hospital_name,last_updated_on,version,hospital_location,hospital_address,license_number|MI,"To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated.",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Schoolcraft Memorial Hospital,2/1/2025,2.0.0,Schoolcraft Memorial Hospital,"7870 W Us Highway 2, Manistique, MI 49854",742517055,TRUE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
description,code|1,code|1|type,code|2,code|2|type,code|3,code|3|type,setting,drug_unit_of_measurement,drug_type_of_measurement,standard_charge|gross,standard_charge|discounted_cash,modifiers,standard_charge|AETNA|COMMERCIAL|negotiated_dollar,standard_charge|AETNA|COMMERCIAL|negotiated_percentage,standard_charge|AETNA|COMMERCIAL|negotiated_algorithm,estimated_amount|AETNA|COMMERCIAL,standard_charge|AETNA|COMMERCIAL|methodology,additional_payer_notes|AETNA|COMMERCIAL,standard_charge|BCBS|COMMERCIAL|negotiated_dollar,standard_charge|BCBS|COMMERCIAL|negotiated_percentage,standard_charge|BCBS|COMMERCIAL|negotiated_algorithm,estimated_amount|BCBS|COMMERCIAL,standard_charge|BCBS|COMMERCIAL|methodology,additional_payer_notes|BCBS|COMMERCIAL,standard_charge|BCN|COMMERCIAL|negotiated_dollar,standard_charge|BCN|COMMERCIAL|negotiated_percentage,standard_charge|BCN|COMMERCIAL|negotiated_algorithm,estimated_amount|BCN|COMMERCIAL,standard_charge|BCN|COMMERCIAL|methodology,additional_payer_notes|BCN|COMMERCIAL,standard_charge|CIGNA|COMMERCIAL|negotiated_dollar,standard_charge|CIGNA|COMMERCIAL|negotiated_percentage,standard_charge|CIGNA|COMMERCIAL|negotiated_algorithm,estimated_amount|CIGNA|COMMERCIAL,standard_charge|CIGNA|COMMERCIAL|methodology,additional_payer_notes|CIGNA|COMMERCIAL,standard_charge|HEALTH ALLIANCE|COMMERCIAL|negotiated_dollar,standard_charge|HEALTH ALLIANCE|COMMERCIAL|negotiated_percentage,standard_charge|HEALTH ALLIANCE|COMMERCIAL|negotiated_algorithm,estimated_amount|HEALTH ALLIANCE|COMMERCIAL,standard_charge|HEALTH ALLIANCE|COMMERCIAL|methodology,additional_payer_notes|HEALTH ALLIANCE|COMMERCIAL,standard_charge|MEDICAID|MEDICAID|negotiated_dollar,standard_charge|MEDICAID|MEDICAID|negotiated_percentage,standard_charge|MEDICAID|MEDICAID|negotiated_algorithm,estimated_amount|MEDICAID|MEDICAID,standard_charge|MEDICAID|MEDICAID|methodology,additional_payer_notes|MEDICAID|MEDICAID,standard_charge|MEDICARE|MEDICARE|negotiated_dollar,standard_charge|MEDICARE|MEDICARE|negotiated_percentage,standard_charge|MEDICARE|MEDICARE|negotiated_algorithm,estimated_amount|MEDICARE|MEDICARE,standard_charge|MEDICARE|MEDICARE|methodology,additional_payer_notes|MEDICARE|MEDICARE,standard_charge|TRICARE|MEDICARE|negotiated_dollar,standard_charge|TRICARE|MEDICARE|negotiated_percentage,standard_charge|TRICARE|MEDICARE|negotiated_algorithm,estimated_amount|TRICARE|MEDICARE,standard_charge|TRICARE|MEDICARE|methodology,additional_payer_notes|TRICARE|MEDICARE,standard_charge|VA CCN|MEDICARE|negotiated_dollar,standard_charge|VA CCN|MEDICARE|negotiated_percentage,standard_charge|VA CCN|MEDICARE|negotiated_algorithm,estimated_amount|VA CCN|MEDICARE,standard_charge|VA CCN|MEDICARE|methodology,additional_payer_notes|VA CCN|MEDICARE,standard_charge|VA FEE|MEDICARE|negotiated_dollar,standard_charge|VA FEE|MEDICARE|negotiated_percentage,standard_charge|VA FEE|MEDICARE|negotiated_algorithm,estimated_amount|VA FEE|MEDICARE,standard_charge|VA FEE|MEDICARE|methodology,additional_payer_notes|VA FEE|MEDICARE,standard_charge|min,standard_charge|max,additional_generic_notes
ROOM/BED: Swingbed,10001111,CDM,110,RC,,,INPATIENT,,,279,223.2,,265.05,95,,212.04,percent of total billed charges,95% of total billed charges,264.27,94.72,,211.42,percent of total billed charges,94.72% of total billed charges,275.62,98.79,,220.5,percent of total billed charges,98.79% of total billed charges,273.42,98,,218.74,percent of total billed charges,98% of total billed charges,273.42,98,,218.74,percent of total billed charges,98% of total billed charges,4612,100,,,per diem,pays based on per day rate,3444,100,,,per diem,pays based on per day rate,,,,,other ,not seperately reimbursable,3444,100,,,per diem,pays based on per day rate,3444,100,,,per diem,pays based on per day rate,264.27,4612,
Sodium Bicarb 4.2% 10 mL,37591104,CDM,250,RC,,,OUTPATIENT,,,78,62.4,,74.1,95,,59.28,percent of total billed charges,95% of total billed charges,73.88,94.72,,59.1,percent of total billed charges,94.72% of total billed charges,77.06,98.79,,61.65,percent of total billed charges,98.79% of total billed charges,76.44,98,,61.15,percent of total billed charges,98% of total billed charges,76.44,98,,61.15,percent of total billed charges,98% of total billed charges,37.44,48,,29.95,percent of total billed charges,48% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,29.84,38.25,,23.87,percent of total billed charges,38.25% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,29.84,77.06,
SODIUM BICARB 8.4% 50ML,37591232,CDM,250,RC,,,OUTPATIENT,,,82,65.6,,77.9,95,,62.32,percent of total billed charges,95% of total billed charges,77.67,94.72,,62.14,percent of total billed charges,94.72% of total billed charges,81.01,98.79,,64.81,percent of total billed charges,98.79% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,39.36,48,,31.49,percent of total billed charges,48% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,31.37,38.25,,25.1,percent of total billed charges,38.25% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,31.37,81.01,
LIDOCAINE INJ 1% 20ML,37591890,CDM,250,RC,,,OUTPATIENT,,,9,7.2,,8.55,95,,6.84,percent of total billed charges,95% of total billed charges,8.52,94.72,,6.82,percent of total billed charges,94.72% of total billed charges,8.89,98.79,,7.11,percent of total billed charges,98.79% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,4.32,48,,3.46,percent of total billed charges,48% of total billed charges,4.05,45,,3.24,percent of total billed charges,45% of total billed charges,3.44,38.25,,2.75,percent of total billed charges,38.25% of total billed charges,4.05,45,,3.24,percent of total billed charges,45% of total billed charges,4.05,45,,3.24,percent of total billed charges,45% of total billed charges,3.44,8.89,
DEPO-MEDROL Inj 80mg/mL,37592450,CDM,250,RC,,,OUTPATIENT,,,95,76,,90.25,95,,72.2,percent of total billed charges,95% of total billed charges,89.98,94.72,,71.98,percent of total billed charges,94.72% of total billed charges,93.85,98.79,,75.08,percent of total billed charges,98.79% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,45.6,48,,36.48,percent of total billed charges,48% of total billed charges,42.75,45,,34.2,percent of total billed charges,45% of total billed charges,36.34,38.25,,29.07,percent of total billed charges,38.25% of total billed charges,42.75,45,,34.2,percent of total billed charges,45% of total billed charges,42.75,45,,34.2,percent of total billed charges,45% of total billed charges,36.34,93.85,
LIDOCAINE 2% UROJET 10ML,37593124,CDM,250,RC,,,OUTPATIENT,,,31,24.8,,29.45,95,,23.56,percent of total billed charges,95% of total billed charges,29.36,94.72,,23.49,percent of total billed charges,94.72% of total billed charges,30.62,98.79,,24.5,percent of total billed charges,98.79% of total billed charges,30.38,98,,24.3,percent of total billed charges,98% of total billed charges,30.38,98,,24.3,percent of total billed charges,98% of total billed charges,14.88,48,,11.9,percent of total billed charges,48% of total billed charges,13.95,45,,11.16,percent of total billed charges,45% of total billed charges,11.86,38.25,,9.49,percent of total billed charges,38.25% of total billed charges,13.95,45,,11.16,percent of total billed charges,45% of total billed charges,13.95,45,,11.16,percent of total billed charges,45% of total billed charges,11.86,30.62,
SODIUM CHOLRIDE 0.9% IV 100ML,37794163,CDM,250,RC,,,OUTPATIENT,,,60,48,,57,95,,45.6,percent of total billed charges,95% of total billed charges,56.83,94.72,,45.46,percent of total billed charges,94.72% of total billed charges,59.27,98.79,,47.42,percent of total billed charges,98.79% of total billed charges,58.8,98,,47.04,percent of total billed charges,98% of total billed charges,58.8,98,,47.04,percent of total billed charges,98% of total billed charges,28.8,48,,23.04,percent of total billed charges,48% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,22.95,38.25,,18.36,percent of total billed charges,38.25% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,22.95,59.27,
SODIUM CHLORIDE 0.9% FLUSH,37796135,CDM,250,RC,,,OUTPATIENT,,,21,16.8,,19.95,95,,15.96,percent of total billed charges,95% of total billed charges,19.89,94.72,,15.91,percent of total billed charges,94.72% of total billed charges,20.75,98.79,,16.6,percent of total billed charges,98.79% of total billed charges,20.58,98,,16.46,percent of total billed charges,98% of total billed charges,20.58,98,,16.46,percent of total billed charges,98% of total billed charges,10.08,48,,8.06,percent of total billed charges,48% of total billed charges,9.45,45,,7.56,percent of total billed charges,45% of total billed charges,8.03,38.25,,6.42,percent of total billed charges,38.25% of total billed charges,9.45,45,,7.56,percent of total billed charges,45% of total billed charges,9.45,45,,7.56,percent of total billed charges,45% of total billed charges,8.03,20.75,
BETAMETHASONE 6MG/ML MDV,37796140,CDM,250,RC,,,OUTPATIENT,,,272,217.6,,258.4,95,,206.72,percent of total billed charges,95% of total billed charges,257.64,94.72,,206.11,percent of total billed charges,94.72% of total billed charges,268.71,98.79,,214.97,percent of total billed charges,98.79% of total billed charges,266.56,98,,213.25,percent of total billed charges,98% of total billed charges,266.56,98,,213.25,percent of total billed charges,98% of total billed charges,130.56,48,,104.45,percent of total billed charges,48% of total billed charges,122.4,45,,97.92,percent of total billed charges,45% of total billed charges,104.04,38.25,,83.23,percent of total billed charges,38.25% of total billed charges,122.4,45,,97.92,percent of total billed charges,45% of total billed charges,122.4,45,,97.92,percent of total billed charges,45% of total billed charges,104.04,268.71,
LIDOCAINE 2% UROJET 20ML,37796228,CDM,250,RC,,,OUTPATIENT,,,44,35.2,,41.8,95,,33.44,percent of total billed charges,95% of total billed charges,41.68,94.72,,33.34,percent of total billed charges,94.72% of total billed charges,43.47,98.79,,34.78,percent of total billed charges,98.79% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,21.12,48,,16.9,percent of total billed charges,48% of total billed charges,19.8,45,,15.84,percent of total billed charges,45% of total billed charges,16.83,38.25,,13.46,percent of total billed charges,38.25% of total billed charges,19.8,45,,15.84,percent of total billed charges,45% of total billed charges,19.8,45,,15.84,percent of total billed charges,45% of total billed charges,16.83,43.47,
Asclera,37796303,CDM,250,RC,,,OUTPATIENT,,,109,87.2,,103.55,95,,82.84,percent of total billed charges,95% of total billed charges,103.24,94.72,,82.59,percent of total billed charges,94.72% of total billed charges,107.68,98.79,,86.14,percent of total billed charges,98.79% of total billed charges,106.82,98,,85.46,percent of total billed charges,98% of total billed charges,106.82,98,,85.46,percent of total billed charges,98% of total billed charges,52.32,48,,41.86,percent of total billed charges,48% of total billed charges,49.05,45,,39.24,percent of total billed charges,45% of total billed charges,41.69,38.25,,33.35,percent of total billed charges,38.25% of total billed charges,49.05,45,,39.24,percent of total billed charges,45% of total billed charges,49.05,45,,39.24,percent of total billed charges,45% of total billed charges,41.69,107.68,
Kenalog 200 mg/5 ml,37798931,CDM,250,RC,,,OUTPATIENT,,,208,166.4,,197.6,95,,158.08,percent of total billed charges,95% of total billed charges,197.02,94.72,,157.62,percent of total billed charges,94.72% of total billed charges,205.48,98.79,,164.38,percent of total billed charges,98.79% of total billed charges,203.84,98,,163.07,percent of total billed charges,98% of total billed charges,203.84,98,,163.07,percent of total billed charges,98% of total billed charges,99.84,48,,79.87,percent of total billed charges,48% of total billed charges,93.6,45,,74.88,percent of total billed charges,45% of total billed charges,79.56,38.25,,63.65,percent of total billed charges,38.25% of total billed charges,93.6,45,,74.88,percent of total billed charges,45% of total billed charges,93.6,45,,74.88,percent of total billed charges,45% of total billed charges,79.56,205.48,
LIDOCAINE INJ 2% 5ML MDV,37799196,CDM,250,RC,,,OUTPATIENT,,,4,3.2,,3.8,95,,3.04,percent of total billed charges,95% of total billed charges,3.79,94.72,,3.03,percent of total billed charges,94.72% of total billed charges,3.95,98.79,,3.16,percent of total billed charges,98.79% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,1.92,48,,1.54,percent of total billed charges,48% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,38.25,,1.22,percent of total billed charges,38.25% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,3.95,
BUPIVACAINE (MARCAINE 0.5%) 10mL SDV,37799547,CDM,250,RC,,,OUTPATIENT,,,25,20,,23.75,95,,19,percent of total billed charges,95% of total billed charges,23.68,94.72,,18.94,percent of total billed charges,94.72% of total billed charges,24.7,98.79,,19.76,percent of total billed charges,98.79% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,12,48,,9.6,percent of total billed charges,48% of total billed charges,11.25,45,,9,percent of total billed charges,45% of total billed charges,9.56,38.25,,7.65,percent of total billed charges,38.25% of total billed charges,11.25,45,,9,percent of total billed charges,45% of total billed charges,11.25,45,,9,percent of total billed charges,45% of total billed charges,9.56,24.7,
Lidocaine Inj 1% 20mL MDV,37799593,CDM,250,RC,,,OUTPATIENT,,,4,3.2,,3.8,95,,3.04,percent of total billed charges,95% of total billed charges,3.79,94.72,,3.03,percent of total billed charges,94.72% of total billed charges,3.95,98.79,,3.16,percent of total billed charges,98.79% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,1.92,48,,1.54,percent of total billed charges,48% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,38.25,,1.22,percent of total billed charges,38.25% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,3.95,
OMNIPAQUE (IOHEXOL) IV 300MG/ML 30ML,37796254,CDM,255,RC,Q9967,HCPCS,OUTPATIENT,,,189,151.2,,179.55,95,,143.64,percent of total billed charges,95% of total billed charges,179.02,94.72,,143.22,percent of total billed charges,94.72% of total billed charges,186.71,98.79,,149.37,percent of total billed charges,98.79% of total billed charges,185.22,98,,148.18,percent of total billed charges,98% of total billed charges,185.22,98,,148.18,percent of total billed charges,98% of total billed charges,90.72,48,,72.58,percent of total billed charges,48% of total billed charges,85.05,45,,68.04,percent of total billed charges,45% of total billed charges,72.29,38.25,,57.83,percent of total billed charges,38.25% of total billed charges,85.05,45,,68.04,percent of total billed charges,45% of total billed charges,85.05,45,,68.04,percent of total billed charges,45% of total billed charges,72.29,186.71,
OPTISON INTRAVENOUS SUSPENSION,37796302,CDM,255,RC,Q9956,HCPCS,OUTPATIENT,,,505,404,,479.75,95,,383.8,percent of total billed charges,95% of total billed charges,478.34,94.72,,382.67,percent of total billed charges,94.72% of total billed charges,498.89,98.79,,399.11,percent of total billed charges,98.79% of total billed charges,494.9,98,,395.92,percent of total billed charges,98% of total billed charges,494.9,98,,395.92,percent of total billed charges,98% of total billed charges,242.4,48,,193.92,percent of total billed charges,48% of total billed charges,227.25,45,,181.8,percent of total billed charges,45% of total billed charges,193.16,38.25,,154.53,percent of total billed charges,38.25% of total billed charges,227.25,45,,181.8,percent of total billed charges,45% of total billed charges,227.25,45,,181.8,percent of total billed charges,45% of total billed charges,193.16,498.89,
IOPAMIDOL (Isovue) Inj 41% 10mL,37796875,CDM,255,RC,Q9966,HCPCS,OUTPATIENT,,,310,248,,294.5,95,,235.6,percent of total billed charges,95% of total billed charges,293.63,94.72,,234.9,percent of total billed charges,94.72% of total billed charges,306.25,98.79,,245,percent of total billed charges,98.79% of total billed charges,303.8,98,,243.04,percent of total billed charges,98% of total billed charges,303.8,98,,243.04,percent of total billed charges,98% of total billed charges,148.8,48,,119.04,percent of total billed charges,48% of total billed charges,139.5,45,,111.6,percent of total billed charges,45% of total billed charges,118.58,38.25,,94.86,percent of total billed charges,38.25% of total billed charges,139.5,45,,111.6,percent of total billed charges,45% of total billed charges,139.5,45,,111.6,percent of total billed charges,45% of total billed charges,118.58,306.25,
Omniscan 15mL Vial,37799575,CDM,255,RC,A9579,HCPCS,OUTPATIENT,,,400,320,,380,95,,304,percent of total billed charges,95% of total billed charges,378.88,94.72,,303.1,percent of total billed charges,94.72% of total billed charges,395.16,98.79,,316.13,percent of total billed charges,98.79% of total billed charges,392,98,,313.6,percent of total billed charges,98% of total billed charges,392,98,,313.6,percent of total billed charges,98% of total billed charges,192,48,,153.6,percent of total billed charges,48% of total billed charges,180,45,,144,percent of total billed charges,45% of total billed charges,153,38.25,,122.4,percent of total billed charges,38.25% of total billed charges,180,45,,144,percent of total billed charges,45% of total billed charges,180,45,,144,percent of total billed charges,45% of total billed charges,153,395.16,
Omniscan 20mL Vial,37799595,CDM,255,RC,A9579,HCPCS,OUTPATIENT,,,371,296.8,,352.45,95,,281.96,percent of total billed charges,95% of total billed charges,351.41,94.72,,281.13,percent of total billed charges,94.72% of total billed charges,366.51,98.79,,293.21,percent of total billed charges,98.79% of total billed charges,363.58,98,,290.86,percent of total billed charges,98% of total billed charges,363.58,98,,290.86,percent of total billed charges,98% of total billed charges,178.08,48,,142.46,percent of total billed charges,48% of total billed charges,166.95,45,,133.56,percent of total billed charges,45% of total billed charges,141.91,38.25,,113.53,percent of total billed charges,38.25% of total billed charges,166.95,45,,133.56,percent of total billed charges,45% of total billed charges,166.95,45,,133.56,percent of total billed charges,45% of total billed charges,141.91,366.51,
PROHANCE 15ML VIAL,37799774,CDM,255,RC,A9579,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
PROHANCE 20ML VIAL,37799776,CDM,255,RC,A9579,HCPCS,OUTPATIENT,,,378,302.4,,359.1,95,,287.28,percent of total billed charges,95% of total billed charges,358.04,94.72,,286.43,percent of total billed charges,94.72% of total billed charges,373.43,98.79,,298.74,percent of total billed charges,98.79% of total billed charges,370.44,98,,296.35,percent of total billed charges,98% of total billed charges,370.44,98,,296.35,percent of total billed charges,98% of total billed charges,181.44,48,,145.15,percent of total billed charges,48% of total billed charges,170.1,45,,136.08,percent of total billed charges,45% of total billed charges,144.59,38.25,,115.67,percent of total billed charges,38.25% of total billed charges,170.1,45,,136.08,percent of total billed charges,45% of total billed charges,170.1,45,,136.08,percent of total billed charges,45% of total billed charges,144.59,373.43,
Nesacaine-MPF 20ml SDV,37597677,CDM,258,RC,,,OUTPATIENT,,,123,98.4,,116.85,95,,93.48,percent of total billed charges,95% of total billed charges,116.51,94.72,,93.21,percent of total billed charges,94.72% of total billed charges,121.51,98.79,,97.21,percent of total billed charges,98.79% of total billed charges,120.54,98,,96.43,percent of total billed charges,98% of total billed charges,120.54,98,,96.43,percent of total billed charges,98% of total billed charges,59.04,48,,47.23,percent of total billed charges,48% of total billed charges,55.35,45,,44.28,percent of total billed charges,45% of total billed charges,47.05,38.25,,37.64,percent of total billed charges,38.25% of total billed charges,55.35,45,,44.28,percent of total billed charges,45% of total billed charges,55.35,45,,44.28,percent of total billed charges,45% of total billed charges,47.05,121.51,
SODIUM CHLORIDE 0.9%  IV 50ML,37796012,CDM,258,RC,J7050,HCPCS,OUTPATIENT,,,59,47.2,,56.05,95,,44.84,percent of total billed charges,95% of total billed charges,55.88,94.72,,44.7,percent of total billed charges,94.72% of total billed charges,58.29,98.79,,46.63,percent of total billed charges,98.79% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,28.32,48,,22.66,percent of total billed charges,48% of total billed charges,26.55,45,,21.24,percent of total billed charges,45% of total billed charges,22.57,38.25,,18.06,percent of total billed charges,38.25% of total billed charges,26.55,45,,21.24,percent of total billed charges,45% of total billed charges,26.55,45,,21.24,percent of total billed charges,45% of total billed charges,22.57,58.29,
DEXAMETHASONE 8MG/50ML NS,37798704,CDM,258,RC,,,OUTPATIENT,,,90,72,,85.5,95,,68.4,percent of total billed charges,95% of total billed charges,85.25,94.72,,68.2,percent of total billed charges,94.72% of total billed charges,88.91,98.79,,71.13,percent of total billed charges,98.79% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,43.2,48,,34.56,percent of total billed charges,48% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,38.25,,27.54,percent of total billed charges,38.25% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,88.91,
IV Infusion Hydration Each Addl hour,96361,CDM,260,RC,96361,HCPCS,OUTPATIENT,,,74,59.2,,70.3,95,,56.24,percent of total billed charges,95% of total billed charges,70.09,94.72,,56.07,percent of total billed charges,94.72% of total billed charges,73.1,98.79,,58.48,percent of total billed charges,98.79% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,35.52,48,,28.42,percent of total billed charges,48% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,38.25,,22.65,percent of total billed charges,38.25% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,73.1,
IV Hydration ea. additional hr.,12745019,CDM,260,RC,96361,HCPCS,OUTPATIENT,,,74,59.2,,70.3,95,,56.24,percent of total billed charges,95% of total billed charges,70.09,94.72,,56.07,percent of total billed charges,94.72% of total billed charges,73.1,98.79,,58.48,percent of total billed charges,98.79% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,35.52,48,,28.42,percent of total billed charges,48% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,38.25,,22.65,percent of total billed charges,38.25% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,73.1,
IV MED IST HOUR,12745050,CDM,260,RC,96365,HCPCS,OUTPATIENT,,,294,235.2,,279.3,95,,223.44,percent of total billed charges,95% of total billed charges,278.48,94.72,,222.78,percent of total billed charges,94.72% of total billed charges,290.44,98.79,,232.35,percent of total billed charges,98.79% of total billed charges,288.12,98,,230.5,percent of total billed charges,98% of total billed charges,288.12,98,,230.5,percent of total billed charges,98% of total billed charges,141.12,48,,112.9,percent of total billed charges,48% of total billed charges,132.3,45,,105.84,percent of total billed charges,45% of total billed charges,112.46,38.25,,89.97,percent of total billed charges,38.25% of total billed charges,132.3,45,,105.84,percent of total billed charges,45% of total billed charges,132.3,45,,105.84,percent of total billed charges,45% of total billed charges,112.46,290.44,
IV MED EA  ADD'L HR,12745051,CDM,260,RC,96366,HCPCS,OUTPATIENT,,,140,112,,133,95,,106.4,percent of total billed charges,95% of total billed charges,132.61,94.72,,106.09,percent of total billed charges,94.72% of total billed charges,138.31,98.79,,110.65,percent of total billed charges,98.79% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,67.2,48,,53.76,percent of total billed charges,48% of total billed charges,63,45,,50.4,percent of total billed charges,45% of total billed charges,53.55,38.25,,42.84,percent of total billed charges,38.25% of total billed charges,63,45,,50.4,percent of total billed charges,45% of total billed charges,63,45,,50.4,percent of total billed charges,45% of total billed charges,53.55,138.31,
IV MED/ SEQUENTIAL 1ST HR DRUG ADDED,12745052,CDM,260,RC,96367,HCPCS,OUTPATIENT,,,171,136.8,,162.45,95,,129.96,percent of total billed charges,95% of total billed charges,161.97,94.72,,129.58,percent of total billed charges,94.72% of total billed charges,168.93,98.79,,135.14,percent of total billed charges,98.79% of total billed charges,167.58,98,,134.06,percent of total billed charges,98% of total billed charges,167.58,98,,134.06,percent of total billed charges,98% of total billed charges,82.08,48,,65.66,percent of total billed charges,48% of total billed charges,76.95,45,,61.56,percent of total billed charges,45% of total billed charges,65.41,38.25,,52.33,percent of total billed charges,38.25% of total billed charges,76.95,45,,61.56,percent of total billed charges,45% of total billed charges,76.95,45,,61.56,percent of total billed charges,45% of total billed charges,65.41,168.93,
IV MED/CONCURRENT IST HR,12745053,CDM,260,RC,96368,HCPCS,OUTPATIENT,,,87,69.6,,82.65,95,,66.12,percent of total billed charges,95% of total billed charges,82.41,94.72,,65.93,percent of total billed charges,94.72% of total billed charges,85.95,98.79,,68.76,percent of total billed charges,98.79% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,41.76,48,,33.41,percent of total billed charges,48% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,38.25,,26.62,percent of total billed charges,38.25% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,85.95,
IV PUSH MED<15MIN,12745054,CDM,260,RC,96374,HCPCS,OUTPATIENT,,,179,143.2,,170.05,95,,136.04,percent of total billed charges,95% of total billed charges,169.55,94.72,,135.64,percent of total billed charges,94.72% of total billed charges,176.83,98.79,,141.46,percent of total billed charges,98.79% of total billed charges,175.42,98,,140.34,percent of total billed charges,98% of total billed charges,175.42,98,,140.34,percent of total billed charges,98% of total billed charges,85.92,48,,68.74,percent of total billed charges,48% of total billed charges,80.55,45,,64.44,percent of total billed charges,45% of total billed charges,68.47,38.25,,54.78,percent of total billed charges,38.25% of total billed charges,80.55,45,,64.44,percent of total billed charges,45% of total billed charges,80.55,45,,64.44,percent of total billed charges,45% of total billed charges,68.47,176.83,
SUB Q INFUSION/SETUP 1ST HOUR,12796369,CDM,260,RC,96369,HCPCS,OUTPATIENT,,,592,473.6,,562.4,95,,449.92,percent of total billed charges,95% of total billed charges,560.74,94.72,,448.59,percent of total billed charges,94.72% of total billed charges,584.84,98.79,,467.87,percent of total billed charges,98.79% of total billed charges,580.16,98,,464.13,percent of total billed charges,98% of total billed charges,580.16,98,,464.13,percent of total billed charges,98% of total billed charges,284.16,48,,227.33,percent of total billed charges,48% of total billed charges,266.4,45,,213.12,percent of total billed charges,45% of total billed charges,226.44,38.25,,181.15,percent of total billed charges,38.25% of total billed charges,266.4,45,,213.12,percent of total billed charges,45% of total billed charges,266.4,45,,213.12,percent of total billed charges,45% of total billed charges,226.44,584.84,
SUB Q INFUSION>1 HOUR,12796370,CDM,260,RC,96370,HCPCS,OUTPATIENT,,,88,70.4,,83.6,95,,66.88,percent of total billed charges,95% of total billed charges,83.35,94.72,,66.68,percent of total billed charges,94.72% of total billed charges,86.94,98.79,,69.55,percent of total billed charges,98.79% of total billed charges,86.24,98,,68.99,percent of total billed charges,98% of total billed charges,86.24,98,,68.99,percent of total billed charges,98% of total billed charges,42.24,48,,33.79,percent of total billed charges,48% of total billed charges,39.6,45,,31.68,percent of total billed charges,45% of total billed charges,33.66,38.25,,26.93,percent of total billed charges,38.25% of total billed charges,39.6,45,,31.68,percent of total billed charges,45% of total billed charges,39.6,45,,31.68,percent of total billed charges,45% of total billed charges,33.66,86.94,
96372 INJ SQ OR im CHARGE,12796372,CDM,260,RC,96372,HCPCS,OUTPATIENT,,,82,65.6,,77.9,95,,62.32,percent of total billed charges,95% of total billed charges,77.67,94.72,,62.14,percent of total billed charges,94.72% of total billed charges,81.01,98.79,,64.81,percent of total billed charges,98.79% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,39.36,48,,31.49,percent of total billed charges,48% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,31.37,38.25,,25.1,percent of total billed charges,38.25% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,31.37,81.01,
SUB Q INFUSION>1 HOUR,15096370,CDM,260,RC,96370,HCPCS,OUTPATIENT,,,88,70.4,,83.6,95,,66.88,percent of total billed charges,95% of total billed charges,83.35,94.72,,66.68,percent of total billed charges,94.72% of total billed charges,86.94,98.79,,69.55,percent of total billed charges,98.79% of total billed charges,86.24,98,,68.99,percent of total billed charges,98% of total billed charges,86.24,98,,68.99,percent of total billed charges,98% of total billed charges,42.24,48,,33.79,percent of total billed charges,48% of total billed charges,39.6,45,,31.68,percent of total billed charges,45% of total billed charges,33.66,38.25,,26.93,percent of total billed charges,38.25% of total billed charges,39.6,45,,31.68,percent of total billed charges,45% of total billed charges,39.6,45,,31.68,percent of total billed charges,45% of total billed charges,33.66,86.94,
IV HYDR 1ST HOUR,20096360,CDM,260,RC,96360,HCPCS,OUTPATIENT,,,235,188,,223.25,95,,178.6,percent of total billed charges,95% of total billed charges,222.59,94.72,,178.07,percent of total billed charges,94.72% of total billed charges,232.16,98.79,,185.73,percent of total billed charges,98.79% of total billed charges,230.3,98,,184.24,percent of total billed charges,98% of total billed charges,230.3,98,,184.24,percent of total billed charges,98% of total billed charges,112.8,48,,90.24,percent of total billed charges,48% of total billed charges,105.75,45,,84.6,percent of total billed charges,45% of total billed charges,89.89,38.25,,71.91,percent of total billed charges,38.25% of total billed charges,105.75,45,,84.6,percent of total billed charges,45% of total billed charges,105.75,45,,84.6,percent of total billed charges,45% of total billed charges,89.89,232.16,
IV PUSH MED<15MIN ADD'L DRUG,20096375,CDM,260,RC,96375,HCPCS,OUTPATIENT,,,118,94.4,,112.1,95,,89.68,percent of total billed charges,95% of total billed charges,111.77,94.72,,89.42,percent of total billed charges,94.72% of total billed charges,116.57,98.79,,93.26,percent of total billed charges,98.79% of total billed charges,115.64,98,,92.51,percent of total billed charges,98% of total billed charges,115.64,98,,92.51,percent of total billed charges,98% of total billed charges,56.64,48,,45.31,percent of total billed charges,48% of total billed charges,53.1,45,,42.48,percent of total billed charges,45% of total billed charges,45.14,38.25,,36.11,percent of total billed charges,38.25% of total billed charges,53.1,45,,42.48,percent of total billed charges,45% of total billed charges,53.1,45,,42.48,percent of total billed charges,45% of total billed charges,45.14,116.57,
IV PUSH MED ADD'L>30MIN APART,20096376,CDM,260,RC,96376,HCPCS,OUTPATIENT,,,76,60.8,,72.2,95,,57.76,percent of total billed charges,95% of total billed charges,71.99,94.72,,57.59,percent of total billed charges,94.72% of total billed charges,75.08,98.79,,60.06,percent of total billed charges,98.79% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,36.48,48,,29.18,percent of total billed charges,48% of total billed charges,34.2,45,,27.36,percent of total billed charges,45% of total billed charges,29.07,38.25,,23.26,percent of total billed charges,38.25% of total billed charges,34.2,45,,27.36,percent of total billed charges,45% of total billed charges,34.2,45,,27.36,percent of total billed charges,45% of total billed charges,29.07,75.08,
INFUSION ROOM,12745020,CDM,269,RC,90780,HCPCS,OUTPATIENT,,,379,303.2,,360.05,95,,288.04,percent of total billed charges,95% of total billed charges,358.99,94.72,,287.19,percent of total billed charges,94.72% of total billed charges,374.41,98.79,,299.53,percent of total billed charges,98.79% of total billed charges,371.42,98,,297.14,percent of total billed charges,98% of total billed charges,371.42,98,,297.14,percent of total billed charges,98% of total billed charges,181.92,48,,145.54,percent of total billed charges,48% of total billed charges,170.55,45,,136.44,percent of total billed charges,45% of total billed charges,144.97,38.25,,115.98,percent of total billed charges,38.25% of total billed charges,170.55,45,,136.44,percent of total billed charges,45% of total billed charges,170.55,45,,136.44,percent of total billed charges,45% of total billed charges,144.97,374.41,
OXYGEN 0-12 HOURS CHARGE,7003516,CDM,270,RC,,,OUTPATIENT,,,301,240.8,,285.95,95,,228.76,percent of total billed charges,95% of total billed charges,285.11,94.72,,228.09,percent of total billed charges,94.72% of total billed charges,297.36,98.79,,237.89,percent of total billed charges,98.79% of total billed charges,294.98,98,,235.98,percent of total billed charges,98% of total billed charges,294.98,98,,235.98,percent of total billed charges,98% of total billed charges,144.48,48,,115.58,percent of total billed charges,48% of total billed charges,135.45,45,,108.36,percent of total billed charges,45% of total billed charges,115.13,38.25,,92.1,percent of total billed charges,38.25% of total billed charges,135.45,45,,108.36,percent of total billed charges,45% of total billed charges,135.45,45,,108.36,percent of total billed charges,45% of total billed charges,115.13,297.36,
OXYGEN 24 HOURS CHARGE,7003517,CDM,270,RC,,,OUTPATIENT,,,601,480.8,,570.95,95,,456.76,percent of total billed charges,95% of total billed charges,569.27,94.72,,455.42,percent of total billed charges,94.72% of total billed charges,593.73,98.79,,474.98,percent of total billed charges,98.79% of total billed charges,588.98,98,,471.18,percent of total billed charges,98% of total billed charges,588.98,98,,471.18,percent of total billed charges,98% of total billed charges,288.48,48,,230.78,percent of total billed charges,48% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,229.88,38.25,,183.9,percent of total billed charges,38.25% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,229.88,593.73,
DRSG PICO 10 X 40CM (STRL PUMP),7510001,CDM,270,RC,,,OUTPATIENT,,,397.5,318,,377.63,95,,302.1,percent of total billed charges,95% of total billed charges,376.51,94.72,,301.21,percent of total billed charges,94.72% of total billed charges,392.69,98.79,,314.15,percent of total billed charges,98.79% of total billed charges,389.55,98,,311.64,percent of total billed charges,98% of total billed charges,389.55,98,,311.64,percent of total billed charges,98% of total billed charges,190.8,48,,152.64,percent of total billed charges,48% of total billed charges,178.88,45,,143.1,percent of total billed charges,45% of total billed charges,152.04,38.25,,121.63,percent of total billed charges,38.25% of total billed charges,178.88,45,,143.1,percent of total billed charges,45% of total billed charges,178.88,45,,143.1,percent of total billed charges,45% of total billed charges,152.04,392.69,
DRSG PICO 10CM X 30CM (STRL PUMP),7510002,CDM,270,RC,,,OUTPATIENT,,,412,329.6,,391.4,95,,313.12,percent of total billed charges,95% of total billed charges,390.25,94.72,,312.2,percent of total billed charges,94.72% of total billed charges,407.01,98.79,,325.61,percent of total billed charges,98.79% of total billed charges,403.76,98,,323.01,percent of total billed charges,98% of total billed charges,403.76,98,,323.01,percent of total billed charges,98% of total billed charges,197.76,48,,158.21,percent of total billed charges,48% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,157.59,38.25,,126.07,percent of total billed charges,38.25% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,157.59,407.01,
DRSG PICO 25 X 25CM (STRL PUMP),7510003,CDM,270,RC,,,OUTPATIENT,,,412,329.6,,391.4,95,,313.12,percent of total billed charges,95% of total billed charges,390.25,94.72,,312.2,percent of total billed charges,94.72% of total billed charges,407.01,98.79,,325.61,percent of total billed charges,98.79% of total billed charges,403.76,98,,323.01,percent of total billed charges,98% of total billed charges,403.76,98,,323.01,percent of total billed charges,98% of total billed charges,197.76,48,,158.21,percent of total billed charges,48% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,157.59,38.25,,126.07,percent of total billed charges,38.25% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,157.59,407.01,
DRSG PICO 10 X 20CM (STRL),7510004,CDM,270,RC,,,OUTPATIENT,,,412,329.6,,391.4,95,,313.12,percent of total billed charges,95% of total billed charges,390.25,94.72,,312.2,percent of total billed charges,94.72% of total billed charges,407.01,98.79,,325.61,percent of total billed charges,98.79% of total billed charges,403.76,98,,323.01,percent of total billed charges,98% of total billed charges,403.76,98,,323.01,percent of total billed charges,98% of total billed charges,197.76,48,,158.21,percent of total billed charges,48% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,157.59,38.25,,126.07,percent of total billed charges,38.25% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,157.59,407.01,
DRSG PICO 15 X 20CM (STRL PUMP),7510005,CDM,270,RC,,,OUTPATIENT,,,412,329.6,,391.4,95,,313.12,percent of total billed charges,95% of total billed charges,390.25,94.72,,312.2,percent of total billed charges,94.72% of total billed charges,407.01,98.79,,325.61,percent of total billed charges,98.79% of total billed charges,403.76,98,,323.01,percent of total billed charges,98% of total billed charges,403.76,98,,323.01,percent of total billed charges,98% of total billed charges,197.76,48,,158.21,percent of total billed charges,48% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,157.59,38.25,,126.07,percent of total billed charges,38.25% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,157.59,407.01,
DRSG PICO MULTISITE (SML),7510006,CDM,270,RC,,,OUTPATIENT,,,412,329.6,,391.4,95,,313.12,percent of total billed charges,95% of total billed charges,390.25,94.72,,312.2,percent of total billed charges,94.72% of total billed charges,407.01,98.79,,325.61,percent of total billed charges,98.79% of total billed charges,403.76,98,,323.01,percent of total billed charges,98% of total billed charges,403.76,98,,323.01,percent of total billed charges,98% of total billed charges,197.76,48,,158.21,percent of total billed charges,48% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,157.59,38.25,,126.07,percent of total billed charges,38.25% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,157.59,407.01,
DRSG PICO MULTISITE (LRG),7510007,CDM,270,RC,,,OUTPATIENT,,,344.02,275.216,,326.82,95,,261.46,percent of total billed charges,95% of total billed charges,325.86,94.72,,260.69,percent of total billed charges,94.72% of total billed charges,339.86,98.79,,271.89,percent of total billed charges,98.79% of total billed charges,337.14,98,,269.71,percent of total billed charges,98% of total billed charges,337.14,98,,269.71,percent of total billed charges,98% of total billed charges,165.13,48,,132.1,percent of total billed charges,48% of total billed charges,154.81,45,,123.85,percent of total billed charges,45% of total billed charges,131.59,38.25,,105.27,percent of total billed charges,38.25% of total billed charges,154.81,45,,123.85,percent of total billed charges,45% of total billed charges,154.81,45,,123.85,percent of total billed charges,45% of total billed charges,131.59,339.86,
PICO 20 X 20CM (STRL),7510008,CDM,270,RC,,,OUTPATIENT,,,412,329.6,,391.4,95,,313.12,percent of total billed charges,95% of total billed charges,390.25,94.72,,312.2,percent of total billed charges,94.72% of total billed charges,407.01,98.79,,325.61,percent of total billed charges,98.79% of total billed charges,403.76,98,,323.01,percent of total billed charges,98% of total billed charges,403.76,98,,323.01,percent of total billed charges,98% of total billed charges,197.76,48,,158.21,percent of total billed charges,48% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,157.59,38.25,,126.07,percent of total billed charges,38.25% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,157.59,407.01,
DRSG PICO 15 X 15CM,7510009,CDM,270,RC,,,OUTPATIENT,,,411.5,329.2,,390.93,95,,312.74,percent of total billed charges,95% of total billed charges,389.77,94.72,,311.82,percent of total billed charges,94.72% of total billed charges,406.52,98.79,,325.22,percent of total billed charges,98.79% of total billed charges,403.27,98,,322.62,percent of total billed charges,98% of total billed charges,403.27,98,,322.62,percent of total billed charges,98% of total billed charges,197.52,48,,158.02,percent of total billed charges,48% of total billed charges,185.18,45,,148.14,percent of total billed charges,45% of total billed charges,157.4,38.25,,125.92,percent of total billed charges,38.25% of total billed charges,185.18,45,,148.14,percent of total billed charges,45% of total billed charges,185.18,45,,148.14,percent of total billed charges,45% of total billed charges,157.4,406.52,
MANIPULATOR UTERINE,7510010,CDM,270,RC,,,OUTPATIENT,,,107.5,86,,102.13,95,,81.7,percent of total billed charges,95% of total billed charges,101.82,94.72,,81.46,percent of total billed charges,94.72% of total billed charges,106.2,98.79,,84.96,percent of total billed charges,98.79% of total billed charges,105.35,98,,84.28,percent of total billed charges,98% of total billed charges,105.35,98,,84.28,percent of total billed charges,98% of total billed charges,51.6,48,,41.28,percent of total billed charges,48% of total billed charges,48.38,45,,38.7,percent of total billed charges,45% of total billed charges,41.12,38.25,,32.9,percent of total billed charges,38.25% of total billed charges,48.38,45,,38.7,percent of total billed charges,45% of total billed charges,48.38,45,,38.7,percent of total billed charges,45% of total billed charges,41.12,106.2,
PASTE STOMAHESIVE 2OZ,7510013,CDM,270,RC,,,OUTPATIENT,,,22,17.6,,20.9,95,,16.72,percent of total billed charges,95% of total billed charges,20.84,94.72,,16.67,percent of total billed charges,94.72% of total billed charges,21.73,98.79,,17.38,percent of total billed charges,98.79% of total billed charges,21.56,98,,17.25,percent of total billed charges,98% of total billed charges,21.56,98,,17.25,percent of total billed charges,98% of total billed charges,10.56,48,,8.45,percent of total billed charges,48% of total billed charges,9.9,45,,7.92,percent of total billed charges,45% of total billed charges,8.42,38.25,,6.74,percent of total billed charges,38.25% of total billed charges,9.9,45,,7.92,percent of total billed charges,45% of total billed charges,9.9,45,,7.92,percent of total billed charges,45% of total billed charges,8.42,21.73,
BAG URINARY LEG,7510016,CDM,270,RC,,,OUTPATIENT,,,7,5.6,,6.65,95,,5.32,percent of total billed charges,95% of total billed charges,6.63,94.72,,5.3,percent of total billed charges,94.72% of total billed charges,6.92,98.79,,5.54,percent of total billed charges,98.79% of total billed charges,6.86,98,,5.49,percent of total billed charges,98% of total billed charges,6.86,98,,5.49,percent of total billed charges,98% of total billed charges,3.36,48,,2.69,percent of total billed charges,48% of total billed charges,3.15,45,,2.52,percent of total billed charges,45% of total billed charges,2.68,38.25,,2.14,percent of total billed charges,38.25% of total billed charges,3.15,45,,2.52,percent of total billed charges,45% of total billed charges,3.15,45,,2.52,percent of total billed charges,45% of total billed charges,2.68,6.92,
BAG DRAINAGE URINE 2000ML,7510017,CDM,270,RC,,,OUTPATIENT,,,23.75,19,,22.56,95,,18.05,percent of total billed charges,95% of total billed charges,22.5,94.72,,18,percent of total billed charges,94.72% of total billed charges,23.46,98.79,,18.77,percent of total billed charges,98.79% of total billed charges,23.28,98,,18.62,percent of total billed charges,98% of total billed charges,23.28,98,,18.62,percent of total billed charges,98% of total billed charges,11.4,48,,9.12,percent of total billed charges,48% of total billed charges,10.69,45,,8.55,percent of total billed charges,45% of total billed charges,9.08,38.25,,7.26,percent of total billed charges,38.25% of total billed charges,10.69,45,,8.55,percent of total billed charges,45% of total billed charges,10.69,45,,8.55,percent of total billed charges,45% of total billed charges,9.08,23.46,
BANDAGE ACE WRAP 4  STERILE,7510022,CDM,270,RC,,,OUTPATIENT,,,4.5,3.6,,4.28,95,,3.42,percent of total billed charges,95% of total billed charges,4.26,94.72,,3.41,percent of total billed charges,94.72% of total billed charges,4.45,98.79,,3.56,percent of total billed charges,98.79% of total billed charges,4.41,98,,3.53,percent of total billed charges,98% of total billed charges,4.41,98,,3.53,percent of total billed charges,98% of total billed charges,2.16,48,,1.73,percent of total billed charges,48% of total billed charges,2.03,45,,1.62,percent of total billed charges,45% of total billed charges,1.72,38.25,,1.38,percent of total billed charges,38.25% of total billed charges,2.03,45,,1.62,percent of total billed charges,45% of total billed charges,2.03,45,,1.62,percent of total billed charges,45% of total billed charges,1.72,4.45,
BANDAGE ACE WRAP 6  STERILE,7510023,CDM,270,RC,,,OUTPATIENT,,,13,10.4,,12.35,95,,9.88,percent of total billed charges,95% of total billed charges,12.31,94.72,,9.85,percent of total billed charges,94.72% of total billed charges,12.84,98.79,,10.27,percent of total billed charges,98.79% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,6.24,48,,4.99,percent of total billed charges,48% of total billed charges,5.85,45,,4.68,percent of total billed charges,45% of total billed charges,4.97,38.25,,3.98,percent of total billed charges,38.25% of total billed charges,5.85,45,,4.68,percent of total billed charges,45% of total billed charges,5.85,45,,4.68,percent of total billed charges,45% of total billed charges,4.97,12.84,
PRONTOSAN WOUND IRRIGATION,7510035,CDM,270,RC,,,OUTPATIENT,,,53.25,42.6,,50.59,95,,40.47,percent of total billed charges,95% of total billed charges,50.44,94.72,,40.35,percent of total billed charges,94.72% of total billed charges,52.61,98.79,,42.09,percent of total billed charges,98.79% of total billed charges,52.19,98,,41.75,percent of total billed charges,98% of total billed charges,52.19,98,,41.75,percent of total billed charges,98% of total billed charges,25.56,48,,20.45,percent of total billed charges,48% of total billed charges,23.96,45,,19.17,percent of total billed charges,45% of total billed charges,20.37,38.25,,16.3,percent of total billed charges,38.25% of total billed charges,23.96,45,,19.17,percent of total billed charges,45% of total billed charges,23.96,45,,19.17,percent of total billed charges,45% of total billed charges,20.37,52.61,
20FT SUCTION TUBING,7510063,CDM,270,RC,,,OUTPATIENT,,,7,5.6,,6.65,95,,5.32,percent of total billed charges,95% of total billed charges,6.63,94.72,,5.3,percent of total billed charges,94.72% of total billed charges,6.92,98.79,,5.54,percent of total billed charges,98.79% of total billed charges,6.86,98,,5.49,percent of total billed charges,98% of total billed charges,6.86,98,,5.49,percent of total billed charges,98% of total billed charges,3.36,48,,2.69,percent of total billed charges,48% of total billed charges,3.15,45,,2.52,percent of total billed charges,45% of total billed charges,2.68,38.25,,2.14,percent of total billed charges,38.25% of total billed charges,3.15,45,,2.52,percent of total billed charges,45% of total billed charges,3.15,45,,2.52,percent of total billed charges,45% of total billed charges,2.68,6.92,
POWDER SILVER ARGLAES 5gm,7510075,CDM,270,RC,,,OUTPATIENT,,,81.25,65,,77.19,95,,61.75,percent of total billed charges,95% of total billed charges,76.96,94.72,,61.57,percent of total billed charges,94.72% of total billed charges,80.27,98.79,,64.22,percent of total billed charges,98.79% of total billed charges,79.63,98,,63.7,percent of total billed charges,98% of total billed charges,79.63,98,,63.7,percent of total billed charges,98% of total billed charges,39,48,,31.2,percent of total billed charges,48% of total billed charges,36.56,45,,29.25,percent of total billed charges,45% of total billed charges,31.08,38.25,,24.86,percent of total billed charges,38.25% of total billed charges,36.56,45,,29.25,percent of total billed charges,45% of total billed charges,36.56,45,,29.25,percent of total billed charges,45% of total billed charges,31.08,80.27,
BELT OSTOMY,7510077,CDM,270,RC,,,OUTPATIENT,,,15.75,12.6,,14.96,95,,11.97,percent of total billed charges,95% of total billed charges,14.92,94.72,,11.94,percent of total billed charges,94.72% of total billed charges,15.56,98.79,,12.45,percent of total billed charges,98.79% of total billed charges,15.44,98,,12.35,percent of total billed charges,98% of total billed charges,15.44,98,,12.35,percent of total billed charges,98% of total billed charges,7.56,48,,6.05,percent of total billed charges,48% of total billed charges,7.09,45,,5.67,percent of total billed charges,45% of total billed charges,6.02,38.25,,4.82,percent of total billed charges,38.25% of total billed charges,7.09,45,,5.67,percent of total billed charges,45% of total billed charges,7.09,45,,5.67,percent of total billed charges,45% of total billed charges,6.02,15.56,
POWDER STOMAHESIVE,7510080,CDM,270,RC,,,OUTPATIENT,,,15,12,,14.25,95,,11.4,percent of total billed charges,95% of total billed charges,14.21,94.72,,11.37,percent of total billed charges,94.72% of total billed charges,14.82,98.79,,11.86,percent of total billed charges,98.79% of total billed charges,14.7,98,,11.76,percent of total billed charges,98% of total billed charges,14.7,98,,11.76,percent of total billed charges,98% of total billed charges,7.2,48,,5.76,percent of total billed charges,48% of total billed charges,6.75,45,,5.4,percent of total billed charges,45% of total billed charges,5.74,38.25,,4.59,percent of total billed charges,38.25% of total billed charges,6.75,45,,5.4,percent of total billed charges,45% of total billed charges,6.75,45,,5.4,percent of total billed charges,45% of total billed charges,5.74,14.82,
KNIFE TRAPEZOID ANGELED 1.2 X 1.4,7510082,CDM,270,RC,,,OUTPATIENT,,,80.75,64.6,,76.71,95,,61.37,percent of total billed charges,95% of total billed charges,76.49,94.72,,61.19,percent of total billed charges,94.72% of total billed charges,79.77,98.79,,63.82,percent of total billed charges,98.79% of total billed charges,79.14,98,,63.31,percent of total billed charges,98% of total billed charges,79.14,98,,63.31,percent of total billed charges,98% of total billed charges,38.76,48,,31.01,percent of total billed charges,48% of total billed charges,36.34,45,,29.07,percent of total billed charges,45% of total billed charges,30.89,38.25,,24.71,percent of total billed charges,38.25% of total billed charges,36.34,45,,29.07,percent of total billed charges,45% of total billed charges,36.34,45,,29.07,percent of total billed charges,45% of total billed charges,30.89,79.77,
KNIFE TRAPEZOID ANGELED 2.5 X 2.9,7510083,CDM,270,RC,,,OUTPATIENT,,,103.75,83,,98.56,95,,78.85,percent of total billed charges,95% of total billed charges,98.27,94.72,,78.62,percent of total billed charges,94.72% of total billed charges,102.49,98.79,,81.99,percent of total billed charges,98.79% of total billed charges,101.68,98,,81.34,percent of total billed charges,98% of total billed charges,101.68,98,,81.34,percent of total billed charges,98% of total billed charges,49.8,48,,39.84,percent of total billed charges,48% of total billed charges,46.69,45,,37.35,percent of total billed charges,45% of total billed charges,39.68,38.25,,31.74,percent of total billed charges,38.25% of total billed charges,46.69,45,,37.35,percent of total billed charges,45% of total billed charges,46.69,45,,37.35,percent of total billed charges,45% of total billed charges,39.68,102.49,
CUSHION INVALID RING,7510104,CDM,270,RC,,,OUTPATIENT,,,7.75,6.2,,7.36,95,,5.89,percent of total billed charges,95% of total billed charges,7.34,94.72,,5.87,percent of total billed charges,94.72% of total billed charges,7.66,98.79,,6.13,percent of total billed charges,98.79% of total billed charges,7.6,98,,6.08,percent of total billed charges,98% of total billed charges,7.6,98,,6.08,percent of total billed charges,98% of total billed charges,3.72,48,,2.98,percent of total billed charges,48% of total billed charges,3.49,45,,2.79,percent of total billed charges,45% of total billed charges,2.96,38.25,,2.37,percent of total billed charges,38.25% of total billed charges,3.49,45,,2.79,percent of total billed charges,45% of total billed charges,3.49,45,,2.79,percent of total billed charges,45% of total billed charges,2.96,7.66,
IRRIGATION SET CYSTO/BLADDER,7510112,CDM,270,RC,,,OUTPATIENT,,,16.75,13.4,,15.91,95,,12.73,percent of total billed charges,95% of total billed charges,15.87,94.72,,12.7,percent of total billed charges,94.72% of total billed charges,16.55,98.79,,13.24,percent of total billed charges,98.79% of total billed charges,16.42,98,,13.14,percent of total billed charges,98% of total billed charges,16.42,98,,13.14,percent of total billed charges,98% of total billed charges,8.04,48,,6.43,percent of total billed charges,48% of total billed charges,7.54,45,,6.03,percent of total billed charges,45% of total billed charges,6.41,38.25,,5.13,percent of total billed charges,38.25% of total billed charges,7.54,45,,6.03,percent of total billed charges,45% of total billed charges,7.54,45,,6.03,percent of total billed charges,45% of total billed charges,6.41,16.55,
IRRIGATION SET CYSTO/BL,7510112,CDM,270,RC,,,OUTPATIENT,,,17,13.6,,16.15,95,,12.92,percent of total billed charges,95% of total billed charges,16.1,94.72,,12.88,percent of total billed charges,94.72% of total billed charges,16.79,98.79,,13.43,percent of total billed charges,98.79% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,8.16,48,,6.53,percent of total billed charges,48% of total billed charges,7.65,45,,6.12,percent of total billed charges,45% of total billed charges,6.5,38.25,,5.2,percent of total billed charges,38.25% of total billed charges,7.65,45,,6.12,percent of total billed charges,45% of total billed charges,7.65,45,,6.12,percent of total billed charges,45% of total billed charges,6.5,16.79,
KITTNER,7510142,CDM,270,RC,,,OUTPATIENT,,,73.25,58.6,,69.59,95,,55.67,percent of total billed charges,95% of total billed charges,69.38,94.72,,55.5,percent of total billed charges,94.72% of total billed charges,72.36,98.79,,57.89,percent of total billed charges,98.79% of total billed charges,71.79,98,,57.43,percent of total billed charges,98% of total billed charges,71.79,98,,57.43,percent of total billed charges,98% of total billed charges,35.16,48,,28.13,percent of total billed charges,48% of total billed charges,32.96,45,,26.37,percent of total billed charges,45% of total billed charges,28.02,38.25,,22.42,percent of total billed charges,38.25% of total billed charges,32.96,45,,26.37,percent of total billed charges,45% of total billed charges,32.96,45,,26.37,percent of total billed charges,45% of total billed charges,28.02,72.36,
NEEDLE TUOHY 22GA X 3.5,7510162,CDM,270,RC,,,OUTPATIENT,,,35.75,28.6,,33.96,95,,27.17,percent of total billed charges,95% of total billed charges,33.86,94.72,,27.09,percent of total billed charges,94.72% of total billed charges,35.32,98.79,,28.26,percent of total billed charges,98.79% of total billed charges,35.04,98,,28.03,percent of total billed charges,98% of total billed charges,35.04,98,,28.03,percent of total billed charges,98% of total billed charges,17.16,48,,13.73,percent of total billed charges,48% of total billed charges,16.09,45,,12.87,percent of total billed charges,45% of total billed charges,13.67,38.25,,10.94,percent of total billed charges,38.25% of total billed charges,16.09,45,,12.87,percent of total billed charges,45% of total billed charges,16.09,45,,12.87,percent of total billed charges,45% of total billed charges,13.67,35.32,
NEEDLE TOUHY LONG 20GA X 6,7510163,CDM,270,RC,,,OUTPATIENT,,,73.25,58.6,,69.59,95,,55.67,percent of total billed charges,95% of total billed charges,69.38,94.72,,55.5,percent of total billed charges,94.72% of total billed charges,72.36,98.79,,57.89,percent of total billed charges,98.79% of total billed charges,71.79,98,,57.43,percent of total billed charges,98% of total billed charges,71.79,98,,57.43,percent of total billed charges,98% of total billed charges,35.16,48,,28.13,percent of total billed charges,48% of total billed charges,32.96,45,,26.37,percent of total billed charges,45% of total billed charges,28.02,38.25,,22.42,percent of total billed charges,38.25% of total billed charges,32.96,45,,26.37,percent of total billed charges,45% of total billed charges,32.96,45,,26.37,percent of total billed charges,45% of total billed charges,28.02,72.36,
NEEDLE CHIBA 22GA X 10CM,7510165,CDM,270,RC,,,OUTPATIENT,,,51.25,41,,48.69,95,,38.95,percent of total billed charges,95% of total billed charges,48.54,94.72,,38.83,percent of total billed charges,94.72% of total billed charges,50.63,98.79,,40.5,percent of total billed charges,98.79% of total billed charges,50.23,98,,40.18,percent of total billed charges,98% of total billed charges,50.23,98,,40.18,percent of total billed charges,98% of total billed charges,24.6,48,,19.68,percent of total billed charges,48% of total billed charges,23.06,45,,18.45,percent of total billed charges,45% of total billed charges,19.6,38.25,,15.68,percent of total billed charges,38.25% of total billed charges,23.06,45,,18.45,percent of total billed charges,45% of total billed charges,23.06,45,,18.45,percent of total billed charges,45% of total billed charges,19.6,50.63,
NEELDE CHIBA 22GA X 10C,7510165,CDM,270,RC,,,OUTPATIENT,,,52,41.6,,49.4,95,,39.52,percent of total billed charges,95% of total billed charges,49.25,94.72,,39.4,percent of total billed charges,94.72% of total billed charges,51.37,98.79,,41.1,percent of total billed charges,98.79% of total billed charges,50.96,98,,40.77,percent of total billed charges,98% of total billed charges,50.96,98,,40.77,percent of total billed charges,98% of total billed charges,24.96,48,,19.97,percent of total billed charges,48% of total billed charges,23.4,45,,18.72,percent of total billed charges,45% of total billed charges,19.89,38.25,,15.91,percent of total billed charges,38.25% of total billed charges,23.4,45,,18.72,percent of total billed charges,45% of total billed charges,23.4,45,,18.72,percent of total billed charges,45% of total billed charges,19.89,51.37,
NEEDLE TUOHY 20GA X 3.5,7510166,CDM,270,RC,,,OUTPATIENT,,,26.25,21,,24.94,95,,19.95,percent of total billed charges,95% of total billed charges,24.86,94.72,,19.89,percent of total billed charges,94.72% of total billed charges,25.93,98.79,,20.74,percent of total billed charges,98.79% of total billed charges,25.73,98,,20.58,percent of total billed charges,98% of total billed charges,25.73,98,,20.58,percent of total billed charges,98% of total billed charges,12.6,48,,10.08,percent of total billed charges,48% of total billed charges,11.81,45,,9.45,percent of total billed charges,45% of total billed charges,10.04,38.25,,8.03,percent of total billed charges,38.25% of total billed charges,11.81,45,,9.45,percent of total billed charges,45% of total billed charges,11.81,45,,9.45,percent of total billed charges,45% of total billed charges,10.04,25.93,
Percutaneous Entry Thinwall Needle,7510169,CDM,270,RC,,,OUTPATIENT,,,17,13.6,,16.15,95,,12.92,percent of total billed charges,95% of total billed charges,16.1,94.72,,12.88,percent of total billed charges,94.72% of total billed charges,16.79,98.79,,13.43,percent of total billed charges,98.79% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,8.16,48,,6.53,percent of total billed charges,48% of total billed charges,7.65,45,,6.12,percent of total billed charges,45% of total billed charges,6.5,38.25,,5.2,percent of total billed charges,38.25% of total billed charges,7.65,45,,6.12,percent of total billed charges,45% of total billed charges,7.65,45,,6.12,percent of total billed charges,45% of total billed charges,6.5,16.79,
NEEDLE COAXIL BIOPSY,7510180,CDM,270,RC,,,OUTPATIENT,,,72.75,58.2,,69.11,95,,55.29,percent of total billed charges,95% of total billed charges,68.91,94.72,,55.13,percent of total billed charges,94.72% of total billed charges,71.87,98.79,,57.5,percent of total billed charges,98.79% of total billed charges,71.3,98,,57.04,percent of total billed charges,98% of total billed charges,71.3,98,,57.04,percent of total billed charges,98% of total billed charges,34.92,48,,27.94,percent of total billed charges,48% of total billed charges,32.74,45,,26.19,percent of total billed charges,45% of total billed charges,27.83,38.25,,22.26,percent of total billed charges,38.25% of total billed charges,32.74,45,,26.19,percent of total billed charges,45% of total billed charges,32.74,45,,26.19,percent of total billed charges,45% of total billed charges,27.83,71.87,
NEEDLE STIMUPLEX 21GA X 4,7510187,CDM,270,RC,,,OUTPATIENT,,,48.75,39,,46.31,95,,37.05,percent of total billed charges,95% of total billed charges,46.18,94.72,,36.94,percent of total billed charges,94.72% of total billed charges,48.16,98.79,,38.53,percent of total billed charges,98.79% of total billed charges,47.78,98,,38.22,percent of total billed charges,98% of total billed charges,47.78,98,,38.22,percent of total billed charges,98% of total billed charges,23.4,48,,18.72,percent of total billed charges,48% of total billed charges,21.94,45,,17.55,percent of total billed charges,45% of total billed charges,18.65,38.25,,14.92,percent of total billed charges,38.25% of total billed charges,21.94,45,,17.55,percent of total billed charges,45% of total billed charges,21.94,45,,17.55,percent of total billed charges,45% of total billed charges,18.65,48.16,
NEEDLE STIMUPLEX 20GA X 6,7510188,CDM,270,RC,,,OUTPATIENT,,,54.25,43.4,,51.54,95,,41.23,percent of total billed charges,95% of total billed charges,51.39,94.72,,41.11,percent of total billed charges,94.72% of total billed charges,53.59,98.79,,42.87,percent of total billed charges,98.79% of total billed charges,53.17,98,,42.54,percent of total billed charges,98% of total billed charges,53.17,98,,42.54,percent of total billed charges,98% of total billed charges,26.04,48,,20.83,percent of total billed charges,48% of total billed charges,24.41,45,,19.53,percent of total billed charges,45% of total billed charges,20.75,38.25,,16.6,percent of total billed charges,38.25% of total billed charges,24.41,45,,19.53,percent of total billed charges,45% of total billed charges,24.41,45,,19.53,percent of total billed charges,45% of total billed charges,20.75,53.59,
NEEDLE SPINAL 20GA X 10,7510189,CDM,270,RC,,,OUTPATIENT,,,60,48,,57,95,,45.6,percent of total billed charges,95% of total billed charges,56.83,94.72,,45.46,percent of total billed charges,94.72% of total billed charges,59.27,98.79,,47.42,percent of total billed charges,98.79% of total billed charges,58.8,98,,47.04,percent of total billed charges,98% of total billed charges,58.8,98,,47.04,percent of total billed charges,98% of total billed charges,28.8,48,,23.04,percent of total billed charges,48% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,22.95,38.25,,18.36,percent of total billed charges,38.25% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,22.95,59.27,
NEEDLE SPINAL 20GA X 8,7510190,CDM,270,RC,,,OUTPATIENT,,,75,60,,71.25,95,,57,percent of total billed charges,95% of total billed charges,71.04,94.72,,56.83,percent of total billed charges,94.72% of total billed charges,74.09,98.79,,59.27,percent of total billed charges,98.79% of total billed charges,73.5,98,,58.8,percent of total billed charges,98% of total billed charges,73.5,98,,58.8,percent of total billed charges,98% of total billed charges,36,48,,28.8,percent of total billed charges,48% of total billed charges,33.75,45,,27,percent of total billed charges,45% of total billed charges,28.69,38.25,,22.95,percent of total billed charges,38.25% of total billed charges,33.75,45,,27,percent of total billed charges,45% of total billed charges,33.75,45,,27,percent of total billed charges,45% of total billed charges,28.69,74.09,
NEEDLE SPINAL 25ga X 5 WHITACRE,7510195,CDM,270,RC,,,OUTPATIENT,,,44.25,35.4,,42.04,95,,33.63,percent of total billed charges,95% of total billed charges,41.91,94.72,,33.53,percent of total billed charges,94.72% of total billed charges,43.71,98.79,,34.97,percent of total billed charges,98.79% of total billed charges,43.37,98,,34.7,percent of total billed charges,98% of total billed charges,43.37,98,,34.7,percent of total billed charges,98% of total billed charges,21.24,48,,16.99,percent of total billed charges,48% of total billed charges,19.91,45,,15.93,percent of total billed charges,45% of total billed charges,16.93,38.25,,13.54,percent of total billed charges,38.25% of total billed charges,19.91,45,,15.93,percent of total billed charges,45% of total billed charges,19.91,45,,15.93,percent of total billed charges,45% of total billed charges,16.93,43.71,
NEEDLE SPINAL 25ga X 6 PENCAN,7510196,CDM,270,RC,,,OUTPATIENT,,,34.5,27.6,,32.78,95,,26.22,percent of total billed charges,95% of total billed charges,32.68,94.72,,26.14,percent of total billed charges,94.72% of total billed charges,34.08,98.79,,27.26,percent of total billed charges,98.79% of total billed charges,33.81,98,,27.05,percent of total billed charges,98% of total billed charges,33.81,98,,27.05,percent of total billed charges,98% of total billed charges,16.56,48,,13.25,percent of total billed charges,48% of total billed charges,15.53,45,,12.42,percent of total billed charges,45% of total billed charges,13.2,38.25,,10.56,percent of total billed charges,38.25% of total billed charges,15.53,45,,12.42,percent of total billed charges,45% of total billed charges,15.53,45,,12.42,percent of total billed charges,45% of total billed charges,13.2,34.08,
NEEDLE STIMUPLEX 22GA X 1,7510197,CDM,270,RC,,,OUTPATIENT,,,41.25,33,,39.19,95,,31.35,percent of total billed charges,95% of total billed charges,39.07,94.72,,31.26,percent of total billed charges,94.72% of total billed charges,40.75,98.79,,32.6,percent of total billed charges,98.79% of total billed charges,40.43,98,,32.34,percent of total billed charges,98% of total billed charges,40.43,98,,32.34,percent of total billed charges,98% of total billed charges,19.8,48,,15.84,percent of total billed charges,48% of total billed charges,18.56,45,,14.85,percent of total billed charges,45% of total billed charges,15.78,38.25,,12.62,percent of total billed charges,38.25% of total billed charges,18.56,45,,14.85,percent of total billed charges,45% of total billed charges,18.56,45,,14.85,percent of total billed charges,45% of total billed charges,15.78,40.75,
NEEDLE STIMUPLEX 22GA X 2,7510198,CDM,270,RC,,,OUTPATIENT,,,41.25,33,,39.19,95,,31.35,percent of total billed charges,95% of total billed charges,39.07,94.72,,31.26,percent of total billed charges,94.72% of total billed charges,40.75,98.79,,32.6,percent of total billed charges,98.79% of total billed charges,40.43,98,,32.34,percent of total billed charges,98% of total billed charges,40.43,98,,32.34,percent of total billed charges,98% of total billed charges,19.8,48,,15.84,percent of total billed charges,48% of total billed charges,18.56,45,,14.85,percent of total billed charges,45% of total billed charges,15.78,38.25,,12.62,percent of total billed charges,38.25% of total billed charges,18.56,45,,14.85,percent of total billed charges,45% of total billed charges,18.56,45,,14.85,percent of total billed charges,45% of total billed charges,15.78,40.75,
PACK UROLOGY,7510205,CDM,270,RC,,,OUTPATIENT,,,46,36.8,,43.7,95,,34.96,percent of total billed charges,95% of total billed charges,43.57,94.72,,34.86,percent of total billed charges,94.72% of total billed charges,45.44,98.79,,36.35,percent of total billed charges,98.79% of total billed charges,45.08,98,,36.06,percent of total billed charges,98% of total billed charges,45.08,98,,36.06,percent of total billed charges,98% of total billed charges,22.08,48,,17.66,percent of total billed charges,48% of total billed charges,20.7,45,,16.56,percent of total billed charges,45% of total billed charges,17.6,38.25,,14.08,percent of total billed charges,38.25% of total billed charges,20.7,45,,16.56,percent of total billed charges,45% of total billed charges,20.7,45,,16.56,percent of total billed charges,45% of total billed charges,17.6,45.44,
PAD HEEL AND ELBOW,7510211,CDM,270,RC,,,OUTPATIENT,,,20.75,16.6,,19.71,95,,15.77,percent of total billed charges,95% of total billed charges,19.65,94.72,,15.72,percent of total billed charges,94.72% of total billed charges,20.5,98.79,,16.4,percent of total billed charges,98.79% of total billed charges,20.34,98,,16.27,percent of total billed charges,98% of total billed charges,20.34,98,,16.27,percent of total billed charges,98% of total billed charges,9.96,48,,7.97,percent of total billed charges,48% of total billed charges,9.34,45,,7.47,percent of total billed charges,45% of total billed charges,7.94,38.25,,6.35,percent of total billed charges,38.25% of total billed charges,9.34,45,,7.47,percent of total billed charges,45% of total billed charges,9.34,45,,7.47,percent of total billed charges,45% of total billed charges,7.94,20.5,
BRUSH INTRAMEDULLARY 14mm,7510228,CDM,270,RC,,,OUTPATIENT,,,65.75,52.6,,62.46,95,,49.97,percent of total billed charges,95% of total billed charges,62.28,94.72,,49.82,percent of total billed charges,94.72% of total billed charges,64.95,98.79,,51.96,percent of total billed charges,98.79% of total billed charges,64.44,98,,51.55,percent of total billed charges,98% of total billed charges,64.44,98,,51.55,percent of total billed charges,98% of total billed charges,31.56,48,,25.25,percent of total billed charges,48% of total billed charges,29.59,45,,23.67,percent of total billed charges,45% of total billed charges,25.15,38.25,,20.12,percent of total billed charges,38.25% of total billed charges,29.59,45,,23.67,percent of total billed charges,45% of total billed charges,29.59,45,,23.67,percent of total billed charges,45% of total billed charges,25.15,64.95,
CEMENT SCULPS (2pk),7510229,CDM,270,RC,,,OUTPATIENT,,,99.25,79.4,,94.29,95,,75.43,percent of total billed charges,95% of total billed charges,94.01,94.72,,75.21,percent of total billed charges,94.72% of total billed charges,98.05,98.79,,78.44,percent of total billed charges,98.79% of total billed charges,97.27,98,,77.82,percent of total billed charges,98% of total billed charges,97.27,98,,77.82,percent of total billed charges,98% of total billed charges,47.64,48,,38.11,percent of total billed charges,48% of total billed charges,44.66,45,,35.73,percent of total billed charges,45% of total billed charges,37.96,38.25,,30.37,percent of total billed charges,38.25% of total billed charges,44.66,45,,35.73,percent of total billed charges,45% of total billed charges,44.66,45,,35.73,percent of total billed charges,45% of total billed charges,37.96,98.05,
CEMENT MIXING (HIVAC) CLEARMIX,7510230,CDM,270,RC,,,OUTPATIENT,,,275.25,220.2,,261.49,95,,209.19,percent of total billed charges,95% of total billed charges,260.72,94.72,,208.58,percent of total billed charges,94.72% of total billed charges,271.92,98.79,,217.54,percent of total billed charges,98.79% of total billed charges,269.75,98,,215.8,percent of total billed charges,98% of total billed charges,269.75,98,,215.8,percent of total billed charges,98% of total billed charges,132.12,48,,105.7,percent of total billed charges,48% of total billed charges,123.86,45,,99.09,percent of total billed charges,45% of total billed charges,105.28,38.25,,84.22,percent of total billed charges,38.25% of total billed charges,123.86,45,,99.09,percent of total billed charges,45% of total billed charges,123.86,45,,99.09,percent of total billed charges,45% of total billed charges,105.28,271.92,
BLOOD REINFUSION SYSTEM,7510231,CDM,270,RC,,,OUTPATIENT,,,280,224,,266,95,,212.8,percent of total billed charges,95% of total billed charges,265.22,94.72,,212.18,percent of total billed charges,94.72% of total billed charges,276.61,98.79,,221.29,percent of total billed charges,98.79% of total billed charges,274.4,98,,219.52,percent of total billed charges,98% of total billed charges,274.4,98,,219.52,percent of total billed charges,98% of total billed charges,134.4,48,,107.52,percent of total billed charges,48% of total billed charges,126,45,,100.8,percent of total billed charges,45% of total billed charges,107.1,38.25,,85.68,percent of total billed charges,38.25% of total billed charges,126,45,,100.8,percent of total billed charges,45% of total billed charges,126,45,,100.8,percent of total billed charges,45% of total billed charges,107.1,276.61,
PULSAVAC FAN SPRAY KIT,7510232,CDM,270,RC,,,OUTPATIENT,,,80,64,,76,95,,60.8,percent of total billed charges,95% of total billed charges,75.78,94.72,,60.62,percent of total billed charges,94.72% of total billed charges,79.03,98.79,,63.22,percent of total billed charges,98.79% of total billed charges,78.4,98,,62.72,percent of total billed charges,98% of total billed charges,78.4,98,,62.72,percent of total billed charges,98% of total billed charges,38.4,48,,30.72,percent of total billed charges,48% of total billed charges,36,45,,28.8,percent of total billed charges,45% of total billed charges,30.6,38.25,,24.48,percent of total billed charges,38.25% of total billed charges,36,45,,28.8,percent of total billed charges,45% of total billed charges,36,45,,28.8,percent of total billed charges,45% of total billed charges,30.6,79.03,
TUBING ARTHROSCOPY PUMP SET FLOSTEADY,7510245,CDM,270,RC,,,OUTPATIENT,,,105.5,84.4,,100.23,95,,80.18,percent of total billed charges,95% of total billed charges,99.93,94.72,,79.94,percent of total billed charges,94.72% of total billed charges,104.22,98.79,,83.38,percent of total billed charges,98.79% of total billed charges,103.39,98,,82.71,percent of total billed charges,98% of total billed charges,103.39,98,,82.71,percent of total billed charges,98% of total billed charges,50.64,48,,40.51,percent of total billed charges,48% of total billed charges,47.48,45,,37.98,percent of total billed charges,45% of total billed charges,40.35,38.25,,32.28,percent of total billed charges,38.25% of total billed charges,47.48,45,,37.98,percent of total billed charges,45% of total billed charges,47.48,45,,37.98,percent of total billed charges,45% of total billed charges,40.35,104.22,
TUBING ARTHROSCOPY PUMP SET CROSSFLOW INFLOW,7510247,CDM,270,RC,,,OUTPATIENT,,,91.75,73.4,,87.16,95,,69.73,percent of total billed charges,95% of total billed charges,86.91,94.72,,69.53,percent of total billed charges,94.72% of total billed charges,90.64,98.79,,72.51,percent of total billed charges,98.79% of total billed charges,89.92,98,,71.94,percent of total billed charges,98% of total billed charges,89.92,98,,71.94,percent of total billed charges,98% of total billed charges,44.04,48,,35.23,percent of total billed charges,48% of total billed charges,41.29,45,,33.03,percent of total billed charges,45% of total billed charges,35.09,38.25,,28.07,percent of total billed charges,38.25% of total billed charges,41.29,45,,33.03,percent of total billed charges,45% of total billed charges,41.29,45,,33.03,percent of total billed charges,45% of total billed charges,35.09,90.64,
STOCKING KNEE HIGH SM SHORT,7510251,CDM,270,RC,,,OUTPATIENT,,,37.25,29.8,,35.39,95,,28.31,percent of total billed charges,95% of total billed charges,35.28,94.72,,28.22,percent of total billed charges,94.72% of total billed charges,36.8,98.79,,29.44,percent of total billed charges,98.79% of total billed charges,36.51,98,,29.21,percent of total billed charges,98% of total billed charges,36.51,98,,29.21,percent of total billed charges,98% of total billed charges,17.88,48,,14.3,percent of total billed charges,48% of total billed charges,16.76,45,,13.41,percent of total billed charges,45% of total billed charges,14.25,38.25,,11.4,percent of total billed charges,38.25% of total billed charges,16.76,45,,13.41,percent of total billed charges,45% of total billed charges,16.76,45,,13.41,percent of total billed charges,45% of total billed charges,14.25,36.8,
STOCKING T.E.D. KNEE XLG REG,7510258,CDM,270,RC,,,OUTPATIENT,,,9.75,7.8,,9.26,95,,7.41,percent of total billed charges,95% of total billed charges,9.24,94.72,,7.39,percent of total billed charges,94.72% of total billed charges,9.63,98.79,,7.7,percent of total billed charges,98.79% of total billed charges,9.56,98,,7.65,percent of total billed charges,98% of total billed charges,9.56,98,,7.65,percent of total billed charges,98% of total billed charges,4.68,48,,3.74,percent of total billed charges,48% of total billed charges,4.39,45,,3.51,percent of total billed charges,45% of total billed charges,3.73,38.25,,2.98,percent of total billed charges,38.25% of total billed charges,4.39,45,,3.51,percent of total billed charges,45% of total billed charges,4.39,45,,3.51,percent of total billed charges,45% of total billed charges,3.73,9.63,
STOCKING T.E.D. KNEE LG REG,7510259,CDM,270,RC,,,OUTPATIENT,,,11.5,9.2,,10.93,95,,8.74,percent of total billed charges,95% of total billed charges,10.89,94.72,,8.71,percent of total billed charges,94.72% of total billed charges,11.36,98.79,,9.09,percent of total billed charges,98.79% of total billed charges,11.27,98,,9.02,percent of total billed charges,98% of total billed charges,11.27,98,,9.02,percent of total billed charges,98% of total billed charges,5.52,48,,4.42,percent of total billed charges,48% of total billed charges,5.18,45,,4.14,percent of total billed charges,45% of total billed charges,4.4,38.25,,3.52,percent of total billed charges,38.25% of total billed charges,5.18,45,,4.14,percent of total billed charges,45% of total billed charges,5.18,45,,4.14,percent of total billed charges,45% of total billed charges,4.4,11.36,
STOCKING T.E.D. KNEE MED REG,7510260,CDM,270,RC,,,OUTPATIENT,,,35,28,,33.25,95,,26.6,percent of total billed charges,95% of total billed charges,33.15,94.72,,26.52,percent of total billed charges,94.72% of total billed charges,34.58,98.79,,27.66,percent of total billed charges,98.79% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,16.8,48,,13.44,percent of total billed charges,48% of total billed charges,15.75,45,,12.6,percent of total billed charges,45% of total billed charges,13.39,38.25,,10.71,percent of total billed charges,38.25% of total billed charges,15.75,45,,12.6,percent of total billed charges,45% of total billed charges,15.75,45,,12.6,percent of total billed charges,45% of total billed charges,13.39,34.58,
STOCKING T.E.D. KNEE SM REG,7510261,CDM,270,RC,,,OUTPATIENT,,,11.5,9.2,,10.93,95,,8.74,percent of total billed charges,95% of total billed charges,10.89,94.72,,8.71,percent of total billed charges,94.72% of total billed charges,11.36,98.79,,9.09,percent of total billed charges,98.79% of total billed charges,11.27,98,,9.02,percent of total billed charges,98% of total billed charges,11.27,98,,9.02,percent of total billed charges,98% of total billed charges,5.52,48,,4.42,percent of total billed charges,48% of total billed charges,5.18,45,,4.14,percent of total billed charges,45% of total billed charges,4.4,38.25,,3.52,percent of total billed charges,38.25% of total billed charges,5.18,45,,4.14,percent of total billed charges,45% of total billed charges,5.18,45,,4.14,percent of total billed charges,45% of total billed charges,4.4,11.36,
STOCKING T.E.D.THIGH XLG LONG,7510262,CDM,270,RC,,,OUTPATIENT,,,65.25,52.2,,61.99,95,,49.59,percent of total billed charges,95% of total billed charges,61.8,94.72,,49.44,percent of total billed charges,94.72% of total billed charges,64.46,98.79,,51.57,percent of total billed charges,98.79% of total billed charges,63.95,98,,51.16,percent of total billed charges,98% of total billed charges,63.95,98,,51.16,percent of total billed charges,98% of total billed charges,31.32,48,,25.06,percent of total billed charges,48% of total billed charges,29.36,45,,23.49,percent of total billed charges,45% of total billed charges,24.96,38.25,,19.97,percent of total billed charges,38.25% of total billed charges,29.36,45,,23.49,percent of total billed charges,45% of total billed charges,29.36,45,,23.49,percent of total billed charges,45% of total billed charges,24.96,64.46,
STOCKING T.E.D.THIGH LG REG,7510264,CDM,270,RC,,,OUTPATIENT,,,32,25.6,,30.4,95,,24.32,percent of total billed charges,95% of total billed charges,30.31,94.72,,24.25,percent of total billed charges,94.72% of total billed charges,31.61,98.79,,25.29,percent of total billed charges,98.79% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,15.36,48,,12.29,percent of total billed charges,48% of total billed charges,14.4,45,,11.52,percent of total billed charges,45% of total billed charges,12.24,38.25,,9.79,percent of total billed charges,38.25% of total billed charges,14.4,45,,11.52,percent of total billed charges,45% of total billed charges,14.4,45,,11.52,percent of total billed charges,45% of total billed charges,12.24,31.61,
STOCKING T.E.D.THIGH MED REG,7510265,CDM,270,RC,,,OUTPATIENT,,,36.5,29.2,,34.68,95,,27.74,percent of total billed charges,95% of total billed charges,34.57,94.72,,27.66,percent of total billed charges,94.72% of total billed charges,36.06,98.79,,28.85,percent of total billed charges,98.79% of total billed charges,35.77,98,,28.62,percent of total billed charges,98% of total billed charges,35.77,98,,28.62,percent of total billed charges,98% of total billed charges,17.52,48,,14.02,percent of total billed charges,48% of total billed charges,16.43,45,,13.14,percent of total billed charges,45% of total billed charges,13.96,38.25,,11.17,percent of total billed charges,38.25% of total billed charges,16.43,45,,13.14,percent of total billed charges,45% of total billed charges,16.43,45,,13.14,percent of total billed charges,45% of total billed charges,13.96,36.06,
STOCKING T.E.D.THIGH SM REG,7510266,CDM,270,RC,,,OUTPATIENT,,,40.75,32.6,,38.71,95,,30.97,percent of total billed charges,95% of total billed charges,38.6,94.72,,30.88,percent of total billed charges,94.72% of total billed charges,40.26,98.79,,32.21,percent of total billed charges,98.79% of total billed charges,39.94,98,,31.95,percent of total billed charges,98% of total billed charges,39.94,98,,31.95,percent of total billed charges,98% of total billed charges,19.56,48,,15.65,percent of total billed charges,48% of total billed charges,18.34,45,,14.67,percent of total billed charges,45% of total billed charges,15.59,38.25,,12.47,percent of total billed charges,38.25% of total billed charges,18.34,45,,14.67,percent of total billed charges,45% of total billed charges,18.34,45,,14.67,percent of total billed charges,45% of total billed charges,15.59,40.26,
BLADE INCISOR 4.5,7510276,CDM,270,RC,,,OUTPATIENT,,,172.5,138,,163.88,95,,131.1,percent of total billed charges,95% of total billed charges,163.39,94.72,,130.71,percent of total billed charges,94.72% of total billed charges,170.41,98.79,,136.33,percent of total billed charges,98.79% of total billed charges,169.05,98,,135.24,percent of total billed charges,98% of total billed charges,169.05,98,,135.24,percent of total billed charges,98% of total billed charges,82.8,48,,66.24,percent of total billed charges,48% of total billed charges,77.63,45,,62.1,percent of total billed charges,45% of total billed charges,65.98,38.25,,52.78,percent of total billed charges,38.25% of total billed charges,77.63,45,,62.1,percent of total billed charges,45% of total billed charges,77.63,45,,62.1,percent of total billed charges,45% of total billed charges,65.98,170.41,
NEEDLE INTRAOSSEOUS EZ-IO ADULT,7510302,CDM,270,RC,,,OUTPATIENT,,,221.75,177.4,,210.66,95,,168.53,percent of total billed charges,95% of total billed charges,210.04,94.72,,168.03,percent of total billed charges,94.72% of total billed charges,219.07,98.79,,175.26,percent of total billed charges,98.79% of total billed charges,217.32,98,,173.86,percent of total billed charges,98% of total billed charges,217.32,98,,173.86,percent of total billed charges,98% of total billed charges,106.44,48,,85.15,percent of total billed charges,48% of total billed charges,99.79,45,,79.83,percent of total billed charges,45% of total billed charges,84.82,38.25,,67.86,percent of total billed charges,38.25% of total billed charges,99.79,45,,79.83,percent of total billed charges,45% of total billed charges,99.79,45,,79.83,percent of total billed charges,45% of total billed charges,84.82,219.07,
NEEDLE INTRAOSSEOUS EZ-IO PEDIATRIC,7510303,CDM,270,RC,,,OUTPATIENT,,,221.75,177.4,,210.66,95,,168.53,percent of total billed charges,95% of total billed charges,210.04,94.72,,168.03,percent of total billed charges,94.72% of total billed charges,219.07,98.79,,175.26,percent of total billed charges,98.79% of total billed charges,217.32,98,,173.86,percent of total billed charges,98% of total billed charges,217.32,98,,173.86,percent of total billed charges,98% of total billed charges,106.44,48,,85.15,percent of total billed charges,48% of total billed charges,99.79,45,,79.83,percent of total billed charges,45% of total billed charges,84.82,38.25,,67.86,percent of total billed charges,38.25% of total billed charges,99.79,45,,79.83,percent of total billed charges,45% of total billed charges,99.79,45,,79.83,percent of total billed charges,45% of total billed charges,84.82,219.07,
NEEDLE INTRAOSSEOUS EZ-IO BARIATRIC,7510304,CDM,270,RC,,,OUTPATIENT,,,221.75,177.4,,210.66,95,,168.53,percent of total billed charges,95% of total billed charges,210.04,94.72,,168.03,percent of total billed charges,94.72% of total billed charges,219.07,98.79,,175.26,percent of total billed charges,98.79% of total billed charges,217.32,98,,173.86,percent of total billed charges,98% of total billed charges,217.32,98,,173.86,percent of total billed charges,98% of total billed charges,106.44,48,,85.15,percent of total billed charges,48% of total billed charges,99.79,45,,79.83,percent of total billed charges,45% of total billed charges,84.82,38.25,,67.86,percent of total billed charges,38.25% of total billed charges,99.79,45,,79.83,percent of total billed charges,45% of total billed charges,99.79,45,,79.83,percent of total billed charges,45% of total billed charges,84.82,219.07,
PLEURAL DRAINAGE KIT ASPIRA,7510330,CDM,270,RC,,,OUTPATIENT,,,95.25,76.2,,90.49,95,,72.39,percent of total billed charges,95% of total billed charges,90.22,94.72,,72.18,percent of total billed charges,94.72% of total billed charges,94.1,98.79,,75.28,percent of total billed charges,98.79% of total billed charges,93.35,98,,74.68,percent of total billed charges,98% of total billed charges,93.35,98,,74.68,percent of total billed charges,98% of total billed charges,45.72,48,,36.58,percent of total billed charges,48% of total billed charges,42.86,45,,34.29,percent of total billed charges,45% of total billed charges,36.43,38.25,,29.14,percent of total billed charges,38.25% of total billed charges,42.86,45,,34.29,percent of total billed charges,45% of total billed charges,42.86,45,,34.29,percent of total billed charges,45% of total billed charges,36.43,94.1,
PLEUREVAC REPLACEMENT BAG L/F,7510336,CDM,270,RC,,,OUTPATIENT,,,140.5,112.4,,133.48,95,,106.78,percent of total billed charges,95% of total billed charges,133.08,94.72,,106.46,percent of total billed charges,94.72% of total billed charges,138.8,98.79,,111.04,percent of total billed charges,98.79% of total billed charges,137.69,98,,110.15,percent of total billed charges,98% of total billed charges,137.69,98,,110.15,percent of total billed charges,98% of total billed charges,67.44,48,,53.95,percent of total billed charges,48% of total billed charges,63.23,45,,50.58,percent of total billed charges,45% of total billed charges,53.74,38.25,,42.99,percent of total billed charges,38.25% of total billed charges,63.23,45,,50.58,percent of total billed charges,45% of total billed charges,63.23,45,,50.58,percent of total billed charges,45% of total billed charges,53.74,138.8,
BANDAGE ELASTOPLAST 1,7510364,CDM,270,RC,,,OUTPATIENT,,,10.25,8.2,,9.74,95,,7.79,percent of total billed charges,95% of total billed charges,9.71,94.72,,7.77,percent of total billed charges,94.72% of total billed charges,10.13,98.79,,8.1,percent of total billed charges,98.79% of total billed charges,10.05,98,,8.04,percent of total billed charges,98% of total billed charges,10.05,98,,8.04,percent of total billed charges,98% of total billed charges,4.92,48,,3.94,percent of total billed charges,48% of total billed charges,4.61,45,,3.69,percent of total billed charges,45% of total billed charges,3.92,38.25,,3.14,percent of total billed charges,38.25% of total billed charges,4.61,45,,3.69,percent of total billed charges,45% of total billed charges,4.61,45,,3.69,percent of total billed charges,45% of total billed charges,3.92,10.13,
BANDAGE ELASTOPLAST 2,7510365,CDM,270,RC,,,OUTPATIENT,,,9.25,7.4,,8.79,95,,7.03,percent of total billed charges,95% of total billed charges,8.76,94.72,,7.01,percent of total billed charges,94.72% of total billed charges,9.14,98.79,,7.31,percent of total billed charges,98.79% of total billed charges,9.07,98,,7.26,percent of total billed charges,98% of total billed charges,9.07,98,,7.26,percent of total billed charges,98% of total billed charges,4.44,48,,3.55,percent of total billed charges,48% of total billed charges,4.16,45,,3.33,percent of total billed charges,45% of total billed charges,3.54,38.25,,2.83,percent of total billed charges,38.25% of total billed charges,4.16,45,,3.33,percent of total billed charges,45% of total billed charges,4.16,45,,3.33,percent of total billed charges,45% of total billed charges,3.54,9.14,
BANDAGE TENSOPLAST 3,7510366,CDM,270,RC,,,OUTPATIENT,,,21.5,17.2,,20.43,95,,16.34,percent of total billed charges,95% of total billed charges,20.36,94.72,,16.29,percent of total billed charges,94.72% of total billed charges,21.24,98.79,,16.99,percent of total billed charges,98.79% of total billed charges,21.07,98,,16.86,percent of total billed charges,98% of total billed charges,21.07,98,,16.86,percent of total billed charges,98% of total billed charges,10.32,48,,8.26,percent of total billed charges,48% of total billed charges,9.68,45,,7.74,percent of total billed charges,45% of total billed charges,8.22,38.25,,6.58,percent of total billed charges,38.25% of total billed charges,9.68,45,,7.74,percent of total billed charges,45% of total billed charges,9.68,45,,7.74,percent of total billed charges,45% of total billed charges,8.22,21.24,
BANDAGE TENSOPLAST 4,7510367,CDM,270,RC,,,OUTPATIENT,,,29.5,23.6,,28.03,95,,22.42,percent of total billed charges,95% of total billed charges,27.94,94.72,,22.35,percent of total billed charges,94.72% of total billed charges,29.14,98.79,,23.31,percent of total billed charges,98.79% of total billed charges,28.91,98,,23.13,percent of total billed charges,98% of total billed charges,28.91,98,,23.13,percent of total billed charges,98% of total billed charges,14.16,48,,11.33,percent of total billed charges,48% of total billed charges,13.28,45,,10.62,percent of total billed charges,45% of total billed charges,11.28,38.25,,9.02,percent of total billed charges,38.25% of total billed charges,13.28,45,,10.62,percent of total billed charges,45% of total billed charges,13.28,45,,10.62,percent of total billed charges,45% of total billed charges,11.28,29.14,
BUR 4.0mm 6 FLUTE ROUND,7510413,CDM,270,RC,,,OUTPATIENT,,,88.75,71,,84.31,95,,67.45,percent of total billed charges,95% of total billed charges,84.06,94.72,,67.25,percent of total billed charges,94.72% of total billed charges,87.68,98.79,,70.14,percent of total billed charges,98.79% of total billed charges,86.98,98,,69.58,percent of total billed charges,98% of total billed charges,86.98,98,,69.58,percent of total billed charges,98% of total billed charges,42.6,48,,34.08,percent of total billed charges,48% of total billed charges,39.94,45,,31.95,percent of total billed charges,45% of total billed charges,33.95,38.25,,27.16,percent of total billed charges,38.25% of total billed charges,39.94,45,,31.95,percent of total billed charges,45% of total billed charges,39.94,45,,31.95,percent of total billed charges,45% of total billed charges,33.95,87.68,
PAD DECUBITUS ULCER,7510440,CDM,270,RC,,,OUTPATIENT,,,86,68.8,,81.7,95,,65.36,percent of total billed charges,95% of total billed charges,81.46,94.72,,65.17,percent of total billed charges,94.72% of total billed charges,84.96,98.79,,67.97,percent of total billed charges,98.79% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,41.28,48,,33.02,percent of total billed charges,48% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,32.9,38.25,,26.32,percent of total billed charges,38.25% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,32.9,84.96,
BLADE SAGITTAL 13mm X 1.27mm,7510460,CDM,270,RC,,,OUTPATIENT,,,147,117.6,,139.65,95,,111.72,percent of total billed charges,95% of total billed charges,139.24,94.72,,111.39,percent of total billed charges,94.72% of total billed charges,145.22,98.79,,116.18,percent of total billed charges,98.79% of total billed charges,144.06,98,,115.25,percent of total billed charges,98% of total billed charges,144.06,98,,115.25,percent of total billed charges,98% of total billed charges,70.56,48,,56.45,percent of total billed charges,48% of total billed charges,66.15,45,,52.92,percent of total billed charges,45% of total billed charges,56.23,38.25,,44.98,percent of total billed charges,38.25% of total billed charges,66.15,45,,52.92,percent of total billed charges,45% of total billed charges,66.15,45,,52.92,percent of total billed charges,45% of total billed charges,56.23,145.22,
BLADE SAGITTAL 25mm X 1.19mm,7510461,CDM,270,RC,,,OUTPATIENT,,,140,112,,133,95,,106.4,percent of total billed charges,95% of total billed charges,132.61,94.72,,106.09,percent of total billed charges,94.72% of total billed charges,138.31,98.79,,110.65,percent of total billed charges,98.79% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,67.2,48,,53.76,percent of total billed charges,48% of total billed charges,63,45,,50.4,percent of total billed charges,45% of total billed charges,53.55,38.25,,42.84,percent of total billed charges,38.25% of total billed charges,63,45,,50.4,percent of total billed charges,45% of total billed charges,63,45,,50.4,percent of total billed charges,45% of total billed charges,53.55,138.31,
BLADE RECIPROCATING 70mm X 0.8mm,7510462,CDM,270,RC,,,OUTPATIENT,,,122,97.6,,115.9,95,,92.72,percent of total billed charges,95% of total billed charges,115.56,94.72,,92.45,percent of total billed charges,94.72% of total billed charges,120.52,98.79,,96.42,percent of total billed charges,98.79% of total billed charges,119.56,98,,95.65,percent of total billed charges,98% of total billed charges,119.56,98,,95.65,percent of total billed charges,98% of total billed charges,58.56,48,,46.85,percent of total billed charges,48% of total billed charges,54.9,45,,43.92,percent of total billed charges,45% of total billed charges,46.67,38.25,,37.34,percent of total billed charges,38.25% of total billed charges,54.9,45,,43.92,percent of total billed charges,45% of total billed charges,54.9,45,,43.92,percent of total billed charges,45% of total billed charges,46.67,120.52,
BLADE SAGITTAL 18mm X 7mm x0.38mm,7510463,CDM,270,RC,,,OUTPATIENT,,,85,68,,80.75,95,,64.6,percent of total billed charges,95% of total billed charges,80.51,94.72,,64.41,percent of total billed charges,94.72% of total billed charges,83.97,98.79,,67.18,percent of total billed charges,98.79% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,40.8,48,,32.64,percent of total billed charges,48% of total billed charges,38.25,45,,30.6,percent of total billed charges,45% of total billed charges,32.51,38.25,,26.01,percent of total billed charges,38.25% of total billed charges,38.25,45,,30.6,percent of total billed charges,45% of total billed charges,38.25,45,,30.6,percent of total billed charges,45% of total billed charges,32.51,83.97,
BLADE SAGITTAL 90mm X 1.27mm,7510464,CDM,270,RC,,,OUTPATIENT,,,96,76.8,,91.2,95,,72.96,percent of total billed charges,95% of total billed charges,90.93,94.72,,72.74,percent of total billed charges,94.72% of total billed charges,94.84,98.79,,75.87,percent of total billed charges,98.79% of total billed charges,94.08,98,,75.26,percent of total billed charges,98% of total billed charges,94.08,98,,75.26,percent of total billed charges,98% of total billed charges,46.08,48,,36.86,percent of total billed charges,48% of total billed charges,43.2,45,,34.56,percent of total billed charges,45% of total billed charges,36.72,38.25,,29.38,percent of total billed charges,38.25% of total billed charges,43.2,45,,34.56,percent of total billed charges,45% of total billed charges,43.2,45,,34.56,percent of total billed charges,45% of total billed charges,36.72,94.84,
BRA SURGI SMALL,7510469,CDM,270,RC,,,OUTPATIENT,,,84,67.2,,79.8,95,,63.84,percent of total billed charges,95% of total billed charges,79.56,94.72,,63.65,percent of total billed charges,94.72% of total billed charges,82.98,98.79,,66.38,percent of total billed charges,98.79% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,40.32,48,,32.26,percent of total billed charges,48% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,38.25,,25.7,percent of total billed charges,38.25% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,82.98,
BRA SURGI MEDIUM,7510470,CDM,270,RC,,,OUTPATIENT,,,84,67.2,,79.8,95,,63.84,percent of total billed charges,95% of total billed charges,79.56,94.72,,63.65,percent of total billed charges,94.72% of total billed charges,82.98,98.79,,66.38,percent of total billed charges,98.79% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,40.32,48,,32.26,percent of total billed charges,48% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,38.25,,25.7,percent of total billed charges,38.25% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,82.98,
BRA SURGI LARGE,7510471,CDM,270,RC,,,OUTPATIENT,,,84,67.2,,79.8,95,,63.84,percent of total billed charges,95% of total billed charges,79.56,94.72,,63.65,percent of total billed charges,94.72% of total billed charges,82.98,98.79,,66.38,percent of total billed charges,98.79% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,40.32,48,,32.26,percent of total billed charges,48% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,38.25,,25.7,percent of total billed charges,38.25% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,82.98,
BRA SURGI X LARGE,7510472,CDM,270,RC,,,OUTPATIENT,,,84,67.2,,79.8,95,,63.84,percent of total billed charges,95% of total billed charges,79.56,94.72,,63.65,percent of total billed charges,94.72% of total billed charges,82.98,98.79,,66.38,percent of total billed charges,98.79% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,40.32,48,,32.26,percent of total billed charges,48% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,38.25,,25.7,percent of total billed charges,38.25% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,82.98,
BRA SURGI XX LARGE,7510473,CDM,270,RC,,,OUTPATIENT,,,84,67.2,,79.8,95,,63.84,percent of total billed charges,95% of total billed charges,79.56,94.72,,63.65,percent of total billed charges,94.72% of total billed charges,82.98,98.79,,66.38,percent of total billed charges,98.79% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,40.32,48,,32.26,percent of total billed charges,48% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,38.25,,25.7,percent of total billed charges,38.25% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,82.98,
BLADE MICRO SAGITTAL 5.5X18.5X0.4MM,7510477,CDM,270,RC,,,OUTPATIENT,,,105.5,84.4,,100.23,95,,80.18,percent of total billed charges,95% of total billed charges,99.93,94.72,,79.94,percent of total billed charges,94.72% of total billed charges,104.22,98.79,,83.38,percent of total billed charges,98.79% of total billed charges,103.39,98,,82.71,percent of total billed charges,98% of total billed charges,103.39,98,,82.71,percent of total billed charges,98% of total billed charges,50.64,48,,40.51,percent of total billed charges,48% of total billed charges,47.48,45,,37.98,percent of total billed charges,45% of total billed charges,40.35,38.25,,32.28,percent of total billed charges,38.25% of total billed charges,47.48,45,,37.98,percent of total billed charges,45% of total billed charges,47.48,45,,37.98,percent of total billed charges,45% of total billed charges,40.35,104.22,
BLADE MICRO SAGITTAL 5.5X25.5X0.4MM,7510480,CDM,270,RC,,,OUTPATIENT,,,101.75,81.4,,96.66,95,,77.33,percent of total billed charges,95% of total billed charges,96.38,94.72,,77.1,percent of total billed charges,94.72% of total billed charges,100.52,98.79,,80.42,percent of total billed charges,98.79% of total billed charges,99.72,98,,79.78,percent of total billed charges,98% of total billed charges,99.72,98,,79.78,percent of total billed charges,98% of total billed charges,48.84,48,,39.07,percent of total billed charges,48% of total billed charges,45.79,45,,36.63,percent of total billed charges,45% of total billed charges,38.92,38.25,,31.14,percent of total billed charges,38.25% of total billed charges,45.79,45,,36.63,percent of total billed charges,45% of total billed charges,45.79,45,,36.63,percent of total billed charges,45% of total billed charges,38.92,100.52,
BLADE MICRO SAGITTAL 9.5X25.5X0.4MM,7510481,CDM,270,RC,,,OUTPATIENT,,,42.25,33.8,,40.14,95,,32.11,percent of total billed charges,95% of total billed charges,40.02,94.72,,32.02,percent of total billed charges,94.72% of total billed charges,41.74,98.79,,33.39,percent of total billed charges,98.79% of total billed charges,41.41,98,,33.13,percent of total billed charges,98% of total billed charges,41.41,98,,33.13,percent of total billed charges,98% of total billed charges,20.28,48,,16.22,percent of total billed charges,48% of total billed charges,19.01,45,,15.21,percent of total billed charges,45% of total billed charges,16.16,38.25,,12.93,percent of total billed charges,38.25% of total billed charges,19.01,45,,15.21,percent of total billed charges,45% of total billed charges,19.01,45,,15.21,percent of total billed charges,45% of total billed charges,16.16,41.74,
WAFER AUTOLOCK STOMAHESIVE 2 1/4,7510484,CDM,270,RC,,,OUTPATIENT,,,10.75,8.6,,10.21,95,,8.17,percent of total billed charges,95% of total billed charges,10.18,94.72,,8.14,percent of total billed charges,94.72% of total billed charges,10.62,98.79,,8.5,percent of total billed charges,98.79% of total billed charges,10.54,98,,8.43,percent of total billed charges,98% of total billed charges,10.54,98,,8.43,percent of total billed charges,98% of total billed charges,5.16,48,,4.13,percent of total billed charges,48% of total billed charges,4.84,45,,3.87,percent of total billed charges,45% of total billed charges,4.11,38.25,,3.29,percent of total billed charges,38.25% of total billed charges,4.84,45,,3.87,percent of total billed charges,45% of total billed charges,4.84,45,,3.87,percent of total billed charges,45% of total billed charges,4.11,10.62,
OSTOMY SYSTEM POUCH & WAFER 2 3/4,7510487,CDM,270,RC,,,OUTPATIENT,,,14.25,11.4,,13.54,95,,10.83,percent of total billed charges,95% of total billed charges,13.5,94.72,,10.8,percent of total billed charges,94.72% of total billed charges,14.08,98.79,,11.26,percent of total billed charges,98.79% of total billed charges,13.97,98,,11.18,percent of total billed charges,98% of total billed charges,13.97,98,,11.18,percent of total billed charges,98% of total billed charges,6.84,48,,5.47,percent of total billed charges,48% of total billed charges,6.41,45,,5.13,percent of total billed charges,45% of total billed charges,5.45,38.25,,4.36,percent of total billed charges,38.25% of total billed charges,6.41,45,,5.13,percent of total billed charges,45% of total billed charges,6.41,45,,5.13,percent of total billed charges,45% of total billed charges,5.45,14.08,
POUCH AUTOLOCK DRAINABLE 2 3/4,7510489,CDM,270,RC,,,OUTPATIENT,,,4.75,3.8,,4.51,95,,3.61,percent of total billed charges,95% of total billed charges,4.5,94.72,,3.6,percent of total billed charges,94.72% of total billed charges,4.69,98.79,,3.75,percent of total billed charges,98.79% of total billed charges,4.66,98,,3.73,percent of total billed charges,98% of total billed charges,4.66,98,,3.73,percent of total billed charges,98% of total billed charges,2.28,48,,1.82,percent of total billed charges,48% of total billed charges,2.14,45,,1.71,percent of total billed charges,45% of total billed charges,1.82,38.25,,1.46,percent of total billed charges,38.25% of total billed charges,2.14,45,,1.71,percent of total billed charges,45% of total billed charges,2.14,45,,1.71,percent of total billed charges,45% of total billed charges,1.82,4.69,
OSTOMY SYSTEM POUCH & WAFER 2 1/4,7510490,CDM,270,RC,,,OUTPATIENT,,,15.25,12.2,,14.49,95,,11.59,percent of total billed charges,95% of total billed charges,14.44,94.72,,11.55,percent of total billed charges,94.72% of total billed charges,15.07,98.79,,12.06,percent of total billed charges,98.79% of total billed charges,14.95,98,,11.96,percent of total billed charges,98% of total billed charges,14.95,98,,11.96,percent of total billed charges,98% of total billed charges,7.32,48,,5.86,percent of total billed charges,48% of total billed charges,6.86,45,,5.49,percent of total billed charges,45% of total billed charges,5.83,38.25,,4.66,percent of total billed charges,38.25% of total billed charges,6.86,45,,5.49,percent of total billed charges,45% of total billed charges,6.86,45,,5.49,percent of total billed charges,45% of total billed charges,5.83,15.07,
PROCISE LW WAND,7510504,CDM,270,RC,,,OUTPATIENT,,,1228.25,982.6,,1166.84,95,,933.47,percent of total billed charges,95% of total billed charges,1163.4,94.72,,930.72,percent of total billed charges,94.72% of total billed charges,1213.39,98.79,,970.71,percent of total billed charges,98.79% of total billed charges,1203.69,98,,962.95,percent of total billed charges,98% of total billed charges,1203.69,98,,962.95,percent of total billed charges,98% of total billed charges,589.56,48,,471.65,percent of total billed charges,48% of total billed charges,552.71,45,,442.17,percent of total billed charges,45% of total billed charges,469.81,38.25,,375.85,percent of total billed charges,38.25% of total billed charges,552.71,45,,442.17,percent of total billed charges,45% of total billed charges,552.71,45,,442.17,percent of total billed charges,45% of total billed charges,469.81,1213.39,
MESH SURGICAL PROLENE 3 X 6,7510505,CDM,270,RC,,,OUTPATIENT,,,208,166.4,,197.6,95,,158.08,percent of total billed charges,95% of total billed charges,197.02,94.72,,157.62,percent of total billed charges,94.72% of total billed charges,205.48,98.79,,164.38,percent of total billed charges,98.79% of total billed charges,203.84,98,,163.07,percent of total billed charges,98% of total billed charges,203.84,98,,163.07,percent of total billed charges,98% of total billed charges,99.84,48,,79.87,percent of total billed charges,48% of total billed charges,93.6,45,,74.88,percent of total billed charges,45% of total billed charges,79.56,38.25,,63.65,percent of total billed charges,38.25% of total billed charges,93.6,45,,74.88,percent of total billed charges,45% of total billed charges,93.6,45,,74.88,percent of total billed charges,45% of total billed charges,79.56,205.48,
MESH SURGICAL PROLENE 12 X 12,7510506,CDM,270,RC,,,OUTPATIENT,,,511.75,409.4,,486.16,95,,388.93,percent of total billed charges,95% of total billed charges,484.73,94.72,,387.78,percent of total billed charges,94.72% of total billed charges,505.56,98.79,,404.45,percent of total billed charges,98.79% of total billed charges,501.52,98,,401.22,percent of total billed charges,98% of total billed charges,501.52,98,,401.22,percent of total billed charges,98% of total billed charges,245.64,48,,196.51,percent of total billed charges,48% of total billed charges,230.29,45,,184.23,percent of total billed charges,45% of total billed charges,195.74,38.25,,156.59,percent of total billed charges,38.25% of total billed charges,230.29,45,,184.23,percent of total billed charges,45% of total billed charges,230.29,45,,184.23,percent of total billed charges,45% of total billed charges,195.74,505.56,
MESH SURGIMESH KEYHOLE ONLAY 10CM,7510507,CDM,270,RC,,,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,54,45,,43.2,percent of total billed charges,45% of total billed charges,45.9,38.25,,36.72,percent of total billed charges,38.25% of total billed charges,54,45,,43.2,percent of total billed charges,45% of total billed charges,54,45,,43.2,percent of total billed charges,45% of total billed charges,45.9,118.55,
MESH KEYHOLE LARGE 13.7 X 5.9cm,7510508,CDM,270,RC,,,OUTPATIENT,,,266.75,213.4,,253.41,95,,202.73,percent of total billed charges,95% of total billed charges,252.67,94.72,,202.14,percent of total billed charges,94.72% of total billed charges,263.52,98.79,,210.82,percent of total billed charges,98.79% of total billed charges,261.42,98,,209.14,percent of total billed charges,98% of total billed charges,261.42,98,,209.14,percent of total billed charges,98% of total billed charges,128.04,48,,102.43,percent of total billed charges,48% of total billed charges,120.04,45,,96.03,percent of total billed charges,45% of total billed charges,102.03,38.25,,81.62,percent of total billed charges,38.25% of total billed charges,120.04,45,,96.03,percent of total billed charges,45% of total billed charges,120.04,45,,96.03,percent of total billed charges,45% of total billed charges,102.03,263.52,
ELECTRODE EXTENDED NEEDLE 6,7510526,CDM,270,RC,,,OUTPATIENT,,,16.75,13.4,,15.91,95,,12.73,percent of total billed charges,95% of total billed charges,15.87,94.72,,12.7,percent of total billed charges,94.72% of total billed charges,16.55,98.79,,13.24,percent of total billed charges,98.79% of total billed charges,16.42,98,,13.14,percent of total billed charges,98% of total billed charges,16.42,98,,13.14,percent of total billed charges,98% of total billed charges,8.04,48,,6.43,percent of total billed charges,48% of total billed charges,7.54,45,,6.03,percent of total billed charges,45% of total billed charges,6.41,38.25,,5.13,percent of total billed charges,38.25% of total billed charges,7.54,45,,6.03,percent of total billed charges,45% of total billed charges,7.54,45,,6.03,percent of total billed charges,45% of total billed charges,6.41,16.55,
MESH SURGIMESH 5 X 10CM,7510535,CDM,270,RC,,,OUTPATIENT,,,337.5,270,,320.63,95,,256.5,percent of total billed charges,95% of total billed charges,319.68,94.72,,255.74,percent of total billed charges,94.72% of total billed charges,333.42,98.79,,266.74,percent of total billed charges,98.79% of total billed charges,330.75,98,,264.6,percent of total billed charges,98% of total billed charges,330.75,98,,264.6,percent of total billed charges,98% of total billed charges,162,48,,129.6,percent of total billed charges,48% of total billed charges,151.88,45,,121.5,percent of total billed charges,45% of total billed charges,129.09,38.25,,103.27,percent of total billed charges,38.25% of total billed charges,151.88,45,,121.5,percent of total billed charges,45% of total billed charges,151.88,45,,121.5,percent of total billed charges,45% of total billed charges,129.09,333.42,
MESH SURGIMESH KEYHOLE ONLAY,7510536,CDM,270,RC,,,OUTPATIENT,,,412.5,330,,391.88,95,,313.5,percent of total billed charges,95% of total billed charges,390.72,94.72,,312.58,percent of total billed charges,94.72% of total billed charges,407.51,98.79,,326.01,percent of total billed charges,98.79% of total billed charges,404.25,98,,323.4,percent of total billed charges,98% of total billed charges,404.25,98,,323.4,percent of total billed charges,98% of total billed charges,198,48,,158.4,percent of total billed charges,48% of total billed charges,185.63,45,,148.5,percent of total billed charges,45% of total billed charges,157.78,38.25,,126.22,percent of total billed charges,38.25% of total billed charges,185.63,45,,148.5,percent of total billed charges,45% of total billed charges,185.63,45,,148.5,percent of total billed charges,45% of total billed charges,157.78,407.51,
MESH PROLOOP MEDIUM,7510537,CDM,270,RC,,,OUTPATIENT,,,476,380.8,,452.2,95,,361.76,percent of total billed charges,95% of total billed charges,450.87,94.72,,360.7,percent of total billed charges,94.72% of total billed charges,470.24,98.79,,376.19,percent of total billed charges,98.79% of total billed charges,466.48,98,,373.18,percent of total billed charges,98% of total billed charges,466.48,98,,373.18,percent of total billed charges,98% of total billed charges,228.48,48,,182.78,percent of total billed charges,48% of total billed charges,214.2,45,,171.36,percent of total billed charges,45% of total billed charges,182.07,38.25,,145.66,percent of total billed charges,38.25% of total billed charges,214.2,45,,171.36,percent of total billed charges,45% of total billed charges,214.2,45,,171.36,percent of total billed charges,45% of total billed charges,182.07,470.24,
MESH PROLOOP LARGE,7510538,CDM,270,RC,,,OUTPATIENT,,,476,380.8,,452.2,95,,361.76,percent of total billed charges,95% of total billed charges,450.87,94.72,,360.7,percent of total billed charges,94.72% of total billed charges,470.24,98.79,,376.19,percent of total billed charges,98.79% of total billed charges,466.48,98,,373.18,percent of total billed charges,98% of total billed charges,466.48,98,,373.18,percent of total billed charges,98% of total billed charges,228.48,48,,182.78,percent of total billed charges,48% of total billed charges,214.2,45,,171.36,percent of total billed charges,45% of total billed charges,182.07,38.25,,145.66,percent of total billed charges,38.25% of total billed charges,214.2,45,,171.36,percent of total billed charges,45% of total billed charges,214.2,45,,171.36,percent of total billed charges,45% of total billed charges,182.07,470.24,
BLANKET HYPER/HYPOTHERMIA,7510542,CDM,270,RC,,,OUTPATIENT,,,46.5,37.2,,44.18,95,,35.34,percent of total billed charges,95% of total billed charges,44.04,94.72,,35.23,percent of total billed charges,94.72% of total billed charges,45.94,98.79,,36.75,percent of total billed charges,98.79% of total billed charges,45.57,98,,36.46,percent of total billed charges,98% of total billed charges,45.57,98,,36.46,percent of total billed charges,98% of total billed charges,22.32,48,,17.86,percent of total billed charges,48% of total billed charges,20.93,45,,16.74,percent of total billed charges,45% of total billed charges,17.79,38.25,,14.23,percent of total billed charges,38.25% of total billed charges,20.93,45,,16.74,percent of total billed charges,45% of total billed charges,20.93,45,,16.74,percent of total billed charges,45% of total billed charges,17.79,45.94,
BLANKET PEDIATRIC LONG (BAIR HUGGER),7510543,CDM,270,RC,,,OUTPATIENT,,,51.5,41.2,,48.93,95,,39.14,percent of total billed charges,95% of total billed charges,48.78,94.72,,39.02,percent of total billed charges,94.72% of total billed charges,50.88,98.79,,40.7,percent of total billed charges,98.79% of total billed charges,50.47,98,,40.38,percent of total billed charges,98% of total billed charges,50.47,98,,40.38,percent of total billed charges,98% of total billed charges,24.72,48,,19.78,percent of total billed charges,48% of total billed charges,23.18,45,,18.54,percent of total billed charges,45% of total billed charges,19.7,38.25,,15.76,percent of total billed charges,38.25% of total billed charges,23.18,45,,18.54,percent of total billed charges,45% of total billed charges,23.18,45,,18.54,percent of total billed charges,45% of total billed charges,19.7,50.88,
BLANKET SMALL LOWER BODY (BAIR HUGGER),7510545,CDM,270,RC,,,OUTPATIENT,,,40.75,32.6,,38.71,95,,30.97,percent of total billed charges,95% of total billed charges,38.6,94.72,,30.88,percent of total billed charges,94.72% of total billed charges,40.26,98.79,,32.21,percent of total billed charges,98.79% of total billed charges,39.94,98,,31.95,percent of total billed charges,98% of total billed charges,39.94,98,,31.95,percent of total billed charges,98% of total billed charges,19.56,48,,15.65,percent of total billed charges,48% of total billed charges,18.34,45,,14.67,percent of total billed charges,45% of total billed charges,15.59,38.25,,12.47,percent of total billed charges,38.25% of total billed charges,18.34,45,,14.67,percent of total billed charges,45% of total billed charges,18.34,45,,14.67,percent of total billed charges,45% of total billed charges,15.59,40.26,
QUILT FULL BODY-REFLECTIVE,7510547,CDM,270,RC,,,OUTPATIENT,,,28,22.4,,26.6,95,,21.28,percent of total billed charges,95% of total billed charges,26.52,94.72,,21.22,percent of total billed charges,94.72% of total billed charges,27.66,98.79,,22.13,percent of total billed charges,98.79% of total billed charges,27.44,98,,21.95,percent of total billed charges,98% of total billed charges,27.44,98,,21.95,percent of total billed charges,98% of total billed charges,13.44,48,,10.75,percent of total billed charges,48% of total billed charges,12.6,45,,10.08,percent of total billed charges,45% of total billed charges,10.71,38.25,,8.57,percent of total billed charges,38.25% of total billed charges,12.6,45,,10.08,percent of total billed charges,45% of total billed charges,12.6,45,,10.08,percent of total billed charges,45% of total billed charges,10.71,27.66,
BLANKET LOWER BODY (BAIR HUGGER),7510548,CDM,270,RC,,,OUTPATIENT,,,41.75,33.4,,39.66,95,,31.73,percent of total billed charges,95% of total billed charges,39.55,94.72,,31.64,percent of total billed charges,94.72% of total billed charges,41.24,98.79,,32.99,percent of total billed charges,98.79% of total billed charges,40.92,98,,32.74,percent of total billed charges,98% of total billed charges,40.92,98,,32.74,percent of total billed charges,98% of total billed charges,20.04,48,,16.03,percent of total billed charges,48% of total billed charges,18.79,45,,15.03,percent of total billed charges,45% of total billed charges,15.97,38.25,,12.78,percent of total billed charges,38.25% of total billed charges,18.79,45,,15.03,percent of total billed charges,45% of total billed charges,18.79,45,,15.03,percent of total billed charges,45% of total billed charges,15.97,41.24,
UPPER BODY PLUS,7510549,CDM,270,RC,,,OUTPATIENT,,,49,39.2,,46.55,95,,37.24,percent of total billed charges,95% of total billed charges,46.41,94.72,,37.13,percent of total billed charges,94.72% of total billed charges,48.41,98.79,,38.73,percent of total billed charges,98.79% of total billed charges,48.02,98,,38.42,percent of total billed charges,98% of total billed charges,48.02,98,,38.42,percent of total billed charges,98% of total billed charges,23.52,48,,18.82,percent of total billed charges,48% of total billed charges,22.05,45,,17.64,percent of total billed charges,45% of total billed charges,18.74,38.25,,14.99,percent of total billed charges,38.25% of total billed charges,22.05,45,,17.64,percent of total billed charges,45% of total billed charges,22.05,45,,17.64,percent of total billed charges,45% of total billed charges,18.74,48.41,
LOWER BODY PLUS,7510550,CDM,270,RC,,,OUTPATIENT,,,36.25,29,,34.44,95,,27.55,percent of total billed charges,95% of total billed charges,34.34,94.72,,27.47,percent of total billed charges,94.72% of total billed charges,35.81,98.79,,28.65,percent of total billed charges,98.79% of total billed charges,35.53,98,,28.42,percent of total billed charges,98% of total billed charges,35.53,98,,28.42,percent of total billed charges,98% of total billed charges,17.4,48,,13.92,percent of total billed charges,48% of total billed charges,16.31,45,,13.05,percent of total billed charges,45% of total billed charges,13.87,38.25,,11.1,percent of total billed charges,38.25% of total billed charges,16.31,45,,13.05,percent of total billed charges,45% of total billed charges,16.31,45,,13.05,percent of total billed charges,45% of total billed charges,13.87,35.81,
HERNIA PATCH VENTRIO 4.3 X 5.5,7510553,CDM,270,RC,,,OUTPATIENT,,,2014.25,1611.4,,1913.54,95,,1530.83,percent of total billed charges,95% of total billed charges,1907.9,94.72,,1526.32,percent of total billed charges,94.72% of total billed charges,1989.88,98.79,,1591.9,percent of total billed charges,98.79% of total billed charges,1973.97,98,,1579.18,percent of total billed charges,98% of total billed charges,1973.97,98,,1579.18,percent of total billed charges,98% of total billed charges,966.84,48,,773.47,percent of total billed charges,48% of total billed charges,906.41,45,,725.13,percent of total billed charges,45% of total billed charges,770.45,38.25,,616.36,percent of total billed charges,38.25% of total billed charges,906.41,45,,725.13,percent of total billed charges,45% of total billed charges,906.41,45,,725.13,percent of total billed charges,45% of total billed charges,770.45,1989.88,
HERNIA PATCH VENTRIO 7.7 X 9.7,7510554,CDM,270,RC,,,OUTPATIENT,,,3324.75,2659.8,,3158.51,95,,2526.81,percent of total billed charges,95% of total billed charges,3149.2,94.72,,2519.36,percent of total billed charges,94.72% of total billed charges,3284.52,98.79,,2627.62,percent of total billed charges,98.79% of total billed charges,3258.26,98,,2606.61,percent of total billed charges,98% of total billed charges,3258.26,98,,2606.61,percent of total billed charges,98% of total billed charges,1595.88,48,,1276.7,percent of total billed charges,48% of total billed charges,1496.14,45,,1196.91,percent of total billed charges,45% of total billed charges,1271.72,38.25,,1017.38,percent of total billed charges,38.25% of total billed charges,1496.14,45,,1196.91,percent of total billed charges,45% of total billed charges,1496.14,45,,1196.91,percent of total billed charges,45% of total billed charges,1271.72,3284.52,
HERNIA PATCH KUGEL 5 X 7,7510555,CDM,270,RC,,,OUTPATIENT,,,744.5,595.6,,707.28,95,,565.82,percent of total billed charges,95% of total billed charges,705.19,94.72,,564.15,percent of total billed charges,94.72% of total billed charges,735.49,98.79,,588.39,percent of total billed charges,98.79% of total billed charges,729.61,98,,583.69,percent of total billed charges,98% of total billed charges,729.61,98,,583.69,percent of total billed charges,98% of total billed charges,357.36,48,,285.89,percent of total billed charges,48% of total billed charges,335.03,45,,268.02,percent of total billed charges,45% of total billed charges,284.77,38.25,,227.82,percent of total billed charges,38.25% of total billed charges,335.03,45,,268.02,percent of total billed charges,45% of total billed charges,335.03,45,,268.02,percent of total billed charges,45% of total billed charges,284.77,735.49,
FLUID WARMING SET (MED/SURG),7510564,CDM,270,RC,,,OUTPATIENT,,,39.25,31.4,,37.29,95,,29.83,percent of total billed charges,95% of total billed charges,37.18,94.72,,29.74,percent of total billed charges,94.72% of total billed charges,38.78,98.79,,31.02,percent of total billed charges,98.79% of total billed charges,38.47,98,,30.78,percent of total billed charges,98% of total billed charges,38.47,98,,30.78,percent of total billed charges,98% of total billed charges,18.84,48,,15.07,percent of total billed charges,48% of total billed charges,17.66,45,,14.13,percent of total billed charges,45% of total billed charges,15.01,38.25,,12.01,percent of total billed charges,38.25% of total billed charges,17.66,45,,14.13,percent of total billed charges,45% of total billed charges,17.66,45,,14.13,percent of total billed charges,45% of total billed charges,15.01,38.78,
FLUID WARMING SET (ANESTHESIA),7510565,CDM,270,RC,,,OUTPATIENT,,,41.25,33,,39.19,95,,31.35,percent of total billed charges,95% of total billed charges,39.07,94.72,,31.26,percent of total billed charges,94.72% of total billed charges,40.75,98.79,,32.6,percent of total billed charges,98.79% of total billed charges,40.43,98,,32.34,percent of total billed charges,98% of total billed charges,40.43,98,,32.34,percent of total billed charges,98% of total billed charges,19.8,48,,15.84,percent of total billed charges,48% of total billed charges,18.56,45,,14.85,percent of total billed charges,45% of total billed charges,15.78,38.25,,12.62,percent of total billed charges,38.25% of total billed charges,18.56,45,,14.85,percent of total billed charges,45% of total billed charges,18.56,45,,14.85,percent of total billed charges,45% of total billed charges,15.78,40.75,
FLUID WARMING SET HI-FLOW,7510571,CDM,270,RC,,,OUTPATIENT,,,94.25,75.4,,89.54,95,,71.63,percent of total billed charges,95% of total billed charges,89.27,94.72,,71.42,percent of total billed charges,94.72% of total billed charges,93.11,98.79,,74.49,percent of total billed charges,98.79% of total billed charges,92.37,98,,73.9,percent of total billed charges,98% of total billed charges,92.37,98,,73.9,percent of total billed charges,98% of total billed charges,45.24,48,,36.19,percent of total billed charges,48% of total billed charges,42.41,45,,33.93,percent of total billed charges,45% of total billed charges,36.05,38.25,,28.84,percent of total billed charges,38.25% of total billed charges,42.41,45,,33.93,percent of total billed charges,45% of total billed charges,42.41,45,,33.93,percent of total billed charges,45% of total billed charges,36.05,93.11,
HERNIA PLUG PERFIX MEDIUM,7510575,CDM,270,RC,,,OUTPATIENT,,,533,426.4,,506.35,95,,405.08,percent of total billed charges,95% of total billed charges,504.86,94.72,,403.89,percent of total billed charges,94.72% of total billed charges,526.55,98.79,,421.24,percent of total billed charges,98.79% of total billed charges,522.34,98,,417.87,percent of total billed charges,98% of total billed charges,522.34,98,,417.87,percent of total billed charges,98% of total billed charges,255.84,48,,204.67,percent of total billed charges,48% of total billed charges,239.85,45,,191.88,percent of total billed charges,45% of total billed charges,203.87,38.25,,163.1,percent of total billed charges,38.25% of total billed charges,239.85,45,,191.88,percent of total billed charges,45% of total billed charges,239.85,45,,191.88,percent of total billed charges,45% of total billed charges,203.87,526.55,
SNARE 10MM OVAL STIFF,7510601,CDM,270,RC,,,OUTPATIENT,,,83.5,66.8,,79.33,95,,63.46,percent of total billed charges,95% of total billed charges,79.09,94.72,,63.27,percent of total billed charges,94.72% of total billed charges,82.49,98.79,,65.99,percent of total billed charges,98.79% of total billed charges,81.83,98,,65.46,percent of total billed charges,98% of total billed charges,81.83,98,,65.46,percent of total billed charges,98% of total billed charges,40.08,48,,32.06,percent of total billed charges,48% of total billed charges,37.58,45,,30.06,percent of total billed charges,45% of total billed charges,31.94,38.25,,25.55,percent of total billed charges,38.25% of total billed charges,37.58,45,,30.06,percent of total billed charges,45% of total billed charges,37.58,45,,30.06,percent of total billed charges,45% of total billed charges,31.94,82.49,
SNARE 33MM OVAL LG,7510602,CDM,270,RC,,,OUTPATIENT,,,91.25,73,,86.69,95,,69.35,percent of total billed charges,95% of total billed charges,86.43,94.72,,69.14,percent of total billed charges,94.72% of total billed charges,90.15,98.79,,72.12,percent of total billed charges,98.79% of total billed charges,89.43,98,,71.54,percent of total billed charges,98% of total billed charges,89.43,98,,71.54,percent of total billed charges,98% of total billed charges,43.8,48,,35.04,percent of total billed charges,48% of total billed charges,41.06,45,,32.85,percent of total billed charges,45% of total billed charges,34.9,38.25,,27.92,percent of total billed charges,38.25% of total billed charges,41.06,45,,32.85,percent of total billed charges,45% of total billed charges,41.06,45,,32.85,percent of total billed charges,45% of total billed charges,34.9,90.15,
SNARE 25MM OVAL,7510603,CDM,270,RC,,,OUTPATIENT,,,98.5,78.8,,93.58,95,,74.86,percent of total billed charges,95% of total billed charges,93.3,94.72,,74.64,percent of total billed charges,94.72% of total billed charges,97.31,98.79,,77.85,percent of total billed charges,98.79% of total billed charges,96.53,98,,77.22,percent of total billed charges,98% of total billed charges,96.53,98,,77.22,percent of total billed charges,98% of total billed charges,47.28,48,,37.82,percent of total billed charges,48% of total billed charges,44.33,45,,35.46,percent of total billed charges,45% of total billed charges,37.68,38.25,,30.14,percent of total billed charges,38.25% of total billed charges,44.33,45,,35.46,percent of total billed charges,45% of total billed charges,44.33,45,,35.46,percent of total billed charges,45% of total billed charges,37.68,97.31,
FORCEPS BIOPSY WITH NEEDLE,7510605,CDM,270,RC,,,OUTPATIENT,,,92.5,74,,87.88,95,,70.3,percent of total billed charges,95% of total billed charges,87.62,94.72,,70.1,percent of total billed charges,94.72% of total billed charges,91.38,98.79,,73.1,percent of total billed charges,98.79% of total billed charges,90.65,98,,72.52,percent of total billed charges,98% of total billed charges,90.65,98,,72.52,percent of total billed charges,98% of total billed charges,44.4,48,,35.52,percent of total billed charges,48% of total billed charges,41.63,45,,33.3,percent of total billed charges,45% of total billed charges,35.38,38.25,,28.3,percent of total billed charges,38.25% of total billed charges,41.63,45,,33.3,percent of total billed charges,45% of total billed charges,41.63,45,,33.3,percent of total billed charges,45% of total billed charges,35.38,91.38,
CATHETER BIPOLAR HEMOSTASIS 7 FR,7510609,CDM,270,RC,,,OUTPATIENT,,,719,575.2,,683.05,95,,546.44,percent of total billed charges,95% of total billed charges,681.04,94.72,,544.83,percent of total billed charges,94.72% of total billed charges,710.3,98.79,,568.24,percent of total billed charges,98.79% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,345.12,48,,276.1,percent of total billed charges,48% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,38.25,,220.02,percent of total billed charges,38.25% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,710.3,
CATHETER BIPOLAR HEMOSTASIS 10FR,7510610,CDM,270,RC,,,OUTPATIENT,,,719,575.2,,683.05,95,,546.44,percent of total billed charges,95% of total billed charges,681.04,94.72,,544.83,percent of total billed charges,94.72% of total billed charges,710.3,98.79,,568.24,percent of total billed charges,98.79% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,345.12,48,,276.1,percent of total billed charges,48% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,38.25,,220.02,percent of total billed charges,38.25% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,710.3,
SENSOR GLUCOSE,7510613,CDM,270,RC,,,OUTPATIENT,,,122.5,98,,116.38,95,,93.1,percent of total billed charges,95% of total billed charges,116.03,94.72,,92.82,percent of total billed charges,94.72% of total billed charges,121.02,98.79,,96.82,percent of total billed charges,98.79% of total billed charges,120.05,98,,96.04,percent of total billed charges,98% of total billed charges,120.05,98,,96.04,percent of total billed charges,98% of total billed charges,58.8,48,,47.04,percent of total billed charges,48% of total billed charges,55.13,45,,44.1,percent of total billed charges,45% of total billed charges,46.86,38.25,,37.49,percent of total billed charges,38.25% of total billed charges,55.13,45,,44.1,percent of total billed charges,45% of total billed charges,55.13,45,,44.1,percent of total billed charges,45% of total billed charges,46.86,121.02,
URETERAL DILATION BALLOON CATHETER,7510620,CDM,270,RC,,,OUTPATIENT,,,431.85,345.48,,410.26,95,,328.21,percent of total billed charges,95% of total billed charges,409.05,94.72,,327.24,percent of total billed charges,94.72% of total billed charges,426.62,98.79,,341.3,percent of total billed charges,98.79% of total billed charges,423.21,98,,338.57,percent of total billed charges,98% of total billed charges,423.21,98,,338.57,percent of total billed charges,98% of total billed charges,207.29,48,,165.83,percent of total billed charges,48% of total billed charges,194.33,45,,155.46,percent of total billed charges,45% of total billed charges,165.18,38.25,,132.14,percent of total billed charges,38.25% of total billed charges,194.33,45,,155.46,percent of total billed charges,45% of total billed charges,194.33,45,,155.46,percent of total billed charges,45% of total billed charges,165.18,426.62,
BACKLOADING BIOPSY FORCEPS,7510622,CDM,270,RC,,,OUTPATIENT,,,705,564,,669.75,95,,535.8,percent of total billed charges,95% of total billed charges,667.78,94.72,,534.22,percent of total billed charges,94.72% of total billed charges,696.47,98.79,,557.18,percent of total billed charges,98.79% of total billed charges,690.9,98,,552.72,percent of total billed charges,98% of total billed charges,690.9,98,,552.72,percent of total billed charges,98% of total billed charges,338.4,48,,270.72,percent of total billed charges,48% of total billed charges,317.25,45,,253.8,percent of total billed charges,45% of total billed charges,269.66,38.25,,215.73,percent of total billed charges,38.25% of total billed charges,317.25,45,,253.8,percent of total billed charges,45% of total billed charges,317.25,45,,253.8,percent of total billed charges,45% of total billed charges,269.66,696.47,
ELECTRODE PEDIATRIC PEDI-PADZ,7510677,CDM,270,RC,,,OUTPATIENT,,,96.75,77.4,,91.91,95,,73.53,percent of total billed charges,95% of total billed charges,91.64,94.72,,73.31,percent of total billed charges,94.72% of total billed charges,95.58,98.79,,76.46,percent of total billed charges,98.79% of total billed charges,94.82,98,,75.86,percent of total billed charges,98% of total billed charges,94.82,98,,75.86,percent of total billed charges,98% of total billed charges,46.44,48,,37.15,percent of total billed charges,48% of total billed charges,43.54,45,,34.83,percent of total billed charges,45% of total billed charges,37.01,38.25,,29.61,percent of total billed charges,38.25% of total billed charges,43.54,45,,34.83,percent of total billed charges,45% of total billed charges,43.54,45,,34.83,percent of total billed charges,45% of total billed charges,37.01,95.58,
ELECTRODE ADULT CPR COMPLETE,7510678,CDM,270,RC,,,OUTPATIENT,,,115,92,,109.25,95,,87.4,percent of total billed charges,95% of total billed charges,108.93,94.72,,87.14,percent of total billed charges,94.72% of total billed charges,113.61,98.79,,90.89,percent of total billed charges,98.79% of total billed charges,112.7,98,,90.16,percent of total billed charges,98% of total billed charges,112.7,98,,90.16,percent of total billed charges,98% of total billed charges,55.2,48,,44.16,percent of total billed charges,48% of total billed charges,51.75,45,,41.4,percent of total billed charges,45% of total billed charges,43.99,38.25,,35.19,percent of total billed charges,38.25% of total billed charges,51.75,45,,41.4,percent of total billed charges,45% of total billed charges,51.75,45,,41.4,percent of total billed charges,45% of total billed charges,43.99,113.61,
ELECTRODE PEDIATRIC CPR,7510679,CDM,270,RC,,,OUTPATIENT,,,102.25,81.8,,97.14,95,,77.71,percent of total billed charges,95% of total billed charges,96.85,94.72,,77.48,percent of total billed charges,94.72% of total billed charges,101.01,98.79,,80.81,percent of total billed charges,98.79% of total billed charges,100.21,98,,80.17,percent of total billed charges,98% of total billed charges,100.21,98,,80.17,percent of total billed charges,98% of total billed charges,49.08,48,,39.26,percent of total billed charges,48% of total billed charges,46.01,45,,36.81,percent of total billed charges,45% of total billed charges,39.11,38.25,,31.29,percent of total billed charges,38.25% of total billed charges,46.01,45,,36.81,percent of total billed charges,45% of total billed charges,46.01,45,,36.81,percent of total billed charges,45% of total billed charges,39.11,101.01,
NEEDLE GUIDE GE E 8C,7516015,CDM,270,RC,,,OUTPATIENT,,,53.25,42.6,,50.59,95,,40.47,percent of total billed charges,95% of total billed charges,50.44,94.72,,40.35,percent of total billed charges,94.72% of total billed charges,52.61,98.79,,42.09,percent of total billed charges,98.79% of total billed charges,52.19,98,,41.75,percent of total billed charges,98% of total billed charges,52.19,98,,41.75,percent of total billed charges,98% of total billed charges,25.56,48,,20.45,percent of total billed charges,48% of total billed charges,23.96,45,,19.17,percent of total billed charges,45% of total billed charges,20.37,38.25,,16.3,percent of total billed charges,38.25% of total billed charges,23.96,45,,19.17,percent of total billed charges,45% of total billed charges,23.96,45,,19.17,percent of total billed charges,45% of total billed charges,20.37,52.61,
NEEDLE GUIDE,7516015,CDM,270,RC,,,OUTPATIENT,,,54,43.2,,51.3,95,,41.04,percent of total billed charges,95% of total billed charges,51.15,94.72,,40.92,percent of total billed charges,94.72% of total billed charges,53.35,98.79,,42.68,percent of total billed charges,98.79% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,25.92,48,,20.74,percent of total billed charges,48% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,38.25,,16.53,percent of total billed charges,38.25% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,53.35,
BIOPSY INSTRUMENT MAX-CORE,7516020,CDM,270,RC,,,OUTPATIENT,,,83.25,66.6,,79.09,95,,63.27,percent of total billed charges,95% of total billed charges,78.85,94.72,,63.08,percent of total billed charges,94.72% of total billed charges,82.24,98.79,,65.79,percent of total billed charges,98.79% of total billed charges,81.59,98,,65.27,percent of total billed charges,98% of total billed charges,81.59,98,,65.27,percent of total billed charges,98% of total billed charges,39.96,48,,31.97,percent of total billed charges,48% of total billed charges,37.46,45,,29.97,percent of total billed charges,45% of total billed charges,31.84,38.25,,25.47,percent of total billed charges,38.25% of total billed charges,37.46,45,,29.97,percent of total billed charges,45% of total billed charges,37.46,45,,29.97,percent of total billed charges,45% of total billed charges,31.84,82.24,
BIOPSY INSTRUMENT MAX-C,7516023,CDM,270,RC,,,OUTPATIENT,,,103,82.4,,97.85,95,,78.28,percent of total billed charges,95% of total billed charges,97.56,94.72,,78.05,percent of total billed charges,94.72% of total billed charges,101.75,98.79,,81.4,percent of total billed charges,98.79% of total billed charges,100.94,98,,80.75,percent of total billed charges,98% of total billed charges,100.94,98,,80.75,percent of total billed charges,98% of total billed charges,49.44,48,,39.55,percent of total billed charges,48% of total billed charges,46.35,45,,37.08,percent of total billed charges,45% of total billed charges,39.4,38.25,,31.52,percent of total billed charges,38.25% of total billed charges,46.35,45,,37.08,percent of total billed charges,45% of total billed charges,46.35,45,,37.08,percent of total billed charges,45% of total billed charges,39.4,101.75,
BIOPSY INSTRUMENT MAX-CORE,7516034,CDM,270,RC,,,OUTPATIENT,,,90,72,,85.5,95,,68.4,percent of total billed charges,95% of total billed charges,85.25,94.72,,68.2,percent of total billed charges,94.72% of total billed charges,88.91,98.79,,71.13,percent of total billed charges,98.79% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,43.2,48,,34.56,percent of total billed charges,48% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,38.25,,27.54,percent of total billed charges,38.25% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,88.91,
Hawkins II FlexStrand BLN 20 x 5,7516034,CDM,270,RC,,,OUTPATIENT,,,90,72,,85.5,95,,68.4,percent of total billed charges,95% of total billed charges,85.25,94.72,,68.2,percent of total billed charges,94.72% of total billed charges,88.91,98.79,,71.13,percent of total billed charges,98.79% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,43.2,48,,34.56,percent of total billed charges,48% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,38.25,,27.54,percent of total billed charges,38.25% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,88.91,
NEEDLE HAWKINS 20GA X 7.5CM,7516035,CDM,270,RC,,,OUTPATIENT,,,144.25,115.4,,137.04,95,,109.63,percent of total billed charges,95% of total billed charges,136.63,94.72,,109.3,percent of total billed charges,94.72% of total billed charges,142.5,98.79,,114,percent of total billed charges,98.79% of total billed charges,141.37,98,,113.1,percent of total billed charges,98% of total billed charges,141.37,98,,113.1,percent of total billed charges,98% of total billed charges,69.24,48,,55.39,percent of total billed charges,48% of total billed charges,64.91,45,,51.93,percent of total billed charges,45% of total billed charges,55.18,38.25,,44.14,percent of total billed charges,38.25% of total billed charges,64.91,45,,51.93,percent of total billed charges,45% of total billed charges,64.91,45,,51.93,percent of total billed charges,45% of total billed charges,55.18,142.5,
Hawkins II FlexStrand BLN 20 x 7.5,7516035,CDM,270,RC,,,OUTPATIENT,,,145,116,,137.75,95,,110.2,percent of total billed charges,95% of total billed charges,137.34,94.72,,109.87,percent of total billed charges,94.72% of total billed charges,143.25,98.79,,114.6,percent of total billed charges,98.79% of total billed charges,142.1,98,,113.68,percent of total billed charges,98% of total billed charges,142.1,98,,113.68,percent of total billed charges,98% of total billed charges,69.6,48,,55.68,percent of total billed charges,48% of total billed charges,65.25,45,,52.2,percent of total billed charges,45% of total billed charges,55.46,38.25,,44.37,percent of total billed charges,38.25% of total billed charges,65.25,45,,52.2,percent of total billed charges,45% of total billed charges,65.25,45,,52.2,percent of total billed charges,45% of total billed charges,55.46,143.25,
Hawkins II FlexStrand BLN 20 x 10,7516036,CDM,270,RC,,,OUTPATIENT,,,94,75.2,,89.3,95,,71.44,percent of total billed charges,95% of total billed charges,89.04,94.72,,71.23,percent of total billed charges,94.72% of total billed charges,92.86,98.79,,74.29,percent of total billed charges,98.79% of total billed charges,92.12,98,,73.7,percent of total billed charges,98% of total billed charges,92.12,98,,73.7,percent of total billed charges,98% of total billed charges,45.12,48,,36.1,percent of total billed charges,48% of total billed charges,42.3,45,,33.84,percent of total billed charges,45% of total billed charges,35.96,38.25,,28.77,percent of total billed charges,38.25% of total billed charges,42.3,45,,33.84,percent of total billed charges,45% of total billed charges,42.3,45,,33.84,percent of total billed charges,45% of total billed charges,35.96,92.86,
NEEDLE QUICK-CORE 20GA-9.0-10T,7516038,CDM,270,RC,,,OUTPATIENT,,,269.5,215.6,,256.03,95,,204.82,percent of total billed charges,95% of total billed charges,255.27,94.72,,204.22,percent of total billed charges,94.72% of total billed charges,266.24,98.79,,212.99,percent of total billed charges,98.79% of total billed charges,264.11,98,,211.29,percent of total billed charges,98% of total billed charges,264.11,98,,211.29,percent of total billed charges,98% of total billed charges,129.36,48,,103.49,percent of total billed charges,48% of total billed charges,121.28,45,,97.02,percent of total billed charges,45% of total billed charges,103.08,38.25,,82.46,percent of total billed charges,38.25% of total billed charges,121.28,45,,97.02,percent of total billed charges,45% of total billed charges,121.28,45,,97.02,percent of total billed charges,45% of total billed charges,103.08,266.24,
NEEDLE QUICK-CORE 14GA-9.0-20T,7516042,CDM,270,RC,,,OUTPATIENT,,,111,88.8,,105.45,95,,84.36,percent of total billed charges,95% of total billed charges,105.14,94.72,,84.11,percent of total billed charges,94.72% of total billed charges,109.66,98.79,,87.73,percent of total billed charges,98.79% of total billed charges,108.78,98,,87.02,percent of total billed charges,98% of total billed charges,108.78,98,,87.02,percent of total billed charges,98% of total billed charges,53.28,48,,42.62,percent of total billed charges,48% of total billed charges,49.95,45,,39.96,percent of total billed charges,45% of total billed charges,42.46,38.25,,33.97,percent of total billed charges,38.25% of total billed charges,49.95,45,,39.96,percent of total billed charges,45% of total billed charges,49.95,45,,39.96,percent of total billed charges,45% of total billed charges,42.46,109.66,
NEEDLE QUICK-CORE 14GA-15.0-20T,7516043,CDM,270,RC,,,OUTPATIENT,,,111,88.8,,105.45,95,,84.36,percent of total billed charges,95% of total billed charges,105.14,94.72,,84.11,percent of total billed charges,94.72% of total billed charges,109.66,98.79,,87.73,percent of total billed charges,98.79% of total billed charges,108.78,98,,87.02,percent of total billed charges,98% of total billed charges,108.78,98,,87.02,percent of total billed charges,98% of total billed charges,53.28,48,,42.62,percent of total billed charges,48% of total billed charges,49.95,45,,39.96,percent of total billed charges,45% of total billed charges,42.46,38.25,,33.97,percent of total billed charges,38.25% of total billed charges,49.95,45,,39.96,percent of total billed charges,45% of total billed charges,49.95,45,,39.96,percent of total billed charges,45% of total billed charges,42.46,109.66,
Needle Quick-Core 20Ga-9,7516044,CDM,270,RC,,,OUTPATIENT,,,292,233.6,,277.4,95,,221.92,percent of total billed charges,95% of total billed charges,276.58,94.72,,221.26,percent of total billed charges,94.72% of total billed charges,288.47,98.79,,230.78,percent of total billed charges,98.79% of total billed charges,286.16,98,,228.93,percent of total billed charges,98% of total billed charges,286.16,98,,228.93,percent of total billed charges,98% of total billed charges,140.16,48,,112.13,percent of total billed charges,48% of total billed charges,131.4,45,,105.12,percent of total billed charges,45% of total billed charges,111.69,38.25,,89.35,percent of total billed charges,38.25% of total billed charges,131.4,45,,105.12,percent of total billed charges,45% of total billed charges,131.4,45,,105.12,percent of total billed charges,45% of total billed charges,111.69,288.47,
NEEDLE QUICK-CORE 20GA-9.0,7516044,CDM,270,RC,,,OUTPATIENT,,,292.25,233.8,,277.64,95,,222.11,percent of total billed charges,95% of total billed charges,276.82,94.72,,221.46,percent of total billed charges,94.72% of total billed charges,288.71,98.79,,230.97,percent of total billed charges,98.79% of total billed charges,286.41,98,,229.13,percent of total billed charges,98% of total billed charges,286.41,98,,229.13,percent of total billed charges,98% of total billed charges,140.28,48,,112.22,percent of total billed charges,48% of total billed charges,131.51,45,,105.21,percent of total billed charges,45% of total billed charges,111.79,38.25,,89.43,percent of total billed charges,38.25% of total billed charges,131.51,45,,105.21,percent of total billed charges,45% of total billed charges,131.51,45,,105.21,percent of total billed charges,45% of total billed charges,111.79,288.71,
NEEDLE QUICK-CORE 20GA-15.0-20T,7516045,CDM,270,RC,,,OUTPATIENT,,,196,156.8,,186.2,95,,148.96,percent of total billed charges,95% of total billed charges,185.65,94.72,,148.52,percent of total billed charges,94.72% of total billed charges,193.63,98.79,,154.9,percent of total billed charges,98.79% of total billed charges,192.08,98,,153.66,percent of total billed charges,98% of total billed charges,192.08,98,,153.66,percent of total billed charges,98% of total billed charges,94.08,48,,75.26,percent of total billed charges,48% of total billed charges,88.2,45,,70.56,percent of total billed charges,45% of total billed charges,74.97,38.25,,59.98,percent of total billed charges,38.25% of total billed charges,88.2,45,,70.56,percent of total billed charges,45% of total billed charges,88.2,45,,70.56,percent of total billed charges,45% of total billed charges,74.97,193.63,
Needle Quick-Core 20Ga-15,7516045,CDM,270,RC,,,OUTPATIENT,,,196,156.8,,186.2,95,,148.96,percent of total billed charges,95% of total billed charges,185.65,94.72,,148.52,percent of total billed charges,94.72% of total billed charges,193.63,98.79,,154.9,percent of total billed charges,98.79% of total billed charges,192.08,98,,153.66,percent of total billed charges,98% of total billed charges,192.08,98,,153.66,percent of total billed charges,98% of total billed charges,94.08,48,,75.26,percent of total billed charges,48% of total billed charges,88.2,45,,70.56,percent of total billed charges,45% of total billed charges,74.97,38.25,,59.98,percent of total billed charges,38.25% of total billed charges,88.2,45,,70.56,percent of total billed charges,45% of total billed charges,88.2,45,,70.56,percent of total billed charges,45% of total billed charges,74.97,193.63,
KIT MINI ACCESS,7516051,CDM,270,RC,,,OUTPATIENT,,,89,71.2,,84.55,95,,67.64,percent of total billed charges,95% of total billed charges,84.3,94.72,,67.44,percent of total billed charges,94.72% of total billed charges,87.92,98.79,,70.34,percent of total billed charges,98.79% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,42.72,48,,34.18,percent of total billed charges,48% of total billed charges,40.05,45,,32.04,percent of total billed charges,45% of total billed charges,34.04,38.25,,27.23,percent of total billed charges,38.25% of total billed charges,40.05,45,,32.04,percent of total billed charges,45% of total billed charges,40.05,45,,32.04,percent of total billed charges,45% of total billed charges,34.04,87.92,
NEEDLE ECHO-COAT BIOPSY 20GA X 15CM,7516053,CDM,270,RC,,,OUTPATIENT,,,71.25,57,,67.69,95,,54.15,percent of total billed charges,95% of total billed charges,67.49,94.72,,53.99,percent of total billed charges,94.72% of total billed charges,70.39,98.79,,56.31,percent of total billed charges,98.79% of total billed charges,69.83,98,,55.86,percent of total billed charges,98% of total billed charges,69.83,98,,55.86,percent of total billed charges,98% of total billed charges,34.2,48,,27.36,percent of total billed charges,48% of total billed charges,32.06,45,,25.65,percent of total billed charges,45% of total billed charges,27.25,38.25,,21.8,percent of total billed charges,38.25% of total billed charges,32.06,45,,25.65,percent of total billed charges,45% of total billed charges,32.06,45,,25.65,percent of total billed charges,45% of total billed charges,27.25,70.39,
NEEDLE ECHO-COAT BIOPSY 22GA X 9CM,7516054,CDM,270,RC,,,OUTPATIENT,,,61.5,49.2,,58.43,95,,46.74,percent of total billed charges,95% of total billed charges,58.25,94.72,,46.6,percent of total billed charges,94.72% of total billed charges,60.76,98.79,,48.61,percent of total billed charges,98.79% of total billed charges,60.27,98,,48.22,percent of total billed charges,98% of total billed charges,60.27,98,,48.22,percent of total billed charges,98% of total billed charges,29.52,48,,23.62,percent of total billed charges,48% of total billed charges,27.68,45,,22.14,percent of total billed charges,45% of total billed charges,23.52,38.25,,18.82,percent of total billed charges,38.25% of total billed charges,27.68,45,,22.14,percent of total billed charges,45% of total billed charges,27.68,45,,22.14,percent of total billed charges,45% of total billed charges,23.52,60.76,
NEEDLE ECHO-COAT BIOPSY 22GA X 15CM,7516055,CDM,270,RC,,,OUTPATIENT,,,66.75,53.4,,63.41,95,,50.73,percent of total billed charges,95% of total billed charges,63.23,94.72,,50.58,percent of total billed charges,94.72% of total billed charges,65.94,98.79,,52.75,percent of total billed charges,98.79% of total billed charges,65.42,98,,52.34,percent of total billed charges,98% of total billed charges,65.42,98,,52.34,percent of total billed charges,98% of total billed charges,32.04,48,,25.63,percent of total billed charges,48% of total billed charges,30.04,45,,24.03,percent of total billed charges,45% of total billed charges,25.53,38.25,,20.42,percent of total billed charges,38.25% of total billed charges,30.04,45,,24.03,percent of total billed charges,45% of total billed charges,30.04,45,,24.03,percent of total billed charges,45% of total billed charges,25.53,65.94,
NEEDLE ECHO-COAT BISPSY 25GA X 5CM,7516056,CDM,270,RC,,,OUTPATIENT,,,71.25,57,,67.69,95,,54.15,percent of total billed charges,95% of total billed charges,67.49,94.72,,53.99,percent of total billed charges,94.72% of total billed charges,70.39,98.79,,56.31,percent of total billed charges,98.79% of total billed charges,69.83,98,,55.86,percent of total billed charges,98% of total billed charges,69.83,98,,55.86,percent of total billed charges,98% of total billed charges,34.2,48,,27.36,percent of total billed charges,48% of total billed charges,32.06,45,,25.65,percent of total billed charges,45% of total billed charges,27.25,38.25,,21.8,percent of total billed charges,38.25% of total billed charges,32.06,45,,25.65,percent of total billed charges,45% of total billed charges,32.06,45,,25.65,percent of total billed charges,45% of total billed charges,27.25,70.39,
Bag Drainage Gravity 600ml,7516067,CDM,270,RC,,,OUTPATIENT,,,68,54.4,,64.6,95,,51.68,percent of total billed charges,95% of total billed charges,64.41,94.72,,51.53,percent of total billed charges,94.72% of total billed charges,67.18,98.79,,53.74,percent of total billed charges,98.79% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,32.64,48,,26.11,percent of total billed charges,48% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,26.01,38.25,,20.81,percent of total billed charges,38.25% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,26.01,67.18,
CATH DRAINAGE ABSCESSIO,7516067,CDM,270,RC,,,OUTPATIENT,,,68,54.4,,64.6,95,,51.68,percent of total billed charges,95% of total billed charges,64.41,94.72,,51.53,percent of total billed charges,94.72% of total billed charges,67.18,98.79,,53.74,percent of total billed charges,98.79% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,32.64,48,,26.11,percent of total billed charges,48% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,26.01,38.25,,20.81,percent of total billed charges,38.25% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,26.01,67.18,
CATH DRAINAGE MULTI,7516068,CDM,270,RC,,,OUTPATIENT,,,145,116,,137.75,95,,110.2,percent of total billed charges,95% of total billed charges,137.34,94.72,,109.87,percent of total billed charges,94.72% of total billed charges,143.25,98.79,,114.6,percent of total billed charges,98.79% of total billed charges,142.1,98,,113.68,percent of total billed charges,98% of total billed charges,142.1,98,,113.68,percent of total billed charges,98% of total billed charges,69.6,48,,55.68,percent of total billed charges,48% of total billed charges,65.25,45,,52.2,percent of total billed charges,45% of total billed charges,55.46,38.25,,44.37,percent of total billed charges,38.25% of total billed charges,65.25,45,,52.2,percent of total billed charges,45% of total billed charges,65.25,45,,52.2,percent of total billed charges,45% of total billed charges,55.46,143.25,
INJECTOR SINGLE USE 25G,7516075,CDM,270,RC,,,OUTPATIENT,,,88.5,70.8,,84.08,95,,67.26,percent of total billed charges,95% of total billed charges,83.83,94.72,,67.06,percent of total billed charges,94.72% of total billed charges,87.43,98.79,,69.94,percent of total billed charges,98.79% of total billed charges,86.73,98,,69.38,percent of total billed charges,98% of total billed charges,86.73,98,,69.38,percent of total billed charges,98% of total billed charges,42.48,48,,33.98,percent of total billed charges,48% of total billed charges,39.83,45,,31.86,percent of total billed charges,45% of total billed charges,33.85,38.25,,27.08,percent of total billed charges,38.25% of total billed charges,39.83,45,,31.86,percent of total billed charges,45% of total billed charges,39.83,45,,31.86,percent of total billed charges,45% of total billed charges,33.85,87.43,
Dilator - 6.0F,7519048,CDM,270,RC,,,OUTPATIENT,,,64,51.2,,60.8,95,,48.64,percent of total billed charges,95% of total billed charges,60.62,94.72,,48.5,percent of total billed charges,94.72% of total billed charges,63.23,98.79,,50.58,percent of total billed charges,98.79% of total billed charges,62.72,98,,50.18,percent of total billed charges,98% of total billed charges,62.72,98,,50.18,percent of total billed charges,98% of total billed charges,30.72,48,,24.58,percent of total billed charges,48% of total billed charges,28.8,45,,23.04,percent of total billed charges,45% of total billed charges,24.48,38.25,,19.58,percent of total billed charges,38.25% of total billed charges,28.8,45,,23.04,percent of total billed charges,45% of total billed charges,28.8,45,,23.04,percent of total billed charges,45% of total billed charges,24.48,63.23,
NEEDLE BONE ASP JAMSHID,7519049,CDM,270,RC,,,OUTPATIENT,,,68,54.4,,64.6,95,,51.68,percent of total billed charges,95% of total billed charges,64.41,94.72,,51.53,percent of total billed charges,94.72% of total billed charges,67.18,98.79,,53.74,percent of total billed charges,98.79% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,32.64,48,,26.11,percent of total billed charges,48% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,26.01,38.25,,20.81,percent of total billed charges,38.25% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,26.01,67.18,
BURETROL SOLUTION SET,7520001,CDM,270,RC,,,OUTPATIENT,,,25.5,20.4,,24.23,95,,19.38,percent of total billed charges,95% of total billed charges,24.15,94.72,,19.32,percent of total billed charges,94.72% of total billed charges,25.19,98.79,,20.15,percent of total billed charges,98.79% of total billed charges,24.99,98,,19.99,percent of total billed charges,98% of total billed charges,24.99,98,,19.99,percent of total billed charges,98% of total billed charges,12.24,48,,9.79,percent of total billed charges,48% of total billed charges,11.48,45,,9.18,percent of total billed charges,45% of total billed charges,9.75,38.25,,7.8,percent of total billed charges,38.25% of total billed charges,11.48,45,,9.18,percent of total billed charges,45% of total billed charges,11.48,45,,9.18,percent of total billed charges,45% of total billed charges,9.75,25.19,
MICRON LASER FIBER 270 (DON'T USE),7520010,CDM,270,RC,,,OUTPATIENT,,,331.5,265.2,,314.93,95,,251.94,percent of total billed charges,95% of total billed charges,314,94.72,,251.2,percent of total billed charges,94.72% of total billed charges,327.49,98.79,,261.99,percent of total billed charges,98.79% of total billed charges,324.87,98,,259.9,percent of total billed charges,98% of total billed charges,324.87,98,,259.9,percent of total billed charges,98% of total billed charges,159.12,48,,127.3,percent of total billed charges,48% of total billed charges,149.18,45,,119.34,percent of total billed charges,45% of total billed charges,126.8,38.25,,101.44,percent of total billed charges,38.25% of total billed charges,149.18,45,,119.34,percent of total billed charges,45% of total billed charges,149.18,45,,119.34,percent of total billed charges,45% of total billed charges,126.8,327.49,
MICRON LASER FIBER 400,7520011,CDM,270,RC,,,OUTPATIENT,,,680.5,544.4,,646.48,95,,517.18,percent of total billed charges,95% of total billed charges,644.57,94.72,,515.66,percent of total billed charges,94.72% of total billed charges,672.27,98.79,,537.82,percent of total billed charges,98.79% of total billed charges,666.89,98,,533.51,percent of total billed charges,98% of total billed charges,666.89,98,,533.51,percent of total billed charges,98% of total billed charges,326.64,48,,261.31,percent of total billed charges,48% of total billed charges,306.23,45,,244.98,percent of total billed charges,45% of total billed charges,260.29,38.25,,208.23,percent of total billed charges,38.25% of total billed charges,306.23,45,,244.98,percent of total billed charges,45% of total billed charges,306.23,45,,244.98,percent of total billed charges,45% of total billed charges,260.29,672.27,
MICRON LASER FIBER 1000,7520012,CDM,270,RC,,,OUTPATIENT,,,1058.75,847,,1005.81,95,,804.65,percent of total billed charges,95% of total billed charges,1002.85,94.72,,802.28,percent of total billed charges,94.72% of total billed charges,1045.94,98.79,,836.75,percent of total billed charges,98.79% of total billed charges,1037.58,98,,830.06,percent of total billed charges,98% of total billed charges,1037.58,98,,830.06,percent of total billed charges,98% of total billed charges,508.2,48,,406.56,percent of total billed charges,48% of total billed charges,476.44,45,,381.15,percent of total billed charges,45% of total billed charges,404.97,38.25,,323.98,percent of total billed charges,38.25% of total billed charges,476.44,45,,381.15,percent of total billed charges,45% of total billed charges,476.44,45,,381.15,percent of total billed charges,45% of total billed charges,404.97,1045.94,
CIRCON SEAL,7520013,CDM,270,RC,,,OUTPATIENT,,,40,32,,38,95,,30.4,percent of total billed charges,95% of total billed charges,37.89,94.72,,30.31,percent of total billed charges,94.72% of total billed charges,39.52,98.79,,31.62,percent of total billed charges,98.79% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,19.2,48,,15.36,percent of total billed charges,48% of total billed charges,18,45,,14.4,percent of total billed charges,45% of total billed charges,15.3,38.25,,12.24,percent of total billed charges,38.25% of total billed charges,18,45,,14.4,percent of total billed charges,45% of total billed charges,18,45,,14.4,percent of total billed charges,45% of total billed charges,15.3,39.52,
DUAL LUMEN CATHETER 10fr,7520014,CDM,270,RC,,,OUTPATIENT,,,195.75,156.6,,185.96,95,,148.77,percent of total billed charges,95% of total billed charges,185.41,94.72,,148.33,percent of total billed charges,94.72% of total billed charges,193.38,98.79,,154.7,percent of total billed charges,98.79% of total billed charges,191.84,98,,153.47,percent of total billed charges,98% of total billed charges,191.84,98,,153.47,percent of total billed charges,98% of total billed charges,93.96,48,,75.17,percent of total billed charges,48% of total billed charges,88.09,45,,70.47,percent of total billed charges,45% of total billed charges,74.87,38.25,,59.9,percent of total billed charges,38.25% of total billed charges,88.09,45,,70.47,percent of total billed charges,45% of total billed charges,88.09,45,,70.47,percent of total billed charges,45% of total billed charges,74.87,193.38,
BIOPSY PORT SEAL Y-ADAPTER,7520015,CDM,270,RC,,,OUTPATIENT,,,68,54.4,,64.6,95,,51.68,percent of total billed charges,95% of total billed charges,64.41,94.72,,51.53,percent of total billed charges,94.72% of total billed charges,67.18,98.79,,53.74,percent of total billed charges,98.79% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,32.64,48,,26.11,percent of total billed charges,48% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,26.01,38.25,,20.81,percent of total billed charges,38.25% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,26.01,67.18,
URETERAL ACCESS SHEATH .24cm,7520016,CDM,270,RC,,,OUTPATIENT,,,203,162.4,,192.85,95,,154.28,percent of total billed charges,95% of total billed charges,192.28,94.72,,153.82,percent of total billed charges,94.72% of total billed charges,200.54,98.79,,160.43,percent of total billed charges,98.79% of total billed charges,198.94,98,,159.15,percent of total billed charges,98% of total billed charges,198.94,98,,159.15,percent of total billed charges,98% of total billed charges,97.44,48,,77.95,percent of total billed charges,48% of total billed charges,91.35,45,,73.08,percent of total billed charges,45% of total billed charges,77.65,38.25,,62.12,percent of total billed charges,38.25% of total billed charges,91.35,45,,73.08,percent of total billed charges,45% of total billed charges,91.35,45,,73.08,percent of total billed charges,45% of total billed charges,77.65,200.54,
URETERAL ACCESS SHEATH .38cm,7520017,CDM,270,RC,,,OUTPATIENT,,,203,162.4,,192.85,95,,154.28,percent of total billed charges,95% of total billed charges,192.28,94.72,,153.82,percent of total billed charges,94.72% of total billed charges,200.54,98.79,,160.43,percent of total billed charges,98.79% of total billed charges,198.94,98,,159.15,percent of total billed charges,98% of total billed charges,198.94,98,,159.15,percent of total billed charges,98% of total billed charges,97.44,48,,77.95,percent of total billed charges,48% of total billed charges,91.35,45,,73.08,percent of total billed charges,45% of total billed charges,77.65,38.25,,62.12,percent of total billed charges,38.25% of total billed charges,91.35,45,,73.08,percent of total billed charges,45% of total billed charges,91.35,45,,73.08,percent of total billed charges,45% of total billed charges,77.65,200.54,
URETERAL ACCESS SHEATH .54cm,7520018,CDM,270,RC,,,OUTPATIENT,,,231,184.8,,219.45,95,,175.56,percent of total billed charges,95% of total billed charges,218.8,94.72,,175.04,percent of total billed charges,94.72% of total billed charges,228.2,98.79,,182.56,percent of total billed charges,98.79% of total billed charges,226.38,98,,181.1,percent of total billed charges,98% of total billed charges,226.38,98,,181.1,percent of total billed charges,98% of total billed charges,110.88,48,,88.7,percent of total billed charges,48% of total billed charges,103.95,45,,83.16,percent of total billed charges,45% of total billed charges,88.36,38.25,,70.69,percent of total billed charges,38.25% of total billed charges,103.95,45,,83.16,percent of total billed charges,45% of total billed charges,103.95,45,,83.16,percent of total billed charges,45% of total billed charges,88.36,228.2,
COLD THERAPY UNIT KNEE,7520019,CDM,270,RC,,,OUTPATIENT,,,198.5,158.8,,188.58,95,,150.86,percent of total billed charges,95% of total billed charges,188.02,94.72,,150.42,percent of total billed charges,94.72% of total billed charges,196.1,98.79,,156.88,percent of total billed charges,98.79% of total billed charges,194.53,98,,155.62,percent of total billed charges,98% of total billed charges,194.53,98,,155.62,percent of total billed charges,98% of total billed charges,95.28,48,,76.22,percent of total billed charges,48% of total billed charges,89.33,45,,71.46,percent of total billed charges,45% of total billed charges,75.93,38.25,,60.74,percent of total billed charges,38.25% of total billed charges,89.33,45,,71.46,percent of total billed charges,45% of total billed charges,89.33,45,,71.46,percent of total billed charges,45% of total billed charges,75.93,196.1,
NCIRCLE TIPLESS STONE EXTRACTOR,7520020,CDM,270,RC,,,OUTPATIENT,,,597,477.6,,567.15,95,,453.72,percent of total billed charges,95% of total billed charges,565.48,94.72,,452.38,percent of total billed charges,94.72% of total billed charges,589.78,98.79,,471.82,percent of total billed charges,98.79% of total billed charges,585.06,98,,468.05,percent of total billed charges,98% of total billed charges,585.06,98,,468.05,percent of total billed charges,98% of total billed charges,286.56,48,,229.25,percent of total billed charges,48% of total billed charges,268.65,45,,214.92,percent of total billed charges,45% of total billed charges,228.35,38.25,,182.68,percent of total billed charges,38.25% of total billed charges,268.65,45,,214.92,percent of total billed charges,45% of total billed charges,268.65,45,,214.92,percent of total billed charges,45% of total billed charges,228.35,589.78,
SALIVARY STONE EXTR. G23798,7520021,CDM,270,RC,,,OUTPATIENT,,,597,477.6,,567.15,95,,453.72,percent of total billed charges,95% of total billed charges,565.48,94.72,,452.38,percent of total billed charges,94.72% of total billed charges,589.78,98.79,,471.82,percent of total billed charges,98.79% of total billed charges,585.06,98,,468.05,percent of total billed charges,98% of total billed charges,585.06,98,,468.05,percent of total billed charges,98% of total billed charges,286.56,48,,229.25,percent of total billed charges,48% of total billed charges,268.65,45,,214.92,percent of total billed charges,45% of total billed charges,228.35,38.25,,182.68,percent of total billed charges,38.25% of total billed charges,268.65,45,,214.92,percent of total billed charges,45% of total billed charges,268.65,45,,214.92,percent of total billed charges,45% of total billed charges,228.35,589.78,
COLD THERAPY UNIT SHOULDER POLAR CARE,7520024,CDM,270,RC,,,OUTPATIENT,,,253.5,202.8,,240.83,95,,192.66,percent of total billed charges,95% of total billed charges,240.12,94.72,,192.1,percent of total billed charges,94.72% of total billed charges,250.43,98.79,,200.34,percent of total billed charges,98.79% of total billed charges,248.43,98,,198.74,percent of total billed charges,98% of total billed charges,248.43,98,,198.74,percent of total billed charges,98% of total billed charges,121.68,48,,97.34,percent of total billed charges,48% of total billed charges,114.08,45,,91.26,percent of total billed charges,45% of total billed charges,96.96,38.25,,77.57,percent of total billed charges,38.25% of total billed charges,114.08,45,,91.26,percent of total billed charges,45% of total billed charges,114.08,45,,91.26,percent of total billed charges,45% of total billed charges,96.96,250.43,
PAD COLD THERAPY KNEE/SHOULDER,7520025,CDM,270,RC,,,OUTPATIENT,,,95.75,76.6,,90.96,95,,72.77,percent of total billed charges,95% of total billed charges,90.69,94.72,,72.55,percent of total billed charges,94.72% of total billed charges,94.59,98.79,,75.67,percent of total billed charges,98.79% of total billed charges,93.84,98,,75.07,percent of total billed charges,98% of total billed charges,93.84,98,,75.07,percent of total billed charges,98% of total billed charges,45.96,48,,36.77,percent of total billed charges,48% of total billed charges,43.09,45,,34.47,percent of total billed charges,45% of total billed charges,36.62,38.25,,29.3,percent of total billed charges,38.25% of total billed charges,43.09,45,,34.47,percent of total billed charges,45% of total billed charges,43.09,45,,34.47,percent of total billed charges,45% of total billed charges,36.62,94.59,
BULB IRRIGATOR,7520030,CDM,270,RC,,,OUTPATIENT,,,93.5,74.8,,88.83,95,,71.06,percent of total billed charges,95% of total billed charges,88.56,94.72,,70.85,percent of total billed charges,94.72% of total billed charges,92.37,98.79,,73.9,percent of total billed charges,98.79% of total billed charges,91.63,98,,73.3,percent of total billed charges,98% of total billed charges,91.63,98,,73.3,percent of total billed charges,98% of total billed charges,44.88,48,,35.9,percent of total billed charges,48% of total billed charges,42.08,45,,33.66,percent of total billed charges,45% of total billed charges,35.76,38.25,,28.61,percent of total billed charges,38.25% of total billed charges,42.08,45,,33.66,percent of total billed charges,45% of total billed charges,42.08,45,,33.66,percent of total billed charges,45% of total billed charges,35.76,92.37,
ESOPHAGEAL STETHOSCOPE 12FR,7523022,CDM,270,RC,,,OUTPATIENT,,,41.25,33,,39.19,95,,31.35,percent of total billed charges,95% of total billed charges,39.07,94.72,,31.26,percent of total billed charges,94.72% of total billed charges,40.75,98.79,,32.6,percent of total billed charges,98.79% of total billed charges,40.43,98,,32.34,percent of total billed charges,98% of total billed charges,40.43,98,,32.34,percent of total billed charges,98% of total billed charges,19.8,48,,15.84,percent of total billed charges,48% of total billed charges,18.56,45,,14.85,percent of total billed charges,45% of total billed charges,15.78,38.25,,12.62,percent of total billed charges,38.25% of total billed charges,18.56,45,,14.85,percent of total billed charges,45% of total billed charges,18.56,45,,14.85,percent of total billed charges,45% of total billed charges,15.78,40.75,
ESOPHAGEAL STETHOSCOPE 18FR,7523023,CDM,270,RC,,,OUTPATIENT,,,12,9.6,,11.4,95,,9.12,percent of total billed charges,95% of total billed charges,11.37,94.72,,9.1,percent of total billed charges,94.72% of total billed charges,11.85,98.79,,9.48,percent of total billed charges,98.79% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,5.76,48,,4.61,percent of total billed charges,48% of total billed charges,5.4,45,,4.32,percent of total billed charges,45% of total billed charges,4.59,38.25,,3.67,percent of total billed charges,38.25% of total billed charges,5.4,45,,4.32,percent of total billed charges,45% of total billed charges,5.4,45,,4.32,percent of total billed charges,45% of total billed charges,4.59,11.85,
ESOPHAGEAL eSUCTION,7523024,CDM,270,RC,,,OUTPATIENT,,,396.25,317,,376.44,95,,301.15,percent of total billed charges,95% of total billed charges,375.33,94.72,,300.26,percent of total billed charges,94.72% of total billed charges,391.46,98.79,,313.17,percent of total billed charges,98.79% of total billed charges,388.33,98,,310.66,percent of total billed charges,98% of total billed charges,388.33,98,,310.66,percent of total billed charges,98% of total billed charges,190.2,48,,152.16,percent of total billed charges,48% of total billed charges,178.31,45,,142.65,percent of total billed charges,45% of total billed charges,151.57,38.25,,121.26,percent of total billed charges,38.25% of total billed charges,178.31,45,,142.65,percent of total billed charges,45% of total billed charges,178.31,45,,142.65,percent of total billed charges,45% of total billed charges,151.57,391.46,
FORCEPS GRASPING 9.8MM FG-253SX,7523027,CDM,270,RC,,,OUTPATIENT,,,102.25,81.8,,97.14,95,,77.71,percent of total billed charges,95% of total billed charges,96.85,94.72,,77.48,percent of total billed charges,94.72% of total billed charges,101.01,98.79,,80.81,percent of total billed charges,98.79% of total billed charges,100.21,98,,80.17,percent of total billed charges,98% of total billed charges,100.21,98,,80.17,percent of total billed charges,98% of total billed charges,49.08,48,,39.26,percent of total billed charges,48% of total billed charges,46.01,45,,36.81,percent of total billed charges,45% of total billed charges,39.11,38.25,,31.29,percent of total billed charges,38.25% of total billed charges,46.01,45,,36.81,percent of total billed charges,45% of total billed charges,46.01,45,,36.81,percent of total billed charges,45% of total billed charges,39.11,101.01,
SHIELD EYE FOX,7525010,CDM,270,RC,,,OUTPATIENT,,,4,3.2,,3.8,95,,3.04,percent of total billed charges,95% of total billed charges,3.79,94.72,,3.03,percent of total billed charges,94.72% of total billed charges,3.95,98.79,,3.16,percent of total billed charges,98.79% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,1.92,48,,1.54,percent of total billed charges,48% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,38.25,,1.22,percent of total billed charges,38.25% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,3.95,
DRESSING AQUACEL EXTRA 4X5,7530003,CDM,270,RC,,,OUTPATIENT,,,16.25,13,,15.44,95,,12.35,percent of total billed charges,95% of total billed charges,15.39,94.72,,12.31,percent of total billed charges,94.72% of total billed charges,16.05,98.79,,12.84,percent of total billed charges,98.79% of total billed charges,15.93,98,,12.74,percent of total billed charges,98% of total billed charges,15.93,98,,12.74,percent of total billed charges,98% of total billed charges,7.8,48,,6.24,percent of total billed charges,48% of total billed charges,7.31,45,,5.85,percent of total billed charges,45% of total billed charges,6.22,38.25,,4.98,percent of total billed charges,38.25% of total billed charges,7.31,45,,5.85,percent of total billed charges,45% of total billed charges,7.31,45,,5.85,percent of total billed charges,45% of total billed charges,6.22,16.05,
PACKING NASAL ANTERIOR 5.5cm,7530004,CDM,270,RC,,,OUTPATIENT,,,99.75,79.8,,94.76,95,,75.81,percent of total billed charges,95% of total billed charges,94.48,94.72,,75.58,percent of total billed charges,94.72% of total billed charges,98.54,98.79,,78.83,percent of total billed charges,98.79% of total billed charges,97.76,98,,78.21,percent of total billed charges,98% of total billed charges,97.76,98,,78.21,percent of total billed charges,98% of total billed charges,47.88,48,,38.3,percent of total billed charges,48% of total billed charges,44.89,45,,35.91,percent of total billed charges,45% of total billed charges,38.15,38.25,,30.52,percent of total billed charges,38.25% of total billed charges,44.89,45,,35.91,percent of total billed charges,45% of total billed charges,44.89,45,,35.91,percent of total billed charges,45% of total billed charges,38.15,98.54,
DRESSING DUODERM EXTRA THIN 4 X 4,7530006,CDM,270,RC,,,OUTPATIENT,,,7.25,5.8,,6.89,95,,5.51,percent of total billed charges,95% of total billed charges,6.87,94.72,,5.5,percent of total billed charges,94.72% of total billed charges,7.16,98.79,,5.73,percent of total billed charges,98.79% of total billed charges,7.11,98,,5.69,percent of total billed charges,98% of total billed charges,7.11,98,,5.69,percent of total billed charges,98% of total billed charges,3.48,48,,2.78,percent of total billed charges,48% of total billed charges,3.26,45,,2.61,percent of total billed charges,45% of total billed charges,2.77,38.25,,2.22,percent of total billed charges,38.25% of total billed charges,3.26,45,,2.61,percent of total billed charges,45% of total billed charges,3.26,45,,2.61,percent of total billed charges,45% of total billed charges,2.77,7.16,
NASAL EPISTAXIS PACKING LG,7530007,CDM,270,RC,,,OUTPATIENT,,,61.5,49.2,,58.43,95,,46.74,percent of total billed charges,95% of total billed charges,58.25,94.72,,46.6,percent of total billed charges,94.72% of total billed charges,60.76,98.79,,48.61,percent of total billed charges,98.79% of total billed charges,60.27,98,,48.22,percent of total billed charges,98% of total billed charges,60.27,98,,48.22,percent of total billed charges,98% of total billed charges,29.52,48,,23.62,percent of total billed charges,48% of total billed charges,27.68,45,,22.14,percent of total billed charges,45% of total billed charges,23.52,38.25,,18.82,percent of total billed charges,38.25% of total billed charges,27.68,45,,22.14,percent of total billed charges,45% of total billed charges,27.68,45,,22.14,percent of total billed charges,45% of total billed charges,23.52,60.76,
DRESSING DUODERM CGF BORDED,7530008,CDM,270,RC,,,OUTPATIENT,,,5.25,4.2,,4.99,95,,3.99,percent of total billed charges,95% of total billed charges,4.97,94.72,,3.98,percent of total billed charges,94.72% of total billed charges,5.19,98.79,,4.15,percent of total billed charges,98.79% of total billed charges,5.15,98,,4.12,percent of total billed charges,98% of total billed charges,5.15,98,,4.12,percent of total billed charges,98% of total billed charges,2.52,48,,2.02,percent of total billed charges,48% of total billed charges,2.36,45,,1.89,percent of total billed charges,45% of total billed charges,2.01,38.25,,1.61,percent of total billed charges,38.25% of total billed charges,2.36,45,,1.89,percent of total billed charges,45% of total billed charges,2.36,45,,1.89,percent of total billed charges,45% of total billed charges,2.01,5.19,
PACKING NASAL ANTERIOR 7.5cm,7530009,CDM,270,RC,,,OUTPATIENT,,,88,70.4,,83.6,95,,66.88,percent of total billed charges,95% of total billed charges,83.35,94.72,,66.68,percent of total billed charges,94.72% of total billed charges,86.94,98.79,,69.55,percent of total billed charges,98.79% of total billed charges,86.24,98,,68.99,percent of total billed charges,98% of total billed charges,86.24,98,,68.99,percent of total billed charges,98% of total billed charges,42.24,48,,33.79,percent of total billed charges,48% of total billed charges,39.6,45,,31.68,percent of total billed charges,45% of total billed charges,33.66,38.25,,26.93,percent of total billed charges,38.25% of total billed charges,39.6,45,,31.68,percent of total billed charges,45% of total billed charges,39.6,45,,31.68,percent of total billed charges,45% of total billed charges,33.66,86.94,
GAUZE KLING 1 N/S,7530011,CDM,270,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
GAUZE KLING 2 N/S,7530012,CDM,270,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
GAUZE KLING 3 N/S,7530013,CDM,270,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
GAUZE KLING 4 N/S,7530014,CDM,270,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
BANDAGE COBAN 3,7530040,CDM,270,RC,,,OUTPATIENT,,,5.25,4.2,,4.99,95,,3.99,percent of total billed charges,95% of total billed charges,4.97,94.72,,3.98,percent of total billed charges,94.72% of total billed charges,5.19,98.79,,4.15,percent of total billed charges,98.79% of total billed charges,5.15,98,,4.12,percent of total billed charges,98% of total billed charges,5.15,98,,4.12,percent of total billed charges,98% of total billed charges,2.52,48,,2.02,percent of total billed charges,48% of total billed charges,2.36,45,,1.89,percent of total billed charges,45% of total billed charges,2.01,38.25,,1.61,percent of total billed charges,38.25% of total billed charges,2.36,45,,1.89,percent of total billed charges,45% of total billed charges,2.36,45,,1.89,percent of total billed charges,45% of total billed charges,2.01,5.19,
BANDAGE COBAN 4,7530041,CDM,270,RC,,,OUTPATIENT,,,6.25,5,,5.94,95,,4.75,percent of total billed charges,95% of total billed charges,5.92,94.72,,4.74,percent of total billed charges,94.72% of total billed charges,6.17,98.79,,4.94,percent of total billed charges,98.79% of total billed charges,6.13,98,,4.9,percent of total billed charges,98% of total billed charges,6.13,98,,4.9,percent of total billed charges,98% of total billed charges,3,48,,2.4,percent of total billed charges,48% of total billed charges,2.81,45,,2.25,percent of total billed charges,45% of total billed charges,2.39,38.25,,1.91,percent of total billed charges,38.25% of total billed charges,2.81,45,,2.25,percent of total billed charges,45% of total billed charges,2.81,45,,2.25,percent of total billed charges,45% of total billed charges,2.39,6.17,
BANDAGE COBAN 6,7530042,CDM,270,RC,,,OUTPATIENT,,,10,8,,9.5,95,,7.6,percent of total billed charges,95% of total billed charges,9.47,94.72,,7.58,percent of total billed charges,94.72% of total billed charges,9.88,98.79,,7.9,percent of total billed charges,98.79% of total billed charges,9.8,98,,7.84,percent of total billed charges,98% of total billed charges,9.8,98,,7.84,percent of total billed charges,98% of total billed charges,4.8,48,,3.84,percent of total billed charges,48% of total billed charges,4.5,45,,3.6,percent of total billed charges,45% of total billed charges,3.83,38.25,,3.06,percent of total billed charges,38.25% of total billed charges,4.5,45,,3.6,percent of total billed charges,45% of total billed charges,4.5,45,,3.6,percent of total billed charges,45% of total billed charges,3.83,9.88,
Bandage Coban 6,7530042,CDM,270,RC,,,OUTPATIENT,,,10,8,,9.5,95,,7.6,percent of total billed charges,95% of total billed charges,9.47,94.72,,7.58,percent of total billed charges,94.72% of total billed charges,9.88,98.79,,7.9,percent of total billed charges,98.79% of total billed charges,9.8,98,,7.84,percent of total billed charges,98% of total billed charges,9.8,98,,7.84,percent of total billed charges,98% of total billed charges,4.8,48,,3.84,percent of total billed charges,48% of total billed charges,4.5,45,,3.6,percent of total billed charges,45% of total billed charges,3.83,38.25,,3.06,percent of total billed charges,38.25% of total billed charges,4.5,45,,3.6,percent of total billed charges,45% of total billed charges,4.5,45,,3.6,percent of total billed charges,45% of total billed charges,3.83,9.88,
BANDAGE COBAN STERILE 3,7530043,CDM,270,RC,,,OUTPATIENT,,,6.5,5.2,,6.18,95,,4.94,percent of total billed charges,95% of total billed charges,6.16,94.72,,4.93,percent of total billed charges,94.72% of total billed charges,6.42,98.79,,5.14,percent of total billed charges,98.79% of total billed charges,6.37,98,,5.1,percent of total billed charges,98% of total billed charges,6.37,98,,5.1,percent of total billed charges,98% of total billed charges,3.12,48,,2.5,percent of total billed charges,48% of total billed charges,2.93,45,,2.34,percent of total billed charges,45% of total billed charges,2.49,38.25,,1.99,percent of total billed charges,38.25% of total billed charges,2.93,45,,2.34,percent of total billed charges,45% of total billed charges,2.93,45,,2.34,percent of total billed charges,45% of total billed charges,2.49,6.42,
BANDAGE COBAN STERILE 6,7530044,CDM,270,RC,,,OUTPATIENT,,,15.5,12.4,,14.73,95,,11.78,percent of total billed charges,95% of total billed charges,14.68,94.72,,11.74,percent of total billed charges,94.72% of total billed charges,15.31,98.79,,12.25,percent of total billed charges,98.79% of total billed charges,15.19,98,,12.15,percent of total billed charges,98% of total billed charges,15.19,98,,12.15,percent of total billed charges,98% of total billed charges,7.44,48,,5.95,percent of total billed charges,48% of total billed charges,6.98,45,,5.58,percent of total billed charges,45% of total billed charges,5.93,38.25,,4.74,percent of total billed charges,38.25% of total billed charges,6.98,45,,5.58,percent of total billed charges,45% of total billed charges,6.98,45,,5.58,percent of total billed charges,45% of total billed charges,5.93,15.31,
DRESSING PETROLIUM GAUZE 3 X 36,7530049,CDM,270,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
BANDAGE COMPRESSION COMPRIFORE LITE,7530050,CDM,270,RC,,,OUTPATIENT,,,36,28.8,,34.2,95,,27.36,percent of total billed charges,95% of total billed charges,34.1,94.72,,27.28,percent of total billed charges,94.72% of total billed charges,35.56,98.79,,28.45,percent of total billed charges,98.79% of total billed charges,35.28,98,,28.22,percent of total billed charges,98% of total billed charges,35.28,98,,28.22,percent of total billed charges,98% of total billed charges,17.28,48,,13.82,percent of total billed charges,48% of total billed charges,16.2,45,,12.96,percent of total billed charges,45% of total billed charges,13.77,38.25,,11.02,percent of total billed charges,38.25% of total billed charges,16.2,45,,12.96,percent of total billed charges,45% of total billed charges,16.2,45,,12.96,percent of total billed charges,45% of total billed charges,13.77,35.56,
FOURFLEX BANDAGE SYSTEM,7530051,CDM,270,RC,,,OUTPATIENT,,,39.75,31.8,,37.76,95,,30.21,percent of total billed charges,95% of total billed charges,37.65,94.72,,30.12,percent of total billed charges,94.72% of total billed charges,39.27,98.79,,31.42,percent of total billed charges,98.79% of total billed charges,38.96,98,,31.17,percent of total billed charges,98% of total billed charges,38.96,98,,31.17,percent of total billed charges,98% of total billed charges,19.08,48,,15.26,percent of total billed charges,48% of total billed charges,17.89,45,,14.31,percent of total billed charges,45% of total billed charges,15.2,38.25,,12.16,percent of total billed charges,38.25% of total billed charges,17.89,45,,14.31,percent of total billed charges,45% of total billed charges,17.89,45,,14.31,percent of total billed charges,45% of total billed charges,15.2,39.27,
THREEFLEX BANDAGE SYSTEM,7530052,CDM,270,RC,,,OUTPATIENT,,,39.25,31.4,,37.29,95,,29.83,percent of total billed charges,95% of total billed charges,37.18,94.72,,29.74,percent of total billed charges,94.72% of total billed charges,38.78,98.79,,31.02,percent of total billed charges,98.79% of total billed charges,38.47,98,,30.78,percent of total billed charges,98% of total billed charges,38.47,98,,30.78,percent of total billed charges,98% of total billed charges,18.84,48,,15.07,percent of total billed charges,48% of total billed charges,17.66,45,,14.13,percent of total billed charges,45% of total billed charges,15.01,38.25,,12.01,percent of total billed charges,38.25% of total billed charges,17.66,45,,14.13,percent of total billed charges,45% of total billed charges,17.66,45,,14.13,percent of total billed charges,45% of total billed charges,15.01,38.78,
SPONGE TONSIL MEDIUM,7530056,CDM,270,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
BANDAGE COFLEX TWO LAYER,7530060,CDM,270,RC,,,OUTPATIENT,,,37.5,30,,35.63,95,,28.5,percent of total billed charges,95% of total billed charges,35.52,94.72,,28.42,percent of total billed charges,94.72% of total billed charges,37.05,98.79,,29.64,percent of total billed charges,98.79% of total billed charges,36.75,98,,29.4,percent of total billed charges,98% of total billed charges,36.75,98,,29.4,percent of total billed charges,98% of total billed charges,18,48,,14.4,percent of total billed charges,48% of total billed charges,16.88,45,,13.5,percent of total billed charges,45% of total billed charges,14.34,38.25,,11.47,percent of total billed charges,38.25% of total billed charges,16.88,45,,13.5,percent of total billed charges,45% of total billed charges,16.88,45,,13.5,percent of total billed charges,45% of total billed charges,14.34,37.05,
DRESSING GAUZE SPONGE 2/PK 2 X 2,7530071,CDM,270,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
Dressing Xeroform Petrolatum,7530073,CDM,270,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
DRESSING MAXORB EX ROPE,7530080,CDM,270,RC,,,OUTPATIENT,,,12.75,10.2,,12.11,95,,9.69,percent of total billed charges,95% of total billed charges,12.08,94.72,,9.66,percent of total billed charges,94.72% of total billed charges,12.6,98.79,,10.08,percent of total billed charges,98.79% of total billed charges,12.5,98,,10,percent of total billed charges,98% of total billed charges,12.5,98,,10,percent of total billed charges,98% of total billed charges,6.12,48,,4.9,percent of total billed charges,48% of total billed charges,5.74,45,,4.59,percent of total billed charges,45% of total billed charges,4.88,38.25,,3.9,percent of total billed charges,38.25% of total billed charges,5.74,45,,4.59,percent of total billed charges,45% of total billed charges,5.74,45,,4.59,percent of total billed charges,45% of total billed charges,4.88,12.6,
HYDROGEL SKINTEGRITY,7530086,CDM,270,RC,,,OUTPATIENT,,,4.5,3.6,,4.28,95,,3.42,percent of total billed charges,95% of total billed charges,4.26,94.72,,3.41,percent of total billed charges,94.72% of total billed charges,4.45,98.79,,3.56,percent of total billed charges,98.79% of total billed charges,4.41,98,,3.53,percent of total billed charges,98% of total billed charges,4.41,98,,3.53,percent of total billed charges,98% of total billed charges,2.16,48,,1.73,percent of total billed charges,48% of total billed charges,2.03,45,,1.62,percent of total billed charges,45% of total billed charges,1.72,38.25,,1.38,percent of total billed charges,38.25% of total billed charges,2.03,45,,1.62,percent of total billed charges,45% of total billed charges,2.03,45,,1.62,percent of total billed charges,45% of total billed charges,1.72,4.45,
GEL WOUND ANTIMICROBIAL SILVER 1.5OZ,7530087,CDM,270,RC,,,OUTPATIENT,,,57.25,45.8,,54.39,95,,43.51,percent of total billed charges,95% of total billed charges,54.23,94.72,,43.38,percent of total billed charges,94.72% of total billed charges,56.56,98.79,,45.25,percent of total billed charges,98.79% of total billed charges,56.11,98,,44.89,percent of total billed charges,98% of total billed charges,56.11,98,,44.89,percent of total billed charges,98% of total billed charges,27.48,48,,21.98,percent of total billed charges,48% of total billed charges,25.76,45,,20.61,percent of total billed charges,45% of total billed charges,21.9,38.25,,17.52,percent of total billed charges,38.25% of total billed charges,25.76,45,,20.61,percent of total billed charges,45% of total billed charges,25.76,45,,20.61,percent of total billed charges,45% of total billed charges,21.9,56.56,
DRESSING GEL SILVERSTAT,7530088,CDM,270,RC,,,OUTPATIENT,,,55.75,44.6,,52.96,95,,42.37,percent of total billed charges,95% of total billed charges,52.81,94.72,,42.25,percent of total billed charges,94.72% of total billed charges,55.08,98.79,,44.06,percent of total billed charges,98.79% of total billed charges,54.64,98,,43.71,percent of total billed charges,98% of total billed charges,54.64,98,,43.71,percent of total billed charges,98% of total billed charges,26.76,48,,21.41,percent of total billed charges,48% of total billed charges,25.09,45,,20.07,percent of total billed charges,45% of total billed charges,21.32,38.25,,17.06,percent of total billed charges,38.25% of total billed charges,25.09,45,,20.07,percent of total billed charges,45% of total billed charges,25.09,45,,20.07,percent of total billed charges,45% of total billed charges,21.32,55.08,
STOCKINETTE STERILE 6 x 30,7530089,CDM,270,RC,,,OUTPATIENT,,,17.25,13.8,,16.39,95,,13.11,percent of total billed charges,95% of total billed charges,16.34,94.72,,13.07,percent of total billed charges,94.72% of total billed charges,17.04,98.79,,13.63,percent of total billed charges,98.79% of total billed charges,16.91,98,,13.53,percent of total billed charges,98% of total billed charges,16.91,98,,13.53,percent of total billed charges,98% of total billed charges,8.28,48,,6.62,percent of total billed charges,48% of total billed charges,7.76,45,,6.21,percent of total billed charges,45% of total billed charges,6.6,38.25,,5.28,percent of total billed charges,38.25% of total billed charges,7.76,45,,6.21,percent of total billed charges,45% of total billed charges,7.76,45,,6.21,percent of total billed charges,45% of total billed charges,6.6,17.04,
STOCKINETTE STERILE 9 x 48,7530090,CDM,270,RC,,,OUTPATIENT,,,18.5,14.8,,17.58,95,,14.06,percent of total billed charges,95% of total billed charges,17.52,94.72,,14.02,percent of total billed charges,94.72% of total billed charges,18.28,98.79,,14.62,percent of total billed charges,98.79% of total billed charges,18.13,98,,14.5,percent of total billed charges,98% of total billed charges,18.13,98,,14.5,percent of total billed charges,98% of total billed charges,8.88,48,,7.1,percent of total billed charges,48% of total billed charges,8.33,45,,6.66,percent of total billed charges,45% of total billed charges,7.08,38.25,,5.66,percent of total billed charges,38.25% of total billed charges,8.33,45,,6.66,percent of total billed charges,45% of total billed charges,8.33,45,,6.66,percent of total billed charges,45% of total billed charges,7.08,18.28,
STOCKINETTE STERILE 12 x 48,7530091,CDM,270,RC,,,OUTPATIENT,,,25,20,,23.75,95,,19,percent of total billed charges,95% of total billed charges,23.68,94.72,,18.94,percent of total billed charges,94.72% of total billed charges,24.7,98.79,,19.76,percent of total billed charges,98.79% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,12,48,,9.6,percent of total billed charges,48% of total billed charges,11.25,45,,9,percent of total billed charges,45% of total billed charges,9.56,38.25,,7.65,percent of total billed charges,38.25% of total billed charges,11.25,45,,9,percent of total billed charges,45% of total billed charges,11.25,45,,9,percent of total billed charges,45% of total billed charges,9.56,24.7,
DRESSING MEPILEX LIGHT 4 X 4 (10 X 10CM),7530099,CDM,270,RC,,,OUTPATIENT,,,7.75,6.2,,7.36,95,,5.89,percent of total billed charges,95% of total billed charges,7.34,94.72,,5.87,percent of total billed charges,94.72% of total billed charges,7.66,98.79,,6.13,percent of total billed charges,98.79% of total billed charges,7.6,98,,6.08,percent of total billed charges,98% of total billed charges,7.6,98,,6.08,percent of total billed charges,98% of total billed charges,3.72,48,,2.98,percent of total billed charges,48% of total billed charges,3.49,45,,2.79,percent of total billed charges,45% of total billed charges,2.96,38.25,,2.37,percent of total billed charges,38.25% of total billed charges,3.49,45,,2.79,percent of total billed charges,45% of total billed charges,3.49,45,,2.79,percent of total billed charges,45% of total billed charges,2.96,7.66,
DRESSING POLYMEM 4 X 4,7530100,CDM,270,RC,,,OUTPATIENT,,,12.25,9.8,,11.64,95,,9.31,percent of total billed charges,95% of total billed charges,11.6,94.72,,9.28,percent of total billed charges,94.72% of total billed charges,12.1,98.79,,9.68,percent of total billed charges,98.79% of total billed charges,12.01,98,,9.61,percent of total billed charges,98% of total billed charges,12.01,98,,9.61,percent of total billed charges,98% of total billed charges,5.88,48,,4.7,percent of total billed charges,48% of total billed charges,5.51,45,,4.41,percent of total billed charges,45% of total billed charges,4.69,38.25,,3.75,percent of total billed charges,38.25% of total billed charges,5.51,45,,4.41,percent of total billed charges,45% of total billed charges,5.51,45,,4.41,percent of total billed charges,45% of total billed charges,4.69,12.1,
FILLER POLYMEM 3 X 3,7530101,CDM,270,RC,,,OUTPATIENT,,,19.75,15.8,,18.76,95,,15.01,percent of total billed charges,95% of total billed charges,18.71,94.72,,14.97,percent of total billed charges,94.72% of total billed charges,19.51,98.79,,15.61,percent of total billed charges,98.79% of total billed charges,19.36,98,,15.49,percent of total billed charges,98% of total billed charges,19.36,98,,15.49,percent of total billed charges,98% of total billed charges,9.48,48,,7.58,percent of total billed charges,48% of total billed charges,8.89,45,,7.11,percent of total billed charges,45% of total billed charges,7.55,38.25,,6.04,percent of total billed charges,38.25% of total billed charges,8.89,45,,7.11,percent of total billed charges,45% of total billed charges,8.89,45,,7.11,percent of total billed charges,45% of total billed charges,7.55,19.51,
DRESSING MEPILEX LIGHT1.6 x 2(4x5cm),7530104,CDM,270,RC,,,OUTPATIENT,,,4.25,3.4,,4.04,95,,3.23,percent of total billed charges,95% of total billed charges,4.03,94.72,,3.22,percent of total billed charges,94.72% of total billed charges,4.2,98.79,,3.36,percent of total billed charges,98.79% of total billed charges,4.17,98,,3.34,percent of total billed charges,98% of total billed charges,4.17,98,,3.34,percent of total billed charges,98% of total billed charges,2.04,48,,1.63,percent of total billed charges,48% of total billed charges,1.91,45,,1.53,percent of total billed charges,45% of total billed charges,1.63,38.25,,1.3,percent of total billed charges,38.25% of total billed charges,1.91,45,,1.53,percent of total billed charges,45% of total billed charges,1.91,45,,1.53,percent of total billed charges,45% of total billed charges,1.63,4.2,
DRESSING MEPILEX LIGHT 3 X 3 (7.5x7.5cm),7530105,CDM,270,RC,,,OUTPATIENT,,,5.75,4.6,,5.46,95,,4.37,percent of total billed charges,95% of total billed charges,5.45,94.72,,4.36,percent of total billed charges,94.72% of total billed charges,5.68,98.79,,4.54,percent of total billed charges,98.79% of total billed charges,5.64,98,,4.51,percent of total billed charges,98% of total billed charges,5.64,98,,4.51,percent of total billed charges,98% of total billed charges,2.76,48,,2.21,percent of total billed charges,48% of total billed charges,2.59,45,,2.07,percent of total billed charges,45% of total billed charges,2.2,38.25,,1.76,percent of total billed charges,38.25% of total billed charges,2.59,45,,2.07,percent of total billed charges,45% of total billed charges,2.59,45,,2.07,percent of total billed charges,45% of total billed charges,2.2,5.68,
DRSG NASAL RESORB,7530106,CDM,270,RC,,,OUTPATIENT,,,406.75,325.4,,386.41,95,,309.13,percent of total billed charges,95% of total billed charges,385.27,94.72,,308.22,percent of total billed charges,94.72% of total billed charges,401.83,98.79,,321.46,percent of total billed charges,98.79% of total billed charges,398.62,98,,318.9,percent of total billed charges,98% of total billed charges,398.62,98,,318.9,percent of total billed charges,98% of total billed charges,195.24,48,,156.19,percent of total billed charges,48% of total billed charges,183.04,45,,146.43,percent of total billed charges,45% of total billed charges,155.58,38.25,,124.46,percent of total billed charges,38.25% of total billed charges,183.04,45,,146.43,percent of total billed charges,45% of total billed charges,183.04,45,,146.43,percent of total billed charges,45% of total billed charges,155.58,401.83,
NASAL EPISTAXIS PACKING SM,7530107,CDM,270,RC,,,OUTPATIENT,,,53.25,42.6,,50.59,95,,40.47,percent of total billed charges,95% of total billed charges,50.44,94.72,,40.35,percent of total billed charges,94.72% of total billed charges,52.61,98.79,,42.09,percent of total billed charges,98.79% of total billed charges,52.19,98,,41.75,percent of total billed charges,98% of total billed charges,52.19,98,,41.75,percent of total billed charges,98% of total billed charges,25.56,48,,20.45,percent of total billed charges,48% of total billed charges,23.96,45,,19.17,percent of total billed charges,45% of total billed charges,20.37,38.25,,16.3,percent of total billed charges,38.25% of total billed charges,23.96,45,,19.17,percent of total billed charges,45% of total billed charges,23.96,45,,19.17,percent of total billed charges,45% of total billed charges,20.37,52.61,
SURGICAL PATTIES (CODMAN),7530108,CDM,270,RC,,,OUTPATIENT,,,85.5,68.4,,81.23,95,,64.98,percent of total billed charges,95% of total billed charges,80.99,94.72,,64.79,percent of total billed charges,94.72% of total billed charges,84.47,98.79,,67.58,percent of total billed charges,98.79% of total billed charges,83.79,98,,67.03,percent of total billed charges,98% of total billed charges,83.79,98,,67.03,percent of total billed charges,98% of total billed charges,41.04,48,,32.83,percent of total billed charges,48% of total billed charges,38.48,45,,30.78,percent of total billed charges,45% of total billed charges,32.7,38.25,,26.16,percent of total billed charges,38.25% of total billed charges,38.48,45,,30.78,percent of total billed charges,45% of total billed charges,38.48,45,,30.78,percent of total billed charges,45% of total billed charges,32.7,84.47,
DRESSING OPTICELL AG+ GEL FIBER .75,7530110,CDM,270,RC,,,OUTPATIENT,,,38.25,30.6,,36.34,95,,29.07,percent of total billed charges,95% of total billed charges,36.23,94.72,,28.98,percent of total billed charges,94.72% of total billed charges,37.79,98.79,,30.23,percent of total billed charges,98.79% of total billed charges,37.49,98,,29.99,percent of total billed charges,98% of total billed charges,37.49,98,,29.99,percent of total billed charges,98% of total billed charges,18.36,48,,14.69,percent of total billed charges,48% of total billed charges,17.21,45,,13.77,percent of total billed charges,45% of total billed charges,14.63,38.25,,11.7,percent of total billed charges,38.25% of total billed charges,17.21,45,,13.77,percent of total billed charges,45% of total billed charges,17.21,45,,13.77,percent of total billed charges,45% of total billed charges,14.63,37.79,
DRESSING OPTICELL AG+ GEL FIBER 2X2,7530112,CDM,270,RC,,,OUTPATIENT,,,20.5,16.4,,19.48,95,,15.58,percent of total billed charges,95% of total billed charges,19.42,94.72,,15.54,percent of total billed charges,94.72% of total billed charges,20.25,98.79,,16.2,percent of total billed charges,98.79% of total billed charges,20.09,98,,16.07,percent of total billed charges,98% of total billed charges,20.09,98,,16.07,percent of total billed charges,98% of total billed charges,9.84,48,,7.87,percent of total billed charges,48% of total billed charges,9.23,45,,7.38,percent of total billed charges,45% of total billed charges,7.84,38.25,,6.27,percent of total billed charges,38.25% of total billed charges,9.23,45,,7.38,percent of total billed charges,45% of total billed charges,9.23,45,,7.38,percent of total billed charges,45% of total billed charges,7.84,20.25,
DRESSING OPTIFOAM HEEL,7530115,CDM,270,RC,,,OUTPATIENT,,,32.25,25.8,,30.64,95,,24.51,percent of total billed charges,95% of total billed charges,30.55,94.72,,24.44,percent of total billed charges,94.72% of total billed charges,31.86,98.79,,25.49,percent of total billed charges,98.79% of total billed charges,31.61,98,,25.29,percent of total billed charges,98% of total billed charges,31.61,98,,25.29,percent of total billed charges,98% of total billed charges,15.48,48,,12.38,percent of total billed charges,48% of total billed charges,14.51,45,,11.61,percent of total billed charges,45% of total billed charges,12.34,38.25,,9.87,percent of total billed charges,38.25% of total billed charges,14.51,45,,11.61,percent of total billed charges,45% of total billed charges,14.51,45,,11.61,percent of total billed charges,45% of total billed charges,12.34,31.86,
DRESSING OPTIFOAM W/SILICONE 4X4,7530116,CDM,270,RC,,,OUTPATIENT,,,39.5,31.6,,37.53,95,,30.02,percent of total billed charges,95% of total billed charges,37.41,94.72,,29.93,percent of total billed charges,94.72% of total billed charges,39.02,98.79,,31.22,percent of total billed charges,98.79% of total billed charges,38.71,98,,30.97,percent of total billed charges,98% of total billed charges,38.71,98,,30.97,percent of total billed charges,98% of total billed charges,18.96,48,,15.17,percent of total billed charges,48% of total billed charges,17.78,45,,14.22,percent of total billed charges,45% of total billed charges,15.11,38.25,,12.09,percent of total billed charges,38.25% of total billed charges,17.78,45,,14.22,percent of total billed charges,45% of total billed charges,17.78,45,,14.22,percent of total billed charges,45% of total billed charges,15.11,39.02,
DRSG OPTILOCK POLYMER 6X10,7530118,CDM,270,RC,,,OUTPATIENT,,,20.5,16.4,,19.48,95,,15.58,percent of total billed charges,95% of total billed charges,19.42,94.72,,15.54,percent of total billed charges,94.72% of total billed charges,20.25,98.79,,16.2,percent of total billed charges,98.79% of total billed charges,20.09,98,,16.07,percent of total billed charges,98% of total billed charges,20.09,98,,16.07,percent of total billed charges,98% of total billed charges,9.84,48,,7.87,percent of total billed charges,48% of total billed charges,9.23,45,,7.38,percent of total billed charges,45% of total billed charges,7.84,38.25,,6.27,percent of total billed charges,38.25% of total billed charges,9.23,45,,7.38,percent of total billed charges,45% of total billed charges,9.23,45,,7.38,percent of total billed charges,45% of total billed charges,7.84,20.25,
DRESSING WOUND RTD,7530119,CDM,270,RC,,,OUTPATIENT,,,59.75,47.8,,56.76,95,,45.41,percent of total billed charges,95% of total billed charges,56.6,94.72,,45.28,percent of total billed charges,94.72% of total billed charges,59.03,98.79,,47.22,percent of total billed charges,98.79% of total billed charges,58.56,98,,46.85,percent of total billed charges,98% of total billed charges,58.56,98,,46.85,percent of total billed charges,98% of total billed charges,28.68,48,,22.94,percent of total billed charges,48% of total billed charges,26.89,45,,21.51,percent of total billed charges,45% of total billed charges,22.85,38.25,,18.28,percent of total billed charges,38.25% of total billed charges,26.89,45,,21.51,percent of total billed charges,45% of total billed charges,26.89,45,,21.51,percent of total billed charges,45% of total billed charges,22.85,59.03,
DRESSING PURACOL PLUS AG 2X2,7530120,CDM,270,RC,,,OUTPATIENT,,,31.5,25.2,,29.93,95,,23.94,percent of total billed charges,95% of total billed charges,29.84,94.72,,23.87,percent of total billed charges,94.72% of total billed charges,31.12,98.79,,24.9,percent of total billed charges,98.79% of total billed charges,30.87,98,,24.7,percent of total billed charges,98% of total billed charges,30.87,98,,24.7,percent of total billed charges,98% of total billed charges,15.12,48,,12.1,percent of total billed charges,48% of total billed charges,14.18,45,,11.34,percent of total billed charges,45% of total billed charges,12.05,38.25,,9.64,percent of total billed charges,38.25% of total billed charges,14.18,45,,11.34,percent of total billed charges,45% of total billed charges,14.18,45,,11.34,percent of total billed charges,45% of total billed charges,12.05,31.12,
DRESSING FOAM HYDRO BLUE,7530121,CDM,270,RC,,,OUTPATIENT,,,27.25,21.8,,25.89,95,,20.71,percent of total billed charges,95% of total billed charges,25.81,94.72,,20.65,percent of total billed charges,94.72% of total billed charges,26.92,98.79,,21.54,percent of total billed charges,98.79% of total billed charges,26.71,98,,21.37,percent of total billed charges,98% of total billed charges,26.71,98,,21.37,percent of total billed charges,98% of total billed charges,13.08,48,,10.46,percent of total billed charges,48% of total billed charges,12.26,45,,9.81,percent of total billed charges,45% of total billed charges,10.42,38.25,,8.34,percent of total billed charges,38.25% of total billed charges,12.26,45,,9.81,percent of total billed charges,45% of total billed charges,12.26,45,,9.81,percent of total billed charges,45% of total billed charges,10.42,26.92,
DRESSING AQUACEL W/SILVER 4,7530200,CDM,270,RC,,,OUTPATIENT,,,40,32,,38,95,,30.4,percent of total billed charges,95% of total billed charges,37.89,94.72,,30.31,percent of total billed charges,94.72% of total billed charges,39.52,98.79,,31.62,percent of total billed charges,98.79% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,19.2,48,,15.36,percent of total billed charges,48% of total billed charges,18,45,,14.4,percent of total billed charges,45% of total billed charges,15.3,38.25,,12.24,percent of total billed charges,38.25% of total billed charges,18,45,,14.4,percent of total billed charges,45% of total billed charges,18,45,,14.4,percent of total billed charges,45% of total billed charges,15.3,39.52,
DRESSING BIOPATCH WHITE 4.0mm,7530205,CDM,270,RC,,,OUTPATIENT,,,29.75,23.8,,28.26,95,,22.61,percent of total billed charges,95% of total billed charges,28.18,94.72,,22.54,percent of total billed charges,94.72% of total billed charges,29.39,98.79,,23.51,percent of total billed charges,98.79% of total billed charges,29.16,98,,23.33,percent of total billed charges,98% of total billed charges,29.16,98,,23.33,percent of total billed charges,98% of total billed charges,14.28,48,,11.42,percent of total billed charges,48% of total billed charges,13.39,45,,10.71,percent of total billed charges,45% of total billed charges,11.38,38.25,,9.1,percent of total billed charges,38.25% of total billed charges,13.39,45,,10.71,percent of total billed charges,45% of total billed charges,13.39,45,,10.71,percent of total billed charges,45% of total billed charges,11.38,29.39,
DRESSING SILVER ALGINATE AGMESH 4X5,7530206,CDM,270,RC,,,OUTPATIENT,,,24.5,19.6,,23.28,95,,18.62,percent of total billed charges,95% of total billed charges,23.21,94.72,,18.57,percent of total billed charges,94.72% of total billed charges,24.2,98.79,,19.36,percent of total billed charges,98.79% of total billed charges,24.01,98,,19.21,percent of total billed charges,98% of total billed charges,24.01,98,,19.21,percent of total billed charges,98% of total billed charges,11.76,48,,9.41,percent of total billed charges,48% of total billed charges,11.03,45,,8.82,percent of total billed charges,45% of total billed charges,9.37,38.25,,7.5,percent of total billed charges,38.25% of total billed charges,11.03,45,,8.82,percent of total billed charges,45% of total billed charges,11.03,45,,8.82,percent of total billed charges,45% of total billed charges,9.37,24.2,
DRSG OPSITE 10INX4IN,7530207,CDM,270,RC,,,OUTPATIENT,,,26.28,21.024,,24.97,95,,19.98,percent of total billed charges,95% of total billed charges,24.89,94.72,,19.91,percent of total billed charges,94.72% of total billed charges,25.96,98.79,,20.77,percent of total billed charges,98.79% of total billed charges,25.75,98,,20.6,percent of total billed charges,98% of total billed charges,25.75,98,,20.6,percent of total billed charges,98% of total billed charges,12.61,48,,10.09,percent of total billed charges,48% of total billed charges,11.83,45,,9.46,percent of total billed charges,45% of total billed charges,10.05,38.25,,8.04,percent of total billed charges,38.25% of total billed charges,11.83,45,,9.46,percent of total billed charges,45% of total billed charges,11.83,45,,9.46,percent of total billed charges,45% of total billed charges,10.05,25.96,
BANDAGE UNNA BOOT 4 W/CALAMINE,7530210,CDM,270,RC,,,OUTPATIENT,,,34,27.2,,32.3,95,,25.84,percent of total billed charges,95% of total billed charges,32.2,94.72,,25.76,percent of total billed charges,94.72% of total billed charges,33.59,98.79,,26.87,percent of total billed charges,98.79% of total billed charges,33.32,98,,26.66,percent of total billed charges,98% of total billed charges,33.32,98,,26.66,percent of total billed charges,98% of total billed charges,16.32,48,,13.06,percent of total billed charges,48% of total billed charges,15.3,45,,12.24,percent of total billed charges,45% of total billed charges,13.01,38.25,,10.41,percent of total billed charges,38.25% of total billed charges,15.3,45,,12.24,percent of total billed charges,45% of total billed charges,15.3,45,,12.24,percent of total billed charges,45% of total billed charges,13.01,33.59,
SPRAY SKIN MICROCYN,7530211,CDM,270,RC,,,OUTPATIENT,,,43.75,35,,41.56,95,,33.25,percent of total billed charges,95% of total billed charges,41.44,94.72,,33.15,percent of total billed charges,94.72% of total billed charges,43.22,98.79,,34.58,percent of total billed charges,98.79% of total billed charges,42.88,98,,34.3,percent of total billed charges,98% of total billed charges,42.88,98,,34.3,percent of total billed charges,98% of total billed charges,21,48,,16.8,percent of total billed charges,48% of total billed charges,19.69,45,,15.75,percent of total billed charges,45% of total billed charges,16.73,38.25,,13.38,percent of total billed charges,38.25% of total billed charges,19.69,45,,15.75,percent of total billed charges,45% of total billed charges,19.69,45,,15.75,percent of total billed charges,45% of total billed charges,16.73,43.22,
BANDAGE UNNA BOOT 4,7530212,CDM,270,RC,,,OUTPATIENT,,,22.75,18.2,,21.61,95,,17.29,percent of total billed charges,95% of total billed charges,21.55,94.72,,17.24,percent of total billed charges,94.72% of total billed charges,22.47,98.79,,17.98,percent of total billed charges,98.79% of total billed charges,22.3,98,,17.84,percent of total billed charges,98% of total billed charges,22.3,98,,17.84,percent of total billed charges,98% of total billed charges,10.92,48,,8.74,percent of total billed charges,48% of total billed charges,10.24,45,,8.19,percent of total billed charges,45% of total billed charges,8.7,38.25,,6.96,percent of total billed charges,38.25% of total billed charges,10.24,45,,8.19,percent of total billed charges,45% of total billed charges,10.24,45,,8.19,percent of total billed charges,45% of total billed charges,8.7,22.47,
DRSG OPSITE 6 1/8INX3 3/8IN,7530213,CDM,270,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
DRSG OPSITE 8INX4IN,7530214,CDM,270,RC,,,OUTPATIENT,,,8.75,7,,8.31,95,,6.65,percent of total billed charges,95% of total billed charges,8.29,94.72,,6.63,percent of total billed charges,94.72% of total billed charges,8.64,98.79,,6.91,percent of total billed charges,98.79% of total billed charges,8.58,98,,6.86,percent of total billed charges,98% of total billed charges,8.58,98,,6.86,percent of total billed charges,98% of total billed charges,4.2,48,,3.36,percent of total billed charges,48% of total billed charges,3.94,45,,3.15,percent of total billed charges,45% of total billed charges,3.35,38.25,,2.68,percent of total billed charges,38.25% of total billed charges,3.94,45,,3.15,percent of total billed charges,45% of total billed charges,3.94,45,,3.15,percent of total billed charges,45% of total billed charges,3.35,8.64,
DRSG OPSITE 13 3/4X4IN,7530215,CDM,270,RC,,,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,4.95,45,,3.96,percent of total billed charges,45% of total billed charges,4.21,38.25,,3.37,percent of total billed charges,38.25% of total billed charges,4.95,45,,3.96,percent of total billed charges,45% of total billed charges,4.95,45,,3.96,percent of total billed charges,45% of total billed charges,4.21,10.87,
V.A.C. VERAFLO DRESSING SMALL,7530300,CDM,270,RC,,,OUTPATIENT,,,153,122.4,,145.35,95,,116.28,percent of total billed charges,95% of total billed charges,144.92,94.72,,115.94,percent of total billed charges,94.72% of total billed charges,151.15,98.79,,120.92,percent of total billed charges,98.79% of total billed charges,149.94,98,,119.95,percent of total billed charges,98% of total billed charges,149.94,98,,119.95,percent of total billed charges,98% of total billed charges,73.44,48,,58.75,percent of total billed charges,48% of total billed charges,68.85,45,,55.08,percent of total billed charges,45% of total billed charges,58.52,38.25,,46.82,percent of total billed charges,38.25% of total billed charges,68.85,45,,55.08,percent of total billed charges,45% of total billed charges,68.85,45,,55.08,percent of total billed charges,45% of total billed charges,58.52,151.15,
V.A.C. VERAFLO DRESSING MEDIUM,7530301,CDM,270,RC,,,OUTPATIENT,,,179.5,143.6,,170.53,95,,136.42,percent of total billed charges,95% of total billed charges,170.02,94.72,,136.02,percent of total billed charges,94.72% of total billed charges,177.33,98.79,,141.86,percent of total billed charges,98.79% of total billed charges,175.91,98,,140.73,percent of total billed charges,98% of total billed charges,175.91,98,,140.73,percent of total billed charges,98% of total billed charges,86.16,48,,68.93,percent of total billed charges,48% of total billed charges,80.78,45,,64.62,percent of total billed charges,45% of total billed charges,68.66,38.25,,54.93,percent of total billed charges,38.25% of total billed charges,80.78,45,,64.62,percent of total billed charges,45% of total billed charges,80.78,45,,64.62,percent of total billed charges,45% of total billed charges,68.66,177.33,
V.A.C. VERALINK CASSETTE,7530302,CDM,270,RC,,,OUTPATIENT,,,86,68.8,,81.7,95,,65.36,percent of total billed charges,95% of total billed charges,81.46,94.72,,65.17,percent of total billed charges,94.72% of total billed charges,84.96,98.79,,67.97,percent of total billed charges,98.79% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,41.28,48,,33.02,percent of total billed charges,48% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,32.9,38.25,,26.32,percent of total billed charges,38.25% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,32.9,84.96,
V.A.C. CANISTER W/GEL 500ml,7530303,CDM,270,RC,,,OUTPATIENT,,,91.75,73.4,,87.16,95,,69.73,percent of total billed charges,95% of total billed charges,86.91,94.72,,69.53,percent of total billed charges,94.72% of total billed charges,90.64,98.79,,72.51,percent of total billed charges,98.79% of total billed charges,89.92,98,,71.94,percent of total billed charges,98% of total billed charges,89.92,98,,71.94,percent of total billed charges,98% of total billed charges,44.04,48,,35.23,percent of total billed charges,48% of total billed charges,41.29,45,,33.03,percent of total billed charges,45% of total billed charges,35.09,38.25,,28.07,percent of total billed charges,38.25% of total billed charges,41.29,45,,33.03,percent of total billed charges,45% of total billed charges,41.29,45,,33.03,percent of total billed charges,45% of total billed charges,35.09,90.64,
V.A.C. GRANUFOAM DRESSING SMALL,7530304,CDM,270,RC,,,OUTPATIENT,,,92.75,74.2,,88.11,95,,70.49,percent of total billed charges,95% of total billed charges,87.85,94.72,,70.28,percent of total billed charges,94.72% of total billed charges,91.63,98.79,,73.3,percent of total billed charges,98.79% of total billed charges,90.9,98,,72.72,percent of total billed charges,98% of total billed charges,90.9,98,,72.72,percent of total billed charges,98% of total billed charges,44.52,48,,35.62,percent of total billed charges,48% of total billed charges,41.74,45,,33.39,percent of total billed charges,45% of total billed charges,35.48,38.25,,28.38,percent of total billed charges,38.25% of total billed charges,41.74,45,,33.39,percent of total billed charges,45% of total billed charges,41.74,45,,33.39,percent of total billed charges,45% of total billed charges,35.48,91.63,
V.A.C. GRANUFOAM WHITE,7530306,CDM,270,RC,,,OUTPATIENT,,,45.75,36.6,,43.46,95,,34.77,percent of total billed charges,95% of total billed charges,43.33,94.72,,34.66,percent of total billed charges,94.72% of total billed charges,45.2,98.79,,36.16,percent of total billed charges,98.79% of total billed charges,44.84,98,,35.87,percent of total billed charges,98% of total billed charges,44.84,98,,35.87,percent of total billed charges,98% of total billed charges,21.96,48,,17.57,percent of total billed charges,48% of total billed charges,20.59,45,,16.47,percent of total billed charges,45% of total billed charges,17.5,38.25,,14,percent of total billed charges,38.25% of total billed charges,20.59,45,,16.47,percent of total billed charges,45% of total billed charges,20.59,45,,16.47,percent of total billed charges,45% of total billed charges,17.5,45.2,
OVERLAY MATTRESS,7530310,CDM,270,RC,,,OUTPATIENT,,,104.5,83.6,,99.28,95,,79.42,percent of total billed charges,95% of total billed charges,98.98,94.72,,79.18,percent of total billed charges,94.72% of total billed charges,103.24,98.79,,82.59,percent of total billed charges,98.79% of total billed charges,102.41,98,,81.93,percent of total billed charges,98% of total billed charges,102.41,98,,81.93,percent of total billed charges,98% of total billed charges,50.16,48,,40.13,percent of total billed charges,48% of total billed charges,47.03,45,,37.62,percent of total billed charges,45% of total billed charges,39.97,38.25,,31.98,percent of total billed charges,38.25% of total billed charges,47.03,45,,37.62,percent of total billed charges,45% of total billed charges,47.03,45,,37.62,percent of total billed charges,45% of total billed charges,39.97,103.24,
CHAIR CUSHION SOF-CARE,7530311,CDM,270,RC,,,OUTPATIENT,,,92.75,74.2,,88.11,95,,70.49,percent of total billed charges,95% of total billed charges,87.85,94.72,,70.28,percent of total billed charges,94.72% of total billed charges,91.63,98.79,,73.3,percent of total billed charges,98.79% of total billed charges,90.9,98,,72.72,percent of total billed charges,98% of total billed charges,90.9,98,,72.72,percent of total billed charges,98% of total billed charges,44.52,48,,35.62,percent of total billed charges,48% of total billed charges,41.74,45,,33.39,percent of total billed charges,45% of total billed charges,35.48,38.25,,28.38,percent of total billed charges,38.25% of total billed charges,41.74,45,,33.39,percent of total billed charges,45% of total billed charges,41.74,45,,33.39,percent of total billed charges,45% of total billed charges,35.48,91.63,
HEEL CARE BOOT,7530312,CDM,270,RC,,,OUTPATIENT,,,83,66.4,,78.85,95,,63.08,percent of total billed charges,95% of total billed charges,78.62,94.72,,62.9,percent of total billed charges,94.72% of total billed charges,82,98.79,,65.6,percent of total billed charges,98.79% of total billed charges,81.34,98,,65.07,percent of total billed charges,98% of total billed charges,81.34,98,,65.07,percent of total billed charges,98% of total billed charges,39.84,48,,31.87,percent of total billed charges,48% of total billed charges,37.35,45,,29.88,percent of total billed charges,45% of total billed charges,31.75,38.25,,25.4,percent of total billed charges,38.25% of total billed charges,37.35,45,,29.88,percent of total billed charges,45% of total billed charges,37.35,45,,29.88,percent of total billed charges,45% of total billed charges,31.75,82,
CATHETER 20FR FOLEY W/5CC BALLOON,7540013,CDM,270,RC,,,OUTPATIENT,,,30.5,24.4,,28.98,95,,23.18,percent of total billed charges,95% of total billed charges,28.89,94.72,,23.11,percent of total billed charges,94.72% of total billed charges,30.13,98.79,,24.1,percent of total billed charges,98.79% of total billed charges,29.89,98,,23.91,percent of total billed charges,98% of total billed charges,29.89,98,,23.91,percent of total billed charges,98% of total billed charges,14.64,48,,11.71,percent of total billed charges,48% of total billed charges,13.73,45,,10.98,percent of total billed charges,45% of total billed charges,11.67,38.25,,9.34,percent of total billed charges,38.25% of total billed charges,13.73,45,,10.98,percent of total billed charges,45% of total billed charges,13.73,45,,10.98,percent of total billed charges,45% of total billed charges,11.67,30.13,
CATHETER 22FR FOLEY W/5CC BALLOON,7540014,CDM,270,RC,,,OUTPATIENT,,,16.5,13.2,,15.68,95,,12.54,percent of total billed charges,95% of total billed charges,15.63,94.72,,12.5,percent of total billed charges,94.72% of total billed charges,16.3,98.79,,13.04,percent of total billed charges,98.79% of total billed charges,16.17,98,,12.94,percent of total billed charges,98% of total billed charges,16.17,98,,12.94,percent of total billed charges,98% of total billed charges,7.92,48,,6.34,percent of total billed charges,48% of total billed charges,7.43,45,,5.94,percent of total billed charges,45% of total billed charges,6.31,38.25,,5.05,percent of total billed charges,38.25% of total billed charges,7.43,45,,5.94,percent of total billed charges,45% of total billed charges,7.43,45,,5.94,percent of total billed charges,45% of total billed charges,6.31,16.3,
CATHETER CVC TRIPLE LUMEN 16CM,7540020,CDM,270,RC,,,OUTPATIENT,,,206.5,165.2,,196.18,95,,156.94,percent of total billed charges,95% of total billed charges,195.6,94.72,,156.48,percent of total billed charges,94.72% of total billed charges,204,98.79,,163.2,percent of total billed charges,98.79% of total billed charges,202.37,98,,161.9,percent of total billed charges,98% of total billed charges,202.37,98,,161.9,percent of total billed charges,98% of total billed charges,99.12,48,,79.3,percent of total billed charges,48% of total billed charges,92.93,45,,74.34,percent of total billed charges,45% of total billed charges,78.99,38.25,,63.19,percent of total billed charges,38.25% of total billed charges,92.93,45,,74.34,percent of total billed charges,45% of total billed charges,92.93,45,,74.34,percent of total billed charges,45% of total billed charges,78.99,204,
CATHETER CVC TRIPLE LUMEN 20CM,7540021,CDM,270,RC,,,OUTPATIENT,,,130,104,,123.5,95,,98.8,percent of total billed charges,95% of total billed charges,123.14,94.72,,98.51,percent of total billed charges,94.72% of total billed charges,128.43,98.79,,102.74,percent of total billed charges,98.79% of total billed charges,127.4,98,,101.92,percent of total billed charges,98% of total billed charges,127.4,98,,101.92,percent of total billed charges,98% of total billed charges,62.4,48,,49.92,percent of total billed charges,48% of total billed charges,58.5,45,,46.8,percent of total billed charges,45% of total billed charges,49.73,38.25,,39.78,percent of total billed charges,38.25% of total billed charges,58.5,45,,46.8,percent of total billed charges,45% of total billed charges,58.5,45,,46.8,percent of total billed charges,45% of total billed charges,49.73,128.43,
CATHETER 08FR SUCTION KIT,7540026,CDM,270,RC,,,OUTPATIENT,,,4,3.2,,3.8,95,,3.04,percent of total billed charges,95% of total billed charges,3.79,94.72,,3.03,percent of total billed charges,94.72% of total billed charges,3.95,98.79,,3.16,percent of total billed charges,98.79% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,1.92,48,,1.54,percent of total billed charges,48% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,38.25,,1.22,percent of total billed charges,38.25% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,3.95,
CATHETER 14FR 10ML SILICONE,7540027,CDM,270,RC,,,OUTPATIENT,,,14.25,11.4,,13.54,95,,10.83,percent of total billed charges,95% of total billed charges,13.5,94.72,,10.8,percent of total billed charges,94.72% of total billed charges,14.08,98.79,,11.26,percent of total billed charges,98.79% of total billed charges,13.97,98,,11.18,percent of total billed charges,98% of total billed charges,13.97,98,,11.18,percent of total billed charges,98% of total billed charges,6.84,48,,5.47,percent of total billed charges,48% of total billed charges,6.41,45,,5.13,percent of total billed charges,45% of total billed charges,5.45,38.25,,4.36,percent of total billed charges,38.25% of total billed charges,6.41,45,,5.13,percent of total billed charges,45% of total billed charges,6.41,45,,5.13,percent of total billed charges,45% of total billed charges,5.45,14.08,
CATHETER 14FR SUCTION W/DELEE TIP,7540028,CDM,270,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
CATHETER 14FR SUCTION KIT,7540029,CDM,270,RC,,,OUTPATIENT,,,15.75,12.6,,14.96,95,,11.97,percent of total billed charges,95% of total billed charges,14.92,94.72,,11.94,percent of total billed charges,94.72% of total billed charges,15.56,98.79,,12.45,percent of total billed charges,98.79% of total billed charges,15.44,98,,12.35,percent of total billed charges,98% of total billed charges,15.44,98,,12.35,percent of total billed charges,98% of total billed charges,7.56,48,,6.05,percent of total billed charges,48% of total billed charges,7.09,45,,5.67,percent of total billed charges,45% of total billed charges,6.02,38.25,,4.82,percent of total billed charges,38.25% of total billed charges,7.09,45,,5.67,percent of total billed charges,45% of total billed charges,7.09,45,,5.67,percent of total billed charges,45% of total billed charges,6.02,15.56,
CATHETER 18FR SUCTION CONTROL,7540031,CDM,270,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
CATHETER EPISTAXIS NASAL,7540032,CDM,270,RC,,,OUTPATIENT,,,261,208.8,,247.95,95,,198.36,percent of total billed charges,95% of total billed charges,247.22,94.72,,197.78,percent of total billed charges,94.72% of total billed charges,257.84,98.79,,206.27,percent of total billed charges,98.79% of total billed charges,255.78,98,,204.62,percent of total billed charges,98% of total billed charges,255.78,98,,204.62,percent of total billed charges,98% of total billed charges,125.28,48,,100.22,percent of total billed charges,48% of total billed charges,117.45,45,,93.96,percent of total billed charges,45% of total billed charges,99.83,38.25,,79.86,percent of total billed charges,38.25% of total billed charges,117.45,45,,93.96,percent of total billed charges,45% of total billed charges,117.45,45,,93.96,percent of total billed charges,45% of total billed charges,99.83,257.84,
CATHETER CVC TRIPLE LUMEN 30cm,7540033,CDM,270,RC,,,OUTPATIENT,,,94.75,75.8,,90.01,95,,72.01,percent of total billed charges,95% of total billed charges,89.75,94.72,,71.8,percent of total billed charges,94.72% of total billed charges,93.6,98.79,,74.88,percent of total billed charges,98.79% of total billed charges,92.86,98,,74.29,percent of total billed charges,98% of total billed charges,92.86,98,,74.29,percent of total billed charges,98% of total billed charges,45.48,48,,36.38,percent of total billed charges,48% of total billed charges,42.64,45,,34.11,percent of total billed charges,45% of total billed charges,36.24,38.25,,28.99,percent of total billed charges,38.25% of total billed charges,42.64,45,,34.11,percent of total billed charges,45% of total billed charges,42.64,45,,34.11,percent of total billed charges,45% of total billed charges,36.24,93.6,
CATHETER 20FR FOLEY IRRIG. 3WAY,7540036,CDM,270,RC,,,OUTPATIENT,,,73.75,59,,70.06,95,,56.05,percent of total billed charges,95% of total billed charges,69.86,94.72,,55.89,percent of total billed charges,94.72% of total billed charges,72.86,98.79,,58.29,percent of total billed charges,98.79% of total billed charges,72.28,98,,57.82,percent of total billed charges,98% of total billed charges,72.28,98,,57.82,percent of total billed charges,98% of total billed charges,35.4,48,,28.32,percent of total billed charges,48% of total billed charges,33.19,45,,26.55,percent of total billed charges,45% of total billed charges,28.21,38.25,,22.57,percent of total billed charges,38.25% of total billed charges,33.19,45,,26.55,percent of total billed charges,45% of total billed charges,33.19,45,,26.55,percent of total billed charges,45% of total billed charges,28.21,72.86,
CATHETER 22FR FOLEY IRRIG 3WAY,7540037,CDM,270,RC,,,OUTPATIENT,,,68.75,55,,65.31,95,,52.25,percent of total billed charges,95% of total billed charges,65.12,94.72,,52.1,percent of total billed charges,94.72% of total billed charges,67.92,98.79,,54.34,percent of total billed charges,98.79% of total billed charges,67.38,98,,53.9,percent of total billed charges,98% of total billed charges,67.38,98,,53.9,percent of total billed charges,98% of total billed charges,33,48,,26.4,percent of total billed charges,48% of total billed charges,30.94,45,,24.75,percent of total billed charges,45% of total billed charges,26.3,38.25,,21.04,percent of total billed charges,38.25% of total billed charges,30.94,45,,24.75,percent of total billed charges,45% of total billed charges,30.94,45,,24.75,percent of total billed charges,45% of total billed charges,26.3,67.92,
POOLE SURGICAL SUCTION INSTRUMENT,7540039,CDM,270,RC,,,OUTPATIENT,,,8,6.4,,7.6,95,,6.08,percent of total billed charges,95% of total billed charges,7.58,94.72,,6.06,percent of total billed charges,94.72% of total billed charges,7.9,98.79,,6.32,percent of total billed charges,98.79% of total billed charges,7.84,98,,6.27,percent of total billed charges,98% of total billed charges,7.84,98,,6.27,percent of total billed charges,98% of total billed charges,3.84,48,,3.07,percent of total billed charges,48% of total billed charges,3.6,45,,2.88,percent of total billed charges,45% of total billed charges,3.06,38.25,,2.45,percent of total billed charges,38.25% of total billed charges,3.6,45,,2.88,percent of total billed charges,45% of total billed charges,3.6,45,,2.88,percent of total billed charges,45% of total billed charges,3.06,7.9,
CATHETER 10FR SUCTION KIT,7540040,CDM,270,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
TUBE SALEM SUMP 6FR,7540051,CDM,270,RC,,,OUTPATIENT,,,32.75,26.2,,31.11,95,,24.89,percent of total billed charges,95% of total billed charges,31.02,94.72,,24.82,percent of total billed charges,94.72% of total billed charges,32.35,98.79,,25.88,percent of total billed charges,98.79% of total billed charges,32.1,98,,25.68,percent of total billed charges,98% of total billed charges,32.1,98,,25.68,percent of total billed charges,98% of total billed charges,15.72,48,,12.58,percent of total billed charges,48% of total billed charges,14.74,45,,11.79,percent of total billed charges,45% of total billed charges,12.53,38.25,,10.02,percent of total billed charges,38.25% of total billed charges,14.74,45,,11.79,percent of total billed charges,45% of total billed charges,14.74,45,,11.79,percent of total billed charges,45% of total billed charges,12.53,32.35,
TUBE SALEM SUMP 08FR,7540052,CDM,270,RC,,,OUTPATIENT,,,23,18.4,,21.85,95,,17.48,percent of total billed charges,95% of total billed charges,21.79,94.72,,17.43,percent of total billed charges,94.72% of total billed charges,22.72,98.79,,18.18,percent of total billed charges,98.79% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,11.04,48,,8.83,percent of total billed charges,48% of total billed charges,10.35,45,,8.28,percent of total billed charges,45% of total billed charges,8.8,38.25,,7.04,percent of total billed charges,38.25% of total billed charges,10.35,45,,8.28,percent of total billed charges,45% of total billed charges,10.35,45,,8.28,percent of total billed charges,45% of total billed charges,8.8,22.72,
CATHETER 12FR SUCTION KIT,7540054,CDM,270,RC,,,OUTPATIENT,,,17.5,14,,16.63,95,,13.3,percent of total billed charges,95% of total billed charges,16.58,94.72,,13.26,percent of total billed charges,94.72% of total billed charges,17.29,98.79,,13.83,percent of total billed charges,98.79% of total billed charges,17.15,98,,13.72,percent of total billed charges,98% of total billed charges,17.15,98,,13.72,percent of total billed charges,98% of total billed charges,8.4,48,,6.72,percent of total billed charges,48% of total billed charges,7.88,45,,6.3,percent of total billed charges,45% of total billed charges,6.69,38.25,,5.35,percent of total billed charges,38.25% of total billed charges,7.88,45,,6.3,percent of total billed charges,45% of total billed charges,7.88,45,,6.3,percent of total billed charges,45% of total billed charges,6.69,17.29,
CATHETER 08FR 3CC BALLOON RIBBED,7540055,CDM,270,RC,,,OUTPATIENT,,,31.75,25.4,,30.16,95,,24.13,percent of total billed charges,95% of total billed charges,30.07,94.72,,24.06,percent of total billed charges,94.72% of total billed charges,31.37,98.79,,25.1,percent of total billed charges,98.79% of total billed charges,31.12,98,,24.9,percent of total billed charges,98% of total billed charges,31.12,98,,24.9,percent of total billed charges,98% of total billed charges,15.24,48,,12.19,percent of total billed charges,48% of total billed charges,14.29,45,,11.43,percent of total billed charges,45% of total billed charges,12.14,38.25,,9.71,percent of total billed charges,38.25% of total billed charges,14.29,45,,11.43,percent of total billed charges,45% of total billed charges,14.29,45,,11.43,percent of total billed charges,45% of total billed charges,12.14,31.37,
TUBE STOMACH EVACUATOR 36FR,7540062,CDM,270,RC,,,OUTPATIENT,,,51,40.8,,48.45,95,,38.76,percent of total billed charges,95% of total billed charges,48.31,94.72,,38.65,percent of total billed charges,94.72% of total billed charges,50.38,98.79,,40.3,percent of total billed charges,98.79% of total billed charges,49.98,98,,39.98,percent of total billed charges,98% of total billed charges,49.98,98,,39.98,percent of total billed charges,98% of total billed charges,24.48,48,,19.58,percent of total billed charges,48% of total billed charges,22.95,45,,18.36,percent of total billed charges,45% of total billed charges,19.51,38.25,,15.61,percent of total billed charges,38.25% of total billed charges,22.95,45,,18.36,percent of total billed charges,45% of total billed charges,22.95,45,,18.36,percent of total billed charges,45% of total billed charges,19.51,50.38,
MINI STICK INTRODUCER 4F,7540079,CDM,270,RC,,,OUTPATIENT,,,95,76,,90.25,95,,72.2,percent of total billed charges,95% of total billed charges,89.98,94.72,,71.98,percent of total billed charges,94.72% of total billed charges,93.85,98.79,,75.08,percent of total billed charges,98.79% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,45.6,48,,36.48,percent of total billed charges,48% of total billed charges,42.75,45,,34.2,percent of total billed charges,45% of total billed charges,36.34,38.25,,29.07,percent of total billed charges,38.25% of total billed charges,42.75,45,,34.2,percent of total billed charges,45% of total billed charges,42.75,45,,34.2,percent of total billed charges,45% of total billed charges,36.34,93.85,
CATHETER 12FR TROCAR,7540086,CDM,270,RC,,,OUTPATIENT,,,80.25,64.2,,76.24,95,,60.99,percent of total billed charges,95% of total billed charges,76.01,94.72,,60.81,percent of total billed charges,94.72% of total billed charges,79.28,98.79,,63.42,percent of total billed charges,98.79% of total billed charges,78.65,98,,62.92,percent of total billed charges,98% of total billed charges,78.65,98,,62.92,percent of total billed charges,98% of total billed charges,38.52,48,,30.82,percent of total billed charges,48% of total billed charges,36.11,45,,28.89,percent of total billed charges,45% of total billed charges,30.7,38.25,,24.56,percent of total billed charges,38.25% of total billed charges,36.11,45,,28.89,percent of total billed charges,45% of total billed charges,36.11,45,,28.89,percent of total billed charges,45% of total billed charges,30.7,79.28,
CATHETER 16FR TROCAR,7540087,CDM,270,RC,,,OUTPATIENT,,,70.25,56.2,,66.74,95,,53.39,percent of total billed charges,95% of total billed charges,66.54,94.72,,53.23,percent of total billed charges,94.72% of total billed charges,69.4,98.79,,55.52,percent of total billed charges,98.79% of total billed charges,68.85,98,,55.08,percent of total billed charges,98% of total billed charges,68.85,98,,55.08,percent of total billed charges,98% of total billed charges,33.72,48,,26.98,percent of total billed charges,48% of total billed charges,31.61,45,,25.29,percent of total billed charges,45% of total billed charges,26.87,38.25,,21.5,percent of total billed charges,38.25% of total billed charges,31.61,45,,25.29,percent of total billed charges,45% of total billed charges,31.61,45,,25.29,percent of total billed charges,45% of total billed charges,26.87,69.4,
CATHETER 20FR TROCAR,7540088,CDM,270,RC,,,OUTPATIENT,,,66.75,53.4,,63.41,95,,50.73,percent of total billed charges,95% of total billed charges,63.23,94.72,,50.58,percent of total billed charges,94.72% of total billed charges,65.94,98.79,,52.75,percent of total billed charges,98.79% of total billed charges,65.42,98,,52.34,percent of total billed charges,98% of total billed charges,65.42,98,,52.34,percent of total billed charges,98% of total billed charges,32.04,48,,25.63,percent of total billed charges,48% of total billed charges,30.04,45,,24.03,percent of total billed charges,45% of total billed charges,25.53,38.25,,20.42,percent of total billed charges,38.25% of total billed charges,30.04,45,,24.03,percent of total billed charges,45% of total billed charges,30.04,45,,24.03,percent of total billed charges,45% of total billed charges,25.53,65.94,
CATHETER 10FR SUCTION W/DELEE TIP,7540099,CDM,270,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
CATHETER 16FR 3WAY 5CC BALLOON,7540100,CDM,270,RC,,,OUTPATIENT,,,52.75,42.2,,50.11,95,,40.09,percent of total billed charges,95% of total billed charges,49.96,94.72,,39.97,percent of total billed charges,94.72% of total billed charges,52.11,98.79,,41.69,percent of total billed charges,98.79% of total billed charges,51.7,98,,41.36,percent of total billed charges,98% of total billed charges,51.7,98,,41.36,percent of total billed charges,98% of total billed charges,25.32,48,,20.26,percent of total billed charges,48% of total billed charges,23.74,45,,18.99,percent of total billed charges,45% of total billed charges,20.18,38.25,,16.14,percent of total billed charges,38.25% of total billed charges,23.74,45,,18.99,percent of total billed charges,45% of total billed charges,23.74,45,,18.99,percent of total billed charges,45% of total billed charges,20.18,52.11,
CATHETER 18FR 3WAY 5CC BALLOON,7540101,CDM,270,RC,,,OUTPATIENT,,,41.25,33,,39.19,95,,31.35,percent of total billed charges,95% of total billed charges,39.07,94.72,,31.26,percent of total billed charges,94.72% of total billed charges,40.75,98.79,,32.6,percent of total billed charges,98.79% of total billed charges,40.43,98,,32.34,percent of total billed charges,98% of total billed charges,40.43,98,,32.34,percent of total billed charges,98% of total billed charges,19.8,48,,15.84,percent of total billed charges,48% of total billed charges,18.56,45,,14.85,percent of total billed charges,45% of total billed charges,15.78,38.25,,12.62,percent of total billed charges,38.25% of total billed charges,18.56,45,,14.85,percent of total billed charges,45% of total billed charges,18.56,45,,14.85,percent of total billed charges,45% of total billed charges,15.78,40.75,
CATHETER 20FR 3WAY 5CC BALLOON,7540102,CDM,270,RC,,,OUTPATIENT,,,82,65.6,,77.9,95,,62.32,percent of total billed charges,95% of total billed charges,77.67,94.72,,62.14,percent of total billed charges,94.72% of total billed charges,81.01,98.79,,64.81,percent of total billed charges,98.79% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,39.36,48,,31.49,percent of total billed charges,48% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,31.37,38.25,,25.1,percent of total billed charges,38.25% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,31.37,81.01,
CATHETER 22FR 3WAY 5CC BALLOON,7540103,CDM,270,RC,,,OUTPATIENT,,,63.5,50.8,,60.33,95,,48.26,percent of total billed charges,95% of total billed charges,60.15,94.72,,48.12,percent of total billed charges,94.72% of total billed charges,62.73,98.79,,50.18,percent of total billed charges,98.79% of total billed charges,62.23,98,,49.78,percent of total billed charges,98% of total billed charges,62.23,98,,49.78,percent of total billed charges,98% of total billed charges,30.48,48,,24.38,percent of total billed charges,48% of total billed charges,28.58,45,,22.86,percent of total billed charges,45% of total billed charges,24.29,38.25,,19.43,percent of total billed charges,38.25% of total billed charges,28.58,45,,22.86,percent of total billed charges,45% of total billed charges,28.58,45,,22.86,percent of total billed charges,45% of total billed charges,24.29,62.73,
CATHETER 24FR 3WAY 5CC BALLOON,7540104,CDM,270,RC,,,OUTPATIENT,,,39,31.2,,37.05,95,,29.64,percent of total billed charges,95% of total billed charges,36.94,94.72,,29.55,percent of total billed charges,94.72% of total billed charges,38.53,98.79,,30.82,percent of total billed charges,98.79% of total billed charges,38.22,98,,30.58,percent of total billed charges,98% of total billed charges,38.22,98,,30.58,percent of total billed charges,98% of total billed charges,18.72,48,,14.98,percent of total billed charges,48% of total billed charges,17.55,45,,14.04,percent of total billed charges,45% of total billed charges,14.92,38.25,,11.94,percent of total billed charges,38.25% of total billed charges,17.55,45,,14.04,percent of total billed charges,45% of total billed charges,17.55,45,,14.04,percent of total billed charges,45% of total billed charges,14.92,38.53,
CATHETER PLUG AND CAP,7540105,CDM,270,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
CATHETER URETERAL CONE TIP 08FR (DON'T ORDER),7540106,CDM,270,RC,,,OUTPATIENT,,,42.75,34.2,,40.61,95,,32.49,percent of total billed charges,95% of total billed charges,40.49,94.72,,32.39,percent of total billed charges,94.72% of total billed charges,42.23,98.79,,33.78,percent of total billed charges,98.79% of total billed charges,41.9,98,,33.52,percent of total billed charges,98% of total billed charges,41.9,98,,33.52,percent of total billed charges,98% of total billed charges,20.52,48,,16.42,percent of total billed charges,48% of total billed charges,19.24,45,,15.39,percent of total billed charges,45% of total billed charges,16.35,38.25,,13.08,percent of total billed charges,38.25% of total billed charges,19.24,45,,15.39,percent of total billed charges,45% of total billed charges,19.24,45,,15.39,percent of total billed charges,45% of total billed charges,16.35,42.23,
CATHETER URETERAL WHISTLE TIP 5fr,7540107,CDM,270,RC,,,OUTPATIENT,,,30.75,24.6,,29.21,95,,23.37,percent of total billed charges,95% of total billed charges,29.13,94.72,,23.3,percent of total billed charges,94.72% of total billed charges,30.38,98.79,,24.3,percent of total billed charges,98.79% of total billed charges,30.14,98,,24.11,percent of total billed charges,98% of total billed charges,30.14,98,,24.11,percent of total billed charges,98% of total billed charges,14.76,48,,11.81,percent of total billed charges,48% of total billed charges,13.84,45,,11.07,percent of total billed charges,45% of total billed charges,11.76,38.25,,9.41,percent of total billed charges,38.25% of total billed charges,13.84,45,,11.07,percent of total billed charges,45% of total billed charges,13.84,45,,11.07,percent of total billed charges,45% of total billed charges,11.76,30.38,
