,1,1,20061001
70260,CPT,X-ray exam of skull,26,,20 ,,RBRVS,0.34 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20061001
70300,CPT,X-ray exam of teeth,TC,,20 ,,RBRVS,0.00 ,0.26 ,0.26 ,,,,,1,1,1,0,1,1,20061001
70300,CPT,X-ray exam of teeth,26,,20 ,,RBRVS,0.10 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20061001
70310,CPT,X-ray exam of teeth,TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20061001
70310,CPT,X-ray exam of teeth,26,,20 ,,RBRVS,0.16 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
70320,CPT,Full mouth x-ray of teeth,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20061001
70320,CPT,Full mouth x-ray of teeth,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
70328,CPT,X-ray exam of jaw joint,TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,,,1,1,1,0,1,1,20061001
70328,CPT,X-ray exam of jaw joint,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
70330,CPT,X-ray exam of jaw joints,TC,,20 ,,RBRVS,0.00 ,0.84 ,0.84 ,,,,,1,1,1,0,1,1,20061001
70330,CPT,X-ray exam of jaw joints,26,,20 ,,RBRVS,0.24 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
70332,CPT,X-ray exam of jaw joint,TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20061001
70332,CPT,X-ray exam of jaw joint,26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20061001
70336,CPT,"Magnetic image, jaw joint",TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
70336,CPT,"Magnetic image, jaw joint",26,,20 ,,RBRVS,1.48 ,0.49 ,0.49 ,,,,,1,0,1,1,1,1,20061001
70350,CPT,X-ray head for orthodontia,TC,,20 ,,RBRVS,0.00 ,0.38 ,0.38 ,,,,,1,1,1,0,1,1,20061001
70350,CPT,X-ray head for orthodontia,26,,20 ,,RBRVS,0.17 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
70355,CPT,Panoramic x-ray of jaws,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20061001
70355,CPT,Panoramic x-ray of jaws,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
70360,CPT,X-ray exam of neck,TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20061001
70360,CPT,X-ray exam of neck,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
70370,CPT,Throat x-ray & fluoroscopy,TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
70370,CPT,Throat x-ray & fluoroscopy,26,,20 ,,RBRVS,0.32 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
70371,CPT,"Speech evaluation, complex",TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20061001
70371,CPT,"Speech evaluation, complex",26,,20 ,,RBRVS,0.84 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20061001
70373,CPT,Contrast x-ray of larynx,TC,,20 ,,RBRVS,0.00 ,1.79 ,1.79 ,,,,,1,1,1,0,1,1,20061001
70373,CPT,Contrast x-ray of larynx,26,,20 ,,RBRVS,0.44 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20061001
70380,CPT,X-ray exam of salivary gland,TC,,20 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20061001
70380,CPT,X-ray exam of salivary gland,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
70390,CPT,X-ray exam of salivary duct,TC,,20 ,,RBRVS,0.00 ,1.79 ,1.79 ,,,,,1,1,1,0,1,1,20061001
70390,CPT,X-ray exam of salivary duct,26,,20 ,,RBRVS,0.38 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
70450,CPT,Ct head/brain w/o dye,TC,,20 ,,RBRVS,0.00 ,4.73 ,4.73 ,,,,,1,1,1,0,1,1,20061001
70450,CPT,Ct head/brain w/o dye,26,,20 ,,RBRVS,0.85 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20061001
70460,CPT,Ct head/brain w/dye,TC,,20 ,,RBRVS,0.00 ,5.68 ,5.68 ,,,,,1,1,1,0,1,1,20061001
70460,CPT,Ct head/brain w/dye,26,,20 ,,RBRVS,1.13 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20061001
70470,CPT,Ct head/brain w/o&w dye,TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20061001
70470,CPT,Ct head/brain w/o&w dye,26,,20 ,,RBRVS,1.27 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20061001
70480,CPT,Ct orbit/ear/fossa w/o dye,TC,,20 ,,RBRVS,0.00 ,4.73 ,4.73 ,,,,,1,1,1,0,1,1,20061001
70480,CPT,Ct orbit/ear/fossa w/o dye,26,,20 ,,RBRVS,1.28 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20061001
70481,CPT,Ct orbit/ear/fossa w/dye,TC,,20 ,,RBRVS,0.00 ,5.68 ,5.68 ,,,,,1,1,1,0,1,1,20061001
70481,CPT,Ct orbit/ear/fossa w/dye,26,,20 ,,RBRVS,1.38 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20061001
70482,CPT,Ct orbit/ear/fossa w/o&w dye,TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20061001
70482,CPT,Ct orbit/ear/fossa w/o&w dye,26,,20 ,,RBRVS,1.45 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20061001
70486,CPT,Ct maxillofacial w/o dye,TC,,20 ,,RBRVS,0.00 ,4.73 ,4.73 ,,,,,1,1,1,0,1,1,20061001
70486,CPT,Ct maxillofacial w/o dye,26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20061001
70487,CPT,Ct maxillofacial w/dye,TC,,20 ,,RBRVS,0.00 ,5.68 ,5.68 ,,,,,1,1,1,0,1,1,20061001
70487,CPT,Ct maxillofacial w/dye,26,,20 ,,RBRVS,1.30 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20061001
70488,CPT,Ct maxillofacial w/o&w dye,TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20061001
70488,CPT,Ct maxillofacial w/o&w dye,26,,20 ,,RBRVS,1.42 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20061001
70490,CPT,Ct soft tissue neck w/o dye,TC,,20 ,,RBRVS,0.00 ,4.73 ,4.73 ,,,,,1,1,1,0,1,1,20061001
70490,CPT,Ct soft tissue neck w/o dye,26,,20 ,,RBRVS,1.28 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20061001
70491,CPT,Ct soft tissue neck w/dye,TC,,20 ,,RBRVS,0.00 ,5.68 ,5.68 ,,,,,1,1,1,0,1,1,20061001
70491,CPT,Ct soft tissue neck w/dye,26,,20 ,,RBRVS,1.38 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20061001
70492,CPT,Ct sft tsue nck w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20061001
70492,CPT,Ct sft tsue nck w/o & w/dye,26,,20 ,,RBRVS,1.45 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20061001
70496,CPT,"Ct angiography, head",TC,,20 ,,RBRVS,0.00 ,10.63 ,10.63 ,,,,,1,1,1,0,1,1,20061001
70496,CPT,"Ct angiography, head",26,,20 ,,RBRVS,1.75 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20061001
70498,CPT,"Ct angiography, neck",TC,,20 ,,RBRVS,0.00 ,10.63 ,10.63 ,,,,,1,1,1,0,1,1,20061001
70498,CPT,"Ct angiography, neck",26,,20 ,,RBRVS,1.75 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20061001
70540,CPT,Mri orbit/face/neck w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
70540,CPT,Mri orbit/face/neck w/o dye,26,,20 ,,RBRVS,1.35 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20061001
70542,CPT,Mri orbit/face/neck w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20061001
70542,CPT,Mri orbit/face/neck w/dye,26,,20 ,,RBRVS,1.62 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20061001
70543,CPT,Mri orbt/fac/nck w/o&w dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20061001
70543,CPT,Mri orbt/fac/nck w/o&w dye,26,,20 ,,RBRVS,2.15 ,0.71 ,0.71 ,,,,,1,0,1,1,1,1,20061001
70544,CPT,Mr angiography head w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
70544,CPT,Mr angiography head w/o dye,26,,20 ,,RBRVS,1.20 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20061001
70545,CPT,Mr angiography head w/dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
70545,CPT,Mr angiography head w/dye,26,,20 ,,RBRVS,1.20 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20061001
70546,CPT,Mr angiograph head w/o&w dye,TC,,20 ,,RBRVS,0.00 ,22.47 ,22.47 ,,,,,1,1,1,0,1,1,20061001
70546,CPT,Mr angiograph head w/o&w dye,26,,20 ,,RBRVS,1.80 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20061001
70547,CPT,Mr angiography neck w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
70547,CPT,Mr angiography neck w/o dye,26,,20 ,,RBRVS,1.20 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20061001
70548,CPT,Mr angiography neck w/dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
70548,CPT,Mr angiography neck w/dye,26,,20 ,,RBRVS,1.20 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20061001
70549,CPT,Mr angiograph neck w/o&w dye,TC,,20 ,,RBRVS,0.00 ,22.47 ,22.47 ,,,,,1,1,1,0,1,1,20061001
70549,CPT,Mr angiograph neck w/o&w dye,26,,20 ,,RBRVS,1.80 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20061001
70551,CPT,Mri brain w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
70551,CPT,Mri brain w/o dye,26,,20 ,,RBRVS,1.48 ,0.49 ,0.49 ,,,,,1,0,1,1,1,1,20061001
70552,CPT,Mri brain w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20061001
70552,CPT,Mri brain w/dye,26,,20 ,,RBRVS,1.78 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20061001
70553,CPT,Mri brain w/o&w dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20061001
70553,CPT,Mri brain w/o&w dye,26,,20 ,,RBRVS,2.36 ,0.78 ,0.78 ,,,,,1,0,1,1,1,1,20061001
70557,CPT,Mri brain w/o dye,TC,,20 ,,TotalUnits,,,,15.52 ,,,,1,1,1,0,1,1,20061001
70557,CPT,Mri brain w/o dye,26,,20 ,,RBRVS,2.90 ,1.13 ,1.13 ,,,,,1,0,1,1,1,1,20061001
70558,CPT,Mri brain w/ dye,TC,,20 ,,TotalUnits,,,,17.12 ,,,,1,1,1,0,1,1,20061001
70558,CPT,Mri brain w/ dye,26,,20 ,,RBRVS,3.20 ,1.24 ,1.24 ,,,,,1,0,1,1,1,1,20061001
70559,CPT,Mri brain w/o & w/ dye,TC,,20 ,,TotalUnits,,,,17.12 ,,,,1,1,1,0,1,1,20061001
70559,CPT,Mri brain w/o & w/ dye,26,,20 ,,RBRVS,3.20 ,1.24 ,1.24 ,,,,,1,0,1,1,1,1,20061001
71010,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,1,1,20061001
71010,CPT,Chest x-ray,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
71015,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20061001
71015,CPT,Chest x-ray,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
71020,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20061001
71020,CPT,Chest x-ray,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
71021,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20061001
71021,CPT,Chest x-ray,26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20061001
71022,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20061001
71022,CPT,Chest x-ray,26,,20 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
71023,CPT,Chest x-ray and fluoroscopy,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20061001
71023,CPT,Chest x-ray and fluoroscopy,26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20061001
71030,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20061001
71030,CPT,Chest x-ray,26,,20 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
71034,CPT,Chest x-ray and fluoroscopy,TC,,20 ,,RBRVS,0.00 ,1.44 ,1.44 ,,,,,1,1,1,0,1,1,20061001
71034,CPT,Chest x-ray and fluoroscopy,26,,20 ,,RBRVS,0.46 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
71035,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20061001
71035,CPT,Chest x-ray,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
71040,CPT,Contrast x-ray of bronchi,TC,,20 ,,RBRVS,0.00 ,1.46 ,1.46 ,,,,,1,1,1,0,1,1,20061001
71040,CPT,Contrast x-ray of bronchi,26,,20 ,,RBRVS,0.58 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
71060,CPT,Contrast x-ray of bronchi,TC,,20 ,,RBRVS,0.00 ,2.21 ,2.21 ,,,,,1,1,1,0,1,1,20061001
71060,CPT,Contrast x-ray of bronchi,26,,20 ,,RBRVS,0.74 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20061001
71090,CPT,X-ray & pacemaker insertion,TC,,20 ,,RBRVS,0.00 ,1.68 ,1.68 ,,,,,1,1,1,0,1,1,20061001
71090,CPT,X-ray & pacemaker insertion,26,,20 ,,RBRVS,0.54 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20061001
71100,CPT,X-ray exam of ribs,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20061001
71100,CPT,X-ray exam of ribs,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
71101,CPT,X-ray exam of ribs/chest,TC,,20 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20061001
71101,CPT,X-ray exam of ribs/chest,26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20061001
71110,CPT,X-ray exam of ribs,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20061001
71110,CPT,X-ray exam of ribs,26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20061001
71111,CPT,X-ray exam of ribs/ chest,TC,,20 ,,RBRVS,0.00 ,0.89 ,0.89 ,,,,,1,1,1,0,1,1,20061001
71111,CPT,X-ray exam of ribs/ chest,26,,20 ,,RBRVS,0.32 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
71120,CPT,X-ray exam of breastbone,TC,,20 ,,RBRVS,0.00 ,0.65 ,0.65 ,,,,,1,1,1,0,1,1,20061001
71120,CPT,X-ray exam of breastbone,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
71130,CPT,X-ray exam of breastbone,TC,,20 ,,RBRVS,0.00 ,0.71 ,0.71 ,,,,,1,1,1,0,1,1,20061001
71130,CPT,X-ray exam of breastbone,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
71250,CPT,Ct thorax w/o dye,TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20061001
71250,CPT,Ct thorax w/o dye,26,,20 ,,RBRVS,1.16 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20061001
71260,CPT,Ct thorax w/dye,TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20061001
71260,CPT,Ct thorax w/dye,26,,20 ,,RBRVS,1.24 ,0.41 ,0.41 ,,,,,1,0,1,1,1,1,20061001
71270,CPT,Ct thorax w/o&w dye,TC,,20 ,,RBRVS,0.00 ,8.88 ,8.88 ,,,,,1,1,1,0,1,1,20061001
71270,CPT,Ct thorax w/o&w dye,26,,20 ,,RBRVS,1.38 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20061001
71275,CPT,"Ct angiography, chest",TC,,20 ,,RBRVS,0.00 ,12.42 ,12.42 ,,,,,1,1,1,0,1,1,20061001
71275,CPT,"Ct angiography, chest",26,,20 ,,RBRVS,1.92 ,0.63 ,0.63 ,,,,,1,0,1,1,1,1,20061001
71550,CPT,Mri chest w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
71550,CPT,Mri chest w/o dye,26,,20 ,,RBRVS,1.46 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20061001
71551,CPT,Mri chest w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20061001
71551,CPT,Mri chest w/dye,26,,20 ,,RBRVS,1.73 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20061001
71552,CPT,Mri chest w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20061001
71552,CPT,Mri chest w/o&w/dye,26,,20 ,,RBRVS,2.26 ,0.74 ,0.74 ,,,,,1,0,1,1,1,1,20061001
71555,CPT,Mri angio chest w or w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
71555,CPT,Mri angio chest w or w/o dye,26,,20 ,,RBRVS,1.81 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20061001
72010,CPT,X-ray exam of spine,TC,,20 ,,RBRVS,0.00 ,1.02 ,1.02 ,,,,,1,1,1,0,1,1,20061001
72010,CPT,X-ray exam of spine,26,,20 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
72020,CPT,X-ray exam of spine,TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20061001
72020,CPT,X-ray exam of spine,26,,20 ,,RBRVS,0.15 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20061001
72040,CPT,X-ray exam of neck spine,TC,,20 ,,RBRVS,0.00 ,0.60 ,0.60 ,,,,,1,1,1,0,1,1,20061001
72040,CPT,X-ray exam of neck spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
72050,CPT,X-ray exam of neck spine,TC,,20 ,,RBRVS,0.00 ,0.89 ,0.89 ,,,,,1,1,1,0,1,1,20061001
72050,CPT,X-ray exam of neck spine,26,,20 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
72052,CPT,X-ray exam of neck spine,TC,,20 ,,RBRVS,0.00 ,1.13 ,1.13 ,,,,,1,1,1,0,1,1,20061001
72052,CPT,X-ray exam of neck spine,26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
72069,CPT,X-ray exam of trunk spine,TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,,,1,1,1,0,1,1,20061001
72069,CPT,X-ray exam of trunk spine,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
72070,CPT,X-ray exam of thoracic spine,TC,,20 ,,RBRVS,0.00 ,0.65 ,0.65 ,,,,,1,1,1,0,1,1,20061001
72070,CPT,X-ray exam of thoracic spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
72072,CPT,X-ray exam of thoracic spine,TC,,20 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20061001
72072,CPT,X-ray exam of thoracic spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
72074,CPT,X-ray exam of thoracic spine,TC,,20 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,,,1,1,1,0,1,1,20061001
72074,CPT,X-ray exam of thoracic spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
72080,CPT,X-ray exam of trunk spine,TC,,20 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20061001
72080,CPT,X-ray exam of trunk spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
72090,CPT,X-ray exam of trunk spine,TC,,20 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20061001
72090,CPT,X-ray exam of trunk spine,26,,20 ,,RBRVS,0.28 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20061001
72100,CPT,X-ray exam of lower spine,TC,,20 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20061001
72100,CPT,X-ray exam of lower spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
72110,CPT,X-ray exam of lower spine,TC,,20 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,,,1,1,1,0,1,1,20061001
72110,CPT,X-ray exam of lower spine,26,,20 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
72114,CPT,X-ray exam of lower spine,TC,,20 ,,RBRVS,0.00 ,1.19 ,1.19 ,,,,,1,1,1,0,1,1,20061001
72114,CPT,X-ray exam of lower spine,26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
72120,CPT,X-ray exam of lower spine,TC,,20 ,,RBRVS,0.00 ,0.89 ,0.89 ,,,,,1,1,1,0,1,1,20061001
72120,CPT,X-ray exam of lower spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
72125,CPT,Ct neck spine w/o dye,TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20061001
72125,CPT,Ct neck spine w/o dye,26,,20 ,,RBRVS,1.16 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20061001
72126,CPT,Ct neck spine w/dye,TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20061001
72126,CPT,Ct neck spine w/dye,26,,20 ,,RBRVS,1.22 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20061001
72127,CPT,Ct neck spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,8.88 ,8.88 ,,,,,1,1,1,0,1,1,20061001
72127,CPT,Ct neck spine w/o&w/dye,26,,20 ,,RBRVS,1.27 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20061001
72128,CPT,Ct chest spine w/o dye,TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20061001
72128,CPT,Ct chest spine w/o dye,26,,20 ,,RBRVS,1.16 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20061001
72129,CPT,Ct chest spine w/dye,TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20061001
72129,CPT,Ct chest spine w/dye,26,,20 ,,RBRVS,1.22 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20061001
72130,CPT,Ct chest spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,8.88 ,8.88 ,,,,,1,1,1,0,1,1,20061001
72130,CPT,Ct chest spine w/o&w/dye,26,,20 ,,RBRVS,1.27 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20061001
72131,CPT,Ct lumbar spine w/o dye,TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20061001
72131,CPT,Ct lumbar spine w/o dye,26,,20 ,,RBRVS,1.16 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20061001
72132,CPT,Ct lumbar spine w/dye,TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20061001
72132,CPT,Ct lumbar spine w/dye,26,,20 ,,RBRVS,1.22 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20061001
72133,CPT,Ct lumbar spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,8.88 ,8.88 ,,,,,1,1,1,0,1,1,20061001
72133,CPT,Ct lumbar spine w/o&w/dye,26,,20 ,,RBRVS,1.27 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20061001
72141,CPT,Mri neck spine w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
72141,CPT,Mri neck spine w/o dye,26,,20 ,,RBRVS,1.60 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20061001
72142,CPT,Mri neck spine w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20061001
72142,CPT,Mri neck spine w/dye,26,,20 ,,RBRVS,1.92 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20061001
72146,CPT,Mri chest spine w/o dye,TC,,20 ,,RBRVS,0.00 ,12.48 ,12.48 ,,,,,1,1,1,0,1,1,20061001
72146,CPT,Mri chest spine w/o dye,26,,20 ,,RBRVS,1.60 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20061001
72147,CPT,Mri chest spine w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20061001
72147,CPT,Mri chest spine w/dye,26,,20 ,,RBRVS,1.92 ,0.63 ,0.63 ,,,,,1,0,1,1,1,1,20061001
72148,CPT,Mri lumbar spine w/o dye,TC,,20 ,,RBRVS,0.00 ,12.48 ,12.48 ,,,,,1,1,1,0,1,1,20061001
72148,CPT,Mri lumbar spine w/o dye,26,,20 ,,RBRVS,1.48 ,0.49 ,0.49 ,,,,,1,0,1,1,1,1,20061001
72149,CPT,Mri lumbar spine w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20061001
72149,CPT,Mri lumbar spine w/dye,26,,20 ,,RBRVS,1.78 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20061001
72156,CPT,Mri neck spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20061001
72156,CPT,Mri neck spine w/o&w/dye,26,,20 ,,RBRVS,2.57 ,0.85 ,0.85 ,,,,,1,0,1,1,1,1,20061001
72157,CPT,Mri chest spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20061001
72157,CPT,Mri chest spine w/o&w/dye,26,,20 ,,RBRVS,2.57 ,0.84 ,0.84 ,,,,,1,0,1,1,1,1,20061001
72158,CPT,Mri lumbar spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20061001
72158,CPT,Mri lumbar spine w/o&w/dye,26,,20 ,,RBRVS,2.36 ,0.78 ,0.78 ,,,,,1,0,1,1,1,1,20061001
72159,CPT,Mr angio spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,12.27 ,12.27 ,,,,,1,1,1,0,1,1,20061001
72159,CPT,Mr angio spine w/o&w/dye,26,,20 ,,RBRVS,1.80 ,0.69 ,0.69 ,,,,,1,0,1,1,1,1,20061001
72170,CPT,X-ray exam of pelvis,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20061001
72170,CPT,X-ray exam of pelvis,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
72190,CPT,X-ray exam of pelvis,TC,,20 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20061001
72190,CPT,X-ray exam of pelvis,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
72191,CPT,Ct angiograph pelv w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,12.06 ,12.06 ,,,,,1,1,1,0,1,1,20061001
72191,CPT,Ct angiograph pelv w/o&w/dye,26,,20 ,,RBRVS,1.81 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20061001
72192,CPT,Ct pelvis w/o dye,TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20061001
72192,CPT,Ct pelvis w/o dye,26,,20 ,,RBRVS,1.09 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20061001
72193,CPT,Ct pelvis w/dye,TC,,20 ,,RBRVS,0.00 ,6.86 ,6.86 ,,,,,1,1,1,0,1,1,20061001
72193,CPT,Ct pelvis w/dye,26,,20 ,,RBRVS,1.16 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20061001
72194,CPT,Ct pelvis w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,8.51 ,8.51 ,,,,,1,1,1,0,1,1,20061001
72194,CPT,Ct pelvis w/o&w/dye,26,,20 ,,RBRVS,1.22 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20061001
72195,CPT,Mri pelvis w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
72195,CPT,Mri pelvis w/o dye,26,,20 ,,RBRVS,1.46 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20061001
72196,CPT,Mri pelvis w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20061001
72196,CPT,Mri pelvis w/dye,26,,20 ,,RBRVS,1.73 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20061001
72197,CPT,Mri pelvis w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20061001
72197,CPT,Mri pelvis w/o & w/dye,26,,20 ,,RBRVS,2.26 ,0.74 ,0.74 ,,,,,1,0,1,1,1,1,20061001
72198,CPT,Mr angio pelvis w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
72198,CPT,Mr angio pelvis w/o&w/dye,26,,20 ,,RBRVS,1.80 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20061001
72200,CPT,X-ray exam sacroiliac joints,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20061001
72200,CPT,X-ray exam sacroiliac joints,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
72202,CPT,X-ray exam sacroiliac joints,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20061001
72202,CPT,X-ray exam sacroiliac joints,26,,20 ,,RBRVS,0.19 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
72220,CPT,X-ray exam of tailbone,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20061001
72220,CPT,X-ray exam of tailbone,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
72240,CPT,Contrast x-ray of neck spine,TC,,20 ,,RBRVS,0.00 ,4.76 ,4.76 ,,,,,1,1,1,0,1,1,20061001
72240,CPT,Contrast x-ray of neck spine,26,,20 ,,RBRVS,0.91 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20061001
72255,CPT,"Contrast x-ray, thorax spine",TC,,20 ,,RBRVS,0.00 ,4.34 ,4.34 ,,,,,1,1,1,0,1,1,20061001
72255,CPT,"Contrast x-ray, thorax spine",26,,20 ,,RBRVS,0.91 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20061001
72265,CPT,"Contrast x-ray, lower spine",TC,,20 ,,RBRVS,0.00 ,4.08 ,4.08 ,,,,,1,1,1,0,1,1,20061001
72265,CPT,"Contrast x-ray, lower spine",26,,20 ,,RBRVS,0.83 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20061001
72270,CPT,Contrast x-ray of spine,TC,,20 ,,RBRVS,0.00 ,6.12 ,6.12 ,,,,,1,1,1,0,1,1,20061001
72270,CPT,Contrast x-ray of spine,26,,20 ,,RBRVS,1.33 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20061001
72275,CPT,Epidurography,TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20061001
72275,CPT,Epidurography,26,,20 ,,RBRVS,0.76 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20061001
72285,CPT,X-ray c/t spine disk,TC,,20 ,,RBRVS,0.00 ,8.40 ,8.40 ,,,,,1,1,1,0,1,1,20061001
72285,CPT,X-ray c/t spine disk,26,,20 ,,RBRVS,1.16 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20061001
72295,CPT,X-ray of lower spine disk,TC,,20 ,,RBRVS,0.00 ,7.88 ,7.88 ,,,,,1,1,1,0,1,1,20061001
72295,CPT,X-ray of lower spine disk,26,,20 ,,RBRVS,0.83 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20061001
73000,CPT,X-ray exam of collar bone,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20061001
73000,CPT,X-ray exam of collar bone,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20061001
73010,CPT,X-ray exam of shoulder blade,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20061001
73010,CPT,X-ray exam of shoulder blade,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
73020,CPT,X-ray exam of shoulder,TC,,20 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,1,1,20061001
73020,CPT,X-ray exam of shoulder,26,,20 ,,RBRVS,0.15 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20061001
73030,CPT,X-ray exam of shoulder,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20061001
73030,CPT,X-ray exam of shoulder,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
73040,CPT,Contrast x-ray of shoulder,TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20061001
73040,CPT,Contrast x-ray of shoulder,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
73050,CPT,X-ray exam of shoulders,TC,,20 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20061001
73050,CPT,X-ray exam of shoulders,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
73060,CPT,X-ray exam of humerus,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20061001
73060,CPT,X-ray exam of humerus,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
73070,CPT,X-ray exam of elbow,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20061001
73070,CPT,X-ray exam of elbow,26,,20 ,,RBRVS,0.15 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20061001
73080,CPT,X-ray exam of elbow,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20061001
73080,CPT,X-ray exam of elbow,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
73085,CPT,Contrast x-ray of elbow,TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20061001
73085,CPT,Contrast x-ray of elbow,26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
73090,CPT,X-ray exam of forearm,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20061001
73090,CPT,X-ray exam of forearm,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20061001
73092,CPT,"X-ray exam of arm, infant",TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,,,1,1,1,0,1,1,20061001
73092,CPT,"X-ray exam of arm, infant",26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20061001
73100,CPT,X-ray exam of wrist,TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,,,1,1,1,0,1,1,20061001
73100,CPT,X-ray exam of wrist,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20061001
73110,CPT,X-ray exam of wrist,TC,,20 ,,RBRVS,0.00 ,0.53 ,0.53 ,,,,,1,1,1,0,1,1,20061001
73110,CPT,X-ray exam of wrist,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
73115,CPT,Contrast x-ray of wrist,TC,,20 ,,RBRVS,0.00 ,1.58 ,1.58 ,,,,,1,1,1,0,1,1,20061001
73115,CPT,Contrast x-ray of wrist,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
73120,CPT,X-ray exam of hand,TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,,,1,1,1,0,1,1,20061001
73120,CPT,X-ray exam of hand,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20061001
73130,CPT,X-ray exam of hand,TC,,20 ,,RBRVS,0.00 ,0.53 ,0.53 ,,,,,1,1,1,0,1,1,20061001
73130,CPT,X-ray exam of hand,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
73140,CPT,X-ray exam of finger(s),TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20061001
73140,CPT,X-ray exam of finger(s),26,,20 ,,RBRVS,0.13 ,0.04 ,0.04 ,,,,,1,0,1,1,1,1,20061001
73200,CPT,Ct upper extremity w/o dye,TC,,20 ,,RBRVS,0.00 ,4.97 ,4.97 ,,,,,1,1,1,0,1,1,20061001
73200,CPT,Ct upper extremity w/o dye,26,,20 ,,RBRVS,1.09 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20061001
73201,CPT,Ct upper extremity w/dye,TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20061001
73201,CPT,Ct upper extremity w/dye,26,,20 ,,RBRVS,1.16 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20061001
73202,CPT,Ct uppr extremity w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,7.44 ,7.44 ,,,,,1,1,1,0,1,1,20061001
73202,CPT,Ct uppr extremity w/o&w/dye,26,,20 ,,RBRVS,1.22 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20061001
73206,CPT,Ct angio upr extrm w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,10.99 ,10.99 ,,,,,1,1,1,0,1,1,20061001
73206,CPT,Ct angio upr extrm w/o&w/dye,26,,20 ,,RBRVS,1.81 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20061001
73218,CPT,Mri upper extremity w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
73218,CPT,Mri upper extremity w/o dye,26,,20 ,,RBRVS,1.35 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20061001
73219,CPT,Mri upper extremity w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20061001
73219,CPT,Mri upper extremity w/dye,26,,20 ,,RBRVS,1.62 ,0.54 ,0.54 ,,,,,1,0,1,1,1,1,20061001
73220,CPT,Mri uppr extremity w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20061001
73220,CPT,Mri uppr extremity w/o&w/dye,26,,20 ,,RBRVS,2.15 ,0.71 ,0.71 ,,,,,1,0,1,1,1,1,20061001
73221,CPT,Mri joint upr extrem w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
73221,CPT,Mri joint upr extrem w/o dye,26,,20 ,,RBRVS,1.35 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20061001
73222,CPT,Mri joint upr extrem w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20061001
73222,CPT,Mri joint upr extrem w/dye,26,,20 ,,RBRVS,1.62 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20061001
73223,CPT,Mri joint upr extr w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20061001
73223,CPT,Mri joint upr extr w/o&w/dye,26,,20 ,,RBRVS,2.15 ,0.71 ,0.71 ,,,,,1,0,1,1,1,1,20061001
73225,CPT,Mr angio upr extr w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,11.04 ,11.04 ,,,,,1,1,1,0,1,1,20061001
73225,CPT,Mr angio upr extr w/o&w/dye,26,,20 ,,RBRVS,1.73 ,0.67 ,0.67 ,,,,,1,0,1,1,1,1,20061001
73500,CPT,X-ray exam of hip,TC,,20 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,1,1,20061001
73500,CPT,X-ray exam of hip,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
73510,CPT,X-ray exam of hip,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20061001
73510,CPT,X-ray exam of hip,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
73520,CPT,X-ray exam of hips,TC,,20 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20061001
73520,CPT,X-ray exam of hips,26,,20 ,,RBRVS,0.26 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20061001
73525,CPT,Contrast x-ray of hip,TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20061001
73525,CPT,Contrast x-ray of hip,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
73530,CPT,X-ray exam of hip,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20061001
73530,CPT,X-ray exam of hip,26,,20 ,,RBRVS,0.29 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
73540,CPT,X-ray exam of pelvis & hips,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20061001
73540,CPT,X-ray exam of pelvis & hips,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
73542,CPT,"X-ray exam, sacroiliac joint",TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20061001
73542,CPT,"X-ray exam, sacroiliac joint",26,,20 ,,RBRVS,0.59 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
73550,CPT,X-ray exam of thigh,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20061001
73550,CPT,X-ray exam of thigh,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
73560,CPT,"X-ray exam of knee, 1 or 2",TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20061001
73560,CPT,"X-ray exam of knee, 1 or 2",26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
73562,CPT,"X-ray exam of knee, 3",TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20061001
73562,CPT,"X-ray exam of knee, 3",26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
73564,CPT,"X-ray exam, knee, 4 or more",TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20061001
73564,CPT,"X-ray exam, knee, 4 or more",26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
73565,CPT,X-ray exam of knees,TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,,,1,1,1,0,1,1,20061001
73565,CPT,X-ray exam of knees,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
73580,CPT,Contrast x-ray of knee joint,TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20061001
73580,CPT,Contrast x-ray of knee joint,26,,20 ,,RBRVS,0.54 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20061001
73590,CPT,X-ray exam of lower leg,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20061001
73590,CPT,X-ray exam of lower leg,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
73592,CPT,"X-ray exam of leg, infant",TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,,,1,1,1,0,1,1,20061001
73592,CPT,"X-ray exam of leg, infant",26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20061001
73600,CPT,X-ray exam of ankle,TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,,,1,1,1,0,1,1,20061001
73600,CPT,X-ray exam of ankle,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20061001
73610,CPT,X-ray exam of ankle,TC,,20 ,,RBRVS,0.00 ,0.53 ,0.53 ,,,,,1,1,1,0,1,1,20061001
73610,CPT,X-ray exam of ankle,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
73615,CPT,Contrast x-ray of ankle,TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20061001
73615,CPT,Contrast x-ray of ankle,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
73620,CPT,X-ray exam of foot,TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,,,1,1,1,0,1,1,20061001
73620,CPT,X-ray exam of foot,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20061001
73630,CPT,X-ray exam of foot,TC,,20 ,,RBRVS,0.00 ,0.53 ,0.53 ,,,,,1,1,1,0,1,1,20061001
73630,CPT,X-ray exam of foot,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
73650,CPT,X-ray exam of heel,TC,,20 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,1,1,20061001
73650,CPT,X-ray exam of heel,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20061001
73660,CPT,X-ray exam of toe(s),TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20061001
73660,CPT,X-ray exam of toe(s),26,,20 ,,RBRVS,0.13 ,0.04 ,0.04 ,,,,,1,0,1,1,1,1,20061001
73700,CPT,Ct lower extremity w/o dye,TC,,20 ,,RBRVS,0.00 ,4.97 ,4.97 ,,,,,1,1,1,0,1,1,20061001
73700,CPT,Ct lower extremity w/o dye,26,,20 ,,RBRVS,1.09 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20061001
73701,CPT,Ct lower extremity w/dye,TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20061001
73701,CPT,Ct lower extremity w/dye,26,,20 ,,RBRVS,1.16 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20061001
73702,CPT,Ct lwr extremity w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,7.44 ,7.44 ,,,,,1,1,1,0,1,1,20061001
73702,CPT,Ct lwr extremity w/o&w/dye,26,,20 ,,RBRVS,1.22 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20061001
73706,CPT,Ct angio lwr extr w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,10.99 ,10.99 ,,,,,1,1,1,0,1,1,20061001
73706,CPT,Ct angio lwr extr w/o&w/dye,26,,20 ,,RBRVS,1.90 ,0.62 ,0.62 ,,,,,1,0,1,1,1,1,20061001
73718,CPT,Mri lower extremity w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
73718,CPT,Mri lower extremity w/o dye,26,,20 ,,RBRVS,1.35 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20061001
73719,CPT,Mri lower extremity w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20061001
73719,CPT,Mri lower extremity w/dye,26,,20 ,,RBRVS,1.62 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20061001
73720,CPT,Mri lwr extremity w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20061001
73720,CPT,Mri lwr extremity w/o&w/dye,26,,20 ,,RBRVS,2.15 ,0.70 ,0.70 ,,,,,1,0,1,1,1,1,20061001
73721,CPT,Mri jnt of lwr extre w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
73721,CPT,Mri jnt of lwr extre w/o dye,26,,20 ,,RBRVS,1.35 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20061001
73722,CPT,Mri joint of lwr extr w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20061001
73722,CPT,Mri joint of lwr extr w/dye,26,,20 ,,RBRVS,1.62 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20061001
73723,CPT,Mri joint lwr extr w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20061001
73723,CPT,Mri joint lwr extr w/o&w/dye,26,,20 ,,RBRVS,2.15 ,0.71 ,0.71 ,,,,,1,0,1,1,1,1,20061001
73725,CPT,Mr ang lwr ext w or w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
73725,CPT,Mr ang lwr ext w or w/o dye,26,,20 ,,RBRVS,1.82 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20061001
74000,CPT,X-ray exam of abdomen,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20061001
74000,CPT,X-ray exam of abdomen,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
74010,CPT,X-ray exam of abdomen,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20061001
74010,CPT,X-ray exam of abdomen,26,,20 ,,RBRVS,0.23 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
74020,CPT,X-ray exam of abdomen,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20061001
74020,CPT,X-ray exam of abdomen,26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20061001
74022,CPT,"X-ray exam series, abdomen",TC,,20 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20061001
74022,CPT,"X-ray exam series, abdomen",26,,20 ,,RBRVS,0.32 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
74150,CPT,Ct abdomen w/o dye,TC,,20 ,,RBRVS,0.00 ,5.68 ,5.68 ,,,,,1,1,1,0,1,1,20061001
74150,CPT,Ct abdomen w/o dye,26,,20 ,,RBRVS,1.19 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20061001
74160,CPT,Ct abdomen w/dye,TC,,20 ,,RBRVS,0.00 ,6.86 ,6.86 ,,,,,1,1,1,0,1,1,20061001
74160,CPT,Ct abdomen w/dye,26,,20 ,,RBRVS,1.27 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20061001
74170,CPT,Ct abdomen w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,8.51 ,8.51 ,,,,,1,1,1,0,1,1,20061001
74170,CPT,Ct abdomen w/o&w/dye,26,,20 ,,RBRVS,1.40 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20061001
74175,CPT,Ct angio abdom w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,12.06 ,12.06 ,,,,,1,1,1,0,1,1,20061001
74175,CPT,Ct angio abdom w/o&w/dye,26,,20 ,,RBRVS,1.90 ,0.62 ,0.62 ,,,,,1,0,1,1,1,1,20061001
74181,CPT,Mri abdomen w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
74181,CPT,Mri abdomen w/o dye,26,,20 ,,RBRVS,1.46 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20061001
74182,CPT,Mri abdomen w/dye,TC,,20 ,,RBRVS,0.00 ,13.48 ,13.48 ,,,,,1,1,1,0,1,1,20061001
74182,CPT,Mri abdomen w/dye,26,,20 ,,RBRVS,1.73 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20061001
74183,CPT,Mri abdomen w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,24.95 ,24.95 ,,,,,1,1,1,0,1,1,20061001
74183,CPT,Mri abdomen w/o&w/dye,26,,20 ,,RBRVS,2.26 ,0.74 ,0.74 ,,,,,1,0,1,1,1,1,20061001
74185,CPT,"Mri angio, abdom w or w/o dy",TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
74185,CPT,"Mri angio, abdom w or w/o dy",26,,20 ,,RBRVS,1.80 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20061001
74190,CPT,X-ray exam of peritoneum,TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
74190,CPT,X-ray exam of peritoneum,26,,20 ,,RBRVS,0.48 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
74210,CPT,Contrst x-ray exam of throat,TC,,20 ,,RBRVS,0.00 ,1.19 ,1.19 ,,,,,1,1,1,0,1,1,20061001
74210,CPT,Contrst x-ray exam of throat,26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
74220,CPT,"Contrast x-ray, esophagus",TC,,20 ,,RBRVS,0.00 ,1.19 ,1.19 ,,,,,1,1,1,0,1,1,20061001
74220,CPT,"Contrast x-ray, esophagus",26,,20 ,,RBRVS,0.46 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
74230,CPT,"Cine/vid x-ray, throat/esoph",TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
74230,CPT,"Cine/vid x-ray, throat/esoph",26,,20 ,,RBRVS,0.53 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20061001
74235,CPT,Remove esophagus obstruction,26,,20 ,,RBRVS,1.19 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20061001
74240,CPT,"X-ray exam, upper gi tract",TC,,20 ,,RBRVS,0.00 ,1.46 ,1.46 ,,,,,1,1,1,0,1,1,20061001
74240,CPT,"X-ray exam, upper gi tract",26,,20 ,,RBRVS,0.69 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
74241,CPT,"X-ray exam, upper gi tract",TC,,20 ,,RBRVS,0.00 ,1.49 ,1.49 ,,,,,1,1,1,0,1,1,20061001
74241,CPT,"X-ray exam, upper gi tract",26,,20 ,,RBRVS,0.69 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
74245,CPT,"X-ray exam, upper gi tract",TC,,20 ,,RBRVS,0.00 ,2.39 ,2.39 ,,,,,1,1,1,0,1,1,20061001
74245,CPT,"X-ray exam, upper gi tract",26,,20 ,,RBRVS,0.91 ,0.30 ,0.30 ,,,,,1,0,1,1,1,1,20061001
74246,CPT,Contrst x-ray uppr gi tract,TC,,20 ,,RBRVS,0.00 ,1.64 ,1.64 ,,,,,1,1,1,0,1,1,20061001
74246,CPT,Contrst x-ray uppr gi tract,26,,20 ,,RBRVS,0.69 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
74247,CPT,Contrst x-ray uppr gi tract,TC,,20 ,,RBRVS,0.00 ,1.68 ,1.68 ,,,,,1,1,1,0,1,1,20061001
74247,CPT,Contrst x-ray uppr gi tract,26,,20 ,,RBRVS,0.69 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
74249,CPT,Contrst x-ray uppr gi tract,TC,,20 ,,RBRVS,0.00 ,2.58 ,2.58 ,,,,,1,1,1,0,1,1,20061001
74249,CPT,Contrst x-ray uppr gi tract,26,,20 ,,RBRVS,0.91 ,0.30 ,0.30 ,,,,,1,0,1,1,1,1,20061001
74250,CPT,X-ray exam of small bowel,TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
74250,CPT,X-ray exam of small bowel,26,,20 ,,RBRVS,0.47 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
74251,CPT,X-ray exam of small bowel,TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
74251,CPT,X-ray exam of small bowel,26,,20 ,,RBRVS,0.69 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
74260,CPT,X-ray exam of small bowel,TC,,20 ,,RBRVS,0.00 ,1.49 ,1.49 ,,,,,1,1,1,0,1,1,20061001
74260,CPT,X-ray exam of small bowel,26,,20 ,,RBRVS,0.50 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
74270,CPT,Contrast x-ray exam of colon,TC,,20 ,,RBRVS,0.00 ,1.70 ,1.70 ,,,,,1,1,1,0,1,1,20061001
74270,CPT,Contrast x-ray exam of colon,26,,20 ,,RBRVS,0.69 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
74280,CPT,Contrast x-ray exam of colon,TC,,20 ,,RBRVS,0.00 ,2.24 ,2.24 ,,,,,1,1,1,0,1,1,20061001
74280,CPT,Contrast x-ray exam of colon,26,,20 ,,RBRVS,0.99 ,0.32 ,0.32 ,,,,,1,0,1,1,1,1,20061001
74283,CPT,Contrast x-ray exam of colon,TC,,20 ,,RBRVS,0.00 ,2.57 ,2.57 ,,,,,1,1,1,0,1,1,20061001
74283,CPT,Contrast x-ray exam of colon,26,,20 ,,RBRVS,2.02 ,0.66 ,0.66 ,,,,,1,0,1,1,1,1,20061001
74290,CPT,"Contrast x-ray, gallbladder",TC,,20 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20061001
74290,CPT,"Contrast x-ray, gallbladder",26,,20 ,,RBRVS,0.32 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
74291,CPT,"Contrast x-rays, gallbladder",TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20061001
74291,CPT,"Contrast x-rays, gallbladder",26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
74300,CPT,X-ray bile ducts/pancreas,TC,,20 ,,TotalUnits,,,,1.20 ,,,,1,1,1,0,1,1,20061001
74300,CPT,X-ray bile ducts/pancreas,26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
74301,CPT,X-rays at surgery add-on,TC,,20 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20061001
74301,CPT,X-rays at surgery add-on,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
74305,CPT,X-ray bile ducts/pancreas,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20061001
74305,CPT,X-ray bile ducts/pancreas,26,,20 ,,RBRVS,0.42 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20061001
74320,CPT,Contrast x-ray of bile ducts,TC,,20 ,,RBRVS,0.00 ,3.16 ,3.16 ,,,,,1,1,1,0,1,1,20061001
74320,CPT,Contrast x-ray of bile ducts,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
74327,CPT,X-ray bile stone removal,TC,,20 ,,RBRVS,0.00 ,1.77 ,1.77 ,,,,,1,1,1,0,1,1,20061001
74327,CPT,X-ray bile stone removal,26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
74328,CPT,X-ray bile duct endoscopy,TC,,20 ,2,RBRVS,0.00 ,3.16 ,3.16 ,,,,,1,1,1,0,1,1,20061001
74328,CPT,X-ray bile duct endoscopy,26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
74329,CPT,X-ray for pancreas endoscopy,26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
74330,CPT,X-ray bile/panc endoscopy,TC,,20 ,2,RBRVS,0.00 ,3.16 ,3.16 ,,,,,1,1,1,0,1,1,20061001
74330,CPT,X-ray bile/panc endoscopy,26,,20 ,,RBRVS,0.90 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20061001
74340,CPT,X-ray guide for GI tube,TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20061001
74340,CPT,X-ray guide for GI tube,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
74350,CPT,"X-ray guide, stomach tube",TC,,20 ,,RBRVS,0.00 ,3.16 ,3.16 ,,,,,1,1,1,0,1,1,20061001
74350,CPT,"X-ray guide, stomach tube",26,,20 ,,RBRVS,0.76 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20061001
74355,CPT,"X-ray guide, intestinal tube",TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20061001
74355,CPT,"X-ray guide, intestinal tube",26,,20 ,,RBRVS,0.76 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20061001
74360,CPT,"X-ray guide, GI dilation",TC,,20 ,,RBRVS,0.00 ,3.16 ,3.16 ,,,,,1,1,1,0,1,1,20061001
74360,CPT,"X-ray guide, GI dilation",26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
74363,CPT,"X-ray, bile duct dilation",26,,20 ,,RBRVS,0.88 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20061001
74400,CPT,"Contrst x-ray, urinary tract",TC,,20 ,,RBRVS,0.00 ,1.68 ,1.68 ,,,,,1,1,1,0,1,1,20061001
74400,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
74410,CPT,"Contrst x-ray, urinary tract",TC,,20 ,,RBRVS,0.00 ,1.96 ,1.96 ,,,,,1,1,1,0,1,1,20061001
74410,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
74415,CPT,"Contrst x-ray, urinary tract",TC,,20 ,,RBRVS,0.00 ,2.13 ,2.13 ,,,,,1,1,1,0,1,1,20061001
74415,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
74420,CPT,"Contrst x-ray, urinary tract",TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20061001
74420,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
74425,CPT,"Contrst x-ray, urinary tract",TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
74425,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
74430,CPT,"Contrast x-ray, bladder",TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20061001
74430,CPT,"Contrast x-ray, bladder",26,,20 ,,RBRVS,0.32 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
74440,CPT,"X-ray, male genital tract",TC,,20 ,,RBRVS,0.00 ,1.13 ,1.13 ,,,,,1,1,1,0,1,1,20061001
74440,CPT,"X-ray, male genital tract",26,,20 ,,RBRVS,0.38 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
74445,CPT,X-ray exam of penis,TC,,20 ,,RBRVS,0.00 ,1.13 ,1.13 ,,,,,1,1,1,0,1,1,20061001
74445,CPT,X-ray exam of penis,26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20061001
74450,CPT,"X-ray, urethra/bladder",TC,,20 ,,RBRVS,0.00 ,1.46 ,1.46 ,,,,,1,1,1,0,1,1,20061001
74450,CPT,"X-ray, urethra/bladder",26,,20 ,,RBRVS,0.33 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20061001
74455,CPT,"X-ray, urethra/bladder",TC,,20 ,,RBRVS,0.00 ,1.58 ,1.58 ,,,,,1,1,1,0,1,1,20061001
74455,CPT,"X-ray, urethra/bladder",26,,20 ,,RBRVS,0.33 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20061001
74470,CPT,X-ray exam of kidney lesion,TC,,20 ,,RBRVS,0.00 ,1.25 ,1.25 ,,,,,1,1,1,0,1,1,20061001
74470,CPT,X-ray exam of kidney lesion,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
74475,CPT,"X-ray control, cath insert",TC,,20 ,,RBRVS,0.00 ,4.08 ,4.08 ,,,,,1,1,1,0,1,1,20061001
74475,CPT,"X-ray control, cath insert",26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
74480,CPT,"X-ray control, cath insert",TC,,20 ,,RBRVS,0.00 ,4.08 ,4.08 ,,,,,1,1,1,0,1,1,20061001
74480,CPT,"X-ray control, cath insert",26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
74485,CPT,"X-ray guide, GU dilation",TC,,20 ,,RBRVS,0.00 ,3.16 ,3.16 ,,,,,1,1,1,0,1,1,20061001
74485,CPT,"X-ray guide, GU dilation",26,,20 ,,RBRVS,0.54 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20061001
74710,CPT,X-ray measurement of pelvis,TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20061001
74710,CPT,X-ray measurement of pelvis,26,,20 ,,RBRVS,0.34 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20061001
74740,CPT,"X-ray, female genital tract",TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
74740,CPT,"X-ray, female genital tract",26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20061001
74742,CPT,"X-ray, fallopian tube",26,,20 ,,RBRVS,0.61 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20061001
74775,CPT,X-ray exam of perineum,TC,,20 ,,RBRVS,0.00 ,1.46 ,1.46 ,,,,,1,1,1,0,1,1,20061001
74775,CPT,X-ray exam of perineum,26,,20 ,,RBRVS,0.62 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20061001
75552,CPT,Heart mri for morph w/o dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
75552,CPT,Heart mri for morph w/o dye,26,,20 ,,RBRVS,1.60 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20061001
75553,CPT,Heart mri for morph w/dye,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
75553,CPT,Heart mri for morph w/dye,26,,20 ,,RBRVS,2.00 ,0.65 ,0.65 ,,,,,1,0,1,1,1,1,20061001
75554,CPT,Cardiac MRI/function,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
75554,CPT,Cardiac MRI/function,26,,20 ,,RBRVS,1.83 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20061001
75555,CPT,Cardiac MRI/limited study,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
75555,CPT,Cardiac MRI/limited study,26,,20 ,,RBRVS,1.74 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20061001
75556,CPT,Cardiac MRI/flow mapping,,,20 ,,TotalUnits,,,,12.37 ,,,,1,0,1,1,1,1,20061001
75600,CPT,Contrast x-ray exam of aorta,TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75600,CPT,Contrast x-ray exam of aorta,26,,20 ,,RBRVS,0.49 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
75605,CPT,Contrast x-ray exam of aorta,TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75605,CPT,Contrast x-ray exam of aorta,26,,20 ,,RBRVS,1.14 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20061001
75625,CPT,Contrast x-ray exam of aorta,TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75625,CPT,Contrast x-ray exam of aorta,26,,20 ,,RBRVS,1.14 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20061001
75630,CPT,"X-ray aorta, leg arteries",TC,,20 ,,RBRVS,0.00 ,13.17 ,13.17 ,,,,,1,1,1,0,1,1,20061001
75630,CPT,"X-ray aorta, leg arteries",26,,20 ,,RBRVS,1.79 ,0.61 ,0.61 ,,,,,1,0,1,1,1,1,20061001
75635,CPT,Ct angio abdominal arteries,TC,,20 ,,RBRVS,0.00 ,15.96 ,15.96 ,,,,,1,1,1,0,1,1,20061001
75635,CPT,Ct angio abdominal arteries,26,,20 ,,RBRVS,2.40 ,0.79 ,0.79 ,,,,,1,0,1,1,1,1,20061001
75650,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75650,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.49 ,0.49 ,0.49 ,,,,,1,0,1,1,1,1,20061001
75658,CPT,"Artery x-rays, arm",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75658,CPT,"Artery x-rays, arm",26,,20 ,,RBRVS,1.31 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20061001
75660,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75660,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.31 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20061001
75662,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75662,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.66 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20061001
75665,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75665,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.31 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20061001
75671,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75671,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.66 ,0.55 ,0.55 ,,,,,1,0,1,1,1,1,20061001
75676,CPT,"Artery x-rays, neck",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75676,CPT,"Artery x-rays, neck",26,,20 ,,RBRVS,1.31 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20061001
75680,CPT,"Artery x-rays, neck",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75680,CPT,"Artery x-rays, neck",26,,20 ,,RBRVS,1.66 ,0.55 ,0.55 ,,,,,1,0,1,1,1,1,20061001
75685,CPT,"Artery x-rays, spine",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75685,CPT,"Artery x-rays, spine",26,,20 ,,RBRVS,1.31 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20061001
75705,CPT,"Artery x-rays, spine",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75705,CPT,"Artery x-rays, spine",26,,20 ,,RBRVS,2.18 ,0.73 ,0.73 ,,,,,1,0,1,1,1,1,20061001
75710,CPT,"Artery x-rays, arm/leg",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75710,CPT,"Artery x-rays, arm/leg",26,,20 ,,RBRVS,1.14 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20061001
75716,CPT,"Artery x-rays, arms/legs",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75716,CPT,"Artery x-rays, arms/legs",26,,20 ,,RBRVS,1.31 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20061001
75722,CPT,"Artery x-rays, kidney",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75722,CPT,"Artery x-rays, kidney",26,,20 ,,RBRVS,1.14 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20061001
75724,CPT,"Artery x-rays, kidneys",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75724,CPT,"Artery x-rays, kidneys",26,,20 ,,RBRVS,1.49 ,0.56 ,0.56 ,,,,,1,0,1,1,1,1,20061001
75726,CPT,"Artery x-rays, abdomen",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75726,CPT,"Artery x-rays, abdomen",26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20061001
75731,CPT,"Artery x-rays, adrenal gland",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75731,CPT,"Artery x-rays, adrenal gland",26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20061001
75733,CPT,"Artery x-rays, adrenals",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75733,CPT,"Artery x-rays, adrenals",26,,20 ,,RBRVS,1.31 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20061001
75736,CPT,"Artery x-rays, pelvis",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75736,CPT,"Artery x-rays, pelvis",26,,20 ,,RBRVS,1.14 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20061001
75741,CPT,"Artery x-rays, lung",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75741,CPT,"Artery x-rays, lung",26,,20 ,,RBRVS,1.31 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20061001
75743,CPT,"Artery x-rays, lungs",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75743,CPT,"Artery x-rays, lungs",26,,20 ,,RBRVS,1.66 ,0.54 ,0.54 ,,,,,1,0,1,1,1,1,20061001
75746,CPT,"Artery x-rays, lung",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75746,CPT,"Artery x-rays, lung",26,,20 ,,RBRVS,1.14 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20061001
75756,CPT,"Artery x-rays, chest",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75756,CPT,"Artery x-rays, chest",26,,20 ,,RBRVS,1.14 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20061001
75774,CPT,"Artery x-ray, each vessel",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75774,CPT,"Artery x-ray, each vessel",26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
75790,CPT,Visualize A-V shunt,TC,,20 ,,RBRVS,0.00 ,1.35 ,1.35 ,,,,,1,1,1,0,1,1,20061001
75790,CPT,Visualize A-V shunt,26,,20 ,,RBRVS,1.84 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20061001
75801,CPT,"Lymph vessel x-ray, arm/leg",TC,,20 ,,RBRVS,0.00 ,5.43 ,5.43 ,,,,,1,1,1,0,1,1,20061001
75801,CPT,"Lymph vessel x-ray, arm/leg",26,,20 ,,RBRVS,0.81 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20061001
75803,CPT,"Lymph vessel x-ray,arms/legs",TC,,20 ,,RBRVS,0.00 ,5.43 ,5.43 ,,,,,1,1,1,0,1,1,20061001
75803,CPT,"Lymph vessel x-ray,arms/legs",26,,20 ,,RBRVS,1.17 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20061001
75805,CPT,"Lymph vessel x-ray, trunk",TC,,20 ,,RBRVS,0.00 ,6.12 ,6.12 ,,,,,1,1,1,0,1,1,20061001
75805,CPT,"Lymph vessel x-ray, trunk",26,,20 ,,RBRVS,0.81 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20061001
75807,CPT,"Lymph vessel x-ray, trunk",26,,20 ,,RBRVS,1.17 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20061001
75809,CPT,"Nonvascular shunt, x-ray",TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20061001
75809,CPT,"Nonvascular shunt, x-ray",26,,20 ,,RBRVS,0.47 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
75810,CPT,"Vein x-ray, spleen/liver",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75810,CPT,"Vein x-ray, spleen/liver",26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20061001
75820,CPT,"Vein x-ray, arm/leg",TC,,20 ,,RBRVS,0.00 ,0.95 ,0.95 ,,,,,1,1,1,0,1,1,20061001
75820,CPT,"Vein x-ray, arm/leg",26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
75822,CPT,"Vein x-ray, arms/legs",TC,,20 ,,RBRVS,0.00 ,1.48 ,1.48 ,,,,,1,1,1,0,1,1,20061001
75822,CPT,"Vein x-ray, arms/legs",26,,20 ,,RBRVS,1.06 ,0.35 ,0.35 ,,,,,1,0,1,1,1,1,20061001
75825,CPT,"Vein x-ray, trunk",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75825,CPT,"Vein x-ray, trunk",26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20061001
75827,CPT,"Vein x-ray, chest",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75827,CPT,"Vein x-ray, chest",26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20061001
75831,CPT,"Vein x-ray, kidney",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75831,CPT,"Vein x-ray, kidney",26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20061001
75833,CPT,"Vein x-ray, kidneys",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75833,CPT,"Vein x-ray, kidneys",26,,20 ,,RBRVS,1.49 ,0.49 ,0.49 ,,,,,1,0,1,1,1,1,20061001
75840,CPT,"Vein x-ray, adrenal gland",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75840,CPT,"Vein x-ray, adrenal gland",26,,20 ,,RBRVS,1.14 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20061001
75842,CPT,"Vein x-ray, adrenal glands",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75842,CPT,"Vein x-ray, adrenal glands",26,,20 ,,RBRVS,1.49 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20061001
75860,CPT,"Vein x-ray, neck",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75860,CPT,"Vein x-ray, neck",26,,20 ,,RBRVS,1.14 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20061001
75870,CPT,"Vein x-ray, skull",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75870,CPT,"Vein x-ray, skull",26,,20 ,,RBRVS,1.14 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20061001
75872,CPT,"Vein x-ray, skull",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75872,CPT,"Vein x-ray, skull",26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20061001
75880,CPT,"Vein x-ray, eye socket",TC,,20 ,,RBRVS,0.00 ,0.95 ,0.95 ,,,,,1,1,1,0,1,1,20061001
75880,CPT,"Vein x-ray, eye socket",26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
75885,CPT,"Vein x-ray, liver",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75885,CPT,"Vein x-ray, liver",26,,20 ,,RBRVS,1.44 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20061001
75887,CPT,"Vein x-ray, liver",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75887,CPT,"Vein x-ray, liver",26,,20 ,,RBRVS,1.44 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20061001
75889,CPT,"Vein x-ray, liver",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75889,CPT,"Vein x-ray, liver",26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20061001
75891,CPT,"Vein x-ray, liver",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75891,CPT,"Vein x-ray, liver",26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20061001
75893,CPT,Venous sampling by catheter,TC,,20 ,2,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75893,CPT,Venous sampling by catheter,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
75894,CPT,"X-rays, transcath therapy",TC,,20 ,,RBRVS,0.00 ,24.20 ,24.20 ,,,,,1,1,1,0,1,1,20061001
75894,CPT,"X-rays, transcath therapy",26,,20 ,,RBRVS,1.31 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20061001
75896,CPT,"X-rays, transcath therapy",TC,,20 ,,RBRVS,0.00 ,21.05 ,21.05 ,,,,,1,1,1,0,1,1,20061001
75896,CPT,"X-rays, transcath therapy",26,,20 ,,RBRVS,1.31 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20061001
75898,CPT,Follow-up angiography,TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20061001
75898,CPT,Follow-up angiography,26,,20 ,,RBRVS,1.65 ,0.55 ,0.55 ,,,,,1,0,1,1,1,1,20061001
75900,CPT,Arterial catheter exchange,26,,20 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
75901,CPT,Remove cva device obstruct,TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
75901,CPT,Remove cva device obstruct,26,,20 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
75902,CPT,Remove cva lumen obstruct,TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
75902,CPT,Remove cva lumen obstruct,26,,20 ,,RBRVS,0.39 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20061001
75940,CPT,"X-ray placement, vein filter",TC,,20 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
75940,CPT,"X-ray placement, vein filter",26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
75945,CPT,Intravascular us,TC,,20 ,,RBRVS,0.00 ,4.57 ,4.57 ,,,,,1,1,1,0,1,1,20061001
75945,CPT,Intravascular us,26,,20 ,,RBRVS,0.40 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20061001
75946,CPT,Intravascular us add-on,26,,20 ,,RBRVS,0.40 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20061001
75952,CPT,Endovasc repair abdom aorta,TC,,20 ,,TotalUnits,,,,23.49 ,,,,1,1,1,0,1,1,20061001
75952,CPT,Endovasc repair abdom aorta,26,,20 ,,RBRVS,4.49 ,1.49 ,1.49 ,,,,,1,0,1,1,1,1,20061001
75953,CPT,Abdom aneurysm endovas rpr,TC,,20 ,1,TotalUnits,,,,21.33 ,,,,1,1,1,0,1,1,20061001
75953,CPT,Abdom aneurysm endovas rpr,26,,20 ,,RBRVS,1.36 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20061001
75954,CPT,Iliac aneurysm endovas rpr,TC,,20 ,1,TotalUnits,,,,23.49 ,,,,1,1,1,0,1,1,20061001
75954,CPT,Iliac aneurysm endovas rpr,26,,20 ,,RBRVS,2.25 ,0.78 ,0.78 ,,,,,1,0,1,1,1,1,20061001
75956,CPT,"Xray, endovasc thor ao repr",26,,20 ,,RBRVS,7.00 ,2.71 ,2.71 ,,,,,1,0,1,1,1,1,20061001
75957,CPT,"Xray, endovasc thor ao repr",26,,20 ,,RBRVS,6.00 ,2.32 ,2.32 ,,,,,1,0,1,1,1,1,20061001
75958,CPT,"Xray, place prox ext thor ao",26,,20 ,,RBRVS,4.00 ,1.55 ,1.55 ,,,,,1,0,1,1,1,1,20061001
75959,CPT,"Xray, place dist ext thor ao",26,,20 ,,RBRVS,3.50 ,1.36 ,1.36 ,,,,,1,0,1,1,1,1,20061001
75960,CPT,"Transcatheter intro, stent",TC,,20 ,,RBRVS,0.00 ,14.94 ,14.94 ,,,,,1,1,1,0,1,1,20061001
75960,CPT,"Transcatheter intro, stent",26,,20 ,,RBRVS,0.82 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20061001
75961,CPT,"Retrieval, broken catheter",TC,,20 ,,RBRVS,0.00 ,10.53 ,10.53 ,,,,,1,1,1,0,1,1,20061001
75961,CPT,"Retrieval, broken catheter",26,,20 ,,RBRVS,4.24 ,1.39 ,1.39 ,,,,,1,0,1,1,1,1,20061001
75962,CPT,Repair arterial blockage,TC,,20 ,,RBRVS,0.00 ,15.79 ,15.79 ,,,,,1,1,1,0,1,1,20061001
75962,CPT,Repair arterial blockage,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
75964,CPT,"Repair artery blockage, each",TC,,20 ,,RBRVS,0.00 ,8.41 ,8.41 ,,,,,1,1,1,0,1,1,20061001
75964,CPT,"Repair artery blockage, each",26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
75966,CPT,Repair arterial blockage,TC,,20 ,,RBRVS,0.00 ,15.79 ,15.79 ,,,,,1,1,1,0,1,1,20061001
75966,CPT,Repair arterial blockage,26,,20 ,,RBRVS,1.31 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20061001
75968,CPT,"Repair artery blockage, each",TC,,20 ,,RBRVS,0.00 ,8.41 ,8.41 ,,,,,1,1,1,0,1,1,20061001
75968,CPT,"Repair artery blockage, each",26,,20 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20061001
75970,CPT,Vascular biopsy,TC,,20 ,,RBRVS,0.00 ,11.57 ,11.57 ,,,,,1,1,1,0,1,1,20061001
75970,CPT,Vascular biopsy,26,,20 ,,RBRVS,0.83 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20061001
75978,CPT,Repair venous blockage,TC,,20 ,,RBRVS,0.00 ,15.79 ,15.79 ,,,,,1,1,1,0,1,1,20061001
75978,CPT,Repair venous blockage,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
75980,CPT,Contrast xray exam bile duct,TC,,20 ,,RBRVS,0.00 ,5.43 ,5.43 ,,,,,1,1,1,0,1,1,20061001
75980,CPT,Contrast xray exam bile duct,26,,20 ,,RBRVS,1.44 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20061001
75982,CPT,Contrast xray exam bile duct,26,,20 ,,RBRVS,1.44 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20061001
75984,CPT,Xray control catheter change,TC,,20 ,,RBRVS,0.00 ,1.96 ,1.96 ,,,,,1,1,1,0,1,1,20061001
75984,CPT,Xray control catheter change,26,,20 ,,RBRVS,0.72 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
75989,CPT,Abscess drainage under x-ray,TC,,20 ,2,RBRVS,0.00 ,3.16 ,3.16 ,,,,,1,1,1,0,1,1,20061001
75989,CPT,Abscess drainage under x-ray,26,,20 ,,RBRVS,1.19 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20061001
75992,CPT,"Atherectomy, x-ray exam",TC,,20 ,,RBRVS,0.00 ,15.79 ,15.79 ,,,,,1,1,1,0,1,1,20061001
75992,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
75993,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20061001
75994,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,1.31 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20061001
75995,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,1.31 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20061001
75996,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
75998,CPT,Fluoroguide for vein device,TC,,20 ,2,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
75998,CPT,Fluoroguide for vein device,26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20061001
76000,CPT,Fluoroscope examination,TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
76000,CPT,Fluoroscope examination,26,,20 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20061001
76001,CPT,"Fluoroscope exam, extensive",TC,,20 ,2,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20061001
76001,CPT,"Fluoroscope exam, extensive",26,,20 ,,RBRVS,0.67 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20061001
76003,CPT,Needle localization by x-ray,TC,,20 ,2,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
76003,CPT,Needle localization by x-ray,26,,20 ,,RBRVS,0.54 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20061001
76005,CPT,Fluoroguide for spine inject,TC,,20 ,2,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
76005,CPT,Fluoroguide for spine inject,26,,20 ,,RBRVS,0.60 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
76006,CPT,X-ray stress view,,PC,20 ,,RBRVS,0.41 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
76010,CPT,"X-ray, nose to rectum",TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20061001
76010,CPT,"X-ray, nose to rectum",26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
76012,CPT,Percut vertebroplasty fluor,TC,,20 ,,TotalUnits,,,,5.38 ,,,,1,1,1,0,1,1,20061001
76012,CPT,Percut vertebroplasty fluor,26,,20 ,,RBRVS,1.31 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20061001
76013,CPT,"Percut vertebroplasty, ct",TC,,20 ,,TotalUnits,,,,7.77 ,,,,1,1,1,0,1,1,20061001
76013,CPT,"Percut vertebroplasty, ct",26,,20 ,,RBRVS,1.38 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20061001
76020,CPT,X-rays for bone age,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20061001
76020,CPT,X-rays for bone age,26,,20 ,,RBRVS,0.19 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
76040,CPT,"X-rays, bone evaluation",TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20061001
76040,CPT,"X-rays, bone evaluation",26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20061001
76061,CPT,"X-rays, bone survey",TC,,20 ,,RBRVS,0.00 ,1.00 ,1.00 ,,,,,1,1,1,0,1,1,20061001
76061,CPT,"X-rays, bone survey",26,,20 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
76062,CPT,"X-rays, bone survey",TC,,20 ,,RBRVS,0.00 ,1.44 ,1.44 ,,,,,1,1,1,0,1,1,20061001
76062,CPT,"X-rays, bone survey",26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
76065,CPT,"X-rays, bone evaluation",TC,,20 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20061001
76065,CPT,"X-rays, bone evaluation",26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
76066,CPT,"Joint survey, single view",TC,,20 ,,RBRVS,0.00 ,1.11 ,1.11 ,,,,,1,1,1,0,1,1,20061001
76066,CPT,"Joint survey, single view",26,,20 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
76070,CPT,"Ct bone density, axial",TC,,20 ,,RBRVS,0.00 ,2.96 ,2.96 ,,,,,1,1,1,0,1,1,20061001
76070,CPT,"Ct bone density, axial",26,,20 ,,RBRVS,0.25 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
76071,CPT,"Ct bone density, peripheral",TC,,20 ,,RBRVS,0.00 ,2.96 ,2.96 ,,,,,1,1,1,0,1,1,20061001
76071,CPT,"Ct bone density, peripheral",26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
76075,CPT,"Dexa, axial skeleton study",TC,,20 ,,RBRVS,0.00 ,3.10 ,3.10 ,,,,,1,1,1,0,1,1,20061001
76075,CPT,"Dexa, axial skeleton study",26,,20 ,,RBRVS,0.30 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
76076,CPT,"Dexa, peripheral study",TC,,20 ,,RBRVS,0.00 ,0.75 ,0.75 ,,,,,1,1,1,0,1,1,20061001
76076,CPT,"Dexa, peripheral study",26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
76077,CPT,Dxa bone density/v-fracture,TC,,20 ,,RBRVS,0.00 ,0.75 ,0.75 ,,,,,1,1,1,0,1,1,20061001
76077,CPT,Dxa bone density/v-fracture,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
76078,CPT,Radiographic absorptiometry,TC,,20 ,,RBRVS,0.00 ,0.75 ,0.75 ,,,,,1,1,1,0,1,1,20061001
76078,CPT,Radiographic absorptiometry,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
76080,CPT,X-ray exam of fistula,TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20061001
76080,CPT,X-ray exam of fistula,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
76082,CPT,Computer mammogram add-on,TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20061001
76082,CPT,Computer mammogram add-on,26,,20 ,,RBRVS,0.06 ,0.02 ,0.02 ,,,,,1,0,1,1,1,1,20061001
76083,CPT,Computer mammogram add-on,TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20061001
76083,CPT,Computer mammogram add-on,26,,20 ,,RBRVS,0.06 ,0.02 ,0.02 ,,,,,1,0,1,1,1,1,20061001
76086,CPT,X-ray of mammary duct,TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20061001
76086,CPT,X-ray of mammary duct,26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
76088,CPT,X-ray of mammary ducts,TC,,20 ,,RBRVS,0.00 ,3.67 ,3.67 ,,,,,1,1,1,0,1,1,20061001
76088,CPT,X-ray of mammary ducts,26,,20 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
76090,CPT,"Mammogram, one breast",TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20061001
76090,CPT,"Mammogram, one breast",26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
76091,CPT,"Mammogram, both breasts",TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
76091,CPT,"Mammogram, both breasts",26,,20 ,,RBRVS,0.87 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20061001
76092,CPT,"Mammogram, screening",TC,,20 ,,RBRVS,0.00 ,1.23 ,1.23 ,,,,,1,1,1,0,1,1,20061001
76092,CPT,"Mammogram, screening",26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
76093,CPT,"Magnetic image, breast",TC,,20 ,,RBRVS,0.00 ,17.67 ,17.67 ,,,,,1,1,1,0,1,1,20061001
76093,CPT,"Magnetic image, breast",26,,20 ,,RBRVS,1.63 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20061001
76094,CPT,"Magnetic image, both breasts",TC,,20 ,,RBRVS,0.00 ,23.98 ,23.98 ,,,,,1,1,1,0,1,1,20061001
76094,CPT,"Magnetic image, both breasts",26,,20 ,,RBRVS,1.63 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20061001
76095,CPT,Stereotactic breast biopsy,TC,,20 ,,RBRVS,0.00 ,7.18 ,7.18 ,,,,,1,1,1,0,1,1,20061001
76095,CPT,Stereotactic breast biopsy,26,,20 ,,RBRVS,1.59 ,0.52 ,0.52 ,,,,,1,0,1,1,1,1,20061001
76096,CPT,"X-ray of needle wire, breast",TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
76096,CPT,"X-ray of needle wire, breast",26,,20 ,,RBRVS,0.56 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
76098,CPT,"X-ray exam, breast specimen",TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20061001
76098,CPT,"X-ray exam, breast specimen",26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20061001
76100,CPT,X-ray exam of body section,TC,,20 ,,RBRVS,0.00 ,1.25 ,1.25 ,,,,,1,1,1,0,1,1,20061001
76100,CPT,X-ray exam of body section,26,,20 ,,RBRVS,0.58 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
76101,CPT,Complex body section x-ray,TC,,20 ,,RBRVS,0.00 ,1.42 ,1.42 ,,,,,1,1,1,0,1,1,20061001
76101,CPT,Complex body section x-ray,26,,20 ,,RBRVS,0.58 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
76102,CPT,Complex body section x-rays,TC,,20 ,,RBRVS,0.00 ,1.74 ,1.74 ,,,,,1,1,1,0,1,1,20061001
76102,CPT,Complex body section x-rays,26,,20 ,,RBRVS,0.58 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
76120,CPT,Cine/video x-rays,TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20061001
76120,CPT,Cine/video x-rays,26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20061001
76125,CPT,Cine/video x-rays add-on,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20061001
76125,CPT,Cine/video x-rays add-on,26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20061001
76140,CPT,X-ray consultation,,,20 ,,TotalUnits,,,,0.69 ,,,,1,0,1,1,1,1,20061001
76150,CPT,"X-ray exam, dry process",,TC,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20061001
76350,CPT,Special x-ray contrast study,26,,20 ,,TotalUnits,,,,0.27 ,,,,1,0,1,1,1,1,20061001
76350,CPT,Special x-ray contrast study,TC,,20 ,2,TotalUnits,,,,1.10 ,,,,1,1,1,0,1,1,20061001
76355,CPT,CAT scan for localization,TC,,20 ,,RBRVS,0.00 ,8.28 ,8.28 ,,,,,1,1,1,0,1,1,20061001
76355,CPT,CAT scan for localization,26,,20 ,,RBRVS,1.21 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20061001
76360,CPT,CAT scan for needle biopsy,TC,,20 ,,RBRVS,0.00 ,8.28 ,8.28 ,,,,,1,1,1,0,1,1,20061001
76360,CPT,CAT scan for needle biopsy,26,,20 ,,RBRVS,1.16 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20061001
76362,CPT,Cat scan for tissue ablation,TC,,20 ,,RBRVS,0.00 ,8.28 ,8.28 ,,,,,1,1,1,0,1,1,20061001
76362,CPT,Cat scan for tissue ablation,26,,20 ,,RBRVS,3.99 ,1.30 ,1.30 ,,,,,1,0,1,1,1,1,20061001
76370,CPT,CAT scan for therapy guide,TC,,20 ,,RBRVS,0.00 ,2.96 ,2.96 ,,,,,1,1,1,0,1,1,20061001
76370,CPT,CAT scan for therapy guide,26,,20 ,,RBRVS,0.85 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20061001
76376,CPT,3d render w/o postprocess,TC,,20 ,,RBRVS,0.00 ,3.43 ,3.43 ,,,,,1,1,1,0,1,1,20061001
76376,CPT,3d render w/o postprocess,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
76377,CPT,3d rendering w/postprocess,TC,,20 ,,RBRVS,0.00 ,3.43 ,3.43 ,,,,,1,1,1,0,1,1,20061001
76377,CPT,3d rendering w/postprocess,26,,20 ,,RBRVS,0.79 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20061001
76380,CPT,CAT scan follow-up study,TC,,20 ,,RBRVS,0.00 ,3.51 ,3.51 ,,,,,1,1,1,0,1,1,20061001
76380,CPT,CAT scan follow-up study,26,,20 ,,RBRVS,0.98 ,0.32 ,0.32 ,,,,,1,0,1,1,1,1,20061001
76390,CPT,Mr spectroscopy,TC,,20 ,,RBRVS,0.00 ,11.04 ,11.04 ,,,,,1,1,1,0,1,1,20061001
76390,CPT,Mr spectroscopy,26,,20 ,,RBRVS,1.40 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20061001
76393,CPT,Mr guidance for needle place,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
76393,CPT,Mr guidance for needle place,26,,20 ,,RBRVS,1.50 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20061001
76394,CPT,Mri for tissue ablation,TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
76394,CPT,Mri for tissue ablation,26,,20 ,,RBRVS,4.24 ,1.38 ,1.38 ,,,,,1,0,1,1,1,1,20061001
76400,CPT,"Magnetic image, bone marrow",TC,,20 ,,RBRVS,0.00 ,11.23 ,11.23 ,,,,,1,1,1,0,1,1,20061001
76400,CPT,"Magnetic image, bone marrow",26,,20 ,,RBRVS,1.60 ,0.52 ,0.52 ,,,,,1,0,1,1,1,1,20061001
76496,CPT,Fluoroscopic procedure,,,20 ,,TotalUnits,,,,1.53 ,,,,1,1,1,0,1,1,20061001
76497,CPT,Ct procedure,,,20 ,,TotalUnits,,,,7.50 ,,,,1,1,1,0,1,1,20061001
76498,CPT,Mri procedure,,,20 ,,TotalUnits,,,,13.37 ,,,,1,1,1,0,1,1,20061001
76499,CPT,Radiographic procedure,,,20 ,,TotalUnits,,,,0.91 ,,,,1,1,1,0,1,1,20061001
76506,CPT,Echo exam of head,TC,,20 ,,RBRVS,0.00 ,1.42 ,1.42 ,,,,,1,1,1,0,1,1,20061001
76506,CPT,Echo exam of head,26,,20 ,,RBRVS,0.63 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20061001
76510,CPT,"Ophth us, b & quant a",TC,,20 ,,RBRVS,0.00 ,2.19 ,2.19 ,,,,,1,1,1,0,1,1,20061001
76510,CPT,"Ophth us, b & quant a",26,,20 ,,RBRVS,1.55 ,0.68 ,0.68 ,,,,,1,0,1,1,1,1,20061001
76511,CPT,Echo exam of eye,TC,,20 ,,RBRVS,0.00 ,2.04 ,2.04 ,,,,,1,1,1,0,1,1,20061001
76511,CPT,Echo exam of eye,26,,20 ,,RBRVS,0.94 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20061001
76512,CPT,Echo exam of eye,TC,,20 ,,RBRVS,0.00 ,1.82 ,1.82 ,,,,,1,1,1,0,1,1,20061001
76512,CPT,Echo exam of eye,26,,20 ,,RBRVS,0.94 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20061001
76513,CPT,"Echo exam of eye, water bath",TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20061001
76513,CPT,"Echo exam of eye, water bath",26,,20 ,,RBRVS,0.66 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20061001
76514,CPT,"Echo exam of eye, thickness",TC,,20 ,,RBRVS,0.00 ,0.05 ,0.05 ,,,,,1,1,1,0,1,1,20061001
76514,CPT,"Echo exam of eye, thickness",26,,20 ,,RBRVS,0.17 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
76516,CPT,Echo exam of eye,TC,,20 ,,RBRVS,0.00 ,1.22 ,1.22 ,,,,,1,1,1,0,1,1,20061001
76516,CPT,Echo exam of eye,26,,20 ,,RBRVS,0.54 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20061001
76519,CPT,Echo exam of eye,TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
76519,CPT,Echo exam of eye,26,,20 ,,RBRVS,0.54 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20061001
76529,CPT,Echo exam of eye,TC,,20 ,,RBRVS,0.00 ,1.13 ,1.13 ,,,,,1,1,1,0,1,1,20061001
76529,CPT,Echo exam of eye,26,,20 ,,RBRVS,0.57 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20061001
76536,CPT,Us exam of head and neck,TC,,20 ,,RBRVS,0.00 ,1.42 ,1.42 ,,,,,1,1,1,0,1,1,20061001
76536,CPT,Us exam of head and neck,26,,20 ,,RBRVS,0.56 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
76604,CPT,"Us exam, chest, b-scan",TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
76604,CPT,"Us exam, chest, b-scan",26,,20 ,,RBRVS,0.55 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
76645,CPT,"Us exam, breast(s)",TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20061001
76645,CPT,"Us exam, breast(s)",26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
76700,CPT,"Us exam, abdom, complete",TC,,20 ,,RBRVS,0.00 ,1.98 ,1.98 ,,,,,1,1,1,0,1,1,20061001
76700,CPT,"Us exam, abdom, complete",26,,20 ,,RBRVS,0.81 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20061001
76705,CPT,Echo exam of abdomen,TC,,20 ,,RBRVS,0.00 ,1.42 ,1.42 ,,,,,1,1,1,0,1,1,20061001
76705,CPT,Echo exam of abdomen,26,,20 ,,RBRVS,0.59 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
76770,CPT,"Us exam abdo back wall, comp",TC,,20 ,,RBRVS,0.00 ,1.98 ,1.98 ,,,,,1,1,1,0,1,1,20061001
76770,CPT,"Us exam abdo back wall, comp",26,,20 ,,RBRVS,0.74 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20061001
76775,CPT,"Us eam abdo back wall, lim",TC,,20 ,,RBRVS,0.00 ,1.42 ,1.42 ,,,,,1,1,1,0,1,1,20061001
76775,CPT,"Us eam abdo back wall, lim",26,,20 ,,RBRVS,0.58 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
76778,CPT,Us exam kidney transplant,TC,,20 ,,RBRVS,0.00 ,1.98 ,1.98 ,,,,,1,1,1,0,1,1,20061001
76778,CPT,Us exam kidney transplant,26,,20 ,,RBRVS,0.74 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20061001
76800,CPT,"Us exam, spinal canal",TC,,20 ,,RBRVS,0.00 ,1.42 ,1.42 ,,,,,1,1,1,0,1,1,20061001
76800,CPT,"Us exam, spinal canal",26,,20 ,,RBRVS,1.13 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20061001
76801,CPT,"Ob us < 14 wks, single fetus",TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20061001
76801,CPT,"Ob us < 14 wks, single fetus",26,,20 ,,RBRVS,0.99 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20061001
76802,CPT,"Ob us < 14 wks, addl fetus",TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20061001
76802,CPT,"Ob us < 14 wks, addl fetus",26,,20 ,,RBRVS,0.83 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20061001
76805,CPT,"Ob us >/= 14 wks, sngl fetus",TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20061001
76805,CPT,"Ob us >/= 14 wks, sngl fetus",26,,20 ,,RBRVS,0.99 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20061001
76810,CPT,"Ob us >/= 14 wks, addl fetus",TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20061001
76810,CPT,"Ob us >/= 14 wks, addl fetus",26,,20 ,,RBRVS,0.98 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20061001
76811,CPT,"Ob us, detailed, sngl fetus",TC,,20 ,,RBRVS,0.00 ,3.54 ,3.54 ,,,,,1,1,1,0,1,1,20061001
76811,CPT,"Ob us, detailed, sngl fetus",26,,20 ,,RBRVS,1.90 ,0.71 ,0.71 ,,,,,1,0,1,1,1,1,20061001
76812,CPT,"Ob us, detailed, addl fetus",TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20061001
76812,CPT,"Ob us, detailed, addl fetus",26,,20 ,,RBRVS,1.78 ,0.66 ,0.66 ,,,,,1,0,1,1,1,1,20061001
76815,CPT,"Ob us, limited, fetus(s)",TC,,20 ,,RBRVS,0.00 ,1.42 ,1.42 ,,,,,1,1,1,0,1,1,20061001
76815,CPT,"Ob us, limited, fetus(s)",26,,20 ,,RBRVS,0.65 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
76816,CPT,"Ob us, follow-up, per fetus",TC,,20 ,,RBRVS,0.00 ,1.11 ,1.11 ,,,,,1,1,1,0,1,1,20061001
76816,CPT,"Ob us, follow-up, per fetus",26,,20 ,,RBRVS,0.85 ,0.32 ,0.32 ,,,,,1,0,1,1,1,1,20061001
76817,CPT,"Transvaginal us, obstetric",TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20061001
76817,CPT,"Transvaginal us, obstetric",26,,20 ,,RBRVS,0.75 ,0.26 ,0.26 ,,,,,1,0,1,1,1,1,20061001
76818,CPT,Fetal biophys profile w/nst,TC,,20 ,,RBRVS,0.00 ,1.61 ,1.61 ,,,,,1,1,1,0,1,1,20061001
76818,CPT,Fetal biophys profile w/nst,26,,20 ,,RBRVS,1.05 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20061001
76819,CPT,Fetal biophys profil w/o nst,TC,,20 ,,RBRVS,0.00 ,1.61 ,1.61 ,,,,,1,1,1,0,1,1,20061001
76819,CPT,Fetal biophys profil w/o nst,26,,20 ,,RBRVS,0.77 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20061001
76820,CPT,Umbilical artery echo,TC,,20 ,,RBRVS,0.00 ,1.61 ,1.61 ,,,,,1,1,1,0,1,1,20061001
76820,CPT,Umbilical artery echo,26,,20 ,,RBRVS,0.50 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
76821,CPT,Middle cerebral artery echo,TC,,20 ,,RBRVS,0.00 ,1.61 ,1.61 ,,,,,1,1,1,0,1,1,20061001
76821,CPT,Middle cerebral artery echo,26,,20 ,,RBRVS,0.70 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20061001
76825,CPT,Echo exam of fetal heart,TC,,20 ,,RBRVS,0.00 ,1.98 ,1.98 ,,,,,1,1,1,0,1,1,20061001
76825,CPT,Echo exam of fetal heart,26,,20 ,,RBRVS,1.67 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20061001
76826,CPT,Echo exam of fetal heart,TC,,20 ,,RBRVS,0.00 ,0.71 ,0.71 ,,,,,1,1,1,0,1,1,20061001
76826,CPT,Echo exam of fetal heart,26,,20 ,,RBRVS,0.83 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20061001
76827,CPT,Echo exam of fetal heart,TC,,20 ,,RBRVS,0.00 ,1.72 ,1.72 ,,,,,1,1,1,0,1,1,20061001
76827,CPT,Echo exam of fetal heart,26,,20 ,,RBRVS,0.58 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20061001
76828,CPT,Echo exam of fetal heart,TC,,20 ,,RBRVS,0.00 ,1.11 ,1.11 ,,,,,1,1,1,0,1,1,20061001
76828,CPT,Echo exam of fetal heart,26,,20 ,,RBRVS,0.56 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20061001
76830,CPT,"Transvaginal us, non-ob",TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20061001
76830,CPT,"Transvaginal us, non-ob",26,,20 ,,RBRVS,0.69 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
76831,CPT,"Echo exam, uterus",TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20061001
76831,CPT,"Echo exam, uterus",26,,20 ,,RBRVS,0.72 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20061001
76856,CPT,"Us exam, pelvic, complete",TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20061001
76856,CPT,"Us exam, pelvic, complete",26,,20 ,,RBRVS,0.69 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
76857,CPT,"Us exam, pelvic, limited",TC,,20 ,,RBRVS,0.00 ,1.71 ,1.71 ,,,,,1,1,1,0,1,1,20061001
76857,CPT,"Us exam, pelvic, limited",26,,20 ,,RBRVS,0.38 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
76870,CPT,"Us exam, scrotum",TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20061001
76870,CPT,"Us exam, scrotum",26,,20 ,,RBRVS,0.64 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20061001
76872,CPT,"Echo exam, transrectal",TC,,20 ,,RBRVS,0.00 ,2.03 ,2.03 ,,,,,1,1,1,0,1,1,20061001
76872,CPT,"Echo exam, transrectal",26,,20 ,,RBRVS,0.69 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20061001
76873,CPT,"Echograp trans r, pros study",TC,,20 ,,RBRVS,0.00 ,2.11 ,2.11 ,,,,,1,1,1,0,1,1,20061001
76873,CPT,"Echograp trans r, pros study",26,,20 ,,RBRVS,1.55 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20061001
76880,CPT,"Us exam, extremity",TC,,20 ,,RBRVS,0.00 ,1.42 ,1.42 ,,,,,1,1,1,0,1,1,20061001
76880,CPT,"Us exam, extremity",26,,20 ,,RBRVS,0.59 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
76885,CPT,"Us exam infant hips, dynamic",TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20061001
76885,CPT,"Us exam infant hips, dynamic",26,,20 ,,RBRVS,0.74 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20061001
76886,CPT,"Us exam infant hips, static",TC,,20 ,,RBRVS,0.00 ,1.42 ,1.42 ,,,,,1,1,1,0,1,1,20061001
76886,CPT,"Us exam infant hips, static",26,,20 ,,RBRVS,0.62 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20061001
76930,CPT,"Echo guide, cardiocentesis",TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20061001
76930,CPT,"Echo guide, cardiocentesis",26,,20 ,,RBRVS,0.67 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20061001
76932,CPT,Echo guide for heart biopsy,TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20061001
76932,CPT,Echo guide for heart biopsy,26,,20 ,,RBRVS,0.67 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20061001
76936,CPT,Echo guide for artery repair,TC,,20 ,,RBRVS,0.00 ,6.31 ,6.31 ,,,,,1,1,1,0,1,1,20061001
76936,CPT,Echo guide for artery repair,26,,20 ,,RBRVS,1.99 ,0.66 ,0.66 ,,,,,1,0,1,1,1,1,20061001
76937,CPT,"Us guide, vascular access",,,20 ,,RBRVS,0.30 ,0.48 ,0.48 ,,,,,1,0,1,1,1,0,20061001
76937,CPT,"Us guide, vascular access",,,20 ,2,RBRVS,0.30 ,0.48 ,0.48 ,,,,,1,1,1,0,1,0,20061001
76937,CPT,"Us guide, vascular access",,,20 ,,RBRVS,0.30 ,0.48 ,0.48 ,,,,,1,0,0,0,0,1,20061001
76940,CPT,"Us guide, tissue ablation",,,20 ,,RBRVS,2.00 ,2.17 ,2.17 ,,,,,1,0,1,1,1,0,20061001
76940,CPT,"Us guide, tissue ablation",,,20 ,,RBRVS,2.00 ,2.17 ,2.17 ,,,,,1,1,1,0,1,0,20061001
76940,CPT,"Us guide, tissue ablation",,,20 ,,RBRVS,2.00 ,2.17 ,2.17 ,,,,,1,0,0,0,0,1,20061001
76941,CPT,Echo guide for transfusion,TC,,20 ,,RBRVS,0.00 ,1.53 ,1.53 ,,,,,1,1,1,0,1,1,20061001
76941,CPT,Echo guide for transfusion,26,,20 ,,RBRVS,1.34 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20061001
76942,CPT,Echo guide for biopsy,TC,,20 ,,RBRVS,0.00 ,2.82 ,2.82 ,,,,,1,1,1,0,1,1,20061001
76942,CPT,Echo guide for biopsy,26,,20 ,,RBRVS,0.67 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20061001
76945,CPT,"Echo guide, villus sampling",TC,,20 ,,RBRVS,0.00 ,1.53 ,1.53 ,,,,,1,1,1,0,1,1,20061001
76945,CPT,"Echo guide, villus sampling",26,,20 ,,RBRVS,0.67 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20061001
76946,CPT,Echo guide for amniocentesis,TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20061001
76946,CPT,Echo guide for amniocentesis,26,,20 ,,RBRVS,0.38 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20061001
76948,CPT,"Echo guide, ova aspiration",TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20061001
76948,CPT,"Echo guide, ova aspiration",26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20061001
76950,CPT,Echo guidance radiotherapy,TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
76950,CPT,Echo guidance radiotherapy,26,,20 ,,RBRVS,0.58 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
76965,CPT,Echo guidance radiotherapy,TC,,20 ,,RBRVS,0.00 ,5.59 ,5.59 ,,,,,1,1,1,0,1,1,20061001
76965,CPT,Echo guidance radiotherapy,26,,20 ,,RBRVS,1.34 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20061001
76970,CPT,Ultrasound exam follow-up,TC,,20 ,,RBRVS,0.00 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20061001
76970,CPT,Ultrasound exam follow-up,26,,20 ,,RBRVS,0.40 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20061001
76975,CPT,GI endoscopic ultrasound,TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20061001
76975,CPT,GI endoscopic ultrasound,26,,20 ,,RBRVS,0.81 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20061001
76977,CPT,Us bone density measure,TC,,20 ,,RBRVS,0.00 ,0.82 ,0.82 ,,,,,1,1,1,0,1,1,20061001
76977,CPT,Us bone density measure,26,,20 ,,RBRVS,0.05 ,0.02 ,0.02 ,,,,,1,0,1,1,1,1,20061001
76986,CPT,Ultrasound guide intraoper,TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20061001
76986,CPT,Ultrasound guide intraoper,26,,20 ,,RBRVS,1.20 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20061001
76999,CPT,Echo examination procedure,,,20 ,,TotalUnits,,,,2.44 ,,,,1,1,1,0,1,1,20061001
77261,CPT,Radiation therapy planning,,PC,20 ,,RBRVS,1.39 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20061001
77262,CPT,Radiation therapy planning,,PC,20 ,,RBRVS,2.11 ,0.75 ,0.75 ,,,,,1,0,1,1,1,1,20061001
77263,CPT,Radiation therapy planning,,PC,20 ,,RBRVS,3.14 ,1.11 ,1.11 ,,,,,1,0,1,1,1,1,20061001
77280,CPT,Set radiation therapy field,TC,,20 ,,RBRVS,0.00 ,3.48 ,3.48 ,,,,,1,1,1,0,1,1,20061001
77280,CPT,Set radiation therapy field,26,,20 ,,RBRVS,0.70 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20061001
77285,CPT,Set radiation therapy field,TC,,20 ,,RBRVS,0.00 ,5.59 ,5.59 ,,,,,1,1,1,0,1,1,20061001
77285,CPT,Set radiation therapy field,26,,20 ,,RBRVS,1.05 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20061001
77290,CPT,Set radiation therapy field,TC,,20 ,,RBRVS,0.00 ,6.53 ,6.53 ,,,,,1,1,1,0,1,1,20061001
77290,CPT,Set radiation therapy field,26,,20 ,,RBRVS,1.56 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20061001
77295,CPT,Set radiation therapy field,TC,,20 ,,RBRVS,0.00 ,28.01 ,28.01 ,,,,,1,1,1,0,1,1,20061001
77295,CPT,Set radiation therapy field,26,,20 ,,RBRVS,4.56 ,1.46 ,1.46 ,,,,,1,0,1,1,1,1,20061001
77299,CPT,Radiation therapy planning,,,20 ,,TotalUnits,,,,8.58 ,,,,1,1,1,0,1,1,20061001
77300,CPT,Radiation therapy dose plan,TC,,20 ,,RBRVS,0.00 ,1.34 ,1.34 ,,,,,1,1,1,0,1,1,20061001
77300,CPT,Radiation therapy dose plan,26,,20 ,,RBRVS,0.62 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20061001
77301,CPT,"Radiotherapy dose plan, imrt",TC,,20 ,,RBRVS,0.00 ,28.01 ,28.01 ,,,,,1,1,1,0,1,1,20061001
77301,CPT,"Radiotherapy dose plan, imrt",26,,20 ,,RBRVS,7.99 ,2.57 ,2.57 ,,,,,1,0,1,1,1,1,20061001
77305,CPT,Teletx isodose plan simple,TC,,20 ,,RBRVS,0.00 ,1.87 ,1.87 ,,,,,1,1,1,0,1,1,20061001
77305,CPT,Teletx isodose plan simple,26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
77310,CPT,Teletx isodose plan intermed,TC,,20 ,,RBRVS,0.00 ,2.34 ,2.34 ,,,,,1,1,1,0,1,1,20061001
77310,CPT,Teletx isodose plan intermed,26,,20 ,,RBRVS,1.05 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20061001
77315,CPT,Teletx isodose plan complex,TC,,20 ,,RBRVS,0.00 ,2.67 ,2.67 ,,,,,1,1,1,0,1,1,20061001
77315,CPT,Teletx isodose plan complex,26,,20 ,,RBRVS,1.56 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20061001
77321,CPT,Special teletx port plan,TC,,20 ,,RBRVS,0.00 ,4.05 ,4.05 ,,,,,1,1,1,0,1,1,20061001
77321,CPT,Special teletx port plan,26,,20 ,,RBRVS,0.95 ,0.30 ,0.30 ,,,,,1,0,1,1,1,1,20061001
77326,CPT,Brachytx isodose calc simp,TC,,20 ,,RBRVS,0.00 ,2.37 ,2.37 ,,,,,1,1,1,0,1,1,20061001
77326,CPT,Brachytx isodose calc simp,26,,20 ,,RBRVS,0.93 ,0.30 ,0.30 ,,,,,1,0,1,1,1,1,20061001
77327,CPT,Brachytx isodose calc interm,TC,,20 ,,RBRVS,0.00 ,3.48 ,3.48 ,,,,,1,1,1,0,1,1,20061001
77327,CPT,Brachytx isodose calc interm,26,,20 ,,RBRVS,1.39 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20061001
77328,CPT,Brachytx isodose plan compl,TC,,20 ,,RBRVS,0.00 ,4.97 ,4.97 ,,,,,1,1,1,0,1,1,20061001
77328,CPT,Brachytx isodose plan compl,26,,20 ,,RBRVS,2.09 ,0.67 ,0.67 ,,,,,1,0,1,1,1,1,20061001
77331,CPT,Special radiation dosimetry,TC,,20 ,,RBRVS,0.00 ,0.50 ,0.50 ,,,,,1,1,1,0,1,1,20061001
77331,CPT,Special radiation dosimetry,26,,20 ,,RBRVS,0.87 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20061001
77332,CPT,Radiation treatment aid(s),TC,,20 ,,RBRVS,0.00 ,1.34 ,1.34 ,,,,,1,1,1,0,1,1,20061001
77332,CPT,Radiation treatment aid(s),26,,20 ,,RBRVS,0.54 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20061001
77333,CPT,Radiation treatment aid(s),TC,,20 ,,RBRVS,0.00 ,1.90 ,1.90 ,,,,,1,1,1,0,1,1,20061001
77333,CPT,Radiation treatment aid(s),26,,20 ,,RBRVS,0.84 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20061001
77334,CPT,Radiation treatment aid(s),TC,,20 ,,RBRVS,0.00 ,3.26 ,3.26 ,,,,,1,1,1,0,1,1,20061001
77334,CPT,Radiation treatment aid(s),26,,20 ,,RBRVS,1.24 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20061001
77336,CPT,Radiation physics consult,,TC,20 ,,RBRVS,0.00 ,2.99 ,2.99 ,,,,,1,1,1,0,1,1,20061001
77370,CPT,Radiation physics consult,,TC,20 ,,RBRVS,0.00 ,3.50 ,3.50 ,,,,,1,1,1,0,1,1,20061001
77399,CPT,External radiation dosimetry,,,20 ,,TotalUnits,,,,2.99 ,,,,1,1,1,0,1,1,20061001
77401,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,1.78 ,1.78 ,,,,,1,1,1,0,1,1,20061001
77402,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,1.78 ,1.78 ,,,,,1,1,1,0,1,1,20061001
77403,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,1.78 ,1.78 ,,,,,1,1,1,0,1,1,20061001
77404,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,1.78 ,1.78 ,,,,,1,1,1,0,1,1,20061001
77406,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,1.78 ,1.78 ,,,,,1,1,1,0,1,1,20061001
77407,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,2.10 ,2.10 ,,,,,1,1,1,0,1,1,20061001
77408,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,2.10 ,2.10 ,,,,,1,1,1,0,1,1,20061001
77409,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,2.10 ,2.10 ,,,,,1,1,1,0,1,1,20061001
77411,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,2.10 ,2.10 ,,,,,1,1,1,0,1,1,20061001
77412,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,2.34 ,2.34 ,,,,,1,1,1,0,1,1,20061001
77413,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,2.34 ,2.34 ,,,,,1,1,1,0,1,1,20061001
77414,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,2.34 ,2.34 ,,,,,1,1,1,0,1,1,20061001
77416,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,2.34 ,2.34 ,,,,,1,1,1,0,1,1,20061001
77417,CPT,Radiology port film(s),,TC,20 ,,RBRVS,0.00 ,0.59 ,0.59 ,,,,,1,1,1,0,1,1,20061001
77418,CPT,"Radiation tx delivery, imrt",,TC,20 ,,RBRVS,0.00 ,18.07 ,18.07 ,,,,,1,1,1,0,1,1,20061001
77421,CPT,Stereoscopic x-ray guidance,,,20 ,,RBRVS,0.00 ,3.36 ,3.36 ,,,,,1,1,1,0,1,1,20061001
77421,CPT,Stereoscopic x-ray guidance,,,20 ,,RBRVS,0.39 ,0.13 ,0.13 ,,,,,1,0,1,1,1,0,20061001
77422,CPT,"Neutron beam tx, simple",,,20 ,,RBRVS,0.00 ,1.71 ,1.71 ,,,,,1,1,1,0,1,1,20061001
77423,CPT,"Neutron beam tx, complex",,,20 ,,RBRVS,0.00 ,2.26 ,2.26 ,,,,,1,1,1,0,1,1,20061001
77427,CPT,"Radiation tx management, x5",,PC,20 ,,RBRVS,3.31 ,1.06 ,1.06 ,,,,,1,0,1,1,1,1,20061001
77431,CPT,Radiation therapy management,,PC,20 ,,RBRVS,1.81 ,0.68 ,0.68 ,,,,,1,0,1,1,1,1,20061001
77432,CPT,Stereotactic radiation trmt,,PC,20 ,,RBRVS,7.92 ,2.91 ,2.91 ,,,,,1,0,1,1,1,1,20061001
77470,CPT,Special radiation treatment,TC,,20 ,,RBRVS,0.00 ,11.18 ,11.18 ,,,,,1,1,1,0,1,1,20061001
77470,CPT,Special radiation treatment,26,,20 ,,RBRVS,2.09 ,0.67 ,0.67 ,,,,,1,0,1,1,1,1,20061001
77499,CPT,Radiation therapy management,,,20 ,,TotalUnits,,,,4.36 ,,,,1,1,1,0,1,1,20061001
77520,CPT,"Proton trmt, simple w/o comp",,TC,20 ,,TotalUnits,,,,22.19 ,,,,1,1,1,0,1,1,20061001
77522,CPT,"Proton trmt, simple w/comp",,TC,20 ,,TotalUnits,,,,23.39 ,,,,1,1,1,0,1,1,20061001
77600,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,0.00 ,3.06 ,3.06 ,,,,,1,1,1,0,1,1,20061001
77600,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,1.56 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20061001
77605,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,0.00 ,4.07 ,4.07 ,,,,,1,1,1,0,1,1,20061001
77605,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,2.09 ,0.66 ,0.66 ,,,,,1,0,1,1,1,1,20061001
77610,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,0.00 ,3.06 ,3.06 ,,,,,1,1,1,0,1,1,20061001
77610,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,1.56 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20061001
77615,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,0.00 ,4.07 ,4.07 ,,,,,1,1,1,0,1,1,20061001
77615,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,2.09 ,0.66 ,0.66 ,,,,,1,0,1,1,1,1,20061001
77620,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,0.00 ,3.06 ,3.06 ,,,,,1,1,1,0,1,1,20061001
77620,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,1.56 ,0.52 ,0.52 ,,,,,1,0,1,1,1,1,20061001
77750,CPT,Infuse radioactive materials,TC,,20 ,,RBRVS,0.00 ,1.33 ,1.33 ,,,,,1,1,1,0,1,1,20061001
77750,CPT,Infuse radioactive materials,26,,20 ,,RBRVS,4.90 ,1.58 ,1.58 ,,,,,1,0,1,1,1,1,20061001
77761,CPT,Apply intrcav radiat simple,TC,,20 ,,RBRVS,0.00 ,2.51 ,2.51 ,,,,,1,1,1,0,1,1,20061001
77761,CPT,Apply intrcav radiat simple,26,,20 ,,RBRVS,3.80 ,1.09 ,1.09 ,,,,,1,0,1,1,1,1,20061001
77762,CPT,Apply intrcav radiat interm,TC,,20 ,,RBRVS,0.00 ,3.62 ,3.62 ,,,,,1,1,1,0,1,1,20061001
77762,CPT,Apply intrcav radiat interm,26,,20 ,,RBRVS,5.71 ,1.84 ,1.84 ,,,,,1,0,1,1,1,1,20061001
77763,CPT,Apply intrcav radiat compl,TC,,20 ,,RBRVS,0.00 ,4.50 ,4.50 ,,,,,1,1,1,0,1,1,20061001
77763,CPT,Apply intrcav radiat compl,26,,20 ,,RBRVS,8.56 ,2.75 ,2.75 ,,,,,1,0,1,1,1,1,20061001
77776,CPT,Apply interstit radiat simpl,TC,,20 ,,RBRVS,0.00 ,2.19 ,2.19 ,,,,,1,1,1,0,1,1,20061001
77776,CPT,Apply interstit radiat simpl,26,,20 ,,RBRVS,4.65 ,0.95 ,0.95 ,,,,,1,0,1,1,1,1,20061001
77777,CPT,Apply interstit radiat inter,TC,,20 ,,RBRVS,0.00 ,4.24 ,4.24 ,,,,,1,1,1,0,1,1,20061001
77777,CPT,Apply interstit radiat inter,26,,20 ,,RBRVS,7.47 ,2.38 ,2.38 ,,,,,1,0,1,1,1,1,20061001
77778,CPT,Apply interstit radiat compl,TC,,20 ,,RBRVS,0.00 ,5.14 ,5.14 ,,,,,1,1,1,0,1,1,20061001
77778,CPT,Apply interstit radiat compl,26,,20 ,,RBRVS,11.17 ,3.58 ,3.58 ,,,,,1,0,1,1,1,1,20061001
77781,CPT,High intensity brachytherapy,TC,,20 ,,RBRVS,0.00 ,20.36 ,20.36 ,,,,,1,1,1,0,1,1,20061001
77781,CPT,High intensity brachytherapy,26,,20 ,,RBRVS,1.66 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20061001
77782,CPT,High intensity brachytherapy,TC,,20 ,,RBRVS,0.00 ,20.36 ,20.36 ,,,,,1,1,1,0,1,1,20061001
77782,CPT,High intensity brachytherapy,26,,20 ,,RBRVS,2.49 ,0.80 ,0.80 ,,,,,1,0,1,1,1,1,20061001
77783,CPT,High intensity brachytherapy,TC,,20 ,,RBRVS,0.00 ,20.36 ,20.36 ,,,,,1,1,1,0,1,1,20061001
77783,CPT,High intensity brachytherapy,26,,20 ,,RBRVS,3.72 ,1.19 ,1.19 ,,,,,1,0,1,1,1,1,20061001
77784,CPT,High intensity brachytherapy,TC,,20 ,,RBRVS,0.00 ,20.36 ,20.36 ,,,,,1,1,1,0,1,1,20061001
77784,CPT,High intensity brachytherapy,26,,20 ,,RBRVS,5.60 ,1.80 ,1.80 ,,,,,1,0,1,1,1,1,20061001
77789,CPT,Apply surface radiation,TC,,20 ,,RBRVS,0.00 ,0.45 ,0.45 ,,,,,1,1,1,0,1,1,20061001
77789,CPT,Apply surface radiation,26,,20 ,,RBRVS,1.12 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20061001
77790,CPT,Radiation handling,TC,,20 ,2,RBRVS,0.00 ,0.50 ,0.50 ,,,,,1,1,1,0,1,1,20061001
77790,CPT,Radiation handling,26,,20 ,,RBRVS,1.05 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20061001
77799,CPT,Radium/radioisotope therapy,,,20 ,,TotalUnits,,,,19.86 ,,,,1,1,1,0,1,1,20061001
78000,CPT,"Thyroid, single uptake",TC,,20 ,,RBRVS,0.00 ,0.97 ,0.97 ,,,,,1,1,1,0,1,1,20061001
78000,CPT,"Thyroid, single uptake",26,,20 ,,RBRVS,0.19 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
78001,CPT,"Thyroid, multiple uptakes",TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
78001,CPT,"Thyroid, multiple uptakes",26,,20 ,,RBRVS,0.26 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20061001
78003,CPT,Thyroid suppress/stimul,TC,,20 ,,RBRVS,0.00 ,0.97 ,0.97 ,,,,,1,1,1,0,1,1,20061001
78003,CPT,Thyroid suppress/stimul,26,,20 ,,RBRVS,0.33 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20061001
78006,CPT,Thyroid imaging with uptake,TC,,20 ,,RBRVS,0.00 ,2.39 ,2.39 ,,,,,1,1,1,0,1,1,20061001
78006,CPT,Thyroid imaging with uptake,26,,20 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
78007,CPT,"Thyroid image, mult uptakes",TC,,20 ,,RBRVS,0.00 ,2.58 ,2.58 ,,,,,1,1,1,0,1,1,20061001
78007,CPT,"Thyroid image, mult uptakes",26,,20 ,,RBRVS,0.50 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20061001
78010,CPT,Thyroid imaging,TC,,20 ,,RBRVS,0.00 ,1.83 ,1.83 ,,,,,1,1,1,0,1,1,20061001
78010,CPT,Thyroid imaging,26,,20 ,,RBRVS,0.39 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20061001
78011,CPT,Thyroid imaging with flow,TC,,20 ,,RBRVS,0.00 ,2.42 ,2.42 ,,,,,1,1,1,0,1,1,20061001
78011,CPT,Thyroid imaging with flow,26,,20 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
78015,CPT,Thyroid met imaging,TC,,20 ,,RBRVS,0.00 ,2.58 ,2.58 ,,,,,1,1,1,0,1,1,20061001
78015,CPT,Thyroid met imaging,26,,20 ,,RBRVS,0.67 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
78016,CPT,Thyroid met imaging/studies,TC,,20 ,,RBRVS,0.00 ,3.49 ,3.49 ,,,,,1,1,1,0,1,1,20061001
78016,CPT,Thyroid met imaging/studies,26,,20 ,,RBRVS,0.82 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20061001
78018,CPT,"Thyroid met imaging, body",TC,,20 ,,RBRVS,0.00 ,5.44 ,5.44 ,,,,,1,1,1,0,1,1,20061001
78018,CPT,"Thyroid met imaging, body",26,,20 ,,RBRVS,0.86 ,0.30 ,0.30 ,,,,,1,0,1,1,1,1,20061001
78020,CPT,Thyroid met uptake,TC,,20 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
78020,CPT,Thyroid met uptake,26,,20 ,,RBRVS,0.60 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20061001
78070,CPT,Parathyroid nuclear imaging,TC,,20 ,,RBRVS,0.00 ,4.28 ,4.28 ,,,,,1,1,1,0,1,1,20061001
78070,CPT,Parathyroid nuclear imaging,26,,20 ,,RBRVS,0.82 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20061001
78075,CPT,Adrenal nuclear imaging,TC,,20 ,,RBRVS,0.00 ,5.44 ,5.44 ,,,,,1,1,1,0,1,1,20061001
78075,CPT,Adrenal nuclear imaging,26,,20 ,,RBRVS,0.74 ,0.26 ,0.26 ,,,,,1,0,1,1,1,1,20061001
78099,CPT,Endocrine nuclear procedure,,,20 ,,TotalUnits,,,,3.05 ,,,,1,1,1,0,1,1,20061001
78102,CPT,"Bone marrow imaging, ltd",TC,,20 ,,RBRVS,0.00 ,2.05 ,2.05 ,,,,,1,1,1,0,1,1,20061001
78102,CPT,"Bone marrow imaging, ltd",26,,20 ,,RBRVS,0.55 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
78103,CPT,"Bone marrow imaging, mult",TC,,20 ,,RBRVS,0.00 ,3.18 ,3.18 ,,,,,1,1,1,0,1,1,20061001
78103,CPT,"Bone marrow imaging, mult",26,,20 ,,RBRVS,0.75 ,0.26 ,0.26 ,,,,,1,0,1,1,1,1,20061001
78104,CPT,"Bone marrow imaging, body",TC,,20 ,,RBRVS,0.00 ,4.08 ,4.08 ,,,,,1,1,1,0,1,1,20061001
78104,CPT,"Bone marrow imaging, body",26,,20 ,,RBRVS,0.80 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20061001
78110,CPT,"Plasma volume, single",TC,,20 ,,RBRVS,0.00 ,0.95 ,0.95 ,,,,,1,1,1,0,1,1,20061001
78110,CPT,"Plasma volume, single",26,,20 ,,RBRVS,0.19 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
78111,CPT,"Plasma volume, multiple",TC,,20 ,,RBRVS,0.00 ,2.58 ,2.58 ,,,,,1,1,1,0,1,1,20061001
78111,CPT,"Plasma volume, multiple",26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
78120,CPT,"Red cell mass, single",TC,,20 ,,RBRVS,0.00 ,1.74 ,1.74 ,,,,,1,1,1,0,1,1,20061001
78120,CPT,"Red cell mass, single",26,,20 ,,RBRVS,0.23 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
78121,CPT,"Red cell mass, multiple",TC,,20 ,,RBRVS,0.00 ,2.92 ,2.92 ,,,,,1,1,1,0,1,1,20061001
78121,CPT,"Red cell mass, multiple",26,,20 ,,RBRVS,0.32 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20061001
78122,CPT,Blood volume,TC,,20 ,,RBRVS,0.00 ,4.61 ,4.61 ,,,,,1,1,1,0,1,1,20061001
78122,CPT,Blood volume,26,,20 ,,RBRVS,0.45 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
78130,CPT,Red cell survival study,TC,,20 ,,RBRVS,0.00 ,2.86 ,2.86 ,,,,,1,1,1,0,1,1,20061001
78130,CPT,Red cell survival study,26,,20 ,,RBRVS,0.61 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20061001
78135,CPT,Red cell survival kinetics,TC,,20 ,,RBRVS,0.00 ,4.88 ,4.88 ,,,,,1,1,1,0,1,1,20061001
78135,CPT,Red cell survival kinetics,26,,20 ,,RBRVS,0.64 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20061001
78140,CPT,Red cell sequestration,TC,,20 ,,RBRVS,0.00 ,3.94 ,3.94 ,,,,,1,1,1,0,1,1,20061001
78140,CPT,Red cell sequestration,26,,20 ,,RBRVS,0.61 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20061001
78185,CPT,Spleen imaging,TC,,20 ,,RBRVS,0.00 ,2.37 ,2.37 ,,,,,1,1,1,0,1,1,20061001
78185,CPT,Spleen imaging,26,,20 ,,RBRVS,0.40 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20061001
78190,CPT,"Platelet survival, kinetics",TC,,20 ,,RBRVS,0.00 ,5.73 ,5.73 ,,,,,1,1,1,0,1,1,20061001
78190,CPT,"Platelet survival, kinetics",26,,20 ,,RBRVS,1.09 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20061001
78191,CPT,Platelet survival,TC,,20 ,,RBRVS,0.00 ,7.36 ,7.36 ,,,,,1,1,1,0,1,1,20061001
78191,CPT,Platelet survival,26,,20 ,,RBRVS,0.61 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20061001
78195,CPT,Lymph system imaging,TC,,20 ,,RBRVS,0.00 ,4.08 ,4.08 ,,,,,1,1,1,0,1,1,20061001
78195,CPT,Lymph system imaging,26,,20 ,,RBRVS,1.20 ,0.41 ,0.41 ,,,,,1,0,1,1,1,1,20061001
78199,CPT,Blood/lymph nuclear exam,,,20 ,,TotalUnits,,,,5.70 ,,,,1,1,1,0,1,1,20061001
78201,CPT,Liver imaging,TC,,20 ,,RBRVS,0.00 ,2.37 ,2.37 ,,,,,1,1,1,0,1,1,20061001
78201,CPT,Liver imaging,26,,20 ,,RBRVS,0.44 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
78202,CPT,Liver imaging with flow,TC,,20 ,,RBRVS,0.00 ,2.89 ,2.89 ,,,,,1,1,1,0,1,1,20061001
78202,CPT,Liver imaging with flow,26,,20 ,,RBRVS,0.51 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20061001
78205,CPT,Liver imaging (3D),TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20061001
78205,CPT,Liver imaging (3D),26,,20 ,,RBRVS,0.71 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20061001
78206,CPT,Liver image (3d) with flow,TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20061001
78206,CPT,Liver image (3d) with flow,26,,20 ,,RBRVS,0.96 ,0.33 ,0.33 ,,,,,1,0,1,1,1,1,20061001
78215,CPT,Liver and spleen imaging,TC,,20 ,,RBRVS,0.00 ,2.95 ,2.95 ,,,,,1,1,1,0,1,1,20061001
78215,CPT,Liver and spleen imaging,26,,20 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
78216,CPT,Liver & spleen image/flow,TC,,20 ,,RBRVS,0.00 ,3.49 ,3.49 ,,,,,1,1,1,0,1,1,20061001
78216,CPT,Liver & spleen image/flow,26,,20 ,,RBRVS,0.57 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
78220,CPT,Liver function study,TC,,20 ,,RBRVS,0.00 ,3.73 ,3.73 ,,,,,1,1,1,0,1,1,20061001
78220,CPT,Liver function study,26,,20 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
78223,CPT,Hepatobiliary imaging,TC,,20 ,,RBRVS,0.00 ,3.67 ,3.67 ,,,,,1,1,1,0,1,1,20061001
78223,CPT,Hepatobiliary imaging,26,,20 ,,RBRVS,0.84 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20061001
78230,CPT,Salivary gland imaging,TC,,20 ,,RBRVS,0.00 ,2.19 ,2.19 ,,,,,1,1,1,0,1,1,20061001
78230,CPT,Salivary gland imaging,26,,20 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
78231,CPT,Serial salivary imaging,TC,,20 ,,RBRVS,0.00 ,3.18 ,3.18 ,,,,,1,1,1,0,1,1,20061001
78231,CPT,Serial salivary imaging,26,,20 ,,RBRVS,0.52 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
78232,CPT,Salivary gland function exam,TC,,20 ,,RBRVS,0.00 ,3.55 ,3.55 ,,,,,1,1,1,0,1,1,20061001
78232,CPT,Salivary gland function exam,26,,20 ,,RBRVS,0.47 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
78258,CPT,Esophageal motility study,TC,,20 ,,RBRVS,0.00 ,2.89 ,2.89 ,,,,,1,1,1,0,1,1,20061001
78258,CPT,Esophageal motility study,26,,20 ,,RBRVS,0.74 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20061001
78261,CPT,Gastric mucosa imaging,TC,,20 ,,RBRVS,0.00 ,4.11 ,4.11 ,,,,,1,1,1,0,1,1,20061001
78261,CPT,Gastric mucosa imaging,26,,20 ,,RBRVS,0.69 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20061001
78262,CPT,Gastroesophageal reflux exam,TC,,20 ,,RBRVS,0.00 ,4.26 ,4.26 ,,,,,1,1,1,0,1,1,20061001
78262,CPT,Gastroesophageal reflux exam,26,,20 ,,RBRVS,0.68 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
78264,CPT,Gastric emptying study,TC,,20 ,,RBRVS,0.00 ,4.14 ,4.14 ,,,,,1,1,1,0,1,1,20061001
78264,CPT,Gastric emptying study,26,,20 ,,RBRVS,0.78 ,0.26 ,0.26 ,,,,,1,0,1,1,1,1,20061001
78267,CPT,Breath tst attain/anal c-14,,,17 ,,TotalUnits,,,,0.37 ,,,,1,1,1,0,1,1,20061001
78268,CPT,"Breath test analysis, c-14",,,17 ,,TotalUnits,,,,3.14 ,,,,1,1,1,0,1,1,20061001
78270,CPT,Vit B-12 absorption exam,TC,,20 ,,RBRVS,0.00 ,1.55 ,1.55 ,,,,,1,1,1,0,1,1,20061001
78270,CPT,Vit B-12 absorption exam,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
78271,CPT,"Vit b-12 absrp exam, int fac",TC,,20 ,,RBRVS,0.00 ,1.64 ,1.64 ,,,,,1,1,1,0,1,1,20061001
78271,CPT,"Vit b-12 absrp exam, int fac",26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
78272,CPT,"Vit B-12 absorp, combined",TC,,20 ,,RBRVS,0.00 ,2.33 ,2.33 ,,,,,1,1,1,0,1,1,20061001
78272,CPT,"Vit B-12 absorp, combined",26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20061001
78278,CPT,Acute GI blood loss imaging,TC,,20 ,,RBRVS,0.00 ,4.88 ,4.88 ,,,,,1,1,1,0,1,1,20061001
78278,CPT,Acute GI blood loss imaging,26,,20 ,,RBRVS,0.99 ,0.33 ,0.33 ,,,,,1,0,1,1,1,1,20061001
78282,CPT,GI protein loss exam,TC,,20 ,,TotalUnits,,,,2.89 ,,,,1,1,1,0,1,1,20061001
78282,CPT,GI protein loss exam,26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20061001
78290,CPT,Meckel?s divert exam,TC,,20 ,,RBRVS,0.00 ,3.06 ,3.06 ,,,,,1,1,1,0,1,1,20061001
78290,CPT,Meckel?s divert exam,26,,20 ,,RBRVS,0.68 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
78291,CPT,Leveen/shunt patency exam,TC,,20 ,,RBRVS,0.00 ,3.07 ,3.07 ,,,,,1,1,1,0,1,1,20061001
78291,CPT,Leveen/shunt patency exam,26,,20 ,,RBRVS,0.88 ,0.30 ,0.30 ,,,,,1,0,1,1,1,1,20061001
78299,CPT,GI nuclear procedure,,,20 ,,TotalUnits,,,,4.80 ,,,,1,1,1,0,1,1,20061001
78300,CPT,"Bone imaging, limited area",TC,,20 ,,RBRVS,0.00 ,2.49 ,2.49 ,,,,,1,1,1,0,1,1,20061001
78300,CPT,"Bone imaging, limited area",26,,20 ,,RBRVS,0.62 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20061001
78305,CPT,"Bone imaging, multiple areas",TC,,20 ,,RBRVS,0.00 ,3.67 ,3.67 ,,,,,1,1,1,0,1,1,20061001
78305,CPT,"Bone imaging, multiple areas",26,,20 ,,RBRVS,0.83 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20061001
78306,CPT,"Bone imaging, whole body",TC,,20 ,,RBRVS,0.00 ,4.28 ,4.28 ,,,,,1,1,1,0,1,1,20061001
78306,CPT,"Bone imaging, whole body",26,,20 ,,RBRVS,0.86 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20061001
78315,CPT,"Bone imaging, 3 phase",TC,,20 ,,RBRVS,0.00 ,4.79 ,4.79 ,,,,,1,1,1,0,1,1,20061001
78315,CPT,"Bone imaging, 3 phase",26,,20 ,,RBRVS,1.02 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20061001
78320,CPT,Bone imaging (3D),TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20061001
78320,CPT,Bone imaging (3D),26,,20 ,,RBRVS,1.04 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20061001
78350,CPT,"Bone mineral, single photon",TC,,20 ,,RBRVS,0.00 ,0.75 ,0.75 ,,,,,1,1,1,0,1,1,20061001
78350,CPT,"Bone mineral, single photon",26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
78351,CPT,"Bone mineral, dual photon",26,,20 ,,TotalUnits,,,,0.58 ,,,,1,0,1,1,1,1,20061001
78351,CPT,"Bone mineral, dual photon",TC,,20 ,,TotalUnits,,,,3.44 ,,,,1,1,1,0,1,1,20061001
78399,CPT,Musculoskeletal nuclear exam,,,20 ,,TotalUnits,,,,5.44 ,,,,1,1,1,0,1,1,20061001
78414,CPT,Non-imaging heart function,TC,,20 ,,TotalUnits,,,,1.22 ,,,,1,1,1,0,1,1,20061001
78414,CPT,Non-imaging heart function,26,,20 ,,RBRVS,0.45 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
78428,CPT,Cardiac shunt imaging,TC,,20 ,,RBRVS,0.00 ,2.26 ,2.26 ,,,,,1,1,1,0,1,1,20061001
78428,CPT,Cardiac shunt imaging,26,,20 ,,RBRVS,0.78 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20061001
78445,CPT,Vascular flow imaging,TC,,20 ,,RBRVS,0.00 ,1.87 ,1.87 ,,,,,1,1,1,0,1,1,20061001
78445,CPT,Vascular flow imaging,26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20061001
78456,CPT,Acute venous thrombus image,TC,,20 ,,RBRVS,0.00 ,3.99 ,3.99 ,,,,,1,1,1,0,1,1,20061001
78456,CPT,Acute venous thrombus image,26,,20 ,,RBRVS,1.00 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20061001
78457,CPT,Venous thrombosis imaging,TC,,20 ,,RBRVS,0.00 ,2.67 ,2.67 ,,,,,1,1,1,0,1,1,20061001
78457,CPT,Venous thrombosis imaging,26,,20 ,,RBRVS,0.77 ,0.26 ,0.26 ,,,,,1,0,1,1,1,1,20061001
78458,CPT,"Ven thrombosis images, bilat",TC,,20 ,,RBRVS,0.00 ,4.03 ,4.03 ,,,,,1,1,1,0,1,1,20061001
78458,CPT,"Ven thrombosis images, bilat",26,,20 ,,RBRVS,0.90 ,0.32 ,0.32 ,,,,,1,0,1,1,1,1,20061001
78459,CPT,Heart muscle imaging (PET),TC,,20 ,,TotalUnits,,,,27.72 ,,,,1,1,1,0,1,1,20061001
78459,CPT,Heart muscle imaging (PET),26,,20 ,,RBRVS,1.50 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20061001
78460,CPT,"Heart muscle blood, single",TC,,20 ,,RBRVS,0.00 ,2.37 ,2.37 ,,,,,1,1,1,0,1,1,20061001
78460,CPT,"Heart muscle blood, single",26,,20 ,,RBRVS,0.86 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20061001
78461,CPT,"Heart muscle blood, multiple",TC,,20 ,,RBRVS,0.00 ,4.73 ,4.73 ,,,,,1,1,1,0,1,1,20061001
78461,CPT,"Heart muscle blood, multiple",26,,20 ,,RBRVS,1.23 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20061001
78464,CPT,"Heart image (3d), single",TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20061001
78464,CPT,"Heart image (3d), single",26,,20 ,,RBRVS,1.09 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20061001
78465,CPT,"Heart image (3d), multiple",TC,,20 ,,RBRVS,0.00 ,11.82 ,11.82 ,,,,,1,1,1,0,1,1,20061001
78465,CPT,"Heart image (3d), multiple",26,,20 ,,RBRVS,1.46 ,0.52 ,0.52 ,,,,,1,0,1,1,1,1,20061001
78466,CPT,Heart infarct image,TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20061001
78466,CPT,Heart infarct image,26,,20 ,,RBRVS,0.69 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20061001
78468,CPT,Heart infarct image (ef),TC,,20 ,,RBRVS,0.00 ,3.67 ,3.67 ,,,,,1,1,1,0,1,1,20061001
78468,CPT,Heart infarct image (ef),26,,20 ,,RBRVS,0.80 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20061001
78469,CPT,Heart infarct image (3D),TC,,20 ,,RBRVS,0.00 ,5.24 ,5.24 ,,,,,1,1,1,0,1,1,20061001
78469,CPT,Heart infarct image (3D),26,,20 ,,RBRVS,0.92 ,0.31 ,0.31 ,,,,,1,0,1,1,1,1,20061001
78472,CPT,"Gated heart, planar, single",TC,,20 ,,RBRVS,0.00 ,5.53 ,5.53 ,,,,,1,1,1,0,1,1,20061001
78472,CPT,"Gated heart, planar, single",26,,20 ,,RBRVS,0.98 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20061001
78473,CPT,"Gated heart, multiple",TC,,20 ,,RBRVS,0.00 ,8.28 ,8.28 ,,,,,1,1,1,0,1,1,20061001
78473,CPT,"Gated heart, multiple",26,,20 ,,RBRVS,1.47 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20061001
78478,CPT,Heart wall motion add-on,TC,,20 ,,RBRVS,0.00 ,1.56 ,1.56 ,,,,,1,1,1,0,1,1,20061001
78478,CPT,Heart wall motion add-on,26,,20 ,,RBRVS,0.62 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
78480,CPT,Heart function add-on,TC,,20 ,,RBRVS,0.00 ,1.56 ,1.56 ,,,,,1,1,1,0,1,1,20061001
78480,CPT,Heart function add-on,26,,20 ,,RBRVS,0.62 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20061001
78481,CPT,"Heart first pass, single",TC,,20 ,,RBRVS,0.00 ,5.24 ,5.24 ,,,,,1,1,1,0,1,1,20061001
78481,CPT,"Heart first pass, single",26,,20 ,,RBRVS,0.98 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20061001
78483,CPT,"Heart first pass, multiple",TC,,20 ,,RBRVS,0.00 ,7.89 ,7.89 ,,,,,1,1,1,0,1,1,20061001
78483,CPT,"Heart first pass, multiple",26,,20 ,,RBRVS,1.47 ,0.54 ,0.54 ,,,,,1,0,1,1,1,1,20061001
78491,CPT,"Heart image (pet), single",TC,,20 ,,TotalUnits,,,,16.06 ,,,,1,1,1,0,1,1,20061001
78491,CPT,"Heart image (pet), single",26,,20 ,,RBRVS,1.50 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20061001
78492,CPT,"Heart image (pet), multiple",TC,,20 ,,TotalUnits,,,,20.04 ,,,,1,1,1,0,1,1,20061001
78492,CPT,"Heart image (pet), multiple",26,,20 ,,RBRVS,1.87 ,0.74 ,0.74 ,,,,,1,0,1,1,1,1,20061001
78494,CPT,"Heart image, spect",TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20061001
78494,CPT,"Heart image, spect",26,,20 ,,RBRVS,1.19 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20061001
78496,CPT,Heart first pass add-on,TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20061001
78496,CPT,Heart first pass add-on,26,,20 ,,RBRVS,0.50 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
78499,CPT,Cardiovascular nuclear exam,,,20 ,,TotalUnits,,,,2.41 ,,,,1,1,1,0,1,1,20061001
78580,CPT,Lung perfusion imaging,TC,,20 ,,RBRVS,0.00 ,3.44 ,3.44 ,,,,,1,1,1,0,1,1,20061001
78580,CPT,Lung perfusion imaging,26,,20 ,,RBRVS,0.74 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20061001
78584,CPT,Lung V/Q image single breath,TC,,20 ,,RBRVS,0.00 ,3.21 ,3.21 ,,,,,1,1,1,0,1,1,20061001
78584,CPT,Lung V/Q image single breath,26,,20 ,,RBRVS,0.99 ,0.33 ,0.33 ,,,,,1,0,1,1,1,1,20061001
78585,CPT,Lung V/Q imaging,TC,,20 ,,RBRVS,0.00 ,5.66 ,5.66 ,,,,,1,1,1,0,1,1,20061001
78585,CPT,Lung V/Q imaging,26,,20 ,,RBRVS,1.09 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20061001
78586,CPT,"Aerosol lung image, single",TC,,20 ,,RBRVS,0.00 ,2.60 ,2.60 ,,,,,1,1,1,0,1,1,20061001
78586,CPT,"Aerosol lung image, single",26,,20 ,,RBRVS,0.40 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20061001
78587,CPT,"Aerosol lung image, multiple",TC,,20 ,,RBRVS,0.00 ,2.81 ,2.81 ,,,,,1,1,1,0,1,1,20061001
78587,CPT,"Aerosol lung image, multiple",26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20061001
78588,CPT,Perfusion lung image,TC,,20 ,,RBRVS,0.00 ,3.21 ,3.21 ,,,,,1,1,1,0,1,1,20061001
78588,CPT,Perfusion lung image,26,,20 ,,RBRVS,1.09 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20061001
78591,CPT,"Vent image, 1 breath, 1 proj",TC,,20 ,,RBRVS,0.00 ,2.86 ,2.86 ,,,,,1,1,1,0,1,1,20061001
78591,CPT,"Vent image, 1 breath, 1 proj",26,,20 ,,RBRVS,0.40 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20061001
78593,CPT,"Vent image, 1 proj, gas",TC,,20 ,,RBRVS,0.00 ,3.46 ,3.46 ,,,,,1,1,1,0,1,1,20061001
78593,CPT,"Vent image, 1 proj, gas",26,,20 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
78594,CPT,"Vent image, mult proj, gas",TC,,20 ,,RBRVS,0.00 ,4.99 ,4.99 ,,,,,1,1,1,0,1,1,20061001
78594,CPT,"Vent image, mult proj, gas",26,,20 ,,RBRVS,0.53 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
78596,CPT,Lung differential function,TC,,20 ,,RBRVS,0.00 ,7.09 ,7.09 ,,,,,1,1,1,0,1,1,20061001
78596,CPT,Lung differential function,26,,20 ,,RBRVS,1.27 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20061001
78599,CPT,Respiratory nuclear exam,,,20 ,,TotalUnits,,,,4.67 ,,,,1,1,1,0,1,1,20061001
78600,CPT,"Brain imaging, ltd static",TC,,20 ,,RBRVS,0.00 ,2.89 ,2.89 ,,,,,1,1,1,0,1,1,20061001
78600,CPT,"Brain imaging, ltd static",26,,20 ,,RBRVS,0.44 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
78601,CPT,"Brain imaging, ltd w/ flow",TC,,20 ,,RBRVS,0.00 ,3.41 ,3.41 ,,,,,1,1,1,0,1,1,20061001
78601,CPT,"Brain imaging, ltd w/ flow",26,,20 ,,RBRVS,0.51 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20061001
78605,CPT,"Brain imaging, complete",TC,,20 ,,RBRVS,0.00 ,3.41 ,3.41 ,,,,,1,1,1,0,1,1,20061001
78605,CPT,"Brain imaging, complete",26,,20 ,,RBRVS,0.53 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
78606,CPT,"Brain imaging, compl w/flow",TC,,20 ,,RBRVS,0.00 ,3.88 ,3.88 ,,,,,1,1,1,0,1,1,20061001
78606,CPT,"Brain imaging, compl w/flow",26,,20 ,,RBRVS,0.64 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20061001
78607,CPT,Brain imaging (3D),TC,,20 ,,RBRVS,0.00 ,6.57 ,6.57 ,,,,,1,1,1,0,1,1,20061001
78607,CPT,Brain imaging (3D),26,,20 ,,RBRVS,1.23 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20061001
78608,CPT,Brain imaging (PET),,,20 ,,TotalUnits,,,,49.17 ,,,,1,1,1,0,1,1,20061001
78609,CPT,Brain imaging (PET),,,20 ,,TotalUnits,,,,35.76 ,,,,1,1,1,0,1,1,20061001
78610,CPT,Brain flow imaging only,TC,,20 ,,RBRVS,0.00 ,1.58 ,1.58 ,,,,,1,1,1,0,1,1,20061001
78610,CPT,Brain flow imaging only,26,,20 ,,RBRVS,0.30 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20061001
78615,CPT,Cerebral vascular flow image,TC,,20 ,,RBRVS,0.00 ,3.86 ,3.86 ,,,,,1,1,1,0,1,1,20061001
78615,CPT,Cerebral vascular flow image,26,,20 ,,RBRVS,0.42 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
78630,CPT,Cerebrospinal fluid scan,TC,,20 ,,RBRVS,0.00 ,5.05 ,5.05 ,,,,,1,1,1,0,1,1,20061001
78630,CPT,Cerebrospinal fluid scan,26,,20 ,,RBRVS,0.68 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
78635,CPT,CSF ventriculography,TC,,20 ,,RBRVS,0.00 ,2.55 ,2.55 ,,,,,1,1,1,0,1,1,20061001
78635,CPT,CSF ventriculography,26,,20 ,,RBRVS,0.61 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
78645,CPT,CSF shunt evaluation,TC,,20 ,,RBRVS,0.00 ,3.44 ,3.44 ,,,,,1,1,1,0,1,1,20061001
78645,CPT,CSF shunt evaluation,26,,20 ,,RBRVS,0.57 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
78647,CPT,Cerebrospinal fluid scan,TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20061001
78647,CPT,Cerebrospinal fluid scan,26,,20 ,,RBRVS,0.90 ,0.31 ,0.31 ,,,,,1,0,1,1,1,1,20061001
78650,CPT,CSF leakage imaging,TC,,20 ,,RBRVS,0.00 ,4.65 ,4.65 ,,,,,1,1,1,0,1,1,20061001
78650,CPT,CSF leakage imaging,26,,20 ,,RBRVS,0.61 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20061001
78660,CPT,Nuclear exam of tear flow,TC,,20 ,,RBRVS,0.00 ,2.13 ,2.13 ,,,,,1,1,1,0,1,1,20061001
78660,CPT,Nuclear exam of tear flow,26,,20 ,,RBRVS,0.53 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
78699,CPT,Nervous system nuclear exam,,,20 ,,TotalUnits,,,,5.96 ,,,,1,1,1,0,1,1,20061001
78700,CPT,"Kidney imaging, static",TC,,20 ,,RBRVS,0.00 ,3.06 ,3.06 ,,,,,1,1,1,0,1,1,20061001
78700,CPT,"Kidney imaging, static",26,,20 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
78701,CPT,Kidney imaging with flow,TC,,20 ,,RBRVS,0.00 ,3.57 ,3.57 ,,,,,1,1,1,0,1,1,20061001
78701,CPT,Kidney imaging with flow,26,,20 ,,RBRVS,0.49 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
78704,CPT,Imaging renogram,TC,,20 ,,RBRVS,0.00 ,3.96 ,3.96 ,,,,,1,1,1,0,1,1,20061001
78704,CPT,Imaging renogram,26,,20 ,,RBRVS,0.74 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20061001
78707,CPT,Kidney flow/function image,TC,,20 ,,RBRVS,0.00 ,4.48 ,4.48 ,,,,,1,1,1,0,1,1,20061001
78707,CPT,Kidney flow/function image,26,,20 ,,RBRVS,0.96 ,0.32 ,0.32 ,,,,,1,0,1,1,1,1,20061001
78708,CPT,Kidney flow/function image,TC,,20 ,,RBRVS,0.00 ,4.48 ,4.48 ,,,,,1,1,1,0,1,1,20061001
78708,CPT,Kidney flow/function image,26,,20 ,,RBRVS,1.21 ,0.41 ,0.41 ,,,,,1,0,1,1,1,1,20061001
78709,CPT,Kidney flow/function image,TC,,20 ,,RBRVS,0.00 ,4.48 ,4.48 ,,,,,1,1,1,0,1,1,20061001
78709,CPT,Kidney flow/function image,26,,20 ,,RBRVS,1.41 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20061001
78710,CPT,Kidney imaging (3D),TC,,20 ,,RBRVS,0.00 ,5.93 ,5.93 ,,,,,1,1,1,0,1,1,20061001
78710,CPT,Kidney imaging (3D),26,,20 ,,RBRVS,0.66 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20061001
78715,CPT,Renal vascular flow exam,TC,,20 ,,RBRVS,0.00 ,1.58 ,1.58 ,,,,,1,1,1,0,1,1,20061001
78715,CPT,Renal vascular flow exam,26,,20 ,,RBRVS,0.30 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20061001
78725,CPT,Kidney function study,TC,,20 ,,RBRVS,0.00 ,1.79 ,1.79 ,,,,,1,1,1,0,1,1,20061001
78725,CPT,Kidney function study,26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20061001
78730,CPT,Urinary bladder retention,TC,,20 ,,RBRVS,0.00 ,1.46 ,1.46 ,,,,,1,1,1,0,1,1,20061001
78730,CPT,Urinary bladder retention,26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
78740,CPT,Ureteral reflux study,TC,,20 ,,RBRVS,0.00 ,2.13 ,2.13 ,,,,,1,1,1,0,1,1,20061001
78740,CPT,Ureteral reflux study,26,,20 ,,RBRVS,0.57 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
78760,CPT,Testicular imaging,TC,,20 ,,RBRVS,0.00 ,2.69 ,2.69 ,,,,,1,1,1,0,1,1,20061001
78760,CPT,Testicular imaging,26,,20 ,,RBRVS,0.66 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20061001
78761,CPT,Testicular imaging/flow,TC,,20 ,,RBRVS,0.00 ,3.21 ,3.21 ,,,,,1,1,1,0,1,1,20061001
78761,CPT,Testicular imaging/flow,26,,20 ,,RBRVS,0.71 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20061001
78799,CPT,Genitourinary nuclear exam,,,20 ,,TotalUnits,,,,5.77 ,,,,1,1,1,0,1,1,20061001
78800,CPT,"Tumor imaging, limited area",TC,,20 ,,RBRVS,0.00 ,3.41 ,3.41 ,,,,,1,1,1,0,1,1,20061001
78800,CPT,"Tumor imaging, limited area",26,,20 ,,RBRVS,0.66 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20061001
78801,CPT,"Tumor imaging, mult areas",TC,,20 ,,RBRVS,0.00 ,4.23 ,4.23 ,,,,,1,1,1,0,1,1,20061001
78801,CPT,"Tumor imaging, mult areas",26,,20 ,,RBRVS,0.79 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20061001
78802,CPT,"Tumor imaging, whole body",TC,,20 ,,RBRVS,0.00 ,5.55 ,5.55 ,,,,,1,1,1,0,1,1,20061001
78802,CPT,"Tumor imaging, whole body",26,,20 ,,RBRVS,0.86 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20061001
78803,CPT,Tumor imaging (3D),TC,,20 ,,RBRVS,0.00 ,6.57 ,6.57 ,,,,,1,1,1,0,1,1,20061001
78803,CPT,Tumor imaging (3D),26,,20 ,,RBRVS,1.09 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20061001
78804,CPT,"Tumor imaging, whole body",TC,,20 ,,RBRVS,0.00 ,11.09 ,11.09 ,,,,,1,1,1,0,1,1,20061001
78804,CPT,"Tumor imaging, whole body",26,,20 ,,RBRVS,1.07 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20061001
78805,CPT,"Abscess imaging, ltd area",TC,,20 ,,RBRVS,0.00 ,3.41 ,3.41 ,,,,,1,1,1,0,1,1,20061001
78805,CPT,"Abscess imaging, ltd area",26,,20 ,,RBRVS,0.73 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20061001
78806,CPT,"Abscess imaging, whole body",TC,,20 ,,RBRVS,0.00 ,6.45 ,6.45 ,,,,,1,1,1,0,1,1,20061001
78806,CPT,"Abscess imaging, whole body",26,,20 ,,RBRVS,0.86 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20061001
78807,CPT,Nuclear localization/abscess,TC,,20 ,,RBRVS,0.00 ,6.57 ,6.57 ,,,,,1,1,1,0,1,1,20061001
78807,CPT,Nuclear localization/abscess,26,,20 ,,RBRVS,1.09 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20061001
78811,CPT,"Tumor imaging (pet), limited",26,,20 ,,RBRVS,1.54 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20061001
78812,CPT,Tumor image (pet)/skul-thigh,26,,20 ,,RBRVS,1.93 ,0.66 ,0.66 ,,,,,1,0,1,1,1,1,20061001
78813,CPT,Tumor image (pet) full body,26,,20 ,,RBRVS,2.00 ,0.69 ,0.69 ,,,,,1,0,1,1,1,1,20061001
78814,CPT,"Tumor image pet/ct, limited",26,,20 ,,RBRVS,2.20 ,0.76 ,0.76 ,,,,,1,0,1,1,1,1,20061001
78815,CPT,Tumorimage pet/ct skul-thigh,26,,20 ,,RBRVS,2.44 ,0.84 ,0.84 ,,,,,1,0,1,1,1,1,20061001
78816,CPT,Tumor image pet/ct full body,26,,20 ,,RBRVS,2.50 ,0.86 ,0.86 ,,,,,1,0,1,1,1,1,20061001
78890,CPT,Nuclear medicine data proc,TC,,20 ,2,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
78890,CPT,Nuclear medicine data proc,26,,20 ,,RBRVS,0.05 ,0.02 ,0.02 ,,,,,1,0,1,1,1,1,20061001
78891,CPT,Nuclear med data proc,TC,,20 ,2,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20061001
78891,CPT,Nuclear med data proc,26,,20 ,,RBRVS,0.10 ,0.04 ,0.04 ,,,,,1,0,1,1,1,1,20061001
78999,CPT,Nuclear diagnostic exam,,,20 ,,TotalUnits,,,,1.81 ,,,,1,1,1,0,1,1,20061001
79005,CPT,"Nuclear rx, oral admin",TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20061001
79005,CPT,"Nuclear rx, oral admin",26,,20 ,,RBRVS,1.80 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20061001
79101,CPT,"Nuclear rx, iv admin",TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20061001
79101,CPT,"Nuclear rx, iv admin",26,,20 ,,RBRVS,1.96 ,0.67 ,0.67 ,,,,,1,0,1,1,1,1,20061001
79200,CPT,Intracavitary nuclear trmt,TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20061001
79200,CPT,Intracavitary nuclear trmt,26,,20 ,,RBRVS,1.99 ,0.69 ,0.69 ,,,,,1,0,1,1,1,1,20061001
79300,CPT,Interstitial nuclear therapy,TC,,20 ,,TotalUnits,,,,1.70 ,,,,1,1,1,0,1,1,20061001
79300,CPT,Interstitial nuclear therapy,26,,20 ,,RBRVS,1.60 ,0.56 ,0.56 ,,,,,1,0,1,1,1,1,20061001
79403,CPT,Hematopoetic nuclear therapy,TC,,20 ,,RBRVS,0.00 ,4.28 ,4.28 ,,,,,1,1,1,0,1,1,20061001
79403,CPT,Hematopoetic nuclear therapy,26,,20 ,,RBRVS,2.25 ,0.89 ,0.89 ,,,,,1,0,1,1,1,1,20061001
79440,CPT,Nuclear joint therapy,TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20061001
79440,CPT,Nuclear joint therapy,26,,20 ,,RBRVS,1.99 ,0.72 ,0.72 ,,,,,1,0,1,1,1,1,20061001
79445,CPT,"Nuclear rx, intra-arterial",,,20 ,,RBRVS,2.40 ,0.82 ,0.82 ,,,,,1,0,1,1,1,1,20061001
79999,CPT,Nuclear medicine therapy,,,20 ,,TotalUnits,,,,5.02 ,,,,1,1,1,0,1,1,20061001
80048,CPT,Basic metabolic panel,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20061001
80050,CPT,General health panel,,,17 ,,TotalUnits,,,,1.42 ,,,,1,1,1,0,1,1,20061001
80051,CPT,Electrolyte panel,,,17 ,,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20061001
80053,CPT,Comprehen metabolic panel,,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20061001
80055,CPT,Obstetric panel,,,17 ,,TotalUnits,,,,1.29 ,,,,1,1,1,0,1,1,20061001
80061,CPT,Lipid panel,,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20061001
80069,CPT,Renal function panel,,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20061001
80074,CPT,Acute hepatitis panel,,,17 ,,TotalUnits,,,,2.22 ,,,,1,1,1,0,1,1,20061001
80076,CPT,Hepatic function panel,,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20061001
80100,CPT,"Drug screen, qualitate/multi",,,17 ,,TotalUnits,,,,0.68 ,,,,1,1,1,0,1,1,20061001
80101,CPT,"Drug screen, single",,,17 ,,TotalUnits,,,,0.64 ,,,,1,1,1,0,1,1,20061001
80102,CPT,Drug confirmation,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
80103,CPT,"Drug analysis, tissue prep",,,17 ,2,TotalUnits,,,,0.44 ,,,,1,1,1,0,1,1,20061001
80150,CPT,Assay of amikacin,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20061001
80152,CPT,Assay of amitriptyline,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
80154,CPT,Assay of benzodiazepines,,,17 ,,TotalUnits,,,,0.86 ,,,,1,1,1,0,1,1,20061001
80156,CPT,"Assay, carbamazepine, total",,,17 ,,TotalUnits,,,,0.68 ,,,,1,1,1,0,1,1,20061001
80157,CPT,"Assay, carbamazepine, free",,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
80158,CPT,Assay of cyclosporine,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
80160,CPT,Assay of desipramine,,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20061001
80162,CPT,Assay of digoxin,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
80164,CPT,"Assay, dipropylacetic acid",,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20061001
80166,CPT,Assay of doxepin,,,17 ,,TotalUnits,,,,0.72 ,,,,1,1,1,0,1,1,20061001
80168,CPT,Assay of ethosuximide,,,17 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20061001
80170,CPT,Assay of gentamicin,,,17 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20061001
80172,CPT,Assay of gold,,,17 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20061001
80173,CPT,Assay of haloperidol,,,17 ,,TotalUnits,,,,0.68 ,,,,1,1,1,0,1,1,20061001
80174,CPT,Assay of imipramine,,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20061001
80176,CPT,Assay of lidocaine,,,17 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20061001
80178,CPT,Assay of lithium,,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20061001
80182,CPT,Assay of nortriptyline,,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20061001
80184,CPT,Assay of phenobarbital,,,17 ,,TotalUnits,,,,0.53 ,,,,1,1,1,0,1,1,20061001
80185,CPT,"Assay of phenytoin, total",,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
80186,CPT,"Assay of phenytoin, free",,,17 ,,TotalUnits,,,,0.64 ,,,,1,1,1,0,1,1,20061001
80188,CPT,Assay of primidone,,,17 ,,TotalUnits,,,,0.77 ,,,,1,1,1,0,1,1,20061001
80190,CPT,Assay of procainamide,,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20061001
80192,CPT,Assay of procainamide,,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20061001
80194,CPT,Assay of quinidine,,,17 ,,TotalUnits,,,,0.68 ,,,,1,1,1,0,1,1,20061001
80195,CPT,Assay of sirolimus,,,28 ,,NW,,,,,,$20.52,,1,1,1,0,1,1,20061001
80196,CPT,Assay of salicylate,,,17 ,,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20061001
80197,CPT,Assay of tacrolimus,,,17 ,,TotalUnits,,,,0.64 ,,,,1,1,1,0,1,1,20061001
80198,CPT,Assay of theophylline,,,17 ,,TotalUnits,,,,0.66 ,,,,1,1,1,0,1,1,20061001
80200,CPT,Assay of tobramycin,,,17 ,,TotalUnits,,,,0.75 ,,,,1,1,1,0,1,1,20061001
80201,CPT,Assay of topiramate,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
80202,CPT,Assay of vancomycin,,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20061001
80299,CPT,"Quantitative assay, drug",,,17 ,,TotalUnits,,,,0.64 ,,,,1,1,1,0,1,1,20061001
80400,CPT,Acth stimulation panel,,,17 ,,TotalUnits,,,,1.52 ,,,,1,1,1,0,1,1,20061001
80402,CPT,Acth stimulation panel,,,17 ,,TotalUnits,,,,4.06 ,,,,1,1,1,0,1,1,20061001
80406,CPT,Acth stimulation panel,,,17 ,,TotalUnits,,,,3.65 ,,,,1,1,1,0,1,1,20061001
80408,CPT,Aldosterone suppression eval,,,17 ,,TotalUnits,,,,5.86 ,,,,1,1,1,0,1,1,20061001
80410,CPT,Calcitonin stimul panel,,,17 ,,TotalUnits,,,,3.75 ,,,,1,1,1,0,1,1,20061001
80412,CPT,CRH stimulation panel,,,17 ,,TotalUnits,,,,15.38 ,,,,1,1,1,0,1,1,20061001
80414,CPT,Testosterone response,,,17 ,,TotalUnits,,,,2.41 ,,,,1,1,1,0,1,1,20061001
80415,CPT,Estradiol response panel,,,17 ,,TotalUnits,,,,2.61 ,,,,1,1,1,0,1,1,20061001
80416,CPT,Renin stimulation panel,,,17 ,,TotalUnits,,,,6.16 ,,,,1,1,1,0,1,1,20061001
80417,CPT,Renin stimulation panel,,,17 ,,TotalUnits,,,,2.05 ,,,,1,1,1,0,1,1,20061001
80418,CPT,Pituitary evaluation panel,,,17 ,,TotalUnits,,,,27.05 ,,,,1,1,1,0,1,1,20061001
80420,CPT,Dexamethasone panel,,,17 ,,TotalUnits,,,,3.36 ,,,,1,1,1,0,1,1,20061001
80422,CPT,Glucagon tolerance panel,,,17 ,,TotalUnits,,,,2.15 ,,,,1,1,1,0,1,1,20061001
80424,CPT,Glucagon tolerance panel,,,17 ,,TotalUnits,,,,2.36 ,,,,1,1,1,0,1,1,20061001
80426,CPT,Gonadotropin hormone panel,,,17 ,,TotalUnits,,,,6.93 ,,,,1,1,1,0,1,1,20061001
80428,CPT,Growth hormone panel,,,17 ,,TotalUnits,,,,3.11 ,,,,1,1,1,0,1,1,20061001
80430,CPT,Growth hormone panel,,,17 ,,TotalUnits,,,,3.66 ,,,,1,1,1,0,1,1,20061001
80432,CPT,Insulin suppression panel,,,17 ,,TotalUnits,,,,6.30 ,,,,1,1,1,0,1,1,20061001
80434,CPT,Insulin tolerance panel,,,17 ,,TotalUnits,,,,4.72 ,,,,1,1,1,0,1,1,20061001
80435,CPT,Insulin tolerance panel,,,17 ,,TotalUnits,,,,4.81 ,,,,1,1,1,0,1,1,20061001
80436,CPT,Metyrapone panel,,,17 ,,TotalUnits,,,,4.25 ,,,,1,1,1,0,1,1,20061001
80438,CPT,TRH stimulation panel,,,17 ,,TotalUnits,,,,2.35 ,,,,1,1,1,0,1,1,20061001
80439,CPT,TRH stimulation panel,,,17 ,,TotalUnits,,,,3.14 ,,,,1,1,1,0,1,1,20061001
80440,CPT,TRH stimulation panel,,,17 ,,TotalUnits,,,,2.71 ,,,,1,1,1,0,1,1,20061001
80500,CPT,Lab pathology consultation,,,17 ,,RBRVS,0.37 ,0.16 ,0.21 ,,,,,1,0,1,1,1,1,20061001
80502,CPT,Lab pathology consultation,,,17 ,,RBRVS,1.33 ,0.54 ,0.54 ,,,,,1,0,1,1,1,1,20061001
81000,CPT,"Urinalysis, nonauto w/scope",,,17 ,,TotalUnits,,,,0.15 ,,,,1,1,1,0,1,1,20061001
81001,CPT,"Urinalysis, auto w/scope",,,17 ,,TotalUnits,,,,0.15 ,,,,1,1,1,0,1,1,20061001
81002,CPT,Urinalysis nonauto w/o scope,,,17 ,,TotalUnits,,,,0.12 ,,,,1,1,1,0,1,1,20061001
81003,CPT,"Urinalysis, auto, w/o scope",,,17 ,,TotalUnits,,,,0.10 ,,,,1,1,1,0,1,1,20061001
81005,CPT,Urinalysis,,,17 ,,TotalUnits,,,,0.10 ,,,,1,1,1,0,1,1,20061001
81007,CPT,Urine screen for bacteria,,,17 ,,TotalUnits,,,,0.12 ,,,,1,1,1,0,1,1,20061001
81015,CPT,Microscopic exam of urine,,,17 ,,TotalUnits,,,,0.14 ,,,,1,1,1,0,1,1,20061001
81020,CPT,"Urinalysis, glass test",,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20061001
81025,CPT,Urine pregnancy test,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20061001
81050,CPT,"Urinalysis, volume measure",,,17 ,,TotalUnits,,,,0.14 ,,,,1,1,1,0,1,1,20061001
81099,CPT,Urinalysis test procedure,,,17 ,,TotalUnits,,,,0.15 ,,,,1,1,1,0,1,1,20061001
82000,CPT,Assay of blood acetaldehyde,,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20061001
82003,CPT,Assay of acetaminophen,,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
82009,CPT,Test for acetone/ketones,,,17 ,,TotalUnits,,,,0.21 ,,,,1,1,1,0,1,1,20061001
82010,CPT,Acetone assay,,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20061001
82013,CPT,Acetylcholinesterase assay,,,17 ,,TotalUnits,,,,0.52 ,,,,1,1,1,0,1,1,20061001
82016,CPT,"Acylcarnitines, qual",,,17 ,,TotalUnits,,,,0.65 ,,,,1,1,1,0,1,1,20061001
82017,CPT,"Acylcarnitines, quant",,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20061001
82024,CPT,Assay of acth,,,17 ,,TotalUnits,,,,1.80 ,,,,1,1,1,0,1,1,20061001
82030,CPT,Assay of adp & amp,,,17 ,,TotalUnits,,,,1.20 ,,,,1,1,1,0,1,1,20061001
82040,CPT,Assay of serum albumin,,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20061001
82042,CPT,Assay of urine albumin,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20061001
82043,CPT,"Microalbumin, quantitative",,,17 ,,TotalUnits,,,,0.27 ,,,,1,1,1,0,1,1,20061001
82044,CPT,"Microalbumin, semiquant",,,17 ,,TotalUnits,,,,0.21 ,,,,1,1,1,0,1,1,20061001
82045,CPT,"Albumin, ischemia modified",,,17 ,,TotalUnits,,,,1.58 ,,,,1,1,1,0,1,1,20061001
82055,CPT,Assay of ethanol,,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20061001
82075,CPT,Assay of breath ethanol,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
82085,CPT,Assay of aldolase,,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20061001
82088,CPT,Assay of aldosterone,,,17 ,,TotalUnits,,,,1.90 ,,,,1,1,1,0,1,1,20061001
82101,CPT,Assay of urine alkaloids,,,17 ,,TotalUnits,,,,1.40 ,,,,1,1,1,0,1,1,20061001
82103,CPT,"Alpha-1-antitrypsin, total",,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20061001
82104,CPT,"Alpha-1-antitrypsin, pheno",,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20061001
82105,CPT,"Alpha-fetoprotein, serum",,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20061001
82106,CPT,"Alpha-fetoprotein, amniotic",,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20061001
82108,CPT,Assay of aluminum,,,17 ,,TotalUnits,,,,1.19 ,,,,1,1,1,0,1,1,20061001
82120,CPT,"Amines, vaginal fluid qual",,,17 ,,TotalUnits,,,,0.18 ,,,,1,1,1,0,1,1,20061001
82127,CPT,"Amino acid, single qual",,,17 ,,TotalUnits,,,,0.65 ,,,,1,1,1,0,1,1,20061001
82128,CPT,"Amino acids, mult qual",,,17 ,,TotalUnits,,,,0.65 ,,,,1,1,1,0,1,1,20061001
82131,CPT,"Amino acids, single quant",,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20061001
82135,CPT,"Assay, aminolevulinic acid",,,17 ,,TotalUnits,,,,0.77 ,,,,1,1,1,0,1,1,20061001
82136,CPT,"Amino acids, quant, 2-5",,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20061001
82139,CPT,"Amino acids, quan, 6 or more",,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20061001
82140,CPT,Assay of ammonia,,,17 ,,TotalUnits,,,,0.68 ,,,,1,1,1,0,1,1,20061001
82143,CPT,Amniotic fluid scan,,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20061001
82145,CPT,Assay of amphetamines,,,17 ,,TotalUnits,,,,0.73 ,,,,1,1,1,0,1,1,20061001
82150,CPT,Assay of amylase,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20061001
82154,CPT,Androstanediol glucuronide,,,17 ,,TotalUnits,,,,1.35 ,,,,1,1,1,0,1,1,20061001
82157,CPT,Assay of androstenedione,,,17 ,,TotalUnits,,,,1.37 ,,,,1,1,1,0,1,1,20061001
82160,CPT,Assay of androsterone,,,17 ,,TotalUnits,,,,1.17 ,,,,1,1,1,0,1,1,20061001
82163,CPT,Assay of angiotensin II,,,17 ,,TotalUnits,,,,0.96 ,,,,1,1,1,0,1,1,20061001
82164,CPT,Angiotensin I enzyme test,,,17 ,,TotalUnits,,,,0.68 ,,,,1,1,1,0,1,1,20061001
82172,CPT,Assay of apolipoprotein,,,17 ,,TotalUnits,,,,0.72 ,,,,1,1,1,0,1,1,20061001
82175,CPT,Assay of arsenic,,,17 ,,TotalUnits,,,,0.89 ,,,,1,1,1,0,1,1,20061001
82180,CPT,Assay of ascorbic acid,,,17 ,,TotalUnits,,,,0.46 ,,,,1,1,1,0,1,1,20061001
82190,CPT,Atomic absorption,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20061001
82205,CPT,Assay of barbiturates,,,17 ,,TotalUnits,,,,0.53 ,,,,1,1,1,0,1,1,20061001
82232,CPT,Assay of beta-2 protein,,,17 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20061001
82239,CPT,"Bile acids, total",,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20061001
82240,CPT,"Bile acids, cholylglycine",,,17 ,,TotalUnits,,,,1.24 ,,,,1,1,1,0,1,1,20061001
82247,CPT,"Bilirubin, total",,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20061001
82248,CPT,"Bilirubin, direct",,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20061001
82252,CPT,Fecal bilirubin test,,,17 ,,TotalUnits,,,,0.21 ,,,,1,1,1,0,1,1,20061001
82261,CPT,Assay of biotinidase,,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20061001
82270,CPT,"Test for blood, feces",,,17 ,,TotalUnits,,,,0.15 ,,,,1,1,1,0,1,1,20061001
82271,CPT,"Occult blood, feces, single",,,28 ,,NW,,,,,,$4.86,,1,1,1,0,1,1,20061001
82272,CPT,Blood occult peroxidase,,,28 ,,NW,,,,,,$4.86,,1,1,1,0,1,1,20061001
82274,CPT,"Assay test for blood, fecal",,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
82286,CPT,Assay of bradykinin,,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20061001
82300,CPT,Assay of cadmium,,,17 ,,TotalUnits,,,,1.08 ,,,,1,1,1,0,1,1,20061001
82306,CPT,Assay of vitamin D,,,17 ,,TotalUnits,,,,1.38 ,,,,1,1,1,0,1,1,20061001
82307,CPT,Assay of vitamin D,,,17 ,,TotalUnits,,,,1.50 ,,,,1,1,1,0,1,1,20061001
82308,CPT,Assay of calcitonin,,,17 ,,TotalUnits,,,,1.25 ,,,,1,1,1,0,1,1,20061001
82310,CPT,Assay of calcium,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20061001
82330,CPT,Assay of calcium,,,17 ,,TotalUnits,,,,0.64 ,,,,1,1,1,0,1,1,20061001
82331,CPT,Calcium infusion test,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20061001
82340,CPT,Assay of calcium in urine,,,17 ,,TotalUnits,,,,0.28 ,,,,1,1,1,0,1,1,20061001
82355,CPT,"Calculus analysis, qual",,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20061001
82360,CPT,"Calculus assay, quant",,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
82365,CPT,Calculus spectroscopy,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
82370,CPT,"X-ray assay, calculus",,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20061001
82373,CPT,"Assay, c-d transfer measure",,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
82374,CPT,"Assay, blood carbon dioxide",,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20061001
82375,CPT,"Assay, blood carbon monoxide",,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20061001
82376,CPT,Test for carbon monoxide,,,17 ,,TotalUnits,,,,0.28 ,,,,1,1,1,0,1,1,20061001
82378,CPT,Carcinoembryonic antigen,,,17 ,,TotalUnits,,,,0.89 ,,,,1,1,1,0,1,1,20061001
82379,CPT,Assay of carnitine,,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20061001
82380,CPT,Assay of carotene,,,17 ,,TotalUnits,,,,0.43 ,,,,1,1,1,0,1,1,20061001
82382,CPT,"Assay, urine catecholamines",,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20061001
82383,CPT,"Assay, blood catecholamines",,,17 ,,TotalUnits,,,,1.17 ,,,,1,1,1,0,1,1,20061001
82384,CPT,"Assay, three catecholamines",,,17 ,,TotalUnits,,,,1.18 ,,,,1,1,1,0,1,1,20061001
82387,CPT,Assay of cathepsin-d,,,17 ,,TotalUnits,,,,0.97 ,,,,1,1,1,0,1,1,20061001
82390,CPT,Assay of ceruloplasmin,,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20061001
82397,CPT,Chemiluminescent assay,,,17 ,,TotalUnits,,,,0.66 ,,,,1,1,1,0,1,1,20061001
82415,CPT,Assay of chloramphenicol,,,17 ,,TotalUnits,,,,0.59 ,,,,1,1,1,0,1,1,20061001
82435,CPT,Assay of blood chloride,,,17 ,,TotalUnits,,,,0.21 ,,,,1,1,1,0,1,1,20061001
82436,CPT,Assay of urine chloride,,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20061001
82438,CPT,"Assay, other fluid chlorides",,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20061001
82441,CPT,Test for chlorohydrocarbons,,,17 ,,TotalUnits,,,,0.28 ,,,,1,1,1,0,1,1,20061001
82465,CPT,"Assay, bld/serum cholesterol",,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
82480,CPT,"Assay, serum cholinesterase",,,17 ,,TotalUnits,,,,0.37 ,,,,1,1,1,0,1,1,20061001
82482,CPT,"Assay, rbc cholinesterase",,,17 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20061001
82485,CPT,"Assay, chondroitin sulfate",,,17 ,,TotalUnits,,,,0.96 ,,,,1,1,1,0,1,1,20061001
82486,CPT,Gas/liquid chromatography,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
82487,CPT,Paper chromatography,,,17 ,,TotalUnits,,,,0.74 ,,,,1,1,1,0,1,1,20061001
82488,CPT,Paper chromatography,,,17 ,,TotalUnits,,,,1.00 ,,,,1,1,1,0,1,1,20061001
82489,CPT,Thin layer chromatography,,,17 ,,TotalUnits,,,,0.86 ,,,,1,1,1,0,1,1,20061001
82491,CPT,"Chromotography, quant, sing",,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
82492,CPT,"Chromotography, quant, mult",,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
82495,CPT,Assay of chromium,,,17 ,,TotalUnits,,,,0.95 ,,,,1,1,1,0,1,1,20061001
82507,CPT,Assay of citrate,,,17 ,,TotalUnits,,,,1.30 ,,,,1,1,1,0,1,1,20061001
82520,CPT,Assay of cocaine,,,17 ,,TotalUnits,,,,0.71 ,,,,1,1,1,0,1,1,20061001
82523,CPT,Collagen crosslinks,,,17 ,,TotalUnits,,,,0.87 ,,,,1,1,1,0,1,1,20061001
82525,CPT,Assay of copper,,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20061001
82528,CPT,Assay of corticosterone,,,17 ,,TotalUnits,,,,1.05 ,,,,1,1,1,0,1,1,20061001
82530,CPT,"Cortisol, free",,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20061001
82533,CPT,Total cortisol,,,17 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20061001
82540,CPT,Assay of creatine,,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20061001
82541,CPT,"Column chromotography, qual",,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
82542,CPT,"Column chromotography, quant",,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
82543,CPT,Column chromotograph/isotope,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
82544,CPT,Column chromotograph/isotope,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
82550,CPT,Assay of ck (cpk),,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20061001
82552,CPT,Assay of cpk in blood,,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20061001
82553,CPT,"Creatine, MB fraction",,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20061001
82554,CPT,"Creatine, isoforms",,,17 ,,TotalUnits,,,,0.55 ,,,,1,1,1,0,1,1,20061001
82565,CPT,Assay of creatinine,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20061001
82570,CPT,Assay of urine creatinine,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20061001
82575,CPT,Creatinine clearance test,,,17 ,,TotalUnits,,,,0.44 ,,,,1,1,1,0,1,1,20061001
82585,CPT,Assay of cryofibrinogen,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20061001
82595,CPT,Assay of cryoglobulin,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20061001
82600,CPT,Assay of cyanide,,,17 ,,TotalUnits,,,,0.91 ,,,,1,1,1,0,1,1,20061001
82607,CPT,Vitamin B-12,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20061001
82608,CPT,B-12 binding capacity,,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20061001
82615,CPT,Test for urine cystines,,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20061001
82626,CPT,Dehydroepiandrosterone,,,17 ,,TotalUnits,,,,1.18 ,,,,1,1,1,0,1,1,20061001
82627,CPT,Dehydroepiandrosterone,,,17 ,,TotalUnits,,,,1.04 ,,,,1,1,1,0,1,1,20061001
82633,CPT,Desoxycorticosterone,,,17 ,,TotalUnits,,,,1.45 ,,,,1,1,1,0,1,1,20061001
82634,CPT,Deoxycortisol,,,17 ,,TotalUnits,,,,1.37 ,,,,1,1,1,0,1,1,20061001
82638,CPT,Assay of dibucaine number,,,17 ,,TotalUnits,,,,0.57 ,,,,1,1,1,0,1,1,20061001
82646,CPT,Assay of dihydrocodeinone,,,17 ,,TotalUnits,,,,0.96 ,,,,1,1,1,0,1,1,20061001
82649,CPT,Assay of dihydromorphinone,,,17 ,,TotalUnits,,,,1.20 ,,,,1,1,1,0,1,1,20061001
82651,CPT,Assay of dihydrotestosterone,,,17 ,,TotalUnits,,,,1.20 ,,,,1,1,1,0,1,1,20061001
82652,CPT,Assay of dihydroxyvitamin d,,,17 ,,TotalUnits,,,,1.80 ,,,,1,1,1,0,1,1,20061001
82654,CPT,Assay of dimethadione,,,17 ,,TotalUnits,,,,0.65 ,,,,1,1,1,0,1,1,20061001
82656,CPT,"Pancreatic elastase, fecal",,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20061001
82657,CPT,Enzyme cell activity,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
82658,CPT,"Enzyme cell activity, ra",,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
82664,CPT,Electrophoretic test,,,17 ,,TotalUnits,,,,1.60 ,,,,1,1,1,0,1,1,20061001
82666,CPT,Assay of epiandrosterone,,,17 ,,TotalUnits,,,,1.00 ,,,,1,1,1,0,1,1,20061001
82668,CPT,Assay of erythropoietin,,,17 ,,TotalUnits,,,,0.88 ,,,,1,1,1,0,1,1,20061001
82670,CPT,Assay of estradiol,,,17 ,,TotalUnits,,,,1.30 ,,,,1,1,1,0,1,1,20061001
82671,CPT,Assay of estrogens,,,17 ,,TotalUnits,,,,1.51 ,,,,1,1,1,0,1,1,20061001
82672,CPT,Assay of estrogen,,,17 ,,TotalUnits,,,,1.01 ,,,,1,1,1,0,1,1,20061001
82677,CPT,Assay of estriol,,,17 ,,TotalUnits,,,,1.13 ,,,,1,1,1,0,1,1,20061001
82679,CPT,Assay of estrone,,,17 ,,TotalUnits,,,,1.17 ,,,,1,1,1,0,1,1,20061001
82690,CPT,Assay of ethchlorvynol,,,17 ,,TotalUnits,,,,0.81 ,,,,1,1,1,0,1,1,20061001
82693,CPT,Assay of ethylene glycol,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20061001
82696,CPT,Assay of etiocholanolone,,,17 ,,TotalUnits,,,,1.10 ,,,,1,1,1,0,1,1,20061001
82705,CPT,"Fats/lipids, feces, qual",,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20061001
82710,CPT,"Fats/lipids, feces, quant",,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20061001
82715,CPT,Assay of fecal fat,,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20061001
82725,CPT,Assay of blood fatty acids,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
82726,CPT,Long chain fatty acids,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
82728,CPT,Assay of ferritin,,,17 ,,TotalUnits,,,,0.64 ,,,,1,1,1,0,1,1,20061001
82731,CPT,Assay of fetal fibronectin,,,17 ,,TotalUnits,,,,3.01 ,,,,1,1,1,0,1,1,20061001
82735,CPT,Assay of fluoride,,,17 ,,TotalUnits,,,,0.87 ,,,,1,1,1,0,1,1,20061001
82742,CPT,Assay of flurazepam,,,17 ,,TotalUnits,,,,0.92 ,,,,1,1,1,0,1,1,20061001
82746,CPT,Blood folic acid serum,,,17 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20061001
82747,CPT,"Assay of folic acid, rbc",,,17 ,,TotalUnits,,,,0.81 ,,,,1,1,1,0,1,1,20061001
82757,CPT,Assay of semen fructose,,,17 ,,TotalUnits,,,,0.81 ,,,,1,1,1,0,1,1,20061001
82759,CPT,Assay of rbc galactokinase,,,17 ,,TotalUnits,,,,1.00 ,,,,1,1,1,0,1,1,20061001
82760,CPT,Assay of galactose,,,17 ,,TotalUnits,,,,0.52 ,,,,1,1,1,0,1,1,20061001
82775,CPT,Assay galactose transferase,,,17 ,,TotalUnits,,,,0.98 ,,,,1,1,1,0,1,1,20061001
82776,CPT,Galactose transferase test,,,17 ,,TotalUnits,,,,0.39 ,,,,1,1,1,0,1,1,20061001
82784,CPT,Assay of gammaglobulin igm,,,17 ,,TotalUnits,,,,0.43 ,,,,1,1,1,0,1,1,20061001
82785,CPT,Assay of gammaglobulin ige,,,17 ,,TotalUnits,,,,0.77 ,,,,1,1,1,0,1,1,20061001
82787,CPT,"Igg 1, 2, 3 or 4, each",,,17 ,,TotalUnits,,,,0.37 ,,,,1,1,1,0,1,1,20061001
82800,CPT,Blood pH,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20061001
82803,CPT,"Blood gases: pH, pO2 & pCO2",,,17 ,,TotalUnits,,,,0.90 ,,,,1,1,1,0,1,1,20061001
82805,CPT,Blood gases W/02 saturation,,,17 ,,TotalUnits,,,,1.32 ,,,,1,1,1,0,1,1,20061001
82810,CPT,"Blood gases, O2 sat only",,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20061001
82820,CPT,Hemoglobin-oxygen affinity,,,17 ,,TotalUnits,,,,0.47 ,,,,1,1,1,0,1,1,20061001
82926,CPT,Assay of gastric acid,,,17 ,,TotalUnits,,,,0.25 ,,,,1,1,1,0,1,1,20061001
82928,CPT,Assay of gastric acid,,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20061001
82938,CPT,Gastrin test,,,17 ,,TotalUnits,,,,0.83 ,,,,1,1,1,0,1,1,20061001
82941,CPT,Assay of gastrin,,,17 ,,TotalUnits,,,,0.82 ,,,,1,1,1,0,1,1,20061001
82943,CPT,Assay of glucagon,,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20061001
82945,CPT,Glucose other fluid,,,17 ,,TotalUnits,,,,0.18 ,,,,1,1,1,0,1,1,20061001
82946,CPT,Glucagon tolerance test,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20061001
82947,CPT,"Assay, glucose, blood quant",,,17 ,,TotalUnits,,,,0.18 ,,,,1,1,1,0,1,1,20061001
82948,CPT,Reagent strip/blood glucose,,,17 ,,TotalUnits,,,,0.15 ,,,,1,1,1,0,1,1,20061001
82950,CPT,Glucose test,,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20061001
82951,CPT,Glucose tolerance test (GTT),,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
82952,CPT,GTT-added samples,,,17 ,,TotalUnits,,,,0.18 ,,,,1,1,1,0,1,1,20061001
82953,CPT,Glucose-tolbutamide test,,,17 ,,TotalUnits,,,,0.71 ,,,,1,1,1,0,1,1,20061001
82955,CPT,Assay of g6pd enzyme,,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20061001
82960,CPT,Test for G6PD enzyme,,,17 ,,TotalUnits,,,,0.28 ,,,,1,1,1,0,1,1,20061001
82962,CPT,Glucose blood test,,,17 ,,TotalUnits,,,,0.11 ,,,,1,1,1,0,1,1,20061001
82963,CPT,Assay of glucosidase,,,17 ,,TotalUnits,,,,1.00 ,,,,1,1,1,0,1,1,20061001
82965,CPT,Assay of gdh enzyme,,,17 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20061001
82975,CPT,Assay of glutamine,,,17 ,,TotalUnits,,,,0.74 ,,,,1,1,1,0,1,1,20061001
82977,CPT,Assay of GGT,,,17 ,,TotalUnits,,,,0.34 ,,,,1,1,1,0,1,1,20061001
82978,CPT,Assay of glutathione,,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20061001
82979,CPT,"Assay, rbc glutathione",,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20061001
82980,CPT,Assay of glutethimide,,,17 ,,TotalUnits,,,,0.86 ,,,,1,1,1,0,1,1,20061001
82985,CPT,Glycated protein,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20061001
83001,CPT,Gonadotropin (FSH),,,17 ,,TotalUnits,,,,0.87 ,,,,1,1,1,0,1,1,20061001
83002,CPT,Gonadotropin (LH),,,17 ,,TotalUnits,,,,0.86 ,,,,1,1,1,0,1,1,20061001
83003,CPT,"Assay, growth hormone (hgh)",,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20061001
83008,CPT,Assay of guanosine,,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20061001
83009,CPT,"H pylori (c-13), blood",,,17 ,,TotalUnits,,,,3.14 ,,,,1,1,1,0,1,1,20061001
83010,CPT,"Assay of haptoglobin, quant",,,17 ,,TotalUnits,,,,0.59 ,,,,1,1,1,0,1,1,20061001
83012,CPT,Assay of haptoglobins,,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20061001
83013,CPT,H pylori analysis,,,17 ,,TotalUnits,,,,3.14 ,,,,1,1,1,0,1,1,20061001
83014,CPT,H pylori drug admin/collect,,,17 ,,TotalUnits,,,,0.37 ,,,,1,1,1,0,1,1,20061001
83015,CPT,Heavy metal screen,,,17 ,,TotalUnits,,,,0.88 ,,,,1,1,1,0,1,1,20061001
83018,CPT,"Quantitative screen, metals",,,17 ,,TotalUnits,,,,1.02 ,,,,1,1,1,0,1,1,20061001
83020,CPT,Hemoglobin electrophoresis,TC,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
83020,CPT,Hemoglobin electrophoresis,26,,17 ,,RBRVS,0.37 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
83021,CPT,Hemoglobin chromotography,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
83026,CPT,"Hemoglobin, copper sulfate",,,17 ,,TotalUnits,,,,0.11 ,,,,1,1,1,0,1,1,20061001
83030,CPT,"Fetal hemoglobin, chemical",,,17 ,,TotalUnits,,,,0.39 ,,,,1,1,1,0,1,1,20061001
83033,CPT,"Fetal hemoglobin assay, qual",,,17 ,,TotalUnits,,,,0.28 ,,,,1,1,1,0,1,1,20061001
83036,CPT,Glycated hemoglobin test,,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20061001
83037,CPT,"Glycosylated hb, home device",,,17 ,,TotalUnits,,,,0.45,,,,1,1,1,0,1,1,20061001
83045,CPT,Blood methemoglobin test,,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20061001
83050,CPT,Blood methemoglobin assay,,,17 ,,TotalUnits,,,,0.34 ,,,,1,1,1,0,1,1,20061001
83051,CPT,Assay of plasma hemoglobin,,,17 ,,TotalUnits,,,,0.34 ,,,,1,1,1,0,1,1,20061001
83055,CPT,Blood sulfhemoglobin test,,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20061001
83060,CPT,Blood sulfhemoglobin assay,,,17 ,,TotalUnits,,,,0.39 ,,,,1,1,1,0,1,1,20061001
83065,CPT,Assay of hemoglobin heat,,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20061001
83068,CPT,Hemoglobin stability screen,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20061001
83069,CPT,Assay of urine hemoglobin,,,17 ,,TotalUnits,,,,0.18 ,,,,1,1,1,0,1,1,20061001
83070,CPT,"Assay of hemosiderin, qual",,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20061001
83071,CPT,"Assay of hemosiderin, quant",,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20061001
83080,CPT,Assay of b hexosaminidase,,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20061001
83088,CPT,Assay of histamine,,,17 ,,TotalUnits,,,,1.38 ,,,,1,1,1,0,1,1,20061001
83090,CPT,Assay of homocystine,,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20061001
83150,CPT,Assay of for hva,,,17 ,,TotalUnits,,,,0.90 ,,,,1,1,1,0,1,1,20061001
83491,CPT,Assay of corticosteroids,,,17 ,,TotalUnits,,,,0.82 ,,,,1,1,1,0,1,1,20061001
83497,CPT,Assay of 5-hiaa,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
83498,CPT,Assay of progesterone,,,17 ,,TotalUnits,,,,1.27 ,,,,1,1,1,0,1,1,20061001
83499,CPT,Assay of progesterone,,,17 ,,TotalUnits,,,,1.18 ,,,,1,1,1,0,1,1,20061001
83500,CPT,"Assay, free hydroxyproline",,,17 ,,TotalUnits,,,,1.06 ,,,,1,1,1,0,1,1,20061001
83505,CPT,"Assay, total hydroxyproline",,,17 ,,TotalUnits,,,,1.13 ,,,,1,1,1,0,1,1,20061001
83516,CPT,"Immunoassay, nonantibody",,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20061001
83518,CPT,"Immunoassay, dipstick",,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20061001
83519,CPT,"Immunoassay, nonantibody",,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20061001
83520,CPT,"Immunoassay, RIA",,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
83525,CPT,Assay of insulin,,,17 ,,TotalUnits,,,,0.53 ,,,,1,1,1,0,1,1,20061001
83527,CPT,Assay of insulin,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
83528,CPT,Assay of intrinsic factor,,,17 ,,TotalUnits,,,,0.74 ,,,,1,1,1,0,1,1,20061001
83540,CPT,Assay of iron,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20061001
83550,CPT,Iron binding test,,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20061001
83570,CPT,Assay of idh enzyme,,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20061001
83582,CPT,Assay of ketogenic steroids,,,17 ,,TotalUnits,,,,0.66 ,,,,1,1,1,0,1,1,20061001
83586,CPT,Assay 17- ketosteroids,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
83593,CPT,"Fractionation, ketosteroids",,,17 ,,TotalUnits,,,,1.23 ,,,,1,1,1,0,1,1,20061001
83605,CPT,Assay of lactic acid,,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20061001
83615,CPT,Lactate (LD) (LDH) enzyme,,,17 ,,TotalUnits,,,,0.28 ,,,,1,1,1,0,1,1,20061001
83625,CPT,Assay of ldh enzymes,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
83630,CPT,"Lactoferrin, fecal (qual)",,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20061001
83631,CPT,"Lactoferrin, fecal (quant)",,,28 ,,NW,,,,,,$29.34,,1,1,1,0,1,1,20061001
83632,CPT,Placental lactogen,,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
83633,CPT,Test urine for lactose,,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20061001
83634,CPT,Assay of urine for lactose,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20061001
83655,CPT,Assay of lead,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
83661,CPT,"L/s ratio, fetal lung",,,17 ,,TotalUnits,,,,1.03 ,,,,1,1,1,0,1,1,20061001
83662,CPT,"Foam stability, fetal lung",,,17 ,,TotalUnits,,,,0.88 ,,,,1,1,1,0,1,1,20061001
83663,CPT,"Fluoro polarize, fetal lung",,,17 ,,TotalUnits,,,,0.88 ,,,,1,1,1,0,1,1,20061001
83664,CPT,"Lamellar bdy, fetal lung",,,17 ,,TotalUnits,,,,0.88 ,,,,1,1,1,0,1,1,20061001
83670,CPT,Assay of lap enzyme,,,17 ,,TotalUnits,,,,0.43 ,,,,1,1,1,0,1,1,20061001
83690,CPT,Assay of lipase,,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20061001
83695,CPT,Assay of lipoprotein(a),,,28 ,,NW,,,,,,$19.36,,1,1,1,0,1,1,20061001
83700,CPT,"Lipopro bld, electrophoretic",,,28 ,,NW,,,,,,$16.84,,1,1,1,0,1,1,20061001
83701,CPT,"Lipoprotein bld, hr fraction",,,28 ,,NW,,,,,,$37.11,,1,1,1,0,1,1,20061001
83704,CPT,"Lipoprotein, bld, by nmr",,,28 ,,NW,,,,,,$47.17,,1,1,1,0,1,1,20061001
83718,CPT,Assay of lipoprotein,,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20061001
83719,CPT,Assay of blood lipoprotein,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20061001
83721,CPT,Assay of blood lipoprotein,,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20061001
83727,CPT,Assay of lrh hormone,,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20061001
83735,CPT,Assay of magnesium,,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20061001
83775,CPT,Assay of md enzyme,,,17 ,,TotalUnits,,,,0.34 ,,,,1,1,1,0,1,1,20061001
83785,CPT,Assay of manganese,,,17 ,,TotalUnits,,,,1.15 ,,,,1,1,1,0,1,1,20061001
83788,CPT,Mass spectrometry qual,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
83789,CPT,Mass spectrometry quant,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
83805,CPT,Assay of meprobamate,,,17 ,,TotalUnits,,,,0.82 ,,,,1,1,1,0,1,1,20061001
83825,CPT,Assay of mercury,,,17 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20061001
83835,CPT,Assay of metanephrines,,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20061001
83840,CPT,Assay of methadone,,,17 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20061001
83857,CPT,Assay of methemalbumin,,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20061001
83858,CPT,Assay of methsuximide,,,17 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20061001
83864,CPT,Mucopolysaccharides,,,17 ,,TotalUnits,,,,0.93 ,,,,1,1,1,0,1,1,20061001
83866,CPT,Mucopolysaccharides screen,,,17 ,,TotalUnits,,,,0.46 ,,,,1,1,1,0,1,1,20061001
83872,CPT,Assay synovial fluid mucin,,,17 ,,TotalUnits,,,,0.27 ,,,,1,1,1,0,1,1,20061001
83873,CPT,Assay of csf protein,,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20061001
83874,CPT,Assay of myoglobin,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
83880,CPT,Natriuretic peptide,,,17 ,,TotalUnits,,,,1.58 ,,,,1,1,1,0,1,1,20061001
83883,CPT,"Assay, nephelometry not spec",,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20061001
83885,CPT,Assay of nickel,,,17 ,,TotalUnits,,,,1.14 ,,,,1,1,1,0,1,1,20061001
83887,CPT,Assay of nicotine,,,17 ,,TotalUnits,,,,1.11 ,,,,1,1,1,0,1,1,20061001
83890,CPT,Molecule isolate,,,17 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20061001
83891,CPT,Molecule isolate nucleic,,,17 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20061001
83892,CPT,Molecular diagnostics,,,17 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20061001
83893,CPT,Molecule dot/slot/blot,,,17 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20061001
83894,CPT,Molecule gel electrophor,,,17 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20061001
83896,CPT,Molecular diagnostics,,,17 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20061001
83897,CPT,Molecule nucleic transfer,,,17 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20061001
83898,CPT,Molecule nucleic ampli,,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20061001
83900,CPT,Molecule nucleic ampli 2 seq,,,28 ,,NW,,,,,,$50.12,,1,1,1,0,1,1,20061001
83901,CPT,Molecule nucleic ampli,,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20061001
83902,CPT,Molecular diagnostics,,,17 ,,TotalUnits,,,,0.66 ,,,,1,1,1,0,1,1,20061001
83903,CPT,Molecule mutation scan,,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20061001
83904,CPT,Molecule mutation identify,,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20061001
83905,CPT,Molecule mutation identify,,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20061001
83906,CPT,Molecule mutation identify,,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20061001
83907,CPT,Lyse cells for nucleic ext,,,28 ,,NW,,,,,,$19.97,,1,1,1,0,1,1,20061001
83908,CPT,"Nucleic acid, signal ampli",,,28 ,,NW,,,,,,$25.06,,1,1,1,0,1,1,20061001
83909,CPT,"Nucleic acid, high resolute",,,28 ,,NW,,,,,,$25.06,,1,1,1,0,1,1,20061001
83912,CPT,Genetic examination,TC,,17 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20061001
83912,CPT,Genetic examination,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
83914,CPT,Mutation ident ola/sbce/aspe,,,28 ,,NW,,,,,,$25.06,,1,1,1,0,1,1,20061001
83915,CPT,Assay of nucleotidase,,,17 ,,TotalUnits,,,,0.52 ,,,,1,1,1,0,1,1,20061001
83916,CPT,Oligoclonal bands,,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
83918,CPT,"Organic acids, total, quant",,,17 ,,TotalUnits,,,,0.77 ,,,,1,1,1,0,1,1,20061001
83919,CPT,"Organic acids, qual, each",,,17 ,,TotalUnits,,,,0.77 ,,,,1,1,1,0,1,1,20061001
83921,CPT,"Organic acid,  single, quant",,,17 ,,TotalUnits,,,,0.77 ,,,,1,1,1,0,1,1,20061001
83925,CPT,Assay of opiates,,,17 ,,TotalUnits,,,,0.91 ,,,,1,1,1,0,1,1,20061001
83930,CPT,Assay of blood osmolality,,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20061001
83935,CPT,Assay of urine osmolality,,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20061001
83937,CPT,Assay of osteocalcin,,,17 ,,TotalUnits,,,,1.39 ,,,,1,1,1,0,1,1,20061001
83945,CPT,Assay of oxalate,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
83950,CPT,"Oncoprotein, her-2/neu",,,17 ,,TotalUnits,,,,3.01 ,,,,1,1,1,0,1,1,20061001
83970,CPT,Assay of parathormone,,,17 ,,TotalUnits,,,,1.93 ,,,,1,1,1,0,1,1,20061001
83986,CPT,Assay of body fluid acidity,,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20061001
83992,CPT,Assay for phencyclidine,,,17 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20061001
84022,CPT,Assay of phenothiazine,,,17 ,,TotalUnits,,,,0.73 ,,,,1,1,1,0,1,1,20061001
84030,CPT,Assay of blood pku,,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20061001
84035,CPT,Assay of phenylketones,,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20061001
84060,CPT,Assay acid phosphatase,,,17 ,,TotalUnits,,,,0.34 ,,,,1,1,1,0,1,1,20061001
84061,CPT,"Phosphatase, forensic exam",,,17 ,,TotalUnits,,,,0.37 ,,,,1,1,1,0,1,1,20061001
84066,CPT,Assay prostate phosphatase,,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20061001
84075,CPT,Assay alkaline phosphatase,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20061001
84078,CPT,Assay alkaline phosphatase,,,17 ,,TotalUnits,,,,0.34 ,,,,1,1,1,0,1,1,20061001
84080,CPT,Assay alkaline phosphatases,,,17 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20061001
84081,CPT,Amniotic fluid enzyme test,,,17 ,,TotalUnits,,,,0.77 ,,,,1,1,1,0,1,1,20061001
84085,CPT,Assay of rbc pg6d enzyme,,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20061001
84087,CPT,Assay phosphohexose enzymes,,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20061001
84100,CPT,Assay of phosphorus,,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20061001
84105,CPT,Assay of urine phosphorus,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20061001
84106,CPT,Test for porphobilinogen,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
84110,CPT,Assay of porphobilinogen,,,17 ,,TotalUnits,,,,0.39 ,,,,1,1,1,0,1,1,20061001
84119,CPT,Test urine for porphyrins,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20061001
84120,CPT,Assay of urine porphyrins,,,17 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20061001
84126,CPT,Assay of feces porphyrins,,,17 ,,TotalUnits,,,,1.19 ,,,,1,1,1,0,1,1,20061001
84127,CPT,Assay of feces porphyrins,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20061001
84132,CPT,Assay of serum potassium,,,17 ,,TotalUnits,,,,0.21 ,,,,1,1,1,0,1,1,20061001
84133,CPT,Assay of urine potassium,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
84134,CPT,Assay of prealbumin,,,17 ,,TotalUnits,,,,0.68 ,,,,1,1,1,0,1,1,20061001
84135,CPT,Assay of pregnanediol,,,17 ,,TotalUnits,,,,0.89 ,,,,1,1,1,0,1,1,20061001
84138,CPT,Assay of pregnanetriol,,,17 ,,TotalUnits,,,,0.88 ,,,,1,1,1,0,1,1,20061001
84140,CPT,Assay of pregnenolone,,,17 ,,TotalUnits,,,,0.97 ,,,,1,1,1,0,1,1,20061001
84143,CPT,Assay of 17-hydroxypregneno,,,17 ,,TotalUnits,,,,1.07 ,,,,1,1,1,0,1,1,20061001
84144,CPT,Assay of progesterone,,,17 ,,TotalUnits,,,,0.97 ,,,,1,1,1,0,1,1,20061001
84146,CPT,Assay of prolactin,,,17 ,,TotalUnits,,,,0.90 ,,,,1,1,1,0,1,1,20061001
84150,CPT,Assay of prostaglandin,,,17 ,,TotalUnits,,,,1.17 ,,,,1,1,1,0,1,1,20061001
84152,CPT,"Assay of psa, complexed",,,17 ,,TotalUnits,,,,0.86 ,,,,1,1,1,0,1,1,20061001
84153,CPT,"Assay of psa, total",,,17 ,,TotalUnits,,,,0.86 ,,,,1,1,1,0,1,1,20061001
84154,CPT,"Assay of psa, free",,,17 ,,TotalUnits,,,,0.86 ,,,,1,1,1,0,1,1,20061001
84155,CPT,Assay of protein,,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20061001
84156,CPT,"Assay of protein, urine",,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20061001
84157,CPT,"Assay of protein, other",,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20061001
84160,CPT,Assay of serum protein,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20061001
84163,CPT,"Pappa, serum",,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20061001
84165,CPT,Assay of serum proteins,TC,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20061001
84165,CPT,Assay of serum proteins,26,,17 ,,RBRVS,0.37 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20061001
84166,CPT,Protein e-phoresis/urine/csf,TC,,17 ,,TotalUnits,,,,0.81 ,,,,1,1,1,0,1,1,20061001
84166,CPT,Protein e-phoresis/urine/csf,26,,17 ,,RBRVS,0.37 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20061001
84181,CPT,Western blot test,,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20061001
84181,CPT,Western blot test,26,,17 ,,RBRVS,0.37 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20061001
84182,CPT,"Protein, western blot test",,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
84182,CPT,"Protein, western blot test",26,,17 ,,RBRVS,0.37 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
84202,CPT,Assay RBC protoporphyrin,,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20061001
84203,CPT,Test RBC protoporphyrin,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20061001
84206,CPT,Assay of proinsulin,,,17 ,,TotalUnits,,,,0.83 ,,,,1,1,1,0,1,1,20061001
84207,CPT,Assay of vitamin b-6,,,17 ,,TotalUnits,,,,1.31 ,,,,1,1,1,0,1,1,20061001
84210,CPT,Assay of pyruvate,,,17 ,,TotalUnits,,,,0.51 ,,,,1,1,1,0,1,1,20061001
84220,CPT,Assay of pyruvate kinase,,,17 ,,TotalUnits,,,,0.44 ,,,,1,1,1,0,1,1,20061001
84228,CPT,Assay of quinine,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20061001
84233,CPT,Assay of estrogen,,,17 ,,TotalUnits,,,,3.01 ,,,,1,1,1,0,1,1,20061001
84234,CPT,Assay of progesterone,,,17 ,,TotalUnits,,,,3.03 ,,,,1,1,1,0,1,1,20061001
84235,CPT,Assay of endocrine hormone,,,17 ,,TotalUnits,,,,2.44 ,,,,1,1,1,0,1,1,20061001
84238,CPT,"Assay, nonendocrine receptor",,,17 ,,TotalUnits,,,,1.71 ,,,,1,1,1,0,1,1,20061001
84244,CPT,Assay of renin,,,17 ,,TotalUnits,,,,1.03 ,,,,1,1,1,0,1,1,20061001
84252,CPT,Assay of vitamin b-2,,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
84255,CPT,Assay of selenium,,,17 ,,TotalUnits,,,,1.19 ,,,,1,1,1,0,1,1,20061001
84260,CPT,Assay of serotonin,,,17 ,,TotalUnits,,,,1.45 ,,,,1,1,1,0,1,1,20061001
84270,CPT,Assay of sex hormone globul,,,17 ,,TotalUnits,,,,1.01 ,,,,1,1,1,0,1,1,20061001
84275,CPT,Assay of sialic acid,,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20061001
84285,CPT,Assay of silica,,,17 ,,TotalUnits,,,,1.10 ,,,,1,1,1,0,1,1,20061001
84295,CPT,Assay of serum sodium,,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20061001
84300,CPT,Assay of urine sodium,,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20061001
84302,CPT,Assay of sweat sodium,,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20061001
84305,CPT,Assay of somatomedin,,,17 ,,TotalUnits,,,,0.99 ,,,,1,1,1,0,1,1,20061001
84307,CPT,Assay of somatostatin,,,17 ,,TotalUnits,,,,0.85 ,,,,1,1,1,0,1,1,20061001
84311,CPT,Spectrophotometry,,,17 ,,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20061001
84315,CPT,Body fluid specific gravity,,,17 ,,TotalUnits,,,,0.12 ,,,,1,1,1,0,1,1,20061001
84375,CPT,"Chromatogram assay, sugars",,,17 ,,TotalUnits,,,,0.91 ,,,,1,1,1,0,1,1,20061001
84376,CPT,"Sugars, single, qual",,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20061001
84377,CPT,"Sugars, multiple, qual",,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20061001
84378,CPT,Sugars single quant,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20061001
84379,CPT,Sugars multiple quant,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20061001
84392,CPT,Assay of urine sulfate,,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20061001
84402,CPT,Assay of testosterone,,,17 ,,TotalUnits,,,,1.19 ,,,,1,1,1,0,1,1,20061001
84403,CPT,Assay of total testosterone,,,17 ,,TotalUnits,,,,1.21 ,,,,1,1,1,0,1,1,20061001
84425,CPT,Assay of vitamin b-1,,,17 ,,TotalUnits,,,,0.99 ,,,,1,1,1,0,1,1,20061001
84430,CPT,Assay of thiocyanate,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20061001
84432,CPT,Assay of thyroglobulin,,,17 ,,TotalUnits,,,,0.75 ,,,,1,1,1,0,1,1,20061001
84436,CPT,Assay of total thyroxine,,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20061001
84437,CPT,Assay of neonatal thyroxine,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20061001
84439,CPT,Assay of free thyroxine,,,17 ,,TotalUnits,,,,0.42 ,,,,1,1,1,0,1,1,20061001
84442,CPT,Assay of thyroid activity,,,17 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20061001
84443,CPT,Assay thyroid stim hormone,,,17 ,,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20061001
84445,CPT,Assay of tsi,,,17 ,,TotalUnits,,,,2.37 ,,,,1,1,1,0,1,1,20061001
84446,CPT,Assay of vitamin e,,,17 ,,TotalUnits,,,,0.66 ,,,,1,1,1,0,1,1,20061001
84449,CPT,Assay of transcortin,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
84450,CPT,Transferase (AST) (SGOT),,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20061001
84460,CPT,Alanine amino (ALT) (SGPT),,,17 ,,TotalUnits,,,,0.25 ,,,,1,1,1,0,1,1,20061001
84466,CPT,Assay of transferrin,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
84478,CPT,Assay of triglycerides,,,17 ,,TotalUnits,,,,0.27 ,,,,1,1,1,0,1,1,20061001
84479,CPT,Assay of thyroid (t3 or t4),,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20061001
84480,CPT,"Assay, triiodothyronine (t3)",,,17 ,,TotalUnits,,,,0.66 ,,,,1,1,1,0,1,1,20061001
84481,CPT,Free assay (FT-3),,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20061001
84482,CPT,T3 reverse,,,17 ,,TotalUnits,,,,0.74 ,,,,1,1,1,0,1,1,20061001
84484,CPT,"Assay of troponin, quant",,,17 ,,TotalUnits,,,,0.46 ,,,,1,1,1,0,1,1,20061001
84485,CPT,Assay duodenal fluid trypsin,,,17 ,,TotalUnits,,,,0.35 ,,,,1,1,1,0,1,1,20061001
84488,CPT,Test feces for trypsin,,,17 ,,TotalUnits,,,,0.34 ,,,,1,1,1,0,1,1,20061001
84490,CPT,Assay of feces for trypsin,,,17 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20061001
84510,CPT,Assay of tyrosine,,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20061001
84512,CPT,"Assay of troponin, qual",,,17 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20061001
84520,CPT,Assay of urea nitrogen,,,17 ,,TotalUnits,,,,0.18 ,,,,1,1,1,0,1,1,20061001
84525,CPT,Urea nitrogen semi-quant,,,17 ,,TotalUnits,,,,0.18 ,,,,1,1,1,0,1,1,20061001
84540,CPT,Assay of urine/urea-n,,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20061001
84545,CPT,Urea-N clearance test,,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20061001
84550,CPT,Assay of blood/uric acid,,,17 ,,TotalUnits,,,,0.21 ,,,,1,1,1,0,1,1,20061001
84560,CPT,Assay of urine/uric acid,,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20061001
84577,CPT,Assay of feces/urobilinogen,,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20061001
84578,CPT,Test urine urobilinogen,,,17 ,,TotalUnits,,,,0.15 ,,,,1,1,1,0,1,1,20061001
84580,CPT,Assay of urine urobilinogen,,,17 ,,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20061001
84583,CPT,Assay of urine urobilinogen,,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20061001
84585,CPT,Assay of urine vma,,,17 ,,TotalUnits,,,,0.72 ,,,,1,1,1,0,1,1,20061001
84586,CPT,Assay of vip,,,17 ,,TotalUnits,,,,1.65 ,,,,1,1,1,0,1,1,20061001
84588,CPT,Assay of vasopressin,,,17 ,,TotalUnits,,,,1.58 ,,,,1,1,1,0,1,1,20061001
84590,CPT,Assay of vitamin a,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20061001
84591,CPT,Assay of nos vitamin,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20061001
84597,CPT,Assay of vitamin k,,,17 ,,TotalUnits,,,,0.64 ,,,,1,1,1,0,1,1,20061001
84600,CPT,Assay of volatiles,,,17 ,,TotalUnits,,,,0.75 ,,,,1,1,1,0,1,1,20061001
84620,CPT,Xylose tolerance test,,,17 ,,TotalUnits,,,,0.55 ,,,,1,1,1,0,1,1,20061001
84630,CPT,Assay of zinc,,,17 ,,TotalUnits,,,,0.53 ,,,,1,1,1,0,1,1,20061001
84681,CPT,Assay of c-peptide,,,17 ,,TotalUnits,,,,0.97 ,,,,1,1,1,0,1,1,20061001
84702,CPT,Chorionic gonadotropin test,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20061001
84703,CPT,Chorionic gonadotropin assay,,,17 ,,TotalUnits,,,,0.35 ,,,,1,1,1,0,1,1,20061001
84830,CPT,Ovulation tests,,,17 ,,TotalUnits,,,,0.47 ,,,,1,1,1,0,1,1,20061001
84999,CPT,Clinical chemistry test,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20061001
85002,CPT,Bleeding time test,,,17 ,,TotalUnits,,,,0.21 ,,,,1,1,1,0,1,1,20061001
85004,CPT,Automated diff wbc count,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20061001
85007,CPT,Bl smear w/diff wbc count,,,17 ,,TotalUnits,,,,0.16 ,,,,1,1,1,0,1,1,20061001
85008,CPT,Bl smear w/o diff wbc count,,,17 ,,TotalUnits,,,,0.16 ,,,,1,1,1,0,1,1,20061001
85009,CPT,Manual diff wbc count b-coat,,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20061001
85013,CPT,Spun microhematocrit,,,17 ,,TotalUnits,,,,0.11 ,,,,1,1,1,0,1,1,20061001
85014,CPT,Hematocrit,,,17 ,,TotalUnits,,,,0.11 ,,,,1,1,1,0,1,1,20061001
85018,CPT,Hemoglobin,,,17 ,,TotalUnits,,,,0.11 ,,,,1,1,1,0,1,1,20061001
85025,CPT,Complete cbc w/auto diff wbc,,,17 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20061001
85027,CPT,"Complete cbc, automated",,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20061001
85032,CPT,"Manual cell count, each",,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
85041,CPT,Automated rbc count,,,17 ,,TotalUnits,,,,0.14 ,,,,1,1,1,0,1,1,20061001
85044,CPT,Manual reticulocyte count,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
85045,CPT,Automated reticulocyte count,,,17 ,,TotalUnits,,,,0.19 ,,,,1,1,1,0,1,1,20061001
85046,CPT,Reticyte/hgb concentrate,,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20061001
85048,CPT,Automated leukocyte count,,,17 ,,TotalUnits,,,,0.12 ,,,,1,1,1,0,1,1,20061001
85049,CPT,Automated platelet count,,,17 ,,TotalUnits,,,,0.21 ,,,,1,1,1,0,1,1,20061001
85055,CPT,Reticulated platelet assay,,,17 ,,TotalUnits,,,,1.25 ,,,,1,1,1,0,1,1,20061001
85060,CPT,Blood smear interpretation,,,17 ,,RBRVS,0.45 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
85097,CPT,Bone marrow interpretation,,,17 ,,RBRVS,0.94 ,0.41 ,1.92 ,,,,,1,0,1,1,1,1,20061001
85130,CPT,Chromogenic substrate assay,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
85170,CPT,Blood clot retraction,,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20061001
85175,CPT,Blood clot lysis time,,,17 ,,TotalUnits,,,,0.21 ,,,,1,1,1,0,1,1,20061001
85210,CPT,Blood clot factor II test,,,17 ,,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20061001
85220,CPT,Blood clot factor V test,,,17 ,,TotalUnits,,,,0.82 ,,,,1,1,1,0,1,1,20061001
85230,CPT,Blood clot factor VII test,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
85240,CPT,Blood clot factor VIII test,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
85244,CPT,Blood clot factor VIII test,,,17 ,,TotalUnits,,,,0.95 ,,,,1,1,1,0,1,1,20061001
85245,CPT,Blood clot factor VIII test,,,17 ,,TotalUnits,,,,1.07 ,,,,1,1,1,0,1,1,20061001
85246,CPT,Blood clot factor VIII test,,,17 ,,TotalUnits,,,,1.07 ,,,,1,1,1,0,1,1,20061001
85247,CPT,Blood clot factor VIII test,,,17 ,,TotalUnits,,,,1.07 ,,,,1,1,1,0,1,1,20061001
85250,CPT,Blood clot factor IX test,,,17 ,,TotalUnits,,,,0.89 ,,,,1,1,1,0,1,1,20061001
85260,CPT,Blood clot factor X test,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
85270,CPT,Blood clot factor XI test,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
85280,CPT,Blood clot factor XII test,,,17 ,,TotalUnits,,,,0.90 ,,,,1,1,1,0,1,1,20061001
85290,CPT,Blood clot factor XIII test,,,17 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20061001
85291,CPT,Blood clot factor XIII test,,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20061001
85292,CPT,Blood clot factor assay,,,17 ,,TotalUnits,,,,0.88 ,,,,1,1,1,0,1,1,20061001
85293,CPT,Blood clot factor assay,,,17 ,,TotalUnits,,,,0.88 ,,,,1,1,1,0,1,1,20061001
85300,CPT,Antithrombin III test,,,17 ,,TotalUnits,,,,0.55 ,,,,1,1,1,0,1,1,20061001
85301,CPT,Antithrombin III test,,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20061001
85302,CPT,Blood clot inhibitor antigen,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
85303,CPT,Blood clot inhibitor test,,,17 ,,TotalUnits,,,,0.65 ,,,,1,1,1,0,1,1,20061001
85305,CPT,Blood clot inhibitor assay,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20061001
85306,CPT,Blood clot inhibitor test,,,17 ,,TotalUnits,,,,0.72 ,,,,1,1,1,0,1,1,20061001
85307,CPT,Assay activated protein c,,,17 ,,TotalUnits,,,,0.72 ,,,,1,1,1,0,1,1,20061001
85335,CPT,Factor inhibitor test,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
85337,CPT,Thrombomodulin,,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20061001
85345,CPT,Coagulation time,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
85347,CPT,Coagulation time,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
85348,CPT,Coagulation time,,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20061001
85360,CPT,Euglobulin lysis,,,17 ,,TotalUnits,,,,0.39 ,,,,1,1,1,0,1,1,20061001
85362,CPT,Fibrin degradation products,,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20061001
85366,CPT,Fibrinogen test,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20061001
85370,CPT,Fibrinogen test,,,17 ,,TotalUnits,,,,0.53 ,,,,1,1,1,0,1,1,20061001
85378,CPT,"Fibrin degrade, semiquant",,,17 ,,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20061001
85379,CPT,"Fibrin degradation, quant",,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20061001
85380,CPT,"Fibrin degradation, vte",,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20061001
85384,CPT,Fibrinogen,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20061001
85385,CPT,Fibrinogen,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20061001
85390,CPT,Fibrinolysins screen,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20061001
85396,CPT,"Clotting assay, whole blood",,,17 ,,RBRVS,0.37 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
85400,CPT,Fibrinolytic plasmin,,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20061001
85410,CPT,Fibrinolytic antiplasmin,,,17 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20061001
85415,CPT,Fibrinolytic plasminogen,,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20061001
85420,CPT,Fibrinolytic plasminogen,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20061001
85421,CPT,Fibrinolytic plasminogen,,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20061001