CATHETER URETERAL OPEN END 06fr,7540108,CDM,270,RC,,,OUTPATIENT,,,66.5,53.2,,63.18,95,,50.54,percent of total billed charges,95% of total billed charges,62.99,94.72,,50.39,percent of total billed charges,94.72% of total billed charges,65.7,98.79,,52.56,percent of total billed charges,98.79% of total billed charges,65.17,98,,52.14,percent of total billed charges,98% of total billed charges,65.17,98,,52.14,percent of total billed charges,98% of total billed charges,31.92,48,,25.54,percent of total billed charges,48% of total billed charges,29.93,45,,23.94,percent of total billed charges,45% of total billed charges,25.44,38.25,,20.35,percent of total billed charges,38.25% of total billed charges,29.93,45,,23.94,percent of total billed charges,45% of total billed charges,29.93,45,,23.94,percent of total billed charges,45% of total billed charges,25.44,65.7,
CATHETER 18fr 3WAY 30CC SILICONE,7540111,CDM,270,RC,,,OUTPATIENT,,,61.5,49.2,,58.43,95,,46.74,percent of total billed charges,95% of total billed charges,58.25,94.72,,46.6,percent of total billed charges,94.72% of total billed charges,60.76,98.79,,48.61,percent of total billed charges,98.79% of total billed charges,60.27,98,,48.22,percent of total billed charges,98% of total billed charges,60.27,98,,48.22,percent of total billed charges,98% of total billed charges,29.52,48,,23.62,percent of total billed charges,48% of total billed charges,27.68,45,,22.14,percent of total billed charges,45% of total billed charges,23.52,38.25,,18.82,percent of total billed charges,38.25% of total billed charges,27.68,45,,22.14,percent of total billed charges,45% of total billed charges,27.68,45,,22.14,percent of total billed charges,45% of total billed charges,23.52,60.76,
CATHETER 20fr 3WAY 30CC SILICONE,7540112,CDM,270,RC,,,OUTPATIENT,,,52.75,42.2,,50.11,95,,40.09,percent of total billed charges,95% of total billed charges,49.96,94.72,,39.97,percent of total billed charges,94.72% of total billed charges,52.11,98.79,,41.69,percent of total billed charges,98.79% of total billed charges,51.7,98,,41.36,percent of total billed charges,98% of total billed charges,51.7,98,,41.36,percent of total billed charges,98% of total billed charges,25.32,48,,20.26,percent of total billed charges,48% of total billed charges,23.74,45,,18.99,percent of total billed charges,45% of total billed charges,20.18,38.25,,16.14,percent of total billed charges,38.25% of total billed charges,23.74,45,,18.99,percent of total billed charges,45% of total billed charges,23.74,45,,18.99,percent of total billed charges,45% of total billed charges,20.18,52.11,
CATHETER 22fr 3WAY 30CC SILICONE,7540113,CDM,270,RC,,,OUTPATIENT,,,47.25,37.8,,44.89,95,,35.91,percent of total billed charges,95% of total billed charges,44.76,94.72,,35.81,percent of total billed charges,94.72% of total billed charges,46.68,98.79,,37.34,percent of total billed charges,98.79% of total billed charges,46.31,98,,37.05,percent of total billed charges,98% of total billed charges,46.31,98,,37.05,percent of total billed charges,98% of total billed charges,22.68,48,,18.14,percent of total billed charges,48% of total billed charges,21.26,45,,17.01,percent of total billed charges,45% of total billed charges,18.07,38.25,,14.46,percent of total billed charges,38.25% of total billed charges,21.26,45,,17.01,percent of total billed charges,45% of total billed charges,21.26,45,,17.01,percent of total billed charges,45% of total billed charges,18.07,46.68,
TUBE TRACH PED 3.0 SHILEY,7540116,CDM,270,RC,,,OUTPATIENT,,,97,77.6,,92.15,95,,73.72,percent of total billed charges,95% of total billed charges,91.88,94.72,,73.5,percent of total billed charges,94.72% of total billed charges,95.83,98.79,,76.66,percent of total billed charges,98.79% of total billed charges,95.06,98,,76.05,percent of total billed charges,98% of total billed charges,95.06,98,,76.05,percent of total billed charges,98% of total billed charges,46.56,48,,37.25,percent of total billed charges,48% of total billed charges,43.65,45,,34.92,percent of total billed charges,45% of total billed charges,37.1,38.25,,29.68,percent of total billed charges,38.25% of total billed charges,43.65,45,,34.92,percent of total billed charges,45% of total billed charges,43.65,45,,34.92,percent of total billed charges,45% of total billed charges,37.1,95.83,
TUBE TRACH PED 3.5 SHILEY (DISCONTINUED),7540117,CDM,270,RC,,,OUTPATIENT,,,79.75,63.8,,75.76,95,,60.61,percent of total billed charges,95% of total billed charges,75.54,94.72,,60.43,percent of total billed charges,94.72% of total billed charges,78.79,98.79,,63.03,percent of total billed charges,98.79% of total billed charges,78.16,98,,62.53,percent of total billed charges,98% of total billed charges,78.16,98,,62.53,percent of total billed charges,98% of total billed charges,38.28,48,,30.62,percent of total billed charges,48% of total billed charges,35.89,45,,28.71,percent of total billed charges,45% of total billed charges,30.5,38.25,,24.4,percent of total billed charges,38.25% of total billed charges,35.89,45,,28.71,percent of total billed charges,45% of total billed charges,35.89,45,,28.71,percent of total billed charges,45% of total billed charges,30.5,78.79,
TUBE TRACH PED 4.0 SHILEY,7540118,CDM,270,RC,,,OUTPATIENT,,,90.5,72.4,,85.98,95,,68.78,percent of total billed charges,95% of total billed charges,85.72,94.72,,68.58,percent of total billed charges,94.72% of total billed charges,89.4,98.79,,71.52,percent of total billed charges,98.79% of total billed charges,88.69,98,,70.95,percent of total billed charges,98% of total billed charges,88.69,98,,70.95,percent of total billed charges,98% of total billed charges,43.44,48,,34.75,percent of total billed charges,48% of total billed charges,40.73,45,,32.58,percent of total billed charges,45% of total billed charges,34.62,38.25,,27.7,percent of total billed charges,38.25% of total billed charges,40.73,45,,32.58,percent of total billed charges,45% of total billed charges,40.73,45,,32.58,percent of total billed charges,45% of total billed charges,34.62,89.4,
TUBE TRACH PED 4.5 SHILEY,7540119,CDM,270,RC,,,OUTPATIENT,,,85,68,,80.75,95,,64.6,percent of total billed charges,95% of total billed charges,80.51,94.72,,64.41,percent of total billed charges,94.72% of total billed charges,83.97,98.79,,67.18,percent of total billed charges,98.79% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,40.8,48,,32.64,percent of total billed charges,48% of total billed charges,38.25,45,,30.6,percent of total billed charges,45% of total billed charges,32.51,38.25,,26.01,percent of total billed charges,38.25% of total billed charges,38.25,45,,30.6,percent of total billed charges,45% of total billed charges,38.25,45,,30.6,percent of total billed charges,45% of total billed charges,32.51,83.97,
TUBE TRACH PED 5.0 SHILEY,7540120,CDM,270,RC,,,OUTPATIENT,,,90,72,,85.5,95,,68.4,percent of total billed charges,95% of total billed charges,85.25,94.72,,68.2,percent of total billed charges,94.72% of total billed charges,88.91,98.79,,71.13,percent of total billed charges,98.79% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,43.2,48,,34.56,percent of total billed charges,48% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,38.25,,27.54,percent of total billed charges,38.25% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,88.91,
TUBE TRACH ADULT 4.0 SHILEY,7540121,CDM,270,RC,,,OUTPATIENT,,,156,124.8,,148.2,95,,118.56,percent of total billed charges,95% of total billed charges,147.76,94.72,,118.21,percent of total billed charges,94.72% of total billed charges,154.11,98.79,,123.29,percent of total billed charges,98.79% of total billed charges,152.88,98,,122.3,percent of total billed charges,98% of total billed charges,152.88,98,,122.3,percent of total billed charges,98% of total billed charges,74.88,48,,59.9,percent of total billed charges,48% of total billed charges,70.2,45,,56.16,percent of total billed charges,45% of total billed charges,59.67,38.25,,47.74,percent of total billed charges,38.25% of total billed charges,70.2,45,,56.16,percent of total billed charges,45% of total billed charges,70.2,45,,56.16,percent of total billed charges,45% of total billed charges,59.67,154.11,
TUBE TRACH ADULT 6.0 SHILEY,7540122,CDM,270,RC,,,OUTPATIENT,,,178.5,142.8,,169.58,95,,135.66,percent of total billed charges,95% of total billed charges,169.08,94.72,,135.26,percent of total billed charges,94.72% of total billed charges,176.34,98.79,,141.07,percent of total billed charges,98.79% of total billed charges,174.93,98,,139.94,percent of total billed charges,98% of total billed charges,174.93,98,,139.94,percent of total billed charges,98% of total billed charges,85.68,48,,68.54,percent of total billed charges,48% of total billed charges,80.33,45,,64.26,percent of total billed charges,45% of total billed charges,68.28,38.25,,54.62,percent of total billed charges,38.25% of total billed charges,80.33,45,,64.26,percent of total billed charges,45% of total billed charges,80.33,45,,64.26,percent of total billed charges,45% of total billed charges,68.28,176.34,
TUBE TRACH ADULT 8.0 SHILEY,7540123,CDM,270,RC,,,OUTPATIENT,,,269,215.2,,255.55,95,,204.44,percent of total billed charges,95% of total billed charges,254.8,94.72,,203.84,percent of total billed charges,94.72% of total billed charges,265.75,98.79,,212.6,percent of total billed charges,98.79% of total billed charges,263.62,98,,210.9,percent of total billed charges,98% of total billed charges,263.62,98,,210.9,percent of total billed charges,98% of total billed charges,129.12,48,,103.3,percent of total billed charges,48% of total billed charges,121.05,45,,96.84,percent of total billed charges,45% of total billed charges,102.89,38.25,,82.31,percent of total billed charges,38.25% of total billed charges,121.05,45,,96.84,percent of total billed charges,45% of total billed charges,121.05,45,,96.84,percent of total billed charges,45% of total billed charges,102.89,265.75,
TUBE TRACH ADULT 10.0 SHILEY,7540124,CDM,270,RC,,,OUTPATIENT,,,167.75,134.2,,159.36,95,,127.49,percent of total billed charges,95% of total billed charges,158.89,94.72,,127.11,percent of total billed charges,94.72% of total billed charges,165.72,98.79,,132.58,percent of total billed charges,98.79% of total billed charges,164.4,98,,131.52,percent of total billed charges,98% of total billed charges,164.4,98,,131.52,percent of total billed charges,98% of total billed charges,80.52,48,,64.42,percent of total billed charges,48% of total billed charges,75.49,45,,60.39,percent of total billed charges,45% of total billed charges,64.16,38.25,,51.33,percent of total billed charges,38.25% of total billed charges,75.49,45,,60.39,percent of total billed charges,45% of total billed charges,75.49,45,,60.39,percent of total billed charges,45% of total billed charges,64.16,165.72,
TUBE TRACH PED 5.5 SHILEY,7540125,CDM,270,RC,,,OUTPATIENT,,,85,68,,80.75,95,,64.6,percent of total billed charges,95% of total billed charges,80.51,94.72,,64.41,percent of total billed charges,94.72% of total billed charges,83.97,98.79,,67.18,percent of total billed charges,98.79% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,40.8,48,,32.64,percent of total billed charges,48% of total billed charges,38.25,45,,30.6,percent of total billed charges,45% of total billed charges,32.51,38.25,,26.01,percent of total billed charges,38.25% of total billed charges,38.25,45,,30.6,percent of total billed charges,45% of total billed charges,38.25,45,,30.6,percent of total billed charges,45% of total billed charges,32.51,83.97,
CATHETERIZATION SET FEMORAL ARTERY,7540132,CDM,270,RC,,,OUTPATIENT,,,103.75,83,,98.56,95,,78.85,percent of total billed charges,95% of total billed charges,98.27,94.72,,78.62,percent of total billed charges,94.72% of total billed charges,102.49,98.79,,81.99,percent of total billed charges,98.79% of total billed charges,101.68,98,,81.34,percent of total billed charges,98% of total billed charges,101.68,98,,81.34,percent of total billed charges,98% of total billed charges,49.8,48,,39.84,percent of total billed charges,48% of total billed charges,46.69,45,,37.35,percent of total billed charges,45% of total billed charges,39.68,38.25,,31.74,percent of total billed charges,38.25% of total billed charges,46.69,45,,37.35,percent of total billed charges,45% of total billed charges,46.69,45,,37.35,percent of total billed charges,45% of total billed charges,39.68,102.49,
CATHETERIZATION SET RADIAL ARTERY,7540133,CDM,270,RC,,,OUTPATIENT,,,83,66.4,,78.85,95,,63.08,percent of total billed charges,95% of total billed charges,78.62,94.72,,62.9,percent of total billed charges,94.72% of total billed charges,82,98.79,,65.6,percent of total billed charges,98.79% of total billed charges,81.34,98,,65.07,percent of total billed charges,98% of total billed charges,81.34,98,,65.07,percent of total billed charges,98% of total billed charges,39.84,48,,31.87,percent of total billed charges,48% of total billed charges,37.35,45,,29.88,percent of total billed charges,45% of total billed charges,31.75,38.25,,25.4,percent of total billed charges,38.25% of total billed charges,37.35,45,,29.88,percent of total billed charges,45% of total billed charges,37.35,45,,29.88,percent of total billed charges,45% of total billed charges,31.75,82,
CATHETER HYSTEROSALPINGOGRAPHY,7540134,CDM,270,RC,,,OUTPATIENT,,,89,71.2,,84.55,95,,67.64,percent of total billed charges,95% of total billed charges,84.3,94.72,,67.44,percent of total billed charges,94.72% of total billed charges,87.92,98.79,,70.34,percent of total billed charges,98.79% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,42.72,48,,34.18,percent of total billed charges,48% of total billed charges,40.05,45,,32.04,percent of total billed charges,45% of total billed charges,34.04,38.25,,27.23,percent of total billed charges,38.25% of total billed charges,40.05,45,,32.04,percent of total billed charges,45% of total billed charges,40.05,45,,32.04,percent of total billed charges,45% of total billed charges,34.04,87.92,
CATHETER 05FR UMBILICAL VESSEL,7540135,CDM,270,RC,,,OUTPATIENT,,,48.75,39,,46.31,95,,37.05,percent of total billed charges,95% of total billed charges,46.18,94.72,,36.94,percent of total billed charges,94.72% of total billed charges,48.16,98.79,,38.53,percent of total billed charges,98.79% of total billed charges,47.78,98,,38.22,percent of total billed charges,98% of total billed charges,47.78,98,,38.22,percent of total billed charges,98% of total billed charges,23.4,48,,18.72,percent of total billed charges,48% of total billed charges,21.94,45,,17.55,percent of total billed charges,45% of total billed charges,18.65,38.25,,14.92,percent of total billed charges,38.25% of total billed charges,21.94,45,,17.55,percent of total billed charges,45% of total billed charges,21.94,45,,17.55,percent of total billed charges,45% of total billed charges,18.65,48.16,
CATHETER 20FR FOLEY SILICONE 5CC/BAL,7540137,CDM,270,RC,,,OUTPATIENT,,,38.25,30.6,,36.34,95,,29.07,percent of total billed charges,95% of total billed charges,36.23,94.72,,28.98,percent of total billed charges,94.72% of total billed charges,37.79,98.79,,30.23,percent of total billed charges,98.79% of total billed charges,37.49,98,,29.99,percent of total billed charges,98% of total billed charges,37.49,98,,29.99,percent of total billed charges,98% of total billed charges,18.36,48,,14.69,percent of total billed charges,48% of total billed charges,17.21,45,,13.77,percent of total billed charges,45% of total billed charges,14.63,38.25,,11.7,percent of total billed charges,38.25% of total billed charges,17.21,45,,13.77,percent of total billed charges,45% of total billed charges,17.21,45,,13.77,percent of total billed charges,45% of total billed charges,14.63,37.79,
CATHETER 06FR SUCTION KIT,7540138,CDM,270,RC,,,OUTPATIENT,,,6.5,5.2,,6.18,95,,4.94,percent of total billed charges,95% of total billed charges,6.16,94.72,,4.93,percent of total billed charges,94.72% of total billed charges,6.42,98.79,,5.14,percent of total billed charges,98.79% of total billed charges,6.37,98,,5.1,percent of total billed charges,98% of total billed charges,6.37,98,,5.1,percent of total billed charges,98% of total billed charges,3.12,48,,2.5,percent of total billed charges,48% of total billed charges,2.93,45,,2.34,percent of total billed charges,45% of total billed charges,2.49,38.25,,1.99,percent of total billed charges,38.25% of total billed charges,2.93,45,,2.34,percent of total billed charges,45% of total billed charges,2.93,45,,2.34,percent of total billed charges,45% of total billed charges,2.49,6.42,
CATHETER 18FR SUCTION W/DELEE TIP,7540139,CDM,270,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
CATHETER LOCKING DRAINAGE,7540141,CDM,270,RC,,,OUTPATIENT,,,95.55,76.44,,90.77,95,,72.62,percent of total billed charges,95% of total billed charges,90.5,94.72,,72.4,percent of total billed charges,94.72% of total billed charges,94.39,98.79,,75.51,percent of total billed charges,98.79% of total billed charges,93.64,98,,74.91,percent of total billed charges,98% of total billed charges,93.64,98,,74.91,percent of total billed charges,98% of total billed charges,45.86,48,,36.69,percent of total billed charges,48% of total billed charges,43,45,,34.4,percent of total billed charges,45% of total billed charges,36.55,38.25,,29.24,percent of total billed charges,38.25% of total billed charges,43,45,,34.4,percent of total billed charges,45% of total billed charges,43,45,,34.4,percent of total billed charges,45% of total billed charges,36.55,94.39,
CATHETER LOCKING DRAINAGE 6.5F,7540141,CDM,270,RC,,,OUTPATIENT,,,96,76.8,,91.2,95,,72.96,percent of total billed charges,95% of total billed charges,90.93,94.72,,72.74,percent of total billed charges,94.72% of total billed charges,94.84,98.79,,75.87,percent of total billed charges,98.79% of total billed charges,94.08,98,,75.26,percent of total billed charges,98% of total billed charges,94.08,98,,75.26,percent of total billed charges,98% of total billed charges,46.08,48,,36.86,percent of total billed charges,48% of total billed charges,43.2,45,,34.56,percent of total billed charges,45% of total billed charges,36.72,38.25,,29.38,percent of total billed charges,38.25% of total billed charges,43.2,45,,34.56,percent of total billed charges,45% of total billed charges,43.2,45,,34.56,percent of total billed charges,45% of total billed charges,36.72,94.84,
TUBE MEDICAL INOVATION MC ADULT 26,7540142,CDM,270,RC,,,OUTPATIENT,,,85.25,68.2,,80.99,95,,64.79,percent of total billed charges,95% of total billed charges,80.75,94.72,,64.6,percent of total billed charges,94.72% of total billed charges,84.22,98.79,,67.38,percent of total billed charges,98.79% of total billed charges,83.55,98,,66.84,percent of total billed charges,98% of total billed charges,83.55,98,,66.84,percent of total billed charges,98% of total billed charges,40.92,48,,32.74,percent of total billed charges,48% of total billed charges,38.36,45,,30.69,percent of total billed charges,45% of total billed charges,32.61,38.25,,26.09,percent of total billed charges,38.25% of total billed charges,38.36,45,,30.69,percent of total billed charges,45% of total billed charges,38.36,45,,30.69,percent of total billed charges,45% of total billed charges,32.61,84.22,
TUBE MEDICAL INOVATION MIC ADULT 24,7540143,CDM,270,RC,,,OUTPATIENT,,,110,88,,104.5,95,,83.6,percent of total billed charges,95% of total billed charges,104.19,94.72,,83.35,percent of total billed charges,94.72% of total billed charges,108.67,98.79,,86.94,percent of total billed charges,98.79% of total billed charges,107.8,98,,86.24,percent of total billed charges,98% of total billed charges,107.8,98,,86.24,percent of total billed charges,98% of total billed charges,52.8,48,,42.24,percent of total billed charges,48% of total billed charges,49.5,45,,39.6,percent of total billed charges,45% of total billed charges,42.08,38.25,,33.66,percent of total billed charges,38.25% of total billed charges,49.5,45,,39.6,percent of total billed charges,45% of total billed charges,49.5,45,,39.6,percent of total billed charges,45% of total billed charges,42.08,108.67,
PICC LINE 4FR SINGLE LUMEN SILICONE,7540200,CDM,270,RC,,,OUTPATIENT,,,132.5,106,,125.88,95,,100.7,percent of total billed charges,95% of total billed charges,125.5,94.72,,100.4,percent of total billed charges,94.72% of total billed charges,130.9,98.79,,104.72,percent of total billed charges,98.79% of total billed charges,129.85,98,,103.88,percent of total billed charges,98% of total billed charges,129.85,98,,103.88,percent of total billed charges,98% of total billed charges,63.6,48,,50.88,percent of total billed charges,48% of total billed charges,59.63,45,,47.7,percent of total billed charges,45% of total billed charges,50.68,38.25,,40.54,percent of total billed charges,38.25% of total billed charges,59.63,45,,47.7,percent of total billed charges,45% of total billed charges,59.63,45,,47.7,percent of total billed charges,45% of total billed charges,50.68,130.9,
CATHETER SPHENOCATH,7540204,CDM,270,RC,,,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,54,45,,43.2,percent of total billed charges,45% of total billed charges,45.9,38.25,,36.72,percent of total billed charges,38.25% of total billed charges,54,45,,43.2,percent of total billed charges,45% of total billed charges,54,45,,43.2,percent of total billed charges,45% of total billed charges,45.9,118.55,
Catheter Sphenocath,7540204,CDM,270,RC,,,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,54,45,,43.2,percent of total billed charges,45% of total billed charges,45.9,38.25,,36.72,percent of total billed charges,38.25% of total billed charges,54,45,,43.2,percent of total billed charges,45% of total billed charges,54,45,,43.2,percent of total billed charges,45% of total billed charges,45.9,118.55,
CATHETER VALVED CENTESIS 5FR,7540205,CDM,270,RC,,,OUTPATIENT,,,70,56,,66.5,95,,53.2,percent of total billed charges,95% of total billed charges,66.3,94.72,,53.04,percent of total billed charges,94.72% of total billed charges,69.15,98.79,,55.32,percent of total billed charges,98.79% of total billed charges,68.6,98,,54.88,percent of total billed charges,98% of total billed charges,68.6,98,,54.88,percent of total billed charges,98% of total billed charges,33.6,48,,26.88,percent of total billed charges,48% of total billed charges,31.5,45,,25.2,percent of total billed charges,45% of total billed charges,26.78,38.25,,21.42,percent of total billed charges,38.25% of total billed charges,31.5,45,,25.2,percent of total billed charges,45% of total billed charges,31.5,45,,25.2,percent of total billed charges,45% of total billed charges,26.78,69.15,
Catheter One Step Cente,7540205,CDM,270,RC,,,OUTPATIENT,,,70,56,,66.5,95,,53.2,percent of total billed charges,95% of total billed charges,66.3,94.72,,53.04,percent of total billed charges,94.72% of total billed charges,69.15,98.79,,55.32,percent of total billed charges,98.79% of total billed charges,68.6,98,,54.88,percent of total billed charges,98% of total billed charges,68.6,98,,54.88,percent of total billed charges,98% of total billed charges,33.6,48,,26.88,percent of total billed charges,48% of total billed charges,31.5,45,,25.2,percent of total billed charges,45% of total billed charges,26.78,38.25,,21.42,percent of total billed charges,38.25% of total billed charges,31.5,45,,25.2,percent of total billed charges,45% of total billed charges,31.5,45,,25.2,percent of total billed charges,45% of total billed charges,26.78,69.15,
KIT CUTIMED OFF LOAD TCC SELECT (BOX),7544907,CDM,270,RC,,,OUTPATIENT,,,134.25,107.4,,127.54,95,,102.03,percent of total billed charges,95% of total billed charges,127.16,94.72,,101.73,percent of total billed charges,94.72% of total billed charges,132.63,98.79,,106.1,percent of total billed charges,98.79% of total billed charges,131.57,98,,105.26,percent of total billed charges,98% of total billed charges,131.57,98,,105.26,percent of total billed charges,98% of total billed charges,64.44,48,,51.55,percent of total billed charges,48% of total billed charges,60.41,45,,48.33,percent of total billed charges,45% of total billed charges,51.35,38.25,,41.08,percent of total billed charges,38.25% of total billed charges,60.41,45,,48.33,percent of total billed charges,45% of total billed charges,60.41,45,,48.33,percent of total billed charges,45% of total billed charges,51.35,132.63,
DEVICE PHACO TIP 0.9MM STRT,7550002,CDM,270,RC,,,OUTPATIENT,,,143.75,115,,136.56,95,,109.25,percent of total billed charges,95% of total billed charges,136.16,94.72,,108.93,percent of total billed charges,94.72% of total billed charges,142.01,98.79,,113.61,percent of total billed charges,98.79% of total billed charges,140.88,98,,112.7,percent of total billed charges,98% of total billed charges,140.88,98,,112.7,percent of total billed charges,98% of total billed charges,69,48,,55.2,percent of total billed charges,48% of total billed charges,64.69,45,,51.75,percent of total billed charges,45% of total billed charges,54.98,38.25,,43.98,percent of total billed charges,38.25% of total billed charges,64.69,45,,51.75,percent of total billed charges,45% of total billed charges,64.69,45,,51.75,percent of total billed charges,45% of total billed charges,54.98,142.01,
VACUUM DELIVERY KIT 60mm,7550005,CDM,270,RC,,,OUTPATIENT,,,87.25,69.8,,82.89,95,,66.31,percent of total billed charges,95% of total billed charges,82.64,94.72,,66.11,percent of total billed charges,94.72% of total billed charges,86.19,98.79,,68.95,percent of total billed charges,98.79% of total billed charges,85.51,98,,68.41,percent of total billed charges,98% of total billed charges,85.51,98,,68.41,percent of total billed charges,98% of total billed charges,41.88,48,,33.5,percent of total billed charges,48% of total billed charges,39.26,45,,31.41,percent of total billed charges,45% of total billed charges,33.37,38.25,,26.7,percent of total billed charges,38.25% of total billed charges,39.26,45,,31.41,percent of total billed charges,45% of total billed charges,39.26,45,,31.41,percent of total billed charges,45% of total billed charges,33.37,86.19,
PACK BASIC V,7550008,CDM,270,RC,,,OUTPATIENT,,,33.25,26.6,,31.59,95,,25.27,percent of total billed charges,95% of total billed charges,31.49,94.72,,25.19,percent of total billed charges,94.72% of total billed charges,32.85,98.79,,26.28,percent of total billed charges,98.79% of total billed charges,32.59,98,,26.07,percent of total billed charges,98% of total billed charges,32.59,98,,26.07,percent of total billed charges,98% of total billed charges,15.96,48,,12.77,percent of total billed charges,48% of total billed charges,14.96,45,,11.97,percent of total billed charges,45% of total billed charges,12.72,38.25,,10.18,percent of total billed charges,38.25% of total billed charges,14.96,45,,11.97,percent of total billed charges,45% of total billed charges,14.96,45,,11.97,percent of total billed charges,45% of total billed charges,12.72,32.85,
PK BASIC CUSTOM,7550009,CDM,270,RC,,,OUTPATIENT,,,92.94,74.352,,88.29,95,,70.63,percent of total billed charges,95% of total billed charges,88.03,94.72,,70.42,percent of total billed charges,94.72% of total billed charges,91.82,98.79,,73.46,percent of total billed charges,98.79% of total billed charges,91.08,98,,72.86,percent of total billed charges,98% of total billed charges,91.08,98,,72.86,percent of total billed charges,98% of total billed charges,44.61,48,,35.69,percent of total billed charges,48% of total billed charges,41.82,45,,33.46,percent of total billed charges,45% of total billed charges,35.55,38.25,,28.44,percent of total billed charges,38.25% of total billed charges,41.82,45,,33.46,percent of total billed charges,45% of total billed charges,41.82,45,,33.46,percent of total billed charges,45% of total billed charges,35.55,91.82,
PACK LAP/CHOLE II (ABDOMINAL),7550021,CDM,270,RC,,,OUTPATIENT,,,62.75,50.2,,59.61,95,,47.69,percent of total billed charges,95% of total billed charges,59.44,94.72,,47.55,percent of total billed charges,94.72% of total billed charges,61.99,98.79,,49.59,percent of total billed charges,98.79% of total billed charges,61.5,98,,49.2,percent of total billed charges,98% of total billed charges,61.5,98,,49.2,percent of total billed charges,98% of total billed charges,30.12,48,,24.1,percent of total billed charges,48% of total billed charges,28.24,45,,22.59,percent of total billed charges,45% of total billed charges,24,38.25,,19.2,percent of total billed charges,38.25% of total billed charges,28.24,45,,22.59,percent of total billed charges,45% of total billed charges,28.24,45,,22.59,percent of total billed charges,45% of total billed charges,24,61.99,
DRSG AQUACEL FOAM PRO,7550026,CDM,270,RC,,,OUTPATIENT,,,41.25,33,,39.19,95,,31.35,percent of total billed charges,95% of total billed charges,39.07,94.72,,31.26,percent of total billed charges,94.72% of total billed charges,40.75,98.79,,32.6,percent of total billed charges,98.79% of total billed charges,40.43,98,,32.34,percent of total billed charges,98% of total billed charges,40.43,98,,32.34,percent of total billed charges,98% of total billed charges,19.8,48,,15.84,percent of total billed charges,48% of total billed charges,18.56,45,,14.85,percent of total billed charges,45% of total billed charges,15.78,38.25,,12.62,percent of total billed charges,38.25% of total billed charges,18.56,45,,14.85,percent of total billed charges,45% of total billed charges,18.56,45,,14.85,percent of total billed charges,45% of total billed charges,15.78,40.75,
KIT BEACH CHAIR TRIMANO AR1644,7550039,CDM,270,RC,,,OUTPATIENT,,,122,97.6,,115.9,95,,92.72,percent of total billed charges,95% of total billed charges,115.56,94.72,,92.45,percent of total billed charges,94.72% of total billed charges,120.52,98.79,,96.42,percent of total billed charges,98.79% of total billed charges,119.56,98,,95.65,percent of total billed charges,98% of total billed charges,119.56,98,,95.65,percent of total billed charges,98% of total billed charges,58.56,48,,46.85,percent of total billed charges,48% of total billed charges,54.9,45,,43.92,percent of total billed charges,45% of total billed charges,46.67,38.25,,37.34,percent of total billed charges,38.25% of total billed charges,54.9,45,,43.92,percent of total billed charges,45% of total billed charges,54.9,45,,43.92,percent of total billed charges,45% of total billed charges,46.67,120.52,
PACK SHOULDER BEACH CHAIR,7550041,CDM,270,RC,,,OUTPATIENT,,,88,70.4,,83.6,95,,66.88,percent of total billed charges,95% of total billed charges,83.35,94.72,,66.68,percent of total billed charges,94.72% of total billed charges,86.94,98.79,,69.55,percent of total billed charges,98.79% of total billed charges,86.24,98,,68.99,percent of total billed charges,98% of total billed charges,86.24,98,,68.99,percent of total billed charges,98% of total billed charges,42.24,48,,33.79,percent of total billed charges,48% of total billed charges,39.6,45,,31.68,percent of total billed charges,45% of total billed charges,33.66,38.25,,26.93,percent of total billed charges,38.25% of total billed charges,39.6,45,,31.68,percent of total billed charges,45% of total billed charges,39.6,45,,31.68,percent of total billed charges,45% of total billed charges,33.66,86.94,
KIT ELBOW TRIMANO,7550042,CDM,270,RC,,,OUTPATIENT,,,81.3,65.04,,77.24,95,,61.79,percent of total billed charges,95% of total billed charges,77.01,94.72,,61.61,percent of total billed charges,94.72% of total billed charges,80.32,98.79,,64.26,percent of total billed charges,98.79% of total billed charges,79.67,98,,63.74,percent of total billed charges,98% of total billed charges,79.67,98,,63.74,percent of total billed charges,98% of total billed charges,39.02,48,,31.22,percent of total billed charges,48% of total billed charges,36.59,45,,29.27,percent of total billed charges,45% of total billed charges,31.1,38.25,,24.88,percent of total billed charges,38.25% of total billed charges,36.59,45,,29.27,percent of total billed charges,45% of total billed charges,36.59,45,,29.27,percent of total billed charges,45% of total billed charges,31.1,80.32,
PACK OB III,7550044,CDM,270,RC,,,OUTPATIENT,,,61.5,49.2,,58.43,95,,46.74,percent of total billed charges,95% of total billed charges,58.25,94.72,,46.6,percent of total billed charges,94.72% of total billed charges,60.76,98.79,,48.61,percent of total billed charges,98.79% of total billed charges,60.27,98,,48.22,percent of total billed charges,98% of total billed charges,60.27,98,,48.22,percent of total billed charges,98% of total billed charges,29.52,48,,23.62,percent of total billed charges,48% of total billed charges,27.68,45,,22.14,percent of total billed charges,45% of total billed charges,23.52,38.25,,18.82,percent of total billed charges,38.25% of total billed charges,27.68,45,,22.14,percent of total billed charges,45% of total billed charges,27.68,45,,22.14,percent of total billed charges,45% of total billed charges,23.52,60.76,
KIT SINGLE BASIN,7550049,CDM,270,RC,,,OUTPATIENT,,,62.5,50,,59.38,95,,47.5,percent of total billed charges,95% of total billed charges,59.2,94.72,,47.36,percent of total billed charges,94.72% of total billed charges,61.74,98.79,,49.39,percent of total billed charges,98.79% of total billed charges,61.25,98,,49,percent of total billed charges,98% of total billed charges,61.25,98,,49,percent of total billed charges,98% of total billed charges,30,48,,24,percent of total billed charges,48% of total billed charges,28.13,45,,22.5,percent of total billed charges,45% of total billed charges,23.91,38.25,,19.13,percent of total billed charges,38.25% of total billed charges,28.13,45,,22.5,percent of total billed charges,45% of total billed charges,28.13,45,,22.5,percent of total billed charges,45% of total billed charges,23.91,61.74,
KIT MINI BASIN,7550050,CDM,270,RC,,,OUTPATIENT,,,27.75,22.2,,26.36,95,,21.09,percent of total billed charges,95% of total billed charges,26.28,94.72,,21.02,percent of total billed charges,94.72% of total billed charges,27.41,98.79,,21.93,percent of total billed charges,98.79% of total billed charges,27.2,98,,21.76,percent of total billed charges,98% of total billed charges,27.2,98,,21.76,percent of total billed charges,98% of total billed charges,13.32,48,,10.66,percent of total billed charges,48% of total billed charges,12.49,45,,9.99,percent of total billed charges,45% of total billed charges,10.61,38.25,,8.49,percent of total billed charges,38.25% of total billed charges,12.49,45,,9.99,percent of total billed charges,45% of total billed charges,12.49,45,,9.99,percent of total billed charges,45% of total billed charges,10.61,27.41,
DRESSING SACRAL MEPILEX ADHESIVE 6X7IN,7550054,CDM,270,RC,,,OUTPATIENT,,,22,17.6,,20.9,95,,16.72,percent of total billed charges,95% of total billed charges,20.84,94.72,,16.67,percent of total billed charges,94.72% of total billed charges,21.73,98.79,,17.38,percent of total billed charges,98.79% of total billed charges,21.56,98,,17.25,percent of total billed charges,98% of total billed charges,21.56,98,,17.25,percent of total billed charges,98% of total billed charges,10.56,48,,8.45,percent of total billed charges,48% of total billed charges,9.9,45,,7.92,percent of total billed charges,45% of total billed charges,8.42,38.25,,6.74,percent of total billed charges,38.25% of total billed charges,9.9,45,,7.92,percent of total billed charges,45% of total billed charges,9.9,45,,7.92,percent of total billed charges,45% of total billed charges,8.42,21.73,
KIT VENACURE EVLT NEVERTOUCH,7550055,CDM,270,RC,,,OUTPATIENT,,,739.5,591.6,,702.53,95,,562.02,percent of total billed charges,95% of total billed charges,700.45,94.72,,560.36,percent of total billed charges,94.72% of total billed charges,730.55,98.79,,584.44,percent of total billed charges,98.79% of total billed charges,724.71,98,,579.77,percent of total billed charges,98% of total billed charges,724.71,98,,579.77,percent of total billed charges,98% of total billed charges,354.96,48,,283.97,percent of total billed charges,48% of total billed charges,332.78,45,,266.22,percent of total billed charges,45% of total billed charges,282.86,38.25,,226.29,percent of total billed charges,38.25% of total billed charges,332.78,45,,266.22,percent of total billed charges,45% of total billed charges,332.78,45,,266.22,percent of total billed charges,45% of total billed charges,282.86,730.55,
TUBING SET DISP 4M,7550056,CDM,270,RC,,,OUTPATIENT,,,94.25,75.4,,89.54,95,,71.63,percent of total billed charges,95% of total billed charges,89.27,94.72,,71.42,percent of total billed charges,94.72% of total billed charges,93.11,98.79,,74.49,percent of total billed charges,98.79% of total billed charges,92.37,98,,73.9,percent of total billed charges,98% of total billed charges,92.37,98,,73.9,percent of total billed charges,98% of total billed charges,45.24,48,,36.19,percent of total billed charges,48% of total billed charges,42.41,45,,33.93,percent of total billed charges,45% of total billed charges,36.05,38.25,,28.84,percent of total billed charges,38.25% of total billed charges,42.41,45,,33.93,percent of total billed charges,45% of total billed charges,42.41,45,,33.93,percent of total billed charges,45% of total billed charges,36.05,93.11,
FACE MASK T-MAX DISPOSABLE,7550070,CDM,270,RC,,,OUTPATIENT,,,77,61.6,,73.15,95,,58.52,percent of total billed charges,95% of total billed charges,72.93,94.72,,58.34,percent of total billed charges,94.72% of total billed charges,76.07,98.79,,60.86,percent of total billed charges,98.79% of total billed charges,75.46,98,,60.37,percent of total billed charges,98% of total billed charges,75.46,98,,60.37,percent of total billed charges,98% of total billed charges,36.96,48,,29.57,percent of total billed charges,48% of total billed charges,34.65,45,,27.72,percent of total billed charges,45% of total billed charges,29.45,38.25,,23.56,percent of total billed charges,38.25% of total billed charges,34.65,45,,27.72,percent of total billed charges,45% of total billed charges,34.65,45,,27.72,percent of total billed charges,45% of total billed charges,29.45,76.07,
TRAY FOLEY CATHETER 16FR,7560001,CDM,270,RC,,,OUTPATIENT,,,55.25,44.2,,52.49,95,,41.99,percent of total billed charges,95% of total billed charges,52.33,94.72,,41.86,percent of total billed charges,94.72% of total billed charges,54.58,98.79,,43.66,percent of total billed charges,98.79% of total billed charges,54.15,98,,43.32,percent of total billed charges,98% of total billed charges,54.15,98,,43.32,percent of total billed charges,98% of total billed charges,26.52,48,,21.22,percent of total billed charges,48% of total billed charges,24.86,45,,19.89,percent of total billed charges,45% of total billed charges,21.13,38.25,,16.9,percent of total billed charges,38.25% of total billed charges,24.86,45,,19.89,percent of total billed charges,45% of total billed charges,24.86,45,,19.89,percent of total billed charges,45% of total billed charges,21.13,54.58,
SHAVE PREP KIT,7560008,CDM,270,RC,,,OUTPATIENT,,,5.5,4.4,,5.23,95,,4.18,percent of total billed charges,95% of total billed charges,5.21,94.72,,4.17,percent of total billed charges,94.72% of total billed charges,5.43,98.79,,4.34,percent of total billed charges,98.79% of total billed charges,5.39,98,,4.31,percent of total billed charges,98% of total billed charges,5.39,98,,4.31,percent of total billed charges,98% of total billed charges,2.64,48,,2.11,percent of total billed charges,48% of total billed charges,2.48,45,,1.98,percent of total billed charges,45% of total billed charges,2.1,38.25,,1.68,percent of total billed charges,38.25% of total billed charges,2.48,45,,1.98,percent of total billed charges,45% of total billed charges,2.48,45,,1.98,percent of total billed charges,45% of total billed charges,2.1,5.43,
TRAY SUTURE REMOVAL,7560012,CDM,270,RC,,,OUTPATIENT,,,4.75,3.8,,4.51,95,,3.61,percent of total billed charges,95% of total billed charges,4.5,94.72,,3.6,percent of total billed charges,94.72% of total billed charges,4.69,98.79,,3.75,percent of total billed charges,98.79% of total billed charges,4.66,98,,3.73,percent of total billed charges,98% of total billed charges,4.66,98,,3.73,percent of total billed charges,98% of total billed charges,2.28,48,,1.82,percent of total billed charges,48% of total billed charges,2.14,45,,1.71,percent of total billed charges,45% of total billed charges,1.82,38.25,,1.46,percent of total billed charges,38.25% of total billed charges,2.14,45,,1.71,percent of total billed charges,45% of total billed charges,2.14,45,,1.71,percent of total billed charges,45% of total billed charges,1.82,4.69,
TRAY ARTHROGRAM STERILE SINGLE USE,7560015,CDM,270,RC,,,OUTPATIENT,,,53.5,42.8,,50.83,95,,40.66,percent of total billed charges,95% of total billed charges,50.68,94.72,,40.54,percent of total billed charges,94.72% of total billed charges,52.85,98.79,,42.28,percent of total billed charges,98.79% of total billed charges,52.43,98,,41.94,percent of total billed charges,98% of total billed charges,52.43,98,,41.94,percent of total billed charges,98% of total billed charges,25.68,48,,20.54,percent of total billed charges,48% of total billed charges,24.08,45,,19.26,percent of total billed charges,45% of total billed charges,20.46,38.25,,16.37,percent of total billed charges,38.25% of total billed charges,24.08,45,,19.26,percent of total billed charges,45% of total billed charges,24.08,45,,19.26,percent of total billed charges,45% of total billed charges,20.46,52.85,
Tray Arthrogram Sterile,7560015,CDM,270,RC,,,OUTPATIENT,,,65,52,,61.75,95,,49.4,percent of total billed charges,95% of total billed charges,61.57,94.72,,49.26,percent of total billed charges,94.72% of total billed charges,64.21,98.79,,51.37,percent of total billed charges,98.79% of total billed charges,63.7,98,,50.96,percent of total billed charges,98% of total billed charges,63.7,98,,50.96,percent of total billed charges,98% of total billed charges,31.2,48,,24.96,percent of total billed charges,48% of total billed charges,29.25,45,,23.4,percent of total billed charges,45% of total billed charges,24.86,38.25,,19.89,percent of total billed charges,38.25% of total billed charges,29.25,45,,23.4,percent of total billed charges,45% of total billed charges,29.25,45,,23.4,percent of total billed charges,45% of total billed charges,24.86,64.21,
TRAY MYELOGRAM F/WATER SOLUBLE,7560023,CDM,270,RC,,,OUTPATIENT,,,48.5,38.8,,46.08,95,,36.86,percent of total billed charges,95% of total billed charges,45.94,94.72,,36.75,percent of total billed charges,94.72% of total billed charges,47.91,98.79,,38.33,percent of total billed charges,98.79% of total billed charges,47.53,98,,38.02,percent of total billed charges,98% of total billed charges,47.53,98,,38.02,percent of total billed charges,98% of total billed charges,23.28,48,,18.62,percent of total billed charges,48% of total billed charges,21.83,45,,17.46,percent of total billed charges,45% of total billed charges,18.55,38.25,,14.84,percent of total billed charges,38.25% of total billed charges,21.83,45,,17.46,percent of total billed charges,45% of total billed charges,21.83,45,,17.46,percent of total billed charges,45% of total billed charges,18.55,47.91,
Tray Myelogram F/Water,7560023,CDM,270,RC,,,OUTPATIENT,,,49,39.2,,46.55,95,,37.24,percent of total billed charges,95% of total billed charges,46.41,94.72,,37.13,percent of total billed charges,94.72% of total billed charges,48.41,98.79,,38.73,percent of total billed charges,98.79% of total billed charges,48.02,98,,38.42,percent of total billed charges,98% of total billed charges,48.02,98,,38.42,percent of total billed charges,98% of total billed charges,23.52,48,,18.82,percent of total billed charges,48% of total billed charges,22.05,45,,17.64,percent of total billed charges,45% of total billed charges,18.74,38.25,,14.99,percent of total billed charges,38.25% of total billed charges,22.05,45,,17.64,percent of total billed charges,45% of total billed charges,22.05,45,,17.64,percent of total billed charges,45% of total billed charges,18.74,48.41,
TRAY CATHETER INSERTION W/10cc SYR,7560024,CDM,270,RC,,,OUTPATIENT,,,13,10.4,,12.35,95,,9.88,percent of total billed charges,95% of total billed charges,12.31,94.72,,9.85,percent of total billed charges,94.72% of total billed charges,12.84,98.79,,10.27,percent of total billed charges,98.79% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,6.24,48,,4.99,percent of total billed charges,48% of total billed charges,5.85,45,,4.68,percent of total billed charges,45% of total billed charges,4.97,38.25,,3.98,percent of total billed charges,38.25% of total billed charges,5.85,45,,4.68,percent of total billed charges,45% of total billed charges,5.85,45,,4.68,percent of total billed charges,45% of total billed charges,4.97,12.84,
TRAY PEGJ JEJUNAL FEEDING SET,7560026,CDM,270,RC,,,OUTPATIENT,,,165,132,,156.75,95,,125.4,percent of total billed charges,95% of total billed charges,156.29,94.72,,125.03,percent of total billed charges,94.72% of total billed charges,163,98.79,,130.4,percent of total billed charges,98.79% of total billed charges,161.7,98,,129.36,percent of total billed charges,98% of total billed charges,161.7,98,,129.36,percent of total billed charges,98% of total billed charges,79.2,48,,63.36,percent of total billed charges,48% of total billed charges,74.25,45,,59.4,percent of total billed charges,45% of total billed charges,63.11,38.25,,50.49,percent of total billed charges,38.25% of total billed charges,74.25,45,,59.4,percent of total billed charges,45% of total billed charges,74.25,45,,59.4,percent of total billed charges,45% of total billed charges,63.11,163,
TRAY PARACENTESIS,7560028,CDM,270,RC,,,OUTPATIENT,,,88,70.4,,83.6,95,,66.88,percent of total billed charges,95% of total billed charges,83.35,94.72,,66.68,percent of total billed charges,94.72% of total billed charges,86.94,98.79,,69.55,percent of total billed charges,98.79% of total billed charges,86.24,98,,68.99,percent of total billed charges,98% of total billed charges,86.24,98,,68.99,percent of total billed charges,98% of total billed charges,42.24,48,,33.79,percent of total billed charges,48% of total billed charges,39.6,45,,31.68,percent of total billed charges,45% of total billed charges,33.66,38.25,,26.93,percent of total billed charges,38.25% of total billed charges,39.6,45,,31.68,percent of total billed charges,45% of total billed charges,39.6,45,,31.68,percent of total billed charges,45% of total billed charges,33.66,86.94,
TRACHEOSTOMY CARE KIT,7560040,CDM,270,RC,,,OUTPATIENT,,,6.25,5,,5.94,95,,4.75,percent of total billed charges,95% of total billed charges,5.92,94.72,,4.74,percent of total billed charges,94.72% of total billed charges,6.17,98.79,,4.94,percent of total billed charges,98.79% of total billed charges,6.13,98,,4.9,percent of total billed charges,98% of total billed charges,6.13,98,,4.9,percent of total billed charges,98% of total billed charges,3,48,,2.4,percent of total billed charges,48% of total billed charges,2.81,45,,2.25,percent of total billed charges,45% of total billed charges,2.39,38.25,,1.91,percent of total billed charges,38.25% of total billed charges,2.81,45,,2.25,percent of total billed charges,45% of total billed charges,2.81,45,,2.25,percent of total billed charges,45% of total billed charges,2.39,6.17,
PREP KIT BIO BONE,7560050,CDM,270,RC,,,OUTPATIENT,,,311.75,249.4,,296.16,95,,236.93,percent of total billed charges,95% of total billed charges,295.29,94.72,,236.23,percent of total billed charges,94.72% of total billed charges,307.98,98.79,,246.38,percent of total billed charges,98.79% of total billed charges,305.52,98,,244.42,percent of total billed charges,98% of total billed charges,305.52,98,,244.42,percent of total billed charges,98% of total billed charges,149.64,48,,119.71,percent of total billed charges,48% of total billed charges,140.29,45,,112.23,percent of total billed charges,45% of total billed charges,119.24,38.25,,95.39,percent of total billed charges,38.25% of total billed charges,140.29,45,,112.23,percent of total billed charges,45% of total billed charges,140.29,45,,112.23,percent of total billed charges,45% of total billed charges,119.24,307.98,
GUIDEWIRE SENSOR URETERAL .035,7560062,CDM,270,RC,,,OUTPATIENT,,,125.75,100.6,,119.46,95,,95.57,percent of total billed charges,95% of total billed charges,119.11,94.72,,95.29,percent of total billed charges,94.72% of total billed charges,124.23,98.79,,99.38,percent of total billed charges,98.79% of total billed charges,123.24,98,,98.59,percent of total billed charges,98% of total billed charges,123.24,98,,98.59,percent of total billed charges,98% of total billed charges,60.36,48,,48.29,percent of total billed charges,48% of total billed charges,56.59,45,,45.27,percent of total billed charges,45% of total billed charges,48.1,38.25,,38.48,percent of total billed charges,38.25% of total billed charges,56.59,45,,45.27,percent of total billed charges,45% of total billed charges,56.59,45,,45.27,percent of total billed charges,45% of total billed charges,48.1,124.23,
BELT GAIT WALKING LG,7560097,CDM,270,RC,,,OUTPATIENT,,,81.75,65.4,,77.66,95,,62.13,percent of total billed charges,95% of total billed charges,77.43,94.72,,61.94,percent of total billed charges,94.72% of total billed charges,80.76,98.79,,64.61,percent of total billed charges,98.79% of total billed charges,80.12,98,,64.1,percent of total billed charges,98% of total billed charges,80.12,98,,64.1,percent of total billed charges,98% of total billed charges,39.24,48,,31.39,percent of total billed charges,48% of total billed charges,36.79,45,,29.43,percent of total billed charges,45% of total billed charges,31.27,38.25,,25.02,percent of total billed charges,38.25% of total billed charges,36.79,45,,29.43,percent of total billed charges,45% of total billed charges,36.79,45,,29.43,percent of total billed charges,45% of total billed charges,31.27,80.76,
CRICOTHYROTOMY CATH SET 4MM,7560098,CDM,270,RC,,,OUTPATIENT,,,327.5,262,,311.13,95,,248.9,percent of total billed charges,95% of total billed charges,310.21,94.72,,248.17,percent of total billed charges,94.72% of total billed charges,323.54,98.79,,258.83,percent of total billed charges,98.79% of total billed charges,320.95,98,,256.76,percent of total billed charges,98% of total billed charges,320.95,98,,256.76,percent of total billed charges,98% of total billed charges,157.2,48,,125.76,percent of total billed charges,48% of total billed charges,147.38,45,,117.9,percent of total billed charges,45% of total billed charges,125.27,38.25,,100.22,percent of total billed charges,38.25% of total billed charges,147.38,45,,117.9,percent of total billed charges,45% of total billed charges,147.38,45,,117.9,percent of total billed charges,45% of total billed charges,125.27,323.54,
CRICOTHYROTOMY CATH SET 6MM,7560099,CDM,270,RC,,,OUTPATIENT,,,279.75,223.8,,265.76,95,,212.61,percent of total billed charges,95% of total billed charges,264.98,94.72,,211.98,percent of total billed charges,94.72% of total billed charges,276.37,98.79,,221.1,percent of total billed charges,98.79% of total billed charges,274.16,98,,219.33,percent of total billed charges,98% of total billed charges,274.16,98,,219.33,percent of total billed charges,98% of total billed charges,134.28,48,,107.42,percent of total billed charges,48% of total billed charges,125.89,45,,100.71,percent of total billed charges,45% of total billed charges,107,38.25,,85.6,percent of total billed charges,38.25% of total billed charges,125.89,45,,100.71,percent of total billed charges,45% of total billed charges,125.89,45,,100.71,percent of total billed charges,45% of total billed charges,107,276.37,
BELT GAIT 60,7570001,CDM,270,RC,,,OUTPATIENT,,,19.75,15.8,,18.76,95,,15.01,percent of total billed charges,95% of total billed charges,18.71,94.72,,14.97,percent of total billed charges,94.72% of total billed charges,19.51,98.79,,15.61,percent of total billed charges,98.79% of total billed charges,19.36,98,,15.49,percent of total billed charges,98% of total billed charges,19.36,98,,15.49,percent of total billed charges,98% of total billed charges,9.48,48,,7.58,percent of total billed charges,48% of total billed charges,8.89,45,,7.11,percent of total billed charges,45% of total billed charges,7.55,38.25,,6.04,percent of total billed charges,38.25% of total billed charges,8.89,45,,7.11,percent of total billed charges,45% of total billed charges,8.89,45,,7.11,percent of total billed charges,45% of total billed charges,7.55,19.51,
BELT GAIT WALKING MED,7570004,CDM,270,RC,,,OUTPATIENT,,,81.75,65.4,,77.66,95,,62.13,percent of total billed charges,95% of total billed charges,77.43,94.72,,61.94,percent of total billed charges,94.72% of total billed charges,80.76,98.79,,64.61,percent of total billed charges,98.79% of total billed charges,80.12,98,,64.1,percent of total billed charges,98% of total billed charges,80.12,98,,64.1,percent of total billed charges,98% of total billed charges,39.24,48,,31.39,percent of total billed charges,48% of total billed charges,36.79,45,,29.43,percent of total billed charges,45% of total billed charges,31.27,38.25,,25.02,percent of total billed charges,38.25% of total billed charges,36.79,45,,29.43,percent of total billed charges,45% of total billed charges,36.79,45,,29.43,percent of total billed charges,45% of total billed charges,31.27,80.76,
SUPPORT ABDOMINAL UNIVERSAL,7570005,CDM,270,RC,,,OUTPATIENT,,,47.75,38.2,,45.36,95,,36.29,percent of total billed charges,95% of total billed charges,45.23,94.72,,36.18,percent of total billed charges,94.72% of total billed charges,47.17,98.79,,37.74,percent of total billed charges,98.79% of total billed charges,46.8,98,,37.44,percent of total billed charges,98% of total billed charges,46.8,98,,37.44,percent of total billed charges,98% of total billed charges,22.92,48,,18.34,percent of total billed charges,48% of total billed charges,21.49,45,,17.19,percent of total billed charges,45% of total billed charges,18.26,38.25,,14.61,percent of total billed charges,38.25% of total billed charges,21.49,45,,17.19,percent of total billed charges,45% of total billed charges,21.49,45,,17.19,percent of total billed charges,45% of total billed charges,18.26,47.17,
BOOT CAST SMALL,7570011,CDM,270,RC,,,OUTPATIENT,,,16.5,13.2,,15.68,95,,12.54,percent of total billed charges,95% of total billed charges,15.63,94.72,,12.5,percent of total billed charges,94.72% of total billed charges,16.3,98.79,,13.04,percent of total billed charges,98.79% of total billed charges,16.17,98,,12.94,percent of total billed charges,98% of total billed charges,16.17,98,,12.94,percent of total billed charges,98% of total billed charges,7.92,48,,6.34,percent of total billed charges,48% of total billed charges,7.43,45,,5.94,percent of total billed charges,45% of total billed charges,6.31,38.25,,5.05,percent of total billed charges,38.25% of total billed charges,7.43,45,,5.94,percent of total billed charges,45% of total billed charges,7.43,45,,5.94,percent of total billed charges,45% of total billed charges,6.31,16.3,
BOOT CAST MEDIUM,7570012,CDM,270,RC,,,OUTPATIENT,,,15,12,,14.25,95,,11.4,percent of total billed charges,95% of total billed charges,14.21,94.72,,11.37,percent of total billed charges,94.72% of total billed charges,14.82,98.79,,11.86,percent of total billed charges,98.79% of total billed charges,14.7,98,,11.76,percent of total billed charges,98% of total billed charges,14.7,98,,11.76,percent of total billed charges,98% of total billed charges,7.2,48,,5.76,percent of total billed charges,48% of total billed charges,6.75,45,,5.4,percent of total billed charges,45% of total billed charges,5.74,38.25,,4.59,percent of total billed charges,38.25% of total billed charges,6.75,45,,5.4,percent of total billed charges,45% of total billed charges,6.75,45,,5.4,percent of total billed charges,45% of total billed charges,5.74,14.82,
BOOT CAST LARGE,7570013,CDM,270,RC,,,OUTPATIENT,,,16.5,13.2,,15.68,95,,12.54,percent of total billed charges,95% of total billed charges,15.63,94.72,,12.5,percent of total billed charges,94.72% of total billed charges,16.3,98.79,,13.04,percent of total billed charges,98.79% of total billed charges,16.17,98,,12.94,percent of total billed charges,98% of total billed charges,16.17,98,,12.94,percent of total billed charges,98% of total billed charges,7.92,48,,6.34,percent of total billed charges,48% of total billed charges,7.43,45,,5.94,percent of total billed charges,45% of total billed charges,6.31,38.25,,5.05,percent of total billed charges,38.25% of total billed charges,7.43,45,,5.94,percent of total billed charges,45% of total billed charges,7.43,45,,5.94,percent of total billed charges,45% of total billed charges,6.31,16.3,
BOOT CAST X LARGE,7570014,CDM,270,RC,,,OUTPATIENT,,,52,41.6,,49.4,95,,39.52,percent of total billed charges,95% of total billed charges,49.25,94.72,,39.4,percent of total billed charges,94.72% of total billed charges,51.37,98.79,,41.1,percent of total billed charges,98.79% of total billed charges,50.96,98,,40.77,percent of total billed charges,98% of total billed charges,50.96,98,,40.77,percent of total billed charges,98% of total billed charges,24.96,48,,19.97,percent of total billed charges,48% of total billed charges,23.4,45,,18.72,percent of total billed charges,45% of total billed charges,19.89,38.25,,15.91,percent of total billed charges,38.25% of total billed charges,23.4,45,,18.72,percent of total billed charges,45% of total billed charges,23.4,45,,18.72,percent of total billed charges,45% of total billed charges,19.89,51.37,
COLLAR CERVICAL FIRM SMALL,7570016,CDM,270,RC,,,OUTPATIENT,,,24.25,19.4,,23.04,95,,18.43,percent of total billed charges,95% of total billed charges,22.97,94.72,,18.38,percent of total billed charges,94.72% of total billed charges,23.96,98.79,,19.17,percent of total billed charges,98.79% of total billed charges,23.77,98,,19.02,percent of total billed charges,98% of total billed charges,23.77,98,,19.02,percent of total billed charges,98% of total billed charges,11.64,48,,9.31,percent of total billed charges,48% of total billed charges,10.91,45,,8.73,percent of total billed charges,45% of total billed charges,9.28,38.25,,7.42,percent of total billed charges,38.25% of total billed charges,10.91,45,,8.73,percent of total billed charges,45% of total billed charges,10.91,45,,8.73,percent of total billed charges,45% of total billed charges,9.28,23.96,
COLLAR CERVICAL FIRM SM/LONG,7570017,CDM,270,RC,,,OUTPATIENT,,,26,20.8,,24.7,95,,19.76,percent of total billed charges,95% of total billed charges,24.63,94.72,,19.7,percent of total billed charges,94.72% of total billed charges,25.69,98.79,,20.55,percent of total billed charges,98.79% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,12.48,48,,9.98,percent of total billed charges,48% of total billed charges,11.7,45,,9.36,percent of total billed charges,45% of total billed charges,9.95,38.25,,7.96,percent of total billed charges,38.25% of total billed charges,11.7,45,,9.36,percent of total billed charges,45% of total billed charges,11.7,45,,9.36,percent of total billed charges,45% of total billed charges,9.95,25.69,
COLLAR CERVICAL FIRM MEDIUM,7570018,CDM,270,RC,,,OUTPATIENT,,,28.25,22.6,,26.84,95,,21.47,percent of total billed charges,95% of total billed charges,26.76,94.72,,21.41,percent of total billed charges,94.72% of total billed charges,27.91,98.79,,22.33,percent of total billed charges,98.79% of total billed charges,27.69,98,,22.15,percent of total billed charges,98% of total billed charges,27.69,98,,22.15,percent of total billed charges,98% of total billed charges,13.56,48,,10.85,percent of total billed charges,48% of total billed charges,12.71,45,,10.17,percent of total billed charges,45% of total billed charges,10.81,38.25,,8.65,percent of total billed charges,38.25% of total billed charges,12.71,45,,10.17,percent of total billed charges,45% of total billed charges,12.71,45,,10.17,percent of total billed charges,45% of total billed charges,10.81,27.91,
COLLAR CERVICAL FIRM MED X/LONG,7570019,CDM,270,RC,,,OUTPATIENT,,,17.25,13.8,,16.39,95,,13.11,percent of total billed charges,95% of total billed charges,16.34,94.72,,13.07,percent of total billed charges,94.72% of total billed charges,17.04,98.79,,13.63,percent of total billed charges,98.79% of total billed charges,16.91,98,,13.53,percent of total billed charges,98% of total billed charges,16.91,98,,13.53,percent of total billed charges,98% of total billed charges,8.28,48,,6.62,percent of total billed charges,48% of total billed charges,7.76,45,,6.21,percent of total billed charges,45% of total billed charges,6.6,38.25,,5.28,percent of total billed charges,38.25% of total billed charges,7.76,45,,6.21,percent of total billed charges,45% of total billed charges,7.76,45,,6.21,percent of total billed charges,45% of total billed charges,6.6,17.04,
COLLAR CERVICAL FIRM LARGE,7570020,CDM,270,RC,,,OUTPATIENT,,,19.25,15.4,,18.29,95,,14.63,percent of total billed charges,95% of total billed charges,18.23,94.72,,14.58,percent of total billed charges,94.72% of total billed charges,19.02,98.79,,15.22,percent of total billed charges,98.79% of total billed charges,18.87,98,,15.1,percent of total billed charges,98% of total billed charges,18.87,98,,15.1,percent of total billed charges,98% of total billed charges,9.24,48,,7.39,percent of total billed charges,48% of total billed charges,8.66,45,,6.93,percent of total billed charges,45% of total billed charges,7.36,38.25,,5.89,percent of total billed charges,38.25% of total billed charges,8.66,45,,6.93,percent of total billed charges,45% of total billed charges,8.66,45,,6.93,percent of total billed charges,45% of total billed charges,7.36,19.02,
STRAP CLAVICLE X LARGE,7570022,CDM,270,RC,,,OUTPATIENT,,,36.75,29.4,,34.91,95,,27.93,percent of total billed charges,95% of total billed charges,34.81,94.72,,27.85,percent of total billed charges,94.72% of total billed charges,36.31,98.79,,29.05,percent of total billed charges,98.79% of total billed charges,36.02,98,,28.82,percent of total billed charges,98% of total billed charges,36.02,98,,28.82,percent of total billed charges,98% of total billed charges,17.64,48,,14.11,percent of total billed charges,48% of total billed charges,16.54,45,,13.23,percent of total billed charges,45% of total billed charges,14.06,38.25,,11.25,percent of total billed charges,38.25% of total billed charges,16.54,45,,13.23,percent of total billed charges,45% of total billed charges,16.54,45,,13.23,percent of total billed charges,45% of total billed charges,14.06,36.31,
STRAP CLAVICLE SMALL,7570023,CDM,270,RC,,,OUTPATIENT,,,36.75,29.4,,34.91,95,,27.93,percent of total billed charges,95% of total billed charges,34.81,94.72,,27.85,percent of total billed charges,94.72% of total billed charges,36.31,98.79,,29.05,percent of total billed charges,98.79% of total billed charges,36.02,98,,28.82,percent of total billed charges,98% of total billed charges,36.02,98,,28.82,percent of total billed charges,98% of total billed charges,17.64,48,,14.11,percent of total billed charges,48% of total billed charges,16.54,45,,13.23,percent of total billed charges,45% of total billed charges,14.06,38.25,,11.25,percent of total billed charges,38.25% of total billed charges,16.54,45,,13.23,percent of total billed charges,45% of total billed charges,16.54,45,,13.23,percent of total billed charges,45% of total billed charges,14.06,36.31,
STRAP CLAVICLE X SMALL,7570024,CDM,270,RC,,,OUTPATIENT,,,36.75,29.4,,34.91,95,,27.93,percent of total billed charges,95% of total billed charges,34.81,94.72,,27.85,percent of total billed charges,94.72% of total billed charges,36.31,98.79,,29.05,percent of total billed charges,98.79% of total billed charges,36.02,98,,28.82,percent of total billed charges,98% of total billed charges,36.02,98,,28.82,percent of total billed charges,98% of total billed charges,17.64,48,,14.11,percent of total billed charges,48% of total billed charges,16.54,45,,13.23,percent of total billed charges,45% of total billed charges,14.06,38.25,,11.25,percent of total billed charges,38.25% of total billed charges,16.54,45,,13.23,percent of total billed charges,45% of total billed charges,16.54,45,,13.23,percent of total billed charges,45% of total billed charges,14.06,36.31,
STRAP CLAVICLE MEDIUM,7570025,CDM,270,RC,,,OUTPATIENT,,,36.75,29.4,,34.91,95,,27.93,percent of total billed charges,95% of total billed charges,34.81,94.72,,27.85,percent of total billed charges,94.72% of total billed charges,36.31,98.79,,29.05,percent of total billed charges,98.79% of total billed charges,36.02,98,,28.82,percent of total billed charges,98% of total billed charges,36.02,98,,28.82,percent of total billed charges,98% of total billed charges,17.64,48,,14.11,percent of total billed charges,48% of total billed charges,16.54,45,,13.23,percent of total billed charges,45% of total billed charges,14.06,38.25,,11.25,percent of total billed charges,38.25% of total billed charges,16.54,45,,13.23,percent of total billed charges,45% of total billed charges,16.54,45,,13.23,percent of total billed charges,45% of total billed charges,14.06,36.31,
STRAP CLAVICLE LARGE,7570026,CDM,270,RC,,,OUTPATIENT,,,36.75,29.4,,34.91,95,,27.93,percent of total billed charges,95% of total billed charges,34.81,94.72,,27.85,percent of total billed charges,94.72% of total billed charges,36.31,98.79,,29.05,percent of total billed charges,98.79% of total billed charges,36.02,98,,28.82,percent of total billed charges,98% of total billed charges,36.02,98,,28.82,percent of total billed charges,98% of total billed charges,17.64,48,,14.11,percent of total billed charges,48% of total billed charges,16.54,45,,13.23,percent of total billed charges,45% of total billed charges,14.06,38.25,,11.25,percent of total billed charges,38.25% of total billed charges,16.54,45,,13.23,percent of total billed charges,45% of total billed charges,16.54,45,,13.23,percent of total billed charges,45% of total billed charges,14.06,36.31,
CAM BOOT WALKER SMALL,7570050,CDM,270,RC,,,OUTPATIENT,,,80.25,64.2,,76.24,95,,60.99,percent of total billed charges,95% of total billed charges,76.01,94.72,,60.81,percent of total billed charges,94.72% of total billed charges,79.28,98.79,,63.42,percent of total billed charges,98.79% of total billed charges,78.65,98,,62.92,percent of total billed charges,98% of total billed charges,78.65,98,,62.92,percent of total billed charges,98% of total billed charges,38.52,48,,30.82,percent of total billed charges,48% of total billed charges,36.11,45,,28.89,percent of total billed charges,45% of total billed charges,30.7,38.25,,24.56,percent of total billed charges,38.25% of total billed charges,36.11,45,,28.89,percent of total billed charges,45% of total billed charges,36.11,45,,28.89,percent of total billed charges,45% of total billed charges,30.7,79.28,
CAM BOOT WALKER MEDIUM,7570051,CDM,270,RC,,,OUTPATIENT,,,81.5,65.2,,77.43,95,,61.94,percent of total billed charges,95% of total billed charges,77.2,94.72,,61.76,percent of total billed charges,94.72% of total billed charges,80.51,98.79,,64.41,percent of total billed charges,98.79% of total billed charges,79.87,98,,63.9,percent of total billed charges,98% of total billed charges,79.87,98,,63.9,percent of total billed charges,98% of total billed charges,39.12,48,,31.3,percent of total billed charges,48% of total billed charges,36.68,45,,29.34,percent of total billed charges,45% of total billed charges,31.17,38.25,,24.94,percent of total billed charges,38.25% of total billed charges,36.68,45,,29.34,percent of total billed charges,45% of total billed charges,36.68,45,,29.34,percent of total billed charges,45% of total billed charges,31.17,80.51,
CAM BOOT WALKER LARGE,7570052,CDM,270,RC,,,OUTPATIENT,,,81,64.8,,76.95,95,,61.56,percent of total billed charges,95% of total billed charges,76.72,94.72,,61.38,percent of total billed charges,94.72% of total billed charges,80.02,98.79,,64.02,percent of total billed charges,98.79% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,38.88,48,,31.1,percent of total billed charges,48% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,38.25,,24.78,percent of total billed charges,38.25% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,80.02,
SHOE POST OP MEDIUM,7570060,CDM,270,RC,,,OUTPATIENT,,,25.25,20.2,,23.99,95,,19.19,percent of total billed charges,95% of total billed charges,23.92,94.72,,19.14,percent of total billed charges,94.72% of total billed charges,24.94,98.79,,19.95,percent of total billed charges,98.79% of total billed charges,24.75,98,,19.8,percent of total billed charges,98% of total billed charges,24.75,98,,19.8,percent of total billed charges,98% of total billed charges,12.12,48,,9.7,percent of total billed charges,48% of total billed charges,11.36,45,,9.09,percent of total billed charges,45% of total billed charges,9.66,38.25,,7.73,percent of total billed charges,38.25% of total billed charges,11.36,45,,9.09,percent of total billed charges,45% of total billed charges,11.36,45,,9.09,percent of total billed charges,45% of total billed charges,9.66,24.94,
SHOE POST OP LARGE,7570061,CDM,270,RC,,,OUTPATIENT,,,21.57,17.256,,20.49,95,,16.39,percent of total billed charges,95% of total billed charges,20.43,94.72,,16.34,percent of total billed charges,94.72% of total billed charges,21.31,98.79,,17.05,percent of total billed charges,98.79% of total billed charges,21.14,98,,16.91,percent of total billed charges,98% of total billed charges,21.14,98,,16.91,percent of total billed charges,98% of total billed charges,10.35,48,,8.28,percent of total billed charges,48% of total billed charges,9.71,45,,7.77,percent of total billed charges,45% of total billed charges,8.25,38.25,,6.6,percent of total billed charges,38.25% of total billed charges,9.71,45,,7.77,percent of total billed charges,45% of total billed charges,9.71,45,,7.77,percent of total billed charges,45% of total billed charges,8.25,21.31,
SPLINT TIB FIB ADULT SHORT,7570062,CDM,270,RC,,,OUTPATIENT,,,65.75,52.6,,62.46,95,,49.97,percent of total billed charges,95% of total billed charges,62.28,94.72,,49.82,percent of total billed charges,94.72% of total billed charges,64.95,98.79,,51.96,percent of total billed charges,98.79% of total billed charges,64.44,98,,51.55,percent of total billed charges,98% of total billed charges,64.44,98,,51.55,percent of total billed charges,98% of total billed charges,31.56,48,,25.25,percent of total billed charges,48% of total billed charges,29.59,45,,23.67,percent of total billed charges,45% of total billed charges,25.15,38.25,,20.12,percent of total billed charges,38.25% of total billed charges,29.59,45,,23.67,percent of total billed charges,45% of total billed charges,29.59,45,,23.67,percent of total billed charges,45% of total billed charges,25.15,64.95,
SPLINT TIB FIB YOUTH SHORT,7570063,CDM,270,RC,,,OUTPATIENT,,,110,88,,104.5,95,,83.6,percent of total billed charges,95% of total billed charges,104.19,94.72,,83.35,percent of total billed charges,94.72% of total billed charges,108.67,98.79,,86.94,percent of total billed charges,98.79% of total billed charges,107.8,98,,86.24,percent of total billed charges,98% of total billed charges,107.8,98,,86.24,percent of total billed charges,98% of total billed charges,52.8,48,,42.24,percent of total billed charges,48% of total billed charges,49.5,45,,39.6,percent of total billed charges,45% of total billed charges,42.08,38.25,,33.66,percent of total billed charges,38.25% of total billed charges,49.5,45,,39.6,percent of total billed charges,45% of total billed charges,49.5,45,,39.6,percent of total billed charges,45% of total billed charges,42.08,108.67,
SPLINT TIB FIB CHILD SHORT,7570064,CDM,270,RC,,,OUTPATIENT,,,106,84.8,,100.7,95,,80.56,percent of total billed charges,95% of total billed charges,100.4,94.72,,80.32,percent of total billed charges,94.72% of total billed charges,104.72,98.79,,83.78,percent of total billed charges,98.79% of total billed charges,103.88,98,,83.1,percent of total billed charges,98% of total billed charges,103.88,98,,83.1,percent of total billed charges,98% of total billed charges,50.88,48,,40.7,percent of total billed charges,48% of total billed charges,47.7,45,,38.16,percent of total billed charges,45% of total billed charges,40.55,38.25,,32.44,percent of total billed charges,38.25% of total billed charges,47.7,45,,38.16,percent of total billed charges,45% of total billed charges,47.7,45,,38.16,percent of total billed charges,45% of total billed charges,40.55,104.72,
SPLINT TIB FIB YOUTH LONG,7570068,CDM,270,RC,,,OUTPATIENT,,,130.5,104.4,,123.98,95,,99.18,percent of total billed charges,95% of total billed charges,123.61,94.72,,98.89,percent of total billed charges,94.72% of total billed charges,128.92,98.79,,103.14,percent of total billed charges,98.79% of total billed charges,127.89,98,,102.31,percent of total billed charges,98% of total billed charges,127.89,98,,102.31,percent of total billed charges,98% of total billed charges,62.64,48,,50.11,percent of total billed charges,48% of total billed charges,58.73,45,,46.98,percent of total billed charges,45% of total billed charges,49.92,38.25,,39.94,percent of total billed charges,38.25% of total billed charges,58.73,45,,46.98,percent of total billed charges,45% of total billed charges,58.73,45,,46.98,percent of total billed charges,45% of total billed charges,49.92,128.92,
SHOE POST OP XL UNIVERSAL,7570069,CDM,270,RC,,,OUTPATIENT,,,25,20,,23.75,95,,19,percent of total billed charges,95% of total billed charges,23.68,94.72,,18.94,percent of total billed charges,94.72% of total billed charges,24.7,98.79,,19.76,percent of total billed charges,98.79% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,12,48,,9.6,percent of total billed charges,48% of total billed charges,11.25,45,,9,percent of total billed charges,45% of total billed charges,9.56,38.25,,7.65,percent of total billed charges,38.25% of total billed charges,11.25,45,,9,percent of total billed charges,45% of total billed charges,11.25,45,,9,percent of total billed charges,45% of total billed charges,9.56,24.7,
SHOULDER ABDUCTION KIT (discontinued),7570075,CDM,270,RC,,,OUTPATIENT,,,87.25,69.8,,82.89,95,,66.31,percent of total billed charges,95% of total billed charges,82.64,94.72,,66.11,percent of total billed charges,94.72% of total billed charges,86.19,98.79,,68.95,percent of total billed charges,98.79% of total billed charges,85.51,98,,68.41,percent of total billed charges,98% of total billed charges,85.51,98,,68.41,percent of total billed charges,98% of total billed charges,41.88,48,,33.5,percent of total billed charges,48% of total billed charges,39.26,45,,31.41,percent of total billed charges,45% of total billed charges,33.37,38.25,,26.7,percent of total billed charges,38.25% of total billed charges,39.26,45,,31.41,percent of total billed charges,45% of total billed charges,39.26,45,,31.41,percent of total billed charges,45% of total billed charges,33.37,86.19,
SHOULDER IMMOBILIZER SMALL,7570077,CDM,270,RC,,,OUTPATIENT,,,16.5,13.2,,15.68,95,,12.54,percent of total billed charges,95% of total billed charges,15.63,94.72,,12.5,percent of total billed charges,94.72% of total billed charges,16.3,98.79,,13.04,percent of total billed charges,98.79% of total billed charges,16.17,98,,12.94,percent of total billed charges,98% of total billed charges,16.17,98,,12.94,percent of total billed charges,98% of total billed charges,7.92,48,,6.34,percent of total billed charges,48% of total billed charges,7.43,45,,5.94,percent of total billed charges,45% of total billed charges,6.31,38.25,,5.05,percent of total billed charges,38.25% of total billed charges,7.43,45,,5.94,percent of total billed charges,45% of total billed charges,7.43,45,,5.94,percent of total billed charges,45% of total billed charges,6.31,16.3,
SHOULDER IMMOBILIZER MEDIUM,7570078,CDM,270,RC,,,OUTPATIENT,,,17,13.6,,16.15,95,,12.92,percent of total billed charges,95% of total billed charges,16.1,94.72,,12.88,percent of total billed charges,94.72% of total billed charges,16.79,98.79,,13.43,percent of total billed charges,98.79% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,8.16,48,,6.53,percent of total billed charges,48% of total billed charges,7.65,45,,6.12,percent of total billed charges,45% of total billed charges,6.5,38.25,,5.2,percent of total billed charges,38.25% of total billed charges,7.65,45,,6.12,percent of total billed charges,45% of total billed charges,7.65,45,,6.12,percent of total billed charges,45% of total billed charges,6.5,16.79,
SHOULDER IMMOBILIZER LARGE,7570079,CDM,270,RC,,,OUTPATIENT,,,16.75,13.4,,15.91,95,,12.73,percent of total billed charges,95% of total billed charges,15.87,94.72,,12.7,percent of total billed charges,94.72% of total billed charges,16.55,98.79,,13.24,percent of total billed charges,98.79% of total billed charges,16.42,98,,13.14,percent of total billed charges,98% of total billed charges,16.42,98,,13.14,percent of total billed charges,98% of total billed charges,8.04,48,,6.43,percent of total billed charges,48% of total billed charges,7.54,45,,6.03,percent of total billed charges,45% of total billed charges,6.41,38.25,,5.13,percent of total billed charges,38.25% of total billed charges,7.54,45,,6.03,percent of total billed charges,45% of total billed charges,7.54,45,,6.03,percent of total billed charges,45% of total billed charges,6.41,16.55,
SHOULDER IMMOBILIZER X-LARGE,7570080,CDM,270,RC,,,OUTPATIENT,,,17,13.6,,16.15,95,,12.92,percent of total billed charges,95% of total billed charges,16.1,94.72,,12.88,percent of total billed charges,94.72% of total billed charges,16.79,98.79,,13.43,percent of total billed charges,98.79% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,8.16,48,,6.53,percent of total billed charges,48% of total billed charges,7.65,45,,6.12,percent of total billed charges,45% of total billed charges,6.5,38.25,,5.2,percent of total billed charges,38.25% of total billed charges,7.65,45,,6.12,percent of total billed charges,45% of total billed charges,7.65,45,,6.12,percent of total billed charges,45% of total billed charges,6.5,16.79,
SHOULDER IMMOBILIZER FEMALE MEDIUM,7570082,CDM,270,RC,,,OUTPATIENT,,,52,41.6,,49.4,95,,39.52,percent of total billed charges,95% of total billed charges,49.25,94.72,,39.4,percent of total billed charges,94.72% of total billed charges,51.37,98.79,,41.1,percent of total billed charges,98.79% of total billed charges,50.96,98,,40.77,percent of total billed charges,98% of total billed charges,50.96,98,,40.77,percent of total billed charges,98% of total billed charges,24.96,48,,19.97,percent of total billed charges,48% of total billed charges,23.4,45,,18.72,percent of total billed charges,45% of total billed charges,19.89,38.25,,15.91,percent of total billed charges,38.25% of total billed charges,23.4,45,,18.72,percent of total billed charges,45% of total billed charges,23.4,45,,18.72,percent of total billed charges,45% of total billed charges,19.89,51.37,
SLING UNIVERSAL ARM,7570085,CDM,270,RC,,,OUTPATIENT,,,10.5,8.4,,9.98,95,,7.98,percent of total billed charges,95% of total billed charges,9.95,94.72,,7.96,percent of total billed charges,94.72% of total billed charges,10.37,98.79,,8.3,percent of total billed charges,98.79% of total billed charges,10.29,98,,8.23,percent of total billed charges,98% of total billed charges,10.29,98,,8.23,percent of total billed charges,98% of total billed charges,5.04,48,,4.03,percent of total billed charges,48% of total billed charges,4.73,45,,3.78,percent of total billed charges,45% of total billed charges,4.02,38.25,,3.22,percent of total billed charges,38.25% of total billed charges,4.73,45,,3.78,percent of total billed charges,45% of total billed charges,4.73,45,,3.78,percent of total billed charges,45% of total billed charges,4.02,10.37,
SLING ARM YOUTH,7570088,CDM,270,RC,,,OUTPATIENT,,,13,10.4,,12.35,95,,9.88,percent of total billed charges,95% of total billed charges,12.31,94.72,,9.85,percent of total billed charges,94.72% of total billed charges,12.84,98.79,,10.27,percent of total billed charges,98.79% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,6.24,48,,4.99,percent of total billed charges,48% of total billed charges,5.85,45,,4.68,percent of total billed charges,45% of total billed charges,4.97,38.25,,3.98,percent of total billed charges,38.25% of total billed charges,5.85,45,,4.68,percent of total billed charges,45% of total billed charges,5.85,45,,4.68,percent of total billed charges,45% of total billed charges,4.97,12.84,
SUPPORT KNEE SMALL,7570090,CDM,270,RC,,,OUTPATIENT,,,45.75,36.6,,43.46,95,,34.77,percent of total billed charges,95% of total billed charges,43.33,94.72,,34.66,percent of total billed charges,94.72% of total billed charges,45.2,98.79,,36.16,percent of total billed charges,98.79% of total billed charges,44.84,98,,35.87,percent of total billed charges,98% of total billed charges,44.84,98,,35.87,percent of total billed charges,98% of total billed charges,21.96,48,,17.57,percent of total billed charges,48% of total billed charges,20.59,45,,16.47,percent of total billed charges,45% of total billed charges,17.5,38.25,,14,percent of total billed charges,38.25% of total billed charges,20.59,45,,16.47,percent of total billed charges,45% of total billed charges,20.59,45,,16.47,percent of total billed charges,45% of total billed charges,17.5,45.2,
SUPPORT KNEE MEDIUM,7570091,CDM,270,RC,,,OUTPATIENT,,,68.25,54.6,,64.84,95,,51.87,percent of total billed charges,95% of total billed charges,64.65,94.72,,51.72,percent of total billed charges,94.72% of total billed charges,67.42,98.79,,53.94,percent of total billed charges,98.79% of total billed charges,66.89,98,,53.51,percent of total billed charges,98% of total billed charges,66.89,98,,53.51,percent of total billed charges,98% of total billed charges,32.76,48,,26.21,percent of total billed charges,48% of total billed charges,30.71,45,,24.57,percent of total billed charges,45% of total billed charges,26.11,38.25,,20.89,percent of total billed charges,38.25% of total billed charges,30.71,45,,24.57,percent of total billed charges,45% of total billed charges,30.71,45,,24.57,percent of total billed charges,45% of total billed charges,26.11,67.42,
SUPPORT KNEE LARGE,7570092,CDM,270,RC,,,OUTPATIENT,,,67.75,54.2,,64.36,95,,51.49,percent of total billed charges,95% of total billed charges,64.17,94.72,,51.34,percent of total billed charges,94.72% of total billed charges,66.93,98.79,,53.54,percent of total billed charges,98.79% of total billed charges,66.4,98,,53.12,percent of total billed charges,98% of total billed charges,66.4,98,,53.12,percent of total billed charges,98% of total billed charges,32.52,48,,26.02,percent of total billed charges,48% of total billed charges,30.49,45,,24.39,percent of total billed charges,45% of total billed charges,25.91,38.25,,20.73,percent of total billed charges,38.25% of total billed charges,30.49,45,,24.39,percent of total billed charges,45% of total billed charges,30.49,45,,24.39,percent of total billed charges,45% of total billed charges,25.91,66.93,
SUPPORT KNEE X-LARGE,7570093,CDM,270,RC,,,OUTPATIENT,,,65.25,52.2,,61.99,95,,49.59,percent of total billed charges,95% of total billed charges,61.8,94.72,,49.44,percent of total billed charges,94.72% of total billed charges,64.46,98.79,,51.57,percent of total billed charges,98.79% of total billed charges,63.95,98,,51.16,percent of total billed charges,98% of total billed charges,63.95,98,,51.16,percent of total billed charges,98% of total billed charges,31.32,48,,25.06,percent of total billed charges,48% of total billed charges,29.36,45,,23.49,percent of total billed charges,45% of total billed charges,24.96,38.25,,19.97,percent of total billed charges,38.25% of total billed charges,29.36,45,,23.49,percent of total billed charges,45% of total billed charges,29.36,45,,23.49,percent of total billed charges,45% of total billed charges,24.96,64.46,
SPLINT RIGHT WRIST X LARGE,7570099,CDM,270,RC,,,OUTPATIENT,,,14.25,11.4,,13.54,95,,10.83,percent of total billed charges,95% of total billed charges,13.5,94.72,,10.8,percent of total billed charges,94.72% of total billed charges,14.08,98.79,,11.26,percent of total billed charges,98.79% of total billed charges,13.97,98,,11.18,percent of total billed charges,98% of total billed charges,13.97,98,,11.18,percent of total billed charges,98% of total billed charges,6.84,48,,5.47,percent of total billed charges,48% of total billed charges,6.41,45,,5.13,percent of total billed charges,45% of total billed charges,5.45,38.25,,4.36,percent of total billed charges,38.25% of total billed charges,6.41,45,,5.13,percent of total billed charges,45% of total billed charges,6.41,45,,5.13,percent of total billed charges,45% of total billed charges,5.45,14.08,
SPLINT LEFT WRIST X LARGE,7570100,CDM,270,RC,,,OUTPATIENT,,,14.25,11.4,,13.54,95,,10.83,percent of total billed charges,95% of total billed charges,13.5,94.72,,10.8,percent of total billed charges,94.72% of total billed charges,14.08,98.79,,11.26,percent of total billed charges,98.79% of total billed charges,13.97,98,,11.18,percent of total billed charges,98% of total billed charges,13.97,98,,11.18,percent of total billed charges,98% of total billed charges,6.84,48,,5.47,percent of total billed charges,48% of total billed charges,6.41,45,,5.13,percent of total billed charges,45% of total billed charges,5.45,38.25,,4.36,percent of total billed charges,38.25% of total billed charges,6.41,45,,5.13,percent of total billed charges,45% of total billed charges,6.41,45,,5.13,percent of total billed charges,45% of total billed charges,5.45,14.08,
SPLINT LEFT WRIST SMALL,7570101,CDM,270,RC,,,OUTPATIENT,,,14.25,11.4,,13.54,95,,10.83,percent of total billed charges,95% of total billed charges,13.5,94.72,,10.8,percent of total billed charges,94.72% of total billed charges,14.08,98.79,,11.26,percent of total billed charges,98.79% of total billed charges,13.97,98,,11.18,percent of total billed charges,98% of total billed charges,13.97,98,,11.18,percent of total billed charges,98% of total billed charges,6.84,48,,5.47,percent of total billed charges,48% of total billed charges,6.41,45,,5.13,percent of total billed charges,45% of total billed charges,5.45,38.25,,4.36,percent of total billed charges,38.25% of total billed charges,6.41,45,,5.13,percent of total billed charges,45% of total billed charges,6.41,45,,5.13,percent of total billed charges,45% of total billed charges,5.45,14.08,
SPLINT LEFT WRIST MEDIUM,7570102,CDM,270,RC,,,OUTPATIENT,,,15,12,,14.25,95,,11.4,percent of total billed charges,95% of total billed charges,14.21,94.72,,11.37,percent of total billed charges,94.72% of total billed charges,14.82,98.79,,11.86,percent of total billed charges,98.79% of total billed charges,14.7,98,,11.76,percent of total billed charges,98% of total billed charges,14.7,98,,11.76,percent of total billed charges,98% of total billed charges,7.2,48,,5.76,percent of total billed charges,48% of total billed charges,6.75,45,,5.4,percent of total billed charges,45% of total billed charges,5.74,38.25,,4.59,percent of total billed charges,38.25% of total billed charges,6.75,45,,5.4,percent of total billed charges,45% of total billed charges,6.75,45,,5.4,percent of total billed charges,45% of total billed charges,5.74,14.82,
SPLINT LEFT WRIST LARGE,7570103,CDM,270,RC,,,OUTPATIENT,,,15.5,12.4,,14.73,95,,11.78,percent of total billed charges,95% of total billed charges,14.68,94.72,,11.74,percent of total billed charges,94.72% of total billed charges,15.31,98.79,,12.25,percent of total billed charges,98.79% of total billed charges,15.19,98,,12.15,percent of total billed charges,98% of total billed charges,15.19,98,,12.15,percent of total billed charges,98% of total billed charges,7.44,48,,5.95,percent of total billed charges,48% of total billed charges,6.98,45,,5.58,percent of total billed charges,45% of total billed charges,5.93,38.25,,4.74,percent of total billed charges,38.25% of total billed charges,6.98,45,,5.58,percent of total billed charges,45% of total billed charges,6.98,45,,5.58,percent of total billed charges,45% of total billed charges,5.93,15.31,
SPLINT RIGHT WRIST SMALL,7570104,CDM,270,RC,,,OUTPATIENT,,,22,17.6,,20.9,95,,16.72,percent of total billed charges,95% of total billed charges,20.84,94.72,,16.67,percent of total billed charges,94.72% of total billed charges,21.73,98.79,,17.38,percent of total billed charges,98.79% of total billed charges,21.56,98,,17.25,percent of total billed charges,98% of total billed charges,21.56,98,,17.25,percent of total billed charges,98% of total billed charges,10.56,48,,8.45,percent of total billed charges,48% of total billed charges,9.9,45,,7.92,percent of total billed charges,45% of total billed charges,8.42,38.25,,6.74,percent of total billed charges,38.25% of total billed charges,9.9,45,,7.92,percent of total billed charges,45% of total billed charges,9.9,45,,7.92,percent of total billed charges,45% of total billed charges,8.42,21.73,
SPLINT RIGHT WRIST MEDIUM,7570105,CDM,270,RC,,,OUTPATIENT,,,14.75,11.8,,14.01,95,,11.21,percent of total billed charges,95% of total billed charges,13.97,94.72,,11.18,percent of total billed charges,94.72% of total billed charges,14.57,98.79,,11.66,percent of total billed charges,98.79% of total billed charges,14.46,98,,11.57,percent of total billed charges,98% of total billed charges,14.46,98,,11.57,percent of total billed charges,98% of total billed charges,7.08,48,,5.66,percent of total billed charges,48% of total billed charges,6.64,45,,5.31,percent of total billed charges,45% of total billed charges,5.64,38.25,,4.51,percent of total billed charges,38.25% of total billed charges,6.64,45,,5.31,percent of total billed charges,45% of total billed charges,6.64,45,,5.31,percent of total billed charges,45% of total billed charges,5.64,14.57,
SPLINT RIGHT WRIST LARGE,7570106,CDM,270,RC,,,OUTPATIENT,,,15,12,,14.25,95,,11.4,percent of total billed charges,95% of total billed charges,14.21,94.72,,11.37,percent of total billed charges,94.72% of total billed charges,14.82,98.79,,11.86,percent of total billed charges,98.79% of total billed charges,14.7,98,,11.76,percent of total billed charges,98% of total billed charges,14.7,98,,11.76,percent of total billed charges,98% of total billed charges,7.2,48,,5.76,percent of total billed charges,48% of total billed charges,6.75,45,,5.4,percent of total billed charges,45% of total billed charges,5.74,38.25,,4.59,percent of total billed charges,38.25% of total billed charges,6.75,45,,5.4,percent of total billed charges,45% of total billed charges,6.75,45,,5.4,percent of total billed charges,45% of total billed charges,5.74,14.82,
COLLAR TRANSITION ADULT SHORT,7570109,CDM,270,RC,,,OUTPATIENT,,,81,64.8,,76.95,95,,61.56,percent of total billed charges,95% of total billed charges,76.72,94.72,,61.38,percent of total billed charges,94.72% of total billed charges,80.02,98.79,,64.02,percent of total billed charges,98.79% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,38.88,48,,31.1,percent of total billed charges,48% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,38.25,,24.78,percent of total billed charges,38.25% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,80.02,
SPLINT METACARPLES ADULT LEFT,7570110,CDM,270,RC,,,OUTPATIENT,,,81.25,65,,77.19,95,,61.75,percent of total billed charges,95% of total billed charges,76.96,94.72,,61.57,percent of total billed charges,94.72% of total billed charges,80.27,98.79,,64.22,percent of total billed charges,98.79% of total billed charges,79.63,98,,63.7,percent of total billed charges,98% of total billed charges,79.63,98,,63.7,percent of total billed charges,98% of total billed charges,39,48,,31.2,percent of total billed charges,48% of total billed charges,36.56,45,,29.25,percent of total billed charges,45% of total billed charges,31.08,38.25,,24.86,percent of total billed charges,38.25% of total billed charges,36.56,45,,29.25,percent of total billed charges,45% of total billed charges,36.56,45,,29.25,percent of total billed charges,45% of total billed charges,31.08,80.27,
SPLINT METACARPLES ADULT RIGHT,7570111,CDM,270,RC,,,OUTPATIENT,,,81.25,65,,77.19,95,,61.75,percent of total billed charges,95% of total billed charges,76.96,94.72,,61.57,percent of total billed charges,94.72% of total billed charges,80.27,98.79,,64.22,percent of total billed charges,98.79% of total billed charges,79.63,98,,63.7,percent of total billed charges,98% of total billed charges,79.63,98,,63.7,percent of total billed charges,98% of total billed charges,39,48,,31.2,percent of total billed charges,48% of total billed charges,36.56,45,,29.25,percent of total billed charges,45% of total billed charges,31.08,38.25,,24.86,percent of total billed charges,38.25% of total billed charges,36.56,45,,29.25,percent of total billed charges,45% of total billed charges,36.56,45,,29.25,percent of total billed charges,45% of total billed charges,31.08,80.27,
SPLINT METACARPLES YOUTH LEFT,7570112,CDM,270,RC,,,OUTPATIENT,,,81.25,65,,77.19,95,,61.75,percent of total billed charges,95% of total billed charges,76.96,94.72,,61.57,percent of total billed charges,94.72% of total billed charges,80.27,98.79,,64.22,percent of total billed charges,98.79% of total billed charges,79.63,98,,63.7,percent of total billed charges,98% of total billed charges,79.63,98,,63.7,percent of total billed charges,98% of total billed charges,39,48,,31.2,percent of total billed charges,48% of total billed charges,36.56,45,,29.25,percent of total billed charges,45% of total billed charges,31.08,38.25,,24.86,percent of total billed charges,38.25% of total billed charges,36.56,45,,29.25,percent of total billed charges,45% of total billed charges,36.56,45,,29.25,percent of total billed charges,45% of total billed charges,31.08,80.27,
SPLINT METACARPLES YOUTH RIGHT,7570113,CDM,270,RC,,,OUTPATIENT,,,81.25,65,,77.19,95,,61.75,percent of total billed charges,95% of total billed charges,76.96,94.72,,61.57,percent of total billed charges,94.72% of total billed charges,80.27,98.79,,64.22,percent of total billed charges,98.79% of total billed charges,79.63,98,,63.7,percent of total billed charges,98% of total billed charges,79.63,98,,63.7,percent of total billed charges,98% of total billed charges,39,48,,31.2,percent of total billed charges,48% of total billed charges,36.56,45,,29.25,percent of total billed charges,45% of total billed charges,31.08,38.25,,24.86,percent of total billed charges,38.25% of total billed charges,36.56,45,,29.25,percent of total billed charges,45% of total billed charges,36.56,45,,29.25,percent of total billed charges,45% of total billed charges,31.08,80.27,
SPLINT FOREARM ADULT RIGHT,7570114,CDM,270,RC,,,OUTPATIENT,,,47.75,38.2,,45.36,95,,36.29,percent of total billed charges,95% of total billed charges,45.23,94.72,,36.18,percent of total billed charges,94.72% of total billed charges,47.17,98.79,,37.74,percent of total billed charges,98.79% of total billed charges,46.8,98,,37.44,percent of total billed charges,98% of total billed charges,46.8,98,,37.44,percent of total billed charges,98% of total billed charges,22.92,48,,18.34,percent of total billed charges,48% of total billed charges,21.49,45,,17.19,percent of total billed charges,45% of total billed charges,18.26,38.25,,14.61,percent of total billed charges,38.25% of total billed charges,21.49,45,,17.19,percent of total billed charges,45% of total billed charges,21.49,45,,17.19,percent of total billed charges,45% of total billed charges,18.26,47.17,
SPLINT FOREARM ADULT LEFT,7570115,CDM,270,RC,,,OUTPATIENT,,,18,14.4,,17.1,95,,13.68,percent of total billed charges,95% of total billed charges,17.05,94.72,,13.64,percent of total billed charges,94.72% of total billed charges,17.78,98.79,,14.22,percent of total billed charges,98.79% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,8.64,48,,6.91,percent of total billed charges,48% of total billed charges,8.1,45,,6.48,percent of total billed charges,45% of total billed charges,6.89,38.25,,5.51,percent of total billed charges,38.25% of total billed charges,8.1,45,,6.48,percent of total billed charges,45% of total billed charges,8.1,45,,6.48,percent of total billed charges,45% of total billed charges,6.89,17.78,
SPLINT FOREARM YOUTH RIGHT,7570116,CDM,270,RC,,,OUTPATIENT,,,42.25,33.8,,40.14,95,,32.11,percent of total billed charges,95% of total billed charges,40.02,94.72,,32.02,percent of total billed charges,94.72% of total billed charges,41.74,98.79,,33.39,percent of total billed charges,98.79% of total billed charges,41.41,98,,33.13,percent of total billed charges,98% of total billed charges,41.41,98,,33.13,percent of total billed charges,98% of total billed charges,20.28,48,,16.22,percent of total billed charges,48% of total billed charges,19.01,45,,15.21,percent of total billed charges,45% of total billed charges,16.16,38.25,,12.93,percent of total billed charges,38.25% of total billed charges,19.01,45,,15.21,percent of total billed charges,45% of total billed charges,19.01,45,,15.21,percent of total billed charges,45% of total billed charges,16.16,41.74,
SPLINT FOREARM YOUTH LEFT,7570117,CDM,270,RC,,,OUTPATIENT,,,24.75,19.8,,23.51,95,,18.81,percent of total billed charges,95% of total billed charges,23.44,94.72,,18.75,percent of total billed charges,94.72% of total billed charges,24.45,98.79,,19.56,percent of total billed charges,98.79% of total billed charges,24.26,98,,19.41,percent of total billed charges,98% of total billed charges,24.26,98,,19.41,percent of total billed charges,98% of total billed charges,11.88,48,,9.5,percent of total billed charges,48% of total billed charges,11.14,45,,8.91,percent of total billed charges,45% of total billed charges,9.47,38.25,,7.58,percent of total billed charges,38.25% of total billed charges,11.14,45,,8.91,percent of total billed charges,45% of total billed charges,11.14,45,,8.91,percent of total billed charges,45% of total billed charges,9.47,24.45,
SPLINT FOREARM CHILD RIGHT,7570118,CDM,270,RC,,,OUTPATIENT,,,38.75,31,,36.81,95,,29.45,percent of total billed charges,95% of total billed charges,36.7,94.72,,29.36,percent of total billed charges,94.72% of total billed charges,38.28,98.79,,30.62,percent of total billed charges,98.79% of total billed charges,37.98,98,,30.38,percent of total billed charges,98% of total billed charges,37.98,98,,30.38,percent of total billed charges,98% of total billed charges,18.6,48,,14.88,percent of total billed charges,48% of total billed charges,17.44,45,,13.95,percent of total billed charges,45% of total billed charges,14.82,38.25,,11.86,percent of total billed charges,38.25% of total billed charges,17.44,45,,13.95,percent of total billed charges,45% of total billed charges,17.44,45,,13.95,percent of total billed charges,45% of total billed charges,14.82,38.28,
SPLINT FOREARM CHILD LEFT,7570119,CDM,270,RC,,,OUTPATIENT,,,38.75,31,,36.81,95,,29.45,percent of total billed charges,95% of total billed charges,36.7,94.72,,29.36,percent of total billed charges,94.72% of total billed charges,38.28,98.79,,30.62,percent of total billed charges,98.79% of total billed charges,37.98,98,,30.38,percent of total billed charges,98% of total billed charges,37.98,98,,30.38,percent of total billed charges,98% of total billed charges,18.6,48,,14.88,percent of total billed charges,48% of total billed charges,17.44,45,,13.95,percent of total billed charges,45% of total billed charges,14.82,38.25,,11.86,percent of total billed charges,38.25% of total billed charges,17.44,45,,13.95,percent of total billed charges,45% of total billed charges,17.44,45,,13.95,percent of total billed charges,45% of total billed charges,14.82,38.28,
COLLAR EXTRACTION PEDIATRIC STIFNECK,7570142,CDM,270,RC,,,OUTPATIENT,,,51,40.8,,48.45,95,,38.76,percent of total billed charges,95% of total billed charges,48.31,94.72,,38.65,percent of total billed charges,94.72% of total billed charges,50.38,98.79,,40.3,percent of total billed charges,98.79% of total billed charges,49.98,98,,39.98,percent of total billed charges,98% of total billed charges,49.98,98,,39.98,percent of total billed charges,98% of total billed charges,24.48,48,,19.58,percent of total billed charges,48% of total billed charges,22.95,45,,18.36,percent of total billed charges,45% of total billed charges,19.51,38.25,,15.61,percent of total billed charges,38.25% of total billed charges,22.95,45,,18.36,percent of total billed charges,45% of total billed charges,22.95,45,,18.36,percent of total billed charges,45% of total billed charges,19.51,50.38,
COLLAR EXTRACTION SHORT,7570144,CDM,270,RC,,,OUTPATIENT,,,84.5,67.6,,80.28,95,,64.22,percent of total billed charges,95% of total billed charges,80.04,94.72,,64.03,percent of total billed charges,94.72% of total billed charges,83.48,98.79,,66.78,percent of total billed charges,98.79% of total billed charges,82.81,98,,66.25,percent of total billed charges,98% of total billed charges,82.81,98,,66.25,percent of total billed charges,98% of total billed charges,40.56,48,,32.45,percent of total billed charges,48% of total billed charges,38.03,45,,30.42,percent of total billed charges,45% of total billed charges,32.32,38.25,,25.86,percent of total billed charges,38.25% of total billed charges,38.03,45,,30.42,percent of total billed charges,45% of total billed charges,38.03,45,,30.42,percent of total billed charges,45% of total billed charges,32.32,83.48,
COLLAR EXTRACTION UNIVERSAL,7570145,CDM,270,RC,,,OUTPATIENT,,,23.5,18.8,,22.33,95,,17.86,percent of total billed charges,95% of total billed charges,22.26,94.72,,17.81,percent of total billed charges,94.72% of total billed charges,23.22,98.79,,18.58,percent of total billed charges,98.79% of total billed charges,23.03,98,,18.42,percent of total billed charges,98% of total billed charges,23.03,98,,18.42,percent of total billed charges,98% of total billed charges,11.28,48,,9.02,percent of total billed charges,48% of total billed charges,10.58,45,,8.46,percent of total billed charges,45% of total billed charges,8.99,38.25,,7.19,percent of total billed charges,38.25% of total billed charges,10.58,45,,8.46,percent of total billed charges,45% of total billed charges,10.58,45,,8.46,percent of total billed charges,45% of total billed charges,8.99,23.22,
COLLAR EXTRACTION TALL,7570146,CDM,270,RC,,,OUTPATIENT,,,84.5,67.6,,80.28,95,,64.22,percent of total billed charges,95% of total billed charges,80.04,94.72,,64.03,percent of total billed charges,94.72% of total billed charges,83.48,98.79,,66.78,percent of total billed charges,98.79% of total billed charges,82.81,98,,66.25,percent of total billed charges,98% of total billed charges,82.81,98,,66.25,percent of total billed charges,98% of total billed charges,40.56,48,,32.45,percent of total billed charges,48% of total billed charges,38.03,45,,30.42,percent of total billed charges,45% of total billed charges,32.32,38.25,,25.86,percent of total billed charges,38.25% of total billed charges,38.03,45,,30.42,percent of total billed charges,45% of total billed charges,38.03,45,,30.42,percent of total billed charges,45% of total billed charges,32.32,83.48,
CUFF CYLINDRICAL FOR A.T.S. 18,7570150,CDM,270,RC,,,OUTPATIENT,,,22.5,18,,21.38,95,,17.1,percent of total billed charges,95% of total billed charges,21.31,94.72,,17.05,percent of total billed charges,94.72% of total billed charges,22.23,98.79,,17.78,percent of total billed charges,98.79% of total billed charges,22.05,98,,17.64,percent of total billed charges,98% of total billed charges,22.05,98,,17.64,percent of total billed charges,98% of total billed charges,10.8,48,,8.64,percent of total billed charges,48% of total billed charges,10.13,45,,8.1,percent of total billed charges,45% of total billed charges,8.61,38.25,,6.89,percent of total billed charges,38.25% of total billed charges,10.13,45,,8.1,percent of total billed charges,45% of total billed charges,10.13,45,,8.1,percent of total billed charges,45% of total billed charges,8.61,22.23,
CUFF TOURNIQUET 18IN.,7570154,CDM,270,RC,,,OUTPATIENT,,,62,49.6,,58.9,95,,47.12,percent of total billed charges,95% of total billed charges,58.73,94.72,,46.98,percent of total billed charges,94.72% of total billed charges,61.25,98.79,,49,percent of total billed charges,98.79% of total billed charges,60.76,98,,48.61,percent of total billed charges,98% of total billed charges,60.76,98,,48.61,percent of total billed charges,98% of total billed charges,29.76,48,,23.81,percent of total billed charges,48% of total billed charges,27.9,45,,22.32,percent of total billed charges,45% of total billed charges,23.72,38.25,,18.98,percent of total billed charges,38.25% of total billed charges,27.9,45,,22.32,percent of total billed charges,45% of total billed charges,27.9,45,,22.32,percent of total billed charges,45% of total billed charges,23.72,61.25,
CUFF TOURNIQUET 12IN,7570155,CDM,270,RC,,,OUTPATIENT,,,66.75,53.4,,63.41,95,,50.73,percent of total billed charges,95% of total billed charges,63.23,94.72,,50.58,percent of total billed charges,94.72% of total billed charges,65.94,98.79,,52.75,percent of total billed charges,98.79% of total billed charges,65.42,98,,52.34,percent of total billed charges,98% of total billed charges,65.42,98,,52.34,percent of total billed charges,98% of total billed charges,32.04,48,,25.63,percent of total billed charges,48% of total billed charges,30.04,45,,24.03,percent of total billed charges,45% of total billed charges,25.53,38.25,,20.42,percent of total billed charges,38.25% of total billed charges,30.04,45,,24.03,percent of total billed charges,45% of total billed charges,30.04,45,,24.03,percent of total billed charges,45% of total billed charges,25.53,65.94,
CUFF TOURNIQUET 24IN,7570156,CDM,270,RC,,,OUTPATIENT,,,65.25,52.2,,61.99,95,,49.59,percent of total billed charges,95% of total billed charges,61.8,94.72,,49.44,percent of total billed charges,94.72% of total billed charges,64.46,98.79,,51.57,percent of total billed charges,98.79% of total billed charges,63.95,98,,51.16,percent of total billed charges,98% of total billed charges,63.95,98,,51.16,percent of total billed charges,98% of total billed charges,31.32,48,,25.06,percent of total billed charges,48% of total billed charges,29.36,45,,23.49,percent of total billed charges,45% of total billed charges,24.96,38.25,,19.97,percent of total billed charges,38.25% of total billed charges,29.36,45,,23.49,percent of total billed charges,45% of total billed charges,29.36,45,,23.49,percent of total billed charges,45% of total billed charges,24.96,64.46,
CUFF TOURNIQUET 30IN,7570157,CDM,270,RC,,,OUTPATIENT,,,75.25,60.2,,71.49,95,,57.19,percent of total billed charges,95% of total billed charges,71.28,94.72,,57.02,percent of total billed charges,94.72% of total billed charges,74.34,98.79,,59.47,percent of total billed charges,98.79% of total billed charges,73.75,98,,59,percent of total billed charges,98% of total billed charges,73.75,98,,59,percent of total billed charges,98% of total billed charges,36.12,48,,28.9,percent of total billed charges,48% of total billed charges,33.86,45,,27.09,percent of total billed charges,45% of total billed charges,28.78,38.25,,23.02,percent of total billed charges,38.25% of total billed charges,33.86,45,,27.09,percent of total billed charges,45% of total billed charges,33.86,45,,27.09,percent of total billed charges,45% of total billed charges,28.78,74.34,
CUFF TOURNIQUET 42IN,7570158,CDM,270,RC,,,OUTPATIENT,,,97.5,78,,92.63,95,,74.1,percent of total billed charges,95% of total billed charges,92.35,94.72,,73.88,percent of total billed charges,94.72% of total billed charges,96.32,98.79,,77.06,percent of total billed charges,98.79% of total billed charges,95.55,98,,76.44,percent of total billed charges,98% of total billed charges,95.55,98,,76.44,percent of total billed charges,98% of total billed charges,46.8,48,,37.44,percent of total billed charges,48% of total billed charges,43.88,45,,35.1,percent of total billed charges,45% of total billed charges,37.29,38.25,,29.83,percent of total billed charges,38.25% of total billed charges,43.88,45,,35.1,percent of total billed charges,45% of total billed charges,43.88,45,,35.1,percent of total billed charges,45% of total billed charges,37.29,96.32,
POSITIONER ARM CRADLE 3X5X24,7570298,CDM,270,RC,,,OUTPATIENT,,,18.5,14.8,,17.58,95,,14.06,percent of total billed charges,95% of total billed charges,17.52,94.72,,14.02,percent of total billed charges,94.72% of total billed charges,18.28,98.79,,14.62,percent of total billed charges,98.79% of total billed charges,18.13,98,,14.5,percent of total billed charges,98% of total billed charges,18.13,98,,14.5,percent of total billed charges,98% of total billed charges,8.88,48,,7.1,percent of total billed charges,48% of total billed charges,8.33,45,,6.66,percent of total billed charges,45% of total billed charges,7.08,38.25,,5.66,percent of total billed charges,38.25% of total billed charges,8.33,45,,6.66,percent of total billed charges,45% of total billed charges,8.33,45,,6.66,percent of total billed charges,45% of total billed charges,7.08,18.28,
PILLOW HIP ABDUCTION SMALL,7570300,CDM,270,RC,,,OUTPATIENT,,,81.25,65,,77.19,95,,61.75,percent of total billed charges,95% of total billed charges,76.96,94.72,,61.57,percent of total billed charges,94.72% of total billed charges,80.27,98.79,,64.22,percent of total billed charges,98.79% of total billed charges,79.63,98,,63.7,percent of total billed charges,98% of total billed charges,79.63,98,,63.7,percent of total billed charges,98% of total billed charges,39,48,,31.2,percent of total billed charges,48% of total billed charges,36.56,45,,29.25,percent of total billed charges,45% of total billed charges,31.08,38.25,,24.86,percent of total billed charges,38.25% of total billed charges,36.56,45,,29.25,percent of total billed charges,45% of total billed charges,36.56,45,,29.25,percent of total billed charges,45% of total billed charges,31.08,80.27,
PILLOW HIP ABDUCTION MEDIUM,7570301,CDM,270,RC,,,OUTPATIENT,,,102.5,82,,97.38,95,,77.9,percent of total billed charges,95% of total billed charges,97.09,94.72,,77.67,percent of total billed charges,94.72% of total billed charges,101.26,98.79,,81.01,percent of total billed charges,98.79% of total billed charges,100.45,98,,80.36,percent of total billed charges,98% of total billed charges,100.45,98,,80.36,percent of total billed charges,98% of total billed charges,49.2,48,,39.36,percent of total billed charges,48% of total billed charges,46.13,45,,36.9,percent of total billed charges,45% of total billed charges,39.21,38.25,,31.37,percent of total billed charges,38.25% of total billed charges,46.13,45,,36.9,percent of total billed charges,45% of total billed charges,46.13,45,,36.9,percent of total billed charges,45% of total billed charges,39.21,101.26,
PILLOW HIP ABDUCTION LARGE,7570302,CDM,270,RC,,,OUTPATIENT,,,70.5,56.4,,66.98,95,,53.58,percent of total billed charges,95% of total billed charges,66.78,94.72,,53.42,percent of total billed charges,94.72% of total billed charges,69.65,98.79,,55.72,percent of total billed charges,98.79% of total billed charges,69.09,98,,55.27,percent of total billed charges,98% of total billed charges,69.09,98,,55.27,percent of total billed charges,98% of total billed charges,33.84,48,,27.07,percent of total billed charges,48% of total billed charges,31.73,45,,25.38,percent of total billed charges,45% of total billed charges,26.97,38.25,,21.58,percent of total billed charges,38.25% of total billed charges,31.73,45,,25.38,percent of total billed charges,45% of total billed charges,31.73,45,,25.38,percent of total billed charges,45% of total billed charges,26.97,69.65,
POSITIONER WRIST FOR A-LINE INSERTION,7570400,CDM,270,RC,,,OUTPATIENT,,,35.5,28.4,,33.73,95,,26.98,percent of total billed charges,95% of total billed charges,33.63,94.72,,26.9,percent of total billed charges,94.72% of total billed charges,35.07,98.79,,28.06,percent of total billed charges,98.79% of total billed charges,34.79,98,,27.83,percent of total billed charges,98% of total billed charges,34.79,98,,27.83,percent of total billed charges,98% of total billed charges,17.04,48,,13.63,percent of total billed charges,48% of total billed charges,15.98,45,,12.78,percent of total billed charges,45% of total billed charges,13.58,38.25,,10.86,percent of total billed charges,38.25% of total billed charges,15.98,45,,12.78,percent of total billed charges,45% of total billed charges,15.98,45,,12.78,percent of total billed charges,45% of total billed charges,13.58,35.07,
SUTURE ANCHOR TWINFIX,7580001,CDM,270,RC,,,OUTPATIENT,,,411.25,329,,390.69,95,,312.55,percent of total billed charges,95% of total billed charges,389.54,94.72,,311.63,percent of total billed charges,94.72% of total billed charges,406.27,98.79,,325.02,percent of total billed charges,98.79% of total billed charges,403.03,98,,322.42,percent of total billed charges,98% of total billed charges,403.03,98,,322.42,percent of total billed charges,98% of total billed charges,197.4,48,,157.92,percent of total billed charges,48% of total billed charges,185.06,45,,148.05,percent of total billed charges,45% of total billed charges,157.3,38.25,,125.84,percent of total billed charges,38.25% of total billed charges,185.06,45,,148.05,percent of total billed charges,45% of total billed charges,185.06,45,,148.05,percent of total billed charges,45% of total billed charges,157.3,406.27,
SHEAR HARMONIC ACE+7 45CM,7580096,CDM,270,RC,,,OUTPATIENT,,,788.25,630.6,,748.84,95,,599.07,percent of total billed charges,95% of total billed charges,746.63,94.72,,597.3,percent of total billed charges,94.72% of total billed charges,778.71,98.79,,622.97,percent of total billed charges,98.79% of total billed charges,772.49,98,,617.99,percent of total billed charges,98% of total billed charges,772.49,98,,617.99,percent of total billed charges,98% of total billed charges,378.36,48,,302.69,percent of total billed charges,48% of total billed charges,354.71,45,,283.77,percent of total billed charges,45% of total billed charges,301.51,38.25,,241.21,percent of total billed charges,38.25% of total billed charges,354.71,45,,283.77,percent of total billed charges,45% of total billed charges,354.71,45,,283.77,percent of total billed charges,45% of total billed charges,301.51,778.71,
BABCOCK W/HANDLE 10MM,7580105,CDM,270,RC,,,OUTPATIENT,,,88.25,70.6,,83.84,95,,67.07,percent of total billed charges,95% of total billed charges,83.59,94.72,,66.87,percent of total billed charges,94.72% of total billed charges,87.18,98.79,,69.74,percent of total billed charges,98.79% of total billed charges,86.49,98,,69.19,percent of total billed charges,98% of total billed charges,86.49,98,,69.19,percent of total billed charges,98% of total billed charges,42.36,48,,33.89,percent of total billed charges,48% of total billed charges,39.71,45,,31.77,percent of total billed charges,45% of total billed charges,33.76,38.25,,27.01,percent of total billed charges,38.25% of total billed charges,39.71,45,,31.77,percent of total billed charges,45% of total billed charges,39.71,45,,31.77,percent of total billed charges,45% of total billed charges,33.76,87.18,
PADDLE ENDO RETRACT 12MM (DON'T ORDER),7580110,CDM,270,RC,,,OUTPATIENT,,,452.25,361.8,,429.64,95,,343.71,percent of total billed charges,95% of total billed charges,428.37,94.72,,342.7,percent of total billed charges,94.72% of total billed charges,446.78,98.79,,357.42,percent of total billed charges,98.79% of total billed charges,443.21,98,,354.57,percent of total billed charges,98% of total billed charges,443.21,98,,354.57,percent of total billed charges,98% of total billed charges,217.08,48,,173.66,percent of total billed charges,48% of total billed charges,203.51,45,,162.81,percent of total billed charges,45% of total billed charges,172.99,38.25,,138.39,percent of total billed charges,38.25% of total billed charges,203.51,45,,162.81,percent of total billed charges,45% of total billed charges,203.51,45,,162.81,percent of total billed charges,45% of total billed charges,172.99,446.78,
DEVICE SUTURING ENDO STICH,7580112,CDM,270,RC,,,OUTPATIENT,,,327,261.6,,310.65,95,,248.52,percent of total billed charges,95% of total billed charges,309.73,94.72,,247.78,percent of total billed charges,94.72% of total billed charges,323.04,98.79,,258.43,percent of total billed charges,98.79% of total billed charges,320.46,98,,256.37,percent of total billed charges,98% of total billed charges,320.46,98,,256.37,percent of total billed charges,98% of total billed charges,156.96,48,,125.57,percent of total billed charges,48% of total billed charges,147.15,45,,117.72,percent of total billed charges,45% of total billed charges,125.08,38.25,,100.06,percent of total billed charges,38.25% of total billed charges,147.15,45,,117.72,percent of total billed charges,45% of total billed charges,147.15,45,,117.72,percent of total billed charges,45% of total billed charges,125.08,323.04,
KIT FEMORAL CATH LINE,7580113,CDM,270,RC,,,OUTPATIENT,,,95.75,76.6,,90.96,95,,72.77,percent of total billed charges,95% of total billed charges,90.69,94.72,,72.55,percent of total billed charges,94.72% of total billed charges,94.59,98.79,,75.67,percent of total billed charges,98.79% of total billed charges,93.84,98,,75.07,percent of total billed charges,98% of total billed charges,93.84,98,,75.07,percent of total billed charges,98% of total billed charges,45.96,48,,36.77,percent of total billed charges,48% of total billed charges,43.09,45,,34.47,percent of total billed charges,45% of total billed charges,36.62,38.25,,29.3,percent of total billed charges,38.25% of total billed charges,43.09,45,,34.47,percent of total billed charges,45% of total billed charges,43.09,45,,34.47,percent of total billed charges,45% of total billed charges,36.62,94.59,
KIT GYNO LONESTAR,7580115,CDM,270,RC,,,OUTPATIENT,,,177,141.6,,168.15,95,,134.52,percent of total billed charges,95% of total billed charges,167.65,94.72,,134.12,percent of total billed charges,94.72% of total billed charges,174.86,98.79,,139.89,percent of total billed charges,98.79% of total billed charges,173.46,98,,138.77,percent of total billed charges,98% of total billed charges,173.46,98,,138.77,percent of total billed charges,98% of total billed charges,84.96,48,,67.97,percent of total billed charges,48% of total billed charges,79.65,45,,63.72,percent of total billed charges,45% of total billed charges,67.7,38.25,,54.16,percent of total billed charges,38.25% of total billed charges,79.65,45,,63.72,percent of total billed charges,45% of total billed charges,79.65,45,,63.72,percent of total billed charges,45% of total billed charges,67.7,174.86,
NEEDLE PNEUMO 120mm,7580118,CDM,270,RC,,,OUTPATIENT,,,77.75,62.2,,73.86,95,,59.09,percent of total billed charges,95% of total billed charges,73.64,94.72,,58.91,percent of total billed charges,94.72% of total billed charges,76.81,98.79,,61.45,percent of total billed charges,98.79% of total billed charges,76.2,98,,60.96,percent of total billed charges,98% of total billed charges,76.2,98,,60.96,percent of total billed charges,98% of total billed charges,37.32,48,,29.86,percent of total billed charges,48% of total billed charges,34.99,45,,27.99,percent of total billed charges,45% of total billed charges,29.74,38.25,,23.79,percent of total billed charges,38.25% of total billed charges,34.99,45,,27.99,percent of total billed charges,45% of total billed charges,34.99,45,,27.99,percent of total billed charges,45% of total billed charges,29.74,76.81,
LIGACLIP ENDO CLIP APPLIER,7580122,CDM,270,RC,,,OUTPATIENT,,,165.25,132.2,,156.99,95,,125.59,percent of total billed charges,95% of total billed charges,156.52,94.72,,125.22,percent of total billed charges,94.72% of total billed charges,163.25,98.79,,130.6,percent of total billed charges,98.79% of total billed charges,161.95,98,,129.56,percent of total billed charges,98% of total billed charges,161.95,98,,129.56,percent of total billed charges,98% of total billed charges,79.32,48,,63.46,percent of total billed charges,48% of total billed charges,74.36,45,,59.49,percent of total billed charges,45% of total billed charges,63.21,38.25,,50.57,percent of total billed charges,38.25% of total billed charges,74.36,45,,59.49,percent of total billed charges,45% of total billed charges,74.36,45,,59.49,percent of total billed charges,45% of total billed charges,63.21,163.25,
FIXATION DEVICE OPENSTRAP,7580125,CDM,270,RC,,,OUTPATIENT,,,643.5,514.8,,611.33,95,,489.06,percent of total billed charges,95% of total billed charges,609.52,94.72,,487.62,percent of total billed charges,94.72% of total billed charges,635.71,98.79,,508.57,percent of total billed charges,98.79% of total billed charges,630.63,98,,504.5,percent of total billed charges,98% of total billed charges,630.63,98,,504.5,percent of total billed charges,98% of total billed charges,308.88,48,,247.1,percent of total billed charges,48% of total billed charges,289.58,45,,231.66,percent of total billed charges,45% of total billed charges,246.14,38.25,,196.91,percent of total billed charges,38.25% of total billed charges,289.58,45,,231.66,percent of total billed charges,45% of total billed charges,289.58,45,,231.66,percent of total billed charges,45% of total billed charges,246.14,635.71,
CUTTER LINEAR ARTICULATING 45mm,7580140,CDM,270,RC,,,OUTPATIENT,,,418.5,334.8,,397.58,95,,318.06,percent of total billed charges,95% of total billed charges,396.4,94.72,,317.12,percent of total billed charges,94.72% of total billed charges,413.44,98.79,,330.75,percent of total billed charges,98.79% of total billed charges,410.13,98,,328.1,percent of total billed charges,98% of total billed charges,410.13,98,,328.1,percent of total billed charges,98% of total billed charges,200.88,48,,160.7,percent of total billed charges,48% of total billed charges,188.33,45,,150.66,percent of total billed charges,45% of total billed charges,160.08,38.25,,128.06,percent of total billed charges,38.25% of total billed charges,188.33,45,,150.66,percent of total billed charges,45% of total billed charges,188.33,45,,150.66,percent of total billed charges,45% of total billed charges,160.08,413.44,
RELOADS CUTTER 45mm (RED),7580141,CDM,270,RC,,,OUTPATIENT,,,85,68,,80.75,95,,64.6,percent of total billed charges,95% of total billed charges,80.51,94.72,,64.41,percent of total billed charges,94.72% of total billed charges,83.97,98.79,,67.18,percent of total billed charges,98.79% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,40.8,48,,32.64,percent of total billed charges,48% of total billed charges,38.25,45,,30.6,percent of total billed charges,45% of total billed charges,32.51,38.25,,26.01,percent of total billed charges,38.25% of total billed charges,38.25,45,,30.6,percent of total billed charges,45% of total billed charges,38.25,45,,30.6,percent of total billed charges,45% of total billed charges,32.51,83.97,
RELOADS CUTTER 45mm BLUE,7580142,CDM,270,RC,,,OUTPATIENT,,,140.75,112.6,,133.71,95,,106.97,percent of total billed charges,95% of total billed charges,133.32,94.72,,106.66,percent of total billed charges,94.72% of total billed charges,139.05,98.79,,111.24,percent of total billed charges,98.79% of total billed charges,137.94,98,,110.35,percent of total billed charges,98% of total billed charges,137.94,98,,110.35,percent of total billed charges,98% of total billed charges,67.56,48,,54.05,percent of total billed charges,48% of total billed charges,63.34,45,,50.67,percent of total billed charges,45% of total billed charges,53.84,38.25,,43.07,percent of total billed charges,38.25% of total billed charges,63.34,45,,50.67,percent of total billed charges,45% of total billed charges,63.34,45,,50.67,percent of total billed charges,45% of total billed charges,53.84,139.05,
RELOADS CUTTER 45mm GREEN,7580143,CDM,270,RC,,,OUTPATIENT,,,75,60,,71.25,95,,57,percent of total billed charges,95% of total billed charges,71.04,94.72,,56.83,percent of total billed charges,94.72% of total billed charges,74.09,98.79,,59.27,percent of total billed charges,98.79% of total billed charges,73.5,98,,58.8,percent of total billed charges,98% of total billed charges,73.5,98,,58.8,percent of total billed charges,98% of total billed charges,36,48,,28.8,percent of total billed charges,48% of total billed charges,33.75,45,,27,percent of total billed charges,45% of total billed charges,28.69,38.25,,22.95,percent of total billed charges,38.25% of total billed charges,33.75,45,,27,percent of total billed charges,45% of total billed charges,33.75,45,,27,percent of total billed charges,45% of total billed charges,28.69,74.09,
TROCAR OPTICAL W/ FIXATION CANNULA 5MM ONB5LGF,7580147,CDM,270,RC,,,OUTPATIENT,,,69.75,55.8,,66.26,95,,53.01,percent of total billed charges,95% of total billed charges,66.07,94.72,,52.86,percent of total billed charges,94.72% of total billed charges,68.91,98.79,,55.13,percent of total billed charges,98.79% of total billed charges,68.36,98,,54.69,percent of total billed charges,98% of total billed charges,68.36,98,,54.69,percent of total billed charges,98% of total billed charges,33.48,48,,26.78,percent of total billed charges,48% of total billed charges,31.39,45,,25.11,percent of total billed charges,45% of total billed charges,26.68,38.25,,21.34,percent of total billed charges,38.25% of total billed charges,31.39,45,,25.11,percent of total billed charges,45% of total billed charges,31.39,45,,25.11,percent of total billed charges,45% of total billed charges,26.68,68.91,
TROCAR XCEL 8MM BLADELESS W/SLV,7580149,CDM,270,RC,,,OUTPATIENT,,,92.5,74,,87.88,95,,70.3,percent of total billed charges,95% of total billed charges,87.62,94.72,,70.1,percent of total billed charges,94.72% of total billed charges,91.38,98.79,,73.1,percent of total billed charges,98.79% of total billed charges,90.65,98,,72.52,percent of total billed charges,98% of total billed charges,90.65,98,,72.52,percent of total billed charges,98% of total billed charges,44.4,48,,35.52,percent of total billed charges,48% of total billed charges,41.63,45,,33.3,percent of total billed charges,45% of total billed charges,35.38,38.25,,28.3,percent of total billed charges,38.25% of total billed charges,41.63,45,,33.3,percent of total billed charges,45% of total billed charges,41.63,45,,33.3,percent of total billed charges,45% of total billed charges,35.38,91.38,
TROCAR XCEL 5MM BLADELESS,7580150,CDM,270,RC,,,OUTPATIENT,,,225.25,180.2,,213.99,95,,171.19,percent of total billed charges,95% of total billed charges,213.36,94.72,,170.69,percent of total billed charges,94.72% of total billed charges,222.52,98.79,,178.02,percent of total billed charges,98.79% of total billed charges,220.75,98,,176.6,percent of total billed charges,98% of total billed charges,220.75,98,,176.6,percent of total billed charges,98% of total billed charges,108.12,48,,86.5,percent of total billed charges,48% of total billed charges,101.36,45,,81.09,percent of total billed charges,45% of total billed charges,86.16,38.25,,68.93,percent of total billed charges,38.25% of total billed charges,101.36,45,,81.09,percent of total billed charges,45% of total billed charges,101.36,45,,81.09,percent of total billed charges,45% of total billed charges,86.16,222.52,
TROCAR XCEL 12MM BLADELESS,7580151,CDM,270,RC,,,OUTPATIENT,,,298,238.4,,283.1,95,,226.48,percent of total billed charges,95% of total billed charges,282.27,94.72,,225.82,percent of total billed charges,94.72% of total billed charges,294.39,98.79,,235.51,percent of total billed charges,98.79% of total billed charges,292.04,98,,233.63,percent of total billed charges,98% of total billed charges,292.04,98,,233.63,percent of total billed charges,98% of total billed charges,143.04,48,,114.43,percent of total billed charges,48% of total billed charges,134.1,45,,107.28,percent of total billed charges,45% of total billed charges,113.99,38.25,,91.19,percent of total billed charges,38.25% of total billed charges,134.1,45,,107.28,percent of total billed charges,45% of total billed charges,134.1,45,,107.28,percent of total billed charges,45% of total billed charges,113.99,294.39,
SLEEVE XCEL 5MM CB5LT,7580152,CDM,270,RC,,,OUTPATIENT,,,130.25,104.2,,123.74,95,,98.99,percent of total billed charges,95% of total billed charges,123.37,94.72,,98.7,percent of total billed charges,94.72% of total billed charges,128.67,98.79,,102.94,percent of total billed charges,98.79% of total billed charges,127.65,98,,102.12,percent of total billed charges,98% of total billed charges,127.65,98,,102.12,percent of total billed charges,98% of total billed charges,62.52,48,,50.02,percent of total billed charges,48% of total billed charges,58.61,45,,46.89,percent of total billed charges,45% of total billed charges,49.82,38.25,,39.86,percent of total billed charges,38.25% of total billed charges,58.61,45,,46.89,percent of total billed charges,45% of total billed charges,58.61,45,,46.89,percent of total billed charges,45% of total billed charges,49.82,128.67,
SLEEVE XCEL 12MM CB12LT,7580153,CDM,270,RC,,,OUTPATIENT,,,160.75,128.6,,152.71,95,,122.17,percent of total billed charges,95% of total billed charges,152.26,94.72,,121.81,percent of total billed charges,94.72% of total billed charges,158.8,98.79,,127.04,percent of total billed charges,98.79% of total billed charges,157.54,98,,126.03,percent of total billed charges,98% of total billed charges,157.54,98,,126.03,percent of total billed charges,98% of total billed charges,77.16,48,,61.73,percent of total billed charges,48% of total billed charges,72.34,45,,57.87,percent of total billed charges,45% of total billed charges,61.49,38.25,,49.19,percent of total billed charges,38.25% of total billed charges,72.34,45,,57.87,percent of total billed charges,45% of total billed charges,72.34,45,,57.87,percent of total billed charges,45% of total billed charges,61.49,158.8,
TROCAR BLADED 12MM B12STF,7580158,CDM,270,RC,,,OUTPATIENT,,,83.5,66.8,,79.33,95,,63.46,percent of total billed charges,95% of total billed charges,79.09,94.72,,63.27,percent of total billed charges,94.72% of total billed charges,82.49,98.79,,65.99,percent of total billed charges,98.79% of total billed charges,81.83,98,,65.46,percent of total billed charges,98% of total billed charges,81.83,98,,65.46,percent of total billed charges,98% of total billed charges,40.08,48,,32.06,percent of total billed charges,48% of total billed charges,37.58,45,,30.06,percent of total billed charges,45% of total billed charges,31.94,38.25,,25.55,percent of total billed charges,38.25% of total billed charges,37.58,45,,30.06,percent of total billed charges,45% of total billed charges,37.58,45,,30.06,percent of total billed charges,45% of total billed charges,31.94,82.49,
STAPLER PROTACK 5mm,7580190,CDM,270,RC,,,OUTPATIENT,,,919.5,735.6,,873.53,95,,698.82,percent of total billed charges,95% of total billed charges,870.95,94.72,,696.76,percent of total billed charges,94.72% of total billed charges,908.37,98.79,,726.7,percent of total billed charges,98.79% of total billed charges,901.11,98,,720.89,percent of total billed charges,98% of total billed charges,901.11,98,,720.89,percent of total billed charges,98% of total billed charges,441.36,48,,353.09,percent of total billed charges,48% of total billed charges,413.78,45,,331.02,percent of total billed charges,45% of total billed charges,351.71,38.25,,281.37,percent of total billed charges,38.25% of total billed charges,413.78,45,,331.02,percent of total billed charges,45% of total billed charges,413.78,45,,331.02,percent of total billed charges,45% of total billed charges,351.71,908.37,
STAPLES RELOAD PROXIMATE LINEAR 4.0X3.5,7580198,CDM,270,RC,,,OUTPATIENT,,,77.75,62.2,,73.86,95,,59.09,percent of total billed charges,95% of total billed charges,73.64,94.72,,58.91,percent of total billed charges,94.72% of total billed charges,76.81,98.79,,61.45,percent of total billed charges,98.79% of total billed charges,76.2,98,,60.96,percent of total billed charges,98% of total billed charges,76.2,98,,60.96,percent of total billed charges,98% of total billed charges,37.32,48,,29.86,percent of total billed charges,48% of total billed charges,34.99,45,,27.99,percent of total billed charges,45% of total billed charges,29.74,38.25,,23.79,percent of total billed charges,38.25% of total billed charges,34.99,45,,27.99,percent of total billed charges,45% of total billed charges,34.99,45,,27.99,percent of total billed charges,45% of total billed charges,29.74,76.81,
STAPLER PROXIMATE LINEAR 60 X 4.8,7580200,CDM,270,RC,,,OUTPATIENT,,,165,132,,156.75,95,,125.4,percent of total billed charges,95% of total billed charges,156.29,94.72,,125.03,percent of total billed charges,94.72% of total billed charges,163,98.79,,130.4,percent of total billed charges,98.79% of total billed charges,161.7,98,,129.36,percent of total billed charges,98% of total billed charges,161.7,98,,129.36,percent of total billed charges,98% of total billed charges,79.2,48,,63.36,percent of total billed charges,48% of total billed charges,74.25,45,,59.4,percent of total billed charges,45% of total billed charges,63.11,38.25,,50.49,percent of total billed charges,38.25% of total billed charges,74.25,45,,59.4,percent of total billed charges,45% of total billed charges,74.25,45,,59.4,percent of total billed charges,45% of total billed charges,63.11,163,
STAPLES RELOAD PROXIMATE LINEAR 4.0X4.8,7580202,CDM,270,RC,,,OUTPATIENT,,,33.75,27,,32.06,95,,25.65,percent of total billed charges,95% of total billed charges,31.97,94.72,,25.58,percent of total billed charges,94.72% of total billed charges,33.34,98.79,,26.67,percent of total billed charges,98.79% of total billed charges,33.08,98,,26.46,percent of total billed charges,98% of total billed charges,33.08,98,,26.46,percent of total billed charges,98% of total billed charges,16.2,48,,12.96,percent of total billed charges,48% of total billed charges,15.19,45,,12.15,percent of total billed charges,45% of total billed charges,12.91,38.25,,10.33,percent of total billed charges,38.25% of total billed charges,15.19,45,,12.15,percent of total billed charges,45% of total billed charges,15.19,45,,12.15,percent of total billed charges,45% of total billed charges,12.91,33.34,
TROCAR VERSAPORT LONG 5MM-12MM,7580209,CDM,270,RC,,,OUTPATIENT,,,219.5,175.6,,208.53,95,,166.82,percent of total billed charges,95% of total billed charges,207.91,94.72,,166.33,percent of total billed charges,94.72% of total billed charges,216.84,98.79,,173.47,percent of total billed charges,98.79% of total billed charges,215.11,98,,172.09,percent of total billed charges,98% of total billed charges,215.11,98,,172.09,percent of total billed charges,98% of total billed charges,105.36,48,,84.29,percent of total billed charges,48% of total billed charges,98.78,45,,79.02,percent of total billed charges,45% of total billed charges,83.96,38.25,,67.17,percent of total billed charges,38.25% of total billed charges,98.78,45,,79.02,percent of total billed charges,45% of total billed charges,98.78,45,,79.02,percent of total billed charges,45% of total billed charges,83.96,216.84,
ENDO GRASP INSTRUMENT 5MM,7580213,CDM,270,RC,,,OUTPATIENT,,,243,194.4,,230.85,95,,184.68,percent of total billed charges,95% of total billed charges,230.17,94.72,,184.14,percent of total billed charges,94.72% of total billed charges,240.06,98.79,,192.05,percent of total billed charges,98.79% of total billed charges,238.14,98,,190.51,percent of total billed charges,98% of total billed charges,238.14,98,,190.51,percent of total billed charges,98% of total billed charges,116.64,48,,93.31,percent of total billed charges,48% of total billed charges,109.35,45,,87.48,percent of total billed charges,45% of total billed charges,92.95,38.25,,74.36,percent of total billed charges,38.25% of total billed charges,109.35,45,,87.48,percent of total billed charges,45% of total billed charges,109.35,45,,87.48,percent of total billed charges,45% of total billed charges,92.95,240.06,
LOOP VESSEL RED STR,7580300,CDM,270,RC,,,OUTPATIENT,,,5.04,4.032,,4.79,95,,3.83,percent of total billed charges,95% of total billed charges,4.77,94.72,,3.82,percent of total billed charges,94.72% of total billed charges,4.98,98.79,,3.98,percent of total billed charges,98.79% of total billed charges,4.94,98,,3.95,percent of total billed charges,98% of total billed charges,4.94,98,,3.95,percent of total billed charges,98% of total billed charges,2.42,48,,1.94,percent of total billed charges,48% of total billed charges,2.27,45,,1.82,percent of total billed charges,45% of total billed charges,1.93,38.25,,1.54,percent of total billed charges,38.25% of total billed charges,2.27,45,,1.82,percent of total billed charges,45% of total billed charges,2.27,45,,1.82,percent of total billed charges,45% of total billed charges,1.93,4.98,
LOOP VESSEL BLUE STR,7580301,CDM,270,RC,,,OUTPATIENT,,,7.84,6.272,,7.45,95,,5.96,percent of total billed charges,95% of total billed charges,7.43,94.72,,5.94,percent of total billed charges,94.72% of total billed charges,7.75,98.79,,6.2,percent of total billed charges,98.79% of total billed charges,7.68,98,,6.14,percent of total billed charges,98% of total billed charges,7.68,98,,6.14,percent of total billed charges,98% of total billed charges,3.76,48,,3.01,percent of total billed charges,48% of total billed charges,3.53,45,,2.82,percent of total billed charges,45% of total billed charges,3,38.25,,2.4,percent of total billed charges,38.25% of total billed charges,3.53,45,,2.82,percent of total billed charges,45% of total billed charges,3.53,45,,2.82,percent of total billed charges,45% of total billed charges,3,7.75,
LOOP VESSEL YELLOW STR,7580302,CDM,270,RC,,,OUTPATIENT,,,5,4,,4.75,95,,3.8,percent of total billed charges,95% of total billed charges,4.74,94.72,,3.79,percent of total billed charges,94.72% of total billed charges,4.94,98.79,,3.95,percent of total billed charges,98.79% of total billed charges,4.9,98,,3.92,percent of total billed charges,98% of total billed charges,4.9,98,,3.92,percent of total billed charges,98% of total billed charges,2.4,48,,1.92,percent of total billed charges,48% of total billed charges,2.25,45,,1.8,percent of total billed charges,45% of total billed charges,1.91,38.25,,1.53,percent of total billed charges,38.25% of total billed charges,2.25,45,,1.8,percent of total billed charges,45% of total billed charges,2.25,45,,1.8,percent of total billed charges,45% of total billed charges,1.91,4.94,
ELECTRODE CUTTING LOOP 24FR,7590001,CDM,270,RC,,,OUTPATIENT,,,99.75,79.8,,94.76,95,,75.81,percent of total billed charges,95% of total billed charges,94.48,94.72,,75.58,percent of total billed charges,94.72% of total billed charges,98.54,98.79,,78.83,percent of total billed charges,98.79% of total billed charges,97.76,98,,78.21,percent of total billed charges,98% of total billed charges,97.76,98,,78.21,percent of total billed charges,98% of total billed charges,47.88,48,,38.3,percent of total billed charges,48% of total billed charges,44.89,45,,35.91,percent of total billed charges,45% of total billed charges,38.15,38.25,,30.52,percent of total billed charges,38.25% of total billed charges,44.89,45,,35.91,percent of total billed charges,45% of total billed charges,44.89,45,,35.91,percent of total billed charges,45% of total billed charges,38.15,98.54,
ELECTRODE CUTTING LOOP 26FR,7590002,CDM,270,RC,,,OUTPATIENT,,,90,72,,85.5,95,,68.4,percent of total billed charges,95% of total billed charges,85.25,94.72,,68.2,percent of total billed charges,94.72% of total billed charges,88.91,98.79,,71.13,percent of total billed charges,98.79% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,43.2,48,,34.56,percent of total billed charges,48% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,38.25,,27.54,percent of total billed charges,38.25% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,88.91,
ELECTRODE ROLLER BALL 24/26FR,7590003,CDM,270,RC,,,OUTPATIENT,,,152.5,122,,144.88,95,,115.9,percent of total billed charges,95% of total billed charges,144.45,94.72,,115.56,percent of total billed charges,94.72% of total billed charges,150.65,98.79,,120.52,percent of total billed charges,98.79% of total billed charges,149.45,98,,119.56,percent of total billed charges,98% of total billed charges,149.45,98,,119.56,percent of total billed charges,98% of total billed charges,73.2,48,,58.56,percent of total billed charges,48% of total billed charges,68.63,45,,54.9,percent of total billed charges,45% of total billed charges,58.33,38.25,,46.66,percent of total billed charges,38.25% of total billed charges,68.63,45,,54.9,percent of total billed charges,45% of total billed charges,68.63,45,,54.9,percent of total billed charges,45% of total billed charges,58.33,150.65,
GUIDEWIRE EZ GLIDER .035 X 150cm,7590004,CDM,270,RC,,,OUTPATIENT,,,83.04,66.432,,78.89,95,,63.11,percent of total billed charges,95% of total billed charges,78.66,94.72,,62.93,percent of total billed charges,94.72% of total billed charges,82.04,98.79,,65.63,percent of total billed charges,98.79% of total billed charges,81.38,98,,65.1,percent of total billed charges,98% of total billed charges,81.38,98,,65.1,percent of total billed charges,98% of total billed charges,39.86,48,,31.89,percent of total billed charges,48% of total billed charges,37.37,45,,29.9,percent of total billed charges,45% of total billed charges,31.76,38.25,,25.41,percent of total billed charges,38.25% of total billed charges,37.37,45,,29.9,percent of total billed charges,45% of total billed charges,37.37,45,,29.9,percent of total billed charges,45% of total billed charges,31.76,82.04,
DAC CORD,7590005,CDM,270,RC,,,OUTPATIENT,,,92.5,74,,87.88,95,,70.3,percent of total billed charges,95% of total billed charges,87.62,94.72,,70.1,percent of total billed charges,94.72% of total billed charges,91.38,98.79,,73.1,percent of total billed charges,98.79% of total billed charges,90.65,98,,72.52,percent of total billed charges,98% of total billed charges,90.65,98,,72.52,percent of total billed charges,98% of total billed charges,44.4,48,,35.52,percent of total billed charges,48% of total billed charges,41.63,45,,33.3,percent of total billed charges,45% of total billed charges,35.38,38.25,,28.3,percent of total billed charges,38.25% of total billed charges,41.63,45,,33.3,percent of total billed charges,45% of total billed charges,41.63,45,,33.3,percent of total billed charges,45% of total billed charges,35.38,91.38,
URETERAL STENT 6.0fr X 24cm,7590006,CDM,270,RC,,,OUTPATIENT,,,246.75,197.4,,234.41,95,,187.53,percent of total billed charges,95% of total billed charges,233.72,94.72,,186.98,percent of total billed charges,94.72% of total billed charges,243.76,98.79,,195.01,percent of total billed charges,98.79% of total billed charges,241.82,98,,193.46,percent of total billed charges,98% of total billed charges,241.82,98,,193.46,percent of total billed charges,98% of total billed charges,118.44,48,,94.75,percent of total billed charges,48% of total billed charges,111.04,45,,88.83,percent of total billed charges,45% of total billed charges,94.38,38.25,,75.5,percent of total billed charges,38.25% of total billed charges,111.04,45,,88.83,percent of total billed charges,45% of total billed charges,111.04,45,,88.83,percent of total billed charges,45% of total billed charges,94.38,243.76,
URETERAL STENT 6.0fr X 26cm,7590007,CDM,270,RC,,,OUTPATIENT,,,207.75,166.2,,197.36,95,,157.89,percent of total billed charges,95% of total billed charges,196.78,94.72,,157.42,percent of total billed charges,94.72% of total billed charges,205.24,98.79,,164.19,percent of total billed charges,98.79% of total billed charges,203.6,98,,162.88,percent of total billed charges,98% of total billed charges,203.6,98,,162.88,percent of total billed charges,98% of total billed charges,99.72,48,,79.78,percent of total billed charges,48% of total billed charges,93.49,45,,74.79,percent of total billed charges,45% of total billed charges,79.46,38.25,,63.57,percent of total billed charges,38.25% of total billed charges,93.49,45,,74.79,percent of total billed charges,45% of total billed charges,93.49,45,,74.79,percent of total billed charges,45% of total billed charges,79.46,205.24,
URETERAL STENT 6.0fr X 28cm,7590008,CDM,270,RC,,,OUTPATIENT,,,222.25,177.8,,211.14,95,,168.91,percent of total billed charges,95% of total billed charges,210.52,94.72,,168.42,percent of total billed charges,94.72% of total billed charges,219.56,98.79,,175.65,percent of total billed charges,98.79% of total billed charges,217.81,98,,174.25,percent of total billed charges,98% of total billed charges,217.81,98,,174.25,percent of total billed charges,98% of total billed charges,106.68,48,,85.34,percent of total billed charges,48% of total billed charges,100.01,45,,80.01,percent of total billed charges,45% of total billed charges,85.01,38.25,,68.01,percent of total billed charges,38.25% of total billed charges,100.01,45,,80.01,percent of total billed charges,45% of total billed charges,100.01,45,,80.01,percent of total billed charges,45% of total billed charges,85.01,219.56,
URETERAL STENT 7.0fr X 26cm,7590010,CDM,270,RC,,,OUTPATIENT,,,206,164.8,,195.7,95,,156.56,percent of total billed charges,95% of total billed charges,195.12,94.72,,156.1,percent of total billed charges,94.72% of total billed charges,203.51,98.79,,162.81,percent of total billed charges,98.79% of total billed charges,201.88,98,,161.5,percent of total billed charges,98% of total billed charges,201.88,98,,161.5,percent of total billed charges,98% of total billed charges,98.88,48,,79.1,percent of total billed charges,48% of total billed charges,92.7,45,,74.16,percent of total billed charges,45% of total billed charges,78.8,38.25,,63.04,percent of total billed charges,38.25% of total billed charges,92.7,45,,74.16,percent of total billed charges,45% of total billed charges,92.7,45,,74.16,percent of total billed charges,45% of total billed charges,78.8,203.51,
URETERAL STENT 7.0fr X 28cm,7590011,CDM,270,RC,,,OUTPATIENT,,,200.75,160.6,,190.71,95,,152.57,percent of total billed charges,95% of total billed charges,190.15,94.72,,152.12,percent of total billed charges,94.72% of total billed charges,198.32,98.79,,158.66,percent of total billed charges,98.79% of total billed charges,196.74,98,,157.39,percent of total billed charges,98% of total billed charges,196.74,98,,157.39,percent of total billed charges,98% of total billed charges,96.36,48,,77.09,percent of total billed charges,48% of total billed charges,90.34,45,,72.27,percent of total billed charges,45% of total billed charges,76.79,38.25,,61.43,percent of total billed charges,38.25% of total billed charges,90.34,45,,72.27,percent of total billed charges,45% of total billed charges,90.34,45,,72.27,percent of total billed charges,45% of total billed charges,76.79,198.32,
CABLE HF MONOPOLAR,7590012,CDM,270,RC,,,OUTPATIENT,,,60.25,48.2,,57.24,95,,45.79,percent of total billed charges,95% of total billed charges,57.07,94.72,,45.66,percent of total billed charges,94.72% of total billed charges,59.52,98.79,,47.62,percent of total billed charges,98.79% of total billed charges,59.05,98,,47.24,percent of total billed charges,98% of total billed charges,59.05,98,,47.24,percent of total billed charges,98% of total billed charges,28.92,48,,23.14,percent of total billed charges,48% of total billed charges,27.11,45,,21.69,percent of total billed charges,45% of total billed charges,23.05,38.25,,18.44,percent of total billed charges,38.25% of total billed charges,27.11,45,,21.69,percent of total billed charges,45% of total billed charges,27.11,45,,21.69,percent of total billed charges,45% of total billed charges,23.05,59.52,
ELECTRODE LOOP 24FR,7590013,CDM,270,RC,,,OUTPATIENT,,,137.25,109.8,,130.39,95,,104.31,percent of total billed charges,95% of total billed charges,130,94.72,,104,percent of total billed charges,94.72% of total billed charges,135.59,98.79,,108.47,percent of total billed charges,98.79% of total billed charges,134.51,98,,107.61,percent of total billed charges,98% of total billed charges,134.51,98,,107.61,percent of total billed charges,98% of total billed charges,65.88,48,,52.7,percent of total billed charges,48% of total billed charges,61.76,45,,49.41,percent of total billed charges,45% of total billed charges,52.5,38.25,,42,percent of total billed charges,38.25% of total billed charges,61.76,45,,49.41,percent of total billed charges,45% of total billed charges,61.76,45,,49.41,percent of total billed charges,45% of total billed charges,52.5,135.59,
ELECTRODE ROLLER,7590014,CDM,270,RC,,,OUTPATIENT,,,147.5,118,,140.13,95,,112.1,percent of total billed charges,95% of total billed charges,139.71,94.72,,111.77,percent of total billed charges,94.72% of total billed charges,145.72,98.79,,116.58,percent of total billed charges,98.79% of total billed charges,144.55,98,,115.64,percent of total billed charges,98% of total billed charges,144.55,98,,115.64,percent of total billed charges,98% of total billed charges,70.8,48,,56.64,percent of total billed charges,48% of total billed charges,66.38,45,,53.1,percent of total billed charges,45% of total billed charges,56.42,38.25,,45.14,percent of total billed charges,38.25% of total billed charges,66.38,45,,53.1,percent of total billed charges,45% of total billed charges,66.38,45,,53.1,percent of total billed charges,45% of total billed charges,56.42,145.72,
AIRWAY ADAPTER PED/ADULT DISPOSABLE,7590015,CDM,270,RC,,,OUTPATIENT,,,33,26.4,,31.35,95,,25.08,percent of total billed charges,95% of total billed charges,31.26,94.72,,25.01,percent of total billed charges,94.72% of total billed charges,32.6,98.79,,26.08,percent of total billed charges,98.79% of total billed charges,32.34,98,,25.87,percent of total billed charges,98% of total billed charges,32.34,98,,25.87,percent of total billed charges,98% of total billed charges,15.84,48,,12.67,percent of total billed charges,48% of total billed charges,14.85,45,,11.88,percent of total billed charges,45% of total billed charges,12.62,38.25,,10.1,percent of total billed charges,38.25% of total billed charges,14.85,45,,11.88,percent of total billed charges,45% of total billed charges,14.85,45,,11.88,percent of total billed charges,45% of total billed charges,12.62,32.6,
URETERAL STENT 7.0fr X 24cm,7590016,CDM,270,RC,,,OUTPATIENT,,,241.5,193.2,,229.43,95,,183.54,percent of total billed charges,95% of total billed charges,228.75,94.72,,183,percent of total billed charges,94.72% of total billed charges,238.58,98.79,,190.86,percent of total billed charges,98.79% of total billed charges,236.67,98,,189.34,percent of total billed charges,98% of total billed charges,236.67,98,,189.34,percent of total billed charges,98% of total billed charges,115.92,48,,92.74,percent of total billed charges,48% of total billed charges,108.68,45,,86.94,percent of total billed charges,45% of total billed charges,92.37,38.25,,73.9,percent of total billed charges,38.25% of total billed charges,108.68,45,,86.94,percent of total billed charges,45% of total billed charges,108.68,45,,86.94,percent of total billed charges,45% of total billed charges,92.37,238.58,
STYLET AIR CHARGED LONG,7590019,CDM,270,RC,,,OUTPATIENT,,,55.5,44.4,,52.73,95,,42.18,percent of total billed charges,95% of total billed charges,52.57,94.72,,42.06,percent of total billed charges,94.72% of total billed charges,54.83,98.79,,43.86,percent of total billed charges,98.79% of total billed charges,54.39,98,,43.51,percent of total billed charges,98% of total billed charges,54.39,98,,43.51,percent of total billed charges,98% of total billed charges,26.64,48,,21.31,percent of total billed charges,48% of total billed charges,24.98,45,,19.98,percent of total billed charges,45% of total billed charges,21.23,38.25,,16.98,percent of total billed charges,38.25% of total billed charges,24.98,45,,19.98,percent of total billed charges,45% of total billed charges,24.98,45,,19.98,percent of total billed charges,45% of total billed charges,21.23,54.83,
CATHETER AIR CHARGED ABDOMINAL SENSOR,7590020,CDM,270,RC,,,OUTPATIENT,,,99.5,79.6,,94.53,95,,75.62,percent of total billed charges,95% of total billed charges,94.25,94.72,,75.4,percent of total billed charges,94.72% of total billed charges,98.3,98.79,,78.64,percent of total billed charges,98.79% of total billed charges,97.51,98,,78.01,percent of total billed charges,98% of total billed charges,97.51,98,,78.01,percent of total billed charges,98% of total billed charges,47.76,48,,38.21,percent of total billed charges,48% of total billed charges,44.78,45,,35.82,percent of total billed charges,45% of total billed charges,38.06,38.25,,30.45,percent of total billed charges,38.25% of total billed charges,44.78,45,,35.82,percent of total billed charges,45% of total billed charges,44.78,45,,35.82,percent of total billed charges,45% of total billed charges,38.06,98.3,
CATHETER AIR CHARGED SINGLE SENSOR,7590021,CDM,270,RC,,,OUTPATIENT,,,115.5,92.4,,109.73,95,,87.78,percent of total billed charges,95% of total billed charges,109.4,94.72,,87.52,percent of total billed charges,94.72% of total billed charges,114.1,98.79,,91.28,percent of total billed charges,98.79% of total billed charges,113.19,98,,90.55,percent of total billed charges,98% of total billed charges,113.19,98,,90.55,percent of total billed charges,98% of total billed charges,55.44,48,,44.35,percent of total billed charges,48% of total billed charges,51.98,45,,41.58,percent of total billed charges,45% of total billed charges,44.18,38.25,,35.34,percent of total billed charges,38.25% of total billed charges,51.98,45,,41.58,percent of total billed charges,45% of total billed charges,51.98,45,,41.58,percent of total billed charges,45% of total billed charges,44.18,114.1,
FILLING TUBE FOR WATER PUMP,7590022,CDM,270,RC,,,OUTPATIENT,,,65.5,52.4,,62.23,95,,49.78,percent of total billed charges,95% of total billed charges,62.04,94.72,,49.63,percent of total billed charges,94.72% of total billed charges,64.71,98.79,,51.77,percent of total billed charges,98.79% of total billed charges,64.19,98,,51.35,percent of total billed charges,98% of total billed charges,64.19,98,,51.35,percent of total billed charges,98% of total billed charges,31.44,48,,25.15,percent of total billed charges,48% of total billed charges,29.48,45,,23.58,percent of total billed charges,45% of total billed charges,25.05,38.25,,20.04,percent of total billed charges,38.25% of total billed charges,29.48,45,,23.58,percent of total billed charges,45% of total billed charges,29.48,45,,23.58,percent of total billed charges,45% of total billed charges,25.05,64.71,
S-CURVE URETHRAL DILATOR SET,7590030,CDM,270,RC,,,OUTPATIENT,,,437.5,350,,415.63,95,,332.5,percent of total billed charges,95% of total billed charges,414.4,94.72,,331.52,percent of total billed charges,94.72% of total billed charges,432.21,98.79,,345.77,percent of total billed charges,98.79% of total billed charges,428.75,98,,343,percent of total billed charges,98% of total billed charges,428.75,98,,343,percent of total billed charges,98% of total billed charges,210,48,,168,percent of total billed charges,48% of total billed charges,196.88,45,,157.5,percent of total billed charges,45% of total billed charges,167.34,38.25,,133.87,percent of total billed charges,38.25% of total billed charges,196.88,45,,157.5,percent of total billed charges,45% of total billed charges,196.88,45,,157.5,percent of total billed charges,45% of total billed charges,167.34,432.21,
FOLEY CATHETER TIP PUNCH,7590032,CDM,270,RC,,,OUTPATIENT,,,123.5,98.8,,117.33,95,,93.86,percent of total billed charges,95% of total billed charges,116.98,94.72,,93.58,percent of total billed charges,94.72% of total billed charges,122.01,98.79,,97.61,percent of total billed charges,98.79% of total billed charges,121.03,98,,96.82,percent of total billed charges,98% of total billed charges,121.03,98,,96.82,percent of total billed charges,98% of total billed charges,59.28,48,,47.42,percent of total billed charges,48% of total billed charges,55.58,45,,44.46,percent of total billed charges,45% of total billed charges,47.24,38.25,,37.79,percent of total billed charges,38.25% of total billed charges,55.58,45,,44.46,percent of total billed charges,45% of total billed charges,55.58,45,,44.46,percent of total billed charges,45% of total billed charges,47.24,122.01,
QUICK ANCHOR PLUS GII,7590033,CDM,270,RC,,,OUTPATIENT,,,1065,852,,1011.75,95,,809.4,percent of total billed charges,95% of total billed charges,1008.77,94.72,,807.02,percent of total billed charges,94.72% of total billed charges,1052.11,98.79,,841.69,percent of total billed charges,98.79% of total billed charges,1043.7,98,,834.96,percent of total billed charges,98% of total billed charges,1043.7,98,,834.96,percent of total billed charges,98% of total billed charges,511.2,48,,408.96,percent of total billed charges,48% of total billed charges,479.25,45,,383.4,percent of total billed charges,45% of total billed charges,407.36,38.25,,325.89,percent of total billed charges,38.25% of total billed charges,479.25,45,,383.4,percent of total billed charges,45% of total billed charges,479.25,45,,383.4,percent of total billed charges,45% of total billed charges,407.36,1052.11,
Catheter Locking Drainage 8.5F,7710037,CDM,270,RC,,,OUTPATIENT,,,113,90.4,,107.35,95,,85.88,percent of total billed charges,95% of total billed charges,107.03,94.72,,85.62,percent of total billed charges,94.72% of total billed charges,111.63,98.79,,89.3,percent of total billed charges,98.79% of total billed charges,110.74,98,,88.59,percent of total billed charges,98% of total billed charges,110.74,98,,88.59,percent of total billed charges,98% of total billed charges,54.24,48,,43.39,percent of total billed charges,48% of total billed charges,50.85,45,,40.68,percent of total billed charges,45% of total billed charges,43.22,38.25,,34.58,percent of total billed charges,38.25% of total billed charges,50.85,45,,40.68,percent of total billed charges,45% of total billed charges,50.85,45,,40.68,percent of total billed charges,45% of total billed charges,43.22,111.63,
BONE CRUSHED CANCELLOUS 4-10MM 15CC 08A022LL,7500010,CDM,272,RC,,,OUTPATIENT,,,337.5,270,,320.63,95,,256.5,percent of total billed charges,95% of total billed charges,319.68,94.72,,255.74,percent of total billed charges,94.72% of total billed charges,333.42,98.79,,266.74,percent of total billed charges,98.79% of total billed charges,330.75,98,,264.6,percent of total billed charges,98% of total billed charges,330.75,98,,264.6,percent of total billed charges,98% of total billed charges,162,48,,129.6,percent of total billed charges,48% of total billed charges,151.88,45,,121.5,percent of total billed charges,45% of total billed charges,129.09,38.25,,103.27,percent of total billed charges,38.25% of total billed charges,151.88,45,,121.5,percent of total billed charges,45% of total billed charges,151.88,45,,121.5,percent of total billed charges,45% of total billed charges,129.09,333.42,
Mepilex Border AG 6x6 (W),7500023,CDM,272,RC,,,OUTPATIENT,,,60.5,48.4,,57.48,95,,45.98,percent of total billed charges,95% of total billed charges,57.31,94.72,,45.85,percent of total billed charges,94.72% of total billed charges,59.77,98.79,,47.82,percent of total billed charges,98.79% of total billed charges,59.29,98,,47.43,percent of total billed charges,98% of total billed charges,59.29,98,,47.43,percent of total billed charges,98% of total billed charges,29.04,48,,23.23,percent of total billed charges,48% of total billed charges,27.23,45,,21.78,percent of total billed charges,45% of total billed charges,23.14,38.25,,18.51,percent of total billed charges,38.25% of total billed charges,27.23,45,,21.78,percent of total billed charges,45% of total billed charges,27.23,45,,21.78,percent of total billed charges,45% of total billed charges,23.14,59.77,
DRSG PREVENA PEEL AND PLACE 13CM,7500027,CDM,272,RC,,,OUTPATIENT,,,1336.5,1069.2,,1269.68,95,,1015.74,percent of total billed charges,95% of total billed charges,1265.93,94.72,,1012.74,percent of total billed charges,94.72% of total billed charges,1320.33,98.79,,1056.26,percent of total billed charges,98.79% of total billed charges,1309.77,98,,1047.82,percent of total billed charges,98% of total billed charges,1309.77,98,,1047.82,percent of total billed charges,98% of total billed charges,641.52,48,,513.22,percent of total billed charges,48% of total billed charges,601.43,45,,481.14,percent of total billed charges,45% of total billed charges,511.21,38.25,,408.97,percent of total billed charges,38.25% of total billed charges,601.43,45,,481.14,percent of total billed charges,45% of total billed charges,601.43,45,,481.14,percent of total billed charges,45% of total billed charges,511.21,1320.33,
DRSG PREVENA PEEL AND PLACE 20CM,7500028,CDM,272,RC,,,OUTPATIENT,,,1336.5,1069.2,,1269.68,95,,1015.74,percent of total billed charges,95% of total billed charges,1265.93,94.72,,1012.74,percent of total billed charges,94.72% of total billed charges,1320.33,98.79,,1056.26,percent of total billed charges,98.79% of total billed charges,1309.77,98,,1047.82,percent of total billed charges,98% of total billed charges,1309.77,98,,1047.82,percent of total billed charges,98% of total billed charges,641.52,48,,513.22,percent of total billed charges,48% of total billed charges,601.43,45,,481.14,percent of total billed charges,45% of total billed charges,511.21,38.25,,408.97,percent of total billed charges,38.25% of total billed charges,601.43,45,,481.14,percent of total billed charges,45% of total billed charges,601.43,45,,481.14,percent of total billed charges,45% of total billed charges,511.21,1320.33,
NEEDLE SPINAL 20GX6  YLW HUB,7500146,CDM,272,RC,,,OUTPATIENT,,,10.5,8.4,,9.98,95,,7.98,percent of total billed charges,95% of total billed charges,9.95,94.72,,7.96,percent of total billed charges,94.72% of total billed charges,10.37,98.79,,8.3,percent of total billed charges,98.79% of total billed charges,10.29,98,,8.23,percent of total billed charges,98% of total billed charges,10.29,98,,8.23,percent of total billed charges,98% of total billed charges,5.04,48,,4.03,percent of total billed charges,48% of total billed charges,4.73,45,,3.78,percent of total billed charges,45% of total billed charges,4.02,38.25,,3.22,percent of total billed charges,38.25% of total billed charges,4.73,45,,3.78,percent of total billed charges,45% of total billed charges,4.73,45,,3.78,percent of total billed charges,45% of total billed charges,4.02,10.37,
FALOPE RING BAND,7510011,CDM,272,RC,,,OUTPATIENT,,,145.75,116.6,,138.46,95,,110.77,percent of total billed charges,95% of total billed charges,138.05,94.72,,110.44,percent of total billed charges,94.72% of total billed charges,143.99,98.79,,115.19,percent of total billed charges,98.79% of total billed charges,142.84,98,,114.27,percent of total billed charges,98% of total billed charges,142.84,98,,114.27,percent of total billed charges,98% of total billed charges,69.96,48,,55.97,percent of total billed charges,48% of total billed charges,65.59,45,,52.47,percent of total billed charges,45% of total billed charges,55.75,38.25,,44.6,percent of total billed charges,38.25% of total billed charges,65.59,45,,52.47,percent of total billed charges,45% of total billed charges,65.59,45,,52.47,percent of total billed charges,45% of total billed charges,55.75,143.99,
MOUTHPIECE BITE BLOCK,7510012,CDM,272,RC,,,OUTPATIENT,,,7.25,5.8,,6.89,95,,5.51,percent of total billed charges,95% of total billed charges,6.87,94.72,,5.5,percent of total billed charges,94.72% of total billed charges,7.16,98.79,,5.73,percent of total billed charges,98.79% of total billed charges,7.11,98,,5.69,percent of total billed charges,98% of total billed charges,7.11,98,,5.69,percent of total billed charges,98% of total billed charges,3.48,48,,2.78,percent of total billed charges,48% of total billed charges,3.26,45,,2.61,percent of total billed charges,45% of total billed charges,2.77,38.25,,2.22,percent of total billed charges,38.25% of total billed charges,3.26,45,,2.61,percent of total billed charges,45% of total billed charges,3.26,45,,2.61,percent of total billed charges,45% of total billed charges,2.77,7.16,
CONE STOMA VISI-FLOW,7510014,CDM,272,RC,,,OUTPATIENT,,,23,18.4,,21.85,95,,17.48,percent of total billed charges,95% of total billed charges,21.79,94.72,,17.43,percent of total billed charges,94.72% of total billed charges,22.72,98.79,,18.18,percent of total billed charges,98.79% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,11.04,48,,8.83,percent of total billed charges,48% of total billed charges,10.35,45,,8.28,percent of total billed charges,45% of total billed charges,8.8,38.25,,7.04,percent of total billed charges,38.25% of total billed charges,10.35,45,,8.28,percent of total billed charges,45% of total billed charges,10.35,45,,8.28,percent of total billed charges,45% of total billed charges,8.8,22.72,
BAG URINARY DRAINAGE BARD 4 LITER,7510015,CDM,272,RC,,,OUTPATIENT,,,21.5,17.2,,20.43,95,,16.34,percent of total billed charges,95% of total billed charges,20.36,94.72,,16.29,percent of total billed charges,94.72% of total billed charges,21.24,98.79,,16.99,percent of total billed charges,98.79% of total billed charges,21.07,98,,16.86,percent of total billed charges,98% of total billed charges,21.07,98,,16.86,percent of total billed charges,98% of total billed charges,10.32,48,,8.26,percent of total billed charges,48% of total billed charges,9.68,45,,7.74,percent of total billed charges,45% of total billed charges,8.22,38.25,,6.58,percent of total billed charges,38.25% of total billed charges,9.68,45,,7.74,percent of total billed charges,45% of total billed charges,9.68,45,,7.74,percent of total billed charges,45% of total billed charges,8.22,21.24,
BANDAGE ACE WRAP 2,7510018,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
BANDAGE ACE WRAP 3,7510019,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
BANDAGE ACE WRAP 4,7510020,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
BANDAGE ACE WRAP 6,7510021,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
Catheter Drainage Locking 8.5,7510037,CDM,272,RC,,,OUTPATIENT,,,99.5,79.6,,94.53,95,,75.62,percent of total billed charges,95% of total billed charges,94.25,94.72,,75.4,percent of total billed charges,94.72% of total billed charges,98.3,98.79,,78.64,percent of total billed charges,98.79% of total billed charges,97.51,98,,78.01,percent of total billed charges,98% of total billed charges,97.51,98,,78.01,percent of total billed charges,98% of total billed charges,47.76,48,,38.21,percent of total billed charges,48% of total billed charges,44.78,45,,35.82,percent of total billed charges,45% of total billed charges,38.06,38.25,,30.45,percent of total billed charges,38.25% of total billed charges,44.78,45,,35.82,percent of total billed charges,45% of total billed charges,44.78,45,,35.82,percent of total billed charges,45% of total billed charges,38.06,98.3,
DRESSING PRIMAPORE POST-OPERATIVE 4X3.125 (10X 8 CM),7510040,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
DRESSING PRIMAPORE POST-OPERATIVE 8X4 (20X10CM),7510041,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
DRESSING PRIMAPORE POST-OPERATIVE 11.75X4 (30X10CM),7510042,CDM,272,RC,,,OUTPATIENT,,,4.25,3.4,,4.04,95,,3.23,percent of total billed charges,95% of total billed charges,4.03,94.72,,3.22,percent of total billed charges,94.72% of total billed charges,4.2,98.79,,3.36,percent of total billed charges,98.79% of total billed charges,4.17,98,,3.34,percent of total billed charges,98% of total billed charges,4.17,98,,3.34,percent of total billed charges,98% of total billed charges,2.04,48,,1.63,percent of total billed charges,48% of total billed charges,1.91,45,,1.53,percent of total billed charges,45% of total billed charges,1.63,38.25,,1.3,percent of total billed charges,38.25% of total billed charges,1.91,45,,1.53,percent of total billed charges,45% of total billed charges,1.91,45,,1.53,percent of total billed charges,45% of total billed charges,1.63,4.2,
Injector Disposable,7510059,CDM,272,RC,,,OUTPATIENT,,,87.5,70,,83.13,95,,66.5,percent of total billed charges,95% of total billed charges,82.88,94.72,,66.3,percent of total billed charges,94.72% of total billed charges,86.44,98.79,,69.15,percent of total billed charges,98.79% of total billed charges,85.75,98,,68.6,percent of total billed charges,98% of total billed charges,85.75,98,,68.6,percent of total billed charges,98% of total billed charges,42,48,,33.6,percent of total billed charges,48% of total billed charges,39.38,45,,31.5,percent of total billed charges,45% of total billed charges,33.47,38.25,,26.78,percent of total billed charges,38.25% of total billed charges,39.38,45,,31.5,percent of total billed charges,45% of total billed charges,39.38,45,,31.5,percent of total billed charges,45% of total billed charges,33.47,86.44,
BLADE Oscillating Saw Blade 13/21mm W,7510067,CDM,272,RC,,,OUTPATIENT,,,97.5,78,,92.63,95,,74.1,percent of total billed charges,95% of total billed charges,92.35,94.72,,73.88,percent of total billed charges,94.72% of total billed charges,96.32,98.79,,77.06,percent of total billed charges,98.79% of total billed charges,95.55,98,,76.44,percent of total billed charges,98% of total billed charges,95.55,98,,76.44,percent of total billed charges,98% of total billed charges,46.8,48,,37.44,percent of total billed charges,48% of total billed charges,43.88,45,,35.1,percent of total billed charges,45% of total billed charges,37.29,38.25,,29.83,percent of total billed charges,38.25% of total billed charges,43.88,45,,35.1,percent of total billed charges,45% of total billed charges,43.88,45,,35.1,percent of total billed charges,45% of total billed charges,37.29,96.32,
BLADE UPPER EXTREMITY STANDARD,7510070,CDM,272,RC,,,OUTPATIENT,,,373,298.4,,354.35,95,,283.48,percent of total billed charges,95% of total billed charges,353.31,94.72,,282.65,percent of total billed charges,94.72% of total billed charges,368.49,98.79,,294.79,percent of total billed charges,98.79% of total billed charges,365.54,98,,292.43,percent of total billed charges,98% of total billed charges,365.54,98,,292.43,percent of total billed charges,98% of total billed charges,179.04,48,,143.23,percent of total billed charges,48% of total billed charges,167.85,45,,134.28,percent of total billed charges,45% of total billed charges,142.67,38.25,,114.14,percent of total billed charges,38.25% of total billed charges,167.85,45,,134.28,percent of total billed charges,45% of total billed charges,167.85,45,,134.28,percent of total billed charges,45% of total billed charges,142.67,368.49,
ELECTRODE ADULT STAT-PADZ,7510081,CDM,272,RC,,,OUTPATIENT,,,87.5,70,,83.13,95,,66.5,percent of total billed charges,95% of total billed charges,82.88,94.72,,66.3,percent of total billed charges,94.72% of total billed charges,86.44,98.79,,69.15,percent of total billed charges,98.79% of total billed charges,85.75,98,,68.6,percent of total billed charges,98% of total billed charges,85.75,98,,68.6,percent of total billed charges,98% of total billed charges,42,48,,33.6,percent of total billed charges,48% of total billed charges,39.38,45,,31.5,percent of total billed charges,45% of total billed charges,33.47,38.25,,26.78,percent of total billed charges,38.25% of total billed charges,39.38,45,,31.5,percent of total billed charges,45% of total billed charges,39.38,45,,31.5,percent of total billed charges,45% of total billed charges,33.47,86.44,
KNIFE 1.4MM ANGLED SIDEPORT SAFETY 885566,7510085,CDM,272,RC,,,OUTPATIENT,,,49.6,39.68,,47.12,95,,37.7,percent of total billed charges,95% of total billed charges,46.98,94.72,,37.58,percent of total billed charges,94.72% of total billed charges,49,98.79,,39.2,percent of total billed charges,98.79% of total billed charges,48.61,98,,38.89,percent of total billed charges,98% of total billed charges,48.61,98,,38.89,percent of total billed charges,98% of total billed charges,23.81,48,,19.05,percent of total billed charges,48% of total billed charges,22.32,45,,17.86,percent of total billed charges,45% of total billed charges,18.97,38.25,,15.18,percent of total billed charges,38.25% of total billed charges,22.32,45,,17.86,percent of total billed charges,45% of total billed charges,22.32,45,,17.86,percent of total billed charges,45% of total billed charges,18.97,49,
ELECTRODE AED ADLT STAT-PADZ II,7510088,CDM,272,RC,,,OUTPATIENT,,,95.75,76.6,,90.96,95,,72.77,percent of total billed charges,95% of total billed charges,90.69,94.72,,72.55,percent of total billed charges,94.72% of total billed charges,94.59,98.79,,75.67,percent of total billed charges,98.79% of total billed charges,93.84,98,,75.07,percent of total billed charges,98% of total billed charges,93.84,98,,75.07,percent of total billed charges,98% of total billed charges,45.96,48,,36.77,percent of total billed charges,48% of total billed charges,43.09,45,,34.47,percent of total billed charges,45% of total billed charges,36.62,38.25,,29.3,percent of total billed charges,38.25% of total billed charges,43.09,45,,34.47,percent of total billed charges,45% of total billed charges,43.09,45,,34.47,percent of total billed charges,45% of total billed charges,36.62,94.59,
ELECTRODE AED PEDIATRIC STAT-PADZ II,7510089,CDM,272,RC,,,OUTPATIENT,,,109.25,87.4,,103.79,95,,83.03,percent of total billed charges,95% of total billed charges,103.48,94.72,,82.78,percent of total billed charges,94.72% of total billed charges,107.93,98.79,,86.34,percent of total billed charges,98.79% of total billed charges,107.07,98,,85.66,percent of total billed charges,98% of total billed charges,107.07,98,,85.66,percent of total billed charges,98% of total billed charges,52.44,48,,41.95,percent of total billed charges,48% of total billed charges,49.16,45,,39.33,percent of total billed charges,45% of total billed charges,41.79,38.25,,33.43,percent of total billed charges,38.25% of total billed charges,49.16,45,,39.33,percent of total billed charges,45% of total billed charges,49.16,45,,39.33,percent of total billed charges,45% of total billed charges,41.79,107.93,
PROBE STD MONOPOLAR STIMUALTOR,7510096,CDM,272,RC,,,OUTPATIENT,,,232.5,186,,220.88,95,,176.7,percent of total billed charges,95% of total billed charges,220.22,94.72,,176.18,percent of total billed charges,94.72% of total billed charges,229.69,98.79,,183.75,percent of total billed charges,98.79% of total billed charges,227.85,98,,182.28,percent of total billed charges,98% of total billed charges,227.85,98,,182.28,percent of total billed charges,98% of total billed charges,111.6,48,,89.28,percent of total billed charges,48% of total billed charges,104.63,45,,83.7,percent of total billed charges,45% of total billed charges,88.93,38.25,,71.14,percent of total billed charges,38.25% of total billed charges,104.63,45,,83.7,percent of total billed charges,45% of total billed charges,104.63,45,,83.7,percent of total billed charges,45% of total billed charges,88.93,229.69,
TUBE EMG ENDOTRACHEAL 6.0MMX 8.2MM,7510097,CDM,272,RC,,,OUTPATIENT,,,640.5,512.4,,608.48,95,,486.78,percent of total billed charges,95% of total billed charges,606.68,94.72,,485.34,percent of total billed charges,94.72% of total billed charges,632.75,98.79,,506.2,percent of total billed charges,98.79% of total billed charges,627.69,98,,502.15,percent of total billed charges,98% of total billed charges,627.69,98,,502.15,percent of total billed charges,98% of total billed charges,307.44,48,,245.95,percent of total billed charges,48% of total billed charges,288.23,45,,230.58,percent of total billed charges,45% of total billed charges,244.99,38.25,,195.99,percent of total billed charges,38.25% of total billed charges,288.23,45,,230.58,percent of total billed charges,45% of total billed charges,288.23,45,,230.58,percent of total billed charges,45% of total billed charges,244.99,632.75,
ELECTRODE PAIRED 21 CH SET,7510098,CDM,272,RC,,,OUTPATIENT,,,216,172.8,,205.2,95,,164.16,percent of total billed charges,95% of total billed charges,204.6,94.72,,163.68,percent of total billed charges,94.72% of total billed charges,213.39,98.79,,170.71,percent of total billed charges,98.79% of total billed charges,211.68,98,,169.34,percent of total billed charges,98% of total billed charges,211.68,98,,169.34,percent of total billed charges,98% of total billed charges,103.68,48,,82.94,percent of total billed charges,48% of total billed charges,97.2,45,,77.76,percent of total billed charges,45% of total billed charges,82.62,38.25,,66.1,percent of total billed charges,38.25% of total billed charges,97.2,45,,77.76,percent of total billed charges,45% of total billed charges,97.2,45,,77.76,percent of total billed charges,45% of total billed charges,82.62,213.39,
TUBE EMG ENDOTRACHEAL 7.0MMX 9.5MM,7510099,CDM,272,RC,,,OUTPATIENT,,,675,540,,641.25,95,,513,percent of total billed charges,95% of total billed charges,639.36,94.72,,511.49,percent of total billed charges,94.72% of total billed charges,666.83,98.79,,533.46,percent of total billed charges,98.79% of total billed charges,661.5,98,,529.2,percent of total billed charges,98% of total billed charges,661.5,98,,529.2,percent of total billed charges,98% of total billed charges,324,48,,259.2,percent of total billed charges,48% of total billed charges,303.75,45,,243,percent of total billed charges,45% of total billed charges,258.19,38.25,,206.55,percent of total billed charges,38.25% of total billed charges,303.75,45,,243,percent of total billed charges,45% of total billed charges,303.75,45,,243,percent of total billed charges,45% of total billed charges,258.19,666.83,
IRRIGATION SET VAGINAL,7510113,CDM,272,RC,,,OUTPATIENT,,,11.25,9,,10.69,95,,8.55,percent of total billed charges,95% of total billed charges,10.66,94.72,,8.53,percent of total billed charges,94.72% of total billed charges,11.11,98.79,,8.89,percent of total billed charges,98.79% of total billed charges,11.03,98,,8.82,percent of total billed charges,98% of total billed charges,11.03,98,,8.82,percent of total billed charges,98% of total billed charges,5.4,48,,4.32,percent of total billed charges,48% of total billed charges,5.06,45,,4.05,percent of total billed charges,45% of total billed charges,4.3,38.25,,3.44,percent of total billed charges,38.25% of total billed charges,5.06,45,,4.05,percent of total billed charges,45% of total billed charges,5.06,45,,4.05,percent of total billed charges,45% of total billed charges,4.3,11.11,
DRAIN PENROSE 1/4 X 12,7510114,CDM,272,RC,,,OUTPATIENT,,,6,4.8,,5.7,95,,4.56,percent of total billed charges,95% of total billed charges,5.68,94.72,,4.54,percent of total billed charges,94.72% of total billed charges,5.93,98.79,,4.74,percent of total billed charges,98.79% of total billed charges,5.88,98,,4.7,percent of total billed charges,98% of total billed charges,5.88,98,,4.7,percent of total billed charges,98% of total billed charges,2.88,48,,2.3,percent of total billed charges,48% of total billed charges,2.7,45,,2.16,percent of total billed charges,45% of total billed charges,2.3,38.25,,1.84,percent of total billed charges,38.25% of total billed charges,2.7,45,,2.16,percent of total billed charges,45% of total billed charges,2.7,45,,2.16,percent of total billed charges,45% of total billed charges,2.3,5.93,
DRAIN PENROSE 3/8 X 18,7510117,CDM,272,RC,,,OUTPATIENT,,,13,10.4,,12.35,95,,9.88,percent of total billed charges,95% of total billed charges,12.31,94.72,,9.85,percent of total billed charges,94.72% of total billed charges,12.84,98.79,,10.27,percent of total billed charges,98.79% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,6.24,48,,4.99,percent of total billed charges,48% of total billed charges,5.85,45,,4.68,percent of total billed charges,45% of total billed charges,4.97,38.25,,3.98,percent of total billed charges,38.25% of total billed charges,5.85,45,,4.68,percent of total billed charges,45% of total billed charges,5.85,45,,4.68,percent of total billed charges,45% of total billed charges,4.97,12.84,
DRAIN PENROSE 5/8 X 18,7510121,CDM,272,RC,,,OUTPATIENT,,,4,3.2,,3.8,95,,3.04,percent of total billed charges,95% of total billed charges,3.79,94.72,,3.03,percent of total billed charges,94.72% of total billed charges,3.95,98.79,,3.16,percent of total billed charges,98.79% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,1.92,48,,1.54,percent of total billed charges,48% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,38.25,,1.22,percent of total billed charges,38.25% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,3.95,
DRAIN WOUND W/NEEDLE 3/16,7510125,CDM,272,RC,,,OUTPATIENT,,,89.5,71.6,,85.03,95,,68.02,percent of total billed charges,95% of total billed charges,84.77,94.72,,67.82,percent of total billed charges,94.72% of total billed charges,88.42,98.79,,70.74,percent of total billed charges,98.79% of total billed charges,87.71,98,,70.17,percent of total billed charges,98% of total billed charges,87.71,98,,70.17,percent of total billed charges,98% of total billed charges,42.96,48,,34.37,percent of total billed charges,48% of total billed charges,40.28,45,,32.22,percent of total billed charges,45% of total billed charges,34.23,38.25,,27.38,percent of total billed charges,38.25% of total billed charges,40.28,45,,32.22,percent of total billed charges,45% of total billed charges,40.28,45,,32.22,percent of total billed charges,45% of total billed charges,34.23,88.42,
1 18 Ga X 11 Needle Achieve Biopsy,7510153,CDM,272,RC,,,OUTPATIENT,,,84,67.2,,79.8,95,,63.84,percent of total billed charges,95% of total billed charges,79.56,94.72,,63.65,percent of total billed charges,94.72% of total billed charges,82.98,98.79,,66.38,percent of total billed charges,98.79% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,40.32,48,,32.26,percent of total billed charges,48% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,38.25,,25.7,percent of total billed charges,38.25% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,82.98,
NEEDLE ACHIEVE BIOPSY 18GAX 11,7510153,CDM,272,RC,,,OUTPATIENT,,,84.25,67.4,,80.04,95,,64.03,percent of total billed charges,95% of total billed charges,79.8,94.72,,63.84,percent of total billed charges,94.72% of total billed charges,83.23,98.79,,66.58,percent of total billed charges,98.79% of total billed charges,82.57,98,,66.06,percent of total billed charges,98% of total billed charges,82.57,98,,66.06,percent of total billed charges,98% of total billed charges,40.44,48,,32.35,percent of total billed charges,48% of total billed charges,37.91,45,,30.33,percent of total billed charges,45% of total billed charges,32.23,38.25,,25.78,percent of total billed charges,38.25% of total billed charges,37.91,45,,30.33,percent of total billed charges,45% of total billed charges,37.91,45,,30.33,percent of total billed charges,45% of total billed charges,32.23,83.23,
1 18 Ga X 6  Needle Achieve Biopsy,7510154,CDM,272,RC,,,OUTPATIENT,,,84,67.2,,79.8,95,,63.84,percent of total billed charges,95% of total billed charges,79.56,94.72,,63.65,percent of total billed charges,94.72% of total billed charges,82.98,98.79,,66.38,percent of total billed charges,98.79% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,40.32,48,,32.26,percent of total billed charges,48% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,38.25,,25.7,percent of total billed charges,38.25% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,82.98,
NEEDLE ACHIEVE BIOPSY 18GAX6CM,7510154,CDM,272,RC,,,OUTPATIENT,,,84.25,67.4,,80.04,95,,64.03,percent of total billed charges,95% of total billed charges,79.8,94.72,,63.84,percent of total billed charges,94.72% of total billed charges,83.23,98.79,,66.58,percent of total billed charges,98.79% of total billed charges,82.57,98,,66.06,percent of total billed charges,98% of total billed charges,82.57,98,,66.06,percent of total billed charges,98% of total billed charges,40.44,48,,32.35,percent of total billed charges,48% of total billed charges,37.91,45,,30.33,percent of total billed charges,45% of total billed charges,32.23,38.25,,25.78,percent of total billed charges,38.25% of total billed charges,37.91,45,,30.33,percent of total billed charges,45% of total billed charges,37.91,45,,30.33,percent of total billed charges,45% of total billed charges,32.23,83.23,
NEEDLE ACHIEVE BIOPSY 18GAX15,7510155,CDM,272,RC,,,OUTPATIENT,,,86.5,69.2,,82.18,95,,65.74,percent of total billed charges,95% of total billed charges,81.93,94.72,,65.54,percent of total billed charges,94.72% of total billed charges,85.45,98.79,,68.36,percent of total billed charges,98.79% of total billed charges,84.77,98,,67.82,percent of total billed charges,98% of total billed charges,84.77,98,,67.82,percent of total billed charges,98% of total billed charges,41.52,48,,33.22,percent of total billed charges,48% of total billed charges,38.93,45,,31.14,percent of total billed charges,45% of total billed charges,33.09,38.25,,26.47,percent of total billed charges,38.25% of total billed charges,38.93,45,,31.14,percent of total billed charges,45% of total billed charges,38.93,45,,31.14,percent of total billed charges,45% of total billed charges,33.09,85.45,
Needle Achieve Biopsy 1 18 Ga X 15,7510155,CDM,272,RC,,,OUTPATIENT,,,87,69.6,,82.65,95,,66.12,percent of total billed charges,95% of total billed charges,82.41,94.72,,65.93,percent of total billed charges,94.72% of total billed charges,85.95,98.79,,68.76,percent of total billed charges,98.79% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,41.76,48,,33.41,percent of total billed charges,48% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,38.25,,26.62,percent of total billed charges,38.25% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,85.95,
NEEDLE ACHIEVE BIOPSY,7510156,CDM,272,RC,,,OUTPATIENT,,,123.5,98.8,,117.33,95,,93.86,percent of total billed charges,95% of total billed charges,116.98,94.72,,93.58,percent of total billed charges,94.72% of total billed charges,122.01,98.79,,97.61,percent of total billed charges,98.79% of total billed charges,121.03,98,,96.82,percent of total billed charges,98% of total billed charges,121.03,98,,96.82,percent of total billed charges,98% of total billed charges,59.28,48,,47.42,percent of total billed charges,48% of total billed charges,55.58,45,,44.46,percent of total billed charges,45% of total billed charges,47.24,38.25,,37.79,percent of total billed charges,38.25% of total billed charges,55.58,45,,44.46,percent of total billed charges,45% of total billed charges,55.58,45,,44.46,percent of total billed charges,45% of total billed charges,47.24,122.01,
BIOPSY SELECTCORE 14ga X 15cm,7510159,CDM,272,RC,,,OUTPATIENT,,,103.75,83,,98.56,95,,78.85,percent of total billed charges,95% of total billed charges,98.27,94.72,,78.62,percent of total billed charges,94.72% of total billed charges,102.49,98.79,,81.99,percent of total billed charges,98.79% of total billed charges,101.68,98,,81.34,percent of total billed charges,98% of total billed charges,101.68,98,,81.34,percent of total billed charges,98% of total billed charges,49.8,48,,39.84,percent of total billed charges,48% of total billed charges,46.69,45,,37.35,percent of total billed charges,45% of total billed charges,39.68,38.25,,31.74,percent of total billed charges,38.25% of total billed charges,46.69,45,,37.35,percent of total billed charges,45% of total billed charges,46.69,45,,37.35,percent of total billed charges,45% of total billed charges,39.68,102.49,
NEEDLE TUOHY SPINAL 22G X 5,7510161,CDM,272,RC,,,OUTPATIENT,,,45,36,,42.75,95,,34.2,percent of total billed charges,95% of total billed charges,42.62,94.72,,34.1,percent of total billed charges,94.72% of total billed charges,44.46,98.79,,35.57,percent of total billed charges,98.79% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,21.6,48,,17.28,percent of total billed charges,48% of total billed charges,20.25,45,,16.2,percent of total billed charges,45% of total billed charges,17.21,38.25,,13.77,percent of total billed charges,38.25% of total billed charges,20.25,45,,16.2,percent of total billed charges,45% of total billed charges,20.25,45,,16.2,percent of total billed charges,45% of total billed charges,17.21,44.46,
NEEDLE TOUHY LONG 20GA,7510163,CDM,272,RC,,,OUTPATIENT,,,74,59.2,,70.3,95,,56.24,percent of total billed charges,95% of total billed charges,70.09,94.72,,56.07,percent of total billed charges,94.72% of total billed charges,73.1,98.79,,58.48,percent of total billed charges,98.79% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,35.52,48,,28.42,percent of total billed charges,48% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,38.25,,22.65,percent of total billed charges,38.25% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,73.1,
NEEDLE HUBER 19GA X 0.75,7510164,CDM,272,RC,,,OUTPATIENT,,,39.25,31.4,,37.29,95,,29.83,percent of total billed charges,95% of total billed charges,37.18,94.72,,29.74,percent of total billed charges,94.72% of total billed charges,38.78,98.79,,31.02,percent of total billed charges,98.79% of total billed charges,38.47,98,,30.78,percent of total billed charges,98% of total billed charges,38.47,98,,30.78,percent of total billed charges,98% of total billed charges,18.84,48,,15.07,percent of total billed charges,48% of total billed charges,17.66,45,,14.13,percent of total billed charges,45% of total billed charges,15.01,38.25,,12.01,percent of total billed charges,38.25% of total billed charges,17.66,45,,14.13,percent of total billed charges,45% of total billed charges,17.66,45,,14.13,percent of total billed charges,45% of total billed charges,15.01,38.78,
NEEDLE CHIBA 22GA X 15CM,7510167,CDM,272,RC,,,OUTPATIENT,,,43.25,34.6,,41.09,95,,32.87,percent of total billed charges,95% of total billed charges,40.97,94.72,,32.78,percent of total billed charges,94.72% of total billed charges,42.73,98.79,,34.18,percent of total billed charges,98.79% of total billed charges,42.39,98,,33.91,percent of total billed charges,98% of total billed charges,42.39,98,,33.91,percent of total billed charges,98% of total billed charges,20.76,48,,16.61,percent of total billed charges,48% of total billed charges,19.46,45,,15.57,percent of total billed charges,45% of total billed charges,16.54,38.25,,13.23,percent of total billed charges,38.25% of total billed charges,19.46,45,,15.57,percent of total billed charges,45% of total billed charges,19.46,45,,15.57,percent of total billed charges,45% of total billed charges,16.54,42.73,
NEELDE CHIBA 22GA X 15C,7510167,CDM,272,RC,,,OUTPATIENT,,,44,35.2,,41.8,95,,33.44,percent of total billed charges,95% of total billed charges,41.68,94.72,,33.34,percent of total billed charges,94.72% of total billed charges,43.47,98.79,,34.78,percent of total billed charges,98.79% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,21.12,48,,16.9,percent of total billed charges,48% of total billed charges,19.8,45,,15.84,percent of total billed charges,45% of total billed charges,16.83,38.25,,13.46,percent of total billed charges,38.25% of total billed charges,19.8,45,,15.84,percent of total billed charges,45% of total billed charges,19.8,45,,15.84,percent of total billed charges,45% of total billed charges,16.83,43.47,
NEEDLE 18GA CORE BIOPSY 21CM,7510168,CDM,272,RC,,,OUTPATIENT,,,146.25,117,,138.94,95,,111.15,percent of total billed charges,95% of total billed charges,138.53,94.72,,110.82,percent of total billed charges,94.72% of total billed charges,144.48,98.79,,115.58,percent of total billed charges,98.79% of total billed charges,143.33,98,,114.66,percent of total billed charges,98% of total billed charges,143.33,98,,114.66,percent of total billed charges,98% of total billed charges,70.2,48,,56.16,percent of total billed charges,48% of total billed charges,65.81,45,,52.65,percent of total billed charges,45% of total billed charges,55.94,38.25,,44.75,percent of total billed charges,38.25% of total billed charges,65.81,45,,52.65,percent of total billed charges,45% of total billed charges,65.81,45,,52.65,percent of total billed charges,45% of total billed charges,55.94,144.48,
NEEDLE TRU CUT BIOPSY 3,7510183,CDM,272,RC,,,OUTPATIENT,,,140.5,112.4,,133.48,95,,106.78,percent of total billed charges,95% of total billed charges,133.08,94.72,,106.46,percent of total billed charges,94.72% of total billed charges,138.8,98.79,,111.04,percent of total billed charges,98.79% of total billed charges,137.69,98,,110.15,percent of total billed charges,98% of total billed charges,137.69,98,,110.15,percent of total billed charges,98% of total billed charges,67.44,48,,53.95,percent of total billed charges,48% of total billed charges,63.23,45,,50.58,percent of total billed charges,45% of total billed charges,53.74,38.25,,42.99,percent of total billed charges,38.25% of total billed charges,63.23,45,,50.58,percent of total billed charges,45% of total billed charges,63.23,45,,50.58,percent of total billed charges,45% of total billed charges,53.74,138.8,
NEEDLE HUBER 20GA X 3/4,7510185,CDM,272,RC,,,OUTPATIENT,,,38,30.4,,36.1,95,,28.88,percent of total billed charges,95% of total billed charges,35.99,94.72,,28.79,percent of total billed charges,94.72% of total billed charges,37.54,98.79,,30.03,percent of total billed charges,98.79% of total billed charges,37.24,98,,29.79,percent of total billed charges,98% of total billed charges,37.24,98,,29.79,percent of total billed charges,98% of total billed charges,18.24,48,,14.59,percent of total billed charges,48% of total billed charges,17.1,45,,13.68,percent of total billed charges,45% of total billed charges,14.54,38.25,,11.63,percent of total billed charges,38.25% of total billed charges,17.1,45,,13.68,percent of total billed charges,45% of total billed charges,17.1,45,,13.68,percent of total billed charges,45% of total billed charges,14.54,37.54,
NEEDLE BREAST BIOPSY 22GA X 3,7510191,CDM,272,RC,,,OUTPATIENT,,,100.25,80.2,,95.24,95,,76.19,percent of total billed charges,95% of total billed charges,94.96,94.72,,75.97,percent of total billed charges,94.72% of total billed charges,99.04,98.79,,79.23,percent of total billed charges,98.79% of total billed charges,98.25,98,,78.6,percent of total billed charges,98% of total billed charges,98.25,98,,78.6,percent of total billed charges,98% of total billed charges,48.12,48,,38.5,percent of total billed charges,48% of total billed charges,45.11,45,,36.09,percent of total billed charges,45% of total billed charges,38.35,38.25,,30.68,percent of total billed charges,38.25% of total billed charges,45.11,45,,36.09,percent of total billed charges,45% of total billed charges,45.11,45,,36.09,percent of total billed charges,45% of total billed charges,38.35,99.04,
NEEDLE TRU CUT BIOPSY 6,7510193,CDM,272,RC,,,OUTPATIENT,,,105,84,,99.75,95,,79.8,percent of total billed charges,95% of total billed charges,99.46,94.72,,79.57,percent of total billed charges,94.72% of total billed charges,103.73,98.79,,82.98,percent of total billed charges,98.79% of total billed charges,102.9,98,,82.32,percent of total billed charges,98% of total billed charges,102.9,98,,82.32,percent of total billed charges,98% of total billed charges,50.4,48,,40.32,percent of total billed charges,48% of total billed charges,47.25,45,,37.8,percent of total billed charges,45% of total billed charges,40.16,38.25,,32.13,percent of total billed charges,38.25% of total billed charges,47.25,45,,37.8,percent of total billed charges,45% of total billed charges,47.25,45,,37.8,percent of total billed charges,45% of total billed charges,40.16,103.73,
DRAPE IOBAN 13 X 13 ANTIMICROBIAL,7510201,CDM,272,RC,,,OUTPATIENT,,,13.5,10.8,,12.83,95,,10.26,percent of total billed charges,95% of total billed charges,12.79,94.72,,10.23,percent of total billed charges,94.72% of total billed charges,13.34,98.79,,10.67,percent of total billed charges,98.79% of total billed charges,13.23,98,,10.58,percent of total billed charges,98% of total billed charges,13.23,98,,10.58,percent of total billed charges,98% of total billed charges,6.48,48,,5.18,percent of total billed charges,48% of total billed charges,6.08,45,,4.86,percent of total billed charges,45% of total billed charges,5.16,38.25,,4.13,percent of total billed charges,38.25% of total billed charges,6.08,45,,4.86,percent of total billed charges,45% of total billed charges,6.08,45,,4.86,percent of total billed charges,45% of total billed charges,5.16,13.34,
DRAPE IOBAN 23 X 23 ANTIMICROBIAL,7510202,CDM,272,RC,,,OUTPATIENT,,,28,22.4,,26.6,95,,21.28,percent of total billed charges,95% of total billed charges,26.52,94.72,,21.22,percent of total billed charges,94.72% of total billed charges,27.66,98.79,,22.13,percent of total billed charges,98.79% of total billed charges,27.44,98,,21.95,percent of total billed charges,98% of total billed charges,27.44,98,,21.95,percent of total billed charges,98% of total billed charges,13.44,48,,10.75,percent of total billed charges,48% of total billed charges,12.6,45,,10.08,percent of total billed charges,45% of total billed charges,10.71,38.25,,8.57,percent of total billed charges,38.25% of total billed charges,12.6,45,,10.08,percent of total billed charges,45% of total billed charges,12.6,45,,10.08,percent of total billed charges,45% of total billed charges,10.71,27.66,
DRAPE IOBAN 23 X 33 ANTIMICROBIAL,7510203,CDM,272,RC,,,OUTPATIENT,,,66,52.8,,62.7,95,,50.16,percent of total billed charges,95% of total billed charges,62.52,94.72,,50.02,percent of total billed charges,94.72% of total billed charges,65.2,98.79,,52.16,percent of total billed charges,98.79% of total billed charges,64.68,98,,51.74,percent of total billed charges,98% of total billed charges,64.68,98,,51.74,percent of total billed charges,98% of total billed charges,31.68,48,,25.34,percent of total billed charges,48% of total billed charges,29.7,45,,23.76,percent of total billed charges,45% of total billed charges,25.25,38.25,,20.2,percent of total billed charges,38.25% of total billed charges,29.7,45,,23.76,percent of total billed charges,45% of total billed charges,29.7,45,,23.76,percent of total billed charges,45% of total billed charges,25.25,65.2,
DRAPE IOBAN 83 X 125 ISOLATION,7510204,CDM,272,RC,,,OUTPATIENT,,,74.75,59.8,,71.01,95,,56.81,percent of total billed charges,95% of total billed charges,70.8,94.72,,56.64,percent of total billed charges,94.72% of total billed charges,73.85,98.79,,59.08,percent of total billed charges,98.79% of total billed charges,73.26,98,,58.61,percent of total billed charges,98% of total billed charges,73.26,98,,58.61,percent of total billed charges,98% of total billed charges,35.88,48,,28.7,percent of total billed charges,48% of total billed charges,33.64,45,,26.91,percent of total billed charges,45% of total billed charges,28.59,38.25,,22.87,percent of total billed charges,38.25% of total billed charges,33.64,45,,26.91,percent of total billed charges,45% of total billed charges,33.64,45,,26.91,percent of total billed charges,45% of total billed charges,28.59,73.85,
KNEE NOZZLE 4146,7510210,CDM,272,RC,,,OUTPATIENT,,,87,69.6,,82.65,95,,66.12,percent of total billed charges,95% of total billed charges,82.41,94.72,,65.93,percent of total billed charges,94.72% of total billed charges,85.95,98.79,,68.76,percent of total billed charges,98.79% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,41.76,48,,33.41,percent of total billed charges,48% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,38.25,,26.62,percent of total billed charges,38.25% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,85.95,
HIP TIP HI-CAP,7510226,CDM,272,RC,,,OUTPATIENT,,,70.75,56.6,,67.21,95,,53.77,percent of total billed charges,95% of total billed charges,67.01,94.72,,53.61,percent of total billed charges,94.72% of total billed charges,69.89,98.79,,55.91,percent of total billed charges,98.79% of total billed charges,69.34,98,,55.47,percent of total billed charges,98% of total billed charges,69.34,98,,55.47,percent of total billed charges,98% of total billed charges,33.96,48,,27.17,percent of total billed charges,48% of total billed charges,31.84,45,,25.47,percent of total billed charges,45% of total billed charges,27.06,38.25,,21.65,percent of total billed charges,38.25% of total billed charges,31.84,45,,25.47,percent of total billed charges,45% of total billed charges,31.84,45,,25.47,percent of total billed charges,45% of total billed charges,27.06,69.89,
CEMENT MIXING BOWL QUICK VAC,7510234,CDM,272,RC,,,OUTPATIENT,,,126,100.8,,119.7,95,,95.76,percent of total billed charges,95% of total billed charges,119.35,94.72,,95.48,percent of total billed charges,94.72% of total billed charges,124.48,98.79,,99.58,percent of total billed charges,98.79% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,60.48,48,,48.38,percent of total billed charges,48% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,38.25,,38.56,percent of total billed charges,38.25% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,124.48,
TUBING ARTHROSCOPY PUMP SET CROSSFLOW,7510246,CDM,272,RC,,,OUTPATIENT,,,91.5,73.2,,86.93,95,,69.54,percent of total billed charges,95% of total billed charges,86.67,94.72,,69.34,percent of total billed charges,94.72% of total billed charges,90.39,98.79,,72.31,percent of total billed charges,98.79% of total billed charges,89.67,98,,71.74,percent of total billed charges,98% of total billed charges,89.67,98,,71.74,percent of total billed charges,98% of total billed charges,43.92,48,,35.14,percent of total billed charges,48% of total billed charges,41.18,45,,32.94,percent of total billed charges,45% of total billed charges,35,38.25,,28,percent of total billed charges,38.25% of total billed charges,41.18,45,,32.94,percent of total billed charges,45% of total billed charges,41.18,45,,32.94,percent of total billed charges,45% of total billed charges,35,90.39,
ELECTRODE 20MM LOOP,7510248,CDM,272,RC,,,OUTPATIENT,,,77.75,62.2,,73.86,95,,59.09,percent of total billed charges,95% of total billed charges,73.64,94.72,,58.91,percent of total billed charges,94.72% of total billed charges,76.81,98.79,,61.45,percent of total billed charges,98.79% of total billed charges,76.2,98,,60.96,percent of total billed charges,98% of total billed charges,76.2,98,,60.96,percent of total billed charges,98% of total billed charges,37.32,48,,29.86,percent of total billed charges,48% of total billed charges,34.99,45,,27.99,percent of total billed charges,45% of total billed charges,29.74,38.25,,23.79,percent of total billed charges,38.25% of total billed charges,34.99,45,,27.99,percent of total billed charges,45% of total billed charges,34.99,45,,27.99,percent of total billed charges,45% of total billed charges,29.74,76.81,
ELECTRODE 15MM LOOP,7510249,CDM,272,RC,,,OUTPATIENT,,,77.75,62.2,,73.86,95,,59.09,percent of total billed charges,95% of total billed charges,73.64,94.72,,58.91,percent of total billed charges,94.72% of total billed charges,76.81,98.79,,61.45,percent of total billed charges,98.79% of total billed charges,76.2,98,,60.96,percent of total billed charges,98% of total billed charges,76.2,98,,60.96,percent of total billed charges,98% of total billed charges,37.32,48,,29.86,percent of total billed charges,48% of total billed charges,34.99,45,,27.99,percent of total billed charges,45% of total billed charges,29.74,38.25,,23.79,percent of total billed charges,38.25% of total billed charges,34.99,45,,27.99,percent of total billed charges,45% of total billed charges,34.99,45,,27.99,percent of total billed charges,45% of total billed charges,29.74,76.81,
ELECTRODE 5MM BALL,7510250,CDM,272,RC,,,OUTPATIENT,,,77.75,62.2,,73.86,95,,59.09,percent of total billed charges,95% of total billed charges,73.64,94.72,,58.91,percent of total billed charges,94.72% of total billed charges,76.81,98.79,,61.45,percent of total billed charges,98.79% of total billed charges,76.2,98,,60.96,percent of total billed charges,98% of total billed charges,76.2,98,,60.96,percent of total billed charges,98% of total billed charges,37.32,48,,29.86,percent of total billed charges,48% of total billed charges,34.99,45,,27.99,percent of total billed charges,45% of total billed charges,29.74,38.25,,23.79,percent of total billed charges,38.25% of total billed charges,34.99,45,,27.99,percent of total billed charges,45% of total billed charges,34.99,45,,27.99,percent of total billed charges,45% of total billed charges,29.74,76.81,
VACURETTE CURVED 12MM,7510254,CDM,272,RC,,,OUTPATIENT,,,36.75,29.4,,34.91,95,,27.93,percent of total billed charges,95% of total billed charges,34.81,94.72,,27.85,percent of total billed charges,94.72% of total billed charges,36.31,98.79,,29.05,percent of total billed charges,98.79% of total billed charges,36.02,98,,28.82,percent of total billed charges,98% of total billed charges,36.02,98,,28.82,percent of total billed charges,98% of total billed charges,17.64,48,,14.11,percent of total billed charges,48% of total billed charges,16.54,45,,13.23,percent of total billed charges,45% of total billed charges,14.06,38.25,,11.25,percent of total billed charges,38.25% of total billed charges,16.54,45,,13.23,percent of total billed charges,45% of total billed charges,16.54,45,,13.23,percent of total billed charges,45% of total billed charges,14.06,36.31,
STOCKING T.E.D.THIGH XLG REG,7510263,CDM,272,RC,,,OUTPATIENT,,,24.75,19.8,,23.51,95,,18.81,percent of total billed charges,95% of total billed charges,23.44,94.72,,18.75,percent of total billed charges,94.72% of total billed charges,24.45,98.79,,19.56,percent of total billed charges,98.79% of total billed charges,24.26,98,,19.41,percent of total billed charges,98% of total billed charges,24.26,98,,19.41,percent of total billed charges,98% of total billed charges,11.88,48,,9.5,percent of total billed charges,48% of total billed charges,11.14,45,,8.91,percent of total billed charges,45% of total billed charges,9.47,38.25,,7.58,percent of total billed charges,38.25% of total billed charges,11.14,45,,8.91,percent of total billed charges,45% of total billed charges,11.14,45,,8.91,percent of total billed charges,45% of total billed charges,9.47,24.45,
BLADE 4.0 ARTHRO-LOCK BANANA,7510268,CDM,272,RC,,,OUTPATIENT,,,83.5,66.8,,79.33,95,,63.46,percent of total billed charges,95% of total billed charges,79.09,94.72,,63.27,percent of total billed charges,94.72% of total billed charges,82.49,98.79,,65.99,percent of total billed charges,98.79% of total billed charges,81.83,98,,65.46,percent of total billed charges,98% of total billed charges,81.83,98,,65.46,percent of total billed charges,98% of total billed charges,40.08,48,,32.06,percent of total billed charges,48% of total billed charges,37.58,45,,30.06,percent of total billed charges,45% of total billed charges,31.94,38.25,,25.55,percent of total billed charges,38.25% of total billed charges,37.58,45,,30.06,percent of total billed charges,45% of total billed charges,37.58,45,,30.06,percent of total billed charges,45% of total billed charges,31.94,82.49,
EYE IRRIGATOR MEDI FLOW,7510269,CDM,272,RC,,,OUTPATIENT,,,93.5,74.8,,88.83,95,,71.06,percent of total billed charges,95% of total billed charges,88.56,94.72,,70.85,percent of total billed charges,94.72% of total billed charges,92.37,98.79,,73.9,percent of total billed charges,98.79% of total billed charges,91.63,98,,73.3,percent of total billed charges,98% of total billed charges,91.63,98,,73.3,percent of total billed charges,98% of total billed charges,44.88,48,,35.9,percent of total billed charges,48% of total billed charges,42.08,45,,33.66,percent of total billed charges,45% of total billed charges,35.76,38.25,,28.61,percent of total billed charges,38.25% of total billed charges,42.08,45,,33.66,percent of total billed charges,45% of total billed charges,42.08,45,,33.66,percent of total billed charges,45% of total billed charges,35.76,92.37,
ELECTRODE 10MM LOOP,7510270,CDM,272,RC,,,OUTPATIENT,,,77.75,62.2,,73.86,95,,59.09,percent of total billed charges,95% of total billed charges,73.64,94.72,,58.91,percent of total billed charges,94.72% of total billed charges,76.81,98.79,,61.45,percent of total billed charges,98.79% of total billed charges,76.2,98,,60.96,percent of total billed charges,98% of total billed charges,76.2,98,,60.96,percent of total billed charges,98% of total billed charges,37.32,48,,29.86,percent of total billed charges,48% of total billed charges,34.99,45,,27.99,percent of total billed charges,45% of total billed charges,29.74,38.25,,23.79,percent of total billed charges,38.25% of total billed charges,34.99,45,,27.99,percent of total billed charges,45% of total billed charges,34.99,45,,27.99,percent of total billed charges,45% of total billed charges,29.74,76.81,
STRAP MONTGOMERY,7510272,CDM,272,RC,,,OUTPATIENT,,,16.25,13,,15.44,95,,12.35,percent of total billed charges,95% of total billed charges,15.39,94.72,,12.31,percent of total billed charges,94.72% of total billed charges,16.05,98.79,,12.84,percent of total billed charges,98.79% of total billed charges,15.93,98,,12.74,percent of total billed charges,98% of total billed charges,15.93,98,,12.74,percent of total billed charges,98% of total billed charges,7.8,48,,6.24,percent of total billed charges,48% of total billed charges,7.31,45,,5.85,percent of total billed charges,45% of total billed charges,6.22,38.25,,4.98,percent of total billed charges,38.25% of total billed charges,7.31,45,,5.85,percent of total billed charges,45% of total billed charges,7.31,45,,5.85,percent of total billed charges,45% of total billed charges,6.22,16.05,
BLADE 4.5 SYNOVATOR ORBIT,7510277,CDM,272,RC,,,OUTPATIENT,,,204.75,163.8,,194.51,95,,155.61,percent of total billed charges,95% of total billed charges,193.94,94.72,,155.15,percent of total billed charges,94.72% of total billed charges,202.27,98.79,,161.82,percent of total billed charges,98.79% of total billed charges,200.66,98,,160.53,percent of total billed charges,98% of total billed charges,200.66,98,,160.53,percent of total billed charges,98% of total billed charges,98.28,48,,78.62,percent of total billed charges,48% of total billed charges,92.14,45,,73.71,percent of total billed charges,45% of total billed charges,78.32,38.25,,62.66,percent of total billed charges,38.25% of total billed charges,92.14,45,,73.71,percent of total billed charges,45% of total billed charges,92.14,45,,73.71,percent of total billed charges,45% of total billed charges,78.32,202.27,
SLEEVE SCD KNEE HI SMALL,7510289,CDM,272,RC,,,OUTPATIENT,,,47.5,38,,45.13,95,,36.1,percent of total billed charges,95% of total billed charges,44.99,94.72,,35.99,percent of total billed charges,94.72% of total billed charges,46.93,98.79,,37.54,percent of total billed charges,98.79% of total billed charges,46.55,98,,37.24,percent of total billed charges,98% of total billed charges,46.55,98,,37.24,percent of total billed charges,98% of total billed charges,22.8,48,,18.24,percent of total billed charges,48% of total billed charges,21.38,45,,17.1,percent of total billed charges,45% of total billed charges,18.17,38.25,,14.54,percent of total billed charges,38.25% of total billed charges,21.38,45,,17.1,percent of total billed charges,45% of total billed charges,21.38,45,,17.1,percent of total billed charges,45% of total billed charges,18.17,46.93,
SLEEVE SCD KNEE HI MEDIUM,7510290,CDM,272,RC,,,OUTPATIENT,,,41,32.8,,38.95,95,,31.16,percent of total billed charges,95% of total billed charges,38.84,94.72,,31.07,percent of total billed charges,94.72% of total billed charges,40.5,98.79,,32.4,percent of total billed charges,98.79% of total billed charges,40.18,98,,32.14,percent of total billed charges,98% of total billed charges,40.18,98,,32.14,percent of total billed charges,98% of total billed charges,19.68,48,,15.74,percent of total billed charges,48% of total billed charges,18.45,45,,14.76,percent of total billed charges,45% of total billed charges,15.68,38.25,,12.54,percent of total billed charges,38.25% of total billed charges,18.45,45,,14.76,percent of total billed charges,45% of total billed charges,18.45,45,,14.76,percent of total billed charges,45% of total billed charges,15.68,40.5,
SLEEVE SCD KNEE HI LARGE,7510291,CDM,272,RC,,,OUTPATIENT,,,46.5,37.2,,44.18,95,,35.34,percent of total billed charges,95% of total billed charges,44.04,94.72,,35.23,percent of total billed charges,94.72% of total billed charges,45.94,98.79,,36.75,percent of total billed charges,98.79% of total billed charges,45.57,98,,36.46,percent of total billed charges,98% of total billed charges,45.57,98,,36.46,percent of total billed charges,98% of total billed charges,22.32,48,,17.86,percent of total billed charges,48% of total billed charges,20.93,45,,16.74,percent of total billed charges,45% of total billed charges,17.79,38.25,,14.23,percent of total billed charges,38.25% of total billed charges,20.93,45,,16.74,percent of total billed charges,45% of total billed charges,20.93,45,,16.74,percent of total billed charges,45% of total billed charges,17.79,45.94,
SLEEVE SCD THIGH HI SM,7510292,CDM,272,RC,,,OUTPATIENT,,,38.5,30.8,,36.58,95,,29.26,percent of total billed charges,95% of total billed charges,36.47,94.72,,29.18,percent of total billed charges,94.72% of total billed charges,38.03,98.79,,30.42,percent of total billed charges,98.79% of total billed charges,37.73,98,,30.18,percent of total billed charges,98% of total billed charges,37.73,98,,30.18,percent of total billed charges,98% of total billed charges,18.48,48,,14.78,percent of total billed charges,48% of total billed charges,17.33,45,,13.86,percent of total billed charges,45% of total billed charges,14.73,38.25,,11.78,percent of total billed charges,38.25% of total billed charges,17.33,45,,13.86,percent of total billed charges,45% of total billed charges,17.33,45,,13.86,percent of total billed charges,45% of total billed charges,14.73,38.03,
SLEEVE SCD THIGH HI MED,7510293,CDM,272,RC,,,OUTPATIENT,,,72,57.6,,68.4,95,,54.72,percent of total billed charges,95% of total billed charges,68.2,94.72,,54.56,percent of total billed charges,94.72% of total billed charges,71.13,98.79,,56.9,percent of total billed charges,98.79% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,34.56,48,,27.65,percent of total billed charges,48% of total billed charges,32.4,45,,25.92,percent of total billed charges,45% of total billed charges,27.54,38.25,,22.03,percent of total billed charges,38.25% of total billed charges,32.4,45,,25.92,percent of total billed charges,45% of total billed charges,32.4,45,,25.92,percent of total billed charges,45% of total billed charges,27.54,71.13,
SLEEVE SCD THIGH HI LRG,7510294,CDM,272,RC,,,OUTPATIENT,,,87.75,70.2,,83.36,95,,66.69,percent of total billed charges,95% of total billed charges,83.12,94.72,,66.5,percent of total billed charges,94.72% of total billed charges,86.69,98.79,,69.35,percent of total billed charges,98.79% of total billed charges,86,98,,68.8,percent of total billed charges,98% of total billed charges,86,98,,68.8,percent of total billed charges,98% of total billed charges,42.12,48,,33.7,percent of total billed charges,48% of total billed charges,39.49,45,,31.59,percent of total billed charges,45% of total billed charges,33.56,38.25,,26.85,percent of total billed charges,38.25% of total billed charges,39.49,45,,31.59,percent of total billed charges,45% of total billed charges,39.49,45,,31.59,percent of total billed charges,45% of total billed charges,33.56,86.69,
WRAP FOOT SCD REGULAR,7510295,CDM,272,RC,,,OUTPATIENT,,,69.25,55.4,,65.79,95,,52.63,percent of total billed charges,95% of total billed charges,65.59,94.72,,52.47,percent of total billed charges,94.72% of total billed charges,68.41,98.79,,54.73,percent of total billed charges,98.79% of total billed charges,67.87,98,,54.3,percent of total billed charges,98% of total billed charges,67.87,98,,54.3,percent of total billed charges,98% of total billed charges,33.24,48,,26.59,percent of total billed charges,48% of total billed charges,31.16,45,,24.93,percent of total billed charges,45% of total billed charges,26.49,38.25,,21.19,percent of total billed charges,38.25% of total billed charges,31.16,45,,24.93,percent of total billed charges,45% of total billed charges,31.16,45,,24.93,percent of total billed charges,45% of total billed charges,26.49,68.41,
WRAP FOOT SCD LARGE,7510296,CDM,272,RC,,,OUTPATIENT,,,91,72.8,,86.45,95,,69.16,percent of total billed charges,95% of total billed charges,86.2,94.72,,68.96,percent of total billed charges,94.72% of total billed charges,89.9,98.79,,71.92,percent of total billed charges,98.79% of total billed charges,89.18,98,,71.34,percent of total billed charges,98% of total billed charges,89.18,98,,71.34,percent of total billed charges,98% of total billed charges,43.68,48,,34.94,percent of total billed charges,48% of total billed charges,40.95,45,,32.76,percent of total billed charges,45% of total billed charges,34.81,38.25,,27.85,percent of total billed charges,38.25% of total billed charges,40.95,45,,32.76,percent of total billed charges,45% of total billed charges,40.95,45,,32.76,percent of total billed charges,45% of total billed charges,34.81,89.9,
SLEEVE SCD CALF BARIATRIC,7510297,CDM,272,RC,,,OUTPATIENT,,,86.5,69.2,,82.18,95,,65.74,percent of total billed charges,95% of total billed charges,81.93,94.72,,65.54,percent of total billed charges,94.72% of total billed charges,85.45,98.79,,68.36,percent of total billed charges,98.79% of total billed charges,84.77,98,,67.82,percent of total billed charges,98% of total billed charges,84.77,98,,67.82,percent of total billed charges,98% of total billed charges,41.52,48,,33.22,percent of total billed charges,48% of total billed charges,38.93,45,,31.14,percent of total billed charges,45% of total billed charges,33.09,38.25,,26.47,percent of total billed charges,38.25% of total billed charges,38.93,45,,31.14,percent of total billed charges,45% of total billed charges,38.93,45,,31.14,percent of total billed charges,45% of total billed charges,33.09,85.45,
PUMP PAIN CARE 3000,7510299,CDM,272,RC,,,OUTPATIENT,,,340.5,272.4,,323.48,95,,258.78,percent of total billed charges,95% of total billed charges,322.52,94.72,,258.02,percent of total billed charges,94.72% of total billed charges,336.38,98.79,,269.1,percent of total billed charges,98.79% of total billed charges,333.69,98,,266.95,percent of total billed charges,98% of total billed charges,333.69,98,,266.95,percent of total billed charges,98% of total billed charges,163.44,48,,130.75,percent of total billed charges,48% of total billed charges,153.23,45,,122.58,percent of total billed charges,45% of total billed charges,130.24,38.25,,104.19,percent of total billed charges,38.25% of total billed charges,153.23,45,,122.58,percent of total billed charges,45% of total billed charges,153.23,45,,122.58,percent of total billed charges,45% of total billed charges,130.24,336.38,
NEEDLE INTRAOSSEOUS INFUSION,7510301,CDM,272,RC,,,OUTPATIENT,,,48.25,38.6,,45.84,95,,36.67,percent of total billed charges,95% of total billed charges,45.7,94.72,,36.56,percent of total billed charges,94.72% of total billed charges,47.67,98.79,,38.14,percent of total billed charges,98.79% of total billed charges,47.29,98,,37.83,percent of total billed charges,98% of total billed charges,47.29,98,,37.83,percent of total billed charges,98% of total billed charges,23.16,48,,18.53,percent of total billed charges,48% of total billed charges,21.71,45,,17.37,percent of total billed charges,45% of total billed charges,18.46,38.25,,14.77,percent of total billed charges,38.25% of total billed charges,21.71,45,,17.37,percent of total billed charges,45% of total billed charges,21.71,45,,17.37,percent of total billed charges,45% of total billed charges,18.46,47.67,
PLEUREVAC ADULT W/VALVE,7510332,CDM,272,RC,,,OUTPATIENT,,,84.75,67.8,,80.51,95,,64.41,percent of total billed charges,95% of total billed charges,80.28,94.72,,64.22,percent of total billed charges,94.72% of total billed charges,83.72,98.79,,66.98,percent of total billed charges,98.79% of total billed charges,83.06,98,,66.45,percent of total billed charges,98% of total billed charges,83.06,98,,66.45,percent of total billed charges,98% of total billed charges,40.68,48,,32.54,percent of total billed charges,48% of total billed charges,38.14,45,,30.51,percent of total billed charges,45% of total billed charges,32.42,38.25,,25.94,percent of total billed charges,38.25% of total billed charges,38.14,45,,30.51,percent of total billed charges,45% of total billed charges,38.14,45,,30.51,percent of total billed charges,45% of total billed charges,32.42,83.72,
NEEDLE CHIBA 22GA X 6,7510345,CDM,272,RC,,,OUTPATIENT,,,28,22.4,,26.6,95,,21.28,percent of total billed charges,95% of total billed charges,26.52,94.72,,21.22,percent of total billed charges,94.72% of total billed charges,27.66,98.79,,22.13,percent of total billed charges,98.79% of total billed charges,27.44,98,,21.95,percent of total billed charges,98% of total billed charges,27.44,98,,21.95,percent of total billed charges,98% of total billed charges,13.44,48,,10.75,percent of total billed charges,48% of total billed charges,12.6,45,,10.08,percent of total billed charges,45% of total billed charges,10.71,38.25,,8.57,percent of total billed charges,38.25% of total billed charges,12.6,45,,10.08,percent of total billed charges,45% of total billed charges,12.6,45,,10.08,percent of total billed charges,45% of total billed charges,10.71,27.66,
BLADE 4.5 TURBO WHISKER,7510369,CDM,272,RC,,,OUTPATIENT,,,167,133.6,,158.65,95,,126.92,percent of total billed charges,95% of total billed charges,158.18,94.72,,126.54,percent of total billed charges,94.72% of total billed charges,164.98,98.79,,131.98,percent of total billed charges,98.79% of total billed charges,163.66,98,,130.93,percent of total billed charges,98% of total billed charges,163.66,98,,130.93,percent of total billed charges,98% of total billed charges,80.16,48,,64.13,percent of total billed charges,48% of total billed charges,75.15,45,,60.12,percent of total billed charges,45% of total billed charges,63.88,38.25,,51.1,percent of total billed charges,38.25% of total billed charges,75.15,45,,60.12,percent of total billed charges,45% of total billed charges,75.15,45,,60.12,percent of total billed charges,45% of total billed charges,63.88,164.98,
BLADE INF TURBINATE,7510370,CDM,272,RC,,,OUTPATIENT,,,554.25,443.4,,526.54,95,,421.23,percent of total billed charges,95% of total billed charges,524.99,94.72,,419.99,percent of total billed charges,94.72% of total billed charges,547.54,98.79,,438.03,percent of total billed charges,98.79% of total billed charges,543.17,98,,434.54,percent of total billed charges,98% of total billed charges,543.17,98,,434.54,percent of total billed charges,98% of total billed charges,266.04,48,,212.83,percent of total billed charges,48% of total billed charges,249.41,45,,199.53,percent of total billed charges,45% of total billed charges,212,38.25,,169.6,percent of total billed charges,38.25% of total billed charges,249.41,45,,199.53,percent of total billed charges,45% of total billed charges,249.41,45,,199.53,percent of total billed charges,45% of total billed charges,212,547.54,
BLADE QUADCUT,7510371,CDM,272,RC,,,OUTPATIENT,,,479,383.2,,455.05,95,,364.04,percent of total billed charges,95% of total billed charges,453.71,94.72,,362.97,percent of total billed charges,94.72% of total billed charges,473.2,98.79,,378.56,percent of total billed charges,98.79% of total billed charges,469.42,98,,375.54,percent of total billed charges,98% of total billed charges,469.42,98,,375.54,percent of total billed charges,98% of total billed charges,229.92,48,,183.94,percent of total billed charges,48% of total billed charges,215.55,45,,172.44,percent of total billed charges,45% of total billed charges,183.22,38.25,,146.58,percent of total billed charges,38.25% of total billed charges,215.55,45,,172.44,percent of total billed charges,45% of total billed charges,215.55,45,,172.44,percent of total billed charges,45% of total billed charges,183.22,473.2,
BUR 5.5mm  ROUND,7510414,CDM,272,RC,,,OUTPATIENT,,,114,91.2,,108.3,95,,86.64,percent of total billed charges,95% of total billed charges,107.98,94.72,,86.38,percent of total billed charges,94.72% of total billed charges,112.62,98.79,,90.1,percent of total billed charges,98.79% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,54.72,48,,43.78,percent of total billed charges,48% of total billed charges,51.3,45,,41.04,percent of total billed charges,45% of total billed charges,43.61,38.25,,34.89,percent of total billed charges,38.25% of total billed charges,51.3,45,,41.04,percent of total billed charges,45% of total billed charges,51.3,45,,41.04,percent of total billed charges,45% of total billed charges,43.61,112.62,
BUR 4.0mm 12 FLUTE HOLLOW,7510415,CDM,272,RC,,,OUTPATIENT,,,88.75,71,,84.31,95,,67.45,percent of total billed charges,95% of total billed charges,84.06,94.72,,67.25,percent of total billed charges,94.72% of total billed charges,87.68,98.79,,70.14,percent of total billed charges,98.79% of total billed charges,86.98,98,,69.58,percent of total billed charges,98% of total billed charges,86.98,98,,69.58,percent of total billed charges,98% of total billed charges,42.6,48,,34.08,percent of total billed charges,48% of total billed charges,39.94,45,,31.95,percent of total billed charges,45% of total billed charges,33.95,38.25,,27.16,percent of total billed charges,38.25% of total billed charges,39.94,45,,31.95,percent of total billed charges,45% of total billed charges,39.94,45,,31.95,percent of total billed charges,45% of total billed charges,33.95,87.68,
BUR 5.5mm 12 FLUTE HOLLOW,7510416,CDM,272,RC,,,OUTPATIENT,,,114,91.2,,108.3,95,,86.64,percent of total billed charges,95% of total billed charges,107.98,94.72,,86.38,percent of total billed charges,94.72% of total billed charges,112.62,98.79,,90.1,percent of total billed charges,98.79% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,54.72,48,,43.78,percent of total billed charges,48% of total billed charges,51.3,45,,41.04,percent of total billed charges,45% of total billed charges,43.61,38.25,,34.89,percent of total billed charges,38.25% of total billed charges,51.3,45,,41.04,percent of total billed charges,45% of total billed charges,51.3,45,,41.04,percent of total billed charges,45% of total billed charges,43.61,112.62,
BUR BONE STERILE 2mm,7510417,CDM,272,RC,,,OUTPATIENT,,,16.5,13.2,,15.68,95,,12.54,percent of total billed charges,95% of total billed charges,15.63,94.72,,12.5,percent of total billed charges,94.72% of total billed charges,16.3,98.79,,13.04,percent of total billed charges,98.79% of total billed charges,16.17,98,,12.94,percent of total billed charges,98% of total billed charges,16.17,98,,12.94,percent of total billed charges,98% of total billed charges,7.92,48,,6.34,percent of total billed charges,48% of total billed charges,7.43,45,,5.94,percent of total billed charges,45% of total billed charges,6.31,38.25,,5.05,percent of total billed charges,38.25% of total billed charges,7.43,45,,5.94,percent of total billed charges,45% of total billed charges,7.43,45,,5.94,percent of total billed charges,45% of total billed charges,6.31,16.3,
BUR BONE STERILE 5mm,7510420,CDM,272,RC,,,OUTPATIENT,,,79.5,63.6,,75.53,95,,60.42,percent of total billed charges,95% of total billed charges,75.3,94.72,,60.24,percent of total billed charges,94.72% of total billed charges,78.54,98.79,,62.83,percent of total billed charges,98.79% of total billed charges,77.91,98,,62.33,percent of total billed charges,98% of total billed charges,77.91,98,,62.33,percent of total billed charges,98% of total billed charges,38.16,48,,30.53,percent of total billed charges,48% of total billed charges,35.78,45,,28.62,percent of total billed charges,45% of total billed charges,30.41,38.25,,24.33,percent of total billed charges,38.25% of total billed charges,35.78,45,,28.62,percent of total billed charges,45% of total billed charges,35.78,45,,28.62,percent of total billed charges,45% of total billed charges,30.41,78.54,
BUR BONE STERILE 6.5mm,7510421,CDM,272,RC,,,OUTPATIENT,,,17,13.6,,16.15,95,,12.92,percent of total billed charges,95% of total billed charges,16.1,94.72,,12.88,percent of total billed charges,94.72% of total billed charges,16.79,98.79,,13.43,percent of total billed charges,98.79% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,8.16,48,,6.53,percent of total billed charges,48% of total billed charges,7.65,45,,6.12,percent of total billed charges,45% of total billed charges,6.5,38.25,,5.2,percent of total billed charges,38.25% of total billed charges,7.65,45,,6.12,percent of total billed charges,45% of total billed charges,7.65,45,,6.12,percent of total billed charges,45% of total billed charges,6.5,16.79,
CUTTER 3.5mm AGGRESSIVE PLUS,7510445,CDM,272,RC,,,OUTPATIENT,,,108.5,86.8,,103.08,95,,82.46,percent of total billed charges,95% of total billed charges,102.77,94.72,,82.22,percent of total billed charges,94.72% of total billed charges,107.19,98.79,,85.75,percent of total billed charges,98.79% of total billed charges,106.33,98,,85.06,percent of total billed charges,98% of total billed charges,106.33,98,,85.06,percent of total billed charges,98% of total billed charges,52.08,48,,41.66,percent of total billed charges,48% of total billed charges,48.83,45,,39.06,percent of total billed charges,45% of total billed charges,41.5,38.25,,33.2,percent of total billed charges,38.25% of total billed charges,48.83,45,,39.06,percent of total billed charges,45% of total billed charges,48.83,45,,39.06,percent of total billed charges,45% of total billed charges,41.5,107.19,
CUTTER 4.0mm AGGRESSIVE PLUS,7510446,CDM,272,RC,,,OUTPATIENT,,,108.5,86.8,,103.08,95,,82.46,percent of total billed charges,95% of total billed charges,102.77,94.72,,82.22,percent of total billed charges,94.72% of total billed charges,107.19,98.79,,85.75,percent of total billed charges,98.79% of total billed charges,106.33,98,,85.06,percent of total billed charges,98% of total billed charges,106.33,98,,85.06,percent of total billed charges,98% of total billed charges,52.08,48,,41.66,percent of total billed charges,48% of total billed charges,48.83,45,,39.06,percent of total billed charges,45% of total billed charges,41.5,38.25,,33.2,percent of total billed charges,38.25% of total billed charges,48.83,45,,39.06,percent of total billed charges,45% of total billed charges,48.83,45,,39.06,percent of total billed charges,45% of total billed charges,41.5,107.19,
CUTTER 4.5mm ANGLED AGGRESSIVE PLUS,7510447,CDM,272,RC,,,OUTPATIENT,,,116.5,93.2,,110.68,95,,88.54,percent of total billed charges,95% of total billed charges,110.35,94.72,,88.28,percent of total billed charges,94.72% of total billed charges,115.09,98.79,,92.07,percent of total billed charges,98.79% of total billed charges,114.17,98,,91.34,percent of total billed charges,98% of total billed charges,114.17,98,,91.34,percent of total billed charges,98% of total billed charges,55.92,48,,44.74,percent of total billed charges,48% of total billed charges,52.43,45,,41.94,percent of total billed charges,45% of total billed charges,44.56,38.25,,35.65,percent of total billed charges,38.25% of total billed charges,52.43,45,,41.94,percent of total billed charges,45% of total billed charges,52.43,45,,41.94,percent of total billed charges,45% of total billed charges,44.56,115.09,
CUTTER 4.0mm TRUE END,7510448,CDM,272,RC,,,OUTPATIENT,,,108.5,86.8,,103.08,95,,82.46,percent of total billed charges,95% of total billed charges,102.77,94.72,,82.22,percent of total billed charges,94.72% of total billed charges,107.19,98.79,,85.75,percent of total billed charges,98.79% of total billed charges,106.33,98,,85.06,percent of total billed charges,98% of total billed charges,106.33,98,,85.06,percent of total billed charges,98% of total billed charges,52.08,48,,41.66,percent of total billed charges,48% of total billed charges,48.83,45,,39.06,percent of total billed charges,45% of total billed charges,41.5,38.25,,33.2,percent of total billed charges,38.25% of total billed charges,48.83,45,,39.06,percent of total billed charges,45% of total billed charges,48.83,45,,39.06,percent of total billed charges,45% of total billed charges,41.5,107.19,
CUTTER 5.0MM AGGRESSIVE PLUS,7510449,CDM,272,RC,,,OUTPATIENT,,,88.75,71,,84.31,95,,67.45,percent of total billed charges,95% of total billed charges,84.06,94.72,,67.25,percent of total billed charges,94.72% of total billed charges,87.68,98.79,,70.14,percent of total billed charges,98.79% of total billed charges,86.98,98,,69.58,percent of total billed charges,98% of total billed charges,86.98,98,,69.58,percent of total billed charges,98% of total billed charges,42.6,48,,34.08,percent of total billed charges,48% of total billed charges,39.94,45,,31.95,percent of total billed charges,45% of total billed charges,33.95,38.25,,27.16,percent of total billed charges,38.25% of total billed charges,39.94,45,,31.95,percent of total billed charges,45% of total billed charges,39.94,45,,31.95,percent of total billed charges,45% of total billed charges,33.95,87.68,
BLADE RECIPROCATING 76mm X 12.5mm,7510453,CDM,272,RC,,,OUTPATIENT,,,212.25,169.8,,201.64,95,,161.31,percent of total billed charges,95% of total billed charges,201.04,94.72,,160.83,percent of total billed charges,94.72% of total billed charges,209.68,98.79,,167.74,percent of total billed charges,98.79% of total billed charges,208.01,98,,166.41,percent of total billed charges,98% of total billed charges,208.01,98,,166.41,percent of total billed charges,98% of total billed charges,101.88,48,,81.5,percent of total billed charges,48% of total billed charges,95.51,45,,76.41,percent of total billed charges,45% of total billed charges,81.19,38.25,,64.95,percent of total billed charges,38.25% of total billed charges,95.51,45,,76.41,percent of total billed charges,45% of total billed charges,95.51,45,,76.41,percent of total billed charges,45% of total billed charges,81.19,209.68,
BLADE SAW COURSE 41 X 13.5,7510454,CDM,272,RC,,,OUTPATIENT,,,177.25,141.8,,168.39,95,,134.71,percent of total billed charges,95% of total billed charges,167.89,94.72,,134.31,percent of total billed charges,94.72% of total billed charges,175.11,98.79,,140.09,percent of total billed charges,98.79% of total billed charges,173.71,98,,138.97,percent of total billed charges,98% of total billed charges,173.71,98,,138.97,percent of total billed charges,98% of total billed charges,85.08,48,,68.06,percent of total billed charges,48% of total billed charges,79.76,45,,63.81,percent of total billed charges,45% of total billed charges,67.8,38.25,,54.24,percent of total billed charges,38.25% of total billed charges,79.76,45,,63.81,percent of total billed charges,45% of total billed charges,79.76,45,,63.81,percent of total billed charges,45% of total billed charges,67.8,175.11,
BLADE NAR MED 18.55MMX7.0MM,7510455,CDM,272,RC,,,OUTPATIENT,,,97.5,78,,92.63,95,,74.1,percent of total billed charges,95% of total billed charges,92.35,94.72,,73.88,percent of total billed charges,94.72% of total billed charges,96.32,98.79,,77.06,percent of total billed charges,98.79% of total billed charges,95.55,98,,76.44,percent of total billed charges,98% of total billed charges,95.55,98,,76.44,percent of total billed charges,98% of total billed charges,46.8,48,,37.44,percent of total billed charges,48% of total billed charges,43.88,45,,35.1,percent of total billed charges,45% of total billed charges,37.29,38.25,,29.83,percent of total billed charges,38.25% of total billed charges,43.88,45,,35.1,percent of total billed charges,45% of total billed charges,43.88,45,,35.1,percent of total billed charges,45% of total billed charges,37.29,96.32,
BLADE SAW WIDE SHORT,7510456,CDM,272,RC,,,OUTPATIENT,,,93.75,75,,89.06,95,,71.25,percent of total billed charges,95% of total billed charges,88.8,94.72,,71.04,percent of total billed charges,94.72% of total billed charges,92.62,98.79,,74.1,percent of total billed charges,98.79% of total billed charges,91.88,98,,73.5,percent of total billed charges,98% of total billed charges,91.88,98,,73.5,percent of total billed charges,98% of total billed charges,45,48,,36,percent of total billed charges,48% of total billed charges,42.19,45,,33.75,percent of total billed charges,45% of total billed charges,35.86,38.25,,28.69,percent of total billed charges,38.25% of total billed charges,42.19,45,,33.75,percent of total billed charges,45% of total billed charges,42.19,45,,33.75,percent of total billed charges,45% of total billed charges,35.86,92.62,
BLADE SAG/OSC MED AGGRESSIVE,7510457,CDM,272,RC,,,OUTPATIENT,,,85,68,,80.75,95,,64.6,percent of total billed charges,95% of total billed charges,80.51,94.72,,64.41,percent of total billed charges,94.72% of total billed charges,83.97,98.79,,67.18,percent of total billed charges,98.79% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,40.8,48,,32.64,percent of total billed charges,48% of total billed charges,38.25,45,,30.6,percent of total billed charges,45% of total billed charges,32.51,38.25,,26.01,percent of total billed charges,38.25% of total billed charges,38.25,45,,30.6,percent of total billed charges,45% of total billed charges,38.25,45,,30.6,percent of total billed charges,45% of total billed charges,32.51,83.97,
BLADE SAG/OSC LONG NARROW,7510458,CDM,272,RC,,,OUTPATIENT,,,95,76,,90.25,95,,72.2,percent of total billed charges,95% of total billed charges,89.98,94.72,,71.98,percent of total billed charges,94.72% of total billed charges,93.85,98.79,,75.08,percent of total billed charges,98.79% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,45.6,48,,36.48,percent of total billed charges,48% of total billed charges,42.75,45,,34.2,percent of total billed charges,45% of total billed charges,36.34,38.25,,29.07,percent of total billed charges,38.25% of total billed charges,42.75,45,,34.2,percent of total billed charges,45% of total billed charges,42.75,45,,34.2,percent of total billed charges,45% of total billed charges,36.34,93.85,
BLADE SAG/OSC MED NARROW,7510459,CDM,272,RC,,,OUTPATIENT,,,100.25,80.2,,95.24,95,,76.19,percent of total billed charges,95% of total billed charges,94.96,94.72,,75.97,percent of total billed charges,94.72% of total billed charges,99.04,98.79,,79.23,percent of total billed charges,98.79% of total billed charges,98.25,98,,78.6,percent of total billed charges,98% of total billed charges,98.25,98,,78.6,percent of total billed charges,98% of total billed charges,48.12,48,,38.5,percent of total billed charges,48% of total billed charges,45.11,45,,36.09,percent of total billed charges,45% of total billed charges,38.35,38.25,,30.68,percent of total billed charges,38.25% of total billed charges,45.11,45,,36.09,percent of total billed charges,45% of total billed charges,45.11,45,,36.09,percent of total billed charges,45% of total billed charges,38.35,99.04,
BLADE Oscillating Saw Blade 90mm 1.27m Thick,7510465,CDM,272,RC,,,OUTPATIENT,,,86.75,69.4,,82.41,95,,65.93,percent of total billed charges,95% of total billed charges,82.17,94.72,,65.74,percent of total billed charges,94.72% of total billed charges,85.7,98.79,,68.56,percent of total billed charges,98.79% of total billed charges,85.02,98,,68.02,percent of total billed charges,98% of total billed charges,85.02,98,,68.02,percent of total billed charges,98% of total billed charges,41.64,48,,33.31,percent of total billed charges,48% of total billed charges,39.04,45,,31.23,percent of total billed charges,45% of total billed charges,33.18,38.25,,26.54,percent of total billed charges,38.25% of total billed charges,39.04,45,,31.23,percent of total billed charges,45% of total billed charges,39.04,45,,31.23,percent of total billed charges,45% of total billed charges,33.18,85.7,
BLADE OSCILLATING SAW 85/105MM X 25MM,7510467,CDM,272,RC,,,OUTPATIENT,,,101.96,81.568,,96.86,95,,77.49,percent of total billed charges,95% of total billed charges,96.58,94.72,,77.26,percent of total billed charges,94.72% of total billed charges,100.73,98.79,,80.58,percent of total billed charges,98.79% of total billed charges,99.92,98,,79.94,percent of total billed charges,98% of total billed charges,99.92,98,,79.94,percent of total billed charges,98% of total billed charges,48.94,48,,39.15,percent of total billed charges,48% of total billed charges,45.88,45,,36.7,percent of total billed charges,45% of total billed charges,39,38.25,,31.2,percent of total billed charges,38.25% of total billed charges,45.88,45,,36.7,percent of total billed charges,45% of total billed charges,45.88,45,,36.7,percent of total billed charges,45% of total billed charges,39,100.73,
BLADE OSCILLATING 80/100MM X13MM,7510468,CDM,272,RC,,,OUTPATIENT,,,101.96,81.568,,96.86,95,,77.49,percent of total billed charges,95% of total billed charges,96.58,94.72,,77.26,percent of total billed charges,94.72% of total billed charges,100.73,98.79,,80.58,percent of total billed charges,98.79% of total billed charges,99.92,98,,79.94,percent of total billed charges,98% of total billed charges,99.92,98,,79.94,percent of total billed charges,98% of total billed charges,48.94,48,,39.15,percent of total billed charges,48% of total billed charges,45.88,45,,36.7,percent of total billed charges,45% of total billed charges,39,38.25,,31.2,percent of total billed charges,38.25% of total billed charges,45.88,45,,36.7,percent of total billed charges,45% of total billed charges,45.88,45,,36.7,percent of total billed charges,45% of total billed charges,39,100.73,
BLADE OSCILLATING 80/100MM X 19/25MM,7510474,CDM,272,RC,,,OUTPATIENT,,,101.96,81.568,,96.86,95,,77.49,percent of total billed charges,95% of total billed charges,96.58,94.72,,77.26,percent of total billed charges,94.72% of total billed charges,100.73,98.79,,80.58,percent of total billed charges,98.79% of total billed charges,99.92,98,,79.94,percent of total billed charges,98% of total billed charges,99.92,98,,79.94,percent of total billed charges,98% of total billed charges,48.94,48,,39.15,percent of total billed charges,48% of total billed charges,45.88,45,,36.7,percent of total billed charges,45% of total billed charges,39,38.25,,31.2,percent of total billed charges,38.25% of total billed charges,45.88,45,,36.7,percent of total billed charges,45% of total billed charges,45.88,45,,36.7,percent of total billed charges,45% of total billed charges,39,100.73,
SAW CARTRIDGE OSCILLATING TIP FALCON 90MM,7510475,CDM,272,RC,,,OUTPATIENT,,,522,417.6,,495.9,95,,396.72,percent of total billed charges,95% of total billed charges,494.44,94.72,,395.55,percent of total billed charges,94.72% of total billed charges,515.68,98.79,,412.54,percent of total billed charges,98.79% of total billed charges,511.56,98,,409.25,percent of total billed charges,98% of total billed charges,511.56,98,,409.25,percent of total billed charges,98% of total billed charges,250.56,48,,200.45,percent of total billed charges,48% of total billed charges,234.9,45,,187.92,percent of total billed charges,45% of total billed charges,199.67,38.25,,159.74,percent of total billed charges,38.25% of total billed charges,234.9,45,,187.92,percent of total billed charges,45% of total billed charges,234.9,45,,187.92,percent of total billed charges,45% of total billed charges,199.67,515.68,
BLADE THIN OFFSET 9.0X.38X30.0MM,7510476,CDM,272,RC,,,OUTPATIENT,,,93.25,74.6,,88.59,95,,70.87,percent of total billed charges,95% of total billed charges,88.33,94.72,,70.66,percent of total billed charges,94.72% of total billed charges,92.12,98.79,,73.7,percent of total billed charges,98.79% of total billed charges,91.39,98,,73.11,percent of total billed charges,98% of total billed charges,91.39,98,,73.11,percent of total billed charges,98% of total billed charges,44.76,48,,35.81,percent of total billed charges,48% of total billed charges,41.96,45,,33.57,percent of total billed charges,45% of total billed charges,35.67,38.25,,28.54,percent of total billed charges,38.25% of total billed charges,41.96,45,,33.57,percent of total billed charges,45% of total billed charges,41.96,45,,33.57,percent of total billed charges,45% of total billed charges,35.67,92.12,
BLADE MYRINGOTOMY,7510478,CDM,272,RC,,,OUTPATIENT,,,47.75,38.2,,45.36,95,,36.29,percent of total billed charges,95% of total billed charges,45.23,94.72,,36.18,percent of total billed charges,94.72% of total billed charges,47.17,98.79,,37.74,percent of total billed charges,98.79% of total billed charges,46.8,98,,37.44,percent of total billed charges,98% of total billed charges,46.8,98,,37.44,percent of total billed charges,98% of total billed charges,22.92,48,,18.34,percent of total billed charges,48% of total billed charges,21.49,45,,17.19,percent of total billed charges,45% of total billed charges,18.26,38.25,,14.61,percent of total billed charges,38.25% of total billed charges,21.49,45,,17.19,percent of total billed charges,45% of total billed charges,21.49,45,,17.19,percent of total billed charges,45% of total billed charges,18.26,47.17,
BLADE MYRINGOTOMY ARROW,7510479,CDM,272,RC,,,OUTPATIENT,,,45.75,36.6,,43.46,95,,34.77,percent of total billed charges,95% of total billed charges,43.33,94.72,,34.66,percent of total billed charges,94.72% of total billed charges,45.2,98.79,,36.16,percent of total billed charges,98.79% of total billed charges,44.84,98,,35.87,percent of total billed charges,98% of total billed charges,44.84,98,,35.87,percent of total billed charges,98% of total billed charges,21.96,48,,17.57,percent of total billed charges,48% of total billed charges,20.59,45,,16.47,percent of total billed charges,45% of total billed charges,17.5,38.25,,14,percent of total billed charges,38.25% of total billed charges,20.59,45,,16.47,percent of total billed charges,45% of total billed charges,20.59,45,,16.47,percent of total billed charges,45% of total billed charges,17.5,45.2,
RESERVOIR SUCTION 100CC,7510482,CDM,272,RC,,,OUTPATIENT,,,41.25,33,,39.19,95,,31.35,percent of total billed charges,95% of total billed charges,39.07,94.72,,31.26,percent of total billed charges,94.72% of total billed charges,40.75,98.79,,32.6,percent of total billed charges,98.79% of total billed charges,40.43,98,,32.34,percent of total billed charges,98% of total billed charges,40.43,98,,32.34,percent of total billed charges,98% of total billed charges,19.8,48,,15.84,percent of total billed charges,48% of total billed charges,18.56,45,,14.85,percent of total billed charges,45% of total billed charges,15.78,38.25,,12.62,percent of total billed charges,38.25% of total billed charges,18.56,45,,14.85,percent of total billed charges,45% of total billed charges,18.56,45,,14.85,percent of total billed charges,45% of total billed charges,15.78,40.75,
RESERVOIR SUCTION 100 CC,7510482,CDM,272,RC,,,OUTPATIENT,,,42,33.6,,39.9,95,,31.92,percent of total billed charges,95% of total billed charges,39.78,94.72,,31.82,percent of total billed charges,94.72% of total billed charges,41.49,98.79,,33.19,percent of total billed charges,98.79% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,20.16,48,,16.13,percent of total billed charges,48% of total billed charges,18.9,45,,15.12,percent of total billed charges,45% of total billed charges,16.07,38.25,,12.86,percent of total billed charges,38.25% of total billed charges,18.9,45,,15.12,percent of total billed charges,45% of total billed charges,18.9,45,,15.12,percent of total billed charges,45% of total billed charges,16.07,41.49,
RESERVOIR KIT W/DRAIN 400CC,7510483,CDM,272,RC,,,OUTPATIENT,,,155.5,124.4,,147.73,95,,118.18,percent of total billed charges,95% of total billed charges,147.29,94.72,,117.83,percent of total billed charges,94.72% of total billed charges,153.62,98.79,,122.9,percent of total billed charges,98.79% of total billed charges,152.39,98,,121.91,percent of total billed charges,98% of total billed charges,152.39,98,,121.91,percent of total billed charges,98% of total billed charges,74.64,48,,59.71,percent of total billed charges,48% of total billed charges,69.98,45,,55.98,percent of total billed charges,45% of total billed charges,59.48,38.25,,47.58,percent of total billed charges,38.25% of total billed charges,69.98,45,,55.98,percent of total billed charges,45% of total billed charges,69.98,45,,55.98,percent of total billed charges,45% of total billed charges,59.48,153.62,