85441,CPT,"Heinz bodies, direct",,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
85445,CPT,"Heinz bodies, induced",,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20061001
85460,CPT,"Hemoglobin, fetal",,,17 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20061001
85461,CPT,"Hemoglobin, fetal",,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20061001
85475,CPT,Hemolysin,,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20061001
85520,CPT,Heparin assay,,,17 ,,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20061001
85525,CPT,Heparin neutralization,,,17 ,,TotalUnits,,,,0.55 ,,,,1,1,1,0,1,1,20061001
85530,CPT,Heparin-protamine tolerance,,,17 ,,TotalUnits,,,,0.66 ,,,,1,1,1,0,1,1,20061001
85536,CPT,Iron stain peripheral blood,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20061001
85540,CPT,Wbc alkaline phosphatase,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20061001
85547,CPT,RBC mechanical fragility,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20061001
85549,CPT,Muramidase,,,17 ,,TotalUnits,,,,0.88 ,,,,1,1,1,0,1,1,20061001
85555,CPT,RBC osmotic fragility,,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20061001
85557,CPT,RBC osmotic fragility,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
85576,CPT,Blood platelet aggregation,TC,,17 ,,TotalUnits,,,,1.00 ,,,,1,1,1,0,1,1,20061001
85576,CPT,Blood platelet aggregation,26,,17 ,,RBRVS,0.37 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
85597,CPT,Platelet neutralization,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
85610,CPT,Prothrombin time,,,17 ,,TotalUnits,,,,0.18 ,,,,1,1,1,0,1,1,20061001
85611,CPT,Prothrombin test,,,17 ,,TotalUnits,,,,0.18 ,,,,1,1,1,0,1,1,20061001
85612,CPT,Viper venom prothrombin time,,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20061001
85613,CPT,"Russell viper venom, diluted",,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20061001
85635,CPT,Reptilase test,,,17 ,,TotalUnits,,,,0.46 ,,,,1,1,1,0,1,1,20061001
85651,CPT,"Rbc sed rate, nonautomated",,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20061001
85652,CPT,"Rbc sed rate, automated",,,17 ,,TotalUnits,,,,0.13 ,,,,1,1,1,0,1,1,20061001
85660,CPT,RBC sickle cell test,,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20061001
85670,CPT,"Thrombin time, plasma",,,17 ,,TotalUnits,,,,0.27 ,,,,1,1,1,0,1,1,20061001
85675,CPT,"Thrombin time, titer",,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20061001
85705,CPT,Thromboplastin inhibition,,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20061001
85730,CPT,"Thromboplastin time, partial",,,17 ,,TotalUnits,,,,0.28 ,,,,1,1,1,0,1,1,20061001
85732,CPT,"Thromboplastin time, partial",,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20061001
85810,CPT,Blood viscosity examination,,,17 ,,TotalUnits,,,,0.55 ,,,,1,1,1,0,1,1,20061001
85999,CPT,Hematology procedure,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20061001
86000,CPT,"Agglutinins, febrile",,,17 ,,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20061001
86001,CPT,Allergen specific igg,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20061001
86003,CPT,Allergen specific IgE,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20061001
86005,CPT,Allergen specific IgE,,,17 ,,TotalUnits,,,,0.37 ,,,,1,1,1,0,1,1,20061001
86021,CPT,WBC antibody identification,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20061001
86022,CPT,Platelet antibodies,,,17 ,,TotalUnits,,,,0.86 ,,,,1,1,1,0,1,1,20061001
86023,CPT,Immunoglobulin assay,,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20061001
86038,CPT,Antinuclear antibodies,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
86039,CPT,Antinuclear antibodies (ANA),,,17 ,,TotalUnits,,,,0.52 ,,,,1,1,1,0,1,1,20061001
86060,CPT,"Antistreptolysin o, titer",,,17 ,,TotalUnits,,,,0.34 ,,,,1,1,1,0,1,1,20061001
86063,CPT,"Antistreptolysin o, screen",,,17 ,,TotalUnits,,,,0.27 ,,,,1,1,1,0,1,1,20061001
86077,CPT,Physician blood bank service,,,17 ,,RBRVS,0.94 ,0.39 ,0.39 ,,,,,1,0,1,0,1,1,20061001
86078,CPT,Physician blood bank service,,,17 ,,RBRVS,0.94 ,0.40 ,0.46 ,,,,,1,0,1,0,1,1,20061001
86079,CPT,Physician blood bank service,,,17 ,,RBRVS,0.94 ,0.41 ,0.45 ,,,,,1,0,1,0,1,1,20061001
86140,CPT,C-reactive protein,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20061001
86141,CPT,"C-reactive protein, hs",,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
86146,CPT,Glycoprotein antibody,,,17 ,,TotalUnits,,,,1.19 ,,,,1,1,1,0,1,1,20061001
86147,CPT,Cardiolipin antibody,,,17 ,,TotalUnits,,,,1.19 ,,,,1,1,1,0,1,1,20061001
86148,CPT,Phospholipid antibody,,,17 ,,TotalUnits,,,,0.75 ,,,,1,1,1,0,1,1,20061001
86155,CPT,Chemotaxis assay,,,17 ,,TotalUnits,,,,0.75 ,,,,1,1,1,0,1,1,20061001
86156,CPT,"Cold agglutinin, screen",,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20061001
86157,CPT,"Cold agglutinin, titer",,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20061001
86160,CPT,"Complement, antigen",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
86161,CPT,Complement/function activity,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
86162,CPT,"Complement, total (CH50)",,,17 ,,TotalUnits,,,,0.95 ,,,,1,1,1,0,1,1,20061001
86171,CPT,"Complement fixation, each",,,17 ,,TotalUnits,,,,0.47 ,,,,1,1,1,0,1,1,20061001
86185,CPT,Counterimmunoelectrophoresis,,,17 ,,TotalUnits,,,,0.42 ,,,,1,1,1,0,1,1,20061001
86200,CPT,Ccp antibody,,,28 ,,NW,,,,,,$19.36,,1,1,1,0,1,1,20061001
86215,CPT,"Deoxyribonuclease, antibody",,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
86225,CPT,DNA antibody,,,17 ,,TotalUnits,,,,0.64 ,,,,1,1,1,0,1,1,20061001
86226,CPT,"DNA antibody, single strand",,,17 ,,TotalUnits,,,,0.57 ,,,,1,1,1,0,1,1,20061001
86235,CPT,Nuclear antigen antibody,,,17 ,,TotalUnits,,,,0.84 ,,,,1,1,1,0,1,1,20061001
86243,CPT,Fc receptor,,,17 ,,TotalUnits,,,,0.96 ,,,,1,1,1,0,1,1,20061001
86255,CPT,"Fluorescent antibody, screen",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
86256,CPT,"Fluorescent antibody, titer",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
86277,CPT,Growth hormone antibody,,,17 ,,TotalUnits,,,,0.73 ,,,,1,1,1,0,1,1,20061001
86280,CPT,Hemagglutination inhibition,,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20061001
86294,CPT,"Immunoassay, tumor qual",,,17 ,,TotalUnits,,,,0.92 ,,,,1,1,1,0,1,1,20061001
86300,CPT,"Immunoassay, tumor ca 15-3",,,17 ,,TotalUnits,,,,0.97 ,,,,1,1,1,0,1,1,20061001
86301,CPT,"Immunoassay, tumor ca 19-9",,,17 ,,TotalUnits,,,,0.97 ,,,,1,1,1,0,1,1,20061001
86304,CPT,"Immunoassay, tumor, ca 125",,,17 ,,TotalUnits,,,,0.97 ,,,,1,1,1,0,1,1,20061001
86308,CPT,Heterophile antibodies,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20061001
86309,CPT,Heterophile antibodies,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20061001
86310,CPT,Heterophile antibodies,,,17 ,,TotalUnits,,,,0.34 ,,,,1,1,1,0,1,1,20061001
86316,CPT,"Immunoassay, tumor other",,,17 ,,TotalUnits,,,,0.97 ,,,,1,1,1,0,1,1,20061001
86317,CPT,"Immunoassay,infectious agent",,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20061001
86318,CPT,"Immunoassay,infectious agent",,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
86320,CPT,Serum immunoelectrophoresis,TC,,17 ,,TotalUnits,,,,1.05 ,,,,1,1,1,0,1,1,20061001
86320,CPT,Serum immunoelectrophoresis,26,,17 ,,RBRVS,0.37 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
86325,CPT,Other immunoelectrophoresis,TC,,17 ,,TotalUnits,,,,1.04 ,,,,1,1,1,0,1,1,20061001
86325,CPT,Other immunoelectrophoresis,26,,17 ,,RBRVS,0.37 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20061001
86327,CPT,Immunoelectrophoresis assay,TC,,17 ,,TotalUnits,,,,1.06 ,,,,1,1,1,0,1,1,20061001
86327,CPT,Immunoelectrophoresis assay,26,,17 ,,RBRVS,0.42 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
86329,CPT,Immunodiffusion,,,17 ,,TotalUnits,,,,0.66 ,,,,1,1,1,0,1,1,20061001
86331,CPT,Immunodiffusion ouchterlony,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
86332,CPT,Immune complex assay,,,17 ,,TotalUnits,,,,1.14 ,,,,1,1,1,0,1,1,20061001
86334,CPT,Immunofixation procedure,TC,,17 ,,TotalUnits,,,,1.04 ,,,,1,1,1,0,1,1,20061001
86334,CPT,Immunofixation procedure,26,,17 ,,RBRVS,0.37 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
86335,CPT,Immunfix e-phorsis/urine/csf,,,17 ,,TotalUnits,,,,1.35 ,,,,1,1,1,0,1,1,20061001
86335,CPT,Immunfix e-phorsis/urine/csf,26,,17 ,,TotalUnits,,,,1.35 ,,,,1,0,1,1,1,1,20061001
86336,CPT,Inhibin A,,,17 ,,TotalUnits,,,,0.73 ,,,,1,1,1,0,1,1,20061001
86337,CPT,Insulin antibodies,,,17 ,,TotalUnits,,,,1.00 ,,,,1,1,1,0,1,1,20061001
86340,CPT,Intrinsic factor antibody,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20061001
86341,CPT,Islet cell antibody,,,17 ,,TotalUnits,,,,0.92 ,,,,1,1,1,0,1,1,20061001
86343,CPT,Leukocyte histamine release,,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20061001
86344,CPT,Leukocyte phagocytosis,,,17 ,,TotalUnits,,,,0.37 ,,,,1,1,1,0,1,1,20061001
86353,CPT,Lymphocyte transformation,,,17 ,,TotalUnits,,,,2.29 ,,,,1,1,1,0,1,1,20061001
86355,CPT,"B cells, total count",,,28 ,,NW,,,,,,$56.39,,1,1,1,0,1,1,20061001
86357,CPT,"Nk cells, total count",,,28 ,,NW,,,,,,$56.39,,1,1,1,0,1,1,20061001
86359,CPT,"T cells, total count",,,17 ,,TotalUnits,,,,1.76 ,,,,1,1,1,0,1,1,20061001
86360,CPT,"T cell, absolute count/ratio",,,17 ,,TotalUnits,,,,2.19 ,,,,1,1,1,0,1,1,20061001
86361,CPT,"T cell, absolute count",,,17 ,,TotalUnits,,,,1.25 ,,,,1,1,1,0,1,1,20061001
86367,CPT,"Stem cells, total count",,,28 ,,NW,,,,,,$56.39,,1,1,1,0,1,1,20061001
86376,CPT,Microsomal antibody,,,17 ,,TotalUnits,,,,0.68 ,,,,1,1,1,0,1,1,20061001
86378,CPT,Migration inhibitory factor,,,17 ,,TotalUnits,,,,0.92 ,,,,1,1,1,0,1,1,20061001
86382,CPT,"Neutralization test, viral",,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20061001
86384,CPT,Nitroblue tetrazolium dye,,,17 ,,TotalUnits,,,,0.53 ,,,,1,1,1,0,1,1,20061001
86403,CPT,Particle agglutination test,,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20061001
86406,CPT,Particle agglutination test,,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20061001
86430,CPT,Rheumatoid factor test,,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20061001
86431,CPT,"Rheumatoid factor, quant",,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20061001
86480,CPT,"Tb test, cell immun measure",,,28 ,,NW,,,,,,$92.66,,1,1,1,0,1,1,20061001
86485,CPT,"Skin test, candida",,TC,17 ,,TotalUnits,,,,0.28 ,,,,1,1,1,0,1,1,20061001
86490,CPT,Coccidioidomycosis skin test,,TC,17 ,,RBRVS,0.00 ,0.29 ,0.29 ,,,,,1,1,1,0,1,1,20061001
86510,CPT,Histoplasmosis skin test,,TC,17 ,,RBRVS,0.00 ,0.32 ,0.32 ,,,,,1,1,1,0,1,1,20061001
86580,CPT,TB intradermal test,,TC,17 ,,RBRVS,0.00 ,0.25 ,0.25 ,,,,,1,1,1,0,1,1,20061001
86586,CPT,"Skin test, unlisted",,TC,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20061001
86590,CPT,"Streptokinase, antibody",,,17 ,,TotalUnits,,,,0.51 ,,,,1,1,1,0,1,1,20061001
86592,CPT,"Blood serology, qualitative",,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
86593,CPT,"Blood serology, quantitative",,,17 ,,TotalUnits,,,,0.21 ,,,,1,1,1,0,1,1,20061001
86602,CPT,Antinomyces antibody,,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20061001
86603,CPT,Adenovirus antibody,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
86606,CPT,Aspergillus antibody,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20061001
86609,CPT,Bacterium antibody,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
86611,CPT,Bartonella antibody,,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20061001
86612,CPT,Blastomyces antibody,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
86615,CPT,Bordetella antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
86617,CPT,Lyme disease antibody,,,17 ,,TotalUnits,,,,0.72 ,,,,1,1,1,0,1,1,20061001
86618,CPT,Lyme disease antibody,,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20061001
86619,CPT,Borrelia antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
86622,CPT,Brucella antibody,,,17 ,,TotalUnits,,,,0.42 ,,,,1,1,1,0,1,1,20061001
86625,CPT,Campylobacter antibody,,,17 ,,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20061001
86628,CPT,Candida antibody,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
86631,CPT,Chlamydia antibody,,,17 ,,TotalUnits,,,,0.55 ,,,,1,1,1,0,1,1,20061001
86632,CPT,Chlamydia igm antibody,,,17 ,,TotalUnits,,,,0.59 ,,,,1,1,1,0,1,1,20061001
86635,CPT,Coccidioides antibody,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20061001
86638,CPT,Q fever antibody,,,17 ,,TotalUnits,,,,0.57 ,,,,1,1,1,0,1,1,20061001
86641,CPT,Cryptococcus antibody,,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20061001
86644,CPT,CMV antibody,,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20061001
86645,CPT,"CMV antibody, IgM",,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20061001
86648,CPT,Diphtheria antibody,,,17 ,,TotalUnits,,,,0.71 ,,,,1,1,1,0,1,1,20061001
86651,CPT,Encephalitis antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
86652,CPT,Encephalitis antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
86653,CPT,Encephalitis antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
86654,CPT,Encephalitis antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
86658,CPT,Enterovirus antibody,,,17 ,,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20061001
86663,CPT,Epstein-barr antibody,,,17 ,,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20061001
86664,CPT,Epstein-barr antibody,,,17 ,,TotalUnits,,,,0.71 ,,,,1,1,1,0,1,1,20061001
86665,CPT,Epstein-barr antibody,,,17 ,,TotalUnits,,,,0.85 ,,,,1,1,1,0,1,1,20061001
86666,CPT,Ehrlichia antibody,,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20061001
86668,CPT,Francisella tularensis,,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20061001
86671,CPT,Fungus antibody,,,17 ,,TotalUnits,,,,0.57 ,,,,1,1,1,0,1,1,20061001
86674,CPT,Giardia lamblia antibody,,,17 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20061001
86677,CPT,Helicobacter pylori,,,17 ,,TotalUnits,,,,0.68 ,,,,1,1,1,0,1,1,20061001
86682,CPT,Helminth antibody,,,17 ,,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20061001
86684,CPT,Hemophilus influenza,,,17 ,,TotalUnits,,,,0.74 ,,,,1,1,1,0,1,1,20061001
86687,CPT,Htlv-i antibody,,,17 ,,TotalUnits,,,,0.39 ,,,,1,1,1,0,1,1,20061001
86688,CPT,Htlv-ii antibody,,,17 ,,TotalUnits,,,,0.65 ,,,,1,1,1,0,1,1,20061001
86689,CPT,HTLV/HIV confirmatory test,,,17 ,,TotalUnits,,,,0.90 ,,,,1,1,1,0,1,1,20061001
86692,CPT,"Hepatitis, delta agent",,,17 ,,TotalUnits,,,,0.80 ,,,,1,1,1,0,1,1,20061001
86694,CPT,Herpes simplex test,,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20061001
86695,CPT,Herpes simplex test,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
86696,CPT,Herpes simplex type 2,,,17 ,,TotalUnits,,,,0.90 ,,,,1,1,1,0,1,1,20061001
86698,CPT,Histoplasma,,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20061001
86701,CPT,HIV-1,,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20061001
86702,CPT,HIV-2,,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20061001
86703,CPT,"HIV-1/HIV-2, single assay",,,17 ,,TotalUnits,,,,0.64 ,,,,1,1,1,0,1,1,20061001
86704,CPT,"Hep b core antibody, total",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
86705,CPT,"Hep b core antibody, igm",,,17 ,,TotalUnits,,,,0.55 ,,,,1,1,1,0,1,1,20061001
86706,CPT,Hep b surface antibody,,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20061001
86707,CPT,Hep be antibody,,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20061001
86708,CPT,"Hep a antibody, total",,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20061001
86709,CPT,"Hep a antibody, igm",,,17 ,,TotalUnits,,,,0.53 ,,,,1,1,1,0,1,1,20061001
86710,CPT,Influenza virus antibody,,,17 ,,TotalUnits,,,,0.63 ,,,,1,1,1,0,1,1,20061001
86713,CPT,Legionella antibody,,,17 ,,TotalUnits,,,,0.71 ,,,,1,1,1,0,1,1,20061001
86717,CPT,Leishmania antibody,,,17 ,,TotalUnits,,,,0.57 ,,,,1,1,1,0,1,1,20061001
86720,CPT,Leptospira antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
86723,CPT,Listeria monocytogenes ab,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
86727,CPT,Lymph choriomeningitis ab,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
86729,CPT,Lympho venereum antibody,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
86732,CPT,Mucormycosis antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
86735,CPT,Mumps antibody,,,17 ,,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20061001
86738,CPT,Mycoplasma antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
86741,CPT,Neisseria meningitidis,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
86744,CPT,Nocardia antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
86747,CPT,Parvovirus antibody,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20061001
86750,CPT,Malaria antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
86753,CPT,Protozoa antibody nos,,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20061001
86756,CPT,Respiratory virus antibody,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
86757,CPT,Rickettsia antibody,,,17 ,,TotalUnits,,,,0.90 ,,,,1,1,1,0,1,1,20061001
86759,CPT,Rotavirus antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
86762,CPT,Rubella antibody,,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20061001
86765,CPT,Rubeola antibody,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
86768,CPT,Salmonella antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
86771,CPT,Shigella antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
86774,CPT,Tetanus antibody,,,17 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20061001
86777,CPT,Toxoplasma antibody,,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20061001
86778,CPT,"Toxoplasma antibody, igm",,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20061001
86781,CPT,"Treponema pallidum, confirm",,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
86784,CPT,Trichinella antibody,,,17 ,,TotalUnits,,,,0.59 ,,,,1,1,1,0,1,1,20061001
86787,CPT,Varicella-zoster antibody,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
86790,CPT,Virus antibody nos,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
86793,CPT,Yersinia antibody,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
86800,CPT,Thyroglobulin antibody,,,17 ,,TotalUnits,,,,0.74 ,,,,1,1,1,0,1,1,20061001
86803,CPT,Hepatitis c ab test,,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20061001
86804,CPT,"Hep c ab test, confirm",,,17 ,,TotalUnits,,,,0.72 ,,,,1,1,1,0,1,1,20061001
86805,CPT,Lymphocytotoxicity assay,,,17 ,,TotalUnits,,,,2.44 ,,,,1,1,1,0,1,1,20061001
86806,CPT,Lymphocytotoxicity assay,,,17 ,,TotalUnits,,,,2.22 ,,,,1,1,1,0,1,1,20061001
86807,CPT,Cytotoxic antibody screening,,,17 ,,TotalUnits,,,,1.85 ,,,,1,1,1,0,1,1,20061001
86808,CPT,Cytotoxic antibody screening,,,17 ,,TotalUnits,,,,1.39 ,,,,1,1,1,0,1,1,20061001
86812,CPT,"HLA typing, A, B, or C",,,17 ,,TotalUnits,,,,1.20 ,,,,1,1,1,0,1,1,20061001
86813,CPT,"HLA typing, A, B, or C",,,17 ,,TotalUnits,,,,2.71 ,,,,1,1,1,0,1,1,20061001
86816,CPT,"HLA typing, DR/DQ",,,17 ,,TotalUnits,,,,1.30 ,,,,1,1,1,0,1,1,20061001
86817,CPT,"HLA typing, DR/DQ",,,17 ,,TotalUnits,,,,3.00 ,,,,1,1,1,0,1,1,20061001
86821,CPT,"Lymphocyte culture, mixed",,,17 ,,TotalUnits,,,,2.64 ,,,,1,1,1,0,1,1,20061001
86822,CPT,"Lymphocyte culture, primed",,,17 ,,TotalUnits,,,,1.71 ,,,,1,1,1,0,1,1,20061001
86849,CPT,Immunology procedure,,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20061001
86850,CPT,RBC antibody screen,,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20061001
86860,CPT,RBC antibody elution,,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20061001
86870,CPT,RBC antibody identification,,,17 ,,TotalUnits,,,,0.71 ,,,,1,1,1,0,1,1,20061001
86880,CPT,"Coombs test, direct",,,17 ,,TotalUnits,,,,0.25 ,,,,1,1,1,0,1,1,20061001
86885,CPT,"Coombs test, indirect, qual",,,17 ,,TotalUnits,,,,0.27 ,,,,1,1,1,0,1,1,20061001
86886,CPT,"Coombs test, indirect, titer",,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20061001
86890,CPT,Autologous blood process,,,17 ,,TotalUnits,,,,1.63 ,,,,1,1,1,0,1,1,20061001
86891,CPT,"Autologous blood, op salvage",,,17 ,,TotalUnits,,,,2.55 ,,,,1,1,1,0,1,1,20061001
86900,CPT,"Blood typing, ABO",,,17 ,,TotalUnits,,,,0.14 ,,,,1,1,1,0,1,1,20061001
86901,CPT,"Blood typing, Rh (D)",,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
86903,CPT,"Blood typing, antigen screen",,,17 ,,TotalUnits,,,,0.44 ,,,,1,1,1,0,1,1,20061001
86904,CPT,"Blood typing, patient serum",,,17 ,,TotalUnits,,,,0.44 ,,,,1,1,1,0,1,1,20061001
86905,CPT,"Blood typing, RBC antigens",,,17 ,,TotalUnits,,,,0.18 ,,,,1,1,1,0,1,1,20061001
86906,CPT,"Blood typing, Rh phenotype",,,17 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20061001
86910,CPT,"Blood typing, paternity test",,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20061001
86911,CPT,"Blood typing, antigen system",,,17 ,,TotalUnits,,,,0.35 ,,,,1,1,1,0,1,1,20061001
86920,CPT,Compatibility test,,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20061001
86921,CPT,Compatibility test,,,17 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20061001
86922,CPT,Compatibility test,,,17 ,,TotalUnits,,,,0.25 ,,,,1,1,1,0,1,1,20061001
86923,CPT,"Compatibility test, electric",,,28 ,,NW,,,,,,$13.82,,1,1,1,0,1,1,20061001
86927,CPT,"Plasma, fresh frozen",,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20061001
86930,CPT,Frozen blood prep,,,17 ,,TotalUnits,,,,2.04 ,,,,1,1,1,0,1,1,20061001
86931,CPT,Frozen blood thaw,,,17 ,,TotalUnits,,,,2.25 ,,,,1,1,1,0,1,1,20061001
86932,CPT,Frozen blood freeze/thaw,,,17 ,,TotalUnits,,,,2.45 ,,,,1,1,1,0,1,1,20061001
86940,CPT,"Hemolysins/agglutinins, auto",,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20061001
86941,CPT,Hemolysins/agglutinins,,,17 ,,TotalUnits,,,,0.57 ,,,,1,1,1,0,1,1,20061001
86945,CPT,Blood product/irradiation,,,17 ,,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20061001
86950,CPT,Leukacyte transfusion,,,17 ,,TotalUnits,,,,1.12 ,,,,1,1,1,0,1,1,20061001
86960,CPT,Vol reduction of blood/prod,,,28 ,,NW,,,,,,$13.82,,1,1,1,0,1,1,20061001
86965,CPT,Pooling blood platelets,,,17 ,,TotalUnits,,,,0.29 ,,,,1,1,1,0,1,1,20061001
86970,CPT,RBC pretreatment,,,17 ,,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20061001
86971,CPT,RBC pretreatment,,,17 ,,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20061001
86972,CPT,RBC pretreatment,,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20061001
86975,CPT,"RBC pretreatment, serum",,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
86976,CPT,"RBC pretreatment, serum",,,17 ,,TotalUnits,,,,0.16 ,,,,1,1,1,0,1,1,20061001
86977,CPT,"RBC pretreatment, serum",,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
86978,CPT,"RBC pretreatment, serum",,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20061001
86985,CPT,Split blood or products,,,17 ,,TotalUnits,,,,0.43 ,,,,1,1,1,0,1,1,20061001
86999,CPT,Transfusion procedure,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
87001,CPT,Small animal inoculation,,,17 ,,TotalUnits,,,,0.62 ,,,,1,1,1,0,1,1,20061001
87003,CPT,Small animal inoculation,,,17 ,,TotalUnits,,,,0.79 ,,,,1,1,1,0,1,1,20061001
87015,CPT,Specimen concentration,,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20061001
87040,CPT,Blood culture for bacteria,,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20061001
87045,CPT,"Feces culture, bacteria",,,17 ,,TotalUnits,,,,0.44 ,,,,1,1,1,0,1,1,20061001
87046,CPT,"Stool cultr, bacteria, each",,,17 ,,TotalUnits,,,,0.44 ,,,,1,1,1,0,1,1,20061001
87070,CPT,"Culture, bacteria, other",,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20061001
87071,CPT,Culture bacteri aerobic othr,,,17 ,,TotalUnits,,,,0.44 ,,,,1,1,1,0,1,1,20061001
87073,CPT,Culture bacteria anaerobic,,,17 ,,TotalUnits,,,,0.44 ,,,,1,1,1,0,1,1,20061001
87075,CPT,Culture bacteria anaerobic,,,17 ,,TotalUnits,,,,0.44 ,,,,1,1,1,0,1,1,20061001
87076,CPT,"Culture anaerobe ident, each",,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20061001
87077,CPT,Culture aerobic identify,,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20061001
87081,CPT,Culture screen only,,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20061001
87084,CPT,Culture of specimen by kit,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20061001
87086,CPT,Urine culture/colony count,,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20061001
87088,CPT,Urine bacteria culture,,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20061001
87101,CPT,Skin fungi culture,,,17 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20061001
87102,CPT,Fungus isolation culture,,,17 ,,TotalUnits,,,,0.39 ,,,,1,1,1,0,1,1,20061001
87103,CPT,Blood fungus culture,,,17 ,,TotalUnits,,,,0.42 ,,,,1,1,1,0,1,1,20061001
87106,CPT,"Fungi identification, yeast",,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20061001
87107,CPT,"Fungi identification, mold",,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20061001
87109,CPT,Mycoplasma,,,17 ,,TotalUnits,,,,0.72 ,,,,1,1,1,0,1,1,20061001
87110,CPT,Chlamydia culture,,,17 ,,TotalUnits,,,,0.91 ,,,,1,1,1,0,1,1,20061001
87116,CPT,Mycobacteria culture,,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20061001
87118,CPT,Mycobacteric identification,,,17 ,,TotalUnits,,,,0.51 ,,,,1,1,1,0,1,1,20061001
87140,CPT,Culture type immunofluoresc,,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20061001
87143,CPT,"Culture typing, glc/hplc",,,17 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20061001
87147,CPT,"Culture type, immunologic",,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20061001
87149,CPT,"Culture type, nucleic acid",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87152,CPT,Culture type pulse field gel,,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20061001
87158,CPT,"Culture typing, added method",,,17 ,,TotalUnits,,,,0.24 ,,,,1,1,1,0,1,1,20061001
87164,CPT,Dark field examination,TC,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20061001
87164,CPT,Dark field examination,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
87166,CPT,Dark field examination,,,17 ,,TotalUnits,,,,0.53 ,,,,1,1,1,0,1,1,20061001
87168,CPT,Macroscopic exam arthropod,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
87169,CPT,Macroscopic exam parasite,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
87172,CPT,Pinworm exam,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
87176,CPT,"Tissue homogenization, cultr",,,17 ,,TotalUnits,,,,0.27 ,,,,1,1,1,0,1,1,20061001
87177,CPT,Ova and parasites smears,,,17 ,,TotalUnits,,,,0.42 ,,,,1,1,1,0,1,1,20061001
87181,CPT,"Microbe susceptible, diffuse",,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20061001
87184,CPT,"Microbe susceptible, disk",,,17 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20061001
87185,CPT,"Microbe susceptible, enzyme",,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20061001
87186,CPT,"Microbe susceptible, mic",,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20061001
87187,CPT,"Microbe susceptible, mlc",,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20061001
87188,CPT,"Microbe suscept, macrobroth",,,17 ,,TotalUnits,,,,0.31 ,,,,1,1,1,0,1,1,20061001
87190,CPT,"Microbe suscept, mycobacteri",,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20061001
87197,CPT,"Bactericidal level, serum",,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20061001
87205,CPT,"Smear, gram stain",,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
87206,CPT,"Smear, fluorescent/acid stai",,,17 ,,TotalUnits,,,,0.25 ,,,,1,1,1,0,1,1,20061001
87207,CPT,"Smear, special stain",,,17 ,,TotalUnits,,,,0.28 ,,,,1,1,1,0,1,1,20061001
87209,CPT,"Smear, complex stain",,,28 ,,NW,,,,,,$26.87,,1,1,1,0,1,1,20061001
87210,CPT,"Smear, wet mount, saline/ink",,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
87220,CPT,Tissue exam for fungi,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
87230,CPT,"Assay, toxin or antitoxin",,,17 ,,TotalUnits,,,,0.92 ,,,,1,1,1,0,1,1,20061001
87250,CPT,"Virus inoculate, eggs/animal",,,17 ,,TotalUnits,,,,0.91 ,,,,1,1,1,0,1,1,20061001
87252,CPT,"Virus inoculation, tissue",,,17 ,,TotalUnits,,,,1.22 ,,,,1,1,1,0,1,1,20061001
87253,CPT,"Virus inoculate tissue, addl",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87254,CPT,"Virus inoculation, shell via",,,17 ,,TotalUnits,,,,0.91 ,,,,1,1,1,0,1,1,20061001
87255,CPT,"Genet virus isolate, hsv",,,17 ,,TotalUnits,,,,1.58 ,,,,1,1,1,0,1,1,20061001
87260,CPT,"Adenovirus ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87265,CPT,"Pertussis ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87267,CPT,"Enterovirus antibody, dfa",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87269,CPT,"Giardia ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87270,CPT,"Chlamydia trachomatis ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87271,CPT,"Cryptosporidum/gardia ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87272,CPT,"Cryptosporidum/gardia ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87273,CPT,"Herpes simplex 2, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87274,CPT,"Herpes simplex 1, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87275,CPT,"Influenza b, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87276,CPT,"Influenza a, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87277,CPT,"Legionella micdadei, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87278,CPT,"Legion pneumophilia ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87279,CPT,"Parainfluenza, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87280,CPT,"Respiratory syncytial ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87281,CPT,"Pneumocystis carinii, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87283,CPT,"Rubeola, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87285,CPT,"Treponema pallidum, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87290,CPT,"Varicella zoster, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87299,CPT,"Antibody detection, nos, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87300,CPT,"Ag detection, polyval, if",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87301,CPT,"Adenovirus ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87320,CPT,"Chylmd trach ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87324,CPT,"Clostridium ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87327,CPT,"Cryptococcus neoform ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87328,CPT,"Cryptospor ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87329,CPT,"Giardia ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87332,CPT,"Cytomegalovirus ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87335,CPT,"E coli 0157 ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87336,CPT,"Entamoeb hist dispr, ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87337,CPT,"Entamoeb hist group, ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87338,CPT,"Hpylori, stool, eia",,,17 ,,TotalUnits,,,,0.67 ,,,,1,1,1,0,1,1,20061001
87339,CPT,"H pylori ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87340,CPT,"Hepatitis b surface ag, eia",,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20061001
87341,CPT,"Hepatitis b surface, ag, eia",,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20061001
87350,CPT,"Hepatitis be ag, eia",,,17 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20061001
87380,CPT,"Hepatitis delta ag, eia",,,17 ,,TotalUnits,,,,0.77 ,,,,1,1,1,0,1,1,20061001
87385,CPT,"Histoplasma capsul ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87390,CPT,"Hiv-1 ag, eia",,,17 ,,TotalUnits,,,,0.82 ,,,,1,1,1,0,1,1,20061001
87391,CPT,"Hiv-2 ag, eia",,,17 ,,TotalUnits,,,,0.82 ,,,,1,1,1,0,1,1,20061001
87400,CPT,"Influenza a/b, ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87420,CPT,"Resp syncytial ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87425,CPT,"Rotavirus ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87427,CPT,"Shiga-like toxin ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87430,CPT,"Strep a ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87449,CPT,"Ag detect nos, eia, mult",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87450,CPT,"Ag detect nos, eia, single",,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20061001
87451,CPT,"Ag detect polyval, eia, mult",,,17 ,,TotalUnits,,,,0.45 ,,,,1,1,1,0,1,1,20061001
87470,CPT,"Bartonella, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87471,CPT,"Bartonella, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87472,CPT,"Bartonella, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20061001
87475,CPT,"Lyme dis, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87476,CPT,"Lyme dis, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87477,CPT,"Lyme dis, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20061001
87480,CPT,"Candida, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87481,CPT,"Candida, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87482,CPT,"Candida, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,,,1,1,1,0,1,1,20061001
87485,CPT,"Chylmd pneum, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87486,CPT,"Chylmd pneum, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87487,CPT,"Chylmd pneum, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20061001
87490,CPT,"Chylmd trach, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87491,CPT,"Chylmd trach, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87492,CPT,"Chylmd trach, dna, quant",,,17 ,,TotalUnits,,,,1.63 ,,,,1,1,1,0,1,1,20061001
87495,CPT,"Cytomeg, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87496,CPT,"Cytomeg, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87497,CPT,"Cytomeg, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20061001
87510,CPT,"Gardner vag, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87511,CPT,"Gardner vag, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87512,CPT,"Gardner vag, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,,,1,1,1,0,1,1,20061001
87515,CPT,"Hepatitis b, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87516,CPT,"Hepatitis b, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87517,CPT,"Hepatitis b, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20061001
87520,CPT,"Hepatitis c, rna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87521,CPT,"Hepatitis c, rna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87522,CPT,"Hepatitis c, rna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20061001
87525,CPT,"Hepatitis g, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87526,CPT,"Hepatitis g, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87527,CPT,"Hepatitis g, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,,,1,1,1,0,1,1,20061001
87528,CPT,"Hsv, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87529,CPT,"Hsv, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87530,CPT,"Hsv, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20061001
87531,CPT,"Hhv-6, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87532,CPT,"Hhv-6, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87533,CPT,"Hhv-6, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,,,1,1,1,0,1,1,20061001
87534,CPT,"Hiv-1, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87535,CPT,"Hiv-1, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87536,CPT,"Hiv-1, dna, quant",,,17 ,,TotalUnits,,,,3.97 ,,,,1,1,1,0,1,1,20061001
87537,CPT,"Hiv-2, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87538,CPT,"Hiv-2, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87539,CPT,"Hiv-2, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20061001
87540,CPT,"Legion pneumo, dna, dir prob",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87541,CPT,"Legion pneumo, dna, amp prob",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87542,CPT,"Legion pneumo, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,,,1,1,1,0,1,1,20061001
87550,CPT,"Mycobacteria, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87551,CPT,"Mycobacteria, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87552,CPT,"Mycobacteria, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20061001
87555,CPT,"M.tuberculo, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87556,CPT,"M.tuberculo, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87557,CPT,"M.tuberculo, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20061001
87560,CPT,"M.avium-intra, dna, dir prob",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87561,CPT,"M.avium-intra, dna, amp prob",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87562,CPT,"M.avium-intra, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20061001
87580,CPT,"M.pneumon, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87581,CPT,"M.pneumon, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87582,CPT,"M.pneumon, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,,,1,1,1,0,1,1,20061001
87590,CPT,"N.gonorrhoeae, dna, dir prob",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87591,CPT,"N.gonorrhoeae, dna, amp prob",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87592,CPT,"N.gonorrhoeae, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20061001
87620,CPT,"Hpv, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87621,CPT,"Hpv, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87622,CPT,"Hpv, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,,,1,1,1,0,1,1,20061001
87650,CPT,"Strep a, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87651,CPT,"Strep a, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87652,CPT,"Strep a, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,,,1,1,1,0,1,1,20061001
87660,CPT,"Trichomonas vagin, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87797,CPT,"Detect agent nos, dna, dir",,,17 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
87798,CPT,"Detect agent nos, dna, amp",,,17 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
87799,CPT,"Detect agent nos, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20061001
87800,CPT,"Detect agnt mult, dna, direc",,,17 ,,TotalUnits,,,,1.87 ,,,,1,1,1,0,1,1,20061001
87801,CPT,"Detect agnt mult, dna, ampli",,,17 ,,TotalUnits,,,,3.28 ,,,,1,1,1,0,1,1,20061001
87802,CPT,Strep b assay w/optic,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87803,CPT,Clostridium toxin a w/optic,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87804,CPT,Influenza assay w/optic,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87807,CPT,Rsv assay w/optic,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87810,CPT,Chylmd trach assay w/optic,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87850,CPT,N. gonorrhoeae assay w/optic,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87880,CPT,Strep a assay w/optic,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87899,CPT,Agent nos assay w/optic,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
87900,CPT,"Phenotype, infect agent drug",,,28 ,,NW,,,,,,$194.86,,1,1,1,0,1,1,20061001
87901,CPT,"Genotype, dna, hiv reverse t",,,17 ,,TotalUnits,,,,12.02 ,,,,1,1,1,0,1,1,20061001
87902,CPT,"Genotype, dna, hepatitis C",,,17 ,,TotalUnits,,,,12.02 ,,,,1,1,1,0,1,1,20061001
87903,CPT,"Phenotype, dna hiv w/culture",,,17 ,,TotalUnits,,,,22.81 ,,,,1,1,1,0,1,1,20061001
87904,CPT,"Phenotype, dna hiv w/clt add",,,17 ,,TotalUnits,,,,1.22 ,,,,1,1,1,0,1,1,20061001
87999,CPT,Microbiology procedure,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20061001
88000,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,8.10 ,,,,1,0,1,0,1,1,20061001
88005,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,9.00 ,,,,1,0,1,0,1,1,20061001
88007,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,9.90 ,,,,1,0,1,0,1,1,20061001
88012,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,7.46 ,,,,1,0,1,0,1,1,20061001
88014,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,7.46 ,,,,1,0,1,0,1,1,20061001
88016,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,9.07 ,,,,1,0,1,0,1,1,20061001
88020,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,11.64 ,,,,1,0,1,0,1,1,20061001
88025,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,12.54 ,,,,1,0,1,0,1,1,20061001
88027,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,13.44 ,,,,1,0,1,0,1,1,20061001
88028,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,7.46 ,,,,1,0,1,0,1,1,20061001
88029,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,7.46 ,,,,1,0,1,0,1,1,20061001
88036,CPT,Limited autopsy,,,17 ,,TotalUnits,,,,4.82 ,,,,1,0,1,0,1,1,20061001
88037,CPT,Limited autopsy,,,17 ,,TotalUnits,,,,3.54 ,,,,1,0,1,0,1,1,20061001
88040,CPT,Forensic autopsy (necropsy),,,17 ,,TotalUnits,,,,19.29 ,,,,1,0,1,0,1,1,20061001
88045,CPT,Coroner?s autopsy (necropsy),,,17 ,,TotalUnits,,,,1.61 ,,,,1,0,1,0,1,1,20061001
88099,CPT,Necropsy (autopsy) procedure,,,17 ,,TotalUnits,,,,12.54 ,,,,1,0,1,0,1,1,20061001
88104,CPT,"Cytopathology, fluids",TC,,17 ,,RBRVS,0.00 ,0.61 ,0.61 ,,,,,1,1,1,0,1,1,20061001
88104,CPT,"Cytopathology, fluids",26,,17 ,,RBRVS,0.56 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20061001
88106,CPT,"Cytopathology, fluids",TC,,17 ,,RBRVS,0.00 ,1.11 ,1.11 ,,,,,1,1,1,0,1,1,20061001
88106,CPT,"Cytopathology, fluids",26,,17 ,,RBRVS,0.56 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20061001
88107,CPT,"Cytopathology, fluids",TC,,17 ,,RBRVS,0.00 ,1.21 ,1.21 ,,,,,1,1,1,0,1,1,20061001
88107,CPT,"Cytopathology, fluids",26,,17 ,,RBRVS,0.76 ,0.33 ,0.33 ,,,,,1,0,1,1,1,1,20061001
88108,CPT,"Cytopath, concentrate tech",TC,,17 ,,RBRVS,0.00 ,0.97 ,0.97 ,,,,,1,1,1,0,1,1,20061001
88108,CPT,"Cytopath, concentrate tech",26,,17 ,,RBRVS,0.56 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20061001
88112,CPT,"Cytopath, cell enhance tech",TC,,17 ,,RBRVS,0.00 ,1.46 ,1.46 ,,,,,1,1,1,0,1,1,20061001
88112,CPT,"Cytopath, cell enhance tech",26,,17 ,,RBRVS,1.18 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20061001
88125,CPT,Forensic cytopathology,TC,,17 ,,RBRVS,0.00 ,0.16 ,0.16 ,,,,,1,1,1,0,1,1,20061001
88125,CPT,Forensic cytopathology,26,,17 ,,RBRVS,0.26 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20061001
88130,CPT,Sex chromatin identification,,,17 ,,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20061001
88140,CPT,Sex chromatin identification,,,17 ,,TotalUnits,,,,0.37 ,,,,1,1,1,0,1,1,20061001
88141,CPT,"Cytopath, c/v, interpret",,PC,17 ,,RBRVS,0.42 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
88142,CPT,"Cytopath, c/v, thin layer",,,17 ,,TotalUnits,,,,0.95 ,,,,1,1,1,0,1,1,20061001
88143,CPT,Cytopath c/v thin layer redo,,,17 ,,TotalUnits,,,,0.95 ,,,,1,1,1,0,1,1,20061001
88147,CPT,"Cytopath, c/v, automated",,,17 ,,TotalUnits,,,,0.53 ,,,,1,1,1,0,1,1,20061001
88148,CPT,"Cytopath, c/v, auto rescreen",,,17 ,,TotalUnits,,,,0.71 ,,,,1,1,1,0,1,1,20061001
88150,CPT,"Cytopath, c/v, manual",,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20061001
88152,CPT,"Cytopath, c/v, auto redo",,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20061001
88153,CPT,"Cytopath, c/v, redo",,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20061001
88154,CPT,"Cytopath, c/v, select",,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20061001
88155,CPT,"Cytopath, c/v, index add-on",,,17 ,,TotalUnits,,,,0.28 ,,,,1,1,1,0,1,1,20061001
88160,CPT,"Cytopath smear, other source",TC,,17 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20061001
88160,CPT,"Cytopath smear, other source",26,,17 ,,RBRVS,0.50 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20061001
88161,CPT,"Cytopath smear, other source",TC,,17 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20061001
88161,CPT,"Cytopath smear, other source",26,,17 ,,RBRVS,0.50 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20061001
88162,CPT,"Cytopath smear, other source",TC,,17 ,,RBRVS,0.00 ,0.69 ,0.69 ,,,,,1,1,1,0,1,1,20061001
88162,CPT,"Cytopath smear, other source",26,,17 ,,RBRVS,0.76 ,0.33 ,0.33 ,,,,,1,0,1,1,1,1,20061001
88164,CPT,"Cytopath tbs, c/v, manual",,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20061001
88165,CPT,"Cytopath tbs, c/v, redo",,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20061001
88166,CPT,"Cytopath tbs, c/v, auto redo",,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20061001
88167,CPT,"Cytopath tbs, c/v, select",,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20061001
88172,CPT,Cytopathology eval of fna,TC,,17 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,1,1,20061001
88172,CPT,Cytopathology eval of fna,26,,17 ,,RBRVS,0.60 ,0.26 ,0.26 ,,,,,1,0,1,1,1,1,20061001
88173,CPT,"Cytopath eval, fna, report",TC,,17 ,,RBRVS,0.00 ,1.55 ,1.55 ,,,,,1,1,1,0,1,1,20061001
88173,CPT,"Cytopath eval, fna, report",26,,17 ,,RBRVS,1.39 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20061001
88174,CPT,"Cytopath, c/v auto, in fluid",,,17 ,,TotalUnits,,,,1.00 ,,,,1,1,1,0,1,1,20061001
88175,CPT,Cytopath c/v auto fluid redo,,,17 ,,TotalUnits,,,,1.24 ,,,,1,1,1,0,1,1,20061001
88182,CPT,Cell marker study,TC,,17 ,,RBRVS,0.00 ,1.65 ,1.65 ,,,,,1,1,1,0,1,1,20061001
88182,CPT,Cell marker study,26,,17 ,,RBRVS,0.77 ,0.33 ,0.33 ,,,,,1,0,1,1,1,1,20061001
88184,CPT,"Flowcytometry/ tc, 1 marker",,TC,17 ,,RBRVS,0.00 ,1.32 ,1.32 ,,,,,1,1,1,0,1,1,20061001
88185,CPT,"Flowcytometry/tc, add-on",,TC,17 ,,RBRVS,0.00 ,0.64 ,0.64 ,,,,,1,1,1,0,1,1,20061001
88187,CPT,"Flowcytometry/read, 2-8",,PC,17 ,,RBRVS,1.36 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20061001
88188,CPT,"Flowcytometry/read, 9-15",,PC,17 ,,RBRVS,1.69 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20061001
88189,CPT,"Flowcytometry/read, 16 & >",,,17 ,,RBRVS,2.23 ,0.75 ,0.75 ,,,,,1,0,1,1,1,1,20061001
88199,CPT,Cytopathology procedure,,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20061001
88230,CPT,"Tissue culture, lymphocyte",,,17 ,,TotalUnits,,,,5.44 ,,,,1,1,1,0,1,1,20061001
88233,CPT,"Tissue culture, skin/biopsy",,,17 ,,TotalUnits,,,,6.57 ,,,,1,1,1,0,1,1,20061001
88235,CPT,"Tissue culture, placenta",,,17 ,,TotalUnits,,,,6.87 ,,,,1,1,1,0,1,1,20061001
88237,CPT,"Tissue culture, bone marrow",,,17 ,,TotalUnits,,,,5.90 ,,,,1,1,1,0,1,1,20061001
88239,CPT,"Tissue culture, tumor",,,17 ,,TotalUnits,,,,6.89 ,,,,1,1,1,0,1,1,20061001
88240,CPT,Cell cryopreserve/storage,,,17 ,,TotalUnits,,,,0.47 ,,,,1,1,1,0,1,1,20061001
88241,CPT,Frozen cell preparation,,,17 ,,TotalUnits,,,,0.47 ,,,,1,1,1,0,1,1,20061001
88245,CPT,"Chromosome analysis, 20-25",,,17 ,,TotalUnits,,,,6.95 ,,,,1,1,1,0,1,1,20061001
88248,CPT,"Chromosome analysis, 50-100",,,17 ,,TotalUnits,,,,8.08 ,,,,1,1,1,0,1,1,20061001
88249,CPT,"Chromosome analysis, 100",,,17 ,,TotalUnits,,,,8.08 ,,,,1,1,1,0,1,1,20061001
88261,CPT,"Chromosome analysis, 5",,,17 ,,TotalUnits,,,,8.25 ,,,,1,1,1,0,1,1,20061001
88262,CPT,"Chromosome analysis, 15-20",,,17 ,,TotalUnits,,,,5.82 ,,,,1,1,1,0,1,1,20061001
88263,CPT,"Chromosome analysis, 45",,,17 ,,TotalUnits,,,,7.01 ,,,,1,1,1,0,1,1,20061001
88264,CPT,"Chromosome analysis, 20-25",,,17 ,,TotalUnits,,,,5.82 ,,,,1,1,1,0,1,1,20061001
88267,CPT,"Chromosome analys, placenta",,,17 ,,TotalUnits,,,,8.39 ,,,,1,1,1,0,1,1,20061001
88269,CPT,"Chromosome analys, amniotic",,,17 ,,TotalUnits,,,,7.76 ,,,,1,1,1,0,1,1,20061001
88271,CPT,"Cytogenetics, dna probe",,,17 ,,TotalUnits,,,,1.00 ,,,,1,1,1,0,1,1,20061001
88272,CPT,"Cytogenetics, 3-5",,,17 ,,TotalUnits,,,,1.25 ,,,,1,1,1,0,1,1,20061001
88273,CPT,"Cytogenetics, 10-30",,,17 ,,TotalUnits,,,,1.50 ,,,,1,1,1,0,1,1,20061001
88274,CPT,"Cytogenetics, 25-99",,,17 ,,TotalUnits,,,,1.62 ,,,,1,1,1,0,1,1,20061001
88275,CPT,"Cytogenetics, 100-300",,,17 ,,TotalUnits,,,,1.87 ,,,,1,1,1,0,1,1,20061001
88280,CPT,Chromosome karyotype study,,,17 ,,TotalUnits,,,,1.17 ,,,,1,1,1,0,1,1,20061001
88283,CPT,Chromosome banding study,,,17 ,,TotalUnits,,,,3.20 ,,,,1,1,1,0,1,1,20061001
88285,CPT,"Chromosome count, additional",,,17 ,,TotalUnits,,,,0.89 ,,,,1,1,1,0,1,1,20061001
88289,CPT,"Chromosome study, additional",,,17 ,,TotalUnits,,,,1.61 ,,,,1,1,1,0,1,1,20061001
88291,CPT,Cyto/molecular report,,PC,17 ,,RBRVS,0.52 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20061001
88299,CPT,Cytogenetic study,,,17 ,,TotalUnits,,,,5.82 ,,,,1,1,1,0,1,1,20061001
88300,CPT,"Surgical path, gross",TC,,17 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,,,1,1,1,0,1,1,20061001
88300,CPT,"Surgical path, gross",26,,17 ,,RBRVS,0.08 ,0.03 ,0.03 ,,,,,1,0,1,1,1,1,20061001
88302,CPT,Tissue exam by pathologist,TC,,17 ,,RBRVS,0.00 ,0.97 ,0.97 ,,,,,1,1,1,0,1,1,20061001
88302,CPT,Tissue exam by pathologist,26,,17 ,,RBRVS,0.13 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
88304,CPT,Tissue exam by pathologist,TC,,17 ,,RBRVS,0.00 ,1.23 ,1.23 ,,,,,1,1,1,0,1,1,20061001
88304,CPT,Tissue exam by pathologist,26,,17 ,,RBRVS,0.22 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20061001
88305,CPT,Tissue exam by pathologist,TC,,17 ,,RBRVS,0.00 ,1.58 ,1.58 ,,,,,1,1,1,0,1,1,20061001
88305,CPT,Tissue exam by pathologist,26,,17 ,,RBRVS,0.75 ,0.33 ,0.33 ,,,,,1,0,1,1,1,1,20061001
88307,CPT,Tissue exam by pathologist,TC,,17 ,,RBRVS,0.00 ,2.48 ,2.48 ,,,,,1,1,1,0,1,1,20061001
88307,CPT,Tissue exam by pathologist,26,,17 ,,RBRVS,1.59 ,0.68 ,0.68 ,,,,,1,0,1,1,1,1,20061001
88309,CPT,Tissue exam by pathologist,TC,,17 ,,RBRVS,0.00 ,3.43 ,3.43 ,,,,,1,1,1,0,1,1,20061001
88309,CPT,Tissue exam by pathologist,26,,17 ,,RBRVS,2.28 ,0.97 ,0.97 ,,,,,1,0,1,1,1,1,20061001
88311,CPT,Decalcify tissue,TC,,17 ,,RBRVS,0.00 ,0.13 ,0.13 ,,,,,1,1,1,0,1,1,20061001
88311,CPT,Decalcify tissue,26,,17 ,,RBRVS,0.24 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
88312,CPT,Special stains,TC,,17 ,,RBRVS,0.00 ,1.29 ,1.29 ,,,,,1,1,1,0,1,1,20061001
88312,CPT,Special stains,26,,17 ,,RBRVS,0.54 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
88313,CPT,Special stains,TC,,17 ,,RBRVS,0.00 ,1.15 ,1.15 ,,,,,1,1,1,0,1,1,20061001
88313,CPT,Special stains,26,,17 ,,RBRVS,0.24 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
88314,CPT,Histochemical stain,TC,,17 ,,RBRVS,0.00 ,1.88 ,1.88 ,,,,,1,1,1,0,1,1,20061001
88314,CPT,Histochemical stain,26,,17 ,,RBRVS,0.45 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
88318,CPT,Chemical histochemistry,TC,,17 ,,RBRVS,0.00 ,1.47 ,1.47 ,,,,,1,1,1,0,1,1,20061001
88318,CPT,Chemical histochemistry,26,,17 ,,RBRVS,0.42 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
88319,CPT,Enzyme histochemistry,TC,,17 ,,RBRVS,0.00 ,3.20 ,3.20 ,,,,,1,1,1,0,1,1,20061001
88319,CPT,Enzyme histochemistry,26,,17 ,,RBRVS,0.53 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20061001
88321,CPT,Microslide consultation,,,17 ,,RBRVS,1.30 ,0.56 ,0.79 ,,,,,1,0,1,1,1,1,20061001
88323,CPT,Microslide consultation,TC,,17 ,,RBRVS,0.00 ,1.21 ,1.21 ,,,,,1,1,1,0,1,1,20061001
88323,CPT,Microslide consultation,26,,17 ,,RBRVS,1.35 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20061001
88325,CPT,Comprehensive review of data,,,17 ,,RBRVS,2.22 ,0.95 ,2.94 ,,,,,1,0,1,1,1,1,20061001
88329,CPT,Path consult introp,,,17 ,,RBRVS,0.67 ,0.29 ,0.65 ,,,,,1,0,1,1,1,1,20061001
88331,CPT,"Path consult intraop, 1 bloc",TC,,17 ,,RBRVS,0.00 ,0.59 ,0.59 ,,,,,1,1,1,0,1,1,20061001
88331,CPT,"Path consult intraop, 1 bloc",26,,17 ,,RBRVS,1.19 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20061001
88332,CPT,"Path consult intraop, addl",TC,,17 ,,RBRVS,0.00 ,0.21 ,0.21 ,,,,,1,1,1,0,1,1,20061001
88332,CPT,"Path consult intraop, addl",26,,17 ,,RBRVS,0.59 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20061001
88333,CPT,"Intraop cyto path consult, 1",,,17 ,,RBRVS,1.20 ,1.08 ,1.08 ,,,,,1,1,1,0,1,1,20061001
88334,CPT,"Intraop cyto path consult, 2",,,17 ,,RBRVS,0.59 ,0.60 ,0.60 ,,,,,1,1,1,0,1,1,20061001
88342,CPT,Immunocytochemistry,TC,,17 ,,RBRVS,0.00 ,1.10 ,1.10 ,,,,,1,1,1,0,1,1,20061001
88342,CPT,Immunocytochemistry,26,,17 ,,RBRVS,0.85 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20061001
88346,CPT,Immunofluorescent study,TC,,17 ,,RBRVS,0.00 ,1.21 ,1.21 ,,,,,1,1,1,0,1,1,20061001
88346,CPT,Immunofluorescent study,26,,17 ,,RBRVS,0.86 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20061001
88347,CPT,Immunofluorescent study,TC,,17 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,,,1,1,1,0,1,1,20061001
88347,CPT,Immunofluorescent study,26,,17 ,,RBRVS,0.86 ,0.35 ,0.35 ,,,,,1,0,1,1,1,1,20061001
88348,CPT,Electron microscopy,TC,,17 ,,RBRVS,0.00 ,8.74 ,8.74 ,,,,,1,1,1,0,1,1,20061001
88348,CPT,Electron microscopy,26,,17 ,,RBRVS,1.51 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20061001
88349,CPT,Scanning electron microscopy,TC,,17 ,,RBRVS,0.00 ,3.24 ,3.24 ,,,,,1,1,1,0,1,1,20061001
88349,CPT,Scanning electron microscopy,26,,17 ,,RBRVS,0.76 ,0.33 ,0.33 ,,,,,1,0,1,1,1,1,20061001
88355,CPT,"Analysis, skeletal muscle",TC,,17 ,,RBRVS,0.00 ,8.00 ,8.00 ,,,,,1,1,1,0,1,1,20061001
88355,CPT,"Analysis, skeletal muscle",26,,17 ,,RBRVS,1.85 ,0.79 ,0.79 ,,,,,1,0,1,1,1,1,20061001
88356,CPT,"Analysis, nerve",TC,,17 ,,RBRVS,0.00 ,2.93 ,2.93 ,,,,,1,1,1,0,1,1,20061001
88356,CPT,"Analysis, nerve",26,,17 ,,RBRVS,3.02 ,1.26 ,1.26 ,,,,,1,0,1,1,1,1,20061001
88358,CPT,"Analysis, tumor",TC,,17 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,,,1,1,1,0,1,1,20061001
88358,CPT,"Analysis, tumor",26,,17 ,,RBRVS,0.95 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20061001
88360,CPT,Tumor immunohistochem/manual,TC,,17 ,,RBRVS,0.00 ,1.26 ,1.26 ,,,,,1,1,1,0,1,1,20061001
88360,CPT,Tumor immunohistochem/manual,26,,17 ,,RBRVS,1.10 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20061001
88361,CPT,"Immunohistochemistry, tumor",TC,,17 ,,RBRVS,0.00 ,2.54 ,2.54 ,,,,,1,1,1,0,1,1,20061001
88361,CPT,"Immunohistochemistry, tumor",26,,17 ,,RBRVS,1.18 ,0.49 ,0.49 ,,,,,1,0,1,1,1,1,20061001
88362,CPT,Nerve teasing preparations,TC,,17 ,,RBRVS,0.00 ,3.78 ,3.78 ,,,,,1,1,1,0,1,1,20061001
88362,CPT,Nerve teasing preparations,26,,17 ,,RBRVS,2.17 ,0.92 ,0.92 ,,,,,1,0,1,1,1,1,20061001
88365,CPT,Tissue hybridization,TC,,17 ,,RBRVS,0.00 ,1.62 ,1.62 ,,,,,1,1,1,0,1,1,20061001
88365,CPT,Tissue hybridization,26,,17 ,,RBRVS,1.20 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20061001
88367,CPT,"Insitu hybridization, auto",TC,,17 ,,RBRVS,0.00 ,3.50 ,3.50 ,,,,,1,1,1,0,1,1,20061001
88367,CPT,"Insitu hybridization, auto",26,,17 ,,RBRVS,1.30 ,0.54 ,0.54 ,,,,,1,0,1,1,1,1,20061001
88368,CPT,"Insitu hybridization, manual",TC,,17 ,,RBRVS,0.00 ,1.80 ,1.80 ,,,,,1,1,1,0,1,1,20061001
88368,CPT,"Insitu hybridization, manual",26,,17 ,,RBRVS,1.40 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20061001
88371,CPT,"Protein, western blot tissue",,,17 ,,TotalUnits,,,,1.04 ,,,,1,1,1,0,1,1,20061001
88371,CPT,"Protein, western blot tissue",26,,17 ,,RBRVS,0.37 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20061001
88372,CPT,Protein analysis w/probe,,,17 ,,TotalUnits,,,,1.06 ,,,,1,1,1,0,1,1,20061001
88372,CPT,Protein analysis w/probe,26,,17 ,,RBRVS,0.37 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
88380,CPT,Microdissection,TC,,17 ,,TotalUnits,,,,2.49,,,,1,1,1,0,1,1,20061001
88380,CPT,Microdissection,26,,17 ,,RBRVS,0.24 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
88384,CPT,"Eval molecular probes, 11-50",,,28 ,,NW,,,,,,$15.88,,1,1,1,0,1,1,20061001
88385,CPT,"Eval  molecul probes, 51-250",,,28 ,,NW,,,,,,$29.00,,1,1,1,0,1,1,20061001
88386,CPT,"Eval molecul probes, 251-500",,,28 ,,NW,,,,,,$48.29,,1,1,1,0,1,1,20061001
88399,CPT,Surgical pathology procedure,,,17 ,,TotalUnits,,,,2.49 ,,,,1,1,1,0,1,1,20061001
88400,CPT,Bilirubin total transcut,,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20061001
89049,CPT,Chct for mal hyperthermia,,,17 ,,RBRVS,1.40 ,0.27 ,3.56 ,,,,,1,1,1,0,1,1,20061001
89050,CPT,Body fluid cell count,,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20061001
89051,CPT,Body fluid cell count,,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20061001
89055,CPT,"Leukocyte count, fecal",,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
89060,CPT,"Exam,synovial fluid crystals",,,17 ,,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20061001
89100,CPT,Sample intestinal contents,,,17 ,,RBRVS,0.60 ,0.21 ,1.84 ,,,,,1,0,1,1,1,1,20061001
89105,CPT,Sample intestinal contents,,,17 ,,RBRVS,0.50 ,0.17 ,2.23 ,,,,,1,0,1,1,1,1,20061001
89125,CPT,Specimen fat stain,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
89130,CPT,Sample stomach contents,,,17 ,,RBRVS,0.45 ,0.13 ,1.75 ,,,,,1,0,1,1,1,1,20061001
89132,CPT,Sample stomach contents,,,17 ,,RBRVS,0.19 ,0.06 ,1.55 ,,,,,1,0,1,1,1,1,20061001
89135,CPT,Sample stomach contents,,,17 ,,RBRVS,0.79 ,0.25 ,1.90 ,,,,,1,0,1,1,1,1,20061001
89136,CPT,Sample stomach contents,,,17 ,,RBRVS,0.21 ,0.09 ,1.74 ,,,,,1,0,1,1,1,1,20061001
89140,CPT,Sample stomach contents,,,17 ,,RBRVS,0.94 ,0.27 ,2.09 ,,,,,1,0,1,1,1,1,20061001
89141,CPT,Sample stomach contents,,,17 ,,RBRVS,0.85 ,0.33 ,2.80 ,,,,,1,0,1,1,1,1,20061001
89160,CPT,Exam feces for meat fibers,,,17 ,,TotalUnits,,,,0.17 ,,,,1,1,1,0,1,1,20061001
89190,CPT,Nasal smear for eosinophils,,,17 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20061001
89220,CPT,Sputum specimen collection,,TC,17 ,,RBRVS,0.00 ,0.43 ,0.43 ,,,,,1,1,1,0,1,1,20061001
89225,CPT,"Starch granules, feces",,,17 ,,TotalUnits,,,,0.16 ,,,,1,1,1,0,1,1,20061001
89230,CPT,Collect sweat for test,,TC,17 ,,RBRVS,0.00 ,0.11 ,0.11 ,,,,,1,1,1,0,1,1,20061001
89235,CPT,Water load test,,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20061001
89240,CPT,Pathology lab procedure,,,17 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20061001
89250,CPT,Cultr oocyte/embryo <4 days,,,17 ,,TotalUnits,,,,14.03 ,,,,1,1,1,0,1,1,20061001
89300,CPT,Semen analysis w/huhner,,,17 ,,TotalUnits,,,,0.42 ,,,,1,1,1,0,1,1,20061001
89310,CPT,Semen analysis w/count,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20061001
89320,CPT,"Semen analysis, complete",,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
89321,CPT,Semen analysis & motility,,,17 ,,TotalUnits,,,,0.56 ,,,,1,1,1,0,1,1,20061001
89325,CPT,Sperm antibody test,,,17 ,,TotalUnits,,,,0.50 ,,,,1,1,1,0,1,1,20061001
89329,CPT,Sperm evaluation test,,,17 ,,TotalUnits,,,,0.98 ,,,,1,1,1,0,1,1,20061001
89330,CPT,"Evaluation, cervical mucus",,,17 ,,TotalUnits,,,,0.46 ,,,,1,1,1,0,1,1,20061001
90281,CPT,"Human ig, im",,,22 ,,TotalUnits,,,,0.77 ,,,,1,1,1,0,1,1,20061001
90283,CPT,"Human ig, iv",,,22 ,,TotalUnits,,,,2.16 ,,,,1,1,1,0,1,1,20061001
90287,CPT,Botulinum antitoxin,,,22 ,,TotalUnits,,,,0.55 ,,,,1,1,1,0,1,1,20061001
90291,CPT,"Cmv ig, iv",,,29 ,,NW,,,,,,$462.03,,1,1,1,0,0,1,20061001
90371,CPT,"Hep b ig, im",,,22 ,,TotalUnits,,,,4.56 ,,,,1,1,1,0,1,1,20061001
90375,CPT,"Rabies ig, im/sc",,,22 ,,TotalUnits,,,,5.22 ,,,,1,1,1,0,1,1,20061001
90376,CPT,"Rabies ig, heat treated",,,22 ,,TotalUnits,,,,4.98 ,,,,1,1,1,0,1,1,20061001
90378,CPT,"Rsv ig, im, 50mg",,,22 ,,TotalUnits,,,,22.71 ,,,,1,1,1,0,1,1,20061001
90379,CPT,"Rsv ig, iv",,,22 ,,TotalUnits,,,,27.49 ,,,,1,1,1,0,1,1,20061001
90384,CPT,"Rh ig, full-dose, im",,,22 ,,TotalUnits,,,,3.10 ,,,,1,1,1,0,1,1,20061001
90385,CPT,"Rh ig, minidose, im",,,22 ,,TotalUnits,,,,1.73 ,,,,1,1,1,0,1,1,20061001
90386,CPT,"Rh ig, iv",,,22 ,,TotalUnits,,,,6.95 ,,,,1,1,1,0,1,1,20061001
90389,CPT,"Tetanus ig, im",,,22 ,2,TotalUnits,,,,3.85 ,,,,1,1,1,0,1,1,20061001
90396,CPT,"Varicella-zoster ig, im",,,22 ,,TotalUnits,,,,2.75 ,,,,1,1,1,0,1,1,20061001
90399,CPT,Immune globulin,,,22 ,,TotalUnits,,,,4.56 ,,,,1,1,1,0,1,1,20061001
90465,CPT,"Immune admin 1 inj, < 8 yrs",,,9 ,,RBRVS,0.17 ,0.31 ,0.31 ,,,,,1,1,1,0,1,1,20061001
90466,CPT,"Immune admin addl inj, < 8 y",,,9 ,,RBRVS,0.15 ,0.13 ,0.13 ,,,,,1,1,1,0,1,1,20061001
90467,CPT,"Immune admin o or n, < 8 yrs",,,9 ,,RBRVS,0.17 ,0.09 ,0.17 ,,,,,1,1,1,0,1,1,20061001
90468,CPT,"Immune admin o/n, addl < 8 y",,,9 ,,RBRVS,0.15 ,0.13 ,0.13 ,,,,,1,1,1,0,1,1,20061001
90471,CPT,Immunization admin,,,9 ,2,RBRVS,0.17 ,0.31 ,0.31 ,,,,,1,1,1,0,1,1,20061001
90472,CPT,"Immunization admin, each add",,,9 ,2,RBRVS,0.15 ,0.13 ,0.13 ,,,,,1,1,1,0,1,1,20061001
90473,CPT,Immune admin oral/nasal,,,9 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20061001
90474,CPT,Immune admin oral/nasal addl,,,9 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20061001
90476,CPT,"Adenovirus vaccine, type 4",,,9 ,2,TotalUnits,,,,1.05 ,,,,1,1,1,0,1,1,20061001
90477,CPT,"Adenovirus vaccine, type 7",,,9 ,2,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20061001
90581,CPT,"Anthrax vaccine, sc",,,9 ,2,TotalUnits,,,,2.97 ,,,,1,1,1,0,1,1,20061001
90585,CPT,"Bcg vaccine, percut",,,9 ,2,TotalUnits,,,,4.00 ,,,,1,1,1,0,1,1,20061001
90586,CPT,"Bcg vaccine, intravesical",,,9 ,,TotalUnits,,,,3.19 ,,,,1,1,1,0,1,1,20061001
90632,CPT,"Hep a vaccine, adult im",,,9 ,2,TotalUnits,,,,1.21 ,,,,1,1,1,0,1,1,20061001
90633,CPT,"Hep a vacc, ped/adol, 2 dose",,,9 ,2,TotalUnits,,,,0.96 ,,,,1,1,1,0,1,1,20061001
90634,CPT,"Hep a vacc, ped/adol, 3 dose",,,9 ,2,TotalUnits,,,,0.96 ,,,,1,1,1,0,1,1,20061001
90636,CPT,"Hep a/hep b vacc, adult im",,,9 ,,TotalUnits,,,,1.73 ,,,,1,1,1,0,1,1,20061001
90645,CPT,"Hib vaccine, hboc, im",,,9 ,2,TotalUnits,,,,0.57 ,,,,1,1,1,0,1,1,20061001
90646,CPT,"Hib vaccine, prp-d, im",,,9 ,2,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20061001
90647,CPT,"Hib vaccine, prp-omp, im",,,9 ,2,TotalUnits,,,,0.57 ,,,,1,1,1,0,1,1,20061001
90648,CPT,"Hib vaccine, prp-t, im",,,9 ,2,TotalUnits,,,,0.64 ,,,,1,1,1,0,1,1,20061001
90657,CPT,"Flu vaccine, 6-35 mo, im",,,9 ,,TotalUnits,,,,0.25 ,,,,1,1,1,0,1,1,20061001
90658,CPT,"Flu vaccine, 3 yrs, im",,,9 ,,TotalUnits,,,,0.25 ,,,,1,1,1,0,1,1,20061001
90660,CPT,"Flu vaccine, nasal",,,9 ,,TotalUnits,,,,0.34 ,,,,1,1,1,0,1,1,20061001
90665,CPT,"Lyme disease vaccine, im",,,9 ,2,TotalUnits,,,,1.41 ,,,,1,1,1,0,1,1,20061001
90669,CPT,"Pneumococcal vacc, ped <5",,,9 ,,TotalUnits,,,,1.27 ,,,,1,1,1,0,1,1,20061001
90675,CPT,"Rabies vaccine, im",,,9 ,,TotalUnits,,,,2.80 ,,,,1,1,1,0,1,1,20061001
90676,CPT,"Rabies vaccine, id",,,9 ,,TotalUnits,,,,2.75 ,,,,1,1,1,0,1,1,20061001
90680,CPT,"Rotovirus vaccine, oral",,,9 ,2,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20061001
90690,CPT,"Typhoid vaccine, oral",,,9 ,2,TotalUnits,,,,0.78 ,,,,1,1,1,0,1,1,20061001
90691,CPT,"Typhoid vaccine, im",,,9 ,2,TotalUnits,,,,0.93 ,,,,1,1,1,0,1,1,20061001
90692,CPT,"Typhoid vaccine, h-p, sc/id",,,9 ,2,TotalUnits,,,,0.85 ,,,,1,1,1,0,1,1,20061001
90693,CPT,"Typhoid vaccine, akd, sc",,,9 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20061001
90700,CPT,"Dtap vaccine, im",,,9 ,2,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20061001
90701,CPT,"Dtp vaccine, im",,,9 ,2,TotalUnits,,,,0.51 ,,,,1,1,1,0,1,1,20061001
90702,CPT,"Dt vaccine < 7, im",,,9 ,2,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20061001
90703,CPT,"Tetanus vaccine, im",,,9 ,2,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20061001
90704,CPT,"Mumps vaccine, sc",,,9 ,2,TotalUnits,,,,0.57 ,,,,1,1,1,0,1,1,20061001
90705,CPT,"Measles vaccine, sc",,,9 ,2,TotalUnits,,,,0.51 ,,,,1,1,1,0,1,1,20061001
90706,CPT,"Rubella vaccine, sc",,,9 ,2,TotalUnits,,,,0.51 ,,,,1,1,1,0,1,1,20061001
90707,CPT,"Mmr vaccine, sc",,,9 ,2,TotalUnits,,,,0.83 ,,,,1,1,1,0,1,1,20061001
90708,CPT,"Measles-rubella vaccine, sc",,,9 ,2,TotalUnits,,,,0.70 ,,,,1,1,1,0,1,1,20061001
90710,CPT,"Mmrv vaccine, sc",,,9 ,2,TotalUnits,,,,0.99 ,,,,1,1,1,0,1,1,20061001
90712,CPT,Oral poliovirus vaccine,,,9 ,2,TotalUnits,,,,0.47 ,,,,1,1,1,0,1,1,20061001
90713,CPT,"Poliovirus, ipv, sc",,,9 ,2,TotalUnits,,,,0.57 ,,,,1,1,1,0,1,1,20061001
90714,CPT,Td vaccine no prsrv >/= 7 im,,,29 ,,NW,,,,,,$37.45,,1,1,1,0,1,1,20061001
90716,CPT,"Chicken pox vaccine, sc",,,9 ,,TotalUnits,,,,1.10 ,,,,1,1,1,0,1,1,20061001
90717,CPT,"Yellow fever vaccine, sc",,,9 ,2,TotalUnits,,,,1.27 ,,,,1,1,1,0,1,1,20061001
90718,CPT,"Td vaccine > 7, im",,,9 ,2,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20061001
90719,CPT,"Diphtheria vaccine, im",,,9 ,2,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20061001
90720,CPT,"Dtp/hib vaccine, im",,,9 ,2,TotalUnits,,,,0.89 ,,,,1,1,1,0,1,1,20061001
90721,CPT,"Dtap/hib vaccine, im",,,9 ,2,TotalUnits,,,,0.96 ,,,,1,1,1,0,1,1,20061001
90723,CPT,"Dtap-hep b-ipv vaccine, im",,,9 ,,TotalUnits,,,,1.47 ,,,,1,1,1,0,1,1,20061001
90725,CPT,"Cholera vaccine, injectable",,,9 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20061001
90727,CPT,"Plague vaccine, im",,,9 ,2,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20061001
90732,CPT,Pneumococcal vaccine,,,9 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20061001
90733,CPT,"Meningococcal vaccine, sc",,,9 ,2,TotalUnits,,,,1.34 ,,,,1,1,1,0,1,1,20061001
90734,CPT,MNINGOCOCCL CONJUGATE VAC SEROGRP A C Y&W-135 IM,,,29 ,,NW,,,,,,$57.47,,1,1,1,0,1,1,20061001
90735,CPT,"Encephalitis vaccine, sc",,,9 ,2,TotalUnits,,,,1.53 ,,,,1,1,1,0,1,1,20061001
90740,CPT,"Hepb vacc, ill pat 3 dose im",,,9 ,,TotalUnits,,,,5.05 ,,,,1,1,1,0,1,1,20061001
90743,CPT,"Hep b vacc, adol, 2 dose, im",,,9 ,,TotalUnits,,,,1.02 ,,,,1,1,1,0,1,1,20061001
90744,CPT,Hepb vacc ped/adol 3 dose im,,,9 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,1,1,20061001
90746,CPT,"Hep b vaccine, adult, im",,,9 ,,TotalUnits,,,,1.15 ,,,,1,1,1,0,1,1,20061001
90747,CPT,"Hepb vacc, ill pat 4 dose im",,,9 ,,TotalUnits,,,,4.31 ,,,,1,1,1,0,1,1,20061001
90748,CPT,"Hep b/hib vaccine, im",,,9 ,,TotalUnits,,,,1.07 ,,,,1,1,1,0,1,1,20061001
90749,CPT,Vaccine toxoid,,,9 ,2,TotalUnits,,,,0.61 ,,,,1,1,1,0,1,1,20061001
90760,CPT,"Hydration iv infusion, init",,,22 ,,RBRVS,0.17 ,1.43 ,1.43 ,,,,,1,1,1,0,1,1,20061001
90761,CPT,"Hydrate iv infusion, add-on",,,22 ,,RBRVS,0.09 ,0.40 ,0.40 ,,,,,1,1,1,0,1,1,20061001
90765,CPT,"Ther/proph/diag iv inf, init",,,22 ,,RBRVS,0.21 ,1.76 ,1.76 ,,,,,1,1,1,0,1,1,20061001
90766,CPT,"Ther/proph/dg iv inf, add-on",,,22 ,,RBRVS,0.18 ,0.46 ,0.46 ,,,,,1,1,1,0,1,1,20061001
90767,CPT,Tx/proph/dg addl seq iv inf,,,22 ,,RBRVS,0.19 ,0.89 ,0.89 ,,,,,1,1,1,0,1,1,20061001
90768,CPT,Ther/diag concurrent inf,,,22 ,,RBRVS,0.17 ,0.44 ,0.44 ,,,,,1,1,1,0,1,1,20061001
90772,CPT,"Ther/proph/diag inj, sc/im",,,22 ,,RBRVS,0.17 ,0.31 ,0.31 ,,,,,1,1,1,0,1,1,20061001
90773,CPT,"Ther/proph/diag inj, ia",,,22 ,,RBRVS,0.17 ,0.32 ,0.32 ,,,,,1,1,1,0,1,1,20061001
90774,CPT,"Ther/proph/diag inj, iv push",,,22 ,,RBRVS,0.18 ,1.30 ,1.30 ,,,,,1,1,1,0,1,1,20061001
90775,CPT,Ther/proph/diag inj add-on,,,22 ,,RBRVS,0.10 ,0.57 ,0.57 ,,,,,1,1,1,0,1,1,20061001
90779,CPT,Ther/prop/diag inj/inf proc,,,28 ,,NW,,,,,,$8.71,,1,1,1,0,1,1,20061001
90801,CPT,Psy dx interview,,,16 ,,RBRVS,2.80 ,0.93 ,1.17 ,,,,,1,0,1,1,1,1,20061001
90802,CPT,Intac psy dx interview,,,16 ,,RBRVS,3.01 ,0.98 ,1.20 ,,,,,1,0,1,1,1,1,20061001
90804,CPT,"Psytx, office, 20-30 min",,,16 ,,RBRVS,1.21 ,0.38 ,0.49 ,,,,,1,0,1,1,1,1,20061001
90805,CPT,"Psytx, off, 20-30 min w/e&m",,,16 ,,RBRVS,1.37 ,0.42 ,0.50 ,,,,,1,0,1,1,1,1,20061001
90806,CPT,"Psytx, off, 45-50 min",,,16 ,,RBRVS,1.86 ,0.60 ,0.70 ,,,,,1,0,1,1,1,1,20061001
90807,CPT,"Psytx, off, 45-50 min w/e&m",,,16 ,,RBRVS,2.02 ,0.63 ,0.70 ,,,,,1,0,1,1,1,1,20061001
90808,CPT,"Psytx, office, 75-80 min",,,16 ,,RBRVS,2.79 ,0.90 ,1.03 ,,,,,1,0,1,1,1,1,20061001
90809,CPT,"Psytx, off, 75-80, w/e&m",,,16 ,,RBRVS,2.95 ,0.92 ,1.00 ,,,,,1,0,1,1,1,1,20061001
90810,CPT,"Intac psytx, off, 20-30 min",,,16 ,,RBRVS,1.32 ,0.42 ,0.51 ,,,,,1,0,1,1,1,1,20061001
90811,CPT,"Intac psytx, 20-30, w/e&m",,,16 ,,RBRVS,1.48 ,0.46 ,0.57 ,,,,,1,0,1,1,1,1,20061001
90812,CPT,"Intac psytx, off, 45-50 min",,,16 ,,RBRVS,1.97 ,0.64 ,0.79 ,,,,,1,0,1,1,1,1,20061001
90813,CPT,"Intac psytx, 45-50 min w/e&m",,,16 ,,RBRVS,2.13 ,0.67 ,0.77 ,,,,,1,0,1,1,1,1,20061001
90814,CPT,"Intac psytx, off, 75-80 min",,,16 ,,RBRVS,2.90 ,0.98 ,1.10 ,,,,,1,0,1,1,1,1,20061001
90815,CPT,"Intac psytx, 75-80 w/e&m",,,16 ,,RBRVS,3.06 ,0.95 ,1.05 ,,,,,1,0,1,1,1,1,20061001
90816,CPT,"Psytx, hosp, 20-30 min",,,16 ,,RBRVS,1.25 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20061001
90817,CPT,"Psytx, hosp, 20-30 min w/e&m",,,16 ,,RBRVS,1.41 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20061001
90818,CPT,"Psytx, hosp, 45-50 min",,,16 ,,RBRVS,1.89 ,0.69 ,0.69 ,,,,,1,0,1,1,1,1,20061001
90819,CPT,"Psytx, hosp, 45-50 min w/e&m",,,16 ,,RBRVS,2.05 ,0.65 ,0.65 ,,,,,1,0,1,1,1,1,20061001
90821,CPT,"Psytx, hosp, 75-80 min",,,16 ,,RBRVS,2.83 ,1.01 ,1.01 ,,,,,1,0,1,1,1,1,20061001
90822,CPT,"Psytx, hosp, 75-80 min w/e&m",,,16 ,,RBRVS,2.99 ,0.95 ,0.95 ,,,,,1,0,1,1,1,1,20061001
90823,CPT,"Intac psytx, hosp, 20-30 min",,,16 ,,RBRVS,1.36 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20061001
90824,CPT,"Intac psytx, hsp 20-30 w/e&m",,,16 ,,RBRVS,1.52 ,0.49 ,0.49 ,,,,,1,0,1,1,1,1,20061001
90826,CPT,"Intac psytx, hosp, 45-50 min",,,16 ,,RBRVS,2.01 ,0.72 ,0.72 ,,,,,1,0,1,1,1,1,20061001
90827,CPT,"Intac psytx, hsp 45-50 w/e&m",,,16 ,,RBRVS,2.16 ,0.68 ,0.68 ,,,,,1,0,1,1,1,1,20061001
90828,CPT,"Intac psytx, hosp, 75-80 min",,,16 ,,RBRVS,2.94 ,1.06 ,1.06 ,,,,,1,0,1,1,1,1,20061001
90829,CPT,"Intac psytx, hsp 75-80 w/e&m",,,16 ,,RBRVS,3.10 ,0.98 ,0.98 ,,,,,1,0,1,1,1,1,20061001
90845,CPT,Psychoanalysis,,,16 ,,RBRVS,1.79 ,0.55 ,0.58 ,,,,,1,0,1,1,1,1,20061001
90846,CPT,Family psytx w/o patient,,,16 ,,RBRVS,1.83 ,0.65 ,0.65 ,,,,,1,0,1,1,1,1,20061001
90847,CPT,Family psytx w/patient,,,16 ,,RBRVS,2.21 ,0.76 ,0.82 ,,,,,1,0,1,1,1,1,20061001
90849,CPT,Multiple family group psytx,,,16 ,,RBRVS,0.59 ,0.24 ,0.27 ,,,,,1,0,1,1,1,1,20061001
90853,CPT,Group psychotherapy,,,16 ,,RBRVS,0.59 ,0.23 ,0.25 ,,,,,1,0,1,1,1,1,20061001
90857,CPT,Intac group psytx,,,16 ,,RBRVS,0.63 ,0.25 ,0.29 ,,,,,1,0,1,1,1,1,20061001
90862,CPT,Medication management,,,16 ,,RBRVS,0.95 ,0.32 ,0.40 ,,,,,1,0,1,1,1,1,20061001
90865,CPT,Narcosynthesis,,,16 ,,RBRVS,2.84 ,0.91 ,1.36 ,,,,,1,0,1,1,1,1,20061001
90870,CPT,Electroconvulsive therapy,,,16 ,,RBRVS,1.88 ,0.59 ,1.94 ,,,,,1,0,1,1,1,1,20061001
90875,CPT,Psychophysiological therapy,,,16 ,,RBRVS,1.20 ,0.46 ,0.90 ,,,,,1,0,1,1,1,1,20061001
90876,CPT,Psychophysiological therapy,,,16 ,,RBRVS,1.90 ,0.73 ,1.16 ,,,,,1,0,1,1,1,1,20061001
90880,CPT,Hypnotherapy,,,16 ,,RBRVS,2.19 ,0.69 ,1.04 ,,,,,1,0,1,1,1,1,20061001
90882,CPT,Environmental manipulation,,,16 ,,TotalUnits,,,,3.32 ,,,,1,0,1,1,1,1,20061001
90885,CPT,Psy evaluation of records,,,16 ,,RBRVS,0.97 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20061001
90887,CPT,Consultation with family,,,16 ,,RBRVS,1.48 ,0.56 ,0.82 ,,,,,1,0,1,1,1,1,20061001
90889,CPT,Preparation of report,,,16 ,,TotalUnits,,,,2.86 ,,,,1,0,1,1,1,1,20061001
90899,CPT,Psychiatric service/therapy,,,16 ,,TotalUnits,,,,2.56 ,,,,1,0,1,1,1,1,20061001
90901,CPT,"Biofeedback train, any meth",,,14 ,,RBRVS,0.41 ,0.14 ,0.65 ,,,,,1,1,1,0,1,1,20061001
90911,CPT,Biofeedback peri/uro/rectal,,,14 ,,RBRVS,0.89 ,0.31 ,1.56 ,,,,,1,0,1,1,1,1,20061001
90918,CPT,"ESRD related services, month",,,14 ,,RBRVS,11.16 ,6.13 ,6.13 ,,,,,1,1,1,1,1,1,20061001
90919,CPT,"ESRD related services, month",,,14 ,,RBRVS,8.53 ,4.01 ,4.01 ,,,,,1,1,1,1,1,1,20061001
90920,CPT,"ESRD related services, month",,,14 ,,RBRVS,7.26 ,3.76 ,3.76 ,,,,,1,1,1,1,1,1,20061001
90921,CPT,"ESRD related services, month",,,14 ,,RBRVS,4.46 ,2.45 ,2.45 ,,,,,1,1,1,1,1,1,20061001
90922,CPT,"ESRD related services, day",,,14 ,,RBRVS,0.37 ,0.21 ,0.21 ,,,,,1,1,1,1,1,1,20061001
90923,CPT,"Esrd related services, day",,,14 ,,RBRVS,0.28 ,0.13 ,0.13 ,,,,,1,1,1,1,1,1,20061001
90924,CPT,"Esrd related services, day",,,14 ,,RBRVS,0.24 ,0.12 ,0.12 ,,,,,1,1,1,1,1,1,20061001
90925,CPT,"Esrd related services, day",,,14 ,,RBRVS,0.15 ,0.08 ,0.08 ,,,,,1,0,1,0,1,1,20061001
90935,CPT,"Hemodialysis, one evaluation",,,14 ,,RBRVS,1.22 ,0.67 ,0.67 ,,,,,1,0,1,1,1,1,20061001
90937,CPT,"Hemodialysis, repeated eval",,,14 ,,RBRVS,2.11 ,0.97 ,0.97 ,,,,,1,0,1,1,1,1,20061001
90940,CPT,Hemodialysis access study,26,,14 ,,TotalUnits,,,,0.92 ,,,,1,0,1,1,1,1,20061001
90940,CPT,Hemodialysis access study,TC,,14 ,2,TotalUnits,,,,1.37 ,,,,1,1,1,0,1,1,20061001
90945,CPT,"Dialysis, one evaluation",,,14 ,,RBRVS,1.28 ,0.69 ,0.69 ,,,,,1,0,1,1,1,1,20061001
90947,CPT,"Dialysis, repeated eval",,,14 ,,RBRVS,2.16 ,0.99 ,0.99 ,,,,,1,0,1,1,1,1,20061001
90989,CPT,"Dialysis training, complete",,,14 ,,TotalUnits,,,,14.95 ,,,,1,0,1,1,1,1,20061001
90993,CPT,"Dialysis training, incompl",,,14 ,,TotalUnits,,,,2.52 ,,,,1,0,1,1,1,1,20061001
90997,CPT,Hemoperfusion,,,14 ,,RBRVS,1.84 ,0.66 ,0.66 ,,,,,1,0,1,1,1,1,20061001
90999,CPT,Dialysis procedure,,,14 ,,TotalUnits,,,,3.09 ,,,,1,1,1,0,1,1,20061001
91000,CPT,Esophageal intubation,TC,,14 ,,RBRVS,0.00 ,0.08 ,0.08 ,,,,,1,1,1,0,1,1,20061001
91000,CPT,Esophageal intubation,26,,14 ,,RBRVS,0.73 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20061001
91010,CPT,Esophagus motility study,TC,,14 ,,RBRVS,0.00 ,3.98 ,3.98 ,,,,,1,1,1,0,1,1,20061001
91010,CPT,Esophagus motility study,26,,14 ,,RBRVS,1.25 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20061001
91011,CPT,Esophagus motility study,TC,,14 ,,RBRVS,0.00 ,4.71 ,4.71 ,,,,,1,1,1,0,1,1,20061001
91011,CPT,Esophagus motility study,26,,14 ,,RBRVS,1.50 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20061001
91012,CPT,Esophagus motility study,TC,,14 ,,RBRVS,0.00 ,5.26 ,5.26 ,,,,,1,1,1,0,1,1,20061001
91012,CPT,Esophagus motility study,26,,14 ,,RBRVS,1.46 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20061001
91020,CPT,Gastric motility,TC,,14 ,,RBRVS,0.00 ,4.04 ,4.04 ,,,,,1,1,1,0,1,1,20061001
91020,CPT,Gastric motility,26,,14 ,,RBRVS,1.44 ,0.49 ,0.49 ,,,,,1,0,1,1,1,1,20061001
91022,CPT,Duodenal motility study,TC,,14 ,,RBRVS,0.00 ,3.90 ,3.90 ,,,,,1,1,1,0,1,1,20061001
91022,CPT,Duodenal motility study,26,,14 ,,RBRVS,1.44 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20061001
91030,CPT,Acid perfusion of esophagus,TC,,14 ,,RBRVS,0.00 ,2.12 ,2.12 ,,,,,1,1,1,0,1,1,20061001
91030,CPT,Acid perfusion of esophagus,26,,14 ,,RBRVS,0.91 ,0.32 ,0.32 ,,,,,1,0,1,1,1,1,20061001
91034,CPT,Gastroesophageal reflux test,TC,,14 ,,RBRVS,0.00 ,4.91 ,4.91 ,,,,,1,1,1,0,1,1,20061001
91034,CPT,Gastroesophageal reflux test,26,,14 ,,RBRVS,0.97 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20061001
91035,CPT,G-esoph reflx tst w/electrod,TC,,14 ,,RBRVS,0.00 ,10.27 ,10.27 ,,,,,1,1,1,0,1,1,20061001
91035,CPT,G-esoph reflx tst w/electrod,26,,14 ,,RBRVS,1.59 ,0.56 ,0.56 ,,,,,1,0,1,1,1,1,20061001
91037,CPT,Esoph imped function test,TC,,14 ,,RBRVS,0.00 ,2.60 ,2.60 ,,,,,1,1,1,0,1,1,20061001
91037,CPT,Esoph imped function test,26,,14 ,,RBRVS,0.97 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20061001
91038,CPT,Esoph imped funct test > 1h,TC,,14 ,,RBRVS,0.00 ,1.84 ,1.84 ,,,,,1,1,1,0,1,1,20061001
91038,CPT,Esoph imped funct test > 1h,26,,14 ,,RBRVS,1.10 ,0.39 ,0.39 ,,,,,1,0,1,1,1,1,20061001
91040,CPT,Esoph balloon distension tst,TC,,14 ,,RBRVS,0.00 ,10.82 ,10.82 ,,,,,1,1,1,0,1,1,20061001
91040,CPT,Esoph balloon distension tst,26,,14 ,,RBRVS,0.97 ,0.34 ,0.34 ,,,,,1,0,1,1,1,1,20061001
91052,CPT,Gastric analysis test,TC,,14 ,,RBRVS,0.00 ,2.18 ,2.18 ,,,,,1,1,1,0,1,1,20061001
91052,CPT,Gastric analysis test,26,,14 ,,RBRVS,0.79 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20061001
91055,CPT,Gastric intubation for smear,TC,,14 ,,RBRVS,0.00 ,2.68 ,2.68 ,,,,,1,1,1,0,1,1,20061001
91055,CPT,Gastric intubation for smear,26,,14 ,,RBRVS,0.94 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20061001
91060,CPT,Gastric saline load test,TC,,14 ,,RBRVS,0.00 ,1.83 ,1.83 ,,,,,1,1,1,0,1,1,20061001
91060,CPT,Gastric saline load test,26,,14 ,,RBRVS,0.45 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20061001
91065,CPT,Breath hydrogen test,TC,,14 ,,RBRVS,0.00 ,1.39 ,1.39 ,,,,,1,1,1,0,1,1,20061001
91065,CPT,Breath hydrogen test,26,,14 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
91100,CPT,Pass intestine bleeding tube,,,14 ,,RBRVS,1.08 ,0.28 ,2.80 ,,,,,1,0,1,1,1,1,20061001
91105,CPT,Gastric intubation treatment,,,14 ,,RBRVS,0.37 ,0.09 ,2.11 ,,,,,1,0,1,1,1,1,20061001
91110,CPT,Gi tract capsule endoscopy,,,14 ,,RBRVS,3.64 ,22.24 ,22.24 ,,,,,1,0,1,1,1,0,20061001
91110,CPT,Gi tract capsule endoscopy,,,14 ,,RBRVS,3.64 ,22.24 ,22.24 ,,,,,1,0,0,0,0,1,20061001
91120,CPT,Rectal sensation test,,,14 ,,RBRVS,0.97 ,11.01 ,11.01 ,,,,,1,0,1,1,1,0,20061001
91120,CPT,Rectal sensation test,,,14 ,,RBRVS,0.97 ,11.01 ,11.01 ,,,,,1,1,1,0,1,0,20061001
91120,CPT,Rectal sensation test,,,14 ,,RBRVS,0.97 ,11.01 ,11.01 ,,,,,1,0,0,0,0,1,20061001
91122,CPT,Anal pressure record,TC,,14 ,,RBRVS,0.00 ,4.51 ,4.51 ,,,,,1,1,1,0,1,1,20061001
91122,CPT,Anal pressure record,26,,14 ,,RBRVS,1.77 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20061001
91123,CPT,Irrigate fecal impaction,,,14 ,,TotalUnits,,,,2.04 ,,,,1,0,1,1,1,1,20061001
91132,CPT,Electrogastrography,26,,14 ,,RBRVS,0.52 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
91133,CPT,Electrogastrography w/test,26,,14 ,,RBRVS,0.66 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
91299,CPT,Gastroenterology procedure,,,14 ,,TotalUnits,,,,3.96 ,,,,1,1,1,0,1,1,20061001
92002,CPT,"Eye exam, new patient",,,23 ,,RBRVS,0.88 ,0.34 ,0.97 ,,,,,1,0,1,1,1,1,20061001
92004,CPT,"Eye exam, new patient",,,23 ,,RBRVS,1.67 ,0.68 ,1.70 ,,,,,1,0,1,1,1,1,20061001
92012,CPT,Eye exam established pat,,,23 ,,RBRVS,0.67 ,0.29 ,1.03 ,,,,,1,0,1,1,1,1,20061001
92014,CPT,Eye exam & treatment,,,23 ,,RBRVS,1.10 ,0.47 ,1.41 ,,,,,1,0,1,1,1,1,20061001
92015,CPT,Refraction,,,23 ,,RBRVS,0.38 ,0.15 ,1.49 ,,,,,1,0,1,1,1,1,20061001
92018,CPT,New eye exam & treatment,,,14 ,,RBRVS,2.50 ,1.07 ,1.07 ,,,,,1,0,1,1,1,1,20061001
92019,CPT,Eye exam & treatment,,,14 ,,RBRVS,1.31 ,0.56 ,0.56 ,,,,,1,0,1,1,1,1,20061001
92020,CPT,Special eye evaluation,,,14 ,,RBRVS,0.37 ,0.16 ,0.34 ,,,,,1,0,1,1,1,1,20061001
92060,CPT,Special eye evaluation,,,14 ,,RBRVS,0.69 ,0.73 ,0.73 ,,,,,1,0,1,1,1,0,20061001
92060,CPT,Special eye evaluation,,,14 ,,RBRVS,0.69 ,0.73 ,0.73 ,,,,,1,0,0,0,0,1,20061001
92065,CPT,Orthoptic/pleoptic training,,,14 ,,RBRVS,0.37 ,0.53 ,0.53 ,,,,,1,0,1,1,1,0,20061001
92065,CPT,Orthoptic/pleoptic training,,,14 ,,RBRVS,0.37 ,0.53 ,0.53 ,,,,,1,0,0,0,0,1,20061001
92070,CPT,Fitting of contact lens,,,14 ,,RBRVS,0.70 ,0.32 ,1.07 ,,,,,1,0,1,1,1,1,20061001
92081,CPT,Visual field examination(s),TC,,14 ,,RBRVS,0.00 ,0.79 ,0.79 ,,,,,1,1,1,0,1,1,20061001
92081,CPT,Visual field examination(s),26,,14 ,,RBRVS,0.36 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
92082,CPT,Visual field examination(s),TC,,14 ,,RBRVS,0.00 ,1.04 ,1.04 ,,,,,1,1,1,0,1,1,20061001
92082,CPT,Visual field examination(s),26,,14 ,,RBRVS,0.44 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
92083,CPT,Visual field examination(s),TC,,14 ,,RBRVS,0.00 ,1.21 ,1.21 ,,,,,1,1,1,0,1,1,20061001
92083,CPT,Visual field examination(s),26,,14 ,,RBRVS,0.50 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20061001
92100,CPT,Serial tonometry exam(s),,,14 ,,RBRVS,0.92 ,0.36 ,1.35 ,,,,,1,0,1,1,1,1,20061001
92120,CPT,Tonography & eye evaluation,,,14 ,,RBRVS,0.81 ,0.32 ,1.07 ,,,,,1,0,1,1,1,1,20061001
92130,CPT,Water provocation tonography,,,14 ,,RBRVS,0.81 ,0.37 ,1.28 ,,,,,1,0,1,1,1,1,20061001
92135,CPT,Opthalmic dx imaging,TC,,14 ,,RBRVS,0.00 ,0.64 ,0.64 ,,,,,1,1,1,0,1,1,20061001
92135,CPT,Opthalmic dx imaging,26,,14 ,,RBRVS,0.35 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
92136,CPT,Ophthalmic biometry,TC,,14 ,,RBRVS,0.00 ,1.41 ,1.41 ,,,,,1,1,1,0,1,1,20061001
92136,CPT,Ophthalmic biometry,26,,14 ,,RBRVS,0.54 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20061001
92140,CPT,Glaucoma provocative tests,,,14 ,,RBRVS,0.50 ,0.21 ,0.99 ,,,,,1,0,1,1,1,1,20061001
92225,CPT,"Special eye exam, initial",,,14 ,,RBRVS,0.38 ,0.16 ,0.22 ,,,,,1,0,1,1,1,1,20061001
92226,CPT,"Special eye exam, subsequent",,,14 ,,RBRVS,0.33 ,0.14 ,0.21 ,,,,,1,0,1,1,1,1,20061001
92230,CPT,Eye exam with photos,,,14 ,,RBRVS,0.60 ,0.20 ,1.53 ,,,,,1,0,1,1,1,1,20061001
92235,CPT,Eye exam with photos,TC,,14 ,,RBRVS,0.00 ,2.25 ,2.25 ,,,,,1,1,1,0,1,1,20061001
92235,CPT,Eye exam with photos,26,,14 ,,RBRVS,0.81 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20061001
92240,CPT,Icg angiography,TC,,14 ,,RBRVS,0.00 ,5.62 ,5.62 ,,,,,1,1,1,0,1,1,20061001
92240,CPT,Icg angiography,26,,14 ,,RBRVS,1.10 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20061001
92250,CPT,Eye exam with photos,TC,,14 ,,RBRVS,0.00 ,1.34 ,1.34 ,,,,,1,1,1,0,1,1,20061001
92250,CPT,Eye exam with photos,26,,14 ,,RBRVS,0.44 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
92260,CPT,Ophthalmoscopy/dynamometry,,,14 ,,RBRVS,0.20 ,0.09 ,0.26 ,,,,,1,0,1,1,1,1,20061001
92265,CPT,Eye muscle evaluation,TC,,14 ,,RBRVS,0.00 ,1.21 ,1.21 ,,,,,1,1,1,0,1,1,20061001
92265,CPT,Eye muscle evaluation,26,,14 ,,RBRVS,0.81 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20061001
92270,CPT,Electro-oculography,TC,,14 ,,RBRVS,0.00 ,1.20 ,1.20 ,,,,,1,1,1,0,1,1,20061001
92270,CPT,Electro-oculography,26,,14 ,,RBRVS,0.81 ,0.33 ,0.33 ,,,,,1,0,1,1,1,1,20061001
92275,CPT,Electroretinography,TC,,14 ,,RBRVS,0.00 ,1.51 ,1.51 ,,,,,1,1,1,0,1,1,20061001
92275,CPT,Electroretinography,26,,14 ,,RBRVS,1.01 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20061001
92283,CPT,Color vision examination,,,14 ,,RBRVS,0.17 ,0.84 ,0.84 ,,,,,1,0,1,1,1,0,20061001
92283,CPT,Color vision examination,,,14 ,,RBRVS,0.17 ,0.84 ,0.84 ,,,,,1,0,0,0,0,1,20061001
92284,CPT,Dark adaptation eye exam,,,14 ,,RBRVS,0.24 ,1.89 ,1.89 ,,,,,1,0,1,1,1,0,20061001
92284,CPT,Dark adaptation eye exam,,,14 ,,RBRVS,0.24 ,1.89 ,1.89 ,,,,,1,0,0,0,0,1,20061001
92285,CPT,Eye photography,TC,,14 ,,RBRVS,0.00 ,0.90 ,0.90 ,,,,,1,1,1,0,1,1,20061001
92285,CPT,Eye photography,26,,14 ,,RBRVS,0.20 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20061001
92286,CPT,Internal eye photography,TC,,14 ,,RBRVS,0.00 ,2.77 ,2.77 ,,,,,1,1,1,0,1,1,20061001
92286,CPT,Internal eye photography,26,,14 ,,RBRVS,0.66 ,0.29 ,0.29 ,,,,,1,0,1,1,1,1,20061001
92287,CPT,Internal eye photography,26,,14 ,,TotalUnits,,,,1.50 ,,,,1,0,1,1,1,1,20061001
92287,CPT,Internal eye photography,TC,,14 ,,TotalUnits,,,,2.00 ,,,,1,1,1,0,1,1,20061001
92310,CPT,Contact lens fitting,,,23 ,,RBRVS,1.17 ,0.45 ,1.12 ,,,,,1,0,1,1,1,1,20061001
92311,CPT,Contact lens fitting,,,14 ,,RBRVS,1.08 ,0.35 ,1.09 ,,,,,1,0,1,1,1,1,20061001
92312,CPT,Contact lens fitting,,,14 ,,RBRVS,1.26 ,0.50 ,1.08 ,,,,,1,0,1,1,1,1,20061001
92313,CPT,Contact lens fitting,,,14 ,,RBRVS,0.92 ,0.29 ,1.06 ,,,,,1,0,1,1,1,1,20061001
92314,CPT,Prescription of contact lens,,,23 ,,RBRVS,0.69 ,0.27 ,0.94 ,,,,,1,0,1,1,1,1,20061001
92315,CPT,Prescription of contact lens,,,14 ,,RBRVS,0.45 ,0.16 ,0.85 ,,,,,1,0,1,1,1,1,20061001
92316,CPT,Prescription of contact lens,,,14 ,,RBRVS,0.68 ,0.29 ,0.91 ,,,,,1,0,1,1,1,1,20061001
92317,CPT,Prescription of contact lens,,,14 ,,RBRVS,0.45 ,0.15 ,0.94 ,,,,,1,0,1,1,1,1,20061001
92325,CPT,Modification of contact lens,,,23 ,,RBRVS,0.00 ,0.40 ,0.40 ,,,,,1,1,1,0,1,1,20061001
92326,CPT,Replacement of contact lens,,,23 ,,RBRVS,0.00 ,1.63 ,1.63 ,,,,,1,1,1,0,1,1,20061001
92340,CPT,Fitting of spectacles,,,23 ,,RBRVS,0.37 ,0.14 ,0.70 ,,,,,1,0,1,1,1,1,20061001
92341,CPT,Fitting of spectacles,,,23 ,,RBRVS,0.47 ,0.18 ,0.74 ,,,,,1,0,1,1,1,1,20061001
92342,CPT,Fitting of spectacles,,,23 ,,RBRVS,0.53 ,0.21 ,0.76 ,,,,,1,0,1,1,1,1,20061001
92352,CPT,Special spectacles fitting,,,14 ,,RBRVS,0.37 ,0.14 ,0.68 ,,,,,1,0,1,1,1,1,20061001
92353,CPT,Special spectacles fitting,,,14 ,,RBRVS,0.50 ,0.19 ,0.73 ,,,,,1,0,1,1,1,1,20061001
92354,CPT,Special spectacles fitting,,,14 ,,RBRVS,0.00 ,8.89 ,8.89 ,,,,,1,1,1,0,1,1,20061001
92355,CPT,Special spectacles fitting,,,14 ,,RBRVS,0.00 ,4.34 ,4.34 ,,,,,1,1,1,0,1,1,20061001
92358,CPT,Eye prosthesis service,,,14 ,,RBRVS,0.00 ,0.97 ,0.97 ,,,,,1,1,1,0,1,1,20061001
92370,CPT,Repair & adjust spectacles,,,23 ,,RBRVS,0.32 ,0.13 ,0.55 ,,,,,1,0,1,1,1,1,20061001
92371,CPT,Repair & adjust spectacles,,,14 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20061001
92499,CPT,Eye service or procedure,,,14 ,,TotalUnits,,,,1.15 ,,,,1,0,1,1,1,1,20061001
92502,CPT,Ear and throat examination,,,14 ,,RBRVS,1.51 ,1.11 ,1.11 ,,,,,1,0,1,1,1,1,20061001
92504,CPT,Ear microscopy examination,,,14 ,,RBRVS,0.18 ,0.09 ,0.50 ,,,,,1,0,1,1,1,1,20061001
92506,CPT,Speech/hearing evaluation,,,8 ,,RBRVS,0.86 ,0.40 ,2.60 ,,,,,1,1,1,0,0,1,20061001
92507,CPT,Speech/hearing therapy,,,8 ,,RBRVS,0.52 ,0.23 ,1.11 ,,,,,1,1,1,0,0,1,20061001
92508,CPT,Speech/hearing therapy,,,8 ,,RBRVS,0.26 ,0.12 ,0.51 ,,,,,1,1,1,0,0,1,20061001
92511,CPT,Nasopharyngoscopy,,,14 ,,RBRVS,0.84 ,0.78 ,3.32 ,,,,,1,0,1,1,1,1,20061001
92512,CPT,Nasal function studies,,,14 ,,RBRVS,0.55 ,0.18 ,1.14 ,,,,,1,0,1,1,1,1,20061001
92516,CPT,Facial nerve function test,,,14 ,,RBRVS,0.43 ,0.22 ,1.20 ,,,,,1,0,1,1,1,1,20061001
92520,CPT,Laryngeal function studies,,,14 ,,RBRVS,0.75 ,0.39 ,0.51 ,,,,,1,0,1,1,1,1,20061001
92526,CPT,Oral function therapy,,,14 ,,RBRVS,0.55 ,0.20 ,1.64 ,,,,,1,1,1,0,1,1,20061001
92531,CPT,Spontaneous nystagmus study,,,14 ,,TotalUnits,,,,0.64 ,,,,1,0,1,1,1,1,20061001
92532,CPT,Positional nystagmus test,,,14 ,,TotalUnits,,,,0.75 ,,,,1,0,1,1,1,1,20061001
92533,CPT,Caloric vestibular test,,,14 ,,TotalUnits,,,,1.20 ,,,,1,0,1,1,1,1,20061001
92534,CPT,Optokinetic nystagmus test,,,14 ,,TotalUnits,,,,0.53 ,,,,1,0,1,1,1,1,20061001
92541,CPT,Spontaneous nystagmus test,TC,,14 ,,RBRVS,0.00 ,0.84 ,0.84 ,,,,,1,1,1,0,1,1,20061001
92541,CPT,Spontaneous nystagmus test,26,,14 ,,RBRVS,0.40 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
92542,CPT,Positional nystagmus test,TC,,14 ,,RBRVS,0.00 ,0.98 ,0.98 ,,,,,1,1,1,0,1,1,20061001
92542,CPT,Positional nystagmus test,26,,14 ,,RBRVS,0.33 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
92543,CPT,Caloric vestibular test,TC,,14 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20061001
92543,CPT,Caloric vestibular test,26,,14 ,,RBRVS,0.10 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20061001
92544,CPT,Optokinetic nystagmus test,TC,,14 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20061001
92544,CPT,Optokinetic nystagmus test,26,,14 ,,RBRVS,0.26 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
92545,CPT,Oscillating tracking test,TC,,14 ,,RBRVS,0.00 ,0.69 ,0.69 ,,,,,1,1,1,0,1,1,20061001
92545,CPT,Oscillating tracking test,26,,14 ,,RBRVS,0.23 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20061001
92546,CPT,Sinusoidal rotational test,TC,,14 ,,RBRVS,0.00 ,1.86 ,1.86 ,,,,,1,1,1,0,1,1,20061001
92546,CPT,Sinusoidal rotational test,26,,14 ,,RBRVS,0.29 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20061001
92547,CPT,Supplemental electrical test,,TC,14 ,,RBRVS,0.00 ,0.08 ,0.08 ,,,,,1,1,1,0,1,1,20061001
92548,CPT,Posturography,,,14 ,,RBRVS,0.50 ,2.26 ,2.26 ,,,,,1,0,1,1,1,0,20061001
92548,CPT,Posturography,,,14 ,,RBRVS,0.50 ,2.26 ,2.26 ,,,,,1,0,0,0,0,1,20061001
92551,CPT,"Pure tone hearing test, air",,,8 ,,TotalUnits,,,,0.39 ,,,,1,1,1,0,0,1,20061001
92552,CPT,"Pure tone audiometry, air",,TC,8 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,,,1,1,1,0,0,1,20061001
92553,CPT,"Audiometry, air & bone",,TC,8 ,,RBRVS,0.00 ,0.66 ,0.66 ,,,,,1,1,1,0,0,1,20061001
92555,CPT,Speech threshold audiometry,,TC,8 ,,RBRVS,0.00 ,0.38 ,0.38 ,,,,,1,1,1,0,0,1,20061001
92556,CPT,"Speech audiometry, complete",,TC,8 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,,,1,1,1,0,0,1,20061001
92557,CPT,Comprehensive hearing test,,TC,8 ,,RBRVS,0.00 ,1.19 ,1.19 ,,,,,1,1,1,0,0,1,20061001
92559,CPT,Group audiometric testing,,,8 ,,TotalUnits,,,,1.26 ,,,,1,1,1,0,0,1,20061001
92560,CPT,"Bekesy audiometry, screen",,,8 ,,TotalUnits,,,,0.75 ,,,,1,1,1,0,0,1,20061001
92561,CPT,"Bekesy audiometry, diagnosis",,TC,8 ,,RBRVS,0.00 ,0.72 ,0.72 ,,,,,1,1,1,0,0,1,20061001
92562,CPT,Loudness balance test,,TC,8 ,,RBRVS,0.00 ,0.41 ,0.41 ,,,,,1,1,1,0,0,1,20061001
92563,CPT,Tone decay hearing test,,TC,8 ,,RBRVS,0.00 ,0.38 ,0.38 ,,,,,1,1,1,0,0,1,20061001
92564,CPT,Sisi hearing test,,TC,8 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,0,1,20061001
92565,CPT,"Stenger test, pure tone",,TC,8 ,,RBRVS,0.00 ,0.40 ,0.40 ,,,,,1,1,1,0,0,1,20061001
92567,CPT,Tympanometry,,TC,8 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,0,1,20061001
92568,CPT,Acoustic reflex testing,,TC,8 ,,RBRVS,0.00 ,0.38 ,0.38 ,,,,,1,1,1,0,0,1,20061001
92569,CPT,Acoustic reflex decay test,,TC,8 ,,RBRVS,0.00 ,0.41 ,0.41 ,,,,,1,1,1,0,0,1,20061001
92571,CPT,Filtered speech hearing test,,TC,8 ,,RBRVS,0.00 ,0.39 ,0.39 ,,,,,1,1,1,0,0,1,20061001
92572,CPT,Staggered spondaic word test,,TC,8 ,,RBRVS,0.00 ,0.09 ,0.09 ,,,,,1,1,1,0,0,1,20061001
92573,CPT,Lombard test,,TC,8 ,,RBRVS,0.00 ,0.35 ,0.35 ,,,,,1,1,1,0,0,1,20061001
92575,CPT,Sensorineural acuity test,,TC,8 ,,RBRVS,0.00 ,0.30 ,0.30 ,,,,,1,1,1,0,0,1,20061001
92576,CPT,Synthetic sentence test,,TC,8 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,,,1,1,1,0,0,1,20061001
92577,CPT,"Stenger test, speech",,TC,8 ,,RBRVS,0.00 ,0.72 ,0.72 ,,,,,1,1,1,0,0,1,20061001
92579,CPT,Visual audiometry (vra),,TC,8 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,0,1,20061001
92582,CPT,Conditioning play audiometry,,TC,8 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,0,1,20061001
92583,CPT,Select picture audiometry,,TC,8 ,,RBRVS,0.00 ,0.89 ,0.89 ,,,,,1,1,1,0,0,1,20061001
92584,CPT,Electrocochleography,,TC,8 ,,RBRVS,0.00 ,2.48 ,2.48 ,,,,,1,1,1,0,0,1,20061001
92585,CPT,"Auditor evoke potent, compre",TC,,8 ,,RBRVS,0.00 ,1.86 ,1.86 ,,,,,1,1,1,0,1,1,20061001
92585,CPT,"Auditor evoke potent, compre",26,,8 ,,RBRVS,0.50 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20061001
92586,CPT,"Auditor evoke potent, limit",,TC,8 ,,RBRVS,0.00 ,1.86 ,1.86 ,,,,,1,1,1,0,0,1,20061001
92587,CPT,Evoked auditory test,TC,,8 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
92587,CPT,Evoked auditory test,26,,8 ,,RBRVS,0.13 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
92588,CPT,Evoked auditory test,TC,,8 ,,RBRVS,0.00 ,1.47 ,1.47 ,,,,,1,1,1,0,1,1,20061001
92588,CPT,Evoked auditory test,26,,8 ,,RBRVS,0.36 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
92590,CPT,"Hearing aid exam, one ear",,,8 ,,TotalUnits,,,,1.51 ,,,,1,1,1,0,0,1,20061001
92591,CPT,"Hearing aid exam, both ears",,,8 ,,TotalUnits,,,,2.26 ,,,,1,1,1,0,0,1,20061001
92592,CPT,"Hearing aid check, one ear",,,8 ,,TotalUnits,,,,0.66 ,,,,1,1,1,0,0,1,20061001
92593,CPT,"Hearing aid check, both ears",,,8 ,,TotalUnits,,,,0.99 ,,,,1,1,1,0,0,1,20061001
92594,CPT,"Electro hearng aid test, one",,,8 ,,TotalUnits,,,,0.72 ,,,,1,1,1,0,0,1,20061001
92595,CPT,"Electro hearng aid tst, both",,,8 ,,TotalUnits,,,,1.08 ,,,,1,1,1,0,0,1,20061001
92596,CPT,Ear protector evaluation,,TC,8 ,,RBRVS,0.00 ,0.59 ,0.59 ,,,,,1,1,1,0,0,1,20061001
92597,CPT,Oral speech device eval,,,8 ,,RBRVS,0.86 ,0.45 ,1.69 ,,,,,1,1,1,0,0,1,20061001
92601,CPT,Cochlear implt f/up exam < 7,,,14 ,,RBRVS,0.00 ,3.51 ,3.51 ,,,,,1,1,1,0,0,1,20061001
92602,CPT,Reprogram cochlear implt < 7,,,14 ,,RBRVS,0.00 ,2.39 ,2.39 ,,,,,1,1,1,0,0,1,20061001
92603,CPT,Cochlear implt f/up exam 7 >,,,14 ,,RBRVS,0.00 ,2.15 ,2.15 ,,,,,1,1,1,0,0,1,20061001
92604,CPT,Reprogram cochlear implt 7 >,,,14 ,,RBRVS,0.00 ,1.35 ,1.35 ,,,,,1,1,1,0,0,1,20061001
92607,CPT,"Ex for speech device rx, 1hr",,,14 ,,RBRVS,0.00 ,3.09 ,3.09 ,,,,,1,1,1,0,0,1,20061001