SUCTION RESERVOIR LRG VOLUME,7510486,CDM,272,RC,,,OUTPATIENT,,,65.25,52.2,,61.99,95,,49.59,percent of total billed charges,95% of total billed charges,61.8,94.72,,49.44,percent of total billed charges,94.72% of total billed charges,64.46,98.79,,51.57,percent of total billed charges,98.79% of total billed charges,63.95,98,,51.16,percent of total billed charges,98% of total billed charges,63.95,98,,51.16,percent of total billed charges,98% of total billed charges,31.32,48,,25.06,percent of total billed charges,48% of total billed charges,29.36,45,,23.49,percent of total billed charges,45% of total billed charges,24.96,38.25,,19.97,percent of total billed charges,38.25% of total billed charges,29.36,45,,23.49,percent of total billed charges,45% of total billed charges,29.36,45,,23.49,percent of total billed charges,45% of total billed charges,24.96,64.46,
SPLINT NASAL DOYLE,7510488,CDM,272,RC,,,OUTPATIENT,,,109.75,87.8,,104.26,95,,83.41,percent of total billed charges,95% of total billed charges,103.96,94.72,,83.17,percent of total billed charges,94.72% of total billed charges,108.42,98.79,,86.74,percent of total billed charges,98.79% of total billed charges,107.56,98,,86.05,percent of total billed charges,98% of total billed charges,107.56,98,,86.05,percent of total billed charges,98% of total billed charges,52.68,48,,42.14,percent of total billed charges,48% of total billed charges,49.39,45,,39.51,percent of total billed charges,45% of total billed charges,41.98,38.25,,33.58,percent of total billed charges,38.25% of total billed charges,49.39,45,,39.51,percent of total billed charges,45% of total billed charges,49.39,45,,39.51,percent of total billed charges,45% of total billed charges,41.98,108.42,
PROBE HOOK 3.5MM,7510500,CDM,272,RC,,,OUTPATIENT,,,327.25,261.8,,310.89,95,,248.71,percent of total billed charges,95% of total billed charges,309.97,94.72,,247.98,percent of total billed charges,94.72% of total billed charges,323.29,98.79,,258.63,percent of total billed charges,98.79% of total billed charges,320.71,98,,256.57,percent of total billed charges,98% of total billed charges,320.71,98,,256.57,percent of total billed charges,98% of total billed charges,157.08,48,,125.66,percent of total billed charges,48% of total billed charges,147.26,45,,117.81,percent of total billed charges,45% of total billed charges,125.17,38.25,,100.14,percent of total billed charges,38.25% of total billed charges,147.26,45,,117.81,percent of total billed charges,45% of total billed charges,147.26,45,,117.81,percent of total billed charges,45% of total billed charges,125.17,323.29,
PROBE 90-S 3.5MM,7510501,CDM,272,RC,,,OUTPATIENT,,,343.25,274.6,,326.09,95,,260.87,percent of total billed charges,95% of total billed charges,325.13,94.72,,260.1,percent of total billed charges,94.72% of total billed charges,339.1,98.79,,271.28,percent of total billed charges,98.79% of total billed charges,336.39,98,,269.11,percent of total billed charges,98% of total billed charges,336.39,98,,269.11,percent of total billed charges,98% of total billed charges,164.76,48,,131.81,percent of total billed charges,48% of total billed charges,154.46,45,,123.57,percent of total billed charges,45% of total billed charges,131.29,38.25,,105.03,percent of total billed charges,38.25% of total billed charges,154.46,45,,123.57,percent of total billed charges,45% of total billed charges,154.46,45,,123.57,percent of total billed charges,45% of total billed charges,131.29,339.1,
PROCISE XP WAND COBLATOR,7510502,CDM,272,RC,,,OUTPATIENT,,,463.5,370.8,,440.33,95,,352.26,percent of total billed charges,95% of total billed charges,439.03,94.72,,351.22,percent of total billed charges,94.72% of total billed charges,457.89,98.79,,366.31,percent of total billed charges,98.79% of total billed charges,454.23,98,,363.38,percent of total billed charges,98% of total billed charges,454.23,98,,363.38,percent of total billed charges,98% of total billed charges,222.48,48,,177.98,percent of total billed charges,48% of total billed charges,208.58,45,,166.86,percent of total billed charges,45% of total billed charges,177.29,38.25,,141.83,percent of total billed charges,38.25% of total billed charges,208.58,45,,166.86,percent of total billed charges,45% of total billed charges,208.58,45,,166.86,percent of total billed charges,45% of total billed charges,177.29,457.89,
PROCISE ULTRA PTR,7510503,CDM,272,RC,,,OUTPATIENT,,,443,354.4,,420.85,95,,336.68,percent of total billed charges,95% of total billed charges,419.61,94.72,,335.69,percent of total billed charges,94.72% of total billed charges,437.64,98.79,,350.11,percent of total billed charges,98.79% of total billed charges,434.14,98,,347.31,percent of total billed charges,98% of total billed charges,434.14,98,,347.31,percent of total billed charges,98% of total billed charges,212.64,48,,170.11,percent of total billed charges,48% of total billed charges,199.35,45,,159.48,percent of total billed charges,45% of total billed charges,169.45,38.25,,135.56,percent of total billed charges,38.25% of total billed charges,199.35,45,,159.48,percent of total billed charges,45% of total billed charges,199.35,45,,159.48,percent of total billed charges,45% of total billed charges,169.45,437.64,
TISSUE REINFORCEMENT HIATAL MESH 7X10 GORE,7510509,CDM,272,RC,,,OUTPATIENT,,,814.5,651.6,,773.78,95,,619.02,percent of total billed charges,95% of total billed charges,771.49,94.72,,617.19,percent of total billed charges,94.72% of total billed charges,804.64,98.79,,643.71,percent of total billed charges,98.79% of total billed charges,798.21,98,,638.57,percent of total billed charges,98% of total billed charges,798.21,98,,638.57,percent of total billed charges,98% of total billed charges,390.96,48,,312.77,percent of total billed charges,48% of total billed charges,366.53,45,,293.22,percent of total billed charges,45% of total billed charges,311.55,38.25,,249.24,percent of total billed charges,38.25% of total billed charges,366.53,45,,293.22,percent of total billed charges,45% of total billed charges,366.53,45,,293.22,percent of total billed charges,45% of total billed charges,311.55,804.64,
BLADE BEAVER 4723,7510511,CDM,272,RC,,,OUTPATIENT,,,128.75,103,,122.31,95,,97.85,percent of total billed charges,95% of total billed charges,121.95,94.72,,97.56,percent of total billed charges,94.72% of total billed charges,127.19,98.79,,101.75,percent of total billed charges,98.79% of total billed charges,126.18,98,,100.94,percent of total billed charges,98% of total billed charges,126.18,98,,100.94,percent of total billed charges,98% of total billed charges,61.8,48,,49.44,percent of total billed charges,48% of total billed charges,57.94,45,,46.35,percent of total billed charges,45% of total billed charges,49.25,38.25,,39.4,percent of total billed charges,38.25% of total billed charges,57.94,45,,46.35,percent of total billed charges,45% of total billed charges,57.94,45,,46.35,percent of total billed charges,45% of total billed charges,49.25,127.19,
FILTER LAPAROSCOPIC PLUME,7510520,CDM,272,RC,,,OUTPATIENT,,,53.25,42.6,,50.59,95,,40.47,percent of total billed charges,95% of total billed charges,50.44,94.72,,40.35,percent of total billed charges,94.72% of total billed charges,52.61,98.79,,42.09,percent of total billed charges,98.79% of total billed charges,52.19,98,,41.75,percent of total billed charges,98% of total billed charges,52.19,98,,41.75,percent of total billed charges,98% of total billed charges,25.56,48,,20.45,percent of total billed charges,48% of total billed charges,23.96,45,,19.17,percent of total billed charges,45% of total billed charges,20.37,38.25,,16.3,percent of total billed charges,38.25% of total billed charges,23.96,45,,19.17,percent of total billed charges,45% of total billed charges,23.96,45,,19.17,percent of total billed charges,45% of total billed charges,20.37,52.61,
BLADE ELECTRODE LONG,7510521,CDM,272,RC,,,OUTPATIENT,,,16.75,13.4,,15.91,95,,12.73,percent of total billed charges,95% of total billed charges,15.87,94.72,,12.7,percent of total billed charges,94.72% of total billed charges,16.55,98.79,,13.24,percent of total billed charges,98.79% of total billed charges,16.42,98,,13.14,percent of total billed charges,98% of total billed charges,16.42,98,,13.14,percent of total billed charges,98% of total billed charges,8.04,48,,6.43,percent of total billed charges,48% of total billed charges,7.54,45,,6.03,percent of total billed charges,45% of total billed charges,6.41,38.25,,5.13,percent of total billed charges,38.25% of total billed charges,7.54,45,,6.03,percent of total billed charges,45% of total billed charges,7.54,45,,6.03,percent of total billed charges,45% of total billed charges,6.41,16.55,
HOOK LONE STAR,7510522,CDM,272,RC,,,OUTPATIENT,,,30.25,24.2,,28.74,95,,22.99,percent of total billed charges,95% of total billed charges,28.65,94.72,,22.92,percent of total billed charges,94.72% of total billed charges,29.88,98.79,,23.9,percent of total billed charges,98.79% of total billed charges,29.65,98,,23.72,percent of total billed charges,98% of total billed charges,29.65,98,,23.72,percent of total billed charges,98% of total billed charges,14.52,48,,11.62,percent of total billed charges,48% of total billed charges,13.61,45,,10.89,percent of total billed charges,45% of total billed charges,11.57,38.25,,9.26,percent of total billed charges,38.25% of total billed charges,13.61,45,,10.89,percent of total billed charges,45% of total billed charges,13.61,45,,10.89,percent of total billed charges,45% of total billed charges,11.57,29.88,
SUCTION COAGULATOR,7510523,CDM,272,RC,,,OUTPATIENT,,,61.5,49.2,,58.43,95,,46.74,percent of total billed charges,95% of total billed charges,58.25,94.72,,46.6,percent of total billed charges,94.72% of total billed charges,60.76,98.79,,48.61,percent of total billed charges,98.79% of total billed charges,60.27,98,,48.22,percent of total billed charges,98% of total billed charges,60.27,98,,48.22,percent of total billed charges,98% of total billed charges,29.52,48,,23.62,percent of total billed charges,48% of total billed charges,27.68,45,,22.14,percent of total billed charges,45% of total billed charges,23.52,38.25,,18.82,percent of total billed charges,38.25% of total billed charges,27.68,45,,22.14,percent of total billed charges,45% of total billed charges,27.68,45,,22.14,percent of total billed charges,45% of total billed charges,23.52,60.76,
PENCIL ELECTROSURGICAL W/HOLDER,7510524,CDM,272,RC,,,OUTPATIENT,,,15.25,12.2,,14.49,95,,11.59,percent of total billed charges,95% of total billed charges,14.44,94.72,,11.55,percent of total billed charges,94.72% of total billed charges,15.07,98.79,,12.06,percent of total billed charges,98.79% of total billed charges,14.95,98,,11.96,percent of total billed charges,98% of total billed charges,14.95,98,,11.96,percent of total billed charges,98% of total billed charges,7.32,48,,5.86,percent of total billed charges,48% of total billed charges,6.86,45,,5.49,percent of total billed charges,45% of total billed charges,5.83,38.25,,4.66,percent of total billed charges,38.25% of total billed charges,6.86,45,,5.49,percent of total billed charges,45% of total billed charges,6.86,45,,5.49,percent of total billed charges,45% of total billed charges,5.83,15.07,
PENCIL ELECTSURGICAL SMOKE PLUME,7510525,CDM,272,RC,,,OUTPATIENT,,,82.25,65.8,,78.14,95,,62.51,percent of total billed charges,95% of total billed charges,77.91,94.72,,62.33,percent of total billed charges,94.72% of total billed charges,81.25,98.79,,65,percent of total billed charges,98.79% of total billed charges,80.61,98,,64.49,percent of total billed charges,98% of total billed charges,80.61,98,,64.49,percent of total billed charges,98% of total billed charges,39.48,48,,31.58,percent of total billed charges,48% of total billed charges,37.01,45,,29.61,percent of total billed charges,45% of total billed charges,31.46,38.25,,25.17,percent of total billed charges,38.25% of total billed charges,37.01,45,,29.61,percent of total billed charges,45% of total billed charges,37.01,45,,29.61,percent of total billed charges,45% of total billed charges,31.46,81.25,
NEEDLE ELECTRODE SHORT TIP,7510528,CDM,272,RC,,,OUTPATIENT,,,5.5,4.4,,5.23,95,,4.18,percent of total billed charges,95% of total billed charges,5.21,94.72,,4.17,percent of total billed charges,94.72% of total billed charges,5.43,98.79,,4.34,percent of total billed charges,98.79% of total billed charges,5.39,98,,4.31,percent of total billed charges,98% of total billed charges,5.39,98,,4.31,percent of total billed charges,98% of total billed charges,2.64,48,,2.11,percent of total billed charges,48% of total billed charges,2.48,45,,1.98,percent of total billed charges,45% of total billed charges,2.1,38.25,,1.68,percent of total billed charges,38.25% of total billed charges,2.48,45,,1.98,percent of total billed charges,45% of total billed charges,2.48,45,,1.98,percent of total billed charges,45% of total billed charges,2.1,5.43,
BLADE ELECTRODE INSUL 6.5,7510529,CDM,272,RC,,,OUTPATIENT,,,23.75,19,,22.56,95,,18.05,percent of total billed charges,95% of total billed charges,22.5,94.72,,18,percent of total billed charges,94.72% of total billed charges,23.46,98.79,,18.77,percent of total billed charges,98.79% of total billed charges,23.28,98,,18.62,percent of total billed charges,98% of total billed charges,23.28,98,,18.62,percent of total billed charges,98% of total billed charges,11.4,48,,9.12,percent of total billed charges,48% of total billed charges,10.69,45,,8.55,percent of total billed charges,45% of total billed charges,9.08,38.25,,7.26,percent of total billed charges,38.25% of total billed charges,10.69,45,,8.55,percent of total billed charges,45% of total billed charges,10.69,45,,8.55,percent of total billed charges,45% of total billed charges,9.08,23.46,
BLADE ELECTRODE INSUL 2.75,7510530,CDM,272,RC,,,OUTPATIENT,,,24.5,19.6,,23.28,95,,18.62,percent of total billed charges,95% of total billed charges,23.21,94.72,,18.57,percent of total billed charges,94.72% of total billed charges,24.2,98.79,,19.36,percent of total billed charges,98.79% of total billed charges,24.01,98,,19.21,percent of total billed charges,98% of total billed charges,24.01,98,,19.21,percent of total billed charges,98% of total billed charges,11.76,48,,9.41,percent of total billed charges,48% of total billed charges,11.03,45,,8.82,percent of total billed charges,45% of total billed charges,9.37,38.25,,7.5,percent of total billed charges,38.25% of total billed charges,11.03,45,,8.82,percent of total billed charges,45% of total billed charges,11.03,45,,8.82,percent of total billed charges,45% of total billed charges,9.37,24.2,
FORCEPS CORD BIPOLAR,7510531,CDM,272,RC,,,OUTPATIENT,,,59,47.2,,56.05,95,,44.84,percent of total billed charges,95% of total billed charges,55.88,94.72,,44.7,percent of total billed charges,94.72% of total billed charges,58.29,98.79,,46.63,percent of total billed charges,98.79% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,28.32,48,,22.66,percent of total billed charges,48% of total billed charges,26.55,45,,21.24,percent of total billed charges,45% of total billed charges,22.57,38.25,,18.06,percent of total billed charges,38.25% of total billed charges,26.55,45,,21.24,percent of total billed charges,45% of total billed charges,26.55,45,,21.24,percent of total billed charges,45% of total billed charges,22.57,58.29,
NEEDLE ELECTRODE INSUL 2.84,7510532,CDM,272,RC,,,OUTPATIENT,,,39.25,31.4,,37.29,95,,29.83,percent of total billed charges,95% of total billed charges,37.18,94.72,,29.74,percent of total billed charges,94.72% of total billed charges,38.78,98.79,,31.02,percent of total billed charges,98.79% of total billed charges,38.47,98,,30.78,percent of total billed charges,98% of total billed charges,38.47,98,,30.78,percent of total billed charges,98% of total billed charges,18.84,48,,15.07,percent of total billed charges,48% of total billed charges,17.66,45,,14.13,percent of total billed charges,45% of total billed charges,15.01,38.25,,12.01,percent of total billed charges,38.25% of total billed charges,17.66,45,,14.13,percent of total billed charges,45% of total billed charges,17.66,45,,14.13,percent of total billed charges,45% of total billed charges,15.01,38.78,
NEEDLE POTOCKY,7510544,CDM,272,RC,,,OUTPATIENT,,,54,43.2,,51.3,95,,41.04,percent of total billed charges,95% of total billed charges,51.15,94.72,,40.92,percent of total billed charges,94.72% of total billed charges,53.35,98.79,,42.68,percent of total billed charges,98.79% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,25.92,48,,20.74,percent of total billed charges,48% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,38.25,,16.53,percent of total billed charges,38.25% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,53.35,
DERMABOND,7510556,CDM,272,RC,,,OUTPATIENT,,,60.75,48.6,,57.71,95,,46.17,percent of total billed charges,95% of total billed charges,57.54,94.72,,46.03,percent of total billed charges,94.72% of total billed charges,60.01,98.79,,48.01,percent of total billed charges,98.79% of total billed charges,59.54,98,,47.63,percent of total billed charges,98% of total billed charges,59.54,98,,47.63,percent of total billed charges,98% of total billed charges,29.16,48,,23.33,percent of total billed charges,48% of total billed charges,27.34,45,,21.87,percent of total billed charges,45% of total billed charges,23.24,38.25,,18.59,percent of total billed charges,38.25% of total billed charges,27.34,45,,21.87,percent of total billed charges,45% of total billed charges,27.34,45,,21.87,percent of total billed charges,45% of total billed charges,23.24,60.01,
NEEDLE COAXIAL BIOPSY 13GA X 7CM,7510557,CDM,272,RC,,,OUTPATIENT,,,83.5,66.8,,79.33,95,,63.46,percent of total billed charges,95% of total billed charges,79.09,94.72,,63.27,percent of total billed charges,94.72% of total billed charges,82.49,98.79,,65.99,percent of total billed charges,98.79% of total billed charges,81.83,98,,65.46,percent of total billed charges,98% of total billed charges,81.83,98,,65.46,percent of total billed charges,98% of total billed charges,40.08,48,,32.06,percent of total billed charges,48% of total billed charges,37.58,45,,30.06,percent of total billed charges,45% of total billed charges,31.94,38.25,,25.55,percent of total billed charges,38.25% of total billed charges,37.58,45,,30.06,percent of total billed charges,45% of total billed charges,37.58,45,,30.06,percent of total billed charges,45% of total billed charges,31.94,82.49,
NEEDLE BIOPSY MAGNUM 14GA X 10CM,7510559,CDM,272,RC,,,OUTPATIENT,,,119.75,95.8,,113.76,95,,91.01,percent of total billed charges,95% of total billed charges,113.43,94.72,,90.74,percent of total billed charges,94.72% of total billed charges,118.3,98.79,,94.64,percent of total billed charges,98.79% of total billed charges,117.36,98,,93.89,percent of total billed charges,98% of total billed charges,117.36,98,,93.89,percent of total billed charges,98% of total billed charges,57.48,48,,45.98,percent of total billed charges,48% of total billed charges,53.89,45,,43.11,percent of total billed charges,45% of total billed charges,45.8,38.25,,36.64,percent of total billed charges,38.25% of total billed charges,53.89,45,,43.11,percent of total billed charges,45% of total billed charges,53.89,45,,43.11,percent of total billed charges,45% of total billed charges,45.8,118.3,
NEEDLE BIOPSY MAGNUM 14GA X 13CM,7510560,CDM,272,RC,,,OUTPATIENT,,,119.75,95.8,,113.76,95,,91.01,percent of total billed charges,95% of total billed charges,113.43,94.72,,90.74,percent of total billed charges,94.72% of total billed charges,118.3,98.79,,94.64,percent of total billed charges,98.79% of total billed charges,117.36,98,,93.89,percent of total billed charges,98% of total billed charges,117.36,98,,93.89,percent of total billed charges,98% of total billed charges,57.48,48,,45.98,percent of total billed charges,48% of total billed charges,53.89,45,,43.11,percent of total billed charges,45% of total billed charges,45.8,38.25,,36.64,percent of total billed charges,38.25% of total billed charges,53.89,45,,43.11,percent of total billed charges,45% of total billed charges,53.89,45,,43.11,percent of total billed charges,45% of total billed charges,45.8,118.3,
HERNIA PATCH VENTRIO 3 X 3,7510567,CDM,272,RC,,,OUTPATIENT,,,964.25,771.4,,916.04,95,,732.83,percent of total billed charges,95% of total billed charges,913.34,94.72,,730.67,percent of total billed charges,94.72% of total billed charges,952.58,98.79,,762.06,percent of total billed charges,98.79% of total billed charges,944.97,98,,755.98,percent of total billed charges,98% of total billed charges,944.97,98,,755.98,percent of total billed charges,98% of total billed charges,462.84,48,,370.27,percent of total billed charges,48% of total billed charges,433.91,45,,347.13,percent of total billed charges,45% of total billed charges,368.83,38.25,,295.06,percent of total billed charges,38.25% of total billed charges,433.91,45,,347.13,percent of total billed charges,45% of total billed charges,433.91,45,,347.13,percent of total billed charges,45% of total billed charges,368.83,952.58,
QUICK PRESSURE MONITOR SET,7510570,CDM,272,RC,,,OUTPATIENT,,,343.75,275,,326.56,95,,261.25,percent of total billed charges,95% of total billed charges,325.6,94.72,,260.48,percent of total billed charges,94.72% of total billed charges,339.59,98.79,,271.67,percent of total billed charges,98.79% of total billed charges,336.88,98,,269.5,percent of total billed charges,98% of total billed charges,336.88,98,,269.5,percent of total billed charges,98% of total billed charges,165,48,,132,percent of total billed charges,48% of total billed charges,154.69,45,,123.75,percent of total billed charges,45% of total billed charges,131.48,38.25,,105.18,percent of total billed charges,38.25% of total billed charges,154.69,45,,123.75,percent of total billed charges,45% of total billed charges,154.69,45,,123.75,percent of total billed charges,45% of total billed charges,131.48,339.59,
CATHETER CRE FIXED WIRE ESOPHAGEAL 10-12MM,7510600,CDM,272,RC,,,OUTPATIENT,,,498.25,398.6,,473.34,95,,378.67,percent of total billed charges,95% of total billed charges,471.94,94.72,,377.55,percent of total billed charges,94.72% of total billed charges,492.22,98.79,,393.78,percent of total billed charges,98.79% of total billed charges,488.29,98,,390.63,percent of total billed charges,98% of total billed charges,488.29,98,,390.63,percent of total billed charges,98% of total billed charges,239.16,48,,191.33,percent of total billed charges,48% of total billed charges,224.21,45,,179.37,percent of total billed charges,45% of total billed charges,190.58,38.25,,152.46,percent of total billed charges,38.25% of total billed charges,224.21,45,,179.37,percent of total billed charges,45% of total billed charges,224.21,45,,179.37,percent of total billed charges,45% of total billed charges,190.58,492.22,
CATHETER CRE FIXED WIRE ESOPHAGEAL 8-10MM,7510606,CDM,272,RC,,,OUTPATIENT,,,498.25,398.6,,473.34,95,,378.67,percent of total billed charges,95% of total billed charges,471.94,94.72,,377.55,percent of total billed charges,94.72% of total billed charges,492.22,98.79,,393.78,percent of total billed charges,98.79% of total billed charges,488.29,98,,390.63,percent of total billed charges,98% of total billed charges,488.29,98,,390.63,percent of total billed charges,98% of total billed charges,239.16,48,,191.33,percent of total billed charges,48% of total billed charges,224.21,45,,179.37,percent of total billed charges,45% of total billed charges,190.58,38.25,,152.46,percent of total billed charges,38.25% of total billed charges,224.21,45,,179.37,percent of total billed charges,45% of total billed charges,224.21,45,,179.37,percent of total billed charges,45% of total billed charges,190.58,492.22,
CATHETER CRE FIXED WIRE ESOPHAGEAL 12-15MM,7510608,CDM,272,RC,,,OUTPATIENT,,,498.25,398.6,,473.34,95,,378.67,percent of total billed charges,95% of total billed charges,471.94,94.72,,377.55,percent of total billed charges,94.72% of total billed charges,492.22,98.79,,393.78,percent of total billed charges,98.79% of total billed charges,488.29,98,,390.63,percent of total billed charges,98% of total billed charges,488.29,98,,390.63,percent of total billed charges,98% of total billed charges,239.16,48,,191.33,percent of total billed charges,48% of total billed charges,224.21,45,,179.37,percent of total billed charges,45% of total billed charges,190.58,38.25,,152.46,percent of total billed charges,38.25% of total billed charges,224.21,45,,179.37,percent of total billed charges,45% of total billed charges,224.21,45,,179.37,percent of total billed charges,45% of total billed charges,190.58,492.22,
SUCTION/IRRIGATOR STRYKEFLOW II,7510612,CDM,272,RC,,,OUTPATIENT,,,99.5,79.6,,94.53,95,,75.62,percent of total billed charges,95% of total billed charges,94.25,94.72,,75.4,percent of total billed charges,94.72% of total billed charges,98.3,98.79,,78.64,percent of total billed charges,98.79% of total billed charges,97.51,98,,78.01,percent of total billed charges,98% of total billed charges,97.51,98,,78.01,percent of total billed charges,98% of total billed charges,47.76,48,,38.21,percent of total billed charges,48% of total billed charges,44.78,45,,35.82,percent of total billed charges,45% of total billed charges,38.06,38.25,,30.45,percent of total billed charges,38.25% of total billed charges,44.78,45,,35.82,percent of total billed charges,45% of total billed charges,44.78,45,,35.82,percent of total billed charges,45% of total billed charges,38.06,98.3,
NET RETRIEVAL 2.5 MM,7510614,CDM,272,RC,,,OUTPATIENT,,,205.25,164.2,,194.99,95,,155.99,percent of total billed charges,95% of total billed charges,194.41,94.72,,155.53,percent of total billed charges,94.72% of total billed charges,202.77,98.79,,162.22,percent of total billed charges,98.79% of total billed charges,201.15,98,,160.92,percent of total billed charges,98% of total billed charges,201.15,98,,160.92,percent of total billed charges,98% of total billed charges,98.52,48,,78.82,percent of total billed charges,48% of total billed charges,92.36,45,,73.89,percent of total billed charges,45% of total billed charges,78.51,38.25,,62.81,percent of total billed charges,38.25% of total billed charges,92.36,45,,73.89,percent of total billed charges,45% of total billed charges,92.36,45,,73.89,percent of total billed charges,45% of total billed charges,78.51,202.77,
ALLIANCE INFLATION SYRINGE,7510615,CDM,272,RC,,,OUTPATIENT,,,84.25,67.4,,80.04,95,,64.03,percent of total billed charges,95% of total billed charges,79.8,94.72,,63.84,percent of total billed charges,94.72% of total billed charges,83.23,98.79,,66.58,percent of total billed charges,98.79% of total billed charges,82.57,98,,66.06,percent of total billed charges,98% of total billed charges,82.57,98,,66.06,percent of total billed charges,98% of total billed charges,40.44,48,,32.35,percent of total billed charges,48% of total billed charges,37.91,45,,30.33,percent of total billed charges,45% of total billed charges,32.23,38.25,,25.78,percent of total billed charges,38.25% of total billed charges,37.91,45,,30.33,percent of total billed charges,45% of total billed charges,37.91,45,,30.33,percent of total billed charges,45% of total billed charges,32.23,83.23,
BALLOON DILATATION CATHETER 18-20mm,7510616,CDM,272,RC,,,OUTPATIENT,,,413.25,330.6,,392.59,95,,314.07,percent of total billed charges,95% of total billed charges,391.43,94.72,,313.14,percent of total billed charges,94.72% of total billed charges,408.25,98.79,,326.6,percent of total billed charges,98.79% of total billed charges,404.99,98,,323.99,percent of total billed charges,98% of total billed charges,404.99,98,,323.99,percent of total billed charges,98% of total billed charges,198.36,48,,158.69,percent of total billed charges,48% of total billed charges,185.96,45,,148.77,percent of total billed charges,45% of total billed charges,158.07,38.25,,126.46,percent of total billed charges,38.25% of total billed charges,185.96,45,,148.77,percent of total billed charges,45% of total billed charges,185.96,45,,148.77,percent of total billed charges,45% of total billed charges,158.07,408.25,
BALLOON DILATATION CATHETER 15-18mm,7510617,CDM,272,RC,,,OUTPATIENT,,,574.75,459.8,,546.01,95,,436.81,percent of total billed charges,95% of total billed charges,544.4,94.72,,435.52,percent of total billed charges,94.72% of total billed charges,567.8,98.79,,454.24,percent of total billed charges,98.79% of total billed charges,563.26,98,,450.61,percent of total billed charges,98% of total billed charges,563.26,98,,450.61,percent of total billed charges,98% of total billed charges,275.88,48,,220.7,percent of total billed charges,48% of total billed charges,258.64,45,,206.91,percent of total billed charges,45% of total billed charges,219.84,38.25,,175.87,percent of total billed charges,38.25% of total billed charges,258.64,45,,206.91,percent of total billed charges,45% of total billed charges,258.64,45,,206.91,percent of total billed charges,45% of total billed charges,219.84,567.8,
RESOLUTION CLIPPING DEVICE,7510618,CDM,272,RC,,,OUTPATIENT,,,337.5,270,,320.63,95,,256.5,percent of total billed charges,95% of total billed charges,319.68,94.72,,255.74,percent of total billed charges,94.72% of total billed charges,333.42,98.79,,266.74,percent of total billed charges,98.79% of total billed charges,330.75,98,,264.6,percent of total billed charges,98% of total billed charges,330.75,98,,264.6,percent of total billed charges,98% of total billed charges,162,48,,129.6,percent of total billed charges,48% of total billed charges,151.88,45,,121.5,percent of total billed charges,45% of total billed charges,129.09,38.25,,103.27,percent of total billed charges,38.25% of total billed charges,151.88,45,,121.5,percent of total billed charges,45% of total billed charges,151.88,45,,121.5,percent of total billed charges,45% of total billed charges,129.09,333.42,
CATHETER BALLOON DILATATION 18-20MM FIXED WIRE,7510619,CDM,272,RC,,,OUTPATIENT,,,498.25,398.6,,473.34,95,,378.67,percent of total billed charges,95% of total billed charges,471.94,94.72,,377.55,percent of total billed charges,94.72% of total billed charges,492.22,98.79,,393.78,percent of total billed charges,98.79% of total billed charges,488.29,98,,390.63,percent of total billed charges,98% of total billed charges,488.29,98,,390.63,percent of total billed charges,98% of total billed charges,239.16,48,,191.33,percent of total billed charges,48% of total billed charges,224.21,45,,179.37,percent of total billed charges,45% of total billed charges,190.58,38.25,,152.46,percent of total billed charges,38.25% of total billed charges,224.21,45,,179.37,percent of total billed charges,45% of total billed charges,224.21,45,,179.37,percent of total billed charges,45% of total billed charges,190.58,492.22,
CYSTOSCOPE SINGLE USE REVERSE DEFLECTION,7510630,CDM,272,RC,,,OUTPATIENT,,,262.5,210,,249.38,95,,199.5,percent of total billed charges,95% of total billed charges,248.64,94.72,,198.91,percent of total billed charges,94.72% of total billed charges,259.32,98.79,,207.46,percent of total billed charges,98.79% of total billed charges,257.25,98,,205.8,percent of total billed charges,98% of total billed charges,257.25,98,,205.8,percent of total billed charges,98% of total billed charges,126,48,,100.8,percent of total billed charges,48% of total billed charges,118.13,45,,94.5,percent of total billed charges,45% of total billed charges,100.41,38.25,,80.33,percent of total billed charges,38.25% of total billed charges,118.13,45,,94.5,percent of total billed charges,45% of total billed charges,118.13,45,,94.5,percent of total billed charges,45% of total billed charges,100.41,259.32,
VALVE HEMOSTASIS( FOR DISPOSABLE CYSTOSCOPE),7510631,CDM,272,RC,,,OUTPATIENT,,,42,33.6,,39.9,95,,31.92,percent of total billed charges,95% of total billed charges,39.78,94.72,,31.82,percent of total billed charges,94.72% of total billed charges,41.49,98.79,,33.19,percent of total billed charges,98.79% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,20.16,48,,16.13,percent of total billed charges,48% of total billed charges,18.9,45,,15.12,percent of total billed charges,45% of total billed charges,16.07,38.25,,12.86,percent of total billed charges,38.25% of total billed charges,18.9,45,,15.12,percent of total billed charges,45% of total billed charges,18.9,45,,15.12,percent of total billed charges,45% of total billed charges,16.07,41.49,
STOPCOCK MARQUIS (FOR DISPOSABLE CYSTOSCOPE),7510632,CDM,272,RC,,,OUTPATIENT,,,14,11.2,,13.3,95,,10.64,percent of total billed charges,95% of total billed charges,13.26,94.72,,10.61,percent of total billed charges,94.72% of total billed charges,13.83,98.79,,11.06,percent of total billed charges,98.79% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,6.72,48,,5.38,percent of total billed charges,48% of total billed charges,6.3,45,,5.04,percent of total billed charges,45% of total billed charges,5.36,38.25,,4.29,percent of total billed charges,38.25% of total billed charges,6.3,45,,5.04,percent of total billed charges,45% of total billed charges,6.3,45,,5.04,percent of total billed charges,45% of total billed charges,5.36,13.83,
NEEDLE HUBER 19GA X 1.5,7510675,CDM,272,RC,,,OUTPATIENT,,,34.5,27.6,,32.78,95,,26.22,percent of total billed charges,95% of total billed charges,32.68,94.72,,26.14,percent of total billed charges,94.72% of total billed charges,34.08,98.79,,27.26,percent of total billed charges,98.79% of total billed charges,33.81,98,,27.05,percent of total billed charges,98% of total billed charges,33.81,98,,27.05,percent of total billed charges,98% of total billed charges,16.56,48,,13.25,percent of total billed charges,48% of total billed charges,15.53,45,,12.42,percent of total billed charges,45% of total billed charges,13.2,38.25,,10.56,percent of total billed charges,38.25% of total billed charges,15.53,45,,12.42,percent of total billed charges,45% of total billed charges,15.53,45,,12.42,percent of total billed charges,45% of total billed charges,13.2,34.08,
NEEDLE HUBER 22GA X 0.75 (3/4),7510676,CDM,272,RC,,,OUTPATIENT,,,39.25,31.4,,37.29,95,,29.83,percent of total billed charges,95% of total billed charges,37.18,94.72,,29.74,percent of total billed charges,94.72% of total billed charges,38.78,98.79,,31.02,percent of total billed charges,98.79% of total billed charges,38.47,98,,30.78,percent of total billed charges,98% of total billed charges,38.47,98,,30.78,percent of total billed charges,98% of total billed charges,18.84,48,,15.07,percent of total billed charges,48% of total billed charges,17.66,45,,14.13,percent of total billed charges,45% of total billed charges,15.01,38.25,,12.01,percent of total billed charges,38.25% of total billed charges,17.66,45,,14.13,percent of total billed charges,45% of total billed charges,17.66,45,,14.13,percent of total billed charges,45% of total billed charges,15.01,38.78,
CANNULA IRRIGATING CYSTOTOME 25GX5/8,7516033,CDM,272,RC,,,OUTPATIENT,,,8.25,6.6,,7.84,95,,6.27,percent of total billed charges,95% of total billed charges,7.81,94.72,,6.25,percent of total billed charges,94.72% of total billed charges,8.15,98.79,,6.52,percent of total billed charges,98.79% of total billed charges,8.09,98,,6.47,percent of total billed charges,98% of total billed charges,8.09,98,,6.47,percent of total billed charges,98% of total billed charges,3.96,48,,3.17,percent of total billed charges,48% of total billed charges,3.71,45,,2.97,percent of total billed charges,45% of total billed charges,3.16,38.25,,2.53,percent of total billed charges,38.25% of total billed charges,3.71,45,,2.97,percent of total billed charges,45% of total billed charges,3.71,45,,2.97,percent of total billed charges,45% of total billed charges,3.16,8.15,
BREAST WIRE GHIATAS BEADED,7516036,CDM,272,RC,,,OUTPATIENT,,,94,75.2,,89.3,95,,71.44,percent of total billed charges,95% of total billed charges,89.04,94.72,,71.23,percent of total billed charges,94.72% of total billed charges,92.86,98.79,,74.29,percent of total billed charges,98.79% of total billed charges,92.12,98,,73.7,percent of total billed charges,98% of total billed charges,92.12,98,,73.7,percent of total billed charges,98% of total billed charges,45.12,48,,36.1,percent of total billed charges,48% of total billed charges,42.3,45,,33.84,percent of total billed charges,45% of total billed charges,35.96,38.25,,28.77,percent of total billed charges,38.25% of total billed charges,42.3,45,,33.84,percent of total billed charges,45% of total billed charges,42.3,45,,33.84,percent of total billed charges,45% of total billed charges,35.96,92.86,
SYRINGE MEDRAD STELLANT,7516041,CDM,272,RC,,,OUTPATIENT,,,42.5,34,,40.38,95,,32.3,percent of total billed charges,95% of total billed charges,40.26,94.72,,32.21,percent of total billed charges,94.72% of total billed charges,41.99,98.79,,33.59,percent of total billed charges,98.79% of total billed charges,41.65,98,,33.32,percent of total billed charges,98% of total billed charges,41.65,98,,33.32,percent of total billed charges,98% of total billed charges,20.4,48,,16.32,percent of total billed charges,48% of total billed charges,19.13,45,,15.3,percent of total billed charges,45% of total billed charges,16.26,38.25,,13.01,percent of total billed charges,38.25% of total billed charges,19.13,45,,15.3,percent of total billed charges,45% of total billed charges,19.13,45,,15.3,percent of total billed charges,45% of total billed charges,16.26,41.99,
CT Medrad Syringe Kit,7516041,CDM,272,RC,,,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,19.35,45,,15.48,percent of total billed charges,45% of total billed charges,16.45,38.25,,13.16,percent of total billed charges,38.25% of total billed charges,19.35,45,,15.48,percent of total billed charges,45% of total billed charges,19.35,45,,15.48,percent of total billed charges,45% of total billed charges,16.45,42.48,
ADAPTER TUBING,7516047,CDM,272,RC,,,OUTPATIENT,,,51,40.8,,48.45,95,,38.76,percent of total billed charges,95% of total billed charges,48.31,94.72,,38.65,percent of total billed charges,94.72% of total billed charges,50.38,98.79,,40.3,percent of total billed charges,98.79% of total billed charges,49.98,98,,39.98,percent of total billed charges,98% of total billed charges,49.98,98,,39.98,percent of total billed charges,98% of total billed charges,24.48,48,,19.58,percent of total billed charges,48% of total billed charges,22.95,45,,18.36,percent of total billed charges,45% of total billed charges,19.51,38.25,,15.61,percent of total billed charges,38.25% of total billed charges,22.95,45,,18.36,percent of total billed charges,45% of total billed charges,22.95,45,,18.36,percent of total billed charges,45% of total billed charges,19.51,50.38,
MRI MEDRAD SYRINGE KIT,7516050,CDM,272,RC,,,OUTPATIENT,,,41.37,33.096,,39.3,95,,31.44,percent of total billed charges,95% of total billed charges,39.19,94.72,,31.35,percent of total billed charges,94.72% of total billed charges,40.87,98.79,,32.7,percent of total billed charges,98.79% of total billed charges,40.54,98,,32.43,percent of total billed charges,98% of total billed charges,40.54,98,,32.43,percent of total billed charges,98% of total billed charges,19.86,48,,15.89,percent of total billed charges,48% of total billed charges,18.62,45,,14.9,percent of total billed charges,45% of total billed charges,15.82,38.25,,12.66,percent of total billed charges,38.25% of total billed charges,18.62,45,,14.9,percent of total billed charges,45% of total billed charges,18.62,45,,14.9,percent of total billed charges,45% of total billed charges,15.82,40.87,
MRI MEDRAD SYRINGE KIT,7516050,CDM,272,RC,,,OUTPATIENT,,,42,33.6,,39.9,95,,31.92,percent of total billed charges,95% of total billed charges,39.78,94.72,,31.82,percent of total billed charges,94.72% of total billed charges,41.49,98.79,,33.19,percent of total billed charges,98.79% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,20.16,48,,16.13,percent of total billed charges,48% of total billed charges,18.9,45,,15.12,percent of total billed charges,45% of total billed charges,16.07,38.25,,12.86,percent of total billed charges,38.25% of total billed charges,18.9,45,,15.12,percent of total billed charges,45% of total billed charges,18.9,45,,15.12,percent of total billed charges,45% of total billed charges,16.07,41.49,
KIT FLUID MANAGEMENT,7516052,CDM,272,RC,,,OUTPATIENT,,,26,20.8,,24.7,95,,19.76,percent of total billed charges,95% of total billed charges,24.63,94.72,,19.7,percent of total billed charges,94.72% of total billed charges,25.69,98.79,,20.55,percent of total billed charges,98.79% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,12.48,48,,9.98,percent of total billed charges,48% of total billed charges,11.7,45,,9.36,percent of total billed charges,45% of total billed charges,9.95,38.25,,7.96,percent of total billed charges,38.25% of total billed charges,11.7,45,,9.36,percent of total billed charges,45% of total billed charges,11.7,45,,9.36,percent of total billed charges,45% of total billed charges,9.95,25.69,
BAG DRAINAGE 600ML,7516066,CDM,272,RC,,,OUTPATIENT,,,49,39.2,,46.55,95,,37.24,percent of total billed charges,95% of total billed charges,46.41,94.72,,37.13,percent of total billed charges,94.72% of total billed charges,48.41,98.79,,38.73,percent of total billed charges,98.79% of total billed charges,48.02,98,,38.42,percent of total billed charges,98% of total billed charges,48.02,98,,38.42,percent of total billed charges,98% of total billed charges,23.52,48,,18.82,percent of total billed charges,48% of total billed charges,22.05,45,,17.64,percent of total billed charges,45% of total billed charges,18.74,38.25,,14.99,percent of total billed charges,38.25% of total billed charges,22.05,45,,17.64,percent of total billed charges,45% of total billed charges,22.05,45,,17.64,percent of total billed charges,45% of total billed charges,18.74,48.41,
MICRON LASER FIBER 200 SUPERPULSED,7520006,CDM,272,RC,,,OUTPATIENT,,,838.5,670.8,,796.58,95,,637.26,percent of total billed charges,95% of total billed charges,794.23,94.72,,635.38,percent of total billed charges,94.72% of total billed charges,828.35,98.79,,662.68,percent of total billed charges,98.79% of total billed charges,821.73,98,,657.38,percent of total billed charges,98% of total billed charges,821.73,98,,657.38,percent of total billed charges,98% of total billed charges,402.48,48,,321.98,percent of total billed charges,48% of total billed charges,377.33,45,,301.86,percent of total billed charges,45% of total billed charges,320.73,38.25,,256.58,percent of total billed charges,38.25% of total billed charges,377.33,45,,301.86,percent of total billed charges,45% of total billed charges,377.33,45,,301.86,percent of total billed charges,45% of total billed charges,320.73,828.35,
Ureteral Access Sheath 10/12FR 54CM,7520007,CDM,272,RC,,,OUTPATIENT,,,200.5,160.4,,190.48,95,,152.38,percent of total billed charges,95% of total billed charges,189.91,94.72,,151.93,percent of total billed charges,94.72% of total billed charges,198.07,98.79,,158.46,percent of total billed charges,98.79% of total billed charges,196.49,98,,157.19,percent of total billed charges,98% of total billed charges,196.49,98,,157.19,percent of total billed charges,98% of total billed charges,96.24,48,,76.99,percent of total billed charges,48% of total billed charges,90.23,45,,72.18,percent of total billed charges,45% of total billed charges,76.69,38.25,,61.35,percent of total billed charges,38.25% of total billed charges,90.23,45,,72.18,percent of total billed charges,45% of total billed charges,90.23,45,,72.18,percent of total billed charges,45% of total billed charges,76.69,198.07,
Ureteral Access Sheath 10/12 FR 38CM,7520009,CDM,272,RC,,,OUTPATIENT,,,200.5,160.4,,190.48,95,,152.38,percent of total billed charges,95% of total billed charges,189.91,94.72,,151.93,percent of total billed charges,94.72% of total billed charges,198.07,98.79,,158.46,percent of total billed charges,98.79% of total billed charges,196.49,98,,157.19,percent of total billed charges,98% of total billed charges,196.49,98,,157.19,percent of total billed charges,98% of total billed charges,96.24,48,,76.99,percent of total billed charges,48% of total billed charges,90.23,45,,72.18,percent of total billed charges,45% of total billed charges,76.69,38.25,,61.35,percent of total billed charges,38.25% of total billed charges,90.23,45,,72.18,percent of total billed charges,45% of total billed charges,90.23,45,,72.18,percent of total billed charges,45% of total billed charges,76.69,198.07,
DILATOR STANDARD 8FRENCH 20CENTIMET,7520057,CDM,272,RC,,,OUTPATIENT,,,81.5,65.2,,77.43,95,,61.94,percent of total billed charges,95% of total billed charges,77.2,94.72,,61.76,percent of total billed charges,94.72% of total billed charges,80.51,98.79,,64.41,percent of total billed charges,98.79% of total billed charges,79.87,98,,63.9,percent of total billed charges,98% of total billed charges,79.87,98,,63.9,percent of total billed charges,98% of total billed charges,39.12,48,,31.3,percent of total billed charges,48% of total billed charges,36.68,45,,29.34,percent of total billed charges,45% of total billed charges,31.17,38.25,,24.94,percent of total billed charges,38.25% of total billed charges,36.68,45,,29.34,percent of total billed charges,45% of total billed charges,36.68,45,,29.34,percent of total billed charges,45% of total billed charges,31.17,80.51,
DILATOR STANDARD 9FRENCH 20CENTIMET,7520058,CDM,272,RC,,,OUTPATIENT,,,65,52,,61.75,95,,49.4,percent of total billed charges,95% of total billed charges,61.57,94.72,,49.26,percent of total billed charges,94.72% of total billed charges,64.21,98.79,,51.37,percent of total billed charges,98.79% of total billed charges,63.7,98,,50.96,percent of total billed charges,98% of total billed charges,63.7,98,,50.96,percent of total billed charges,98% of total billed charges,31.2,48,,24.96,percent of total billed charges,48% of total billed charges,29.25,45,,23.4,percent of total billed charges,45% of total billed charges,24.86,38.25,,19.89,percent of total billed charges,38.25% of total billed charges,29.25,45,,23.4,percent of total billed charges,45% of total billed charges,29.25,45,,23.4,percent of total billed charges,45% of total billed charges,24.86,64.21,
IV SET T-U-R Y-SET,7520072,CDM,272,RC,,,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,10.8,45,,8.64,percent of total billed charges,45% of total billed charges,9.18,38.25,,7.34,percent of total billed charges,38.25% of total billed charges,10.8,45,,8.64,percent of total billed charges,45% of total billed charges,10.8,45,,8.64,percent of total billed charges,45% of total billed charges,9.18,23.71,
IV EXTENSION SET W/0.2 MICRON FILTER,7520094,CDM,272,RC,,,OUTPATIENT,,,11.75,9.4,,11.16,95,,8.93,percent of total billed charges,95% of total billed charges,11.13,94.72,,8.9,percent of total billed charges,94.72% of total billed charges,11.61,98.79,,9.29,percent of total billed charges,98.79% of total billed charges,11.52,98,,9.22,percent of total billed charges,98% of total billed charges,11.52,98,,9.22,percent of total billed charges,98% of total billed charges,5.64,48,,4.51,percent of total billed charges,48% of total billed charges,5.29,45,,4.23,percent of total billed charges,45% of total billed charges,4.49,38.25,,3.59,percent of total billed charges,38.25% of total billed charges,5.29,45,,4.23,percent of total billed charges,45% of total billed charges,5.29,45,,4.23,percent of total billed charges,45% of total billed charges,4.49,11.61,
RINGLOC+ QUICK CONNECT DRILL BIT 3.2MMX30MM,7521180,CDM,272,RC,,,OUTPATIENT,,,151.5,121.2,,143.93,95,,115.14,percent of total billed charges,95% of total billed charges,143.5,94.72,,114.8,percent of total billed charges,94.72% of total billed charges,149.67,98.79,,119.74,percent of total billed charges,98.79% of total billed charges,148.47,98,,118.78,percent of total billed charges,98% of total billed charges,148.47,98,,118.78,percent of total billed charges,98% of total billed charges,72.72,48,,58.18,percent of total billed charges,48% of total billed charges,68.18,45,,54.54,percent of total billed charges,45% of total billed charges,57.95,38.25,,46.36,percent of total billed charges,38.25% of total billed charges,68.18,45,,54.54,percent of total billed charges,45% of total billed charges,68.18,45,,54.54,percent of total billed charges,45% of total billed charges,57.95,149.67,
PERFECTPASSER MAGNUMWIRE  OM-8175,7521420,CDM,272,RC,,,OUTPATIENT,,,286.5,229.2,,272.18,95,,217.74,percent of total billed charges,95% of total billed charges,271.37,94.72,,217.1,percent of total billed charges,94.72% of total billed charges,283.03,98.79,,226.42,percent of total billed charges,98.79% of total billed charges,280.77,98,,224.62,percent of total billed charges,98% of total billed charges,280.77,98,,224.62,percent of total billed charges,98% of total billed charges,137.52,48,,110.02,percent of total billed charges,48% of total billed charges,128.93,45,,103.14,percent of total billed charges,45% of total billed charges,109.59,38.25,,87.67,percent of total billed charges,38.25% of total billed charges,128.93,45,,103.14,percent of total billed charges,45% of total billed charges,128.93,45,,103.14,percent of total billed charges,45% of total billed charges,109.59,283.03,
PERFECTPASSER CONNECTOR  OM-8010,7521421,CDM,272,RC,,,OUTPATIENT,,,273,218.4,,259.35,95,,207.48,percent of total billed charges,95% of total billed charges,258.59,94.72,,206.87,percent of total billed charges,94.72% of total billed charges,269.7,98.79,,215.76,percent of total billed charges,98.79% of total billed charges,267.54,98,,214.03,percent of total billed charges,98% of total billed charges,267.54,98,,214.03,percent of total billed charges,98% of total billed charges,131.04,48,,104.83,percent of total billed charges,48% of total billed charges,122.85,45,,98.28,percent of total billed charges,45% of total billed charges,104.42,38.25,,83.54,percent of total billed charges,38.25% of total billed charges,122.85,45,,98.28,percent of total billed charges,45% of total billed charges,122.85,45,,98.28,percent of total billed charges,45% of total billed charges,104.42,269.7,
MULTIFIX S ULTRA 5.5MM  72290001,7521422,CDM,272,RC,,,OUTPATIENT,,,666,532.8,,632.7,95,,506.16,percent of total billed charges,95% of total billed charges,630.84,94.72,,504.67,percent of total billed charges,94.72% of total billed charges,657.94,98.79,,526.35,percent of total billed charges,98.79% of total billed charges,652.68,98,,522.14,percent of total billed charges,98% of total billed charges,652.68,98,,522.14,percent of total billed charges,98% of total billed charges,319.68,48,,255.74,percent of total billed charges,48% of total billed charges,299.7,45,,239.76,percent of total billed charges,45% of total billed charges,254.75,38.25,,203.8,percent of total billed charges,38.25% of total billed charges,299.7,45,,239.76,percent of total billed charges,45% of total billed charges,299.7,45,,239.76,percent of total billed charges,45% of total billed charges,254.75,657.94,
PERFECTPASSER MAGNUMWIRE  OM-8176,7521423,CDM,272,RC,,,OUTPATIENT,,,286.5,229.2,,272.18,95,,217.74,percent of total billed charges,95% of total billed charges,271.37,94.72,,217.1,percent of total billed charges,94.72% of total billed charges,283.03,98.79,,226.42,percent of total billed charges,98.79% of total billed charges,280.77,98,,224.62,percent of total billed charges,98% of total billed charges,280.77,98,,224.62,percent of total billed charges,98% of total billed charges,137.52,48,,110.02,percent of total billed charges,48% of total billed charges,128.93,45,,103.14,percent of total billed charges,45% of total billed charges,109.59,38.25,,87.67,percent of total billed charges,38.25% of total billed charges,128.93,45,,103.14,percent of total billed charges,45% of total billed charges,128.93,45,,103.14,percent of total billed charges,45% of total billed charges,109.59,283.03,
ARTHREX CANNULA AR-6530N,7521462,CDM,272,RC,,,OUTPATIENT,,,81.5,65.2,,77.43,95,,61.94,percent of total billed charges,95% of total billed charges,77.2,94.72,,61.76,percent of total billed charges,94.72% of total billed charges,80.51,98.79,,64.41,percent of total billed charges,98.79% of total billed charges,79.87,98,,63.9,percent of total billed charges,98% of total billed charges,79.87,98,,63.9,percent of total billed charges,98% of total billed charges,39.12,48,,31.3,percent of total billed charges,48% of total billed charges,36.68,45,,29.34,percent of total billed charges,45% of total billed charges,31.17,38.25,,24.94,percent of total billed charges,38.25% of total billed charges,36.68,45,,29.34,percent of total billed charges,45% of total billed charges,36.68,45,,29.34,percent of total billed charges,45% of total billed charges,31.17,80.51,
CIRCUIT ANESTHESIA BREATHING KIT|TUBE|BAG|MASK,7523005,CDM,272,RC,,,OUTPATIENT,,,31,24.8,,29.45,95,,23.56,percent of total billed charges,95% of total billed charges,29.36,94.72,,23.49,percent of total billed charges,94.72% of total billed charges,30.62,98.79,,24.5,percent of total billed charges,98.79% of total billed charges,30.38,98,,24.3,percent of total billed charges,98% of total billed charges,30.38,98,,24.3,percent of total billed charges,98% of total billed charges,14.88,48,,11.9,percent of total billed charges,48% of total billed charges,13.95,45,,11.16,percent of total billed charges,45% of total billed charges,11.86,38.25,,9.49,percent of total billed charges,38.25% of total billed charges,13.95,45,,11.16,percent of total billed charges,45% of total billed charges,13.95,45,,11.16,percent of total billed charges,45% of total billed charges,11.86,30.62,
CIRCUIT PEDIATRIC ANESTHESIA,7523025,CDM,272,RC,,,OUTPATIENT,,,26,20.8,,24.7,95,,19.76,percent of total billed charges,95% of total billed charges,24.63,94.72,,19.7,percent of total billed charges,94.72% of total billed charges,25.69,98.79,,20.55,percent of total billed charges,98.79% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,12.48,48,,9.98,percent of total billed charges,48% of total billed charges,11.7,45,,9.36,percent of total billed charges,45% of total billed charges,9.95,38.25,,7.96,percent of total billed charges,38.25% of total billed charges,11.7,45,,9.36,percent of total billed charges,45% of total billed charges,11.7,45,,9.36,percent of total billed charges,45% of total billed charges,9.95,25.69,
Tripod Polygrab Disposable,7523026,CDM,272,RC,,,OUTPATIENT,,,108.25,86.6,,102.84,95,,82.27,percent of total billed charges,95% of total billed charges,102.53,94.72,,82.02,percent of total billed charges,94.72% of total billed charges,106.94,98.79,,85.55,percent of total billed charges,98.79% of total billed charges,106.09,98,,84.87,percent of total billed charges,98% of total billed charges,106.09,98,,84.87,percent of total billed charges,98% of total billed charges,51.96,48,,41.57,percent of total billed charges,48% of total billed charges,48.71,45,,38.97,percent of total billed charges,45% of total billed charges,41.41,38.25,,33.13,percent of total billed charges,38.25% of total billed charges,48.71,45,,38.97,percent of total billed charges,45% of total billed charges,48.71,45,,38.97,percent of total billed charges,45% of total billed charges,41.41,106.94,
DRESSING ADAPTIC 3 X 3,7530001,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
DRESSING ADAPTIC 3 X 8,7530002,CDM,272,RC,,,OUTPATIENT,,,6.5,5.2,,6.18,95,,4.94,percent of total billed charges,95% of total billed charges,6.16,94.72,,4.93,percent of total billed charges,94.72% of total billed charges,6.42,98.79,,5.14,percent of total billed charges,98.79% of total billed charges,6.37,98,,5.1,percent of total billed charges,98% of total billed charges,6.37,98,,5.1,percent of total billed charges,98% of total billed charges,3.12,48,,2.5,percent of total billed charges,48% of total billed charges,2.93,45,,2.34,percent of total billed charges,45% of total billed charges,2.49,38.25,,1.99,percent of total billed charges,38.25% of total billed charges,2.93,45,,2.34,percent of total billed charges,45% of total billed charges,2.93,45,,2.34,percent of total billed charges,45% of total billed charges,2.49,6.42,
DRESSING DUODERM 4 X 4,7530005,CDM,272,RC,,,OUTPATIENT,,,10.75,8.6,,10.21,95,,8.17,percent of total billed charges,95% of total billed charges,10.18,94.72,,8.14,percent of total billed charges,94.72% of total billed charges,10.62,98.79,,8.5,percent of total billed charges,98.79% of total billed charges,10.54,98,,8.43,percent of total billed charges,98% of total billed charges,10.54,98,,8.43,percent of total billed charges,98% of total billed charges,5.16,48,,4.13,percent of total billed charges,48% of total billed charges,4.84,45,,3.87,percent of total billed charges,45% of total billed charges,4.11,38.25,,3.29,percent of total billed charges,38.25% of total billed charges,4.84,45,,3.87,percent of total billed charges,45% of total billed charges,4.84,45,,3.87,percent of total billed charges,45% of total billed charges,4.11,10.62,
SPONGE HEMOSTAT,7530010,CDM,272,RC,,,OUTPATIENT,,,218.5,174.8,,207.58,95,,166.06,percent of total billed charges,95% of total billed charges,206.96,94.72,,165.57,percent of total billed charges,94.72% of total billed charges,215.86,98.79,,172.69,percent of total billed charges,98.79% of total billed charges,214.13,98,,171.3,percent of total billed charges,98% of total billed charges,214.13,98,,171.3,percent of total billed charges,98% of total billed charges,104.88,48,,83.9,percent of total billed charges,48% of total billed charges,98.33,45,,78.66,percent of total billed charges,45% of total billed charges,83.58,38.25,,66.86,percent of total billed charges,38.25% of total billed charges,98.33,45,,78.66,percent of total billed charges,45% of total billed charges,98.33,45,,78.66,percent of total billed charges,45% of total billed charges,83.58,215.86,
NU-GAUZE IODOFORM 1/4,7530015,CDM,272,RC,,,OUTPATIENT,,,6.5,5.2,,6.18,95,,4.94,percent of total billed charges,95% of total billed charges,6.16,94.72,,4.93,percent of total billed charges,94.72% of total billed charges,6.42,98.79,,5.14,percent of total billed charges,98.79% of total billed charges,6.37,98,,5.1,percent of total billed charges,98% of total billed charges,6.37,98,,5.1,percent of total billed charges,98% of total billed charges,3.12,48,,2.5,percent of total billed charges,48% of total billed charges,2.93,45,,2.34,percent of total billed charges,45% of total billed charges,2.49,38.25,,1.99,percent of total billed charges,38.25% of total billed charges,2.93,45,,2.34,percent of total billed charges,45% of total billed charges,2.93,45,,2.34,percent of total billed charges,45% of total billed charges,2.49,6.42,
NU-GAUZE IODOFORM 1/2,7530016,CDM,272,RC,,,OUTPATIENT,,,6.75,5.4,,6.41,95,,5.13,percent of total billed charges,95% of total billed charges,6.39,94.72,,5.11,percent of total billed charges,94.72% of total billed charges,6.67,98.79,,5.34,percent of total billed charges,98.79% of total billed charges,6.62,98,,5.3,percent of total billed charges,98% of total billed charges,6.62,98,,5.3,percent of total billed charges,98% of total billed charges,3.24,48,,2.59,percent of total billed charges,48% of total billed charges,3.04,45,,2.43,percent of total billed charges,45% of total billed charges,2.58,38.25,,2.06,percent of total billed charges,38.25% of total billed charges,3.04,45,,2.43,percent of total billed charges,45% of total billed charges,3.04,45,,2.43,percent of total billed charges,45% of total billed charges,2.58,6.67,
NU-GAUZE IODOFORM 1,7530017,CDM,272,RC,,,OUTPATIENT,,,8.5,6.8,,8.08,95,,6.46,percent of total billed charges,95% of total billed charges,8.05,94.72,,6.44,percent of total billed charges,94.72% of total billed charges,8.4,98.79,,6.72,percent of total billed charges,98.79% of total billed charges,8.33,98,,6.66,percent of total billed charges,98% of total billed charges,8.33,98,,6.66,percent of total billed charges,98% of total billed charges,4.08,48,,3.26,percent of total billed charges,48% of total billed charges,3.83,45,,3.06,percent of total billed charges,45% of total billed charges,3.25,38.25,,2.6,percent of total billed charges,38.25% of total billed charges,3.83,45,,3.06,percent of total billed charges,45% of total billed charges,3.83,45,,3.06,percent of total billed charges,45% of total billed charges,3.25,8.4,
NU-GAUZE IODOFORM 2,7530018,CDM,272,RC,,,OUTPATIENT,,,13.75,11,,13.06,95,,10.45,percent of total billed charges,95% of total billed charges,13.02,94.72,,10.42,percent of total billed charges,94.72% of total billed charges,13.58,98.79,,10.86,percent of total billed charges,98.79% of total billed charges,13.48,98,,10.78,percent of total billed charges,98% of total billed charges,13.48,98,,10.78,percent of total billed charges,98% of total billed charges,6.6,48,,5.28,percent of total billed charges,48% of total billed charges,6.19,45,,4.95,percent of total billed charges,45% of total billed charges,5.26,38.25,,4.21,percent of total billed charges,38.25% of total billed charges,6.19,45,,4.95,percent of total billed charges,45% of total billed charges,6.19,45,,4.95,percent of total billed charges,45% of total billed charges,5.26,13.58,
NU-GAUZE PLAIN 1/4,7530019,CDM,272,RC,,,OUTPATIENT,,,7,5.6,,6.65,95,,5.32,percent of total billed charges,95% of total billed charges,6.63,94.72,,5.3,percent of total billed charges,94.72% of total billed charges,6.92,98.79,,5.54,percent of total billed charges,98.79% of total billed charges,6.86,98,,5.49,percent of total billed charges,98% of total billed charges,6.86,98,,5.49,percent of total billed charges,98% of total billed charges,3.36,48,,2.69,percent of total billed charges,48% of total billed charges,3.15,45,,2.52,percent of total billed charges,45% of total billed charges,2.68,38.25,,2.14,percent of total billed charges,38.25% of total billed charges,3.15,45,,2.52,percent of total billed charges,45% of total billed charges,3.15,45,,2.52,percent of total billed charges,45% of total billed charges,2.68,6.92,
NU-GAUZE PLAIN 1/2,7530020,CDM,272,RC,,,OUTPATIENT,,,8.25,6.6,,7.84,95,,6.27,percent of total billed charges,95% of total billed charges,7.81,94.72,,6.25,percent of total billed charges,94.72% of total billed charges,8.15,98.79,,6.52,percent of total billed charges,98.79% of total billed charges,8.09,98,,6.47,percent of total billed charges,98% of total billed charges,8.09,98,,6.47,percent of total billed charges,98% of total billed charges,3.96,48,,3.17,percent of total billed charges,48% of total billed charges,3.71,45,,2.97,percent of total billed charges,45% of total billed charges,3.16,38.25,,2.53,percent of total billed charges,38.25% of total billed charges,3.71,45,,2.97,percent of total billed charges,45% of total billed charges,3.71,45,,2.97,percent of total billed charges,45% of total billed charges,3.16,8.15,
NU-GAUZE PLAIN 1,7530021,CDM,272,RC,,,OUTPATIENT,,,9.5,7.6,,9.03,95,,7.22,percent of total billed charges,95% of total billed charges,9,94.72,,7.2,percent of total billed charges,94.72% of total billed charges,9.39,98.79,,7.51,percent of total billed charges,98.79% of total billed charges,9.31,98,,7.45,percent of total billed charges,98% of total billed charges,9.31,98,,7.45,percent of total billed charges,98% of total billed charges,4.56,48,,3.65,percent of total billed charges,48% of total billed charges,4.28,45,,3.42,percent of total billed charges,45% of total billed charges,3.63,38.25,,2.9,percent of total billed charges,38.25% of total billed charges,4.28,45,,3.42,percent of total billed charges,45% of total billed charges,4.28,45,,3.42,percent of total billed charges,45% of total billed charges,3.63,9.39,
NU-GAUZE PLAIN 2,7530022,CDM,272,RC,,,OUTPATIENT,,,11.5,9.2,,10.93,95,,8.74,percent of total billed charges,95% of total billed charges,10.89,94.72,,8.71,percent of total billed charges,94.72% of total billed charges,11.36,98.79,,9.09,percent of total billed charges,98.79% of total billed charges,11.27,98,,9.02,percent of total billed charges,98% of total billed charges,11.27,98,,9.02,percent of total billed charges,98% of total billed charges,5.52,48,,4.42,percent of total billed charges,48% of total billed charges,5.18,45,,4.14,percent of total billed charges,45% of total billed charges,4.4,38.25,,3.52,percent of total billed charges,38.25% of total billed charges,5.18,45,,4.14,percent of total billed charges,45% of total billed charges,5.18,45,,4.14,percent of total billed charges,45% of total billed charges,4.4,11.36,
SPONGE KERLIX (TRAY),7530026,CDM,272,RC,,,OUTPATIENT,,,6,4.8,,5.7,95,,4.56,percent of total billed charges,95% of total billed charges,5.68,94.72,,4.54,percent of total billed charges,94.72% of total billed charges,5.93,98.79,,4.74,percent of total billed charges,98.79% of total billed charges,5.88,98,,4.7,percent of total billed charges,98% of total billed charges,5.88,98,,4.7,percent of total billed charges,98% of total billed charges,2.88,48,,2.3,percent of total billed charges,48% of total billed charges,2.7,45,,2.16,percent of total billed charges,45% of total billed charges,2.3,38.25,,1.84,percent of total billed charges,38.25% of total billed charges,2.7,45,,2.16,percent of total billed charges,45% of total billed charges,2.7,45,,2.16,percent of total billed charges,45% of total billed charges,2.3,5.93,
SURGICEL HEMASTAT 2 X 14,7530028,CDM,272,RC,,,OUTPATIENT,,,87.5,70,,83.13,95,,66.5,percent of total billed charges,95% of total billed charges,82.88,94.72,,66.3,percent of total billed charges,94.72% of total billed charges,86.44,98.79,,69.15,percent of total billed charges,98.79% of total billed charges,85.75,98,,68.6,percent of total billed charges,98% of total billed charges,85.75,98,,68.6,percent of total billed charges,98% of total billed charges,42,48,,33.6,percent of total billed charges,48% of total billed charges,39.38,45,,31.5,percent of total billed charges,45% of total billed charges,33.47,38.25,,26.78,percent of total billed charges,38.25% of total billed charges,39.38,45,,31.5,percent of total billed charges,45% of total billed charges,39.38,45,,31.5,percent of total billed charges,45% of total billed charges,33.47,86.44,
DRESSING TEGADERM IV 2.75 X 3.25,7530034,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
DRESSING MAXORB EXTRA AG,7530037,CDM,272,RC,,,OUTPATIENT,,,36,28.8,,34.2,95,,27.36,percent of total billed charges,95% of total billed charges,34.1,94.72,,27.28,percent of total billed charges,94.72% of total billed charges,35.56,98.79,,28.45,percent of total billed charges,98.79% of total billed charges,35.28,98,,28.22,percent of total billed charges,98% of total billed charges,35.28,98,,28.22,percent of total billed charges,98% of total billed charges,17.28,48,,13.82,percent of total billed charges,48% of total billed charges,16.2,45,,12.96,percent of total billed charges,45% of total billed charges,13.77,38.25,,11.02,percent of total billed charges,38.25% of total billed charges,16.2,45,,12.96,percent of total billed charges,45% of total billed charges,16.2,45,,12.96,percent of total billed charges,45% of total billed charges,13.77,35.56,
BANDAGE COBAN 2 LF,7530039,CDM,272,RC,,,OUTPATIENT,,,4,3.2,,3.8,95,,3.04,percent of total billed charges,95% of total billed charges,3.79,94.72,,3.03,percent of total billed charges,94.72% of total billed charges,3.95,98.79,,3.16,percent of total billed charges,98.79% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,1.92,48,,1.54,percent of total billed charges,48% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,38.25,,1.22,percent of total billed charges,38.25% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,3.95,
BANDAGE COBAN STERILE 4,7530045,CDM,272,RC,,,OUTPATIENT,,,10.25,8.2,,9.74,95,,7.79,percent of total billed charges,95% of total billed charges,9.71,94.72,,7.77,percent of total billed charges,94.72% of total billed charges,10.13,98.79,,8.1,percent of total billed charges,98.79% of total billed charges,10.05,98,,8.04,percent of total billed charges,98% of total billed charges,10.05,98,,8.04,percent of total billed charges,98% of total billed charges,4.92,48,,3.94,percent of total billed charges,48% of total billed charges,4.61,45,,3.69,percent of total billed charges,45% of total billed charges,3.92,38.25,,3.14,percent of total billed charges,38.25% of total billed charges,4.61,45,,3.69,percent of total billed charges,45% of total billed charges,4.61,45,,3.69,percent of total billed charges,45% of total billed charges,3.92,10.13,
BANDAGE ESMARK 4  STERILE,7530046,CDM,272,RC,,,OUTPATIENT,,,9.75,7.8,,9.26,95,,7.41,percent of total billed charges,95% of total billed charges,9.24,94.72,,7.39,percent of total billed charges,94.72% of total billed charges,9.63,98.79,,7.7,percent of total billed charges,98.79% of total billed charges,9.56,98,,7.65,percent of total billed charges,98% of total billed charges,9.56,98,,7.65,percent of total billed charges,98% of total billed charges,4.68,48,,3.74,percent of total billed charges,48% of total billed charges,4.39,45,,3.51,percent of total billed charges,45% of total billed charges,3.73,38.25,,2.98,percent of total billed charges,38.25% of total billed charges,4.39,45,,3.51,percent of total billed charges,45% of total billed charges,4.39,45,,3.51,percent of total billed charges,45% of total billed charges,3.73,9.63,
BANDAGE ESMARK 6  STERILE,7530047,CDM,272,RC,,,OUTPATIENT,,,21.75,17.4,,20.66,95,,16.53,percent of total billed charges,95% of total billed charges,20.6,94.72,,16.48,percent of total billed charges,94.72% of total billed charges,21.49,98.79,,17.19,percent of total billed charges,98.79% of total billed charges,21.32,98,,17.06,percent of total billed charges,98% of total billed charges,21.32,98,,17.06,percent of total billed charges,98% of total billed charges,10.44,48,,8.35,percent of total billed charges,48% of total billed charges,9.79,45,,7.83,percent of total billed charges,45% of total billed charges,8.32,38.25,,6.66,percent of total billed charges,38.25% of total billed charges,9.79,45,,7.83,percent of total billed charges,45% of total billed charges,9.79,45,,7.83,percent of total billed charges,45% of total billed charges,8.32,21.49,
DRESSING PETROLEUM GAUZE 1 X 36,7530048,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
SPONGE TONSIL SMALL,7530053,CDM,272,RC,,,OUTPATIENT,,,12.75,10.2,,12.11,95,,9.69,percent of total billed charges,95% of total billed charges,12.08,94.72,,9.66,percent of total billed charges,94.72% of total billed charges,12.6,98.79,,10.08,percent of total billed charges,98.79% of total billed charges,12.5,98,,10,percent of total billed charges,98% of total billed charges,12.5,98,,10,percent of total billed charges,98% of total billed charges,6.12,48,,4.9,percent of total billed charges,48% of total billed charges,5.74,45,,4.59,percent of total billed charges,45% of total billed charges,4.88,38.25,,3.9,percent of total billed charges,38.25% of total billed charges,5.74,45,,4.59,percent of total billed charges,45% of total billed charges,5.74,45,,4.59,percent of total billed charges,45% of total billed charges,4.88,12.6,
DRESSING SPLIT DRAIN SPONGE,7530055,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
Dressing Split Drain Sponge,7530055,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
DRESSING DERMAGEL HYDROGEL,7530057,CDM,272,RC,,,OUTPATIENT,,,13,10.4,,12.35,95,,9.88,percent of total billed charges,95% of total billed charges,12.31,94.72,,9.85,percent of total billed charges,94.72% of total billed charges,12.84,98.79,,10.27,percent of total billed charges,98.79% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,6.24,48,,4.99,percent of total billed charges,48% of total billed charges,5.85,45,,4.68,percent of total billed charges,45% of total billed charges,4.97,38.25,,3.98,percent of total billed charges,38.25% of total billed charges,5.85,45,,4.68,percent of total billed charges,45% of total billed charges,5.85,45,,4.68,percent of total billed charges,45% of total billed charges,4.97,12.84,
DRESSING EXUDERM ODOR SHIELD,7530058,CDM,272,RC,,,OUTPATIENT,,,23,18.4,,21.85,95,,17.48,percent of total billed charges,95% of total billed charges,21.79,94.72,,17.43,percent of total billed charges,94.72% of total billed charges,22.72,98.79,,18.18,percent of total billed charges,98.79% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,11.04,48,,8.83,percent of total billed charges,48% of total billed charges,10.35,45,,8.28,percent of total billed charges,45% of total billed charges,8.8,38.25,,7.04,percent of total billed charges,38.25% of total billed charges,10.35,45,,8.28,percent of total billed charges,45% of total billed charges,10.35,45,,8.28,percent of total billed charges,45% of total billed charges,8.8,22.72,
SPONGE KERLIX PACKING,7530064,CDM,272,RC,,,OUTPATIENT,,,12.25,9.8,,11.64,95,,9.31,percent of total billed charges,95% of total billed charges,11.6,94.72,,9.28,percent of total billed charges,94.72% of total billed charges,12.1,98.79,,9.68,percent of total billed charges,98.79% of total billed charges,12.01,98,,9.61,percent of total billed charges,98% of total billed charges,12.01,98,,9.61,percent of total billed charges,98% of total billed charges,5.88,48,,4.7,percent of total billed charges,48% of total billed charges,5.51,45,,4.41,percent of total billed charges,45% of total billed charges,4.69,38.25,,3.75,percent of total billed charges,38.25% of total billed charges,5.51,45,,4.41,percent of total billed charges,45% of total billed charges,5.51,45,,4.41,percent of total billed charges,45% of total billed charges,4.69,12.1,
SPONGE GELATIN SURGIFOAM,7530066,CDM,272,RC,,,OUTPATIENT,,,39.25,31.4,,37.29,95,,29.83,percent of total billed charges,95% of total billed charges,37.18,94.72,,29.74,percent of total billed charges,94.72% of total billed charges,38.78,98.79,,31.02,percent of total billed charges,98.79% of total billed charges,38.47,98,,30.78,percent of total billed charges,98% of total billed charges,38.47,98,,30.78,percent of total billed charges,98% of total billed charges,18.84,48,,15.07,percent of total billed charges,48% of total billed charges,17.66,45,,14.13,percent of total billed charges,45% of total billed charges,15.01,38.25,,12.01,percent of total billed charges,38.25% of total billed charges,17.66,45,,14.13,percent of total billed charges,45% of total billed charges,17.66,45,,14.13,percent of total billed charges,45% of total billed charges,15.01,38.78,
GAUZE BORDERED 6X6,7530070,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
XEROFORM 1 X 8,7530073,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
XEROFORM 5 X 9,7530074,CDM,272,RC,,,OUTPATIENT,,,4.5,3.6,,4.28,95,,3.42,percent of total billed charges,95% of total billed charges,4.26,94.72,,3.41,percent of total billed charges,94.72% of total billed charges,4.45,98.79,,3.56,percent of total billed charges,98.79% of total billed charges,4.41,98,,3.53,percent of total billed charges,98% of total billed charges,4.41,98,,3.53,percent of total billed charges,98% of total billed charges,2.16,48,,1.73,percent of total billed charges,48% of total billed charges,2.03,45,,1.62,percent of total billed charges,45% of total billed charges,1.72,38.25,,1.38,percent of total billed charges,38.25% of total billed charges,2.03,45,,1.62,percent of total billed charges,45% of total billed charges,2.03,45,,1.62,percent of total billed charges,45% of total billed charges,1.72,4.45,
GAUZE BORDERED 2X2,7530075,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
GAUZE KLING 2 STERILE,7530076,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
GAUZE KLING 3 STERILE,7530077,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
GAUZE KLING 4 STERILE,7530078,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
SPONGE TONSIL LARGE,7530079,CDM,272,RC,,,OUTPATIENT,,,18.25,14.6,,17.34,95,,13.87,percent of total billed charges,95% of total billed charges,17.29,94.72,,13.83,percent of total billed charges,94.72% of total billed charges,18.03,98.79,,14.42,percent of total billed charges,98.79% of total billed charges,17.89,98,,14.31,percent of total billed charges,98% of total billed charges,17.89,98,,14.31,percent of total billed charges,98% of total billed charges,8.76,48,,7.01,percent of total billed charges,48% of total billed charges,8.21,45,,6.57,percent of total billed charges,45% of total billed charges,6.98,38.25,,5.58,percent of total billed charges,38.25% of total billed charges,8.21,45,,6.57,percent of total billed charges,45% of total billed charges,8.21,45,,6.57,percent of total billed charges,45% of total billed charges,6.98,18.03,
DRESSING TEGADERM 2.5 X 2.75,7530082,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
Tegaderm,7530082,CDM,272,RC,,,OUTPATIENT,,,4,3.2,,3.8,95,,3.04,percent of total billed charges,95% of total billed charges,3.79,94.72,,3.03,percent of total billed charges,94.72% of total billed charges,3.95,98.79,,3.16,percent of total billed charges,98.79% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,1.92,48,,1.54,percent of total billed charges,48% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,38.25,,1.22,percent of total billed charges,38.25% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,3.95,
DRESSING TEGADERM 4 X 4.75,7530083,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
DRESSING TEGADERM 6 X 8,7530084,CDM,272,RC,,,OUTPATIENT,,,5.25,4.2,,4.99,95,,3.99,percent of total billed charges,95% of total billed charges,4.97,94.72,,3.98,percent of total billed charges,94.72% of total billed charges,5.19,98.79,,4.15,percent of total billed charges,98.79% of total billed charges,5.15,98,,4.12,percent of total billed charges,98% of total billed charges,5.15,98,,4.12,percent of total billed charges,98% of total billed charges,2.52,48,,2.02,percent of total billed charges,48% of total billed charges,2.36,45,,1.89,percent of total billed charges,45% of total billed charges,2.01,38.25,,1.61,percent of total billed charges,38.25% of total billed charges,2.36,45,,1.89,percent of total billed charges,45% of total billed charges,2.36,45,,1.89,percent of total billed charges,45% of total billed charges,2.01,5.19,
KERLIX ROLL 4 1/2 GAUZE BANDAGE,7530085,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
DRESSING ISLAND ADHESIVE 2 X 3-3/4,7530093,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
DRESSING ISLAND ADHESIVE 4 X 5,7530094,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
DRESSING ISLAND ADH. 4 X 8,7530095,CDM,272,RC,,,OUTPATIENT,,,13.75,11,,13.06,95,,10.45,percent of total billed charges,95% of total billed charges,13.02,94.72,,10.42,percent of total billed charges,94.72% of total billed charges,13.58,98.79,,10.86,percent of total billed charges,98.79% of total billed charges,13.48,98,,10.78,percent of total billed charges,98% of total billed charges,13.48,98,,10.78,percent of total billed charges,98% of total billed charges,6.6,48,,5.28,percent of total billed charges,48% of total billed charges,6.19,45,,4.95,percent of total billed charges,45% of total billed charges,5.26,38.25,,4.21,percent of total billed charges,38.25% of total billed charges,6.19,45,,4.95,percent of total billed charges,45% of total billed charges,6.19,45,,4.95,percent of total billed charges,45% of total billed charges,5.26,13.58,
DRESSING ISLAND ADH. 4 X 14,7530096,CDM,272,RC,,,OUTPATIENT,,,11.75,9.4,,11.16,95,,8.93,percent of total billed charges,95% of total billed charges,11.13,94.72,,8.9,percent of total billed charges,94.72% of total billed charges,11.61,98.79,,9.29,percent of total billed charges,98.79% of total billed charges,11.52,98,,9.22,percent of total billed charges,98% of total billed charges,11.52,98,,9.22,percent of total billed charges,98% of total billed charges,5.64,48,,4.51,percent of total billed charges,48% of total billed charges,5.29,45,,4.23,percent of total billed charges,45% of total billed charges,4.49,38.25,,3.59,percent of total billed charges,38.25% of total billed charges,5.29,45,,4.23,percent of total billed charges,45% of total billed charges,5.29,45,,4.23,percent of total billed charges,45% of total billed charges,4.49,11.61,
DRESSING TELFA PAD 2 X 3 (SMALL),7530097,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
Telfa pad 2x3,7530097,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
DRESSING TELFA PAD 3 X 8 (LARGE),7530098,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
Telfa pad 3x8,7530098,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
POWDER WOUND DRESSING PURACOL,7530113,CDM,272,RC,,,OUTPATIENT,,,66.5,53.2,,63.18,95,,50.54,percent of total billed charges,95% of total billed charges,62.99,94.72,,50.39,percent of total billed charges,94.72% of total billed charges,65.7,98.79,,52.56,percent of total billed charges,98.79% of total billed charges,65.17,98,,52.14,percent of total billed charges,98% of total billed charges,65.17,98,,52.14,percent of total billed charges,98% of total billed charges,31.92,48,,25.54,percent of total billed charges,48% of total billed charges,29.93,45,,23.94,percent of total billed charges,45% of total billed charges,25.44,38.25,,20.35,percent of total billed charges,38.25% of total billed charges,29.93,45,,23.94,percent of total billed charges,45% of total billed charges,29.93,45,,23.94,percent of total billed charges,45% of total billed charges,25.44,65.7,
DRESSING OPTIFOAM AG+ 3-1/2 X 14,7530122,CDM,272,RC,,,OUTPATIENT,,,78,62.4,,74.1,95,,59.28,percent of total billed charges,95% of total billed charges,73.88,94.72,,59.1,percent of total billed charges,94.72% of total billed charges,77.06,98.79,,61.65,percent of total billed charges,98.79% of total billed charges,76.44,98,,61.15,percent of total billed charges,98% of total billed charges,76.44,98,,61.15,percent of total billed charges,98% of total billed charges,37.44,48,,29.95,percent of total billed charges,48% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,29.84,38.25,,23.87,percent of total billed charges,38.25% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,29.84,77.06,
DRESSING OPTIFOAM AG+ 3-1/2 X 10,7530123,CDM,272,RC,,,OUTPATIENT,,,66.75,53.4,,63.41,95,,50.73,percent of total billed charges,95% of total billed charges,63.23,94.72,,50.58,percent of total billed charges,94.72% of total billed charges,65.94,98.79,,52.75,percent of total billed charges,98.79% of total billed charges,65.42,98,,52.34,percent of total billed charges,98% of total billed charges,65.42,98,,52.34,percent of total billed charges,98% of total billed charges,32.04,48,,25.63,percent of total billed charges,48% of total billed charges,30.04,45,,24.03,percent of total billed charges,45% of total billed charges,25.53,38.25,,20.42,percent of total billed charges,38.25% of total billed charges,30.04,45,,24.03,percent of total billed charges,45% of total billed charges,30.04,45,,24.03,percent of total billed charges,45% of total billed charges,25.53,65.94,
DRESSING OPTIFOAM AG+ 3-1/2 X 6,7530124,CDM,272,RC,,,OUTPATIENT,,,63,50.4,,59.85,95,,47.88,percent of total billed charges,95% of total billed charges,59.67,94.72,,47.74,percent of total billed charges,94.72% of total billed charges,62.24,98.79,,49.79,percent of total billed charges,98.79% of total billed charges,61.74,98,,49.39,percent of total billed charges,98% of total billed charges,61.74,98,,49.39,percent of total billed charges,98% of total billed charges,30.24,48,,24.19,percent of total billed charges,48% of total billed charges,28.35,45,,22.68,percent of total billed charges,45% of total billed charges,24.1,38.25,,19.28,percent of total billed charges,38.25% of total billed charges,28.35,45,,22.68,percent of total billed charges,45% of total billed charges,28.35,45,,22.68,percent of total billed charges,45% of total billed charges,24.1,62.24,
CATHETER COUDE 20FR W/5CC BALLOON,7540001,CDM,272,RC,,,OUTPATIENT,,,30,24,,28.5,95,,22.8,percent of total billed charges,95% of total billed charges,28.42,94.72,,22.74,percent of total billed charges,94.72% of total billed charges,29.64,98.79,,23.71,percent of total billed charges,98.79% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,14.4,48,,11.52,percent of total billed charges,48% of total billed charges,13.5,45,,10.8,percent of total billed charges,45% of total billed charges,11.48,38.25,,9.18,percent of total billed charges,38.25% of total billed charges,13.5,45,,10.8,percent of total billed charges,45% of total billed charges,13.5,45,,10.8,percent of total billed charges,45% of total billed charges,11.48,29.64,
CATHETER COUDE 18FR W/5CC BALLOON,7540002,CDM,272,RC,,,OUTPATIENT,,,74.75,59.8,,71.01,95,,56.81,percent of total billed charges,95% of total billed charges,70.8,94.72,,56.64,percent of total billed charges,94.72% of total billed charges,73.85,98.79,,59.08,percent of total billed charges,98.79% of total billed charges,73.26,98,,58.61,percent of total billed charges,98% of total billed charges,73.26,98,,58.61,percent of total billed charges,98% of total billed charges,35.88,48,,28.7,percent of total billed charges,48% of total billed charges,33.64,45,,26.91,percent of total billed charges,45% of total billed charges,28.59,38.25,,22.87,percent of total billed charges,38.25% of total billed charges,33.64,45,,26.91,percent of total billed charges,45% of total billed charges,33.64,45,,26.91,percent of total billed charges,45% of total billed charges,28.59,73.85,
CATHETER COUDE 12FR W/5CC BALLOON,7540005,CDM,272,RC,,,OUTPATIENT,,,60.25,48.2,,57.24,95,,45.79,percent of total billed charges,95% of total billed charges,57.07,94.72,,45.66,percent of total billed charges,94.72% of total billed charges,59.52,98.79,,47.62,percent of total billed charges,98.79% of total billed charges,59.05,98,,47.24,percent of total billed charges,98% of total billed charges,59.05,98,,47.24,percent of total billed charges,98% of total billed charges,28.92,48,,23.14,percent of total billed charges,48% of total billed charges,27.11,45,,21.69,percent of total billed charges,45% of total billed charges,23.05,38.25,,18.44,percent of total billed charges,38.25% of total billed charges,27.11,45,,21.69,percent of total billed charges,45% of total billed charges,27.11,45,,21.69,percent of total billed charges,45% of total billed charges,23.05,59.52,
CATHETER COUDE 14FR W/5CC BALLOON,7540006,CDM,272,RC,,,OUTPATIENT,,,80.75,64.6,,76.71,95,,61.37,percent of total billed charges,95% of total billed charges,76.49,94.72,,61.19,percent of total billed charges,94.72% of total billed charges,79.77,98.79,,63.82,percent of total billed charges,98.79% of total billed charges,79.14,98,,63.31,percent of total billed charges,98% of total billed charges,79.14,98,,63.31,percent of total billed charges,98% of total billed charges,38.76,48,,31.01,percent of total billed charges,48% of total billed charges,36.34,45,,29.07,percent of total billed charges,45% of total billed charges,30.89,38.25,,24.71,percent of total billed charges,38.25% of total billed charges,36.34,45,,29.07,percent of total billed charges,45% of total billed charges,36.34,45,,29.07,percent of total billed charges,45% of total billed charges,30.89,79.77,
CATHETER COUDE 16FR W/5CC BALLOON,7540007,CDM,272,RC,,,OUTPATIENT,,,67.25,53.8,,63.89,95,,51.11,percent of total billed charges,95% of total billed charges,63.7,94.72,,50.96,percent of total billed charges,94.72% of total billed charges,66.44,98.79,,53.15,percent of total billed charges,98.79% of total billed charges,65.91,98,,52.73,percent of total billed charges,98% of total billed charges,65.91,98,,52.73,percent of total billed charges,98% of total billed charges,32.28,48,,25.82,percent of total billed charges,48% of total billed charges,30.26,45,,24.21,percent of total billed charges,45% of total billed charges,25.72,38.25,,20.58,percent of total billed charges,38.25% of total billed charges,30.26,45,,24.21,percent of total billed charges,45% of total billed charges,30.26,45,,24.21,percent of total billed charges,45% of total billed charges,25.72,66.44,
CATHETER PEDIATRIC 10FR 3CC,7540008,CDM,272,RC,,,OUTPATIENT,,,33.5,26.8,,31.83,95,,25.46,percent of total billed charges,95% of total billed charges,31.73,94.72,,25.38,percent of total billed charges,94.72% of total billed charges,33.09,98.79,,26.47,percent of total billed charges,98.79% of total billed charges,32.83,98,,26.26,percent of total billed charges,98% of total billed charges,32.83,98,,26.26,percent of total billed charges,98% of total billed charges,16.08,48,,12.86,percent of total billed charges,48% of total billed charges,15.08,45,,12.06,percent of total billed charges,45% of total billed charges,12.81,38.25,,10.25,percent of total billed charges,38.25% of total billed charges,15.08,45,,12.06,percent of total billed charges,45% of total billed charges,15.08,45,,12.06,percent of total billed charges,45% of total billed charges,12.81,33.09,
CATHETER 12FR 5CC,7540009,CDM,272,RC,,,OUTPATIENT,,,18.25,14.6,,17.34,95,,13.87,percent of total billed charges,95% of total billed charges,17.29,94.72,,13.83,percent of total billed charges,94.72% of total billed charges,18.03,98.79,,14.42,percent of total billed charges,98.79% of total billed charges,17.89,98,,14.31,percent of total billed charges,98% of total billed charges,17.89,98,,14.31,percent of total billed charges,98% of total billed charges,8.76,48,,7.01,percent of total billed charges,48% of total billed charges,8.21,45,,6.57,percent of total billed charges,45% of total billed charges,6.98,38.25,,5.58,percent of total billed charges,38.25% of total billed charges,8.21,45,,6.57,percent of total billed charges,45% of total billed charges,8.21,45,,6.57,percent of total billed charges,45% of total billed charges,6.98,18.03,
CATHETER 14FR 5CC,7540010,CDM,272,RC,,,OUTPATIENT,,,19,15.2,,18.05,95,,14.44,percent of total billed charges,95% of total billed charges,18,94.72,,14.4,percent of total billed charges,94.72% of total billed charges,18.77,98.79,,15.02,percent of total billed charges,98.79% of total billed charges,18.62,98,,14.9,percent of total billed charges,98% of total billed charges,18.62,98,,14.9,percent of total billed charges,98% of total billed charges,9.12,48,,7.3,percent of total billed charges,48% of total billed charges,8.55,45,,6.84,percent of total billed charges,45% of total billed charges,7.27,38.25,,5.82,percent of total billed charges,38.25% of total billed charges,8.55,45,,6.84,percent of total billed charges,45% of total billed charges,8.55,45,,6.84,percent of total billed charges,45% of total billed charges,7.27,18.77,
CATHETER 16FR 5CC/BAL LUBRICATH,7540011,CDM,272,RC,,,OUTPATIENT,,,18.25,14.6,,17.34,95,,13.87,percent of total billed charges,95% of total billed charges,17.29,94.72,,13.83,percent of total billed charges,94.72% of total billed charges,18.03,98.79,,14.42,percent of total billed charges,98.79% of total billed charges,17.89,98,,14.31,percent of total billed charges,98% of total billed charges,17.89,98,,14.31,percent of total billed charges,98% of total billed charges,8.76,48,,7.01,percent of total billed charges,48% of total billed charges,8.21,45,,6.57,percent of total billed charges,45% of total billed charges,6.98,38.25,,5.58,percent of total billed charges,38.25% of total billed charges,8.21,45,,6.57,percent of total billed charges,45% of total billed charges,8.21,45,,6.57,percent of total billed charges,45% of total billed charges,6.98,18.03,
CATHETER 18FR 5CC,7540012,CDM,272,RC,,,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,7.2,45,,5.76,percent of total billed charges,45% of total billed charges,6.12,38.25,,4.9,percent of total billed charges,38.25% of total billed charges,7.2,45,,5.76,percent of total billed charges,45% of total billed charges,7.2,45,,5.76,percent of total billed charges,45% of total billed charges,6.12,15.81,
CATHETER 16FR SILICONE,7540015,CDM,272,RC,,,OUTPATIENT,,,14.5,11.6,,13.78,95,,11.02,percent of total billed charges,95% of total billed charges,13.73,94.72,,10.98,percent of total billed charges,94.72% of total billed charges,14.32,98.79,,11.46,percent of total billed charges,98.79% of total billed charges,14.21,98,,11.37,percent of total billed charges,98% of total billed charges,14.21,98,,11.37,percent of total billed charges,98% of total billed charges,6.96,48,,5.57,percent of total billed charges,48% of total billed charges,6.53,45,,5.22,percent of total billed charges,45% of total billed charges,5.55,38.25,,4.44,percent of total billed charges,38.25% of total billed charges,6.53,45,,5.22,percent of total billed charges,45% of total billed charges,6.53,45,,5.22,percent of total billed charges,45% of total billed charges,5.55,14.32,
CATHETER FOLEY 26FR 5CC,7540016,CDM,272,RC,,,OUTPATIENT,,,49.75,39.8,,47.26,95,,37.81,percent of total billed charges,95% of total billed charges,47.12,94.72,,37.7,percent of total billed charges,94.72% of total billed charges,49.15,98.79,,39.32,percent of total billed charges,98.79% of total billed charges,48.76,98,,39.01,percent of total billed charges,98% of total billed charges,48.76,98,,39.01,percent of total billed charges,98% of total billed charges,23.88,48,,19.1,percent of total billed charges,48% of total billed charges,22.39,45,,17.91,percent of total billed charges,45% of total billed charges,19.03,38.25,,15.22,percent of total billed charges,38.25% of total billed charges,22.39,45,,17.91,percent of total billed charges,45% of total billed charges,22.39,45,,17.91,percent of total billed charges,45% of total billed charges,19.03,49.15,
CATHETER FOLEY 28FR 5CC,7540017,CDM,272,RC,,,OUTPATIENT,,,38.5,30.8,,36.58,95,,29.26,percent of total billed charges,95% of total billed charges,36.47,94.72,,29.18,percent of total billed charges,94.72% of total billed charges,38.03,98.79,,30.42,percent of total billed charges,98.79% of total billed charges,37.73,98,,30.18,percent of total billed charges,98% of total billed charges,37.73,98,,30.18,percent of total billed charges,98% of total billed charges,18.48,48,,14.78,percent of total billed charges,48% of total billed charges,17.33,45,,13.86,percent of total billed charges,45% of total billed charges,14.73,38.25,,11.78,percent of total billed charges,38.25% of total billed charges,17.33,45,,13.86,percent of total billed charges,45% of total billed charges,17.33,45,,13.86,percent of total billed charges,45% of total billed charges,14.73,38.03,
CATHETER FOLEY 30FR 5CC,7540018,CDM,272,RC,,,OUTPATIENT,,,38.5,30.8,,36.58,95,,29.26,percent of total billed charges,95% of total billed charges,36.47,94.72,,29.18,percent of total billed charges,94.72% of total billed charges,38.03,98.79,,30.42,percent of total billed charges,98.79% of total billed charges,37.73,98,,30.18,percent of total billed charges,98% of total billed charges,37.73,98,,30.18,percent of total billed charges,98% of total billed charges,18.48,48,,14.78,percent of total billed charges,48% of total billed charges,17.33,45,,13.86,percent of total billed charges,45% of total billed charges,14.73,38.25,,11.78,percent of total billed charges,38.25% of total billed charges,17.33,45,,13.86,percent of total billed charges,45% of total billed charges,17.33,45,,13.86,percent of total billed charges,45% of total billed charges,14.73,38.03,
CATHETER 22FR 10ML SILICONE,7540019,CDM,272,RC,,,OUTPATIENT,,,28.5,22.8,,27.08,95,,21.66,percent of total billed charges,95% of total billed charges,27,94.72,,21.6,percent of total billed charges,94.72% of total billed charges,28.16,98.79,,22.53,percent of total billed charges,98.79% of total billed charges,27.93,98,,22.34,percent of total billed charges,98% of total billed charges,27.93,98,,22.34,percent of total billed charges,98% of total billed charges,13.68,48,,10.94,percent of total billed charges,48% of total billed charges,12.83,45,,10.26,percent of total billed charges,45% of total billed charges,10.9,38.25,,8.72,percent of total billed charges,38.25% of total billed charges,12.83,45,,10.26,percent of total billed charges,45% of total billed charges,12.83,45,,10.26,percent of total billed charges,45% of total billed charges,10.9,28.16,
CATHETER COUDE 22FR W/5CC BALLOON,7540022,CDM,272,RC,,,OUTPATIENT,,,66.5,53.2,,63.18,95,,50.54,percent of total billed charges,95% of total billed charges,62.99,94.72,,50.39,percent of total billed charges,94.72% of total billed charges,65.7,98.79,,52.56,percent of total billed charges,98.79% of total billed charges,65.17,98,,52.14,percent of total billed charges,98% of total billed charges,65.17,98,,52.14,percent of total billed charges,98% of total billed charges,31.92,48,,25.54,percent of total billed charges,48% of total billed charges,29.93,45,,23.94,percent of total billed charges,45% of total billed charges,25.44,38.25,,20.35,percent of total billed charges,38.25% of total billed charges,29.93,45,,23.94,percent of total billed charges,45% of total billed charges,29.93,45,,23.94,percent of total billed charges,45% of total billed charges,25.44,65.7,
KIT CONTINUOUS NERVE BLOCK,7540034,CDM,272,RC,,,OUTPATIENT,,,122,97.6,,115.9,95,,92.72,percent of total billed charges,95% of total billed charges,115.56,94.72,,92.45,percent of total billed charges,94.72% of total billed charges,120.52,98.79,,96.42,percent of total billed charges,98.79% of total billed charges,119.56,98,,95.65,percent of total billed charges,98% of total billed charges,119.56,98,,95.65,percent of total billed charges,98% of total billed charges,58.56,48,,46.85,percent of total billed charges,48% of total billed charges,54.9,45,,43.92,percent of total billed charges,45% of total billed charges,46.67,38.25,,37.34,percent of total billed charges,38.25% of total billed charges,54.9,45,,43.92,percent of total billed charges,45% of total billed charges,54.9,45,,43.92,percent of total billed charges,45% of total billed charges,46.67,120.52,
CATHETER UMBILICAL VESSEL,7540035,CDM,272,RC,,,OUTPATIENT,,,52.5,42,,49.88,95,,39.9,percent of total billed charges,95% of total billed charges,49.73,94.72,,39.78,percent of total billed charges,94.72% of total billed charges,51.86,98.79,,41.49,percent of total billed charges,98.79% of total billed charges,51.45,98,,41.16,percent of total billed charges,98% of total billed charges,51.45,98,,41.16,percent of total billed charges,98% of total billed charges,25.2,48,,20.16,percent of total billed charges,48% of total billed charges,23.63,45,,18.9,percent of total billed charges,45% of total billed charges,20.08,38.25,,16.06,percent of total billed charges,38.25% of total billed charges,23.63,45,,18.9,percent of total billed charges,45% of total billed charges,23.63,45,,18.9,percent of total billed charges,45% of total billed charges,20.08,51.86,
CATHETER FOLEY 06FR 3CC,7540038,CDM,272,RC,,,OUTPATIENT,,,17.75,14.2,,16.86,95,,13.49,percent of total billed charges,95% of total billed charges,16.81,94.72,,13.45,percent of total billed charges,94.72% of total billed charges,17.54,98.79,,14.03,percent of total billed charges,98.79% of total billed charges,17.4,98,,13.92,percent of total billed charges,98% of total billed charges,17.4,98,,13.92,percent of total billed charges,98% of total billed charges,8.52,48,,6.82,percent of total billed charges,48% of total billed charges,7.99,45,,6.39,percent of total billed charges,45% of total billed charges,6.79,38.25,,5.43,percent of total billed charges,38.25% of total billed charges,7.99,45,,6.39,percent of total billed charges,45% of total billed charges,7.99,45,,6.39,percent of total billed charges,45% of total billed charges,6.79,17.54,
CATHETER 16FR FOLEY SILICONE 5CC/BAL,7540041,CDM,272,RC,,,OUTPATIENT,,,30.5,24.4,,28.98,95,,23.18,percent of total billed charges,95% of total billed charges,28.89,94.72,,23.11,percent of total billed charges,94.72% of total billed charges,30.13,98.79,,24.1,percent of total billed charges,98.79% of total billed charges,29.89,98,,23.91,percent of total billed charges,98% of total billed charges,29.89,98,,23.91,percent of total billed charges,98% of total billed charges,14.64,48,,11.71,percent of total billed charges,48% of total billed charges,13.73,45,,10.98,percent of total billed charges,45% of total billed charges,11.67,38.25,,9.34,percent of total billed charges,38.25% of total billed charges,13.73,45,,10.98,percent of total billed charges,45% of total billed charges,13.73,45,,10.98,percent of total billed charges,45% of total billed charges,11.67,30.13,
CATHETER URETHRAL RED RUBBER LATEX 10FR,7540042,CDM,272,RC,,,OUTPATIENT,,,15.75,12.6,,14.96,95,,11.97,percent of total billed charges,95% of total billed charges,14.92,94.72,,11.94,percent of total billed charges,94.72% of total billed charges,15.56,98.79,,12.45,percent of total billed charges,98.79% of total billed charges,15.44,98,,12.35,percent of total billed charges,98% of total billed charges,15.44,98,,12.35,percent of total billed charges,98% of total billed charges,7.56,48,,6.05,percent of total billed charges,48% of total billed charges,7.09,45,,5.67,percent of total billed charges,45% of total billed charges,6.02,38.25,,4.82,percent of total billed charges,38.25% of total billed charges,7.09,45,,5.67,percent of total billed charges,45% of total billed charges,7.09,45,,5.67,percent of total billed charges,45% of total billed charges,6.02,15.56,
TUBE SUMP 14FR SALEM,7540043,CDM,272,RC,,,OUTPATIENT,,,7.5,6,,7.13,95,,5.7,percent of total billed charges,95% of total billed charges,7.1,94.72,,5.68,percent of total billed charges,94.72% of total billed charges,7.41,98.79,,5.93,percent of total billed charges,98.79% of total billed charges,7.35,98,,5.88,percent of total billed charges,98% of total billed charges,7.35,98,,5.88,percent of total billed charges,98% of total billed charges,3.6,48,,2.88,percent of total billed charges,48% of total billed charges,3.38,45,,2.7,percent of total billed charges,45% of total billed charges,2.87,38.25,,2.3,percent of total billed charges,38.25% of total billed charges,3.38,45,,2.7,percent of total billed charges,45% of total billed charges,3.38,45,,2.7,percent of total billed charges,45% of total billed charges,2.87,7.41,
TUBE SUMP 16FR SALEM,7540044,CDM,272,RC,,,OUTPATIENT,,,7.25,5.8,,6.89,95,,5.51,percent of total billed charges,95% of total billed charges,6.87,94.72,,5.5,percent of total billed charges,94.72% of total billed charges,7.16,98.79,,5.73,percent of total billed charges,98.79% of total billed charges,7.11,98,,5.69,percent of total billed charges,98% of total billed charges,7.11,98,,5.69,percent of total billed charges,98% of total billed charges,3.48,48,,2.78,percent of total billed charges,48% of total billed charges,3.26,45,,2.61,percent of total billed charges,45% of total billed charges,2.77,38.25,,2.22,percent of total billed charges,38.25% of total billed charges,3.26,45,,2.61,percent of total billed charges,45% of total billed charges,3.26,45,,2.61,percent of total billed charges,45% of total billed charges,2.77,7.16,
TUBE SUMP 18FR SALEM,7540045,CDM,272,RC,,,OUTPATIENT,,,7,5.6,,6.65,95,,5.32,percent of total billed charges,95% of total billed charges,6.63,94.72,,5.3,percent of total billed charges,94.72% of total billed charges,6.92,98.79,,5.54,percent of total billed charges,98.79% of total billed charges,6.86,98,,5.49,percent of total billed charges,98% of total billed charges,6.86,98,,5.49,percent of total billed charges,98% of total billed charges,3.36,48,,2.69,percent of total billed charges,48% of total billed charges,3.15,45,,2.52,percent of total billed charges,45% of total billed charges,2.68,38.25,,2.14,percent of total billed charges,38.25% of total billed charges,3.15,45,,2.52,percent of total billed charges,45% of total billed charges,3.15,45,,2.52,percent of total billed charges,45% of total billed charges,2.68,6.92,
TUBE SUMP 12FR SALEM,7540046,CDM,272,RC,,,OUTPATIENT,,,9.75,7.8,,9.26,95,,7.41,percent of total billed charges,95% of total billed charges,9.24,94.72,,7.39,percent of total billed charges,94.72% of total billed charges,9.63,98.79,,7.7,percent of total billed charges,98.79% of total billed charges,9.56,98,,7.65,percent of total billed charges,98% of total billed charges,9.56,98,,7.65,percent of total billed charges,98% of total billed charges,4.68,48,,3.74,percent of total billed charges,48% of total billed charges,4.39,45,,3.51,percent of total billed charges,45% of total billed charges,3.73,38.25,,2.98,percent of total billed charges,38.25% of total billed charges,4.39,45,,3.51,percent of total billed charges,45% of total billed charges,4.39,45,,3.51,percent of total billed charges,45% of total billed charges,3.73,9.63,
CATHETER 18FR FOLEY SILICONE 5CC/BAL,7540047,CDM,272,RC,,,OUTPATIENT,,,30,24,,28.5,95,,22.8,percent of total billed charges,95% of total billed charges,28.42,94.72,,22.74,percent of total billed charges,94.72% of total billed charges,29.64,98.79,,23.71,percent of total billed charges,98.79% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,14.4,48,,11.52,percent of total billed charges,48% of total billed charges,13.5,45,,10.8,percent of total billed charges,45% of total billed charges,11.48,38.25,,9.18,percent of total billed charges,38.25% of total billed charges,13.5,45,,10.8,percent of total billed charges,45% of total billed charges,13.5,45,,10.8,percent of total billed charges,45% of total billed charges,11.48,29.64,
TUBE YANKAUER SUCTION,7540048,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
TUBE FEEDING 8FR X 16 (rarely use only keep 1),7540049,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
TUBE WEIGHTED DOBBHOFF N/G 8FR,7540050,CDM,272,RC,,,OUTPATIENT,,,57,45.6,,54.15,95,,43.32,percent of total billed charges,95% of total billed charges,53.99,94.72,,43.19,percent of total billed charges,94.72% of total billed charges,56.31,98.79,,45.05,percent of total billed charges,98.79% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,27.36,48,,21.89,percent of total billed charges,48% of total billed charges,25.65,45,,20.52,percent of total billed charges,45% of total billed charges,21.8,38.25,,17.44,percent of total billed charges,38.25% of total billed charges,25.65,45,,20.52,percent of total billed charges,45% of total billed charges,25.65,45,,20.52,percent of total billed charges,45% of total billed charges,21.8,56.31,
TUBE SUMP 10FR SALEM,7540053,CDM,272,RC,,,OUTPATIENT,,,4,3.2,,3.8,95,,3.04,percent of total billed charges,95% of total billed charges,3.79,94.72,,3.03,percent of total billed charges,94.72% of total billed charges,3.95,98.79,,3.16,percent of total billed charges,98.79% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,1.92,48,,1.54,percent of total billed charges,48% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,38.25,,1.22,percent of total billed charges,38.25% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,3.95,
TUBE STOMACH EVACUATOR 22FR,7540057,CDM,272,RC,,,OUTPATIENT,,,60.5,48.4,,57.48,95,,45.98,percent of total billed charges,95% of total billed charges,57.31,94.72,,45.85,percent of total billed charges,94.72% of total billed charges,59.77,98.79,,47.82,percent of total billed charges,98.79% of total billed charges,59.29,98,,47.43,percent of total billed charges,98% of total billed charges,59.29,98,,47.43,percent of total billed charges,98% of total billed charges,29.04,48,,23.23,percent of total billed charges,48% of total billed charges,27.23,45,,21.78,percent of total billed charges,45% of total billed charges,23.14,38.25,,18.51,percent of total billed charges,38.25% of total billed charges,27.23,45,,21.78,percent of total billed charges,45% of total billed charges,27.23,45,,21.78,percent of total billed charges,45% of total billed charges,23.14,59.77,
CATHETER 18FR FOLEY 5CC BAL SIL/COATED,7540058,CDM,272,RC,,,OUTPATIENT,,,17,13.6,,16.15,95,,12.92,percent of total billed charges,95% of total billed charges,16.1,94.72,,12.88,percent of total billed charges,94.72% of total billed charges,16.79,98.79,,13.43,percent of total billed charges,98.79% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,8.16,48,,6.53,percent of total billed charges,48% of total billed charges,7.65,45,,6.12,percent of total billed charges,45% of total billed charges,6.5,38.25,,5.2,percent of total billed charges,38.25% of total billed charges,7.65,45,,6.12,percent of total billed charges,45% of total billed charges,7.65,45,,6.12,percent of total billed charges,45% of total billed charges,6.5,16.79,
TUBE DOBBHOFF NG 12FR X 43,7540059,CDM,272,RC,,,OUTPATIENT,,,41.75,33.4,,39.66,95,,31.73,percent of total billed charges,95% of total billed charges,39.55,94.72,,31.64,percent of total billed charges,94.72% of total billed charges,41.24,98.79,,32.99,percent of total billed charges,98.79% of total billed charges,40.92,98,,32.74,percent of total billed charges,98% of total billed charges,40.92,98,,32.74,percent of total billed charges,98% of total billed charges,20.04,48,,16.03,percent of total billed charges,48% of total billed charges,18.79,45,,15.03,percent of total billed charges,45% of total billed charges,15.97,38.25,,12.78,percent of total billed charges,38.25% of total billed charges,18.79,45,,15.03,percent of total billed charges,45% of total billed charges,18.79,45,,15.03,percent of total billed charges,45% of total billed charges,15.97,41.24,
TUBE SUCTION 10 FT,7540060,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
TUBE STOMACH EVACUATOR 32FR,7540061,CDM,272,RC,,,OUTPATIENT,,,60.5,48.4,,57.48,95,,45.98,percent of total billed charges,95% of total billed charges,57.31,94.72,,45.85,percent of total billed charges,94.72% of total billed charges,59.77,98.79,,47.82,percent of total billed charges,98.79% of total billed charges,59.29,98,,47.43,percent of total billed charges,98% of total billed charges,59.29,98,,47.43,percent of total billed charges,98% of total billed charges,29.04,48,,23.23,percent of total billed charges,48% of total billed charges,27.23,45,,21.78,percent of total billed charges,45% of total billed charges,23.14,38.25,,18.51,percent of total billed charges,38.25% of total billed charges,27.23,45,,21.78,percent of total billed charges,45% of total billed charges,27.23,45,,21.78,percent of total billed charges,45% of total billed charges,23.14,59.77,
CATHETER PNEUMOTHORAX SET,7540063,CDM,272,RC,,,OUTPATIENT,,,244.25,195.4,,232.04,95,,185.63,percent of total billed charges,95% of total billed charges,231.35,94.72,,185.08,percent of total billed charges,94.72% of total billed charges,241.29,98.79,,193.03,percent of total billed charges,98.79% of total billed charges,239.37,98,,191.5,percent of total billed charges,98% of total billed charges,239.37,98,,191.5,percent of total billed charges,98% of total billed charges,117.24,48,,93.79,percent of total billed charges,48% of total billed charges,109.91,45,,87.93,percent of total billed charges,45% of total billed charges,93.43,38.25,,74.74,percent of total billed charges,38.25% of total billed charges,109.91,45,,87.93,percent of total billed charges,45% of total billed charges,109.91,45,,87.93,percent of total billed charges,45% of total billed charges,93.43,241.29,
CATHETER 16FR FOLEY 5CC BAL SIL/COATED,7540064,CDM,272,RC,,,OUTPATIENT,,,27.25,21.8,,25.89,95,,20.71,percent of total billed charges,95% of total billed charges,25.81,94.72,,20.65,percent of total billed charges,94.72% of total billed charges,26.92,98.79,,21.54,percent of total billed charges,98.79% of total billed charges,26.71,98,,21.37,percent of total billed charges,98% of total billed charges,26.71,98,,21.37,percent of total billed charges,98% of total billed charges,13.08,48,,10.46,percent of total billed charges,48% of total billed charges,12.26,45,,9.81,percent of total billed charges,45% of total billed charges,10.42,38.25,,8.34,percent of total billed charges,38.25% of total billed charges,12.26,45,,9.81,percent of total billed charges,45% of total billed charges,12.26,45,,9.81,percent of total billed charges,45% of total billed charges,10.42,26.92,
TUBE PEG-14 BALLOON REPLACEMENT,7540067,CDM,272,RC,,,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,54,45,,43.2,percent of total billed charges,45% of total billed charges,45.9,38.25,,36.72,percent of total billed charges,38.25% of total billed charges,54,45,,43.2,percent of total billed charges,45% of total billed charges,54,45,,43.2,percent of total billed charges,45% of total billed charges,45.9,118.55,
TUBE PEG-20 BALLOON REPLACEMENT,7540069,CDM,272,RC,,,OUTPATIENT,,,111,88.8,,105.45,95,,84.36,percent of total billed charges,95% of total billed charges,105.14,94.72,,84.11,percent of total billed charges,94.72% of total billed charges,109.66,98.79,,87.73,percent of total billed charges,98.79% of total billed charges,108.78,98,,87.02,percent of total billed charges,98% of total billed charges,108.78,98,,87.02,percent of total billed charges,98% of total billed charges,53.28,48,,42.62,percent of total billed charges,48% of total billed charges,49.95,45,,39.96,percent of total billed charges,45% of total billed charges,42.46,38.25,,33.97,percent of total billed charges,38.25% of total billed charges,49.95,45,,39.96,percent of total billed charges,45% of total billed charges,49.95,45,,39.96,percent of total billed charges,45% of total billed charges,42.46,109.66,
TUBE PEG-24 BALLOON REPLACEMENT,7540070,CDM,272,RC,,,OUTPATIENT,,,111,88.8,,105.45,95,,84.36,percent of total billed charges,95% of total billed charges,105.14,94.72,,84.11,percent of total billed charges,94.72% of total billed charges,109.66,98.79,,87.73,percent of total billed charges,98.79% of total billed charges,108.78,98,,87.02,percent of total billed charges,98% of total billed charges,108.78,98,,87.02,percent of total billed charges,98% of total billed charges,53.28,48,,42.62,percent of total billed charges,48% of total billed charges,49.95,45,,39.96,percent of total billed charges,45% of total billed charges,42.46,38.25,,33.97,percent of total billed charges,38.25% of total billed charges,49.95,45,,39.96,percent of total billed charges,45% of total billed charges,49.95,45,,39.96,percent of total billed charges,45% of total billed charges,42.46,109.66,
TUBE PEG-18 BALLOON REPLACEMENT,7540071,CDM,272,RC,,,OUTPATIENT,,,111,88.8,,105.45,95,,84.36,percent of total billed charges,95% of total billed charges,105.14,94.72,,84.11,percent of total billed charges,94.72% of total billed charges,109.66,98.79,,87.73,percent of total billed charges,98.79% of total billed charges,108.78,98,,87.02,percent of total billed charges,98% of total billed charges,108.78,98,,87.02,percent of total billed charges,98% of total billed charges,53.28,48,,42.62,percent of total billed charges,48% of total billed charges,49.95,45,,39.96,percent of total billed charges,45% of total billed charges,42.46,38.25,,33.97,percent of total billed charges,38.25% of total billed charges,49.95,45,,39.96,percent of total billed charges,45% of total billed charges,49.95,45,,39.96,percent of total billed charges,45% of total billed charges,42.46,109.66,
INTRODUCER KIT MICRO 5FR,7540075,CDM,272,RC,,,OUTPATIENT,,,184.5,147.6,,175.28,95,,140.22,percent of total billed charges,95% of total billed charges,174.76,94.72,,139.81,percent of total billed charges,94.72% of total billed charges,182.27,98.79,,145.82,percent of total billed charges,98.79% of total billed charges,180.81,98,,144.65,percent of total billed charges,98% of total billed charges,180.81,98,,144.65,percent of total billed charges,98% of total billed charges,88.56,48,,70.85,percent of total billed charges,48% of total billed charges,83.03,45,,66.42,percent of total billed charges,45% of total billed charges,70.57,38.25,,56.46,percent of total billed charges,38.25% of total billed charges,83.03,45,,66.42,percent of total billed charges,45% of total billed charges,83.03,45,,66.42,percent of total billed charges,45% of total billed charges,70.57,182.27,
CATHETER 20FR 30CC BALLOON,7540077,CDM,272,RC,,,OUTPATIENT,,,41.75,33.4,,39.66,95,,31.73,percent of total billed charges,95% of total billed charges,39.55,94.72,,31.64,percent of total billed charges,94.72% of total billed charges,41.24,98.79,,32.99,percent of total billed charges,98.79% of total billed charges,40.92,98,,32.74,percent of total billed charges,98% of total billed charges,40.92,98,,32.74,percent of total billed charges,98% of total billed charges,20.04,48,,16.03,percent of total billed charges,48% of total billed charges,18.79,45,,15.03,percent of total billed charges,45% of total billed charges,15.97,38.25,,12.78,percent of total billed charges,38.25% of total billed charges,18.79,45,,15.03,percent of total billed charges,45% of total billed charges,18.79,45,,15.03,percent of total billed charges,45% of total billed charges,15.97,41.24,
INTRODUCER KIT 8FR PTFE,7540078,CDM,272,RC,,,OUTPATIENT,,,81,64.8,,76.95,95,,61.56,percent of total billed charges,95% of total billed charges,76.72,94.72,,61.38,percent of total billed charges,94.72% of total billed charges,80.02,98.79,,64.02,percent of total billed charges,98.79% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,38.88,48,,31.1,percent of total billed charges,48% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,38.25,,24.78,percent of total billed charges,38.25% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,80.02,
CATHETER GROSHONG 08FR SINGLE LUMEN,7540080,CDM,272,RC,,,OUTPATIENT,,,794.75,635.8,,755.01,95,,604.01,percent of total billed charges,95% of total billed charges,752.79,94.72,,602.23,percent of total billed charges,94.72% of total billed charges,785.13,98.79,,628.1,percent of total billed charges,98.79% of total billed charges,778.86,98,,623.09,percent of total billed charges,98% of total billed charges,778.86,98,,623.09,percent of total billed charges,98% of total billed charges,381.48,48,,305.18,percent of total billed charges,48% of total billed charges,357.64,45,,286.11,percent of total billed charges,45% of total billed charges,303.99,38.25,,243.19,percent of total billed charges,38.25% of total billed charges,357.64,45,,286.11,percent of total billed charges,45% of total billed charges,357.64,45,,286.11,percent of total billed charges,45% of total billed charges,303.99,785.13,
CATHETER GROSHONG 9.5FR DOUBLE LUMEN,7540081,CDM,272,RC,,,OUTPATIENT,,,628.5,502.8,,597.08,95,,477.66,percent of total billed charges,95% of total billed charges,595.32,94.72,,476.26,percent of total billed charges,94.72% of total billed charges,620.9,98.79,,496.72,percent of total billed charges,98.79% of total billed charges,615.93,98,,492.74,percent of total billed charges,98% of total billed charges,615.93,98,,492.74,percent of total billed charges,98% of total billed charges,301.68,48,,241.34,percent of total billed charges,48% of total billed charges,282.83,45,,226.26,percent of total billed charges,45% of total billed charges,240.4,38.25,,192.32,percent of total billed charges,38.25% of total billed charges,282.83,45,,226.26,percent of total billed charges,45% of total billed charges,282.83,45,,226.26,percent of total billed charges,45% of total billed charges,240.4,620.9,
INTRODUCER KIT 10FR PTFE,7540084,CDM,272,RC,,,OUTPATIENT,,,126.75,101.4,,120.41,95,,96.33,percent of total billed charges,95% of total billed charges,120.06,94.72,,96.05,percent of total billed charges,94.72% of total billed charges,125.22,98.79,,100.18,percent of total billed charges,98.79% of total billed charges,124.22,98,,99.38,percent of total billed charges,98% of total billed charges,124.22,98,,99.38,percent of total billed charges,98% of total billed charges,60.84,48,,48.67,percent of total billed charges,48% of total billed charges,57.04,45,,45.63,percent of total billed charges,45% of total billed charges,48.48,38.25,,38.78,percent of total billed charges,38.25% of total billed charges,57.04,45,,45.63,percent of total billed charges,45% of total billed charges,57.04,45,,45.63,percent of total billed charges,45% of total billed charges,48.48,125.22,
CATHETER 10FR TROCAR,7540085,CDM,272,RC,,,OUTPATIENT,,,89.75,71.8,,85.26,95,,68.21,percent of total billed charges,95% of total billed charges,85.01,94.72,,68.01,percent of total billed charges,94.72% of total billed charges,88.66,98.79,,70.93,percent of total billed charges,98.79% of total billed charges,87.96,98,,70.37,percent of total billed charges,98% of total billed charges,87.96,98,,70.37,percent of total billed charges,98% of total billed charges,43.08,48,,34.46,percent of total billed charges,48% of total billed charges,40.39,45,,32.31,percent of total billed charges,45% of total billed charges,34.33,38.25,,27.46,percent of total billed charges,38.25% of total billed charges,40.39,45,,32.31,percent of total billed charges,45% of total billed charges,40.39,45,,32.31,percent of total billed charges,45% of total billed charges,34.33,88.66,
CATHETER 24FR TROCAR,7540089,CDM,272,RC,,,OUTPATIENT,,,66,52.8,,62.7,95,,50.16,percent of total billed charges,95% of total billed charges,62.52,94.72,,50.02,percent of total billed charges,94.72% of total billed charges,65.2,98.79,,52.16,percent of total billed charges,98.79% of total billed charges,64.68,98,,51.74,percent of total billed charges,98% of total billed charges,64.68,98,,51.74,percent of total billed charges,98% of total billed charges,31.68,48,,25.34,percent of total billed charges,48% of total billed charges,29.7,45,,23.76,percent of total billed charges,45% of total billed charges,25.25,38.25,,20.2,percent of total billed charges,38.25% of total billed charges,29.7,45,,23.76,percent of total billed charges,45% of total billed charges,29.7,45,,23.76,percent of total billed charges,45% of total billed charges,25.25,65.2,
CATHETER 28FR TROCAR,7540090,CDM,272,RC,,,OUTPATIENT,,,91.5,73.2,,86.93,95,,69.54,percent of total billed charges,95% of total billed charges,86.67,94.72,,69.34,percent of total billed charges,94.72% of total billed charges,90.39,98.79,,72.31,percent of total billed charges,98.79% of total billed charges,89.67,98,,71.74,percent of total billed charges,98% of total billed charges,89.67,98,,71.74,percent of total billed charges,98% of total billed charges,43.92,48,,35.14,percent of total billed charges,48% of total billed charges,41.18,45,,32.94,percent of total billed charges,45% of total billed charges,35,38.25,,28,percent of total billed charges,38.25% of total billed charges,41.18,45,,32.94,percent of total billed charges,45% of total billed charges,41.18,45,,32.94,percent of total billed charges,45% of total billed charges,35,90.39,
CATHETER 32FR TROCAR,7540091,CDM,272,RC,,,OUTPATIENT,,,65,52,,61.75,95,,49.4,percent of total billed charges,95% of total billed charges,61.57,94.72,,49.26,percent of total billed charges,94.72% of total billed charges,64.21,98.79,,51.37,percent of total billed charges,98.79% of total billed charges,63.7,98,,50.96,percent of total billed charges,98% of total billed charges,63.7,98,,50.96,percent of total billed charges,98% of total billed charges,31.2,48,,24.96,percent of total billed charges,48% of total billed charges,29.25,45,,23.4,percent of total billed charges,45% of total billed charges,24.86,38.25,,19.89,percent of total billed charges,38.25% of total billed charges,29.25,45,,23.4,percent of total billed charges,45% of total billed charges,29.25,45,,23.4,percent of total billed charges,45% of total billed charges,24.86,64.21,
CATHETER 12FR RED RUBBER,7540092,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
CATHETER 08FR RED RUBBER,7540093,CDM,272,RC,,,OUTPATIENT,,,4,3.2,,3.8,95,,3.04,percent of total billed charges,95% of total billed charges,3.79,94.72,,3.03,percent of total billed charges,94.72% of total billed charges,3.95,98.79,,3.16,percent of total billed charges,98.79% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,1.92,48,,1.54,percent of total billed charges,48% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,38.25,,1.22,percent of total billed charges,38.25% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,3.95,
CATHETER 10FR RED RUBBER,7540094,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
CATHETER 36FR TROCAR,7540095,CDM,272,RC,,,OUTPATIENT,,,39.5,31.6,,37.53,95,,30.02,percent of total billed charges,95% of total billed charges,37.41,94.72,,29.93,percent of total billed charges,94.72% of total billed charges,39.02,98.79,,31.22,percent of total billed charges,98.79% of total billed charges,38.71,98,,30.97,percent of total billed charges,98% of total billed charges,38.71,98,,30.97,percent of total billed charges,98% of total billed charges,18.96,48,,15.17,percent of total billed charges,48% of total billed charges,17.78,45,,14.22,percent of total billed charges,45% of total billed charges,15.11,38.25,,12.09,percent of total billed charges,38.25% of total billed charges,17.78,45,,14.22,percent of total billed charges,45% of total billed charges,17.78,45,,14.22,percent of total billed charges,45% of total billed charges,15.11,39.02,
CATHETER 40FR TROCAR,7540096,CDM,272,RC,,,OUTPATIENT,,,35.5,28.4,,33.73,95,,26.98,percent of total billed charges,95% of total billed charges,33.63,94.72,,26.9,percent of total billed charges,94.72% of total billed charges,35.07,98.79,,28.06,percent of total billed charges,98.79% of total billed charges,34.79,98,,27.83,percent of total billed charges,98% of total billed charges,34.79,98,,27.83,percent of total billed charges,98% of total billed charges,17.04,48,,13.63,percent of total billed charges,48% of total billed charges,15.98,45,,12.78,percent of total billed charges,45% of total billed charges,13.58,38.25,,10.86,percent of total billed charges,38.25% of total billed charges,15.98,45,,12.78,percent of total billed charges,45% of total billed charges,15.98,45,,12.78,percent of total billed charges,45% of total billed charges,13.58,35.07,
CATHETER 14FR RED RUBBER,7540097,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
CATHETER 16FR RED RUBBER,7540098,CDM,272,RC,,,OUTPATIENT,,,4,3.2,,3.8,95,,3.04,percent of total billed charges,95% of total billed charges,3.79,94.72,,3.03,percent of total billed charges,94.72% of total billed charges,3.95,98.79,,3.16,percent of total billed charges,98.79% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,1.92,48,,1.54,percent of total billed charges,48% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,38.25,,1.22,percent of total billed charges,38.25% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,3.95,
CATHETER 18FR RED RUBBER,7540109,CDM,272,RC,,,OUTPATIENT,,,10.25,8.2,,9.74,95,,7.79,percent of total billed charges,95% of total billed charges,9.71,94.72,,7.77,percent of total billed charges,94.72% of total billed charges,10.13,98.79,,8.1,percent of total billed charges,98.79% of total billed charges,10.05,98,,8.04,percent of total billed charges,98% of total billed charges,10.05,98,,8.04,percent of total billed charges,98% of total billed charges,4.92,48,,3.94,percent of total billed charges,48% of total billed charges,4.61,45,,3.69,percent of total billed charges,45% of total billed charges,3.92,38.25,,3.14,percent of total billed charges,38.25% of total billed charges,4.61,45,,3.69,percent of total billed charges,45% of total billed charges,4.61,45,,3.69,percent of total billed charges,45% of total billed charges,3.92,10.13,
CATHETER 22FR RED RUBBER,7540110,CDM,272,RC,,,OUTPATIENT,,,10.25,8.2,,9.74,95,,7.79,percent of total billed charges,95% of total billed charges,9.71,94.72,,7.77,percent of total billed charges,94.72% of total billed charges,10.13,98.79,,8.1,percent of total billed charges,98.79% of total billed charges,10.05,98,,8.04,percent of total billed charges,98% of total billed charges,10.05,98,,8.04,percent of total billed charges,98% of total billed charges,4.92,48,,3.94,percent of total billed charges,48% of total billed charges,4.61,45,,3.69,percent of total billed charges,45% of total billed charges,3.92,38.25,,3.14,percent of total billed charges,38.25% of total billed charges,4.61,45,,3.69,percent of total billed charges,45% of total billed charges,4.61,45,,3.69,percent of total billed charges,45% of total billed charges,3.92,10.13,
CATHETER FOGARTY BILLIARY 06FR,7540114,CDM,272,RC,,,OUTPATIENT,,,113.5,90.8,,107.83,95,,86.26,percent of total billed charges,95% of total billed charges,107.51,94.72,,86.01,percent of total billed charges,94.72% of total billed charges,112.13,98.79,,89.7,percent of total billed charges,98.79% of total billed charges,111.23,98,,88.98,percent of total billed charges,98% of total billed charges,111.23,98,,88.98,percent of total billed charges,98% of total billed charges,54.48,48,,43.58,percent of total billed charges,48% of total billed charges,51.08,45,,40.86,percent of total billed charges,45% of total billed charges,43.41,38.25,,34.73,percent of total billed charges,38.25% of total billed charges,51.08,45,,40.86,percent of total billed charges,45% of total billed charges,51.08,45,,40.86,percent of total billed charges,45% of total billed charges,43.41,112.13,
CATHETER FOGARTY BILLIARY 05FR,7540115,CDM,272,RC,,,OUTPATIENT,,,113.5,90.8,,107.83,95,,86.26,percent of total billed charges,95% of total billed charges,107.51,94.72,,86.01,percent of total billed charges,94.72% of total billed charges,112.13,98.79,,89.7,percent of total billed charges,98.79% of total billed charges,111.23,98,,88.98,percent of total billed charges,98% of total billed charges,111.23,98,,88.98,percent of total billed charges,98% of total billed charges,54.48,48,,43.58,percent of total billed charges,48% of total billed charges,51.08,45,,40.86,percent of total billed charges,45% of total billed charges,43.41,38.25,,34.73,percent of total billed charges,38.25% of total billed charges,51.08,45,,40.86,percent of total billed charges,45% of total billed charges,51.08,45,,40.86,percent of total billed charges,45% of total billed charges,43.41,112.13,
DRAIN 10FR FLAT JACKSON-PRATT,7540127,CDM,272,RC,,,OUTPATIENT,,,48.25,38.6,,45.84,95,,36.67,percent of total billed charges,95% of total billed charges,45.7,94.72,,36.56,percent of total billed charges,94.72% of total billed charges,47.67,98.79,,38.14,percent of total billed charges,98.79% of total billed charges,47.29,98,,37.83,percent of total billed charges,98% of total billed charges,47.29,98,,37.83,percent of total billed charges,98% of total billed charges,23.16,48,,18.53,percent of total billed charges,48% of total billed charges,21.71,45,,17.37,percent of total billed charges,45% of total billed charges,18.46,38.25,,14.77,percent of total billed charges,38.25% of total billed charges,21.71,45,,17.37,percent of total billed charges,45% of total billed charges,21.71,45,,17.37,percent of total billed charges,45% of total billed charges,18.46,47.67,
DRAIN BLAKE HUBLESS 15fr ROUND,7540128,CDM,272,RC,,,OUTPATIENT,,,84,67.2,,79.8,95,,63.84,percent of total billed charges,95% of total billed charges,79.56,94.72,,63.65,percent of total billed charges,94.72% of total billed charges,82.98,98.79,,66.38,percent of total billed charges,98.79% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,40.32,48,,32.26,percent of total billed charges,48% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,38.25,,25.7,percent of total billed charges,38.25% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,82.98,
DRAIN BLAKE HUBLESS 10fr ROUND,7540129,CDM,272,RC,,,OUTPATIENT,,,99.25,79.4,,94.29,95,,75.43,percent of total billed charges,95% of total billed charges,94.01,94.72,,75.21,percent of total billed charges,94.72% of total billed charges,98.05,98.79,,78.44,percent of total billed charges,98.79% of total billed charges,97.27,98,,77.82,percent of total billed charges,98% of total billed charges,97.27,98,,77.82,percent of total billed charges,98% of total billed charges,47.64,48,,38.11,percent of total billed charges,48% of total billed charges,44.66,45,,35.73,percent of total billed charges,45% of total billed charges,37.96,38.25,,30.37,percent of total billed charges,38.25% of total billed charges,44.66,45,,35.73,percent of total billed charges,45% of total billed charges,44.66,45,,35.73,percent of total billed charges,45% of total billed charges,37.96,98.05,
TUBE BUTTON VENT COLLAR PACIFIC,7540136,CDM,272,RC,,,OUTPATIENT,,,38.5,30.8,,36.58,95,,29.26,percent of total billed charges,95% of total billed charges,36.47,94.72,,29.18,percent of total billed charges,94.72% of total billed charges,38.03,98.79,,30.42,percent of total billed charges,98.79% of total billed charges,37.73,98,,30.18,percent of total billed charges,98% of total billed charges,37.73,98,,30.18,percent of total billed charges,98% of total billed charges,18.48,48,,14.78,percent of total billed charges,48% of total billed charges,17.33,45,,13.86,percent of total billed charges,45% of total billed charges,14.73,38.25,,11.78,percent of total billed charges,38.25% of total billed charges,17.33,45,,13.86,percent of total billed charges,45% of total billed charges,17.33,45,,13.86,percent of total billed charges,45% of total billed charges,14.73,38.03,
TUBE RICHARDS T,7540140,CDM,272,RC,,,OUTPATIENT,,,73,58.4,,69.35,95,,55.48,percent of total billed charges,95% of total billed charges,69.15,94.72,,55.32,percent of total billed charges,94.72% of total billed charges,72.12,98.79,,57.7,percent of total billed charges,98.79% of total billed charges,71.54,98,,57.23,percent of total billed charges,98% of total billed charges,71.54,98,,57.23,percent of total billed charges,98% of total billed charges,35.04,48,,28.03,percent of total billed charges,48% of total billed charges,32.85,45,,26.28,percent of total billed charges,45% of total billed charges,27.92,38.25,,22.34,percent of total billed charges,38.25% of total billed charges,32.85,45,,26.28,percent of total billed charges,45% of total billed charges,32.85,45,,26.28,percent of total billed charges,45% of total billed charges,27.92,72.12,
CATHETER POWERPICC 5FR,7540203,CDM,272,RC,,,OUTPATIENT,,,211.75,169.4,,201.16,95,,160.93,percent of total billed charges,95% of total billed charges,200.57,94.72,,160.46,percent of total billed charges,94.72% of total billed charges,209.19,98.79,,167.35,percent of total billed charges,98.79% of total billed charges,207.52,98,,166.02,percent of total billed charges,98% of total billed charges,207.52,98,,166.02,percent of total billed charges,98% of total billed charges,101.64,48,,81.31,percent of total billed charges,48% of total billed charges,95.29,45,,76.23,percent of total billed charges,45% of total billed charges,80.99,38.25,,64.79,percent of total billed charges,38.25% of total billed charges,95.29,45,,76.23,percent of total billed charges,45% of total billed charges,95.29,45,,76.23,percent of total billed charges,45% of total billed charges,80.99,209.19,
CATHETER COUDE SIL 14FR,7540206,CDM,272,RC,,,OUTPATIENT,,,66.25,53,,62.94,95,,50.35,percent of total billed charges,95% of total billed charges,62.75,94.72,,50.2,percent of total billed charges,94.72% of total billed charges,65.45,98.79,,52.36,percent of total billed charges,98.79% of total billed charges,64.93,98,,51.94,percent of total billed charges,98% of total billed charges,64.93,98,,51.94,percent of total billed charges,98% of total billed charges,31.8,48,,25.44,percent of total billed charges,48% of total billed charges,29.81,45,,23.85,percent of total billed charges,45% of total billed charges,25.34,38.25,,20.27,percent of total billed charges,38.25% of total billed charges,29.81,45,,23.85,percent of total billed charges,45% of total billed charges,29.81,45,,23.85,percent of total billed charges,45% of total billed charges,25.34,65.45,
CATHETER COUDE SIL 18FR,7540207,CDM,272,RC,,,OUTPATIENT,,,22.25,17.8,,21.14,95,,16.91,percent of total billed charges,95% of total billed charges,21.08,94.72,,16.86,percent of total billed charges,94.72% of total billed charges,21.98,98.79,,17.58,percent of total billed charges,98.79% of total billed charges,21.81,98,,17.45,percent of total billed charges,98% of total billed charges,21.81,98,,17.45,percent of total billed charges,98% of total billed charges,10.68,48,,8.54,percent of total billed charges,48% of total billed charges,10.01,45,,8.01,percent of total billed charges,45% of total billed charges,8.51,38.25,,6.81,percent of total billed charges,38.25% of total billed charges,10.01,45,,8.01,percent of total billed charges,45% of total billed charges,10.01,45,,8.01,percent of total billed charges,45% of total billed charges,8.51,21.98,
CATHETER COUDE SIL 22FR,7540208,CDM,272,RC,,,OUTPATIENT,,,61.7,49.36,,58.62,95,,46.9,percent of total billed charges,95% of total billed charges,58.44,94.72,,46.75,percent of total billed charges,94.72% of total billed charges,60.95,98.79,,48.76,percent of total billed charges,98.79% of total billed charges,60.47,98,,48.38,percent of total billed charges,98% of total billed charges,60.47,98,,48.38,percent of total billed charges,98% of total billed charges,29.62,48,,23.7,percent of total billed charges,48% of total billed charges,27.77,45,,22.22,percent of total billed charges,45% of total billed charges,23.6,38.25,,18.88,percent of total billed charges,38.25% of total billed charges,27.77,45,,22.22,percent of total billed charges,45% of total billed charges,27.77,45,,22.22,percent of total billed charges,45% of total billed charges,23.6,60.95,
CATHETER FEMALE PURE WICK,7540210,CDM,272,RC,,,OUTPATIENT,,,50.25,40.2,,47.74,95,,38.19,percent of total billed charges,95% of total billed charges,47.6,94.72,,38.08,percent of total billed charges,94.72% of total billed charges,49.64,98.79,,39.71,percent of total billed charges,98.79% of total billed charges,49.25,98,,39.4,percent of total billed charges,98% of total billed charges,49.25,98,,39.4,percent of total billed charges,98% of total billed charges,24.12,48,,19.3,percent of total billed charges,48% of total billed charges,22.61,45,,18.09,percent of total billed charges,45% of total billed charges,19.22,38.25,,15.38,percent of total billed charges,38.25% of total billed charges,22.61,45,,18.09,percent of total billed charges,45% of total billed charges,22.61,45,,18.09,percent of total billed charges,45% of total billed charges,19.22,49.64,
BNDG COBAN 3IN ASST (BOX),7544901,CDM,272,RC,,,OUTPATIENT,,,7.75,6.2,,7.36,95,,5.89,percent of total billed charges,95% of total billed charges,7.34,94.72,,5.87,percent of total billed charges,94.72% of total billed charges,7.66,98.79,,6.13,percent of total billed charges,98.79% of total billed charges,7.6,98,,6.08,percent of total billed charges,98% of total billed charges,7.6,98,,6.08,percent of total billed charges,98% of total billed charges,3.72,48,,2.98,percent of total billed charges,48% of total billed charges,3.49,45,,2.79,percent of total billed charges,45% of total billed charges,2.96,38.25,,2.37,percent of total billed charges,38.25% of total billed charges,3.49,45,,2.79,percent of total billed charges,45% of total billed charges,3.49,45,,2.79,percent of total billed charges,45% of total billed charges,2.96,7.66,
TOE CREST HAMMER MED LEFT 700422,7544902,CDM,272,RC,,,OUTPATIENT,,,18.75,15,,17.81,95,,14.25,percent of total billed charges,95% of total billed charges,17.76,94.72,,14.21,percent of total billed charges,94.72% of total billed charges,18.52,98.79,,14.82,percent of total billed charges,98.79% of total billed charges,18.38,98,,14.7,percent of total billed charges,98% of total billed charges,18.38,98,,14.7,percent of total billed charges,98% of total billed charges,9,48,,7.2,percent of total billed charges,48% of total billed charges,8.44,45,,6.75,percent of total billed charges,45% of total billed charges,7.17,38.25,,5.74,percent of total billed charges,38.25% of total billed charges,8.44,45,,6.75,percent of total billed charges,45% of total billed charges,8.44,45,,6.75,percent of total billed charges,45% of total billed charges,7.17,18.52,
TOE CREST HAMMER MED RIGHT 700421,7544903,CDM,272,RC,,,OUTPATIENT,,,18.75,15,,17.81,95,,14.25,percent of total billed charges,95% of total billed charges,17.76,94.72,,14.21,percent of total billed charges,94.72% of total billed charges,18.52,98.79,,14.82,percent of total billed charges,98.79% of total billed charges,18.38,98,,14.7,percent of total billed charges,98% of total billed charges,18.38,98,,14.7,percent of total billed charges,98% of total billed charges,9,48,,7.2,percent of total billed charges,48% of total billed charges,8.44,45,,6.75,percent of total billed charges,45% of total billed charges,7.17,38.25,,5.74,percent of total billed charges,38.25% of total billed charges,8.44,45,,6.75,percent of total billed charges,45% of total billed charges,8.44,45,,6.75,percent of total billed charges,45% of total billed charges,7.17,18.52,
TOE SPRDR POLYMER MED,7544904,CDM,272,RC,,,OUTPATIENT,,,5,4,,4.75,95,,3.8,percent of total billed charges,95% of total billed charges,4.74,94.72,,3.79,percent of total billed charges,94.72% of total billed charges,4.94,98.79,,3.95,percent of total billed charges,98.79% of total billed charges,4.9,98,,3.92,percent of total billed charges,98% of total billed charges,4.9,98,,3.92,percent of total billed charges,98% of total billed charges,2.4,48,,1.92,percent of total billed charges,48% of total billed charges,2.25,45,,1.8,percent of total billed charges,45% of total billed charges,1.91,38.25,,1.53,percent of total billed charges,38.25% of total billed charges,2.25,45,,1.8,percent of total billed charges,45% of total billed charges,2.25,45,,1.8,percent of total billed charges,45% of total billed charges,1.91,4.94,
TOE SPLINT DBL,7544905,CDM,272,RC,,,OUTPATIENT,,,37,29.6,,35.15,95,,28.12,percent of total billed charges,95% of total billed charges,35.05,94.72,,28.04,percent of total billed charges,94.72% of total billed charges,36.55,98.79,,29.24,percent of total billed charges,98.79% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,17.76,48,,14.21,percent of total billed charges,48% of total billed charges,16.65,45,,13.32,percent of total billed charges,45% of total billed charges,14.15,38.25,,11.32,percent of total billed charges,38.25% of total billed charges,16.65,45,,13.32,percent of total billed charges,45% of total billed charges,16.65,45,,13.32,percent of total billed charges,45% of total billed charges,14.15,36.55,
TOE SPLINT SINGLE,7544906,CDM,272,RC,,,OUTPATIENT,,,43.75,35,,41.56,95,,33.25,percent of total billed charges,95% of total billed charges,41.44,94.72,,33.15,percent of total billed charges,94.72% of total billed charges,43.22,98.79,,34.58,percent of total billed charges,98.79% of total billed charges,42.88,98,,34.3,percent of total billed charges,98% of total billed charges,42.88,98,,34.3,percent of total billed charges,98% of total billed charges,21,48,,16.8,percent of total billed charges,48% of total billed charges,19.69,45,,15.75,percent of total billed charges,45% of total billed charges,16.73,38.25,,13.38,percent of total billed charges,38.25% of total billed charges,19.69,45,,15.75,percent of total billed charges,45% of total billed charges,19.69,45,,15.75,percent of total billed charges,45% of total billed charges,16.73,43.22,
PACK ARTHROSCOPY,7550007,CDM,272,RC,,,OUTPATIENT,,,82.5,66,,78.38,95,,62.7,percent of total billed charges,95% of total billed charges,78.14,94.72,,62.51,percent of total billed charges,94.72% of total billed charges,81.5,98.79,,65.2,percent of total billed charges,98.79% of total billed charges,80.85,98,,64.68,percent of total billed charges,98% of total billed charges,80.85,98,,64.68,percent of total billed charges,98% of total billed charges,39.6,48,,31.68,percent of total billed charges,48% of total billed charges,37.13,45,,29.7,percent of total billed charges,45% of total billed charges,31.56,38.25,,25.25,percent of total billed charges,38.25% of total billed charges,37.13,45,,29.7,percent of total billed charges,45% of total billed charges,37.13,45,,29.7,percent of total billed charges,45% of total billed charges,31.56,81.5,
PACK CATARACT EYE,7550014,CDM,272,RC,,,OUTPATIENT,,,71.75,57.4,,68.16,95,,54.53,percent of total billed charges,95% of total billed charges,67.96,94.72,,54.37,percent of total billed charges,94.72% of total billed charges,70.88,98.79,,56.7,percent of total billed charges,98.79% of total billed charges,70.32,98,,56.26,percent of total billed charges,98% of total billed charges,70.32,98,,56.26,percent of total billed charges,98% of total billed charges,34.44,48,,27.55,percent of total billed charges,48% of total billed charges,32.29,45,,25.83,percent of total billed charges,45% of total billed charges,27.44,38.25,,21.95,percent of total billed charges,38.25% of total billed charges,32.29,45,,25.83,percent of total billed charges,45% of total billed charges,32.29,45,,25.83,percent of total billed charges,45% of total billed charges,27.44,70.88,
KIT CENTURION VISION SYSTEM,7550015,CDM,272,RC,,,OUTPATIENT,,,193.75,155,,184.06,95,,147.25,percent of total billed charges,95% of total billed charges,183.52,94.72,,146.82,percent of total billed charges,94.72% of total billed charges,191.41,98.79,,153.13,percent of total billed charges,98.79% of total billed charges,189.88,98,,151.9,percent of total billed charges,98% of total billed charges,189.88,98,,151.9,percent of total billed charges,98% of total billed charges,93,48,,74.4,percent of total billed charges,48% of total billed charges,87.19,45,,69.75,percent of total billed charges,45% of total billed charges,74.11,38.25,,59.29,percent of total billed charges,38.25% of total billed charges,87.19,45,,69.75,percent of total billed charges,45% of total billed charges,87.19,45,,69.75,percent of total billed charges,45% of total billed charges,74.11,191.41,
PACK HEAD AND NECK,7550018,CDM,272,RC,,,OUTPATIENT,,,47.25,37.8,,44.89,95,,35.91,percent of total billed charges,95% of total billed charges,44.76,94.72,,35.81,percent of total billed charges,94.72% of total billed charges,46.68,98.79,,37.34,percent of total billed charges,98.79% of total billed charges,46.31,98,,37.05,percent of total billed charges,98% of total billed charges,46.31,98,,37.05,percent of total billed charges,98% of total billed charges,22.68,48,,18.14,percent of total billed charges,48% of total billed charges,21.26,45,,17.01,percent of total billed charges,45% of total billed charges,18.07,38.25,,14.46,percent of total billed charges,38.25% of total billed charges,21.26,45,,17.01,percent of total billed charges,45% of total billed charges,21.26,45,,17.01,percent of total billed charges,45% of total billed charges,18.07,46.68,
PACK ORTHOPEDIC I.V.,7550019,CDM,272,RC,,,OUTPATIENT,,,57.25,45.8,,54.39,95,,43.51,percent of total billed charges,95% of total billed charges,54.23,94.72,,43.38,percent of total billed charges,94.72% of total billed charges,56.56,98.79,,45.25,percent of total billed charges,98.79% of total billed charges,56.11,98,,44.89,percent of total billed charges,98% of total billed charges,56.11,98,,44.89,percent of total billed charges,98% of total billed charges,27.48,48,,21.98,percent of total billed charges,48% of total billed charges,25.76,45,,20.61,percent of total billed charges,45% of total billed charges,21.9,38.25,,17.52,percent of total billed charges,38.25% of total billed charges,25.76,45,,20.61,percent of total billed charges,45% of total billed charges,25.76,45,,20.61,percent of total billed charges,45% of total billed charges,21.9,56.56,
PACK LOWER EXTREMITY,7550020,CDM,272,RC,,,OUTPATIENT,,,79.81,63.848,,75.82,95,,60.66,percent of total billed charges,95% of total billed charges,75.6,94.72,,60.48,percent of total billed charges,94.72% of total billed charges,78.84,98.79,,63.07,percent of total billed charges,98.79% of total billed charges,78.21,98,,62.57,percent of total billed charges,98% of total billed charges,78.21,98,,62.57,percent of total billed charges,98% of total billed charges,38.31,48,,30.65,percent of total billed charges,48% of total billed charges,35.91,45,,28.73,percent of total billed charges,45% of total billed charges,30.53,38.25,,24.42,percent of total billed charges,38.25% of total billed charges,35.91,45,,28.73,percent of total billed charges,45% of total billed charges,35.91,45,,28.73,percent of total billed charges,45% of total billed charges,30.53,78.84,
PACK LAPAROSCOPY/PELVIC,7550023,CDM,272,RC,,,OUTPATIENT,,,45.25,36.2,,42.99,95,,34.39,percent of total billed charges,95% of total billed charges,42.86,94.72,,34.29,percent of total billed charges,94.72% of total billed charges,44.7,98.79,,35.76,percent of total billed charges,98.79% of total billed charges,44.35,98,,35.48,percent of total billed charges,98% of total billed charges,44.35,98,,35.48,percent of total billed charges,98% of total billed charges,21.72,48,,17.38,percent of total billed charges,48% of total billed charges,20.36,45,,16.29,percent of total billed charges,45% of total billed charges,17.31,38.25,,13.85,percent of total billed charges,38.25% of total billed charges,20.36,45,,16.29,percent of total billed charges,45% of total billed charges,20.36,45,,16.29,percent of total billed charges,45% of total billed charges,17.31,44.7,
FEMALE SELF CATHETER KIT,7550035,CDM,272,RC,,,OUTPATIENT,,,3.75,3,,3.56,95,,2.85,percent of total billed charges,95% of total billed charges,3.55,94.72,,2.84,percent of total billed charges,94.72% of total billed charges,3.7,98.79,,2.96,percent of total billed charges,98.79% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,3.68,98,,2.94,percent of total billed charges,98% of total billed charges,1.8,48,,1.44,percent of total billed charges,48% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,38.25,,1.14,percent of total billed charges,38.25% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.69,45,,1.35,percent of total billed charges,45% of total billed charges,1.43,3.7,
FEMALE CATHETER KIT,7550038,CDM,272,RC,,,OUTPATIENT,,,8,6.4,,7.6,95,,6.08,percent of total billed charges,95% of total billed charges,7.58,94.72,,6.06,percent of total billed charges,94.72% of total billed charges,7.9,98.79,,6.32,percent of total billed charges,98.79% of total billed charges,7.84,98,,6.27,percent of total billed charges,98% of total billed charges,7.84,98,,6.27,percent of total billed charges,98% of total billed charges,3.84,48,,3.07,percent of total billed charges,48% of total billed charges,3.6,45,,2.88,percent of total billed charges,45% of total billed charges,3.06,38.25,,2.45,percent of total billed charges,38.25% of total billed charges,3.6,45,,2.88,percent of total billed charges,45% of total billed charges,3.6,45,,2.88,percent of total billed charges,45% of total billed charges,3.06,7.9,
PACK LAPAROTOMY,7550043,CDM,272,RC,,,OUTPATIENT,,,60,48,,57,95,,45.6,percent of total billed charges,95% of total billed charges,56.83,94.72,,45.46,percent of total billed charges,94.72% of total billed charges,59.27,98.79,,47.42,percent of total billed charges,98.79% of total billed charges,58.8,98,,47.04,percent of total billed charges,98% of total billed charges,58.8,98,,47.04,percent of total billed charges,98% of total billed charges,28.8,48,,23.04,percent of total billed charges,48% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,22.95,38.25,,18.36,percent of total billed charges,38.25% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,22.95,59.27,
PACK TOTAL HIP,7550046,CDM,272,RC,,,OUTPATIENT,,,188.75,151,,179.31,95,,143.45,percent of total billed charges,95% of total billed charges,178.78,94.72,,143.02,percent of total billed charges,94.72% of total billed charges,186.47,98.79,,149.18,percent of total billed charges,98.79% of total billed charges,184.98,98,,147.98,percent of total billed charges,98% of total billed charges,184.98,98,,147.98,percent of total billed charges,98% of total billed charges,90.6,48,,72.48,percent of total billed charges,48% of total billed charges,84.94,45,,67.95,percent of total billed charges,45% of total billed charges,72.2,38.25,,57.76,percent of total billed charges,38.25% of total billed charges,84.94,45,,67.95,percent of total billed charges,45% of total billed charges,84.94,45,,67.95,percent of total billed charges,45% of total billed charges,72.2,186.47,
PACK TOTAL KNEE,7550047,CDM,272,RC,,,OUTPATIENT,,,103.75,83,,98.56,95,,78.85,percent of total billed charges,95% of total billed charges,98.27,94.72,,78.62,percent of total billed charges,94.72% of total billed charges,102.49,98.79,,81.99,percent of total billed charges,98.79% of total billed charges,101.68,98,,81.34,percent of total billed charges,98% of total billed charges,101.68,98,,81.34,percent of total billed charges,98% of total billed charges,49.8,48,,39.84,percent of total billed charges,48% of total billed charges,46.69,45,,37.35,percent of total billed charges,45% of total billed charges,39.68,38.25,,31.74,percent of total billed charges,38.25% of total billed charges,46.69,45,,37.35,percent of total billed charges,45% of total billed charges,46.69,45,,37.35,percent of total billed charges,45% of total billed charges,39.68,102.49,
PACK T&A,7550051,CDM,272,RC,,,OUTPATIENT,,,80.25,64.2,,76.24,95,,60.99,percent of total billed charges,95% of total billed charges,76.01,94.72,,60.81,percent of total billed charges,94.72% of total billed charges,79.28,98.79,,63.42,percent of total billed charges,98.79% of total billed charges,78.65,98,,62.92,percent of total billed charges,98% of total billed charges,78.65,98,,62.92,percent of total billed charges,98% of total billed charges,38.52,48,,30.82,percent of total billed charges,48% of total billed charges,36.11,45,,28.89,percent of total billed charges,45% of total billed charges,30.7,38.25,,24.56,percent of total billed charges,38.25% of total billed charges,36.11,45,,28.89,percent of total billed charges,45% of total billed charges,36.11,45,,28.89,percent of total billed charges,45% of total billed charges,30.7,79.28,
TRAY KLENZALAC WOUND IRRIGATION,7560000,CDM,272,RC,,,OUTPATIENT,,,42.75,34.2,,40.61,95,,32.49,percent of total billed charges,95% of total billed charges,40.49,94.72,,32.39,percent of total billed charges,94.72% of total billed charges,42.23,98.79,,33.78,percent of total billed charges,98.79% of total billed charges,41.9,98,,33.52,percent of total billed charges,98% of total billed charges,41.9,98,,33.52,percent of total billed charges,98% of total billed charges,20.52,48,,16.42,percent of total billed charges,48% of total billed charges,19.24,45,,15.39,percent of total billed charges,45% of total billed charges,16.35,38.25,,13.08,percent of total billed charges,38.25% of total billed charges,19.24,45,,15.39,percent of total billed charges,45% of total billed charges,19.24,45,,15.39,percent of total billed charges,45% of total billed charges,16.35,42.23,
TRAY FOLEY CATHETER 18FR,7560002,CDM,272,RC,,,OUTPATIENT,,,38.75,31,,36.81,95,,29.45,percent of total billed charges,95% of total billed charges,36.7,94.72,,29.36,percent of total billed charges,94.72% of total billed charges,38.28,98.79,,30.62,percent of total billed charges,98.79% of total billed charges,37.98,98,,30.38,percent of total billed charges,98% of total billed charges,37.98,98,,30.38,percent of total billed charges,98% of total billed charges,18.6,48,,14.88,percent of total billed charges,48% of total billed charges,17.44,45,,13.95,percent of total billed charges,45% of total billed charges,14.82,38.25,,11.86,percent of total billed charges,38.25% of total billed charges,17.44,45,,13.95,percent of total billed charges,45% of total billed charges,17.44,45,,13.95,percent of total billed charges,45% of total billed charges,14.82,38.28,
TRAY CATHETER 14FR,7560003,CDM,272,RC,,,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,4.95,45,,3.96,percent of total billed charges,45% of total billed charges,4.21,38.25,,3.37,percent of total billed charges,38.25% of total billed charges,4.95,45,,3.96,percent of total billed charges,45% of total billed charges,4.95,45,,3.96,percent of total billed charges,45% of total billed charges,4.21,10.87,
TRAY IRRIGATION,7560004,CDM,272,RC,,,OUTPATIENT,,,10.25,8.2,,9.74,95,,7.79,percent of total billed charges,95% of total billed charges,9.71,94.72,,7.77,percent of total billed charges,94.72% of total billed charges,10.13,98.79,,8.1,percent of total billed charges,98.79% of total billed charges,10.05,98,,8.04,percent of total billed charges,98% of total billed charges,10.05,98,,8.04,percent of total billed charges,98% of total billed charges,4.92,48,,3.94,percent of total billed charges,48% of total billed charges,4.61,45,,3.69,percent of total billed charges,45% of total billed charges,3.92,38.25,,3.14,percent of total billed charges,38.25% of total billed charges,4.61,45,,3.69,percent of total billed charges,45% of total billed charges,4.61,45,,3.69,percent of total billed charges,45% of total billed charges,3.92,10.13,
TRAY LUMBAR PUNCTURE ADULT,7560005,CDM,272,RC,,,OUTPATIENT,,,66,52.8,,62.7,95,,50.16,percent of total billed charges,95% of total billed charges,62.52,94.72,,50.02,percent of total billed charges,94.72% of total billed charges,65.2,98.79,,52.16,percent of total billed charges,98.79% of total billed charges,64.68,98,,51.74,percent of total billed charges,98% of total billed charges,64.68,98,,51.74,percent of total billed charges,98% of total billed charges,31.68,48,,25.34,percent of total billed charges,48% of total billed charges,29.7,45,,23.76,percent of total billed charges,45% of total billed charges,25.25,38.25,,20.2,percent of total billed charges,38.25% of total billed charges,29.7,45,,23.76,percent of total billed charges,45% of total billed charges,29.7,45,,23.76,percent of total billed charges,45% of total billed charges,25.25,65.2,
TRAY LUMBAR PUNCTURE INFANT,7560006,CDM,272,RC,,,OUTPATIENT,,,57.5,46,,54.63,95,,43.7,percent of total billed charges,95% of total billed charges,54.46,94.72,,43.57,percent of total billed charges,94.72% of total billed charges,56.8,98.79,,45.44,percent of total billed charges,98.79% of total billed charges,56.35,98,,45.08,percent of total billed charges,98% of total billed charges,56.35,98,,45.08,percent of total billed charges,98% of total billed charges,27.6,48,,22.08,percent of total billed charges,48% of total billed charges,25.88,45,,20.7,percent of total billed charges,45% of total billed charges,21.99,38.25,,17.59,percent of total billed charges,38.25% of total billed charges,25.88,45,,20.7,percent of total billed charges,45% of total billed charges,25.88,45,,20.7,percent of total billed charges,45% of total billed charges,21.99,56.8,
TRAY BASIC BIOPSY,7560007,CDM,272,RC,,,OUTPATIENT,,,65.25,52.2,,61.99,95,,49.59,percent of total billed charges,95% of total billed charges,61.8,94.72,,49.44,percent of total billed charges,94.72% of total billed charges,64.46,98.79,,51.57,percent of total billed charges,98.79% of total billed charges,63.95,98,,51.16,percent of total billed charges,98% of total billed charges,63.95,98,,51.16,percent of total billed charges,98% of total billed charges,31.32,48,,25.06,percent of total billed charges,48% of total billed charges,29.36,45,,23.49,percent of total billed charges,45% of total billed charges,24.96,38.25,,19.97,percent of total billed charges,38.25% of total billed charges,29.36,45,,23.49,percent of total billed charges,45% of total billed charges,29.36,45,,23.49,percent of total billed charges,45% of total billed charges,24.96,64.46,
Tray Basic Biopsy,7560007,CDM,272,RC,,,OUTPATIENT,,,66,52.8,,62.7,95,,50.16,percent of total billed charges,95% of total billed charges,62.52,94.72,,50.02,percent of total billed charges,94.72% of total billed charges,65.2,98.79,,52.16,percent of total billed charges,98.79% of total billed charges,64.68,98,,51.74,percent of total billed charges,98% of total billed charges,64.68,98,,51.74,percent of total billed charges,98% of total billed charges,31.68,48,,25.34,percent of total billed charges,48% of total billed charges,29.7,45,,23.76,percent of total billed charges,45% of total billed charges,25.25,38.25,,20.2,percent of total billed charges,38.25% of total billed charges,29.7,45,,23.76,percent of total billed charges,45% of total billed charges,29.7,45,,23.76,percent of total billed charges,45% of total billed charges,25.25,65.2,
TRAY SPINAL ANESTHESIA,7560010,CDM,272,RC,,,OUTPATIENT,,,139,111.2,,132.05,95,,105.64,percent of total billed charges,95% of total billed charges,131.66,94.72,,105.33,percent of total billed charges,94.72% of total billed charges,137.32,98.79,,109.86,percent of total billed charges,98.79% of total billed charges,136.22,98,,108.98,percent of total billed charges,98% of total billed charges,136.22,98,,108.98,percent of total billed charges,98% of total billed charges,66.72,48,,53.38,percent of total billed charges,48% of total billed charges,62.55,45,,50.04,percent of total billed charges,45% of total billed charges,53.17,38.25,,42.54,percent of total billed charges,38.25% of total billed charges,62.55,45,,50.04,percent of total billed charges,45% of total billed charges,62.55,45,,50.04,percent of total billed charges,45% of total billed charges,53.17,137.32,
PORT TITANIUM IMPLANT (BARD),7560011,CDM,272,RC,,,OUTPATIENT,,,422,337.6,,400.9,95,,320.72,percent of total billed charges,95% of total billed charges,399.72,94.72,,319.78,percent of total billed charges,94.72% of total billed charges,416.89,98.79,,333.51,percent of total billed charges,98.79% of total billed charges,413.56,98,,330.85,percent of total billed charges,98% of total billed charges,413.56,98,,330.85,percent of total billed charges,98% of total billed charges,202.56,48,,162.05,percent of total billed charges,48% of total billed charges,189.9,45,,151.92,percent of total billed charges,45% of total billed charges,161.42,38.25,,129.14,percent of total billed charges,38.25% of total billed charges,189.9,45,,151.92,percent of total billed charges,45% of total billed charges,189.9,45,,151.92,percent of total billed charges,45% of total billed charges,161.42,416.89,
TRAY LACERATION,7560013,CDM,272,RC,,,OUTPATIENT,,,23.25,18.6,,22.09,95,,17.67,percent of total billed charges,95% of total billed charges,22.02,94.72,,17.62,percent of total billed charges,94.72% of total billed charges,22.97,98.79,,18.38,percent of total billed charges,98.79% of total billed charges,22.79,98,,18.23,percent of total billed charges,98% of total billed charges,22.79,98,,18.23,percent of total billed charges,98% of total billed charges,11.16,48,,8.93,percent of total billed charges,48% of total billed charges,10.46,45,,8.37,percent of total billed charges,45% of total billed charges,8.89,38.25,,7.11,percent of total billed charges,38.25% of total billed charges,10.46,45,,8.37,percent of total billed charges,45% of total billed charges,10.46,45,,8.37,percent of total billed charges,45% of total billed charges,8.89,22.97,
TRAY THOROCENTESIS,7560014,CDM,272,RC,,,OUTPATIENT,,,148.5,118.8,,141.08,95,,112.86,percent of total billed charges,95% of total billed charges,140.66,94.72,,112.53,percent of total billed charges,94.72% of total billed charges,146.7,98.79,,117.36,percent of total billed charges,98.79% of total billed charges,145.53,98,,116.42,percent of total billed charges,98% of total billed charges,145.53,98,,116.42,percent of total billed charges,98% of total billed charges,71.28,48,,57.02,percent of total billed charges,48% of total billed charges,66.83,45,,53.46,percent of total billed charges,45% of total billed charges,56.8,38.25,,45.44,percent of total billed charges,38.25% of total billed charges,66.83,45,,53.46,percent of total billed charges,45% of total billed charges,66.83,45,,53.46,percent of total billed charges,45% of total billed charges,56.8,146.7,
TRAY SPINAL ANES W/CLEAR DRAPE,7560016,CDM,272,RC,,,OUTPATIENT,,,64.25,51.4,,61.04,95,,48.83,percent of total billed charges,95% of total billed charges,60.86,94.72,,48.69,percent of total billed charges,94.72% of total billed charges,63.47,98.79,,50.78,percent of total billed charges,98.79% of total billed charges,62.97,98,,50.38,percent of total billed charges,98% of total billed charges,62.97,98,,50.38,percent of total billed charges,98% of total billed charges,30.84,48,,24.67,percent of total billed charges,48% of total billed charges,28.91,45,,23.13,percent of total billed charges,45% of total billed charges,24.58,38.25,,19.66,percent of total billed charges,38.25% of total billed charges,28.91,45,,23.13,percent of total billed charges,45% of total billed charges,28.91,45,,23.13,percent of total billed charges,45% of total billed charges,24.58,63.47,
TRAY TEMPERATURE FOLEY URINE 16fr SURESTEP,7560017,CDM,272,RC,,,OUTPATIENT,,,89,71.2,,84.55,95,,67.64,percent of total billed charges,95% of total billed charges,84.3,94.72,,67.44,percent of total billed charges,94.72% of total billed charges,87.92,98.79,,70.34,percent of total billed charges,98.79% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,42.72,48,,34.18,percent of total billed charges,48% of total billed charges,40.05,45,,32.04,percent of total billed charges,45% of total billed charges,34.04,38.25,,27.23,percent of total billed charges,38.25% of total billed charges,40.05,45,,32.04,percent of total billed charges,45% of total billed charges,40.05,45,,32.04,percent of total billed charges,45% of total billed charges,34.04,87.92,
TRAY EPIDURAL SINGLE SHOT W/NEEDLE,7560020,CDM,272,RC,,,OUTPATIENT,,,59.25,47.4,,56.29,95,,45.03,percent of total billed charges,95% of total billed charges,56.12,94.72,,44.9,percent of total billed charges,94.72% of total billed charges,58.53,98.79,,46.82,percent of total billed charges,98.79% of total billed charges,58.07,98,,46.46,percent of total billed charges,98% of total billed charges,58.07,98,,46.46,percent of total billed charges,98% of total billed charges,28.44,48,,22.75,percent of total billed charges,48% of total billed charges,26.66,45,,21.33,percent of total billed charges,45% of total billed charges,22.66,38.25,,18.13,percent of total billed charges,38.25% of total billed charges,26.66,45,,21.33,percent of total billed charges,45% of total billed charges,26.66,45,,21.33,percent of total billed charges,45% of total billed charges,22.66,58.53,
TRAY THORACENTISIS W/CATHETER,7560022,CDM,272,RC,,,OUTPATIENT,,,87,69.6,,82.65,95,,66.12,percent of total billed charges,95% of total billed charges,82.41,94.72,,65.93,percent of total billed charges,94.72% of total billed charges,85.95,98.79,,68.76,percent of total billed charges,98.79% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,41.76,48,,33.41,percent of total billed charges,48% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,38.25,,26.62,percent of total billed charges,38.25% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,85.95,
Tray Thoracentisis,7560022,CDM,272,RC,,,OUTPATIENT,,,87,69.6,,82.65,95,,66.12,percent of total billed charges,95% of total billed charges,82.41,94.72,,65.93,percent of total billed charges,94.72% of total billed charges,85.95,98.79,,68.76,percent of total billed charges,98.79% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,41.76,48,,33.41,percent of total billed charges,48% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,38.25,,26.62,percent of total billed charges,38.25% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,85.95,
TRAY PEG PONSKY SYSTEM,7560025,CDM,272,RC,,,OUTPATIENT,,,236.75,189.4,,224.91,95,,179.93,percent of total billed charges,95% of total billed charges,224.25,94.72,,179.4,percent of total billed charges,94.72% of total billed charges,233.89,98.79,,187.11,percent of total billed charges,98.79% of total billed charges,232.02,98,,185.62,percent of total billed charges,98% of total billed charges,232.02,98,,185.62,percent of total billed charges,98% of total billed charges,113.64,48,,90.91,percent of total billed charges,48% of total billed charges,106.54,45,,85.23,percent of total billed charges,45% of total billed charges,90.56,38.25,,72.45,percent of total billed charges,38.25% of total billed charges,106.54,45,,85.23,percent of total billed charges,45% of total billed charges,106.54,45,,85.23,percent of total billed charges,45% of total billed charges,90.56,233.89,
TRAY GASTRIC LAVAGE,7560027,CDM,272,RC,,,OUTPATIENT,,,40,32,,38,95,,30.4,percent of total billed charges,95% of total billed charges,37.89,94.72,,30.31,percent of total billed charges,94.72% of total billed charges,39.52,98.79,,31.62,percent of total billed charges,98.79% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,19.2,48,,15.36,percent of total billed charges,48% of total billed charges,18,45,,14.4,percent of total billed charges,45% of total billed charges,15.3,38.25,,12.24,percent of total billed charges,38.25% of total billed charges,18,45,,14.4,percent of total billed charges,45% of total billed charges,18,45,,14.4,percent of total billed charges,45% of total billed charges,15.3,39.52,
TRAY CENTRAL LINE DRESSING,7560046,CDM,272,RC,,,OUTPATIENT,,,17.5,14,,16.63,95,,13.3,percent of total billed charges,95% of total billed charges,16.58,94.72,,13.26,percent of total billed charges,94.72% of total billed charges,17.29,98.79,,13.83,percent of total billed charges,98.79% of total billed charges,17.15,98,,13.72,percent of total billed charges,98% of total billed charges,17.15,98,,13.72,percent of total billed charges,98% of total billed charges,8.4,48,,6.72,percent of total billed charges,48% of total billed charges,7.88,45,,6.3,percent of total billed charges,45% of total billed charges,6.69,38.25,,5.35,percent of total billed charges,38.25% of total billed charges,7.88,45,,6.3,percent of total billed charges,45% of total billed charges,7.88,45,,6.3,percent of total billed charges,45% of total billed charges,6.69,17.29,
GUIDEWIRE MINI ACCESS KIT SMAK401N,7560065,CDM,272,RC,,,OUTPATIENT,,,90,72,,85.5,95,,68.4,percent of total billed charges,95% of total billed charges,85.25,94.72,,68.2,percent of total billed charges,94.72% of total billed charges,88.91,98.79,,71.13,percent of total billed charges,98.79% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,43.2,48,,34.56,percent of total billed charges,48% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,38.25,,27.54,percent of total billed charges,38.25% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,88.91,
COLLAR CHILD/TOT 3 YEARS,7570007,CDM,272,RC,,,OUTPATIENT,,,83.5,66.8,,79.33,95,,63.46,percent of total billed charges,95% of total billed charges,79.09,94.72,,63.27,percent of total billed charges,94.72% of total billed charges,82.49,98.79,,65.99,percent of total billed charges,98.79% of total billed charges,81.83,98,,65.46,percent of total billed charges,98% of total billed charges,81.83,98,,65.46,percent of total billed charges,98% of total billed charges,40.08,48,,32.06,percent of total billed charges,48% of total billed charges,37.58,45,,30.06,percent of total billed charges,45% of total billed charges,31.94,38.25,,25.55,percent of total billed charges,38.25% of total billed charges,37.58,45,,30.06,percent of total billed charges,45% of total billed charges,37.58,45,,30.06,percent of total billed charges,45% of total billed charges,31.94,82.49,
COLLAR TRANSITION CHILD 5+ YEARS,7570008,CDM,272,RC,,,OUTPATIENT,,,83.5,66.8,,79.33,95,,63.46,percent of total billed charges,95% of total billed charges,79.09,94.72,,63.27,percent of total billed charges,94.72% of total billed charges,82.49,98.79,,65.99,percent of total billed charges,98.79% of total billed charges,81.83,98,,65.46,percent of total billed charges,98% of total billed charges,81.83,98,,65.46,percent of total billed charges,98% of total billed charges,40.08,48,,32.06,percent of total billed charges,48% of total billed charges,37.58,45,,30.06,percent of total billed charges,45% of total billed charges,31.94,38.25,,25.55,percent of total billed charges,38.25% of total billed charges,37.58,45,,30.06,percent of total billed charges,45% of total billed charges,37.58,45,,30.06,percent of total billed charges,45% of total billed charges,31.94,82.49,
COLLAR VISTA CERVICAL ADULT,7570009,CDM,272,RC,,,OUTPATIENT,,,100,80,,95,95,,76,percent of total billed charges,95% of total billed charges,94.72,94.72,,75.78,percent of total billed charges,94.72% of total billed charges,98.79,98.79,,79.03,percent of total billed charges,98.79% of total billed charges,98,98,,78.4,percent of total billed charges,98% of total billed charges,98,98,,78.4,percent of total billed charges,98% of total billed charges,48,48,,38.4,percent of total billed charges,48% of total billed charges,45,45,,36,percent of total billed charges,45% of total billed charges,38.25,38.25,,30.6,percent of total billed charges,38.25% of total billed charges,45,45,,36,percent of total billed charges,45% of total billed charges,45,45,,36,percent of total billed charges,45% of total billed charges,38.25,98.79,
COLLAR INFANT TRANSITION PED 1,7570010,CDM,272,RC,,,OUTPATIENT,,,83.5,66.8,,79.33,95,,63.46,percent of total billed charges,95% of total billed charges,79.09,94.72,,63.27,percent of total billed charges,94.72% of total billed charges,82.49,98.79,,65.99,percent of total billed charges,98.79% of total billed charges,81.83,98,,65.46,percent of total billed charges,98% of total billed charges,81.83,98,,65.46,percent of total billed charges,98% of total billed charges,40.08,48,,32.06,percent of total billed charges,48% of total billed charges,37.58,45,,30.06,percent of total billed charges,45% of total billed charges,31.94,38.25,,25.55,percent of total billed charges,38.25% of total billed charges,37.58,45,,30.06,percent of total billed charges,45% of total billed charges,37.58,45,,30.06,percent of total billed charges,45% of total billed charges,31.94,82.49,
KNEE IMMOBILIZER UNIVERSAL 14 IN,7570035,CDM,272,RC,,,OUTPATIENT,,,36.75,29.4,,34.91,95,,27.93,percent of total billed charges,95% of total billed charges,34.81,94.72,,27.85,percent of total billed charges,94.72% of total billed charges,36.31,98.79,,29.05,percent of total billed charges,98.79% of total billed charges,36.02,98,,28.82,percent of total billed charges,98% of total billed charges,36.02,98,,28.82,percent of total billed charges,98% of total billed charges,17.64,48,,14.11,percent of total billed charges,48% of total billed charges,16.54,45,,13.23,percent of total billed charges,45% of total billed charges,14.06,38.25,,11.25,percent of total billed charges,38.25% of total billed charges,16.54,45,,13.23,percent of total billed charges,45% of total billed charges,16.54,45,,13.23,percent of total billed charges,45% of total billed charges,14.06,36.31,
KNEE IMMOBILIZER UNIVERSAL 20 IN,7570036,CDM,272,RC,,,OUTPATIENT,,,48.25,38.6,,45.84,95,,36.67,percent of total billed charges,95% of total billed charges,45.7,94.72,,36.56,percent of total billed charges,94.72% of total billed charges,47.67,98.79,,38.14,percent of total billed charges,98.79% of total billed charges,47.29,98,,37.83,percent of total billed charges,98% of total billed charges,47.29,98,,37.83,percent of total billed charges,98% of total billed charges,23.16,48,,18.53,percent of total billed charges,48% of total billed charges,21.71,45,,17.37,percent of total billed charges,45% of total billed charges,18.46,38.25,,14.77,percent of total billed charges,38.25% of total billed charges,21.71,45,,17.37,percent of total billed charges,45% of total billed charges,21.71,45,,17.37,percent of total billed charges,45% of total billed charges,18.46,47.67,
KNEE IMMOBILIZER UNIVERSAL 18 IN,7570037,CDM,272,RC,,,OUTPATIENT,,,48.25,38.6,,45.84,95,,36.67,percent of total billed charges,95% of total billed charges,45.7,94.72,,36.56,percent of total billed charges,94.72% of total billed charges,47.67,98.79,,38.14,percent of total billed charges,98.79% of total billed charges,47.29,98,,37.83,percent of total billed charges,98% of total billed charges,47.29,98,,37.83,percent of total billed charges,98% of total billed charges,23.16,48,,18.53,percent of total billed charges,48% of total billed charges,21.71,45,,17.37,percent of total billed charges,45% of total billed charges,18.46,38.25,,14.77,percent of total billed charges,38.25% of total billed charges,21.71,45,,17.37,percent of total billed charges,45% of total billed charges,21.71,45,,17.37,percent of total billed charges,45% of total billed charges,18.46,47.67,
KNEE IMMOBILIZER UNIVERSAL 24 IN,7570038,CDM,272,RC,,,OUTPATIENT,,,57.25,45.8,,54.39,95,,43.51,percent of total billed charges,95% of total billed charges,54.23,94.72,,43.38,percent of total billed charges,94.72% of total billed charges,56.56,98.79,,45.25,percent of total billed charges,98.79% of total billed charges,56.11,98,,44.89,percent of total billed charges,98% of total billed charges,56.11,98,,44.89,percent of total billed charges,98% of total billed charges,27.48,48,,21.98,percent of total billed charges,48% of total billed charges,25.76,45,,20.61,percent of total billed charges,45% of total billed charges,21.9,38.25,,17.52,percent of total billed charges,38.25% of total billed charges,25.76,45,,20.61,percent of total billed charges,45% of total billed charges,25.76,45,,20.61,percent of total billed charges,45% of total billed charges,21.9,56.56,
COLLAR CERVICAL SOFT SMALL,7570039,CDM,272,RC,,,OUTPATIENT,,,62,49.6,,58.9,95,,47.12,percent of total billed charges,95% of total billed charges,58.73,94.72,,46.98,percent of total billed charges,94.72% of total billed charges,61.25,98.79,,49,percent of total billed charges,98.79% of total billed charges,60.76,98,,48.61,percent of total billed charges,98% of total billed charges,60.76,98,,48.61,percent of total billed charges,98% of total billed charges,29.76,48,,23.81,percent of total billed charges,48% of total billed charges,27.9,45,,22.32,percent of total billed charges,45% of total billed charges,23.72,38.25,,18.98,percent of total billed charges,38.25% of total billed charges,27.9,45,,22.32,percent of total billed charges,45% of total billed charges,27.9,45,,22.32,percent of total billed charges,45% of total billed charges,23.72,61.25,
COLLAR CERVICAL SOFT MEDIUM,7570040,CDM,272,RC,,,OUTPATIENT,,,12.75,10.2,,12.11,95,,9.69,percent of total billed charges,95% of total billed charges,12.08,94.72,,9.66,percent of total billed charges,94.72% of total billed charges,12.6,98.79,,10.08,percent of total billed charges,98.79% of total billed charges,12.5,98,,10,percent of total billed charges,98% of total billed charges,12.5,98,,10,percent of total billed charges,98% of total billed charges,6.12,48,,4.9,percent of total billed charges,48% of total billed charges,5.74,45,,4.59,percent of total billed charges,45% of total billed charges,4.88,38.25,,3.9,percent of total billed charges,38.25% of total billed charges,5.74,45,,4.59,percent of total billed charges,45% of total billed charges,5.74,45,,4.59,percent of total billed charges,45% of total billed charges,4.88,12.6,
COLLAR CERVICAL SOFT LARGE,7570041,CDM,272,RC,,,OUTPATIENT,,,12.75,10.2,,12.11,95,,9.69,percent of total billed charges,95% of total billed charges,12.08,94.72,,9.66,percent of total billed charges,94.72% of total billed charges,12.6,98.79,,10.08,percent of total billed charges,98.79% of total billed charges,12.5,98,,10,percent of total billed charges,98% of total billed charges,12.5,98,,10,percent of total billed charges,98% of total billed charges,6.12,48,,4.9,percent of total billed charges,48% of total billed charges,5.74,45,,4.59,percent of total billed charges,45% of total billed charges,4.88,38.25,,3.9,percent of total billed charges,38.25% of total billed charges,5.74,45,,4.59,percent of total billed charges,45% of total billed charges,5.74,45,,4.59,percent of total billed charges,45% of total billed charges,4.88,12.6,
BRACE ANKLE RIGHT LRG,7570042,CDM,272,RC,,,OUTPATIENT,,,60.25,48.2,,57.24,95,,45.79,percent of total billed charges,95% of total billed charges,57.07,94.72,,45.66,percent of total billed charges,94.72% of total billed charges,59.52,98.79,,47.62,percent of total billed charges,98.79% of total billed charges,59.05,98,,47.24,percent of total billed charges,98% of total billed charges,59.05,98,,47.24,percent of total billed charges,98% of total billed charges,28.92,48,,23.14,percent of total billed charges,48% of total billed charges,27.11,45,,21.69,percent of total billed charges,45% of total billed charges,23.05,38.25,,18.44,percent of total billed charges,38.25% of total billed charges,27.11,45,,21.69,percent of total billed charges,45% of total billed charges,27.11,45,,21.69,percent of total billed charges,45% of total billed charges,23.05,59.52,
BRACE ANKLE LEFT LRG,7570043,CDM,272,RC,,,OUTPATIENT,,,60.25,48.2,,57.24,95,,45.79,percent of total billed charges,95% of total billed charges,57.07,94.72,,45.66,percent of total billed charges,94.72% of total billed charges,59.52,98.79,,47.62,percent of total billed charges,98.79% of total billed charges,59.05,98,,47.24,percent of total billed charges,98% of total billed charges,59.05,98,,47.24,percent of total billed charges,98% of total billed charges,28.92,48,,23.14,percent of total billed charges,48% of total billed charges,27.11,45,,21.69,percent of total billed charges,45% of total billed charges,23.05,38.25,,18.44,percent of total billed charges,38.25% of total billed charges,27.11,45,,21.69,percent of total billed charges,45% of total billed charges,27.11,45,,21.69,percent of total billed charges,45% of total billed charges,23.05,59.52,
BRACE ANKLE RIGHT SMALL,7570044,CDM,272,RC,,,OUTPATIENT,,,67.25,53.8,,63.89,95,,51.11,percent of total billed charges,95% of total billed charges,63.7,94.72,,50.96,percent of total billed charges,94.72% of total billed charges,66.44,98.79,,53.15,percent of total billed charges,98.79% of total billed charges,65.91,98,,52.73,percent of total billed charges,98% of total billed charges,65.91,98,,52.73,percent of total billed charges,98% of total billed charges,32.28,48,,25.82,percent of total billed charges,48% of total billed charges,30.26,45,,24.21,percent of total billed charges,45% of total billed charges,25.72,38.25,,20.58,percent of total billed charges,38.25% of total billed charges,30.26,45,,24.21,percent of total billed charges,45% of total billed charges,30.26,45,,24.21,percent of total billed charges,45% of total billed charges,25.72,66.44,
BRACE ANKLE LEFT SMALL,7570045,CDM,272,RC,,,OUTPATIENT,,,96.75,77.4,,91.91,95,,73.53,percent of total billed charges,95% of total billed charges,91.64,94.72,,73.31,percent of total billed charges,94.72% of total billed charges,95.58,98.79,,76.46,percent of total billed charges,98.79% of total billed charges,94.82,98,,75.86,percent of total billed charges,98% of total billed charges,94.82,98,,75.86,percent of total billed charges,98% of total billed charges,46.44,48,,37.15,percent of total billed charges,48% of total billed charges,43.54,45,,34.83,percent of total billed charges,45% of total billed charges,37.01,38.25,,29.61,percent of total billed charges,38.25% of total billed charges,43.54,45,,34.83,percent of total billed charges,45% of total billed charges,43.54,45,,34.83,percent of total billed charges,45% of total billed charges,37.01,95.58,
BRACE ANKLE RIGHT MED,7570046,CDM,272,RC,,,OUTPATIENT,,,65.5,52.4,,62.23,95,,49.78,percent of total billed charges,95% of total billed charges,62.04,94.72,,49.63,percent of total billed charges,94.72% of total billed charges,64.71,98.79,,51.77,percent of total billed charges,98.79% of total billed charges,64.19,98,,51.35,percent of total billed charges,98% of total billed charges,64.19,98,,51.35,percent of total billed charges,98% of total billed charges,31.44,48,,25.15,percent of total billed charges,48% of total billed charges,29.48,45,,23.58,percent of total billed charges,45% of total billed charges,25.05,38.25,,20.04,percent of total billed charges,38.25% of total billed charges,29.48,45,,23.58,percent of total billed charges,45% of total billed charges,29.48,45,,23.58,percent of total billed charges,45% of total billed charges,25.05,64.71,
BRACE ANKLE LEFT MED,7570047,CDM,272,RC,,,OUTPATIENT,,,65,52,,61.75,95,,49.4,percent of total billed charges,95% of total billed charges,61.57,94.72,,49.26,percent of total billed charges,94.72% of total billed charges,64.21,98.79,,51.37,percent of total billed charges,98.79% of total billed charges,63.7,98,,50.96,percent of total billed charges,98% of total billed charges,63.7,98,,50.96,percent of total billed charges,98% of total billed charges,31.2,48,,24.96,percent of total billed charges,48% of total billed charges,29.25,45,,23.4,percent of total billed charges,45% of total billed charges,24.86,38.25,,19.89,percent of total billed charges,38.25% of total billed charges,29.25,45,,23.4,percent of total billed charges,45% of total billed charges,29.25,45,,23.4,percent of total billed charges,45% of total billed charges,24.86,64.21,
SHOE POST OP SMALL,7570059,CDM,272,RC,,,OUTPATIENT,,,25.25,20.2,,23.99,95,,19.19,percent of total billed charges,95% of total billed charges,23.92,94.72,,19.14,percent of total billed charges,94.72% of total billed charges,24.94,98.79,,19.95,percent of total billed charges,98.79% of total billed charges,24.75,98,,19.8,percent of total billed charges,98% of total billed charges,24.75,98,,19.8,percent of total billed charges,98% of total billed charges,12.12,48,,9.7,percent of total billed charges,48% of total billed charges,11.36,45,,9.09,percent of total billed charges,45% of total billed charges,9.66,38.25,,7.73,percent of total billed charges,38.25% of total billed charges,11.36,45,,9.09,percent of total billed charges,45% of total billed charges,11.36,45,,9.09,percent of total billed charges,45% of total billed charges,9.66,24.94,
SLING PEDIATRIC ARM,7570087,CDM,272,RC,,,OUTPATIENT,,,19.75,15.8,,18.76,95,,15.01,percent of total billed charges,95% of total billed charges,18.71,94.72,,14.97,percent of total billed charges,94.72% of total billed charges,19.51,98.79,,15.61,percent of total billed charges,98.79% of total billed charges,19.36,98,,15.49,percent of total billed charges,98% of total billed charges,19.36,98,,15.49,percent of total billed charges,98% of total billed charges,9.48,48,,7.58,percent of total billed charges,48% of total billed charges,8.89,45,,7.11,percent of total billed charges,45% of total billed charges,7.55,38.25,,6.04,percent of total billed charges,38.25% of total billed charges,8.89,45,,7.11,percent of total billed charges,45% of total billed charges,8.89,45,,7.11,percent of total billed charges,45% of total billed charges,7.55,19.51,
SHOE POST OP MENS MEDIUM,7570127,CDM,272,RC,,,OUTPATIENT,,,29.5,23.6,,28.03,95,,22.42,percent of total billed charges,95% of total billed charges,27.94,94.72,,22.35,percent of total billed charges,94.72% of total billed charges,29.14,98.79,,23.31,percent of total billed charges,98.79% of total billed charges,28.91,98,,23.13,percent of total billed charges,98% of total billed charges,28.91,98,,23.13,percent of total billed charges,98% of total billed charges,14.16,48,,11.33,percent of total billed charges,48% of total billed charges,13.28,45,,10.62,percent of total billed charges,45% of total billed charges,11.28,38.25,,9.02,percent of total billed charges,38.25% of total billed charges,13.28,45,,10.62,percent of total billed charges,45% of total billed charges,13.28,45,,10.62,percent of total billed charges,45% of total billed charges,11.28,29.14,
CUFF TOURNIQUET 34IN,7570159,CDM,272,RC,,,OUTPATIENT,,,81.5,65.2,,77.43,95,,61.94,percent of total billed charges,95% of total billed charges,77.2,94.72,,61.76,percent of total billed charges,94.72% of total billed charges,80.51,98.79,,64.41,percent of total billed charges,98.79% of total billed charges,79.87,98,,63.9,percent of total billed charges,98% of total billed charges,79.87,98,,63.9,percent of total billed charges,98% of total billed charges,39.12,48,,31.3,percent of total billed charges,48% of total billed charges,36.68,45,,29.34,percent of total billed charges,45% of total billed charges,31.17,38.25,,24.94,percent of total billed charges,38.25% of total billed charges,36.68,45,,29.34,percent of total billed charges,45% of total billed charges,36.68,45,,29.34,percent of total billed charges,45% of total billed charges,31.17,80.51,
PIN RESORBABLE 1.3mm X 40mm,7570200,CDM,272,RC,,,OUTPATIENT,,,342.25,273.8,,325.14,95,,260.11,percent of total billed charges,95% of total billed charges,324.18,94.72,,259.34,percent of total billed charges,94.72% of total billed charges,338.11,98.79,,270.49,percent of total billed charges,98.79% of total billed charges,335.41,98,,268.33,percent of total billed charges,98% of total billed charges,335.41,98,,268.33,percent of total billed charges,98% of total billed charges,164.28,48,,131.42,percent of total billed charges,48% of total billed charges,154.01,45,,123.21,percent of total billed charges,45% of total billed charges,130.91,38.25,,104.73,percent of total billed charges,38.25% of total billed charges,154.01,45,,123.21,percent of total billed charges,45% of total billed charges,154.01,45,,123.21,percent of total billed charges,45% of total billed charges,130.91,338.11,
PIN RESORBABLE 2.0mm X 40mm,7570201,CDM,272,RC,,,OUTPATIENT,,,417.5,334,,396.63,95,,317.3,percent of total billed charges,95% of total billed charges,395.46,94.72,,316.37,percent of total billed charges,94.72% of total billed charges,412.45,98.79,,329.96,percent of total billed charges,98.79% of total billed charges,409.15,98,,327.32,percent of total billed charges,98% of total billed charges,409.15,98,,327.32,percent of total billed charges,98% of total billed charges,200.4,48,,160.32,percent of total billed charges,48% of total billed charges,187.88,45,,150.3,percent of total billed charges,45% of total billed charges,159.69,38.25,,127.75,percent of total billed charges,38.25% of total billed charges,187.88,45,,150.3,percent of total billed charges,45% of total billed charges,187.88,45,,150.3,percent of total billed charges,45% of total billed charges,159.69,412.45,
PIN DRILL 2 X 100mm  AR-4152DS,7570203,CDM,272,RC,,,OUTPATIENT,,,569.25,455.4,,540.79,95,,432.63,percent of total billed charges,95% of total billed charges,539.19,94.72,,431.35,percent of total billed charges,94.72% of total billed charges,562.36,98.79,,449.89,percent of total billed charges,98.79% of total billed charges,557.87,98,,446.3,percent of total billed charges,98% of total billed charges,557.87,98,,446.3,percent of total billed charges,98% of total billed charges,273.24,48,,218.59,percent of total billed charges,48% of total billed charges,256.16,45,,204.93,percent of total billed charges,45% of total billed charges,217.74,38.25,,174.19,percent of total billed charges,38.25% of total billed charges,256.16,45,,204.93,percent of total billed charges,45% of total billed charges,256.16,45,,204.93,percent of total billed charges,45% of total billed charges,217.74,562.36,
BIOMET BONE CEMENT R 1X40,7570565,CDM,272,RC,,,OUTPATIENT,,,100.5,80.4,,95.48,95,,76.38,percent of total billed charges,95% of total billed charges,95.19,94.72,,76.15,percent of total billed charges,94.72% of total billed charges,99.28,98.79,,79.42,percent of total billed charges,98.79% of total billed charges,98.49,98,,78.79,percent of total billed charges,98% of total billed charges,98.49,98,,78.79,percent of total billed charges,98% of total billed charges,48.24,48,,38.59,percent of total billed charges,48% of total billed charges,45.23,45,,36.18,percent of total billed charges,45% of total billed charges,38.44,38.25,,30.75,percent of total billed charges,38.25% of total billed charges,45.23,45,,36.18,percent of total billed charges,45% of total billed charges,45.23,45,,36.18,percent of total billed charges,45% of total billed charges,38.44,99.28,
NEEDLE RC 24MM,7580050,CDM,272,RC,,,OUTPATIENT,,,265.75,212.6,,252.46,95,,201.97,percent of total billed charges,95% of total billed charges,251.72,94.72,,201.38,percent of total billed charges,94.72% of total billed charges,262.53,98.79,,210.02,percent of total billed charges,98.79% of total billed charges,260.44,98,,208.35,percent of total billed charges,98% of total billed charges,260.44,98,,208.35,percent of total billed charges,98% of total billed charges,127.56,48,,102.05,percent of total billed charges,48% of total billed charges,119.59,45,,95.67,percent of total billed charges,45% of total billed charges,101.65,38.25,,81.32,percent of total billed charges,38.25% of total billed charges,119.59,45,,95.67,percent of total billed charges,45% of total billed charges,119.59,45,,95.67,percent of total billed charges,45% of total billed charges,101.65,262.53,
NEEDLE RC 35MM,7580051,CDM,272,RC,,,OUTPATIENT,,,257,205.6,,244.15,95,,195.32,percent of total billed charges,95% of total billed charges,243.43,94.72,,194.74,percent of total billed charges,94.72% of total billed charges,253.89,98.79,,203.11,percent of total billed charges,98.79% of total billed charges,251.86,98,,201.49,percent of total billed charges,98% of total billed charges,251.86,98,,201.49,percent of total billed charges,98% of total billed charges,123.36,48,,98.69,percent of total billed charges,48% of total billed charges,115.65,45,,92.52,percent of total billed charges,45% of total billed charges,98.3,38.25,,78.64,percent of total billed charges,38.25% of total billed charges,115.65,45,,92.52,percent of total billed charges,45% of total billed charges,115.65,45,,92.52,percent of total billed charges,45% of total billed charges,98.3,253.89,
SHEAR CURVED 9CM,7580097,CDM,272,RC,,,OUTPATIENT,,,649,519.2,,616.55,95,,493.24,percent of total billed charges,95% of total billed charges,614.73,94.72,,491.78,percent of total billed charges,94.72% of total billed charges,641.15,98.79,,512.92,percent of total billed charges,98.79% of total billed charges,636.02,98,,508.82,percent of total billed charges,98% of total billed charges,636.02,98,,508.82,percent of total billed charges,98% of total billed charges,311.52,48,,249.22,percent of total billed charges,48% of total billed charges,292.05,45,,233.64,percent of total billed charges,45% of total billed charges,248.24,38.25,,198.59,percent of total billed charges,38.25% of total billed charges,292.05,45,,233.64,percent of total billed charges,45% of total billed charges,292.05,45,,233.64,percent of total billed charges,45% of total billed charges,248.24,641.15,
SHEAR HARMONIC ACE,7580098,CDM,272,RC,,,OUTPATIENT,,,838.5,670.8,,796.58,95,,637.26,percent of total billed charges,95% of total billed charges,794.23,94.72,,635.38,percent of total billed charges,94.72% of total billed charges,828.35,98.79,,662.68,percent of total billed charges,98.79% of total billed charges,821.73,98,,657.38,percent of total billed charges,98% of total billed charges,821.73,98,,657.38,percent of total billed charges,98% of total billed charges,402.48,48,,321.98,percent of total billed charges,48% of total billed charges,377.33,45,,301.86,percent of total billed charges,45% of total billed charges,320.73,38.25,,256.58,percent of total billed charges,38.25% of total billed charges,377.33,45,,301.86,percent of total billed charges,45% of total billed charges,377.33,45,,301.86,percent of total billed charges,45% of total billed charges,320.73,828.35,
ENSEAL X1 LRG JAW,7580099,CDM,272,RC,,,OUTPATIENT,,,1023,818.4,,971.85,95,,777.48,percent of total billed charges,95% of total billed charges,968.99,94.72,,775.19,percent of total billed charges,94.72% of total billed charges,1010.62,98.79,,808.5,percent of total billed charges,98.79% of total billed charges,1002.54,98,,802.03,percent of total billed charges,98% of total billed charges,1002.54,98,,802.03,percent of total billed charges,98% of total billed charges,491.04,48,,392.83,percent of total billed charges,48% of total billed charges,460.35,45,,368.28,percent of total billed charges,45% of total billed charges,391.3,38.25,,313.04,percent of total billed charges,38.25% of total billed charges,460.35,45,,368.28,percent of total billed charges,45% of total billed charges,460.35,45,,368.28,percent of total billed charges,45% of total billed charges,391.3,1010.62,
LIGASURE PRECISE INSTRUMENT,7580100,CDM,272,RC,,,OUTPATIENT,,,511,408.8,,485.45,95,,388.36,percent of total billed charges,95% of total billed charges,484.02,94.72,,387.22,percent of total billed charges,94.72% of total billed charges,504.82,98.79,,403.86,percent of total billed charges,98.79% of total billed charges,500.78,98,,400.62,percent of total billed charges,98% of total billed charges,500.78,98,,400.62,percent of total billed charges,98% of total billed charges,245.28,48,,196.22,percent of total billed charges,48% of total billed charges,229.95,45,,183.96,percent of total billed charges,45% of total billed charges,195.46,38.25,,156.37,percent of total billed charges,38.25% of total billed charges,229.95,45,,183.96,percent of total billed charges,45% of total billed charges,229.95,45,,183.96,percent of total billed charges,45% of total billed charges,195.46,504.82,
LIGASURE IMPACT INSTRUMENT,7580101,CDM,272,RC,,,OUTPATIENT,,,1467,1173.6,,1393.65,95,,1114.92,percent of total billed charges,95% of total billed charges,1389.54,94.72,,1111.63,percent of total billed charges,94.72% of total billed charges,1449.25,98.79,,1159.4,percent of total billed charges,98.79% of total billed charges,1437.66,98,,1150.13,percent of total billed charges,98% of total billed charges,1437.66,98,,1150.13,percent of total billed charges,98% of total billed charges,704.16,48,,563.33,percent of total billed charges,48% of total billed charges,660.15,45,,528.12,percent of total billed charges,45% of total billed charges,561.13,38.25,,448.9,percent of total billed charges,38.25% of total billed charges,660.15,45,,528.12,percent of total billed charges,45% of total billed charges,660.15,45,,528.12,percent of total billed charges,45% of total billed charges,561.13,1449.25,
LIGASURE VESSEL SEALING INSTRUMENT,7580102,CDM,272,RC,,,OUTPATIENT,,,810.75,648.6,,770.21,95,,616.17,percent of total billed charges,95% of total billed charges,767.94,94.72,,614.35,percent of total billed charges,94.72% of total billed charges,800.94,98.79,,640.75,percent of total billed charges,98.79% of total billed charges,794.54,98,,635.63,percent of total billed charges,98% of total billed charges,794.54,98,,635.63,percent of total billed charges,98% of total billed charges,389.16,48,,311.33,percent of total billed charges,48% of total billed charges,364.84,45,,291.87,percent of total billed charges,45% of total billed charges,310.11,38.25,,248.09,percent of total billed charges,38.25% of total billed charges,364.84,45,,291.87,percent of total billed charges,45% of total billed charges,364.84,45,,291.87,percent of total billed charges,45% of total billed charges,310.11,800.94,
LIGASURE CRVD SEALER/DIV,7580103,CDM,272,RC,,,OUTPATIENT,,,701.8,561.44,,666.71,95,,533.37,percent of total billed charges,95% of total billed charges,664.74,94.72,,531.79,percent of total billed charges,94.72% of total billed charges,693.31,98.79,,554.65,percent of total billed charges,98.79% of total billed charges,687.76,98,,550.21,percent of total billed charges,98% of total billed charges,687.76,98,,550.21,percent of total billed charges,98% of total billed charges,336.86,48,,269.49,percent of total billed charges,48% of total billed charges,315.81,45,,252.65,percent of total billed charges,45% of total billed charges,268.44,38.25,,214.75,percent of total billed charges,38.25% of total billed charges,315.81,45,,252.65,percent of total billed charges,45% of total billed charges,315.81,45,,252.65,percent of total billed charges,45% of total billed charges,268.44,693.31,
RETRIEVER ENDOPOUCH SPEC BAG,7580111,CDM,272,RC,,,OUTPATIENT,,,76.25,61,,72.44,95,,57.95,percent of total billed charges,95% of total billed charges,72.22,94.72,,57.78,percent of total billed charges,94.72% of total billed charges,75.33,98.79,,60.26,percent of total billed charges,98.79% of total billed charges,74.73,98,,59.78,percent of total billed charges,98% of total billed charges,74.73,98,,59.78,percent of total billed charges,98% of total billed charges,36.6,48,,29.28,percent of total billed charges,48% of total billed charges,34.31,45,,27.45,percent of total billed charges,45% of total billed charges,29.17,38.25,,23.34,percent of total billed charges,38.25% of total billed charges,34.31,45,,27.45,percent of total billed charges,45% of total billed charges,34.31,45,,27.45,percent of total billed charges,45% of total billed charges,29.17,75.33,
DEVICE WOUND DRAINAGE HEMOVAC,7580114,CDM,272,RC,,,OUTPATIENT,,,38.5,30.8,,36.58,95,,29.26,percent of total billed charges,95% of total billed charges,36.47,94.72,,29.18,percent of total billed charges,94.72% of total billed charges,38.03,98.79,,30.42,percent of total billed charges,98.79% of total billed charges,37.73,98,,30.18,percent of total billed charges,98% of total billed charges,37.73,98,,30.18,percent of total billed charges,98% of total billed charges,18.48,48,,14.78,percent of total billed charges,48% of total billed charges,17.33,45,,13.86,percent of total billed charges,45% of total billed charges,14.73,38.25,,11.78,percent of total billed charges,38.25% of total billed charges,17.33,45,,13.86,percent of total billed charges,45% of total billed charges,17.33,45,,13.86,percent of total billed charges,45% of total billed charges,14.73,38.03,
TROCAR VERSAPORT PLUS 5MM-8MM,7580117,CDM,272,RC,,,OUTPATIENT,,,201.5,161.2,,191.43,95,,153.14,percent of total billed charges,95% of total billed charges,190.86,94.72,,152.69,percent of total billed charges,94.72% of total billed charges,199.06,98.79,,159.25,percent of total billed charges,98.79% of total billed charges,197.47,98,,157.98,percent of total billed charges,98% of total billed charges,197.47,98,,157.98,percent of total billed charges,98% of total billed charges,96.72,48,,77.38,percent of total billed charges,48% of total billed charges,90.68,45,,72.54,percent of total billed charges,45% of total billed charges,77.07,38.25,,61.66,percent of total billed charges,38.25% of total billed charges,90.68,45,,72.54,percent of total billed charges,45% of total billed charges,90.68,45,,72.54,percent of total billed charges,45% of total billed charges,77.07,199.06,
NEEDLE PNEUMO 150mm,7580119,CDM,272,RC,,,OUTPATIENT,,,94.25,75.4,,89.54,95,,71.63,percent of total billed charges,95% of total billed charges,89.27,94.72,,71.42,percent of total billed charges,94.72% of total billed charges,93.11,98.79,,74.49,percent of total billed charges,98.79% of total billed charges,92.37,98,,73.9,percent of total billed charges,98% of total billed charges,92.37,98,,73.9,percent of total billed charges,98% of total billed charges,45.24,48,,36.19,percent of total billed charges,48% of total billed charges,42.41,45,,33.93,percent of total billed charges,45% of total billed charges,36.05,38.25,,28.84,percent of total billed charges,38.25% of total billed charges,42.41,45,,33.93,percent of total billed charges,45% of total billed charges,42.41,45,,33.93,percent of total billed charges,45% of total billed charges,36.05,93.11,
SCISSORS CURVED W/CAUTERY 5mm,7580121,CDM,272,RC,,,OUTPATIENT,,,121,96.8,,114.95,95,,91.96,percent of total billed charges,95% of total billed charges,114.61,94.72,,91.69,percent of total billed charges,94.72% of total billed charges,119.54,98.79,,95.63,percent of total billed charges,98.79% of total billed charges,118.58,98,,94.86,percent of total billed charges,98% of total billed charges,118.58,98,,94.86,percent of total billed charges,98% of total billed charges,58.08,48,,46.46,percent of total billed charges,48% of total billed charges,54.45,45,,43.56,percent of total billed charges,45% of total billed charges,46.28,38.25,,37.02,percent of total billed charges,38.25% of total billed charges,54.45,45,,43.56,percent of total billed charges,45% of total billed charges,54.45,45,,43.56,percent of total billed charges,45% of total billed charges,46.28,119.54,
STAPLE REMOVER SURGICAL,7580138,CDM,272,RC,,,OUTPATIENT,,,4.5,3.6,,4.28,95,,3.42,percent of total billed charges,95% of total billed charges,4.26,94.72,,3.41,percent of total billed charges,94.72% of total billed charges,4.45,98.79,,3.56,percent of total billed charges,98.79% of total billed charges,4.41,98,,3.53,percent of total billed charges,98% of total billed charges,4.41,98,,3.53,percent of total billed charges,98% of total billed charges,2.16,48,,1.73,percent of total billed charges,48% of total billed charges,2.03,45,,1.62,percent of total billed charges,45% of total billed charges,1.72,38.25,,1.38,percent of total billed charges,38.25% of total billed charges,2.03,45,,1.62,percent of total billed charges,45% of total billed charges,2.03,45,,1.62,percent of total billed charges,45% of total billed charges,1.72,4.45,
SCISSOR METZ ECO-CUT,7580144,CDM,272,RC,,,OUTPATIENT,,,79.5,63.6,,75.53,95,,60.42,percent of total billed charges,95% of total billed charges,75.3,94.72,,60.24,percent of total billed charges,94.72% of total billed charges,78.54,98.79,,62.83,percent of total billed charges,98.79% of total billed charges,77.91,98,,62.33,percent of total billed charges,98% of total billed charges,77.91,98,,62.33,percent of total billed charges,98% of total billed charges,38.16,48,,30.53,percent of total billed charges,48% of total billed charges,35.78,45,,28.62,percent of total billed charges,45% of total billed charges,30.41,38.25,,24.33,percent of total billed charges,38.25% of total billed charges,35.78,45,,28.62,percent of total billed charges,45% of total billed charges,35.78,45,,28.62,percent of total billed charges,45% of total billed charges,30.41,78.54,
CANNULA PASSPORT BUTTON 8X4,7580145,CDM,272,RC,,,OUTPATIENT,,,86.75,69.4,,82.41,95,,65.93,percent of total billed charges,95% of total billed charges,82.17,94.72,,65.74,percent of total billed charges,94.72% of total billed charges,85.7,98.79,,68.56,percent of total billed charges,98.79% of total billed charges,85.02,98,,68.02,percent of total billed charges,98% of total billed charges,85.02,98,,68.02,percent of total billed charges,98% of total billed charges,41.64,48,,33.31,percent of total billed charges,48% of total billed charges,39.04,45,,31.23,percent of total billed charges,45% of total billed charges,33.18,38.25,,26.54,percent of total billed charges,38.25% of total billed charges,39.04,45,,31.23,percent of total billed charges,45% of total billed charges,39.04,45,,31.23,percent of total billed charges,45% of total billed charges,33.18,85.7,
INSTRUMENT CANNULA 7MMX7CM AR-6550,7580146,CDM,272,RC,,,OUTPATIENT,,,81.5,65.2,,77.43,95,,61.94,percent of total billed charges,95% of total billed charges,77.2,94.72,,61.76,percent of total billed charges,94.72% of total billed charges,80.51,98.79,,64.41,percent of total billed charges,98.79% of total billed charges,79.87,98,,63.9,percent of total billed charges,98% of total billed charges,79.87,98,,63.9,percent of total billed charges,98% of total billed charges,39.12,48,,31.3,percent of total billed charges,48% of total billed charges,36.68,45,,29.34,percent of total billed charges,45% of total billed charges,31.17,38.25,,24.94,percent of total billed charges,38.25% of total billed charges,36.68,45,,29.34,percent of total billed charges,45% of total billed charges,36.68,45,,29.34,percent of total billed charges,45% of total billed charges,31.17,80.51,
TROCAR OPTICAL W/ FIXATION CANNULA 5MM ONB5STF,7580148,CDM,272,RC,,,OUTPATIENT,,,68.25,54.6,,64.84,95,,51.87,percent of total billed charges,95% of total billed charges,64.65,94.72,,51.72,percent of total billed charges,94.72% of total billed charges,67.42,98.79,,53.94,percent of total billed charges,98.79% of total billed charges,66.89,98,,53.51,percent of total billed charges,98% of total billed charges,66.89,98,,53.51,percent of total billed charges,98% of total billed charges,32.76,48,,26.21,percent of total billed charges,48% of total billed charges,30.71,45,,24.57,percent of total billed charges,45% of total billed charges,26.11,38.25,,20.89,percent of total billed charges,38.25% of total billed charges,30.71,45,,24.57,percent of total billed charges,45% of total billed charges,30.71,45,,24.57,percent of total billed charges,45% of total billed charges,26.11,67.42,
TROCAR XCEL ENDOPATH DILATING TIP 12mm,7580154,CDM,272,RC,,,OUTPATIENT,,,246.25,197,,233.94,95,,187.15,percent of total billed charges,95% of total billed charges,233.25,94.72,,186.6,percent of total billed charges,94.72% of total billed charges,243.27,98.79,,194.62,percent of total billed charges,98.79% of total billed charges,241.33,98,,193.06,percent of total billed charges,98% of total billed charges,241.33,98,,193.06,percent of total billed charges,98% of total billed charges,118.2,48,,94.56,percent of total billed charges,48% of total billed charges,110.81,45,,88.65,percent of total billed charges,45% of total billed charges,94.19,38.25,,75.35,percent of total billed charges,38.25% of total billed charges,110.81,45,,88.65,percent of total billed charges,45% of total billed charges,110.81,45,,88.65,percent of total billed charges,45% of total billed charges,94.19,243.27,
TROCAR XCEL 15MM BLADELESS,7580155,CDM,272,RC,,,OUTPATIENT,,,82.25,65.8,,78.14,95,,62.51,percent of total billed charges,95% of total billed charges,77.91,94.72,,62.33,percent of total billed charges,94.72% of total billed charges,81.25,98.79,,65,percent of total billed charges,98.79% of total billed charges,80.61,98,,64.49,percent of total billed charges,98% of total billed charges,80.61,98,,64.49,percent of total billed charges,98% of total billed charges,39.48,48,,31.58,percent of total billed charges,48% of total billed charges,37.01,45,,29.61,percent of total billed charges,45% of total billed charges,31.46,38.25,,25.17,percent of total billed charges,38.25% of total billed charges,37.01,45,,29.61,percent of total billed charges,45% of total billed charges,37.01,45,,29.61,percent of total billed charges,45% of total billed charges,31.46,81.25,
TROCAR 15MM STD BLADELESS NONB15STF,7580156,CDM,272,RC,,,OUTPATIENT,,,83.25,66.6,,79.09,95,,63.27,percent of total billed charges,95% of total billed charges,78.85,94.72,,63.08,percent of total billed charges,94.72% of total billed charges,82.24,98.79,,65.79,percent of total billed charges,98.79% of total billed charges,81.59,98,,65.27,percent of total billed charges,98% of total billed charges,81.59,98,,65.27,percent of total billed charges,98% of total billed charges,39.96,48,,31.97,percent of total billed charges,48% of total billed charges,37.46,45,,29.97,percent of total billed charges,45% of total billed charges,31.84,38.25,,25.47,percent of total billed charges,38.25% of total billed charges,37.46,45,,29.97,percent of total billed charges,45% of total billed charges,37.46,45,,29.97,percent of total billed charges,45% of total billed charges,31.84,82.24,
ENDO DISSECT 5MM,7580160,CDM,272,RC,,,OUTPATIENT,,,246,196.8,,233.7,95,,186.96,percent of total billed charges,95% of total billed charges,233.01,94.72,,186.41,percent of total billed charges,94.72% of total billed charges,243.02,98.79,,194.42,percent of total billed charges,98.79% of total billed charges,241.08,98,,192.86,percent of total billed charges,98% of total billed charges,241.08,98,,192.86,percent of total billed charges,98% of total billed charges,118.08,48,,94.46,percent of total billed charges,48% of total billed charges,110.7,45,,88.56,percent of total billed charges,45% of total billed charges,94.1,38.25,,75.28,percent of total billed charges,38.25% of total billed charges,110.7,45,,88.56,percent of total billed charges,45% of total billed charges,110.7,45,,88.56,percent of total billed charges,45% of total billed charges,94.1,243.02,
STAPLER POWERED LDS 15W,7580161,CDM,272,RC,,,OUTPATIENT,,,622,497.6,,590.9,95,,472.72,percent of total billed charges,95% of total billed charges,589.16,94.72,,471.33,percent of total billed charges,94.72% of total billed charges,614.47,98.79,,491.58,percent of total billed charges,98.79% of total billed charges,609.56,98,,487.65,percent of total billed charges,98% of total billed charges,609.56,98,,487.65,percent of total billed charges,98% of total billed charges,298.56,48,,238.85,percent of total billed charges,48% of total billed charges,279.9,45,,223.92,percent of total billed charges,45% of total billed charges,237.92,38.25,,190.34,percent of total billed charges,38.25% of total billed charges,279.9,45,,223.92,percent of total billed charges,45% of total billed charges,279.9,45,,223.92,percent of total billed charges,45% of total billed charges,237.92,614.47,
STAPLER DISPOSABLE TA45-4.8,7580183,CDM,272,RC,,,OUTPATIENT,,,262.75,210.2,,249.61,95,,199.69,percent of total billed charges,95% of total billed charges,248.88,94.72,,199.1,percent of total billed charges,94.72% of total billed charges,259.57,98.79,,207.66,percent of total billed charges,98.79% of total billed charges,257.5,98,,206,percent of total billed charges,98% of total billed charges,257.5,98,,206,percent of total billed charges,98% of total billed charges,126.12,48,,100.9,percent of total billed charges,48% of total billed charges,118.24,45,,94.59,percent of total billed charges,45% of total billed charges,100.5,38.25,,80.4,percent of total billed charges,38.25% of total billed charges,118.24,45,,94.59,percent of total billed charges,45% of total billed charges,118.24,45,,94.59,percent of total billed charges,45% of total billed charges,100.5,259.57,
STAPLER PROXIMATE LINEAR 75mm,7580184,CDM,272,RC,,,OUTPATIENT,,,246.75,197.4,,234.41,95,,187.53,percent of total billed charges,95% of total billed charges,233.72,94.72,,186.98,percent of total billed charges,94.72% of total billed charges,243.76,98.79,,195.01,percent of total billed charges,98.79% of total billed charges,241.82,98,,193.46,percent of total billed charges,98% of total billed charges,241.82,98,,193.46,percent of total billed charges,98% of total billed charges,118.44,48,,94.75,percent of total billed charges,48% of total billed charges,111.04,45,,88.83,percent of total billed charges,45% of total billed charges,94.38,38.25,,75.5,percent of total billed charges,38.25% of total billed charges,111.04,45,,88.83,percent of total billed charges,45% of total billed charges,111.04,45,,88.83,percent of total billed charges,45% of total billed charges,94.38,243.76,
STAPLER RELOAD PROXIMATE LINEAR 75mm,7580185,CDM,272,RC,,,OUTPATIENT,,,126.5,101.2,,120.18,95,,96.14,percent of total billed charges,95% of total billed charges,119.82,94.72,,95.86,percent of total billed charges,94.72% of total billed charges,124.97,98.79,,99.98,percent of total billed charges,98.79% of total billed charges,123.97,98,,99.18,percent of total billed charges,98% of total billed charges,123.97,98,,99.18,percent of total billed charges,98% of total billed charges,60.72,48,,48.58,percent of total billed charges,48% of total billed charges,56.93,45,,45.54,percent of total billed charges,45% of total billed charges,48.39,38.25,,38.71,percent of total billed charges,38.25% of total billed charges,56.93,45,,45.54,percent of total billed charges,45% of total billed charges,56.93,45,,45.54,percent of total billed charges,45% of total billed charges,48.39,124.97,
STAPLER RELOAD TRISTAPLE EGIA45AMT,7580186,CDM,272,RC,,,OUTPATIENT,,,237.75,190.2,,225.86,95,,180.69,percent of total billed charges,95% of total billed charges,225.2,94.72,,180.16,percent of total billed charges,94.72% of total billed charges,234.87,98.79,,187.9,percent of total billed charges,98.79% of total billed charges,233,98,,186.4,percent of total billed charges,98% of total billed charges,233,98,,186.4,percent of total billed charges,98% of total billed charges,114.12,48,,91.3,percent of total billed charges,48% of total billed charges,106.99,45,,85.59,percent of total billed charges,45% of total billed charges,90.94,38.25,,72.75,percent of total billed charges,38.25% of total billed charges,106.99,45,,85.59,percent of total billed charges,45% of total billed charges,106.99,45,,85.59,percent of total billed charges,45% of total billed charges,90.94,234.87,
STAPLER ROTICULATING UNIT 55 4.8,7580189,CDM,272,RC,,,OUTPATIENT,,,465.75,372.6,,442.46,95,,353.97,percent of total billed charges,95% of total billed charges,441.16,94.72,,352.93,percent of total billed charges,94.72% of total billed charges,460.11,98.79,,368.09,percent of total billed charges,98.79% of total billed charges,456.44,98,,365.15,percent of total billed charges,98% of total billed charges,456.44,98,,365.15,percent of total billed charges,98% of total billed charges,223.56,48,,178.85,percent of total billed charges,48% of total billed charges,209.59,45,,167.67,percent of total billed charges,45% of total billed charges,178.15,38.25,,142.52,percent of total billed charges,38.25% of total billed charges,209.59,45,,167.67,percent of total billed charges,45% of total billed charges,209.59,45,,167.67,percent of total billed charges,45% of total billed charges,178.15,460.11,
STAPLER ENDOSCOPIC SEAMGUARD TRI60B,7580191,CDM,272,RC,,,OUTPATIENT,,,263,210.4,,249.85,95,,199.88,percent of total billed charges,95% of total billed charges,249.11,94.72,,199.29,percent of total billed charges,94.72% of total billed charges,259.82,98.79,,207.86,percent of total billed charges,98.79% of total billed charges,257.74,98,,206.19,percent of total billed charges,98% of total billed charges,257.74,98,,206.19,percent of total billed charges,98% of total billed charges,126.24,48,,100.99,percent of total billed charges,48% of total billed charges,118.35,45,,94.68,percent of total billed charges,45% of total billed charges,100.6,38.25,,80.48,percent of total billed charges,38.25% of total billed charges,118.35,45,,94.68,percent of total billed charges,45% of total billed charges,118.35,45,,94.68,percent of total billed charges,45% of total billed charges,100.6,259.82,
STAPLER ENDOSCOPIC SEAMGUARD TRI60P,7580192,CDM,272,RC,,,OUTPATIENT,,,263,210.4,,249.85,95,,199.88,percent of total billed charges,95% of total billed charges,249.11,94.72,,199.29,percent of total billed charges,94.72% of total billed charges,259.82,98.79,,207.86,percent of total billed charges,98.79% of total billed charges,257.74,98,,206.19,percent of total billed charges,98% of total billed charges,257.74,98,,206.19,percent of total billed charges,98% of total billed charges,126.24,48,,100.99,percent of total billed charges,48% of total billed charges,118.35,45,,94.68,percent of total billed charges,45% of total billed charges,100.6,38.25,,80.48,percent of total billed charges,38.25% of total billed charges,118.35,45,,94.68,percent of total billed charges,45% of total billed charges,118.35,45,,94.68,percent of total billed charges,45% of total billed charges,100.6,259.82,
STAPLER RELOAD TRISTAPLE BLACK SIG60AXT,7580193,CDM,272,RC,,,OUTPATIENT,,,443.5,354.8,,421.33,95,,337.06,percent of total billed charges,95% of total billed charges,420.08,94.72,,336.06,percent of total billed charges,94.72% of total billed charges,438.13,98.79,,350.5,percent of total billed charges,98.79% of total billed charges,434.63,98,,347.7,percent of total billed charges,98% of total billed charges,434.63,98,,347.7,percent of total billed charges,98% of total billed charges,212.88,48,,170.3,percent of total billed charges,48% of total billed charges,199.58,45,,159.66,percent of total billed charges,45% of total billed charges,169.64,38.25,,135.71,percent of total billed charges,38.25% of total billed charges,199.58,45,,159.66,percent of total billed charges,45% of total billed charges,199.58,45,,159.66,percent of total billed charges,45% of total billed charges,169.64,438.13,
STAPLER RELOAD TRISTAPLE PURPLE EGIA60AMT,7580194,CDM,272,RC,,,OUTPATIENT,,,345.5,276.4,,328.23,95,,262.58,percent of total billed charges,95% of total billed charges,327.26,94.72,,261.81,percent of total billed charges,94.72% of total billed charges,341.32,98.79,,273.06,percent of total billed charges,98.79% of total billed charges,338.59,98,,270.87,percent of total billed charges,98% of total billed charges,338.59,98,,270.87,percent of total billed charges,98% of total billed charges,165.84,48,,132.67,percent of total billed charges,48% of total billed charges,155.48,45,,124.38,percent of total billed charges,45% of total billed charges,132.15,38.25,,105.72,percent of total billed charges,38.25% of total billed charges,155.48,45,,124.38,percent of total billed charges,45% of total billed charges,155.48,45,,124.38,percent of total billed charges,45% of total billed charges,132.15,341.32,
STAPLER INTRALUMINAL CURVED 25MM,7580195,CDM,272,RC,,,OUTPATIENT,,,481,384.8,,456.95,95,,365.56,percent of total billed charges,95% of total billed charges,455.6,94.72,,364.48,percent of total billed charges,94.72% of total billed charges,475.18,98.79,,380.14,percent of total billed charges,98.79% of total billed charges,471.38,98,,377.1,percent of total billed charges,98% of total billed charges,471.38,98,,377.1,percent of total billed charges,98% of total billed charges,230.88,48,,184.7,percent of total billed charges,48% of total billed charges,216.45,45,,173.16,percent of total billed charges,45% of total billed charges,183.98,38.25,,147.18,percent of total billed charges,38.25% of total billed charges,216.45,45,,173.16,percent of total billed charges,45% of total billed charges,216.45,45,,173.16,percent of total billed charges,45% of total billed charges,183.98,475.18,
STAPLER PROXIMATE ILS CURVED 33MM,7580196,CDM,272,RC,,,OUTPATIENT,,,268.5,214.8,,255.08,95,,204.06,percent of total billed charges,95% of total billed charges,254.32,94.72,,203.46,percent of total billed charges,94.72% of total billed charges,265.25,98.79,,212.2,percent of total billed charges,98.79% of total billed charges,263.13,98,,210.5,percent of total billed charges,98% of total billed charges,263.13,98,,210.5,percent of total billed charges,98% of total billed charges,128.88,48,,103.1,percent of total billed charges,48% of total billed charges,120.83,45,,96.66,percent of total billed charges,45% of total billed charges,102.7,38.25,,82.16,percent of total billed charges,38.25% of total billed charges,120.83,45,,96.66,percent of total billed charges,45% of total billed charges,120.83,45,,96.66,percent of total billed charges,45% of total billed charges,102.7,265.25,
STAPLER INTRALUMINAL CURVED 29MM,7580197,CDM,272,RC,,,OUTPATIENT,,,658.25,526.6,,625.34,95,,500.27,percent of total billed charges,95% of total billed charges,623.49,94.72,,498.79,percent of total billed charges,94.72% of total billed charges,650.29,98.79,,520.23,percent of total billed charges,98.79% of total billed charges,645.09,98,,516.07,percent of total billed charges,98% of total billed charges,645.09,98,,516.07,percent of total billed charges,98% of total billed charges,315.96,48,,252.77,percent of total billed charges,48% of total billed charges,296.21,45,,236.97,percent of total billed charges,45% of total billed charges,251.78,38.25,,201.42,percent of total billed charges,38.25% of total billed charges,296.21,45,,236.97,percent of total billed charges,45% of total billed charges,296.21,45,,236.97,percent of total billed charges,45% of total billed charges,251.78,650.29,
STAPLER PROXIMATE LINEAR 60 X 3.5,7580199,CDM,272,RC,,,OUTPATIENT,,,165,132,,156.75,95,,125.4,percent of total billed charges,95% of total billed charges,156.29,94.72,,125.03,percent of total billed charges,94.72% of total billed charges,163,98.79,,130.4,percent of total billed charges,98.79% of total billed charges,161.7,98,,129.36,percent of total billed charges,98% of total billed charges,161.7,98,,129.36,percent of total billed charges,98% of total billed charges,79.2,48,,63.36,percent of total billed charges,48% of total billed charges,74.25,45,,59.4,percent of total billed charges,45% of total billed charges,63.11,38.25,,50.49,percent of total billed charges,38.25% of total billed charges,74.25,45,,59.4,percent of total billed charges,45% of total billed charges,74.25,45,,59.4,percent of total billed charges,45% of total billed charges,63.11,163,
LIGACLIP MULTICLIP APPLIER MEDIUM,7580201,CDM,272,RC,,,OUTPATIENT,,,114.5,91.6,,108.78,95,,87.02,percent of total billed charges,95% of total billed charges,108.45,94.72,,86.76,percent of total billed charges,94.72% of total billed charges,113.11,98.79,,90.49,percent of total billed charges,98.79% of total billed charges,112.21,98,,89.77,percent of total billed charges,98% of total billed charges,112.21,98,,89.77,percent of total billed charges,98% of total billed charges,54.96,48,,43.97,percent of total billed charges,48% of total billed charges,51.53,45,,41.22,percent of total billed charges,45% of total billed charges,43.8,38.25,,35.04,percent of total billed charges,38.25% of total billed charges,51.53,45,,41.22,percent of total billed charges,45% of total billed charges,51.53,45,,41.22,percent of total billed charges,45% of total billed charges,43.8,113.11,
LIGACLIP MULTICLIP APPLIER LARGE,7580204,CDM,272,RC,,,OUTPATIENT,,,92.5,74,,87.88,95,,70.3,percent of total billed charges,95% of total billed charges,87.62,94.72,,70.1,percent of total billed charges,94.72% of total billed charges,91.38,98.79,,73.1,percent of total billed charges,98.79% of total billed charges,90.65,98,,72.52,percent of total billed charges,98% of total billed charges,90.65,98,,72.52,percent of total billed charges,98% of total billed charges,44.4,48,,35.52,percent of total billed charges,48% of total billed charges,41.63,45,,33.3,percent of total billed charges,45% of total billed charges,35.38,38.25,,28.3,percent of total billed charges,38.25% of total billed charges,41.63,45,,33.3,percent of total billed charges,45% of total billed charges,41.63,45,,33.3,percent of total billed charges,45% of total billed charges,35.38,91.38,
STAPLER PRECISE SKIN DS-5,7580205,CDM,272,RC,,,OUTPATIENT,,,28.25,22.6,,26.84,95,,21.47,percent of total billed charges,95% of total billed charges,26.76,94.72,,21.41,percent of total billed charges,94.72% of total billed charges,27.91,98.79,,22.33,percent of total billed charges,98.79% of total billed charges,27.69,98,,22.15,percent of total billed charges,98% of total billed charges,27.69,98,,22.15,percent of total billed charges,98% of total billed charges,13.56,48,,10.85,percent of total billed charges,48% of total billed charges,12.71,45,,10.17,percent of total billed charges,45% of total billed charges,10.81,38.25,,8.65,percent of total billed charges,38.25% of total billed charges,12.71,45,,10.17,percent of total billed charges,45% of total billed charges,12.71,45,,10.17,percent of total billed charges,45% of total billed charges,10.81,27.91,
STAPLER PROXIMATE WIDE,7580206,CDM,272,RC,,,OUTPATIENT,,,31,24.8,,29.45,95,,23.56,percent of total billed charges,95% of total billed charges,29.36,94.72,,23.49,percent of total billed charges,94.72% of total billed charges,30.62,98.79,,24.5,percent of total billed charges,98.79% of total billed charges,30.38,98,,24.3,percent of total billed charges,98% of total billed charges,30.38,98,,24.3,percent of total billed charges,98% of total billed charges,14.88,48,,11.9,percent of total billed charges,48% of total billed charges,13.95,45,,11.16,percent of total billed charges,45% of total billed charges,11.86,38.25,,9.49,percent of total billed charges,38.25% of total billed charges,13.95,45,,11.16,percent of total billed charges,45% of total billed charges,13.95,45,,11.16,percent of total billed charges,45% of total billed charges,11.86,30.62,
STAPLER PROXIMATE,7580207,CDM,272,RC,,,OUTPATIENT,,,19.75,15.8,,18.76,95,,15.01,percent of total billed charges,95% of total billed charges,18.71,94.72,,14.97,percent of total billed charges,94.72% of total billed charges,19.51,98.79,,15.61,percent of total billed charges,98.79% of total billed charges,19.36,98,,15.49,percent of total billed charges,98% of total billed charges,19.36,98,,15.49,percent of total billed charges,98% of total billed charges,9.48,48,,7.58,percent of total billed charges,48% of total billed charges,8.89,45,,7.11,percent of total billed charges,45% of total billed charges,7.55,38.25,,6.04,percent of total billed charges,38.25% of total billed charges,8.89,45,,7.11,percent of total billed charges,45% of total billed charges,8.89,45,,7.11,percent of total billed charges,45% of total billed charges,7.55,19.51,
LIGACLIP LIGAMAX 5MM APPLIER,7580210,CDM,272,RC,,,OUTPATIENT,,,267.5,214,,254.13,95,,203.3,percent of total billed charges,95% of total billed charges,253.38,94.72,,202.7,percent of total billed charges,94.72% of total billed charges,264.26,98.79,,211.41,percent of total billed charges,98.79% of total billed charges,262.15,98,,209.72,percent of total billed charges,98% of total billed charges,262.15,98,,209.72,percent of total billed charges,98% of total billed charges,128.4,48,,102.72,percent of total billed charges,48% of total billed charges,120.38,45,,96.3,percent of total billed charges,45% of total billed charges,102.32,38.25,,81.86,percent of total billed charges,38.25% of total billed charges,120.38,45,,96.3,percent of total billed charges,45% of total billed charges,120.38,45,,96.3,percent of total billed charges,45% of total billed charges,102.32,264.26,
VISUALIZATION SYSTEM CLEARIFY,7580211,CDM,272,RC,,,OUTPATIENT,,,83,66.4,,78.85,95,,63.08,percent of total billed charges,95% of total billed charges,78.62,94.72,,62.9,percent of total billed charges,94.72% of total billed charges,82,98.79,,65.6,percent of total billed charges,98.79% of total billed charges,81.34,98,,65.07,percent of total billed charges,98% of total billed charges,81.34,98,,65.07,percent of total billed charges,98% of total billed charges,39.84,48,,31.87,percent of total billed charges,48% of total billed charges,37.35,45,,29.88,percent of total billed charges,45% of total billed charges,31.75,38.25,,25.4,percent of total billed charges,38.25% of total billed charges,37.35,45,,29.88,percent of total billed charges,45% of total billed charges,37.35,45,,29.88,percent of total billed charges,45% of total billed charges,31.75,82,
STAPLING SYSTEM POWER CONTROL SHELL,7580212,CDM,272,RC,,,OUTPATIENT,,,165.5,132.4,,157.23,95,,125.78,percent of total billed charges,95% of total billed charges,156.76,94.72,,125.41,percent of total billed charges,94.72% of total billed charges,163.5,98.79,,130.8,percent of total billed charges,98.79% of total billed charges,162.19,98,,129.75,percent of total billed charges,98% of total billed charges,162.19,98,,129.75,percent of total billed charges,98% of total billed charges,79.44,48,,63.55,percent of total billed charges,48% of total billed charges,74.48,45,,59.58,percent of total billed charges,45% of total billed charges,63.3,38.25,,50.64,percent of total billed charges,38.25% of total billed charges,74.48,45,,59.58,percent of total billed charges,45% of total billed charges,74.48,45,,59.58,percent of total billed charges,45% of total billed charges,63.3,163.5,
STAPLER RELOAD TRISTAPLE EGIA60AVM 60MM,7580214,CDM,272,RC,,,OUTPATIENT,,,292,233.6,,277.4,95,,221.92,percent of total billed charges,95% of total billed charges,276.58,94.72,,221.26,percent of total billed charges,94.72% of total billed charges,288.47,98.79,,230.78,percent of total billed charges,98.79% of total billed charges,286.16,98,,228.93,percent of total billed charges,98% of total billed charges,286.16,98,,228.93,percent of total billed charges,98% of total billed charges,140.16,48,,112.13,percent of total billed charges,48% of total billed charges,131.4,45,,105.12,percent of total billed charges,45% of total billed charges,111.69,38.25,,89.35,percent of total billed charges,38.25% of total billed charges,131.4,45,,105.12,percent of total billed charges,45% of total billed charges,131.4,45,,105.12,percent of total billed charges,45% of total billed charges,111.69,288.47,
TROCAR VERSAPORT 5MM,7580216,CDM,272,RC,,,OUTPATIENT,,,169.75,135.8,,161.26,95,,129.01,percent of total billed charges,95% of total billed charges,160.79,94.72,,128.63,percent of total billed charges,94.72% of total billed charges,167.7,98.79,,134.16,percent of total billed charges,98.79% of total billed charges,166.36,98,,133.09,percent of total billed charges,98% of total billed charges,166.36,98,,133.09,percent of total billed charges,98% of total billed charges,81.48,48,,65.18,percent of total billed charges,48% of total billed charges,76.39,45,,61.11,percent of total billed charges,45% of total billed charges,64.93,38.25,,51.94,percent of total billed charges,38.25% of total billed charges,76.39,45,,61.11,percent of total billed charges,45% of total billed charges,76.39,45,,61.11,percent of total billed charges,45% of total billed charges,64.93,167.7,
TROCAR XCEL BLUNT TIP 12 X 100mm,7580219,CDM,272,RC,,,OUTPATIENT,,,216.75,173.4,,205.91,95,,164.73,percent of total billed charges,95% of total billed charges,205.31,94.72,,164.25,percent of total billed charges,94.72% of total billed charges,214.13,98.79,,171.3,percent of total billed charges,98.79% of total billed charges,212.42,98,,169.94,percent of total billed charges,98% of total billed charges,212.42,98,,169.94,percent of total billed charges,98% of total billed charges,104.04,48,,83.23,percent of total billed charges,48% of total billed charges,97.54,45,,78.03,percent of total billed charges,45% of total billed charges,82.91,38.25,,66.33,percent of total billed charges,38.25% of total billed charges,97.54,45,,78.03,percent of total billed charges,45% of total billed charges,97.54,45,,78.03,percent of total billed charges,45% of total billed charges,82.91,214.13,
URETERAL STENT 4.5FR. X 26CM,7589997,CDM,272,RC,,,OUTPATIENT,,,241.5,193.2,,229.43,95,,183.54,percent of total billed charges,95% of total billed charges,228.75,94.72,,183,percent of total billed charges,94.72% of total billed charges,238.58,98.79,,190.86,percent of total billed charges,98.79% of total billed charges,236.67,98,,189.34,percent of total billed charges,98% of total billed charges,236.67,98,,189.34,percent of total billed charges,98% of total billed charges,115.92,48,,92.74,percent of total billed charges,48% of total billed charges,108.68,45,,86.94,percent of total billed charges,45% of total billed charges,92.37,38.25,,73.9,percent of total billed charges,38.25% of total billed charges,108.68,45,,86.94,percent of total billed charges,45% of total billed charges,108.68,45,,86.94,percent of total billed charges,45% of total billed charges,92.37,238.58,
AMPLATZ SUPER STIFF,7590009,CDM,272,RC,,,OUTPATIENT,,,78,62.4,,74.1,95,,59.28,percent of total billed charges,95% of total billed charges,73.88,94.72,,59.1,percent of total billed charges,94.72% of total billed charges,77.06,98.79,,61.65,percent of total billed charges,98.79% of total billed charges,76.44,98,,61.15,percent of total billed charges,98% of total billed charges,76.44,98,,61.15,percent of total billed charges,98% of total billed charges,37.44,48,,29.95,percent of total billed charges,48% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,29.84,38.25,,23.87,percent of total billed charges,38.25% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,29.84,77.06,
LARYNGOSCOPE VIDEO S1,7590024,CDM,272,RC,,,OUTPATIENT,,,78,62.4,,74.1,95,,59.28,percent of total billed charges,95% of total billed charges,73.88,94.72,,59.1,percent of total billed charges,94.72% of total billed charges,77.06,98.79,,61.65,percent of total billed charges,98.79% of total billed charges,76.44,98,,61.15,percent of total billed charges,98% of total billed charges,76.44,98,,61.15,percent of total billed charges,98% of total billed charges,37.44,48,,29.95,percent of total billed charges,48% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,29.84,38.25,,23.87,percent of total billed charges,38.25% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,29.84,77.06,
LARYNGOSCOPE VIDEO S2,7590025,CDM,272,RC,,,OUTPATIENT,,,78,62.4,,74.1,95,,59.28,percent of total billed charges,95% of total billed charges,73.88,94.72,,59.1,percent of total billed charges,94.72% of total billed charges,77.06,98.79,,61.65,percent of total billed charges,98.79% of total billed charges,76.44,98,,61.15,percent of total billed charges,98% of total billed charges,76.44,98,,61.15,percent of total billed charges,98% of total billed charges,37.44,48,,29.95,percent of total billed charges,48% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,29.84,38.25,,23.87,percent of total billed charges,38.25% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,29.84,77.06,
LARYNGOSCOPE VIDEO S3,7590026,CDM,272,RC,,,OUTPATIENT,,,78,62.4,,74.1,95,,59.28,percent of total billed charges,95% of total billed charges,73.88,94.72,,59.1,percent of total billed charges,94.72% of total billed charges,77.06,98.79,,61.65,percent of total billed charges,98.79% of total billed charges,76.44,98,,61.15,percent of total billed charges,98% of total billed charges,76.44,98,,61.15,percent of total billed charges,98% of total billed charges,37.44,48,,29.95,percent of total billed charges,48% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,29.84,38.25,,23.87,percent of total billed charges,38.25% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,29.84,77.06,
LARYNGOSCOPE VIDEO S4,7590027,CDM,272,RC,,,OUTPATIENT,,,78,62.4,,74.1,95,,59.28,percent of total billed charges,95% of total billed charges,73.88,94.72,,59.1,percent of total billed charges,94.72% of total billed charges,77.06,98.79,,61.65,percent of total billed charges,98.79% of total billed charges,76.44,98,,61.15,percent of total billed charges,98% of total billed charges,76.44,98,,61.15,percent of total billed charges,98% of total billed charges,37.44,48,,29.95,percent of total billed charges,48% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,29.84,38.25,,23.87,percent of total billed charges,38.25% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,29.84,77.06,
Catheter locking drainage 10f,7710038,CDM,272,RC,,,OUTPATIENT,,,100,80,,95,95,,76,percent of total billed charges,95% of total billed charges,94.72,94.72,,75.78,percent of total billed charges,94.72% of total billed charges,98.79,98.79,,79.03,percent of total billed charges,98.79% of total billed charges,98,98,,78.4,percent of total billed charges,98% of total billed charges,98,98,,78.4,percent of total billed charges,98% of total billed charges,48,48,,38.4,percent of total billed charges,48% of total billed charges,45,45,,36,percent of total billed charges,45% of total billed charges,38.25,38.25,,30.6,percent of total billed charges,38.25% of total billed charges,45,45,,36,percent of total billed charges,45% of total billed charges,45,45,,36,percent of total billed charges,45% of total billed charges,38.25,98.79,
ASEPT EVACUATED DRAINAGE BOTTLE 250ML,37592699,CDM,272,RC,,,OUTPATIENT,,,38,30.4,,36.1,95,,28.88,percent of total billed charges,95% of total billed charges,35.99,94.72,,28.79,percent of total billed charges,94.72% of total billed charges,37.54,98.79,,30.03,percent of total billed charges,98.79% of total billed charges,37.24,98,,29.79,percent of total billed charges,98% of total billed charges,37.24,98,,29.79,percent of total billed charges,98% of total billed charges,18.24,48,,14.59,percent of total billed charges,48% of total billed charges,17.1,45,,13.68,percent of total billed charges,45% of total billed charges,14.54,38.25,,11.63,percent of total billed charges,38.25% of total billed charges,17.1,45,,13.68,percent of total billed charges,45% of total billed charges,17.1,45,,13.68,percent of total billed charges,45% of total billed charges,14.54,37.54,
ASEPT EVACUATED DRAINAGE BOTTLE 500ML,37798837,CDM,272,RC,,,OUTPATIENT,,,38,30.4,,36.1,95,,28.88,percent of total billed charges,95% of total billed charges,35.99,94.72,,28.79,percent of total billed charges,94.72% of total billed charges,37.54,98.79,,30.03,percent of total billed charges,98.79% of total billed charges,37.24,98,,29.79,percent of total billed charges,98% of total billed charges,37.24,98,,29.79,percent of total billed charges,98% of total billed charges,18.24,48,,14.59,percent of total billed charges,48% of total billed charges,17.1,45,,13.68,percent of total billed charges,45% of total billed charges,14.54,38.25,,11.63,percent of total billed charges,38.25% of total billed charges,17.1,45,,13.68,percent of total billed charges,45% of total billed charges,17.1,45,,13.68,percent of total billed charges,45% of total billed charges,14.54,37.54,
BRACE SHOULDER SLINGSHOT 3 MEDIUM,7570130,CDM,274,RC,,,OUTPATIENT,,,87.5,70,,83.13,95,,66.5,percent of total billed charges,95% of total billed charges,82.88,94.72,,66.3,percent of total billed charges,94.72% of total billed charges,86.44,98.79,,69.15,percent of total billed charges,98.79% of total billed charges,85.75,98,,68.6,percent of total billed charges,98% of total billed charges,85.75,98,,68.6,percent of total billed charges,98% of total billed charges,42,48,,33.6,percent of total billed charges,48% of total billed charges,39.38,45,,31.5,percent of total billed charges,45% of total billed charges,33.47,38.25,,26.78,percent of total billed charges,38.25% of total billed charges,39.38,45,,31.5,percent of total billed charges,45% of total billed charges,39.38,45,,31.5,percent of total billed charges,45% of total billed charges,33.47,86.44,
BRACE SHOULDER SLINGSHOT 3 LARGE,7570131,CDM,274,RC,,,OUTPATIENT,,,81,64.8,,76.95,95,,61.56,percent of total billed charges,95% of total billed charges,76.72,94.72,,61.38,percent of total billed charges,94.72% of total billed charges,80.02,98.79,,64.02,percent of total billed charges,98.79% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,38.88,48,,31.1,percent of total billed charges,48% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,38.25,,24.78,percent of total billed charges,38.25% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,80.02,
BRACE SHOULDER SLINGSHOT 3 XL,7570132,CDM,274,RC,,,OUTPATIENT,,,81,64.8,,76.95,95,,61.56,percent of total billed charges,95% of total billed charges,76.72,94.72,,61.38,percent of total billed charges,94.72% of total billed charges,80.02,98.79,,64.02,percent of total billed charges,98.79% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,38.88,48,,31.1,percent of total billed charges,48% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,38.25,,24.78,percent of total billed charges,38.25% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,80.02,
BONE CUBES CANCELLOUS 4-10MM 5CC 08A024LL,7500015,CDM,278,RC,,,OUTPATIENT,,,213,170.4,,202.35,95,,161.88,percent of total billed charges,95% of total billed charges,201.75,94.72,,161.4,percent of total billed charges,94.72% of total billed charges,210.42,98.79,,168.34,percent of total billed charges,98.79% of total billed charges,208.74,98,,166.99,percent of total billed charges,98% of total billed charges,208.74,98,,166.99,percent of total billed charges,98% of total billed charges,102.24,48,,81.79,percent of total billed charges,48% of total billed charges,95.85,45,,76.68,percent of total billed charges,45% of total billed charges,81.47,38.25,,65.18,percent of total billed charges,38.25% of total billed charges,95.85,45,,76.68,percent of total billed charges,45% of total billed charges,95.85,45,,76.68,percent of total billed charges,45% of total billed charges,81.47,210.42,
MARKER BREAST TISSUE,7510194,CDM,278,RC,,,OUTPATIENT,,,122.5,98,,116.38,95,,93.1,percent of total billed charges,95% of total billed charges,116.03,94.72,,92.82,percent of total billed charges,94.72% of total billed charges,121.02,98.79,,96.82,percent of total billed charges,98.79% of total billed charges,120.05,98,,96.04,percent of total billed charges,98% of total billed charges,120.05,98,,96.04,percent of total billed charges,98% of total billed charges,58.8,48,,47.04,percent of total billed charges,48% of total billed charges,55.13,45,,44.1,percent of total billed charges,45% of total billed charges,46.86,38.25,,37.49,percent of total billed charges,38.25% of total billed charges,55.13,45,,44.1,percent of total billed charges,45% of total billed charges,55.13,45,,44.1,percent of total billed charges,45% of total billed charges,46.86,121.02,
SITE MARKER BREAST BIOP,7510200,CDM,278,RC,,,OUTPATIENT,,,192,153.6,,182.4,95,,145.92,percent of total billed charges,95% of total billed charges,181.86,94.72,,145.49,percent of total billed charges,94.72% of total billed charges,189.68,98.79,,151.74,percent of total billed charges,98.79% of total billed charges,188.16,98,,150.53,percent of total billed charges,98% of total billed charges,188.16,98,,150.53,percent of total billed charges,98% of total billed charges,92.16,48,,73.73,percent of total billed charges,48% of total billed charges,86.4,45,,69.12,percent of total billed charges,45% of total billed charges,73.44,38.25,,58.75,percent of total billed charges,38.25% of total billed charges,86.4,45,,69.12,percent of total billed charges,45% of total billed charges,86.4,45,,69.12,percent of total billed charges,45% of total billed charges,73.44,189.68,
MARKER BREAST BIOPSY,7510200,CDM,278,RC,,,OUTPATIENT,,,225,180,,213.75,95,,171,percent of total billed charges,95% of total billed charges,213.12,94.72,,170.5,percent of total billed charges,94.72% of total billed charges,222.28,98.79,,177.82,percent of total billed charges,98.79% of total billed charges,220.5,98,,176.4,percent of total billed charges,98% of total billed charges,220.5,98,,176.4,percent of total billed charges,98% of total billed charges,108,48,,86.4,percent of total billed charges,48% of total billed charges,101.25,45,,81,percent of total billed charges,45% of total billed charges,86.06,38.25,,68.85,percent of total billed charges,38.25% of total billed charges,101.25,45,,81,percent of total billed charges,45% of total billed charges,101.25,45,,81,percent of total billed charges,45% of total billed charges,86.06,222.28,
KNEE PRESSURIZATION NOZZLE 110031498,7510215,CDM,278,RC,,,OUTPATIENT,,,85,68,,80.75,95,,64.6,percent of total billed charges,95% of total billed charges,80.51,94.72,,64.41,percent of total billed charges,94.72% of total billed charges,83.97,98.79,,67.18,percent of total billed charges,98.79% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,40.8,48,,32.64,percent of total billed charges,48% of total billed charges,38.25,45,,30.6,percent of total billed charges,45% of total billed charges,32.51,38.25,,26.01,percent of total billed charges,38.25% of total billed charges,38.25,45,,30.6,percent of total billed charges,45% of total billed charges,38.25,45,,30.6,percent of total billed charges,45% of total billed charges,32.51,83.97,
MESH NATURAL TRELEX 2 X 4,7510539,CDM,278,RC,,,OUTPATIENT,,,184,147.2,,174.8,95,,139.84,percent of total billed charges,95% of total billed charges,174.28,94.72,,139.42,percent of total billed charges,94.72% of total billed charges,181.77,98.79,,145.42,percent of total billed charges,98.79% of total billed charges,180.32,98,,144.26,percent of total billed charges,98% of total billed charges,180.32,98,,144.26,percent of total billed charges,98% of total billed charges,88.32,48,,70.66,percent of total billed charges,48% of total billed charges,82.8,45,,66.24,percent of total billed charges,45% of total billed charges,70.38,38.25,,56.3,percent of total billed charges,38.25% of total billed charges,82.8,45,,66.24,percent of total billed charges,45% of total billed charges,82.8,45,,66.24,percent of total billed charges,45% of total billed charges,70.38,181.77,