92608,CPT,Ex for speech device rx addl,,,14 ,,RBRVS,0.00 ,0.55 ,0.55 ,,,,,1,1,1,0,0,1,20061001
92609,CPT,Use of speech device service,,,14 ,,RBRVS,0.00 ,1.59 ,1.59 ,,,,,1,1,1,0,0,1,20061001
92610,CPT,Evaluate swallowing function,,,14 ,,RBRVS,0.00 ,3.44 ,3.44 ,,,,,1,1,1,0,0,1,20061001
92611,CPT,Motion fluoroscopy/swallow,,,14 ,,RBRVS,0.00 ,3.44 ,3.44 ,,,,,1,1,1,0,0,1,20061001
92612,CPT,Endoscopy swallow tst (fees),,,14 ,,RBRVS,1.27 ,0.66 ,2.75 ,,,,,1,1,1,0,1,1,20061001
92613,CPT,Endoscopy swallow tst (fees),,,14 ,,RBRVS,0.71 ,0.39 ,0.40 ,,,,,1,0,1,1,1,1,20061001
92614,CPT,Laryngoscopic sensory test,,,14 ,,RBRVS,1.27 ,0.66 ,2.51 ,,,,,1,1,1,0,1,1,20061001
92615,CPT,Eval laryngoscopy sense tst,,,14 ,,RBRVS,0.63 ,0.35 ,0.35 ,,,,,1,0,1,1,1,1,20061001
92616,CPT,Fees w/laryngeal sense test,,,14 ,,RBRVS,1.88 ,0.99 ,3.40 ,,,,,1,1,1,0,1,1,20061001
92617,CPT,Interprt fees/laryngeal test,,,14 ,,RBRVS,0.79 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20061001
92620,CPT,"Auditory function, 60 min",,,8 ,,RBRVS,0.00 ,1.14 ,1.14 ,,,,,1,1,1,0,1,1,20061001
92621,CPT,"Auditory function, + 15 min",,,8 ,,RBRVS,0.00 ,0.25 ,0.25 ,,,,,1,1,1,0,1,1,20061001
92625,CPT,Tinnitus assessment,,,8 ,,RBRVS,0.00 ,1.12 ,1.12 ,,,,,1,1,1,0,1,1,20061001
92626,CPT,Eval aud rehab status,,,14 ,,RBRVS,0.00 ,0.55 ,0.55 ,,,,,1,1,1,0,1,1,20061001
92700,CPT,Ent procedure/service,,,14 ,,TotalUnits,,,,0.46 ,,,,1,0,1,1,1,1,20061001
92950,CPT,Heart/lung resuscitation cpr,,,4 ,,RBRVS,3.79 ,0.97 ,4.21 ,,,,,1,0,1,1,1,1,20061001
92953,CPT,Temporary external pacing,,,4 ,,RBRVS,0.23 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
92960,CPT,"Cardioversion electric, ext",,,4 ,,RBRVS,2.25 ,1.17 ,6.33 ,,,,,1,0,1,1,1,1,20061001
92961,CPT,"Cardioversion, electric, int",TC,,4 ,,TotalUnits,,,,3.01 ,,,,1,1,1,0,1,1,20061001
92961,CPT,"Cardioversion, electric, int",26,,4 ,,TotalUnits,,,,3.67 ,,,,1,0,1,1,1,1,20061001
92970,CPT,"Cardioassist, internal",,,4 ,,RBRVS,3.51 ,1.06 ,1.06 ,,,,,1,0,1,1,1,1,20061001
92971,CPT,"Cardioassist, external",,,4 ,,RBRVS,1.77 ,0.85 ,0.85 ,,,,,1,0,1,1,1,1,20061001
92973,CPT,Percut coronary thrombectomy,,,21 ,,RBRVS,3.28 ,1.29 ,1.29 ,,,,,1,0,1,1,1,1,20061001
92974,CPT,"Cath place, cardio brachytx",,,21 ,,RBRVS,3.00 ,1.18 ,1.18 ,,,,,1,0,1,1,1,1,20061001
92975,CPT,"Dissolve clot, heart vessel",,,4 ,,RBRVS,7.24 ,2.82 ,2.82 ,,,,,1,0,1,1,1,1,20061001
92977,CPT,"Dissolve clot, heart vessel",,,4 ,,RBRVS,0.00 ,8.07 ,8.07 ,,,,,1,0,1,1,1,1,20061001
92978,CPT,"Intravasc us, heart add-on",TC,,4 ,,RBRVS,0.00 ,4.57 ,4.57 ,,,,,1,1,1,0,1,1,20061001
92978,CPT,"Intravasc us, heart add-on",26,,4 ,,RBRVS,1.80 ,0.71 ,0.71 ,,,,,1,0,1,1,1,1,20061001
92979,CPT,"Intravasc us, heart add-on",TC,,4 ,,RBRVS,0.00 ,2.30 ,2.30 ,,,,,1,1,1,0,1,1,20061001
92979,CPT,"Intravasc us, heart add-on",26,,4 ,,RBRVS,1.44 ,0.56 ,0.56 ,,,,,1,0,1,1,1,1,20061001
92980,CPT,Insert intracoronary stent,,,21 ,,RBRVS,14.82 ,6.07 ,6.07 ,,,,,1,0,1,1,1,1,20061001
92981,CPT,Insert intracoronary stent,,,21 ,,RBRVS,4.16 ,1.63 ,1.63 ,,,,,1,0,1,1,1,1,20061001
92982,CPT,Coronary artery dilation,,,21 ,,RBRVS,10.96 ,4.54 ,4.54 ,,,,,1,0,1,1,1,1,20061001
92984,CPT,Coronary artery dilation,,,21 ,,RBRVS,2.97 ,1.16 ,1.16 ,,,,,1,0,1,1,1,1,20061001
92986,CPT,Revision of aortic valve,,,21 ,,RBRVS,21.77 ,11.86 ,11.86 ,,,,,1,0,1,1,1,1,20061001
92987,CPT,Revision of mitral valve,,,21 ,,RBRVS,22.67 ,12.25 ,12.25 ,,,,,1,0,1,1,1,1,20061001
92990,CPT,Revision of pulmonary valve,,,21 ,,RBRVS,17.31 ,9.82 ,9.82 ,,,,,1,0,1,1,1,1,20061001
92992,CPT,Revision of heart chamber,,,21 ,,TotalUnits,,,,36.93 ,,,,1,0,1,1,1,1,20061001
92993,CPT,Revision of heart chamber,,,21 ,,TotalUnits,,,,25.88 ,,,,1,0,1,1,1,1,20061001
92995,CPT,Coronary atherectomy,,,21 ,,RBRVS,12.07 ,4.97 ,4.97 ,,,,,1,0,1,1,1,1,20061001
92996,CPT,Coronary atherectomy add-on,,,21 ,,RBRVS,3.26 ,1.27 ,1.27 ,,,,,1,0,1,1,1,1,20061001
92997,CPT,"Pul art balloon repr, percut",,,21 ,,RBRVS,11.98 ,4.83 ,4.83 ,,,,,1,0,1,1,1,1,20061001
92998,CPT,"Pul art balloon repr, percut",,,21 ,,RBRVS,5.99 ,2.21 ,2.21 ,,,,,1,0,1,1,1,1,20061001
93000,CPT,"Electrocardiogram, complete",,,4 ,,RBRVS,0.17 ,0.51 ,0.51 ,,,,,1,0,0,0,0,1,20061001
93005,CPT,"Electrocardiogram, tracing",,TC,4 ,,RBRVS,0.00 ,0.45 ,0.45 ,,,,,1,1,1,0,1,1,20061001
93010,CPT,Electrocardiogram report,,PC,4 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
93012,CPT,Transmission of ecg,,TC,4 ,2,RBRVS,0.00 ,6.03 ,6.03 ,,,,,1,1,1,0,1,1,20061001
93014,CPT,Report on transmitted ecg,,PC,4 ,,RBRVS,0.52 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
93015,CPT,Cardiovascular stress test,,,4 ,,RBRVS,0.75 ,1.96 ,1.96 ,,,,,1,0,0,0,0,1,20061001
93016,CPT,Cardiovascular stress test,,PC,4 ,,RBRVS,0.45 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20061001
93017,CPT,Cardiovascular stress test,,TC,4 ,,RBRVS,0.00 ,1.68 ,1.68 ,,,,,1,1,1,0,1,1,20061001
93018,CPT,Cardiovascular stress test,,PC,4 ,,RBRVS,0.30 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20061001
93024,CPT,Cardiac drug stress test,TC,,4 ,,RBRVS,0.00 ,1.12 ,1.12 ,,,,,1,1,1,0,1,1,20061001
93024,CPT,Cardiac drug stress test,26,,4 ,,RBRVS,1.17 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20061001
93025,CPT,Microvolt t-wave assess,TC,,4 ,,RBRVS,0.00 ,7.32 ,7.32 ,,,,,1,1,1,0,1,0,20061001
93025,CPT,Microvolt t-wave assess,,,4 ,,RBRVS,0.75 ,7.61 ,7.61 ,,,,,1,0,1,1,1,1,20061001
93040,CPT,Rhythm ECG with report,,,4 ,,RBRVS,0.16 ,0.20 ,0.20 ,,,,,1,0,0,0,0,1,20061001
93041,CPT,"Rhythm ECG, tracing",,TC,4 ,,RBRVS,0.00 ,0.15 ,0.15 ,,,,,1,1,1,0,1,1,20061001
93042,CPT,"Rhythm ECG, report",,PC,4 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20061001
93224,CPT,"ECG monitor/report, 24 hrs",,,4 ,,RBRVS,0.52 ,3.62 ,3.62 ,,,,,1,0,0,0,0,1,20061001
93225,CPT,"ECG monitor/record, 24 hrs",,TC,4 ,,RBRVS,0.00 ,1.24 ,1.24 ,,,,,1,1,1,0,1,1,20061001
93226,CPT,"ECG monitor/report, 24 hrs",,TC,4 ,,RBRVS,0.00 ,2.19 ,2.19 ,,,,,1,1,1,0,1,1,20061001
93227,CPT,"ECG monitor/review, 24 hrs",,PC,4 ,,RBRVS,0.52 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
93230,CPT,"ECG monitor/report, 24 hrs",,,4 ,,RBRVS,0.52 ,3.90 ,3.90 ,,,,,1,0,0,0,0,1,20061001
93231,CPT,"Ecg monitor/record, 24 hrs",,TC,4 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,,,1,1,1,0,1,1,20061001
93232,CPT,"ECG monitor/report, 24 hrs",,TC,4 ,1,RBRVS,0.00 ,2.19 ,2.19 ,,,,,1,1,1,0,1,1,20061001
93233,CPT,"ECG monitor/review, 24 hrs",,PC,4 ,,RBRVS,0.52 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
93235,CPT,"ECG monitor/report, 24 hrs",,,4 ,,RBRVS,0.45 ,2.79 ,2.79 ,,,,,1,0,0,0,0,1,20061001
93236,CPT,"ECG monitor/report, 24 hrs",,TC,4 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,,,1,1,1,0,1,1,20061001
93237,CPT,"ECG monitor/review, 24 hrs",,PC,4 ,,RBRVS,0.45 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
93268,CPT,ECG record/review,,,4 ,,RBRVS,0.52 ,7.46 ,7.46 ,,,,,1,0,0,0,0,1,20061001
93270,CPT,ECG recording,,TC,4 ,,RBRVS,0.00 ,1.24 ,1.24 ,,,,,1,1,1,0,1,1,20061001
93271,CPT,Ecg/monitoring and analysis,,TC,4 ,,RBRVS,0.00 ,6.03 ,6.03 ,,,,,1,1,1,0,1,1,20061001
93272,CPT,"Ecg/review, interpret only",,PC,4 ,,RBRVS,0.52 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
93278,CPT,ECG/signal-averaged,TC,,4 ,,RBRVS,0.00 ,1.15 ,1.15 ,,,,,1,1,1,0,1,1,20061001
93278,CPT,ECG/signal-averaged,26,,4 ,,RBRVS,0.25 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
93303,CPT,Echo transthoracic,TC,,4 ,,RBRVS,0.00 ,3.87 ,3.87 ,,,,,1,1,1,0,1,1,20061001
93303,CPT,Echo transthoracic,26,,4 ,,RBRVS,1.30 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20061001
93304,CPT,Echo transthoracic,TC,,4 ,,RBRVS,0.00 ,1.95 ,1.95 ,,,,,1,1,1,0,1,1,20061001
93304,CPT,Echo transthoracic,26,,4 ,,RBRVS,0.75 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20061001
93307,CPT,Echo exam of heart,TC,,4 ,,RBRVS,0.00 ,3.87 ,3.87 ,,,,,1,1,1,0,1,1,20061001
93307,CPT,Echo exam of heart,26,,4 ,,RBRVS,0.92 ,0.35 ,0.35 ,,,,,1,0,1,1,1,1,20061001
93308,CPT,Echo exam of heart,TC,,4 ,,RBRVS,0.00 ,1.95 ,1.95 ,,,,,1,1,1,0,1,1,20061001
93308,CPT,Echo exam of heart,26,,4 ,,RBRVS,0.53 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20061001
93312,CPT,Echo transesophageal,TC,,4 ,,RBRVS,0.00 ,3.79 ,3.79 ,,,,,1,1,1,0,1,1,20061001
93312,CPT,Echo transesophageal,26,,4 ,,RBRVS,2.20 ,0.79 ,0.79 ,,,,,1,0,1,1,1,1,20061001
93313,CPT,Echo transesophageal,,,4 ,,RBRVS,0.95 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20061001
93314,CPT,Echo transesophageal,TC,,4 ,2,RBRVS,0.00 ,3.79 ,3.79 ,,,,,1,1,1,0,1,1,20061001
93314,CPT,Echo transesophageal,26,,4 ,,RBRVS,1.25 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20061001
93315,CPT,Echo transesophageal,TC,,4 ,,TotalUnits,,,,4.19 ,,,,1,1,1,0,1,1,20061001
93315,CPT,Echo transesophageal,26,,4 ,,RBRVS,2.78 ,1.01 ,1.01 ,,,,,1,0,1,1,1,1,20061001
93316,CPT,Echo transesophageal,,,4 ,,RBRVS,0.95 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20061001
93317,CPT,Echo transesophageal,TC,,4 ,2,TotalUnits,,,,3.43 ,,,,1,1,1,0,1,1,20061001
93317,CPT,Echo transesophageal,26,,4 ,,RBRVS,1.83 ,0.67 ,0.67 ,,,,,1,0,1,1,1,1,20061001
93318,CPT,Echo transesophageal intraop,TC,,4 ,,TotalUnits,,,,3.81 ,,,,1,1,1,0,1,1,20061001
93318,CPT,Echo transesophageal intraop,26,,4 ,,RBRVS,2.20 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20061001
93320,CPT,"Doppler echo exam, heart",TC,,4 ,,RBRVS,0.00 ,1.71 ,1.71 ,,,,,1,1,1,0,1,1,20061001
93320,CPT,"Doppler echo exam, heart",26,,4 ,,RBRVS,0.38 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
93321,CPT,"Doppler echo exam, heart",TC,,4 ,,RBRVS,0.00 ,1.11 ,1.11 ,,,,,1,1,1,0,1,1,20061001
93321,CPT,"Doppler echo exam, heart",26,,4 ,,RBRVS,0.15 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
93325,CPT,Doppler color flow add-on,TC,,4 ,,RBRVS,0.00 ,2.91 ,2.91 ,,,,,1,1,1,0,1,1,20061001
93325,CPT,Doppler color flow add-on,26,,4 ,,RBRVS,0.07 ,0.03 ,0.03 ,,,,,1,0,1,1,1,1,20061001
93350,CPT,Echo transthoracic,TC,,4 ,,RBRVS,0.00 ,1.77 ,1.77 ,,,,,1,1,1,0,1,1,20061001
93350,CPT,Echo transthoracic,26,,4 ,,RBRVS,1.48 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20061001
93501,CPT,Right heart catheterization,TC,,21 ,,RBRVS,0.00 ,16.95 ,16.95 ,,,,,1,1,1,0,1,1,20061001
93501,CPT,Right heart catheterization,26,,21 ,,RBRVS,3.02 ,1.15 ,1.15 ,,,,,1,0,1,1,1,1,20061001
93503,CPT,Insert/place heart catheter,,,21 ,,RBRVS,2.91 ,0.68 ,0.68 ,,,,,1,0,1,1,1,1,20061001
93505,CPT,Biopsy of heart lining,TC,,21 ,,RBRVS,0.00 ,1.99 ,1.99 ,,,,,1,1,1,0,1,1,20061001
93505,CPT,Biopsy of heart lining,26,,21 ,,RBRVS,4.37 ,1.68 ,1.68 ,,,,,1,0,1,1,1,1,20061001
93508,CPT,"Cath placement, angiography",TC,,21 ,,RBRVS,0.00 ,12.64 ,12.64 ,,,,,1,1,1,0,1,1,20061001
93508,CPT,"Cath placement, angiography",26,,21 ,,RBRVS,4.09 ,2.09 ,2.09 ,,,,,1,0,1,1,1,1,20061001
93510,CPT,Left heart catheterization,TC,,21 ,,RBRVS,0.00 ,37.06 ,37.06 ,,,,,1,1,1,0,1,1,20061001
93510,CPT,Left heart catheterization,26,,21 ,,RBRVS,4.32 ,2.18 ,2.18 ,,,,,1,0,1,1,1,1,20061001
93511,CPT,Left heart catheterization,TC,,21 ,,RBRVS,0.00 ,36.07 ,36.07 ,,,,,1,1,1,0,1,1,20061001
93511,CPT,Left heart catheterization,26,,21 ,,RBRVS,5.02 ,2.45 ,2.45 ,,,,,1,0,1,1,1,1,20061001
93514,CPT,Left heart catheterization,26,,21 ,,RBRVS,7.04 ,3.13 ,3.13 ,,,,,1,0,1,1,1,1,20061001
93524,CPT,Left heart catheterization,TC,,21 ,,RBRVS,0.00 ,47.14 ,47.14 ,,,,,1,1,1,0,1,1,20061001
93524,CPT,Left heart catheterization,26,,21 ,,RBRVS,6.94 ,3.18 ,3.18 ,,,,,1,0,1,1,1,1,20061001
93526,CPT,Rt & Lt heart catheters,TC,,21 ,,RBRVS,0.00 ,48.43 ,48.43 ,,,,,1,1,1,0,1,1,20061001
93526,CPT,Rt & Lt heart catheters,26,,21 ,,RBRVS,5.98 ,2.82 ,2.82 ,,,,,1,0,1,1,1,1,20061001
93527,CPT,Rt & Lt heart catheters,TC,,21 ,,RBRVS,0.00 ,47.14 ,47.14 ,,,,,1,1,1,0,1,1,20061001
93527,CPT,Rt & Lt heart catheters,26,,21 ,,RBRVS,7.27 ,3.32 ,3.32 ,,,,,1,0,1,1,1,1,20061001
93528,CPT,Rt & Lt heart catheters,TC,,21 ,,RBRVS,0.00 ,47.14 ,47.14 ,,,,,1,1,1,0,1,1,20061001
93528,CPT,Rt & Lt heart catheters,26,,21 ,,RBRVS,8.99 ,4.04 ,4.04 ,,,,,1,0,1,1,1,1,20061001
93529,CPT,"Rt, lt heart catheterization",TC,,21 ,,RBRVS,0.00 ,47.14 ,47.14 ,,,,,1,1,1,0,1,1,20061001
93529,CPT,"Rt, lt heart catheterization",26,,21 ,,RBRVS,4.79 ,2.28 ,2.28 ,,,,,1,0,1,1,1,1,20061001
93530,CPT,"Rt heart cath, congenital",TC,,21 ,,RBRVS,0.00 ,16.95 ,16.95 ,,,,,1,1,1,0,1,1,20061001
93530,CPT,"Rt heart cath, congenital",26,,21 ,,RBRVS,4.22 ,1.94 ,1.94 ,,,,,1,0,1,1,1,1,20061001
93531,CPT,"R & l heart cath, congenital",TC,,21 ,,RBRVS,0.00 ,48.43 ,48.43 ,,,,,1,1,1,0,1,1,20061001
93531,CPT,"R & l heart cath, congenital",26,,21 ,,RBRVS,8.34 ,3.59 ,3.59 ,,,,,1,0,1,1,1,1,20061001
93532,CPT,"R & l heart cath, congenital",26,,21 ,,RBRVS,9.99 ,4.26 ,4.26 ,,,,,1,0,1,1,1,1,20061001
93533,CPT,"R & l heart cath, congenital",26,,21 ,,RBRVS,6.69 ,2.80 ,2.80 ,,,,,1,0,1,1,1,1,20061001
93539,CPT,"Injection, cardiac cath",,,4 ,,RBRVS,0.40 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
93540,CPT,"Injection, cardiac cath",,,4 ,,RBRVS,0.43 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20061001
93541,CPT,Injection for lung angiogram,,,4 ,,RBRVS,0.29 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20061001
93542,CPT,Injection for heart x-rays,,,4 ,,RBRVS,0.29 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20061001
93543,CPT,Injection for heart x-rays,,,4 ,,RBRVS,0.29 ,0.11 ,0.11 ,,,,,1,0,1,1,1,1,20061001
93544,CPT,Injection for aortography,,,4 ,,RBRVS,0.25 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
93545,CPT,Inject for coronary x-rays,,,4 ,,RBRVS,0.40 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
93555,CPT,"Imaging, cardiac cath",TC,,4 ,2,RBRVS,0.00 ,6.29 ,6.29 ,,,,,1,1,1,0,1,1,20061001
93555,CPT,"Imaging, cardiac cath",26,,4 ,,RBRVS,0.81 ,0.32 ,0.32 ,,,,,1,0,1,1,1,1,20061001
93556,CPT,"Imaging, cardiac cath",TC,,4 ,2,RBRVS,0.00 ,9.92 ,9.92 ,,,,,1,1,1,0,1,1,20061001
93556,CPT,"Imaging, cardiac cath",26,,4 ,,RBRVS,0.83 ,0.32 ,0.32 ,,,,,1,0,1,1,1,1,20061001
93561,CPT,Cardiac output measurement,TC,,21 ,2,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,1,1,20061001
93561,CPT,Cardiac output measurement,26,,21 ,,RBRVS,0.50 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
93562,CPT,Cardiac output measurement,TC,,21 ,2,RBRVS,0.00 ,0.32 ,0.32 ,,,,,1,1,1,0,1,1,20061001
93562,CPT,Cardiac output measurement,26,,21 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20061001
93571,CPT,Heart flow reserve measure,,,21 ,,RBRVS,1.80 ,5.25 ,5.25 ,,,,,1,0,1,1,1,0,20061001
93571,CPT,Heart flow reserve measure,,,21 ,,RBRVS,1.80 ,5.25 ,5.25 ,,,,,1,0,0,0,0,1,20061001
93572,CPT,Heart flow reserve measure,26,,21 ,,RBRVS,1.44 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20061001
93580,CPT,Transcath closure of asd,,,21 ,,RBRVS,17.97 ,7.40 ,7.40 ,,,,,1,0,1,1,1,1,20061001
93581,CPT,Transcath closure of vsd,,,21 ,,RBRVS,24.39 ,9.42 ,9.42 ,,,,,1,0,1,1,1,1,20061001
93600,CPT,Bundle of His recording,TC,,4 ,,RBRVS,0.00 ,1.96 ,1.96 ,,,,,1,1,1,0,1,1,20061001
93600,CPT,Bundle of His recording,26,,4 ,,RBRVS,2.12 ,0.83 ,0.83 ,,,,,1,0,1,1,1,1,20061001
93602,CPT,Intra-atrial recording,TC,,4 ,,RBRVS,0.00 ,1.11 ,1.11 ,,,,,1,1,1,0,1,1,20061001
93602,CPT,Intra-atrial recording,26,,4 ,,RBRVS,2.12 ,0.82 ,0.82 ,,,,,1,0,1,1,1,1,20061001
93603,CPT,Right ventricular recording,TC,,4 ,,RBRVS,0.00 ,1.68 ,1.68 ,,,,,1,1,1,0,1,1,20061001
93603,CPT,Right ventricular recording,26,,4 ,,RBRVS,2.12 ,0.81 ,0.81 ,,,,,1,0,1,1,1,1,20061001
93609,CPT,"Map tachycardia, add-on",TC,,4 ,,RBRVS,0.00 ,2.73 ,2.73 ,,,,,1,1,1,0,1,1,20061001
93609,CPT,"Map tachycardia, add-on",26,,4 ,,RBRVS,4.99 ,1.96 ,1.96 ,,,,,1,0,1,1,1,1,20061001
93610,CPT,Intra-atrial pacing,TC,,4 ,,RBRVS,0.00 ,1.35 ,1.35 ,,,,,1,1,1,0,1,1,20061001
93610,CPT,Intra-atrial pacing,26,,4 ,,RBRVS,3.02 ,1.16 ,1.16 ,,,,,1,0,1,1,1,1,20061001
93612,CPT,Intraventricular pacing,TC,,4 ,,RBRVS,0.00 ,1.61 ,1.61 ,,,,,1,1,1,0,1,1,20061001
93612,CPT,Intraventricular pacing,26,,4 ,,RBRVS,3.02 ,1.16 ,1.16 ,,,,,1,0,1,1,1,1,20061001
93613,CPT,"Electrophys map 3d, add-on",TC,,4 ,,TotalUnits,,,,0.98 ,,,,1,1,1,0,1,1,20061001
93613,CPT,"Electrophys map 3d, add-on",26,,4 ,,TotalUnits,,,,5.36 ,,,,1,0,1,1,1,1,20061001
93615,CPT,Esophageal recording,TC,,4 ,,RBRVS,0.00 ,0.32 ,0.32 ,,,,,1,1,1,0,1,1,20061001
93615,CPT,Esophageal recording,26,,4 ,,RBRVS,0.99 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20061001
93616,CPT,Esophageal recording,26,,4 ,,RBRVS,1.49 ,0.43 ,0.43 ,,,,,1,0,1,1,1,1,20061001
93618,CPT,Heart rhythm pacing,TC,,4 ,,RBRVS,0.00 ,3.97 ,3.97 ,,,,,1,1,1,0,1,1,20061001
93618,CPT,Heart rhythm pacing,26,,4 ,,RBRVS,4.25 ,1.67 ,1.67 ,,,,,1,0,1,1,1,1,20061001
93619,CPT,Electrophysiology evaluation,TC,,4 ,,RBRVS,0.00 ,7.72 ,7.72 ,,,,,1,1,1,0,1,1,20061001
93619,CPT,Electrophysiology evaluation,26,,4 ,,RBRVS,7.31 ,3.19 ,3.19 ,,,,,1,0,1,1,1,1,20061001
93620,CPT,Electrophysiology evaluation,TC,,4 ,,TotalUnits,,,,11.47 ,,,,1,1,1,0,1,1,20061001
93620,CPT,Electrophysiology evaluation,26,,4 ,,RBRVS,11.57 ,4.85 ,4.85 ,,,,,1,0,1,1,1,1,20061001
93621,CPT,Electrophysiology evaluation,TC,,4 ,,TotalUnits,,,,3.89 ,,,,1,1,1,0,1,1,20061001
93621,CPT,Electrophysiology evaluation,26,,4 ,,RBRVS,2.10 ,0.82 ,0.82 ,,,,,1,0,1,1,1,1,20061001
93622,CPT,Electrophysiology evaluation,TC,,4 ,,TotalUnits,,,,3.89 ,,,,1,1,1,0,1,1,20061001
93622,CPT,Electrophysiology evaluation,26,,4 ,,RBRVS,3.10 ,1.21 ,1.21 ,,,,,1,0,1,1,1,1,20061001
93623,CPT,"Stimulation, pacing heart",TC,,4 ,,TotalUnits,,,,3.53 ,,,,1,1,1,0,1,1,20061001
93623,CPT,"Stimulation, pacing heart",26,,4 ,,RBRVS,2.85 ,1.11 ,1.11 ,,,,,1,0,1,1,1,1,20061001
93624,CPT,Electrophysiologic study,TC,,4 ,,RBRVS,0.00 ,1.99 ,1.99 ,,,,,1,1,1,0,1,1,20061001
93624,CPT,Electrophysiologic study,26,,4 ,,RBRVS,4.80 ,2.20 ,2.20 ,,,,,1,0,1,1,1,1,20061001
93631,CPT,"Heart pacing, mapping",26,,4 ,,RBRVS,7.59 ,2.78 ,2.78 ,,,,,1,0,1,1,1,1,20061001
93640,CPT,Evaluation heart device,TC,,4 ,,RBRVS,0.00 ,7.19 ,7.19 ,,,,,1,1,1,0,1,1,20061001
93640,CPT,Evaluation heart device,26,,4 ,,RBRVS,3.51 ,1.36 ,1.36 ,,,,,1,0,1,1,1,1,20061001
93641,CPT,Electrophysiology evaluation,TC,,4 ,,RBRVS,0.00 ,7.19 ,7.19 ,,,,,1,1,1,0,1,1,20061001
93641,CPT,Electrophysiology evaluation,26,,4 ,,RBRVS,5.92 ,2.32 ,2.32 ,,,,,1,0,1,1,1,1,20061001
93642,CPT,Electrophysiology evaluation,TC,,4 ,,RBRVS,0.00 ,7.19 ,7.19 ,,,,,1,1,1,0,1,1,20061001
93642,CPT,Electrophysiology evaluation,26,,4 ,,RBRVS,4.88 ,2.22 ,2.22 ,,,,,1,0,1,1,1,1,20061001
93650,CPT,Ablate heart dysrhythm focus,,,4 ,,RBRVS,10.49 ,4.44 ,4.44 ,,,,,1,0,1,1,1,1,20061001
93651,CPT,Ablate heart dysrhythm focus,,,4 ,,RBRVS,16.23 ,6.34 ,6.34 ,,,,,1,0,1,1,1,1,20061001
93652,CPT,Ablate heart dysrhythm focus,,,4 ,,RBRVS,17.65 ,6.90 ,6.90 ,,,,,1,0,1,1,1,1,20061001
93660,CPT,Tilt table evaluation,TC,,4 ,,RBRVS,0.00 ,1.68 ,1.68 ,,,,,1,1,1,0,1,1,20061001
93660,CPT,Tilt table evaluation,26,,4 ,,RBRVS,1.89 ,0.74 ,0.74 ,,,,,1,0,1,1,1,1,20061001
93662,CPT,Intracardiac ecg (ice),TC,,4 ,,TotalUnits,,,,4.40 ,,,,1,1,1,0,1,1,20061001
93662,CPT,Intracardiac ecg (ice),26,,4 ,,RBRVS,2.80 ,1.11 ,1.11 ,,,,,1,0,1,1,1,1,20061001
93668,CPT,Peripheral vascular rehab,,,4 ,,TotalUnits,,,,1.83 ,,,,1,0,1,1,1,1,20061001
93701,CPT,"Bioimpedance, thoracic",,,4 ,,RBRVS,0.17 ,0.98 ,0.98 ,,,,,1,0,1,1,1,0,20061001
93701,CPT,"Bioimpedance, thoracic",,,4 ,,RBRVS,0.17 ,0.98 ,0.98 ,,,,,1,0,0,0,0,1,20061001
93720,CPT,Total body plethysmography,,,4 ,,RBRVS,0.17 ,0.76 ,0.76 ,,,,,1,0,0,0,0,1,20061001
93721,CPT,Plethysmography tracing,,TC,4 ,,RBRVS,0.00 ,0.71 ,0.71 ,,,,,1,1,1,0,1,1,20061001
93722,CPT,Plethysmography report,,PC,4 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20061001
93724,CPT,Analyze pacemaker system,TC,,4 ,,RBRVS,0.00 ,3.97 ,3.97 ,,,,,1,1,1,0,1,1,20061001
93724,CPT,Analyze pacemaker system,26,,4 ,,RBRVS,4.88 ,1.92 ,1.92 ,,,,,1,0,1,1,1,1,20061001
93727,CPT,Analyze ilr system,,PC,4 ,,RBRVS,0.52 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20061001
93731,CPT,Analyze pacemaker system,TC,,4 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,,,1,1,1,0,1,1,20061001
93731,CPT,Analyze pacemaker system,26,,4 ,,RBRVS,0.45 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20061001
93732,CPT,Analyze pacemaker system,TC,,4 ,,RBRVS,0.00 ,0.51 ,0.51 ,,,,,1,1,1,0,1,1,20061001
93732,CPT,Analyze pacemaker system,26,,4 ,,RBRVS,0.92 ,0.35 ,0.35 ,,,,,1,0,1,1,1,1,20061001
93733,CPT,"Telephone analy, pacemaker",TC,,4 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20061001
93733,CPT,"Telephone analy, pacemaker",26,,4 ,,RBRVS,0.17 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
93734,CPT,Analyze pacemaker system,TC,,4 ,,RBRVS,0.00 ,0.35 ,0.35 ,,,,,1,1,1,0,1,1,20061001
93734,CPT,Analyze pacemaker system,26,,4 ,,RBRVS,0.38 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
93735,CPT,Analyze pacemaker system,TC,,4 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,,,1,1,1,0,1,1,20061001
93735,CPT,Analyze pacemaker system,26,,4 ,,RBRVS,0.74 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20061001
93736,CPT,"Telephone analy, pacemaker",TC,,4 ,,RBRVS,0.00 ,0.63 ,0.63 ,,,,,1,1,1,0,1,1,20061001
93736,CPT,"Telephone analy, pacemaker",26,,4 ,,RBRVS,0.15 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
93740,CPT,Temperature gradient studies,TC,,4 ,,RBRVS,0.00 ,0.15 ,0.15 ,,,,,1,1,1,0,1,1,20061001
93740,CPT,Temperature gradient studies,26,,4 ,,RBRVS,0.16 ,0.04 ,0.04 ,,,,,1,0,1,1,1,1,20061001
93741,CPT,Analyze ht pace device sngl,TC,,4 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20061001
93741,CPT,Analyze ht pace device sngl,26,,4 ,,RBRVS,0.80 ,0.31 ,0.31 ,,,,,1,0,1,1,1,1,20061001
93742,CPT,Analyze ht pace device sngl,TC,,4 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20061001
93742,CPT,Analyze ht pace device sngl,26,,4 ,,RBRVS,0.91 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20061001
93743,CPT,Analyze ht pace device dual,TC,,4 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20061001
93743,CPT,Analyze ht pace device dual,26,,4 ,,RBRVS,1.03 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20061001
93744,CPT,Analyze ht pace device dual,TC,,4 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,,,1,1,1,0,1,1,20061001
93744,CPT,Analyze ht pace device dual,26,,4 ,,RBRVS,1.18 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20061001
93760,CPT,Cephalic thermogram,26,,4 ,,TotalUnits,,,,0.44 ,,,,1,0,1,1,1,1,20061001
93760,CPT,Cephalic thermogram,TC,,4 ,,TotalUnits,,,,1.74 ,,,,1,1,1,0,1,1,20061001
93762,CPT,Peripheral thermogram,26,,4 ,,TotalUnits,,,,0.64 ,,,,1,0,1,1,1,1,20061001
93762,CPT,Peripheral thermogram,TC,,4 ,,TotalUnits,,,,2.56 ,,,,1,1,1,0,1,1,20061001
93770,CPT,Measure venous pressure,TC,,4 ,2,RBRVS,0.00 ,0.03 ,0.03 ,,,,,1,1,1,0,1,1,20061001
93770,CPT,Measure venous pressure,26,,4 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20061001
93784,CPT,Ambulatory BP monitoring,,,4 ,,RBRVS,0.38 ,1.55 ,1.55 ,,,,,1,0,0,0,0,1,20061001
93786,CPT,Ambulatory BP recording,,TC,4 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,,,1,1,1,0,1,1,20061001
93788,CPT,Ambulatory BP analysis,,TC,4 ,,RBRVS,0.00 ,0.51 ,0.51 ,,,,,1,1,1,0,1,1,20061001
93790,CPT,Review/report BP recording,,PC,4 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20061001
93797,CPT,Cardiac rehab,,,4 ,,RBRVS,0.18 ,0.07 ,0.30 ,,,,,1,0,1,1,1,1,20061001
93798,CPT,Cardiac rehab/monitor,,,4 ,,RBRVS,0.28 ,0.11 ,0.46 ,,,,,1,0,1,1,1,1,20061001
93799,CPT,Cardiovascular procedure,,,4 ,,TotalUnits,,,,0.68 ,,,,1,0,1,1,1,1,20061001
93875,CPT,Extracranial study,TC,,14 ,,RBRVS,0.00 ,2.26 ,2.26 ,,,,,1,1,1,0,1,1,20061001
93875,CPT,Extracranial study,26,,14 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
93880,CPT,Extracranial study,TC,,14 ,,RBRVS,0.00 ,5.37 ,5.37 ,,,,,1,1,1,0,1,1,20061001
93880,CPT,Extracranial study,26,,14 ,,RBRVS,0.60 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20061001
93882,CPT,Extracranial study,TC,,14 ,,RBRVS,0.00 ,3.37 ,3.37 ,,,,,1,1,1,0,1,1,20061001
93882,CPT,Extracranial study,26,,14 ,,RBRVS,0.40 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20061001
93886,CPT,Intracranial study,TC,,14 ,,RBRVS,0.00 ,6.39 ,6.39 ,,,,,1,1,1,0,1,1,20061001
93886,CPT,Intracranial study,26,,14 ,,RBRVS,0.94 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20061001
93888,CPT,Intracranial study,TC,,14 ,,RBRVS,0.00 ,4.02 ,4.02 ,,,,,1,1,1,0,1,1,20061001
93888,CPT,Intracranial study,26,,14 ,,RBRVS,0.62 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
93890,CPT,"Tcd, vasoreactivity study",TC,,4 ,,RBRVS,0.00 ,4.51 ,4.51 ,,,,,1,1,1,0,1,1,20061001
93890,CPT,"Tcd, vasoreactivity study",26,,4 ,,RBRVS,1.00 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20061001
93892,CPT,"Tcd, emboli detect w/o inj",TC,,4 ,,RBRVS,0.00 ,4.71 ,4.71 ,,,,,1,1,1,0,1,1,20061001
93892,CPT,"Tcd, emboli detect w/o inj",26,,4 ,,RBRVS,1.15 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20061001
93893,CPT,"Tcd, emboli detect w/inj",TC,,4 ,,RBRVS,0.00 ,4.58 ,4.58 ,,,,,1,1,1,0,1,1,20061001
93893,CPT,"Tcd, emboli detect w/inj",26,,4 ,,RBRVS,1.15 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20061001
93922,CPT,Extremity study,TC,,14 ,,RBRVS,0.00 ,2.61 ,2.61 ,,,,,1,1,1,0,1,1,20061001
93922,CPT,Extremity study,26,,14 ,,RBRVS,0.25 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
93923,CPT,Extremity study,TC,,14 ,,RBRVS,0.00 ,3.89 ,3.89 ,,,,,1,1,1,0,1,1,20061001
93923,CPT,Extremity study,26,,14 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
93924,CPT,Extremity study,TC,,14 ,,RBRVS,0.00 ,4.63 ,4.63 ,,,,,1,1,1,0,1,1,20061001
93924,CPT,Extremity study,26,,14 ,,RBRVS,0.50 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20061001
93925,CPT,Lower extremity study,TC,,14 ,,RBRVS,0.00 ,6.60 ,6.60 ,,,,,1,1,1,0,1,1,20061001
93925,CPT,Lower extremity study,26,,14 ,,RBRVS,0.58 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20061001
93926,CPT,Lower extremity study,TC,,14 ,,RBRVS,0.00 ,3.93 ,3.93 ,,,,,1,1,1,0,1,1,20061001
93926,CPT,Lower extremity study,26,,14 ,,RBRVS,0.39 ,0.13 ,0.13 ,,,,,1,0,1,1,1,1,20061001
93930,CPT,Upper extremity study,TC,,14 ,,RBRVS,0.00 ,5.21 ,5.21 ,,,,,1,1,1,0,1,1,20061001
93930,CPT,Upper extremity study,26,,14 ,,RBRVS,0.46 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
93931,CPT,Upper extremity study,TC,,14 ,,RBRVS,0.00 ,3.39 ,3.39 ,,,,,1,1,1,0,1,1,20061001
93931,CPT,Upper extremity study,26,,14 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
93965,CPT,Extremity study,TC,,14 ,,RBRVS,0.00 ,2.68 ,2.68 ,,,,,1,1,1,0,1,1,20061001
93965,CPT,Extremity study,26,,14 ,,RBRVS,0.35 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
93970,CPT,Extremity study,TC,,14 ,,RBRVS,0.00 ,5.03 ,5.03 ,,,,,1,1,1,0,1,1,20061001
93970,CPT,Extremity study,26,,14 ,,RBRVS,0.68 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
93971,CPT,Extremity study,TC,,14 ,,RBRVS,0.00 ,3.45 ,3.45 ,,,,,1,1,1,0,1,1,20061001
93971,CPT,Extremity study,26,,14 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
93975,CPT,Vascular study,TC,,14 ,,RBRVS,0.00 ,7.05 ,7.05 ,,,,,1,1,1,0,1,1,20061001
93975,CPT,Vascular study,26,,14 ,,RBRVS,1.80 ,0.60 ,0.60 ,,,,,1,0,1,1,1,1,20061001
93976,CPT,Vascular study,TC,,14 ,,RBRVS,0.00 ,3.94 ,3.94 ,,,,,1,1,1,0,1,1,20061001
93976,CPT,Vascular study,26,,14 ,,RBRVS,1.21 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20061001
93978,CPT,Vascular study,TC,,14 ,,RBRVS,0.00 ,4.30 ,4.30 ,,,,,1,1,1,0,1,1,20061001
93978,CPT,Vascular study,26,,14 ,,RBRVS,0.65 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20061001
93979,CPT,Vascular study,TC,,14 ,,RBRVS,0.00 ,3.07 ,3.07 ,,,,,1,1,1,0,1,1,20061001
93979,CPT,Vascular study,26,,14 ,,RBRVS,0.44 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
93980,CPT,Penile vascular study,TC,,14 ,,RBRVS,0.00 ,2.45 ,2.45 ,,,,,1,1,1,0,1,1,20061001
93980,CPT,Penile vascular study,26,,14 ,,RBRVS,1.25 ,0.41 ,0.41 ,,,,,1,0,1,1,1,1,20061001
93981,CPT,Penile vascular study,TC,,14 ,,RBRVS,0.00 ,2.74 ,2.74 ,,,,,1,1,1,0,1,1,20061001
93981,CPT,Penile vascular study,26,,14 ,,RBRVS,0.44 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20061001
93990,CPT,Doppler flow testing,TC,,14 ,,RBRVS,0.00 ,3.91 ,3.91 ,,,,,1,1,1,0,1,1,20061001
93990,CPT,Doppler flow testing,26,,14 ,,RBRVS,0.25 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20061001
94010,CPT,Breathing capacity test,TC,,14 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20061001
94010,CPT,Breathing capacity test,26,,14 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,,,1,0,1,1,1,1,20061001
94014,CPT,Patient recorded spirometry,,,14 ,,RBRVS,0.52 ,0.76 ,0.76 ,,,,,1,0,0,0,0,1,20061001
94015,CPT,Patient recorded spirometry,,TC,14 ,,RBRVS,0.00 ,0.59 ,0.59 ,,,,,1,1,1,0,1,1,20061001
94016,CPT,Review patient spirometry,,PC,14 ,,RBRVS,0.52 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20061001
94060,CPT,Evaluation of wheezing,TC,,14 ,,RBRVS,0.00 ,0.98 ,0.98 ,,,,,1,1,1,0,1,1,20061001
94060,CPT,Evaluation of wheezing,26,,14 ,,RBRVS,0.31 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20061001
94070,CPT,Evaluation of wheezing,TC,,14 ,,RBRVS,0.00 ,0.64 ,0.64 ,,,,,1,1,1,0,1,1,20061001
94070,CPT,Evaluation of wheezing,26,,14 ,,RBRVS,0.60 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
94150,CPT,Vital capacity test,TC,,14 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,,,1,1,1,0,1,1,20061001
94150,CPT,Vital capacity test,26,,14 ,,RBRVS,0.07 ,0.03 ,0.03 ,,,,,1,0,1,1,1,1,20061001
94200,CPT,Lung function test (MBC/MVV),TC,,14 ,,RBRVS,0.00 ,0.41 ,0.41 ,,,,,1,1,1,0,1,1,20061001
94200,CPT,Lung function test (MBC/MVV),26,,14 ,,RBRVS,0.11 ,0.03 ,0.03 ,,,,,1,0,1,1,1,1,20061001
94240,CPT,Residual lung capacity,TC,,14 ,,RBRVS,0.00 ,0.58 ,0.58 ,,,,,1,1,1,0,1,1,20061001
94240,CPT,Residual lung capacity,26,,14 ,,RBRVS,0.26 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
94250,CPT,Expired gas collection,TC,,14 ,,RBRVS,0.00 ,0.61 ,0.61 ,,,,,1,1,1,0,1,1,20061001
94250,CPT,Expired gas collection,26,,14 ,,RBRVS,0.11 ,0.03 ,0.03 ,,,,,1,0,1,1,1,1,20061001
94260,CPT,Thoracic gas volume,TC,,14 ,,RBRVS,0.00 ,0.54 ,0.54 ,,,,,1,1,1,0,1,1,20061001
94260,CPT,Thoracic gas volume,26,,14 ,,RBRVS,0.13 ,0.04 ,0.04 ,,,,,1,0,1,1,1,1,20061001
94350,CPT,Lung nitrogen washout curve,TC,,14 ,,RBRVS,0.00 ,0.68 ,0.68 ,,,,,1,1,1,0,1,1,20061001
94350,CPT,Lung nitrogen washout curve,26,,14 ,,RBRVS,0.26 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
94360,CPT,Measure airflow resistance,TC,,14 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,,,1,1,1,0,1,1,20061001
94360,CPT,Measure airflow resistance,26,,14 ,,RBRVS,0.26 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
94370,CPT,Breath airway closing volume,TC,,14 ,,RBRVS,0.00 ,0.64 ,0.64 ,,,,,1,1,1,0,1,1,20061001
94370,CPT,Breath airway closing volume,26,,14 ,,RBRVS,0.26 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
94375,CPT,Respiratory flow volume loop,TC,,14 ,,RBRVS,0.00 ,0.51 ,0.51 ,,,,,1,1,1,0,1,1,20061001
94375,CPT,Respiratory flow volume loop,26,,14 ,,RBRVS,0.31 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20061001
94400,CPT,CO2 breathing response curve,TC,,14 ,,RBRVS,0.00 ,0.72 ,0.72 ,,,,,1,1,1,0,1,1,20061001
94400,CPT,CO2 breathing response curve,26,,14 ,,RBRVS,0.40 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
94450,CPT,Hypoxia response curve,TC,,14 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20061001
94450,CPT,Hypoxia response curve,26,,14 ,,RBRVS,0.40 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
94452,CPT,Hast w/report,TC,,14 ,,RBRVS,0.00 ,0.93 ,0.93 ,,,,,1,1,1,0,1,1,20061001
94452,CPT,Hast w/report,26,,14 ,,RBRVS,0.31 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20061001
94453,CPT,Hast w/oxygen titrate,TC,,14 ,,RBRVS,0.00 ,1.39 ,1.39 ,,,,,1,1,1,0,1,1,20061001
94453,CPT,Hast w/oxygen titrate,26,,14 ,,RBRVS,0.40 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
94620,CPT,Pulmonary stress test/simple,TC,,14 ,,RBRVS,0.00 ,2.30 ,2.30 ,,,,,1,1,1,0,1,1,20061001
94620,CPT,Pulmonary stress test/simple,26,,14 ,,RBRVS,0.64 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20061001
94621,CPT,Pulm stress test/complex,TC,,14 ,,RBRVS,0.00 ,1.77 ,1.77 ,,,,,1,1,1,0,1,1,20061001
94621,CPT,Pulm stress test/complex,26,,14 ,,RBRVS,1.42 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20061001
94640,CPT,Airway inhalation treatment,,,14 ,,RBRVS,0.00 ,0.30 ,0.30 ,,,,,1,1,1,0,0,1,20061001
94642,CPT,Aerosol inhalation treatment,,,14 ,,TotalUnits,,,,2.30 ,,,,1,1,1,0,0,1,20061001
94656,CPT,Initial ventilator mgmt,,,14 ,,RBRVS,1.22 ,0.32 ,1.16 ,,,,,1,0,1,1,1,1,20061001
94657,CPT,Continued ventilator mgmt,,,14 ,,RBRVS,0.83 ,0.25 ,0.98 ,,,,,1,0,1,1,1,1,20061001
94660,CPT,"Pos airway pressure, CPAP",,,14 ,,RBRVS,0.76 ,0.23 ,0.65 ,,,,,1,0,1,1,1,1,20061001
94662,CPT,"Neg press ventilation, cnp",,,14 ,,RBRVS,0.76 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
94664,CPT,Evaluate pt use of inhaler,,,14 ,,RBRVS,0.00 ,0.31 ,0.31 ,,,,,1,1,1,0,0,1,20061001
94667,CPT,Chest wall manipulation,,,14 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,,,1,1,1,0,0,1,20061001
94668,CPT,Chest wall manipulation,,,14 ,,RBRVS,0.00 ,0.45 ,0.45 ,,,,,1,1,1,0,0,1,20061001
94680,CPT,"Exhaled air analysis, o2",TC,,14 ,,RBRVS,0.00 ,1.79 ,1.79 ,,,,,1,1,1,0,1,1,20061001
94680,CPT,"Exhaled air analysis, o2",26,,14 ,,RBRVS,0.26 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
94681,CPT,"Exhaled air analysis, o2/co2",TC,,14 ,,RBRVS,0.00 ,2.47 ,2.47 ,,,,,1,1,1,0,1,1,20061001
94681,CPT,"Exhaled air analysis, o2/co2",26,,14 ,,RBRVS,0.20 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
94690,CPT,Exhaled air analysis,TC,,14 ,,RBRVS,0.00 ,1.98 ,1.98 ,,,,,1,1,1,0,1,1,20061001
94690,CPT,Exhaled air analysis,26,,14 ,,RBRVS,0.07 ,0.02 ,0.02 ,,,,,1,0,1,1,1,1,20061001
94720,CPT,Monoxide diffusing capacity,TC,,14 ,,RBRVS,0.00 ,0.92 ,0.92 ,,,,,1,1,1,0,1,1,20061001
94720,CPT,Monoxide diffusing capacity,26,,14 ,,RBRVS,0.26 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
94725,CPT,Membrane diffusion capacity,TC,,14 ,,RBRVS,0.00 ,2.84 ,2.84 ,,,,,1,1,1,0,1,1,20061001
94725,CPT,Membrane diffusion capacity,26,,14 ,,RBRVS,0.26 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
94750,CPT,Pulmonary compliance study,TC,,14 ,,RBRVS,0.00 ,1.27 ,1.27 ,,,,,1,1,1,0,1,1,20061001
94750,CPT,Pulmonary compliance study,26,,14 ,,RBRVS,0.23 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
94760,CPT,Measure blood oxygen level,,TC,14 ,2,RBRVS,0.00 ,0.04 ,0.04 ,,,,,1,1,1,0,1,1,20061001
94761,CPT,Measure blood oxygen level,,TC,14 ,2,RBRVS,0.00 ,0.07 ,0.07 ,,,,,1,1,1,0,1,1,20061001
94762,CPT,Measure blood oxygen level,,TC,14 ,2,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,1,1,20061001
94770,CPT,Exhaled carbon dioxide test,TC,,14 ,,RBRVS,0.00 ,0.71 ,0.71 ,,,,,1,1,1,0,1,1,20061001
94770,CPT,Exhaled carbon dioxide test,26,,14 ,,RBRVS,0.15 ,0.04 ,0.04 ,,,,,1,0,1,1,1,1,20061001
94799,CPT,Pulmonary service/procedure,,,14 ,,TotalUnits,,,,0.55 ,,,,1,0,1,1,1,1,20061001
95004,CPT,Percut allergy skin tests,,,2 ,,RBRVS,0.00 ,0.10 ,0.10 ,,,,,1,1,1,0,1,1,20061001
95010,CPT,Percut allergy titrate test,,,2 ,,RBRVS,0.15 ,0.06 ,0.32 ,,,,,1,1,1,0,1,1,20061001
95015,CPT,Id allergy titrate-drug/bug,,,2 ,,RBRVS,0.15 ,0.06 ,0.14 ,,,,,1,1,1,0,1,1,20061001
95024,CPT,"Id allergy test, drug/bug",,,2 ,,RBRVS,0.00 ,0.15 ,0.15 ,,,,,1,1,1,0,1,1,20061001
95027,CPT,Id allergy titrate-airborne,,TC,2 ,,RBRVS,0.00 ,0.15 ,0.15 ,,,,,1,1,1,0,1,1,20061001
95028,CPT,Id allergy test-delayed type,,TC,2 ,,RBRVS,0.00 ,0.23 ,0.23 ,,,,,1,1,1,0,1,1,20061001
95044,CPT,Allergy patch tests,,,2 ,,RBRVS,0.00 ,0.20 ,0.20 ,,,,,1,1,1,0,1,1,20061001
95052,CPT,Photo patch test,,,2 ,,RBRVS,0.00 ,0.25 ,0.25 ,,,,,1,1,1,0,1,1,20061001
95056,CPT,Photosensitivity tests,,,2 ,,RBRVS,0.00 ,0.17 ,0.17 ,,,,,1,1,1,0,1,1,20061001
95060,CPT,Eye allergy tests,,TC,2 ,,RBRVS,0.00 ,0.35 ,0.35 ,,,,,1,1,1,0,1,1,20061001
95065,CPT,Nose allergy test,,TC,2 ,,RBRVS,0.00 ,0.20 ,0.20 ,,,,,1,1,1,0,1,1,20061001
95070,CPT,Bronchial allergy tests,,TC,2 ,,RBRVS,0.00 ,2.29 ,2.29 ,,,,,1,1,1,0,1,1,20061001
95071,CPT,Bronchial allergy tests,,TC,2 ,,RBRVS,0.00 ,2.93 ,2.93 ,,,,,1,1,1,0,1,1,20061001
95075,CPT,Ingestion challenge test,,,2 ,,RBRVS,0.95 ,0.38 ,0.82 ,,,,,1,1,1,0,1,1,20061001
95078,CPT,Provocative testing,,TC,2 ,,RBRVS,0.00 ,0.25 ,0.25 ,,,,,1,1,1,0,1,1,20061001
95115,CPT,"Immunotherapy, one injection",,,1 ,,RBRVS,0.00 ,0.39 ,0.39 ,,,,,1,1,1,0,1,1,20061001
95117,CPT,Immunotherapy injections,,,1 ,,RBRVS,0.00 ,0.50 ,0.50 ,,,,,1,1,1,0,1,1,20061001
95120,CPT,"Immunotherapy, one injection",,,1 ,,TotalUnits,,,,0.54 ,,,,1,1,1,0,1,1,20061001
95125,CPT,"Immunotherapy, many antigens",,,1 ,,TotalUnits,,,,0.66 ,,,,1,1,1,0,1,1,20061001
95130,CPT,"Immunotherapy, insect venom",,,1 ,,TotalUnits,,,,0.93 ,,,,1,1,1,0,1,1,20061001
95131,CPT,"Immunotherapy, insect venoms",,,1 ,,TotalUnits,,,,1.18 ,,,,1,1,1,0,1,1,20061001
95132,CPT,"Immunotherapy, insect venoms",,,1 ,,TotalUnits,,,,1.43 ,,,,1,1,1,0,1,1,20061001
95133,CPT,"Immunotherapy, insect venoms",,,1 ,,TotalUnits,,,,1.72 ,,,,1,1,1,0,1,1,20061001
95134,CPT,"Immunotherapy, insect venoms",,,1 ,,TotalUnits,,,,2.07 ,,,,1,1,1,0,1,1,20061001
95144,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.19 ,,,,,1,1,1,0,1,1,20061001
95145,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.32 ,,,,,1,1,1,0,1,1,20061001
95146,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.03 ,0.44 ,,,,,1,1,1,0,1,1,20061001
95147,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.42 ,,,,,1,1,1,0,1,1,20061001
95148,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.03 ,0.58 ,,,,,1,1,1,0,1,1,20061001
95149,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.03 ,0.80 ,,,,,1,1,1,0,1,1,20061001
95165,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.19 ,,,,,1,1,1,0,1,1,20061001
95170,CPT,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.03 ,0.13 ,,,,,1,1,1,0,1,1,20061001
95180,CPT,Rapid desensitization,,,1 ,,RBRVS,2.01 ,0.93 ,2.04 ,,,,,1,1,1,0,1,1,20061001
95199,CPT,Allergy immunology services,,,1 ,,TotalUnits,,,,0.26 ,,,,1,1,1,0,1,1,20061001
95250,CPT,"Glucose monitoring, cont",,TC,14 ,,RBRVS,0.00 ,4.11 ,4.11 ,,,,,1,1,1,0,1,1,20061001
95251,CPT,"Gluc monitor, cont, phys i&r",,,14 ,,RBRVS,0.52 ,0.19 ,0.19 ,,,,,1,1,1,0,1,1,20061001
95805,CPT,Multiple sleep latency test,TC,,14 ,,RBRVS,0.00 ,16.65 ,16.65 ,,,,,1,1,1,0,1,1,20061001
95805,CPT,Multiple sleep latency test,26,,14 ,,RBRVS,1.88 ,0.66 ,0.66 ,,,,,1,0,1,1,1,1,20061001
95806,CPT,"Sleep study, unattended",TC,,14 ,,RBRVS,0.00 ,2.80 ,2.80 ,,,,,1,1,1,0,1,1,20061001
95806,CPT,"Sleep study, unattended",26,,14 ,,RBRVS,1.66 ,0.54 ,0.54 ,,,,,1,0,1,1,1,1,20061001
95807,CPT,"Sleep study, attended",TC,,14 ,,RBRVS,0.00 ,11.35 ,11.35 ,,,,,1,1,1,0,1,1,20061001
95807,CPT,"Sleep study, attended",26,,14 ,,RBRVS,1.66 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20061001
95808,CPT,"Polysomnography, 1-3",TC,,14 ,,RBRVS,0.00 ,12.31 ,12.31 ,,,,,1,1,1,0,1,1,20061001
95808,CPT,"Polysomnography, 1-3",26,,14 ,,RBRVS,2.65 ,0.92 ,0.92 ,,,,,1,0,1,1,1,1,20061001
95810,CPT,"Polysomnography, 4 or more",TC,,14 ,,RBRVS,0.00 ,16.36 ,16.36 ,,,,,1,1,1,0,1,1,20061001
95810,CPT,"Polysomnography, 4 or more",26,,14 ,,RBRVS,3.52 ,1.18 ,1.18 ,,,,,1,0,1,1,1,1,20061001
95811,CPT,Polysomnography w/cpap,TC,,14 ,,RBRVS,0.00 ,17.97 ,17.97 ,,,,,1,1,1,0,1,1,20061001
95811,CPT,Polysomnography w/cpap,26,,14 ,,RBRVS,3.79 ,1.27 ,1.27 ,,,,,1,0,1,1,1,1,20061001
95812,CPT,"Eeg, 41-60 minutes",TC,,14 ,,RBRVS,0.00 ,3.59 ,3.59 ,,,,,1,1,1,0,1,1,20061001
95812,CPT,"Eeg, 41-60 minutes",26,,14 ,,RBRVS,1.08 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20061001
95813,CPT,"Eeg, over 1 hour",TC,,14 ,,RBRVS,0.00 ,4.33 ,4.33 ,,,,,1,1,1,0,1,1,20061001
95813,CPT,"Eeg, over 1 hour",26,,14 ,,RBRVS,1.73 ,0.70 ,0.70 ,,,,,1,0,1,1,1,1,20061001
95816,CPT,"Eeg, awake and drowsy",TC,,14 ,,RBRVS,0.00 ,3.26 ,3.26 ,,,,,1,1,1,0,1,1,20061001
95816,CPT,"Eeg, awake and drowsy",26,,14 ,,RBRVS,1.08 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20061001
95819,CPT,"Eeg, awake and asleep",TC,,14 ,,RBRVS,0.00 ,2.53 ,2.53 ,,,,,1,1,1,0,1,1,20061001
95819,CPT,"Eeg, awake and asleep",26,,14 ,,RBRVS,1.08 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20061001
95822,CPT,"Eeg, coma or sleep only",TC,,14 ,,RBRVS,0.00 ,4.15 ,4.15 ,,,,,1,1,1,0,1,1,20061001
95822,CPT,"Eeg, coma or sleep only",26,,14 ,,RBRVS,1.08 ,0.46 ,0.46 ,,,,,1,0,1,1,1,1,20061001
95824,CPT,"Eeg, cerebral death only",TC,,14 ,,TotalUnits,,,,1.64 ,,,,1,1,1,0,1,1,20061001
95824,CPT,"Eeg, cerebral death only",26,,14 ,,RBRVS,0.74 ,0.31 ,0.31 ,,,,,1,0,1,1,1,1,20061001
95827,CPT,"Eeg, all night recording",TC,,14 ,,RBRVS,0.00 ,2.30 ,2.30 ,,,,,1,1,1,0,1,1,20061001
95827,CPT,"Eeg, all night recording",26,,14 ,,RBRVS,1.08 ,0.41 ,0.41 ,,,,,1,0,1,1,1,1,20061001
95829,CPT,Surgery electrocorticogram,TC,,14 ,,RBRVS,0.00 ,28.77 ,28.77 ,,,,,1,1,1,0,1,1,20061001
95829,CPT,Surgery electrocorticogram,26,,14 ,,RBRVS,6.20 ,2.32 ,2.32 ,,,,,1,0,1,1,1,1,20061001
95830,CPT,Insert electrodes for EEG,,,14 ,,RBRVS,1.70 ,0.73 ,3.30 ,,,,,1,0,1,1,1,1,20061001
95831,CPT,"Limb muscle testing, manual",,,14 ,,RBRVS,0.28 ,0.13 ,0.46 ,,,,,1,1,1,0,1,1,20061001
95832,CPT,"Hand muscle testing, manual",,,14 ,,RBRVS,0.29 ,0.12 ,0.33 ,,,,,1,1,1,0,1,1,20061001
95833,CPT,"Body muscle testing, manual",,,14 ,,RBRVS,0.47 ,0.23 ,0.58 ,,,,,1,1,1,0,1,1,20061001
95834,CPT,"Body muscle testing, manual",,,14 ,,RBRVS,0.60 ,0.28 ,0.63 ,,,,,1,1,1,0,1,1,20061001
95851,CPT,Range of motion measurements,,,14 ,,RBRVS,0.16 ,0.08 ,0.36 ,,,,,1,1,1,0,1,1,20061001
95852,CPT,Range of motion measurements,,,14 ,,RBRVS,0.11 ,0.05 ,0.26 ,,,,,1,1,1,0,1,1,20061001
95857,CPT,Tensilon test,,,14 ,,RBRVS,0.53 ,0.23 ,0.60 ,,,,,1,0,1,1,1,1,20061001
95860,CPT,"Muscle test, one limb",TC,,14 ,,RBRVS,0.00 ,1.00 ,1.00 ,,,,,1,1,1,0,1,1,20061001
95860,CPT,"Muscle test, one limb",26,,14 ,,RBRVS,0.96 ,0.42 ,0.42 ,,,,,1,0,1,1,1,1,20061001
95861,CPT,"Muscle test, 2 limbs",TC,,14 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,,,1,1,1,0,1,1,20061001
95861,CPT,"Muscle test, 2 limbs",26,,14 ,,RBRVS,1.54 ,0.68 ,0.68 ,,,,,1,0,1,1,1,1,20061001
95863,CPT,"Muscle test, 3 limbs",TC,,14 ,,RBRVS,0.00 ,0.94 ,0.94 ,,,,,1,1,1,0,1,1,20061001
95863,CPT,"Muscle test, 3 limbs",26,,14 ,,RBRVS,1.87 ,0.80 ,0.80 ,,,,,1,0,1,1,1,1,20061001
95864,CPT,"Muscle test, 4 limbs",TC,,14 ,,RBRVS,0.00 ,1.79 ,1.79 ,,,,,1,1,1,0,1,1,20061001
95864,CPT,"Muscle test, 4 limbs",26,,14 ,,RBRVS,1.99 ,0.87 ,0.87 ,,,,,1,0,1,1,1,1,20061001
95865,CPT,"Muscle test, larynx",TC,,14 ,,RBRVS,0.00 ,0.68 ,0.68 ,,,,,1,1,1,0,1,1,20061001
95865,CPT,"Muscle test, larynx",26,,14 ,,RBRVS,1.57 ,0.77 ,0.77 ,,,,,1,0,1,1,1,1,20061001
95866,CPT,"Muscle test, hemidiaphragm",TC,,14 ,,RBRVS,0.00 ,0.20 ,0.20 ,,,,,1,1,1,0,1,1,20061001
95866,CPT,"Muscle test, hemidiaphragm",26,,14 ,,RBRVS,1.25 ,0.56 ,0.56 ,,,,,1,0,1,1,1,1,20061001
95867,CPT,Muscle test cran nerv unilat,TC,,14 ,,RBRVS,0.00 ,0.58 ,0.58 ,,,,,1,1,1,0,1,1,20061001
95867,CPT,Muscle test cran nerv unilat,26,,14 ,,RBRVS,0.79 ,0.35 ,0.35 ,,,,,1,0,1,1,1,1,20061001
95868,CPT,Muscle test cran nerve bilat,TC,,14 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,,,1,1,1,0,1,1,20061001
95868,CPT,Muscle test cran nerve bilat,26,,14 ,,RBRVS,1.18 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20061001
95869,CPT,"Muscle test, thor paraspinal",TC,,14 ,,RBRVS,0.00 ,0.21 ,0.21 ,,,,,1,1,1,0,1,1,20061001
95869,CPT,"Muscle test, thor paraspinal",26,,14 ,,RBRVS,0.37 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
95870,CPT,"Muscle test, nonparaspinal",TC,,14 ,,RBRVS,0.00 ,0.21 ,0.21 ,,,,,1,1,1,0,1,1,20061001
95870,CPT,"Muscle test, nonparaspinal",26,,14 ,,RBRVS,0.37 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
95872,CPT,"Muscle test, one fiber",TC,,14 ,,RBRVS,0.00 ,0.60 ,0.60 ,,,,,1,1,1,0,1,1,20061001
95872,CPT,"Muscle test, one fiber",26,,14 ,,RBRVS,1.50 ,0.63 ,0.63 ,,,,,1,0,1,1,1,1,20061001
95873,CPT,"Guide nerv destr, elec stim",TC,,14 ,,RBRVS,0.00 ,0.20 ,0.20 ,,,,,1,1,1,0,1,1,20061001
95873,CPT,"Guide nerv destr, elec stim",26,,14 ,,RBRVS,0.37 ,0.16 ,0.16 ,,,,,1,0,1,1,1,1,20061001
95874,CPT,"Guide nerv destr, needle emg",TC,,14 ,,RBRVS,0.00 ,0.20 ,0.20 ,,,,,1,1,1,0,1,1,20061001
95874,CPT,"Guide nerv destr, needle emg",26,,14 ,,RBRVS,0.37 ,0.17 ,0.17 ,,,,,1,0,1,1,1,1,20061001
95875,CPT,Limb exercise test,TC,,14 ,,RBRVS,0.00 ,0.98 ,0.98 ,,,,,1,1,1,0,1,1,20061001
95875,CPT,Limb exercise test,26,,14 ,,RBRVS,1.10 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20061001
95900,CPT,Motor nerve conduction test,TC,,14 ,,RBRVS,0.00 ,1.08 ,1.08 ,,,,,1,1,1,0,1,1,20061001
95900,CPT,Motor nerve conduction test,26,,14 ,,RBRVS,0.42 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
95903,CPT,Motor nerve conduction test,TC,,14 ,,RBRVS,0.00 ,0.93 ,0.93 ,,,,,1,1,1,0,1,1,20061001
95903,CPT,Motor nerve conduction test,26,,14 ,,RBRVS,0.60 ,0.26 ,0.26 ,,,,,1,0,1,1,1,1,20061001
95904,CPT,Sense nerve conduction test,TC,,14 ,,RBRVS,0.00 ,0.94 ,0.94 ,,,,,1,1,1,0,1,1,20061001
95904,CPT,Sense nerve conduction test,26,,14 ,,RBRVS,0.34 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
95920,CPT,Intraop nerve test add-on,TC,,14 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
95920,CPT,Intraop nerve test add-on,26,,14 ,,RBRVS,2.11 ,0.93 ,0.93 ,,,,,1,0,1,1,1,1,20061001
95921,CPT,Autonomic nerv function test,,,14 ,,RBRVS,0.90 ,0.71 ,0.71 ,,,,,1,0,1,1,1,0,20061001
95921,CPT,Autonomic nerv function test,,,14 ,,RBRVS,0.90 ,0.71 ,0.71 ,,,,,1,0,0,0,0,1,20061001
95922,CPT,Autonomic nerv function test,,,14 ,,RBRVS,0.96 ,0.78 ,0.78 ,,,,,1,0,1,1,1,0,20061001
95922,CPT,Autonomic nerv function test,,,14 ,,RBRVS,0.96 ,0.78 ,0.78 ,,,,,1,0,0,0,0,1,20061001
95923,CPT,Autonomic nerv function test,,,14 ,,RBRVS,0.90 ,1.94 ,1.94 ,,,,,1,0,1,1,1,0,20061001
95923,CPT,Autonomic nerv function test,,,14 ,,RBRVS,0.90 ,1.94 ,1.94 ,,,,,1,0,0,0,0,1,20061001
95925,CPT,Somatosensory testing,TC,,14 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,,,1,1,1,0,1,1,20061001
95925,CPT,Somatosensory testing,26,,14 ,,RBRVS,0.54 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20061001
95926,CPT,Somatosensory testing,TC,,14 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,,,1,1,1,0,1,1,20061001
95926,CPT,Somatosensory testing,26,,14 ,,RBRVS,0.54 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
95927,CPT,Somatosensory testing,TC,,14 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,,,1,1,1,0,1,1,20061001
95927,CPT,Somatosensory testing,26,,14 ,,RBRVS,0.54 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20061001
95928,CPT,"C motor evoked, uppr limbs",TC,,14 ,,RBRVS,0.00 ,2.38 ,2.38 ,,,,,1,1,1,0,1,1,20061001
95928,CPT,"C motor evoked, uppr limbs",26,,14 ,,RBRVS,1.50 ,0.65 ,0.65 ,,,,,1,0,1,1,1,1,20061001
95929,CPT,"C motor evoked, lwr limbs",TC,,14 ,,RBRVS,0.00 ,2.57 ,2.57 ,,,,,1,1,1,0,1,1,20061001
95929,CPT,"C motor evoked, lwr limbs",26,,14 ,,RBRVS,1.50 ,0.65 ,0.65 ,,,,,1,0,1,1,1,1,20061001
95930,CPT,Visual evoked potential test,TC,,14 ,,RBRVS,0.00 ,2.10 ,2.10 ,,,,,1,1,1,0,1,1,20061001
95930,CPT,Visual evoked potential test,26,,14 ,,RBRVS,0.35 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
95933,CPT,Blink reflex test,TC,,14 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,,,1,1,1,0,1,1,20061001
95933,CPT,Blink reflex test,26,,14 ,,RBRVS,0.59 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20061001
95934,CPT,H-reflex test,TC,,14 ,,RBRVS,0.00 ,0.21 ,0.21 ,,,,,1,1,1,0,1,1,20061001
95934,CPT,H-reflex test,26,,14 ,,RBRVS,0.51 ,0.22 ,0.22 ,,,,,1,0,1,1,1,1,20061001
95936,CPT,H-reflex test,TC,,14 ,,RBRVS,0.00 ,0.21 ,0.21 ,,,,,1,1,1,0,1,1,20061001
95936,CPT,H-reflex test,26,,14 ,,RBRVS,0.55 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20061001
95937,CPT,Neuromuscular junction test,TC,,14 ,,RBRVS,0.00 ,0.34 ,0.34 ,,,,,1,1,1,0,1,1,20061001
95937,CPT,Neuromuscular junction test,26,,14 ,,RBRVS,0.65 ,0.27 ,0.27 ,,,,,1,0,1,1,1,1,20061001
95950,CPT,Ambulatory eeg monitoring,TC,,14 ,,RBRVS,0.00 ,3.30 ,3.30 ,,,,,1,1,1,0,1,1,20061001
95950,CPT,Ambulatory eeg monitoring,26,,14 ,,RBRVS,1.51 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20061001
95951,CPT,EEG monitoring/videorecord,TC,,14 ,,TotalUnits,,,,6.12 ,,,,1,1,1,0,1,1,20061001
95951,CPT,EEG monitoring/videorecord,26,,14 ,,RBRVS,5.99 ,2.56 ,2.56 ,,,,,1,0,1,1,1,1,20061001
95953,CPT,EEG monitoring/computer,TC,,14 ,,RBRVS,0.00 ,6.35 ,6.35 ,,,,,1,1,1,0,1,1,20061001
95953,CPT,EEG monitoring/computer,26,,14 ,,RBRVS,3.08 ,1.29 ,1.29 ,,,,,1,0,1,1,1,1,20061001
95954,CPT,EEG monitoring/giving drugs,TC,,14 ,,RBRVS,0.00 ,3.19 ,3.19 ,,,,,1,1,1,0,1,1,20061001
95954,CPT,EEG monitoring/giving drugs,26,,14 ,,RBRVS,2.45 ,1.04 ,1.04 ,,,,,1,0,1,1,1,1,20061001
95955,CPT,EEG during surgery,TC,,14 ,,RBRVS,0.00 ,1.97 ,1.97 ,,,,,1,1,1,0,1,1,20061001
95955,CPT,EEG during surgery,26,,14 ,,RBRVS,1.01 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20061001
95956,CPT,"Eeg monitoring, cable/radio",TC,,14 ,,RBRVS,0.00 ,14.15 ,14.15 ,,,,,1,1,1,0,1,1,20061001
95956,CPT,"Eeg monitoring, cable/radio",26,,14 ,,RBRVS,3.08 ,1.30 ,1.30 ,,,,,1,0,1,1,1,1,20061001
95957,CPT,EEG digital analysis,TC,,14 ,,RBRVS,0.00 ,1.70 ,1.70 ,,,,,1,1,1,0,1,1,20061001
95957,CPT,EEG digital analysis,26,,14 ,,RBRVS,1.98 ,0.85 ,0.85 ,,,,,1,0,1,1,1,1,20061001
95958,CPT,EEG monitoring/function test,TC,,14 ,,RBRVS,0.00 ,1.75 ,1.75 ,,,,,1,1,1,0,1,1,20061001
95958,CPT,EEG monitoring/function test,26,,14 ,,RBRVS,4.24 ,1.75 ,1.75 ,,,,,1,0,1,1,1,1,20061001
95961,CPT,"Electrode stimulation, brain",TC,,14 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
95961,CPT,"Electrode stimulation, brain",26,,14 ,,RBRVS,2.97 ,1.32 ,1.32 ,,,,,1,0,1,1,1,1,20061001
95962,CPT,"Electrode stim, brain add-on",TC,,14 ,,RBRVS,0.00 ,1.31 ,1.31 ,,,,,1,1,1,0,1,1,20061001
95962,CPT,"Electrode stim, brain add-on",26,,14 ,,RBRVS,3.21 ,1.39 ,1.39 ,,,,,1,0,1,1,1,1,20061001
95965,CPT,"Meg, spontaneous",,,14 ,,TotalUnits,,,,57.05 ,,,,1,1,1,0,1,1,20061001
95965,CPT,"Meg, spontaneous",26,,14 ,,RBRVS,7.99 ,3.43 ,3.43 ,,,,,1,0,1,1,1,1,20061001
95966,CPT,"Meg, evoked, single",,,14 ,,TotalUnits,,,,28.60 ,,,,1,1,1,0,1,1,20061001
95966,CPT,"Meg, evoked, single",26,,14 ,,RBRVS,3.99 ,1.71 ,1.71 ,,,,,1,0,1,1,1,1,20061001
95967,CPT,"Meg, evoked, each addl",,,14 ,,TotalUnits,,,,24.10 ,,,,1,1,1,0,1,1,20061001
95967,CPT,"Meg, evoked, each addl",26,,14 ,,RBRVS,3.49 ,1.18 ,1.18 ,,,,,1,0,1,1,1,1,20061001
95970,CPT,"Analyze neurostim, no prog",,,14 ,,RBRVS,0.45 ,0.14 ,0.85 ,,,,,1,0,1,1,1,1,20061001
95971,CPT,"Analyze neurostim, simple",,,14 ,,RBRVS,0.78 ,0.22 ,0.68 ,,,,,1,0,1,1,1,1,20061001
95972,CPT,"Analyze neurostim, complex",,,14 ,,RBRVS,1.50 ,0.49 ,1.21 ,,,,,1,0,1,1,1,1,20061001
95973,CPT,"Analyze neurostim, complex",,,14 ,,RBRVS,0.92 ,0.34 ,0.62 ,,,,,1,0,1,1,1,1,20061001
95974,CPT,"Cranial neurostim, complex",,,14 ,,RBRVS,3.00 ,1.30 ,1.70 ,,,,,1,0,1,1,1,1,20061001
95975,CPT,"Cranial neurostim, complex",,,14 ,,RBRVS,1.70 ,0.73 ,0.89 ,,,,,1,0,1,1,1,1,20061001
95978,CPT,Analyze neurostim brain/1h,,,14 ,,RBRVS,3.50 ,1.30 ,1.94 ,,,,,1,1,1,0,1,1,20061001
95979,CPT,Analyz neurostim brain addon,,,14 ,,RBRVS,1.64 ,0.69 ,0.87 ,,,,,1,1,1,0,1,1,20061001
95990,CPT,Spin/brain pump refil & main,,,14 ,,RBRVS,0.00 ,1.50 ,1.50 ,,,,,1,0,1,1,1,1,20061001
95991,CPT,Spin/brain pump refil & main,,,14 ,,RBRVS,0.77 ,0.17 ,1.46 ,,,,,1,0,1,1,1,1,20061001
95999,CPT,Neurological procedure,,,14 ,,TotalUnits,,,,1.81 ,,,,1,0,1,1,1,1,20061001
96000,CPT,"Motion analysis, video/3d",,,14 ,,RBRVS,1.80 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20061001
96001,CPT,Motion test w/ft press meas,,,14 ,,RBRVS,2.15 ,0.66 ,0.66 ,,,,,1,0,1,1,1,1,20061001
96002,CPT,Dynamic surface emg,,,14 ,,RBRVS,0.41 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
96003,CPT,Dynamic fine wire emg,,,14 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,,,1,0,1,1,1,1,20061001
96004,CPT,Phys review of motion tests,,PC,14 ,,RBRVS,2.14 ,0.94 ,0.94 ,,,,,1,0,1,1,1,1,20061001
96101,CPT,Psycho testing by psych/phys,,,14 ,,RBRVS,1.86 ,0.63 ,0.65 ,,,,,1,1,1,0,1,1,20061001
96102,CPT,Psycho testing by technician,,,14 ,,RBRVS,0.50 ,0.17 ,0.66 ,,,,,1,1,1,0,1,1,20061001
96103,CPT,Psycho testing admin by comp,,,14 ,,RBRVS,0.51 ,0.17 ,0.21 ,,,,,1,1,1,0,1,1,20061001
96105,CPT,Assessment of aphasia,,,14 ,,RBRVS,0.00 ,1.77 ,1.77 ,,,,,1,1,1,0,1,1,20061001
96110,CPT,"Developmental test, lim",,,14 ,,RBRVS,0.00 ,0.18 ,0.18 ,,,,,1,1,1,0,1,1,20061001
96111,CPT,"Developmental test, extend",,,14 ,,RBRVS,2.60 ,1.05 ,1.05 ,,,,,1,1,1,0,1,1,20061001
96116,CPT,Neurobehavioral status exam,,,14 ,,RBRVS,1.86 ,0.64 ,0.83 ,,,,,1,1,1,0,1,1,20061001
96118,CPT,Neuropsych tst by psych/phys,,,14 ,,RBRVS,1.86 ,0.63 ,1.39 ,,,,,1,1,1,0,1,1,20061001
96119,CPT,Neuropsych testing by tech,,,14 ,,RBRVS,0.55 ,0.19 ,1.02 ,,,,,1,1,1,0,1,1,20061001
96120,CPT,Neuropsych tst admin w/comp,,,14 ,,RBRVS,0.51 ,0.17 ,0.74 ,,,,,1,1,1,0,1,1,20061001
96150,CPT,"Assess lth/behave, init",,,14 ,,RBRVS,0.50 ,0.18 ,0.18 ,,,,,1,0,1,1,1,1,20061001
96151,CPT,"Assess hlth/behave, subseq",,,14 ,,RBRVS,0.48 ,0.17 ,0.18 ,,,,,1,0,1,1,1,1,20061001
96152,CPT,"Intervene hlth/behave, indiv",,,14 ,,RBRVS,0.46 ,0.16 ,0.17 ,,,,,1,0,1,1,1,1,20061001
96153,CPT,"Intervene hlth/behave, group",,,14 ,,RBRVS,0.10 ,0.03 ,0.04 ,,,,,1,0,1,1,1,1,20061001
96154,CPT,"Interv hlth/behav, fam w/pt",,,14 ,,RBRVS,0.45 ,0.16 ,0.17 ,,,,,1,0,1,1,1,1,20061001
96155,CPT,Interv hlth/behav fam no pt,,,14 ,,RBRVS,0.44 ,0.17 ,0.18 ,,,,,1,0,1,1,1,1,20061001
96401,CPT,"Chemo, anti-neopl, sq/im",,,14 ,,RBRVS,0.21 ,1.53 ,1.53 ,,,,,1,1,1,0,1,1,20061001
96402,CPT,Chemo hormon antineopl sq/im,,,14 ,,RBRVS,0.19 ,0.74 ,0.74 ,,,,,1,1,1,0,1,1,20061001
96405,CPT,Intralesional chemo admin,,,14 ,,RBRVS,0.52 ,0.24 ,2.78 ,,,,,1,1,1,0,1,1,20061001
96406,CPT,Intralesional chemo admin,,,14 ,,RBRVS,0.80 ,0.29 ,3.08 ,,,,,1,1,1,0,1,1,20061001
96409,CPT,"Chemo, iv push, sngl drug",,,14 ,,RBRVS,0.24 ,2.93 ,2.93 ,,,,,1,1,1,0,1,1,20061001
96411,CPT,"Chemo, iv push, addl drug",,,14 ,,RBRVS,0.20 ,1.61 ,1.61 ,,,,,1,1,1,0,1,1,20061001
96413,CPT,"Chemo, iv infusion, 1 hr",,,14 ,,RBRVS,0.28 ,4.20 ,4.20 ,,,,,1,1,1,0,1,1,20061001
96415,CPT,"Chemo, iv infusion, addl hr",,,14 ,,RBRVS,0.19 ,0.77 ,0.77 ,,,,,1,1,1,0,1,1,20061001
96416,CPT,Chemo prolong infuse w/pump,,,14 ,,RBRVS,0.21 ,4.61 ,4.61 ,,,,,1,1,1,0,1,1,20061001
96417,CPT,Chemo iv infus each addl seq,,,14 ,,RBRVS,0.21 ,1.95 ,1.95 ,,,,,1,1,1,0,1,1,20061001
96420,CPT,"Chemotherapy, push technique",,,14 ,,RBRVS,0.17 ,2.66 ,2.66 ,,,,,1,1,1,0,1,1,20061001
96422,CPT,"Chemotherapy,infusion method",,,14 ,,RBRVS,0.17 ,4.84 ,4.84 ,,,,,1,1,1,0,1,1,20061001
96423,CPT,"Chemo, infuse method add-on",,,14 ,,RBRVS,0.17 ,1.89 ,1.89 ,,,,,1,1,1,0,1,1,20061001
96425,CPT,"Chemotherapy,infusion method",,,14 ,,RBRVS,0.17 ,4.48 ,4.48 ,,,,,1,1,1,0,1,1,20061001
96440,CPT,"Chemotherapy, intracavitary",,,14 ,,RBRVS,2.37 ,1.23 ,8.04 ,,,,,1,1,1,0,1,1,20061001
96445,CPT,"Chemotherapy, intracavitary",,,14 ,,RBRVS,2.20 ,1.18 ,8.05 ,,,,,1,1,1,0,1,1,20061001
96450,CPT,"Chemotherapy, into CNS",,,14 ,,RBRVS,1.53 ,1.29 ,6.96 ,,,,,1,1,1,0,1,1,20061001
96521,CPT,"Refill/maint, portable pump",,,14 ,,RBRVS,0.21 ,3.77 ,3.77 ,,,,,1,1,1,0,1,1,20061001
96522,CPT,Refill/maint pump/resvr syst,,,14 ,,RBRVS,0.21 ,2.65 ,2.65 ,,,,,1,1,1,0,1,1,20061001
96523,CPT,Irrig drug delivery device,,,14 ,,RBRVS,0.04 ,0.69 ,0.69 ,,,,,1,1,1,0,1,1,20061001
96542,CPT,Chemotherapy injection,,,14 ,,RBRVS,0.75 ,0.66 ,4.24 ,,,,,1,1,1,0,1,1,20061001
96549,CPT,"Chemotherapy, unspecified",,,14 ,,TotalUnits,,,,3.08 ,,,,1,1,1,0,1,1,20061001
96567,CPT,"Photodynamic tx, skin",,,14 ,,RBRVS,0.00 ,1.96 ,1.96 ,,,,,1,1,1,0,1,1,20061001
96570,CPT,"Photodynamic tx, 30 min",,,14 ,,RBRVS,1.10 ,0.37 ,0.37 ,,,,,1,1,1,0,1,1,20061001
96571,CPT,"Photodynamic tx, addl 15 min",,,14 ,,RBRVS,0.55 ,0.19 ,0.19 ,,,,,1,1,1,0,1,1,20061001
96900,CPT,Ultraviolet light therapy,,,14 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,,,1,1,1,0,1,1,20061001
96902,CPT,Trichogram,,,14 ,,RBRVS,0.41 ,0.16 ,0.18 ,,,,,1,1,1,0,1,1,20061001
96910,CPT,Photochemotherapy with UV-B,,,14 ,,RBRVS,0.00 ,0.99 ,0.99 ,,,,,1,1,1,0,1,1,20061001
96912,CPT,Photochemotherapy with UV-A,,,14 ,,RBRVS,0.00 ,1.26 ,1.26 ,,,,,1,1,1,0,1,1,20061001
96913,CPT,"Photochemotherapy, UV-A or B",,,14 ,,RBRVS,0.00 ,1.68 ,1.68 ,,,,,1,1,1,0,1,1,20061001
96920,CPT,"Laser tx, skin < 250 sq cm",,,14 ,,RBRVS,1.15 ,0.56 ,2.54 ,,,,,1,1,1,0,1,1,20061001
96921,CPT,"Laser tx, skin 250-500 sq cm",,,14 ,,RBRVS,1.17 ,0.57 ,2.61 ,,,,,1,1,1,0,1,1,20061001
96922,CPT,"Laser tx, skin > 500 sq cm",,,14 ,,RBRVS,2.10 ,0.62 ,3.49 ,,,,,1,1,1,0,1,1,20061001
96999,CPT,Dermatological procedure,,,14 ,,TotalUnits,,,,1.07 ,,,,1,1,1,0,1,1,20061001
97001,CPT,Pt evaluation,,,19 ,,RBRVS,1.20 ,0.45 ,0.75 ,,,,,1,1,1,0,0,1,20061001
97002,CPT,Pt re-evaluation,,,19 ,,RBRVS,0.60 ,0.23 ,0.44 ,,,,,1,1,1,0,0,1,20061001
97003,CPT,Ot evaluation,,,19 ,,RBRVS,1.20 ,0.40 ,0.88 ,,,,,1,1,1,0,0,1,20061001
97004,CPT,Ot re-evaluation,,,19 ,,RBRVS,0.60 ,0.19 ,0.67 ,,,,,1,1,1,0,0,1,20061001
97005,CPT,Athletic train eval,,,19 ,,TotalUnits,,,,1.45 ,,,,1,1,1,0,0,1,20061001
97006,CPT,Athletic train reeval,,,19 ,,TotalUnits,,,,0.72 ,,,,1,1,1,0,0,1,20061001
97010,CPT,Hot or cold packs therapy,,,19 ,,RBRVS,0.06 ,0.05 ,0.05 ,,,,,1,1,1,0,0,1,20061001
97012,CPT,Mechanical traction therapy,,,19 ,,RBRVS,0.25 ,0.13 ,0.13 ,,,,,1,1,1,0,0,1,20061001
97014,CPT,Electric stimulation therapy,,,19 ,,RBRVS,0.18 ,0.19 ,0.19 ,,,,,1,1,1,0,0,1,20061001
97016,CPT,Vasopneumatic device therapy,,,19 ,,RBRVS,0.18 ,0.18 ,0.18 ,,,,,1,1,1,0,0,1,20061001
97018,CPT,Paraffin bath therapy,,,19 ,,RBRVS,0.06 ,0.10 ,0.10 ,,,,,1,1,1,0,0,1,20061001
97022,CPT,Whirlpool therapy,,,19 ,,RBRVS,0.17 ,0.21 ,0.21 ,,,,,1,1,1,0,0,1,20061001
97024,CPT,Diathermy treatment,,,19 ,,RBRVS,0.06 ,0.07 ,0.07 ,,,,,1,1,1,0,0,1,20061001
97026,CPT,Infrared therapy,,,19 ,,RBRVS,0.06 ,0.06 ,0.06 ,,,,,1,1,1,0,0,1,20061001
97028,CPT,Ultraviolet therapy,,,19 ,,RBRVS,0.08 ,0.07 ,0.07 ,,,,,1,1,1,0,0,1,20061001
97032,CPT,Electrical stimulation,,,19 ,,RBRVS,0.25 ,0.16 ,0.16 ,,,,,1,1,1,0,0,1,20061001
97033,CPT,Electric current therapy,,,19 ,,RBRVS,0.26 ,0.27 ,0.27 ,,,,,1,1,1,0,0,1,20061001
97034,CPT,Contrast bath therapy,,,19 ,,RBRVS,0.21 ,0.15 ,0.15 ,,,,,1,1,1,0,0,1,20061001
97035,CPT,Ultrasound therapy,,,19 ,,RBRVS,0.21 ,0.10 ,0.10 ,,,,,1,1,1,0,0,1,20061001
97036,CPT,Hydrotherapy,,,19 ,,RBRVS,0.28 ,0.32 ,0.32 ,,,,,1,1,1,0,0,1,20061001
97039,CPT,Unlisted physical medicine/rehab modality,,,28 ,,NW,,,,,,$23.32,,1,1,1,0,0,1,20061001
97110,CPT,Therapeutic exercises,,,19 ,,RBRVS,0.45 ,0.27 ,0.27 ,,,,,1,1,1,0,0,1,20061001
97112,CPT,Neuromuscular reeducation,,,19 ,,RBRVS,0.45 ,0.31 ,0.31 ,,,,,1,1,1,0,0,1,20061001
97113,CPT,Aquatic therapy/exercises,,,19 ,,RBRVS,0.44 ,0.39 ,0.39 ,,,,,1,1,1,0,0,1,20061001
97116,CPT,Gait training therapy,,,19 ,,RBRVS,0.40 ,0.24 ,0.24 ,,,,,1,1,1,0,0,1,20061001
97124,CPT,Massage therapy,,,19 ,,RBRVS,0.35 ,0.23 ,0.23 ,,,,,1,1,1,0,0,1,20061001
97139,CPT,Physical medicine procedure,,,28 ,,NW,,,,,,$23.32,,1,1,1,0,0,1,20061001
97140,CPT,Manual therapy,,,19 ,,RBRVS,0.43 ,0.25 ,0.25 ,,,,,1,1,1,0,0,1,20061001
97150,CPT,Group therapeutic procedures,,,19 ,,RBRVS,0.27 ,0.18 ,0.18 ,,,,,1,1,1,0,0,1,20061001
97530,CPT,Therapeutic activities,,,19 ,,RBRVS,0.44 ,0.32 ,0.32 ,,,,,1,1,1,0,0,1,20061001
97532,CPT,Cognitive skills development,,,19 ,,RBRVS,0.44 ,0.20 ,0.20 ,,,,,1,1,1,0,0,1,20061001
97533,CPT,Sensory integration,,,19 ,,RBRVS,0.44 ,0.24 ,0.24 ,,,,,1,1,1,0,0,1,20061001
97535,CPT,Self care mngment training,,,19 ,,RBRVS,0.45 ,0.33 ,0.33 ,,,,,1,1,1,0,0,1,20061001
97537,CPT,Community/work reintegration,,,19 ,,RBRVS,0.45 ,0.26 ,0.26 ,,,,,1,1,1,0,0,1,20061001
97542,CPT,Wheelchair mngment training,,,19 ,,RBRVS,0.45 ,0.28 ,0.28 ,,,,,1,1,1,0,0,1,20061001
97545,CPT,Work hardening,,,19 ,,TotalUnits,,,,2.68 ,,,,1,1,1,0,0,1,20061001
97546,CPT,Work hardening add-on,,,19 ,,TotalUnits,,,,1.07 ,,,,1,1,1,0,0,1,20061001
97597,CPT,Active wound care/20 cm or <,,,19 ,,RBRVS,0.58 ,0.66 ,0.66 ,,,,,1,1,1,0,0,1,20061001
97598,CPT,Active wound care > 20 cm,,,19 ,,RBRVS,0.80 ,0.79 ,0.79 ,,,,,1,1,1,0,0,1,20061001
97602,CPT,Wound(s) care non-selective,,,19 ,2,TotalUnits,,,,0.39 ,,,,1,1,1,0,0,1,20061001
97605,CPT,Negative pressure wound therapy less than or equal to 50 square cm,,,28 ,,NW,,,,,,$53.99,,1,1,1,0,0,1,20061001
97606,CPT,Negative pressure wound therapy greater than 50 square cm,,,28 ,,NW,,,,,,$67.52,,1,1,1,0,0,1,20061001
97750,CPT,Physical performance test,,,19 ,,RBRVS,0.45 ,0.32 ,0.32 ,,,,,1,1,1,0,0,1,20061001
97755,CPT,Assistive technology assess,,,19 ,,RBRVS,0.62 ,0.28 ,0.28 ,,,,,1,1,1,0,0,1,20061001
97760,CPT,Orthotic mgmt and training,,,19 ,,RBRVS,0.45 ,0.20 ,0.34 ,,,,,1,1,1,0,1,1,20061001
97761,CPT,Prosthetic training,,,19 ,,RBRVS,0.45 ,0.19 ,0.28 ,,,,,1,1,1,0,1,1,20061001
97762,CPT,C/o for orthotic/prosth use,,,19 ,,RBRVS,0.25 ,0.19 ,0.42 ,,,,,1,1,1,0,1,1,20061001
97799,CPT,Physical medicine procedure,,,19 ,,TotalUnits,,,,0.76 ,,,,1,1,1,0,0,1,20061001
97802,CPT,"Medical nutrition, indiv, in",,,14 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,1,1,20061001
97803,CPT,"Med nutrition, indiv, subseq",,,14 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,1,1,20061001
97804,CPT,"Medical nutrition, group",,,14 ,,RBRVS,0.00 ,0.18 ,0.18 ,,,,,1,1,1,0,1,1,20061001
97810,CPT,Acupunct w/o stimul 15 min,,,19 ,,RBRVS,0.60 ,0.23 ,0.38 ,,,,,1,0,0,1,1,1,20061001
97811,CPT,Acupunct w/o stimul addl 15m,,,19 ,,RBRVS,0.50 ,0.19 ,0.25 ,,,,,1,0,0,1,1,1,20061001
97813,CPT,Acupunct w/stimul 15 min,,,19 ,,RBRVS,0.65 ,0.25 ,0.40 ,,,,,1,0,0,1,1,1,20061001
97814,CPT,Acupunct w/stimul addl 15m,,,19 ,,RBRVS,0.55 ,0.21 ,0.30 ,,,,,1,0,0,1,1,1,20061001
98925,CPT,Osteopathic manipulation,,,19 ,,RBRVS,0.45 ,0.14 ,0.32 ,,,,,1,1,1,0,1,1,20061001
98926,CPT,Osteopathic manipulation,,,19 ,,RBRVS,0.65 ,0.25 ,0.41 ,,,,,1,1,1,0,1,1,20061001
98927,CPT,Osteopathic manipulation,,,19 ,,RBRVS,0.87 ,0.29 ,0.50 ,,,,,1,1,1,0,1,1,20061001
98928,CPT,Osteopathic manipulation,,,19 ,,RBRVS,1.03 ,0.34 ,0.59 ,,,,,1,1,1,0,1,1,20061001
98929,CPT,Osteopathic manipulation,,,19 ,,RBRVS,1.19 ,0.37 ,0.67 ,,,,,1,1,1,0,1,1,20061001
98940,CPT,Chiropractic manipulation,,,5 ,,RBRVS,0.45 ,0.12 ,0.23 ,,,,,1,0,1,1,1,1,20061001
98941,CPT,Chiropractic manipulation,,,5 ,,RBRVS,0.65 ,0.17 ,0.30 ,,,,,1,0,1,1,1,1,20061001
98942,CPT,Chiropractic manipulation,,,5 ,,RBRVS,0.87 ,0.23 ,0.36 ,,,,,1,0,1,1,1,1,20061001
98943,CPT,Chiropractic manipulation,,,5 ,,RBRVS,0.40 ,0.16 ,0.24 ,,,,,1,0,1,1,1,1,20061001
98960,CPT,"Self-mgmt educ & train, 1 pt",,,14 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,,,1,0,1,1,1,1,20061001
98961,CPT,"Self-mgmt educ/train, 2-4 pt",,,14 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20061001
98962,CPT,"Self-mgmt educ/train, 5-8 pt",,,14 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20061001
99000,CPT,Specimen handling,,,14 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20061001
99001,CPT,Specimen handling,,,14 ,,TotalUnits,,,,0.25 ,,,,1,1,1,0,1,1,20061001
99002,CPT,Device handling,,,14 ,,TotalUnits,,,,0.37 ,,,,1,1,1,0,1,1,20061001
99026,CPT,In-hospital on call service,,,14 ,,TotalUnits,,,,2.10 ,,,,1,0,1,1,1,1,20061001
99027,CPT,Out-of-hosp on call service,,,14 ,,TotalUnits,,,,2.10 ,,,,1,0,1,1,1,1,20061001
99050,CPT,Medical services after hrs,,,14 ,,TotalUnits,,,,0.69 ,,,,1,0,1,1,1,1,20061001
99056,CPT,Non-office medical services,,,14 ,,TotalUnits,,,,0.90 ,,,,1,0,1,1,1,1,20061001
99058,CPT,Office emergency care,,,14 ,,TotalUnits,,,,0.93 ,,,,1,0,1,1,1,1,20061001
99075,CPT,Medical testimony,,,14 ,,TotalUnits,,,,5.27 ,,,,1,0,1,1,1,1,20061001
99078,CPT,Group health education,,,14 ,,TotalUnits,,,,0.90 ,,,,1,0,1,1,1,1,20061001
99080,CPT,Special reports or forms,,,14 ,,TotalUnits,,,,0.72 ,,,,1,0,1,1,1,1,20061001
99082,CPT,Unusual physician travel,,,14 ,,TotalUnits,,,,0.47 ,,,,1,0,1,1,1,1,20061001
99090,CPT,Computer data analysis,,,14 ,,TotalUnits,,,,1.50 ,,,,1,0,1,1,1,1,20061001
99091,CPT,Collect/review data from pt,,,14 ,,TotalUnits,,,,1.50 ,,,,1,0,1,1,1,1,20061001
99100,CPT,Special anesthesia service,,,21 ,,TotalUnits,,,,0.08 ,,,,1,0,1,1,1,1,20061001
99116,CPT,Anesthesia with hypothermia,,,21 ,,TotalUnits,,,,0.50 ,,,,1,0,1,1,1,1,20061001
99135,CPT,Special anesthesia procedure,,,21 ,,TotalUnits,,,,0.63 ,,,,1,0,1,1,1,1,20061001
99140,CPT,Emergency anesthesia,,,21 ,,TotalUnits,,,,0.39 ,,,,1,0,1,1,1,1,20061001
99170,CPT,"Anogenital exam, child",,,14 ,,RBRVS,1.75 ,0.55 ,1.77 ,,,,,1,0,1,1,1,1,20061001
99172,CPT,Ocular function screen,26,,23 ,,TotalUnits,,,,0.28 ,,,,1,0,1,1,1,1,20061001
99172,CPT,Ocular function screen,TC,,23 ,,TotalUnits,,,,1.10 ,,,,1,1,1,0,1,1,20061001
99173,CPT,Visual acuity screen,,,23 ,,TotalUnits,,,,0.69 ,,,,1,1,1,0,1,1,20061001
99175,CPT,Induction of vomiting,,,14 ,2,RBRVS,0.00 ,1.39 ,1.39 ,,,,,1,1,1,0,1,1,20061001
99183,CPT,Hyperbaric oxygen therapy,,,14 ,,RBRVS,2.34 ,0.72 ,3.25 ,,,,,1,0,1,1,1,1,20061001
99185,CPT,Regional hypothermia,26,,14 ,,TotalUnits,,,,0.25 ,,,,1,0,1,1,1,1,20061001
99185,CPT,Regional hypothermia,TC,,14 ,2,TotalUnits,,,,0.39 ,,,,1,1,1,0,1,1,20061001
99186,CPT,Total body hypothermia,26,,14 ,,TotalUnits,,,,1.19 ,,,,1,0,1,1,1,1,20061001
99186,CPT,Total body hypothermia,TC,,14 ,2,TotalUnits,,,,1.78 ,,,,1,1,1,0,1,1,20061001
99190,CPT,Special pump services,,,14 ,1,TotalUnits,,,,14.50 ,,,,1,1,1,0,1,1,20061001
99191,CPT,Special pump services,,,14 ,1,TotalUnits,,,,10.87 ,,,,1,1,1,0,1,1,20061001
99192,CPT,Special pump services,,,14 ,1,TotalUnits,,,,7.25 ,,,,1,1,1,0,1,1,20061001
99195,CPT,Phlebotomy,,,14 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,,,1,1,1,0,1,1,20061001
99199,CPT,Special service/proc/report,,,14 ,,TotalUnits,,,,0.32 ,,,,1,1,1,0,1,1,20061001
99201,CPT,"Office/outpatient visit, new",,,15 ,,RBRVS,0.45 ,0.15 ,0.49 ,,,,,1,0,1,1,1,1,20061001
99202,CPT,"Office/outpatient visit, new",,,15 ,,RBRVS,0.88 ,0.31 ,0.79 ,,,,,1,0,1,1,1,1,20061001
99203,CPT,"Office/outpatient visit, new",,,15 ,,RBRVS,1.34 ,0.48 ,1.13 ,,,,,1,0,1,1,1,1,20061001
99204,CPT,"Office/outpatient visit, new",,,15 ,,RBRVS,2.00 ,0.71 ,1.50 ,,,,,1,0,1,1,1,1,20061001
99205,CPT,"Office/outpatient visit, new",,,15 ,,RBRVS,2.67 ,0.95 ,1.78 ,,,,,1,0,1,1,1,1,20061001
99211,CPT,"Office/outpatient visit, est",,,15 ,,RBRVS,0.17 ,0.06 ,0.39 ,,,,,1,0,1,1,1,1,20061001
99212,CPT,"Office/outpatient visit, est",,,15 ,,RBRVS,0.45 ,0.16 ,0.54 ,,,,,1,0,1,1,1,1,20061001
99213,CPT,"Office/outpatient visit, est",,,15 ,,RBRVS,0.67 ,0.24 ,0.69 ,,,,,1,0,1,1,1,1,20061001
99214,CPT,"Office/outpatient visit, est",,,15 ,,RBRVS,1.10 ,0.41 ,1.03 ,,,,,1,0,1,1,1,1,20061001
99215,CPT,"Office/outpatient visit, est",,,15 ,,RBRVS,1.77 ,0.65 ,1.32 ,,,,,1,0,1,1,1,1,20061001
99217,CPT,Observation care discharge,,,7 ,,RBRVS,1.28 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20061001
99218,CPT,Observation care,,,7 ,,RBRVS,1.28 ,0.44 ,0.44 ,,,,,1,0,1,1,1,1,20061001
99219,CPT,Observation care,,,7 ,,RBRVS,2.14 ,0.72 ,0.72 ,,,,,1,0,1,1,1,1,20061001
99220,CPT,Observation care,,,7 ,,RBRVS,2.99 ,1.03 ,1.03 ,,,,,1,0,1,1,1,1,20061001
99221,CPT,Initial hospital care,,,10 ,,RBRVS,1.28 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20061001
99222,CPT,Initial hospital care,,,10 ,,RBRVS,2.14 ,0.74 ,0.74 ,,,,,1,0,1,1,1,1,20061001
99223,CPT,Initial hospital care,,,10 ,,RBRVS,2.99 ,1.03 ,1.03 ,,,,,1,0,1,1,1,1,20061001
99231,CPT,Subsequent hospital care,,,10 ,,RBRVS,0.64 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
99232,CPT,Subsequent hospital care,,,10 ,,RBRVS,1.06 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20061001
99233,CPT,Subsequent hospital care,,,10 ,,RBRVS,1.51 ,0.52 ,0.52 ,,,,,1,0,1,1,1,1,20061001
99234,CPT,Observ/hosp same date,,,10 ,,RBRVS,2.56 ,0.89 ,0.89 ,,,,,1,0,1,1,1,1,20061001
99235,CPT,Observ/hosp same date,,,10 ,,RBRVS,3.41 ,1.15 ,1.15 ,,,,,1,0,1,1,1,1,20061001
99236,CPT,Observ/hosp same date,,,10 ,,RBRVS,4.26 ,1.44 ,1.44 ,,,,,1,0,1,1,1,1,20061001
99238,CPT,Hospital discharge day,,,10 ,,RBRVS,1.28 ,0.54 ,0.54 ,,,,,1,0,1,1,1,1,20061001
99239,CPT,Hospital discharge day,,,10 ,,RBRVS,1.75 ,0.73 ,0.73 ,,,,,1,0,1,1,1,1,20061001
99241,CPT,Office consultation,,,6 ,,RBRVS,0.64 ,0.22 ,0.64 ,,,,,1,0,1,1,1,1,20061001
99242,CPT,Office consultation,,,6 ,,RBRVS,1.29 ,0.46 ,1.04 ,,,,,1,0,1,1,1,1,20061001
99243,CPT,Office consultation,,,6 ,,RBRVS,1.72 ,0.63 ,1.39 ,,,,,1,0,1,1,1,1,20061001
99244,CPT,Office consultation,,,6 ,,RBRVS,2.58 ,0.92 ,1.83 ,,,,,1,0,1,1,1,1,20061001
99245,CPT,Office consultation,,,6 ,,RBRVS,3.42 ,1.24 ,2.28 ,,,,,1,0,1,1,1,1,20061001
99251,CPT,Initial inpatient consult,,,6 ,,RBRVS,0.66 ,0.24 ,0.24 ,,,,,1,0,1,1,1,1,20061001
99252,CPT,Initial inpatient consult,,,6 ,,RBRVS,1.32 ,0.50 ,0.50 ,,,,,1,0,1,1,1,1,20061001
99253,CPT,Initial inpatient consult,,,6 ,,RBRVS,1.82 ,0.68 ,0.68 ,,,,,1,0,1,1,1,1,20061001
99254,CPT,Initial inpatient consult,,,6 ,,RBRVS,2.64 ,0.98 ,0.98 ,,,,,1,0,1,1,1,1,20061001
99255,CPT,Initial inpatient consult,,,6 ,,RBRVS,3.64 ,1.35 ,1.35 ,,,,,1,0,1,1,1,1,20061001
99281,CPT,Emergency dept visit,,,7 ,,RBRVS,0.33 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20061001
99282,CPT,Emergency dept visit,,,7 ,,RBRVS,0.55 ,0.14 ,0.14 ,,,,,1,0,1,1,1,1,20061001
99283,CPT,Emergency dept visit,,,7 ,,RBRVS,1.24 ,0.31 ,0.31 ,,,,,1,0,1,1,1,1,20061001
99284,CPT,Emergency dept visit,,,7 ,,RBRVS,1.95 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20061001
99285,CPT,Emergency dept visit,,,7 ,,RBRVS,3.06 ,0.72 ,0.72 ,,,,,1,0,1,1,1,1,20061001
99288,CPT,Direct advanced life support,,,7 ,,TotalUnits,,,,1.26 ,,,,1,0,1,1,1,1,20061001
99289,CPT,Ped crit care transport,,,10 ,,RBRVS,4.79 ,1.45 ,1.45 ,,,,,1,0,1,1,1,1,20061001
99290,CPT,Ped crit care transport addl,,,10 ,,RBRVS,2.40 ,0.81 ,0.81 ,,,,,1,0,1,1,1,1,20061001
99291,CPT,"Critical care, first hour",,,10 ,,RBRVS,3.99 ,1.28 ,2.58 ,,,,,1,0,1,1,1,1,20061001
99292,CPT,"Critical care, addl 30 min",,,10 ,,RBRVS,2.00 ,0.64 ,0.90 ,,,,,1,0,1,1,1,1,20061001
99293,CPT,"Ped critical care, initial",,,10 ,,RBRVS,15.98 ,4.76 ,4.76 ,,,,,1,0,1,1,1,1,20061001
99294,CPT,"Ped critical care, subseq",,,10 ,,RBRVS,7.99 ,2.41 ,2.41 ,,,,,1,0,1,1,1,1,20061001
99295,CPT,"Neonate crit care, initial",,,10 ,,RBRVS,18.46 ,5.39 ,5.39 ,,,,,1,0,1,1,1,1,20061001
99296,CPT,Neonate critical care subseq,,,10 ,,RBRVS,7.99 ,2.55 ,2.55 ,,,,,1,0,1,1,1,1,20061001
99298,CPT,Ic for lbw infant < 1500 gm,,,10 ,,RBRVS,2.75 ,0.93 ,0.93 ,,,,,1,0,1,1,1,1,20061001
99299,CPT,"Ic, lbw infant 1500-2500 gm",,,10 ,,RBRVS,2.50 ,0.86 ,0.86 ,,,,,1,0,1,1,1,1,20061001
99300,CPT,"Ic, infant pbw 2501-5000 gm",,,10 ,,RBRVS,2.40 ,0.84 ,0.84 ,,,,,1,0,1,0,1,1,20061001
99304,CPT,"Nursing facility care, init",,,15 ,,RBRVS,1.20 ,0.49 ,0.49 ,,,,,1,0,1,0,1,1,20061001
99305,CPT,"Nursing facility care, init",,,15 ,,RBRVS,1.61 ,0.63 ,0.63 ,,,,,1,0,1,0,1,1,20061001
99306,CPT,"Nursing facility care, init",,,15 ,,RBRVS,2.01 ,0.75 ,0.75 ,,,,,1,0,1,0,1,1,20061001
99307,CPT,"Nursing fac care, subseq",,,15 ,,RBRVS,0.60 ,0.27 ,0.27 ,,,,,1,0,1,0,1,1,20061001
99308,CPT,"Nursing fac care, subseq",,,15 ,,RBRVS,1.00 ,0.45 ,0.45 ,,,,,1,0,1,0,1,1,20061001
99309,CPT,"Nursing fac care, subseq",,,15 ,,RBRVS,1.42 ,0.62 ,0.62 ,,,,,1,0,1,0,1,1,20061001
99310,CPT,"Nursing fac care, subseq",,,15 ,,RBRVS,1.77 ,0.78 ,0.78 ,,,,,1,0,1,0,1,1,20061001
99315,CPT,Nursing fac discharge day,,,10 ,,RBRVS,1.13 ,0.45 ,0.45 ,,,,,1,0,1,1,1,1,20061001
99316,CPT,Nursing fac discharge day,,,10 ,,RBRVS,1.50 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20061001
99318,CPT,Annual nursing fac assessmnt,,,15 ,,RBRVS,1.20 ,0.49 ,0.49 ,,,,,1,0,1,0,1,1,20061001
99324,CPT,Domicil/r-home visit new pat,,,15 ,,RBRVS,1.01 ,0.38 ,0.49 ,,,,,1,0,1,0,1,1,20061001
99325,CPT,Domicil/r-home visit new pat,,,15 ,,RBRVS,1.52 ,0.55 ,0.68 ,,,,,1,0,1,0,1,1,20061001
99326,CPT,Domicil/r-home visit new pat,,,15 ,,RBRVS,2.27 ,0.78 ,0.92 ,,,,,1,0,1,0,1,1,20061001
99327,CPT,Domicil/r-home visit new pat,,,15 ,,RBRVS,3.03 ,1.05 ,1.17 ,,,,,1,0,1,0,1,1,20061001
99328,CPT,Domicil/r-home visit new pat,,,15 ,,RBRVS,3.78 ,1.31 ,1.42 ,,,,,1,0,1,0,1,1,20061001
99334,CPT,Domicil/r-home visit est pat,,,15 ,,RBRVS,0.76 ,0.26 ,0.40 ,,,,,1,0,1,0,1,1,20061001
99335,CPT,Domicil/r-home visit est pat,,,15 ,,RBRVS,1.26 ,0.43 ,0.58 ,,,,,1,0,1,0,1,1,20061001
99336,CPT,Domicil/r-home visit est pat,,,15 ,,RBRVS,2.02 ,0.66 ,0.82 ,,,,,1,0,1,0,1,1,20061001
99337,CPT,Domicil/r-home visit est pat,,,15 ,,RBRVS,3.03 ,0.98 ,1.15 ,,,,,1,0,1,0,1,1,20061001
99341,CPT,"Home visit, new patient",,,15 ,,RBRVS,1.01 ,0.48 ,0.48 ,,,,,1,0,1,1,1,1,20061001
99342,CPT,"Home visit, new patient",,,15 ,,RBRVS,1.52 ,0.68 ,0.68 ,,,,,1,0,1,1,1,1,20061001
99343,CPT,"Home visit, new patient",,,15 ,,RBRVS,2.27 ,0.94 ,0.94 ,,,,,1,0,1,1,1,1,20061001
99344,CPT,"Home visit, new patient",,,15 ,,RBRVS,3.03 ,1.18 ,1.18 ,,,,,1,0,1,1,1,1,20061001
99345,CPT,"Home visit, new patient",,,15 ,,RBRVS,3.78 ,1.43 ,1.43 ,,,,,1,0,1,1,1,1,20061001
99347,CPT,"Home visit, est patient",,,15 ,,RBRVS,0.76 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20061001
99348,CPT,"Home visit, est patient",,,15 ,,RBRVS,1.26 ,0.58 ,0.58 ,,,,,1,0,1,1,1,1,20061001
99349,CPT,"Home visit, est patient",,,15 ,,RBRVS,2.02 ,0.83 ,0.83 ,,,,,1,0,1,1,1,1,20061001
99350,CPT,"Home visit, est patient",,,15 ,,RBRVS,3.03 ,1.18 ,1.18 ,,,,,1,0,1,1,1,1,20061001
99354,CPT,"Prolonged service, office",,,15 ,,RBRVS,1.77 ,0.66 ,0.77 ,,,,,1,0,1,1,1,1,20061001
99355,CPT,"Prolonged service, office",,,15 ,,RBRVS,1.77 ,0.62 ,0.75 ,,,,,1,0,1,1,1,1,20061001
99356,CPT,"Prolonged service, inpatient",,,10 ,,RBRVS,1.71 ,0.62 ,0.62 ,,,,,1,0,1,1,1,1,20061001
99357,CPT,"Prolonged service, inpatient",,,10 ,,RBRVS,1.71 ,0.63 ,0.63 ,,,,,1,0,1,1,1,1,20061001
99358,CPT,"Prolonged serv, w/o contact",,,15 ,,TotalUnits,,,,4.36 ,,,,1,0,1,1,1,1,20061001
99359,CPT,"Prolonged serv, w/o contact",,,15 ,,TotalUnits,,,,2.18 ,,,,1,0,1,1,1,1,20061001
99360,CPT,Physician standby services,,,14 ,,TotalUnits,,,,2.02 ,,,,1,0,1,1,1,1,20061001
99374,CPT,Home health care supervision,,,15 ,,RBRVS,1.10 ,0.42 ,0.70 ,,,,,1,0,1,1,1,1,20061001
99375,CPT,Home health care supervision,,,15 ,,RBRVS,1.73 ,1.55 ,1.55 ,,,,,1,0,1,1,1,1,20061001
99377,CPT,Hospice care supervision,,,15 ,,RBRVS,1.10 ,0.42 ,0.70 ,,,,,1,0,1,1,1,1,20061001
99378,CPT,Hospice care supervision,,,15 ,,RBRVS,1.73 ,1.95 ,1.95 ,,,,,1,0,1,1,1,1,20061001
99379,CPT,Nursing fac care supervision,,,15 ,,RBRVS,1.10 ,0.42 ,0.70 ,,,,,1,0,1,1,1,1,20061001
99380,CPT,Nursing fac care supervision,,,15 ,,RBRVS,1.73 ,0.66 ,0.99 ,,,,,1,0,1,1,1,1,20061001
99381,CPT,"Prev visit, new, infant",,,24 ,,RBRVS,1.19 ,0.45 ,1.50 ,,,,,1,0,1,1,1,1,20061001
99382,CPT,"Prev visit, new, age 1-4",,,18 ,,RBRVS,1.36 ,0.52 ,1.54 ,,,,,1,0,1,1,1,1,20061001
99383,CPT,"Prev visit, new, age 5-11",,,18 ,,RBRVS,1.36 ,0.52 ,1.48 ,,,,,1,0,1,1,1,1,20061001
99384,CPT,"Prev visit, new, age 12-17",,,18 ,,RBRVS,1.53 ,0.59 ,1.55 ,,,,,1,0,1,1,1,1,20061001
99385,CPT,"Prev visit, new, age 18-39",,,18 ,,RBRVS,1.53 ,0.59 ,1.55 ,,,,,1,0,1,1,1,1,20061001
99386,CPT,"Prev visit, new, age 40-64",,,18 ,,RBRVS,1.88 ,0.72 ,1.75 ,,,,,1,0,1,1,1,1,20061001
99387,CPT,"Prev visit, new, 65 & over",,,18 ,,RBRVS,2.06 ,0.79 ,1.88 ,,,,,1,0,1,1,1,1,20061001
99391,CPT,"Prev visit, est, infant",,,24 ,,RBRVS,1.02 ,0.39 ,1.02 ,,,,,1,0,1,1,1,1,20061001
99392,CPT,"Prev visit, est, age 1-4",,,18 ,,RBRVS,1.19 ,0.45 ,1.09 ,,,,,1,0,1,1,1,1,20061001
99393,CPT,"Prev visit, est, age 5-11",,,18 ,,RBRVS,1.19 ,0.45 ,1.06 ,,,,,1,0,1,1,1,1,20061001
99394,CPT,"Prev visit, est, age 12-17",,,18 ,,RBRVS,1.36 ,0.52 ,1.13 ,,,,,1,0,1,1,1,1,20061001
99395,CPT,"Prev visit, est, age 18-39",,,18 ,,RBRVS,1.36 ,0.52 ,1.16 ,,,,,1,0,1,1,1,1,20061001
99396,CPT,"Prev visit, est, age 40-64",,,18 ,,RBRVS,1.53 ,0.59 ,1.25 ,,,,,1,0,1,1,1,1,20061001
99397,CPT,"Prev visit, est, 65 & over",,,18 ,,RBRVS,1.71 ,0.66 ,1.36 ,,,,,1,0,1,1,1,1,20061001
99401,CPT,"Preventive counseling, indiv",,,18 ,,RBRVS,0.48 ,0.19 ,0.62 ,,,,,1,0,1,1,1,1,20061001
99402,CPT,"Preventive counseling, indiv",,,18 ,,RBRVS,0.98 ,0.37 ,0.87 ,,,,,1,0,1,1,1,1,20061001
99403,CPT,"Preventive counseling, indiv",,,18 ,,RBRVS,1.46 ,0.56 ,1.09 ,,,,,1,0,1,1,1,1,20061001
99404,CPT,"Preventive counseling, indiv",,,18 ,,RBRVS,1.95 ,0.75 ,1.32 ,,,,,1,0,1,1,1,1,20061001
99411,CPT,"Preventive counseling, group",,,18 ,,RBRVS,0.15 ,0.06 ,0.18 ,,,,,1,0,1,1,1,1,20061001
99412,CPT,"Preventive counseling, group",,,18 ,,RBRVS,0.25 ,0.10 ,0.25 ,,,,,1,0,1,1,1,1,20061001
99420,CPT,Health risk assessment test,,,18 ,,TotalUnits,,,,1.83 ,,,,1,0,1,1,1,1,20061001
99429,CPT,Unlisted preventive service,,,18 ,,TotalUnits,,,,2.46 ,,,,1,0,1,1,1,1,20061001
99431,CPT,"Initial care, normal newborn",,,10 ,,RBRVS,1.17 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20061001
99432,CPT,"Newborn care, not in hosp",,,24 ,,RBRVS,1.26 ,0.40 ,0.93 ,,,,,1,0,1,1,1,1,20061001
99433,CPT,Normal newborn care/hospital,,,10 ,,RBRVS,0.62 ,0.20 ,0.20 ,,,,,1,0,1,1,1,1,20061001
99435,CPT,Newborn discharge day hosp,,,10 ,,RBRVS,1.50 ,0.59 ,0.59 ,,,,,1,0,1,1,1,1,20061001
99436,CPT,"Attendance, birth",,,10 ,,RBRVS,1.50 ,0.47 ,0.47 ,,,,,1,0,1,1,1,1,20061001
99440,CPT,Newborn resuscitation,,,10 ,,RBRVS,2.93 ,0.93 ,0.93 ,,,,,1,0,1,1,1,1,20061001
99450,CPT,Life/disability evaluation,,,15 ,,TotalUnits,,,,1.68 ,,,,1,0,1,1,1,1,20061001
99455,CPT,Disability examination,,,15 ,,TotalUnits,,,,4.23 ,,,,1,0,1,1,1,1,20061001
99456,CPT,Disability examination,,,15 ,,TotalUnits,,,,11.47 ,,,,1,0,1,1,1,1,20061001
99499,CPT,Unlisted e&m service,,,15 ,,TotalUnits,,,,1.37 ,,,,1,0,1,1,1,1,20061001
99500,CPT,"Home visit, prenatal",,,15 ,,TotalUnits,,,,2.91 ,,,,1,1,1,1,1,1,20061001
99501,CPT,"Home visit, postnatal",,,15 ,,TotalUnits,,,,3.32 ,,,,1,1,1,1,1,1,20061001
99502,CPT,"Home visit, nb care",,,15 ,,TotalUnits,,,,4.85 ,,,,1,1,1,1,1,1,20061001
99503,CPT,"Home visit, resp therapy",,,15 ,,TotalUnits,,,,1.94 ,,,,1,1,1,1,1,1,20061001
99504,CPT,Home visit mech ventilator,,,15 ,,TotalUnits,,,,5.64 ,,,,1,1,1,1,1,1,20061001
99505,CPT,"Home visit, stoma care",,,15 ,,TotalUnits,,,,1.99 ,,,,1,1,1,1,1,1,20061001
99506,CPT,"Home visit, im injection",,,15 ,,TotalUnits,,,,0.79 ,,,,1,1,1,1,1,1,20061001
99507,CPT,"Home visit, cath maintain",,,15 ,,TotalUnits,,,,1.41 ,,,,1,1,1,1,1,1,20061001
99509,CPT,Home visit day life activity,,,15 ,,TotalUnits,,,,1.91 ,,,,1,1,1,1,1,1,20061001
99510,CPT,"Home visit, sing/m/fam couns",,,18 ,,RBRVS,0.48 ,0.19 ,0.62 ,,,,,1,0,1,0,0,1,20061001
99511,CPT,"Home visit, fecal/enema mgmt",,,15 ,,TotalUnits,,,,0.81 ,,,,1,1,1,1,1,1,20061001
99512,CPT,"Home visit, hemodialysis",,,15 ,,TotalUnits,,,,7.06 ,,,,1,1,1,1,1,1,20061001
99600,CPT,Home visit nos,,,15 ,,TotalUnits,,,,2.21 ,,,,1,1,1,1,1,1,20061001
99601,CPT,"Home infusion/visit, 2 hrs",,,15 ,,TotalUnits,,,,2.21 ,,,,1,1,1,1,1,1,20061001
99602,CPT,"Home infusion, each addtl hr",,,15 ,,TotalUnits,,,,2.21 ,,,,1,0,1,0,0,1,20061001
0017T,CPT,Photocoagulat macular drusen,,,21 ,,RBRVS,5.19 ,4.87 ,5.87 ,,,,,1,0,1,1,1,1,20061001
0026T,CPT,Measure remnant lipoproteins,,,17 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,1,1,20061001
0028T,CPT,Dexa body composition study,,,20 ,,RBRVS,0.30 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
0030T,CPT,Antiprothrombin antibody,,,17 ,,TotalUnits,,,,0.40 ,,,,1,1,1,0,1,1,20061001
0041T,CPT,Detect ur infect agnt w/cpas,,,17 ,,TotalUnits,,,,0.10 ,,,,1,1,1,0,1,1,20061001
0042T,CPT,"Ct perfusion w/contrast, cbf",,,20 ,,RBRVS,1.13 ,0.37 ,0.37 ,,,,,1,0,1,1,1,1,20061001
0043T,CPT,Co expired gas analysis,,,14 ,,RBRVS,0.11 ,0.64 ,0.64 ,,,,,1,1,1,0,1,1,20061001
0044T,CPT,Whole body photography,,,14 ,,TotalUnits,,,,1.07 ,,,,1,0,1,1,1,1,20061001
0045T,CPT,Whole body photography,,,14 ,,TotalUnits,,,,1.07 ,,,,1,0,1,1,1,1,20061001
0054T,CPT,CMPT-ASST MS SURG NAVIGATNL ORTHO PROC W/FLUORO,,,28 ,,NW,,,,,,$299.23,,1,0,1,1,1,1,20061001
0055T,CPT,CMPT-ASST MS SURG NAVIGATNL ORTHO PROC W/CT&MRI,,,28 ,,NW,,,,,,$299.23,,1,0,1,1,1,1,20061001
0056T,CPT,CMPT ASST MS SURG NAVIGATNL ORTHO PROC IMAG-LESS,,,28 ,,NW,,,,,,$299.23,,1,0,1,1,1,1,20061001
0064T,CPT,Spectroscop eval expired gas,,,14 ,,RBRVS,0.11 ,0.64 ,0.64 ,,,,,1,1,1,0,1,1,20061001
0066T,CPT,Ct colonography;screen,,,20 ,,RBRVS,1.19 ,6.07 ,6.07 ,,,,,1,0,1,1,1,1,20061001
0067T,CPT,Ct colonography;dx,,,20 ,,RBRVS,1.19 ,6.07 ,6.07 ,,,,,1,0,1,1,1,1,20061001
0082T,CPT,Stereotactic rad delivery,,,20 ,,RBRVS,1.54 ,0.53 ,0.53 ,,,,,1,0,1,1,1,1,20061001
0089T,CPT,ACTIGRAPHY TESTING RECORDING ANALYSIS & INTEPR,,,28 ,,NW,,,,,,$70.92,,1,0,1,1,1,1,20061001
0090T,CPT,Cervical artific disc,,,21 ,,RBRVS,19.38 ,12.12 ,12.12 ,,,,,1,0,0,1,1,1,20061001
0091T,CPT,Lumbar artific disc,,,21 ,,RBRVS,21.41 ,12.83 ,12.83 ,,,,,1,0,0,1,1,1,20061001
0092T,CPT,Artific disc addl,,,21 ,,RBRVS,4.04 ,2.06 ,2.06 ,,,,,1,0,0,1,1,1,20061001
0093T,CPT,Cervical artific diskectomy,,,21 ,,RBRVS,19.38 ,12.12 ,12.12 ,,,,,1,0,0,1,1,1,20061001
0094T,CPT,Lumbar artific diskectomy,,,21 ,,RBRVS,21.41 ,12.83 ,12.83 ,,,,,1,0,0,1,1,1,20061001
0095T,CPT,Artific diskectomy addl,,,21 ,,RBRVS,4.04 ,2.06 ,2.06 ,,,,,1,0,0,1,1,1,20061001
0096T,CPT,Rev cervical artific disc,,,21 ,,RBRVS,19.38 ,12.12 ,12.12 ,,,,,1,0,0,1,1,1,20061001
0097T,CPT,Rev lumbar artific disc,,,21 ,,RBRVS,21.41 ,12.83 ,12.83 ,,,,,1,0,0,1,1,1,20061001
0098T,CPT,Rev artific disc addl,,,21 ,,RBRVS,4.04 ,2.06 ,2.06 ,,,,,1,0,0,1,1,1,20061001
0099T,CPT,IMPLANTATION OF INTRASTROMAL CORNEAL RING SEG,,,28 ,,NW,,,,,,$933.79,,1,0,1,1,1,1,20061001
0100T,CPT,PLCMT RET PROS & IMPL IO ELECDE ARRAY W/VITRECT,,,28 ,,NW,,,,,,"$2,348.24",,1,0,1,1,1,1,20061001
0101T,CPT,ESW INVLV MUSCULOSKELETAL SYS NOS; HI ENERGY,,,28 ,,NW,,,,,,$909.50,,1,0,1,1,1,1,20061001
0102T,CPT,ESW HI ENERGY PHYS RQR ANES-NOT LOC EPICONDYLE,,,28 ,,NW,,,,,,$909.50,,1,0,1,1,1,1,20061001
0103T,CPT,Holotranscobalamin,,,17 ,,TotalUnits,,,,0.67,,,,1,1,1,0,1,1,20061001
0104T,CPT,At rest cardio gas rebreathe,,,14 ,,RBRVS,0.98 ,5.87 ,5.87 ,,,,,1,1,1,1,1,1,20061001
0105T,CPT,Exerc cardio gas rebreathe,,,14 ,,RBRVS,0.98 ,5.87 ,5.87 ,,,,,1,1,1,1,1,1,20061001
0106T,CPT,QST TST-EXT; TOUCH PRESS LG DIAM SENSATION,,,28 ,,NW,,,,,,$6.60,,1,0,1,1,1,1,20061001
0107T,CPT,QST TST-EXT; VIBRATION LG DIAM FIBER SENSATION,,,28 ,,NW,,,,,,$6.60,,1,0,1,1,1,1,20061001
0108T,CPT,QST-EXT; COOL SM NRV FIBR SENSATION&HYPERALGESIA,,,28 ,,NW,,,,,,$6.60,,1,0,1,1,1,1,20061001
0109T,CPT,QST-EXT;HEAT-PAIN SM NRV FIBR SENSATN&HYPRALGSIA,,,28 ,,NW,,,,,,$6.60,,1,0,1,1,1,1,20061001
0110T,CPT,QST TST-EXT; OTHER STIMULI ASSESS SENSATION,,,28 ,,NW,,,,,,$6.60,,1,0,1,1,1,1,20061001
0111T,CPT,Rbc membranes fatty acids,,,17 ,,TotalUnits,,,,0.84,,,,1,1,1,0,1,1,20061001
0115T,CPT,Med therapy mgmt provided by a pharmacist per 15 min; initial encounter,,,28 ,,NW,,,,,,$8.33,,1,1,1,0,0,1,20061001
0116T,CPT,Med therapy mgmt provided by a pharmacist per 15 min; subsequent encounter,,,28 ,,NW,,,,,,$8.33,,1,1,1,0,0,1,20061001
0140T,CPT,Exhaled breath condensate ph,,,17 ,,TotalUnits,,,,0.17,,,,1,1,1,0,1,1,20061001
0155T,CPT,Lap Ins Gastr Eltrd for Mo,,,28 ,,NW,,,,,,"$4,102.80",,1,0,1,1,1,1,20061001
0156T,CPT,Lap Redo Gastr Eltrd for Mo,,,28 ,,NW,,,,,,"$4,102.80",,1,0,1,1,1,1,20061001
0157T,CPT,Opn Ins Gastr Eltrd for Mo,,,28 ,,NW,,,,,,$337.81,,1,0,1,1,1,1,20061001
0158T,CPT,Opn Redo Gastr Eltrd for Mo,,,28 ,,NW,,,,,,$337.81,,1,0,1,1,1,1,20061001
0159T,CPT,Computer Breast MRI Add-On,,,28 ,,NW,,,,,,$49.42,,1,1,1,0,1,1,20061001
0160T,CPT,Transcran mag stim planning ,,,28 ,,NW,,,,,,36.52,,1,1,1,0,1,1,20061001
0161T,CPT,Transcran mag stim delivery ,,,28 ,,NW,,,,,,36.52,,1,1,1,0,1,1,20061001
A4206,HCPCS,1 CC sterile syringe&needle,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,0,1,20061001
A4207,HCPCS,2 CC sterile syringe&needle,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,0,1,20061001
A4208,HCPCS,3 CC sterile syringe&needle,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,0,1,20061001
A4209,HCPCS,5+ CC sterile syringe&needle,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,0,1,20061001
A4210,HCPCS,Nonneedle injection device,,,28 ,,NW,,,,,,"$1,794.37",,1,1,1,0,0,1,20061001
A4211,HCPCS,Supp for self-adm injections,,,28 ,,NW,,,,,,$0.93,,1,1,1,0,0,1,20061001
A4212,HCPCS,Non coring needle or stylet,,,28 ,,NW,,,,,,$17.31,,1,1,1,0,0,1,20061001
A4213,HCPCS,20+ CC syringe only,,,28 ,,NW,,,,,,$2.18,,1,1,1,0,0,1,20061001
A4215,HCPCS,Sterile needle,,,28 ,,NW,,,,,,$0.41,,1,1,1,0,0,1,20061001
A4216,HCPCS,"Sterile water/saline, 10 ml",,,28 ,,NW,,,,,,$2.18,,1,1,1,0,0,1,20061001
A4217,HCPCS,"Sterile water/saline, 500 ml",,,28 ,,NW,,,,,,$22.30,,1,1,1,0,0,1,20061001
A4220,HCPCS,Infusion pump refill kit,,,28 ,2,NW,,,,,,$32.64,,1,1,1,0,0,1,20061001
A4221,HCPCS,Maint drug infus cath per wk,,,28 ,,NW,,,,,,$38.44,,1,1,1,0,0,1,20061001
A4222,HCPCS,Drug infusion pump supplies,,,28 ,,NW,,,,,,$78.63,,1,1,1,0,0,1,20061001
A4230,HCPCS,Infus insulin pump non needl,,,28 ,,NW,,,,,,$19.59,,1,1,1,0,0,1,20061001
A4231,HCPCS,Infusion insulin pump needle,,,28 ,,NW,,,,,,$10.70,,1,1,1,0,0,1,20061001
A4232,HCPCS,Syringe w/needle insulin 3cc,,,28 ,,NW,,,,,,$6.87,,1,1,1,0,0,1,20061001
A4244,HCPCS,Alcohol or peroxide per pint,,,28 ,,NW,,,,,,$2.18,,1,1,1,0,0,1,20061001
A4245,HCPCS,Alcohol wipes per box,,,28 ,,NW,,,,,,$5.80,,1,1,1,0,0,1,20061001
A4246,HCPCS,Betadine/phisohex solution,,,28 ,,NW,,,,,,$6.53,,1,1,1,0,0,1,20061001
A4247,HCPCS,Betadine/iodine swabs/wipes,,,28 ,,NW,,,,,,$10.16,,1,1,1,0,0,1,20061001
A4250,HCPCS,Urine reagent strips/tablets,,,28 ,,NW,,,,,,$36.56,,1,1,1,0,0,1,20061001
A4253,HCPCS,Blood glucose/reagent strips,,,28 ,,NW,,,,,,$62.43,,1,1,1,0,0,1,20061001
A4255,HCPCS,Glucose monitor platforms,,,28 ,,NW,,,,,,$10.50,,1,1,1,0,0,1,20061001
A4256,HCPCS,Calibrator solution/chips,,,28 ,,NW,,,,,,$21.54,,1,1,1,0,0,1,20061001
A4257,HCPCS,Replace Lensshield Cartridge,,,28 ,,NW,,,,,,$23.52,,1,1,1,0,0,1,20061001
A4258,HCPCS,Lancet device each,,,28 ,,NW,,,,,,$31.52,,1,1,1,0,0,1,20061001
A4259,HCPCS,Lancets per box,,,28 ,,NW,,,,,,$23.51,,1,1,1,0,0,1,20061001
A4261,HCPCS,Cervical cap contraceptive,,,28 ,,NW,,,,,,$49.39,,1,1,1,0,0,1,20061001
A4262,HCPCS,Temporary tear duct plug,,,28 ,2,NW,,,,,,$0.72,,1,1,1,0,0,1,20061001
A4263,HCPCS,Permanent tear duct plug,,,28 ,2,NW,,,,,,$82.91,,1,1,1,0,0,1,20061001
A4265,HCPCS,Paraffin,,,28 ,,NW,,,,,,$5.57,,1,1,1,0,0,1,20061001
A4267,HCPCS,Male condom,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,0,1,20061001
A4269,HCPCS,Spermicide,,,28 ,,NW,,,,,,$2.18,,1,1,1,0,0,1,20061001
A4270,HCPCS,Disposable endoscope sheath,,,28 ,,NW,,,,,,$35.14,,1,1,1,0,0,1,20061001
A4280,HCPCS,Brst prsths adhsv attchmnt,,,28 ,,NW,,,,,,$8.76,,1,1,1,0,0,1,20061001
A4284,HCPCS,Replcmnt breast pump shield,,,28 ,,NW,,,,,,$37.27,,1,1,1,0,0,1,20061001
A4285,HCPCS,Replcmnt breast pump bottle,,,28 ,,NW,,,,,,$7.42,,1,1,1,0,0,1,20061001
A4290,HCPCS,Sacral nerve stim test lead,,,28 ,,NW,,,,,,$226.10,,1,1,1,0,0,1,20061001
A4300,HCPCS,Cath impl vasc access portal,,,28 ,2,NW,,,,,,$17.59,,1,1,1,0,0,1,20061001
A4301,HCPCS,Implantable access syst perc,,,28 ,2,NW,,,,,,$79.29,,1,1,1,0,0,1,20061001
A4305,HCPCS,Drug delivery system >=50 ML,,,28 ,,NW,,,,,,$27.29,,1,1,1,0,0,1,20061001
A4306,HCPCS,Drug delivery system <=5 ML,,,28 ,,NW,,,,,,$37.99,,1,1,1,0,0,1,20061001
A4310,HCPCS,Insert tray w/o bag/cath,,,28 ,,NW,,,,,,$12.66,,1,1,1,0,0,1,20061001
A4311,HCPCS,Catheter w/o bag 2-way latex,,,28 ,,NW,,,,,,$24.17,,1,1,1,0,0,1,20061001
A4312,HCPCS,Cath w/o bag 2-way silicone,,,28 ,,NW,,,,,,$29.33,,1,1,1,0,0,1,20061001
A4313,HCPCS,Catheter w/bag 3-way,,,28 ,,NW,,,,,,$30.11,,1,1,1,0,0,1,20061001
A4314,HCPCS,Cath w/drainage 2-way latex,,,28 ,,NW,,,,,,$41.05,,1,1,1,0,0,1,20061001
A4315,HCPCS,Cath w/drainage 2-way silcne,,,28 ,,NW,,,,,,$42.82,,1,1,1,0,0,1,20061001
A4316,HCPCS,Cath w/drainage 3-way,,,28 ,,NW,,,,,,$46.09,,1,1,1,0,0,1,20061001
A4320,HCPCS,Irrigation tray,,,28 ,,NW,,,,,,$8.76,,1,1,1,0,0,1,20061001
A4321,HCPCS,Cath therapeutic irrig agent,,,28 ,,NW,,,,,,$2.82,,1,1,1,0,0,1,20061001
A4322,HCPCS,Irrigation syringe,,,28 ,,NW,,,,,,$4.99,,1,1,1,0,0,1,20061001
A4326,HCPCS,Male external catheter,,,28 ,,NW,,,,,,$17.63,,1,1,1,0,0,1,20061001
A4327,HCPCS,Fem urinary collect dev cup,,,28 ,,NW,,,,,,$72.29,,1,1,1,0,0,1,20061001
A4328,HCPCS,Fem urinary collect pouch,,,28 ,,NW,,,,,,$17.08,,1,1,1,0,0,1,20061001
A4330,HCPCS,Stool collection pouch,,,28 ,,NW,,,,,,$11.75,,1,1,1,0,0,1,20061001
A4331,HCPCS,Extension drainage tubing,,,28 ,,NW,,,,,,$5.23,,1,1,1,0,0,1,20061001
A4332,HCPCS,Lubricant for cath insertion,,,28 ,,NW,,,,,,$0.19,,1,1,1,0,0,1,20061001
A4333,HCPCS,Urinary cath anchor device,,,28 ,,NW,,,,,,$3.25,,1,1,1,0,0,1,20061001
A4334,HCPCS,Urinary cath leg strap,,,28 ,,NW,,,,,,$7.26,,1,1,1,0,0,1,20061001
A4335,HCPCS,Incontinence supply,,,28 ,,NW,,,,,,$1.87,,1,1,1,0,0,1,20061001
A4338,HCPCS,Indwelling catheter latex,,,28 ,,NW,,,,,,$20.00,,1,1,1,0,0,1,20061001
A4340,HCPCS,Indwelling catheter special,,,28 ,,NW,,,,,,$51.49,,1,1,1,0,0,1,20061001
A4344,HCPCS,Cath indw foley 2 way silicn,,,28 ,,NW,,,,,,$26.08,,1,1,1,0,0,1,20061001
A4346,HCPCS,Cath indw foley 3 way,,,28 ,,NW,,,,,,$31.84,,1,1,1,0,0,1,20061001
A4348,HCPCS,Male ext cath extended wear,,,28 ,,NW,,,,,,$45.15,,1,1,1,0,0,1,20061001
A4349,HCPCS,Disposable male external cat,,,28 ,,NW,,,,,,$2.17,,1,1,1,0,1,1,20061001
A4351,HCPCS,Straight tip urine catheter,,,28 ,,NW,,,,,,$2.98,,1,1,1,0,0,1,20061001
A4352,HCPCS,Coude tip urinary catheter,,,28 ,,NW,,,,,,$10.53,,1,1,1,0,0,1,20061001
A4353,HCPCS,Intermittent urinary cath,,,28 ,,NW,,,,,,$11.51,,1,1,1,0,0,1,20061001
A4354,HCPCS,Cath insertion tray w/bag,,,28 ,,NW,,,,,,$19.26,,1,1,1,0,0,1,20061001
A4355,HCPCS,Bladder irrigation tubing,,,28 ,,NW,,,,,,$14.59,,1,1,1,0,0,1,20061001
A4356,HCPCS,Ext ureth clmp or compr dvc,,,28 ,,NW,,,,,,$73.92,,1,1,1,0,0,1,20061001
A4357,HCPCS,Bedside drainage bag,,,28 ,,NW,,,,,,$15.85,,1,1,1,0,0,1,20061001
A4358,HCPCS,Urinary leg or abdomen bag,,,28 ,,NW,,,,,,$10.90,,1,1,1,0,0,1,20061001
A4359,HCPCS,Urinary suspensory w/o leg b,,,28 ,,NW,,,,,,$49.67,,1,1,1,0,0,1,20061001
A4361,HCPCS,Ostomy face plate,,,28 ,,NW,,,,,,$29.88,,1,1,1,0,0,1,20061001
A4362,HCPCS,Solid skin barrier,,,28 ,,NW,,,,,,$5.69,,1,1,1,0,0,1,20061001
A4364,HCPCS,"Adhesive, liquid or equal",,,28 ,,NW,,,,,,$4.32,,1,1,1,0,0,1,20061001
A4365,HCPCS,Adhesive remover wipes,,,28 ,,NW,,,,,,$18.49,,1,1,1,0,0,1,20061001
A4366,HCPCS,Ostomy vent,,,28 ,,NW,,,,,,$55.54,,1,1,1,0,0,1,20061001
A4367,HCPCS,Ostomy belt,,,28 ,,NW,,,,,,$12.05,,1,1,1,0,0,1,20061001
A4368,HCPCS,Ostomy filter,,,28 ,,NW,,,,,,$0.43,,1,1,1,0,0,1,20061001
A4369,HCPCS,Skin barrier liquid per oz,,,28 ,,NW,,,,,,$3.97,,1,1,1,0,0,1,20061001
A4371,HCPCS,Skin barrier powder per oz,,,28 ,,NW,,,,,,$6.01,,1,1,1,0,0,1,20061001
A4372,HCPCS,Skin barrier solid 4x4 equiv,,,28 ,,NW,,,,,,$6.87,,1,1,1,0,0,1,20061001
A4373,HCPCS,Skin barrier with flange,,,28 ,,NW,,,,,,$10.32,,1,1,1,0,0,1,20061001
A4375,HCPCS,Drainable plastic pch w fcpl,,,28 ,,NW,,,,,,$27.95,,1,1,1,0,0,1,20061001
A4376,HCPCS,Drainable rubber pch w fcplt,,,28 ,,NW,,,,,,$77.07,,1,1,1,0,0,1,20061001
A4377,HCPCS,Drainable plstic pch w/o fp,,,28 ,,NW,,,,,,$7.06,,1,1,1,0,0,1,20061001
A4378,HCPCS,Drainable rubber pch w/o fp,,,28 ,,NW,,,,,,$49.88,,1,1,1,0,0,1,20061001
A4379,HCPCS,Urinary plastic pouch w fcpl,,,28 ,,NW,,,,,,$24.47,,1,1,1,0,0,1,20061001
A4380,HCPCS,Urinary rubber pouch w fcplt,,,28 ,,NW,,,,,,$60.49,,1,1,1,0,0,1,20061001
A4381,HCPCS,Urinary plastic pouch w/o fp,,,28 ,,NW,,,,,,$7.58,,1,1,1,0,0,1,20061001