MESH NATURAL TRELEX 6 X 6,7510540,CDM,278,RC,,,OUTPATIENT,,,225,180,,213.75,95,,171,percent of total billed charges,95% of total billed charges,213.12,94.72,,170.5,percent of total billed charges,94.72% of total billed charges,222.28,98.79,,177.82,percent of total billed charges,98.79% of total billed charges,220.5,98,,176.4,percent of total billed charges,98% of total billed charges,220.5,98,,176.4,percent of total billed charges,98% of total billed charges,108,48,,86.4,percent of total billed charges,48% of total billed charges,101.25,45,,81,percent of total billed charges,45% of total billed charges,86.06,38.25,,68.85,percent of total billed charges,38.25% of total billed charges,101.25,45,,81,percent of total billed charges,45% of total billed charges,101.25,45,,81,percent of total billed charges,45% of total billed charges,86.06,222.28,
MESH SLING OBTRYX,7510541,CDM,278,RC,,,OUTPATIENT,,,2728,2182.4,,2591.6,95,,2073.28,percent of total billed charges,95% of total billed charges,2583.96,94.72,,2067.17,percent of total billed charges,94.72% of total billed charges,2694.99,98.79,,2155.99,percent of total billed charges,98.79% of total billed charges,2673.44,98,,2138.75,percent of total billed charges,98% of total billed charges,2673.44,98,,2138.75,percent of total billed charges,98% of total billed charges,1309.44,48,,1047.55,percent of total billed charges,48% of total billed charges,1227.6,45,,982.08,percent of total billed charges,45% of total billed charges,1043.46,38.25,,834.77,percent of total billed charges,38.25% of total billed charges,1227.6,45,,982.08,percent of total billed charges,45% of total billed charges,1227.6,45,,982.08,percent of total billed charges,45% of total billed charges,1043.46,2694.99,
GUIDEWIRE J CURVED,7516069,CDM,278,RC,,,OUTPATIENT,,,49,39.2,,46.55,95,,37.24,percent of total billed charges,95% of total billed charges,46.41,94.72,,37.13,percent of total billed charges,94.72% of total billed charges,48.41,98.79,,38.73,percent of total billed charges,98.79% of total billed charges,48.02,98,,38.42,percent of total billed charges,98% of total billed charges,48.02,98,,38.42,percent of total billed charges,98% of total billed charges,23.52,48,,18.82,percent of total billed charges,48% of total billed charges,22.05,45,,17.64,percent of total billed charges,45% of total billed charges,18.74,38.25,,14.99,percent of total billed charges,38.25% of total billed charges,22.05,45,,17.64,percent of total billed charges,45% of total billed charges,22.05,45,,17.64,percent of total billed charges,45% of total billed charges,18.74,48.41,
PERSONA VIVACIT-E MC LEFT KNEE 10 MM,7521001,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA ARTICULAR SURFACE  42-5121-009-10,7521002,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA ARTICULAR SURFACE  42-5121-009-11,7521003,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA ARTICULAR SURFACE  42-5121-009-12,7521004,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA ARTICULAR SURFACE  42-5121-009-13,7521005,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA ARTICULAR SURFACE  42-5121-009-14,7521006,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA ARTICULAR SURFACE  42-5121-009-16,7521007,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA VIVACET-E  42-5121-008-10,7521008,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA FIXED BEARING PS LEFT KNEE 10 MM,7521020,CDM,278,RC,,,OUTPATIENT,,,1282.5,1026,,1218.38,95,,974.7,percent of total billed charges,95% of total billed charges,1214.78,94.72,,971.82,percent of total billed charges,94.72% of total billed charges,1266.98,98.79,,1013.58,percent of total billed charges,98.79% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,615.6,48,,492.48,percent of total billed charges,48% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,38.25,,392.45,percent of total billed charges,38.25% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,1266.98,
PERSONA FIXED BEARING RIGHT  42-5214-008-11,7521021,CDM,278,RC,,,OUTPATIENT,,,1282.5,1026,,1218.38,95,,974.7,percent of total billed charges,95% of total billed charges,1214.78,94.72,,971.82,percent of total billed charges,94.72% of total billed charges,1266.98,98.79,,1013.58,percent of total billed charges,98.79% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,615.6,48,,492.48,percent of total billed charges,48% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,38.25,,392.45,percent of total billed charges,38.25% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,1266.98,
PERSONA ARTICULAR SURFACE 42-5114-007-10,7521022,CDM,278,RC,,,OUTPATIENT,,,1282.5,1026,,1218.38,95,,974.7,percent of total billed charges,95% of total billed charges,1214.78,94.72,,971.82,percent of total billed charges,94.72% of total billed charges,1266.98,98.79,,1013.58,percent of total billed charges,98.79% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,615.6,48,,492.48,percent of total billed charges,48% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,38.25,,392.45,percent of total billed charges,38.25% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,1266.98,
PERSONA ARTICULAR SURFACE 42-5114-007-11,7521023,CDM,278,RC,,,OUTPATIENT,,,1282.5,1026,,1218.38,95,,974.7,percent of total billed charges,95% of total billed charges,1214.78,94.72,,971.82,percent of total billed charges,94.72% of total billed charges,1266.98,98.79,,1013.58,percent of total billed charges,98.79% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,615.6,48,,492.48,percent of total billed charges,48% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,38.25,,392.45,percent of total billed charges,38.25% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,1266.98,
PERSONA ARTICULAR SURFACE 42-5114-007-12,7521024,CDM,278,RC,,,OUTPATIENT,,,1282.5,1026,,1218.38,95,,974.7,percent of total billed charges,95% of total billed charges,1214.78,94.72,,971.82,percent of total billed charges,94.72% of total billed charges,1266.98,98.79,,1013.58,percent of total billed charges,98.79% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,615.6,48,,492.48,percent of total billed charges,48% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,38.25,,392.45,percent of total billed charges,38.25% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,1266.98,
PERSONA ARTICULAR SURFACE 42-5114-007-13,7521025,CDM,278,RC,,,OUTPATIENT,,,1282.5,1026,,1218.38,95,,974.7,percent of total billed charges,95% of total billed charges,1214.78,94.72,,971.82,percent of total billed charges,94.72% of total billed charges,1266.98,98.79,,1013.58,percent of total billed charges,98.79% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,615.6,48,,492.48,percent of total billed charges,48% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,38.25,,392.45,percent of total billed charges,38.25% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,1266.98,
PERSONA ARTICULAR SURFACE 42-5114-007-14,7521026,CDM,278,RC,,,OUTPATIENT,,,1282.5,1026,,1218.38,95,,974.7,percent of total billed charges,95% of total billed charges,1214.78,94.72,,971.82,percent of total billed charges,94.72% of total billed charges,1266.98,98.79,,1013.58,percent of total billed charges,98.79% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,615.6,48,,492.48,percent of total billed charges,48% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,38.25,,392.45,percent of total billed charges,38.25% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,1266.98,
PERSONA ARTICULAR SURFACE 42-5114-007-16,7521027,CDM,278,RC,,,OUTPATIENT,,,1282.5,1026,,1218.38,95,,974.7,percent of total billed charges,95% of total billed charges,1214.78,94.72,,971.82,percent of total billed charges,94.72% of total billed charges,1266.98,98.79,,1013.58,percent of total billed charges,98.79% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,615.6,48,,492.48,percent of total billed charges,48% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,38.25,,392.45,percent of total billed charges,38.25% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,1266.98,
PERSONA ARTICULAR SURFACE 42-5114-007-18,7521028,CDM,278,RC,,,OUTPATIENT,,,1282.5,1026,,1218.38,95,,974.7,percent of total billed charges,95% of total billed charges,1214.78,94.72,,971.82,percent of total billed charges,94.72% of total billed charges,1266.98,98.79,,1013.58,percent of total billed charges,98.79% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,615.6,48,,492.48,percent of total billed charges,48% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,38.25,,392.45,percent of total billed charges,38.25% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,1266.98,
PERSONA ARTICULAR SURFACE 42-5114-007-20,7521029,CDM,278,RC,,,OUTPATIENT,,,1282.5,1026,,1218.38,95,,974.7,percent of total billed charges,95% of total billed charges,1214.78,94.72,,971.82,percent of total billed charges,94.72% of total billed charges,1266.98,98.79,,1013.58,percent of total billed charges,98.79% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,615.6,48,,492.48,percent of total billed charges,48% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,38.25,,392.45,percent of total billed charges,38.25% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,1266.98,
PERSONA ARTICULAR SURFACE 42-5114-005-10,7521030,CDM,278,RC,,,OUTPATIENT,,,1282.5,1026,,1218.38,95,,974.7,percent of total billed charges,95% of total billed charges,1214.78,94.72,,971.82,percent of total billed charges,94.72% of total billed charges,1266.98,98.79,,1013.58,percent of total billed charges,98.79% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,615.6,48,,492.48,percent of total billed charges,48% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,38.25,,392.45,percent of total billed charges,38.25% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,1266.98,
PERSONA ARTICULAR SURFACE 42-5114-005-11,7521031,CDM,278,RC,,,OUTPATIENT,,,1282.5,1026,,1218.38,95,,974.7,percent of total billed charges,95% of total billed charges,1214.78,94.72,,971.82,percent of total billed charges,94.72% of total billed charges,1266.98,98.79,,1013.58,percent of total billed charges,98.79% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,615.6,48,,492.48,percent of total billed charges,48% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,38.25,,392.45,percent of total billed charges,38.25% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,1266.98,
PERSONA ARTICULAR SURFACE 42-5114-005-12,7521032,CDM,278,RC,,,OUTPATIENT,,,1282.5,1026,,1218.38,95,,974.7,percent of total billed charges,95% of total billed charges,1214.78,94.72,,971.82,percent of total billed charges,94.72% of total billed charges,1266.98,98.79,,1013.58,percent of total billed charges,98.79% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,615.6,48,,492.48,percent of total billed charges,48% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,38.25,,392.45,percent of total billed charges,38.25% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,1266.98,
PERSONA ARTICULAR SURFACE 42-5114-005-13,7521033,CDM,278,RC,,,OUTPATIENT,,,1282.5,1026,,1218.38,95,,974.7,percent of total billed charges,95% of total billed charges,1214.78,94.72,,971.82,percent of total billed charges,94.72% of total billed charges,1266.98,98.79,,1013.58,percent of total billed charges,98.79% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,615.6,48,,492.48,percent of total billed charges,48% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,38.25,,392.45,percent of total billed charges,38.25% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,1266.98,
PERSONA ARTICULAR SURFACE 42-5114-005-14,7521034,CDM,278,RC,,,OUTPATIENT,,,1282.5,1026,,1218.38,95,,974.7,percent of total billed charges,95% of total billed charges,1214.78,94.72,,971.82,percent of total billed charges,94.72% of total billed charges,1266.98,98.79,,1013.58,percent of total billed charges,98.79% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,615.6,48,,492.48,percent of total billed charges,48% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,38.25,,392.45,percent of total billed charges,38.25% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,1266.98,
PERSONA ARTICULAR SURFACE 42-5114-005-16,7521035,CDM,278,RC,,,OUTPATIENT,,,1282.5,1026,,1218.38,95,,974.7,percent of total billed charges,95% of total billed charges,1214.78,94.72,,971.82,percent of total billed charges,94.72% of total billed charges,1266.98,98.79,,1013.58,percent of total billed charges,98.79% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,615.6,48,,492.48,percent of total billed charges,48% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,38.25,,392.45,percent of total billed charges,38.25% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,1266.98,
PERSONA ARTICULAR SURFACE 42-5114-005-18,7521036,CDM,278,RC,,,OUTPATIENT,,,1282.5,1026,,1218.38,95,,974.7,percent of total billed charges,95% of total billed charges,1214.78,94.72,,971.82,percent of total billed charges,94.72% of total billed charges,1266.98,98.79,,1013.58,percent of total billed charges,98.79% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,615.6,48,,492.48,percent of total billed charges,48% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,38.25,,392.45,percent of total billed charges,38.25% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,1266.98,
PERSONA ARTICULAR SURFACE 42-5114-005-20,7521037,CDM,278,RC,,,OUTPATIENT,,,1282.5,1026,,1218.38,95,,974.7,percent of total billed charges,95% of total billed charges,1214.78,94.72,,971.82,percent of total billed charges,94.72% of total billed charges,1266.98,98.79,,1013.58,percent of total billed charges,98.79% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,1256.85,98,,1005.48,percent of total billed charges,98% of total billed charges,615.6,48,,492.48,percent of total billed charges,48% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,38.25,,392.45,percent of total billed charges,38.25% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,577.13,45,,461.7,percent of total billed charges,45% of total billed charges,490.56,1266.98,
PERSONA FEMUR CEMENTED PS LEFT KNEE SIZE 4,7521040,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
PERSONA FEMUR SIZE 10  42-5000-068-02,7521041,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
PERSONA FEMUR 42-5006-062-01,7521043,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
PERSONA FEMUR 42-5006-064-01,7521044,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
TAPERLOC COMPLETE PRIMARY FEMORAL 9X137MM,7521060,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
TAPERLOC COMPLETE PRIMARY FEMORAL 10X140MM,7521061,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
TAPERLOC COMPLETE PRIMARY FEMORAL 11X142MM,7521062,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
TAPERLOC COMPLETE PRIMARY FEMORAL 12X144MM,7521063,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
TAPERLOC COMPLETE PRIMARY FEMORAL 13X146MM 51-103130,7521064,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
TAPERLOC COMPLETE PRIMARY FEMORAL 14X148MM 51-103140,7521065,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
TAPERLOC COMPLETE PRIMARY FEMORAL 15X150MM  51-103150,7521066,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
TAPERLOC COMPLETE PRIMARY FEMORAL 16X152MM  51-103160,7521067,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
TAPERLOC COMPLETE PRIMARY FEMORAL 8X136MM  51-100080,7521068,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
TAPERLOC COMPLETE PRIMARY FEMORIAL 51-100060,7521069,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
TAPERLOC COMPLETE PRIMARY FEMORAL  51-100070,7521070,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
G7 VIVACIT-E 36MM SIZE F,7521080,CDM,278,RC,,,OUTPATIENT,,,2850,2280,,2707.5,95,,2166,percent of total billed charges,95% of total billed charges,2699.52,94.72,,2159.62,percent of total billed charges,94.72% of total billed charges,2815.52,98.79,,2252.42,percent of total billed charges,98.79% of total billed charges,2793,98,,2234.4,percent of total billed charges,98% of total billed charges,2793,98,,2234.4,percent of total billed charges,98% of total billed charges,1368,48,,1094.4,percent of total billed charges,48% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1090.13,38.25,,872.1,percent of total billed charges,38.25% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1090.13,2815.52,
G7 VIVACIT-E 36MM SIZE G,7521081,CDM,278,RC,,,OUTPATIENT,,,2850,2280,,2707.5,95,,2166,percent of total billed charges,95% of total billed charges,2699.52,94.72,,2159.62,percent of total billed charges,94.72% of total billed charges,2815.52,98.79,,2252.42,percent of total billed charges,98.79% of total billed charges,2793,98,,2234.4,percent of total billed charges,98% of total billed charges,2793,98,,2234.4,percent of total billed charges,98% of total billed charges,1368,48,,1094.4,percent of total billed charges,48% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1090.13,38.25,,872.1,percent of total billed charges,38.25% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1090.13,2815.52,
G7 VIVACIT-E 36MM SIZE E 30113605,7521082,CDM,278,RC,,,OUTPATIENT,,,2850,2280,,2707.5,95,,2166,percent of total billed charges,95% of total billed charges,2699.52,94.72,,2159.62,percent of total billed charges,94.72% of total billed charges,2815.52,98.79,,2252.42,percent of total billed charges,98.79% of total billed charges,2793,98,,2234.4,percent of total billed charges,98% of total billed charges,2793,98,,2234.4,percent of total billed charges,98% of total billed charges,1368,48,,1094.4,percent of total billed charges,48% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1090.13,38.25,,872.1,percent of total billed charges,38.25% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1090.13,2815.52,
G7 ACETABULAR SYSTEM 54MM SIZE F,7521100,CDM,278,RC,,,OUTPATIENT,,,2067,1653.6,,1963.65,95,,1570.92,percent of total billed charges,95% of total billed charges,1957.86,94.72,,1566.29,percent of total billed charges,94.72% of total billed charges,2041.99,98.79,,1633.59,percent of total billed charges,98.79% of total billed charges,2025.66,98,,1620.53,percent of total billed charges,98% of total billed charges,2025.66,98,,1620.53,percent of total billed charges,98% of total billed charges,992.16,48,,793.73,percent of total billed charges,48% of total billed charges,930.15,45,,744.12,percent of total billed charges,45% of total billed charges,790.63,38.25,,632.5,percent of total billed charges,38.25% of total billed charges,930.15,45,,744.12,percent of total billed charges,45% of total billed charges,930.15,45,,744.12,percent of total billed charges,45% of total billed charges,790.63,2041.99,
G7 ACETABULAR SYSTEM 56MM SIZE F,7521101,CDM,278,RC,,,OUTPATIENT,,,2067,1653.6,,1963.65,95,,1570.92,percent of total billed charges,95% of total billed charges,1957.86,94.72,,1566.29,percent of total billed charges,94.72% of total billed charges,2041.99,98.79,,1633.59,percent of total billed charges,98.79% of total billed charges,2025.66,98,,1620.53,percent of total billed charges,98% of total billed charges,2025.66,98,,1620.53,percent of total billed charges,98% of total billed charges,992.16,48,,793.73,percent of total billed charges,48% of total billed charges,930.15,45,,744.12,percent of total billed charges,45% of total billed charges,790.63,38.25,,632.5,percent of total billed charges,38.25% of total billed charges,930.15,45,,744.12,percent of total billed charges,45% of total billed charges,930.15,45,,744.12,percent of total billed charges,45% of total billed charges,790.63,2041.99,
G7 ACETABULAR SYSTEM 58MM SIZE G,7521102,CDM,278,RC,,,OUTPATIENT,,,2067,1653.6,,1963.65,95,,1570.92,percent of total billed charges,95% of total billed charges,1957.86,94.72,,1566.29,percent of total billed charges,94.72% of total billed charges,2041.99,98.79,,1633.59,percent of total billed charges,98.79% of total billed charges,2025.66,98,,1620.53,percent of total billed charges,98% of total billed charges,2025.66,98,,1620.53,percent of total billed charges,98% of total billed charges,992.16,48,,793.73,percent of total billed charges,48% of total billed charges,930.15,45,,744.12,percent of total billed charges,45% of total billed charges,790.63,38.25,,632.5,percent of total billed charges,38.25% of total billed charges,930.15,45,,744.12,percent of total billed charges,45% of total billed charges,930.15,45,,744.12,percent of total billed charges,45% of total billed charges,790.63,2041.99,
G7 ACETABULAR SYSTEM 60MM SIZE G,7521103,CDM,278,RC,,,OUTPATIENT,,,2067,1653.6,,1963.65,95,,1570.92,percent of total billed charges,95% of total billed charges,1957.86,94.72,,1566.29,percent of total billed charges,94.72% of total billed charges,2041.99,98.79,,1633.59,percent of total billed charges,98.79% of total billed charges,2025.66,98,,1620.53,percent of total billed charges,98% of total billed charges,2025.66,98,,1620.53,percent of total billed charges,98% of total billed charges,992.16,48,,793.73,percent of total billed charges,48% of total billed charges,930.15,45,,744.12,percent of total billed charges,45% of total billed charges,790.63,38.25,,632.5,percent of total billed charges,38.25% of total billed charges,930.15,45,,744.12,percent of total billed charges,45% of total billed charges,930.15,45,,744.12,percent of total billed charges,45% of total billed charges,790.63,2041.99,
G7 ACETABULAR SYSTEM OSSEOTI 56MM SIZE F 110010246,7521104,CDM,278,RC,,,OUTPATIENT,,,5073,4058.4,,4819.35,95,,3855.48,percent of total billed charges,95% of total billed charges,4805.15,94.72,,3844.12,percent of total billed charges,94.72% of total billed charges,5011.62,98.79,,4009.3,percent of total billed charges,98.79% of total billed charges,4971.54,98,,3977.23,percent of total billed charges,98% of total billed charges,4971.54,98,,3977.23,percent of total billed charges,98% of total billed charges,2435.04,48,,1948.03,percent of total billed charges,48% of total billed charges,2282.85,45,,1826.28,percent of total billed charges,45% of total billed charges,1940.42,38.25,,1552.34,percent of total billed charges,38.25% of total billed charges,2282.85,45,,1826.28,percent of total billed charges,45% of total billed charges,2282.85,45,,1826.28,percent of total billed charges,45% of total billed charges,1940.42,5011.62,
G7 ACETABULAR SHELL OSSEOTI 54MM SIZE F 110010245,7521105,CDM,278,RC,,,OUTPATIENT,,,5073,4058.4,,4819.35,95,,3855.48,percent of total billed charges,95% of total billed charges,4805.15,94.72,,3844.12,percent of total billed charges,94.72% of total billed charges,5011.62,98.79,,4009.3,percent of total billed charges,98.79% of total billed charges,4971.54,98,,3977.23,percent of total billed charges,98% of total billed charges,4971.54,98,,3977.23,percent of total billed charges,98% of total billed charges,2435.04,48,,1948.03,percent of total billed charges,48% of total billed charges,2282.85,45,,1826.28,percent of total billed charges,45% of total billed charges,1940.42,38.25,,1552.34,percent of total billed charges,38.25% of total billed charges,2282.85,45,,1826.28,percent of total billed charges,45% of total billed charges,2282.85,45,,1826.28,percent of total billed charges,45% of total billed charges,1940.42,5011.62,
G7 ACETABULAR SHELL OSSEOTI 52MM SIZE E 110010244,7521106,CDM,278,RC,,,OUTPATIENT,,,5073,4058.4,,4819.35,95,,3855.48,percent of total billed charges,95% of total billed charges,4805.15,94.72,,3844.12,percent of total billed charges,94.72% of total billed charges,5011.62,98.79,,4009.3,percent of total billed charges,98.79% of total billed charges,4971.54,98,,3977.23,percent of total billed charges,98% of total billed charges,4971.54,98,,3977.23,percent of total billed charges,98% of total billed charges,2435.04,48,,1948.03,percent of total billed charges,48% of total billed charges,2282.85,45,,1826.28,percent of total billed charges,45% of total billed charges,1940.42,38.25,,1552.34,percent of total billed charges,38.25% of total billed charges,2282.85,45,,1826.28,percent of total billed charges,45% of total billed charges,2282.85,45,,1826.28,percent of total billed charges,45% of total billed charges,1940.42,5011.62,
G7 ACETABULAR LINER 36MM SIZE D  010000895,7521108,CDM,278,RC,,,OUTPATIENT,,,5073,4058.4,,4819.35,95,,3855.48,percent of total billed charges,95% of total billed charges,4805.15,94.72,,3844.12,percent of total billed charges,94.72% of total billed charges,5011.62,98.79,,4009.3,percent of total billed charges,98.79% of total billed charges,4971.54,98,,3977.23,percent of total billed charges,98% of total billed charges,4971.54,98,,3977.23,percent of total billed charges,98% of total billed charges,2435.04,48,,1948.03,percent of total billed charges,48% of total billed charges,2282.85,45,,1826.28,percent of total billed charges,45% of total billed charges,1940.42,38.25,,1552.34,percent of total billed charges,38.25% of total billed charges,2282.85,45,,1826.28,percent of total billed charges,45% of total billed charges,2282.85,45,,1826.28,percent of total billed charges,45% of total billed charges,1940.42,5011.62,
G7 ACETABULAR SYSTEM  20113605,7521111,CDM,278,RC,,,OUTPATIENT,,,1425,1140,,1353.75,95,,1083,percent of total billed charges,95% of total billed charges,1349.76,94.72,,1079.81,percent of total billed charges,94.72% of total billed charges,1407.76,98.79,,1126.21,percent of total billed charges,98.79% of total billed charges,1396.5,98,,1117.2,percent of total billed charges,98% of total billed charges,1396.5,98,,1117.2,percent of total billed charges,98% of total billed charges,684,48,,547.2,percent of total billed charges,48% of total billed charges,641.25,45,,513,percent of total billed charges,45% of total billed charges,545.06,38.25,,436.05,percent of total billed charges,38.25% of total billed charges,641.25,45,,513,percent of total billed charges,45% of total billed charges,641.25,45,,513,percent of total billed charges,45% of total billed charges,545.06,1407.76,
BIOMET HIP SYSTEM 36MM -6MM NECK,7521120,CDM,278,RC,,,OUTPATIENT,,,712.5,570,,676.88,95,,541.5,percent of total billed charges,95% of total billed charges,674.88,94.72,,539.9,percent of total billed charges,94.72% of total billed charges,703.88,98.79,,563.1,percent of total billed charges,98.79% of total billed charges,698.25,98,,558.6,percent of total billed charges,98% of total billed charges,698.25,98,,558.6,percent of total billed charges,98% of total billed charges,342,48,,273.6,percent of total billed charges,48% of total billed charges,320.63,45,,256.5,percent of total billed charges,45% of total billed charges,272.53,38.25,,218.02,percent of total billed charges,38.25% of total billed charges,320.63,45,,256.5,percent of total billed charges,45% of total billed charges,320.63,45,,256.5,percent of total billed charges,45% of total billed charges,272.53,703.88,
BIOMET HIP SYSTEM 36MM -3MM NECK,7521121,CDM,278,RC,,,OUTPATIENT,,,712.5,570,,676.88,95,,541.5,percent of total billed charges,95% of total billed charges,674.88,94.72,,539.9,percent of total billed charges,94.72% of total billed charges,703.88,98.79,,563.1,percent of total billed charges,98.79% of total billed charges,698.25,98,,558.6,percent of total billed charges,98% of total billed charges,698.25,98,,558.6,percent of total billed charges,98% of total billed charges,342,48,,273.6,percent of total billed charges,48% of total billed charges,320.63,45,,256.5,percent of total billed charges,45% of total billed charges,272.53,38.25,,218.02,percent of total billed charges,38.25% of total billed charges,320.63,45,,256.5,percent of total billed charges,45% of total billed charges,320.63,45,,256.5,percent of total billed charges,45% of total billed charges,272.53,703.88,
BIOMET HIP SYSTEM 36 MM 0 MM NECK,7521122,CDM,278,RC,,,OUTPATIENT,,,712.5,570,,676.88,95,,541.5,percent of total billed charges,95% of total billed charges,674.88,94.72,,539.9,percent of total billed charges,94.72% of total billed charges,703.88,98.79,,563.1,percent of total billed charges,98.79% of total billed charges,698.25,98,,558.6,percent of total billed charges,98% of total billed charges,698.25,98,,558.6,percent of total billed charges,98% of total billed charges,342,48,,273.6,percent of total billed charges,48% of total billed charges,320.63,45,,256.5,percent of total billed charges,45% of total billed charges,272.53,38.25,,218.02,percent of total billed charges,38.25% of total billed charges,320.63,45,,256.5,percent of total billed charges,45% of total billed charges,320.63,45,,256.5,percent of total billed charges,45% of total billed charges,272.53,703.88,
BIOMET HIP SYSTEM 36MM +3MM NECK,7521123,CDM,278,RC,,,OUTPATIENT,,,712.5,570,,676.88,95,,541.5,percent of total billed charges,95% of total billed charges,674.88,94.72,,539.9,percent of total billed charges,94.72% of total billed charges,703.88,98.79,,563.1,percent of total billed charges,98.79% of total billed charges,698.25,98,,558.6,percent of total billed charges,98% of total billed charges,698.25,98,,558.6,percent of total billed charges,98% of total billed charges,342,48,,273.6,percent of total billed charges,48% of total billed charges,320.63,45,,256.5,percent of total billed charges,45% of total billed charges,272.53,38.25,,218.02,percent of total billed charges,38.25% of total billed charges,320.63,45,,256.5,percent of total billed charges,45% of total billed charges,320.63,45,,256.5,percent of total billed charges,45% of total billed charges,272.53,703.88,
BIOMET HIP SYSTEM 36MM +6MM NECK,7521124,CDM,278,RC,,,OUTPATIENT,,,712.5,570,,676.88,95,,541.5,percent of total billed charges,95% of total billed charges,674.88,94.72,,539.9,percent of total billed charges,94.72% of total billed charges,703.88,98.79,,563.1,percent of total billed charges,98.79% of total billed charges,698.25,98,,558.6,percent of total billed charges,98% of total billed charges,698.25,98,,558.6,percent of total billed charges,98% of total billed charges,342,48,,273.6,percent of total billed charges,48% of total billed charges,320.63,45,,256.5,percent of total billed charges,45% of total billed charges,272.53,38.25,,218.02,percent of total billed charges,38.25% of total billed charges,320.63,45,,256.5,percent of total billed charges,45% of total billed charges,320.63,45,,256.5,percent of total billed charges,45% of total billed charges,272.53,703.88,
BIOMET HIP SYSTEM 36MM +9MM NECK,7521125,CDM,278,RC,,,OUTPATIENT,,,712.5,570,,676.88,95,,541.5,percent of total billed charges,95% of total billed charges,674.88,94.72,,539.9,percent of total billed charges,94.72% of total billed charges,703.88,98.79,,563.1,percent of total billed charges,98.79% of total billed charges,698.25,98,,558.6,percent of total billed charges,98% of total billed charges,698.25,98,,558.6,percent of total billed charges,98% of total billed charges,342,48,,273.6,percent of total billed charges,48% of total billed charges,320.63,45,,256.5,percent of total billed charges,45% of total billed charges,272.53,38.25,,218.02,percent of total billed charges,38.25% of total billed charges,320.63,45,,256.5,percent of total billed charges,45% of total billed charges,320.63,45,,256.5,percent of total billed charges,45% of total billed charges,272.53,703.88,
BIOMET HIP SYSTEM 36MM +12MM NECK,7521126,CDM,278,RC,,,OUTPATIENT,,,712.5,570,,676.88,95,,541.5,percent of total billed charges,95% of total billed charges,674.88,94.72,,539.9,percent of total billed charges,94.72% of total billed charges,703.88,98.79,,563.1,percent of total billed charges,98.79% of total billed charges,698.25,98,,558.6,percent of total billed charges,98% of total billed charges,698.25,98,,558.6,percent of total billed charges,98% of total billed charges,342,48,,273.6,percent of total billed charges,48% of total billed charges,320.63,45,,256.5,percent of total billed charges,45% of total billed charges,272.53,38.25,,218.02,percent of total billed charges,38.25% of total billed charges,320.63,45,,256.5,percent of total billed charges,45% of total billed charges,320.63,45,,256.5,percent of total billed charges,45% of total billed charges,272.53,703.88,
G7 ACETABULAR LINER 36MM H,7521140,CDM,278,RC,,,OUTPATIENT,,,2850,2280,,2707.5,95,,2166,percent of total billed charges,95% of total billed charges,2699.52,94.72,,2159.62,percent of total billed charges,94.72% of total billed charges,2815.52,98.79,,2252.42,percent of total billed charges,98.79% of total billed charges,2793,98,,2234.4,percent of total billed charges,98% of total billed charges,2793,98,,2234.4,percent of total billed charges,98% of total billed charges,1368,48,,1094.4,percent of total billed charges,48% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1090.13,38.25,,872.1,percent of total billed charges,38.25% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1090.13,2815.52,
G7 ACETABULAR LINER 36MM SIZE F 010000897,7521141,CDM,278,RC,,,OUTPATIENT,,,2850,2280,,2707.5,95,,2166,percent of total billed charges,95% of total billed charges,2699.52,94.72,,2159.62,percent of total billed charges,94.72% of total billed charges,2815.52,98.79,,2252.42,percent of total billed charges,98.79% of total billed charges,2793,98,,2234.4,percent of total billed charges,98% of total billed charges,2793,98,,2234.4,percent of total billed charges,98% of total billed charges,1368,48,,1094.4,percent of total billed charges,48% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1090.13,38.25,,872.1,percent of total billed charges,38.25% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1090.13,2815.52,
G7 ACETABULAR LINER 36MM SIZE D  010000895,7521143,CDM,278,RC,,,OUTPATIENT,,,2850,2280,,2707.5,95,,2166,percent of total billed charges,95% of total billed charges,2699.52,94.72,,2159.62,percent of total billed charges,94.72% of total billed charges,2815.52,98.79,,2252.42,percent of total billed charges,98.79% of total billed charges,2793,98,,2234.4,percent of total billed charges,98% of total billed charges,2793,98,,2234.4,percent of total billed charges,98% of total billed charges,1368,48,,1094.4,percent of total billed charges,48% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1090.13,38.25,,872.1,percent of total billed charges,38.25% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1090.13,2815.52,
BIO-MOORE ENDO II HIP SYSTEM 53 MM,7521160,CDM,278,RC,,,OUTPATIENT,,,499.5,399.6,,474.53,95,,379.62,percent of total billed charges,95% of total billed charges,473.13,94.72,,378.5,percent of total billed charges,94.72% of total billed charges,493.46,98.79,,394.77,percent of total billed charges,98.79% of total billed charges,489.51,98,,391.61,percent of total billed charges,98% of total billed charges,489.51,98,,391.61,percent of total billed charges,98% of total billed charges,239.76,48,,191.81,percent of total billed charges,48% of total billed charges,224.78,45,,179.82,percent of total billed charges,45% of total billed charges,191.06,38.25,,152.85,percent of total billed charges,38.25% of total billed charges,224.78,45,,179.82,percent of total billed charges,45% of total billed charges,224.78,45,,179.82,percent of total billed charges,45% of total billed charges,191.06,493.46,
NEXGEN HEADLESS TROCAR DRILL PIN 00-5901-020-00,7521181,CDM,278,RC,,,OUTPATIENT,,,487.5,390,,463.13,95,,370.5,percent of total billed charges,95% of total billed charges,461.76,94.72,,369.41,percent of total billed charges,94.72% of total billed charges,481.6,98.79,,385.28,percent of total billed charges,98.79% of total billed charges,477.75,98,,382.2,percent of total billed charges,98% of total billed charges,477.75,98,,382.2,percent of total billed charges,98% of total billed charges,234,48,,187.2,percent of total billed charges,48% of total billed charges,219.38,45,,175.5,percent of total billed charges,45% of total billed charges,186.47,38.25,,149.18,percent of total billed charges,38.25% of total billed charges,219.38,45,,175.5,percent of total billed charges,45% of total billed charges,219.38,45,,175.5,percent of total billed charges,45% of total billed charges,186.47,481.6,
BONE SCREW SELF TAPPING 6.5MM DIAMETER & 20MM LENGTH,7521201,CDM,278,RC,,,OUTPATIENT,,,142.5,114,,135.38,95,,108.3,percent of total billed charges,95% of total billed charges,134.98,94.72,,107.98,percent of total billed charges,94.72% of total billed charges,140.78,98.79,,112.62,percent of total billed charges,98.79% of total billed charges,139.65,98,,111.72,percent of total billed charges,98% of total billed charges,139.65,98,,111.72,percent of total billed charges,98% of total billed charges,68.4,48,,54.72,percent of total billed charges,48% of total billed charges,64.13,45,,51.3,percent of total billed charges,45% of total billed charges,54.51,38.25,,43.61,percent of total billed charges,38.25% of total billed charges,64.13,45,,51.3,percent of total billed charges,45% of total billed charges,64.13,45,,51.3,percent of total billed charges,45% of total billed charges,54.51,140.78,
BONE SCREW SELF TAPPING 6.5MM DIAMETER & 25MM LENGTH,7521202,CDM,278,RC,,,OUTPATIENT,,,142.5,114,,135.38,95,,108.3,percent of total billed charges,95% of total billed charges,134.98,94.72,,107.98,percent of total billed charges,94.72% of total billed charges,140.78,98.79,,112.62,percent of total billed charges,98.79% of total billed charges,139.65,98,,111.72,percent of total billed charges,98% of total billed charges,139.65,98,,111.72,percent of total billed charges,98% of total billed charges,68.4,48,,54.72,percent of total billed charges,48% of total billed charges,64.13,45,,51.3,percent of total billed charges,45% of total billed charges,54.51,38.25,,43.61,percent of total billed charges,38.25% of total billed charges,64.13,45,,51.3,percent of total billed charges,45% of total billed charges,64.13,45,,51.3,percent of total billed charges,45% of total billed charges,54.51,140.78,
BONE SCREW SELF TAPPING 6.5MM DIAMETER & 30MM LENGTH,7521203,CDM,278,RC,,,OUTPATIENT,,,142.5,114,,135.38,95,,108.3,percent of total billed charges,95% of total billed charges,134.98,94.72,,107.98,percent of total billed charges,94.72% of total billed charges,140.78,98.79,,112.62,percent of total billed charges,98.79% of total billed charges,139.65,98,,111.72,percent of total billed charges,98% of total billed charges,139.65,98,,111.72,percent of total billed charges,98% of total billed charges,68.4,48,,54.72,percent of total billed charges,48% of total billed charges,64.13,45,,51.3,percent of total billed charges,45% of total billed charges,54.51,38.25,,43.61,percent of total billed charges,38.25% of total billed charges,64.13,45,,51.3,percent of total billed charges,45% of total billed charges,64.13,45,,51.3,percent of total billed charges,45% of total billed charges,54.51,140.78,
BONE SCREW SELF TAPPING 6.5MM DIAMETER & 35MM LENGTH,7521204,CDM,278,RC,,,OUTPATIENT,,,142.5,114,,135.38,95,,108.3,percent of total billed charges,95% of total billed charges,134.98,94.72,,107.98,percent of total billed charges,94.72% of total billed charges,140.78,98.79,,112.62,percent of total billed charges,98.79% of total billed charges,139.65,98,,111.72,percent of total billed charges,98% of total billed charges,139.65,98,,111.72,percent of total billed charges,98% of total billed charges,68.4,48,,54.72,percent of total billed charges,48% of total billed charges,64.13,45,,51.3,percent of total billed charges,45% of total billed charges,54.51,38.25,,43.61,percent of total billed charges,38.25% of total billed charges,64.13,45,,51.3,percent of total billed charges,45% of total billed charges,64.13,45,,51.3,percent of total billed charges,45% of total billed charges,54.51,140.78,
BONE SCREW SELF TAPPING 6.5MM DIAMETER & 40MM LENGTH,7521205,CDM,278,RC,,,OUTPATIENT,,,142.5,114,,135.38,95,,108.3,percent of total billed charges,95% of total billed charges,134.98,94.72,,107.98,percent of total billed charges,94.72% of total billed charges,140.78,98.79,,112.62,percent of total billed charges,98.79% of total billed charges,139.65,98,,111.72,percent of total billed charges,98% of total billed charges,139.65,98,,111.72,percent of total billed charges,98% of total billed charges,68.4,48,,54.72,percent of total billed charges,48% of total billed charges,64.13,45,,51.3,percent of total billed charges,45% of total billed charges,54.51,38.25,,43.61,percent of total billed charges,38.25% of total billed charges,64.13,45,,51.3,percent of total billed charges,45% of total billed charges,64.13,45,,51.3,percent of total billed charges,45% of total billed charges,54.51,140.78,
BONE SCREW SELF TAPPING 6.5MM DIAMETER & 50MM LENGTH,7521206,CDM,278,RC,,,OUTPATIENT,,,142.5,114,,135.38,95,,108.3,percent of total billed charges,95% of total billed charges,134.98,94.72,,107.98,percent of total billed charges,94.72% of total billed charges,140.78,98.79,,112.62,percent of total billed charges,98.79% of total billed charges,139.65,98,,111.72,percent of total billed charges,98% of total billed charges,139.65,98,,111.72,percent of total billed charges,98% of total billed charges,68.4,48,,54.72,percent of total billed charges,48% of total billed charges,64.13,45,,51.3,percent of total billed charges,45% of total billed charges,54.51,38.25,,43.61,percent of total billed charges,38.25% of total billed charges,64.13,45,,51.3,percent of total billed charges,45% of total billed charges,64.13,45,,51.3,percent of total billed charges,45% of total billed charges,54.51,140.78,
BONE SCREW SELF TAPPING 6.5MM DIAMETER & 60MM LENGTH,7521207,CDM,278,RC,,,OUTPATIENT,,,142.5,114,,135.38,95,,108.3,percent of total billed charges,95% of total billed charges,134.98,94.72,,107.98,percent of total billed charges,94.72% of total billed charges,140.78,98.79,,112.62,percent of total billed charges,98.79% of total billed charges,139.65,98,,111.72,percent of total billed charges,98% of total billed charges,139.65,98,,111.72,percent of total billed charges,98% of total billed charges,68.4,48,,54.72,percent of total billed charges,48% of total billed charges,64.13,45,,51.3,percent of total billed charges,45% of total billed charges,54.51,38.25,,43.61,percent of total billed charges,38.25% of total billed charges,64.13,45,,51.3,percent of total billed charges,45% of total billed charges,64.13,45,,51.3,percent of total billed charges,45% of total billed charges,54.51,140.78,
PERSONA 2.5MM FEMALE HEX SCREW 42-5099-025-25,7521208,CDM,278,RC,,,OUTPATIENT,,,213.75,171,,203.06,95,,162.45,percent of total billed charges,95% of total billed charges,202.46,94.72,,161.97,percent of total billed charges,94.72% of total billed charges,211.16,98.79,,168.93,percent of total billed charges,98.79% of total billed charges,209.48,98,,167.58,percent of total billed charges,98% of total billed charges,209.48,98,,167.58,percent of total billed charges,98% of total billed charges,102.6,48,,82.08,percent of total billed charges,48% of total billed charges,96.19,45,,76.95,percent of total billed charges,45% of total billed charges,81.76,38.25,,65.41,percent of total billed charges,38.25% of total billed charges,96.19,45,,76.95,percent of total billed charges,45% of total billed charges,96.19,45,,76.95,percent of total billed charges,45% of total billed charges,81.76,211.16,
BIOLOX DELTA MODULAR CERAMIC HEAD 650-0660,7521220,CDM,278,RC,,,OUTPATIENT,,,1782,1425.6,,1692.9,95,,1354.32,percent of total billed charges,95% of total billed charges,1687.91,94.72,,1350.33,percent of total billed charges,94.72% of total billed charges,1760.44,98.79,,1408.35,percent of total billed charges,98.79% of total billed charges,1746.36,98,,1397.09,percent of total billed charges,98% of total billed charges,1746.36,98,,1397.09,percent of total billed charges,98% of total billed charges,855.36,48,,684.29,percent of total billed charges,48% of total billed charges,801.9,45,,641.52,percent of total billed charges,45% of total billed charges,681.62,38.25,,545.3,percent of total billed charges,38.25% of total billed charges,801.9,45,,641.52,percent of total billed charges,45% of total billed charges,801.9,45,,641.52,percent of total billed charges,45% of total billed charges,681.62,1760.44,
BIOLOX DELTA MODULAR CERAMIC HEAD 650-0661,7521221,CDM,278,RC,,,OUTPATIENT,,,1782,1425.6,,1692.9,95,,1354.32,percent of total billed charges,95% of total billed charges,1687.91,94.72,,1350.33,percent of total billed charges,94.72% of total billed charges,1760.44,98.79,,1408.35,percent of total billed charges,98.79% of total billed charges,1746.36,98,,1397.09,percent of total billed charges,98% of total billed charges,1746.36,98,,1397.09,percent of total billed charges,98% of total billed charges,855.36,48,,684.29,percent of total billed charges,48% of total billed charges,801.9,45,,641.52,percent of total billed charges,45% of total billed charges,681.62,38.25,,545.3,percent of total billed charges,38.25% of total billed charges,801.9,45,,641.52,percent of total billed charges,45% of total billed charges,801.9,45,,641.52,percent of total billed charges,45% of total billed charges,681.62,1760.44,
BIOLOX DELTA MODULAR CERAMIC HEAD 650-0662,7521222,CDM,278,RC,,,OUTPATIENT,,,1782,1425.6,,1692.9,95,,1354.32,percent of total billed charges,95% of total billed charges,1687.91,94.72,,1350.33,percent of total billed charges,94.72% of total billed charges,1760.44,98.79,,1408.35,percent of total billed charges,98.79% of total billed charges,1746.36,98,,1397.09,percent of total billed charges,98% of total billed charges,1746.36,98,,1397.09,percent of total billed charges,98% of total billed charges,855.36,48,,684.29,percent of total billed charges,48% of total billed charges,801.9,45,,641.52,percent of total billed charges,45% of total billed charges,681.62,38.25,,545.3,percent of total billed charges,38.25% of total billed charges,801.9,45,,641.52,percent of total billed charges,45% of total billed charges,801.9,45,,641.52,percent of total billed charges,45% of total billed charges,681.62,1760.44,
BIOLOX DELTA MODULAR CERAMIC HEAD 650-0663,7521223,CDM,278,RC,,,OUTPATIENT,,,1782,1425.6,,1692.9,95,,1354.32,percent of total billed charges,95% of total billed charges,1687.91,94.72,,1350.33,percent of total billed charges,94.72% of total billed charges,1760.44,98.79,,1408.35,percent of total billed charges,98.79% of total billed charges,1746.36,98,,1397.09,percent of total billed charges,98% of total billed charges,1746.36,98,,1397.09,percent of total billed charges,98% of total billed charges,855.36,48,,684.29,percent of total billed charges,48% of total billed charges,801.9,45,,641.52,percent of total billed charges,45% of total billed charges,681.62,38.25,,545.3,percent of total billed charges,38.25% of total billed charges,801.9,45,,641.52,percent of total billed charges,45% of total billed charges,801.9,45,,641.52,percent of total billed charges,45% of total billed charges,681.62,1760.44,
TAPERLOC COMPLETE PRIMARY FEMORAL 12X144MM 51-104120,7521240,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
PERSONA FEMUR CEMENTED 42-5026-066-02,7521263,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
PERSONA FEMUR CEMENTED  42-5026-066-01,7521264,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
PERSONA FEMUR CEMENTED  42-5026-068-01,7521265,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
PERSONA FEMUR CEMENTED  42-5026-070-01,7521266,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
PERSONA FEMUR 42-5026-060-01,7521267,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
PERSONA FEMUR CEMENTED 42-5026-062-01,7521268,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
PERSONA FEMUR CEMENTED 42-5026-064-01,7521269,CDM,278,RC,,,OUTPATIENT,,,3562.5,2850,,3384.38,95,,2707.5,percent of total billed charges,95% of total billed charges,3374.4,94.72,,2699.52,percent of total billed charges,94.72% of total billed charges,3519.39,98.79,,2815.51,percent of total billed charges,98.79% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,3491.25,98,,2793,percent of total billed charges,98% of total billed charges,1710,48,,1368,percent of total billed charges,48% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,38.25,,1090.13,percent of total billed charges,38.25% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1603.13,45,,1282.5,percent of total billed charges,45% of total billed charges,1362.66,3519.39,
PERSONA NATURAL TIBIA RIGHT SIZE C 42-5320-064-02,7521280,CDM,278,RC,,,OUTPATIENT,,,1710,1368,,1624.5,95,,1299.6,percent of total billed charges,95% of total billed charges,1619.71,94.72,,1295.77,percent of total billed charges,94.72% of total billed charges,1689.31,98.79,,1351.45,percent of total billed charges,98.79% of total billed charges,1675.8,98,,1340.64,percent of total billed charges,98% of total billed charges,1675.8,98,,1340.64,percent of total billed charges,98% of total billed charges,820.8,48,,656.64,percent of total billed charges,48% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,654.08,38.25,,523.26,percent of total billed charges,38.25% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,654.08,1689.31,
PERSONA NATURAL TIBIA RIGHT SIZE D 42-5320-067-02,7521281,CDM,278,RC,,,OUTPATIENT,,,1710,1368,,1624.5,95,,1299.6,percent of total billed charges,95% of total billed charges,1619.71,94.72,,1295.77,percent of total billed charges,94.72% of total billed charges,1689.31,98.79,,1351.45,percent of total billed charges,98.79% of total billed charges,1675.8,98,,1340.64,percent of total billed charges,98% of total billed charges,1675.8,98,,1340.64,percent of total billed charges,98% of total billed charges,820.8,48,,656.64,percent of total billed charges,48% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,654.08,38.25,,523.26,percent of total billed charges,38.25% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,654.08,1689.31,
PERSONA NATURAL TIBIA  42-5320-071-02,7521282,CDM,278,RC,,,OUTPATIENT,,,1710,1368,,1624.5,95,,1299.6,percent of total billed charges,95% of total billed charges,1619.71,94.72,,1295.77,percent of total billed charges,94.72% of total billed charges,1689.31,98.79,,1351.45,percent of total billed charges,98.79% of total billed charges,1675.8,98,,1340.64,percent of total billed charges,98% of total billed charges,1675.8,98,,1340.64,percent of total billed charges,98% of total billed charges,820.8,48,,656.64,percent of total billed charges,48% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,654.08,38.25,,523.26,percent of total billed charges,38.25% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,654.08,1689.31,
PERSONA NATURAL TIBIA  42-5320-075-02,7521283,CDM,278,RC,,,OUTPATIENT,,,1710,1368,,1624.5,95,,1299.6,percent of total billed charges,95% of total billed charges,1619.71,94.72,,1295.77,percent of total billed charges,94.72% of total billed charges,1689.31,98.79,,1351.45,percent of total billed charges,98.79% of total billed charges,1675.8,98,,1340.64,percent of total billed charges,98% of total billed charges,1675.8,98,,1340.64,percent of total billed charges,98% of total billed charges,820.8,48,,656.64,percent of total billed charges,48% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,654.08,38.25,,523.26,percent of total billed charges,38.25% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,654.08,1689.31,
PERSONA TIBIA  42-5320-083-01,7521284,CDM,278,RC,,,OUTPATIENT,,,1710,1368,,1624.5,95,,1299.6,percent of total billed charges,95% of total billed charges,1619.71,94.72,,1295.77,percent of total billed charges,94.72% of total billed charges,1689.31,98.79,,1351.45,percent of total billed charges,98.79% of total billed charges,1675.8,98,,1340.64,percent of total billed charges,98% of total billed charges,1675.8,98,,1340.64,percent of total billed charges,98% of total billed charges,820.8,48,,656.64,percent of total billed charges,48% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,654.08,38.25,,523.26,percent of total billed charges,38.25% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,654.08,1689.31,
PERSONA TIBIA  42-5320-079-01,7521285,CDM,278,RC,,,OUTPATIENT,,,1710,1368,,1624.5,95,,1299.6,percent of total billed charges,95% of total billed charges,1619.71,94.72,,1295.77,percent of total billed charges,94.72% of total billed charges,1689.31,98.79,,1351.45,percent of total billed charges,98.79% of total billed charges,1675.8,98,,1340.64,percent of total billed charges,98% of total billed charges,1675.8,98,,1340.64,percent of total billed charges,98% of total billed charges,820.8,48,,656.64,percent of total billed charges,48% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,654.08,38.25,,523.26,percent of total billed charges,38.25% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,654.08,1689.31,
PERSONA NATURAL TIBIA 42-5320-075-01,7521286,CDM,278,RC,,,OUTPATIENT,,,1710,1368,,1624.5,95,,1299.6,percent of total billed charges,95% of total billed charges,1619.71,94.72,,1295.77,percent of total billed charges,94.72% of total billed charges,1689.31,98.79,,1351.45,percent of total billed charges,98.79% of total billed charges,1675.8,98,,1340.64,percent of total billed charges,98% of total billed charges,1675.8,98,,1340.64,percent of total billed charges,98% of total billed charges,820.8,48,,656.64,percent of total billed charges,48% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,654.08,38.25,,523.26,percent of total billed charges,38.25% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,654.08,1689.31,
PERSONA TIBIA 42-5320-067-01,7521288,CDM,278,RC,,,OUTPATIENT,,,1710,1368,,1624.5,95,,1299.6,percent of total billed charges,95% of total billed charges,1619.71,94.72,,1295.77,percent of total billed charges,94.72% of total billed charges,1689.31,98.79,,1351.45,percent of total billed charges,98.79% of total billed charges,1675.8,98,,1340.64,percent of total billed charges,98% of total billed charges,1675.8,98,,1340.64,percent of total billed charges,98% of total billed charges,820.8,48,,656.64,percent of total billed charges,48% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,654.08,38.25,,523.26,percent of total billed charges,38.25% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,769.5,45,,615.6,percent of total billed charges,45% of total billed charges,654.08,1689.31,
PERSONA VIVACIT-E RIGHT TIBIA 10MM 42-5221-005-10,7521300,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA VIVACIT-E RIGHT TIBIA 11MM 42-5221-005-11,7521301,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA VIVACIT-E RIGHT TIBIA 12MM 42-5221-005-12,7521302,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA VIVACIT-E RIGHT TIBIA 13MM 42-5221-005-13,7521303,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA VIVACIT-E RIGHT TIBIA 14MM  42-5221-005-14,7521304,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA VIVACIT-E RIGHT TIBIA 16MM  42-5221-005-16,7521305,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA VIVACIT-E 10MM  42-5221-004-10,7521306,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA VIVACIT-E  42-5221-007-10,7521312,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA VIVACIT-E  42-5221-007-11,7521313,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA VIVACIT-E  42-5221-007-12,7521314,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA VIVACIT-E  42-5221-007-13,7521315,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA VIVACIT-E  42-5221-007-14,7521316,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA VIVACIT-E  42-5221-007-16,7521317,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA VIVACIT-E  42-5221-008-10,7521318,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA VIVACIT-E  42-5221-008-11,7521319,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA PATELLA 38MM  42-5400-000-38,7521321,CDM,278,RC,,,OUTPATIENT,,,570,456,,541.5,95,,433.2,percent of total billed charges,95% of total billed charges,539.9,94.72,,431.92,percent of total billed charges,94.72% of total billed charges,563.1,98.79,,450.48,percent of total billed charges,98.79% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,273.6,48,,218.88,percent of total billed charges,48% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,38.25,,174.42,percent of total billed charges,38.25% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,563.1,
PERSONA PATELLA 35MM  42-5400-000-35,7521325,CDM,278,RC,,,OUTPATIENT,,,570,456,,541.5,95,,433.2,percent of total billed charges,95% of total billed charges,539.9,94.72,,431.92,percent of total billed charges,94.72% of total billed charges,563.1,98.79,,450.48,percent of total billed charges,98.79% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,273.6,48,,218.88,percent of total billed charges,48% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,38.25,,174.42,percent of total billed charges,38.25% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,563.1,
INTEGRA FGT IMPLANT SIZE 20  FGT-20T,7521340,CDM,278,RC,,,OUTPATIENT,,,3093.75,2475,,2939.06,95,,2351.25,percent of total billed charges,95% of total billed charges,2930.4,94.72,,2344.32,percent of total billed charges,94.72% of total billed charges,3056.32,98.79,,2445.06,percent of total billed charges,98.79% of total billed charges,3031.88,98,,2425.5,percent of total billed charges,98% of total billed charges,3031.88,98,,2425.5,percent of total billed charges,98% of total billed charges,1485,48,,1188,percent of total billed charges,48% of total billed charges,1392.19,45,,1113.75,percent of total billed charges,45% of total billed charges,1183.36,38.25,,946.69,percent of total billed charges,38.25% of total billed charges,1392.19,45,,1113.75,percent of total billed charges,45% of total billed charges,1392.19,45,,1113.75,percent of total billed charges,45% of total billed charges,1183.36,3056.32,
INTEGRA FGT IMPLANT SIZE 30  FGT-30T,7521341,CDM,278,RC,,,OUTPATIENT,,,3093.75,2475,,2939.06,95,,2351.25,percent of total billed charges,95% of total billed charges,2930.4,94.72,,2344.32,percent of total billed charges,94.72% of total billed charges,3056.32,98.79,,2445.06,percent of total billed charges,98.79% of total billed charges,3031.88,98,,2425.5,percent of total billed charges,98% of total billed charges,3031.88,98,,2425.5,percent of total billed charges,98% of total billed charges,1485,48,,1188,percent of total billed charges,48% of total billed charges,1392.19,45,,1113.75,percent of total billed charges,45% of total billed charges,1183.36,38.25,,946.69,percent of total billed charges,38.25% of total billed charges,1392.19,45,,1113.75,percent of total billed charges,45% of total billed charges,1392.19,45,,1113.75,percent of total billed charges,45% of total billed charges,1183.36,3056.32,
INTEGRA FGT IMPLANT SIZE 40  FGT-40T,7521342,CDM,278,RC,,,OUTPATIENT,,,3093.75,2475,,2939.06,95,,2351.25,percent of total billed charges,95% of total billed charges,2930.4,94.72,,2344.32,percent of total billed charges,94.72% of total billed charges,3056.32,98.79,,2445.06,percent of total billed charges,98.79% of total billed charges,3031.88,98,,2425.5,percent of total billed charges,98% of total billed charges,3031.88,98,,2425.5,percent of total billed charges,98% of total billed charges,1485,48,,1188,percent of total billed charges,48% of total billed charges,1392.19,45,,1113.75,percent of total billed charges,45% of total billed charges,1183.36,38.25,,946.69,percent of total billed charges,38.25% of total billed charges,1392.19,45,,1113.75,percent of total billed charges,45% of total billed charges,1392.19,45,,1113.75,percent of total billed charges,45% of total billed charges,1183.36,3056.32,
INTEGRA FGT IMPLANT SIZE 50  FGT-50T,7521343,CDM,278,RC,,,OUTPATIENT,,,3093.75,2475,,2939.06,95,,2351.25,percent of total billed charges,95% of total billed charges,2930.4,94.72,,2344.32,percent of total billed charges,94.72% of total billed charges,3056.32,98.79,,2445.06,percent of total billed charges,98.79% of total billed charges,3031.88,98,,2425.5,percent of total billed charges,98% of total billed charges,3031.88,98,,2425.5,percent of total billed charges,98% of total billed charges,1485,48,,1188,percent of total billed charges,48% of total billed charges,1392.19,45,,1113.75,percent of total billed charges,45% of total billed charges,1183.36,38.25,,946.69,percent of total billed charges,38.25% of total billed charges,1392.19,45,,1113.75,percent of total billed charges,45% of total billed charges,1392.19,45,,1113.75,percent of total billed charges,45% of total billed charges,1183.36,3056.32,
R3CON LOCKING PLATE SCREW 3.5X10MM P50-353-3510,7521360,CDM,278,RC,,,OUTPATIENT,,,346.5,277.2,,329.18,95,,263.34,percent of total billed charges,95% of total billed charges,328.2,94.72,,262.56,percent of total billed charges,94.72% of total billed charges,342.31,98.79,,273.85,percent of total billed charges,98.79% of total billed charges,339.57,98,,271.66,percent of total billed charges,98% of total billed charges,339.57,98,,271.66,percent of total billed charges,98% of total billed charges,166.32,48,,133.06,percent of total billed charges,48% of total billed charges,155.93,45,,124.74,percent of total billed charges,45% of total billed charges,132.54,38.25,,106.03,percent of total billed charges,38.25% of total billed charges,155.93,45,,124.74,percent of total billed charges,45% of total billed charges,155.93,45,,124.74,percent of total billed charges,45% of total billed charges,132.54,342.31,
R3CON LOCKING PLATE SCREW 3.5X12MM  P50-353-3512,7521361,CDM,278,RC,,,OUTPATIENT,,,346.5,277.2,,329.18,95,,263.34,percent of total billed charges,95% of total billed charges,328.2,94.72,,262.56,percent of total billed charges,94.72% of total billed charges,342.31,98.79,,273.85,percent of total billed charges,98.79% of total billed charges,339.57,98,,271.66,percent of total billed charges,98% of total billed charges,339.57,98,,271.66,percent of total billed charges,98% of total billed charges,166.32,48,,133.06,percent of total billed charges,48% of total billed charges,155.93,45,,124.74,percent of total billed charges,45% of total billed charges,132.54,38.25,,106.03,percent of total billed charges,38.25% of total billed charges,155.93,45,,124.74,percent of total billed charges,45% of total billed charges,155.93,45,,124.74,percent of total billed charges,45% of total billed charges,132.54,342.31,
R3CON LOCKING PLATE SCREW 3.5X14MM  P50-353-3514,7521362,CDM,278,RC,,,OUTPATIENT,,,346.5,277.2,,329.18,95,,263.34,percent of total billed charges,95% of total billed charges,328.2,94.72,,262.56,percent of total billed charges,94.72% of total billed charges,342.31,98.79,,273.85,percent of total billed charges,98.79% of total billed charges,339.57,98,,271.66,percent of total billed charges,98% of total billed charges,339.57,98,,271.66,percent of total billed charges,98% of total billed charges,166.32,48,,133.06,percent of total billed charges,48% of total billed charges,155.93,45,,124.74,percent of total billed charges,45% of total billed charges,132.54,38.25,,106.03,percent of total billed charges,38.25% of total billed charges,155.93,45,,124.74,percent of total billed charges,45% of total billed charges,155.93,45,,124.74,percent of total billed charges,45% of total billed charges,132.54,342.31,
R3CON LOCKING PLATE SCREW 3.5X16MM  P50-353-3516,7521363,CDM,278,RC,,,OUTPATIENT,,,346.5,277.2,,329.18,95,,263.34,percent of total billed charges,95% of total billed charges,328.2,94.72,,262.56,percent of total billed charges,94.72% of total billed charges,342.31,98.79,,273.85,percent of total billed charges,98.79% of total billed charges,339.57,98,,271.66,percent of total billed charges,98% of total billed charges,339.57,98,,271.66,percent of total billed charges,98% of total billed charges,166.32,48,,133.06,percent of total billed charges,48% of total billed charges,155.93,45,,124.74,percent of total billed charges,45% of total billed charges,132.54,38.25,,106.03,percent of total billed charges,38.25% of total billed charges,155.93,45,,124.74,percent of total billed charges,45% of total billed charges,155.93,45,,124.74,percent of total billed charges,45% of total billed charges,132.54,342.31,
R3CON NON-LOCKING PLATE SCREW 3.5X10MM  P50-453-3510,7521364,CDM,278,RC,,,OUTPATIENT,,,252,201.6,,239.4,95,,191.52,percent of total billed charges,95% of total billed charges,238.69,94.72,,190.95,percent of total billed charges,94.72% of total billed charges,248.95,98.79,,199.16,percent of total billed charges,98.79% of total billed charges,246.96,98,,197.57,percent of total billed charges,98% of total billed charges,246.96,98,,197.57,percent of total billed charges,98% of total billed charges,120.96,48,,96.77,percent of total billed charges,48% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,96.39,38.25,,77.11,percent of total billed charges,38.25% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,96.39,248.95,
R3CON NON-LOCKING PLATE SCREW 3.5X12MM  P50-453-3512,7521365,CDM,278,RC,,,OUTPATIENT,,,252,201.6,,239.4,95,,191.52,percent of total billed charges,95% of total billed charges,238.69,94.72,,190.95,percent of total billed charges,94.72% of total billed charges,248.95,98.79,,199.16,percent of total billed charges,98.79% of total billed charges,246.96,98,,197.57,percent of total billed charges,98% of total billed charges,246.96,98,,197.57,percent of total billed charges,98% of total billed charges,120.96,48,,96.77,percent of total billed charges,48% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,96.39,38.25,,77.11,percent of total billed charges,38.25% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,96.39,248.95,
R3CON NON-LOCKING PLATE SCREW 3.5X14MM  P50-453-3514,7521366,CDM,278,RC,,,OUTPATIENT,,,252,201.6,,239.4,95,,191.52,percent of total billed charges,95% of total billed charges,238.69,94.72,,190.95,percent of total billed charges,94.72% of total billed charges,248.95,98.79,,199.16,percent of total billed charges,98.79% of total billed charges,246.96,98,,197.57,percent of total billed charges,98% of total billed charges,246.96,98,,197.57,percent of total billed charges,98% of total billed charges,120.96,48,,96.77,percent of total billed charges,48% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,96.39,38.25,,77.11,percent of total billed charges,38.25% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,96.39,248.95,
R3CON NON-LOCKING PLATE SCREW 3.5X16MM  P50-453-3516,7521367,CDM,278,RC,,,OUTPATIENT,,,252,201.6,,239.4,95,,191.52,percent of total billed charges,95% of total billed charges,238.69,94.72,,190.95,percent of total billed charges,94.72% of total billed charges,248.95,98.79,,199.16,percent of total billed charges,98.79% of total billed charges,246.96,98,,197.57,percent of total billed charges,98% of total billed charges,246.96,98,,197.57,percent of total billed charges,98% of total billed charges,120.96,48,,96.77,percent of total billed charges,48% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,96.39,38.25,,77.11,percent of total billed charges,38.25% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,96.39,248.95,
ANKLE PLATING K-WIRE GUIDE-TOWER  P51-900-2001,7521368,CDM,278,RC,,,OUTPATIENT,,,435.75,348.6,,413.96,95,,331.17,percent of total billed charges,95% of total billed charges,412.74,94.72,,330.19,percent of total billed charges,94.72% of total billed charges,430.48,98.79,,344.38,percent of total billed charges,98.79% of total billed charges,427.04,98,,341.63,percent of total billed charges,98% of total billed charges,427.04,98,,341.63,percent of total billed charges,98% of total billed charges,209.16,48,,167.33,percent of total billed charges,48% of total billed charges,196.09,45,,156.87,percent of total billed charges,45% of total billed charges,166.67,38.25,,133.34,percent of total billed charges,38.25% of total billed charges,196.09,45,,156.87,percent of total billed charges,45% of total billed charges,196.09,45,,156.87,percent of total billed charges,45% of total billed charges,166.67,430.48,
MEDIAL MALLEOLUS PARALLEL/DIVERGING K-WIRE GUIDE P51-906-1001,7521369,CDM,278,RC,,,OUTPATIENT,,,1359.75,1087.8,,1291.76,95,,1033.41,percent of total billed charges,95% of total billed charges,1287.96,94.72,,1030.37,percent of total billed charges,94.72% of total billed charges,1343.3,98.79,,1074.64,percent of total billed charges,98.79% of total billed charges,1332.56,98,,1066.05,percent of total billed charges,98% of total billed charges,1332.56,98,,1066.05,percent of total billed charges,98% of total billed charges,652.68,48,,522.14,percent of total billed charges,48% of total billed charges,611.89,45,,489.51,percent of total billed charges,45% of total billed charges,520.1,38.25,,416.08,percent of total billed charges,38.25% of total billed charges,611.89,45,,489.51,percent of total billed charges,45% of total billed charges,611.89,45,,489.51,percent of total billed charges,45% of total billed charges,520.1,1343.3,
FIBULAR PLATE| STRAIGHT| 3 HOLE  P53-201-0003,7521370,CDM,278,RC,,,OUTPATIENT,,,1312.5,1050,,1246.88,95,,997.5,percent of total billed charges,95% of total billed charges,1243.2,94.72,,994.56,percent of total billed charges,94.72% of total billed charges,1296.62,98.79,,1037.3,percent of total billed charges,98.79% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,630,48,,504,percent of total billed charges,48% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,38.25,,401.62,percent of total billed charges,38.25% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,1296.62,
FIBULAR PLATE| STRAIGHT| 4 HOLE  P53-201-0004,7521371,CDM,278,RC,,,OUTPATIENT,,,1312.5,1050,,1246.88,95,,997.5,percent of total billed charges,95% of total billed charges,1243.2,94.72,,994.56,percent of total billed charges,94.72% of total billed charges,1296.62,98.79,,1037.3,percent of total billed charges,98.79% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,630,48,,504,percent of total billed charges,48% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,38.25,,401.62,percent of total billed charges,38.25% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,1296.62,
FIBULAR PLATE| STRAIGHT| 5 HOLE  P53-201-0005,7521372,CDM,278,RC,,,OUTPATIENT,,,1312.5,1050,,1246.88,95,,997.5,percent of total billed charges,95% of total billed charges,1243.2,94.72,,994.56,percent of total billed charges,94.72% of total billed charges,1296.62,98.79,,1037.3,percent of total billed charges,98.79% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,630,48,,504,percent of total billed charges,48% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,38.25,,401.62,percent of total billed charges,38.25% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,1296.62,
FIBULAR PLATE| STRAIGHT| 7 HOLE  P53-201-0007,7521374,CDM,278,RC,,,OUTPATIENT,,,1312.5,1050,,1246.88,95,,997.5,percent of total billed charges,95% of total billed charges,1243.2,94.72,,994.56,percent of total billed charges,94.72% of total billed charges,1296.62,98.79,,1037.3,percent of total billed charges,98.79% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,630,48,,504,percent of total billed charges,48% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,38.25,,401.62,percent of total billed charges,38.25% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,1296.62,
FIBULAR PLATE| STRAIGHT| 8 HOLE  P53-201-0008,7521375,CDM,278,RC,,,OUTPATIENT,,,1312.5,1050,,1246.88,95,,997.5,percent of total billed charges,95% of total billed charges,1243.2,94.72,,994.56,percent of total billed charges,94.72% of total billed charges,1296.62,98.79,,1037.3,percent of total billed charges,98.79% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,630,48,,504,percent of total billed charges,48% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,38.25,,401.62,percent of total billed charges,38.25% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,1296.62,
FIBULAR PLATE| STRAIGHT| 9 HOLE  P53-201-0009,7521376,CDM,278,RC,,,OUTPATIENT,,,1312.5,1050,,1246.88,95,,997.5,percent of total billed charges,95% of total billed charges,1243.2,94.72,,994.56,percent of total billed charges,94.72% of total billed charges,1296.62,98.79,,1037.3,percent of total billed charges,98.79% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,630,48,,504,percent of total billed charges,48% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,38.25,,401.62,percent of total billed charges,38.25% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,1296.62,
FIBULAR PLATE| STRAIGHT| 10 HOLE P53-201-0010,7521377,CDM,278,RC,,,OUTPATIENT,,,1312.5,1050,,1246.88,95,,997.5,percent of total billed charges,95% of total billed charges,1243.2,94.72,,994.56,percent of total billed charges,94.72% of total billed charges,1296.62,98.79,,1037.3,percent of total billed charges,98.79% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,630,48,,504,percent of total billed charges,48% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,38.25,,401.62,percent of total billed charges,38.25% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,1296.62,
FIBULAR PLATE| STRAIGHT| 12 HOLE  P53-201-0012,7521378,CDM,278,RC,,,OUTPATIENT,,,1312.5,1050,,1246.88,95,,997.5,percent of total billed charges,95% of total billed charges,1243.2,94.72,,994.56,percent of total billed charges,94.72% of total billed charges,1296.62,98.79,,1037.3,percent of total billed charges,98.79% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,630,48,,504,percent of total billed charges,48% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,38.25,,401.62,percent of total billed charges,38.25% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,1296.62,
FIBULAR PLATE| STRAIGHT| 14 HOLE  P53-201-0014,7521379,CDM,278,RC,,,OUTPATIENT,,,1312.5,1050,,1246.88,95,,997.5,percent of total billed charges,95% of total billed charges,1243.2,94.72,,994.56,percent of total billed charges,94.72% of total billed charges,1296.62,98.79,,1037.3,percent of total billed charges,98.79% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,630,48,,504,percent of total billed charges,48% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,38.25,,401.62,percent of total billed charges,38.25% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,1296.62,
FIBULAR PLATE| STRAIGHT| 16 HOLE  P53-201-0016,7521380,CDM,278,RC,,,OUTPATIENT,,,1312.5,1050,,1246.88,95,,997.5,percent of total billed charges,95% of total billed charges,1243.2,94.72,,994.56,percent of total billed charges,94.72% of total billed charges,1296.62,98.79,,1037.3,percent of total billed charges,98.79% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,630,48,,504,percent of total billed charges,48% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,38.25,,401.62,percent of total billed charges,38.25% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,1296.62,
FIBULAR PLATE| CLUSTER| 7 HOLE P53-203-L007,7521381,CDM,278,RC,,,OUTPATIENT,,,2619.75,2095.8,,2488.76,95,,1991.01,percent of total billed charges,95% of total billed charges,2481.43,94.72,,1985.14,percent of total billed charges,94.72% of total billed charges,2588.05,98.79,,2070.44,percent of total billed charges,98.79% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,1257.48,48,,1005.98,percent of total billed charges,48% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,38.25,,801.64,percent of total billed charges,38.25% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,2588.05,
FIBULAR PLATE| CLUSTER| 9 HOLE  P53-203-L009,7521382,CDM,278,RC,,,OUTPATIENT,,,2619.75,2095.8,,2488.76,95,,1991.01,percent of total billed charges,95% of total billed charges,2481.43,94.72,,1985.14,percent of total billed charges,94.72% of total billed charges,2588.05,98.79,,2070.44,percent of total billed charges,98.79% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,1257.48,48,,1005.98,percent of total billed charges,48% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,38.25,,801.64,percent of total billed charges,38.25% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,2588.05,
FIBULAR PLATE| CLUSTER| 11 HOLE  P53-203-L011,7521383,CDM,278,RC,,,OUTPATIENT,,,2619.75,2095.8,,2488.76,95,,1991.01,percent of total billed charges,95% of total billed charges,2481.43,94.72,,1985.14,percent of total billed charges,94.72% of total billed charges,2588.05,98.79,,2070.44,percent of total billed charges,98.79% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,1257.48,48,,1005.98,percent of total billed charges,48% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,38.25,,801.64,percent of total billed charges,38.25% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,2588.05,
FIBULAR PLATE| CLUSTER| 13 HOLE  P53-203-L013,7521384,CDM,278,RC,,,OUTPATIENT,,,2619.75,2095.8,,2488.76,95,,1991.01,percent of total billed charges,95% of total billed charges,2481.43,94.72,,1985.14,percent of total billed charges,94.72% of total billed charges,2588.05,98.79,,2070.44,percent of total billed charges,98.79% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,1257.48,48,,1005.98,percent of total billed charges,48% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,38.25,,801.64,percent of total billed charges,38.25% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,2588.05,
FIBULAR PLATE| CLUSTER| 15 HOLE  P53-203-L015,7521385,CDM,278,RC,,,OUTPATIENT,,,2619.75,2095.8,,2488.76,95,,1991.01,percent of total billed charges,95% of total billed charges,2481.43,94.72,,1985.14,percent of total billed charges,94.72% of total billed charges,2588.05,98.79,,2070.44,percent of total billed charges,98.79% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,1257.48,48,,1005.98,percent of total billed charges,48% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,38.25,,801.64,percent of total billed charges,38.25% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,2588.05,
FIBULAR PLATE| CLUSTER| 17 HOLE  P53-203-L017,7521386,CDM,278,RC,,,OUTPATIENT,,,2619.75,2095.8,,2488.76,95,,1991.01,percent of total billed charges,95% of total billed charges,2481.43,94.72,,1985.14,percent of total billed charges,94.72% of total billed charges,2588.05,98.79,,2070.44,percent of total billed charges,98.79% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,1257.48,48,,1005.98,percent of total billed charges,48% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,38.25,,801.64,percent of total billed charges,38.25% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,2588.05,
FIBULAR PLATE| CLUSTER| 7 HOLE  P53-203-R007,7521387,CDM,278,RC,,,OUTPATIENT,,,2619.75,2095.8,,2488.76,95,,1991.01,percent of total billed charges,95% of total billed charges,2481.43,94.72,,1985.14,percent of total billed charges,94.72% of total billed charges,2588.05,98.79,,2070.44,percent of total billed charges,98.79% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,1257.48,48,,1005.98,percent of total billed charges,48% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,38.25,,801.64,percent of total billed charges,38.25% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,2588.05,
FIBULAR PLATE| CLUSTER| 9 HOLE  P53-203-R009,7521388,CDM,278,RC,,,OUTPATIENT,,,2619.75,2095.8,,2488.76,95,,1991.01,percent of total billed charges,95% of total billed charges,2481.43,94.72,,1985.14,percent of total billed charges,94.72% of total billed charges,2588.05,98.79,,2070.44,percent of total billed charges,98.79% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,1257.48,48,,1005.98,percent of total billed charges,48% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,38.25,,801.64,percent of total billed charges,38.25% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,2588.05,
FIBULAR PLATE| CLUSTER| 11 HOLE  P53-203-R011,7521389,CDM,278,RC,,,OUTPATIENT,,,2619.75,2095.8,,2488.76,95,,1991.01,percent of total billed charges,95% of total billed charges,2481.43,94.72,,1985.14,percent of total billed charges,94.72% of total billed charges,2588.05,98.79,,2070.44,percent of total billed charges,98.79% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,1257.48,48,,1005.98,percent of total billed charges,48% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,38.25,,801.64,percent of total billed charges,38.25% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,2588.05,
FIBULAR PLATE| CLUSTER| 13 HOLE  P53-203-R013,7521390,CDM,278,RC,,,OUTPATIENT,,,2619.75,2095.8,,2488.76,95,,1991.01,percent of total billed charges,95% of total billed charges,2481.43,94.72,,1985.14,percent of total billed charges,94.72% of total billed charges,2588.05,98.79,,2070.44,percent of total billed charges,98.79% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,1257.48,48,,1005.98,percent of total billed charges,48% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,38.25,,801.64,percent of total billed charges,38.25% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,2588.05,
FIBULAR PLATE| CLUSTER| 15 HOLE  P53-203-R015,7521391,CDM,278,RC,,,OUTPATIENT,,,2619.75,2095.8,,2488.76,95,,1991.01,percent of total billed charges,95% of total billed charges,2481.43,94.72,,1985.14,percent of total billed charges,94.72% of total billed charges,2588.05,98.79,,2070.44,percent of total billed charges,98.79% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,1257.48,48,,1005.98,percent of total billed charges,48% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,38.25,,801.64,percent of total billed charges,38.25% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,2588.05,
FIBULAR PLATE| CLUSTER| 17 HOLE  P53-203-R017,7521392,CDM,278,RC,,,OUTPATIENT,,,2619.75,2095.8,,2488.76,95,,1991.01,percent of total billed charges,95% of total billed charges,2481.43,94.72,,1985.14,percent of total billed charges,94.72% of total billed charges,2588.05,98.79,,2070.44,percent of total billed charges,98.79% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,2567.36,98,,2053.89,percent of total billed charges,98% of total billed charges,1257.48,48,,1005.98,percent of total billed charges,48% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,38.25,,801.64,percent of total billed charges,38.25% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1178.89,45,,943.11,percent of total billed charges,45% of total billed charges,1002.05,2588.05,
MEDIAL MALLEOLUS PLATE 7 HOLE  P53-210-0007,7521393,CDM,278,RC,,,OUTPATIENT,,,2724.75,2179.8,,2588.51,95,,2070.81,percent of total billed charges,95% of total billed charges,2580.88,94.72,,2064.7,percent of total billed charges,94.72% of total billed charges,2691.78,98.79,,2153.42,percent of total billed charges,98.79% of total billed charges,2670.26,98,,2136.21,percent of total billed charges,98% of total billed charges,2670.26,98,,2136.21,percent of total billed charges,98% of total billed charges,1307.88,48,,1046.3,percent of total billed charges,48% of total billed charges,1226.14,45,,980.91,percent of total billed charges,45% of total billed charges,1042.22,38.25,,833.78,percent of total billed charges,38.25% of total billed charges,1226.14,45,,980.91,percent of total billed charges,45% of total billed charges,1226.14,45,,980.91,percent of total billed charges,45% of total billed charges,1042.22,2691.78,
OLIVE/TOWER WIRE 1.6X80MM  P99-250-1608,7521394,CDM,278,RC,,,OUTPATIENT,,,178.5,142.8,,169.58,95,,135.66,percent of total billed charges,95% of total billed charges,169.08,94.72,,135.26,percent of total billed charges,94.72% of total billed charges,176.34,98.79,,141.07,percent of total billed charges,98.79% of total billed charges,174.93,98,,139.94,percent of total billed charges,98% of total billed charges,174.93,98,,139.94,percent of total billed charges,98% of total billed charges,85.68,48,,68.54,percent of total billed charges,48% of total billed charges,80.33,45,,64.26,percent of total billed charges,45% of total billed charges,68.28,38.25,,54.62,percent of total billed charges,38.25% of total billed charges,80.33,45,,64.26,percent of total billed charges,45% of total billed charges,80.33,45,,64.26,percent of total billed charges,45% of total billed charges,68.28,176.34,
GORILLA ANKLE FRACTURE CADDY BASE  P50-900-AFXC-1,7521395,CDM,278,RC,,,OUTPATIENT,,,3750,3000,,3562.5,95,,2850,percent of total billed charges,95% of total billed charges,3552,94.72,,2841.6,percent of total billed charges,94.72% of total billed charges,3704.63,98.79,,2963.7,percent of total billed charges,98.79% of total billed charges,3675,98,,2940,percent of total billed charges,98% of total billed charges,3675,98,,2940,percent of total billed charges,98% of total billed charges,1800,48,,1440,percent of total billed charges,48% of total billed charges,1687.5,45,,1350,percent of total billed charges,45% of total billed charges,1434.38,38.25,,1147.5,percent of total billed charges,38.25% of total billed charges,1687.5,45,,1350,percent of total billed charges,45% of total billed charges,1687.5,45,,1350,percent of total billed charges,45% of total billed charges,1434.38,3704.63,
GORILLA UNIVERSAL LID  P50-900-UNVC-3,7521396,CDM,278,RC,,,OUTPATIENT,,,1800,1440,,1710,95,,1368,percent of total billed charges,95% of total billed charges,1704.96,94.72,,1363.97,percent of total billed charges,94.72% of total billed charges,1778.22,98.79,,1422.58,percent of total billed charges,98.79% of total billed charges,1764,98,,1411.2,percent of total billed charges,98% of total billed charges,1764,98,,1411.2,percent of total billed charges,98% of total billed charges,864,48,,691.2,percent of total billed charges,48% of total billed charges,810,45,,648,percent of total billed charges,45% of total billed charges,688.5,38.25,,550.8,percent of total billed charges,38.25% of total billed charges,810,45,,648,percent of total billed charges,45% of total billed charges,810,45,,648,percent of total billed charges,45% of total billed charges,688.5,1778.22,
NEXTRA HAMMERTOE CORRECTION SYSTEM  NX-3532K-SC,7521400,CDM,278,RC,,,OUTPATIENT,,,1908,1526.4,,1812.6,95,,1450.08,percent of total billed charges,95% of total billed charges,1807.26,94.72,,1445.81,percent of total billed charges,94.72% of total billed charges,1884.91,98.79,,1507.93,percent of total billed charges,98.79% of total billed charges,1869.84,98,,1495.87,percent of total billed charges,98% of total billed charges,1869.84,98,,1495.87,percent of total billed charges,98% of total billed charges,915.84,48,,732.67,percent of total billed charges,48% of total billed charges,858.6,45,,686.88,percent of total billed charges,45% of total billed charges,729.81,38.25,,583.85,percent of total billed charges,38.25% of total billed charges,858.6,45,,686.88,percent of total billed charges,45% of total billed charges,858.6,45,,686.88,percent of total billed charges,45% of total billed charges,729.81,1884.91,
NEXTRA HAMMERTOE CORRECTION SYSTEM  NX-4532K,7521401,CDM,278,RC,,,OUTPATIENT,,,2412,1929.6,,2291.4,95,,1833.12,percent of total billed charges,95% of total billed charges,2284.65,94.72,,1827.72,percent of total billed charges,94.72% of total billed charges,2382.81,98.79,,1906.25,percent of total billed charges,98.79% of total billed charges,2363.76,98,,1891.01,percent of total billed charges,98% of total billed charges,2363.76,98,,1891.01,percent of total billed charges,98% of total billed charges,1157.76,48,,926.21,percent of total billed charges,48% of total billed charges,1085.4,45,,868.32,percent of total billed charges,45% of total billed charges,922.59,38.25,,738.07,percent of total billed charges,38.25% of total billed charges,1085.4,45,,868.32,percent of total billed charges,45% of total billed charges,1085.4,45,,868.32,percent of total billed charges,45% of total billed charges,922.59,2382.81,
METATARSAL CORTICAL HEADED SCREW  MS-2414,7521402,CDM,278,RC,,,OUTPATIENT,,,252,201.6,,239.4,95,,191.52,percent of total billed charges,95% of total billed charges,238.69,94.72,,190.95,percent of total billed charges,94.72% of total billed charges,248.95,98.79,,199.16,percent of total billed charges,98.79% of total billed charges,246.96,98,,197.57,percent of total billed charges,98% of total billed charges,246.96,98,,197.57,percent of total billed charges,98% of total billed charges,120.96,48,,96.77,percent of total billed charges,48% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,96.39,38.25,,77.11,percent of total billed charges,38.25% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,96.39,248.95,
METATARSAL CORTICAL HEADED SCREW  MS-2416,7521403,CDM,278,RC,,,OUTPATIENT,,,252,201.6,,239.4,95,,191.52,percent of total billed charges,95% of total billed charges,238.69,94.72,,190.95,percent of total billed charges,94.72% of total billed charges,248.95,98.79,,199.16,percent of total billed charges,98.79% of total billed charges,246.96,98,,197.57,percent of total billed charges,98% of total billed charges,246.96,98,,197.57,percent of total billed charges,98% of total billed charges,120.96,48,,96.77,percent of total billed charges,48% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,96.39,38.25,,77.11,percent of total billed charges,38.25% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,96.39,248.95,
METATARSAL CORTICAL HEADED SCREW  MS-2418,7521404,CDM,278,RC,,,OUTPATIENT,,,252,201.6,,239.4,95,,191.52,percent of total billed charges,95% of total billed charges,238.69,94.72,,190.95,percent of total billed charges,94.72% of total billed charges,248.95,98.79,,199.16,percent of total billed charges,98.79% of total billed charges,246.96,98,,197.57,percent of total billed charges,98% of total billed charges,246.96,98,,197.57,percent of total billed charges,98% of total billed charges,120.96,48,,96.77,percent of total billed charges,48% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,96.39,38.25,,77.11,percent of total billed charges,38.25% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,96.39,248.95,
MIS QUAD-SPARING HEADED SCREW 5983-40-33,7521405,CDM,278,RC,,,OUTPATIENT,,,102.75,82.2,,97.61,95,,78.09,percent of total billed charges,95% of total billed charges,97.32,94.72,,77.86,percent of total billed charges,94.72% of total billed charges,101.51,98.79,,81.21,percent of total billed charges,98.79% of total billed charges,100.7,98,,80.56,percent of total billed charges,98% of total billed charges,100.7,98,,80.56,percent of total billed charges,98% of total billed charges,49.32,48,,39.46,percent of total billed charges,48% of total billed charges,46.24,45,,36.99,percent of total billed charges,45% of total billed charges,39.3,38.25,,31.44,percent of total billed charges,38.25% of total billed charges,46.24,45,,36.99,percent of total billed charges,45% of total billed charges,46.24,45,,36.99,percent of total billed charges,45% of total billed charges,39.3,101.51,
PERSONA VIVACIT-E  42-5221-008-12,7521440,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA VIVACIT-E  42-5221-008-13,7521441,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA VIVACIT-E  42-5221-008-14,7521442,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
PERSONA VIVACIT-E  42-5221-008-16,7521443,CDM,278,RC,,,OUTPATIENT,,,1995,1596,,1895.25,95,,1516.2,percent of total billed charges,95% of total billed charges,1889.66,94.72,,1511.73,percent of total billed charges,94.72% of total billed charges,1970.86,98.79,,1576.69,percent of total billed charges,98.79% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,1955.1,98,,1564.08,percent of total billed charges,98% of total billed charges,957.6,48,,766.08,percent of total billed charges,48% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,38.25,,610.47,percent of total billed charges,38.25% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,897.75,45,,718.2,percent of total billed charges,45% of total billed charges,763.09,1970.86,
ARTHREX CANNULA TWIST IN AR-6570,7521461,CDM,278,RC,,,OUTPATIENT,,,81.5,65.2,,77.43,95,,61.94,percent of total billed charges,95% of total billed charges,77.2,94.72,,61.76,percent of total billed charges,94.72% of total billed charges,80.51,98.79,,64.41,percent of total billed charges,98.79% of total billed charges,79.87,98,,63.9,percent of total billed charges,98% of total billed charges,79.87,98,,63.9,percent of total billed charges,98% of total billed charges,39.12,48,,31.3,percent of total billed charges,48% of total billed charges,36.68,45,,29.34,percent of total billed charges,45% of total billed charges,31.17,38.25,,24.94,percent of total billed charges,38.25% of total billed charges,36.68,45,,29.34,percent of total billed charges,45% of total billed charges,36.68,45,,29.34,percent of total billed charges,45% of total billed charges,31.17,80.51,
PRIMARY SHOULDER STEM 9MM  113609,7521481,CDM,278,RC,,,OUTPATIENT,,,8032.5,6426,,7630.88,95,,6104.7,percent of total billed charges,95% of total billed charges,7608.38,94.72,,6086.7,percent of total billed charges,94.72% of total billed charges,7935.31,98.79,,6348.25,percent of total billed charges,98.79% of total billed charges,7871.85,98,,6297.48,percent of total billed charges,98% of total billed charges,7871.85,98,,6297.48,percent of total billed charges,98% of total billed charges,3855.6,48,,3084.48,percent of total billed charges,48% of total billed charges,3614.63,45,,2891.7,percent of total billed charges,45% of total billed charges,3072.43,38.25,,2457.94,percent of total billed charges,38.25% of total billed charges,3614.63,45,,2891.7,percent of total billed charges,45% of total billed charges,3614.63,45,,2891.7,percent of total billed charges,45% of total billed charges,3072.43,7935.31,
SMART PORT TITANIUM IMPLANT 7.5FR,7560030,CDM,278,RC,,,OUTPATIENT,,,1064.75,851.8,,1011.51,95,,809.21,percent of total billed charges,95% of total billed charges,1008.53,94.72,,806.82,percent of total billed charges,94.72% of total billed charges,1051.87,98.79,,841.5,percent of total billed charges,98.79% of total billed charges,1043.46,98,,834.77,percent of total billed charges,98% of total billed charges,1043.46,98,,834.77,percent of total billed charges,98% of total billed charges,511.08,48,,408.86,percent of total billed charges,48% of total billed charges,479.14,45,,383.31,percent of total billed charges,45% of total billed charges,407.27,38.25,,325.82,percent of total billed charges,38.25% of total billed charges,479.14,45,,383.31,percent of total billed charges,45% of total billed charges,479.14,45,,383.31,percent of total billed charges,45% of total billed charges,407.27,1051.87,
PORT MRI POWER 8fr SINGLE L,7560034,CDM,278,RC,,,OUTPATIENT,,,960.75,768.6,,912.71,95,,730.17,percent of total billed charges,95% of total billed charges,910.02,94.72,,728.02,percent of total billed charges,94.72% of total billed charges,949.12,98.79,,759.3,percent of total billed charges,98.79% of total billed charges,941.54,98,,753.23,percent of total billed charges,98% of total billed charges,941.54,98,,753.23,percent of total billed charges,98% of total billed charges,461.16,48,,368.93,percent of total billed charges,48% of total billed charges,432.34,45,,345.87,percent of total billed charges,45% of total billed charges,367.49,38.25,,293.99,percent of total billed charges,38.25% of total billed charges,432.34,45,,345.87,percent of total billed charges,45% of total billed charges,432.34,45,,345.87,percent of total billed charges,45% of total billed charges,367.49,949.12,
PORT MRI SINGLE LUMEN W/GROSHONG 8fr,7560035,CDM,278,RC,,,OUTPATIENT,,,504.25,403.4,,479.04,95,,383.23,percent of total billed charges,95% of total billed charges,477.63,94.72,,382.1,percent of total billed charges,94.72% of total billed charges,498.15,98.79,,398.52,percent of total billed charges,98.79% of total billed charges,494.17,98,,395.34,percent of total billed charges,98% of total billed charges,494.17,98,,395.34,percent of total billed charges,98% of total billed charges,242.04,48,,193.63,percent of total billed charges,48% of total billed charges,226.91,45,,181.53,percent of total billed charges,45% of total billed charges,192.88,38.25,,154.3,percent of total billed charges,38.25% of total billed charges,226.91,45,,181.53,percent of total billed charges,45% of total billed charges,226.91,45,,181.53,percent of total billed charges,45% of total billed charges,192.88,498.15,
Guidewire J curve,7560063,CDM,278,RC,,,OUTPATIENT,,,36.25,29,,34.44,95,,27.55,percent of total billed charges,95% of total billed charges,34.34,94.72,,27.47,percent of total billed charges,94.72% of total billed charges,35.81,98.79,,28.65,percent of total billed charges,98.79% of total billed charges,35.53,98,,28.42,percent of total billed charges,98% of total billed charges,35.53,98,,28.42,percent of total billed charges,98% of total billed charges,17.4,48,,13.92,percent of total billed charges,48% of total billed charges,16.31,45,,13.05,percent of total billed charges,45% of total billed charges,13.87,38.25,,11.1,percent of total billed charges,38.25% of total billed charges,16.31,45,,13.05,percent of total billed charges,45% of total billed charges,16.31,45,,13.05,percent of total billed charges,45% of total billed charges,13.87,35.81,
Guidewire Super Stiff Straight Tip,7560064,CDM,278,RC,,,OUTPATIENT,,,108,86.4,,102.6,95,,82.08,percent of total billed charges,95% of total billed charges,102.3,94.72,,81.84,percent of total billed charges,94.72% of total billed charges,106.69,98.79,,85.35,percent of total billed charges,98.79% of total billed charges,105.84,98,,84.67,percent of total billed charges,98% of total billed charges,105.84,98,,84.67,percent of total billed charges,98% of total billed charges,51.84,48,,41.47,percent of total billed charges,48% of total billed charges,48.6,45,,38.88,percent of total billed charges,45% of total billed charges,41.31,38.25,,33.05,percent of total billed charges,38.25% of total billed charges,48.6,45,,38.88,percent of total billed charges,45% of total billed charges,48.6,45,,38.88,percent of total billed charges,45% of total billed charges,41.31,106.69,
URETEROSCOPE STANDARD DEFLECTION M0067913500,7560066,CDM,278,RC,,,OUTPATIENT,,,4492.5,3594,,4267.88,95,,3414.3,percent of total billed charges,95% of total billed charges,4255.3,94.72,,3404.24,percent of total billed charges,94.72% of total billed charges,4438.14,98.79,,3550.51,percent of total billed charges,98.79% of total billed charges,4402.65,98,,3522.12,percent of total billed charges,98% of total billed charges,4402.65,98,,3522.12,percent of total billed charges,98% of total billed charges,2156.4,48,,1725.12,percent of total billed charges,48% of total billed charges,2021.63,45,,1617.3,percent of total billed charges,45% of total billed charges,1718.38,38.25,,1374.7,percent of total billed charges,38.25% of total billed charges,2021.63,45,,1617.3,percent of total billed charges,45% of total billed charges,2021.63,45,,1617.3,percent of total billed charges,45% of total billed charges,1718.38,4438.14,
RECORDER LOOP CARDIAC MONITOR,7570204,CDM,278,RC,C1764,HCPCS,OUTPATIENT,,,9742.5,7794,,9255.38,95,,7404.3,percent of total billed charges,95% of total billed charges,9228.1,94.72,,7382.48,percent of total billed charges,94.72% of total billed charges,9624.62,98.79,,7699.7,percent of total billed charges,98.79% of total billed charges,9547.65,98,,7638.12,percent of total billed charges,98% of total billed charges,9547.65,98,,7638.12,percent of total billed charges,98% of total billed charges,4676.4,48,,3741.12,percent of total billed charges,48% of total billed charges,4384.13,45,,3507.3,percent of total billed charges,45% of total billed charges,3726.51,38.25,,2981.21,percent of total billed charges,38.25% of total billed charges,4384.13,45,,3507.3,percent of total billed charges,45% of total billed charges,4384.13,45,,3507.3,percent of total billed charges,45% of total billed charges,3726.51,9624.62,
LOOP recorder cardiac monitor,7570204,CDM,278,RC,E0616,HCPCS,OUTPATIENT,,,9842,7873.6,,9349.9,95,,7479.92,percent of total billed charges,95% of total billed charges,9322.34,94.72,,7457.87,percent of total billed charges,94.72% of total billed charges,9722.91,98.79,,7778.33,percent of total billed charges,98.79% of total billed charges,9645.16,98,,7716.13,percent of total billed charges,98% of total billed charges,9645.16,98,,7716.13,percent of total billed charges,98% of total billed charges,4724.16,48,,3779.33,percent of total billed charges,48% of total billed charges,4428.9,45,,3543.12,percent of total billed charges,45% of total billed charges,3764.57,38.25,,3011.66,percent of total billed charges,38.25% of total billed charges,4428.9,45,,3543.12,percent of total billed charges,45% of total billed charges,4428.9,45,,3543.12,percent of total billed charges,45% of total billed charges,3764.57,9722.91,
LOOP recorder cardiac monitor,7570204,CDM,278,RC,E0616,HCPCS,OUTPATIENT,,,9842,7873.6,,9349.9,95,,7479.92,percent of total billed charges,95% of total billed charges,9322.34,94.72,,7457.87,percent of total billed charges,94.72% of total billed charges,9722.91,98.79,,7778.33,percent of total billed charges,98.79% of total billed charges,9645.16,98,,7716.13,percent of total billed charges,98% of total billed charges,9645.16,98,,7716.13,percent of total billed charges,98% of total billed charges,4724.16,48,,3779.33,percent of total billed charges,48% of total billed charges,4428.9,45,,3543.12,percent of total billed charges,45% of total billed charges,3764.57,38.25,,3011.66,percent of total billed charges,38.25% of total billed charges,4428.9,45,,3543.12,percent of total billed charges,45% of total billed charges,4428.9,45,,3543.12,percent of total billed charges,45% of total billed charges,3764.57,9722.91,
MARYLAND JAW LAPAROSCOPIC DEVICE 44CM,7580182,CDM,278,RC,,,OUTPATIENT,,,899,719.2,,854.05,95,,683.24,percent of total billed charges,95% of total billed charges,851.53,94.72,,681.22,percent of total billed charges,94.72% of total billed charges,888.12,98.79,,710.5,percent of total billed charges,98.79% of total billed charges,881.02,98,,704.82,percent of total billed charges,98% of total billed charges,881.02,98,,704.82,percent of total billed charges,98% of total billed charges,431.52,48,,345.22,percent of total billed charges,48% of total billed charges,404.55,45,,323.64,percent of total billed charges,45% of total billed charges,343.87,38.25,,275.1,percent of total billed charges,38.25% of total billed charges,404.55,45,,323.64,percent of total billed charges,45% of total billed charges,404.55,45,,323.64,percent of total billed charges,45% of total billed charges,343.87,888.12,
G7 ACETABULAR LINER 36MM SIZE G 010000898,10000898,CDM,278,RC,,,OUTPATIENT,,,2850,2280,,2707.5,95,,2166,percent of total billed charges,95% of total billed charges,2699.52,94.72,,2159.62,percent of total billed charges,94.72% of total billed charges,2815.52,98.79,,2252.42,percent of total billed charges,98.79% of total billed charges,2793,98,,2234.4,percent of total billed charges,98% of total billed charges,2793,98,,2234.4,percent of total billed charges,98% of total billed charges,1368,48,,1094.4,percent of total billed charges,48% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1090.13,38.25,,872.1,percent of total billed charges,38.25% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1090.13,2815.52,
IgE-Alternaria Tenuis UPHS,86003,CDM,300,RC,86003,HCPCS,OUTPATIENT,,,14,11.2,90,13.3,95,,10.64,percent of total billed charges,95% of total billed charges,13.26,94.72,,10.61,percent of total billed charges,94.72% of total billed charges,13.83,98.79,,11.06,percent of total billed charges,98.79% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,6.72,48,,5.38,percent of total billed charges,48% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,85,,,fee schedule,85% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,13.83,
IgE-Asperg. fumigatus UPHS,86003,CDM,300,RC,86003,HCPCS,OUTPATIENT,,,14,11.2,90,13.3,95,,10.64,percent of total billed charges,95% of total billed charges,13.26,94.72,,10.61,percent of total billed charges,94.72% of total billed charges,13.83,98.79,,11.06,percent of total billed charges,98.79% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,6.72,48,,5.38,percent of total billed charges,48% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,85,,,fee schedule,85% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,13.83,
IgE-Birch UPHS,86003,CDM,300,RC,86003,HCPCS,OUTPATIENT,,,14,11.2,90,13.3,95,,10.64,percent of total billed charges,95% of total billed charges,13.26,94.72,,10.61,percent of total billed charges,94.72% of total billed charges,13.83,98.79,,11.06,percent of total billed charges,98.79% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,6.72,48,,5.38,percent of total billed charges,48% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,85,,,fee schedule,85% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,13.83,
IgE-Common Ragweed UPHS,86003,CDM,300,RC,86003,HCPCS,OUTPATIENT,,,14,11.2,90,13.3,95,,10.64,percent of total billed charges,95% of total billed charges,13.26,94.72,,10.61,percent of total billed charges,94.72% of total billed charges,13.83,98.79,,11.06,percent of total billed charges,98.79% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,6.72,48,,5.38,percent of total billed charges,48% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,85,,,fee schedule,85% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,13.83,
IgE-Derm. pteronyssinus UPHS,86003,CDM,300,RC,86003,HCPCS,OUTPATIENT,,,14,11.2,90,13.3,95,,10.64,percent of total billed charges,95% of total billed charges,13.26,94.72,,10.61,percent of total billed charges,94.72% of total billed charges,13.83,98.79,,11.06,percent of total billed charges,98.79% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,6.72,48,,5.38,percent of total billed charges,48% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,85,,,fee schedule,85% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,13.83,
IgE-Dermatophagoides farinae UPHS,86003,CDM,300,RC,86003,HCPCS,OUTPATIENT,,,14,11.2,90,13.3,95,,10.64,percent of total billed charges,95% of total billed charges,13.26,94.72,,10.61,percent of total billed charges,94.72% of total billed charges,13.83,98.79,,11.06,percent of total billed charges,98.79% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,6.72,48,,5.38,percent of total billed charges,48% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,85,,,fee schedule,85% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,13.83,
IgE-Elm UPHS,86003,CDM,300,RC,86003,HCPCS,OUTPATIENT,,,14,11.2,90,13.3,95,,10.64,percent of total billed charges,95% of total billed charges,13.26,94.72,,10.61,percent of total billed charges,94.72% of total billed charges,13.83,98.79,,11.06,percent of total billed charges,98.79% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,6.72,48,,5.38,percent of total billed charges,48% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,85,,,fee schedule,85% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,13.83,
IgE-Maple UPHS,86003,CDM,300,RC,86003,HCPCS,OUTPATIENT,,,14,11.2,90,13.3,95,,10.64,percent of total billed charges,95% of total billed charges,13.26,94.72,,10.61,percent of total billed charges,94.72% of total billed charges,13.83,98.79,,11.06,percent of total billed charges,98.79% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,6.72,48,,5.38,percent of total billed charges,48% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,85,,,fee schedule,85% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,13.83,
IgE-Timothy UPHS,86003,CDM,300,RC,86003,HCPCS,OUTPATIENT,,,14,11.2,90,13.3,95,,10.64,percent of total billed charges,95% of total billed charges,13.26,94.72,,10.61,percent of total billed charges,94.72% of total billed charges,13.83,98.79,,11.06,percent of total billed charges,98.79% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,6.72,48,,5.38,percent of total billed charges,48% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,85,,,fee schedule,85% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,13.83,
86890 IRR,86890,CDM,300,RC,86890,HCPCS,OUTPATIENT,,,63,50.4,,59.85,95,,47.88,percent of total billed charges,95% of total billed charges,59.67,94.72,,47.74,percent of total billed charges,94.72% of total billed charges,62.24,98.79,,49.79,percent of total billed charges,98.79% of total billed charges,61.74,98,,49.39,percent of total billed charges,98% of total billed charges,61.74,98,,49.39,percent of total billed charges,98% of total billed charges,30.24,48,,24.19,percent of total billed charges,48% of total billed charges,28.35,45,,22.68,percent of total billed charges,45% of total billed charges,24.1,38.25,,19.28,percent of total billed charges,38.25% of total billed charges,28.35,45,,22.68,percent of total billed charges,45% of total billed charges,28.35,45,,22.68,percent of total billed charges,45% of total billed charges,24.1,62.24,
CREATININE SERUM,5061006,CDM,300,RC,82565,HCPCS,OUTPATIENT,,,45,36,,42.75,95,,34.2,percent of total billed charges,95% of total billed charges,42.62,94.72,,34.1,percent of total billed charges,94.72% of total billed charges,44.46,98.79,,35.57,percent of total billed charges,98.79% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,21.6,48,,17.28,percent of total billed charges,48% of total billed charges,5.12,100,,,fee schedule,100% of CMS fee schedule,4.35,85,,,fee schedule,85% of CMS fee schedule,5.12,100,,,fee schedule,100% of CMS fee schedule,5.12,100,,,fee schedule,100% of CMS fee schedule,4.35,44.46,
MAGNESIUM,5061010,CDM,300,RC,83735,HCPCS,OUTPATIENT,,,79,63.2,,75.05,95,,60.04,percent of total billed charges,95% of total billed charges,74.83,94.72,,59.86,percent of total billed charges,94.72% of total billed charges,78.04,98.79,,62.43,percent of total billed charges,98.79% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,37.92,48,,30.34,percent of total billed charges,48% of total billed charges,6.7,100,,,fee schedule,100% of CMS fee schedule,5.7,85,,,fee schedule,85% of CMS fee schedule,6.7,100,,,fee schedule,100% of CMS fee schedule,6.7,100,,,fee schedule,100% of CMS fee schedule,5.7,78.04,
LDH,5061015,CDM,300,RC,83615,HCPCS,OUTPATIENT,,,50,40,,47.5,95,,38,percent of total billed charges,95% of total billed charges,47.36,94.72,,37.89,percent of total billed charges,94.72% of total billed charges,49.4,98.79,,39.52,percent of total billed charges,98.79% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,24,48,,19.2,percent of total billed charges,48% of total billed charges,6.04,100,,,fee schedule,100% of CMS fee schedule,5.13,85,,,fee schedule,85% of CMS fee schedule,6.04,100,,,fee schedule,100% of CMS fee schedule,6.04,100,,,fee schedule,100% of CMS fee schedule,5.13,49.4,
URIC ACID,5061016,CDM,300,RC,84550,HCPCS,OUTPATIENT,,,44,35.2,,41.8,95,,33.44,percent of total billed charges,95% of total billed charges,41.68,94.72,,33.34,percent of total billed charges,94.72% of total billed charges,43.47,98.79,,34.78,percent of total billed charges,98.79% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,21.12,48,,16.9,percent of total billed charges,48% of total billed charges,4.52,100,,,fee schedule,100% of CMS fee schedule,3.84,85,,,fee schedule,85% of CMS fee schedule,4.52,100,,,fee schedule,100% of CMS fee schedule,4.52,100,,,fee schedule,100% of CMS fee schedule,3.84,43.47,
AMYLASE,5061023,CDM,300,RC,82150,HCPCS,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,6.48,100,,,fee schedule,100% of CMS fee schedule,5.51,85,,,fee schedule,85% of CMS fee schedule,6.48,100,,,fee schedule,100% of CMS fee schedule,6.48,100,,,fee schedule,100% of CMS fee schedule,5.51,42.48,
FOLATE-FOLIC ACID,5061027,CDM,300,RC,82746,HCPCS,OUTPATIENT,,,183,146.4,,173.85,95,,139.08,percent of total billed charges,95% of total billed charges,173.34,94.72,,138.67,percent of total billed charges,94.72% of total billed charges,180.79,98.79,,144.63,percent of total billed charges,98.79% of total billed charges,179.34,98,,143.47,percent of total billed charges,98% of total billed charges,179.34,98,,143.47,percent of total billed charges,98% of total billed charges,87.84,48,,70.27,percent of total billed charges,48% of total billed charges,14.7,100,,,fee schedule,100% of CMS fee schedule,12.5,85,,,fee schedule,85% of CMS fee schedule,14.7,100,,,fee schedule,100% of CMS fee schedule,14.7,100,,,fee schedule,100% of CMS fee schedule,12.5,180.79,
CSF PROTEIN,5061031,CDM,300,RC,84157,HCPCS,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,4,100,,,fee schedule,100% of CMS fee schedule,3.4,85,,,fee schedule,85% of CMS fee schedule,4,100,,,fee schedule,100% of CMS fee schedule,4,100,,,fee schedule,100% of CMS fee schedule,3.4,42.48,
CSF GLUCOSE,5061032,CDM,300,RC,82945,HCPCS,OUTPATIENT,,,119,95.2,,113.05,95,,90.44,percent of total billed charges,95% of total billed charges,112.72,94.72,,90.18,percent of total billed charges,94.72% of total billed charges,117.56,98.79,,94.05,percent of total billed charges,98.79% of total billed charges,116.62,98,,93.3,percent of total billed charges,98% of total billed charges,116.62,98,,93.3,percent of total billed charges,98% of total billed charges,57.12,48,,45.7,percent of total billed charges,48% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,3.34,85,,,fee schedule,85% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,3.34,117.56,
IRON,5061033,CDM,300,RC,83540,HCPCS,OUTPATIENT,,,70,56,,66.5,95,,53.2,percent of total billed charges,95% of total billed charges,66.3,94.72,,53.04,percent of total billed charges,94.72% of total billed charges,69.15,98.79,,55.32,percent of total billed charges,98.79% of total billed charges,68.6,98,,54.88,percent of total billed charges,98% of total billed charges,68.6,98,,54.88,percent of total billed charges,98% of total billed charges,33.6,48,,26.88,percent of total billed charges,48% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,5.5,85,,,fee schedule,85% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,5.5,69.15,
IRON BINDING,5061034,CDM,300,RC,83550,HCPCS,OUTPATIENT,,,108,86.4,,102.6,95,,82.08,percent of total billed charges,95% of total billed charges,102.3,94.72,,81.84,percent of total billed charges,94.72% of total billed charges,106.69,98.79,,85.35,percent of total billed charges,98.79% of total billed charges,105.84,98,,84.67,percent of total billed charges,98% of total billed charges,105.84,98,,84.67,percent of total billed charges,98% of total billed charges,51.84,48,,41.47,percent of total billed charges,48% of total billed charges,8.74,100,,,fee schedule,100% of CMS fee schedule,7.43,85,,,fee schedule,85% of CMS fee schedule,8.74,100,,,fee schedule,100% of CMS fee schedule,8.74,100,,,fee schedule,100% of CMS fee schedule,7.43,106.69,
CREATININE CLEAR 24 HR,5061036,CDM,300,RC,82575,HCPCS,OUTPATIENT,,,74,59.2,,70.3,95,,56.24,percent of total billed charges,95% of total billed charges,70.09,94.72,,56.07,percent of total billed charges,94.72% of total billed charges,73.1,98.79,,58.48,percent of total billed charges,98.79% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,35.52,48,,28.42,percent of total billed charges,48% of total billed charges,9.46,100,,,fee schedule,100% of CMS fee schedule,8.04,85,,,fee schedule,85% of CMS fee schedule,9.46,100,,,fee schedule,100% of CMS fee schedule,9.46,100,,,fee schedule,100% of CMS fee schedule,8.04,73.1,
PSA DIAGNOSTIC,5061037,CDM,300,RC,84153,HCPCS,OUTPATIENT,,,169,135.2,,160.55,95,,128.44,percent of total billed charges,95% of total billed charges,160.08,94.72,,128.06,percent of total billed charges,94.72% of total billed charges,166.96,98.79,,133.57,percent of total billed charges,98.79% of total billed charges,165.62,98,,132.5,percent of total billed charges,98% of total billed charges,165.62,98,,132.5,percent of total billed charges,98% of total billed charges,81.12,48,,64.9,percent of total billed charges,48% of total billed charges,18.39,100,,,fee schedule,100% of CMS fee schedule,15.63,85,,,fee schedule,85% of CMS fee schedule,18.39,100,,,fee schedule,100% of CMS fee schedule,18.39,100,,,fee schedule,100% of CMS fee schedule,15.63,166.96,
TSH,5061038,CDM,300,RC,84443,HCPCS,OUTPATIENT,,,182,145.6,,172.9,95,,138.32,percent of total billed charges,95% of total billed charges,172.39,94.72,,137.91,percent of total billed charges,94.72% of total billed charges,179.8,98.79,,143.84,percent of total billed charges,98.79% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,87.36,48,,69.89,percent of total billed charges,48% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,14.28,85,,,fee schedule,85% of CMS fee schedule,16.8,100,,,fee schedule,100% of CMS fee schedule,16.8,100,,,fee schedule,100% of CMS fee schedule,14.28,179.8,
FREE T4,5061039,CDM,300,RC,84439,HCPCS,OUTPATIENT,,,126,100.8,,119.7,95,,95.76,percent of total billed charges,95% of total billed charges,119.35,94.72,,95.48,percent of total billed charges,94.72% of total billed charges,124.48,98.79,,99.58,percent of total billed charges,98.79% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,60.48,48,,48.38,percent of total billed charges,48% of total billed charges,9.02,100,,,fee schedule,100% of CMS fee schedule,7.67,85,,,fee schedule,85% of CMS fee schedule,9.02,100,,,fee schedule,100% of CMS fee schedule,9.02,100,,,fee schedule,100% of CMS fee schedule,7.67,124.48,
FERRITIN,5061040,CDM,300,RC,82728,HCPCS,OUTPATIENT,,,164,131.2,,155.8,95,,124.64,percent of total billed charges,95% of total billed charges,155.34,94.72,,124.27,percent of total billed charges,94.72% of total billed charges,162.02,98.79,,129.62,percent of total billed charges,98.79% of total billed charges,160.72,98,,128.58,percent of total billed charges,98% of total billed charges,160.72,98,,128.58,percent of total billed charges,98% of total billed charges,78.72,48,,62.98,percent of total billed charges,48% of total billed charges,13.63,100,,,fee schedule,100% of CMS fee schedule,11.59,85,,,fee schedule,85% of CMS fee schedule,13.63,100,,,fee schedule,100% of CMS fee schedule,13.63,100,,,fee schedule,100% of CMS fee schedule,11.59,162.02,
VITAMIN B12,5061041,CDM,300,RC,82607,HCPCS,OUTPATIENT,,,180,144,,171,95,,136.8,percent of total billed charges,95% of total billed charges,170.5,94.72,,136.4,percent of total billed charges,94.72% of total billed charges,177.82,98.79,,142.26,percent of total billed charges,98.79% of total billed charges,176.4,98,,141.12,percent of total billed charges,98% of total billed charges,176.4,98,,141.12,percent of total billed charges,98% of total billed charges,86.4,48,,69.12,percent of total billed charges,48% of total billed charges,15.08,100,,,fee schedule,100% of CMS fee schedule,12.82,85,,,fee schedule,85% of CMS fee schedule,15.08,100,,,fee schedule,100% of CMS fee schedule,15.08,100,,,fee schedule,100% of CMS fee schedule,12.82,177.82,
HEMOGLOBIN GLYCOSYLATED (A1C),5061055,CDM,300,RC,83036,HCPCS,OUTPATIENT,,,110,88,,104.5,95,,83.6,percent of total billed charges,95% of total billed charges,104.19,94.72,,83.35,percent of total billed charges,94.72% of total billed charges,108.67,98.79,,86.94,percent of total billed charges,98.79% of total billed charges,107.8,98,,86.24,percent of total billed charges,98% of total billed charges,107.8,98,,86.24,percent of total billed charges,98% of total billed charges,52.8,48,,42.24,percent of total billed charges,48% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,8.25,85,,,fee schedule,85% of CMS fee schedule,9.71,100,,,fee schedule,100% of CMS fee schedule,9.71,100,,,fee schedule,100% of CMS fee schedule,8.25,108.67,
WEST SED RATE,5061069,CDM,300,RC,85651,HCPCS,OUTPATIENT,,,59,47.2,,56.05,95,,44.84,percent of total billed charges,95% of total billed charges,55.88,94.72,,44.7,percent of total billed charges,94.72% of total billed charges,58.29,98.79,,46.63,percent of total billed charges,98.79% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,28.32,48,,22.66,percent of total billed charges,48% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,3.63,85,,,fee schedule,85% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,3.63,58.29,
SPERM COUNT,5061081,CDM,300,RC,89310,HCPCS,OUTPATIENT,,,82,65.6,,77.9,95,,62.32,percent of total billed charges,95% of total billed charges,77.67,94.72,,62.14,percent of total billed charges,94.72% of total billed charges,81.01,98.79,,64.81,percent of total billed charges,98.79% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,39.36,48,,31.49,percent of total billed charges,48% of total billed charges,8.61,100,,,fee schedule,100% of CMS fee schedule,7.32,85,,,fee schedule,85% of CMS fee schedule,8.61,100,,,fee schedule,100% of CMS fee schedule,8.61,100,,,fee schedule,100% of CMS fee schedule,7.32,81.01,
SPERM COUNT POST VAS,5061082,CDM,300,RC,89321,HCPCS,OUTPATIENT,,,62,49.6,,58.9,95,,47.12,percent of total billed charges,95% of total billed charges,58.73,94.72,,46.98,percent of total billed charges,94.72% of total billed charges,61.25,98.79,,49,percent of total billed charges,98.79% of total billed charges,60.76,98,,48.61,percent of total billed charges,98% of total billed charges,60.76,98,,48.61,percent of total billed charges,98% of total billed charges,29.76,48,,23.81,percent of total billed charges,48% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,85,,,fee schedule,85% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,61.25,
Occult Blood Stool POC,5061089,CDM,300,RC,82274,HCPCS,OUTPATIENT,,,212,169.6,,201.4,95,,161.12,percent of total billed charges,95% of total billed charges,200.81,94.72,,160.65,percent of total billed charges,94.72% of total billed charges,209.43,98.79,,167.54,percent of total billed charges,98.79% of total billed charges,207.76,98,,166.21,percent of total billed charges,98% of total billed charges,207.76,98,,166.21,percent of total billed charges,98% of total billed charges,101.76,48,,81.41,percent of total billed charges,48% of total billed charges,15.92,100,,,fee schedule,100% of CMS fee schedule,13.53,85,,,fee schedule,85% of CMS fee schedule,15.92,100,,,fee schedule,100% of CMS fee schedule,15.92,100,,,fee schedule,100% of CMS fee schedule,13.53,209.43,
OCCULT BLD DIAGNOSTIC (LAB),5061089,CDM,300,RC,82274,HCPCS,OUTPATIENT,,,218,174.4,,207.1,95,,165.68,percent of total billed charges,95% of total billed charges,206.49,94.72,,165.19,percent of total billed charges,94.72% of total billed charges,215.36,98.79,,172.29,percent of total billed charges,98.79% of total billed charges,213.64,98,,170.91,percent of total billed charges,98% of total billed charges,213.64,98,,170.91,percent of total billed charges,98% of total billed charges,104.64,48,,83.71,percent of total billed charges,48% of total billed charges,15.92,100,,,fee schedule,100% of CMS fee schedule,13.53,85,,,fee schedule,85% of CMS fee schedule,15.92,100,,,fee schedule,100% of CMS fee schedule,15.92,100,,,fee schedule,100% of CMS fee schedule,13.53,215.36,
ABO/Rh,5061092,CDM,300,RC,86900,HCPCS,OUTPATIENT,,,68,54.4,,64.6,95,,51.68,percent of total billed charges,95% of total billed charges,64.41,94.72,,51.53,percent of total billed charges,94.72% of total billed charges,67.18,98.79,,53.74,percent of total billed charges,98.79% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,32.64,48,,26.11,percent of total billed charges,48% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,2.54,85,,,fee schedule,85% of CMS fee schedule,2.99,100,,,fee schedule,100% of CMS fee schedule,2.99,100,,,fee schedule,100% of CMS fee schedule,2.54,67.18,
RH Blood Typing,5061093,CDM,300,RC,86901,HCPCS,OUTPATIENT,,,68,54.4,,64.6,95,,51.68,percent of total billed charges,95% of total billed charges,64.41,94.72,,51.53,percent of total billed charges,94.72% of total billed charges,67.18,98.79,,53.74,percent of total billed charges,98.79% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,32.64,48,,26.11,percent of total billed charges,48% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,2.54,85,,,fee schedule,85% of CMS fee schedule,2.99,100,,,fee schedule,100% of CMS fee schedule,2.99,100,,,fee schedule,100% of CMS fee schedule,2.54,67.18,
Antibody Screen Gel 2,5061094,CDM,300,RC,86850,HCPCS,OUTPATIENT,,,188,150.4,,178.6,95,,142.88,percent of total billed charges,95% of total billed charges,178.07,94.72,,142.46,percent of total billed charges,94.72% of total billed charges,185.73,98.79,,148.58,percent of total billed charges,98.79% of total billed charges,184.24,98,,147.39,percent of total billed charges,98% of total billed charges,184.24,98,,147.39,percent of total billed charges,98% of total billed charges,90.24,48,,72.19,percent of total billed charges,48% of total billed charges,9.77,100,,,fee schedule,100% of CMS fee schedule,8.3,85,,,fee schedule,85% of CMS fee schedule,9.77,100,,,fee schedule,100% of CMS fee schedule,9.77,100,,,fee schedule,100% of CMS fee schedule,8.3,185.73,
DAT IgG Gel,5061095,CDM,300,RC,86880,HCPCS,OUTPATIENT,,,53,42.4,,50.35,95,,40.28,percent of total billed charges,95% of total billed charges,50.2,94.72,,40.16,percent of total billed charges,94.72% of total billed charges,52.36,98.79,,41.89,percent of total billed charges,98.79% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,25.44,48,,20.35,percent of total billed charges,48% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,4.58,85,,,fee schedule,85% of CMS fee schedule,5.39,100,,,fee schedule,100% of CMS fee schedule,5.39,100,,,fee schedule,100% of CMS fee schedule,4.58,52.36,
C-REACTIVE PROTEIN,5061100,CDM,300,RC,86140,HCPCS,OUTPATIENT,,,86,68.8,,81.7,95,,65.36,percent of total billed charges,95% of total billed charges,81.46,94.72,,65.17,percent of total billed charges,94.72% of total billed charges,84.96,98.79,,67.97,percent of total billed charges,98.79% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,41.28,48,,33.02,percent of total billed charges,48% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,4.4,85,,,fee schedule,85% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,4.4,84.96,
HEP B SURFACE AG,5061102,CDM,300,RC,87340,HCPCS,OUTPATIENT,,,23,18.4,,21.85,95,,17.48,percent of total billed charges,95% of total billed charges,21.79,94.72,,17.43,percent of total billed charges,94.72% of total billed charges,22.72,98.79,,18.18,percent of total billed charges,98.79% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,11.04,48,,8.83,percent of total billed charges,48% of total billed charges,10.33,100,,,fee schedule,100% of CMS fee schedule,8.78,85,,,fee schedule,85% of CMS fee schedule,10.33,100,,,fee schedule,100% of CMS fee schedule,10.33,100,,,fee schedule,100% of CMS fee schedule,8.78,22.72,
HEP B SURFACE AB,5061103,CDM,300,RC,86706,HCPCS,OUTPATIENT,,,18,14.4,,17.1,95,,13.68,percent of total billed charges,95% of total billed charges,17.05,94.72,,13.64,percent of total billed charges,94.72% of total billed charges,17.78,98.79,,14.22,percent of total billed charges,98.79% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,8.64,48,,6.91,percent of total billed charges,48% of total billed charges,10.74,100,,,fee schedule,100% of CMS fee schedule,9.13,85,,,fee schedule,85% of CMS fee schedule,10.74,100,,,fee schedule,100% of CMS fee schedule,10.74,100,,,fee schedule,100% of CMS fee schedule,8.64,17.78,
HEP B CORE AB,5061104,CDM,300,RC,86704,HCPCS,OUTPATIENT,,,23,18.4,,21.85,95,,17.48,percent of total billed charges,95% of total billed charges,21.79,94.72,,17.43,percent of total billed charges,94.72% of total billed charges,22.72,98.79,,18.18,percent of total billed charges,98.79% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,11.04,48,,8.83,percent of total billed charges,48% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,85,,,fee schedule,85% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,22.72,
Hepatitis B core antibody (HBcAb); IgM antibody,5061195,CDM,300,RC,86705,HCPCS,OUTPATIENT,,,14,11.2,,13.3,95,,10.64,percent of total billed charges,95% of total billed charges,13.26,94.72,,10.61,percent of total billed charges,94.72% of total billed charges,13.83,98.79,,11.06,percent of total billed charges,98.79% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,6.72,48,,5.38,percent of total billed charges,48% of total billed charges,11.77,100,,,fee schedule,100% of CMS fee schedule,10,85,,,fee schedule,85% of CMS fee schedule,11.77,100,,,fee schedule,100% of CMS fee schedule,11.77,100,,,fee schedule,100% of CMS fee schedule,6.72,13.83,
LIPASE,5061217,CDM,300,RC,83690,HCPCS,OUTPATIENT,,,132,105.6,,125.4,95,,100.32,percent of total billed charges,95% of total billed charges,125.03,94.72,,100.02,percent of total billed charges,94.72% of total billed charges,130.4,98.79,,104.32,percent of total billed charges,98.79% of total billed charges,129.36,98,,103.49,percent of total billed charges,98% of total billed charges,129.36,98,,103.49,percent of total billed charges,98% of total billed charges,63.36,48,,50.69,percent of total billed charges,48% of total billed charges,6.89,100,,,fee schedule,100% of CMS fee schedule,5.86,85,,,fee schedule,85% of CMS fee schedule,6.89,100,,,fee schedule,100% of CMS fee schedule,6.89,100,,,fee schedule,100% of CMS fee schedule,5.86,130.4,
ABID Panel,5061284,CDM,300,RC,86870,HCPCS,OUTPATIENT,,,53,42.4,,50.35,95,,40.28,percent of total billed charges,95% of total billed charges,50.2,94.72,,40.16,percent of total billed charges,94.72% of total billed charges,52.36,98.79,,41.89,percent of total billed charges,98.79% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,25.44,48,,20.35,percent of total billed charges,48% of total billed charges,23.85,45,,19.08,percent of total billed charges,45% of total billed charges,20.27,38.25,,16.22,percent of total billed charges,38.25% of total billed charges,23.85,45,,19.08,percent of total billed charges,45% of total billed charges,23.85,45,,19.08,percent of total billed charges,45% of total billed charges,20.27,52.36,
AMYLASE URINE,5061298,CDM,300,RC,82150,HCPCS,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,6.48,100,,,fee schedule,100% of CMS fee schedule,5.51,85,,,fee schedule,85% of CMS fee schedule,6.48,100,,,fee schedule,100% of CMS fee schedule,6.48,100,,,fee schedule,100% of CMS fee schedule,5.51,42.48,
LDH FLUID,5061299,CDM,300,RC,83615,HCPCS,OUTPATIENT,,,50,40,,47.5,95,,38,percent of total billed charges,95% of total billed charges,47.36,94.72,,37.89,percent of total billed charges,94.72% of total billed charges,49.4,98.79,,39.52,percent of total billed charges,98.79% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,24,48,,19.2,percent of total billed charges,48% of total billed charges,6.04,100,,,fee schedule,100% of CMS fee schedule,5.13,85,,,fee schedule,85% of CMS fee schedule,6.04,100,,,fee schedule,100% of CMS fee schedule,6.04,100,,,fee schedule,100% of CMS fee schedule,5.13,49.4,
COLD AGGLUTININ,5061310,CDM,300,RC,86157,HCPCS,OUTPATIENT,,,66,52.8,,62.7,95,,50.16,percent of total billed charges,95% of total billed charges,62.52,94.72,,50.02,percent of total billed charges,94.72% of total billed charges,65.2,98.79,,52.16,percent of total billed charges,98.79% of total billed charges,64.68,98,,51.74,percent of total billed charges,98% of total billed charges,64.68,98,,51.74,percent of total billed charges,98% of total billed charges,31.68,48,,25.34,percent of total billed charges,48% of total billed charges,8.06,100,,,fee schedule,100% of CMS fee schedule,6.85,85,,,fee schedule,85% of CMS fee schedule,8.06,100,,,fee schedule,100% of CMS fee schedule,8.06,100,,,fee schedule,100% of CMS fee schedule,6.85,65.2,
Computer XM OK,5061334,CDM,300,RC,86922,HCPCS,OUTPATIENT,,,363,290.4,,344.85,95,,275.88,percent of total billed charges,95% of total billed charges,343.83,94.72,,275.06,percent of total billed charges,94.72% of total billed charges,358.61,98.79,,286.89,percent of total billed charges,98.79% of total billed charges,355.74,98,,284.59,percent of total billed charges,98% of total billed charges,355.74,98,,284.59,percent of total billed charges,98% of total billed charges,174.24,48,,139.39,percent of total billed charges,48% of total billed charges,163.35,45,,130.68,percent of total billed charges,45% of total billed charges,138.85,38.25,,111.08,percent of total billed charges,38.25% of total billed charges,163.35,45,,130.68,percent of total billed charges,45% of total billed charges,163.35,45,,130.68,percent of total billed charges,45% of total billed charges,138.85,358.61,
82787-IMMUNOGLOBULIN IgG SUBSETS 1-4 MOL,5061335,CDM,300,RC,82787,HCPCS,OUTPATIENT,,,5,4,,4.75,95,,3.8,percent of total billed charges,95% of total billed charges,4.74,94.72,,3.79,percent of total billed charges,94.72% of total billed charges,4.94,98.79,,3.95,percent of total billed charges,98.79% of total billed charges,4.9,98,,3.92,percent of total billed charges,98% of total billed charges,4.9,98,,3.92,percent of total billed charges,98% of total billed charges,2.4,48,,1.92,percent of total billed charges,48% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,6.82,85,,,fee schedule,85% of CMS fee schedule,8.02,100,,,fee schedule,100% of CMS fee schedule,8.02,100,,,fee schedule,100% of CMS fee schedule,2.4,8.02,
IMMUNOGLOBULIN IgG SUBSETS 1-4 MOL,5061335,CDM,300,RC,82787,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,6.82,85,,,fee schedule,85% of CMS fee schedule,8.02,100,,,fee schedule,100% of CMS fee schedule,8.02,100,,,fee schedule,100% of CMS fee schedule,6.82,15.81,
CRYSTAL ANALYSIS FLUID,5061359,CDM,300,RC,89060,HCPCS,OUTPATIENT,,,147,117.6,,139.65,95,,111.72,percent of total billed charges,95% of total billed charges,139.24,94.72,,111.39,percent of total billed charges,94.72% of total billed charges,145.22,98.79,,116.18,percent of total billed charges,98.79% of total billed charges,144.06,98,,115.25,percent of total billed charges,98% of total billed charges,144.06,98,,115.25,percent of total billed charges,98% of total billed charges,70.56,48,,56.45,percent of total billed charges,48% of total billed charges,7.33,100,,,fee schedule,100% of CMS fee schedule,6.23,85,,,fee schedule,85% of CMS fee schedule,7.33,100,,,fee schedule,100% of CMS fee schedule,7.33,100,,,fee schedule,100% of CMS fee schedule,6.23,145.22,
Crystals| Body Fluid,5061359,CDM,300,RC,89060,HCPCS,OUTPATIENT,,,147,117.6,,139.65,95,,111.72,percent of total billed charges,95% of total billed charges,139.24,94.72,,111.39,percent of total billed charges,94.72% of total billed charges,145.22,98.79,,116.18,percent of total billed charges,98.79% of total billed charges,144.06,98,,115.25,percent of total billed charges,98% of total billed charges,144.06,98,,115.25,percent of total billed charges,98% of total billed charges,70.56,48,,56.45,percent of total billed charges,48% of total billed charges,7.33,100,,,fee schedule,100% of CMS fee schedule,6.23,85,,,fee schedule,85% of CMS fee schedule,7.33,100,,,fee schedule,100% of CMS fee schedule,7.33,100,,,fee schedule,100% of CMS fee schedule,6.23,145.22,
PATERNITY TESTING COLLECTION FEE,5061368,CDM,300,RC,36415,HCPCS,OUTPATIENT,,,57,45.6,,54.15,95,,43.32,percent of total billed charges,95% of total billed charges,53.99,94.72,,43.19,percent of total billed charges,94.72% of total billed charges,56.31,98.79,,45.05,percent of total billed charges,98.79% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,27.36,48,,21.89,percent of total billed charges,48% of total billed charges,8.83,100,,,fee schedule,100% of CMS fee schedule,7.51,85,,,fee schedule,85% of CMS fee schedule,8.83,100,,,fee schedule,100% of CMS fee schedule,8.83,100,,,fee schedule,100% of CMS fee schedule,7.51,56.31,
PINWORM PREP,5061422,CDM,300,RC,87172,HCPCS,OUTPATIENT,,,97,77.6,,92.15,95,,73.72,percent of total billed charges,95% of total billed charges,91.88,94.72,,73.5,percent of total billed charges,94.72% of total billed charges,95.83,98.79,,76.66,percent of total billed charges,98.79% of total billed charges,95.06,98,,76.05,percent of total billed charges,98% of total billed charges,95.06,98,,76.05,percent of total billed charges,98% of total billed charges,46.56,48,,37.25,percent of total billed charges,48% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,3.63,85,,,fee schedule,85% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,3.63,95.83,
STRIATIONAL ANTIBODY,5061428,CDM,300,RC,86255,HCPCS,OUTPATIENT,,,17,13.6,,16.15,95,,12.92,percent of total billed charges,95% of total billed charges,16.1,94.72,,12.88,percent of total billed charges,94.72% of total billed charges,16.79,98.79,,13.43,percent of total billed charges,98.79% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,8.16,48,,6.53,percent of total billed charges,48% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,85,,,fee schedule,85% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,8.16,16.79,
GLUCOMETER GLUCOSE,5061434,CDM,300,RC,82962,HCPCS,OUTPATIENT,,,32,25.6,,30.4,95,,24.32,percent of total billed charges,95% of total billed charges,30.31,94.72,,24.25,percent of total billed charges,94.72% of total billed charges,31.61,98.79,,25.29,percent of total billed charges,98.79% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,15.36,48,,12.29,percent of total billed charges,48% of total billed charges,3.28,100,,,fee schedule,100% of CMS fee schedule,2.79,85,,,fee schedule,85% of CMS fee schedule,3.28,100,,,fee schedule,100% of CMS fee schedule,3.28,100,,,fee schedule,100% of CMS fee schedule,2.79,31.61,
EBV Antibodies to Capsid Antigen IGM,5061460,CDM,300,RC,86665,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,18.14,100,,,fee schedule,100% of CMS fee schedule,15.42,85,,,fee schedule,85% of CMS fee schedule,18.14,100,,,fee schedule,100% of CMS fee schedule,18.14,100,,,fee schedule,100% of CMS fee schedule,11.52,23.71,
LACTIC ACID,5061477,CDM,300,RC,83605,HCPCS,OUTPATIENT,,,188,150.4,,178.6,95,,142.88,percent of total billed charges,95% of total billed charges,178.07,94.72,,142.46,percent of total billed charges,94.72% of total billed charges,185.73,98.79,,148.58,percent of total billed charges,98.79% of total billed charges,184.24,98,,147.39,percent of total billed charges,98% of total billed charges,184.24,98,,147.39,percent of total billed charges,98% of total billed charges,90.24,48,,72.19,percent of total billed charges,48% of total billed charges,11.57,100,,,fee schedule,100% of CMS fee schedule,9.83,85,,,fee schedule,85% of CMS fee schedule,11.57,100,,,fee schedule,100% of CMS fee schedule,11.57,100,,,fee schedule,100% of CMS fee schedule,9.83,185.73,
FACTOR V LEIDEN SCREEN (APC RESISTANCE),5061479,CDM,300,RC,85307,HCPCS,OUTPATIENT,,,35,28,,33.25,95,,26.6,percent of total billed charges,95% of total billed charges,33.15,94.72,,26.52,percent of total billed charges,94.72% of total billed charges,34.58,98.79,,27.66,percent of total billed charges,98.79% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,16.8,48,,13.44,percent of total billed charges,48% of total billed charges,15.32,100,,,fee schedule,100% of CMS fee schedule,13.02,85,,,fee schedule,85% of CMS fee schedule,15.32,100,,,fee schedule,100% of CMS fee schedule,15.32,100,,,fee schedule,100% of CMS fee schedule,13.02,34.58,
NTX TELEOPEPTIDE (URINE),5061520,CDM,300,RC,82523,HCPCS,OUTPATIENT,,,58,46.4,,55.1,95,,44.08,percent of total billed charges,95% of total billed charges,54.94,94.72,,43.95,percent of total billed charges,94.72% of total billed charges,57.3,98.79,,45.84,percent of total billed charges,98.79% of total billed charges,56.84,98,,45.47,percent of total billed charges,98% of total billed charges,56.84,98,,45.47,percent of total billed charges,98% of total billed charges,27.84,48,,22.27,percent of total billed charges,48% of total billed charges,18.68,100,,,fee schedule,100% of CMS fee schedule,15.88,85,,,fee schedule,85% of CMS fee schedule,18.68,100,,,fee schedule,100% of CMS fee schedule,18.68,100,,,fee schedule,100% of CMS fee schedule,15.88,57.3,
6-THIOQUANINE 6-METHLYMERCAPTOPURINE,5061542,CDM,300,RC,82542,HCPCS,OUTPATIENT,,,173,138.4,,164.35,95,,131.48,percent of total billed charges,95% of total billed charges,163.87,94.72,,131.1,percent of total billed charges,94.72% of total billed charges,170.91,98.79,,136.73,percent of total billed charges,98.79% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,83.04,48,,66.43,percent of total billed charges,48% of total billed charges,24.09,100,,,fee schedule,100% of CMS fee schedule,20.48,85,,,fee schedule,85% of CMS fee schedule,24.09,100,,,fee schedule,100% of CMS fee schedule,24.09,100,,,fee schedule,100% of CMS fee schedule,20.48,170.91,
Hepatitis C Genotype DNA,5061550,CDM,300,RC,87902,HCPCS,OUTPATIENT,,,757,605.6,,719.15,95,,575.32,percent of total billed charges,95% of total billed charges,717.03,94.72,,573.62,percent of total billed charges,94.72% of total billed charges,747.84,98.79,,598.27,percent of total billed charges,98.79% of total billed charges,741.86,98,,593.49,percent of total billed charges,98% of total billed charges,741.86,98,,593.49,percent of total billed charges,98% of total billed charges,363.36,48,,290.69,percent of total billed charges,48% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,218.83,85,,,fee schedule,85% of CMS fee schedule,257.45,100,,,fee schedule,100% of CMS fee schedule,257.45,100,,,fee schedule,100% of CMS fee schedule,218.83,747.84,
FACTOR II PROTHROMBIN MUTATION G20210A,5061572,CDM,300,RC,81240,HCPCS,OUTPATIENT,,,229,183.2,,217.55,95,,174.04,percent of total billed charges,95% of total billed charges,216.91,94.72,,173.53,percent of total billed charges,94.72% of total billed charges,226.23,98.79,,180.98,percent of total billed charges,98.79% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,109.92,48,,87.94,percent of total billed charges,48% of total billed charges,65.69,100,,,fee schedule,100% of CMS fee schedule,55.84,85,,,fee schedule,85% of CMS fee schedule,65.69,100,,,fee schedule,100% of CMS fee schedule,65.69,100,,,fee schedule,100% of CMS fee schedule,55.84,226.23,
81240 FACTOR II PROTHROMBIN MUTATION G20210A,5061572,CDM,300,RC,81240,HCPCS,OUTPATIENT,,,240,192,,228,95,,182.4,percent of total billed charges,95% of total billed charges,227.33,94.72,,181.86,percent of total billed charges,94.72% of total billed charges,237.1,98.79,,189.68,percent of total billed charges,98.79% of total billed charges,235.2,98,,188.16,percent of total billed charges,98% of total billed charges,235.2,98,,188.16,percent of total billed charges,98% of total billed charges,115.2,48,,92.16,percent of total billed charges,48% of total billed charges,65.69,100,,,fee schedule,100% of CMS fee schedule,55.84,85,,,fee schedule,85% of CMS fee schedule,65.69,100,,,fee schedule,100% of CMS fee schedule,65.69,100,,,fee schedule,100% of CMS fee schedule,55.84,237.1,
ALLERGEN SPECIFIC IgE,5061574,CDM,300,RC,86003,HCPCS,OUTPATIENT,,,14,11.2,,13.3,95,,10.64,percent of total billed charges,95% of total billed charges,13.26,94.72,,10.61,percent of total billed charges,94.72% of total billed charges,13.83,98.79,,11.06,percent of total billed charges,98.79% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,6.72,48,,5.38,percent of total billed charges,48% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,85,,,fee schedule,85% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,13.83,
FACTOR VIII ASSAY,5061585,CDM,300,RC,85240,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,17.9,100,,,fee schedule,100% of CMS fee schedule,15.22,85,,,fee schedule,85% of CMS fee schedule,17.9,100,,,fee schedule,100% of CMS fee schedule,17.9,100,,,fee schedule,100% of CMS fee schedule,11.52,23.71,
Reticulin IgA Antibodies UPHS,5061590,CDM,300,RC,86255,HCPCS,OUTPATIENT,,,29,23.2,90,27.55,95,,22.04,percent of total billed charges,95% of total billed charges,27.47,94.72,,21.98,percent of total billed charges,94.72% of total billed charges,28.65,98.79,,22.92,percent of total billed charges,98.79% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,13.92,48,,11.14,percent of total billed charges,48% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,85,,,fee schedule,85% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,28.65,
MAGNESIUM URINE RANDOM,5061606,CDM,300,RC,83735,HCPCS,OUTPATIENT,,,48,38.4,,45.6,95,,36.48,percent of total billed charges,95% of total billed charges,45.47,94.72,,36.38,percent of total billed charges,94.72% of total billed charges,47.42,98.79,,37.94,percent of total billed charges,98.79% of total billed charges,47.04,98,,37.63,percent of total billed charges,98% of total billed charges,47.04,98,,37.63,percent of total billed charges,98% of total billed charges,23.04,48,,18.43,percent of total billed charges,48% of total billed charges,6.7,100,,,fee schedule,100% of CMS fee schedule,5.7,85,,,fee schedule,85% of CMS fee schedule,6.7,100,,,fee schedule,100% of CMS fee schedule,6.7,100,,,fee schedule,100% of CMS fee schedule,5.7,47.42,
OCCULT BLD DIAGNOSTIC (NURSING),5061620,CDM,300,RC,82274,HCPCS,OUTPATIENT,,,212,169.6,,201.4,95,,161.12,percent of total billed charges,95% of total billed charges,200.81,94.72,,160.65,percent of total billed charges,94.72% of total billed charges,209.43,98.79,,167.54,percent of total billed charges,98.79% of total billed charges,207.76,98,,166.21,percent of total billed charges,98% of total billed charges,207.76,98,,166.21,percent of total billed charges,98% of total billed charges,101.76,48,,81.41,percent of total billed charges,48% of total billed charges,15.92,100,,,fee schedule,100% of CMS fee schedule,13.53,85,,,fee schedule,85% of CMS fee schedule,15.92,100,,,fee schedule,100% of CMS fee schedule,15.92,100,,,fee schedule,100% of CMS fee schedule,13.53,209.43,
QUANTIFERON TB GOLD,5061696,CDM,300,RC,86480,HCPCS,OUTPATIENT,,,69,55.2,,65.55,95,,52.44,percent of total billed charges,95% of total billed charges,65.36,94.72,,52.29,percent of total billed charges,94.72% of total billed charges,68.17,98.79,,54.54,percent of total billed charges,98.79% of total billed charges,67.62,98,,54.1,percent of total billed charges,98% of total billed charges,67.62,98,,54.1,percent of total billed charges,98% of total billed charges,33.12,48,,26.5,percent of total billed charges,48% of total billed charges,61.98,100,,,fee schedule,100% of CMS fee schedule,52.68,85,,,fee schedule,85% of CMS fee schedule,61.98,100,,,fee schedule,100% of CMS fee schedule,61.98,100,,,fee schedule,100% of CMS fee schedule,33.12,68.17,
AMYLASE FLUID,5061722,CDM,300,RC,82150,HCPCS,OUTPATIENT,,,53,42.4,,50.35,95,,40.28,percent of total billed charges,95% of total billed charges,50.2,94.72,,40.16,percent of total billed charges,94.72% of total billed charges,52.36,98.79,,41.89,percent of total billed charges,98.79% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,25.44,48,,20.35,percent of total billed charges,48% of total billed charges,6.48,100,,,fee schedule,100% of CMS fee schedule,5.51,85,,,fee schedule,85% of CMS fee schedule,6.48,100,,,fee schedule,100% of CMS fee schedule,6.48,100,,,fee schedule,100% of CMS fee schedule,5.51,52.36,
MAGNESIUM URINE 24 HOUR,5061747,CDM,300,RC,83735,HCPCS,OUTPATIENT,,,50,40,,47.5,95,,38,percent of total billed charges,95% of total billed charges,47.36,94.72,,37.89,percent of total billed charges,94.72% of total billed charges,49.4,98.79,,39.52,percent of total billed charges,98.79% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,24,48,,19.2,percent of total billed charges,48% of total billed charges,6.7,100,,,fee schedule,100% of CMS fee schedule,5.7,85,,,fee schedule,85% of CMS fee schedule,6.7,100,,,fee schedule,100% of CMS fee schedule,6.7,100,,,fee schedule,100% of CMS fee schedule,5.7,49.4,
BLASTOMYCES QUANT AG (FLUID),5061753,CDM,300,RC,87449,HCPCS,OUTPATIENT,,,183,146.4,,173.85,95,,139.08,percent of total billed charges,95% of total billed charges,173.34,94.72,,138.67,percent of total billed charges,94.72% of total billed charges,180.79,98.79,,144.63,percent of total billed charges,98.79% of total billed charges,179.34,98,,143.47,percent of total billed charges,98% of total billed charges,179.34,98,,143.47,percent of total billed charges,98% of total billed charges,87.84,48,,70.27,percent of total billed charges,48% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,10.18,85,,,fee schedule,85% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,10.18,180.79,
IMMUNOASSAY ANALYTE OTHER THAN INFECT,5061765,CDM,300,RC,83516,HCPCS,OUTPATIENT,,,82,65.6,,77.9,95,,62.32,percent of total billed charges,95% of total billed charges,77.67,94.72,,62.14,percent of total billed charges,94.72% of total billed charges,81.01,98.79,,64.81,percent of total billed charges,98.79% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,39.36,48,,31.49,percent of total billed charges,48% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,85,,,fee schedule,85% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,81.01,
MYELIN BASIC PROTEIN CSF,5061787,CDM,300,RC,83873,HCPCS,OUTPATIENT,,,133,106.4,,126.35,95,,101.08,percent of total billed charges,95% of total billed charges,125.98,94.72,,100.78,percent of total billed charges,94.72% of total billed charges,131.39,98.79,,105.11,percent of total billed charges,98.79% of total billed charges,130.34,98,,104.27,percent of total billed charges,98% of total billed charges,130.34,98,,104.27,percent of total billed charges,98% of total billed charges,63.84,48,,51.07,percent of total billed charges,48% of total billed charges,17.2,100,,,fee schedule,100% of CMS fee schedule,14.62,85,,,fee schedule,85% of CMS fee schedule,17.2,100,,,fee schedule,100% of CMS fee schedule,17.2,100,,,fee schedule,100% of CMS fee schedule,14.62,131.39,
NEUROMYELITIS OPTICA  Ab,5061803,CDM,300,RC,83516,HCPCS,OUTPATIENT,,,76,60.8,,72.2,95,,57.76,percent of total billed charges,95% of total billed charges,71.99,94.72,,57.59,percent of total billed charges,94.72% of total billed charges,75.08,98.79,,60.06,percent of total billed charges,98.79% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,36.48,48,,29.18,percent of total billed charges,48% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,85,,,fee schedule,85% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,75.08,
NEUROMYELITIS OPTICA  Ab,5061803,CDM,300,RC,83516,HCPCS,OUTPATIENT,,,76,60.8,,72.2,95,,57.76,percent of total billed charges,95% of total billed charges,71.99,94.72,,57.59,percent of total billed charges,94.72% of total billed charges,75.08,98.79,,60.06,percent of total billed charges,98.79% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,36.48,48,,29.18,percent of total billed charges,48% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,85,,,fee schedule,85% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,75.08,
HOMOGENIZATION TISSUE CULT,5061816,CDM,300,RC,87176,HCPCS,OUTPATIENT,,,76,60.8,,72.2,95,,57.76,percent of total billed charges,95% of total billed charges,71.99,94.72,,57.59,percent of total billed charges,94.72% of total billed charges,75.08,98.79,,60.06,percent of total billed charges,98.79% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,36.48,48,,29.18,percent of total billed charges,48% of total billed charges,5.88,100,,,fee schedule,100% of CMS fee schedule,5,85,,,fee schedule,85% of CMS fee schedule,5.88,100,,,fee schedule,100% of CMS fee schedule,5.88,100,,,fee schedule,100% of CMS fee schedule,5,75.08,
CULTURE MYCOBACTERIAL DEFINITIVE ID EA I,5061817,CDM,300,RC,87118,HCPCS,OUTPATIENT,,,156,124.8,,148.2,95,,118.56,percent of total billed charges,95% of total billed charges,147.76,94.72,,118.21,percent of total billed charges,94.72% of total billed charges,154.11,98.79,,123.29,percent of total billed charges,98.79% of total billed charges,152.88,98,,122.3,percent of total billed charges,98% of total billed charges,152.88,98,,122.3,percent of total billed charges,98% of total billed charges,74.88,48,,59.9,percent of total billed charges,48% of total billed charges,14.61,100,,,fee schedule,100% of CMS fee schedule,12.42,85,,,fee schedule,85% of CMS fee schedule,14.61,100,,,fee schedule,100% of CMS fee schedule,14.61,100,,,fee schedule,100% of CMS fee schedule,12.42,154.11,
MYCOBACTERIA PROBE IDENT SOLID TBMPI,5061823,CDM,300,RC,87150,HCPCS,OUTPATIENT,,,125,100,,118.75,95,,95,percent of total billed charges,95% of total billed charges,118.4,94.72,,94.72,percent of total billed charges,94.72% of total billed charges,123.49,98.79,,98.79,percent of total billed charges,98.79% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,60,48,,48,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,123.49,
FORENSIC TOXICOLOGY,5061828,CDM,300,RC,,,OUTPATIENT,,,339,271.2,,322.05,95,,257.64,percent of total billed charges,95% of total billed charges,321.1,94.72,,256.88,percent of total billed charges,94.72% of total billed charges,334.9,98.79,,267.92,percent of total billed charges,98.79% of total billed charges,332.22,98,,265.78,percent of total billed charges,98% of total billed charges,332.22,98,,265.78,percent of total billed charges,98% of total billed charges,162.72,48,,130.18,percent of total billed charges,48% of total billed charges,152.55,45,,122.04,percent of total billed charges,45% of total billed charges,129.67,38.25,,103.74,percent of total billed charges,38.25% of total billed charges,152.55,45,,122.04,percent of total billed charges,45% of total billed charges,152.55,45,,122.04,percent of total billed charges,45% of total billed charges,129.67,334.9,
HSV TYPE 2 IGM A SERUM,5061833,CDM,300,RC,86696,HCPCS,OUTPATIENT,,,117,93.6,,111.15,95,,88.92,percent of total billed charges,95% of total billed charges,110.82,94.72,,88.66,percent of total billed charges,94.72% of total billed charges,115.58,98.79,,92.46,percent of total billed charges,98.79% of total billed charges,114.66,98,,91.73,percent of total billed charges,98% of total billed charges,114.66,98,,91.73,percent of total billed charges,98% of total billed charges,56.16,48,,44.93,percent of total billed charges,48% of total billed charges,19.35,100,,,fee schedule,100% of CMS fee schedule,16.45,85,,,fee schedule,85% of CMS fee schedule,19.35,100,,,fee schedule,100% of CMS fee schedule,19.35,100,,,fee schedule,100% of CMS fee schedule,16.45,115.58,
SERUM IODINE,5061840,CDM,300,RC,83018,HCPCS,OUTPATIENT,,,156,124.8,,148.2,95,,118.56,percent of total billed charges,95% of total billed charges,147.76,94.72,,118.21,percent of total billed charges,94.72% of total billed charges,154.11,98.79,,123.29,percent of total billed charges,98.79% of total billed charges,152.88,98,,122.3,percent of total billed charges,98% of total billed charges,152.88,98,,122.3,percent of total billed charges,98% of total billed charges,74.88,48,,59.9,percent of total billed charges,48% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,18.67,85,,,fee schedule,85% of CMS fee schedule,21.96,100,,,fee schedule,100% of CMS fee schedule,21.96,100,,,fee schedule,100% of CMS fee schedule,18.67,154.11,
CORTISOL,5061841,CDM,300,RC,82533,HCPCS,OUTPATIENT,,,150,120,,142.5,95,,114,percent of total billed charges,95% of total billed charges,142.08,94.72,,113.66,percent of total billed charges,94.72% of total billed charges,148.19,98.79,,118.55,percent of total billed charges,98.79% of total billed charges,147,98,,117.6,percent of total billed charges,98% of total billed charges,147,98,,117.6,percent of total billed charges,98% of total billed charges,72,48,,57.6,percent of total billed charges,48% of total billed charges,16.3,100,,,fee schedule,100% of CMS fee schedule,13.86,85,,,fee schedule,85% of CMS fee schedule,16.3,100,,,fee schedule,100% of CMS fee schedule,16.3,100,,,fee schedule,100% of CMS fee schedule,13.86,148.19,
RBC MAGNESIUM,5061849,CDM,300,RC,83735,HCPCS,OUTPATIENT,,,17,13.6,,16.15,95,,12.92,percent of total billed charges,95% of total billed charges,16.1,94.72,,12.88,percent of total billed charges,94.72% of total billed charges,16.79,98.79,,13.43,percent of total billed charges,98.79% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,8.16,48,,6.53,percent of total billed charges,48% of total billed charges,6.7,100,,,fee schedule,100% of CMS fee schedule,5.7,85,,,fee schedule,85% of CMS fee schedule,6.7,100,,,fee schedule,100% of CMS fee schedule,6.7,100,,,fee schedule,100% of CMS fee schedule,5.7,16.79,
BORDETELLA PERTUSSIS DNA AMPLIFIACTION,5061850,CDM,300,RC,87798,HCPCS,OUTPATIENT,,,58,46.4,,55.1,95,,44.08,percent of total billed charges,95% of total billed charges,54.94,94.72,,43.95,percent of total billed charges,94.72% of total billed charges,57.3,98.79,,45.84,percent of total billed charges,98.79% of total billed charges,56.84,98,,45.47,percent of total billed charges,98% of total billed charges,56.84,98,,45.47,percent of total billed charges,98% of total billed charges,27.84,48,,22.27,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,27.84,57.3,
PROCALCITONIN,5061857,CDM,300,RC,84145,HCPCS,OUTPATIENT,,,309,247.2,,293.55,95,,234.84,percent of total billed charges,95% of total billed charges,292.68,94.72,,234.14,percent of total billed charges,94.72% of total billed charges,305.26,98.79,,244.21,percent of total billed charges,98.79% of total billed charges,302.82,98,,242.26,percent of total billed charges,98% of total billed charges,302.82,98,,242.26,percent of total billed charges,98% of total billed charges,148.32,48,,118.66,percent of total billed charges,48% of total billed charges,27.22,100,,,fee schedule,100% of CMS fee schedule,23.14,85,,,fee schedule,85% of CMS fee schedule,27.22,100,,,fee schedule,100% of CMS fee schedule,27.22,100,,,fee schedule,100% of CMS fee schedule,23.14,305.26,
TRYPTASE,5061864,CDM,300,RC,83520,HCPCS,OUTPATIENT,,,45,36,,42.75,95,,34.2,percent of total billed charges,95% of total billed charges,42.62,94.72,,34.1,percent of total billed charges,94.72% of total billed charges,44.46,98.79,,35.57,percent of total billed charges,98.79% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,21.6,48,,17.28,percent of total billed charges,48% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,85,,,fee schedule,85% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,44.46,
ACYLCARNITINE PLASMA,5061866,CDM,300,RC,82017,HCPCS,OUTPATIENT,,,218,174.4,,207.1,95,,165.68,percent of total billed charges,95% of total billed charges,206.49,94.72,,165.19,percent of total billed charges,94.72% of total billed charges,215.36,98.79,,172.29,percent of total billed charges,98.79% of total billed charges,213.64,98,,170.91,percent of total billed charges,98% of total billed charges,213.64,98,,170.91,percent of total billed charges,98% of total billed charges,104.64,48,,83.71,percent of total billed charges,48% of total billed charges,16.87,100,,,fee schedule,100% of CMS fee schedule,14.34,85,,,fee schedule,85% of CMS fee schedule,16.87,100,,,fee schedule,100% of CMS fee schedule,16.87,100,,,fee schedule,100% of CMS fee schedule,14.34,215.36,
MYCOPLASMA IGM,5061869,CDM,300,RC,86738,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,13.24,100,,,fee schedule,100% of CMS fee schedule,11.25,85,,,fee schedule,85% of CMS fee schedule,13.24,100,,,fee schedule,100% of CMS fee schedule,13.24,100,,,fee schedule,100% of CMS fee schedule,11.25,23.71,
STRATIFY JCV AB,5061870,CDM,300,RC,86711,HCPCS,OUTPATIENT,,,229,183.2,,217.55,95,,174.04,percent of total billed charges,95% of total billed charges,216.91,94.72,,173.53,percent of total billed charges,94.72% of total billed charges,226.23,98.79,,180.98,percent of total billed charges,98.79% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,109.92,48,,87.94,percent of total billed charges,48% of total billed charges,16.89,100,,,fee schedule,100% of CMS fee schedule,14.36,85,,,fee schedule,85% of CMS fee schedule,16.89,100,,,fee schedule,100% of CMS fee schedule,16.89,100,,,fee schedule,100% of CMS fee schedule,14.36,226.23,
PANCREATIC ELASTASE-1,5061875,CDM,300,RC,82656,HCPCS,OUTPATIENT,,,293,234.4,,278.35,95,,222.68,percent of total billed charges,95% of total billed charges,277.53,94.72,,222.02,percent of total billed charges,94.72% of total billed charges,289.45,98.79,,231.56,percent of total billed charges,98.79% of total billed charges,287.14,98,,229.71,percent of total billed charges,98% of total billed charges,287.14,98,,229.71,percent of total billed charges,98% of total billed charges,140.64,48,,112.51,percent of total billed charges,48% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,85,,,fee schedule,85% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,289.45,
ALPHA 1 ANTITRYPSIN GENOTYPE,5061878,CDM,300,RC,81332,HCPCS,OUTPATIENT,,,244,195.2,,231.8,95,,185.44,percent of total billed charges,95% of total billed charges,231.12,94.72,,184.9,percent of total billed charges,94.72% of total billed charges,241.05,98.79,,192.84,percent of total billed charges,98.79% of total billed charges,239.12,98,,191.3,percent of total billed charges,98% of total billed charges,239.12,98,,191.3,percent of total billed charges,98% of total billed charges,117.12,48,,93.7,percent of total billed charges,48% of total billed charges,43.65,100,,,fee schedule,100% of CMS fee schedule,37.1,85,,,fee schedule,85% of CMS fee schedule,43.65,100,,,fee schedule,100% of CMS fee schedule,43.65,100,,,fee schedule,100% of CMS fee schedule,37.1,241.05,
CLOBAXAM,5061879,CDM,300,RC,80339,HCPCS,OUTPATIENT,,,108,86.4,,102.6,95,,82.08,percent of total billed charges,95% of total billed charges,102.3,94.72,,81.84,percent of total billed charges,94.72% of total billed charges,106.69,98.79,,85.35,percent of total billed charges,98.79% of total billed charges,105.84,98,,84.67,percent of total billed charges,98% of total billed charges,105.84,98,,84.67,percent of total billed charges,98% of total billed charges,51.84,48,,41.47,percent of total billed charges,48% of total billed charges,48.6,45,,38.88,percent of total billed charges,45% of total billed charges,41.31,38.25,,33.05,percent of total billed charges,38.25% of total billed charges,48.6,45,,38.88,percent of total billed charges,45% of total billed charges,48.6,45,,38.88,percent of total billed charges,45% of total billed charges,41.31,106.69,
Drug Screen Collection First,5061942,CDM,300,RC,99001,HCPCS,OUTPATIENT,,,41,32.8,,38.95,95,,31.16,percent of total billed charges,95% of total billed charges,38.84,94.72,,31.07,percent of total billed charges,94.72% of total billed charges,40.5,98.79,,32.4,percent of total billed charges,98.79% of total billed charges,40.18,98,,32.14,percent of total billed charges,98% of total billed charges,40.18,98,,32.14,percent of total billed charges,98% of total billed charges,19.68,48,,15.74,percent of total billed charges,48% of total billed charges,18.45,45,,14.76,percent of total billed charges,45% of total billed charges,15.68,38.25,,12.54,percent of total billed charges,38.25% of total billed charges,18.45,45,,14.76,percent of total billed charges,45% of total billed charges,18.45,45,,14.76,percent of total billed charges,45% of total billed charges,15.68,40.5,
Arginine Vasopressin MOL,5061973,CDM,300,RC,84588,HCPCS,OUTPATIENT,,,173,138.4,,164.35,95,,131.48,percent of total billed charges,95% of total billed charges,163.87,94.72,,131.1,percent of total billed charges,94.72% of total billed charges,170.91,98.79,,136.73,percent of total billed charges,98.79% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,83.04,48,,66.43,percent of total billed charges,48% of total billed charges,33.94,100,,,fee schedule,100% of CMS fee schedule,28.85,85,,,fee schedule,85% of CMS fee schedule,33.94,100,,,fee schedule,100% of CMS fee schedule,33.94,100,,,fee schedule,100% of CMS fee schedule,28.85,170.91,
CBC WITH AUTO DIFF,5062007,CDM,300,RC,85025,HCPCS,OUTPATIENT,,,97,77.6,,92.15,95,,73.72,percent of total billed charges,95% of total billed charges,91.88,94.72,,73.5,percent of total billed charges,94.72% of total billed charges,95.83,98.79,,76.66,percent of total billed charges,98.79% of total billed charges,95.06,98,,76.05,percent of total billed charges,98% of total billed charges,95.06,98,,76.05,percent of total billed charges,98% of total billed charges,46.56,48,,37.25,percent of total billed charges,48% of total billed charges,7.77,100,,,fee schedule,100% of CMS fee schedule,6.6,85,,,fee schedule,85% of CMS fee schedule,7.77,100,,,fee schedule,100% of CMS fee schedule,7.77,100,,,fee schedule,100% of CMS fee schedule,6.6,95.83,
UR CREATININE (KSA),5062017,CDM,300,RC,82570,HCPCS,OUTPATIENT,,,9,7.2,,8.55,95,,6.84,percent of total billed charges,95% of total billed charges,8.52,94.72,,6.82,percent of total billed charges,94.72% of total billed charges,8.89,98.79,,7.11,percent of total billed charges,98.79% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,4.32,48,,3.46,percent of total billed charges,48% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,4.4,85,,,fee schedule,85% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,4.32,8.89,
UR MAGNESIUM (KSA),5062018,CDM,300,RC,83735,HCPCS,OUTPATIENT,,,9,7.2,,8.55,95,,6.84,percent of total billed charges,95% of total billed charges,8.52,94.72,,6.82,percent of total billed charges,94.72% of total billed charges,8.89,98.79,,7.11,percent of total billed charges,98.79% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,4.32,48,,3.46,percent of total billed charges,48% of total billed charges,6.7,100,,,fee schedule,100% of CMS fee schedule,5.7,85,,,fee schedule,85% of CMS fee schedule,6.7,100,,,fee schedule,100% of CMS fee schedule,6.7,100,,,fee schedule,100% of CMS fee schedule,4.32,8.89,
MS ALBUMIN SERUM,5062041,CDM,300,RC,82040,HCPCS,OUTPATIENT,,,59,47.2,,56.05,95,,44.84,percent of total billed charges,95% of total billed charges,55.88,94.72,,44.7,percent of total billed charges,94.72% of total billed charges,58.29,98.79,,46.63,percent of total billed charges,98.79% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,28.32,48,,22.66,percent of total billed charges,48% of total billed charges,4.95,100,,,fee schedule,100% of CMS fee schedule,4.21,85,,,fee schedule,85% of CMS fee schedule,4.95,100,,,fee schedule,100% of CMS fee schedule,4.95,100,,,fee schedule,100% of CMS fee schedule,4.21,58.29,
MS ALBUMIN CSF,5062042,CDM,300,RC,82042,HCPCS,OUTPATIENT,,,59,47.2,,56.05,95,,44.84,percent of total billed charges,95% of total billed charges,55.88,94.72,,44.7,percent of total billed charges,94.72% of total billed charges,58.29,98.79,,46.63,percent of total billed charges,98.79% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,28.32,48,,22.66,percent of total billed charges,48% of total billed charges,7.78,100,,,fee schedule,100% of CMS fee schedule,6.61,85,,,fee schedule,85% of CMS fee schedule,7.78,100,,,fee schedule,100% of CMS fee schedule,7.78,100,,,fee schedule,100% of CMS fee schedule,6.61,58.29,
HER2 FISH MC PANEL,5062080,CDM,300,RC,88368,HCPCS,OUTPATIENT,,,313,250.4,,297.35,95,,237.88,percent of total billed charges,95% of total billed charges,296.47,94.72,,237.18,percent of total billed charges,94.72% of total billed charges,309.21,98.79,,247.37,percent of total billed charges,98.79% of total billed charges,306.74,98,,245.39,percent of total billed charges,98% of total billed charges,306.74,98,,245.39,percent of total billed charges,98% of total billed charges,150.24,48,,120.19,percent of total billed charges,48% of total billed charges,140.85,45,,112.68,percent of total billed charges,45% of total billed charges,119.72,38.25,,95.78,percent of total billed charges,38.25% of total billed charges,140.85,45,,112.68,percent of total billed charges,45% of total billed charges,140.85,45,,112.68,percent of total billed charges,45% of total billed charges,119.72,309.21,
CHLAMYDIA TRACHOMATIS CULTURE,5062110,CDM,300,RC,87110,HCPCS,OUTPATIENT,,,22,17.6,,20.9,95,,16.72,percent of total billed charges,95% of total billed charges,20.84,94.72,,16.67,percent of total billed charges,94.72% of total billed charges,21.73,98.79,,17.38,percent of total billed charges,98.79% of total billed charges,21.56,98,,17.25,percent of total billed charges,98% of total billed charges,21.56,98,,17.25,percent of total billed charges,98% of total billed charges,10.56,48,,8.45,percent of total billed charges,48% of total billed charges,19.6,100,,,fee schedule,100% of CMS fee schedule,16.66,85,,,fee schedule,85% of CMS fee schedule,19.6,100,,,fee schedule,100% of CMS fee schedule,19.6,100,,,fee schedule,100% of CMS fee schedule,10.56,21.73,
ANCA REFLEX,5062111,CDM,300,RC,86255,HCPCS,OUTPATIENT,,,490,392,,465.5,95,,372.4,percent of total billed charges,95% of total billed charges,464.13,94.72,,371.3,percent of total billed charges,94.72% of total billed charges,484.07,98.79,,387.26,percent of total billed charges,98.79% of total billed charges,480.2,98,,384.16,percent of total billed charges,98% of total billed charges,480.2,98,,384.16,percent of total billed charges,98% of total billed charges,235.2,48,,188.16,percent of total billed charges,48% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,85,,,fee schedule,85% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,484.07,
.ANCA REFLEX,5062111,CDM,300,RC,86255,HCPCS,OUTPATIENT,,,490,392,,465.5,95,,372.4,percent of total billed charges,95% of total billed charges,464.13,94.72,,371.3,percent of total billed charges,94.72% of total billed charges,484.07,98.79,,387.26,percent of total billed charges,98.79% of total billed charges,480.2,98,,384.16,percent of total billed charges,98% of total billed charges,480.2,98,,384.16,percent of total billed charges,98% of total billed charges,235.2,48,,188.16,percent of total billed charges,48% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,85,,,fee schedule,85% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,484.07,
FERN TEST,5062144,CDM,300,RC,84112,HCPCS,OUTPATIENT,,,192,153.6,,182.4,95,,145.92,percent of total billed charges,95% of total billed charges,181.86,94.72,,145.49,percent of total billed charges,94.72% of total billed charges,189.68,98.79,,151.74,percent of total billed charges,98.79% of total billed charges,188.16,98,,150.53,percent of total billed charges,98% of total billed charges,188.16,98,,150.53,percent of total billed charges,98% of total billed charges,92.16,48,,73.73,percent of total billed charges,48% of total billed charges,98.11,100,,,fee schedule,100% of CMS fee schedule,83.39,85,,,fee schedule,85% of CMS fee schedule,98.11,100,,,fee schedule,100% of CMS fee schedule,98.11,100,,,fee schedule,100% of CMS fee schedule,83.39,189.68,
WET PREP PARASITE,5062147,CDM,300,RC,87210,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,4.95,85,,,fee schedule,85% of CMS fee schedule,5.82,100,,,fee schedule,100% of CMS fee schedule,5.82,100,,,fee schedule,100% of CMS fee schedule,4.95,10.87,
VITAMIN D 25 HYDROXY,5062244,CDM,300,RC,82306,HCPCS,OUTPATIENT,,,269,215.2,,255.55,95,,204.44,percent of total billed charges,95% of total billed charges,254.8,94.72,,203.84,percent of total billed charges,94.72% of total billed charges,265.75,98.79,,212.6,percent of total billed charges,98.79% of total billed charges,263.62,98,,210.9,percent of total billed charges,98% of total billed charges,263.62,98,,210.9,percent of total billed charges,98% of total billed charges,129.12,48,,103.3,percent of total billed charges,48% of total billed charges,29.6,100,,,fee schedule,100% of CMS fee schedule,25.16,85,,,fee schedule,85% of CMS fee schedule,29.6,100,,,fee schedule,100% of CMS fee schedule,29.6,100,,,fee schedule,100% of CMS fee schedule,25.16,265.75,
FACTOR V LEIDEN GENE MUTATION DNA,5062305,CDM,300,RC,81241,HCPCS,OUTPATIENT,,,114,91.2,,108.3,95,,86.64,percent of total billed charges,95% of total billed charges,107.98,94.72,,86.38,percent of total billed charges,94.72% of total billed charges,112.62,98.79,,90.1,percent of total billed charges,98.79% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,54.72,48,,43.78,percent of total billed charges,48% of total billed charges,73.37,100,,,fee schedule,100% of CMS fee schedule,62.36,85,,,fee schedule,85% of CMS fee schedule,73.37,100,,,fee schedule,100% of CMS fee schedule,73.37,100,,,fee schedule,100% of CMS fee schedule,54.72,112.62,
EBV QUANT PCR (EPSTEIN-BARR VIRUS),5062310,CDM,300,RC,87799,HCPCS,OUTPATIENT,,,187,149.6,,177.65,95,,142.12,percent of total billed charges,95% of total billed charges,177.13,94.72,,141.7,percent of total billed charges,94.72% of total billed charges,184.74,98.79,,147.79,percent of total billed charges,98.79% of total billed charges,183.26,98,,146.61,percent of total billed charges,98% of total billed charges,183.26,98,,146.61,percent of total billed charges,98% of total billed charges,89.76,48,,71.81,percent of total billed charges,48% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,36.41,85,,,fee schedule,85% of CMS fee schedule,42.84,100,,,fee schedule,100% of CMS fee schedule,42.84,100,,,fee schedule,100% of CMS fee schedule,36.41,184.74,
ANGIOTENSIN CONVERTING ENZYME CSF,5062313,CDM,300,RC,82164,HCPCS,OUTPATIENT,,,66,52.8,,62.7,95,,50.16,percent of total billed charges,95% of total billed charges,62.52,94.72,,50.02,percent of total billed charges,94.72% of total billed charges,65.2,98.79,,52.16,percent of total billed charges,98.79% of total billed charges,64.68,98,,51.74,percent of total billed charges,98% of total billed charges,64.68,98,,51.74,percent of total billed charges,98% of total billed charges,31.68,48,,25.34,percent of total billed charges,48% of total billed charges,14.6,100,,,fee schedule,100% of CMS fee schedule,12.41,85,,,fee schedule,85% of CMS fee schedule,14.6,100,,,fee schedule,100% of CMS fee schedule,14.6,100,,,fee schedule,100% of CMS fee schedule,12.41,65.2,
ESPTEIN BARR VIRUS PCR CSF,5062315,CDM,300,RC,87798,HCPCS,OUTPATIENT,,,179,143.2,,170.05,95,,136.04,percent of total billed charges,95% of total billed charges,169.55,94.72,,135.64,percent of total billed charges,94.72% of total billed charges,176.83,98.79,,141.46,percent of total billed charges,98.79% of total billed charges,175.42,98,,140.34,percent of total billed charges,98% of total billed charges,175.42,98,,140.34,percent of total billed charges,98% of total billed charges,85.92,48,,68.74,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,176.83,
CORTISOL AM SERUM,5062328,CDM,300,RC,82533,HCPCS,OUTPATIENT,,,150,120,,142.5,95,,114,percent of total billed charges,95% of total billed charges,142.08,94.72,,113.66,percent of total billed charges,94.72% of total billed charges,148.19,98.79,,118.55,percent of total billed charges,98.79% of total billed charges,147,98,,117.6,percent of total billed charges,98% of total billed charges,147,98,,117.6,percent of total billed charges,98% of total billed charges,72,48,,57.6,percent of total billed charges,48% of total billed charges,16.3,100,,,fee schedule,100% of CMS fee schedule,13.86,85,,,fee schedule,85% of CMS fee schedule,16.3,100,,,fee schedule,100% of CMS fee schedule,16.3,100,,,fee schedule,100% of CMS fee schedule,13.86,148.19,
CORTISOL PM SERUM,5062329,CDM,300,RC,82533,HCPCS,OUTPATIENT,,,150,120,,142.5,95,,114,percent of total billed charges,95% of total billed charges,142.08,94.72,,113.66,percent of total billed charges,94.72% of total billed charges,148.19,98.79,,118.55,percent of total billed charges,98.79% of total billed charges,147,98,,117.6,percent of total billed charges,98% of total billed charges,147,98,,117.6,percent of total billed charges,98% of total billed charges,72,48,,57.6,percent of total billed charges,48% of total billed charges,16.3,100,,,fee schedule,100% of CMS fee schedule,13.86,85,,,fee schedule,85% of CMS fee schedule,16.3,100,,,fee schedule,100% of CMS fee schedule,16.3,100,,,fee schedule,100% of CMS fee schedule,13.86,148.19,
FOLLICLE STIMULATING HORMONE,5062330,CDM,300,RC,83001,HCPCS,OUTPATIENT,,,103,82.4,,97.85,95,,78.28,percent of total billed charges,95% of total billed charges,97.56,94.72,,78.05,percent of total billed charges,94.72% of total billed charges,101.75,98.79,,81.4,percent of total billed charges,98.79% of total billed charges,100.94,98,,80.75,percent of total billed charges,98% of total billed charges,100.94,98,,80.75,percent of total billed charges,98% of total billed charges,49.44,48,,39.55,percent of total billed charges,48% of total billed charges,18.58,100,,,fee schedule,100% of CMS fee schedule,15.79,85,,,fee schedule,85% of CMS fee schedule,18.58,100,,,fee schedule,100% of CMS fee schedule,18.58,100,,,fee schedule,100% of CMS fee schedule,15.79,101.75,
FREE T3,5062331,CDM,300,RC,84481,HCPCS,OUTPATIENT,,,87,69.6,,82.65,95,,66.12,percent of total billed charges,95% of total billed charges,82.41,94.72,,65.93,percent of total billed charges,94.72% of total billed charges,85.95,98.79,,68.76,percent of total billed charges,98.79% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,41.76,48,,33.41,percent of total billed charges,48% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,14.4,85,,,fee schedule,85% of CMS fee schedule,16.94,100,,,fee schedule,100% of CMS fee schedule,16.94,100,,,fee schedule,100% of CMS fee schedule,14.4,85.95,
LUTEINIZING HORMONE,5062332,CDM,300,RC,83002,HCPCS,OUTPATIENT,,,107,85.6,,101.65,95,,81.32,percent of total billed charges,95% of total billed charges,101.35,94.72,,81.08,percent of total billed charges,94.72% of total billed charges,105.71,98.79,,84.57,percent of total billed charges,98.79% of total billed charges,104.86,98,,83.89,percent of total billed charges,98% of total billed charges,104.86,98,,83.89,percent of total billed charges,98% of total billed charges,51.36,48,,41.09,percent of total billed charges,48% of total billed charges,18.52,100,,,fee schedule,100% of CMS fee schedule,15.74,85,,,fee schedule,85% of CMS fee schedule,18.52,100,,,fee schedule,100% of CMS fee schedule,18.52,100,,,fee schedule,100% of CMS fee schedule,15.74,105.71,
PROLACTIN,5062333,CDM,300,RC,84146,HCPCS,OUTPATIENT,,,155,124,,147.25,95,,117.8,percent of total billed charges,95% of total billed charges,146.82,94.72,,117.46,percent of total billed charges,94.72% of total billed charges,153.12,98.79,,122.5,percent of total billed charges,98.79% of total billed charges,151.9,98,,121.52,percent of total billed charges,98% of total billed charges,151.9,98,,121.52,percent of total billed charges,98% of total billed charges,74.4,48,,59.52,percent of total billed charges,48% of total billed charges,19.38,100,,,fee schedule,100% of CMS fee schedule,16.47,85,,,fee schedule,85% of CMS fee schedule,19.38,100,,,fee schedule,100% of CMS fee schedule,19.38,100,,,fee schedule,100% of CMS fee schedule,16.47,153.12,
PARATHYROID HORMONE INTACT,5062334,CDM,300,RC,83970,HCPCS,OUTPATIENT,,,236,188.8,,224.2,95,,179.36,percent of total billed charges,95% of total billed charges,223.54,94.72,,178.83,percent of total billed charges,94.72% of total billed charges,233.14,98.79,,186.51,percent of total billed charges,98.79% of total billed charges,231.28,98,,185.02,percent of total billed charges,98% of total billed charges,231.28,98,,185.02,percent of total billed charges,98% of total billed charges,113.28,48,,90.62,percent of total billed charges,48% of total billed charges,41.28,100,,,fee schedule,100% of CMS fee schedule,35.09,85,,,fee schedule,85% of CMS fee schedule,41.28,100,,,fee schedule,100% of CMS fee schedule,41.28,100,,,fee schedule,100% of CMS fee schedule,35.09,233.14,
Testosterone Total,5062335,CDM,300,RC,84403,HCPCS,OUTPATIENT,,,158,126.4,,150.1,95,,120.08,percent of total billed charges,95% of total billed charges,149.66,94.72,,119.73,percent of total billed charges,94.72% of total billed charges,156.09,98.79,,124.87,percent of total billed charges,98.79% of total billed charges,154.84,98,,123.87,percent of total billed charges,98% of total billed charges,154.84,98,,123.87,percent of total billed charges,98% of total billed charges,75.84,48,,60.67,percent of total billed charges,48% of total billed charges,25.81,100,,,fee schedule,100% of CMS fee schedule,21.94,85,,,fee schedule,85% of CMS fee schedule,25.81,100,,,fee schedule,100% of CMS fee schedule,25.81,100,,,fee schedule,100% of CMS fee schedule,21.94,156.09,
STREP GROUP A PCR,5062337,CDM,300,RC,87651,HCPCS,OUTPATIENT,,,261,208.8,,247.95,95,,198.36,percent of total billed charges,95% of total billed charges,247.22,94.72,,197.78,percent of total billed charges,94.72% of total billed charges,257.84,98.79,,206.27,percent of total billed charges,98.79% of total billed charges,255.78,98,,204.62,percent of total billed charges,98% of total billed charges,255.78,98,,204.62,percent of total billed charges,98% of total billed charges,125.28,48,,100.22,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,257.84,
LACOSAMIDE LEVEL,5062338,CDM,300,RC,80339,HCPCS,OUTPATIENT,,,61,48.8,,57.95,95,,46.36,percent of total billed charges,95% of total billed charges,57.78,94.72,,46.22,percent of total billed charges,94.72% of total billed charges,60.26,98.79,,48.21,percent of total billed charges,98.79% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,29.28,48,,23.42,percent of total billed charges,48% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,23.33,38.25,,18.66,percent of total billed charges,38.25% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,23.33,60.26,
STREP GROUP A WITH REFLEX TO STREP C/G,5062340,CDM,300,RC,87651,HCPCS,OUTPATIENT,,,261,208.8,,247.95,95,,198.36,percent of total billed charges,95% of total billed charges,247.22,94.72,,197.78,percent of total billed charges,94.72% of total billed charges,257.84,98.79,,206.27,percent of total billed charges,98.79% of total billed charges,255.78,98,,204.62,percent of total billed charges,98% of total billed charges,255.78,98,,204.62,percent of total billed charges,98% of total billed charges,125.28,48,,100.22,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,257.84,
DEXAMETHASONE,5062342,CDM,300,RC,80375,HCPCS,OUTPATIENT,,,41,32.8,,38.95,95,,31.16,percent of total billed charges,95% of total billed charges,38.84,94.72,,31.07,percent of total billed charges,94.72% of total billed charges,40.5,98.79,,32.4,percent of total billed charges,98.79% of total billed charges,40.18,98,,32.14,percent of total billed charges,98% of total billed charges,40.18,98,,32.14,percent of total billed charges,98% of total billed charges,19.68,48,,15.74,percent of total billed charges,48% of total billed charges,18.45,45,,14.76,percent of total billed charges,45% of total billed charges,15.68,38.25,,12.54,percent of total billed charges,38.25% of total billed charges,18.45,45,,14.76,percent of total billed charges,45% of total billed charges,18.45,45,,14.76,percent of total billed charges,45% of total billed charges,15.68,40.5,
NMO AQP4-IgG CBA CSF MOL,5062344,CDM,300,RC,86255,HCPCS,OUTPATIENT,,,458,366.4,,435.1,95,,348.08,percent of total billed charges,95% of total billed charges,433.82,94.72,,347.06,percent of total billed charges,94.72% of total billed charges,452.46,98.79,,361.97,percent of total billed charges,98.79% of total billed charges,448.84,98,,359.07,percent of total billed charges,98% of total billed charges,448.84,98,,359.07,percent of total billed charges,98% of total billed charges,219.84,48,,175.87,percent of total billed charges,48% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,85,,,fee schedule,85% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,452.46,
MOG FACS S,5062345,CDM,300,RC,86255,HCPCS,OUTPATIENT,,,481,384.8,,456.95,95,,365.56,percent of total billed charges,95% of total billed charges,455.6,94.72,,364.48,percent of total billed charges,94.72% of total billed charges,475.18,98.79,,380.14,percent of total billed charges,98.79% of total billed charges,471.38,98,,377.1,percent of total billed charges,98% of total billed charges,471.38,98,,377.1,percent of total billed charges,98% of total billed charges,230.88,48,,184.7,percent of total billed charges,48% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,85,,,fee schedule,85% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,475.18,
PROPEPTIDE TYPE I COLLAGEN,5062346,CDM,300,RC,82523,HCPCS,OUTPATIENT,,,79,63.2,,75.05,95,,60.04,percent of total billed charges,95% of total billed charges,74.83,94.72,,59.86,percent of total billed charges,94.72% of total billed charges,78.04,98.79,,62.43,percent of total billed charges,98.79% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,37.92,48,,30.34,percent of total billed charges,48% of total billed charges,18.68,100,,,fee schedule,100% of CMS fee schedule,15.88,85,,,fee schedule,85% of CMS fee schedule,18.68,100,,,fee schedule,100% of CMS fee schedule,18.68,100,,,fee schedule,100% of CMS fee schedule,15.88,78.04,
BETA CROSSLAPS (B-CTX,5062347,CDM,300,RC,82523,HCPCS,OUTPATIENT,,,213,170.4,,202.35,95,,161.88,percent of total billed charges,95% of total billed charges,201.75,94.72,,161.4,percent of total billed charges,94.72% of total billed charges,210.42,98.79,,168.34,percent of total billed charges,98.79% of total billed charges,208.74,98,,166.99,percent of total billed charges,98% of total billed charges,208.74,98,,166.99,percent of total billed charges,98% of total billed charges,102.24,48,,81.79,percent of total billed charges,48% of total billed charges,18.68,100,,,fee schedule,100% of CMS fee schedule,15.88,85,,,fee schedule,85% of CMS fee schedule,18.68,100,,,fee schedule,100% of CMS fee schedule,18.68,100,,,fee schedule,100% of CMS fee schedule,15.88,210.42,
EBV Nuclear Antigen Antibodies IgG,5062359,CDM,300,RC,86664,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,15.29,100,,,fee schedule,100% of CMS fee schedule,13,85,,,fee schedule,85% of CMS fee schedule,15.29,100,,,fee schedule,100% of CMS fee schedule,15.29,100,,,fee schedule,100% of CMS fee schedule,11.52,23.71,
INFLUENZA A PCR,5062501,CDM,300,RC,87502,HCPCS,OUTPATIENT,,,124,99.2,,117.8,95,,94.24,percent of total billed charges,95% of total billed charges,117.45,94.72,,93.96,percent of total billed charges,94.72% of total billed charges,122.5,98.79,,98,percent of total billed charges,98.79% of total billed charges,121.52,98,,97.22,percent of total billed charges,98% of total billed charges,121.52,98,,97.22,percent of total billed charges,98% of total billed charges,59.52,48,,47.62,percent of total billed charges,48% of total billed charges,95.8,100,,,fee schedule,100% of CMS fee schedule,81.43,85,,,fee schedule,85% of CMS fee schedule,95.8,100,,,fee schedule,100% of CMS fee schedule,95.8,100,,,fee schedule,100% of CMS fee schedule,59.52,122.5,
INFLUENZA B PCR,5062502,CDM,300,RC,87502,HCPCS,OUTPATIENT,,,124,99.2,,117.8,95,,94.24,percent of total billed charges,95% of total billed charges,117.45,94.72,,93.96,percent of total billed charges,94.72% of total billed charges,122.5,98.79,,98,percent of total billed charges,98.79% of total billed charges,121.52,98,,97.22,percent of total billed charges,98% of total billed charges,121.52,98,,97.22,percent of total billed charges,98% of total billed charges,59.52,48,,47.62,percent of total billed charges,48% of total billed charges,95.8,100,,,fee schedule,100% of CMS fee schedule,81.43,85,,,fee schedule,85% of CMS fee schedule,95.8,100,,,fee schedule,100% of CMS fee schedule,95.8,100,,,fee schedule,100% of CMS fee schedule,59.52,122.5,
IgE-Milk UPHS,5062525,CDM,300,RC,86003,HCPCS,OUTPATIENT,,,12,9.6,,11.4,95,,9.12,percent of total billed charges,95% of total billed charges,11.37,94.72,,9.1,percent of total billed charges,94.72% of total billed charges,11.85,98.79,,9.48,percent of total billed charges,98.79% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,5.76,48,,4.61,percent of total billed charges,48% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,85,,,fee schedule,85% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,11.85,
IgE-Alternaria Tenuis,5062526,CDM,300,RC,86003,HCPCS,OUTPATIENT,,,13,10.4,,12.35,95,,9.88,percent of total billed charges,95% of total billed charges,12.31,94.72,,9.85,percent of total billed charges,94.72% of total billed charges,12.84,98.79,,10.27,percent of total billed charges,98.79% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,6.24,48,,4.99,percent of total billed charges,48% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,85,,,fee schedule,85% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,12.84,
IgE-Bermuda,5062527,CDM,300,RC,86003,HCPCS,OUTPATIENT,,,13,10.4,,12.35,95,,9.88,percent of total billed charges,95% of total billed charges,12.31,94.72,,9.85,percent of total billed charges,94.72% of total billed charges,12.84,98.79,,10.27,percent of total billed charges,98.79% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,6.24,48,,4.99,percent of total billed charges,48% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,85,,,fee schedule,85% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,12.84,
IRON (Ref lab),5062530,CDM,300,RC,83540,HCPCS,OUTPATIENT,,,9,7.2,90,8.55,95,,6.84,percent of total billed charges,95% of total billed charges,8.52,94.72,,6.82,percent of total billed charges,94.72% of total billed charges,8.89,98.79,,7.11,percent of total billed charges,98.79% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,4.32,48,,3.46,percent of total billed charges,48% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,5.5,85,,,fee schedule,85% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,4.32,8.89,
IgE-Common Ragweed,5062530,CDM,300,RC,86003,HCPCS,OUTPATIENT,,,13,10.4,,12.35,95,,9.88,percent of total billed charges,95% of total billed charges,12.31,94.72,,9.85,percent of total billed charges,94.72% of total billed charges,12.84,98.79,,10.27,percent of total billed charges,98.79% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,6.24,48,,4.99,percent of total billed charges,48% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,85,,,fee schedule,85% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,12.84,
IgE-Dermatophagoides farinae,5062531,CDM,300,RC,86003,HCPCS,OUTPATIENT,,,13,10.4,,12.35,95,,9.88,percent of total billed charges,95% of total billed charges,12.31,94.72,,9.85,percent of total billed charges,94.72% of total billed charges,12.84,98.79,,10.27,percent of total billed charges,98.79% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,6.24,48,,4.99,percent of total billed charges,48% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,85,,,fee schedule,85% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,12.84,
IgE-Penicillium notatum UPHS,5062535,CDM,300,RC,86003,HCPCS,OUTPATIENT,,,12,9.6,90,11.4,95,,9.12,percent of total billed charges,95% of total billed charges,11.37,94.72,,9.1,percent of total billed charges,94.72% of total billed charges,11.85,98.79,,9.48,percent of total billed charges,98.79% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,5.76,48,,4.61,percent of total billed charges,48% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,85,,,fee schedule,85% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,11.85,
EBV Antibodies to Viral Capsid IgG,5062538,CDM,300,RC,86665,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,18.14,100,,,fee schedule,100% of CMS fee schedule,15.42,85,,,fee schedule,85% of CMS fee schedule,18.14,100,,,fee schedule,100% of CMS fee schedule,18.14,100,,,fee schedule,100% of CMS fee schedule,11.52,23.71,
82542 6-THIOQUANINE,5062550,CDM,300,RC,82542,HCPCS,OUTPATIENT,,,139,111.2,,132.05,95,,105.64,percent of total billed charges,95% of total billed charges,131.66,94.72,,105.33,percent of total billed charges,94.72% of total billed charges,137.32,98.79,,109.86,percent of total billed charges,98.79% of total billed charges,136.22,98,,108.98,percent of total billed charges,98% of total billed charges,136.22,98,,108.98,percent of total billed charges,98% of total billed charges,66.72,48,,53.38,percent of total billed charges,48% of total billed charges,24.09,100,,,fee schedule,100% of CMS fee schedule,20.48,85,,,fee schedule,85% of CMS fee schedule,24.09,100,,,fee schedule,100% of CMS fee schedule,24.09,100,,,fee schedule,100% of CMS fee schedule,20.48,137.32,
82542 6-METHLYMERCAPTOPURINE,5062551,CDM,300,RC,82542,HCPCS,OUTPATIENT,,,139,111.2,,132.05,95,,105.64,percent of total billed charges,95% of total billed charges,131.66,94.72,,105.33,percent of total billed charges,94.72% of total billed charges,137.32,98.79,,109.86,percent of total billed charges,98.79% of total billed charges,136.22,98,,108.98,percent of total billed charges,98% of total billed charges,136.22,98,,108.98,percent of total billed charges,98% of total billed charges,66.72,48,,53.38,percent of total billed charges,48% of total billed charges,24.09,100,,,fee schedule,100% of CMS fee schedule,20.48,85,,,fee schedule,85% of CMS fee schedule,24.09,100,,,fee schedule,100% of CMS fee schedule,24.09,100,,,fee schedule,100% of CMS fee schedule,20.48,137.32,
Compatibility test each unit; antiglobulin technique,5062625,CDM,300,RC,86922,HCPCS,OUTPATIENT,,,26,20.8,,24.7,95,,19.76,percent of total billed charges,95% of total billed charges,24.63,94.72,,19.7,percent of total billed charges,94.72% of total billed charges,25.69,98.79,,20.55,percent of total billed charges,98.79% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,12.48,48,,9.98,percent of total billed charges,48% of total billed charges,11.7,45,,9.36,percent of total billed charges,45% of total billed charges,9.95,38.25,,7.96,percent of total billed charges,38.25% of total billed charges,11.7,45,,9.36,percent of total billed charges,45% of total billed charges,11.7,45,,9.36,percent of total billed charges,45% of total billed charges,9.95,25.69,
IgE-Cladio. herbarum UPHS,5062909,CDM,300,RC,86003,HCPCS,OUTPATIENT,,,12,9.6,90,11.4,95,,9.12,percent of total billed charges,95% of total billed charges,11.37,94.72,,9.1,percent of total billed charges,94.72% of total billed charges,11.85,98.79,,9.48,percent of total billed charges,98.79% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,5.76,48,,4.61,percent of total billed charges,48% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,85,,,fee schedule,85% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,11.85,
LA Hexagonal Phospholipid UPHS,5062912,CDM,300,RC,85597,HCPCS,OUTPATIENT,,,6,4.8,90,5.7,95,,4.56,percent of total billed charges,95% of total billed charges,5.68,94.72,,4.54,percent of total billed charges,94.72% of total billed charges,5.93,98.79,,4.74,percent of total billed charges,98.79% of total billed charges,5.88,98,,4.7,percent of total billed charges,98% of total billed charges,5.88,98,,4.7,percent of total billed charges,98% of total billed charges,2.88,48,,2.3,percent of total billed charges,48% of total billed charges,17.98,100,,,fee schedule,100% of CMS fee schedule,15.28,85,,,fee schedule,85% of CMS fee schedule,17.98,100,,,fee schedule,100% of CMS fee schedule,17.98,100,,,fee schedule,100% of CMS fee schedule,2.88,17.98,
GGT,5062920,CDM,300,RC,82977,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,7.2,100,,,fee schedule,100% of CMS fee schedule,6.12,85,,,fee schedule,85% of CMS fee schedule,7.2,100,,,fee schedule,100% of CMS fee schedule,7.2,100,,,fee schedule,100% of CMS fee schedule,6.12,15.81,
Transferrin,5062921,CDM,300,RC,84466,HCPCS,OUTPATIENT,,,57,45.6,,54.15,95,,43.32,percent of total billed charges,95% of total billed charges,53.99,94.72,,43.19,percent of total billed charges,94.72% of total billed charges,56.31,98.79,,45.05,percent of total billed charges,98.79% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,27.36,48,,21.89,percent of total billed charges,48% of total billed charges,12.76,100,,,fee schedule,100% of CMS fee schedule,10.85,85,,,fee schedule,85% of CMS fee schedule,12.76,100,,,fee schedule,100% of CMS fee schedule,12.76,100,,,fee schedule,100% of CMS fee schedule,10.85,56.31,
Troponin-I High Sensitivity,5062922,CDM,300,RC,84484,HCPCS,OUTPATIENT,,,45,36,,42.75,95,,34.2,percent of total billed charges,95% of total billed charges,42.62,94.72,,34.1,percent of total billed charges,94.72% of total billed charges,44.46,98.79,,35.57,percent of total billed charges,98.79% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,21.6,48,,17.28,percent of total billed charges,48% of total billed charges,12.47,100,,,fee schedule,100% of CMS fee schedule,10.6,85,,,fee schedule,85% of CMS fee schedule,12.47,100,,,fee schedule,100% of CMS fee schedule,12.47,100,,,fee schedule,100% of CMS fee schedule,10.6,44.46,
ESR Alcor,5062925,CDM,300,RC,85652,HCPCS,OUTPATIENT,,,37,29.6,,35.15,95,,28.12,percent of total billed charges,95% of total billed charges,35.05,94.72,,28.04,percent of total billed charges,94.72% of total billed charges,36.55,98.79,,29.24,percent of total billed charges,98.79% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,17.76,48,,14.21,percent of total billed charges,48% of total billed charges,2.7,100,,,fee schedule,100% of CMS fee schedule,2.3,85,,,fee schedule,85% of CMS fee schedule,2.7,100,,,fee schedule,100% of CMS fee schedule,2.7,100,,,fee schedule,100% of CMS fee schedule,2.3,36.55,
Blood Bank ID Number,5062929,CDM,300,RC,86922,HCPCS,OUTPATIENT,,,353,282.4,,335.35,95,,268.28,percent of total billed charges,95% of total billed charges,334.36,94.72,,267.49,percent of total billed charges,94.72% of total billed charges,348.73,98.79,,278.98,percent of total billed charges,98.79% of total billed charges,345.94,98,,276.75,percent of total billed charges,98% of total billed charges,345.94,98,,276.75,percent of total billed charges,98% of total billed charges,169.44,48,,135.55,percent of total billed charges,48% of total billed charges,158.85,45,,127.08,percent of total billed charges,45% of total billed charges,135.02,38.25,,108.02,percent of total billed charges,38.25% of total billed charges,158.85,45,,127.08,percent of total billed charges,45% of total billed charges,158.85,45,,127.08,percent of total billed charges,45% of total billed charges,135.02,348.73,
Compatibility test each unit; antiglobulin technique,5062929,CDM,300,RC,86922,HCPCS,OUTPATIENT,,,353,282.4,,335.35,95,,268.28,percent of total billed charges,95% of total billed charges,334.36,94.72,,267.49,percent of total billed charges,94.72% of total billed charges,348.73,98.79,,278.98,percent of total billed charges,98.79% of total billed charges,345.94,98,,276.75,percent of total billed charges,98% of total billed charges,345.94,98,,276.75,percent of total billed charges,98% of total billed charges,169.44,48,,135.55,percent of total billed charges,48% of total billed charges,158.85,45,,127.08,percent of total billed charges,45% of total billed charges,135.02,38.25,,108.02,percent of total billed charges,38.25% of total billed charges,158.85,45,,127.08,percent of total billed charges,45% of total billed charges,158.85,45,,127.08,percent of total billed charges,45% of total billed charges,135.02,348.73,
87491,5062930,CDM,300,RC,87491,HCPCS,OUTPATIENT,,,44,35.2,,41.8,95,,33.44,percent of total billed charges,95% of total billed charges,41.68,94.72,,33.34,percent of total billed charges,94.72% of total billed charges,43.47,98.79,,34.78,percent of total billed charges,98.79% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,21.12,48,,16.9,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,21.12,43.47,
87661,5062930,CDM,300,RC,87661,HCPCS,OUTPATIENT,,,44,35.2,,41.8,95,,33.44,percent of total billed charges,95% of total billed charges,41.68,94.72,,33.34,percent of total billed charges,94.72% of total billed charges,43.47,98.79,,34.78,percent of total billed charges,98.79% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,21.12,48,,16.9,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,21.12,43.47,
Trident STI Panel,5062930,CDM,300,RC,87591,HCPCS,OUTPATIENT,,,44,35.2,,41.8,95,,33.44,percent of total billed charges,95% of total billed charges,41.68,94.72,,33.34,percent of total billed charges,94.72% of total billed charges,43.47,98.79,,34.78,percent of total billed charges,98.79% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,21.12,48,,16.9,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,21.12,43.47,
Respiratory Pathogens Flu (Verigene),5062935,CDM,300,RC,87631,HCPCS,OUTPATIENT,,,290,232,,275.5,95,,220.4,percent of total billed charges,95% of total billed charges,274.69,94.72,,219.75,percent of total billed charges,94.72% of total billed charges,286.49,98.79,,229.19,percent of total billed charges,98.79% of total billed charges,284.2,98,,227.36,percent of total billed charges,98% of total billed charges,284.2,98,,227.36,percent of total billed charges,98% of total billed charges,139.2,48,,111.36,percent of total billed charges,48% of total billed charges,142.63,100,,,fee schedule,100% of CMS fee schedule,121.24,85,,,fee schedule,85% of CMS fee schedule,142.63,100,,,fee schedule,100% of CMS fee schedule,142.63,100,,,fee schedule,100% of CMS fee schedule,121.24,286.49,
Verigene RP RSV,5062936,CDM,300,RC,87631,HCPCS,OUTPATIENT,,,290,232,,275.5,95,,220.4,percent of total billed charges,95% of total billed charges,274.69,94.72,,219.75,percent of total billed charges,94.72% of total billed charges,286.49,98.79,,229.19,percent of total billed charges,98.79% of total billed charges,284.2,98,,227.36,percent of total billed charges,98% of total billed charges,284.2,98,,227.36,percent of total billed charges,98% of total billed charges,139.2,48,,111.36,percent of total billed charges,48% of total billed charges,142.63,100,,,fee schedule,100% of CMS fee schedule,121.24,85,,,fee schedule,85% of CMS fee schedule,142.63,100,,,fee schedule,100% of CMS fee schedule,142.63,100,,,fee schedule,100% of CMS fee schedule,121.24,286.49,
Verigene RP Adeno/hMPV,5062937,CDM,300,RC,87631,HCPCS,OUTPATIENT,,,290,232,,275.5,95,,220.4,percent of total billed charges,95% of total billed charges,274.69,94.72,,219.75,percent of total billed charges,94.72% of total billed charges,286.49,98.79,,229.19,percent of total billed charges,98.79% of total billed charges,284.2,98,,227.36,percent of total billed charges,98% of total billed charges,284.2,98,,227.36,percent of total billed charges,98% of total billed charges,139.2,48,,111.36,percent of total billed charges,48% of total billed charges,142.63,100,,,fee schedule,100% of CMS fee schedule,121.24,85,,,fee schedule,85% of CMS fee schedule,142.63,100,,,fee schedule,100% of CMS fee schedule,142.63,100,,,fee schedule,100% of CMS fee schedule,121.24,286.49,
Verigene RP Para/Rhino,5062938,CDM,300,RC,87631,HCPCS,OUTPATIENT,,,290,232,,275.5,95,,220.4,percent of total billed charges,95% of total billed charges,274.69,94.72,,219.75,percent of total billed charges,94.72% of total billed charges,286.49,98.79,,229.19,percent of total billed charges,98.79% of total billed charges,284.2,98,,227.36,percent of total billed charges,98% of total billed charges,284.2,98,,227.36,percent of total billed charges,98% of total billed charges,139.2,48,,111.36,percent of total billed charges,48% of total billed charges,142.63,100,,,fee schedule,100% of CMS fee schedule,121.24,85,,,fee schedule,85% of CMS fee schedule,142.63,100,,,fee schedule,100% of CMS fee schedule,142.63,100,,,fee schedule,100% of CMS fee schedule,121.24,286.49,
Verigene RP Bordatella,5062939,CDM,300,RC,87631,HCPCS,OUTPATIENT,,,290,232,,275.5,95,,220.4,percent of total billed charges,95% of total billed charges,274.69,94.72,,219.75,percent of total billed charges,94.72% of total billed charges,286.49,98.79,,229.19,percent of total billed charges,98.79% of total billed charges,284.2,98,,227.36,percent of total billed charges,98% of total billed charges,284.2,98,,227.36,percent of total billed charges,98% of total billed charges,139.2,48,,111.36,percent of total billed charges,48% of total billed charges,142.63,100,,,fee schedule,100% of CMS fee schedule,121.24,85,,,fee schedule,85% of CMS fee schedule,142.63,100,,,fee schedule,100% of CMS fee schedule,142.63,100,,,fee schedule,100% of CMS fee schedule,121.24,286.49,
CMP,5065004,CDM,300,RC,80053,HCPCS,OUTPATIENT,,,161,128.8,,152.95,95,,122.36,percent of total billed charges,95% of total billed charges,152.5,94.72,,122,percent of total billed charges,94.72% of total billed charges,159.05,98.79,,127.24,percent of total billed charges,98.79% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,77.28,48,,61.82,percent of total billed charges,48% of total billed charges,10.56,100,,,fee schedule,100% of CMS fee schedule,8.98,85,,,fee schedule,85% of CMS fee schedule,10.56,100,,,fee schedule,100% of CMS fee schedule,10.56,100,,,fee schedule,100% of CMS fee schedule,8.98,159.05,
CULTURE URINE,5066010,CDM,300,RC,87086,HCPCS,OUTPATIENT,,,108,86.4,,102.6,95,,82.08,percent of total billed charges,95% of total billed charges,102.3,94.72,,81.84,percent of total billed charges,94.72% of total billed charges,106.69,98.79,,85.35,percent of total billed charges,98.79% of total billed charges,105.84,98,,84.67,percent of total billed charges,98% of total billed charges,105.84,98,,84.67,percent of total billed charges,98% of total billed charges,51.84,48,,41.47,percent of total billed charges,48% of total billed charges,8.07,100,,,fee schedule,100% of CMS fee schedule,6.86,85,,,fee schedule,85% of CMS fee schedule,8.07,100,,,fee schedule,100% of CMS fee schedule,8.07,100,,,fee schedule,100% of CMS fee schedule,6.86,106.69,
Gram Stain,5066015,CDM,300,RC,87205,HCPCS,OUTPATIENT,,,62,49.6,,58.9,95,,47.12,percent of total billed charges,95% of total billed charges,58.73,94.72,,46.98,percent of total billed charges,94.72% of total billed charges,61.25,98.79,,49,percent of total billed charges,98.79% of total billed charges,60.76,98,,48.61,percent of total billed charges,98% of total billed charges,60.76,98,,48.61,percent of total billed charges,98% of total billed charges,29.76,48,,23.81,percent of total billed charges,48% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,3.63,85,,,fee schedule,85% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,3.63,61.25,
GRAM STAIN,5066015,CDM,300,RC,87205,HCPCS,OUTPATIENT,,,62,49.6,,58.9,95,,47.12,percent of total billed charges,95% of total billed charges,58.73,94.72,,46.98,percent of total billed charges,94.72% of total billed charges,61.25,98.79,,49,percent of total billed charges,98.79% of total billed charges,60.76,98,,48.61,percent of total billed charges,98% of total billed charges,60.76,98,,48.61,percent of total billed charges,98% of total billed charges,29.76,48,,23.81,percent of total billed charges,48% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,3.63,85,,,fee schedule,85% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,3.63,61.25,
FECAL FAT QUAL,5066022,CDM,300,RC,89125,HCPCS,OUTPATIENT,,,80,64,,76,95,,60.8,percent of total billed charges,95% of total billed charges,75.78,94.72,,60.62,percent of total billed charges,94.72% of total billed charges,79.03,98.79,,63.22,percent of total billed charges,98.79% of total billed charges,78.4,98,,62.72,percent of total billed charges,98% of total billed charges,78.4,98,,62.72,percent of total billed charges,98% of total billed charges,38.4,48,,30.72,percent of total billed charges,48% of total billed charges,5.88,100,,,fee schedule,100% of CMS fee schedule,5,85,,,fee schedule,85% of CMS fee schedule,5.88,100,,,fee schedule,100% of CMS fee schedule,5.88,100,,,fee schedule,100% of CMS fee schedule,5,79.03,
CULTURE SPUTUM,5066032,CDM,300,RC,87070,HCPCS,OUTPATIENT,,,116,92.8,,110.2,95,,88.16,percent of total billed charges,95% of total billed charges,109.88,94.72,,87.9,percent of total billed charges,94.72% of total billed charges,114.6,98.79,,91.68,percent of total billed charges,98.79% of total billed charges,113.68,98,,90.94,percent of total billed charges,98% of total billed charges,113.68,98,,90.94,percent of total billed charges,98% of total billed charges,55.68,48,,44.54,percent of total billed charges,48% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,7.33,85,,,fee schedule,85% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,7.33,114.6,
CULTURE THROAT,5066034,CDM,300,RC,87070,HCPCS,OUTPATIENT,,,85,68,,80.75,95,,64.6,percent of total billed charges,95% of total billed charges,80.51,94.72,,64.41,percent of total billed charges,94.72% of total billed charges,83.97,98.79,,67.18,percent of total billed charges,98.79% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,40.8,48,,32.64,percent of total billed charges,48% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,7.33,85,,,fee schedule,85% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,7.33,83.97,
CULTURE WOUND,5066036,CDM,300,RC,87070,HCPCS,OUTPATIENT,,,116,92.8,,110.2,95,,88.16,percent of total billed charges,95% of total billed charges,109.88,94.72,,87.9,percent of total billed charges,94.72% of total billed charges,114.6,98.79,,91.68,percent of total billed charges,98.79% of total billed charges,113.68,98,,90.94,percent of total billed charges,98% of total billed charges,113.68,98,,90.94,percent of total billed charges,98% of total billed charges,55.68,48,,44.54,percent of total billed charges,48% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,7.33,85,,,fee schedule,85% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,7.33,114.6,
HUMAN PAPILLOMA VIRUS,5067026,CDM,300,RC,87624,HCPCS,OUTPATIENT,,,42,33.6,,39.9,95,,31.92,percent of total billed charges,95% of total billed charges,39.78,94.72,,31.82,percent of total billed charges,94.72% of total billed charges,41.49,98.79,,33.19,percent of total billed charges,98.79% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,20.16,48,,16.13,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,20.16,41.49,
DRUG SCREEN DOT COLLECTION,5068002,CDM,300,RC,99001,HCPCS,OUTPATIENT,,,61,48.8,,57.95,95,,46.36,percent of total billed charges,95% of total billed charges,57.78,94.72,,46.22,percent of total billed charges,94.72% of total billed charges,60.26,98.79,,48.21,percent of total billed charges,98.79% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,29.28,48,,23.42,percent of total billed charges,48% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,23.33,38.25,,18.66,percent of total billed charges,38.25% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,23.33,60.26,
DRUG SCREEN SMH  PRE-EMP,5068004,CDM,300,RC,99001,HCPCS,OUTPATIENT,,,239,191.2,,227.05,95,,181.64,percent of total billed charges,95% of total billed charges,226.38,94.72,,181.1,percent of total billed charges,94.72% of total billed charges,236.11,98.79,,188.89,percent of total billed charges,98.79% of total billed charges,234.22,98,,187.38,percent of total billed charges,98% of total billed charges,234.22,98,,187.38,percent of total billed charges,98% of total billed charges,114.72,48,,91.78,percent of total billed charges,48% of total billed charges,107.55,45,,86.04,percent of total billed charges,45% of total billed charges,91.42,38.25,,73.14,percent of total billed charges,38.25% of total billed charges,107.55,45,,86.04,percent of total billed charges,45% of total billed charges,107.55,45,,86.04,percent of total billed charges,45% of total billed charges,91.42,236.11,
DRUG SCREEN SMH NON DOT  PRE-EMP,5068004,CDM,300,RC,99001,HCPCS,OUTPATIENT,,,239,191.2,,227.05,95,,181.64,percent of total billed charges,95% of total billed charges,226.38,94.72,,181.1,percent of total billed charges,94.72% of total billed charges,236.11,98.79,,188.89,percent of total billed charges,98.79% of total billed charges,234.22,98,,187.38,percent of total billed charges,98% of total billed charges,234.22,98,,187.38,percent of total billed charges,98% of total billed charges,114.72,48,,91.78,percent of total billed charges,48% of total billed charges,107.55,45,,86.04,percent of total billed charges,45% of total billed charges,91.42,38.25,,73.14,percent of total billed charges,38.25% of total billed charges,107.55,45,,86.04,percent of total billed charges,45% of total billed charges,107.55,45,,86.04,percent of total billed charges,45% of total billed charges,91.42,236.11,
LAB DRAW FEE,5068005,CDM,300,RC,36415,HCPCS,OUTPATIENT,,,53,42.4,,50.35,95,,40.28,percent of total billed charges,95% of total billed charges,50.2,94.72,,40.16,percent of total billed charges,94.72% of total billed charges,52.36,98.79,,41.89,percent of total billed charges,98.79% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,25.44,48,,20.35,percent of total billed charges,48% of total billed charges,8.83,100,,,fee schedule,100% of CMS fee schedule,7.51,85,,,fee schedule,85% of CMS fee schedule,8.83,100,,,fee schedule,100% of CMS fee schedule,8.83,100,,,fee schedule,100% of CMS fee schedule,7.51,52.36,
LAB DRAWING FEE,5068005,CDM,300,RC,36415,HCPCS,OUTPATIENT,,,53,42.4,,50.35,95,,40.28,percent of total billed charges,95% of total billed charges,50.2,94.72,,40.16,percent of total billed charges,94.72% of total billed charges,52.36,98.79,,41.89,percent of total billed charges,98.79% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,25.44,48,,20.35,percent of total billed charges,48% of total billed charges,8.83,100,,,fee schedule,100% of CMS fee schedule,7.51,85,,,fee schedule,85% of CMS fee schedule,8.83,100,,,fee schedule,100% of CMS fee schedule,8.83,100,,,fee schedule,100% of CMS fee schedule,7.51,52.36,
AMYLASE LEVEL 24 HOUR URINE,5068007,CDM,300,RC,82150,HCPCS,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,6.48,100,,,fee schedule,100% of CMS fee schedule,5.51,85,,,fee schedule,85% of CMS fee schedule,6.48,100,,,fee schedule,100% of CMS fee schedule,6.48,100,,,fee schedule,100% of CMS fee schedule,5.51,42.48,
DRUG SCREEN HAIR COLLECTION,5068009,CDM,300,RC,,,OUTPATIENT,,,70,56,,66.5,95,,53.2,percent of total billed charges,95% of total billed charges,66.3,94.72,,53.04,percent of total billed charges,94.72% of total billed charges,69.15,98.79,,55.32,percent of total billed charges,98.79% of total billed charges,68.6,98,,54.88,percent of total billed charges,98% of total billed charges,68.6,98,,54.88,percent of total billed charges,98% of total billed charges,33.6,48,,26.88,percent of total billed charges,48% of total billed charges,31.5,45,,25.2,percent of total billed charges,45% of total billed charges,26.78,38.25,,21.42,percent of total billed charges,38.25% of total billed charges,31.5,45,,25.2,percent of total billed charges,45% of total billed charges,31.5,45,,25.2,percent of total billed charges,45% of total billed charges,26.78,69.15,
DRUG SCREEN COLLECTION NON DOT,5068013,CDM,300,RC,99001,HCPCS,OUTPATIENT,,,61,48.8,,57.95,95,,46.36,percent of total billed charges,95% of total billed charges,57.78,94.72,,46.22,percent of total billed charges,94.72% of total billed charges,60.26,98.79,,48.21,percent of total billed charges,98.79% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,29.28,48,,23.42,percent of total billed charges,48% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,23.33,38.25,,18.66,percent of total billed charges,38.25% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,23.33,60.26,
DNA BUCCAL SWAB COLLECTION,5068014,CDM,300,RC,,,OUTPATIENT,,,48,38.4,,45.6,95,,36.48,percent of total billed charges,95% of total billed charges,45.47,94.72,,36.38,percent of total billed charges,94.72% of total billed charges,47.42,98.79,,37.94,percent of total billed charges,98.79% of total billed charges,47.04,98,,37.63,percent of total billed charges,98% of total billed charges,47.04,98,,37.63,percent of total billed charges,98% of total billed charges,23.04,48,,18.43,percent of total billed charges,48% of total billed charges,21.6,45,,17.28,percent of total billed charges,45% of total billed charges,18.36,38.25,,14.69,percent of total billed charges,38.25% of total billed charges,21.6,45,,17.28,percent of total billed charges,45% of total billed charges,21.6,45,,17.28,percent of total billed charges,45% of total billed charges,18.36,47.42,
VET HEMOGRAM,5079000,CDM,300,RC,,,OUTPATIENT,,,13,10.4,,12.35,95,,9.88,percent of total billed charges,95% of total billed charges,12.31,94.72,,9.85,percent of total billed charges,94.72% of total billed charges,12.84,98.79,,10.27,percent of total billed charges,98.79% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,6.24,48,,4.99,percent of total billed charges,48% of total billed charges,5.85,45,,4.68,percent of total billed charges,45% of total billed charges,4.97,38.25,,3.98,percent of total billed charges,38.25% of total billed charges,5.85,45,,4.68,percent of total billed charges,45% of total billed charges,5.85,45,,4.68,percent of total billed charges,45% of total billed charges,4.97,12.84,
VET CMP,5079003,CDM,300,RC,,,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,10.8,45,,8.64,percent of total billed charges,45% of total billed charges,9.18,38.25,,7.34,percent of total billed charges,38.25% of total billed charges,10.8,45,,8.64,percent of total billed charges,45% of total billed charges,10.8,45,,8.64,percent of total billed charges,45% of total billed charges,9.18,23.71,
87632 URP RESPIRATORY VIRUSES PCR,5091897,CDM,300,RC,87632,HCPCS,OUTPATIENT,,,963,770.4,,914.85,95,,731.88,percent of total billed charges,95% of total billed charges,912.15,94.72,,729.72,percent of total billed charges,94.72% of total billed charges,951.35,98.79,,761.08,percent of total billed charges,98.79% of total billed charges,943.74,98,,754.99,percent of total billed charges,98% of total billed charges,943.74,98,,754.99,percent of total billed charges,98% of total billed charges,462.24,48,,369.79,percent of total billed charges,48% of total billed charges,218.06,100,,,fee schedule,100% of CMS fee schedule,185.35,85,,,fee schedule,85% of CMS fee schedule,218.06,100,,,fee schedule,100% of CMS fee schedule,218.06,100,,,fee schedule,100% of CMS fee schedule,185.35,951.35,
BREATH ALCOHOL TEST,7004601,CDM,300,RC,82075,HCPCS,OUTPATIENT,,,55,44,,52.25,95,,41.8,percent of total billed charges,95% of total billed charges,52.1,94.72,,41.68,percent of total billed charges,94.72% of total billed charges,54.33,98.79,,43.46,percent of total billed charges,98.79% of total billed charges,53.9,98,,43.12,percent of total billed charges,98% of total billed charges,53.9,98,,43.12,percent of total billed charges,98% of total billed charges,26.4,48,,21.12,percent of total billed charges,48% of total billed charges,30,100,,,fee schedule,100% of CMS fee schedule,25.5,85,,,fee schedule,85% of CMS fee schedule,30,100,,,fee schedule,100% of CMS fee schedule,30,100,,,fee schedule,100% of CMS fee schedule,25.5,54.33,
i-Stat Troponin,50684484,CDM,300,RC,84484,HCPCS,OUTPATIENT,,,114,91.2,,108.3,95,,86.64,percent of total billed charges,95% of total billed charges,107.98,94.72,,86.38,percent of total billed charges,94.72% of total billed charges,112.62,98.79,,90.1,percent of total billed charges,98.79% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,54.72,48,,43.78,percent of total billed charges,48% of total billed charges,12.47,100,,,fee schedule,100% of CMS fee schedule,10.6,85,,,fee schedule,85% of CMS fee schedule,12.47,100,,,fee schedule,100% of CMS fee schedule,12.47,100,,,fee schedule,100% of CMS fee schedule,10.6,112.62,
Blood Culture ID (Verigene) GN,50911000,CDM,300,RC,87154,HCPCS,OUTPATIENT,,,775,620,,736.25,95,,589,percent of total billed charges,95% of total billed charges,734.08,94.72,,587.26,percent of total billed charges,94.72% of total billed charges,765.62,98.79,,612.5,percent of total billed charges,98.79% of total billed charges,759.5,98,,607.6,percent of total billed charges,98% of total billed charges,759.5,98,,607.6,percent of total billed charges,98% of total billed charges,372,48,,297.6,percent of total billed charges,48% of total billed charges,218.06,100,,,fee schedule,100% of CMS fee schedule,185.35,85,,,fee schedule,85% of CMS fee schedule,218.06,100,,,fee schedule,100% of CMS fee schedule,218.06,100,,,fee schedule,100% of CMS fee schedule,185.35,765.62,
Blood Culture ID (Verigene) GP,50911001,CDM,300,RC,87154,HCPCS,OUTPATIENT,,,775,620,,736.25,95,,589,percent of total billed charges,95% of total billed charges,734.08,94.72,,587.26,percent of total billed charges,94.72% of total billed charges,765.62,98.79,,612.5,percent of total billed charges,98.79% of total billed charges,759.5,98,,607.6,percent of total billed charges,98% of total billed charges,759.5,98,,607.6,percent of total billed charges,98% of total billed charges,372,48,,297.6,percent of total billed charges,48% of total billed charges,218.06,100,,,fee schedule,100% of CMS fee schedule,185.35,85,,,fee schedule,85% of CMS fee schedule,218.06,100,,,fee schedule,100% of CMS fee schedule,218.06,100,,,fee schedule,100% of CMS fee schedule,185.35,765.62,
87633 Respiratory Pathogens Flex (Verigene),50911011,CDM,300,RC,87633,HCPCS,OUTPATIENT,,,876,700.8,,832.2,95,,665.76,percent of total billed charges,95% of total billed charges,829.75,94.72,,663.8,percent of total billed charges,94.72% of total billed charges,865.4,98.79,,692.32,percent of total billed charges,98.79% of total billed charges,858.48,98,,686.78,percent of total billed charges,98% of total billed charges,858.48,98,,686.78,percent of total billed charges,98% of total billed charges,420.48,48,,336.38,percent of total billed charges,48% of total billed charges,416.78,100,,,fee schedule,100% of CMS fee schedule,354.26,85,,,fee schedule,85% of CMS fee schedule,416.78,100,,,fee schedule,100% of CMS fee schedule,416.78,100,,,fee schedule,100% of CMS fee schedule,354.26,865.4,
Adenovirus- Verigene,50911011,CDM,300,RC,87633,HCPCS,OUTPATIENT,,,920,736,,874,95,,699.2,percent of total billed charges,95% of total billed charges,871.42,94.72,,697.14,percent of total billed charges,94.72% of total billed charges,908.87,98.79,,727.1,percent of total billed charges,98.79% of total billed charges,901.6,98,,721.28,percent of total billed charges,98% of total billed charges,901.6,98,,721.28,percent of total billed charges,98% of total billed charges,441.6,48,,353.28,percent of total billed charges,48% of total billed charges,416.78,100,,,fee schedule,100% of CMS fee schedule,354.26,85,,,fee schedule,85% of CMS fee schedule,416.78,100,,,fee schedule,100% of CMS fee schedule,416.78,100,,,fee schedule,100% of CMS fee schedule,354.26,908.87,
Bordetella parapertussis/B. bronchisepti,50911015,CDM,300,RC,87798,HCPCS,OUTPATIENT,,,222,177.6,,210.9,95,,168.72,percent of total billed charges,95% of total billed charges,210.28,94.72,,168.22,percent of total billed charges,94.72% of total billed charges,219.31,98.79,,175.45,percent of total billed charges,98.79% of total billed charges,217.56,98,,174.05,percent of total billed charges,98% of total billed charges,217.56,98,,174.05,percent of total billed charges,98% of total billed charges,106.56,48,,85.25,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,219.31,
Bordetella pertussis- Verigene,50911016,CDM,300,RC,87798,HCPCS,OUTPATIENT,,,222,177.6,,210.9,95,,168.72,percent of total billed charges,95% of total billed charges,210.28,94.72,,168.22,percent of total billed charges,94.72% of total billed charges,219.31,98.79,,175.45,percent of total billed charges,98.79% of total billed charges,217.56,98,,174.05,percent of total billed charges,98% of total billed charges,217.56,98,,174.05,percent of total billed charges,98% of total billed charges,106.56,48,,85.25,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,219.31,
Bordetella holmesii- Verigene,50911017,CDM,300,RC,87798,HCPCS,OUTPATIENT,,,222,177.6,,210.9,95,,168.72,percent of total billed charges,95% of total billed charges,210.28,94.72,,168.22,percent of total billed charges,94.72% of total billed charges,219.31,98.79,,175.45,percent of total billed charges,98.79% of total billed charges,217.56,98,,174.05,percent of total billed charges,98% of total billed charges,217.56,98,,174.05,percent of total billed charges,98% of total billed charges,106.56,48,,85.25,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,219.31,
Enteric Pathogens Test (Verigene),50911018,CDM,300,RC,87506,HCPCS,OUTPATIENT,,,580,464,,551,95,,440.8,percent of total billed charges,95% of total billed charges,549.38,94.72,,439.5,percent of total billed charges,94.72% of total billed charges,572.98,98.79,,458.38,percent of total billed charges,98.79% of total billed charges,568.4,98,,454.72,percent of total billed charges,98% of total billed charges,568.4,98,,454.72,percent of total billed charges,98% of total billed charges,278.4,48,,222.72,percent of total billed charges,48% of total billed charges,262.99,100,,,fee schedule,100% of CMS fee schedule,223.54,85,,,fee schedule,85% of CMS fee schedule,262.99,100,,,fee schedule,100% of CMS fee schedule,262.99,100,,,fee schedule,100% of CMS fee schedule,223.54,572.98,
Acinetobact (Verigene),50911030,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
Citrobacter (Verigene),50911031,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
Enterobact (Verigene),50911032,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
Proteus (Verigene),50911033,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
E.Coli (Verigene),50911034,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
K.oxytoca (Verigene),50911036,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
P. aeruginosa (Verigene),50911037,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
CTX-M (Verigene),50911038,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
KPC (Verigene),50911039,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
NDM (Verigene),50911040,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
VIM (Verigene),50911041,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
IMP (Verigene),50911042,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
OXA (Verigene),50911043,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
All Org Targ Neg(Verigene),50911044,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
All Resist Mark Neg(Verigene),50911046,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
Staphyloc spp.(Verigene),50911047,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
S.aureus (Verigene),50911048,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
S.epidermidis (Verigene),50911049,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
S.lugdunensis(Verigene),50911050,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
Streptococ spp.(Verigene),50911051,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
Strep anginosus gr(Verigene),50911052,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
Strep pneumon(Verigene),50911053,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
Strep aglactiae(Verigene),50911054,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
Strep pyogenes(Verigene),50911055,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
Enterococ faecalis(Verigene),50911056,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
Listeria spp.(Verigene),50911058,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,114,91.2,,108.3,95,,86.64,percent of total billed charges,95% of total billed charges,107.98,94.72,,86.38,percent of total billed charges,94.72% of total billed charges,112.62,98.79,,90.1,percent of total billed charges,98.79% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,54.72,48,,43.78,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,112.62,
mecA (Verigene),50911059,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
vanA (Verigene),50911060,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
vanB (Verigene),50911061,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
All Resist Mark Neg GP(Verigene),50911063,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
82962 GLUCOMETER GLUCOSE CHARGE,51061434,CDM,300,RC,82962,HCPCS,OUTPATIENT,,,32,25.6,,30.4,95,,24.32,percent of total billed charges,95% of total billed charges,30.31,94.72,,24.25,percent of total billed charges,94.72% of total billed charges,31.61,98.79,,25.29,percent of total billed charges,98.79% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,15.36,48,,12.29,percent of total billed charges,48% of total billed charges,3.28,100,,,fee schedule,100% of CMS fee schedule,2.79,85,,,fee schedule,85% of CMS fee schedule,3.28,100,,,fee schedule,100% of CMS fee schedule,3.28,100,,,fee schedule,100% of CMS fee schedule,2.79,31.61,
K.pneumon (Verigene),59011035,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
Enterococ faecium(Verigene),59011057,CDM,300,RC,87149,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,118.55,
MuSK Antibody UPHS,733143,CDM,301,RC,83519,HCPCS,OUTPATIENT,,,631,504.8,,599.45,95,,479.56,percent of total billed charges,95% of total billed charges,597.68,94.72,,478.14,percent of total billed charges,94.72% of total billed charges,623.36,98.79,,498.69,percent of total billed charges,98.79% of total billed charges,618.38,98,,494.7,percent of total billed charges,98% of total billed charges,618.38,98,,494.7,percent of total billed charges,98% of total billed charges,302.88,48,,242.3,percent of total billed charges,48% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,85,,,fee schedule,85% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,623.36,
SODIUM NA+,5061001,CDM,301,RC,84295,HCPCS,OUTPATIENT,,,40,32,,38,95,,30.4,percent of total billed charges,95% of total billed charges,37.89,94.72,,30.31,percent of total billed charges,94.72% of total billed charges,39.52,98.79,,31.62,percent of total billed charges,98.79% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,19.2,48,,15.36,percent of total billed charges,48% of total billed charges,4.81,100,,,fee schedule,100% of CMS fee schedule,4.09,85,,,fee schedule,85% of CMS fee schedule,4.81,100,,,fee schedule,100% of CMS fee schedule,4.81,100,,,fee schedule,100% of CMS fee schedule,4.09,39.52,
POTASSIUM K+,5061002,CDM,301,RC,84132,HCPCS,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,4.76,100,,,fee schedule,100% of CMS fee schedule,4.05,85,,,fee schedule,85% of CMS fee schedule,4.76,100,,,fee schedule,100% of CMS fee schedule,4.76,100,,,fee schedule,100% of CMS fee schedule,4.05,42.48,
CHLORIDE SERUM,5061003,CDM,301,RC,82435,HCPCS,OUTPATIENT,,,40,32,,38,95,,30.4,percent of total billed charges,95% of total billed charges,37.89,94.72,,30.31,percent of total billed charges,94.72% of total billed charges,39.52,98.79,,31.62,percent of total billed charges,98.79% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,19.2,48,,15.36,percent of total billed charges,48% of total billed charges,4.6,100,,,fee schedule,100% of CMS fee schedule,3.91,85,,,fee schedule,85% of CMS fee schedule,4.6,100,,,fee schedule,100% of CMS fee schedule,4.6,100,,,fee schedule,100% of CMS fee schedule,3.91,39.52,
ECO2,5061004,CDM,301,RC,82374,HCPCS,OUTPATIENT,,,40,32,,38,95,,30.4,percent of total billed charges,95% of total billed charges,37.89,94.72,,30.31,percent of total billed charges,94.72% of total billed charges,39.52,98.79,,31.62,percent of total billed charges,98.79% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,19.2,48,,15.36,percent of total billed charges,48% of total billed charges,4.88,100,,,fee schedule,100% of CMS fee schedule,4.15,85,,,fee schedule,85% of CMS fee schedule,4.88,100,,,fee schedule,100% of CMS fee schedule,4.88,100,,,fee schedule,100% of CMS fee schedule,4.15,39.52,
BUN,5061005,CDM,301,RC,84520,HCPCS,OUTPATIENT,,,44,35.2,,41.8,95,,33.44,percent of total billed charges,95% of total billed charges,41.68,94.72,,33.34,percent of total billed charges,94.72% of total billed charges,43.47,98.79,,34.78,percent of total billed charges,98.79% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,21.12,48,,16.9,percent of total billed charges,48% of total billed charges,3.95,100,,,fee schedule,100% of CMS fee schedule,3.36,85,,,fee schedule,85% of CMS fee schedule,3.95,100,,,fee schedule,100% of CMS fee schedule,3.95,100,,,fee schedule,100% of CMS fee schedule,3.36,43.47,
GLUCOSE,5061007,CDM,301,RC,82947,HCPCS,OUTPATIENT,,,46,36.8,,43.7,95,,34.96,percent of total billed charges,95% of total billed charges,43.57,94.72,,34.86,percent of total billed charges,94.72% of total billed charges,45.44,98.79,,36.35,percent of total billed charges,98.79% of total billed charges,45.08,98,,36.06,percent of total billed charges,98% of total billed charges,45.08,98,,36.06,percent of total billed charges,98% of total billed charges,22.08,48,,17.66,percent of total billed charges,48% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,3.34,85,,,fee schedule,85% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,3.34,45.44,
CALCIUM,5061008,CDM,301,RC,82310,HCPCS,OUTPATIENT,,,40,32,,38,95,,30.4,percent of total billed charges,95% of total billed charges,37.89,94.72,,30.31,percent of total billed charges,94.72% of total billed charges,39.52,98.79,,31.62,percent of total billed charges,98.79% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,19.2,48,,15.36,percent of total billed charges,48% of total billed charges,5.16,100,,,fee schedule,100% of CMS fee schedule,4.39,85,,,fee schedule,85% of CMS fee schedule,5.16,100,,,fee schedule,100% of CMS fee schedule,5.16,100,,,fee schedule,100% of CMS fee schedule,4.39,39.52,
PHOSPHORUS- PO4,5061009,CDM,301,RC,84100,HCPCS,OUTPATIENT,,,48,38.4,,45.6,95,,36.48,percent of total billed charges,95% of total billed charges,45.47,94.72,,36.38,percent of total billed charges,94.72% of total billed charges,47.42,98.79,,37.94,percent of total billed charges,98.79% of total billed charges,47.04,98,,37.63,percent of total billed charges,98% of total billed charges,47.04,98,,37.63,percent of total billed charges,98% of total billed charges,23.04,48,,18.43,percent of total billed charges,48% of total billed charges,4.74,100,,,fee schedule,100% of CMS fee schedule,4.03,85,,,fee schedule,85% of CMS fee schedule,4.74,100,,,fee schedule,100% of CMS fee schedule,4.74,100,,,fee schedule,100% of CMS fee schedule,4.03,47.42,
ALK PHOS,5061011,CDM,301,RC,84075,HCPCS,OUTPATIENT,,,40,32,,38,95,,30.4,percent of total billed charges,95% of total billed charges,37.89,94.72,,30.31,percent of total billed charges,94.72% of total billed charges,39.52,98.79,,31.62,percent of total billed charges,98.79% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,19.2,48,,15.36,percent of total billed charges,48% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,4.4,85,,,fee schedule,85% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,4.4,39.52,
ALT (SGPT),5061012,CDM,301,RC,84460,HCPCS,OUTPATIENT,,,40,32,,38,95,,30.4,percent of total billed charges,95% of total billed charges,37.89,94.72,,30.31,percent of total billed charges,94.72% of total billed charges,39.52,98.79,,31.62,percent of total billed charges,98.79% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,19.2,48,,15.36,percent of total billed charges,48% of total billed charges,5.3,100,,,fee schedule,100% of CMS fee schedule,4.51,85,,,fee schedule,85% of CMS fee schedule,5.3,100,,,fee schedule,100% of CMS fee schedule,5.3,100,,,fee schedule,100% of CMS fee schedule,4.51,39.52,
AST (SGOT),5061013,CDM,301,RC,84450,HCPCS,OUTPATIENT,,,40,32,,38,95,,30.4,percent of total billed charges,95% of total billed charges,37.89,94.72,,30.31,percent of total billed charges,94.72% of total billed charges,39.52,98.79,,31.62,percent of total billed charges,98.79% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,19.2,48,,15.36,percent of total billed charges,48% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,4.4,85,,,fee schedule,85% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,4.4,39.52,
CPK,5061014,CDM,301,RC,82550,HCPCS,OUTPATIENT,,,59,47.2,,56.05,95,,44.84,percent of total billed charges,95% of total billed charges,55.88,94.72,,44.7,percent of total billed charges,94.72% of total billed charges,58.29,98.79,,46.63,percent of total billed charges,98.79% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,28.32,48,,22.66,percent of total billed charges,48% of total billed charges,6.51,100,,,fee schedule,100% of CMS fee schedule,5.53,85,,,fee schedule,85% of CMS fee schedule,6.51,100,,,fee schedule,100% of CMS fee schedule,6.51,100,,,fee schedule,100% of CMS fee schedule,5.53,58.29,
CPK WITH CKMB IF INDICATED,5061014,CDM,301,RC,82550,HCPCS,OUTPATIENT,,,59,47.2,,56.05,95,,44.84,percent of total billed charges,95% of total billed charges,55.88,94.72,,44.7,percent of total billed charges,94.72% of total billed charges,58.29,98.79,,46.63,percent of total billed charges,98.79% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,28.32,48,,22.66,percent of total billed charges,48% of total billed charges,6.51,100,,,fee schedule,100% of CMS fee schedule,5.53,85,,,fee schedule,85% of CMS fee schedule,6.51,100,,,fee schedule,100% of CMS fee schedule,6.51,100,,,fee schedule,100% of CMS fee schedule,5.53,58.29,
CPK,5061014,CDM,301,RC,82550,HCPCS,OUTPATIENT,,,59,47.2,,56.05,95,,44.84,percent of total billed charges,95% of total billed charges,55.88,94.72,,44.7,percent of total billed charges,94.72% of total billed charges,58.29,98.79,,46.63,percent of total billed charges,98.79% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,28.32,48,,22.66,percent of total billed charges,48% of total billed charges,6.51,100,,,fee schedule,100% of CMS fee schedule,5.53,85,,,fee schedule,85% of CMS fee schedule,6.51,100,,,fee schedule,100% of CMS fee schedule,6.51,100,,,fee schedule,100% of CMS fee schedule,5.53,58.29,
BILIRUBIN TOTAL,5061017,CDM,301,RC,82247,HCPCS,OUTPATIENT,,,40,32,,38,95,,30.4,percent of total billed charges,95% of total billed charges,37.89,94.72,,30.31,percent of total billed charges,94.72% of total billed charges,39.52,98.79,,31.62,percent of total billed charges,98.79% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,19.2,48,,15.36,percent of total billed charges,48% of total billed charges,5.02,100,,,fee schedule,100% of CMS fee schedule,4.27,85,,,fee schedule,85% of CMS fee schedule,5.02,100,,,fee schedule,100% of CMS fee schedule,5.02,100,,,fee schedule,100% of CMS fee schedule,4.27,39.52,
BILIRUBIN DIRECT,5061020,CDM,301,RC,82248,HCPCS,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,5.02,100,,,fee schedule,100% of CMS fee schedule,4.27,85,,,fee schedule,85% of CMS fee schedule,5.02,100,,,fee schedule,100% of CMS fee schedule,5.02,100,,,fee schedule,100% of CMS fee schedule,4.27,42.48,
GLUCOSE TOLERANCE TEST 3 SPEC,5061020,CDM,301,RC,82951,HCPCS,OUTPATIENT,,,88,70.4,,83.6,95,,66.88,percent of total billed charges,95% of total billed charges,83.35,94.72,,66.68,percent of total billed charges,94.72% of total billed charges,86.94,98.79,,69.55,percent of total billed charges,98.79% of total billed charges,86.24,98,,68.99,percent of total billed charges,98% of total billed charges,86.24,98,,68.99,percent of total billed charges,98% of total billed charges,42.24,48,,33.79,percent of total billed charges,48% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,10.94,85,,,fee schedule,85% of CMS fee schedule,12.87,100,,,fee schedule,100% of CMS fee schedule,12.87,100,,,fee schedule,100% of CMS fee schedule,10.94,86.94,
TOTAL PROTEIN,5061021,CDM,301,RC,84155,HCPCS,OUTPATIENT,,,40,32,,38,95,,30.4,percent of total billed charges,95% of total billed charges,37.89,94.72,,30.31,percent of total billed charges,94.72% of total billed charges,39.52,98.79,,31.62,percent of total billed charges,98.79% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,19.2,48,,15.36,percent of total billed charges,48% of total billed charges,3.67,100,,,fee schedule,100% of CMS fee schedule,3.12,85,,,fee schedule,85% of CMS fee schedule,3.67,100,,,fee schedule,100% of CMS fee schedule,3.67,100,,,fee schedule,100% of CMS fee schedule,3.12,39.52,
ALBUMIN,5061022,CDM,301,RC,82040,HCPCS,OUTPATIENT,,,40,32,,38,95,,30.4,percent of total billed charges,95% of total billed charges,37.89,94.72,,30.31,percent of total billed charges,94.72% of total billed charges,39.52,98.79,,31.62,percent of total billed charges,98.79% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,19.2,48,,15.36,percent of total billed charges,48% of total billed charges,4.95,100,,,fee schedule,100% of CMS fee schedule,4.21,85,,,fee schedule,85% of CMS fee schedule,4.95,100,,,fee schedule,100% of CMS fee schedule,4.95,100,,,fee schedule,100% of CMS fee schedule,4.21,39.52,
CHOLESTEROL,5061024,CDM,301,RC,82465,HCPCS,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,4.35,100,,,fee schedule,100% of CMS fee schedule,3.7,85,,,fee schedule,85% of CMS fee schedule,4.35,100,,,fee schedule,100% of CMS fee schedule,4.35,100,,,fee schedule,100% of CMS fee schedule,3.7,42.48,
TRIGLYCERIDES,5061025,CDM,301,RC,84478,HCPCS,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,5.74,100,,,fee schedule,100% of CMS fee schedule,4.88,85,,,fee schedule,85% of CMS fee schedule,5.74,100,,,fee schedule,100% of CMS fee schedule,5.74,100,,,fee schedule,100% of CMS fee schedule,4.88,42.48,
HDL,5061026,CDM,301,RC,83718,HCPCS,OUTPATIENT,,,57,45.6,,54.15,95,,43.32,percent of total billed charges,95% of total billed charges,53.99,94.72,,43.19,percent of total billed charges,94.72% of total billed charges,56.31,98.79,,45.05,percent of total billed charges,98.79% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,27.36,48,,21.89,percent of total billed charges,48% of total billed charges,8.19,100,,,fee schedule,100% of CMS fee schedule,6.96,85,,,fee schedule,85% of CMS fee schedule,8.19,100,,,fee schedule,100% of CMS fee schedule,8.19,100,,,fee schedule,100% of CMS fee schedule,6.96,56.31,
DIGOXIN,5061044,CDM,301,RC,80162,HCPCS,OUTPATIENT,,,129,103.2,,122.55,95,,98.04,percent of total billed charges,95% of total billed charges,122.19,94.72,,97.75,percent of total billed charges,94.72% of total billed charges,127.44,98.79,,101.95,percent of total billed charges,98.79% of total billed charges,126.42,98,,101.14,percent of total billed charges,98% of total billed charges,126.42,98,,101.14,percent of total billed charges,98% of total billed charges,61.92,48,,49.54,percent of total billed charges,48% of total billed charges,13.28,100,,,fee schedule,100% of CMS fee schedule,11.29,85,,,fee schedule,85% of CMS fee schedule,13.28,100,,,fee schedule,100% of CMS fee schedule,13.28,100,,,fee schedule,100% of CMS fee schedule,11.29,127.44,
DILANTIN,5061045,CDM,301,RC,80185,HCPCS,OUTPATIENT,,,123,98.4,,116.85,95,,93.48,percent of total billed charges,95% of total billed charges,116.51,94.72,,93.21,percent of total billed charges,94.72% of total billed charges,121.51,98.79,,97.21,percent of total billed charges,98.79% of total billed charges,120.54,98,,96.43,percent of total billed charges,98% of total billed charges,120.54,98,,96.43,percent of total billed charges,98% of total billed charges,59.04,48,,47.23,percent of total billed charges,48% of total billed charges,13.25,100,,,fee schedule,100% of CMS fee schedule,11.26,85,,,fee schedule,85% of CMS fee schedule,13.25,100,,,fee schedule,100% of CMS fee schedule,13.25,100,,,fee schedule,100% of CMS fee schedule,11.26,121.51,
VALPROIC ACID,5061046,CDM,301,RC,80164,HCPCS,OUTPATIENT,,,113,90.4,,107.35,95,,85.88,percent of total billed charges,95% of total billed charges,107.03,94.72,,85.62,percent of total billed charges,94.72% of total billed charges,111.63,98.79,,89.3,percent of total billed charges,98.79% of total billed charges,110.74,98,,88.59,percent of total billed charges,98% of total billed charges,110.74,98,,88.59,percent of total billed charges,98% of total billed charges,54.24,48,,43.39,percent of total billed charges,48% of total billed charges,13.54,100,,,fee schedule,100% of CMS fee schedule,11.51,85,,,fee schedule,85% of CMS fee schedule,13.54,100,,,fee schedule,100% of CMS fee schedule,13.54,100,,,fee schedule,100% of CMS fee schedule,11.51,111.63,
CARBAMAZAPINE,5061047,CDM,301,RC,80156,HCPCS,OUTPATIENT,,,111,88.8,,105.45,95,,84.36,percent of total billed charges,95% of total billed charges,105.14,94.72,,84.11,percent of total billed charges,94.72% of total billed charges,109.66,98.79,,87.73,percent of total billed charges,98.79% of total billed charges,108.78,98,,87.02,percent of total billed charges,98% of total billed charges,108.78,98,,87.02,percent of total billed charges,98% of total billed charges,53.28,48,,42.62,percent of total billed charges,48% of total billed charges,14.57,100,,,fee schedule,100% of CMS fee schedule,12.38,85,,,fee schedule,85% of CMS fee schedule,14.57,100,,,fee schedule,100% of CMS fee schedule,14.57,100,,,fee schedule,100% of CMS fee schedule,12.38,109.66,
THEOPHYLLINE,5061048,CDM,301,RC,80198,HCPCS,OUTPATIENT,,,95,76,,90.25,95,,72.2,percent of total billed charges,95% of total billed charges,89.98,94.72,,71.98,percent of total billed charges,94.72% of total billed charges,93.85,98.79,,75.08,percent of total billed charges,98.79% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,45.6,48,,36.48,percent of total billed charges,48% of total billed charges,14.14,100,,,fee schedule,100% of CMS fee schedule,12.02,85,,,fee schedule,85% of CMS fee schedule,14.14,100,,,fee schedule,100% of CMS fee schedule,14.14,100,,,fee schedule,100% of CMS fee schedule,12.02,93.85,
CKMB,5061049,CDM,301,RC,82553,HCPCS,OUTPATIENT,,,104,83.2,,98.8,95,,79.04,percent of total billed charges,95% of total billed charges,98.51,94.72,,78.81,percent of total billed charges,94.72% of total billed charges,102.74,98.79,,82.19,percent of total billed charges,98.79% of total billed charges,101.92,98,,81.54,percent of total billed charges,98% of total billed charges,101.92,98,,81.54,percent of total billed charges,98% of total billed charges,49.92,48,,39.94,percent of total billed charges,48% of total billed charges,11.55,100,,,fee schedule,100% of CMS fee schedule,9.82,85,,,fee schedule,85% of CMS fee schedule,11.55,100,,,fee schedule,100% of CMS fee schedule,11.55,100,,,fee schedule,100% of CMS fee schedule,9.82,102.74,
HCG QUANTITATIVE,5061050,CDM,301,RC,84702,HCPCS,OUTPATIENT,,,144,115.2,,136.8,95,,109.44,percent of total billed charges,95% of total billed charges,136.4,94.72,,109.12,percent of total billed charges,94.72% of total billed charges,142.26,98.79,,113.81,percent of total billed charges,98.79% of total billed charges,141.12,98,,112.9,percent of total billed charges,98% of total billed charges,141.12,98,,112.9,percent of total billed charges,98% of total billed charges,69.12,48,,55.3,percent of total billed charges,48% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,12.79,85,,,fee schedule,85% of CMS fee schedule,15.05,100,,,fee schedule,100% of CMS fee schedule,15.05,100,,,fee schedule,100% of CMS fee schedule,12.79,142.26,
GENTAMICIN PEAK,5061051,CDM,301,RC,80170,HCPCS,OUTPATIENT,,,95,76,,90.25,95,,72.2,percent of total billed charges,95% of total billed charges,89.98,94.72,,71.98,percent of total billed charges,94.72% of total billed charges,93.85,98.79,,75.08,percent of total billed charges,98.79% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,45.6,48,,36.48,percent of total billed charges,48% of total billed charges,16.38,100,,,fee schedule,100% of CMS fee schedule,13.92,85,,,fee schedule,85% of CMS fee schedule,16.38,100,,,fee schedule,100% of CMS fee schedule,16.38,100,,,fee schedule,100% of CMS fee schedule,13.92,93.85,
GENTAMICIN TROUGH,5061052,CDM,301,RC,80170,HCPCS,OUTPATIENT,,,95,76,,90.25,95,,72.2,percent of total billed charges,95% of total billed charges,89.98,94.72,,71.98,percent of total billed charges,94.72% of total billed charges,93.85,98.79,,75.08,percent of total billed charges,98.79% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,45.6,48,,36.48,percent of total billed charges,48% of total billed charges,16.38,100,,,fee schedule,100% of CMS fee schedule,13.92,85,,,fee schedule,85% of CMS fee schedule,16.38,100,,,fee schedule,100% of CMS fee schedule,16.38,100,,,fee schedule,100% of CMS fee schedule,13.92,93.85,
GENTAMICIN,5061053,CDM,301,RC,80170,HCPCS,OUTPATIENT,,,81,64.8,,76.95,95,,61.56,percent of total billed charges,95% of total billed charges,76.72,94.72,,61.38,percent of total billed charges,94.72% of total billed charges,80.02,98.79,,64.02,percent of total billed charges,98.79% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,38.88,48,,31.1,percent of total billed charges,48% of total billed charges,16.38,100,,,fee schedule,100% of CMS fee schedule,13.92,85,,,fee schedule,85% of CMS fee schedule,16.38,100,,,fee schedule,100% of CMS fee schedule,16.38,100,,,fee schedule,100% of CMS fee schedule,13.92,80.02,
TROPONIN,5061054,CDM,301,RC,84484,HCPCS,OUTPATIENT,,,114,91.2,,108.3,95,,86.64,percent of total billed charges,95% of total billed charges,107.98,94.72,,86.38,percent of total billed charges,94.72% of total billed charges,112.62,98.79,,90.1,percent of total billed charges,98.79% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,54.72,48,,43.78,percent of total billed charges,48% of total billed charges,12.47,100,,,fee schedule,100% of CMS fee schedule,10.6,85,,,fee schedule,85% of CMS fee schedule,12.47,100,,,fee schedule,100% of CMS fee schedule,12.47,100,,,fee schedule,100% of CMS fee schedule,10.6,112.62,