A4382,HCPCS,Urinary hvy plstc pch w/o fp,,,28 ,,NW,,,,,,$39.98,,1,1,1,0,0,1,20061001
A4383,HCPCS,Urinary rubber pouch w/o fp,,,28 ,,NW,,,,,,$45.74,,1,1,1,0,0,1,20061001
A4384,HCPCS,Ostomy faceplt/silicone ring,,,28 ,,NW,,,,,,$15.73,,1,1,1,0,0,1,20061001
A4385,HCPCS,Ost skn barrier sld ext wear,,,28 ,,NW,,,,,,$8.38,,1,1,1,0,0,1,20061001
A4387,HCPCS,Ost clsd pouch w att st barr,,,28 ,,NW,,,,,,$4.89,,1,1,1,0,0,1,20061001
A4388,HCPCS,Drainable pch w ex wear barr,,,28 ,,NW,,,,,,$7.16,,1,1,1,0,0,1,20061001
A4389,HCPCS,Drainable pch w st wear barr,,,28 ,,NW,,,,,,$10.22,,1,1,1,0,0,1,20061001
A4390,HCPCS,Drainable pch ex wear convex,,,28 ,,NW,,,,,,$15.71,,1,1,1,0,0,1,20061001
A4391,HCPCS,Urinary pouch w ex wear barr,,,28 ,,NW,,,,,,$11.61,,1,1,1,0,0,1,20061001
A4392,HCPCS,Urinary pouch w st wear barr,,,28 ,,NW,,,,,,$13.41,,1,1,1,0,0,1,20061001
A4393,HCPCS,Urine pch w ex wear bar conv,,,28 ,,NW,,,,,,$14.79,,1,1,1,0,0,1,20061001
A4394,HCPCS,Ostomy pouch liq deodorant,,,28 ,,NW,,,,,,$4.23,,1,1,1,0,0,1,20061001
A4395,HCPCS,Ostomy pouch solid deodorant,,,28 ,,NW,,,,,,$0.08,,1,1,1,0,0,1,20061001
A4396,HCPCS,Peristomal hernia supprt blt,,,28 ,,NW,,,,,,$65.60,,1,1,1,0,0,1,20061001
A4397,HCPCS,Irrigation supply sleeve,,,28 ,,NW,,,,,,$7.87,,1,1,1,0,0,1,20061001
A4398,HCPCS,Ostomy irrigation bag,,,28 ,,NW,,,,,,$22.51,,1,1,1,0,0,1,20061001
A4399,HCPCS,Ostomy irrig cone/cath w brs,,,28 ,,NW,,,,,,$20.00,,1,1,1,0,0,1,20061001
A4400,HCPCS,Ostomy irrigation set,,,28 ,,NW,,,,,,$79.15,,1,1,1,0,0,1,20061001
A4402,HCPCS,Lubricant per ounce,,,28 ,,NW,,,,,,$2.63,,1,1,1,0,0,1,20061001
A4404,HCPCS,Ostomy ring each,,,28 ,,NW,,,,,,$2.78,,1,1,1,0,0,1,20061001
A4405,HCPCS,Nonpectin based ostomy paste,,,28 ,,NW,,,,,,$5.59,,1,1,1,0,0,1,20061001
A4406,HCPCS,Pectin based ostomy paste,,,28 ,,NW,,,,,,$9.43,,1,1,1,0,0,1,20061001
A4407,HCPCS,Ext wear ost skn barr <=4sq?,,,28 ,,NW,,,,,,$14.34,,1,1,1,0,0,1,20061001
A4408,HCPCS,Ext wear ost skn barr >4sq?,,,28 ,,NW,,,,,,$16.14,,1,1,1,0,0,1,20061001
A4409,HCPCS,Ost skn barr w flng <=4 sq?,,,28 ,,NW,,,,,,$10.22,,1,1,1,0,0,1,20061001
A4410,HCPCS,Ost skn barr w flng >4sq?,,,28 ,,NW,,,,,,$14.79,,1,1,1,0,0,1,20061001
A4413,HCPCS,2 pc drainable ost pouch,,,28 ,,NW,,,,,,$9.04,,1,1,1,0,0,1,20061001
A4414,HCPCS,Ostomy sknbarr w flng <=4sq?,,,28 ,,NW,,,,,,$8.09,,1,1,1,0,0,1,20061001
A4415,HCPCS,Ostomy skn barr w flng >4sq?,,,28 ,,NW,,,,,,$9.86,,1,1,1,0,0,1,20061001
A4416,HCPCS,Ost pch clsd w barrier/filtr,,,28 ,,NW,,,,,,$4.06,,1,1,1,0,0,1,20061001
A4417,HCPCS,Ost pch w bar/bltinconv/fltr,,,28 ,,NW,,,,,,$5.49,,1,1,1,0,0,1,20061001
A4418,HCPCS,Ost pch clsd w/o bar w filtr,,,28 ,,NW,,,,,,$2.67,,1,1,1,0,0,1,20061001
A4419,HCPCS,Ost pch for bar w flange/flt,,,28 ,,NW,,,,,,$2.57,,1,1,1,0,0,1,20061001
A4420,HCPCS,Ost pch clsd for bar w lk fl,,,28 ,,NW,,,,,,$2.57,,1,1,1,0,0,1,20061001
A4421,HCPCS,Ostomy supply misc,,,28 ,,NW,,,,,,$0.63,,1,1,1,0,0,1,20061001
A4422,HCPCS,Ost pouch absorbent material,,,28 ,,NW,,,,,,$0.19,,1,1,1,0,0,1,20061001
A4423,HCPCS,Ost pch for bar w lk fl/fltr,,,28 ,,NW,,,,,,$2.57,,1,1,1,0,0,1,20061001
A4424,HCPCS,Ost pch drain w bar & filter,,,28 ,,NW,,,,,,$6.99,,1,1,1,0,0,1,20061001
A4425,HCPCS,Ost pch drain for barrier fl,,,28 ,,NW,,,,,,$5.28,,1,1,1,0,0,1,20061001
A4426,HCPCS,Ost pch drain 2 piece system,,,28 ,,NW,,,,,,$3.48,,1,1,1,0,0,1,20061001
A4427,HCPCS,Ost pch drain/barr lk flng/f,,,28 ,,NW,,,,,,$5.28,,1,1,1,0,0,1,20061001
A4428,HCPCS,Urine ost pouch w faucet/tap,,,28 ,,NW,,,,,,$9.59,,1,1,1,0,0,1,20061001
A4429,HCPCS,Urine ost pouch w bltinconv,,,28 ,,NW,,,,,,$12.14,,1,1,1,0,0,1,20061001
A4430,HCPCS,Ost urine pch w b/bltin conv,,,28 ,,NW,,,,,,$12.55,,1,1,1,0,0,1,20061001
A4431,HCPCS,Ost pch urine w barrier/tapv,,,28 ,,NW,,,,,,$9.16,,1,1,1,0,0,1,20061001
A4432,HCPCS,Os pch urine w bar/fange/tap,,,28 ,,NW,,,,,,$5.29,,1,1,1,0,0,1,20061001
A4433,HCPCS,Urine ost pch bar w lock fln,,,28 ,,NW,,,,,,$4.92,,1,1,1,0,0,1,20061001
A4434,HCPCS,Ost pch urine w lock flng/ft,,,28 ,,NW,,,,,,$5.55,,1,1,1,0,0,1,20061001
A4450,HCPCS,Non-waterproof tape,,,28 ,,NW,,,,,,$0.14,,1,1,1,0,0,1,20061001
A4452,HCPCS,Waterproof tape,,,28 ,,NW,,,,,,$0.59,,1,1,1,0,0,1,20061001
A4455,HCPCS,Adhesive remover per ounce,,,28 ,,NW,,,,,,$2.36,,1,1,1,0,0,1,20061001
A4462,HCPCS,Abdmnl drssng holder/binder,,,28 ,,NW,,,,,,$5.41,,1,1,1,0,0,1,20061001
A4465,HCPCS,Non-elastic extremity binder,,,28 ,,NW,,,,,,$19.45,,1,1,1,0,0,1,20061001
A4470,HCPCS,Gravlee jet washer,,,28 ,,NW,,,,,,$13.03,,1,1,1,0,0,1,20061001
A4480,HCPCS,Vabra aspirator,,,28 ,,NW,,,,,,$10.88,,1,1,1,0,0,1,20061001
A4481,HCPCS,Tracheostoma filter,,,28 ,,NW,,,,,,$1.70,,1,1,1,0,0,1,20061001
A4483,HCPCS,Moisture exchanger,,,28 ,,NW,,,,,,$13.58,,1,1,1,0,0,1,20061001
A4490,HCPCS,Above knee surgical stocking,,,28 ,,NW,,,,,,$14.46,,1,1,1,0,0,1,20061001
A4495,HCPCS,Thigh length surg stocking,,,28 ,,NW,,,,,,$14.46,,1,1,1,0,0,1,20061001
A4500,HCPCS,Below knee surgical stocking,,,28 ,,NW,,,,,,$10.88,,1,1,1,0,0,1,20061001
A4510,HCPCS,Full length surg stocking,,,28 ,,NW,,,,,,$25.87,,1,1,1,0,0,1,20061001
A4550,HCPCS,Surgical trays,,,28 ,,NW,,,,,,$61.52,,1,1,1,0,0,1,20061001
A4554,HCPCS,Disposable underpads,,,28 ,,NW,,,,,,$6.53,,1,1,1,0,0,1,20061001
A4556,HCPCS,"Electrodes, pair",,,28 ,,NW,,,,,,$22.59,,1,1,1,0,0,1,20061001
A4557,HCPCS,"Lead wires, pair",,,28 ,,NW,,,,,,$36.11,,1,1,1,0,0,1,20061001
A4558,HCPCS,Conductive paste or gel,,,28 ,,NW,,,,,,$12.51,,1,1,1,0,0,1,20061001
A4561,HCPCS,"Pessary rubber, any type",,,28 ,2,NW,,,,,,$36.95,,1,1,1,0,0,1,20061001
A4562,HCPCS,"Pessary, non rubber,any type",,,28 ,2,NW,,,,,,$91.64,,1,1,1,0,0,1,20061001
A4565,HCPCS,Slings,,,28 ,,NW,,,,,,$15.17,,1,1,1,0,0,1,20061001
A4570,HCPCS,Splint,,,28 ,,NW,,,,,,$35.85,,1,1,1,0,0,1,20061001
A4575,HCPCS,Hyperbaric o2 chamber disps,,,28 ,,NW,,,,,,$772.90,,1,1,1,0,0,1,20061001
A4580,HCPCS,Cast supplies (plaster),,,28 ,,NW,,,,,,$32.90,,1,1,1,0,0,1,20061001
A4590,HCPCS,Special casting material,,,28 ,,NW,,,,,,$80.77,,1,1,1,0,0,1,20061001
A4595,HCPCS,TENS suppl 2 lead per month,,,28 ,,NW,,,,,,$47.75,,1,1,1,0,0,1,20061001
A4605,HCPCS,Trach suction cath close sys,,,28 ,,NW,,,,,,$17.55,,1,1,1,0,1,1,20061001
A4608,HCPCS,Transtracheal oxygen cath,,,28 ,,NW,,,,,,$98.13,,1,1,1,0,0,1,20061001
A4611,HCPCS,Heavy duty battery,,,28 ,,NW,,,,,,$364.15,,1,1,1,0,0,1,20061001
A4612,HCPCS,Battery cables,,,28 ,,NW,,,,,,$105.74,,1,1,1,0,0,1,20061001
A4613,HCPCS,Battery charger,,,28 ,,NW,,,,,,$188.39,,1,1,1,0,0,1,20061001
A4614,HCPCS,Hand-held PEFR meter,,,28 ,,NW,,,,,,$38.61,,1,1,1,0,0,1,20061001
A4615,HCPCS,Cannula nasal,,,28 ,,NW,,,,,,$3.66,,1,1,1,0,0,1,20061001
A4616,HCPCS,Tubing (oxygen) per foot,,,28 ,,NW,,,,,,$1.58,,1,1,1,0,0,1,20061001
A4617,HCPCS,Mouth piece,,,28 ,,NW,,,,,,$24.56,,1,1,1,0,0,1,20061001
A4618,HCPCS,Breathing circuits,,,28 ,,NW,,,,,,$14.56,,1,1,1,0,0,1,20061001
A4619,HCPCS,Face tent,,,28 ,,NW,,,,,,$2.57,,1,1,1,0,0,1,20061001
A4620,HCPCS,Variable concentration mask,,,28 ,,NW,,,,,,$7.85,,1,1,1,0,0,1,20061001
A4623,HCPCS,Tracheostomy inner cannula,,,28 ,,NW,,,,,,$10.77,,1,1,1,0,0,1,20061001
A4624,HCPCS,Tracheal suction tube,,,28 ,,NW,,,,,,$8.28,,1,1,1,0,0,1,20061001
A4625,HCPCS,Trach care kit for new trach,,,28 ,,NW,,,,,,$11.39,,1,1,1,0,0,1,20061001
A4626,HCPCS,Tracheostomy cleaning brush,,,28 ,,NW,,,,,,$5.25,,1,1,1,0,0,1,20061001
A4627,HCPCS,Spacer bag/reservoir,,,28 ,,NW,,,,,,$37.53,,1,1,1,0,0,1,20061001
A4628,HCPCS,Oropharyngeal suction cath,,,28 ,,NW,,,,,,$6.15,,1,1,1,0,0,1,20061001
A4629,HCPCS,Tracheostomy care kit,,,28 ,,NW,,,,,,$7.61,,1,1,1,0,0,1,20061001
A4630,HCPCS,Repl bat t.e.n.s. own by pt,,,28 ,,NW,,,,,,$13.72,,1,1,1,0,0,1,20061001
A4632,HCPCS,Infus pump rplcemnt battery,,,28 ,,NW,,,,,,$35.31,,1,1,1,0,1,1,20061001
A4633,HCPCS,Uvl replacement bulb,,,28 ,,NW,,,,,,$67.78,,1,1,1,0,0,1,20061001
A4635,HCPCS,Underarm crutch pad,,,28 ,,NW,,,,,,$12.02,,1,1,1,0,0,1,20061001
A4636,HCPCS,Handgrip for cane etc,,,28 ,,NW,,,,,,$10.65,,1,1,1,0,0,1,20061001
A4637,HCPCS,Repl tip cane/crutch/walker,,,28 ,,NW,,,,,,$7.51,,1,1,1,0,0,1,20061001
A4639,HCPCS,Infrared ht sys replcmnt pad,,,28 ,,NW,,,,,,$537.22,,1,1,1,0,0,1,20061001
A4640,HCPCS,Alternating pressure pad,,,28 ,,NW,,,,,,$110.27,,1,1,1,0,0,1,20061001
A4641,HCPCS,Diagnostic imaging agent,,,28 ,2,NW,,,,,,$62.72,,1,1,1,0,0,1,20061001
A4642,HCPCS,Satumomab pendetide per dose,,,28 ,,NW,,,,,,$13.14,,1,1,1,0,0,1,20061001
A4649,HCPCS,Surgical supplies,,,28 ,,NW,,,,,,$2.66,,1,1,1,0,0,1,20061001
A4651,HCPCS,Calibrated microcap tube,,,28 ,,NW,,,,,,$3.27,,1,1,1,0,0,1,20061001
A4652,HCPCS,Microcapillary tube sealant,,,28 ,,NW,,,,,,$4.89,,1,1,1,0,0,1,20061001
A4657,HCPCS,Syringe w/wo needle,,,28 ,,NW,,,,,,$0.78,,1,1,1,0,0,1,20061001
A4660,HCPCS,Sphyg/bp app w cuff and stet,,,28 ,,NW,,,,,,$48.29,,1,1,1,0,0,1,20061001
A4663,HCPCS,Dialysis blood pressure cuff,,,28 ,,NW,,,,,,$54.02,,1,1,1,0,0,1,20061001
A4670,HCPCS,"Automatic bp monitor, dial",,,28 ,,NW,,,,,,$130.71,,1,1,1,0,0,1,20061001
A4680,HCPCS,"Activated carbon filter, ea",,,28 ,,NW,,,,,,$185.52,,1,1,1,0,0,1,20061001
A4690,HCPCS,"Dialyzer, each",,,28 ,,NW,,,,,,"$1,328.50",,1,1,1,0,0,1,20061001
A4706,HCPCS,Bicarbonate conc sol per gal,,,28 ,,NW,,,,,,$20.40,,1,1,1,0,0,1,20061001
A4707,HCPCS,Bicarbonate conc pow per pac,,,28 ,,NW,,,,,,$6.74,,1,1,1,0,0,1,20061001
A4708,HCPCS,Acetate conc sol per gallon,,,28 ,,NW,,,,,,$15.65,,1,1,1,0,0,1,20061001
A4709,HCPCS,Acid conc sol per gallon,,,28 ,,NW,,,,,,$15.65,,1,1,1,0,0,1,20061001
A4714,HCPCS,Treated water per gallon,,,28 ,,NW,,,,,,$21.23,,1,1,1,0,0,1,20061001
A4719,HCPCS,"""Y set"" tubing",,,28 ,,NW,,,,,,$13.94,,1,1,1,0,0,1,20061001
A4720,HCPCS,Dialysat sol fld vol > 249cc,,,28 ,,NW,,,,,,$19.37,,1,1,1,0,0,1,20061001
A4721,HCPCS,Dialysat sol fld vol > 999cc,,,28 ,,NW,,,,,,$38.75,,1,1,1,0,0,1,20061001
A4722,HCPCS,Dialys sol fld vol > 1999cc,,,28 ,,NW,,,,,,$46.95,,1,1,1,0,0,1,20061001
A4723,HCPCS,Dialys sol fld vol > 2999cc,,,28 ,,NW,,,,,,$47.56,,1,1,1,0,0,1,20061001
A4724,HCPCS,Dialys sol fld vol > 3999cc,,,28 ,,NW,,,,,,$47.64,,1,1,1,0,0,1,20061001
A4725,HCPCS,Dialys sol fld vol > 4999cc,,,28 ,,NW,,,,,,$50.43,,1,1,1,0,0,1,20061001
A4726,HCPCS,Dialys sol fld vol > 5999cc,,,28 ,,NW,,,,,,$56.04,,1,1,1,0,0,1,20061001
A4730,HCPCS,"Fistula cannulation set, ea",,,28 ,,NW,,,,,,$2.80,,1,1,1,0,0,1,20061001
A4736,HCPCS,"Topical anesthetic, per gram",,,28 ,,NW,,,,,,$9.83,,1,1,1,0,0,1,20061001
A4737,HCPCS,Inj anesthetic per 10 ml,,,28 ,,NW,,,,,,$14.12,,1,1,1,0,0,1,20061001
A4740,HCPCS,Shunt accessory,,,28 ,,NW,,,,,,$1.63,,1,1,1,0,0,1,20061001
A4750,HCPCS,Art or venous blood tubing,,,28 ,,NW,,,,,,$19.62,,1,1,1,0,0,1,20061001
A4755,HCPCS,Comb art/venous blood tubing,,,28 ,,NW,,,,,,$29.46,,1,1,1,0,0,1,20061001
A4760,HCPCS,"Dialysate sol test kit, each",,,28 ,,NW,,,,,,$40.83,,1,1,1,0,0,1,20061001
A4765,HCPCS,Dialysate conc pow per pack,,,28 ,,NW,,,,,,$13.07,,1,1,1,0,0,1,20061001
A4766,HCPCS,Dialysate conc sol add 10 ml,,,28 ,,NW,,,,,,$6.54,,1,1,1,0,0,1,20061001
A4770,HCPCS,Blood collection tube/vacuum,,,28 ,,NW,,,,,,$28.85,,1,1,1,0,0,1,20061001
A4772,HCPCS,Blood glucose test strips,,,28 ,,NW,,,,,,$45.04,,1,1,1,0,0,1,20061001
A4773,HCPCS,Occult blood test strips,,,28 ,,NW,,,,,,$30.87,,1,1,1,0,0,1,20061001
A4774,HCPCS,Ammonia test strips,,,28 ,,NW,,,,,,$16.33,,1,1,1,0,0,1,20061001
A4802,HCPCS,Protamine sulfate per 50 mg,,,28 ,,NW,,,,,,$9.68,,1,1,1,0,0,1,20061001
A4860,HCPCS,Disposable catheter tips,,,28 ,,NW,,,,,,$6.71,,1,1,1,0,0,1,20061001
A4870,HCPCS,Plumb/elec wk hm hemo equip,,,28 ,,NW,,,,,,$171.47,,1,1,1,0,0,1,20061001
A4890,HCPCS,Repair/maint cont hemo equip,,,28 ,,NW,,,,,,$171.47,,1,1,1,0,0,1,20061001
A4911,HCPCS,Drain bag/bottle,,,28 ,,NW,,,,,,$19.22,,1,1,1,0,0,1,20061001
A4913,HCPCS,Misc dialysis supplies noc,,,28 ,,NW,,,,,,$15.22,,1,1,1,0,0,1,20061001
A4918,HCPCS,Venous pressure clamp,,,28 ,,NW,,,,,,$1.63,,1,1,1,0,0,1,20061001
A4927,HCPCS,Non-sterile gloves,,,28 ,,NW,,,,,,$7.39,,1,1,1,0,0,1,20061001
A4928,HCPCS,Surgical mask,,,28 ,,NW,,,,,,$0.47,,1,1,1,0,0,1,20061001
A4929,HCPCS,"Tourniquet for dialysis, ea",,,28 ,,NW,,,,,,$0.29,,1,1,1,0,0,1,20061001
A4930,HCPCS,"Sterile, gloves per pair",,,28 ,,NW,,,,,,$1.73,,1,1,1,0,0,1,20061001
A5051,HCPCS,Pouch clsd w barr attached,,,28 ,,NW,,,,,,$3.40,,1,1,1,0,0,1,20061001
A5052,HCPCS,Clsd ostomy pouch w/o barr,,,28 ,,NW,,,,,,$2.46,,1,1,1,0,0,1,20061001
A5053,HCPCS,Clsd ostomy pouch faceplate,,,28 ,,NW,,,,,,$2.87,,1,1,1,0,0,1,20061001
A5054,HCPCS,Clsd ostomy pouch w/flange,,,28 ,,NW,,,,,,$2.95,,1,1,1,0,0,1,20061001
A5055,HCPCS,Stoma cap,,,28 ,,NW,,,,,,$2.37,,1,1,1,0,0,1,20061001
A5061,HCPCS,Pouch drainable w barrier at,,,28 ,,NW,,,,,,$5.77,,1,1,1,0,0,1,20061001
A5062,HCPCS,Drnble ostomy pouch w/o barr,,,28 ,,NW,,,,,,$3.65,,1,1,1,0,0,1,20061001
A5063,HCPCS,Drain ostomy pouch w/flange,,,28 ,,NW,,,,,,$3.66,,1,1,1,0,0,1,20061001
A5071,HCPCS,Urinary pouch w/barrier,,,28 ,,NW,,,,,,$9.88,,1,1,1,0,0,1,20061001
A5072,HCPCS,Urinary pouch w/o barrier,,,28 ,,NW,,,,,,$5.77,,1,1,1,0,0,1,20061001
A5073,HCPCS,Urinary pouch on barr w/flng,,,28 ,,NW,,,,,,$5.23,,1,1,1,0,0,1,20061001
A5081,HCPCS,Continent stoma plug,,,28 ,,NW,,,,,,$5.42,,1,1,1,0,0,1,20061001
A5082,HCPCS,Continent stoma catheter,,,28 ,,NW,,,,,,$19.40,,1,1,1,0,0,1,20061001
A5093,HCPCS,Ostomy accessory convex inse,,,28 ,,NW,,,,,,$3.20,,1,1,1,0,0,1,20061001
A5102,HCPCS,Bedside drain btl w/wo tube,,,28 ,,NW,,,,,,$36.66,,1,1,1,0,0,1,20061001
A5105,HCPCS,Urinary suspensory,,,28 ,,NW,,,,,,$66.06,,1,1,1,0,0,1,20061001
A5112,HCPCS,Urinary leg bag,,,28 ,,NW,,,,,,$56.14,,1,1,1,0,0,1,20061001
A5113,HCPCS,Latex leg strap,,,28 ,,NW,,,,,,$7.73,,1,1,1,0,0,1,20061001
A5114,HCPCS,Foam/fabric leg strap,,,28 ,,NW,,,,,,$14.64,,1,1,1,0,0,1,20061001
A5121,HCPCS,Solid skin barrier 6x6,,,28 ,,NW,,,,,,$12.26,,1,1,1,0,0,1,20061001
A5122,HCPCS,Solid skin barrier 8x8,,,28 ,,NW,,,,,,$20.96,,1,1,1,0,0,1,20061001
A5126,HCPCS,Disk/foam pad +or- adhesive,,,28 ,,NW,,,,,,$2.18,,1,1,1,0,0,1,20061001
A5131,HCPCS,Appliance cleaner,,,28 ,,NW,,,,,,$25.81,,1,1,1,0,0,1,20061001
A5200,HCPCS,Percutaneous catheter anchor,,,28 ,,NW,,,,,,$18.45,,1,1,1,0,0,1,20061001
A5500,HCPCS,Diab shoe for density insert,,,28 ,,NW,,,,,,$106.97,,1,1,1,0,0,1,20061001
A5501,HCPCS,Diabetic custom molded shoe,,,28 ,,NW,,,,,,$318.23,,1,1,1,0,0,1,20061001
A5503,HCPCS,Diabetic shoe w/roller/rockr,,,28 ,,NW,,,,,,$57.47,,1,1,1,0,0,1,20061001
A5504,HCPCS,Diabetic shoe with wedge,,,28 ,,NW,,,,,,$51.15,,1,1,1,0,0,1,20061001
A5505,HCPCS,Diab shoe w/metatarsal bar,,,28 ,,NW,,,,,,$63.09,,1,1,1,0,0,1,20061001
A5506,HCPCS,Diabetic shoe w/off set heel,,,28 ,,NW,,,,,,$51.46,,1,1,1,0,0,1,20061001
A5507,HCPCS,Modification diabetic shoe,,,28 ,,NW,,,,,,$101.97,,1,1,1,0,0,1,20061001
A5508,HCPCS,Diabetic deluxe shoe,,,28 ,,NW,,,,,,$51.19,,1,1,1,0,0,1,20061001
A5510,HCPCS,Compression form shoe insert,,,28 ,,NW,,,,,,$50.47,,1,1,1,0,0,1,20061001
A6000,HCPCS,Wound warming wound cover,,,28 ,,NW,,,,,,$36.33,,1,1,1,0,0,1,20061001
A6010,HCPCS,Collagen based wound filler,,,28 ,,NW,,,,,,$50.22,,1,1,1,0,0,1,20061001
A6011,HCPCS,Collagen gel/paste wound fil,,,28 ,,NW,,,,,,$3.75,,1,1,1,0,0,1,20061001
A6021,HCPCS,Collagen dressing <=16 sq in,,,28 ,,NW,,,,,,$34.16,,1,1,1,0,0,1,20061001
A6022,HCPCS,Collagen drsg>6<=48 sq in,,,28 ,,NW,,,,,,$34.16,,1,1,1,0,0,1,20061001
A6023,HCPCS,Collagen dressing >48 sq in,,,28 ,,NW,,,,,,$307.66,,1,1,1,0,0,1,20061001
A6024,HCPCS,Collagen dsg wound filler,,,28 ,,NW,,,,,,$10.17,,1,1,1,0,0,1,20061001
A6025,HCPCS,"Silicone gel sheet, each",,,28 ,,NW,,,,,,$50.83,,1,1,1,0,0,1,20061001
A6154,HCPCS,Wound pouch each,,,28 ,,NW,,,,,,$23.43,,1,1,1,0,0,1,20061001
A6196,HCPCS,Alginate dressing <=16 sq in,,,28 ,,NW,,,,,,$12.05,,1,1,1,0,0,1,20061001
A6197,HCPCS,Alginate drsg >16 <=48 sq in,,,28 ,,NW,,,,,,$26.75,,1,1,1,0,0,1,20061001
A6198,HCPCS,alginate dressing > 48 sq in,,,28 ,,NW,,,,,,$33.44,,1,1,1,0,0,1,20061001
A6199,HCPCS,Alginate drsg wound filler,,,28 ,,NW,,,,,,$8.69,,1,1,1,0,0,1,20061001
A6200,HCPCS,Compos drsg <=16 no border,,,28 ,,NW,,,,,,$15.54,,1,1,1,0,0,1,20061001
A6201,HCPCS,Compos drsg >16<=48 no bdr,,,28 ,,NW,,,,,,$33.81,,1,1,1,0,0,1,20061001
A6202,HCPCS,Compos drsg >48 no border,,,28 ,,NW,,,,,,$56.54,,1,1,1,0,0,1,20061001
A6203,HCPCS,Composite drsg <= 16 sq in,,,28 ,,NW,,,,,,$5.50,,1,1,1,0,0,1,20061001
A6204,HCPCS,Composite drsg >16<=48 sq in,,,28 ,,NW,,,,,,$10.23,,1,1,1,0,0,1,20061001
A6205,HCPCS,Composite drsg > 48 sq in,,,28 ,,NW,,,,,,$12.79,,1,1,1,0,0,1,20061001
A6206,HCPCS,Contact layer <= 16 sq in,,,28 ,,NW,,,,,,$9.42,,1,1,1,0,0,1,20061001
A6207,HCPCS,Contact layer >16<= 48 sq in,,,28 ,,NW,,,,,,$12.04,,1,1,1,0,0,1,20061001
A6208,HCPCS,Contact layer > 48 sq in,,,28 ,,NW,,,,,,$15.06,,1,1,1,0,0,1,20061001
A6209,HCPCS,Foam drsg <=16 sq in w/o bdr,,,28 ,,NW,,,,,,$12.29,,1,1,1,0,0,1,20061001
A6210,HCPCS,Foam drg >16<=48 sq in w/o b,,,28 ,,NW,,,,,,$32.37,,1,1,1,0,0,1,20061001
A6211,HCPCS,Foam drg > 48 sq in w/o brdr,,,28 ,,NW,,,,,,$47.65,,1,1,1,0,0,1,20061001
A6212,HCPCS,Foam drg <=16 sq in w/border,,,28 ,,NW,,,,,,$15.85,,1,1,1,0,0,1,20061001
A6213,HCPCS,Foam drg >16<=48 sq in w/bdr,,,28 ,,NW,,,,,,$16.81,,1,1,1,0,0,1,20061001
A6214,HCPCS,Foam drg > 48 sq in w/border,,,28 ,,NW,,,,,,$16.81,,1,1,1,0,0,1,20061001
A6216,HCPCS,Non-sterile gauze<=16 sq in,,,28 ,,NW,,,,,,$0.08,,1,1,1,0,0,1,20061001
A6217,HCPCS,Non-sterile gauze>16<=48 sq,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,0,1,20061001
A6218,HCPCS,Non-sterile gauze > 48 sq in,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,0,1,20061001
A6219,HCPCS,Gauze <= 16 sq in w/border,,,28 ,,NW,,,,,,$1.57,,1,1,1,0,0,1,20061001
A6220,HCPCS,Gauze >16 <=48 sq in w/bordr,,,28 ,,NW,,,,,,$4.23,,1,1,1,0,0,1,20061001
A6221,HCPCS,Gauze > 48 sq in w/border,,,28 ,,NW,,,,,,$5.29,,1,1,1,0,0,1,20061001
A6222,HCPCS,Gauze <=16 in no w/sal w/o b,,,28 ,,NW,,,,,,$3.49,,1,1,1,0,0,1,20061001
A6223,HCPCS,Gauze >16<=48 no w/sal w/o b,,,28 ,,NW,,,,,,$3.97,,1,1,1,0,0,1,20061001
A6224,HCPCS,Gauze > 48 in no w/sal w/o b,,,28 ,,NW,,,,,,$5.93,,1,1,1,0,0,1,20061001
A6228,HCPCS,Gauze <= 16 sq in water/sal,,,28 ,,NW,,,,,,$4.35,,1,1,1,0,0,1,20061001
A6229,HCPCS,Gauze >16<=48 sq in watr/sal,,,28 ,,NW,,,,,,$5.93,,1,1,1,0,0,1,20061001
A6230,HCPCS,Gauze > 48 sq in water/salne,,,28 ,,NW,,,,,,$6.53,,1,1,1,0,0,1,20061001
A6231,HCPCS,Hydrogel dsg<=16 sq in,,,28 ,,NW,,,,,,$7.70,,1,1,1,0,0,1,20061001
A6232,HCPCS,Hydrogel dsg>16<=48 sq in,,,28 ,,NW,,,,,,$11.29,,1,1,1,0,0,1,20061001
A6233,HCPCS,Hydrogel dressing >48 sq in,,,28 ,,NW,,,,,,$31.20,,1,1,1,0,0,1,20061001
A6234,HCPCS,Hydrocolld drg <=16 w/o bdr,,,28 ,,NW,,,,,,$10.75,,1,1,1,0,0,1,20061001
A6235,HCPCS,Hydrocolld drg >16<=48 w/o b,,,28 ,,NW,,,,,,$27.36,,1,1,1,0,0,1,20061001
A6236,HCPCS,Hydrocolld drg > 48 in w/o b,,,28 ,,NW,,,,,,$44.22,,1,1,1,0,0,1,20061001
A6237,HCPCS,Hydrocolld drg <=16 in w/bdr,,,28 ,,NW,,,,,,$12.98,,1,1,1,0,0,1,20061001
A6238,HCPCS,Hydrocolld drg >16<=48 w/bdr,,,28 ,,NW,,,,,,$37.02,,1,1,1,0,0,1,20061001
A6239,HCPCS,Hydrocolld drg > 48 in w/bdr,,,28 ,,NW,,,,,,$46.27,,1,1,1,0,0,1,20061001
A6240,HCPCS,Hydrocolld drg filler paste,,,28 ,,NW,,,,,,$19.97,,1,1,1,0,0,1,20061001
A6241,HCPCS,Hydrocolloid drg filler dry,,,28 ,,NW,,,,,,$4.22,,1,1,1,0,0,1,20061001
A6242,HCPCS,Hydrogel drg <=16 in w/o bdr,,,28 ,,NW,,,,,,$9.98,,1,1,1,0,0,1,20061001
A6243,HCPCS,Hydrogel drg >16<=48 w/o bdr,,,28 ,,NW,,,,,,$20.09,,1,1,1,0,0,1,20061001
A6244,HCPCS,Hydrogel drg >48 in w/o bdr,,,28 ,,NW,,,,,,$63.65,,1,1,1,0,0,1,20061001
A6245,HCPCS,Hydrogel drg <= 16 in w/bdr,,,28 ,,NW,,,,,,$11.94,,1,1,1,0,0,1,20061001
A6246,HCPCS,Hydrogel drg >16<=48 in w/b,,,28 ,,NW,,,,,,$16.22,,1,1,1,0,0,1,20061001
A6247,HCPCS,Hydrogel drg > 48 sq in w/b,,,28 ,,NW,,,,,,$38.61,,1,1,1,0,0,1,20061001
A6248,HCPCS,Hydrogel drsg gel filler,,,28 ,,NW,,,,,,$26.43,,1,1,1,0,0,1,20061001
A6250,HCPCS,Skin seal protect moisturizr,,,28 ,,NW,,,,,,$2.51,,1,1,1,0,0,1,20061001
A6251,HCPCS,Absorpt drg <=16 sq in w/o b,,,28 ,,NW,,,,,,$3.27,,1,1,1,0,0,1,20061001
A6252,HCPCS,Absorpt drg >16 <=48 w/o bdr,,,28 ,,NW,,,,,,$5.34,,1,1,1,0,0,1,20061001
A6253,HCPCS,Absorpt drg > 48 sq in w/o b,,,28 ,,NW,,,,,,$10.41,,1,1,1,0,0,1,20061001
A6254,HCPCS,Absorpt drg <=16 sq in w/bdr,,,28 ,,NW,,,,,,$2.00,,1,1,1,0,0,1,20061001
A6255,HCPCS,Absorpt drg >16<=48 in w/bdr,,,28 ,,NW,,,,,,$4.98,,1,1,1,0,0,1,20061001
A6256,HCPCS,Absorpt drg > 48 sq in w/bdr,,,28 ,,NW,,,,,,$6.21,,1,1,1,0,0,1,20061001
A6257,HCPCS,Transparent film <= 16 sq in,,,28 ,,NW,,,,,,$2.51,,1,1,1,0,0,1,20061001
A6258,HCPCS,Transparent film >16<=48 in,,,28 ,,NW,,,,,,$7.07,,1,1,1,0,0,1,20061001
A6259,HCPCS,Transparent film > 48 sq in,,,28 ,,NW,,,,,,$17.86,,1,1,1,0,0,1,20061001
A6260,HCPCS,Wound cleanser any type/size,,,28 ,,NW,,,,,,$2.18,,1,1,1,0,0,1,20061001
A6261,HCPCS,Wound filler gel/paste /oz,,,28 ,,NW,,,,,,$8.70,,1,1,1,0,0,1,20061001
A6262,HCPCS,Wound filler dry form / gram,,,28 ,,NW,,,,,,$2.18,,1,1,1,0,0,1,20061001
A6266,HCPCS,Impreg gauze no h20/sal/yard,,,28 ,,NW,,,,,,$3.15,,1,1,1,0,0,1,20061001
A6402,HCPCS,Sterile gauze <= 16 sq in,,,28 ,,NW,,,,,,$0.19,,1,1,1,0,0,1,20061001
A6403,HCPCS,Sterile gauze>16 <= 48 sq in,,,28 ,,NW,,,,,,$0.71,,1,1,1,0,0,1,20061001
A6404,HCPCS,Sterile gauze > 48 sq in,,,28 ,,NW,,,,,,$1.45,,1,1,1,0,0,1,20061001
A6407,HCPCS,"Packing strips, non-impreg",,,28 ,,NW,,,,,,$2.02,,1,1,1,0,1,1,20061001
A6410,HCPCS,Sterile eye pad,,,28 ,,NW,,,,,,$0.65,,1,1,1,0,0,1,20061001
A6411,HCPCS,Non-sterile eye pad,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,0,1,20061001
A6412,HCPCS,Occlusive eye patch,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,0,1,20061001
A6441,HCPCS,Pad band w>=3? <5?/yd,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,1,1,20061001
A6442,HCPCS,Conform band n/s w<3?/yd,,,28 ,,NW,,,,,,$0.19,,1,1,1,0,1,1,20061001
A6443,HCPCS,Conform band n/s w>=3?<5?/yd,,,28 ,,NW,,,,,,$0.32,,1,1,1,0,1,1,20061001
A6444,HCPCS,Conform band n/s w>=5?/yd,,,28 ,,NW,,,,,,$0.60,,1,1,1,0,1,1,20061001
A6445,HCPCS,Conform band s w <3?/yd,,,28 ,,NW,,,,,,$0.35,,1,1,1,0,1,1,20061001
A6446,HCPCS,Conform band s w>=3? <5?/yd,,,28 ,,NW,,,,,,$0.44,,1,1,1,0,1,1,20061001
A6447,HCPCS,Conform band s w >=5?/yd,,,28 ,,NW,,,,,,$0.72,,1,1,1,0,1,1,20061001
A6448,HCPCS,Lt compres band <3?/yd,,,28 ,,NW,,,,,,$1.25,,1,1,1,0,1,1,20061001
A6449,HCPCS,Lt compres band >=3? <5?/yd,,,28 ,,NW,,,,,,$1.88,,1,1,1,0,1,1,20061001
A6452,HCPCS,High compres band w>=3?<5?yd,,,28 ,,NW,,,,,,$6.33,,1,1,1,0,1,1,20061001
A6453,HCPCS,Self-adher band w <3?/yd,,,28 ,,NW,,,,,,$0.66,,1,1,1,0,1,1,20061001
A6454,HCPCS,Self-adher band w>=3? <5?/yd,,,28 ,,NW,,,,,,$0.83,,1,1,1,0,1,1,20061001
A6455,HCPCS,Self-adher band >=5?/yd,,,28 ,,NW,,,,,,$1.49,,1,1,1,0,1,1,20061001
A6456,HCPCS,Zinc paste band w >=3?<5?/yd,,,28 ,,NW,,,,,,$1.37,,1,1,1,0,1,1,20061001
A6550,HCPCS,Neg pres wound ther drsg set,,,28 ,,NW,,,,,,$45.65,,1,1,1,0,0,1,20061001
A7000,HCPCS,Disposable canister for pump,,,28 ,,NW,,,,,,$18.69,,1,1,1,0,0,1,20061001
A7001,HCPCS,Nondisposable pump canister,,,28 ,,NW,,,,,,$54.16,,1,1,1,0,0,1,20061001
A7002,HCPCS,Tubing used w suction pump,,,28 ,,NW,,,,,,$10.07,,1,1,1,0,0,1,20061001
A7003,HCPCS,Nebulizer administration set,,,28 ,,NW,,,,,,$8.44,,1,1,1,0,0,1,20061001
A7004,HCPCS,Disposable nebulizer sml vol,,,28 ,,NW,,,,,,$7.01,,1,1,1,0,0,1,20061001
A7005,HCPCS,Nondisposable nebulizer set,,,28 ,,NW,,,,,,$50.79,,1,1,1,0,0,1,20061001
A7006,HCPCS,Filtered nebulizer admin set,,,28 ,,NW,,,,,,$18.69,,1,1,1,0,0,1,20061001
A7007,HCPCS,Lg vol nebulizer disposable,,,28 ,,NW,,,,,,$11.26,,1,1,1,0,0,1,20061001
A7008,HCPCS,Disposable nebulizer prefill,,,28 ,,NW,,,,,,$20.88,,1,1,1,0,0,1,20061001
A7009,HCPCS,Nebulizer reservoir bottle,,,28 ,,NW,,,,,,$69.68,,1,1,1,0,0,1,20061001
A7010,HCPCS,Disposable corrugated tubing,,,28 ,,NW,,,,,,$39.87,,1,1,1,0,0,1,20061001
A7011,HCPCS,Nondispos corrugated tubing,,,28 ,,NW,,,,,,$61.12,,1,1,1,0,0,1,20061001
A7012,HCPCS,Nebulizer water collec devic,,,28 ,,NW,,,,,,$10.00,,1,1,1,0,0,1,20061001
A7013,HCPCS,Disposable compressor filter,,,28 ,,NW,,,,,,$3.70,,1,1,1,0,0,1,20061001
A7014,HCPCS,Compressor nondispos filter,,,28 ,,NW,,,,,,$11.07,,1,1,1,0,0,1,20061001
A7015,HCPCS,Aerosol mask used w nebulize,,,28 ,,NW,,,,,,$7.14,,1,1,1,0,0,1,20061001
A7016,HCPCS,Nebulizer dome & mouthpiece,,,28 ,,NW,,,,,,$15.23,,1,1,1,0,0,1,20061001
A7017,HCPCS,Nebulizer not used w oxygen,,,28 ,,NW,,,,,,$181.20,,1,1,1,0,0,1,20061001
A7018,HCPCS,Water distilled w/nebulizer,,,28 ,,NW,,,,,,$1.70,,1,1,1,0,0,1,20061001
A7025,HCPCS,Replace chest compress vest,,,28 ,,NW,,,,,,$818.92,,1,1,1,0,0,1,20061001
A7026,HCPCS,Replace chst cmprss sys hose,,,28 ,,NW,,,,,,$47.64,,1,1,1,0,0,1,20061001
A7030,HCPCS,CPAP full face mask,,,28 ,,NW,,,,,,$349.24,,1,1,1,0,0,1,20061001
A7031,HCPCS,Replacement facemask interfa,,,28 ,,NW,,,,,,$122.58,,1,1,1,0,0,1,20061001
A7032,HCPCS,Replacement nasal cushion,NU,,28 ,,NW,,,,,,$66.81,,1,1,1,0,0,1,20061001
A7033,HCPCS,Replacement nasal pillows,NU,,28 ,,NW,,,,,,$47.14,,1,1,1,0,0,1,20061001
A7034,HCPCS,Nasal application device,NU,,28 ,,NW,,,,,,$213.86,,1,1,1,0,0,1,20061001
A7035,HCPCS,Pos airway press headgear,NU,,28 ,,NW,,,,,,$65.32,,1,1,1,0,0,1,20061001
A7036,HCPCS,Pos airway press chinstrap,NU,,28 ,,NW,,,,,,$31.74,,1,1,1,0,0,1,20061001
A7037,HCPCS,Pos airway pressure tubing,NU,,28 ,,NW,,,,,,$67.74,,1,1,1,0,0,1,20061001
A7038,HCPCS,Pos airway pressure filter,NU,,28 ,,NW,,,,,,$12.43,,1,1,1,0,0,1,20061001
A7039,HCPCS,"Filter, non disposable w pap",NU,,28 ,,NW,,,,,,$27.42,,1,1,1,0,0,1,20061001
A7040,HCPCS,One way chest drain valve,,,28 ,,NW,,,,,,$48.15,,1,1,1,0,1,1,20061001
A7041,HCPCS,Water seal drain container,,,28 ,,NW,,,,,,$90.47,,1,1,1,0,1,1,20061001
A7042,HCPCS,Implanted pleural catheter,,,28 ,,NW,,,,,,$329.94,,1,1,1,0,0,1,20061001
A7043,HCPCS,Vacuum drainagebottle/tubing,,,28 ,,NW,,,,,,$47.41,,1,1,1,0,0,1,20061001
A7044,HCPCS,PAP oral interface,NU,,28 ,,NW,,,,,,$220.09,,1,1,1,0,0,1,20061001
A7045,HCPCS,Repl exhalation port for PAP,,,28 ,,NW,,,,,,$2.09,,1,1,1,0,1,1,20061001
A7046,HCPCS,"Repl water chamber, PAP dev",NU,,28 ,,NW,,,,,,$20.88,,1,1,1,0,1,1,20061001
A7501,HCPCS,Tracheostoma valve w diaphra,,,28 ,,NW,,,,,,$169.90,,1,1,1,0,0,1,20061001
A7502,HCPCS,Replacement diaphragm/fplate,,,28 ,,NW,,,,,,$80.83,,1,1,1,0,0,1,20061001
A7503,HCPCS,HMES filter holder or cap,,,28 ,,NW,,,,,,$18.51,,1,1,1,0,0,1,20061001
A7504,HCPCS,Tracheostoma HMES filter,,,28 ,,NW,,,,,,$1.10,,1,1,1,0,0,1,20061001
A7505,HCPCS,HMES or trach valve housing,,,28 ,,NW,,,,,,$7.70,,1,1,1,0,0,1,20061001
A7506,HCPCS,HMES/trachvalve adhesivedisk,,,28 ,,NW,,,,,,$0.55,,1,1,1,0,0,1,20061001
A7507,HCPCS,Integrated filter & holder,,,28 ,,NW,,,,,,$4.09,,1,1,1,0,0,1,20061001
A7508,HCPCS,Housing & Integrated Adhesiv,,,28 ,,NW,,,,,,$4.71,,1,1,1,0,0,1,20061001
A7509,HCPCS,Heat & moisture exchange sys,,,28 ,,NW,,,,,,$2.32,,1,1,1,0,0,1,20061001
A7520,HCPCS,Trach/laryn tube non-cuffed,,,28 ,,NW,,,,,,$50.81,,1,1,1,0,1,1,20061001
A7521,HCPCS,Trach/laryn tube cuffed,,,28 ,,NW,,,,,,$50.35,,1,1,1,0,1,1,20061001
A7522,HCPCS,Trach/laryn tube stainless,,,28 ,,NW,,,,,,$48.33,,1,1,1,0,1,1,20061001
A7523,HCPCS,Tracheostomy shower protect,,,28 ,,NW,,,,,,$22.86,,1,1,1,0,1,1,20061001
A7524,HCPCS,Tracheostoma stent/stud/bttn,,,28 ,,NW,,,,,,$82.82,,1,1,1,0,1,1,20061001
A7525,HCPCS,Tracheostomy mask,,,28 ,,NW,,,,,,$3.04,,1,1,1,0,0,1,20061001
A7526,HCPCS,Tracheostomy tube collar,,,28 ,,NW,,,,,,$3.61,,1,1,1,0,1,1,20061001
A7527,HCPCS,Trach/laryn tube plug/stop,,,28 ,,NW,,,,,,$3.84,,1,1,1,0,1,1,20061001
A9150,HCPCS,Misc/exper non-prescript dru,,,29 ,,NW,,,,,,$10.36,,1,1,1,0,0,1,20061001
A9270,HCPCS,Non-covered item or service,,,28 ,,NW,,,,,,$45.58,,1,1,1,0,0,1,20061001
A9280,HCPCS,"Alert device, noc",,,28 ,,NW,,,,,,$303.85,,1,1,1,0,1,1,20061001
A9300,HCPCS,Exercise equipment,,,28 ,,NW,,,,,,$5.83,,1,1,1,0,0,1,20061001
A9500,HCPCS,Technetium TC 99m sestamibi,,,28 ,,NW,,,,,,$157.47,,1,1,1,0,0,1,20061001
A9502,HCPCS,Technetium TC99M tetrofosmin,,,28 ,,NW,,,,,,$176.50,,1,1,1,0,0,1,20061001
A9503,HCPCS,Technetium TC 99m medronate,,,28 ,2,NW,,,,,,$40.94,,1,1,1,0,0,1,20061001
A9504,HCPCS,Technetium tc 99m apcitide,,,28 ,2,NW,,,,,,$73.09,,1,1,1,0,0,1,20061001
A9505,HCPCS,Thallous chloride TL 201/mci,,,28 ,,NW,,,,,,$69.11,,1,1,1,0,0,1,20061001
A9507,HCPCS,Indium/111 capromab pendetid,,,28 ,,NW,,,,,,"$2,966.31",,1,1,1,0,0,1,20061001
A9508,HCPCS,Iobenguane sulfate I-131,,,28 ,,NW,,,,,,$33.83,,1,1,1,0,0,1,20061001
A9510,HCPCS,Technetium TC99m Disofenin,,,28 ,2,NW,,,,,,$117.26,,1,1,1,0,0,1,20061001
A9600,HCPCS,Strontium-89 chloride,,,28 ,,NW,,,,,,"$1,080.65",,1,1,1,0,0,1,20061001
A9605,HCPCS,Samarium sm153 lexidronamm,,,28 ,,NW,,,,,,$535.21,,1,1,1,0,0,1,20061001
A9700,HCPCS,Echocardiography Contrast,,,28 ,,NW,,,,,,$213.89,,1,1,1,0,0,1,20061001
A9900,HCPCS,Supply/accessory/service,,,28 ,,NW,,,,,,$23.47,,1,1,1,0,0,1,20061001
A9901,HCPCS,Delivery/set up/dispensing,,,28 ,,NW,,,,,,$19.45,,1,1,1,0,0,1,20061001
B4034,HCPCS,Enter feed supkit syr by day,,,28 ,,NW,,,,,,$9.85,,1,1,1,0,0,1,20061001
B4035,HCPCS,Enteral feed supp pump per d,,,28 ,,NW,,,,,,$19.10,,1,1,1,0,0,1,20061001
B4036,HCPCS,Enteral feed sup kit grav by,,,28 ,,NW,,,,,,$12.87,,1,1,1,0,0,1,20061001
B4081,HCPCS,Enteral ng tubing w/ stylet,,,28 ,,NW,,,,,,$38.23,,1,1,1,0,0,1,20061001
B4082,HCPCS,Enteral ng tubing w/o stylet,,,28 ,,NW,,,,,,$27.61,,1,1,1,0,0,1,20061001
B4083,HCPCS,Enteral stomach tube levine,,,28 ,,NW,,,,,,$3.97,,1,1,1,0,0,1,20061001
B4086,HCPCS,Gastrostomy/jejunostomy tube,,,28 ,,NW,,,,,,$65.27,,1,1,1,0,0,1,20061001
B4149,HCPCS,EF blenderized foods,,,28 ,,NW,,,,,,$1.64,,1,1,1,0,1,1,20061001
B4150,HCPCS,Enteral formulae category i,,,28 ,,NW,,,,,,$1.10,,1,1,1,0,0,1,20061001
B4152,HCPCS,Enteral formulae category ii,,,28 ,,NW,,,,,,$0.94,,1,1,1,0,0,1,20061001
B4153,HCPCS,Enteral formulae categoryIII,,,28 ,,NW,,,,,,$3.09,,1,1,1,0,0,1,20061001
B4154,HCPCS,Enteral formulae category IV,,,28 ,,NW,,,,,,$1.98,,1,1,1,0,0,1,20061001
B4155,HCPCS,Enteral formulae category v,,,28 ,,NW,,,,,,$1.56,,1,1,1,0,0,1,20061001
B4164,HCPCS,Parenteral 50% dextrose solu,,,28 ,,NW,,,,,,$28.37,,1,1,1,0,0,1,20061001
B4168,HCPCS,Parenteral sol amino acid 3.,,,28 ,,NW,,,,,,$42.80,,1,1,1,0,0,1,20061001
B4172,HCPCS,Parenteral sol amino acid 5.,,,28 ,,NW,,,,,,$64.40,,1,1,1,0,0,1,20061001
B4176,HCPCS,Parenteral sol amino acid 7-,,,28 ,,NW,,,,,,$85.98,,1,1,1,0,0,1,20061001
B4178,HCPCS,Parenteral sol amino acid >,,,28 ,,NW,,,,,,$103.89,,1,1,1,0,0,1,20061001
B4180,HCPCS,Parenteral sol carb > 50%,,,28 ,,NW,,,,,,$42.08,,1,1,1,0,0,1,20061001
B4189,HCPCS,Parenteral sol amino acid &,,,28 ,,NW,,,,,,$327.90,,1,1,1,0,0,1,20061001
B4193,HCPCS,Parenteral sol 52-73 gm prot,,,28 ,,NW,,,,,,$424.70,,1,1,1,0,0,1,20061001
B4197,HCPCS,Parenteral sol 74-100 gm pro,,,28 ,,NW,,,,,,$517.76,,1,1,1,0,0,1,20061001
B4199,HCPCS,Parenteral sol > 100gm prote,,,28 ,,NW,,,,,,$592.13,,1,1,1,0,0,1,20061001
B4216,HCPCS,Parenteral nutrition additiv,,,28 ,,NW,,,,,,$12.06,,1,1,1,0,0,1,20061001
B4220,HCPCS,Parenteral supply kit premix,,,28 ,,NW,,,,,,$12.49,,1,1,1,0,0,1,20061001
B4222,HCPCS,Parenteral supply kit homemi,,,28 ,,NW,,,,,,$15.40,,1,1,1,0,0,1,20061001
B4224,HCPCS,Parenteral administration ki,,,28 ,,NW,,,,,,$43.28,,1,1,1,0,0,1,20061001
B5000,HCPCS,Parenteral sol renal-amirosy,,,28 ,,NW,,,,,,$18.82,,1,1,1,0,0,1,20061001
B5100,HCPCS,Parenteral sol hepatic-fream,,,28 ,,NW,,,,,,$7.27,,1,1,1,0,0,1,20061001
B5200,HCPCS,Parenteral sol stres-brnch c,,,28 ,,NW,,,,,,$582.82,,1,1,1,0,0,1,20061001
B9000,HCPCS,Enter infusion pump w/o alrm,RR,,28 ,,NW,,,,,,$213.28,,1,1,1,0,0,1,20061001
B9000,HCPCS,Enter infusion pump w/o alrm,UE,,28 ,,NW,,,,,,"$1,764.57",,1,1,1,0,0,1,20061001
B9000,HCPCS,Enter infusion pump w/o alrm,NU,,28 ,,NW,,,,,,"$2,353.87",,1,1,1,0,0,1,20061001
B9002,HCPCS,Enteral infusion pump w/ ala,RR,,28 ,,NW,,,,,,$224.97,,1,1,1,0,0,1,20061001
B9002,HCPCS,Enteral infusion pump w/ ala,NU,,28 ,,NW,,,,,,"$2,353.87",,1,1,1,0,0,1,20061001
B9004,HCPCS,Parenteral infus pump portab,RR,,28 ,,NW,,,,,,$741.03,,1,1,1,0,0,1,20061001
B9004,HCPCS,Parenteral infus pump portab,UE,,28 ,,NW,,,,,,"$3,523.12",,1,1,1,0,0,1,20061001
B9004,HCPCS,Parenteral infus pump portab,NU,,28 ,,NW,,,,,,"$4,698.62",,1,1,1,0,0,1,20061001
B9006,HCPCS,Parenteral infus pump statio,RR,,28 ,,NW,,,,,,$741.03,,1,1,1,0,0,1,20061001
B9006,HCPCS,Parenteral infus pump statio,UE,,28 ,,NW,,,,,,"$3,523.12",,1,1,1,0,0,1,20061001
B9006,HCPCS,Parenteral infus pump statio,NU,,28 ,,NW,,,,,,"$4,698.62",,1,1,1,0,0,1,20061001
B9998,HCPCS,Enteral supp not otherwise c,,,28 ,,NW,,,,,,$9.67,,1,1,1,0,0,1,20061001
B9999,HCPCS,Parenteral supp not othrws c,,,28 ,,NW,,,,,,$288.42,,1,1,1,0,0,1,20061001
D0120,HCPCS,Periodic oral evaluation,,,25 ,,NW,,,,,,$42.29,,1,0,1,1,1,1,20061001
D0140,HCPCS,Limit oral eval problm focus,,,25 ,,NW,,,,,,$64.76,,1,0,1,1,1,1,20061001
D0150,HCPCS,Comprehensve oral evaluation,,,25 ,,NW,,,,,,$71.21,,1,0,1,1,1,1,20061001
D0160,HCPCS,Extensv oral eval prob focus,,,25 ,,NW,,,,,,$153.27,,1,0,1,1,1,1,20061001
D0170,HCPCS,"Re-eval,est pt,problem focus",,,25 ,,NW,,,,,,$58.18,,1,0,1,1,1,1,20061001
D0180,HCPCS,Comp periodontal evaluation,,,25 ,,NW,,,,,,$82.29,,1,0,1,1,1,1,20061001
D0210,HCPCS,Intraor complete film series,,,25 ,,NW,,,,,,$115.90,,1,0,1,1,1,1,20061001
D0220,HCPCS,Intraoral periapical first f,,,25 ,,NW,,,,,,$24.37,,1,0,1,1,1,1,20061001
D0230,HCPCS,Intraoral periapical ea add,,,25 ,,NW,,,,,,$19.63,,1,0,1,1,1,1,20061001
D0240,HCPCS,Intraoral occlusal film,,,25 ,,NW,,,,,,$35.54,,1,0,1,1,1,1,20061001
D0250,HCPCS,Extraoral first film,,,25 ,,NW,,,,,,$50.26,,1,0,1,1,1,1,20061001
D0260,HCPCS,Extraoral ea additional film,,,25 ,,NW,,,,,,$44.96,,1,0,1,1,1,1,20061001
D0270,HCPCS,Dental bitewing single film,,,25 ,,NW,,,,,,$24.39,,1,0,1,1,1,1,20061001
D0272,HCPCS,Dental bitewings two films,,,25 ,,NW,,,,,,$38.18,,1,0,1,1,1,1,20061001
D0274,HCPCS,Dental bitewings four films,,,25 ,,NW,,,,,,$55.22,,1,0,1,1,1,1,20061001
D0277,HCPCS,Vert bitewings-sev to eight,,,25 ,,NW,,,,,,$82.86,,1,0,1,1,1,1,20061001
D0290,HCPCS,Dental film skull/facial bon,,,25 ,,NW,,,,,,$125.84,,1,0,1,1,1,1,20061001
D0310,HCPCS,Dental saliography,,,25 ,,NW,,,,,,$349.00,,1,0,1,1,1,1,20061001
D0320,HCPCS,Dental tmj arthrogram incl i,,,25 ,,NW,,,,,,$563.61,,1,0,1,1,1,1,20061001
D0321,HCPCS,Dental other tmj films,,,25 ,,NW,,,,,,$192.50,,1,0,1,1,1,1,20061001
D0322,HCPCS,Dental tomographic survey,,,25 ,,NW,,,,,,$468.87,,1,0,1,1,1,1,20061001
D0330,HCPCS,Dental panoramic film,,,25 ,,NW,,,,,,$99.05,,1,0,1,1,1,1,20061001
D0340,HCPCS,Dental cephalometric film,,,25 ,,NW,,,,,,$111.69,,1,0,1,1,1,1,20061001
D0350,HCPCS,Oral/facial images,,,25 ,,NW,,,,,,$57.56,,1,0,1,1,1,1,20061001
D0415,HCPCS,Bacteriologic study,,,25 ,,NW,,,,,,$30.35,,1,0,1,1,1,1,20061001
D0416,HCPCS,Viral culture,,,25 ,,TotalUnits,,,,1.22,,,,1,1,1,0,1,1,20061001
D0425,HCPCS,Caries susceptibility test,,,25 ,,NW,,,,,,$27.74,,1,0,1,1,1,1,20061001
D0431,HCPCS,Diag tst detect mucos abnorm,,,25 ,,NW,,,,,,$27.74,,1,1,1,0,1,1,20061001
D0460,HCPCS,Pulp vitality test,,,25 ,,NW,,,,,,$47.63,,1,0,1,1,1,1,20061001
D0470,HCPCS,Diagnostic casts,,,25 ,,NW,,,,,,$97.61,,1,0,1,1,1,1,20061001
D0472,HCPCS,"Gross exam, prep & report",,,25 ,,NW,,,,,,$82.07,,1,0,1,1,1,1,20061001
D0473,HCPCS,"Micro exam, prep & report",,,25 ,,NW,,,,,,$133.63,,1,0,1,1,1,1,20061001
D0474,HCPCS,Micro w exam of surg margins,,,25 ,,NW,,,,,,$154.35,,1,0,1,1,1,1,20061001
D0475,HCPCS,Decalcification procedure,,,25 ,,RBRVS,0.24 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
D0476,HCPCS,Spec stains for microorganis,,,25 ,,RBRVS,0.54 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
D0477,HCPCS,Spec stains not for microorg,,,25 ,,RBRVS,0.24 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
D0478,HCPCS,Immunohistochemical stains,,,25 ,,RBRVS,0.85 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20061001
D0479,HCPCS,Tissue in-situ hybridization,,,25 ,,RBRVS,1.20 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20061001
D0480,HCPCS,Cytopath smear prep & report,,,25 ,,NW,,,,,,$126.30,,1,0,1,1,1,1,20061001
D0481,HCPCS,Electron microscopy diagnost,,,25 ,,RBRVS,1.51 ,0.64 ,0.64 ,,,,,1,0,1,1,1,1,20061001
D0482,HCPCS,Direct immunofluorescence,,,25 ,,RBRVS,0.86 ,0.36 ,0.36 ,,,,,1,0,1,1,1,1,20061001
D0483,HCPCS,Indirect immunofluorescence,,,25 ,,RBRVS,0.86 ,0.35 ,0.35 ,,,,,1,0,1,1,1,1,20061001
D0484,HCPCS,Consult slides prep elsewher,,,25 ,,RBRVS,1.30 ,0.56 ,0.79 ,,,,,1,0,1,1,1,1,20061001
D0485,HCPCS,Consult inc prep of slides,,,25 ,,RBRVS,1.35 ,0.57 ,0.57 ,,,,,1,0,1,1,1,1,20061001
D0502,HCPCS,Other oral pathology procedu,,,25 ,,NW,,,,,,$149.78,,1,0,1,1,1,1,20061001
D0999,HCPCS,Unspecified diagnostic proce,,,25 ,,NW,,,,,,"$1,255.46",,1,0,1,1,1,1,20061001
D1110,HCPCS,Dental prophylaxis adult,,,25 ,,NW,,,,,,$81.00,,1,0,1,1,1,1,20061001
D1120,HCPCS,Dental prophylaxis child,,,25 ,,NW,,,,,,$58.87,,1,0,1,1,1,1,20061001
D1201,HCPCS,Topical fluor w prophy child,,,25 ,,NW,,,,,,$84.79,,1,0,1,1,1,1,20061001
D1203,HCPCS,Topical fluor w/o prophy chi,,,25 ,,NW,,,,,,$33.55,,1,0,1,1,1,1,20061001
D1204,HCPCS,Topical fluor w/o prophy adu,,,25 ,,NW,,,,,,$32.73,,1,0,1,1,1,1,20061001
D1205,HCPCS,Topical fluoride w/ prophy a,,,25 ,,NW,,,,,,$98.98,,1,0,1,1,1,1,20061001
D1310,HCPCS,Nutri counsel-control caries,,,25 ,,NW,,,,,,$49.72,,1,0,1,1,1,1,20061001
D1320,HCPCS,Tobacco counseling,,,25 ,,NW,,,,,,$58.46,,1,0,1,1,1,1,20061001
D1330,HCPCS,Oral hygiene instruction,,,25 ,,NW,,,,,,$52.48,,1,0,1,1,1,1,20061001
D1351,HCPCS,Dental sealant per tooth,,,25 ,,NW,,,,,,$47.33,,1,0,1,1,1,1,20061001
D1510,HCPCS,Space maintainer fxd unilat,,,26 ,,NW,,,,,,$299.71,,1,0,1,1,1,1,20061001
D1515,HCPCS,Fixed bilat space maintainer,,,26 ,,NW,,,,,,$424.67,,1,0,1,1,1,1,20061001
D1520,HCPCS,Remove unilat space maintain,,,26 ,,NW,,,,,,$378.72,,1,0,1,1,1,1,20061001
D1525,HCPCS,Remove bilat space maintain,,,26 ,,NW,,,,,,$502.06,,1,0,1,1,1,1,20061001
D1550,HCPCS,Recement space maintainer,,,26 ,,NW,,,,,,$67.81,,1,0,1,1,1,1,20061001
D2140,HCPCS,Amalgam one surface permanen,,,26 ,,NW,,,,,,$115.86,,1,0,1,1,1,1,20061001
D2150,HCPCS,Amalgam two surfaces permane,,,26 ,,NW,,,,,,$145.91,,1,0,1,1,1,1,20061001
D2160,HCPCS,Amalgam three surfaces perma,,,26 ,,NW,,,,,,$176.68,,1,0,1,1,1,1,20061001
D2161,HCPCS,Amalgam 4 or > surfaces perm,,,26 ,,NW,,,,,,$213.82,,1,0,1,1,1,1,20061001
D2330,HCPCS,Resin one surface-anterior,,,26 ,,NW,,,,,,$133.75,,1,0,1,1,1,1,20061001
D2331,HCPCS,Resin two surfaces-anterior,,,26 ,,NW,,,,,,$165.94,,1,0,1,1,1,1,20061001
D2332,HCPCS,Resin three surfaces-anterio,,,26 ,,NW,,,,,,$204.00,,1,0,1,1,1,1,20061001
D2335,HCPCS,Resin 4/> surf or w incis an,,,26 ,,NW,,,,,,$244.46,,1,0,1,1,1,1,20061001
D2390,HCPCS,Ant resin-based cmpst crown,,,26 ,,NW,,,,,,$309.05,,1,0,1,1,1,1,20061001
D2391,HCPCS,Post 1 srfc resinbased cmpst,,,26 ,,NW,,,,,,$148.95,,1,0,1,1,1,1,20061001
D2392,HCPCS,Post 2 srfc resinbased cmpst,,,26 ,,NW,,,,,,$198.97,,1,0,1,1,1,1,20061001
D2393,HCPCS,Post 3 srfc resinbased cmpst,,,26 ,,NW,,,,,,$245.89,,1,0,1,1,1,1,20061001
D2394,HCPCS,Post >=4srfc resinbase cmpst,,,26 ,,NW,,,,,,$289.60,,1,0,1,1,1,1,20061001
D2410,HCPCS,Dental gold foil one surface,,,27 ,,NW,,,,,,$199.55,,1,0,1,1,1,1,20061001
D2420,HCPCS,Dental gold foil two surface,,,27 ,,NW,,,,,,$484.28,,1,0,1,1,1,1,20061001
D2430,HCPCS,Dental gold foil three surfa,,,27 ,,NW,,,,,,$876.74,,1,0,1,1,1,1,20061001
D2510,HCPCS,Dental inlay metalic 1 surf,,,27 ,,NW,,,,,,$726.71,,1,0,1,1,1,1,20061001
D2520,HCPCS,Dental inlay metallic 2 surf,,,27 ,,NW,,,,,,$818.41,,1,0,1,1,1,1,20061001
D2530,HCPCS,Dental inlay metl 3/more sur,,,27 ,,NW,,,,,,$901.44,,1,0,1,1,1,1,20061001
D2542,HCPCS,Dental onlay metallic 2 surf,,,27 ,,NW,,,,,,$896.20,,1,0,1,1,1,1,20061001
D2543,HCPCS,Dental onlay metallic 3 surf,,,27 ,,NW,,,,,,$940.71,,1,0,1,1,1,1,20061001
D2544,HCPCS,Dental onlay metl 4/more sur,,,27 ,,NW,,,,,,$975.60,,1,0,1,1,1,1,20061001
D2610,HCPCS,Inlay porcelain/ceramic 1 su,,,27 ,,NW,,,,,,$810.64,,1,0,1,1,1,1,20061001
D2620,HCPCS,Inlay porcelain/ceramic 2 su,,,27 ,,NW,,,,,,$866.95,,1,0,1,1,1,1,20061001
D2630,HCPCS,Dental onlay porc 3/more sur,,,27 ,,NW,,,,,,$911.53,,1,0,1,1,1,1,20061001
D2642,HCPCS,Dental onlay porcelin 2 surf,,,27 ,,NW,,,,,,$921.04,,1,0,1,1,1,1,20061001
D2643,HCPCS,Dental onlay porcelin 3 surf,,,27 ,,NW,,,,,,$954.94,,1,0,1,1,1,1,20061001
D2644,HCPCS,Dental onlay porc 4/more sur,,,27 ,,NW,,,,,,$998.70,,1,0,1,1,1,1,20061001
D2650,HCPCS,Inlay composite/resin one su,,,27 ,,NW,,,,,,$654.21,,1,0,1,1,1,1,20061001
D2651,HCPCS,Inlay composite/resin two su,,,27 ,,NW,,,,,,$739.77,,1,0,1,1,1,1,20061001
D2652,HCPCS,Dental inlay resin 3/mre sur,,,27 ,,NW,,,,,,$786.94,,1,0,1,1,1,1,20061001
D2662,HCPCS,Dental onlay resin 2 surface,,,27 ,,NW,,,,,,$786.93,,1,0,1,1,1,1,20061001
D2663,HCPCS,Dental onlay resin 3 surface,,,27 ,,NW,,,,,,$829.22,,1,0,1,1,1,1,20061001
D2664,HCPCS,Dental onlay resin 4/mre sur,,,27 ,,NW,,,,,,$868.71,,1,0,1,1,1,1,20061001
D2710,HCPCS,Crown resin laboratory,,,27 ,,NW,,,,,,$536.52,,1,0,1,1,1,1,20061001
D2712,HCPCS,Crown 3/4 resin-based compos,,,27 ,,NW,,,,,,$536.52,,1,0,1,1,1,1,20061001
D2720,HCPCS,Crown resin w/ high noble me,,,27 ,,NW,,,,,,$976.51,,1,0,1,1,1,1,20061001
D2721,HCPCS,Crown resin w/ base metal,,,27 ,,NW,,,,,,$852.97,,1,0,1,1,1,1,20061001
D2722,HCPCS,Crown resin w/ noble metal,,,27 ,,NW,,,,,,$898.34,,1,0,1,1,1,1,20061001
D2740,HCPCS,Crown porcelain/ceramic subs,,,27 ,,NW,,,,,,"$1,014.90",,1,0,1,1,1,1,20061001
D2750,HCPCS,Crown porcelain w/ h noble m,,,27 ,,NW,,,,,,$971.17,,1,0,1,1,1,1,20061001
D2751,HCPCS,Crown porcelain fused base m,,,27 ,,NW,,,,,,$887.57,,1,0,1,1,1,1,20061001
D2752,HCPCS,Crown porcelain w/ noble met,,,27 ,,NW,,,,,,$925.96,,1,0,1,1,1,1,20061001
D2780,HCPCS,Crown 3/4 cast hi noble met,,,27 ,,NW,,,,,,$972.38,,1,0,1,1,1,1,20061001
D2781,HCPCS,Crown 3/4 cast base metal,,,27 ,,NW,,,,,,$921.74,,1,0,1,1,1,1,20061001
D2782,HCPCS,Crown 3/4 cast noble metal,,,27 ,,NW,,,,,,$934.85,,1,0,1,1,1,1,20061001
D2783,HCPCS,Crown 3/4 porcelain/ceramic,,,27 ,,NW,,,,,,$991.22,,1,0,1,1,1,1,20061001
D2790,HCPCS,Crown full cast high noble m,,,27 ,,NW,,,,,,$952.21,,1,0,1,1,1,1,20061001
D2791,HCPCS,Crown full cast base metal,,,27 ,,NW,,,,,,$888.23,,1,0,1,1,1,1,20061001
D2792,HCPCS,Crown full cast noble metal,,,27 ,,NW,,,,,,$914.02,,1,0,1,1,1,1,20061001
D2794,HCPCS,Crown-titanium,,,27 ,,NW,,,,,,$914.00,,1,0,1,1,1,1,20061001
D2799,HCPCS,Provisional crown,,,27 ,,NW,,,,,,$367.25,,1,0,1,1,1,1,20061001
D2910,HCPCS,Dental recement inlay,,,27 ,,NW,,,,,,$91.19,,1,0,1,1,1,1,20061001
D2915,HCPCS,Recement cast or prefab post,,,27 ,,NW,,,,,,$298.64,,1,0,1,1,1,1,20061001
D2920,HCPCS,Dental recement crown,,,27 ,,NW,,,,,,$91.20,,1,0,1,1,1,1,20061001
D2930,HCPCS,Prefab stnlss steel crwn pri,,,27 ,,NW,,,,,,$236.96,,1,0,1,1,1,1,20061001
D2931,HCPCS,Prefab stnlss steel crown pe,,,27 ,,NW,,,,,,$272.56,,1,0,1,1,1,1,20061001
D2932,HCPCS,Prefabricated resin crown,,,27 ,,NW,,,,,,$297.87,,1,0,1,1,1,1,20061001
D2933,HCPCS,Prefab stainless steel crown,,,27 ,,NW,,,,,,$318.51,,1,0,1,1,1,1,20061001
D2934,HCPCS,Prefab steel crown primary,,,27 ,,NW,,,,,,$318.54,,1,0,1,1,1,1,20061001
D2940,HCPCS,Dental sedative filling,,,27 ,,NW,,,,,,$95.49,,1,0,1,1,1,1,20061001
D2950,HCPCS,Core build-up incl any pins,,,27 ,,NW,,,,,,$236.42,,1,0,1,1,1,1,20061001
D2951,HCPCS,Tooth pin retention,,,27 ,,NW,,,,,,$52.27,,1,0,1,1,1,1,20061001
D2952,HCPCS,Post and core cast + crown,,,27 ,,NW,,,,,,$372.65,,1,0,1,1,1,1,20061001
D2953,HCPCS,Each addtnl cast post,,,27 ,,NW,,,,,,$222.25,,1,0,1,1,1,1,20061001
D2954,HCPCS,Prefab post/core + crown,,,27 ,,NW,,,,,,$298.68,,1,0,1,1,1,1,20061001
D2955,HCPCS,Post removal,,,27 ,,NW,,,,,,$258.45,,1,0,1,1,1,1,20061001
D2957,HCPCS,Each addtnl prefab post,,,27 ,,NW,,,,,,$158.20,,1,0,1,1,1,1,20061001
D2960,HCPCS,Laminate labial veneer,,,27 ,,NW,,,,,,$597.75,,1,0,1,1,1,1,20061001
D2961,HCPCS,Lab labial veneer resin,,,27 ,,NW,,,,,,$864.92,,1,0,1,1,1,1,20061001
D2962,HCPCS,Lab labial veneer porcelain,,,27 ,,NW,,,,,,$950.73,,1,0,1,1,1,1,20061001
D2971,HCPCS,Add proc construct new crown,,,27 ,,NW,,,,,,$242.79,,1,0,1,1,1,1,20061001
D2975,HCPCS,Coping,,,27 ,,NW,,,,,,$635.80,,1,0,1,1,1,1,20061001
D2980,HCPCS,Crown repair,,,27 ,,NW,,,,,,$242.78,,1,0,1,1,1,1,20061001
D2999,HCPCS,Dental unspec restorative pr,,,27 ,,NW,,,,,,"$1,270.84",,1,0,1,1,1,1,20061001
D3110,HCPCS,Pulp cap direct,,,26 ,,NW,,,,,,$69.09,,1,0,1,1,1,1,20061001
D3120,HCPCS,Pulp cap indirect,,,26 ,,NW,,,,,,$61.83,,1,0,1,1,1,1,20061001
D3220,HCPCS,Therapeutic pulpotomy,,,26 ,,NW,,,,,,$158.49,,1,0,1,1,1,1,20061001
D3221,HCPCS,Gross pulpal debridement,,,26 ,,NW,,,,,,$179.76,,1,0,1,1,1,1,20061001
D3230,HCPCS,Pulpal therapy anterior prim,,,26 ,,NW,,,,,,$203.50,,1,0,1,1,1,1,20061001
D3240,HCPCS,Pulpal therapy posterior pri,,,26 ,,NW,,,,,,$229.26,,1,0,1,1,1,1,20061001
D3310,HCPCS,Anterior,,,26 ,,NW,,,,,,$653.97,,1,0,1,1,1,1,20061001
D3320,HCPCS,Root canal therapy 2 canals,,,26 ,,NW,,,,,,$779.11,,1,0,1,1,1,1,20061001
D3330,HCPCS,Root canal therapy 3 canals,,,26 ,,NW,,,,,,$979.49,,1,0,1,1,1,1,20061001
D3331,HCPCS,Non-surg tx root canal obs,,,26 ,,NW,,,,,,$311.13,,1,0,1,1,1,1,20061001
D3332,HCPCS,Incomplete endodontic tx,,,26 ,,NW,,,,,,$423.49,,1,0,1,1,1,1,20061001
D3333,HCPCS,Internal root repair,,,26 ,,NW,,,,,,$223.09,,1,0,1,1,1,1,20061001
D3346,HCPCS,Retreat root canal anterior,,,26 ,,NW,,,,,,$838.85,,1,0,1,1,1,1,20061001
D3347,HCPCS,Retreat root canal bicuspid,,,26 ,,NW,,,,,,$963.91,,1,0,1,1,1,1,20061001
D3348,HCPCS,Retreat root canal molar,,,26 ,,NW,,,,,,"$1,148.64",,1,0,1,1,1,1,20061001
D3351,HCPCS,Apexification/recalc initial,,,26 ,,NW,,,,,,$338.14,,1,0,1,1,1,1,20061001
D3352,HCPCS,Apexification/recalc interim,,,26 ,,NW,,,,,,$189.39,,1,0,1,1,1,1,20061001
D3353,HCPCS,Apexification/recalc final,,,26 ,,NW,,,,,,$550.05,,1,0,1,1,1,1,20061001
D3410,HCPCS,Apicoect/perirad surg anter,,,26 ,,NW,,,,,,$715.18,,1,0,1,1,1,1,20061001
D3421,HCPCS,Root surgery bicuspid,,,26 ,,NW,,,,,,$777.64,,1,0,1,1,1,1,20061001
D3425,HCPCS,Root surgery molar,,,26 ,,NW,,,,,,$884.70,,1,0,1,1,1,1,20061001
D3426,HCPCS,Root surgery ea add root,,,26 ,,NW,,,,,,$321.37,,1,0,1,1,1,1,20061001
D3430,HCPCS,Retrograde filling,,,26 ,,NW,,,,,,$234.63,,1,0,1,1,1,1,20061001
D3450,HCPCS,Root amputation,,,26 ,,NW,,,,,,$472.24,,1,0,1,1,1,1,20061001
D3460,HCPCS,Endodontic endosseous implan,,,26 ,,NW,,,,,,"$1,796.18",,1,0,1,1,1,1,20061001
D3470,HCPCS,Intentional replantation,,,26 ,,NW,,,,,,$837.01,,1,0,1,1,1,1,20061001
D3910,HCPCS,Isolation- tooth w rubb dam,,,26 ,,NW,,,,,,$177.05,,1,0,1,1,1,1,20061001
D3920,HCPCS,Tooth splitting,,,26 ,,NW,,,,,,$386.26,,1,0,1,1,1,1,20061001
D3950,HCPCS,Canal prep/fitting of dowel,,,26 ,,NW,,,,,,$178.45,,1,0,1,1,1,1,20061001
D3999,HCPCS,Endodontic procedure,,,26 ,,NW,,,,,,"$1,299.24",,1,0,1,1,1,1,20061001
D4210,HCPCS,Gingivectomy/plasty per quad,,,26 ,,NW,,,,,,$580.01,,1,0,1,1,1,1,20061001
D4211,HCPCS,Gingivectomy/plasty per toot,,,26 ,,NW,,,,,,$220.00,,1,0,1,1,1,1,20061001
D4240,HCPCS,Gingival flap proc w/ planin,,,26 ,,NW,,,,,,$708.22,,1,0,1,1,1,1,20061001
D4241,HCPCS,Gngvl flap w rootplan 1-3 th,,,26 ,,NW,,,,,,$470.14,,1,0,1,1,1,1,20061001
D4245,HCPCS,Apically positioned flap,,,26 ,,NW,,,,,,$628.43,,1,0,1,1,1,1,20061001
D4249,HCPCS,Crown lengthen hard tissue,,,26 ,,NW,,,,,,$783.33,,1,0,1,1,1,1,20061001
D4260,HCPCS,Osseous surgery per quadrant,,,26 ,,NW,,,,,,"$1,058.96",,1,0,1,1,1,1,20061001
D4261,HCPCS,Osseous surgl-3teethperquad,,,26 ,,NW,,,,,,$768.50,,1,0,1,1,1,1,20061001
D4263,HCPCS,Bone replce graft first site,,,26 ,,NW,,,,,,$475.95,,1,0,1,1,1,1,20061001
D4264,HCPCS,Bone replce graft each add,,,26 ,,NW,,,,,,$201.99,,1,0,1,1,1,1,20061001
D4265,HCPCS,Bio mtrls to aid soft/os reg,,,26 ,,NW,,,,,,$444.53,,1,0,1,1,1,1,20061001
D4266,HCPCS,Guided tiss regen resorble,,,26 ,,NW,,,,,,$566.02,,1,0,1,1,1,1,20061001
D4267,HCPCS,Guided tiss regen nonresorb,,,26 ,,NW,,,,,,$678.21,,1,0,1,1,1,1,20061001
D4268,HCPCS,Surgical revision procedure,,,26 ,,NW,,,,,,$667.34,,1,0,1,1,1,1,20061001
D4270,HCPCS,Pedicle soft tissue graft pr,,,26 ,,NW,,,,,,$814.34,,1,0,1,1,1,1,20061001
D4271,HCPCS,Free soft tissue graft proc,,,26 ,,NW,,,,,,$870.31,,1,0,1,1,1,1,20061001
D4273,HCPCS,Subepithelial tissue graft,,,26 ,,NW,,,,,,$974.87,,1,0,1,1,1,1,20061001
D4274,HCPCS,Distal/proximal wedge proc,,,26 ,,NW,,,,,,$441.17,,1,0,1,1,1,1,20061001
D4275,HCPCS,Soft tissue allograft,,,26 ,,NW,,,,,,$718.92,,1,0,1,1,1,1,20061001
D4276,HCPCS,Con tissue w dble ped graft,,,26 ,,NW,,,,,,"$1,003.17",,1,0,1,1,1,1,20061001
D4320,HCPCS,Provision splnt intracoronal,,,26 ,,NW,,,,,,$412.80,,1,0,1,1,1,1,20061001
D4321,HCPCS,Provisional splint extracoro,,,26 ,,NW,,,,,,$362.79,,1,0,1,1,1,1,20061001
D4341,HCPCS,Periodontal scaling & root,,,26 ,,NW,,,,,,$226.80,,1,0,1,1,1,1,20061001
D4342,HCPCS,Periodontal scaling 1-3teeth,,,26 ,,NW,,,,,,$147.08,,1,0,1,1,1,1,20061001
D4355,HCPCS,Full mouth debridement,,,26 ,,NW,,,,,,$152.99,,1,0,1,1,1,1,20061001
D4381,HCPCS,Localized chemo delivery,,,26 ,,NW,,,,,,$122.91,,1,0,1,1,1,1,20061001
D4910,HCPCS,Periodontal maint procedures,,,26 ,,NW,,,,,,$126.58,,1,0,1,1,1,1,20061001
D4920,HCPCS,Unscheduled dressing change,,,26 ,,NW,,,,,,$101.51,,1,0,1,1,1,1,20061001
D4999,HCPCS,Unspecified periodontal proc,,,26 ,,NW,,,,,,"$1,189.19",,1,0,1,1,1,1,20061001
D5110,HCPCS,Dentures complete maxillary,,,27 ,,NW,,,,,,"$1,320.07",,1,0,1,1,1,1,20061001
D5120,HCPCS,Dentures complete mandible,,,27 ,,NW,,,,,,"$1,315.58",,1,0,1,1,1,1,20061001
D5130,HCPCS,Dentures immediat maxillary,,,27 ,,NW,,,,,,"$1,444.80",,1,0,1,1,1,1,20061001
D5140,HCPCS,Dentures immediat mandible,,,27 ,,NW,,,,,,"$1,429.71",,1,0,1,1,1,1,20061001
D5211,HCPCS,Dentures maxill part resin,,,27 ,,NW,,,,,,"$1,055.56",,1,0,1,1,1,1,20061001
D5212,HCPCS,Dentures mand part resin,,,27 ,,NW,,,,,,"$1,149.73",,1,0,1,1,1,1,20061001
D5213,HCPCS,Dentures maxill part metal,,,27 ,,NW,,,,,,"$1,449.53",,1,0,1,1,1,1,20061001
D5214,HCPCS,Dentures mandibl part metal,,,27 ,,NW,,,,,,"$1,460.76",,1,0,1,1,1,1,20061001
D5225,HCPCS,Maxillary part denture flex,,,27 ,,NW,,,,,,"$1,449.53",,1,0,1,1,1,1,20061001
D5226,HCPCS,Mandibular part denture flex,,,27 ,,NW,,,,,,"$1,460.77",,1,0,1,1,1,1,20061001
D5281,HCPCS,Removable partial denture,,,27 ,,NW,,,,,,$820.48,,1,0,1,1,1,1,20061001
D5410,HCPCS,Dentures adjust cmplt maxil,,,27 ,,NW,,,,,,$75.05,,1,0,1,1,1,1,20061001
D5411,HCPCS,Dentures adjust cmplt mand,,,27 ,,NW,,,,,,$74.66,,1,0,1,1,1,1,20061001
D5421,HCPCS,Dentures adjust part maxill,,,27 ,,NW,,,,,,$75.05,,1,0,1,1,1,1,20061001
D5422,HCPCS,Dentures adjust part mandbl,,,27 ,,NW,,,,,,$75.05,,1,0,1,1,1,1,20061001
D5510,HCPCS,Dentur repr broken compl bas,,,27 ,,NW,,,,,,$163.02,,1,0,1,1,1,1,20061001
D5520,HCPCS,Replace denture teeth complt,,,27 ,,NW,,,,,,$138.85,,1,0,1,1,1,1,20061001
D5610,HCPCS,Dentures repair resin base,,,27 ,,NW,,,,,,$163.73,,1,0,1,1,1,1,20061001
D5620,HCPCS,Rep part denture cast frame,,,27 ,,NW,,,,,,$206.75,,1,0,1,1,1,1,20061001
D5630,HCPCS,Rep partial denture clasp,,,27 ,,NW,,,,,,$211.19,,1,0,1,1,1,1,20061001
D5640,HCPCS,Replace part denture teeth,,,27 ,,NW,,,,,,$146.18,,1,0,1,1,1,1,20061001
D5650,HCPCS,Add tooth to partial denture,,,27 ,,NW,,,,,,$182.50,,1,0,1,1,1,1,20061001
D5660,HCPCS,Add clasp to partial denture,,,27 ,,NW,,,,,,$219.12,,1,0,1,1,1,1,20061001
D5670,HCPCS,Replc tth&acrlc on mtl frmwk,,,27 ,,NW,,,,,,$539.16,,1,0,1,1,1,1,20061001
D5671,HCPCS,Replc tth&acrlc mandibular,,,27 ,,NW,,,,,,$566.76,,1,0,1,1,1,1,20061001
D5710,HCPCS,Dentures rebase cmplt maxil,,,27 ,,NW,,,,,,$498.91,,1,0,1,1,1,1,20061001
D5711,HCPCS,Dentures rebase cmplt mand,,,27 ,,NW,,,,,,$491.31,,1,0,1,1,1,1,20061001
D5720,HCPCS,Dentures rebase part maxill,,,27 ,,NW,,,,,,$480.99,,1,0,1,1,1,1,20061001
D5721,HCPCS,Dentures rebase part mandbl,,,27 ,,NW,,,,,,$485.37,,1,0,1,1,1,1,20061001
D5730,HCPCS,Denture reln cmplt maxil ch,,,27 ,,NW,,,,,,$307.53,,1,0,1,1,1,1,20061001
D5731,HCPCS,Denture reln cmplt mand chr,,,27 ,,NW,,,,,,$307.53,,1,0,1,1,1,1,20061001
D5740,HCPCS,Denture reln part maxil chr,,,27 ,,NW,,,,,,$292.97,,1,0,1,1,1,1,20061001
D5741,HCPCS,Denture reln part mand chr,,,27 ,,NW,,,,,,$292.94,,1,0,1,1,1,1,20061001
D5750,HCPCS,Denture reln cmplt max lab,,,27 ,,NW,,,,,,$398.73,,1,0,1,1,1,1,20061001
D5751,HCPCS,Denture reln cmplt mand lab,,,27 ,,NW,,,,,,$397.16,,1,0,1,1,1,1,20061001
D5760,HCPCS,Denture reln part maxil lab,,,27 ,,NW,,,,,,$397.22,,1,0,1,1,1,1,20061001
D5761,HCPCS,Denture reln part mand lab,,,27 ,,NW,,,,,,$397.22,,1,0,1,1,1,1,20061001
D5810,HCPCS,Denture interm cmplt maxill,,,27 ,,NW,,,,,,$647.07,,1,0,1,1,1,1,20061001
D5811,HCPCS,Denture interm cmplt mandbl,,,27 ,,NW,,,,,,$672.15,,1,0,1,1,1,1,20061001
D5820,HCPCS,Denture interm part maxill,,,27 ,,NW,,,,,,$537.49,,1,0,1,1,1,1,20061001
D5821,HCPCS,Denture interm part mandbl,,,27 ,,NW,,,,,,$552.14,,1,0,1,1,1,1,20061001
D5850,HCPCS,Denture tiss conditn maxill,,,27 ,,NW,,,,,,$145.57,,1,0,1,1,1,1,20061001
D5851,HCPCS,Denture tiss condtin mandbl,,,27 ,,NW,,,,,,$147.15,,1,0,1,1,1,1,20061001
D5860,HCPCS,Overdenture complete,,,27 ,,NW,,,,,,"$2,034.45",,1,0,1,1,1,1,20061001
D5861,HCPCS,Overdenture partial,,,27 ,,NW,,,,,,"$1,763.68",,1,0,1,1,1,1,20061001
D5862,HCPCS,Precision attachment,,,27 ,,NW,,,,,,$548.13,,1,0,1,1,1,1,20061001
D5867,HCPCS,Replacement of precision att,,,27 ,,NW,,,,,,$203.10,,1,0,1,1,1,1,20061001
D5875,HCPCS,Prosthesis modification,,,27 ,,NW,,,,,,$391.41,,1,0,1,1,1,1,20061001
D5899,HCPCS,Removable prosthodontic proc,,,27 ,,NW,,,,,,"$1,188.00",,1,0,1,1,1,1,20061001
D5911,HCPCS,Facial moulage sectional,,,27 ,,NW,,,,,,$634.44,,1,0,1,1,1,1,20061001
D5912,HCPCS,Facial moulage complete,,,27 ,,NW,,,,,,$634.44,,1,0,1,1,1,1,20061001
D5913,HCPCS,Nasal prosthesis,,,27 ,,NW,,,,,,"$3,818.56",,1,0,1,1,1,1,20061001
D5914,HCPCS,Auricular prosthesis,,,27 ,,NW,,,,,,"$3,818.56",,1,0,1,1,1,1,20061001
D5915,HCPCS,Orbital prosthesis,,,27 ,,NW,,,,,,"$4,999.47",,1,0,1,1,1,1,20061001
D5916,HCPCS,Ocular prosthesis,,,27 ,,NW,,,,,,"$1,682.29",,1,0,1,1,1,1,20061001
D5919,HCPCS,Facial prosthesis,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20061001
D5922,HCPCS,Nasal septal prosthesis,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20061001
D5923,HCPCS,Ocular prosthesis interim,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20061001
D5924,HCPCS,Cranial prosthesis,,,27 ,,NW,,,,,,"$1,106.36",,1,0,1,1,1,1,20061001
D5925,HCPCS,Facial augmentation implant,,,27 ,,NW,,,,,,$233.12,,1,0,1,1,1,1,20061001
D5926,HCPCS,Replacement nasal prosthesis,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20061001
D5927,HCPCS,Auricular replacement,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20061001
D5928,HCPCS,Orbital replacement,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20061001
D5929,HCPCS,Facial replacement,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20061001
D5931,HCPCS,Surgical obturator,,,27 ,,NW,,,,,,"$2,275.61",,1,0,1,1,1,1,20061001
D5932,HCPCS,Postsurgical obturator,,,27 ,,NW,,,,,,"$3,841.97",,1,0,1,1,1,1,20061001
D5933,HCPCS,Refitting of obturator,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20061001
D5934,HCPCS,Mandibular flange prosthesis,,,27 ,,NW,,,,,,"$3,543.89",,1,0,1,1,1,1,20061001
D5935,HCPCS,Mandibular denture prosth,,,27 ,,NW,,,,,,"$3,145.30",,1,0,1,1,1,1,20061001
D5936,HCPCS,Temp obturator prosthesis,,,27 ,,NW,,,,,,"$3,474.23",,1,0,1,1,1,1,20061001
D5937,HCPCS,Trismus appliance,,,27 ,,NW,,,,,,$629.15,,1,0,1,1,1,1,20061001
D5951,HCPCS,Feeding aid,,,27 ,,NW,,,,,,$965.63,,1,0,1,1,1,1,20061001
D5952,HCPCS,Pediatric speech aid,,,27 ,,NW,,,,,,"$2,066.60",,1,0,1,1,1,1,20061001
D5953,HCPCS,Adult speech aid,,,27 ,,NW,,,,,,"$3,497.08",,1,0,1,1,1,1,20061001
D5954,HCPCS,Superimposed prosthesis,,,27 ,,NW,,,,,,"$3,275.50",,1,0,1,1,1,1,20061001
D5955,HCPCS,Palatal lift prosthesis,,,27 ,,NW,,,,,,"$3,065.36",,1,0,1,1,1,1,20061001
D5958,HCPCS,Intraoral con def inter plt,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20061001
D5959,HCPCS,Intraoral con def mod palat,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20061001
D5960,HCPCS,Modify speech aid prosthesis,,,27 ,,NW,,,,,,$343.15,,1,0,1,1,1,1,20061001
D5982,HCPCS,Surgical stent,,,27 ,,NW,,,,,,$473.87,,1,0,1,1,1,1,20061001
D5983,HCPCS,Radiation applicator,,,27 ,,NW,,,,,,"$1,229.46",,1,0,1,1,1,1,20061001
D5984,HCPCS,Radiation shield,,,27 ,,NW,,,,,,"$1,229.46",,1,0,1,1,1,1,20061001
D5985,HCPCS,Radiation cone locator,,,27 ,,NW,,,,,,"$1,229.46",,1,0,1,1,1,1,20061001
D5986,HCPCS,Fluoride applicator,,,27 ,,NW,,,,,,$162.28,,1,0,1,1,1,1,20061001
D5987,HCPCS,Commissure splint,,,27 ,,NW,,,,,,"$1,606.92",,1,0,1,1,1,1,20061001
D5988,HCPCS,Surgical splint,,,27 ,,NW,,,,,,$626.80,,1,0,1,1,1,1,20061001
D5999,HCPCS,Maxillofacial prosthesis,,,27 ,,NW,,,,,,$951.35,,1,0,1,1,1,1,20061001
D6010,HCPCS,Odontics endosteal implant,,,27 ,,NW,,,,,,"$2,002.53",,1,0,1,1,1,1,20061001
D6040,HCPCS,Odontics eposteal implant,,,27 ,,NW,,,,,,"$8,683.95",,1,0,1,1,1,1,20061001
D6050,HCPCS,Odontics transosteal implnt,,,27 ,,NW,,,,,,"$5,623.11",,1,0,1,1,1,1,20061001
D6053,HCPCS,Implnt/abtmnt spprt remv dnt,,,27 ,,NW,,,,,,"$2,012.82",,1,0,1,1,1,1,20061001
D6054,HCPCS,Implnt/abtmnt spprt remvprtl,,,27 ,,NW,,,,,,"$1,844.52",,1,0,1,1,1,1,20061001
D6055,HCPCS,Implant connecting bar,,,27 ,,NW,,,,,,$679.68,,1,0,1,1,1,1,20061001
D6056,HCPCS,Prefabricated abutment,,,27 ,,NW,,,,,,$677.50,,1,0,1,1,1,1,20061001
D6057,HCPCS,Custom abutment,,,27 ,,NW,,,,,,$878.88,,1,0,1,1,1,1,20061001
D6058,HCPCS,Abutment supported crown,,,27 ,,NW,,,,,,"$1,307.82",,1,0,1,1,1,1,20061001
D6059,HCPCS,Abutment supported mtl crown,,,27 ,,NW,,,,,,"$1,319.61",,1,0,1,1,1,1,20061001
D6060,HCPCS,Abutment supported mtl crown,,,27 ,,NW,,,,,,"$1,161.94",,1,0,1,1,1,1,20061001
D6061,HCPCS,Abutment supported mtl crown,,,27 ,,NW,,,,,,"$1,241.63",,1,0,1,1,1,1,20061001
D6062,HCPCS,Abutment supported mtl crown,,,27 ,,NW,,,,,,"$1,267.81",,1,0,1,1,1,1,20061001
D6063,HCPCS,Abutment supported mtl crown,,,27 ,,NW,,,,,,"$1,260.29",,1,0,1,1,1,1,20061001
D6064,HCPCS,Abutment supported mtl crown,,,27 ,,NW,,,,,,"$1,276.24",,1,0,1,1,1,1,20061001
D6065,HCPCS,Implant supported crown,,,27 ,,NW,,,,,,"$1,395.07",,1,0,1,1,1,1,20061001
D6066,HCPCS,Implant supported mtl crown,,,27 ,,NW,,,,,,"$1,367.94",,1,0,1,1,1,1,20061001
D6067,HCPCS,Implant supported mtl crown,,,27 ,,NW,,,,,,"$1,317.70",,1,0,1,1,1,1,20061001
D6068,HCPCS,Abutment supported retainer,,,27 ,,NW,,,,,,"$1,264.47",,1,0,1,1,1,1,20061001
D6069,HCPCS,Abutment supported retainer,,,27 ,,NW,,,,,,"$1,282.19",,1,0,1,1,1,1,20061001
D6070,HCPCS,Abutment supported retainer,,,27 ,,NW,,,,,,"$1,024.42",,1,0,1,1,1,1,20061001
D6071,HCPCS,Abutment supported retainer,,,27 ,,NW,,,,,,"$1,290.81",,1,0,1,1,1,1,20061001
D6072,HCPCS,Abutment supported retainer,,,27 ,,NW,,,,,,"$1,321.25",,1,0,1,1,1,1,20061001
D6073,HCPCS,Abutment supported retainer,,,27 ,,NW,,,,,,"$1,159.63",,1,0,1,1,1,1,20061001
D6074,HCPCS,Abutment supported retainer,,,27 ,,NW,,,,,,"$1,193.77",,1,0,1,1,1,1,20061001
D6075,HCPCS,Implant supported retainer,,,27 ,,NW,,,,,,"$1,394.46",,1,0,1,1,1,1,20061001
D6076,HCPCS,Implant supported retainer,,,27 ,,NW,,,,,,"$1,306.05",,1,0,1,1,1,1,20061001
D6077,HCPCS,Implant supported retainer,,,27 ,,NW,,,,,,"$1,356.28",,1,0,1,1,1,1,20061001
D6078,HCPCS,Implnt/abut suprtd fixd dent,,,27 ,,NW,,,,,,"$5,007.27",,1,0,1,1,1,1,20061001
D6079,HCPCS,Implnt/abut suprtd fixd dent,,,27 ,,NW,,,,,,"$2,405.88",,1,0,1,1,1,1,20061001
D6080,HCPCS,Implant maintenance,,,27 ,,NW,,,,,,$111.64,,1,0,1,1,1,1,20061001
D6090,HCPCS,Repair implant,,,27 ,,NW,,,,,,$480.72,,1,0,1,1,1,1,20061001
D6094,HCPCS,Abut support crown titanium,,,27 ,,NW,,,,,,"$1,267.81",,1,0,1,1,1,1,20061001
D6095,HCPCS,Odontics repr abutment,,,27 ,,NW,,,,,,$533.47,,1,0,1,1,1,1,20061001
D6100,HCPCS,Removal of implant,,,27 ,,NW,,,,,,$643.55,,1,0,1,1,1,1,20061001
D6190,HCPCS,Radio/surgical implant index,,,27 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
D6194,HCPCS,Abut support retainer titani,,,27 ,,NW,,,,,,"$1,321.25",,1,0,1,1,1,1,20061001
D6199,HCPCS,Implant procedure,,,27 ,,NW,,,,,,"$1,292.15",,1,0,1,1,1,1,20061001
D6205,HCPCS,Pontic-indirect resin based,,,27 ,,NW,,,,,,$892.28,,1,0,1,1,1,1,20061001
D6210,HCPCS,Prosthodont high noble metal,,,27 ,,NW,,,,,,$944.08,,1,0,1,1,1,1,20061001
D6211,HCPCS,Bridge base metal cast,,,27 ,,NW,,,,,,$868.30,,1,0,1,1,1,1,20061001
D6212,HCPCS,Bridge noble metal cast,,,27 ,,NW,,,,,,$900.06,,1,0,1,1,1,1,20061001
D6214,HCPCS,Pontic titanium,,,27 ,,NW,,,,,,$900.09,,1,0,1,1,1,1,20061001
D6240,HCPCS,Bridge porcelain high noble,,,27 ,,NW,,,,,,$958.48,,1,0,1,1,1,1,20061001
D6241,HCPCS,Bridge porcelain base metal,,,27 ,,NW,,,,,,$867.09,,1,0,1,1,1,1,20061001
D6242,HCPCS,Bridge porcelain nobel metal,,,27 ,,NW,,,,,,$915.85,,1,0,1,1,1,1,20061001
D6245,HCPCS,Bridge porcelain/ceramic,,,27 ,,NW,,,,,,$973.80,,1,0,1,1,1,1,20061001
D6250,HCPCS,Bridge resin w/high noble,,,27 ,,NW,,,,,,$942.41,,1,0,1,1,1,1,20061001
D6251,HCPCS,Bridge resin base metal,,,27 ,,NW,,,,,,$864.49,,1,0,1,1,1,1,20061001
D6252,HCPCS,Bridge resin w/noble metal,,,27 ,,NW,,,,,,$892.30,,1,0,1,1,1,1,20061001
D6253,HCPCS,Provisional pontic,,,27 ,,NW,,,,,,$349.61,,1,0,1,1,1,1,20061001
D6545,HCPCS,Dental retainr cast metl,,,27 ,,NW,,,,,,$514.34,,1,0,1,1,1,1,20061001
D6548,HCPCS,Porcelain/ceramic retainer,,,27 ,,NW,,,,,,$628.88,,1,0,1,1,1,1,20061001
D6600,HCPCS,Porcelain/ceramic inlay 2srf,,,27 ,,NW,,,,,,$830.58,,1,0,1,1,1,1,20061001
D6601,HCPCS,Porc/ceram inlay >= 3 surfac,,,27 ,,NW,,,,,,$902.38,,1,0,1,1,1,1,20061001
D6602,HCPCS,Cst hgh nble mtl inlay 2 srf,,,27 ,,NW,,,,,,$871.80,,1,0,1,1,1,1,20061001
D6603,HCPCS,Cst hgh nble mtl inlay >=3sr,,,27 ,,NW,,,,,,$915.10,,1,0,1,1,1,1,20061001
D6604,HCPCS,Cst bse mtl inlay 2 surfaces,,,27 ,,NW,,,,,,$854.15,,1,0,1,1,1,1,20061001
D6605,HCPCS,Cst bse mtl inlay >= 3 surfa,,,27 ,,NW,,,,,,"$1,022.65",,1,0,1,1,1,1,20061001
D6606,HCPCS,Cast noble metal inlay 2 sur,,,27 ,,NW,,,,,,$822.73,,1,0,1,1,1,1,20061001
D6607,HCPCS,Cst noble mtl inlay >=3 surf,,,27 ,,NW,,,,,,"$1,033.85",,1,0,1,1,1,1,20061001
D6608,HCPCS,Onlay porc/crmc 2 surfaces,,,27 ,,NW,,,,,,$884.87,,1,0,1,1,1,1,20061001
D6609,HCPCS,Onlay porc/crmc >=3 surfaces,,,27 ,,NW,,,,,,"$1,007.24",,1,0,1,1,1,1,20061001
D6610,HCPCS,Onlay cst hgh nbl mtl 2 srfc,,,27 ,,NW,,,,,,$935.27,,1,0,1,1,1,1,20061001
D6611,HCPCS,Onlay cst hgh nbl mtl >=3srf,,,27 ,,NW,,,,,,"$1,048.14",,1,0,1,1,1,1,20061001
D6612,HCPCS,Onlay cst base mtl 2 surface,,,27 ,,NW,,,,,,"$1,011.03",,1,0,1,1,1,1,20061001
D6613,HCPCS,Onlay cst base mtl >=3 surfa,,,27 ,,NW,,,,,,"$1,092.92",,1,0,1,1,1,1,20061001
D6614,HCPCS,Onlay cst nbl mtl 2 surfaces,,,27 ,,NW,,,,,,"$1,036.49",,1,0,1,1,1,1,20061001
D6615,HCPCS,Onlay cst nbl mtl >=3 surfac,,,27 ,,NW,,,,,,"$1,109.41",,1,0,1,1,1,1,20061001
D6624,HCPCS,Inlay titanium,,,27 ,,NW,,,,,,$871.80,,1,0,1,1,1,1,20061001
D6634,HCPCS,Onlay titanium,,,27 ,,NW,,,,,,$935.27,,1,0,1,1,1,1,20061001
D6710,HCPCS,Crown-indirect resin based,,,27 ,,NW,,,,,,$536.52,,1,0,1,1,1,1,20061001
D6720,HCPCS,Retain crown resin w hi nble,,,27 ,,NW,,,,,,$979.40,,1,0,1,1,1,1,20061001
D6721,HCPCS,Crown resin w/base metal,,,27 ,,NW,,,,,,$887.29,,1,0,1,1,1,1,20061001
D6722,HCPCS,Crown resin w/noble metal,,,27 ,,NW,,,,,,$964.78,,1,0,1,1,1,1,20061001
D6740,HCPCS,Crown porcelain/ceramic,,,27 ,,NW,,,,,,"$1,033.06",,1,0,1,1,1,1,20061001
D6750,HCPCS,Crown porcelain high noble,,,27 ,,NW,,,,,,"$1,001.39",,1,0,1,1,1,1,20061001
D6751,HCPCS,Crown porcelain base metal,,,27 ,,NW,,,,,,$908.51,,1,0,1,1,1,1,20061001
D6752,HCPCS,Crown porcelain noble metal,,,27 ,,NW,,,,,,$954.03,,1,0,1,1,1,1,20061001
D6780,HCPCS,Crown 3/4 high noble metal,,,27 ,,NW,,,,,,$971.13,,1,0,1,1,1,1,20061001
D6781,HCPCS,Crown 3/4 cast based metal,,,27 ,,NW,,,,,,$939.82,,1,0,1,1,1,1,20061001
D6782,HCPCS,Crown 3/4 cast noble metal,,,27 ,,NW,,,,,,$899.96,,1,0,1,1,1,1,20061001
D6783,HCPCS,Crown 3/4 porcelain/ceramic,,,27 ,,NW,,,,,,$990.70,,1,0,1,1,1,1,20061001
D6790,HCPCS,Crown full high noble metal,,,27 ,,NW,,,,,,$971.16,,1,0,1,1,1,1,20061001
D6791,HCPCS,Crown full base metal cast,,,27 ,,NW,,,,,,$906.04,,1,0,1,1,1,1,20061001
D6792,HCPCS,Crown full noble metal cast,,,27 ,,NW,,,,,,$941.10,,1,0,1,1,1,1,20061001
D6793,HCPCS,Provisional retainer crown,,,27 ,,NW,,,,,,$372.97,,1,0,1,1,1,1,20061001
D6794,HCPCS,Crown titanium,,,27 ,,NW,,,,,,$941.07,,1,0,1,1,1,1,20061001
D6920,HCPCS,Dental connector bar,,,27 ,,NW,,,,,,$173.87,,1,0,1,1,1,1,20061001
D6930,HCPCS,Dental recement bridge,,,27 ,,NW,,,,,,$131.57,,1,0,1,1,1,1,20061001
D6940,HCPCS,Stress breaker,,,27 ,,NW,,,,,,$315.73,,1,0,1,1,1,1,20061001
D6950,HCPCS,Precision attachment,,,27 ,,NW,,,,,,$550.24,,1,0,1,1,1,1,20061001
D6970,HCPCS,Post & core plus retainer,,,27 ,,NW,,,,,,$366.48,,1,0,1,1,1,1,20061001
D6971,HCPCS,Cast post bridge retainer,,,27 ,,NW,,,,,,$334.18,,1,0,1,1,1,1,20061001
D6972,HCPCS,Prefab post & core plus reta,,,27 ,,NW,,,,,,$285.80,,1,0,1,1,1,1,20061001
D6973,HCPCS,Core build up for retainer,,,27 ,,NW,,,,,,$230.54,,1,0,1,1,1,1,20061001
D6975,HCPCS,Coping metal,,,27 ,,NW,,,,,,$635.80,,1,0,1,1,1,1,20061001
D6976,HCPCS,Each addtnl cast post,,,27 ,,NW,,,,,,$192.29,,1,0,1,1,1,1,20061001
D6977,HCPCS,Each addtl prefab post,,,27 ,,NW,,,,,,$140.12,,1,0,1,1,1,1,20061001
D6980,HCPCS,Bridge repair,,,27 ,,NW,,,,,,$313.53,,1,0,1,1,1,1,20061001
D6985,HCPCS,Pediatric partial denture fx,,,27 ,,NW,,,,,,$663.31,,1,0,1,1,1,1,20061001
D6999,HCPCS,Fixed prosthodontic proc,,,27 ,,NW,,,,,,"$1,188.00",,1,0,1,1,1,1,20061001
D7111,HCPCS,Coronal remnants deciduous t,,,26 ,,NW,,,,,,$113.66,,1,0,1,1,1,1,20061001
D7140,HCPCS,Extraction erupted tooth/exr,,,26 ,,NW,,,,,,$134.02,,1,0,1,1,1,1,20061001
D7210,HCPCS,Rem imp tooth w mucoper flp,,,26 ,,NW,,,,,,$237.13,,1,0,1,1,1,1,20061001
D7220,HCPCS,Impact tooth remov soft tiss,,,26 ,,NW,,,,,,$285.50,,1,0,1,1,1,1,20061001
D7230,HCPCS,Impact tooth remov part bony,,,26 ,,NW,,,,,,$368.32,,1,0,1,1,1,1,20061001
D7240,HCPCS,Impact tooth remov comp bony,,,26 ,,NW,,,,,,$437.53,,1,0,1,1,1,1,20061001
D7241,HCPCS,Impact tooth rem bony w/comp,,,26 ,,NW,,,,,,$526.93,,1,0,1,1,1,1,20061001
D7250,HCPCS,Tooth root removal,,,26 ,,NW,,,,,,$260.36,,1,0,1,1,1,1,20061001
D7260,HCPCS,Oral antral fistula closure,,,26 ,,NW,,,,,,"$1,918.29",,1,0,1,1,1,1,20061001
D7261,HCPCS,Primary closure sinus perf,,,26 ,,NW,,,,,,$651.52,,1,0,1,1,1,1,20061001
D7270,HCPCS,Tooth reimplantation,,,26 ,,NW,,,,,,$468.50,,1,0,1,1,1,1,20061001
D7272,HCPCS,Tooth transplantation,,,26 ,,NW,,,,,,$625.48,,1,0,1,1,1,1,20061001
D7280,HCPCS,Exposure impact tooth orthod,,,26 ,,NW,,,,,,$515.08,,1,0,1,1,1,1,20061001
D7282,HCPCS,Mobilize erupted/malpos toot,,,26 ,,NW,,,,,,$186.11,,1,0,1,1,1,1,20061001
D7283,HCPCS,Place device impacted tooth,,,26 ,,NW,,,,,,$186.11,,1,0,1,1,1,1,20061001
D7285,HCPCS,Biopsy of oral tissue hard,,,26 ,,NW,,,,,,$618.80,,1,0,1,1,1,1,20061001
D7286,HCPCS,Biopsy of oral tissue soft,,,26 ,,NW,,,,,,$328.29,,1,0,1,1,1,1,20061001
D7287,HCPCS,Cytology sample collection,,,26 ,,NW,,,,,,$130.22,,1,0,1,1,1,1,20061001
D7288,HCPCS,Brush biopsy,,,26 ,,NW,,,,,,$132.39,,1,0,1,1,1,1,20061001
D7290,HCPCS,Repositioning of teeth,,,26 ,,NW,,,,,,$428.59,,1,0,1,1,1,1,20061001
D7291,HCPCS,Transseptal fiberotomy,,,26 ,,NW,,,,,,$191.13,,1,0,1,1,1,1,20061001
D7310,HCPCS,Alveoplasty w/ extraction,,,26 ,,NW,,,,,,$252.17,,1,0,1,1,1,1,20061001
D7311,HCPCS,Alveoloplasty w/extract 1-3,,,26 ,,NW,,,,,,"$1,484.39",,1,0,1,1,1,1,20061001
D7320,HCPCS,Alveoplasty w/o extraction,,,26 ,,NW,,,,,,$429.15,,1,0,1,1,1,1,20061001
D7321,HCPCS,Alveoloplasty not w/extracts,,,26 ,,NW,,,,,,"$1,484.39",,1,0,1,1,1,1,20061001
D7340,HCPCS,Vestibuloplasty ridge extens,,,26 ,,NW,,,,,,"$1,462.93",,1,0,1,1,1,1,20061001
D7350,HCPCS,Vestibuloplasty exten graft,,,26 ,,NW,,,,,,"$2,282.65",,1,0,1,1,1,1,20061001
D7410,HCPCS,Rad exc lesion up to 1.25 cm,,,26 ,,NW,,,,,,$548.95,,1,0,1,1,1,1,20061001
D7411,HCPCS,Excision benign lesion>1.25c,,,26 ,,NW,,,,,,$593.50,,1,0,1,1,1,1,20061001
D7412,HCPCS,Excision benign lesion compl,,,26 ,,NW,,,,,,$708.03,,1,0,1,1,1,1,20061001
D7413,HCPCS,Excision malig lesion<=1.25c,,,26 ,,NW,,,,,,$951.86,,1,0,1,1,1,1,20061001
D7414,HCPCS,Excision malig lesion>1.25cm,,,26 ,,NW,,,,,,"$1,226.20",,1,0,1,1,1,1,20061001
D7415,HCPCS,Excision malig les complicat,,,26 ,,NW,,,,,,"$1,330.33",,1,0,1,1,1,1,20061001
D7440,HCPCS,Malig tumor exc to 1.25 cm,,,26 ,,NW,,,,,,$657.71,,1,0,1,1,1,1,20061001
D7441,HCPCS,Malig tumor > 1.25 cm,,,26 ,,NW,,,,,,$969.60,,1,0,1,1,1,1,20061001
D7450,HCPCS,Rem odontogen cyst to 1.25cm,,,26 ,,NW,,,,,,$600.40,,1,0,1,1,1,1,20061001
D7451,HCPCS,Rem odontogen cyst > 1.25 cm,,,26 ,,NW,,,,,,$959.70,,1,0,1,1,1,1,20061001
D7460,HCPCS,Rem nonodonto cyst to 1.25cm,,,26 ,,NW,,,,,,$588.01,,1,0,1,1,1,1,20061001
D7461,HCPCS,Rem nonodonto cyst > 1.25 cm,,,26 ,,NW,,,,,,$976.13,,1,0,1,1,1,1,20061001
D7465,HCPCS,Lesion destruction,,,26 ,,NW,,,,,,$367.73,,1,0,1,1,1,1,20061001
D7471,HCPCS,Rem exostosis any site,,,26 ,,NW,,,,,,$687.96,,1,0,1,1,1,1,20061001
D7472,HCPCS,Removal of torus palatinus,,,26 ,,NW,,,,,,$822.49,,1,0,1,1,1,1,20061001
D7473,HCPCS,Remove torus mandibularis,,,26 ,,NW,,,,,,$773.93,,1,0,1,1,1,1,20061001
D7485,HCPCS,Surg reduct osseoustuberosit,,,26 ,,NW,,,,,,$678.91,,1,0,1,1,1,1,20061001
D7490,HCPCS,Mandible resection,,,26 ,,NW,,,,,,"$7,331.02",,1,0,1,1,1,1,20061001
D7510,HCPCS,I&d absc intraoral soft tiss,,,26 ,,NW,,,,,,$219.40,,1,0,1,1,1,1,20061001
D7511,HCPCS,Incision/drain abscess intra,,,26 ,,NW,,,,,,"$1,023.55",,1,0,1,1,1,1,20061001
D7520,HCPCS,I&d abscess extraoral,,,26 ,,NW,,,,,,$998.98,,1,0,1,1,1,1,20061001
D7521,HCPCS,Incision/drain abscess extra,,,26 ,,NW,,,,,,$132.39,,1,0,1,1,1,1,20061001
D7530,HCPCS,Removal fb skin/areolar tiss,,,26 ,,NW,,,,,,$341.59,,1,0,1,1,1,1,20061001
D7540,HCPCS,Removal of fb reaction,,,26 ,,NW,,,,,,$497.35,,1,0,1,1,1,1,20061001
D7550,HCPCS,Removal of sloughed off bone,,,26 ,,NW,,,,,,$357.00,,1,0,1,1,1,1,20061001
D7560,HCPCS,Maxillary sinusotomy,,,26 ,,NW,,,,,,"$1,697.67",,1,0,1,1,1,1,20061001
D7610,HCPCS,Maxilla open reduct simple,,,26 ,,NW,,,,,,"$3,836.27",,1,0,1,1,1,1,20061001
D7620,HCPCS,Clsd reduct simpl maxilla fx,,,26 ,,NW,,,,,,"$2,635.81",,1,0,1,1,1,1,20061001
D7630,HCPCS,Open red simpl mandible fx,,,26 ,,NW,,,,,,"$4,640.12",,1,0,1,1,1,1,20061001
D7640,HCPCS,Clsd red simpl mandible fx,,,26 ,,NW,,,,,,"$3,002.92",,1,0,1,1,1,1,20061001
D7650,HCPCS,Open red simp malar/zygom fx,,,26 ,,NW,,,,,,"$2,356.61",,1,0,1,1,1,1,20061001
D7660,HCPCS,Clsd red simp malar/zygom fx,,,26 ,,NW,,,,,,"$1,303.99",,1,0,1,1,1,1,20061001
D7670,HCPCS,Closd rductn splint alveolus,,,26 ,,NW,,,,,,"$1,207.41",,1,0,1,1,1,1,20061001
D7671,HCPCS,Alveolus open reduction,,,26 ,,NW,,,,,,$933.87,,1,0,1,1,1,1,20061001
D7680,HCPCS,Reduct simple facial bone fx,,,26 ,,NW,,,,,,"$6,472.48",,1,0,1,1,1,1,20061001
D7710,HCPCS,Maxilla open reduct compound,,,26 ,,NW,,,,,,"$4,162.38",,1,0,1,1,1,1,20061001
D7720,HCPCS,Clsd reduct compd maxilla fx,,,26 ,,NW,,,,,,"$2,421.30",,1,0,1,1,1,1,20061001
D7730,HCPCS,Open reduct compd mandble fx,,,26 ,,NW,,,,,,"$5,325.88",,1,0,1,1,1,1,20061001
D7740,HCPCS,Clsd reduct compd mandble fx,,,26 ,,NW,,,,,,"$3,147.72",,1,0,1,1,1,1,20061001
D7750,HCPCS,Open red comp malar/zygma fx,,,26 ,,NW,,,,,,"$3,838.64",,1,0,1,1,1,1,20061001
D7760,HCPCS,Clsd red comp malar/zygma fx,,,26 ,,NW,,,,,,"$1,418.22",,1,0,1,1,1,1,20061001
D7770,HCPCS,Open reduc compd alveolus fx,,,26 ,,NW,,,,,,"$2,031.90",,1,0,1,1,1,1,20061001
D7771,HCPCS,Alveolus clsd reduc stblz te,,,26 ,,NW,,,,,,"$1,438.03",,1,0,1,1,1,1,20061001
D7780,HCPCS,Reduct compnd facial bone fx,,,26 ,,NW,,,,,,"$8,846.79",,1,0,1,1,1,1,20061001
D7810,HCPCS,Tmj open reduct-dislocation,,,26 ,,NW,,,,,,"$3,954.38",,1,0,1,1,1,1,20061001
D7820,HCPCS,Closed tmp manipulation,,,26 ,,NW,,,,,,$593.97,,1,0,1,1,1,1,20061001
D7830,HCPCS,Tmj manipulation under anest,,,26 ,,NW,,,,,,$493.62,,1,0,1,1,1,1,20061001
D7840,HCPCS,Removal of tmj condyle,,,26 ,,NW,,,,,,"$5,224.30",,1,0,1,1,1,1,20061001
D7850,HCPCS,Tmj meniscectomy,,,26 ,,NW,,,,,,"$4,878.45",,1,0,1,1,1,1,20061001
D7852,HCPCS,Tmj repair of joint disc,,,26 ,,NW,,,,,,"$5,297.13",,1,0,1,1,1,1,20061001
D7854,HCPCS,Tmj excisn of joint membrane,,,26 ,,NW,,,,,,"$5,395.06",,1,0,1,1,1,1,20061001
D7856,HCPCS,Tmj cutting of a muscle,,,26 ,,NW,,,,,,"$3,598.52",,1,0,1,1,1,1,20061001
D7858,HCPCS,Tmj reconstruction,,,26 ,,NW,,,,,,"$6,427.57",,1,0,1,1,1,1,20061001
D7860,HCPCS,Tmj cutting into joint,,,26 ,,NW,,,,,,"$3,090.30",,1,0,1,1,1,1,20061001
D7865,HCPCS,Tmj reshaping components,,,26 ,,NW,,,,,,"$4,606.26",,1,0,1,1,1,1,20061001
D7870,HCPCS,Tmj aspiration joint fluid,,,26 ,,NW,,,,,,$304.24,,1,0,1,1,1,1,20061001
D7871,HCPCS,Lysis + lavage w catheters,,,26 ,,NW,,,,,,$875.21,,1,0,1,1,1,1,20061001
D7872,HCPCS,Tmj diagnostic arthroscopy,,,26 ,,NW,,,,,,"$2,020.36",,1,0,1,1,1,1,20061001
D7873,HCPCS,Tmj arthroscopy lysis adhesn,,,26 ,,NW,,,,,,"$2,307.93",,1,0,1,1,1,1,20061001
D7874,HCPCS,Tmj arthroscopy disc reposit,,,26 ,,NW,,,,,,"$3,044.96",,1,0,1,1,1,1,20061001
D7875,HCPCS,Tmj arthroscopy synovectomy,,,26 ,,NW,,,,,,"$3,277.43",,1,0,1,1,1,1,20061001
D7876,HCPCS,Tmj arthroscopy discectomy,,,26 ,,NW,,,,,,"$3,485.79",,1,0,1,1,1,1,20061001
D7877,HCPCS,Tmj arthroscopy debridement,,,26 ,,NW,,,,,,"$3,148.28",,1,0,1,1,1,1,20061001
D7880,HCPCS,Occlusal orthotic appliance,,,26 ,,NW,,,,,,$766.49,,1,0,1,1,1,1,20061001
D7899,HCPCS,Tmj unspecified therapy,,,26 ,,NW,,,,,,"$1,222.33",,1,0,1,1,1,1,20061001
D7910,HCPCS,Dent sutur recent wnd to 5cm,,,26 ,,NW,,,,,,$290.54,,1,0,1,1,1,1,20061001
D7911,HCPCS,Dental suture wound to 5 cm,,,26 ,,NW,,,,,,$632.32,,1,0,1,1,1,1,20061001
D7912,HCPCS,Suture complicate wnd > 5 cm,,,26 ,,NW,,,,,,"$1,195.72",,1,0,1,1,1,1,20061001
D7920,HCPCS,Dental skin graft,,,26 ,,NW,,,,,,"$2,466.57",,1,0,1,1,1,1,20061001
D7940,HCPCS,Reshaping bone orthognathic,,,26 ,,NW,,,,,,"$2,592.56",,1,0,1,1,1,1,20061001
D7941,HCPCS,Bone cutting ramus closed,,,26 ,,NW,,,,,,"$8,156.67",,1,0,1,1,1,1,20061001
D7943,HCPCS,Cutting ramus open w/graft,,,26 ,,NW,,,,,,"$8,455.06",,1,0,1,1,1,1,20061001
D7944,HCPCS,Bone cutting segmented,,,26 ,,NW,,,,,,"$7,002.86",,1,0,1,1,1,1,20061001
D7945,HCPCS,Bone cutting body mandible,,,26 ,,NW,,,,,,"$7,244.22",,1,0,1,1,1,1,20061001
D7946,HCPCS,Reconstruction maxilla total,,,26 ,,NW,,,,,,"$8,729.09",,1,0,1,1,1,1,20061001
D7947,HCPCS,Reconstruct maxilla segment,,,26 ,,NW,,,,,,"$8,069.57",,1,0,1,1,1,1,20061001
D7948,HCPCS,Reconstruct midface no graft,,,26 ,,NW,,,,,,"$11,603.27",,1,0,1,1,1,1,20061001
D7949,HCPCS,Reconstruct midface w/graft,,,26 ,,NW,,,,,,"$15,024.43",,1,0,1,1,1,1,20061001
D7950,HCPCS,Mandible graft,,,26 ,,NW,,,,,,"$2,286.50",,1,0,1,1,1,1,20061001
D7953,HCPCS,Bone replacement graft,,,26 ,,NW,,,,,,$475.95,,1,0,1,1,1,1,20061001
D7955,HCPCS,Repair maxillofacial defects,,,26 ,,NW,,,,,,"$2,262.94",,1,0,1,1,1,1,20061001
D7960,HCPCS,Frenulectomy/frenulotomy,,,26 ,,NW,,,,,,$468.88,,1,0,1,1,1,1,20061001
D7963,HCPCS,Frenuloplasty,,,26 ,,NW,,,,,,$516.00,,1,0,1,1,1,1,20061001
D7970,HCPCS,Excision hyperplastic tissue,,,26 ,,NW,,,,,,$488.80,,1,0,1,1,1,1,20061001
D7971,HCPCS,Excision pericoronal gingiva,,,26 ,,NW,,,,,,$193.16,,1,0,1,1,1,1,20061001
D7972,HCPCS,Surg redct fibrous tuberosit,,,26 ,,NW,,,,,,$624.06,,1,0,1,1,1,1,20061001
D7980,HCPCS,Sialolithotomy,,,26 ,,NW,,,,,,$682.92,,1,0,1,1,1,1,20061001
D7981,HCPCS,Excision of salivary gland,,,26 ,,NW,,,,,,$467.39,,1,0,1,1,1,1,20061001
D7982,HCPCS,Sialodochoplasty,,,26 ,,NW,,,,,,"$1,611.67",,1,0,1,1,1,1,20061001
D7983,HCPCS,Closure of salivary fistula,,,26 ,,NW,,,,,,"$1,485.24",,1,0,1,1,1,1,20061001
D7990,HCPCS,Emergency tracheotomy,,,26 ,,NW,,,,,,"$1,426.36",,1,0,1,1,1,1,20061001
D7991,HCPCS,Dental coronoidectomy,,,26 ,,NW,,,,,,"$4,108.31",,1,0,1,1,1,1,20061001
D7995,HCPCS,Synthetic graft facial bones,,,26 ,,NW,,,,,,$429.54,,1,0,1,1,1,1,20061001
D7996,HCPCS,Implant mandible for augment,,,26 ,,NW,,,,,,"$1,821.07",,1,0,1,1,1,1,20061001
D7997,HCPCS,Appliance removal,,,26 ,,NW,,,,,,$238.97,,1,0,1,1,1,1,20061001
D7999,HCPCS,Oral surgery procedure,,,26 ,,NW,,,,,,"$1,222.33",,1,0,1,1,1,1,20061001
D8010,HCPCS,Limited dental tx primary,,,27 ,,NW,,,,,,"$1,486.15",,1,0,1,1,1,1,20061001
D8020,HCPCS,Limited dental tx transition,,,27 ,,NW,,,,,,"$1,643.85",,1,0,1,1,1,1,20061001
D8030,HCPCS,Limited dental tx adolescent,,,27 ,,NW,,,,,,"$1,766.19",,1,0,1,1,1,1,20061001
D8040,HCPCS,Limited dental tx adult,,,27 ,,NW,,,,,,"$1,864.41",,1,0,1,1,1,1,20061001
D8050,HCPCS,Intercep dental tx primary,,,27 ,,NW,,,,,,"$1,854.30",,1,0,1,1,1,1,20061001
D8060,HCPCS,Intercep dental tx transitn,,,27 ,,NW,,,,,,"$2,020.99",,1,0,1,1,1,1,20061001
D8070,HCPCS,Compre dental tx transition,,,27 ,,NW,,,,,,"$3,179.33",,1,0,1,1,1,1,20061001
D8080,HCPCS,Compre dental tx adolescent,,,27 ,,NW,,,,,,"$3,227.04",,1,0,1,1,1,1,20061001
D8090,HCPCS,Compre dental tx adult,,,27 ,,NW,,,,,,"$3,361.73",,1,0,1,1,1,1,20061001
D8210,HCPCS,Orthodontic rem appliance tx,,,27 ,,NW,,,,,,"$1,018.66",,1,0,1,1,1,1,20061001
D8220,HCPCS,Fixed appliance therapy habt,,,27 ,,NW,,,,,,"$1,075.90",,1,0,1,1,1,1,20061001
D8660,HCPCS,Preorthodontic tx visit,,,27 ,,NW,,,,,,$164.88,,1,0,1,1,1,1,20061001
D8670,HCPCS,Periodic orthodontc tx visit,,,27 ,,NW,,,,,,$195.18,,1,0,1,1,1,1,20061001
D8680,HCPCS,Orthodontic retention,,,27 ,,NW,,,,,,$476.74,,1,0,1,1,1,1,20061001
D8690,HCPCS,Orthodontic treatment,,,27 ,,NW,,,,,,$208.17,,1,0,1,1,1,1,20061001
D8691,HCPCS,Repair ortho appliance,,,27 ,,NW,,,,,,$143.93,,1,0,1,1,1,1,20061001
D8692,HCPCS,Replacement retainer,,,27 ,,NW,,,,,,$254.74,,1,0,1,1,1,1,20061001
D8999,HCPCS,Orthodontic procedure,,,27 ,,NW,,,,,,"$1,245.99",,1,0,1,1,1,1,20061001
D9110,HCPCS,Tx dental pain minor proc,,,26 ,,NW,,,,,,$101.47,,1,0,1,1,1,1,20061001
D9210,HCPCS,Dent anesthesia w/o surgery,,,26 ,,NW,,,,,,$28.85,,1,0,1,1,1,1,20061001
D9211,HCPCS,Regional block anesthesia,,,26 ,,NW,,,,,,$32.33,,1,0,1,1,1,1,20061001
D9212,HCPCS,Trigeminal block anesthesia,,,26 ,,NW,,,,,,$69.97,,1,0,1,1,1,1,20061001
D9215,HCPCS,Local anesthesia,,,26 ,,NW,,,,,,$27.07,,1,0,1,1,1,1,20061001
D9220,HCPCS,General anesthesia,,,26 ,,NW,,,,,,$352.69,,1,0,1,1,1,1,20061001
D9221,HCPCS,General anesthesia ea ad 15m,,,26 ,,NW,,,,,,$143.94,,1,0,1,1,1,1,20061001
D9230,HCPCS,Analgesia,,,26 ,,NW,,,,,,$54.31,,1,0,1,1,1,1,20061001
D9241,HCPCS,Intravenous sedation,,,26 ,,NW,,,,,,$331.01,,1,0,1,1,1,1,20061001
D9242,HCPCS,IV sedation ea ad 30 m,,,26 ,,NW,,,,,,$126.40,,1,0,1,1,1,1,20061001
D9248,HCPCS,Sedation (non-iv),,,26 ,,NW,,,,,,$74.82,,1,0,1,1,1,1,20061001
D9310,HCPCS,Dental consultation,,,25 ,,NW,,,,,,$137.01,,1,0,1,1,1,1,20061001
D9410,HCPCS,Dental house call,,,25 ,,NW,,,,,,$229.13,,1,0,1,1,1,1,20061001
D9420,HCPCS,Hospital call,,,25 ,,NW,,,,,,$289.72,,1,0,1,1,1,1,20061001
D9430,HCPCS,Office visit during hours,,,25 ,,NW,,,,,,$66.82,,1,0,1,1,1,1,20061001
D9440,HCPCS,Office visit after hours,,,25 ,,NW,,,,,,$130.94,,1,0,1,1,1,1,20061001
D9450,HCPCS,Case presentation tx plan,,,25 ,,NW,,,,,,$58.92,,1,0,1,1,1,1,20061001
D9610,HCPCS,Dent therapeutic drug inject,,,27 ,,NW,,,,,,$74.89,,1,0,1,1,1,1,20061001
D9630,HCPCS,Other drugs/medicaments,,,27 ,,NW,,,,,,$43.01,,1,0,1,1,1,1,20061001
D9910,HCPCS,Dent appl desensitizing med,,,27 ,,NW,,,,,,$46.19,,1,0,1,1,1,1,20061001
D9911,HCPCS,Appl desensitizing resin,,,27 ,,NW,,,,,,$63.53,,1,0,1,1,1,1,20061001
D9920,HCPCS,Behavior management,,,27 ,,NW,,,,,,$124.83,,1,0,1,1,1,1,20061001
D9930,HCPCS,Treatment of complications,,,27 ,,NW,,,,,,$104.98,,1,0,1,1,1,1,20061001
D9940,HCPCS,Dental occlusal guard,,,27 ,,NW,,,,,,$557.40,,1,0,1,1,1,1,20061001
D9941,HCPCS,Fabrication athletic guard,,,27 ,,NW,,,,,,$172.90,,1,0,1,1,1,1,20061001
D9950,HCPCS,Occlusion analysis,,,27 ,,NW,,,,,,$266.83,,1,0,1,1,1,1,20061001
D9951,HCPCS,Limited occlusal adjustment,,,27 ,,NW,,,,,,$129.85,,1,0,1,1,1,1,20061001
D9952,HCPCS,Complete occlusal adjustment,,,27 ,,NW,,,,,,$630.16,,1,0,1,1,1,1,20061001
D9970,HCPCS,Enamel microabrasion,,,27 ,,NW,,,,,,$48.87,,1,0,1,1,1,1,20061001
D9971,HCPCS,Odontoplasty 1-2 teeth,,,27 ,,NW,,,,,,$64.76,,1,0,1,1,1,1,20061001
D9972,HCPCS,Extrnl bleaching per arch,,,27 ,,NW,,,,,,$303.45,,1,0,1,1,1,1,20061001
D9973,HCPCS,Extrnl bleaching per tooth,,,27 ,,NW,,,,,,$39.48,,1,0,1,1,1,1,20061001
D9974,HCPCS,Intrnl bleaching per tooth,,,27 ,,NW,,,,,,$246.06,,1,0,1,1,1,1,20061001
D9999,HCPCS,Adjunctive procedure,,,27 ,,NW,,,,,,"$1,183.29",,1,0,1,1,1,1,20061001
E0100,HCPCS,Cane adjust/fixed with tip,RR,,28 ,,NW,,,,,,$13.25,,1,1,1,1,1,1,20061001
E0100,HCPCS,Cane adjust/fixed with tip,UE,,28 ,,NW,,,,,,$29.62,,1,1,1,1,1,1,20061001
E0100,HCPCS,Cane adjust/fixed with tip,NU,,28 ,,NW,,,,,,$36.06,,1,1,1,1,1,1,20061001
E0105,HCPCS,Cane adjust/fixed quad/3 pro,RR,,28 ,,NW,,,,,,$17.67,,1,1,1,1,1,1,20061001
E0105,HCPCS,Cane adjust/fixed quad/3 pro,UE,,28 ,,NW,,,,,,$61.73,,1,1,1,1,1,1,20061001
E0105,HCPCS,Cane adjust/fixed quad/3 pro,NU,,28 ,,NW,,,,,,$83.17,,1,1,1,1,1,1,20061001
E0110,HCPCS,Crutch forearm pair,RR,,28 ,,NW,,,,,,$28.42,,1,1,1,1,1,1,20061001
E0110,HCPCS,Crutch forearm pair,UE,,28 ,,NW,,,,,,$100.47,,1,1,1,1,1,1,20061001
E0110,HCPCS,Crutch forearm pair,NU,,28 ,,NW,,,,,,$137.48,,1,1,1,1,1,1,20061001
E0111,HCPCS,Crutch forearm each,RR,,28 ,,NW,,,,,,$17.02,,1,1,1,1,1,1,20061001
E0111,HCPCS,Crutch forearm each,UE,,28 ,,NW,,,,,,$67.89,,1,1,1,1,1,1,20061001
E0111,HCPCS,Crutch forearm each,NU,,28 ,,NW,,,,,,$91.08,,1,1,1,1,1,1,20061001
E0112,HCPCS,Crutch underarm pair wood,RR,,28 ,,NW,,,,,,$19.28,,1,1,1,1,1,1,20061001
E0112,HCPCS,Crutch underarm pair wood,UE,,28 ,,NW,,,,,,$46.85,,1,1,1,1,1,1,20061001
E0112,HCPCS,Crutch underarm pair wood,NU,,28 ,,NW,,,,,,$60.07,,1,1,1,1,1,1,20061001
E0113,HCPCS,Crutch underarm each wood,RR,,28 ,,NW,,,,,,$12.07,,1,1,1,1,1,1,20061001
E0113,HCPCS,Crutch underarm each wood,UE,,28 ,,NW,,,,,,$28.21,,1,1,1,1,1,1,20061001
E0113,HCPCS,Crutch underarm each wood,NU,,28 ,,NW,,,,,,$36.15,,1,1,1,1,1,1,20061001
E0114,HCPCS,Crutch underarm pair no wood,RR,,28 ,,NW,,,,,,$17.22,,1,1,1,1,1,1,20061001
E0114,HCPCS,Crutch underarm pair no wood,UE,,28 ,,NW,,,,,,$58.08,,1,1,1,1,1,1,20061001
E0114,HCPCS,Crutch underarm pair no wood,NU,,28 ,,NW,,,,,,$79.51,,1,1,1,1,1,1,20061001
E0116,HCPCS,Crutch underarm each no wood,RR,,28 ,,NW,,,,,,$12.44,,1,1,1,1,1,1,20061001
E0116,HCPCS,Crutch underarm each no wood,UE,,28 ,,NW,,,,,,$35.79,,1,1,1,1,1,1,20061001
E0116,HCPCS,Crutch underarm each no wood,NU,,28 ,,NW,,,,,,$46.12,,1,1,1,1,1,1,20061001
E0117,HCPCS,Underarm springassist crutch,RR,,28 ,,NW,,,,,,$33.34,,1,1,1,1,1,1,20061001
E0117,HCPCS,Underarm springassist crutch,UE,,28 ,,NW,,,,,,$265.18,,1,1,1,1,1,1,20061001
E0117,HCPCS,Underarm springassist crutch,NU,,28 ,,NW,,,,,,$357.01,,1,1,1,1,1,1,20061001
E0130,HCPCS,Walker rigid adjust/fixed ht,RR,,28 ,,NW,,,,,,$29.65,,1,1,1,1,1,1,20061001
E0130,HCPCS,Walker rigid adjust/fixed ht,UE,,28 ,,NW,,,,,,$93.89,,1,1,1,1,1,1,20061001
E0130,HCPCS,Walker rigid adjust/fixed ht,NU,,28 ,,NW,,,,,,$123.43,,1,1,1,1,1,1,20061001
E0135,HCPCS,Walker folding adjust/fixed,RR,,28 ,,NW,,,,,,$30.32,,1,1,1,1,1,1,20061001
E0135,HCPCS,Walker folding adjust/fixed,UE,,28 ,,NW,,,,,,$112.17,,1,1,1,1,1,1,20061001
E0135,HCPCS,Walker folding adjust/fixed,NU,,28 ,,NW,,,,,,$149.40,,1,1,1,1,1,1,20061001
E0140,HCPCS,Walker w trunk support,NU,,28 ,,NW,,,,,,$385.96,,1,1,1,0,1,1,20061001
E0140,HCPCS,Walker w trunk support,RR,,28 ,,NW,,,,,,$385.96,,1,1,1,0,1,1,20061001
E0140,HCPCS,Walker w trunk support,UE,,28 ,,NW,,,,,,$385.96,,1,1,1,0,1,1,20061001
E0141,HCPCS,Rigid wheeled walker adj/fix,RR,,28 ,,NW,,,,,,$38.01,,1,1,1,1,1,1,20061001
E0141,HCPCS,Rigid wheeled walker adj/fix,UE,,28 ,,NW,,,,,,$154.43,,1,1,1,1,1,1,20061001
E0141,HCPCS,Rigid wheeled walker adj/fix,NU,,28 ,,NW,,,,,,$209.36,,1,1,1,1,1,1,20061001
E0143,HCPCS,Walker folding wheeled w/o s,RR,,28 ,,NW,,,,,,$36.85,,1,1,1,1,1,1,20061001
E0143,HCPCS,Walker folding wheeled w/o s,UE,,28 ,,NW,,,,,,$161.11,,1,1,1,1,1,1,20061001
E0143,HCPCS,Walker folding wheeled w/o s,NU,,28 ,,NW,,,,,,$218.79,,1,1,1,1,1,1,20061001
E0144,HCPCS,Enclosed walker w rear seat,RR,,28 ,,NW,,,,,,$52.34,,1,1,1,1,1,1,20061001
E0144,HCPCS,Enclosed walker w rear seat,UE,,28 ,,NW,,,,,,$444.96,,1,1,1,1,1,1,20061001
E0144,HCPCS,Enclosed walker w rear seat,NU,,28 ,,NW,,,,,,$596.79,,1,1,1,1,1,1,20061001
E0147,HCPCS,Walker variable wheel resist,RR,,28 ,,NW,,,,,,$99.14,,1,1,1,1,1,1,20061001
E0147,HCPCS,Walker variable wheel resist,UE,,28 ,,NW,,,,,,$811.65,,1,1,1,1,1,1,20061001
E0147,HCPCS,Walker variable wheel resist,NU,,28 ,,NW,,,,,,"$1,085.65",,1,1,1,1,1,1,20061001
E0148,HCPCS,Heavyduty walker no wheels,RR,,28 ,,NW,,,,,,$23.48,,1,1,1,1,1,1,20061001
E0148,HCPCS,Heavyduty walker no wheels,UE,,28 ,,NW,,,,,,$171.22,,1,1,1,1,1,1,20061001
E0148,HCPCS,Heavyduty walker no wheels,NU,,28 ,,NW,,,,,,$231.81,,1,1,1,1,1,1,20061001
E0149,HCPCS,Heavy duty wheeled walker,RR,,28 ,,NW,,,,,,$37.96,,1,1,1,1,1,1,20061001
E0149,HCPCS,Heavy duty wheeled walker,UE,,28 ,,NW,,,,,,$308.73,,1,1,1,1,1,1,20061001
E0149,HCPCS,Heavy duty wheeled walker,NU,,28 ,,NW,,,,,,$415.15,,1,1,1,1,1,1,20061001
E0153,HCPCS,Forearm crutch platform atta,RR,,28 ,,NW,,,,,,$16.12,,1,1,1,1,1,1,20061001
E0153,HCPCS,Forearm crutch platform atta,UE,,28 ,,NW,,,,,,$88.74,,1,1,1,1,1,1,20061001
E0153,HCPCS,Forearm crutch platform atta,NU,,28 ,,NW,,,,,,$121.82,,1,1,1,1,1,1,20061001
E0154,HCPCS,Walker platform attachment,RR,,28 ,,NW,,,,,,$17.21,,1,1,1,1,1,1,20061001
E0154,HCPCS,Walker platform attachment,UE,,28 ,,NW,,,,,,$91.66,,1,1,1,1,1,1,20061001
E0154,HCPCS,Walker platform attachment,NU,,28 ,,NW,,,,,,$123.98,,1,1,1,1,1,1,20061001
E0155,HCPCS,"Walker wheel attachment,pair",RR,,28 ,,NW,,,,,,$10.11,,1,1,1,1,1,1,20061001
E0155,HCPCS,"Walker wheel attachment,pair",UE,,28 ,,NW,,,,,,$40.57,,1,1,1,1,1,1,20061001
E0155,HCPCS,"Walker wheel attachment,pair",NU,,28 ,,NW,,,,,,$51.88,,1,1,1,1,1,1,20061001
E0156,HCPCS,Walker seat attachment,RR,,28 ,,NW,,,,,,$9.40,,1,1,1,1,1,1,20061001
E0156,HCPCS,Walker seat attachment,UE,,28 ,,NW,,,,,,$34.23,,1,1,1,1,1,1,20061001
E0156,HCPCS,Walker seat attachment,NU,,28 ,,NW,,,,,,$44.15,,1,1,1,1,1,1,20061001
E0157,HCPCS,Walker crutch attachment,RR,,28 ,,NW,,,,,,$17.85,,1,1,1,1,1,1,20061001
E0157,HCPCS,Walker crutch attachment,UE,,28 ,,NW,,,,,,$106.71,,1,1,1,1,1,1,20061001
E0157,HCPCS,Walker crutch attachment,NU,,28 ,,NW,,,,,,$145.74,,1,1,1,1,1,1,20061001
E0158,HCPCS,Walker leg extenders set of4,RR,,28 ,,NW,,,,,,$9.66,,1,1,1,1,1,1,20061001
E0158,HCPCS,Walker leg extenders set of4,UE,,28 ,,NW,,,,,,$40.92,,1,1,1,1,1,1,20061001
E0158,HCPCS,Walker leg extenders set of4,NU,,28 ,,NW,,,,,,$52.82,,1,1,1,1,1,1,20061001
E0159,HCPCS,Brake for wheeled walker,RR,,28 ,,NW,,,,,,$7.10,,1,1,1,1,1,1,20061001
E0159,HCPCS,Brake for wheeled walker,UE,,28 ,,NW,,,,,,$24.50,,1,1,1,1,1,1,20061001
E0159,HCPCS,Brake for wheeled walker,NU,,28 ,,NW,,,,,,$31.25,,1,1,1,1,1,1,20061001
E0160,HCPCS,Sitz type bath or equipment,RR,,28 ,,NW,,,,,,$10.83,,1,1,1,1,1,1,20061001
E0160,HCPCS,Sitz type bath or equipment,UE,,28 ,,NW,,,,,,$41.64,,1,1,1,1,1,1,20061001
E0160,HCPCS,Sitz type bath or equipment,NU,,28 ,,NW,,,,,,$54.14,,1,1,1,1,1,1,20061001
E0161,HCPCS,Sitz bath/equipment w/faucet,RR,,28 ,,NW,,,,,,$9.69,,1,1,1,1,1,1,20061001
E0161,HCPCS,Sitz bath/equipment w/faucet,UE,,28 ,,NW,,,,,,$33.90,,1,1,1,1,1,1,20061001
E0161,HCPCS,Sitz bath/equipment w/faucet,NU,,28 ,,NW,,,,,,$43.84,,1,1,1,1,1,1,20061001
E0162,HCPCS,Sitz bath chair,RR,,28 ,,NW,,,,,,$27.35,,1,1,1,1,1,1,20061001
E0162,HCPCS,Sitz bath chair,UE,,28 ,,NW,,,,,,$205.00,,1,1,1,1,1,1,20061001
E0162,HCPCS,Sitz bath chair,NU,,28 ,,NW,,,,,,$267.37,,1,1,1,1,1,1,20061001
E0163,HCPCS,Commode chair stationry fxd,RR,,28 ,,NW,,,,,,$41.13,,1,1,1,1,1,1,20061001
E0163,HCPCS,Commode chair stationry fxd,UE,,28 ,,NW,,,,,,$151.72,,1,1,1,1,1,1,20061001
E0163,HCPCS,Commode chair stationry fxd,NU,,28 ,,NW,,,,,,$199.84,,1,1,1,1,1,1,20061001
E0164,HCPCS,Commode chair mobile fixed a,RR,,28 ,,NW,,,,,,$44.15,,1,1,1,1,1,1,20061001
E0164,HCPCS,Commode chair mobile fixed a,UE,,28 ,,NW,,,,,,$248.97,,1,1,1,1,1,1,20061001
E0164,HCPCS,Commode chair mobile fixed a,NU,,28 ,,NW,,,,,,$335.44,,1,1,1,1,1,1,20061001
E0165,HCPCS,Commode chair stationry det,,,28,,NW,,,,,,$452.62,,1,1,1,0,0,1,20061001
E0166,HCPCS,Commode chair mobile detach,RR,,28 ,,NW,,,,,,$51.24,,1,1,1,1,1,1,20061001
E0166,HCPCS,Commode chair mobile detach,UE,,28 ,,NW,,,,,,$341.07,,1,1,1,1,1,1,20061001
E0166,HCPCS,Commode chair mobile detach,NU,,28 ,,NW,,,,,,$427.47,,1,1,1,1,1,1,20061001
E0167,HCPCS,Commode chair pail or pan,RR,,28 ,,NW,,,,,,$5.61,,1,1,1,1,1,1,20061001
E0167,HCPCS,Commode chair pail or pan,UE,,28 ,,NW,,,,,,$17.93,,1,1,1,1,1,1,20061001
E0167,HCPCS,Commode chair pail or pan,NU,,28 ,,NW,,,,,,$22.39,,1,1,1,1,1,1,20061001
E0168,HCPCS,Heavyduty/wide commode chair,RR,,28 ,,NW,,,,,,$27.17,,1,1,1,1,1,1,20061001
E0168,HCPCS,Heavyduty/wide commode chair,UE,,28 ,,NW,,,,,,$205.36,,1,1,1,1,1,1,20061001
E0168,HCPCS,Heavyduty/wide commode chair,NU,,28 ,,NW,,,,,,$277.32,,1,1,1,1,1,1,20061001
E0175,HCPCS,Commode chair foot rest,,,28 ,,NW,,,,,,$82.45,,1,1,1,1,1,1,20061001
E0180,HCPCS,Press pad alternating w pump,,,28 ,,NW,,,,,,$336.36,,1,1,1,1,1,1,20061001
E0181,HCPCS,Press pad alternating w/ pum,,,28 ,,NW,,,,,,$441.75,,1,1,1,1,1,1,20061001
E0182,HCPCS,Pressure pad alternating pum,,,28 ,,NW,,,,,,$455.01,,1,1,1,1,1,1,20061001
E0184,HCPCS,Dry pressure mattress,,,28 ,,NW,,,,,,$274.27,,1,1,1,1,1,1,20061001
E0185,HCPCS,Gel pressure mattress pad,,,28 ,,NW,,,,,,$457.65,,1,1,1,1,1,1,20061001
E0186,HCPCS,Air pressure mattress,,,28 ,,NW,,,,,,$409.18,,1,1,1,1,1,1,20061001
E0187,HCPCS,Water pressure mattress,,,28 ,,NW,,,,,,$335.61,,1,1,1,1,1,1,20061001
E0188,HCPCS,Synthetic sheepskin pad,,,28 ,,NW,,,,,,$42.90,,1,1,1,1,1,1,20061001
E0189,HCPCS,Lambswool sheepskin pad,,,28 ,,NW,,,,,,$84.14,,1,1,1,1,1,1,20061001
E0190,HCPCS,Positioning cushion,,,28 ,,NW,,,,,,$168.84,,1,1,1,0,1,1,20061001
E0191,HCPCS,Protector heel or elbow,,,28 ,,NW,,,,,,$19.36,,1,1,1,1,1,1,20061001
E0193,HCPCS,Powered air flotation bed,RR,,28 ,,NW,,,,,,"$1,387.47",,1,1,1,1,1,1,20061001
E0194,HCPCS,Air fluidized bed,RR,,28 ,,NW,,,,,,"$4,963.87",,1,1,1,1,1,1,20061001
E0194,HCPCS,Air fluidized bed,UE,,28 ,,NW,,,,,,"$36,115.71",,1,1,1,1,1,1,20061001
E0194,HCPCS,Air fluidized bed,,,28 ,,NW,,,,,,"$48,140.76",,1,1,1,1,1,1,20061001
E0196,HCPCS,Gel pressure mattress,RR,,28 ,,NW,,,,,,$56.15,,1,1,1,1,1,1,20061001
E0196,HCPCS,Gel pressure mattress,UE,,28 ,,NW,,,,,,$422.65,,1,1,1,1,1,1,20061001
E0196,HCPCS,Gel pressure mattress,,,28 ,,NW,,,,,,$563.81,,1,1,1,1,1,1,20061001
E0197,HCPCS,Air pressure pad for mattres,,,28 ,,NW,,,,,,$360.69,,1,1,1,1,1,1,20061001
E0198,HCPCS,Water pressure pad for mattr,,,28 ,,NW,,,,,,$310.16,,1,1,1,1,1,1,20061001
E0199,HCPCS,Dry pressure pad for mattres,,,28 ,,NW,,,,,,$40.54,,1,1,1,1,1,1,20061001
E0200,HCPCS,Heat lamp without stand,,,28 ,,NW,,,,,,$102.97,,1,1,1,1,1,1,20061001
E0202,HCPCS,Phototherapy light w/ photom,RR,,28 ,,NW,,,,,,$108.90,,1,1,1,1,1,1,20061001
E0203,HCPCS,Therapeutic lightbox tabletp,,,28 ,,NW,,,,,,$562.16,,1,1,1,0,1,1,20061001
E0205,HCPCS,Heat lamp with stand,,,28 ,,NW,,,,,,$267.06,,1,1,1,1,1,1,20061001
E0210,HCPCS,Electric heat pad standard,,,28 ,,NW,,,,,,$41.20,,1,1,1,1,1,1,20061001
E0215,HCPCS,Electric heat pad moist,,,28 ,,NW,,,,,,$90.87,,1,1,1,1,1,1,20061001
E0217,HCPCS,Water circ heat pad w pump,,,28 ,,NW,,,,,,$699.52,,1,1,1,1,1,1,20061001
E0218,HCPCS,Water circ cold pad w pump,,,28 ,,NW,,,,,,$687.04,,1,1,1,1,1,1,20061001
E0220,HCPCS,Hot water bottle,,,28 ,,NW,,,,,,$13.85,,1,1,1,1,1,1,20061001
E0221,HCPCS,Infrared heating pad system,,,28 ,,NW,,,,,,"$3,012.23",,1,1,1,1,1,1,20061001
E0225,HCPCS,Hydrocollator unit,,,28 ,,NW,,,,,,$545.35,,1,1,1,1,1,1,20061001
E0230,HCPCS,Ice cap or collar,,,28 ,,NW,,,,,,$13.86,,1,1,1,1,1,1,20061001