CELIAC DISEASE SEROLOGY CASCADE  ( Has reflex),5061078,CDM,301,RC,82784,HCPCS,OUTPATIENT,,,69,55.2,,65.55,95,,52.44,percent of total billed charges,95% of total billed charges,65.36,94.72,,52.29,percent of total billed charges,94.72% of total billed charges,68.17,98.79,,54.54,percent of total billed charges,98.79% of total billed charges,67.62,98,,54.1,percent of total billed charges,98% of total billed charges,67.62,98,,54.1,percent of total billed charges,98% of total billed charges,33.12,48,,26.5,percent of total billed charges,48% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,7.91,85,,,fee schedule,85% of CMS fee schedule,9.3,100,,,fee schedule,100% of CMS fee schedule,9.3,100,,,fee schedule,100% of CMS fee schedule,7.91,68.17,
VENOUS BLOOD GAS ANALYSIS,5061083,CDM,301,RC,82803,HCPCS,OUTPATIENT,,,81,64.8,,76.95,95,,61.56,percent of total billed charges,95% of total billed charges,76.72,94.72,,61.38,percent of total billed charges,94.72% of total billed charges,80.02,98.79,,64.02,percent of total billed charges,98.79% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,38.88,48,,31.1,percent of total billed charges,48% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,22.16,85,,,fee schedule,85% of CMS fee schedule,26.07,100,,,fee schedule,100% of CMS fee schedule,26.07,100,,,fee schedule,100% of CMS fee schedule,22.16,80.02,
pH ARTERIAL,5061086,CDM,301,RC,82803,HCPCS,OUTPATIENT,,,167,133.6,,158.65,95,,126.92,percent of total billed charges,95% of total billed charges,158.18,94.72,,126.54,percent of total billed charges,94.72% of total billed charges,164.98,98.79,,131.98,percent of total billed charges,98.79% of total billed charges,163.66,98,,130.93,percent of total billed charges,98% of total billed charges,163.66,98,,130.93,percent of total billed charges,98% of total billed charges,80.16,48,,64.13,percent of total billed charges,48% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,22.16,85,,,fee schedule,85% of CMS fee schedule,26.07,100,,,fee schedule,100% of CMS fee schedule,26.07,100,,,fee schedule,100% of CMS fee schedule,22.16,164.98,
PREGNANCY SERUM,5061097,CDM,301,RC,84703,HCPCS,OUTPATIENT,,,93,74.4,,88.35,95,,70.68,percent of total billed charges,95% of total billed charges,88.09,94.72,,70.47,percent of total billed charges,94.72% of total billed charges,91.87,98.79,,73.5,percent of total billed charges,98.79% of total billed charges,91.14,98,,72.91,percent of total billed charges,98% of total billed charges,91.14,98,,72.91,percent of total billed charges,98% of total billed charges,44.64,48,,35.71,percent of total billed charges,48% of total billed charges,7.52,100,,,fee schedule,100% of CMS fee schedule,6.39,85,,,fee schedule,85% of CMS fee schedule,7.52,100,,,fee schedule,100% of CMS fee schedule,7.52,100,,,fee schedule,100% of CMS fee schedule,6.39,91.87,
ASO,5061101,CDM,301,RC,86060,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,7.3,100,,,fee schedule,100% of CMS fee schedule,6.21,85,,,fee schedule,85% of CMS fee schedule,7.3,100,,,fee schedule,100% of CMS fee schedule,7.3,100,,,fee schedule,100% of CMS fee schedule,5.28,10.87,
ALDOLASE,5061112,CDM,301,RC,82085,HCPCS,OUTPATIENT,,,13,10.4,,12.35,95,,9.88,percent of total billed charges,95% of total billed charges,12.31,94.72,,9.85,percent of total billed charges,94.72% of total billed charges,12.84,98.79,,10.27,percent of total billed charges,98.79% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,6.24,48,,4.99,percent of total billed charges,48% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,8.25,85,,,fee schedule,85% of CMS fee schedule,9.71,100,,,fee schedule,100% of CMS fee schedule,9.71,100,,,fee schedule,100% of CMS fee schedule,6.24,12.84,
ALDOSTERONE,5061113,CDM,301,RC,82088,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,40.75,100,,,fee schedule,100% of CMS fee schedule,34.64,85,,,fee schedule,85% of CMS fee schedule,40.75,100,,,fee schedule,100% of CMS fee schedule,40.75,100,,,fee schedule,100% of CMS fee schedule,11.52,40.75,
AFP - TUMOR MARKER,5061114,CDM,301,RC,82105,HCPCS,OUTPATIENT,,,22,17.6,,20.9,95,,16.72,percent of total billed charges,95% of total billed charges,20.84,94.72,,16.67,percent of total billed charges,94.72% of total billed charges,21.73,98.79,,17.38,percent of total billed charges,98.79% of total billed charges,21.56,98,,17.25,percent of total billed charges,98% of total billed charges,21.56,98,,17.25,percent of total billed charges,98% of total billed charges,10.56,48,,8.45,percent of total billed charges,48% of total billed charges,16.77,100,,,fee schedule,100% of CMS fee schedule,14.25,85,,,fee schedule,85% of CMS fee schedule,16.77,100,,,fee schedule,100% of CMS fee schedule,16.77,100,,,fee schedule,100% of CMS fee schedule,10.56,21.73,
ACTH (ADRENOCORTICOTROPIC HORMONE),5061116,CDM,301,RC,82024,HCPCS,OUTPATIENT,,,17,13.6,,16.15,95,,12.92,percent of total billed charges,95% of total billed charges,16.1,94.72,,12.88,percent of total billed charges,94.72% of total billed charges,16.79,98.79,,13.43,percent of total billed charges,98.79% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,8.16,48,,6.53,percent of total billed charges,48% of total billed charges,38.62,100,,,fee schedule,100% of CMS fee schedule,32.83,85,,,fee schedule,85% of CMS fee schedule,38.62,100,,,fee schedule,100% of CMS fee schedule,38.62,100,,,fee schedule,100% of CMS fee schedule,8.16,38.62,
ANGIOTENSIN CONVERT ENZYME (ACE),5061120,CDM,301,RC,82164,HCPCS,OUTPATIENT,,,90,72,,85.5,95,,68.4,percent of total billed charges,95% of total billed charges,85.25,94.72,,68.2,percent of total billed charges,94.72% of total billed charges,88.91,98.79,,71.13,percent of total billed charges,98.79% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,43.2,48,,34.56,percent of total billed charges,48% of total billed charges,14.6,100,,,fee schedule,100% of CMS fee schedule,12.41,85,,,fee schedule,85% of CMS fee schedule,14.6,100,,,fee schedule,100% of CMS fee schedule,14.6,100,,,fee schedule,100% of CMS fee schedule,12.41,88.91,
AMMONIA,5061122,CDM,301,RC,82140,HCPCS,OUTPATIENT,,,102,81.6,,96.9,95,,77.52,percent of total billed charges,95% of total billed charges,96.61,94.72,,77.29,percent of total billed charges,94.72% of total billed charges,100.77,98.79,,80.62,percent of total billed charges,98.79% of total billed charges,99.96,98,,79.97,percent of total billed charges,98% of total billed charges,99.96,98,,79.97,percent of total billed charges,98% of total billed charges,48.96,48,,39.17,percent of total billed charges,48% of total billed charges,14.57,100,,,fee schedule,100% of CMS fee schedule,12.38,85,,,fee schedule,85% of CMS fee schedule,14.57,100,,,fee schedule,100% of CMS fee schedule,14.57,100,,,fee schedule,100% of CMS fee schedule,12.38,100.77,
BETA 2 MICROGLOBULIN SERUM/PLASMA,5061128,CDM,301,RC,82232,HCPCS,OUTPATIENT,,,140,112,,133,95,,106.4,percent of total billed charges,95% of total billed charges,132.61,94.72,,106.09,percent of total billed charges,94.72% of total billed charges,138.31,98.79,,110.65,percent of total billed charges,98.79% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,67.2,48,,53.76,percent of total billed charges,48% of total billed charges,16.18,100,,,fee schedule,100% of CMS fee schedule,13.75,85,,,fee schedule,85% of CMS fee schedule,16.18,100,,,fee schedule,100% of CMS fee schedule,16.18,100,,,fee schedule,100% of CMS fee schedule,13.75,138.31,
BETA HUMAN CHORIONIC GONADOTROPIN UPHS,5061129,CDM,301,RC,84702,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,12.79,85,,,fee schedule,85% of CMS fee schedule,15.05,100,,,fee schedule,100% of CMS fee schedule,15.05,100,,,fee schedule,100% of CMS fee schedule,7.68,15.81,
IONIZED CALCIUM,5061135,CDM,301,RC,82330,HCPCS,OUTPATIENT,,,140,112,,133,95,,106.4,percent of total billed charges,95% of total billed charges,132.61,94.72,,106.09,percent of total billed charges,94.72% of total billed charges,138.31,98.79,,110.65,percent of total billed charges,98.79% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,67.2,48,,53.76,percent of total billed charges,48% of total billed charges,13.68,100,,,fee schedule,100% of CMS fee schedule,11.63,85,,,fee schedule,85% of CMS fee schedule,13.68,100,,,fee schedule,100% of CMS fee schedule,13.68,100,,,fee schedule,100% of CMS fee schedule,11.63,138.31,
CEA,5061138,CDM,301,RC,82378,HCPCS,OUTPATIENT,,,134,107.2,,127.3,95,,101.84,percent of total billed charges,95% of total billed charges,126.92,94.72,,101.54,percent of total billed charges,94.72% of total billed charges,132.38,98.79,,105.9,percent of total billed charges,98.79% of total billed charges,131.32,98,,105.06,percent of total billed charges,98% of total billed charges,131.32,98,,105.06,percent of total billed charges,98% of total billed charges,64.32,48,,51.46,percent of total billed charges,48% of total billed charges,18.96,100,,,fee schedule,100% of CMS fee schedule,16.12,85,,,fee schedule,85% of CMS fee schedule,18.96,100,,,fee schedule,100% of CMS fee schedule,18.96,100,,,fee schedule,100% of CMS fee schedule,16.12,132.38,
CAROTENES  (BETA),5061140,CDM,301,RC,82380,HCPCS,OUTPATIENT,,,95,76,,90.25,95,,72.2,percent of total billed charges,95% of total billed charges,89.98,94.72,,71.98,percent of total billed charges,94.72% of total billed charges,93.85,98.79,,75.08,percent of total billed charges,98.79% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,45.6,48,,36.48,percent of total billed charges,48% of total billed charges,9.22,100,,,fee schedule,100% of CMS fee schedule,7.84,85,,,fee schedule,85% of CMS fee schedule,9.22,100,,,fee schedule,100% of CMS fee schedule,9.22,100,,,fee schedule,100% of CMS fee schedule,7.84,93.85,
CATECHOLAMINES FRACTIONATED 24HR URINE,5061141,CDM,301,RC,82384,HCPCS,OUTPATIENT,,,127,101.6,,120.65,95,,96.52,percent of total billed charges,95% of total billed charges,120.29,94.72,,96.23,percent of total billed charges,94.72% of total billed charges,125.46,98.79,,100.37,percent of total billed charges,98.79% of total billed charges,124.46,98,,99.57,percent of total billed charges,98% of total billed charges,124.46,98,,99.57,percent of total billed charges,98% of total billed charges,60.96,48,,48.77,percent of total billed charges,48% of total billed charges,25.25,100,,,fee schedule,100% of CMS fee schedule,21.46,85,,,fee schedule,85% of CMS fee schedule,25.25,100,,,fee schedule,100% of CMS fee schedule,25.25,100,,,fee schedule,100% of CMS fee schedule,21.46,125.46,
CERULOPLASMIN,5061142,CDM,301,RC,82390,HCPCS,OUTPATIENT,,,107,85.6,,101.65,95,,81.32,percent of total billed charges,95% of total billed charges,101.35,94.72,,81.08,percent of total billed charges,94.72% of total billed charges,105.71,98.79,,84.57,percent of total billed charges,98.79% of total billed charges,104.86,98,,83.89,percent of total billed charges,98% of total billed charges,104.86,98,,83.89,percent of total billed charges,98% of total billed charges,51.36,48,,41.09,percent of total billed charges,48% of total billed charges,10.74,100,,,fee schedule,100% of CMS fee schedule,9.13,85,,,fee schedule,85% of CMS fee schedule,10.74,100,,,fee schedule,100% of CMS fee schedule,10.74,100,,,fee schedule,100% of CMS fee schedule,9.13,105.71,
CLOZAPINE,5061147,CDM,301,RC,80159,HCPCS,OUTPATIENT,,,191,152.8,,181.45,95,,145.16,percent of total billed charges,95% of total billed charges,180.92,94.72,,144.74,percent of total billed charges,94.72% of total billed charges,188.69,98.79,,150.95,percent of total billed charges,98.79% of total billed charges,187.18,98,,149.74,percent of total billed charges,98% of total billed charges,187.18,98,,149.74,percent of total billed charges,98% of total billed charges,91.68,48,,73.34,percent of total billed charges,48% of total billed charges,20.15,100,,,fee schedule,100% of CMS fee schedule,17.13,85,,,fee schedule,85% of CMS fee schedule,20.15,100,,,fee schedule,100% of CMS fee schedule,20.15,100,,,fee schedule,100% of CMS fee schedule,17.13,188.69,
COPPER SERUM,5061150,CDM,301,RC,82525,HCPCS,OUTPATIENT,,,122,97.6,,115.9,95,,92.72,percent of total billed charges,95% of total billed charges,115.56,94.72,,92.45,percent of total billed charges,94.72% of total billed charges,120.52,98.79,,96.42,percent of total billed charges,98.79% of total billed charges,119.56,98,,95.65,percent of total billed charges,98% of total billed charges,119.56,98,,95.65,percent of total billed charges,98% of total billed charges,58.56,48,,46.85,percent of total billed charges,48% of total billed charges,12.41,100,,,fee schedule,100% of CMS fee schedule,10.55,85,,,fee schedule,85% of CMS fee schedule,12.41,100,,,fee schedule,100% of CMS fee schedule,12.41,100,,,fee schedule,100% of CMS fee schedule,10.55,120.52,
CORTISOL URINE,5061152,CDM,301,RC,82530,HCPCS,OUTPATIENT,,,121,96.8,,114.95,95,,91.96,percent of total billed charges,95% of total billed charges,114.61,94.72,,91.69,percent of total billed charges,94.72% of total billed charges,119.54,98.79,,95.63,percent of total billed charges,98.79% of total billed charges,118.58,98,,94.86,percent of total billed charges,98% of total billed charges,118.58,98,,94.86,percent of total billed charges,98% of total billed charges,58.08,48,,46.46,percent of total billed charges,48% of total billed charges,16.71,100,,,fee schedule,100% of CMS fee schedule,14.2,85,,,fee schedule,85% of CMS fee schedule,16.71,100,,,fee schedule,100% of CMS fee schedule,16.71,100,,,fee schedule,100% of CMS fee schedule,14.2,119.54,
CRYOGLOBULINS,5061155,CDM,301,RC,82595,HCPCS,OUTPATIENT,,,57,45.6,,54.15,95,,43.32,percent of total billed charges,95% of total billed charges,53.99,94.72,,43.19,percent of total billed charges,94.72% of total billed charges,56.31,98.79,,45.05,percent of total billed charges,98.79% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,27.36,48,,21.89,percent of total billed charges,48% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,5.5,85,,,fee schedule,85% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,5.5,56.31,
DIAZEPAM AND NORDIAZEPAM,5061163,CDM,301,RC,G0480,HCPCS,OUTPATIENT,,,131,104.8,,124.45,95,,99.56,percent of total billed charges,95% of total billed charges,124.08,94.72,,99.26,percent of total billed charges,94.72% of total billed charges,129.41,98.79,,103.53,percent of total billed charges,98.79% of total billed charges,128.38,98,,102.7,percent of total billed charges,98% of total billed charges,128.38,98,,102.7,percent of total billed charges,98% of total billed charges,62.88,48,,50.3,percent of total billed charges,48% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,97.27,85,,,fee schedule,85% of CMS fee schedule,114.43,100,,,fee schedule,100% of CMS fee schedule,114.43,100,,,fee schedule,100% of CMS fee schedule,62.88,129.41,
ERYTHROPOEITIN,5061171,CDM,301,RC,82668,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,18.79,100,,,fee schedule,100% of CMS fee schedule,15.97,85,,,fee schedule,85% of CMS fee schedule,18.79,100,,,fee schedule,100% of CMS fee schedule,18.79,100,,,fee schedule,100% of CMS fee schedule,5.28,18.79,
ESTRADIOL,5061172,CDM,301,RC,82670,HCPCS,OUTPATIENT,,,35,28,,33.25,95,,26.6,percent of total billed charges,95% of total billed charges,33.15,94.72,,26.52,percent of total billed charges,94.72% of total billed charges,34.58,98.79,,27.66,percent of total billed charges,98.79% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,16.8,48,,13.44,percent of total billed charges,48% of total billed charges,27.94,100,,,fee schedule,100% of CMS fee schedule,23.75,85,,,fee schedule,85% of CMS fee schedule,27.94,100,,,fee schedule,100% of CMS fee schedule,27.94,100,,,fee schedule,100% of CMS fee schedule,16.8,34.58,
ETHOSUXIMIDE,5061173,CDM,301,RC,80168,HCPCS,OUTPATIENT,,,118,94.4,,112.1,95,,89.68,percent of total billed charges,95% of total billed charges,111.77,94.72,,89.42,percent of total billed charges,94.72% of total billed charges,116.57,98.79,,93.26,percent of total billed charges,98.79% of total billed charges,115.64,98,,92.51,percent of total billed charges,98% of total billed charges,115.64,98,,92.51,percent of total billed charges,98% of total billed charges,56.64,48,,45.31,percent of total billed charges,48% of total billed charges,16.34,100,,,fee schedule,100% of CMS fee schedule,13.89,85,,,fee schedule,85% of CMS fee schedule,16.34,100,,,fee schedule,100% of CMS fee schedule,16.34,100,,,fee schedule,100% of CMS fee schedule,13.89,116.57,
NEURONTIN,5061181,CDM,301,RC,80171,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,21.67,100,,,fee schedule,100% of CMS fee schedule,18.42,85,,,fee schedule,85% of CMS fee schedule,21.67,100,,,fee schedule,100% of CMS fee schedule,21.67,100,,,fee schedule,100% of CMS fee schedule,11.52,23.71,
GGT,5061182,CDM,301,RC,82977,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,7.2,100,,,fee schedule,100% of CMS fee schedule,6.12,85,,,fee schedule,85% of CMS fee schedule,7.2,100,,,fee schedule,100% of CMS fee schedule,7.2,100,,,fee schedule,100% of CMS fee schedule,5.28,10.87,
HAPTOGLOBIN,5061188,CDM,301,RC,83010,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,12.58,100,,,fee schedule,100% of CMS fee schedule,10.69,85,,,fee schedule,85% of CMS fee schedule,12.58,100,,,fee schedule,100% of CMS fee schedule,12.58,100,,,fee schedule,100% of CMS fee schedule,7.68,15.81,
Plasma Hemoglobin UPHS,5061192,CDM,301,RC,83051,HCPCS,OUTPATIENT,,,24,19.2,90,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,7.31,100,,,fee schedule,100% of CMS fee schedule,6.21,85,,,fee schedule,85% of CMS fee schedule,7.31,100,,,fee schedule,100% of CMS fee schedule,7.31,100,,,fee schedule,100% of CMS fee schedule,6.21,23.71,
IGG,5061203,CDM,301,RC,82784,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,7.91,85,,,fee schedule,85% of CMS fee schedule,9.3,100,,,fee schedule,100% of CMS fee schedule,9.3,100,,,fee schedule,100% of CMS fee schedule,5.28,10.87,
82784 IGG,5061203,CDM,301,RC,82784,HCPCS,OUTPATIENT,,,12,9.6,,11.4,95,,9.12,percent of total billed charges,95% of total billed charges,11.37,94.72,,9.1,percent of total billed charges,94.72% of total billed charges,11.85,98.79,,9.48,percent of total billed charges,98.79% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,5.76,48,,4.61,percent of total billed charges,48% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,7.91,85,,,fee schedule,85% of CMS fee schedule,9.3,100,,,fee schedule,100% of CMS fee schedule,9.3,100,,,fee schedule,100% of CMS fee schedule,5.76,11.85,
IGE,5061205,CDM,301,RC,82785,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,16.46,100,,,fee schedule,100% of CMS fee schedule,13.99,85,,,fee schedule,85% of CMS fee schedule,16.46,100,,,fee schedule,100% of CMS fee schedule,16.46,100,,,fee schedule,100% of CMS fee schedule,5.28,16.46,
IGM,5061206,CDM,301,RC,82784,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,7.91,85,,,fee schedule,85% of CMS fee schedule,9.3,100,,,fee schedule,100% of CMS fee schedule,9.3,100,,,fee schedule,100% of CMS fee schedule,5.28,10.87,
82784 IGM,5061206,CDM,301,RC,82784,HCPCS,OUTPATIENT,,,12,9.6,,11.4,95,,9.12,percent of total billed charges,95% of total billed charges,11.37,94.72,,9.1,percent of total billed charges,94.72% of total billed charges,11.85,98.79,,9.48,percent of total billed charges,98.79% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,5.76,48,,4.61,percent of total billed charges,48% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,7.91,85,,,fee schedule,85% of CMS fee schedule,9.3,100,,,fee schedule,100% of CMS fee schedule,9.3,100,,,fee schedule,100% of CMS fee schedule,5.76,11.85,
IGA,5061209,CDM,301,RC,82784,HCPCS,OUTPATIENT,,,12,9.6,,11.4,95,,9.12,percent of total billed charges,95% of total billed charges,11.37,94.72,,9.1,percent of total billed charges,94.72% of total billed charges,11.85,98.79,,9.48,percent of total billed charges,98.79% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,5.76,48,,4.61,percent of total billed charges,48% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,7.91,85,,,fee schedule,85% of CMS fee schedule,9.3,100,,,fee schedule,100% of CMS fee schedule,9.3,100,,,fee schedule,100% of CMS fee schedule,5.76,11.85,
THYROID STIMULATING IMMUNOGLOBULINS,5061212,CDM,301,RC,84445,HCPCS,OUTPATIENT,,,173,138.4,,164.35,95,,131.48,percent of total billed charges,95% of total billed charges,163.87,94.72,,131.1,percent of total billed charges,94.72% of total billed charges,170.91,98.79,,136.73,percent of total billed charges,98.79% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,83.04,48,,66.43,percent of total billed charges,48% of total billed charges,50.86,100,,,fee schedule,100% of CMS fee schedule,43.23,85,,,fee schedule,85% of CMS fee schedule,50.86,100,,,fee schedule,100% of CMS fee schedule,50.86,100,,,fee schedule,100% of CMS fee schedule,43.23,170.91,
LEAD LEVEL ADULT (16YR  OLDER),5061213,CDM,301,RC,83655,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,10.29,85,,,fee schedule,85% of CMS fee schedule,12.11,100,,,fee schedule,100% of CMS fee schedule,12.11,100,,,fee schedule,100% of CMS fee schedule,5.28,12.11,
LITHIUM,5061218,CDM,301,RC,80178,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,6.61,100,,,fee schedule,100% of CMS fee schedule,5.62,85,,,fee schedule,85% of CMS fee schedule,6.61,100,,,fee schedule,100% of CMS fee schedule,6.61,100,,,fee schedule,100% of CMS fee schedule,5.62,23.71,
METANEPHRINES URINE 24HR,5061222,CDM,301,RC,83835,HCPCS,OUTPATIENT,,,32,25.6,,30.4,95,,24.32,percent of total billed charges,95% of total billed charges,30.31,94.72,,24.25,percent of total billed charges,94.72% of total billed charges,31.61,98.79,,25.29,percent of total billed charges,98.79% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,15.36,48,,12.29,percent of total billed charges,48% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,14.4,85,,,fee schedule,85% of CMS fee schedule,16.94,100,,,fee schedule,100% of CMS fee schedule,16.94,100,,,fee schedule,100% of CMS fee schedule,14.4,31.61,
METHYLMALONIC ACID,5061224,CDM,301,RC,83921,HCPCS,OUTPATIENT,,,35,28,,33.25,95,,26.6,percent of total billed charges,95% of total billed charges,33.15,94.72,,26.52,percent of total billed charges,94.72% of total billed charges,34.58,98.79,,27.66,percent of total billed charges,98.79% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,16.8,48,,13.44,percent of total billed charges,48% of total billed charges,21.21,100,,,fee schedule,100% of CMS fee schedule,18.03,85,,,fee schedule,85% of CMS fee schedule,21.21,100,,,fee schedule,100% of CMS fee schedule,21.21,100,,,fee schedule,100% of CMS fee schedule,16.8,34.58,
MICROALBUMIN,5061226,CDM,301,RC,82043,HCPCS,OUTPATIENT,,,143,114.4,,135.85,95,,108.68,percent of total billed charges,95% of total billed charges,135.45,94.72,,108.36,percent of total billed charges,94.72% of total billed charges,141.27,98.79,,113.02,percent of total billed charges,98.79% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,68.64,48,,54.91,percent of total billed charges,48% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,4.91,85,,,fee schedule,85% of CMS fee schedule,5.78,100,,,fee schedule,100% of CMS fee schedule,5.78,100,,,fee schedule,100% of CMS fee schedule,4.91,141.27,
MYOGLOBIN,5061230,CDM,301,RC,83874,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,12.92,100,,,fee schedule,100% of CMS fee schedule,10.98,85,,,fee schedule,85% of CMS fee schedule,12.92,100,,,fee schedule,100% of CMS fee schedule,12.92,100,,,fee schedule,100% of CMS fee schedule,10.98,23.71,
MYOGLOBIN URINE,5061231,CDM,301,RC,81005,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,2.17,100,,,fee schedule,100% of CMS fee schedule,1.84,85,,,fee schedule,85% of CMS fee schedule,2.17,100,,,fee schedule,100% of CMS fee schedule,2.17,100,,,fee schedule,100% of CMS fee schedule,1.84,23.71,
INSULIN LIKE GROWTH FACTOR IGF-1,5061233,CDM,301,RC,84305,HCPCS,OUTPATIENT,,,29,23.2,,27.55,95,,22.04,percent of total billed charges,95% of total billed charges,27.47,94.72,,21.98,percent of total billed charges,94.72% of total billed charges,28.65,98.79,,22.92,percent of total billed charges,98.79% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,13.92,48,,11.14,percent of total billed charges,48% of total billed charges,21.26,100,,,fee schedule,100% of CMS fee schedule,18.07,85,,,fee schedule,85% of CMS fee schedule,21.26,100,,,fee schedule,100% of CMS fee schedule,21.26,100,,,fee schedule,100% of CMS fee schedule,13.92,28.65,
OSMOLALITY SERUM,5061236,CDM,301,RC,83930,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,6.61,100,,,fee schedule,100% of CMS fee schedule,5.62,85,,,fee schedule,85% of CMS fee schedule,6.61,100,,,fee schedule,100% of CMS fee schedule,6.61,100,,,fee schedule,100% of CMS fee schedule,5.28,10.87,
OSMOLALITY URINE,5061237,CDM,301,RC,83935,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,6.82,100,,,fee schedule,100% of CMS fee schedule,5.8,85,,,fee schedule,85% of CMS fee schedule,6.82,100,,,fee schedule,100% of CMS fee schedule,6.82,100,,,fee schedule,100% of CMS fee schedule,5.28,10.87,
OXALATE URINE (24hr),5061238,CDM,301,RC,83945,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,14.45,100,,,fee schedule,100% of CMS fee schedule,12.28,85,,,fee schedule,85% of CMS fee schedule,14.45,100,,,fee schedule,100% of CMS fee schedule,14.45,100,,,fee schedule,100% of CMS fee schedule,7.68,15.81,
PHENOBARBITOL,5061242,CDM,301,RC,80184,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,15.3,100,,,fee schedule,100% of CMS fee schedule,13.01,85,,,fee schedule,85% of CMS fee schedule,15.3,100,,,fee schedule,100% of CMS fee schedule,15.3,100,,,fee schedule,100% of CMS fee schedule,5.28,15.3,
PROTEIN ELECTROPHORESIS URINE RANDOM,5061247,CDM,301,RC,84166,HCPCS,OUTPATIENT,,,34,27.2,,32.3,95,,25.84,percent of total billed charges,95% of total billed charges,32.2,94.72,,25.76,percent of total billed charges,94.72% of total billed charges,33.59,98.79,,26.87,percent of total billed charges,98.79% of total billed charges,33.32,98,,26.66,percent of total billed charges,98% of total billed charges,33.32,98,,26.66,percent of total billed charges,98% of total billed charges,16.32,48,,13.06,percent of total billed charges,48% of total billed charges,17.83,100,,,fee schedule,100% of CMS fee schedule,15.16,85,,,fee schedule,85% of CMS fee schedule,17.83,100,,,fee schedule,100% of CMS fee schedule,17.83,100,,,fee schedule,100% of CMS fee schedule,15.16,33.59,
84165 Protein Electrophoresis Serum,5061248,CDM,301,RC,84165,HCPCS,OUTPATIENT,,,7,5.6,,6.65,95,,5.32,percent of total billed charges,95% of total billed charges,6.63,94.72,,5.3,percent of total billed charges,94.72% of total billed charges,6.92,98.79,,5.54,percent of total billed charges,98.79% of total billed charges,6.86,98,,5.49,percent of total billed charges,98% of total billed charges,6.86,98,,5.49,percent of total billed charges,98% of total billed charges,3.36,48,,2.69,percent of total billed charges,48% of total billed charges,10.74,100,,,fee schedule,100% of CMS fee schedule,9.13,85,,,fee schedule,85% of CMS fee schedule,10.74,100,,,fee schedule,100% of CMS fee schedule,10.74,100,,,fee schedule,100% of CMS fee schedule,3.36,10.74,
RENIN ACTIVITY PLASMA,5061252,CDM,301,RC,84244,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,21.99,100,,,fee schedule,100% of CMS fee schedule,18.69,85,,,fee schedule,85% of CMS fee schedule,21.99,100,,,fee schedule,100% of CMS fee schedule,21.99,100,,,fee schedule,100% of CMS fee schedule,7.68,21.99,
LAMOTRIGINE,5061258,CDM,301,RC,80175,HCPCS,OUTPATIENT,,,29,23.2,,27.55,95,,22.04,percent of total billed charges,95% of total billed charges,27.47,94.72,,21.98,percent of total billed charges,94.72% of total billed charges,28.65,98.79,,22.92,percent of total billed charges,98.79% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,13.92,48,,11.14,percent of total billed charges,48% of total billed charges,13.25,100,,,fee schedule,100% of CMS fee schedule,11.26,85,,,fee schedule,85% of CMS fee schedule,13.25,100,,,fee schedule,100% of CMS fee schedule,13.25,100,,,fee schedule,100% of CMS fee schedule,11.26,28.65,
TESTOSTERONE FREE,5061260,CDM,301,RC,84402,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,25.47,100,,,fee schedule,100% of CMS fee schedule,21.65,85,,,fee schedule,85% of CMS fee schedule,25.47,100,,,fee schedule,100% of CMS fee schedule,25.47,100,,,fee schedule,100% of CMS fee schedule,7.68,25.47,
Tobramycin Peak UPHS,5061264,CDM,301,RC,80200,HCPCS,OUTPATIENT,,,23,18.4,90,21.85,95,,17.48,percent of total billed charges,95% of total billed charges,21.79,94.72,,17.43,percent of total billed charges,94.72% of total billed charges,22.72,98.79,,18.18,percent of total billed charges,98.79% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,11.04,48,,8.83,percent of total billed charges,48% of total billed charges,16.13,100,,,fee schedule,100% of CMS fee schedule,13.71,85,,,fee schedule,85% of CMS fee schedule,16.13,100,,,fee schedule,100% of CMS fee schedule,16.13,100,,,fee schedule,100% of CMS fee schedule,11.04,22.72,
Tobramycin Trough UPHS,5061265,CDM,301,RC,80200,HCPCS,OUTPATIENT,,,23,18.4,90,21.85,95,,17.48,percent of total billed charges,95% of total billed charges,21.79,94.72,,17.43,percent of total billed charges,94.72% of total billed charges,22.72,98.79,,18.18,percent of total billed charges,98.79% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,11.04,48,,8.83,percent of total billed charges,48% of total billed charges,16.13,100,,,fee schedule,100% of CMS fee schedule,13.71,85,,,fee schedule,85% of CMS fee schedule,16.13,100,,,fee schedule,100% of CMS fee schedule,16.13,100,,,fee schedule,100% of CMS fee schedule,11.04,22.72,
TRANSFERRIN,5061269,CDM,301,RC,84466,HCPCS,OUTPATIENT,,,12,9.6,,11.4,95,,9.12,percent of total billed charges,95% of total billed charges,11.37,94.72,,9.1,percent of total billed charges,94.72% of total billed charges,11.85,98.79,,9.48,percent of total billed charges,98.79% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,5.76,48,,4.61,percent of total billed charges,48% of total billed charges,12.76,100,,,fee schedule,100% of CMS fee schedule,10.85,85,,,fee schedule,85% of CMS fee schedule,12.76,100,,,fee schedule,100% of CMS fee schedule,12.76,100,,,fee schedule,100% of CMS fee schedule,5.76,12.76,
VANCOMYCIN TROUGH,5061270,CDM,301,RC,80202,HCPCS,OUTPATIENT,,,129,103.2,,122.55,95,,98.04,percent of total billed charges,95% of total billed charges,122.19,94.72,,97.75,percent of total billed charges,94.72% of total billed charges,127.44,98.79,,101.95,percent of total billed charges,98.79% of total billed charges,126.42,98,,101.14,percent of total billed charges,98% of total billed charges,126.42,98,,101.14,percent of total billed charges,98% of total billed charges,61.92,48,,49.54,percent of total billed charges,48% of total billed charges,13.54,100,,,fee schedule,100% of CMS fee schedule,11.51,85,,,fee schedule,85% of CMS fee schedule,13.54,100,,,fee schedule,100% of CMS fee schedule,13.54,100,,,fee schedule,100% of CMS fee schedule,11.51,127.44,
VANCOMYCIN PEAK,5061271,CDM,301,RC,80202,HCPCS,OUTPATIENT,,,129,103.2,,122.55,95,,98.04,percent of total billed charges,95% of total billed charges,122.19,94.72,,97.75,percent of total billed charges,94.72% of total billed charges,127.44,98.79,,101.95,percent of total billed charges,98.79% of total billed charges,126.42,98,,101.14,percent of total billed charges,98% of total billed charges,126.42,98,,101.14,percent of total billed charges,98% of total billed charges,61.92,48,,49.54,percent of total billed charges,48% of total billed charges,13.54,100,,,fee schedule,100% of CMS fee schedule,11.51,85,,,fee schedule,85% of CMS fee schedule,13.54,100,,,fee schedule,100% of CMS fee schedule,13.54,100,,,fee schedule,100% of CMS fee schedule,11.51,127.44,
VITAMIN A (RETINOL),5061274,CDM,301,RC,84590,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,11.61,100,,,fee schedule,100% of CMS fee schedule,9.87,85,,,fee schedule,85% of CMS fee schedule,11.61,100,,,fee schedule,100% of CMS fee schedule,11.61,100,,,fee schedule,100% of CMS fee schedule,7.68,15.81,
VITAMIN B6,5061275,CDM,301,RC,84207,HCPCS,OUTPATIENT,,,29,23.2,,27.55,95,,22.04,percent of total billed charges,95% of total billed charges,27.47,94.72,,21.98,percent of total billed charges,94.72% of total billed charges,28.65,98.79,,22.92,percent of total billed charges,98.79% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,13.92,48,,11.14,percent of total billed charges,48% of total billed charges,28.1,100,,,fee schedule,100% of CMS fee schedule,23.89,85,,,fee schedule,85% of CMS fee schedule,28.1,100,,,fee schedule,100% of CMS fee schedule,28.1,100,,,fee schedule,100% of CMS fee schedule,13.92,28.65,
VITAMIN D 1 25 DIHYDROXY,5061276,CDM,301,RC,82652,HCPCS,OUTPATIENT,,,35,28,,33.25,95,,26.6,percent of total billed charges,95% of total billed charges,33.15,94.72,,26.52,percent of total billed charges,94.72% of total billed charges,34.58,98.79,,27.66,percent of total billed charges,98.79% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,16.8,48,,13.44,percent of total billed charges,48% of total billed charges,38.5,100,,,fee schedule,100% of CMS fee schedule,32.73,85,,,fee schedule,85% of CMS fee schedule,38.5,100,,,fee schedule,100% of CMS fee schedule,38.5,100,,,fee schedule,100% of CMS fee schedule,16.8,38.5,
Vitamin D 25-Hydroxy D2+D3 UPHS,5061276,CDM,301,RC,82652,HCPCS,OUTPATIENT,,,35,28,90,33.25,95,,26.6,percent of total billed charges,95% of total billed charges,33.15,94.72,,26.52,percent of total billed charges,94.72% of total billed charges,34.58,98.79,,27.66,percent of total billed charges,98.79% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,16.8,48,,13.44,percent of total billed charges,48% of total billed charges,38.5,100,,,fee schedule,100% of CMS fee schedule,32.73,85,,,fee schedule,85% of CMS fee schedule,38.5,100,,,fee schedule,100% of CMS fee schedule,38.5,100,,,fee schedule,100% of CMS fee schedule,16.8,38.5,
VITAMIN E,5061278,CDM,301,RC,84446,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,12.05,85,,,fee schedule,85% of CMS fee schedule,14.18,100,,,fee schedule,100% of CMS fee schedule,14.18,100,,,fee schedule,100% of CMS fee schedule,11.52,23.71,
PROTEIN URINE 24 HR,5061280,CDM,301,RC,84156,HCPCS,OUTPATIENT,,,50,40,,47.5,95,,38,percent of total billed charges,95% of total billed charges,47.36,94.72,,37.89,percent of total billed charges,94.72% of total billed charges,49.4,98.79,,39.52,percent of total billed charges,98.79% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,24,48,,19.2,percent of total billed charges,48% of total billed charges,3.67,100,,,fee schedule,100% of CMS fee schedule,3.12,85,,,fee schedule,85% of CMS fee schedule,3.67,100,,,fee schedule,100% of CMS fee schedule,3.67,100,,,fee schedule,100% of CMS fee schedule,3.12,49.4,
SODIUM URINE,5061282,CDM,301,RC,84300,HCPCS,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,5.06,100,,,fee schedule,100% of CMS fee schedule,4.3,85,,,fee schedule,85% of CMS fee schedule,5.06,100,,,fee schedule,100% of CMS fee schedule,5.06,100,,,fee schedule,100% of CMS fee schedule,4.3,42.48,
POTASSIUM URINE,5061283,CDM,301,RC,84133,HCPCS,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,4.73,100,,,fee schedule,100% of CMS fee schedule,4.02,85,,,fee schedule,85% of CMS fee schedule,4.73,100,,,fee schedule,100% of CMS fee schedule,4.73,100,,,fee schedule,100% of CMS fee schedule,4.02,42.48,
CREATININE URINE (NOT 24),5061287,CDM,301,RC,82570,HCPCS,OUTPATIENT,,,57,45.6,,54.15,95,,43.32,percent of total billed charges,95% of total billed charges,53.99,94.72,,43.19,percent of total billed charges,94.72% of total billed charges,56.31,98.79,,45.05,percent of total billed charges,98.79% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,27.36,48,,21.89,percent of total billed charges,48% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,4.4,85,,,fee schedule,85% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,4.4,56.31,
HIAA-5 (24 HR URINE),5061288,CDM,301,RC,83497,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,10.97,85,,,fee schedule,85% of CMS fee schedule,12.9,100,,,fee schedule,100% of CMS fee schedule,12.9,100,,,fee schedule,100% of CMS fee schedule,7.68,15.81,
OCCULT BLOOD GASTRIC,5061294,CDM,301,RC,82271,HCPCS,OUTPATIENT,,,30,24,,28.5,95,,22.8,percent of total billed charges,95% of total billed charges,28.42,94.72,,22.74,percent of total billed charges,94.72% of total billed charges,29.64,98.79,,23.71,percent of total billed charges,98.79% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,14.4,48,,11.52,percent of total billed charges,48% of total billed charges,5.32,100,,,fee schedule,100% of CMS fee schedule,4.52,85,,,fee schedule,85% of CMS fee schedule,5.32,100,,,fee schedule,100% of CMS fee schedule,5.32,100,,,fee schedule,100% of CMS fee schedule,4.52,29.64,
WATSON-SCHWARTZ TEST,5061295,CDM,301,RC,84106,HCPCS,OUTPATIENT,,,44,35.2,,41.8,95,,33.44,percent of total billed charges,95% of total billed charges,41.68,94.72,,33.34,percent of total billed charges,94.72% of total billed charges,43.47,98.79,,34.78,percent of total billed charges,98.79% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,21.12,48,,16.9,percent of total billed charges,48% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,4.95,85,,,fee schedule,85% of CMS fee schedule,5.82,100,,,fee schedule,100% of CMS fee schedule,5.82,100,,,fee schedule,100% of CMS fee schedule,4.95,43.47,
TOTAL PROTEIN FLUID,5061301,CDM,301,RC,84155,HCPCS,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,3.67,100,,,fee schedule,100% of CMS fee schedule,3.12,85,,,fee schedule,85% of CMS fee schedule,3.67,100,,,fee schedule,100% of CMS fee schedule,3.67,100,,,fee schedule,100% of CMS fee schedule,3.12,42.48,
PH FLUID,5061302,CDM,301,RC,83986,HCPCS,OUTPATIENT,,,95,76,,90.25,95,,72.2,percent of total billed charges,95% of total billed charges,89.98,94.72,,71.98,percent of total billed charges,94.72% of total billed charges,93.85,98.79,,75.08,percent of total billed charges,98.79% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,45.6,48,,36.48,percent of total billed charges,48% of total billed charges,3.58,100,,,fee schedule,100% of CMS fee schedule,3.04,85,,,fee schedule,85% of CMS fee schedule,3.58,100,,,fee schedule,100% of CMS fee schedule,3.58,100,,,fee schedule,100% of CMS fee schedule,3.04,93.85,
PROGESTERONE,5061308,CDM,301,RC,84144,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,20.86,100,,,fee schedule,100% of CMS fee schedule,17.73,85,,,fee schedule,85% of CMS fee schedule,20.86,100,,,fee schedule,100% of CMS fee schedule,20.86,100,,,fee schedule,100% of CMS fee schedule,11.52,23.71,
THIAMINE-VIT B1,5061312,CDM,301,RC,84425,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,21.23,100,,,fee schedule,100% of CMS fee schedule,18.05,85,,,fee schedule,85% of CMS fee schedule,21.23,100,,,fee schedule,100% of CMS fee schedule,21.23,100,,,fee schedule,100% of CMS fee schedule,11.52,23.71,
STONE ANALYSIS,5061325,CDM,301,RC,82365,HCPCS,OUTPATIENT,,,25,20,,23.75,95,,19,percent of total billed charges,95% of total billed charges,23.68,94.72,,18.94,percent of total billed charges,94.72% of total billed charges,24.7,98.79,,19.76,percent of total billed charges,98.79% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,12,48,,9.6,percent of total billed charges,48% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,10.97,85,,,fee schedule,85% of CMS fee schedule,12.9,100,,,fee schedule,100% of CMS fee schedule,12.9,100,,,fee schedule,100% of CMS fee schedule,10.97,24.7,
TOTAL T4,5061328,CDM,301,RC,84436,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,6.87,100,,,fee schedule,100% of CMS fee schedule,5.84,85,,,fee schedule,85% of CMS fee schedule,6.87,100,,,fee schedule,100% of CMS fee schedule,6.87,100,,,fee schedule,100% of CMS fee schedule,5.28,10.87,
INSULIN LEVEL,5061336,CDM,301,RC,83525,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,11.43,100,,,fee schedule,100% of CMS fee schedule,9.72,85,,,fee schedule,85% of CMS fee schedule,11.43,100,,,fee schedule,100% of CMS fee schedule,11.43,100,,,fee schedule,100% of CMS fee schedule,9.72,23.71,
Apolipoprotein A-1 UPHS,5061339,CDM,301,RC,82172,HCPCS,OUTPATIENT,,,8,6.4,90,7.6,95,,6.08,percent of total billed charges,95% of total billed charges,7.58,94.72,,6.06,percent of total billed charges,94.72% of total billed charges,7.9,98.79,,6.32,percent of total billed charges,98.79% of total billed charges,7.84,98,,6.27,percent of total billed charges,98% of total billed charges,7.84,98,,6.27,percent of total billed charges,98% of total billed charges,3.84,48,,3.07,percent of total billed charges,48% of total billed charges,21.09,100,,,fee schedule,100% of CMS fee schedule,17.93,85,,,fee schedule,85% of CMS fee schedule,21.09,100,,,fee schedule,100% of CMS fee schedule,21.09,100,,,fee schedule,100% of CMS fee schedule,3.84,21.09,
C-PEPTIDE,5061340,CDM,301,RC,84681,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,17.69,85,,,fee schedule,85% of CMS fee schedule,20.81,100,,,fee schedule,100% of CMS fee schedule,20.81,100,,,fee schedule,100% of CMS fee schedule,11.52,23.71,
OCCULT BLD SCREEN 1ST SP (LAB),5061341,CDM,301,RC,G0328,HCPCS,OUTPATIENT,,,70,56,,66.5,95,,53.2,percent of total billed charges,95% of total billed charges,66.3,94.72,,53.04,percent of total billed charges,94.72% of total billed charges,69.15,98.79,,55.32,percent of total billed charges,98.79% of total billed charges,68.6,98,,54.88,percent of total billed charges,98% of total billed charges,68.6,98,,54.88,percent of total billed charges,98% of total billed charges,33.6,48,,26.88,percent of total billed charges,48% of total billed charges,18.05,100,,,fee schedule,100% of CMS fee schedule,15.34,85,,,fee schedule,85% of CMS fee schedule,18.05,100,,,fee schedule,100% of CMS fee schedule,18.05,100,,,fee schedule,100% of CMS fee schedule,15.34,69.15,
Jo1 Antibodies IgG UPHS,5061342,CDM,301,RC,86235,HCPCS,OUTPATIENT,,,30,24,90,28.5,95,,22.8,percent of total billed charges,95% of total billed charges,28.42,94.72,,22.74,percent of total billed charges,94.72% of total billed charges,29.64,98.79,,23.71,percent of total billed charges,98.79% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,14.4,48,,11.52,percent of total billed charges,48% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,15.24,85,,,fee schedule,85% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,14.4,29.64,
HOMOCYSTEINE,5061343,CDM,301,RC,83090,HCPCS,OUTPATIENT,,,13,10.4,,12.35,95,,9.88,percent of total billed charges,95% of total billed charges,12.31,94.72,,9.85,percent of total billed charges,94.72% of total billed charges,12.84,98.79,,10.27,percent of total billed charges,98.79% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,6.24,48,,4.99,percent of total billed charges,48% of total billed charges,17.92,100,,,fee schedule,100% of CMS fee schedule,15.23,85,,,fee schedule,85% of CMS fee schedule,17.92,100,,,fee schedule,100% of CMS fee schedule,17.92,100,,,fee schedule,100% of CMS fee schedule,6.24,17.92,
LDH ISOENZYMES,5061345,CDM,301,RC,83625,HCPCS,OUTPATIENT,,,30,24,,28.5,95,,22.8,percent of total billed charges,95% of total billed charges,28.42,94.72,,22.74,percent of total billed charges,94.72% of total billed charges,29.64,98.79,,23.71,percent of total billed charges,98.79% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,14.4,48,,11.52,percent of total billed charges,48% of total billed charges,12.79,100,,,fee schedule,100% of CMS fee schedule,10.87,85,,,fee schedule,85% of CMS fee schedule,12.79,100,,,fee schedule,100% of CMS fee schedule,12.79,100,,,fee schedule,100% of CMS fee schedule,10.87,29.64,
T Uptake,5061353,CDM,301,RC,84479,HCPCS,OUTPATIENT,,,12,9.6,,11.4,95,,9.12,percent of total billed charges,95% of total billed charges,11.37,94.72,,9.1,percent of total billed charges,94.72% of total billed charges,11.85,98.79,,9.48,percent of total billed charges,98.79% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,5.76,48,,4.61,percent of total billed charges,48% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,5.5,85,,,fee schedule,85% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,5.5,11.85,
URIC ACID URINE,5061376,CDM,301,RC,84560,HCPCS,OUTPATIENT,,,37,29.6,,35.15,95,,28.12,percent of total billed charges,95% of total billed charges,35.05,94.72,,28.04,percent of total billed charges,94.72% of total billed charges,36.55,98.79,,29.24,percent of total billed charges,98.79% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,17.76,48,,14.21,percent of total billed charges,48% of total billed charges,5.08,100,,,fee schedule,100% of CMS fee schedule,4.32,85,,,fee schedule,85% of CMS fee schedule,5.08,100,,,fee schedule,100% of CMS fee schedule,5.08,100,,,fee schedule,100% of CMS fee schedule,4.32,36.55,
GROWTH HORMONE,5061378,CDM,301,RC,83003,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,16.67,100,,,fee schedule,100% of CMS fee schedule,14.17,85,,,fee schedule,85% of CMS fee schedule,16.67,100,,,fee schedule,100% of CMS fee schedule,16.67,100,,,fee schedule,100% of CMS fee schedule,7.68,16.67,
COPPER URINE 24HR,5061403,CDM,301,RC,82525,HCPCS,OUTPATIENT,,,125,100,,118.75,95,,95,percent of total billed charges,95% of total billed charges,118.4,94.72,,94.72,percent of total billed charges,94.72% of total billed charges,123.49,98.79,,98.79,percent of total billed charges,98.79% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,60,48,,48,percent of total billed charges,48% of total billed charges,12.41,100,,,fee schedule,100% of CMS fee schedule,10.55,85,,,fee schedule,85% of CMS fee schedule,12.41,100,,,fee schedule,100% of CMS fee schedule,12.41,100,,,fee schedule,100% of CMS fee schedule,10.55,123.49,
FLUID SPECIFIC GRAVITY,5061404,CDM,301,RC,84315,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,3.28,100,,,fee schedule,100% of CMS fee schedule,2.79,85,,,fee schedule,85% of CMS fee schedule,3.28,100,,,fee schedule,100% of CMS fee schedule,3.28,100,,,fee schedule,100% of CMS fee schedule,2.79,23.71,
HYDROPROXYPROLINE TOTAL (24 HR),5061406,CDM,301,RC,83505,HCPCS,OUTPATIENT,,,274,219.2,,260.3,95,,208.24,percent of total billed charges,95% of total billed charges,259.53,94.72,,207.62,percent of total billed charges,94.72% of total billed charges,270.68,98.79,,216.54,percent of total billed charges,98.79% of total billed charges,268.52,98,,214.82,percent of total billed charges,98% of total billed charges,268.52,98,,214.82,percent of total billed charges,98% of total billed charges,131.52,48,,105.22,percent of total billed charges,48% of total billed charges,24.3,100,,,fee schedule,100% of CMS fee schedule,20.66,85,,,fee schedule,85% of CMS fee schedule,24.3,100,,,fee schedule,100% of CMS fee schedule,24.3,100,,,fee schedule,100% of CMS fee schedule,20.66,270.68,
CALCIUM RANDOM URINE,5061407,CDM,301,RC,82340,HCPCS,OUTPATIENT,,,50,40,,47.5,95,,38,percent of total billed charges,95% of total billed charges,47.36,94.72,,37.89,percent of total billed charges,94.72% of total billed charges,49.4,98.79,,39.52,percent of total billed charges,98.79% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,24,48,,19.2,percent of total billed charges,48% of total billed charges,6.03,100,,,fee schedule,100% of CMS fee schedule,5.13,85,,,fee schedule,85% of CMS fee schedule,6.03,100,,,fee schedule,100% of CMS fee schedule,6.03,100,,,fee schedule,100% of CMS fee schedule,5.13,49.4,
PREALBUMIN,5061408,CDM,301,RC,84134,HCPCS,OUTPATIENT,,,123,98.4,,116.85,95,,93.48,percent of total billed charges,95% of total billed charges,116.51,94.72,,93.21,percent of total billed charges,94.72% of total billed charges,121.51,98.79,,97.21,percent of total billed charges,98.79% of total billed charges,120.54,98,,96.43,percent of total billed charges,98% of total billed charges,120.54,98,,96.43,percent of total billed charges,98% of total billed charges,59.04,48,,47.23,percent of total billed charges,48% of total billed charges,14.59,100,,,fee schedule,100% of CMS fee schedule,12.4,85,,,fee schedule,85% of CMS fee schedule,14.59,100,,,fee schedule,100% of CMS fee schedule,14.59,100,,,fee schedule,100% of CMS fee schedule,12.4,121.51,
SELENIUM,5061409,CDM,301,RC,84255,HCPCS,OUTPATIENT,,,35,28,,33.25,95,,26.6,percent of total billed charges,95% of total billed charges,33.15,94.72,,26.52,percent of total billed charges,94.72% of total billed charges,34.58,98.79,,27.66,percent of total billed charges,98.79% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,16.8,48,,13.44,percent of total billed charges,48% of total billed charges,25.53,100,,,fee schedule,100% of CMS fee schedule,21.7,85,,,fee schedule,85% of CMS fee schedule,25.53,100,,,fee schedule,100% of CMS fee schedule,25.53,100,,,fee schedule,100% of CMS fee schedule,16.8,34.58,
NMR LIPOPROTEIN PROFILE,5061417,CDM,301,RC,83704,HCPCS,OUTPATIENT,,,283,226.4,,268.85,95,,215.08,percent of total billed charges,95% of total billed charges,268.06,94.72,,214.45,percent of total billed charges,94.72% of total billed charges,279.58,98.79,,223.66,percent of total billed charges,98.79% of total billed charges,277.34,98,,221.87,percent of total billed charges,98% of total billed charges,277.34,98,,221.87,percent of total billed charges,98% of total billed charges,135.84,48,,108.67,percent of total billed charges,48% of total billed charges,34.19,100,,,fee schedule,100% of CMS fee schedule,29.06,85,,,fee schedule,85% of CMS fee schedule,34.19,100,,,fee schedule,100% of CMS fee schedule,34.19,100,,,fee schedule,100% of CMS fee schedule,29.06,279.58,
PHOSPHORUS (URINE),5061418,CDM,301,RC,84105,HCPCS,OUTPATIENT,,,48,38.4,,45.6,95,,36.48,percent of total billed charges,95% of total billed charges,45.47,94.72,,36.38,percent of total billed charges,94.72% of total billed charges,47.42,98.79,,37.94,percent of total billed charges,98.79% of total billed charges,47.04,98,,37.63,percent of total billed charges,98% of total billed charges,47.04,98,,37.63,percent of total billed charges,98% of total billed charges,23.04,48,,18.43,percent of total billed charges,48% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,4.91,85,,,fee schedule,85% of CMS fee schedule,5.78,100,,,fee schedule,100% of CMS fee schedule,5.78,100,,,fee schedule,100% of CMS fee schedule,4.91,47.42,
URINE SULFATE,5061425,CDM,301,RC,81005,HCPCS,OUTPATIENT,,,34,27.2,,32.3,95,,25.84,percent of total billed charges,95% of total billed charges,32.2,94.72,,25.76,percent of total billed charges,94.72% of total billed charges,33.59,98.79,,26.87,percent of total billed charges,98.79% of total billed charges,33.32,98,,26.66,percent of total billed charges,98% of total billed charges,33.32,98,,26.66,percent of total billed charges,98% of total billed charges,16.32,48,,13.06,percent of total billed charges,48% of total billed charges,2.17,100,,,fee schedule,100% of CMS fee schedule,1.84,85,,,fee schedule,85% of CMS fee schedule,2.17,100,,,fee schedule,100% of CMS fee schedule,2.17,100,,,fee schedule,100% of CMS fee schedule,1.84,33.59,
PROGESTERONE 17 OH,5061432,CDM,301,RC,83498,HCPCS,OUTPATIENT,,,206,164.8,,195.7,95,,156.56,percent of total billed charges,95% of total billed charges,195.12,94.72,,156.1,percent of total billed charges,94.72% of total billed charges,203.51,98.79,,162.81,percent of total billed charges,98.79% of total billed charges,201.88,98,,161.5,percent of total billed charges,98% of total billed charges,201.88,98,,161.5,percent of total billed charges,98% of total billed charges,98.88,48,,79.1,percent of total billed charges,48% of total billed charges,27.17,100,,,fee schedule,100% of CMS fee schedule,23.09,85,,,fee schedule,85% of CMS fee schedule,27.17,100,,,fee schedule,100% of CMS fee schedule,27.17,100,,,fee schedule,100% of CMS fee schedule,23.09,203.51,
PORPHYRINS-PLASMA,5061441,CDM,301,RC,84311,HCPCS,OUTPATIENT,,,229,183.2,,217.55,95,,174.04,percent of total billed charges,95% of total billed charges,216.91,94.72,,173.53,percent of total billed charges,94.72% of total billed charges,226.23,98.79,,180.98,percent of total billed charges,98.79% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,109.92,48,,87.94,percent of total billed charges,48% of total billed charges,8.1,100,,,fee schedule,100% of CMS fee schedule,6.89,85,,,fee schedule,85% of CMS fee schedule,8.1,100,,,fee schedule,100% of CMS fee schedule,8.1,100,,,fee schedule,100% of CMS fee schedule,6.89,226.23,
MANGANESE,5061444,CDM,301,RC,83785,HCPCS,OUTPATIENT,,,64,51.2,,60.8,95,,48.64,percent of total billed charges,95% of total billed charges,60.62,94.72,,48.5,percent of total billed charges,94.72% of total billed charges,63.23,98.79,,50.58,percent of total billed charges,98.79% of total billed charges,62.72,98,,50.18,percent of total billed charges,98% of total billed charges,62.72,98,,50.18,percent of total billed charges,98% of total billed charges,30.72,48,,24.58,percent of total billed charges,48% of total billed charges,26.65,100,,,fee schedule,100% of CMS fee schedule,22.65,85,,,fee schedule,85% of CMS fee schedule,26.65,100,,,fee schedule,100% of CMS fee schedule,26.65,100,,,fee schedule,100% of CMS fee schedule,22.65,63.23,
TOPIRAMATE,5061445,CDM,301,RC,80201,HCPCS,OUTPATIENT,,,26,20.8,,24.7,95,,19.76,percent of total billed charges,95% of total billed charges,24.63,94.72,,19.7,percent of total billed charges,94.72% of total billed charges,25.69,98.79,,20.55,percent of total billed charges,98.79% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,12.48,48,,9.98,percent of total billed charges,48% of total billed charges,11.92,100,,,fee schedule,100% of CMS fee schedule,10.13,85,,,fee schedule,85% of CMS fee schedule,11.92,100,,,fee schedule,100% of CMS fee schedule,11.92,100,,,fee schedule,100% of CMS fee schedule,10.13,25.69,
Antiglomerular BM Ab UPHS,5061448,CDM,301,RC,83516,HCPCS,OUTPATIENT,,,9,7.2,90,8.55,95,,6.84,percent of total billed charges,95% of total billed charges,8.52,94.72,,6.82,percent of total billed charges,94.72% of total billed charges,8.89,98.79,,7.11,percent of total billed charges,98.79% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,4.32,48,,3.46,percent of total billed charges,48% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,85,,,fee schedule,85% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,4.32,11.53,
VITAMIN C,5061449,CDM,301,RC,82180,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,9.89,100,,,fee schedule,100% of CMS fee schedule,8.41,85,,,fee schedule,85% of CMS fee schedule,9.89,100,,,fee schedule,100% of CMS fee schedule,9.89,100,,,fee schedule,100% of CMS fee schedule,7.68,15.81,
CHLORIDE URINE,5061458,CDM,301,RC,82436,HCPCS,OUTPATIENT,,,50,40,,47.5,95,,38,percent of total billed charges,95% of total billed charges,47.36,94.72,,37.89,percent of total billed charges,94.72% of total billed charges,49.4,98.79,,39.52,percent of total billed charges,98.79% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,24,48,,19.2,percent of total billed charges,48% of total billed charges,5.75,100,,,fee schedule,100% of CMS fee schedule,4.89,85,,,fee schedule,85% of CMS fee schedule,5.75,100,,,fee schedule,100% of CMS fee schedule,5.75,100,,,fee schedule,100% of CMS fee schedule,4.89,49.4,
86665 - EBV IGM,5061460,CDM,301,RC,86665,HCPCS,OUTPATIENT,,,25,20,,23.75,95,,19,percent of total billed charges,95% of total billed charges,23.68,94.72,,18.94,percent of total billed charges,94.72% of total billed charges,24.7,98.79,,19.76,percent of total billed charges,98.79% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,12,48,,9.6,percent of total billed charges,48% of total billed charges,18.14,100,,,fee schedule,100% of CMS fee schedule,15.42,85,,,fee schedule,85% of CMS fee schedule,18.14,100,,,fee schedule,100% of CMS fee schedule,18.14,100,,,fee schedule,100% of CMS fee schedule,12,24.7,
PROSTAGLANDINS PG-D2,5061463,CDM,301,RC,84150,HCPCS,OUTPATIENT,,,422,337.6,,400.9,95,,320.72,percent of total billed charges,95% of total billed charges,399.72,94.72,,319.78,percent of total billed charges,94.72% of total billed charges,416.89,98.79,,333.51,percent of total billed charges,98.79% of total billed charges,413.56,98,,330.85,percent of total billed charges,98% of total billed charges,413.56,98,,330.85,percent of total billed charges,98% of total billed charges,202.56,48,,162.05,percent of total billed charges,48% of total billed charges,41.77,100,,,fee schedule,100% of CMS fee schedule,35.5,85,,,fee schedule,85% of CMS fee schedule,41.77,100,,,fee schedule,100% of CMS fee schedule,41.77,100,,,fee schedule,100% of CMS fee schedule,35.5,416.89,
TRILEPTAL,5061468,CDM,301,RC,80183,HCPCS,OUTPATIENT,,,35,28,,33.25,95,,26.6,percent of total billed charges,95% of total billed charges,33.15,94.72,,26.52,percent of total billed charges,94.72% of total billed charges,34.58,98.79,,27.66,percent of total billed charges,98.79% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,16.8,48,,13.44,percent of total billed charges,48% of total billed charges,13.25,100,,,fee schedule,100% of CMS fee schedule,11.26,85,,,fee schedule,85% of CMS fee schedule,13.25,100,,,fee schedule,100% of CMS fee schedule,13.25,100,,,fee schedule,100% of CMS fee schedule,11.26,34.58,
ZINC,5061469,CDM,301,RC,84630,HCPCS,OUTPATIENT,,,8,6.4,,7.6,95,,6.08,percent of total billed charges,95% of total billed charges,7.58,94.72,,6.06,percent of total billed charges,94.72% of total billed charges,7.9,98.79,,6.32,percent of total billed charges,98.79% of total billed charges,7.84,98,,6.27,percent of total billed charges,98% of total billed charges,7.84,98,,6.27,percent of total billed charges,98% of total billed charges,3.84,48,,3.07,percent of total billed charges,48% of total billed charges,11.39,100,,,fee schedule,100% of CMS fee schedule,9.68,85,,,fee schedule,85% of CMS fee schedule,11.39,100,,,fee schedule,100% of CMS fee schedule,11.39,100,,,fee schedule,100% of CMS fee schedule,3.84,11.39,
ALPHA 1 ANTITRYPSIN TOTAL,5061472,CDM,301,RC,82103,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,13.44,100,,,fee schedule,100% of CMS fee schedule,11.42,85,,,fee schedule,85% of CMS fee schedule,13.44,100,,,fee schedule,100% of CMS fee schedule,13.44,100,,,fee schedule,100% of CMS fee schedule,5.28,13.44,
PSA  SCREENING,5061476,CDM,301,RC,G0103,HCPCS,OUTPATIENT,,,161,128.8,,152.95,95,,122.36,percent of total billed charges,95% of total billed charges,152.5,94.72,,122,percent of total billed charges,94.72% of total billed charges,159.05,98.79,,127.24,percent of total billed charges,98.79% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,77.28,48,,61.82,percent of total billed charges,48% of total billed charges,19.31,100,,,fee schedule,100% of CMS fee schedule,16.41,85,,,fee schedule,85% of CMS fee schedule,19.31,100,,,fee schedule,100% of CMS fee schedule,19.31,100,,,fee schedule,100% of CMS fee schedule,16.41,159.05,
LACTIC ACID ARTERIAL,5061477,CDM,301,RC,83605,HCPCS,OUTPATIENT,,,188,150.4,,178.6,95,,142.88,percent of total billed charges,95% of total billed charges,178.07,94.72,,142.46,percent of total billed charges,94.72% of total billed charges,185.73,98.79,,148.58,percent of total billed charges,98.79% of total billed charges,184.24,98,,147.39,percent of total billed charges,98% of total billed charges,184.24,98,,147.39,percent of total billed charges,98% of total billed charges,90.24,48,,72.19,percent of total billed charges,48% of total billed charges,11.57,100,,,fee schedule,100% of CMS fee schedule,9.83,85,,,fee schedule,85% of CMS fee schedule,11.57,100,,,fee schedule,100% of CMS fee schedule,11.57,100,,,fee schedule,100% of CMS fee schedule,9.83,185.73,
LDL CHOL-DIRECT,5061496,CDM,301,RC,83721,HCPCS,OUTPATIENT,,,126,100.8,,119.7,95,,95.76,percent of total billed charges,95% of total billed charges,119.35,94.72,,95.48,percent of total billed charges,94.72% of total billed charges,124.48,98.79,,99.58,percent of total billed charges,98.79% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,60.48,48,,48.38,percent of total billed charges,48% of total billed charges,10.5,100,,,fee schedule,100% of CMS fee schedule,8.93,85,,,fee schedule,85% of CMS fee schedule,10.5,100,,,fee schedule,100% of CMS fee schedule,10.5,100,,,fee schedule,100% of CMS fee schedule,8.93,124.48,
Trazodone Serum UPHS,5061497,CDM,301,RC,83516,HCPCS,OUTPATIENT,,,19,15.2,90,18.05,95,,14.44,percent of total billed charges,95% of total billed charges,18,94.72,,14.4,percent of total billed charges,94.72% of total billed charges,18.77,98.79,,15.02,percent of total billed charges,98.79% of total billed charges,18.62,98,,14.9,percent of total billed charges,98% of total billed charges,18.62,98,,14.9,percent of total billed charges,98% of total billed charges,9.12,48,,7.3,percent of total billed charges,48% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,85,,,fee schedule,85% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,9.12,18.77,
FAT FECES QUANT,5061508,CDM,301,RC,82710,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,14.28,85,,,fee schedule,85% of CMS fee schedule,16.8,100,,,fee schedule,100% of CMS fee schedule,16.8,100,,,fee schedule,100% of CMS fee schedule,7.68,16.8,
IGF BINDING PROTEIN 3,5061511,CDM,301,RC,83519,HCPCS,OUTPATIENT,,,29,23.2,,27.55,95,,22.04,percent of total billed charges,95% of total billed charges,27.47,94.72,,21.98,percent of total billed charges,94.72% of total billed charges,28.65,98.79,,22.92,percent of total billed charges,98.79% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,13.92,48,,11.14,percent of total billed charges,48% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,85,,,fee schedule,85% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,13.92,28.65,
NICOTINE AND METABOLITES,5061512,CDM,301,RC,80305,HCPCS,OUTPATIENT,,,40,32,,38,95,,30.4,percent of total billed charges,95% of total billed charges,37.89,94.72,,30.31,percent of total billed charges,94.72% of total billed charges,39.52,98.79,,31.62,percent of total billed charges,98.79% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,19.2,48,,15.36,percent of total billed charges,48% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,10.71,85,,,fee schedule,85% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,10.71,39.52,
Gamma Hydroxybutyric Acid Urine UPHS,5061522,CDM,301,RC,82491,HCPCS,OUTPATIENT,,,124,99.2,90,117.8,95,,94.24,percent of total billed charges,95% of total billed charges,117.45,94.72,,93.96,percent of total billed charges,94.72% of total billed charges,122.5,98.79,,98,percent of total billed charges,98.79% of total billed charges,121.52,98,,97.22,percent of total billed charges,98% of total billed charges,121.52,98,,97.22,percent of total billed charges,98% of total billed charges,59.52,48,,47.62,percent of total billed charges,48% of total billed charges,55.8,45,,44.64,percent of total billed charges,45% of total billed charges,47.43,38.25,,37.94,percent of total billed charges,38.25% of total billed charges,55.8,45,,44.64,percent of total billed charges,45% of total billed charges,55.8,45,,44.64,percent of total billed charges,45% of total billed charges,47.43,122.5,
PROINSULIN,5061536,CDM,301,RC,84206,HCPCS,OUTPATIENT,,,96,76.8,,91.2,95,,72.96,percent of total billed charges,95% of total billed charges,90.93,94.72,,72.74,percent of total billed charges,94.72% of total billed charges,94.84,98.79,,75.87,percent of total billed charges,98.79% of total billed charges,94.08,98,,75.26,percent of total billed charges,98% of total billed charges,94.08,98,,75.26,percent of total billed charges,98% of total billed charges,46.08,48,,36.86,percent of total billed charges,48% of total billed charges,26.69,100,,,fee schedule,100% of CMS fee schedule,22.69,85,,,fee schedule,85% of CMS fee schedule,26.69,100,,,fee schedule,100% of CMS fee schedule,26.69,100,,,fee schedule,100% of CMS fee schedule,22.69,94.84,
CARNITINE,5061537,CDM,301,RC,82379,HCPCS,OUTPATIENT,,,104,83.2,,98.8,95,,79.04,percent of total billed charges,95% of total billed charges,98.51,94.72,,78.81,percent of total billed charges,94.72% of total billed charges,102.74,98.79,,82.19,percent of total billed charges,98.79% of total billed charges,101.92,98,,81.54,percent of total billed charges,98% of total billed charges,101.92,98,,81.54,percent of total billed charges,98% of total billed charges,49.92,48,,39.94,percent of total billed charges,48% of total billed charges,16.87,100,,,fee schedule,100% of CMS fee schedule,14.34,85,,,fee schedule,85% of CMS fee schedule,16.87,100,,,fee schedule,100% of CMS fee schedule,16.87,100,,,fee schedule,100% of CMS fee schedule,14.34,102.74,
SEX HORMONE BINDING GLOBULIN,5061539,CDM,301,RC,84270,HCPCS,OUTPATIENT,,,29,23.2,,27.55,95,,22.04,percent of total billed charges,95% of total billed charges,27.47,94.72,,21.98,percent of total billed charges,94.72% of total billed charges,28.65,98.79,,22.92,percent of total billed charges,98.79% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,13.92,48,,11.14,percent of total billed charges,48% of total billed charges,21.73,100,,,fee schedule,100% of CMS fee schedule,18.47,85,,,fee schedule,85% of CMS fee schedule,21.73,100,,,fee schedule,100% of CMS fee schedule,21.73,100,,,fee schedule,100% of CMS fee schedule,13.92,28.65,
ZONISAMIDE,5061552,CDM,301,RC,80203,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,13.25,100,,,fee schedule,100% of CMS fee schedule,11.26,85,,,fee schedule,85% of CMS fee schedule,13.25,100,,,fee schedule,100% of CMS fee schedule,13.25,100,,,fee schedule,100% of CMS fee schedule,11.26,118.55,
ACETYLCHOLINE RECEPTOR BINDING AB,5061553,CDM,301,RC,83519,HCPCS,OUTPATIENT,,,37,29.6,,35.15,95,,28.12,percent of total billed charges,95% of total billed charges,35.05,94.72,,28.04,percent of total billed charges,94.72% of total billed charges,36.55,98.79,,29.24,percent of total billed charges,98.79% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,17.76,48,,14.21,percent of total billed charges,48% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,85,,,fee schedule,85% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,36.55,
ACETYLCHOLINE RECEPTOR BLOCKING AB,5061554,CDM,301,RC,83519,HCPCS,OUTPATIENT,,,42,33.6,,39.9,95,,31.92,percent of total billed charges,95% of total billed charges,39.78,94.72,,31.82,percent of total billed charges,94.72% of total billed charges,41.49,98.79,,33.19,percent of total billed charges,98.79% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,20.16,48,,16.13,percent of total billed charges,48% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,85,,,fee schedule,85% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,41.49,
AMINO ACIDS QUANTITATIVE PLASMA,5061555,CDM,301,RC,82139,HCPCS,OUTPATIENT,,,114,91.2,,108.3,95,,86.64,percent of total billed charges,95% of total billed charges,107.98,94.72,,86.38,percent of total billed charges,94.72% of total billed charges,112.62,98.79,,90.1,percent of total billed charges,98.79% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,54.72,48,,43.78,percent of total billed charges,48% of total billed charges,16.87,100,,,fee schedule,100% of CMS fee schedule,14.34,85,,,fee schedule,85% of CMS fee schedule,16.87,100,,,fee schedule,100% of CMS fee schedule,16.87,100,,,fee schedule,100% of CMS fee schedule,14.34,112.62,
DHEA,5061558,CDM,301,RC,82626,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,25.27,100,,,fee schedule,100% of CMS fee schedule,21.48,85,,,fee schedule,85% of CMS fee schedule,25.27,100,,,fee schedule,100% of CMS fee schedule,25.27,100,,,fee schedule,100% of CMS fee schedule,5.28,25.27,
LIGHT CHAINS NEPHALOMETRY,5061566,CDM,301,RC,83883,HCPCS,OUTPATIENT,,,63,50.4,,59.85,95,,47.88,percent of total billed charges,95% of total billed charges,59.67,94.72,,47.74,percent of total billed charges,94.72% of total billed charges,62.24,98.79,,49.79,percent of total billed charges,98.79% of total billed charges,61.74,98,,49.39,percent of total billed charges,98% of total billed charges,61.74,98,,49.39,percent of total billed charges,98% of total billed charges,30.24,48,,24.19,percent of total billed charges,48% of total billed charges,13.6,100,,,fee schedule,100% of CMS fee schedule,11.56,85,,,fee schedule,85% of CMS fee schedule,13.6,100,,,fee schedule,100% of CMS fee schedule,13.6,100,,,fee schedule,100% of CMS fee schedule,11.56,62.24,
TACROLIMUS,5061569,CDM,301,RC,80197,HCPCS,OUTPATIENT,,,38,30.4,,36.1,95,,28.88,percent of total billed charges,95% of total billed charges,35.99,94.72,,28.79,percent of total billed charges,94.72% of total billed charges,37.54,98.79,,30.03,percent of total billed charges,98.79% of total billed charges,37.24,98,,29.79,percent of total billed charges,98% of total billed charges,37.24,98,,29.79,percent of total billed charges,98% of total billed charges,18.24,48,,14.59,percent of total billed charges,48% of total billed charges,13.73,100,,,fee schedule,100% of CMS fee schedule,11.67,85,,,fee schedule,85% of CMS fee schedule,13.73,100,,,fee schedule,100% of CMS fee schedule,13.73,100,,,fee schedule,100% of CMS fee schedule,11.67,37.54,
Acetylcholine Receptor (AChR) Modulating Ab UPHS,5061580,CDM,301,RC,83519,HCPCS,OUTPATIENT,,,91,72.8,90,86.45,95,,69.16,percent of total billed charges,95% of total billed charges,86.2,94.72,,68.96,percent of total billed charges,94.72% of total billed charges,89.9,98.79,,71.92,percent of total billed charges,98.79% of total billed charges,89.18,98,,71.34,percent of total billed charges,98% of total billed charges,89.18,98,,71.34,percent of total billed charges,98% of total billed charges,43.68,48,,34.94,percent of total billed charges,48% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,85,,,fee schedule,85% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,89.9,
Acetycholine Receptor Modulating Antibody,5061580,CDM,301,RC,83519,HCPCS,OUTPATIENT,,,96,76.8,,91.2,95,,72.96,percent of total billed charges,95% of total billed charges,90.93,94.72,,72.74,percent of total billed charges,94.72% of total billed charges,94.84,98.79,,75.87,percent of total billed charges,98.79% of total billed charges,94.08,98,,75.26,percent of total billed charges,98% of total billed charges,94.08,98,,75.26,percent of total billed charges,98% of total billed charges,46.08,48,,36.86,percent of total billed charges,48% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,85,,,fee schedule,85% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,94.84,
JAK-2 V617F MUTATION DETECTION BLOOD,5061583,CDM,301,RC,81270,HCPCS,OUTPATIENT,,,229,183.2,,217.55,95,,174.04,percent of total billed charges,95% of total billed charges,216.91,94.72,,173.53,percent of total billed charges,94.72% of total billed charges,226.23,98.79,,180.98,percent of total billed charges,98.79% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,109.92,48,,87.94,percent of total billed charges,48% of total billed charges,91.66,100,,,fee schedule,100% of CMS fee schedule,77.91,85,,,fee schedule,85% of CMS fee schedule,91.66,100,,,fee schedule,100% of CMS fee schedule,91.66,100,,,fee schedule,100% of CMS fee schedule,77.91,226.23,
Risperidone and Metabolites UPHS,5061594,CDM,301,RC,82542,HCPCS,OUTPATIENT,,,98,78.4,90,93.1,95,,74.48,percent of total billed charges,95% of total billed charges,92.83,94.72,,74.26,percent of total billed charges,94.72% of total billed charges,96.81,98.79,,77.45,percent of total billed charges,98.79% of total billed charges,96.04,98,,76.83,percent of total billed charges,98% of total billed charges,96.04,98,,76.83,percent of total billed charges,98% of total billed charges,47.04,48,,37.63,percent of total billed charges,48% of total billed charges,24.09,100,,,fee schedule,100% of CMS fee schedule,20.48,85,,,fee schedule,85% of CMS fee schedule,24.09,100,,,fee schedule,100% of CMS fee schedule,24.09,100,,,fee schedule,100% of CMS fee schedule,20.48,96.81,
CREATININE URINE 24HR,5061599,CDM,301,RC,82570,HCPCS,OUTPATIENT,,,57,45.6,,54.15,95,,43.32,percent of total billed charges,95% of total billed charges,53.99,94.72,,43.19,percent of total billed charges,94.72% of total billed charges,56.31,98.79,,45.05,percent of total billed charges,98.79% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,27.36,48,,21.89,percent of total billed charges,48% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,4.4,85,,,fee schedule,85% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,4.4,56.31,
LEVETIRACETAM (KEPPRA),5061602,CDM,301,RC,80177,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,13.25,100,,,fee schedule,100% of CMS fee schedule,11.26,85,,,fee schedule,85% of CMS fee schedule,13.25,100,,,fee schedule,100% of CMS fee schedule,13.25,100,,,fee schedule,100% of CMS fee schedule,7.68,15.81,
CYCLIC CITRULLINATED PEPTIDE ANTIBODIES,5061604,CDM,301,RC,86200,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,12.95,100,,,fee schedule,100% of CMS fee schedule,11.01,85,,,fee schedule,85% of CMS fee schedule,12.95,100,,,fee schedule,100% of CMS fee schedule,12.95,100,,,fee schedule,100% of CMS fee schedule,5.28,12.95,
THYROTROPIN RELEASING HORMONE,5061605,CDM,301,RC,83519,HCPCS,OUTPATIENT,,,252,201.6,,239.4,95,,191.52,percent of total billed charges,95% of total billed charges,238.69,94.72,,190.95,percent of total billed charges,94.72% of total billed charges,248.95,98.79,,199.16,percent of total billed charges,98.79% of total billed charges,246.96,98,,197.57,percent of total billed charges,98% of total billed charges,246.96,98,,197.57,percent of total billed charges,98% of total billed charges,120.96,48,,96.77,percent of total billed charges,48% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,85,,,fee schedule,85% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,248.95,
PROSTATE SPECIFIC ANTIGEN COMPLEXED,5061609,CDM,301,RC,84152,HCPCS,OUTPATIENT,,,18,14.4,,17.1,95,,13.68,percent of total billed charges,95% of total billed charges,17.05,94.72,,13.64,percent of total billed charges,94.72% of total billed charges,17.78,98.79,,14.22,percent of total billed charges,98.79% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,8.64,48,,6.91,percent of total billed charges,48% of total billed charges,18.39,100,,,fee schedule,100% of CMS fee schedule,15.63,85,,,fee schedule,85% of CMS fee schedule,18.39,100,,,fee schedule,100% of CMS fee schedule,18.39,100,,,fee schedule,100% of CMS fee schedule,8.64,18.39,
THYROTROPIN RECEPTOR  AUTOANTIBODY,5061619,CDM,301,RC,83520,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,85,,,fee schedule,85% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,11.52,23.71,
T3 TOTAL,5061623,CDM,301,RC,84480,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,12.05,85,,,fee schedule,85% of CMS fee schedule,14.18,100,,,fee schedule,100% of CMS fee schedule,14.18,100,,,fee schedule,100% of CMS fee schedule,7.68,15.81,
LYSOZYME-MURAMIDASE,5061627,CDM,301,RC,85549,HCPCS,OUTPATIENT,,,29,23.2,,27.55,95,,22.04,percent of total billed charges,95% of total billed charges,27.47,94.72,,21.98,percent of total billed charges,94.72% of total billed charges,28.65,98.79,,22.92,percent of total billed charges,98.79% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,13.92,48,,11.14,percent of total billed charges,48% of total billed charges,18.75,100,,,fee schedule,100% of CMS fee schedule,15.94,85,,,fee schedule,85% of CMS fee schedule,18.75,100,,,fee schedule,100% of CMS fee schedule,18.75,100,,,fee schedule,100% of CMS fee schedule,13.92,28.65,
ALBUMIN FLUID,5061630,CDM,301,RC,82042,HCPCS,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,7.78,100,,,fee schedule,100% of CMS fee schedule,6.61,85,,,fee schedule,85% of CMS fee schedule,7.78,100,,,fee schedule,100% of CMS fee schedule,7.78,100,,,fee schedule,100% of CMS fee schedule,6.61,42.48,
CARBON MONOXIDE ART,5061630,CDM,301,RC,82375,HCPCS,OUTPATIENT,,,145,116,,137.75,95,,110.2,percent of total billed charges,95% of total billed charges,137.34,94.72,,109.87,percent of total billed charges,94.72% of total billed charges,143.25,98.79,,114.6,percent of total billed charges,98.79% of total billed charges,142.1,98,,113.68,percent of total billed charges,98% of total billed charges,142.1,98,,113.68,percent of total billed charges,98% of total billed charges,69.6,48,,55.68,percent of total billed charges,48% of total billed charges,12.32,100,,,fee schedule,100% of CMS fee schedule,10.47,85,,,fee schedule,85% of CMS fee schedule,12.32,100,,,fee schedule,100% of CMS fee schedule,12.32,100,,,fee schedule,100% of CMS fee schedule,10.47,143.25,
CARBON MONOXIDE VEN,5061630,CDM,301,RC,82375,HCPCS,OUTPATIENT,,,145,116,,137.75,95,,110.2,percent of total billed charges,95% of total billed charges,137.34,94.72,,109.87,percent of total billed charges,94.72% of total billed charges,143.25,98.79,,114.6,percent of total billed charges,98.79% of total billed charges,142.1,98,,113.68,percent of total billed charges,98% of total billed charges,142.1,98,,113.68,percent of total billed charges,98% of total billed charges,69.6,48,,55.68,percent of total billed charges,48% of total billed charges,12.32,100,,,fee schedule,100% of CMS fee schedule,10.47,85,,,fee schedule,85% of CMS fee schedule,12.32,100,,,fee schedule,100% of CMS fee schedule,12.32,100,,,fee schedule,100% of CMS fee schedule,10.47,143.25,
5 NUCLEOSIDASE,5061640,CDM,301,RC,83915,HCPCS,OUTPATIENT,,,25,20,,23.75,95,,19,percent of total billed charges,95% of total billed charges,23.68,94.72,,18.94,percent of total billed charges,94.72% of total billed charges,24.7,98.79,,19.76,percent of total billed charges,98.79% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,12,48,,9.6,percent of total billed charges,48% of total billed charges,11.15,100,,,fee schedule,100% of CMS fee schedule,9.48,85,,,fee schedule,85% of CMS fee schedule,11.15,100,,,fee schedule,100% of CMS fee schedule,11.15,100,,,fee schedule,100% of CMS fee schedule,9.48,24.7,
FLUOXETINE,5061644,CDM,301,RC,80299,HCPCS,OUTPATIENT,,,25,20,,23.75,95,,19,percent of total billed charges,95% of total billed charges,23.68,94.72,,18.94,percent of total billed charges,94.72% of total billed charges,24.7,98.79,,19.76,percent of total billed charges,98.79% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,12,48,,9.6,percent of total billed charges,48% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,15.84,85,,,fee schedule,85% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,12,24.7,
CALCITONIN SERUM,5061645,CDM,301,RC,82308,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,26.79,100,,,fee schedule,100% of CMS fee schedule,22.77,85,,,fee schedule,85% of CMS fee schedule,26.79,100,,,fee schedule,100% of CMS fee schedule,26.79,100,,,fee schedule,100% of CMS fee schedule,7.68,26.79,
Salivary Cortisol UPHS,5061648,CDM,301,RC,82533,HCPCS,OUTPATIENT,,,36,28.8,90,34.2,95,,27.36,percent of total billed charges,95% of total billed charges,34.1,94.72,,27.28,percent of total billed charges,94.72% of total billed charges,35.56,98.79,,28.45,percent of total billed charges,98.79% of total billed charges,35.28,98,,28.22,percent of total billed charges,98% of total billed charges,35.28,98,,28.22,percent of total billed charges,98% of total billed charges,17.28,48,,13.82,percent of total billed charges,48% of total billed charges,16.3,100,,,fee schedule,100% of CMS fee schedule,13.86,85,,,fee schedule,85% of CMS fee schedule,16.3,100,,,fee schedule,100% of CMS fee schedule,16.3,100,,,fee schedule,100% of CMS fee schedule,13.86,35.56,
NT-PROBNP,5061652,CDM,301,RC,83880,HCPCS,OUTPATIENT,,,112,89.6,,106.4,95,,85.12,percent of total billed charges,95% of total billed charges,106.09,94.72,,84.87,percent of total billed charges,94.72% of total billed charges,110.64,98.79,,88.51,percent of total billed charges,98.79% of total billed charges,109.76,98,,87.81,percent of total billed charges,98% of total billed charges,109.76,98,,87.81,percent of total billed charges,98% of total billed charges,53.76,48,,43.01,percent of total billed charges,48% of total billed charges,39.26,100,,,fee schedule,100% of CMS fee schedule,33.37,85,,,fee schedule,85% of CMS fee schedule,39.26,100,,,fee schedule,100% of CMS fee schedule,39.26,100,,,fee schedule,100% of CMS fee schedule,33.37,110.64,
METANEPHRINE PLASMA,5061653,CDM,301,RC,83835,HCPCS,OUTPATIENT,,,40,32,,38,95,,30.4,percent of total billed charges,95% of total billed charges,37.89,94.72,,30.31,percent of total billed charges,94.72% of total billed charges,39.52,98.79,,31.62,percent of total billed charges,98.79% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,19.2,48,,15.36,percent of total billed charges,48% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,14.4,85,,,fee schedule,85% of CMS fee schedule,16.94,100,,,fee schedule,100% of CMS fee schedule,16.94,100,,,fee schedule,100% of CMS fee schedule,14.4,39.52,
B-NATRIURETIC PEPTIDE,5061662,CDM,301,RC,83880,HCPCS,OUTPATIENT,,,114,91.2,,108.3,95,,86.64,percent of total billed charges,95% of total billed charges,107.98,94.72,,86.38,percent of total billed charges,94.72% of total billed charges,112.62,98.79,,90.1,percent of total billed charges,98.79% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,54.72,48,,43.78,percent of total billed charges,48% of total billed charges,39.26,100,,,fee schedule,100% of CMS fee schedule,33.37,85,,,fee schedule,85% of CMS fee schedule,39.26,100,,,fee schedule,100% of CMS fee schedule,39.26,100,,,fee schedule,100% of CMS fee schedule,33.37,112.62,
ESTROGENS TOTAL,5061692,CDM,301,RC,82672,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,21.7,100,,,fee schedule,100% of CMS fee schedule,18.45,85,,,fee schedule,85% of CMS fee schedule,21.7,100,,,fee schedule,100% of CMS fee schedule,21.7,100,,,fee schedule,100% of CMS fee schedule,7.68,21.7,
Gamma Hydroxybutyric Acid UPHS,5061698,CDM,301,RC,82542,HCPCS,OUTPATIENT,,,216,172.8,90,205.2,95,,164.16,percent of total billed charges,95% of total billed charges,204.6,94.72,,163.68,percent of total billed charges,94.72% of total billed charges,213.39,98.79,,170.71,percent of total billed charges,98.79% of total billed charges,211.68,98,,169.34,percent of total billed charges,98% of total billed charges,211.68,98,,169.34,percent of total billed charges,98% of total billed charges,103.68,48,,82.94,percent of total billed charges,48% of total billed charges,24.09,100,,,fee schedule,100% of CMS fee schedule,20.48,85,,,fee schedule,85% of CMS fee schedule,24.09,100,,,fee schedule,100% of CMS fee schedule,24.09,100,,,fee schedule,100% of CMS fee schedule,20.48,213.39,
Gamma Hydroxybutyric Acid UPHS,5061698,CDM,301,RC,82542,HCPCS,OUTPATIENT,,,216,172.8,90,205.2,95,,164.16,percent of total billed charges,95% of total billed charges,204.6,94.72,,163.68,percent of total billed charges,94.72% of total billed charges,213.39,98.79,,170.71,percent of total billed charges,98.79% of total billed charges,211.68,98,,169.34,percent of total billed charges,98% of total billed charges,211.68,98,,169.34,percent of total billed charges,98% of total billed charges,103.68,48,,82.94,percent of total billed charges,48% of total billed charges,24.09,100,,,fee schedule,100% of CMS fee schedule,20.48,85,,,fee schedule,85% of CMS fee schedule,24.09,100,,,fee schedule,100% of CMS fee schedule,24.09,100,,,fee schedule,100% of CMS fee schedule,20.48,213.39,
CYANIDE,5061704,CDM,301,RC,82600,HCPCS,OUTPATIENT,,,125,100,,118.75,95,,95,percent of total billed charges,95% of total billed charges,118.4,94.72,,94.72,percent of total billed charges,94.72% of total billed charges,123.49,98.79,,98.79,percent of total billed charges,98.79% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,60,48,,48,percent of total billed charges,48% of total billed charges,19.4,100,,,fee schedule,100% of CMS fee schedule,16.49,85,,,fee schedule,85% of CMS fee schedule,19.4,100,,,fee schedule,100% of CMS fee schedule,19.4,100,,,fee schedule,100% of CMS fee schedule,16.49,123.49,
Apolipoprotein B UPHS,5061706,CDM,301,RC,82172,HCPCS,OUTPATIENT,,,29,23.2,90,27.55,95,,22.04,percent of total billed charges,95% of total billed charges,27.47,94.72,,21.98,percent of total billed charges,94.72% of total billed charges,28.65,98.79,,22.92,percent of total billed charges,98.79% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,13.92,48,,11.14,percent of total billed charges,48% of total billed charges,21.09,100,,,fee schedule,100% of CMS fee schedule,17.93,85,,,fee schedule,85% of CMS fee schedule,21.09,100,,,fee schedule,100% of CMS fee schedule,21.09,100,,,fee schedule,100% of CMS fee schedule,13.92,28.65,
OSTEOCALCIN,5061707,CDM,301,RC,83937,HCPCS,OUTPATIENT,,,30,24,,28.5,95,,22.8,percent of total billed charges,95% of total billed charges,28.42,94.72,,22.74,percent of total billed charges,94.72% of total billed charges,29.64,98.79,,23.71,percent of total billed charges,98.79% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,14.4,48,,11.52,percent of total billed charges,48% of total billed charges,29.85,100,,,fee schedule,100% of CMS fee schedule,25.37,85,,,fee schedule,85% of CMS fee schedule,29.85,100,,,fee schedule,100% of CMS fee schedule,29.85,100,,,fee schedule,100% of CMS fee schedule,14.4,29.85,
STOOL FOR WBC'S LACTOFERRIN,5061709,CDM,301,RC,83630,HCPCS,OUTPATIENT,,,56,44.8,,53.2,95,,42.56,percent of total billed charges,95% of total billed charges,53.04,94.72,,42.43,percent of total billed charges,94.72% of total billed charges,55.32,98.79,,44.26,percent of total billed charges,98.79% of total billed charges,54.88,98,,43.9,percent of total billed charges,98% of total billed charges,54.88,98,,43.9,percent of total billed charges,98% of total billed charges,26.88,48,,21.5,percent of total billed charges,48% of total billed charges,19.7,100,,,fee schedule,100% of CMS fee schedule,16.75,85,,,fee schedule,85% of CMS fee schedule,19.7,100,,,fee schedule,100% of CMS fee schedule,19.7,100,,,fee schedule,100% of CMS fee schedule,16.75,55.32,
PREGNANCY ASSOC PLASMA PROTEIN,5061716,CDM,301,RC,84163,HCPCS,OUTPATIENT,,,134,107.2,,127.3,95,,101.84,percent of total billed charges,95% of total billed charges,126.92,94.72,,101.54,percent of total billed charges,94.72% of total billed charges,132.38,98.79,,105.9,percent of total billed charges,98.79% of total billed charges,131.32,98,,105.06,percent of total billed charges,98% of total billed charges,131.32,98,,105.06,percent of total billed charges,98% of total billed charges,64.32,48,,51.46,percent of total billed charges,48% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,12.79,85,,,fee schedule,85% of CMS fee schedule,15.05,100,,,fee schedule,100% of CMS fee schedule,15.05,100,,,fee schedule,100% of CMS fee schedule,12.79,132.38,
IODINE URINE,5061731,CDM,301,RC,83789,HCPCS,OUTPATIENT,,,193,154.4,,183.35,95,,146.68,percent of total billed charges,95% of total billed charges,182.81,94.72,,146.25,percent of total billed charges,94.72% of total billed charges,190.66,98.79,,152.53,percent of total billed charges,98.79% of total billed charges,189.14,98,,151.31,percent of total billed charges,98% of total billed charges,189.14,98,,151.31,percent of total billed charges,98% of total billed charges,92.64,48,,74.11,percent of total billed charges,48% of total billed charges,24.11,100,,,fee schedule,100% of CMS fee schedule,20.49,85,,,fee schedule,85% of CMS fee schedule,24.11,100,,,fee schedule,100% of CMS fee schedule,24.11,100,,,fee schedule,100% of CMS fee schedule,20.49,190.66,
DEOXYCORTICOSTERONE DOXST,5061738,CDM,301,RC,82633,HCPCS,OUTPATIENT,,,226,180.8,,214.7,95,,171.76,percent of total billed charges,95% of total billed charges,214.07,94.72,,171.26,percent of total billed charges,94.72% of total billed charges,223.27,98.79,,178.62,percent of total billed charges,98.79% of total billed charges,221.48,98,,177.18,percent of total billed charges,98% of total billed charges,221.48,98,,177.18,percent of total billed charges,98% of total billed charges,108.48,48,,86.78,percent of total billed charges,48% of total billed charges,30.98,100,,,fee schedule,100% of CMS fee schedule,26.33,85,,,fee schedule,85% of CMS fee schedule,30.98,100,,,fee schedule,100% of CMS fee schedule,30.98,100,,,fee schedule,100% of CMS fee schedule,26.33,223.27,
T3 REVERSE,5061743,CDM,301,RC,84482,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,15.76,100,,,fee schedule,100% of CMS fee schedule,13.4,85,,,fee schedule,85% of CMS fee schedule,15.76,100,,,fee schedule,100% of CMS fee schedule,15.76,100,,,fee schedule,100% of CMS fee schedule,5.28,15.76,
PTH RELATED PROTEIN,5061749,CDM,301,RC,82397,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,14.12,100,,,fee schedule,100% of CMS fee schedule,12,85,,,fee schedule,85% of CMS fee schedule,14.12,100,,,fee schedule,100% of CMS fee schedule,14.12,100,,,fee schedule,100% of CMS fee schedule,11.52,23.71,
SOLUBLE LIVER ANTGEN IgG AB,5061759,CDM,301,RC,83520,HCPCS,OUTPATIENT,,,75,60,,71.25,95,,57,percent of total billed charges,95% of total billed charges,71.04,94.72,,56.83,percent of total billed charges,94.72% of total billed charges,74.09,98.79,,59.27,percent of total billed charges,98.79% of total billed charges,73.5,98,,58.8,percent of total billed charges,98% of total billed charges,73.5,98,,58.8,percent of total billed charges,98% of total billed charges,36,48,,28.8,percent of total billed charges,48% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,85,,,fee schedule,85% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,74.09,
SIROLIMUS,5061760,CDM,301,RC,80195,HCPCS,OUTPATIENT,,,30,24,,28.5,95,,22.8,percent of total billed charges,95% of total billed charges,28.42,94.72,,22.74,percent of total billed charges,94.72% of total billed charges,29.64,98.79,,23.71,percent of total billed charges,98.79% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,14.4,48,,11.52,percent of total billed charges,48% of total billed charges,13.73,100,,,fee schedule,100% of CMS fee schedule,11.67,85,,,fee schedule,85% of CMS fee schedule,13.73,100,,,fee schedule,100% of CMS fee schedule,13.73,100,,,fee schedule,100% of CMS fee schedule,11.67,29.64,
ACh receptor (muscle) finding antibody,5061774,CDM,301,RC,83519,HCPCS,OUTPATIENT,,,45,36,,42.75,95,,34.2,percent of total billed charges,95% of total billed charges,42.62,94.72,,34.1,percent of total billed charges,94.72% of total billed charges,44.46,98.79,,35.57,percent of total billed charges,98.79% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,21.6,48,,17.28,percent of total billed charges,48% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,85,,,fee schedule,85% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,44.46,
AChR ganglionic neuronal antibody,5061774,CDM,301,RC,83519,HCPCS,OUTPATIENT,,,45,36,,42.75,95,,34.2,percent of total billed charges,95% of total billed charges,42.62,94.72,,34.1,percent of total billed charges,94.72% of total billed charges,44.46,98.79,,35.57,percent of total billed charges,98.79% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,21.6,48,,17.28,percent of total billed charges,48% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,85,,,fee schedule,85% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,44.46,
N-type calcium channel antibody,5061774,CDM,301,RC,83519,HCPCS,OUTPATIENT,,,45,36,,42.75,95,,34.2,percent of total billed charges,95% of total billed charges,42.62,94.72,,34.1,percent of total billed charges,94.72% of total billed charges,44.46,98.79,,35.57,percent of total billed charges,98.79% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,21.6,48,,17.28,percent of total billed charges,48% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,85,,,fee schedule,85% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,44.46,
Neuronal VGKC antibody,5061774,CDM,301,RC,83519,HCPCS,OUTPATIENT,,,45,36,,42.75,95,,34.2,percent of total billed charges,95% of total billed charges,42.62,94.72,,34.1,percent of total billed charges,94.72% of total billed charges,44.46,98.79,,35.57,percent of total billed charges,98.79% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,21.6,48,,17.28,percent of total billed charges,48% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,85,,,fee schedule,85% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,44.46,
P/Q-type calcium channel antibody,5061774,CDM,301,RC,83519,HCPCS,OUTPATIENT,,,45,36,,42.75,95,,34.2,percent of total billed charges,95% of total billed charges,42.62,94.72,,34.1,percent of total billed charges,94.72% of total billed charges,44.46,98.79,,35.57,percent of total billed charges,98.79% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,21.6,48,,17.28,percent of total billed charges,48% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,85,,,fee schedule,85% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,44.46,
Striational (Striated muscle) antibody,5061775,CDM,301,RC,83520,HCPCS,OUTPATIENT,,,72,57.6,,68.4,95,,54.72,percent of total billed charges,95% of total billed charges,68.2,94.72,,54.56,percent of total billed charges,94.72% of total billed charges,71.13,98.79,,56.9,percent of total billed charges,98.79% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,34.56,48,,27.65,percent of total billed charges,48% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,85,,,fee schedule,85% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,71.13,
AGNA-1,5061776,CDM,301,RC,86256,HCPCS,OUTPATIENT,,,72,57.6,,68.4,95,,54.72,percent of total billed charges,95% of total billed charges,68.2,94.72,,54.56,percent of total billed charges,94.72% of total billed charges,71.13,98.79,,56.9,percent of total billed charges,98.79% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,34.56,48,,27.65,percent of total billed charges,48% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,85,,,fee schedule,85% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,71.13,
ANNA-1,5061776,CDM,301,RC,86256,HCPCS,OUTPATIENT,,,72,57.6,,68.4,95,,54.72,percent of total billed charges,95% of total billed charges,68.2,94.72,,54.56,percent of total billed charges,94.72% of total billed charges,71.13,98.79,,56.9,percent of total billed charges,98.79% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,34.56,48,,27.65,percent of total billed charges,48% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,85,,,fee schedule,85% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,71.13,
ANNA-2,5061776,CDM,301,RC,86256,HCPCS,OUTPATIENT,,,72,57.6,,68.4,95,,54.72,percent of total billed charges,95% of total billed charges,68.2,94.72,,54.56,percent of total billed charges,94.72% of total billed charges,71.13,98.79,,56.9,percent of total billed charges,98.79% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,34.56,48,,27.65,percent of total billed charges,48% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,85,,,fee schedule,85% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,71.13,
ANNA-3,5061776,CDM,301,RC,86256,HCPCS,OUTPATIENT,,,72,57.6,,68.4,95,,54.72,percent of total billed charges,95% of total billed charges,68.2,94.72,,54.56,percent of total billed charges,94.72% of total billed charges,71.13,98.79,,56.9,percent of total billed charges,98.79% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,34.56,48,,27.65,percent of total billed charges,48% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,85,,,fee schedule,85% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,71.13,
Amphiphysin,5061776,CDM,301,RC,86256,HCPCS,OUTPATIENT,,,72,57.6,,68.4,95,,54.72,percent of total billed charges,95% of total billed charges,68.2,94.72,,54.56,percent of total billed charges,94.72% of total billed charges,71.13,98.79,,56.9,percent of total billed charges,98.79% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,34.56,48,,27.65,percent of total billed charges,48% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,85,,,fee schedule,85% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,71.13,
CRMP-5-IgG,5061776,CDM,301,RC,86256,HCPCS,OUTPATIENT,,,72,57.6,,68.4,95,,54.72,percent of total billed charges,95% of total billed charges,68.2,94.72,,54.56,percent of total billed charges,94.72% of total billed charges,71.13,98.79,,56.9,percent of total billed charges,98.79% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,34.56,48,,27.65,percent of total billed charges,48% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,85,,,fee schedule,85% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,71.13,
PCA-1,5061776,CDM,301,RC,86256,HCPCS,OUTPATIENT,,,72,57.6,,68.4,95,,54.72,percent of total billed charges,95% of total billed charges,68.2,94.72,,54.56,percent of total billed charges,94.72% of total billed charges,71.13,98.79,,56.9,percent of total billed charges,98.79% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,34.56,48,,27.65,percent of total billed charges,48% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,85,,,fee schedule,85% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,71.13,
PCA-2,5061776,CDM,301,RC,86256,HCPCS,OUTPATIENT,,,72,57.6,,68.4,95,,54.72,percent of total billed charges,95% of total billed charges,68.2,94.72,,54.56,percent of total billed charges,94.72% of total billed charges,71.13,98.79,,56.9,percent of total billed charges,98.79% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,34.56,48,,27.65,percent of total billed charges,48% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,85,,,fee schedule,85% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,71.13,
PCA-Tr,5061776,CDM,301,RC,86256,HCPCS,OUTPATIENT,,,72,57.6,,68.4,95,,54.72,percent of total billed charges,95% of total billed charges,68.2,94.72,,54.56,percent of total billed charges,94.72% of total billed charges,71.13,98.79,,56.9,percent of total billed charges,98.79% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,34.56,48,,27.65,percent of total billed charges,48% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,85,,,fee schedule,85% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,71.13,
CALCIUM URINE 24HR,5061805,CDM,301,RC,82340,HCPCS,OUTPATIENT,,,50,40,,47.5,95,,38,percent of total billed charges,95% of total billed charges,47.36,94.72,,37.89,percent of total billed charges,94.72% of total billed charges,49.4,98.79,,39.52,percent of total billed charges,98.79% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,24,48,,19.2,percent of total billed charges,48% of total billed charges,6.03,100,,,fee schedule,100% of CMS fee schedule,5.13,85,,,fee schedule,85% of CMS fee schedule,6.03,100,,,fee schedule,100% of CMS fee schedule,6.03,100,,,fee schedule,100% of CMS fee schedule,5.13,49.4,
SODIUM URINE 24HR,5061806,CDM,301,RC,84300,HCPCS,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,5.06,100,,,fee schedule,100% of CMS fee schedule,4.3,85,,,fee schedule,85% of CMS fee schedule,5.06,100,,,fee schedule,100% of CMS fee schedule,5.06,100,,,fee schedule,100% of CMS fee schedule,4.3,42.48,
LEAD LEVEL PEDIATRIC (UNDER 16YR),5061807,CDM,301,RC,83655,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,10.29,85,,,fee schedule,85% of CMS fee schedule,12.11,100,,,fee schedule,100% of CMS fee schedule,12.11,100,,,fee schedule,100% of CMS fee schedule,5.28,12.11,
HOMOVANILLIC ACID (HVA) 24HR URINE,5061825,CDM,301,RC,83150,HCPCS,OUTPATIENT,,,66,52.8,,62.7,95,,50.16,percent of total billed charges,95% of total billed charges,62.52,94.72,,50.02,percent of total billed charges,94.72% of total billed charges,65.2,98.79,,52.16,percent of total billed charges,98.79% of total billed charges,64.68,98,,51.74,percent of total billed charges,98% of total billed charges,64.68,98,,51.74,percent of total billed charges,98% of total billed charges,31.68,48,,25.34,percent of total billed charges,48% of total billed charges,22.41,100,,,fee schedule,100% of CMS fee schedule,19.05,85,,,fee schedule,85% of CMS fee schedule,22.41,100,,,fee schedule,100% of CMS fee schedule,22.41,100,,,fee schedule,100% of CMS fee schedule,19.05,65.2,
PROTEIN ELECTROPHORESIS 24HR URINE,5061830,CDM,301,RC,84166,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,17.83,100,,,fee schedule,100% of CMS fee schedule,15.16,85,,,fee schedule,85% of CMS fee schedule,17.83,100,,,fee schedule,100% of CMS fee schedule,17.83,100,,,fee schedule,100% of CMS fee schedule,7.68,17.83,
BILE ACIDS- TOTAL,5061836,CDM,301,RC,82239,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,17.12,100,,,fee schedule,100% of CMS fee schedule,14.55,85,,,fee schedule,85% of CMS fee schedule,17.12,100,,,fee schedule,100% of CMS fee schedule,17.12,100,,,fee schedule,100% of CMS fee schedule,7.68,17.12,
Alkaline Phosphatase Isoensymes,5061838,CDM,301,RC,84080,HCPCS,OUTPATIENT,,,21,16.8,,19.95,95,,15.96,percent of total billed charges,95% of total billed charges,19.89,94.72,,15.91,percent of total billed charges,94.72% of total billed charges,20.75,98.79,,16.6,percent of total billed charges,98.79% of total billed charges,20.58,98,,16.46,percent of total billed charges,98% of total billed charges,20.58,98,,16.46,percent of total billed charges,98% of total billed charges,10.08,48,,8.06,percent of total billed charges,48% of total billed charges,14.78,100,,,fee schedule,100% of CMS fee schedule,12.56,85,,,fee schedule,85% of CMS fee schedule,14.78,100,,,fee schedule,100% of CMS fee schedule,14.78,100,,,fee schedule,100% of CMS fee schedule,10.08,20.75,
CHLORIDE LEVEL BODY FLUID,5061842,CDM,301,RC,82438,HCPCS,OUTPATIENT,,,40,32,,38,95,,30.4,percent of total billed charges,95% of total billed charges,37.89,94.72,,30.31,percent of total billed charges,94.72% of total billed charges,39.52,98.79,,31.62,percent of total billed charges,98.79% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,19.2,48,,15.36,percent of total billed charges,48% of total billed charges,5,100,,,fee schedule,100% of CMS fee schedule,4.25,85,,,fee schedule,85% of CMS fee schedule,5,100,,,fee schedule,100% of CMS fee schedule,5,100,,,fee schedule,100% of CMS fee schedule,4.25,39.52,
GLUCOSE URINE,5061843,CDM,301,RC,82945,HCPCS,OUTPATIENT,,,46,36.8,,43.7,95,,34.96,percent of total billed charges,95% of total billed charges,43.57,94.72,,34.86,percent of total billed charges,94.72% of total billed charges,45.44,98.79,,36.35,percent of total billed charges,98.79% of total billed charges,45.08,98,,36.06,percent of total billed charges,98% of total billed charges,45.08,98,,36.06,percent of total billed charges,98% of total billed charges,22.08,48,,17.66,percent of total billed charges,48% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,3.34,85,,,fee schedule,85% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,3.34,45.44,
FASTING GLUCOSE,5061884,CDM,301,RC,82947,HCPCS,OUTPATIENT,,,46,36.8,,43.7,95,,34.96,percent of total billed charges,95% of total billed charges,43.57,94.72,,34.86,percent of total billed charges,94.72% of total billed charges,45.44,98.79,,36.35,percent of total billed charges,98.79% of total billed charges,45.08,98,,36.06,percent of total billed charges,98% of total billed charges,45.08,98,,36.06,percent of total billed charges,98% of total billed charges,22.08,48,,17.66,percent of total billed charges,48% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,3.34,85,,,fee schedule,85% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,3.34,45.44,
1 HR POST GLUCOSE LOAD,5061885,CDM,301,RC,82950,HCPCS,OUTPATIENT,,,42,33.6,,39.9,95,,31.92,percent of total billed charges,95% of total billed charges,39.78,94.72,,31.82,percent of total billed charges,94.72% of total billed charges,41.49,98.79,,33.19,percent of total billed charges,98.79% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,20.16,48,,16.13,percent of total billed charges,48% of total billed charges,4.75,100,,,fee schedule,100% of CMS fee schedule,4.04,85,,,fee schedule,85% of CMS fee schedule,4.75,100,,,fee schedule,100% of CMS fee schedule,4.75,100,,,fee schedule,100% of CMS fee schedule,4.04,41.49,
GLUCOSE TOLERANCE TEST ADD'TL  SPEC,5061890,CDM,301,RC,82952,HCPCS,OUTPATIENT,,,45,36,,42.75,95,,34.2,percent of total billed charges,95% of total billed charges,42.62,94.72,,34.1,percent of total billed charges,94.72% of total billed charges,44.46,98.79,,35.57,percent of total billed charges,98.79% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,21.6,48,,17.28,percent of total billed charges,48% of total billed charges,3.92,100,,,fee schedule,100% of CMS fee schedule,3.33,85,,,fee schedule,85% of CMS fee schedule,3.92,100,,,fee schedule,100% of CMS fee schedule,3.92,100,,,fee schedule,100% of CMS fee schedule,3.33,44.46,
RNA POLYMERASE III AB 1gG,5061893,CDM,301,RC,83520,HCPCS,OUTPATIENT,,,87,69.6,,82.65,95,,66.12,percent of total billed charges,95% of total billed charges,82.41,94.72,,65.93,percent of total billed charges,94.72% of total billed charges,85.95,98.79,,68.76,percent of total billed charges,98.79% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,41.76,48,,33.41,percent of total billed charges,48% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,85,,,fee schedule,85% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,85.95,
GENE CFTR SEQUENCE,5061939,CDM,301,RC,82105,HCPCS,OUTPATIENT,,,768,614.4,,729.6,95,,583.68,percent of total billed charges,95% of total billed charges,727.45,94.72,,581.96,percent of total billed charges,94.72% of total billed charges,758.71,98.79,,606.97,percent of total billed charges,98.79% of total billed charges,752.64,98,,602.11,percent of total billed charges,98% of total billed charges,752.64,98,,602.11,percent of total billed charges,98% of total billed charges,368.64,48,,294.91,percent of total billed charges,48% of total billed charges,16.77,100,,,fee schedule,100% of CMS fee schedule,14.25,85,,,fee schedule,85% of CMS fee schedule,16.77,100,,,fee schedule,100% of CMS fee schedule,16.77,100,,,fee schedule,100% of CMS fee schedule,14.25,758.71,
Antigliadin Abs IgA UPHS,5061944,CDM,301,RC,83516,HCPCS,OUTPATIENT,,,14,11.2,90,13.3,95,,10.64,percent of total billed charges,95% of total billed charges,13.26,94.72,,10.61,percent of total billed charges,94.72% of total billed charges,13.83,98.79,,11.06,percent of total billed charges,98.79% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,6.72,48,,5.38,percent of total billed charges,48% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,85,,,fee schedule,85% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,6.72,13.83,
DEAMIDATED GLIADIN PEPTIDE AB ELISA IGG,5061945,CDM,301,RC,83520,HCPCS,OUTPATIENT,,,235,188,,223.25,95,,178.6,percent of total billed charges,95% of total billed charges,222.59,94.72,,178.07,percent of total billed charges,94.72% of total billed charges,232.16,98.79,,185.73,percent of total billed charges,98.79% of total billed charges,230.3,98,,184.24,percent of total billed charges,98% of total billed charges,230.3,98,,184.24,percent of total billed charges,98% of total billed charges,112.8,48,,90.24,percent of total billed charges,48% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,85,,,fee schedule,85% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,232.16,
HU-TTG ELISA IGA RECOMBIANT,5061946,CDM,301,RC,83520,HCPCS,OUTPATIENT,,,235,188,,223.25,95,,178.6,percent of total billed charges,95% of total billed charges,222.59,94.72,,178.07,percent of total billed charges,94.72% of total billed charges,232.16,98.79,,185.73,percent of total billed charges,98.79% of total billed charges,230.3,98,,184.24,percent of total billed charges,98% of total billed charges,230.3,98,,184.24,percent of total billed charges,98% of total billed charges,112.8,48,,90.24,percent of total billed charges,48% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,85,,,fee schedule,85% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,232.16,
HU-TTG ELISA IGA RECOMBIANT,5061946,CDM,301,RC,83520,HCPCS,OUTPATIENT,,,235,188,,223.25,95,,178.6,percent of total billed charges,95% of total billed charges,222.59,94.72,,178.07,percent of total billed charges,94.72% of total billed charges,232.16,98.79,,185.73,percent of total billed charges,98.79% of total billed charges,230.3,98,,184.24,percent of total billed charges,98% of total billed charges,230.3,98,,184.24,percent of total billed charges,98% of total billed charges,112.8,48,,90.24,percent of total billed charges,48% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,85,,,fee schedule,85% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,232.16,
ANTI-ENDOMYSIAL AB,5061947,CDM,301,RC,88346,HCPCS,OUTPATIENT,,,111,88.8,,105.45,95,,84.36,percent of total billed charges,95% of total billed charges,105.14,94.72,,84.11,percent of total billed charges,94.72% of total billed charges,109.66,98.79,,87.73,percent of total billed charges,98.79% of total billed charges,108.78,98,,87.02,percent of total billed charges,98% of total billed charges,108.78,98,,87.02,percent of total billed charges,98% of total billed charges,53.28,48,,42.62,percent of total billed charges,48% of total billed charges,49.95,45,,39.96,percent of total billed charges,45% of total billed charges,42.46,38.25,,33.97,percent of total billed charges,38.25% of total billed charges,49.95,45,,39.96,percent of total billed charges,45% of total billed charges,49.95,45,,39.96,percent of total billed charges,45% of total billed charges,42.46,109.66,
HLA-DQA1,5061948,CDM,301,RC,81382,HCPCS,OUTPATIENT,,,375,300,,356.25,95,,285,percent of total billed charges,95% of total billed charges,355.2,94.72,,284.16,percent of total billed charges,94.72% of total billed charges,370.46,98.79,,296.37,percent of total billed charges,98.79% of total billed charges,367.5,98,,294,percent of total billed charges,98% of total billed charges,367.5,98,,294,percent of total billed charges,98% of total billed charges,180,48,,144,percent of total billed charges,48% of total billed charges,123.68,100,,,fee schedule,100% of CMS fee schedule,105.13,85,,,fee schedule,85% of CMS fee schedule,123.68,100,,,fee schedule,100% of CMS fee schedule,123.68,100,,,fee schedule,100% of CMS fee schedule,105.13,370.46,
HLA-DQA1,5061948,CDM,301,RC,81382,HCPCS,OUTPATIENT,,,375,300,,356.25,95,,285,percent of total billed charges,95% of total billed charges,355.2,94.72,,284.16,percent of total billed charges,94.72% of total billed charges,370.46,98.79,,296.37,percent of total billed charges,98.79% of total billed charges,367.5,98,,294,percent of total billed charges,98% of total billed charges,367.5,98,,294,percent of total billed charges,98% of total billed charges,180,48,,144,percent of total billed charges,48% of total billed charges,123.68,100,,,fee schedule,100% of CMS fee schedule,105.13,85,,,fee schedule,85% of CMS fee schedule,123.68,100,,,fee schedule,100% of CMS fee schedule,123.68,100,,,fee schedule,100% of CMS fee schedule,105.13,370.46,
HLA-DQB1,5061949,CDM,301,RC,81382,HCPCS,OUTPATIENT,,,375,300,,356.25,95,,285,percent of total billed charges,95% of total billed charges,355.2,94.72,,284.16,percent of total billed charges,94.72% of total billed charges,370.46,98.79,,296.37,percent of total billed charges,98.79% of total billed charges,367.5,98,,294,percent of total billed charges,98% of total billed charges,367.5,98,,294,percent of total billed charges,98% of total billed charges,180,48,,144,percent of total billed charges,48% of total billed charges,123.68,100,,,fee schedule,100% of CMS fee schedule,105.13,85,,,fee schedule,85% of CMS fee schedule,123.68,100,,,fee schedule,100% of CMS fee schedule,123.68,100,,,fee schedule,100% of CMS fee schedule,105.13,370.46,
HLA-DQB1,5061949,CDM,301,RC,81382,HCPCS,OUTPATIENT,,,375,300,,356.25,95,,285,percent of total billed charges,95% of total billed charges,355.2,94.72,,284.16,percent of total billed charges,94.72% of total billed charges,370.46,98.79,,296.37,percent of total billed charges,98.79% of total billed charges,367.5,98,,294,percent of total billed charges,98% of total billed charges,367.5,98,,294,percent of total billed charges,98% of total billed charges,180,48,,144,percent of total billed charges,48% of total billed charges,123.68,100,,,fee schedule,100% of CMS fee schedule,105.13,85,,,fee schedule,85% of CMS fee schedule,123.68,100,,,fee schedule,100% of CMS fee schedule,123.68,100,,,fee schedule,100% of CMS fee schedule,105.13,370.46,
TPMT ENZYME,5061951,CDM,301,RC,82657,HCPCS,OUTPATIENT,,,62,49.6,,58.9,95,,47.12,percent of total billed charges,95% of total billed charges,58.73,94.72,,46.98,percent of total billed charges,94.72% of total billed charges,61.25,98.79,,49,percent of total billed charges,98.79% of total billed charges,60.76,98,,48.61,percent of total billed charges,98% of total billed charges,60.76,98,,48.61,percent of total billed charges,98% of total billed charges,29.76,48,,23.81,percent of total billed charges,48% of total billed charges,22.17,100,,,fee schedule,100% of CMS fee schedule,18.84,85,,,fee schedule,85% of CMS fee schedule,22.17,100,,,fee schedule,100% of CMS fee schedule,22.17,100,,,fee schedule,100% of CMS fee schedule,18.84,61.25,
QUANT HPLC 6-MMPN,5061952,CDM,301,RC,82542,HCPCS,OUTPATIENT,,,68,54.4,,64.6,95,,51.68,percent of total billed charges,95% of total billed charges,64.41,94.72,,51.53,percent of total billed charges,94.72% of total billed charges,67.18,98.79,,53.74,percent of total billed charges,98.79% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,32.64,48,,26.11,percent of total billed charges,48% of total billed charges,24.09,100,,,fee schedule,100% of CMS fee schedule,20.48,85,,,fee schedule,85% of CMS fee schedule,24.09,100,,,fee schedule,100% of CMS fee schedule,24.09,100,,,fee schedule,100% of CMS fee schedule,20.48,67.18,
QUANT HPLC 6-MMPN,5061952,CDM,301,RC,82542,HCPCS,OUTPATIENT,,,68,54.4,,64.6,95,,51.68,percent of total billed charges,95% of total billed charges,64.41,94.72,,51.53,percent of total billed charges,94.72% of total billed charges,67.18,98.79,,53.74,percent of total billed charges,98.79% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,32.64,48,,26.11,percent of total billed charges,48% of total billed charges,24.09,100,,,fee schedule,100% of CMS fee schedule,20.48,85,,,fee schedule,85% of CMS fee schedule,24.09,100,,,fee schedule,100% of CMS fee schedule,24.09,100,,,fee schedule,100% of CMS fee schedule,20.48,67.18,
IBD IgA,5061955,CDM,301,RC,83520,HCPCS,OUTPATIENT,,,76,60.8,,72.2,95,,57.76,percent of total billed charges,95% of total billed charges,71.99,94.72,,57.59,percent of total billed charges,94.72% of total billed charges,75.08,98.79,,60.06,percent of total billed charges,98.79% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,36.48,48,,29.18,percent of total billed charges,48% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,85,,,fee schedule,85% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,75.08,
82397 IBD ICAM,5061962,CDM,301,RC,82397,HCPCS,OUTPATIENT,,,76,60.8,,72.2,95,,57.76,percent of total billed charges,95% of total billed charges,71.99,94.72,,57.59,percent of total billed charges,94.72% of total billed charges,75.08,98.79,,60.06,percent of total billed charges,98.79% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,36.48,48,,29.18,percent of total billed charges,48% of total billed charges,14.12,100,,,fee schedule,100% of CMS fee schedule,12,85,,,fee schedule,85% of CMS fee schedule,14.12,100,,,fee schedule,100% of CMS fee schedule,14.12,100,,,fee schedule,100% of CMS fee schedule,12,75.08,
82397 IBD VCAM,5061963,CDM,301,RC,82397,HCPCS,OUTPATIENT,,,76,60.8,,72.2,95,,57.76,percent of total billed charges,95% of total billed charges,71.99,94.72,,57.59,percent of total billed charges,94.72% of total billed charges,75.08,98.79,,60.06,percent of total billed charges,98.79% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,36.48,48,,29.18,percent of total billed charges,48% of total billed charges,14.12,100,,,fee schedule,100% of CMS fee schedule,12,85,,,fee schedule,85% of CMS fee schedule,14.12,100,,,fee schedule,100% of CMS fee schedule,14.12,100,,,fee schedule,100% of CMS fee schedule,12,75.08,
82397 IBD SAA,5061964,CDM,301,RC,82397,HCPCS,OUTPATIENT,,,76,60.8,,72.2,95,,57.76,percent of total billed charges,95% of total billed charges,71.99,94.72,,57.59,percent of total billed charges,94.72% of total billed charges,75.08,98.79,,60.06,percent of total billed charges,98.79% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,36.48,48,,29.18,percent of total billed charges,48% of total billed charges,14.12,100,,,fee schedule,100% of CMS fee schedule,12,85,,,fee schedule,85% of CMS fee schedule,14.12,100,,,fee schedule,100% of CMS fee schedule,14.12,100,,,fee schedule,100% of CMS fee schedule,12,75.08,
BODY FLUID CHOLESTEROL,5061968,CDM,301,RC,84311,HCPCS,OUTPATIENT,,,35,28,,33.25,95,,26.6,percent of total billed charges,95% of total billed charges,33.15,94.72,,26.52,percent of total billed charges,94.72% of total billed charges,34.58,98.79,,27.66,percent of total billed charges,98.79% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,16.8,48,,13.44,percent of total billed charges,48% of total billed charges,8.1,100,,,fee schedule,100% of CMS fee schedule,6.89,85,,,fee schedule,85% of CMS fee schedule,8.1,100,,,fee schedule,100% of CMS fee schedule,8.1,100,,,fee schedule,100% of CMS fee schedule,6.89,34.58,
CALPROTECTIN-FECAL,5062006,CDM,301,RC,83993,HCPCS,OUTPATIENT,,,233,186.4,,221.35,95,,177.08,percent of total billed charges,95% of total billed charges,220.7,94.72,,176.56,percent of total billed charges,94.72% of total billed charges,230.18,98.79,,184.14,percent of total billed charges,98.79% of total billed charges,228.34,98,,182.67,percent of total billed charges,98% of total billed charges,228.34,98,,182.67,percent of total billed charges,98% of total billed charges,111.84,48,,89.47,percent of total billed charges,48% of total billed charges,19.63,100,,,fee schedule,100% of CMS fee schedule,16.69,85,,,fee schedule,85% of CMS fee schedule,19.63,100,,,fee schedule,100% of CMS fee schedule,19.63,100,,,fee schedule,100% of CMS fee schedule,16.69,230.18,
CYTOCHROME P450 2D6 GENOTYPE,5062010,CDM,301,RC,81226,HCPCS,OUTPATIENT,,,439,351.2,,417.05,95,,333.64,percent of total billed charges,95% of total billed charges,415.82,94.72,,332.66,percent of total billed charges,94.72% of total billed charges,433.69,98.79,,346.95,percent of total billed charges,98.79% of total billed charges,430.22,98,,344.18,percent of total billed charges,98% of total billed charges,430.22,98,,344.18,percent of total billed charges,98% of total billed charges,210.72,48,,168.58,percent of total billed charges,48% of total billed charges,450.91,100,,,fee schedule,100% of CMS fee schedule,383.27,85,,,fee schedule,85% of CMS fee schedule,450.91,100,,,fee schedule,100% of CMS fee schedule,450.91,100,,,fee schedule,100% of CMS fee schedule,210.72,450.91,
CLOPIDOGREL CYP 2C19 GENOTYPE,5062011,CDM,301,RC,81255,HCPCS,OUTPATIENT,,,439,351.2,,417.05,95,,333.64,percent of total billed charges,95% of total billed charges,415.82,94.72,,332.66,percent of total billed charges,94.72% of total billed charges,433.69,98.79,,346.95,percent of total billed charges,98.79% of total billed charges,430.22,98,,344.18,percent of total billed charges,98% of total billed charges,430.22,98,,344.18,percent of total billed charges,98% of total billed charges,210.72,48,,168.58,percent of total billed charges,48% of total billed charges,51.45,100,,,fee schedule,100% of CMS fee schedule,43.73,85,,,fee schedule,85% of CMS fee schedule,51.45,100,,,fee schedule,100% of CMS fee schedule,51.45,100,,,fee schedule,100% of CMS fee schedule,43.73,433.69,
CSF LACTIC ACID,5062012,CDM,301,RC,83605,HCPCS,OUTPATIENT,,,110,88,,104.5,95,,83.6,percent of total billed charges,95% of total billed charges,104.19,94.72,,83.35,percent of total billed charges,94.72% of total billed charges,108.67,98.79,,86.94,percent of total billed charges,98.79% of total billed charges,107.8,98,,86.24,percent of total billed charges,98% of total billed charges,107.8,98,,86.24,percent of total billed charges,98% of total billed charges,52.8,48,,42.24,percent of total billed charges,48% of total billed charges,11.57,100,,,fee schedule,100% of CMS fee schedule,9.83,85,,,fee schedule,85% of CMS fee schedule,11.57,100,,,fee schedule,100% of CMS fee schedule,11.57,100,,,fee schedule,100% of CMS fee schedule,9.83,108.67,
UR DIPSTICK (KSA),5062013,CDM,301,RC,81003,HCPCS,OUTPATIENT,,,9,7.2,,8.55,95,,6.84,percent of total billed charges,95% of total billed charges,8.52,94.72,,6.82,percent of total billed charges,94.72% of total billed charges,8.89,98.79,,7.11,percent of total billed charges,98.79% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,4.32,48,,3.46,percent of total billed charges,48% of total billed charges,2.25,100,,,fee schedule,100% of CMS fee schedule,1.91,85,,,fee schedule,85% of CMS fee schedule,2.25,100,,,fee schedule,100% of CMS fee schedule,2.25,100,,,fee schedule,100% of CMS fee schedule,1.91,8.89,
UR CALCIUM (KSA),5062014,CDM,301,RC,82340,HCPCS,OUTPATIENT,,,9,7.2,,8.55,95,,6.84,percent of total billed charges,95% of total billed charges,8.52,94.72,,6.82,percent of total billed charges,94.72% of total billed charges,8.89,98.79,,7.11,percent of total billed charges,98.79% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,4.32,48,,3.46,percent of total billed charges,48% of total billed charges,6.03,100,,,fee schedule,100% of CMS fee schedule,5.13,85,,,fee schedule,85% of CMS fee schedule,6.03,100,,,fee schedule,100% of CMS fee schedule,6.03,100,,,fee schedule,100% of CMS fee schedule,4.32,8.89,
UR CHLORIDE (KSA),5062015,CDM,301,RC,82436,HCPCS,OUTPATIENT,,,9,7.2,,8.55,95,,6.84,percent of total billed charges,95% of total billed charges,8.52,94.72,,6.82,percent of total billed charges,94.72% of total billed charges,8.89,98.79,,7.11,percent of total billed charges,98.79% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,4.32,48,,3.46,percent of total billed charges,48% of total billed charges,5.75,100,,,fee schedule,100% of CMS fee schedule,4.89,85,,,fee schedule,85% of CMS fee schedule,5.75,100,,,fee schedule,100% of CMS fee schedule,5.75,100,,,fee schedule,100% of CMS fee schedule,4.32,8.89,
UR CITRATE (KSA),5062016,CDM,301,RC,82507,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,27.8,100,,,fee schedule,100% of CMS fee schedule,23.63,85,,,fee schedule,85% of CMS fee schedule,27.8,100,,,fee schedule,100% of CMS fee schedule,27.8,100,,,fee schedule,100% of CMS fee schedule,7.68,27.8,
UR OSMO (KSA),5062019,CDM,301,RC,83935,HCPCS,OUTPATIENT,,,9,7.2,,8.55,95,,6.84,percent of total billed charges,95% of total billed charges,8.52,94.72,,6.82,percent of total billed charges,94.72% of total billed charges,8.89,98.79,,7.11,percent of total billed charges,98.79% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,4.32,48,,3.46,percent of total billed charges,48% of total billed charges,6.82,100,,,fee schedule,100% of CMS fee schedule,5.8,85,,,fee schedule,85% of CMS fee schedule,6.82,100,,,fee schedule,100% of CMS fee schedule,6.82,100,,,fee schedule,100% of CMS fee schedule,4.32,8.89,
UR OXALATE (KSA),5062020,CDM,301,RC,83945,HCPCS,OUTPATIENT,,,12,9.6,,11.4,95,,9.12,percent of total billed charges,95% of total billed charges,11.37,94.72,,9.1,percent of total billed charges,94.72% of total billed charges,11.85,98.79,,9.48,percent of total billed charges,98.79% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,5.76,48,,4.61,percent of total billed charges,48% of total billed charges,14.45,100,,,fee schedule,100% of CMS fee schedule,12.28,85,,,fee schedule,85% of CMS fee schedule,14.45,100,,,fee schedule,100% of CMS fee schedule,14.45,100,,,fee schedule,100% of CMS fee schedule,5.76,14.45,
UR PHOSPHOROUS (KSA),5062021,CDM,301,RC,84105,HCPCS,OUTPATIENT,,,9,7.2,,8.55,95,,6.84,percent of total billed charges,95% of total billed charges,8.52,94.72,,6.82,percent of total billed charges,94.72% of total billed charges,8.89,98.79,,7.11,percent of total billed charges,98.79% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,4.32,48,,3.46,percent of total billed charges,48% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,4.91,85,,,fee schedule,85% of CMS fee schedule,5.78,100,,,fee schedule,100% of CMS fee schedule,5.78,100,,,fee schedule,100% of CMS fee schedule,4.32,8.89,
UR SODIUM (KSA),5062022,CDM,301,RC,84300,HCPCS,OUTPATIENT,,,9,7.2,,8.55,95,,6.84,percent of total billed charges,95% of total billed charges,8.52,94.72,,6.82,percent of total billed charges,94.72% of total billed charges,8.89,98.79,,7.11,percent of total billed charges,98.79% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,4.32,48,,3.46,percent of total billed charges,48% of total billed charges,5.06,100,,,fee schedule,100% of CMS fee schedule,4.3,85,,,fee schedule,85% of CMS fee schedule,5.06,100,,,fee schedule,100% of CMS fee schedule,5.06,100,,,fee schedule,100% of CMS fee schedule,4.3,8.89,
UR URIC ACID (KSA),5062023,CDM,301,RC,84560,HCPCS,OUTPATIENT,,,9,7.2,,8.55,95,,6.84,percent of total billed charges,95% of total billed charges,8.52,94.72,,6.82,percent of total billed charges,94.72% of total billed charges,8.89,98.79,,7.11,percent of total billed charges,98.79% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,4.32,48,,3.46,percent of total billed charges,48% of total billed charges,5.08,100,,,fee schedule,100% of CMS fee schedule,4.32,85,,,fee schedule,85% of CMS fee schedule,5.08,100,,,fee schedule,100% of CMS fee schedule,5.08,100,,,fee schedule,100% of CMS fee schedule,4.32,8.89,
UR CYSTINE (KSA),5062024,CDM,301,RC,82131,HCPCS,OUTPATIENT,,,30,24,,28.5,95,,22.8,percent of total billed charges,95% of total billed charges,28.42,94.72,,22.74,percent of total billed charges,94.72% of total billed charges,29.64,98.79,,23.71,percent of total billed charges,98.79% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,14.4,48,,11.52,percent of total billed charges,48% of total billed charges,22.98,100,,,fee schedule,100% of CMS fee schedule,19.53,85,,,fee schedule,85% of CMS fee schedule,22.98,100,,,fee schedule,100% of CMS fee schedule,22.98,100,,,fee schedule,100% of CMS fee schedule,14.4,29.64,
UR AMMONIA (KSA),5062025,CDM,301,RC,82140,HCPCS,OUTPATIENT,,,9,7.2,,8.55,95,,6.84,percent of total billed charges,95% of total billed charges,8.52,94.72,,6.82,percent of total billed charges,94.72% of total billed charges,8.89,98.79,,7.11,percent of total billed charges,98.79% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,4.32,48,,3.46,percent of total billed charges,48% of total billed charges,14.57,100,,,fee schedule,100% of CMS fee schedule,12.38,85,,,fee schedule,85% of CMS fee schedule,14.57,100,,,fee schedule,100% of CMS fee schedule,14.57,100,,,fee schedule,100% of CMS fee schedule,4.32,14.57,
UR POTASSIUM (KSA),5062026,CDM,301,RC,84133,HCPCS,OUTPATIENT,,,9,7.2,,8.55,95,,6.84,percent of total billed charges,95% of total billed charges,8.52,94.72,,6.82,percent of total billed charges,94.72% of total billed charges,8.89,98.79,,7.11,percent of total billed charges,98.79% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,4.32,48,,3.46,percent of total billed charges,48% of total billed charges,4.73,100,,,fee schedule,100% of CMS fee schedule,4.02,85,,,fee schedule,85% of CMS fee schedule,4.73,100,,,fee schedule,100% of CMS fee schedule,4.73,100,,,fee schedule,100% of CMS fee schedule,4.02,8.89,
UR SULFATE (KSA),5062027,CDM,301,RC,84392,HCPCS,OUTPATIENT,,,9,7.2,,8.55,95,,6.84,percent of total billed charges,95% of total billed charges,8.52,94.72,,6.82,percent of total billed charges,94.72% of total billed charges,8.89,98.79,,7.11,percent of total billed charges,98.79% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,4.32,48,,3.46,percent of total billed charges,48% of total billed charges,5.49,100,,,fee schedule,100% of CMS fee schedule,4.67,85,,,fee schedule,85% of CMS fee schedule,5.49,100,,,fee schedule,100% of CMS fee schedule,5.49,100,,,fee schedule,100% of CMS fee schedule,4.32,8.89,
2 HR POST GLUCOSE LOAD,5062037,CDM,301,RC,82950,HCPCS,OUTPATIENT,,,42,33.6,,39.9,95,,31.92,percent of total billed charges,95% of total billed charges,39.78,94.72,,31.82,percent of total billed charges,94.72% of total billed charges,41.49,98.79,,33.19,percent of total billed charges,98.79% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,20.16,48,,16.13,percent of total billed charges,48% of total billed charges,4.75,100,,,fee schedule,100% of CMS fee schedule,4.04,85,,,fee schedule,85% of CMS fee schedule,4.75,100,,,fee schedule,100% of CMS fee schedule,4.75,100,,,fee schedule,100% of CMS fee schedule,4.04,41.49,
MS IGG SERUM,5062043,CDM,301,RC,82784,HCPCS,OUTPATIENT,,,59,47.2,,56.05,95,,44.84,percent of total billed charges,95% of total billed charges,55.88,94.72,,44.7,percent of total billed charges,94.72% of total billed charges,58.29,98.79,,46.63,percent of total billed charges,98.79% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,28.32,48,,22.66,percent of total billed charges,48% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,7.91,85,,,fee schedule,85% of CMS fee schedule,9.3,100,,,fee schedule,100% of CMS fee schedule,9.3,100,,,fee schedule,100% of CMS fee schedule,7.91,58.29,
MS IGG CSF,5062044,CDM,301,RC,82784,HCPCS,OUTPATIENT,,,59,47.2,,56.05,95,,44.84,percent of total billed charges,95% of total billed charges,55.88,94.72,,44.7,percent of total billed charges,94.72% of total billed charges,58.29,98.79,,46.63,percent of total billed charges,98.79% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,28.32,48,,22.66,percent of total billed charges,48% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,7.91,85,,,fee schedule,85% of CMS fee schedule,9.3,100,,,fee schedule,100% of CMS fee schedule,9.3,100,,,fee schedule,100% of CMS fee schedule,7.91,58.29,
MS OLIGOBANDS CSF,5062045,CDM,301,RC,83916,HCPCS,OUTPATIENT,,,59,47.2,,56.05,95,,44.84,percent of total billed charges,95% of total billed charges,55.88,94.72,,44.7,percent of total billed charges,94.72% of total billed charges,58.29,98.79,,46.63,percent of total billed charges,98.79% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,28.32,48,,22.66,percent of total billed charges,48% of total billed charges,27.39,100,,,fee schedule,100% of CMS fee schedule,23.28,85,,,fee schedule,85% of CMS fee schedule,27.39,100,,,fee schedule,100% of CMS fee schedule,27.39,100,,,fee schedule,100% of CMS fee schedule,23.28,58.29,
t-Transglutaminase (tTH) IgA UPHS,5062046,CDM,301,RC,83516,HCPCS,OUTPATIENT,,,60,48,90,57,95,,45.6,percent of total billed charges,95% of total billed charges,56.83,94.72,,45.46,percent of total billed charges,94.72% of total billed charges,59.27,98.79,,47.42,percent of total billed charges,98.79% of total billed charges,58.8,98,,47.04,percent of total billed charges,98% of total billed charges,58.8,98,,47.04,percent of total billed charges,98% of total billed charges,28.8,48,,23.04,percent of total billed charges,48% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,85,,,fee schedule,85% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,59.27,
IBD ANCA ELISHA,5062074,CDM,301,RC,83520,HCPCS,OUTPATIENT,,,76,60.8,,72.2,95,,57.76,percent of total billed charges,95% of total billed charges,71.99,94.72,,57.59,percent of total billed charges,94.72% of total billed charges,75.08,98.79,,60.06,percent of total billed charges,98.79% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,36.48,48,,29.18,percent of total billed charges,48% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,85,,,fee schedule,85% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,75.08,
HCG QUANT,5062077,CDM,301,RC,84702,HCPCS,OUTPATIENT,,,139,111.2,,132.05,95,,105.64,percent of total billed charges,95% of total billed charges,131.66,94.72,,105.33,percent of total billed charges,94.72% of total billed charges,137.32,98.79,,109.86,percent of total billed charges,98.79% of total billed charges,136.22,98,,108.98,percent of total billed charges,98% of total billed charges,136.22,98,,108.98,percent of total billed charges,98% of total billed charges,66.72,48,,53.38,percent of total billed charges,48% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,12.79,85,,,fee schedule,85% of CMS fee schedule,15.05,100,,,fee schedule,100% of CMS fee schedule,15.05,100,,,fee schedule,100% of CMS fee schedule,12.79,137.32,
TP TOTAL TESTOSTERONE,5062091,CDM,301,RC,84403,HCPCS,OUTPATIENT,,,17,13.6,,16.15,95,,12.92,percent of total billed charges,95% of total billed charges,16.1,94.72,,12.88,percent of total billed charges,94.72% of total billed charges,16.79,98.79,,13.43,percent of total billed charges,98.79% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,8.16,48,,6.53,percent of total billed charges,48% of total billed charges,25.81,100,,,fee schedule,100% of CMS fee schedule,21.94,85,,,fee schedule,85% of CMS fee schedule,25.81,100,,,fee schedule,100% of CMS fee schedule,25.81,100,,,fee schedule,100% of CMS fee schedule,8.16,25.81,
TP FREE TESTOSTERONE,5062092,CDM,301,RC,84402,HCPCS,OUTPATIENT,,,17,13.6,,16.15,95,,12.92,percent of total billed charges,95% of total billed charges,16.1,94.72,,12.88,percent of total billed charges,94.72% of total billed charges,16.79,98.79,,13.43,percent of total billed charges,98.79% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,8.16,48,,6.53,percent of total billed charges,48% of total billed charges,25.47,100,,,fee schedule,100% of CMS fee schedule,21.65,85,,,fee schedule,85% of CMS fee schedule,25.47,100,,,fee schedule,100% of CMS fee schedule,25.47,100,,,fee schedule,100% of CMS fee schedule,8.16,25.47,
FATTY ACID PROFILE (C22-C26),5062094,CDM,301,RC,82726,HCPCS,OUTPATIENT,,,387,309.6,,367.65,95,,294.12,percent of total billed charges,95% of total billed charges,366.57,94.72,,293.26,percent of total billed charges,94.72% of total billed charges,382.32,98.79,,305.86,percent of total billed charges,98.79% of total billed charges,379.26,98,,303.41,percent of total billed charges,98% of total billed charges,379.26,98,,303.41,percent of total billed charges,98% of total billed charges,185.76,48,,148.61,percent of total billed charges,48% of total billed charges,19.75,100,,,fee schedule,100% of CMS fee schedule,16.79,85,,,fee schedule,85% of CMS fee schedule,19.75,100,,,fee schedule,100% of CMS fee schedule,19.75,100,,,fee schedule,100% of CMS fee schedule,16.79,382.32,
CONGENITAL DISORDER GLYCOS,5062095,CDM,301,RC,82373,HCPCS,OUTPATIENT,,,338,270.4,,321.1,95,,256.88,percent of total billed charges,95% of total billed charges,320.15,94.72,,256.12,percent of total billed charges,94.72% of total billed charges,333.91,98.79,,267.13,percent of total billed charges,98.79% of total billed charges,331.24,98,,264.99,percent of total billed charges,98% of total billed charges,331.24,98,,264.99,percent of total billed charges,98% of total billed charges,162.24,48,,129.79,percent of total billed charges,48% of total billed charges,18.06,100,,,fee schedule,100% of CMS fee schedule,15.35,85,,,fee schedule,85% of CMS fee schedule,18.06,100,,,fee schedule,100% of CMS fee schedule,18.06,100,,,fee schedule,100% of CMS fee schedule,15.35,333.91,
AFP TUMOR MARKER,5062115,CDM,301,RC,82105,HCPCS,OUTPATIENT,,,105,84,,99.75,95,,79.8,percent of total billed charges,95% of total billed charges,99.46,94.72,,79.57,percent of total billed charges,94.72% of total billed charges,103.73,98.79,,82.98,percent of total billed charges,98.79% of total billed charges,102.9,98,,82.32,percent of total billed charges,98% of total billed charges,102.9,98,,82.32,percent of total billed charges,98% of total billed charges,50.4,48,,40.32,percent of total billed charges,48% of total billed charges,16.77,100,,,fee schedule,100% of CMS fee schedule,14.25,85,,,fee schedule,85% of CMS fee schedule,16.77,100,,,fee schedule,100% of CMS fee schedule,16.77,100,,,fee schedule,100% of CMS fee schedule,14.25,103.73,
ESTRIOL UNCONJUGATED,5062116,CDM,301,RC,82677,HCPCS,OUTPATIENT,,,114,91.2,,108.3,95,,86.64,percent of total billed charges,95% of total billed charges,107.98,94.72,,86.38,percent of total billed charges,94.72% of total billed charges,112.62,98.79,,90.1,percent of total billed charges,98.79% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,54.72,48,,43.78,percent of total billed charges,48% of total billed charges,24.18,100,,,fee schedule,100% of CMS fee schedule,20.55,85,,,fee schedule,85% of CMS fee schedule,24.18,100,,,fee schedule,100% of CMS fee schedule,24.18,100,,,fee schedule,100% of CMS fee schedule,20.55,112.62,
HMP ARSENIC,5062120,CDM,301,RC,82175,HCPCS,OUTPATIENT,,,23,18.4,,21.85,95,,17.48,percent of total billed charges,95% of total billed charges,21.79,94.72,,17.43,percent of total billed charges,94.72% of total billed charges,22.72,98.79,,18.18,percent of total billed charges,98.79% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,11.04,48,,8.83,percent of total billed charges,48% of total billed charges,18.97,100,,,fee schedule,100% of CMS fee schedule,16.12,85,,,fee schedule,85% of CMS fee schedule,18.97,100,,,fee schedule,100% of CMS fee schedule,18.97,100,,,fee schedule,100% of CMS fee schedule,11.04,22.72,
HMP CADIUM,5062121,CDM,301,RC,82300,HCPCS,OUTPATIENT,,,23,18.4,,21.85,95,,17.48,percent of total billed charges,95% of total billed charges,21.79,94.72,,17.43,percent of total billed charges,94.72% of total billed charges,22.72,98.79,,18.18,percent of total billed charges,98.79% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,11.04,48,,8.83,percent of total billed charges,48% of total billed charges,23.64,100,,,fee schedule,100% of CMS fee schedule,20.09,85,,,fee schedule,85% of CMS fee schedule,23.64,100,,,fee schedule,100% of CMS fee schedule,23.64,100,,,fee schedule,100% of CMS fee schedule,11.04,23.64,
HMP LEAD,5062122,CDM,301,RC,83655,HCPCS,OUTPATIENT,,,23,18.4,,21.85,95,,17.48,percent of total billed charges,95% of total billed charges,21.79,94.72,,17.43,percent of total billed charges,94.72% of total billed charges,22.72,98.79,,18.18,percent of total billed charges,98.79% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,11.04,48,,8.83,percent of total billed charges,48% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,10.29,85,,,fee schedule,85% of CMS fee schedule,12.11,100,,,fee schedule,100% of CMS fee schedule,12.11,100,,,fee schedule,100% of CMS fee schedule,10.29,22.72,
HMP MERCURY,5062123,CDM,301,RC,83825,HCPCS,OUTPATIENT,,,23,18.4,,21.85,95,,17.48,percent of total billed charges,95% of total billed charges,21.79,94.72,,17.43,percent of total billed charges,94.72% of total billed charges,22.72,98.79,,18.18,percent of total billed charges,98.79% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,11.04,48,,8.83,percent of total billed charges,48% of total billed charges,16.26,100,,,fee schedule,100% of CMS fee schedule,13.82,85,,,fee schedule,85% of CMS fee schedule,16.26,100,,,fee schedule,100% of CMS fee schedule,16.26,100,,,fee schedule,100% of CMS fee schedule,11.04,22.72,
THALLIUM,5062124,CDM,301,RC,83018,HCPCS,OUTPATIENT,,,215,172,,204.25,95,,163.4,percent of total billed charges,95% of total billed charges,203.65,94.72,,162.92,percent of total billed charges,94.72% of total billed charges,212.4,98.79,,169.92,percent of total billed charges,98.79% of total billed charges,210.7,98,,168.56,percent of total billed charges,98% of total billed charges,210.7,98,,168.56,percent of total billed charges,98% of total billed charges,103.2,48,,82.56,percent of total billed charges,48% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,18.67,85,,,fee schedule,85% of CMS fee schedule,21.96,100,,,fee schedule,100% of CMS fee schedule,21.96,100,,,fee schedule,100% of CMS fee schedule,18.67,212.4,
pH Venous,5062130,CDM,301,RC,82800,HCPCS,OUTPATIENT,,,29,23.2,,27.55,95,,22.04,percent of total billed charges,95% of total billed charges,27.47,94.72,,21.98,percent of total billed charges,94.72% of total billed charges,28.65,98.79,,22.92,percent of total billed charges,98.79% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,13.92,48,,11.14,percent of total billed charges,48% of total billed charges,11,100,,,fee schedule,100% of CMS fee schedule,9.35,85,,,fee schedule,85% of CMS fee schedule,11,100,,,fee schedule,100% of CMS fee schedule,11,100,,,fee schedule,100% of CMS fee schedule,9.35,28.65,
pH VENOUS,5062130,CDM,301,RC,82800,HCPCS,OUTPATIENT,,,167,133.6,,158.65,95,,126.92,percent of total billed charges,95% of total billed charges,158.18,94.72,,126.54,percent of total billed charges,94.72% of total billed charges,164.98,98.79,,131.98,percent of total billed charges,98.79% of total billed charges,163.66,98,,130.93,percent of total billed charges,98% of total billed charges,163.66,98,,130.93,percent of total billed charges,98% of total billed charges,80.16,48,,64.13,percent of total billed charges,48% of total billed charges,11,100,,,fee schedule,100% of CMS fee schedule,9.35,85,,,fee schedule,85% of CMS fee schedule,11,100,,,fee schedule,100% of CMS fee schedule,11,100,,,fee schedule,100% of CMS fee schedule,9.35,164.98,
HE FRACTIONATION  QUANT,5062133,CDM,301,RC,83020,HCPCS,OUTPATIENT,,,37,29.6,,35.15,95,,28.12,percent of total billed charges,95% of total billed charges,35.05,94.72,,28.04,percent of total billed charges,94.72% of total billed charges,36.55,98.79,,29.24,percent of total billed charges,98.79% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,17.76,48,,14.21,percent of total billed charges,48% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,10.94,85,,,fee schedule,85% of CMS fee schedule,12.87,100,,,fee schedule,100% of CMS fee schedule,12.87,100,,,fee schedule,100% of CMS fee schedule,10.94,36.55,
HE CHROMATOGRAPHY,5062134,CDM,301,RC,83021,HCPCS,OUTPATIENT,,,37,29.6,,35.15,95,,28.12,percent of total billed charges,95% of total billed charges,35.05,94.72,,28.04,percent of total billed charges,94.72% of total billed charges,36.55,98.79,,29.24,percent of total billed charges,98.79% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,17.76,48,,14.21,percent of total billed charges,48% of total billed charges,18.06,100,,,fee schedule,100% of CMS fee schedule,15.35,85,,,fee schedule,85% of CMS fee schedule,18.06,100,,,fee schedule,100% of CMS fee schedule,18.06,100,,,fee schedule,100% of CMS fee schedule,15.35,36.55,
TP BIO AVAILABLE TESTOSTERONE,5062159,CDM,301,RC,84410,HCPCS,OUTPATIENT,,,28,22.4,,26.6,95,,21.28,percent of total billed charges,95% of total billed charges,26.52,94.72,,21.22,percent of total billed charges,94.72% of total billed charges,27.66,98.79,,22.13,percent of total billed charges,98.79% of total billed charges,27.44,98,,21.95,percent of total billed charges,98% of total billed charges,27.44,98,,21.95,percent of total billed charges,98% of total billed charges,13.44,48,,10.75,percent of total billed charges,48% of total billed charges,51.28,100,,,fee schedule,100% of CMS fee schedule,43.59,85,,,fee schedule,85% of CMS fee schedule,51.28,100,,,fee schedule,100% of CMS fee schedule,51.28,100,,,fee schedule,100% of CMS fee schedule,13.44,51.28,
82247 NASH TOTAL BILIRUBIN,5062181,CDM,301,RC,82247,HCPCS,OUTPATIENT,,,30,24,,28.5,95,,22.8,percent of total billed charges,95% of total billed charges,28.42,94.72,,22.74,percent of total billed charges,94.72% of total billed charges,29.64,98.79,,23.71,percent of total billed charges,98.79% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,14.4,48,,11.52,percent of total billed charges,48% of total billed charges,5.02,100,,,fee schedule,100% of CMS fee schedule,4.27,85,,,fee schedule,85% of CMS fee schedule,5.02,100,,,fee schedule,100% of CMS fee schedule,5.02,100,,,fee schedule,100% of CMS fee schedule,4.27,29.64,
NASH CHOLESTEROL,5062182,CDM,301,RC,82465,HCPCS,OUTPATIENT,,,30,24,,28.5,95,,22.8,percent of total billed charges,95% of total billed charges,28.42,94.72,,22.74,percent of total billed charges,94.72% of total billed charges,29.64,98.79,,23.71,percent of total billed charges,98.79% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,14.4,48,,11.52,percent of total billed charges,48% of total billed charges,4.35,100,,,fee schedule,100% of CMS fee schedule,3.7,85,,,fee schedule,85% of CMS fee schedule,4.35,100,,,fee schedule,100% of CMS fee schedule,4.35,100,,,fee schedule,100% of CMS fee schedule,3.7,29.64,
NASH TRIGLYCERIDE,5062183,CDM,301,RC,84478,HCPCS,OUTPATIENT,,,30,24,,28.5,95,,22.8,percent of total billed charges,95% of total billed charges,28.42,94.72,,22.74,percent of total billed charges,94.72% of total billed charges,29.64,98.79,,23.71,percent of total billed charges,98.79% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,14.4,48,,11.52,percent of total billed charges,48% of total billed charges,5.74,100,,,fee schedule,100% of CMS fee schedule,4.88,85,,,fee schedule,85% of CMS fee schedule,5.74,100,,,fee schedule,100% of CMS fee schedule,5.74,100,,,fee schedule,100% of CMS fee schedule,4.88,29.64,
NASH GGT,5062184,CDM,301,RC,82977,HCPCS,OUTPATIENT,,,30,24,,28.5,95,,22.8,percent of total billed charges,95% of total billed charges,28.42,94.72,,22.74,percent of total billed charges,94.72% of total billed charges,29.64,98.79,,23.71,percent of total billed charges,98.79% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,14.4,48,,11.52,percent of total billed charges,48% of total billed charges,7.2,100,,,fee schedule,100% of CMS fee schedule,6.12,85,,,fee schedule,85% of CMS fee schedule,7.2,100,,,fee schedule,100% of CMS fee schedule,7.2,100,,,fee schedule,100% of CMS fee schedule,6.12,29.64,
NASH GLUCOSE,5062185,CDM,301,RC,82947,HCPCS,OUTPATIENT,,,47,37.6,,44.65,95,,35.72,percent of total billed charges,95% of total billed charges,44.52,94.72,,35.62,percent of total billed charges,94.72% of total billed charges,46.43,98.79,,37.14,percent of total billed charges,98.79% of total billed charges,46.06,98,,36.85,percent of total billed charges,98% of total billed charges,46.06,98,,36.85,percent of total billed charges,98% of total billed charges,22.56,48,,18.05,percent of total billed charges,48% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,3.34,85,,,fee schedule,85% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,3.34,46.43,
NASH AST,5062186,CDM,301,RC,84450,HCPCS,OUTPATIENT,,,30,24,,28.5,95,,22.8,percent of total billed charges,95% of total billed charges,28.42,94.72,,22.74,percent of total billed charges,94.72% of total billed charges,29.64,98.79,,23.71,percent of total billed charges,98.79% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,14.4,48,,11.52,percent of total billed charges,48% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,4.4,85,,,fee schedule,85% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,4.4,29.64,
NASH ALT,5062187,CDM,301,RC,84460,HCPCS,OUTPATIENT,,,30,24,,28.5,95,,22.8,percent of total billed charges,95% of total billed charges,28.42,94.72,,22.74,percent of total billed charges,94.72% of total billed charges,29.64,98.79,,23.71,percent of total billed charges,98.79% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,14.4,48,,11.52,percent of total billed charges,48% of total billed charges,5.3,100,,,fee schedule,100% of CMS fee schedule,4.51,85,,,fee schedule,85% of CMS fee schedule,5.3,100,,,fee schedule,100% of CMS fee schedule,5.3,100,,,fee schedule,100% of CMS fee schedule,4.51,29.64,
NASH APOLIPOPROTEIN A,5062188,CDM,301,RC,82172,HCPCS,OUTPATIENT,,,30,24,,28.5,95,,22.8,percent of total billed charges,95% of total billed charges,28.42,94.72,,22.74,percent of total billed charges,94.72% of total billed charges,29.64,98.79,,23.71,percent of total billed charges,98.79% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,14.4,48,,11.52,percent of total billed charges,48% of total billed charges,21.09,100,,,fee schedule,100% of CMS fee schedule,17.93,85,,,fee schedule,85% of CMS fee schedule,21.09,100,,,fee schedule,100% of CMS fee schedule,21.09,100,,,fee schedule,100% of CMS fee schedule,14.4,29.64,
NASH HAPTOGLOBIN,5062189,CDM,301,RC,83010,HCPCS,OUTPATIENT,,,30,24,,28.5,95,,22.8,percent of total billed charges,95% of total billed charges,28.42,94.72,,22.74,percent of total billed charges,94.72% of total billed charges,29.64,98.79,,23.71,percent of total billed charges,98.79% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,14.4,48,,11.52,percent of total billed charges,48% of total billed charges,12.58,100,,,fee schedule,100% of CMS fee schedule,10.69,85,,,fee schedule,85% of CMS fee schedule,12.58,100,,,fee schedule,100% of CMS fee schedule,12.58,100,,,fee schedule,100% of CMS fee schedule,10.69,29.64,
NASH A2 MACROGLOBULIN,5062190,CDM,301,RC,83883,HCPCS,OUTPATIENT,,,30,24,,28.5,95,,22.8,percent of total billed charges,95% of total billed charges,28.42,94.72,,22.74,percent of total billed charges,94.72% of total billed charges,29.64,98.79,,23.71,percent of total billed charges,98.79% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,14.4,48,,11.52,percent of total billed charges,48% of total billed charges,13.6,100,,,fee schedule,100% of CMS fee schedule,11.56,85,,,fee schedule,85% of CMS fee schedule,13.6,100,,,fee schedule,100% of CMS fee schedule,13.6,100,,,fee schedule,100% of CMS fee schedule,11.56,29.64,
Antiribosomal P Antibodies UPHS,5062191,CDM,301,RC,83516,HCPCS,OUTPATIENT,,,32,25.6,,30.4,95,,24.32,percent of total billed charges,95% of total billed charges,30.31,94.72,,24.25,percent of total billed charges,94.72% of total billed charges,31.61,98.79,,25.29,percent of total billed charges,98.79% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,15.36,48,,12.29,percent of total billed charges,48% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,85,,,fee schedule,85% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,31.61,
ANTIMULLERIAN HORMONE,5062192,CDM,301,RC,83520,HCPCS,OUTPATIENT,,,52,41.6,,49.4,95,,39.52,percent of total billed charges,95% of total billed charges,49.25,94.72,,39.4,percent of total billed charges,94.72% of total billed charges,51.37,98.79,,41.1,percent of total billed charges,98.79% of total billed charges,50.96,98,,40.77,percent of total billed charges,98% of total billed charges,50.96,98,,40.77,percent of total billed charges,98% of total billed charges,24.96,48,,19.97,percent of total billed charges,48% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,85,,,fee schedule,85% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,51.37,
GLUCOSE BODY FLUID,5062193,CDM,301,RC,82945,HCPCS,OUTPATIENT,,,119,95.2,,113.05,95,,90.44,percent of total billed charges,95% of total billed charges,112.72,94.72,,90.18,percent of total billed charges,94.72% of total billed charges,117.56,98.79,,94.05,percent of total billed charges,98.79% of total billed charges,116.62,98,,93.3,percent of total billed charges,98% of total billed charges,116.62,98,,93.3,percent of total billed charges,98% of total billed charges,57.12,48,,45.7,percent of total billed charges,48% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,3.34,85,,,fee schedule,85% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,3.34,117.56,
GLUCOSE 2HR POST MEAL,5062194,CDM,301,RC,82947,HCPCS,OUTPATIENT,,,46,36.8,,43.7,95,,34.96,percent of total billed charges,95% of total billed charges,43.57,94.72,,34.86,percent of total billed charges,94.72% of total billed charges,45.44,98.79,,36.35,percent of total billed charges,98.79% of total billed charges,45.08,98,,36.06,percent of total billed charges,98% of total billed charges,45.08,98,,36.06,percent of total billed charges,98% of total billed charges,22.08,48,,17.66,percent of total billed charges,48% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,3.34,85,,,fee schedule,85% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,3.34,45.44,
GLUCOSE 2HR POST MEAL,5062194,CDM,301,RC,82947,HCPCS,OUTPATIENT,,,46,36.8,,43.7,95,,34.96,percent of total billed charges,95% of total billed charges,43.57,94.72,,34.86,percent of total billed charges,94.72% of total billed charges,45.44,98.79,,36.35,percent of total billed charges,98.79% of total billed charges,45.08,98,,36.06,percent of total billed charges,98% of total billed charges,45.08,98,,36.06,percent of total billed charges,98% of total billed charges,22.08,48,,17.66,percent of total billed charges,48% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,3.34,85,,,fee schedule,85% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,3.34,45.44,
GLUCOSE 1HR POST MEAL,5062224,CDM,301,RC,82947,HCPCS,OUTPATIENT,,,47,37.6,,44.65,95,,35.72,percent of total billed charges,95% of total billed charges,44.52,94.72,,35.62,percent of total billed charges,94.72% of total billed charges,46.43,98.79,,37.14,percent of total billed charges,98.79% of total billed charges,46.06,98,,36.85,percent of total billed charges,98% of total billed charges,46.06,98,,36.85,percent of total billed charges,98% of total billed charges,22.56,48,,18.05,percent of total billed charges,48% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,3.34,85,,,fee schedule,85% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,3.34,46.43,
GLUCOSE 1HR POST MEAL,5062224,CDM,301,RC,82947,HCPCS,OUTPATIENT,,,47,37.6,,44.65,95,,35.72,percent of total billed charges,95% of total billed charges,44.52,94.72,,35.62,percent of total billed charges,94.72% of total billed charges,46.43,98.79,,37.14,percent of total billed charges,98.79% of total billed charges,46.06,98,,36.85,percent of total billed charges,98% of total billed charges,46.06,98,,36.85,percent of total billed charges,98% of total billed charges,22.56,48,,18.05,percent of total billed charges,48% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,3.34,85,,,fee schedule,85% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,3.34,46.43,
MYCOPLASMA HOMINIS PCR,5062226,CDM,301,RC,87798,HCPCS,OUTPATIENT,,,109,87.2,,103.55,95,,82.84,percent of total billed charges,95% of total billed charges,103.24,94.72,,82.59,percent of total billed charges,94.72% of total billed charges,107.68,98.79,,86.14,percent of total billed charges,98.79% of total billed charges,106.82,98,,85.46,percent of total billed charges,98% of total billed charges,106.82,98,,85.46,percent of total billed charges,98% of total billed charges,52.32,48,,41.86,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,107.68,
ETHYL GLUCURONIDE,5062231,CDM,301,RC,80307,HCPCS,OUTPATIENT,,,40,32,,38,95,,30.4,percent of total billed charges,95% of total billed charges,37.89,94.72,,30.31,percent of total billed charges,94.72% of total billed charges,39.52,98.79,,31.62,percent of total billed charges,98.79% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,19.2,48,,15.36,percent of total billed charges,48% of total billed charges,62.14,100,,,fee schedule,100% of CMS fee schedule,52.82,85,,,fee schedule,85% of CMS fee schedule,62.14,100,,,fee schedule,100% of CMS fee schedule,62.14,100,,,fee schedule,100% of CMS fee schedule,19.2,62.14,
HCV T Bilirubin UPHS,5062237,CDM,301,RC,82249,HCPCS,OUTPATIENT,,,18,14.4,,17.1,95,,13.68,percent of total billed charges,95% of total billed charges,17.05,94.72,,13.64,percent of total billed charges,94.72% of total billed charges,17.78,98.79,,14.22,percent of total billed charges,98.79% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,8.64,48,,6.91,percent of total billed charges,48% of total billed charges,8.1,45,,6.48,percent of total billed charges,45% of total billed charges,6.89,38.25,,5.51,percent of total billed charges,38.25% of total billed charges,8.1,45,,6.48,percent of total billed charges,45% of total billed charges,8.1,45,,6.48,percent of total billed charges,45% of total billed charges,6.89,17.78,
HCV Apolipoprotein A1 UPHS,5062238,CDM,301,RC,82182,HCPCS,OUTPATIENT,,,18,14.4,90,17.1,95,,13.68,percent of total billed charges,95% of total billed charges,17.05,94.72,,13.64,percent of total billed charges,94.72% of total billed charges,17.78,98.79,,14.22,percent of total billed charges,98.79% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,8.64,48,,6.91,percent of total billed charges,48% of total billed charges,8.1,45,,6.48,percent of total billed charges,45% of total billed charges,6.89,38.25,,5.51,percent of total billed charges,38.25% of total billed charges,8.1,45,,6.48,percent of total billed charges,45% of total billed charges,8.1,45,,6.48,percent of total billed charges,45% of total billed charges,6.89,17.78,
HCV Haptoglobin UPHS,5062239,CDM,301,RC,83010,HCPCS,OUTPATIENT,,,18,14.4,,17.1,95,,13.68,percent of total billed charges,95% of total billed charges,17.05,94.72,,13.64,percent of total billed charges,94.72% of total billed charges,17.78,98.79,,14.22,percent of total billed charges,98.79% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,8.64,48,,6.91,percent of total billed charges,48% of total billed charges,12.58,100,,,fee schedule,100% of CMS fee schedule,10.69,85,,,fee schedule,85% of CMS fee schedule,12.58,100,,,fee schedule,100% of CMS fee schedule,12.58,100,,,fee schedule,100% of CMS fee schedule,8.64,17.78,
HCV Alpha 2 Macroglobulin UPHS,5062240,CDM,301,RC,83883,HCPCS,OUTPATIENT,,,18,14.4,90,17.1,95,,13.68,percent of total billed charges,95% of total billed charges,17.05,94.72,,13.64,percent of total billed charges,94.72% of total billed charges,17.78,98.79,,14.22,percent of total billed charges,98.79% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,8.64,48,,6.91,percent of total billed charges,48% of total billed charges,13.6,100,,,fee schedule,100% of CMS fee schedule,11.56,85,,,fee schedule,85% of CMS fee schedule,13.6,100,,,fee schedule,100% of CMS fee schedule,13.6,100,,,fee schedule,100% of CMS fee schedule,8.64,17.78,
HCV GGT UPHS,5062241,CDM,301,RC,82977,HCPCS,OUTPATIENT,,,18,14.4,,17.1,95,,13.68,percent of total billed charges,95% of total billed charges,17.05,94.72,,13.64,percent of total billed charges,94.72% of total billed charges,17.78,98.79,,14.22,percent of total billed charges,98.79% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,8.64,48,,6.91,percent of total billed charges,48% of total billed charges,7.2,100,,,fee schedule,100% of CMS fee schedule,6.12,85,,,fee schedule,85% of CMS fee schedule,7.2,100,,,fee schedule,100% of CMS fee schedule,7.2,100,,,fee schedule,100% of CMS fee schedule,6.12,17.78,
HCV ALT (SGPT) UPHS,5062242,CDM,301,RC,84460,HCPCS,OUTPATIENT,,,18,14.4,90,17.1,95,,13.68,percent of total billed charges,95% of total billed charges,17.05,94.72,,13.64,percent of total billed charges,94.72% of total billed charges,17.78,98.79,,14.22,percent of total billed charges,98.79% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,8.64,48,,6.91,percent of total billed charges,48% of total billed charges,5.3,100,,,fee schedule,100% of CMS fee schedule,4.51,85,,,fee schedule,85% of CMS fee schedule,5.3,100,,,fee schedule,100% of CMS fee schedule,5.3,100,,,fee schedule,100% of CMS fee schedule,4.51,17.78,
AFP MATERNAL SINGLE MARKER,5062243,CDM,301,RC,82105,HCPCS,OUTPATIENT,,,15,12,,14.25,95,,11.4,percent of total billed charges,95% of total billed charges,14.21,94.72,,11.37,percent of total billed charges,94.72% of total billed charges,14.82,98.79,,11.86,percent of total billed charges,98.79% of total billed charges,14.7,98,,11.76,percent of total billed charges,98% of total billed charges,14.7,98,,11.76,percent of total billed charges,98% of total billed charges,7.2,48,,5.76,percent of total billed charges,48% of total billed charges,16.77,100,,,fee schedule,100% of CMS fee schedule,14.25,85,,,fee schedule,85% of CMS fee schedule,16.77,100,,,fee schedule,100% of CMS fee schedule,16.77,100,,,fee schedule,100% of CMS fee schedule,7.2,16.77,
KETONES,5062255,CDM,301,RC,82009,HCPCS,OUTPATIENT,,,44,35.2,,41.8,95,,33.44,percent of total billed charges,95% of total billed charges,41.68,94.72,,33.34,percent of total billed charges,94.72% of total billed charges,43.47,98.79,,34.78,percent of total billed charges,98.79% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,21.12,48,,16.9,percent of total billed charges,48% of total billed charges,4.52,100,,,fee schedule,100% of CMS fee schedule,3.84,85,,,fee schedule,85% of CMS fee schedule,4.52,100,,,fee schedule,100% of CMS fee schedule,4.52,100,,,fee schedule,100% of CMS fee schedule,3.84,43.47,
IMMUNOFLUOR ANTB IST,5062263,CDM,301,RC,88346,HCPCS,OUTPATIENT,,,111,88.8,,105.45,95,,84.36,percent of total billed charges,95% of total billed charges,105.14,94.72,,84.11,percent of total billed charges,94.72% of total billed charges,109.66,98.79,,87.73,percent of total billed charges,98.79% of total billed charges,108.78,98,,87.02,percent of total billed charges,98% of total billed charges,108.78,98,,87.02,percent of total billed charges,98% of total billed charges,53.28,48,,42.62,percent of total billed charges,48% of total billed charges,49.95,45,,39.96,percent of total billed charges,45% of total billed charges,42.46,38.25,,33.97,percent of total billed charges,38.25% of total billed charges,49.95,45,,39.96,percent of total billed charges,45% of total billed charges,49.95,45,,39.96,percent of total billed charges,45% of total billed charges,42.46,109.66,
IMMUNOFLUOR ANTB ADDITIONAL STAIN,5062264,CDM,301,RC,88346,HCPCS,OUTPATIENT,,,86,68.8,,81.7,95,,65.36,percent of total billed charges,95% of total billed charges,81.46,94.72,,65.17,percent of total billed charges,94.72% of total billed charges,84.96,98.79,,67.97,percent of total billed charges,98.79% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,41.28,48,,33.02,percent of total billed charges,48% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,32.9,38.25,,26.32,percent of total billed charges,38.25% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,32.9,84.96,
LURASIDONE,5062267,CDM,301,RC,80342,HCPCS,OUTPATIENT,,,185,148,,175.75,95,,140.6,percent of total billed charges,95% of total billed charges,175.23,94.72,,140.18,percent of total billed charges,94.72% of total billed charges,182.76,98.79,,146.21,percent of total billed charges,98.79% of total billed charges,181.3,98,,145.04,percent of total billed charges,98% of total billed charges,181.3,98,,145.04,percent of total billed charges,98% of total billed charges,88.8,48,,71.04,percent of total billed charges,48% of total billed charges,83.25,45,,66.6,percent of total billed charges,45% of total billed charges,70.76,38.25,,56.61,percent of total billed charges,38.25% of total billed charges,83.25,45,,66.6,percent of total billed charges,45% of total billed charges,83.25,45,,66.6,percent of total billed charges,45% of total billed charges,70.76,182.76,
PH URINE,5062276,CDM,301,RC,83986,HCPCS,OUTPATIENT,,,32,25.6,,30.4,95,,24.32,percent of total billed charges,95% of total billed charges,30.31,94.72,,24.25,percent of total billed charges,94.72% of total billed charges,31.61,98.79,,25.29,percent of total billed charges,98.79% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,15.36,48,,12.29,percent of total billed charges,48% of total billed charges,3.58,100,,,fee schedule,100% of CMS fee schedule,3.04,85,,,fee schedule,85% of CMS fee schedule,3.58,100,,,fee schedule,100% of CMS fee schedule,3.58,100,,,fee schedule,100% of CMS fee schedule,3.04,31.61,
URIC ACID 24 HOUR URINE,5062277,CDM,301,RC,84560,HCPCS,OUTPATIENT,,,37,29.6,,35.15,95,,28.12,percent of total billed charges,95% of total billed charges,35.05,94.72,,28.04,percent of total billed charges,94.72% of total billed charges,36.55,98.79,,29.24,percent of total billed charges,98.79% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,17.76,48,,14.21,percent of total billed charges,48% of total billed charges,5.08,100,,,fee schedule,100% of CMS fee schedule,4.32,85,,,fee schedule,85% of CMS fee schedule,5.08,100,,,fee schedule,100% of CMS fee schedule,5.08,100,,,fee schedule,100% of CMS fee schedule,4.32,36.55,
POTASSIUM 24 HOUR URINE,5062278,CDM,301,RC,84133,HCPCS,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,4.73,100,,,fee schedule,100% of CMS fee schedule,4.02,85,,,fee schedule,85% of CMS fee schedule,4.73,100,,,fee schedule,100% of CMS fee schedule,4.73,100,,,fee schedule,100% of CMS fee schedule,4.02,42.48,
CHLORIDE 24 HOUR URINE,5062282,CDM,301,RC,82436,HCPCS,OUTPATIENT,,,32,25.6,,30.4,95,,24.32,percent of total billed charges,95% of total billed charges,30.31,94.72,,24.25,percent of total billed charges,94.72% of total billed charges,31.61,98.79,,25.29,percent of total billed charges,98.79% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,15.36,48,,12.29,percent of total billed charges,48% of total billed charges,5.75,100,,,fee schedule,100% of CMS fee schedule,4.89,85,,,fee schedule,85% of CMS fee schedule,5.75,100,,,fee schedule,100% of CMS fee schedule,5.75,100,,,fee schedule,100% of CMS fee schedule,4.89,31.61,
PHOSPHORUS 24 HOUR URINE,5062283,CDM,301,RC,84105,HCPCS,OUTPATIENT,,,47,37.6,,44.65,95,,35.72,percent of total billed charges,95% of total billed charges,44.52,94.72,,35.62,percent of total billed charges,94.72% of total billed charges,46.43,98.79,,37.14,percent of total billed charges,98.79% of total billed charges,46.06,98,,36.85,percent of total billed charges,98% of total billed charges,46.06,98,,36.85,percent of total billed charges,98% of total billed charges,22.56,48,,18.05,percent of total billed charges,48% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,4.91,85,,,fee schedule,85% of CMS fee schedule,5.78,100,,,fee schedule,100% of CMS fee schedule,5.78,100,,,fee schedule,100% of CMS fee schedule,4.91,46.43,
AZATHIOPRINE (IMURAN),5062288,CDM,301,RC,80375,HCPCS,OUTPATIENT,,,100,80,,95,95,,76,percent of total billed charges,95% of total billed charges,94.72,94.72,,75.78,percent of total billed charges,94.72% of total billed charges,98.79,98.79,,79.03,percent of total billed charges,98.79% of total billed charges,98,98,,78.4,percent of total billed charges,98% of total billed charges,98,98,,78.4,percent of total billed charges,98% of total billed charges,48,48,,38.4,percent of total billed charges,48% of total billed charges,45,45,,36,percent of total billed charges,45% of total billed charges,38.25,38.25,,30.6,percent of total billed charges,38.25% of total billed charges,45,45,,36,percent of total billed charges,45% of total billed charges,45,45,,36,percent of total billed charges,45% of total billed charges,38.25,98.79,
PORPHYRINS RANDOM URINE QUANT,5062293,CDM,301,RC,84120,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,14.71,100,,,fee schedule,100% of CMS fee schedule,12.5,85,,,fee schedule,85% of CMS fee schedule,14.71,100,,,fee schedule,100% of CMS fee schedule,14.71,100,,,fee schedule,100% of CMS fee schedule,5.28,14.71,
URINE PROTEIN (REF LAB),5062303,CDM,301,RC,84156,HCPCS,OUTPATIENT,,,34,27.2,,32.3,95,,25.84,percent of total billed charges,95% of total billed charges,32.2,94.72,,25.76,percent of total billed charges,94.72% of total billed charges,33.59,98.79,,26.87,percent of total billed charges,98.79% of total billed charges,33.32,98,,26.66,percent of total billed charges,98% of total billed charges,33.32,98,,26.66,percent of total billed charges,98% of total billed charges,16.32,48,,13.06,percent of total billed charges,48% of total billed charges,3.67,100,,,fee schedule,100% of CMS fee schedule,3.12,85,,,fee schedule,85% of CMS fee schedule,3.67,100,,,fee schedule,100% of CMS fee schedule,3.67,100,,,fee schedule,100% of CMS fee schedule,3.12,33.59,
Catecholamines| Fract Free Plasma UPHS,5062304,CDM,301,RC,82384,HCPCS,OUTPATIENT,,,24,19.2,90,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,25.25,100,,,fee schedule,100% of CMS fee schedule,21.46,85,,,fee schedule,85% of CMS fee schedule,25.25,100,,,fee schedule,100% of CMS fee schedule,25.25,100,,,fee schedule,100% of CMS fee schedule,11.52,25.25,
TRANSFORMING GROWTH FACTOR BETA 1,5062306,CDM,301,RC,83520,HCPCS,OUTPATIENT,,,235,188,,223.25,95,,178.6,percent of total billed charges,95% of total billed charges,222.59,94.72,,178.07,percent of total billed charges,94.72% of total billed charges,232.16,98.79,,185.73,percent of total billed charges,98.79% of total billed charges,230.3,98,,184.24,percent of total billed charges,98% of total billed charges,230.3,98,,184.24,percent of total billed charges,98% of total billed charges,112.8,48,,90.24,percent of total billed charges,48% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,85,,,fee schedule,85% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,232.16,
MATRIX METALLOPROTEINASE-9 (MMP-9),5062307,CDM,301,RC,83520,HCPCS,OUTPATIENT,,,79,63.2,,75.05,95,,60.04,percent of total billed charges,95% of total billed charges,74.83,94.72,,59.86,percent of total billed charges,94.72% of total billed charges,78.04,98.79,,62.43,percent of total billed charges,98.79% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,37.92,48,,30.34,percent of total billed charges,48% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,85,,,fee schedule,85% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,78.04,
VASCULAR ENDOTHELIAL GROWTH FACTOR,5062308,CDM,301,RC,83520,HCPCS,OUTPATIENT,,,182,145.6,,172.9,95,,138.32,percent of total billed charges,95% of total billed charges,172.39,94.72,,137.91,percent of total billed charges,94.72% of total billed charges,179.8,98.79,,143.84,percent of total billed charges,98.79% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,87.36,48,,69.89,percent of total billed charges,48% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,85,,,fee schedule,85% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,179.8,
PROSTATE SPECIFIC ANTIGEN ULTRASENSITIVE,5062311,CDM,301,RC,84153,HCPCS,OUTPATIENT,,,27,21.6,,25.65,95,,20.52,percent of total billed charges,95% of total billed charges,25.57,94.72,,20.46,percent of total billed charges,94.72% of total billed charges,26.67,98.79,,21.34,percent of total billed charges,98.79% of total billed charges,26.46,98,,21.17,percent of total billed charges,98% of total billed charges,26.46,98,,21.17,percent of total billed charges,98% of total billed charges,12.96,48,,10.37,percent of total billed charges,48% of total billed charges,18.39,100,,,fee schedule,100% of CMS fee schedule,15.63,85,,,fee schedule,85% of CMS fee schedule,18.39,100,,,fee schedule,100% of CMS fee schedule,18.39,100,,,fee schedule,100% of CMS fee schedule,12.96,26.67,
CYSTATIN,5062319,CDM,301,RC,82610,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,18.52,100,,,fee schedule,100% of CMS fee schedule,15.74,85,,,fee schedule,85% of CMS fee schedule,18.52,100,,,fee schedule,100% of CMS fee schedule,18.52,100,,,fee schedule,100% of CMS fee schedule,5.28,18.52,
EVEROLIMUS,5062320,CDM,301,RC,80169,HCPCS,OUTPATIENT,,,140,112,,133,95,,106.4,percent of total billed charges,95% of total billed charges,132.61,94.72,,106.09,percent of total billed charges,94.72% of total billed charges,138.31,98.79,,110.65,percent of total billed charges,98.79% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,67.2,48,,53.76,percent of total billed charges,48% of total billed charges,13.73,100,,,fee schedule,100% of CMS fee schedule,11.67,85,,,fee schedule,85% of CMS fee schedule,13.73,100,,,fee schedule,100% of CMS fee schedule,13.73,100,,,fee schedule,100% of CMS fee schedule,11.67,138.31,
BIOTIN VITAMIN B7,5062321,CDM,301,RC,84591,HCPCS,OUTPATIENT,,,9,7.2,,8.55,95,,6.84,percent of total billed charges,95% of total billed charges,8.52,94.72,,6.82,percent of total billed charges,94.72% of total billed charges,8.89,98.79,,7.11,percent of total billed charges,98.79% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,4.32,48,,3.46,percent of total billed charges,48% of total billed charges,17.06,100,,,fee schedule,100% of CMS fee schedule,14.5,85,,,fee schedule,85% of CMS fee schedule,17.06,100,,,fee schedule,100% of CMS fee schedule,17.06,100,,,fee schedule,100% of CMS fee schedule,4.32,17.06,
DIHYDROTESTOSTERONE (DHT),5062324,CDM,301,RC,80327,HCPCS,OUTPATIENT,,,28,22.4,,26.6,95,,21.28,percent of total billed charges,95% of total billed charges,26.52,94.72,,21.22,percent of total billed charges,94.72% of total billed charges,27.66,98.79,,22.13,percent of total billed charges,98.79% of total billed charges,27.44,98,,21.95,percent of total billed charges,98% of total billed charges,27.44,98,,21.95,percent of total billed charges,98% of total billed charges,13.44,48,,10.75,percent of total billed charges,48% of total billed charges,12.6,45,,10.08,percent of total billed charges,45% of total billed charges,10.71,38.25,,8.57,percent of total billed charges,38.25% of total billed charges,12.6,45,,10.08,percent of total billed charges,45% of total billed charges,12.6,45,,10.08,percent of total billed charges,45% of total billed charges,10.71,27.66,
VORICONAZOLE,5062325,CDM,301,RC,80299,HCPCS,OUTPATIENT,,,77,61.6,,73.15,95,,58.52,percent of total billed charges,95% of total billed charges,72.93,94.72,,58.34,percent of total billed charges,94.72% of total billed charges,76.07,98.79,,60.86,percent of total billed charges,98.79% of total billed charges,75.46,98,,60.37,percent of total billed charges,98% of total billed charges,75.46,98,,60.37,percent of total billed charges,98% of total billed charges,36.96,48,,29.57,percent of total billed charges,48% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,15.84,85,,,fee schedule,85% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,15.84,76.07,
21-Hydroxylase Antibodies UPHS,5062327,CDM,301,RC,83519,HCPCS,OUTPATIENT,,,70,56,90,66.5,95,,53.2,percent of total billed charges,95% of total billed charges,66.3,94.72,,53.04,percent of total billed charges,94.72% of total billed charges,69.15,98.79,,55.32,percent of total billed charges,98.79% of total billed charges,68.6,98,,54.88,percent of total billed charges,98% of total billed charges,68.6,98,,54.88,percent of total billed charges,98% of total billed charges,33.6,48,,26.88,percent of total billed charges,48% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,85,,,fee schedule,85% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,15.64,69.15,
ALPHA-1-ANTITRYPSIN CLEARANCE,5062341,CDM,301,RC,82103,HCPCS,OUTPATIENT,,,100,80,,95,95,,76,percent of total billed charges,95% of total billed charges,94.72,94.72,,75.78,percent of total billed charges,94.72% of total billed charges,98.79,98.79,,79.03,percent of total billed charges,98.79% of total billed charges,98,98,,78.4,percent of total billed charges,98% of total billed charges,98,98,,78.4,percent of total billed charges,98% of total billed charges,48,48,,38.4,percent of total billed charges,48% of total billed charges,13.44,100,,,fee schedule,100% of CMS fee schedule,11.42,85,,,fee schedule,85% of CMS fee schedule,13.44,100,,,fee schedule,100% of CMS fee schedule,13.44,100,,,fee schedule,100% of CMS fee schedule,11.42,98.79,
REFLEX TISSUE TRANSGLUTAMINASE IgA AB,5062349,CDM,301,RC,83516,HCPCS,OUTPATIENT,,,66,52.8,,62.7,95,,50.16,percent of total billed charges,95% of total billed charges,62.52,94.72,,50.02,percent of total billed charges,94.72% of total billed charges,65.2,98.79,,52.16,percent of total billed charges,98.79% of total billed charges,64.68,98,,51.74,percent of total billed charges,98% of total billed charges,64.68,98,,51.74,percent of total billed charges,98% of total billed charges,31.68,48,,25.34,percent of total billed charges,48% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,85,,,fee schedule,85% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,65.2,
MYELIN ASSOCIATED GLYCOPROTEIN AB (MAG),5062350,CDM,301,RC,84181,HCPCS,OUTPATIENT,,,168,134.4,,159.6,95,,127.68,percent of total billed charges,95% of total billed charges,159.13,94.72,,127.3,percent of total billed charges,94.72% of total billed charges,165.97,98.79,,132.78,percent of total billed charges,98.79% of total billed charges,164.64,98,,131.71,percent of total billed charges,98% of total billed charges,164.64,98,,131.71,percent of total billed charges,98% of total billed charges,80.64,48,,64.51,percent of total billed charges,48% of total billed charges,17.03,100,,,fee schedule,100% of CMS fee schedule,14.48,85,,,fee schedule,85% of CMS fee schedule,17.03,100,,,fee schedule,100% of CMS fee schedule,17.03,100,,,fee schedule,100% of CMS fee schedule,14.48,165.97,
OLIGOSACCHARIDE SCREEN URINE,5062351,CDM,301,RC,84377,HCPCS,OUTPATIENT,,,250,200,,237.5,95,,190,percent of total billed charges,95% of total billed charges,236.8,94.72,,189.44,percent of total billed charges,94.72% of total billed charges,246.98,98.79,,197.58,percent of total billed charges,98.79% of total billed charges,245,98,,196,percent of total billed charges,98% of total billed charges,245,98,,196,percent of total billed charges,98% of total billed charges,120,48,,96,percent of total billed charges,48% of total billed charges,5.5,100,,,fee schedule,100% of CMS fee schedule,4.68,85,,,fee schedule,85% of CMS fee schedule,5.5,100,,,fee schedule,100% of CMS fee schedule,5.5,100,,,fee schedule,100% of CMS fee schedule,4.68,246.98,
83864 MUCOPOLYSACCHARIDES QN| URINE,5062352,CDM,301,RC,83864,HCPCS,OUTPATIENT,,,260,208,,247,95,,197.6,percent of total billed charges,95% of total billed charges,246.27,94.72,,197.02,percent of total billed charges,94.72% of total billed charges,256.85,98.79,,205.48,percent of total billed charges,98.79% of total billed charges,254.8,98,,203.84,percent of total billed charges,98% of total billed charges,254.8,98,,203.84,percent of total billed charges,98% of total billed charges,124.8,48,,99.84,percent of total billed charges,48% of total billed charges,28.5,100,,,fee schedule,100% of CMS fee schedule,24.23,85,,,fee schedule,85% of CMS fee schedule,28.5,100,,,fee schedule,100% of CMS fee schedule,28.5,100,,,fee schedule,100% of CMS fee schedule,24.23,256.85,
82542 MUCOPOLYSACCHARIDES QL| URINE,5062353,CDM,301,RC,82542,HCPCS,OUTPATIENT,,,221,176.8,,209.95,95,,167.96,percent of total billed charges,95% of total billed charges,209.33,94.72,,167.46,percent of total billed charges,94.72% of total billed charges,218.33,98.79,,174.66,percent of total billed charges,98.79% of total billed charges,216.58,98,,173.26,percent of total billed charges,98% of total billed charges,216.58,98,,173.26,percent of total billed charges,98% of total billed charges,106.08,48,,84.86,percent of total billed charges,48% of total billed charges,24.09,100,,,fee schedule,100% of CMS fee schedule,20.48,85,,,fee schedule,85% of CMS fee schedule,24.09,100,,,fee schedule,100% of CMS fee schedule,24.09,100,,,fee schedule,100% of CMS fee schedule,20.48,218.33,
PHOSPHATIDYLETHANOL (PEth),5062385,CDM,301,RC,80321,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,54,45,,43.2,percent of total billed charges,45% of total billed charges,45.9,38.25,,36.72,percent of total billed charges,38.25% of total billed charges,54,45,,43.2,percent of total billed charges,45% of total billed charges,54,45,,43.2,percent of total billed charges,45% of total billed charges,45.9,118.55,
ADALIMUMAB QUANT WITH REFLEX,5062386,CDM,301,RC,80299,HCPCS,OUTPATIENT,,,323,258.4,,306.85,95,,245.48,percent of total billed charges,95% of total billed charges,305.95,94.72,,244.76,percent of total billed charges,94.72% of total billed charges,319.09,98.79,,255.27,percent of total billed charges,98.79% of total billed charges,316.54,98,,253.23,percent of total billed charges,98% of total billed charges,316.54,98,,253.23,percent of total billed charges,98% of total billed charges,155.04,48,,124.03,percent of total billed charges,48% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,15.84,85,,,fee schedule,85% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,15.84,319.09,
AMINO ACID PROFILE URINE,5062388,CDM,301,RC,82139,HCPCS,OUTPATIENT,,,123,98.4,,116.85,95,,93.48,percent of total billed charges,95% of total billed charges,116.51,94.72,,93.21,percent of total billed charges,94.72% of total billed charges,121.51,98.79,,97.21,percent of total billed charges,98.79% of total billed charges,120.54,98,,96.43,percent of total billed charges,98% of total billed charges,120.54,98,,96.43,percent of total billed charges,98% of total billed charges,59.04,48,,47.23,percent of total billed charges,48% of total billed charges,16.87,100,,,fee schedule,100% of CMS fee schedule,14.34,85,,,fee schedule,85% of CMS fee schedule,16.87,100,,,fee schedule,100% of CMS fee schedule,16.87,100,,,fee schedule,100% of CMS fee schedule,14.34,121.51,
RETINAL BINDING PROTEIN (RBP),5062390,CDM,301,RC,83883,HCPCS,OUTPATIENT,,,26,20.8,,24.7,95,,19.76,percent of total billed charges,95% of total billed charges,24.63,94.72,,19.7,percent of total billed charges,94.72% of total billed charges,25.69,98.79,,20.55,percent of total billed charges,98.79% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,12.48,48,,9.98,percent of total billed charges,48% of total billed charges,13.6,100,,,fee schedule,100% of CMS fee schedule,11.56,85,,,fee schedule,85% of CMS fee schedule,13.6,100,,,fee schedule,100% of CMS fee schedule,13.6,100,,,fee schedule,100% of CMS fee schedule,11.56,25.69,
CREATININE ISTAT,5062391,CDM,301,RC,82565,HCPCS,OUTPATIENT,,,45,36,,42.75,95,,34.2,percent of total billed charges,95% of total billed charges,42.62,94.72,,34.1,percent of total billed charges,94.72% of total billed charges,44.46,98.79,,35.57,percent of total billed charges,98.79% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,21.6,48,,17.28,percent of total billed charges,48% of total billed charges,5.12,100,,,fee schedule,100% of CMS fee schedule,4.35,85,,,fee schedule,85% of CMS fee schedule,5.12,100,,,fee schedule,100% of CMS fee schedule,5.12,100,,,fee schedule,100% of CMS fee schedule,4.35,44.46,
BETA HYDROXYBUTARATE,5062394,CDM,301,RC,82010,HCPCS,OUTPATIENT,,,54,43.2,,51.3,95,,41.04,percent of total billed charges,95% of total billed charges,51.15,94.72,,40.92,percent of total billed charges,94.72% of total billed charges,53.35,98.79,,42.68,percent of total billed charges,98.79% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,25.92,48,,20.74,percent of total billed charges,48% of total billed charges,8.17,100,,,fee schedule,100% of CMS fee schedule,6.94,85,,,fee schedule,85% of CMS fee schedule,8.17,100,,,fee schedule,100% of CMS fee schedule,8.17,100,,,fee schedule,100% of CMS fee schedule,6.94,53.35,
GLUCOSE TOLERANCE TEST 3 SPEC,5062500,CDM,301,RC,82951,HCPCS,OUTPATIENT,,,88,70.4,,83.6,95,,66.88,percent of total billed charges,95% of total billed charges,83.35,94.72,,66.68,percent of total billed charges,94.72% of total billed charges,86.94,98.79,,69.55,percent of total billed charges,98.79% of total billed charges,86.24,98,,68.99,percent of total billed charges,98% of total billed charges,86.24,98,,68.99,percent of total billed charges,98% of total billed charges,42.24,48,,33.79,percent of total billed charges,48% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,10.94,85,,,fee schedule,85% of CMS fee schedule,12.87,100,,,fee schedule,100% of CMS fee schedule,12.87,100,,,fee schedule,100% of CMS fee schedule,10.94,86.94,
PSA TOTAL REF LAB,5062529,CDM,301,RC,84153,HCPCS,OUTPATIENT,,,18,14.4,,17.1,95,,13.68,percent of total billed charges,95% of total billed charges,17.05,94.72,,13.64,percent of total billed charges,94.72% of total billed charges,17.78,98.79,,14.22,percent of total billed charges,98.79% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,8.64,48,,6.91,percent of total billed charges,48% of total billed charges,18.39,100,,,fee schedule,100% of CMS fee schedule,15.63,85,,,fee schedule,85% of CMS fee schedule,18.39,100,,,fee schedule,100% of CMS fee schedule,18.39,100,,,fee schedule,100% of CMS fee schedule,8.64,18.39,
PARVOVIRUS Antibody IGM,5062532,CDM,301,RC,86747,HCPCS,OUTPATIENT,,,32,25.6,,30.4,95,,24.32,percent of total billed charges,95% of total billed charges,30.31,94.72,,24.25,percent of total billed charges,94.72% of total billed charges,31.61,98.79,,25.29,percent of total billed charges,98.79% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,15.36,48,,12.29,percent of total billed charges,48% of total billed charges,15.03,100,,,fee schedule,100% of CMS fee schedule,12.78,85,,,fee schedule,85% of CMS fee schedule,15.03,100,,,fee schedule,100% of CMS fee schedule,15.03,100,,,fee schedule,100% of CMS fee schedule,12.78,31.61,
EBV Antibodies to Early Antigen IgG,5062537,CDM,301,RC,86663,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,13.12,100,,,fee schedule,100% of CMS fee schedule,11.15,85,,,fee schedule,85% of CMS fee schedule,13.12,100,,,fee schedule,100% of CMS fee schedule,13.12,100,,,fee schedule,100% of CMS fee schedule,11.15,23.71,
86665 EBV Antibodies IgG,5062538,CDM,301,RC,86665,HCPCS,OUTPATIENT,,,25,20,,23.75,95,,19,percent of total billed charges,95% of total billed charges,23.68,94.72,,18.94,percent of total billed charges,94.72% of total billed charges,24.7,98.79,,19.76,percent of total billed charges,98.79% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,12,48,,9.6,percent of total billed charges,48% of total billed charges,18.14,100,,,fee schedule,100% of CMS fee schedule,15.42,85,,,fee schedule,85% of CMS fee schedule,18.14,100,,,fee schedule,100% of CMS fee schedule,18.14,100,,,fee schedule,100% of CMS fee schedule,12,24.7,
EBV Antibodies IgG,5062538,CDM,301,RC,86665,HCPCS,OUTPATIENT,,,25,20,,23.75,95,,19,percent of total billed charges,95% of total billed charges,23.68,94.72,,18.94,percent of total billed charges,94.72% of total billed charges,24.7,98.79,,19.76,percent of total billed charges,98.79% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,12,48,,9.6,percent of total billed charges,48% of total billed charges,18.14,100,,,fee schedule,100% of CMS fee schedule,15.42,85,,,fee schedule,85% of CMS fee schedule,18.14,100,,,fee schedule,100% of CMS fee schedule,18.14,100,,,fee schedule,100% of CMS fee schedule,12,24.7,
86664 - EBV IGG,5062539,CDM,301,RC,86664,HCPCS,OUTPATIENT,,,25,20,,23.75,95,,19,percent of total billed charges,95% of total billed charges,23.68,94.72,,18.94,percent of total billed charges,94.72% of total billed charges,24.7,98.79,,19.76,percent of total billed charges,98.79% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,12,48,,9.6,percent of total billed charges,48% of total billed charges,15.29,100,,,fee schedule,100% of CMS fee schedule,13,85,,,fee schedule,85% of CMS fee schedule,15.29,100,,,fee schedule,100% of CMS fee schedule,15.29,100,,,fee schedule,100% of CMS fee schedule,12,24.7,
86664 - EBV IGG,5062539,CDM,301,RC,86664,HCPCS,OUTPATIENT,,,25,20,,23.75,95,,19,percent of total billed charges,95% of total billed charges,23.68,94.72,,18.94,percent of total billed charges,94.72% of total billed charges,24.7,98.79,,19.76,percent of total billed charges,98.79% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,12,48,,9.6,percent of total billed charges,48% of total billed charges,15.29,100,,,fee schedule,100% of CMS fee schedule,13,85,,,fee schedule,85% of CMS fee schedule,15.29,100,,,fee schedule,100% of CMS fee schedule,15.29,100,,,fee schedule,100% of CMS fee schedule,12,24.7,
DILANTIN FREE,5062617,CDM,301,RC,80186,HCPCS,OUTPATIENT,,,12,9.6,,11.4,95,,9.12,percent of total billed charges,95% of total billed charges,11.37,94.72,,9.1,percent of total billed charges,94.72% of total billed charges,11.85,98.79,,9.48,percent of total billed charges,98.79% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,5.76,48,,4.61,percent of total billed charges,48% of total billed charges,13.76,100,,,fee schedule,100% of CMS fee schedule,11.7,85,,,fee schedule,85% of CMS fee schedule,13.76,100,,,fee schedule,100% of CMS fee schedule,13.76,100,,,fee schedule,100% of CMS fee schedule,5.76,13.76,
DILANTIN TOTAL REF,5062618,CDM,301,RC,80185,HCPCS,OUTPATIENT,,,12,9.6,,11.4,95,,9.12,percent of total billed charges,95% of total billed charges,11.37,94.72,,9.1,percent of total billed charges,94.72% of total billed charges,11.85,98.79,,9.48,percent of total billed charges,98.79% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,5.76,48,,4.61,percent of total billed charges,48% of total billed charges,13.25,100,,,fee schedule,100% of CMS fee schedule,11.26,85,,,fee schedule,85% of CMS fee schedule,13.25,100,,,fee schedule,100% of CMS fee schedule,13.25,100,,,fee schedule,100% of CMS fee schedule,5.76,13.25,
PSA FREE  TOTAL,5062640,CDM,301,RC,84154,HCPCS,OUTPATIENT,,,17,13.6,,16.15,95,,12.92,percent of total billed charges,95% of total billed charges,16.1,94.72,,12.88,percent of total billed charges,94.72% of total billed charges,16.79,98.79,,13.43,percent of total billed charges,98.79% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,8.16,48,,6.53,percent of total billed charges,48% of total billed charges,18.39,100,,,fee schedule,100% of CMS fee schedule,15.63,85,,,fee schedule,85% of CMS fee schedule,18.39,100,,,fee schedule,100% of CMS fee schedule,18.39,100,,,fee schedule,100% of CMS fee schedule,8.16,18.39,
SARS Coronavirus 2 IgG UPHS,5062907,CDM,301,RC,86769,HCPCS,OUTPATIENT,,,49,39.2,90,46.55,95,,37.24,percent of total billed charges,95% of total billed charges,46.41,94.72,,37.13,percent of total billed charges,94.72% of total billed charges,48.41,98.79,,38.73,percent of total billed charges,98.79% of total billed charges,48.02,98,,38.42,percent of total billed charges,98% of total billed charges,48.02,98,,38.42,percent of total billed charges,98% of total billed charges,23.52,48,,18.82,percent of total billed charges,48% of total billed charges,42.13,100,,,fee schedule,100% of CMS fee schedule,35.81,85,,,fee schedule,85% of CMS fee schedule,42.13,100,,,fee schedule,100% of CMS fee schedule,42.13,100,,,fee schedule,100% of CMS fee schedule,23.52,48.41,
ARTERIAL BLOOD GAS,5065001,CDM,301,RC,82803,HCPCS,OUTPATIENT,,,227,181.6,,215.65,95,,172.52,percent of total billed charges,95% of total billed charges,215.01,94.72,,172.01,percent of total billed charges,94.72% of total billed charges,224.25,98.79,,179.4,percent of total billed charges,98.79% of total billed charges,222.46,98,,177.97,percent of total billed charges,98% of total billed charges,222.46,98,,177.97,percent of total billed charges,98% of total billed charges,108.96,48,,87.17,percent of total billed charges,48% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,22.16,85,,,fee schedule,85% of CMS fee schedule,26.07,100,,,fee schedule,100% of CMS fee schedule,26.07,100,,,fee schedule,100% of CMS fee schedule,22.16,224.25,
BMP (BASIC MET PROF),5065002,CDM,301,RC,80048,HCPCS,OUTPATIENT,,,140,112,,133,95,,106.4,percent of total billed charges,95% of total billed charges,132.61,94.72,,106.09,percent of total billed charges,94.72% of total billed charges,138.31,98.79,,110.65,percent of total billed charges,98.79% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,67.2,48,,53.76,percent of total billed charges,48% of total billed charges,8.46,100,,,fee schedule,100% of CMS fee schedule,7.19,85,,,fee schedule,85% of CMS fee schedule,8.46,100,,,fee schedule,100% of CMS fee schedule,8.46,100,,,fee schedule,100% of CMS fee schedule,7.19,138.31,
HEPATIC FUNCTION,5065003,CDM,301,RC,80076,HCPCS,OUTPATIENT,,,145,116,,137.75,95,,110.2,percent of total billed charges,95% of total billed charges,137.34,94.72,,109.87,percent of total billed charges,94.72% of total billed charges,143.25,98.79,,114.6,percent of total billed charges,98.79% of total billed charges,142.1,98,,113.68,percent of total billed charges,98% of total billed charges,142.1,98,,113.68,percent of total billed charges,98% of total billed charges,69.6,48,,55.68,percent of total billed charges,48% of total billed charges,8.17,100,,,fee schedule,100% of CMS fee schedule,6.94,85,,,fee schedule,85% of CMS fee schedule,8.17,100,,,fee schedule,100% of CMS fee schedule,8.17,100,,,fee schedule,100% of CMS fee schedule,6.94,143.25,
ELECTROLYTES,5065010,CDM,301,RC,80051,HCPCS,OUTPATIENT,,,113,90.4,,107.35,95,,85.88,percent of total billed charges,95% of total billed charges,107.03,94.72,,85.62,percent of total billed charges,94.72% of total billed charges,111.63,98.79,,89.3,percent of total billed charges,98.79% of total billed charges,110.74,98,,88.59,percent of total billed charges,98% of total billed charges,110.74,98,,88.59,percent of total billed charges,98% of total billed charges,54.24,48,,43.39,percent of total billed charges,48% of total billed charges,7.01,100,,,fee schedule,100% of CMS fee schedule,5.96,85,,,fee schedule,85% of CMS fee schedule,7.01,100,,,fee schedule,100% of CMS fee schedule,7.01,100,,,fee schedule,100% of CMS fee schedule,5.96,111.63,
CAPILLARY BLOOD GAS,5065011,CDM,301,RC,82803,HCPCS,OUTPATIENT,,,160,128,,152,95,,121.6,percent of total billed charges,95% of total billed charges,151.55,94.72,,121.24,percent of total billed charges,94.72% of total billed charges,158.06,98.79,,126.45,percent of total billed charges,98.79% of total billed charges,156.8,98,,125.44,percent of total billed charges,98% of total billed charges,156.8,98,,125.44,percent of total billed charges,98% of total billed charges,76.8,48,,61.44,percent of total billed charges,48% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,22.16,85,,,fee schedule,85% of CMS fee schedule,26.07,100,,,fee schedule,100% of CMS fee schedule,26.07,100,,,fee schedule,100% of CMS fee schedule,22.16,158.06,
LIPID PROFILE,5065012,CDM,301,RC,80061,HCPCS,OUTPATIENT,,,177,141.6,,168.15,95,,134.52,percent of total billed charges,95% of total billed charges,167.65,94.72,,134.12,percent of total billed charges,94.72% of total billed charges,174.86,98.79,,139.89,percent of total billed charges,98.79% of total billed charges,173.46,98,,138.77,percent of total billed charges,98% of total billed charges,173.46,98,,138.77,percent of total billed charges,98% of total billed charges,84.96,48,,67.97,percent of total billed charges,48% of total billed charges,13.39,100,,,fee schedule,100% of CMS fee schedule,11.38,85,,,fee schedule,85% of CMS fee schedule,13.39,100,,,fee schedule,100% of CMS fee schedule,13.39,100,,,fee schedule,100% of CMS fee schedule,11.38,174.86,
RENAL FUNCTION PANEL,5065013,CDM,301,RC,80069,HCPCS,OUTPATIENT,,,124,99.2,,117.8,95,,94.24,percent of total billed charges,95% of total billed charges,117.45,94.72,,93.96,percent of total billed charges,94.72% of total billed charges,122.5,98.79,,98,percent of total billed charges,98.79% of total billed charges,121.52,98,,97.22,percent of total billed charges,98% of total billed charges,121.52,98,,97.22,percent of total billed charges,98% of total billed charges,59.52,48,,47.62,percent of total billed charges,48% of total billed charges,8.68,100,,,fee schedule,100% of CMS fee schedule,7.38,85,,,fee schedule,85% of CMS fee schedule,8.68,100,,,fee schedule,100% of CMS fee schedule,8.68,100,,,fee schedule,100% of CMS fee schedule,7.38,122.5,
HEPATITIS ACUTE PANEL,5065014,CDM,301,RC,80074,HCPCS,OUTPATIENT,,,27,21.6,,25.65,95,,20.52,percent of total billed charges,95% of total billed charges,25.57,94.72,,20.46,percent of total billed charges,94.72% of total billed charges,26.67,98.79,,21.34,percent of total billed charges,98.79% of total billed charges,26.46,98,,21.17,percent of total billed charges,98% of total billed charges,26.46,98,,21.17,percent of total billed charges,98% of total billed charges,12.96,48,,10.37,percent of total billed charges,48% of total billed charges,47.63,100,,,fee schedule,100% of CMS fee schedule,40.49,85,,,fee schedule,85% of CMS fee schedule,47.63,100,,,fee schedule,100% of CMS fee schedule,47.63,100,,,fee schedule,100% of CMS fee schedule,12.96,47.63,
FECAL REDUCING SUB,5066023,CDM,301,RC,81002,HCPCS,OUTPATIENT,,,72,57.6,,68.4,95,,54.72,percent of total billed charges,95% of total billed charges,68.2,94.72,,54.56,percent of total billed charges,94.72% of total billed charges,71.13,98.79,,56.9,percent of total billed charges,98.79% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,34.56,48,,27.65,percent of total billed charges,48% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,2.96,85,,,fee schedule,85% of CMS fee schedule,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,100,,,fee schedule,100% of CMS fee schedule,2.96,71.13,
DRUG SCREEN ER/ABUSE,5068003,CDM,301,RC,80306,HCPCS,OUTPATIENT,,,378,302.4,,359.1,95,,287.28,percent of total billed charges,95% of total billed charges,358.04,94.72,,286.43,percent of total billed charges,94.72% of total billed charges,373.43,98.79,,298.74,percent of total billed charges,98.79% of total billed charges,370.44,98,,296.35,percent of total billed charges,98% of total billed charges,370.44,98,,296.35,percent of total billed charges,98% of total billed charges,181.44,48,,145.15,percent of total billed charges,48% of total billed charges,17.14,100,,,fee schedule,100% of CMS fee schedule,14.57,85,,,fee schedule,85% of CMS fee schedule,17.14,100,,,fee schedule,100% of CMS fee schedule,17.14,100,,,fee schedule,100% of CMS fee schedule,14.57,373.43,
ESTRONE,5069592,CDM,301,RC,82679,HCPCS,OUTPATIENT,,,154,123.2,,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,24.95,100,,,fee schedule,100% of CMS fee schedule,21.21,85,,,fee schedule,85% of CMS fee schedule,24.95,100,,,fee schedule,100% of CMS fee schedule,24.95,100,,,fee schedule,100% of CMS fee schedule,21.21,152.14,
pH GASTRIC,5086654,CDM,301,RC,83986,HCPCS,OUTPATIENT,,,95,76,,90.25,95,,72.2,percent of total billed charges,95% of total billed charges,89.98,94.72,,71.98,percent of total billed charges,94.72% of total billed charges,93.85,98.79,,75.08,percent of total billed charges,98.79% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,45.6,48,,36.48,percent of total billed charges,48% of total billed charges,3.58,100,,,fee schedule,100% of CMS fee schedule,3.04,85,,,fee schedule,85% of CMS fee schedule,3.58,100,,,fee schedule,100% of CMS fee schedule,3.58,100,,,fee schedule,100% of CMS fee schedule,3.04,93.85,
PROTEIN URINE,5086660,CDM,301,RC,84156,HCPCS,OUTPATIENT,,,67,53.6,,63.65,95,,50.92,percent of total billed charges,95% of total billed charges,63.46,94.72,,50.77,percent of total billed charges,94.72% of total billed charges,66.19,98.79,,52.95,percent of total billed charges,98.79% of total billed charges,65.66,98,,52.53,percent of total billed charges,98% of total billed charges,65.66,98,,52.53,percent of total billed charges,98% of total billed charges,32.16,48,,25.73,percent of total billed charges,48% of total billed charges,3.67,100,,,fee schedule,100% of CMS fee schedule,3.12,85,,,fee schedule,85% of CMS fee schedule,3.67,100,,,fee schedule,100% of CMS fee schedule,3.67,100,,,fee schedule,100% of CMS fee schedule,3.12,66.19,
DEAMIDATED GLIADIN PEPTIDE AB ELISA IGA,5091944,CDM,301,RC,83520,HCPCS,OUTPATIENT,,,235,188,,223.25,95,,178.6,percent of total billed charges,95% of total billed charges,222.59,94.72,,178.07,percent of total billed charges,94.72% of total billed charges,232.16,98.79,,185.73,percent of total billed charges,98.79% of total billed charges,230.3,98,,184.24,percent of total billed charges,98% of total billed charges,230.3,98,,184.24,percent of total billed charges,98% of total billed charges,112.8,48,,90.24,percent of total billed charges,48% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,85,,,fee schedule,85% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,232.16,
DRUG TEST DEF 1-7,5091950,CDM,301,RC,G0480,HCPCS,OUTPATIENT,,,160,128,,152,95,,121.6,percent of total billed charges,95% of total billed charges,151.55,94.72,,121.24,percent of total billed charges,94.72% of total billed charges,158.06,98.79,,126.45,percent of total billed charges,98.79% of total billed charges,156.8,98,,125.44,percent of total billed charges,98% of total billed charges,156.8,98,,125.44,percent of total billed charges,98% of total billed charges,76.8,48,,61.44,percent of total billed charges,48% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,97.27,85,,,fee schedule,85% of CMS fee schedule,114.43,100,,,fee schedule,100% of CMS fee schedule,114.43,100,,,fee schedule,100% of CMS fee schedule,76.8,158.06,
Bill Only Drug Test 8-14,5091951,CDM,301,RC,G0481,HCPCS,OUTPATIENT,,,193,154.4,,183.35,95,,146.68,percent of total billed charges,95% of total billed charges,182.81,94.72,,146.25,percent of total billed charges,94.72% of total billed charges,190.66,98.79,,152.53,percent of total billed charges,98.79% of total billed charges,189.14,98,,151.31,percent of total billed charges,98% of total billed charges,189.14,98,,151.31,percent of total billed charges,98% of total billed charges,92.64,48,,74.11,percent of total billed charges,48% of total billed charges,156.59,100,,,fee schedule,100% of CMS fee schedule,133.1,85,,,fee schedule,85% of CMS fee schedule,156.59,100,,,fee schedule,100% of CMS fee schedule,156.59,100,,,fee schedule,100% of CMS fee schedule,92.64,190.66,
DRUG TEST DEF 15-21,5091952,CDM,301,RC,G0482,HCPCS,OUTPATIENT,,,298,238.4,,283.1,95,,226.48,percent of total billed charges,95% of total billed charges,282.27,94.72,,225.82,percent of total billed charges,94.72% of total billed charges,294.39,98.79,,235.51,percent of total billed charges,98.79% of total billed charges,292.04,98,,233.63,percent of total billed charges,98% of total billed charges,292.04,98,,233.63,percent of total billed charges,98% of total billed charges,143.04,48,,114.43,percent of total billed charges,48% of total billed charges,198.74,100,,,fee schedule,100% of CMS fee schedule,168.93,85,,,fee schedule,85% of CMS fee schedule,198.74,100,,,fee schedule,100% of CMS fee schedule,198.74,100,,,fee schedule,100% of CMS fee schedule,143.04,294.39,
DRUG TEST DEF 22+,5091953,CDM,301,RC,G0483,HCPCS,OUTPATIENT,,,387,309.6,,367.65,95,,294.12,percent of total billed charges,95% of total billed charges,366.57,94.72,,293.26,percent of total billed charges,94.72% of total billed charges,382.32,98.79,,305.86,percent of total billed charges,98.79% of total billed charges,379.26,98,,303.41,percent of total billed charges,98% of total billed charges,379.26,98,,303.41,percent of total billed charges,98% of total billed charges,185.76,48,,148.61,percent of total billed charges,48% of total billed charges,246.92,100,,,fee schedule,100% of CMS fee schedule,209.88,85,,,fee schedule,85% of CMS fee schedule,246.92,100,,,fee schedule,100% of CMS fee schedule,246.92,100,,,fee schedule,100% of CMS fee schedule,185.76,382.32,
THYROID SCREEN,50611111,CDM,301,RC,84443,HCPCS,OUTPATIENT,,,182,145.6,,172.9,95,,138.32,percent of total billed charges,95% of total billed charges,172.39,94.72,,137.91,percent of total billed charges,94.72% of total billed charges,179.8,98.79,,143.84,percent of total billed charges,98.79% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,87.36,48,,69.89,percent of total billed charges,48% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,14.28,85,,,fee schedule,85% of CMS fee schedule,16.8,100,,,fee schedule,100% of CMS fee schedule,16.8,100,,,fee schedule,100% of CMS fee schedule,14.28,179.8,
Metanephrines Frac Qn 24Hr Ur UPHS,50612222,CDM,301,RC,83835,HCPCS,OUTPATIENT,,,14,11.2,,13.3,95,,10.64,percent of total billed charges,95% of total billed charges,13.26,94.72,,10.61,percent of total billed charges,94.72% of total billed charges,13.83,98.79,,11.06,percent of total billed charges,98.79% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,13.72,98,,10.98,percent of total billed charges,98% of total billed charges,6.72,48,,5.38,percent of total billed charges,48% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,14.4,85,,,fee schedule,85% of CMS fee schedule,16.94,100,,,fee schedule,100% of CMS fee schedule,16.94,100,,,fee schedule,100% of CMS fee schedule,6.72,16.94,
ANTI NUCLEAR ANTIBODY (ANA),5061099,CDM,302,RC,86038,HCPCS,OUTPATIENT,,,15,12,,14.25,95,,11.4,percent of total billed charges,95% of total billed charges,14.21,94.72,,11.37,percent of total billed charges,94.72% of total billed charges,14.82,98.79,,11.86,percent of total billed charges,98.79% of total billed charges,14.7,98,,11.76,percent of total billed charges,98% of total billed charges,14.7,98,,11.76,percent of total billed charges,98% of total billed charges,7.2,48,,5.76,percent of total billed charges,48% of total billed charges,12.09,100,,,fee schedule,100% of CMS fee schedule,10.28,85,,,fee schedule,85% of CMS fee schedule,12.09,100,,,fee schedule,100% of CMS fee schedule,12.09,100,,,fee schedule,100% of CMS fee schedule,7.2,14.82,
MONO,5061105,CDM,302,RC,86308,HCPCS,OUTPATIENT,,,45,36,,42.75,95,,34.2,percent of total billed charges,95% of total billed charges,42.62,94.72,,34.1,percent of total billed charges,94.72% of total billed charges,44.46,98.79,,35.57,percent of total billed charges,98.79% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,21.6,48,,17.28,percent of total billed charges,48% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,4.4,85,,,fee schedule,85% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,4.4,44.46,
RHEUMATOID FACTOR,5061106,CDM,302,RC,86431,HCPCS,OUTPATIENT,,,8,6.4,,7.6,95,,6.08,percent of total billed charges,95% of total billed charges,7.58,94.72,,6.06,percent of total billed charges,94.72% of total billed charges,7.9,98.79,,6.32,percent of total billed charges,98.79% of total billed charges,7.84,98,,6.27,percent of total billed charges,98% of total billed charges,7.84,98,,6.27,percent of total billed charges,98% of total billed charges,3.84,48,,3.07,percent of total billed charges,48% of total billed charges,5.67,100,,,fee schedule,100% of CMS fee schedule,4.82,85,,,fee schedule,85% of CMS fee schedule,5.67,100,,,fee schedule,100% of CMS fee schedule,5.67,100,,,fee schedule,100% of CMS fee schedule,3.84,7.9,
Syphilis Total UPHS,5061107,CDM,302,RC,86780,HCPCS,OUTPATIENT,,,40,32,90,38,95,,30.4,percent of total billed charges,95% of total billed charges,37.89,94.72,,30.31,percent of total billed charges,94.72% of total billed charges,39.52,98.79,,31.62,percent of total billed charges,98.79% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,19.2,48,,15.36,percent of total billed charges,48% of total billed charges,13.24,100,,,fee schedule,100% of CMS fee schedule,11.25,85,,,fee schedule,85% of CMS fee schedule,13.24,100,,,fee schedule,100% of CMS fee schedule,13.24,100,,,fee schedule,100% of CMS fee schedule,11.25,39.52,
RUBELLA IGG ANTIBODY,5061108,CDM,302,RC,86762,HCPCS,OUTPATIENT,,,21,16.8,,19.95,95,,15.96,percent of total billed charges,95% of total billed charges,19.89,94.72,,15.91,percent of total billed charges,94.72% of total billed charges,20.75,98.79,,16.6,percent of total billed charges,98.79% of total billed charges,20.58,98,,16.46,percent of total billed charges,98% of total billed charges,20.58,98,,16.46,percent of total billed charges,98% of total billed charges,10.08,48,,8.06,percent of total billed charges,48% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,12.23,85,,,fee schedule,85% of CMS fee schedule,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,100,,,fee schedule,100% of CMS fee schedule,10.08,20.75,
HEP C AB,5061110,CDM,302,RC,86803,HCPCS,OUTPATIENT,,,17,13.6,,16.15,95,,12.92,percent of total billed charges,95% of total billed charges,16.1,94.72,,12.88,percent of total billed charges,94.72% of total billed charges,16.79,98.79,,13.43,percent of total billed charges,98.79% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,8.16,48,,6.53,percent of total billed charges,48% of total billed charges,14.27,100,,,fee schedule,100% of CMS fee schedule,12.13,85,,,fee schedule,85% of CMS fee schedule,14.27,100,,,fee schedule,100% of CMS fee schedule,14.27,100,,,fee schedule,100% of CMS fee schedule,8.16,16.79,
HEP A ANTIBODY,5061111,CDM,302,RC,86708,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,12.39,100,,,fee schedule,100% of CMS fee schedule,10.53,85,,,fee schedule,85% of CMS fee schedule,12.39,100,,,fee schedule,100% of CMS fee schedule,12.39,100,,,fee schedule,100% of CMS fee schedule,10.53,23.71,
ANTI DNA ANTIBODY DOUBLE STRANDED,5061123,CDM,302,RC,86225,HCPCS,OUTPATIENT,,,97,77.6,,92.15,95,,73.72,percent of total billed charges,95% of total billed charges,91.88,94.72,,73.5,percent of total billed charges,94.72% of total billed charges,95.83,98.79,,76.66,percent of total billed charges,98.79% of total billed charges,95.06,98,,76.05,percent of total billed charges,98% of total billed charges,95.06,98,,76.05,percent of total billed charges,98% of total billed charges,46.56,48,,37.25,percent of total billed charges,48% of total billed charges,13.74,100,,,fee schedule,100% of CMS fee schedule,11.68,85,,,fee schedule,85% of CMS fee schedule,13.74,100,,,fee schedule,100% of CMS fee schedule,13.74,100,,,fee schedule,100% of CMS fee schedule,11.68,95.83,
ANTI MITOCHONDRIAL AB,5061126,CDM,302,RC,83516,HCPCS,OUTPATIENT,,,106,84.8,,100.7,95,,80.56,percent of total billed charges,95% of total billed charges,100.4,94.72,,80.32,percent of total billed charges,94.72% of total billed charges,104.72,98.79,,83.78,percent of total billed charges,98.79% of total billed charges,103.88,98,,83.1,percent of total billed charges,98% of total billed charges,103.88,98,,83.1,percent of total billed charges,98% of total billed charges,50.88,48,,40.7,percent of total billed charges,48% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,85,,,fee schedule,85% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,104.72,
COMPLEMENT C3,5061130,CDM,302,RC,86160,HCPCS,OUTPATIENT,,,94,75.2,,89.3,95,,71.44,percent of total billed charges,95% of total billed charges,89.04,94.72,,71.23,percent of total billed charges,94.72% of total billed charges,92.86,98.79,,74.29,percent of total billed charges,98.79% of total billed charges,92.12,98,,73.7,percent of total billed charges,98% of total billed charges,92.12,98,,73.7,percent of total billed charges,98% of total billed charges,45.12,48,,36.1,percent of total billed charges,48% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,10.2,85,,,fee schedule,85% of CMS fee schedule,12,100,,,fee schedule,100% of CMS fee schedule,12,100,,,fee schedule,100% of CMS fee schedule,10.2,92.86,
COMPLEMENT C4,5061131,CDM,302,RC,86160,HCPCS,OUTPATIENT,,,89,71.2,,84.55,95,,67.64,percent of total billed charges,95% of total billed charges,84.3,94.72,,67.44,percent of total billed charges,94.72% of total billed charges,87.92,98.79,,70.34,percent of total billed charges,98.79% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,42.72,48,,34.18,percent of total billed charges,48% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,10.2,85,,,fee schedule,85% of CMS fee schedule,12,100,,,fee schedule,100% of CMS fee schedule,12,100,,,fee schedule,100% of CMS fee schedule,10.2,87.92,
CA 19-9,5061132,CDM,302,RC,86301,HCPCS,OUTPATIENT,,,150,120,,142.5,95,,114,percent of total billed charges,95% of total billed charges,142.08,94.72,,113.66,percent of total billed charges,94.72% of total billed charges,148.19,98.79,,118.55,percent of total billed charges,98.79% of total billed charges,147,98,,117.6,percent of total billed charges,98% of total billed charges,147,98,,117.6,percent of total billed charges,98% of total billed charges,72,48,,57.6,percent of total billed charges,48% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,17.69,85,,,fee schedule,85% of CMS fee schedule,20.81,100,,,fee schedule,100% of CMS fee schedule,20.81,100,,,fee schedule,100% of CMS fee schedule,17.69,148.19,
CA 125,5061134,CDM,302,RC,86304,HCPCS,OUTPATIENT,,,150,120,,142.5,95,,114,percent of total billed charges,95% of total billed charges,142.08,94.72,,113.66,percent of total billed charges,94.72% of total billed charges,148.19,98.79,,118.55,percent of total billed charges,98.79% of total billed charges,147,98,,117.6,percent of total billed charges,98% of total billed charges,147,98,,117.6,percent of total billed charges,98% of total billed charges,72,48,,57.6,percent of total billed charges,48% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,17.69,85,,,fee schedule,85% of CMS fee schedule,20.81,100,,,fee schedule,100% of CMS fee schedule,20.81,100,,,fee schedule,100% of CMS fee schedule,17.69,148.19,
VARICELLA ZOSTER IGG Ab,5061144,CDM,302,RC,86787,HCPCS,OUTPATIENT,,,73,58.4,,69.35,95,,55.48,percent of total billed charges,95% of total billed charges,69.15,94.72,,55.32,percent of total billed charges,94.72% of total billed charges,72.12,98.79,,57.7,percent of total billed charges,98.79% of total billed charges,71.54,98,,57.23,percent of total billed charges,98% of total billed charges,71.54,98,,57.23,percent of total billed charges,98% of total billed charges,35.04,48,,28.03,percent of total billed charges,48% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,10.95,85,,,fee schedule,85% of CMS fee schedule,12.88,100,,,fee schedule,100% of CMS fee schedule,12.88,100,,,fee schedule,100% of CMS fee schedule,10.95,72.12,
CRYPTOCOCCUS ANTIGEN,5061156,CDM,302,RC,86641,HCPCS,OUTPATIENT,,,100,80,,95,95,,76,percent of total billed charges,95% of total billed charges,94.72,94.72,,75.78,percent of total billed charges,94.72% of total billed charges,98.79,98.79,,79.03,percent of total billed charges,98.79% of total billed charges,98,98,,78.4,percent of total billed charges,98% of total billed charges,98,98,,78.4,percent of total billed charges,98% of total billed charges,48,48,,38.4,percent of total billed charges,48% of total billed charges,14.41,100,,,fee schedule,100% of CMS fee schedule,12.25,85,,,fee schedule,85% of CMS fee schedule,14.41,100,,,fee schedule,100% of CMS fee schedule,14.41,100,,,fee schedule,100% of CMS fee schedule,12.25,98.79,
TREPONEMA PALLIDIUM AB FTA,5061179,CDM,302,RC,86780,HCPCS,OUTPATIENT,,,13,10.4,,12.35,95,,9.88,percent of total billed charges,95% of total billed charges,12.31,94.72,,9.85,percent of total billed charges,94.72% of total billed charges,12.84,98.79,,10.27,percent of total billed charges,98.79% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,6.24,48,,4.99,percent of total billed charges,48% of total billed charges,13.24,100,,,fee schedule,100% of CMS fee schedule,11.25,85,,,fee schedule,85% of CMS fee schedule,13.24,100,,,fee schedule,100% of CMS fee schedule,13.24,100,,,fee schedule,100% of CMS fee schedule,6.24,13.24,
H PYLORI IGG,5061186,CDM,302,RC,86677,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,14.32,85,,,fee schedule,85% of CMS fee schedule,16.85,100,,,fee schedule,100% of CMS fee schedule,16.85,100,,,fee schedule,100% of CMS fee schedule,7.68,16.85,
HLA27-HLA B27 ANTIGEN,5061202,CDM,302,RC,86812,HCPCS,OUTPATIENT,,,45,36,,42.75,95,,34.2,percent of total billed charges,95% of total billed charges,42.62,94.72,,34.1,percent of total billed charges,94.72% of total billed charges,44.46,98.79,,35.57,percent of total billed charges,98.79% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,21.6,48,,17.28,percent of total billed charges,48% of total billed charges,25.81,100,,,fee schedule,100% of CMS fee schedule,21.94,85,,,fee schedule,85% of CMS fee schedule,25.81,100,,,fee schedule,100% of CMS fee schedule,25.81,100,,,fee schedule,100% of CMS fee schedule,21.6,44.46,
HLA27-HLA B27 ANTIGEN,5061202,CDM,302,RC,86812,HCPCS,OUTPATIENT,,,45,36,,42.75,95,,34.2,percent of total billed charges,95% of total billed charges,42.62,94.72,,34.1,percent of total billed charges,94.72% of total billed charges,44.46,98.79,,35.57,percent of total billed charges,98.79% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,21.6,48,,17.28,percent of total billed charges,48% of total billed charges,25.81,100,,,fee schedule,100% of CMS fee schedule,21.94,85,,,fee schedule,85% of CMS fee schedule,25.81,100,,,fee schedule,100% of CMS fee schedule,25.81,100,,,fee schedule,100% of CMS fee schedule,21.6,44.46,
IFX and SPE UPHS,5061207,CDM,302,RC,86334,HCPCS,OUTPATIENT,,,32,25.6,,30.4,95,,24.32,percent of total billed charges,95% of total billed charges,30.31,94.72,,24.25,percent of total billed charges,94.72% of total billed charges,31.61,98.79,,25.29,percent of total billed charges,98.79% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,15.36,48,,12.29,percent of total billed charges,48% of total billed charges,22.34,100,,,fee schedule,100% of CMS fee schedule,18.99,85,,,fee schedule,85% of CMS fee schedule,22.34,100,,,fee schedule,100% of CMS fee schedule,22.34,100,,,fee schedule,100% of CMS fee schedule,15.36,31.61,
86334 Immunofixation Serum,5061207,CDM,302,RC,86334,HCPCS,OUTPATIENT,,,34,27.2,,32.3,95,,25.84,percent of total billed charges,95% of total billed charges,32.2,94.72,,25.76,percent of total billed charges,94.72% of total billed charges,33.59,98.79,,26.87,percent of total billed charges,98.79% of total billed charges,33.32,98,,26.66,percent of total billed charges,98% of total billed charges,33.32,98,,26.66,percent of total billed charges,98% of total billed charges,16.32,48,,13.06,percent of total billed charges,48% of total billed charges,22.34,100,,,fee schedule,100% of CMS fee schedule,18.99,85,,,fee schedule,85% of CMS fee schedule,22.34,100,,,fee schedule,100% of CMS fee schedule,22.34,100,,,fee schedule,100% of CMS fee schedule,16.32,33.59,
IMMUNOFIXATION URINE RANDOM,5061208,CDM,302,RC,86335,HCPCS,OUTPATIENT,,,34,27.2,,32.3,95,,25.84,percent of total billed charges,95% of total billed charges,32.2,94.72,,25.76,percent of total billed charges,94.72% of total billed charges,33.59,98.79,,26.87,percent of total billed charges,98.79% of total billed charges,33.32,98,,26.66,percent of total billed charges,98% of total billed charges,33.32,98,,26.66,percent of total billed charges,98% of total billed charges,16.32,48,,13.06,percent of total billed charges,48% of total billed charges,29.35,100,,,fee schedule,100% of CMS fee schedule,24.95,85,,,fee schedule,85% of CMS fee schedule,29.35,100,,,fee schedule,100% of CMS fee schedule,29.35,100,,,fee schedule,100% of CMS fee schedule,16.32,33.59,
MUMPS IGG AB,5061228,CDM,302,RC,86735,HCPCS,OUTPATIENT,,,18,14.4,,17.1,95,,13.68,percent of total billed charges,95% of total billed charges,17.05,94.72,,13.64,percent of total billed charges,94.72% of total billed charges,17.78,98.79,,14.22,percent of total billed charges,98.79% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,8.64,48,,6.91,percent of total billed charges,48% of total billed charges,13.05,100,,,fee schedule,100% of CMS fee schedule,11.09,85,,,fee schedule,85% of CMS fee schedule,13.05,100,,,fee schedule,100% of CMS fee schedule,13.05,100,,,fee schedule,100% of CMS fee schedule,8.64,17.78,
MYCOPLASMA IGG AB,5061229,CDM,302,RC,86738,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,13.24,100,,,fee schedule,100% of CMS fee schedule,11.25,85,,,fee schedule,85% of CMS fee schedule,13.24,100,,,fee schedule,100% of CMS fee schedule,13.24,100,,,fee schedule,100% of CMS fee schedule,11.25,23.71,
PARIETAL CELL AB,5061240,CDM,302,RC,83516,HCPCS,OUTPATIENT,,,137,109.6,,130.15,95,,104.12,percent of total billed charges,95% of total billed charges,129.77,94.72,,103.82,percent of total billed charges,94.72% of total billed charges,135.34,98.79,,108.27,percent of total billed charges,98.79% of total billed charges,134.26,98,,107.41,percent of total billed charges,98% of total billed charges,134.26,98,,107.41,percent of total billed charges,98% of total billed charges,65.76,48,,52.61,percent of total billed charges,48% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,85,,,fee schedule,85% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,135.34,
SMOOTH MUSCLE AB,5061256,CDM,302,RC,86235,HCPCS,OUTPATIENT,,,79,63.2,,75.05,95,,60.04,percent of total billed charges,95% of total billed charges,74.83,94.72,,59.86,percent of total billed charges,94.72% of total billed charges,78.04,98.79,,62.43,percent of total billed charges,98.79% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,37.92,48,,30.34,percent of total billed charges,48% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,15.24,85,,,fee schedule,85% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,15.24,78.04,
Antigen Typing,5061285,CDM,302,RC,86902,HCPCS,OUTPATIENT,,,132,105.6,,125.4,95,,100.32,percent of total billed charges,95% of total billed charges,125.03,94.72,,100.02,percent of total billed charges,94.72% of total billed charges,130.4,98.79,,104.32,percent of total billed charges,98.79% of total billed charges,129.36,98,,103.49,percent of total billed charges,98% of total billed charges,129.36,98,,103.49,percent of total billed charges,98% of total billed charges,63.36,48,,50.69,percent of total billed charges,48% of total billed charges,6.35,100,,,fee schedule,100% of CMS fee schedule,5.4,85,,,fee schedule,85% of CMS fee schedule,6.35,100,,,fee schedule,100% of CMS fee schedule,6.35,100,,,fee schedule,100% of CMS fee schedule,5.4,130.4,
PROMETHEUS FIBROSPECT II,5061292,CDM,302,RC,83520,HCPCS,OUTPATIENT,,,675,540,,641.25,95,,513,percent of total billed charges,95% of total billed charges,639.36,94.72,,511.49,percent of total billed charges,94.72% of total billed charges,666.83,98.79,,533.46,percent of total billed charges,98.79% of total billed charges,661.5,98,,529.2,percent of total billed charges,98% of total billed charges,661.5,98,,529.2,percent of total billed charges,98% of total billed charges,324,48,,259.2,percent of total billed charges,48% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,85,,,fee schedule,85% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,14.68,666.83,
Jo1 Antibodies IgG UPHS,5061342,CDM,302,RC,86235,HCPCS,OUTPATIENT,,,32,25.6,90,30.4,95,,24.32,percent of total billed charges,95% of total billed charges,30.31,94.72,,24.25,percent of total billed charges,94.72% of total billed charges,31.61,98.79,,25.29,percent of total billed charges,98.79% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,15.36,48,,12.29,percent of total billed charges,48% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,15.24,85,,,fee schedule,85% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,15.24,31.61,
HEP A ANTIBODY IGM,5061357,CDM,302,RC,86709,HCPCS,OUTPATIENT,,,40,32,,38,95,,30.4,percent of total billed charges,95% of total billed charges,37.89,94.72,,30.31,percent of total billed charges,94.72% of total billed charges,39.52,98.79,,31.62,percent of total billed charges,98.79% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,19.2,48,,15.36,percent of total billed charges,48% of total billed charges,11.26,100,,,fee schedule,100% of CMS fee schedule,9.57,85,,,fee schedule,85% of CMS fee schedule,11.26,100,,,fee schedule,100% of CMS fee schedule,11.26,100,,,fee schedule,100% of CMS fee schedule,9.57,39.52,
THYROGLOBULIN AUTOANTIBODY,5061360,CDM,302,RC,86800,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,15.91,100,,,fee schedule,100% of CMS fee schedule,13.52,85,,,fee schedule,85% of CMS fee schedule,15.91,100,,,fee schedule,100% of CMS fee schedule,15.91,100,,,fee schedule,100% of CMS fee schedule,7.68,15.91,
THYROID PEROXIDASE AUTOANTIBODY,5061361,CDM,302,RC,86376,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,12.37,85,,,fee schedule,85% of CMS fee schedule,14.55,100,,,fee schedule,100% of CMS fee schedule,14.55,100,,,fee schedule,100% of CMS fee schedule,7.68,15.81,
LYME CONFIRMATORY TEST,5061370,CDM,302,RC,86617,HCPCS,OUTPATIENT,,,29,23.2,,27.55,95,,22.04,percent of total billed charges,95% of total billed charges,27.47,94.72,,21.98,percent of total billed charges,94.72% of total billed charges,28.65,98.79,,22.92,percent of total billed charges,98.79% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,13.92,48,,11.14,percent of total billed charges,48% of total billed charges,15.49,100,,,fee schedule,100% of CMS fee schedule,13.17,85,,,fee schedule,85% of CMS fee schedule,15.49,100,,,fee schedule,100% of CMS fee schedule,15.49,100,,,fee schedule,100% of CMS fee schedule,13.17,28.65,
SJOGRENS SYNDROME AUTO AB SSB,5061394,CDM,302,RC,86235,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,15.24,85,,,fee schedule,85% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,11.52,23.71,
SJOGRENS SYNDROME AUTO AB SSA,5061395,CDM,302,RC,86235,HCPCS,OUTPATIENT,,,25,20,,23.75,95,,19,percent of total billed charges,95% of total billed charges,23.68,94.72,,18.94,percent of total billed charges,94.72% of total billed charges,24.7,98.79,,19.76,percent of total billed charges,98.79% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,12,48,,9.6,percent of total billed charges,48% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,15.24,85,,,fee schedule,85% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,12,24.7,
CHROMOGRANIN A,5061400,CDM,302,RC,86316,HCPCS,OUTPATIENT,,,24,19.2,,22.8,95,,18.24,percent of total billed charges,95% of total billed charges,22.73,94.72,,18.18,percent of total billed charges,94.72% of total billed charges,23.71,98.79,,18.97,percent of total billed charges,98.79% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,23.52,98,,18.82,percent of total billed charges,98% of total billed charges,11.52,48,,9.22,percent of total billed charges,48% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,17.69,85,,,fee schedule,85% of CMS fee schedule,20.81,100,,,fee schedule,100% of CMS fee schedule,20.81,100,,,fee schedule,100% of CMS fee schedule,11.52,23.71,
STRIATIONAL ANTIBODY,5061428,CDM,302,RC,86225,HCPCS,OUTPATIENT,,,17,13.6,,16.15,95,,12.92,percent of total billed charges,95% of total billed charges,16.1,94.72,,12.88,percent of total billed charges,94.72% of total billed charges,16.79,98.79,,13.43,percent of total billed charges,98.79% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,8.16,48,,6.53,percent of total billed charges,48% of total billed charges,13.74,100,,,fee schedule,100% of CMS fee schedule,11.68,85,,,fee schedule,85% of CMS fee schedule,13.74,100,,,fee schedule,100% of CMS fee schedule,13.74,100,,,fee schedule,100% of CMS fee schedule,8.16,16.79,
SCL 70 AUTOANTIBODIES SERUM,5061433,CDM,302,RC,86235,HCPCS,OUTPATIENT,,,25,20,,23.75,95,,19,percent of total billed charges,95% of total billed charges,23.68,94.72,,18.94,percent of total billed charges,94.72% of total billed charges,24.7,98.79,,19.76,percent of total billed charges,98.79% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,12,48,,9.6,percent of total billed charges,48% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,15.24,85,,,fee schedule,85% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,12,24.7,
ANTI CENTROMERE ANTIBODY,5061451,CDM,302,RC,86256,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,85,,,fee schedule,85% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,7.68,15.81,
CSF VDRL,5061455,CDM,302,RC,86592,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,3.63,85,,,fee schedule,85% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,3.63,10.87,
H PYLORI ANTIGEN STOOL,5061457,CDM,302,RC,87338,HCPCS,OUTPATIENT,,,29,23.2,,27.55,95,,22.04,percent of total billed charges,95% of total billed charges,27.47,94.72,,21.98,percent of total billed charges,94.72% of total billed charges,28.65,98.79,,22.92,percent of total billed charges,98.79% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,13.92,48,,11.14,percent of total billed charges,48% of total billed charges,14.38,100,,,fee schedule,100% of CMS fee schedule,12.22,85,,,fee schedule,85% of CMS fee schedule,14.38,100,,,fee schedule,100% of CMS fee schedule,14.38,100,,,fee schedule,100% of CMS fee schedule,12.22,28.65,
EBV VCA IGM ANTIBODIES,5061460,CDM,302,RC,86665,HCPCS,OUTPATIENT,,,25,20,,23.75,95,,19,percent of total billed charges,95% of total billed charges,23.68,94.72,,18.94,percent of total billed charges,94.72% of total billed charges,24.7,98.79,,19.76,percent of total billed charges,98.79% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,12,48,,9.6,percent of total billed charges,48% of total billed charges,18.14,100,,,fee schedule,100% of CMS fee schedule,15.42,85,,,fee schedule,85% of CMS fee schedule,18.14,100,,,fee schedule,100% of CMS fee schedule,18.14,100,,,fee schedule,100% of CMS fee schedule,12,24.7,
BB ANTIBODY TITER,5061484,CDM,302,RC,86886,HCPCS,OUTPATIENT,,,118,94.4,,112.1,95,,89.68,percent of total billed charges,95% of total billed charges,111.77,94.72,,89.42,percent of total billed charges,94.72% of total billed charges,116.57,98.79,,93.26,percent of total billed charges,98.79% of total billed charges,115.64,98,,92.51,percent of total billed charges,98% of total billed charges,115.64,98,,92.51,percent of total billed charges,98% of total billed charges,56.64,48,,45.31,percent of total billed charges,48% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,4.4,85,,,fee schedule,85% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,4.4,116.57,
HISTOPLASMA ANTIBODY,5061491,CDM,302,RC,86698,HCPCS,OUTPATIENT,,,76,60.8,,72.2,95,,57.76,percent of total billed charges,95% of total billed charges,71.99,94.72,,57.59,percent of total billed charges,94.72% of total billed charges,75.08,98.79,,60.06,percent of total billed charges,98.79% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,36.48,48,,29.18,percent of total billed charges,48% of total billed charges,13.79,100,,,fee schedule,100% of CMS fee schedule,11.72,85,,,fee schedule,85% of CMS fee schedule,13.79,100,,,fee schedule,100% of CMS fee schedule,13.79,100,,,fee schedule,100% of CMS fee schedule,11.72,75.08,
BLASTOMYCOSIS  ANTIBODY,5061492,CDM,302,RC,86612,HCPCS,OUTPATIENT,,,18,14.4,,17.1,95,,13.68,percent of total billed charges,95% of total billed charges,17.05,94.72,,13.64,percent of total billed charges,94.72% of total billed charges,17.78,98.79,,14.22,percent of total billed charges,98.79% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,8.64,48,,6.91,percent of total billed charges,48% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,10.97,85,,,fee schedule,85% of CMS fee schedule,12.9,100,,,fee schedule,100% of CMS fee schedule,12.9,100,,,fee schedule,100% of CMS fee schedule,8.64,17.78,
COCCIDIOIDES ANTIBODY,5061493,CDM,302,RC,86635,HCPCS,OUTPATIENT,,,17,13.6,,16.15,95,,12.92,percent of total billed charges,95% of total billed charges,16.1,94.72,,12.88,percent of total billed charges,94.72% of total billed charges,16.79,98.79,,13.43,percent of total billed charges,98.79% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,8.16,48,,6.53,percent of total billed charges,48% of total billed charges,11.47,100,,,fee schedule,100% of CMS fee schedule,9.75,85,,,fee schedule,85% of CMS fee schedule,11.47,100,,,fee schedule,100% of CMS fee schedule,11.47,100,,,fee schedule,100% of CMS fee schedule,8.16,16.79,
HIGH SENSITIVITY CRP,5061495,CDM,302,RC,86141,HCPCS,OUTPATIENT,,,85,68,,80.75,95,,64.6,percent of total billed charges,95% of total billed charges,80.51,94.72,,64.41,percent of total billed charges,94.72% of total billed charges,83.97,98.79,,67.18,percent of total billed charges,98.79% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,40.8,48,,32.64,percent of total billed charges,48% of total billed charges,12.95,100,,,fee schedule,100% of CMS fee schedule,11.01,85,,,fee schedule,85% of CMS fee schedule,12.95,100,,,fee schedule,100% of CMS fee schedule,12.95,100,,,fee schedule,100% of CMS fee schedule,11.01,83.97,
LEGIONELLA AG URINE,5061499,CDM,302,RC,87449,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,10.18,85,,,fee schedule,85% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,7.68,15.81,
CYTOMEGALOVIRUS AB IGM,5061500,CDM,302,RC,86645,HCPCS,OUTPATIENT,,,9,7.2,,8.55,95,,6.84,percent of total billed charges,95% of total billed charges,8.52,94.72,,6.82,percent of total billed charges,94.72% of total billed charges,8.89,98.79,,7.11,percent of total billed charges,98.79% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,4.32,48,,3.46,percent of total billed charges,48% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,14.32,85,,,fee schedule,85% of CMS fee schedule,16.85,100,,,fee schedule,100% of CMS fee schedule,16.85,100,,,fee schedule,100% of CMS fee schedule,4.32,16.85,
CYTOMEGALOVIRUS AB IGM,5061500,CDM,302,RC,86645,HCPCS,OUTPATIENT,,,9,7.2,,8.55,95,,6.84,percent of total billed charges,95% of total billed charges,8.52,94.72,,6.82,percent of total billed charges,94.72% of total billed charges,8.89,98.79,,7.11,percent of total billed charges,98.79% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,8.82,98,,7.06,percent of total billed charges,98% of total billed charges,4.32,48,,3.46,percent of total billed charges,48% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,14.32,85,,,fee schedule,85% of CMS fee schedule,16.85,100,,,fee schedule,100% of CMS fee schedule,16.85,100,,,fee schedule,100% of CMS fee schedule,4.32,16.85,
HEPARIN DEPENDENT ANTIBODIES,5061501,CDM,302,RC,86022,HCPCS,OUTPATIENT,,,84,67.2,,79.8,95,,63.84,percent of total billed charges,95% of total billed charges,79.56,94.72,,63.65,percent of total billed charges,94.72% of total billed charges,82.98,98.79,,66.38,percent of total billed charges,98.79% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,40.32,48,,32.26,percent of total billed charges,48% of total billed charges,18.37,100,,,fee schedule,100% of CMS fee schedule,15.61,85,,,fee schedule,85% of CMS fee schedule,18.37,100,,,fee schedule,100% of CMS fee schedule,18.37,100,,,fee schedule,100% of CMS fee schedule,15.61,82.98,
87902 Hepatitis C Genotype DNA,5061550,CDM,302,RC,87902,HCPCS,OUTPATIENT,,,795,636,,755.25,95,,604.2,percent of total billed charges,95% of total billed charges,753.02,94.72,,602.42,percent of total billed charges,94.72% of total billed charges,785.38,98.79,,628.3,percent of total billed charges,98.79% of total billed charges,779.1,98,,623.28,percent of total billed charges,98% of total billed charges,779.1,98,,623.28,percent of total billed charges,98% of total billed charges,381.6,48,,305.28,percent of total billed charges,48% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,218.83,85,,,fee schedule,85% of CMS fee schedule,257.45,100,,,fee schedule,100% of CMS fee schedule,257.45,100,,,fee schedule,100% of CMS fee schedule,218.83,785.38,
RUBEOLA,5061567,CDM,302,RC,86765,HCPCS,OUTPATIENT,,,17,13.6,,16.15,95,,12.92,percent of total billed charges,95% of total billed charges,16.1,94.72,,12.88,percent of total billed charges,94.72% of total billed charges,16.79,98.79,,13.43,percent of total billed charges,98.79% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,8.16,48,,6.53,percent of total billed charges,48% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,10.95,85,,,fee schedule,85% of CMS fee schedule,12.88,100,,,fee schedule,100% of CMS fee schedule,12.88,100,,,fee schedule,100% of CMS fee schedule,8.16,16.79,
SM Autoantibodies UPHS,5061587,CDM,302,RC,86235,HCPCS,OUTPATIENT,,,76,60.8,90,72.2,95,,57.76,percent of total billed charges,95% of total billed charges,71.99,94.72,,57.59,percent of total billed charges,94.72% of total billed charges,75.08,98.79,,60.06,percent of total billed charges,98.79% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,36.48,48,,29.18,percent of total billed charges,48% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,15.24,85,,,fee schedule,85% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,15.24,75.08,
DNA SINGLE STRANDED,5061588,CDM,302,RC,86226,HCPCS,OUTPATIENT,,,30,24,,28.5,95,,22.8,percent of total billed charges,95% of total billed charges,28.42,94.72,,22.74,percent of total billed charges,94.72% of total billed charges,29.64,98.79,,23.71,percent of total billed charges,98.79% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,14.4,48,,11.52,percent of total billed charges,48% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,10.29,85,,,fee schedule,85% of CMS fee schedule,12.11,100,,,fee schedule,100% of CMS fee schedule,12.11,100,,,fee schedule,100% of CMS fee schedule,10.29,29.64,
CA 15-3,5061598,CDM,302,RC,86300,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,17.69,85,,,fee schedule,85% of CMS fee schedule,20.81,100,,,fee schedule,100% of CMS fee schedule,20.81,100,,,fee schedule,100% of CMS fee schedule,7.68,20.81,
RNP UPHS,5061611,CDM,302,RC,86235,HCPCS,OUTPATIENT,,,22,17.6,90,20.9,95,,16.72,percent of total billed charges,95% of total billed charges,20.84,94.72,,16.67,percent of total billed charges,94.72% of total billed charges,21.73,98.79,,17.38,percent of total billed charges,98.79% of total billed charges,21.56,98,,17.25,percent of total billed charges,98% of total billed charges,21.56,98,,17.25,percent of total billed charges,98% of total billed charges,10.56,48,,8.45,percent of total billed charges,48% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,15.24,85,,,fee schedule,85% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,10.56,21.73,
RNP UPHS,5061611,CDM,302,RC,86235,HCPCS,OUTPATIENT,,,23,18.4,90,21.85,95,,17.48,percent of total billed charges,95% of total billed charges,21.79,94.72,,17.43,percent of total billed charges,94.72% of total billed charges,22.72,98.79,,18.18,percent of total billed charges,98.79% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,11.04,48,,8.83,percent of total billed charges,48% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,15.24,85,,,fee schedule,85% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,11.04,22.72,
Norovirus PCR Molecular Detect Feces UPHS,5061629,CDM,302,RC,87449,HCPCS,OUTPATIENT,,,80,64,90,76,95,,60.8,percent of total billed charges,95% of total billed charges,75.78,94.72,,60.62,percent of total billed charges,94.72% of total billed charges,79.03,98.79,,63.22,percent of total billed charges,98.79% of total billed charges,78.4,98,,62.72,percent of total billed charges,98% of total billed charges,78.4,98,,62.72,percent of total billed charges,98% of total billed charges,38.4,48,,30.72,percent of total billed charges,48% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,10.18,85,,,fee schedule,85% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,10.18,79.03,
SHIGA TOXIN,5061634,CDM,302,RC,87427,HCPCS,OUTPATIENT,,,44,35.2,,41.8,95,,33.44,percent of total billed charges,95% of total billed charges,41.68,94.72,,33.34,percent of total billed charges,94.72% of total billed charges,43.47,98.79,,34.78,percent of total billed charges,98.79% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,21.12,48,,16.9,percent of total billed charges,48% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,10.18,85,,,fee schedule,85% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,10.18,43.47,
THYROGLOBULIN TUMOR MARKER (comprehensive),5061636,CDM,302,RC,84432,HCPCS,OUTPATIENT,,,173,138.4,,164.35,95,,131.48,percent of total billed charges,95% of total billed charges,163.87,94.72,,131.1,percent of total billed charges,94.72% of total billed charges,170.91,98.79,,136.73,percent of total billed charges,98.79% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,83.04,48,,66.43,percent of total billed charges,48% of total billed charges,16.06,100,,,fee schedule,100% of CMS fee schedule,13.65,85,,,fee schedule,85% of CMS fee schedule,16.06,100,,,fee schedule,100% of CMS fee schedule,16.06,100,,,fee schedule,100% of CMS fee schedule,13.65,170.91,
POLIOVIRUS ANTIBODIES,5061643,CDM,302,RC,86658,HCPCS,OUTPATIENT,,,398,318.4,,378.1,95,,302.48,percent of total billed charges,95% of total billed charges,376.99,94.72,,301.59,percent of total billed charges,94.72% of total billed charges,393.18,98.79,,314.54,percent of total billed charges,98.79% of total billed charges,390.04,98,,312.03,percent of total billed charges,98% of total billed charges,390.04,98,,312.03,percent of total billed charges,98% of total billed charges,191.04,48,,152.83,percent of total billed charges,48% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,11.08,85,,,fee schedule,85% of CMS fee schedule,13.03,100,,,fee schedule,100% of CMS fee schedule,13.03,100,,,fee schedule,100% of CMS fee schedule,11.08,393.18,
ISLET CELL AUTOANTIBODIES (GAD65),5061649,CDM,302,RC,86341,HCPCS,OUTPATIENT,,,85,68,,80.75,95,,64.6,percent of total billed charges,95% of total billed charges,80.51,94.72,,64.41,percent of total billed charges,94.72% of total billed charges,83.97,98.79,,67.18,percent of total billed charges,98.79% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,40.8,48,,32.64,percent of total billed charges,48% of total billed charges,23.57,100,,,fee schedule,100% of CMS fee schedule,20.03,85,,,fee schedule,85% of CMS fee schedule,23.57,100,,,fee schedule,100% of CMS fee schedule,23.57,100,,,fee schedule,100% of CMS fee schedule,20.03,83.97,
AB FUNGUS NES,5061677,CDM,302,RC,86671,HCPCS,OUTPATIENT,,,111,88.8,,105.45,95,,84.36,percent of total billed charges,95% of total billed charges,105.14,94.72,,84.11,percent of total billed charges,94.72% of total billed charges,109.66,98.79,,87.73,percent of total billed charges,98.79% of total billed charges,108.78,98,,87.02,percent of total billed charges,98% of total billed charges,108.78,98,,87.02,percent of total billed charges,98% of total billed charges,53.28,48,,42.62,percent of total billed charges,48% of total billed charges,12.25,100,,,fee schedule,100% of CMS fee schedule,10.41,85,,,fee schedule,85% of CMS fee schedule,12.25,100,,,fee schedule,100% of CMS fee schedule,12.25,100,,,fee schedule,100% of CMS fee schedule,10.41,109.66,
DIPTHERIA IGG ANTIBODY,5061708,CDM,302,RC,86317,HCPCS,OUTPATIENT,,,29,23.2,,27.55,95,,22.04,percent of total billed charges,95% of total billed charges,27.47,94.72,,21.98,percent of total billed charges,94.72% of total billed charges,28.65,98.79,,22.92,percent of total billed charges,98.79% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,13.92,48,,11.14,percent of total billed charges,48% of total billed charges,14.99,100,,,fee schedule,100% of CMS fee schedule,12.74,85,,,fee schedule,85% of CMS fee schedule,14.99,100,,,fee schedule,100% of CMS fee schedule,14.99,100,,,fee schedule,100% of CMS fee schedule,12.74,28.65,
86331 ID:GEL QUAL:EA AB/AG,5061741,CDM,302,RC,86331,HCPCS,OUTPATIENT,,,89,71.2,,84.55,95,,67.64,percent of total billed charges,95% of total billed charges,84.3,94.72,,67.44,percent of total billed charges,94.72% of total billed charges,87.92,98.79,,70.34,percent of total billed charges,98.79% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,42.72,48,,34.18,percent of total billed charges,48% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,10.18,85,,,fee schedule,85% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,10.18,87.92,
LIVER CYTOSOL (LC-1) AUTOANTIBODIES,5061758,CDM,302,RC,86376,HCPCS,OUTPATIENT,,,217,173.6,,206.15,95,,164.92,percent of total billed charges,95% of total billed charges,205.54,94.72,,164.43,percent of total billed charges,94.72% of total billed charges,214.37,98.79,,171.5,percent of total billed charges,98.79% of total billed charges,212.66,98,,170.13,percent of total billed charges,98% of total billed charges,212.66,98,,170.13,percent of total billed charges,98% of total billed charges,104.16,48,,83.33,percent of total billed charges,48% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,12.37,85,,,fee schedule,85% of CMS fee schedule,14.55,100,,,fee schedule,100% of CMS fee schedule,14.55,100,,,fee schedule,100% of CMS fee schedule,12.37,214.37,
HAEMOPHILUS INFUENZAE B IgG ANTIBODIES,5061764,CDM,302,RC,86684,HCPCS,OUTPATIENT,,,136,108.8,,129.2,95,,103.36,percent of total billed charges,95% of total billed charges,128.82,94.72,,103.06,percent of total billed charges,94.72% of total billed charges,134.35,98.79,,107.48,percent of total billed charges,98.79% of total billed charges,133.28,98,,106.62,percent of total billed charges,98% of total billed charges,133.28,98,,106.62,percent of total billed charges,98% of total billed charges,65.28,48,,52.22,percent of total billed charges,48% of total billed charges,15.84,100,,,fee schedule,100% of CMS fee schedule,13.46,85,,,fee schedule,85% of CMS fee schedule,15.84,100,,,fee schedule,100% of CMS fee schedule,15.84,100,,,fee schedule,100% of CMS fee schedule,13.46,134.35,
ANTIBODY ELUTION(RBC) EA ELUTION,5061799,CDM,302,RC,86860,HCPCS,OUTPATIENT,,,71,56.8,,67.45,95,,53.96,percent of total billed charges,95% of total billed charges,67.25,94.72,,53.8,percent of total billed charges,94.72% of total billed charges,70.14,98.79,,56.11,percent of total billed charges,98.79% of total billed charges,69.58,98,,55.66,percent of total billed charges,98% of total billed charges,69.58,98,,55.66,percent of total billed charges,98% of total billed charges,34.08,48,,27.26,percent of total billed charges,48% of total billed charges,31.95,45,,25.56,percent of total billed charges,45% of total billed charges,27.16,38.25,,21.73,percent of total billed charges,38.25% of total billed charges,31.95,45,,25.56,percent of total billed charges,45% of total billed charges,31.95,45,,25.56,percent of total billed charges,45% of total billed charges,27.16,70.14,
C1 ESTERASE INHIBITOR ANTIGEN SERUM,5061814,CDM,302,RC,86160,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,10.2,85,,,fee schedule,85% of CMS fee schedule,12,100,,,fee schedule,100% of CMS fee schedule,12,100,,,fee schedule,100% of CMS fee schedule,7.68,15.81,
C1 ESTERASE INHIBITOR ANTIGEN SERUM,5061814,CDM,302,RC,86160,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,10.2,85,,,fee schedule,85% of CMS fee schedule,12,100,,,fee schedule,100% of CMS fee schedule,12,100,,,fee schedule,100% of CMS fee schedule,7.68,15.81,
MICROSOMAL (LIVER/KIDNEY) TYPE 1 ab,5061818,CDM,302,RC,86376,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,12.37,85,,,fee schedule,85% of CMS fee schedule,14.55,100,,,fee schedule,100% of CMS fee schedule,14.55,100,,,fee schedule,100% of CMS fee schedule,7.68,15.81,
TOTAL CD-20 CELLS,5061937,CDM,302,RC,86356,HCPCS,OUTPATIENT,,,274,219.2,,260.3,95,,208.24,percent of total billed charges,95% of total billed charges,259.53,94.72,,207.62,percent of total billed charges,94.72% of total billed charges,270.68,98.79,,216.54,percent of total billed charges,98.79% of total billed charges,268.52,98,,214.82,percent of total billed charges,98% of total billed charges,268.52,98,,214.82,percent of total billed charges,98% of total billed charges,131.52,48,,105.22,percent of total billed charges,48% of total billed charges,26.78,100,,,fee schedule,100% of CMS fee schedule,22.76,85,,,fee schedule,85% of CMS fee schedule,26.78,100,,,fee schedule,100% of CMS fee schedule,26.78,100,,,fee schedule,100% of CMS fee schedule,22.76,270.68,
ANCA MYELOPEROXIDASE AB,5062048,CDM,302,RC,83516,HCPCS,OUTPATIENT,,,18,14.4,,17.1,95,,13.68,percent of total billed charges,95% of total billed charges,17.05,94.72,,13.64,percent of total billed charges,94.72% of total billed charges,17.78,98.79,,14.22,percent of total billed charges,98.79% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,8.64,48,,6.91,percent of total billed charges,48% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,85,,,fee schedule,85% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,8.64,17.78,
ANCA PROTEINASE AB,5062049,CDM,302,RC,83516,HCPCS,OUTPATIENT,,,18,14.4,,17.1,95,,13.68,percent of total billed charges,95% of total billed charges,17.05,94.72,,13.64,percent of total billed charges,94.72% of total billed charges,17.78,98.79,,14.22,percent of total billed charges,98.79% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,17.64,98,,14.11,percent of total billed charges,98% of total billed charges,8.64,48,,6.91,percent of total billed charges,48% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,85,,,fee schedule,85% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,8.64,17.78,
HSV TYPE 2 AB IgG,5062059,CDM,302,RC,86696,HCPCS,OUTPATIENT,,,33,26.4,,31.35,95,,25.08,percent of total billed charges,95% of total billed charges,31.26,94.72,,25.01,percent of total billed charges,94.72% of total billed charges,32.6,98.79,,26.08,percent of total billed charges,98.79% of total billed charges,32.34,98,,25.87,percent of total billed charges,98% of total billed charges,32.34,98,,25.87,percent of total billed charges,98% of total billed charges,15.84,48,,12.67,percent of total billed charges,48% of total billed charges,19.35,100,,,fee schedule,100% of CMS fee schedule,16.45,85,,,fee schedule,85% of CMS fee schedule,19.35,100,,,fee schedule,100% of CMS fee schedule,19.35,100,,,fee schedule,100% of CMS fee schedule,15.84,32.6,
HSV  TYPE 1 AB IgG,5062060,CDM,302,RC,86695,HCPCS,OUTPATIENT,,,33,26.4,,31.35,95,,25.08,percent of total billed charges,95% of total billed charges,31.26,94.72,,25.01,percent of total billed charges,94.72% of total billed charges,32.6,98.79,,26.08,percent of total billed charges,98.79% of total billed charges,32.34,98,,25.87,percent of total billed charges,98% of total billed charges,32.34,98,,25.87,percent of total billed charges,98% of total billed charges,15.84,48,,12.67,percent of total billed charges,48% of total billed charges,13.19,100,,,fee schedule,100% of CMS fee schedule,11.21,85,,,fee schedule,85% of CMS fee schedule,13.19,100,,,fee schedule,100% of CMS fee schedule,13.19,100,,,fee schedule,100% of CMS fee schedule,11.21,32.6,