E0231,HCPCS,Wound warming device,RR,,28 ,,NW,,,,,,$17.20,,1,1,1,1,1,1,20061001
E0231,HCPCS,Wound warming device,,,28 ,,NW,,,,,,$166.76,,1,1,1,1,1,1,20061001
E0235,HCPCS,Paraffin bath unit portable,RR,,28 ,,NW,,,,,,$30.32,,1,1,1,1,1,1,20061001
E0235,HCPCS,Paraffin bath unit portable,UE,,28 ,,NW,,,,,,$228.86,,1,1,1,1,1,1,20061001
E0235,HCPCS,Paraffin bath unit portable,,,28 ,,NW,,,,,,$304.93,,1,1,1,1,1,1,20061001
E0236,HCPCS,Pump for water circulating p,RR,,28 ,,NW,,,,,,$73.90,,1,1,1,1,1,1,20061001
E0236,HCPCS,Pump for water circulating p,UE,,28 ,,NW,,,,,,$305.76,,1,1,1,1,1,1,20061001
E0236,HCPCS,Pump for water circulating p,,,28 ,,NW,,,,,,$381.91,,1,1,1,1,1,1,20061001
E0238,HCPCS,Heat pad non-electric moist,,,28 ,,NW,,,,,,$45.06,,1,1,1,1,1,1,20061001
E0239,HCPCS,Hydrocollator unit portable,,,28 ,,NW,,,,,,$632.92,,1,1,1,1,1,1,20061001
E0240,HCPCS,Bath/shower chair,,,28 ,,NW,,,,,,$106.95,,1,1,1,0,1,1,20061001
E0241,HCPCS,Bath tub wall rail,,,28 ,,NW,,,,,,$42.97,,1,1,1,1,1,1,20061001
E0242,HCPCS,Bath tub rail floor,,,28 ,,NW,,,,,,$99.34,,1,1,1,1,1,1,20061001
E0243,HCPCS,Toilet rail,,,28 ,,NW,,,,,,$77.03,,1,1,1,1,1,1,20061001
E0244,HCPCS,Toilet seat raised,,,28 ,,NW,,,,,,$56.53,,1,1,1,1,1,1,20061001
E0245,HCPCS,Tub stool or bench,,,28 ,,NW,,,,,,$98.48,,1,1,1,1,1,1,20061001
E0246,HCPCS,Transfer tub rail attachment,,,28 ,,NW,,,,,,$138.81,,1,1,1,1,1,1,20061001
E0247,HCPCS,Trans bench w/wo comm open,,,28 ,,NW,,,,,,$96.77,,1,1,1,1,1,1,20061001
E0248,HCPCS,HDtrans bench w/wo comm open,,,28 ,,NW,,,,,,$164.72,,1,1,1,0,1,1,20061001
E0249,HCPCS,Pad water circulating heat u,,,28 ,,NW,,,,,,$179.45,,1,1,1,1,1,1,20061001
E0250,HCPCS,Hosp bed fixed ht w/ mattres,RR,,28 ,,NW,,,,,,$161.76,,1,1,1,1,1,1,20061001
E0250,HCPCS,Hosp bed fixed ht w/ mattres,UE,,28 ,,NW,,,,,,"$1,396.16",,1,1,1,1,1,1,20061001
E0250,HCPCS,Hosp bed fixed ht w/ mattres,,,28 ,,NW,,,,,,"$2,155.73",,1,1,1,1,1,1,20061001
E0251,HCPCS,Hosp bed fixd ht w/o mattres,RR,,28 ,,NW,,,,,,$124.52,,1,1,1,1,1,1,20061001
E0251,HCPCS,Hosp bed fixd ht w/o mattres,UE,,28 ,,NW,,,,,,$999.28,,1,1,1,1,1,1,20061001
E0251,HCPCS,Hosp bed fixd ht w/o mattres,,,28 ,,NW,,,,,,"$1,249.09",,1,1,1,1,1,1,20061001
E0255,HCPCS,Hospital bed var ht w/ mattr,RR,,28 ,,NW,,,,,,$191.77,,1,1,1,1,1,1,20061001
E0255,HCPCS,Hospital bed var ht w/ mattr,UE,,28 ,,NW,,,,,,"$1,644.94",,1,1,1,1,1,1,20061001
E0255,HCPCS,Hospital bed var ht w/ mattr,,,28 ,,NW,,,,,,"$2,196.90",,1,1,1,1,1,1,20061001
E0256,HCPCS,Hospital bed var ht w/o matt,RR,,28 ,,NW,,,,,,$139.76,,1,1,1,1,1,1,20061001
E0256,HCPCS,Hospital bed var ht w/o matt,UE,,28 ,,NW,,,,,,"$1,116.48",,1,1,1,1,1,1,20061001
E0256,HCPCS,Hospital bed var ht w/o matt,,,28 ,,NW,,,,,,"$1,395.98",,1,1,1,1,1,1,20061001
E0260,HCPCS,Hosp bed semi-electr w/ matt,RR,,28 ,,NW,,,,,,$268.52,,1,1,1,1,1,1,20061001
E0260,HCPCS,Hosp bed semi-electr w/ matt,UE,,28 ,,NW,,,,,,"$1,683.44",,1,1,1,1,1,1,20061001
E0260,HCPCS,Hosp bed semi-electr w/ matt,,,28 ,,NW,,,,,,"$2,179.41",,1,1,1,1,1,1,20061001
E0261,HCPCS,Hosp bed semi-electr w/o mat,RR,,28 ,,NW,,,,,,$221.38,,1,1,1,1,1,1,20061001
E0261,HCPCS,Hosp bed semi-electr w/o mat,UE,,28 ,,NW,,,,,,"$1,417.95",,1,1,1,1,1,1,20061001
E0261,HCPCS,Hosp bed semi-electr w/o mat,,,28 ,,NW,,,,,,"$2,126.91",,1,1,1,1,1,1,20061001
E0265,HCPCS,Hosp bed total electr w/ mat,RR,,28 ,,NW,,,,,,$317.13,,1,1,1,1,1,1,20061001
E0265,HCPCS,Hosp bed total electr w/ mat,UE,,28 ,,NW,,,,,,"$1,705.93",,1,1,1,1,1,1,20061001
E0265,HCPCS,Hosp bed total electr w/ mat,,,28 ,,NW,,,,,,"$2,635.34",,1,1,1,1,1,1,20061001
E0266,HCPCS,Hosp bed total elec w/o matt,RR,,28 ,,NW,,,,,,$283.20,,1,1,1,1,1,1,20061001
E0266,HCPCS,Hosp bed total elec w/o matt,UE,,28 ,,NW,,,,,,"$1,945.02",,1,1,1,1,1,1,20061001
E0266,HCPCS,Hosp bed total elec w/o matt,,,28 ,,NW,,,,,,"$2,829.12",,1,1,1,1,1,1,20061001
E0270,HCPCS,Hospital bed institutional t,RR,,28 ,,NW,,,,,,$60.26,,1,1,1,1,1,1,20061001
E0270,HCPCS,Hospital bed institutional t,UE,,28 ,,NW,,,,,,$438.37,,1,1,1,1,1,1,20061001
E0270,HCPCS,Hospital bed institutional t,,,28 ,,NW,,,,,,$584.32,,1,1,1,1,1,1,20061001
E0271,HCPCS,Mattress innerspring,,,28 ,,NW,,,,,,$276.92,,1,1,1,1,1,1,20061001
E0272,HCPCS,Mattress foam rubber,,,28 ,,NW,,,,,,$242.83,,1,1,1,1,1,1,20061001
E0273,HCPCS,Bed board,RR,,28 ,,NW,,,,,,$19.79,,1,1,1,1,1,1,20061001
E0273,HCPCS,Bed board,UE,,28 ,,NW,,,,,,$36.83,,1,1,1,1,1,1,20061001
E0273,HCPCS,Bed board,,,28 ,,NW,,,,,,$46.07,,1,1,1,1,1,1,20061001
E0274,HCPCS,Over-bed table,RR,,28 ,,NW,,,,,,$33.28,,1,1,1,1,1,1,20061001
E0274,HCPCS,Over-bed table,UE,,28 ,,NW,,,,,,$59.54,,1,1,1,1,1,1,20061001
E0274,HCPCS,Over-bed table,,,28 ,,NW,,,,,,$73.03,,1,1,1,1,1,1,20061001
E0275,HCPCS,Bed pan standard,,,28 ,,NW,,,,,,$21.62,,1,1,1,1,1,1,20061001
E0276,HCPCS,Bed pan fracture,,,28 ,,NW,,,,,,$20.16,,1,1,1,1,1,1,20061001
E0277,HCPCS,Powered pres-redu air mattrs,RR,,28 ,,NW,,,,,,"$1,168.26",,1,1,1,1,1,1,20061001
E0277,HCPCS,Powered pres-redu air mattrs,UE,,28 ,,NW,,,,,,"$8,499.91",,1,1,1,1,1,1,20061001
E0277,HCPCS,Powered pres-redu air mattrs,,,28 ,,NW,,,,,,"$11,330.03",,1,1,1,1,1,1,20061001
E0280,HCPCS,Bed cradle,,,28 ,,NW,,,,,,$49.85,,1,1,1,1,1,1,20061001
E0290,HCPCS,Hosp bed fx ht w/o rails w/m,RR,,28 ,,NW,,,,,,$125.60,,1,1,1,1,1,1,20061001
E0290,HCPCS,Hosp bed fx ht w/o rails w/m,UE,,28 ,,NW,,,,,,"$1,033.90",,1,1,1,1,1,1,20061001
E0290,HCPCS,Hosp bed fx ht w/o rails w/m,,,28 ,,NW,,,,,,"$1,292.01",,1,1,1,1,1,1,20061001
E0291,HCPCS,Hosp bed fx ht w/o rail w/o,RR,,28 ,,NW,,,,,,$92.00,,1,1,1,1,1,1,20061001
E0291,HCPCS,Hosp bed fx ht w/o rail w/o,UE,,28 ,,NW,,,,,,$678.22,,1,1,1,1,1,1,20061001
E0291,HCPCS,Hosp bed fx ht w/o rail w/o,,,28 ,,NW,,,,,,$916.20,,1,1,1,1,1,1,20061001
E0292,HCPCS,Hosp bed var ht w/o rail w/o,RR,,28 ,,NW,,,,,,$140.88,,1,1,1,1,1,1,20061001
E0292,HCPCS,Hosp bed var ht w/o rail w/o,UE,,28 ,,NW,,,,,,"$1,127.81",,1,1,1,1,1,1,20061001
E0292,HCPCS,Hosp bed var ht w/o rail w/o,,,28 ,,NW,,,,,,"$1,410.34",,1,1,1,1,1,1,20061001
E0293,HCPCS,Hosp bed var ht w/o rail w/,RR,,28 ,,NW,,,,,,$120.29,,1,1,1,1,1,1,20061001
E0293,HCPCS,Hosp bed var ht w/o rail w/,UE,,28 ,,NW,,,,,,$877.26,,1,1,1,1,1,1,20061001
E0293,HCPCS,Hosp bed var ht w/o rail w/,,,28 ,,NW,,,,,,"$1,200.59",,1,1,1,1,1,1,20061001
E0294,HCPCS,Hosp bed semi-elect w/ mattr,RR,,28 ,,NW,,,,,,$211.79,,1,1,1,1,1,1,20061001
E0294,HCPCS,Hosp bed semi-elect w/ mattr,UE,,28 ,,NW,,,,,,"$1,412.91",,1,1,1,1,1,1,20061001
E0294,HCPCS,Hosp bed semi-elect w/ mattr,,,28 ,,NW,,,,,,"$2,055.59",,1,1,1,1,1,1,20061001
E0295,HCPCS,Hosp bed semi-elect w/o matt,RR,,28 ,,NW,,,,,,$206.77,,1,1,1,1,1,1,20061001
E0295,HCPCS,Hosp bed semi-elect w/o matt,UE,,28 ,,NW,,,,,,"$1,228.24",,1,1,1,1,1,1,20061001
E0295,HCPCS,Hosp bed semi-elect w/o matt,,,28 ,,NW,,,,,,"$1,892.95",,1,1,1,1,1,1,20061001
E0296,HCPCS,Hosp bed total elect w/ matt,RR,,28 ,,NW,,,,,,$262.84,,1,1,1,1,1,1,20061001
E0296,HCPCS,Hosp bed total elect w/ matt,UE,,28 ,,NW,,,,,,"$2,100.49",,1,1,1,1,1,1,20061001
E0296,HCPCS,Hosp bed total elect w/ matt,,,28 ,,NW,,,,,,"$2,626.16",,1,1,1,1,1,1,20061001
E0297,HCPCS,Hosp bed total elect w/o mat,RR,,28 ,,NW,,,,,,$227.03,,1,1,1,1,1,1,20061001
E0297,HCPCS,Hosp bed total elect w/o mat,UE,,28 ,,NW,,,,,,"$1,520.22",,1,1,1,1,1,1,20061001
E0297,HCPCS,Hosp bed total elect w/o mat,,,28 ,,NW,,,,,,"$2,271.07",,1,1,1,1,1,1,20061001
E0300,HCPCS,Enclosed ped crib hosp grade,,,28 ,,NW,,,,,,$303.74,,1,1,1,0,1,1,20061001
E0301,HCPCS,"HD hosp bed, 350-600 lbs",,,28 ,,NW,,,,,,"$3,418.16",,1,1,1,1,1,1,20061001
E0302,HCPCS,Ex hd hosp bed > 600 lbs,,,28 ,,NW,,,,,,$765.53,,1,1,1,0,1,1,20061001
E0303,HCPCS,Hosp bed hvy dty xtra wide,,,28 ,,NW,,,,,,$475.48,,1,1,1,1,1,1,20061001
E0304,HCPCS,Hosp bed xtra hvy dty x wide,,,28 ,,NW,,,,,,"$1,185.46",,1,1,1,1,1,1,20061001
E0305,HCPCS,Rails bed side half length,RR,,28 ,,NW,,,,,,$31.98,,1,1,1,1,1,1,20061001
E0305,HCPCS,Rails bed side half length,UE,,28 ,,NW,,,,,,$227.16,,1,1,1,1,1,1,20061001
E0305,HCPCS,Rails bed side half length,,,28 ,,NW,,,,,,$316.53,,1,1,1,1,1,1,20061001
E0310,HCPCS,Rails bed side full length,,,28 ,,NW,,,,,,$236.55,,1,1,1,1,1,1,20061001
E0315,HCPCS,Bed accessory brd/tbl/supprt,,,28 ,,NW,,,,,,$55.70,,1,1,1,1,1,1,20061001
E0316,HCPCS,Bed safety enclosure,,,28 ,,NW,,,,,,$334.47,,1,1,1,1,1,1,20061001
E0325,HCPCS,Urinal male jug-type,,,28 ,,NW,,,,,,$14.40,,1,1,1,1,1,1,20061001
E0326,HCPCS,Urinal female jug-type,,,28 ,,NW,,,,,,$16.17,,1,1,1,1,1,1,20061001
E0352,HCPCS,Disposable pack w/bowel syst,,,28 ,,NW,,,,,,$66.84,,1,1,1,1,1,1,20061001
E0370,HCPCS,Air elevator for heel,,,28 ,,NW,,,,,,$23.26,,1,1,1,1,1,1,20061001
E0371,HCPCS,Nonpower mattress overlay,,,28 ,,NW,,,,,,$837.11,,1,1,1,1,1,1,20061001
E0372,HCPCS,Powered air mattress overlay,,,28 ,,NW,,,,,,"$1,018.02",,1,1,1,1,1,1,20061001
E0373,HCPCS,Nonpowered pressure mattress,,,28 ,,NW,,,,,,"$1,161.28",,1,1,1,1,1,1,20061001
E0424,HCPCS,Stationary compressed gas 02,RR,,28 ,,NW,,,,,,$554.68,,1,1,1,1,1,1,20061001
E0425,HCPCS,Gas system stationary compre,NU,,28 ,,NW,,,,,,"$7,565.59",,1,1,1,1,1,1,20061001
E0430,HCPCS,Oxygen system gas portable,UE,,28 ,,NW,,,,,,"$2,572.61",,1,1,1,1,1,1,20061001
E0430,HCPCS,Oxygen system gas portable,NU,,28 ,,NW,,,,,,"$3,427.95",,1,1,1,1,1,1,20061001
E0431,HCPCS,Portable gaseous 02,RR,,28 ,,NW,,,,,,$91.07,,1,1,1,1,1,1,20061001
E0434,HCPCS,Portable liquid 02,,,28 ,,NW,,,,,,$91.07,,1,1,1,1,1,1,20061001
E0435,HCPCS,Oxygen system liquid portabl,UE,,28 ,,NW,,,,,,"$1,769.54",,1,1,1,1,1,1,20061001
E0435,HCPCS,Oxygen system liquid portabl,NU,,28 ,,NW,,,,,,"$2,358.53",,1,1,1,1,1,1,20061001
E0439,HCPCS,Stationary liquid 02,RR,,28 ,,NW,,,,,,$554.68,,1,1,1,1,1,1,20061001
E0440,HCPCS,Oxygen system liquid station,UE,,28 ,,NW,,,,,,"$3,588.77",,1,1,1,1,1,1,20061001
E0440,HCPCS,Oxygen system liquid station,NU,,28 ,,NW,,,,,,"$4,783.48",,1,1,1,1,1,1,20061001
E0441,HCPCS,"Oxygen contents, gaseous",,,28 ,,NW,,,,,,$396.44,,1,1,1,1,1,1,20061001
E0442,HCPCS,"Oxygen contents, liquid",,,28 ,,NW,,,,,,$396.44,,1,1,1,1,1,1,20061001
E0443,HCPCS,"Portable 02 contents, gas",,,28 ,,NW,,,,,,$54.01,,1,1,1,1,1,1,20061001
E0444,HCPCS,"Portable 02 contents, liquid",,,28 ,,NW,,,,,,$54.01,,1,1,1,1,1,1,20061001
E0445,HCPCS,Oximeter non-invasive,,,28 ,,NW,,,,,,$130.43,,1,1,1,1,1,1,20061001
E0450,HCPCS,Volume vent stationary/porta,RR,,28 ,,NW,,,,,,"$1,809.73",,1,1,1,1,1,1,20061001
E0450,HCPCS,Volume vent stationary/porta,UE,,28 ,,NW,,,,,,"$13,167.06",,1,1,1,1,1,1,20061001
E0450,HCPCS,Volume vent stationary/porta,NU,,28 ,,NW,,,,,,"$17,551.15",,1,1,1,1,1,1,20061001
E0457,HCPCS,Chest shell,RR,,28 ,,NW,,,,,,$106.71,,1,1,1,1,1,1,20061001
E0457,HCPCS,Chest shell,UE,,28 ,,NW,,,,,,$868.34,,1,1,1,1,1,1,20061001
E0457,HCPCS,Chest shell,NU,,28 ,,NW,,,,,,"$1,161.34",,1,1,1,1,1,1,20061001
E0459,HCPCS,Chest wrap,RR,,28 ,,NW,,,,,,$86.57,,1,1,1,1,1,1,20061001
E0459,HCPCS,Chest wrap,UE,,28 ,,NW,,,,,,$647.55,,1,1,1,1,1,1,20061001
E0459,HCPCS,Chest wrap,NU,,28 ,,NW,,,,,,$862.95,,1,1,1,1,1,1,20061001
E0460,HCPCS,Neg press vent portabl/statn,RR,,28 ,,NW,,,,,,"$1,388.39",,1,1,1,1,1,1,20061001
E0460,HCPCS,Neg press vent portabl/statn,UE,,28 ,,NW,,,,,,"$10,101.51",,1,1,1,1,1,1,20061001
E0460,HCPCS,Neg press vent portabl/statn,NU,,28 ,,NW,,,,,,"$13,464.90",,1,1,1,1,1,1,20061001
E0461,HCPCS,Vol vent noninvasive interfa,RR,,28 ,,NW,,,,,,"$1,900.37",,1,1,1,1,1,1,20061001
E0462,HCPCS,Rocking bed w/ or w/o side r,RR,,28 ,,NW,,,,,,$456.35,,1,1,1,1,1,1,20061001
E0462,HCPCS,Rocking bed w/ or w/o side r,UE,,28 ,,NW,,,,,,"$3,421.65",,1,1,1,1,1,1,20061001
E0462,HCPCS,Rocking bed w/ or w/o side r,NU,,28 ,,NW,,,,,,"$4,561.60",,1,1,1,1,1,1,20061001
E0463,HCPCS,Press supp vent invasive int,RR,,28 ,,NW,,,,,,"$1,504.83",,1,1,1,0,1,1,20061001
E0464,HCPCS,Press supp vent noninv int,RR,,28 ,,NW,,,,,,"$1,504.83",,1,1,1,0,1,1,20061001
E0470,HCPCS,RAD w/o backup non-inv intfc,RR,,28 ,,NW,,,,,,$478.84,,1,1,1,1,1,1,20061001
E0471,HCPCS,RAD w/backup non inv intrfc,RR,,28 ,,NW,,,,,,"$1,214.11",,1,1,1,1,1,1,20061001
E0472,HCPCS,RAD w backup invasive intrfc,RR,,28 ,,NW,,,,,,"$1,214.11",,1,1,1,1,1,1,20061001
E0480,HCPCS,Percussor elect/pneum home m,RR,,28 ,,NW,,,,,,$73.31,,1,1,1,1,1,1,20061001
E0480,HCPCS,Percussor elect/pneum home m,UE,,28 ,,NW,,,,,,$621.71,,1,1,1,1,1,1,20061001
E0480,HCPCS,Percussor elect/pneum home m,NU,,28 ,,NW,,,,,,$708.59,,1,1,1,1,1,1,20061001
E0481,HCPCS,Intrpulmnry percuss vent sys,,,28 ,,NW,,,,,,"$1,162.38",,1,1,1,1,1,1,20061001
E0482,HCPCS,Cough stimulating device,RR,,28 ,,NW,,,,,,$809.55,,1,1,1,1,1,1,20061001
E0483,HCPCS,Chest compression gen system,RR,,28 ,,NW,,,,,,"$2,016.86",,1,1,1,1,1,1,20061001
E0484,HCPCS,Non-elec oscillatory pep dvc,RR,,28 ,,NW,,,,,,$9.87,,1,1,1,1,1,1,20061001
E0484,HCPCS,Non-elec oscillatory pep dvc,UE,,28 ,,NW,,,,,,$46.06,,1,1,1,1,1,1,20061001
E0484,HCPCS,Non-elec oscillatory pep dvc,NU,,28 ,,NW,,,,,,$59.96,,1,1,1,1,1,1,20061001
E0500,HCPCS,Ippb all types,RR,,28 ,,NW,,,,,,$198.85,,1,1,1,1,1,1,20061001
E0500,HCPCS,Ippb all types,UE,,28 ,,NW,,,,,,"$1,441.47",,1,1,1,1,1,1,20061001
E0500,HCPCS,Ippb all types,NU,,28 ,,NW,,,,,,"$2,187.36",,1,1,1,1,1,1,20061001
E0550,HCPCS,Humidif extens supple w ippb,RR,,28 ,,NW,,,,,,$85.11,,1,1,1,1,1,1,20061001
E0550,HCPCS,Humidif extens supple w ippb,UE,,28 ,,NW,,,,,,$414.03,,1,1,1,1,1,1,20061001
E0550,HCPCS,Humidif extens supple w ippb,NU,,28 ,,NW,,,,,,$517.54,,1,1,1,1,1,1,20061001
E0555,HCPCS,Humidifier for use w/ regula,RR,,28 ,,NW,,,,,,$12.02,,1,1,1,1,1,1,20061001
E0555,HCPCS,Humidifier for use w/ regula,UE,,28 ,,NW,,,,,,$14.11,,1,1,1,1,1,1,20061001
E0555,HCPCS,Humidifier for use w/ regula,NU,,28 ,,NW,,,,,,$17.24,,1,1,1,1,1,1,20061001
E0560,HCPCS,Humidifier supplemental w/ i,RR,,28 ,,NW,,,,,,$34.61,,1,1,1,1,1,1,20061001
E0560,HCPCS,Humidifier supplemental w/ i,UE,,28 ,,NW,,,,,,$234.83,,1,1,1,1,1,1,20061001
E0560,HCPCS,Humidifier supplemental w/ i,NU,,28 ,,NW,,,,,,$316.60,,1,1,1,1,1,1,20061001
E0561,HCPCS,Humidifier nonheated w PAP,RR,,28 ,,NW,,,,,,$20.41,,1,1,1,1,1,1,20061001
E0561,HCPCS,Humidifier nonheated w PAP,UE,,28 ,,NW,,,,,,$142.54,,1,1,1,1,1,1,20061001
E0561,HCPCS,Humidifier nonheated w PAP,NU,,28 ,,NW,,,,,,$193.57,,1,1,1,1,1,1,20061001
E0562,HCPCS,Humidifier heated used w PAP,RR,,28 ,,NW,,,,,,$49.70,,1,1,1,1,1,1,20061001
E0562,HCPCS,Humidifier heated used w PAP,UE,,28 ,,NW,,,,,,$420.31,,1,1,1,1,1,1,20061001
E0562,HCPCS,Humidifier heated used w PAP,NU,,28 ,,NW,,,,,,$563.94,,1,1,1,1,1,1,20061001
E0565,HCPCS,Compressor air power source,RR,,28 ,,NW,,,,,,$105.86,,1,1,1,1,1,1,20061001
E0565,HCPCS,Compressor air power source,UE,,28 ,,NW,,,,,,$745.89,,1,1,1,1,1,1,20061001
E0565,HCPCS,Compressor air power source,NU,,28 ,,NW,,,,,,"$1,059.38",,1,1,1,1,1,1,20061001
E0570,HCPCS,Nebulizer with compression,RR,,28 ,,NW,,,,,,$34.03,,1,1,1,1,1,1,20061001
E0570,HCPCS,Nebulizer with compression,UE,,28 ,,NW,,,,,,$125.06,,1,1,1,1,1,1,20061001
E0570,HCPCS,Nebulizer with compression,NU,,28 ,,NW,,,,,,$311.86,,1,1,1,1,1,1,20061001
E0571,HCPCS,Aerosol compressor for svneb,RR,,28 ,,NW,,,,,,$49.48,,1,1,1,1,1,1,20061001
E0572,HCPCS,Aerosol compressor adjust pr,RR,,28 ,,NW,,,,,,$98.10,,1,1,1,1,1,1,20061001
E0574,HCPCS,Ultrasonic generator w svneb,RR,,28 ,,NW,,,,,,$103.43,,1,1,1,1,1,1,20061001
E0575,HCPCS,Nebulizer ultrasonic,RR,,28 ,,NW,,,,,,$185.52,,1,1,1,1,1,1,20061001
E0575,HCPCS,Nebulizer ultrasonic,UE,,28 ,,NW,,,,,,"$1,204.08",,1,1,1,1,1,1,20061001
E0575,HCPCS,Nebulizer ultrasonic,NU,,28 ,,NW,,,,,,"$1,848.01",,1,1,1,1,1,1,20061001
E0580,HCPCS,Nebulizer for use w/ regulat,RR,,28 ,,NW,,,,,,$24.50,,1,1,1,1,1,1,20061001
E0580,HCPCS,Nebulizer for use w/ regulat,UE,,28 ,,NW,,,,,,$181.20,,1,1,1,1,1,1,20061001
E0580,HCPCS,Nebulizer for use w/ regulat,NU,,28 ,,NW,,,,,,$245.12,,1,1,1,1,1,1,20061001
E0585,HCPCS,Nebulizer w/ compressor & he,RR,,28 ,,NW,,,,,,$57.18,,1,1,1,1,1,1,20061001
E0585,HCPCS,Nebulizer w/ compressor & he,UE,,28 ,,NW,,,,,,$367.41,,1,1,1,1,1,1,20061001
E0585,HCPCS,Nebulizer w/ compressor & he,NU,,28 ,,NW,,,,,,$569.42,,1,1,1,1,1,1,20061001
E0600,HCPCS,Suction pump portab hom modl,RR,,28 ,,NW,,,,,,$76.84,,1,1,1,1,1,1,20061001
E0600,HCPCS,Suction pump portab hom modl,UE,,28 ,,NW,,,,,,$417.64,,1,1,1,1,1,1,20061001
E0600,HCPCS,Suction pump portab hom modl,NU,,28 ,,NW,,,,,,$696.81,,1,1,1,1,1,1,20061001
E0601,HCPCS,Cont airway pressure device,RR,,28 ,,NW,,,,,,$202.55,,1,1,1,1,1,1,20061001
E0601,HCPCS,Cont airway pressure device,UE,,28 ,,NW,,,,,,"$1,117.59",,1,1,1,1,1,1,20061001
E0601,HCPCS,Cont airway pressure device,NU,,28 ,,NW,,,,,,"$1,866.45",,1,1,1,1,1,1,20061001
E0602,HCPCS,Manual breast pump,RR,,28 ,,NW,,,,,,$8.77,,1,1,1,1,1,1,20061001
E0602,HCPCS,Manual breast pump,UE,,28 ,,NW,,,,,,$37.67,,1,1,1,1,1,1,20061001
E0602,HCPCS,Manual breast pump,NU,,28 ,,NW,,,,,,$48.81,,1,1,1,1,1,1,20061001
E0603,HCPCS,Electric breast pump,RR,,28 ,,NW,,,,,,$44.99,,1,1,1,1,1,1,20061001
E0603,HCPCS,Electric breast pump,UE,,28 ,,NW,,,,,,$113.93,,1,1,1,1,1,1,20061001
E0603,HCPCS,Electric breast pump,NU,,28 ,,NW,,,,,,$144.81,,1,1,1,1,1,1,20061001
E0604,HCPCS,Hosp grade elec breast pump,RR,,28 ,,NW,,,,,,$161.11,,1,1,1,1,1,1,20061001
E0604,HCPCS,Hosp grade elec breast pump,UE,,28 ,,NW,,,,,,$324.12,,1,1,1,1,1,1,20061001
E0604,HCPCS,Hosp grade elec breast pump,NU,,28 ,,NW,,,,,,$436.51,,1,1,1,1,1,1,20061001
E0605,HCPCS,Vaporizer room type,RR,,28 ,,NW,,,,,,$8.93,,1,1,1,1,1,1,20061001
E0605,HCPCS,Vaporizer room type,UE,,28 ,,NW,,,,,,$37.12,,1,1,1,1,1,1,20061001
E0605,HCPCS,Vaporizer room type,NU,,28 ,,NW,,,,,,$44.15,,1,1,1,1,1,1,20061001
E0606,HCPCS,Drainage board postural,RR,,28 ,,NW,,,,,,$38.89,,1,1,1,1,1,1,20061001
E0606,HCPCS,Drainage board postural,UE,,28 ,,NW,,,,,,$291.58,,1,1,1,1,1,1,20061001
E0606,HCPCS,Drainage board postural,NU,,28 ,,NW,,,,,,$388.78,,1,1,1,1,1,1,20061001
E0607,HCPCS,Blood glucose monitor home,RR,,28 ,,NW,,,,,,$12.45,,1,1,1,1,1,1,20061001
E0607,HCPCS,Blood glucose monitor home,UE,,28 ,,NW,,,,,,$78.75,,1,1,1,1,1,1,20061001
E0607,HCPCS,Blood glucose monitor home,NU,,28 ,,NW,,,,,,$89.04,,1,1,1,1,1,1,20061001
E0610,HCPCS,Pacemaker monitr audible/vis,RR,,28 ,,NW,,,,,,$42.13,,1,1,1,1,1,1,20061001
E0610,HCPCS,Pacemaker monitr audible/vis,UE,,28 ,,NW,,,,,,$329.77,,1,1,1,1,1,1,20061001
E0610,HCPCS,Pacemaker monitr audible/vis,NU,,28 ,,NW,,,,,,$443.11,,1,1,1,1,1,1,20061001
E0615,HCPCS,Pacemaker monitr digital/vis,RR,,28 ,,NW,,,,,,$101.08,,1,1,1,1,1,1,20061001
E0615,HCPCS,Pacemaker monitr digital/vis,UE,,28 ,,NW,,,,,,$674.34,,1,1,1,1,1,1,20061001
E0615,HCPCS,Pacemaker monitr digital/vis,NU,,28 ,,NW,,,,,,$902.61,,1,1,1,1,1,1,20061001
E0616,HCPCS,Cardiac event recorder,,,28 ,,NW,,,,,,$410.22,,1,1,1,0,1,1,20061001
E0617,HCPCS,Automatic ext defibrillator,RR,,28 ,,NW,,,,,,$569.33,,1,1,1,1,1,1,20061001
E0618,HCPCS,Apnea monitor,RR,,28 ,,NW,,,,,,$524.14,,1,1,1,1,1,1,20061001
E0618,HCPCS,Apnea monitor,,,28 ,,NW,,,,,,$554.05,,1,1,1,1,1,1,20061001
E0620,HCPCS,Cap bld skin piercing laser,RR,,28 ,,NW,,,,,,$156.25,,1,1,1,1,1,1,20061001
E0620,HCPCS,Cap bld skin piercing laser,UE,,28 ,,NW,,,,,,"$1,240.08",,1,1,1,1,1,1,20061001
E0620,HCPCS,Cap bld skin piercing laser,NU,,28 ,,NW,,,,,,"$1,656.93",,1,1,1,1,1,1,20061001
E0621,HCPCS,Patient lift sling or seat,RR,,28 ,,NW,,,,,,$18.24,,1,1,1,1,1,1,20061001
E0621,HCPCS,Patient lift sling or seat,UE,,28 ,,NW,,,,,,$127.51,,1,1,1,1,1,1,20061001
E0621,HCPCS,Patient lift sling or seat,NU,,28 ,,NW,,,,,,$172.57,,1,1,1,1,1,1,20061001
E0625,HCPCS,Patient lift bathroom or toi,RR,,28 ,,NW,,,,,,$157.27,,1,1,1,1,1,1,20061001
E0625,HCPCS,Patient lift bathroom or toi,UE,,28 ,,NW,,,,,,"$1,144.25",,1,1,1,1,1,1,20061001
E0625,HCPCS,Patient lift bathroom or toi,NU,,28 ,,NW,,,,,,"$1,525.24",,1,1,1,1,1,1,20061001
E0627,HCPCS,Seat lift incorp lift-chair,RR,,28 ,,NW,,,,,,$55.16,,1,1,1,1,1,1,20061001
E0627,HCPCS,Seat lift incorp lift-chair,UE,,28 ,,NW,,,,,,$471.97,,1,1,1,1,1,1,20061001
E0627,HCPCS,Seat lift incorp lift-chair,NU,,28 ,,NW,,,,,,$632.76,,1,1,1,1,1,1,20061001
E0628,HCPCS,Seat lift for pt furn-electr,RR,,28 ,,NW,,,,,,$55.16,,1,1,1,1,1,1,20061001
E0628,HCPCS,Seat lift for pt furn-electr,UE,,28 ,,NW,,,,,,$471.97,,1,1,1,1,1,1,20061001
E0628,HCPCS,Seat lift for pt furn-electr,NU,,28 ,,NW,,,,,,$632.76,,1,1,1,1,1,1,20061001
E0629,HCPCS,Seat lift for pt furn-non-el,RR,,28 ,,NW,,,,,,$54.16,,1,1,1,1,1,1,20061001
E0629,HCPCS,Seat lift for pt furn-non-el,UE,,28 ,,NW,,,,,,$462.47,,1,1,1,1,1,1,20061001
E0629,HCPCS,Seat lift for pt furn-non-el,NU,,28 ,,NW,,,,,,$620.16,,1,1,1,1,1,1,20061001
E0630,HCPCS,Patient lift hydraulic,RR,,28 ,,NW,,,,,,$183.82,,1,1,1,1,1,1,20061001
E0630,HCPCS,Patient lift hydraulic,UE,,28 ,,NW,,,,,,"$1,402.30",,1,1,1,1,1,1,20061001
E0630,HCPCS,Patient lift hydraulic,NU,,28 ,,NW,,,,,,"$1,973.01",,1,1,1,1,1,1,20061001
E0635,HCPCS,Patient lift electric,RR,,28 ,,NW,,,,,,$222.85,,1,1,1,1,1,1,20061001
E0635,HCPCS,Patient lift electric,UE,,28 ,,NW,,,,,,"$1,519.38",,1,1,1,1,1,1,20061001
E0635,HCPCS,Patient lift electric,NU,,28 ,,NW,,,,,,"$2,226.63",,1,1,1,1,1,1,20061001
E0636,HCPCS,PT support & positioning sys,RR,,28 ,,NW,,,,,,"$2,000.51",,1,1,1,1,1,1,20061001
E0637,HCPCS,Combination sit to stand sys,,,28 ,,NW,,,,,,$84.56,,1,1,1,0,1,1,20061001
E0638,HCPCS,Standing frame sys,,,28 ,,NW,,,,,,"$1,595.80",,1,1,1,0,1,1,20061001
E0650,HCPCS,Pneuma compresor non-segment,RR,,28 ,,NW,,,,,,$159.01,,1,1,1,1,1,1,20061001
E0650,HCPCS,Pneuma compresor non-segment,UE,,28 ,,NW,,,,,,"$1,019.58",,1,1,1,1,1,1,20061001
E0650,HCPCS,Pneuma compresor non-segment,NU,,28 ,,NW,,,,,,"$1,362.94",,1,1,1,1,1,1,20061001
E0651,HCPCS,Pneum compressor segmental,RR,,28 ,,NW,,,,,,$168.43,,1,1,1,1,1,1,20061001
E0651,HCPCS,Pneum compressor segmental,UE,,28 ,,NW,,,,,,"$1,303.07",,1,1,1,1,1,1,20061001
E0651,HCPCS,Pneum compressor segmental,NU,,28 ,,NW,,,,,,"$1,740.89",,1,1,1,1,1,1,20061001
E0652,HCPCS,Pneum compres w/cal pressure,RR,,28 ,,NW,,,,,,$988.65,,1,1,1,1,1,1,20061001
E0652,HCPCS,Pneum compres w/cal pressure,UE,,28 ,,NW,,,,,,"$7,564.93",,1,1,1,1,1,1,20061001
E0652,HCPCS,Pneum compres w/cal pressure,NU,,28 ,,NW,,,,,,"$10,099.10",,1,1,1,1,1,1,20061001
E0655,HCPCS,Pneumatic appliance half arm,RR,,28 ,,NW,,,,,,$23.43,,1,1,1,1,1,1,20061001
E0655,HCPCS,Pneumatic appliance half arm,UE,,28 ,,NW,,,,,,$144.08,,1,1,1,1,1,1,20061001
E0655,HCPCS,Pneumatic appliance half arm,NU,,28 ,,NW,,,,,,$195.32,,1,1,1,1,1,1,20061001
E0660,HCPCS,Pneumatic appliance full leg,RR,,28 ,,NW,,,,,,$29.37,,1,1,1,1,1,1,20061001
E0660,HCPCS,Pneumatic appliance full leg,UE,,28 ,,NW,,,,,,$217.99,,1,1,1,1,1,1,20061001
E0660,HCPCS,Pneumatic appliance full leg,NU,,28 ,,NW,,,,,,$294.14,,1,1,1,1,1,1,20061001
E0665,HCPCS,Pneumatic appliance full arm,RR,,28 ,,NW,,,,,,$25.52,,1,1,1,1,1,1,20061001
E0665,HCPCS,Pneumatic appliance full arm,UE,,28 ,,NW,,,,,,$185.70,,1,1,1,1,1,1,20061001
E0665,HCPCS,Pneumatic appliance full arm,NU,,28 ,,NW,,,,,,$250.76,,1,1,1,1,1,1,20061001
E0666,HCPCS,Pneumatic appliance half leg,RR,,28 ,,NW,,,,,,$25.75,,1,1,1,1,1,1,20061001
E0666,HCPCS,Pneumatic appliance half leg,UE,,28 ,,NW,,,,,,$187.07,,1,1,1,1,1,1,20061001
E0666,HCPCS,Pneumatic appliance half leg,NU,,28 ,,NW,,,,,,$252.84,,1,1,1,1,1,1,20061001
E0667,HCPCS,Seg pneumatic appl full leg,RR,,28 ,,NW,,,,,,$59.41,,1,1,1,1,1,1,20061001
E0667,HCPCS,Seg pneumatic appl full leg,UE,,28 ,,NW,,,,,,$452.58,,1,1,1,1,1,1,20061001
E0667,HCPCS,Seg pneumatic appl full leg,NU,,28 ,,NW,,,,,,$606.94,,1,1,1,1,1,1,20061001
E0668,HCPCS,Seg pneumatic appl full arm,RR,,28 ,,NW,,,,,,$72.69,,1,1,1,1,1,1,20061001
E0668,HCPCS,Seg pneumatic appl full arm,UE,,28 ,,NW,,,,,,$621.53,,1,1,1,1,1,1,20061001
E0668,HCPCS,Seg pneumatic appl full arm,NU,,28 ,,NW,,,,,,$832.17,,1,1,1,1,1,1,20061001
E0669,HCPCS,Seg pneumatic appli half leg,RR,,28 ,,NW,,,,,,$31.96,,1,1,1,1,1,1,20061001
E0669,HCPCS,Seg pneumatic appli half leg,UE,,28 ,,NW,,,,,,$251.75,,1,1,1,1,1,1,20061001
E0669,HCPCS,Seg pneumatic appli half leg,NU,,28 ,,NW,,,,,,$339.09,,1,1,1,1,1,1,20061001
E0671,HCPCS,Pressure pneum appl full leg,RR,,28 ,,NW,,,,,,$68.73,,1,1,1,1,1,1,20061001
E0671,HCPCS,Pressure pneum appl full leg,UE,,28 ,,NW,,,,,,$583.54,,1,1,1,1,1,1,20061001
E0671,HCPCS,Pressure pneum appl full leg,NU,,28 ,,NW,,,,,,$781.57,,1,1,1,1,1,1,20061001
E0672,HCPCS,Pressure pneum appl full arm,RR,,28 ,,NW,,,,,,$52.97,,1,1,1,1,1,1,20061001
E0672,HCPCS,Pressure pneum appl full arm,UE,,28 ,,NW,,,,,,$451.11,,1,1,1,1,1,1,20061001
E0672,HCPCS,Pressure pneum appl full arm,NU,,28 ,,NW,,,,,,$604.95,,1,1,1,1,1,1,20061001
E0673,HCPCS,Pressure pneum appl half leg,RR,,28 ,,NW,,,,,,$44.73,,1,1,1,1,1,1,20061001
E0673,HCPCS,Pressure pneum appl half leg,UE,,28 ,,NW,,,,,,$373.09,,1,1,1,1,1,1,20061001
E0673,HCPCS,Pressure pneum appl half leg,NU,,28 ,,NW,,,,,,$500.90,,1,1,1,1,1,1,20061001
E0675,HCPCS,Pneumatic compression device,RR,,28 ,,NW,,,,,,$820.05,,1,1,1,0,1,1,20061001
E0691,HCPCS,Uvl pnl 2 sq ft or less,RR,,28 ,,NW,,,,,,$160.88,,1,1,1,1,1,1,20061001
E0691,HCPCS,Uvl pnl 2 sq ft or less,UE,,28 ,,NW,,,,,,"$1,274.69",,1,1,1,1,1,1,20061001
E0691,HCPCS,Uvl pnl 2 sq ft or less,NU,,28 ,,NW,,,,,,"$1,703.08",,1,1,1,1,1,1,20061001
E0692,HCPCS,Uvl sys panel 4 ft,RR,,28 ,,NW,,,,,,$204.67,,1,1,1,1,1,1,20061001
E0692,HCPCS,Uvl sys panel 4 ft,UE,,28 ,,NW,,,,,,"$1,603.35",,1,1,1,1,1,1,20061001
E0692,HCPCS,Uvl sys panel 4 ft,NU,,28 ,,NW,,,,,,"$2,141.27",,1,1,1,1,1,1,20061001
E0693,HCPCS,Uvl sys panel 6 ft,RR,,28 ,,NW,,,,,,$254.78,,1,1,1,1,1,1,20061001
E0693,HCPCS,Uvl sys panel 6 ft,UE,,28 ,,NW,,,,,,"$1,978.93",,1,1,1,1,1,1,20061001
E0693,HCPCS,Uvl sys panel 6 ft,NU,,28 ,,NW,,,,,,"$2,642.05",,1,1,1,1,1,1,20061001
E0694,HCPCS,Uvl md cabinet sys 6 ft,RR,,28 ,,NW,,,,,,$833.79,,1,1,1,1,1,1,20061001
E0694,HCPCS,Uvl md cabinet sys 6 ft,UE,,28 ,,NW,,,,,,"$6,321.60",,1,1,1,1,1,1,20061001
E0694,HCPCS,Uvl md cabinet sys 6 ft,NU,,28 ,,NW,,,,,,"$8,432.21",,1,1,1,1,1,1,20061001
E0700,HCPCS,Safety equipment,,,28 ,,NW,,,,,,$49.30,,1,1,1,1,1,1,20061001
E0701,HCPCS,Helmet w face guard prefab,NU,,28 ,,NW,,,,,,$281.95,,1,1,1,1,1,1,20061001
E0710,HCPCS,Restraints any type,,,28 ,,NW,,,,,,$17.45,,1,1,1,1,1,1,20061001
E0720,HCPCS,Tens two lead,RR,,28 ,,NW,,,,,,$198.95,,1,1,1,1,1,1,20061001
E0720,HCPCS,Tens two lead,UE,,28 ,,NW,,,,,,$379.71,,1,1,1,1,1,1,20061001
E0720,HCPCS,Tens two lead,NU,,28 ,,NW,,,,,,$690.48,,1,1,1,1,1,1,20061001
E0730,HCPCS,Tens four lead,RR,,28 ,,NW,,,,,,$236.72,,1,1,1,1,1,1,20061001
E0730,HCPCS,Tens four lead,UE,,28 ,,NW,,,,,,$383.08,,1,1,1,1,1,1,20061001
E0730,HCPCS,Tens four lead,NU,,28 ,,NW,,,,,,$696.16,,1,1,1,1,1,1,20061001
E0731,HCPCS,Conductive garment for tens/,RR,,28 ,,NW,,,,,,$69.06,,1,1,1,1,1,1,20061001
E0731,HCPCS,Conductive garment for tens/,NU,,28 ,,NW,,,,,,$669.71,,1,1,1,1,1,1,20061001
E0740,HCPCS,Incontinence treatment systm,RR,,28 ,,NW,,,,,,$89.24,,1,1,1,1,1,1,20061001
E0740,HCPCS,Incontinence treatment systm,NU,,28 ,,NW,,,,,,$986.60,,1,1,1,1,1,1,20061001
E0744,HCPCS,Neuromuscular stim for scoli,RR,,28 ,,NW,,,,,,$164.14,,1,1,1,1,1,1,20061001
E0744,HCPCS,Neuromuscular stim for scoli,UE,,28 ,,NW,,,,,,$994.13,,1,1,1,1,1,1,20061001
E0744,HCPCS,Neuromuscular stim for scoli,NU,,28 ,,NW,,,,,,"$1,096.18",,1,1,1,1,1,1,20061001
E0745,HCPCS,Neuromuscular stim for shock,RR,,28 ,,NW,,,,,,$160.22,,1,1,1,1,1,1,20061001
E0745,HCPCS,Neuromuscular stim for shock,UE,,28 ,,NW,,,,,,"$1,165.63",,1,1,1,1,1,1,20061001
E0745,HCPCS,Neuromuscular stim for shock,NU,,28 ,,NW,,,,,,"$1,553.73",,1,1,1,1,1,1,20061001
E0746,HCPCS,Electromyograph biofeedback,RR,,28 ,,NW,,,,,,$22.19,,1,1,1,1,1,1,20061001
E0746,HCPCS,Electromyograph biofeedback,UE,,28 ,,NW,,,,,,$161.35,,1,1,1,1,1,1,20061001
E0746,HCPCS,Electromyograph biofeedback,NU,,28 ,,NW,,,,,,$215.06,,1,1,1,1,1,1,20061001
E0747,HCPCS,Elec osteogen stim not spine,RR,,28 ,,NW,,,,,,$657.93,,1,1,1,1,1,1,20061001
E0747,HCPCS,Elec osteogen stim not spine,UE,,28 ,,NW,,,,,,"$4,986.95",,1,1,1,1,1,1,20061001
E0747,HCPCS,Elec osteogen stim not spine,NU,,28 ,,NW,,,,,,"$6,715.72",,1,1,1,1,1,1,20061001
E0748,HCPCS,Elec osteogen stim spinal,RR,,28 ,,NW,,,,,,$657.77,,1,1,1,1,1,1,20061001
E0748,HCPCS,Elec osteogen stim spinal,UE,,28 ,,NW,,,,,,"$5,001.51",,1,1,1,1,1,1,20061001
E0748,HCPCS,Elec osteogen stim spinal,NU,,28 ,,NW,,,,,,"$6,672.12",,1,1,1,1,1,1,20061001
E0749,HCPCS,Elec osteogen stim implanted,,,28 ,2,NW,,,,,,"$6,526.22",,1,1,1,1,1,1,20061001
E0760,HCPCS,Osteogen ultrasound stimltor,NU,,28 ,,NW,,,,,,"$5,542.64",,1,1,1,1,1,1,20061001
E0765,HCPCS,Nerve stimulator for tx n&v,NU,,28 ,,NW,,,,,,$149.95,,1,1,1,1,1,1,20061001
E0776,HCPCS,Iv pole,RR,,28 ,,NW,,,,,,$32.42,,1,1,1,1,1,1,20061001
E0776,HCPCS,Iv pole,UE,,28 ,,NW,,,,,,$190.38,,1,1,1,1,1,1,20061001
E0776,HCPCS,Iv pole,NU,,28 ,,NW,,,,,,$262.53,,1,1,1,1,1,1,20061001
E0779,HCPCS,Amb infusion pump mechanical,RR,,28 ,,NW,,,,,,$29.53,,1,1,1,1,1,1,20061001
E0780,HCPCS,Mech amb infusion pump <8hrs,NU,,28 ,,NW,,,,,,$19.94,,1,1,1,1,1,1,20061001
E0781,HCPCS,External ambulatory infus pu,RR,,28 ,,NW,,,,,,$494.61,,1,1,1,1,1,1,20061001
E0782,HCPCS,Non-programble infusion pump,NU,,28 ,2,NW,,,,,,"$7,363.84",,1,1,1,1,1,1,20061001
E0783,HCPCS,Programmable infusion pump,NU,,28 ,2,NW,,,,,,"$14,051.22",,1,1,1,1,1,1,20061001
E0784,HCPCS,Ext amb infusn pump insulin,RR,,28 ,,NW,,,,,,$785.81,,1,1,1,1,1,1,20061001
E0784,HCPCS,Ext amb infusn pump insulin,,,28 ,,NW,,,,,,"$5,778.96",,1,1,1,1,1,1,20061001
E0785,HCPCS,Replacement impl pump cathet,,,28 ,2,NW,,,,,,$801.08,,1,1,1,1,1,1,20061001
E0786,HCPCS,Implantable pump replacement,,,28 ,2,NW,,,,,,"$10,276.79",,1,1,1,1,1,1,20061001
E0791,HCPCS,Parenteral infusion pump sta,RR,,28 ,,NW,,,,,,$653.76,,1,1,1,1,1,1,20061001
E0791,HCPCS,Parenteral infusion pump sta,UE,,28 ,,NW,,,,,,"$4,756.55",,1,1,1,1,1,1,20061001
E0791,HCPCS,Parenteral infusion pump sta,,,28 ,,NW,,,,,,"$6,340.29",,1,1,1,1,1,1,20061001
E0830,HCPCS,Ambulatory traction device,,,28 ,2,NW,,,,,,"$2,542.70",,1,1,1,1,1,1,20061001
E0840,HCPCS,Tract frame attach headboard,,,28 ,,NW,,,,,,$93.04,,1,1,1,1,1,1,20061001
E0849,HCPCS,Cervical pneum trac equip,,,28 ,,NW,,,,,,$55.14,,1,1,1,0,1,1,20061001
E0850,HCPCS,Traction stand free standing,,,28 ,,NW,,,,,,$132.27,,1,1,1,1,1,1,20061001
E0855,HCPCS,Cervical traction equipment,,,28 ,,NW,,,,,,$708.38,,1,1,1,1,1,1,20061001
E0860,HCPCS,Tract equip cervical tract,,,28 ,,NW,,,,,,$51.26,,1,1,1,1,1,1,20061001
E0870,HCPCS,Tract frame attach footboard,,,28 ,,NW,,,,,,$146.34,,1,1,1,1,1,1,20061001
E0880,HCPCS,Trac stand free stand extrem,,,28 ,,NW,,,,,,$157.61,,1,1,1,1,1,1,20061001
E0890,HCPCS,Traction frame attach pelvic,,,28 ,,NW,,,,,,$160.60,,1,1,1,1,1,1,20061001
E0900,HCPCS,Trac stand free stand pelvic,,,28 ,,NW,,,,,,$159.27,,1,1,1,1,1,1,20061001
E0910,HCPCS,Trapeze bar attached to bed,RR,,28 ,,NW,,,,,,$35.61,,1,1,1,1,1,1,20061001
E0910,HCPCS,Trapeze bar attached to bed,UE,,28 ,,NW,,,,,,$266.51,,1,1,1,1,1,1,20061001
E0910,HCPCS,Trapeze bar attached to bed,,,28 ,,NW,,,,,,$355.56,,1,1,1,1,1,1,20061001
E0920,HCPCS,Fracture frame attached to b,RR,,28 ,,NW,,,,,,$78.60,,1,1,1,1,1,1,20061001
E0920,HCPCS,Fracture frame attached to b,UE,,28 ,,NW,,,,,,$652.45,,1,1,1,1,1,1,20061001
E0920,HCPCS,Fracture frame attached to b,,,28 ,,NW,,,,,,$785.90,,1,1,1,1,1,1,20061001
E0930,HCPCS,Fracture frame free standing,RR,,28 ,,NW,,,,,,$77.86,,1,1,1,1,1,1,20061001
E0930,HCPCS,Fracture frame free standing,UE,,28 ,,NW,,,,,,$574.24,,1,1,1,1,1,1,20061001
E0930,HCPCS,Fracture frame free standing,,,28 ,,NW,,,,,,$780.03,,1,1,1,1,1,1,20061001
E0935,HCPCS,Exercise device passive moti,RR,,28 ,,NW,,,,,,$38.57,,1,1,1,1,1,1,20061001
E0940,HCPCS,Trapeze bar free standing,RR,,28 ,,NW,,,,,,$59.90,,1,1,1,1,1,1,20061001
E0940,HCPCS,Trapeze bar free standing,UE,,28 ,,NW,,,,,,$398.61,,1,1,1,1,1,1,20061001
E0940,HCPCS,Trapeze bar free standing,,,28 ,,NW,,,,,,$563.33,,1,1,1,1,1,1,20061001
E0941,HCPCS,Gravity assisted traction de,RR,,28 ,,NW,,,,,,$74.10,,1,1,1,1,1,1,20061001
E0941,HCPCS,Gravity assisted traction de,UE,,28 ,,NW,,,,,,$559.11,,1,1,1,1,1,1,20061001
E0941,HCPCS,Gravity assisted traction de,NU,,28 ,,NW,,,,,,$739.48,,1,1,1,1,1,1,20061001
E0942,HCPCS,Cervical head harness/halter,NU,,28 ,,NW,,,,,,$35.38,,1,1,1,1,1,1,20061001
E0944,HCPCS,Pelvic belt/harness/boot,NU,,28 ,,NW,,,,,,$67.28,,1,1,1,1,1,1,20061001
E0945,HCPCS,Belt/harness extremity,NU,,28 ,,NW,,,,,,$65.11,,1,1,1,1,1,1,20061001
E0946,HCPCS,Fracture frame dual w cross,RR,,28 ,,NW,,,,,,$99.99,,1,1,1,1,1,1,20061001
E0946,HCPCS,Fracture frame dual w cross,UE,,28 ,,NW,,,,,,$752.92,,1,1,1,1,1,1,20061001
E0946,HCPCS,Fracture frame dual w cross,NU,,28 ,,NW,,,,,,"$1,003.22",,1,1,1,1,1,1,20061001
E0947,HCPCS,Fracture frame attachmnts pe,RR,,28 ,,NW,,,,,,$106.13,,1,1,1,1,1,1,20061001
E0947,HCPCS,Fracture frame attachmnts pe,UE,,28 ,,NW,,,,,,$704.99,,1,1,1,1,1,1,20061001
E0947,HCPCS,Fracture frame attachmnts pe,NU,,28 ,,NW,,,,,,$935.66,,1,1,1,1,1,1,20061001
E0948,HCPCS,Fracture frame attachmnts ce,RR,,28 ,,NW,,,,,,$99.14,,1,1,1,1,1,1,20061001
E0948,HCPCS,Fracture frame attachmnts ce,UE,,28 ,,NW,,,,,,$642.41,,1,1,1,1,1,1,20061001
E0948,HCPCS,Fracture frame attachmnts ce,NU,,28 ,,NW,,,,,,$905.42,,1,1,1,1,1,1,20061001
E0950,HCPCS,Tray,RR,,28 ,,NW,,,,,,$18.15,,1,1,1,1,1,1,20061001
E0950,HCPCS,Tray,UE,,28 ,,NW,,,,,,$113.53,,1,1,1,1,1,1,20061001
E0950,HCPCS,Tray,NU,,28 ,,NW,,,,,,$151.16,,1,1,1,1,1,1,20061001
E0951,HCPCS,Loop heel,RR,,28 ,,NW,,,,,,$4.21,,1,1,1,1,1,1,20061001
E0951,HCPCS,Loop heel,UE,,28 ,,NW,,,,,,$23.43,,1,1,1,1,1,1,20061001
E0951,HCPCS,Loop heel,NU,,28 ,,NW,,,,,,$30.03,,1,1,1,1,1,1,20061001
E0952,HCPCS,"Toe loop/holder, each",RR,,28 ,,NW,,,,,,$4.21,,1,1,1,1,1,1,20061001
E0952,HCPCS,"Toe loop/holder, each",UE,,28 ,,NW,,,,,,$23.31,,1,1,1,1,1,1,20061001
E0952,HCPCS,"Toe loop/holder, each",NU,,28 ,,NW,,,,,,$29.82,,1,1,1,1,1,1,20061001
E0955,HCPCS,Cushioned headrest,NU,,28 ,,NW,,,,,,$216.34,,1,1,1,0,1,1,20061001
E0955,HCPCS,Cushioned headrest,RR,,28 ,,NW,,,,,,$216.34,,1,1,1,0,1,1,20061001
E0955,HCPCS,Cushioned headrest,UE,,28 ,,NW,,,,,,$216.34,,1,1,1,0,1,1,20061001
E0956,HCPCS,W/c lateral trunk/hip suppor,NU,,28 ,,NW,,,,,,$105.49,,1,1,1,0,1,1,20061001
E0956,HCPCS,W/c lateral trunk/hip suppor,RR,,28 ,,NW,,,,,,$105.49,,1,1,1,0,1,1,20061001
E0956,HCPCS,W/c lateral trunk/hip suppor,UE,,28 ,,NW,,,,,,$105.49,,1,1,1,0,1,1,20061001
E0957,HCPCS,W/c medial thigh support,NU,,28 ,,NW,,,,,,$147.59,,1,1,1,0,1,1,20061001
E0957,HCPCS,W/c medial thigh support,RR,,28 ,,NW,,,,,,$147.59,,1,1,1,0,1,1,20061001
E0957,HCPCS,W/c medial thigh support,UE,,28 ,,NW,,,,,,$147.59,,1,1,1,0,1,1,20061001
E0958,HCPCS,Whlchr att- conv 1 arm drive,RR,,28 ,,NW,,,,,,$64.16,,1,1,1,1,1,1,20061001
E0958,HCPCS,Whlchr att- conv 1 arm drive,UE,,28 ,,NW,,,,,,$480.73,,1,1,1,1,1,1,20061001
E0958,HCPCS,Whlchr att- conv 1 arm drive,NU,,28 ,,NW,,,,,,$640.65,,1,1,1,1,1,1,20061001
E0959,HCPCS,Amputee adapter,RR,,28 ,,NW,,,,,,$9.54,,1,1,1,1,1,1,20061001
E0959,HCPCS,Amputee adapter,UE,,28 ,,NW,,,,,,$50.07,,1,1,1,1,1,1,20061001
E0959,HCPCS,Amputee adapter,NU,,28 ,,NW,,,,,,$64.96,,1,1,1,1,1,1,20061001
E0960,HCPCS,W/c shoulder harness/straps,NU,,28 ,,NW,,,,,,$97.35,,1,1,1,0,1,1,20061001
E0960,HCPCS,W/c shoulder harness/straps,RR,,28 ,,NW,,,,,,$97.35,,1,1,1,0,1,1,20061001
E0960,HCPCS,W/c shoulder harness/straps,UE,,28 ,,NW,,,,,,$97.35,,1,1,1,0,1,1,20061001
E0961,HCPCS,Wheelchair brake extension,RR,,28 ,,NW,,,,,,$6.67,,1,1,1,1,1,1,20061001
E0961,HCPCS,Wheelchair brake extension,UE,,28 ,,NW,,,,,,$24.32,,1,1,1,1,1,1,20061001
E0961,HCPCS,Wheelchair brake extension,NU,,28 ,,NW,,,,,,$44.91,,1,1,1,1,1,1,20061001
E0966,HCPCS,Wheelchair head rest extensi,RR,,28 ,,NW,,,,,,$13.49,,1,1,1,1,1,1,20061001
E0966,HCPCS,Wheelchair head rest extensi,UE,,28 ,,NW,,,,,,$78.10,,1,1,1,1,1,1,20061001
E0966,HCPCS,Wheelchair head rest extensi,NU,,28 ,,NW,,,,,,$103.98,,1,1,1,1,1,1,20061001
E0967,HCPCS,Wheelchair hand rims,RR,,28 ,,NW,,,,,,$12.83,,1,1,1,1,1,1,20061001
E0967,HCPCS,Wheelchair hand rims,UE,,28 ,,NW,,,,,,$71.94,,1,1,1,1,1,1,20061001
E0967,HCPCS,Wheelchair hand rims,NU,,28 ,,NW,,,,,,$95.75,,1,1,1,1,1,1,20061001
E0968,HCPCS,Wheelchair commode seat,RR,,28 ,,NW,,,,,,$28.57,,1,1,1,1,1,1,20061001
E0968,HCPCS,Wheelchair commode seat,UE,,28 ,,NW,,,,,,$183.47,,1,1,1,1,1,1,20061001
E0968,HCPCS,Wheelchair commode seat,NU,,28 ,,NW,,,,,,$288.20,,1,1,1,1,1,1,20061001
E0969,HCPCS,Wheelchair narrowing device,RR,,28 ,,NW,,,,,,$25.21,,1,1,1,1,1,1,20061001
E0969,HCPCS,Wheelchair narrowing device,UE,,28 ,,NW,,,,,,$170.77,,1,1,1,1,1,1,20061001
E0969,HCPCS,Wheelchair narrowing device,NU,,28 ,,NW,,,,,,$227.48,,1,1,1,1,1,1,20061001
E0970,HCPCS,Wheelchair no. 2 footplates,RR,,28 ,,NW,,,,,,$9.95,,1,1,1,1,1,1,20061001
E0970,HCPCS,Wheelchair no. 2 footplates,UE,,28 ,,NW,,,,,,$57.39,,1,1,1,1,1,1,20061001
E0970,HCPCS,Wheelchair no. 2 footplates,NU,,28 ,,NW,,,,,,$75.01,,1,1,1,1,1,1,20061001
E0971,HCPCS,Wheelchair anti-tipping devi,RR,,28 ,,NW,,,,,,$14.06,,1,1,1,1,1,1,20061001
E0971,HCPCS,Wheelchair anti-tipping devi,UE,,28 ,,NW,,,,,,$72.03,,1,1,1,1,1,1,20061001
E0971,HCPCS,Wheelchair anti-tipping devi,NU,,28 ,,NW,,,,,,$95.82,,1,1,1,1,1,1,20061001
E0973,HCPCS,W/Ch access det adj armrest,RR,,28 ,,NW,,,,,,$18.89,,1,1,1,1,1,1,20061001
E0973,HCPCS,W/Ch access det adj armrest,UE,,28 ,,NW,,,,,,$125.49,,1,1,1,1,1,1,20061001
E0973,HCPCS,W/Ch access det adj armrest,NU,,28 ,,NW,,,,,,$167.12,,1,1,1,1,1,1,20061001
E0974,HCPCS,W/Ch access anti-rollback,RR,,28 ,,NW,,,,,,$15.23,,1,1,1,1,1,1,20061001
E0974,HCPCS,W/Ch access anti-rollback,UE,,28 ,,NW,,,,,,$86.41,,1,1,1,1,1,1,20061001
E0974,HCPCS,W/Ch access anti-rollback,NU,,28 ,,NW,,,,,,$114.17,,1,1,1,1,1,1,20061001
E0977,HCPCS,Wheelchair wedge cushion,RR,,28 ,,NW,,,,,,$12.46,,1,1,1,1,1,1,20061001
E0977,HCPCS,Wheelchair wedge cushion,UE,,28 ,,NW,,,,,,$71.72,,1,1,1,1,1,1,20061001
E0977,HCPCS,Wheelchair wedge cushion,NU,,28 ,,NW,,,,,,$95.33,,1,1,1,1,1,1,20061001
E0978,HCPCS,"W/C acc,saf belt pelv strap",RR,,28 ,,NW,,,,,,$9.20,,1,1,1,1,1,1,20061001
E0978,HCPCS,"W/C acc,saf belt pelv strap",UE,,28 ,,NW,,,,,,$47.58,,1,1,1,1,1,1,20061001
E0978,HCPCS,"W/C acc,saf belt pelv strap",NU,,28 ,,NW,,,,,,$62.88,,1,1,1,1,1,1,20061001
E0980,HCPCS,Wheelchair safety vest,RR,,28 ,,NW,,,,,,$7.09,,1,1,1,1,1,1,20061001
E0980,HCPCS,Wheelchair safety vest,UE,,28 ,,NW,,,,,,$37.89,,1,1,1,1,1,1,20061001
E0980,HCPCS,Wheelchair safety vest,NU,,28 ,,NW,,,,,,$49.51,,1,1,1,1,1,1,20061001
E0981,HCPCS,"Seat upholstery, replacement",RR,,28 ,,NW,,,,,,$10.31,,1,1,1,1,1,1,20061001
E0981,HCPCS,"Seat upholstery, replacement",UE,,28 ,,NW,,,,,,$53.17,,1,1,1,1,1,1,20061001
E0981,HCPCS,"Seat upholstery, replacement",NU,,28 ,,NW,,,,,,$69.04,,1,1,1,1,1,1,20061001
E0982,HCPCS,"Back upholstery, replacement",RR,,28 ,,NW,,,,,,$10.87,,1,1,1,1,1,1,20061001
E0982,HCPCS,"Back upholstery, replacement",UE,,28 ,,NW,,,,,,$57.25,,1,1,1,1,1,1,20061001
E0982,HCPCS,"Back upholstery, replacement",NU,,28 ,,NW,,,,,,$75.24,,1,1,1,1,1,1,20061001
E0983,HCPCS,Add pwr joystick,RR,,28 ,,NW,,,,,,$362.63,,1,1,1,1,1,1,20061001
E0984,HCPCS,Add pwr tiller,RR,,28 ,,NW,,,,,,$257.84,,1,1,1,1,1,1,20061001
E0984,HCPCS,Add pwr tiller,UE,,28 ,,NW,,,,,,"$2,136.12",,1,1,1,1,1,1,20061001
E0984,HCPCS,Add pwr tiller,NU,,28 ,,NW,,,,,,"$2,768.13",,1,1,1,1,1,1,20061001
E0985,HCPCS,W/c seat lift mechanism,NU,,28 ,,NW,,,,,,$217.05,,1,1,1,0,1,1,20061001
E0985,HCPCS,W/c seat lift mechanism,RR,,28 ,,NW,,,,,,$217.05,,1,1,1,0,1,1,20061001
E0985,HCPCS,W/c seat lift mechanism,UE,,28 ,,NW,,,,,,$217.05,,1,1,1,0,1,1,20061001
E0986,HCPCS,Man w/c push-rim pow assist,NU,,28 ,,NW,,,,,,"$5,204.74",,1,1,1,0,1,1,20061001
E0986,HCPCS,Man w/c push-rim pow assist,RR,,28 ,,NW,,,,,,"$5,204.74",,1,1,1,0,1,1,20061001
E0986,HCPCS,Man w/c push-rim pow assist,UE,,28 ,,NW,,,,,,"$5,204.74",,1,1,1,0,1,1,20061001
E0990,HCPCS,Whellchair elevating leg res,RR,,28 ,,NW,,,,,,$22.05,,1,1,1,1,1,1,20061001
E0990,HCPCS,Whellchair elevating leg res,UE,,28 ,,NW,,,,,,$133.50,,1,1,1,1,1,1,20061001
E0990,HCPCS,Whellchair elevating leg res,NU,,28 ,,NW,,,,,,$170.69,,1,1,1,1,1,1,20061001
E0992,HCPCS,Wheelchair solid seat insert,RR,,28 ,,NW,,,,,,$16.54,,1,1,1,1,1,1,20061001
E0992,HCPCS,Wheelchair solid seat insert,UE,,28 ,,NW,,,,,,$103.98,,1,1,1,1,1,1,20061001
E0992,HCPCS,Wheelchair solid seat insert,NU,,28 ,,NW,,,,,,$138.42,,1,1,1,1,1,1,20061001
E0994,HCPCS,Wheelchair arm rest,RR,,28 ,,NW,,,,,,$3.82,,1,1,1,1,1,1,20061001
E0994,HCPCS,Wheelchair arm rest,UE,,28 ,,NW,,,,,,$22.06,,1,1,1,1,1,1,20061001
E0994,HCPCS,Wheelchair arm rest,NU,,28 ,,NW,,,,,,$28.15,,1,1,1,1,1,1,20061001
E0995,HCPCS,Wheelchair calf rest,RR,,28 ,,NW,,,,,,$6.54,,1,1,1,1,1,1,20061001
E0995,HCPCS,Wheelchair calf rest,UE,,28 ,,NW,,,,,,$35.28,,1,1,1,1,1,1,20061001
E0995,HCPCS,Wheelchair calf rest,NU,,28 ,,NW,,,,,,$45.84,,1,1,1,1,1,1,20061001
E0997,HCPCS,Wheelchair caster w/ a fork,RR,,28 ,,NW,,,,,,$13.60,,1,1,1,1,1,1,20061001
E0997,HCPCS,Wheelchair caster w/ a fork,UE,,28 ,,NW,,,,,,$72.86,,1,1,1,1,1,1,20061001
E0997,HCPCS,Wheelchair caster w/ a fork,NU,,28 ,,NW,,,,,,$96.94,,1,1,1,1,1,1,20061001
E0998,HCPCS,Wheelchair caster w/o a fork,RR,,28 ,,NW,,,,,,$8.49,,1,1,1,1,1,1,20061001
E0998,HCPCS,Wheelchair caster w/o a fork,UE,,28 ,,NW,,,,,,$43.52,,1,1,1,1,1,1,20061001
E0998,HCPCS,Wheelchair caster w/o a fork,NU,,28 ,,NW,,,,,,$56.75,,1,1,1,1,1,1,20061001
E0999,HCPCS,Wheelchr pneumatic tire w/wh,RR,,28 ,,NW,,,,,,$19.67,,1,1,1,1,1,1,20061001
E0999,HCPCS,Wheelchr pneumatic tire w/wh,UE,,28 ,,NW,,,,,,$125.49,,1,1,1,1,1,1,20061001
E0999,HCPCS,Wheelchr pneumatic tire w/wh,NU,,28 ,,NW,,,,,,$167.12,,1,1,1,1,1,1,20061001
E1002,HCPCS,Pwr seat tilt,,,28 ,,NW,,,,,,$440.13,,1,1,1,0,1,1,20061001
E1003,HCPCS,Pwr seat recline,,,28 ,,NW,,,,,,$469.88,,1,1,1,0,1,1,20061001
E1004,HCPCS,Pwr seat recline mech,,,28 ,,NW,,,,,,$520.99,,1,1,1,0,1,1,20061001
E1005,HCPCS,Pwr seat recline pwr,,,28 ,,NW,,,,,,$563.93,,1,1,1,0,1,1,20061001
E1006,HCPCS,Pwr seat combo w/o shear,,,28 ,,NW,,,,,,$690.74,,1,1,1,0,1,1,20061001
E1007,HCPCS,Pwr seat combo w/shear,,,28 ,,NW,,,,,,$935.32,,1,1,1,0,1,1,20061001
E1008,HCPCS,Pwr seat combo pwr shear,,,28 ,,NW,,,,,,$935.40,,1,1,1,0,1,1,20061001
E1009,HCPCS,Add mech leg elevation,,,28 ,,NW,,,,,,$111.35,,1,1,1,0,1,1,20061001
E1010,HCPCS,Add pwr leg elevation,,,28 ,,NW,,,,,,"$1,650.77",,1,1,1,0,1,1,20061001
E1014,HCPCS,Reclining back add ped w/c,NU,,28 ,,NW,,,,,,$529.52,,1,1,1,1,1,1,20061001
E1015,HCPCS,Shock absorber for man w/c,NU,,28 ,,NW,,,,,,$166.74,,1,1,1,1,1,1,20061001
E1016,HCPCS,Shock absorber for power w/c,NU,,28 ,,NW,,,,,,$190.81,,1,1,1,1,1,1,20061001
E1020,HCPCS,Residual limb support system,UE,,28 ,,NW,,,,,,$265.01,,1,1,1,1,1,1,20061001
E1020,HCPCS,Residual limb support system,NU,,28 ,,NW,,,,,,$353.18,,1,1,1,1,1,1,20061001
E1028,HCPCS,W/c manual swingaway,,,28 ,,NW,,,,,,$22.10,,1,1,1,0,1,1,20061001
E1029,HCPCS,W/c vent tray fixed,,,28 ,,NW,,,,,,$39.54,,1,1,1,0,1,1,20061001
E1030,HCPCS,W/c vent tray gimbaled,,,28 ,,NW,,,,,,$124.69,,1,1,1,0,1,1,20061001
E1031,HCPCS,Rollabout chair with casters,RR,,28 ,,NW,,,,,,$73.76,,1,1,1,1,1,1,20061001
E1031,HCPCS,Rollabout chair with casters,UE,,28 ,,NW,,,,,,$551.98,,1,1,1,1,1,1,20061001
E1031,HCPCS,Rollabout chair with casters,NU,,28 ,,NW,,,,,,$735.78,,1,1,1,1,1,1,20061001
E1035,HCPCS,Patient transfer system,RR,,28 ,,NW,,,,,,$888.84,,1,1,1,1,1,1,20061001
E1037,HCPCS,"Transport chair, ped size",,,28 ,,NW,,,,,,$157.74,,1,1,1,1,1,1,20061001
E1038,HCPCS,"Transport chair, adult size",,,28 ,,NW,,,,,,$59.15,,1,1,1,1,1,1,20061001
E1039,HCPCS,Transport chair pt wt >300lb,,,28 ,,NW,,,,,,$36.60,,1,1,1,0,1,1,20061001
E1050,HCPCS,Whelchr fxd full length arms,RR,,28 ,,NW,,,,,,$148.11,,1,1,1,1,1,1,20061001
E1050,HCPCS,Whelchr fxd full length arms,UE,,28 ,,NW,,,,,,"$1,246.30",,1,1,1,1,1,1,20061001
E1050,HCPCS,Whelchr fxd full length arms,NU,,28 ,,NW,,,,,,"$1,661.54",,1,1,1,1,1,1,20061001
E1060,HCPCS,Wheelchair detachable arms,RR,,28 ,,NW,,,,,,$183.21,,1,1,1,1,1,1,20061001
E1060,HCPCS,Wheelchair detachable arms,UE,,28 ,,NW,,,,,,"$1,627.55",,1,1,1,1,1,1,20061001
E1060,HCPCS,Wheelchair detachable arms,NU,,28 ,,NW,,,,,,"$2,170.50",,1,1,1,1,1,1,20061001
E1070,HCPCS,Wheelchair detachable foot r,RR,,28 ,,NW,,,,,,$159.24,,1,1,1,1,1,1,20061001
E1070,HCPCS,Wheelchair detachable foot r,UE,,28 ,,NW,,,,,,"$1,468.06",,1,1,1,1,1,1,20061001
E1070,HCPCS,Wheelchair detachable foot r,NU,,28 ,,NW,,,,,,"$1,957.79",,1,1,1,1,1,1,20061001
E1083,HCPCS,Hemi-wheelchair fixed arms,RR,,28 ,,NW,,,,,,$114.64,,1,1,1,1,1,1,20061001
E1083,HCPCS,Hemi-wheelchair fixed arms,UE,,28 ,,NW,,,,,,$835.24,,1,1,1,1,1,1,20061001
E1083,HCPCS,Hemi-wheelchair fixed arms,NU,,28 ,,NW,,,,,,"$1,144.74",,1,1,1,1,1,1,20061001
E1084,HCPCS,Hemi-wheelchair detachable a,RR,,28 ,,NW,,,,,,$142.69,,1,1,1,1,1,1,20061001
E1084,HCPCS,Hemi-wheelchair detachable a,UE,,28 ,,NW,,,,,,"$1,246.28",,1,1,1,1,1,1,20061001
E1084,HCPCS,Hemi-wheelchair detachable a,NU,,28 ,,NW,,,,,,"$1,744.65",,1,1,1,1,1,1,20061001
E1085,HCPCS,Hemi-wheelchair fixed arms,RR,,28 ,,NW,,,,,,$115.29,,1,1,1,1,1,1,20061001
E1085,HCPCS,Hemi-wheelchair fixed arms,UE,,28 ,,NW,,,,,,$824.16,,1,1,1,1,1,1,20061001
E1085,HCPCS,Hemi-wheelchair fixed arms,NU,,28 ,,NW,,,,,,"$1,147.49",,1,1,1,1,1,1,20061001
E1086,HCPCS,Hemi-wheelchair detachable a,RR,,28 ,,NW,,,,,,$127.48,,1,1,1,1,1,1,20061001
E1086,HCPCS,Hemi-wheelchair detachable a,UE,,28 ,,NW,,,,,,"$1,015.10",,1,1,1,1,1,1,20061001
E1086,HCPCS,Hemi-wheelchair detachable a,NU,,28 ,,NW,,,,,,"$1,397.62",,1,1,1,1,1,1,20061001
E1087,HCPCS,Wheelchair lightwt fixed arm,RR,,28 ,,NW,,,,,,$183.84,,1,1,1,1,1,1,20061001
E1087,HCPCS,Wheelchair lightwt fixed arm,UE,,28 ,,NW,,,,,,"$1,341.62",,1,1,1,1,1,1,20061001
E1087,HCPCS,Wheelchair lightwt fixed arm,NU,,28 ,,NW,,,,,,"$1,839.72",,1,1,1,1,1,1,20061001
E1088,HCPCS,Wheelchair lightweight det a,RR,,28 ,,NW,,,,,,$218.99,,1,1,1,1,1,1,20061001
E1088,HCPCS,Wheelchair lightweight det a,UE,,28 ,,NW,,,,,,"$1,505.96",,1,1,1,1,1,1,20061001
E1088,HCPCS,Wheelchair lightweight det a,NU,,28 ,,NW,,,,,,"$2,195.14",,1,1,1,1,1,1,20061001
E1089,HCPCS,Wheelchair lightwt fixed arm,RR,,28 ,,NW,,,,,,$186.05,,1,1,1,1,1,1,20061001
E1089,HCPCS,Wheelchair lightwt fixed arm,UE,,28 ,,NW,,,,,,"$1,390.90",,1,1,1,1,1,1,20061001
E1089,HCPCS,Wheelchair lightwt fixed arm,NU,,28 ,,NW,,,,,,"$1,854.54",,1,1,1,1,1,1,20061001
E1090,HCPCS,Wheelchair lightweight det a,RR,,28 ,,NW,,,,,,$186.05,,1,1,1,1,1,1,20061001
E1090,HCPCS,Wheelchair lightweight det a,UE,,28 ,,NW,,,,,,"$1,397.62",,1,1,1,1,1,1,20061001
E1090,HCPCS,Wheelchair lightweight det a,NU,,28 ,,NW,,,,,,"$1,911.88",,1,1,1,1,1,1,20061001
E1092,HCPCS,Wheelchair wide w/ leg rests,RR,,28 ,,NW,,,,,,$186.74,,1,1,1,1,1,1,20061001
E1092,HCPCS,Wheelchair wide w/ leg rests,UE,,28 ,,NW,,,,,,"$1,505.75",,1,1,1,1,1,1,20061001
E1092,HCPCS,Wheelchair wide w/ leg rests,NU,,28 ,,NW,,,,,,"$2,060.05",,1,1,1,1,1,1,20061001
E1093,HCPCS,Wheelchair wide w/ foot rest,RR,,28 ,,NW,,,,,,$160.69,,1,1,1,1,1,1,20061001
E1093,HCPCS,Wheelchair wide w/ foot rest,UE,,28 ,,NW,,,,,,"$1,169.00",,1,1,1,1,1,1,20061001
E1093,HCPCS,Wheelchair wide w/ foot rest,NU,,28 ,,NW,,,,,,"$1,571.00",,1,1,1,1,1,1,20061001
E1100,HCPCS,Whchr s-recl fxd arm leg res,RR,,28 ,,NW,,,,,,$150.96,,1,1,1,1,1,1,20061001
E1100,HCPCS,Whchr s-recl fxd arm leg res,UE,,28 ,,NW,,,,,,"$1,131.38",,1,1,1,1,1,1,20061001
E1100,HCPCS,Whchr s-recl fxd arm leg res,NU,,28 ,,NW,,,,,,"$1,507.97",,1,1,1,1,1,1,20061001
E1110,HCPCS,Wheelchair semi-recl detach,RR,,28 ,,NW,,,,,,$147.84,,1,1,1,1,1,1,20061001
E1110,HCPCS,Wheelchair semi-recl detach,UE,,28 ,,NW,,,,,,"$1,073.21",,1,1,1,1,1,1,20061001
E1110,HCPCS,Wheelchair semi-recl detach,NU,,28 ,,NW,,,,,,"$1,475.90",,1,1,1,1,1,1,20061001
E1130,HCPCS,Whlchr stand fxd arm ft rest,RR,,28 ,,NW,,,,,,$74.40,,1,1,1,1,1,1,20061001
E1130,HCPCS,Whlchr stand fxd arm ft rest,UE,,28 ,,NW,,,,,,$559.39,,1,1,1,1,1,1,20061001
E1130,HCPCS,Whlchr stand fxd arm ft rest,NU,,28 ,,NW,,,,,,$735.70,,1,1,1,1,1,1,20061001
E1140,HCPCS,Wheelchair standard detach a,RR,,28 ,,NW,,,,,,$106.74,,1,1,1,1,1,1,20061001
E1140,HCPCS,Wheelchair standard detach a,UE,,28 ,,NW,,,,,,$750.34,,1,1,1,1,1,1,20061001
E1140,HCPCS,Wheelchair standard detach a,NU,,28 ,,NW,,,,,,"$1,059.04",,1,1,1,1,1,1,20061001
E1150,HCPCS,Wheelchair standard w/ leg r,RR,,28 ,,NW,,,,,,$118.75,,1,1,1,1,1,1,20061001
E1150,HCPCS,Wheelchair standard w/ leg r,UE,,28 ,,NW,,,,,,$813.06,,1,1,1,1,1,1,20061001
E1150,HCPCS,Wheelchair standard w/ leg r,NU,,28 ,,NW,,,,,,"$1,228.02",,1,1,1,1,1,1,20061001
E1160,HCPCS,Wheelchair fixed arms,RR,,28 ,,NW,,,,,,$91.12,,1,1,1,1,1,1,20061001
E1160,HCPCS,Wheelchair fixed arms,UE,,28 ,,NW,,,,,,$694.85,,1,1,1,1,1,1,20061001
E1160,HCPCS,Wheelchair fixed arms,NU,,28 ,,NW,,,,,,$995.07,,1,1,1,1,1,1,20061001
E1161,HCPCS,Manual adult wc w tiltinspac,UE,,28 ,,NW,,,,,,"$2,571.15",,1,1,1,1,1,1,20061001
E1161,HCPCS,Manual adult wc w tiltinspac,NU,,28 ,,NW,,,,,,"$3,427.95",,1,1,1,1,1,1,20061001
E1170,HCPCS,Whlchr ampu fxd arm leg rest,RR,,28 ,,NW,,,,,,$129.97,,1,1,1,1,1,1,20061001
E1170,HCPCS,Whlchr ampu fxd arm leg rest,UE,,28 ,,NW,,,,,,$974.14,,1,1,1,1,1,1,20061001
E1170,HCPCS,Whlchr ampu fxd arm leg rest,NU,,28 ,,NW,,,,,,"$1,298.46",,1,1,1,1,1,1,20061001
E1171,HCPCS,Wheelchair amputee w/o leg r,RR,,28 ,,NW,,,,,,$116.69,,1,1,1,1,1,1,20061001
E1171,HCPCS,Wheelchair amputee w/o leg r,UE,,28 ,,NW,,,,,,$872.92,,1,1,1,1,1,1,20061001
E1171,HCPCS,Wheelchair amputee w/o leg r,NU,,28 ,,NW,,,,,,"$1,163.89",,1,1,1,1,1,1,20061001
E1172,HCPCS,Wheelchair amputee detach ar,RR,,28 ,,NW,,,,,,$142.48,,1,1,1,1,1,1,20061001
E1172,HCPCS,Wheelchair amputee detach ar,UE,,28 ,,NW,,,,,,"$1,066.12",,1,1,1,1,1,1,20061001
E1172,HCPCS,Wheelchair amputee detach ar,NU,,28 ,,NW,,,,,,"$1,421.33",,1,1,1,1,1,1,20061001
E1180,HCPCS,Wheelchair amputee w/ foot r,RR,,28 ,,NW,,,,,,$147.39,,1,1,1,1,1,1,20061001
E1180,HCPCS,Wheelchair amputee w/ foot r,UE,,28 ,,NW,,,,,,"$1,105.96",,1,1,1,1,1,1,20061001
E1180,HCPCS,Wheelchair amputee w/ foot r,NU,,28 ,,NW,,,,,,"$1,474.98",,1,1,1,1,1,1,20061001
E1190,HCPCS,Wheelchair amputee w/ leg re,RR,,28 ,,NW,,,,,,$170.17,,1,1,1,1,1,1,20061001
E1190,HCPCS,Wheelchair amputee w/ leg re,UE,,28 ,,NW,,,,,,"$1,243.40",,1,1,1,1,1,1,20061001
E1190,HCPCS,Wheelchair amputee w/ leg re,NU,,28 ,,NW,,,,,,"$1,702.91",,1,1,1,1,1,1,20061001
E1195,HCPCS,Wheelchair amputee heavy dut,RR,,28 ,,NW,,,,,,$182.57,,1,1,1,1,1,1,20061001
E1195,HCPCS,Wheelchair amputee heavy dut,UE,,28 ,,NW,,,,,,"$1,369.80",,1,1,1,1,1,1,20061001
E1195,HCPCS,Wheelchair amputee heavy dut,NU,,28 ,,NW,,,,,,"$1,825.68",,1,1,1,1,1,1,20061001
E1200,HCPCS,Wheelchair amputee fixed arm,RR,,28 ,,NW,,,,,,$126.63,,1,1,1,1,1,1,20061001
E1200,HCPCS,Wheelchair amputee fixed arm,UE,,28 ,,NW,,,,,,$947.93,,1,1,1,1,1,1,20061001
E1200,HCPCS,Wheelchair amputee fixed arm,NU,,28 ,,NW,,,,,,"$1,264.24",,1,1,1,1,1,1,20061001
E1220,HCPCS,Whlchr special size/constrc,,,28 ,,NW,,,,,,"$3,678.20",,1,1,1,1,1,1,20061001
E1221,HCPCS,Wheelchair spec size w foot,RR,,28 ,,NW,,,,,,$69.54,,1,1,1,1,1,1,20061001
E1221,HCPCS,Wheelchair spec size w foot,UE,,28 ,,NW,,,,,,$522.10,,1,1,1,1,1,1,20061001
E1221,HCPCS,Wheelchair spec size w foot,NU,,28 ,,NW,,,,,,$695.93,,1,1,1,1,1,1,20061001
E1222,HCPCS,Wheelchair spec size w/ leg,RR,,28 ,,NW,,,,,,$98.79,,1,1,1,1,1,1,20061001
E1222,HCPCS,Wheelchair spec size w/ leg,UE,,28 ,,NW,,,,,,$712.91,,1,1,1,1,1,1,20061001
E1222,HCPCS,Wheelchair spec size w/ leg,NU,,28 ,,NW,,,,,,$990.85,,1,1,1,1,1,1,20061001
E1223,HCPCS,Wheelchair spec size w foot,RR,,28 ,,NW,,,,,,$107.81,,1,1,1,1,1,1,20061001
E1223,HCPCS,Wheelchair spec size w foot,UE,,28 ,,NW,,,,,,$768.85,,1,1,1,1,1,1,20061001
E1223,HCPCS,Wheelchair spec size w foot,NU,,28 ,,NW,,,,,,"$1,074.91",,1,1,1,1,1,1,20061001
E1224,HCPCS,Wheelchair spec size w/ leg,RR,,28 ,,NW,,,,,,$118.13,,1,1,1,1,1,1,20061001
E1224,HCPCS,Wheelchair spec size w/ leg,UE,,28 ,,NW,,,,,,$833.19,,1,1,1,1,1,1,20061001
E1224,HCPCS,Wheelchair spec size w/ leg,NU,,28 ,,NW,,,,,,"$1,241.61",,1,1,1,1,1,1,20061001
E1225,HCPCS,Wheelchair spec sz semi-recl,RR,,28 ,,NW,,,,,,$66.34,,1,1,1,1,1,1,20061001
E1225,HCPCS,Wheelchair spec sz semi-recl,UE,,28 ,,NW,,,,,,$497.78,,1,1,1,1,1,1,20061001
E1225,HCPCS,Wheelchair spec sz semi-recl,NU,,28 ,,NW,,,,,,$663.34,,1,1,1,1,1,1,20061001
E1226,HCPCS,W/C access fully reclineback,RR,,28 ,,NW,,,,,,$81.95,,1,1,1,1,1,1,20061001
E1226,HCPCS,W/C access fully reclineback,UE,,28 ,,NW,,,,,,$593.33,,1,1,1,1,1,1,20061001
E1226,HCPCS,W/C access fully reclineback,NU,,28 ,,NW,,,,,,$790.98,,1,1,1,1,1,1,20061001
E1227,HCPCS,Wheelchair spec sz spec ht a,RR,,28 ,,NW,,,,,,$42.16,,1,1,1,1,1,1,20061001
E1227,HCPCS,Wheelchair spec sz spec ht a,UE,,28 ,,NW,,,,,,$302.11,,1,1,1,1,1,1,20061001
E1227,HCPCS,Wheelchair spec sz spec ht a,NU,,28 ,,NW,,,,,,$402.56,,1,1,1,1,1,1,20061001
E1228,HCPCS,Wheelchair spec sz spec ht b,RR,,28 ,,NW,,,,,,$42.55,,1,1,1,1,1,1,20061001
E1228,HCPCS,Wheelchair spec sz spec ht b,UE,,28 ,,NW,,,,,,$317.67,,1,1,1,1,1,1,20061001
E1228,HCPCS,Wheelchair spec sz spec ht b,NU,,28 ,,NW,,,,,,$423.74,,1,1,1,1,1,1,20061001
E1230,HCPCS,Power operated vehicle,RR,,28 ,,NW,,,,,,$322.82,,1,1,1,1,1,1,20061001
E1230,HCPCS,Power operated vehicle,UE,,28 ,,NW,,,,,,"$2,591.75",,1,1,1,1,1,1,20061001
E1230,HCPCS,Power operated vehicle,NU,,28 ,,NW,,,,,,"$3,276.88",,1,1,1,1,1,1,20061001
E1232,HCPCS,Folding ped wc tilt-in-space,UE,,28 ,,NW,,,,,,"$2,323.78",,1,1,1,1,1,1,20061001
E1232,HCPCS,Folding ped wc tilt-in-space,NU,,28 ,,NW,,,,,,"$3,098.16",,1,1,1,1,1,1,20061001
E1233,HCPCS,Rig ped wc tltnspc w/o seat,UE,,28 ,,NW,,,,,,"$2,407.75",,1,1,1,1,1,1,20061001
E1233,HCPCS,Rig ped wc tltnspc w/o seat,NU,,28 ,,NW,,,,,,"$3,210.15",,1,1,1,1,1,1,20061001
E1234,HCPCS,Fld ped wc tltnspc w/o seat,UE,,28 ,,NW,,,,,,"$2,096.18",,1,1,1,1,1,1,20061001
E1234,HCPCS,Fld ped wc tltnspc w/o seat,NU,,28 ,,NW,,,,,,"$2,794.75",,1,1,1,1,1,1,20061001
E1235,HCPCS,Rigid ped wc adjustable,UE,,28 ,,NW,,,,,,"$2,018.50",,1,1,1,1,1,1,20061001
E1235,HCPCS,Rigid ped wc adjustable,NU,,28 ,,NW,,,,,,"$2,691.15",,1,1,1,1,1,1,20061001
E1236,HCPCS,Folding ped wc adjustable,UE,,28 ,,NW,,,,,,"$1,780.91",,1,1,1,1,1,1,20061001
E1236,HCPCS,Folding ped wc adjustable,NU,,28 ,,NW,,,,,,"$2,374.35",,1,1,1,1,1,1,20061001
E1237,HCPCS,Rgd ped wc adjstabl w/o seat,UE,,28 ,,NW,,,,,,"$1,796.49",,1,1,1,1,1,1,20061001
E1237,HCPCS,Rgd ped wc adjstabl w/o seat,NU,,28 ,,NW,,,,,,"$2,395.08",,1,1,1,1,1,1,20061001
E1238,HCPCS,Fld ped wc adjstabl w/o seat,UE,,28 ,,NW,,,,,,"$1,873.03",,1,1,1,1,1,1,20061001
E1238,HCPCS,Fld ped wc adjstabl w/o seat,NU,,28 ,,NW,,,,,,"$2,497.20",,1,1,1,1,1,1,20061001
E1240,HCPCS,Whchr litwt det arm leg rest,RR,,28 ,,NW,,,,,,$149.82,,1,1,1,1,1,1,20061001
E1240,HCPCS,Whchr litwt det arm leg rest,UE,,28 ,,NW,,,,,,"$1,072.22",,1,1,1,1,1,1,20061001
E1240,HCPCS,Whchr litwt det arm leg rest,NU,,28 ,,NW,,,,,,"$1,498.10",,1,1,1,1,1,1,20061001
E1250,HCPCS,Wheelchair lightwt fixed arm,RR,,28 ,,NW,,,,,,$103.69,,1,1,1,1,1,1,20061001
E1250,HCPCS,Wheelchair lightwt fixed arm,UE,,28 ,,NW,,,,,,$897.37,,1,1,1,1,1,1,20061001
E1250,HCPCS,Wheelchair lightwt fixed arm,NU,,28 ,,NW,,,,,,"$1,132.86",,1,1,1,1,1,1,20061001
E1260,HCPCS,Wheelchair lightwt foot rest,RR,,28 ,,NW,,,,,,$132.97,,1,1,1,1,1,1,20061001
E1260,HCPCS,Wheelchair lightwt foot rest,UE,,28 ,,NW,,,,,,"$1,044.39",,1,1,1,1,1,1,20061001
E1260,HCPCS,Wheelchair lightwt foot rest,NU,,28 ,,NW,,,,,,"$1,323.80",,1,1,1,1,1,1,20061001
E1270,HCPCS,Wheelchair lightweight leg r,RR,,28 ,,NW,,,,,,$114.94,,1,1,1,1,1,1,20061001
E1270,HCPCS,Wheelchair lightweight leg r,UE,,28 ,,NW,,,,,,$845.70,,1,1,1,1,1,1,20061001
E1270,HCPCS,Wheelchair lightweight leg r,NU,,28 ,,NW,,,,,,"$1,151.79",,1,1,1,1,1,1,20061001
E1280,HCPCS,Whchr h-duty det arm leg res,RR,,28 ,,NW,,,,,,$190.73,,1,1,1,1,1,1,20061001
E1280,HCPCS,Whchr h-duty det arm leg res,UE,,28 ,,NW,,,,,,"$1,368.09",,1,1,1,1,1,1,20061001
E1280,HCPCS,Whchr h-duty det arm leg res,NU,,28 ,,NW,,,,,,"$1,908.59",,1,1,1,1,1,1,20061001
E1285,HCPCS,Wheelchair heavy duty fixed,RR,,28 ,,NW,,,,,,$171.40,,1,1,1,1,1,1,20061001
E1285,HCPCS,Wheelchair heavy duty fixed,UE,,28 ,,NW,,,,,,"$1,250.59",,1,1,1,1,1,1,20061001
E1285,HCPCS,Wheelchair heavy duty fixed,NU,,28 ,,NW,,,,,,"$1,706.30",,1,1,1,1,1,1,20061001
E1290,HCPCS,Wheelchair hvy duty detach a,RR,,28 ,,NW,,,,,,$176.90,,1,1,1,1,1,1,20061001
E1290,HCPCS,Wheelchair hvy duty detach a,UE,,28 ,,NW,,,,,,"$1,287.18",,1,1,1,1,1,1,20061001
E1290,HCPCS,Wheelchair hvy duty detach a,NU,,28 ,,NW,,,,,,"$1,764.85",,1,1,1,1,1,1,20061001
E1295,HCPCS,Wheelchair heavy duty fixed,RR,,28 ,,NW,,,,,,$176.54,,1,1,1,1,1,1,20061001
E1295,HCPCS,Wheelchair heavy duty fixed,UE,,28 ,,NW,,,,,,"$1,282.73",,1,1,1,1,1,1,20061001
E1295,HCPCS,Wheelchair heavy duty fixed,NU,,28 ,,NW,,,,,,"$1,765.38",,1,1,1,1,1,1,20061001
E1296,HCPCS,Wheelchair special seat heig,RR,,28 ,,NW,,,,,,$72.93,,1,1,1,1,1,1,20061001
E1296,HCPCS,Wheelchair special seat heig,UE,,28 ,,NW,,,,,,$534.74,,1,1,1,1,1,1,20061001
E1296,HCPCS,Wheelchair special seat heig,NU,,28 ,,NW,,,,,,$712.80,,1,1,1,1,1,1,20061001
E1297,HCPCS,Wheelchair special seat dept,RR,,28 ,,NW,,,,,,$19.82,,1,1,1,1,1,1,20061001
E1297,HCPCS,Wheelchair special seat dept,UE,,28 ,,NW,,,,,,$114.24,,1,1,1,1,1,1,20061001
E1297,HCPCS,Wheelchair special seat dept,NU,,28 ,,NW,,,,,,$152.13,,1,1,1,1,1,1,20061001
E1298,HCPCS,Wheelchair spec seat depth/w,RR,,28 ,,NW,,,,,,$63.78,,1,1,1,1,1,1,20061001
E1298,HCPCS,Wheelchair spec seat depth/w,UE,,28 ,,NW,,,,,,$460.83,,1,1,1,1,1,1,20061001
E1298,HCPCS,Wheelchair spec seat depth/w,NU,,28 ,,NW,,,,,,$614.27,,1,1,1,1,1,1,20061001
E1300,HCPCS,Whirlpool portable,RR,,28 ,,NW,,,,,,$14.54,,1,1,1,1,1,1,20061001
E1300,HCPCS,Whirlpool portable,UE,,28 ,,NW,,,,,,$105.72,,1,1,1,1,1,1,20061001
E1300,HCPCS,Whirlpool portable,NU,,28 ,,NW,,,,,,$140.92,,1,1,1,1,1,1,20061001
E1310,HCPCS,Whirlpool non-portable,RR,,28 ,,NW,,,,,,$339.77,,1,1,1,1,1,1,20061001
E1310,HCPCS,Whirlpool non-portable,UE,,28 ,,NW,,,,,,"$3,060.76",,1,1,1,1,1,1,20061001
E1310,HCPCS,Whirlpool non-portable,NU,,28 ,,NW,,,,,,"$4,084.51",,1,1,1,1,1,1,20061001
E1340,HCPCS,"Repair for DME, per 15 min",,,28 ,,NW,,,,,,$19.46,,1,1,1,1,1,1,20061001
E1353,HCPCS,Oxygen supplies regulator,RR,,28 ,,NW,,,,,,$9.93,,1,1,1,1,1,1,20061001
E1353,HCPCS,Oxygen supplies regulator,UE,,28 ,,NW,,,,,,$147.64,,1,1,1,1,1,1,20061001
E1353,HCPCS,Oxygen supplies regulator,NU,,28 ,,NW,,,,,,$183.16,,1,1,1,1,1,1,20061001
E1355,HCPCS,Oxygen supplies stand/rack,RR,,28 ,,NW,,,,,,$14.11,,1,1,1,1,1,1,20061001
E1355,HCPCS,Oxygen supplies stand/rack,UE,,28 ,,NW,,,,,,$102.26,,1,1,1,1,1,1,20061001
E1355,HCPCS,Oxygen supplies stand/rack,NU,,28 ,,NW,,,,,,$125.94,,1,1,1,1,1,1,20061001
E1372,HCPCS,Oxy suppl heater for nebuliz,RR,,28 ,,NW,,,,,,$40.02,,1,1,1,1,1,1,20061001
E1372,HCPCS,Oxy suppl heater for nebuliz,UE,,28 ,,NW,,,,,,$219.64,,1,1,1,1,1,1,20061001
E1372,HCPCS,Oxy suppl heater for nebuliz,NU,,28 ,,NW,,,,,,$300.40,,1,1,1,1,1,1,20061001
E1390,HCPCS,Oxygen concentrator,RR,,28 ,,NW,,,,,,$554.68,,1,1,1,1,1,1,20061001
E1390,HCPCS,Oxygen concentrator,NU,,28 ,,NW,,,,,,"$4,218.60",,1,1,1,1,1,1,20061001
E1391,HCPCS,"Oxygen concentrator, dual",,,28 ,,NW,,,,,,$554.68,,1,1,1,1,1,1,20061001
E1399,HCPCS,Durable medical equipment mi,,,28 ,2,NW,,,,,,$3.28,,1,1,1,1,1,1,20061001
E1405,HCPCS,O2/water vapor enrich w/heat,RR,,28 ,,NW,,,,,,$574.83,,1,1,1,1,1,1,20061001
E1405,HCPCS,O2/water vapor enrich w/heat,UE,,28 ,,NW,,,,,,"$4,182.24",,1,1,1,1,1,1,20061001
E1405,HCPCS,O2/water vapor enrich w/heat,NU,,28 ,,NW,,,,,,"$5,574.75",,1,1,1,1,1,1,20061001
E1406,HCPCS,O2/water vapor enrich w/o he,RR,,28 ,,NW,,,,,,$242.36,,1,1,1,1,1,1,20061001
E1406,HCPCS,O2/water vapor enrich w/o he,UE,,28 ,,NW,,,,,,"$1,763.27",,1,1,1,1,1,1,20061001
E1406,HCPCS,O2/water vapor enrich w/o he,NU,,28 ,,NW,,,,,,"$2,350.38",,1,1,1,1,1,1,20061001
E1510,HCPCS,Kidney dialysate delivry sys,RR,,28 ,,NW,,,,,,$743.02,,1,1,1,1,1,1,20061001
E1510,HCPCS,Kidney dialysate delivry sys,UE,,28 ,,NW,,,,,,"$5,406.03",,1,1,1,1,1,1,20061001
E1510,HCPCS,Kidney dialysate delivry sys,NU,,28 ,,NW,,,,,,"$7,206.01",,1,1,1,1,1,1,20061001
E1520,HCPCS,Heparin infusion pump,RR,,28 ,,NW,,,,,,$100.65,,1,1,1,1,1,1,20061001
E1520,HCPCS,Heparin infusion pump,UE,,28 ,,NW,,,,,,$732.31,,1,1,1,1,1,1,20061001
E1520,HCPCS,Heparin infusion pump,NU,,28 ,,NW,,,,,,$976.13,,1,1,1,1,1,1,20061001
E1530,HCPCS,Replacement air bubble detec,RR,,28 ,,NW,,,,,,$145.63,,1,1,1,1,1,1,20061001
E1530,HCPCS,Replacement air bubble detec,UE,,28 ,,NW,,,,,,"$1,059.51",,1,1,1,1,1,1,20061001
E1530,HCPCS,Replacement air bubble detec,NU,,28 ,,NW,,,,,,"$1,412.28",,1,1,1,1,1,1,20061001
E1540,HCPCS,Replacement pressure alarm,RR,,28 ,,NW,,,,,,$90.23,,1,1,1,1,1,1,20061001
E1540,HCPCS,Replacement pressure alarm,UE,,28 ,,NW,,,,,,$656.47,,1,1,1,1,1,1,20061001
E1540,HCPCS,Replacement pressure alarm,NU,,28 ,,NW,,,,,,$875.04,,1,1,1,1,1,1,20061001
E1550,HCPCS,Bath conductivity meter,RR,,28 ,,NW,,,,,,$58.79,,1,1,1,1,1,1,20061001
E1550,HCPCS,Bath conductivity meter,UE,,28 ,,NW,,,,,,$427.73,,1,1,1,1,1,1,20061001
E1550,HCPCS,Bath conductivity meter,NU,,28 ,,NW,,,,,,$570.15,,1,1,1,1,1,1,20061001
E1560,HCPCS,Replace blood leak detector,RR,,28 ,,NW,,,,,,$165.64,,1,1,1,1,1,1,20061001
E1560,HCPCS,Replace blood leak detector,UE,,28 ,,NW,,,,,,"$1,205.18",,1,1,1,1,1,1,20061001
E1560,HCPCS,Replace blood leak detector,NU,,28 ,,NW,,,,,,"$1,606.45",,1,1,1,1,1,1,20061001
E1570,HCPCS,Adjustable chair for esrd pt,RR,,28 ,,NW,,,,,,$65.33,,1,1,1,1,1,1,20061001
E1570,HCPCS,Adjustable chair for esrd pt,UE,,28 ,,NW,,,,,,$475.27,,1,1,1,1,1,1,20061001
E1570,HCPCS,Adjustable chair for esrd pt,NU,,28 ,,NW,,,,,,$633.50,,1,1,1,1,1,1,20061001
E1575,HCPCS,Transducer protect/fld bar,RR,,28 ,,NW,,,,,,$8.69,,1,1,1,1,1,1,20061001
E1575,HCPCS,Transducer protect/fld bar,UE,,28 ,,NW,,,,,,$63.22,,1,1,1,1,1,1,20061001
E1575,HCPCS,Transducer protect/fld bar,NU,,28 ,,NW,,,,,,$84.26,,1,1,1,1,1,1,20061001
E1590,HCPCS,Hemodialysis machine,RR,,28 ,,NW,,,,,,$162.89,,1,1,1,1,1,1,20061001
E1590,HCPCS,Hemodialysis machine,UE,,28 ,,NW,,,,,,"$1,185.10",,1,1,1,1,1,1,20061001
E1590,HCPCS,Hemodialysis machine,NU,,28 ,,NW,,,,,,"$1,579.69",,1,1,1,1,1,1,20061001
E1594,HCPCS,Cycler dialysis machine,RR,,28 ,,NW,,,,,,$747.69,,1,1,1,1,1,1,20061001
E1594,HCPCS,Cycler dialysis machine,UE,,28 ,,NW,,,,,,"$5,440.00",,1,1,1,1,1,1,20061001
E1594,HCPCS,Cycler dialysis machine,NU,,28 ,,NW,,,,,,"$7,251.30",,1,1,1,1,1,1,20061001
E1600,HCPCS,Deli/install chrg hemo equip,,,28 ,,NW,,,,,,$233.02,,1,1,1,0,1,1,20061001
E1610,HCPCS,Reverse osmosis h2o puri sys,RR,,28 ,,NW,,,,,,$571.57,,1,1,1,1,1,1,20061001
E1610,HCPCS,Reverse osmosis h2o puri sys,UE,,28 ,,NW,,,,,,"$4,158.49",,1,1,1,1,1,1,20061001
E1610,HCPCS,Reverse osmosis h2o puri sys,NU,,28 ,,NW,,,,,,"$5,543.08",,1,1,1,1,1,1,20061001
E1635,HCPCS,Compact travel hemodialyzer,,,28 ,,NW,,,,,,$672.90,,1,1,1,0,1,1,20061001
E1636,HCPCS,Sorbent cartridges per 10,,,28 ,,NW,,,,,,$248.69,,1,1,1,0,1,1,20061001
E1637,HCPCS,"Hemostats for dialysis, each",,,28 ,,NW,,,,,,$8.52,,1,1,1,1,1,1,20061001
E1639,HCPCS,Dialysis scale,,,28 ,,NW,,,,,,$160.67,,1,1,1,1,1,1,20061001
E1699,HCPCS,Dialysis equipment noc,,,28 ,,NW,,,,,,$87.49,,1,1,1,1,1,1,20061001
E1700,HCPCS,Jaw motion rehab system,NU,,28 ,,NW,,,,,,$647.11,,1,1,1,1,1,1,20061001
E1701,HCPCS,Repl cushions for jaw motion,,,28 ,,NW,,,,,,$20.29,,1,1,1,1,1,1,20061001
E1702,HCPCS,Repl measr scales jaw motion,,,28 ,,NW,,,,,,$38.32,,1,1,1,1,1,1,20061001
E1800,HCPCS,Adjust elbow ext/flex device,RR,,28 ,,NW,,,,,,$223.12,,1,1,1,1,1,1,20061001
E1801,HCPCS,SPS elbow device,RR,,28 ,,NW,,,,,,$235.52,,1,1,1,1,1,1,20061001
E1802,HCPCS,Adjst forearm pro/sup device,,,28 ,,NW,,,,,,$612.71,,1,1,1,1,1,1,20061001
E1805,HCPCS,Adjust wrist ext/flex device,RR,,28 ,,NW,,,,,,$230.44,,1,1,1,1,1,1,20061001
E1806,HCPCS,SPS wrist device,RR,,28 ,,NW,,,,,,$191.48,,1,1,1,1,1,1,20061001
E1810,HCPCS,Adjust knee ext/flex device,RR,,28 ,,NW,,,,,,$227.10,,1,1,1,1,1,1,20061001
E1811,HCPCS,SPS knee device,RR,,28 ,,NW,,,,,,$245.28,,1,1,1,1,1,1,20061001
E1815,HCPCS,Adjust ankle ext/flex device,RR,,28 ,,NW,,,,,,$230.44,,1,1,1,1,1,1,20061001
E1816,HCPCS,SPS ankle device,RR,,28 ,,NW,,,,,,$249.31,,1,1,1,1,1,1,20061001
E1818,HCPCS,SPS forearm device,RR,,28 ,,NW,,,,,,$254.76,,1,1,1,1,1,1,20061001
E1820,HCPCS,Soft interface material,RR,,28 ,,NW,,,,,,$16.62,,1,1,1,1,1,1,20061001
E1820,HCPCS,Soft interface material,UE,,28 ,,NW,,,,,,$106.45,,1,1,1,1,1,1,20061001
E1820,HCPCS,Soft interface material,NU,,28 ,,NW,,,,,,$145.40,,1,1,1,1,1,1,20061001
E1821,HCPCS,Replacement interface SPSD,RR,,28 ,,NW,,,,,,$20.15,,1,1,1,1,1,1,20061001
E1821,HCPCS,Replacement interface SPSD,UE,,28 ,,NW,,,,,,$140.08,,1,1,1,1,1,1,20061001
E1821,HCPCS,Replacement interface SPSD,NU,,28 ,,NW,,,,,,$190.23,,1,1,1,1,1,1,20061001
E1825,HCPCS,Adjust finger ext/flex devc,RR,,28 ,,NW,,,,,,$230.44,,1,1,1,1,1,1,20061001
E1830,HCPCS,Adjust toe ext/flex device,RR,,28 ,,NW,,,,,,$230.44,,1,1,1,1,1,1,20061001
E1840,HCPCS,Adj shoulder ext/flex device,RR,,28 ,,NW,,,,,,$719.33,,1,1,1,1,1,1,20061001
E1841,HCPCS,Static str shldr dev rom adj,,,28 ,,NW,,,,,,$484.71,,1,1,1,0,1,1,20061001
E1902,HCPCS,AAC non-electronic board,,,28 ,,NW,,,,,,$435.24,,1,1,1,0,1,1,20061001
E2000,HCPCS,Gastric suction pump hme mdl,RR,,28 ,,NW,,,,,,$88.37,,1,1,1,1,1,1,20061001
E2100,HCPCS,Bld glucose monitor w voice,,,28 ,,NW,,,,,,$909.43,,1,1,1,1,1,1,20061001
E2101,HCPCS,Bld glucose monitor w lance,,,28 ,,NW,,,,,,$259.20,,1,1,1,1,1,1,20061001
E2120,HCPCS,Pulse gen sys tx endolymp fl,,,28 ,,NW,,,,,,$303.37,,1,1,1,0,1,1,20061001
E2201,HCPCS,Man w/ch acc seat w>=20?<24?,,,28 ,,NW,,,,,,$39.93,,1,1,1,0,1,1,20061001
E2202,HCPCS,Seat width 24-27 in,,,28 ,,NW,,,,,,$50.72,,1,1,1,0,1,1,20061001
E2203,HCPCS,Frame depth less than 22 in,,,28 ,,NW,,,,,,$51.25,,1,1,1,0,1,1,20061001
E2204,HCPCS,Frame depth 22 to 25 in,,,28 ,,NW,,,,,,$87.05,,1,1,1,0,1,1,20061001
E2205,HCPCS,"Manual wc accessory, handrim",,,28 ,,NW,,,,,,$3.48,,1,1,1,0,1,1,20061001
E2206,HCPCS,Complete wheel lock assembly,,,28 ,,NW,,,,,,$4.35,,1,1,1,0,1,1,20061001
E2300,HCPCS,Pwr seat elevation sys,,,28 ,,NW,,,,,,"$11,452.40",,1,1,1,0,1,1,20061001
E2310,HCPCS,Electro connect btw control,NU,,28 ,,NW,,,,,,"$1,674.01",,1,1,1,0,1,1,20061001
E2310,HCPCS,Electro connect btw control,RR,,28 ,,NW,,,,,,"$1,674.01",,1,1,1,0,1,1,20061001
E2310,HCPCS,Electro connect btw control,UE,,28 ,,NW,,,,,,"$1,674.01",,1,1,1,0,1,1,20061001
E2311,HCPCS,Electro connect btw 2 sys,NU,,28 ,,NW,,,,,,$87.82,,1,1,1,0,1,1,20061001
E2311,HCPCS,Electro connect btw 2 sys,RR,,28 ,,NW,,,,,,$87.82,,1,1,1,0,1,1,20061001
E2311,HCPCS,Electro connect btw 2 sys,UE,,28 ,,NW,,,,,,$87.82,,1,1,1,0,1,1,20061001
E2320,HCPCS,Hand chin control,,,28 ,,NW,,,,,,$225.55,,1,1,1,0,1,1,20061001
E2321,HCPCS,Hand interface joystick,,,28 ,,NW,,,,,,$432.53,,1,1,1,0,1,1,20061001
E2322,HCPCS,Mult mech switches,,,28 ,,NW,,,,,,$196.59,,1,1,1,0,1,1,20061001
E2323,HCPCS,Special joystick handle,NU,,28 ,,NW,,,,,,$85.11,,1,1,1,0,1,1,20061001
E2323,HCPCS,Special joystick handle,RR,,28 ,,NW,,,,,,$85.11,,1,1,1,0,1,1,20061001
E2323,HCPCS,Special joystick handle,UE,,28 ,,NW,,,,,,$85.11,,1,1,1,0,1,1,20061001
E2324,HCPCS,Chin cup interface,NU,,28 ,,NW,,,,,,$46.89,,1,1,1,0,1,1,20061001
E2324,HCPCS,Chin cup interface,RR,,28 ,,NW,,,,,,$46.89,,1,1,1,0,1,1,20061001
E2324,HCPCS,Chin cup interface,UE,,28 ,,NW,,,,,,$46.89,,1,1,1,0,1,1,20061001
E2325,HCPCS,Sip and puff interface,NU,,28 ,,NW,,,,,,$429.35,,1,1,1,0,1,1,20061001
E2325,HCPCS,Sip and puff interface,RR,,28 ,,NW,,,,,,$429.35,,1,1,1,0,1,1,20061001
E2325,HCPCS,Sip and puff interface,UE,,28 ,,NW,,,,,,$429.35,,1,1,1,0,1,1,20061001
E2326,HCPCS,Breath tube kit,NU,,28 ,,NW,,,,,,$371.44,,1,1,1,0,1,1,20061001
E2326,HCPCS,Breath tube kit,RR,,28 ,,NW,,,,,,$371.44,,1,1,1,0,1,1,20061001
E2326,HCPCS,Breath tube kit,UE,,28 ,,NW,,,,,,$371.44,,1,1,1,0,1,1,20061001
E2327,HCPCS,Head control interface mech,,,28 ,,NW,,,,,,$279.53,,1,1,1,0,1,1,20061001
E2328,HCPCS,Head/extremity control inter,NU,,28 ,,NW,,,,,,"$5,302.20",,1,1,1,0,1,1,20061001
E2328,HCPCS,Head/extremity control inter,RR,,28 ,,NW,,,,,,"$5,302.20",,1,1,1,0,1,1,20061001
E2328,HCPCS,Head/extremity control inter,UE,,28 ,,NW,,,,,,"$5,302.20",,1,1,1,0,1,1,20061001
E2329,HCPCS,Head control nonproportional,NU,,28 ,,NW,,,,,,"$1,889.76",,1,1,1,0,1,1,20061001
E2329,HCPCS,Head control nonproportional,RR,,28 ,,NW,,,,,,"$1,889.76",,1,1,1,0,1,1,20061001
E2329,HCPCS,Head control nonproportional,UE,,28 ,,NW,,,,,,"$1,889.76",,1,1,1,0,1,1,20061001
E2330,HCPCS,Head control proximity switc,NU,,28 ,,NW,,,,,,"$3,661.64",,1,1,1,0,1,1,20061001
E2330,HCPCS,Head control proximity switc,RR,,28 ,,NW,,,,,,"$3,661.64",,1,1,1,0,1,1,20061001
E2330,HCPCS,Head control proximity switc,UE,,28 ,,NW,,,,,,"$3,661.64",,1,1,1,0,1,1,20061001
E2331,HCPCS,Attendant control,,,28 ,,NW,,,,,,$14.34,,1,1,1,0,1,1,20061001
E2340,HCPCS,W/c wdth 20-23 in seat frame,NU,,28 ,,NW,,,,,,$383.45,,1,1,1,0,1,1,20061001
E2340,HCPCS,W/c wdth 20-23 in seat frame,RR,,28 ,,NW,,,,,,$383.45,,1,1,1,0,1,1,20061001
E2340,HCPCS,W/c wdth 20-23 in seat frame,UE,,28 ,,NW,,,,,,$383.45,,1,1,1,0,1,1,20061001
E2341,HCPCS,W/c wdth 24-27 in seat frame,NU,,28 ,,NW,,,,,,$575.22,,1,1,1,0,1,1,20061001
E2341,HCPCS,W/c wdth 24-27 in seat frame,RR,,28 ,,NW,,,,,,$575.22,,1,1,1,0,1,1,20061001
E2341,HCPCS,W/c wdth 24-27 in seat frame,UE,,28 ,,NW,,,,,,$575.22,,1,1,1,0,1,1,20061001
E2342,HCPCS,W/c dpth 20-21 in seat frame,NU,,28 ,,NW,,,,,,$479.34,,1,1,1,0,1,1,20061001
E2342,HCPCS,W/c dpth 20-21 in seat frame,RR,,28 ,,NW,,,,,,$479.34,,1,1,1,0,1,1,20061001
E2342,HCPCS,W/c dpth 20-21 in seat frame,UE,,28 ,,NW,,,,,,$479.34,,1,1,1,0,1,1,20061001
E2343,HCPCS,W/c dpth 22-25 in seat frame,NU,,28 ,,NW,,,,,,$766.96,,1,1,1,0,1,1,20061001
E2343,HCPCS,W/c dpth 22-25 in seat frame,RR,,28 ,,NW,,,,,,$766.96,,1,1,1,0,1,1,20061001
E2343,HCPCS,W/c dpth 22-25 in seat frame,UE,,28 ,,NW,,,,,,$766.96,,1,1,1,0,1,1,20061001
E2351,HCPCS,Electronic SGD interface,NU,,28 ,,NW,,,,,,$189.17,,1,1,1,0,1,1,20061001
E2351,HCPCS,Electronic SGD interface,RR,,28 ,,NW,,,,,,$189.17,,1,1,1,0,1,1,20061001
E2351,HCPCS,Electronic SGD interface,UE,,28 ,,NW,,,,,,$189.17,,1,1,1,0,1,1,20061001
E2360,HCPCS,22nf nonsealed leadacid,,,28 ,,NW,,,,,,$163.32,,1,1,1,1,1,1,20061001
E2361,HCPCS,22nf sealed leadacid battery,,,28 ,,NW,,,,,,$202.61,,1,1,1,1,1,1,20061001
E2362,HCPCS,Gr24 nonsealed leadacid,,,28 ,,NW,,,,,,$133.82,,1,1,1,1,1,1,20061001
E2363,HCPCS,Gr24 sealed leadacid battery,,,28 ,,NW,,,,,,$270.02,,1,1,1,1,1,1,20061001
E2364,HCPCS,U1nonsealed leadacid battery,,,28 ,,NW,,,,,,$163.32,,1,1,1,1,1,1,20061001
E2365,HCPCS,U1 sealed leadacid battery,,,28 ,,NW,,,,,,$163.07,,1,1,1,1,1,1,20061001
E2366,HCPCS,"Battery charger, single mode",,,28 ,,NW,,,,,,$382.46,,1,1,1,1,1,1,20061001
E2367,HCPCS,"Battery charger, dual mode",,,28 ,,NW,,,,,,$607.64,,1,1,1,1,1,1,20061001
E2368,HCPCS,Power wc motor replacement,,,28 ,,NW,,,,,,$55.29,,1,1,1,0,1,1,20061001
E2369,HCPCS,Pwr wc gear box replacement,,,28 ,,NW,,,,,,$48.15,,1,1,1,0,1,1,20061001
E2370,HCPCS,Pwr wc motor/gear box combo,,,28 ,,NW,,,,,,$85.92,,1,1,1,0,1,1,20061001
E2402,HCPCS,Neg press wound therapy pump,,,28 ,,NW,,,,,,"$3,262.73",,1,1,1,1,1,1,20061001
E2500,HCPCS,SGD digitized pre-rec <=8min,,,28 ,,NW,,,,,,$548.81,,1,1,1,1,1,1,20061001
E2502,HCPCS,SGD prerec msg >8min <=20min,,,28 ,,NW,,,,,,"$1,699.77",,1,1,1,1,1,1,20061001
E2504,HCPCS,SGD prerec msg>20min <=40min,,,28 ,,NW,,,,,,"$2,245.52",,1,1,1,1,1,1,20061001
E2506,HCPCS,SGD prerec msg > 40 min,,,28 ,,NW,,,,,,"$3,297.49",,1,1,1,1,1,1,20061001
E2508,HCPCS,SGD spelling phys contact,,,28 ,,NW,,,,,,"$5,104.85",,1,1,1,1,1,1,20061001
E2510,HCPCS,SGD w multi methods msg/accs,,,28 ,,NW,,,,,,"$9,669.52",,1,1,1,1,1,1,20061001
E2511,HCPCS,SGD sftwre prgrm for PC/PDA,NU,,28 ,,NW,,,,,,"$3,326.87",,1,1,1,0,1,1,20061001
E2511,HCPCS,SGD sftwre prgrm for PC/PDA,RR,,28 ,,NW,,,,,,"$3,326.87",,1,1,1,0,1,1,20061001
E2511,HCPCS,SGD sftwre prgrm for PC/PDA,UE,,28 ,,NW,,,,,,"$3,326.87",,1,1,1,0,1,1,20061001
E2512,HCPCS,"SGD accessory, mounting sys",NU,,28 ,,NW,,,,,,$384.79,,1,1,1,0,1,1,20061001
E2512,HCPCS,"SGD accessory, mounting sys",RR,,28 ,,NW,,,,,,$384.79,,1,1,1,0,1,1,20061001
E2512,HCPCS,"SGD accessory, mounting sys",UE,,28 ,,NW,,,,,,$384.79,,1,1,1,0,1,1,20061001
E2599,HCPCS,SGD accessory noc,,,28 ,,NW,,,,,,$225.49,,1,1,1,0,1,1,20061001
E2601,HCPCS,Gen w/c cushion wdth < 22 in,,,28 ,,NW,,,,,,$52.53,,1,1,1,0,1,1,20061001
E2602,HCPCS,Gen w/c cushion wdth >=22 in,,,28 ,,NW,,,,,,$17.34,,1,1,1,0,1,1,20061001
E2603,HCPCS,Skin protect wc cus wd <22in,,,28 ,,NW,,,,,,$23.88,,1,1,1,0,1,1,20061001
E2604,HCPCS,Skin protect wc cus wd>=22in,,,28 ,,NW,,,,,,$33.77,,1,1,1,0,1,1,20061001
E2605,HCPCS,Position wc cush wdth <22 in,,,28 ,,NW,,,,,,$34.45,,1,1,1,0,1,1,20061001
E2606,HCPCS,Position wc cush wdth>=22 in,,,28 ,,NW,,,,,,$46.67,,1,1,1,0,1,1,20061001
E2607,HCPCS,Skin pro/pos wc cus wd <22in,,,28 ,,NW,,,,,,$31.63,,1,1,1,0,1,1,20061001
E2608,HCPCS,Skin pro/pos wc cus wd>=22in,,,28 ,,NW,,,,,,$37.90,,1,1,1,0,1,1,20061001
E2611,HCPCS,Gen use back cush wdth <22in,,,28 ,,NW,,,,,,$33.42,,1,1,1,0,1,1,20061001
E2612,HCPCS,Gen use back cush wdth>=22in,,,28 ,,NW,,,,,,$45.21,,1,1,1,0,1,1,20061001
E2613,HCPCS,Position back cush wd <22in,,,28 ,,NW,,,,,,$42.07,,1,1,1,0,1,1,20061001
E2614,HCPCS,Position back cush wd>=22in,,,28 ,,NW,,,,,,$58.21,,1,1,1,0,1,1,20061001
E2615,HCPCS,Pos back post/lat wdth <22in,,,28 ,,NW,,,,,,$48.41,,1,1,1,0,1,1,20061001
E2616,HCPCS,Pos back post/lat wdth>=22in,,,28 ,,NW,,,,,,$65.13,,1,1,1,0,1,1,20061001
E2618,HCPCS,Wc acc solid seat supp base,,,28 ,,NW,,,,,,$16.45,,1,1,1,0,1,1,20061001
E2619,HCPCS,Replace cover w/c seat cush,,,28 ,,NW,,,,,,$34.03,,1,1,1,0,1,1,20061001
E2620,HCPCS,WC planar back cush wd <22in,,,28 ,,NW,,,,,,$61.50,,1,1,1,0,1,1,20061001
E2621,HCPCS,WC planar back cush wd>=22in,,,28 ,,NW,,,,,,$58.61,,1,1,1,0,1,1,20061001
G0008,HCPCS,Admin influenza virus vac,,,9 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20061001
G0009,HCPCS,Admin pneumococcal vaccine,,,9 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20061001
G0010,HCPCS,Admin hepatitis b vaccine,,,9 ,,TotalUnits,,,,0.22 ,,,,1,1,1,0,1,1,20061001
G0027,HCPCS,Semen analysis,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20061001
G0101,HCPCS,CA screen;pelvic/breast exam,,,18 ,,RBRVS,0.45 ,0.17 ,0.52 ,,,,,1,0,1,1,1,1,20061001
G0102,HCPCS,Prostate ca screening; dre,,,18 ,,RBRVS,0.17 ,0.06 ,0.39 ,,,,,1,0,1,1,1,1,20061001
G0103,HCPCS,"Psa, total screening",,,17 ,,TotalUnits,,,,0.86 ,,,,1,1,1,0,1,1,20061001
G0104,HCPCS,CA screen;flexi sigmoidscope,,,21 ,,RBRVS,0.96 ,0.50 ,2.28 ,,,,,1,0,1,1,1,1,20061001
G0105,HCPCS,Colorectal scrn; hi risk ind,,,21 ,,RBRVS,3.69 ,1.47 ,6.16 ,,,,,1,0,1,1,1,1,20061001
G0106,HCPCS,Colon CA screen;barium enema,TC,,21 ,,RBRVS,0.00 ,2.24 ,2.24 ,,,,,1,1,1,0,1,1,20061001
G0106,HCPCS,Colon CA screen;barium enema,26,,21 ,,RBRVS,0.99 ,0.32 ,0.32 ,,,,,1,0,1,1,1,1,20061001
G0107,HCPCS,CA screen; fecal blood test,,,17 ,,TotalUnits,,,,0.15 ,,,,1,1,1,0,1,1,20061001
G0108,HCPCS,Diab manage trn  per indiv,,,14 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,,,1,1,1,1,1,1,20061001
G0109,HCPCS,Diab manage trn ind/group,,,14 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,,,1,1,1,1,1,1,20061001
G0117,HCPCS,Glaucoma scrn hgh risk direc,,,14 ,,RBRVS,0.45 ,0.19 ,0.72 ,,,,,1,0,1,1,1,1,20061001
G0118,HCPCS,Glaucoma scrn hgh risk direc,,,14 ,,RBRVS,0.17 ,0.06 ,0.53 ,,,,,1,0,1,1,1,1,20061001
G0120,HCPCS,Colon ca scrn; barium enema,TC,,21 ,,RBRVS,0.00 ,2.24 ,2.24 ,,,,,1,1,1,0,1,1,20061001
G0120,HCPCS,Colon ca scrn; barium enema,26,,21 ,,RBRVS,0.99 ,0.32 ,0.32 ,,,,,1,0,1,1,1,1,20061001
G0121,HCPCS,Colon ca scrn not hi rsk ind,,,21 ,,RBRVS,3.69 ,1.47 ,6.16 ,,,,,1,0,1,1,1,1,20061001
G0122,HCPCS,Colon ca scrn; barium enema,TC,,20 ,,RBRVS,0.00 ,2.20 ,2.20 ,,,,,1,1,1,0,1,1,20061001
G0122,HCPCS,Colon ca scrn; barium enema,26,,20 ,,RBRVS,0.99 ,0.38 ,0.38 ,,,,,1,0,1,1,1,1,20061001
G0123,HCPCS,Screen cerv/vag thin layer,,,17 ,,TotalUnits,,,,0.95 ,,,,1,1,1,0,1,1,20061001
G0124,HCPCS,Screen c/v thin layer by MD,,,17 ,,RBRVS,0.42 ,0.15 ,0.15 ,,,,,1,1,1,0,1,1,20061001
G0127,HCPCS,Trim nail(s),,,21 ,,RBRVS,0.17 ,0.07 ,0.25 ,,,,,1,0,1,1,1,1,20061001
G0128,HCPCS,CORF skilled nursing service,,,14 ,,RBRVS,0.08 ,0.03 ,0.03 ,,,,,1,1,1,0,0,1,20061001
G0130,HCPCS,Single energy x-ray study,TC,,20 ,,RBRVS,0.00 ,0.80 ,0.80 ,,,,,1,1,1,0,1,1,20061001
G0130,HCPCS,Single energy x-ray study,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,,,1,0,1,1,1,1,20061001
G0141,HCPCS,"Scr c/v cyto,autosys and md",,,17 ,,RBRVS,0.42 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
G0143,HCPCS,"Scr c/v cyto,thinlayer,rescr",,,17 ,,TotalUnits,,,,0.95 ,,,,1,1,1,0,1,1,20061001
G0144,HCPCS,"Scr c/v cyto,thinlayer,rescr",,,17 ,,TotalUnits,,,,1.00 ,,,,1,1,1,0,1,1,20061001
G0145,HCPCS,"Scr c/v cyto,thinlayer,rescr",,,17 ,,TotalUnits,,,,1.24 ,,,,1,1,1,0,1,1,20061001
G0147,HCPCS,"Scr c/v cyto, automated sys",,,17 ,,TotalUnits,,,,0.53 ,,,,1,1,1,0,1,1,20061001
G0148,HCPCS,"Scr c/v cyto, autosys, rescr",,,17 ,,TotalUnits,,,,0.71 ,,,,1,1,1,0,1,1,20061001
G0151,HCPCS,"HHCP-serv of pt,ea 15 min",,,19 ,,RBRVS,0.45 ,0.27 ,0.27 ,,,,,1,0,1,0,0,1,20061001
G0152,HCPCS,"HHCP-serv of ot,ea 15 min",,,19 ,,RBRVS,0.45 ,0.33 ,0.33 ,,,,,1,0,1,0,0,1,20061001
G0153,HCPCS,"HHCP-svs of s/l path,ea 15mn",,,8 ,,RBRVS,0.26 ,0.12 ,0.51 ,,,,,1,0,1,0,0,1,20061001
G0154,HCPCS,"HHCP-svs of rn,ea 15 min",,,15 ,,TotalUnits,,,,1.41,,,,1,0,1,0,0,1,20061001
G0155,HCPCS,"HHCP-svs of csw,ea 15 min",,,18 ,,RBRVS,0.48 ,0.19 ,0.62 ,,,,,1,0,1,0,0,1,20061001
G0156,HCPCS,"HHCP-svs of aide,ea 15 min",,,15 ,,TotalUnits,,,,1.91,,,,1,0,1,0,0,1,20061001
G0166,HCPCS,"Extrnl counterpulse, per tx",,,14 ,,RBRVS,0.07 ,0.03 ,3.58 ,,,,,1,1,1,0,0,1,20061001
G0168,HCPCS,Wound closure by adhesive,,,21 ,,RBRVS,0.45 ,0.22 ,1.94 ,,,,,1,0,1,1,1,1,20061001
G0179,HCPCS,MD recertification HHA PT,,,15 ,,RBRVS,0.45 ,1.03 ,1.03 ,,,,,1,0,1,1,1,1,20061001
G0180,HCPCS,MD certification HHA patient,,,15 ,,RBRVS,0.67 ,1.26 ,1.26 ,,,,,1,0,1,1,1,1,20061001
G0181,HCPCS,Home health care supervision,,,15 ,,RBRVS,1.73 ,1.48 ,1.48 ,,,,,1,0,1,1,1,1,20061001
G0182,HCPCS,Hospice care supervision,,,15 ,,RBRVS,1.73 ,1.66 ,1.66 ,,,,,1,0,1,1,1,1,20061001
G0186,HCPCS,"Dstry eye lesn,fdr vssl tech",,,14 ,,TotalUnits,,,,18.47 ,,,,1,0,1,1,1,1,20061001
G0202,HCPCS,Screen mammography film digital,TC,,20 ,,RBRVS,0.00 ,2.55 ,2.55 ,,,,,1,1,1,0,1,1,20061001
G0202,HCPCS,Screen mammography film digital,26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
G0204,HCPCS,Diagnostic mammography digital,TC,,20 ,,RBRVS,0.00 ,2.51 ,2.51 ,,,,,1,1,1,0,1,1,20061001
G0204,HCPCS,Diagnostic mammography digital,26,,20 ,,RBRVS,0.87 ,0.28 ,0.28 ,,,,,1,0,1,1,1,1,20061001
G0206,HCPCS,Diagnostic mammography digital,TC,,20 ,,RBRVS,0.00 ,2.03 ,2.03 ,,,,,1,1,1,0,1,1,20061001
G0206,HCPCS,Diagnostic mammography digital,26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,,,1,0,1,1,1,1,20061001
G0219,HCPCS,PET img wholbod melano nonco,TC,,20 ,,TotalUnits,,,,29.31 ,,,,1,1,1,0,1,1,20061001
G0219,HCPCS,PET img wholbod melano nonco,26,,20 ,,RBRVS,2.00 ,0.69 ,0.69 ,,,,,1,0,1,1,1,1,20061001
G0235,HCPCS,PET not otherwise specified,,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,,,1,0,1,1,1,1,20061001
G0237,HCPCS,Therapeutic procd strg endur,,,14 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,0,1,20061001
G0238,HCPCS,"Oth resp proc, indiv",,,14 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,0,1,20061001
G0239,HCPCS,"Oth resp proc, group",,,14 ,,TotalUnits,,,,0.38 ,,,,1,1,1,0,0,1,20061001
G0245,HCPCS,Initial foot exam pt lops,,,15 ,,RBRVS,0.88 ,0.31 ,0.79 ,,,,,1,0,1,1,1,1,20061001
G0246,HCPCS,Followup eval of foot pt lop,,,15 ,,RBRVS,0.45 ,0.16 ,0.54 ,,,,,1,0,1,1,1,1,20061001
G0247,HCPCS,Routine footcare pt w lops,,,15 ,,RBRVS,0.50 ,0.21 ,0.52 ,,,,,1,0,1,1,1,1,20061001
G0248,HCPCS,Demonstrate use home inr mon,,TC,4 ,,RBRVS,0.00 ,6.63 ,6.63 ,,,,,1,1,1,0,1,1,20061001
G0249,HCPCS,"Provide test material,equipm",,TC,4 ,,RBRVS,0.00 ,3.97 ,3.97 ,,,,,1,1,1,0,1,1,20061001
G0250,HCPCS,MD review interpret of test,,PC,4 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
G0259,HCPCS,Inject for sacroiliac joint,,,21 ,,RBRVS,1.40 ,0.33 ,4.36 ,,,,,1,0,1,1,1,1,20061001
G0265,HCPCS,Cryopresevation Freeze+stora,,,17 ,,TotalUnits,,,,0.47 ,,,,1,1,1,0,1,1,20061001
G0266,HCPCS,Thawing + expansion froz cel,,,17 ,,TotalUnits,,,,0.47 ,,,,1,1,1,0,1,1,20061001
G0268,HCPCS,Removal of impacted wax md,,,21 ,,RBRVS,0.61 ,0.24 ,0.63 ,,,,,1,0,1,1,1,1,20061001
G0270,HCPCS,MNT subs tx for change dx,,,14 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,,,1,1,1,0,1,1,20061001
G0271,HCPCS,Group MNT 2 or more 30 mins,,,14 ,,RBRVS,0.00 ,0.18 ,0.18 ,,,,,1,1,1,0,1,1,20061001
G0275,HCPCS,"Renal angio, cardiac cath",,,20 ,,RBRVS,0.25 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
G0278,HCPCS,"Iliac art angio,cardiac cath",,,20 ,,RBRVS,0.25 ,0.10 ,0.10 ,,,,,1,0,1,1,1,1,20061001
G0281,HCPCS,Elec stim unattend for press,,,19 ,,RBRVS,0.18 ,0.11 ,0.11 ,,,,,1,1,1,0,0,1,20061001
G0282,HCPCS,Elect stim wound care not pd,,,19 ,,RBRVS,0.18 ,0.11 ,0.11 ,,,,,1,1,1,0,0,1,20061001
G0283,HCPCS,Elec stim other than wound,,,19 ,,RBRVS,0.18 ,0.11 ,0.11 ,,,,,1,1,1,0,0,1,20061001
G0288,HCPCS,"Recon, CTA for surg plan",,TC,20 ,,RBRVS,0.00 ,10.64 ,10.64 ,,,,,1,1,1,0,1,1,20061001
G0289,HCPCS,"Arthro, loose body + chondro",,,21 ,,RBRVS,1.48 ,0.80 ,0.80 ,,,,,1,0,1,1,1,1,20061001
G0295,HCPCS,Electromagnetic therapy onc,,,19 ,,RBRVS,0.06 ,0.02 ,0.14 ,,,,,1,1,1,0,0,1,20061001
G0306,HCPCS,CBC/diffwbc w/o platelet,,,17 ,,TotalUnits,,,,0.36 ,,,,1,1,1,0,1,1,20061001
G0307,HCPCS,CBC without platelet,,,17 ,,TotalUnits,,,,0.30 ,,,,1,1,1,0,1,1,20061001
G0308,HCPCS,ESRD related svc 4+mo<2yrs,,,14 ,,RBRVS,12.74 ,8.56 ,8.56 ,,,,,1,1,1,1,1,1,20061001
G0309,HCPCS,ESRD related svc 2-3mo<2yrs,,,14 ,,RBRVS,10.61 ,7.12 ,7.12 ,,,,,1,1,1,1,1,1,20061001
G0310,HCPCS,ESRD related svc 1 visit<2yr,,,14 ,,RBRVS,8.49 ,5.70 ,5.70 ,,,,,1,1,1,1,1,1,20061001
G0311,HCPCS,ESRD related svs 4+mo 2-11yr,,,14 ,,RBRVS,9.73 ,4.73 ,4.73 ,,,,,1,1,1,1,1,1,20061001
G0312,HCPCS,ESRD relate svs 2-3 mo 2-11y,,,14 ,,RBRVS,8.11 ,3.93 ,3.93 ,,,,,1,1,1,1,1,1,20061001
G0313,HCPCS,ESRD related svs 1 mon 2-11y,,,14 ,,RBRVS,6.49 ,3.15 ,3.15 ,,,,,1,1,1,1,1,1,20061001
G0314,HCPCS,ESRD related svs 4+ mo 12-19,,,14 ,,RBRVS,8.28 ,4.43 ,4.43 ,,,,,1,1,1,1,1,1,20061001
G0315,HCPCS,ESRD related svs 2-3mo 12-19,,,14 ,,RBRVS,6.90 ,3.68 ,3.68 ,,,,,1,1,1,1,1,1,20061001
G0316,HCPCS,ESRD relate svs 1 vist 12-19,,,14 ,,RBRVS,5.52 ,2.95 ,2.95 ,,,,,1,1,1,1,1,1,20061001
G0317,HCPCS,ESRD related svs 4+mo 20+yrs,,,14 ,,RBRVS,5.09 ,2.87 ,2.87 ,,,,,1,1,1,1,1,1,20061001
G0318,HCPCS,ESRD related svs 2-3 mo 20+y,,,14 ,,RBRVS,4.24 ,2.39 ,2.39 ,,,,,1,1,1,1,1,1,20061001
G0319,HCPCS,ESRD related svs 1 visit 20+,,,14 ,,RBRVS,3.39 ,1.91 ,1.91 ,,,,,1,1,1,1,1,1,20061001
G0320,HCPCS,ESRD related svs home under2,,,14 ,,RBRVS,10.61 ,7.12 ,7.12 ,,,,,1,1,1,1,1,1,20061001
G0321,HCPCS,ESRD related svs home mo<2ys,,,14 ,,RBRVS,8.11 ,3.93 ,3.93 ,,,,,1,1,1,1,1,1,20061001
G0322,HCPCS,ESRD relate svs home mo12-19,,,14 ,,RBRVS,6.90 ,3.68 ,3.68 ,,,,,1,1,1,1,1,1,20061001
G0323,HCPCS,ESRD related svs home mo 20+,,,14 ,,RBRVS,4.24 ,2.39 ,2.39 ,,,,,1,1,1,1,1,1,20061001
G0324,HCPCS,ESRD related svs home/dy<2y,,,14 ,,RBRVS,0.35 ,0.24 ,0.24 ,,,,,1,1,1,1,1,1,20061001
G0325,HCPCS,ESRD relate home/dy 2-11 yr,,,14 ,,RBRVS,0.23 ,0.12 ,0.12 ,,,,,1,1,1,1,1,1,20061001
G0326,HCPCS,ESRD relate home/dy 12-19y,,,14 ,,RBRVS,0.27 ,0.13 ,0.13 ,,,,,1,1,1,1,1,1,20061001
G0327,HCPCS,ESRD relate home/dy 20+yrs,,,14 ,,RBRVS,0.14 ,0.08 ,0.08 ,,,,,1,1,1,1,1,1,20061001
G0328,HCPCS,Fecal blood scrn immunoassay,,,17 ,,TotalUnits,,,,0.60 ,,,,1,1,1,0,1,1,20061001
G0329,HCPCS,Electromagntic tx for ulcers,,,19 ,,RBRVS,0.06 ,0.02 ,0.14 ,,,,,1,1,1,0,0,1,20061001
G0332,HCPCS,Preadmin IV immunoglobulin,,,28 ,,NW,,,,,,$80.25,,1,1,1,0,1,1,20061001
G0337,HCPCS,Hospice evaluation preelecti,,,15 ,,RBRVS,1.34 ,0.51 ,0.51 ,,,,,1,0,1,1,1,1,20061001
G0341,HCPCS,Percutaneous islet celltrans,,,21 ,,RBRVS,6.98 ,2.60 ,5.75 ,,,,,1,0,0,1,1,1,20061001
G0342,HCPCS,Laparoscopy islet cell trans,,,21 ,,RBRVS,11.92 ,5.31 ,5.31 ,,,,,1,0,0,1,1,1,20061001
G0343,HCPCS,Laparotomy islet cell transp,,,21 ,,RBRVS,19.85 ,8.78 ,8.78 ,,,,,1,0,0,1,1,1,20061001
G0344,HCPCS,Initial preventive exam,,,15 ,,RBRVS,1.34 ,0.48 ,1.13 ,,,,,1,0,1,1,1,1,20061001
G0364,HCPCS,Bone marrow aspirate &biopsy,,,21 ,,RBRVS,0.16 ,0.06 ,0.14 ,,,,,1,0,1,1,1,1,20061001
G0365,HCPCS,Vessel mapping hemo access,,,14 ,,RBRVS,0.00 ,3.91 ,3.91 ,,,,,1,1,1,0,1,0,20061001
G0365,HCPCS,Vessel mapping hemo access,,,14 ,,RBRVS,0.25 ,0.09 ,0.09 ,,,,,1,0,1,1,1,0,20061001
G0365,HCPCS,Vessel mapping hemo access,,,14 ,,RBRVS,0.25 ,4.00 ,4.00 ,,,,,1,0,0,0,0,1,20061001
G0366,HCPCS,EKG for initial prevent exam,,PC,15 ,,RBRVS,0.17 ,0.51 ,0.51 ,,,,,1,0,0,0,0,1,20061001
G0368,HCPCS,EKG interpret & report preve,,PC,15 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
G0375,HCPCS,Smoke/tobacco counselng 3-10,,,14 ,,RBRVS,0.24 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20061001
G0376,HCPCS,Smoke/tobacco counseling >10,,,14 ,,RBRVS,0.48 ,0.17 ,0.18 ,,,,,1,0,1,1,1,1,20061001
G9001,HCPCS,"MCCD, initial rate",,,14 ,,TotalUnits,,,,1.79 ,,,,1,0,1,1,1,1,20061001
G9002,HCPCS,"MCCD,maintenance rate",,,14 ,,TotalUnits,,,,2.13 ,,,,1,0,1,1,1,1,20061001
G9003,HCPCS,"MCCD, risk adj hi, initial",,,14 ,,TotalUnits,,,,2.69 ,,,,1,0,1,1,1,1,20061001
G9004,HCPCS,"MCCD, risk adj lo, initial",,,14 ,,TotalUnits,,,,2.41 ,,,,1,0,1,1,1,1,20061001
G9005,HCPCS,"MCCD, risk adj, maintenance",,,14 ,,TotalUnits,,,,3.19 ,,,,1,0,1,1,1,1,20061001
G9006,HCPCS,"MCCD, Home monitoring",,,14 ,,TotalUnits,,,,0.32,,,,1,0,1,1,1,1,20061001
G9007,HCPCS,"MCCD, sch team conf",,,14 ,,TotalUnits,,,,0.32,,,,1,0,1,1,1,1,20061001
G9008,HCPCS,"Mccd,phys coor-care ovrsght",,,14 ,,TotalUnits,,,,0.32 ,,,,1,0,1,1,1,1,20061001
G9009,HCPCS,"MCCD, risk adj, level 3",,,14 ,,TotalUnits,,,,4.67 ,,,,1,0,1,1,1,1,20061001
G9010,HCPCS,"MCCD, risk adj, level 4",,,14 ,,TotalUnits,,,,4.67,,,,1,0,1,1,1,1,20061001
G9011,HCPCS,"MCCD, risk adj, level 5",,,14 ,,TotalUnits,,,,4.67,,,,1,0,1,1,1,1,20061001
G9012,HCPCS,Other Specified Case Mgmt,,,14 ,,TotalUnits,,,,4.67,,,,1,0,1,1,1,1,20061001
G9016,HCPCS,Demo-smoking cessation coun,,,14 ,,RBRVS,0.24 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20061001
G9018,HCPCS,"Zanamivir,inhalation pwd 10m",,,29 ,,NW,,,,,,$37.07,,1,1,1,0,1,1,20061001
G9020,HCPCS,Rimantadine HCL 100mg oral,,,29 ,,NW,,,,,,$143.76,,1,1,1,0,1,1,20061001
G9033,HCPCS,"Amantadine HCL, oral, brand",,,29 ,,NW,,,,,,$46.45,,1,1,1,0,1,1,20061001
G9034,HCPCS,Zanamivir powder via inhaler,,,29 ,,NW,,,,,,$37.07,,1,1,1,0,1,1,20061001
G9036,HCPCS,Rimantadine HCL 100mg,,,29 ,,NW,,,,,,$143.76,,1,1,1,0,1,1,20061001
H0004,HCPCS,Alcohol and/or drug services,,,16 ,,TotalUnits,,,,0.51 ,,,,1,1,1,0,1,1,20061001
H0020,HCPCS,Alcohol and/or drug services,,,16 ,,TotalUnits,,,,0.41 ,,,,1,1,1,0,1,1,20061001
J0120,HCPCS,Tetracyclin injection,,,29 ,2,NW,,,,,,$137.47,,1,1,1,0,0,1,20061001
J0130,HCPCS,Abciximab injection,,,29 ,,NW,,,,,,$905.25,,1,1,1,0,0,1,20061001
J0132,HCPCS,Acetylcysteine injection,,,29 ,,NW,,,,,,$29.00,,1,1,1,0,0,1,20061001
J0133,HCPCS,Acyclovir injection,,,29 ,,NW,,,,,,$0.50,,1,1,1,0,0,1,20061001
J0150,HCPCS,Injection adenosine 6 MG,,,29 ,,NW,,,,,,$80.03,,1,1,1,0,0,1,20061001
J0170,HCPCS,Adrenalin epinephrin inject,,,29 ,2,NW,,,,,,$5.47,,1,1,1,0,0,1,20061001
J0200,HCPCS,Alatrofloxacin mesylate,,,29 ,2,NW,,,,,,$44.85,,1,1,1,0,0,1,20061001
J0205,HCPCS,Alglucerase injection,,,29 ,,NW,,,,,,$84.39,,1,1,1,0,0,1,20061001
J0207,HCPCS,Amifostine,,,29 ,,NW,,,,,,$885.83,,1,1,1,0,0,1,20061001
J0210,HCPCS,Methyldopate hcl injection,,,29 ,2,NW,,,,,,$27.13,,1,1,1,0,0,1,20061001
J0215,HCPCS,Alefacept,,,29 ,,NW,,,,,,$28.42,,1,1,1,0,0,1,20061001
J0256,HCPCS,Alpha 1 proteinase inhibitor,,,29 ,,NW,,,,,,$5.47,,1,1,1,0,0,1,20061001
J0270,HCPCS,Alprostadil for injection,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J0275,HCPCS,Alprostadil urethral suppos,,,29 ,,NW,,,,,,$47.80,,1,1,1,0,0,1,20061001
J0278,HCPCS,Amikacin sulfate injection,,,29 ,,NW,,,,,,$29.00,,1,1,1,0,0,1,20061001
J0280,HCPCS,Aminophyllin 250 MG inj,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J0282,HCPCS,Amiodarone HCl,,,29 ,2,NW,,,,,,$14.33,,1,1,1,0,0,1,20061001
J0285,HCPCS,Amphotericin B,,,29 ,2,NW,,,,,,$24.17,,1,1,1,0,0,1,20061001
J0287,HCPCS,Amphotericin b lipid complex,,,29 ,,NW,,,,,,$50.24,,1,1,1,0,0,1,20061001
J0288,HCPCS,Ampho b cholesteryl sulfate,,,29 ,,NW,,,,,,$35.00,,1,1,1,0,0,1,20061001
J0289,HCPCS,Amphotericin b liposome inj,,,29 ,,NW,,,,,,$74.94,,1,1,1,0,0,1,20061001
J0290,HCPCS,Ampicillin 500 MG inj,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20061001
J0295,HCPCS,Ampicillin sodium per 1.5 gm,,,29 ,2,NW,,,,,,$17.27,,1,1,1,0,0,1,20061001
J0300,HCPCS,Amobarbital 125 MG inj,,,29 ,2,NW,,,,,,$5.47,,1,1,1,0,0,1,20061001
J0330,HCPCS,Succinycholine chloride inj,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J0360,HCPCS,Hydralazine hcl injection,,,29 ,2,NW,,,,,,$36.97,,1,1,1,0,0,1,20061001
J0365,HCPCS,"Aprotonin, 10,000 kiu",,,29 ,,NW,,,,,,$24.95,,1,1,1,0,0,1,20061001
J0380,HCPCS,Inj metaraminol bitartrate,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20061001
J0390,HCPCS,Chloroquine injection,,,29 ,2,NW,,,,,,$55.32,,1,1,1,0,0,1,20061001
J0456,HCPCS,Azithromycin,,,29 ,2,NW,,,,,,$56.78,,1,1,1,0,0,1,20061001
J0460,HCPCS,Atropine sulfate injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J0470,HCPCS,Dimecaprol injection,,,29 ,2,NW,,,,,,$53.88,,1,1,1,0,0,1,20061001
J0475,HCPCS,Baclofen 10 MG injection,,,29 ,2,NW,,,,,,$387.30,,1,1,1,0,0,1,20061001
J0476,HCPCS,Baclofen intrathecal trial,,,29 ,,NW,,,,,,$151.22,,1,1,1,0,0,1,20061001
J0480,HCPCS,Basiliximab,,,29 ,,NW,,,,,,$22.77,,1,1,1,0,0,1,20061001
J0500,HCPCS,Dicyclomine injection,,,29 ,2,NW,,,,,,$39.93,,1,1,1,0,0,1,20061001
J0515,HCPCS,Inj benztropine mesylate,,,29 ,2,NW,,,,,,$8.42,,1,1,1,0,0,1,20061001
J0520,HCPCS,INJ BETHANCHOL CHLORID MYTONCHOL/URECHOLN UP 5MG,,,29 ,,NW,,,,,,$5.72,,1,1,1,0,0,1,20061001
J0530,HCPCS,Penicillin g benzathine inj,,,29 ,2,NW,,,,,,$28.11,,1,1,1,0,0,1,20061001
J0540,HCPCS,Penicillin g benzathine inj,,,29 ,2,NW,,,,,,$53.14,,1,1,1,0,0,1,20061001
J0550,HCPCS,Penicillin g benzathine inj,,,29 ,2,NW,,,,,,$99.64,,1,1,1,0,0,1,20061001
J0560,HCPCS,Penicillin g benzathine inj,,,29 ,2,NW,,,,,,$23.19,,1,1,1,0,0,1,20061001
J0570,HCPCS,Penicillin g benzathine inj,,,29 ,2,NW,,,,,,$45.83,,1,1,1,0,0,1,20061001
J0580,HCPCS,Penicillin g benzathine inj,,,29 ,2,NW,,,,,,$81.49,,1,1,1,0,0,1,20061001
J0585,HCPCS,Botulinum toxin a per unit,,,29 ,,NW,,,,,,$11.38,,1,1,1,0,0,1,20061001
J0587,HCPCS,Botulinum toxin type B,,,29 ,,NW,,,,,,$20.24,,1,1,1,0,0,1,20061001
J0592,HCPCS,Buprenorphine hydrochloride,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J0600,HCPCS,Edetate calcium disodium inj,,,29 ,2,NW,,,,,,$89.47,,1,1,1,0,0,1,20061001
J0610,HCPCS,Calcium gluconate injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J0620,HCPCS,Calcium glycer & lact/10 ML,,,29 ,2,NW,,,,,,$14.33,,1,1,1,0,0,1,20061001
J0630,HCPCS,Calcitonin salmon injection,,,29 ,2,NW,,,,,,$79.29,,1,1,1,0,0,1,20061001
J0636,HCPCS,Inj calcitriol per 0.1 mcg,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J0637,HCPCS,Caspofungin acetate,,,29 ,,NW,,,,,,$69.85,,1,1,1,0,0,1,20061001
J0640,HCPCS,Leucovorin calcium injection,,,29 ,2,NW,,,,,,$7.43,,1,1,1,0,0,1,20061001
J0670,HCPCS,Inj mepivacaine HCL/10 ml,,,29 ,2,NW,,,,,,$4.49,,1,1,1,0,0,1,20061001
J0690,HCPCS,Cefazolin sodium injection,,,29 ,2,NW,,,,,,$4.49,,1,1,1,0,0,1,20061001
J0692,HCPCS,Cefepime HCl for injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J0694,HCPCS,Cefoxitin sodium injection,,,29 ,2,NW,,,,,,$25.15,,1,1,1,0,0,1,20061001