HSV IGM TYPES I AND 2 ANTIBODY PANEL UPHS,5062061,CDM,302,RC,86694,HCPCS,OUTPATIENT,,,6,4.8,90,5.7,95,,4.56,percent of total billed charges,95% of total billed charges,5.68,94.72,,4.54,percent of total billed charges,94.72% of total billed charges,5.93,98.79,,4.74,percent of total billed charges,98.79% of total billed charges,5.88,98,,4.7,percent of total billed charges,98% of total billed charges,5.88,98,,4.7,percent of total billed charges,98% of total billed charges,2.88,48,,2.3,percent of total billed charges,48% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,12.23,85,,,fee schedule,85% of CMS fee schedule,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,100,,,fee schedule,100% of CMS fee schedule,2.88,14.39,
PANEL H PYLORI IGG,5062070,CDM,302,RC,86677,HCPCS,OUTPATIENT,,,23,18.4,,21.85,95,,17.48,percent of total billed charges,95% of total billed charges,21.79,94.72,,17.43,percent of total billed charges,94.72% of total billed charges,22.72,98.79,,18.18,percent of total billed charges,98.79% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,11.04,48,,8.83,percent of total billed charges,48% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,14.32,85,,,fee schedule,85% of CMS fee schedule,16.85,100,,,fee schedule,100% of CMS fee schedule,16.85,100,,,fee schedule,100% of CMS fee schedule,11.04,22.72,
PANEL H PYLORI IGM,5062071,CDM,302,RC,86677,HCPCS,OUTPATIENT,,,23,18.4,,21.85,95,,17.48,percent of total billed charges,95% of total billed charges,21.79,94.72,,17.43,percent of total billed charges,94.72% of total billed charges,22.72,98.79,,18.18,percent of total billed charges,98.79% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,11.04,48,,8.83,percent of total billed charges,48% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,14.32,85,,,fee schedule,85% of CMS fee schedule,16.85,100,,,fee schedule,100% of CMS fee schedule,16.85,100,,,fee schedule,100% of CMS fee schedule,11.04,22.72,
PANEL H PYLORI IGA,5062072,CDM,302,RC,86677,HCPCS,OUTPATIENT,,,23,18.4,,21.85,95,,17.48,percent of total billed charges,95% of total billed charges,21.79,94.72,,17.43,percent of total billed charges,94.72% of total billed charges,22.72,98.79,,18.18,percent of total billed charges,98.79% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,11.04,48,,8.83,percent of total billed charges,48% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,14.32,85,,,fee schedule,85% of CMS fee schedule,16.85,100,,,fee schedule,100% of CMS fee schedule,16.85,100,,,fee schedule,100% of CMS fee schedule,11.04,22.72,
CRP (REF LAB),5062075,CDM,302,RC,86140,HCPCS,OUTPATIENT,,,76,60.8,,72.2,95,,57.76,percent of total billed charges,95% of total billed charges,71.99,94.72,,57.59,percent of total billed charges,94.72% of total billed charges,75.08,98.79,,60.06,percent of total billed charges,98.79% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,36.48,48,,29.18,percent of total billed charges,48% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,4.4,85,,,fee schedule,85% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,4.4,75.08,
INHIBIN A,5062078,CDM,302,RC,86336,HCPCS,OUTPATIENT,,,131,104.8,,124.45,95,,99.56,percent of total billed charges,95% of total billed charges,124.08,94.72,,99.26,percent of total billed charges,94.72% of total billed charges,129.41,98.79,,103.53,percent of total billed charges,98.79% of total billed charges,128.38,98,,102.7,percent of total billed charges,98% of total billed charges,128.38,98,,102.7,percent of total billed charges,98% of total billed charges,62.88,48,,50.3,percent of total billed charges,48% of total billed charges,15.59,100,,,fee schedule,100% of CMS fee schedule,13.25,85,,,fee schedule,85% of CMS fee schedule,15.59,100,,,fee schedule,100% of CMS fee schedule,15.59,100,,,fee schedule,100% of CMS fee schedule,13.25,129.41,
FC TOTAL TCELL (CD3),5062105,CDM,302,RC,86359,HCPCS,OUTPATIENT,,,21,16.8,,19.95,95,,15.96,percent of total billed charges,95% of total billed charges,19.89,94.72,,15.91,percent of total billed charges,94.72% of total billed charges,20.75,98.79,,16.6,percent of total billed charges,98.79% of total billed charges,20.58,98,,16.46,percent of total billed charges,98% of total billed charges,20.58,98,,16.46,percent of total billed charges,98% of total billed charges,10.08,48,,8.06,percent of total billed charges,48% of total billed charges,37.73,100,,,fee schedule,100% of CMS fee schedule,32.07,85,,,fee schedule,85% of CMS fee schedule,37.73,100,,,fee schedule,100% of CMS fee schedule,37.73,100,,,fee schedule,100% of CMS fee schedule,10.08,37.73,
FC HELPER and SUPPRESSOR (CD|C8),5062106,CDM,302,RC,86360,HCPCS,OUTPATIENT,,,21,16.8,,19.95,95,,15.96,percent of total billed charges,95% of total billed charges,19.89,94.72,,15.91,percent of total billed charges,94.72% of total billed charges,20.75,98.79,,16.6,percent of total billed charges,98.79% of total billed charges,20.58,98,,16.46,percent of total billed charges,98% of total billed charges,20.58,98,,16.46,percent of total billed charges,98% of total billed charges,10.08,48,,8.06,percent of total billed charges,48% of total billed charges,46.98,100,,,fee schedule,100% of CMS fee schedule,39.93,85,,,fee schedule,85% of CMS fee schedule,46.98,100,,,fee schedule,100% of CMS fee schedule,46.98,100,,,fee schedule,100% of CMS fee schedule,10.08,46.98,
FC HELPER CELL CD4,5062107,CDM,302,RC,86361,HCPCS,OUTPATIENT,,,21,16.8,,19.95,95,,15.96,percent of total billed charges,95% of total billed charges,19.89,94.72,,15.91,percent of total billed charges,94.72% of total billed charges,20.75,98.79,,16.6,percent of total billed charges,98.79% of total billed charges,20.58,98,,16.46,percent of total billed charges,98% of total billed charges,20.58,98,,16.46,percent of total billed charges,98% of total billed charges,10.08,48,,8.06,percent of total billed charges,48% of total billed charges,26.78,100,,,fee schedule,100% of CMS fee schedule,22.76,85,,,fee schedule,85% of CMS fee schedule,26.78,100,,,fee schedule,100% of CMS fee schedule,26.78,100,,,fee schedule,100% of CMS fee schedule,10.08,26.78,
86355 FC TOTAL BCELLS (CD19) UPHS,5062108,CDM,302,RC,86355,HCPCS,OUTPATIENT,,,21,16.8,,19.95,95,,15.96,percent of total billed charges,95% of total billed charges,19.89,94.72,,15.91,percent of total billed charges,94.72% of total billed charges,20.75,98.79,,16.6,percent of total billed charges,98.79% of total billed charges,20.58,98,,16.46,percent of total billed charges,98% of total billed charges,20.58,98,,16.46,percent of total billed charges,98% of total billed charges,10.08,48,,8.06,percent of total billed charges,48% of total billed charges,37.73,100,,,fee schedule,100% of CMS fee schedule,32.07,85,,,fee schedule,85% of CMS fee schedule,37.73,100,,,fee schedule,100% of CMS fee schedule,37.73,100,,,fee schedule,100% of CMS fee schedule,10.08,37.73,
FC TOTAL NATURAL KILLER (CD56/16),5062109,CDM,302,RC,86357,HCPCS,OUTPATIENT,,,21,16.8,,19.95,95,,15.96,percent of total billed charges,95% of total billed charges,19.89,94.72,,15.91,percent of total billed charges,94.72% of total billed charges,20.75,98.79,,16.6,percent of total billed charges,98.79% of total billed charges,20.58,98,,16.46,percent of total billed charges,98% of total billed charges,20.58,98,,16.46,percent of total billed charges,98% of total billed charges,10.08,48,,8.06,percent of total billed charges,48% of total billed charges,37.73,100,,,fee schedule,100% of CMS fee schedule,32.07,85,,,fee schedule,85% of CMS fee schedule,37.73,100,,,fee schedule,100% of CMS fee schedule,37.73,100,,,fee schedule,100% of CMS fee schedule,10.08,37.73,
TETANUS TOXOID ANTIBODIES (IgG),5062112,CDM,302,RC,86317,HCPCS,OUTPATIENT,,,38,30.4,,36.1,95,,28.88,percent of total billed charges,95% of total billed charges,35.99,94.72,,28.79,percent of total billed charges,94.72% of total billed charges,37.54,98.79,,30.03,percent of total billed charges,98.79% of total billed charges,37.24,98,,29.79,percent of total billed charges,98% of total billed charges,37.24,98,,29.79,percent of total billed charges,98% of total billed charges,18.24,48,,14.59,percent of total billed charges,48% of total billed charges,14.99,100,,,fee schedule,100% of CMS fee schedule,12.74,85,,,fee schedule,85% of CMS fee schedule,14.99,100,,,fee schedule,100% of CMS fee schedule,14.99,100,,,fee schedule,100% of CMS fee schedule,12.74,37.54,
REFLEX RAPID PLASMA REAGIN,5062143,CDM,302,RC,86592,HCPCS,OUTPATIENT,,,197,157.6,,187.15,95,,149.72,percent of total billed charges,95% of total billed charges,186.6,94.72,,149.28,percent of total billed charges,94.72% of total billed charges,194.62,98.79,,155.7,percent of total billed charges,98.79% of total billed charges,193.06,98,,154.45,percent of total billed charges,98% of total billed charges,193.06,98,,154.45,percent of total billed charges,98% of total billed charges,94.56,48,,75.65,percent of total billed charges,48% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,3.63,85,,,fee schedule,85% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,3.63,194.62,
BB ADDITIONAL AB ID MAYO,5062156,CDM,302,RC,86870,HCPCS,OUTPATIENT,,,394,315.2,90,374.3,95,,299.44,percent of total billed charges,95% of total billed charges,373.2,94.72,,298.56,percent of total billed charges,94.72% of total billed charges,389.23,98.79,,311.38,percent of total billed charges,98.79% of total billed charges,386.12,98,,308.9,percent of total billed charges,98% of total billed charges,386.12,98,,308.9,percent of total billed charges,98% of total billed charges,189.12,48,,151.3,percent of total billed charges,48% of total billed charges,177.3,45,,141.84,percent of total billed charges,45% of total billed charges,150.71,38.25,,120.57,percent of total billed charges,38.25% of total billed charges,177.3,45,,141.84,percent of total billed charges,45% of total billed charges,177.3,45,,141.84,percent of total billed charges,45% of total billed charges,150.71,389.23,
MUMPS IGM ANTIBODY,5062158,CDM,302,RC,86735,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,13.05,100,,,fee schedule,100% of CMS fee schedule,11.09,85,,,fee schedule,85% of CMS fee schedule,13.05,100,,,fee schedule,100% of CMS fee schedule,13.05,100,,,fee schedule,100% of CMS fee schedule,7.68,15.81,
BETA 2 GLYCOPROTEIN IGG,5062200,CDM,302,RC,86146,HCPCS,OUTPATIENT,,,17,13.6,,16.15,95,,12.92,percent of total billed charges,95% of total billed charges,16.1,94.72,,12.88,percent of total billed charges,94.72% of total billed charges,16.79,98.79,,13.43,percent of total billed charges,98.79% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,8.16,48,,6.53,percent of total billed charges,48% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,21.63,85,,,fee schedule,85% of CMS fee schedule,25.45,100,,,fee schedule,100% of CMS fee schedule,25.45,100,,,fee schedule,100% of CMS fee schedule,8.16,25.45,
BETA 2 GLYCOPROTEIN IGM,5062201,CDM,302,RC,86146,HCPCS,OUTPATIENT,,,17,13.6,,16.15,95,,12.92,percent of total billed charges,95% of total billed charges,16.1,94.72,,12.88,percent of total billed charges,94.72% of total billed charges,16.79,98.79,,13.43,percent of total billed charges,98.79% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,8.16,48,,6.53,percent of total billed charges,48% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,21.63,85,,,fee schedule,85% of CMS fee schedule,25.45,100,,,fee schedule,100% of CMS fee schedule,25.45,100,,,fee schedule,100% of CMS fee schedule,8.16,25.45,
BETA 2 GLYCOPROTEIN IGA,5062202,CDM,302,RC,86146,HCPCS,OUTPATIENT,,,17,13.6,,16.15,95,,12.92,percent of total billed charges,95% of total billed charges,16.1,94.72,,12.88,percent of total billed charges,94.72% of total billed charges,16.79,98.79,,13.43,percent of total billed charges,98.79% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,8.16,48,,6.53,percent of total billed charges,48% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,21.63,85,,,fee schedule,85% of CMS fee schedule,25.45,100,,,fee schedule,100% of CMS fee schedule,25.45,100,,,fee schedule,100% of CMS fee schedule,8.16,25.45,
ANTINUCLEAR ANTIBODY IFA,5062217,CDM,302,RC,86038,HCPCS,OUTPATIENT,,,8,6.4,,7.6,95,,6.08,percent of total billed charges,95% of total billed charges,7.58,94.72,,6.06,percent of total billed charges,94.72% of total billed charges,7.9,98.79,,6.32,percent of total billed charges,98.79% of total billed charges,7.84,98,,6.27,percent of total billed charges,98% of total billed charges,7.84,98,,6.27,percent of total billed charges,98% of total billed charges,3.84,48,,3.07,percent of total billed charges,48% of total billed charges,12.09,100,,,fee schedule,100% of CMS fee schedule,10.28,85,,,fee schedule,85% of CMS fee schedule,12.09,100,,,fee schedule,100% of CMS fee schedule,12.09,100,,,fee schedule,100% of CMS fee schedule,3.84,12.09,
Hepatitis C Drug Susceptibility,5062230,CDM,302,RC,87900,HCPCS,OUTPATIENT,,,402,321.6,,381.9,95,,305.52,percent of total billed charges,95% of total billed charges,380.77,94.72,,304.62,percent of total billed charges,94.72% of total billed charges,397.14,98.79,,317.71,percent of total billed charges,98.79% of total billed charges,393.96,98,,315.17,percent of total billed charges,98% of total billed charges,393.96,98,,315.17,percent of total billed charges,98% of total billed charges,192.96,48,,154.37,percent of total billed charges,48% of total billed charges,130.35,100,,,fee schedule,100% of CMS fee schedule,110.8,85,,,fee schedule,85% of CMS fee schedule,130.35,100,,,fee schedule,100% of CMS fee schedule,130.35,100,,,fee schedule,100% of CMS fee schedule,110.8,397.14,
87900 Hepatitis C Drug Susceptibility,5062230,CDM,302,RC,87900,HCPCS,OUTPATIENT,,,402,321.6,,381.9,95,,305.52,percent of total billed charges,95% of total billed charges,380.77,94.72,,304.62,percent of total billed charges,94.72% of total billed charges,397.14,98.79,,317.71,percent of total billed charges,98.79% of total billed charges,393.96,98,,315.17,percent of total billed charges,98% of total billed charges,393.96,98,,315.17,percent of total billed charges,98% of total billed charges,192.96,48,,154.37,percent of total billed charges,48% of total billed charges,130.35,100,,,fee schedule,100% of CMS fee schedule,110.8,85,,,fee schedule,85% of CMS fee schedule,130.35,100,,,fee schedule,100% of CMS fee schedule,130.35,100,,,fee schedule,100% of CMS fee schedule,110.8,397.14,
CHRONIC URTICARIA PANEL,5062235,CDM,302,RC,86352,HCPCS,OUTPATIENT,,,79,63.2,,75.05,95,,60.04,percent of total billed charges,95% of total billed charges,74.83,94.72,,59.86,percent of total billed charges,94.72% of total billed charges,78.04,98.79,,62.43,percent of total billed charges,98.79% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,37.92,48,,30.34,percent of total billed charges,48% of total billed charges,135.86,100,,,fee schedule,100% of CMS fee schedule,115.48,85,,,fee schedule,85% of CMS fee schedule,135.86,100,,,fee schedule,100% of CMS fee schedule,135.86,100,,,fee schedule,100% of CMS fee schedule,37.92,135.86,
PHOSPHATIDY SERINE IGG,5062269,CDM,302,RC,86148,HCPCS,OUTPATIENT,,,54,43.2,,51.3,95,,41.04,percent of total billed charges,95% of total billed charges,51.15,94.72,,40.92,percent of total billed charges,94.72% of total billed charges,53.35,98.79,,42.68,percent of total billed charges,98.79% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,25.92,48,,20.74,percent of total billed charges,48% of total billed charges,16.07,100,,,fee schedule,100% of CMS fee schedule,13.66,85,,,fee schedule,85% of CMS fee schedule,16.07,100,,,fee schedule,100% of CMS fee schedule,16.07,100,,,fee schedule,100% of CMS fee schedule,13.66,53.35,
PHOSPHATIDY SERINE IGM,5062270,CDM,302,RC,86148,HCPCS,OUTPATIENT,,,54,43.2,,51.3,95,,41.04,percent of total billed charges,95% of total billed charges,51.15,94.72,,40.92,percent of total billed charges,94.72% of total billed charges,53.35,98.79,,42.68,percent of total billed charges,98.79% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,25.92,48,,20.74,percent of total billed charges,48% of total billed charges,16.07,100,,,fee schedule,100% of CMS fee schedule,13.66,85,,,fee schedule,85% of CMS fee schedule,16.07,100,,,fee schedule,100% of CMS fee schedule,16.07,100,,,fee schedule,100% of CMS fee schedule,13.66,53.35,
PHOSPHATIDY SERINE IGA,5062271,CDM,302,RC,86148,HCPCS,OUTPATIENT,,,54,43.2,,51.3,95,,41.04,percent of total billed charges,95% of total billed charges,51.15,94.72,,40.92,percent of total billed charges,94.72% of total billed charges,53.35,98.79,,42.68,percent of total billed charges,98.79% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,25.92,48,,20.74,percent of total billed charges,48% of total billed charges,16.07,100,,,fee schedule,100% of CMS fee schedule,13.66,85,,,fee schedule,85% of CMS fee schedule,16.07,100,,,fee schedule,100% of CMS fee schedule,16.07,100,,,fee schedule,100% of CMS fee schedule,13.66,53.35,
CARDIOLIPIN IGG,5062273,CDM,302,RC,86147,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,21.63,85,,,fee schedule,85% of CMS fee schedule,25.45,100,,,fee schedule,100% of CMS fee schedule,25.45,100,,,fee schedule,100% of CMS fee schedule,5.28,25.45,
CARDIOLIPIN IGM,5062274,CDM,302,RC,86147,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,21.63,85,,,fee schedule,85% of CMS fee schedule,25.45,100,,,fee schedule,100% of CMS fee schedule,25.45,100,,,fee schedule,100% of CMS fee schedule,5.28,25.45,
Blastomyces Antigen Serum UPHS,5062289,CDM,302,RC,87449,HCPCS,OUTPATIENT,,,122,97.6,90,115.9,95,,92.72,percent of total billed charges,95% of total billed charges,115.56,94.72,,92.45,percent of total billed charges,94.72% of total billed charges,120.52,98.79,,96.42,percent of total billed charges,98.79% of total billed charges,119.56,98,,95.65,percent of total billed charges,98% of total billed charges,119.56,98,,95.65,percent of total billed charges,98% of total billed charges,58.56,48,,46.85,percent of total billed charges,48% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,10.18,85,,,fee schedule,85% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,10.18,120.52,
VITAMIN B3 (NIACIN),5062290,CDM,302,RC,84591,HCPCS,OUTPATIENT,,,47,37.6,,44.65,95,,35.72,percent of total billed charges,95% of total billed charges,44.52,94.72,,35.62,percent of total billed charges,94.72% of total billed charges,46.43,98.79,,37.14,percent of total billed charges,98.79% of total billed charges,46.06,98,,36.85,percent of total billed charges,98% of total billed charges,46.06,98,,36.85,percent of total billed charges,98% of total billed charges,22.56,48,,18.05,percent of total billed charges,48% of total billed charges,17.06,100,,,fee schedule,100% of CMS fee schedule,14.5,85,,,fee schedule,85% of CMS fee schedule,17.06,100,,,fee schedule,100% of CMS fee schedule,17.06,100,,,fee schedule,100% of CMS fee schedule,14.5,46.43,
HANTAVIRUS IGG,5062296,CDM,302,RC,86790,HCPCS,OUTPATIENT,,,89,71.2,,84.55,95,,67.64,percent of total billed charges,95% of total billed charges,84.3,94.72,,67.44,percent of total billed charges,94.72% of total billed charges,87.92,98.79,,70.34,percent of total billed charges,98.79% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,42.72,48,,34.18,percent of total billed charges,48% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,10.95,85,,,fee schedule,85% of CMS fee schedule,12.88,100,,,fee schedule,100% of CMS fee schedule,12.88,100,,,fee schedule,100% of CMS fee schedule,10.95,87.92,
86790 HANTAVIRUS IGG,5062296,CDM,302,RC,86790,HCPCS,OUTPATIENT,,,89,71.2,,84.55,95,,67.64,percent of total billed charges,95% of total billed charges,84.3,94.72,,67.44,percent of total billed charges,94.72% of total billed charges,87.92,98.79,,70.34,percent of total billed charges,98.79% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,42.72,48,,34.18,percent of total billed charges,48% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,10.95,85,,,fee schedule,85% of CMS fee schedule,12.88,100,,,fee schedule,100% of CMS fee schedule,12.88,100,,,fee schedule,100% of CMS fee schedule,10.95,87.92,
HANTAVIRUS IGM,5062297,CDM,302,RC,86790,HCPCS,OUTPATIENT,,,89,71.2,,84.55,95,,67.64,percent of total billed charges,95% of total billed charges,84.3,94.72,,67.44,percent of total billed charges,94.72% of total billed charges,87.92,98.79,,70.34,percent of total billed charges,98.79% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,42.72,48,,34.18,percent of total billed charges,48% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,10.95,85,,,fee schedule,85% of CMS fee schedule,12.88,100,,,fee schedule,100% of CMS fee schedule,12.88,100,,,fee schedule,100% of CMS fee schedule,10.95,87.92,
86790 HANTAVIRUS IGM,5062297,CDM,302,RC,86790,HCPCS,OUTPATIENT,,,89,71.2,,84.55,95,,67.64,percent of total billed charges,95% of total billed charges,84.3,94.72,,67.44,percent of total billed charges,94.72% of total billed charges,87.92,98.79,,70.34,percent of total billed charges,98.79% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,42.72,48,,34.18,percent of total billed charges,48% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,10.95,85,,,fee schedule,85% of CMS fee schedule,12.88,100,,,fee schedule,100% of CMS fee schedule,12.88,100,,,fee schedule,100% of CMS fee schedule,10.95,87.92,
WEST NILE VIRUS IGG CSF,5062317,CDM,302,RC,86788,HCPCS,OUTPATIENT,,,45,36,,42.75,95,,34.2,percent of total billed charges,95% of total billed charges,42.62,94.72,,34.1,percent of total billed charges,94.72% of total billed charges,44.46,98.79,,35.57,percent of total billed charges,98.79% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,21.6,48,,17.28,percent of total billed charges,48% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,14.32,85,,,fee schedule,85% of CMS fee schedule,16.85,100,,,fee schedule,100% of CMS fee schedule,16.85,100,,,fee schedule,100% of CMS fee schedule,14.32,44.46,
WEST NILE VIRUS IGM CSF,5062318,CDM,302,RC,86788,HCPCS,OUTPATIENT,,,45,36,,42.75,95,,34.2,percent of total billed charges,95% of total billed charges,42.62,94.72,,34.1,percent of total billed charges,94.72% of total billed charges,44.46,98.79,,35.57,percent of total billed charges,98.79% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,21.6,48,,17.28,percent of total billed charges,48% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,14.32,85,,,fee schedule,85% of CMS fee schedule,16.85,100,,,fee schedule,100% of CMS fee schedule,16.85,100,,,fee schedule,100% of CMS fee schedule,14.32,44.46,
LYME DISEASE BORRELIA BURGDORFERI IGG,5062505,CDM,302,RC,86618,HCPCS,OUTPATIENT,,,138,110.4,,131.1,95,,104.88,percent of total billed charges,95% of total billed charges,130.71,94.72,,104.57,percent of total billed charges,94.72% of total billed charges,136.33,98.79,,109.06,percent of total billed charges,98.79% of total billed charges,135.24,98,,108.19,percent of total billed charges,98% of total billed charges,135.24,98,,108.19,percent of total billed charges,98% of total billed charges,66.24,48,,52.99,percent of total billed charges,48% of total billed charges,17.03,100,,,fee schedule,100% of CMS fee schedule,14.48,85,,,fee schedule,85% of CMS fee schedule,17.03,100,,,fee schedule,100% of CMS fee schedule,17.03,100,,,fee schedule,100% of CMS fee schedule,14.48,136.33,
LYME DISEASE BORRELIA BURGDORFERI IGM,5062506,CDM,302,RC,86618,HCPCS,OUTPATIENT,,,138,110.4,,131.1,95,,104.88,percent of total billed charges,95% of total billed charges,130.71,94.72,,104.57,percent of total billed charges,94.72% of total billed charges,136.33,98.79,,109.06,percent of total billed charges,98.79% of total billed charges,135.24,98,,108.19,percent of total billed charges,98% of total billed charges,135.24,98,,108.19,percent of total billed charges,98% of total billed charges,66.24,48,,52.99,percent of total billed charges,48% of total billed charges,17.03,100,,,fee schedule,100% of CMS fee schedule,14.48,85,,,fee schedule,85% of CMS fee schedule,17.03,100,,,fee schedule,100% of CMS fee schedule,17.03,100,,,fee schedule,100% of CMS fee schedule,14.48,136.33,
IgE-Alternaria,5062525,CDM,302,RC,86003,HCPCS,OUTPATIENT,,,13,10.4,,12.35,95,,9.88,percent of total billed charges,95% of total billed charges,12.31,94.72,,9.85,percent of total billed charges,94.72% of total billed charges,12.84,98.79,,10.27,percent of total billed charges,98.79% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,6.24,48,,4.99,percent of total billed charges,48% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,85,,,fee schedule,85% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,12.84,
IgE-Cat Dander,5062528,CDM,302,RC,86003,HCPCS,OUTPATIENT,,,13,10.4,,12.35,95,,9.88,percent of total billed charges,95% of total billed charges,12.31,94.72,,9.85,percent of total billed charges,94.72% of total billed charges,12.84,98.79,,10.27,percent of total billed charges,98.79% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,6.24,48,,4.99,percent of total billed charges,48% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,85,,,fee schedule,85% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,12.84,
PARVOVIRUS Antibody IGG,5062531,CDM,302,RC,86747,HCPCS,OUTPATIENT,,,32,25.6,,30.4,95,,24.32,percent of total billed charges,95% of total billed charges,30.31,94.72,,24.25,percent of total billed charges,94.72% of total billed charges,31.61,98.79,,25.29,percent of total billed charges,98.79% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,15.36,48,,12.29,percent of total billed charges,48% of total billed charges,15.03,100,,,fee schedule,100% of CMS fee schedule,12.78,85,,,fee schedule,85% of CMS fee schedule,15.03,100,,,fee schedule,100% of CMS fee schedule,15.03,100,,,fee schedule,100% of CMS fee schedule,12.78,31.61,
IgE-Dog Epithelium,5062532,CDM,302,RC,86003,HCPCS,OUTPATIENT,,,13,10.4,,12.35,95,,9.88,percent of total billed charges,95% of total billed charges,12.31,94.72,,9.85,percent of total billed charges,94.72% of total billed charges,12.84,98.79,,10.27,percent of total billed charges,98.79% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,6.24,48,,4.99,percent of total billed charges,48% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,85,,,fee schedule,85% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,4.44,12.84,
WEST NILE VIRUS  IGM ANTIBODIES,5062548,CDM,302,RC,86788,HCPCS,OUTPATIENT,,,44,35.2,,41.8,95,,33.44,percent of total billed charges,95% of total billed charges,41.68,94.72,,33.34,percent of total billed charges,94.72% of total billed charges,43.47,98.79,,34.78,percent of total billed charges,98.79% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,21.12,48,,16.9,percent of total billed charges,48% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,14.32,85,,,fee schedule,85% of CMS fee schedule,16.85,100,,,fee schedule,100% of CMS fee schedule,16.85,100,,,fee schedule,100% of CMS fee schedule,14.32,43.47,
WEST NILE VIRUS IGG  ANTIBODIES,5062549,CDM,302,RC,86789,HCPCS,OUTPATIENT,,,44,35.2,,41.8,95,,33.44,percent of total billed charges,95% of total billed charges,41.68,94.72,,33.34,percent of total billed charges,94.72% of total billed charges,43.47,98.79,,34.78,percent of total billed charges,98.79% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,21.12,48,,16.9,percent of total billed charges,48% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,12.23,85,,,fee schedule,85% of CMS fee schedule,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,100,,,fee schedule,100% of CMS fee schedule,12.23,43.47,
86611 BARTONELLA IGG ANTIBODY,5062552,CDM,302,RC,86611,HCPCS,OUTPATIENT,,,26,20.8,,24.7,95,,19.76,percent of total billed charges,95% of total billed charges,24.63,94.72,,19.7,percent of total billed charges,94.72% of total billed charges,25.69,98.79,,20.55,percent of total billed charges,98.79% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,12.48,48,,9.98,percent of total billed charges,48% of total billed charges,10.18,100,,,fee schedule,100% of CMS fee schedule,8.65,85,,,fee schedule,85% of CMS fee schedule,10.18,100,,,fee schedule,100% of CMS fee schedule,10.18,100,,,fee schedule,100% of CMS fee schedule,8.65,25.69,
86611 BARTONELLA IGM ANTIBODY,5062553,CDM,302,RC,86611,HCPCS,OUTPATIENT,,,26,20.8,,24.7,95,,19.76,percent of total billed charges,95% of total billed charges,24.63,94.72,,19.7,percent of total billed charges,94.72% of total billed charges,25.69,98.79,,20.55,percent of total billed charges,98.79% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,12.48,48,,9.98,percent of total billed charges,48% of total billed charges,10.18,100,,,fee schedule,100% of CMS fee schedule,8.65,85,,,fee schedule,85% of CMS fee schedule,10.18,100,,,fee schedule,100% of CMS fee schedule,10.18,100,,,fee schedule,100% of CMS fee schedule,8.65,25.69,
REF ABO,5062621,CDM,302,RC,86900,HCPCS,OUTPATIENT,,,26,20.8,,24.7,95,,19.76,percent of total billed charges,95% of total billed charges,24.63,94.72,,19.7,percent of total billed charges,94.72% of total billed charges,25.69,98.79,,20.55,percent of total billed charges,98.79% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,12.48,48,,9.98,percent of total billed charges,48% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,2.54,85,,,fee schedule,85% of CMS fee schedule,2.99,100,,,fee schedule,100% of CMS fee schedule,2.99,100,,,fee schedule,100% of CMS fee schedule,2.54,25.69,
REF ABO/Rh,5062621,CDM,302,RC,86900,HCPCS,OUTPATIENT,,,26,20.8,,24.7,95,,19.76,percent of total billed charges,95% of total billed charges,24.63,94.72,,19.7,percent of total billed charges,94.72% of total billed charges,25.69,98.79,,20.55,percent of total billed charges,98.79% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,12.48,48,,9.98,percent of total billed charges,48% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,2.54,85,,,fee schedule,85% of CMS fee schedule,2.99,100,,,fee schedule,100% of CMS fee schedule,2.99,100,,,fee schedule,100% of CMS fee schedule,2.54,25.69,
Rh Only,5062622,CDM,302,RC,86901,HCPCS,OUTPATIENT,,,26,20.8,,24.7,95,,19.76,percent of total billed charges,95% of total billed charges,24.63,94.72,,19.7,percent of total billed charges,94.72% of total billed charges,25.69,98.79,,20.55,percent of total billed charges,98.79% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,12.48,48,,9.98,percent of total billed charges,48% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,2.54,85,,,fee schedule,85% of CMS fee schedule,2.99,100,,,fee schedule,100% of CMS fee schedule,2.99,100,,,fee schedule,100% of CMS fee schedule,2.54,25.69,
RH Blood Typing,5062622,CDM,302,RC,86901,HCPCS,OUTPATIENT,,,26,20.8,,24.7,95,,19.76,percent of total billed charges,95% of total billed charges,24.63,94.72,,19.7,percent of total billed charges,94.72% of total billed charges,25.69,98.79,,20.55,percent of total billed charges,98.79% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,12.48,48,,9.98,percent of total billed charges,48% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,2.54,85,,,fee schedule,85% of CMS fee schedule,2.99,100,,,fee schedule,100% of CMS fee schedule,2.99,100,,,fee schedule,100% of CMS fee schedule,2.54,25.69,
REF Alloadsorption,5062623,CDM,302,RC,86978,HCPCS,OUTPATIENT,,,423,338.4,,401.85,95,,321.48,percent of total billed charges,95% of total billed charges,400.67,94.72,,320.54,percent of total billed charges,94.72% of total billed charges,417.88,98.79,,334.3,percent of total billed charges,98.79% of total billed charges,414.54,98,,331.63,percent of total billed charges,98% of total billed charges,414.54,98,,331.63,percent of total billed charges,98% of total billed charges,203.04,48,,162.43,percent of total billed charges,48% of total billed charges,190.35,45,,152.28,percent of total billed charges,45% of total billed charges,161.8,38.25,,129.44,percent of total billed charges,38.25% of total billed charges,190.35,45,,152.28,percent of total billed charges,45% of total billed charges,190.35,45,,152.28,percent of total billed charges,45% of total billed charges,161.8,417.88,
REF Antibody Screen,5062624,CDM,302,RC,86850,HCPCS,OUTPATIENT,,,32,25.6,,30.4,95,,24.32,percent of total billed charges,95% of total billed charges,30.31,94.72,,24.25,percent of total billed charges,94.72% of total billed charges,31.61,98.79,,25.29,percent of total billed charges,98.79% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,15.36,48,,12.29,percent of total billed charges,48% of total billed charges,9.77,100,,,fee schedule,100% of CMS fee schedule,8.3,85,,,fee schedule,85% of CMS fee schedule,9.77,100,,,fee schedule,100% of CMS fee schedule,9.77,100,,,fee schedule,100% of CMS fee schedule,8.3,31.61,
REF Indirect Antiglobulin,5062624,CDM,302,RC,86850,HCPCS,OUTPATIENT,,,32,25.6,,30.4,95,,24.32,percent of total billed charges,95% of total billed charges,30.31,94.72,,24.25,percent of total billed charges,94.72% of total billed charges,31.61,98.79,,25.29,percent of total billed charges,98.79% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,15.36,48,,12.29,percent of total billed charges,48% of total billed charges,9.77,100,,,fee schedule,100% of CMS fee schedule,8.3,85,,,fee schedule,85% of CMS fee schedule,9.77,100,,,fee schedule,100% of CMS fee schedule,9.77,100,,,fee schedule,100% of CMS fee schedule,8.3,31.61,
REF DAT C3,5062626,CDM,302,RC,86880,HCPCS,OUTPATIENT,,,32,25.6,,30.4,95,,24.32,percent of total billed charges,95% of total billed charges,30.31,94.72,,24.25,percent of total billed charges,94.72% of total billed charges,31.61,98.79,,25.29,percent of total billed charges,98.79% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,15.36,48,,12.29,percent of total billed charges,48% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,4.58,85,,,fee schedule,85% of CMS fee schedule,5.39,100,,,fee schedule,100% of CMS fee schedule,5.39,100,,,fee schedule,100% of CMS fee schedule,4.58,31.61,
REF DAT IgG,5062626,CDM,302,RC,86880,HCPCS,OUTPATIENT,,,32,25.6,,30.4,95,,24.32,percent of total billed charges,95% of total billed charges,30.31,94.72,,24.25,percent of total billed charges,94.72% of total billed charges,31.61,98.79,,25.29,percent of total billed charges,98.79% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,15.36,48,,12.29,percent of total billed charges,48% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,4.58,85,,,fee schedule,85% of CMS fee schedule,5.39,100,,,fee schedule,100% of CMS fee schedule,5.39,100,,,fee schedule,100% of CMS fee schedule,4.58,31.61,
REF DAT Poly,5062626,CDM,302,RC,86880,HCPCS,OUTPATIENT,,,32,25.6,,30.4,95,,24.32,percent of total billed charges,95% of total billed charges,30.31,94.72,,24.25,percent of total billed charges,94.72% of total billed charges,31.61,98.79,,25.29,percent of total billed charges,98.79% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,15.36,48,,12.29,percent of total billed charges,48% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,4.58,85,,,fee schedule,85% of CMS fee schedule,5.39,100,,,fee schedule,100% of CMS fee schedule,5.39,100,,,fee schedule,100% of CMS fee schedule,4.58,31.61,
REF Elution,5062627,CDM,302,RC,86860,HCPCS,OUTPATIENT,,,100,80,,95,95,,76,percent of total billed charges,95% of total billed charges,94.72,94.72,,75.78,percent of total billed charges,94.72% of total billed charges,98.79,98.79,,79.03,percent of total billed charges,98.79% of total billed charges,98,98,,78.4,percent of total billed charges,98% of total billed charges,98,98,,78.4,percent of total billed charges,98% of total billed charges,48,48,,38.4,percent of total billed charges,48% of total billed charges,45,45,,36,percent of total billed charges,45% of total billed charges,38.25,38.25,,30.6,percent of total billed charges,38.25% of total billed charges,45,45,,36,percent of total billed charges,45% of total billed charges,45,45,,36,percent of total billed charges,45% of total billed charges,38.25,98.79,
.ANCA REFLEX CYTOPLASMIC NEUTROPHIL TITER,5062631,CDM,302,RC,86256,HCPCS,OUTPATIENT,,,187,149.6,,177.65,95,,142.12,percent of total billed charges,95% of total billed charges,177.13,94.72,,141.7,percent of total billed charges,94.72% of total billed charges,184.74,98.79,,147.79,percent of total billed charges,98.79% of total billed charges,183.26,98,,146.61,percent of total billed charges,98% of total billed charges,183.26,98,,146.61,percent of total billed charges,98% of total billed charges,89.76,48,,71.81,percent of total billed charges,48% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,85,,,fee schedule,85% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,10.24,184.74,
Pneumococcal IM (14 Serotype) UPHS,5062915,CDM,302,RC,86317,HCPCS,OUTPATIENT,,,11,8.8,90,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,14.99,100,,,fee schedule,100% of CMS fee schedule,12.74,85,,,fee schedule,85% of CMS fee schedule,14.99,100,,,fee schedule,100% of CMS fee schedule,14.99,100,,,fee schedule,100% of CMS fee schedule,5.28,14.99,
SARS-CoV-2 Total,5062923,CDM,302,RC,86769,HCPCS,OUTPATIENT,,,74,59.2,,70.3,95,,56.24,percent of total billed charges,95% of total billed charges,70.09,94.72,,56.07,percent of total billed charges,94.72% of total billed charges,73.1,98.79,,58.48,percent of total billed charges,98.79% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,35.52,48,,28.42,percent of total billed charges,48% of total billed charges,42.13,100,,,fee schedule,100% of CMS fee schedule,35.81,85,,,fee schedule,85% of CMS fee schedule,42.13,100,,,fee schedule,100% of CMS fee schedule,42.13,100,,,fee schedule,100% of CMS fee schedule,35.52,73.1,
HEPATITIS BE ANTIGEN,5069593,CDM,302,RC,87350,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,9.8,85,,,fee schedule,85% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,5.28,11.53,
ENTEROVIRUS,5069599,CDM,302,RC,86658,HCPCS,OUTPATIENT,,,89,71.2,,84.55,95,,67.64,percent of total billed charges,95% of total billed charges,84.3,94.72,,67.44,percent of total billed charges,94.72% of total billed charges,87.92,98.79,,70.34,percent of total billed charges,98.79% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,42.72,48,,34.18,percent of total billed charges,48% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,11.08,85,,,fee schedule,85% of CMS fee schedule,13.03,100,,,fee schedule,100% of CMS fee schedule,13.03,100,,,fee schedule,100% of CMS fee schedule,11.08,87.92,
Protime/INR,5061056,CDM,305,RC,85610,HCPCS,OUTPATIENT,,,50,40,,47.5,95,,38,percent of total billed charges,95% of total billed charges,47.36,94.72,,37.89,percent of total billed charges,94.72% of total billed charges,49.4,98.79,,39.52,percent of total billed charges,98.79% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,24,48,,19.2,percent of total billed charges,48% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,3.65,85,,,fee schedule,85% of CMS fee schedule,4.29,100,,,fee schedule,100% of CMS fee schedule,4.29,100,,,fee schedule,100% of CMS fee schedule,3.65,49.4,
PROTIME/INR,5061056,CDM,305,RC,85610,HCPCS,OUTPATIENT,,,50,40,,47.5,95,,38,percent of total billed charges,95% of total billed charges,47.36,94.72,,37.89,percent of total billed charges,94.72% of total billed charges,49.4,98.79,,39.52,percent of total billed charges,98.79% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,24,48,,19.2,percent of total billed charges,48% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,3.65,85,,,fee schedule,85% of CMS fee schedule,4.29,100,,,fee schedule,100% of CMS fee schedule,4.29,100,,,fee schedule,100% of CMS fee schedule,3.65,49.4,
PTT,5061057,CDM,305,RC,85730,HCPCS,OUTPATIENT,,,80,64,,76,95,,60.8,percent of total billed charges,95% of total billed charges,75.78,94.72,,60.62,percent of total billed charges,94.72% of total billed charges,79.03,98.79,,63.22,percent of total billed charges,98.79% of total billed charges,78.4,98,,62.72,percent of total billed charges,98% of total billed charges,78.4,98,,62.72,percent of total billed charges,98% of total billed charges,38.4,48,,30.72,percent of total billed charges,48% of total billed charges,6.01,100,,,fee schedule,100% of CMS fee schedule,5.11,85,,,fee schedule,85% of CMS fee schedule,6.01,100,,,fee schedule,100% of CMS fee schedule,6.01,100,,,fee schedule,100% of CMS fee schedule,5.11,79.03,
CSF CELL COUNT,5061060,CDM,305,RC,89051,HCPCS,OUTPATIENT,,,57,45.6,,54.15,95,,43.32,percent of total billed charges,95% of total billed charges,53.99,94.72,,43.19,percent of total billed charges,94.72% of total billed charges,56.31,98.79,,45.05,percent of total billed charges,98.79% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,27.36,48,,21.89,percent of total billed charges,48% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,4.76,85,,,fee schedule,85% of CMS fee schedule,5.6,100,,,fee schedule,100% of CMS fee schedule,5.6,100,,,fee schedule,100% of CMS fee schedule,4.76,56.31,
WBC,5061062,CDM,305,RC,85048,HCPCS,OUTPATIENT,,,32,25.6,,30.4,95,,24.32,percent of total billed charges,95% of total billed charges,30.31,94.72,,24.25,percent of total billed charges,94.72% of total billed charges,31.61,98.79,,25.29,percent of total billed charges,98.79% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,15.36,48,,12.29,percent of total billed charges,48% of total billed charges,2.54,100,,,fee schedule,100% of CMS fee schedule,2.16,85,,,fee schedule,85% of CMS fee schedule,2.54,100,,,fee schedule,100% of CMS fee schedule,2.54,100,,,fee schedule,100% of CMS fee schedule,2.16,31.61,
RBC,5061063,CDM,305,RC,85041,HCPCS,OUTPATIENT,,,27,21.6,,25.65,95,,20.52,percent of total billed charges,95% of total billed charges,25.57,94.72,,20.46,percent of total billed charges,94.72% of total billed charges,26.67,98.79,,21.34,percent of total billed charges,98.79% of total billed charges,26.46,98,,21.17,percent of total billed charges,98% of total billed charges,26.46,98,,21.17,percent of total billed charges,98% of total billed charges,12.96,48,,10.37,percent of total billed charges,48% of total billed charges,3.02,100,,,fee schedule,100% of CMS fee schedule,2.57,85,,,fee schedule,85% of CMS fee schedule,3.02,100,,,fee schedule,100% of CMS fee schedule,3.02,100,,,fee schedule,100% of CMS fee schedule,2.57,26.67,
HEMOGLOBIN,5061064,CDM,305,RC,85018,HCPCS,OUTPATIENT,,,47,37.6,,44.65,95,,35.72,percent of total billed charges,95% of total billed charges,44.52,94.72,,35.62,percent of total billed charges,94.72% of total billed charges,46.43,98.79,,37.14,percent of total billed charges,98.79% of total billed charges,46.06,98,,36.85,percent of total billed charges,98% of total billed charges,46.06,98,,36.85,percent of total billed charges,98% of total billed charges,22.56,48,,18.05,percent of total billed charges,48% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,2.01,85,,,fee schedule,85% of CMS fee schedule,2.37,100,,,fee schedule,100% of CMS fee schedule,2.37,100,,,fee schedule,100% of CMS fee schedule,2.01,46.43,
HEMATOCRIT,5061065,CDM,305,RC,85014,HCPCS,OUTPATIENT,,,47,37.6,,44.65,95,,35.72,percent of total billed charges,95% of total billed charges,44.52,94.72,,35.62,percent of total billed charges,94.72% of total billed charges,46.43,98.79,,37.14,percent of total billed charges,98.79% of total billed charges,46.06,98,,36.85,percent of total billed charges,98% of total billed charges,46.06,98,,36.85,percent of total billed charges,98% of total billed charges,22.56,48,,18.05,percent of total billed charges,48% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,2.01,85,,,fee schedule,85% of CMS fee schedule,2.37,100,,,fee schedule,100% of CMS fee schedule,2.37,100,,,fee schedule,100% of CMS fee schedule,2.01,46.43,
PLATELET COUNT,5061066,CDM,305,RC,85049,HCPCS,OUTPATIENT,,,37,29.6,,35.15,95,,28.12,percent of total billed charges,95% of total billed charges,35.05,94.72,,28.04,percent of total billed charges,94.72% of total billed charges,36.55,98.79,,29.24,percent of total billed charges,98.79% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,17.76,48,,14.21,percent of total billed charges,48% of total billed charges,4.48,100,,,fee schedule,100% of CMS fee schedule,3.81,85,,,fee schedule,85% of CMS fee schedule,4.48,100,,,fee schedule,100% of CMS fee schedule,4.48,100,,,fee schedule,100% of CMS fee schedule,3.81,36.55,
RETICULOCYTE COUNT,5061067,CDM,305,RC,85045,HCPCS,OUTPATIENT,,,79,63.2,,75.05,95,,60.04,percent of total billed charges,95% of total billed charges,74.83,94.72,,59.86,percent of total billed charges,94.72% of total billed charges,78.04,98.79,,62.43,percent of total billed charges,98.79% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,37.92,48,,30.34,percent of total billed charges,48% of total billed charges,3.99,100,,,fee schedule,100% of CMS fee schedule,3.39,85,,,fee schedule,85% of CMS fee schedule,3.99,100,,,fee schedule,100% of CMS fee schedule,3.99,100,,,fee schedule,100% of CMS fee schedule,3.39,78.04,
D-DIMER,5061159,CDM,305,RC,85379,HCPCS,OUTPATIENT,,,164,131.2,,155.8,95,,124.64,percent of total billed charges,95% of total billed charges,155.34,94.72,,124.27,percent of total billed charges,94.72% of total billed charges,162.02,98.79,,129.62,percent of total billed charges,98.79% of total billed charges,160.72,98,,128.58,percent of total billed charges,98% of total billed charges,160.72,98,,128.58,percent of total billed charges,98% of total billed charges,78.72,48,,62.98,percent of total billed charges,48% of total billed charges,10.18,100,,,fee schedule,100% of CMS fee schedule,8.65,85,,,fee schedule,85% of CMS fee schedule,10.18,100,,,fee schedule,100% of CMS fee schedule,10.18,100,,,fee schedule,100% of CMS fee schedule,8.65,162.02,
FDP,5061174,CDM,305,RC,85362,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,6.89,100,,,fee schedule,100% of CMS fee schedule,5.86,85,,,fee schedule,85% of CMS fee schedule,6.89,100,,,fee schedule,100% of CMS fee schedule,6.89,100,,,fee schedule,100% of CMS fee schedule,5.86,15.81,
FIBRINOGEN,5061175,CDM,305,RC,85384,HCPCS,OUTPATIENT,,,16,12.8,,15.2,95,,12.16,percent of total billed charges,95% of total billed charges,15.16,94.72,,12.13,percent of total billed charges,94.72% of total billed charges,15.81,98.79,,12.65,percent of total billed charges,98.79% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,15.68,98,,12.54,percent of total billed charges,98% of total billed charges,7.68,48,,6.14,percent of total billed charges,48% of total billed charges,9.72,100,,,fee schedule,100% of CMS fee schedule,8.26,85,,,fee schedule,85% of CMS fee schedule,9.72,100,,,fee schedule,100% of CMS fee schedule,9.72,100,,,fee schedule,100% of CMS fee schedule,7.68,15.81,
PROTEIN C Activity,5061245,CDM,305,RC,85303,HCPCS,OUTPATIENT,,,40,32,,38,95,,30.4,percent of total billed charges,95% of total billed charges,37.89,94.72,,30.31,percent of total billed charges,94.72% of total billed charges,39.52,98.79,,31.62,percent of total billed charges,98.79% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,19.2,48,,15.36,percent of total billed charges,48% of total billed charges,13.84,100,,,fee schedule,100% of CMS fee schedule,11.76,85,,,fee schedule,85% of CMS fee schedule,13.84,100,,,fee schedule,100% of CMS fee schedule,13.84,100,,,fee schedule,100% of CMS fee schedule,11.76,39.52,
Viscosity UPHS,5061273,CDM,305,RC,85410,HCPCS,OUTPATIENT,,,15,12,90,14.25,95,,11.4,percent of total billed charges,95% of total billed charges,14.21,94.72,,11.37,percent of total billed charges,94.72% of total billed charges,14.82,98.79,,11.86,percent of total billed charges,98.79% of total billed charges,14.7,98,,11.76,percent of total billed charges,98% of total billed charges,14.7,98,,11.76,percent of total billed charges,98% of total billed charges,7.2,48,,5.76,percent of total billed charges,48% of total billed charges,7.71,100,,,fee schedule,100% of CMS fee schedule,6.55,85,,,fee schedule,85% of CMS fee schedule,7.71,100,,,fee schedule,100% of CMS fee schedule,7.71,100,,,fee schedule,100% of CMS fee schedule,6.55,14.82,
.DIFFERENTIAL BLOOD,5061319,CDM,305,RC,85007,HCPCS,OUTPATIENT,,,8,6.4,,7.6,95,,6.08,percent of total billed charges,95% of total billed charges,7.58,94.72,,6.06,percent of total billed charges,94.72% of total billed charges,7.9,98.79,,6.32,percent of total billed charges,98.79% of total billed charges,7.84,98,,6.27,percent of total billed charges,98% of total billed charges,7.84,98,,6.27,percent of total billed charges,98% of total billed charges,3.84,48,,3.07,percent of total billed charges,48% of total billed charges,3.8,100,,,fee schedule,100% of CMS fee schedule,3.23,85,,,fee schedule,85% of CMS fee schedule,3.8,100,,,fee schedule,100% of CMS fee schedule,3.8,100,,,fee schedule,100% of CMS fee schedule,3.23,7.9,
PLATELET FUNCTION ANALYSIS UPHS,5061330,CDM,305,RC,85576,HCPCS,OUTPATIENT,,,76,60.8,90,72.2,95,,57.76,percent of total billed charges,95% of total billed charges,71.99,94.72,,57.59,percent of total billed charges,94.72% of total billed charges,75.08,98.79,,60.06,percent of total billed charges,98.79% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,36.48,48,,29.18,percent of total billed charges,48% of total billed charges,24.91,100,,,fee schedule,100% of CMS fee schedule,21.17,85,,,fee schedule,85% of CMS fee schedule,24.91,100,,,fee schedule,100% of CMS fee schedule,24.91,100,,,fee schedule,100% of CMS fee schedule,21.17,75.08,
ANTI THROMBIN III,5061383,CDM,305,RC,85300,HCPCS,OUTPATIENT,,,32,25.6,,30.4,95,,24.32,percent of total billed charges,95% of total billed charges,30.31,94.72,,24.25,percent of total billed charges,94.72% of total billed charges,31.61,98.79,,25.29,percent of total billed charges,98.79% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,15.36,48,,12.29,percent of total billed charges,48% of total billed charges,11.85,100,,,fee schedule,100% of CMS fee schedule,10.07,85,,,fee schedule,85% of CMS fee schedule,11.85,100,,,fee schedule,100% of CMS fee schedule,11.85,100,,,fee schedule,100% of CMS fee schedule,10.07,31.61,
DRVVT,5061386,CDM,305,RC,85613,HCPCS,OUTPATIENT,,,44,35.2,,41.8,95,,33.44,percent of total billed charges,95% of total billed charges,41.68,94.72,,33.34,percent of total billed charges,94.72% of total billed charges,43.47,98.79,,34.78,percent of total billed charges,98.79% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,21.12,48,,16.9,percent of total billed charges,48% of total billed charges,9.58,100,,,fee schedule,100% of CMS fee schedule,8.14,85,,,fee schedule,85% of CMS fee schedule,9.58,100,,,fee schedule,100% of CMS fee schedule,9.58,100,,,fee schedule,100% of CMS fee schedule,8.14,43.47,
THROMBIN TIME,5061390,CDM,305,RC,85670,HCPCS,OUTPATIENT,,,57,45.6,,54.15,95,,43.32,percent of total billed charges,95% of total billed charges,53.99,94.72,,43.19,percent of total billed charges,94.72% of total billed charges,56.31,98.79,,45.05,percent of total billed charges,98.79% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,27.36,48,,21.89,percent of total billed charges,48% of total billed charges,5.77,100,,,fee schedule,100% of CMS fee schedule,4.9,85,,,fee schedule,85% of CMS fee schedule,5.77,100,,,fee schedule,100% of CMS fee schedule,5.77,100,,,fee schedule,100% of CMS fee schedule,4.9,56.31,
Sickle Cell Screen,5061412,CDM,305,RC,85660,HCPCS,OUTPATIENT,,,11,8.8,,10.45,95,,8.36,percent of total billed charges,95% of total billed charges,10.42,94.72,,8.34,percent of total billed charges,94.72% of total billed charges,10.87,98.79,,8.7,percent of total billed charges,98.79% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,10.78,98,,8.62,percent of total billed charges,98% of total billed charges,5.28,48,,4.22,percent of total billed charges,48% of total billed charges,5.51,100,,,fee schedule,100% of CMS fee schedule,4.68,85,,,fee schedule,85% of CMS fee schedule,5.51,100,,,fee schedule,100% of CMS fee schedule,5.51,100,,,fee schedule,100% of CMS fee schedule,4.68,10.87,
.TR Interpretation,5061635,CDM,305,RC,86078,HCPCS,OUTPATIENT,,,173,138.4,,164.35,95,,131.48,percent of total billed charges,95% of total billed charges,163.87,94.72,,131.1,percent of total billed charges,94.72% of total billed charges,170.91,98.79,,136.73,percent of total billed charges,98.79% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,83.04,48,,66.43,percent of total billed charges,48% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,38.25,,52.94,percent of total billed charges,38.25% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,170.91,
PROTEIN S ACTIVIITY,5061657,CDM,305,RC,85305,HCPCS,OUTPATIENT,,,64,51.2,,60.8,95,,48.64,percent of total billed charges,95% of total billed charges,60.62,94.72,,48.5,percent of total billed charges,94.72% of total billed charges,63.23,98.79,,50.58,percent of total billed charges,98.79% of total billed charges,62.72,98,,50.18,percent of total billed charges,98% of total billed charges,62.72,98,,50.18,percent of total billed charges,98% of total billed charges,30.72,48,,24.58,percent of total billed charges,48% of total billed charges,11.61,100,,,fee schedule,100% of CMS fee schedule,9.87,85,,,fee schedule,85% of CMS fee schedule,11.61,100,,,fee schedule,100% of CMS fee schedule,11.61,100,,,fee schedule,100% of CMS fee schedule,9.87,63.23,
OSMOTIC FRAGILITY RBC,5061761,CDM,305,RC,85557,HCPCS,OUTPATIENT,,,109,87.2,,103.55,95,,82.84,percent of total billed charges,95% of total billed charges,103.24,94.72,,82.59,percent of total billed charges,94.72% of total billed charges,107.68,98.79,,86.14,percent of total billed charges,98.79% of total billed charges,106.82,98,,85.46,percent of total billed charges,98% of total billed charges,106.82,98,,85.46,percent of total billed charges,98% of total billed charges,52.32,48,,41.86,percent of total billed charges,48% of total billed charges,13.36,100,,,fee schedule,100% of CMS fee schedule,11.36,85,,,fee schedule,85% of CMS fee schedule,13.36,100,,,fee schedule,100% of CMS fee schedule,13.36,100,,,fee schedule,100% of CMS fee schedule,11.36,107.68,
FACTOR INHIBITOR TEST,5061969,CDM,305,RC,85335,HCPCS,OUTPATIENT,,,85,68,,80.75,95,,64.6,percent of total billed charges,95% of total billed charges,80.51,94.72,,64.41,percent of total billed charges,94.72% of total billed charges,83.97,98.79,,67.18,percent of total billed charges,98.79% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,40.8,48,,32.64,percent of total billed charges,48% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,10.94,85,,,fee schedule,85% of CMS fee schedule,12.87,100,,,fee schedule,100% of CMS fee schedule,12.87,100,,,fee schedule,100% of CMS fee schedule,10.94,83.97,
BODY FLUID CELL COUNT W DIFF,5062000,CDM,305,RC,89051,HCPCS,OUTPATIENT,,,57,45.6,,54.15,95,,43.32,percent of total billed charges,95% of total billed charges,53.99,94.72,,43.19,percent of total billed charges,94.72% of total billed charges,56.31,98.79,,45.05,percent of total billed charges,98.79% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,27.36,48,,21.89,percent of total billed charges,48% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,4.76,85,,,fee schedule,85% of CMS fee schedule,5.6,100,,,fee schedule,100% of CMS fee schedule,5.6,100,,,fee schedule,100% of CMS fee schedule,4.76,56.31,
COMPLETE CBC AUTOMATED,5062001,CDM,305,RC,85027,HCPCS,OUTPATIENT,,,90,72,,85.5,95,,68.4,percent of total billed charges,95% of total billed charges,85.25,94.72,,68.2,percent of total billed charges,94.72% of total billed charges,88.91,98.79,,71.13,percent of total billed charges,98.79% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,43.2,48,,34.56,percent of total billed charges,48% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,5.5,85,,,fee schedule,85% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,5.5,88.91,
PTT (REF LAB),5062098,CDM,305,RC,85730,HCPCS,OUTPATIENT,,,111,88.8,,105.45,95,,84.36,percent of total billed charges,95% of total billed charges,105.14,94.72,,84.11,percent of total billed charges,94.72% of total billed charges,109.66,98.79,,87.73,percent of total billed charges,98.79% of total billed charges,108.78,98,,87.02,percent of total billed charges,98% of total billed charges,108.78,98,,87.02,percent of total billed charges,98% of total billed charges,53.28,48,,42.62,percent of total billed charges,48% of total billed charges,6.01,100,,,fee schedule,100% of CMS fee schedule,5.11,85,,,fee schedule,85% of CMS fee schedule,6.01,100,,,fee schedule,100% of CMS fee schedule,6.01,100,,,fee schedule,100% of CMS fee schedule,5.11,109.66,
CONFIRMATION DVVT,5062125,CDM,305,RC,85613,HCPCS,OUTPATIENT,,,37,29.6,,35.15,95,,28.12,percent of total billed charges,95% of total billed charges,35.05,94.72,,28.04,percent of total billed charges,94.72% of total billed charges,36.55,98.79,,29.24,percent of total billed charges,98.79% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,17.76,48,,14.21,percent of total billed charges,48% of total billed charges,9.58,100,,,fee schedule,100% of CMS fee schedule,8.14,85,,,fee schedule,85% of CMS fee schedule,9.58,100,,,fee schedule,100% of CMS fee schedule,9.58,100,,,fee schedule,100% of CMS fee schedule,8.14,36.55,
DVVT MIXING,5062126,CDM,305,RC,85613,HCPCS,OUTPATIENT,,,147,117.6,,139.65,95,,111.72,percent of total billed charges,95% of total billed charges,139.24,94.72,,111.39,percent of total billed charges,94.72% of total billed charges,145.22,98.79,,116.18,percent of total billed charges,98.79% of total billed charges,144.06,98,,115.25,percent of total billed charges,98% of total billed charges,144.06,98,,115.25,percent of total billed charges,98% of total billed charges,70.56,48,,56.45,percent of total billed charges,48% of total billed charges,9.58,100,,,fee schedule,100% of CMS fee schedule,8.14,85,,,fee schedule,85% of CMS fee schedule,9.58,100,,,fee schedule,100% of CMS fee schedule,9.58,100,,,fee schedule,100% of CMS fee schedule,8.14,145.22,
85613-DVVT,5062126,CDM,305,RC,85613,HCPCS,OUTPATIENT,,,154,123.2,,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,9.58,100,,,fee schedule,100% of CMS fee schedule,8.14,85,,,fee schedule,85% of CMS fee schedule,9.58,100,,,fee schedule,100% of CMS fee schedule,9.58,100,,,fee schedule,100% of CMS fee schedule,8.14,152.14,
DVVT MIXING,5062126,CDM,305,RC,85613,HCPCS,OUTPATIENT,,,154,123.2,,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,9.58,100,,,fee schedule,100% of CMS fee schedule,8.14,85,,,fee schedule,85% of CMS fee schedule,9.58,100,,,fee schedule,100% of CMS fee schedule,9.58,100,,,fee schedule,100% of CMS fee schedule,8.14,152.14,
INHIBTOR SCREEN PTT,5062127,CDM,305,RC,85732,HCPCS,OUTPATIENT,,,37,29.6,,35.15,95,,28.12,percent of total billed charges,95% of total billed charges,35.05,94.72,,28.04,percent of total billed charges,94.72% of total billed charges,36.55,98.79,,29.24,percent of total billed charges,98.79% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,17.76,48,,14.21,percent of total billed charges,48% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,5.5,85,,,fee schedule,85% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,5.5,36.55,
85610- REF Protime,5062128,CDM,305,RC,85610,HCPCS,OUTPATIENT,,,72,57.6,,68.4,95,,54.72,percent of total billed charges,95% of total billed charges,68.2,94.72,,54.56,percent of total billed charges,94.72% of total billed charges,71.13,98.79,,56.9,percent of total billed charges,98.79% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,34.56,48,,27.65,percent of total billed charges,48% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,3.65,85,,,fee schedule,85% of CMS fee schedule,4.29,100,,,fee schedule,100% of CMS fee schedule,4.29,100,,,fee schedule,100% of CMS fee schedule,3.65,71.13,
WRIGHT STAIN,5066021,CDM,305,RC,89055,HCPCS,OUTPATIENT,,,30,24,,28.5,95,,22.8,percent of total billed charges,95% of total billed charges,28.42,94.72,,22.74,percent of total billed charges,94.72% of total billed charges,29.64,98.79,,23.71,percent of total billed charges,98.79% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,14.4,48,,11.52,percent of total billed charges,48% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,3.63,85,,,fee schedule,85% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,3.63,29.64,
Sars-Cov-2 (Covid-19) RNA (ID NOW) POCT,87635,CDM,306,RC,87635,HCPCS,OUTPATIENT,,,182,145.6,,172.9,95,,138.32,percent of total billed charges,95% of total billed charges,172.39,94.72,,137.91,percent of total billed charges,94.72% of total billed charges,179.8,98.79,,143.84,percent of total billed charges,98.79% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,87.36,48,,69.89,percent of total billed charges,48% of total billed charges,51.31,100,,,fee schedule,100% of CMS fee schedule,43.61,85,,,fee schedule,85% of CMS fee schedule,51.31,100,,,fee schedule,100% of CMS fee schedule,51.31,100,,,fee schedule,100% of CMS fee schedule,43.61,179.8,
CULTURE OTHER,5061059,CDM,306,RC,87070,HCPCS,OUTPATIENT,,,75,60,,71.25,95,,57,percent of total billed charges,95% of total billed charges,71.04,94.72,,56.83,percent of total billed charges,94.72% of total billed charges,74.09,98.79,,59.27,percent of total billed charges,98.79% of total billed charges,73.5,98,,58.8,percent of total billed charges,98% of total billed charges,73.5,98,,58.8,percent of total billed charges,98% of total billed charges,36,48,,28.8,percent of total billed charges,48% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,7.33,85,,,fee schedule,85% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,7.33,74.09,
HIV Screen and Conf. UPHS,5061087,CDM,306,RC,87389,HCPCS,OUTPATIENT,,,35,28,90,33.25,95,,26.6,percent of total billed charges,95% of total billed charges,33.15,94.72,,26.52,percent of total billed charges,94.72% of total billed charges,34.58,98.79,,27.66,percent of total billed charges,98.79% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,16.8,48,,13.44,percent of total billed charges,48% of total billed charges,24.08,100,,,fee schedule,100% of CMS fee schedule,20.47,85,,,fee schedule,85% of CMS fee schedule,24.08,100,,,fee schedule,100% of CMS fee schedule,24.08,100,,,fee schedule,100% of CMS fee schedule,16.8,34.58,
87491 CHLAMYDIA DNA PROBE,5061145,CDM,306,RC,87491,HCPCS,OUTPATIENT,,,61,48.8,,57.95,95,,46.36,percent of total billed charges,95% of total billed charges,57.78,94.72,,46.22,percent of total billed charges,94.72% of total billed charges,60.26,98.79,,48.21,percent of total billed charges,98.79% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,29.28,48,,23.42,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.28,60.26,
GIARDIA/CRYPTOSPORIDIUM FA STAIN,5061350,CDM,306,RC,87272,HCPCS,OUTPATIENT,,,112,89.6,,106.4,95,,85.12,percent of total billed charges,95% of total billed charges,106.09,94.72,,84.87,percent of total billed charges,94.72% of total billed charges,110.64,98.79,,88.51,percent of total billed charges,98.79% of total billed charges,109.76,98,,87.81,percent of total billed charges,98% of total billed charges,109.76,98,,87.81,percent of total billed charges,98% of total billed charges,53.76,48,,43.01,percent of total billed charges,48% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,10.18,85,,,fee schedule,85% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,10.18,110.64,
Hep C (HCV) RNA Quant PCR UPHS,5061426,CDM,306,RC,87522,HCPCS,OUTPATIENT,,,114,91.2,90,108.3,95,,86.64,percent of total billed charges,95% of total billed charges,107.98,94.72,,86.38,percent of total billed charges,94.72% of total billed charges,112.62,98.79,,90.1,percent of total billed charges,98.79% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,54.72,48,,43.78,percent of total billed charges,48% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,36.41,85,,,fee schedule,85% of CMS fee schedule,42.84,100,,,fee schedule,100% of CMS fee schedule,42.84,100,,,fee schedule,100% of CMS fee schedule,36.41,112.62,
HIV RNA QUANT BY REAL-TIME PCR,5061447,CDM,306,RC,87536,HCPCS,OUTPATIENT,,,138,110.4,,131.1,95,,104.88,percent of total billed charges,95% of total billed charges,130.71,94.72,,104.57,percent of total billed charges,94.72% of total billed charges,136.33,98.79,,109.06,percent of total billed charges,98.79% of total billed charges,135.24,98,,108.19,percent of total billed charges,98% of total billed charges,135.24,98,,108.19,percent of total billed charges,98% of total billed charges,66.24,48,,52.99,percent of total billed charges,48% of total billed charges,85.1,100,,,fee schedule,100% of CMS fee schedule,72.34,85,,,fee schedule,85% of CMS fee schedule,85.1,100,,,fee schedule,100% of CMS fee schedule,85.1,100,,,fee schedule,100% of CMS fee schedule,66.24,136.33,
HBV DNA QUANT REAL-TIME PCR,5061595,CDM,306,RC,87517,HCPCS,OUTPATIENT,,,125,100,,118.75,95,,95,percent of total billed charges,95% of total billed charges,118.4,94.72,,94.72,percent of total billed charges,94.72% of total billed charges,123.49,98.79,,98.79,percent of total billed charges,98.79% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,60,48,,48,percent of total billed charges,48% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,36.41,85,,,fee schedule,85% of CMS fee schedule,42.84,100,,,fee schedule,100% of CMS fee schedule,42.84,100,,,fee schedule,100% of CMS fee schedule,36.41,123.49,
MYCOBACTERIA ICONCENTRATION,5061661,CDM,306,RC,87015,HCPCS,OUTPATIENT,,,25,20,,23.75,95,,19,percent of total billed charges,95% of total billed charges,23.68,94.72,,18.94,percent of total billed charges,94.72% of total billed charges,24.7,98.79,,19.76,percent of total billed charges,98.79% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,24.5,98,,19.6,percent of total billed charges,98% of total billed charges,12,48,,9.6,percent of total billed charges,48% of total billed charges,6.68,100,,,fee schedule,100% of CMS fee schedule,5.68,85,,,fee schedule,85% of CMS fee schedule,6.68,100,,,fee schedule,100% of CMS fee schedule,6.68,100,,,fee schedule,100% of CMS fee schedule,5.68,24.7,
ADDITIONAL ID PROCEDURE,5061665,CDM,306,RC,87077,HCPCS,OUTPATIENT,,,62,49.6,,58.9,95,,47.12,percent of total billed charges,95% of total billed charges,58.73,94.72,,46.98,percent of total billed charges,94.72% of total billed charges,61.25,98.79,,49,percent of total billed charges,98.79% of total billed charges,60.76,98,,48.61,percent of total billed charges,98% of total billed charges,60.76,98,,48.61,percent of total billed charges,98% of total billed charges,29.76,48,,23.81,percent of total billed charges,48% of total billed charges,8.08,100,,,fee schedule,100% of CMS fee schedule,6.87,85,,,fee schedule,85% of CMS fee schedule,8.08,100,,,fee schedule,100% of CMS fee schedule,8.08,100,,,fee schedule,100% of CMS fee schedule,6.87,61.25,
Reference Lab Anaerobe ID REF,5061665,CDM,306,RC,87077,HCPCS,OUTPATIENT,,,124,99.2,,117.8,95,,94.24,percent of total billed charges,95% of total billed charges,117.45,94.72,,93.96,percent of total billed charges,94.72% of total billed charges,122.5,98.79,,98,percent of total billed charges,98.79% of total billed charges,121.52,98,,97.22,percent of total billed charges,98% of total billed charges,121.52,98,,97.22,percent of total billed charges,98% of total billed charges,59.52,48,,47.62,percent of total billed charges,48% of total billed charges,8.08,100,,,fee schedule,100% of CMS fee schedule,6.87,85,,,fee schedule,85% of CMS fee schedule,8.08,100,,,fee schedule,100% of CMS fee schedule,8.08,100,,,fee schedule,100% of CMS fee schedule,6.87,122.5,
C. DIFF TOXIN (IA BY EIA),5061702,CDM,306,RC,87449,HCPCS,OUTPATIENT,,,156,124.8,,148.2,95,,118.56,percent of total billed charges,95% of total billed charges,147.76,94.72,,118.21,percent of total billed charges,94.72% of total billed charges,154.11,98.79,,123.29,percent of total billed charges,98.79% of total billed charges,152.88,98,,122.3,percent of total billed charges,98% of total billed charges,152.88,98,,122.3,percent of total billed charges,98% of total billed charges,74.88,48,,59.9,percent of total billed charges,48% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,10.18,85,,,fee schedule,85% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,10.18,154.11,
C. DIFF ANTIGEN,5061703,CDM,306,RC,87324,HCPCS,OUTPATIENT,,,97,77.6,,92.15,95,,73.72,percent of total billed charges,95% of total billed charges,91.88,94.72,,73.5,percent of total billed charges,94.72% of total billed charges,95.83,98.79,,76.66,percent of total billed charges,98.79% of total billed charges,95.06,98,,76.05,percent of total billed charges,98% of total billed charges,95.06,98,,76.05,percent of total billed charges,98% of total billed charges,46.56,48,,37.25,percent of total billed charges,48% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,10.18,85,,,fee schedule,85% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,10.18,95.83,
CLOSTRIDIUM DIFF PCR,5061715,CDM,306,RC,87493,HCPCS,OUTPATIENT,,,97,77.6,,92.15,95,,73.72,percent of total billed charges,95% of total billed charges,91.88,94.72,,73.5,percent of total billed charges,94.72% of total billed charges,95.83,98.79,,76.66,percent of total billed charges,98.79% of total billed charges,95.06,98,,76.05,percent of total billed charges,98% of total billed charges,95.06,98,,76.05,percent of total billed charges,98% of total billed charges,46.56,48,,37.25,percent of total billed charges,48% of total billed charges,37.27,100,,,fee schedule,100% of CMS fee schedule,31.68,85,,,fee schedule,85% of CMS fee schedule,37.27,100,,,fee schedule,100% of CMS fee schedule,37.27,100,,,fee schedule,100% of CMS fee schedule,31.68,95.83,
CONJUNCTIVITIS (ADENO),5061744,CDM,306,RC,87809,HCPCS,OUTPATIENT,,,45,36,,42.75,95,,34.2,percent of total billed charges,95% of total billed charges,42.62,94.72,,34.1,percent of total billed charges,94.72% of total billed charges,44.46,98.79,,35.57,percent of total billed charges,98.79% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,21.6,48,,17.28,percent of total billed charges,48% of total billed charges,21.76,100,,,fee schedule,100% of CMS fee schedule,18.5,85,,,fee schedule,85% of CMS fee schedule,21.76,100,,,fee schedule,100% of CMS fee schedule,21.76,100,,,fee schedule,100% of CMS fee schedule,18.5,44.46,
Candida,5061781,CDM,306,RC,87480,HCPCS,OUTPATIENT,,,26,20.8,,24.7,95,,19.76,percent of total billed charges,95% of total billed charges,24.63,94.72,,19.7,percent of total billed charges,94.72% of total billed charges,25.69,98.79,,20.55,percent of total billed charges,98.79% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,12.48,48,,9.98,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,12.48,25.69,
Gardnella,5061782,CDM,306,RC,87510,HCPCS,OUTPATIENT,,,26,20.8,,24.7,95,,19.76,percent of total billed charges,95% of total billed charges,24.63,94.72,,19.7,percent of total billed charges,94.72% of total billed charges,25.69,98.79,,20.55,percent of total billed charges,98.79% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,12.48,48,,9.98,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,12.48,25.69,
Trich,5061783,CDM,306,RC,87660,HCPCS,OUTPATIENT,,,26,20.8,,24.7,95,,19.76,percent of total billed charges,95% of total billed charges,24.63,94.72,,19.7,percent of total billed charges,94.72% of total billed charges,25.69,98.79,,20.55,percent of total billed charges,98.79% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,12.48,48,,9.98,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,12.48,25.69,
ID MALDI-T OF MASS SPEC ANAEROBE,5061808,CDM,306,RC,87076,HCPCS,OUTPATIENT,,,88,70.4,,83.6,95,,66.88,percent of total billed charges,95% of total billed charges,83.35,94.72,,66.68,percent of total billed charges,94.72% of total billed charges,86.94,98.79,,69.55,percent of total billed charges,98.79% of total billed charges,86.24,98,,68.99,percent of total billed charges,98% of total billed charges,86.24,98,,68.99,percent of total billed charges,98% of total billed charges,42.24,48,,33.79,percent of total billed charges,48% of total billed charges,8.08,100,,,fee schedule,100% of CMS fee schedule,6.87,85,,,fee schedule,85% of CMS fee schedule,8.08,100,,,fee schedule,100% of CMS fee schedule,8.08,100,,,fee schedule,100% of CMS fee schedule,6.87,86.94,
MYCOBACTERIA PROBE IDENT  TBPBI,5061824,CDM,306,RC,87150,HCPCS,OUTPATIENT,,,125,100,,118.75,95,,95,percent of total billed charges,95% of total billed charges,118.4,94.72,,94.72,percent of total billed charges,94.72% of total billed charges,123.49,98.79,,98.79,percent of total billed charges,98.79% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,60,48,,48,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,123.49,
S AUREUS NASAL PCR,5061895,CDM,306,RC,87640,HCPCS,OUTPATIENT,,,61,48.8,,57.95,95,,46.36,percent of total billed charges,95% of total billed charges,57.78,94.72,,46.22,percent of total billed charges,94.72% of total billed charges,60.26,98.79,,48.21,percent of total billed charges,98.79% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,29.28,48,,23.42,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.28,60.26,
87150  B. pertussis PCR,5061898,CDM,306,RC,87150,HCPCS,OUTPATIENT,,,293,234.4,,278.35,95,,222.68,percent of total billed charges,95% of total billed charges,277.53,94.72,,222.02,percent of total billed charges,94.72% of total billed charges,289.45,98.79,,231.56,percent of total billed charges,98.79% of total billed charges,287.14,98,,229.71,percent of total billed charges,98% of total billed charges,287.14,98,,229.71,percent of total billed charges,98% of total billed charges,140.64,48,,112.51,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,289.45,
87486  C. pneumoniae PCR,5061899,CDM,306,RC,87486,HCPCS,OUTPATIENT,,,72,57.6,,68.4,95,,54.72,percent of total billed charges,95% of total billed charges,68.2,94.72,,54.56,percent of total billed charges,94.72% of total billed charges,71.13,98.79,,56.9,percent of total billed charges,98.79% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,34.56,48,,27.65,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,71.13,
87581  M. pneumoniae PCR,5061900,CDM,306,RC,87581,HCPCS,OUTPATIENT,,,84,67.2,,79.8,95,,63.84,percent of total billed charges,95% of total billed charges,79.56,94.72,,63.65,percent of total billed charges,94.72% of total billed charges,82.98,98.79,,66.38,percent of total billed charges,98.79% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,40.32,48,,32.26,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,82.98,
S AUREUS MRSA PCR,5061938,CDM,306,RC,87641,HCPCS,OUTPATIENT,,,61,48.8,,57.95,95,,46.36,percent of total billed charges,95% of total billed charges,57.78,94.72,,46.22,percent of total billed charges,94.72% of total billed charges,60.26,98.79,,48.21,percent of total billed charges,98.79% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,29.28,48,,23.42,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.28,60.26,
HSV 1 DNA SWAB,5062004,CDM,306,RC,87529,HCPCS,OUTPATIENT,,,61,48.8,,57.95,95,,46.36,percent of total billed charges,95% of total billed charges,57.78,94.72,,46.22,percent of total billed charges,94.72% of total billed charges,60.26,98.79,,48.21,percent of total billed charges,98.79% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,29.28,48,,23.42,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.28,60.26,
HSV 2 DNA SWAB,5062005,CDM,306,RC,87529,HCPCS,OUTPATIENT,,,61,48.8,,57.95,95,,46.36,percent of total billed charges,95% of total billed charges,57.78,94.72,,46.22,percent of total billed charges,94.72% of total billed charges,60.26,98.79,,48.21,percent of total billed charges,98.79% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,29.28,48,,23.42,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.28,60.26,
Coronavirus (COVID-19)| NAA UPHS,5062061,CDM,306,RC,87635,HCPCS,OUTPATIENT,,,182,145.6,,172.9,95,,138.32,percent of total billed charges,95% of total billed charges,172.39,94.72,,137.91,percent of total billed charges,94.72% of total billed charges,179.8,98.79,,143.84,percent of total billed charges,98.79% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,87.36,48,,69.89,percent of total billed charges,48% of total billed charges,51.31,100,,,fee schedule,100% of CMS fee schedule,43.61,85,,,fee schedule,85% of CMS fee schedule,51.31,100,,,fee schedule,100% of CMS fee schedule,51.31,100,,,fee schedule,100% of CMS fee schedule,43.61,179.8,
JC VIRUS PCR (WB),5062096,CDM,306,RC,87799,HCPCS,OUTPATIENT,,,414,331.2,,393.3,95,,314.64,percent of total billed charges,95% of total billed charges,392.14,94.72,,313.71,percent of total billed charges,94.72% of total billed charges,408.99,98.79,,327.19,percent of total billed charges,98.79% of total billed charges,405.72,98,,324.58,percent of total billed charges,98% of total billed charges,405.72,98,,324.58,percent of total billed charges,98% of total billed charges,198.72,48,,158.98,percent of total billed charges,48% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,36.41,85,,,fee schedule,85% of CMS fee schedule,42.84,100,,,fee schedule,100% of CMS fee schedule,42.84,100,,,fee schedule,100% of CMS fee schedule,36.41,408.99,
HEP C PCR QUAL,5062113,CDM,306,RC,87521,HCPCS,OUTPATIENT,,,173,138.4,,164.35,95,,131.48,percent of total billed charges,95% of total billed charges,163.87,94.72,,131.1,percent of total billed charges,94.72% of total billed charges,170.91,98.79,,136.73,percent of total billed charges,98.79% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,83.04,48,,66.43,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,170.91,
BK VIRUS QUANT PLASMA,5062129,CDM,306,RC,87799,HCPCS,OUTPATIENT,,,329,263.2,,312.55,95,,250.04,percent of total billed charges,95% of total billed charges,311.63,94.72,,249.3,percent of total billed charges,94.72% of total billed charges,325.02,98.79,,260.02,percent of total billed charges,98.79% of total billed charges,322.42,98,,257.94,percent of total billed charges,98% of total billed charges,322.42,98,,257.94,percent of total billed charges,98% of total billed charges,157.92,48,,126.34,percent of total billed charges,48% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,36.41,85,,,fee schedule,85% of CMS fee schedule,42.84,100,,,fee schedule,100% of CMS fee schedule,42.84,100,,,fee schedule,100% of CMS fee schedule,36.41,325.02,
BK VIRUS QUANT PLASMA,5062129,CDM,306,RC,87799,HCPCS,OUTPATIENT,,,329,263.2,,312.55,95,,250.04,percent of total billed charges,95% of total billed charges,311.63,94.72,,249.3,percent of total billed charges,94.72% of total billed charges,325.02,98.79,,260.02,percent of total billed charges,98.79% of total billed charges,322.42,98,,257.94,percent of total billed charges,98% of total billed charges,322.42,98,,257.94,percent of total billed charges,98% of total billed charges,157.92,48,,126.34,percent of total billed charges,48% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,36.41,85,,,fee schedule,85% of CMS fee schedule,42.84,100,,,fee schedule,100% of CMS fee schedule,42.84,100,,,fee schedule,100% of CMS fee schedule,36.41,325.02,
CSF MENINGITIS ENCEPHALITIS PANEL PCR,5062161,CDM,306,RC,87483,HCPCS,OUTPATIENT,,,1089,871.2,,1034.55,95,,827.64,percent of total billed charges,95% of total billed charges,1031.5,94.72,,825.2,percent of total billed charges,94.72% of total billed charges,1075.82,98.79,,860.66,percent of total billed charges,98.79% of total billed charges,1067.22,98,,853.78,percent of total billed charges,98% of total billed charges,1067.22,98,,853.78,percent of total billed charges,98% of total billed charges,522.72,48,,418.18,percent of total billed charges,48% of total billed charges,416.78,100,,,fee schedule,100% of CMS fee schedule,354.26,85,,,fee schedule,85% of CMS fee schedule,416.78,100,,,fee schedule,100% of CMS fee schedule,416.78,100,,,fee schedule,100% of CMS fee schedule,354.26,1075.82,
MRSA/SA BY PCR SKIN SOFT TISSUE,5062178,CDM,306,RC,87641,HCPCS,OUTPATIENT,,,114,91.2,,108.3,95,,86.64,percent of total billed charges,95% of total billed charges,107.98,94.72,,86.38,percent of total billed charges,94.72% of total billed charges,112.62,98.79,,90.1,percent of total billed charges,98.79% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,54.72,48,,43.78,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,112.62,
HIV-1 GENOTYPIC RR-RT RESISTANCE,5062198,CDM,306,RC,87901,HCPCS,OUTPATIENT,,,453,362.4,,430.35,95,,344.28,percent of total billed charges,95% of total billed charges,429.08,94.72,,343.26,percent of total billed charges,94.72% of total billed charges,447.52,98.79,,358.02,percent of total billed charges,98.79% of total billed charges,443.94,98,,355.15,percent of total billed charges,98% of total billed charges,443.94,98,,355.15,percent of total billed charges,98% of total billed charges,217.44,48,,173.95,percent of total billed charges,48% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,218.83,85,,,fee schedule,85% of CMS fee schedule,257.45,100,,,fee schedule,100% of CMS fee schedule,257.45,100,,,fee schedule,100% of CMS fee schedule,217.44,447.52,
UREAPLASMA UREALYTICUM PCR,5062227,CDM,306,RC,87798,HCPCS,OUTPATIENT,,,61,48.8,,57.95,95,,46.36,percent of total billed charges,95% of total billed charges,57.78,94.72,,46.22,percent of total billed charges,94.72% of total billed charges,60.26,98.79,,48.21,percent of total billed charges,98.79% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,29.28,48,,23.42,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.28,60.26,
UREAPLASMA PARVUM PCR,5062228,CDM,306,RC,87798,HCPCS,OUTPATIENT,,,61,48.8,,57.95,95,,46.36,percent of total billed charges,95% of total billed charges,57.78,94.72,,46.22,percent of total billed charges,94.72% of total billed charges,60.26,98.79,,48.21,percent of total billed charges,98.79% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,29.28,48,,23.42,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.28,60.26,
CMV| Quantitative DNA by PCR UPHS,5062232,CDM,306,RC,87497,HCPCS,OUTPATIENT,,,89,71.2,90,84.55,95,,67.64,percent of total billed charges,95% of total billed charges,84.3,94.72,,67.44,percent of total billed charges,94.72% of total billed charges,87.92,98.79,,70.34,percent of total billed charges,98.79% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,87.22,98,,69.78,percent of total billed charges,98% of total billed charges,42.72,48,,34.18,percent of total billed charges,48% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,36.41,85,,,fee schedule,85% of CMS fee schedule,42.84,100,,,fee schedule,100% of CMS fee schedule,42.84,100,,,fee schedule,100% of CMS fee schedule,36.41,87.92,
TRICHOMONAS VAGINALIS NAA,5062291,CDM,306,RC,87661,HCPCS,OUTPATIENT,,,44,35.2,,41.8,95,,33.44,percent of total billed charges,95% of total billed charges,41.68,94.72,,33.34,percent of total billed charges,94.72% of total billed charges,43.47,98.79,,34.78,percent of total billed charges,98.79% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,21.12,48,,16.9,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,21.12,43.47,
VARICELLA ZOSTER QUAL PCR SWAB,5062292,CDM,306,RC,87798,HCPCS,OUTPATIENT,,,65,52,,61.75,95,,49.4,percent of total billed charges,95% of total billed charges,61.57,94.72,,49.26,percent of total billed charges,94.72% of total billed charges,64.21,98.79,,51.37,percent of total billed charges,98.79% of total billed charges,63.7,98,,50.96,percent of total billed charges,98% of total billed charges,63.7,98,,50.96,percent of total billed charges,98% of total billed charges,31.2,48,,24.96,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,64.21,
LYME DISEASE FLUID PCR,5062309,CDM,306,RC,87476,HCPCS,OUTPATIENT,,,68,54.4,,64.6,95,,51.68,percent of total billed charges,95% of total billed charges,64.41,94.72,,51.53,percent of total billed charges,94.72% of total billed charges,67.18,98.79,,53.74,percent of total billed charges,98.79% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,32.64,48,,26.11,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,67.18,
JC VIRUS PCR CSF,5062314,CDM,306,RC,87798,HCPCS,OUTPATIENT,,,198,158.4,,188.1,95,,150.48,percent of total billed charges,95% of total billed charges,187.55,94.72,,150.04,percent of total billed charges,94.72% of total billed charges,195.6,98.79,,156.48,percent of total billed charges,98.79% of total billed charges,194.04,98,,155.23,percent of total billed charges,98% of total billed charges,194.04,98,,155.23,percent of total billed charges,98% of total billed charges,95.04,48,,76.03,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,195.6,
FREE T3,5062339,CDM,306,RC,87798,HCPCS,OUTPATIENT,,,187,149.6,,177.65,95,,142.12,percent of total billed charges,95% of total billed charges,177.13,94.72,,141.7,percent of total billed charges,94.72% of total billed charges,184.74,98.79,,147.79,percent of total billed charges,98.79% of total billed charges,183.26,98,,146.61,percent of total billed charges,98% of total billed charges,183.26,98,,146.61,percent of total billed charges,98% of total billed charges,89.76,48,,71.81,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,184.74,
AFB ID BY DNA PROBE,5062348,CDM,306,RC,87149,HCPCS,OUTPATIENT,,,61,48.8,,57.95,95,,46.36,percent of total billed charges,95% of total billed charges,57.78,94.72,,46.22,percent of total billed charges,94.72% of total billed charges,60.26,98.79,,48.21,percent of total billed charges,98.79% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,29.28,48,,23.42,percent of total billed charges,48% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,85,,,fee schedule,85% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,17.04,60.26,
blood culture Fungus/Yeast,5062382,CDM,306,RC,87103,HCPCS,OUTPATIENT,,,54,43.2,,51.3,95,,41.04,percent of total billed charges,95% of total billed charges,51.15,94.72,,40.92,percent of total billed charges,94.72% of total billed charges,53.35,98.79,,42.68,percent of total billed charges,98.79% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,25.92,48,,20.74,percent of total billed charges,48% of total billed charges,20.46,100,,,fee schedule,100% of CMS fee schedule,17.39,85,,,fee schedule,85% of CMS fee schedule,20.46,100,,,fee schedule,100% of CMS fee schedule,20.46,100,,,fee schedule,100% of CMS fee schedule,17.39,53.35,
RESPIRATORY SYNCYTIAL VIRUS (RSV) PCR,5062384,CDM,306,RC,87634,HCPCS,OUTPATIENT,,,342,273.6,,324.9,95,,259.92,percent of total billed charges,95% of total billed charges,323.94,94.72,,259.15,percent of total billed charges,94.72% of total billed charges,337.86,98.79,,270.29,percent of total billed charges,98.79% of total billed charges,335.16,98,,268.13,percent of total billed charges,98% of total billed charges,335.16,98,,268.13,percent of total billed charges,98% of total billed charges,164.16,48,,131.33,percent of total billed charges,48% of total billed charges,70.2,100,,,fee schedule,100% of CMS fee schedule,59.67,85,,,fee schedule,85% of CMS fee schedule,70.2,100,,,fee schedule,100% of CMS fee schedule,70.2,100,,,fee schedule,100% of CMS fee schedule,59.67,337.86,
Ref lab Sensi(MIC) MOL REF,5062903,CDM,306,RC,87186,HCPCS,OUTPATIENT,,,97,77.6,,92.15,95,,73.72,percent of total billed charges,95% of total billed charges,91.88,94.72,,73.5,percent of total billed charges,94.72% of total billed charges,95.83,98.79,,76.66,percent of total billed charges,98.79% of total billed charges,95.06,98,,76.05,percent of total billed charges,98% of total billed charges,95.06,98,,76.05,percent of total billed charges,98% of total billed charges,46.56,48,,37.25,percent of total billed charges,48% of total billed charges,8.65,100,,,fee schedule,100% of CMS fee schedule,7.35,85,,,fee schedule,85% of CMS fee schedule,8.65,100,,,fee schedule,100% of CMS fee schedule,8.65,100,,,fee schedule,100% of CMS fee schedule,7.35,95.83,
Ref Lab Sensitivity (MIC) MOL,5062903,CDM,306,RC,87186,HCPCS,OUTPATIENT,,,104,83.2,,98.8,95,,79.04,percent of total billed charges,95% of total billed charges,98.51,94.72,,78.81,percent of total billed charges,94.72% of total billed charges,102.74,98.79,,82.19,percent of total billed charges,98.79% of total billed charges,101.92,98,,81.54,percent of total billed charges,98% of total billed charges,101.92,98,,81.54,percent of total billed charges,98% of total billed charges,49.92,48,,39.94,percent of total billed charges,48% of total billed charges,8.65,100,,,fee schedule,100% of CMS fee schedule,7.35,85,,,fee schedule,85% of CMS fee schedule,8.65,100,,,fee schedule,100% of CMS fee schedule,8.65,100,,,fee schedule,100% of CMS fee schedule,7.35,102.74,
SARS-CoV-2 (COVID-19) RNA (ID Now),5062905,CDM,306,RC,87635,HCPCS,OUTPATIENT,,,182,145.6,,172.9,95,,138.32,percent of total billed charges,95% of total billed charges,172.39,94.72,,137.91,percent of total billed charges,94.72% of total billed charges,179.8,98.79,,143.84,percent of total billed charges,98.79% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,87.36,48,,69.89,percent of total billed charges,48% of total billed charges,51.31,100,,,fee schedule,100% of CMS fee schedule,43.61,85,,,fee schedule,85% of CMS fee schedule,51.31,100,,,fee schedule,100% of CMS fee schedule,51.31,100,,,fee schedule,100% of CMS fee schedule,43.61,179.8,
SARS-CoV-2 (COVID-19) Antigen,5062926,CDM,306,RC,87811,HCPCS,OUTPATIENT,,,150,120,,142.5,95,,114,percent of total billed charges,95% of total billed charges,142.08,94.72,,113.66,percent of total billed charges,94.72% of total billed charges,148.19,98.79,,118.55,percent of total billed charges,98.79% of total billed charges,147,98,,117.6,percent of total billed charges,98% of total billed charges,147,98,,117.6,percent of total billed charges,98% of total billed charges,72,48,,57.6,percent of total billed charges,48% of total billed charges,41.38,100,,,fee schedule,100% of CMS fee schedule,35.17,85,,,fee schedule,85% of CMS fee schedule,41.38,100,,,fee schedule,100% of CMS fee schedule,41.38,100,,,fee schedule,100% of CMS fee schedule,35.17,148.19,
CULTURE AFB,5066001,CDM,306,RC,87116,HCPCS,OUTPATIENT,,,249,199.2,,236.55,95,,189.24,percent of total billed charges,95% of total billed charges,235.85,94.72,,188.68,percent of total billed charges,94.72% of total billed charges,245.99,98.79,,196.79,percent of total billed charges,98.79% of total billed charges,244.02,98,,195.22,percent of total billed charges,98% of total billed charges,244.02,98,,195.22,percent of total billed charges,98% of total billed charges,119.52,48,,95.62,percent of total billed charges,48% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,9.18,85,,,fee schedule,85% of CMS fee schedule,10.8,100,,,fee schedule,100% of CMS fee schedule,10.8,100,,,fee schedule,100% of CMS fee schedule,9.18,245.99,
CULTURE ANAEROBIC,5066002,CDM,306,RC,87075,HCPCS,OUTPATIENT,,,133,106.4,,126.35,95,,101.08,percent of total billed charges,95% of total billed charges,125.98,94.72,,100.78,percent of total billed charges,94.72% of total billed charges,131.39,98.79,,105.11,percent of total billed charges,98.79% of total billed charges,130.34,98,,104.27,percent of total billed charges,98% of total billed charges,130.34,98,,104.27,percent of total billed charges,98% of total billed charges,63.84,48,,51.07,percent of total billed charges,48% of total billed charges,9.47,100,,,fee schedule,100% of CMS fee schedule,8.05,85,,,fee schedule,85% of CMS fee schedule,9.47,100,,,fee schedule,100% of CMS fee schedule,9.47,100,,,fee schedule,100% of CMS fee schedule,8.05,131.39,
CULTURE BLOOD,5066004,CDM,306,RC,87040,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,10.32,100,,,fee schedule,100% of CMS fee schedule,8.77,85,,,fee schedule,85% of CMS fee schedule,10.32,100,,,fee schedule,100% of CMS fee schedule,10.32,100,,,fee schedule,100% of CMS fee schedule,8.77,118.55,
CULTURE FUNGUS,5066005,CDM,306,RC,87102,HCPCS,OUTPATIENT,,,128,102.4,,121.6,95,,97.28,percent of total billed charges,95% of total billed charges,121.24,94.72,,96.99,percent of total billed charges,94.72% of total billed charges,126.45,98.79,,101.16,percent of total billed charges,98.79% of total billed charges,125.44,98,,100.35,percent of total billed charges,98% of total billed charges,125.44,98,,100.35,percent of total billed charges,98% of total billed charges,61.44,48,,49.15,percent of total billed charges,48% of total billed charges,8.41,100,,,fee schedule,100% of CMS fee schedule,7.15,85,,,fee schedule,85% of CMS fee schedule,8.41,100,,,fee schedule,100% of CMS fee schedule,8.41,100,,,fee schedule,100% of CMS fee schedule,7.15,126.45,
Reference Lab ID only REF,5066006,CDM,306,RC,87077,HCPCS,OUTPATIENT,,,58,46.4,,55.1,95,,44.08,percent of total billed charges,95% of total billed charges,54.94,94.72,,43.95,percent of total billed charges,94.72% of total billed charges,57.3,98.79,,45.84,percent of total billed charges,98.79% of total billed charges,56.84,98,,45.47,percent of total billed charges,98% of total billed charges,56.84,98,,45.47,percent of total billed charges,98% of total billed charges,27.84,48,,22.27,percent of total billed charges,48% of total billed charges,8.08,100,,,fee schedule,100% of CMS fee schedule,6.87,85,,,fee schedule,85% of CMS fee schedule,8.08,100,,,fee schedule,100% of CMS fee schedule,8.08,100,,,fee schedule,100% of CMS fee schedule,6.87,57.3,
CULTURE STOOL,5066009,CDM,306,RC,87045,HCPCS,OUTPATIENT,,,17,13.6,,16.15,95,,12.92,percent of total billed charges,95% of total billed charges,16.1,94.72,,12.88,percent of total billed charges,94.72% of total billed charges,16.79,98.79,,13.43,percent of total billed charges,98.79% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,8.16,48,,6.53,percent of total billed charges,48% of total billed charges,9.44,100,,,fee schedule,100% of CMS fee schedule,8.02,85,,,fee schedule,85% of CMS fee schedule,9.44,100,,,fee schedule,100% of CMS fee schedule,9.44,100,,,fee schedule,100% of CMS fee schedule,8.02,16.79,
CULTURE VIRAL,5066011,CDM,306,RC,87252,HCPCS,OUTPATIENT,,,79,63.2,,75.05,95,,60.04,percent of total billed charges,95% of total billed charges,74.83,94.72,,59.86,percent of total billed charges,94.72% of total billed charges,78.04,98.79,,62.43,percent of total billed charges,98.79% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,37.92,48,,30.34,percent of total billed charges,48% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,22.16,85,,,fee schedule,85% of CMS fee schedule,26.07,100,,,fee schedule,100% of CMS fee schedule,26.07,100,,,fee schedule,100% of CMS fee schedule,22.16,78.04,
Reference Lab ID/Sensi REF,5066012,CDM,306,RC,87186,HCPCS,OUTPATIENT,,,86,68.8,,81.7,95,,65.36,percent of total billed charges,95% of total billed charges,81.46,94.72,,65.17,percent of total billed charges,94.72% of total billed charges,84.96,98.79,,67.97,percent of total billed charges,98.79% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,41.28,48,,33.02,percent of total billed charges,48% of total billed charges,8.65,100,,,fee schedule,100% of CMS fee schedule,7.35,85,,,fee schedule,85% of CMS fee schedule,8.65,100,,,fee schedule,100% of CMS fee schedule,8.65,100,,,fee schedule,100% of CMS fee schedule,7.35,84.96,
87186 Reference Lab ID/Sensi,5066012,CDM,306,RC,87186,HCPCS,OUTPATIENT,,,97,77.6,,92.15,95,,73.72,percent of total billed charges,95% of total billed charges,91.88,94.72,,73.5,percent of total billed charges,94.72% of total billed charges,95.83,98.79,,76.66,percent of total billed charges,98.79% of total billed charges,95.06,98,,76.05,percent of total billed charges,98% of total billed charges,95.06,98,,76.05,percent of total billed charges,98% of total billed charges,46.56,48,,37.25,percent of total billed charges,48% of total billed charges,8.65,100,,,fee schedule,100% of CMS fee schedule,7.35,85,,,fee schedule,85% of CMS fee schedule,8.65,100,,,fee schedule,100% of CMS fee schedule,8.65,100,,,fee schedule,100% of CMS fee schedule,7.35,95.83,
WET PREP,5066013,CDM,306,RC,87210,HCPCS,OUTPATIENT,,,53,42.4,,50.35,95,,40.28,percent of total billed charges,95% of total billed charges,50.2,94.72,,40.16,percent of total billed charges,94.72% of total billed charges,52.36,98.79,,41.89,percent of total billed charges,98.79% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,25.44,48,,20.35,percent of total billed charges,48% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,4.95,85,,,fee schedule,85% of CMS fee schedule,5.82,100,,,fee schedule,100% of CMS fee schedule,5.82,100,,,fee schedule,100% of CMS fee schedule,4.95,52.36,
KOH other,5066014,CDM,306,RC,87220,HCPCS,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,3.63,85,,,fee schedule,85% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,3.63,42.48,
KOH Vaginal,5066014,CDM,306,RC,87210,HCPCS,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,4.95,85,,,fee schedule,85% of CMS fee schedule,5.82,100,,,fee schedule,100% of CMS fee schedule,5.82,100,,,fee schedule,100% of CMS fee schedule,4.95,42.48,
87591 GC DNA PROBE,5066016,CDM,306,RC,87591,HCPCS,OUTPATIENT,,,61,48.8,,57.95,95,,46.36,percent of total billed charges,95% of total billed charges,57.78,94.72,,46.22,percent of total billed charges,94.72% of total billed charges,60.26,98.79,,48.21,percent of total billed charges,98.79% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,29.28,48,,23.42,percent of total billed charges,48% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,29.83,85,,,fee schedule,85% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,29.28,60.26,
CULTURE UREA/MYCOPLASMA,5066017,CDM,306,RC,87109,HCPCS,OUTPATIENT,,,176,140.8,,167.2,95,,133.76,percent of total billed charges,95% of total billed charges,166.71,94.72,,133.37,percent of total billed charges,94.72% of total billed charges,173.87,98.79,,139.1,percent of total billed charges,98.79% of total billed charges,172.48,98,,137.98,percent of total billed charges,98% of total billed charges,172.48,98,,137.98,percent of total billed charges,98% of total billed charges,84.48,48,,67.58,percent of total billed charges,48% of total billed charges,15.39,100,,,fee schedule,100% of CMS fee schedule,13.08,85,,,fee schedule,85% of CMS fee schedule,15.39,100,,,fee schedule,100% of CMS fee schedule,15.39,100,,,fee schedule,100% of CMS fee schedule,13.08,173.87,
OVA AND PARASITES,5066018,CDM,306,RC,87177,HCPCS,OUTPATIENT,,,15,12,,14.25,95,,11.4,percent of total billed charges,95% of total billed charges,14.21,94.72,,11.37,percent of total billed charges,94.72% of total billed charges,14.82,98.79,,11.86,percent of total billed charges,98.79% of total billed charges,14.7,98,,11.76,percent of total billed charges,98% of total billed charges,14.7,98,,11.76,percent of total billed charges,98% of total billed charges,7.2,48,,5.76,percent of total billed charges,48% of total billed charges,8.9,100,,,fee schedule,100% of CMS fee schedule,7.57,85,,,fee schedule,85% of CMS fee schedule,8.9,100,,,fee schedule,100% of CMS fee schedule,8.9,100,,,fee schedule,100% of CMS fee schedule,7.2,14.82,
ACID FAST STAIN,5066019,CDM,306,RC,87206,HCPCS,OUTPATIENT,,,48,38.4,,45.6,95,,36.48,percent of total billed charges,95% of total billed charges,45.47,94.72,,36.38,percent of total billed charges,94.72% of total billed charges,47.42,98.79,,37.94,percent of total billed charges,98.79% of total billed charges,47.04,98,,37.63,percent of total billed charges,98% of total billed charges,47.04,98,,37.63,percent of total billed charges,98% of total billed charges,23.04,48,,18.43,percent of total billed charges,48% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,4.58,85,,,fee schedule,85% of CMS fee schedule,5.39,100,,,fee schedule,100% of CMS fee schedule,5.39,100,,,fee schedule,100% of CMS fee schedule,4.58,47.42,
CULTURE ID URINE ISOLATE,5066024,CDM,306,RC,87088,HCPCS,OUTPATIENT,,,105,84,,99.75,95,,79.8,percent of total billed charges,95% of total billed charges,99.46,94.72,,79.57,percent of total billed charges,94.72% of total billed charges,103.73,98.79,,82.98,percent of total billed charges,98.79% of total billed charges,102.9,98,,82.32,percent of total billed charges,98% of total billed charges,102.9,98,,82.32,percent of total billed charges,98% of total billed charges,50.4,48,,40.32,percent of total billed charges,48% of total billed charges,8.09,100,,,fee schedule,100% of CMS fee schedule,6.88,85,,,fee schedule,85% of CMS fee schedule,8.09,100,,,fee schedule,100% of CMS fee schedule,8.09,100,,,fee schedule,100% of CMS fee schedule,6.88,103.73,
CULTURE BODY FLUID,5066028,CDM,306,RC,87070,HCPCS,OUTPATIENT,,,116,92.8,,110.2,95,,88.16,percent of total billed charges,95% of total billed charges,109.88,94.72,,87.9,percent of total billed charges,94.72% of total billed charges,114.6,98.79,,91.68,percent of total billed charges,98.79% of total billed charges,113.68,98,,90.94,percent of total billed charges,98% of total billed charges,113.68,98,,90.94,percent of total billed charges,98% of total billed charges,55.68,48,,44.54,percent of total billed charges,48% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,7.33,85,,,fee schedule,85% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,7.33,114.6,
CULTURE EAR,5066029,CDM,306,RC,87070,HCPCS,OUTPATIENT,,,85,68,,80.75,95,,64.6,percent of total billed charges,95% of total billed charges,80.51,94.72,,64.41,percent of total billed charges,94.72% of total billed charges,83.97,98.79,,67.18,percent of total billed charges,98.79% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,40.8,48,,32.64,percent of total billed charges,48% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,7.33,85,,,fee schedule,85% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,7.33,83.97,
CULTURE EYE,5066030,CDM,306,RC,87070,HCPCS,OUTPATIENT,,,85,68,,80.75,95,,64.6,percent of total billed charges,95% of total billed charges,80.51,94.72,,64.41,percent of total billed charges,94.72% of total billed charges,83.97,98.79,,67.18,percent of total billed charges,98.79% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,40.8,48,,32.64,percent of total billed charges,48% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,7.33,85,,,fee schedule,85% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,7.33,83.97,
CULTURE NASOPHARYNGEAL,5066031,CDM,306,RC,87070,HCPCS,OUTPATIENT,,,85,68,,80.75,95,,64.6,percent of total billed charges,95% of total billed charges,80.51,94.72,,64.41,percent of total billed charges,94.72% of total billed charges,83.97,98.79,,67.18,percent of total billed charges,98.79% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,40.8,48,,32.64,percent of total billed charges,48% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,7.33,85,,,fee schedule,85% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,7.33,83.97,
CULTURE TISSUE,5066033,CDM,306,RC,87070,HCPCS,OUTPATIENT,,,83,66.4,,78.85,95,,63.08,percent of total billed charges,95% of total billed charges,78.62,94.72,,62.9,percent of total billed charges,94.72% of total billed charges,82,98.79,,65.6,percent of total billed charges,98.79% of total billed charges,81.34,98,,65.07,percent of total billed charges,98% of total billed charges,81.34,98,,65.07,percent of total billed charges,98% of total billed charges,39.84,48,,31.87,percent of total billed charges,48% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,7.33,85,,,fee schedule,85% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,7.33,82,
CULTURE VAGINAL/CERVICAL,5066035,CDM,306,RC,87070,HCPCS,OUTPATIENT,,,85,68,,80.75,95,,64.6,percent of total billed charges,95% of total billed charges,80.51,94.72,,64.41,percent of total billed charges,94.72% of total billed charges,83.97,98.79,,67.18,percent of total billed charges,98.79% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,40.8,48,,32.64,percent of total billed charges,48% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,7.33,85,,,fee schedule,85% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,7.33,83.97,
CULTURE SCREEN (STREP B),5069591,CDM,306,RC,87081,HCPCS,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,5.64,85,,,fee schedule,85% of CMS fee schedule,6.63,100,,,fee schedule,100% of CMS fee schedule,6.63,100,,,fee schedule,100% of CMS fee schedule,5.64,42.48,
PREGNANCY URINE,5061096,CDM,307,RC,81025,HCPCS,OUTPATIENT,,,85,68,,80.75,95,,64.6,percent of total billed charges,95% of total billed charges,80.51,94.72,,64.41,percent of total billed charges,94.72% of total billed charges,83.97,98.79,,67.18,percent of total billed charges,98.79% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,40.8,48,,32.64,percent of total billed charges,48% of total billed charges,8.61,100,,,fee schedule,100% of CMS fee schedule,7.32,85,,,fee schedule,85% of CMS fee schedule,8.61,100,,,fee schedule,100% of CMS fee schedule,8.61,100,,,fee schedule,100% of CMS fee schedule,7.32,83.97,
SPECIFIC GRAVITY URINE,5061326,CDM,307,RC,81002,HCPCS,OUTPATIENT,,,30,24,,28.5,95,,22.8,percent of total billed charges,95% of total billed charges,28.42,94.72,,22.74,percent of total billed charges,94.72% of total billed charges,29.64,98.79,,23.71,percent of total billed charges,98.79% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,14.4,48,,11.52,percent of total billed charges,48% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,2.96,85,,,fee schedule,85% of CMS fee schedule,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,100,,,fee schedule,100% of CMS fee schedule,2.96,29.64,
URINALYSIS CS IF INDICATED,5061327,CDM,307,RC,81001,HCPCS,OUTPATIENT,,,57,45.6,,54.15,95,,43.32,percent of total billed charges,95% of total billed charges,53.99,94.72,,43.19,percent of total billed charges,94.72% of total billed charges,56.31,98.79,,45.05,percent of total billed charges,98.79% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,27.36,48,,21.89,percent of total billed charges,48% of total billed charges,3.17,100,,,fee schedule,100% of CMS fee schedule,2.69,85,,,fee schedule,85% of CMS fee schedule,3.17,100,,,fee schedule,100% of CMS fee schedule,3.17,100,,,fee schedule,100% of CMS fee schedule,2.69,56.31,
VOLUME MEASUREMENT-TIMES COLLECTION,5061377,CDM,307,RC,81050,HCPCS,OUTPATIENT,,,33,26.4,,31.35,95,,25.08,percent of total billed charges,95% of total billed charges,31.26,94.72,,25.01,percent of total billed charges,94.72% of total billed charges,32.6,98.79,,26.08,percent of total billed charges,98.79% of total billed charges,32.34,98,,25.87,percent of total billed charges,98% of total billed charges,32.34,98,,25.87,percent of total billed charges,98% of total billed charges,15.84,48,,12.67,percent of total billed charges,48% of total billed charges,3.64,100,,,fee schedule,100% of CMS fee schedule,3.09,85,,,fee schedule,85% of CMS fee schedule,3.64,100,,,fee schedule,100% of CMS fee schedule,3.64,100,,,fee schedule,100% of CMS fee schedule,3.09,32.6,
URINALYSIS WITH MICROSCOPIC,5065006,CDM,307,RC,81001,HCPCS,OUTPATIENT,,,57,45.6,,54.15,95,,43.32,percent of total billed charges,95% of total billed charges,53.99,94.72,,43.19,percent of total billed charges,94.72% of total billed charges,56.31,98.79,,45.05,percent of total billed charges,98.79% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,27.36,48,,21.89,percent of total billed charges,48% of total billed charges,3.17,100,,,fee schedule,100% of CMS fee schedule,2.69,85,,,fee schedule,85% of CMS fee schedule,3.17,100,,,fee schedule,100% of CMS fee schedule,3.17,100,,,fee schedule,100% of CMS fee schedule,2.69,56.31,
CHEMICAL UA,5065009,CDM,307,RC,81003,HCPCS,OUTPATIENT,,,27,21.6,,25.65,95,,20.52,percent of total billed charges,95% of total billed charges,25.57,94.72,,20.46,percent of total billed charges,94.72% of total billed charges,26.67,98.79,,21.34,percent of total billed charges,98.79% of total billed charges,26.46,98,,21.17,percent of total billed charges,98% of total billed charges,26.46,98,,21.17,percent of total billed charges,98% of total billed charges,12.96,48,,10.37,percent of total billed charges,48% of total billed charges,2.25,100,,,fee schedule,100% of CMS fee schedule,1.91,85,,,fee schedule,85% of CMS fee schedule,2.25,100,,,fee schedule,100% of CMS fee schedule,2.25,100,,,fee schedule,100% of CMS fee schedule,1.91,26.67,
Malaria Smear,5066020,CDM,307,RC,87207,HCPCS,OUTPATIENT,,,81,64.8,,76.95,95,,61.56,percent of total billed charges,95% of total billed charges,76.72,94.72,,61.38,percent of total billed charges,94.72% of total billed charges,80.02,98.79,,64.02,percent of total billed charges,98.79% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,38.88,48,,31.1,percent of total billed charges,48% of total billed charges,5.99,100,,,fee schedule,100% of CMS fee schedule,5.09,85,,,fee schedule,85% of CMS fee schedule,5.99,100,,,fee schedule,100% of CMS fee schedule,5.99,100,,,fee schedule,100% of CMS fee schedule,5.09,80.02,
FRAGILE X DNA (XSENSE),5061509,CDM,310,RC,81243,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,57.04,100,,,fee schedule,100% of CMS fee schedule,48.48,85,,,fee schedule,85% of CMS fee schedule,57.04,100,,,fee schedule,100% of CMS fee schedule,57.04,100,,,fee schedule,100% of CMS fee schedule,48.48,118.55,
CYSTIC FIBROSIS SCREEN,5061516,CDM,310,RC,81220,HCPCS,OUTPATIENT,,,75,60,,71.25,95,,57,percent of total billed charges,95% of total billed charges,71.04,94.72,,56.83,percent of total billed charges,94.72% of total billed charges,74.09,98.79,,59.27,percent of total billed charges,98.79% of total billed charges,73.5,98,,58.8,percent of total billed charges,98% of total billed charges,73.5,98,,58.8,percent of total billed charges,98% of total billed charges,36,48,,28.8,percent of total billed charges,48% of total billed charges,556.6,100,,,fee schedule,100% of CMS fee schedule,473.11,85,,,fee schedule,85% of CMS fee schedule,556.6,100,,,fee schedule,100% of CMS fee schedule,556.6,100,,,fee schedule,100% of CMS fee schedule,36,556.6,
HEREDITARY HEMOCHROMATOSIS DNA MUTATION,5061523,CDM,310,RC,81256,HCPCS,OUTPATIENT,,,85,68,,80.75,95,,64.6,percent of total billed charges,95% of total billed charges,80.51,94.72,,64.41,percent of total billed charges,94.72% of total billed charges,83.97,98.79,,67.18,percent of total billed charges,98.79% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,83.3,98,,66.64,percent of total billed charges,98% of total billed charges,40.8,48,,32.64,percent of total billed charges,48% of total billed charges,65.36,100,,,fee schedule,100% of CMS fee schedule,55.56,85,,,fee schedule,85% of CMS fee schedule,65.36,100,,,fee schedule,100% of CMS fee schedule,65.36,100,,,fee schedule,100% of CMS fee schedule,40.8,83.97,
FISH UROVYSION BLADDER CANCER,5061638,CDM,310,RC,88120,HCPCS,OUTPATIENT,,,601,480.8,,570.95,95,,456.76,percent of total billed charges,95% of total billed charges,569.27,94.72,,455.42,percent of total billed charges,94.72% of total billed charges,593.73,98.79,,474.98,percent of total billed charges,98.79% of total billed charges,588.98,98,,471.18,percent of total billed charges,98% of total billed charges,588.98,98,,471.18,percent of total billed charges,98% of total billed charges,288.48,48,,230.78,percent of total billed charges,48% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,229.88,38.25,,183.9,percent of total billed charges,38.25% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,229.88,593.73,
STAIN IMM QUANT,5061810,CDM,310,RC,88360,HCPCS,OUTPATIENT,,,82,65.6,,77.9,95,,62.32,percent of total billed charges,95% of total billed charges,77.67,94.72,,62.14,percent of total billed charges,94.72% of total billed charges,81.01,98.79,,64.81,percent of total billed charges,98.79% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,39.36,48,,31.49,percent of total billed charges,48% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,31.37,38.25,,25.1,percent of total billed charges,38.25% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,31.37,81.01,
PML/RARA PCR QUANT,5061846,CDM,310,RC,81315,HCPCS,OUTPATIENT,,,814,651.2,,773.3,95,,618.64,percent of total billed charges,95% of total billed charges,771.02,94.72,,616.82,percent of total billed charges,94.72% of total billed charges,804.15,98.79,,643.32,percent of total billed charges,98.79% of total billed charges,797.72,98,,638.18,percent of total billed charges,98% of total billed charges,797.72,98,,638.18,percent of total billed charges,98% of total billed charges,390.72,48,,312.58,percent of total billed charges,48% of total billed charges,207.31,100,,,fee schedule,100% of CMS fee schedule,176.21,85,,,fee schedule,85% of CMS fee schedule,207.31,100,,,fee schedule,100% of CMS fee schedule,207.31,100,,,fee schedule,100% of CMS fee schedule,176.21,804.15,
SINGLE AB STAIN ADDITIONAL,5061855,CDM,310,RC,88341,HCPCS,OUTPATIENT,,,59,47.2,,56.05,95,,44.84,percent of total billed charges,95% of total billed charges,55.88,94.72,,44.7,percent of total billed charges,94.72% of total billed charges,58.29,98.79,,46.63,percent of total billed charges,98.79% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,57.82,98,,46.26,percent of total billed charges,98% of total billed charges,28.32,48,,22.66,percent of total billed charges,48% of total billed charges,26.55,45,,21.24,percent of total billed charges,45% of total billed charges,22.57,38.25,,18.06,percent of total billed charges,38.25% of total billed charges,26.55,45,,21.24,percent of total billed charges,45% of total billed charges,26.55,45,,21.24,percent of total billed charges,45% of total billed charges,22.57,58.29,
CHROMOSOMAL MICROARRAY-BLOOD,5061856,CDM,310,RC,81229,HCPCS,OUTPATIENT,,,1581,1264.8,,1501.95,95,,1201.56,percent of total billed charges,95% of total billed charges,1497.52,94.72,,1198.02,percent of total billed charges,94.72% of total billed charges,1561.87,98.79,,1249.5,percent of total billed charges,98.79% of total billed charges,1549.38,98,,1239.5,percent of total billed charges,98% of total billed charges,1549.38,98,,1239.5,percent of total billed charges,98% of total billed charges,758.88,48,,607.1,percent of total billed charges,48% of total billed charges,1160,100,,,fee schedule,100% of CMS fee schedule,986,85,,,fee schedule,85% of CMS fee schedule,1160,100,,,fee schedule,100% of CMS fee schedule,1160,100,,,fee schedule,100% of CMS fee schedule,758.88,1561.87,
FLOW CYTOMETRY-ADDITIONAL MARKER,5061861,CDM,310,RC,88185,HCPCS,OUTPATIENT,,,61,48.8,,57.95,95,,46.36,percent of total billed charges,95% of total billed charges,57.78,94.72,,46.22,percent of total billed charges,94.72% of total billed charges,60.26,98.79,,48.21,percent of total billed charges,98.79% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,29.28,48,,23.42,percent of total billed charges,48% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,23.33,38.25,,18.66,percent of total billed charges,38.25% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,23.33,60.26,
TISSUE CULTURE NEOPLASTIC,5062082,CDM,310,RC,88239,HCPCS,OUTPATIENT,,,226,180.8,,214.7,95,,171.76,percent of total billed charges,95% of total billed charges,214.07,94.72,,171.26,percent of total billed charges,94.72% of total billed charges,223.27,98.79,,178.62,percent of total billed charges,98.79% of total billed charges,221.48,98,,177.18,percent of total billed charges,98% of total billed charges,221.48,98,,177.18,percent of total billed charges,98% of total billed charges,108.48,48,,86.78,percent of total billed charges,48% of total billed charges,147.52,100,,,fee schedule,100% of CMS fee schedule,125.39,85,,,fee schedule,85% of CMS fee schedule,147.52,100,,,fee schedule,100% of CMS fee schedule,147.52,100,,,fee schedule,100% of CMS fee schedule,108.48,223.27,
JAK2 EXON 12 MUTATION DETECTION,5062168,CDM,310,RC,0027U,HCPCS,OUTPATIENT,,,548,438.4,,520.6,95,,416.48,percent of total billed charges,95% of total billed charges,519.07,94.72,,415.26,percent of total billed charges,94.72% of total billed charges,541.37,98.79,,433.1,percent of total billed charges,98.79% of total billed charges,537.04,98,,429.63,percent of total billed charges,98% of total billed charges,537.04,98,,429.63,percent of total billed charges,98% of total billed charges,263.04,48,,210.43,percent of total billed charges,48% of total billed charges,121.91,100,,,fee schedule,100% of CMS fee schedule,103.62,85,,,fee schedule,85% of CMS fee schedule,121.91,100,,,fee schedule,100% of CMS fee schedule,121.91,100,,,fee schedule,100% of CMS fee schedule,103.62,541.37,
MLH1 GENE MUTATION,5062258,CDM,310,RC,81293,HCPCS,OUTPATIENT,,,626,500.8,,594.7,95,,475.76,percent of total billed charges,95% of total billed charges,592.95,94.72,,474.36,percent of total billed charges,94.72% of total billed charges,618.43,98.79,,494.74,percent of total billed charges,98.79% of total billed charges,613.48,98,,490.78,percent of total billed charges,98% of total billed charges,613.48,98,,490.78,percent of total billed charges,98% of total billed charges,300.48,48,,240.38,percent of total billed charges,48% of total billed charges,331,100,,,fee schedule,100% of CMS fee schedule,281.35,85,,,fee schedule,85% of CMS fee schedule,331,100,,,fee schedule,100% of CMS fee schedule,331,100,,,fee schedule,100% of CMS fee schedule,281.35,618.43,
BCR/ABL MRNA DETECTION RT-PCR QUANTITATIVE MONITORING CML,5062556,CDM,310,RC,81206,HCPCS,OUTPATIENT,,,187,149.6,,177.65,95,,142.12,percent of total billed charges,95% of total billed charges,177.13,94.72,,141.7,percent of total billed charges,94.72% of total billed charges,184.74,98.79,,147.79,percent of total billed charges,98.79% of total billed charges,183.26,98,,146.61,percent of total billed charges,98% of total billed charges,183.26,98,,146.61,percent of total billed charges,98% of total billed charges,89.76,48,,71.81,percent of total billed charges,48% of total billed charges,163.96,100,,,fee schedule,100% of CMS fee schedule,139.37,85,,,fee schedule,85% of CMS fee schedule,163.96,100,,,fee schedule,100% of CMS fee schedule,163.96,100,,,fee schedule,100% of CMS fee schedule,89.76,184.74,
BCR/ABL MRNA DETECTION RT-PCR QUANTITATIVE MONITORING CML,5062557,CDM,310,RC,81207,HCPCS,OUTPATIENT,,,187,149.6,,177.65,95,,142.12,percent of total billed charges,95% of total billed charges,177.13,94.72,,141.7,percent of total billed charges,94.72% of total billed charges,184.74,98.79,,147.79,percent of total billed charges,98.79% of total billed charges,183.26,98,,146.61,percent of total billed charges,98% of total billed charges,183.26,98,,146.61,percent of total billed charges,98% of total billed charges,89.76,48,,71.81,percent of total billed charges,48% of total billed charges,144.84,100,,,fee schedule,100% of CMS fee schedule,123.11,85,,,fee schedule,85% of CMS fee schedule,144.84,100,,,fee schedule,100% of CMS fee schedule,144.84,100,,,fee schedule,100% of CMS fee schedule,89.76,184.74,
Trident Vaginal Panel,5062930,CDM,310,RC,81514,HCPCS,OUTPATIENT,,,332,265.6,,315.4,95,,252.32,percent of total billed charges,95% of total billed charges,314.47,94.72,,251.58,percent of total billed charges,94.72% of total billed charges,327.98,98.79,,262.38,percent of total billed charges,98.79% of total billed charges,325.36,98,,260.29,percent of total billed charges,98% of total billed charges,325.36,98,,260.29,percent of total billed charges,98% of total billed charges,159.36,48,,127.49,percent of total billed charges,48% of total billed charges,262.99,100,,,fee schedule,100% of CMS fee schedule,223.54,85,,,fee schedule,85% of CMS fee schedule,262.99,100,,,fee schedule,100% of CMS fee schedule,262.99,100,,,fee schedule,100% of CMS fee schedule,159.36,327.98,
TISSUE SPECIMEN LEVEL 4,5067005,CDM,310,RC,88305,HCPCS,OUTPATIENT,,,54,43.2,,51.3,95,,41.04,percent of total billed charges,95% of total billed charges,51.15,94.72,,40.92,percent of total billed charges,94.72% of total billed charges,53.35,98.79,,42.68,percent of total billed charges,98.79% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,25.92,48,,20.74,percent of total billed charges,48% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,38.25,,16.53,percent of total billed charges,38.25% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,53.35,
BONE MARROW SMEAR INTERPRETATION,5067021,CDM,310,RC,85097,HCPCS,OUTPATIENT,,,410,328,,389.5,95,,311.6,percent of total billed charges,95% of total billed charges,388.35,94.72,,310.68,percent of total billed charges,94.72% of total billed charges,405.04,98.79,,324.03,percent of total billed charges,98.79% of total billed charges,401.8,98,,321.44,percent of total billed charges,98% of total billed charges,401.8,98,,321.44,percent of total billed charges,98% of total billed charges,196.8,48,,157.44,percent of total billed charges,48% of total billed charges,184.5,45,,147.6,percent of total billed charges,45% of total billed charges,156.83,38.25,,125.46,percent of total billed charges,38.25% of total billed charges,184.5,45,,147.6,percent of total billed charges,45% of total billed charges,184.5,45,,147.6,percent of total billed charges,45% of total billed charges,156.83,405.04,
DECALCIFICATION PROCEDURE,5067024,CDM,310,RC,88311,HCPCS,OUTPATIENT,,,50,40,,47.5,95,,38,percent of total billed charges,95% of total billed charges,47.36,94.72,,37.89,percent of total billed charges,94.72% of total billed charges,49.4,98.79,,39.52,percent of total billed charges,98.79% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,24,48,,19.2,percent of total billed charges,48% of total billed charges,22.5,45,,18,percent of total billed charges,45% of total billed charges,19.13,38.25,,15.3,percent of total billed charges,38.25% of total billed charges,22.5,45,,18,percent of total billed charges,45% of total billed charges,22.5,45,,18,percent of total billed charges,45% of total billed charges,19.13,49.4,
DECALCIFICATION PROCEDURE,5067024,CDM,310,RC,88311,HCPCS,OUTPATIENT,,,53,42.4,,50.35,95,,40.28,percent of total billed charges,95% of total billed charges,50.2,94.72,,40.16,percent of total billed charges,94.72% of total billed charges,52.36,98.79,,41.89,percent of total billed charges,98.79% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,25.44,48,,20.35,percent of total billed charges,48% of total billed charges,23.85,45,,19.08,percent of total billed charges,45% of total billed charges,20.27,38.25,,16.22,percent of total billed charges,38.25% of total billed charges,23.85,45,,19.08,percent of total billed charges,45% of total billed charges,23.85,45,,19.08,percent of total billed charges,45% of total billed charges,20.27,52.36,
CHROM ANAL; 15-20 CELLS,5061423,CDM,311,RC,88262,HCPCS,OUTPATIENT,,,216,172.8,,205.2,95,,164.16,percent of total billed charges,95% of total billed charges,204.6,94.72,,163.68,percent of total billed charges,94.72% of total billed charges,213.39,98.79,,170.71,percent of total billed charges,98.79% of total billed charges,211.68,98,,169.34,percent of total billed charges,98% of total billed charges,211.68,98,,169.34,percent of total billed charges,98% of total billed charges,103.68,48,,82.94,percent of total billed charges,48% of total billed charges,125.49,100,,,fee schedule,100% of CMS fee schedule,106.67,85,,,fee schedule,85% of CMS fee schedule,125.49,100,,,fee schedule,100% of CMS fee schedule,125.49,100,,,fee schedule,100% of CMS fee schedule,103.68,213.39,
88262 CHROM ANAL; 15-20 CELLS,5061423,CDM,311,RC,88262,HCPCS,OUTPATIENT,,,216,172.8,,205.2,95,,164.16,percent of total billed charges,95% of total billed charges,204.6,94.72,,163.68,percent of total billed charges,94.72% of total billed charges,213.39,98.79,,170.71,percent of total billed charges,98.79% of total billed charges,211.68,98,,169.34,percent of total billed charges,98% of total billed charges,211.68,98,,169.34,percent of total billed charges,98% of total billed charges,103.68,48,,82.94,percent of total billed charges,48% of total billed charges,125.49,100,,,fee schedule,100% of CMS fee schedule,106.67,85,,,fee schedule,85% of CMS fee schedule,125.49,100,,,fee schedule,100% of CMS fee schedule,125.49,100,,,fee schedule,100% of CMS fee schedule,103.68,213.39,
CHROM ANAL; 15-20 CELLS,5061423,CDM,311,RC,88262,HCPCS,OUTPATIENT,,,624,499.2,,592.8,95,,474.24,percent of total billed charges,95% of total billed charges,591.05,94.72,,472.84,percent of total billed charges,94.72% of total billed charges,616.45,98.79,,493.16,percent of total billed charges,98.79% of total billed charges,611.52,98,,489.22,percent of total billed charges,98% of total billed charges,611.52,98,,489.22,percent of total billed charges,98% of total billed charges,299.52,48,,239.62,percent of total billed charges,48% of total billed charges,125.49,100,,,fee schedule,100% of CMS fee schedule,106.67,85,,,fee schedule,85% of CMS fee schedule,125.49,100,,,fee schedule,100% of CMS fee schedule,125.49,100,,,fee schedule,100% of CMS fee schedule,106.67,616.45,
FLOW CYTOMETRY LEUKEMIA/LYMPHOMA,5061506,CDM,311,RC,88184,HCPCS,OUTPATIENT,,,496,396.8,,471.2,95,,376.96,percent of total billed charges,95% of total billed charges,469.81,94.72,,375.85,percent of total billed charges,94.72% of total billed charges,490,98.79,,392,percent of total billed charges,98.79% of total billed charges,486.08,98,,388.86,percent of total billed charges,98% of total billed charges,486.08,98,,388.86,percent of total billed charges,98% of total billed charges,238.08,48,,190.46,percent of total billed charges,48% of total billed charges,223.2,45,,178.56,percent of total billed charges,45% of total billed charges,189.72,38.25,,151.78,percent of total billed charges,38.25% of total billed charges,223.2,45,,178.56,percent of total billed charges,45% of total billed charges,223.2,45,,178.56,percent of total billed charges,45% of total billed charges,189.72,490,
MCG DNA PROBE EA,5061724,CDM,311,RC,88271,HCPCS,OUTPATIENT,,,79,63.2,,75.05,95,,60.04,percent of total billed charges,95% of total billed charges,74.83,94.72,,59.86,percent of total billed charges,94.72% of total billed charges,78.04,98.79,,62.43,percent of total billed charges,98.79% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,37.92,48,,30.34,percent of total billed charges,48% of total billed charges,21.42,100,,,fee schedule,100% of CMS fee schedule,18.21,85,,,fee schedule,85% of CMS fee schedule,21.42,100,,,fee schedule,100% of CMS fee schedule,21.42,100,,,fee schedule,100% of CMS fee schedule,18.21,78.04,
MCG SITU HYBRID 10 30 CELLS,5061725,CDM,311,RC,88273,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,34.81,100,,,fee schedule,100% of CMS fee schedule,29.59,85,,,fee schedule,85% of CMS fee schedule,34.81,100,,,fee schedule,100% of CMS fee schedule,34.81,100,,,fee schedule,100% of CMS fee schedule,29.59,118.55,
MCG IN  SITU 100 300 CELLS FISH,5061726,CDM,311,RC,88275,HCPCS,OUTPATIENT,,,151,120.8,,143.45,95,,114.76,percent of total billed charges,95% of total billed charges,143.03,94.72,,114.42,percent of total billed charges,94.72% of total billed charges,149.17,98.79,,119.34,percent of total billed charges,98.79% of total billed charges,147.98,98,,118.38,percent of total billed charges,98% of total billed charges,147.98,98,,118.38,percent of total billed charges,98% of total billed charges,72.48,48,,57.98,percent of total billed charges,48% of total billed charges,51.19,100,,,fee schedule,100% of CMS fee schedule,43.51,85,,,fee schedule,85% of CMS fee schedule,51.19,100,,,fee schedule,100% of CMS fee schedule,51.19,100,,,fee schedule,100% of CMS fee schedule,43.51,149.17,
88275 MCG IN  SITU 100 300 CELLS FISH,5061726,CDM,311,RC,88275,HCPCS,OUTPATIENT,,,151,120.8,,143.45,95,,114.76,percent of total billed charges,95% of total billed charges,143.03,94.72,,114.42,percent of total billed charges,94.72% of total billed charges,149.17,98.79,,119.34,percent of total billed charges,98.79% of total billed charges,147.98,98,,118.38,percent of total billed charges,98% of total billed charges,147.98,98,,118.38,percent of total billed charges,98% of total billed charges,72.48,48,,57.98,percent of total billed charges,48% of total billed charges,51.19,100,,,fee schedule,100% of CMS fee schedule,43.51,85,,,fee schedule,85% of CMS fee schedule,51.19,100,,,fee schedule,100% of CMS fee schedule,51.19,100,,,fee schedule,100% of CMS fee schedule,43.51,149.17,
CG MCG INT REP,5061727,CDM,311,RC,88291,HCPCS,OUTPATIENT,,,67,53.6,,63.65,95,,50.92,percent of total billed charges,95% of total billed charges,63.46,94.72,,50.77,percent of total billed charges,94.72% of total billed charges,66.19,98.79,,52.95,percent of total billed charges,98.79% of total billed charges,65.66,98,,52.53,percent of total billed charges,98% of total billed charges,65.66,98,,52.53,percent of total billed charges,98% of total billed charges,32.16,48,,25.73,percent of total billed charges,48% of total billed charges,30.15,45,,24.12,percent of total billed charges,45% of total billed charges,25.63,38.25,,20.5,percent of total billed charges,38.25% of total billed charges,30.15,45,,24.12,percent of total billed charges,45% of total billed charges,30.15,45,,24.12,percent of total billed charges,45% of total billed charges,25.63,66.19,
88291 CG MCG INT REP,5061727,CDM,311,RC,88291,HCPCS,OUTPATIENT,,,67,53.6,,63.65,95,,50.92,percent of total billed charges,95% of total billed charges,63.46,94.72,,50.77,percent of total billed charges,94.72% of total billed charges,66.19,98.79,,52.95,percent of total billed charges,98.79% of total billed charges,65.66,98,,52.53,percent of total billed charges,98% of total billed charges,65.66,98,,52.53,percent of total billed charges,98% of total billed charges,32.16,48,,25.73,percent of total billed charges,48% of total billed charges,30.15,45,,24.12,percent of total billed charges,45% of total billed charges,25.63,38.25,,20.5,percent of total billed charges,38.25% of total billed charges,30.15,45,,24.12,percent of total billed charges,45% of total billed charges,30.15,45,,24.12,percent of total billed charges,45% of total billed charges,25.63,66.19,
TISSUE CULTURE LYMPHOCYTE,5061728,CDM,311,RC,88230,HCPCS,OUTPATIENT,,,204,163.2,,193.8,95,,155.04,percent of total billed charges,95% of total billed charges,193.23,94.72,,154.58,percent of total billed charges,94.72% of total billed charges,201.53,98.79,,161.22,percent of total billed charges,98.79% of total billed charges,199.92,98,,159.94,percent of total billed charges,98% of total billed charges,199.92,98,,159.94,percent of total billed charges,98% of total billed charges,97.92,48,,78.34,percent of total billed charges,48% of total billed charges,116.49,100,,,fee schedule,100% of CMS fee schedule,99.02,85,,,fee schedule,85% of CMS fee schedule,116.49,100,,,fee schedule,100% of CMS fee schedule,116.49,100,,,fee schedule,100% of CMS fee schedule,97.92,201.53,
88230 TISSUE CULTURE LYMPHOCYTE,5061728,CDM,311,RC,88230,HCPCS,OUTPATIENT,,,204,163.2,,193.8,95,,155.04,percent of total billed charges,95% of total billed charges,193.23,94.72,,154.58,percent of total billed charges,94.72% of total billed charges,201.53,98.79,,161.22,percent of total billed charges,98.79% of total billed charges,199.92,98,,159.94,percent of total billed charges,98% of total billed charges,199.92,98,,159.94,percent of total billed charges,98% of total billed charges,97.92,48,,78.34,percent of total billed charges,48% of total billed charges,116.49,100,,,fee schedule,100% of CMS fee schedule,99.02,85,,,fee schedule,85% of CMS fee schedule,116.49,100,,,fee schedule,100% of CMS fee schedule,116.49,100,,,fee schedule,100% of CMS fee schedule,97.92,201.53,
CHROM ANAL ADDTL HIGH RESOLN,5061732,CDM,311,RC,88289,HCPCS,OUTPATIENT,,,161,128.8,,152.95,95,,122.36,percent of total billed charges,95% of total billed charges,152.5,94.72,,122,percent of total billed charges,94.72% of total billed charges,159.05,98.79,,127.24,percent of total billed charges,98.79% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,77.28,48,,61.82,percent of total billed charges,48% of total billed charges,34.43,100,,,fee schedule,100% of CMS fee schedule,29.27,85,,,fee schedule,85% of CMS fee schedule,34.43,100,,,fee schedule,100% of CMS fee schedule,34.43,100,,,fee schedule,100% of CMS fee schedule,29.27,159.05,
CHROM ANAL ADDTL KARYOTYPES EA,5061733,CDM,311,RC,88280,HCPCS,OUTPATIENT,,,37,29.6,,35.15,95,,28.12,percent of total billed charges,95% of total billed charges,35.05,94.72,,28.04,percent of total billed charges,94.72% of total billed charges,36.55,98.79,,29.24,percent of total billed charges,98.79% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,36.26,98,,29.01,percent of total billed charges,98% of total billed charges,17.76,48,,14.21,percent of total billed charges,48% of total billed charges,33.47,100,,,fee schedule,100% of CMS fee schedule,28.45,85,,,fee schedule,85% of CMS fee schedule,33.47,100,,,fee schedule,100% of CMS fee schedule,33.47,100,,,fee schedule,100% of CMS fee schedule,17.76,36.55,
CHROM ANAL 5 CELLS,5061734,CDM,311,RC,88261,HCPCS,OUTPATIENT,,,277,221.6,,263.15,95,,210.52,percent of total billed charges,95% of total billed charges,262.37,94.72,,209.9,percent of total billed charges,94.72% of total billed charges,273.65,98.79,,218.92,percent of total billed charges,98.79% of total billed charges,271.46,98,,217.17,percent of total billed charges,98% of total billed charges,271.46,98,,217.17,percent of total billed charges,98% of total billed charges,132.96,48,,106.37,percent of total billed charges,48% of total billed charges,264.34,100,,,fee schedule,100% of CMS fee schedule,224.69,85,,,fee schedule,85% of CMS fee schedule,264.34,100,,,fee schedule,100% of CMS fee schedule,264.34,100,,,fee schedule,100% of CMS fee schedule,132.96,273.65,
CHROMOSOME ANALYSIS HIGH RESOLUTION,5061736,CDM,311,RC,88289,HCPCS,OUTPATIENT,,,61,48.8,,57.95,95,,46.36,percent of total billed charges,95% of total billed charges,57.78,94.72,,46.22,percent of total billed charges,94.72% of total billed charges,60.26,98.79,,48.21,percent of total billed charges,98.79% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,29.28,48,,23.42,percent of total billed charges,48% of total billed charges,34.43,100,,,fee schedule,100% of CMS fee schedule,29.27,85,,,fee schedule,85% of CMS fee schedule,34.43,100,,,fee schedule,100% of CMS fee schedule,34.43,100,,,fee schedule,100% of CMS fee schedule,29.27,60.26,
B-CELLS,5061936,CDM,311,RC,86355,HCPCS,OUTPATIENT,,,274,219.2,,260.3,95,,208.24,percent of total billed charges,95% of total billed charges,259.53,94.72,,207.62,percent of total billed charges,94.72% of total billed charges,270.68,98.79,,216.54,percent of total billed charges,98.79% of total billed charges,268.52,98,,214.82,percent of total billed charges,98% of total billed charges,268.52,98,,214.82,percent of total billed charges,98% of total billed charges,131.52,48,,105.22,percent of total billed charges,48% of total billed charges,37.73,100,,,fee schedule,100% of CMS fee schedule,32.07,85,,,fee schedule,85% of CMS fee schedule,37.73,100,,,fee schedule,100% of CMS fee schedule,37.73,100,,,fee schedule,100% of CMS fee schedule,32.07,270.68,
TISSUE CULTURE NEOPLASTIC BM/BD,5062034,CDM,311,RC,88237,HCPCS,OUTPATIENT,,,188,150.4,,178.6,95,,142.88,percent of total billed charges,95% of total billed charges,178.07,94.72,,142.46,percent of total billed charges,94.72% of total billed charges,185.73,98.79,,148.58,percent of total billed charges,98.79% of total billed charges,184.24,98,,147.39,percent of total billed charges,98% of total billed charges,184.24,98,,147.39,percent of total billed charges,98% of total billed charges,90.24,48,,72.19,percent of total billed charges,48% of total billed charges,143.75,100,,,fee schedule,100% of CMS fee schedule,122.19,85,,,fee schedule,85% of CMS fee schedule,143.75,100,,,fee schedule,100% of CMS fee schedule,143.75,100,,,fee schedule,100% of CMS fee schedule,90.24,185.73,
PAP SMEAR THIN PREP,5062073,CDM,311,RC,88175,HCPCS,OUTPATIENT,,,109,87.2,,103.55,95,,82.84,percent of total billed charges,95% of total billed charges,103.24,94.72,,82.59,percent of total billed charges,94.72% of total billed charges,107.68,98.79,,86.14,percent of total billed charges,98.79% of total billed charges,106.82,98,,85.46,percent of total billed charges,98% of total billed charges,106.82,98,,85.46,percent of total billed charges,98% of total billed charges,52.32,48,,41.86,percent of total billed charges,48% of total billed charges,26.61,100,,,fee schedule,100% of CMS fee schedule,22.62,85,,,fee schedule,85% of CMS fee schedule,26.61,100,,,fee schedule,100% of CMS fee schedule,26.61,100,,,fee schedule,100% of CMS fee schedule,22.62,107.68,
MC INTERPHASE IN-SITY 25-99 CELLS,5062081,CDM,311,RC,88274,HCPCS,OUTPATIENT,,,112,89.6,,106.4,95,,85.12,percent of total billed charges,95% of total billed charges,106.09,94.72,,84.87,percent of total billed charges,94.72% of total billed charges,110.64,98.79,,88.51,percent of total billed charges,98.79% of total billed charges,109.76,98,,87.81,percent of total billed charges,98% of total billed charges,109.76,98,,87.81,percent of total billed charges,98% of total billed charges,53.76,48,,43.01,percent of total billed charges,48% of total billed charges,42.38,100,,,fee schedule,100% of CMS fee schedule,36.02,85,,,fee schedule,85% of CMS fee schedule,42.38,100,,,fee schedule,100% of CMS fee schedule,42.38,100,,,fee schedule,100% of CMS fee schedule,36.02,110.64,
CHROMOSOME ANALYSIS 20-25 CELLS,5062146,CDM,311,RC,88264,HCPCS,OUTPATIENT,,,264,211.2,,250.8,95,,200.64,percent of total billed charges,95% of total billed charges,250.06,94.72,,200.05,percent of total billed charges,94.72% of total billed charges,260.81,98.79,,208.65,percent of total billed charges,98.79% of total billed charges,258.72,98,,206.98,percent of total billed charges,98% of total billed charges,258.72,98,,206.98,percent of total billed charges,98% of total billed charges,126.72,48,,101.38,percent of total billed charges,48% of total billed charges,144.61,100,,,fee schedule,100% of CMS fee schedule,122.92,85,,,fee schedule,85% of CMS fee schedule,144.61,100,,,fee schedule,100% of CMS fee schedule,144.61,100,,,fee schedule,100% of CMS fee schedule,122.92,260.81,
NGSAM NGS ACUTE MYELOID LEUKEMIA,5062312,CDM,311,RC,81450,HCPCS,OUTPATIENT,,,2401,1920.8,,2280.95,95,,1824.76,percent of total billed charges,95% of total billed charges,2274.23,94.72,,1819.38,percent of total billed charges,94.72% of total billed charges,2371.95,98.79,,1897.56,percent of total billed charges,98.79% of total billed charges,2352.98,98,,1882.38,percent of total billed charges,98% of total billed charges,2352.98,98,,1882.38,percent of total billed charges,98% of total billed charges,1152.48,48,,921.98,percent of total billed charges,48% of total billed charges,759.53,100,,,fee schedule,100% of CMS fee schedule,645.6,85,,,fee schedule,85% of CMS fee schedule,759.53,100,,,fee schedule,100% of CMS fee schedule,759.53,100,,,fee schedule,100% of CMS fee schedule,645.6,2371.95,
BRCA 1 AND 2 COMPREHENSIVE ANALYSIS,5062322,CDM,311,RC,81162,HCPCS,OUTPATIENT,,,1804,1443.2,,1713.8,95,,1371.04,percent of total billed charges,95% of total billed charges,1708.75,94.72,,1367,percent of total billed charges,94.72% of total billed charges,1782.17,98.79,,1425.74,percent of total billed charges,98.79% of total billed charges,1767.92,98,,1414.34,percent of total billed charges,98% of total billed charges,1767.92,98,,1414.34,percent of total billed charges,98% of total billed charges,865.92,48,,692.74,percent of total billed charges,48% of total billed charges,1824.88,100,,,fee schedule,100% of CMS fee schedule,1551.15,85,,,fee schedule,85% of CMS fee schedule,1824.88,100,,,fee schedule,100% of CMS fee schedule,1824.88,100,,,fee schedule,100% of CMS fee schedule,865.92,1824.88,
REFLEX BRCA 1 TARGETED ANALYSIS,5062323,CDM,311,RC,81215,HCPCS,OUTPATIENT,,,360,288,,342,95,,273.6,percent of total billed charges,95% of total billed charges,340.99,94.72,,272.79,percent of total billed charges,94.72% of total billed charges,355.64,98.79,,284.51,percent of total billed charges,98.79% of total billed charges,352.8,98,,282.24,percent of total billed charges,98% of total billed charges,352.8,98,,282.24,percent of total billed charges,98% of total billed charges,172.8,48,,138.24,percent of total billed charges,48% of total billed charges,375.25,100,,,fee schedule,100% of CMS fee schedule,318.96,85,,,fee schedule,85% of CMS fee schedule,375.25,100,,,fee schedule,100% of CMS fee schedule,375.25,100,,,fee schedule,100% of CMS fee schedule,172.8,375.25,
BRCA 2 UNCOMMON,5064029,CDM,311,RC,81213,HCPCS,OUTPATIENT,,,1174,939.2,,1115.3,95,,892.24,percent of total billed charges,95% of total billed charges,1112.01,94.72,,889.61,percent of total billed charges,94.72% of total billed charges,1159.79,98.79,,927.83,percent of total billed charges,98.79% of total billed charges,1150.52,98,,920.42,percent of total billed charges,98% of total billed charges,1150.52,98,,920.42,percent of total billed charges,98% of total billed charges,563.52,48,,450.82,percent of total billed charges,48% of total billed charges,528.3,45,,422.64,percent of total billed charges,45% of total billed charges,449.06,38.25,,359.25,percent of total billed charges,38.25% of total billed charges,528.3,45,,422.64,percent of total billed charges,45% of total billed charges,528.3,45,,422.64,percent of total billed charges,45% of total billed charges,449.06,1159.79,
81213 BRCA 2 UNCOMMON,5064029,CDM,311,RC,81213,HCPCS,OUTPATIENT,,,1174,939.2,,1115.3,95,,892.24,percent of total billed charges,95% of total billed charges,1112.01,94.72,,889.61,percent of total billed charges,94.72% of total billed charges,1159.79,98.79,,927.83,percent of total billed charges,98.79% of total billed charges,1150.52,98,,920.42,percent of total billed charges,98% of total billed charges,1150.52,98,,920.42,percent of total billed charges,98% of total billed charges,563.52,48,,450.82,percent of total billed charges,48% of total billed charges,528.3,45,,422.64,percent of total billed charges,45% of total billed charges,449.06,38.25,,359.25,percent of total billed charges,38.25% of total billed charges,528.3,45,,422.64,percent of total billed charges,45% of total billed charges,528.3,45,,422.64,percent of total billed charges,45% of total billed charges,449.06,1159.79,
CYTOLOGY NON GYN,5067001,CDM,311,RC,88108,HCPCS,OUTPATIENT,,,584,467.2,,554.8,95,,443.84,percent of total billed charges,95% of total billed charges,553.16,94.72,,442.53,percent of total billed charges,94.72% of total billed charges,576.93,98.79,,461.54,percent of total billed charges,98.79% of total billed charges,572.32,98,,457.86,percent of total billed charges,98% of total billed charges,572.32,98,,457.86,percent of total billed charges,98% of total billed charges,280.32,48,,224.26,percent of total billed charges,48% of total billed charges,262.8,45,,210.24,percent of total billed charges,45% of total billed charges,223.38,38.25,,178.7,percent of total billed charges,38.25% of total billed charges,262.8,45,,210.24,percent of total billed charges,45% of total billed charges,262.8,45,,210.24,percent of total billed charges,45% of total billed charges,223.38,576.93,
PAP SMEAR DIAGNOSTIC,5067006,CDM,311,RC,88142,HCPCS,OUTPATIENT,,,48,38.4,,45.6,95,,36.48,percent of total billed charges,95% of total billed charges,45.47,94.72,,36.38,percent of total billed charges,94.72% of total billed charges,47.42,98.79,,37.94,percent of total billed charges,98.79% of total billed charges,47.04,98,,37.63,percent of total billed charges,98% of total billed charges,47.04,98,,37.63,percent of total billed charges,98% of total billed charges,23.04,48,,18.43,percent of total billed charges,48% of total billed charges,20.26,100,,,fee schedule,100% of CMS fee schedule,17.22,85,,,fee schedule,85% of CMS fee schedule,20.26,100,,,fee schedule,100% of CMS fee schedule,20.26,100,,,fee schedule,100% of CMS fee schedule,17.22,47.42,
CYTOLOGY FINE NEEDLE ASPIRATION,5067014,CDM,311,RC,88173,HCPCS,OUTPATIENT,,,54,43.2,,51.3,95,,41.04,percent of total billed charges,95% of total billed charges,51.15,94.72,,40.92,percent of total billed charges,94.72% of total billed charges,53.35,98.79,,42.68,percent of total billed charges,98.79% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,25.92,48,,20.74,percent of total billed charges,48% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,38.25,,16.53,percent of total billed charges,38.25% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,53.35,
CYTOLOGY FNA (MAYO),5067022,CDM,311,RC,88173,HCPCS,OUTPATIENT,,,482,385.6,,457.9,95,,366.32,percent of total billed charges,95% of total billed charges,456.55,94.72,,365.24,percent of total billed charges,94.72% of total billed charges,476.17,98.79,,380.94,percent of total billed charges,98.79% of total billed charges,472.36,98,,377.89,percent of total billed charges,98% of total billed charges,472.36,98,,377.89,percent of total billed charges,98% of total billed charges,231.36,48,,185.09,percent of total billed charges,48% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,184.37,38.25,,147.5,percent of total billed charges,38.25% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,184.37,476.17,
CYTOLOGY THIN PREP NON GYN,5067027,CDM,311,RC,88112,HCPCS,OUTPATIENT,,,236,188.8,,224.2,95,,179.36,percent of total billed charges,95% of total billed charges,223.54,94.72,,178.83,percent of total billed charges,94.72% of total billed charges,233.14,98.79,,186.51,percent of total billed charges,98.79% of total billed charges,231.28,98,,185.02,percent of total billed charges,98% of total billed charges,231.28,98,,185.02,percent of total billed charges,98% of total billed charges,113.28,48,,90.62,percent of total billed charges,48% of total billed charges,106.2,45,,84.96,percent of total billed charges,45% of total billed charges,90.27,38.25,,72.22,percent of total billed charges,38.25% of total billed charges,106.2,45,,84.96,percent of total billed charges,45% of total billed charges,106.2,45,,84.96,percent of total billed charges,45% of total billed charges,90.27,233.14,
CYTOLOGY THIN PREP NON GYN,5067027,CDM,311,RC,88112,HCPCS,OUTPATIENT,,,244,195.2,,231.8,95,,185.44,percent of total billed charges,95% of total billed charges,231.12,94.72,,184.9,percent of total billed charges,94.72% of total billed charges,241.05,98.79,,192.84,percent of total billed charges,98.79% of total billed charges,239.12,98,,191.3,percent of total billed charges,98% of total billed charges,239.12,98,,191.3,percent of total billed charges,98% of total billed charges,117.12,48,,93.7,percent of total billed charges,48% of total billed charges,109.8,45,,87.84,percent of total billed charges,45% of total billed charges,93.33,38.25,,74.66,percent of total billed charges,38.25% of total billed charges,109.8,45,,87.84,percent of total billed charges,45% of total billed charges,109.8,45,,87.84,percent of total billed charges,45% of total billed charges,93.33,241.05,
IMMUNO HISTO AB STAINING (MULTIPLEX),5062034,CDM,312,RC,88344,HCPCS,OUTPATIENT,,,224,179.2,,212.8,95,,170.24,percent of total billed charges,95% of total billed charges,212.17,94.72,,169.74,percent of total billed charges,94.72% of total billed charges,221.29,98.79,,177.03,percent of total billed charges,98.79% of total billed charges,219.52,98,,175.62,percent of total billed charges,98% of total billed charges,219.52,98,,175.62,percent of total billed charges,98% of total billed charges,107.52,48,,86.02,percent of total billed charges,48% of total billed charges,100.8,45,,80.64,percent of total billed charges,45% of total billed charges,85.68,38.25,,68.54,percent of total billed charges,38.25% of total billed charges,100.8,45,,80.64,percent of total billed charges,45% of total billed charges,100.8,45,,80.64,percent of total billed charges,45% of total billed charges,85.68,221.29,
CHROMOSOME ANALYSIS 45 CELLS,5062083,CDM,312,RC,88263,HCPCS,OUTPATIENT,,,301,240.8,,285.95,95,,228.76,percent of total billed charges,95% of total billed charges,285.11,94.72,,228.09,percent of total billed charges,94.72% of total billed charges,297.36,98.79,,237.89,percent of total billed charges,98.79% of total billed charges,294.98,98,,235.98,percent of total billed charges,98% of total billed charges,294.98,98,,235.98,percent of total billed charges,98% of total billed charges,144.48,48,,115.58,percent of total billed charges,48% of total billed charges,150.29,100,,,fee schedule,100% of CMS fee schedule,127.75,85,,,fee schedule,85% of CMS fee schedule,150.29,100,,,fee schedule,100% of CMS fee schedule,150.29,100,,,fee schedule,100% of CMS fee schedule,127.75,297.36,
IN-SITU HYBRISIDATION(FISH) PROBE STAIN,5062265,CDM,312,RC,88265,HCPCS,OUTPATIENT,,,118,94.4,,112.1,95,,89.68,percent of total billed charges,95% of total billed charges,111.77,94.72,,89.42,percent of total billed charges,94.72% of total billed charges,116.57,98.79,,93.26,percent of total billed charges,98.79% of total billed charges,115.64,98,,92.51,percent of total billed charges,98% of total billed charges,115.64,98,,92.51,percent of total billed charges,98% of total billed charges,56.64,48,,45.31,percent of total billed charges,48% of total billed charges,53.1,45,,42.48,percent of total billed charges,45% of total billed charges,45.14,38.25,,36.11,percent of total billed charges,38.25% of total billed charges,53.1,45,,42.48,percent of total billed charges,45% of total billed charges,53.1,45,,42.48,percent of total billed charges,45% of total billed charges,45.14,116.57,
IN-SITU HYBRIDIZATION (FISH) ST ADDL,5062266,CDM,312,RC,88364,HCPCS,OUTPATIENT,,,114,91.2,,108.3,95,,86.64,percent of total billed charges,95% of total billed charges,107.98,94.72,,86.38,percent of total billed charges,94.72% of total billed charges,112.62,98.79,,90.1,percent of total billed charges,98.79% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,111.72,98,,89.38,percent of total billed charges,98% of total billed charges,54.72,48,,43.78,percent of total billed charges,48% of total billed charges,51.3,45,,41.04,percent of total billed charges,45% of total billed charges,43.61,38.25,,34.89,percent of total billed charges,38.25% of total billed charges,51.3,45,,41.04,percent of total billed charges,45% of total billed charges,51.3,45,,41.04,percent of total billed charges,45% of total billed charges,43.61,112.62,
TISSUE SPECIMEN LEVEL 1 GROSS ONLY,5067004,CDM,312,RC,88300,HCPCS,OUTPATIENT,,,70,56,,66.5,95,,53.2,percent of total billed charges,95% of total billed charges,66.3,94.72,,53.04,percent of total billed charges,94.72% of total billed charges,69.15,98.79,,55.32,percent of total billed charges,98.79% of total billed charges,68.6,98,,54.88,percent of total billed charges,98% of total billed charges,68.6,98,,54.88,percent of total billed charges,98% of total billed charges,33.6,48,,26.88,percent of total billed charges,48% of total billed charges,31.5,45,,25.2,percent of total billed charges,45% of total billed charges,26.78,38.25,,21.42,percent of total billed charges,38.25% of total billed charges,31.5,45,,25.2,percent of total billed charges,45% of total billed charges,31.5,45,,25.2,percent of total billed charges,45% of total billed charges,26.78,69.15,
TISSUE SPECIMEN LEVEL 2,5067007,CDM,312,RC,88302,HCPCS,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,19.35,45,,15.48,percent of total billed charges,45% of total billed charges,16.45,38.25,,13.16,percent of total billed charges,38.25% of total billed charges,19.35,45,,15.48,percent of total billed charges,45% of total billed charges,19.35,45,,15.48,percent of total billed charges,45% of total billed charges,16.45,42.48,
TISSUE SPECIMEN LEVEL 2,5067007,CDM,312,RC,88302,HCPCS,OUTPATIENT,,,74,59.2,,70.3,95,,56.24,percent of total billed charges,95% of total billed charges,70.09,94.72,,56.07,percent of total billed charges,94.72% of total billed charges,73.1,98.79,,58.48,percent of total billed charges,98.79% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,35.52,48,,28.42,percent of total billed charges,48% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,38.25,,22.65,percent of total billed charges,38.25% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,73.1,
TISSUE SPECIMEN LEVEL 3,5067008,CDM,312,RC,88304,HCPCS,OUTPATIENT,,,45,36,,42.75,95,,34.2,percent of total billed charges,95% of total billed charges,42.62,94.72,,34.1,percent of total billed charges,94.72% of total billed charges,44.46,98.79,,35.57,percent of total billed charges,98.79% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,21.6,48,,17.28,percent of total billed charges,48% of total billed charges,20.25,45,,16.2,percent of total billed charges,45% of total billed charges,17.21,38.25,,13.77,percent of total billed charges,38.25% of total billed charges,20.25,45,,16.2,percent of total billed charges,45% of total billed charges,20.25,45,,16.2,percent of total billed charges,45% of total billed charges,17.21,44.46,
TISSUE SPECIMEN LEVEL 3,5067008,CDM,312,RC,88304,HCPCS,OUTPATIENT,,,47,37.6,,44.65,95,,35.72,percent of total billed charges,95% of total billed charges,44.52,94.72,,35.62,percent of total billed charges,94.72% of total billed charges,46.43,98.79,,37.14,percent of total billed charges,98.79% of total billed charges,46.06,98,,36.85,percent of total billed charges,98% of total billed charges,46.06,98,,36.85,percent of total billed charges,98% of total billed charges,22.56,48,,18.05,percent of total billed charges,48% of total billed charges,21.15,45,,16.92,percent of total billed charges,45% of total billed charges,17.98,38.25,,14.38,percent of total billed charges,38.25% of total billed charges,21.15,45,,16.92,percent of total billed charges,45% of total billed charges,21.15,45,,16.92,percent of total billed charges,45% of total billed charges,17.98,46.43,
TISSUE SPECIMEN LEVEL 5,5067009,CDM,312,RC,88307,HCPCS,OUTPATIENT,,,198,158.4,,188.1,95,,150.48,percent of total billed charges,95% of total billed charges,187.55,94.72,,150.04,percent of total billed charges,94.72% of total billed charges,195.6,98.79,,156.48,percent of total billed charges,98.79% of total billed charges,194.04,98,,155.23,percent of total billed charges,98% of total billed charges,194.04,98,,155.23,percent of total billed charges,98% of total billed charges,95.04,48,,76.03,percent of total billed charges,48% of total billed charges,89.1,45,,71.28,percent of total billed charges,45% of total billed charges,75.74,38.25,,60.59,percent of total billed charges,38.25% of total billed charges,89.1,45,,71.28,percent of total billed charges,45% of total billed charges,89.1,45,,71.28,percent of total billed charges,45% of total billed charges,75.74,195.6,
TISSUE SPECIMEN LEVEL 6,5067010,CDM,312,RC,88309,HCPCS,OUTPATIENT,,,506,404.8,,480.7,95,,384.56,percent of total billed charges,95% of total billed charges,479.28,94.72,,383.42,percent of total billed charges,94.72% of total billed charges,499.88,98.79,,399.9,percent of total billed charges,98.79% of total billed charges,495.88,98,,396.7,percent of total billed charges,98% of total billed charges,495.88,98,,396.7,percent of total billed charges,98% of total billed charges,242.88,48,,194.3,percent of total billed charges,48% of total billed charges,227.7,45,,182.16,percent of total billed charges,45% of total billed charges,193.55,38.25,,154.84,percent of total billed charges,38.25% of total billed charges,227.7,45,,182.16,percent of total billed charges,45% of total billed charges,227.7,45,,182.16,percent of total billed charges,45% of total billed charges,193.55,499.88,
SPECIAL DIFF QUIK,5067011,CDM,312,RC,88312,HCPCS,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,19.35,45,,15.48,percent of total billed charges,45% of total billed charges,16.45,38.25,,13.16,percent of total billed charges,38.25% of total billed charges,19.35,45,,15.48,percent of total billed charges,45% of total billed charges,19.35,45,,15.48,percent of total billed charges,45% of total billed charges,16.45,42.48,
SPECIAL DIFF QUIK,5067011,CDM,312,RC,88312,HCPCS,OUTPATIENT,,,44,35.2,,41.8,95,,33.44,percent of total billed charges,95% of total billed charges,41.68,94.72,,33.34,percent of total billed charges,94.72% of total billed charges,43.47,98.79,,34.78,percent of total billed charges,98.79% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,43.12,98,,34.5,percent of total billed charges,98% of total billed charges,21.12,48,,16.9,percent of total billed charges,48% of total billed charges,19.8,45,,15.84,percent of total billed charges,45% of total billed charges,16.83,38.25,,13.46,percent of total billed charges,38.25% of total billed charges,19.8,45,,15.84,percent of total billed charges,45% of total billed charges,19.8,45,,15.84,percent of total billed charges,45% of total billed charges,16.83,43.47,
SPEC IMM STAIN,5067012,CDM,312,RC,88342,HCPCS,OUTPATIENT,,,198,158.4,,188.1,95,,150.48,percent of total billed charges,95% of total billed charges,187.55,94.72,,150.04,percent of total billed charges,94.72% of total billed charges,195.6,98.79,,156.48,percent of total billed charges,98.79% of total billed charges,194.04,98,,155.23,percent of total billed charges,98% of total billed charges,194.04,98,,155.23,percent of total billed charges,98% of total billed charges,95.04,48,,76.03,percent of total billed charges,48% of total billed charges,89.1,45,,71.28,percent of total billed charges,45% of total billed charges,75.74,38.25,,60.59,percent of total billed charges,38.25% of total billed charges,89.1,45,,71.28,percent of total billed charges,45% of total billed charges,89.1,45,,71.28,percent of total billed charges,45% of total billed charges,75.74,195.6,
SPEC IMM STAIN,5067012,CDM,312,RC,88342,HCPCS,OUTPATIENT,,,205,164,,194.75,95,,155.8,percent of total billed charges,95% of total billed charges,194.18,94.72,,155.34,percent of total billed charges,94.72% of total billed charges,202.52,98.79,,162.02,percent of total billed charges,98.79% of total billed charges,200.9,98,,160.72,percent of total billed charges,98% of total billed charges,200.9,98,,160.72,percent of total billed charges,98% of total billed charges,98.4,48,,78.72,percent of total billed charges,48% of total billed charges,92.25,45,,73.8,percent of total billed charges,45% of total billed charges,78.41,38.25,,62.73,percent of total billed charges,38.25% of total billed charges,92.25,45,,73.8,percent of total billed charges,45% of total billed charges,92.25,45,,73.8,percent of total billed charges,45% of total billed charges,78.41,202.52,
STAIN SILVER,5067013,CDM,312,RC,88312,HCPCS,OUTPATIENT,,,48,38.4,,45.6,95,,36.48,percent of total billed charges,95% of total billed charges,45.47,94.72,,36.38,percent of total billed charges,94.72% of total billed charges,47.42,98.79,,37.94,percent of total billed charges,98.79% of total billed charges,47.04,98,,37.63,percent of total billed charges,98% of total billed charges,47.04,98,,37.63,percent of total billed charges,98% of total billed charges,23.04,48,,18.43,percent of total billed charges,48% of total billed charges,21.6,45,,17.28,percent of total billed charges,45% of total billed charges,18.36,38.25,,14.69,percent of total billed charges,38.25% of total billed charges,21.6,45,,17.28,percent of total billed charges,45% of total billed charges,21.6,45,,17.28,percent of total billed charges,45% of total billed charges,18.36,47.42,
STAIN TRICHROME,5067018,CDM,312,RC,88313,HCPCS,OUTPATIENT,,,42,33.6,,39.9,95,,31.92,percent of total billed charges,95% of total billed charges,39.78,94.72,,31.82,percent of total billed charges,94.72% of total billed charges,41.49,98.79,,33.19,percent of total billed charges,98.79% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,20.16,48,,16.13,percent of total billed charges,48% of total billed charges,18.9,45,,15.12,percent of total billed charges,45% of total billed charges,16.07,38.25,,12.86,percent of total billed charges,38.25% of total billed charges,18.9,45,,15.12,percent of total billed charges,45% of total billed charges,18.9,45,,15.12,percent of total billed charges,45% of total billed charges,16.07,41.49,
STAIN RETICULUM,5067019,CDM,312,RC,88313,HCPCS,OUTPATIENT,,,42,33.6,,39.9,95,,31.92,percent of total billed charges,95% of total billed charges,39.78,94.72,,31.82,percent of total billed charges,94.72% of total billed charges,41.49,98.79,,33.19,percent of total billed charges,98.79% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,20.16,48,,16.13,percent of total billed charges,48% of total billed charges,18.9,45,,15.12,percent of total billed charges,45% of total billed charges,16.07,38.25,,12.86,percent of total billed charges,38.25% of total billed charges,18.9,45,,15.12,percent of total billed charges,45% of total billed charges,18.9,45,,15.12,percent of total billed charges,45% of total billed charges,16.07,41.49,
A/C JOINTS,130100,CDM,320,RC,73050,HCPCS,OUTPATIENT,,,190,152,,180.5,95,,144.4,percent of total billed charges,95% of total billed charges,179.97,94.72,,143.98,percent of total billed charges,94.72% of total billed charges,187.7,98.79,,150.16,percent of total billed charges,98.79% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,91.2,48,,72.96,percent of total billed charges,48% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,38.25,,58.14,percent of total billed charges,38.25% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,187.7,
ABD SINGLE,130102,CDM,320,RC,74018,HCPCS,OUTPATIENT,,,153,122.4,,145.35,95,,116.28,percent of total billed charges,95% of total billed charges,144.92,94.72,,115.94,percent of total billed charges,94.72% of total billed charges,151.15,98.79,,120.92,percent of total billed charges,98.79% of total billed charges,149.94,98,,119.95,percent of total billed charges,98% of total billed charges,149.94,98,,119.95,percent of total billed charges,98% of total billed charges,73.44,48,,58.75,percent of total billed charges,48% of total billed charges,68.85,45,,55.08,percent of total billed charges,45% of total billed charges,58.52,38.25,,46.82,percent of total billed charges,38.25% of total billed charges,68.85,45,,55.08,percent of total billed charges,45% of total billed charges,68.85,45,,55.08,percent of total billed charges,45% of total billed charges,58.52,151.15,
ABD SINGLE W/OBLI/CONE VIEWS,130105,CDM,320,RC,74021,HCPCS,OUTPATIENT,,,190,152,,180.5,95,,144.4,percent of total billed charges,95% of total billed charges,179.97,94.72,,143.98,percent of total billed charges,94.72% of total billed charges,187.7,98.79,,150.16,percent of total billed charges,98.79% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,91.2,48,,72.96,percent of total billed charges,48% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,38.25,,58.14,percent of total billed charges,38.25% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,187.7,
ABD FLAT/UP/DECUB,130108,CDM,320,RC,74019,HCPCS,OUTPATIENT,,,203,162.4,,192.85,95,,154.28,percent of total billed charges,95% of total billed charges,192.28,94.72,,153.82,percent of total billed charges,94.72% of total billed charges,200.54,98.79,,160.43,percent of total billed charges,98.79% of total billed charges,198.94,98,,159.15,percent of total billed charges,98% of total billed charges,198.94,98,,159.15,percent of total billed charges,98% of total billed charges,97.44,48,,77.95,percent of total billed charges,48% of total billed charges,91.35,45,,73.08,percent of total billed charges,45% of total billed charges,77.65,38.25,,62.12,percent of total billed charges,38.25% of total billed charges,91.35,45,,73.08,percent of total billed charges,45% of total billed charges,91.35,45,,73.08,percent of total billed charges,45% of total billed charges,77.65,200.54,
ACUTE ABD,130110,CDM,320,RC,74022,HCPCS,OUTPATIENT,,,257,205.6,,244.15,95,,195.32,percent of total billed charges,95% of total billed charges,243.43,94.72,,194.74,percent of total billed charges,94.72% of total billed charges,253.89,98.79,,203.11,percent of total billed charges,98.79% of total billed charges,251.86,98,,201.49,percent of total billed charges,98% of total billed charges,251.86,98,,201.49,percent of total billed charges,98% of total billed charges,123.36,48,,98.69,percent of total billed charges,48% of total billed charges,115.65,45,,92.52,percent of total billed charges,45% of total billed charges,98.3,38.25,,78.64,percent of total billed charges,38.25% of total billed charges,115.65,45,,92.52,percent of total billed charges,45% of total billed charges,115.65,45,,92.52,percent of total billed charges,45% of total billed charges,98.3,253.89,
ANKLE 2 VIEW LT,130120,CDM,320,RC,73600,HCPCS,OUTPATIENT,,,154,123.2,LT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
ANKLE 2 VIEW LT WT BEARING,130121,CDM,320,RC,73600,HCPCS,OUTPATIENT,,,154,123.2,LT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
ANKLE 2 VIEW RT,130125,CDM,320,RC,73600,HCPCS,OUTPATIENT,,,154,123.2,RT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
ANKLE 2 VIEW RT WT BEARING,130126,CDM,320,RC,73600,HCPCS,OUTPATIENT,,,154,123.2,RT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
ANKLE 3 VIEW LT,130130,CDM,320,RC,73610,HCPCS,OUTPATIENT,,,190,152,LT,180.5,95,,144.4,percent of total billed charges,95% of total billed charges,179.97,94.72,,143.98,percent of total billed charges,94.72% of total billed charges,187.7,98.79,,150.16,percent of total billed charges,98.79% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,91.2,48,,72.96,percent of total billed charges,48% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,38.25,,58.14,percent of total billed charges,38.25% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,187.7,
ANKLE 3 VIEW LT WT BEARING,130131,CDM,320,RC,73610,HCPCS,OUTPATIENT,,,190,152,LT,180.5,95,,144.4,percent of total billed charges,95% of total billed charges,179.97,94.72,,143.98,percent of total billed charges,94.72% of total billed charges,187.7,98.79,,150.16,percent of total billed charges,98.79% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,91.2,48,,72.96,percent of total billed charges,48% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,38.25,,58.14,percent of total billed charges,38.25% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,187.7,
ANKLE 3 VIEW RT,130135,CDM,320,RC,73610,HCPCS,OUTPATIENT,,,190,152,RT,180.5,95,,144.4,percent of total billed charges,95% of total billed charges,179.97,94.72,,143.98,percent of total billed charges,94.72% of total billed charges,187.7,98.79,,150.16,percent of total billed charges,98.79% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,91.2,48,,72.96,percent of total billed charges,48% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,38.25,,58.14,percent of total billed charges,38.25% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,187.7,
ANKLE 3 VIEW RT WT BEARING,130136,CDM,320,RC,73610,HCPCS,OUTPATIENT,,,190,152,RT,180.5,95,,144.4,percent of total billed charges,95% of total billed charges,179.97,94.72,,143.98,percent of total billed charges,94.72% of total billed charges,187.7,98.79,,150.16,percent of total billed charges,98.79% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,91.2,48,,72.96,percent of total billed charges,48% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,38.25,,58.14,percent of total billed charges,38.25% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,187.7,
BARIUM ENEMA,130170,CDM,320,RC,74270,HCPCS,OUTPATIENT,,,456,364.8,,433.2,95,,346.56,percent of total billed charges,95% of total billed charges,431.92,94.72,,345.54,percent of total billed charges,94.72% of total billed charges,450.48,98.79,,360.38,percent of total billed charges,98.79% of total billed charges,446.88,98,,357.5,percent of total billed charges,98% of total billed charges,446.88,98,,357.5,percent of total billed charges,98% of total billed charges,218.88,48,,175.1,percent of total billed charges,48% of total billed charges,205.2,45,,164.16,percent of total billed charges,45% of total billed charges,174.42,38.25,,139.54,percent of total billed charges,38.25% of total billed charges,205.2,45,,164.16,percent of total billed charges,45% of total billed charges,205.2,45,,164.16,percent of total billed charges,45% of total billed charges,174.42,450.48,
BARIUM ENEMA W/AIR,130180,CDM,320,RC,74280,HCPCS,OUTPATIENT,,,615,492,,584.25,95,,467.4,percent of total billed charges,95% of total billed charges,582.53,94.72,,466.02,percent of total billed charges,94.72% of total billed charges,607.56,98.79,,486.05,percent of total billed charges,98.79% of total billed charges,602.7,98,,482.16,percent of total billed charges,98% of total billed charges,602.7,98,,482.16,percent of total billed charges,98% of total billed charges,295.2,48,,236.16,percent of total billed charges,48% of total billed charges,276.75,45,,221.4,percent of total billed charges,45% of total billed charges,235.24,38.25,,188.19,percent of total billed charges,38.25% of total billed charges,276.75,45,,221.4,percent of total billed charges,45% of total billed charges,276.75,45,,221.4,percent of total billed charges,45% of total billed charges,235.24,607.56,
C SPINE SINGLE VIEW,130185,CDM,320,RC,72020,HCPCS,OUTPATIENT,,,126,100.8,,119.7,95,,95.76,percent of total billed charges,95% of total billed charges,119.35,94.72,,95.48,percent of total billed charges,94.72% of total billed charges,124.48,98.79,,99.58,percent of total billed charges,98.79% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,60.48,48,,48.38,percent of total billed charges,48% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,38.25,,38.56,percent of total billed charges,38.25% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,124.48,
C SPINE MINIMUM 2 OR 3 VIEW,130190,CDM,320,RC,72040,HCPCS,OUTPATIENT,,,172,137.6,,163.4,95,,130.72,percent of total billed charges,95% of total billed charges,162.92,94.72,,130.34,percent of total billed charges,94.72% of total billed charges,169.92,98.79,,135.94,percent of total billed charges,98.79% of total billed charges,168.56,98,,134.85,percent of total billed charges,98% of total billed charges,168.56,98,,134.85,percent of total billed charges,98% of total billed charges,82.56,48,,66.05,percent of total billed charges,48% of total billed charges,77.4,45,,61.92,percent of total billed charges,45% of total billed charges,65.79,38.25,,52.63,percent of total billed charges,38.25% of total billed charges,77.4,45,,61.92,percent of total billed charges,45% of total billed charges,77.4,45,,61.92,percent of total billed charges,45% of total billed charges,65.79,169.92,
C SPINE MINIMUM 4 VIEWS,130200,CDM,320,RC,72050,HCPCS,OUTPATIENT,,,279,223.2,,265.05,95,,212.04,percent of total billed charges,95% of total billed charges,264.27,94.72,,211.42,percent of total billed charges,94.72% of total billed charges,275.62,98.79,,220.5,percent of total billed charges,98.79% of total billed charges,273.42,98,,218.74,percent of total billed charges,98% of total billed charges,273.42,98,,218.74,percent of total billed charges,98% of total billed charges,133.92,48,,107.14,percent of total billed charges,48% of total billed charges,125.55,45,,100.44,percent of total billed charges,45% of total billed charges,106.72,38.25,,85.38,percent of total billed charges,38.25% of total billed charges,125.55,45,,100.44,percent of total billed charges,45% of total billed charges,125.55,45,,100.44,percent of total billed charges,45% of total billed charges,106.72,275.62,
CHEST SINGLE VIEW,130220,CDM,320,RC,71045,HCPCS,OUTPATIENT,,,211,168.8,,200.45,95,,160.36,percent of total billed charges,95% of total billed charges,199.86,94.72,,159.89,percent of total billed charges,94.72% of total billed charges,208.45,98.79,,166.76,percent of total billed charges,98.79% of total billed charges,206.78,98,,165.42,percent of total billed charges,98% of total billed charges,206.78,98,,165.42,percent of total billed charges,98% of total billed charges,101.28,48,,81.02,percent of total billed charges,48% of total billed charges,94.95,45,,75.96,percent of total billed charges,45% of total billed charges,80.71,38.25,,64.57,percent of total billed charges,38.25% of total billed charges,94.95,45,,75.96,percent of total billed charges,45% of total billed charges,94.95,45,,75.96,percent of total billed charges,45% of total billed charges,80.71,208.45,
CHEST 2 VIEWS,130230,CDM,320,RC,71046,HCPCS,OUTPATIENT,,,272,217.6,,258.4,95,,206.72,percent of total billed charges,95% of total billed charges,257.64,94.72,,206.11,percent of total billed charges,94.72% of total billed charges,268.71,98.79,,214.97,percent of total billed charges,98.79% of total billed charges,266.56,98,,213.25,percent of total billed charges,98% of total billed charges,266.56,98,,213.25,percent of total billed charges,98% of total billed charges,130.56,48,,104.45,percent of total billed charges,48% of total billed charges,122.4,45,,97.92,percent of total billed charges,45% of total billed charges,104.04,38.25,,83.23,percent of total billed charges,38.25% of total billed charges,122.4,45,,97.92,percent of total billed charges,45% of total billed charges,122.4,45,,97.92,percent of total billed charges,45% of total billed charges,104.04,268.71,
CHOLANGIOGRAM OR,130260,CDM,320,RC,74300,HCPCS,OUTPATIENT,,,239,191.2,,227.05,95,,181.64,percent of total billed charges,95% of total billed charges,226.38,94.72,,181.1,percent of total billed charges,94.72% of total billed charges,236.11,98.79,,188.89,percent of total billed charges,98.79% of total billed charges,234.22,98,,187.38,percent of total billed charges,98% of total billed charges,234.22,98,,187.38,percent of total billed charges,98% of total billed charges,114.72,48,,91.78,percent of total billed charges,48% of total billed charges,107.55,45,,86.04,percent of total billed charges,45% of total billed charges,91.42,38.25,,73.14,percent of total billed charges,38.25% of total billed charges,107.55,45,,86.04,percent of total billed charges,45% of total billed charges,107.55,45,,86.04,percent of total billed charges,45% of total billed charges,91.42,236.11,
CHOLANGIOGRAM POST OP,130280,CDM,320,RC,47531,HCPCS,OUTPATIENT,,,1363,1090.4,,1294.85,95,,1035.88,percent of total billed charges,95% of total billed charges,1291.03,94.72,,1032.82,percent of total billed charges,94.72% of total billed charges,1346.51,98.79,,1077.21,percent of total billed charges,98.79% of total billed charges,1335.74,98,,1068.59,percent of total billed charges,98% of total billed charges,1335.74,98,,1068.59,percent of total billed charges,98% of total billed charges,654.24,48,,523.39,percent of total billed charges,48% of total billed charges,613.35,45,,490.68,percent of total billed charges,45% of total billed charges,521.35,38.25,,417.08,percent of total billed charges,38.25% of total billed charges,613.35,45,,490.68,percent of total billed charges,45% of total billed charges,613.35,45,,490.68,percent of total billed charges,45% of total billed charges,521.35,1346.51,
CLAVICLE LT,130300,CDM,320,RC,73000,HCPCS,OUTPATIENT,,,159,127.2,,151.05,95,,120.84,percent of total billed charges,95% of total billed charges,150.6,94.72,,120.48,percent of total billed charges,94.72% of total billed charges,157.08,98.79,,125.66,percent of total billed charges,98.79% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,76.32,48,,61.06,percent of total billed charges,48% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,38.25,,48.66,percent of total billed charges,38.25% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,157.08,
CLAVICLE RT,130305,CDM,320,RC,73000,HCPCS,OUTPATIENT,,,159,127.2,,151.05,95,,120.84,percent of total billed charges,95% of total billed charges,150.6,94.72,,120.48,percent of total billed charges,94.72% of total billed charges,157.08,98.79,,125.66,percent of total billed charges,98.79% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,76.32,48,,61.06,percent of total billed charges,48% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,38.25,,48.66,percent of total billed charges,38.25% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,157.08,
XR CYSTOGRAM,130310,CDM,320,RC,74430,HCPCS,OUTPATIENT,,,311,248.8,,295.45,95,,236.36,percent of total billed charges,95% of total billed charges,294.58,94.72,,235.66,percent of total billed charges,94.72% of total billed charges,307.24,98.79,,245.79,percent of total billed charges,98.79% of total billed charges,304.78,98,,243.82,percent of total billed charges,98% of total billed charges,304.78,98,,243.82,percent of total billed charges,98% of total billed charges,149.28,48,,119.42,percent of total billed charges,48% of total billed charges,139.95,45,,111.96,percent of total billed charges,45% of total billed charges,118.96,38.25,,95.17,percent of total billed charges,38.25% of total billed charges,139.95,45,,111.96,percent of total billed charges,45% of total billed charges,139.95,45,,111.96,percent of total billed charges,45% of total billed charges,118.96,307.24,
CYSTOGRAM VOIDING,130320,CDM,320,RC,74455,HCPCS,OUTPATIENT,,,401,320.8,,380.95,95,,304.76,percent of total billed charges,95% of total billed charges,379.83,94.72,,303.86,percent of total billed charges,94.72% of total billed charges,396.15,98.79,,316.92,percent of total billed charges,98.79% of total billed charges,392.98,98,,314.38,percent of total billed charges,98% of total billed charges,392.98,98,,314.38,percent of total billed charges,98% of total billed charges,192.48,48,,153.98,percent of total billed charges,48% of total billed charges,180.45,45,,144.36,percent of total billed charges,45% of total billed charges,153.38,38.25,,122.7,percent of total billed charges,38.25% of total billed charges,180.45,45,,144.36,percent of total billed charges,45% of total billed charges,180.45,45,,144.36,percent of total billed charges,45% of total billed charges,153.38,396.15,
ELBOW 2 VIEW-LT,130330,CDM,320,RC,73070,HCPCS,OUTPATIENT,,,154,123.2,LT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
ELBOW 2 VIEW-RT,130335,CDM,320,RC,73070,HCPCS,OUTPATIENT,,,154,123.2,RT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
ELBOW MIN 3 VIEW-LT,130340,CDM,320,RC,73080,HCPCS,OUTPATIENT,,,183,146.4,LT,173.85,95,,139.08,percent of total billed charges,95% of total billed charges,173.34,94.72,,138.67,percent of total billed charges,94.72% of total billed charges,180.79,98.79,,144.63,percent of total billed charges,98.79% of total billed charges,179.34,98,,143.47,percent of total billed charges,98% of total billed charges,179.34,98,,143.47,percent of total billed charges,98% of total billed charges,87.84,48,,70.27,percent of total billed charges,48% of total billed charges,82.35,45,,65.88,percent of total billed charges,45% of total billed charges,70,38.25,,56,percent of total billed charges,38.25% of total billed charges,82.35,45,,65.88,percent of total billed charges,45% of total billed charges,82.35,45,,65.88,percent of total billed charges,45% of total billed charges,70,180.79,
ELBOW MIN 3 VIEW-RT,130345,CDM,320,RC,73080,HCPCS,OUTPATIENT,,,183,146.4,RT,173.85,95,,139.08,percent of total billed charges,95% of total billed charges,173.34,94.72,,138.67,percent of total billed charges,94.72% of total billed charges,180.79,98.79,,144.63,percent of total billed charges,98.79% of total billed charges,179.34,98,,143.47,percent of total billed charges,98% of total billed charges,179.34,98,,143.47,percent of total billed charges,98% of total billed charges,87.84,48,,70.27,percent of total billed charges,48% of total billed charges,82.35,45,,65.88,percent of total billed charges,45% of total billed charges,70,38.25,,56,percent of total billed charges,38.25% of total billed charges,82.35,45,,65.88,percent of total billed charges,45% of total billed charges,82.35,45,,65.88,percent of total billed charges,45% of total billed charges,70,180.79,
ESOPHAGUS,130350,CDM,320,RC,74220,HCPCS,OUTPATIENT,,,314,251.2,,298.3,95,,238.64,percent of total billed charges,95% of total billed charges,297.42,94.72,,237.94,percent of total billed charges,94.72% of total billed charges,310.2,98.79,,248.16,percent of total billed charges,98.79% of total billed charges,307.72,98,,246.18,percent of total billed charges,98% of total billed charges,307.72,98,,246.18,percent of total billed charges,98% of total billed charges,150.72,48,,120.58,percent of total billed charges,48% of total billed charges,141.3,45,,113.04,percent of total billed charges,45% of total billed charges,120.11,38.25,,96.09,percent of total billed charges,38.25% of total billed charges,141.3,45,,113.04,percent of total billed charges,45% of total billed charges,141.3,45,,113.04,percent of total billed charges,45% of total billed charges,120.11,310.2,
MODIFIED BA SWALLOW-STUDY,130360,CDM,320,RC,74230,HCPCS,OUTPATIENT,,,398,318.4,,378.1,95,,302.48,percent of total billed charges,95% of total billed charges,376.99,94.72,,301.59,percent of total billed charges,94.72% of total billed charges,393.18,98.79,,314.54,percent of total billed charges,98.79% of total billed charges,390.04,98,,312.03,percent of total billed charges,98% of total billed charges,390.04,98,,312.03,percent of total billed charges,98% of total billed charges,191.04,48,,152.83,percent of total billed charges,48% of total billed charges,179.1,45,,143.28,percent of total billed charges,45% of total billed charges,152.24,38.25,,121.79,percent of total billed charges,38.25% of total billed charges,179.1,45,,143.28,percent of total billed charges,45% of total billed charges,179.1,45,,143.28,percent of total billed charges,45% of total billed charges,152.24,393.18,
FACIAL BONES 2 VIEWS,130370,CDM,320,RC,70140,HCPCS,OUTPATIENT,,,161,128.8,,152.95,95,,122.36,percent of total billed charges,95% of total billed charges,152.5,94.72,,122,percent of total billed charges,94.72% of total billed charges,159.05,98.79,,127.24,percent of total billed charges,98.79% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,77.28,48,,61.82,percent of total billed charges,48% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,61.58,38.25,,49.26,percent of total billed charges,38.25% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,61.58,159.05,
FACIAL BONES MIN 3 VIEWS,130380,CDM,320,RC,70150,HCPCS,OUTPATIENT,,,217,173.6,,206.15,95,,164.92,percent of total billed charges,95% of total billed charges,205.54,94.72,,164.43,percent of total billed charges,94.72% of total billed charges,214.37,98.79,,171.5,percent of total billed charges,98.79% of total billed charges,212.66,98,,170.13,percent of total billed charges,98% of total billed charges,212.66,98,,170.13,percent of total billed charges,98% of total billed charges,104.16,48,,83.33,percent of total billed charges,48% of total billed charges,97.65,45,,78.12,percent of total billed charges,45% of total billed charges,83,38.25,,66.4,percent of total billed charges,38.25% of total billed charges,97.65,45,,78.12,percent of total billed charges,45% of total billed charges,97.65,45,,78.12,percent of total billed charges,45% of total billed charges,83,214.37,
FEMUR LEFT,130390,CDM,320,RC,73552,HCPCS,OUTPATIENT,,,161,128.8,LT,152.95,95,,122.36,percent of total billed charges,95% of total billed charges,152.5,94.72,,122,percent of total billed charges,94.72% of total billed charges,159.05,98.79,,127.24,percent of total billed charges,98.79% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,77.28,48,,61.82,percent of total billed charges,48% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,61.58,38.25,,49.26,percent of total billed charges,38.25% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,61.58,159.05,
FEMUR RT,130395,CDM,320,RC,73552,HCPCS,OUTPATIENT,,,161,128.8,RT,152.95,95,,122.36,percent of total billed charges,95% of total billed charges,152.5,94.72,,122,percent of total billed charges,94.72% of total billed charges,159.05,98.79,,127.24,percent of total billed charges,98.79% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,77.28,48,,61.82,percent of total billed charges,48% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,61.58,38.25,,49.26,percent of total billed charges,38.25% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,61.58,159.05,
FINGERS HAND THUMB LT,130400,CDM,320,RC,73140,HCPCS,OUTPATIENT,,,143,114.4, ,135.85,95,,108.68,percent of total billed charges,95% of total billed charges,135.45,94.72,,108.36,percent of total billed charges,94.72% of total billed charges,141.27,98.79,,113.02,percent of total billed charges,98.79% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,68.64,48,,54.91,percent of total billed charges,48% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,54.7,38.25,,43.76,percent of total billed charges,38.25% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,54.7,141.27,
FINGERS HAND 2ND DIGIT LT,130401,CDM,320,RC,73140,HCPCS,OUTPATIENT,,,143,114.4,,135.85,95,,108.68,percent of total billed charges,95% of total billed charges,135.45,94.72,,108.36,percent of total billed charges,94.72% of total billed charges,141.27,98.79,,113.02,percent of total billed charges,98.79% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,68.64,48,,54.91,percent of total billed charges,48% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,54.7,38.25,,43.76,percent of total billed charges,38.25% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,54.7,141.27,
FINGERS HAND 3RD DIGIT LT,130402,CDM,320,RC,73140,HCPCS,OUTPATIENT,,,143,114.4,,135.85,95,,108.68,percent of total billed charges,95% of total billed charges,135.45,94.72,,108.36,percent of total billed charges,94.72% of total billed charges,141.27,98.79,,113.02,percent of total billed charges,98.79% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,68.64,48,,54.91,percent of total billed charges,48% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,54.7,38.25,,43.76,percent of total billed charges,38.25% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,54.7,141.27,
FINGERS HAND 4TH DIGIT LT,130404,CDM,320,RC,73140,HCPCS,OUTPATIENT,,,143,114.4,,135.85,95,,108.68,percent of total billed charges,95% of total billed charges,135.45,94.72,,108.36,percent of total billed charges,94.72% of total billed charges,141.27,98.79,,113.02,percent of total billed charges,98.79% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,68.64,48,,54.91,percent of total billed charges,48% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,54.7,38.25,,43.76,percent of total billed charges,38.25% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,54.7,141.27,
FINGERS HAND 5TH DIGIT LT,130405,CDM,320,RC,73140,HCPCS,OUTPATIENT,,,143,114.4,,135.85,95,,108.68,percent of total billed charges,95% of total billed charges,135.45,94.72,,108.36,percent of total billed charges,94.72% of total billed charges,141.27,98.79,,113.02,percent of total billed charges,98.79% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,68.64,48,,54.91,percent of total billed charges,48% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,54.7,38.25,,43.76,percent of total billed charges,38.25% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,54.7,141.27,
FINGERS HAND THUMB RT,130406,CDM,320,RC,73140,HCPCS,OUTPATIENT,,,143,114.4,,135.85,95,,108.68,percent of total billed charges,95% of total billed charges,135.45,94.72,,108.36,percent of total billed charges,94.72% of total billed charges,141.27,98.79,,113.02,percent of total billed charges,98.79% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,68.64,48,,54.91,percent of total billed charges,48% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,54.7,38.25,,43.76,percent of total billed charges,38.25% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,54.7,141.27,
FINGERS HAND 2ND DIGIT RT,130407,CDM,320,RC,73140,HCPCS,OUTPATIENT,,,143,114.4,,135.85,95,,108.68,percent of total billed charges,95% of total billed charges,135.45,94.72,,108.36,percent of total billed charges,94.72% of total billed charges,141.27,98.79,,113.02,percent of total billed charges,98.79% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,68.64,48,,54.91,percent of total billed charges,48% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,54.7,38.25,,43.76,percent of total billed charges,38.25% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,54.7,141.27,
FINGERS HAND 3RD DIGIT RT,130408,CDM,320,RC,73140,HCPCS,OUTPATIENT,,,143,114.4,,135.85,95,,108.68,percent of total billed charges,95% of total billed charges,135.45,94.72,,108.36,percent of total billed charges,94.72% of total billed charges,141.27,98.79,,113.02,percent of total billed charges,98.79% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,68.64,48,,54.91,percent of total billed charges,48% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,54.7,38.25,,43.76,percent of total billed charges,38.25% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,54.7,141.27,
FINGERS HAND 4TH DIGIT RT,130409,CDM,320,RC,73140,HCPCS,OUTPATIENT,,,143,114.4,,135.85,95,,108.68,percent of total billed charges,95% of total billed charges,135.45,94.72,,108.36,percent of total billed charges,94.72% of total billed charges,141.27,98.79,,113.02,percent of total billed charges,98.79% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,68.64,48,,54.91,percent of total billed charges,48% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,54.7,38.25,,43.76,percent of total billed charges,38.25% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,54.7,141.27,
FINGERS HAND 5TH DIGIT RT,130410,CDM,320,RC,73140,HCPCS,OUTPATIENT,,,143,114.4,,135.85,95,,108.68,percent of total billed charges,95% of total billed charges,135.45,94.72,,108.36,percent of total billed charges,94.72% of total billed charges,141.27,98.79,,113.02,percent of total billed charges,98.79% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,140.14,98,,112.11,percent of total billed charges,98% of total billed charges,68.64,48,,54.91,percent of total billed charges,48% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,54.7,38.25,,43.76,percent of total billed charges,38.25% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,64.35,45,,51.48,percent of total billed charges,45% of total billed charges,54.7,141.27,
FLUORO FOR DEVICE PLACEMENT,130414,CDM,320,RC,77001,HCPCS,OUTPATIENT,,,294,235.2,,279.3,95,,223.44,percent of total billed charges,95% of total billed charges,278.48,94.72,,222.78,percent of total billed charges,94.72% of total billed charges,290.44,98.79,,232.35,percent of total billed charges,98.79% of total billed charges,288.12,98,,230.5,percent of total billed charges,98% of total billed charges,288.12,98,,230.5,percent of total billed charges,98% of total billed charges,141.12,48,,112.9,percent of total billed charges,48% of total billed charges,132.3,45,,105.84,percent of total billed charges,45% of total billed charges,112.46,38.25,,89.97,percent of total billed charges,38.25% of total billed charges,132.3,45,,105.84,percent of total billed charges,45% of total billed charges,132.3,45,,105.84,percent of total billed charges,45% of total billed charges,112.46,290.44,
FLUORO LESS THAN 1 HR,130415,CDM,320,RC,76000,HCPCS,OUTPATIENT,,,313,250.4,,297.35,95,,237.88,percent of total billed charges,95% of total billed charges,296.47,94.72,,237.18,percent of total billed charges,94.72% of total billed charges,309.21,98.79,,247.37,percent of total billed charges,98.79% of total billed charges,306.74,98,,245.39,percent of total billed charges,98% of total billed charges,306.74,98,,245.39,percent of total billed charges,98% of total billed charges,150.24,48,,120.19,percent of total billed charges,48% of total billed charges,140.85,45,,112.68,percent of total billed charges,45% of total billed charges,119.72,38.25,,95.78,percent of total billed charges,38.25% of total billed charges,140.85,45,,112.68,percent of total billed charges,45% of total billed charges,140.85,45,,112.68,percent of total billed charges,45% of total billed charges,119.72,309.21,
XR Fluoroscopy Under 1 Hour,130415,CDM,320,RC,76000,HCPCS,OUTPATIENT,,,372,297.6,,353.4,95,,282.72,percent of total billed charges,95% of total billed charges,352.36,94.72,,281.89,percent of total billed charges,94.72% of total billed charges,367.5,98.79,,294,percent of total billed charges,98.79% of total billed charges,364.56,98,,291.65,percent of total billed charges,98% of total billed charges,364.56,98,,291.65,percent of total billed charges,98% of total billed charges,178.56,48,,142.85,percent of total billed charges,48% of total billed charges,167.4,45,,133.92,percent of total billed charges,45% of total billed charges,142.29,38.25,,113.83,percent of total billed charges,38.25% of total billed charges,167.4,45,,133.92,percent of total billed charges,45% of total billed charges,167.4,45,,133.92,percent of total billed charges,45% of total billed charges,142.29,367.5,
FLUORO FOR  INJECTIONS,130416,CDM,320,RC,77002,HCPCS,OUTPATIENT,,,354,283.2,,336.3,95,,269.04,percent of total billed charges,95% of total billed charges,335.31,94.72,,268.25,percent of total billed charges,94.72% of total billed charges,349.72,98.79,,279.78,percent of total billed charges,98.79% of total billed charges,346.92,98,,277.54,percent of total billed charges,98% of total billed charges,346.92,98,,277.54,percent of total billed charges,98% of total billed charges,169.92,48,,135.94,percent of total billed charges,48% of total billed charges,159.3,45,,127.44,percent of total billed charges,45% of total billed charges,135.41,38.25,,108.33,percent of total billed charges,38.25% of total billed charges,159.3,45,,127.44,percent of total billed charges,45% of total billed charges,159.3,45,,127.44,percent of total billed charges,45% of total billed charges,135.41,349.72,
FLUORO/MYELOGRAM,130418,CDM,320,RC,72265,HCPCS,OUTPATIENT,,,834,667.2,,792.3,95,,633.84,percent of total billed charges,95% of total billed charges,789.96,94.72,,631.97,percent of total billed charges,94.72% of total billed charges,823.91,98.79,,659.13,percent of total billed charges,98.79% of total billed charges,817.32,98,,653.86,percent of total billed charges,98% of total billed charges,817.32,98,,653.86,percent of total billed charges,98% of total billed charges,400.32,48,,320.26,percent of total billed charges,48% of total billed charges,375.3,45,,300.24,percent of total billed charges,45% of total billed charges,319.01,38.25,,255.21,percent of total billed charges,38.25% of total billed charges,375.3,45,,300.24,percent of total billed charges,45% of total billed charges,375.3,45,,300.24,percent of total billed charges,45% of total billed charges,319.01,823.91,
FOOT 2 VIEW LT,130420,CDM,320,RC,73620,HCPCS,OUTPATIENT,,,154,123.2,LT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
FOOT 2 VIEW LT WT BEARING,130421,CDM,320,RC,73620,HCPCS,OUTPATIENT,,,154,123.2,LT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
FOOT 2 VIEW RT,130425,CDM,320,RC,73620,HCPCS,OUTPATIENT,,,154,123.2,RT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
FOOT 2 VIEW RT WT BEARING,130426,CDM,320,RC,73620,HCPCS,OUTPATIENT,,,154,123.2,RT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
FOOT MIN 3 VIEW LT,130430,CDM,320,RC,73630,HCPCS,OUTPATIENT,,,212,169.6,LT,201.4,95,,161.12,percent of total billed charges,95% of total billed charges,200.81,94.72,,160.65,percent of total billed charges,94.72% of total billed charges,209.43,98.79,,167.54,percent of total billed charges,98.79% of total billed charges,207.76,98,,166.21,percent of total billed charges,98% of total billed charges,207.76,98,,166.21,percent of total billed charges,98% of total billed charges,101.76,48,,81.41,percent of total billed charges,48% of total billed charges,95.4,45,,76.32,percent of total billed charges,45% of total billed charges,81.09,38.25,,64.87,percent of total billed charges,38.25% of total billed charges,95.4,45,,76.32,percent of total billed charges,45% of total billed charges,95.4,45,,76.32,percent of total billed charges,45% of total billed charges,81.09,209.43,
FOOT MIN 3 VIEW LT WT BEARING,130431,CDM,320,RC,73630,HCPCS,OUTPATIENT,,,212,169.6,LT,201.4,95,,161.12,percent of total billed charges,95% of total billed charges,200.81,94.72,,160.65,percent of total billed charges,94.72% of total billed charges,209.43,98.79,,167.54,percent of total billed charges,98.79% of total billed charges,207.76,98,,166.21,percent of total billed charges,98% of total billed charges,207.76,98,,166.21,percent of total billed charges,98% of total billed charges,101.76,48,,81.41,percent of total billed charges,48% of total billed charges,95.4,45,,76.32,percent of total billed charges,45% of total billed charges,81.09,38.25,,64.87,percent of total billed charges,38.25% of total billed charges,95.4,45,,76.32,percent of total billed charges,45% of total billed charges,95.4,45,,76.32,percent of total billed charges,45% of total billed charges,81.09,209.43,
FOOT MIN 3 VIEW RT,130435,CDM,320,RC,73630,HCPCS,OUTPATIENT,,,212,169.6,RT,201.4,95,,161.12,percent of total billed charges,95% of total billed charges,200.81,94.72,,160.65,percent of total billed charges,94.72% of total billed charges,209.43,98.79,,167.54,percent of total billed charges,98.79% of total billed charges,207.76,98,,166.21,percent of total billed charges,98% of total billed charges,207.76,98,,166.21,percent of total billed charges,98% of total billed charges,101.76,48,,81.41,percent of total billed charges,48% of total billed charges,95.4,45,,76.32,percent of total billed charges,45% of total billed charges,81.09,38.25,,64.87,percent of total billed charges,38.25% of total billed charges,95.4,45,,76.32,percent of total billed charges,45% of total billed charges,95.4,45,,76.32,percent of total billed charges,45% of total billed charges,81.09,209.43,
FOOT MIN 3 VIEW RT WT BEARING,130436,CDM,320,RC,73630,HCPCS,OUTPATIENT,,,212,169.6,RT,201.4,95,,161.12,percent of total billed charges,95% of total billed charges,200.81,94.72,,160.65,percent of total billed charges,94.72% of total billed charges,209.43,98.79,,167.54,percent of total billed charges,98.79% of total billed charges,207.76,98,,166.21,percent of total billed charges,98% of total billed charges,207.76,98,,166.21,percent of total billed charges,98% of total billed charges,101.76,48,,81.41,percent of total billed charges,48% of total billed charges,95.4,45,,76.32,percent of total billed charges,45% of total billed charges,81.09,38.25,,64.87,percent of total billed charges,38.25% of total billed charges,95.4,45,,76.32,percent of total billed charges,45% of total billed charges,95.4,45,,76.32,percent of total billed charges,45% of total billed charges,81.09,209.43,
FOREARM 2 VIEW LT,130440,CDM,320,RC,73090,HCPCS,OUTPATIENT,,,154,123.2,LT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
FOREARM 2 VIEW RT,130445,CDM,320,RC,73090,HCPCS,OUTPATIENT,,,154,123.2,RT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
HAND BILAT BONE AGE,130457,CDM,320,RC,77072,HCPCS,OUTPATIENT,,,126,100.8,,119.7,95,,95.76,percent of total billed charges,95% of total billed charges,119.35,94.72,,95.48,percent of total billed charges,94.72% of total billed charges,124.48,98.79,,99.58,percent of total billed charges,98.79% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,60.48,48,,48.38,percent of total billed charges,48% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,38.25,,38.56,percent of total billed charges,38.25% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,124.48,
HAND 2 VIEW LT,130460,CDM,320,RC,73120,HCPCS,OUTPATIENT,,,154,123.2,LT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
HAND 2 VIEW RT,130465,CDM,320,RC,73120,HCPCS,OUTPATIENT,,,154,123.2,RT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
HAND 3 VIEW MIN LT,130470,CDM,320,RC,73130,HCPCS,OUTPATIENT,,,190,152,LT,180.5,95,,144.4,percent of total billed charges,95% of total billed charges,179.97,94.72,,143.98,percent of total billed charges,94.72% of total billed charges,187.7,98.79,,150.16,percent of total billed charges,98.79% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,91.2,48,,72.96,percent of total billed charges,48% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,38.25,,58.14,percent of total billed charges,38.25% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,187.7,
HAND 3 VIEW MIN RT,130475,CDM,320,RC,73130,HCPCS,OUTPATIENT,,,190,152,RT,180.5,95,,144.4,percent of total billed charges,95% of total billed charges,179.97,94.72,,143.98,percent of total billed charges,94.72% of total billed charges,187.7,98.79,,150.16,percent of total billed charges,98.79% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,91.2,48,,72.96,percent of total billed charges,48% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,38.25,,58.14,percent of total billed charges,38.25% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,187.7,
HEEL MIN 2 VIEW LT,130480,CDM,320,RC,73650,HCPCS,OUTPATIENT,,,154,123.2,LT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
HEEL MIN 2 VIEW RT,130485,CDM,320,RC,73650,HCPCS,OUTPATIENT,,,154,123.2,RT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
HIP 1 VIEW LT,130490,CDM,320,RC,73501,HCPCS,OUTPATIENT,,,154,123.2,LT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
HIP 1 VIEW RT,130495,CDM,320,RC,73501,HCPCS,OUTPATIENT,,,154,123.2,RT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
HIP 2 VIEW LT,130500,CDM,320,RC,73502,HCPCS,OUTPATIENT,,,196,156.8,LT,186.2,95,,148.96,percent of total billed charges,95% of total billed charges,185.65,94.72,,148.52,percent of total billed charges,94.72% of total billed charges,193.63,98.79,,154.9,percent of total billed charges,98.79% of total billed charges,192.08,98,,153.66,percent of total billed charges,98% of total billed charges,192.08,98,,153.66,percent of total billed charges,98% of total billed charges,94.08,48,,75.26,percent of total billed charges,48% of total billed charges,88.2,45,,70.56,percent of total billed charges,45% of total billed charges,74.97,38.25,,59.98,percent of total billed charges,38.25% of total billed charges,88.2,45,,70.56,percent of total billed charges,45% of total billed charges,88.2,45,,70.56,percent of total billed charges,45% of total billed charges,74.97,193.63,
XR Hips 3-4 Views w/AP Pelvis Bilat,130502,CDM,320,RC,73522,HCPCS,OUTPATIENT,,,208,166.4,,197.6,95,,158.08,percent of total billed charges,95% of total billed charges,197.02,94.72,,157.62,percent of total billed charges,94.72% of total billed charges,205.48,98.79,,164.38,percent of total billed charges,98.79% of total billed charges,203.84,98,,163.07,percent of total billed charges,98% of total billed charges,203.84,98,,163.07,percent of total billed charges,98% of total billed charges,99.84,48,,79.87,percent of total billed charges,48% of total billed charges,93.6,45,,74.88,percent of total billed charges,45% of total billed charges,79.56,38.25,,63.65,percent of total billed charges,38.25% of total billed charges,93.6,45,,74.88,percent of total billed charges,45% of total billed charges,93.6,45,,74.88,percent of total billed charges,45% of total billed charges,79.56,205.48,
HIP 2 VIEW RT,130505,CDM,320,RC,73502,HCPCS,OUTPATIENT,,,196,156.8,RT,186.2,95,,148.96,percent of total billed charges,95% of total billed charges,185.65,94.72,,148.52,percent of total billed charges,94.72% of total billed charges,193.63,98.79,,154.9,percent of total billed charges,98.79% of total billed charges,192.08,98,,153.66,percent of total billed charges,98% of total billed charges,192.08,98,,153.66,percent of total billed charges,98% of total billed charges,94.08,48,,75.26,percent of total billed charges,48% of total billed charges,88.2,45,,70.56,percent of total billed charges,45% of total billed charges,74.97,38.25,,59.98,percent of total billed charges,38.25% of total billed charges,88.2,45,,70.56,percent of total billed charges,45% of total billed charges,88.2,45,,70.56,percent of total billed charges,45% of total billed charges,74.97,193.63,
HIP BILAT W/AP PELVIS MIN 5VIEWS,130510,CDM,320,RC,73523,HCPCS,OUTPATIENT,,,251,200.8,,238.45,95,,190.76,percent of total billed charges,95% of total billed charges,237.75,94.72,,190.2,percent of total billed charges,94.72% of total billed charges,247.96,98.79,,198.37,percent of total billed charges,98.79% of total billed charges,245.98,98,,196.78,percent of total billed charges,98% of total billed charges,245.98,98,,196.78,percent of total billed charges,98% of total billed charges,120.48,48,,96.38,percent of total billed charges,48% of total billed charges,112.95,45,,90.36,percent of total billed charges,45% of total billed charges,96.01,38.25,,76.81,percent of total billed charges,38.25% of total billed charges,112.95,45,,90.36,percent of total billed charges,45% of total billed charges,112.95,45,,90.36,percent of total billed charges,45% of total billed charges,96.01,247.96,
HUMERUS 2 VIEW LT,130520,CDM,320,RC,73060,HCPCS,OUTPATIENT,,,161,128.8,LT,152.95,95,,122.36,percent of total billed charges,95% of total billed charges,152.5,94.72,,122,percent of total billed charges,94.72% of total billed charges,159.05,98.79,,127.24,percent of total billed charges,98.79% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,77.28,48,,61.82,percent of total billed charges,48% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,61.58,38.25,,49.26,percent of total billed charges,38.25% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,61.58,159.05,
HUMERUS 2 VIEW RT,130525,CDM,320,RC,73060,HCPCS,OUTPATIENT,,,161,128.8,RT,152.95,95,,122.36,percent of total billed charges,95% of total billed charges,152.5,94.72,,122,percent of total billed charges,94.72% of total billed charges,159.05,98.79,,127.24,percent of total billed charges,98.79% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,77.28,48,,61.82,percent of total billed charges,48% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,61.58,38.25,,49.26,percent of total billed charges,38.25% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,61.58,159.05,
HYSTEROSALPINGOGRAM,130528,CDM,320,RC,74740,HCPCS,OUTPATIENT,,,307,245.6,,291.65,95,,233.32,percent of total billed charges,95% of total billed charges,290.79,94.72,,232.63,percent of total billed charges,94.72% of total billed charges,303.29,98.79,,242.63,percent of total billed charges,98.79% of total billed charges,300.86,98,,240.69,percent of total billed charges,98% of total billed charges,300.86,98,,240.69,percent of total billed charges,98% of total billed charges,147.36,48,,117.89,percent of total billed charges,48% of total billed charges,138.15,45,,110.52,percent of total billed charges,45% of total billed charges,117.43,38.25,,93.94,percent of total billed charges,38.25% of total billed charges,138.15,45,,110.52,percent of total billed charges,45% of total billed charges,138.15,45,,110.52,percent of total billed charges,45% of total billed charges,117.43,303.29,
KNEE 2 VIEW LT,130550,CDM,320,RC,73560,HCPCS,OUTPATIENT,,,161,128.8,LT,152.95,95,,122.36,percent of total billed charges,95% of total billed charges,152.5,94.72,,122,percent of total billed charges,94.72% of total billed charges,159.05,98.79,,127.24,percent of total billed charges,98.79% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,77.28,48,,61.82,percent of total billed charges,48% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,61.58,38.25,,49.26,percent of total billed charges,38.25% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,61.58,159.05,
KNEE 2 VIEW RT,130555,CDM,320,RC,73560,HCPCS,OUTPATIENT,,,161,128.8,RT,152.95,95,,122.36,percent of total billed charges,95% of total billed charges,152.5,94.72,,122,percent of total billed charges,94.72% of total billed charges,159.05,98.79,,127.24,percent of total billed charges,98.79% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,77.28,48,,61.82,percent of total billed charges,48% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,61.58,38.25,,49.26,percent of total billed charges,38.25% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,61.58,159.05,
KNEE 3 VIEW LT,130560,CDM,320,RC,73562,HCPCS,OUTPATIENT,,,200,160,LT,190,95,,152,percent of total billed charges,95% of total billed charges,189.44,94.72,,151.55,percent of total billed charges,94.72% of total billed charges,197.58,98.79,,158.06,percent of total billed charges,98.79% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,96,48,,76.8,percent of total billed charges,48% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,38.25,,61.2,percent of total billed charges,38.25% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,197.58,
KNEE 3 VIEW LT DEG SERIES,130562,CDM,320,RC,73562,HCPCS,OUTPATIENT,,,200,160,LT,190,95,,152,percent of total billed charges,95% of total billed charges,189.44,94.72,,151.55,percent of total billed charges,94.72% of total billed charges,197.58,98.79,,158.06,percent of total billed charges,98.79% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,96,48,,76.8,percent of total billed charges,48% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,38.25,,61.2,percent of total billed charges,38.25% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,197.58,
KNEE 3 VIEW RT,130565,CDM,320,RC,73562,HCPCS,OUTPATIENT,,,200,160,RT,190,95,,152,percent of total billed charges,95% of total billed charges,189.44,94.72,,151.55,percent of total billed charges,94.72% of total billed charges,197.58,98.79,,158.06,percent of total billed charges,98.79% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,96,48,,76.8,percent of total billed charges,48% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,38.25,,61.2,percent of total billed charges,38.25% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,197.58,
KNEE 3 VIEW RT DEG SERIES,130568,CDM,320,RC,73562,HCPCS,OUTPATIENT,,,200,160,RT,190,95,,152,percent of total billed charges,95% of total billed charges,189.44,94.72,,151.55,percent of total billed charges,94.72% of total billed charges,197.58,98.79,,158.06,percent of total billed charges,98.79% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,96,48,,76.8,percent of total billed charges,48% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,38.25,,61.2,percent of total billed charges,38.25% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,197.58,
KNEE 4 VIEWS LT,130570,CDM,320,RC,73564,HCPCS,OUTPATIENT,,,229,183.2,LT,217.55,95,,174.04,percent of total billed charges,95% of total billed charges,216.91,94.72,,173.53,percent of total billed charges,94.72% of total billed charges,226.23,98.79,,180.98,percent of total billed charges,98.79% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,109.92,48,,87.94,percent of total billed charges,48% of total billed charges,103.05,45,,82.44,percent of total billed charges,45% of total billed charges,87.59,38.25,,70.07,percent of total billed charges,38.25% of total billed charges,103.05,45,,82.44,percent of total billed charges,45% of total billed charges,103.05,45,,82.44,percent of total billed charges,45% of total billed charges,87.59,226.23,
KNEE 4 VIEWS RT,130575,CDM,320,RC,73564,HCPCS,OUTPATIENT,,,229,183.2,RT,217.55,95,,174.04,percent of total billed charges,95% of total billed charges,216.91,94.72,,173.53,percent of total billed charges,94.72% of total billed charges,226.23,98.79,,180.98,percent of total billed charges,98.79% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,109.92,48,,87.94,percent of total billed charges,48% of total billed charges,103.05,45,,82.44,percent of total billed charges,45% of total billed charges,87.59,38.25,,70.07,percent of total billed charges,38.25% of total billed charges,103.05,45,,82.44,percent of total billed charges,45% of total billed charges,103.05,45,,82.44,percent of total billed charges,45% of total billed charges,87.59,226.23,
TIB-FIB LT,130585,CDM,320,RC,73590,HCPCS,OUTPATIENT,,,154,123.2,LT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
TIB-FIB RT,130590,CDM,320,RC,73590,HCPCS,OUTPATIENT,,,154,123.2,RT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
LS SPINE SINGLE VIEW,130593,CDM,320,RC,72020,HCPCS,OUTPATIENT,,,126,100.8,,119.7,95,,95.76,percent of total billed charges,95% of total billed charges,119.35,94.72,,95.48,percent of total billed charges,94.72% of total billed charges,124.48,98.79,,99.58,percent of total billed charges,98.79% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,60.48,48,,48.38,percent of total billed charges,48% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,38.25,,38.56,percent of total billed charges,38.25% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,124.48,
LS SPINE 3 VIEW,130595,CDM,320,RC,72100,HCPCS,OUTPATIENT,,,200,160,,190,95,,152,percent of total billed charges,95% of total billed charges,189.44,94.72,,151.55,percent of total billed charges,94.72% of total billed charges,197.58,98.79,,158.06,percent of total billed charges,98.79% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,96,48,,76.8,percent of total billed charges,48% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,38.25,,61.2,percent of total billed charges,38.25% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,197.58,
LS SPINE MIN 4 VIEW,130600,CDM,320,RC,72110,HCPCS,OUTPATIENT,,,301,240.8,,285.95,95,,228.76,percent of total billed charges,95% of total billed charges,285.11,94.72,,228.09,percent of total billed charges,94.72% of total billed charges,297.36,98.79,,237.89,percent of total billed charges,98.79% of total billed charges,294.98,98,,235.98,percent of total billed charges,98% of total billed charges,294.98,98,,235.98,percent of total billed charges,98% of total billed charges,144.48,48,,115.58,percent of total billed charges,48% of total billed charges,135.45,45,,108.36,percent of total billed charges,45% of total billed charges,115.13,38.25,,92.1,percent of total billed charges,38.25% of total billed charges,135.45,45,,108.36,percent of total billed charges,45% of total billed charges,135.45,45,,108.36,percent of total billed charges,45% of total billed charges,115.13,297.36,
LS SPINE COMP INC BENDING VIEW,130605,CDM,320,RC,72114,HCPCS,OUTPATIENT,,,338,270.4,,321.1,95,,256.88,percent of total billed charges,95% of total billed charges,320.15,94.72,,256.12,percent of total billed charges,94.72% of total billed charges,333.91,98.79,,267.13,percent of total billed charges,98.79% of total billed charges,331.24,98,,264.99,percent of total billed charges,98% of total billed charges,331.24,98,,264.99,percent of total billed charges,98% of total billed charges,162.24,48,,129.79,percent of total billed charges,48% of total billed charges,152.1,45,,121.68,percent of total billed charges,45% of total billed charges,129.29,38.25,,103.43,percent of total billed charges,38.25% of total billed charges,152.1,45,,121.68,percent of total billed charges,45% of total billed charges,152.1,45,,121.68,percent of total billed charges,45% of total billed charges,129.29,333.91,
LS SPINE BENDING ONLY MIN 4 VIEW,130610,CDM,320,RC,72120,HCPCS,OUTPATIENT,,,271,216.8,,257.45,95,,205.96,percent of total billed charges,95% of total billed charges,256.69,94.72,,205.35,percent of total billed charges,94.72% of total billed charges,267.72,98.79,,214.18,percent of total billed charges,98.79% of total billed charges,265.58,98,,212.46,percent of total billed charges,98% of total billed charges,265.58,98,,212.46,percent of total billed charges,98% of total billed charges,130.08,48,,104.06,percent of total billed charges,48% of total billed charges,121.95,45,,97.56,percent of total billed charges,45% of total billed charges,103.66,38.25,,82.93,percent of total billed charges,38.25% of total billed charges,121.95,45,,97.56,percent of total billed charges,45% of total billed charges,121.95,45,,97.56,percent of total billed charges,45% of total billed charges,103.66,267.72,
MANDIBLE  2 VIEWS,130620,CDM,320,RC,70100,HCPCS,OUTPATIENT,,,159,127.2,,151.05,95,,120.84,percent of total billed charges,95% of total billed charges,150.6,94.72,,120.48,percent of total billed charges,94.72% of total billed charges,157.08,98.79,,125.66,percent of total billed charges,98.79% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,76.32,48,,61.06,percent of total billed charges,48% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,38.25,,48.66,percent of total billed charges,38.25% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,157.08,
MANDIBLE MIN 4 VIEWS,130630,CDM,320,RC,70110,HCPCS,OUTPATIENT,,,217,173.6,,206.15,95,,164.92,percent of total billed charges,95% of total billed charges,205.54,94.72,,164.43,percent of total billed charges,94.72% of total billed charges,214.37,98.79,,171.5,percent of total billed charges,98.79% of total billed charges,212.66,98,,170.13,percent of total billed charges,98% of total billed charges,212.66,98,,170.13,percent of total billed charges,98% of total billed charges,104.16,48,,83.33,percent of total billed charges,48% of total billed charges,97.65,45,,78.12,percent of total billed charges,45% of total billed charges,83,38.25,,66.4,percent of total billed charges,38.25% of total billed charges,97.65,45,,78.12,percent of total billed charges,45% of total billed charges,97.65,45,,78.12,percent of total billed charges,45% of total billed charges,83,214.37,
MASTOIDS 3VIEWS PER SIDE,130640,CDM,320,RC,70120,HCPCS,OUTPATIENT,,,169,135.2,,160.55,95,,128.44,percent of total billed charges,95% of total billed charges,160.08,94.72,,128.06,percent of total billed charges,94.72% of total billed charges,166.96,98.79,,133.57,percent of total billed charges,98.79% of total billed charges,165.62,98,,132.5,percent of total billed charges,98% of total billed charges,165.62,98,,132.5,percent of total billed charges,98% of total billed charges,81.12,48,,64.9,percent of total billed charges,48% of total billed charges,76.05,45,,60.84,percent of total billed charges,45% of total billed charges,64.64,38.25,,51.71,percent of total billed charges,38.25% of total billed charges,76.05,45,,60.84,percent of total billed charges,45% of total billed charges,76.05,45,,60.84,percent of total billed charges,45% of total billed charges,64.64,166.96,
XR Mastoids < 3 Views Right,130641,CDM,320,RC,70120,HCPCS,OUTPATIENT,,,169,135.2,,160.55,95,,128.44,percent of total billed charges,95% of total billed charges,160.08,94.72,,128.06,percent of total billed charges,94.72% of total billed charges,166.96,98.79,,133.57,percent of total billed charges,98.79% of total billed charges,165.62,98,,132.5,percent of total billed charges,98% of total billed charges,165.62,98,,132.5,percent of total billed charges,98% of total billed charges,81.12,48,,64.9,percent of total billed charges,48% of total billed charges,76.05,45,,60.84,percent of total billed charges,45% of total billed charges,64.64,38.25,,51.71,percent of total billed charges,38.25% of total billed charges,76.05,45,,60.84,percent of total billed charges,45% of total billed charges,76.05,45,,60.84,percent of total billed charges,45% of total billed charges,64.64,166.96,
MASTOIDS MIN 3 VIEWS PER SIDE,130650,CDM,320,RC,70130,HCPCS,OUTPATIENT,,,217,173.6,,206.15,95,,164.92,percent of total billed charges,95% of total billed charges,205.54,94.72,,164.43,percent of total billed charges,94.72% of total billed charges,214.37,98.79,,171.5,percent of total billed charges,98.79% of total billed charges,212.66,98,,170.13,percent of total billed charges,98% of total billed charges,212.66,98,,170.13,percent of total billed charges,98% of total billed charges,104.16,48,,83.33,percent of total billed charges,48% of total billed charges,97.65,45,,78.12,percent of total billed charges,45% of total billed charges,83,38.25,,66.4,percent of total billed charges,38.25% of total billed charges,97.65,45,,78.12,percent of total billed charges,45% of total billed charges,97.65,45,,78.12,percent of total billed charges,45% of total billed charges,83,214.37,
BONE SURVEY LIMITED,130655,CDM,320,RC,77074,HCPCS,OUTPATIENT,,,447,357.6,,424.65,95,,339.72,percent of total billed charges,95% of total billed charges,423.4,94.72,,338.72,percent of total billed charges,94.72% of total billed charges,441.59,98.79,,353.27,percent of total billed charges,98.79% of total billed charges,438.06,98,,350.45,percent of total billed charges,98% of total billed charges,438.06,98,,350.45,percent of total billed charges,98% of total billed charges,214.56,48,,171.65,percent of total billed charges,48% of total billed charges,201.15,45,,160.92,percent of total billed charges,45% of total billed charges,170.98,38.25,,136.78,percent of total billed charges,38.25% of total billed charges,201.15,45,,160.92,percent of total billed charges,45% of total billed charges,201.15,45,,160.92,percent of total billed charges,45% of total billed charges,170.98,441.59,
BONE SURVEY COMPLETE,130660,CDM,320,RC,77075,HCPCS,OUTPATIENT,,,601,480.8,,570.95,95,,456.76,percent of total billed charges,95% of total billed charges,569.27,94.72,,455.42,percent of total billed charges,94.72% of total billed charges,593.73,98.79,,474.98,percent of total billed charges,98.79% of total billed charges,588.98,98,,471.18,percent of total billed charges,98% of total billed charges,588.98,98,,471.18,percent of total billed charges,98% of total billed charges,288.48,48,,230.78,percent of total billed charges,48% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,229.88,38.25,,183.9,percent of total billed charges,38.25% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,229.88,593.73,
NASAL BONES MIN 3 VIEWS,130670,CDM,320,RC,70160,HCPCS,OUTPATIENT,,,150,120,,142.5,95,,114,percent of total billed charges,95% of total billed charges,142.08,94.72,,113.66,percent of total billed charges,94.72% of total billed charges,148.19,98.79,,118.55,percent of total billed charges,98.79% of total billed charges,147,98,,117.6,percent of total billed charges,98% of total billed charges,147,98,,117.6,percent of total billed charges,98% of total billed charges,72,48,,57.6,percent of total billed charges,48% of total billed charges,67.5,45,,54,percent of total billed charges,45% of total billed charges,57.38,38.25,,45.9,percent of total billed charges,38.25% of total billed charges,67.5,45,,54,percent of total billed charges,45% of total billed charges,67.5,45,,54,percent of total billed charges,45% of total billed charges,57.38,148.19,
NECK SOFT TISSUE,130680,CDM,320,RC,70360,HCPCS,OUTPATIENT,,,159,127.2,,151.05,95,,120.84,percent of total billed charges,95% of total billed charges,150.6,94.72,,120.48,percent of total billed charges,94.72% of total billed charges,157.08,98.79,,125.66,percent of total billed charges,98.79% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,76.32,48,,61.06,percent of total billed charges,48% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,38.25,,48.66,percent of total billed charges,38.25% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,157.08,
ORBITS FOR F B,130690,CDM,320,RC,70030,HCPCS,OUTPATIENT,,,159,127.2,,151.05,95,,120.84,percent of total billed charges,95% of total billed charges,150.6,94.72,,120.48,percent of total billed charges,94.72% of total billed charges,157.08,98.79,,125.66,percent of total billed charges,98.79% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,76.32,48,,61.06,percent of total billed charges,48% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,38.25,,48.66,percent of total billed charges,38.25% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,157.08,
ORBITS MIN 4 VIEW,130700,CDM,320,RC,70200,HCPCS,OUTPATIENT,,,228,182.4,,216.6,95,,173.28,percent of total billed charges,95% of total billed charges,215.96,94.72,,172.77,percent of total billed charges,94.72% of total billed charges,225.24,98.79,,180.19,percent of total billed charges,98.79% of total billed charges,223.44,98,,178.75,percent of total billed charges,98% of total billed charges,223.44,98,,178.75,percent of total billed charges,98% of total billed charges,109.44,48,,87.55,percent of total billed charges,48% of total billed charges,102.6,45,,82.08,percent of total billed charges,45% of total billed charges,87.21,38.25,,69.77,percent of total billed charges,38.25% of total billed charges,102.6,45,,82.08,percent of total billed charges,45% of total billed charges,102.6,45,,82.08,percent of total billed charges,45% of total billed charges,87.21,225.24,
PEDIATRIC EXT UPPER LT AGE 2 OR LESS,130710,CDM,320,RC,73092,HCPCS,OUTPATIENT,,,159,127.2,,151.05,95,,120.84,percent of total billed charges,95% of total billed charges,150.6,94.72,,120.48,percent of total billed charges,94.72% of total billed charges,157.08,98.79,,125.66,percent of total billed charges,98.79% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,76.32,48,,61.06,percent of total billed charges,48% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,38.25,,48.66,percent of total billed charges,38.25% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,157.08,
PEDIATRIC EXT UPPER RT AGE 2 OR LESS,130720,CDM,320,RC,73092,HCPCS,OUTPATIENT,,,159,127.2,,151.05,95,,120.84,percent of total billed charges,95% of total billed charges,150.6,94.72,,120.48,percent of total billed charges,94.72% of total billed charges,157.08,98.79,,125.66,percent of total billed charges,98.79% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,76.32,48,,61.06,percent of total billed charges,48% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,38.25,,48.66,percent of total billed charges,38.25% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,157.08,
PED EXT LOWER LT AGE 2 OR LESS,130730,CDM,320,RC,73592,HCPCS,OUTPATIENT,,,159,127.2,,151.05,95,,120.84,percent of total billed charges,95% of total billed charges,150.6,94.72,,120.48,percent of total billed charges,94.72% of total billed charges,157.08,98.79,,125.66,percent of total billed charges,98.79% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,76.32,48,,61.06,percent of total billed charges,48% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,38.25,,48.66,percent of total billed charges,38.25% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,157.08,
XR Lower Extremity Infant (0-1yr) Right,130740,CDM,320,RC,73592,HCPCS,OUTPATIENT,,,159,127.2,,151.05,95,,120.84,percent of total billed charges,95% of total billed charges,150.6,94.72,,120.48,percent of total billed charges,94.72% of total billed charges,157.08,98.79,,125.66,percent of total billed charges,98.79% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,76.32,48,,61.06,percent of total billed charges,48% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,38.25,,48.66,percent of total billed charges,38.25% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,157.08,
73521 Radiologic examination| hips| bilateral| with pelvis,130750,CDM,320,RC,73521,HCPCS,OUTPATIENT,,,172,137.6,,163.4,95,,130.72,percent of total billed charges,95% of total billed charges,162.92,94.72,,130.34,percent of total billed charges,94.72% of total billed charges,169.92,98.79,,135.94,percent of total billed charges,98.79% of total billed charges,168.56,98,,134.85,percent of total billed charges,98% of total billed charges,168.56,98,,134.85,percent of total billed charges,98% of total billed charges,82.56,48,,66.05,percent of total billed charges,48% of total billed charges,77.4,45,,61.92,percent of total billed charges,45% of total billed charges,65.79,38.25,,52.63,percent of total billed charges,38.25% of total billed charges,77.4,45,,61.92,percent of total billed charges,45% of total billed charges,77.4,45,,61.92,percent of total billed charges,45% of total billed charges,65.79,169.92,
PEDIATRIC HEAD TO RECTUM F B,130760,CDM,320,RC,76010,HCPCS,OUTPATIENT,,,159,127.2,,151.05,95,,120.84,percent of total billed charges,95% of total billed charges,150.6,94.72,,120.48,percent of total billed charges,94.72% of total billed charges,157.08,98.79,,125.66,percent of total billed charges,98.79% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,76.32,48,,61.06,percent of total billed charges,48% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,38.25,,48.66,percent of total billed charges,38.25% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,157.08,
Radiologic examination| pelvis; 1 or 2 views,130770,CDM,320,RC,72170,HCPCS,OUTPATIENT,,,183,146.4,,173.85,95,,139.08,percent of total billed charges,95% of total billed charges,173.34,94.72,,138.67,percent of total billed charges,94.72% of total billed charges,180.79,98.79,,144.63,percent of total billed charges,98.79% of total billed charges,179.34,98,,143.47,percent of total billed charges,98% of total billed charges,179.34,98,,143.47,percent of total billed charges,98% of total billed charges,87.84,48,,70.27,percent of total billed charges,48% of total billed charges,82.35,45,,65.88,percent of total billed charges,45% of total billed charges,70,38.25,,56,percent of total billed charges,38.25% of total billed charges,82.35,45,,65.88,percent of total billed charges,45% of total billed charges,82.35,45,,65.88,percent of total billed charges,45% of total billed charges,70,180.79,
PELVIS 1 TO 2 VIEWS,130770,CDM,320,RC,72170,HCPCS,OUTPATIENT,,,183,146.4,,173.85,95,,139.08,percent of total billed charges,95% of total billed charges,173.34,94.72,,138.67,percent of total billed charges,94.72% of total billed charges,180.79,98.79,,144.63,percent of total billed charges,98.79% of total billed charges,179.34,98,,143.47,percent of total billed charges,98% of total billed charges,179.34,98,,143.47,percent of total billed charges,98% of total billed charges,87.84,48,,70.27,percent of total billed charges,48% of total billed charges,82.35,45,,65.88,percent of total billed charges,45% of total billed charges,70,38.25,,56,percent of total billed charges,38.25% of total billed charges,82.35,45,,65.88,percent of total billed charges,45% of total billed charges,82.35,45,,65.88,percent of total billed charges,45% of total billed charges,70,180.79,
PELVIS MIN 3 VIEWS,130780,CDM,320,RC,72190,HCPCS,OUTPATIENT,,,210,168,,199.5,95,,159.6,percent of total billed charges,95% of total billed charges,198.91,94.72,,159.13,percent of total billed charges,94.72% of total billed charges,207.46,98.79,,165.97,percent of total billed charges,98.79% of total billed charges,205.8,98,,164.64,percent of total billed charges,98% of total billed charges,205.8,98,,164.64,percent of total billed charges,98% of total billed charges,100.8,48,,80.64,percent of total billed charges,48% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,80.33,38.25,,64.26,percent of total billed charges,38.25% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,80.33,207.46,
RIBS BILAT 3 VIEWS,130790,CDM,320,RC,71110,HCPCS,OUTPATIENT,,,228,182.4,,216.6,95,,173.28,percent of total billed charges,95% of total billed charges,215.96,94.72,,172.77,percent of total billed charges,94.72% of total billed charges,225.24,98.79,,180.19,percent of total billed charges,98.79% of total billed charges,223.44,98,,178.75,percent of total billed charges,98% of total billed charges,223.44,98,,178.75,percent of total billed charges,98% of total billed charges,109.44,48,,87.55,percent of total billed charges,48% of total billed charges,102.6,45,,82.08,percent of total billed charges,45% of total billed charges,87.21,38.25,,69.77,percent of total billed charges,38.25% of total billed charges,102.6,45,,82.08,percent of total billed charges,45% of total billed charges,102.6,45,,82.08,percent of total billed charges,45% of total billed charges,87.21,225.24,
RIBS BILAT PA CHEST,130800,CDM,320,RC,71111,HCPCS,OUTPATIENT,,,255,204,,242.25,95,,193.8,percent of total billed charges,95% of total billed charges,241.54,94.72,,193.23,percent of total billed charges,94.72% of total billed charges,251.91,98.79,,201.53,percent of total billed charges,98.79% of total billed charges,249.9,98,,199.92,percent of total billed charges,98% of total billed charges,249.9,98,,199.92,percent of total billed charges,98% of total billed charges,122.4,48,,97.92,percent of total billed charges,48% of total billed charges,114.75,45,,91.8,percent of total billed charges,45% of total billed charges,97.54,38.25,,78.03,percent of total billed charges,38.25% of total billed charges,114.75,45,,91.8,percent of total billed charges,45% of total billed charges,114.75,45,,91.8,percent of total billed charges,45% of total billed charges,97.54,251.91,
RIBS 3 VIEW LT,130810,CDM,320,RC,71100,HCPCS,OUTPATIENT,,,173,138.4,LT,164.35,95,,131.48,percent of total billed charges,95% of total billed charges,163.87,94.72,,131.1,percent of total billed charges,94.72% of total billed charges,170.91,98.79,,136.73,percent of total billed charges,98.79% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,83.04,48,,66.43,percent of total billed charges,48% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,38.25,,52.94,percent of total billed charges,38.25% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,170.91,
RETROGRADE PYELOGRAM RT,130811,CDM,320,RC,74420,HCPCS,OUTPATIENT,,,500,400,RT,475,95,,380,percent of total billed charges,95% of total billed charges,473.6,94.72,,378.88,percent of total billed charges,94.72% of total billed charges,493.95,98.79,,395.16,percent of total billed charges,98.79% of total billed charges,490,98,,392,percent of total billed charges,98% of total billed charges,490,98,,392,percent of total billed charges,98% of total billed charges,240,48,,192,percent of total billed charges,48% of total billed charges,225,45,,180,percent of total billed charges,45% of total billed charges,191.25,38.25,,153,percent of total billed charges,38.25% of total billed charges,225,45,,180,percent of total billed charges,45% of total billed charges,225,45,,180,percent of total billed charges,45% of total billed charges,191.25,493.95,
RETROGRADE PYELOGRAM LT,130812,CDM,320,RC,74420,HCPCS,OUTPATIENT,,,500,400,LT,475,95,,380,percent of total billed charges,95% of total billed charges,473.6,94.72,,378.88,percent of total billed charges,94.72% of total billed charges,493.95,98.79,,395.16,percent of total billed charges,98.79% of total billed charges,490,98,,392,percent of total billed charges,98% of total billed charges,490,98,,392,percent of total billed charges,98% of total billed charges,240,48,,192,percent of total billed charges,48% of total billed charges,225,45,,180,percent of total billed charges,45% of total billed charges,191.25,38.25,,153,percent of total billed charges,38.25% of total billed charges,225,45,,180,percent of total billed charges,45% of total billed charges,225,45,,180,percent of total billed charges,45% of total billed charges,191.25,493.95,
RETROGRADE URETERAL DILATION LT,130813,CDM,320,RC,74485,HCPCS,OUTPATIENT,,,1830,1464,LT,1738.5,95,,1390.8,percent of total billed charges,95% of total billed charges,1733.38,94.72,,1386.7,percent of total billed charges,94.72% of total billed charges,1807.86,98.79,,1446.29,percent of total billed charges,98.79% of total billed charges,1793.4,98,,1434.72,percent of total billed charges,98% of total billed charges,1793.4,98,,1434.72,percent of total billed charges,98% of total billed charges,878.4,48,,702.72,percent of total billed charges,48% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,699.98,38.25,,559.98,percent of total billed charges,38.25% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,699.98,1807.86,
RETROGRADE URETERAL DILATION RT,130814,CDM,320,RC,74485,HCPCS,OUTPATIENT,,,1830,1464,RT,1738.5,95,,1390.8,percent of total billed charges,95% of total billed charges,1733.38,94.72,,1386.7,percent of total billed charges,94.72% of total billed charges,1807.86,98.79,,1446.29,percent of total billed charges,98.79% of total billed charges,1793.4,98,,1434.72,percent of total billed charges,98% of total billed charges,1793.4,98,,1434.72,percent of total billed charges,98% of total billed charges,878.4,48,,702.72,percent of total billed charges,48% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,699.98,38.25,,559.98,percent of total billed charges,38.25% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,699.98,1807.86,
ANTEGRADE PYELOGRAM LT,130815,CDM,320,RC,74425,HCPCS,OUTPATIENT,,,310,248,LT,294.5,95,,235.6,percent of total billed charges,95% of total billed charges,293.63,94.72,,234.9,percent of total billed charges,94.72% of total billed charges,306.25,98.79,,245,percent of total billed charges,98.79% of total billed charges,303.8,98,,243.04,percent of total billed charges,98% of total billed charges,303.8,98,,243.04,percent of total billed charges,98% of total billed charges,148.8,48,,119.04,percent of total billed charges,48% of total billed charges,139.5,45,,111.6,percent of total billed charges,45% of total billed charges,118.58,38.25,,94.86,percent of total billed charges,38.25% of total billed charges,139.5,45,,111.6,percent of total billed charges,45% of total billed charges,139.5,45,,111.6,percent of total billed charges,45% of total billed charges,118.58,306.25,
ANTEGRADE PYELOGRAM RT,130816,CDM,320,RC,74425,HCPCS,OUTPATIENT,,,310,248,RT,294.5,95,,235.6,percent of total billed charges,95% of total billed charges,293.63,94.72,,234.9,percent of total billed charges,94.72% of total billed charges,306.25,98.79,,245,percent of total billed charges,98.79% of total billed charges,303.8,98,,243.04,percent of total billed charges,98% of total billed charges,303.8,98,,243.04,percent of total billed charges,98% of total billed charges,148.8,48,,119.04,percent of total billed charges,48% of total billed charges,139.5,45,,111.6,percent of total billed charges,45% of total billed charges,118.58,38.25,,94.86,percent of total billed charges,38.25% of total billed charges,139.5,45,,111.6,percent of total billed charges,45% of total billed charges,139.5,45,,111.6,percent of total billed charges,45% of total billed charges,118.58,306.25,
RIBS 3 VIEW RT,130820,CDM,320,RC,71100,HCPCS,OUTPATIENT,,,173,138.4,RT,164.35,95,,131.48,percent of total billed charges,95% of total billed charges,163.87,94.72,,131.1,percent of total billed charges,94.72% of total billed charges,170.91,98.79,,136.73,percent of total billed charges,98.79% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,83.04,48,,66.43,percent of total billed charges,48% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,38.25,,52.94,percent of total billed charges,38.25% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,170.91,
RIBS W/PA CHEST LT,130830,CDM,320,RC,71101,HCPCS,OUTPATIENT,,,200,160,LT,190,95,,152,percent of total billed charges,95% of total billed charges,189.44,94.72,,151.55,percent of total billed charges,94.72% of total billed charges,197.58,98.79,,158.06,percent of total billed charges,98.79% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,96,48,,76.8,percent of total billed charges,48% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,38.25,,61.2,percent of total billed charges,38.25% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,197.58,
RIBS W/PA CHEST RT,130840,CDM,320,RC,71101,HCPCS,OUTPATIENT,,,200,160,RT,190,95,,152,percent of total billed charges,95% of total billed charges,189.44,94.72,,151.55,percent of total billed charges,94.72% of total billed charges,197.58,98.79,,158.06,percent of total billed charges,98.79% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,96,48,,76.8,percent of total billed charges,48% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,38.25,,61.2,percent of total billed charges,38.25% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,197.58,
SI JOINTS 3 VIEWS,130850,CDM,320,RC,72202,HCPCS,OUTPATIENT,,,159,127.2,,151.05,95,,120.84,percent of total billed charges,95% of total billed charges,150.6,94.72,,120.48,percent of total billed charges,94.72% of total billed charges,157.08,98.79,,125.66,percent of total billed charges,98.79% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,76.32,48,,61.06,percent of total billed charges,48% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,38.25,,48.66,percent of total billed charges,38.25% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,157.08,
SACRUM/COCCYX,130860,CDM,320,RC,72220,HCPCS,OUTPATIENT,,,145,116,,137.75,95,,110.2,percent of total billed charges,95% of total billed charges,137.34,94.72,,109.87,percent of total billed charges,94.72% of total billed charges,143.25,98.79,,114.6,percent of total billed charges,98.79% of total billed charges,142.1,98,,113.68,percent of total billed charges,98% of total billed charges,142.1,98,,113.68,percent of total billed charges,98% of total billed charges,69.6,48,,55.68,percent of total billed charges,48% of total billed charges,65.25,45,,52.2,percent of total billed charges,45% of total billed charges,55.46,38.25,,44.37,percent of total billed charges,38.25% of total billed charges,65.25,45,,52.2,percent of total billed charges,45% of total billed charges,65.25,45,,52.2,percent of total billed charges,45% of total billed charges,55.46,143.25,
SCAPULA RT,130870,CDM,320,RC,73010,HCPCS,OUTPATIENT,,,159,127.2,RT,151.05,95,,120.84,percent of total billed charges,95% of total billed charges,150.6,94.72,,120.48,percent of total billed charges,94.72% of total billed charges,157.08,98.79,,125.66,percent of total billed charges,98.79% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,76.32,48,,61.06,percent of total billed charges,48% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,38.25,,48.66,percent of total billed charges,38.25% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,157.08,
SCAPULA LT,130875,CDM,320,RC,73010,HCPCS,OUTPATIENT,,,159,127.2,LT,151.05,95,,120.84,percent of total billed charges,95% of total billed charges,150.6,94.72,,120.48,percent of total billed charges,94.72% of total billed charges,157.08,98.79,,125.66,percent of total billed charges,98.79% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,76.32,48,,61.06,percent of total billed charges,48% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,38.25,,48.66,percent of total billed charges,38.25% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,157.08,
XR Spine Scoliosis 2-3 Views,130880,CDM,320,RC,72081,HCPCS,OUTPATIENT,,,268,214.4,,254.6,95,,203.68,percent of total billed charges,95% of total billed charges,253.85,94.72,,203.08,percent of total billed charges,94.72% of total billed charges,264.76,98.79,,211.81,percent of total billed charges,98.79% of total billed charges,262.64,98,,210.11,percent of total billed charges,98% of total billed charges,262.64,98,,210.11,percent of total billed charges,98% of total billed charges,128.64,48,,102.91,percent of total billed charges,48% of total billed charges,120.6,45,,96.48,percent of total billed charges,45% of total billed charges,102.51,38.25,,82.01,percent of total billed charges,38.25% of total billed charges,120.6,45,,96.48,percent of total billed charges,45% of total billed charges,120.6,45,,96.48,percent of total billed charges,45% of total billed charges,102.51,264.76,
SCOLIOSIS STUDY,130880,CDM,320,RC,72081,HCPCS,OUTPATIENT,,,275,220,,261.25,95,,209,percent of total billed charges,95% of total billed charges,260.48,94.72,,208.38,percent of total billed charges,94.72% of total billed charges,271.67,98.79,,217.34,percent of total billed charges,98.79% of total billed charges,269.5,98,,215.6,percent of total billed charges,98% of total billed charges,269.5,98,,215.6,percent of total billed charges,98% of total billed charges,132,48,,105.6,percent of total billed charges,48% of total billed charges,123.75,45,,99,percent of total billed charges,45% of total billed charges,105.19,38.25,,84.15,percent of total billed charges,38.25% of total billed charges,123.75,45,,99,percent of total billed charges,45% of total billed charges,123.75,45,,99,percent of total billed charges,45% of total billed charges,105.19,271.67,
SHOULDER ONE VIEW LT,130890,CDM,320,RC,73020,HCPCS,OUTPATIENT,,,140,112,LT,133,95,,106.4,percent of total billed charges,95% of total billed charges,132.61,94.72,,106.09,percent of total billed charges,94.72% of total billed charges,138.31,98.79,,110.65,percent of total billed charges,98.79% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,67.2,48,,53.76,percent of total billed charges,48% of total billed charges,63,45,,50.4,percent of total billed charges,45% of total billed charges,53.55,38.25,,42.84,percent of total billed charges,38.25% of total billed charges,63,45,,50.4,percent of total billed charges,45% of total billed charges,63,45,,50.4,percent of total billed charges,45% of total billed charges,53.55,138.31,
SHOULDER ONE VIEW RT,130900,CDM,320,RC,73020,HCPCS,OUTPATIENT,,,140,112,RT,133,95,,106.4,percent of total billed charges,95% of total billed charges,132.61,94.72,,106.09,percent of total billed charges,94.72% of total billed charges,138.31,98.79,,110.65,percent of total billed charges,98.79% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,67.2,48,,53.76,percent of total billed charges,48% of total billed charges,63,45,,50.4,percent of total billed charges,45% of total billed charges,53.55,38.25,,42.84,percent of total billed charges,38.25% of total billed charges,63,45,,50.4,percent of total billed charges,45% of total billed charges,63,45,,50.4,percent of total billed charges,45% of total billed charges,53.55,138.31,
SHOULDER MIN 2 VIEWS LT,130910,CDM,320,RC,73030,HCPCS,OUTPATIENT,,,175,140,LT,166.25,95,,133,percent of total billed charges,95% of total billed charges,165.76,94.72,,132.61,percent of total billed charges,94.72% of total billed charges,172.88,98.79,,138.3,percent of total billed charges,98.79% of total billed charges,171.5,98,,137.2,percent of total billed charges,98% of total billed charges,171.5,98,,137.2,percent of total billed charges,98% of total billed charges,84,48,,67.2,percent of total billed charges,48% of total billed charges,78.75,45,,63,percent of total billed charges,45% of total billed charges,66.94,38.25,,53.55,percent of total billed charges,38.25% of total billed charges,78.75,45,,63,percent of total billed charges,45% of total billed charges,78.75,45,,63,percent of total billed charges,45% of total billed charges,66.94,172.88,
SHOULDER MIN 2 VIEWS RT,130920,CDM,320,RC,73030,HCPCS,OUTPATIENT,,,175,140,RT,166.25,95,,133,percent of total billed charges,95% of total billed charges,165.76,94.72,,132.61,percent of total billed charges,94.72% of total billed charges,172.88,98.79,,138.3,percent of total billed charges,98.79% of total billed charges,171.5,98,,137.2,percent of total billed charges,98% of total billed charges,171.5,98,,137.2,percent of total billed charges,98% of total billed charges,84,48,,67.2,percent of total billed charges,48% of total billed charges,78.75,45,,63,percent of total billed charges,45% of total billed charges,66.94,38.25,,53.55,percent of total billed charges,38.25% of total billed charges,78.75,45,,63,percent of total billed charges,45% of total billed charges,78.75,45,,63,percent of total billed charges,45% of total billed charges,66.94,172.88,
SINUSES 2 VIEWS,130940,CDM,320,RC,70210,HCPCS,OUTPATIENT,,,167,133.6,,158.65,95,,126.92,percent of total billed charges,95% of total billed charges,158.18,94.72,,126.54,percent of total billed charges,94.72% of total billed charges,164.98,98.79,,131.98,percent of total billed charges,98.79% of total billed charges,163.66,98,,130.93,percent of total billed charges,98% of total billed charges,163.66,98,,130.93,percent of total billed charges,98% of total billed charges,80.16,48,,64.13,percent of total billed charges,48% of total billed charges,75.15,45,,60.12,percent of total billed charges,45% of total billed charges,63.88,38.25,,51.1,percent of total billed charges,38.25% of total billed charges,75.15,45,,60.12,percent of total billed charges,45% of total billed charges,75.15,45,,60.12,percent of total billed charges,45% of total billed charges,63.88,164.98,
SINUSES MIN 3 VIEWS,130950,CDM,320,RC,70220,HCPCS,OUTPATIENT,,,224,179.2,,212.8,95,,170.24,percent of total billed charges,95% of total billed charges,212.17,94.72,,169.74,percent of total billed charges,94.72% of total billed charges,221.29,98.79,,177.03,percent of total billed charges,98.79% of total billed charges,219.52,98,,175.62,percent of total billed charges,98% of total billed charges,219.52,98,,175.62,percent of total billed charges,98% of total billed charges,107.52,48,,86.02,percent of total billed charges,48% of total billed charges,100.8,45,,80.64,percent of total billed charges,45% of total billed charges,85.68,38.25,,68.54,percent of total billed charges,38.25% of total billed charges,100.8,45,,80.64,percent of total billed charges,45% of total billed charges,100.8,45,,80.64,percent of total billed charges,45% of total billed charges,85.68,221.29,