J0696,HCPCS,Ceftriaxone sodium injection,,,29 ,2,NW,,,,,,$35.00,,1,1,1,0,0,1,20061001
J0697,HCPCS,Sterile cefuroxime injection,,,29 ,2,NW,,,,,,$7.43,,1,1,1,0,0,1,20061001
J0698,HCPCS,Cefotaxime sodium injection,,,29 ,2,NW,,,,,,$22.21,,1,1,1,0,0,1,20061001
J0702,HCPCS,Betamethasone acet&sod phosp,,,29 ,2,NW,,,,,,$11.38,,1,1,1,0,0,1,20061001
J0704,HCPCS,Betamethasone sod phosp/4 MG,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20061001
J0706,HCPCS,Caffeine citrate injection,,,29 ,2,NW,,,,,,$7.43,,1,1,1,0,0,1,20061001
J0710,HCPCS,Cephapirin sodium injection,,,29 ,2,NW,,,,,,$17.23,,1,1,1,0,0,1,20061001
J0713,HCPCS,Inj ceftazidime per 500 mg,,,29 ,2,NW,,,,,,$15.31,,1,1,1,0,0,1,20061001
J0715,HCPCS,Ceftizoxime sodium / 500 MG,,,29 ,2,NW,,,,,,$11.38,,1,1,1,0,0,1,20061001
J0720,HCPCS,Chloramphenicol sodium injec,,,29 ,2,NW,,,,,,$16.29,,1,1,1,0,0,1,20061001
J0725,HCPCS,Chorionic gonadotropin/1000u,,,29 ,2,NW,,,,,,$5.47,,1,1,1,0,0,1,20061001
J0735,HCPCS,Clonidine hydrochloride,,,29 ,2,NW,,,,,,$108.35,,1,1,1,0,0,1,20061001
J0740,HCPCS,Cidofovir injection,,,29 ,2,NW,,,,,,"$1,481.30",,1,1,1,0,0,1,20061001
J0743,HCPCS,Cilastatin sodium injection,,,29 ,2,NW,,,,,,$36.97,,1,1,1,0,0,1,20061001
J0744,HCPCS,Ciprofloxacin iv,,,29 ,2,NW,,,,,,$32.05,,1,1,1,0,0,1,20061001
J0745,HCPCS,Inj codeine phosphate /30 MG,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J0760,HCPCS,Colchicine injection,,,29 ,2,NW,,,,,,$16.29,,1,1,1,0,0,1,20061001
J0770,HCPCS,Colistimethate sodium inj,,,29 ,2,NW,,,,,,$106.90,,1,1,1,0,0,1,20061001
J0780,HCPCS,Prochlorperazine injection,,,29 ,2,NW,,,,,,$9.40,,1,1,1,0,0,1,20061001
J0795,HCPCS,Corticorelin ovine triflutal,,,29 ,,NW,,,,,,$21.74,,1,1,1,0,0,1,20061001
J0800,HCPCS,Corticotropin injection,,,29 ,2,NW,,,,,,$174.46,,1,1,1,0,0,1,20061001
J0835,HCPCS,Inj cosyntropin per 0.25 MG,,,29 ,2,NW,,,,,,$42.88,,1,1,1,0,0,1,20061001
J0850,HCPCS,Cytomegalovirus imm IV /vial,,,29 ,,NW,,,,,,"$1,251.76",,1,1,1,0,0,1,20061001
J0881,HCPCS,"Darbepoetin alfa, non-esrd",,,29 ,,NW,,,,,,$15.88,,1,1,1,0,0,1,20061001
J0882,HCPCS,"Darbepoetin alfa, esrd use",,,29 ,,NW,,,,,,$25.35,,1,1,1,0,0,1,20061001
J0885,HCPCS,"Epoetin alfa, non-esrd",,,29 ,,NW,,,,,,$15.88,,1,1,1,0,0,1,20061001
J0886,HCPCS,"Epoetin alfa, esrd",,,29 ,,NW,,,,,,$5.07,,1,1,1,0,0,1,20061001
J0895,HCPCS,Deferoxamine mesylate inj,,,29 ,2,NW,,,,,,$35.99,,1,1,1,0,0,1,20061001
J0900,HCPCS,Testosterone enanthate inj,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20061001
J0945,HCPCS,Brompheniramine maleate inj,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J0970,HCPCS,Estradiol valerate injection,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20061001
J1000,HCPCS,Depo-estradiol cypionate inj,,,29 ,2,NW,,,,,,$4.49,,1,1,1,0,0,1,20061001
J1020,HCPCS,Methylprednisolone 20 MG inj,,,29 ,2,NW,,,,,,$5.47,,1,1,1,0,0,1,20061001
J1030,HCPCS,Methylprednisolone 40 MG inj,,,29 ,2,NW,,,,,,$9.40,,1,1,1,0,0,1,20061001
J1040,HCPCS,Methylprednisolone 80 MG inj,,,29 ,2,NW,,,,,,$19.25,,1,1,1,0,0,1,20061001
J1051,HCPCS,Medroxyprogesterone inj,,,29 ,2,NW,,,,,,$11.38,,1,1,1,0,0,1,20061001
J1055,HCPCS,Medrxyprogester acetate inj,,,29 ,,NW,,,,,,$130.15,,1,1,1,0,0,1,20061001
J1056,HCPCS,MA/EC contraceptiveinjection,,,29 ,,NW,,,,,,$55.32,,1,1,1,0,0,1,20061001
J1060,HCPCS,Testosterone cypionate 1 ML,,,29 ,2,NW,,,,,,$10.39,,1,1,1,0,0,1,20061001
J1070,HCPCS,Testosterone cypionat 100 MG,,,29 ,2,NW,,,,,,$11.38,,1,1,1,0,0,1,20061001
J1080,HCPCS,Testosterone cypionat 200 MG,,,29 ,2,NW,,,,,,$22.21,,1,1,1,0,0,1,20061001
J1094,HCPCS,Inj dexamethasone acetate,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J1100,HCPCS,Dexamethasone sodium phos,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J1110,HCPCS,Inj dihydroergotamine mesylt,,,29 ,2,NW,,,,,,$82.93,,1,1,1,0,0,1,20061001
J1120,HCPCS,Acetazolamid sodium injectio,,,29 ,2,NW,,,,,,$47.80,,1,1,1,0,0,1,20061001
J1160,HCPCS,Digoxin injection,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20061001
J1162,HCPCS,Digoxin immune fab (ovine),,,29 ,,NW,,,,,,$13.82,,1,1,1,0,0,1,20061001
J1165,HCPCS,Phenytoin sodium injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J1170,HCPCS,Hydromorphone injection,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20061001
J1180,HCPCS,Dyphylline injection,,,29 ,2,NW,,,,,,$21.22,,1,1,1,0,0,1,20061001
J1190,HCPCS,Dexrazoxane HCl injection,,,29 ,,NW,,,,,,$419.99,,1,1,1,0,0,1,20061001
J1200,HCPCS,Diphenhydramine hcl injectio,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20061001
J1205,HCPCS,Chlorothiazide sodium inj,,,29 ,2,NW,,,,,,$24.17,,1,1,1,0,0,1,20061001
J1212,HCPCS,Dimethyl sulfoxide 50% 50 ML,,,29 ,2,NW,,,,,,$90.20,,1,1,1,0,0,1,20061001
J1230,HCPCS,Methadone injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J1240,HCPCS,Dimenhydrinate injection,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J1245,HCPCS,Dipyridamole injection,,,29 ,,NW,,,,,,$13.35,,1,1,1,0,0,1,20061001
J1250,HCPCS,Inj dobutamine HCL/250 mg,,,29 ,2,NW,,,,,,$10.39,,1,1,1,0,0,1,20061001
J1260,HCPCS,Dolasetron mesylate,,,29 ,2,NW,,,,,,$44.32,,1,1,1,0,0,1,20061001
J1270,HCPCS,"Injection, doxercalciferol",,,29 ,2,NW,,,,,,$12.36,,1,1,1,0,0,1,20061001
J1320,HCPCS,Amitriptyline injection,,,29 ,2,NW,,,,,,$6.45,,1,1,1,0,0,1,20061001
J1325,HCPCS,Epoprostenol injection,,,29 ,2,NW,,,,,,$28.68,,1,1,1,0,0,1,20061001
J1327,HCPCS,Eptifibatide injection,,,29 ,,NW,,,,,,$30.08,,1,1,1,0,0,1,20061001
J1330,HCPCS,Ergonovine maleate injection,,,29 ,,NW,,,,,,$35.43,,1,1,1,0,0,1,20061001
J1364,HCPCS,Erythro lactobionate /500 MG,,,29 ,2,NW,,,,,,$7.43,,1,1,1,0,0,1,20061001
J1380,HCPCS,Estradiol valerate 10 MG inj,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J1390,HCPCS,Estradiol valerate 20 MG inj,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20061001
J1410,HCPCS,Inj estrogen conjugate 25 MG,,,29 ,2,NW,,,,,,$119.25,,1,1,1,0,0,1,20061001
J1430,HCPCS,Ethanolamine oleate 100 mg,,,29 ,,NW,,,,,,$13.82,,1,1,1,0,0,1,20061001
J1435,HCPCS,Injection estrone per 1 MG,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J1436,HCPCS,Etidronate disodium inj,,,29 ,2,NW,,,,,,$146.13,,1,1,1,0,0,1,20061001
J1438,HCPCS,Etanercept injection,,,29 ,,NW,,,,,,$282.70,,1,1,1,0,0,1,20061001
J1440,HCPCS,Filgrastim 300 mcg injection,,,29 ,,NW,,,,,,$321.20,,1,1,1,0,0,1,20061001
J1441,HCPCS,Filgrastim 480 mcg injection,,,29 ,,NW,,,,,,$533.31,,1,1,1,0,0,1,20061001
J1450,HCPCS,Fluconazole,,,29 ,2,NW,,,,,,$179.54,,1,1,1,0,0,1,20061001
J1451,HCPCS,"Fomepizole, 15 mg",,,29 ,,NW,,,,,,$13.62,,1,1,1,0,0,1,20061001
J1452,HCPCS,Intraocular Fomivirsen na,,,29 ,2,NW,,,,,,"$1,666.55",,1,1,1,0,0,1,20061001
J1455,HCPCS,Foscarnet sodium injection,,,29 ,2,NW,,,,,,$30.08,,1,1,1,0,0,1,20061001
J1460,HCPCS,Gamma globulin 1 CC inj,,,29 ,2,NW,,,,,,$26.15,,1,1,1,0,0,1,20061001
J1470,HCPCS,Gamma globulin 2 CC inj,,,29 ,,NW,,,,,,$52.42,,1,1,1,0,0,1,20061001
J1480,HCPCS,Gamma globulin 3 CC inj,,,29 ,,NW,,,,,,$72.03,,1,1,1,0,0,1,20061001
J1490,HCPCS,Gamma globulin 4 CC inj,,,29 ,,NW,,,,,,$91.65,,1,1,1,0,0,1,20061001
J1500,HCPCS,Gamma globulin 5 CC inj,,,29 ,,NW,,,,,,$111.98,,1,1,1,0,0,1,20061001
J1510,HCPCS,Gamma globulin 6 CC inj,,,29 ,,NW,,,,,,$131.60,,1,1,1,0,0,1,20061001
J1520,HCPCS,Gamma globulin 7 CC inj,,,29 ,,NW,,,,,,$151.22,,1,1,1,0,0,1,20061001
J1530,HCPCS,Gamma globulin 8 CC inj,,,29 ,,NW,,,,,,$171.56,,1,1,1,0,0,1,20061001
J1540,HCPCS,Gamma globulin 9 CC inj,,,29 ,,NW,,,,,,$191.16,,1,1,1,0,0,1,20061001
J1550,HCPCS,Gamma globulin 10 CC inj,,,29 ,,NW,,,,,,$210.78,,1,1,1,0,0,1,20061001
J1560,HCPCS,Gamma globulin > 10 CC inj,,,29 ,,NW,,,,,,$21.29,,1,1,1,0,0,1,20061001
J1565,HCPCS,RSV-ivig,,,29 ,,NW,,,,,,$38.94,,1,1,1,0,0,1,20061001
J1566,HCPCS,"Immune globulin, powder",,,29 ,,NW,,,,,,$13.38,,1,1,1,0,0,1,20061001
J1567,HCPCS,"Immune globulin, liquid",,,29 ,,NW,,,,,,$12.72,,1,1,1,0,0,1,20061001
J1570,HCPCS,Ganciclovir sodium injection,,,29 ,,NW,,,,,,$73.48,,1,1,1,0,0,1,20061001
J1580,HCPCS,Garamycin gentamicin inj,,,29 ,2,NW,,,,,,$4.49,,1,1,1,0,0,1,20061001
J1590,HCPCS,Gatifloxacin injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J1595,HCPCS,Injection glatiramer acetate,,,29 ,,NW,,,,,,$704.65,,1,1,1,0,0,1,20061001
J1600,HCPCS,Gold sodium thiomaleate inj,,,29 ,2,NW,,,,,,$31.07,,1,1,1,0,0,1,20061001
J1610,HCPCS,Glucagon hydrochloride/1 MG,,,29 ,2,NW,,,,,,$91.65,,1,1,1,0,0,1,20061001
J1620,HCPCS,Gonadorelin hydroch/ 100 mcg,,,29 ,2,NW,,,,,,$364.06,,1,1,1,0,0,1,20061001
J1626,HCPCS,Granisetron HCl injection,,,29 ,,NW,,,,,,$40.91,,1,1,1,0,0,1,20061001
J1630,HCPCS,Haloperidol injection,,,29 ,2,NW,,,,,,$15.31,,1,1,1,0,0,1,20061001
J1631,HCPCS,Haloperidol decanoate inj,,,29 ,2,NW,,,,,,$21.22,,1,1,1,0,0,1,20061001
J1640,HCPCS,"Hemin, 1 mg",,,29 ,,NW,,,,,,$12.63,,1,1,1,0,0,1,20061001
J1642,HCPCS,Inj heparin sodium per 10 u,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J1644,HCPCS,Inj heparin sodium per 1000u,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J1645,HCPCS,Dalteparin sodium,,,29 ,2,NW,,,,,,$36.97,,1,1,1,0,0,1,20061001
J1650,HCPCS,Inj enoxaparin sodium,,,29 ,2,NW,,,,,,$14.33,,1,1,1,0,0,1,20061001
J1652,HCPCS,Fondaparinux sodium,,,29 ,2,NW,,,,,,$19.25,,1,1,1,0,0,1,20061001
J1655,HCPCS,Tinzaparin sodium injection,,,29 ,2,NW,,,,,,$8.42,,1,1,1,0,0,1,20061001
J1670,HCPCS,Tetanus immune globulin inj,,,29 ,2,NW,,,,,,$219.50,,1,1,1,0,0,1,20061001
J1700,HCPCS,Hydrocortisone acetate inj,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J1710,HCPCS,Hydrocortisone sodium ph inj,,,29 ,2,NW,,,,,,$16.29,,1,1,1,0,0,1,20061001
J1720,HCPCS,Hydrocortisone sodium succ i,,,29 ,2,NW,,,,,,$4.49,,1,1,1,0,0,1,20061001
J1730,HCPCS,Diazoxide injection,,,29 ,2,NW,,,,,,$226.77,,1,1,1,0,0,1,20061001
J1742,HCPCS,Ibutilide fumarate injection,,,29 ,2,NW,,,,,,$449.78,,1,1,1,0,0,1,20061001
J1745,HCPCS,Infliximab injection,,,29 ,,NW,,,,,,$126.51,,1,1,1,0,0,1,20061001
J1751,HCPCS,Iron dextran 165 injection,,,29 ,,NW,,,,,,$11.77,,1,1,1,0,0,1,20061001
J1752,HCPCS,Iron dextran 267 injection,,,29 ,,NW,,,,,,$10.92,,1,1,1,0,0,1,20061001
J1756,HCPCS,Iron sucrose injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J1785,HCPCS,Injection imiglucerase /unit,,,29 ,,NW,,,,,,$9.40,,1,1,1,0,0,1,20061001
J1790,HCPCS,Droperidol injection,,,29 ,2,NW,,,,,,$6.45,,1,1,1,0,0,1,20061001
J1800,HCPCS,Propranolol injection,,,29 ,2,NW,,,,,,$27.13,,1,1,1,0,0,1,20061001
J1810,HCPCS,Droperidol/fentanyl inj,,,29 ,,NW,,,,,,$14.24,,1,1,1,0,0,1,20061001
J1815,HCPCS,Insulin injection,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J1817,HCPCS,Insulin for insulin pump use,,,29 ,2,NW,,,,,,$6.45,,1,1,1,0,0,1,20061001
J1825,HCPCS,Interferon beta-1a,,,29 ,,NW,,,,,,$596.52,,1,1,1,0,0,1,20061001
J1830,HCPCS,Interferon beta-1b / .25 MG,,,29 ,,NW,,,,,,$129.42,,1,1,1,0,0,1,20061001
J1835,HCPCS,Itraconazole injection,,,29 ,2,NW,,,,,,$76.39,,1,1,1,0,0,1,20061001
J1840,HCPCS,Kanamycin sulfate 500 MG inj,,,29 ,2,NW,,,,,,$7.43,,1,1,1,0,0,1,20061001
J1850,HCPCS,Kanamycin sulfate 75 MG inj,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J1885,HCPCS,Ketorolac tromethamine inj,,,29 ,2,NW,,,,,,$8.42,,1,1,1,0,0,1,20061001
J1890,HCPCS,Cephalothin sodium injection,,,29 ,2,NW,,,,,,$24.17,,1,1,1,0,0,1,20061001
J1940,HCPCS,Furosemide injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J1945,HCPCS,Lepiridin,,,29 ,,NW,,,,,,$9.87,,1,1,1,0,0,1,20061001
J1950,HCPCS,Leuprolide acetate /3.75 MG,,,29 ,,NW,,,,,,$895.08,,1,1,1,0,0,1,20061001
J1955,HCPCS,Inj levocarnitine per 1 gm,,,29 ,,NW,,,,,,$72.03,,1,1,1,0,0,1,20061001
J1956,HCPCS,Levofloxacin injection,,,29 ,2,NW,,,,,,$48.79,,1,1,1,0,0,1,20061001
J1960,HCPCS,Levorphanol tartrate inj,,,29 ,2,NW,,,,,,$8.42,,1,1,1,0,0,1,20061001
J1980,HCPCS,Hyoscyamine sulfate inj,,,29 ,2,NW,,,,,,$20.24,,1,1,1,0,0,1,20061001
J1990,HCPCS,Chlordiazepoxide injection,,,29 ,2,NW,,,,,,$56.05,,1,1,1,0,0,1,20061001
J2001,HCPCS,INJECTION LIDO HCL IV INFUS 10 MG,,,29 ,,NW,,,,,,$1.05,,1,1,1,0,0,1,20061001
J2010,HCPCS,Lincomycin injection,,,29 ,2,NW,,,,,,$7.43,,1,1,1,0,0,1,20061001
J2020,HCPCS,Linezolid injection,,,29 ,,NW,,,,,,$76.39,,1,1,1,0,0,1,20061001
J2060,HCPCS,Lorazepam injection,,,29 ,2,NW,,,,,,$7.43,,1,1,1,0,0,1,20061001
J2150,HCPCS,Mannitol injection,,,29 ,2,NW,,,,,,$7.43,,1,1,1,0,0,1,20061001
J2175,HCPCS,Meperidine hydrochl /100 MG,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J2180,HCPCS,Meperidine/promethazine inj,,,29 ,2,NW,,,,,,$10.39,,1,1,1,0,0,1,20061001
J2210,HCPCS,Methylergonovin maleate inj,,,29 ,2,NW,,,,,,$9.40,,1,1,1,0,0,1,20061001
J2250,HCPCS,Inj midazolam hydrochloride,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20061001
J2260,HCPCS,Inj milrinone lactate / 5 MG,,,29 ,,NW,,,,,,$102.54,,1,1,1,0,0,1,20061001
J2270,HCPCS,Morphine sulfate injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J2271,HCPCS,Morphine so4 injection 100mg,,,29 ,2,NW,,,,,,$10.39,,1,1,1,0,0,1,20061001
J2275,HCPCS,Morphine sulfate injection,,,29 ,2,NW,,,,,,$4.49,,1,1,1,0,0,1,20061001
J2278,HCPCS,Ziconotide injection,,,29 ,,NW,,,,,,$8.91,,1,1,1,0,0,1,20061001
J2300,HCPCS,Inj nalbuphine hydrochloride,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20061001
J2310,HCPCS,Inj naloxone hydrochloride,,,29 ,2,NW,,,,,,$5.47,,1,1,1,0,0,1,20061001
J2320,HCPCS,Nandrolone decanoate 50 MG,,,29 ,2,NW,,,,,,$8.42,,1,1,1,0,0,1,20061001
J2321,HCPCS,Nandrolone decanoate 100 MG,,,29 ,2,NW,,,,,,$16.29,,1,1,1,0,0,1,20061001
J2322,HCPCS,Nandrolone decanoate 200 MG,,,29 ,2,NW,,,,,,$36.97,,1,1,1,0,0,1,20061001
J2325,HCPCS,Nesiritide injection,,,29 ,,NW,,,,,,$8.71,,1,1,1,0,0,1,20061001
J2355,HCPCS,Oprelvekin injection,,,29 ,,NW,,,,,,$478.83,,1,1,1,0,0,1,20061001
J2360,HCPCS,Orphenadrine injection,,,29 ,2,NW,,,,,,$12.36,,1,1,1,0,0,1,20061001
J2370,HCPCS,Phenylephrine hcl injection,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20061001
J2400,HCPCS,Chloroprocaine hcl injection,,,29 ,2,NW,,,,,,$14.33,,1,1,1,0,0,1,20061001
J2405,HCPCS,Ondansetron hcl injection,,,29 ,2,NW,,,,,,$14.33,,1,1,1,0,0,1,20061001
J2410,HCPCS,Oxymorphone hcl injection,,,29 ,2,NW,,,,,,$6.45,,1,1,1,0,0,1,20061001
J2425,HCPCS,Palifermin injection,,,29 ,,NW,,,,,,$7.71,,1,1,1,0,0,1,20061001
J2430,HCPCS,Pamidronate disodium /30 MG,,,29 ,,NW,,,,,,$475.20,,1,1,1,0,0,1,20061001
J2440,HCPCS,Papaverin hcl injection,,,29 ,2,NW,,,,,,$7.43,,1,1,1,0,0,1,20061001
J2460,HCPCS,Oxytetracycline injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J2501,HCPCS,Paricalcitol,,,29 ,2,NW,,,,,,$11.38,,1,1,1,0,0,1,20061001
J2503,HCPCS,Pegaptanib sodium injection,,,29 ,,NW,,,,,,$6.91,,1,1,1,0,0,1,20061001
J2504,HCPCS,"Pegademase bovine, 25 iu",,,29 ,,NW,,,,,,$6.84,,1,1,1,0,0,1,20061001
J2510,HCPCS,Penicillin g procaine inj,,,29 ,2,NW,,,,,,$22.21,,1,1,1,0,0,1,20061001
J2513,HCPCS,Pentastarch 10% solution,,,29 ,,NW,,,,,,$6.60,,1,1,1,0,0,1,20061001
J2515,HCPCS,Pentobarbital sodium inj,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20061001
J2540,HCPCS,Penicillin g potassium inj,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J2543,HCPCS,Piperacillin/tazobactam,,,29 ,2,NW,,,,,,$11.38,,1,1,1,0,0,1,20061001
J2545,HCPCS,Pentamidine isethionte/300mg,,,29 ,,NW,,,,,,$90.20,,1,1,1,0,0,1,20061001
J2550,HCPCS,Promethazine hcl injection,,,29 ,2,NW,,,,,,$6.45,,1,1,1,0,0,1,20061001
J2560,HCPCS,Phenobarbital sodium inj,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20061001
J2590,HCPCS,Oxytocin injection,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20061001
J2597,HCPCS,Inj desmopressin acetate,,,29 ,2,NW,,,,,,$7.43,,1,1,1,0,0,1,20061001
J2650,HCPCS,Prednisolone acetate inj,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J2670,HCPCS,Totazoline hcl injection,,,29 ,2,NW,,,,,,$8.42,,1,1,1,0,0,1,20061001
J2675,HCPCS,Inj progesterone per 50 MG,,,29 ,2,NW,,,,,,$8.42,,1,1,1,0,0,1,20061001
J2680,HCPCS,Fluphenazine decanoate 25 MG,,,29 ,2,NW,,,,,,$20.24,,1,1,1,0,0,1,20061001
J2690,HCPCS,Procainamide hcl injection,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20061001
J2700,HCPCS,Oxacillin sodium injeciton,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J2710,HCPCS,Neostigmine methylslfte inj,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J2720,HCPCS,Inj protamine sulfate/10 MG,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J2725,HCPCS,Inj protirelin per 250 mcg,,,29 ,2,NW,,,,,,$54.60,,1,1,1,0,0,1,20061001
J2730,HCPCS,Pralidoxime chloride inj,,,29 ,2,NW,,,,,,$191.90,,1,1,1,0,0,1,20061001
J2760,HCPCS,Phentolaine mesylate inj,,,29 ,2,NW,,,,,,$67.67,,1,1,1,0,0,1,20061001
J2765,HCPCS,Metoclopramide hcl injection,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20061001
J2770,HCPCS,Quinupristin/dalfopristin,,,29 ,2,NW,,,,,,$212.24,,1,1,1,0,0,1,20061001
J2780,HCPCS,Ranitidine hydrochloride inj,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20061001
J2788,HCPCS,Rho d immune globulin 50 mcg,,,29 ,,NW,,,,,,$101.83,,1,1,1,0,0,1,20061001
J2790,HCPCS,Rho d immune globulin inj,,,29 ,,NW,,,,,,$186.81,,1,1,1,0,0,1,20061001
J2792,HCPCS,"Rho(D) immune globulin h, sd",,,29 ,,NW,,,,,,$47.80,,1,1,1,0,0,1,20061001
J2795,HCPCS,Ropivacaine HCl injection,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J2800,HCPCS,Methocarbamol injection,,,29 ,2,NW,,,,,,$8.42,,1,1,1,0,0,1,20061001
J2805,HCPCS,Sincalide injection,,,29 ,,NW,,,,,,$6.60,,1,1,1,0,0,1,20061001
J2810,HCPCS,Inj theophylline per 40 MG,,,29 ,2,NW,,,,,,$1.48,,1,1,1,0,0,1,20061001
J2820,HCPCS,Sargramostim injection,,,29 ,,NW,,,,,,$60.41,,1,1,1,0,0,1,20061001
J2850,HCPCS,Inj secretin synthetic human,,,29 ,,NW,,,,,,$6.60,,1,1,1,0,0,1,20061001
J2910,HCPCS,Aurothioglucose injeciton,,,29 ,2,NW,,,,,,$39.93,,1,1,1,0,0,1,20061001
J2912,HCPCS,Sodium chloride injection,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J2916,HCPCS,Na ferric gluconate complex,,,29 ,2,NW,,,,,,$19.25,,1,1,1,0,0,1,20061001
J2920,HCPCS,Methylprednisolone injection,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20061001
J2930,HCPCS,Methylprednisolone injection,,,29 ,2,NW,,,,,,$4.49,,1,1,1,0,0,1,20061001
J2940,HCPCS,Somatrem injection,,,29 ,2,NW,,,,,,$91.65,,1,1,1,0,0,1,20061001
J2941,HCPCS,Somatropin injection,,,29 ,,NW,,,,,,$92.38,,1,1,1,0,0,1,20061001
J2950,HCPCS,Promazine hcl injection,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J2993,HCPCS,Reteplase injection,,,29 ,,NW,,,,,,"$2,286.19",,1,1,1,0,0,1,20061001
J2995,HCPCS,Inj streptokinase /250000 IU,,,29 ,,NW,,,,,,$167.19,,1,1,1,0,0,1,20061001
J2997,HCPCS,Alteplase recombinant,,,29 ,,NW,,,,,,$76.39,,1,1,1,0,0,1,20061001
J3000,HCPCS,Streptomycin injection,,,29 ,2,NW,,,,,,$14.33,,1,1,1,0,0,1,20061001
J3010,HCPCS,Fentanyl citrate injeciton,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J3030,HCPCS,Sumatriptan succinate / 6 MG,,,29 ,2,NW,,,,,,$58.95,,1,1,1,0,0,1,20061001
J3070,HCPCS,Pentazocine injection,,,29 ,2,NW,,,,,,$12.36,,1,1,1,0,0,1,20061001
J3100,HCPCS,Tenecteplase injection,,,29 ,,NW,,,,,,"$4,696.48",,1,1,1,0,0,1,20061001
J3105,HCPCS,Terbutaline sulfate inj,,,29 ,2,NW,,,,,,$63.32,,1,1,1,0,0,1,20061001
J3110,HCPCS,Teriparatide injection,,,29 ,,NW,,,,,,$368.20,,1,1,1,0,0,1,20061001
J3120,HCPCS,Testosterone enanthate inj,,,29 ,2,NW,,,,,,$21.22,,1,1,1,0,0,1,20061001
J3130,HCPCS,Testosterone enanthate inj,,,29 ,2,NW,,,,,,$41.91,,1,1,1,0,0,1,20061001
J3140,HCPCS,Testosterone suspension inj,,,29 ,2,NW,,,,,,$14.42,,1,1,1,0,0,1,20061001
J3150,HCPCS,Testosteron propionate inj,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20061001
J3230,HCPCS,Chlorpromazine hcl injection,,,29 ,2,NW,,,,,,$10.39,,1,1,1,0,0,1,20061001
J3240,HCPCS,Thyrotropin injection,,,29 ,,NW,,,,,,"$1,087.59",,1,1,1,0,0,1,20061001
J3250,HCPCS,Trimethobenzamide hcl inj,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20061001
J3260,HCPCS,Tobramycin sulfate injection,,,29 ,2,NW,,,,,,$10.39,,1,1,1,0,0,1,20061001
J3265,HCPCS,Injection torsemide 10 mg/ml,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20061001
J3280,HCPCS,Thiethylperazine maleate inj,,,29 ,2,NW,,,,,,$13.35,,1,1,1,0,0,1,20061001
J3285,HCPCS,Treprostinil injection,,,29 ,,NW,,,,,,$6.60,,1,1,1,0,0,1,20061001
J3301,HCPCS,Triamcinolone acetonide inj,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20061001
J3302,HCPCS,Triamcinolone diacetate inj,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J3303,HCPCS,Triamcinolone hexacetonl inj,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J3305,HCPCS,Inj trimetrexate glucoronate,,,29 ,,NW,,,,,,$260.18,,1,1,1,0,0,1,20061001
J3310,HCPCS,Perphenazine injeciton,,,29 ,2,NW,,,,,,$21.22,,1,1,1,0,0,1,20061001
J3315,HCPCS,Triptorelin pamoate,,,29 ,,NW,,,,,,$706.22,,1,1,1,0,0,1,20061001
J3320,HCPCS,Spectinomycn di-hcl inj,,,29 ,2,NW,,,,,,$61.86,,1,1,1,0,0,1,20061001
J3350,HCPCS,Urea injection,,,29 ,2,NW,,,,,,$202.79,,1,1,1,0,0,1,20061001
J3355,HCPCS,"Urofollitropin, 75 iu",,,29 ,,NW,,,,,,$6.60,,1,1,1,0,0,1,20061001
J3360,HCPCS,Diazepam injection,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J3364,HCPCS,Urokinase 5000 IU injection,,,29 ,2,NW,,,,,,$24.17,,1,1,1,0,0,1,20061001
J3365,HCPCS,"Urokinase 250,000 IU inj",,,29 ,,NW,,,,,,$903.07,,1,1,1,0,0,1,20061001
J3370,HCPCS,Vancomycin hcl injection,,,29 ,2,NW,,,,,,$6.45,,1,1,1,0,0,1,20061001
J3400,HCPCS,Triflupromazine hcl inj,,,29 ,2,NW,,,,,,$82.10,,1,1,1,0,0,1,20061001
J3410,HCPCS,Hydroxyzine hcl injection,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20061001
J3420,HCPCS,Vitamin b12 injection,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J3430,HCPCS,Vitamin k phytonadione inj,,,29 ,2,NW,,,,,,$4.49,,1,1,1,0,0,1,20061001
J3470,HCPCS,Hyaluronidase injection,,,29 ,2,NW,,,,,,$59.69,,1,1,1,0,0,1,20061001
J3471,HCPCS,"Ovine, up to 999 USP units",,,29 ,,NW,,,,,,$5.35,,1,1,1,0,0,1,20061001
J3472,HCPCS,"Ovine, 1000 USP units",,,29 ,,NW,,,,,,$5.35,,1,1,1,0,0,1,20061001
J3475,HCPCS,Inj magnesium sulfate,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J3480,HCPCS,Inj potassium chloride,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J3485,HCPCS,Zidovudine,,,29 ,2,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J3487,HCPCS,Zoledronic acid,,,29 ,,NW,,,,,,$390.93,,1,1,1,0,0,1,20061001
J3490,HCPCS,Drugs unclassified injection,,,29 ,2,NW,,,,,,$16.04,,1,1,1,0,0,1,20061001
J3520,HCPCS,Edetate disodium per 150 mg,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J3535,HCPCS,Metered dose inhaler drug,,,29 ,,NW,,,,,,$2.21,,1,1,1,0,0,1,20061001
J3570,HCPCS,Laetrile amygdalin vit B17,,,29 ,,NW,,,,,,$39.53,,1,1,1,0,0,1,20061001
J7030,HCPCS,Normal saline solution infus,,,29 ,2,NW,,,,,,$19.25,,1,1,1,0,0,1,20061001
J7040,HCPCS,Normal saline solution infus,,,29 ,2,NW,,,,,,$10.39,,1,1,1,0,0,1,20061001
J7042,HCPCS,5% dextrose/normal saline,,,29 ,2,NW,,,,,,$22.21,,1,1,1,0,0,1,20061001
J7050,HCPCS,Normal saline solution infus,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20061001
J7060,HCPCS,5% dextrose/water,,,29 ,2,NW,,,,,,$20.24,,1,1,1,0,0,1,20061001
J7070,HCPCS,D5w infusion,,,29 ,2,NW,,,,,,$25.15,,1,1,1,0,0,1,20061001
J7100,HCPCS,Dextran 40 infusion,,,29 ,2,NW,,,,,,$56.05,,1,1,1,0,0,1,20061001
J7110,HCPCS,Dextran 75 infusion,,,29 ,2,NW,,,,,,$33.03,,1,1,1,0,0,1,20061001
J7120,HCPCS,Ringers lactate infusion,,,29 ,2,NW,,,,,,$27.13,,1,1,1,0,0,1,20061001
J7130,HCPCS,Hypertonic saline solution,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J7188,HCPCS,Inj Vonwillebrand factor iu,,,29 ,,NW,,,,,,$4.33,,1,1,1,0,0,1,20061001
J7189,HCPCS,Factor viia,,,29 ,,NW,,,,,,$4.27,,1,1,1,0,0,1,20061001
J7190,HCPCS,Factor viii,,,29 ,,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J7191,HCPCS,Factor VIII (porcine),,,29 ,,NW,,,,,,$4.49,,1,1,1,0,0,1,20061001
J7192,HCPCS,Factor viii recombinant,,,29 ,,NW,,,,,,$2.52,,1,1,1,0,0,1,20061001
J7193,HCPCS,Factor IX non-recombinant,,,29 ,,NW,,,,,,$2.52,,1,1,1,0,0,1,20061001
J7194,HCPCS,Factor ix complex,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J7195,HCPCS,Factor IX recombinant,,,29 ,,NW,,,,,,$2.52,,1,1,1,0,0,1,20061001
J7197,HCPCS,Antithrombin iii injection,,,29 ,2,NW,,,,,,$3.50,,1,1,1,0,0,1,20061001
J7198,HCPCS,Anti-inhibitor,,,29 ,,NW,,,,,,$3.50,,1,1,1,0,0,1,20061001
J7300,HCPCS,Intraut copper contraceptive,,,29 ,,NW,,,,,,$510.71,,1,1,1,1,1,1,20061001
J7302,HCPCS,Levonorgestrel iu contracept,,,29 ,,NW,,,,,,$859.48,,1,1,1,1,1,1,20061001
J7308,HCPCS,Aminolevulinic acid hcl top,,,29 ,2,NW,,,,,,$188.26,,1,1,1,0,0,1,20061001
J7310,HCPCS,Ganciclovir long act implant,,,29 ,,NW,,,,,,"$8,281.40",,1,1,1,0,0,1,20061001
J7317,HCPCS,Sodium hyaluronate injection,,,29 ,,NW,,,,,,$121.03,,1,1,1,0,0,1,20061001
J7320,HCPCS,Hylan G-F 20 injection,,,29 ,,NW,,,,,,$212.80,,1,1,1,0,0,1,20061001
J7330,HCPCS,Cultured chondrocytes implnt,,,29 ,,NW,,,,,,"$26,406.51",,1,1,1,0,0,1,20061001
J7340,HCPCS,Metabolic active D/E tissue,,,29 ,,NW,,,,,,$63.32,,1,1,1,0,0,1,20061001
J7341,HCPCS,"Non-human, metabolic tissue",,,29 ,,NW,,,,,,$3.27,,1,1,1,0,0,1,20061001
J7342,HCPCS,Metabolically active tissue,,,28 ,2,NW,,,,,,$26.57,,1,1,1,0,0,1,20061001
J7343,HCPCS,Nonmetabolic act d/e tissue,,,29 ,,NW,,,,,,$11.44,,1,1,1,0,0,1,20061001
J7344,HCPCS,Nonmetabolic active tissue,,,28 ,,NW,,,,,,$67.81,,1,1,1,0,0,1,20061001
J7500,HCPCS,Azathioprine oral 50mg,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20061001
J7501,HCPCS,Azathioprine parenteral,,,29 ,2,NW,,,,,,$116.35,,1,1,1,0,0,1,20061001
J7502,HCPCS,Cyclosporine oral 100 mg,,,29 ,,NW,,,,,,$12.36,,1,1,1,0,0,1,20061001
J7504,HCPCS,Lymphocyte immune globulin,,,29 ,,NW,,,,,,$497.73,,1,1,1,0,0,1,20061001
J7505,HCPCS,Monoclonal antibodies,,,29 ,,NW,,,,,,"$1,787.13",,1,1,1,0,0,1,20061001
J7506,HCPCS,Prednisone oral,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J7507,HCPCS,Tacrolimus oral per 1 MG,,,29 ,,NW,,,,,,$7.43,,1,1,1,0,0,1,20061001
J7509,HCPCS,Methylprednisolone oral,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J7510,HCPCS,Prednisolone oral per 5 mg,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J7511,HCPCS,Antithymocyte globuln rabbit,,,29 ,,NW,,,,,,$635.02,,1,1,1,0,0,1,20061001
J7513,HCPCS,"Daclizumab, parenteral",,,29 ,,NW,,,,,,$752.70,,1,1,1,0,0,1,20061001
J7515,HCPCS,Cyclosporine oral 25 mg,,,29 ,2,NW,,,,,,$2.52,,1,1,1,0,0,1,20061001
J7516,HCPCS,Cyclosporin parenteral 250mg,,,29 ,2,NW,,,,,,$69.85,,1,1,1,0,0,1,20061001
J7517,HCPCS,Mycophenolate mofetil oral,,,29 ,,NW,,,,,,$6.45,,1,1,1,0,0,1,20061001
J7520,HCPCS,"Sirolimus, oral",,,29 ,,NW,,,,,,$16.29,,1,1,1,0,0,1,20061001
J7525,HCPCS,Tacrolimus injection,,,29 ,,NW,,,,,,$219.50,,1,1,1,0,0,1,20061001
J7599,HCPCS,Immunosuppressive drug noc,,,29 ,2,NW,,,,,,$6.76,,1,1,1,0,0,1,20061001
J7608,HCPCS,Acetylcysteine inh sol u d,,,29 ,,NW,,,,,,$62.59,,1,1,1,0,0,1,20061001
J7611,HCPCS,ALBUTEROL INHAL CONC FORM 1 MG,,,29 ,,NW,,,,,,$0.45,,1,1,1,0,0,1,20061001
J7612,HCPCS,Levalbuterol concentrated,,,29 ,,NW,,,,,,$49.77,,1,1,1,0,0,1,20061001
J7613,HCPCS,ALBUTEROL INHAL UNIT DOSE 1 MG,,,29 ,,NW,,,,,,$0.45,,1,1,1,0,0,1,20061001
J7614,HCPCS,LEVALBUTEROL INHAL UNIT DOSE 0.5 MG,,,29 ,,NW,,,,,,$2.04,,1,1,1,0,0,1,20061001
J7620,HCPCS,Albuterol non-compounded,,,29 ,,NW,,,,,,$0.45,,1,1,1,0,0,1,20061001
J7622,HCPCS,Beclomethasone inhalatn sol,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J7624,HCPCS,Betamethasone inhalation sol,,,29 ,,NW,,,,,,$1.75,,1,1,1,0,0,1,20061001
J7626,HCPCS,Budesonide inhalation sol,,,29 ,,NW,,,,,,$10.39,,1,1,1,0,0,1,20061001
J7628,HCPCS,Bitolterol mes inhal sol con,,,29 ,,NW,,,,,,$0.61,,1,1,1,0,0,1,20061001
J7629,HCPCS,Bitolterol mes inh sol u d,,,29 ,,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J7631,HCPCS,Cromolyn sodium inh sol u d,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J7633,HCPCS,Budesonide concentrated sol,,,29 ,2,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J7635,HCPCS,Atropine inhal sol con,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J7636,HCPCS,Atropine inhal sol unit dose,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J7637,HCPCS,Dexamethasone inhal sol con,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J7638,HCPCS,Dexamethasone inhal sol u d,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J7639,HCPCS,Dornase alpha inhal sol u d,,,29 ,,NW,,,,,,$38.94,,1,1,1,0,0,1,20061001
J7641,HCPCS,"Flunisolide, inhalation sol",,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J7642,HCPCS,Glycopyrrolate inhal sol con,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J7643,HCPCS,Glycopyrrolate inhal sol u d,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J7644,HCPCS,Ipratropium brom inh sol u d,,,29 ,,NW,,,,,,$7.43,,1,1,1,0,0,1,20061001
J7649,HCPCS,Isoetharine hcl inh sol u d,,,29 ,,NW,,,,,,$1.52,,1,1,1,0,0,1,20061001
J7658,HCPCS,Isoproterenolhcl inh sol con,,,29 ,,NW,,,,,,$8.42,,1,1,1,0,0,1,20061001
J7659,HCPCS,Isoproterenol hcl inh sol ud,,,29 ,,NW,,,,,,$8.42,,1,1,1,0,0,1,20061001
J7668,HCPCS,Metaproterenol inh sol con,,,29 ,,NW,,,,,,$0.17,,1,1,1,0,0,1,20061001
J7669,HCPCS,Metaproterenol inh sol u d,,,29 ,,NW,,,,,,$2.66,,1,1,1,0,0,1,20061001
J7680,HCPCS,Terbutaline so4 inh sol con,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J7681,HCPCS,Terbutaline so4 inh sol u d,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J7682,HCPCS,Tobramycin inhalation sol,,,29 ,,NW,,,,,,$118.53,,1,1,1,0,0,1,20061001
J7683,HCPCS,Triamcinolone inh sol con,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J7684,HCPCS,Triamcinolone inh sol u d,,,29 ,,NW,,,,,,$0.54,,1,1,1,0,0,1,20061001
J7699,HCPCS,Inhalation solution for DME,,,29 ,,NW,,,,,,$19.41,,1,1,1,0,0,1,20061001
J7799,HCPCS,Non-inhalation drug for DME,,,29 ,,NW,,,,,,$68.74,,1,1,1,0,0,1,20061001
J8499,HCPCS,Oral prescrip drug non chemo,,,29 ,,NW,,,,,,$2.47,,1,1,1,0,0,1,20061001
J8501,HCPCS,Oral aprepitant,,,29 ,,NW,,,,,,$323.00,,1,1,1,0,0,1,20061001
J8510,HCPCS,Oral busulfan,,,29 ,,NW,,,,,,$7.20,,1,1,1,0,0,1,20061001
J8520,HCPCS,"Capecitabine, oral, 150 mg",,,29 ,,NW,,,,,,$9.58,,1,1,1,0,0,1,20061001
J8521,HCPCS,"Capecitabine, oral, 500 mg",,,29 ,,NW,,,,,,$33.55,,1,1,1,0,0,1,20061001
J8530,HCPCS,Cyclophosphamide oral 25 MG,,,29 ,2,NW,,,,,,$8.39,,1,1,1,0,0,1,20061001
J8540,HCPCS,Oral dexamethasone,,,29 ,,NW,,,,,,$3.23,,1,1,1,0,0,1,20061001
J8560,HCPCS,Etoposide oral 50 MG,,,29 ,,NW,,,,,,$178.89,,1,1,1,0,0,1,20061001
J8565,HCPCS,Gefitinib oral,,,29 ,,NW,,,,,,"$1,267.70",,1,1,1,0,0,1,20061001
J8600,HCPCS,Melphalan oral 2 MG,,,29 ,2,NW,,,,,,$8.39,,1,1,1,0,0,1,20061001
J8610,HCPCS,Methotrexate oral 2.5 MG,,,29 ,2,NW,,,,,,$11.99,,1,1,1,0,0,1,20061001
J8700,HCPCS,Temozolomide,,,29 ,,NW,,,,,,$23.96,,1,1,1,0,0,1,20061001
J8999,HCPCS,Oral prescription drug chemo,,,29 ,,NW,,,,,,$19.28,,1,1,1,0,0,1,20061001
J9000,HCPCS,Doxorubic hcl 10 MG vl chemo,,,29 ,,NW,,,,,,$27.56,,1,1,1,0,0,1,20061001
J9001,HCPCS,Doxorubicin hcl liposome inj,,,29 ,,NW,,,,,,$697.50,,1,1,1,0,0,1,20061001
J9010,HCPCS,Alemtuzumab injection,,,29 ,,NW,,,,,,"$1,030.19",,1,1,1,0,0,1,20061001
J9015,HCPCS,Aldesleukin/single use vial,,,29 ,,NW,,,,,,"$1,348.52",,1,1,1,0,0,1,20061001
J9017,HCPCS,Arsenic trioxide,,,29 ,,NW,,,,,,$9.58,,1,1,1,0,0,1,20061001
J9020,HCPCS,Asparaginase injection,,,29 ,,NW,,,,,,$154.33,,1,1,1,0,0,1,20061001
J9025,HCPCS,Azacitidine injection,,,29 ,,NW,,,,,,$2.48,,1,1,1,0,0,1,20061001
J9027,HCPCS,Clofarabine injection,,,29 ,,NW,,,,,,$1.10,,1,1,1,0,0,1,20061001
J9031,HCPCS,Bcg live intravesical vac,,,29 ,,NW,,,,,,$375.28,,1,1,1,0,0,1,20061001
J9040,HCPCS,Bleomycin sulfate injection,,,29 ,,NW,,,,,,$393.23,,1,1,1,0,0,1,20061001
J9045,HCPCS,Carboplatin injection,,,29 ,,NW,,,,,,$333.74,,1,1,1,0,0,1,20061001
J9050,HCPCS,Carmus bischl nitro inj,,,29 ,2,NW,,,,,,$320.51,,1,1,1,0,0,1,20061001
J9060,HCPCS,Cisplatin 10 MG injection,,,29 ,,NW,,,,,,$43.14,,1,1,1,0,0,1,20061001
J9062,HCPCS,Cisplatin 50 MG injection,,,29 ,,NW,,,,,,$184.55,,1,1,1,0,0,1,20061001
J9065,HCPCS,Inj cladribine per 1 MG,,,29 ,,NW,,,,,,$133.56,,1,1,1,0,0,1,20061001
J9070,HCPCS,Cyclophosphamide 100 MG inj,,,29 ,,NW,,,,,,$16.77,,1,1,1,0,0,1,20061001
J9080,HCPCS,Cyclophosphamide 200 MG inj,,,29 ,,NW,,,,,,$31.15,,1,1,1,0,0,1,20061001
J9090,HCPCS,Cyclophosphamide 500 MG inj,,,29 ,,NW,,,,,,$64.62,,1,1,1,0,0,1,20061001
J9091,HCPCS,Cyclophosphamide 1.0 grm inj,,,29 ,,NW,,,,,,$116.56,,1,1,1,0,0,1,20061001
J9092,HCPCS,Cyclophosphamide 2.0 grm inj,,,29 ,,NW,,,,,,$219.48,,1,1,1,0,0,1,20061001
J9093,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$16.77,,1,1,1,0,0,1,20061001
J9094,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$33.55,,1,1,1,0,0,1,20061001
J9095,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$64.62,,1,1,1,0,0,1,20061001
J9096,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$116.56,,1,1,1,0,0,1,20061001
J9097,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$225.15,,1,1,1,0,0,1,20061001
J9100,HCPCS,Cytarabine hcl 100 MG inj,,,29 ,,NW,,,,,,$23.96,,1,1,1,0,0,1,20061001
J9110,HCPCS,Cytarabine hcl 500 MG inj,,,29 ,,NW,,,,,,$23.96,,1,1,1,0,0,1,20061001
J9120,HCPCS,Dactinomycin actinomycin d,,,29 ,2,NW,,,,,,$39.54,,1,1,1,0,0,1,20061001
J9130,HCPCS,Dacarbazine 100 mg inj,,,29 ,,NW,,,,,,$32.35,,1,1,1,0,0,1,20061001
J9140,HCPCS,Dacarbazine 200 MG inj,,,29 ,,NW,,,,,,$62.74,,1,1,1,0,0,1,20061001
J9150,HCPCS,Daunorubicin,,,29 ,,NW,,,,,,$180.76,,1,1,1,0,0,1,20061001
J9151,HCPCS,Daunorubicin citrate liposom,,,29 ,,NW,,,,,,$159.05,,1,1,1,0,0,1,20061001
J9160,HCPCS,"Denileukin diftitox, 300 mcg",,,29 ,,NW,,,,,,"$2,329.05",,1,1,1,0,0,1,20061001
J9165,HCPCS,Diethylstilbestrol injection,,,29 ,2,NW,,,,,,$41.94,,1,1,1,0,0,1,20061001
J9170,HCPCS,Docetaxel,,,29 ,,NW,,,,,,$695.25,,1,1,1,0,0,1,20061001
J9181,HCPCS,Etoposide 10 MG inj,,,29 ,,NW,,,,,,$4.80,,1,1,1,0,0,1,20061001
J9182,HCPCS,Etoposide 100 MG inj,,,29 ,,NW,,,,,,$49.12,,1,1,1,0,0,1,20061001
J9185,HCPCS,Fludarabine phosphate inj,,,29 ,,NW,,,,,,$726.79,,1,1,1,0,0,1,20061001
J9190,HCPCS,Fluorouracil injection,,,29 ,2,NW,,,,,,$6.00,,1,1,1,0,0,1,20061001
J9200,HCPCS,Floxuridine injection,,,29 ,,NW,,,,,,$327.13,,1,1,1,0,0,1,20061001
J9201,HCPCS,Gemcitabine HCl,,,29 ,,NW,,,,,,$270.47,,1,1,1,0,0,1,20061001
J9202,HCPCS,Goserelin acetate implant,,,29 ,,NW,,,,,,$832.36,,1,1,1,0,0,1,20061001
J9206,HCPCS,Irinotecan injection,,,29 ,,NW,,,,,,$323.36,,1,1,1,0,0,1,20061001
J9208,HCPCS,Ifosfomide injection,,,29 ,,NW,,,,,,$352.62,,1,1,1,0,0,1,20061001
J9209,HCPCS,Mesna injection,,,29 ,,NW,,,,,,$92.01,,1,1,1,0,0,1,20061001
J9211,HCPCS,Idarubicin hcl injection,,,29 ,,NW,,,,,,$831.67,,1,1,1,0,0,1,20061001
J9212,HCPCS,Interferon alfacon-1,,,29 ,2,NW,,,,,,$9.40,,1,1,1,0,0,1,20061001
J9213,HCPCS,Interferon alfa-2a inj,,,29 ,,NW,,,,,,$92.01,,1,1,1,0,0,1,20061001
J9214,HCPCS,Interferon alfa-2b inj,,,29 ,,NW,,,,,,$43.14,,1,1,1,0,0,1,20061001
J9215,HCPCS,Interferon alfa-n3 inj,,,29 ,,NW,,,,,,$22.77,,1,1,1,0,0,1,20061001
J9216,HCPCS,Interferon gamma 1-b inj,,,29 ,,NW,,,,,,$485.50,,1,1,1,0,0,1,20061001
J9217,HCPCS,Leuprolide acetate suspnsion,,,29 ,,NW,,,,,,"$1,061.31",,1,1,1,0,0,1,20061001
J9218,HCPCS,Leuprolide acetate injeciton,,,29 ,,NW,,,,,,$71.23,,1,1,1,0,0,1,20061001
J9219,HCPCS,Leuprolide acetate implant,,,29 ,,NW,,,,,,"$9,012.15",,1,1,1,0,0,1,20061001
J9225,HCPCS,Histrelin implant,,,29 ,,NW,,,,,,$1.09,,1,1,1,0,0,1,20061001
J9230,HCPCS,Mechlorethamine hcl inj,,,29 ,2,NW,,,,,,$34.75,,1,1,1,0,0,1,20061001
J9245,HCPCS,Inj melphalan hydrochl 50 MG,,,29 ,,NW,,,,,,$832.36,,1,1,1,0,0,1,20061001
J9250,HCPCS,Methotrexate sodium inj,,,29 ,2,NW,,,,,,$1.20,,1,1,1,0,0,1,20061001
J9260,HCPCS,Methotrexate sodium inj,,,29 ,,NW,,,,,,$13.18,,1,1,1,0,0,1,20061001
J9263,HCPCS,Oxaliplatin,,,29 ,,NW,,,,,,$636.92,,1,1,1,0,0,1,20061001
J9264,HCPCS,Paclitaxel injection,,,29 ,,NW,,,,,,$0.94,,1,1,1,0,0,1,20061001
J9265,HCPCS,Paclitaxel injection,,,29 ,,NW,,,,,,$366.78,,1,1,1,0,0,1,20061001
J9266,HCPCS,Pegaspargase/singl dose vial,,,29 ,2,NW,,,,,,"$2,486.41",,1,1,1,0,0,1,20061001
J9268,HCPCS,Pentostatin injection,,,29 ,,NW,,,,,,"$3,160.91",,1,1,1,0,0,1,20061001
J9270,HCPCS,Plicamycin (mithramycin) inj,,,29 ,,NW,,,,,,$225.15,,1,1,1,0,0,1,20061001
J9280,HCPCS,Mitomycin 5 MG inj,,,29 ,,NW,,,,,,$157.17,,1,1,1,0,0,1,20061001
J9290,HCPCS,Mitomycin 20 MG inj,,,29 ,,NW,,,,,,$481.98,,1,1,1,0,0,1,20061001
J9291,HCPCS,Mitomycin 40 MG inj,,,29 ,,NW,,,,,,$610.26,,1,1,1,0,0,1,20061001
J9293,HCPCS,Mitoxantrone hydrochl / 5 MG,,,29 ,,NW,,,,,,$732.28,,1,1,1,0,0,1,20061001
J9300,HCPCS,Gemtuzumab ozogamicin,,,29 ,,NW,,,,,,"$3,729.18",,1,1,1,0,0,1,20061001
J9310,HCPCS,Rituximab cancer treatment,,,29 ,,NW,,,,,,$926.27,,1,1,1,0,0,1,20061001
J9320,HCPCS,Streptozocin injection,,,29 ,,NW,,,,,,$332.80,,1,1,1,0,0,1,20061001
J9340,HCPCS,Thiotepa injection,,,29 ,,NW,,,,,,$224.20,,1,1,1,0,0,1,20061001
J9350,HCPCS,Topotecan,,,29 ,,NW,,,,,,"$1,438.32",,1,1,1,0,0,1,20061001
J9355,HCPCS,Trastuzumab,,,29 ,,NW,,,,,,$113.44,,1,1,1,0,0,1,20061001
J9357,HCPCS,"Valrubicin, 200 mg",,,29 ,,NW,,,,,,$929.21,,1,1,1,0,0,1,20061001
J9360,HCPCS,Vinblastine sulfate inj,,,29 ,2,NW,,,,,,$9.58,,1,1,1,0,0,1,20061001
J9370,HCPCS,Vincristine sulfate 1 MG inj,,,29 ,2,NW,,,,,,$51.51,,1,1,1,0,0,1,20061001
J9375,HCPCS,Vincristine sulfate 2 MG inj,,,29 ,,NW,,,,,,$129.77,,1,1,1,0,0,1,20061001
J9380,HCPCS,Vincristine sulfate 5 MG inj,,,29 ,,NW,,,,,,$214.76,,1,1,1,0,0,1,20061001
J9390,HCPCS,Vinorelbine tartrate/10 mg,,,29 ,,NW,,,,,,$205.33,,1,1,1,0,0,1,20061001
J9600,HCPCS,Porfimer sodium,,,29 ,,NW,,,,,,"$4,418.77",,1,1,1,0,0,1,20061001
J9999,HCPCS,Chemotherapy drug,,,29 ,2,NW,,,,,,$33.25,,1,1,1,0,0,1,20061001
K0001,HCPCS,Standard wheelchair,RR,,28 ,,NW,,,,,,$79.71,,1,1,1,1,1,1,20061001
K0001,HCPCS,Standard wheelchair,UE,,28 ,,NW,,,,,,$592.70,,1,1,1,1,1,1,20061001
K0001,HCPCS,Standard wheelchair,NU,,28 ,,NW,,,,,,$790.26,,1,1,1,1,1,1,20061001
K0002,HCPCS,Stnd hemi (low seat) whlchr,RR,,28 ,,NW,,,,,,$119.13,,1,1,1,1,1,1,20061001
K0002,HCPCS,Stnd hemi (low seat) whlchr,UE,,28 ,,NW,,,,,,$740.88,,1,1,1,1,1,1,20061001
K0002,HCPCS,Stnd hemi (low seat) whlchr,NU,,28 ,,NW,,,,,,$943.68,,1,1,1,1,1,1,20061001
K0003,HCPCS,Lightweight wheelchair,RR,,28 ,,NW,,,,,,$130.36,,1,1,1,1,1,1,20061001
K0003,HCPCS,Lightweight wheelchair,UE,,28 ,,NW,,,,,,"$1,112.88",,1,1,1,1,1,1,20061001
K0003,HCPCS,Lightweight wheelchair,NU,,28 ,,NW,,,,,,"$1,482.90",,1,1,1,1,1,1,20061001
K0004,HCPCS,High strength ltwt whlchr,RR,,28 ,,NW,,,,,,$194.18,,1,1,1,1,1,1,20061001
K0004,HCPCS,High strength ltwt whlchr,UE,,28 ,,NW,,,,,,"$1,733.99",,1,1,1,1,1,1,20061001
K0004,HCPCS,High strength ltwt whlchr,NU,,28 ,,NW,,,,,,"$2,312.24",,1,1,1,1,1,1,20061001
K0005,HCPCS,Ultralightweight wheelchair,RR,,28 ,,NW,,,,,,$268.36,,1,1,1,1,1,1,20061001
K0005,HCPCS,Ultralightweight wheelchair,UE,,28 ,,NW,,,,,,"$2,009.06",,1,1,1,1,1,1,20061001
K0005,HCPCS,Ultralightweight wheelchair,NU,,28 ,,NW,,,,,,"$2,678.58",,1,1,1,1,1,1,20061001
K0006,HCPCS,Heavy duty wheelchair,RR,,28 ,,NW,,,,,,$182.25,,1,1,1,1,1,1,20061001
K0006,HCPCS,Heavy duty wheelchair,UE,,28 ,,NW,,,,,,"$1,250.97",,1,1,1,1,1,1,20061001
K0006,HCPCS,Heavy duty wheelchair,NU,,28 ,,NW,,,,,,"$1,659.72",,1,1,1,1,1,1,20061001
K0007,HCPCS,Extra heavy duty wheelchair,RR,,28 ,,NW,,,,,,$259.16,,1,1,1,1,1,1,20061001
K0007,HCPCS,Extra heavy duty wheelchair,UE,,28 ,,NW,,,,,,"$2,535.34",,1,1,1,1,1,1,20061001
K0007,HCPCS,Extra heavy duty wheelchair,NU,,28 ,,NW,,,,,,"$2,589.40",,1,1,1,1,1,1,20061001
K0009,HCPCS,Other manual wheelchair/base,,,28 ,,NW,,,,,,$606.96,,1,1,1,1,1,1,20061001
K0010,HCPCS,Stnd wt frame power whlchr,RR,,28 ,,NW,,,,,,$617.65,,1,1,1,1,1,1,20061001
K0010,HCPCS,Stnd wt frame power whlchr,UE,,28 ,,NW,,,,,,"$4,632.11",,1,1,1,1,1,1,20061001
K0010,HCPCS,Stnd wt frame power whlchr,NU,,28 ,,NW,,,,,,"$6,174.75",,1,1,1,1,1,1,20061001
K0011,HCPCS,Stnd wt pwr whlchr w control,RR,,28 ,,NW,,,,,,$767.80,,1,1,1,1,1,1,20061001
K0011,HCPCS,Stnd wt pwr whlchr w control,NU,,28 ,,NW,,,,,,"$10,404.90",,1,1,1,1,1,1,20061001
K0012,HCPCS,Ltwt portbl power whlchr,RR,,28 ,,NW,,,,,,$471.24,,1,1,1,1,1,1,20061001
K0012,HCPCS,Ltwt portbl power whlchr,,,28 ,,NW,,,,,,"$4,483.25",,1,1,1,1,1,1,20061001
K0014,HCPCS,Other power whlchr base,,,28 ,,NW,,,,,,$5.40,,1,1,1,1,1,1,20061001
K0015,HCPCS,Detach non-adjus hght armrst,RR,,28 ,,NW,,,,,,$28.92,,1,1,1,1,1,1,20061001
K0015,HCPCS,Detach non-adjus hght armrst,UE,,28 ,,NW,,,,,,$197.99,,1,1,1,1,1,1,20061001
K0015,HCPCS,Detach non-adjus hght armrst,NU,,28 ,,NW,,,,,,$263.79,,1,1,1,1,1,1,20061001
K0017,HCPCS,Detach adjust armrest base,RR,,28 ,,NW,,,,,,$10.81,,1,1,1,1,1,1,20061001
K0017,HCPCS,Detach adjust armrest base,UE,,28 ,,NW,,,,,,$56.81,,1,1,1,1,1,1,20061001
K0017,HCPCS,Detach adjust armrest base,NU,,28 ,,NW,,,,,,$74.62,,1,1,1,1,1,1,20061001
K0018,HCPCS,Detach adjust armrst upper,RR,,28 ,,NW,,,,,,$6.10,,1,1,1,1,1,1,20061001
K0018,HCPCS,Detach adjust armrst upper,UE,,28 ,,NW,,,,,,$33.41,,1,1,1,1,1,1,20061001
K0018,HCPCS,Detach adjust armrst upper,NU,,28 ,,NW,,,,,,$43.28,,1,1,1,1,1,1,20061001
K0019,HCPCS,Arm pad each,RR,,28 ,,NW,,,,,,$3.71,,1,1,1,1,1,1,20061001
K0019,HCPCS,Arm pad each,UE,,28 ,,NW,,,,,,$21.64,,1,1,1,1,1,1,20061001
K0019,HCPCS,Arm pad each,NU,,28 ,,NW,,,,,,$27.61,,1,1,1,1,1,1,20061001
K0020,HCPCS,Fixed adjust armrest pair,RR,,28 ,,NW,,,,,,$9.99,,1,1,1,1,1,1,20061001
K0020,HCPCS,Fixed adjust armrest pair,UE,,28 ,,NW,,,,,,$51.97,,1,1,1,1,1,1,20061001
K0020,HCPCS,Fixed adjust armrest pair,NU,,28 ,,NW,,,,,,$68.09,,1,1,1,1,1,1,20061001
K0037,HCPCS,High mount flip-up footrest,RR,,28 ,,NW,,,,,,$9.24,,1,1,1,1,1,1,20061001
K0037,HCPCS,High mount flip-up footrest,UE,,28 ,,NW,,,,,,$53.77,,1,1,1,1,1,1,20061001
K0037,HCPCS,High mount flip-up footrest,NU,,28 ,,NW,,,,,,$70.43,,1,1,1,1,1,1,20061001
K0038,HCPCS,Leg strap each,RR,,28 ,,NW,,,,,,$5.22,,1,1,1,1,1,1,20061001
K0038,HCPCS,Leg strap each,UE,,28 ,,NW,,,,,,$28.94,,1,1,1,1,1,1,20061001
K0038,HCPCS,Leg strap each,NU,,28 ,,NW,,,,,,$37.34,,1,1,1,1,1,1,20061001
K0039,HCPCS,Leg strap h style each,RR,,28 ,,NW,,,,,,$11.21,,1,1,1,1,1,1,20061001
K0039,HCPCS,Leg strap h style each,UE,,28 ,,NW,,,,,,$59.71,,1,1,1,1,1,1,20061001
K0039,HCPCS,Leg strap h style each,NU,,28 ,,NW,,,,,,$78.64,,1,1,1,1,1,1,20061001
K0040,HCPCS,Adjustable angle footplate,RR,,28 ,,NW,,,,,,$14.05,,1,1,1,1,1,1,20061001
K0040,HCPCS,Adjustable angle footplate,UE,,28 ,,NW,,,,,,$81.70,,1,1,1,1,1,1,20061001
K0040,HCPCS,Adjustable angle footplate,NU,,28 ,,NW,,,,,,$108.76,,1,1,1,1,1,1,20061001
K0041,HCPCS,Large size footplate each,RR,,28 ,,NW,,,,,,$11.08,,1,1,1,1,1,1,20061001
K0041,HCPCS,Large size footplate each,UE,,28 ,,NW,,,,,,$58.71,,1,1,1,1,1,1,20061001
K0041,HCPCS,Large size footplate each,NU,,28 ,,NW,,,,,,$77.24,,1,1,1,1,1,1,20061001
K0042,HCPCS,Standard size footplate each,RR,,28 ,,NW,,,,,,$7.81,,1,1,1,1,1,1,20061001
K0042,HCPCS,Standard size footplate each,UE,,28 ,,NW,,,,,,$41.56,,1,1,1,1,1,1,20061001
K0042,HCPCS,Standard size footplate each,NU,,28 ,,NW,,,,,,$54.19,,1,1,1,1,1,1,20061001
K0043,HCPCS,Ftrst lower extension tube,RR,,28 ,,NW,,,,,,$4.19,,1,1,1,1,1,1,20061001
K0043,HCPCS,Ftrst lower extension tube,UE,,28 ,,NW,,,,,,$24.04,,1,1,1,1,1,1,20061001
K0043,HCPCS,Ftrst lower extension tube,NU,,28 ,,NW,,,,,,$30.78,,1,1,1,1,1,1,20061001
K0044,HCPCS,Ftrst upper hanger bracket,RR,,28 ,,NW,,,,,,$3.60,,1,1,1,1,1,1,20061001
K0044,HCPCS,Ftrst upper hanger bracket,UE,,28 ,,NW,,,,,,$21.01,,1,1,1,1,1,1,20061001
K0044,HCPCS,Ftrst upper hanger bracket,NU,,28 ,,NW,,,,,,$26.78,,1,1,1,1,1,1,20061001
K0045,HCPCS,Footrest complete assembly,RR,,28 ,,NW,,,,,,$11.82,,1,1,1,1,1,1,20061001
K0045,HCPCS,Footrest complete assembly,UE,,28 ,,NW,,,,,,$62.55,,1,1,1,1,1,1,20061001
K0045,HCPCS,Footrest complete assembly,NU,,28 ,,NW,,,,,,$82.61,,1,1,1,1,1,1,20061001
K0046,HCPCS,Elevat legrst low extension,RR,,28 ,,NW,,,,,,$4.19,,1,1,1,1,1,1,20061001
K0046,HCPCS,Elevat legrst low extension,UE,,28 ,,NW,,,,,,$24.04,,1,1,1,1,1,1,20061001
K0046,HCPCS,Elevat legrst low extension,NU,,28 ,,NW,,,,,,$30.78,,1,1,1,1,1,1,20061001
K0047,HCPCS,Elevat legrst up hangr brack,RR,,28 ,,NW,,,,,,$14.35,,1,1,1,1,1,1,20061001
K0047,HCPCS,Elevat legrst up hangr brack,UE,,28 ,,NW,,,,,,$83.65,,1,1,1,1,1,1,20061001
K0047,HCPCS,Elevat legrst up hangr brack,NU,,28 ,,NW,,,,,,$111.38,,1,1,1,1,1,1,20061001
K0050,HCPCS,Ratchet assembly,RR,,28 ,,NW,,,,,,$6.96,,1,1,1,1,1,1,20061001
K0050,HCPCS,Ratchet assembly,UE,,28 ,,NW,,,,,,$37.51,,1,1,1,1,1,1,20061001
K0050,HCPCS,Ratchet assembly,NU,,28 ,,NW,,,,,,$48.74,,1,1,1,1,1,1,20061001
K0051,HCPCS,Cam relese assem ftrst/lgrst,RR,,28 ,,NW,,,,,,$11.06,,1,1,1,1,1,1,20061001
K0051,HCPCS,Cam relese assem ftrst/lgrst,UE,,28 ,,NW,,,,,,$58.36,,1,1,1,1,1,1,20061001
K0051,HCPCS,Cam relese assem ftrst/lgrst,NU,,28 ,,NW,,,,,,$76.80,,1,1,1,1,1,1,20061001
K0052,HCPCS,Swingaway detach footrest,RR,,28 ,,NW,,,,,,$16.53,,1,1,1,1,1,1,20061001
K0052,HCPCS,Swingaway detach footrest,UE,,28 ,,NW,,,,,,$101.01,,1,1,1,1,1,1,20061001
K0052,HCPCS,Swingaway detach footrest,NU,,28 ,,NW,,,,,,$134.49,,1,1,1,1,1,1,20061001
K0053,HCPCS,Elevate footrest articulate,RR,,28 ,,NW,,,,,,$17.84,,1,1,1,1,1,1,20061001
K0053,HCPCS,Elevate footrest articulate,UE,,28 ,,NW,,,,,,$111.42,,1,1,1,1,1,1,20061001
K0053,HCPCS,Elevate footrest articulate,NU,,28 ,,NW,,,,,,$148.35,,1,1,1,1,1,1,20061001
K0056,HCPCS,Seat ht <17 or >=21 ltwt wc,RR,,28 ,,NW,,,,,,$16.90,,1,1,1,1,1,1,20061001
K0056,HCPCS,Seat ht <17 or >=21 ltwt wc,UE,,28 ,,NW,,,,,,$103.93,,1,1,1,1,1,1,20061001
K0056,HCPCS,Seat ht <17 or >=21 ltwt wc,NU,,28 ,,NW,,,,,,$138.36,,1,1,1,1,1,1,20061001
K0065,HCPCS,Spoke protectors,RR,,28 ,,NW,,,,,,$9.54,,1,1,1,1,1,1,20061001
K0065,HCPCS,Spoke protectors,UE,,28 ,,NW,,,,,,$49.91,,1,1,1,1,1,1,20061001
K0065,HCPCS,Spoke protectors,NU,,28 ,,NW,,,,,,$65.32,,1,1,1,1,1,1,20061001
K0069,HCPCS,Rear whl complete solid tire,RR,,28 ,,NW,,,,,,$18.15,,1,1,1,1,1,1,20061001
K0069,HCPCS,Rear whl complete solid tire,UE,,28 ,,NW,,,,,,$109.14,,1,1,1,1,1,1,20061001
K0069,HCPCS,Rear whl complete solid tire,NU,,28 ,,NW,,,,,,$145.32,,1,1,1,1,1,1,20061001
K0070,HCPCS,Rear whl compl pneum tire,RR,,28 ,,NW,,,,,,$29.11,,1,1,1,1,1,1,20061001
K0070,HCPCS,Rear whl compl pneum tire,UE,,28 ,,NW,,,,,,$199.57,,1,1,1,1,1,1,20061001
K0070,HCPCS,Rear whl compl pneum tire,NU,,28 ,,NW,,,,,,$265.91,,1,1,1,1,1,1,20061001
K0071,HCPCS,Front castr compl pneum tire,RR,,28 ,,NW,,,,,,$18.87,,1,1,1,1,1,1,20061001
K0071,HCPCS,Front castr compl pneum tire,UE,,28 ,,NW,,,,,,$119.26,,1,1,1,1,1,1,20061001
K0071,HCPCS,Front castr compl pneum tire,NU,,28 ,,NW,,,,,,$158.84,,1,1,1,1,1,1,20061001
K0072,HCPCS,Frnt cstr cmpl sem-pneum tir,RR,,28 ,,NW,,,,,,$12.83,,1,1,1,1,1,1,20061001
K0072,HCPCS,Frnt cstr cmpl sem-pneum tir,UE,,28 ,,NW,,,,,,$72.05,,1,1,1,1,1,1,20061001
K0072,HCPCS,Frnt cstr cmpl sem-pneum tir,NU,,28 ,,NW,,,,,,$95.84,,1,1,1,1,1,1,20061001
K0073,HCPCS,Caster pin lock each,RR,,28 ,,NW,,,,,,$7.46,,1,1,1,1,1,1,20061001
K0073,HCPCS,Caster pin lock each,UE,,28 ,,NW,,,,,,$39.88,,1,1,1,1,1,1,20061001
K0073,HCPCS,Caster pin lock each,NU,,28 ,,NW,,,,,,$51.93,,1,1,1,1,1,1,20061001
K0077,HCPCS,Front caster assem complete,RR,,28 ,,NW,,,,,,$11.87,,1,1,1,1,1,1,20061001
K0077,HCPCS,Front caster assem complete,UE,,28 ,,NW,,,,,,$64.87,,1,1,1,1,1,1,20061001
K0077,HCPCS,Front caster assem complete,NU,,28 ,,NW,,,,,,$85.84,,1,1,1,1,1,1,20061001
K0090,HCPCS,Rear tire power wheelchair,RR,,28 ,,NW,,,,,,$14.29,,1,1,1,1,1,1,20061001
K0090,HCPCS,Rear tire power wheelchair,UE,,28 ,,NW,,,,,,$83.36,,1,1,1,1,1,1,20061001
K0090,HCPCS,Rear tire power wheelchair,NU,,28 ,,NW,,,,,,$110.94,,1,1,1,1,1,1,20061001
K0091,HCPCS,Rear tire tube power whlchr,RR,,28 ,,NW,,,,,,$4.45,,1,1,1,1,1,1,20061001
K0091,HCPCS,Rear tire tube power whlchr,UE,,28 ,,NW,,,,,,$25.31,,1,1,1,1,1,1,20061001
K0091,HCPCS,Rear tire tube power whlchr,NU,,28 ,,NW,,,,,,$32.50,,1,1,1,1,1,1,20061001
K0092,HCPCS,Rear assem cmplt powr whlchr,RR,,28 ,,NW,,,,,,$37.39,,1,1,1,1,1,1,20061001
K0092,HCPCS,Rear assem cmplt powr whlchr,UE,,28 ,,NW,,,,,,$264.73,,1,1,1,1,1,1,20061001
K0092,HCPCS,Rear assem cmplt powr whlchr,NU,,28 ,,NW,,,,,,$352.77,,1,1,1,1,1,1,20061001
K0093,HCPCS,Rear zero pressure tire tube,RR,,28 ,,NW,,,,,,$24.78,,1,1,1,1,1,1,20061001
K0093,HCPCS,Rear zero pressure tire tube,UE,,28 ,,NW,,,,,,$165.59,,1,1,1,1,1,1,20061001
K0093,HCPCS,Rear zero pressure tire tube,NU,,28 ,,NW,,,,,,$220.60,,1,1,1,1,1,1,20061001
K0094,HCPCS,Wheel tire for power base,RR,,28 ,,NW,,,,,,$10.59,,1,1,1,1,1,1,20061001
K0094,HCPCS,Wheel tire for power base,UE,,28 ,,NW,,,,,,$55.13,,1,1,1,1,1,1,20061001
K0094,HCPCS,Wheel tire for power base,NU,,28 ,,NW,,,,,,$72.29,,1,1,1,1,1,1,20061001
K0095,HCPCS,Wheel tire tube each base,RR,,28 ,,NW,,,,,,$10.59,,1,1,1,1,1,1,20061001
K0095,HCPCS,Wheel tire tube each base,UE,,28 ,,NW,,,,,,$55.13,,1,1,1,1,1,1,20061001
K0095,HCPCS,Wheel tire tube each base,NU,,28 ,,NW,,,,,,$72.29,,1,1,1,1,1,1,20061001
K0096,HCPCS,Wheel assem powr base complt,RR,,28 ,,NW,,,,,,$41.71,,1,1,1,1,1,1,20061001
K0096,HCPCS,Wheel assem powr base complt,UE,,28 ,,NW,,,,,,$298.59,,1,1,1,1,1,1,20061001
K0096,HCPCS,Wheel assem powr base complt,NU,,28 ,,NW,,,,,,$397.91,,1,1,1,1,1,1,20061001
K0097,HCPCS,Wheel zero presure tire tube,RR,,28 ,,NW,,,,,,$12.47,,1,1,1,1,1,1,20061001
K0097,HCPCS,Wheel zero presure tire tube,UE,,28 ,,NW,,,,,,$69.26,,1,1,1,1,1,1,20061001
K0097,HCPCS,Wheel zero presure tire tube,NU,,28 ,,NW,,,,,,$91.97,,1,1,1,1,1,1,20061001
K0098,HCPCS,Drive belt power wheelchair,RR,,28 ,,NW,,,,,,$5.85,,1,1,1,1,1,1,20061001
K0098,HCPCS,Drive belt power wheelchair,UE,,28 ,,NW,,,,,,$31.97,,1,1,1,1,1,1,20061001
K0098,HCPCS,Drive belt power wheelchair,NU,,28 ,,NW,,,,,,$41.42,,1,1,1,1,1,1,20061001
K0099,HCPCS,Pwr wheelchair front  caster,RR,,28 ,,NW,,,,,,$14.96,,1,1,1,1,1,1,20061001
K0099,HCPCS,Pwr wheelchair front  caster,UE,,28 ,,NW,,,,,,$88.48,,1,1,1,1,1,1,20061001
K0099,HCPCS,Pwr wheelchair front  caster,NU,,28 ,,NW,,,,,,$117.79,,1,1,1,1,1,1,20061001
K0108,HCPCS,W/c component-accessory NOS,,,28 ,,NW,,,,,,$101.43,,1,1,1,1,1,1,20061001
K0195,HCPCS,Elevating whlchair leg rests,RR,,28 ,,NW,,,,,,$32.91,,1,1,1,1,1,1,20061001
K0195,HCPCS,Elevating whlchair leg rests,,,28 ,,NW,,,,,,$162.26,,1,1,1,1,1,1,20061001
K0455,HCPCS,Pump uninterrupted infusion,RR,,28 ,,NW,,,,,,$494.61,,1,1,1,1,1,1,20061001
K0552,HCPCS,Supply/ext inf pump syr type,,,28 ,,NW,,,,,,$8.31,,1,1,1,1,1,1,20061001
K0601,HCPCS,Repl batt silver oxide 1.5 v,,,28 ,,NW,,,,,,$4.86,,1,1,1,1,1,1,20061001
K0602,HCPCS,Repl batt silver oxide 3 v,,,28 ,,NW,,,,,,$13.89,,1,1,1,1,1,1,20061001
K0603,HCPCS,Repl batt alkaline 1.5 v,,,28 ,,NW,,,,,,$2.53,,1,1,1,1,1,1,20061001
K0604,HCPCS,Repl batt lithium 3.6 v,,,28 ,,NW,,,,,,$13.49,,1,1,1,1,1,1,20061001
K0605,HCPCS,Repl batt lithium 4.5 v,,,28 ,,NW,,,,,,$26.33,,1,1,1,1,1,1,20061001
K0607,HCPCS,Repl batt for AED,,,28 ,,NW,,,,,,$359.91,,1,1,1,1,1,1,20061001
K0608,HCPCS,Repl garment for AED,,,28 ,,NW,,,,,,$220.67,,1,1,1,1,1,1,20061001
K0609,HCPCS,Repl electrode for AED,,,28 ,,NW,,,,,,"$1,526.70",,1,1,1,1,1,1,20061001
L0100,HCPCS,Cranial orthosis/helmet mold,,,28 ,,NW,,,,,,$750.71,,1,1,1,1,1,1,20061001
L0110,HCPCS,Cranial orthosis/helmet nonm,,,28 ,,NW,,,,,,$176.93,,1,1,1,1,1,1,20061001
L0112,HCPCS,Cranial cervical orthosis,,,28 ,,NW,,,,,,"$1,436.05",,1,1,1,0,1,1,20061001
L0120,HCPCS,Cerv flexible non-adjustable,,,28 ,,NW,,,,,,$34.78,,1,1,1,1,1,1,20061001
L0130,HCPCS,Flex thermoplastic collar mo,,,28 ,,NW,,,,,,$200.58,,1,1,1,1,1,1,20061001
L0140,HCPCS,Cervical semi-rigid adjustab,,,28 ,,NW,,,,,,$80.27,,1,1,1,1,1,1,20061001
L0150,HCPCS,Cerv semi-rig adj molded chn,,,28 ,,NW,,,,,,$133.72,,1,1,1,1,1,1,20061001
L0160,HCPCS,Cerv semi-rig wire occ/mand,,,28 ,,NW,,,,,,$192.66,,1,1,1,1,1,1,20061001
L0170,HCPCS,Cervical collar molded to pt,,,28 ,,NW,,,,,,$846.62,,1,1,1,1,1,1,20061001
L0172,HCPCS,Cerv col thermplas foam 2 pi,,,28 ,,NW,,,,,,$156.65,,1,1,1,1,1,1,20061001
L0174,HCPCS,Cerv col foam 2 piece w thor,,,28 ,,NW,,,,,,$335.97,,1,1,1,1,1,1,20061001
L0180,HCPCS,Cer post col occ/man sup adj,,,28 ,,NW,,,,,,$466.03,,1,1,1,1,1,1,20061001
L0190,HCPCS,Cerv collar supp adj cerv ba,,,28 ,,NW,,,,,,$639.19,,1,1,1,1,1,1,20061001
L0200,HCPCS,Cerv col supp adj bar & thor,,,28 ,,NW,,,,,,$668.37,,1,1,1,1,1,1,20061001
L0210,HCPCS,Thoracic rib belt,,,28 ,,NW,,,,,,$56.32,,1,1,1,1,1,1,20061001
L0220,HCPCS,Thor rib belt custom fabrica,,,28 ,,NW,,,,,,$151.22,,1,1,1,1,1,1,20061001
L0430,HCPCS,Dewall posture protector,,,28 ,,NW,,,,,,"$1,439.01",,1,1,1,0,1,1,20061001
L0450,HCPCS,TLSO flex prefab thoracic,,,28 ,,NW,,,,,,$213.51,,1,1,1,1,1,1,20061001
L0452,HCPCS,tlso flex custom fab thoraci,,,28 ,,NW,,,,,,$14.25,,1,1,1,0,1,1,20061001
L0454,HCPCS,TLSO flex prefab sacrococ-T9,,,28 ,,NW,,,,,,$411.69,,1,1,1,1,1,1,20061001
L0456,HCPCS,TLSO flex prefab,,,28 ,,NW,,,,,,"$1,270.12",,1,1,1,1,1,1,20061001
L0458,HCPCS,TLSO 2Mod symphis-xipho pre,,,28 ,,NW,,,,,,"$1,133.97",,1,1,1,1,1,1,20061001
L0460,HCPCS,TLSO2Mod symphysis-stern pre,,,28 ,,NW,,,,,,"$1,282.36",,1,1,1,1,1,1,20061001
L0462,HCPCS,TLSO 3Mod sacro-scap pre,,,28 ,,NW,,,,,,"$1,281.08",,1,1,1,0,1,1,20061001
L0464,HCPCS,TLSO 4Mod sacro-scap pre,,,28 ,,NW,,,,,,"$1,921.93",,1,1,1,1,1,1,20061001
L0466,HCPCS,TLSO rigid frame pre soft ap,,,28 ,,NW,,,,,,$470.31,,1,1,1,1,1,1,20061001
L0468,HCPCS,TLSO rigid frame prefab pelv,,,28 ,,NW,,,,,,$587.90,,1,1,1,1,1,1,20061001
L0470,HCPCS,TLSO rigid frame pre subclav,,,28 ,,NW,,,,,,$836.43,,1,1,1,1,1,1,20061001
L0472,HCPCS,TLSO rigid frame hyperex pre,,,28 ,,NW,,,,,,$512.94,,1,1,1,1,1,1,20061001
L0480,HCPCS,TLSO rigid plastic custom fa,,,28 ,,NW,,,,,,"$1,927.22",,1,1,1,1,1,1,20061001
L0482,HCPCS,TLSO rigid lined custom fab,,,28 ,,NW,,,,,,"$2,103.06",,1,1,1,1,1,1,20061001
L0484,HCPCS,TLSO rigid plastic cust fab,,,28 ,,NW,,,,,,"$2,417.12",,1,1,1,1,1,1,20061001
L0486,HCPCS,TLSO rigidlined cust fab two,,,28 ,,NW,,,,,,"$2,567.34",,1,1,1,1,1,1,20061001
L0488,HCPCS,TLSO rigid lined pre one pie,,,28 ,,NW,,,,,,"$1,282.36",,1,1,1,1,1,1,20061001
L0490,HCPCS,TLSO rigid plastic pre one,,,28 ,,NW,,,,,,$330.56,,1,1,1,1,1,1,20061001
L0700,HCPCS,Ctlso a-p-l control molded,,,28 ,,NW,,,,,,"$2,756.36",,1,1,1,1,1,1,20061001
L0710,HCPCS,Ctlso a-p-l control w/ inter,,,28 ,,NW,,,,,,"$2,849.03",,1,1,1,1,1,1,20061001
L0810,HCPCS,Halo cervical into jckt vest,,,28 ,,NW,,,,,,"$3,529.96",,1,1,1,1,1,1,20061001
L0820,HCPCS,Halo cervical into body jack,,,28 ,,NW,,,,,,"$2,948.29",,1,1,1,1,1,1,20061001
L0830,HCPCS,Halo cerv into milwaukee typ,,,28 ,,NW,,,,,,"$4,301.69",,1,1,1,1,1,1,20061001
L0861,HCPCS,Halo repl liner/interface,,,28 ,,NW,,,,,,$221.15,,1,1,1,0,1,1,20061001
L0960,HCPCS,Post surgical support pads,,,28 ,,NW,,,,,,$86.42,,1,1,1,1,1,1,20061001
L0970,HCPCS,Tlso corset front,,,28 ,,NW,,,,,,$141.29,,1,1,1,1,1,1,20061001
L0972,HCPCS,Lso corset front,,,28 ,,NW,,,,,,$127.47,,1,1,1,1,1,1,20061001
L0974,HCPCS,Tlso full corset,,,28 ,,NW,,,,,,$219.87,,1,1,1,1,1,1,20061001
L0976,HCPCS,Lso full corset,,,28 ,,NW,,,,,,$196.63,,1,1,1,1,1,1,20061001
L0978,HCPCS,Axillary crutch extension,,,28 ,,NW,,,,,,$236.20,,1,1,1,1,1,1,20061001
L0980,HCPCS,Peroneal straps pair,,,28 ,,NW,,,,,,$23.77,,1,1,1,1,1,1,20061001
L0982,HCPCS,Stocking supp grips set of f,,,28 ,,NW,,,,,,$22.34,,1,1,1,1,1,1,20061001
L0984,HCPCS,Protective body sock each,,,28 ,,NW,,,,,,$75.23,,1,1,1,1,1,1,20061001
L0999,HCPCS,Add to spinal orthosis NOS,,,28 ,,NW,,,,,,$307.54,,1,1,1,1,1,1,20061001
L1000,HCPCS,Ctlso milwauke initial model,,,28 ,,NW,,,,,,"$2,768.20",,1,1,1,1,1,1,20061001
L1005,HCPCS,Tension based scoliosis orth,,,28 ,,NW,,,,,,"$4,193.62",,1,1,1,1,1,1,20061001
L1010,HCPCS,Ctlso axilla sling,,,28 ,,NW,,,,,,$84.03,,1,1,1,1,1,1,20061001
L1020,HCPCS,Kyphosis pad,,,28 ,,NW,,,,,,$107.48,,1,1,1,1,1,1,20061001
L1025,HCPCS,Kyphosis pad floating,,,28 ,,NW,,,,,,$153.92,,1,1,1,1,1,1,20061001
L1030,HCPCS,Lumbar bolster pad,,,28 ,,NW,,,,,,$79.78,,1,1,1,1,1,1,20061001
L1040,HCPCS,Lumbar or lumbar rib pad,,,28 ,,NW,,,,,,$97.27,,1,1,1,1,1,1,20061001
L1050,HCPCS,Sternal pad,,,28 ,,NW,,,,,,$103.62,,1,1,1,1,1,1,20061001
L1060,HCPCS,Thoracic pad,,,28 ,,NW,,,,,,$118.64,,1,1,1,1,1,1,20061001
L1070,HCPCS,Trapezius sling,,,28 ,,NW,,,,,,$111.78,,1,1,1,1,1,1,20061001
L1080,HCPCS,Outrigger,,,28 ,,NW,,,,,,$69.74,,1,1,1,1,1,1,20061001
L1085,HCPCS,Outrigger bil w/ vert extens,,,28 ,,NW,,,,,,$189.38,,1,1,1,1,1,1,20061001
L1090,HCPCS,Lumbar sling,,,28 ,,NW,,,,,,$113.82,,1,1,1,1,1,1,20061001
L1100,HCPCS,Ring flange plastic/leather,,,28 ,,NW,,,,,,$195.57,,1,1,1,1,1,1,20061001
L1110,HCPCS,Ring flange plas/leather mol,,,28 ,,NW,,,,,,$312.53,,1,1,1,1,1,1,20061001
L1120,HCPCS,Covers for upright each,,,28 ,,NW,,,,,,$50.79,,1,1,1,1,1,1,20061001
L1200,HCPCS,Furnsh initial orthosis only,,,28 ,,NW,,,,,,"$2,125.42",,1,1,1,1,1,1,20061001
L1210,HCPCS,Lateral thoracic extension,,,28 ,,NW,,,,,,$320.13,,1,1,1,1,1,1,20061001
L1220,HCPCS,Anterior thoracic extension,,,28 ,,NW,,,,,,$271.44,,1,1,1,1,1,1,20061001
L1230,HCPCS,Milwaukee type superstructur,,,28 ,,NW,,,,,,$740.57,,1,1,1,1,1,1,20061001
L1240,HCPCS,Lumbar derotation pad,,,28 ,,NW,,,,,,$96.82,,1,1,1,1,1,1,20061001
L1250,HCPCS,Anterior asis pad,,,28 ,,NW,,,,,,$90.27,,1,1,1,1,1,1,20061001
L1260,HCPCS,Anterior thoracic derotation,,,28 ,,NW,,,,,,$94.38,,1,1,1,1,1,1,20061001
L1270,HCPCS,Abdominal pad,,,28 ,,NW,,,,,,$96.62,,1,1,1,1,1,1,20061001
L1280,HCPCS,Rib gusset (elastic) each,,,28 ,,NW,,,,,,$107.27,,1,1,1,1,1,1,20061001
L1290,HCPCS,Lateral trochanteric pad,,,28 ,,NW,,,,,,$97.96,,1,1,1,1,1,1,20061001
L1300,HCPCS,Body jacket mold to patient,,,28 ,,NW,,,,,,"$2,269.12",,1,1,1,1,1,1,20061001
L1310,HCPCS,Post-operative body jacket,,,28 ,,NW,,,,,,"$2,336.32",,1,1,1,1,1,1,20061001
L1499,HCPCS,Spinal orthosis NOS,,,28 ,,NW,,,,,,$305.54,,1,1,1,1,1,1,20061001
L1500,HCPCS,Thkao mobility frame,,,28 ,,NW,,,,,,"$2,586.80",,1,1,1,1,1,1,20061001
L1510,HCPCS,Thkao standing frame,,,28 ,,NW,,,,,,"$1,618.93",,1,1,1,1,1,1,20061001
L1520,HCPCS,Thkao swivel walker,,,28 ,,NW,,,,,,"$3,116.55",,1,1,1,1,1,1,20061001
L1600,HCPCS,Abduct hip flex frejka w cvr,,,28 ,,NW,,,,,,$158.97,,1,1,1,1,1,1,20061001
L1610,HCPCS,Abduct hip flex frejka covr,,,28 ,,NW,,,,,,$55.86,,1,1,1,1,1,1,20061001
L1620,HCPCS,Abduct hip flex pavlik harne,,,28 ,,NW,,,,,,$165.19,,1,1,1,1,1,1,20061001
L1630,HCPCS,Abduct control hip semi-flex,,,28 ,,NW,,,,,,$208.23,,1,1,1,1,1,1,20061001
L1640,HCPCS,Pelv band/spread bar thigh c,,,28 ,,NW,,,,,,$592.12,,1,1,1,1,1,1,20061001
L1650,HCPCS,HO abduction hip adjustable,,,28 ,,NW,,,,,,$283.57,,1,1,1,1,1,1,20061001
L1652,HCPCS,HO bi thighcuffs w sprdr bar,,,28 ,,NW,,,,,,$424.48,,1,1,1,1,1,1,20061001
L1660,HCPCS,HO abduction static plastic,,,28 ,,NW,,,,,,$210.27,,1,1,1,1,1,1,20061001
L1680,HCPCS,Pelvic & hip control thigh c,,,28 ,,NW,,,,,,"$1,642.16",,1,1,1,1,1,1,20061001
L1685,HCPCS,Post-op hip abduct custom fa,,,28 ,,NW,,,,,,"$1,601.99",,1,1,1,1,1,1,20061001
L1686,HCPCS,HO post-op hip abduction,,,28 ,,NW,,,,,,"$1,217.38",,1,1,1,1,1,1,20061001
L1690,HCPCS,Combination bilateral HO,,,28 ,,NW,,,,,,"$2,514.71",,1,1,1,1,1,1,20061001
L1700,HCPCS,Leg perthes orth toronto typ,,,28 ,,NW,,,,,,"$2,070.33",,1,1,1,1,1,1,20061001
L1710,HCPCS,Legg perthes orth newington,,,28 ,,NW,,,,,,"$2,431.71",,1,1,1,1,1,1,20061001
L1720,HCPCS,Legg perthes orthosis trilat,,,28 ,,NW,,,,,,"$1,779.86",,1,1,1,1,1,1,20061001
L1730,HCPCS,Legg perthes orth scottish r,,,28 ,,NW,,,,,,"$1,521.98",,1,1,1,1,1,1,20061001
L1755,HCPCS,Legg perthes patten bottom t,,,28 ,,NW,,,,,,"$2,148.18",,1,1,1,1,1,1,20061001
L1800,HCPCS,Knee orthoses elas w stays,,,28 ,,NW,,,,,,$83.32,,1,1,1,1,1,1,20061001
L1810,HCPCS,Ko elastic with joints,,,28 ,,NW,,,,,,$122.10,,1,1,1,1,1,1,20061001
L1815,HCPCS,Elastic with condylar pads,,,28 ,,NW,,,,,,$120.14,,1,1,1,1,1,1,20061001
L1820,HCPCS,Ko elas w/ condyle pads & jo,,,28 ,,NW,,,,,,$159.93,,1,1,1,1,1,1,20061001
L1825,HCPCS,Ko elastic knee cap,,,28 ,,NW,,,,,,$69.31,,1,1,1,1,1,1,20061001
L1830,HCPCS,Ko immobilizer canvas longit,,,28 ,,NW,,,,,,$108.75,,1,1,1,1,1,1,20061001
L1831,HCPCS,Knee orth pos locking joint,,,28 ,,NW,,,,,,$301.98,,1,1,1,0,1,1,20061001
L1832,HCPCS,KO adj jnt pos rigid support,,,28 ,,NW,,,,,,$795.39,,1,1,1,1,1,1,20061001
L1834,HCPCS,Ko w/0 joint rigid molded to,,,28 ,,NW,,,,,,"$1,028.82",,1,1,1,1,1,1,20061001
L1836,HCPCS,Rigid KO wo joints,,,28 ,,NW,,,,,,$157.28,,1,1,1,1,1,1,20061001
L1840,HCPCS,Ko derot ant cruciate custom,,,28 ,,NW,,,,,,"$1,227.49",,1,1,1,1,1,1,20061001
L1843,HCPCS,KO single upright custom fit,,,28 ,,NW,,,,,,"$1,141.16",,1,1,1,1,1,1,20061001
L1844,HCPCS,Ko w/adj jt rot cntrl molded,,,28 ,,NW,,,,,,"$2,157.66",,1,1,1,1,1,1,20061001
L1845,HCPCS,Ko w/ adj flex/ext rotat cus,,,28 ,,NW,,,,,,"$1,085.82",,1,1,1,1,1,1,20061001
L1846,HCPCS,Ko w adj flex/ext rotat mold,,,28 ,,NW,,,,,,"$1,424.75",,1,1,1,1,1,1,20061001
L1847,HCPCS,KO adjustable w air chambers,,,28 ,,NW,,,,,,$714.29,,1,1,1,1,1,1,20061001
L1850,HCPCS,Ko swedish type,,,28 ,,NW,,,,,,$351.91,,1,1,1,1,1,1,20061001
L1855,HCPCS,Ko plas doub upright jnt mol,,,28 ,,NW,,,,,,"$1,476.33",,1,1,1,1,1,1,20061001
L1858,HCPCS,Ko polycentric pneumatic pad,,,28 ,,NW,,,,,,"$1,614.16",,1,1,1,1,1,1,20061001
L1860,HCPCS,Ko supracondylar socket mold,,,28 ,,NW,,,,,,"$1,440.49",,1,1,1,1,1,1,20061001
L1870,HCPCS,Ko doub upright lacers molde,,,28 ,,NW,,,,,,"$1,403.70",,1,1,1,1,1,1,20061001
L1880,HCPCS,Ko doub upright cuffs/lacers,,,28 ,,NW,,,,,,$933.86,,1,1,1,1,1,1,20061001
L1900,HCPCS,Afo sprng wir drsflx calf bd,,,28 ,,NW,,,,,,$329.97,,1,1,1,1,1,1,20061001
L1901,HCPCS,Prefab ankle orthosis,,,28 ,,NW,,,,,,$23.08,,1,1,1,1,1,1,20061001
L1902,HCPCS,Afo ankle gauntlet,,,28 ,,NW,,,,,,$99.45,,1,1,1,1,1,1,20061001
L1904,HCPCS,Afo molded ankle gauntlet,,,28 ,,NW,,,,,,$604.36,,1,1,1,1,1,1,20061001
L1906,HCPCS,Afo multiligamentus ankle su,,,28 ,,NW,,,,,,$148.54,,1,1,1,1,1,1,20061001
L1907,HCPCS,AFO supramalleolar custom,,,28 ,,NW,,,,,,$577.34,,1,1,1,0,1,1,20061001
L1910,HCPCS,Afo sing bar clasp attach sh,,,28 ,,NW,,,,,,$327.13,,1,1,1,1,1,1,20061001
L1920,HCPCS,Afo sing upright w/ adjust s,,,28 ,,NW,,,,,,$437.00,,1,1,1,1,1,1,20061001
L1930,HCPCS,Afo plastic,,,28 ,,NW,,,,,,$289.68,,1,1,1,1,1,1,20061001
L1932,HCPCS,Afo rig ant tib prefab TCF/=,,,28 ,,NW,,,,,,$915.58,,1,1,1,0,1,1,20061001
L1940,HCPCS,Afo molded to patient plasti,,,28 ,,NW,,,,,,$638.07,,1,1,1,1,1,1,20061001
L1945,HCPCS,Afo molded plas rig ant tib,,,28 ,,NW,,,,,,"$1,236.10",,1,1,1,1,1,1,20061001
L1950,HCPCS,Afo spiral molded to pt plas,,,28 ,,NW,,,,,,$985.25,,1,1,1,1,1,1,20061001
L1951,HCPCS,AFO spiral prefabricated,,,28 ,,NW,,,,,,$861.70,,1,1,1,0,1,1,20061001
L1960,HCPCS,Afo pos solid ank plastic mo,,,28 ,,NW,,,,,,$720.93,,1,1,1,1,1,1,20061001
L1970,HCPCS,Afo plastic molded w/ankle j,,,28 ,,NW,,,,,,$939.09,,1,1,1,1,1,1,20061001
L1971,HCPCS,"AFO w/ankle joint, prefab",,,28 ,,NW,,,,,,$480.93,,1,1,1,0,1,1,20061001
L1980,HCPCS,Afo sing solid stirrup calf,,,28 ,,NW,,,,,,$461.14,,1,1,1,1,1,1,20061001
L1990,HCPCS,Afo doub solid stirrup calf,,,28 ,,NW,,,,,,$570.37,,1,1,1,1,1,1,20061001
L2000,HCPCS,Kafo sing fre stirr thi/calf,,,28 ,,NW,,,,,,"$1,358.98",,1,1,1,1,1,1,20061001
L2005,HCPCS,KAFO sng/dbl mechanical act,,,28 ,,NW,,,,,,"$3,693.36",,1,1,1,0,1,1,20061001
L2010,HCPCS,Kafo sng solid stirrup w/o j,,,28 ,,NW,,,,,,"$1,234.60",,1,1,1,1,1,1,20061001
L2020,HCPCS,Kafo dbl solid stirrup band/,,,28 ,,NW,,,,,,"$1,571.73",,1,1,1,1,1,1,20061001
L2030,HCPCS,Kafo dbl solid stirrup w/o j,,,28 ,,NW,,,,,,"$1,357.27",,1,1,1,1,1,1,20061001
L2035,HCPCS,KAFO plastic pediatric size,,,28 ,,NW,,,,,,$204.70,,1,1,1,1,1,1,20061001
L2036,HCPCS,Kafo plas doub free knee mol,,,28 ,,NW,,,,,,"$2,525.59",,1,1,1,1,1,1,20061001
L2037,HCPCS,Kafo plas sing free knee mol,,,28 ,,NW,,,,,,"$2,262.41",,1,1,1,1,1,1,20061001
L2038,HCPCS,Kafo w/o joint multi-axis an,,,28 ,,NW,,,,,,"$1,935.25",,1,1,1,1,1,1,20061001
L2040,HCPCS,Hkafo torsion bil rot straps,,,28 ,,NW,,,,,,$218.05,,1,1,1,1,1,1,20061001
L2050,HCPCS,Hkafo torsion cable hip pelv,,,28 ,,NW,,,,,,$612.84,,1,1,1,1,1,1,20061001
L2060,HCPCS,Hkafo torsion ball bearing j,,,28 ,,NW,,,,,,$757.42,,1,1,1,1,1,1,20061001
L2070,HCPCS,Hkafo torsion unilat rot str,,,28 ,,NW,,,,,,$165.79,,1,1,1,1,1,1,20061001
L2080,HCPCS,Hkafo unilat torsion cable,,,28 ,,NW,,,,,,$450.99,,1,1,1,1,1,1,20061001
L2090,HCPCS,Hkafo unilat torsion ball br,,,28 ,,NW,,,,,,$560.31,,1,1,1,1,1,1,20061001
L2106,HCPCS,Afo tib fx cast plaster mold,,,28 ,,NW,,,,,,$895.18,,1,1,1,1,1,1,20061001
L2108,HCPCS,Afo tib fx cast molded to pt,,,28 ,,NW,,,,,,"$1,434.13",,1,1,1,1,1,1,20061001
L2112,HCPCS,Afo tibial fracture soft,,,28 ,,NW,,,,,,$599.23,,1,1,1,1,1,1,20061001
L2114,HCPCS,Afo tib fx semi-rigid,,,28 ,,NW,,,,,,$757.20,,1,1,1,1,1,1,20061001
L2116,HCPCS,Afo tibial fracture rigid,,,28 ,,NW,,,,,,$939.55,,1,1,1,1,1,1,20061001
L2126,HCPCS,Kafo fem fx cast thermoplas,,,28 ,,NW,,,,,,"$1,613.07",,1,1,1,1,1,1,20061001
L2128,HCPCS,Kafo fem fx cast molded to p,,,28 ,,NW,,,,,,"$2,330.56",,1,1,1,1,1,1,20061001
L2132,HCPCS,Kafo femoral fx cast soft,,,28 ,,NW,,,,,,"$1,071.01",,1,1,1,1,1,1,20061001
L2134,HCPCS,Kafo fem fx cast semi-rigid,,,28 ,,NW,,,,,,"$1,293.63",,1,1,1,1,1,1,20061001
L2136,HCPCS,Kafo femoral fx cast rigid,,,28 ,,NW,,,,,,"$1,592.45",,1,1,1,1,1,1,20061001
L2180,HCPCS,Plas shoe insert w ank joint,,,28 ,,NW,,,,,,$144.69,,1,1,1,1,1,1,20061001
L2182,HCPCS,Drop lock knee,,,28 ,,NW,,,,,,$113.81,,1,1,1,1,1,1,20061001
L2184,HCPCS,Limited motion knee joint,,,28 ,,NW,,,,,,$152.92,,1,1,1,1,1,1,20061001
L2186,HCPCS,Adj motion knee jnt lerman t,,,28 ,,NW,,,,,,$185.28,,1,1,1,1,1,1,20061001
L2188,HCPCS,Quadrilateral brim,,,28 ,,NW,,,,,,$367.51,,1,1,1,1,1,1,20061001
L2190,HCPCS,Waist belt,,,28 ,,NW,,,,,,$108.57,,1,1,1,1,1,1,20061001
L2192,HCPCS,Pelvic band & belt thigh fla,,,28 ,,NW,,,,,,$446.66,,1,1,1,1,1,1,20061001
L2200,HCPCS,Limited ankle motion ea jnt,,,28 ,,NW,,,,,,$60.28,,1,1,1,1,1,1,20061001
L2210,HCPCS,Dorsiflexion assist each joi,,,28 ,,NW,,,,,,$84.16,,1,1,1,1,1,1,20061001
L2220,HCPCS,Dorsi & plantar flex ass/res,,,28 ,,NW,,,,,,$101.97,,1,1,1,1,1,1,20061001
L2230,HCPCS,Split flat caliper stirr & p,,,28 ,,NW,,,,,,$95.71,,1,1,1,1,1,1,20061001
L2240,HCPCS,Round caliper and plate atta,,,28 ,,NW,,,,,,$104.07,,1,1,1,1,1,1,20061001
L2250,HCPCS,Foot plate molded stirrup at,,,28 ,,NW,,,,,,$444.95,,1,1,1,1,1,1,20061001
L2260,HCPCS,Reinforced solid stirrup,,,28 ,,NW,,,,,,$245.86,,1,1,1,1,1,1,20061001
L2265,HCPCS,Long tongue stirrup,,,28 ,,NW,,,,,,$145.50,,1,1,1,1,1,1,20061001
L2270,HCPCS,Varus/valgus strap padded/li,,,28 ,,NW,,,,,,$67.75,,1,1,1,1,1,1,20061001
L2275,HCPCS,Plastic mod low ext pad/line,,,28 ,,NW,,,,,,$154.79,,1,1,1,1,1,1,20061001
L2280,HCPCS,Molded inner boot,,,28 ,,NW,,,,,,$580.18,,1,1,1,1,1,1,20061001
L2300,HCPCS,Abduction bar jointed adjust,,,28 ,,NW,,,,,,$329.33,,1,1,1,1,1,1,20061001
L2310,HCPCS,Abduction bar-straight,,,28 ,,NW,,,,,,$151.88,,1,1,1,1,1,1,20061001
L2320,HCPCS,Non-molded lacer,,,28 ,,NW,,,,,,$252.28,,1,1,1,1,1,1,20061001
L2330,HCPCS,Lacer molded to patient mode,,,28 ,,NW,,,,,,$496.74,,1,1,1,1,1,1,20061001
L2335,HCPCS,Anterior swing band,,,28 ,,NW,,,,,,$278.28,,1,1,1,1,1,1,20061001
L2340,HCPCS,Pre-tibial shell molded to p,,,28 ,,NW,,,,,,$572.03,,1,1,1,1,1,1,20061001
L2350,HCPCS,Prosthetic type socket molde,,,28 ,,NW,,,,,,"$1,188.06",,1,1,1,1,1,1,20061001
L2360,HCPCS,Extended steel shank,,,28 ,,NW,,,,,,$65.37,,1,1,1,1,1,1,20061001
L2370,HCPCS,Patten bottom,,,28 ,,NW,,,,,,$314.12,,1,1,1,1,1,1,20061001
L2375,HCPCS,Torsion ank & half solid sti,,,28 ,,NW,,,,,,$139.71,,1,1,1,1,1,1,20061001
L2380,HCPCS,Torsion straight knee joint,,,28 ,,NW,,,,,,$151.99,,1,1,1,1,1,1,20061001
L2385,HCPCS,Straight knee joint heavy du,,,28 ,,NW,,,,,,$165.13,,1,1,1,1,1,1,20061001
L2390,HCPCS,Offset knee joint each,,,28 ,,NW,,,,,,$135.41,,1,1,1,1,1,1,20061001
L2395,HCPCS,Offset knee joint heavy duty,,,28 ,,NW,,,,,,$192.46,,1,1,1,1,1,1,20061001
L2397,HCPCS,Suspension sleeve lower ext,,,28 ,,NW,,,,,,$138.98,,1,1,1,1,1,1,20061001
L2405,HCPCS,Knee joint drop lock ea jnt,,,28 ,,NW,,,,,,$103.67,,1,1,1,1,1,1,20061001
L2415,HCPCS,Knee joint cam lock each joi,,,28 ,,NW,,,,,,$143.42,,1,1,1,1,1,1,20061001
L2425,HCPCS,Knee disc/dial lock/adj flex,,,28 ,,NW,,,,,,$168.78,,1,1,1,1,1,1,20061001
L2430,HCPCS,Knee jnt ratchet lock ea jnt,,,28 ,,NW,,,,,,$168.78,,1,1,1,1,1,1,20061001
L2492,HCPCS,Knee lift loop drop lock rin,,,28 ,,NW,,,,,,$126.34,,1,1,1,1,1,1,20061001
L2500,HCPCS,Thi/glut/ischia wgt bearing,,,28 ,,NW,,,,,,$389.67,,1,1,1,1,1,1,20061001
L2510,HCPCS,Th/wght bear quad-lat brim m,,,28 ,,NW,,,,,,$959.63,,1,1,1,1,1,1,20061001
L2520,HCPCS,Th/wght bear quad-lat brim c,,,28 ,,NW,,,,,,$591.08,,1,1,1,1,1,1,20061001
L2525,HCPCS,Th/wght bear nar m-l brim mo,,,28 ,,NW,,,,,,"$1,642.93",,1,1,1,1,1,1,20061001
L2526,HCPCS,Th/wght bear nar m-l brim cu,,,28 ,,NW,,,,,,$902.16,,1,1,1,1,1,1,20061001
L2530,HCPCS,Thigh/wght bear lacer non-mo,,,28 ,,NW,,,,,,$287.72,,1,1,1,1,1,1,20061001
L2540,HCPCS,Thigh/wght bear lacer molded,,,28 ,,NW,,,,,,$538.51,,1,1,1,1,1,1,20061001
L2550,HCPCS,Thigh/wght bear high roll cu,,,28 ,,NW,,,,,,$351.13,,1,1,1,1,1,1,20061001
L2570,HCPCS,Hip clevis type 2 posit jnt,,,28 ,,NW,,,,,,$612.76,,1,1,1,1,1,1,20061001
L2580,HCPCS,Pelvic control pelvic sling,,,28 ,,NW,,,,,,$595.82,,1,1,1,1,1,1,20061001
L2600,HCPCS,Hip clevis/thrust bearing fr,,,28 ,,NW,,,,,,$251.83,,1,1,1,1,1,1,20061001
L2610,HCPCS,Hip clevis/thrust bearing lo,,,28 ,,NW,,,,,,$297.29,,1,1,1,1,1,1,20061001
L2620,HCPCS,Pelvic control hip heavy dut,,,28 ,,NW,,,,,,$327.06,,1,1,1,1,1,1,20061001
L2622,HCPCS,Hip joint adjustable flexion,,,28 ,,NW,,,,,,$377.45,,1,1,1,1,1,1,20061001
L2624,HCPCS,Hip adj flex ext abduct cont,,,28 ,,NW,,,,,,$411.41,,1,1,1,1,1,1,20061001
L2627,HCPCS,Plastic mold recipro hip & c,,,28 ,,NW,,,,,,"$2,329.95",,1,1,1,1,1,1,20061001
L2628,HCPCS,Metal frame recipro hip & ca,,,28 ,,NW,,,,,,"$2,276.00",,1,1,1,1,1,1,20061001
L2630,HCPCS,Pelvic control band & belt u,,,28 ,,NW,,,,,,$303.09,,1,1,1,1,1,1,20061001
L2640,HCPCS,Pelvic control band & belt b,,,28 ,,NW,,,,,,$418.23,,1,1,1,1,1,1,20061001
L2650,HCPCS,Pelv & thor control gluteal,,,28 ,,NW,,,,,,$148.22,,1,1,1,1,1,1,20061001
L2660,HCPCS,Thoracic control thoracic ba,,,28 ,,NW,,,,,,$228.77,,1,1,1,1,1,1,20061001
L2670,HCPCS,Thorac cont paraspinal uprig,,,28 ,,NW,,,,,,$209.60,,1,1,1,1,1,1,20061001
L2680,HCPCS,Thorac cont lat support upri,,,28 ,,NW,,,,,,$192.49,,1,1,1,1,1,1,20061001
L2750,HCPCS,Plating chrome/nickel pr bar,,,28 ,,NW,,,,,,$104.03,,1,1,1,1,1,1,20061001
L2755,HCPCS,Carbon graphite lamination,,,28 ,,NW,,,,,,$154.07,,1,1,1,1,1,1,20061001
L2760,HCPCS,Extension per extension per,,,28 ,,NW,,,,,,$76.32,,1,1,1,1,1,1,20061001
L2768,HCPCS,Ortho sidebar disconnect,,,28 ,,NW,,,,,,$153.66,,1,1,1,1,1,1,20061001
L2770,HCPCS,Low ext orthosis per bar/jnt,,,28 ,,NW,,,,,,$77.52,,1,1,1,1,1,1,20061001
L2780,HCPCS,Non-corrosive finish,,,28 ,,NW,,,,,,$84.72,,1,1,1,1,1,1,20061001
L2785,HCPCS,Drop lock retainer each,,,28 ,,NW,,,,,,$41.05,,1,1,1,1,1,1,20061001
L2795,HCPCS,Knee control full kneecap,,,28 ,,NW,,,,,,$105.70,,1,1,1,1,1,1,20061001
L2800,HCPCS,Knee cap medial or lateral p,,,28 ,,NW,,,,,,$132.02,,1,1,1,1,1,1,20061001
L2810,HCPCS,Knee control condylar pad,,,28 ,,NW,,,,,,$97.36,,1,1,1,1,1,1,20061001
L2820,HCPCS,Soft interface below knee se,,,28 ,,NW,,,,,,$107.98,,1,1,1,1,1,1,20061001
L2830,HCPCS,Soft interface above knee se,,,28 ,,NW,,,,,,$116.60,,1,1,1,1,1,1,20061001
L2840,HCPCS,Tibial length sock fx or equ,,,28 ,,NW,,,,,,$55.60,,1,1,1,1,1,1,20061001
L2850,HCPCS,Femoral lgth sock fx or equa,,,28 ,,NW,,,,,,$77.72,,1,1,1,1,1,1,20061001
L2860,HCPCS,Torsion mechanism knee/ankle,,,28 ,,NW,,,,,,$464.46,,1,1,1,1,1,1,20061001
L2999,HCPCS,Lower extremity orthosis NOS,,,28 ,,NW,,,,,,$62.69,,1,1,1,1,1,1,20061001
L3000,HCPCS,Ft insert ucb berkeley shell,,,28 ,,NW,,,,,,$291.70,,1,1,1,1,1,1,20061001
L3001,HCPCS,Foot insert remov molded spe,,,28 ,,NW,,,,,,$173.01,,1,1,1,1,1,1,20061001
L3002,HCPCS,Foot insert plastazote or eq,,,28 ,,NW,,,,,,$143.18,,1,1,1,1,1,1,20061001
L3003,HCPCS,Foot insert silicone gel eac,,,28 ,,NW,,,,,,$175.44,,1,1,1,1,1,1,20061001
L3010,HCPCS,Foot longitudinal arch suppo,,,28 ,,NW,,,,,,$227.18,,1,1,1,1,1,1,20061001
L3020,HCPCS,Foot longitud/metatarsal sup,,,28 ,,NW,,,,,,$287.44,,1,1,1,1,1,1,20061001
L3030,HCPCS,Foot arch support remov prem,,,28 ,,NW,,,,,,$287.44,,1,1,1,1,1,1,20061001
L3031,HCPCS,Foot lamin/prepreg composite,,,28 ,,NW,,,,,,"$1,529.37",,1,1,1,0,1,1,20061001
L3040,HCPCS,Ft arch suprt premold longit,,,28 ,,NW,,,,,,$53.10,,1,1,1,1,1,1,20061001
L3050,HCPCS,Foot arch supp premold metat,,,28 ,,NW,,,,,,$49.45,,1,1,1,1,1,1,20061001
L3060,HCPCS,Foot arch supp longitud/meta,,,28 ,,NW,,,,,,$93.27,,1,1,1,1,1,1,20061001
L3070,HCPCS,Arch suprt att to sho longit,,,28 ,,NW,,,,,,$30.59,,1,1,1,1,1,1,20061001
L3080,HCPCS,Arch supp att to shoe metata,,,28 ,,NW,,,,,,$14.09,,1,1,1,1,1,1,20061001
L3090,HCPCS,Arch supp att to shoe long/m,,,28 ,,NW,,,,,,$20.24,,1,1,1,1,1,1,20061001
L3100,HCPCS,Hallus-valgus nght dynamic s,,,28 ,,NW,,,,,,$31.79,,1,1,1,1,1,1,20061001
L3140,HCPCS,Abduction rotation bar shoe,,,28 ,,NW,,,,,,$87.80,,1,1,1,1,1,1,20061001
L3150,HCPCS,Abduct rotation bar w/o shoe,,,28 ,,NW,,,,,,$73.79,,1,1,1,1,1,1,20061001
L3160,HCPCS,Shoe styled positioning dev,,,28 ,,NW,,,,,,$24.50,,1,1,1,1,1,1,20061001
L3170,HCPCS,Foot plastic heel stabilizer,,,28 ,,NW,,,,,,$39.70,,1,1,1,1,1,1,20061001
L3201,HCPCS,Oxford w supinat/pronat inf,,,28 ,,NW,,,,,,$87.19,,1,1,1,1,1,1,20061001
L3202,HCPCS,Oxford w/ supinat/pronator c,,,28 ,,NW,,,,,,$85.36,,1,1,1,1,1,1,20061001
L3203,HCPCS,Oxford w/ supinator/pronator,,,28 ,,NW,,,,,,$83.54,,1,1,1,1,1,1,20061001
L3204,HCPCS,Hightop w/ supp/pronator inf,,,28 ,,NW,,,,,,$83.54,,1,1,1,1,1,1,20061001
L3206,HCPCS,Hightop w/ supp/pronator chi,,,28 ,,NW,,,,,,$86.57,,1,1,1,1,1,1,20061001
L3207,HCPCS,Hightop w/ supp/pronator jun,,,28 ,,NW,,,,,,$87.80,,1,1,1,1,1,1,20061001
L3208,HCPCS,Surgical boot each infant,,,28 ,,NW,,,,,,$47.63,,1,1,1,1,1,1,20061001
L3209,HCPCS,Surgical boot each child,,,28 ,,NW,,,,,,$65.88,,1,1,1,1,1,1,20061001
L3211,HCPCS,Surgical boot each junior,,,28 ,,NW,,,,,,$70.14,,1,1,1,1,1,1,20061001
L3212,HCPCS,Benesch boot pair infant,,,28 ,,NW,,,,,,$96.93,,1,1,1,1,1,1,20061001
L3213,HCPCS,Benesch boot pair child,,,28 ,,NW,,,,,,$116.40,,1,1,1,1,1,1,20061001
L3214,HCPCS,Benesch boot pair junior,,,28 ,,NW,,,,,,$123.71,,1,1,1,1,1,1,20061001
L3215,HCPCS,Orthopedic ftwear ladies oxf,,,28 ,,NW,,,,,,$156.58,,1,1,1,1,1,1,20061001
L3216,HCPCS,Orthoped ladies shoes dpth i,,,28 ,,NW,,,,,,$188.83,,1,1,1,1,1,1,20061001
L3217,HCPCS,Ladies shoes hightop depth i,,,28 ,,NW,,,,,,$204.65,,1,1,1,1,1,1,20061001
L3219,HCPCS,Orthopedic mens shoes oxford,,,28 ,,NW,,,,,,$175.44,,1,1,1,1,1,1,20061001
L3221,HCPCS,Orthopedic mens shoes dpth i,,,28 ,,NW,,,,,,$210.13,,1,1,1,1,1,1,20061001
L3222,HCPCS,Mens shoes hightop depth inl,,,28 ,,NW,,,,,,$232.05,,1,1,1,1,1,1,20061001
L3224,HCPCS,Woman's shoe oxford brace,,,28 ,,NW,,,,,,$73.94,,1,1,1,1,1,1,20061001
L3225,HCPCS,Man's shoe oxford brace,,,28 ,,NW,,,,,,$84.67,,1,1,1,1,1,1,20061001
L3230,HCPCS,Custom shoes depth inlay,,,28 ,,NW,,,,,,$272.21,,1,1,1,1,1,1,20061001
L3250,HCPCS,Custom mold shoe remov prost,,,28 ,,NW,,,,,,$552.46,,1,1,1,1,1,1,20061001
L3251,HCPCS,Shoe molded to pt silicone s,,,28 ,,NW,,,,,,$75.01,,1,1,1,1,1,1,20061001
L3252,HCPCS,Shoe molded plastazote cust,,,28 ,,NW,,,,,,$289.87,,1,1,1,1,1,1,20061001
L3253,HCPCS,Shoe molded plastazote cust,,,28 ,,NW,,,,,,$74.40,,1,1,1,1,1,1,20061001
L3254,HCPCS,Orth foot non-stndard size/w,,,28 ,,NW,,,,,,$25.34,,1,1,1,1,1,1,20061001
L3255,HCPCS,Orth foot non-standard size/,,,28 ,,NW,,,,,,$28.16,,1,1,1,1,1,1,20061001
L3257,HCPCS,Orth foot add charge split s,,,28 ,,NW,,,,,,$54.93,,1,1,1,1,1,1,20061001
L3260,HCPCS,Ambulatory surgical boot eac,,,28 ,,NW,,,,,,$31.79,,1,1,1,1,1,1,20061001
L3265,HCPCS,Plastazote sandal each,,,28 ,,NW,,,,,,$34.23,,1,1,1,1,1,1,20061001
L3300,HCPCS,Sho lift taper to metatarsal,,,28 ,,NW,,,,,,$39.10,,1,1,1,1,1,1,20061001
L3310,HCPCS,Shoe lift elev heel/sole neo,,,28 ,,NW,,,,,,$76.23,,1,1,1,1,1,1,20061001
L3320,HCPCS,Shoe lift elev heel/sole cor,,,28 ,,NW,,,,,,$196.75,,1,1,1,1,1,1,20061001
L3330,HCPCS,Lifts elevation metal extens,,,28 ,,NW,,,,,,$317.26,,1,1,1,1,1,1,20061001
L3332,HCPCS,Shoe lifts tapered to one-ha,,,28 ,,NW,,,,,,$24.50,,1,1,1,1,1,1,20061001
L3334,HCPCS,Shoe lifts elevation heel /i,,,28 ,,NW,,,,,,$24.50,,1,1,1,1,1,1,20061001
L3340,HCPCS,Shoe wedge sach,,,28 ,,NW,,,,,,$55.54,,1,1,1,1,1,1,20061001
L3350,HCPCS,Shoe heel wedge,,,28 ,,NW,,,,,,$36.05,,1,1,1,1,1,1,20061001
L3360,HCPCS,Shoe sole wedge outside sole,,,28 ,,NW,,,,,,$27.54,,1,1,1,1,1,1,20061001
L3370,HCPCS,Shoe sole wedge between sole,,,28 ,,NW,,,,,,$32.40,,1,1,1,1,1,1,20061001
L3380,HCPCS,Shoe clubfoot wedge,,,28 ,,NW,,,,,,$54.32,,1,1,1,1,1,1,20061001
L3390,HCPCS,Shoe outflare wedge,,,28 ,,NW,,,,,,$74.40,,1,1,1,1,1,1,20061001
L3400,HCPCS,Shoe metatarsal bar wedge ro,,,28 ,,NW,,,,,,$71.36,,1,1,1,1,1,1,20061001
L3410,HCPCS,Shoe metatarsal bar between,,,28 ,,NW,,,,,,$119.45,,1,1,1,1,1,1,20061001
L3420,HCPCS,Full sole/heel wedge btween,,,28 ,,NW,,,,,,$39.70,,1,1,1,1,1,1,20061001
L3430,HCPCS,Sho heel count plast reinfor,,,28 ,,NW,,,,,,$96.32,,1,1,1,1,1,1,20061001
L3440,HCPCS,Heel leather reinforced,,,28 ,,NW,,,,,,$65.88,,1,1,1,1,1,1,20061001
L3450,HCPCS,Shoe heel sach cushion type,,,28 ,,NW,,,,,,$53.71,,1,1,1,1,1,1,20061001
L3455,HCPCS,Shoe heel new leather standa,,,28 ,,NW,,,,,,$23.89,,1,1,1,1,1,1,20061001
L3460,HCPCS,Shoe heel new rubber standar,,,28 ,,NW,,,,,,$39.70,,1,1,1,1,1,1,20061001
L3465,HCPCS,Shoe heel thomas with wedge,,,28 ,,NW,,,,,,$28.76,,1,1,1,1,1,1,20061001
L3470,HCPCS,Shoe heel thomas extend to b,,,28 ,,NW,,,,,,$67.10,,1,1,1,1,1,1,20061001
L3480,HCPCS,Shoe heel pad & depress for,,,28 ,,NW,,,,,,$46.40,,1,1,1,1,1,1,20061001
L3485,HCPCS,Shoe heel pad removable for,,,28 ,,NW,,,,,,$31.79,,1,1,1,1,1,1,20061001
L3500,HCPCS,Ortho shoe add leather insol,,,28 ,,NW,,,,,,$34.84,,1,1,1,1,1,1,20061001
L3510,HCPCS,Orthopedic shoe add rub insl,,,28 ,,NW,,,,,,$32.40,,1,1,1,1,1,1,20061001
L3520,HCPCS,O shoe add felt w leath insl,,,28 ,,NW,,,,,,$51.89,,1,1,1,1,1,1,20061001
L3530,HCPCS,Ortho shoe add half sole,,,28 ,,NW,,,,,,$17.19,,1,1,1,1,1,1,20061001
L3540,HCPCS,Ortho shoe add full sole,,,28 ,,NW,,,,,,$56.75,,1,1,1,1,1,1,20061001
L3550,HCPCS,O shoe add standard toe tap,,,28 ,,NW,,,,,,$10.38,,1,1,1,1,1,1,20061001
L3560,HCPCS,O shoe add horseshoe toe tap,,,28 ,,NW,,,,,,$14.09,,1,1,1,1,1,1,20061001
L3570,HCPCS,O shoe add instep extension,,,28 ,,NW,,,,,,$51.28,,1,1,1,1,1,1,20061001
L3580,HCPCS,O shoe add instep velcro clo,,,28 ,,NW,,,,,,$74.40,,1,1,1,1,1,1,20061001
L3590,HCPCS,O shoe convert to sof counte,,,28 ,,NW,,,,,,$58.59,,1,1,1,1,1,1,20061001
L3595,HCPCS,Ortho shoe add march bar,,,28 ,,NW,,,,,,$19.02,,1,1,1,1,1,1,20061001
L3600,HCPCS,Trans shoe calip plate exist,,,28 ,,NW,,,,,,$93.27,,1,1,1,1,1,1,20061001
L3610,HCPCS,Trans shoe caliper plate new,,,28 ,,NW,,,,,,$149.27,,1,1,1,1,1,1,20061001
L3620,HCPCS,Trans shoe solid stirrup exi,,,28 ,,NW,,,,,,$93.27,,1,1,1,1,1,1,20061001
L3630,HCPCS,Trans shoe solid stirrup new,,,28 ,,NW,,,,,,$113.97,,1,1,1,1,1,1,20061001
L3640,HCPCS,Shoe dennis browne splint bo,,,28 ,,NW,,,,,,$39.10,,1,1,1,1,1,1,20061001
L3649,HCPCS,Orthopedic shoe modifica NOS,,,28 ,,NW,,,,,,$25.37,,1,1,1,1,1,1,20061001
L3650,HCPCS,Shlder fig 8 abduct restrain,,,28 ,,NW,,,,,,$73.01,,1,1,1,1,1,1,20061001
L3651,HCPCS,Prefab shoulder orthosis,,,28 ,,NW,,,,,,$72.07,,1,1,1,1,1,1,20061001
L3652,HCPCS,Prefab dbl shoulder orthosis,,,28 ,,NW,,,,,,$211.97,,1,1,1,1,1,1,20061001
L3660,HCPCS,Abduct restrainer canvas&web,,,28 ,,NW,,,,,,$124.64,,1,1,1,1,1,1,20061001
L3670,HCPCS,Acromio/clavicular canvas&we,,,28 ,,NW,,,,,,$136.88,,1,1,1,1,1,1,20061001
L3675,HCPCS,Canvas vest SO,,,28 ,,NW,,,,,,$187.76,,1,1,1,1,1,1,20061001
L3677,HCPCS,SO hard plastic stabilizer,,,28 ,,NW,,,,,,$215.00,,1,1,1,1,1,1,20061001
L3700,HCPCS,Elbow orthoses elas w stays,,,28 ,,NW,,,,,,$85.47,,1,1,1,1,1,1,20061001
L3701,HCPCS,Prefab elbow orthosis,,,28 ,,NW,,,,,,$24.07,,1,1,1,1,1,1,20061001
L3710,HCPCS,Elbow elastic with metal joi,,,28 ,,NW,,,,,,$149.39,,1,1,1,1,1,1,20061001
L3720,HCPCS,Forearm/arm cuffs free motio,,,28 ,,NW,,,,,,$839.88,,1,1,1,1,1,1,20061001
L3730,HCPCS,Forearm/arm cuffs ext/flex a,,,28 ,,NW,,,,,,"$1,175.66",,1,1,1,1,1,1,20061001
L3740,HCPCS,Cuffs adj lock w/ active con,,,28 ,,NW,,,,,,"$1,402.73",,1,1,1,1,1,1,20061001
L3760,HCPCS,"EO withjoint, Prefabricated",,,28 ,,NW,,,,,,$555.22,,1,1,1,1,1,1,20061001
L3762,HCPCS,Rigid EO wo joints,,,28 ,,NW,,,,,,$116.04,,1,1,1,1,1,1,20061001
L3800,HCPCS,Whfo short opponen no attach,,,28 ,,NW,,,,,,$240.05,,1,1,1,1,1,1,20061001
L3805,HCPCS,Whfo long opponens no attach,,,28 ,,NW,,,,,,$386.35,,1,1,1,1,1,1,20061001
L3807,HCPCS,"WHFO,no joint, prefabricated",,,28 ,,NW,,,,,,$266.42,,1,1,1,1,1,1,20061001
L3810,HCPCS,Whfo thumb abduction bar,,,28 ,,NW,,,,,,$79.55,,1,1,1,1,1,1,20061001
L3815,HCPCS,Whfo second m.p. abduction a,,,28 ,,NW,,,,,,$74.03,,1,1,1,1,1,1,20061001
L3820,HCPCS,Whfo ip ext asst w/ mp ext s,,,28 ,,NW,,,,,,$125.30,,1,1,1,1,1,1,20061001
L3825,HCPCS,Whfo m.p. extension stop,,,28 ,,NW,,,,,,$79.59,,1,1,1,1,1,1,20061001
L3830,HCPCS,Whfo m.p. extension assist,,,28 ,,NW,,,,,,$103.11,,1,1,1,1,1,1,20061001
L3835,HCPCS,Whfo m.p. spring extension a,,,28 ,,NW,,,,,,$111.56,,1,1,1,1,1,1,20061001
L3840,HCPCS,Whfo spring swivel thumb,,,28 ,,NW,,,,,,$77.23,,1,1,1,1,1,1,20061001
L3845,HCPCS,Whfo thumb ip ext ass w/ mp,,,28 ,,NW,,,,,,$98.98,,1,1,1,1,1,1,20061001
L3850,HCPCS,Action wrist w/ dorsiflex as,,,28 ,,NW,,,,,,$140.29,,1,1,1,1,1,1,20061001
L3855,HCPCS,Whfo adj m.p. flexion contro,,,28 ,,NW,,,,,,$141.39,,1,1,1,1,1,1,20061001
L3860,HCPCS,Whfo adj m.p. flex ctrl & i.,,,28 ,,NW,,,,,,$192.58,,1,1,1,1,1,1,20061001
L3890,HCPCS,Torsion mechanism wrist/elbo,,,28 ,,NW,,,,,,$340.10,,1,1,1,1,1,1,20061001
L3900,HCPCS,Hinge extension/flex wrist/f,,,28 ,,NW,,,,,,"$1,708.41",,1,1,1,1,1,1,20061001
L3901,HCPCS,Hinge ext/flex wrist finger,,,28 ,,NW,,,,,,"$2,133.36",,1,1,1,1,1,1,20061001
L3902,HCPCS,Whfo ext power compress gas,,,28 ,,NW,,,,,,"$3,424.22",,1,1,1,1,1,1,20061001
L3904,HCPCS,Whfo electric custom fitted,,,28 ,,NW,,,,,,"$3,926.97",,1,1,1,1,1,1,20061001
L3906,HCPCS,Wrist gauntlet molded to pt,,,28 ,,NW,,,,,,$488.43,,1,1,1,1,1,1,20061001
L3907,HCPCS,Whfo wrst gauntlt thmb spica,,,28 ,,NW,,,,,,$641.57,,1,1,1,1,1,1,20061001
L3908,HCPCS,Wrist cock-up non-molded,,,28 ,,NW,,,,,,$73.74,,1,1,1,1,1,1,20061001
L3909,HCPCS,Prefab wrist orthosis,,,28 ,,NW,,,,,,$17.50,,1,1,1,1,1,1,20061001
L3910,HCPCS,Whfo swanson design,,,28 ,,NW,,,,,,$461.22,,1,1,1,1,1,1,20061001
L3911,HCPCS,Prefab hand finger orthosis,,,28 ,,NW,,,,,,$23.14,,1,1,1,0,1,1,20061001
L3912,HCPCS,Flex glove w/elastic finger,,,28 ,,NW,,,,,,$115.20,,1,1,1,1,1,1,20061001
L3914,HCPCS,WHO wrist extension cock-up,,,28 ,,NW,,,,,,$104.37,,1,1,1,1,1,1,20061001
L3916,HCPCS,Whfo wrist extens w/ outrigg,,,28 ,,NW,,,,,,$153.41,,1,1,1,1,1,1,20061001
L3917,HCPCS,Prefab metacarpl fx orthosis,,,28 ,,NW,,,,,,$98.64,,1,1,1,0,1,1,20061001
L3918,HCPCS,HFO knuckle bender,,,28 ,,NW,,,,,,$95.65,,1,1,1,1,1,1,20061001
L3920,HCPCS,Knuckle bender with outrigge,,,28 ,,NW,,,,,,$118.89,,1,1,1,1,1,1,20061001
L3922,HCPCS,Knuckle bend 2 seg to flex j,,,28 ,,NW,,,,,,$118.71,,1,1,1,1,1,1,20061001
L3923,HCPCS,"HFO, no joint, prefabricated",,,28 ,,NW,,,,,,$43.64,,1,1,1,1,1,1,20061001
L3924,HCPCS,Oppenheimer,,,28 ,,NW,,,,,,$129.20,,1,1,1,1,1,1,20061001
L3926,HCPCS,Thomas suspension,,,28 ,,NW,,,,,,$112.84,,1,1,1,1,1,1,20061001
L3928,HCPCS,Finger extension w/ clock sp,,,28 ,,NW,,,,,,$71.71,,1,1,1,1,1,1,20061001
L3930,HCPCS,Finger extension with wrist,,,28 ,,NW,,,,,,$75.63,,1,1,1,1,1,1,20061001
L3932,HCPCS,Safety pin spring wire,,,28 ,,NW,,,,,,$58.39,,1,1,1,1,1,1,20061001
L3934,HCPCS,Safety pin modified,,,28 ,,NW,,,,,,$59.80,,1,1,1,1,1,1,20061001
L3936,HCPCS,Palmer,,,28 ,,NW,,,,,,$108.35,,1,1,1,1,1,1,20061001
L3938,HCPCS,Dorsal wrist,,,28 ,,NW,,,,,,$113.35,,1,1,1,1,1,1,20061001
L3940,HCPCS,Dorsal wrist w/ outrigger at,,,28 ,,NW,,,,,,$130.25,,1,1,1,1,1,1,20061001
L3942,HCPCS,Reverse knuckle bender,,,28 ,,NW,,,,,,$90.88,,1,1,1,1,1,1,20061001
L3944,HCPCS,Reverse knuckle bend w/ outr,,,28 ,,NW,,,,,,$119.20,,1,1,1,1,1,1,20061001
L3946,HCPCS,HFO composite elastic,,,28 ,,NW,,,,,,$107.83,,1,1,1,1,1,1,20061001
L3948,HCPCS,Finger knuckle bender,,,28 ,,NW,,,,,,$68.02,,1,1,1,1,1,1,20061001
L3950,HCPCS,Oppenheimer w/ knuckle bend,,,28 ,,NW,,,,,,$180.66,,1,1,1,1,1,1,20061001
L3952,HCPCS,Oppenheimer w/ rev knuckle 2,,,28 ,,NW,,,,,,$200.23,,1,1,1,1,1,1,20061001
L3954,HCPCS,Spreading hand,,,28 ,,NW,,,,,,$133.72,,1,1,1,1,1,1,20061001
L3956,HCPCS,Add joint upper ext orthosis,,,28 ,,NW,,,,,,$50.67,,1,1,1,1,1,1,20061001
L3960,HCPCS,Sewho airplan desig abdu pos,,,28 ,,NW,,,,,,$949.62,,1,1,1,1,1,1,20061001
L3962,HCPCS,Sewho erbs palsey design abd,,,28 ,,NW,,,,,,$925.96,,1,1,1,1,1,1,20061001
L3964,HCPCS,Seo mobile arm sup att to wc,,,28 ,,NW,,,,,,$595.81,,1,1,1,1,1,1,20061001
L3965,HCPCS,Arm supp att to wc rancho ty,,,28 ,,NW,,,,,,$979.38,,1,1,1,1,1,1,20061001
L3966,HCPCS,Mobile arm supports reclinin,,,28 ,,NW,,,,,,$725.99,,1,1,1,1,1,1,20061001
L3968,HCPCS,Friction dampening arm supp,,,28 ,,NW,,,,,,$931.44,,1,1,1,1,1,1,20061001
L3969,HCPCS,Monosuspension arm/hand supp,,,28 ,,NW,,,,,,$636.92,,1,1,1,1,1,1,20061001
L3970,HCPCS,Elevat proximal arm support,,,28 ,,NW,,,,,,$242.27,,1,1,1,1,1,1,20061001
L3972,HCPCS,Offset/lat rocker arm w/ ela,,,28 ,,NW,,,,,,$154.99,,1,1,1,1,1,1,20061001
L3974,HCPCS,Mobile arm support supinator,,,28 ,,NW,,,,,,$131.85,,1,1,1,1,1,1,20061001
L3980,HCPCS,Upp ext fx orthosis humeral,,,28 ,,NW,,,,,,$371.69,,1,1,1,1,1,1,20061001
L3982,HCPCS,Upper ext fx orthosis rad/ul,,,28 ,,NW,,,,,,$458.80,,1,1,1,1,1,1,20061001
L3984,HCPCS,Upper ext fx orthosis wrist,,,28 ,,NW,,,,,,$419.27,,1,1,1,1,1,1,20061001
L3985,HCPCS,Forearm hand fx orth w/ wr h,,,28 ,,NW,,,,,,$745.42,,1,1,1,1,1,1,20061001
L3986,HCPCS,Humeral rad/ulna wrist fx or,,,28 ,,NW,,,,,,$712.87,,1,1,1,1,1,1,20061001
L3995,HCPCS,Sock fracture or equal each,,,28 ,,NW,,,,,,$41.42,,1,1,1,1,1,1,20061001
L3999,HCPCS,Upper limb orthosis NOS,,,28 ,,NW,,,,,,$39.31,,1,1,1,1,1,1,20061001
L4000,HCPCS,Repl girdle milwaukee orth,,,28 ,,NW,,,,,,"$1,720.69",,1,1,1,1,1,1,20061001
L4010,HCPCS,Replace trilateral socket br,,,28 ,,NW,,,,,,$882.98,,1,1,1,1,1,1,20061001
L4020,HCPCS,Replace quadlat socket brim,,,28 ,,NW,,,,,,"$1,146.82",,1,1,1,1,1,1,20061001
L4030,HCPCS,Replace socket brim cust fit,,,28 ,,NW,,,,,,$652.39,,1,1,1,1,1,1,20061001
L4040,HCPCS,Replace molded thigh lacer,,,28 ,,NW,,,,,,$518.28,,1,1,1,1,1,1,20061001
L4045,HCPCS,Replace non-molded thigh lac,,,28 ,,NW,,,,,,$407.10,,1,1,1,1,1,1,20061001
L4050,HCPCS,Replace molded calf lacer,,,28 ,,NW,,,,,,$524.73,,1,1,1,1,1,1,20061001
L4055,HCPCS,Replace non-molded calf lace,,,28 ,,NW,,,,,,$327.02,,1,1,1,1,1,1,20061001
L4060,HCPCS,Replace high roll cuff,,,28 ,,NW,,,,,,$392.90,,1,1,1,1,1,1,20061001
L4070,HCPCS,Replace prox & dist upright,,,28 ,,NW,,,,,,$344.11,,1,1,1,1,1,1,20061001
L4080,HCPCS,Repl met band kafo-afo prox,,,28 ,,NW,,,,,,$125.33,,1,1,1,1,1,1,20061001
L4090,HCPCS,Repl met band kafo-afo calf/,,,28 ,,NW,,,,,,$112.18,,1,1,1,1,1,1,20061001
L4100,HCPCS,Repl leath cuff kafo prox th,,,28 ,,NW,,,,,,$129.16,,1,1,1,1,1,1,20061001
L4110,HCPCS,Repl leath cuff kafo-afo cal,,,28 ,,NW,,,,,,$105.50,,1,1,1,1,1,1,20061001
L4130,HCPCS,Replace pretibial shell,,,28 ,,NW,,,,,,$640.26,,1,1,1,1,1,1,20061001
L4205,HCPCS,Ortho dvc repair per 15 min,,,28 ,,NW,,,,,,$35.30,,1,1,1,1,1,1,20061001
L4210,HCPCS,Orth dev repair/repl minor p,,,28 ,,NW,,,,,,$47.12,,1,1,1,1,1,1,20061001
L4350,HCPCS,Ankle control orthosi prefab,,,28 ,,NW,,,,,,$111.06,,1,1,1,1,1,1,20061001
L4360,HCPCS,Pneumati walking boot prefab,,,28 ,,NW,,,,,,$338.61,,1,1,1,1,1,1,20061001
L4370,HCPCS,Pneumatic full leg splint,,,28 ,,NW,,,,,,$231.69,,1,1,1,1,1,1,20061001
L4380,HCPCS,Pneumatic knee splint,,,28 ,,NW,,,,,,$132.94,,1,1,1,1,1,1,20061001
L4386,HCPCS,Non-pneum walk boot prefab,,,28 ,,NW,,,,,,$186.41,,1,1,1,1,1,1,20061001
L4392,HCPCS,Replace AFO soft interface,,,28 ,,NW,,,,,,$29.82,,1,1,1,1,1,1,20061001
L4394,HCPCS,Replace foot drop spint,,,28 ,,NW,,,,,,$22.45,,1,1,1,1,1,1,20061001
L4396,HCPCS,Static AFO,,,28 ,,NW,,,,,,$196.81,,1,1,1,1,1,1,20061001
L4398,HCPCS,Foot drop splint recumbent,,,28 ,,NW,,,,,,$91.98,,1,1,1,1,1,1,20061001
L5000,HCPCS,Sho insert w arch toe filler,,,28 ,,NW,,,,,,$698.73,,1,1,1,1,1,1,20061001
L5010,HCPCS,Mold socket ank hgt w/ toe f,,,28 ,,NW,,,,,,"$1,751.17",,1,1,1,1,1,1,20061001
L5020,HCPCS,Tibial tubercle hgt w/ toe f,,,28 ,,NW,,,,,,"$2,880.66",,1,1,1,1,1,1,20061001
L5050,HCPCS,Ank symes mold sckt sach ft,,,28 ,,NW,,,,,,"$3,343.51",,1,1,1,1,1,1,20061001
L5060,HCPCS,Symes met fr leath socket ar,,,28 ,,NW,,,,,,"$4,033.70",,1,1,1,1,1,1,20061001
L5100,HCPCS,Molded socket shin sach foot,,,28 ,,NW,,,,,,"$3,386.66",,1,1,1,1,1,1,20061001
L5105,HCPCS,Plast socket jts/thgh lacer,,,28 ,,NW,,,,,,"$5,085.79",,1,1,1,1,1,1,20061001
L5150,HCPCS,Mold sckt ext knee shin sach,,,28 ,,NW,,,,,,"$5,141.55",,1,1,1,1,1,1,20061001
L5160,HCPCS,Mold socket bent knee shin s,,,28 ,,NW,,,,,,"$5,596.58",,1,1,1,1,1,1,20061001
L5200,HCPCS,Kne sing axis fric shin sach,,,28 ,,NW,,,,,,"$4,833.87",,1,1,1,1,1,1,20061001
L5210,HCPCS,No knee/ankle joints w/ ft b,,,28 ,,NW,,,,,,"$3,538.01",,1,1,1,1,1,1,20061001
L5220,HCPCS,No knee joint with artic ali,,,28 ,,NW,,,,,,"$4,028.14",,1,1,1,1,1,1,20061001
L5230,HCPCS,Fem focal defic constant fri,,,28 ,,NW,,,,,,"$5,573.78",,1,1,1,1,1,1,20061001
L5250,HCPCS,Hip canad sing axi cons fric,,,28 ,,NW,,,,,,"$7,619.58",,1,1,1,1,1,1,20061001
L5270,HCPCS,Tilt table locking hip sing,,,28 ,,NW,,,,,,"$7,552.42",,1,1,1,1,1,1,20061001
L5280,HCPCS,Hemipelvect canad sing axis,,,28 ,,NW,,,,,,"$7,476.42",,1,1,1,1,1,1,20061001
L5301,HCPCS,BK mold socket SACH ft endo,,,28 ,,NW,,,,,,"$3,345.09",,1,1,1,1,1,1,20061001
L5311,HCPCS,"Knee disart, SACH ft, endo",,,28 ,,NW,,,,,,"$4,826.51",,1,1,1,1,1,1,20061001
L5321,HCPCS,AK open end SACH,,,28 ,,NW,,,,,,"$4,809.09",,1,1,1,1,1,1,20061001
L5331,HCPCS,Hip disart canadian SACH ft,,,28 ,,NW,,,,,,"$6,824.91",,1,1,1,1,1,1,20061001
L5341,HCPCS,Hemipelvectomy canadian SACH,,,28 ,,NW,,,,,,"$7,420.68",,1,1,1,1,1,1,20061001
L5400,HCPCS,Postop dress & 1 cast chg bk,,,28 ,,NW,,,,,,"$1,730.64",,1,1,1,1,1,1,20061001
L5410,HCPCS,Postop dsg bk ea add cast ch,,,28 ,,NW,,,,,,$569.52,,1,1,1,1,1,1,20061001
L5420,HCPCS,Postop dsg & 1 cast chg ak/d,,,28 ,,NW,,,,,,"$2,198.33",,1,1,1,1,1,1,20061001
L5430,HCPCS,Postop dsg ak ea add cast ch,,,28 ,,NW,,,,,,$695.71,,1,1,1,1,1,1,20061001
L5450,HCPCS,Postop app non-wgt bear dsg,,,28 ,,NW,,,,,,$554.13,,1,1,1,1,1,1,20061001
L5460,HCPCS,Postop app non-wgt bear dsg,,,28 ,,NW,,,,,,$757.89,,1,1,1,1,1,1,20061001
L5500,HCPCS,Init bk ptb plaster direct,,,28 ,,NW,,,,,,"$1,850.02",,1,1,1,1,1,1,20061001
L5505,HCPCS,Init ak ischal plstr direct,,,28 ,,NW,,,,,,"$2,522.41",,1,1,1,1,1,1,20061001
L5510,HCPCS,Prep BK ptb plaster molded,,,28 ,,NW,,,,,,"$2,103.52",,1,1,1,1,1,1,20061001
L5520,HCPCS,Perp BK ptb thermopls direct,,,28 ,,NW,,,,,,"$2,077.20",,1,1,1,1,1,1,20061001
L5530,HCPCS,Prep BK ptb thermopls molded,,,28 ,,NW,,,,,,"$2,504.54",,1,1,1,1,1,1,20061001
L5535,HCPCS,Prep BK ptb open end socket,,,28 ,,NW,,,,,,"$2,458.09",,1,1,1,1,1,1,20061001
L5540,HCPCS,Prep BK ptb laminated socket,,,28 ,,NW,,,,,,"$2,626.79",,1,1,1,1,1,1,20061001
L5560,HCPCS,Prep AK ischial plast molded,,,28 ,,NW,,,,,,"$2,824.26",,1,1,1,1,1,1,20061001
L5570,HCPCS,Prep AK ischial direct form,,,28 ,,NW,,,,,,"$2,938.14",,1,1,1,1,1,1,20061001
L5580,HCPCS,Prep AK ischial thermo mold,,,28 ,,NW,,,,,,"$3,438.09",,1,1,1,1,1,1,20061001
L5585,HCPCS,Prep AK ischial open end,,,28 ,,NW,,,,,,"$3,733.05",,1,1,1,1,1,1,20061001
L5590,HCPCS,Prep AK ischial laminated,,,28 ,,NW,,,,,,"$3,504.55",,1,1,1,1,1,1,20061001