SKULL LESS THAN 4 VIEWS,130960,CDM,320,RC,70250,HCPCS,OUTPATIENT,,,188,150.4,,178.6,95,,142.88,percent of total billed charges,95% of total billed charges,178.07,94.72,,142.46,percent of total billed charges,94.72% of total billed charges,185.73,98.79,,148.58,percent of total billed charges,98.79% of total billed charges,184.24,98,,147.39,percent of total billed charges,98% of total billed charges,184.24,98,,147.39,percent of total billed charges,98% of total billed charges,90.24,48,,72.19,percent of total billed charges,48% of total billed charges,84.6,45,,67.68,percent of total billed charges,45% of total billed charges,71.91,38.25,,57.53,percent of total billed charges,38.25% of total billed charges,84.6,45,,67.68,percent of total billed charges,45% of total billed charges,84.6,45,,67.68,percent of total billed charges,45% of total billed charges,71.91,185.73,
SKULL MIN 4 VIEWS,130970,CDM,320,RC,70260,HCPCS,OUTPATIENT,,,255,204,,242.25,95,,193.8,percent of total billed charges,95% of total billed charges,241.54,94.72,,193.23,percent of total billed charges,94.72% of total billed charges,251.91,98.79,,201.53,percent of total billed charges,98.79% of total billed charges,249.9,98,,199.92,percent of total billed charges,98% of total billed charges,249.9,98,,199.92,percent of total billed charges,98% of total billed charges,122.4,48,,97.92,percent of total billed charges,48% of total billed charges,114.75,45,,91.8,percent of total billed charges,45% of total billed charges,97.54,38.25,,78.03,percent of total billed charges,38.25% of total billed charges,114.75,45,,91.8,percent of total billed charges,45% of total billed charges,114.75,45,,91.8,percent of total billed charges,45% of total billed charges,97.54,251.91,
SMALL BOWEL,130980,CDM,320,RC,74250,HCPCS,OUTPATIENT,,,360,288,,342,95,,273.6,percent of total billed charges,95% of total billed charges,340.99,94.72,,272.79,percent of total billed charges,94.72% of total billed charges,355.64,98.79,,284.51,percent of total billed charges,98.79% of total billed charges,352.8,98,,282.24,percent of total billed charges,98% of total billed charges,352.8,98,,282.24,percent of total billed charges,98% of total billed charges,172.8,48,,138.24,percent of total billed charges,48% of total billed charges,162,45,,129.6,percent of total billed charges,45% of total billed charges,137.7,38.25,,110.16,percent of total billed charges,38.25% of total billed charges,162,45,,129.6,percent of total billed charges,45% of total billed charges,162,45,,129.6,percent of total billed charges,45% of total billed charges,137.7,355.64,
STERNAL CLAVICULAR JTS,130990,CDM,320,RC,71130,HCPCS,OUTPATIENT,,,190,152,,180.5,95,,144.4,percent of total billed charges,95% of total billed charges,179.97,94.72,,143.98,percent of total billed charges,94.72% of total billed charges,187.7,98.79,,150.16,percent of total billed charges,98.79% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,91.2,48,,72.96,percent of total billed charges,48% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,38.25,,58.14,percent of total billed charges,38.25% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,187.7,
STERNUM MIN 2 VIEW,131000,CDM,320,RC,71120,HCPCS,OUTPATIENT,,,172,137.6,,163.4,95,,130.72,percent of total billed charges,95% of total billed charges,162.92,94.72,,130.34,percent of total billed charges,94.72% of total billed charges,169.92,98.79,,135.94,percent of total billed charges,98.79% of total billed charges,168.56,98,,134.85,percent of total billed charges,98% of total billed charges,168.56,98,,134.85,percent of total billed charges,98% of total billed charges,82.56,48,,66.05,percent of total billed charges,48% of total billed charges,77.4,45,,61.92,percent of total billed charges,45% of total billed charges,65.79,38.25,,52.63,percent of total billed charges,38.25% of total billed charges,77.4,45,,61.92,percent of total billed charges,45% of total billed charges,77.4,45,,61.92,percent of total billed charges,45% of total billed charges,65.79,169.92,
STRESS VIEW ANY JT,131005,CDM,320,RC,77071,HCPCS,OUTPATIENT,,,133,106.4,,126.35,95,,101.08,percent of total billed charges,95% of total billed charges,125.98,94.72,,100.78,percent of total billed charges,94.72% of total billed charges,131.39,98.79,,105.11,percent of total billed charges,98.79% of total billed charges,130.34,98,,104.27,percent of total billed charges,98% of total billed charges,130.34,98,,104.27,percent of total billed charges,98% of total billed charges,63.84,48,,51.07,percent of total billed charges,48% of total billed charges,59.85,45,,47.88,percent of total billed charges,45% of total billed charges,50.87,38.25,,40.7,percent of total billed charges,38.25% of total billed charges,59.85,45,,47.88,percent of total billed charges,45% of total billed charges,59.85,45,,47.88,percent of total billed charges,45% of total billed charges,50.87,131.39,
THORACIC SPINE SINGLE VIEW,131020,CDM,320,RC,72020,HCPCS,OUTPATIENT,,,126,100.8,,119.7,95,,95.76,percent of total billed charges,95% of total billed charges,119.35,94.72,,95.48,percent of total billed charges,94.72% of total billed charges,124.48,98.79,,99.58,percent of total billed charges,98.79% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,60.48,48,,48.38,percent of total billed charges,48% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,38.25,,38.56,percent of total billed charges,38.25% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,124.48,
THORACIC SPINE 2 VIEW,131030,CDM,320,RC,72070,HCPCS,OUTPATIENT,,,190,152,,180.5,95,,144.4,percent of total billed charges,95% of total billed charges,179.97,94.72,,143.98,percent of total billed charges,94.72% of total billed charges,187.7,98.79,,150.16,percent of total billed charges,98.79% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,91.2,48,,72.96,percent of total billed charges,48% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,38.25,,58.14,percent of total billed charges,38.25% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,187.7,
THORACIC SPINE 3 VIEW,131040,CDM,320,RC,72072,HCPCS,OUTPATIENT,,,210,168,,199.5,95,,159.6,percent of total billed charges,95% of total billed charges,198.91,94.72,,159.13,percent of total billed charges,94.72% of total billed charges,207.46,98.79,,165.97,percent of total billed charges,98.79% of total billed charges,205.8,98,,164.64,percent of total billed charges,98% of total billed charges,205.8,98,,164.64,percent of total billed charges,98% of total billed charges,100.8,48,,80.64,percent of total billed charges,48% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,80.33,38.25,,64.26,percent of total billed charges,38.25% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,80.33,207.46,
THORACIC SPINE MIN 4 VIEWS,131050,CDM,320,RC,72074,HCPCS,OUTPATIENT,,,245,196,,232.75,95,,186.2,percent of total billed charges,95% of total billed charges,232.06,94.72,,185.65,percent of total billed charges,94.72% of total billed charges,242.04,98.79,,193.63,percent of total billed charges,98.79% of total billed charges,240.1,98,,192.08,percent of total billed charges,98% of total billed charges,240.1,98,,192.08,percent of total billed charges,98% of total billed charges,117.6,48,,94.08,percent of total billed charges,48% of total billed charges,110.25,45,,88.2,percent of total billed charges,45% of total billed charges,93.71,38.25,,74.97,percent of total billed charges,38.25% of total billed charges,110.25,45,,88.2,percent of total billed charges,45% of total billed charges,110.25,45,,88.2,percent of total billed charges,45% of total billed charges,93.71,242.04,
THORACOLUMBAR 2 VIEW,131060,CDM,320,RC,72080,HCPCS,OUTPATIENT,,,195,156,,185.25,95,,148.2,percent of total billed charges,95% of total billed charges,184.7,94.72,,147.76,percent of total billed charges,94.72% of total billed charges,192.64,98.79,,154.11,percent of total billed charges,98.79% of total billed charges,191.1,98,,152.88,percent of total billed charges,98% of total billed charges,191.1,98,,152.88,percent of total billed charges,98% of total billed charges,93.6,48,,74.88,percent of total billed charges,48% of total billed charges,87.75,45,,70.2,percent of total billed charges,45% of total billed charges,74.59,38.25,,59.67,percent of total billed charges,38.25% of total billed charges,87.75,45,,70.2,percent of total billed charges,45% of total billed charges,87.75,45,,70.2,percent of total billed charges,45% of total billed charges,74.59,192.64,
TMJ LT,131070,CDM,320,RC,70328,HCPCS,OUTPATIENT,,,145,116,LT,137.75,95,,110.2,percent of total billed charges,95% of total billed charges,137.34,94.72,,109.87,percent of total billed charges,94.72% of total billed charges,143.25,98.79,,114.6,percent of total billed charges,98.79% of total billed charges,142.1,98,,113.68,percent of total billed charges,98% of total billed charges,142.1,98,,113.68,percent of total billed charges,98% of total billed charges,69.6,48,,55.68,percent of total billed charges,48% of total billed charges,65.25,45,,52.2,percent of total billed charges,45% of total billed charges,55.46,38.25,,44.37,percent of total billed charges,38.25% of total billed charges,65.25,45,,52.2,percent of total billed charges,45% of total billed charges,65.25,45,,52.2,percent of total billed charges,45% of total billed charges,55.46,143.25,
TMJ RT,131080,CDM,320,RC,70328,HCPCS,OUTPATIENT,,,145,116,RT,137.75,95,,110.2,percent of total billed charges,95% of total billed charges,137.34,94.72,,109.87,percent of total billed charges,94.72% of total billed charges,143.25,98.79,,114.6,percent of total billed charges,98.79% of total billed charges,142.1,98,,113.68,percent of total billed charges,98% of total billed charges,142.1,98,,113.68,percent of total billed charges,98% of total billed charges,69.6,48,,55.68,percent of total billed charges,48% of total billed charges,65.25,45,,52.2,percent of total billed charges,45% of total billed charges,55.46,38.25,,44.37,percent of total billed charges,38.25% of total billed charges,65.25,45,,52.2,percent of total billed charges,45% of total billed charges,65.25,45,,52.2,percent of total billed charges,45% of total billed charges,55.46,143.25,
TMJ BILAT,131090,CDM,320,RC,70330,HCPCS,OUTPATIENT,,,228,182.4,50,216.6,95,,173.28,percent of total billed charges,95% of total billed charges,215.96,94.72,,172.77,percent of total billed charges,94.72% of total billed charges,225.24,98.79,,180.19,percent of total billed charges,98.79% of total billed charges,223.44,98,,178.75,percent of total billed charges,98% of total billed charges,223.44,98,,178.75,percent of total billed charges,98% of total billed charges,109.44,48,,87.55,percent of total billed charges,48% of total billed charges,102.6,45,,82.08,percent of total billed charges,45% of total billed charges,87.21,38.25,,69.77,percent of total billed charges,38.25% of total billed charges,102.6,45,,82.08,percent of total billed charges,45% of total billed charges,102.6,45,,82.08,percent of total billed charges,45% of total billed charges,87.21,225.24,
TOES GREAT LT,131100,CDM,320,RC,73660,HCPCS,OUTPATIENT,,,125,100,LT,118.75,95,,95,percent of total billed charges,95% of total billed charges,118.4,94.72,,94.72,percent of total billed charges,94.72% of total billed charges,123.49,98.79,,98.79,percent of total billed charges,98.79% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,60,48,,48,percent of total billed charges,48% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,38.25,,38.25,percent of total billed charges,38.25% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,123.49,
TOES 2ND DIGIT LT,131110,CDM,320,RC,73660,HCPCS,OUTPATIENT,,,125,100,LT,118.75,95,,95,percent of total billed charges,95% of total billed charges,118.4,94.72,,94.72,percent of total billed charges,94.72% of total billed charges,123.49,98.79,,98.79,percent of total billed charges,98.79% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,60,48,,48,percent of total billed charges,48% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,38.25,,38.25,percent of total billed charges,38.25% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,123.49,
TOES 3RD DIGIT LT,131120,CDM,320,RC,73660,HCPCS,OUTPATIENT,,,125,100,LT,118.75,95,,95,percent of total billed charges,95% of total billed charges,118.4,94.72,,94.72,percent of total billed charges,94.72% of total billed charges,123.49,98.79,,98.79,percent of total billed charges,98.79% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,60,48,,48,percent of total billed charges,48% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,38.25,,38.25,percent of total billed charges,38.25% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,123.49,
TOES 4TH DIGIT LT,131130,CDM,320,RC,73660,HCPCS,OUTPATIENT,,,125,100,LT,118.75,95,,95,percent of total billed charges,95% of total billed charges,118.4,94.72,,94.72,percent of total billed charges,94.72% of total billed charges,123.49,98.79,,98.79,percent of total billed charges,98.79% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,60,48,,48,percent of total billed charges,48% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,38.25,,38.25,percent of total billed charges,38.25% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,123.49,
TOES 5TH DIGIT LT,131140,CDM,320,RC,73660,HCPCS,OUTPATIENT,,,125,100,LT,118.75,95,,95,percent of total billed charges,95% of total billed charges,118.4,94.72,,94.72,percent of total billed charges,94.72% of total billed charges,123.49,98.79,,98.79,percent of total billed charges,98.79% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,60,48,,48,percent of total billed charges,48% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,38.25,,38.25,percent of total billed charges,38.25% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,123.49,
TOES GREAT RT,131150,CDM,320,RC,73660,HCPCS,OUTPATIENT,,,125,100,RT,118.75,95,,95,percent of total billed charges,95% of total billed charges,118.4,94.72,,94.72,percent of total billed charges,94.72% of total billed charges,123.49,98.79,,98.79,percent of total billed charges,98.79% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,60,48,,48,percent of total billed charges,48% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,38.25,,38.25,percent of total billed charges,38.25% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,123.49,
TOES 2ND DIGIT RT,131160,CDM,320,RC,73660,HCPCS,OUTPATIENT,,,125,100,RT,118.75,95,,95,percent of total billed charges,95% of total billed charges,118.4,94.72,,94.72,percent of total billed charges,94.72% of total billed charges,123.49,98.79,,98.79,percent of total billed charges,98.79% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,60,48,,48,percent of total billed charges,48% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,38.25,,38.25,percent of total billed charges,38.25% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,123.49,
TOES 3RD DIGIT RT,131170,CDM,320,RC,73660,HCPCS,OUTPATIENT,,,125,100,RT,118.75,95,,95,percent of total billed charges,95% of total billed charges,118.4,94.72,,94.72,percent of total billed charges,94.72% of total billed charges,123.49,98.79,,98.79,percent of total billed charges,98.79% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,60,48,,48,percent of total billed charges,48% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,38.25,,38.25,percent of total billed charges,38.25% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,123.49,
TOES 4TH DIGIT RT,131180,CDM,320,RC,73660,HCPCS,OUTPATIENT,,,125,100,RT,118.75,95,,95,percent of total billed charges,95% of total billed charges,118.4,94.72,,94.72,percent of total billed charges,94.72% of total billed charges,123.49,98.79,,98.79,percent of total billed charges,98.79% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,60,48,,48,percent of total billed charges,48% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,38.25,,38.25,percent of total billed charges,38.25% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,123.49,
TOES 5TH DIGIT RT,131190,CDM,320,RC,73660,HCPCS,OUTPATIENT,,,125,100,RT,118.75,95,,95,percent of total billed charges,95% of total billed charges,118.4,94.72,,94.72,percent of total billed charges,94.72% of total billed charges,123.49,98.79,,98.79,percent of total billed charges,98.79% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,60,48,,48,percent of total billed charges,48% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,38.25,,38.25,percent of total billed charges,38.25% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,123.49,
UPPER GI W/KUB,131210,CDM,320,RC,74240,HCPCS,OUTPATIENT,,,416,332.8,,395.2,95,,316.16,percent of total billed charges,95% of total billed charges,394.04,94.72,,315.23,percent of total billed charges,94.72% of total billed charges,410.97,98.79,,328.78,percent of total billed charges,98.79% of total billed charges,407.68,98,,326.14,percent of total billed charges,98% of total billed charges,407.68,98,,326.14,percent of total billed charges,98% of total billed charges,199.68,48,,159.74,percent of total billed charges,48% of total billed charges,187.2,45,,149.76,percent of total billed charges,45% of total billed charges,159.12,38.25,,127.3,percent of total billed charges,38.25% of total billed charges,187.2,45,,149.76,percent of total billed charges,45% of total billed charges,187.2,45,,149.76,percent of total billed charges,45% of total billed charges,159.12,410.97,
UPPER GI W/O KUB,131220,CDM,320,RC,74240,HCPCS,OUTPATIENT,,,379,303.2,,360.05,95,,288.04,percent of total billed charges,95% of total billed charges,358.99,94.72,,287.19,percent of total billed charges,94.72% of total billed charges,374.41,98.79,,299.53,percent of total billed charges,98.79% of total billed charges,371.42,98,,297.14,percent of total billed charges,98% of total billed charges,371.42,98,,297.14,percent of total billed charges,98% of total billed charges,181.92,48,,145.54,percent of total billed charges,48% of total billed charges,170.55,45,,136.44,percent of total billed charges,45% of total billed charges,144.97,38.25,,115.98,percent of total billed charges,38.25% of total billed charges,170.55,45,,136.44,percent of total billed charges,45% of total billed charges,170.55,45,,136.44,percent of total billed charges,45% of total billed charges,144.97,374.41,
UPPER GI W/AIR AND KUB,131230,CDM,320,RC,74246,HCPCS,OUTPATIENT,,,492,393.6,,467.4,95,,373.92,percent of total billed charges,95% of total billed charges,466.02,94.72,,372.82,percent of total billed charges,94.72% of total billed charges,486.05,98.79,,388.84,percent of total billed charges,98.79% of total billed charges,482.16,98,,385.73,percent of total billed charges,98% of total billed charges,482.16,98,,385.73,percent of total billed charges,98% of total billed charges,236.16,48,,188.93,percent of total billed charges,48% of total billed charges,221.4,45,,177.12,percent of total billed charges,45% of total billed charges,188.19,38.25,,150.55,percent of total billed charges,38.25% of total billed charges,221.4,45,,177.12,percent of total billed charges,45% of total billed charges,221.4,45,,177.12,percent of total billed charges,45% of total billed charges,188.19,486.05,
UPPER GI W/AIR AND W/O KUB,131240,CDM,320,RC,74246,HCPCS,OUTPATIENT,,,465,372,,441.75,95,,353.4,percent of total billed charges,95% of total billed charges,440.45,94.72,,352.36,percent of total billed charges,94.72% of total billed charges,459.37,98.79,,367.5,percent of total billed charges,98.79% of total billed charges,455.7,98,,364.56,percent of total billed charges,98% of total billed charges,455.7,98,,364.56,percent of total billed charges,98% of total billed charges,223.2,48,,178.56,percent of total billed charges,48% of total billed charges,209.25,45,,167.4,percent of total billed charges,45% of total billed charges,177.86,38.25,,142.29,percent of total billed charges,38.25% of total billed charges,209.25,45,,167.4,percent of total billed charges,45% of total billed charges,209.25,45,,167.4,percent of total billed charges,45% of total billed charges,177.86,459.37,
UPPER GI W/AIR SMALL BOWEL,131250,CDM,320,RC,74246,HCPCS,OUTPATIENT,,,665,532,,631.75,95,,505.4,percent of total billed charges,95% of total billed charges,629.89,94.72,,503.91,percent of total billed charges,94.72% of total billed charges,656.95,98.79,,525.56,percent of total billed charges,98.79% of total billed charges,651.7,98,,521.36,percent of total billed charges,98% of total billed charges,651.7,98,,521.36,percent of total billed charges,98% of total billed charges,319.2,48,,255.36,percent of total billed charges,48% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,254.36,38.25,,203.49,percent of total billed charges,38.25% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,254.36,656.95,
VENOGRAM LT,131260,CDM,320,RC,75820,HCPCS,OUTPATIENT,,,706,564.8,LT,670.7,95,,536.56,percent of total billed charges,95% of total billed charges,668.72,94.72,,534.98,percent of total billed charges,94.72% of total billed charges,697.46,98.79,,557.97,percent of total billed charges,98.79% of total billed charges,691.88,98,,553.5,percent of total billed charges,98% of total billed charges,691.88,98,,553.5,percent of total billed charges,98% of total billed charges,338.88,48,,271.1,percent of total billed charges,48% of total billed charges,317.7,45,,254.16,percent of total billed charges,45% of total billed charges,270.05,38.25,,216.04,percent of total billed charges,38.25% of total billed charges,317.7,45,,254.16,percent of total billed charges,45% of total billed charges,317.7,45,,254.16,percent of total billed charges,45% of total billed charges,270.05,697.46,
VENOGRAM RT,131270,CDM,320,RC,75820,HCPCS,OUTPATIENT,,,706,564.8,RT,670.7,95,,536.56,percent of total billed charges,95% of total billed charges,668.72,94.72,,534.98,percent of total billed charges,94.72% of total billed charges,697.46,98.79,,557.97,percent of total billed charges,98.79% of total billed charges,691.88,98,,553.5,percent of total billed charges,98% of total billed charges,691.88,98,,553.5,percent of total billed charges,98% of total billed charges,338.88,48,,271.1,percent of total billed charges,48% of total billed charges,317.7,45,,254.16,percent of total billed charges,45% of total billed charges,270.05,38.25,,216.04,percent of total billed charges,38.25% of total billed charges,317.7,45,,254.16,percent of total billed charges,45% of total billed charges,317.7,45,,254.16,percent of total billed charges,45% of total billed charges,270.05,697.46,
WRIST 2 VIEW LT,131280,CDM,320,RC,73100,HCPCS,OUTPATIENT,,,154,123.2,LT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
WRIST 2 VIEW RT,131290,CDM,320,RC,73100,HCPCS,OUTPATIENT,,,154,123.2,RT,146.3,95,,117.04,percent of total billed charges,95% of total billed charges,145.87,94.72,,116.7,percent of total billed charges,94.72% of total billed charges,152.14,98.79,,121.71,percent of total billed charges,98.79% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,150.92,98,,120.74,percent of total billed charges,98% of total billed charges,73.92,48,,59.14,percent of total billed charges,48% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,38.25,,47.13,percent of total billed charges,38.25% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,69.3,45,,55.44,percent of total billed charges,45% of total billed charges,58.91,152.14,
WRIST MIN 3 VIEW LT,131300,CDM,320,RC,73110,HCPCS,OUTPATIENT,,,190,152,LT,180.5,95,,144.4,percent of total billed charges,95% of total billed charges,179.97,94.72,,143.98,percent of total billed charges,94.72% of total billed charges,187.7,98.79,,150.16,percent of total billed charges,98.79% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,91.2,48,,72.96,percent of total billed charges,48% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,38.25,,58.14,percent of total billed charges,38.25% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,187.7,
WRIST MIN 3 VIEW RT,131310,CDM,320,RC,73110,HCPCS,OUTPATIENT,,,190,152,RT,180.5,95,,144.4,percent of total billed charges,95% of total billed charges,179.97,94.72,,143.98,percent of total billed charges,94.72% of total billed charges,187.7,98.79,,150.16,percent of total billed charges,98.79% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,91.2,48,,72.96,percent of total billed charges,48% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,38.25,,58.14,percent of total billed charges,38.25% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,187.7,
MG Breast Tissue Specimen Surgical Lt.,931000,CDM,320,RC,76098,HCPCS,OUTPATIENT,,,145,116,LT,137.75,95,,110.2,percent of total billed charges,95% of total billed charges,137.34,94.72,,109.87,percent of total billed charges,94.72% of total billed charges,143.25,98.79,,114.6,percent of total billed charges,98.79% of total billed charges,142.1,98,,113.68,percent of total billed charges,98% of total billed charges,142.1,98,,113.68,percent of total billed charges,98% of total billed charges,69.6,48,,55.68,percent of total billed charges,48% of total billed charges,65.25,45,,52.2,percent of total billed charges,45% of total billed charges,55.46,38.25,,44.37,percent of total billed charges,38.25% of total billed charges,65.25,45,,52.2,percent of total billed charges,45% of total billed charges,65.25,45,,52.2,percent of total billed charges,45% of total billed charges,55.46,143.25,
MG MAMMOGRAM SPECIMEN LT,931000,CDM,320,RC,76098,HCPCS,OUTPATIENT,,,500,400,LT,475,95,,380,percent of total billed charges,95% of total billed charges,473.6,94.72,,378.88,percent of total billed charges,94.72% of total billed charges,493.95,98.79,,395.16,percent of total billed charges,98.79% of total billed charges,490,98,,392,percent of total billed charges,98% of total billed charges,490,98,,392,percent of total billed charges,98% of total billed charges,240,48,,192,percent of total billed charges,48% of total billed charges,225,45,,180,percent of total billed charges,45% of total billed charges,191.25,38.25,,153,percent of total billed charges,38.25% of total billed charges,225,45,,180,percent of total billed charges,45% of total billed charges,225,45,,180,percent of total billed charges,45% of total billed charges,191.25,493.95,
MG Breast Tissue Specimen Surgical Right,931006,CDM,320,RC,76098,HCPCS,OUTPATIENT,,,150,120,RT,142.5,95,,114,percent of total billed charges,95% of total billed charges,142.08,94.72,,113.66,percent of total billed charges,94.72% of total billed charges,148.19,98.79,,118.55,percent of total billed charges,98.79% of total billed charges,147,98,,117.6,percent of total billed charges,98% of total billed charges,147,98,,117.6,percent of total billed charges,98% of total billed charges,72,48,,57.6,percent of total billed charges,48% of total billed charges,67.5,45,,54,percent of total billed charges,45% of total billed charges,57.38,38.25,,45.9,percent of total billed charges,38.25% of total billed charges,67.5,45,,54,percent of total billed charges,45% of total billed charges,67.5,45,,54,percent of total billed charges,45% of total billed charges,57.38,148.19,
MG MAMMOGRAM SPECIMEN RT,931006,CDM,320,RC,76098,HCPCS,OUTPATIENT,,,150,120,RT,142.5,95,,114,percent of total billed charges,95% of total billed charges,142.08,94.72,,113.66,percent of total billed charges,94.72% of total billed charges,148.19,98.79,,118.55,percent of total billed charges,98.79% of total billed charges,147,98,,117.6,percent of total billed charges,98% of total billed charges,147,98,,117.6,percent of total billed charges,98% of total billed charges,72,48,,57.6,percent of total billed charges,48% of total billed charges,67.5,45,,54,percent of total billed charges,45% of total billed charges,57.38,38.25,,45.9,percent of total billed charges,38.25% of total billed charges,67.5,45,,54,percent of total billed charges,45% of total billed charges,67.5,45,,54,percent of total billed charges,45% of total billed charges,57.38,148.19,
MG Mammo Device Placement Left.,931020,CDM,320,RC,19281,HCPCS,OUTPATIENT,,,1757,1405.6,LT,1669.15,95,,1335.32,percent of total billed charges,95% of total billed charges,1664.23,94.72,,1331.38,percent of total billed charges,94.72% of total billed charges,1735.74,98.79,,1388.59,percent of total billed charges,98.79% of total billed charges,1721.86,98,,1377.49,percent of total billed charges,98% of total billed charges,1721.86,98,,1377.49,percent of total billed charges,98% of total billed charges,843.36,48,,674.69,percent of total billed charges,48% of total billed charges,790.65,45,,632.52,percent of total billed charges,45% of total billed charges,672.05,38.25,,537.64,percent of total billed charges,38.25% of total billed charges,790.65,45,,632.52,percent of total billed charges,45% of total billed charges,790.65,45,,632.52,percent of total billed charges,45% of total billed charges,672.05,1735.74,
MG DIGITAL MAMMOGRAM WIRE LOCAL LT,931020,CDM,320,RC,19281,HCPCS,OUTPATIENT,,,1809,1447.2,LT,1718.55,95,,1374.84,percent of total billed charges,95% of total billed charges,1713.48,94.72,,1370.78,percent of total billed charges,94.72% of total billed charges,1787.11,98.79,,1429.69,percent of total billed charges,98.79% of total billed charges,1772.82,98,,1418.26,percent of total billed charges,98% of total billed charges,1772.82,98,,1418.26,percent of total billed charges,98% of total billed charges,868.32,48,,694.66,percent of total billed charges,48% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,691.94,38.25,,553.55,percent of total billed charges,38.25% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,691.94,1787.11,
MG Mammo Device Placement Right.,931021,CDM,320,RC,19281,HCPCS,OUTPATIENT,,,1757,1405.6,RT,1669.15,95,,1335.32,percent of total billed charges,95% of total billed charges,1664.23,94.72,,1331.38,percent of total billed charges,94.72% of total billed charges,1735.74,98.79,,1388.59,percent of total billed charges,98.79% of total billed charges,1721.86,98,,1377.49,percent of total billed charges,98% of total billed charges,1721.86,98,,1377.49,percent of total billed charges,98% of total billed charges,843.36,48,,674.69,percent of total billed charges,48% of total billed charges,790.65,45,,632.52,percent of total billed charges,45% of total billed charges,672.05,38.25,,537.64,percent of total billed charges,38.25% of total billed charges,790.65,45,,632.52,percent of total billed charges,45% of total billed charges,790.65,45,,632.52,percent of total billed charges,45% of total billed charges,672.05,1735.74,
MG DIGITAL MAMMOGRAM WIRE LOCAL RT,931021,CDM,320,RC,19281,HCPCS,OUTPATIENT,,,1809,1447.2,RT,1718.55,95,,1374.84,percent of total billed charges,95% of total billed charges,1713.48,94.72,,1370.78,percent of total billed charges,94.72% of total billed charges,1787.11,98.79,,1429.69,percent of total billed charges,98.79% of total billed charges,1772.82,98,,1418.26,percent of total billed charges,98% of total billed charges,1772.82,98,,1418.26,percent of total billed charges,98% of total billed charges,868.32,48,,694.66,percent of total billed charges,48% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,691.94,38.25,,553.55,percent of total billed charges,38.25% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,691.94,1787.11,
Bone Density DEXA,1136081,CDM,320,RC,77080,HCPCS,OUTPATIENT,,,611,488.8,,580.45,95,,464.36,percent of total billed charges,95% of total billed charges,578.74,94.72,,462.99,percent of total billed charges,94.72% of total billed charges,603.61,98.79,,482.89,percent of total billed charges,98.79% of total billed charges,598.78,98,,479.02,percent of total billed charges,98% of total billed charges,598.78,98,,479.02,percent of total billed charges,98% of total billed charges,293.28,48,,234.62,percent of total billed charges,48% of total billed charges,274.95,45,,219.96,percent of total billed charges,45% of total billed charges,233.71,38.25,,186.97,percent of total billed charges,38.25% of total billed charges,274.95,45,,219.96,percent of total billed charges,45% of total billed charges,274.95,45,,219.96,percent of total billed charges,45% of total billed charges,233.71,603.61,
ARTHROGRAM KNEE INJECTION,2227380,CDM,320,RC,27369,HCPCS,OUTPATIENT,,,919,735.2,,873.05,95,,698.44,percent of total billed charges,95% of total billed charges,870.48,94.72,,696.38,percent of total billed charges,94.72% of total billed charges,907.88,98.79,,726.3,percent of total billed charges,98.79% of total billed charges,900.62,98,,720.5,percent of total billed charges,98% of total billed charges,900.62,98,,720.5,percent of total billed charges,98% of total billed charges,441.12,48,,352.9,percent of total billed charges,48% of total billed charges,413.55,45,,330.84,percent of total billed charges,45% of total billed charges,351.52,38.25,,281.22,percent of total billed charges,38.25% of total billed charges,413.55,45,,330.84,percent of total billed charges,45% of total billed charges,413.55,45,,330.84,percent of total billed charges,45% of total billed charges,351.52,907.88,
XR Arthrogram Injection Knee Right,2227381,CDM,320,RC,27369,HCPCS,OUTPATIENT,,,919,735.2,,873.05,95,,698.44,percent of total billed charges,95% of total billed charges,870.48,94.72,,696.38,percent of total billed charges,94.72% of total billed charges,907.88,98.79,,726.3,percent of total billed charges,98.79% of total billed charges,900.62,98,,720.5,percent of total billed charges,98% of total billed charges,900.62,98,,720.5,percent of total billed charges,98% of total billed charges,441.12,48,,352.9,percent of total billed charges,48% of total billed charges,413.55,45,,330.84,percent of total billed charges,45% of total billed charges,351.52,38.25,,281.22,percent of total billed charges,38.25% of total billed charges,413.55,45,,330.84,percent of total billed charges,45% of total billed charges,413.55,45,,330.84,percent of total billed charges,45% of total billed charges,351.52,907.88,
74248-XR Small Bowel Follow Through,9366484,CDM,320,RC,74248,HCPCS,OUTPATIENT,,,312,249.6,,296.4,95,,237.12,percent of total billed charges,95% of total billed charges,295.53,94.72,,236.42,percent of total billed charges,94.72% of total billed charges,308.22,98.79,,246.58,percent of total billed charges,98.79% of total billed charges,305.76,98,,244.61,percent of total billed charges,98% of total billed charges,305.76,98,,244.61,percent of total billed charges,98% of total billed charges,149.76,48,,119.81,percent of total billed charges,48% of total billed charges,140.4,45,,112.32,percent of total billed charges,45% of total billed charges,119.34,38.25,,95.47,percent of total billed charges,38.25% of total billed charges,140.4,45,,112.32,percent of total billed charges,45% of total billed charges,140.4,45,,112.32,percent of total billed charges,45% of total billed charges,119.34,308.22,
XR Knee Comp 4+ Views Left Deg Series,10073564,CDM,320,RC,73564,HCPCS,OUTPATIENT,,,229,183.2,,217.55,95,,174.04,percent of total billed charges,95% of total billed charges,216.91,94.72,,173.53,percent of total billed charges,94.72% of total billed charges,226.23,98.79,,180.98,percent of total billed charges,98.79% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,109.92,48,,87.94,percent of total billed charges,48% of total billed charges,103.05,45,,82.44,percent of total billed charges,45% of total billed charges,87.59,38.25,,70.07,percent of total billed charges,38.25% of total billed charges,103.05,45,,82.44,percent of total billed charges,45% of total billed charges,103.05,45,,82.44,percent of total billed charges,45% of total billed charges,87.59,226.23,
XR Knee Comp 4+ Views Bilat Deg Series,10073565,CDM,320,RC,73565,HCPCS,OUTPATIENT,,,399,319.2,,379.05,95,,303.24,percent of total billed charges,95% of total billed charges,377.93,94.72,,302.34,percent of total billed charges,94.72% of total billed charges,394.17,98.79,,315.34,percent of total billed charges,98.79% of total billed charges,391.02,98,,312.82,percent of total billed charges,98% of total billed charges,391.02,98,,312.82,percent of total billed charges,98% of total billed charges,191.52,48,,153.22,percent of total billed charges,48% of total billed charges,179.55,45,,143.64,percent of total billed charges,45% of total billed charges,152.62,38.25,,122.1,percent of total billed charges,38.25% of total billed charges,179.55,45,,143.64,percent of total billed charges,45% of total billed charges,179.55,45,,143.64,percent of total billed charges,45% of total billed charges,152.62,394.17,
74240 Radiologic examination| upper gastrointestin,10074240,CDM,320,RC,74240,HCPCS,OUTPATIENT,,,351,280.8,,333.45,95,,266.76,percent of total billed charges,95% of total billed charges,332.47,94.72,,265.98,percent of total billed charges,94.72% of total billed charges,346.75,98.79,,277.4,percent of total billed charges,98.79% of total billed charges,343.98,98,,275.18,percent of total billed charges,98% of total billed charges,343.98,98,,275.18,percent of total billed charges,98% of total billed charges,168.48,48,,134.78,percent of total billed charges,48% of total billed charges,157.95,45,,126.36,percent of total billed charges,45% of total billed charges,134.26,38.25,,107.41,percent of total billed charges,38.25% of total billed charges,157.95,45,,126.36,percent of total billed charges,45% of total billed charges,157.95,45,,126.36,percent of total billed charges,45% of total billed charges,134.26,346.75,
75889 HEPATC VNGRPH WDG/FR HEMODYN EVAL RSI,10075889,CDM,320,RC,75889,HCPCS,OUTPATIENT,,,1072,857.6,,1018.4,95,,814.72,percent of total billed charges,95% of total billed charges,1015.4,94.72,,812.32,percent of total billed charges,94.72% of total billed charges,1059.03,98.79,,847.22,percent of total billed charges,98.79% of total billed charges,1050.56,98,,840.45,percent of total billed charges,98% of total billed charges,1050.56,98,,840.45,percent of total billed charges,98% of total billed charges,514.56,48,,411.65,percent of total billed charges,48% of total billed charges,482.4,45,,385.92,percent of total billed charges,45% of total billed charges,410.04,38.25,,328.03,percent of total billed charges,38.25% of total billed charges,482.4,45,,385.92,percent of total billed charges,45% of total billed charges,482.4,45,,385.92,percent of total billed charges,45% of total billed charges,410.04,1059.03,
75989 RAD GID PRQ DRG W/PLMT CATH RSI,10075989,CDM,320,RC,75989,HCPCS,OUTPATIENT,,,679,543.2,,645.05,95,,516.04,percent of total billed charges,95% of total billed charges,643.15,94.72,,514.52,percent of total billed charges,94.72% of total billed charges,670.78,98.79,,536.62,percent of total billed charges,98.79% of total billed charges,665.42,98,,532.34,percent of total billed charges,98% of total billed charges,665.42,98,,532.34,percent of total billed charges,98% of total billed charges,325.92,48,,260.74,percent of total billed charges,48% of total billed charges,305.55,45,,244.44,percent of total billed charges,45% of total billed charges,259.72,38.25,,207.78,percent of total billed charges,38.25% of total billed charges,305.55,45,,244.44,percent of total billed charges,45% of total billed charges,305.55,45,,244.44,percent of total billed charges,45% of total billed charges,259.72,670.78,
XR Knee Comp 4+ Views Right Deg Series,10173564,CDM,320,RC,73564,HCPCS,OUTPATIENT,,,229,183.2,,217.55,95,,174.04,percent of total billed charges,95% of total billed charges,216.91,94.72,,173.53,percent of total billed charges,94.72% of total billed charges,226.23,98.79,,180.98,percent of total billed charges,98.79% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,109.92,48,,87.94,percent of total billed charges,48% of total billed charges,103.05,45,,82.44,percent of total billed charges,45% of total billed charges,87.59,38.25,,70.07,percent of total billed charges,38.25% of total billed charges,103.05,45,,82.44,percent of total billed charges,45% of total billed charges,103.05,45,,82.44,percent of total billed charges,45% of total billed charges,87.59,226.23,
XR Knee 3 Views Bilat Deg Series,10373565,CDM,320,RC,73565,HCPCS,OUTPATIENT,,,399,319.2,,379.05,95,,303.24,percent of total billed charges,95% of total billed charges,377.93,94.72,,302.34,percent of total billed charges,94.72% of total billed charges,394.17,98.79,,315.34,percent of total billed charges,98.79% of total billed charges,391.02,98,,312.82,percent of total billed charges,98% of total billed charges,391.02,98,,312.82,percent of total billed charges,98% of total billed charges,191.52,48,,153.22,percent of total billed charges,48% of total billed charges,179.55,45,,143.64,percent of total billed charges,45% of total billed charges,152.62,38.25,,122.1,percent of total billed charges,38.25% of total billed charges,179.55,45,,143.64,percent of total billed charges,45% of total billed charges,179.55,45,,143.64,percent of total billed charges,45% of total billed charges,152.62,394.17,
ARTHROGRAM ANKLE LT,130137,CDM,322,RC,73615,HCPCS,OUTPATIENT,,,570,456,LT,541.5,95,,433.2,percent of total billed charges,95% of total billed charges,539.9,94.72,,431.92,percent of total billed charges,94.72% of total billed charges,563.1,98.79,,450.48,percent of total billed charges,98.79% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,273.6,48,,218.88,percent of total billed charges,48% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,38.25,,174.42,percent of total billed charges,38.25% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,563.1,
ARTHROGRAM ANKLE RT,130139,CDM,322,RC,73615,HCPCS,OUTPATIENT,,,570,456,RT,541.5,95,,433.2,percent of total billed charges,95% of total billed charges,539.9,94.72,,431.92,percent of total billed charges,94.72% of total billed charges,563.1,98.79,,450.48,percent of total billed charges,98.79% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,273.6,48,,218.88,percent of total billed charges,48% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,38.25,,174.42,percent of total billed charges,38.25% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,563.1,
ARTHROGRAM HIP LT,130140,CDM,322,RC,73525,HCPCS,OUTPATIENT,,,570,456,LT,541.5,95,,433.2,percent of total billed charges,95% of total billed charges,539.9,94.72,,431.92,percent of total billed charges,94.72% of total billed charges,563.1,98.79,,450.48,percent of total billed charges,98.79% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,273.6,48,,218.88,percent of total billed charges,48% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,38.25,,174.42,percent of total billed charges,38.25% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,563.1,
ARTHROGRAM HIP RT,130145,CDM,322,RC,73525,HCPCS,OUTPATIENT,,,570,456,RT,541.5,95,,433.2,percent of total billed charges,95% of total billed charges,539.9,94.72,,431.92,percent of total billed charges,94.72% of total billed charges,563.1,98.79,,450.48,percent of total billed charges,98.79% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,273.6,48,,218.88,percent of total billed charges,48% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,38.25,,174.42,percent of total billed charges,38.25% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,563.1,
ARTHROGRAM SHOULDER LT,130150,CDM,322,RC,73040,HCPCS,OUTPATIENT,,,570,456,LT,541.5,95,,433.2,percent of total billed charges,95% of total billed charges,539.9,94.72,,431.92,percent of total billed charges,94.72% of total billed charges,563.1,98.79,,450.48,percent of total billed charges,98.79% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,273.6,48,,218.88,percent of total billed charges,48% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,38.25,,174.42,percent of total billed charges,38.25% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,563.1,
ARTHROGRAM SHOULDER RT,130155,CDM,322,RC,73040,HCPCS,OUTPATIENT,,,570,456,RT,541.5,95,,433.2,percent of total billed charges,95% of total billed charges,539.9,94.72,,431.92,percent of total billed charges,94.72% of total billed charges,563.1,98.79,,450.48,percent of total billed charges,98.79% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,273.6,48,,218.88,percent of total billed charges,48% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,38.25,,174.42,percent of total billed charges,38.25% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,563.1,
XR Arthrogram Knee Left,130157,CDM,322,RC,73580,HCPCS,OUTPATIENT,,,402,321.6,LT,381.9,95,,305.52,percent of total billed charges,95% of total billed charges,380.77,94.72,,304.62,percent of total billed charges,94.72% of total billed charges,397.14,98.79,,317.71,percent of total billed charges,98.79% of total billed charges,393.96,98,,315.17,percent of total billed charges,98% of total billed charges,393.96,98,,315.17,percent of total billed charges,98% of total billed charges,192.96,48,,154.37,percent of total billed charges,48% of total billed charges,180.9,45,,144.72,percent of total billed charges,45% of total billed charges,153.77,38.25,,123.02,percent of total billed charges,38.25% of total billed charges,180.9,45,,144.72,percent of total billed charges,45% of total billed charges,180.9,45,,144.72,percent of total billed charges,45% of total billed charges,153.77,397.14,
XR Arthrogram Knee Right,130158,CDM,322,RC,73580,HCPCS,OUTPATIENT,,,402,321.6,RT,381.9,95,,305.52,percent of total billed charges,95% of total billed charges,380.77,94.72,,304.62,percent of total billed charges,94.72% of total billed charges,397.14,98.79,,317.71,percent of total billed charges,98.79% of total billed charges,393.96,98,,315.17,percent of total billed charges,98% of total billed charges,393.96,98,,315.17,percent of total billed charges,98% of total billed charges,192.96,48,,154.37,percent of total billed charges,48% of total billed charges,180.9,45,,144.72,percent of total billed charges,45% of total billed charges,153.77,38.25,,123.02,percent of total billed charges,38.25% of total billed charges,180.9,45,,144.72,percent of total billed charges,45% of total billed charges,180.9,45,,144.72,percent of total billed charges,45% of total billed charges,153.77,397.14,
ARTHROGRAM WRIST LT,130160,CDM,322,RC,73115,HCPCS,OUTPATIENT,,,570,456,LT,541.5,95,,433.2,percent of total billed charges,95% of total billed charges,539.9,94.72,,431.92,percent of total billed charges,94.72% of total billed charges,563.1,98.79,,450.48,percent of total billed charges,98.79% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,273.6,48,,218.88,percent of total billed charges,48% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,38.25,,174.42,percent of total billed charges,38.25% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,563.1,
ARTHROGRAM WRIST RT,130165,CDM,322,RC,73115,HCPCS,OUTPATIENT,,,570,456,RT,541.5,95,,433.2,percent of total billed charges,95% of total billed charges,539.9,94.72,,431.92,percent of total billed charges,94.72% of total billed charges,563.1,98.79,,450.48,percent of total billed charges,98.79% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,273.6,48,,218.88,percent of total billed charges,48% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,38.25,,174.42,percent of total billed charges,38.25% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,563.1,
CHEST 2 VIEW W/LORDOTIC,130240,CDM,324,RC,71047,HCPCS,OUTPATIENT,,,210,168,,199.5,95,,159.6,percent of total billed charges,95% of total billed charges,198.91,94.72,,159.13,percent of total billed charges,94.72% of total billed charges,207.46,98.79,,165.97,percent of total billed charges,98.79% of total billed charges,205.8,98,,164.64,percent of total billed charges,98% of total billed charges,205.8,98,,164.64,percent of total billed charges,98% of total billed charges,100.8,48,,80.64,percent of total billed charges,48% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,80.33,38.25,,64.26,percent of total billed charges,38.25% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,80.33,207.46,
CHEST 2 VIEW W/OBLIQUE,130245,CDM,324,RC,71048,HCPCS,OUTPATIENT,,,210,168,,199.5,95,,159.6,percent of total billed charges,95% of total billed charges,198.91,94.72,,159.13,percent of total billed charges,94.72% of total billed charges,207.46,98.79,,165.97,percent of total billed charges,98.79% of total billed charges,205.8,98,,164.64,percent of total billed charges,98% of total billed charges,205.8,98,,164.64,percent of total billed charges,98% of total billed charges,100.8,48,,80.64,percent of total billed charges,48% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,80.33,38.25,,64.26,percent of total billed charges,38.25% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,80.33,207.46,
CHEST 2 VIEW W/FLUOROSCOPY,130250,CDM,324,RC,71023,HCPCS,OUTPATIENT,,,279,223.2,,265.05,95,,212.04,percent of total billed charges,95% of total billed charges,264.27,94.72,,211.42,percent of total billed charges,94.72% of total billed charges,275.62,98.79,,220.5,percent of total billed charges,98.79% of total billed charges,273.42,98,,218.74,percent of total billed charges,98% of total billed charges,273.42,98,,218.74,percent of total billed charges,98% of total billed charges,133.92,48,,107.14,percent of total billed charges,48% of total billed charges,125.55,45,,100.44,percent of total billed charges,45% of total billed charges,106.72,38.25,,85.38,percent of total billed charges,38.25% of total billed charges,125.55,45,,100.44,percent of total billed charges,45% of total billed charges,125.55,45,,100.44,percent of total billed charges,45% of total billed charges,106.72,275.62,
CHEST 2 VIEW W/DECUB,130255,CDM,324,RC,71047,HCPCS,OUTPATIENT,,,210,168,,199.5,95,,159.6,percent of total billed charges,95% of total billed charges,198.91,94.72,,159.13,percent of total billed charges,94.72% of total billed charges,207.46,98.79,,165.97,percent of total billed charges,98.79% of total billed charges,205.8,98,,164.64,percent of total billed charges,98% of total billed charges,205.8,98,,164.64,percent of total billed charges,98% of total billed charges,100.8,48,,80.64,percent of total billed charges,48% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,80.33,38.25,,64.26,percent of total billed charges,38.25% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,80.33,207.46,
IV PUSH CHEMO<15MIN SINGLE DRUG,12715026,CDM,331,RC,96409,HCPCS,OUTPATIENT,,,338,270.4,,321.1,95,,256.88,percent of total billed charges,95% of total billed charges,320.15,94.72,,256.12,percent of total billed charges,94.72% of total billed charges,333.91,98.79,,267.13,percent of total billed charges,98.79% of total billed charges,331.24,98,,264.99,percent of total billed charges,98% of total billed charges,331.24,98,,264.99,percent of total billed charges,98% of total billed charges,162.24,48,,129.79,percent of total billed charges,48% of total billed charges,152.1,45,,121.68,percent of total billed charges,45% of total billed charges,129.29,38.25,,103.43,percent of total billed charges,38.25% of total billed charges,152.1,45,,121.68,percent of total billed charges,45% of total billed charges,152.1,45,,121.68,percent of total billed charges,45% of total billed charges,129.29,333.91,
CHEMO INJ SQ/IM HORMONAL,12745028,CDM,331,RC,96402,HCPCS,OUTPATIENT,,,110,88,,104.5,95,,83.6,percent of total billed charges,95% of total billed charges,104.19,94.72,,83.35,percent of total billed charges,94.72% of total billed charges,108.67,98.79,,86.94,percent of total billed charges,98.79% of total billed charges,107.8,98,,86.24,percent of total billed charges,98% of total billed charges,107.8,98,,86.24,percent of total billed charges,98% of total billed charges,52.8,48,,42.24,percent of total billed charges,48% of total billed charges,49.5,45,,39.6,percent of total billed charges,45% of total billed charges,42.08,38.25,,33.66,percent of total billed charges,38.25% of total billed charges,49.5,45,,39.6,percent of total billed charges,45% of total billed charges,49.5,45,,39.6,percent of total billed charges,45% of total billed charges,42.08,108.67,
CHEMO INJ SQ/IM NON-HORMONAL,12745029,CDM,331,RC,96401,HCPCS,OUTPATIENT,,,171,136.8,,162.45,95,,129.96,percent of total billed charges,95% of total billed charges,161.97,94.72,,129.58,percent of total billed charges,94.72% of total billed charges,168.93,98.79,,135.14,percent of total billed charges,98.79% of total billed charges,167.58,98,,134.06,percent of total billed charges,98% of total billed charges,167.58,98,,134.06,percent of total billed charges,98% of total billed charges,82.08,48,,65.66,percent of total billed charges,48% of total billed charges,76.95,45,,61.56,percent of total billed charges,45% of total billed charges,65.41,38.25,,52.33,percent of total billed charges,38.25% of total billed charges,76.95,45,,61.56,percent of total billed charges,45% of total billed charges,76.95,45,,61.56,percent of total billed charges,45% of total billed charges,65.41,168.93,
CHEMO INFUSION ROOM,12745021,CDM,335,RC,94610,HCPCS,OUTPATIENT,,,379,303.2,,360.05,95,,288.04,percent of total billed charges,95% of total billed charges,358.99,94.72,,287.19,percent of total billed charges,94.72% of total billed charges,374.41,98.79,,299.53,percent of total billed charges,98.79% of total billed charges,371.42,98,,297.14,percent of total billed charges,98% of total billed charges,371.42,98,,297.14,percent of total billed charges,98% of total billed charges,181.92,48,,145.54,percent of total billed charges,48% of total billed charges,170.55,45,,136.44,percent of total billed charges,45% of total billed charges,144.97,38.25,,115.98,percent of total billed charges,38.25% of total billed charges,170.55,45,,136.44,percent of total billed charges,45% of total billed charges,170.55,45,,136.44,percent of total billed charges,45% of total billed charges,144.97,374.41,
IV CHEMO 1ST HOUR,12745023,CDM,335,RC,96413,HCPCS,OUTPATIENT,,,473,378.4,,449.35,95,,359.48,percent of total billed charges,95% of total billed charges,448.03,94.72,,358.42,percent of total billed charges,94.72% of total billed charges,467.28,98.79,,373.82,percent of total billed charges,98.79% of total billed charges,463.54,98,,370.83,percent of total billed charges,98% of total billed charges,463.54,98,,370.83,percent of total billed charges,98% of total billed charges,227.04,48,,181.63,percent of total billed charges,48% of total billed charges,212.85,45,,170.28,percent of total billed charges,45% of total billed charges,180.92,38.25,,144.74,percent of total billed charges,38.25% of total billed charges,212.85,45,,170.28,percent of total billed charges,45% of total billed charges,212.85,45,,170.28,percent of total billed charges,45% of total billed charges,180.92,467.28,
IV CHEMO EA ADDL HR UP TO 8 HRS,12745024,CDM,335,RC,96415,HCPCS,OUTPATIENT,,,147,117.6,,139.65,95,,111.72,percent of total billed charges,95% of total billed charges,139.24,94.72,,111.39,percent of total billed charges,94.72% of total billed charges,145.22,98.79,,116.18,percent of total billed charges,98.79% of total billed charges,144.06,98,,115.25,percent of total billed charges,98% of total billed charges,144.06,98,,115.25,percent of total billed charges,98% of total billed charges,70.56,48,,56.45,percent of total billed charges,48% of total billed charges,66.15,45,,52.92,percent of total billed charges,45% of total billed charges,56.23,38.25,,44.98,percent of total billed charges,38.25% of total billed charges,66.15,45,,52.92,percent of total billed charges,45% of total billed charges,66.15,45,,52.92,percent of total billed charges,45% of total billed charges,56.23,145.22,
IV CHEMO/SEQUENTIAL 1ST HR,12745025,CDM,335,RC,96417,HCPCS,OUTPATIENT,,,243,194.4,,230.85,95,,184.68,percent of total billed charges,95% of total billed charges,230.17,94.72,,184.14,percent of total billed charges,94.72% of total billed charges,240.06,98.79,,192.05,percent of total billed charges,98.79% of total billed charges,238.14,98,,190.51,percent of total billed charges,98% of total billed charges,238.14,98,,190.51,percent of total billed charges,98% of total billed charges,116.64,48,,93.31,percent of total billed charges,48% of total billed charges,109.35,45,,87.48,percent of total billed charges,45% of total billed charges,92.95,38.25,,74.36,percent of total billed charges,38.25% of total billed charges,109.35,45,,87.48,percent of total billed charges,45% of total billed charges,109.35,45,,87.48,percent of total billed charges,45% of total billed charges,92.95,240.06,
IV PUSH CHEMO<15MIN ADDED DRUG,12745027,CDM,335,RC,96411,HCPCS,OUTPATIENT,,,212,169.6,,201.4,95,,161.12,percent of total billed charges,95% of total billed charges,200.81,94.72,,160.65,percent of total billed charges,94.72% of total billed charges,209.43,98.79,,167.54,percent of total billed charges,98.79% of total billed charges,207.76,98,,166.21,percent of total billed charges,98% of total billed charges,207.76,98,,166.21,percent of total billed charges,98% of total billed charges,101.76,48,,81.41,percent of total billed charges,48% of total billed charges,95.4,45,,76.32,percent of total billed charges,45% of total billed charges,81.09,38.25,,64.87,percent of total billed charges,38.25% of total billed charges,95.4,45,,76.32,percent of total billed charges,45% of total billed charges,95.4,45,,76.32,percent of total billed charges,45% of total billed charges,81.09,209.43,
CHEMO PROLONG INFUSE W/PUMP,12796416,CDM,335,RC,96416,HCPCS,OUTPATIENT,,,449,359.2,,426.55,95,,341.24,percent of total billed charges,95% of total billed charges,425.29,94.72,,340.23,percent of total billed charges,94.72% of total billed charges,443.57,98.79,,354.86,percent of total billed charges,98.79% of total billed charges,440.02,98,,352.02,percent of total billed charges,98% of total billed charges,440.02,98,,352.02,percent of total billed charges,98% of total billed charges,215.52,48,,172.42,percent of total billed charges,48% of total billed charges,202.05,45,,161.64,percent of total billed charges,45% of total billed charges,171.74,38.25,,137.39,percent of total billed charges,38.25% of total billed charges,202.05,45,,161.64,percent of total billed charges,45% of total billed charges,202.05,45,,161.64,percent of total billed charges,45% of total billed charges,171.74,443.57,
NM LUNG VENT PERFUSION,1136025,CDM,340,RC,78582,HCPCS,OUTPATIENT,,,3369,2695.2,,3200.55,95,,2560.44,percent of total billed charges,95% of total billed charges,3191.12,94.72,,2552.9,percent of total billed charges,94.72% of total billed charges,3328.24,98.79,,2662.59,percent of total billed charges,98.79% of total billed charges,3301.62,98,,2641.3,percent of total billed charges,98% of total billed charges,3301.62,98,,2641.3,percent of total billed charges,98% of total billed charges,1617.12,48,,1293.7,percent of total billed charges,48% of total billed charges,1516.05,45,,1212.84,percent of total billed charges,45% of total billed charges,1288.64,38.25,,1030.91,percent of total billed charges,38.25% of total billed charges,1516.05,45,,1212.84,percent of total billed charges,45% of total billed charges,1516.05,45,,1212.84,percent of total billed charges,45% of total billed charges,1288.64,3328.24,
NM HIDA W CCK,1136052,CDM,340,RC,78227,HCPCS,OUTPATIENT,,,1323,1058.4,,1256.85,95,,1005.48,percent of total billed charges,95% of total billed charges,1253.15,94.72,,1002.52,percent of total billed charges,94.72% of total billed charges,1306.99,98.79,,1045.59,percent of total billed charges,98.79% of total billed charges,1296.54,98,,1037.23,percent of total billed charges,98% of total billed charges,1296.54,98,,1037.23,percent of total billed charges,98% of total billed charges,635.04,48,,508.03,percent of total billed charges,48% of total billed charges,595.35,45,,476.28,percent of total billed charges,45% of total billed charges,506.05,38.25,,404.84,percent of total billed charges,38.25% of total billed charges,595.35,45,,476.28,percent of total billed charges,45% of total billed charges,595.35,45,,476.28,percent of total billed charges,45% of total billed charges,506.05,1306.99,
NM THYROID SCAN/ UPTAKE,1136070,CDM,340,RC,78014,HCPCS,OUTPATIENT,,,1828,1462.4,,1736.6,95,,1389.28,percent of total billed charges,95% of total billed charges,1731.48,94.72,,1385.18,percent of total billed charges,94.72% of total billed charges,1805.88,98.79,,1444.7,percent of total billed charges,98.79% of total billed charges,1791.44,98,,1433.15,percent of total billed charges,98% of total billed charges,1791.44,98,,1433.15,percent of total billed charges,98% of total billed charges,877.44,48,,701.95,percent of total billed charges,48% of total billed charges,822.6,45,,658.08,percent of total billed charges,45% of total billed charges,699.21,38.25,,559.37,percent of total billed charges,38.25% of total billed charges,822.6,45,,658.08,percent of total billed charges,45% of total billed charges,822.6,45,,658.08,percent of total billed charges,45% of total billed charges,699.21,1805.88,
NM BONE SCAN SPECT,1136160,CDM,340,RC,78803,HCPCS,OUTPATIENT,,,1277,1021.6,,1213.15,95,,970.52,percent of total billed charges,95% of total billed charges,1209.57,94.72,,967.66,percent of total billed charges,94.72% of total billed charges,1261.55,98.79,,1009.24,percent of total billed charges,98.79% of total billed charges,1251.46,98,,1001.17,percent of total billed charges,98% of total billed charges,1251.46,98,,1001.17,percent of total billed charges,98% of total billed charges,612.96,48,,490.37,percent of total billed charges,48% of total billed charges,574.65,45,,459.72,percent of total billed charges,45% of total billed charges,488.45,38.25,,390.76,percent of total billed charges,38.25% of total billed charges,574.65,45,,459.72,percent of total billed charges,45% of total billed charges,574.65,45,,459.72,percent of total billed charges,45% of total billed charges,488.45,1261.55,
NM Myocardial SPECT Rest and Stress,1136205,CDM,340,RC,78452,HCPCS,OUTPATIENT,,,3289,2631.2,,3124.55,95,,2499.64,percent of total billed charges,95% of total billed charges,3115.34,94.72,,2492.27,percent of total billed charges,94.72% of total billed charges,3249.2,98.79,,2599.36,percent of total billed charges,98.79% of total billed charges,3223.22,98,,2578.58,percent of total billed charges,98% of total billed charges,3223.22,98,,2578.58,percent of total billed charges,98% of total billed charges,1578.72,48,,1262.98,percent of total billed charges,48% of total billed charges,1480.05,45,,1184.04,percent of total billed charges,45% of total billed charges,1258.04,38.25,,1006.43,percent of total billed charges,38.25% of total billed charges,1480.05,45,,1184.04,percent of total billed charges,45% of total billed charges,1480.05,45,,1184.04,percent of total billed charges,45% of total billed charges,1258.04,3249.2,
NM THALIUM REST AND/OR STRESS SPECT,1136205,CDM,340,RC,78452,HCPCS,OUTPATIENT,,,3289,2631.2,,3124.55,95,,2499.64,percent of total billed charges,95% of total billed charges,3115.34,94.72,,2492.27,percent of total billed charges,94.72% of total billed charges,3249.2,98.79,,2599.36,percent of total billed charges,98.79% of total billed charges,3223.22,98,,2578.58,percent of total billed charges,98% of total billed charges,3223.22,98,,2578.58,percent of total billed charges,98% of total billed charges,1578.72,48,,1262.98,percent of total billed charges,48% of total billed charges,1480.05,45,,1184.04,percent of total billed charges,45% of total billed charges,1258.04,38.25,,1006.43,percent of total billed charges,38.25% of total billed charges,1480.05,45,,1184.04,percent of total billed charges,45% of total billed charges,1480.05,45,,1184.04,percent of total billed charges,45% of total billed charges,1258.04,3249.2,
NM Myocardial SPECT Single Study EO,10078451,CDM,340,RC,78451,HCPCS,OUTPATIENT,,,1701,1360.8,,1615.95,95,,1292.76,percent of total billed charges,95% of total billed charges,1611.19,94.72,,1288.95,percent of total billed charges,94.72% of total billed charges,1680.42,98.79,,1344.34,percent of total billed charges,98.79% of total billed charges,1666.98,98,,1333.58,percent of total billed charges,98% of total billed charges,1666.98,98,,1333.58,percent of total billed charges,98% of total billed charges,816.48,48,,653.18,percent of total billed charges,48% of total billed charges,765.45,45,,612.36,percent of total billed charges,45% of total billed charges,650.63,38.25,,520.5,percent of total billed charges,38.25% of total billed charges,765.45,45,,612.36,percent of total billed charges,45% of total billed charges,765.45,45,,612.36,percent of total billed charges,45% of total billed charges,650.63,1680.42,
NM Cardiac PYP SPECT,10078802,CDM,1,RC,78802,HCPCS,INPATIENT,,,340,272,78803,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
NM BONE SCAN LIMITED,1136000,CDM,341,RC,78300,HCPCS,OUTPATIENT,,,1220,976,,1159,95,,927.2,percent of total billed charges,95% of total billed charges,1155.58,94.72,,924.46,percent of total billed charges,94.72% of total billed charges,1205.24,98.79,,964.19,percent of total billed charges,98.79% of total billed charges,1195.6,98,,956.48,percent of total billed charges,98% of total billed charges,1195.6,98,,956.48,percent of total billed charges,98% of total billed charges,585.6,48,,468.48,percent of total billed charges,48% of total billed charges,549,45,,439.2,percent of total billed charges,45% of total billed charges,466.65,38.25,,373.32,percent of total billed charges,38.25% of total billed charges,549,45,,439.2,percent of total billed charges,45% of total billed charges,549,45,,439.2,percent of total billed charges,45% of total billed charges,466.65,1205.24,
NM BONE SCAN WB,1136010,CDM,341,RC,78306,HCPCS,OUTPATIENT,,,1234,987.2,,1172.3,95,,937.84,percent of total billed charges,95% of total billed charges,1168.84,94.72,,935.07,percent of total billed charges,94.72% of total billed charges,1219.07,98.79,,975.26,percent of total billed charges,98.79% of total billed charges,1209.32,98,,967.46,percent of total billed charges,98% of total billed charges,1209.32,98,,967.46,percent of total billed charges,98% of total billed charges,592.32,48,,473.86,percent of total billed charges,48% of total billed charges,555.3,45,,444.24,percent of total billed charges,45% of total billed charges,472.01,38.25,,377.61,percent of total billed charges,38.25% of total billed charges,555.3,45,,444.24,percent of total billed charges,45% of total billed charges,555.3,45,,444.24,percent of total billed charges,45% of total billed charges,472.01,1219.07,
NM LIVER SPLEEN,1136020,CDM,341,RC,78215,HCPCS,OUTPATIENT,,,1895,1516,,1800.25,95,,1440.2,percent of total billed charges,95% of total billed charges,1794.94,94.72,,1435.95,percent of total billed charges,94.72% of total billed charges,1872.07,98.79,,1497.66,percent of total billed charges,98.79% of total billed charges,1857.1,98,,1485.68,percent of total billed charges,98% of total billed charges,1857.1,98,,1485.68,percent of total billed charges,98% of total billed charges,909.6,48,,727.68,percent of total billed charges,48% of total billed charges,852.75,45,,682.2,percent of total billed charges,45% of total billed charges,724.84,38.25,,579.87,percent of total billed charges,38.25% of total billed charges,852.75,45,,682.2,percent of total billed charges,45% of total billed charges,852.75,45,,682.2,percent of total billed charges,45% of total billed charges,724.84,1872.07,
NM THYROID IMAGING ONLY,1136040,CDM,341,RC,78013,HCPCS,OUTPATIENT,,,1385,1108,,1315.75,95,,1052.6,percent of total billed charges,95% of total billed charges,1311.87,94.72,,1049.5,percent of total billed charges,94.72% of total billed charges,1368.24,98.79,,1094.59,percent of total billed charges,98.79% of total billed charges,1357.3,98,,1085.84,percent of total billed charges,98% of total billed charges,1357.3,98,,1085.84,percent of total billed charges,98% of total billed charges,664.8,48,,531.84,percent of total billed charges,48% of total billed charges,623.25,45,,498.6,percent of total billed charges,45% of total billed charges,529.76,38.25,,423.81,percent of total billed charges,38.25% of total billed charges,623.25,45,,498.6,percent of total billed charges,45% of total billed charges,623.25,45,,498.6,percent of total billed charges,45% of total billed charges,529.76,1368.24,
NM HIDA,1136050,CDM,341,RC,78226,HCPCS,OUTPATIENT,,,1323,1058.4,,1256.85,95,,1005.48,percent of total billed charges,95% of total billed charges,1253.15,94.72,,1002.52,percent of total billed charges,94.72% of total billed charges,1306.99,98.79,,1045.59,percent of total billed charges,98.79% of total billed charges,1296.54,98,,1037.23,percent of total billed charges,98% of total billed charges,1296.54,98,,1037.23,percent of total billed charges,98% of total billed charges,635.04,48,,508.03,percent of total billed charges,48% of total billed charges,595.35,45,,476.28,percent of total billed charges,45% of total billed charges,506.05,38.25,,404.84,percent of total billed charges,38.25% of total billed charges,595.35,45,,476.28,percent of total billed charges,45% of total billed charges,595.35,45,,476.28,percent of total billed charges,45% of total billed charges,506.05,1306.99,
NM PARATHYROID PLANAR IMAGING,1136075,CDM,341,RC,78070,HCPCS,OUTPATIENT,,,1323,1058.4,,1256.85,95,,1005.48,percent of total billed charges,95% of total billed charges,1253.15,94.72,,1002.52,percent of total billed charges,94.72% of total billed charges,1306.99,98.79,,1045.59,percent of total billed charges,98.79% of total billed charges,1296.54,98,,1037.23,percent of total billed charges,98% of total billed charges,1296.54,98,,1037.23,percent of total billed charges,98% of total billed charges,635.04,48,,508.03,percent of total billed charges,48% of total billed charges,595.35,45,,476.28,percent of total billed charges,45% of total billed charges,506.05,38.25,,404.84,percent of total billed charges,38.25% of total billed charges,595.35,45,,476.28,percent of total billed charges,45% of total billed charges,595.35,45,,476.28,percent of total billed charges,45% of total billed charges,506.05,1306.99,
Parathyroid Imaging w/ Spect and CT,1136076,CDM,341,RC,78072,HCPCS,OUTPATIENT,,,2479,1983.2,,2355.05,95,,1884.04,percent of total billed charges,95% of total billed charges,2348.11,94.72,,1878.49,percent of total billed charges,94.72% of total billed charges,2449,98.79,,1959.2,percent of total billed charges,98.79% of total billed charges,2429.42,98,,1943.54,percent of total billed charges,98% of total billed charges,2429.42,98,,1943.54,percent of total billed charges,98% of total billed charges,1189.92,48,,951.94,percent of total billed charges,48% of total billed charges,1115.55,45,,892.44,percent of total billed charges,45% of total billed charges,948.22,38.25,,758.58,percent of total billed charges,38.25% of total billed charges,1115.55,45,,892.44,percent of total billed charges,45% of total billed charges,1115.55,45,,892.44,percent of total billed charges,45% of total billed charges,948.22,2449,
NM MECKELS DIVERTICULUM,1136090,CDM,341,RC,78290,HCPCS,OUTPATIENT,,,1413,1130.4,,1342.35,95,,1073.88,percent of total billed charges,95% of total billed charges,1338.39,94.72,,1070.71,percent of total billed charges,94.72% of total billed charges,1395.9,98.79,,1116.72,percent of total billed charges,98.79% of total billed charges,1384.74,98,,1107.79,percent of total billed charges,98% of total billed charges,1384.74,98,,1107.79,percent of total billed charges,98% of total billed charges,678.24,48,,542.59,percent of total billed charges,48% of total billed charges,635.85,45,,508.68,percent of total billed charges,45% of total billed charges,540.47,38.25,,432.38,percent of total billed charges,38.25% of total billed charges,635.85,45,,508.68,percent of total billed charges,45% of total billed charges,635.85,45,,508.68,percent of total billed charges,45% of total billed charges,540.47,1395.9,
NM LIVER SPLEEN  FLOW,1136120,CDM,341,RC,78216,HCPCS,OUTPATIENT,,,1385,1108,,1315.75,95,,1052.6,percent of total billed charges,95% of total billed charges,1311.87,94.72,,1049.5,percent of total billed charges,94.72% of total billed charges,1368.24,98.79,,1094.59,percent of total billed charges,98.79% of total billed charges,1357.3,98,,1085.84,percent of total billed charges,98% of total billed charges,1357.3,98,,1085.84,percent of total billed charges,98% of total billed charges,664.8,48,,531.84,percent of total billed charges,48% of total billed charges,623.25,45,,498.6,percent of total billed charges,45% of total billed charges,529.76,38.25,,423.81,percent of total billed charges,38.25% of total billed charges,623.25,45,,498.6,percent of total billed charges,45% of total billed charges,623.25,45,,498.6,percent of total billed charges,45% of total billed charges,529.76,1368.24,
NM ABD BLOOD POOL,1136130,CDM,341,RC,78278,HCPCS,OUTPATIENT,,,1895,1516,,1800.25,95,,1440.2,percent of total billed charges,95% of total billed charges,1794.94,94.72,,1435.95,percent of total billed charges,94.72% of total billed charges,1872.07,98.79,,1497.66,percent of total billed charges,98.79% of total billed charges,1857.1,98,,1485.68,percent of total billed charges,98% of total billed charges,1857.1,98,,1485.68,percent of total billed charges,98% of total billed charges,909.6,48,,727.68,percent of total billed charges,48% of total billed charges,852.75,45,,682.2,percent of total billed charges,45% of total billed charges,724.84,38.25,,579.87,percent of total billed charges,38.25% of total billed charges,852.75,45,,682.2,percent of total billed charges,45% of total billed charges,852.75,45,,682.2,percent of total billed charges,45% of total billed charges,724.84,1872.07,
NM BONE SCAN MULT.,1136140,CDM,341,RC,78305,HCPCS,OUTPATIENT,,,1229,983.2,,1167.55,95,,934.04,percent of total billed charges,95% of total billed charges,1164.11,94.72,,931.29,percent of total billed charges,94.72% of total billed charges,1214.13,98.79,,971.3,percent of total billed charges,98.79% of total billed charges,1204.42,98,,963.54,percent of total billed charges,98% of total billed charges,1204.42,98,,963.54,percent of total billed charges,98% of total billed charges,589.92,48,,471.94,percent of total billed charges,48% of total billed charges,553.05,45,,442.44,percent of total billed charges,45% of total billed charges,470.09,38.25,,376.07,percent of total billed charges,38.25% of total billed charges,553.05,45,,442.44,percent of total billed charges,45% of total billed charges,553.05,45,,442.44,percent of total billed charges,45% of total billed charges,470.09,1214.13,
NM BONE SCAN 3 PHASE,1136150,CDM,341,RC,78315,HCPCS,OUTPATIENT,,,1263,1010.4,,1199.85,95,,959.88,percent of total billed charges,95% of total billed charges,1196.31,94.72,,957.05,percent of total billed charges,94.72% of total billed charges,1247.72,98.79,,998.18,percent of total billed charges,98.79% of total billed charges,1237.74,98,,990.19,percent of total billed charges,98% of total billed charges,1237.74,98,,990.19,percent of total billed charges,98% of total billed charges,606.24,48,,484.99,percent of total billed charges,48% of total billed charges,568.35,45,,454.68,percent of total billed charges,45% of total billed charges,483.1,38.25,,386.48,percent of total billed charges,38.25% of total billed charges,568.35,45,,454.68,percent of total billed charges,45% of total billed charges,568.35,45,,454.68,percent of total billed charges,45% of total billed charges,483.1,1247.72,
NM CARDIAC BLOOD POOL W/OR W/O VOL,1136230,CDM,341,RC,78472,HCPCS,OUTPATIENT,,,1355,1084,,1287.25,95,,1029.8,percent of total billed charges,95% of total billed charges,1283.46,94.72,,1026.77,percent of total billed charges,94.72% of total billed charges,1338.6,98.79,,1070.88,percent of total billed charges,98.79% of total billed charges,1327.9,98,,1062.32,percent of total billed charges,98% of total billed charges,1327.9,98,,1062.32,percent of total billed charges,98% of total billed charges,650.4,48,,520.32,percent of total billed charges,48% of total billed charges,609.75,45,,487.8,percent of total billed charges,45% of total billed charges,518.29,38.25,,414.63,percent of total billed charges,38.25% of total billed charges,609.75,45,,487.8,percent of total billed charges,45% of total billed charges,609.75,45,,487.8,percent of total billed charges,45% of total billed charges,518.29,1338.6,
NM LYMPHOSCINTIGRAPHY,1136245,CDM,341,RC,78195,HCPCS,OUTPATIENT,,,1895,1516,,1800.25,95,,1440.2,percent of total billed charges,95% of total billed charges,1794.94,94.72,,1435.95,percent of total billed charges,94.72% of total billed charges,1872.07,98.79,,1497.66,percent of total billed charges,98.79% of total billed charges,1857.1,98,,1485.68,percent of total billed charges,98% of total billed charges,1857.1,98,,1485.68,percent of total billed charges,98% of total billed charges,909.6,48,,727.68,percent of total billed charges,48% of total billed charges,852.75,45,,682.2,percent of total billed charges,45% of total billed charges,724.84,38.25,,579.87,percent of total billed charges,38.25% of total billed charges,852.75,45,,682.2,percent of total billed charges,45% of total billed charges,852.75,45,,682.2,percent of total billed charges,45% of total billed charges,724.84,1872.07,
NM RENAL W/ PHARMAC INT,1136250,CDM,341,RC,78709,HCPCS,OUTPATIENT,,,2586,2068.8,,2456.7,95,,1965.36,percent of total billed charges,95% of total billed charges,2449.46,94.72,,1959.57,percent of total billed charges,94.72% of total billed charges,2554.71,98.79,,2043.77,percent of total billed charges,98.79% of total billed charges,2534.28,98,,2027.42,percent of total billed charges,98% of total billed charges,2534.28,98,,2027.42,percent of total billed charges,98% of total billed charges,1241.28,48,,993.02,percent of total billed charges,48% of total billed charges,1163.7,45,,930.96,percent of total billed charges,45% of total billed charges,989.15,38.25,,791.32,percent of total billed charges,38.25% of total billed charges,1163.7,45,,930.96,percent of total billed charges,45% of total billed charges,1163.7,45,,930.96,percent of total billed charges,45% of total billed charges,989.15,2554.71,
NM RENAL W/O PHARMAC INTERVENTION,1136255,CDM,341,RC,78707,HCPCS,OUTPATIENT,,,2586,2068.8,,2456.7,95,,1965.36,percent of total billed charges,95% of total billed charges,2449.46,94.72,,1959.57,percent of total billed charges,94.72% of total billed charges,2554.71,98.79,,2043.77,percent of total billed charges,98.79% of total billed charges,2534.28,98,,2027.42,percent of total billed charges,98% of total billed charges,2534.28,98,,2027.42,percent of total billed charges,98% of total billed charges,1241.28,48,,993.02,percent of total billed charges,48% of total billed charges,1163.7,45,,930.96,percent of total billed charges,45% of total billed charges,989.15,38.25,,791.32,percent of total billed charges,38.25% of total billed charges,1163.7,45,,930.96,percent of total billed charges,45% of total billed charges,1163.7,45,,930.96,percent of total billed charges,45% of total billed charges,989.15,2554.71,
NM GASTRIC EMPTY,1136345,CDM,341,RC,78264,HCPCS,OUTPATIENT,,,1895,1516,,1800.25,95,,1440.2,percent of total billed charges,95% of total billed charges,1794.94,94.72,,1435.95,percent of total billed charges,94.72% of total billed charges,1872.07,98.79,,1497.66,percent of total billed charges,98.79% of total billed charges,1857.1,98,,1485.68,percent of total billed charges,98% of total billed charges,1857.1,98,,1485.68,percent of total billed charges,98% of total billed charges,909.6,48,,727.68,percent of total billed charges,48% of total billed charges,852.75,45,,682.2,percent of total billed charges,45% of total billed charges,724.84,38.25,,579.87,percent of total billed charges,38.25% of total billed charges,852.75,45,,682.2,percent of total billed charges,45% of total billed charges,852.75,45,,682.2,percent of total billed charges,45% of total billed charges,724.84,1872.07,
NM ISOTOPE TECHNETIUM,1136400,CDM,343,RC,A9512,HCPCS,OUTPATIENT,,,390,312,,370.5,95,,296.4,percent of total billed charges,95% of total billed charges,369.41,94.72,,295.53,percent of total billed charges,94.72% of total billed charges,385.28,98.79,,308.22,percent of total billed charges,98.79% of total billed charges,382.2,98,,305.76,percent of total billed charges,98% of total billed charges,382.2,98,,305.76,percent of total billed charges,98% of total billed charges,187.2,48,,149.76,percent of total billed charges,48% of total billed charges,175.5,45,,140.4,percent of total billed charges,45% of total billed charges,149.18,38.25,,119.34,percent of total billed charges,38.25% of total billed charges,175.5,45,,140.4,percent of total billed charges,45% of total billed charges,175.5,45,,140.4,percent of total billed charges,45% of total billed charges,149.18,385.28,
CT BIO LIVER,332051,CDM,350,RC,77012,HCPCS,OUTPATIENT,,,1608,1286.4,,1527.6,95,,1222.08,percent of total billed charges,95% of total billed charges,1523.1,94.72,,1218.48,percent of total billed charges,94.72% of total billed charges,1588.54,98.79,,1270.83,percent of total billed charges,98.79% of total billed charges,1575.84,98,,1260.67,percent of total billed charges,98% of total billed charges,1575.84,98,,1260.67,percent of total billed charges,98% of total billed charges,771.84,48,,617.47,percent of total billed charges,48% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,615.06,38.25,,492.05,percent of total billed charges,38.25% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,615.06,1588.54,
CT BIO LUNG,332052,CDM,350,RC,77012,HCPCS,OUTPATIENT,,,1608,1286.4,,1527.6,95,,1222.08,percent of total billed charges,95% of total billed charges,1523.1,94.72,,1218.48,percent of total billed charges,94.72% of total billed charges,1588.54,98.79,,1270.83,percent of total billed charges,98.79% of total billed charges,1575.84,98,,1260.67,percent of total billed charges,98% of total billed charges,1575.84,98,,1260.67,percent of total billed charges,98% of total billed charges,771.84,48,,617.47,percent of total billed charges,48% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,615.06,38.25,,492.05,percent of total billed charges,38.25% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,615.06,1588.54,
CT BIO MUSCLE,332053,CDM,350,RC,77012,HCPCS,OUTPATIENT,,,1608,1286.4,,1527.6,95,,1222.08,percent of total billed charges,95% of total billed charges,1523.1,94.72,,1218.48,percent of total billed charges,94.72% of total billed charges,1588.54,98.79,,1270.83,percent of total billed charges,98.79% of total billed charges,1575.84,98,,1260.67,percent of total billed charges,98% of total billed charges,1575.84,98,,1260.67,percent of total billed charges,98% of total billed charges,771.84,48,,617.47,percent of total billed charges,48% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,615.06,38.25,,492.05,percent of total billed charges,38.25% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,615.06,1588.54,
CT BIOPSY,332054,CDM,350,RC,77012,HCPCS,OUTPATIENT,,,1608,1286.4,,1527.6,95,,1222.08,percent of total billed charges,95% of total billed charges,1523.1,94.72,,1218.48,percent of total billed charges,94.72% of total billed charges,1588.54,98.79,,1270.83,percent of total billed charges,98.79% of total billed charges,1575.84,98,,1260.67,percent of total billed charges,98% of total billed charges,1575.84,98,,1260.67,percent of total billed charges,98% of total billed charges,771.84,48,,617.47,percent of total billed charges,48% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,615.06,38.25,,492.05,percent of total billed charges,38.25% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,615.06,1588.54,
CT BIO ADRENALS,332055,CDM,350,RC,77012,HCPCS,OUTPATIENT,,,1608,1286.4,,1527.6,95,,1222.08,percent of total billed charges,95% of total billed charges,1523.1,94.72,,1218.48,percent of total billed charges,94.72% of total billed charges,1588.54,98.79,,1270.83,percent of total billed charges,98.79% of total billed charges,1575.84,98,,1260.67,percent of total billed charges,98% of total billed charges,1575.84,98,,1260.67,percent of total billed charges,98% of total billed charges,771.84,48,,617.47,percent of total billed charges,48% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,615.06,38.25,,492.05,percent of total billed charges,38.25% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,615.06,1588.54,
CT BIO PANCREAS,332056,CDM,350,RC,77012,HCPCS,OUTPATIENT,,,1608,1286.4,,1527.6,95,,1222.08,percent of total billed charges,95% of total billed charges,1523.1,94.72,,1218.48,percent of total billed charges,94.72% of total billed charges,1588.54,98.79,,1270.83,percent of total billed charges,98.79% of total billed charges,1575.84,98,,1260.67,percent of total billed charges,98% of total billed charges,1575.84,98,,1260.67,percent of total billed charges,98% of total billed charges,771.84,48,,617.47,percent of total billed charges,48% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,615.06,38.25,,492.05,percent of total billed charges,38.25% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,615.06,1588.54,
CT BIO RENAL RT,332058,CDM,350,RC,77012,HCPCS,OUTPATIENT,,,1608,1286.4,,1527.6,95,,1222.08,percent of total billed charges,95% of total billed charges,1523.1,94.72,,1218.48,percent of total billed charges,94.72% of total billed charges,1588.54,98.79,,1270.83,percent of total billed charges,98.79% of total billed charges,1575.84,98,,1260.67,percent of total billed charges,98% of total billed charges,1575.84,98,,1260.67,percent of total billed charges,98% of total billed charges,771.84,48,,617.47,percent of total billed charges,48% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,615.06,38.25,,492.05,percent of total billed charges,38.25% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,615.06,1588.54,
CT BIO THYROID,332059,CDM,350,RC,77012,HCPCS,OUTPATIENT,,,1608,1286.4,,1527.6,95,,1222.08,percent of total billed charges,95% of total billed charges,1523.1,94.72,,1218.48,percent of total billed charges,94.72% of total billed charges,1588.54,98.79,,1270.83,percent of total billed charges,98.79% of total billed charges,1575.84,98,,1260.67,percent of total billed charges,98% of total billed charges,1575.84,98,,1260.67,percent of total billed charges,98% of total billed charges,771.84,48,,617.47,percent of total billed charges,48% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,615.06,38.25,,492.05,percent of total billed charges,38.25% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,615.06,1588.54,
CT ABD/PELVIS W,332083,CDM,350,RC,74177,HCPCS,OUTPATIENT,,,2128,1702.4,,2021.6,95,,1617.28,percent of total billed charges,95% of total billed charges,2015.64,94.72,,1612.51,percent of total billed charges,94.72% of total billed charges,2102.25,98.79,,1681.8,percent of total billed charges,98.79% of total billed charges,2085.44,98,,1668.35,percent of total billed charges,98% of total billed charges,2085.44,98,,1668.35,percent of total billed charges,98% of total billed charges,1021.44,48,,817.15,percent of total billed charges,48% of total billed charges,957.6,45,,766.08,percent of total billed charges,45% of total billed charges,813.96,38.25,,651.17,percent of total billed charges,38.25% of total billed charges,957.6,45,,766.08,percent of total billed charges,45% of total billed charges,957.6,45,,766.08,percent of total billed charges,45% of total billed charges,813.96,2102.25,
CT ABD/PELVIS W,332083,CDM,350,RC,74177,HCPCS,OUTPATIENT,,,2128,1702.4,,2021.6,95,,1617.28,percent of total billed charges,95% of total billed charges,2015.64,94.72,,1612.51,percent of total billed charges,94.72% of total billed charges,2102.25,98.79,,1681.8,percent of total billed charges,98.79% of total billed charges,2085.44,98,,1668.35,percent of total billed charges,98% of total billed charges,2085.44,98,,1668.35,percent of total billed charges,98% of total billed charges,1021.44,48,,817.15,percent of total billed charges,48% of total billed charges,957.6,45,,766.08,percent of total billed charges,45% of total billed charges,813.96,38.25,,651.17,percent of total billed charges,38.25% of total billed charges,957.6,45,,766.08,percent of total billed charges,45% of total billed charges,957.6,45,,766.08,percent of total billed charges,45% of total billed charges,813.96,2102.25,
CT C SPINE W/O CONT,332090,CDM,350,RC,72125,HCPCS,OUTPATIENT,,,1691,1352.8,,1606.45,95,,1285.16,percent of total billed charges,95% of total billed charges,1601.72,94.72,,1281.38,percent of total billed charges,94.72% of total billed charges,1670.54,98.79,,1336.43,percent of total billed charges,98.79% of total billed charges,1657.18,98,,1325.74,percent of total billed charges,98% of total billed charges,1657.18,98,,1325.74,percent of total billed charges,98% of total billed charges,811.68,48,,649.34,percent of total billed charges,48% of total billed charges,760.95,45,,608.76,percent of total billed charges,45% of total billed charges,646.81,38.25,,517.45,percent of total billed charges,38.25% of total billed charges,760.95,45,,608.76,percent of total billed charges,45% of total billed charges,760.95,45,,608.76,percent of total billed charges,45% of total billed charges,646.81,1670.54,
CT IAC/SELLA/PIT W/O,332360,CDM,350,RC,70480,HCPCS,OUTPATIENT,,,1143,914.4,,1085.85,95,,868.68,percent of total billed charges,95% of total billed charges,1082.65,94.72,,866.12,percent of total billed charges,94.72% of total billed charges,1129.17,98.79,,903.34,percent of total billed charges,98.79% of total billed charges,1120.14,98,,896.11,percent of total billed charges,98% of total billed charges,1120.14,98,,896.11,percent of total billed charges,98% of total billed charges,548.64,48,,438.91,percent of total billed charges,48% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,437.2,38.25,,349.76,percent of total billed charges,38.25% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,437.2,1129.17,
CT LUNG LDCT SCREENING,332415,CDM,350,RC,71271,HCPCS,OUTPATIENT,,,405,324,,384.75,95,,307.8,percent of total billed charges,95% of total billed charges,383.62,94.72,,306.9,percent of total billed charges,94.72% of total billed charges,400.1,98.79,,320.08,percent of total billed charges,98.79% of total billed charges,396.9,98,,317.52,percent of total billed charges,98% of total billed charges,396.9,98,,317.52,percent of total billed charges,98% of total billed charges,194.4,48,,155.52,percent of total billed charges,48% of total billed charges,182.25,45,,145.8,percent of total billed charges,45% of total billed charges,154.91,38.25,,123.93,percent of total billed charges,38.25% of total billed charges,182.25,45,,145.8,percent of total billed charges,45% of total billed charges,182.25,45,,145.8,percent of total billed charges,45% of total billed charges,154.91,400.1,
CT ANGIO NECK/SFT TIS W,332450,CDM,350,RC,70498,HCPCS,OUTPATIENT,,,1828,1462.4,,1736.6,95,,1389.28,percent of total billed charges,95% of total billed charges,1731.48,94.72,,1385.18,percent of total billed charges,94.72% of total billed charges,1805.88,98.79,,1444.7,percent of total billed charges,98.79% of total billed charges,1791.44,98,,1433.15,percent of total billed charges,98% of total billed charges,1791.44,98,,1433.15,percent of total billed charges,98% of total billed charges,877.44,48,,701.95,percent of total billed charges,48% of total billed charges,822.6,45,,658.08,percent of total billed charges,45% of total billed charges,699.21,38.25,,559.37,percent of total billed charges,38.25% of total billed charges,822.6,45,,658.08,percent of total billed charges,45% of total billed charges,822.6,45,,658.08,percent of total billed charges,45% of total billed charges,699.21,1805.88,
CT ANGIO NECK/SFT TIS W,332450,CDM,350,RC,70498,HCPCS,OUTPATIENT,,,1828,1462.4,,1736.6,95,,1389.28,percent of total billed charges,95% of total billed charges,1731.48,94.72,,1385.18,percent of total billed charges,94.72% of total billed charges,1805.88,98.79,,1444.7,percent of total billed charges,98.79% of total billed charges,1791.44,98,,1433.15,percent of total billed charges,98% of total billed charges,1791.44,98,,1433.15,percent of total billed charges,98% of total billed charges,877.44,48,,701.95,percent of total billed charges,48% of total billed charges,822.6,45,,658.08,percent of total billed charges,45% of total billed charges,699.21,38.25,,559.37,percent of total billed charges,38.25% of total billed charges,822.6,45,,658.08,percent of total billed charges,45% of total billed charges,822.6,45,,658.08,percent of total billed charges,45% of total billed charges,699.21,1805.88,
CT FACIAL BONES W/O,332280,CDM,351,RC,70486,HCPCS,OUTPATIENT,,,1143,914.4,,1085.85,95,,868.68,percent of total billed charges,95% of total billed charges,1082.65,94.72,,866.12,percent of total billed charges,94.72% of total billed charges,1129.17,98.79,,903.34,percent of total billed charges,98.79% of total billed charges,1120.14,98,,896.11,percent of total billed charges,98% of total billed charges,1120.14,98,,896.11,percent of total billed charges,98% of total billed charges,548.64,48,,438.91,percent of total billed charges,48% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,437.2,38.25,,349.76,percent of total billed charges,38.25% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,437.2,1129.17,
CT SINUSES W/O,332285,CDM,351,RC,70486,HCPCS,OUTPATIENT,,,1143,914.4,,1085.85,95,,868.68,percent of total billed charges,95% of total billed charges,1082.65,94.72,,866.12,percent of total billed charges,94.72% of total billed charges,1129.17,98.79,,903.34,percent of total billed charges,98.79% of total billed charges,1120.14,98,,896.11,percent of total billed charges,98% of total billed charges,1120.14,98,,896.11,percent of total billed charges,98% of total billed charges,548.64,48,,438.91,percent of total billed charges,48% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,437.2,38.25,,349.76,percent of total billed charges,38.25% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,437.2,1129.17,
CT FACIAL BONES W,332290,CDM,351,RC,70487,HCPCS,OUTPATIENT,,,1008,806.4,,957.6,95,,766.08,percent of total billed charges,95% of total billed charges,954.78,94.72,,763.82,percent of total billed charges,94.72% of total billed charges,995.8,98.79,,796.64,percent of total billed charges,98.79% of total billed charges,987.84,98,,790.27,percent of total billed charges,98% of total billed charges,987.84,98,,790.27,percent of total billed charges,98% of total billed charges,483.84,48,,387.07,percent of total billed charges,48% of total billed charges,453.6,45,,362.88,percent of total billed charges,45% of total billed charges,385.56,38.25,,308.45,percent of total billed charges,38.25% of total billed charges,453.6,45,,362.88,percent of total billed charges,45% of total billed charges,453.6,45,,362.88,percent of total billed charges,45% of total billed charges,385.56,995.8,
CT SINUSES W,332295,CDM,351,RC,70487,HCPCS,OUTPATIENT,,,1008,806.4,,957.6,95,,766.08,percent of total billed charges,95% of total billed charges,954.78,94.72,,763.82,percent of total billed charges,94.72% of total billed charges,995.8,98.79,,796.64,percent of total billed charges,98.79% of total billed charges,987.84,98,,790.27,percent of total billed charges,98% of total billed charges,987.84,98,,790.27,percent of total billed charges,98% of total billed charges,483.84,48,,387.07,percent of total billed charges,48% of total billed charges,453.6,45,,362.88,percent of total billed charges,45% of total billed charges,385.56,38.25,,308.45,percent of total billed charges,38.25% of total billed charges,453.6,45,,362.88,percent of total billed charges,45% of total billed charges,453.6,45,,362.88,percent of total billed charges,45% of total billed charges,385.56,995.8,
CT FACIAL BONES W/WO,332300,CDM,351,RC,70488,HCPCS,OUTPATIENT,,,1515,1212,,1439.25,95,,1151.4,percent of total billed charges,95% of total billed charges,1435.01,94.72,,1148.01,percent of total billed charges,94.72% of total billed charges,1496.67,98.79,,1197.34,percent of total billed charges,98.79% of total billed charges,1484.7,98,,1187.76,percent of total billed charges,98% of total billed charges,1484.7,98,,1187.76,percent of total billed charges,98% of total billed charges,727.2,48,,581.76,percent of total billed charges,48% of total billed charges,681.75,45,,545.4,percent of total billed charges,45% of total billed charges,579.49,38.25,,463.59,percent of total billed charges,38.25% of total billed charges,681.75,45,,545.4,percent of total billed charges,45% of total billed charges,681.75,45,,545.4,percent of total billed charges,45% of total billed charges,579.49,1496.67,
CT Sinus w/ + w/o Contrast,332305,CDM,351,RC,70488,HCPCS,OUTPATIENT,,,1515,1212,,1439.25,95,,1151.4,percent of total billed charges,95% of total billed charges,1435.01,94.72,,1148.01,percent of total billed charges,94.72% of total billed charges,1496.67,98.79,,1197.34,percent of total billed charges,98.79% of total billed charges,1484.7,98,,1187.76,percent of total billed charges,98% of total billed charges,1484.7,98,,1187.76,percent of total billed charges,98% of total billed charges,727.2,48,,581.76,percent of total billed charges,48% of total billed charges,681.75,45,,545.4,percent of total billed charges,45% of total billed charges,579.49,38.25,,463.59,percent of total billed charges,38.25% of total billed charges,681.75,45,,545.4,percent of total billed charges,45% of total billed charges,681.75,45,,545.4,percent of total billed charges,45% of total billed charges,579.49,1496.67,
CT HEAD W/O,332320,CDM,351,RC,70450,HCPCS,OUTPATIENT,,,1147,917.6,,1089.65,95,,871.72,percent of total billed charges,95% of total billed charges,1086.44,94.72,,869.15,percent of total billed charges,94.72% of total billed charges,1133.12,98.79,,906.5,percent of total billed charges,98.79% of total billed charges,1124.06,98,,899.25,percent of total billed charges,98% of total billed charges,1124.06,98,,899.25,percent of total billed charges,98% of total billed charges,550.56,48,,440.45,percent of total billed charges,48% of total billed charges,516.15,45,,412.92,percent of total billed charges,45% of total billed charges,438.73,38.25,,350.98,percent of total billed charges,38.25% of total billed charges,516.15,45,,412.92,percent of total billed charges,45% of total billed charges,516.15,45,,412.92,percent of total billed charges,45% of total billed charges,438.73,1133.12,
CT HEAD W,332330,CDM,351,RC,70460,HCPCS,OUTPATIENT,,,1427,1141.6,,1355.65,95,,1084.52,percent of total billed charges,95% of total billed charges,1351.65,94.72,,1081.32,percent of total billed charges,94.72% of total billed charges,1409.73,98.79,,1127.78,percent of total billed charges,98.79% of total billed charges,1398.46,98,,1118.77,percent of total billed charges,98% of total billed charges,1398.46,98,,1118.77,percent of total billed charges,98% of total billed charges,684.96,48,,547.97,percent of total billed charges,48% of total billed charges,642.15,45,,513.72,percent of total billed charges,45% of total billed charges,545.83,38.25,,436.66,percent of total billed charges,38.25% of total billed charges,642.15,45,,513.72,percent of total billed charges,45% of total billed charges,642.15,45,,513.72,percent of total billed charges,45% of total billed charges,545.83,1409.73,
CT HEAD W/WO,332340,CDM,351,RC,70470,HCPCS,OUTPATIENT,,,1798,1438.4,,1708.1,95,,1366.48,percent of total billed charges,95% of total billed charges,1703.07,94.72,,1362.46,percent of total billed charges,94.72% of total billed charges,1776.24,98.79,,1420.99,percent of total billed charges,98.79% of total billed charges,1762.04,98,,1409.63,percent of total billed charges,98% of total billed charges,1762.04,98,,1409.63,percent of total billed charges,98% of total billed charges,863.04,48,,690.43,percent of total billed charges,48% of total billed charges,809.1,45,,647.28,percent of total billed charges,45% of total billed charges,687.74,38.25,,550.19,percent of total billed charges,38.25% of total billed charges,809.1,45,,647.28,percent of total billed charges,45% of total billed charges,809.1,45,,647.28,percent of total billed charges,45% of total billed charges,687.74,1776.24,
CT ANGIO HEAD W,332350,CDM,351,RC,70496,HCPCS,OUTPATIENT,,,2095,1676,,1990.25,95,,1592.2,percent of total billed charges,95% of total billed charges,1984.38,94.72,,1587.5,percent of total billed charges,94.72% of total billed charges,2069.65,98.79,,1655.72,percent of total billed charges,98.79% of total billed charges,2053.1,98,,1642.48,percent of total billed charges,98% of total billed charges,2053.1,98,,1642.48,percent of total billed charges,98% of total billed charges,1005.6,48,,804.48,percent of total billed charges,48% of total billed charges,942.75,45,,754.2,percent of total billed charges,45% of total billed charges,801.34,38.25,,641.07,percent of total billed charges,38.25% of total billed charges,942.75,45,,754.2,percent of total billed charges,45% of total billed charges,942.75,45,,754.2,percent of total billed charges,45% of total billed charges,801.34,2069.65,
CT ANGIO HEAD W,332350,CDM,351,RC,70496,HCPCS,OUTPATIENT,,,2095,1676,,1990.25,95,,1592.2,percent of total billed charges,95% of total billed charges,1984.38,94.72,,1587.5,percent of total billed charges,94.72% of total billed charges,2069.65,98.79,,1655.72,percent of total billed charges,98.79% of total billed charges,2053.1,98,,1642.48,percent of total billed charges,98% of total billed charges,2053.1,98,,1642.48,percent of total billed charges,98% of total billed charges,1005.6,48,,804.48,percent of total billed charges,48% of total billed charges,942.75,45,,754.2,percent of total billed charges,45% of total billed charges,801.34,38.25,,641.07,percent of total billed charges,38.25% of total billed charges,942.75,45,,754.2,percent of total billed charges,45% of total billed charges,942.75,45,,754.2,percent of total billed charges,45% of total billed charges,801.34,2069.65,
CT ORBITS W/O,332365,CDM,351,RC,70480,HCPCS,OUTPATIENT,,,1143,914.4,,1085.85,95,,868.68,percent of total billed charges,95% of total billed charges,1082.65,94.72,,866.12,percent of total billed charges,94.72% of total billed charges,1129.17,98.79,,903.34,percent of total billed charges,98.79% of total billed charges,1120.14,98,,896.11,percent of total billed charges,98% of total billed charges,1120.14,98,,896.11,percent of total billed charges,98% of total billed charges,548.64,48,,438.91,percent of total billed charges,48% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,437.2,38.25,,349.76,percent of total billed charges,38.25% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,437.2,1129.17,
CT IAC/SELLA/PIT W,332370,CDM,351,RC,70481,HCPCS,OUTPATIENT,,,1143,914.4,,1085.85,95,,868.68,percent of total billed charges,95% of total billed charges,1082.65,94.72,,866.12,percent of total billed charges,94.72% of total billed charges,1129.17,98.79,,903.34,percent of total billed charges,98.79% of total billed charges,1120.14,98,,896.11,percent of total billed charges,98% of total billed charges,1120.14,98,,896.11,percent of total billed charges,98% of total billed charges,548.64,48,,438.91,percent of total billed charges,48% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,437.2,38.25,,349.76,percent of total billed charges,38.25% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,437.2,1129.17,
CT ORBITS W,332375,CDM,351,RC,70481,HCPCS,OUTPATIENT,,,1143,914.4,,1085.85,95,,868.68,percent of total billed charges,95% of total billed charges,1082.65,94.72,,866.12,percent of total billed charges,94.72% of total billed charges,1129.17,98.79,,903.34,percent of total billed charges,98.79% of total billed charges,1120.14,98,,896.11,percent of total billed charges,98% of total billed charges,1120.14,98,,896.11,percent of total billed charges,98% of total billed charges,548.64,48,,438.91,percent of total billed charges,48% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,437.2,38.25,,349.76,percent of total billed charges,38.25% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,437.2,1129.17,
CT IAC/SELLA/PIT W/WO,332380,CDM,351,RC,70482,HCPCS,OUTPATIENT,,,1979,1583.2,,1880.05,95,,1504.04,percent of total billed charges,95% of total billed charges,1874.51,94.72,,1499.61,percent of total billed charges,94.72% of total billed charges,1955.05,98.79,,1564.04,percent of total billed charges,98.79% of total billed charges,1939.42,98,,1551.54,percent of total billed charges,98% of total billed charges,1939.42,98,,1551.54,percent of total billed charges,98% of total billed charges,949.92,48,,759.94,percent of total billed charges,48% of total billed charges,890.55,45,,712.44,percent of total billed charges,45% of total billed charges,756.97,38.25,,605.58,percent of total billed charges,38.25% of total billed charges,890.55,45,,712.44,percent of total billed charges,45% of total billed charges,890.55,45,,712.44,percent of total billed charges,45% of total billed charges,756.97,1955.05,
CT ORBITS W/WO,332385,CDM,351,RC,70482,HCPCS,OUTPATIENT,,,1979,1583.2,,1880.05,95,,1504.04,percent of total billed charges,95% of total billed charges,1874.51,94.72,,1499.61,percent of total billed charges,94.72% of total billed charges,1955.05,98.79,,1564.04,percent of total billed charges,98.79% of total billed charges,1939.42,98,,1551.54,percent of total billed charges,98% of total billed charges,1939.42,98,,1551.54,percent of total billed charges,98% of total billed charges,949.92,48,,759.94,percent of total billed charges,48% of total billed charges,890.55,45,,712.44,percent of total billed charges,45% of total billed charges,756.97,38.25,,605.58,percent of total billed charges,38.25% of total billed charges,890.55,45,,712.44,percent of total billed charges,45% of total billed charges,890.55,45,,712.44,percent of total billed charges,45% of total billed charges,756.97,1955.05,
CT ABD W/O,332060,CDM,352,RC,74150,HCPCS,OUTPATIENT,,,1416,1132.8,,1345.2,95,,1076.16,percent of total billed charges,95% of total billed charges,1341.24,94.72,,1072.99,percent of total billed charges,94.72% of total billed charges,1398.87,98.79,,1119.1,percent of total billed charges,98.79% of total billed charges,1387.68,98,,1110.14,percent of total billed charges,98% of total billed charges,1387.68,98,,1110.14,percent of total billed charges,98% of total billed charges,679.68,48,,543.74,percent of total billed charges,48% of total billed charges,637.2,45,,509.76,percent of total billed charges,45% of total billed charges,541.62,38.25,,433.3,percent of total billed charges,38.25% of total billed charges,637.2,45,,509.76,percent of total billed charges,45% of total billed charges,637.2,45,,509.76,percent of total billed charges,45% of total billed charges,541.62,1398.87,
CT ABD W,332070,CDM,352,RC,74160,HCPCS,OUTPATIENT,,,1416,1132.8,,1345.2,95,,1076.16,percent of total billed charges,95% of total billed charges,1341.24,94.72,,1072.99,percent of total billed charges,94.72% of total billed charges,1398.87,98.79,,1119.1,percent of total billed charges,98.79% of total billed charges,1387.68,98,,1110.14,percent of total billed charges,98% of total billed charges,1387.68,98,,1110.14,percent of total billed charges,98% of total billed charges,679.68,48,,543.74,percent of total billed charges,48% of total billed charges,637.2,45,,509.76,percent of total billed charges,45% of total billed charges,541.62,38.25,,433.3,percent of total billed charges,38.25% of total billed charges,637.2,45,,509.76,percent of total billed charges,45% of total billed charges,637.2,45,,509.76,percent of total billed charges,45% of total billed charges,541.62,1398.87,
CT ABD W/WO,332080,CDM,352,RC,74170,HCPCS,OUTPATIENT,,,2148,1718.4,,2040.6,95,,1632.48,percent of total billed charges,95% of total billed charges,2034.59,94.72,,1627.67,percent of total billed charges,94.72% of total billed charges,2122.01,98.79,,1697.61,percent of total billed charges,98.79% of total billed charges,2105.04,98,,1684.03,percent of total billed charges,98% of total billed charges,2105.04,98,,1684.03,percent of total billed charges,98% of total billed charges,1031.04,48,,824.83,percent of total billed charges,48% of total billed charges,966.6,45,,773.28,percent of total billed charges,45% of total billed charges,821.61,38.25,,657.29,percent of total billed charges,38.25% of total billed charges,966.6,45,,773.28,percent of total billed charges,45% of total billed charges,966.6,45,,773.28,percent of total billed charges,45% of total billed charges,821.61,2122.01,
CT COLONOGRAPHY DIAG WO,332081,CDM,352,RC,74261,HCPCS,OUTPATIENT,,,1802,1441.6,,1711.9,95,,1369.52,percent of total billed charges,95% of total billed charges,1706.85,94.72,,1365.48,percent of total billed charges,94.72% of total billed charges,1780.2,98.79,,1424.16,percent of total billed charges,98.79% of total billed charges,1765.96,98,,1412.77,percent of total billed charges,98% of total billed charges,1765.96,98,,1412.77,percent of total billed charges,98% of total billed charges,864.96,48,,691.97,percent of total billed charges,48% of total billed charges,810.9,45,,648.72,percent of total billed charges,45% of total billed charges,689.27,38.25,,551.42,percent of total billed charges,38.25% of total billed charges,810.9,45,,648.72,percent of total billed charges,45% of total billed charges,810.9,45,,648.72,percent of total billed charges,45% of total billed charges,689.27,1780.2,
CT ABD/PELVIS W/O,332082,CDM,352,RC,74176,HCPCS,OUTPATIENT,,,1932,1545.6,,1835.4,95,,1468.32,percent of total billed charges,95% of total billed charges,1829.99,94.72,,1463.99,percent of total billed charges,94.72% of total billed charges,1908.62,98.79,,1526.9,percent of total billed charges,98.79% of total billed charges,1893.36,98,,1514.69,percent of total billed charges,98% of total billed charges,1893.36,98,,1514.69,percent of total billed charges,98% of total billed charges,927.36,48,,741.89,percent of total billed charges,48% of total billed charges,869.4,45,,695.52,percent of total billed charges,45% of total billed charges,738.99,38.25,,591.19,percent of total billed charges,38.25% of total billed charges,869.4,45,,695.52,percent of total billed charges,45% of total billed charges,869.4,45,,695.52,percent of total billed charges,45% of total billed charges,738.99,1908.62,
CT ABD/PELVIS W/O,332082,CDM,352,RC,74176,HCPCS,OUTPATIENT,,,1932,1545.6,,1835.4,95,,1468.32,percent of total billed charges,95% of total billed charges,1829.99,94.72,,1463.99,percent of total billed charges,94.72% of total billed charges,1908.62,98.79,,1526.9,percent of total billed charges,98.79% of total billed charges,1893.36,98,,1514.69,percent of total billed charges,98% of total billed charges,1893.36,98,,1514.69,percent of total billed charges,98% of total billed charges,927.36,48,,741.89,percent of total billed charges,48% of total billed charges,869.4,45,,695.52,percent of total billed charges,45% of total billed charges,738.99,38.25,,591.19,percent of total billed charges,38.25% of total billed charges,869.4,45,,695.52,percent of total billed charges,45% of total billed charges,869.4,45,,695.52,percent of total billed charges,45% of total billed charges,738.99,1908.62,
CT ABD/PELVIS W/WO,332084,CDM,352,RC,74178,HCPCS,OUTPATIENT,,,2756,2204.8,,2618.2,95,,2094.56,percent of total billed charges,95% of total billed charges,2610.48,94.72,,2088.38,percent of total billed charges,94.72% of total billed charges,2722.65,98.79,,2178.12,percent of total billed charges,98.79% of total billed charges,2700.88,98,,2160.7,percent of total billed charges,98% of total billed charges,2700.88,98,,2160.7,percent of total billed charges,98% of total billed charges,1322.88,48,,1058.3,percent of total billed charges,48% of total billed charges,1240.2,45,,992.16,percent of total billed charges,45% of total billed charges,1054.17,38.25,,843.34,percent of total billed charges,38.25% of total billed charges,1240.2,45,,992.16,percent of total billed charges,45% of total billed charges,1240.2,45,,992.16,percent of total billed charges,45% of total billed charges,1054.17,2722.65,
CT ABD/PELVIS W/WO,332084,CDM,352,RC,74178,HCPCS,OUTPATIENT,,,2756,2204.8,,2618.2,95,,2094.56,percent of total billed charges,95% of total billed charges,2610.48,94.72,,2088.38,percent of total billed charges,94.72% of total billed charges,2722.65,98.79,,2178.12,percent of total billed charges,98.79% of total billed charges,2700.88,98,,2160.7,percent of total billed charges,98% of total billed charges,2700.88,98,,2160.7,percent of total billed charges,98% of total billed charges,1322.88,48,,1058.3,percent of total billed charges,48% of total billed charges,1240.2,45,,992.16,percent of total billed charges,45% of total billed charges,1054.17,38.25,,843.34,percent of total billed charges,38.25% of total billed charges,1240.2,45,,992.16,percent of total billed charges,45% of total billed charges,1240.2,45,,992.16,percent of total billed charges,45% of total billed charges,1054.17,2722.65,
CT ANGIO ABD W,332085,CDM,352,RC,74175,HCPCS,OUTPATIENT,,,2148,1718.4,,2040.6,95,,1632.48,percent of total billed charges,95% of total billed charges,2034.59,94.72,,1627.67,percent of total billed charges,94.72% of total billed charges,2122.01,98.79,,1697.61,percent of total billed charges,98.79% of total billed charges,2105.04,98,,1684.03,percent of total billed charges,98% of total billed charges,2105.04,98,,1684.03,percent of total billed charges,98% of total billed charges,1031.04,48,,824.83,percent of total billed charges,48% of total billed charges,966.6,45,,773.28,percent of total billed charges,45% of total billed charges,821.61,38.25,,657.29,percent of total billed charges,38.25% of total billed charges,966.6,45,,773.28,percent of total billed charges,45% of total billed charges,966.6,45,,773.28,percent of total billed charges,45% of total billed charges,821.61,2122.01,
CT ANGIO AORTA (ABD/PELVIS) W,332086,CDM,352,RC,74174,HCPCS,OUTPATIENT,,,2148,1718.4,,2040.6,95,,1632.48,percent of total billed charges,95% of total billed charges,2034.59,94.72,,1627.67,percent of total billed charges,94.72% of total billed charges,2122.01,98.79,,1697.61,percent of total billed charges,98.79% of total billed charges,2105.04,98,,1684.03,percent of total billed charges,98% of total billed charges,2105.04,98,,1684.03,percent of total billed charges,98% of total billed charges,1031.04,48,,824.83,percent of total billed charges,48% of total billed charges,966.6,45,,773.28,percent of total billed charges,45% of total billed charges,821.61,38.25,,657.29,percent of total billed charges,38.25% of total billed charges,966.6,45,,773.28,percent of total billed charges,45% of total billed charges,966.6,45,,773.28,percent of total billed charges,45% of total billed charges,821.61,2122.01,
CT ANGIO AORTA/ILIOFEM EXT W,332087,CDM,352,RC,75635,HCPCS,OUTPATIENT,,,2591,2072.8,,2461.45,95,,1969.16,percent of total billed charges,95% of total billed charges,2454.2,94.72,,1963.36,percent of total billed charges,94.72% of total billed charges,2559.65,98.79,,2047.72,percent of total billed charges,98.79% of total billed charges,2539.18,98,,2031.34,percent of total billed charges,98% of total billed charges,2539.18,98,,2031.34,percent of total billed charges,98% of total billed charges,1243.68,48,,994.94,percent of total billed charges,48% of total billed charges,1165.95,45,,932.76,percent of total billed charges,45% of total billed charges,991.06,38.25,,792.85,percent of total billed charges,38.25% of total billed charges,1165.95,45,,932.76,percent of total billed charges,45% of total billed charges,1165.95,45,,932.76,percent of total billed charges,45% of total billed charges,991.06,2559.65,
CT C SPINE W,332100,CDM,352,RC,72126,HCPCS,OUTPATIENT,,,1705,1364,,1619.75,95,,1295.8,percent of total billed charges,95% of total billed charges,1614.98,94.72,,1291.98,percent of total billed charges,94.72% of total billed charges,1684.37,98.79,,1347.5,percent of total billed charges,98.79% of total billed charges,1670.9,98,,1336.72,percent of total billed charges,98% of total billed charges,1670.9,98,,1336.72,percent of total billed charges,98% of total billed charges,818.4,48,,654.72,percent of total billed charges,48% of total billed charges,767.25,45,,613.8,percent of total billed charges,45% of total billed charges,652.16,38.25,,521.73,percent of total billed charges,38.25% of total billed charges,767.25,45,,613.8,percent of total billed charges,45% of total billed charges,767.25,45,,613.8,percent of total billed charges,45% of total billed charges,652.16,1684.37,
CT C SPINE W/WO,332110,CDM,352,RC,72127,HCPCS,OUTPATIENT,,,1798,1438.4,,1708.1,95,,1366.48,percent of total billed charges,95% of total billed charges,1703.07,94.72,,1362.46,percent of total billed charges,94.72% of total billed charges,1776.24,98.79,,1420.99,percent of total billed charges,98.79% of total billed charges,1762.04,98,,1409.63,percent of total billed charges,98% of total billed charges,1762.04,98,,1409.63,percent of total billed charges,98% of total billed charges,863.04,48,,690.43,percent of total billed charges,48% of total billed charges,809.1,45,,647.28,percent of total billed charges,45% of total billed charges,687.74,38.25,,550.19,percent of total billed charges,38.25% of total billed charges,809.1,45,,647.28,percent of total billed charges,45% of total billed charges,809.1,45,,647.28,percent of total billed charges,45% of total billed charges,687.74,1776.24,
CT Chest High Resolution,332120,CDM,352,RC,71250,HCPCS,OUTPATIENT,,,1579,1263.2,,1500.05,95,,1200.04,percent of total billed charges,95% of total billed charges,1495.63,94.72,,1196.5,percent of total billed charges,94.72% of total billed charges,1559.89,98.79,,1247.91,percent of total billed charges,98.79% of total billed charges,1547.42,98,,1237.94,percent of total billed charges,98% of total billed charges,1547.42,98,,1237.94,percent of total billed charges,98% of total billed charges,757.92,48,,606.34,percent of total billed charges,48% of total billed charges,710.55,45,,568.44,percent of total billed charges,45% of total billed charges,603.97,38.25,,483.18,percent of total billed charges,38.25% of total billed charges,710.55,45,,568.44,percent of total billed charges,45% of total billed charges,710.55,45,,568.44,percent of total billed charges,45% of total billed charges,603.97,1559.89,
CT CHEST W/O CONT,332120,CDM,352,RC,71250,HCPCS,OUTPATIENT,,,1579,1263.2,,1500.05,95,,1200.04,percent of total billed charges,95% of total billed charges,1495.63,94.72,,1196.5,percent of total billed charges,94.72% of total billed charges,1559.89,98.79,,1247.91,percent of total billed charges,98.79% of total billed charges,1547.42,98,,1237.94,percent of total billed charges,98% of total billed charges,1547.42,98,,1237.94,percent of total billed charges,98% of total billed charges,757.92,48,,606.34,percent of total billed charges,48% of total billed charges,710.55,45,,568.44,percent of total billed charges,45% of total billed charges,603.97,38.25,,483.18,percent of total billed charges,38.25% of total billed charges,710.55,45,,568.44,percent of total billed charges,45% of total billed charges,710.55,45,,568.44,percent of total billed charges,45% of total billed charges,603.97,1559.89,
CT CHEST W,332130,CDM,352,RC,71260,HCPCS,OUTPATIENT,,,2037,1629.6,,1935.15,95,,1548.12,percent of total billed charges,95% of total billed charges,1929.45,94.72,,1543.56,percent of total billed charges,94.72% of total billed charges,2012.35,98.79,,1609.88,percent of total billed charges,98.79% of total billed charges,1996.26,98,,1597.01,percent of total billed charges,98% of total billed charges,1996.26,98,,1597.01,percent of total billed charges,98% of total billed charges,977.76,48,,782.21,percent of total billed charges,48% of total billed charges,916.65,45,,733.32,percent of total billed charges,45% of total billed charges,779.15,38.25,,623.32,percent of total billed charges,38.25% of total billed charges,916.65,45,,733.32,percent of total billed charges,45% of total billed charges,916.65,45,,733.32,percent of total billed charges,45% of total billed charges,779.15,2012.35,
CT CHEST W/WO,332140,CDM,352,RC,71270,HCPCS,OUTPATIENT,,,2148,1718.4,,2040.6,95,,1632.48,percent of total billed charges,95% of total billed charges,2034.59,94.72,,1627.67,percent of total billed charges,94.72% of total billed charges,2122.01,98.79,,1697.61,percent of total billed charges,98.79% of total billed charges,2105.04,98,,1684.03,percent of total billed charges,98% of total billed charges,2105.04,98,,1684.03,percent of total billed charges,98% of total billed charges,1031.04,48,,824.83,percent of total billed charges,48% of total billed charges,966.6,45,,773.28,percent of total billed charges,45% of total billed charges,821.61,38.25,,657.29,percent of total billed charges,38.25% of total billed charges,966.6,45,,773.28,percent of total billed charges,45% of total billed charges,966.6,45,,773.28,percent of total billed charges,45% of total billed charges,821.61,2122.01,
CT CHEST/ABD/PELVIS WO,332142,CDM,352,RC,71250,HCPCS,OUTPATIENT,,,1579,1263.2,,1500.05,95,,1200.04,percent of total billed charges,95% of total billed charges,1495.63,94.72,,1196.5,percent of total billed charges,94.72% of total billed charges,1559.89,98.79,,1247.91,percent of total billed charges,98.79% of total billed charges,1547.42,98,,1237.94,percent of total billed charges,98% of total billed charges,1547.42,98,,1237.94,percent of total billed charges,98% of total billed charges,757.92,48,,606.34,percent of total billed charges,48% of total billed charges,710.55,45,,568.44,percent of total billed charges,45% of total billed charges,603.97,38.25,,483.18,percent of total billed charges,38.25% of total billed charges,710.55,45,,568.44,percent of total billed charges,45% of total billed charges,710.55,45,,568.44,percent of total billed charges,45% of total billed charges,603.97,1559.89,
CT CHEST/ABD/PELVIS W,332143,CDM,352,RC,71260,HCPCS,OUTPATIENT,,,2037,1629.6,,1935.15,95,,1548.12,percent of total billed charges,95% of total billed charges,1929.45,94.72,,1543.56,percent of total billed charges,94.72% of total billed charges,2012.35,98.79,,1609.88,percent of total billed charges,98.79% of total billed charges,1996.26,98,,1597.01,percent of total billed charges,98% of total billed charges,1996.26,98,,1597.01,percent of total billed charges,98% of total billed charges,977.76,48,,782.21,percent of total billed charges,48% of total billed charges,916.65,45,,733.32,percent of total billed charges,45% of total billed charges,779.15,38.25,,623.32,percent of total billed charges,38.25% of total billed charges,916.65,45,,733.32,percent of total billed charges,45% of total billed charges,916.65,45,,733.32,percent of total billed charges,45% of total billed charges,779.15,2012.35,
CT CHEST/ABD/PELVIS W/WO,332144,CDM,352,RC,71270,HCPCS,OUTPATIENT,,,2148,1718.4,,2040.6,95,,1632.48,percent of total billed charges,95% of total billed charges,2034.59,94.72,,1627.67,percent of total billed charges,94.72% of total billed charges,2122.01,98.79,,1697.61,percent of total billed charges,98.79% of total billed charges,2105.04,98,,1684.03,percent of total billed charges,98% of total billed charges,2105.04,98,,1684.03,percent of total billed charges,98% of total billed charges,1031.04,48,,824.83,percent of total billed charges,48% of total billed charges,966.6,45,,773.28,percent of total billed charges,45% of total billed charges,821.61,38.25,,657.29,percent of total billed charges,38.25% of total billed charges,966.6,45,,773.28,percent of total billed charges,45% of total billed charges,966.6,45,,773.28,percent of total billed charges,45% of total billed charges,821.61,2122.01,
CT ANGIO CHEST W,332150,CDM,352,RC,71275,HCPCS,OUTPATIENT,,,2482,1985.6,,2357.9,95,,1886.32,percent of total billed charges,95% of total billed charges,2350.95,94.72,,1880.76,percent of total billed charges,94.72% of total billed charges,2451.97,98.79,,1961.58,percent of total billed charges,98.79% of total billed charges,2432.36,98,,1945.89,percent of total billed charges,98% of total billed charges,2432.36,98,,1945.89,percent of total billed charges,98% of total billed charges,1191.36,48,,953.09,percent of total billed charges,48% of total billed charges,1116.9,45,,893.52,percent of total billed charges,45% of total billed charges,949.37,38.25,,759.5,percent of total billed charges,38.25% of total billed charges,1116.9,45,,893.52,percent of total billed charges,45% of total billed charges,1116.9,45,,893.52,percent of total billed charges,45% of total billed charges,949.37,2451.97,
CT ANGIO CHEST (PE),332152,CDM,352,RC,71275,HCPCS,OUTPATIENT,,,2482,1985.6,,2357.9,95,,1886.32,percent of total billed charges,95% of total billed charges,2350.95,94.72,,1880.76,percent of total billed charges,94.72% of total billed charges,2451.97,98.79,,1961.58,percent of total billed charges,98.79% of total billed charges,2432.36,98,,1945.89,percent of total billed charges,98% of total billed charges,2432.36,98,,1945.89,percent of total billed charges,98% of total billed charges,1191.36,48,,953.09,percent of total billed charges,48% of total billed charges,1116.9,45,,893.52,percent of total billed charges,45% of total billed charges,949.37,38.25,,759.5,percent of total billed charges,38.25% of total billed charges,1116.9,45,,893.52,percent of total billed charges,45% of total billed charges,1116.9,45,,893.52,percent of total billed charges,45% of total billed charges,949.37,2451.97,
CT EXT UPPER W/O LT,332160,CDM,352,RC,73200,HCPCS,OUTPATIENT,,,1399,1119.2,LT,1329.05,95,,1063.24,percent of total billed charges,95% of total billed charges,1325.13,94.72,,1060.1,percent of total billed charges,94.72% of total billed charges,1382.07,98.79,,1105.66,percent of total billed charges,98.79% of total billed charges,1371.02,98,,1096.82,percent of total billed charges,98% of total billed charges,1371.02,98,,1096.82,percent of total billed charges,98% of total billed charges,671.52,48,,537.22,percent of total billed charges,48% of total billed charges,629.55,45,,503.64,percent of total billed charges,45% of total billed charges,535.12,38.25,,428.1,percent of total billed charges,38.25% of total billed charges,629.55,45,,503.64,percent of total billed charges,45% of total billed charges,629.55,45,,503.64,percent of total billed charges,45% of total billed charges,535.12,1382.07,
CT EXT UPPER W LT,332170,CDM,352,RC,73201,HCPCS,OUTPATIENT,,,1427,1141.6,LT,1355.65,95,,1084.52,percent of total billed charges,95% of total billed charges,1351.65,94.72,,1081.32,percent of total billed charges,94.72% of total billed charges,1409.73,98.79,,1127.78,percent of total billed charges,98.79% of total billed charges,1398.46,98,,1118.77,percent of total billed charges,98% of total billed charges,1398.46,98,,1118.77,percent of total billed charges,98% of total billed charges,684.96,48,,547.97,percent of total billed charges,48% of total billed charges,642.15,45,,513.72,percent of total billed charges,45% of total billed charges,545.83,38.25,,436.66,percent of total billed charges,38.25% of total billed charges,642.15,45,,513.72,percent of total billed charges,45% of total billed charges,642.15,45,,513.72,percent of total billed charges,45% of total billed charges,545.83,1409.73,
CT EXT UPPER W/WO LT,332180,CDM,352,RC,73202,HCPCS,OUTPATIENT,,,1610,1288,LT,1529.5,95,,1223.6,percent of total billed charges,95% of total billed charges,1524.99,94.72,,1219.99,percent of total billed charges,94.72% of total billed charges,1590.52,98.79,,1272.42,percent of total billed charges,98.79% of total billed charges,1577.8,98,,1262.24,percent of total billed charges,98% of total billed charges,1577.8,98,,1262.24,percent of total billed charges,98% of total billed charges,772.8,48,,618.24,percent of total billed charges,48% of total billed charges,724.5,45,,579.6,percent of total billed charges,45% of total billed charges,615.83,38.25,,492.66,percent of total billed charges,38.25% of total billed charges,724.5,45,,579.6,percent of total billed charges,45% of total billed charges,724.5,45,,579.6,percent of total billed charges,45% of total billed charges,615.83,1590.52,
CT ANGIO EXT UPP W LT,332190,CDM,352,RC,73206,HCPCS,OUTPATIENT,,,2685,2148,LT,2550.75,95,,2040.6,percent of total billed charges,95% of total billed charges,2543.23,94.72,,2034.58,percent of total billed charges,94.72% of total billed charges,2652.51,98.79,,2122.01,percent of total billed charges,98.79% of total billed charges,2631.3,98,,2105.04,percent of total billed charges,98% of total billed charges,2631.3,98,,2105.04,percent of total billed charges,98% of total billed charges,1288.8,48,,1031.04,percent of total billed charges,48% of total billed charges,1208.25,45,,966.6,percent of total billed charges,45% of total billed charges,1027.01,38.25,,821.61,percent of total billed charges,38.25% of total billed charges,1208.25,45,,966.6,percent of total billed charges,45% of total billed charges,1208.25,45,,966.6,percent of total billed charges,45% of total billed charges,1027.01,2652.51,
CT EXT UPPER W/O RT,332200,CDM,352,RC,73200,HCPCS,OUTPATIENT,,,1399,1119.2,RT,1329.05,95,,1063.24,percent of total billed charges,95% of total billed charges,1325.13,94.72,,1060.1,percent of total billed charges,94.72% of total billed charges,1382.07,98.79,,1105.66,percent of total billed charges,98.79% of total billed charges,1371.02,98,,1096.82,percent of total billed charges,98% of total billed charges,1371.02,98,,1096.82,percent of total billed charges,98% of total billed charges,671.52,48,,537.22,percent of total billed charges,48% of total billed charges,629.55,45,,503.64,percent of total billed charges,45% of total billed charges,535.12,38.25,,428.1,percent of total billed charges,38.25% of total billed charges,629.55,45,,503.64,percent of total billed charges,45% of total billed charges,629.55,45,,503.64,percent of total billed charges,45% of total billed charges,535.12,1382.07,
CT EXT UPPER W RT,332210,CDM,352,RC,73201,HCPCS,OUTPATIENT,,,1427,1141.6,RT,1355.65,95,,1084.52,percent of total billed charges,95% of total billed charges,1351.65,94.72,,1081.32,percent of total billed charges,94.72% of total billed charges,1409.73,98.79,,1127.78,percent of total billed charges,98.79% of total billed charges,1398.46,98,,1118.77,percent of total billed charges,98% of total billed charges,1398.46,98,,1118.77,percent of total billed charges,98% of total billed charges,684.96,48,,547.97,percent of total billed charges,48% of total billed charges,642.15,45,,513.72,percent of total billed charges,45% of total billed charges,545.83,38.25,,436.66,percent of total billed charges,38.25% of total billed charges,642.15,45,,513.72,percent of total billed charges,45% of total billed charges,642.15,45,,513.72,percent of total billed charges,45% of total billed charges,545.83,1409.73,
CT EXT UPPER W/WO RT,332220,CDM,352,RC,73202,HCPCS,OUTPATIENT,,,1828,1462.4,RT,1736.6,95,,1389.28,percent of total billed charges,95% of total billed charges,1731.48,94.72,,1385.18,percent of total billed charges,94.72% of total billed charges,1805.88,98.79,,1444.7,percent of total billed charges,98.79% of total billed charges,1791.44,98,,1433.15,percent of total billed charges,98% of total billed charges,1791.44,98,,1433.15,percent of total billed charges,98% of total billed charges,877.44,48,,701.95,percent of total billed charges,48% of total billed charges,822.6,45,,658.08,percent of total billed charges,45% of total billed charges,699.21,38.25,,559.37,percent of total billed charges,38.25% of total billed charges,822.6,45,,658.08,percent of total billed charges,45% of total billed charges,822.6,45,,658.08,percent of total billed charges,45% of total billed charges,699.21,1805.88,
CT ANGIO EXT UPP W RT,332230,CDM,352,RC,73206,HCPCS,OUTPATIENT,,,2685,2148,RT,2550.75,95,,2040.6,percent of total billed charges,95% of total billed charges,2543.23,94.72,,2034.58,percent of total billed charges,94.72% of total billed charges,2652.51,98.79,,2122.01,percent of total billed charges,98.79% of total billed charges,2631.3,98,,2105.04,percent of total billed charges,98% of total billed charges,2631.3,98,,2105.04,percent of total billed charges,98% of total billed charges,1288.8,48,,1031.04,percent of total billed charges,48% of total billed charges,1208.25,45,,966.6,percent of total billed charges,45% of total billed charges,1027.01,38.25,,821.61,percent of total billed charges,38.25% of total billed charges,1208.25,45,,966.6,percent of total billed charges,45% of total billed charges,1208.25,45,,966.6,percent of total billed charges,45% of total billed charges,1027.01,2652.51,
CT EXT LOWER W/O LT,332240,CDM,352,RC,73700,HCPCS,OUTPATIENT,,,1399,1119.2,LT,1329.05,95,,1063.24,percent of total billed charges,95% of total billed charges,1325.13,94.72,,1060.1,percent of total billed charges,94.72% of total billed charges,1382.07,98.79,,1105.66,percent of total billed charges,98.79% of total billed charges,1371.02,98,,1096.82,percent of total billed charges,98% of total billed charges,1371.02,98,,1096.82,percent of total billed charges,98% of total billed charges,671.52,48,,537.22,percent of total billed charges,48% of total billed charges,629.55,45,,503.64,percent of total billed charges,45% of total billed charges,535.12,38.25,,428.1,percent of total billed charges,38.25% of total billed charges,629.55,45,,503.64,percent of total billed charges,45% of total billed charges,629.55,45,,503.64,percent of total billed charges,45% of total billed charges,535.12,1382.07,
CT EXT LOWER W LT,332250,CDM,352,RC,73701,HCPCS,OUTPATIENT,,,1399,1119.2,LT,1329.05,95,,1063.24,percent of total billed charges,95% of total billed charges,1325.13,94.72,,1060.1,percent of total billed charges,94.72% of total billed charges,1382.07,98.79,,1105.66,percent of total billed charges,98.79% of total billed charges,1371.02,98,,1096.82,percent of total billed charges,98% of total billed charges,1371.02,98,,1096.82,percent of total billed charges,98% of total billed charges,671.52,48,,537.22,percent of total billed charges,48% of total billed charges,629.55,45,,503.64,percent of total billed charges,45% of total billed charges,535.12,38.25,,428.1,percent of total billed charges,38.25% of total billed charges,629.55,45,,503.64,percent of total billed charges,45% of total billed charges,629.55,45,,503.64,percent of total billed charges,45% of total billed charges,535.12,1382.07,
CT EXT LOWER W/WO LT,332260,CDM,352,RC,73702,HCPCS,OUTPATIENT,,,1610,1288,LT,1529.5,95,,1223.6,percent of total billed charges,95% of total billed charges,1524.99,94.72,,1219.99,percent of total billed charges,94.72% of total billed charges,1590.52,98.79,,1272.42,percent of total billed charges,98.79% of total billed charges,1577.8,98,,1262.24,percent of total billed charges,98% of total billed charges,1577.8,98,,1262.24,percent of total billed charges,98% of total billed charges,772.8,48,,618.24,percent of total billed charges,48% of total billed charges,724.5,45,,579.6,percent of total billed charges,45% of total billed charges,615.83,38.25,,492.66,percent of total billed charges,38.25% of total billed charges,724.5,45,,579.6,percent of total billed charges,45% of total billed charges,724.5,45,,579.6,percent of total billed charges,45% of total billed charges,615.83,1590.52,
CT ANGIO EXT LOWER W LT,332270,CDM,352,RC,73706,HCPCS,OUTPATIENT,,,2178,1742.4,LT,2069.1,95,,1655.28,percent of total billed charges,95% of total billed charges,2063,94.72,,1650.4,percent of total billed charges,94.72% of total billed charges,2151.65,98.79,,1721.32,percent of total billed charges,98.79% of total billed charges,2134.44,98,,1707.55,percent of total billed charges,98% of total billed charges,2134.44,98,,1707.55,percent of total billed charges,98% of total billed charges,1045.44,48,,836.35,percent of total billed charges,48% of total billed charges,980.1,45,,784.08,percent of total billed charges,45% of total billed charges,833.09,38.25,,666.47,percent of total billed charges,38.25% of total billed charges,980.1,45,,784.08,percent of total billed charges,45% of total billed charges,980.1,45,,784.08,percent of total billed charges,45% of total billed charges,833.09,2151.65,
CT EXT LOWER W/O RT,332275,CDM,352,RC,73700,HCPCS,OUTPATIENT,,,1399,1119.2,RT,1329.05,95,,1063.24,percent of total billed charges,95% of total billed charges,1325.13,94.72,,1060.1,percent of total billed charges,94.72% of total billed charges,1382.07,98.79,,1105.66,percent of total billed charges,98.79% of total billed charges,1371.02,98,,1096.82,percent of total billed charges,98% of total billed charges,1371.02,98,,1096.82,percent of total billed charges,98% of total billed charges,671.52,48,,537.22,percent of total billed charges,48% of total billed charges,629.55,45,,503.64,percent of total billed charges,45% of total billed charges,535.12,38.25,,428.1,percent of total billed charges,38.25% of total billed charges,629.55,45,,503.64,percent of total billed charges,45% of total billed charges,629.55,45,,503.64,percent of total billed charges,45% of total billed charges,535.12,1382.07,
CT EXT LOWER W RT,332276,CDM,352,RC,73701,HCPCS,OUTPATIENT,,,1399,1119.2,RT,1329.05,95,,1063.24,percent of total billed charges,95% of total billed charges,1325.13,94.72,,1060.1,percent of total billed charges,94.72% of total billed charges,1382.07,98.79,,1105.66,percent of total billed charges,98.79% of total billed charges,1371.02,98,,1096.82,percent of total billed charges,98% of total billed charges,1371.02,98,,1096.82,percent of total billed charges,98% of total billed charges,671.52,48,,537.22,percent of total billed charges,48% of total billed charges,629.55,45,,503.64,percent of total billed charges,45% of total billed charges,535.12,38.25,,428.1,percent of total billed charges,38.25% of total billed charges,629.55,45,,503.64,percent of total billed charges,45% of total billed charges,629.55,45,,503.64,percent of total billed charges,45% of total billed charges,535.12,1382.07,
CT EXT LOWER W/WO RT,332277,CDM,352,RC,73702,HCPCS,OUTPATIENT,,,1828,1462.4,RT,1736.6,95,,1389.28,percent of total billed charges,95% of total billed charges,1731.48,94.72,,1385.18,percent of total billed charges,94.72% of total billed charges,1805.88,98.79,,1444.7,percent of total billed charges,98.79% of total billed charges,1791.44,98,,1433.15,percent of total billed charges,98% of total billed charges,1791.44,98,,1433.15,percent of total billed charges,98% of total billed charges,877.44,48,,701.95,percent of total billed charges,48% of total billed charges,822.6,45,,658.08,percent of total billed charges,45% of total billed charges,699.21,38.25,,559.37,percent of total billed charges,38.25% of total billed charges,822.6,45,,658.08,percent of total billed charges,45% of total billed charges,822.6,45,,658.08,percent of total billed charges,45% of total billed charges,699.21,1805.88,
CT ANGIO EXT LOWER W RT,332278,CDM,352,RC,73706,HCPCS,OUTPATIENT,,,2178,1742.4,RT,2069.1,95,,1655.28,percent of total billed charges,95% of total billed charges,2063,94.72,,1650.4,percent of total billed charges,94.72% of total billed charges,2151.65,98.79,,1721.32,percent of total billed charges,98.79% of total billed charges,2134.44,98,,1707.55,percent of total billed charges,98% of total billed charges,2134.44,98,,1707.55,percent of total billed charges,98% of total billed charges,1045.44,48,,836.35,percent of total billed charges,48% of total billed charges,980.1,45,,784.08,percent of total billed charges,45% of total billed charges,833.09,38.25,,666.47,percent of total billed charges,38.25% of total billed charges,980.1,45,,784.08,percent of total billed charges,45% of total billed charges,980.1,45,,784.08,percent of total billed charges,45% of total billed charges,833.09,2151.65,
CT FACET JT INJECTION,332388,CDM,352,RC,72131,HCPCS,OUTPATIENT,,,1242,993.6,,1179.9,95,,943.92,percent of total billed charges,95% of total billed charges,1176.42,94.72,,941.14,percent of total billed charges,94.72% of total billed charges,1226.97,98.79,,981.58,percent of total billed charges,98.79% of total billed charges,1217.16,98,,973.73,percent of total billed charges,98% of total billed charges,1217.16,98,,973.73,percent of total billed charges,98% of total billed charges,596.16,48,,476.93,percent of total billed charges,48% of total billed charges,558.9,45,,447.12,percent of total billed charges,45% of total billed charges,475.07,38.25,,380.06,percent of total billed charges,38.25% of total billed charges,558.9,45,,447.12,percent of total billed charges,45% of total billed charges,558.9,45,,447.12,percent of total billed charges,45% of total billed charges,475.07,1226.97,
CT L/S SPINE W/O,332390,CDM,352,RC,72131,HCPCS,OUTPATIENT,,,1242,993.6,,1179.9,95,,943.92,percent of total billed charges,95% of total billed charges,1176.42,94.72,,941.14,percent of total billed charges,94.72% of total billed charges,1226.97,98.79,,981.58,percent of total billed charges,98.79% of total billed charges,1217.16,98,,973.73,percent of total billed charges,98% of total billed charges,1217.16,98,,973.73,percent of total billed charges,98% of total billed charges,596.16,48,,476.93,percent of total billed charges,48% of total billed charges,558.9,45,,447.12,percent of total billed charges,45% of total billed charges,475.07,38.25,,380.06,percent of total billed charges,38.25% of total billed charges,558.9,45,,447.12,percent of total billed charges,45% of total billed charges,558.9,45,,447.12,percent of total billed charges,45% of total billed charges,475.07,1226.97,
CT L/S SPINE W,332400,CDM,352,RC,72132,HCPCS,OUTPATIENT,,,1237,989.6,,1175.15,95,,940.12,percent of total billed charges,95% of total billed charges,1171.69,94.72,,937.35,percent of total billed charges,94.72% of total billed charges,1222.03,98.79,,977.62,percent of total billed charges,98.79% of total billed charges,1212.26,98,,969.81,percent of total billed charges,98% of total billed charges,1212.26,98,,969.81,percent of total billed charges,98% of total billed charges,593.76,48,,475.01,percent of total billed charges,48% of total billed charges,556.65,45,,445.32,percent of total billed charges,45% of total billed charges,473.15,38.25,,378.52,percent of total billed charges,38.25% of total billed charges,556.65,45,,445.32,percent of total billed charges,45% of total billed charges,556.65,45,,445.32,percent of total billed charges,45% of total billed charges,473.15,1222.03,
CT L/S SPINE W/WO,332410,CDM,352,RC,72133,HCPCS,OUTPATIENT,,,1608,1286.4,,1527.6,95,,1222.08,percent of total billed charges,95% of total billed charges,1523.1,94.72,,1218.48,percent of total billed charges,94.72% of total billed charges,1588.54,98.79,,1270.83,percent of total billed charges,98.79% of total billed charges,1575.84,98,,1260.67,percent of total billed charges,98% of total billed charges,1575.84,98,,1260.67,percent of total billed charges,98% of total billed charges,771.84,48,,617.47,percent of total billed charges,48% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,615.06,38.25,,492.05,percent of total billed charges,38.25% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,723.6,45,,578.88,percent of total billed charges,45% of total billed charges,615.06,1588.54,
CT Lung Cancer Follow Up,332416,CDM,352,RC,71250,HCPCS,OUTPATIENT,,,708,566.4,,672.6,95,,538.08,percent of total billed charges,95% of total billed charges,670.62,94.72,,536.5,percent of total billed charges,94.72% of total billed charges,699.43,98.79,,559.54,percent of total billed charges,98.79% of total billed charges,693.84,98,,555.07,percent of total billed charges,98% of total billed charges,693.84,98,,555.07,percent of total billed charges,98% of total billed charges,339.84,48,,271.87,percent of total billed charges,48% of total billed charges,318.6,45,,254.88,percent of total billed charges,45% of total billed charges,270.81,38.25,,216.65,percent of total billed charges,38.25% of total billed charges,318.6,45,,254.88,percent of total billed charges,45% of total billed charges,318.6,45,,254.88,percent of total billed charges,45% of total billed charges,270.81,699.43,
CT NECK W/O,332420,CDM,352,RC,70490,HCPCS,OUTPATIENT,,,1143,914.4,,1085.85,95,,868.68,percent of total billed charges,95% of total billed charges,1082.65,94.72,,866.12,percent of total billed charges,94.72% of total billed charges,1129.17,98.79,,903.34,percent of total billed charges,98.79% of total billed charges,1120.14,98,,896.11,percent of total billed charges,98% of total billed charges,1120.14,98,,896.11,percent of total billed charges,98% of total billed charges,548.64,48,,438.91,percent of total billed charges,48% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,437.2,38.25,,349.76,percent of total billed charges,38.25% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,437.2,1129.17,
CT NECK W,332430,CDM,352,RC,70491,HCPCS,OUTPATIENT,,,1143,914.4,,1085.85,95,,868.68,percent of total billed charges,95% of total billed charges,1082.65,94.72,,866.12,percent of total billed charges,94.72% of total billed charges,1129.17,98.79,,903.34,percent of total billed charges,98.79% of total billed charges,1120.14,98,,896.11,percent of total billed charges,98% of total billed charges,1120.14,98,,896.11,percent of total billed charges,98% of total billed charges,548.64,48,,438.91,percent of total billed charges,48% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,437.2,38.25,,349.76,percent of total billed charges,38.25% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,514.35,45,,411.48,percent of total billed charges,45% of total billed charges,437.2,1129.17,
CT NECK W/WO,332440,CDM,352,RC,70492,HCPCS,OUTPATIENT,,,1548,1238.4,,1470.6,95,,1176.48,percent of total billed charges,95% of total billed charges,1466.27,94.72,,1173.02,percent of total billed charges,94.72% of total billed charges,1529.27,98.79,,1223.42,percent of total billed charges,98.79% of total billed charges,1517.04,98,,1213.63,percent of total billed charges,98% of total billed charges,1517.04,98,,1213.63,percent of total billed charges,98% of total billed charges,743.04,48,,594.43,percent of total billed charges,48% of total billed charges,696.6,45,,557.28,percent of total billed charges,45% of total billed charges,592.11,38.25,,473.69,percent of total billed charges,38.25% of total billed charges,696.6,45,,557.28,percent of total billed charges,45% of total billed charges,696.6,45,,557.28,percent of total billed charges,45% of total billed charges,592.11,1529.27,
CT PELVIS W/O,332460,CDM,352,RC,72192,HCPCS,OUTPATIENT,,,1345,1076,,1277.75,95,,1022.2,percent of total billed charges,95% of total billed charges,1273.98,94.72,,1019.18,percent of total billed charges,94.72% of total billed charges,1328.73,98.79,,1062.98,percent of total billed charges,98.79% of total billed charges,1318.1,98,,1054.48,percent of total billed charges,98% of total billed charges,1318.1,98,,1054.48,percent of total billed charges,98% of total billed charges,645.6,48,,516.48,percent of total billed charges,48% of total billed charges,605.25,45,,484.2,percent of total billed charges,45% of total billed charges,514.46,38.25,,411.57,percent of total billed charges,38.25% of total billed charges,605.25,45,,484.2,percent of total billed charges,45% of total billed charges,605.25,45,,484.2,percent of total billed charges,45% of total billed charges,514.46,1328.73,
CT PELVIS W,332470,CDM,352,RC,72193,HCPCS,OUTPATIENT,,,1345,1076,,1277.75,95,,1022.2,percent of total billed charges,95% of total billed charges,1273.98,94.72,,1019.18,percent of total billed charges,94.72% of total billed charges,1328.73,98.79,,1062.98,percent of total billed charges,98.79% of total billed charges,1318.1,98,,1054.48,percent of total billed charges,98% of total billed charges,1318.1,98,,1054.48,percent of total billed charges,98% of total billed charges,645.6,48,,516.48,percent of total billed charges,48% of total billed charges,605.25,45,,484.2,percent of total billed charges,45% of total billed charges,514.46,38.25,,411.57,percent of total billed charges,38.25% of total billed charges,605.25,45,,484.2,percent of total billed charges,45% of total billed charges,605.25,45,,484.2,percent of total billed charges,45% of total billed charges,514.46,1328.73,
CT PELVIS W/WO,332480,CDM,352,RC,72194,HCPCS,OUTPATIENT,,,2041,1632.8,,1938.95,95,,1551.16,percent of total billed charges,95% of total billed charges,1933.24,94.72,,1546.59,percent of total billed charges,94.72% of total billed charges,2016.3,98.79,,1613.04,percent of total billed charges,98.79% of total billed charges,2000.18,98,,1600.14,percent of total billed charges,98% of total billed charges,2000.18,98,,1600.14,percent of total billed charges,98% of total billed charges,979.68,48,,783.74,percent of total billed charges,48% of total billed charges,918.45,45,,734.76,percent of total billed charges,45% of total billed charges,780.68,38.25,,624.54,percent of total billed charges,38.25% of total billed charges,918.45,45,,734.76,percent of total billed charges,45% of total billed charges,918.45,45,,734.76,percent of total billed charges,45% of total billed charges,780.68,2016.3,
CT ANGIO PELVIS W,332490,CDM,352,RC,72191,HCPCS,OUTPATIENT,,,1989,1591.2,,1889.55,95,,1511.64,percent of total billed charges,95% of total billed charges,1883.98,94.72,,1507.18,percent of total billed charges,94.72% of total billed charges,1964.93,98.79,,1571.94,percent of total billed charges,98.79% of total billed charges,1949.22,98,,1559.38,percent of total billed charges,98% of total billed charges,1949.22,98,,1559.38,percent of total billed charges,98% of total billed charges,954.72,48,,763.78,percent of total billed charges,48% of total billed charges,895.05,45,,716.04,percent of total billed charges,45% of total billed charges,760.79,38.25,,608.63,percent of total billed charges,38.25% of total billed charges,895.05,45,,716.04,percent of total billed charges,45% of total billed charges,895.05,45,,716.04,percent of total billed charges,45% of total billed charges,760.79,1964.93,
CT T SPINE W/O,332500,CDM,352,RC,72128,HCPCS,OUTPATIENT,,,1237,989.6,,1175.15,95,,940.12,percent of total billed charges,95% of total billed charges,1171.69,94.72,,937.35,percent of total billed charges,94.72% of total billed charges,1222.03,98.79,,977.62,percent of total billed charges,98.79% of total billed charges,1212.26,98,,969.81,percent of total billed charges,98% of total billed charges,1212.26,98,,969.81,percent of total billed charges,98% of total billed charges,593.76,48,,475.01,percent of total billed charges,48% of total billed charges,556.65,45,,445.32,percent of total billed charges,45% of total billed charges,473.15,38.25,,378.52,percent of total billed charges,38.25% of total billed charges,556.65,45,,445.32,percent of total billed charges,45% of total billed charges,556.65,45,,445.32,percent of total billed charges,45% of total billed charges,473.15,1222.03,
CT T SPINE W,332510,CDM,352,RC,72129,HCPCS,OUTPATIENT,,,1237,989.6,,1175.15,95,,940.12,percent of total billed charges,95% of total billed charges,1171.69,94.72,,937.35,percent of total billed charges,94.72% of total billed charges,1222.03,98.79,,977.62,percent of total billed charges,98.79% of total billed charges,1212.26,98,,969.81,percent of total billed charges,98% of total billed charges,1212.26,98,,969.81,percent of total billed charges,98% of total billed charges,593.76,48,,475.01,percent of total billed charges,48% of total billed charges,556.65,45,,445.32,percent of total billed charges,45% of total billed charges,473.15,38.25,,378.52,percent of total billed charges,38.25% of total billed charges,556.65,45,,445.32,percent of total billed charges,45% of total billed charges,556.65,45,,445.32,percent of total billed charges,45% of total billed charges,473.15,1222.03,
CT T SPINE W/WO,332520,CDM,352,RC,72130,HCPCS,OUTPATIENT,,,1610,1288,,1529.5,95,,1223.6,percent of total billed charges,95% of total billed charges,1524.99,94.72,,1219.99,percent of total billed charges,94.72% of total billed charges,1590.52,98.79,,1272.42,percent of total billed charges,98.79% of total billed charges,1577.8,98,,1262.24,percent of total billed charges,98% of total billed charges,1577.8,98,,1262.24,percent of total billed charges,98% of total billed charges,772.8,48,,618.24,percent of total billed charges,48% of total billed charges,724.5,45,,579.6,percent of total billed charges,45% of total billed charges,615.83,38.25,,492.66,percent of total billed charges,38.25% of total billed charges,724.5,45,,579.6,percent of total billed charges,45% of total billed charges,724.5,45,,579.6,percent of total billed charges,45% of total billed charges,615.83,1590.52,
62284 XR INJ LUMBAR PUNCT:,10062284,CDM,352,RC,62284,HCPCS,OUTPATIENT,,,921,736.8,,874.95,95,,699.96,percent of total billed charges,95% of total billed charges,872.37,94.72,,697.9,percent of total billed charges,94.72% of total billed charges,909.86,98.79,,727.89,percent of total billed charges,98.79% of total billed charges,902.58,98,,722.06,percent of total billed charges,98% of total billed charges,902.58,98,,722.06,percent of total billed charges,98% of total billed charges,442.08,48,,353.66,percent of total billed charges,48% of total billed charges,414.45,45,,331.56,percent of total billed charges,45% of total billed charges,352.28,38.25,,281.82,percent of total billed charges,38.25% of total billed charges,414.45,45,,331.56,percent of total billed charges,45% of total billed charges,414.45,45,,331.56,percent of total billed charges,45% of total billed charges,352.28,909.86,
Debridement of Abdominal Wall w or wo Fascial Closing,11005,CDM,360,RC,11005,HCPCS,OUTPATIENT,,,5675,4540,,5391.25,95,,4313,percent of total billed charges,95% of total billed charges,5375.36,94.72,,4300.29,percent of total billed charges,94.72% of total billed charges,5606.33,98.79,,4485.06,percent of total billed charges,98.79% of total billed charges,5561.5,98,,4449.2,percent of total billed charges,98% of total billed charges,5561.5,98,,4449.2,percent of total billed charges,98% of total billed charges,2724,48,,2179.2,percent of total billed charges,48% of total billed charges,2553.75,45,,2043,percent of total billed charges,45% of total billed charges,2170.69,38.25,,1736.55,percent of total billed charges,38.25% of total billed charges,2553.75,45,,2043,percent of total billed charges,45% of total billed charges,2553.75,45,,2043,percent of total billed charges,45% of total billed charges,2170.69,5606.33,
External Genitalia Perineum and Abdominal Wall,11006,CDM,360,RC,11006,HCPCS,OUTPATIENT,,,4080,3264,,3876,95,,3100.8,percent of total billed charges,95% of total billed charges,3864.58,94.72,,3091.66,percent of total billed charges,94.72% of total billed charges,4030.63,98.79,,3224.5,percent of total billed charges,98.79% of total billed charges,3998.4,98,,3198.72,percent of total billed charges,98% of total billed charges,3998.4,98,,3198.72,percent of total billed charges,98% of total billed charges,1958.4,48,,1566.72,percent of total billed charges,48% of total billed charges,1836,45,,1468.8,percent of total billed charges,45% of total billed charges,1560.6,38.25,,1248.48,percent of total billed charges,38.25% of total billed charges,1836,45,,1468.8,percent of total billed charges,45% of total billed charges,1836,45,,1468.8,percent of total billed charges,45% of total billed charges,1560.6,4030.63,
INJECT SINUS TRACT FOR X-RAY,130935,CDM,360,RC,20501,HCPCS,OUTPATIENT,,,255,204,,242.25,95,,193.8,percent of total billed charges,95% of total billed charges,241.54,94.72,,193.23,percent of total billed charges,94.72% of total billed charges,251.91,98.79,,201.53,percent of total billed charges,98.79% of total billed charges,249.9,98,,199.92,percent of total billed charges,98% of total billed charges,249.9,98,,199.92,percent of total billed charges,98% of total billed charges,122.4,48,,97.92,percent of total billed charges,48% of total billed charges,114.75,45,,91.8,percent of total billed charges,45% of total billed charges,97.54,38.25,,78.03,percent of total billed charges,38.25% of total billed charges,114.75,45,,91.8,percent of total billed charges,45% of total billed charges,114.75,45,,91.8,percent of total billed charges,45% of total billed charges,97.54,251.91,
US TRANSRECTAL,533395,CDM,360,RC,76872,HCPCS,OUTPATIENT,,,474,379.2,,450.3,95,,360.24,percent of total billed charges,95% of total billed charges,448.97,94.72,,359.18,percent of total billed charges,94.72% of total billed charges,468.26,98.79,,374.61,percent of total billed charges,98.79% of total billed charges,464.52,98,,371.62,percent of total billed charges,98% of total billed charges,464.52,98,,371.62,percent of total billed charges,98% of total billed charges,227.52,48,,182.02,percent of total billed charges,48% of total billed charges,213.3,45,,170.64,percent of total billed charges,45% of total billed charges,181.31,38.25,,145.05,percent of total billed charges,38.25% of total billed charges,213.3,45,,170.64,percent of total billed charges,45% of total billed charges,213.3,45,,170.64,percent of total billed charges,45% of total billed charges,181.31,468.26,
28111 Ostectomy| complete excision; first metatars Fac Fee,1002811,CDM,360,RC,28111,HCPCS,OUTPATIENT,,,1960,1568,,1862,95,,1489.6,percent of total billed charges,95% of total billed charges,1856.51,94.72,,1485.21,percent of total billed charges,94.72% of total billed charges,1936.28,98.79,,1549.02,percent of total billed charges,98.79% of total billed charges,1920.8,98,,1536.64,percent of total billed charges,98% of total billed charges,1920.8,98,,1536.64,percent of total billed charges,98% of total billed charges,940.8,48,,752.64,percent of total billed charges,48% of total billed charges,882,45,,705.6,percent of total billed charges,45% of total billed charges,749.7,38.25,,599.76,percent of total billed charges,38.25% of total billed charges,882,45,,705.6,percent of total billed charges,45% of total billed charges,882,45,,705.6,percent of total billed charges,45% of total billed charges,749.7,1936.28,
BENIGN LESION 1-2CM IN OUTPT,1011402,CDM,360,RC,11402,HCPCS,OUTPATIENT,,,767,613.6,,728.65,95,,582.92,percent of total billed charges,95% of total billed charges,726.5,94.72,,581.2,percent of total billed charges,94.72% of total billed charges,757.72,98.79,,606.18,percent of total billed charges,98.79% of total billed charges,751.66,98,,601.33,percent of total billed charges,98% of total billed charges,751.66,98,,601.33,percent of total billed charges,98% of total billed charges,368.16,48,,294.53,percent of total billed charges,48% of total billed charges,345.15,45,,276.12,percent of total billed charges,45% of total billed charges,293.38,38.25,,234.7,percent of total billed charges,38.25% of total billed charges,345.15,45,,276.12,percent of total billed charges,45% of total billed charges,345.15,45,,276.12,percent of total billed charges,45% of total billed charges,293.38,757.72,
EXC LEG/ANKLE TUM DEP 5 CM/>,1027634,CDM,360,RC,27634,HCPCS,OUTPATIENT,,,3564,2851.2,,3385.8,95,,2708.64,percent of total billed charges,95% of total billed charges,3375.82,94.72,,2700.66,percent of total billed charges,94.72% of total billed charges,3520.88,98.79,,2816.7,percent of total billed charges,98.79% of total billed charges,3492.72,98,,2794.18,percent of total billed charges,98% of total billed charges,3492.72,98,,2794.18,percent of total billed charges,98% of total billed charges,1710.72,48,,1368.58,percent of total billed charges,48% of total billed charges,1603.8,45,,1283.04,percent of total billed charges,45% of total billed charges,1363.23,38.25,,1090.58,percent of total billed charges,38.25% of total billed charges,1603.8,45,,1283.04,percent of total billed charges,45% of total billed charges,1603.8,45,,1283.04,percent of total billed charges,45% of total billed charges,1363.23,3520.88,
PERQ DEVICE BREAST 1ST IMAG,2219281,CDM,360,RC,19281,HCPCS,OUTPATIENT,,,629,503.2,,597.55,95,,478.04,percent of total billed charges,95% of total billed charges,595.79,94.72,,476.63,percent of total billed charges,94.72% of total billed charges,621.39,98.79,,497.11,percent of total billed charges,98.79% of total billed charges,616.42,98,,493.14,percent of total billed charges,98% of total billed charges,616.42,98,,493.14,percent of total billed charges,98% of total billed charges,301.92,48,,241.54,percent of total billed charges,48% of total billed charges,283.05,45,,226.44,percent of total billed charges,45% of total billed charges,240.59,38.25,,192.47,percent of total billed charges,38.25% of total billed charges,283.05,45,,226.44,percent of total billed charges,45% of total billed charges,283.05,45,,226.44,percent of total billed charges,45% of total billed charges,240.59,621.39,
PERQ DEVICE BREAST 1ST IMAG,2219285,CDM,360,RC,19285,HCPCS,OUTPATIENT,,,1321,1056.8,,1254.95,95,,1003.96,percent of total billed charges,95% of total billed charges,1251.25,94.72,,1001,percent of total billed charges,94.72% of total billed charges,1305.02,98.79,,1044.02,percent of total billed charges,98.79% of total billed charges,1294.58,98,,1035.66,percent of total billed charges,98% of total billed charges,1294.58,98,,1035.66,percent of total billed charges,98% of total billed charges,634.08,48,,507.26,percent of total billed charges,48% of total billed charges,594.45,45,,475.56,percent of total billed charges,45% of total billed charges,505.28,38.25,,404.22,percent of total billed charges,38.25% of total billed charges,594.45,45,,475.56,percent of total billed charges,45% of total billed charges,594.45,45,,475.56,percent of total billed charges,45% of total billed charges,505.28,1305.02,
OR FIRST HALF HOUR,10003803,CDM,360,RC,,,OUTPATIENT,,,1263,1010.4,,1199.85,95,,959.88,percent of total billed charges,95% of total billed charges,1196.31,94.72,,957.05,percent of total billed charges,94.72% of total billed charges,1247.72,98.79,,998.18,percent of total billed charges,98.79% of total billed charges,1237.74,98,,990.19,percent of total billed charges,98% of total billed charges,1237.74,98,,990.19,percent of total billed charges,98% of total billed charges,606.24,48,,484.99,percent of total billed charges,48% of total billed charges,568.35,45,,454.68,percent of total billed charges,45% of total billed charges,483.1,38.25,,386.48,percent of total billed charges,38.25% of total billed charges,568.35,45,,454.68,percent of total billed charges,45% of total billed charges,568.35,45,,454.68,percent of total billed charges,45% of total billed charges,483.1,1247.72,
OR EACH ADDITIONAL 1/2 HOUR,10003804,CDM,360,RC,,,OUTPATIENT,,,1072,857.6,,1018.4,95,,814.72,percent of total billed charges,95% of total billed charges,1015.4,94.72,,812.32,percent of total billed charges,94.72% of total billed charges,1059.03,98.79,,847.22,percent of total billed charges,98.79% of total billed charges,1050.56,98,,840.45,percent of total billed charges,98% of total billed charges,1050.56,98,,840.45,percent of total billed charges,98% of total billed charges,514.56,48,,411.65,percent of total billed charges,48% of total billed charges,482.4,45,,385.92,percent of total billed charges,45% of total billed charges,410.04,38.25,,328.03,percent of total billed charges,38.25% of total billed charges,482.4,45,,385.92,percent of total billed charges,45% of total billed charges,482.4,45,,385.92,percent of total billed charges,45% of total billed charges,410.04,1059.03,
OR ADDL EACH 1/2 HR AFTER HR,10003805,CDM,360,RC,,,OUTPATIENT,,,360,288,,342,95,,273.6,percent of total billed charges,95% of total billed charges,340.99,94.72,,272.79,percent of total billed charges,94.72% of total billed charges,355.64,98.79,,284.51,percent of total billed charges,98.79% of total billed charges,352.8,98,,282.24,percent of total billed charges,98% of total billed charges,352.8,98,,282.24,percent of total billed charges,98% of total billed charges,172.8,48,,138.24,percent of total billed charges,48% of total billed charges,162,45,,129.6,percent of total billed charges,45% of total billed charges,137.7,38.25,,110.16,percent of total billed charges,38.25% of total billed charges,162,45,,129.6,percent of total billed charges,45% of total billed charges,162,45,,129.6,percent of total billed charges,45% of total billed charges,137.7,355.64,
OR FIRST 1/2 HR AFTER HR,10003806,CDM,360,RC,,,OUTPATIENT,,,301,240.8,,285.95,95,,228.76,percent of total billed charges,95% of total billed charges,285.11,94.72,,228.09,percent of total billed charges,94.72% of total billed charges,297.36,98.79,,237.89,percent of total billed charges,98.79% of total billed charges,294.98,98,,235.98,percent of total billed charges,98% of total billed charges,294.98,98,,235.98,percent of total billed charges,98% of total billed charges,144.48,48,,115.58,percent of total billed charges,48% of total billed charges,135.45,45,,108.36,percent of total billed charges,45% of total billed charges,115.13,38.25,,92.1,percent of total billed charges,38.25% of total billed charges,135.45,45,,108.36,percent of total billed charges,45% of total billed charges,135.45,45,,108.36,percent of total billed charges,45% of total billed charges,115.13,297.36,
FINE NDL ASPIRATION BX W/CT GDN 1ST LSN,10010009,CDM,360,RC,10009,HCPCS,OUTPATIENT,,,3099,2479.2,,2944.05,95,,2355.24,percent of total billed charges,95% of total billed charges,2935.37,94.72,,2348.3,percent of total billed charges,94.72% of total billed charges,3061.5,98.79,,2449.2,percent of total billed charges,98.79% of total billed charges,3037.02,98,,2429.62,percent of total billed charges,98% of total billed charges,3037.02,98,,2429.62,percent of total billed charges,98% of total billed charges,1487.52,48,,1190.02,percent of total billed charges,48% of total billed charges,1394.55,45,,1115.64,percent of total billed charges,45% of total billed charges,1185.37,38.25,,948.3,percent of total billed charges,38.25% of total billed charges,1394.55,45,,1115.64,percent of total billed charges,45% of total billed charges,1394.55,45,,1115.64,percent of total billed charges,45% of total billed charges,1185.37,3061.5,
10060 DRAINAGE OF SKIN ABSCESS,10010061,CDM,360,RC,10061,HCPCS,OUTPATIENT,,,569,455.2,,540.55,95,,432.44,percent of total billed charges,95% of total billed charges,538.96,94.72,,431.17,percent of total billed charges,94.72% of total billed charges,562.12,98.79,,449.7,percent of total billed charges,98.79% of total billed charges,557.62,98,,446.1,percent of total billed charges,98% of total billed charges,557.62,98,,446.1,percent of total billed charges,98% of total billed charges,273.12,48,,218.5,percent of total billed charges,48% of total billed charges,256.05,45,,204.84,percent of total billed charges,45% of total billed charges,217.64,38.25,,174.11,percent of total billed charges,38.25% of total billed charges,256.05,45,,204.84,percent of total billed charges,45% of total billed charges,256.05,45,,204.84,percent of total billed charges,45% of total billed charges,217.64,562.12,
10061 DRAINAGE OF SKIN ABSCESS,10010061,CDM,360,RC,10061,HCPCS,OUTPATIENT,,,569,455.2,,540.55,95,,432.44,percent of total billed charges,95% of total billed charges,538.96,94.72,,431.17,percent of total billed charges,94.72% of total billed charges,562.12,98.79,,449.7,percent of total billed charges,98.79% of total billed charges,557.62,98,,446.1,percent of total billed charges,98% of total billed charges,557.62,98,,446.1,percent of total billed charges,98% of total billed charges,273.12,48,,218.5,percent of total billed charges,48% of total billed charges,256.05,45,,204.84,percent of total billed charges,45% of total billed charges,217.64,38.25,,174.11,percent of total billed charges,38.25% of total billed charges,256.05,45,,204.84,percent of total billed charges,45% of total billed charges,256.05,45,,204.84,percent of total billed charges,45% of total billed charges,217.64,562.12,
10120 REMOVE FOREIGN BODY,10010120,CDM,360,RC,10120,HCPCS,OUTPATIENT,,,452,361.6,,429.4,95,,343.52,percent of total billed charges,95% of total billed charges,428.13,94.72,,342.5,percent of total billed charges,94.72% of total billed charges,446.53,98.79,,357.22,percent of total billed charges,98.79% of total billed charges,442.96,98,,354.37,percent of total billed charges,98% of total billed charges,442.96,98,,354.37,percent of total billed charges,98% of total billed charges,216.96,48,,173.57,percent of total billed charges,48% of total billed charges,203.4,45,,162.72,percent of total billed charges,45% of total billed charges,172.89,38.25,,138.31,percent of total billed charges,38.25% of total billed charges,203.4,45,,162.72,percent of total billed charges,45% of total billed charges,203.4,45,,162.72,percent of total billed charges,45% of total billed charges,172.89,446.53,
10121 REMOVE FOREIGN BODY,10010121,CDM,360,RC,10121,HCPCS,OUTPATIENT,,,1204,963.2,,1143.8,95,,915.04,percent of total billed charges,95% of total billed charges,1140.43,94.72,,912.34,percent of total billed charges,94.72% of total billed charges,1189.43,98.79,,951.54,percent of total billed charges,98.79% of total billed charges,1179.92,98,,943.94,percent of total billed charges,98% of total billed charges,1179.92,98,,943.94,percent of total billed charges,98% of total billed charges,577.92,48,,462.34,percent of total billed charges,48% of total billed charges,541.8,45,,433.44,percent of total billed charges,45% of total billed charges,460.53,38.25,,368.42,percent of total billed charges,38.25% of total billed charges,541.8,45,,433.44,percent of total billed charges,45% of total billed charges,541.8,45,,433.44,percent of total billed charges,45% of total billed charges,460.53,1189.43,
10140  DRAINAGE OF HEMATOMA/FLUID,10010140,CDM,360,RC,10140,HCPCS,OUTPATIENT,,,652,521.6,,619.4,95,,495.52,percent of total billed charges,95% of total billed charges,617.57,94.72,,494.06,percent of total billed charges,94.72% of total billed charges,644.11,98.79,,515.29,percent of total billed charges,98.79% of total billed charges,638.96,98,,511.17,percent of total billed charges,98% of total billed charges,638.96,98,,511.17,percent of total billed charges,98% of total billed charges,312.96,48,,250.37,percent of total billed charges,48% of total billed charges,293.4,45,,234.72,percent of total billed charges,45% of total billed charges,249.39,38.25,,199.51,percent of total billed charges,38.25% of total billed charges,293.4,45,,234.72,percent of total billed charges,45% of total billed charges,293.4,45,,234.72,percent of total billed charges,45% of total billed charges,249.39,644.11,
11043 DEB MUSC/FASCIA 20 SQ CM/<,10011043,CDM,360,RC,11043,HCPCS,OUTPATIENT,,,1307,1045.6,,1241.65,95,,993.32,percent of total billed charges,95% of total billed charges,1237.99,94.72,,990.39,percent of total billed charges,94.72% of total billed charges,1291.19,98.79,,1032.95,percent of total billed charges,98.79% of total billed charges,1280.86,98,,1024.69,percent of total billed charges,98% of total billed charges,1280.86,98,,1024.69,percent of total billed charges,98% of total billed charges,627.36,48,,501.89,percent of total billed charges,48% of total billed charges,588.15,45,,470.52,percent of total billed charges,45% of total billed charges,499.93,38.25,,399.94,percent of total billed charges,38.25% of total billed charges,588.15,45,,470.52,percent of total billed charges,45% of total billed charges,588.15,45,,470.52,percent of total billed charges,45% of total billed charges,499.93,1291.19,
11044 DEB BONE 20 SQ CM/<,10011044,CDM,360,RC,11044,HCPCS,OUTPATIENT,,,2014,1611.2,,1913.3,95,,1530.64,percent of total billed charges,95% of total billed charges,1907.66,94.72,,1526.13,percent of total billed charges,94.72% of total billed charges,1989.63,98.79,,1591.7,percent of total billed charges,98.79% of total billed charges,1973.72,98,,1578.98,percent of total billed charges,98% of total billed charges,1973.72,98,,1578.98,percent of total billed charges,98% of total billed charges,966.72,48,,773.38,percent of total billed charges,48% of total billed charges,906.3,45,,725.04,percent of total billed charges,45% of total billed charges,770.36,38.25,,616.29,percent of total billed charges,38.25% of total billed charges,906.3,45,,725.04,percent of total billed charges,45% of total billed charges,906.3,45,,725.04,percent of total billed charges,45% of total billed charges,770.36,1989.63,
INCISIONAL BIOPSY SKIN SINGLE LESION,10011106,CDM,360,RC,11106,HCPCS,OUTPATIENT,,,1239,991.2,,1177.05,95,,941.64,percent of total billed charges,95% of total billed charges,1173.58,94.72,,938.86,percent of total billed charges,94.72% of total billed charges,1224.01,98.79,,979.21,percent of total billed charges,98.79% of total billed charges,1214.22,98,,971.38,percent of total billed charges,98% of total billed charges,1214.22,98,,971.38,percent of total billed charges,98% of total billed charges,594.72,48,,475.78,percent of total billed charges,48% of total billed charges,557.55,45,,446.04,percent of total billed charges,45% of total billed charges,473.92,38.25,,379.14,percent of total billed charges,38.25% of total billed charges,557.55,45,,446.04,percent of total billed charges,45% of total billed charges,557.55,45,,446.04,percent of total billed charges,45% of total billed charges,473.92,1224.01,
BENIGN LESION <1 CM IN OUTPT,10011401,CDM,360,RC,11401,HCPCS,OUTPATIENT,,,599,479.2,,569.05,95,,455.24,percent of total billed charges,95% of total billed charges,567.37,94.72,,453.9,percent of total billed charges,94.72% of total billed charges,591.75,98.79,,473.4,percent of total billed charges,98.79% of total billed charges,587.02,98,,469.62,percent of total billed charges,98% of total billed charges,587.02,98,,469.62,percent of total billed charges,98% of total billed charges,287.52,48,,230.02,percent of total billed charges,48% of total billed charges,269.55,45,,215.64,percent of total billed charges,45% of total billed charges,229.12,38.25,,183.3,percent of total billed charges,38.25% of total billed charges,269.55,45,,215.64,percent of total billed charges,45% of total billed charges,269.55,45,,215.64,percent of total billed charges,45% of total billed charges,229.12,591.75,
11402 EXC TR-EXT B9+MARG 1.1-2 CM,10011402,CDM,360,RC,11402,HCPCS,OUTPATIENT,,,767,613.6,,728.65,95,,582.92,percent of total billed charges,95% of total billed charges,726.5,94.72,,581.2,percent of total billed charges,94.72% of total billed charges,757.72,98.79,,606.18,percent of total billed charges,98.79% of total billed charges,751.66,98,,601.33,percent of total billed charges,98% of total billed charges,751.66,98,,601.33,percent of total billed charges,98% of total billed charges,368.16,48,,294.53,percent of total billed charges,48% of total billed charges,345.15,45,,276.12,percent of total billed charges,45% of total billed charges,293.38,38.25,,234.7,percent of total billed charges,38.25% of total billed charges,345.15,45,,276.12,percent of total billed charges,45% of total billed charges,345.15,45,,276.12,percent of total billed charges,45% of total billed charges,293.38,757.72,
11403 EXC TR-EXT B9+MARG 2.1-3CM,10011403,CDM,360,RC,11403,HCPCS,OUTPATIENT,,,857,685.6,,814.15,95,,651.32,percent of total billed charges,95% of total billed charges,811.75,94.72,,649.4,percent of total billed charges,94.72% of total billed charges,846.63,98.79,,677.3,percent of total billed charges,98.79% of total billed charges,839.86,98,,671.89,percent of total billed charges,98% of total billed charges,839.86,98,,671.89,percent of total billed charges,98% of total billed charges,411.36,48,,329.09,percent of total billed charges,48% of total billed charges,385.65,45,,308.52,percent of total billed charges,45% of total billed charges,327.8,38.25,,262.24,percent of total billed charges,38.25% of total billed charges,385.65,45,,308.52,percent of total billed charges,45% of total billed charges,385.65,45,,308.52,percent of total billed charges,45% of total billed charges,327.8,846.63,
11404 EXC TR-EXT B9+MARG 3.1-4 CM,10011404,CDM,360,RC,11404,HCPCS,OUTPATIENT,,,1376,1100.8,,1307.2,95,,1045.76,percent of total billed charges,95% of total billed charges,1303.35,94.72,,1042.68,percent of total billed charges,94.72% of total billed charges,1359.35,98.79,,1087.48,percent of total billed charges,98.79% of total billed charges,1348.48,98,,1078.78,percent of total billed charges,98% of total billed charges,1348.48,98,,1078.78,percent of total billed charges,98% of total billed charges,660.48,48,,528.38,percent of total billed charges,48% of total billed charges,619.2,45,,495.36,percent of total billed charges,45% of total billed charges,526.32,38.25,,421.06,percent of total billed charges,38.25% of total billed charges,619.2,45,,495.36,percent of total billed charges,45% of total billed charges,619.2,45,,495.36,percent of total billed charges,45% of total billed charges,526.32,1359.35,
11406 EXC TR-EXT B9+MARG >4.0 CM,10011406,CDM,360,RC,11406,HCPCS,OUTPATIENT,,,1527,1221.6,,1450.65,95,,1160.52,percent of total billed charges,95% of total billed charges,1446.37,94.72,,1157.1,percent of total billed charges,94.72% of total billed charges,1508.52,98.79,,1206.82,percent of total billed charges,98.79% of total billed charges,1496.46,98,,1197.17,percent of total billed charges,98% of total billed charges,1496.46,98,,1197.17,percent of total billed charges,98% of total billed charges,732.96,48,,586.37,percent of total billed charges,48% of total billed charges,687.15,45,,549.72,percent of total billed charges,45% of total billed charges,584.08,38.25,,467.26,percent of total billed charges,38.25% of total billed charges,687.15,45,,549.72,percent of total billed charges,45% of total billed charges,687.15,45,,549.72,percent of total billed charges,45% of total billed charges,584.08,1508.52,
11421 EXC H-F-NK-SP B9+MARG 0.6-1,10011421,CDM,360,RC,11421,HCPCS,OUTPATIENT,,,620,496,,589,95,,471.2,percent of total billed charges,95% of total billed charges,587.26,94.72,,469.81,percent of total billed charges,94.72% of total billed charges,612.5,98.79,,490,percent of total billed charges,98.79% of total billed charges,607.6,98,,486.08,percent of total billed charges,98% of total billed charges,607.6,98,,486.08,percent of total billed charges,98% of total billed charges,297.6,48,,238.08,percent of total billed charges,48% of total billed charges,279,45,,223.2,percent of total billed charges,45% of total billed charges,237.15,38.25,,189.72,percent of total billed charges,38.25% of total billed charges,279,45,,223.2,percent of total billed charges,45% of total billed charges,279,45,,223.2,percent of total billed charges,45% of total billed charges,237.15,612.5,
11422 EXC H-F-NK-SP B9+MARG 1.1-2,10011422,CDM,360,RC,11422,HCPCS,OUTPATIENT,,,813,650.4,,772.35,95,,617.88,percent of total billed charges,95% of total billed charges,770.07,94.72,,616.06,percent of total billed charges,94.72% of total billed charges,803.16,98.79,,642.53,percent of total billed charges,98.79% of total billed charges,796.74,98,,637.39,percent of total billed charges,98% of total billed charges,796.74,98,,637.39,percent of total billed charges,98% of total billed charges,390.24,48,,312.19,percent of total billed charges,48% of total billed charges,365.85,45,,292.68,percent of total billed charges,45% of total billed charges,310.97,38.25,,248.78,percent of total billed charges,38.25% of total billed charges,365.85,45,,292.68,percent of total billed charges,45% of total billed charges,365.85,45,,292.68,percent of total billed charges,45% of total billed charges,310.97,803.16,
11423 EXC H-F-NK-SP B9+MARG 2.1-3,10011423,CDM,360,RC,11423,HCPCS,OUTPATIENT,,,956,764.8,,908.2,95,,726.56,percent of total billed charges,95% of total billed charges,905.52,94.72,,724.42,percent of total billed charges,94.72% of total billed charges,944.43,98.79,,755.54,percent of total billed charges,98.79% of total billed charges,936.88,98,,749.5,percent of total billed charges,98% of total billed charges,936.88,98,,749.5,percent of total billed charges,98% of total billed charges,458.88,48,,367.1,percent of total billed charges,48% of total billed charges,430.2,45,,344.16,percent of total billed charges,45% of total billed charges,365.67,38.25,,292.54,percent of total billed charges,38.25% of total billed charges,430.2,45,,344.16,percent of total billed charges,45% of total billed charges,430.2,45,,344.16,percent of total billed charges,45% of total billed charges,365.67,944.43,
11424 EXC H-F-NK-SP B9+MARG 3.1-4,10011424,CDM,360,RC,11424,HCPCS,OUTPATIENT,,,1132,905.6,,1075.4,95,,860.32,percent of total billed charges,95% of total billed charges,1072.23,94.72,,857.78,percent of total billed charges,94.72% of total billed charges,1118.3,98.79,,894.64,percent of total billed charges,98.79% of total billed charges,1109.36,98,,887.49,percent of total billed charges,98% of total billed charges,1109.36,98,,887.49,percent of total billed charges,98% of total billed charges,543.36,48,,434.69,percent of total billed charges,48% of total billed charges,509.4,45,,407.52,percent of total billed charges,45% of total billed charges,432.99,38.25,,346.39,percent of total billed charges,38.25% of total billed charges,509.4,45,,407.52,percent of total billed charges,45% of total billed charges,509.4,45,,407.52,percent of total billed charges,45% of total billed charges,432.99,1118.3,
11426 EXC H-F-NK-SP B9+MARG >4 CM,10011426,CDM,360,RC,11426,HCPCS,OUTPATIENT,,,1647,1317.6,,1564.65,95,,1251.72,percent of total billed charges,95% of total billed charges,1560.04,94.72,,1248.03,percent of total billed charges,94.72% of total billed charges,1627.07,98.79,,1301.66,percent of total billed charges,98.79% of total billed charges,1614.06,98,,1291.25,percent of total billed charges,98% of total billed charges,1614.06,98,,1291.25,percent of total billed charges,98% of total billed charges,790.56,48,,632.45,percent of total billed charges,48% of total billed charges,741.15,45,,592.92,percent of total billed charges,45% of total billed charges,629.98,38.25,,503.98,percent of total billed charges,38.25% of total billed charges,741.15,45,,592.92,percent of total billed charges,45% of total billed charges,741.15,45,,592.92,percent of total billed charges,45% of total billed charges,629.98,1627.07,
11440 EXC FACE-MM B9+MARG 0.5 CM/<,10011440,CDM,360,RC,11440,HCPCS,OUTPATIENT,,,695,556,,660.25,95,,528.2,percent of total billed charges,95% of total billed charges,658.3,94.72,,526.64,percent of total billed charges,94.72% of total billed charges,686.59,98.79,,549.27,percent of total billed charges,98.79% of total billed charges,681.1,98,,544.88,percent of total billed charges,98% of total billed charges,681.1,98,,544.88,percent of total billed charges,98% of total billed charges,333.6,48,,266.88,percent of total billed charges,48% of total billed charges,312.75,45,,250.2,percent of total billed charges,45% of total billed charges,265.84,38.25,,212.67,percent of total billed charges,38.25% of total billed charges,312.75,45,,250.2,percent of total billed charges,45% of total billed charges,312.75,45,,250.2,percent of total billed charges,45% of total billed charges,265.84,686.59,
11441 EXC FACE-MM B9+MARG 0.6-1 CM,10011441,CDM,360,RC,11441,HCPCS,OUTPATIENT,,,761,608.8,,722.95,95,,578.36,percent of total billed charges,95% of total billed charges,720.82,94.72,,576.66,percent of total billed charges,94.72% of total billed charges,751.79,98.79,,601.43,percent of total billed charges,98.79% of total billed charges,745.78,98,,596.62,percent of total billed charges,98% of total billed charges,745.78,98,,596.62,percent of total billed charges,98% of total billed charges,365.28,48,,292.22,percent of total billed charges,48% of total billed charges,342.45,45,,273.96,percent of total billed charges,45% of total billed charges,291.08,38.25,,232.86,percent of total billed charges,38.25% of total billed charges,342.45,45,,273.96,percent of total billed charges,45% of total billed charges,342.45,45,,273.96,percent of total billed charges,45% of total billed charges,291.08,751.79,
11442 EXC FACE-MM B9+MARG 1.1-2 CM,10011442,CDM,360,RC,11442,HCPCS,OUTPATIENT,,,897,717.6,,852.15,95,,681.72,percent of total billed charges,95% of total billed charges,849.64,94.72,,679.71,percent of total billed charges,94.72% of total billed charges,886.15,98.79,,708.92,percent of total billed charges,98.79% of total billed charges,879.06,98,,703.25,percent of total billed charges,98% of total billed charges,879.06,98,,703.25,percent of total billed charges,98% of total billed charges,430.56,48,,344.45,percent of total billed charges,48% of total billed charges,403.65,45,,322.92,percent of total billed charges,45% of total billed charges,343.1,38.25,,274.48,percent of total billed charges,38.25% of total billed charges,403.65,45,,322.92,percent of total billed charges,45% of total billed charges,403.65,45,,322.92,percent of total billed charges,45% of total billed charges,343.1,886.15,
11450 REMOVAL SWEAT GLAND LESION,10011450,CDM,360,RC,11450,HCPCS,OUTPATIENT,,,1294,1035.2,,1229.3,95,,983.44,percent of total billed charges,95% of total billed charges,1225.68,94.72,,980.54,percent of total billed charges,94.72% of total billed charges,1278.34,98.79,,1022.67,percent of total billed charges,98.79% of total billed charges,1268.12,98,,1014.5,percent of total billed charges,98% of total billed charges,1268.12,98,,1014.5,percent of total billed charges,98% of total billed charges,621.12,48,,496.9,percent of total billed charges,48% of total billed charges,582.3,45,,465.84,percent of total billed charges,45% of total billed charges,494.96,38.25,,395.97,percent of total billed charges,38.25% of total billed charges,582.3,45,,465.84,percent of total billed charges,45% of total billed charges,582.3,45,,465.84,percent of total billed charges,45% of total billed charges,494.96,1278.34,
11470 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR,10011470,CDM,360,RC,11470,HCPCS,OUTPATIENT,,,1998,1598.4,,1898.1,95,,1518.48,percent of total billed charges,95% of total billed charges,1892.51,94.72,,1514.01,percent of total billed charges,94.72% of total billed charges,1973.82,98.79,,1579.06,percent of total billed charges,98.79% of total billed charges,1958.04,98,,1566.43,percent of total billed charges,98% of total billed charges,1958.04,98,,1566.43,percent of total billed charges,98% of total billed charges,959.04,48,,767.23,percent of total billed charges,48% of total billed charges,899.1,45,,719.28,percent of total billed charges,45% of total billed charges,764.24,38.25,,611.39,percent of total billed charges,38.25% of total billed charges,899.1,45,,719.28,percent of total billed charges,45% of total billed charges,899.1,45,,719.28,percent of total billed charges,45% of total billed charges,764.24,1973.82,
11602 EXC TR-EXT MAL+MARG 1.1-2 CM,10011602,CDM,360,RC,11602,HCPCS,OUTPATIENT,,,947,757.6,,899.65,95,,719.72,percent of total billed charges,95% of total billed charges,897,94.72,,717.6,percent of total billed charges,94.72% of total billed charges,935.54,98.79,,748.43,percent of total billed charges,98.79% of total billed charges,928.06,98,,742.45,percent of total billed charges,98% of total billed charges,928.06,98,,742.45,percent of total billed charges,98% of total billed charges,454.56,48,,363.65,percent of total billed charges,48% of total billed charges,426.15,45,,340.92,percent of total billed charges,45% of total billed charges,362.23,38.25,,289.78,percent of total billed charges,38.25% of total billed charges,426.15,45,,340.92,percent of total billed charges,45% of total billed charges,426.15,45,,340.92,percent of total billed charges,45% of total billed charges,362.23,935.54,
11603 EXC TR-EXT MAL+MARG 2.1-3 CM,10011603,CDM,360,RC,11603,HCPCS,OUTPATIENT,,,1091,872.8,,1036.45,95,,829.16,percent of total billed charges,95% of total billed charges,1033.4,94.72,,826.72,percent of total billed charges,94.72% of total billed charges,1077.8,98.79,,862.24,percent of total billed charges,98.79% of total billed charges,1069.18,98,,855.34,percent of total billed charges,98% of total billed charges,1069.18,98,,855.34,percent of total billed charges,98% of total billed charges,523.68,48,,418.94,percent of total billed charges,48% of total billed charges,490.95,45,,392.76,percent of total billed charges,45% of total billed charges,417.31,38.25,,333.85,percent of total billed charges,38.25% of total billed charges,490.95,45,,392.76,percent of total billed charges,45% of total billed charges,490.95,45,,392.76,percent of total billed charges,45% of total billed charges,417.31,1077.8,
11604 EXC TR-EXT MAL+MARG 3.1-4 CM,10011604,CDM,360,RC,11604,HCPCS,OUTPATIENT,,,1300,1040,,1235,95,,988,percent of total billed charges,95% of total billed charges,1231.36,94.72,,985.09,percent of total billed charges,94.72% of total billed charges,1284.27,98.79,,1027.42,percent of total billed charges,98.79% of total billed charges,1274,98,,1019.2,percent of total billed charges,98% of total billed charges,1274,98,,1019.2,percent of total billed charges,98% of total billed charges,624,48,,499.2,percent of total billed charges,48% of total billed charges,585,45,,468,percent of total billed charges,45% of total billed charges,497.25,38.25,,397.8,percent of total billed charges,38.25% of total billed charges,585,45,,468,percent of total billed charges,45% of total billed charges,585,45,,468,percent of total billed charges,45% of total billed charges,497.25,1284.27,
11606 EXC TR-EXT MAL+MARG >4 CM,10011606,CDM,360,RC,11606,HCPCS,OUTPATIENT,,,1917,1533.6,,1821.15,95,,1456.92,percent of total billed charges,95% of total billed charges,1815.78,94.72,,1452.62,percent of total billed charges,94.72% of total billed charges,1893.8,98.79,,1515.04,percent of total billed charges,98.79% of total billed charges,1878.66,98,,1502.93,percent of total billed charges,98% of total billed charges,1878.66,98,,1502.93,percent of total billed charges,98% of total billed charges,920.16,48,,736.13,percent of total billed charges,48% of total billed charges,862.65,45,,690.12,percent of total billed charges,45% of total billed charges,733.25,38.25,,586.6,percent of total billed charges,38.25% of total billed charges,862.65,45,,690.12,percent of total billed charges,45% of total billed charges,862.65,45,,690.12,percent of total billed charges,45% of total billed charges,733.25,1893.8,
11622 EXC S/N/H/F/G MAL+MRG 1.1-2,10011622,CDM,360,RC,11622,HCPCS,OUTPATIENT,,,1007,805.6,,956.65,95,,765.32,percent of total billed charges,95% of total billed charges,953.83,94.72,,763.06,percent of total billed charges,94.72% of total billed charges,994.82,98.79,,795.86,percent of total billed charges,98.79% of total billed charges,986.86,98,,789.49,percent of total billed charges,98% of total billed charges,986.86,98,,789.49,percent of total billed charges,98% of total billed charges,483.36,48,,386.69,percent of total billed charges,48% of total billed charges,453.15,45,,362.52,percent of total billed charges,45% of total billed charges,385.18,38.25,,308.14,percent of total billed charges,38.25% of total billed charges,453.15,45,,362.52,percent of total billed charges,45% of total billed charges,453.15,45,,362.52,percent of total billed charges,45% of total billed charges,385.18,994.82,
11623 EXC S/N/H/F/G MAL+MRG 2.1-3,10011623,CDM,360,RC,11623,HCPCS,OUTPATIENT,,,1286,1028.8,,1221.7,95,,977.36,percent of total billed charges,95% of total billed charges,1218.1,94.72,,974.48,percent of total billed charges,94.72% of total billed charges,1270.44,98.79,,1016.35,percent of total billed charges,98.79% of total billed charges,1260.28,98,,1008.22,percent of total billed charges,98% of total billed charges,1260.28,98,,1008.22,percent of total billed charges,98% of total billed charges,617.28,48,,493.82,percent of total billed charges,48% of total billed charges,578.7,45,,462.96,percent of total billed charges,45% of total billed charges,491.9,38.25,,393.52,percent of total billed charges,38.25% of total billed charges,578.7,45,,462.96,percent of total billed charges,45% of total billed charges,578.7,45,,462.96,percent of total billed charges,45% of total billed charges,491.9,1270.44,
11624 EXC S/N/H/F/G MAL+MRG 3.1-4,10011624,CDM,360,RC,11624,HCPCS,OUTPATIENT,,,1050,840,,997.5,95,,798,percent of total billed charges,95% of total billed charges,994.56,94.72,,795.65,percent of total billed charges,94.72% of total billed charges,1037.3,98.79,,829.84,percent of total billed charges,98.79% of total billed charges,1029,98,,823.2,percent of total billed charges,98% of total billed charges,1029,98,,823.2,percent of total billed charges,98% of total billed charges,504,48,,403.2,percent of total billed charges,48% of total billed charges,472.5,45,,378,percent of total billed charges,45% of total billed charges,401.63,38.25,,321.3,percent of total billed charges,38.25% of total billed charges,472.5,45,,378,percent of total billed charges,45% of total billed charges,472.5,45,,378,percent of total billed charges,45% of total billed charges,401.63,1037.3,
11626 EXC S/N/H/F/G MAL+MRG >4 CM,10011626,CDM,360,RC,11626,HCPCS,OUTPATIENT,,,1993,1594.4,,1893.35,95,,1514.68,percent of total billed charges,95% of total billed charges,1887.77,94.72,,1510.22,percent of total billed charges,94.72% of total billed charges,1968.88,98.79,,1575.1,percent of total billed charges,98.79% of total billed charges,1953.14,98,,1562.51,percent of total billed charges,98% of total billed charges,1953.14,98,,1562.51,percent of total billed charges,98% of total billed charges,956.64,48,,765.31,percent of total billed charges,48% of total billed charges,896.85,45,,717.48,percent of total billed charges,45% of total billed charges,762.32,38.25,,609.86,percent of total billed charges,38.25% of total billed charges,896.85,45,,717.48,percent of total billed charges,45% of total billed charges,896.85,45,,717.48,percent of total billed charges,45% of total billed charges,762.32,1968.88,
11641 EXC F/E/E/N/L MAL+MRG 0.6-1,10011641,CDM,360,RC,11641,HCPCS,OUTPATIENT,,,1227,981.6,,1165.65,95,,932.52,percent of total billed charges,95% of total billed charges,1162.21,94.72,,929.77,percent of total billed charges,94.72% of total billed charges,1212.15,98.79,,969.72,percent of total billed charges,98.79% of total billed charges,1202.46,98,,961.97,percent of total billed charges,98% of total billed charges,1202.46,98,,961.97,percent of total billed charges,98% of total billed charges,588.96,48,,471.17,percent of total billed charges,48% of total billed charges,552.15,45,,441.72,percent of total billed charges,45% of total billed charges,469.33,38.25,,375.46,percent of total billed charges,38.25% of total billed charges,552.15,45,,441.72,percent of total billed charges,45% of total billed charges,552.15,45,,441.72,percent of total billed charges,45% of total billed charges,469.33,1212.15,
11642 EXC F/E/E/N/L MAL+MRG 1.1-2,10011642,CDM,360,RC,11642,HCPCS,OUTPATIENT,,,1180,944,,1121,95,,896.8,percent of total billed charges,95% of total billed charges,1117.7,94.72,,894.16,percent of total billed charges,94.72% of total billed charges,1165.72,98.79,,932.58,percent of total billed charges,98.79% of total billed charges,1156.4,98,,925.12,percent of total billed charges,98% of total billed charges,1156.4,98,,925.12,percent of total billed charges,98% of total billed charges,566.4,48,,453.12,percent of total billed charges,48% of total billed charges,531,45,,424.8,percent of total billed charges,45% of total billed charges,451.35,38.25,,361.08,percent of total billed charges,38.25% of total billed charges,531,45,,424.8,percent of total billed charges,45% of total billed charges,531,45,,424.8,percent of total billed charges,45% of total billed charges,451.35,1165.72,
11643 EXC MALIGNANT 2.1-3CM FACE EAR NOSE CHARGE,10011643,CDM,360,RC,11643,HCPCS,OUTPATIENT,,,1472,1177.6,,1398.4,95,,1118.72,percent of total billed charges,95% of total billed charges,1394.28,94.72,,1115.42,percent of total billed charges,94.72% of total billed charges,1454.19,98.79,,1163.35,percent of total billed charges,98.79% of total billed charges,1442.56,98,,1154.05,percent of total billed charges,98% of total billed charges,1442.56,98,,1154.05,percent of total billed charges,98% of total billed charges,706.56,48,,565.25,percent of total billed charges,48% of total billed charges,662.4,45,,529.92,percent of total billed charges,45% of total billed charges,563.04,38.25,,450.43,percent of total billed charges,38.25% of total billed charges,662.4,45,,529.92,percent of total billed charges,45% of total billed charges,662.4,45,,529.92,percent of total billed charges,45% of total billed charges,563.04,1454.19,
11644 EXC F/E/E/N/L MAL+MRG 3.1-4,10011644,CDM,360,RC,11644,HCPCS,OUTPATIENT,,,1817,1453.6,,1726.15,95,,1380.92,percent of total billed charges,95% of total billed charges,1721.06,94.72,,1376.85,percent of total billed charges,94.72% of total billed charges,1795.01,98.79,,1436.01,percent of total billed charges,98.79% of total billed charges,1780.66,98,,1424.53,percent of total billed charges,98% of total billed charges,1780.66,98,,1424.53,percent of total billed charges,98% of total billed charges,872.16,48,,697.73,percent of total billed charges,48% of total billed charges,817.65,45,,654.12,percent of total billed charges,45% of total billed charges,695,38.25,,556,percent of total billed charges,38.25% of total billed charges,817.65,45,,654.12,percent of total billed charges,45% of total billed charges,817.65,45,,654.12,percent of total billed charges,45% of total billed charges,695,1795.01,
11750 REMOVAL OF NAIL BED,10011750,CDM,360,RC,11750,HCPCS,OUTPATIENT,,,748,598.4,,710.6,95,,568.48,percent of total billed charges,95% of total billed charges,708.51,94.72,,566.81,percent of total billed charges,94.72% of total billed charges,738.95,98.79,,591.16,percent of total billed charges,98.79% of total billed charges,733.04,98,,586.43,percent of total billed charges,98% of total billed charges,733.04,98,,586.43,percent of total billed charges,98% of total billed charges,359.04,48,,287.23,percent of total billed charges,48% of total billed charges,336.6,45,,269.28,percent of total billed charges,45% of total billed charges,286.11,38.25,,228.89,percent of total billed charges,38.25% of total billed charges,336.6,45,,269.28,percent of total billed charges,45% of total billed charges,336.6,45,,269.28,percent of total billed charges,45% of total billed charges,286.11,738.95,
11770 REMOVE PILONIDAL CYST SIMPLE,10011770,CDM,360,RC,11770,HCPCS,OUTPATIENT,,,2391,1912.8,,2271.45,95,,1817.16,percent of total billed charges,95% of total billed charges,2264.76,94.72,,1811.81,percent of total billed charges,94.72% of total billed charges,2362.07,98.79,,1889.66,percent of total billed charges,98.79% of total billed charges,2343.18,98,,1874.54,percent of total billed charges,98% of total billed charges,2343.18,98,,1874.54,percent of total billed charges,98% of total billed charges,1147.68,48,,918.14,percent of total billed charges,48% of total billed charges,1075.95,45,,860.76,percent of total billed charges,45% of total billed charges,914.56,38.25,,731.65,percent of total billed charges,38.25% of total billed charges,1075.95,45,,860.76,percent of total billed charges,45% of total billed charges,1075.95,45,,860.76,percent of total billed charges,45% of total billed charges,914.56,2362.07,
11771 REMOVE PILONIDAL CYST EXTEN,10011771,CDM,360,RC,11771,HCPCS,OUTPATIENT,,,2391,1912.8,,2271.45,95,,1817.16,percent of total billed charges,95% of total billed charges,2264.76,94.72,,1811.81,percent of total billed charges,94.72% of total billed charges,2362.07,98.79,,1889.66,percent of total billed charges,98.79% of total billed charges,2343.18,98,,1874.54,percent of total billed charges,98% of total billed charges,2343.18,98,,1874.54,percent of total billed charges,98% of total billed charges,1147.68,48,,918.14,percent of total billed charges,48% of total billed charges,1075.95,45,,860.76,percent of total billed charges,45% of total billed charges,914.56,38.25,,731.65,percent of total billed charges,38.25% of total billed charges,1075.95,45,,860.76,percent of total billed charges,45% of total billed charges,1075.95,45,,860.76,percent of total billed charges,45% of total billed charges,914.56,2362.07,
12001 RPR S/N/AX/GEN/TRNK 2.5CM/<,10012001,CDM,360,RC,12001,HCPCS,OUTPATIENT,,,526,420.8,,499.7,95,,399.76,percent of total billed charges,95% of total billed charges,498.23,94.72,,398.58,percent of total billed charges,94.72% of total billed charges,519.64,98.79,,415.71,percent of total billed charges,98.79% of total billed charges,515.48,98,,412.38,percent of total billed charges,98% of total billed charges,515.48,98,,412.38,percent of total billed charges,98% of total billed charges,252.48,48,,201.98,percent of total billed charges,48% of total billed charges,236.7,45,,189.36,percent of total billed charges,45% of total billed charges,201.2,38.25,,160.96,percent of total billed charges,38.25% of total billed charges,236.7,45,,189.36,percent of total billed charges,45% of total billed charges,236.7,45,,189.36,percent of total billed charges,45% of total billed charges,201.2,519.64,
REPAIR-INTERMEDIATE <=2.5 CM,10012031,CDM,360,RC,12031,HCPCS,OUTPATIENT,,,833,666.4,,791.35,95,,633.08,percent of total billed charges,95% of total billed charges,789.02,94.72,,631.22,percent of total billed charges,94.72% of total billed charges,822.92,98.79,,658.34,percent of total billed charges,98.79% of total billed charges,816.34,98,,653.07,percent of total billed charges,98% of total billed charges,816.34,98,,653.07,percent of total billed charges,98% of total billed charges,399.84,48,,319.87,percent of total billed charges,48% of total billed charges,374.85,45,,299.88,percent of total billed charges,45% of total billed charges,318.62,38.25,,254.9,percent of total billed charges,38.25% of total billed charges,374.85,45,,299.88,percent of total billed charges,45% of total billed charges,374.85,45,,299.88,percent of total billed charges,45% of total billed charges,318.62,822.92,
12032 INTMD RPR S/A/T/EXT 2.6-7.5,10012032,CDM,360,RC,12032,HCPCS,OUTPATIENT,,,1058,846.4,,1005.1,95,,804.08,percent of total billed charges,95% of total billed charges,1002.14,94.72,,801.71,percent of total billed charges,94.72% of total billed charges,1045.2,98.79,,836.16,percent of total billed charges,98.79% of total billed charges,1036.84,98,,829.47,percent of total billed charges,98% of total billed charges,1036.84,98,,829.47,percent of total billed charges,98% of total billed charges,507.84,48,,406.27,percent of total billed charges,48% of total billed charges,476.1,45,,380.88,percent of total billed charges,45% of total billed charges,404.69,38.25,,323.75,percent of total billed charges,38.25% of total billed charges,476.1,45,,380.88,percent of total billed charges,45% of total billed charges,476.1,45,,380.88,percent of total billed charges,45% of total billed charges,404.69,1045.2,
12034 INTMD RPR S/TR/EXT 7.6-12.5,10012034,CDM,360,RC,12034,HCPCS,OUTPATIENT,,,1418,1134.4,,1347.1,95,,1077.68,percent of total billed charges,95% of total billed charges,1343.13,94.72,,1074.5,percent of total billed charges,94.72% of total billed charges,1400.84,98.79,,1120.67,percent of total billed charges,98.79% of total billed charges,1389.64,98,,1111.71,percent of total billed charges,98% of total billed charges,1389.64,98,,1111.71,percent of total billed charges,98% of total billed charges,680.64,48,,544.51,percent of total billed charges,48% of total billed charges,638.1,45,,510.48,percent of total billed charges,45% of total billed charges,542.39,38.25,,433.91,percent of total billed charges,38.25% of total billed charges,638.1,45,,510.48,percent of total billed charges,45% of total billed charges,638.1,45,,510.48,percent of total billed charges,45% of total billed charges,542.39,1400.84,
12036 Repair| intermediate; wounds of scalp| axillae| trunk| extremities; 20.1-30.0cm,10012036,CDM,360,RC,12036,HCPCS,OUTPATIENT,,,2176,1740.8,,2067.2,95,,1653.76,percent of total billed charges,95% of total billed charges,2061.11,94.72,,1648.89,percent of total billed charges,94.72% of total billed charges,2149.67,98.79,,1719.74,percent of total billed charges,98.79% of total billed charges,2132.48,98,,1705.98,percent of total billed charges,98% of total billed charges,2132.48,98,,1705.98,percent of total billed charges,98% of total billed charges,1044.48,48,,835.58,percent of total billed charges,48% of total billed charges,979.2,45,,783.36,percent of total billed charges,45% of total billed charges,832.32,38.25,,665.86,percent of total billed charges,38.25% of total billed charges,979.2,45,,783.36,percent of total billed charges,45% of total billed charges,979.2,45,,783.36,percent of total billed charges,45% of total billed charges,832.32,2149.67,
12042 INTMD RPR N-HF/GENIT2.6-7.5,10012042,CDM,360,RC,12042,HCPCS,OUTPATIENT,,,1185,948,,1125.75,95,,900.6,percent of total billed charges,95% of total billed charges,1122.43,94.72,,897.94,percent of total billed charges,94.72% of total billed charges,1170.66,98.79,,936.53,percent of total billed charges,98.79% of total billed charges,1161.3,98,,929.04,percent of total billed charges,98% of total billed charges,1161.3,98,,929.04,percent of total billed charges,98% of total billed charges,568.8,48,,455.04,percent of total billed charges,48% of total billed charges,533.25,45,,426.6,percent of total billed charges,45% of total billed charges,453.26,38.25,,362.61,percent of total billed charges,38.25% of total billed charges,533.25,45,,426.6,percent of total billed charges,45% of total billed charges,533.25,45,,426.6,percent of total billed charges,45% of total billed charges,453.26,1170.66,
14020 TIS TRNFR S/A/L 10 SQ CM/<,10014020,CDM,360,RC,14020,HCPCS,OUTPATIENT,,,3157,2525.6,,2999.15,95,,2399.32,percent of total billed charges,95% of total billed charges,2990.31,94.72,,2392.25,percent of total billed charges,94.72% of total billed charges,3118.8,98.79,,2495.04,percent of total billed charges,98.79% of total billed charges,3093.86,98,,2475.09,percent of total billed charges,98% of total billed charges,3093.86,98,,2475.09,percent of total billed charges,98% of total billed charges,1515.36,48,,1212.29,percent of total billed charges,48% of total billed charges,1420.65,45,,1136.52,percent of total billed charges,45% of total billed charges,1207.55,38.25,,966.04,percent of total billed charges,38.25% of total billed charges,1420.65,45,,1136.52,percent of total billed charges,45% of total billed charges,1420.65,45,,1136.52,percent of total billed charges,45% of total billed charges,1207.55,3118.8,
14060 TIS TRNFR E/N/E/L 10 SQ CM/<,10014060,CDM,360,RC,14060,HCPCS,OUTPATIENT,,,4077,3261.6,,3873.15,95,,3098.52,percent of total billed charges,95% of total billed charges,3861.73,94.72,,3089.38,percent of total billed charges,94.72% of total billed charges,4027.67,98.79,,3222.14,percent of total billed charges,98.79% of total billed charges,3995.46,98,,3196.37,percent of total billed charges,98% of total billed charges,3995.46,98,,3196.37,percent of total billed charges,98% of total billed charges,1956.96,48,,1565.57,percent of total billed charges,48% of total billed charges,1834.65,45,,1467.72,percent of total billed charges,45% of total billed charges,1559.45,38.25,,1247.56,percent of total billed charges,38.25% of total billed charges,1834.65,45,,1467.72,percent of total billed charges,45% of total billed charges,1834.65,45,,1467.72,percent of total billed charges,45% of total billed charges,1559.45,4027.67,
14061 ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM,10014061,CDM,360,RC,14061,HCPCS,OUTPATIENT,,,5018,4014.4,,4767.1,95,,3813.68,percent of total billed charges,95% of total billed charges,4753.05,94.72,,3802.44,percent of total billed charges,94.72% of total billed charges,4957.28,98.79,,3965.82,percent of total billed charges,98.79% of total billed charges,4917.64,98,,3934.11,percent of total billed charges,98% of total billed charges,4917.64,98,,3934.11,percent of total billed charges,98% of total billed charges,2408.64,48,,1926.91,percent of total billed charges,48% of total billed charges,2258.1,45,,1806.48,percent of total billed charges,45% of total billed charges,1919.39,38.25,,1535.51,percent of total billed charges,38.25% of total billed charges,2258.1,45,,1806.48,percent of total billed charges,45% of total billed charges,2258.1,45,,1806.48,percent of total billed charges,45% of total billed charges,1919.39,4957.28,
15260 Full thickness graft| free| direct closure of donor si,10015260,CDM,360,RC,15260,HCPCS,OUTPATIENT,,,4045,3236,,3842.75,95,,3074.2,percent of total billed charges,95% of total billed charges,3831.42,94.72,,3065.14,percent of total billed charges,94.72% of total billed charges,3996.06,98.79,,3196.85,percent of total billed charges,98.79% of total billed charges,3964.1,98,,3171.28,percent of total billed charges,98% of total billed charges,3964.1,98,,3171.28,percent of total billed charges,98% of total billed charges,1941.6,48,,1553.28,percent of total billed charges,48% of total billed charges,1820.25,45,,1456.2,percent of total billed charges,45% of total billed charges,1547.21,38.25,,1237.77,percent of total billed charges,38.25% of total billed charges,1820.25,45,,1456.2,percent of total billed charges,45% of total billed charges,1820.25,45,,1456.2,percent of total billed charges,45% of total billed charges,1547.21,3996.06,
15274 Application of skin sub graft to trunk ea addl >=100cm,10015274,CDM,360,RC,15274,HCPCS,OUTPATIENT,,,550,440,,522.5,95,,418,percent of total billed charges,95% of total billed charges,520.96,94.72,,416.77,percent of total billed charges,94.72% of total billed charges,543.35,98.79,,434.68,percent of total billed charges,98.79% of total billed charges,539,98,,431.2,percent of total billed charges,98% of total billed charges,539,98,,431.2,percent of total billed charges,98% of total billed charges,264,48,,211.2,percent of total billed charges,48% of total billed charges,247.5,45,,198,percent of total billed charges,45% of total billed charges,210.38,38.25,,168.3,percent of total billed charges,38.25% of total billed charges,247.5,45,,198,percent of total billed charges,45% of total billed charges,247.5,45,,198,percent of total billed charges,45% of total billed charges,210.38,543.35,
15274 App of skin substitute graft to trunk| arms| legs| tot,10015274,CDM,360,RC,15274,HCPCS,OUTPATIENT,,,550,440,,522.5,95,,418,percent of total billed charges,95% of total billed charges,520.96,94.72,,416.77,percent of total billed charges,94.72% of total billed charges,543.35,98.79,,434.68,percent of total billed charges,98.79% of total billed charges,539,98,,431.2,percent of total billed charges,98% of total billed charges,539,98,,431.2,percent of total billed charges,98% of total billed charges,264,48,,211.2,percent of total billed charges,48% of total billed charges,247.5,45,,198,percent of total billed charges,45% of total billed charges,210.38,38.25,,168.3,percent of total billed charges,38.25% of total billed charges,247.5,45,,198,percent of total billed charges,45% of total billed charges,247.5,45,,198,percent of total billed charges,45% of total billed charges,210.38,543.35,
15770 DERMA-FAT-FASCIA GRAFT,10015770,CDM,360,RC,15770,HCPCS,OUTPATIENT,,,3607,2885.6,,3426.65,95,,2741.32,percent of total billed charges,95% of total billed charges,3416.55,94.72,,2733.24,percent of total billed charges,94.72% of total billed charges,3563.36,98.79,,2850.69,percent of total billed charges,98.79% of total billed charges,3534.86,98,,2827.89,percent of total billed charges,98% of total billed charges,3534.86,98,,2827.89,percent of total billed charges,98% of total billed charges,1731.36,48,,1385.09,percent of total billed charges,48% of total billed charges,1623.15,45,,1298.52,percent of total billed charges,45% of total billed charges,1379.68,38.25,,1103.74,percent of total billed charges,38.25% of total billed charges,1623.15,45,,1298.52,percent of total billed charges,45% of total billed charges,1623.15,45,,1298.52,percent of total billed charges,45% of total billed charges,1379.68,3563.36,
15822 Blepharoplasty| upper eyelid; Tech Fee,10015822,CDM,360,RC,15822,HCPCS,OUTPATIENT,,,3354,2683.2,,3186.3,95,,2549.04,percent of total billed charges,95% of total billed charges,3176.91,94.72,,2541.53,percent of total billed charges,94.72% of total billed charges,3313.42,98.79,,2650.74,percent of total billed charges,98.79% of total billed charges,3286.92,98,,2629.54,percent of total billed charges,98% of total billed charges,3286.92,98,,2629.54,percent of total billed charges,98% of total billed charges,1609.92,48,,1287.94,percent of total billed charges,48% of total billed charges,1509.3,45,,1207.44,percent of total billed charges,45% of total billed charges,1282.91,38.25,,1026.33,percent of total billed charges,38.25% of total billed charges,1509.3,45,,1207.44,percent of total billed charges,45% of total billed charges,1509.3,45,,1207.44,percent of total billed charges,45% of total billed charges,1282.91,3313.42,
17264 Destruction| malignant lesion| trunk| arms o,10017264,CDM,360,RC,17264,HCPCS,OUTPATIENT,,,874,699.2,,830.3,95,,664.24,percent of total billed charges,95% of total billed charges,827.85,94.72,,662.28,percent of total billed charges,94.72% of total billed charges,863.42,98.79,,690.74,percent of total billed charges,98.79% of total billed charges,856.52,98,,685.22,percent of total billed charges,98% of total billed charges,856.52,98,,685.22,percent of total billed charges,98% of total billed charges,419.52,48,,335.62,percent of total billed charges,48% of total billed charges,393.3,45,,314.64,percent of total billed charges,45% of total billed charges,334.31,38.25,,267.45,percent of total billed charges,38.25% of total billed charges,393.3,45,,314.64,percent of total billed charges,45% of total billed charges,393.3,45,,314.64,percent of total billed charges,45% of total billed charges,334.31,863.42,
19020 INCISION OF BREAST LESION,10019020,CDM,360,RC,19020,HCPCS,OUTPATIENT,,,993,794.4,,943.35,95,,754.68,percent of total billed charges,95% of total billed charges,940.57,94.72,,752.46,percent of total billed charges,94.72% of total billed charges,980.98,98.79,,784.78,percent of total billed charges,98.79% of total billed charges,973.14,98,,778.51,percent of total billed charges,98% of total billed charges,973.14,98,,778.51,percent of total billed charges,98% of total billed charges,476.64,48,,381.31,percent of total billed charges,48% of total billed charges,446.85,45,,357.48,percent of total billed charges,45% of total billed charges,379.82,38.25,,303.86,percent of total billed charges,38.25% of total billed charges,446.85,45,,357.48,percent of total billed charges,45% of total billed charges,446.85,45,,357.48,percent of total billed charges,45% of total billed charges,379.82,980.98,
19101 BIOPSY OF BREAST OPEN,10019101,CDM,360,RC,19101,HCPCS,OUTPATIENT,,,2780,2224,,2641,95,,2112.8,percent of total billed charges,95% of total billed charges,2633.22,94.72,,2106.58,percent of total billed charges,94.72% of total billed charges,2746.36,98.79,,2197.09,percent of total billed charges,98.79% of total billed charges,2724.4,98,,2179.52,percent of total billed charges,98% of total billed charges,2724.4,98,,2179.52,percent of total billed charges,98% of total billed charges,1334.4,48,,1067.52,percent of total billed charges,48% of total billed charges,1251,45,,1000.8,percent of total billed charges,45% of total billed charges,1063.35,38.25,,850.68,percent of total billed charges,38.25% of total billed charges,1251,45,,1000.8,percent of total billed charges,45% of total billed charges,1251,45,,1000.8,percent of total billed charges,45% of total billed charges,1063.35,2746.36,
19120 REMOVAL OF BREAST LESION,10019120,CDM,360,RC,19120,HCPCS,OUTPATIENT,,,1679,1343.2,,1595.05,95,,1276.04,percent of total billed charges,95% of total billed charges,1590.35,94.72,,1272.28,percent of total billed charges,94.72% of total billed charges,1658.68,98.79,,1326.94,percent of total billed charges,98.79% of total billed charges,1645.42,98,,1316.34,percent of total billed charges,98% of total billed charges,1645.42,98,,1316.34,percent of total billed charges,98% of total billed charges,805.92,48,,644.74,percent of total billed charges,48% of total billed charges,755.55,45,,604.44,percent of total billed charges,45% of total billed charges,642.22,38.25,,513.78,percent of total billed charges,38.25% of total billed charges,755.55,45,,604.44,percent of total billed charges,45% of total billed charges,755.55,45,,604.44,percent of total billed charges,45% of total billed charges,642.22,1658.68,
19125 EXCISION BREAST LESION,10019125,CDM,360,RC,19125,HCPCS,OUTPATIENT,,,1842,1473.6,,1749.9,95,,1399.92,percent of total billed charges,95% of total billed charges,1744.74,94.72,,1395.79,percent of total billed charges,94.72% of total billed charges,1819.71,98.79,,1455.77,percent of total billed charges,98.79% of total billed charges,1805.16,98,,1444.13,percent of total billed charges,98% of total billed charges,1805.16,98,,1444.13,percent of total billed charges,98% of total billed charges,884.16,48,,707.33,percent of total billed charges,48% of total billed charges,828.9,45,,663.12,percent of total billed charges,45% of total billed charges,704.57,38.25,,563.66,percent of total billed charges,38.25% of total billed charges,828.9,45,,663.12,percent of total billed charges,45% of total billed charges,828.9,45,,663.12,percent of total billed charges,45% of total billed charges,704.57,1819.71,
19301 PARTIAL MASTECTOMY,10019301,CDM,360,RC,19301,HCPCS,OUTPATIENT,,,1435,1148,,1363.25,95,,1090.6,percent of total billed charges,95% of total billed charges,1359.23,94.72,,1087.38,percent of total billed charges,94.72% of total billed charges,1417.64,98.79,,1134.11,percent of total billed charges,98.79% of total billed charges,1406.3,98,,1125.04,percent of total billed charges,98% of total billed charges,1406.3,98,,1125.04,percent of total billed charges,98% of total billed charges,688.8,48,,551.04,percent of total billed charges,48% of total billed charges,645.75,45,,516.6,percent of total billed charges,45% of total billed charges,548.89,38.25,,439.11,percent of total billed charges,38.25% of total billed charges,645.75,45,,516.6,percent of total billed charges,45% of total billed charges,645.75,45,,516.6,percent of total billed charges,45% of total billed charges,548.89,1417.64,
19302 P-MASTECTOMY W/LN REMOVAL,10019302,CDM,360,RC,19302,HCPCS,OUTPATIENT,,,2880,2304,,2736,95,,2188.8,percent of total billed charges,95% of total billed charges,2727.94,94.72,,2182.35,percent of total billed charges,94.72% of total billed charges,2845.15,98.79,,2276.12,percent of total billed charges,98.79% of total billed charges,2822.4,98,,2257.92,percent of total billed charges,98% of total billed charges,2822.4,98,,2257.92,percent of total billed charges,98% of total billed charges,1382.4,48,,1105.92,percent of total billed charges,48% of total billed charges,1296,45,,1036.8,percent of total billed charges,45% of total billed charges,1101.6,38.25,,881.28,percent of total billed charges,38.25% of total billed charges,1296,45,,1036.8,percent of total billed charges,45% of total billed charges,1296,45,,1036.8,percent of total billed charges,45% of total billed charges,1101.6,2845.15,
19303 MAST SIMPLE COMPLETE,10019303,CDM,360,RC,19303,HCPCS,OUTPATIENT,,,4917,3933.6,,4671.15,95,,3736.92,percent of total billed charges,95% of total billed charges,4657.38,94.72,,3725.9,percent of total billed charges,94.72% of total billed charges,4857.5,98.79,,3886,percent of total billed charges,98.79% of total billed charges,4818.66,98,,3854.93,percent of total billed charges,98% of total billed charges,4818.66,98,,3854.93,percent of total billed charges,98% of total billed charges,2360.16,48,,1888.13,percent of total billed charges,48% of total billed charges,2212.65,45,,1770.12,percent of total billed charges,45% of total billed charges,1880.75,38.25,,1504.6,percent of total billed charges,38.25% of total billed charges,2212.65,45,,1770.12,percent of total billed charges,45% of total billed charges,2212.65,45,,1770.12,percent of total billed charges,45% of total billed charges,1880.75,4857.5,
19307 Mastectomy| modified radical| including axil Tech Fee,10019307,CDM,360,RC,19307,HCPCS,OUTPATIENT,,,7280,5824,,6916,95,,5532.8,percent of total billed charges,95% of total billed charges,6895.62,94.72,,5516.5,percent of total billed charges,94.72% of total billed charges,7191.91,98.79,,5753.53,percent of total billed charges,98.79% of total billed charges,7134.4,98,,5707.52,percent of total billed charges,98% of total billed charges,7134.4,98,,5707.52,percent of total billed charges,98% of total billed charges,3494.4,48,,2795.52,percent of total billed charges,48% of total billed charges,3276,45,,2620.8,percent of total billed charges,45% of total billed charges,2784.6,38.25,,2227.68,percent of total billed charges,38.25% of total billed charges,3276,45,,2620.8,percent of total billed charges,45% of total billed charges,3276,45,,2620.8,percent of total billed charges,45% of total billed charges,2784.6,7191.91,
Allograft| includes templating| cutting| placement and inter,10020932,CDM,360,RC,20932,HCPCS,OUTPATIENT,,,3897,3117.6,,3702.15,95,,2961.72,percent of total billed charges,95% of total billed charges,3691.24,94.72,,2952.99,percent of total billed charges,94.72% of total billed charges,3849.85,98.79,,3079.88,percent of total billed charges,98.79% of total billed charges,3819.06,98,,3055.25,percent of total billed charges,98% of total billed charges,3819.06,98,,3055.25,percent of total billed charges,98% of total billed charges,1870.56,48,,1496.45,percent of total billed charges,48% of total billed charges,1753.65,45,,1402.92,percent of total billed charges,45% of total billed charges,1490.6,38.25,,1192.48,percent of total billed charges,38.25% of total billed charges,1753.65,45,,1402.92,percent of total billed charges,45% of total billed charges,1753.65,45,,1402.92,percent of total billed charges,45% of total billed charges,1490.6,3849.85,
EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ,10021011,CDM,360,RC,21011,HCPCS,OUTPATIENT,,,1527,1221.6,,1450.65,95,,1160.52,percent of total billed charges,95% of total billed charges,1446.37,94.72,,1157.1,percent of total billed charges,94.72% of total billed charges,1508.52,98.79,,1206.82,percent of total billed charges,98.79% of total billed charges,1496.46,98,,1197.17,percent of total billed charges,98% of total billed charges,1496.46,98,,1197.17,percent of total billed charges,98% of total billed charges,732.96,48,,586.37,percent of total billed charges,48% of total billed charges,687.15,45,,549.72,percent of total billed charges,45% of total billed charges,584.08,38.25,,467.26,percent of total billed charges,38.25% of total billed charges,687.15,45,,549.72,percent of total billed charges,45% of total billed charges,687.15,45,,549.72,percent of total billed charges,45% of total billed charges,584.08,1508.52,
21014 EXC FACE TUM DEEP 2 CM/>,10021014,CDM,360,RC,21014,HCPCS,OUTPATIENT,,,2409,1927.2,,2288.55,95,,1830.84,percent of total billed charges,95% of total billed charges,2281.8,94.72,,1825.44,percent of total billed charges,94.72% of total billed charges,2379.85,98.79,,1903.88,percent of total billed charges,98.79% of total billed charges,2360.82,98,,1888.66,percent of total billed charges,98% of total billed charges,2360.82,98,,1888.66,percent of total billed charges,98% of total billed charges,1156.32,48,,925.06,percent of total billed charges,48% of total billed charges,1084.05,45,,867.24,percent of total billed charges,45% of total billed charges,921.44,38.25,,737.15,percent of total billed charges,38.25% of total billed charges,1084.05,45,,867.24,percent of total billed charges,45% of total billed charges,1084.05,45,,867.24,percent of total billed charges,45% of total billed charges,921.44,2379.85,
21365 Open tx of complicated fx of malar/tripod/zy,10021365,CDM,360,RC,21365,HCPCS,OUTPATIENT,,,6426,5140.8,,6104.7,95,,4883.76,percent of total billed charges,95% of total billed charges,6086.71,94.72,,4869.37,percent of total billed charges,94.72% of total billed charges,6348.25,98.79,,5078.6,percent of total billed charges,98.79% of total billed charges,6297.48,98,,5037.98,percent of total billed charges,98% of total billed charges,6297.48,98,,5037.98,percent of total billed charges,98% of total billed charges,3084.48,48,,2467.58,percent of total billed charges,48% of total billed charges,2891.7,45,,2313.36,percent of total billed charges,45% of total billed charges,2457.95,38.25,,1966.36,percent of total billed charges,38.25% of total billed charges,2891.7,45,,2313.36,percent of total billed charges,45% of total billed charges,2891.7,45,,2313.36,percent of total billed charges,45% of total billed charges,2457.95,6348.25,
21422 Open treatment of palatal or maxillary fract,10021422,CDM,360,RC,21422,HCPCS,OUTPATIENT,,,3389,2711.2,,3219.55,95,,2575.64,percent of total billed charges,95% of total billed charges,3210.06,94.72,,2568.05,percent of total billed charges,94.72% of total billed charges,3347.99,98.79,,2678.39,percent of total billed charges,98.79% of total billed charges,3321.22,98,,2656.98,percent of total billed charges,98% of total billed charges,3321.22,98,,2656.98,percent of total billed charges,98% of total billed charges,1626.72,48,,1301.38,percent of total billed charges,48% of total billed charges,1525.05,45,,1220.04,percent of total billed charges,45% of total billed charges,1296.29,38.25,,1037.03,percent of total billed charges,38.25% of total billed charges,1525.05,45,,1220.04,percent of total billed charges,45% of total billed charges,1525.05,45,,1220.04,percent of total billed charges,45% of total billed charges,1296.29,3347.99,
21552 EXC NECK LES SC 3 CM/>,10021552,CDM,360,RC,21552,HCPCS,OUTPATIENT,,,2391,1912.8,,2271.45,95,,1817.16,percent of total billed charges,95% of total billed charges,2264.76,94.72,,1811.81,percent of total billed charges,94.72% of total billed charges,2362.07,98.79,,1889.66,percent of total billed charges,98.79% of total billed charges,2343.18,98,,1874.54,percent of total billed charges,98% of total billed charges,2343.18,98,,1874.54,percent of total billed charges,98% of total billed charges,1147.68,48,,918.14,percent of total billed charges,48% of total billed charges,1075.95,45,,860.76,percent of total billed charges,45% of total billed charges,914.56,38.25,,731.65,percent of total billed charges,38.25% of total billed charges,1075.95,45,,860.76,percent of total billed charges,45% of total billed charges,1075.95,45,,860.76,percent of total billed charges,45% of total billed charges,914.56,2362.07,
21554 EXC NECK TUM DEEP 5 CM/>,10021554,CDM,360,RC,21554,HCPCS,OUTPATIENT,,,2565,2052,,2436.75,95,,1949.4,percent of total billed charges,95% of total billed charges,2429.57,94.72,,1943.66,percent of total billed charges,94.72% of total billed charges,2533.96,98.79,,2027.17,percent of total billed charges,98.79% of total billed charges,2513.7,98,,2010.96,percent of total billed charges,98% of total billed charges,2513.7,98,,2010.96,percent of total billed charges,98% of total billed charges,1231.2,48,,984.96,percent of total billed charges,48% of total billed charges,1154.25,45,,923.4,percent of total billed charges,45% of total billed charges,981.11,38.25,,784.89,percent of total billed charges,38.25% of total billed charges,1154.25,45,,923.4,percent of total billed charges,45% of total billed charges,1154.25,45,,923.4,percent of total billed charges,45% of total billed charges,981.11,2533.96,
21555 EXC NECK LES SC < 3 CM,10021555,CDM,360,RC,21555,HCPCS,OUTPATIENT,,,1596,1276.8,,1516.2,95,,1212.96,percent of total billed charges,95% of total billed charges,1511.73,94.72,,1209.38,percent of total billed charges,94.72% of total billed charges,1576.69,98.79,,1261.35,percent of total billed charges,98.79% of total billed charges,1564.08,98,,1251.26,percent of total billed charges,98% of total billed charges,1564.08,98,,1251.26,percent of total billed charges,98% of total billed charges,766.08,48,,612.86,percent of total billed charges,48% of total billed charges,718.2,45,,574.56,percent of total billed charges,45% of total billed charges,610.47,38.25,,488.38,percent of total billed charges,38.25% of total billed charges,718.2,45,,574.56,percent of total billed charges,45% of total billed charges,718.2,45,,574.56,percent of total billed charges,45% of total billed charges,610.47,1576.69,
21556 EXC NECK TUM DEEP < 5 CM,10021556,CDM,360,RC,21556,HCPCS,OUTPATIENT,,,2391,1912.8,,2271.45,95,,1817.16,percent of total billed charges,95% of total billed charges,2264.76,94.72,,1811.81,percent of total billed charges,94.72% of total billed charges,2362.07,98.79,,1889.66,percent of total billed charges,98.79% of total billed charges,2343.18,98,,1874.54,percent of total billed charges,98% of total billed charges,2343.18,98,,1874.54,percent of total billed charges,98% of total billed charges,1147.68,48,,918.14,percent of total billed charges,48% of total billed charges,1075.95,45,,860.76,percent of total billed charges,45% of total billed charges,914.56,38.25,,731.65,percent of total billed charges,38.25% of total billed charges,1075.95,45,,860.76,percent of total billed charges,45% of total billed charges,1075.95,45,,860.76,percent of total billed charges,45% of total billed charges,914.56,2362.07,
21930 EXC BACK LES SC < 3 CM,10021930,CDM,360,RC,21930,HCPCS,OUTPATIENT,,,2058,1646.4,,1955.1,95,,1564.08,percent of total billed charges,95% of total billed charges,1949.34,94.72,,1559.47,percent of total billed charges,94.72% of total billed charges,2033.1,98.79,,1626.48,percent of total billed charges,98.79% of total billed charges,2016.84,98,,1613.47,percent of total billed charges,98% of total billed charges,2016.84,98,,1613.47,percent of total billed charges,98% of total billed charges,987.84,48,,790.27,percent of total billed charges,48% of total billed charges,926.1,45,,740.88,percent of total billed charges,45% of total billed charges,787.19,38.25,,629.75,percent of total billed charges,38.25% of total billed charges,926.1,45,,740.88,percent of total billed charges,45% of total billed charges,926.1,45,,740.88,percent of total billed charges,45% of total billed charges,787.19,2033.1,
21931 EXC BACK LES SC 3 CM/>,10021931,CDM,360,RC,21931,HCPCS,OUTPATIENT,,,1645,1316,,1562.75,95,,1250.2,percent of total billed charges,95% of total billed charges,1558.14,94.72,,1246.51,percent of total billed charges,94.72% of total billed charges,1625.1,98.79,,1300.08,percent of total billed charges,98.79% of total billed charges,1612.1,98,,1289.68,percent of total billed charges,98% of total billed charges,1612.1,98,,1289.68,percent of total billed charges,98% of total billed charges,789.6,48,,631.68,percent of total billed charges,48% of total billed charges,740.25,45,,592.2,percent of total billed charges,45% of total billed charges,629.21,38.25,,503.37,percent of total billed charges,38.25% of total billed charges,740.25,45,,592.2,percent of total billed charges,45% of total billed charges,740.25,45,,592.2,percent of total billed charges,45% of total billed charges,629.21,1625.1,
22903 Excision tumor soft tissue of abdominal wall| subcutan,10022903,CDM,360,RC,22903,HCPCS,OUTPATIENT,,,1745,1396,,1657.75,95,,1326.2,percent of total billed charges,95% of total billed charges,1652.86,94.72,,1322.29,percent of total billed charges,94.72% of total billed charges,1723.89,98.79,,1379.11,percent of total billed charges,98.79% of total billed charges,1710.1,98,,1368.08,percent of total billed charges,98% of total billed charges,1710.1,98,,1368.08,percent of total billed charges,98% of total billed charges,837.6,48,,670.08,percent of total billed charges,48% of total billed charges,785.25,45,,628.2,percent of total billed charges,45% of total billed charges,667.46,38.25,,533.97,percent of total billed charges,38.25% of total billed charges,785.25,45,,628.2,percent of total billed charges,45% of total billed charges,785.25,45,,628.2,percent of total billed charges,45% of total billed charges,667.46,1723.89,
23040 Arthrotomy Glenohumeral joint,10023040,CDM,360,RC,23040,HCPCS,OUTPATIENT,,,4648,3718.4,,4415.6,95,,3532.48,percent of total billed charges,95% of total billed charges,4402.59,94.72,,3522.07,percent of total billed charges,94.72% of total billed charges,4591.76,98.79,,3673.41,percent of total billed charges,98.79% of total billed charges,4555.04,98,,3644.03,percent of total billed charges,98% of total billed charges,4555.04,98,,3644.03,percent of total billed charges,98% of total billed charges,2231.04,48,,1784.83,percent of total billed charges,48% of total billed charges,2091.6,45,,1673.28,percent of total billed charges,45% of total billed charges,1777.86,38.25,,1422.29,percent of total billed charges,38.25% of total billed charges,2091.6,45,,1673.28,percent of total billed charges,45% of total billed charges,2091.6,45,,1673.28,percent of total billed charges,45% of total billed charges,1777.86,4591.76,
23350 INJ FOR SHOULDER ARTHROGRAPHY,10023350,CDM,360,RC,23350,HCPCS,OUTPATIENT,,,649,519.2,,616.55,95,,493.24,percent of total billed charges,95% of total billed charges,614.73,94.72,,491.78,percent of total billed charges,94.72% of total billed charges,641.15,98.79,,512.92,percent of total billed charges,98.79% of total billed charges,636.02,98,,508.82,percent of total billed charges,98% of total billed charges,636.02,98,,508.82,percent of total billed charges,98% of total billed charges,311.52,48,,249.22,percent of total billed charges,48% of total billed charges,292.05,45,,233.64,percent of total billed charges,45% of total billed charges,248.24,38.25,,198.59,percent of total billed charges,38.25% of total billed charges,292.05,45,,233.64,percent of total billed charges,45% of total billed charges,292.05,45,,233.64,percent of total billed charges,45% of total billed charges,248.24,641.15,
23415 CORACOACROMIAL LIGAMENT RELEASE| WITH OR WIT,10023415,CDM,360,RC,23415,HCPCS,OUTPATIENT,,,3388,2710.4,,3218.6,95,,2574.88,percent of total billed charges,95% of total billed charges,3209.11,94.72,,2567.29,percent of total billed charges,94.72% of total billed charges,3347.01,98.79,,2677.61,percent of total billed charges,98.79% of total billed charges,3320.24,98,,2656.19,percent of total billed charges,98% of total billed charges,3320.24,98,,2656.19,percent of total billed charges,98% of total billed charges,1626.24,48,,1300.99,percent of total billed charges,48% of total billed charges,1524.6,45,,1219.68,percent of total billed charges,45% of total billed charges,1295.91,38.25,,1036.73,percent of total billed charges,38.25% of total billed charges,1524.6,45,,1219.68,percent of total billed charges,45% of total billed charges,1524.6,45,,1219.68,percent of total billed charges,45% of total billed charges,1295.91,3347.01,
23455 Capsulorrhapy/ant/w labral repair Tech Fee,10023455,CDM,360,RC,23455,HCPCS,OUTPATIENT,,,5855,4684,,5562.25,95,,4449.8,percent of total billed charges,95% of total billed charges,5545.86,94.72,,4436.69,percent of total billed charges,94.72% of total billed charges,5784.15,98.79,,4627.32,percent of total billed charges,98.79% of total billed charges,5737.9,98,,4590.32,percent of total billed charges,98% of total billed charges,5737.9,98,,4590.32,percent of total billed charges,98% of total billed charges,2810.4,48,,2248.32,percent of total billed charges,48% of total billed charges,2634.75,45,,2107.8,percent of total billed charges,45% of total billed charges,2239.54,38.25,,1791.63,percent of total billed charges,38.25% of total billed charges,2634.75,45,,2107.8,percent of total billed charges,45% of total billed charges,2634.75,45,,2107.8,percent of total billed charges,45% of total billed charges,2239.54,5784.15,
23515 TREAT CLAVICLE FRACTURE,10023515,CDM,360,RC,23515,HCPCS,OUTPATIENT,,,2305,1844,,2189.75,95,,1751.8,percent of total billed charges,95% of total billed charges,2183.3,94.72,,1746.64,percent of total billed charges,94.72% of total billed charges,2277.11,98.79,,1821.69,percent of total billed charges,98.79% of total billed charges,2258.9,98,,1807.12,percent of total billed charges,98% of total billed charges,2258.9,98,,1807.12,percent of total billed charges,98% of total billed charges,1106.4,48,,885.12,percent of total billed charges,48% of total billed charges,1037.25,45,,829.8,percent of total billed charges,45% of total billed charges,881.66,38.25,,705.33,percent of total billed charges,38.25% of total billed charges,1037.25,45,,829.8,percent of total billed charges,45% of total billed charges,1037.25,45,,829.8,percent of total billed charges,45% of total billed charges,881.66,2277.11,
23550 Open TX of Acromioclavicular Dislocation,10023550,CDM,360,RC,23550,HCPCS,OUTPATIENT,,,3104,2483.2,,2948.8,95,,2359.04,percent of total billed charges,95% of total billed charges,2940.11,94.72,,2352.09,percent of total billed charges,94.72% of total billed charges,3066.44,98.79,,2453.15,percent of total billed charges,98.79% of total billed charges,3041.92,98,,2433.54,percent of total billed charges,98% of total billed charges,3041.92,98,,2433.54,percent of total billed charges,98% of total billed charges,1489.92,48,,1191.94,percent of total billed charges,48% of total billed charges,1396.8,45,,1117.44,percent of total billed charges,45% of total billed charges,1187.28,38.25,,949.82,percent of total billed charges,38.25% of total billed charges,1396.8,45,,1117.44,percent of total billed charges,45% of total billed charges,1396.8,45,,1117.44,percent of total billed charges,45% of total billed charges,1187.28,3066.44,
23630 Open tx greater humeral tuberosity fracture|,10023630,CDM,360,RC,23630,HCPCS,OUTPATIENT,,,4196,3356.8,,3986.2,95,,3188.96,percent of total billed charges,95% of total billed charges,3974.45,94.72,,3179.56,percent of total billed charges,94.72% of total billed charges,4145.23,98.79,,3316.18,percent of total billed charges,98.79% of total billed charges,4112.08,98,,3289.66,percent of total billed charges,98% of total billed charges,4112.08,98,,3289.66,percent of total billed charges,98% of total billed charges,2014.08,48,,1611.26,percent of total billed charges,48% of total billed charges,1888.2,45,,1510.56,percent of total billed charges,45% of total billed charges,1604.97,38.25,,1283.98,percent of total billed charges,38.25% of total billed charges,1888.2,45,,1510.56,percent of total billed charges,45% of total billed charges,1888.2,45,,1510.56,percent of total billed charges,45% of total billed charges,1604.97,4145.23,
23931 Incision and drainage| upper arm or elbow area| deep a,10023931,CDM,360,RC,23931,HCPCS,OUTPATIENT,,,1181,944.8,,1121.95,95,,897.56,percent of total billed charges,95% of total billed charges,1118.64,94.72,,894.91,percent of total billed charges,94.72% of total billed charges,1166.71,98.79,,933.37,percent of total billed charges,98.79% of total billed charges,1157.38,98,,925.9,percent of total billed charges,98% of total billed charges,1157.38,98,,925.9,percent of total billed charges,98% of total billed charges,566.88,48,,453.5,percent of total billed charges,48% of total billed charges,531.45,45,,425.16,percent of total billed charges,45% of total billed charges,451.73,38.25,,361.38,percent of total billed charges,38.25% of total billed charges,531.45,45,,425.16,percent of total billed charges,45% of total billed charges,531.45,45,,425.16,percent of total billed charges,45% of total billed charges,451.73,1166.71,
24000 EXPLORATORY ELBOW SURGERY,10024000,CDM,360,RC,24000,HCPCS,OUTPATIENT,,,2397,1917.6,,2277.15,95,,1821.72,percent of total billed charges,95% of total billed charges,2270.44,94.72,,1816.35,percent of total billed charges,94.72% of total billed charges,2368,98.79,,1894.4,percent of total billed charges,98.79% of total billed charges,2349.06,98,,1879.25,percent of total billed charges,98% of total billed charges,2349.06,98,,1879.25,percent of total billed charges,98% of total billed charges,1150.56,48,,920.45,percent of total billed charges,48% of total billed charges,1078.65,45,,862.92,percent of total billed charges,45% of total billed charges,916.85,38.25,,733.48,percent of total billed charges,38.25% of total billed charges,1078.65,45,,862.92,percent of total billed charges,45% of total billed charges,1078.65,45,,862.92,percent of total billed charges,45% of total billed charges,916.85,2368,
24071 EXC ARM/ELBOW LES SC 3 CM/>,10024071,CDM,360,RC,24071,HCPCS,OUTPATIENT,,,1377,1101.6,,1308.15,95,,1046.52,percent of total billed charges,95% of total billed charges,1304.29,94.72,,1043.43,percent of total billed charges,94.72% of total billed charges,1360.34,98.79,,1088.27,percent of total billed charges,98.79% of total billed charges,1349.46,98,,1079.57,percent of total billed charges,98% of total billed charges,1349.46,98,,1079.57,percent of total billed charges,98% of total billed charges,660.96,48,,528.77,percent of total billed charges,48% of total billed charges,619.65,45,,495.72,percent of total billed charges,45% of total billed charges,526.7,38.25,,421.36,percent of total billed charges,38.25% of total billed charges,619.65,45,,495.72,percent of total billed charges,45% of total billed charges,619.65,45,,495.72,percent of total billed charges,45% of total billed charges,526.7,1360.34,
24075 EXC TUMOR UPPER ARM/ELBOW TechFee,10024075,CDM,360,RC,24075,HCPCS,OUTPATIENT,,,1781,1424.8,,1691.95,95,,1353.56,percent of total billed charges,95% of total billed charges,1686.96,94.72,,1349.57,percent of total billed charges,94.72% of total billed charges,1759.45,98.79,,1407.56,percent of total billed charges,98.79% of total billed charges,1745.38,98,,1396.3,percent of total billed charges,98% of total billed charges,1745.38,98,,1396.3,percent of total billed charges,98% of total billed charges,854.88,48,,683.9,percent of total billed charges,48% of total billed charges,801.45,45,,641.16,percent of total billed charges,45% of total billed charges,681.23,38.25,,544.98,percent of total billed charges,38.25% of total billed charges,801.45,45,,641.16,percent of total billed charges,45% of total billed charges,801.45,45,,641.16,percent of total billed charges,45% of total billed charges,681.23,1759.45,
24105 REMOVAL OF ELBOW BURSA,10024105,CDM,360,RC,24105,HCPCS,OUTPATIENT,,,2713,2170.4,,2577.35,95,,2061.88,percent of total billed charges,95% of total billed charges,2569.75,94.72,,2055.8,percent of total billed charges,94.72% of total billed charges,2680.17,98.79,,2144.14,percent of total billed charges,98.79% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,1302.24,48,,1041.79,percent of total billed charges,48% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,38.25,,830.18,percent of total billed charges,38.25% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,2680.17,
24310 REVISION OF ARM TENDON,10024310,CDM,360,RC,24310,HCPCS,OUTPATIENT,,,3375,2700,,3206.25,95,,2565,percent of total billed charges,95% of total billed charges,3196.8,94.72,,2557.44,percent of total billed charges,94.72% of total billed charges,3334.16,98.79,,2667.33,percent of total billed charges,98.79% of total billed charges,3307.5,98,,2646,percent of total billed charges,98% of total billed charges,3307.5,98,,2646,percent of total billed charges,98% of total billed charges,1620,48,,1296,percent of total billed charges,48% of total billed charges,1518.75,45,,1215,percent of total billed charges,45% of total billed charges,1290.94,38.25,,1032.75,percent of total billed charges,38.25% of total billed charges,1518.75,45,,1215,percent of total billed charges,45% of total billed charges,1518.75,45,,1215,percent of total billed charges,45% of total billed charges,1290.94,3334.16,
24665 Open treatment of radial head or neck fracture| includes internal fixation or radial head exci,10024665,CDM,360,RC,24665,HCPCS,OUTPATIENT,,,3528,2822.4,,3351.6,95,,2681.28,percent of total billed charges,95% of total billed charges,3341.72,94.72,,2673.38,percent of total billed charges,94.72% of total billed charges,3485.31,98.79,,2788.25,percent of total billed charges,98.79% of total billed charges,3457.44,98,,2765.95,percent of total billed charges,98% of total billed charges,3457.44,98,,2765.95,percent of total billed charges,98% of total billed charges,1693.44,48,,1354.75,percent of total billed charges,48% of total billed charges,1587.6,45,,1270.08,percent of total billed charges,45% of total billed charges,1349.46,38.25,,1079.57,percent of total billed charges,38.25% of total billed charges,1587.6,45,,1270.08,percent of total billed charges,45% of total billed charges,1587.6,45,,1270.08,percent of total billed charges,45% of total billed charges,1349.46,3485.31,
25000 INCISION OF TENDON SHEATH,10025000,CDM,360,RC,25000,HCPCS,OUTPATIENT,,,1647,1317.6,,1564.65,95,,1251.72,percent of total billed charges,95% of total billed charges,1560.04,94.72,,1248.03,percent of total billed charges,94.72% of total billed charges,1627.07,98.79,,1301.66,percent of total billed charges,98.79% of total billed charges,1614.06,98,,1291.25,percent of total billed charges,98% of total billed charges,1614.06,98,,1291.25,percent of total billed charges,98% of total billed charges,790.56,48,,632.45,percent of total billed charges,48% of total billed charges,741.15,45,,592.92,percent of total billed charges,45% of total billed charges,629.98,38.25,,503.98,percent of total billed charges,38.25% of total billed charges,741.15,45,,592.92,percent of total billed charges,45% of total billed charges,741.15,45,,592.92,percent of total billed charges,45% of total billed charges,629.98,1627.07,
Incision and drainage| forearm and/or wrist| bursa 25031,10025031,CDM,360,RC,25031,HCPCS,OUTPATIENT,,,1751,1400.8,,1663.45,95,,1330.76,percent of total billed charges,95% of total billed charges,1658.55,94.72,,1326.84,percent of total billed charges,94.72% of total billed charges,1729.81,98.79,,1383.85,percent of total billed charges,98.79% of total billed charges,1715.98,98,,1372.78,percent of total billed charges,98% of total billed charges,1715.98,98,,1372.78,percent of total billed charges,98% of total billed charges,840.48,48,,672.38,percent of total billed charges,48% of total billed charges,787.95,45,,630.36,percent of total billed charges,45% of total billed charges,669.76,38.25,,535.81,percent of total billed charges,38.25% of total billed charges,787.95,45,,630.36,percent of total billed charges,45% of total billed charges,787.95,45,,630.36,percent of total billed charges,45% of total billed charges,669.76,1729.81,
25111 REMOVE WRIST TENDON LESION,10025111,CDM,360,RC,25111,HCPCS,OUTPATIENT,,,1555,1244,,1477.25,95,,1181.8,percent of total billed charges,95% of total billed charges,1472.9,94.72,,1178.32,percent of total billed charges,94.72% of total billed charges,1536.18,98.79,,1228.94,percent of total billed charges,98.79% of total billed charges,1523.9,98,,1219.12,percent of total billed charges,98% of total billed charges,1523.9,98,,1219.12,percent of total billed charges,98% of total billed charges,746.4,48,,597.12,percent of total billed charges,48% of total billed charges,699.75,45,,559.8,percent of total billed charges,45% of total billed charges,594.79,38.25,,475.83,percent of total billed charges,38.25% of total billed charges,699.75,45,,559.8,percent of total billed charges,45% of total billed charges,699.75,45,,559.8,percent of total billed charges,45% of total billed charges,594.79,1536.18,