L5595,HCPCS,Hip disartic sach thermopls,,,28 ,,NW,,,,,,"$5,902.34",,1,1,1,1,1,1,20061001
L5600,HCPCS,Hip disart sach laminat mold,,,28 ,,NW,,,,,,"$6,522.95",,1,1,1,1,1,1,20061001
L5610,HCPCS,Above knee hydracadence,,,28 ,,NW,,,,,,"$3,011.65",,1,1,1,1,1,1,20061001
L5611,HCPCS,Ak 4 bar link w/fric swing,,,28 ,,NW,,,,,,"$2,333.04",,1,1,1,1,1,1,20061001
L5613,HCPCS,Ak 4 bar ling w/hydraul swig,,,28 ,,NW,,,,,,"$3,573.66",,1,1,1,1,1,1,20061001
L5614,HCPCS,4-bar link above knee w/swng,,,28 ,,NW,,,,,,"$2,192.69",,1,1,1,1,1,1,20061001
L5616,HCPCS,Ak univ multiplex sys frict,,,28 ,,NW,,,,,,"$1,959.12",,1,1,1,1,1,1,20061001
L5617,HCPCS,AK/BK self-aligning unit ea,,,28 ,,NW,,,,,,$699.76,,1,1,1,1,1,1,20061001
L5618,HCPCS,Test socket symes,,,28 ,,NW,,,,,,$367.68,,1,1,1,1,1,1,20061001
L5620,HCPCS,Test socket below knee,,,28 ,,NW,,,,,,$362.93,,1,1,1,1,1,1,20061001
L5622,HCPCS,Test socket knee disarticula,,,28 ,,NW,,,,,,$487.81,,1,1,1,1,1,1,20061001
L5624,HCPCS,Test socket above knee,,,28 ,,NW,,,,,,$489.34,,1,1,1,1,1,1,20061001
L5626,HCPCS,Test socket hip disarticulat,,,28 ,,NW,,,,,,$656.66,,1,1,1,1,1,1,20061001
L5628,HCPCS,Test socket hemipelvectomy,,,28 ,,NW,,,,,,$665.58,,1,1,1,1,1,1,20061001
L5629,HCPCS,Below knee acrylic socket,,,28 ,,NW,,,,,,$421.72,,1,1,1,1,1,1,20061001
L5630,HCPCS,Syme typ expandabl wall sckt,,,28 ,,NW,,,,,,$615.30,,1,1,1,1,1,1,20061001
L5631,HCPCS,Ak/knee disartic acrylic soc,,,28 ,,NW,,,,,,$601.38,,1,1,1,1,1,1,20061001
L5632,HCPCS,Symes type ptb brim design s,,,28 ,,NW,,,,,,$289.66,,1,1,1,1,1,1,20061001
L5634,HCPCS,Symes type poster opening so,,,28 ,,NW,,,,,,$401.60,,1,1,1,1,1,1,20061001
L5636,HCPCS,Symes type medial opening so,,,28 ,,NW,,,,,,$332.03,,1,1,1,1,1,1,20061001
L5637,HCPCS,Below knee total contact,,,28 ,,NW,,,,,,$378.98,,1,1,1,1,1,1,20061001
L5638,HCPCS,Below knee leather socket,,,28 ,,NW,,,,,,$671.26,,1,1,1,1,1,1,20061001
L5639,HCPCS,Below knee wood socket,,,28 ,,NW,,,,,,"$1,608.93",,1,1,1,1,1,1,20061001
L5640,HCPCS,Knee disarticulat leather so,,,28 ,,NW,,,,,,$897.02,,1,1,1,1,1,1,20061001
L5642,HCPCS,Above knee leather socket,,,28 ,,NW,,,,,,$867.66,,1,1,1,1,1,1,20061001
L5643,HCPCS,Hip flex inner socket ext fr,,,28 ,,NW,,,,,,"$2,252.15",,1,1,1,1,1,1,20061001
L5644,HCPCS,Above knee wood socket,,,28 ,,NW,,,,,,$824.92,,1,1,1,1,1,1,20061001
L5645,HCPCS,Bk flex inner socket ext fra,,,28 ,,NW,,,,,,"$1,131.17",,1,1,1,1,1,1,20061001
L5646,HCPCS,Below knee cushion socket,,,28 ,,NW,,,,,,$761.77,,1,1,1,1,1,1,20061001
L5647,HCPCS,Below knee suction socket,,,28 ,,NW,,,,,,"$1,127.58",,1,1,1,1,1,1,20061001
L5648,HCPCS,Above knee cushion socket,,,28 ,,NW,,,,,,$925.01,,1,1,1,1,1,1,20061001
L5649,HCPCS,Isch containmt/narrow m-l so,,,28 ,,NW,,,,,,"$2,765.66",,1,1,1,1,1,1,20061001
L5650,HCPCS,Tot contact ak/knee disart s,,,28 ,,NW,,,,,,$673.51,,1,1,1,1,1,1,20061001
L5651,HCPCS,Ak flex inner socket ext fra,,,28 ,,NW,,,,,,"$1,726.76",,1,1,1,1,1,1,20061001
L5652,HCPCS,Suction susp ak/knee disart,,,28 ,,NW,,,,,,$596.36,,1,1,1,1,1,1,20061001
L5653,HCPCS,Knee disart expand wall sock,,,28 ,,NW,,,,,,$812.13,,1,1,1,1,1,1,20061001
L5654,HCPCS,Socket insert symes,,,28 ,,NW,,,,,,$442.16,,1,1,1,1,1,1,20061001
L5655,HCPCS,Socket insert below knee,,,28 ,,NW,,,,,,$345.52,,1,1,1,1,1,1,20061001
L5656,HCPCS,Socket insert knee articulat,,,28 ,,NW,,,,,,$500.27,,1,1,1,1,1,1,20061001
L5658,HCPCS,Socket insert above knee,,,28 ,,NW,,,,,,$489.40,,1,1,1,1,1,1,20061001
L5661,HCPCS,Multi-durometer symes,,,28 ,,NW,,,,,,$851.37,,1,1,1,1,1,1,20061001
L5665,HCPCS,Multi-durometer below knee,,,28 ,,NW,,,,,,$708.73,,1,1,1,1,1,1,20061001
L5666,HCPCS,Below knee cuff suspension,,,28 ,,NW,,,,,,$93.08,,1,1,1,1,1,1,20061001
L5668,HCPCS,Socket insert w/o lock lower,,,28 ,,NW,,,,,,$133.15,,1,1,1,1,1,1,20061001
L5670,HCPCS,Bk molded supracondylar susp,,,28 ,,NW,,,,,,$353.40,,1,1,1,1,1,1,20061001
L5671,HCPCS,BK/AK locking mechanism,,,28 ,,NW,,,,,,$687.14,,1,1,1,1,1,1,20061001
L5672,HCPCS,Bk removable medial brim sus,,,28 ,,NW,,,,,,$392.73,,1,1,1,1,1,1,20061001
L5673,HCPCS,Socket insert w lock mech,,,28 ,,NW,,,,,,$939.55,,1,1,1,1,1,1,20061001
L5676,HCPCS,Bk knee joints single axis p,,,28 ,,NW,,,,,,$487.58,,1,1,1,1,1,1,20061001
L5677,HCPCS,Bk knee joints polycentric p,,,28 ,,NW,,,,,,$680.70,,1,1,1,1,1,1,20061001
L5678,HCPCS,Bk joint covers pair,,,28 ,,NW,,,,,,$53.92,,1,1,1,1,1,1,20061001
L5679,HCPCS,Socket insert w/o lock mech,,,28 ,,NW,,,,,,$774.94,,1,1,1,1,1,1,20061001
L5680,HCPCS,Bk thigh lacer non-molded,,,28 ,,NW,,,,,,$401.89,,1,1,1,1,1,1,20061001
L5681,HCPCS,Intl custm cong/latyp insert,,,28 ,,NW,,,,,,"$1,699.10",,1,1,1,1,1,1,20061001
L5682,HCPCS,Bk thigh lacer glut/ischia m,,,28 ,,NW,,,,,,$876.26,,1,1,1,1,1,1,20061001
L5683,HCPCS,Initial custom socket insert,,,28 ,,NW,,,,,,"$1,699.10",,1,1,1,1,1,1,20061001
L5684,HCPCS,Bk fork strap,,,28 ,,NW,,,,,,$64.80,,1,1,1,1,1,1,20061001
L5685,HCPCS,Below knee sus/seal sleeve,,,28 ,,NW,,,,,,$246.51,,1,1,1,0,1,1,20061001
L5686,HCPCS,Bk back check,,,28 ,,NW,,,,,,$68.63,,1,1,1,1,1,1,20061001
L5688,HCPCS,Bk waist belt webbing,,,28 ,,NW,,,,,,$81.55,,1,1,1,1,1,1,20061001
L5690,HCPCS,Bk waist belt padded and lin,,,28 ,,NW,,,,,,$129.10,,1,1,1,1,1,1,20061001
L5692,HCPCS,Ak pelvic control belt light,,,28 ,,NW,,,,,,$174.38,,1,1,1,1,1,1,20061001
L5694,HCPCS,Ak pelvic control belt pad/l,,,28 ,,NW,,,,,,$237.14,,1,1,1,1,1,1,20061001
L5695,HCPCS,Ak sleeve susp neoprene/equa,,,28 ,,NW,,,,,,$213.44,,1,1,1,1,1,1,20061001
L5696,HCPCS,Ak/knee disartic pelvic join,,,28 ,,NW,,,,,,$241.80,,1,1,1,1,1,1,20061001
L5697,HCPCS,Ak/knee disartic pelvic band,,,28 ,,NW,,,,,,$106.36,,1,1,1,1,1,1,20061001
L5698,HCPCS,Ak/knee disartic silesian ba,,,28 ,,NW,,,,,,$137.45,,1,1,1,1,1,1,20061001
L5699,HCPCS,Shoulder harness,,,28 ,,NW,,,,,,$243.65,,1,1,1,1,1,1,20061001
L5700,HCPCS,Replace socket below knee,,,28 ,,NW,,,,,,"$3,999.03",,1,1,1,1,1,1,20061001
L5701,HCPCS,Replace socket above knee,,,28 ,,NW,,,,,,"$4,976.68",,1,1,1,1,1,1,20061001
L5702,HCPCS,Replace socket hip,,,28 ,,NW,,,,,,"$6,372.50",,1,1,1,1,1,1,20061001
L5704,HCPCS,Custom shape cover BK,,,28 ,,NW,,,,,,$730.21,,1,1,1,1,1,1,20061001
L5705,HCPCS,Custom shape cover AK,,,28 ,,NW,,,,,,"$1,324.81",,1,1,1,1,1,1,20061001
L5706,HCPCS,Custom shape cvr knee disart,,,28 ,,NW,,,,,,"$1,298.85",,1,1,1,1,1,1,20061001
L5707,HCPCS,Custom shape cvr hip disart,,,28 ,,NW,,,,,,"$1,780.15",,1,1,1,1,1,1,20061001
L5710,HCPCS,Kne-shin exo sng axi mnl loc,,,28 ,,NW,,,,,,$483.58,,1,1,1,1,1,1,20061001
L5711,HCPCS,Knee-shin exo mnl lock ultra,,,28 ,,NW,,,,,,$723.70,,1,1,1,1,1,1,20061001
L5712,HCPCS,Knee-shin exo frict swg & st,,,28 ,,NW,,,,,,$588.85,,1,1,1,1,1,1,20061001
L5714,HCPCS,Knee-shin exo variable frict,,,28 ,,NW,,,,,,$570.20,,1,1,1,1,1,1,20061001
L5716,HCPCS,Knee-shin exo mech stance ph,,,28 ,,NW,,,,,,"$1,029.14",,1,1,1,1,1,1,20061001
L5718,HCPCS,Knee-shin exo frct swg & sta,,,28 ,,NW,,,,,,"$1,298.29",,1,1,1,1,1,1,20061001
L5722,HCPCS,Knee-shin pneum swg frct exo,,,28 ,,NW,,,,,,"$1,286.33",,1,1,1,1,1,1,20061001
L5724,HCPCS,Knee-shin exo fluid swing ph,,,28 ,,NW,,,,,,"$2,182.66",,1,1,1,1,1,1,20061001
L5726,HCPCS,Knee-shin ext jnts fld swg e,,,28 ,,NW,,,,,,"$2,522.77",,1,1,1,1,1,1,20061001
L5728,HCPCS,Knee-shin fluid swg & stance,,,28 ,,NW,,,,,,"$3,468.42",,1,1,1,1,1,1,20061001
L5780,HCPCS,Knee-shin pneum/hydra pneum,,,28 ,,NW,,,,,,"$1,644.00",,1,1,1,1,1,1,20061001
L5781,HCPCS,Lower limb pros vacuum pump,,,28 ,,NW,,,,,,"$5,264.85",,1,1,1,1,1,1,20061001
L5782,HCPCS,HD low limb pros vacuum pump,,,28 ,,NW,,,,,,"$4,336.38",,1,1,1,0,1,1,20061001
L5785,HCPCS,Exoskeletal bk ultralt mater,,,28 ,,NW,,,,,,$719.87,,1,1,1,1,1,1,20061001
L5790,HCPCS,Exoskeletal ak ultra-light m,,,28 ,,NW,,,,,,"$1,014.63",,1,1,1,1,1,1,20061001
L5795,HCPCS,Exoskel hip ultra-light mate,,,28 ,,NW,,,,,,"$1,538.75",,1,1,1,1,1,1,20061001
L5810,HCPCS,Endoskel knee-shin mnl lock,,,28 ,,NW,,,,,,$671.55,,1,1,1,1,1,1,20061001
L5811,HCPCS,Endo knee-shin mnl lck ultra,,,28 ,,NW,,,,,,"$1,029.85",,1,1,1,1,1,1,20061001
L5812,HCPCS,Endo knee-shin frct swg & st,,,28 ,,NW,,,,,,$787.46,,1,1,1,1,1,1,20061001
L5814,HCPCS,Endo knee-shin hydral swg ph,,,28 ,,NW,,,,,,"$4,883.36",,1,1,1,1,1,1,20061001
L5816,HCPCS,Endo knee-shin polyc mch sta,,,28 ,,NW,,,,,,"$1,208.85",,1,1,1,1,1,1,20061001
L5818,HCPCS,Endo knee-shin frct swg & st,,,28 ,,NW,,,,,,"$1,371.22",,1,1,1,1,1,1,20061001
L5822,HCPCS,Endo knee-shin pneum swg frc,,,28 ,,NW,,,,,,"$2,468.57",,1,1,1,1,1,1,20061001
L5824,HCPCS,Endo knee-shin fluid swing p,,,28 ,,NW,,,,,,"$2,218.33",,1,1,1,1,1,1,20061001
L5826,HCPCS,Miniature knee joint,,,28 ,,NW,,,,,,"$4,124.69",,1,1,1,1,1,1,20061001
L5828,HCPCS,Endo knee-shin fluid swg/sta,,,28 ,,NW,,,,,,"$4,125.22",,1,1,1,1,1,1,20061001
L5830,HCPCS,Endo knee-shin pneum/swg pha,,,28 ,,NW,,,,,,"$2,756.20",,1,1,1,1,1,1,20061001
L5840,HCPCS,Multi-axial knee/shin system,,,28 ,,NW,,,,,,"$4,960.84",,1,1,1,1,1,1,20061001
L5845,HCPCS,Knee-shin sys stance flexion,,,28 ,,NW,,,,,,"$2,331.98",,1,1,1,1,1,1,20061001
L5848,HCPCS,Knee-shin sys hydraul stance,,,28 ,,NW,,,,,,"$1,379.89",,1,1,1,1,1,1,20061001
L5850,HCPCS,Endo ak/hip knee extens assi,,,28 ,,NW,,,,,,$167.99,,1,1,1,1,1,1,20061001
L5855,HCPCS,Mech hip extension assist,,,28 ,,NW,,,,,,$408.47,,1,1,1,1,1,1,20061001
L5856,HCPCS,Elec knee-shin swing/stance,,,28 ,,NW,,,,,,"$24,714.46",,1,1,1,0,1,1,20061001
L5857,HCPCS,Elec knee-shin swing only,,,28 ,,NW,,,,,,"$8,792.67",,1,1,1,0,1,1,20061001
L5910,HCPCS,Endo below knee alignable sy,,,28 ,,NW,,,,,,$487.29,,1,1,1,1,1,1,20061001
L5920,HCPCS,Endo ak/hip alignable system,,,28 ,,NW,,,,,,$736.15,,1,1,1,1,1,1,20061001
L5925,HCPCS,Above knee manual lock,,,28 ,,NW,,,,,,$448.61,,1,1,1,1,1,1,20061001
L5930,HCPCS,High activity knee frame,,,28 ,,NW,,,,,,"$4,449.99",,1,1,1,1,1,1,20061001
L5940,HCPCS,Endo bk ultra-light material,,,28 ,,NW,,,,,,$693.34,,1,1,1,1,1,1,20061001
L5950,HCPCS,Endo ak ultra-light material,,,28 ,,NW,,,,,,"$1,101.81",,1,1,1,1,1,1,20061001
L5960,HCPCS,Endo hip ultra-light materia,,,28 ,,NW,,,,,,"$1,376.71",,1,1,1,1,1,1,20061001
L5962,HCPCS,Below knee flex cover system,,,28 ,,NW,,,,,,$820.71,,1,1,1,1,1,1,20061001
L5964,HCPCS,Above knee flex cover system,,,28 ,,NW,,,,,,"$1,336.05",,1,1,1,1,1,1,20061001
L5966,HCPCS,Hip flexible cover system,,,28 ,,NW,,,,,,"$1,715.59",,1,1,1,1,1,1,20061001
L5968,HCPCS,Multiaxial ankle w dorsiflex,,,28 ,,NW,,,,,,"$4,777.21",,1,1,1,1,1,1,20061001
L5970,HCPCS,Foot external keel sach foot,,,28 ,,NW,,,,,,$265.17,,1,1,1,1,1,1,20061001
L5972,HCPCS,Flexible keel foot,,,28 ,,NW,,,,,,$472.88,,1,1,1,1,1,1,20061001
L5974,HCPCS,Foot single axis ankle/foot,,,28 ,,NW,,,,,,$303.87,,1,1,1,1,1,1,20061001
L5975,HCPCS,Combo ankle/foot prosthesis,,,28 ,,NW,,,,,,$567.64,,1,1,1,1,1,1,20061001
L5976,HCPCS,Energy storing foot,,,28 ,,NW,,,,,,$779.66,,1,1,1,1,1,1,20061001
L5978,HCPCS,Ft prosth multiaxial ankl/ft,,,28 ,,NW,,,,,,$383.34,,1,1,1,1,1,1,20061001
L5979,HCPCS,Multi-axial ankle/ft prosth,,,28 ,,NW,,,,,,"$3,324.00",,1,1,1,1,1,1,20061001
L5980,HCPCS,Flex foot system,,,28 ,,NW,,,,,,"$5,431.24",,1,1,1,1,1,1,20061001
L5981,HCPCS,Flex-walk sys low ext prosth,,,28 ,,NW,,,,,,"$4,208.33",,1,1,1,1,1,1,20061001
L5982,HCPCS,Exoskeletal axial rotation u,,,28 ,,NW,,,,,,$806.40,,1,1,1,1,1,1,20061001
L5984,HCPCS,Endoskeletal axial rotation,,,28 ,,NW,,,,,,$793.92,,1,1,1,1,1,1,20061001
L5985,HCPCS,Lwr ext dynamic prosth pylon,,,28 ,,NW,,,,,,$332.73,,1,1,1,1,1,1,20061001
L5986,HCPCS,Multi-axial rotation unit,,,28 ,,NW,,,,,,$888.52,,1,1,1,1,1,1,20061001
L5987,HCPCS,Shank ft w vert load pylon,,,28 ,,NW,,,,,,"$9,503.95",,1,1,1,1,1,1,20061001
L5988,HCPCS,Vertical shock reducing pylo,,,28 ,,NW,,,,,,"$2,604.62",,1,1,1,1,1,1,20061001
L5990,HCPCS,User adjustable heel height,,,28 ,,NW,,,,,,"$2,360.97",,1,1,1,1,1,1,20061001
L5995,HCPCS,Lower ext pros heavyduty fea,,,28 ,,NW,,,,,,$496.25,,1,1,1,0,1,1,20061001
L5999,HCPCS,Lowr extremity prosthes NOS,,,28 ,,NW,,,,,,$248.01,,1,1,1,1,1,1,20061001
L6000,HCPCS,Par hand robin-aids thum rem,,,28 ,,NW,,,,,,"$1,915.59",,1,1,1,1,1,1,20061001
L6010,HCPCS,Hand robin-aids little/ring,,,28 ,,NW,,,,,,"$2,137.14",,1,1,1,1,1,1,20061001
L6020,HCPCS,Part hand robin-aids no fing,,,28 ,,NW,,,,,,"$1,989.30",,1,1,1,1,1,1,20061001
L6025,HCPCS,Part hand disart myoelectric,,,28 ,,NW,,,,,,"$10,577.66",,1,1,1,1,1,1,20061001
L6050,HCPCS,Wrst MLd sck flx hng tri pad,,,28 ,,NW,,,,,,"$2,759.28",,1,1,1,1,1,1,20061001
L6055,HCPCS,Wrst mold sock w/exp interfa,,,28 ,,NW,,,,,,"$3,864.61",,1,1,1,1,1,1,20061001
L6100,HCPCS,Elb mold sock flex hinge pad,,,28 ,,NW,,,,,,"$2,796.20",,1,1,1,1,1,1,20061001
L6110,HCPCS,Elbow mold sock suspension t,,,28 ,,NW,,,,,,"$2,968.76",,1,1,1,1,1,1,20061001
L6120,HCPCS,Elbow mold doub splt soc ste,,,28 ,,NW,,,,,,"$3,467.60",,1,1,1,1,1,1,20061001
L6130,HCPCS,Elbow stump activated lock h,,,28 ,,NW,,,,,,"$3,777.62",,1,1,1,1,1,1,20061001
L6200,HCPCS,Elbow mold outsid lock hinge,,,28 ,,NW,,,,,,"$3,983.57",,1,1,1,1,1,1,20061001
L6205,HCPCS,Elbow molded w/ expand inter,,,28 ,,NW,,,,,,"$5,333.49",,1,1,1,1,1,1,20061001
L6250,HCPCS,Elbow inter loc elbow forarm,,,28 ,,NW,,,,,,"$3,920.42",,1,1,1,1,1,1,20061001
L6300,HCPCS,Shlder disart int lock elbow,,,28 ,,NW,,,,,,"$5,457.71",,1,1,1,1,1,1,20061001
L6310,HCPCS,Shoulder passive restor comp,,,28 ,,NW,,,,,,"$4,436.52",,1,1,1,1,1,1,20061001
L6320,HCPCS,Shoulder passive restor cap,,,28 ,,NW,,,,,,"$2,477.50",,1,1,1,1,1,1,20061001
L6350,HCPCS,Thoracic intern lock elbow,,,28 ,,NW,,,,,,"$5,740.41",,1,1,1,1,1,1,20061001
L6360,HCPCS,Thoracic passive restor comp,,,28 ,,NW,,,,,,"$4,659.05",,1,1,1,1,1,1,20061001
L6370,HCPCS,Thoracic passive restor cap,,,28 ,,NW,,,,,,"$2,953.55",,1,1,1,1,1,1,20061001
L6380,HCPCS,Postop dsg cast chg wrst/elb,,,28 ,,NW,,,,,,"$1,651.91",,1,1,1,1,1,1,20061001
L6382,HCPCS,Postop dsg cast chg elb dis/,,,28 ,,NW,,,,,,"$2,140.18",,1,1,1,1,1,1,20061001
L6384,HCPCS,Postop dsg cast chg shlder/t,,,28 ,,NW,,,,,,"$2,769.61",,1,1,1,1,1,1,20061001
L6386,HCPCS,Postop ea cast chg & realign,,,28 ,,NW,,,,,,$545.53,,1,1,1,1,1,1,20061001
L6388,HCPCS,Postop applicat rigid dsg on,,,28 ,,NW,,,,,,$601.74,,1,1,1,1,1,1,20061001
L6400,HCPCS,Below elbow prosth tiss shap,,,28 ,,NW,,,,,,"$3,381.09",,1,1,1,1,1,1,20061001
L6450,HCPCS,Elb disart prosth tiss shap,,,28 ,,NW,,,,,,"$4,508.18",,1,1,1,1,1,1,20061001
L6500,HCPCS,Above elbow prosth tiss shap,,,28 ,,NW,,,,,,"$4,511.91",,1,1,1,1,1,1,20061001
L6550,HCPCS,Shldr disar prosth tiss shap,,,28 ,,NW,,,,,,"$5,587.20",,1,1,1,1,1,1,20061001
L6570,HCPCS,Scap thorac prosth tiss shap,,,28 ,,NW,,,,,,"$6,420.11",,1,1,1,1,1,1,20061001
L6580,HCPCS,Wrist/elbow bowden cable mol,,,28 ,,NW,,,,,,"$2,262.07",,1,1,1,1,1,1,20061001
L6582,HCPCS,Wrist/elbow bowden cbl dir f,,,28 ,,NW,,,,,,"$1,985.95",,1,1,1,1,1,1,20061001
L6584,HCPCS,Elbow fair lead cable molded,,,28 ,,NW,,,,,,"$2,976.79",,1,1,1,1,1,1,20061001
L6586,HCPCS,Elbow fair lead cable dir fo,,,28 ,,NW,,,,,,"$2,735.35",,1,1,1,1,1,1,20061001
L6588,HCPCS,Shdr fair lead cable molded,,,28 ,,NW,,,,,,"$4,129.03",,1,1,1,1,1,1,20061001
L6590,HCPCS,Shdr fair lead cable direct,,,28 ,,NW,,,,,,"$3,839.97",,1,1,1,1,1,1,20061001
L6600,HCPCS,Polycentric hinge pair,,,28 ,,NW,,,,,,$245.10,,1,1,1,1,1,1,20061001
L6605,HCPCS,Single pivot hinge pair,,,28 ,,NW,,,,,,$242.04,,1,1,1,1,1,1,20061001
L6610,HCPCS,Flexible metal hinge pair,,,28 ,,NW,,,,,,$217.84,,1,1,1,1,1,1,20061001
L6615,HCPCS,Disconnect locking wrist uni,,,28 ,,NW,,,,,,$227.20,,1,1,1,1,1,1,20061001
L6616,HCPCS,Disconnect insert locking wr,,,28 ,,NW,,,,,,$86.44,,1,1,1,1,1,1,20061001
L6620,HCPCS,Flexion/extension wrist unit,,,28 ,,NW,,,,,,$400.15,,1,1,1,1,1,1,20061001
L6623,HCPCS,Spring-ass rot wrst w/ latch,,,28 ,,NW,,,,,,$900.02,,1,1,1,1,1,1,20061001
L6625,HCPCS,Rotation wrst w/ cable lock,,,28 ,,NW,,,,,,$738.05,,1,1,1,1,1,1,20061001
L6628,HCPCS,Quick disconn hook adapter o,,,28 ,,NW,,,,,,$660.01,,1,1,1,1,1,1,20061001
L6629,HCPCS,Lamination collar w/ couplin,,,28 ,,NW,,,,,,$191.75,,1,1,1,1,1,1,20061001
L6630,HCPCS,Stainless steel any wrist,,,28 ,,NW,,,,,,$281.23,,1,1,1,1,1,1,20061001
L6632,HCPCS,Latex suspension sleeve each,,,28 ,,NW,,,,,,$86.58,,1,1,1,1,1,1,20061001
L6635,HCPCS,Lift assist for elbow,,,28 ,,NW,,,,,,$230.31,,1,1,1,1,1,1,20061001
L6637,HCPCS,Nudge control elbow lock,,,28 ,,NW,,,,,,$494.71,,1,1,1,1,1,1,20061001
L6638,HCPCS,Elec lock on manual pw elbow,,,28 ,,NW,,,,,,"$3,272.57",,1,1,1,1,1,1,20061001
L6640,HCPCS,Shoulder abduction joint pai,,,28 ,,NW,,,,,,$366.02,,1,1,1,1,1,1,20061001
L6641,HCPCS,Excursion amplifier pulley t,,,28 ,,NW,,,,,,$210.00,,1,1,1,1,1,1,20061001
L6642,HCPCS,Excursion amplifier lever ty,,,28 ,,NW,,,,,,$283.73,,1,1,1,1,1,1,20061001
L6645,HCPCS,Shoulder flexion-abduction j,,,28 ,,NW,,,,,,$423.83,,1,1,1,1,1,1,20061001
L6646,HCPCS,Multipo locking shoulder jnt,,,28 ,,NW,,,,,,"$4,139.95",,1,1,1,1,1,1,20061001
L6647,HCPCS,Shoulder lock actuator,,,28 ,,NW,,,,,,$641.52,,1,1,1,1,1,1,20061001
L6648,HCPCS,Ext pwrd shlder lock/unlock,,,28 ,,NW,,,,,,"$4,271.27",,1,1,1,1,1,1,20061001
L6650,HCPCS,Shoulder universal joint,,,28 ,,NW,,,,,,$452.28,,1,1,1,1,1,1,20061001
L6655,HCPCS,Standard control cable extra,,,28 ,,NW,,,,,,$99.71,,1,1,1,1,1,1,20061001
L6660,HCPCS,Heavy duty control cable,,,28 ,,NW,,,,,,$121.26,,1,1,1,1,1,1,20061001
L6665,HCPCS,Teflon or equal cable lining,,,28 ,,NW,,,,,,$62.12,,1,1,1,1,1,1,20061001
L6670,HCPCS,Hook to hand cable adapter,,,28 ,,NW,,,,,,$64.58,,1,1,1,1,1,1,20061001
L6672,HCPCS,Harness chest/shlder saddle,,,28 ,,NW,,,,,,$220.59,,1,1,1,1,1,1,20061001
L6675,HCPCS,Harness figure of 8 sing con,,,28 ,,NW,,,,,,$157.85,,1,1,1,1,1,1,20061001
L6676,HCPCS,Harness figure of 8 dual con,,,28 ,,NW,,,,,,$159.38,,1,1,1,1,1,1,20061001
L6680,HCPCS,Test sock wrist disart/bel e,,,28 ,,NW,,,,,,$302.57,,1,1,1,1,1,1,20061001
L6682,HCPCS,Test sock elbw disart/above,,,28 ,,NW,,,,,,$334.23,,1,1,1,1,1,1,20061001
L6684,HCPCS,Test socket shldr disart/tho,,,28 ,,NW,,,,,,$467.19,,1,1,1,1,1,1,20061001
L6686,HCPCS,Suction socket,,,28 ,,NW,,,,,,$824.50,,1,1,1,1,1,1,20061001
L6687,HCPCS,Frame typ socket bel elbow/w,,,28 ,,NW,,,,,,$804.47,,1,1,1,1,1,1,20061001
L6688,HCPCS,Frame typ sock above elb/dis,,,28 ,,NW,,,,,,$734.91,,1,1,1,1,1,1,20061001
L6689,HCPCS,Frame typ socket shoulder di,,,28 ,,NW,,,,,,$947.81,,1,1,1,1,1,1,20061001
L6690,HCPCS,Frame typ sock interscap-tho,,,28 ,,NW,,,,,,$968.22,,1,1,1,1,1,1,20061001
L6691,HCPCS,Removable insert each,,,28 ,,NW,,,,,,$462.19,,1,1,1,1,1,1,20061001
L6692,HCPCS,Silicone gel insert or equal,,,28 ,,NW,,,,,,$778.49,,1,1,1,1,1,1,20061001
L6693,HCPCS,Lockingelbow forearm cntrbal,,,28 ,,NW,,,,,,"$3,721.72",,1,1,1,1,1,1,20061001
L6700,HCPCS,Terminal device model #3,,,28 ,,NW,,,,,,$718.65,,1,1,1,1,1,1,20061001
L6705,HCPCS,Terminal device model #5,,,28 ,,NW,,,,,,$402.12,,1,1,1,1,1,1,20061001
L6710,HCPCS,Terminal device model #5x,,,28 ,,NW,,,,,,$462.11,,1,1,1,1,1,1,20061001
L6715,HCPCS,Terminal device model #5xa,,,28 ,,NW,,,,,,$458.70,,1,1,1,1,1,1,20061001
L6720,HCPCS,Terminal device model #6,,,28 ,,NW,,,,,,"$1,212.78",,1,1,1,1,1,1,20061001
L6725,HCPCS,Terminal device model #7,,,28 ,,NW,,,,,,$562.44,,1,1,1,1,1,1,20061001
L6730,HCPCS,Terminal device model #7lo,,,28 ,,NW,,,,,,$896.40,,1,1,1,1,1,1,20061001
L6735,HCPCS,Terminal device model #8,,,28 ,,NW,,,,,,$392.41,,1,1,1,1,1,1,20061001
L6740,HCPCS,Terminal device model #8x,,,28 ,,NW,,,,,,$526.16,,1,1,1,1,1,1,20061001
L6745,HCPCS,Terminal device model #88x,,,28 ,,NW,,,,,,$477.37,,1,1,1,1,1,1,20061001
L6750,HCPCS,Terminal device model #10p,,,28 ,,NW,,,,,,$471.29,,1,1,1,1,1,1,20061001
L6755,HCPCS,Terminal device model #10x,,,28 ,,NW,,,,,,$469.81,,1,1,1,1,1,1,20061001
L6765,HCPCS,Terminal device model #12p,,,28 ,,NW,,,,,,$492.99,,1,1,1,1,1,1,20061001
L6770,HCPCS,Terminal device model #99x,,,28 ,,NW,,,,,,$473.52,,1,1,1,1,1,1,20061001
L6775,HCPCS,Terminal device model#555,,,28 ,,NW,,,,,,$569.93,,1,1,1,1,1,1,20061001
L6780,HCPCS,Terminal device model #ss555,,,28 ,,NW,,,,,,$612.51,,1,1,1,1,1,1,20061001
L6790,HCPCS,Hooks-accu hook or equal,,,28 ,,NW,,,,,,$619.82,,1,1,1,1,1,1,20061001
L6795,HCPCS,Hooks-2 load or equal,,,28 ,,NW,,,,,,"$1,780.98",,1,1,1,1,1,1,20061001
L6800,HCPCS,Hooks-aprl vc or equal,,,28 ,,NW,,,,,,"$1,449.37",,1,1,1,1,1,1,20061001
L6805,HCPCS,Modifier wrist flexion unit,,,28 ,,NW,,,,,,$454.86,,1,1,1,1,1,1,20061001
L6806,HCPCS,Trs grip vc or equal,,,28 ,,NW,,,,,,"$2,099.56",,1,1,1,1,1,1,20061001
L6807,HCPCS,Term device grip1/2 or equal,,,28 ,,NW,,,,,,"$1,899.40",,1,1,1,1,1,1,20061001
L6808,HCPCS,Term device infant or child,,,28 ,,NW,,,,,,"$1,614.89",,1,1,1,1,1,1,20061001
L6809,HCPCS,Trs super sport passive,,,28 ,,NW,,,,,,$500.40,,1,1,1,1,1,1,20061001
L6810,HCPCS,Pincher tool otto bock or eq,,,28 ,,NW,,,,,,$243.76,,1,1,1,1,1,1,20061001
L6825,HCPCS,Hands dorrance vo,,,28 ,,NW,,,,,,"$1,476.73",,1,1,1,1,1,1,20061001
L6830,HCPCS,Hand aprl vc,,,28 ,,NW,,,,,,"$1,953.27",,1,1,1,1,1,1,20061001
L6835,HCPCS,Hand sierra vo,,,28 ,,NW,,,,,,"$1,695.30",,1,1,1,1,1,1,20061001
L6840,HCPCS,Hand becker imperial,,,28 ,,NW,,,,,,"$1,163.14",,1,1,1,1,1,1,20061001
L6845,HCPCS,Hand becker lock grip,,,28 ,,NW,,,,,,"$1,076.32",,1,1,1,1,1,1,20061001
L6850,HCPCS,Term dvc-hand becker plylite,,,28 ,,NW,,,,,,$970.27,,1,1,1,1,1,1,20061001
L6855,HCPCS,Hand robin-aids vo,,,28 ,,NW,,,,,,"$1,247.11",,1,1,1,1,1,1,20061001
L6860,HCPCS,Hand robin-aids vo soft,,,28 ,,NW,,,,,,$934.25,,1,1,1,1,1,1,20061001
L6865,HCPCS,Hand passive hand,,,28 ,,NW,,,,,,$433.28,,1,1,1,1,1,1,20061001
L6867,HCPCS,Hand detroit infant hand,,,28 ,,NW,,,,,,"$1,371.80",,1,1,1,1,1,1,20061001
L6868,HCPCS,Passive inf hand steeper/hos,,,28 ,,NW,,,,,,$312.57,,1,1,1,1,1,1,20061001
L6870,HCPCS,Hand child mitt,,,28 ,,NW,,,,,,$309.90,,1,1,1,1,1,1,20061001
L6872,HCPCS,Hand nyu child hand,,,28 ,,NW,,,,,,"$1,343.86",,1,1,1,1,1,1,20061001
L6873,HCPCS,Hand mech inf steeper or equ,,,28 ,,NW,,,,,,$643.37,,1,1,1,1,1,1,20061001
L6875,HCPCS,Hand bock vc,,,28 ,,NW,,,,,,"$1,100.69",,1,1,1,1,1,1,20061001
L6880,HCPCS,Hand bock vo,,,28 ,,NW,,,,,,$697.24,,1,1,1,1,1,1,20061001
L6881,HCPCS,Autograsp feature ul term dv,,,28 ,,NW,,,,,,"$5,380.47",,1,1,1,1,1,1,20061001
L6882,HCPCS,Microprocessor control uplmb,,,28 ,,NW,,,,,,"$4,069.77",,1,1,1,1,1,1,20061001
L6890,HCPCS,Production glove,,,28 ,,NW,,,,,,$222.49,,1,1,1,1,1,1,20061001
L6895,HCPCS,Custom glove,,,28 ,,NW,,,,,,$777.25,,1,1,1,1,1,1,20061001
L6900,HCPCS,Hand restorat thumb/1 finger,,,28 ,,NW,,,,,,"$2,184.21",,1,1,1,1,1,1,20061001
L6905,HCPCS,Hand restoration multiple fi,,,28 ,,NW,,,,,,"$2,121.76",,1,1,1,1,1,1,20061001
L6910,HCPCS,Hand restoration no fingers,,,28 ,,NW,,,,,,"$2,065.79",,1,1,1,1,1,1,20061001
L6915,HCPCS,Hand restoration replacmnt g,,,28 ,,NW,,,,,,$877.20,,1,1,1,1,1,1,20061001
L6920,HCPCS,Wrist disarticul switch ctrl,,,28 ,,NW,,,,,,"$9,814.34",,1,1,1,1,1,1,20061001
L6925,HCPCS,Wrist disart myoelectronic c,,,28 ,,NW,,,,,,"$11,337.91",,1,1,1,1,1,1,20061001
L6930,HCPCS,Below elbow switch control,,,28 ,,NW,,,,,,"$9,875.50",,1,1,1,1,1,1,20061001
L6935,HCPCS,Below elbow myoelectronic ct,,,28 ,,NW,,,,,,"$11,551.06",,1,1,1,1,1,1,20061001
L6940,HCPCS,Elbow disarticulation switch,,,28 ,,NW,,,,,,"$12,917.67",,1,1,1,1,1,1,20061001
L6945,HCPCS,Elbow disart myoelectronic c,,,28 ,,NW,,,,,,"$15,036.03",,1,1,1,1,1,1,20061001
L6950,HCPCS,Above elbow switch control,,,28 ,,NW,,,,,,"$14,689.30",,1,1,1,1,1,1,20061001
L6955,HCPCS,Above elbow myoelectronic ct,,,28 ,,NW,,,,,,"$17,601.90",,1,1,1,1,1,1,20061001
L6960,HCPCS,Shldr disartic switch contro,,,28 ,,NW,,,,,,"$17,753.25",,1,1,1,1,1,1,20061001
L6965,HCPCS,Shldr disartic myoelectronic,,,28 ,,NW,,,,,,"$20,895.99",,1,1,1,1,1,1,20061001
L6970,HCPCS,Interscapular-thor switch ct,,,28 ,,NW,,,,,,"$21,505.30",,1,1,1,1,1,1,20061001
L6975,HCPCS,Interscap-thor myoelectronic,,,28 ,,NW,,,,,,"$23,567.59",,1,1,1,1,1,1,20061001
L7010,HCPCS,Hand otto back steeper/eq sw,,,28 ,,NW,,,,,,"$5,349.43",,1,1,1,1,1,1,20061001
L7015,HCPCS,Hand sys teknik village swit,,,28 ,,NW,,,,,,"$8,528.87",,1,1,1,1,1,1,20061001
L7020,HCPCS,Electronic greifer switch ct,,,28 ,,NW,,,,,,"$4,980.80",,1,1,1,1,1,1,20061001
L7025,HCPCS,Electron hand myoelectronic,,,28 ,,NW,,,,,,"$5,026.81",,1,1,1,1,1,1,20061001
L7030,HCPCS,Hand sys teknik vill myoelec,,,28 ,,NW,,,,,,"$7,712.15",,1,1,1,1,1,1,20061001
L7035,HCPCS,Electron greifer myoelectro,,,28 ,,NW,,,,,,"$5,149.19",,1,1,1,1,1,1,20061001
L7040,HCPCS,Prehensile actuator hosmer s,,,28 ,,NW,,,,,,"$4,118.19",,1,1,1,1,1,1,20061001
L7045,HCPCS,Electron hook child michigan,,,28 ,,NW,,,,,,"$2,340.64",,1,1,1,1,1,1,20061001
L7170,HCPCS,Electronic elbow hosmer swit,,,28 ,,NW,,,,,,"$8,617.01",,1,1,1,1,1,1,20061001
L7180,HCPCS,Electronic elbow utah myoele,,,28 ,,NW,,,,,,"$48,226.67",,1,1,1,1,1,1,20061001
L7185,HCPCS,Electron elbow adolescent sw,,,28 ,,NW,,,,,,"$8,726.49",,1,1,1,1,1,1,20061001
L7186,HCPCS,Electron elbow child switch,,,28 ,,NW,,,,,,"$13,023.81",,1,1,1,1,1,1,20061001
L7190,HCPCS,Elbow adolescent myoelectron,,,28 ,,NW,,,,,,"$11,115.85",,1,1,1,1,1,1,20061001
L7191,HCPCS,Elbow child myoelectronic ct,,,28 ,,NW,,,,,,"$13,611.26",,1,1,1,1,1,1,20061001
L7260,HCPCS,Electron wrist rotator otto,,,28 ,,NW,,,,,,"$2,860.36",,1,1,1,1,1,1,20061001
L7261,HCPCS,Electron wrist rotator utah,,,28 ,,NW,,,,,,"$5,246.29",,1,1,1,1,1,1,20061001
L7266,HCPCS,Servo control steeper or equ,,,28 ,,NW,,,,,,"$1,415.18",,1,1,1,1,1,1,20061001
L7272,HCPCS,Analogue control unb or equa,,,28 ,,NW,,,,,,"$2,935.34",,1,1,1,1,1,1,20061001
L7274,HCPCS,Proportional ctl 12 volt uta,,,28 ,,NW,,,,,,"$8,439.80",,1,1,1,1,1,1,20061001
L7360,HCPCS,Six volt bat otto bock/eq ea,,,28 ,,NW,,,,,,$296.59,,1,1,1,1,1,1,20061001
L7362,HCPCS,Battery chrgr six volt otto,,,28 ,,NW,,,,,,$326.53,,1,1,1,1,1,1,20061001
L7364,HCPCS,Twelve volt battery utah/equ,,,28 ,,NW,,,,,,$540.93,,1,1,1,1,1,1,20061001
L7366,HCPCS,Battery chrgr 12 volt utah/e,,,28 ,,NW,,,,,,$745.30,,1,1,1,1,1,1,20061001
L7367,HCPCS,Replacemnt lithium ionbatter,,,28 ,,NW,,,,,,$469.03,,1,1,1,1,1,1,20061001
L7368,HCPCS,Lithium ion battery charger,,,28 ,,NW,,,,,,$622.21,,1,1,1,1,1,1,20061001
L7499,HCPCS,Upper extremity prosthes NOS,,,28 ,,NW,,,,,,$157.71,,1,1,1,1,1,1,20061001
L7500,HCPCS,Prosthetic dvc repair hourly,,,28 ,,NW,,,,,,$112.59,,1,1,1,1,1,1,20061001
L7510,HCPCS,Prosthetic device repair rep,,,28 ,,NW,,,,,,$33.51,,1,1,1,1,1,1,20061001
L7520,HCPCS,Repair prosthesis per 15 min,,,28 ,,NW,,,,,,$35.99,,1,1,1,1,1,1,20061001
L7900,HCPCS,Male vacuum erection system,,,28 ,,NW,,,,,,$664.18,,1,1,1,1,1,1,20061001
L8000,HCPCS,Mastectomy bra,,,28 ,,NW,,,,,,$49.79,,1,1,1,1,1,1,20061001
L8001,HCPCS,Breast prosthesis bra & form,,,28 ,,NW,,,,,,$148.29,,1,1,1,1,1,1,20061001
L8002,HCPCS,Brst prsth bra & bilat form,,,28 ,,NW,,,,,,$194.24,,1,1,1,1,1,1,20061001
L8010,HCPCS,Mastectomy sleeve,,,28 ,,NW,,,,,,$68.31,,1,1,1,1,1,1,20061001
L8015,HCPCS,Ext breastprosthesis garment,,,28 ,,NW,,,,,,$72.37,,1,1,1,1,1,1,20061001
L8020,HCPCS,Mastectomy form,,,28 ,,NW,,,,,,$261.96,,1,1,1,1,1,1,20061001
L8030,HCPCS,Breast prosthesis silicone/e,,,28 ,,NW,,,,,,$418.29,,1,1,1,1,1,1,20061001
L8035,HCPCS,Custom breast prosthesis,,,28 ,,NW,,,,,,"$4,816.64",,1,1,1,1,1,1,20061001
L8039,HCPCS,Breast prosthesis NOS,,,28 ,,NW,,,,,,$270.80,,1,1,1,1,1,1,20061001
L8040,HCPCS,Nasal prosthesis,KN,,28 ,,NW,,,,,,"$1,267.54",,1,1,1,1,1,1,20061001
L8040,HCPCS,Nasal prosthesis,KM,,28 ,,NW,,,,,,"$3,076.29",,1,1,1,1,1,1,20061001
L8041,HCPCS,Midfacial prosthesis,KN,,28 ,,NW,,,,,,"$1,537.66",,1,1,1,1,1,1,20061001
L8041,HCPCS,Midfacial prosthesis,KM,,28 ,,NW,,,,,,"$3,717.81",,1,1,1,1,1,1,20061001
L8042,HCPCS,Orbital prosthesis,KN,,28 ,,NW,,,,,,"$1,733.61",,1,1,1,1,1,1,20061001
L8042,HCPCS,Orbital prosthesis,KM,,28 ,,NW,,,,,,"$4,183.22",,1,1,1,1,1,1,20061001
L8043,HCPCS,Upper facial prosthesis,KN,,28 ,,NW,,,,,,"$1,947.39",,1,1,1,1,1,1,20061001
L8043,HCPCS,Upper facial prosthesis,KM,,28 ,,NW,,,,,,"$4,690.97",,1,1,1,1,1,1,20061001
L8044,HCPCS,Hemi-facial prosthesis,KN,,28 ,,NW,,,,,,"$2,161.18",,1,1,1,1,1,1,20061001
L8044,HCPCS,Hemi-facial prosthesis,KM,,28 ,,NW,,,,,,"$5,198.72",,1,1,1,1,1,1,20061001
L8045,HCPCS,Auricular prosthesis,KN,,28 ,,NW,,,,,,"$1,405.69",,1,1,1,1,1,1,20061001
L8045,HCPCS,Auricular prosthesis,KM,,28 ,,NW,,,,,,"$3,404.37",,1,1,1,1,1,1,20061001
L8046,HCPCS,Partial facial prosthesis,KN,,28 ,,NW,,,,,,"$1,377.32",,1,1,1,1,1,1,20061001
L8046,HCPCS,Partial facial prosthesis,KM,,28 ,,NW,,,,,,"$3,337.01",,1,1,1,1,1,1,20061001
L8047,HCPCS,Nasal septal prosthesis,KN,,28 ,,NW,,,,,,$682.52,,1,1,1,1,1,1,20061001
L8047,HCPCS,Nasal septal prosthesis,KM,,28 ,,NW,,,,,,"$1,686.87",,1,1,1,1,1,1,20061001
L8048,HCPCS,Unspec maxillofacial prosth,,,28 ,,NW,,,,,,$32.99,,1,1,1,0,1,1,20061001
L8049,HCPCS,Repair maxillofacial prosth,,,28 ,,NW,,,,,,$42.46,,1,1,1,1,1,1,20061001
L8300,HCPCS,Truss single w/ standard pad,,,28 ,,NW,,,,,,$111.65,,1,1,1,1,1,1,20061001
L8310,HCPCS,Truss double w/ standard pad,,,28 ,,NW,,,,,,$174.78,,1,1,1,1,1,1,20061001
L8320,HCPCS,Truss addition to std pad wa,,,28 ,,NW,,,,,,$71.69,,1,1,1,1,1,1,20061001
L8330,HCPCS,Truss add to std pad scrotal,,,28 ,,NW,,,,,,$66.42,,1,1,1,1,1,1,20061001
L8400,HCPCS,Sheath below knee,,,28 ,,NW,,,,,,$22.92,,1,1,1,1,1,1,20061001
L8410,HCPCS,Sheath above knee,,,28 ,,NW,,,,,,$29.37,,1,1,1,1,1,1,20061001
L8415,HCPCS,Sheath upper limb,,,28 ,,NW,,,,,,$30.29,,1,1,1,1,1,1,20061001
L8417,HCPCS,Pros sheath/sock w gel cushn,,,28 ,,NW,,,,,,$89.92,,1,1,1,1,1,1,20061001
L8420,HCPCS,Prosthetic sock multi ply BK,,,28 ,,NW,,,,,,$27.72,,1,1,1,1,1,1,20061001
L8430,HCPCS,Prosthetic sock multi ply AK,,,28 ,,NW,,,,,,$31.20,,1,1,1,1,1,1,20061001
L8435,HCPCS,Pros sock multi ply upper lm,,,28 ,,NW,,,,,,$29.77,,1,1,1,1,1,1,20061001
L8440,HCPCS,Shrinker below knee,,,28 ,,NW,,,,,,$56.66,,1,1,1,1,1,1,20061001
L8460,HCPCS,Shrinker above knee,,,28 ,,NW,,,,,,$88.75,,1,1,1,1,1,1,20061001
L8465,HCPCS,Shrinker upper limb,,,28 ,,NW,,,,,,$65.64,,1,1,1,1,1,1,20061001
L8470,HCPCS,Pros sock single ply BK,,,28 ,,NW,,,,,,$10.51,,1,1,1,1,1,1,20061001
L8480,HCPCS,Pros sock single ply AK,,,28 ,,NW,,,,,,$14.48,,1,1,1,1,1,1,20061001
L8485,HCPCS,Pros sock single ply upper l,,,28 ,,NW,,,,,,$16.96,,1,1,1,1,1,1,20061001
L8499,HCPCS,Unlisted misc prosthetic ser,,,28 ,,NW,,,,,,$54.55,,1,1,1,1,1,1,20061001
L8500,HCPCS,Artificial larynx,,,28 ,,NW,,,,,,$927.35,,1,1,1,1,1,1,20061001
L8501,HCPCS,Tracheostomy speaking valve,,,28 ,,NW,,,,,,$158.76,,1,1,1,1,1,1,20061001
L8505,HCPCS,"Artificial larynx, accessory",,,28 ,,NW,,,,,,$31.55,,1,1,1,1,1,1,20061001
L8507,HCPCS,Trach-esoph voice pros pt in,,,28 ,,NW,,,,,,$51.24,,1,1,1,1,1,1,20061001
L8509,HCPCS,Trach-esoph voice pros md in,,,28 ,,NW,,,,,,$129.45,,1,1,1,1,1,1,20061001
L8510,HCPCS,Voice amplifier,,,28 ,,NW,,,,,,$296.14,,1,1,1,1,1,1,20061001
L8511,HCPCS,Indwelling trach insert,,,28 ,,NW,,,,,,$74.78,,1,1,1,0,1,1,20061001
L8512,HCPCS,Gel cap for trach voice pros,,,28 ,,NW,,,,,,$2.24,,1,1,1,0,1,1,20061001
L8513,HCPCS,Trach pros cleaning device,,,28 ,,NW,,,,,,$5.34,,1,1,1,0,1,1,20061001
L8514,HCPCS,Repl trach puncture dilator,,,28 ,,NW,,,,,,$96.96,,1,1,1,0,1,1,20061001
L8515,HCPCS,Gel cap app device for trach,,,28 ,,NW,,,,,,$64.90,,1,1,1,0,1,1,20061001
L8600,HCPCS,Implant breast silicone/eq,,,28 ,2,NW,,,,,,$874.88,,1,1,1,1,1,1,20061001
L8603,HCPCS,Collagen imp urinary 2.5 ml,,,28 ,2,NW,,,,,,$681.45,,1,1,1,1,1,1,20061001
L8606,HCPCS,Synthetic implnt urinary 1ml,,,28 ,2,NW,,,,,,$341.82,,1,1,1,1,1,1,20061001
L8610,HCPCS,Ocular implant,,,28 ,2,NW,,,,,,$817.04,,1,1,1,1,1,1,20061001
L8612,HCPCS,Aqueous shunt prosthesis,,,28 ,2,NW,,,,,,$850.61,,1,1,1,1,1,1,20061001
L8613,HCPCS,Ossicular implant,,,28 ,2,NW,,,,,,$335.04,,1,1,1,1,1,1,20061001
L8614,HCPCS,Cochlear device/system,,,28 ,2,NW,,,,,,"$25,634.89",,1,1,1,1,1,1,20061001
L8615,HCPCS,Coch implant headset replace,,,28 ,,NW,,,,,,$463.78,,1,1,1,0,1,1,20061001
L8616,HCPCS,Coch implant microphone repl,,,28 ,,NW,,,,,,$108.02,,1,1,1,0,1,1,20061001
L8617,HCPCS,Coch implant trans coil repl,,,28 ,,NW,,,,,,$94.35,,1,1,1,0,1,1,20061001
L8618,HCPCS,Coch implant tran cable repl,,,28 ,,NW,,,,,,$26.96,,1,1,1,0,1,1,20061001
L8619,HCPCS,Replace cochlear processor,,,28 ,,NW,,,,,,"$10,976.15",,1,1,1,1,1,1,20061001
L8621,HCPCS,Repl zinc air battery,,,28 ,,NW,,,,,,$0.65,,1,1,1,0,1,1,20061001
L8622,HCPCS,Repl alkaline battery,,,28 ,,NW,,,,,,$0.35,,1,1,1,0,1,1,20061001
L8630,HCPCS,Metacarpophalangeal implant,,,28 ,2,NW,,,,,,$449.94,,1,1,1,1,1,1,20061001
L8631,HCPCS,MCP joint repl 2 pc or more,,,28 ,,NW,,,,,,"$2,874.10",,1,1,1,1,1,1,20061001
L8641,HCPCS,Metatarsal joint implant,,,28 ,2,NW,,,,,,$469.36,,1,1,1,1,1,1,20061001
L8642,HCPCS,Hallux implant,,,28 ,2,NW,,,,,,$371.65,,1,1,1,1,1,1,20061001
L8658,HCPCS,Interphalangeal joint spacer,,,28 ,2,NW,,,,,,$403.11,,1,1,1,1,1,1,20061001
L8659,HCPCS,Interphalangeal joint repl,,,28 ,,NW,,,,,,"$2,514.95",,1,1,1,1,1,1,20061001
L8670,HCPCS,"Vascular graft, synthetic",,,28 ,2,NW,,,,,,$692.41,,1,1,1,1,1,1,20061001
L8699,HCPCS,Prosthetic implant NOS,,,28 ,2,NW,,,,,,$342.13,,1,1,1,1,1,1,20061001
L9900,HCPCS,O&P supply/accessory/service,,,28 ,,NW,,,,,,$49.04,,1,1,1,1,1,1,20061001
M0064,HCPCS,Visit for drug monitoring,,,16 ,,RBRVS,0.37 ,0.12 ,0.34 ,,,,,1,1,1,0,1,1,20061001
M0076,HCPCS,Prolotherapy,,,14 ,,TotalUnits,,,,2.08 ,,,,1,1,1,0,1,1,20061001
M0300,HCPCS,IV chelationtherapy,,,4 ,,TotalUnits,,,,0.94 ,,,,1,1,1,0,1,1,20061001
P2038,HCPCS,Blood mucoprotein,,,17 ,,TotalUnits,,,,0.23 ,,,,1,1,1,0,1,1,20061001
P3000,HCPCS,Screen pap by tech w md supv,,,17 ,,TotalUnits,,,,0.49 ,,,,1,1,1,0,1,1,20061001
P3001,HCPCS,Screening pap smear by phys,,,17 ,,RBRVS,0.42 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
P7001,HCPCS,Culture bacterial urine,,,17 ,,TotalUnits,,,,0.48 ,,,,1,1,1,0,1,1,20061001
P9010,HCPCS,Whole blood for transfusion,,,14 ,,TotalUnits,,,,1.41 ,,,,1,1,1,0,1,1,20061001
P9011,HCPCS,Blood split unit,,,14 ,,TotalUnits,,,,2.02 ,,,,1,1,1,0,1,1,20061001
P9016,HCPCS,RBC leukocytes reduced,,,14 ,,TotalUnits,,,,3.03 ,,,,1,1,1,0,1,1,20061001
P9019,HCPCS,"Platelets, each unit",,,14 ,,TotalUnits,,,,0.93 ,,,,1,1,1,0,1,1,20061001
P9020,HCPCS,Plaelet rich plasma unit,,,14 ,,TotalUnits,,,,1.35 ,,,,1,1,1,0,1,1,20061001
P9021,HCPCS,Red blood cells unit,,,14 ,,TotalUnits,,,,3.20 ,,,,1,1,1,0,1,1,20061001
P9022,HCPCS,Washed red blood cells unit,,,14 ,,TotalUnits,,,,4.36 ,,,,1,1,1,0,1,1,20061001
P9041,HCPCS,"Albumin (human),5%, 50ml",,,14 ,,TotalUnits,,,,0.77 ,,,,1,1,1,0,1,1,20061001
P9043,HCPCS,"Plasma protein fract,5%,50ml",,,14 ,,TotalUnits,,,,0.58 ,,,,1,1,1,0,1,1,20061001
P9045,HCPCS,"Albumin (human), 5%, 250 ml",,,14 ,,TotalUnits,,,,1.35 ,,,,1,1,1,0,1,1,20061001
P9046,HCPCS,"Albumin (human), 25%, 20 ml",,,14 ,,TotalUnits,,,,0.73 ,,,,1,1,1,0,1,1,20061001
P9047,HCPCS,"Albumin (human), 25%, 50ml",,,14 ,,TotalUnits,,,,1.35 ,,,,1,1,1,0,1,1,20061001
P9048,HCPCS,"Plasmaprotein fract,5%,250ml",,,14 ,,TotalUnits,,,,1.69 ,,,,1,1,1,0,1,1,20061001
P9603,HCPCS,One-way allow prorated miles,,,14 ,,TotalUnits,,,,0.01 ,,,,1,1,1,0,1,1,20061001
P9604,HCPCS,One-way allow prorated trip,,,14 ,,TotalUnits,,,,0.11 ,,,,1,1,1,0,1,1,20061001
P9612,HCPCS,Catheterize for urine spec,,,17 ,2,TotalUnits,,,,0.10 ,,,,1,1,1,0,1,1,20061001
P9615,HCPCS,Urine specimen collect mult,,,17 ,2,TotalUnits,,,,0.10 ,,,,1,1,1,0,1,1,20061001
Q0035,HCPCS,Cardiokymography,TC,,20 ,,RBRVS,0.00 ,0.39 ,0.39 ,,,,,1,1,1,0,1,1,20061001
Q0035,HCPCS,Cardiokymography,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
Q0081,HCPCS,Infusion ther other than che,,,28 ,,NW,,,,,,$94.31,,1,1,1,0,1,1,20061001
Q0083,HCPCS,Chemo by other than infusion,,,29 ,,NW,,,,,,$243.09,,1,1,1,0,1,1,20061001
Q0084,HCPCS,Chemotherapy by infusion,,,29 ,,NW,,,,,,$405.49,,1,1,1,0,1,1,20061001
Q0085,HCPCS,Chemo by both infusion and o,,,29 ,,NW,,,,,,$462.46,,1,1,1,0,1,1,20061001
Q0091,HCPCS,Obtaining screen pap smear,,,17 ,,RBRVS,0.37 ,0.14 ,0.67 ,,,,,1,1,1,0,1,1,20061001
Q0092,HCPCS,Set up port xray equipment,,TC,20 ,2,RBRVS,0.00 ,0.32 ,0.32 ,,,,,1,1,1,0,1,1,20061001
Q0111,HCPCS,Wet mounts/ w preparations,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
Q0112,HCPCS,Potassium hydroxide preps,,,17 ,,TotalUnits,,,,0.20 ,,,,1,1,1,0,1,1,20061001
Q0113,HCPCS,Pinworm examinations,,,17 ,,TotalUnits,,,,0.25 ,,,,1,1,1,0,1,1,20061001
Q0114,HCPCS,Fern test,,,17 ,,TotalUnits,,,,0.33 ,,,,1,1,1,0,1,1,20061001
Q0115,HCPCS,Post-coital mucous exam,,,17 ,,TotalUnits,,,,0.46 ,,,,1,1,1,0,1,1,20061001
Q0144,HCPCS,"Azithromycin dihydrate, oral",,,29 ,,NW,,,,,,$34.02,,1,1,1,0,0,1,20061001
Q0163,HCPCS,Diphenhydramine HCl 50mg,,,29 ,2,NW,,,,,,$1.20,,1,1,1,0,0,1,20061001
Q0164,HCPCS,Prochlorperazine maleate 5mg,,,29 ,2,NW,,,,,,$1.20,,1,1,1,0,0,1,20061001
Q0165,HCPCS,Prochlorperazine maleate10mg,,,29 ,,NW,,,,,,$2.40,,1,1,1,0,0,1,20061001
Q0166,HCPCS,Granisetron HCl 1 mg oral,,,29 ,,NW,,,,,,$113.74,,1,1,1,0,0,1,20061001
Q0167,HCPCS,Dronabinol 2.5mg oral,,,29 ,2,NW,,,,,,$9.58,,1,1,1,0,0,1,20061001
Q0168,HCPCS,Dronabinol 5mg oral,,,29 ,,NW,,,,,,$25.16,,1,1,1,0,0,1,20061001
Q0169,HCPCS,Promethazine HCl 12.5mg oral,,,29 ,2,NW,,,,,,$1.20,,1,1,1,0,0,1,20061001
Q0170,HCPCS,Promethazine HCl 25 mg oral,,,29 ,,NW,,,,,,$1.20,,1,1,1,0,0,1,20061001
Q0171,HCPCS,Chlorpromazine HCl 10mg oral,,,29 ,2,NW,,,,,,$1.20,,1,1,1,0,0,1,20061001
Q0172,HCPCS,Chlorpromazine HCl 25mg oral,,,29 ,,NW,,,,,,$1.20,,1,1,1,0,0,1,20061001
Q0173,HCPCS,Trimethobenzamide HCl 250mg,,,29 ,2,NW,,,,,,$1.20,,1,1,1,0,0,1,20061001
Q0174,HCPCS,Thiethylperazine maleate10mg,,,29 ,2,NW,,,,,,$2.40,,1,1,1,0,0,1,20061001
Q0175,HCPCS,Perphenazine 4mg oral,,,29 ,2,NW,,,,,,$1.20,,1,1,1,0,0,1,20061001
Q0176,HCPCS,Perphenazine 8mg oral,,,29 ,,NW,,,,,,$2.40,,1,1,1,0,0,1,20061001
Q0177,HCPCS,Hydroxyzine pamoate 25mg,,,29 ,2,NW,,,,,,$1.20,,1,1,1,0,0,1,20061001
Q0178,HCPCS,Hydroxyzine pamoate 50mg,,,29 ,,NW,,,,,,$1.20,,1,1,1,0,0,1,20061001
Q0179,HCPCS,Ondansetron HCl 8mg oral,,,29 ,2,NW,,,,,,$81.62,,1,1,1,0,0,1,20061001
Q0180,HCPCS,Dolasetron mesylate oral,,,29 ,,NW,,,,,,$176.99,,1,1,1,0,0,1,20061001
Q0181,HCPCS,Unspecified oral anti-emetic,,,29 ,,NW,,,,,,$0.90,,1,1,1,0,0,1,20061001
Q0480,HCPCS,"Driver pneumatic vad, rep",,,28 ,,NW,,,,,,"$92,612.14",,1,1,1,0,1,1,20061001
Q0481,HCPCS,"Microprcsr cu elec vad, rep",,,28 ,,NW,,,,,,"$14,941.90",,1,1,1,0,1,1,20061001
Q0482,HCPCS,"Microprcsr cu combo vad, rep",,,28 ,,NW,,,,,,"$4,680.08",,1,1,1,0,1,1,20061001
Q0483,HCPCS,"Monitor elec vad, rep",,,28 ,,NW,,,,,,"$19,279.83",,1,1,1,0,1,1,20061001
Q0484,HCPCS,Monitor elec or comb vad rep,,,28 ,,NW,,,,,,"$3,744.08",,1,1,1,0,1,1,20061001
Q0485,HCPCS,"Monitor cable elec vad, rep",,,28 ,,NW,,,,,,$361.49,,1,1,1,0,1,1,20061001
Q0486,HCPCS,Mon cable elec/pneum vad rep,,,28 ,,NW,,,,,,$300.87,,1,1,1,0,1,1,20061001
Q0487,HCPCS,"Leads any type vad, rep only",,,28 ,,NW,,,,,,$351.02,,1,1,1,0,1,1,20061001
Q0488,HCPCS,"Pwr pack base elec vad, rep",,,28 ,,NW,,,,,,"$16,714.58",,1,1,1,0,1,1,20061001
Q0489,HCPCS,"Pwr pck base combo vad, rep",,,28 ,,NW,,,,,,"$16,714.58",,1,1,1,0,1,1,20061001
Q0490,HCPCS,"Emr pwr source elec vad, rep",,,28 ,,NW,,,,,,$723.00,,1,1,1,0,1,1,20061001
Q0491,HCPCS,Emr pwr source combo vad rep,,,28 ,,NW,,,,,,"$1,136.63",,1,1,1,0,1,1,20061001
Q0492,HCPCS,"Emr pwr cbl elec vad, rep",,,28 ,,NW,,,,,,$91.59,,1,1,1,0,1,1,20061001
Q0493,HCPCS,"Emr pwr cbl combo vad, rep",,,28 ,,NW,,,,,,$260.74,,1,1,1,0,1,1,20061001
Q0494,HCPCS,"Emr hd pmp elec/combo, rep",,,28 ,,NW,,,,,,$220.64,,1,1,1,0,1,1,20061001
Q0495,HCPCS,"Charger elec/combo vad, rep",,,28 ,,NW,,,,,,"$4,295.23",,1,1,1,0,1,1,20061001
Q0496,HCPCS,"Battery elec/combo vad, rep",,,28 ,,NW,,,,,,"$1,541.64",,1,1,1,0,1,1,20061001
Q0497,HCPCS,"Bat clps elec/comb vad, rep",,,28 ,,NW,,,,,,$481.40,,1,1,1,0,1,1,20061001
Q0498,HCPCS,"Holster elec/combo vad, rep",,,28 ,,NW,,,,,,$528.20,,1,1,1,0,1,1,20061001
Q0499,HCPCS,Belt/vest elec/combo vad rep,,,28 ,,NW,,,,,,$171.62,,1,1,1,0,1,1,20061001
Q0500,HCPCS,"Filters elec/combo vad, rep",,,28 ,,NW,,,,,,$31.41,,1,1,1,0,1,1,20061001
Q0501,HCPCS,"Shwr cov elec/combo vad, rep",,,28 ,,NW,,,,,,$525.16,,1,1,1,0,1,1,20061001
Q0502,HCPCS,"Mobility cart pneum vad, rep",,,28 ,,NW,,,,,,$668.58,,1,1,1,0,1,1,20061001
Q0503,HCPCS,Battery pneum vad replacemnt,,,28 ,,NW,,,,,,"$1,337.17",,1,1,1,0,1,1,20061001
Q0504,HCPCS,"Pwr adpt pneum vad, rep veh",,,28 ,,NW,,,,,,$705.60,,1,1,1,0,1,1,20061001
Q0513,HCPCS,Disp fee inhal drugs/30 days,,,28 ,,NW,,,,,,$8.33,,1,1,1,0,0,1,20061001
Q0514,HCPCS,Disp fee inhal drugs/90 days,,,28 ,,NW,,,,,,$8.33,,1,1,1,0,0,1,20061001
Q2004,HCPCS,Bladder calculi irrig sol,,,29 ,2,NW,,,,,,$58.23,,1,1,1,0,0,1,20061001
Q2009,HCPCS,"Fosphenytoin, 50 mg",,,29 ,,NW,,,,,,$14.33,,1,1,1,0,0,1,20061001
Q2017,HCPCS,"Teniposide, 50 mg",,,29 ,,NW,,,,,,$560.90,,1,1,1,0,0,1,20061001
Q3001,HCPCS,Brachytherapy Radioelements,,,28 ,2,NW,,,,,,$77.06,,1,1,1,0,0,1,20061001
Q3014,HCPCS,Telehealth facility fee,,,28 ,,NW,,,,,,$39.85,,1,1,1,0,0,1,20061001
Q3025,HCPCS,IM inj interferon beta 1-a,,,29 ,,NW,,,,,,$160.67,,1,1,1,0,0,1,20061001
Q3026,HCPCS,INJ INTRFER BETA-1A 11 MCG SUBQ USE,,,29 ,,NW,,,,,,$91.17,,1,1,1,0,0,1,20061001
Q3031,HCPCS,Collagen skin test,,,2 ,,RBRVS,0.15 ,0.06 ,0.32 ,,,,,1,0,1,1,1,1,20061001
Q4001,HCPCS,Cast sup body cast plaster,,,28 ,,NW,,,,,,$288.28,,1,1,1,0,0,1,20061001
Q4002,HCPCS,Cast sup body cast fiberglas,,,28 ,,NW,,,,,,$613.46,,1,1,1,0,0,1,20061001
Q4003,HCPCS,Cast sup shoulder cast plstr,,,28 ,,NW,,,,,,$156.36,,1,1,1,0,0,1,20061001
Q4004,HCPCS,Cast sup shoulder cast fbrgl,,,28 ,,NW,,,,,,$332.50,,1,1,1,0,0,1,20061001
Q4005,HCPCS,Cast sup long arm adult plst,,,28 ,,NW,,,,,,$86.47,,1,1,1,0,0,1,20061001
Q4006,HCPCS,Cast sup long arm adult fbrg,,,28 ,,NW,,,,,,$183.47,,1,1,1,0,0,1,20061001
Q4007,HCPCS,Cast sup long arm ped plster,,,28 ,,NW,,,,,,$42.99,,1,1,1,0,0,1,20061001
Q4008,HCPCS,Cast sup long arm ped fbrgls,,,28 ,,NW,,,,,,$91.47,,1,1,1,0,0,1,20061001
Q4009,HCPCS,Cast sup sht arm adult plstr,,,28 ,,NW,,,,,,$66.52,,1,1,1,0,0,1,20061001
Q4010,HCPCS,Cast sup sht arm adult fbrgl,,,28 ,,NW,,,,,,$141.39,,1,1,1,0,0,1,20061001
Q4011,HCPCS,Cast sup sht arm ped plaster,,,28 ,,NW,,,,,,$32.99,,1,1,1,0,0,1,20061001
Q4012,HCPCS,Cast sup sht arm ped fbrglas,,,28 ,,NW,,,,,,$70.79,,1,1,1,0,0,1,20061001
Q4013,HCPCS,Cast sup gauntlet plaster,,,28 ,,NW,,,,,,$62.24,,1,1,1,0,0,1,20061001
Q4014,HCPCS,Cast sup gauntlet fiberglass,,,28 ,,NW,,,,,,$133.55,,1,1,1,0,0,1,20061001
Q4015,HCPCS,Cast sup gauntlet ped plster,,,28 ,,NW,,,,,,$31.57,,1,1,1,0,0,1,20061001
Q4016,HCPCS,Cast sup gauntlet ped fbrgls,,,28 ,,NW,,,,,,$66.52,,1,1,1,0,0,1,20061001
Q4017,HCPCS,Cast sup lng arm splint plst,,,28 ,,NW,,,,,,$54.39,,1,1,1,0,0,1,20061001
Q4018,HCPCS,Cast sup lng arm splint fbrg,,,28 ,,NW,,,,,,$116.43,,1,1,1,0,0,1,20061001
Q4019,HCPCS,Cast sup lng arm splnt ped p,,,28 ,,NW,,,,,,$27.29,,1,1,1,0,0,1,20061001
Q4020,HCPCS,Cast sup lng arm splnt ped f,,,28 ,,NW,,,,,,$58.67,,1,1,1,0,0,1,20061001
Q4021,HCPCS,Cast sup sht arm splint plst,,,28 ,,NW,,,,,,$54.39,,1,1,1,0,0,1,20061001
Q4022,HCPCS,Cast sup sht arm splint fbrg,,,28 ,,NW,,,,,,$116.43,,1,1,1,0,0,1,20061001
Q4023,HCPCS,Cast sup sht arm splnt ped p,,,28 ,,NW,,,,,,$27.29,,1,1,1,0,0,1,20061001
Q4024,HCPCS,Cast sup sht arm splnt ped f,,,28 ,,NW,,,,,,$58.67,,1,1,1,0,0,1,20061001
Q4025,HCPCS,Cast sup hip spica plaster,,,28 ,,NW,,,,,,$242.65,,1,1,1,0,0,1,20061001
Q4026,HCPCS,Cast sup hip spica fiberglas,,,28 ,,NW,,,,,,$515.77,,1,1,1,0,0,1,20061001
Q4027,HCPCS,Cast sup hip spica ped plstr,,,28 ,,NW,,,,,,$121.42,,1,1,1,0,0,1,20061001
Q4028,HCPCS,Cast sup hip spica ped fbrgl,,,28 ,,NW,,,,,,$258.35,,1,1,1,0,0,1,20061001
Q4029,HCPCS,Cast sup long leg plaster,,,28 ,,NW,,,,,,$119.99,,1,1,1,0,0,1,20061001
Q4030,HCPCS,Cast sup long leg fiberglass,,,28 ,,NW,,,,,,$254.06,,1,1,1,0,0,1,20061001
Q4031,HCPCS,Cast sup lng leg ped plaster,,,28 ,,NW,,,,,,$60.10,,1,1,1,0,0,1,20061001
Q4032,HCPCS,Cast sup lng leg ped fbrgls,,,28 ,,NW,,,,,,$127.12,,1,1,1,0,0,1,20061001
Q4033,HCPCS,Cast sup lng leg cylinder pl,,,28 ,,NW,,,,,,$102.16,,1,1,1,0,0,1,20061001
Q4034,HCPCS,Cast sup lng leg cylinder fb,,,28 ,,NW,,,,,,$216.26,,1,1,1,0,0,1,20061001
Q4035,HCPCS,Cast sup lngleg cylndr ped p,,,28 ,,NW,,,,,,$50.83,,1,1,1,0,0,1,20061001
Q4036,HCPCS,Cast sup lngleg cylndr ped f,,,28 ,,NW,,,,,,$107.87,,1,1,1,0,0,1,20061001
Q4037,HCPCS,Cast sup shrt leg plaster,,,28 ,,NW,,,,,,$137.11,,1,1,1,0,0,1,20061001
Q4038,HCPCS,Cast sup shrt leg fiberglass,,,28 ,,NW,,,,,,$291.14,,1,1,1,0,0,1,20061001
Q4039,HCPCS,Cast sup shrt leg ped plster,,,28 ,,NW,,,,,,$68.65,,1,1,1,0,0,1,20061001
Q4040,HCPCS,Cast sup shrt leg ped fbrgls,,,28 ,,NW,,,,,,$145.66,,1,1,1,0,0,1,20061001
Q4041,HCPCS,Cast sup lng leg splnt plstr,,,28 ,,NW,,,,,,$78.63,,1,1,1,0,0,1,20061001
Q4042,HCPCS,Cast sup lng leg splnt fbrgl,,,28 ,,NW,,,,,,$166.35,,1,1,1,0,0,1,20061001
Q4043,HCPCS,Cast sup lng leg splnt ped p,,,28 ,,NW,,,,,,$39.41,,1,1,1,0,0,1,20061001
Q4044,HCPCS,Cast sup lng leg splnt ped f,,,28 ,,NW,,,,,,$83.63,,1,1,1,0,0,1,20061001
Q4045,HCPCS,Cast sup sht leg splnt plstr,,,28 ,,NW,,,,,,$50.83,,1,1,1,0,0,1,20061001
Q4046,HCPCS,Cast sup sht leg splnt fbrgl,,,28 ,,NW,,,,,,$107.87,,1,1,1,0,0,1,20061001
Q4047,HCPCS,Cast sup sht leg splnt ped p,,,28 ,,NW,,,,,,$25.15,,1,1,1,0,0,1,20061001
Q4048,HCPCS,Cast sup sht leg splnt ped f,,,28 ,,NW,,,,,,$54.39,,1,1,1,0,0,1,20061001
Q4049,HCPCS,"Finger splint, static",,,28 ,,NW,,,,,,$66.52,,1,1,1,0,0,1,20061001
Q4050,HCPCS,Cast supplies unlisted,,,28 ,,NW,,,,,,$31.36,,1,1,1,0,0,1,20061001
Q4051,HCPCS,Splint supplies misc,,,28 ,,NW,,,,,,$28.00,,1,1,1,0,0,1,20061001
Q4079,HCPCS,"Injection, Natalizumab, 1 MG",,,29 ,,NW,,,,,,$0.24,,1,1,1,0,0,1,20061001
Q9945,HCPCS,LOW OSM CONTRST MATL TO 149 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.33,,1,0,0,0,0,1,20061001
Q9946,HCPCS,LW OSM CONTRST MATL 150-199 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$2.00,,1,0,0,0,0,1,20061001
Q9947,HCPCS,LW OSM CONTRST MATL 200-249 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$1.35,,1,0,0,0,0,1,20061001
Q9948,HCPCS,LW OSM CONTRST MATL 250-299 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.35,,1,0,0,0,0,1,20061001
Q9949,HCPCS,LW OSM CONTRST MATL 300-349 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.38,,1,0,0,0,0,1,20061001
Q9950,HCPCS,LW OSM CONTRST MATL 350-399 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.23,,1,0,0,0,0,1,20061001
Q9951,HCPCS,LOW OSM CONTRST MATL 400/> MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.33,,1,0,0,0,0,1,20061001
Q9952,HCPCS,INJECTION GADOLINIUM-BASED MR CONTRAST AGENT ML,,,28 ,,NW,,,,,,$3.12,,1,0,0,0,0,1,20061001
Q9953,HCPCS,INJECTION IRONBASED MR CONTRAST AGENT PER ML,,,28 ,,NW,,,,,,$32.54,,1,0,0,0,0,1,20061001
Q9954,HCPCS,ORAL MAGNETIC RESONANCE CONTRAST AGENT PER ML,,,28 ,,NW,,,,,,$9.59,,1,0,0,0,0,1,20061001
Q9955,HCPCS,"Inj perflexane lip micros,ml",,,28 ,,NW,,,,,,$14.18,,1,0,0,0,0,1,20061001
Q9956,HCPCS,INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML,,,28 ,,NW,,,,,,$44.02,,1,0,0,0,0,1,20061001
Q9957,HCPCS,"Inj perflutren lip micros,ml",,,28 ,,NW,,,,,,$375.32,,1,0,0,0,0,1,20061001
Q9958,HCPCS,HIGH OSM CONTRAST MATL 149 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.07,,1,0,0,0,0,1,20061001
Q9960,HCPCS,HI OSM CONTRST MATL 200-249 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.10,,1,0,0,0,0,1,20061001
Q9961,HCPCS,HI OSM CONTRST MATL 250-299 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.20,,1,0,0,0,0,1,20061001
Q9962,HCPCS,HI OSM CONTRST MATL 300-349 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.15,,1,0,0,0,0,1,20061001
Q9963,HCPCS,HI OSM CONTRST MATL 350-399 MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.42,,1,0,0,0,0,1,20061001
Q9964,HCPCS,HIGH OSM CONTRST MATL 400/> MG/ML IODINE CONC ML,,,28 ,,NW,,,,,,$0.21,,1,0,0,0,0,1,20061001
R0070,HCPCS,Transport portable x-ray,,TC,28 ,2,NW,,,,,,$156.31,,1,1,1,0,1,1,20061001
R0075,HCPCS,Transport port x-ray multipl,,TC,28 ,2,NW,,,,,,$81.64,,1,1,1,0,1,1,20061001
R0076,HCPCS,Transport portable EKG,,,28 ,2,NW,,,,,,$159.77,,1,1,1,0,1,1,20061001
S0012,HCPCS,"Butorphanol tartrate, nasal",,,28 ,,NW,,,,,,$174.27,,1,1,1,0,0,1,20061001
S0014,HCPCS,"Tacrine hydrochloride, 10 mg",,,28 ,,NW,,,,,,$2.47,,1,1,1,0,0,1,20061001
S0020,HCPCS,"Injection, bupivicaine hydro",,,28 ,,NW,,,,,,$4.76,,1,1,1,0,0,1,20061001
S0023,HCPCS,"Injection, cimetidine hydroc",,,28 ,,NW,,,,,,$9.84,,1,1,1,0,0,1,20061001
S0028,HCPCS,"Injection, famotidine, 20 mg",,,28 ,,NW,,,,,,$10.69,,1,1,1,0,0,1,20061001
S0030,HCPCS,"Injection, metronidazole",,,28 ,,NW,,,,,,$29.84,,1,1,1,0,0,1,20061001
S0032,HCPCS,"Injection, nafcillin sodium",,,28 ,,NW,,,,,,$11.35,,1,1,1,0,0,1,20061001
S0034,HCPCS,INJECTION OFLOXACIN 400 MG,,,29 ,,NW,,,,,,$22.28,,1,1,1,0,0,1,20061001
S0039,HCPCS,"Injection, sulfamethoxazole",,,28 ,,NW,,,,,,$21.44,,1,1,1,0,0,1,20061001
S0040,HCPCS,"Injection, ticarcillin disod",,,28 ,,NW,,,,,,$31.81,,1,1,1,0,0,1,20061001
S0073,HCPCS,"Injection, aztreonam, 500 mg",,,28 ,,NW,,,,,,$30.62,,1,1,1,0,0,1,20061001
S0074,HCPCS,"Injection, cefotetan disodiu",,,28 ,,NW,,,,,,$14.40,,1,1,1,0,0,1,20061001
S0077,HCPCS,"Injection, clindamycin phosp",,,28 ,,NW,,,,,,$21.27,,1,1,1,0,0,1,20061001
S0078,HCPCS,Inj Fosphenytoin Sodium 750 mg,,,28 ,,NW,,,,,,$332.87,,1,1,1,0,0,1,20061001
S0080,HCPCS,"Injection, pentamidine iseth",,,28 ,,NW,,,,,,$175.12,,1,1,1,0,0,1,20061001
S0081,HCPCS,"Injection, piperacillin sodi",,,28 ,,NW,,,,,,$76.82,,1,1,1,0,0,1,20061001
S0088,HCPCS,Imatinib 100 mg,,,28 ,,NW,,,,,,$25.45,,1,1,1,0,0,1,20061001
S0090,HCPCS,"Sildenafil citrate, 25 mg",,,28 ,,NW,,,,,,$17.98,,1,1,1,0,0,1,20061001
S0091,HCPCS,Granisetron 1mg,,,28 ,,NW,,,,,,$395.94,,1,1,1,0,0,1,20061001
S0092,HCPCS,Hydromorphone 250 mg,,,28 ,,NW,,,,,,$180.09,,1,1,1,0,0,1,20061001
S0093,HCPCS,Morphine 500 mg,,,28 ,,NW,,,,,,$21.45,,1,1,1,0,0,1,20061001
S0104,HCPCS,"Zidovudine, oral, 100 mg",,,28 ,,NW,,,,,,$4.62,,1,1,1,0,0,1,20061001
S0108,HCPCS,Mercaptopurine 50 mg,,,28 ,,NW,,,,,,$8.49,,1,1,1,0,0,1,20061001
S0109,HCPCS,METHADONE ORAL 5MG,,,29 ,,NW,,,,,,$0.81,,1,1,1,0,0,1,20061001
S0122,HCPCS,Inj menotropins 75 iu,,,28 ,,NW,,,,,,$155.05,,1,1,1,0,0,1,20061001
S0126,HCPCS,Inj follitropin alfa 75 iu,,,28 ,,NW,,,,,,$204.71,,1,1,1,0,0,1,20061001
S0128,HCPCS,Inj follitropin beta 75 iu,,,28 ,,NW,,,,,,$197.31,,1,1,1,0,0,1,20061001
S0132,HCPCS,Injection Ganirelix Acetate 250 mcg,,,28 ,,NW,,,,,,$33.10,,1,1,1,0,0,1,20061001
S0136,HCPCS,Clozapine 25 mg,,,28 ,,NW,,,,,,$31.46,,1,1,1,0,0,1,20061001
S0137,HCPCS,Didanosine 25 mg,,,28 ,,NW,,,,,,$114.60,,1,1,1,0,0,1,20061001
S0145,HCPCS,INJ PEGYLATED INTERFERON ALFA2A 180 MCG PER ML,,,29 ,,NW,,,,,,$37.33,,1,1,1,0,0,1,20061001
S0146,HCPCS,INJ PEGYLATED INTERFERON ALFA-2B 10 MCG 0.5 ML,,,29 ,,NW,,,,,,$15.92,,1,1,1,0,0,1,20061001
S0155,HCPCS,Epoprostenol dilutant,,,28 ,,NW,,,,,,$23.97,,1,1,1,0,0,1,20061001
S0156,HCPCS,"Exemestane, 25 mg",,,28 ,,NW,,,,,,$14.51,,1,1,1,0,0,1,20061001
S0157,HCPCS,Becaplermin Gel 0.01% 0.5 gm,,,28 ,,NW,,,,,,$342.76,,1,1,1,0,0,1,20061001
S0161,HCPCS,Calcitrol 0.25 mg,,,28 ,,NW,,,,,,$78.04,,1,1,1,0,0,1,20061001
S0164,HCPCS,Injection Pantoprazole Sodium 40 mg,,,28 ,,NW,,,,,,$64.53,,1,1,1,0,0,1,20061001
S0167,HCPCS,Injection Apomorphine Hydrochloride 1 mg,,,28 ,,NW,,,,,,$63.43,,1,1,1,0,0,1,20061001
S0170,HCPCS,Anastrozole 1 mg,,,28 ,,NW,,,,,,$13.13,,1,1,1,0,0,1,20061001
S0171,HCPCS,Bumetanide 0.5 mg,,,28 ,,NW,,,,,,$2.93,,1,1,1,0,0,1,20061001
S0172,HCPCS,Chlorambucil 2 mg,,,28 ,,NW,,,,,,$3.35,,1,1,1,0,0,1,20061001
S0174,HCPCS,Dolasetron 50 mg,,,28 ,,NW,,,,,,$130.43,,1,1,1,0,0,1,20061001
S0175,HCPCS,Flutamide 125 mg,,,28 ,,NW,,,,,,$4.01,,1,1,1,0,0,1,20061001
S0176,HCPCS,Hydroxyurea 500 mg,,,28 ,,NW,,,,,,$2.59,,1,1,1,0,0,1,20061001
S0177,HCPCS,Levamisole 50 mg,,,28 ,,NW,,,,,,$12.90,,1,1,1,0,0,1,20061001
S0178,HCPCS,Lomustine 10 mg,,,28 ,,NW,,,,,,$12.97,,1,1,1,0,0,1,20061001
S0179,HCPCS,Megestrol 20 mg,,,28 ,,NW,,,,,,$1.35,,1,1,1,0,0,1,20061001
S0181,HCPCS,Ondansetron 4 mg,,,28 ,,NW,,,,,,$33.86,,1,1,1,0,0,1,20061001
S0182,HCPCS,Procarbazine 5 mg,,,28 ,,NW,,,,,,$1.42,,1,1,1,0,0,1,20061001
S0183,HCPCS,Prochlorperazine 5 mg,,,28 ,,NW,,,,,,$1.14,,1,1,1,0,0,1,20061001
S0187,HCPCS,Tamoxifen 10 mg,,,28 ,,NW,,,,,,$4.49,,1,1,1,0,0,1,20061001
S0195,HCPCS,Pneumcoccl Conjugat Vac Im 5-9 Yr Not Prev Recvd,,,28 ,,NW,,,,,,$243.88,,1,1,1,0,0,1,20061001
S0209,HCPCS,WC van mileage per mi,,,28 ,,NW,,,,,,$1.55,,1,1,1,1,1,1,20061001
S0215,HCPCS,Nonemerg transp mileage,,,28 ,,NW,,,,,,$1.55,,1,1,1,1,1,1,20061001
S0220,HCPCS,Med Conf Md W/Team Hlth Prof;30 Min,,,15 ,,RBRVS,1.10 ,0.41 ,1.03 ,,,,,1,0,1,1,1,1,20061001
S0221,HCPCS,Med Conf Md W/Team Hlth Prof;60 Min,,,15 ,,RBRVS,1.10 ,0.41 ,1.03 ,,,,,1,0,1,1,1,1,20061001
S0255,HCPCS,By Nurse Social Worker Or Other Designated Staff,,,18 ,,RBRVS,0.48 ,0.19 ,0.62 ,,,,,1,0,1,1,1,1,20061001
S0257,HCPCS,Cnsl&Discuss Ad/Eol Pt&/Surrogate ,,,15 ,,RBRVS,1.77 ,0.66 ,0.77 ,,,,,1,0,1,1,1,1,20061001
S0260,HCPCS,Hx & Phys Related To Surgical Proc,,,15 ,,RBRVS,0.17 ,0.39 ,0.06 ,,,,,1,0,1,1,1,1,20061001
S0265,HCPCS,Genetic Counseling Phys Supervision Ea 15 Mins,,,15 ,,RBRVS,0.17 ,0.39 ,0.06 ,,,,,1,0,1,1,1,1,20061001
S0302,HCPCS,Completed EPSDT,,,28 ,,NW,,,,,,$72.21,,1,0,1,1,1,1,20061001
S0315,HCPCS,Dz Mgmt Progm; Init Assess&Init Pro,,,15 ,,RBRVS,0.17 ,0.39 ,0.06 ,,,,,1,0,1,1,1,1,20061001
S0316,HCPCS,Disease Mgmt Progm; F/U/Reassess,,,15 ,,RBRVS,0.17 ,0.39 ,0.06 ,,,,,1,0,1,1,1,1,20061001
S0345,HCPCS,Home ECG monitoring global 24 h,,,28 ,,RBRVS,0.17 ,0.51 ,0.51 ,,,,,1,0,0,0,0,1,20061001
S0346,HCPCS,Home ECG monitoring tech 24 h,,,28 ,,RBRVS,0.00 ,0.45 ,0.45 ,,,,,1,1,1,0,1,1,20061001
S0347,HCPCS,Home ECG monitoring prof 24 h,,,28 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,,,1,0,1,1,1,1,20061001
S0390,HCPCS,Routine Foot Care; Per Visit,,,15 ,,RBRVS,0.50 ,0.21 ,0.52 ,,,,,1,0,1,1,1,1,20061001
S0395,HCPCS,Impression casting ft,,,28 ,,NW,,,,,,$76.82,,1,1,1,0,1,1,20061001
S0400,HCPCS,Globl Fee Xtracorp Shock Wave Lith,,,21 ,,RBRVS,9.08 ,4.12 ,12.43 ,,,,,1,0,1,1,1,1,20061001
S0500,HCPCS,Dispos cont lens,,,28 ,,NW,,,,,,$138.27,,1,1,1,1,1,1,20061001
S0504,HCPCS,Singl prscrp lens,,,28 ,,NW,,,,,,$19.40,,1,1,1,1,1,1,20061001
S0506,HCPCS,Bifoc prscp lens,,,28 ,,NW,,,,,,$33.35,,1,1,1,1,1,1,20061001
S0508,HCPCS,Trifoc prscrp lens,,,28 ,,NW,,,,,,$43.07,,1,1,1,1,1,1,20061001
S0510,HCPCS,Non-prscrp lens,,,28 ,,NW,,,,,,$27.42,,1,1,1,1,1,1,20061001
S0512,HCPCS,Daily cont lens,,,28 ,,NW,,,,,,$246.55,,1,1,1,1,1,1,20061001
S0514,HCPCS,Color cont lens,,,28 ,,NW,,,,,,$282.61,,1,1,1,1,1,1,20061001
S0515,HCPCS,Scleral Lens Lqd Bandge Device-Lens,,,28 ,,NW,,,,,,$297.46,,1,1,1,0,0,1,20061001
S0516,HCPCS,Safety frames,,,28 ,,NW,,,,,,$80.22,,1,1,1,1,1,1,20061001
S0518,HCPCS,Sunglass frames,,,28 ,,NW,,,,,,$46.39,,1,1,1,1,1,1,20061001
S0580,HCPCS,Polycarb lens,,,28 ,,NW,,,,,,$38.42,,1,1,1,1,1,1,20061001
S0581,HCPCS,Nonstandard Lens,,,28 ,,NW,,,,,,$297.46,,1,1,1,0,0,1,20061001
S0592,HCPCS,Comp Contact Lens Evaluation,,,14 ,,RBRVS,1.08 ,0.35 ,1.09 ,,,,,1,0,1,1,1,1,20061001
S0601,HCPCS,Screening Proctoscopy,,,21 ,,RBRVS,0.50 ,0.34 ,1.56 ,,,,,1,0,1,1,1,1,20061001
S0605,HCPCS,"Digital rectal examination,",,,28 ,,NW,,,,,,$23.04,,1,0,1,1,1,1,20061001
S0610,HCPCS,Annual gynecological examina,,,28 ,,NW,,,,,,$161.31,,1,0,1,1,1,1,20061001
S0612,HCPCS,Annual gynecological examina,,,28 ,,NW,,,,,,$122.91,,1,0,1,1,1,1,20061001
S0613,HCPCS,Annual Gyn Exam Clin Breast Exam W/O Pelv Exam,,,15 ,,RBRVS,0.45 ,0.17 ,0.52 ,,,,,1,0,1,1,1,1,20061001
S0618,HCPCS,Audiometry For Hearing Aid Eval,,,8 ,,TotalUnits,,,,0.39,,,,1,1,1,0,0,1,20061001
S0620,HCPCS,Routine ophthalmological exa,,,28 ,,NW,,,,,,$84.49,,1,0,1,1,1,1,20061001
S0621,HCPCS,Routine ophthalmological exa,,,28 ,,NW,,,,,,$93.72,,1,0,1,1,1,1,20061001
S0622,HCPCS,Physical Exam College New/Est Pt,,,15 ,,RBRVS,0.17 ,0.39 ,0.06 ,,,,,1,0,1,1,1,1,20061001
S0625,HCPCS,Retinal Telescr Digtl Imag Mx Diff Fundus Areas ,,,23 ,,RBRVS,0.44 ,0.19 ,0.19 ,,,,,1,0,1,1,1,1,20061001
S0630,HCPCS,Removal of sutures,,,28 ,,NW,,,,,,$58.38,,1,0,1,1,1,1,20061001
S0800,HCPCS,Laser in situ keratomileusis,,,28 ,,NW,,,,,,"$1,759.00",,1,0,1,1,1,1,20061001
S0810,HCPCS,Photorefractive Keratectomy,,,21 ,,RBRVS,0.92 ,0.71 ,1.00 ,,,,,1,0,1,1,1,1,20061001
S0812,HCPCS,Phototherapeutic Keratectomy,,,21 ,,RBRVS,0.92 ,0.71 ,1.00 ,,,,,1,0,1,1,1,1,20061001
S0820,HCPCS,Computerized corneal topogra,,,28 ,,NW,,,,,,$124.44,,1,0,1,1,1,1,20061001
S1015,HCPCS,IV tubing extension set,,,28 ,,NW,,,,,,$38.52,,1,1,1,0,0,1,20061001
S1016,HCPCS,Non-pvc intravenous administ,,,28 ,,NW,,,,,,$24.58,,1,1,1,0,0,1,20061001
S1040,HCPCS,Cranil Remold Orthos Rigd W/Sft Int,,,28 ,,NW,,,,,,$618.33,,1,1,1,0,0,1,20061001
S2053,HCPCS,Tplnt Sm Intestine&Liver Allogfts,,,21 ,,RBRVS,81.40 ,31.59 ,31.59 ,,,,,1,0,0,1,1,1,20061001
S2054,HCPCS,TRANSPLANTATION OF MULTIVISCERAL ORGANS,,,28 ,,NW,,,,,,"$15,061.51",,1,0,1,1,1,1,20061001
S2055,HCPCS,HARVEST DONOR MX-VISCERAL ORGAN; CADVER DONOR,,,28 ,,NW,,,,,,"$15,061.51",,1,0,1,1,1,1,20061001
S2060,HCPCS,Lobar Lung Transplantation,,,21 ,,RBRVS,38.57 ,27.74 ,27.74 ,,,,,1,0,0,1,1,1,20061001
S2065,HCPCS,SIMULTANEOUS PANCREAS KIDNEY TRANSPLANTATION,,,28 ,,NW,,,,,,"$15,061.51",,1,0,1,1,1,1,20061001
S2070,HCPCS,Cysto; Laser Tx Ureteral Calc,,,21 ,,RBRVS,6.87 ,2.51 ,2.51 ,,,,,1,0,1,1,1,1,20061001
S2080,HCPCS,Laser-Assisted Uvulopalatoplasty,,,21 ,,RBRVS,8.04 ,7.51 ,7.51 ,,,,,1,0,1,1,1,1,20061001
S2095,HCPCS,Trnscath Occl/Emboliz Tumr Destruc,,,21 ,,RBRVS,18.11 ,5.92 ,5.92 ,,,,,1,0,1,1,1,1,20061001
S2102,HCPCS,Islet Cell Tiss Tplnt Panc; Allogen,,,21 ,,TotalUnits,,,,56.97,,,,1,0,0,1,1,1,20061001
S2115,HCPCS,Osteot Periacetabular W/Intrl Fix,,,21 ,,RBRVS,20.55 ,13.29 ,13.29 ,,,,,1,0,0,1,1,1,20061001
S2120,HCPCS,Ldl Apheres Heparn Xtrcrp Ldl Precp,,,21 ,,RBRVS,1.22 ,0.48 ,84.29 ,,,,,1,0,1,1,1,1,20061001
S2135,HCPCS,Neurolysis Inj Mt Neuroma/Interdigt,,,21 ,,RBRVS,1.27 ,0.48 ,1.24 ,,,,,1,0,1,1,1,1,20061001
S2140,HCPCS,Cord Bld Harvest Tplnt Allogeneic,,,21 ,,RBRVS,1.50 ,0.67 ,0.67 ,,,,,1,0,1,1,1,1,20061001
S2142,HCPCS,Cord Blood Stem-Cell Tplnt Allogen,,,21 ,,RBRVS,2.24 ,1.03 ,1.03 ,,,,,1,0,1,1,1,1,20061001
S2150,HCPCS,Bn Marrw/Stem Cell Harv Tplnt&Comp;,,,21 ,,RBRVS,2.24 ,1.03 ,1.03 ,,,,,1,0,1,1,1,1,20061001
S2202,HCPCS,Echosclerotherapy,,,21 ,,RBRVS,1.09 ,0.73 ,2.69 ,,,,,1,0,1,1,1,1,20061001
S2205,HCPCS,Min Invas Dir Cab; Art Gft 1 Cag,,,21 ,,RBRVS,29.96 ,16.51 ,16.51 ,,,,,1,0,0,1,1,1,20061001
S2206,HCPCS,Min Invas Dir Cab; Art Gft 2 Cag,,,21 ,,RBRVS,32.15 ,17.76 ,17.76 ,,,,,1,0,0,1,1,1,20061001
S2207,HCPCS,Min Invas Dir Cab; Ven Only 1 Cvg,,,21 ,,RBRVS,28.96 ,16.38 ,16.38 ,,,,,1,0,0,1,1,1,20061001
S2225,HCPCS,Myringotomy Laser-Assisted,,,21 ,,RBRVS,1.33 ,1.59 ,3.16 ,,,,,1,0,1,1,1,1,20061001
S2230,HCPCS,Impl Magnt Cmpnt Semi-Impl Hear Dvc,,,21 ,,TotalUnits,,,,18.06,,,,1,0,1,1,1,1,20061001
S2235,HCPCS,Impl Auditry Brain Stem Implant,,,21 ,,RBRVS,7.99 ,6.37 ,6.37 ,,,,,1,0,1,1,1,1,20061001
S2250,HCPCS,Uterine Art Emboliz Uterine Fibrds,,,21 ,,RBRVS,18.11 ,5.92 ,5.92 ,,,,,1,0,1,1,1,1,20061001
S2260,HCPCS,Inducd Ab 17-24 Weeks Any Surg Meth,,,21 ,,RBRVS,5.90 ,3.26 ,3.26 ,,,,,1,0,0,1,1,1,20061001
S2262,HCPCS,Ab Maternal Indication 25 Weeks/>,,,21 ,,RBRVS,5.90 ,3.26 ,3.26 ,,,,,1,0,0,1,1,1,20061001
S2265,HCPCS,Ab Fetal Indication 25-28 Weeks,,,21 ,,RBRVS,5.90 ,3.26 ,3.26 ,,,,,1,0,0,1,1,1,20061001
S2266,HCPCS,Ab Fetal Indication 29-31 Weeks,,,21 ,,RBRVS,5.90 ,3.26 ,3.26 ,,,,,1,0,0,1,1,1,20061001
S2267,HCPCS,Ab Fetal Indication 32 Weeks/>,,,21 ,,RBRVS,5.90 ,3.26 ,3.26 ,,,,,1,0,0,1,1,1,20061001
S2300,HCPCS,Scope Shldr;W/Therml-Inducd Cpslorr,,,21 ,,TotalUnits,,,,14.57,,,,1,0,1,1,1,1,20061001
S2340,HCPCS,Chemodnervat Abductr Musc Vocl Cord,,,21 ,,RBRVS,3.86 ,2.39 ,5.69 ,,,,,1,0,1,1,1,1,20061001
S2341,HCPCS,Chemodenervat Adduct Musc Vocal Crd,,,21 ,,RBRVS,3.86 ,2.39 ,5.69 ,,,,,1,0,1,1,1,1,20061001
S2342,HCPCS,Nasl Endo Postop Debrid Uni/Bil,,,21 ,,RBRVS,2.98 ,1.89 ,5.21 ,,,,,1,0,1,1,1,1,20061001
S2348,HCPCS,Decomp Perq Disc Rf 1/Mx Lumb,,,21 ,,RBRVS,8.07 ,5.57 ,5.57 ,,,,,1,0,1,1,1,1,20061001
S2350,HCPCS,Diskect Ant-Osteophyt;Lumb 1 Intrsp,,,21 ,,RBRVS,21.41 ,12.83 ,12.83 ,,,,,1,0,0,1,1,1,20061001
S2351,HCPCS,Dskct Ant-Osteophyt;Lumb Add Intrsp,,,21 ,,RBRVS,3.28 ,1.64 ,1.64 ,,,,,1,0,0,1,1,1,20061001
S2360,HCPCS,Perq Vertplsty 1 Vert Uni/Bil; Cerv,,,21 ,,RBRVS,8.90 ,5.11 ,61.84 ,,,,,1,0,1,1,1,1,20061001
S2361,HCPCS,Each Add Cervical Vertebral Body,,,21 ,,RBRVS,4.30 ,1.68 ,1.68 ,,,,,1,0,1,1,1,1,20061001
S3005,HCPCS,Performance Msr Eval Pt Self Assess Depression,,,15 ,,RBRVS,0.17 ,0.39 ,0.06 ,,,,,1,0,1,1,1,1,20061001
S3620,HCPCS,Newborn metabolic screening,,,28 ,,NW,,,,,,$46.10,,1,1,1,0,1,1,20061001
S3625,HCPCS,Maternl Serum Triple Markr Scr W/Afp Estriol&Hcg,,,17 ,,TotalUnits,,,,0.78,,,,1,1,1,0,1,1,20061001
S3630,HCPCS,Eosinophil Count Blood Direct,,,17 ,,TotalUnits,,,,0.2,,,,1,1,1,0,1,1,20061001
S3645,HCPCS,Hiv-1 Antibody Testing Oral Mucosal Transudate,,,17 ,,TotalUnits,,,,0.41,,,,1,1,1,0,1,1,20061001
S3650,HCPCS,Saliva Test Hormone Level; During Menopause,,,17 ,,TotalUnits,,,,3.01,,,,1,1,1,0,1,1,20061001
S3652,HCPCS,Saliva Tst Hormone Levl; Assess Prterm Labr Risk,,,17 ,,TotalUnits,,,,2.44,,,,1,1,1,0,1,1,20061001
S3655,HCPCS,Antisperm Antibodies Test,,,17 ,,TotalUnits,,,,0.5,,,,1,1,1,0,1,1,20061001
S3708,HCPCS,Gastrointestinal Fat Absorption Study,,,20 ,,RBRVS,0.78 ,0.26 ,0.26 ,,,,,1,0,1,1,1,1,20061001
S3900,HCPCS,Surface Electromyography,,,14 ,,RBRVS,0.41 ,0.15 ,0.15 ,,,,,1,0,1,1,1,1,20061001
S4005,HCPCS,Interim Labor Facility Global,,,12 ,,RBRVS,0.53 ,0.21 ,0.21 ,,,,,1,0,1,1,1,1,20061001
S4981,HCPCS,Insrt Levonorgestrel Intrautrn Sys,,,21 ,,RBRVS,1.01 ,0.38 ,1.42 ,,,,,1,0,1,1,1,1,20061001
S4993,HCPCS,Contraceptive pills for bc,,,28 ,,NW,,,,,,$36.88,,1,1,1,0,0,1,20061001
S5000,HCPCS,"Prescription drug, generic",,,28 ,,NW,,,,,,$16.90,,1,1,1,0,0,1,20061001
S5001,HCPCS,"Prescription drug,brand name",,,28 ,,NW,,,,,,$72.21,,1,1,1,0,0,1,20061001
S5010,HCPCS,5% dextrose and 0.45% saline,,,28 ,,NW,,,,,,$12.30,,1,1,1,0,0,1,20061001
S5011,HCPCS,5% DEXTROSE IN LACTATED RINGERS 1000 ML,,,28 ,,NW,,,,,,$13.32,,1,1,1,0,0,1,20061001
S5012,HCPCS,5% DEXTROSE WITH POTASSIUM CHLORIDE 1000 ML,,,28 ,,NW,,,,,,$10.11,,1,1,1,0,0,1,20061001
S5013,HCPCS,5% DXTROS/0.45% NORMAL SALINE 1000 ML,,,28 ,,NW,,,,,,$10.11,,1,1,1,0,0,1,20061001
S5014,HCPCS,5% DEXTROSE/0.45% NL SALINE W/KCL&MGSO4 1500 ML,,,28 ,,NW,,,,,,$10.11,,1,1,1,0,0,1,20061001
S5035,HCPCS,Home Infus Tx Routine Infus Devc,,,22 ,,RBRVS,0.18 ,0.46 ,0.46 ,,,,,1,0,1,0,0,1,20061001
S5108,HCPCS,Hom Care Trn Hom Care Client 15 Min,,,19 ,,RBRVS,0.45 ,0.33 ,0.33 ,,,,,1,0,1,0,0,1,20061001
S5109,HCPCS,Home Care Trn Home Care Client Sess,,,19 ,,RBRVS,0.45 ,0.33 ,0.33 ,,,,,1,0,1,0,0,1,20061001
S5110,HCPCS,Home Care Training Fam; Per 15 Min,,,19 ,,RBRVS,0.45 ,0.33 ,0.33 ,,,,,1,0,1,0,0,1,20061001
S5111,HCPCS,Home Care Training Fam; Per Session,,,15 ,,TotalUnits,,,,2.21,,,,1,0,1,0,0,1,20061001
S5115,HCPCS,Home Care Trn Non-Fam; Per 15 Min,,,15 ,,TotalUnits,,,,2.21,,,,1,0,1,0,0,1,20061001
S5116,HCPCS,Home Care Trn Non-Fam; Per Session,,,15 ,,TotalUnits,,,,2.21,,,,1,0,1,0,0,1,20061001
S5180,HCPCS,Home Health Resp Tx Init Evaluation,,,15 ,,TotalUnits,,,,1.94,,,,1,0,1,0,0,1,20061001
S5181,HCPCS,Home Health Resp Tx Nos Per Diem,,,15 ,,TotalUnits,,,,1.94,,,,1,0,1,0,0,1,20061001
S5190,HCPCS,Wellness Assessment Performed By Non-Physician,,,18 ,,RBRVS,0.48 ,0.19 ,0.62 ,,,,,1,0,1,1,1,1,20061001
S5497,HCPCS,HIT cath care noc,,,28 ,,NW,,,,,,$22.53,,1,1,1,1,1,1,20061001
S5498,HCPCS,HIT simple cath care,,,28 ,,NW,,,,,,$23.04,,1,1,1,1,1,1,20061001
S5501,HCPCS,HIT complex cath care,,,28 ,,NW,,,,,,$30.72,,1,1,1,1,1,1,20061001
S5502,HCPCS,HIT interim cath care,,,28 ,,NW,,,,,,$13.84,,1,1,1,1,1,1,20061001
S5522,HCPCS,Hom Infus Tx Insrtion Picc Nrs Srvc Only,,,21 ,,RBRVS,1.82 ,0.57 ,7.36 ,,,,,1,0,1,0,0,1,20061001
S5523,HCPCS,Hit Insert Midline Cvc Nrs Srvc Only,,,21 ,,RBRVS,1.82 ,0.57 ,7.36 ,,,,,1,0,1,0,0,1,20061001
S5550,HCPCS,INSULIN RAPID ONSET; 5 UNITS,,,29 ,,NW,,,,,,$0.11,,1,1,1,0,0,1,20061001
S5551,HCPCS,INSULIN MOST RAPID ONSET; 5 UNITS,,,29 ,,NW,,,,,,$0.11,,1,1,1,0,0,1,20061001
S5552,HCPCS,INSULIN INTERMEDIATE ACTING; 5 UNITS,,,29 ,,NW,,,,,,$0.11,,1,1,1,0,0,1,20061001
S5553,HCPCS,INSULIN LONG ACTING; 5 UNITS,,,29 ,,NW,,,,,,$0.11,,1,1,1,0,0,1,20061001
S8030,HCPCS,Scleral Application Tantalum Ring,,,21 ,,RBRVS,8.65 ,9.20 ,9.20 ,,,,,1,0,1,1,1,1,20061001
S8037,HCPCS,Mr Cholangiopancreatography,,,20 ,,TotalUnits,,,,13.37,,,,1,0,1,1,1,1,20061001
S8040,HCPCS,Topographic Brain Mapping,,,14 ,,RBRVS,2.97 ,2.63 ,2.63 ,,,,,1,0,1,1,1,1,20061001
S8049,HCPCS,Intraoperative Radiation Therapy,,,20 ,,RBRVS,0.00 ,1.78 ,1.78 ,,,,,1,0,1,1,1,1,20061001
S8055,HCPCS,Us Guid Mxifetl Pg Rduc Tech Cmpnt,,,20 ,,RBRVS,1.20 ,0.40 ,0.40 ,,,,,1,0,1,1,1,1,20061001
S8080,HCPCS,Scintimammo Uni W/Spl Radiopharm,,,20 ,,TotalUnits,,,,1.81,,,,1,0,1,1,1,1,20061001
S8085,HCPCS,Fluorine-18 fluorodeoxygluco,,,28 ,,NW,,,,,,$789.63,,1,1,1,0,1,1,20061001
S8092,HCPCS,Electron beam computed tomog,,,28 ,,NW,,,,,,$606.81,,1,1,1,0,1,1,20061001
S8096,HCPCS,Portable peak flow meter,,,28 ,,NW,,,,,,$30.72,,1,1,1,0,0,1,20061001
S8100,HCPCS,Hold Chamb W/Inhal/Nebulizr;No Mask,,,28 ,,NW,,,,,,$182.63,,1,1,1,0,0,1,20061001
S8101,HCPCS,Hold Chamb W/Inhal/Nebulizr; W/Mask,,,28 ,,NW,,,,,,$18.39,,1,1,1,0,0,1,20061001
S8110,HCPCS,Peak expiratory flow rate (p,,,28 ,,NW,,,,,,$29.19,,1,1,1,0,0,1,20061001
S8185,HCPCS,Flutter device,,,28 ,,NW,,,,,,$56.15,,1,1,1,0,0,1,20061001
S8186,HCPCS,Swivel adaptor,,,28 ,,NW,,,,,,$52.23,,1,1,1,0,0,1,20061001
S8189,HCPCS,Trach supply noc,,,28 ,,NW,,,,,,$27.65,,1,1,1,0,0,1,20061001
S8190,HCPCS,Electronic spirometer,,,28 ,,NW,,,,,,$51.42,,1,1,1,0,0,1,20061001
S8420,HCPCS,Custom gradient sleev/glov,,,28 ,,NW,,,,,,$190.44,,1,1,1,0,0,1,20061001
S8421,HCPCS,Ready gradient sleev/glov,,,28 ,,NW,,,,,,$36.50,,1,1,1,0,0,1,20061001
S8422,HCPCS,Custom grad sleeve med,,,28 ,,NW,,,,,,$126.81,,1,1,1,0,0,1,20061001
S8423,HCPCS,Custom grad sleeve heavy,,,28 ,,NW,,,,,,$118.10,,1,1,1,0,0,1,20061001
S8424,HCPCS,Ready gradient sleeve,,,28 ,,NW,,,,,,$64.63,,1,1,1,0,0,1,20061001
S8425,HCPCS,Custom grad glove med,,,28 ,,NW,,,,,,$30.74,,1,1,1,0,0,1,20061001
S8427,HCPCS,Ready gradient glove,,,28 ,,NW,,,,,,$16.53,,1,1,1,0,0,1,20061001
S8428,HCPCS,Gradent Press Aid Gauntlet Rdy Made,,,28 ,,NW,,,,,,$49.34,,1,1,1,0,0,1,20061001
S8429,HCPCS,Gradient pressure wrap,,,28 ,,NW,,,,,,$235.02,,1,1,1,0,0,1,20061001
S8450,HCPCS,Splint digit,,,28 ,,NW,,,,,,$10.76,,1,1,1,0,0,1,20061001
S8451,HCPCS,Splint wrist or ankle,,,28 ,,NW,,,,,,$43.02,,1,1,1,0,0,1,20061001
S8452,HCPCS,Splint elbow,,,28 ,,NW,,,,,,$83.28,,1,1,1,0,0,1,20061001
S8950,HCPCS,Complex Lymphedema Tx Ea 15 Min,,,19 ,,RBRVS,0.43 ,0.25 ,0.25 ,,,,,1,1,1,0,1,0,20061001
S8950,HCPCS,Complex Lymphedema Tx Ea 15 Min,,,19 ,,RBRVS,0.43 ,0.25 ,0.25 ,,,,,1,0,1,1,1,1,20061001
S9001,HCPCS,Home uterine monitor with or,,,28 ,,NW,,,,,,$113.69,,1,1,1,0,0,1,20061001
S9015,HCPCS,Automated EEG monitoring,,,28 ,,NW,,,,,,$135.20,,1,1,1,0,0,1,20061001
S9024,HCPCS,Paranasal Sinus Ultrasound,,,20 ,,TotalUnits,,,,2.44,,,,1,0,1,1,1,1,20061001
S9034,HCPCS,Eswl For Gall Stones,,,21 ,,RBRVS,9.08 ,4.12 ,12.43 ,,,,,1,0,1,1,1,1,20061001
S9061,HCPCS,Home Admin Aerosolized Drug Tx Diem,,,14 ,,RBRVS,0.00 ,0.30 ,0.30 ,,,,,1,0,1,0,0,1,20061001
S9075,HCPCS,Smoking cessation treatment,,,28 ,,NW,,,,,,$268.85,,1,1,1,0,0,1,20061001
S9083,HCPCS,Global Fee Urgent Care Centers,,,15 ,,RBRVS,0.17 ,0.06 ,0.39 ,,,,,1,0,1,1,1,1,20061001
S9088,HCPCS,Services provided in urgent,,,28 ,,NW,,,,,,$138.27,,1,1,1,0,0,1,20061001
S9090,HCPCS,Vertebral axial decompressio,,,28 ,,NW,,,,,,$99.86,,1,1,1,0,0,1,20061001
S9092,HCPCS,Canolith Repositioning Per Visit,,,15 ,,RBRVS,0.17 ,0.06 ,0.39 ,,,,,1,0,1,1,1,1,20061001
S9097,HCPCS,Home Visit For Wound Care,,,15 ,,TotalUnits,,,,2.21,,,,1,0,1,0,0,1,20061001
S9117,HCPCS,Back School Per Visit,,,15 ,,RBRVS,0.17 ,0.39 ,0.06 ,,,,,1,0,1,1,1,1,20061001
S9122,HCPCS,Home health aide or certifie,,,28 ,,NW,,,,,,$66.17,,1,1,1,1,1,1,20061001
S9123,HCPCS,Nursing care in home RN,,,28 ,,NW,,,,,,$112.84,,1,1,1,1,1,1,20061001
S9124,HCPCS,"Nursing care, in the home; b",,,28 ,,NW,,,,,,$59.91,,1,1,1,1,1,1,20061001
S9126,HCPCS,"Hospice care, in the home, p",,,28 ,,NW,,,,,,$307.26,,1,1,1,1,1,1,20061001
S9127,HCPCS,"Social work visit, in the ho",,,28 ,,NW,,,,,,$237.20,,1,1,1,1,1,1,20061001
S9128,HCPCS,Speech Therapy In The Home Per Diem,,,28 ,,NW,,,,,,$196.67,,1,0,1,0,0,1,20061001
S9129,HCPCS,"Occupational therapy, in the",,,28 ,,NW,,,,,,$201.16,,1,1,1,1,1,1,20061001
S9131,HCPCS,PT in the home per diem,,,28 ,,NW,,,,,,$196.64,,1,1,1,1,1,1,20061001
S9140,HCPCS,"Diabetic Management Program,",,,28 ,,NW,,,,,,$97.12,,1,1,1,1,1,1,20061001
S9141,HCPCS,Diab Mgmt Progm F/U Visit Md Prov,,,14 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,,,1,1,1,0,1,0,20061001
S9141,HCPCS,Diab Mgmt Progm F/U Visit Md Prov,,,14 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,,,1,0,1,1,1,1,20061001
S9145,HCPCS,Insulin Pump Init Instruct Use Pump,,,14 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,,,1,1,1,0,1,0,20061001
S9145,HCPCS,Insulin Pump Init Instruct Use Pump,,,14 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,,,1,0,1,1,1,1,20061001
S9208,HCPCS,Home Mgmt Preterm Labor Per Diem,,,15 ,,TotalUnits,,,,2.91,,,,1,0,1,0,0,1,20061001
S9209,HCPCS,Home Mangement Pprom Diem,,,15 ,,TotalUnits,,,,2.91,,,,1,0,1,0,0,1,20061001
S9211,HCPCS,Home Mgmt Gestational Htn; Diem,,,15 ,,TotalUnits,,,,2.91,,,,1,0,1,0,0,1,20061001
S9212,HCPCS,Home Management Postpartum Htn Diem,,,15 ,,TotalUnits,,,,2.91,,,,1,0,1,0,0,1,20061001
S9213,HCPCS,Home Management Preeclampsia; Diem,,,15 ,,TotalUnits,,,,2.91,,,,1,0,1,0,0,1,20061001
S9214,HCPCS,Home Mgmt Gestational Diabetes;Diem,,,15 ,,TotalUnits,,,,2.91,,,,1,0,1,0,0,1,20061001
S9325,HCPCS,HIT pain mgmt per diem,,,28 ,,NW,,,,,,$361.02,,1,1,1,1,1,1,20061001
S9326,HCPCS,HIT cont pain per diem,,,28 ,,NW,,,,,,$145.95,,1,1,1,1,1,1,20061001
S9327,HCPCS,Hit Intermit Pain Mgmt Infus; Diem,,,28 ,,NW,,,,,,$384.06,,1,0,1,0,0,1,20061001
S9328,HCPCS,Hit Implanted Pump Pain Mgmt; Diem,,,28 ,,NW,,,,,,$335.84,,1,0,1,0,0,1,20061001
S9329,HCPCS,Hit Chemotherapy Infusion; Per Diem,,,28 ,,NW,,,,,,$335.84,,1,0,1,0,0,1,20061001
S9330,HCPCS,HIT cont chem diem,,,28 ,,NW,,,,,,$138.27,,1,1,1,1,1,1,20061001
S9331,HCPCS,HIT intermit chemo diem,,,28 ,,NW,,,,,,$384.06,,1,1,1,1,1,1,20061001
S9335,HCPCS,Hom Tx Hd; Admin Spl & Eqp Per Diem,,,15 ,,TotalUnits,,,,2.91,,,,1,0,1,0,0,1,20061001
S9336,HCPCS,Hit Cont Anticoagulnt Infus Tx Diem,,,28 ,,NW,,,,,,$145.95,,1,0,1,0,0,1,20061001
S9338,HCPCS,HIT immunotherapy diem,,,28 ,,NW,,,,,,$184.34,,1,1,1,1,1,1,20061001
S9339,HCPCS,Home Tx; Peritonl Dialysis Per Diem,,,15 ,,TotalUnits,,,,2.91,,,,1,0,1,0,0,1,20061001
S9340,HCPCS,HIT enteral per diem,,,28 ,,NW,,,,,,$192.04,,1,1,1,1,1,1,20061001
S9341,HCPCS,Ht; Enterl Nutrit Via Gravity; Diem,,,28 ,,NW,,,,,,$192.04,,1,0,1,0,0,1,20061001
S9342,HCPCS,HIT enteral pump diem,,,28 ,,NW,,,,,,$70.68,,1,1,1,1,1,1,20061001
S9343,HCPCS,Ht; Enteral Nutrit Via Bolus; Diem,,,28 ,,NW,,,,,,$192.04,,1,0,1,0,0,1,20061001
S9345,HCPCS,Hit Anti-Hemophilic Agent; Per Diem,,,28 ,,NW,,,,,,$335.84,,1,0,1,0,0,1,20061001
S9346,HCPCS,Hit Alpha-1-Protenas Inhibitr; Diem,,,28 ,,NW,,,,,,$184.34,,1,0,1,0,0,1,20061001
S9347,HCPCS,HIT longterm infusion diem,,,28 ,,NW,,,,,,$99.86,,1,1,1,1,1,1,20061001
S9348,HCPCS,HIT sympathomim diem,,,28 ,,NW,,,,,,$13.84,,1,1,1,1,1,1,20061001
S9349,HCPCS,HIT tocolysis diem,,,28 ,,NW,,,,,,$307.26,,1,1,1,1,1,1,20061001
S9351,HCPCS,Hit Cont Anti-Emetic; Per Diem,,,28 ,,NW,,,,,,$145.95,,1,0,1,0,0,1,20061001
S9353,HCPCS,Home Infus Tx Cont Insulin; Diem,,,28 ,,NW,,,,,,$145.95,,1,0,1,0,0,1,20061001
S9355,HCPCS,Home Infus Tx Chelation;  Per Diem,,,28 ,,NW,,,,,,$184.34,,1,0,1,0,0,1,20061001
S9357,HCPCS,Hit Enzyme Repl Iv Tx;  Per Diem,,,28 ,,NW,,,,,,$335.84,,1,0,1,0,0,1,20061001
S9359,HCPCS,Hit Anti-Tumr Necros Factor Iv Tx;,,,28 ,,NW,,,,,,$335.84,,1,0,1,0,0,1,20061001
S9361,HCPCS,Hit Diuretic Iv Tx;  Per Diem,,,28 ,,NW,,,,,,$335.84,,1,0,1,0,0,1,20061001
S9363,HCPCS,Hit Anti-Spasmotic Tx; Per Diem,,,28 ,,NW,,,,,,$184.34,,1,0,1,0,0,1,20061001
S9364,HCPCS,HIT tpn total diem,,,28 ,,NW,,,,,,$661.35,,1,1,1,1,1,1,20061001
S9365,HCPCS,HIT tpn 1 liter diem,,,28 ,,NW,,,,,,$661.35,,1,1,1,1,1,1,20061001
S9366,HCPCS,HIT tpn 2 liter diem,,,28 ,,NW,,,,,,$661.35,,1,1,1,1,1,1,20061001
S9367,HCPCS,HIT tpn 3 liter diem,,,28 ,,NW,,,,,,$661.35,,1,1,1,1,1,1,20061001
S9368,HCPCS,HIT tpn over 3l diem,,,28 ,,NW,,,,,,$661.35,,1,1,1,1,1,1,20061001
S9370,HCPCS,Ht Intermittent Anti-Emetic Inj Tx;,,,28 ,,NW,,,,,,$76.82,,1,0,1,0,0,1,20061001
S9372,HCPCS,Ht; Intermit Anticoagulant Inj Tx;,,,28 ,,NW,,,,,,$76.82,,1,0,1,0,0,1,20061001
S9373,HCPCS,HIT hydra total diem,,,28 ,,NW,,,,,,$335.84,,1,1,1,1,1,1,20061001
S9374,HCPCS,HIT hydra 1 liter diem,,,28 ,,NW,,,,,,$335.84,,1,1,1,1,1,1,20061001
S9375,HCPCS,HIT hydra 2 liter diem,,,28 ,,NW,,,,,,$335.84,,1,1,1,1,1,1,20061001
S9376,HCPCS,HIT hydra 3 liter diem,,,28 ,,NW,,,,,,$335.84,,1,1,1,1,1,1,20061001
S9377,HCPCS,HIT hydra over 3l diem,,,28 ,,NW,,,,,,$335.84,,1,1,1,1,1,1,20061001
S9379,HCPCS,HIT noc per diem,,,28 ,,NW,,,,,,$335.84,,1,1,1,1,1,1,20061001
S9401,HCPCS,Anticoagulat Clin No Lab Per Sess,,,15 ,,RBRVS,0.17 ,0.39 ,0.06 ,,,,,1,0,1,1,1,1,20061001
S9435,HCPCS,Medical foods for inborn err,,,28 ,,NW,,,,,,$15.37,,1,1,1,0,1,1,20061001
S9452,HCPCS,Nutrition Classes Non-Physician Per Session,,,28 ,,NW,,,,,,$86.03,,1,0,1,1,1,1,20061001
S9453,HCPCS,Smoking Cessation Classes Non-Physician Per Sess,,,14,,RBRVS,0.24 ,0.09 ,0.09 ,,,,,1,0,1,1,1,1,20061001
S9455,HCPCS,"Diabetic Management Program,",,,28 ,,NW,,,,,,$76.82,,1,1,1,1,1,1,20061001
S9460,HCPCS,"Diabetic Management Program,",,,28 ,,NW,,,,,,$107.54,,1,1,1,1,1,1,20061001
S9465,HCPCS,"Diabetic Management Program,",,,28 ,,NW,,,,,,$95.58,,1,1,1,1,1,1,20061001
S9470,HCPCS,"Nutritional counseling, diet",,,28 ,,NW,,,,,,$85.99,,1,1,1,0,1,1,20061001
S9474,HCPCS,Entrstml Tx Registered Nrs Cert Entrstml Tx-Diem,,,15 ,,TotalUnits,,,,1.99,,,,1,0,1,1,1,1,20061001
S9475,HCPCS,Amb Set Sbstnc Abs Tx/Dtox Srvc Day,,,16 ,,RBRVS,2.79 ,0.90 ,1.03 ,,,,,1,0,1,1,1,1,20061001
S9480,HCPCS,Intensive Op Psyc Services Per Diem,,,16 ,,RBRVS,2.79 ,0.90 ,1.03 ,,,,,1,0,1,1,1,1,20061001
S9484,HCPCS,Crisis Interven Mentl Hlth Srvc-Hr,,,16 ,,RBRVS,1.86 ,0.60 ,0.70 ,,,,,1,0,1,1,1,1,20061001
S9485,HCPCS,Crisis Intervent Mental Health Serv,,,16 ,,RBRVS,1.86 ,0.60 ,0.70 ,,,,,1,0,1,1,1,1,20061001
S9490,HCPCS,Hit Corticosteroid Infus; Admn Srvc,,,28 ,,NW,,,,,,$335.84,,1,0,1,0,0,1,20061001
S9494,HCPCS,HIT antibiotic total diem,,,28 ,,NW,,,,,,$4.62,,1,1,1,1,1,1,20061001
S9497,HCPCS,HIT antibiotic q3h diem,,,28 ,,NW,,,,,,$314.93,,1,1,1,1,1,1,20061001
S9500,HCPCS,HIT antibiotic q24h diem,,,28 ,,NW,,,,,,$161.31,,1,1,1,1,1,1,20061001
S9501,HCPCS,HIT antibiotic q12h diem,,,28 ,,NW,,,,,,$248.88,,1,1,1,1,1,1,20061001
S9502,HCPCS,HIT antibiotic q8h diem,,,28 ,,NW,,,,,,$268.85,,1,1,1,1,1,1,20061001
S9503,HCPCS,HIT antibiotic q6h diem,,,28 ,,NW,,,,,,$291.89,,1,1,1,1,1,1,20061001
S9504,HCPCS,HIT antibiotic q4h diem,,,28 ,,NW,,,,,,$314.93,,1,1,1,1,1,1,20061001
S9529,HCPCS,Venipuncture home/snf,,,28 ,,NW,,,,,,$184.34,,1,1,1,0,1,1,20061001
S9537,HCPCS,HT hem horm inj diem,,,28 ,,NW,,,,,,$76.82,,1,1,1,1,1,1,20061001
S9542,HCPCS,Home Injectable Therapy Noc-Diem,,,28 ,,NW,,,,,,$6.15,,1,0,1,0,0,1,20061001
S9558,HCPCS,HT inj growth horm diem,,,28 ,,NW,,,,,,$6.15,,1,1,1,1,1,1,20061001
S9559,HCPCS,Home Infus Tx Interferon Per Diem,,,28 ,,NW,,,,,,$6.15,,1,0,1,0,0,1,20061001
S9560,HCPCS,Home Inj Tx; Hormonal Therapy Diem,,,28 ,,NW,,,,,,$6.15,,1,0,1,0,0,1,20061001
S9562,HCPCS,Hom Inj Tx Palivizumab-Per Diem,,,28 ,,NW,,,,,,$6.15,,1,0,1,0,0,1,20061001
S9590,HCPCS,Hom Tx Irrig Tx; W/Admn-Per Diem,,,15 ,,TotalUnits,,,,2.21,,,,1,0,1,0,0,1,20061001
V2020,HCPCS,Vision svcs frames purchases,,,28 ,,NW,,,,,,$91.78,,1,1,1,1,1,1,20061001
V2025,HCPCS,Eyeglasses delux frames,,,28 ,,NW,,,,,,$126.50,,1,1,1,1,1,1,20061001
V2100,HCPCS,Lens spher single plano 4.00,,,28 ,,NW,,,,,,$53.87,,1,1,1,1,1,1,20061001
V2101,HCPCS,Single visn sphere 4.12-7.00,,,28 ,,NW,,,,,,$56.63,,1,1,1,1,1,1,20061001
V2102,HCPCS,Singl visn sphere 7.12-20.00,,,28 ,,NW,,,,,,$78.60,,1,1,1,1,1,1,20061001
V2103,HCPCS,Spherocylindr 4.00d/12-2.00d,,,28 ,,NW,,,,,,$47.13,,1,1,1,1,1,1,20061001
V2104,HCPCS,Spherocylindr 4.00d/2.12-4d,,,28 ,,NW,,,,,,$51.90,,1,1,1,1,1,1,20061001
V2105,HCPCS,Spherocylinder 4.00d/4.25-6d,,,28 ,,NW,,,,,,$56.28,,1,1,1,1,1,1,20061001
V2106,HCPCS,Spherocylinder 4.00d/>6.00d,,,28 ,,NW,,,,,,$62.16,,1,1,1,1,1,1,20061001
V2107,HCPCS,Spherocylinder 4.25d/12-2d,,,28 ,,NW,,,,,,$59.25,,1,1,1,1,1,1,20061001
V2108,HCPCS,Spherocylinder 4.25d/2.12-4d,,,28 ,,NW,,,,,,$61.25,,1,1,1,1,1,1,20061001
V2109,HCPCS,Spherocylinder 4.25d/4.25-6d,,,28 ,,NW,,,,,,$67.50,,1,1,1,1,1,1,20061001
V2110,HCPCS,Spherocylinder 4.25d/over 6d,,,28 ,,NW,,,,,,$66.63,,1,1,1,1,1,1,20061001
V2111,HCPCS,Spherocylindr 7.25d/.25-2.25,,,28 ,,NW,,,,,,$69.35,,1,1,1,1,1,1,20061001
V2112,HCPCS,Spherocylindr 7.25d/2.25-4d,,,28 ,,NW,,,,,,$75.47,,1,1,1,1,1,1,20061001
V2113,HCPCS,Spherocylindr 7.25d/4.25-6d,,,28 ,,NW,,,,,,$84.37,,1,1,1,1,1,1,20061001
V2114,HCPCS,Spherocylinder over 12.00d,,,28 ,,NW,,,,,,$89.87,,1,1,1,1,1,1,20061001
V2115,HCPCS,Lens lenticular bifocal,,,28 ,,NW,,,,,,$96.18,,1,1,1,1,1,1,20061001
V2118,HCPCS,Lens aniseikonic single,,,28 ,,NW,,,,,,$95.50,,1,1,1,1,1,1,20061001
V2121,HCPCS,"Lenticular lens, single",,,28 ,,NW,,,,,,$97.98,,1,1,1,1,1,1,20061001
V2199,HCPCS,Lens single vision not oth c,,,28 ,,NW,,,,,,$103.55,,1,1,1,1,1,1,20061001
V2200,HCPCS,Lens spher bifoc plano 4.00d,,,28 ,,NW,,,,,,$69.70,,1,1,1,1,1,1,20061001
V2201,HCPCS,Lens sphere bifocal 4.12-7.0,,,28 ,,NW,,,,,,$75.74,,1,1,1,1,1,1,20061001
V2202,HCPCS,Lens sphere bifocal 7.12-20.,,,28 ,,NW,,,,,,$87.54,,1,1,1,1,1,1,20061001
V2203,HCPCS,Lens sphcyl bifocal 4.00d/.1,,,28 ,,NW,,,,,,$70.29,,1,1,1,1,1,1,20061001
V2204,HCPCS,Lens sphcy bifocal 4.00d/2.1,,,28 ,,NW,,,,,,$73.37,,1,1,1,1,1,1,20061001
V2205,HCPCS,Lens sphcy bifocal 4.00d/4.2,,,28 ,,NW,,,,,,$79.13,,1,1,1,1,1,1,20061001
V2206,HCPCS,Lens sphcy bifocal 4.00d/ove,,,28 ,,NW,,,,,,$84.44,,1,1,1,1,1,1,20061001
V2207,HCPCS,Lens sphcy bifocal 4.25-7d/.,,,28 ,,NW,,,,,,$77.39,,1,1,1,1,1,1,20061001
V2208,HCPCS,Lens sphcy bifocal 4.25-7/2.,,,28 ,,NW,,,,,,$81.10,,1,1,1,1,1,1,20061001
V2209,HCPCS,Lens sphcy bifocal 4.25-7/4.,,,28 ,,NW,,,,,,$86.29,,1,1,1,1,1,1,20061001
V2210,HCPCS,Lens sphcy bifocal 4.25-7/ov,,,28 ,,NW,,,,,,$93.26,,1,1,1,1,1,1,20061001
V2211,HCPCS,Lens sphcy bifo 7.25-12/.25-,,,28 ,,NW,,,,,,$96.05,,1,1,1,1,1,1,20061001
V2212,HCPCS,Lens sphcyl bifo 7.25-12/2.2,,,28 ,,NW,,,,,,$98.55,,1,1,1,1,1,1,20061001
V2213,HCPCS,Lens sphcyl bifo 7.25-12/4.2,,,28 ,,NW,,,,,,$99.38,,1,1,1,1,1,1,20061001
V2214,HCPCS,Lens sphcyl bifocal over 12.,,,28 ,,NW,,,,,,$106.43,,1,1,1,1,1,1,20061001
V2215,HCPCS,Lens lenticular bifocal,,,28 ,,NW,,,,,,$107.74,,1,1,1,1,1,1,20061001
V2218,HCPCS,Lens aniseikonic bifocal,,,28 ,,NW,,,,,,$124.70,,1,1,1,1,1,1,20061001
V2219,HCPCS,Lens bifocal seg width over,,,28 ,,NW,,,,,,$60.88,,1,1,1,1,1,1,20061001
V2220,HCPCS,Lens bifocal add over 3.25d,,,28 ,,NW,,,,,,$49.87,,1,1,1,1,1,1,20061001
V2221,HCPCS,"Lenticular lens, bifocal",,,28 ,,NW,,,,,,$111.24,,1,1,1,1,1,1,20061001
V2299,HCPCS,Lens bifocal speciality,,,28 ,,NW,,,,,,$72.23,,1,1,1,1,1,1,20061001
V2300,HCPCS,Lens sphere trifocal 4.00d,,,28 ,,NW,,,,,,$87.02,,1,1,1,1,1,1,20061001
V2301,HCPCS,Lens sphere trifocal 4.12-7.,,,28 ,,NW,,,,,,$99.28,,1,1,1,1,1,1,20061001
V2302,HCPCS,Lens sphere trifocal 7.12-20,,,28 ,,NW,,,,,,$104.60,,1,1,1,1,1,1,20061001
V2303,HCPCS,Lens sphcy trifocal 4.0/.12-,,,28 ,,NW,,,,,,$85.93,,1,1,1,1,1,1,20061001
V2304,HCPCS,Lens sphcy trifocal 4.0/2.25,,,28 ,,NW,,,,,,$89.05,,1,1,1,1,1,1,20061001
V2305,HCPCS,Lens sphcy trifocal 4.0/4.25,,,28 ,,NW,,,,,,$100.24,,1,1,1,1,1,1,20061001
V2306,HCPCS,Lens sphcyl trifocal 4.00/>6,,,28 ,,NW,,,,,,$102.66,,1,1,1,1,1,1,20061001
V2307,HCPCS,Lens sphcy trifocal 4.25-7/.,,,28 ,,NW,,,,,,$98.20,,1,1,1,1,1,1,20061001
V2308,HCPCS,Lens sphc trifocal 4.25-7/2.,,,28 ,,NW,,,,,,$102.01,,1,1,1,1,1,1,20061001
V2309,HCPCS,Lens sphc trifocal 4.25-7/4.,,,28 ,,NW,,,,,,$109.48,,1,1,1,1,1,1,20061001
V2310,HCPCS,Lens sphc trifocal 4.25-7/>6,,,28 ,,NW,,,,,,$108.40,,1,1,1,1,1,1,20061001
V2311,HCPCS,Lens sphc trifo 7.25-12/.25-,,,28 ,,NW,,,,,,$112.04,,1,1,1,1,1,1,20061001
V2312,HCPCS,Lens sphc trifo 7.25-12/2.25,,,28 ,,NW,,,,,,$112.58,,1,1,1,1,1,1,20061001
V2313,HCPCS,Lens sphc trifo 7.25-12/4.25,,,28 ,,NW,,,,,,$123.58,,1,1,1,1,1,1,20061001
V2314,HCPCS,Lens sphcyl trifocal over 12,,,28 ,,NW,,,,,,$131.34,,1,1,1,1,1,1,20061001
V2315,HCPCS,Lens lenticular trifocal,,,28 ,,NW,,,,,,$143.77,,1,1,1,1,1,1,20061001
V2318,HCPCS,Lens aniseikonic trifocal,,,28 ,,NW,,,,,,$172.52,,1,1,1,1,1,1,20061001
V2319,HCPCS,Lens trifocal seg width > 28,,,28 ,,NW,,,,,,$67.60,,1,1,1,1,1,1,20061001
V2320,HCPCS,Lens trifocal add over 3.25d,,,28 ,,NW,,,,,,$71.18,,1,1,1,1,1,1,20061001
V2321,HCPCS,"Lenticular lens, trifocal",,,28 ,,NW,,,,,,$141.98,,1,1,1,1,1,1,20061001
V2399,HCPCS,Lens trifocal speciality,,,28 ,,NW,,,,,,$72.23,,1,1,1,1,1,1,20061001
V2410,HCPCS,Lens variab asphericity sing,,,28 ,,NW,,,,,,$112.64,,1,1,1,1,1,1,20061001
V2430,HCPCS,Lens variable asphericity bi,,,28 ,,NW,,,,,,$131.97,,1,1,1,1,1,1,20061001
V2499,HCPCS,Variable asphericity lens,,,28 ,,NW,,,,,,$44.53,,1,1,1,1,1,1,20061001
V2500,HCPCS,Contact lens pmma spherical,,,28 ,,NW,,,,,,$103.85,,1,1,1,1,1,1,20061001
V2501,HCPCS,Cntct lens pmma-toric/prism,,,28 ,,NW,,,,,,$148.49,,1,1,1,1,1,1,20061001
V2502,HCPCS,Contact lens pmma bifocal,,,28 ,,NW,,,,,,$178.63,,1,1,1,1,1,1,20061001
V2503,HCPCS,Cntct lens pmma color vision,,,28 ,,NW,,,,,,$165.98,,1,1,1,1,1,1,20061001
V2510,HCPCS,Cntct gas permeable sphericl,,,28 ,,NW,,,,,,$135.00,,1,1,1,1,1,1,20061001
V2511,HCPCS,Cntct toric prism ballast,,,28 ,,NW,,,,,,$185.87,,1,1,1,1,1,1,20061001
V2512,HCPCS,Cntct lens gas permbl bifocl,,,28 ,,NW,,,,,,$216.29,,1,1,1,1,1,1,20061001
V2513,HCPCS,Contact lens extended wear,,,28 ,,NW,,,,,,$184.56,,1,1,1,1,1,1,20061001
V2520,HCPCS,Contact lens hydrophilic,,,28 ,,NW,,,,,,$128.01,,1,1,1,1,1,1,20061001
V2521,HCPCS,Cntct lens hydrophilic toric,,,28 ,,NW,,,,,,$209.14,,1,1,1,1,1,1,20061001
V2522,HCPCS,Cntct lens hydrophil bifocl,,,28 ,,NW,,,,,,$204.01,,1,1,1,1,1,1,20061001
V2523,HCPCS,Cntct lens hydrophil extend,,,28 ,,NW,,,,,,$176.60,,1,1,1,1,1,1,20061001
V2530,HCPCS,Contact lens gas impermeable,,,28 ,,NW,,,,,,$252.66,,1,1,1,1,1,1,20061001
V2531,HCPCS,Contact lens gas permeable,,,28 ,,NW,,,,,,$532.57,,1,1,1,1,1,1,20061001
V2599,HCPCS,Contact lens/es other type,,,28 ,,NW,,,,,,$73.37,,1,1,1,1,1,1,20061001
V2600,HCPCS,Hand held low vision aids,,,28 ,,NW,,,,,,$66.84,,1,1,1,1,1,1,20061001
V2610,HCPCS,Single lens spectacle mount,,,28 ,,NW,,,,,,$339.19,,1,1,1,1,1,1,20061001
V2615,HCPCS,Telescop/othr compound lens,,,28 ,,NW,,,,,,"$1,440.00",,1,1,1,1,1,1,20061001
V2623,HCPCS,Plastic eye prosth custom,,,28 ,,NW,,,,,,"$2,388.33",,1,1,1,1,1,1,20061001
V2624,HCPCS,Polishing artifical eye,,,28 ,,NW,,,,,,$87.14,,1,1,1,1,1,1,20061001
V2625,HCPCS,Enlargemnt of eye prosthesis,,,28 ,,NW,,,,,,$893.62,,1,1,1,1,1,1,20061001
V2626,HCPCS,Reduction of eye prosthesis,,,28 ,,NW,,,,,,$440.20,,1,1,1,1,1,1,20061001
V2627,HCPCS,Scleral cover shell,,,28 ,,NW,,,,,,"$3,495.90",,1,1,1,1,1,1,20061001
V2628,HCPCS,Fabrication & fitting,,,28 ,,NW,,,,,,$706.99,,1,1,1,1,1,1,20061001
V2629,HCPCS,Prosthetic eye other type,,,28 ,,NW,,,,,,$770.89,,1,1,1,1,1,1,20061001
V2630,HCPCS,Anter chamber intraocul lens,,,28 ,2,NW,,,,,,$297.49,,1,1,1,0,1,1,20061001
V2632,HCPCS,Post chmbr intraocular lens,,,28 ,2,NW,,,,,,$403.08,,1,1,1,0,1,1,20061001
V2700,HCPCS,Balance lens,,,28 ,,NW,,,,,,$59.95,,1,1,1,1,1,1,20061001
V2702,HCPCS,Deluxe lens feature,,,28 ,,NW,,,,,,$59.95,,1,1,1,0,0,1,20061001
V2710,HCPCS,Glass/plastic slab off prism,,,28 ,,NW,,,,,,$85.82,,1,1,1,1,1,1,20061001
V2715,HCPCS,Prism lens/es,,,28 ,,NW,,,,,,$17.81,,1,1,1,1,1,1,20061001
V2718,HCPCS,Fresnell prism press-on lens,,,28 ,,NW,,,,,,$39.97,,1,1,1,1,1,1,20061001
V2730,HCPCS,Special base curve,,,28 ,,NW,,,,,,$30.20,,1,1,1,1,1,1,20061001
V2744,HCPCS,Tint photochromatic lens/es,,,28 ,,NW,,,,,,$24.07,,1,1,1,1,1,1,20061001
V2745,HCPCS,"Tint, any color/solid/grad",,,28 ,,NW,,,,,,$16.05,,1,1,1,1,1,1,20061001
V2750,HCPCS,Anti-reflective coating,,,28 ,,NW,,,,,,$27.58,,1,1,1,1,1,1,20061001
V2755,HCPCS,UV lens/es,,,28 ,,NW,,,,,,$24.35,,1,1,1,1,1,1,20061001
V2760,HCPCS,Scratch resistant coating,,,28 ,,NW,,,,,,$23.57,,1,1,1,1,1,1,20061001
V2761,HCPCS,Mirror coating,,,28 ,,NW,,,,,,$18.94,,1,1,1,0,0,1,20061001
V2762,HCPCS,"Polarization, any lens",,,28 ,,NW,,,,,,$18.89,,1,1,1,1,1,1,20061001
V2770,HCPCS,Occluder lens/es,,,28 ,,NW,,,,,,$28.15,,1,1,1,1,1,1,20061001
V2780,HCPCS,Oversize lens/es,,,28 ,,NW,,,,,,$19.01,,1,1,1,1,1,1,20061001
V2781,HCPCS,Progressive lens per lens,,,28 ,,NW,,,,,,$167.15,,1,1,1,1,1,1,20061001
V2782,HCPCS,"Lens, 1.54-1.65 p/1.60-1.79g",,,28 ,,NW,,,,,,$66.17,,1,1,1,0,1,1,20061001
V2783,HCPCS,"Lens, >= 1.66 p/>=1.80 g",,,28 ,,NW,,,,,,$74.63,,1,1,1,0,1,1,20061001
V2784,HCPCS,Lens polycarb or equal,,,28 ,,NW,,,,,,$48.53,,1,1,1,0,1,1,20061001
V2785,HCPCS,Corneal tissue processing,,,28 ,,NW,,,,,,"$3,004.79",,1,1,1,1,1,1,20061001
V2790,HCPCS,Amniotic membrane,,,28 ,2,NW,,,,,,$53.97,,1,1,1,0,1,1,20061001
V2799,HCPCS,Miscellaneous vision service,,,28 ,,NW,,,,,,$62.77,,1,1,1,0,1,1,20061001
V5008,HCPCS,Hearing screening,,,28 ,,NW,,,,,,$76.91,,1,1,1,0,0,1,20061001
V5010,HCPCS,Assessment for hearing aid,,,28 ,,NW,,,,,,$100.24,,1,1,1,0,0,1,20061001
V5011,HCPCS,Hearing aid fitting/checking,,,28 ,,NW,,,,,,$156.55,,1,1,1,1,1,1,20061001
V5014,HCPCS,Hearing aid repair/modifying,,,28 ,,NW,,,,,,$188.81,,1,1,1,1,1,1,20061001
V5020,HCPCS,Conformity evaluation,,,28 ,,NW,,,,,,$87.88,,1,1,1,1,1,1,20061001
V5030,HCPCS,Body-worn hearing aid air,,,28 ,,NW,,,,,,"$1,975.21",,1,1,1,1,1,1,20061001
V5040,HCPCS,Body-worn hearing aid bone,,,28 ,,NW,,,,,,"$1,461.27",,1,1,1,1,1,1,20061001
V5050,HCPCS,Hearing aid monaural in ear,,,28 ,,NW,,,,,,"$1,716.14",,1,1,1,1,1,1,20061001
V5060,HCPCS,Behind ear hearing aid,,,28 ,,NW,,,,,,"$1,406.28",,1,1,1,1,1,1,20061001
V5070,HCPCS,Glasses air conduction,,,28 ,,NW,,,,,,$707.30,,1,1,1,1,1,1,20061001
V5080,HCPCS,Glasses bone conduction,,,28 ,,NW,,,,,,"$2,030.20",,1,1,1,1,1,1,20061001
V5090,HCPCS,Hearing aid dispensing fee,,,28 ,,NW,,,,,,$614.24,,1,1,1,1,1,1,20061001
V5100,HCPCS,Body-worn bilat hearing aid,,,28 ,,NW,,,,,,"$3,358.40",,1,1,1,1,1,1,20061001
V5110,HCPCS,Hearing aid dispensing fee,,,28 ,,NW,,,,,,$626.92,,1,1,1,1,1,1,20061001
V5120,HCPCS,Body-worn binaur hearing aid,,,28 ,,NW,,,,,,"$2,914.26",,1,1,1,1,1,1,20061001
V5130,HCPCS,In ear binaural hearing aid,,,28 ,,NW,,,,,,"$3,110.94",,1,1,1,1,1,1,20061001
V5140,HCPCS,Behind ear binaur hearing ai,,,28 ,,NW,,,,,,"$3,242.07",,1,1,1,1,1,1,20061001
V5150,HCPCS,Glasses binaural hearing aid,,,28 ,,NW,,,,,,"$3,472.60",,1,1,1,1,1,1,20061001
V5160,HCPCS,Dispensing fee binaural,,,28 ,,NW,,,,,,$784.49,,1,1,1,1,1,1,20061001
V5170,HCPCS,Within ear cros hearing aid,,,28 ,,NW,,,,,,"$2,364.36",,1,1,1,1,1,1,20061001
V5180,HCPCS,Behind ear cros hearing aid,,,28 ,,NW,,,,,,"$1,975.21",,1,1,1,1,1,1,20061001
V5190,HCPCS,Glasses cros hearing aid,,,28 ,,NW,,,,,,"$2,336.87",,1,1,1,1,1,1,20061001
V5200,HCPCS,Cros hearing aid dispens fee,,,28 ,,NW,,,,,,$620.58,,1,1,1,1,1,1,20061001
V5210,HCPCS,In ear bicros hearing aid,,,28 ,,NW,,,,,,"$2,584.32",,1,1,1,1,1,1,20061001
V5220,HCPCS,Behind ear bicros hearing ai,,,28 ,,NW,,,,,,"$2,476.46",,1,1,1,1,1,1,20061001
V5230,HCPCS,Glasses bicros hearing aid,,,28 ,,NW,,,,,,"$2,565.29",,1,1,1,1,1,1,20061001
V5240,HCPCS,Dispensing fee bicros,,,28 ,,NW,,,,,,$648.07,,1,1,1,1,1,1,20061001
V5241,HCPCS,"Dispensing fee, monaural",,,28 ,,NW,,,,,,$124.07,,1,1,1,1,1,1,20061001
V5242,HCPCS,"Hearing aid, monaural, cic",,,28 ,,NW,,,,,,"$1,430.41",,1,1,1,1,1,1,20061001
V5243,HCPCS,"Hearing aid, monaural, itc",,,28 ,,NW,,,,,,"$1,506.63",,1,1,1,1,1,1,20061001
V5244,HCPCS,"Hearing aid, prog, mon, cic",,,28 ,,NW,,,,,,"$3,367.76",,1,1,1,1,1,1,20061001
V5245,HCPCS,"Hearing aid, prog, mon, itc",,,28 ,,NW,,,,,,"$2,658.76",,1,1,1,1,1,1,20061001
V5246,HCPCS,"Hearing aid, prog, mon, ite",,,28 ,,NW,,,,,,"$1,644.91",,1,1,1,1,1,1,20061001
V5247,HCPCS,"Hearing aid, prog, mon, bte",,,28 ,,NW,,,,,,"$2,279.50",,1,1,1,1,1,1,20061001
V5248,HCPCS,"Hearing aid, binaural, cic",,,28 ,,NW,,,,,,"$1,810.31",,1,1,1,1,1,1,20061001
V5249,HCPCS,"Hearing aid, binaural, itc",,,28 ,,NW,,,,,,"$2,300.72",,1,1,1,1,1,1,20061001
V5250,HCPCS,"Hearing aid, prog, bin, cic",,,28 ,,NW,,,,,,"$6,363.28",,1,1,1,1,1,1,20061001
V5251,HCPCS,"Hearing aid, prog, bin, itc",,,28 ,,NW,,,,,,"$6,008.77",,1,1,1,1,1,1,20061001
V5252,HCPCS,"Hearing aid, prog, bin, ite",,,28 ,,NW,,,,,,"$5,672.00",,1,1,1,1,1,1,20061001
V5253,HCPCS,"Hearing aid, prog, bin, bte",,,28 ,,NW,,,,,,"$2,570.12",,1,1,1,1,1,1,20061001
V5254,HCPCS,"Hearing id, digit, mon, cic",,,28 ,,NW,,,,,,"$3,988.13",,1,1,1,1,1,1,20061001
V5255,HCPCS,"Hearing aid, digit, mon, itc",,,28 ,,NW,,,,,,"$3,155.06",,1,1,1,1,1,1,20061001
V5256,HCPCS,"Hearing aid, digit, mon, ite",,,28 ,,NW,,,,,,"$3,766.57",,1,1,1,1,1,1,20061001
V5257,HCPCS,"Hearing aid, digit, mon, bte",,,28 ,,NW,,,,,,"$2,765.10",,1,1,1,1,1,1,20061001
V5258,HCPCS,"Hearing aid, digit, bin, cic",,,28 ,,NW,,,,,,"$6,024.74",,1,1,1,1,1,1,20061001
V5259,HCPCS,"Hearing aid, digit, bin, itc",,,28 ,,NW,,,,,,"$7,090.01",,1,1,1,1,1,1,20061001
V5260,HCPCS,"Hearing aid, digit, bin, ite",,,28 ,,NW,,,,,,"$8,153.50",,1,1,1,1,1,1,20061001
V5261,HCPCS,"Hearing aid, digit, bin, bte",,,28 ,,NW,,,,,,"$6,735.51",,1,1,1,1,1,1,20061001
V5262,HCPCS,"Hearing aid, disp, monaural",,,28 ,,NW,,,,,,$138.26,,1,1,1,1,1,1,20061001
V5263,HCPCS,"Hearing aid, disp, binaural",,,28 ,,NW,,,,,,$69.14,,1,1,1,1,1,0,20061001
V5264,HCPCS,Ear mold/insert,,,28 ,,NW,,,,,,$87.39,,1,1,1,1,1,1,20061001
V5265,HCPCS,"Ear mold/insert, disp",,,28 ,,NW,,,,,,$12.42,,1,1,1,1,1,1,20061001
V5266,HCPCS,Battery for hearing device,,,28 ,,NW,,,,,,$2.43,,1,1,1,1,1,1,20061001
V5267,HCPCS,Hearing aid supply/accessory,,,28 ,,NW,,,,,,$26.59,,1,1,1,1,1,1,20061001
V5268,HCPCS,ALD Telephone Amplifier,,,28 ,,NW,,,,,,$375.56,,1,1,1,1,1,1,20061001
V5269,HCPCS,"Alerting device, any type",,,28 ,,NW,,,,,,$549.82,,1,1,1,1,1,1,20061001
V5270,HCPCS,"ALD, TV amplifier, any type",,,28 ,,NW,,,,,,$671.03,,1,1,1,1,1,1,20061001
V5271,HCPCS,"ALD, TV caption decoder",,,28 ,,NW,,,,,,"$3,486.24",,1,1,1,1,1,1,20061001
V5272,HCPCS,Tdd,,,28 ,,NW,,,,,,$789.80,,1,1,1,1,1,1,20061001
V5273,HCPCS,ALD for cochlear implant,,,28 ,,NW,,,,,,$521.04,,1,1,1,1,1,1,20061001
V5274,HCPCS,ALD unspecified,,,28 ,,NW,,,,,,"$1,155.11",,1,1,1,1,1,1,20061001
V5275,HCPCS,Ear impression,,,28 ,,NW,,,,,,$53.17,,1,1,1,1,1,1,20061001
V5298,HCPCS,Hearing aid noc,,,28 ,,NW,,,,,,"$3,374.75",,1,1,1,1,1,1,20061001
V5299,HCPCS,Hearing service,,,28 ,,NW,,,,,,$865.68,,1,1,1,0,0,1,20061001
V5336,HCPCS,Repair communication device,,,28 ,,NW,,,,,,$308.33,,1,1,1,0,0,1,20061001
V5362,HCPCS,Speech screening,,,19 ,,RBRVS,0.86 ,0.40 ,2.60 ,,,,,1,1,1,0,1,0,20061001
V5362,HCPCS,Speech screening,,,19 ,,RBRVS,0.86 ,0.40 ,2.60 ,,,,,1,0,1,1,1,1,20061001
V5363,HCPCS,Language screening,,,19 ,,RBRVS,0.86 ,0.40 ,2.60 ,,,,,1,1,1,0,1,0,20061001
V5363,HCPCS,Language screening,,,19 ,,RBRVS,0.86 ,0.40 ,2.60 ,,,,,1,0,1,1,1,1,20061001
V5364,HCPCS,Dysphagia screening,,,14 ,,RBRVS,0.00 ,3.44 ,3.44 ,,,,,1,1,1,0,1,0,20061001
V5364,HCPCS,Dysphagia screening,,,14 ,,RBRVS,0.00 ,3.44 ,3.44 ,,,,,1,0,1,1,1,1,20061001