25115 REMOVE WRIST/FOREARM LESION,10025115,CDM,360,RC,25115,HCPCS,OUTPATIENT,,,3421,2736.8,,3249.95,95,,2599.96,percent of total billed charges,95% of total billed charges,3240.37,94.72,,2592.3,percent of total billed charges,94.72% of total billed charges,3379.61,98.79,,2703.69,percent of total billed charges,98.79% of total billed charges,3352.58,98,,2682.06,percent of total billed charges,98% of total billed charges,3352.58,98,,2682.06,percent of total billed charges,98% of total billed charges,1642.08,48,,1313.66,percent of total billed charges,48% of total billed charges,1539.45,45,,1231.56,percent of total billed charges,45% of total billed charges,1308.53,38.25,,1046.82,percent of total billed charges,38.25% of total billed charges,1539.45,45,,1231.56,percent of total billed charges,45% of total billed charges,1539.45,45,,1231.56,percent of total billed charges,45% of total billed charges,1308.53,3379.61,
25295 RELEASE WRIST/FOREARM TENDON,10025295,CDM,360,RC,25295,HCPCS,OUTPATIENT,,,3780,3024,,3591,95,,2872.8,percent of total billed charges,95% of total billed charges,3580.42,94.72,,2864.34,percent of total billed charges,94.72% of total billed charges,3734.26,98.79,,2987.41,percent of total billed charges,98.79% of total billed charges,3704.4,98,,2963.52,percent of total billed charges,98% of total billed charges,3704.4,98,,2963.52,percent of total billed charges,98% of total billed charges,1814.4,48,,1451.52,percent of total billed charges,48% of total billed charges,1701,45,,1360.8,percent of total billed charges,45% of total billed charges,1445.85,38.25,,1156.68,percent of total billed charges,38.25% of total billed charges,1701,45,,1360.8,percent of total billed charges,45% of total billed charges,1701,45,,1360.8,percent of total billed charges,45% of total billed charges,1445.85,3734.26,
25400 REPAIR RADIUS OR ULNAR FRACTURE,10025400,CDM,360,RC,25400,HCPCS,OUTPATIENT,,,4850,3880,,4607.5,95,,3686,percent of total billed charges,95% of total billed charges,4593.92,94.72,,3675.14,percent of total billed charges,94.72% of total billed charges,4791.32,98.79,,3833.06,percent of total billed charges,98.79% of total billed charges,4753,98,,3802.4,percent of total billed charges,98% of total billed charges,4753,98,,3802.4,percent of total billed charges,98% of total billed charges,2328,48,,1862.4,percent of total billed charges,48% of total billed charges,2182.5,45,,1746,percent of total billed charges,45% of total billed charges,1855.13,38.25,,1484.1,percent of total billed charges,38.25% of total billed charges,2182.5,45,,1746,percent of total billed charges,45% of total billed charges,2182.5,45,,1746,percent of total billed charges,45% of total billed charges,1855.13,4791.32,
25447 REPAIR WRIST JOINTS,10025447,CDM,360,RC,25447,HCPCS,OUTPATIENT,,,3635,2908,,3453.25,95,,2762.6,percent of total billed charges,95% of total billed charges,3443.07,94.72,,2754.46,percent of total billed charges,94.72% of total billed charges,3591.02,98.79,,2872.82,percent of total billed charges,98.79% of total billed charges,3562.3,98,,2849.84,percent of total billed charges,98% of total billed charges,3562.3,98,,2849.84,percent of total billed charges,98% of total billed charges,1744.8,48,,1395.84,percent of total billed charges,48% of total billed charges,1635.75,45,,1308.6,percent of total billed charges,45% of total billed charges,1390.39,38.25,,1112.31,percent of total billed charges,38.25% of total billed charges,1635.75,45,,1308.6,percent of total billed charges,45% of total billed charges,1635.75,45,,1308.6,percent of total billed charges,45% of total billed charges,1390.39,3591.02,
Open treatment of distal radial extra-articular fracture or epiphyseal separation| with internal fix,10025607,CDM,360,RC,25607,HCPCS,OUTPATIENT,,,5809,4647.2,,5518.55,95,,4414.84,percent of total billed charges,95% of total billed charges,5502.28,94.72,,4401.82,percent of total billed charges,94.72% of total billed charges,5738.71,98.79,,4590.97,percent of total billed charges,98.79% of total billed charges,5692.82,98,,4554.26,percent of total billed charges,98% of total billed charges,5692.82,98,,4554.26,percent of total billed charges,98% of total billed charges,2788.32,48,,2230.66,percent of total billed charges,48% of total billed charges,2614.05,45,,2091.24,percent of total billed charges,45% of total billed charges,2221.94,38.25,,1777.55,percent of total billed charges,38.25% of total billed charges,2614.05,45,,2091.24,percent of total billed charges,45% of total billed charges,2614.05,45,,2091.24,percent of total billed charges,45% of total billed charges,2221.94,5738.71,
25650 CLOSED TREATMENT ULNAR STYLOID FRACTURE,10025650,CDM,360,RC,25650,HCPCS,OUTPATIENT,,,1412,1129.6,,1341.4,95,,1073.12,percent of total billed charges,95% of total billed charges,1337.45,94.72,,1069.96,percent of total billed charges,94.72% of total billed charges,1394.91,98.79,,1115.93,percent of total billed charges,98.79% of total billed charges,1383.76,98,,1107.01,percent of total billed charges,98% of total billed charges,1383.76,98,,1107.01,percent of total billed charges,98% of total billed charges,677.76,48,,542.21,percent of total billed charges,48% of total billed charges,635.4,45,,508.32,percent of total billed charges,45% of total billed charges,540.09,38.25,,432.07,percent of total billed charges,38.25% of total billed charges,635.4,45,,508.32,percent of total billed charges,45% of total billed charges,635.4,45,,508.32,percent of total billed charges,45% of total billed charges,540.09,1394.91,
26011 Drainage of finger abscess; complicated (eg| felon),10026011,CDM,360,RC,26011,HCPCS,OUTPATIENT,,,1724,1379.2,,1637.8,95,,1310.24,percent of total billed charges,95% of total billed charges,1632.97,94.72,,1306.38,percent of total billed charges,94.72% of total billed charges,1703.14,98.79,,1362.51,percent of total billed charges,98.79% of total billed charges,1689.52,98,,1351.62,percent of total billed charges,98% of total billed charges,1689.52,98,,1351.62,percent of total billed charges,98% of total billed charges,827.52,48,,662.02,percent of total billed charges,48% of total billed charges,775.8,45,,620.64,percent of total billed charges,45% of total billed charges,659.43,38.25,,527.54,percent of total billed charges,38.25% of total billed charges,775.8,45,,620.64,percent of total billed charges,45% of total billed charges,775.8,45,,620.64,percent of total billed charges,45% of total billed charges,659.43,1703.14,
26045 RELEASE PALM CONTRACTURE,10026045,CDM,360,RC,26045,HCPCS,OUTPATIENT,,,2713,2170.4,,2577.35,95,,2061.88,percent of total billed charges,95% of total billed charges,2569.75,94.72,,2055.8,percent of total billed charges,94.72% of total billed charges,2680.17,98.79,,2144.14,percent of total billed charges,98.79% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,1302.24,48,,1041.79,percent of total billed charges,48% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,38.25,,830.18,percent of total billed charges,38.25% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,2680.17,
26055 TENDON SHEATH INCISION CHARGE,10026055,CDM,360,RC,26055,HCPCS,OUTPATIENT,,,1374,1099.2,,1305.3,95,,1044.24,percent of total billed charges,95% of total billed charges,1301.45,94.72,,1041.16,percent of total billed charges,94.72% of total billed charges,1357.37,98.79,,1085.9,percent of total billed charges,98.79% of total billed charges,1346.52,98,,1077.22,percent of total billed charges,98% of total billed charges,1346.52,98,,1077.22,percent of total billed charges,98% of total billed charges,659.52,48,,527.62,percent of total billed charges,48% of total billed charges,618.3,45,,494.64,percent of total billed charges,45% of total billed charges,525.56,38.25,,420.45,percent of total billed charges,38.25% of total billed charges,618.3,45,,494.64,percent of total billed charges,45% of total billed charges,618.3,45,,494.64,percent of total billed charges,45% of total billed charges,525.56,1357.37,
26080 ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA CHARGE,10026080,CDM,360,RC,26080,HCPCS,OUTPATIENT,,,2138,1710.4,,2031.1,95,,1624.88,percent of total billed charges,95% of total billed charges,2025.11,94.72,,1620.09,percent of total billed charges,94.72% of total billed charges,2112.13,98.79,,1689.7,percent of total billed charges,98.79% of total billed charges,2095.24,98,,1676.19,percent of total billed charges,98% of total billed charges,2095.24,98,,1676.19,percent of total billed charges,98% of total billed charges,1026.24,48,,820.99,percent of total billed charges,48% of total billed charges,962.1,45,,769.68,percent of total billed charges,45% of total billed charges,817.79,38.25,,654.23,percent of total billed charges,38.25% of total billed charges,962.1,45,,769.68,percent of total billed charges,45% of total billed charges,962.1,45,,769.68,percent of total billed charges,45% of total billed charges,817.79,2112.13,
P9612 Catheterize for urine spec TechFee,10026120,CDM,360,RC,P9612,HCPCS,OUTPATIENT,,,13,10.4,,12.35,95,,9.88,percent of total billed charges,95% of total billed charges,12.31,94.72,,9.85,percent of total billed charges,94.72% of total billed charges,12.84,98.79,,10.27,percent of total billed charges,98.79% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,12.74,98,,10.19,percent of total billed charges,98% of total billed charges,6.24,48,,4.99,percent of total billed charges,48% of total billed charges,8.83,100,,,fee schedule,100% of CMS fee schedule,7.51,85,,,fee schedule,85% of CMS fee schedule,8.83,100,,,fee schedule,100% of CMS fee schedule,8.83,100,,,fee schedule,100% of CMS fee schedule,6.24,12.84,
26123 RELEASE PALM CONTRACTURE,10026123,CDM,360,RC,26123,HCPCS,OUTPATIENT,,,3401,2720.8,,3230.95,95,,2584.76,percent of total billed charges,95% of total billed charges,3221.43,94.72,,2577.14,percent of total billed charges,94.72% of total billed charges,3359.85,98.79,,2687.88,percent of total billed charges,98.79% of total billed charges,3332.98,98,,2666.38,percent of total billed charges,98% of total billed charges,3332.98,98,,2666.38,percent of total billed charges,98% of total billed charges,1632.48,48,,1305.98,percent of total billed charges,48% of total billed charges,1530.45,45,,1224.36,percent of total billed charges,45% of total billed charges,1300.88,38.25,,1040.7,percent of total billed charges,38.25% of total billed charges,1530.45,45,,1224.36,percent of total billed charges,45% of total billed charges,1530.45,45,,1224.36,percent of total billed charges,45% of total billed charges,1300.88,3359.85,
26145 Synovectomy| tendon sheath| radical| flexor tendon| palm and/or finger| each tendon,10026145,CDM,360,RC,26145,HCPCS,OUTPATIENT,,,1462,1169.6,,1388.9,95,,1111.12,percent of total billed charges,95% of total billed charges,1384.81,94.72,,1107.85,percent of total billed charges,94.72% of total billed charges,1444.31,98.79,,1155.45,percent of total billed charges,98.79% of total billed charges,1432.76,98,,1146.21,percent of total billed charges,98% of total billed charges,1432.76,98,,1146.21,percent of total billed charges,98% of total billed charges,701.76,48,,561.41,percent of total billed charges,48% of total billed charges,657.9,45,,526.32,percent of total billed charges,45% of total billed charges,559.22,38.25,,447.38,percent of total billed charges,38.25% of total billed charges,657.9,45,,526.32,percent of total billed charges,45% of total billed charges,657.9,45,,526.32,percent of total billed charges,45% of total billed charges,559.22,1444.31,
26160 REMOVE TENDON SHEATH LESION,10026160,CDM,360,RC,26160,HCPCS,OUTPATIENT,,,1427,1141.6,,1355.65,95,,1084.52,percent of total billed charges,95% of total billed charges,1351.65,94.72,,1081.32,percent of total billed charges,94.72% of total billed charges,1409.73,98.79,,1127.78,percent of total billed charges,98.79% of total billed charges,1398.46,98,,1118.77,percent of total billed charges,98% of total billed charges,1398.46,98,,1118.77,percent of total billed charges,98% of total billed charges,684.96,48,,547.97,percent of total billed charges,48% of total billed charges,642.15,45,,513.72,percent of total billed charges,45% of total billed charges,545.83,38.25,,436.66,percent of total billed charges,38.25% of total billed charges,642.15,45,,513.72,percent of total billed charges,45% of total billed charges,642.15,45,,513.72,percent of total billed charges,45% of total billed charges,545.83,1409.73,
EXCISION HAND BONE LESION,10026200,CDM,360,RC,26200,HCPCS,OUTPATIENT,,,2045,1636,,1942.75,95,,1554.2,percent of total billed charges,95% of total billed charges,1937.02,94.72,,1549.62,percent of total billed charges,94.72% of total billed charges,2020.26,98.79,,1616.21,percent of total billed charges,98.79% of total billed charges,2004.1,98,,1603.28,percent of total billed charges,98% of total billed charges,2004.1,98,,1603.28,percent of total billed charges,98% of total billed charges,981.6,48,,785.28,percent of total billed charges,48% of total billed charges,920.25,45,,736.2,percent of total billed charges,45% of total billed charges,782.21,38.25,,625.77,percent of total billed charges,38.25% of total billed charges,920.25,45,,736.2,percent of total billed charges,45% of total billed charges,920.25,45,,736.2,percent of total billed charges,45% of total billed charges,782.21,2020.26,
26210 Excision/curettage of bone cyst/benign tumor of proxim,10026210,CDM,360,RC,26210,HCPCS,OUTPATIENT,,,1988,1590.4,,1888.6,95,,1510.88,percent of total billed charges,95% of total billed charges,1883.03,94.72,,1506.42,percent of total billed charges,94.72% of total billed charges,1963.95,98.79,,1571.16,percent of total billed charges,98.79% of total billed charges,1948.24,98,,1558.59,percent of total billed charges,98% of total billed charges,1948.24,98,,1558.59,percent of total billed charges,98% of total billed charges,954.24,48,,763.39,percent of total billed charges,48% of total billed charges,894.6,45,,715.68,percent of total billed charges,45% of total billed charges,760.41,38.25,,608.33,percent of total billed charges,38.25% of total billed charges,894.6,45,,715.68,percent of total billed charges,45% of total billed charges,894.6,45,,715.68,percent of total billed charges,45% of total billed charges,760.41,1963.95,
26236 Partial excision of bone; distal phalanx of,10026236,CDM,360,RC,26236,HCPCS,OUTPATIENT,,,2812,2249.6,,2671.4,95,,2137.12,percent of total billed charges,95% of total billed charges,2663.53,94.72,,2130.82,percent of total billed charges,94.72% of total billed charges,2777.97,98.79,,2222.38,percent of total billed charges,98.79% of total billed charges,2755.76,98,,2204.61,percent of total billed charges,98% of total billed charges,2755.76,98,,2204.61,percent of total billed charges,98% of total billed charges,1349.76,48,,1079.81,percent of total billed charges,48% of total billed charges,1265.4,45,,1012.32,percent of total billed charges,45% of total billed charges,1075.59,38.25,,860.47,percent of total billed charges,38.25% of total billed charges,1265.4,45,,1012.32,percent of total billed charges,45% of total billed charges,1265.4,45,,1012.32,percent of total billed charges,45% of total billed charges,1075.59,2777.97,
26615 OPEN TRT FX METACARPAL TechFee,10026615,CDM,360,RC,26615,HCPCS,OUTPATIENT,,,2981,2384.8,,2831.95,95,,2265.56,percent of total billed charges,95% of total billed charges,2823.6,94.72,,2258.88,percent of total billed charges,94.72% of total billed charges,2944.93,98.79,,2355.94,percent of total billed charges,98.79% of total billed charges,2921.38,98,,2337.1,percent of total billed charges,98% of total billed charges,2921.38,98,,2337.1,percent of total billed charges,98% of total billed charges,1430.88,48,,1144.7,percent of total billed charges,48% of total billed charges,1341.45,45,,1073.16,percent of total billed charges,45% of total billed charges,1140.23,38.25,,912.18,percent of total billed charges,38.25% of total billed charges,1341.45,45,,1073.16,percent of total billed charges,45% of total billed charges,1341.45,45,,1073.16,percent of total billed charges,45% of total billed charges,1140.23,2944.93,
ARTHRD CARPO/METACARPAL JT THUMB W/WO IN,10026841,CDM,360,RC,26841,HCPCS,OUTPATIENT,,,3553,2842.4,,3375.35,95,,2700.28,percent of total billed charges,95% of total billed charges,3365.4,94.72,,2692.32,percent of total billed charges,94.72% of total billed charges,3510.01,98.79,,2808.01,percent of total billed charges,98.79% of total billed charges,3481.94,98,,2785.55,percent of total billed charges,98% of total billed charges,3481.94,98,,2785.55,percent of total billed charges,98% of total billed charges,1705.44,48,,1364.35,percent of total billed charges,48% of total billed charges,1598.85,45,,1279.08,percent of total billed charges,45% of total billed charges,1359.02,38.25,,1087.22,percent of total billed charges,38.25% of total billed charges,1598.85,45,,1279.08,percent of total billed charges,45% of total billed charges,1598.85,45,,1279.08,percent of total billed charges,45% of total billed charges,1359.02,3510.01,
AMPUTATION FINGER OR THUMB SINGLE,10026951,CDM,360,RC,26951,HCPCS,OUTPATIENT,,,1770,1416,,1681.5,95,,1345.2,percent of total billed charges,95% of total billed charges,1676.54,94.72,,1341.23,percent of total billed charges,94.72% of total billed charges,1748.58,98.79,,1398.86,percent of total billed charges,98.79% of total billed charges,1734.6,98,,1387.68,percent of total billed charges,98% of total billed charges,1734.6,98,,1387.68,percent of total billed charges,98% of total billed charges,849.6,48,,679.68,percent of total billed charges,48% of total billed charges,796.5,45,,637.2,percent of total billed charges,45% of total billed charges,677.03,38.25,,541.62,percent of total billed charges,38.25% of total billed charges,796.5,45,,637.2,percent of total billed charges,45% of total billed charges,796.5,45,,637.2,percent of total billed charges,45% of total billed charges,677.03,1748.58,
DECOMP FASCIOTOMY PELVIC COMPART UNI,10027027,CDM,360,RC,27027,HCPCS,OUTPATIENT,,,4337,3469.6,,4120.15,95,,3296.12,percent of total billed charges,95% of total billed charges,4108.01,94.72,,3286.41,percent of total billed charges,94.72% of total billed charges,4284.52,98.79,,3427.62,percent of total billed charges,98.79% of total billed charges,4250.26,98,,3400.21,percent of total billed charges,98% of total billed charges,4250.26,98,,3400.21,percent of total billed charges,98% of total billed charges,2081.76,48,,1665.41,percent of total billed charges,48% of total billed charges,1951.65,45,,1561.32,percent of total billed charges,45% of total billed charges,1658.9,38.25,,1327.12,percent of total billed charges,38.25% of total billed charges,1951.65,45,,1561.32,percent of total billed charges,45% of total billed charges,1951.65,45,,1561.32,percent of total billed charges,45% of total billed charges,1658.9,4284.52,
27030 ARTHROTOMY HIP W/DRAINAGE,10027030,CDM,360,RC,27030,HCPCS,OUTPATIENT,,,5081,4064.8,,4826.95,95,,3861.56,percent of total billed charges,95% of total billed charges,4812.72,94.72,,3850.18,percent of total billed charges,94.72% of total billed charges,5019.52,98.79,,4015.62,percent of total billed charges,98.79% of total billed charges,4979.38,98,,3983.5,percent of total billed charges,98% of total billed charges,4979.38,98,,3983.5,percent of total billed charges,98% of total billed charges,2438.88,48,,1951.1,percent of total billed charges,48% of total billed charges,2286.45,45,,1829.16,percent of total billed charges,45% of total billed charges,1943.48,38.25,,1554.78,percent of total billed charges,38.25% of total billed charges,2286.45,45,,1829.16,percent of total billed charges,45% of total billed charges,2286.45,45,,1829.16,percent of total billed charges,45% of total billed charges,1943.48,5019.52,
27043 Excision| tumor| soft tissue of pelvis,10027043,CDM,360,RC,27043,HCPCS,OUTPATIENT,,,2121,1696.8,,2014.95,95,,1611.96,percent of total billed charges,95% of total billed charges,2009.01,94.72,,1607.21,percent of total billed charges,94.72% of total billed charges,2095.34,98.79,,1676.27,percent of total billed charges,98.79% of total billed charges,2078.58,98,,1662.86,percent of total billed charges,98% of total billed charges,2078.58,98,,1662.86,percent of total billed charges,98% of total billed charges,1018.08,48,,814.46,percent of total billed charges,48% of total billed charges,954.45,45,,763.56,percent of total billed charges,45% of total billed charges,811.28,38.25,,649.02,percent of total billed charges,38.25% of total billed charges,954.45,45,,763.56,percent of total billed charges,45% of total billed charges,954.45,45,,763.56,percent of total billed charges,45% of total billed charges,811.28,2095.34,
27130 TOTAL HIP ARTHROPLASTY,10027130,CDM,360,RC,27130,HCPCS,OUTPATIENT,,,7521,6016.8,,7144.95,95,,5715.96,percent of total billed charges,95% of total billed charges,7123.89,94.72,,5699.11,percent of total billed charges,94.72% of total billed charges,7430,98.79,,5944,percent of total billed charges,98.79% of total billed charges,7370.58,98,,5896.46,percent of total billed charges,98% of total billed charges,7370.58,98,,5896.46,percent of total billed charges,98% of total billed charges,3610.08,48,,2888.06,percent of total billed charges,48% of total billed charges,3384.45,45,,2707.56,percent of total billed charges,45% of total billed charges,2876.78,38.25,,2301.42,percent of total billed charges,38.25% of total billed charges,3384.45,45,,2707.56,percent of total billed charges,45% of total billed charges,3384.45,45,,2707.56,percent of total billed charges,45% of total billed charges,2876.78,7430,
27134 Revision of total hip arthroplasty; both components| with or without autograft or allograft,10027134,CDM,360,RC,27134,HCPCS,OUTPATIENT,,,11777,9421.6,,11188.15,95,,8950.52,percent of total billed charges,95% of total billed charges,11155.17,94.72,,8924.14,percent of total billed charges,94.72% of total billed charges,11634.5,98.79,,9307.6,percent of total billed charges,98.79% of total billed charges,11541.46,98,,9233.17,percent of total billed charges,98% of total billed charges,11541.46,98,,9233.17,percent of total billed charges,98% of total billed charges,5652.96,48,,4522.37,percent of total billed charges,48% of total billed charges,5299.65,45,,4239.72,percent of total billed charges,45% of total billed charges,4504.7,38.25,,3603.76,percent of total billed charges,38.25% of total billed charges,5299.65,45,,4239.72,percent of total billed charges,45% of total billed charges,5299.65,45,,4239.72,percent of total billed charges,45% of total billed charges,4504.7,11634.5,
27236 Open treatment of femoral fracture| proximal end| neck| internal fixation,10027236,CDM,360,RC,27236,HCPCS,OUTPATIENT,,,7021,5616.8,,6669.95,95,,5335.96,percent of total billed charges,95% of total billed charges,6650.29,94.72,,5320.23,percent of total billed charges,94.72% of total billed charges,6936.05,98.79,,5548.84,percent of total billed charges,98.79% of total billed charges,6880.58,98,,5504.46,percent of total billed charges,98% of total billed charges,6880.58,98,,5504.46,percent of total billed charges,98% of total billed charges,3370.08,48,,2696.06,percent of total billed charges,48% of total billed charges,3159.45,45,,2527.56,percent of total billed charges,45% of total billed charges,2685.53,38.25,,2148.42,percent of total billed charges,38.25% of total billed charges,3159.45,45,,2527.56,percent of total billed charges,45% of total billed charges,3159.45,45,,2527.56,percent of total billed charges,45% of total billed charges,2685.53,6936.05,
27245 Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant,10027245,CDM,360,RC,27245,HCPCS,OUTPATIENT,,,9421,7536.8,,8949.95,95,,7159.96,percent of total billed charges,95% of total billed charges,8923.57,94.72,,7138.86,percent of total billed charges,94.72% of total billed charges,9307.01,98.79,,7445.61,percent of total billed charges,98.79% of total billed charges,9232.58,98,,7386.06,percent of total billed charges,98% of total billed charges,9232.58,98,,7386.06,percent of total billed charges,98% of total billed charges,4522.08,48,,3617.66,percent of total billed charges,48% of total billed charges,4239.45,45,,3391.56,percent of total billed charges,45% of total billed charges,3603.53,38.25,,2882.82,percent of total billed charges,38.25% of total billed charges,4239.45,45,,3391.56,percent of total billed charges,45% of total billed charges,4239.45,45,,3391.56,percent of total billed charges,45% of total billed charges,3603.53,9307.01,
27327 EXC THIGH/KNEE LES SC < 3 CM,10027327,CDM,360,RC,27327,HCPCS,OUTPATIENT,,,1742,1393.6,,1654.9,95,,1323.92,percent of total billed charges,95% of total billed charges,1650.02,94.72,,1320.02,percent of total billed charges,94.72% of total billed charges,1720.92,98.79,,1376.74,percent of total billed charges,98.79% of total billed charges,1707.16,98,,1365.73,percent of total billed charges,98% of total billed charges,1707.16,98,,1365.73,percent of total billed charges,98% of total billed charges,836.16,48,,668.93,percent of total billed charges,48% of total billed charges,783.9,45,,627.12,percent of total billed charges,45% of total billed charges,666.32,38.25,,533.06,percent of total billed charges,38.25% of total billed charges,783.9,45,,627.12,percent of total billed charges,45% of total billed charges,783.9,45,,627.12,percent of total billed charges,45% of total billed charges,666.32,1720.92,
27337 EXC THIGH/KNEE LES SC 3 CM/>,10027337,CDM,360,RC,27337,HCPCS,OUTPATIENT,,,2391,1912.8,,2271.45,95,,1817.16,percent of total billed charges,95% of total billed charges,2264.76,94.72,,1811.81,percent of total billed charges,94.72% of total billed charges,2362.07,98.79,,1889.66,percent of total billed charges,98.79% of total billed charges,2343.18,98,,1874.54,percent of total billed charges,98% of total billed charges,2343.18,98,,1874.54,percent of total billed charges,98% of total billed charges,1147.68,48,,918.14,percent of total billed charges,48% of total billed charges,1075.95,45,,860.76,percent of total billed charges,45% of total billed charges,914.56,38.25,,731.65,percent of total billed charges,38.25% of total billed charges,1075.95,45,,860.76,percent of total billed charges,45% of total billed charges,1075.95,45,,860.76,percent of total billed charges,45% of total billed charges,914.56,2362.07,
Excision| prepatellar bursa 27340,10027340,CDM,360,RC,27340,HCPCS,OUTPATIENT,,,3214,2571.2,,3053.3,95,,2442.64,percent of total billed charges,95% of total billed charges,3044.3,94.72,,2435.44,percent of total billed charges,94.72% of total billed charges,3175.11,98.79,,2540.09,percent of total billed charges,98.79% of total billed charges,3149.72,98,,2519.78,percent of total billed charges,98% of total billed charges,3149.72,98,,2519.78,percent of total billed charges,98% of total billed charges,1542.72,48,,1234.18,percent of total billed charges,48% of total billed charges,1446.3,45,,1157.04,percent of total billed charges,45% of total billed charges,1229.36,38.25,,983.49,percent of total billed charges,38.25% of total billed charges,1446.3,45,,1157.04,percent of total billed charges,45% of total billed charges,1446.3,45,,1157.04,percent of total billed charges,45% of total billed charges,1229.36,3175.11,
27355 EXCISION/CURETTAGE CYST/TUMOR FEMUR,10027355,CDM,360,RC,27355,HCPCS,OUTPATIENT,,,3812,3049.6,,3621.4,95,,2897.12,percent of total billed charges,95% of total billed charges,3610.73,94.72,,2888.58,percent of total billed charges,94.72% of total billed charges,3765.87,98.79,,3012.7,percent of total billed charges,98.79% of total billed charges,3735.76,98,,2988.61,percent of total billed charges,98% of total billed charges,3735.76,98,,2988.61,percent of total billed charges,98% of total billed charges,1829.76,48,,1463.81,percent of total billed charges,48% of total billed charges,1715.4,45,,1372.32,percent of total billed charges,45% of total billed charges,1458.09,38.25,,1166.47,percent of total billed charges,38.25% of total billed charges,1715.4,45,,1372.32,percent of total billed charges,45% of total billed charges,1715.4,45,,1372.32,percent of total billed charges,45% of total billed charges,1458.09,3765.87,
27380 Suture of infrapatellar tendon; primary,10027380,CDM,360,RC,27380,HCPCS,OUTPATIENT,,,3924,3139.2,,3727.8,95,,2982.24,percent of total billed charges,95% of total billed charges,3716.81,94.72,,2973.45,percent of total billed charges,94.72% of total billed charges,3876.52,98.79,,3101.22,percent of total billed charges,98.79% of total billed charges,3845.52,98,,3076.42,percent of total billed charges,98% of total billed charges,3845.52,98,,3076.42,percent of total billed charges,98% of total billed charges,1883.52,48,,1506.82,percent of total billed charges,48% of total billed charges,1765.8,45,,1412.64,percent of total billed charges,45% of total billed charges,1500.93,38.25,,1200.74,percent of total billed charges,38.25% of total billed charges,1765.8,45,,1412.64,percent of total billed charges,45% of total billed charges,1765.8,45,,1412.64,percent of total billed charges,45% of total billed charges,1500.93,3876.52,
27446 Arthroplasty| knee| condyle and plateau; med,10027446,CDM,360,RC,27446,HCPCS,OUTPATIENT,,,6239,4991.2,,5927.05,95,,4741.64,percent of total billed charges,95% of total billed charges,5909.58,94.72,,4727.66,percent of total billed charges,94.72% of total billed charges,6163.51,98.79,,4930.81,percent of total billed charges,98.79% of total billed charges,6114.22,98,,4891.38,percent of total billed charges,98% of total billed charges,6114.22,98,,4891.38,percent of total billed charges,98% of total billed charges,2994.72,48,,2395.78,percent of total billed charges,48% of total billed charges,2807.55,45,,2246.04,percent of total billed charges,45% of total billed charges,2386.42,38.25,,1909.14,percent of total billed charges,38.25% of total billed charges,2807.55,45,,2246.04,percent of total billed charges,45% of total billed charges,2807.55,45,,2246.04,percent of total billed charges,45% of total billed charges,2386.42,6163.51,
27535 Open treatment of tibial fracture| proximal Tech Fee,10027535,CDM,360,RC,27535,HCPCS,OUTPATIENT,,,4959,3967.2,,4711.05,95,,3768.84,percent of total billed charges,95% of total billed charges,4697.16,94.72,,3757.73,percent of total billed charges,94.72% of total billed charges,4899,98.79,,3919.2,percent of total billed charges,98.79% of total billed charges,4859.82,98,,3887.86,percent of total billed charges,98% of total billed charges,4859.82,98,,3887.86,percent of total billed charges,98% of total billed charges,2380.32,48,,1904.26,percent of total billed charges,48% of total billed charges,2231.55,45,,1785.24,percent of total billed charges,45% of total billed charges,1896.82,38.25,,1517.46,percent of total billed charges,38.25% of total billed charges,2231.55,45,,1785.24,percent of total billed charges,45% of total billed charges,2231.55,45,,1785.24,percent of total billed charges,45% of total billed charges,1896.82,4899,
27566 OPEN TREATMENT OF PATELLAR DISLOCATION| WITH OR WITHOU,10027566,CDM,360,RC,27566,HCPCS,OUTPATIENT,,,4362,3489.6,,4143.9,95,,3315.12,percent of total billed charges,95% of total billed charges,4131.69,94.72,,3305.35,percent of total billed charges,94.72% of total billed charges,4309.22,98.79,,3447.38,percent of total billed charges,98.79% of total billed charges,4274.76,98,,3419.81,percent of total billed charges,98% of total billed charges,4274.76,98,,3419.81,percent of total billed charges,98% of total billed charges,2093.76,48,,1675.01,percent of total billed charges,48% of total billed charges,1962.9,45,,1570.32,percent of total billed charges,45% of total billed charges,1668.47,38.25,,1334.78,percent of total billed charges,38.25% of total billed charges,1962.9,45,,1570.32,percent of total billed charges,45% of total billed charges,1962.9,45,,1570.32,percent of total billed charges,45% of total billed charges,1668.47,4309.22,
27635 EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA,10027635,CDM,360,RC,27635,HCPCS,OUTPATIENT,,,3470,2776,,3296.5,95,,2637.2,percent of total billed charges,95% of total billed charges,3286.78,94.72,,2629.42,percent of total billed charges,94.72% of total billed charges,3428.01,98.79,,2742.41,percent of total billed charges,98.79% of total billed charges,3400.6,98,,2720.48,percent of total billed charges,98% of total billed charges,3400.6,98,,2720.48,percent of total billed charges,98% of total billed charges,1665.6,48,,1332.48,percent of total billed charges,48% of total billed charges,1561.5,45,,1249.2,percent of total billed charges,45% of total billed charges,1327.28,38.25,,1061.82,percent of total billed charges,38.25% of total billed charges,1561.5,45,,1249.2,percent of total billed charges,45% of total billed charges,1561.5,45,,1249.2,percent of total billed charges,45% of total billed charges,1327.28,3428.01,
27640 Partial excision| bone; tibia,10027640,CDM,360,RC,27640,HCPCS,OUTPATIENT,,,6078,4862.4,,5774.1,95,,4619.28,percent of total billed charges,95% of total billed charges,5757.08,94.72,,4605.66,percent of total billed charges,94.72% of total billed charges,6004.46,98.79,,4803.57,percent of total billed charges,98.79% of total billed charges,5956.44,98,,4765.15,percent of total billed charges,98% of total billed charges,5956.44,98,,4765.15,percent of total billed charges,98% of total billed charges,2917.44,48,,2333.95,percent of total billed charges,48% of total billed charges,2735.1,45,,2188.08,percent of total billed charges,45% of total billed charges,2324.84,38.25,,1859.87,percent of total billed charges,38.25% of total billed charges,2735.1,45,,2188.08,percent of total billed charges,45% of total billed charges,2735.1,45,,2188.08,percent of total billed charges,45% of total billed charges,2324.84,6004.46,
27685 Lengthening or shortening of tendon| leg or ankle; sin,10027685,CDM,360,RC,27685,HCPCS,OUTPATIENT,,,4436,3548.8,,4214.2,95,,3371.36,percent of total billed charges,95% of total billed charges,4201.78,94.72,,3361.42,percent of total billed charges,94.72% of total billed charges,4382.32,98.79,,3505.86,percent of total billed charges,98.79% of total billed charges,4347.28,98,,3477.82,percent of total billed charges,98% of total billed charges,4347.28,98,,3477.82,percent of total billed charges,98% of total billed charges,2129.28,48,,1703.42,percent of total billed charges,48% of total billed charges,1996.2,45,,1596.96,percent of total billed charges,45% of total billed charges,1696.77,38.25,,1357.42,percent of total billed charges,38.25% of total billed charges,1996.2,45,,1596.96,percent of total billed charges,45% of total billed charges,1996.2,45,,1596.96,percent of total billed charges,45% of total billed charges,1696.77,4382.32,
27687 Gastrocnemius recession (eg| Strayer procedure),10027687,CDM,360,RC,27687,HCPCS,OUTPATIENT,,,5355,4284,,5087.25,95,,4069.8,percent of total billed charges,95% of total billed charges,5072.26,94.72,,4057.81,percent of total billed charges,94.72% of total billed charges,5290.2,98.79,,4232.16,percent of total billed charges,98.79% of total billed charges,5247.9,98,,4198.32,percent of total billed charges,98% of total billed charges,5247.9,98,,4198.32,percent of total billed charges,98% of total billed charges,2570.4,48,,2056.32,percent of total billed charges,48% of total billed charges,2409.75,45,,1927.8,percent of total billed charges,45% of total billed charges,2048.29,38.25,,1638.63,percent of total billed charges,38.25% of total billed charges,2409.75,45,,1927.8,percent of total billed charges,45% of total billed charges,2409.75,45,,1927.8,percent of total billed charges,45% of total billed charges,2048.29,5290.2,
27720 Repair of nonunion or malunion| tibia; witho,10027720,CDM,360,RC,27720,HCPCS,OUTPATIENT,,,5395,4316,,5125.25,95,,4100.2,percent of total billed charges,95% of total billed charges,5110.14,94.72,,4088.11,percent of total billed charges,94.72% of total billed charges,5329.72,98.79,,4263.78,percent of total billed charges,98.79% of total billed charges,5287.1,98,,4229.68,percent of total billed charges,98% of total billed charges,5287.1,98,,4229.68,percent of total billed charges,98% of total billed charges,2589.6,48,,2071.68,percent of total billed charges,48% of total billed charges,2427.75,45,,1942.2,percent of total billed charges,45% of total billed charges,2063.59,38.25,,1650.87,percent of total billed charges,38.25% of total billed charges,2427.75,45,,1942.2,percent of total billed charges,45% of total billed charges,2427.75,45,,1942.2,percent of total billed charges,45% of total billed charges,2063.59,5329.72,
27762 Closed treatment of medial malleolus fracture; with ma,10027762,CDM,360,RC,27762,HCPCS,OUTPATIENT,,,2526,2020.8,,2399.7,95,,1919.76,percent of total billed charges,95% of total billed charges,2392.63,94.72,,1914.1,percent of total billed charges,94.72% of total billed charges,2495.44,98.79,,1996.35,percent of total billed charges,98.79% of total billed charges,2475.48,98,,1980.38,percent of total billed charges,98% of total billed charges,2475.48,98,,1980.38,percent of total billed charges,98% of total billed charges,1212.48,48,,969.98,percent of total billed charges,48% of total billed charges,1136.7,45,,909.36,percent of total billed charges,45% of total billed charges,966.2,38.25,,772.96,percent of total billed charges,38.25% of total billed charges,1136.7,45,,909.36,percent of total billed charges,45% of total billed charges,1136.7,45,,909.36,percent of total billed charges,45% of total billed charges,966.2,2495.44,
Open treatment of medial malleolus fracture| includes intern,10027766,CDM,360,RC,27766,HCPCS,OUTPATIENT,,,4422,3537.6,,4200.9,95,,3360.72,percent of total billed charges,95% of total billed charges,4188.52,94.72,,3350.82,percent of total billed charges,94.72% of total billed charges,4368.49,98.79,,3494.79,percent of total billed charges,98.79% of total billed charges,4333.56,98,,3466.85,percent of total billed charges,98% of total billed charges,4333.56,98,,3466.85,percent of total billed charges,98% of total billed charges,2122.56,48,,1698.05,percent of total billed charges,48% of total billed charges,1989.9,45,,1591.92,percent of total billed charges,45% of total billed charges,1691.42,38.25,,1353.14,percent of total billed charges,38.25% of total billed charges,1989.9,45,,1591.92,percent of total billed charges,45% of total billed charges,1989.9,45,,1591.92,percent of total billed charges,45% of total billed charges,1691.42,4368.49,
OPEN TX OF FX BOTH TIBIA  FIBULA,10027828,CDM,360,RC,27828,HCPCS,OUTPATIENT,,,6863,5490.4,,6519.85,95,,5215.88,percent of total billed charges,95% of total billed charges,6500.63,94.72,,5200.5,percent of total billed charges,94.72% of total billed charges,6779.96,98.79,,5423.97,percent of total billed charges,98.79% of total billed charges,6725.74,98,,5380.59,percent of total billed charges,98% of total billed charges,6725.74,98,,5380.59,percent of total billed charges,98% of total billed charges,3294.24,48,,2635.39,percent of total billed charges,48% of total billed charges,3088.35,45,,2470.68,percent of total billed charges,45% of total billed charges,2625.1,38.25,,2100.08,percent of total billed charges,38.25% of total billed charges,3088.35,45,,2470.68,percent of total billed charges,45% of total billed charges,3088.35,45,,2470.68,percent of total billed charges,45% of total billed charges,2625.1,6779.96,
28010 Tenotomy| percutaneous| toe; singl tendon,10028010,CDM,360,RC,28010,HCPCS,OUTPATIENT,,,872,697.6,,828.4,95,,662.72,percent of total billed charges,95% of total billed charges,825.96,94.72,,660.77,percent of total billed charges,94.72% of total billed charges,861.45,98.79,,689.16,percent of total billed charges,98.79% of total billed charges,854.56,98,,683.65,percent of total billed charges,98% of total billed charges,854.56,98,,683.65,percent of total billed charges,98% of total billed charges,418.56,48,,334.85,percent of total billed charges,48% of total billed charges,392.4,45,,313.92,percent of total billed charges,45% of total billed charges,333.54,38.25,,266.83,percent of total billed charges,38.25% of total billed charges,392.4,45,,313.92,percent of total billed charges,45% of total billed charges,392.4,45,,313.92,percent of total billed charges,45% of total billed charges,333.54,861.45,
28011 Tenotomy| percutaneous| toe; multiple tendon,10028011,CDM,360,RC,28011,HCPCS,OUTPATIENT,,,1230,984,,1168.5,95,,934.8,percent of total billed charges,95% of total billed charges,1165.06,94.72,,932.05,percent of total billed charges,94.72% of total billed charges,1215.12,98.79,,972.1,percent of total billed charges,98.79% of total billed charges,1205.4,98,,964.32,percent of total billed charges,98% of total billed charges,1205.4,98,,964.32,percent of total billed charges,98% of total billed charges,590.4,48,,472.32,percent of total billed charges,48% of total billed charges,553.5,45,,442.8,percent of total billed charges,45% of total billed charges,470.48,38.25,,376.38,percent of total billed charges,38.25% of total billed charges,553.5,45,,442.8,percent of total billed charges,45% of total billed charges,553.5,45,,442.8,percent of total billed charges,45% of total billed charges,470.48,1215.12,
28039 EXC FOOT/TOE TUM SC 1.5 CM/>,10028039,CDM,360,RC,28039,HCPCS,OUTPATIENT,,,2033,1626.4,,1931.35,95,,1545.08,percent of total billed charges,95% of total billed charges,1925.66,94.72,,1540.53,percent of total billed charges,94.72% of total billed charges,2008.4,98.79,,1606.72,percent of total billed charges,98.79% of total billed charges,1992.34,98,,1593.87,percent of total billed charges,98% of total billed charges,1992.34,98,,1593.87,percent of total billed charges,98% of total billed charges,975.84,48,,780.67,percent of total billed charges,48% of total billed charges,914.85,45,,731.88,percent of total billed charges,45% of total billed charges,777.62,38.25,,622.1,percent of total billed charges,38.25% of total billed charges,914.85,45,,731.88,percent of total billed charges,45% of total billed charges,914.85,45,,731.88,percent of total billed charges,45% of total billed charges,777.62,2008.4,
28041 EXC FOOT/TOE TUM DEP 1.5CM/>,10028041,CDM,360,RC,28041,HCPCS,OUTPATIENT,,,2242,1793.6,,2129.9,95,,1703.92,percent of total billed charges,95% of total billed charges,2123.62,94.72,,1698.9,percent of total billed charges,94.72% of total billed charges,2214.87,98.79,,1771.9,percent of total billed charges,98.79% of total billed charges,2197.16,98,,1757.73,percent of total billed charges,98% of total billed charges,2197.16,98,,1757.73,percent of total billed charges,98% of total billed charges,1076.16,48,,860.93,percent of total billed charges,48% of total billed charges,1008.9,45,,807.12,percent of total billed charges,45% of total billed charges,857.57,38.25,,686.06,percent of total billed charges,38.25% of total billed charges,1008.9,45,,807.12,percent of total billed charges,45% of total billed charges,1008.9,45,,807.12,percent of total billed charges,45% of total billed charges,857.57,2214.87,
28043 EXC FOOT/TOE TUM SC < 1.5 CM,10028043,CDM,360,RC,28043,HCPCS,OUTPATIENT,,,1346,1076.8,,1278.7,95,,1022.96,percent of total billed charges,95% of total billed charges,1274.93,94.72,,1019.94,percent of total billed charges,94.72% of total billed charges,1329.71,98.79,,1063.77,percent of total billed charges,98.79% of total billed charges,1319.08,98,,1055.26,percent of total billed charges,98% of total billed charges,1319.08,98,,1055.26,percent of total billed charges,98% of total billed charges,646.08,48,,516.86,percent of total billed charges,48% of total billed charges,605.7,45,,484.56,percent of total billed charges,45% of total billed charges,514.85,38.25,,411.88,percent of total billed charges,38.25% of total billed charges,605.7,45,,484.56,percent of total billed charges,45% of total billed charges,605.7,45,,484.56,percent of total billed charges,45% of total billed charges,514.85,1329.71,
28045 EXC FOOT/TOE TUM DEEP <1.5CM,10028045,CDM,360,RC,28045,HCPCS,OUTPATIENT,,,1848,1478.4,,1755.6,95,,1404.48,percent of total billed charges,95% of total billed charges,1750.43,94.72,,1400.34,percent of total billed charges,94.72% of total billed charges,1825.64,98.79,,1460.51,percent of total billed charges,98.79% of total billed charges,1811.04,98,,1448.83,percent of total billed charges,98% of total billed charges,1811.04,98,,1448.83,percent of total billed charges,98% of total billed charges,887.04,48,,709.63,percent of total billed charges,48% of total billed charges,831.6,45,,665.28,percent of total billed charges,45% of total billed charges,706.86,38.25,,565.49,percent of total billed charges,38.25% of total billed charges,831.6,45,,665.28,percent of total billed charges,45% of total billed charges,831.6,45,,665.28,percent of total billed charges,45% of total billed charges,706.86,1825.64,
28080 Excision| interdigital neuroma| single| ea,10028080,CDM,360,RC,28080,HCPCS,OUTPATIENT,,,1997,1597.6,,1897.15,95,,1517.72,percent of total billed charges,95% of total billed charges,1891.56,94.72,,1513.25,percent of total billed charges,94.72% of total billed charges,1972.84,98.79,,1578.27,percent of total billed charges,98.79% of total billed charges,1957.06,98,,1565.65,percent of total billed charges,98% of total billed charges,1957.06,98,,1565.65,percent of total billed charges,98% of total billed charges,958.56,48,,766.85,percent of total billed charges,48% of total billed charges,898.65,45,,718.92,percent of total billed charges,45% of total billed charges,763.85,38.25,,611.08,percent of total billed charges,38.25% of total billed charges,898.65,45,,718.92,percent of total billed charges,45% of total billed charges,898.65,45,,718.92,percent of total billed charges,45% of total billed charges,763.85,1972.84,
28090 REMOVAL OF FOOT LESION,10028090,CDM,360,RC,28090,HCPCS,OUTPATIENT,,,1792,1433.6,,1702.4,95,,1361.92,percent of total billed charges,95% of total billed charges,1697.38,94.72,,1357.9,percent of total billed charges,94.72% of total billed charges,1770.32,98.79,,1416.26,percent of total billed charges,98.79% of total billed charges,1756.16,98,,1404.93,percent of total billed charges,98% of total billed charges,1756.16,98,,1404.93,percent of total billed charges,98% of total billed charges,860.16,48,,688.13,percent of total billed charges,48% of total billed charges,806.4,45,,645.12,percent of total billed charges,45% of total billed charges,685.44,38.25,,548.35,percent of total billed charges,38.25% of total billed charges,806.4,45,,645.12,percent of total billed charges,45% of total billed charges,806.4,45,,645.12,percent of total billed charges,45% of total billed charges,685.44,1770.32,
28106 EXCISION CURETTAGE BONE CYST BENIGN TUMOR TA,10028106,CDM,360,RC,28106,HCPCS,OUTPATIENT,,,3774,3019.2,,3585.3,95,,2868.24,percent of total billed charges,95% of total billed charges,3574.73,94.72,,2859.78,percent of total billed charges,94.72% of total billed charges,3728.33,98.79,,2982.66,percent of total billed charges,98.79% of total billed charges,3698.52,98,,2958.82,percent of total billed charges,98% of total billed charges,3698.52,98,,2958.82,percent of total billed charges,98% of total billed charges,1811.52,48,,1449.22,percent of total billed charges,48% of total billed charges,1698.3,45,,1358.64,percent of total billed charges,45% of total billed charges,1443.56,38.25,,1154.85,percent of total billed charges,38.25% of total billed charges,1698.3,45,,1358.64,percent of total billed charges,45% of total billed charges,1698.3,45,,1358.64,percent of total billed charges,45% of total billed charges,1443.56,3728.33,
28112 OSTECTOMY COMPLETE OTHER METATARSAL HEAD,10028112,CDM,360,RC,28112,HCPCS,OUTPATIENT,,,1848,1478.4,,1755.6,95,,1404.48,percent of total billed charges,95% of total billed charges,1750.43,94.72,,1400.34,percent of total billed charges,94.72% of total billed charges,1825.64,98.79,,1460.51,percent of total billed charges,98.79% of total billed charges,1811.04,98,,1448.83,percent of total billed charges,98% of total billed charges,1811.04,98,,1448.83,percent of total billed charges,98% of total billed charges,887.04,48,,709.63,percent of total billed charges,48% of total billed charges,831.6,45,,665.28,percent of total billed charges,45% of total billed charges,706.86,38.25,,565.49,percent of total billed charges,38.25% of total billed charges,831.6,45,,665.28,percent of total billed charges,45% of total billed charges,831.6,45,,665.28,percent of total billed charges,45% of total billed charges,706.86,1825.64,
28160 PARTIAL REMOVAL OF TOE,10028160,CDM,360,RC,28160,HCPCS,OUTPATIENT,,,2713,2170.4,,2577.35,95,,2061.88,percent of total billed charges,95% of total billed charges,2569.75,94.72,,2055.8,percent of total billed charges,94.72% of total billed charges,2680.17,98.79,,2144.14,percent of total billed charges,98.79% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,1302.24,48,,1041.79,percent of total billed charges,48% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,38.25,,830.18,percent of total billed charges,38.25% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,2680.17,
28225 TENOLYSIS| EXTENSOR| FOOT; SINGLE TENDON,10028225,CDM,360,RC,28225,HCPCS,OUTPATIENT,,,1334,1067.2,,1267.3,95,,1013.84,percent of total billed charges,95% of total billed charges,1263.56,94.72,,1010.85,percent of total billed charges,94.72% of total billed charges,1317.86,98.79,,1054.29,percent of total billed charges,98.79% of total billed charges,1307.32,98,,1045.86,percent of total billed charges,98% of total billed charges,1307.32,98,,1045.86,percent of total billed charges,98% of total billed charges,640.32,48,,512.26,percent of total billed charges,48% of total billed charges,600.3,45,,480.24,percent of total billed charges,45% of total billed charges,510.26,38.25,,408.21,percent of total billed charges,38.25% of total billed charges,600.3,45,,480.24,percent of total billed charges,45% of total billed charges,600.3,45,,480.24,percent of total billed charges,45% of total billed charges,510.26,1317.86,
28232 Tenotomy| open| tendon flexor; toe| single tendon (sep,10028232,CDM,360,RC,28232,HCPCS,OUTPATIENT,,,426,340.8,,404.7,95,,323.76,percent of total billed charges,95% of total billed charges,403.51,94.72,,322.81,percent of total billed charges,94.72% of total billed charges,420.85,98.79,,336.68,percent of total billed charges,98.79% of total billed charges,417.48,98,,333.98,percent of total billed charges,98% of total billed charges,417.48,98,,333.98,percent of total billed charges,98% of total billed charges,204.48,48,,163.58,percent of total billed charges,48% of total billed charges,191.7,45,,153.36,percent of total billed charges,45% of total billed charges,162.95,38.25,,130.36,percent of total billed charges,38.25% of total billed charges,191.7,45,,153.36,percent of total billed charges,45% of total billed charges,191.7,45,,153.36,percent of total billed charges,45% of total billed charges,162.95,420.85,
28234 Tenotomy| open| extensor| foot or toe| each tendon,10028234,CDM,360,RC,28234,HCPCS,OUTPATIENT,,,1356,1084.8,,1288.2,95,,1030.56,percent of total billed charges,95% of total billed charges,1284.4,94.72,,1027.52,percent of total billed charges,94.72% of total billed charges,1339.59,98.79,,1071.67,percent of total billed charges,98.79% of total billed charges,1328.88,98,,1063.1,percent of total billed charges,98% of total billed charges,1328.88,98,,1063.1,percent of total billed charges,98% of total billed charges,650.88,48,,520.7,percent of total billed charges,48% of total billed charges,610.2,45,,488.16,percent of total billed charges,45% of total billed charges,518.67,38.25,,414.94,percent of total billed charges,38.25% of total billed charges,610.2,45,,488.16,percent of total billed charges,45% of total billed charges,610.2,45,,488.16,percent of total billed charges,45% of total billed charges,518.67,1339.59,
28240 RELEASE OF BIG TOE,10028240,CDM,360,RC,28240,HCPCS,OUTPATIENT,,,1332,1065.6,,1265.4,95,,1012.32,percent of total billed charges,95% of total billed charges,1261.67,94.72,,1009.34,percent of total billed charges,94.72% of total billed charges,1315.88,98.79,,1052.7,percent of total billed charges,98.79% of total billed charges,1305.36,98,,1044.29,percent of total billed charges,98% of total billed charges,1305.36,98,,1044.29,percent of total billed charges,98% of total billed charges,639.36,48,,511.49,percent of total billed charges,48% of total billed charges,599.4,45,,479.52,percent of total billed charges,45% of total billed charges,509.49,38.25,,407.59,percent of total billed charges,38.25% of total billed charges,599.4,45,,479.52,percent of total billed charges,45% of total billed charges,599.4,45,,479.52,percent of total billed charges,45% of total billed charges,509.49,1315.88,
Capsulotomy/interphalan jnt/ea jnt 28272,10028272,CDM,360,RC,28272,HCPCS,OUTPATIENT,,,1183,946.4,,1123.85,95,,899.08,percent of total billed charges,95% of total billed charges,1120.54,94.72,,896.43,percent of total billed charges,94.72% of total billed charges,1168.69,98.79,,934.95,percent of total billed charges,98.79% of total billed charges,1159.34,98,,927.47,percent of total billed charges,98% of total billed charges,1159.34,98,,927.47,percent of total billed charges,98% of total billed charges,567.84,48,,454.27,percent of total billed charges,48% of total billed charges,532.35,45,,425.88,percent of total billed charges,45% of total billed charges,452.5,38.25,,362,percent of total billed charges,38.25% of total billed charges,532.35,45,,425.88,percent of total billed charges,45% of total billed charges,532.35,45,,425.88,percent of total billed charges,45% of total billed charges,452.5,1168.69,
28285 REPAIR OF HAMMERTOE,10028285,CDM,360,RC,28285,HCPCS,OUTPATIENT,,,1944,1555.2,,1846.8,95,,1477.44,percent of total billed charges,95% of total billed charges,1841.36,94.72,,1473.09,percent of total billed charges,94.72% of total billed charges,1920.48,98.79,,1536.38,percent of total billed charges,98.79% of total billed charges,1905.12,98,,1524.1,percent of total billed charges,98% of total billed charges,1905.12,98,,1524.1,percent of total billed charges,98% of total billed charges,933.12,48,,746.5,percent of total billed charges,48% of total billed charges,874.8,45,,699.84,percent of total billed charges,45% of total billed charges,743.58,38.25,,594.86,percent of total billed charges,38.25% of total billed charges,874.8,45,,699.84,percent of total billed charges,45% of total billed charges,874.8,45,,699.84,percent of total billed charges,45% of total billed charges,743.58,1920.48,
28288 PARTIAL REMOVAL OF FOOT BONE,10028288,CDM,360,RC,28288,HCPCS,OUTPATIENT,,,2713,2170.4,,2577.35,95,,2061.88,percent of total billed charges,95% of total billed charges,2569.75,94.72,,2055.8,percent of total billed charges,94.72% of total billed charges,2680.17,98.79,,2144.14,percent of total billed charges,98.79% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,1302.24,48,,1041.79,percent of total billed charges,48% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,38.25,,830.18,percent of total billed charges,38.25% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,2680.17,
28289 Hallux rigidus correction with cheilectomy| debrid tec,10028289,CDM,360,RC,28289,HCPCS,OUTPATIENT,,,2633,2106.4,,2501.35,95,,2001.08,percent of total billed charges,95% of total billed charges,2493.98,94.72,,1995.18,percent of total billed charges,94.72% of total billed charges,2601.14,98.79,,2080.91,percent of total billed charges,98.79% of total billed charges,2580.34,98,,2064.27,percent of total billed charges,98% of total billed charges,2580.34,98,,2064.27,percent of total billed charges,98% of total billed charges,1263.84,48,,1011.07,percent of total billed charges,48% of total billed charges,1184.85,45,,947.88,percent of total billed charges,45% of total billed charges,1007.12,38.25,,805.7,percent of total billed charges,38.25% of total billed charges,1184.85,45,,947.88,percent of total billed charges,45% of total billed charges,1184.85,45,,947.88,percent of total billed charges,45% of total billed charges,1007.12,2601.14,
28291 CORRJ HALUX RIGDUS W/IMPLT,10028291,CDM,360,RC,28291,HCPCS,OUTPATIENT,,,3594,2875.2,,3414.3,95,,2731.44,percent of total billed charges,95% of total billed charges,3404.24,94.72,,2723.39,percent of total billed charges,94.72% of total billed charges,3550.51,98.79,,2840.41,percent of total billed charges,98.79% of total billed charges,3522.12,98,,2817.7,percent of total billed charges,98% of total billed charges,3522.12,98,,2817.7,percent of total billed charges,98% of total billed charges,1725.12,48,,1380.1,percent of total billed charges,48% of total billed charges,1617.3,45,,1293.84,percent of total billed charges,45% of total billed charges,1374.71,38.25,,1099.77,percent of total billed charges,38.25% of total billed charges,1617.3,45,,1293.84,percent of total billed charges,45% of total billed charges,1617.3,45,,1293.84,percent of total billed charges,45% of total billed charges,1374.71,3550.51,
28292 CORRECTION HALLUX VALGUS,10028292,CDM,360,RC,28292,HCPCS,OUTPATIENT,,,2419,1935.2,,2298.05,95,,1838.44,percent of total billed charges,95% of total billed charges,2291.28,94.72,,1833.02,percent of total billed charges,94.72% of total billed charges,2389.73,98.79,,1911.78,percent of total billed charges,98.79% of total billed charges,2370.62,98,,1896.5,percent of total billed charges,98% of total billed charges,2370.62,98,,1896.5,percent of total billed charges,98% of total billed charges,1161.12,48,,928.9,percent of total billed charges,48% of total billed charges,1088.55,45,,870.84,percent of total billed charges,45% of total billed charges,925.27,38.25,,740.22,percent of total billed charges,38.25% of total billed charges,1088.55,45,,870.84,percent of total billed charges,45% of total billed charges,1088.55,45,,870.84,percent of total billed charges,45% of total billed charges,925.27,2389.73,
28296 CORRECTION HALLUX VALGUS,10028296,CDM,360,RC,28296,HCPCS,OUTPATIENT,,,3046,2436.8,,2893.7,95,,2314.96,percent of total billed charges,95% of total billed charges,2885.17,94.72,,2308.14,percent of total billed charges,94.72% of total billed charges,3009.14,98.79,,2407.31,percent of total billed charges,98.79% of total billed charges,2985.08,98,,2388.06,percent of total billed charges,98% of total billed charges,2985.08,98,,2388.06,percent of total billed charges,98% of total billed charges,1462.08,48,,1169.66,percent of total billed charges,48% of total billed charges,1370.7,45,,1096.56,percent of total billed charges,45% of total billed charges,1165.1,38.25,,932.08,percent of total billed charges,38.25% of total billed charges,1370.7,45,,1096.56,percent of total billed charges,45% of total billed charges,1370.7,45,,1096.56,percent of total billed charges,45% of total billed charges,1165.1,3009.14,
28315 Sesamoidectomy| first toe,10028315,CDM,360,RC,28315,HCPCS,OUTPATIENT,,,1682,1345.6,,1597.9,95,,1278.32,percent of total billed charges,95% of total billed charges,1593.19,94.72,,1274.55,percent of total billed charges,94.72% of total billed charges,1661.65,98.79,,1329.32,percent of total billed charges,98.79% of total billed charges,1648.36,98,,1318.69,percent of total billed charges,98% of total billed charges,1648.36,98,,1318.69,percent of total billed charges,98% of total billed charges,807.36,48,,645.89,percent of total billed charges,48% of total billed charges,756.9,45,,605.52,percent of total billed charges,45% of total billed charges,643.37,38.25,,514.7,percent of total billed charges,38.25% of total billed charges,756.9,45,,605.52,percent of total billed charges,45% of total billed charges,756.9,45,,605.52,percent of total billed charges,45% of total billed charges,643.37,1661.65,
28415 Open treatment of calcaneal fracture| includ,10028415,CDM,360,RC,28415,HCPCS,OUTPATIENT,,,8904,7123.2,,8458.8,95,,6767.04,percent of total billed charges,95% of total billed charges,8433.87,94.72,,6747.1,percent of total billed charges,94.72% of total billed charges,8796.26,98.79,,7037.01,percent of total billed charges,98.79% of total billed charges,8725.92,98,,6980.74,percent of total billed charges,98% of total billed charges,8725.92,98,,6980.74,percent of total billed charges,98% of total billed charges,4273.92,48,,3419.14,percent of total billed charges,48% of total billed charges,4006.8,45,,3205.44,percent of total billed charges,45% of total billed charges,3405.78,38.25,,2724.62,percent of total billed charges,38.25% of total billed charges,4006.8,45,,3205.44,percent of total billed charges,45% of total billed charges,4006.8,45,,3205.44,percent of total billed charges,45% of total billed charges,3405.78,8796.26,
28465 Fracture and/or Dislocation Procedures on the Foot and,10028465,CDM,360,RC,28465,HCPCS,OUTPATIENT,,,3215,2572,,3054.25,95,,2443.4,percent of total billed charges,95% of total billed charges,3045.25,94.72,,2436.2,percent of total billed charges,94.72% of total billed charges,3176.1,98.79,,2540.88,percent of total billed charges,98.79% of total billed charges,3150.7,98,,2520.56,percent of total billed charges,98% of total billed charges,3150.7,98,,2520.56,percent of total billed charges,98% of total billed charges,1543.2,48,,1234.56,percent of total billed charges,48% of total billed charges,1446.75,45,,1157.4,percent of total billed charges,45% of total billed charges,1229.74,38.25,,983.79,percent of total billed charges,38.25% of total billed charges,1446.75,45,,1157.4,percent of total billed charges,45% of total billed charges,1446.75,45,,1157.4,percent of total billed charges,45% of total billed charges,1229.74,3176.1,
28615 Open tx of tarsometatarsal joint dislocation,10028615,CDM,360,RC,28615,HCPCS,OUTPATIENT,,,3725,2980,,3538.75,95,,2831,percent of total billed charges,95% of total billed charges,3528.32,94.72,,2822.66,percent of total billed charges,94.72% of total billed charges,3679.93,98.79,,2943.94,percent of total billed charges,98.79% of total billed charges,3650.5,98,,2920.4,percent of total billed charges,98% of total billed charges,3650.5,98,,2920.4,percent of total billed charges,98% of total billed charges,1788,48,,1430.4,percent of total billed charges,48% of total billed charges,1676.25,45,,1341,percent of total billed charges,45% of total billed charges,1424.81,38.25,,1139.85,percent of total billed charges,38.25% of total billed charges,1676.25,45,,1341,percent of total billed charges,45% of total billed charges,1676.25,45,,1341,percent of total billed charges,45% of total billed charges,1424.81,3679.93,
28645 Open tx of metatarsophalangeal joint disloca,10028645,CDM,360,RC,28645,HCPCS,OUTPATIENT,,,2381,1904.8,,2261.95,95,,1809.56,percent of total billed charges,95% of total billed charges,2255.28,94.72,,1804.22,percent of total billed charges,94.72% of total billed charges,2352.19,98.79,,1881.75,percent of total billed charges,98.79% of total billed charges,2333.38,98,,1866.7,percent of total billed charges,98% of total billed charges,2333.38,98,,1866.7,percent of total billed charges,98% of total billed charges,1142.88,48,,914.3,percent of total billed charges,48% of total billed charges,1071.45,45,,857.16,percent of total billed charges,45% of total billed charges,910.73,38.25,,728.58,percent of total billed charges,38.25% of total billed charges,1071.45,45,,857.16,percent of total billed charges,45% of total billed charges,1071.45,45,,857.16,percent of total billed charges,45% of total billed charges,910.73,2352.19,
28705 Arthrodesis; pantalar Tech Fee,10028705,CDM,360,RC,28705,HCPCS,OUTPATIENT,,,6419,5135.2,,6098.05,95,,4878.44,percent of total billed charges,95% of total billed charges,6080.08,94.72,,4864.06,percent of total billed charges,94.72% of total billed charges,6341.33,98.79,,5073.06,percent of total billed charges,98.79% of total billed charges,6290.62,98,,5032.5,percent of total billed charges,98% of total billed charges,6290.62,98,,5032.5,percent of total billed charges,98% of total billed charges,3081.12,48,,2464.9,percent of total billed charges,48% of total billed charges,2888.55,45,,2310.84,percent of total billed charges,45% of total billed charges,2455.27,38.25,,1964.22,percent of total billed charges,38.25% of total billed charges,2888.55,45,,2310.84,percent of total billed charges,45% of total billed charges,2888.55,45,,2310.84,percent of total billed charges,45% of total billed charges,2455.27,6341.33,
28810 Amputation| metatarsal| with toe| single,10028810,CDM,360,RC,28810,HCPCS,OUTPATIENT,,,2154,1723.2,,2046.3,95,,1637.04,percent of total billed charges,95% of total billed charges,2040.27,94.72,,1632.22,percent of total billed charges,94.72% of total billed charges,2127.94,98.79,,1702.35,percent of total billed charges,98.79% of total billed charges,2110.92,98,,1688.74,percent of total billed charges,98% of total billed charges,2110.92,98,,1688.74,percent of total billed charges,98% of total billed charges,1033.92,48,,827.14,percent of total billed charges,48% of total billed charges,969.3,45,,775.44,percent of total billed charges,45% of total billed charges,823.91,38.25,,659.13,percent of total billed charges,38.25% of total billed charges,969.3,45,,775.44,percent of total billed charges,45% of total billed charges,969.3,45,,775.44,percent of total billed charges,45% of total billed charges,823.91,2127.94,
AMPUTATION TOE METATARSOPHALANGEAL,10028820,CDM,360,RC,28820,HCPCS,OUTPATIENT,,,1953,1562.4,,1855.35,95,,1484.28,percent of total billed charges,95% of total billed charges,1849.88,94.72,,1479.9,percent of total billed charges,94.72% of total billed charges,1929.37,98.79,,1543.5,percent of total billed charges,98.79% of total billed charges,1913.94,98,,1531.15,percent of total billed charges,98% of total billed charges,1913.94,98,,1531.15,percent of total billed charges,98% of total billed charges,937.44,48,,749.95,percent of total billed charges,48% of total billed charges,878.85,45,,703.08,percent of total billed charges,45% of total billed charges,747.02,38.25,,597.62,percent of total billed charges,38.25% of total billed charges,878.85,45,,703.08,percent of total billed charges,45% of total billed charges,878.85,45,,703.08,percent of total billed charges,45% of total billed charges,747.02,1929.37,
28825 PARTIAL AMPUTATION OF TOE,10028825,CDM,360,RC,28825,HCPCS,OUTPATIENT,,,1674,1339.2,,1590.3,95,,1272.24,percent of total billed charges,95% of total billed charges,1585.61,94.72,,1268.49,percent of total billed charges,94.72% of total billed charges,1653.74,98.79,,1322.99,percent of total billed charges,98.79% of total billed charges,1640.52,98,,1312.42,percent of total billed charges,98% of total billed charges,1640.52,98,,1312.42,percent of total billed charges,98% of total billed charges,803.52,48,,642.82,percent of total billed charges,48% of total billed charges,753.3,45,,602.64,percent of total billed charges,45% of total billed charges,640.31,38.25,,512.25,percent of total billed charges,38.25% of total billed charges,753.3,45,,602.64,percent of total billed charges,45% of total billed charges,753.3,45,,602.64,percent of total billed charges,45% of total billed charges,640.31,1653.74,
29805 SHOULDER ARTHROSCOPY DX,10029805,CDM,360,RC,29805,HCPCS,OUTPATIENT,,,2571,2056.8,,2442.45,95,,1953.96,percent of total billed charges,95% of total billed charges,2435.25,94.72,,1948.2,percent of total billed charges,94.72% of total billed charges,2539.89,98.79,,2031.91,percent of total billed charges,98.79% of total billed charges,2519.58,98,,2015.66,percent of total billed charges,98% of total billed charges,2519.58,98,,2015.66,percent of total billed charges,98% of total billed charges,1234.08,48,,987.26,percent of total billed charges,48% of total billed charges,1156.95,45,,925.56,percent of total billed charges,45% of total billed charges,983.41,38.25,,786.73,percent of total billed charges,38.25% of total billed charges,1156.95,45,,925.56,percent of total billed charges,45% of total billed charges,1156.95,45,,925.56,percent of total billed charges,45% of total billed charges,983.41,2539.89,
29807 SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION,10029807,CDM,360,RC,29807,HCPCS,OUTPATIENT,,,5916,4732.8,,5620.2,95,,4496.16,percent of total billed charges,95% of total billed charges,5603.64,94.72,,4482.91,percent of total billed charges,94.72% of total billed charges,5844.42,98.79,,4675.54,percent of total billed charges,98.79% of total billed charges,5797.68,98,,4638.14,percent of total billed charges,98% of total billed charges,5797.68,98,,4638.14,percent of total billed charges,98% of total billed charges,2839.68,48,,2271.74,percent of total billed charges,48% of total billed charges,2662.2,45,,2129.76,percent of total billed charges,45% of total billed charges,2262.87,38.25,,1810.3,percent of total billed charges,38.25% of total billed charges,2662.2,45,,2129.76,percent of total billed charges,45% of total billed charges,2662.2,45,,2129.76,percent of total billed charges,45% of total billed charges,2262.87,5844.42,
29820 SHOULDER ARTHROSCOPY SYNOVECTOMY PARTIAL,10029820,CDM,360,RC,29820,HCPCS,OUTPATIENT,,,4079,3263.2,,3875.05,95,,3100.04,percent of total billed charges,95% of total billed charges,3863.63,94.72,,3090.9,percent of total billed charges,94.72% of total billed charges,4029.64,98.79,,3223.71,percent of total billed charges,98.79% of total billed charges,3997.42,98,,3197.94,percent of total billed charges,98% of total billed charges,3997.42,98,,3197.94,percent of total billed charges,98% of total billed charges,1957.92,48,,1566.34,percent of total billed charges,48% of total billed charges,1835.55,45,,1468.44,percent of total billed charges,45% of total billed charges,1560.22,38.25,,1248.18,percent of total billed charges,38.25% of total billed charges,1835.55,45,,1468.44,percent of total billed charges,45% of total billed charges,1835.55,45,,1468.44,percent of total billed charges,45% of total billed charges,1560.22,4029.64,
29821 Arthroscopy| shoulder| surgical; synovectomy| complete,10029821,CDM,360,RC,29821,HCPCS,OUTPATIENT,,,4608,3686.4,,4377.6,95,,3502.08,percent of total billed charges,95% of total billed charges,4364.7,94.72,,3491.76,percent of total billed charges,94.72% of total billed charges,4552.24,98.79,,3641.79,percent of total billed charges,98.79% of total billed charges,4515.84,98,,3612.67,percent of total billed charges,98% of total billed charges,4515.84,98,,3612.67,percent of total billed charges,98% of total billed charges,2211.84,48,,1769.47,percent of total billed charges,48% of total billed charges,2073.6,45,,1658.88,percent of total billed charges,45% of total billed charges,1762.56,38.25,,1410.05,percent of total billed charges,38.25% of total billed charges,2073.6,45,,1658.88,percent of total billed charges,45% of total billed charges,2073.6,45,,1658.88,percent of total billed charges,45% of total billed charges,1762.56,4552.24,
29823 SHOULDER ARTHROSCOPY/SURGERY,10029823,CDM,360,RC,29823,HCPCS,OUTPATIENT,,,5298,4238.4,,5033.1,95,,4026.48,percent of total billed charges,95% of total billed charges,5018.27,94.72,,4014.62,percent of total billed charges,94.72% of total billed charges,5233.89,98.79,,4187.11,percent of total billed charges,98.79% of total billed charges,5192.04,98,,4153.63,percent of total billed charges,98% of total billed charges,5192.04,98,,4153.63,percent of total billed charges,98% of total billed charges,2543.04,48,,2034.43,percent of total billed charges,48% of total billed charges,2384.1,45,,1907.28,percent of total billed charges,45% of total billed charges,2026.49,38.25,,1621.19,percent of total billed charges,38.25% of total billed charges,2384.1,45,,1907.28,percent of total billed charges,45% of total billed charges,2384.1,45,,1907.28,percent of total billed charges,45% of total billed charges,2026.49,5233.89,
29824 Arthroscopy| shoulder| surgical; distal claviculectomy,10029824,CDM,360,RC,29824,HCPCS,OUTPATIENT,,,4580,3664,,4351,95,,3480.8,percent of total billed charges,95% of total billed charges,4338.18,94.72,,3470.54,percent of total billed charges,94.72% of total billed charges,4524.58,98.79,,3619.66,percent of total billed charges,98.79% of total billed charges,4488.4,98,,3590.72,percent of total billed charges,98% of total billed charges,4488.4,98,,3590.72,percent of total billed charges,98% of total billed charges,2198.4,48,,1758.72,percent of total billed charges,48% of total billed charges,2061,45,,1648.8,percent of total billed charges,45% of total billed charges,1751.85,38.25,,1401.48,percent of total billed charges,38.25% of total billed charges,2061,45,,1648.8,percent of total billed charges,45% of total billed charges,2061,45,,1648.8,percent of total billed charges,45% of total billed charges,1751.85,4524.58,
29827 SHOULDER ARTHROSCOPY ROTATOR CUFF REPAIR Tech,10029827,CDM,360,RC,29827,HCPCS,OUTPATIENT,,,4828,3862.4,,4586.6,95,,3669.28,percent of total billed charges,95% of total billed charges,4573.08,94.72,,3658.46,percent of total billed charges,94.72% of total billed charges,4769.58,98.79,,3815.66,percent of total billed charges,98.79% of total billed charges,4731.44,98,,3785.15,percent of total billed charges,98% of total billed charges,4731.44,98,,3785.15,percent of total billed charges,98% of total billed charges,2317.44,48,,1853.95,percent of total billed charges,48% of total billed charges,2172.6,45,,1738.08,percent of total billed charges,45% of total billed charges,1846.71,38.25,,1477.37,percent of total billed charges,38.25% of total billed charges,2172.6,45,,1738.08,percent of total billed charges,45% of total billed charges,2172.6,45,,1738.08,percent of total billed charges,45% of total billed charges,1846.71,4769.58,
29848 Arthroscopy| wrist| surgical; internal fixat,10029848,CDM,360,RC,29848,HCPCS,OUTPATIENT,,,3197,2557.6,,3037.15,95,,2429.72,percent of total billed charges,95% of total billed charges,3028.2,94.72,,2422.56,percent of total billed charges,94.72% of total billed charges,3158.32,98.79,,2526.66,percent of total billed charges,98.79% of total billed charges,3133.06,98,,2506.45,percent of total billed charges,98% of total billed charges,3133.06,98,,2506.45,percent of total billed charges,98% of total billed charges,1534.56,48,,1227.65,percent of total billed charges,48% of total billed charges,1438.65,45,,1150.92,percent of total billed charges,45% of total billed charges,1222.85,38.25,,978.28,percent of total billed charges,38.25% of total billed charges,1438.65,45,,1150.92,percent of total billed charges,45% of total billed charges,1438.65,45,,1150.92,percent of total billed charges,45% of total billed charges,1222.85,3158.32,
29870 KNEE ARTHROSCOPY,10029870,CDM,360,RC,29870,HCPCS,OUTPATIENT,,,2906,2324.8,,2760.7,95,,2208.56,percent of total billed charges,95% of total billed charges,2752.56,94.72,,2202.05,percent of total billed charges,94.72% of total billed charges,2870.84,98.79,,2296.67,percent of total billed charges,98.79% of total billed charges,2847.88,98,,2278.3,percent of total billed charges,98% of total billed charges,2847.88,98,,2278.3,percent of total billed charges,98% of total billed charges,1394.88,48,,1115.9,percent of total billed charges,48% of total billed charges,1307.7,45,,1046.16,percent of total billed charges,45% of total billed charges,1111.55,38.25,,889.24,percent of total billed charges,38.25% of total billed charges,1307.7,45,,1046.16,percent of total billed charges,45% of total billed charges,1307.7,45,,1046.16,percent of total billed charges,45% of total billed charges,1111.55,2870.84,
29871 Arthroscopy| knee| surgical; for infection| lavage and,10029871,CDM,360,RC,29871,HCPCS,OUTPATIENT,,,2468,1974.4,,2344.6,95,,1875.68,percent of total billed charges,95% of total billed charges,2337.69,94.72,,1870.15,percent of total billed charges,94.72% of total billed charges,2438.14,98.79,,1950.51,percent of total billed charges,98.79% of total billed charges,2418.64,98,,1934.91,percent of total billed charges,98% of total billed charges,2418.64,98,,1934.91,percent of total billed charges,98% of total billed charges,1184.64,48,,947.71,percent of total billed charges,48% of total billed charges,1110.6,45,,888.48,percent of total billed charges,45% of total billed charges,944.01,38.25,,755.21,percent of total billed charges,38.25% of total billed charges,1110.6,45,,888.48,percent of total billed charges,45% of total billed charges,1110.6,45,,888.48,percent of total billed charges,45% of total billed charges,944.01,2438.14,
29874 KNEE ARTHROSCOPY/SURGERY,10029874,CDM,360,RC,29874,HCPCS,OUTPATIENT,,,4475,3580,,4251.25,95,,3401,percent of total billed charges,95% of total billed charges,4238.72,94.72,,3390.98,percent of total billed charges,94.72% of total billed charges,4420.85,98.79,,3536.68,percent of total billed charges,98.79% of total billed charges,4385.5,98,,3508.4,percent of total billed charges,98% of total billed charges,4385.5,98,,3508.4,percent of total billed charges,98% of total billed charges,2148,48,,1718.4,percent of total billed charges,48% of total billed charges,2013.75,45,,1611,percent of total billed charges,45% of total billed charges,1711.69,38.25,,1369.35,percent of total billed charges,38.25% of total billed charges,2013.75,45,,1611,percent of total billed charges,45% of total billed charges,2013.75,45,,1611,percent of total billed charges,45% of total billed charges,1711.69,4420.85,
Arthroscopy/knee/surg/synovectomy 29875,10029875,CDM,360,RC,29875,HCPCS,OUTPATIENT,,,3373,2698.4,,3204.35,95,,2563.48,percent of total billed charges,95% of total billed charges,3194.91,94.72,,2555.93,percent of total billed charges,94.72% of total billed charges,3332.19,98.79,,2665.75,percent of total billed charges,98.79% of total billed charges,3305.54,98,,2644.43,percent of total billed charges,98% of total billed charges,3305.54,98,,2644.43,percent of total billed charges,98% of total billed charges,1619.04,48,,1295.23,percent of total billed charges,48% of total billed charges,1517.85,45,,1214.28,percent of total billed charges,45% of total billed charges,1290.17,38.25,,1032.14,percent of total billed charges,38.25% of total billed charges,1517.85,45,,1214.28,percent of total billed charges,45% of total billed charges,1517.85,45,,1214.28,percent of total billed charges,45% of total billed charges,1290.17,3332.19,
29876 KNEE ARTHROSCOPY/SURGERY,10029876,CDM,360,RC,29876,HCPCS,OUTPATIENT,,,5087,4069.6,,4832.65,95,,3866.12,percent of total billed charges,95% of total billed charges,4818.41,94.72,,3854.73,percent of total billed charges,94.72% of total billed charges,5025.45,98.79,,4020.36,percent of total billed charges,98.79% of total billed charges,4985.26,98,,3988.21,percent of total billed charges,98% of total billed charges,4985.26,98,,3988.21,percent of total billed charges,98% of total billed charges,2441.76,48,,1953.41,percent of total billed charges,48% of total billed charges,2289.15,45,,1831.32,percent of total billed charges,45% of total billed charges,1945.78,38.25,,1556.62,percent of total billed charges,38.25% of total billed charges,2289.15,45,,1831.32,percent of total billed charges,45% of total billed charges,2289.15,45,,1831.32,percent of total billed charges,45% of total billed charges,1945.78,5025.45,
29877 KNEE ARTHROSCOPY/SURGERY,10029877,CDM,360,RC,29877,HCPCS,OUTPATIENT,,,4697,3757.6,,4462.15,95,,3569.72,percent of total billed charges,95% of total billed charges,4449,94.72,,3559.2,percent of total billed charges,94.72% of total billed charges,4640.17,98.79,,3712.14,percent of total billed charges,98.79% of total billed charges,4603.06,98,,3682.45,percent of total billed charges,98% of total billed charges,4603.06,98,,3682.45,percent of total billed charges,98% of total billed charges,2254.56,48,,1803.65,percent of total billed charges,48% of total billed charges,2113.65,45,,1690.92,percent of total billed charges,45% of total billed charges,1796.6,38.25,,1437.28,percent of total billed charges,38.25% of total billed charges,2113.65,45,,1690.92,percent of total billed charges,45% of total billed charges,2113.65,45,,1690.92,percent of total billed charges,45% of total billed charges,1796.6,4640.17,
29880 KNEE ARTHROSCOPY/SURGERY,10029880,CDM,360,RC,29880,HCPCS,OUTPATIENT,,,5299,4239.2,,5034.05,95,,4027.24,percent of total billed charges,95% of total billed charges,5019.21,94.72,,4015.37,percent of total billed charges,94.72% of total billed charges,5234.88,98.79,,4187.9,percent of total billed charges,98.79% of total billed charges,5193.02,98,,4154.42,percent of total billed charges,98% of total billed charges,5193.02,98,,4154.42,percent of total billed charges,98% of total billed charges,2543.52,48,,2034.82,percent of total billed charges,48% of total billed charges,2384.55,45,,1907.64,percent of total billed charges,45% of total billed charges,2026.87,38.25,,1621.5,percent of total billed charges,38.25% of total billed charges,2384.55,45,,1907.64,percent of total billed charges,45% of total billed charges,2384.55,45,,1907.64,percent of total billed charges,45% of total billed charges,2026.87,5234.88,
29897 Arthroscopy| ankle (tibiotalar and fibulotal,10029897,CDM,360,RC,29897,HCPCS,OUTPATIENT,,,5548,4438.4,,5270.6,95,,4216.48,percent of total billed charges,95% of total billed charges,5255.07,94.72,,4204.06,percent of total billed charges,94.72% of total billed charges,5480.87,98.79,,4384.7,percent of total billed charges,98.79% of total billed charges,5437.04,98,,4349.63,percent of total billed charges,98% of total billed charges,5437.04,98,,4349.63,percent of total billed charges,98% of total billed charges,2663.04,48,,2130.43,percent of total billed charges,48% of total billed charges,2496.6,45,,1997.28,percent of total billed charges,45% of total billed charges,2122.11,38.25,,1697.69,percent of total billed charges,38.25% of total billed charges,2496.6,45,,1997.28,percent of total billed charges,45% of total billed charges,2496.6,45,,1997.28,percent of total billed charges,45% of total billed charges,2122.11,5480.87,
30117 REMOVAL OF INTRANASAL LESION,10030117,CDM,360,RC,30117,HCPCS,OUTPATIENT,,,3204,2563.2,,3043.8,95,,2435.04,percent of total billed charges,95% of total billed charges,3034.83,94.72,,2427.86,percent of total billed charges,94.72% of total billed charges,3165.23,98.79,,2532.18,percent of total billed charges,98.79% of total billed charges,3139.92,98,,2511.94,percent of total billed charges,98% of total billed charges,3139.92,98,,2511.94,percent of total billed charges,98% of total billed charges,1537.92,48,,1230.34,percent of total billed charges,48% of total billed charges,1441.8,45,,1153.44,percent of total billed charges,45% of total billed charges,1225.53,38.25,,980.42,percent of total billed charges,38.25% of total billed charges,1441.8,45,,1153.44,percent of total billed charges,45% of total billed charges,1441.8,45,,1153.44,percent of total billed charges,45% of total billed charges,1225.53,3165.23,
30140 RESECT INFERIOR TURBINATE,10030140,CDM,360,RC,30140,HCPCS,OUTPATIENT,,,2418,1934.4,,2297.1,95,,1837.68,percent of total billed charges,95% of total billed charges,2290.33,94.72,,1832.26,percent of total billed charges,94.72% of total billed charges,2388.74,98.79,,1910.99,percent of total billed charges,98.79% of total billed charges,2369.64,98,,1895.71,percent of total billed charges,98% of total billed charges,2369.64,98,,1895.71,percent of total billed charges,98% of total billed charges,1160.64,48,,928.51,percent of total billed charges,48% of total billed charges,1088.1,45,,870.48,percent of total billed charges,45% of total billed charges,924.89,38.25,,739.91,percent of total billed charges,38.25% of total billed charges,1088.1,45,,870.48,percent of total billed charges,45% of total billed charges,1088.1,45,,870.48,percent of total billed charges,45% of total billed charges,924.89,2388.74,
30420 Rhinoplasty| primary; including major septal repair,10030420,CDM,360,RC,30420,HCPCS,OUTPATIENT,,,7430,5944,,7058.5,95,,5646.8,percent of total billed charges,95% of total billed charges,7037.7,94.72,,5630.16,percent of total billed charges,94.72% of total billed charges,7340.1,98.79,,5872.08,percent of total billed charges,98.79% of total billed charges,7281.4,98,,5825.12,percent of total billed charges,98% of total billed charges,7281.4,98,,5825.12,percent of total billed charges,98% of total billed charges,3566.4,48,,2853.12,percent of total billed charges,48% of total billed charges,3343.5,45,,2674.8,percent of total billed charges,45% of total billed charges,2841.98,38.25,,2273.58,percent of total billed charges,38.25% of total billed charges,3343.5,45,,2674.8,percent of total billed charges,45% of total billed charges,3343.5,45,,2674.8,percent of total billed charges,45% of total billed charges,2841.98,7340.1,
30520 REPAIR OF NASAL SEPTUM,10030520,CDM,360,RC,30520,HCPCS,OUTPATIENT,,,5274,4219.2,,5010.3,95,,4008.24,percent of total billed charges,95% of total billed charges,4995.53,94.72,,3996.42,percent of total billed charges,94.72% of total billed charges,5210.18,98.79,,4168.14,percent of total billed charges,98.79% of total billed charges,5168.52,98,,4134.82,percent of total billed charges,98% of total billed charges,5168.52,98,,4134.82,percent of total billed charges,98% of total billed charges,2531.52,48,,2025.22,percent of total billed charges,48% of total billed charges,2373.3,45,,1898.64,percent of total billed charges,45% of total billed charges,2017.31,38.25,,1613.85,percent of total billed charges,38.25% of total billed charges,2373.3,45,,1898.64,percent of total billed charges,45% of total billed charges,2373.3,45,,1898.64,percent of total billed charges,45% of total billed charges,2017.31,5210.18,
31231 NASAL ENDOSCOPY DX,10031231,CDM,360,RC,31231,HCPCS,OUTPATIENT,,,1067,853.6,,1013.65,95,,810.92,percent of total billed charges,95% of total billed charges,1010.66,94.72,,808.53,percent of total billed charges,94.72% of total billed charges,1054.09,98.79,,843.27,percent of total billed charges,98.79% of total billed charges,1045.66,98,,836.53,percent of total billed charges,98% of total billed charges,1045.66,98,,836.53,percent of total billed charges,98% of total billed charges,512.16,48,,409.73,percent of total billed charges,48% of total billed charges,480.15,45,,384.12,percent of total billed charges,45% of total billed charges,408.13,38.25,,326.5,percent of total billed charges,38.25% of total billed charges,480.15,45,,384.12,percent of total billed charges,45% of total billed charges,480.15,45,,384.12,percent of total billed charges,45% of total billed charges,408.13,1054.09,
31237 NASAL/SINUS ENDOSCOPY SURG,10031237,CDM,360,RC,31237,HCPCS,OUTPATIENT,,,1838,1470.4,,1746.1,95,,1396.88,percent of total billed charges,95% of total billed charges,1740.95,94.72,,1392.76,percent of total billed charges,94.72% of total billed charges,1815.76,98.79,,1452.61,percent of total billed charges,98.79% of total billed charges,1801.24,98,,1440.99,percent of total billed charges,98% of total billed charges,1801.24,98,,1440.99,percent of total billed charges,98% of total billed charges,882.24,48,,705.79,percent of total billed charges,48% of total billed charges,827.1,45,,661.68,percent of total billed charges,45% of total billed charges,703.04,38.25,,562.43,percent of total billed charges,38.25% of total billed charges,827.1,45,,661.68,percent of total billed charges,45% of total billed charges,827.1,45,,661.68,percent of total billed charges,45% of total billed charges,703.04,1815.76,
31240 Nasal/sinus endoscopy| surgical; with concha bullosa resection,10031240,CDM,360,RC,31240,HCPCS,OUTPATIENT,,,1132,905.6,,1075.4,95,,860.32,percent of total billed charges,95% of total billed charges,1072.23,94.72,,857.78,percent of total billed charges,94.72% of total billed charges,1118.3,98.79,,894.64,percent of total billed charges,98.79% of total billed charges,1109.36,98,,887.49,percent of total billed charges,98% of total billed charges,1109.36,98,,887.49,percent of total billed charges,98% of total billed charges,543.36,48,,434.69,percent of total billed charges,48% of total billed charges,509.4,45,,407.52,percent of total billed charges,45% of total billed charges,432.99,38.25,,346.39,percent of total billed charges,38.25% of total billed charges,509.4,45,,407.52,percent of total billed charges,45% of total billed charges,509.4,45,,407.52,percent of total billed charges,45% of total billed charges,432.99,1118.3,
31255 NSL/SINS NDSC W/TOT ETHMDCT,10031255,CDM,360,RC,31255,HCPCS,OUTPATIENT,,,2736,2188.8,,2599.2,95,,2079.36,percent of total billed charges,95% of total billed charges,2591.54,94.72,,2073.23,percent of total billed charges,94.72% of total billed charges,2702.89,98.79,,2162.31,percent of total billed charges,98.79% of total billed charges,2681.28,98,,2145.02,percent of total billed charges,98% of total billed charges,2681.28,98,,2145.02,percent of total billed charges,98% of total billed charges,1313.28,48,,1050.62,percent of total billed charges,48% of total billed charges,1231.2,45,,984.96,percent of total billed charges,45% of total billed charges,1046.52,38.25,,837.22,percent of total billed charges,38.25% of total billed charges,1231.2,45,,984.96,percent of total billed charges,45% of total billed charges,1231.2,45,,984.96,percent of total billed charges,45% of total billed charges,1046.52,2702.89,
31256 EXPLORATION MAXILLARY SINUS,10031256,CDM,360,RC,31256,HCPCS,OUTPATIENT,,,1562,1249.6,,1483.9,95,,1187.12,percent of total billed charges,95% of total billed charges,1479.53,94.72,,1183.62,percent of total billed charges,94.72% of total billed charges,1543.1,98.79,,1234.48,percent of total billed charges,98.79% of total billed charges,1530.76,98,,1224.61,percent of total billed charges,98% of total billed charges,1530.76,98,,1224.61,percent of total billed charges,98% of total billed charges,749.76,48,,599.81,percent of total billed charges,48% of total billed charges,702.9,45,,562.32,percent of total billed charges,45% of total billed charges,597.47,38.25,,477.98,percent of total billed charges,38.25% of total billed charges,702.9,45,,562.32,percent of total billed charges,45% of total billed charges,702.9,45,,562.32,percent of total billed charges,45% of total billed charges,597.47,1543.1,
31267 ENDOSCOPY MAXILLARY SINUS,10031267,CDM,360,RC,31267,HCPCS,OUTPATIENT,,,1838,1470.4,,1746.1,95,,1396.88,percent of total billed charges,95% of total billed charges,1740.95,94.72,,1392.76,percent of total billed charges,94.72% of total billed charges,1815.76,98.79,,1452.61,percent of total billed charges,98.79% of total billed charges,1801.24,98,,1440.99,percent of total billed charges,98% of total billed charges,1801.24,98,,1440.99,percent of total billed charges,98% of total billed charges,882.24,48,,705.79,percent of total billed charges,48% of total billed charges,827.1,45,,661.68,percent of total billed charges,45% of total billed charges,703.04,38.25,,562.43,percent of total billed charges,38.25% of total billed charges,827.1,45,,661.68,percent of total billed charges,45% of total billed charges,827.1,45,,661.68,percent of total billed charges,45% of total billed charges,703.04,1815.76,
31526 Laryngoscopy direct| w/ or w/o tracheoscopy;,10031526,CDM,360,RC,31526,HCPCS,OUTPATIENT,,,943,754.4,,895.85,95,,716.68,percent of total billed charges,95% of total billed charges,893.21,94.72,,714.57,percent of total billed charges,94.72% of total billed charges,931.59,98.79,,745.27,percent of total billed charges,98.79% of total billed charges,924.14,98,,739.31,percent of total billed charges,98% of total billed charges,924.14,98,,739.31,percent of total billed charges,98% of total billed charges,452.64,48,,362.11,percent of total billed charges,48% of total billed charges,424.35,45,,339.48,percent of total billed charges,45% of total billed charges,360.7,38.25,,288.56,percent of total billed charges,38.25% of total billed charges,424.35,45,,339.48,percent of total billed charges,45% of total billed charges,424.35,45,,339.48,percent of total billed charges,45% of total billed charges,360.7,931.59,
31531 Laryngoscopy| direct| operative| w/ foreign,10031531,CDM,360,RC,31531,HCPCS,OUTPATIENT,,,1633,1306.4,,1551.35,95,,1241.08,percent of total billed charges,95% of total billed charges,1546.78,94.72,,1237.42,percent of total billed charges,94.72% of total billed charges,1613.24,98.79,,1290.59,percent of total billed charges,98.79% of total billed charges,1600.34,98,,1280.27,percent of total billed charges,98% of total billed charges,1600.34,98,,1280.27,percent of total billed charges,98% of total billed charges,783.84,48,,627.07,percent of total billed charges,48% of total billed charges,734.85,45,,587.88,percent of total billed charges,45% of total billed charges,624.62,38.25,,499.7,percent of total billed charges,38.25% of total billed charges,734.85,45,,587.88,percent of total billed charges,45% of total billed charges,734.85,45,,587.88,percent of total billed charges,45% of total billed charges,624.62,1613.24,
31535 LARYNGOSCOPY W/BIOPSY,10031535,CDM,360,RC,31535,HCPCS,OUTPATIENT,,,1203,962.4,,1142.85,95,,914.28,percent of total billed charges,95% of total billed charges,1139.48,94.72,,911.58,percent of total billed charges,94.72% of total billed charges,1188.44,98.79,,950.75,percent of total billed charges,98.79% of total billed charges,1178.94,98,,943.15,percent of total billed charges,98% of total billed charges,1178.94,98,,943.15,percent of total billed charges,98% of total billed charges,577.44,48,,461.95,percent of total billed charges,48% of total billed charges,541.35,45,,433.08,percent of total billed charges,45% of total billed charges,460.15,38.25,,368.12,percent of total billed charges,38.25% of total billed charges,541.35,45,,433.08,percent of total billed charges,45% of total billed charges,541.35,45,,433.08,percent of total billed charges,45% of total billed charges,460.15,1188.44,
31536 Laryngoscopy| direct| operative| with biopsy; Tech Fee,10031536,CDM,360,RC,31536,HCPCS,OUTPATIENT,,,1563,1250.4,,1484.85,95,,1187.88,percent of total billed charges,95% of total billed charges,1480.47,94.72,,1184.38,percent of total billed charges,94.72% of total billed charges,1544.09,98.79,,1235.27,percent of total billed charges,98.79% of total billed charges,1531.74,98,,1225.39,percent of total billed charges,98% of total billed charges,1531.74,98,,1225.39,percent of total billed charges,98% of total billed charges,750.24,48,,600.19,percent of total billed charges,48% of total billed charges,703.35,45,,562.68,percent of total billed charges,45% of total billed charges,597.85,38.25,,478.28,percent of total billed charges,38.25% of total billed charges,703.35,45,,562.68,percent of total billed charges,45% of total billed charges,703.35,45,,562.68,percent of total billed charges,45% of total billed charges,597.85,1544.09,
31541 LARGSC EXC TUM&/STRPG CORDS/EPIGL MCRSCP/TLSCP,10031541,CDM,360,RC,31541,HCPCS,OUTPATIENT,,,2138,1710.4,,2031.1,95,,1624.88,percent of total billed charges,95% of total billed charges,2025.11,94.72,,1620.09,percent of total billed charges,94.72% of total billed charges,2112.13,98.79,,1689.7,percent of total billed charges,98.79% of total billed charges,2095.24,98,,1676.19,percent of total billed charges,98% of total billed charges,2095.24,98,,1676.19,percent of total billed charges,98% of total billed charges,1026.24,48,,820.99,percent of total billed charges,48% of total billed charges,962.1,45,,769.68,percent of total billed charges,45% of total billed charges,817.79,38.25,,654.23,percent of total billed charges,38.25% of total billed charges,962.1,45,,769.68,percent of total billed charges,45% of total billed charges,962.1,45,,769.68,percent of total billed charges,45% of total billed charges,817.79,2112.13,
31576 LARYNGOSCOPY WITH BIOPSY,10031576,CDM,360,RC,31576,HCPCS,OUTPATIENT,,,1068,854.4,,1014.6,95,,811.68,percent of total billed charges,95% of total billed charges,1011.61,94.72,,809.29,percent of total billed charges,94.72% of total billed charges,1055.08,98.79,,844.06,percent of total billed charges,98.79% of total billed charges,1046.64,98,,837.31,percent of total billed charges,98% of total billed charges,1046.64,98,,837.31,percent of total billed charges,98% of total billed charges,512.64,48,,410.11,percent of total billed charges,48% of total billed charges,480.6,45,,384.48,percent of total billed charges,45% of total billed charges,408.51,38.25,,326.81,percent of total billed charges,38.25% of total billed charges,480.6,45,,384.48,percent of total billed charges,45% of total billed charges,480.6,45,,384.48,percent of total billed charges,45% of total billed charges,408.51,1055.08,
31579 Laryngoscopy| flexible or rigid fiberoptic| with stroboscopy,10031578,CDM,360,RC,31578,HCPCS,OUTPATIENT,,,2041,1632.8,,1938.95,95,,1551.16,percent of total billed charges,95% of total billed charges,1933.24,94.72,,1546.59,percent of total billed charges,94.72% of total billed charges,2016.3,98.79,,1613.04,percent of total billed charges,98.79% of total billed charges,2000.18,98,,1600.14,percent of total billed charges,98% of total billed charges,2000.18,98,,1600.14,percent of total billed charges,98% of total billed charges,979.68,48,,783.74,percent of total billed charges,48% of total billed charges,918.45,45,,734.76,percent of total billed charges,45% of total billed charges,780.68,38.25,,624.54,percent of total billed charges,38.25% of total billed charges,918.45,45,,734.76,percent of total billed charges,45% of total billed charges,918.45,45,,734.76,percent of total billed charges,45% of total billed charges,780.68,2016.3,
31622 BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX,10031622,CDM,360,RC,31622,HCPCS,OUTPATIENT,,,1209,967.2,,1148.55,95,,918.84,percent of total billed charges,95% of total billed charges,1145.16,94.72,,916.13,percent of total billed charges,94.72% of total billed charges,1194.37,98.79,,955.5,percent of total billed charges,98.79% of total billed charges,1184.82,98,,947.86,percent of total billed charges,98% of total billed charges,1184.82,98,,947.86,percent of total billed charges,98% of total billed charges,580.32,48,,464.26,percent of total billed charges,48% of total billed charges,544.05,45,,435.24,percent of total billed charges,45% of total billed charges,462.44,38.25,,369.95,percent of total billed charges,38.25% of total billed charges,544.05,45,,435.24,percent of total billed charges,45% of total billed charges,544.05,45,,435.24,percent of total billed charges,45% of total billed charges,462.44,1194.37,
32550 Insertion of indwelling tunneled pleural cat,10032550,CDM,360,RC,32550,HCPCS,OUTPATIENT,,,2045,1636,,1942.75,95,,1554.2,percent of total billed charges,95% of total billed charges,1937.02,94.72,,1549.62,percent of total billed charges,94.72% of total billed charges,2020.26,98.79,,1616.21,percent of total billed charges,98.79% of total billed charges,2004.1,98,,1603.28,percent of total billed charges,98% of total billed charges,2004.1,98,,1603.28,percent of total billed charges,98% of total billed charges,981.6,48,,785.28,percent of total billed charges,48% of total billed charges,920.25,45,,736.2,percent of total billed charges,45% of total billed charges,782.21,38.25,,625.77,percent of total billed charges,38.25% of total billed charges,920.25,45,,736.2,percent of total billed charges,45% of total billed charges,920.25,45,,736.2,percent of total billed charges,45% of total billed charges,782.21,2020.26,
INSERTION SUBQ CARDIAC RHYTHM MNTR W/PRG,10033285,CDM,360,RC,33285,HCPCS,OUTPATIENT,,,20165,16132,,19156.75,95,,15325.4,percent of total billed charges,95% of total billed charges,19100.29,94.72,,15280.23,percent of total billed charges,94.72% of total billed charges,19921,98.79,,15936.8,percent of total billed charges,98.79% of total billed charges,19761.7,98,,15809.36,percent of total billed charges,98% of total billed charges,19761.7,98,,15809.36,percent of total billed charges,98% of total billed charges,9679.2,48,,7743.36,percent of total billed charges,48% of total billed charges,9074.25,45,,7259.4,percent of total billed charges,45% of total billed charges,7713.11,38.25,,6170.49,percent of total billed charges,38.25% of total billed charges,9074.25,45,,7259.4,percent of total billed charges,45% of total billed charges,9074.25,45,,7259.4,percent of total billed charges,45% of total billed charges,7713.11,19921,
INSERTION SUBQ CARDIAC RHYTHM MNTR W/PRG,10033285,CDM,360,RC,33285,HCPCS,OUTPATIENT,,,21778,17422.4,,20689.1,95,,16551.28,percent of total billed charges,95% of total billed charges,20628.12,94.72,,16502.5,percent of total billed charges,94.72% of total billed charges,21514.49,98.79,,17211.59,percent of total billed charges,98.79% of total billed charges,21342.44,98,,17073.95,percent of total billed charges,98% of total billed charges,21342.44,98,,17073.95,percent of total billed charges,98% of total billed charges,10453.44,48,,8362.75,percent of total billed charges,48% of total billed charges,9800.1,45,,7840.08,percent of total billed charges,45% of total billed charges,8330.09,38.25,,6664.07,percent of total billed charges,38.25% of total billed charges,9800.1,45,,7840.08,percent of total billed charges,45% of total billed charges,9800.1,45,,7840.08,percent of total billed charges,45% of total billed charges,8330.09,21514.49,
35800 Exploration post operative hemorrhage neck Tech Fee,10035800,CDM,360,RC,35800,HCPCS,OUTPATIENT,,,2466,1972.8,,2342.7,95,,1874.16,percent of total billed charges,95% of total billed charges,2335.8,94.72,,1868.64,percent of total billed charges,94.72% of total billed charges,2436.16,98.79,,1948.93,percent of total billed charges,98.79% of total billed charges,2416.68,98,,1933.34,percent of total billed charges,98% of total billed charges,2416.68,98,,1933.34,percent of total billed charges,98% of total billed charges,1183.68,48,,946.94,percent of total billed charges,48% of total billed charges,1109.7,45,,887.76,percent of total billed charges,45% of total billed charges,943.25,38.25,,754.6,percent of total billed charges,38.25% of total billed charges,1109.7,45,,887.76,percent of total billed charges,45% of total billed charges,1109.7,45,,887.76,percent of total billed charges,45% of total billed charges,943.25,2436.16,
36465 NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN,10036465,CDM,360,RC,36465,HCPCS,OUTPATIENT,,,4058,3246.4,,3855.1,95,,3084.08,percent of total billed charges,95% of total billed charges,3843.74,94.72,,3074.99,percent of total billed charges,94.72% of total billed charges,4008.9,98.79,,3207.12,percent of total billed charges,98.79% of total billed charges,3976.84,98,,3181.47,percent of total billed charges,98% of total billed charges,3976.84,98,,3181.47,percent of total billed charges,98% of total billed charges,1947.84,48,,1558.27,percent of total billed charges,48% of total billed charges,1826.1,45,,1460.88,percent of total billed charges,45% of total billed charges,1552.19,38.25,,1241.75,percent of total billed charges,38.25% of total billed charges,1826.1,45,,1460.88,percent of total billed charges,45% of total billed charges,1826.1,45,,1460.88,percent of total billed charges,45% of total billed charges,1552.19,4008.9,
36466 Inj of Non-Compounded Foam Sclerosant,10036466,CDM,360,RC,36466,HCPCS,OUTPATIENT,,,4091,3272.8,,3886.45,95,,3109.16,percent of total billed charges,95% of total billed charges,3875,94.72,,3100,percent of total billed charges,94.72% of total billed charges,4041.5,98.79,,3233.2,percent of total billed charges,98.79% of total billed charges,4009.18,98,,3207.34,percent of total billed charges,98% of total billed charges,4009.18,98,,3207.34,percent of total billed charges,98% of total billed charges,1963.68,48,,1570.94,percent of total billed charges,48% of total billed charges,1840.95,45,,1472.76,percent of total billed charges,45% of total billed charges,1564.81,38.25,,1251.85,percent of total billed charges,38.25% of total billed charges,1840.95,45,,1472.76,percent of total billed charges,45% of total billed charges,1840.95,45,,1472.76,percent of total billed charges,45% of total billed charges,1564.81,4041.5,
36556 Insert Non Tunnel CVC > 5 Yr Charges,10036556,CDM,360,RC,36556,HCPCS,OUTPATIENT,,,898,718.4,,853.1,95,,682.48,percent of total billed charges,95% of total billed charges,850.59,94.72,,680.47,percent of total billed charges,94.72% of total billed charges,887.13,98.79,,709.7,percent of total billed charges,98.79% of total billed charges,880.04,98,,704.03,percent of total billed charges,98% of total billed charges,880.04,98,,704.03,percent of total billed charges,98% of total billed charges,431.04,48,,344.83,percent of total billed charges,48% of total billed charges,404.1,45,,323.28,percent of total billed charges,45% of total billed charges,343.49,38.25,,274.79,percent of total billed charges,38.25% of total billed charges,404.1,45,,323.28,percent of total billed charges,45% of total billed charges,404.1,45,,323.28,percent of total billed charges,45% of total billed charges,343.49,887.13,
36561 INSERT TUNNELED CV CATH,10036561,CDM,360,RC,36561,HCPCS,OUTPATIENT,,,3594,2875.2,,3414.3,95,,2731.44,percent of total billed charges,95% of total billed charges,3404.24,94.72,,2723.39,percent of total billed charges,94.72% of total billed charges,3550.51,98.79,,2840.41,percent of total billed charges,98.79% of total billed charges,3522.12,98,,2817.7,percent of total billed charges,98% of total billed charges,3522.12,98,,2817.7,percent of total billed charges,98% of total billed charges,1725.12,48,,1380.1,percent of total billed charges,48% of total billed charges,1617.3,45,,1293.84,percent of total billed charges,45% of total billed charges,1374.71,38.25,,1099.77,percent of total billed charges,38.25% of total billed charges,1617.3,45,,1293.84,percent of total billed charges,45% of total billed charges,1617.3,45,,1293.84,percent of total billed charges,45% of total billed charges,1374.71,3550.51,
36582 Replacement| complete| of a tunneled central tech fee,10036582,CDM,360,RC,36582,HCPCS,OUTPATIENT,,,2863,2290.4,,2719.85,95,,2175.88,percent of total billed charges,95% of total billed charges,2711.83,94.72,,2169.46,percent of total billed charges,94.72% of total billed charges,2828.36,98.79,,2262.69,percent of total billed charges,98.79% of total billed charges,2805.74,98,,2244.59,percent of total billed charges,98% of total billed charges,2805.74,98,,2244.59,percent of total billed charges,98% of total billed charges,1374.24,48,,1099.39,percent of total billed charges,48% of total billed charges,1288.35,45,,1030.68,percent of total billed charges,45% of total billed charges,1095.1,38.25,,876.08,percent of total billed charges,38.25% of total billed charges,1288.35,45,,1030.68,percent of total billed charges,45% of total billed charges,1288.35,45,,1030.68,percent of total billed charges,45% of total billed charges,1095.1,2828.36,
37617 Ligation| major artery (eg| post-traumatic|,10037617,CDM,360,RC,37617,HCPCS,OUTPATIENT,,,4227,3381.6,,4015.65,95,,3212.52,percent of total billed charges,95% of total billed charges,4003.81,94.72,,3203.05,percent of total billed charges,94.72% of total billed charges,4175.85,98.79,,3340.68,percent of total billed charges,98.79% of total billed charges,4142.46,98,,3313.97,percent of total billed charges,98% of total billed charges,4142.46,98,,3313.97,percent of total billed charges,98% of total billed charges,2028.96,48,,1623.17,percent of total billed charges,48% of total billed charges,1902.15,45,,1521.72,percent of total billed charges,45% of total billed charges,1616.83,38.25,,1293.46,percent of total billed charges,38.25% of total billed charges,1902.15,45,,1521.72,percent of total billed charges,45% of total billed charges,1902.15,45,,1521.72,percent of total billed charges,45% of total billed charges,1616.83,4175.85,
37700 REVISE LEG VEIN,10037700,CDM,360,RC,37700,HCPCS,OUTPATIENT,,,1518,1214.4,,1442.1,95,,1153.68,percent of total billed charges,95% of total billed charges,1437.85,94.72,,1150.28,percent of total billed charges,94.72% of total billed charges,1499.63,98.79,,1199.7,percent of total billed charges,98.79% of total billed charges,1487.64,98,,1190.11,percent of total billed charges,98% of total billed charges,1487.64,98,,1190.11,percent of total billed charges,98% of total billed charges,728.64,48,,582.91,percent of total billed charges,48% of total billed charges,683.1,45,,546.48,percent of total billed charges,45% of total billed charges,580.64,38.25,,464.51,percent of total billed charges,38.25% of total billed charges,683.1,45,,546.48,percent of total billed charges,45% of total billed charges,683.1,45,,546.48,percent of total billed charges,45% of total billed charges,580.64,1499.63,
37785 Ligation| division| and/or excision of varicose vein cluster(s)| 1 leg,10037785,CDM,360,RC,37785,HCPCS,OUTPATIENT,,,1884,1507.2,,1789.8,95,,1431.84,percent of total billed charges,95% of total billed charges,1784.52,94.72,,1427.62,percent of total billed charges,94.72% of total billed charges,1861.2,98.79,,1488.96,percent of total billed charges,98.79% of total billed charges,1846.32,98,,1477.06,percent of total billed charges,98% of total billed charges,1846.32,98,,1477.06,percent of total billed charges,98% of total billed charges,904.32,48,,723.46,percent of total billed charges,48% of total billed charges,847.8,45,,678.24,percent of total billed charges,45% of total billed charges,720.63,38.25,,576.5,percent of total billed charges,38.25% of total billed charges,847.8,45,,678.24,percent of total billed charges,45% of total billed charges,847.8,45,,678.24,percent of total billed charges,45% of total billed charges,720.63,1861.2,
38100 REMOVAL OF SPLEEN TOTAL,10038100,CDM,360,RC,38100,HCPCS,OUTPATIENT,,,3972,3177.6,,3773.4,95,,3018.72,percent of total billed charges,95% of total billed charges,3762.28,94.72,,3009.82,percent of total billed charges,94.72% of total billed charges,3923.94,98.79,,3139.15,percent of total billed charges,98.79% of total billed charges,3892.56,98,,3114.05,percent of total billed charges,98% of total billed charges,3892.56,98,,3114.05,percent of total billed charges,98% of total billed charges,1906.56,48,,1525.25,percent of total billed charges,48% of total billed charges,1787.4,45,,1429.92,percent of total billed charges,45% of total billed charges,1519.29,38.25,,1215.43,percent of total billed charges,38.25% of total billed charges,1787.4,45,,1429.92,percent of total billed charges,45% of total billed charges,1787.4,45,,1429.92,percent of total billed charges,45% of total billed charges,1519.29,3923.94,
38500  Biopsy or excision of lymph node(s)| open| superficial,10038500,CDM,360,RC,38500,HCPCS,OUTPATIENT,,,1739,1391.2,,1652.05,95,,1321.64,percent of total billed charges,95% of total billed charges,1647.18,94.72,,1317.74,percent of total billed charges,94.72% of total billed charges,1717.96,98.79,,1374.37,percent of total billed charges,98.79% of total billed charges,1704.22,98,,1363.38,percent of total billed charges,98% of total billed charges,1704.22,98,,1363.38,percent of total billed charges,98% of total billed charges,834.72,48,,667.78,percent of total billed charges,48% of total billed charges,782.55,45,,626.04,percent of total billed charges,45% of total billed charges,665.17,38.25,,532.14,percent of total billed charges,38.25% of total billed charges,782.55,45,,626.04,percent of total billed charges,45% of total billed charges,782.55,45,,626.04,percent of total billed charges,45% of total billed charges,665.17,1717.96,
38510 BIOPSY/REMOVAL LYMPH NODES,10038510,CDM,360,RC,38510,HCPCS,OUTPATIENT,,,2135,1708,,2028.25,95,,1622.6,percent of total billed charges,95% of total billed charges,2022.27,94.72,,1617.82,percent of total billed charges,94.72% of total billed charges,2109.17,98.79,,1687.34,percent of total billed charges,98.79% of total billed charges,2092.3,98,,1673.84,percent of total billed charges,98% of total billed charges,2092.3,98,,1673.84,percent of total billed charges,98% of total billed charges,1024.8,48,,819.84,percent of total billed charges,48% of total billed charges,960.75,45,,768.6,percent of total billed charges,45% of total billed charges,816.64,38.25,,653.31,percent of total billed charges,38.25% of total billed charges,960.75,45,,768.6,percent of total billed charges,45% of total billed charges,960.75,45,,768.6,percent of total billed charges,45% of total billed charges,816.64,2109.17,
38525 BIOPSY/REMOVAL LYMPH NODES,10038525,CDM,360,RC,38525,HCPCS,OUTPATIENT,,,2780,2224,,2641,95,,2112.8,percent of total billed charges,95% of total billed charges,2633.22,94.72,,2106.58,percent of total billed charges,94.72% of total billed charges,2746.36,98.79,,2197.09,percent of total billed charges,98.79% of total billed charges,2724.4,98,,2179.52,percent of total billed charges,98% of total billed charges,2724.4,98,,2179.52,percent of total billed charges,98% of total billed charges,1334.4,48,,1067.52,percent of total billed charges,48% of total billed charges,1251,45,,1000.8,percent of total billed charges,45% of total billed charges,1063.35,38.25,,850.68,percent of total billed charges,38.25% of total billed charges,1251,45,,1000.8,percent of total billed charges,45% of total billed charges,1251,45,,1000.8,percent of total billed charges,45% of total billed charges,1063.35,2746.36,
38531 OPEN BX/EXC INGUINOFEM NODES,10038531,CDM,360,RC,38531,HCPCS,OUTPATIENT,,,2752,2201.6,,2614.4,95,,2091.52,percent of total billed charges,95% of total billed charges,2606.69,94.72,,2085.35,percent of total billed charges,94.72% of total billed charges,2718.7,98.79,,2174.96,percent of total billed charges,98.79% of total billed charges,2696.96,98,,2157.57,percent of total billed charges,98% of total billed charges,2696.96,98,,2157.57,percent of total billed charges,98% of total billed charges,1320.96,48,,1056.77,percent of total billed charges,48% of total billed charges,1238.4,45,,990.72,percent of total billed charges,45% of total billed charges,1052.64,38.25,,842.11,percent of total billed charges,38.25% of total billed charges,1238.4,45,,990.72,percent of total billed charges,45% of total billed charges,1238.4,45,,990.72,percent of total billed charges,45% of total billed charges,1052.64,2718.7,
38700 Suprahyoid lymphadenectomy,10038700,CDM,360,RC,38700,HCPCS,OUTPATIENT,,,3698,2958.4,,3513.1,95,,2810.48,percent of total billed charges,95% of total billed charges,3502.75,94.72,,2802.2,percent of total billed charges,94.72% of total billed charges,3653.25,98.79,,2922.6,percent of total billed charges,98.79% of total billed charges,3624.04,98,,2899.23,percent of total billed charges,98% of total billed charges,3624.04,98,,2899.23,percent of total billed charges,98% of total billed charges,1775.04,48,,1420.03,percent of total billed charges,48% of total billed charges,1664.1,45,,1331.28,percent of total billed charges,45% of total billed charges,1414.49,38.25,,1131.59,percent of total billed charges,38.25% of total billed charges,1664.1,45,,1331.28,percent of total billed charges,45% of total billed charges,1664.1,45,,1331.28,percent of total billed charges,45% of total billed charges,1414.49,3653.25,
38724 REMOVAL OF LYMPH NODES NECK,10038724,CDM,360,RC,38724,HCPCS,OUTPATIENT,,,7745,6196,,7357.75,95,,5886.2,percent of total billed charges,95% of total billed charges,7336.06,94.72,,5868.85,percent of total billed charges,94.72% of total billed charges,7651.29,98.79,,6121.03,percent of total billed charges,98.79% of total billed charges,7590.1,98,,6072.08,percent of total billed charges,98% of total billed charges,7590.1,98,,6072.08,percent of total billed charges,98% of total billed charges,3717.6,48,,2974.08,percent of total billed charges,48% of total billed charges,3485.25,45,,2788.2,percent of total billed charges,45% of total billed charges,2962.46,38.25,,2369.97,percent of total billed charges,38.25% of total billed charges,3485.25,45,,2788.2,percent of total billed charges,45% of total billed charges,3485.25,45,,2788.2,percent of total billed charges,45% of total billed charges,2962.46,7651.29,
40819 EXCISE LIP OR CHEEK FOLD,10040819,CDM,360,RC,40819,HCPCS,OUTPATIENT,,,929,743.2,,882.55,95,,706.04,percent of total billed charges,95% of total billed charges,879.95,94.72,,703.96,percent of total billed charges,94.72% of total billed charges,917.76,98.79,,734.21,percent of total billed charges,98.79% of total billed charges,910.42,98,,728.34,percent of total billed charges,98% of total billed charges,910.42,98,,728.34,percent of total billed charges,98% of total billed charges,445.92,48,,356.74,percent of total billed charges,48% of total billed charges,418.05,45,,334.44,percent of total billed charges,45% of total billed charges,355.34,38.25,,284.27,percent of total billed charges,38.25% of total billed charges,418.05,45,,334.44,percent of total billed charges,45% of total billed charges,418.05,45,,334.44,percent of total billed charges,45% of total billed charges,355.34,917.76,
41016 - I&D Abscess Floor of Mouth; Submental,10041016,CDM,360,RC,41016,HCPCS,OUTPATIENT,,,1646,1316.8,,1563.7,95,,1250.96,percent of total billed charges,95% of total billed charges,1559.09,94.72,,1247.27,percent of total billed charges,94.72% of total billed charges,1626.08,98.79,,1300.86,percent of total billed charges,98.79% of total billed charges,1613.08,98,,1290.46,percent of total billed charges,98% of total billed charges,1613.08,98,,1290.46,percent of total billed charges,98% of total billed charges,790.08,48,,632.06,percent of total billed charges,48% of total billed charges,740.7,45,,592.56,percent of total billed charges,45% of total billed charges,629.6,38.25,,503.68,percent of total billed charges,38.25% of total billed charges,740.7,45,,592.56,percent of total billed charges,45% of total billed charges,740.7,45,,592.56,percent of total billed charges,45% of total billed charges,629.6,1626.08,
41112 Ex tongue lesion/w clos/anter 2/3,10041112,CDM,360,RC,41112,HCPCS,OUTPATIENT,,,980,784,,931,95,,744.8,percent of total billed charges,95% of total billed charges,928.26,94.72,,742.61,percent of total billed charges,94.72% of total billed charges,968.14,98.79,,774.51,percent of total billed charges,98.79% of total billed charges,960.4,98,,768.32,percent of total billed charges,98% of total billed charges,960.4,98,,768.32,percent of total billed charges,98% of total billed charges,470.4,48,,376.32,percent of total billed charges,48% of total billed charges,441,45,,352.8,percent of total billed charges,45% of total billed charges,374.85,38.25,,299.88,percent of total billed charges,38.25% of total billed charges,441,45,,352.8,percent of total billed charges,45% of total billed charges,441,45,,352.8,percent of total billed charges,45% of total billed charges,374.85,968.14,
41115 EXCISION OF TONGUE FOLD,10041115,CDM,360,RC,41115,HCPCS,OUTPATIENT,,,984,787.2,,934.8,95,,747.84,percent of total billed charges,95% of total billed charges,932.04,94.72,,745.63,percent of total billed charges,94.72% of total billed charges,972.09,98.79,,777.67,percent of total billed charges,98.79% of total billed charges,964.32,98,,771.46,percent of total billed charges,98% of total billed charges,964.32,98,,771.46,percent of total billed charges,98% of total billed charges,472.32,48,,377.86,percent of total billed charges,48% of total billed charges,442.8,45,,354.24,percent of total billed charges,45% of total billed charges,376.38,38.25,,301.1,percent of total billed charges,38.25% of total billed charges,442.8,45,,354.24,percent of total billed charges,45% of total billed charges,442.8,45,,354.24,percent of total billed charges,45% of total billed charges,376.38,972.09,
41116 EXCISION OF MOUTH LESION,10041116,CDM,360,RC,41116,HCPCS,OUTPATIENT,,,1301,1040.8,,1235.95,95,,988.76,percent of total billed charges,95% of total billed charges,1232.31,94.72,,985.85,percent of total billed charges,94.72% of total billed charges,1285.26,98.79,,1028.21,percent of total billed charges,98.79% of total billed charges,1274.98,98,,1019.98,percent of total billed charges,98% of total billed charges,1274.98,98,,1019.98,percent of total billed charges,98% of total billed charges,624.48,48,,499.58,percent of total billed charges,48% of total billed charges,585.45,45,,468.36,percent of total billed charges,45% of total billed charges,497.63,38.25,,398.1,percent of total billed charges,38.25% of total billed charges,585.45,45,,468.36,percent of total billed charges,45% of total billed charges,585.45,45,,468.36,percent of total billed charges,45% of total billed charges,497.63,1285.26,
41826 Excision of lesion or tumor|,10041826,CDM,360,RC,41826,HCPCS,OUTPATIENT,,,1015,812,,964.25,95,,771.4,percent of total billed charges,95% of total billed charges,961.41,94.72,,769.13,percent of total billed charges,94.72% of total billed charges,1002.72,98.79,,802.18,percent of total billed charges,98.79% of total billed charges,994.7,98,,795.76,percent of total billed charges,98% of total billed charges,994.7,98,,795.76,percent of total billed charges,98% of total billed charges,487.2,48,,389.76,percent of total billed charges,48% of total billed charges,456.75,45,,365.4,percent of total billed charges,45% of total billed charges,388.24,38.25,,310.59,percent of total billed charges,38.25% of total billed charges,456.75,45,,365.4,percent of total billed charges,45% of total billed charges,456.75,45,,365.4,percent of total billed charges,45% of total billed charges,388.24,1002.72,
42140 EXCISION OF UVULA,10042140,CDM,360,RC,42140,HCPCS,OUTPATIENT,,,1377,1101.6,,1308.15,95,,1046.52,percent of total billed charges,95% of total billed charges,1304.29,94.72,,1043.43,percent of total billed charges,94.72% of total billed charges,1360.34,98.79,,1088.27,percent of total billed charges,98.79% of total billed charges,1349.46,98,,1079.57,percent of total billed charges,98% of total billed charges,1349.46,98,,1079.57,percent of total billed charges,98% of total billed charges,660.96,48,,528.77,percent of total billed charges,48% of total billed charges,619.65,45,,495.72,percent of total billed charges,45% of total billed charges,526.7,38.25,,421.36,percent of total billed charges,38.25% of total billed charges,619.65,45,,495.72,percent of total billed charges,45% of total billed charges,619.65,45,,495.72,percent of total billed charges,45% of total billed charges,526.7,1360.34,
42160 TREATMENT MOUTH ROOF LESION,10042160,CDM,360,RC,42160,HCPCS,OUTPATIENT,,,775,620,,736.25,95,,589,percent of total billed charges,95% of total billed charges,734.08,94.72,,587.26,percent of total billed charges,94.72% of total billed charges,765.62,98.79,,612.5,percent of total billed charges,98.79% of total billed charges,759.5,98,,607.6,percent of total billed charges,98% of total billed charges,759.5,98,,607.6,percent of total billed charges,98% of total billed charges,372,48,,297.6,percent of total billed charges,48% of total billed charges,348.75,45,,279,percent of total billed charges,45% of total billed charges,296.44,38.25,,237.15,percent of total billed charges,38.25% of total billed charges,348.75,45,,279,percent of total billed charges,45% of total billed charges,348.75,45,,279,percent of total billed charges,45% of total billed charges,296.44,765.62,
42409 Marsupialization of sublingual salivary cyst,10042409,CDM,360,RC,42409,HCPCS,OUTPATIENT,,,1107,885.6,,1051.65,95,,841.32,percent of total billed charges,95% of total billed charges,1048.55,94.72,,838.84,percent of total billed charges,94.72% of total billed charges,1093.61,98.79,,874.89,percent of total billed charges,98.79% of total billed charges,1084.86,98,,867.89,percent of total billed charges,98% of total billed charges,1084.86,98,,867.89,percent of total billed charges,98% of total billed charges,531.36,48,,425.09,percent of total billed charges,48% of total billed charges,498.15,45,,398.52,percent of total billed charges,45% of total billed charges,423.43,38.25,,338.74,percent of total billed charges,38.25% of total billed charges,498.15,45,,398.52,percent of total billed charges,45% of total billed charges,498.15,45,,398.52,percent of total billed charges,45% of total billed charges,423.43,1093.61,
42410 EXCISION OF PAROTID TUMOR OR PAROTID GLAND;,10042410,CDM,360,RC,42410,HCPCS,OUTPATIENT,,,4290,3432,,4075.5,95,,3260.4,percent of total billed charges,95% of total billed charges,4063.49,94.72,,3250.79,percent of total billed charges,94.72% of total billed charges,4238.09,98.79,,3390.47,percent of total billed charges,98.79% of total billed charges,4204.2,98,,3363.36,percent of total billed charges,98% of total billed charges,4204.2,98,,3363.36,percent of total billed charges,98% of total billed charges,2059.2,48,,1647.36,percent of total billed charges,48% of total billed charges,1930.5,45,,1544.4,percent of total billed charges,45% of total billed charges,1640.93,38.25,,1312.74,percent of total billed charges,38.25% of total billed charges,1930.5,45,,1544.4,percent of total billed charges,45% of total billed charges,1930.5,45,,1544.4,percent of total billed charges,45% of total billed charges,1640.93,4238.09,
42415 EXCISE PAROTID GLAND/LESION,10042415,CDM,360,RC,42415,HCPCS,OUTPATIENT,,,6228,4982.4,,5916.6,95,,4733.28,percent of total billed charges,95% of total billed charges,5899.16,94.72,,4719.33,percent of total billed charges,94.72% of total billed charges,6152.64,98.79,,4922.11,percent of total billed charges,98.79% of total billed charges,6103.44,98,,4882.75,percent of total billed charges,98% of total billed charges,6103.44,98,,4882.75,percent of total billed charges,98% of total billed charges,2989.44,48,,2391.55,percent of total billed charges,48% of total billed charges,2802.6,45,,2242.08,percent of total billed charges,45% of total billed charges,2382.21,38.25,,1905.77,percent of total billed charges,38.25% of total billed charges,2802.6,45,,2242.08,percent of total billed charges,45% of total billed charges,2802.6,45,,2242.08,percent of total billed charges,45% of total billed charges,2382.21,6152.64,
42440 Excision of submandibular (submaxillary) gland,10042440,CDM,360,RC,42440,HCPCS,OUTPATIENT,,,2718,2174.4,,2582.1,95,,2065.68,percent of total billed charges,95% of total billed charges,2574.49,94.72,,2059.59,percent of total billed charges,94.72% of total billed charges,2685.11,98.79,,2148.09,percent of total billed charges,98.79% of total billed charges,2663.64,98,,2130.91,percent of total billed charges,98% of total billed charges,2663.64,98,,2130.91,percent of total billed charges,98% of total billed charges,1304.64,48,,1043.71,percent of total billed charges,48% of total billed charges,1223.1,45,,978.48,percent of total billed charges,45% of total billed charges,1039.64,38.25,,831.71,percent of total billed charges,38.25% of total billed charges,1223.1,45,,978.48,percent of total billed charges,45% of total billed charges,1223.1,45,,978.48,percent of total billed charges,45% of total billed charges,1039.64,2685.11,
42450 Excision of sublingual gland,10042450,CDM,360,RC,42450,HCPCS,OUTPATIENT,,,2325,1860,,2208.75,95,,1767,percent of total billed charges,95% of total billed charges,2202.24,94.72,,1761.79,percent of total billed charges,94.72% of total billed charges,2296.87,98.79,,1837.5,percent of total billed charges,98.79% of total billed charges,2278.5,98,,1822.8,percent of total billed charges,98% of total billed charges,2278.5,98,,1822.8,percent of total billed charges,98% of total billed charges,1116,48,,892.8,percent of total billed charges,48% of total billed charges,1046.25,45,,837,percent of total billed charges,45% of total billed charges,889.31,38.25,,711.45,percent of total billed charges,38.25% of total billed charges,1046.25,45,,837,percent of total billed charges,45% of total billed charges,1046.25,45,,837,percent of total billed charges,45% of total billed charges,889.31,2296.87,
42808 EXCISE PHARYNX LESION,10042808,CDM,360,RC,42808,HCPCS,OUTPATIENT,,,1179,943.2,,1120.05,95,,896.04,percent of total billed charges,95% of total billed charges,1116.75,94.72,,893.4,percent of total billed charges,94.72% of total billed charges,1164.73,98.79,,931.78,percent of total billed charges,98.79% of total billed charges,1155.42,98,,924.34,percent of total billed charges,98% of total billed charges,1155.42,98,,924.34,percent of total billed charges,98% of total billed charges,565.92,48,,452.74,percent of total billed charges,48% of total billed charges,530.55,45,,424.44,percent of total billed charges,45% of total billed charges,450.97,38.25,,360.78,percent of total billed charges,38.25% of total billed charges,530.55,45,,424.44,percent of total billed charges,45% of total billed charges,530.55,45,,424.44,percent of total billed charges,45% of total billed charges,450.97,1164.73,
EXC BRANCHEAL CLEFT CYST VESTIGE OR FISTULA,10042815,CDM,360,RC,42815,HCPCS,OUTPATIENT,,,3025,2420,,2873.75,95,,2299,percent of total billed charges,95% of total billed charges,2865.28,94.72,,2292.22,percent of total billed charges,94.72% of total billed charges,2988.4,98.79,,2390.72,percent of total billed charges,98.79% of total billed charges,2964.5,98,,2371.6,percent of total billed charges,98% of total billed charges,2964.5,98,,2371.6,percent of total billed charges,98% of total billed charges,1452,48,,1161.6,percent of total billed charges,48% of total billed charges,1361.25,45,,1089,percent of total billed charges,45% of total billed charges,1157.06,38.25,,925.65,percent of total billed charges,38.25% of total billed charges,1361.25,45,,1089,percent of total billed charges,45% of total billed charges,1361.25,45,,1089,percent of total billed charges,45% of total billed charges,1157.06,2988.4,
42820 REMOVE TONSILS AND ADENOIDS,10042820,CDM,360,RC,42820,HCPCS,OUTPATIENT,,,4596,3676.8,,4366.2,95,,3492.96,percent of total billed charges,95% of total billed charges,4353.33,94.72,,3482.66,percent of total billed charges,94.72% of total billed charges,4540.39,98.79,,3632.31,percent of total billed charges,98.79% of total billed charges,4504.08,98,,3603.26,percent of total billed charges,98% of total billed charges,4504.08,98,,3603.26,percent of total billed charges,98% of total billed charges,2206.08,48,,1764.86,percent of total billed charges,48% of total billed charges,2068.2,45,,1654.56,percent of total billed charges,45% of total billed charges,1757.97,38.25,,1406.38,percent of total billed charges,38.25% of total billed charges,2068.2,45,,1654.56,percent of total billed charges,45% of total billed charges,2068.2,45,,1654.56,percent of total billed charges,45% of total billed charges,1757.97,4540.39,
42820 REMOVE TONSILS AND ADENOIDS,10042821,CDM,360,RC,42821,HCPCS,OUTPATIENT,,,2418,1934.4,,2297.1,95,,1837.68,percent of total billed charges,95% of total billed charges,2290.33,94.72,,1832.26,percent of total billed charges,94.72% of total billed charges,2388.74,98.79,,1910.99,percent of total billed charges,98.79% of total billed charges,2369.64,98,,1895.71,percent of total billed charges,98% of total billed charges,2369.64,98,,1895.71,percent of total billed charges,98% of total billed charges,1160.64,48,,928.51,percent of total billed charges,48% of total billed charges,1088.1,45,,870.48,percent of total billed charges,45% of total billed charges,924.89,38.25,,739.91,percent of total billed charges,38.25% of total billed charges,1088.1,45,,870.48,percent of total billed charges,45% of total billed charges,1088.1,45,,870.48,percent of total billed charges,45% of total billed charges,924.89,2388.74,
42825 Tonsillectomy| primary or secondary; younger than age,10042825,CDM,360,RC,42825,HCPCS,OUTPATIENT,,,1659,1327.2,,1576.05,95,,1260.84,percent of total billed charges,95% of total billed charges,1571.4,94.72,,1257.12,percent of total billed charges,94.72% of total billed charges,1638.93,98.79,,1311.14,percent of total billed charges,98.79% of total billed charges,1625.82,98,,1300.66,percent of total billed charges,98% of total billed charges,1625.82,98,,1300.66,percent of total billed charges,98% of total billed charges,796.32,48,,637.06,percent of total billed charges,48% of total billed charges,746.55,45,,597.24,percent of total billed charges,45% of total billed charges,634.57,38.25,,507.66,percent of total billed charges,38.25% of total billed charges,746.55,45,,597.24,percent of total billed charges,45% of total billed charges,746.55,45,,597.24,percent of total billed charges,45% of total billed charges,634.57,1638.93,
42826 REMOVAL OF TONSILS,10042826,CDM,360,RC,42826,HCPCS,OUTPATIENT,,,1934,1547.2,,1837.3,95,,1469.84,percent of total billed charges,95% of total billed charges,1831.88,94.72,,1465.5,percent of total billed charges,94.72% of total billed charges,1910.6,98.79,,1528.48,percent of total billed charges,98.79% of total billed charges,1895.32,98,,1516.26,percent of total billed charges,98% of total billed charges,1895.32,98,,1516.26,percent of total billed charges,98% of total billed charges,928.32,48,,742.66,percent of total billed charges,48% of total billed charges,870.3,45,,696.24,percent of total billed charges,45% of total billed charges,739.76,38.25,,591.81,percent of total billed charges,38.25% of total billed charges,870.3,45,,696.24,percent of total billed charges,45% of total billed charges,870.3,45,,696.24,percent of total billed charges,45% of total billed charges,739.76,1910.6,
42830 REMOVAL OF ADENOIDS,10042830,CDM,360,RC,42830,HCPCS,OUTPATIENT,,,2418,1934.4,,2297.1,95,,1837.68,percent of total billed charges,95% of total billed charges,2290.33,94.72,,1832.26,percent of total billed charges,94.72% of total billed charges,2388.74,98.79,,1910.99,percent of total billed charges,98.79% of total billed charges,2369.64,98,,1895.71,percent of total billed charges,98% of total billed charges,2369.64,98,,1895.71,percent of total billed charges,98% of total billed charges,1160.64,48,,928.51,percent of total billed charges,48% of total billed charges,1088.1,45,,870.48,percent of total billed charges,45% of total billed charges,924.89,38.25,,739.91,percent of total billed charges,38.25% of total billed charges,1088.1,45,,870.48,percent of total billed charges,45% of total billed charges,1088.1,45,,870.48,percent of total billed charges,45% of total billed charges,924.89,2388.74,
42831 REMOVAL OF ADENOIDS,10042831,CDM,360,RC,42831,HCPCS,OUTPATIENT,,,2418,1934.4,,2297.1,95,,1837.68,percent of total billed charges,95% of total billed charges,2290.33,94.72,,1832.26,percent of total billed charges,94.72% of total billed charges,2388.74,98.79,,1910.99,percent of total billed charges,98.79% of total billed charges,2369.64,98,,1895.71,percent of total billed charges,98% of total billed charges,2369.64,98,,1895.71,percent of total billed charges,98% of total billed charges,1160.64,48,,928.51,percent of total billed charges,48% of total billed charges,1088.1,45,,870.48,percent of total billed charges,45% of total billed charges,924.89,38.25,,739.91,percent of total billed charges,38.25% of total billed charges,1088.1,45,,870.48,percent of total billed charges,45% of total billed charges,1088.1,45,,870.48,percent of total billed charges,45% of total billed charges,924.89,2388.74,
42960 CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE,10042960,CDM,360,RC,42960,HCPCS,OUTPATIENT,,,743,594.4,,705.85,95,,564.68,percent of total billed charges,95% of total billed charges,703.77,94.72,,563.02,percent of total billed charges,94.72% of total billed charges,734.01,98.79,,587.21,percent of total billed charges,98.79% of total billed charges,728.14,98,,582.51,percent of total billed charges,98% of total billed charges,728.14,98,,582.51,percent of total billed charges,98% of total billed charges,356.64,48,,285.31,percent of total billed charges,48% of total billed charges,334.35,45,,267.48,percent of total billed charges,45% of total billed charges,284.2,38.25,,227.36,percent of total billed charges,38.25% of total billed charges,334.35,45,,267.48,percent of total billed charges,45% of total billed charges,334.35,45,,267.48,percent of total billed charges,45% of total billed charges,284.2,734.01,
Esophagoscopy| rigid| transoral; diagnostic Tech Fee,10043191,CDM,360,RC,43191,HCPCS,OUTPATIENT,,,710,568,,674.5,95,,539.6,percent of total billed charges,95% of total billed charges,672.51,94.72,,538.01,percent of total billed charges,94.72% of total billed charges,701.41,98.79,,561.13,percent of total billed charges,98.79% of total billed charges,695.8,98,,556.64,percent of total billed charges,98% of total billed charges,695.8,98,,556.64,percent of total billed charges,98% of total billed charges,340.8,48,,272.64,percent of total billed charges,48% of total billed charges,319.5,45,,255.6,percent of total billed charges,45% of total billed charges,271.58,38.25,,217.26,percent of total billed charges,38.25% of total billed charges,319.5,45,,255.6,percent of total billed charges,45% of total billed charges,319.5,45,,255.6,percent of total billed charges,45% of total billed charges,271.58,701.41,
43193 Esophagoscopy| rigid| transoral; with biopsy,10043193,CDM,360,RC,43193,HCPCS,OUTPATIENT,,,984,787.2,,934.8,95,,747.84,percent of total billed charges,95% of total billed charges,932.04,94.72,,745.63,percent of total billed charges,94.72% of total billed charges,972.09,98.79,,777.67,percent of total billed charges,98.79% of total billed charges,964.32,98,,771.46,percent of total billed charges,98% of total billed charges,964.32,98,,771.46,percent of total billed charges,98% of total billed charges,472.32,48,,377.86,percent of total billed charges,48% of total billed charges,442.8,45,,354.24,percent of total billed charges,45% of total billed charges,376.38,38.25,,301.1,percent of total billed charges,38.25% of total billed charges,442.8,45,,354.24,percent of total billed charges,45% of total billed charges,442.8,45,,354.24,percent of total billed charges,45% of total billed charges,376.38,972.09,
UPPER GI W/ DIRECT PLACEMENT OF TUBE,10043246,CDM,360,RC,43246,HCPCS,OUTPATIENT,,,1355,1084,,1287.25,95,,1029.8,percent of total billed charges,95% of total billed charges,1283.46,94.72,,1026.77,percent of total billed charges,94.72% of total billed charges,1338.6,98.79,,1070.88,percent of total billed charges,98.79% of total billed charges,1327.9,98,,1062.32,percent of total billed charges,98% of total billed charges,1327.9,98,,1062.32,percent of total billed charges,98% of total billed charges,650.4,48,,520.32,percent of total billed charges,48% of total billed charges,609.75,45,,487.8,percent of total billed charges,45% of total billed charges,518.29,38.25,,414.63,percent of total billed charges,38.25% of total billed charges,609.75,45,,487.8,percent of total billed charges,45% of total billed charges,609.75,45,,487.8,percent of total billed charges,45% of total billed charges,518.29,1338.6,
43635 Vagotomy when performed with partial distal gastrectom,10043635,CDM,360,RC,43635,HCPCS,OUTPATIENT,,,730,584,,693.5,95,,554.8,percent of total billed charges,95% of total billed charges,691.46,94.72,,553.17,percent of total billed charges,94.72% of total billed charges,721.17,98.79,,576.94,percent of total billed charges,98.79% of total billed charges,715.4,98,,572.32,percent of total billed charges,98% of total billed charges,715.4,98,,572.32,percent of total billed charges,98% of total billed charges,350.4,48,,280.32,percent of total billed charges,48% of total billed charges,328.5,45,,262.8,percent of total billed charges,45% of total billed charges,279.23,38.25,,223.38,percent of total billed charges,38.25% of total billed charges,328.5,45,,262.8,percent of total billed charges,45% of total billed charges,328.5,45,,262.8,percent of total billed charges,45% of total billed charges,279.23,721.17,
43644 Laparoscopy| gastric restrictive procedure;,10043644,CDM,360,RC,43644,HCPCS,OUTPATIENT,,,10773,8618.4,,10234.35,95,,8187.48,percent of total billed charges,95% of total billed charges,10204.19,94.72,,8163.35,percent of total billed charges,94.72% of total billed charges,10642.65,98.79,,8514.12,percent of total billed charges,98.79% of total billed charges,10557.54,98,,8446.03,percent of total billed charges,98% of total billed charges,10557.54,98,,8446.03,percent of total billed charges,98% of total billed charges,5171.04,48,,4136.83,percent of total billed charges,48% of total billed charges,4847.85,45,,3878.28,percent of total billed charges,45% of total billed charges,4120.67,38.25,,3296.54,percent of total billed charges,38.25% of total billed charges,4847.85,45,,3878.28,percent of total billed charges,45% of total billed charges,4847.85,45,,3878.28,percent of total billed charges,45% of total billed charges,4120.67,10642.65,
43752 Nasal Oro-gastric Tube Placement charges,10043752,CDM,360,RC,43752,HCPCS,OUTPATIENT,,,349,279.2,,331.55,95,,265.24,percent of total billed charges,95% of total billed charges,330.57,94.72,,264.46,percent of total billed charges,94.72% of total billed charges,344.78,98.79,,275.82,percent of total billed charges,98.79% of total billed charges,342.02,98,,273.62,percent of total billed charges,98% of total billed charges,342.02,98,,273.62,percent of total billed charges,98% of total billed charges,167.52,48,,134.02,percent of total billed charges,48% of total billed charges,157.05,45,,125.64,percent of total billed charges,45% of total billed charges,133.49,38.25,,106.79,percent of total billed charges,38.25% of total billed charges,157.05,45,,125.64,percent of total billed charges,45% of total billed charges,157.05,45,,125.64,percent of total billed charges,45% of total billed charges,133.49,344.78,
43870 Closure of gastrostomy| surgical,10043870,CDM,360,RC,43870,HCPCS,OUTPATIENT,,,4327,3461.6,,4110.65,95,,3288.52,percent of total billed charges,95% of total billed charges,4098.53,94.72,,3278.82,percent of total billed charges,94.72% of total billed charges,4274.64,98.79,,3419.71,percent of total billed charges,98.79% of total billed charges,4240.46,98,,3392.37,percent of total billed charges,98% of total billed charges,4240.46,98,,3392.37,percent of total billed charges,98% of total billed charges,2076.96,48,,1661.57,percent of total billed charges,48% of total billed charges,1947.15,45,,1557.72,percent of total billed charges,45% of total billed charges,1655.08,38.25,,1324.06,percent of total billed charges,38.25% of total billed charges,1947.15,45,,1557.72,percent of total billed charges,45% of total billed charges,1947.15,45,,1557.72,percent of total billed charges,45% of total billed charges,1655.08,4274.64,
Enterolysis (freeing of intestinal adhesion) (separate proce,10044005,CDM,360,RC,44005,HCPCS,OUTPATIENT,,,4440,3552,,4218,95,,3374.4,percent of total billed charges,95% of total billed charges,4205.57,94.72,,3364.46,percent of total billed charges,94.72% of total billed charges,4386.28,98.79,,3509.02,percent of total billed charges,98.79% of total billed charges,4351.2,98,,3480.96,percent of total billed charges,98% of total billed charges,4351.2,98,,3480.96,percent of total billed charges,98% of total billed charges,2131.2,48,,1704.96,percent of total billed charges,48% of total billed charges,1998,45,,1598.4,percent of total billed charges,45% of total billed charges,1698.3,38.25,,1358.64,percent of total billed charges,38.25% of total billed charges,1998,45,,1598.4,percent of total billed charges,45% of total billed charges,1998,45,,1598.4,percent of total billed charges,45% of total billed charges,1698.3,4386.28,
Enterectomy| resection of small intestine; single resection,10044120,CDM,360,RC,44120,HCPCS,OUTPATIENT,,,5211,4168.8,,4950.45,95,,3960.36,percent of total billed charges,95% of total billed charges,4935.86,94.72,,3948.69,percent of total billed charges,94.72% of total billed charges,5147.95,98.79,,4118.36,percent of total billed charges,98.79% of total billed charges,5106.78,98,,4085.42,percent of total billed charges,98% of total billed charges,5106.78,98,,4085.42,percent of total billed charges,98% of total billed charges,2501.28,48,,2001.02,percent of total billed charges,48% of total billed charges,2344.95,45,,1875.96,percent of total billed charges,45% of total billed charges,1993.21,38.25,,1594.57,percent of total billed charges,38.25% of total billed charges,2344.95,45,,1875.96,percent of total billed charges,45% of total billed charges,2344.95,45,,1875.96,percent of total billed charges,45% of total billed charges,1993.21,5147.95,
44139 MOBILIZATION OF COLON,10044139,CDM,360,RC,44139,HCPCS,OUTPATIENT,,,800,640,,760,95,,608,percent of total billed charges,95% of total billed charges,757.76,94.72,,606.21,percent of total billed charges,94.72% of total billed charges,790.32,98.79,,632.26,percent of total billed charges,98.79% of total billed charges,784,98,,627.2,percent of total billed charges,98% of total billed charges,784,98,,627.2,percent of total billed charges,98% of total billed charges,384,48,,307.2,percent of total billed charges,48% of total billed charges,360,45,,288,percent of total billed charges,45% of total billed charges,306,38.25,,244.8,percent of total billed charges,38.25% of total billed charges,360,45,,288,percent of total billed charges,45% of total billed charges,360,45,,288,percent of total billed charges,45% of total billed charges,306,790.32,
44140 PARTIAL REMOVAL OF COLON,10044140,CDM,360,RC,44140,HCPCS,OUTPATIENT,,,6412,5129.6,,6091.4,95,,4873.12,percent of total billed charges,95% of total billed charges,6073.45,94.72,,4858.76,percent of total billed charges,94.72% of total billed charges,6334.41,98.79,,5067.53,percent of total billed charges,98.79% of total billed charges,6283.76,98,,5027.01,percent of total billed charges,98% of total billed charges,6283.76,98,,5027.01,percent of total billed charges,98% of total billed charges,3077.76,48,,2462.21,percent of total billed charges,48% of total billed charges,2885.4,45,,2308.32,percent of total billed charges,45% of total billed charges,2452.59,38.25,,1962.07,percent of total billed charges,38.25% of total billed charges,2885.4,45,,2308.32,percent of total billed charges,45% of total billed charges,2885.4,45,,2308.32,percent of total billed charges,45% of total billed charges,2452.59,6334.41,
44143 PARTIAL REMOVAL OF COLON,10044143,CDM,360,RC,44143,HCPCS,OUTPATIENT,,,7404,5923.2,,7033.8,95,,5627.04,percent of total billed charges,95% of total billed charges,7013.07,94.72,,5610.46,percent of total billed charges,94.72% of total billed charges,7314.41,98.79,,5851.53,percent of total billed charges,98.79% of total billed charges,7255.92,98,,5804.74,percent of total billed charges,98% of total billed charges,7255.92,98,,5804.74,percent of total billed charges,98% of total billed charges,3553.92,48,,2843.14,percent of total billed charges,48% of total billed charges,3331.8,45,,2665.44,percent of total billed charges,45% of total billed charges,2832.03,38.25,,2265.62,percent of total billed charges,38.25% of total billed charges,3331.8,45,,2665.44,percent of total billed charges,45% of total billed charges,3331.8,45,,2665.44,percent of total billed charges,45% of total billed charges,2832.03,7314.41,
Pro 44160 COLECTOMY| PARTIAL| WITH REMOVAL OF TERMINAL,10044160,CDM,360,RC,44160,HCPCS,OUTPATIENT,,,5318,4254.4,,5052.1,95,,4041.68,percent of total billed charges,95% of total billed charges,5037.21,94.72,,4029.77,percent of total billed charges,94.72% of total billed charges,5253.65,98.79,,4202.92,percent of total billed charges,98.79% of total billed charges,5211.64,98,,4169.31,percent of total billed charges,98% of total billed charges,5211.64,98,,4169.31,percent of total billed charges,98% of total billed charges,2552.64,48,,2042.11,percent of total billed charges,48% of total billed charges,2393.1,45,,1914.48,percent of total billed charges,45% of total billed charges,2034.14,38.25,,1627.31,percent of total billed charges,38.25% of total billed charges,2393.1,45,,1914.48,percent of total billed charges,45% of total billed charges,2393.1,45,,1914.48,percent of total billed charges,45% of total billed charges,2034.14,5253.65,
44180 Laparoscopy| surgical| enterolysis,10044180,CDM,360,RC,44180,HCPCS,OUTPATIENT,,,4081,3264.8,,3876.95,95,,3101.56,percent of total billed charges,95% of total billed charges,3865.52,94.72,,3092.42,percent of total billed charges,94.72% of total billed charges,4031.62,98.79,,3225.3,percent of total billed charges,98.79% of total billed charges,3999.38,98,,3199.5,percent of total billed charges,98% of total billed charges,3999.38,98,,3199.5,percent of total billed charges,98% of total billed charges,1958.88,48,,1567.1,percent of total billed charges,48% of total billed charges,1836.45,45,,1469.16,percent of total billed charges,45% of total billed charges,1560.98,38.25,,1248.78,percent of total billed charges,38.25% of total billed charges,1836.45,45,,1469.16,percent of total billed charges,45% of total billed charges,1836.45,45,,1469.16,percent of total billed charges,45% of total billed charges,1560.98,4031.62,
44300 Placement| enterostomy or cecostomy| tube open,10044300,CDM,360,RC,44300,HCPCS,OUTPATIENT,,,3488,2790.4,,3313.6,95,,2650.88,percent of total billed charges,95% of total billed charges,3303.83,94.72,,2643.06,percent of total billed charges,94.72% of total billed charges,3445.8,98.79,,2756.64,percent of total billed charges,98.79% of total billed charges,3418.24,98,,2734.59,percent of total billed charges,98% of total billed charges,3418.24,98,,2734.59,percent of total billed charges,98% of total billed charges,1674.24,48,,1339.39,percent of total billed charges,48% of total billed charges,1569.6,45,,1255.68,percent of total billed charges,45% of total billed charges,1334.16,38.25,,1067.33,percent of total billed charges,38.25% of total billed charges,1569.6,45,,1255.68,percent of total billed charges,45% of total billed charges,1569.6,45,,1255.68,percent of total billed charges,45% of total billed charges,1334.16,3445.8,
44604 Suture of large intestine (colorrhaphy); single or mul,10044604,CDM,360,RC,44604,HCPCS,OUTPATIENT,,,4800,3840,,4560,95,,3648,percent of total billed charges,95% of total billed charges,4546.56,94.72,,3637.25,percent of total billed charges,94.72% of total billed charges,4741.92,98.79,,3793.54,percent of total billed charges,98.79% of total billed charges,4704,98,,3763.2,percent of total billed charges,98% of total billed charges,4704,98,,3763.2,percent of total billed charges,98% of total billed charges,2304,48,,1843.2,percent of total billed charges,48% of total billed charges,2160,45,,1728,percent of total billed charges,45% of total billed charges,1836,38.25,,1468.8,percent of total billed charges,38.25% of total billed charges,2160,45,,1728,percent of total billed charges,45% of total billed charges,2160,45,,1728,percent of total billed charges,45% of total billed charges,1836,4741.92,
44626 Closure of enterostomy| lg/small intestine;,10044626,CDM,360,RC,44626,HCPCS,OUTPATIENT,,,8009,6407.2,,7608.55,95,,6086.84,percent of total billed charges,95% of total billed charges,7586.12,94.72,,6068.9,percent of total billed charges,94.72% of total billed charges,7912.09,98.79,,6329.67,percent of total billed charges,98.79% of total billed charges,7848.82,98,,6279.06,percent of total billed charges,98% of total billed charges,7848.82,98,,6279.06,percent of total billed charges,98% of total billed charges,3844.32,48,,3075.46,percent of total billed charges,48% of total billed charges,3604.05,45,,2883.24,percent of total billed charges,45% of total billed charges,3063.44,38.25,,2450.75,percent of total billed charges,38.25% of total billed charges,3604.05,45,,2883.24,percent of total billed charges,45% of total billed charges,3604.05,45,,2883.24,percent of total billed charges,45% of total billed charges,3063.44,7912.09,
44950 Appendectomy Tech fee,10044950,CDM,360,RC,44950,HCPCS,OUTPATIENT,,,2720,2176,,2584,95,,2067.2,percent of total billed charges,95% of total billed charges,2576.38,94.72,,2061.1,percent of total billed charges,94.72% of total billed charges,2687.09,98.79,,2149.67,percent of total billed charges,98.79% of total billed charges,2665.6,98,,2132.48,percent of total billed charges,98% of total billed charges,2665.6,98,,2132.48,percent of total billed charges,98% of total billed charges,1305.6,48,,1044.48,percent of total billed charges,48% of total billed charges,1224,45,,979.2,percent of total billed charges,45% of total billed charges,1040.4,38.25,,832.32,percent of total billed charges,38.25% of total billed charges,1224,45,,979.2,percent of total billed charges,45% of total billed charges,1224,45,,979.2,percent of total billed charges,45% of total billed charges,1040.4,2687.09,
44960 Appendectomy for ruptured appendix with absc,10044960,CDM,360,RC,44960,HCPCS,OUTPATIENT,,,4206,3364.8,,3995.7,95,,3196.56,percent of total billed charges,95% of total billed charges,3983.92,94.72,,3187.14,percent of total billed charges,94.72% of total billed charges,4155.11,98.79,,3324.09,percent of total billed charges,98.79% of total billed charges,4121.88,98,,3297.5,percent of total billed charges,98% of total billed charges,4121.88,98,,3297.5,percent of total billed charges,98% of total billed charges,2018.88,48,,1615.1,percent of total billed charges,48% of total billed charges,1892.7,45,,1514.16,percent of total billed charges,45% of total billed charges,1608.8,38.25,,1287.04,percent of total billed charges,38.25% of total billed charges,1892.7,45,,1514.16,percent of total billed charges,45% of total billed charges,1892.7,45,,1514.16,percent of total billed charges,45% of total billed charges,1608.8,4155.11,
44970 LAPAROSCOPY APPENDECTOMY,10044970,CDM,360,RC,44970,HCPCS,OUTPATIENT,,,4671,3736.8,,4437.45,95,,3549.96,percent of total billed charges,95% of total billed charges,4424.37,94.72,,3539.5,percent of total billed charges,94.72% of total billed charges,4614.48,98.79,,3691.58,percent of total billed charges,98.79% of total billed charges,4577.58,98,,3662.06,percent of total billed charges,98% of total billed charges,4577.58,98,,3662.06,percent of total billed charges,98% of total billed charges,2242.08,48,,1793.66,percent of total billed charges,48% of total billed charges,2101.95,45,,1681.56,percent of total billed charges,45% of total billed charges,1786.66,38.25,,1429.33,percent of total billed charges,38.25% of total billed charges,2101.95,45,,1681.56,percent of total billed charges,45% of total billed charges,2101.95,45,,1681.56,percent of total billed charges,45% of total billed charges,1786.66,4614.48,
45560 Repair of rectocele (separate procedure),10045560,CDM,360,RC,45560,HCPCS,OUTPATIENT,,,1274,1019.2,,1210.3,95,,968.24,percent of total billed charges,95% of total billed charges,1206.73,94.72,,965.38,percent of total billed charges,94.72% of total billed charges,1258.58,98.79,,1006.86,percent of total billed charges,98.79% of total billed charges,1248.52,98,,998.82,percent of total billed charges,98% of total billed charges,1248.52,98,,998.82,percent of total billed charges,98% of total billed charges,611.52,48,,489.22,percent of total billed charges,48% of total billed charges,573.3,45,,458.64,percent of total billed charges,45% of total billed charges,487.31,38.25,,389.85,percent of total billed charges,38.25% of total billed charges,573.3,45,,458.64,percent of total billed charges,45% of total billed charges,573.3,45,,458.64,percent of total billed charges,45% of total billed charges,487.31,1258.58,
46040 INCISION OF RECTAL ABSCESS,10046040,CDM,360,RC,46040,HCPCS,OUTPATIENT,,,1315,1052,,1249.25,95,,999.4,percent of total billed charges,95% of total billed charges,1245.57,94.72,,996.46,percent of total billed charges,94.72% of total billed charges,1299.09,98.79,,1039.27,percent of total billed charges,98.79% of total billed charges,1288.7,98,,1030.96,percent of total billed charges,98% of total billed charges,1288.7,98,,1030.96,percent of total billed charges,98% of total billed charges,631.2,48,,504.96,percent of total billed charges,48% of total billed charges,591.75,45,,473.4,percent of total billed charges,45% of total billed charges,502.99,38.25,,402.39,percent of total billed charges,38.25% of total billed charges,591.75,45,,473.4,percent of total billed charges,45% of total billed charges,591.75,45,,473.4,percent of total billed charges,45% of total billed charges,502.99,1299.09,
46045 INCISION OF RECTAL ABSCESS,10046045,CDM,360,RC,46045,HCPCS,OUTPATIENT,,,1055,844,,1002.25,95,,801.8,percent of total billed charges,95% of total billed charges,999.3,94.72,,799.44,percent of total billed charges,94.72% of total billed charges,1042.23,98.79,,833.78,percent of total billed charges,98.79% of total billed charges,1033.9,98,,827.12,percent of total billed charges,98% of total billed charges,1033.9,98,,827.12,percent of total billed charges,98% of total billed charges,506.4,48,,405.12,percent of total billed charges,48% of total billed charges,474.75,45,,379.8,percent of total billed charges,45% of total billed charges,403.54,38.25,,322.83,percent of total billed charges,38.25% of total billed charges,474.75,45,,379.8,percent of total billed charges,45% of total billed charges,474.75,45,,379.8,percent of total billed charges,45% of total billed charges,403.54,1042.23,
46050 INCISION OF ANAL ABSCESS,10046050,CDM,360,RC,46050,HCPCS,OUTPATIENT,,,693,554.4,,658.35,95,,526.68,percent of total billed charges,95% of total billed charges,656.41,94.72,,525.13,percent of total billed charges,94.72% of total billed charges,684.61,98.79,,547.69,percent of total billed charges,98.79% of total billed charges,679.14,98,,543.31,percent of total billed charges,98% of total billed charges,679.14,98,,543.31,percent of total billed charges,98% of total billed charges,332.64,48,,266.11,percent of total billed charges,48% of total billed charges,311.85,45,,249.48,percent of total billed charges,45% of total billed charges,265.07,38.25,,212.06,percent of total billed charges,38.25% of total billed charges,311.85,45,,249.48,percent of total billed charges,45% of total billed charges,311.85,45,,249.48,percent of total billed charges,45% of total billed charges,265.07,684.61,
46060 INCISION OF RECTAL ABSCESS,10046060,CDM,360,RC,46060,HCPCS,OUTPATIENT,,,1399,1119.2,,1329.05,95,,1063.24,percent of total billed charges,95% of total billed charges,1325.13,94.72,,1060.1,percent of total billed charges,94.72% of total billed charges,1382.07,98.79,,1105.66,percent of total billed charges,98.79% of total billed charges,1371.02,98,,1096.82,percent of total billed charges,98% of total billed charges,1371.02,98,,1096.82,percent of total billed charges,98% of total billed charges,671.52,48,,537.22,percent of total billed charges,48% of total billed charges,629.55,45,,503.64,percent of total billed charges,45% of total billed charges,535.12,38.25,,428.1,percent of total billed charges,38.25% of total billed charges,629.55,45,,503.64,percent of total billed charges,45% of total billed charges,629.55,45,,503.64,percent of total billed charges,45% of total billed charges,535.12,1382.07,
46083 INCISE EXTERNAL HEMORRHOID,10046083,CDM,360,RC,46083,HCPCS,OUTPATIENT,,,610,488,,579.5,95,,463.6,percent of total billed charges,95% of total billed charges,577.79,94.72,,462.23,percent of total billed charges,94.72% of total billed charges,602.62,98.79,,482.1,percent of total billed charges,98.79% of total billed charges,597.8,98,,478.24,percent of total billed charges,98% of total billed charges,597.8,98,,478.24,percent of total billed charges,98% of total billed charges,292.8,48,,234.24,percent of total billed charges,48% of total billed charges,274.5,45,,219.6,percent of total billed charges,45% of total billed charges,233.33,38.25,,186.66,percent of total billed charges,38.25% of total billed charges,274.5,45,,219.6,percent of total billed charges,45% of total billed charges,274.5,45,,219.6,percent of total billed charges,45% of total billed charges,233.33,602.62,
46200 Fissurectomy| including sphincterotomy,10046200,CDM,360,RC,46200,HCPCS,OUTPATIENT,,,1351,1080.8,,1283.45,95,,1026.76,percent of total billed charges,95% of total billed charges,1279.67,94.72,,1023.74,percent of total billed charges,94.72% of total billed charges,1334.65,98.79,,1067.72,percent of total billed charges,98.79% of total billed charges,1323.98,98,,1059.18,percent of total billed charges,98% of total billed charges,1323.98,98,,1059.18,percent of total billed charges,98% of total billed charges,648.48,48,,518.78,percent of total billed charges,48% of total billed charges,607.95,45,,486.36,percent of total billed charges,45% of total billed charges,516.76,38.25,,413.41,percent of total billed charges,38.25% of total billed charges,607.95,45,,486.36,percent of total billed charges,45% of total billed charges,607.95,45,,486.36,percent of total billed charges,45% of total billed charges,516.76,1334.65,
46250 Hemorrhoidectomy| external| 2 or more columns/groups,10046250,CDM,360,RC,46250,HCPCS,OUTPATIENT,,,1488,1190.4,,1413.6,95,,1130.88,percent of total billed charges,95% of total billed charges,1409.43,94.72,,1127.54,percent of total billed charges,94.72% of total billed charges,1470,98.79,,1176,percent of total billed charges,98.79% of total billed charges,1458.24,98,,1166.59,percent of total billed charges,98% of total billed charges,1458.24,98,,1166.59,percent of total billed charges,98% of total billed charges,714.24,48,,571.39,percent of total billed charges,48% of total billed charges,669.6,45,,535.68,percent of total billed charges,45% of total billed charges,569.16,38.25,,455.33,percent of total billed charges,38.25% of total billed charges,669.6,45,,535.68,percent of total billed charges,45% of total billed charges,669.6,45,,535.68,percent of total billed charges,45% of total billed charges,569.16,1470,
46270 Surgical treatment of anal fistula (fistulectomy/fistu,10046270,CDM,360,RC,46270,HCPCS,OUTPATIENT,,,1932,1545.6,,1835.4,95,,1468.32,percent of total billed charges,95% of total billed charges,1829.99,94.72,,1463.99,percent of total billed charges,94.72% of total billed charges,1908.62,98.79,,1526.9,percent of total billed charges,98.79% of total billed charges,1893.36,98,,1514.69,percent of total billed charges,98% of total billed charges,1893.36,98,,1514.69,percent of total billed charges,98% of total billed charges,927.36,48,,741.89,percent of total billed charges,48% of total billed charges,869.4,45,,695.52,percent of total billed charges,45% of total billed charges,738.99,38.25,,591.19,percent of total billed charges,38.25% of total billed charges,869.4,45,,695.52,percent of total billed charges,45% of total billed charges,869.4,45,,695.52,percent of total billed charges,45% of total billed charges,738.99,1908.62,
46320 REMOVAL OF HEMORRHOID CLOT,10046320,CDM,360,RC,46320,HCPCS,OUTPATIENT,,,395,316,,375.25,95,,300.2,percent of total billed charges,95% of total billed charges,374.14,94.72,,299.31,percent of total billed charges,94.72% of total billed charges,390.22,98.79,,312.18,percent of total billed charges,98.79% of total billed charges,387.1,98,,309.68,percent of total billed charges,98% of total billed charges,387.1,98,,309.68,percent of total billed charges,98% of total billed charges,189.6,48,,151.68,percent of total billed charges,48% of total billed charges,177.75,45,,142.2,percent of total billed charges,45% of total billed charges,151.09,38.25,,120.87,percent of total billed charges,38.25% of total billed charges,177.75,45,,142.2,percent of total billed charges,45% of total billed charges,177.75,45,,142.2,percent of total billed charges,45% of total billed charges,151.09,390.22,
46500 INJECTION INTO HEMORRHOID(S),10046500,CDM,360,RC,46500,HCPCS,OUTPATIENT,,,657,525.6,,624.15,95,,499.32,percent of total billed charges,95% of total billed charges,622.31,94.72,,497.85,percent of total billed charges,94.72% of total billed charges,649.05,98.79,,519.24,percent of total billed charges,98.79% of total billed charges,643.86,98,,515.09,percent of total billed charges,98% of total billed charges,643.86,98,,515.09,percent of total billed charges,98% of total billed charges,315.36,48,,252.29,percent of total billed charges,48% of total billed charges,295.65,45,,236.52,percent of total billed charges,45% of total billed charges,251.3,38.25,,201.04,percent of total billed charges,38.25% of total billed charges,295.65,45,,236.52,percent of total billed charges,45% of total billed charges,295.65,45,,236.52,percent of total billed charges,45% of total billed charges,251.3,649.05,
46922 EXC RECTAL LESION,10046922,CDM,360,RC,46922,HCPCS,OUTPATIENT,,,947,757.6,,899.65,95,,719.72,percent of total billed charges,95% of total billed charges,897,94.72,,717.6,percent of total billed charges,94.72% of total billed charges,935.54,98.79,,748.43,percent of total billed charges,98.79% of total billed charges,928.06,98,,742.45,percent of total billed charges,98% of total billed charges,928.06,98,,742.45,percent of total billed charges,98% of total billed charges,454.56,48,,363.65,percent of total billed charges,48% of total billed charges,426.15,45,,340.92,percent of total billed charges,45% of total billed charges,362.23,38.25,,289.78,percent of total billed charges,38.25% of total billed charges,426.15,45,,340.92,percent of total billed charges,45% of total billed charges,426.15,45,,340.92,percent of total billed charges,45% of total billed charges,362.23,935.54,
46999 Unlisted procedure| anus,10046999,CDM,360,RC,46999,HCPCS,OUTPATIENT,,,1575,1260,,1496.25,95,,1197,percent of total billed charges,95% of total billed charges,1491.84,94.72,,1193.47,percent of total billed charges,94.72% of total billed charges,1555.94,98.79,,1244.75,percent of total billed charges,98.79% of total billed charges,1543.5,98,,1234.8,percent of total billed charges,98% of total billed charges,1543.5,98,,1234.8,percent of total billed charges,98% of total billed charges,756,48,,604.8,percent of total billed charges,48% of total billed charges,708.75,45,,567,percent of total billed charges,45% of total billed charges,602.44,38.25,,481.95,percent of total billed charges,38.25% of total billed charges,708.75,45,,567,percent of total billed charges,45% of total billed charges,708.75,45,,567,percent of total billed charges,45% of total billed charges,602.44,1555.94,
47379 Unlisted Laparoscopic procedure liver,10047379,CDM,360,RC,47379,HCPCS,OUTPATIENT,,,1611,1288.8,,1530.45,95,,1224.36,percent of total billed charges,95% of total billed charges,1525.94,94.72,,1220.75,percent of total billed charges,94.72% of total billed charges,1591.51,98.79,,1273.21,percent of total billed charges,98.79% of total billed charges,1578.78,98,,1263.02,percent of total billed charges,98% of total billed charges,1578.78,98,,1263.02,percent of total billed charges,98% of total billed charges,773.28,48,,618.62,percent of total billed charges,48% of total billed charges,724.95,45,,579.96,percent of total billed charges,45% of total billed charges,616.21,38.25,,492.97,percent of total billed charges,38.25% of total billed charges,724.95,45,,579.96,percent of total billed charges,45% of total billed charges,724.95,45,,579.96,percent of total billed charges,45% of total billed charges,616.21,1591.51,
47562 LAPAROSCOPIC CHOLECYSTECTOMY,10047562,CDM,360,RC,47562,HCPCS,OUTPATIENT,,,4671,3736.8,,4437.45,95,,3549.96,percent of total billed charges,95% of total billed charges,4424.37,94.72,,3539.5,percent of total billed charges,94.72% of total billed charges,4614.48,98.79,,3691.58,percent of total billed charges,98.79% of total billed charges,4577.58,98,,3662.06,percent of total billed charges,98% of total billed charges,4577.58,98,,3662.06,percent of total billed charges,98% of total billed charges,2242.08,48,,1793.66,percent of total billed charges,48% of total billed charges,2101.95,45,,1681.56,percent of total billed charges,45% of total billed charges,1786.66,38.25,,1429.33,percent of total billed charges,38.25% of total billed charges,2101.95,45,,1681.56,percent of total billed charges,45% of total billed charges,2101.95,45,,1681.56,percent of total billed charges,45% of total billed charges,1786.66,4614.48,
47600 REMOVAL OF GALLBLADDER,10047600,CDM,360,RC,47600,HCPCS,OUTPATIENT,,,4335,3468,,4118.25,95,,3294.6,percent of total billed charges,95% of total billed charges,4106.11,94.72,,3284.89,percent of total billed charges,94.72% of total billed charges,4282.55,98.79,,3426.04,percent of total billed charges,98.79% of total billed charges,4248.3,98,,3398.64,percent of total billed charges,98% of total billed charges,4248.3,98,,3398.64,percent of total billed charges,98% of total billed charges,2080.8,48,,1664.64,percent of total billed charges,48% of total billed charges,1950.75,45,,1560.6,percent of total billed charges,45% of total billed charges,1658.14,38.25,,1326.51,percent of total billed charges,38.25% of total billed charges,1950.75,45,,1560.6,percent of total billed charges,45% of total billed charges,1950.75,45,,1560.6,percent of total billed charges,45% of total billed charges,1658.14,4282.55,
49000 EXPLORATION OF ABDOMEN,10049000,CDM,360,RC,49000,HCPCS,OUTPATIENT,,,3828,3062.4,,3636.6,95,,2909.28,percent of total billed charges,95% of total billed charges,3625.88,94.72,,2900.7,percent of total billed charges,94.72% of total billed charges,3781.68,98.79,,3025.34,percent of total billed charges,98.79% of total billed charges,3751.44,98,,3001.15,percent of total billed charges,98% of total billed charges,3751.44,98,,3001.15,percent of total billed charges,98% of total billed charges,1837.44,48,,1469.95,percent of total billed charges,48% of total billed charges,1722.6,45,,1378.08,percent of total billed charges,45% of total billed charges,1464.21,38.25,,1171.37,percent of total billed charges,38.25% of total billed charges,1722.6,45,,1378.08,percent of total billed charges,45% of total billed charges,1722.6,45,,1378.08,percent of total billed charges,45% of total billed charges,1464.21,3781.68,
49185 SCLEROTHERAPY OF A FLUID COLLECTION (EG| LYM,10049185,CDM,360,RC,49185,HCPCS,OUTPATIENT,,,1531,1224.8,,1454.45,95,,1163.56,percent of total billed charges,95% of total billed charges,1450.16,94.72,,1160.13,percent of total billed charges,94.72% of total billed charges,1512.47,98.79,,1209.98,percent of total billed charges,98.79% of total billed charges,1500.38,98,,1200.3,percent of total billed charges,98% of total billed charges,1500.38,98,,1200.3,percent of total billed charges,98% of total billed charges,734.88,48,,587.9,percent of total billed charges,48% of total billed charges,688.95,45,,551.16,percent of total billed charges,45% of total billed charges,585.61,38.25,,468.49,percent of total billed charges,38.25% of total billed charges,688.95,45,,551.16,percent of total billed charges,45% of total billed charges,688.95,45,,551.16,percent of total billed charges,45% of total billed charges,585.61,1512.47,
49322 Laparoscopy| surgical; with aspiration of cavity or cy,10049322,CDM,360,RC,49322,HCPCS,OUTPATIENT,,,2381,1904.8,,2261.95,95,,1809.56,percent of total billed charges,95% of total billed charges,2255.28,94.72,,1804.22,percent of total billed charges,94.72% of total billed charges,2352.19,98.79,,1881.75,percent of total billed charges,98.79% of total billed charges,2333.38,98,,1866.7,percent of total billed charges,98% of total billed charges,2333.38,98,,1866.7,percent of total billed charges,98% of total billed charges,1142.88,48,,914.3,percent of total billed charges,48% of total billed charges,1071.45,45,,857.16,percent of total billed charges,45% of total billed charges,910.73,38.25,,728.58,percent of total billed charges,38.25% of total billed charges,1071.45,45,,857.16,percent of total billed charges,45% of total billed charges,1071.45,45,,857.16,percent of total billed charges,45% of total billed charges,910.73,2352.19,
49418 Insertion of tunneled intraperitoneal catheter,10049418,CDM,360,RC,49418,HCPCS,OUTPATIENT,,,3146,2516.8,,2988.7,95,,2390.96,percent of total billed charges,95% of total billed charges,2979.89,94.72,,2383.91,percent of total billed charges,94.72% of total billed charges,3107.93,98.79,,2486.34,percent of total billed charges,98.79% of total billed charges,3083.08,98,,2466.46,percent of total billed charges,98% of total billed charges,3083.08,98,,2466.46,percent of total billed charges,98% of total billed charges,1510.08,48,,1208.06,percent of total billed charges,48% of total billed charges,1415.7,45,,1132.56,percent of total billed charges,45% of total billed charges,1203.35,38.25,,962.68,percent of total billed charges,38.25% of total billed charges,1415.7,45,,1132.56,percent of total billed charges,45% of total billed charges,1415.7,45,,1132.56,percent of total billed charges,45% of total billed charges,1203.35,3107.93,
49505 PRP I/HERN INIT REDUC >5 YR,10049505,CDM,360,RC,49505,HCPCS,OUTPATIENT,,,3185,2548,,3025.75,95,,2420.6,percent of total billed charges,95% of total billed charges,3016.83,94.72,,2413.46,percent of total billed charges,94.72% of total billed charges,3146.46,98.79,,2517.17,percent of total billed charges,98.79% of total billed charges,3121.3,98,,2497.04,percent of total billed charges,98% of total billed charges,3121.3,98,,2497.04,percent of total billed charges,98% of total billed charges,1528.8,48,,1223.04,percent of total billed charges,48% of total billed charges,1433.25,45,,1146.6,percent of total billed charges,45% of total billed charges,1218.26,38.25,,974.61,percent of total billed charges,38.25% of total billed charges,1433.25,45,,1146.6,percent of total billed charges,45% of total billed charges,1433.25,45,,1146.6,percent of total billed charges,45% of total billed charges,1218.26,3146.46,
49507 Repair initial inguinal hernia incarcerated,10049507,CDM,360,RC,49507,HCPCS,OUTPATIENT,,,3180,2544,,3021,95,,2416.8,percent of total billed charges,95% of total billed charges,3012.1,94.72,,2409.68,percent of total billed charges,94.72% of total billed charges,3141.52,98.79,,2513.22,percent of total billed charges,98.79% of total billed charges,3116.4,98,,2493.12,percent of total billed charges,98% of total billed charges,3116.4,98,,2493.12,percent of total billed charges,98% of total billed charges,1526.4,48,,1221.12,percent of total billed charges,48% of total billed charges,1431,45,,1144.8,percent of total billed charges,45% of total billed charges,1216.35,38.25,,973.08,percent of total billed charges,38.25% of total billed charges,1431,45,,1144.8,percent of total billed charges,45% of total billed charges,1431,45,,1144.8,percent of total billed charges,45% of total billed charges,1216.35,3141.52,
49520 REREPAIR ING HERNIA REDUCE,10049520,CDM,360,RC,49520,HCPCS,OUTPATIENT,,,3341,2672.8,,3173.95,95,,2539.16,percent of total billed charges,95% of total billed charges,3164.6,94.72,,2531.68,percent of total billed charges,94.72% of total billed charges,3300.57,98.79,,2640.46,percent of total billed charges,98.79% of total billed charges,3274.18,98,,2619.34,percent of total billed charges,98% of total billed charges,3274.18,98,,2619.34,percent of total billed charges,98% of total billed charges,1603.68,48,,1282.94,percent of total billed charges,48% of total billed charges,1503.45,45,,1202.76,percent of total billed charges,45% of total billed charges,1277.93,38.25,,1022.34,percent of total billed charges,38.25% of total billed charges,1503.45,45,,1202.76,percent of total billed charges,45% of total billed charges,1503.45,45,,1202.76,percent of total billed charges,45% of total billed charges,1277.93,3300.57,
49553 Repair initial femoral hernia| any age; inca,10049553,CDM,360,RC,49553,HCPCS,OUTPATIENT,,,2967,2373.6,,2818.65,95,,2254.92,percent of total billed charges,95% of total billed charges,2810.34,94.72,,2248.27,percent of total billed charges,94.72% of total billed charges,2931.1,98.79,,2344.88,percent of total billed charges,98.79% of total billed charges,2907.66,98,,2326.13,percent of total billed charges,98% of total billed charges,2907.66,98,,2326.13,percent of total billed charges,98% of total billed charges,1424.16,48,,1139.33,percent of total billed charges,48% of total billed charges,1335.15,45,,1068.12,percent of total billed charges,45% of total billed charges,1134.88,38.25,,907.9,percent of total billed charges,38.25% of total billed charges,1335.15,45,,1068.12,percent of total billed charges,45% of total billed charges,1335.15,45,,1068.12,percent of total billed charges,45% of total billed charges,1134.88,2931.1,
49591 RPR OF ANTERIOR ABD HERNIA INITIAL| < 3 CM Reducible,10049591,CDM,360,RC,49591,HCPCS,OUTPATIENT,,,2380,1904,,2261,95,,1808.8,percent of total billed charges,95% of total billed charges,2254.34,94.72,,1803.47,percent of total billed charges,94.72% of total billed charges,2351.2,98.79,,1880.96,percent of total billed charges,98.79% of total billed charges,2332.4,98,,1865.92,percent of total billed charges,98% of total billed charges,2332.4,98,,1865.92,percent of total billed charges,98% of total billed charges,1142.4,48,,913.92,percent of total billed charges,48% of total billed charges,1071,45,,856.8,percent of total billed charges,45% of total billed charges,910.35,38.25,,728.28,percent of total billed charges,38.25% of total billed charges,1071,45,,856.8,percent of total billed charges,45% of total billed charges,1071,45,,856.8,percent of total billed charges,45% of total billed charges,910.35,2351.2,
49593 RPR OF ANTERIOR ABD HERNIA INITIAL 3-10 CM Reducible,10049593,CDM,360,RC,49593,HCPCS,OUTPATIENT,,,3762,3009.6,,3573.9,95,,2859.12,percent of total billed charges,95% of total billed charges,3563.37,94.72,,2850.7,percent of total billed charges,94.72% of total billed charges,3716.48,98.79,,2973.18,percent of total billed charges,98.79% of total billed charges,3686.76,98,,2949.41,percent of total billed charges,98% of total billed charges,3686.76,98,,2949.41,percent of total billed charges,98% of total billed charges,1805.76,48,,1444.61,percent of total billed charges,48% of total billed charges,1692.9,45,,1354.32,percent of total billed charges,45% of total billed charges,1438.97,38.25,,1151.18,percent of total billed charges,38.25% of total billed charges,1692.9,45,,1354.32,percent of total billed charges,45% of total billed charges,1692.9,45,,1354.32,percent of total billed charges,45% of total billed charges,1438.97,3716.48,
49595 RPR ABD HERNIA |INITIAL|MESH|> 10 CM REDUCIBLE,10049595,CDM,360,RC,49595,HCPCS,OUTPATIENT,,,4893,3914.4,,4648.35,95,,3718.68,percent of total billed charges,95% of total billed charges,4634.65,94.72,,3707.72,percent of total billed charges,94.72% of total billed charges,4833.79,98.79,,3867.03,percent of total billed charges,98.79% of total billed charges,4795.14,98,,3836.11,percent of total billed charges,98% of total billed charges,4795.14,98,,3836.11,percent of total billed charges,98% of total billed charges,2348.64,48,,1878.91,percent of total billed charges,48% of total billed charges,2201.85,45,,1761.48,percent of total billed charges,45% of total billed charges,1871.57,38.25,,1497.26,percent of total billed charges,38.25% of total billed charges,2201.85,45,,1761.48,percent of total billed charges,45% of total billed charges,2201.85,45,,1761.48,percent of total billed charges,45% of total billed charges,1871.57,4833.79,
49613 RPR ABD HERN(S)|RECURR|MESH|< 3CM REDUCIBLE,10049613,CDM,360,RC,49613,HCPCS,OUTPATIENT,,,2864,2291.2,,2720.8,95,,2176.64,percent of total billed charges,95% of total billed charges,2712.78,94.72,,2170.22,percent of total billed charges,94.72% of total billed charges,2829.35,98.79,,2263.48,percent of total billed charges,98.79% of total billed charges,2806.72,98,,2245.38,percent of total billed charges,98% of total billed charges,2806.72,98,,2245.38,percent of total billed charges,98% of total billed charges,1374.72,48,,1099.78,percent of total billed charges,48% of total billed charges,1288.8,45,,1031.04,percent of total billed charges,45% of total billed charges,1095.48,38.25,,876.38,percent of total billed charges,38.25% of total billed charges,1288.8,45,,1031.04,percent of total billed charges,45% of total billed charges,1288.8,45,,1031.04,percent of total billed charges,45% of total billed charges,1095.48,2829.35,
51045 CYSTOTOMY| WITH INSERTION OF URETERAL CATHETER OR STEN,10051045,CDM,360,RC,51045,HCPCS,OUTPATIENT,,,3320,2656,,3154,95,,2523.2,percent of total billed charges,95% of total billed charges,3144.7,94.72,,2515.76,percent of total billed charges,94.72% of total billed charges,3279.83,98.79,,2623.86,percent of total billed charges,98.79% of total billed charges,3253.6,98,,2602.88,percent of total billed charges,98% of total billed charges,3253.6,98,,2602.88,percent of total billed charges,98% of total billed charges,1593.6,48,,1274.88,percent of total billed charges,48% of total billed charges,1494,45,,1195.2,percent of total billed charges,45% of total billed charges,1269.9,38.25,,1015.92,percent of total billed charges,38.25% of total billed charges,1494,45,,1195.2,percent of total billed charges,45% of total billed charges,1494,45,,1195.2,percent of total billed charges,45% of total billed charges,1269.9,3279.83,
51992 Laparoscopy| surgical; sling operation,10051992,CDM,360,RC,51992,HCPCS,OUTPATIENT,,,4873,3898.4,,4629.35,95,,3703.48,percent of total billed charges,95% of total billed charges,4615.71,94.72,,3692.57,percent of total billed charges,94.72% of total billed charges,4814.04,98.79,,3851.23,percent of total billed charges,98.79% of total billed charges,4775.54,98,,3820.43,percent of total billed charges,98% of total billed charges,4775.54,98,,3820.43,percent of total billed charges,98% of total billed charges,2339.04,48,,1871.23,percent of total billed charges,48% of total billed charges,2192.85,45,,1754.28,percent of total billed charges,45% of total billed charges,1863.92,38.25,,1491.14,percent of total billed charges,38.25% of total billed charges,2192.85,45,,1754.28,percent of total billed charges,45% of total billed charges,2192.85,45,,1754.28,percent of total billed charges,45% of total billed charges,1863.92,4814.04,
Cystourethroscopy| with ureteral catheterization| with or wi,10052005,CDM,360,RC,52005,HCPCS,OUTPATIENT,,,1266,1012.8,,1202.7,95,,962.16,percent of total billed charges,95% of total billed charges,1199.16,94.72,,959.33,percent of total billed charges,94.72% of total billed charges,1250.68,98.79,,1000.54,percent of total billed charges,98.79% of total billed charges,1240.68,98,,992.54,percent of total billed charges,98% of total billed charges,1240.68,98,,992.54,percent of total billed charges,98% of total billed charges,607.68,48,,486.14,percent of total billed charges,48% of total billed charges,569.7,45,,455.76,percent of total billed charges,45% of total billed charges,484.25,38.25,,387.4,percent of total billed charges,38.25% of total billed charges,569.7,45,,455.76,percent of total billed charges,45% of total billed charges,569.7,45,,455.76,percent of total billed charges,45% of total billed charges,484.25,1250.68,
52260 CYSTOSCOPY AND TREATMENT,10052260,CDM,360,RC,52260,HCPCS,OUTPATIENT,,,733,586.4,,696.35,95,,557.08,percent of total billed charges,95% of total billed charges,694.3,94.72,,555.44,percent of total billed charges,94.72% of total billed charges,724.13,98.79,,579.3,percent of total billed charges,98.79% of total billed charges,718.34,98,,574.67,percent of total billed charges,98% of total billed charges,718.34,98,,574.67,percent of total billed charges,98% of total billed charges,351.84,48,,281.47,percent of total billed charges,48% of total billed charges,329.85,45,,263.88,percent of total billed charges,45% of total billed charges,280.37,38.25,,224.3,percent of total billed charges,38.25% of total billed charges,329.85,45,,263.88,percent of total billed charges,45% of total billed charges,329.85,45,,263.88,percent of total billed charges,45% of total billed charges,280.37,724.13,
52287 -  Cystourethroscopy| with injection(s) for chemodenervation of the bladder,10052287,CDM,360,RC,52287,HCPCS,OUTPATIENT,,,1353,1082.4,,1285.35,95,,1028.28,percent of total billed charges,95% of total billed charges,1281.56,94.72,,1025.25,percent of total billed charges,94.72% of total billed charges,1336.63,98.79,,1069.3,percent of total billed charges,98.79% of total billed charges,1325.94,98,,1060.75,percent of total billed charges,98% of total billed charges,1325.94,98,,1060.75,percent of total billed charges,98% of total billed charges,649.44,48,,519.55,percent of total billed charges,48% of total billed charges,608.85,45,,487.08,percent of total billed charges,45% of total billed charges,517.52,38.25,,414.02,percent of total billed charges,38.25% of total billed charges,608.85,45,,487.08,percent of total billed charges,45% of total billed charges,608.85,45,,487.08,percent of total billed charges,45% of total billed charges,517.52,1336.63,
52320 CYSTOSCOPY AND TREATMENT,10052320,CDM,360,RC,52320,HCPCS,OUTPATIENT,,,1515,1212,,1439.25,95,,1151.4,percent of total billed charges,95% of total billed charges,1435.01,94.72,,1148.01,percent of total billed charges,94.72% of total billed charges,1496.67,98.79,,1197.34,percent of total billed charges,98.79% of total billed charges,1484.7,98,,1187.76,percent of total billed charges,98% of total billed charges,1484.7,98,,1187.76,percent of total billed charges,98% of total billed charges,727.2,48,,581.76,percent of total billed charges,48% of total billed charges,681.75,45,,545.4,percent of total billed charges,45% of total billed charges,579.49,38.25,,463.59,percent of total billed charges,38.25% of total billed charges,681.75,45,,545.4,percent of total billed charges,45% of total billed charges,681.75,45,,545.4,percent of total billed charges,45% of total billed charges,579.49,1496.67,
52332 CYSTOSCOPY AND TREATMENT,10052332,CDM,360,RC,52332,HCPCS,OUTPATIENT,,,2830,2264,,2688.5,95,,2150.8,percent of total billed charges,95% of total billed charges,2680.58,94.72,,2144.46,percent of total billed charges,94.72% of total billed charges,2795.76,98.79,,2236.61,percent of total billed charges,98.79% of total billed charges,2773.4,98,,2218.72,percent of total billed charges,98% of total billed charges,2773.4,98,,2218.72,percent of total billed charges,98% of total billed charges,1358.4,48,,1086.72,percent of total billed charges,48% of total billed charges,1273.5,45,,1018.8,percent of total billed charges,45% of total billed charges,1082.48,38.25,,865.98,percent of total billed charges,38.25% of total billed charges,1273.5,45,,1018.8,percent of total billed charges,45% of total billed charges,1273.5,45,,1018.8,percent of total billed charges,45% of total billed charges,1082.48,2795.76,
52352 Cystourethroscopy with ureteroscopy,10052352,CDM,360,RC,52352,HCPCS,OUTPATIENT,,,2338,1870.4,,2221.1,95,,1776.88,percent of total billed charges,95% of total billed charges,2214.55,94.72,,1771.64,percent of total billed charges,94.72% of total billed charges,2309.71,98.79,,1847.77,percent of total billed charges,98.79% of total billed charges,2291.24,98,,1832.99,percent of total billed charges,98% of total billed charges,2291.24,98,,1832.99,percent of total billed charges,98% of total billed charges,1122.24,48,,897.79,percent of total billed charges,48% of total billed charges,1052.1,45,,841.68,percent of total billed charges,45% of total billed charges,894.29,38.25,,715.43,percent of total billed charges,38.25% of total billed charges,1052.1,45,,841.68,percent of total billed charges,45% of total billed charges,1052.1,45,,841.68,percent of total billed charges,45% of total billed charges,894.29,2309.71,
52354 Cystourethroscopy with Ureterscopy w/ biopsy,10052354,CDM,360,RC,52354,HCPCS,OUTPATIENT,,,2749,2199.2,,2611.55,95,,2089.24,percent of total billed charges,95% of total billed charges,2603.85,94.72,,2083.08,percent of total billed charges,94.72% of total billed charges,2715.74,98.79,,2172.59,percent of total billed charges,98.79% of total billed charges,2694.02,98,,2155.22,percent of total billed charges,98% of total billed charges,2694.02,98,,2155.22,percent of total billed charges,98% of total billed charges,1319.52,48,,1055.62,percent of total billed charges,48% of total billed charges,1237.05,45,,989.64,percent of total billed charges,45% of total billed charges,1051.49,38.25,,841.19,percent of total billed charges,38.25% of total billed charges,1237.05,45,,989.64,percent of total billed charges,45% of total billed charges,1237.05,45,,989.64,percent of total billed charges,45% of total billed charges,1051.49,2715.74,
52640 Transurethral resection;of postoperative bladder,10052640,CDM,360,RC,52640,HCPCS,OUTPATIENT,,,1950,1560,,1852.5,95,,1482,percent of total billed charges,95% of total billed charges,1847.04,94.72,,1477.63,percent of total billed charges,94.72% of total billed charges,1926.41,98.79,,1541.13,percent of total billed charges,98.79% of total billed charges,1911,98,,1528.8,percent of total billed charges,98% of total billed charges,1911,98,,1528.8,percent of total billed charges,98% of total billed charges,936,48,,748.8,percent of total billed charges,48% of total billed charges,877.5,45,,702,percent of total billed charges,45% of total billed charges,745.88,38.25,,596.7,percent of total billed charges,38.25% of total billed charges,877.5,45,,702,percent of total billed charges,45% of total billed charges,877.5,45,,702,percent of total billed charges,45% of total billed charges,745.88,1926.41,
54001 Slitting of prepuce| dorsal or lateral (separate proce,10054001,CDM,360,RC,54001,HCPCS,OUTPATIENT,,,888,710.4,,843.6,95,,674.88,percent of total billed charges,95% of total billed charges,841.11,94.72,,672.89,percent of total billed charges,94.72% of total billed charges,877.26,98.79,,701.81,percent of total billed charges,98.79% of total billed charges,870.24,98,,696.19,percent of total billed charges,98% of total billed charges,870.24,98,,696.19,percent of total billed charges,98% of total billed charges,426.24,48,,340.99,percent of total billed charges,48% of total billed charges,399.6,45,,319.68,percent of total billed charges,45% of total billed charges,339.66,38.25,,271.73,percent of total billed charges,38.25% of total billed charges,399.6,45,,319.68,percent of total billed charges,45% of total billed charges,399.6,45,,319.68,percent of total billed charges,45% of total billed charges,339.66,877.26,
54060 DESTRUCTION OF LESION(S)| PENIS (EG| CONDYLO,10054060,CDM,360,RC,54060,HCPCS,OUTPATIENT,,,814,651.2,,773.3,95,,618.64,percent of total billed charges,95% of total billed charges,771.02,94.72,,616.82,percent of total billed charges,94.72% of total billed charges,804.15,98.79,,643.32,percent of total billed charges,98.79% of total billed charges,797.72,98,,638.18,percent of total billed charges,98% of total billed charges,797.72,98,,638.18,percent of total billed charges,98% of total billed charges,390.72,48,,312.58,percent of total billed charges,48% of total billed charges,366.3,45,,293.04,percent of total billed charges,45% of total billed charges,311.36,38.25,,249.09,percent of total billed charges,38.25% of total billed charges,366.3,45,,293.04,percent of total billed charges,45% of total billed charges,366.3,45,,293.04,percent of total billed charges,45% of total billed charges,311.36,804.15,
54161 CIRCUM 28 DAYS OR OLDER,10054161,CDM,360,RC,54161,HCPCS,OUTPATIENT,,,816,652.8,,775.2,95,,620.16,percent of total billed charges,95% of total billed charges,772.92,94.72,,618.34,percent of total billed charges,94.72% of total billed charges,806.13,98.79,,644.9,percent of total billed charges,98.79% of total billed charges,799.68,98,,639.74,percent of total billed charges,98% of total billed charges,799.68,98,,639.74,percent of total billed charges,98% of total billed charges,391.68,48,,313.34,percent of total billed charges,48% of total billed charges,367.2,45,,293.76,percent of total billed charges,45% of total billed charges,312.12,38.25,,249.7,percent of total billed charges,38.25% of total billed charges,367.2,45,,293.76,percent of total billed charges,45% of total billed charges,367.2,45,,293.76,percent of total billed charges,45% of total billed charges,312.12,806.13,
54520 Orchiectomy| simple| with or w/o testicular,10054520,CDM,360,RC,54520,HCPCS,OUTPATIENT,,,1746,1396.8,,1658.7,95,,1326.96,percent of total billed charges,95% of total billed charges,1653.81,94.72,,1323.05,percent of total billed charges,94.72% of total billed charges,1724.87,98.79,,1379.9,percent of total billed charges,98.79% of total billed charges,1711.08,98,,1368.86,percent of total billed charges,98% of total billed charges,1711.08,98,,1368.86,percent of total billed charges,98% of total billed charges,838.08,48,,670.46,percent of total billed charges,48% of total billed charges,785.7,45,,628.56,percent of total billed charges,45% of total billed charges,667.85,38.25,,534.28,percent of total billed charges,38.25% of total billed charges,785.7,45,,628.56,percent of total billed charges,45% of total billed charges,785.7,45,,628.56,percent of total billed charges,45% of total billed charges,667.85,1724.87,
54530 Orchiectomy| radical| for tumor; inguinal approach,10054530,CDM,360,RC,54530,HCPCS,OUTPATIENT,,,2456,1964.8,,2333.2,95,,1866.56,percent of total billed charges,95% of total billed charges,2326.32,94.72,,1861.06,percent of total billed charges,94.72% of total billed charges,2426.28,98.79,,1941.02,percent of total billed charges,98.79% of total billed charges,2406.88,98,,1925.5,percent of total billed charges,98% of total billed charges,2406.88,98,,1925.5,percent of total billed charges,98% of total billed charges,1178.88,48,,943.1,percent of total billed charges,48% of total billed charges,1105.2,45,,884.16,percent of total billed charges,45% of total billed charges,939.42,38.25,,751.54,percent of total billed charges,38.25% of total billed charges,1105.2,45,,884.16,percent of total billed charges,45% of total billed charges,1105.2,45,,884.16,percent of total billed charges,45% of total billed charges,939.42,2426.28,
55040 REMOVAL OF HYDROCELE,10055040,CDM,360,RC,55040,HCPCS,OUTPATIENT,,,3185,2548,,3025.75,95,,2420.6,percent of total billed charges,95% of total billed charges,3016.83,94.72,,2413.46,percent of total billed charges,94.72% of total billed charges,3146.46,98.79,,2517.17,percent of total billed charges,98.79% of total billed charges,3121.3,98,,2497.04,percent of total billed charges,98% of total billed charges,3121.3,98,,2497.04,percent of total billed charges,98% of total billed charges,1528.8,48,,1223.04,percent of total billed charges,48% of total billed charges,1433.25,45,,1146.6,percent of total billed charges,45% of total billed charges,1218.26,38.25,,974.61,percent of total billed charges,38.25% of total billed charges,1433.25,45,,1146.6,percent of total billed charges,45% of total billed charges,1433.25,45,,1146.6,percent of total billed charges,45% of total billed charges,1218.26,3146.46,
55041 Excision of hydrocele; bilateral,10055041,CDM,360,RC,55041,HCPCS,OUTPATIENT,,,2685,2148,,2550.75,95,,2040.6,percent of total billed charges,95% of total billed charges,2543.23,94.72,,2034.58,percent of total billed charges,94.72% of total billed charges,2652.51,98.79,,2122.01,percent of total billed charges,98.79% of total billed charges,2631.3,98,,2105.04,percent of total billed charges,98% of total billed charges,2631.3,98,,2105.04,percent of total billed charges,98% of total billed charges,1288.8,48,,1031.04,percent of total billed charges,48% of total billed charges,1208.25,45,,966.6,percent of total billed charges,45% of total billed charges,1027.01,38.25,,821.61,percent of total billed charges,38.25% of total billed charges,1208.25,45,,966.6,percent of total billed charges,45% of total billed charges,1208.25,45,,966.6,percent of total billed charges,45% of total billed charges,1027.01,2652.51,
55060 REPAIR OF HYDROCELE,10055060,CDM,360,RC,55060,HCPCS,OUTPATIENT,,,1201,960.8,,1140.95,95,,912.76,percent of total billed charges,95% of total billed charges,1137.59,94.72,,910.07,percent of total billed charges,94.72% of total billed charges,1186.47,98.79,,949.18,percent of total billed charges,98.79% of total billed charges,1176.98,98,,941.58,percent of total billed charges,98% of total billed charges,1176.98,98,,941.58,percent of total billed charges,98% of total billed charges,576.48,48,,461.18,percent of total billed charges,48% of total billed charges,540.45,45,,432.36,percent of total billed charges,45% of total billed charges,459.38,38.25,,367.5,percent of total billed charges,38.25% of total billed charges,540.45,45,,432.36,percent of total billed charges,45% of total billed charges,540.45,45,,432.36,percent of total billed charges,45% of total billed charges,459.38,1186.47,
55250 REMOVAL OF SPERM DUCT(S),10055250,CDM,360,RC,55250,HCPCS,OUTPATIENT,,,1184,947.2,,1124.8,95,,899.84,percent of total billed charges,95% of total billed charges,1121.48,94.72,,897.18,percent of total billed charges,94.72% of total billed charges,1169.67,98.79,,935.74,percent of total billed charges,98.79% of total billed charges,1160.32,98,,928.26,percent of total billed charges,98% of total billed charges,1160.32,98,,928.26,percent of total billed charges,98% of total billed charges,568.32,48,,454.66,percent of total billed charges,48% of total billed charges,532.8,45,,426.24,percent of total billed charges,45% of total billed charges,452.88,38.25,,362.3,percent of total billed charges,38.25% of total billed charges,532.8,45,,426.24,percent of total billed charges,45% of total billed charges,532.8,45,,426.24,percent of total billed charges,45% of total billed charges,452.88,1169.67,
55250 VASECTOMY,10055250,CDM,360,RC,55250,HCPCS,OUTPATIENT,,,1184,947.2,,1124.8,95,,899.84,percent of total billed charges,95% of total billed charges,1121.48,94.72,,897.18,percent of total billed charges,94.72% of total billed charges,1169.67,98.79,,935.74,percent of total billed charges,98.79% of total billed charges,1160.32,98,,928.26,percent of total billed charges,98% of total billed charges,1160.32,98,,928.26,percent of total billed charges,98% of total billed charges,568.32,48,,454.66,percent of total billed charges,48% of total billed charges,532.8,45,,426.24,percent of total billed charges,45% of total billed charges,452.88,38.25,,362.3,percent of total billed charges,38.25% of total billed charges,532.8,45,,426.24,percent of total billed charges,45% of total billed charges,532.8,45,,426.24,percent of total billed charges,45% of total billed charges,452.88,1169.67,
57240 Anterior colporrhaphy| repair of cystocele with or wit,10057240,CDM,360,RC,57240,HCPCS,OUTPATIENT,,,2785,2228,,2645.75,95,,2116.6,percent of total billed charges,95% of total billed charges,2637.95,94.72,,2110.36,percent of total billed charges,94.72% of total billed charges,2751.3,98.79,,2201.04,percent of total billed charges,98.79% of total billed charges,2729.3,98,,2183.44,percent of total billed charges,98% of total billed charges,2729.3,98,,2183.44,percent of total billed charges,98% of total billed charges,1336.8,48,,1069.44,percent of total billed charges,48% of total billed charges,1253.25,45,,1002.6,percent of total billed charges,45% of total billed charges,1065.26,38.25,,852.21,percent of total billed charges,38.25% of total billed charges,1253.25,45,,1002.6,percent of total billed charges,45% of total billed charges,1253.25,45,,1002.6,percent of total billed charges,45% of total billed charges,1065.26,2751.3,
LAP W REM ADNEXAL STRUCTURES,10058661,CDM,360,RC,58661,HCPCS,OUTPATIENT,,,3192,2553.6,,3032.4,95,,2425.92,percent of total billed charges,95% of total billed charges,3023.46,94.72,,2418.77,percent of total billed charges,94.72% of total billed charges,3153.38,98.79,,2522.7,percent of total billed charges,98.79% of total billed charges,3128.16,98,,2502.53,percent of total billed charges,98% of total billed charges,3128.16,98,,2502.53,percent of total billed charges,98% of total billed charges,1532.16,48,,1225.73,percent of total billed charges,48% of total billed charges,1436.4,45,,1149.12,percent of total billed charges,45% of total billed charges,1220.94,38.25,,976.75,percent of total billed charges,38.25% of total billed charges,1436.4,45,,1149.12,percent of total billed charges,45% of total billed charges,1436.4,45,,1149.12,percent of total billed charges,45% of total billed charges,1220.94,3153.38,
60220 PARTIAL REMOVAL OF THYROID,10060220,CDM,360,RC,60220,HCPCS,OUTPATIENT,,,5289,4231.2,,5024.55,95,,4019.64,percent of total billed charges,95% of total billed charges,5009.74,94.72,,4007.79,percent of total billed charges,94.72% of total billed charges,5225,98.79,,4180,percent of total billed charges,98.79% of total billed charges,5183.22,98,,4146.58,percent of total billed charges,98% of total billed charges,5183.22,98,,4146.58,percent of total billed charges,98% of total billed charges,2538.72,48,,2030.98,percent of total billed charges,48% of total billed charges,2380.05,45,,1904.04,percent of total billed charges,45% of total billed charges,2023.04,38.25,,1618.43,percent of total billed charges,38.25% of total billed charges,2380.05,45,,1904.04,percent of total billed charges,45% of total billed charges,2380.05,45,,1904.04,percent of total billed charges,45% of total billed charges,2023.04,5225,
60240 REMOVAL OF THYROID,10060240,CDM,360,RC,60240,HCPCS,OUTPATIENT,,,6422,5137.6,,6100.9,95,,4880.72,percent of total billed charges,95% of total billed charges,6082.92,94.72,,4866.34,percent of total billed charges,94.72% of total billed charges,6344.29,98.79,,5075.43,percent of total billed charges,98.79% of total billed charges,6293.56,98,,5034.85,percent of total billed charges,98% of total billed charges,6293.56,98,,5034.85,percent of total billed charges,98% of total billed charges,3082.56,48,,2466.05,percent of total billed charges,48% of total billed charges,2889.9,45,,2311.92,percent of total billed charges,45% of total billed charges,2456.42,38.25,,1965.14,percent of total billed charges,38.25% of total billed charges,2889.9,45,,2311.92,percent of total billed charges,45% of total billed charges,2889.9,45,,2311.92,percent of total billed charges,45% of total billed charges,2456.42,6344.29,
60280 Excision of thyroglossal duct cyst or sinus;,10060280,CDM,360,RC,60280,HCPCS,OUTPATIENT,,,3753,3002.4,,3565.35,95,,2852.28,percent of total billed charges,95% of total billed charges,3554.84,94.72,,2843.87,percent of total billed charges,94.72% of total billed charges,3707.59,98.79,,2966.07,percent of total billed charges,98.79% of total billed charges,3677.94,98,,2942.35,percent of total billed charges,98% of total billed charges,3677.94,98,,2942.35,percent of total billed charges,98% of total billed charges,1801.44,48,,1441.15,percent of total billed charges,48% of total billed charges,1688.85,45,,1351.08,percent of total billed charges,45% of total billed charges,1435.52,38.25,,1148.42,percent of total billed charges,38.25% of total billed charges,1688.85,45,,1351.08,percent of total billed charges,45% of total billed charges,1688.85,45,,1351.08,percent of total billed charges,45% of total billed charges,1435.52,3707.59,
60500 EXPLORE PARATHYROID GLANDS,10060500,CDM,360,RC,60500,HCPCS,OUTPATIENT,,,6950,5560,,6602.5,95,,5282,percent of total billed charges,95% of total billed charges,6583.04,94.72,,5266.43,percent of total billed charges,94.72% of total billed charges,6865.91,98.79,,5492.73,percent of total billed charges,98.79% of total billed charges,6811,98,,5448.8,percent of total billed charges,98% of total billed charges,6811,98,,5448.8,percent of total billed charges,98% of total billed charges,3336,48,,2668.8,percent of total billed charges,48% of total billed charges,3127.5,45,,2502,percent of total billed charges,45% of total billed charges,2658.38,38.25,,2126.7,percent of total billed charges,38.25% of total billed charges,3127.5,45,,2502,percent of total billed charges,45% of total billed charges,3127.5,45,,2502,percent of total billed charges,45% of total billed charges,2658.38,6865.91,
60502 RE-EXPLORE PARATHYROIDS,10060502,CDM,360,RC,60502,HCPCS,OUTPATIENT,,,6939,5551.2,,6592.05,95,,5273.64,percent of total billed charges,95% of total billed charges,6572.62,94.72,,5258.1,percent of total billed charges,94.72% of total billed charges,6855.04,98.79,,5484.03,percent of total billed charges,98.79% of total billed charges,6800.22,98,,5440.18,percent of total billed charges,98% of total billed charges,6800.22,98,,5440.18,percent of total billed charges,98% of total billed charges,3330.72,48,,2664.58,percent of total billed charges,48% of total billed charges,3122.55,45,,2498.04,percent of total billed charges,45% of total billed charges,2654.17,38.25,,2123.34,percent of total billed charges,38.25% of total billed charges,3122.55,45,,2498.04,percent of total billed charges,45% of total billed charges,3122.55,45,,2498.04,percent of total billed charges,45% of total billed charges,2654.17,6855.04,
61500 Craniectomy; with excision of tumor or other,10061500,CDM,360,RC,61500,HCPCS,OUTPATIENT,,,9853,7882.4,,9360.35,95,,7488.28,percent of total billed charges,95% of total billed charges,9332.76,94.72,,7466.21,percent of total billed charges,94.72% of total billed charges,9733.78,98.79,,7787.02,percent of total billed charges,98.79% of total billed charges,9655.94,98,,7724.75,percent of total billed charges,98% of total billed charges,9655.94,98,,7724.75,percent of total billed charges,98% of total billed charges,4729.44,48,,3783.55,percent of total billed charges,48% of total billed charges,4433.85,45,,3547.08,percent of total billed charges,45% of total billed charges,3768.77,38.25,,3015.02,percent of total billed charges,38.25% of total billed charges,4433.85,45,,3547.08,percent of total billed charges,45% of total billed charges,4433.85,45,,3547.08,percent of total billed charges,45% of total billed charges,3768.77,9733.78,
64420 injection nerve| intercostal| single level,10064420,CDM,360,RC,64420,HCPCS,OUTPATIENT,,,721,576.8,,684.95,95,,547.96,percent of total billed charges,95% of total billed charges,682.93,94.72,,546.34,percent of total billed charges,94.72% of total billed charges,712.28,98.79,,569.82,percent of total billed charges,98.79% of total billed charges,706.58,98,,565.26,percent of total billed charges,98% of total billed charges,706.58,98,,565.26,percent of total billed charges,98% of total billed charges,346.08,48,,276.86,percent of total billed charges,48% of total billed charges,324.45,45,,259.56,percent of total billed charges,45% of total billed charges,275.78,38.25,,220.62,percent of total billed charges,38.25% of total billed charges,324.45,45,,259.56,percent of total billed charges,45% of total billed charges,324.45,45,,259.56,percent of total billed charges,45% of total billed charges,275.78,712.28,
64421 Injection(s)| anesthetic agent(s) and/or steroid; Addl,10064421,CDM,360,RC,64421,HCPCS,OUTPATIENT,,,983,786.4,,933.85,95,,747.08,percent of total billed charges,95% of total billed charges,931.1,94.72,,744.88,percent of total billed charges,94.72% of total billed charges,971.11,98.79,,776.89,percent of total billed charges,98.79% of total billed charges,963.34,98,,770.67,percent of total billed charges,98% of total billed charges,963.34,98,,770.67,percent of total billed charges,98% of total billed charges,471.84,48,,377.47,percent of total billed charges,48% of total billed charges,442.35,45,,353.88,percent of total billed charges,45% of total billed charges,376,38.25,,300.8,percent of total billed charges,38.25% of total billed charges,442.35,45,,353.88,percent of total billed charges,45% of total billed charges,442.35,45,,353.88,percent of total billed charges,45% of total billed charges,376,971.11,
64632 DESTRUCTION BY NEUROLYTIC AGENT; PLANTAR COM,10064632,CDM,360,RC,64632,HCPCS,OUTPATIENT,,,601,480.8,,570.95,95,,456.76,percent of total billed charges,95% of total billed charges,569.27,94.72,,455.42,percent of total billed charges,94.72% of total billed charges,593.73,98.79,,474.98,percent of total billed charges,98.79% of total billed charges,588.98,98,,471.18,percent of total billed charges,98% of total billed charges,588.98,98,,471.18,percent of total billed charges,98% of total billed charges,288.48,48,,230.78,percent of total billed charges,48% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,229.88,38.25,,183.9,percent of total billed charges,38.25% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,229.88,593.73,
64708 Neuroplasty| major peripheral nerve| arm or leg| open;,10064708,CDM,360,RC,64708,HCPCS,OUTPATIENT,,,3463,2770.4,,3289.85,95,,2631.88,percent of total billed charges,95% of total billed charges,3280.15,94.72,,2624.12,percent of total billed charges,94.72% of total billed charges,3421.1,98.79,,2736.88,percent of total billed charges,98.79% of total billed charges,3393.74,98,,2714.99,percent of total billed charges,98% of total billed charges,3393.74,98,,2714.99,percent of total billed charges,98% of total billed charges,1662.24,48,,1329.79,percent of total billed charges,48% of total billed charges,1558.35,45,,1246.68,percent of total billed charges,45% of total billed charges,1324.6,38.25,,1059.68,percent of total billed charges,38.25% of total billed charges,1558.35,45,,1246.68,percent of total billed charges,45% of total billed charges,1558.35,45,,1246.68,percent of total billed charges,45% of total billed charges,1324.6,3421.1,
64718 REVISE ULNAR NERVE AT ELBOW,10064718,CDM,360,RC,64718,HCPCS,OUTPATIENT,,,3817,3053.6,,3626.15,95,,2900.92,percent of total billed charges,95% of total billed charges,3615.46,94.72,,2892.37,percent of total billed charges,94.72% of total billed charges,3770.81,98.79,,3016.65,percent of total billed charges,98.79% of total billed charges,3740.66,98,,2992.53,percent of total billed charges,98% of total billed charges,3740.66,98,,2992.53,percent of total billed charges,98% of total billed charges,1832.16,48,,1465.73,percent of total billed charges,48% of total billed charges,1717.65,45,,1374.12,percent of total billed charges,45% of total billed charges,1460,38.25,,1168,percent of total billed charges,38.25% of total billed charges,1717.65,45,,1374.12,percent of total billed charges,45% of total billed charges,1717.65,45,,1374.12,percent of total billed charges,45% of total billed charges,1460,3770.81,
64721 CARPAL TUNNEL SURGERY,10064721,CDM,360,RC,64721,HCPCS,OUTPATIENT,,,2464,1971.2,,2340.8,95,,1872.64,percent of total billed charges,95% of total billed charges,2333.9,94.72,,1867.12,percent of total billed charges,94.72% of total billed charges,2434.19,98.79,,1947.35,percent of total billed charges,98.79% of total billed charges,2414.72,98,,1931.78,percent of total billed charges,98% of total billed charges,2414.72,98,,1931.78,percent of total billed charges,98% of total billed charges,1182.72,48,,946.18,percent of total billed charges,48% of total billed charges,1108.8,45,,887.04,percent of total billed charges,45% of total billed charges,942.48,38.25,,753.98,percent of total billed charges,38.25% of total billed charges,1108.8,45,,887.04,percent of total billed charges,45% of total billed charges,1108.8,45,,887.04,percent of total billed charges,45% of total billed charges,942.48,2434.19,
65930 Removal of blood clot| anterior seg of eye Tech Fee,10065930,CDM,360,RC,65930,HCPCS,OUTPATIENT,,,2401,1920.8,,2280.95,95,,1824.76,percent of total billed charges,95% of total billed charges,2274.23,94.72,,1819.38,percent of total billed charges,94.72% of total billed charges,2371.95,98.79,,1897.56,percent of total billed charges,98.79% of total billed charges,2352.98,98,,1882.38,percent of total billed charges,98% of total billed charges,2352.98,98,,1882.38,percent of total billed charges,98% of total billed charges,1152.48,48,,921.98,percent of total billed charges,48% of total billed charges,1080.45,45,,864.36,percent of total billed charges,45% of total billed charges,918.38,38.25,,734.7,percent of total billed charges,38.25% of total billed charges,1080.45,45,,864.36,percent of total billed charges,45% of total billed charges,1080.45,45,,864.36,percent of total billed charges,45% of total billed charges,918.38,2371.95,
66984 CATARACT SURG W/IOL 1 STAGE,10066984,CDM,360,RC,66984,HCPCS,OUTPATIENT,,,5235,4188,,4973.25,95,,3978.6,percent of total billed charges,95% of total billed charges,4958.59,94.72,,3966.87,percent of total billed charges,94.72% of total billed charges,5171.66,98.79,,4137.33,percent of total billed charges,98.79% of total billed charges,5130.3,98,,4104.24,percent of total billed charges,98% of total billed charges,5130.3,98,,4104.24,percent of total billed charges,98% of total billed charges,2512.8,48,,2010.24,percent of total billed charges,48% of total billed charges,2355.75,45,,1884.6,percent of total billed charges,45% of total billed charges,2002.39,38.25,,1601.91,percent of total billed charges,38.25% of total billed charges,2355.75,45,,1884.6,percent of total billed charges,45% of total billed charges,2355.75,45,,1884.6,percent of total billed charges,45% of total billed charges,2002.39,5171.66,
67715 INCISION OF EYELID FOLD,10067715,CDM,360,RC,67715,HCPCS,OUTPATIENT,,,1139,911.2,,1082.05,95,,865.64,percent of total billed charges,95% of total billed charges,1078.86,94.72,,863.09,percent of total billed charges,94.72% of total billed charges,1125.22,98.79,,900.18,percent of total billed charges,98.79% of total billed charges,1116.22,98,,892.98,percent of total billed charges,98% of total billed charges,1116.22,98,,892.98,percent of total billed charges,98% of total billed charges,546.72,48,,437.38,percent of total billed charges,48% of total billed charges,512.55,45,,410.04,percent of total billed charges,45% of total billed charges,435.67,38.25,,348.54,percent of total billed charges,38.25% of total billed charges,512.55,45,,410.04,percent of total billed charges,45% of total billed charges,512.55,45,,410.04,percent of total billed charges,45% of total billed charges,435.67,1125.22,
67840 Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure,10067840,CDM,360,RC,67840,HCPCS,OUTPATIENT,,,952,761.6,,904.4,95,,723.52,percent of total billed charges,95% of total billed charges,901.73,94.72,,721.38,percent of total billed charges,94.72% of total billed charges,940.48,98.79,,752.38,percent of total billed charges,98.79% of total billed charges,932.96,98,,746.37,percent of total billed charges,98% of total billed charges,932.96,98,,746.37,percent of total billed charges,98% of total billed charges,456.96,48,,365.57,percent of total billed charges,48% of total billed charges,428.4,45,,342.72,percent of total billed charges,45% of total billed charges,364.14,38.25,,291.31,percent of total billed charges,38.25% of total billed charges,428.4,45,,342.72,percent of total billed charges,45% of total billed charges,428.4,45,,342.72,percent of total billed charges,45% of total billed charges,364.14,940.48,
69145 Excision soft tissue lesion| external auditory canal,10069145,CDM,360,RC,69145,HCPCS,OUTPATIENT,,,1575,1260,,1496.25,95,,1197,percent of total billed charges,95% of total billed charges,1491.84,94.72,,1193.47,percent of total billed charges,94.72% of total billed charges,1555.94,98.79,,1244.75,percent of total billed charges,98.79% of total billed charges,1543.5,98,,1234.8,percent of total billed charges,98% of total billed charges,1543.5,98,,1234.8,percent of total billed charges,98% of total billed charges,756,48,,604.8,percent of total billed charges,48% of total billed charges,708.75,45,,567,percent of total billed charges,45% of total billed charges,602.44,38.25,,481.95,percent of total billed charges,38.25% of total billed charges,708.75,45,,567,percent of total billed charges,45% of total billed charges,708.75,45,,567,percent of total billed charges,45% of total billed charges,602.44,1555.94,
69205 CLEAR OUTER EAR CANAL,10069205,CDM,360,RC,69205,HCPCS,OUTPATIENT,,,694,555.2,,659.3,95,,527.44,percent of total billed charges,95% of total billed charges,657.36,94.72,,525.89,percent of total billed charges,94.72% of total billed charges,685.6,98.79,,548.48,percent of total billed charges,98.79% of total billed charges,680.12,98,,544.1,percent of total billed charges,98% of total billed charges,680.12,98,,544.1,percent of total billed charges,98% of total billed charges,333.12,48,,266.5,percent of total billed charges,48% of total billed charges,312.3,45,,249.84,percent of total billed charges,45% of total billed charges,265.46,38.25,,212.37,percent of total billed charges,38.25% of total billed charges,312.3,45,,249.84,percent of total billed charges,45% of total billed charges,312.3,45,,249.84,percent of total billed charges,45% of total billed charges,265.46,685.6,
69420 INCISION OF EARDRUM,10069420,CDM,360,RC,69420,HCPCS,OUTPATIENT,,,665,532,,631.75,95,,505.4,percent of total billed charges,95% of total billed charges,629.89,94.72,,503.91,percent of total billed charges,94.72% of total billed charges,656.95,98.79,,525.56,percent of total billed charges,98.79% of total billed charges,651.7,98,,521.36,percent of total billed charges,98% of total billed charges,651.7,98,,521.36,percent of total billed charges,98% of total billed charges,319.2,48,,255.36,percent of total billed charges,48% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,254.36,38.25,,203.49,percent of total billed charges,38.25% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,254.36,656.95,
69421 INCISION OF EARDRUM,10069421,CDM,360,RC,69421,HCPCS,OUTPATIENT,,,1217,973.6,,1156.15,95,,924.92,percent of total billed charges,95% of total billed charges,1152.74,94.72,,922.19,percent of total billed charges,94.72% of total billed charges,1202.27,98.79,,961.82,percent of total billed charges,98.79% of total billed charges,1192.66,98,,954.13,percent of total billed charges,98% of total billed charges,1192.66,98,,954.13,percent of total billed charges,98% of total billed charges,584.16,48,,467.33,percent of total billed charges,48% of total billed charges,547.65,45,,438.12,percent of total billed charges,45% of total billed charges,465.5,38.25,,372.4,percent of total billed charges,38.25% of total billed charges,547.65,45,,438.12,percent of total billed charges,45% of total billed charges,547.65,45,,438.12,percent of total billed charges,45% of total billed charges,465.5,1202.27,
69424 REMOVE VENTILATING TUBE,10069424,CDM,360,RC,69424,HCPCS,OUTPATIENT,,,504,403.2,,478.8,95,,383.04,percent of total billed charges,95% of total billed charges,477.39,94.72,,381.91,percent of total billed charges,94.72% of total billed charges,497.9,98.79,,398.32,percent of total billed charges,98.79% of total billed charges,493.92,98,,395.14,percent of total billed charges,98% of total billed charges,493.92,98,,395.14,percent of total billed charges,98% of total billed charges,241.92,48,,193.54,percent of total billed charges,48% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,192.78,38.25,,154.22,percent of total billed charges,38.25% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,192.78,497.9,
69436 CREATE EARDRUM OPENING,10069436,CDM,360,RC,69436,HCPCS,OUTPATIENT,,,1497,1197.6,,1422.15,95,,1137.72,percent of total billed charges,95% of total billed charges,1417.96,94.72,,1134.37,percent of total billed charges,94.72% of total billed charges,1478.89,98.79,,1183.11,percent of total billed charges,98.79% of total billed charges,1467.06,98,,1173.65,percent of total billed charges,98% of total billed charges,1467.06,98,,1173.65,percent of total billed charges,98% of total billed charges,718.56,48,,574.85,percent of total billed charges,48% of total billed charges,673.65,45,,538.92,percent of total billed charges,45% of total billed charges,572.6,38.25,,458.08,percent of total billed charges,38.25% of total billed charges,673.65,45,,538.92,percent of total billed charges,45% of total billed charges,673.65,45,,538.92,percent of total billed charges,45% of total billed charges,572.6,1478.89,
69610 REPAIR OF EARDRUM,10069610,CDM,360,RC,69610,HCPCS,OUTPATIENT,,,1301,1040.8,,1235.95,95,,988.76,percent of total billed charges,95% of total billed charges,1232.31,94.72,,985.85,percent of total billed charges,94.72% of total billed charges,1285.26,98.79,,1028.21,percent of total billed charges,98.79% of total billed charges,1274.98,98,,1019.98,percent of total billed charges,98% of total billed charges,1274.98,98,,1019.98,percent of total billed charges,98% of total billed charges,624.48,48,,499.58,percent of total billed charges,48% of total billed charges,585.45,45,,468.36,percent of total billed charges,45% of total billed charges,497.63,38.25,,398.1,percent of total billed charges,38.25% of total billed charges,585.45,45,,468.36,percent of total billed charges,45% of total billed charges,585.45,45,,468.36,percent of total billed charges,45% of total billed charges,497.63,1285.26,
69620 Myringoplasty (surgery confined to drumhead and donor,10069620,CDM,360,RC,69620,HCPCS,OUTPATIENT,,,3686,2948.8,,3501.7,95,,2801.36,percent of total billed charges,95% of total billed charges,3491.38,94.72,,2793.1,percent of total billed charges,94.72% of total billed charges,3641.4,98.79,,2913.12,percent of total billed charges,98.79% of total billed charges,3612.28,98,,2889.82,percent of total billed charges,98% of total billed charges,3612.28,98,,2889.82,percent of total billed charges,98% of total billed charges,1769.28,48,,1415.42,percent of total billed charges,48% of total billed charges,1658.7,45,,1326.96,percent of total billed charges,45% of total billed charges,1409.9,38.25,,1127.92,percent of total billed charges,38.25% of total billed charges,1658.7,45,,1326.96,percent of total billed charges,45% of total billed charges,1658.7,45,,1326.96,percent of total billed charges,45% of total billed charges,1409.9,3641.4,
69990 Microsurgical techniques| requiring use of operating m,10069990,CDM,360,RC,69990,HCPCS,OUTPATIENT,,,2084,1667.2,,1979.8,95,,1583.84,percent of total billed charges,95% of total billed charges,1973.96,94.72,,1579.17,percent of total billed charges,94.72% of total billed charges,2058.78,98.79,,1647.02,percent of total billed charges,98.79% of total billed charges,2042.32,98,,1633.86,percent of total billed charges,98% of total billed charges,2042.32,98,,1633.86,percent of total billed charges,98% of total billed charges,1000.32,48,,800.26,percent of total billed charges,48% of total billed charges,937.8,45,,750.24,percent of total billed charges,45% of total billed charges,797.13,38.25,,637.7,percent of total billed charges,38.25% of total billed charges,937.8,45,,750.24,percent of total billed charges,45% of total billed charges,937.8,45,,750.24,percent of total billed charges,45% of total billed charges,797.13,2058.78,
92502 Otolaryngologic examination under general anesthesia,10092502,CDM,360,RC,92502,HCPCS,OUTPATIENT,,,593,474.4,,563.35,95,,450.68,percent of total billed charges,95% of total billed charges,561.69,94.72,,449.35,percent of total billed charges,94.72% of total billed charges,585.82,98.79,,468.66,percent of total billed charges,98.79% of total billed charges,581.14,98,,464.91,percent of total billed charges,98% of total billed charges,581.14,98,,464.91,percent of total billed charges,98% of total billed charges,284.64,48,,227.71,percent of total billed charges,48% of total billed charges,266.85,45,,213.48,percent of total billed charges,45% of total billed charges,226.82,38.25,,181.46,percent of total billed charges,38.25% of total billed charges,266.85,45,,213.48,percent of total billed charges,45% of total billed charges,266.85,45,,213.48,percent of total billed charges,45% of total billed charges,226.82,585.82,
11420 EXC H-F-NK-SP B9+MARG 0.5/<,10111420,CDM,360,RC,11420,HCPCS,OUTPATIENT,,,504,403.2,,478.8,95,,383.04,percent of total billed charges,95% of total billed charges,477.39,94.72,,381.91,percent of total billed charges,94.72% of total billed charges,497.9,98.79,,398.32,percent of total billed charges,98.79% of total billed charges,493.92,98,,395.14,percent of total billed charges,98% of total billed charges,493.92,98,,395.14,percent of total billed charges,98% of total billed charges,241.92,48,,193.54,percent of total billed charges,48% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,192.78,38.25,,154.22,percent of total billed charges,38.25% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,192.78,497.9,
13131 CMPLX RPR F/C/C/M/N/AX/G/H/F,10113131,CDM,360,RC,13131,HCPCS,OUTPATIENT,,,1740,1392,,1653,95,,1322.4,percent of total billed charges,95% of total billed charges,1648.13,94.72,,1318.5,percent of total billed charges,94.72% of total billed charges,1718.95,98.79,,1375.16,percent of total billed charges,98.79% of total billed charges,1705.2,98,,1364.16,percent of total billed charges,98% of total billed charges,1705.2,98,,1364.16,percent of total billed charges,98% of total billed charges,835.2,48,,668.16,percent of total billed charges,48% of total billed charges,783,45,,626.4,percent of total billed charges,45% of total billed charges,665.55,38.25,,532.44,percent of total billed charges,38.25% of total billed charges,783,45,,626.4,percent of total billed charges,45% of total billed charges,783,45,,626.4,percent of total billed charges,45% of total billed charges,665.55,1718.95,
20240 BONE BIOPSY OPEN SUPERFICIAL,10120240,CDM,360,RC,20240,HCPCS,OUTPATIENT,,,756,604.8,,718.2,95,,574.56,percent of total billed charges,95% of total billed charges,716.08,94.72,,572.86,percent of total billed charges,94.72% of total billed charges,746.85,98.79,,597.48,percent of total billed charges,98.79% of total billed charges,740.88,98,,592.7,percent of total billed charges,98% of total billed charges,740.88,98,,592.7,percent of total billed charges,98% of total billed charges,362.88,48,,290.3,percent of total billed charges,48% of total billed charges,340.2,45,,272.16,percent of total billed charges,45% of total billed charges,289.17,38.25,,231.34,percent of total billed charges,38.25% of total billed charges,340.2,45,,272.16,percent of total billed charges,45% of total billed charges,340.2,45,,272.16,percent of total billed charges,45% of total billed charges,289.17,746.85,
20550 INJ TENDON SHEATH/LIGAMENT,10120550,CDM,360,RC,20550,HCPCS,OUTPATIENT,,,246,196.8,,233.7,95,,186.96,percent of total billed charges,95% of total billed charges,233.01,94.72,,186.41,percent of total billed charges,94.72% of total billed charges,243.02,98.79,,194.42,percent of total billed charges,98.79% of total billed charges,241.08,98,,192.86,percent of total billed charges,98% of total billed charges,241.08,98,,192.86,percent of total billed charges,98% of total billed charges,118.08,48,,94.46,percent of total billed charges,48% of total billed charges,110.7,45,,88.56,percent of total billed charges,45% of total billed charges,94.1,38.25,,75.28,percent of total billed charges,38.25% of total billed charges,110.7,45,,88.56,percent of total billed charges,45% of total billed charges,110.7,45,,88.56,percent of total billed charges,45% of total billed charges,94.1,243.02,
20600 Drain Inject Joint Bursa Bilat Charges,10120600,CDM,360,RC,20600,HCPCS,OUTPATIENT,,,138,110.4,,131.1,95,,104.88,percent of total billed charges,95% of total billed charges,130.71,94.72,,104.57,percent of total billed charges,94.72% of total billed charges,136.33,98.79,,109.06,percent of total billed charges,98.79% of total billed charges,135.24,98,,108.19,percent of total billed charges,98% of total billed charges,135.24,98,,108.19,percent of total billed charges,98% of total billed charges,66.24,48,,52.99,percent of total billed charges,48% of total billed charges,62.1,45,,49.68,percent of total billed charges,45% of total billed charges,52.79,38.25,,42.23,percent of total billed charges,38.25% of total billed charges,62.1,45,,49.68,percent of total billed charges,45% of total billed charges,62.1,45,,49.68,percent of total billed charges,45% of total billed charges,52.79,136.33,
20605 CT Aspiration Bursa Med Joint Charges,10120605,CDM,360,RC,20605,HCPCS,OUTPATIENT,,,315,252,,299.25,95,,239.4,percent of total billed charges,95% of total billed charges,298.37,94.72,,238.7,percent of total billed charges,94.72% of total billed charges,311.19,98.79,,248.95,percent of total billed charges,98.79% of total billed charges,308.7,98,,246.96,percent of total billed charges,98% of total billed charges,308.7,98,,246.96,percent of total billed charges,98% of total billed charges,151.2,48,,120.96,percent of total billed charges,48% of total billed charges,141.75,45,,113.4,percent of total billed charges,45% of total billed charges,120.49,38.25,,96.39,percent of total billed charges,38.25% of total billed charges,141.75,45,,113.4,percent of total billed charges,45% of total billed charges,141.75,45,,113.4,percent of total billed charges,45% of total billed charges,120.49,311.19,
20670 SC TECH REMOVAL OF SUPPORT IMPLANT,10120670,CDM,360,RC,20670,HCPCS,OUTPATIENT,,,1435,1148,,1363.25,95,,1090.6,percent of total billed charges,95% of total billed charges,1359.23,94.72,,1087.38,percent of total billed charges,94.72% of total billed charges,1417.64,98.79,,1134.11,percent of total billed charges,98.79% of total billed charges,1406.3,98,,1125.04,percent of total billed charges,98% of total billed charges,1406.3,98,,1125.04,percent of total billed charges,98% of total billed charges,688.8,48,,551.04,percent of total billed charges,48% of total billed charges,645.75,45,,516.6,percent of total billed charges,45% of total billed charges,548.89,38.25,,439.11,percent of total billed charges,38.25% of total billed charges,645.75,45,,516.6,percent of total billed charges,45% of total billed charges,645.75,45,,516.6,percent of total billed charges,45% of total billed charges,548.89,1417.64,
20680 REMOVAL OF SUPPORT IMPLANT,10120680,CDM,360,RC,20680,HCPCS,OUTPATIENT,,,1728,1382.4,,1641.6,95,,1313.28,percent of total billed charges,95% of total billed charges,1636.76,94.72,,1309.41,percent of total billed charges,94.72% of total billed charges,1707.09,98.79,,1365.67,percent of total billed charges,98.79% of total billed charges,1693.44,98,,1354.75,percent of total billed charges,98% of total billed charges,1693.44,98,,1354.75,percent of total billed charges,98% of total billed charges,829.44,48,,663.55,percent of total billed charges,48% of total billed charges,777.6,45,,622.08,percent of total billed charges,45% of total billed charges,660.96,38.25,,528.77,percent of total billed charges,38.25% of total billed charges,777.6,45,,622.08,percent of total billed charges,45% of total billed charges,777.6,45,,622.08,percent of total billed charges,45% of total billed charges,660.96,1707.09,
23120 PARTIAL REMOVAL COLLAR BONE,10123120,CDM,360,RC,23120,HCPCS,OUTPATIENT,,,2713,2170.4,,2577.35,95,,2061.88,percent of total billed charges,95% of total billed charges,2569.75,94.72,,2055.8,percent of total billed charges,94.72% of total billed charges,2680.17,98.79,,2144.14,percent of total billed charges,98.79% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,1302.24,48,,1041.79,percent of total billed charges,48% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,38.25,,830.18,percent of total billed charges,38.25% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,2680.17,
23130 REMOVE SHOULDER BONE PART,10123130,CDM,360,RC,23130,HCPCS,OUTPATIENT,,,2713,2170.4,,2577.35,95,,2061.88,percent of total billed charges,95% of total billed charges,2569.75,94.72,,2055.8,percent of total billed charges,94.72% of total billed charges,2680.17,98.79,,2144.14,percent of total billed charges,98.79% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,1302.24,48,,1041.79,percent of total billed charges,48% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,38.25,,830.18,percent of total billed charges,38.25% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,2680.17,
23410 REPAIR ROTATOR CUFF ACUTE,10123410,CDM,360,RC,23410,HCPCS,OUTPATIENT,,,5810,4648,,5519.5,95,,4415.6,percent of total billed charges,95% of total billed charges,5503.23,94.72,,4402.58,percent of total billed charges,94.72% of total billed charges,5739.7,98.79,,4591.76,percent of total billed charges,98.79% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,2788.8,48,,2231.04,percent of total billed charges,48% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,38.25,,1777.86,percent of total billed charges,38.25% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,5739.7,
23412 REPAIR ROTATOR CUFF CHRONIC,10123412,CDM,360,RC,23412,HCPCS,OUTPATIENT,,,6010,4808,,5709.5,95,,4567.6,percent of total billed charges,95% of total billed charges,5692.67,94.72,,4554.14,percent of total billed charges,94.72% of total billed charges,5937.28,98.79,,4749.82,percent of total billed charges,98.79% of total billed charges,5889.8,98,,4711.84,percent of total billed charges,98% of total billed charges,5889.8,98,,4711.84,percent of total billed charges,98% of total billed charges,2884.8,48,,2307.84,percent of total billed charges,48% of total billed charges,2704.5,45,,2163.6,percent of total billed charges,45% of total billed charges,2298.83,38.25,,1839.06,percent of total billed charges,38.25% of total billed charges,2704.5,45,,2163.6,percent of total billed charges,45% of total billed charges,2704.5,45,,2163.6,percent of total billed charges,45% of total billed charges,2298.83,5937.28,
23420 REPAIR OF SHOULDER,10123420,CDM,360,RC,23420,HCPCS,OUTPATIENT,,,5810,4648,,5519.5,95,,4415.6,percent of total billed charges,95% of total billed charges,5503.23,94.72,,4402.58,percent of total billed charges,94.72% of total billed charges,5739.7,98.79,,4591.76,percent of total billed charges,98.79% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,2788.8,48,,2231.04,percent of total billed charges,48% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,38.25,,1777.86,percent of total billed charges,38.25% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,5739.7,
23430 REPAIR BICEPS TENDON,10123430,CDM,360,RC,23430,HCPCS,OUTPATIENT,,,5810,4648,,5519.5,95,,4415.6,percent of total billed charges,95% of total billed charges,5503.23,94.72,,4402.58,percent of total billed charges,94.72% of total billed charges,5739.7,98.79,,4591.76,percent of total billed charges,98.79% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,2788.8,48,,2231.04,percent of total billed charges,48% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,38.25,,1777.86,percent of total billed charges,38.25% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,5739.7,
23472 RECONSTRUCT SHOULDER JOINT,10123472,CDM,360,RC,23472,HCPCS,OUTPATIENT,,,6785,5428,,6445.75,95,,5156.6,percent of total billed charges,95% of total billed charges,6426.75,94.72,,5141.4,percent of total billed charges,94.72% of total billed charges,6702.9,98.79,,5362.32,percent of total billed charges,98.79% of total billed charges,6649.3,98,,5319.44,percent of total billed charges,98% of total billed charges,6649.3,98,,5319.44,percent of total billed charges,98% of total billed charges,3256.8,48,,2605.44,percent of total billed charges,48% of total billed charges,3053.25,45,,2442.6,percent of total billed charges,45% of total billed charges,2595.26,38.25,,2076.21,percent of total billed charges,38.25% of total billed charges,3053.25,45,,2442.6,percent of total billed charges,45% of total billed charges,3053.25,45,,2442.6,percent of total billed charges,45% of total billed charges,2595.26,6702.9,
23615 TREAT HUMERUS FRACTURE,10123615,CDM,360,RC,23615,HCPCS,OUTPATIENT,,,3015,2412,,2864.25,95,,2291.4,percent of total billed charges,95% of total billed charges,2855.81,94.72,,2284.65,percent of total billed charges,94.72% of total billed charges,2978.52,98.79,,2382.82,percent of total billed charges,98.79% of total billed charges,2954.7,98,,2363.76,percent of total billed charges,98% of total billed charges,2954.7,98,,2363.76,percent of total billed charges,98% of total billed charges,1447.2,48,,1157.76,percent of total billed charges,48% of total billed charges,1356.75,45,,1085.4,percent of total billed charges,45% of total billed charges,1153.24,38.25,,922.59,percent of total billed charges,38.25% of total billed charges,1356.75,45,,1085.4,percent of total billed charges,45% of total billed charges,1356.75,45,,1085.4,percent of total billed charges,45% of total billed charges,1153.24,2978.52,
24340 REPAIR OF BICEPS TENDON,10124340,CDM,360,RC,24340,HCPCS,OUTPATIENT,,,2536,2028.8,,2409.2,95,,1927.36,percent of total billed charges,95% of total billed charges,2402.1,94.72,,1921.68,percent of total billed charges,94.72% of total billed charges,2505.31,98.79,,2004.25,percent of total billed charges,98.79% of total billed charges,2485.28,98,,1988.22,percent of total billed charges,98% of total billed charges,2485.28,98,,1988.22,percent of total billed charges,98% of total billed charges,1217.28,48,,973.82,percent of total billed charges,48% of total billed charges,1141.2,45,,912.96,percent of total billed charges,45% of total billed charges,970.02,38.25,,776.02,percent of total billed charges,38.25% of total billed charges,1141.2,45,,912.96,percent of total billed charges,45% of total billed charges,1141.2,45,,912.96,percent of total billed charges,45% of total billed charges,970.02,2505.31,
24341 REPAIR ARM TENDON/MUSCLE,10124341,CDM,360,RC,24341,HCPCS,OUTPATIENT,,,6274,5019.2,,5960.3,95,,4768.24,percent of total billed charges,95% of total billed charges,5942.73,94.72,,4754.18,percent of total billed charges,94.72% of total billed charges,6198.08,98.79,,4958.46,percent of total billed charges,98.79% of total billed charges,6148.52,98,,4918.82,percent of total billed charges,98% of total billed charges,6148.52,98,,4918.82,percent of total billed charges,98% of total billed charges,3011.52,48,,2409.22,percent of total billed charges,48% of total billed charges,2823.3,45,,2258.64,percent of total billed charges,45% of total billed charges,2399.81,38.25,,1919.85,percent of total billed charges,38.25% of total billed charges,2823.3,45,,2258.64,percent of total billed charges,45% of total billed charges,2823.3,45,,2258.64,percent of total billed charges,45% of total billed charges,2399.81,6198.08,
24342 REPAIR OF RUPTURED TENDON,10124342,CDM,360,RC,24342,HCPCS,OUTPATIENT,,,3014,2411.2,,2863.3,95,,2290.64,percent of total billed charges,95% of total billed charges,2854.86,94.72,,2283.89,percent of total billed charges,94.72% of total billed charges,2977.53,98.79,,2382.02,percent of total billed charges,98.79% of total billed charges,2953.72,98,,2362.98,percent of total billed charges,98% of total billed charges,2953.72,98,,2362.98,percent of total billed charges,98% of total billed charges,1446.72,48,,1157.38,percent of total billed charges,48% of total billed charges,1356.3,45,,1085.04,percent of total billed charges,45% of total billed charges,1152.86,38.25,,922.29,percent of total billed charges,38.25% of total billed charges,1356.3,45,,1085.04,percent of total billed charges,45% of total billed charges,1356.3,45,,1085.04,percent of total billed charges,45% of total billed charges,1152.86,2977.53,
24358 REPAIR ELBOW W/DEB OPEN,10124358,CDM,360,RC,24358,HCPCS,OUTPATIENT,,,4453,3562.4,,4230.35,95,,3384.28,percent of total billed charges,95% of total billed charges,4217.88,94.72,,3374.3,percent of total billed charges,94.72% of total billed charges,4399.12,98.79,,3519.3,percent of total billed charges,98.79% of total billed charges,4363.94,98,,3491.15,percent of total billed charges,98% of total billed charges,4363.94,98,,3491.15,percent of total billed charges,98% of total billed charges,2137.44,48,,1709.95,percent of total billed charges,48% of total billed charges,2003.85,45,,1603.08,percent of total billed charges,45% of total billed charges,1703.27,38.25,,1362.62,percent of total billed charges,38.25% of total billed charges,2003.85,45,,1603.08,percent of total billed charges,45% of total billed charges,2003.85,45,,1603.08,percent of total billed charges,45% of total billed charges,1703.27,4399.12,
24538 TREAT HUMERUS FRACTURE,10124538,CDM,360,RC,24538,HCPCS,OUTPATIENT,,,5887,4709.6,,5592.65,95,,4474.12,percent of total billed charges,95% of total billed charges,5576.17,94.72,,4460.94,percent of total billed charges,94.72% of total billed charges,5815.77,98.79,,4652.62,percent of total billed charges,98.79% of total billed charges,5769.26,98,,4615.41,percent of total billed charges,98% of total billed charges,5769.26,98,,4615.41,percent of total billed charges,98% of total billed charges,2825.76,48,,2260.61,percent of total billed charges,48% of total billed charges,2649.15,45,,2119.32,percent of total billed charges,45% of total billed charges,2251.78,38.25,,1801.42,percent of total billed charges,38.25% of total billed charges,2649.15,45,,2119.32,percent of total billed charges,45% of total billed charges,2649.15,45,,2119.32,percent of total billed charges,45% of total billed charges,2251.78,5815.77,
24685 TREAT ULNAR FRACTURE,10124685,CDM,360,RC,24685,HCPCS,OUTPATIENT,,,5810,4648,,5519.5,95,,4415.6,percent of total billed charges,95% of total billed charges,5503.23,94.72,,4402.58,percent of total billed charges,94.72% of total billed charges,5739.7,98.79,,4591.76,percent of total billed charges,98.79% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,2788.8,48,,2231.04,percent of total billed charges,48% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,38.25,,1777.86,percent of total billed charges,38.25% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,5739.7,
25112 REREMOVE WRIST TENDON LESION,10125112,CDM,360,RC,25112,HCPCS,OUTPATIENT,,,2713,2170.4,,2577.35,95,,2061.88,percent of total billed charges,95% of total billed charges,2569.75,94.72,,2055.8,percent of total billed charges,94.72% of total billed charges,2680.17,98.79,,2144.14,percent of total billed charges,98.79% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,1302.24,48,,1041.79,percent of total billed charges,48% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,38.25,,830.18,percent of total billed charges,38.25% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,2680.17,
25332 REVISE WRIST JOINT,10125332,CDM,360,RC,25332,HCPCS,OUTPATIENT,,,9667,7733.6,,9183.65,95,,7346.92,percent of total billed charges,95% of total billed charges,9156.58,94.72,,7325.26,percent of total billed charges,94.72% of total billed charges,9550.03,98.79,,7640.02,percent of total billed charges,98.79% of total billed charges,9473.66,98,,7578.93,percent of total billed charges,98% of total billed charges,9473.66,98,,7578.93,percent of total billed charges,98% of total billed charges,4640.16,48,,3712.13,percent of total billed charges,48% of total billed charges,4350.15,45,,3480.12,percent of total billed charges,45% of total billed charges,3697.63,38.25,,2958.1,percent of total billed charges,38.25% of total billed charges,4350.15,45,,3480.12,percent of total billed charges,45% of total billed charges,4350.15,45,,3480.12,percent of total billed charges,45% of total billed charges,3697.63,9550.03,
25505 TREAT FRACTURE OF RADIUS,10125505,CDM,360,RC,25505,HCPCS,OUTPATIENT,,,1432,1145.6,,1360.4,95,,1088.32,percent of total billed charges,95% of total billed charges,1356.39,94.72,,1085.11,percent of total billed charges,94.72% of total billed charges,1414.67,98.79,,1131.74,percent of total billed charges,98.79% of total billed charges,1403.36,98,,1122.69,percent of total billed charges,98% of total billed charges,1403.36,98,,1122.69,percent of total billed charges,98% of total billed charges,687.36,48,,549.89,percent of total billed charges,48% of total billed charges,644.4,45,,515.52,percent of total billed charges,45% of total billed charges,547.74,38.25,,438.19,percent of total billed charges,38.25% of total billed charges,644.4,45,,515.52,percent of total billed charges,45% of total billed charges,644.4,45,,515.52,percent of total billed charges,45% of total billed charges,547.74,1414.67,
25608 TREAT FX RAD INTRA-ARTICUL,10125608,CDM,360,RC,25608,HCPCS,OUTPATIENT,,,5810,4648,,5519.5,95,,4415.6,percent of total billed charges,95% of total billed charges,5503.23,94.72,,4402.58,percent of total billed charges,94.72% of total billed charges,5739.7,98.79,,4591.76,percent of total billed charges,98.79% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,2788.8,48,,2231.04,percent of total billed charges,48% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,38.25,,1777.86,percent of total billed charges,38.25% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,5739.7,
25609 TREAT FX RADIAL 3+ FRAG,10125609,CDM,360,RC,25609,HCPCS,OUTPATIENT,,,3425,2740,,3253.75,95,,2603,percent of total billed charges,95% of total billed charges,3244.16,94.72,,2595.33,percent of total billed charges,94.72% of total billed charges,3383.56,98.79,,2706.85,percent of total billed charges,98.79% of total billed charges,3356.5,98,,2685.2,percent of total billed charges,98% of total billed charges,3356.5,98,,2685.2,percent of total billed charges,98% of total billed charges,1644,48,,1315.2,percent of total billed charges,48% of total billed charges,1541.25,45,,1233,percent of total billed charges,45% of total billed charges,1310.06,38.25,,1048.05,percent of total billed charges,38.25% of total billed charges,1541.25,45,,1233,percent of total billed charges,45% of total billed charges,1541.25,45,,1233,percent of total billed charges,45% of total billed charges,1310.06,3383.56,
26055 INCISE FINGER TENDON SHEATH,10126055,CDM,360,RC,26055,HCPCS,OUTPATIENT,,,1416,1132.8,,1345.2,95,,1076.16,percent of total billed charges,95% of total billed charges,1341.24,94.72,,1072.99,percent of total billed charges,94.72% of total billed charges,1398.87,98.79,,1119.1,percent of total billed charges,98.79% of total billed charges,1387.68,98,,1110.14,percent of total billed charges,98% of total billed charges,1387.68,98,,1110.14,percent of total billed charges,98% of total billed charges,679.68,48,,543.74,percent of total billed charges,48% of total billed charges,637.2,45,,509.76,percent of total billed charges,45% of total billed charges,541.62,38.25,,433.3,percent of total billed charges,38.25% of total billed charges,637.2,45,,509.76,percent of total billed charges,45% of total billed charges,637.2,45,,509.76,percent of total billed charges,45% of total billed charges,541.62,1398.87,
26410 REPAIR HAND TENDON,10126410,CDM,360,RC,26410,HCPCS,OUTPATIENT,,,1830,1464,,1738.5,95,,1390.8,percent of total billed charges,95% of total billed charges,1733.38,94.72,,1386.7,percent of total billed charges,94.72% of total billed charges,1807.86,98.79,,1446.29,percent of total billed charges,98.79% of total billed charges,1793.4,98,,1434.72,percent of total billed charges,98% of total billed charges,1793.4,98,,1434.72,percent of total billed charges,98% of total billed charges,878.4,48,,702.72,percent of total billed charges,48% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,699.98,38.25,,559.98,percent of total billed charges,38.25% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,699.98,1807.86,
26608 TREAT METACARPAL FRACTURE,10126608,CDM,360,RC,26608,HCPCS,OUTPATIENT,,,1761,1408.8,,1672.95,95,,1338.36,percent of total billed charges,95% of total billed charges,1668.02,94.72,,1334.42,percent of total billed charges,94.72% of total billed charges,1739.69,98.79,,1391.75,percent of total billed charges,98.79% of total billed charges,1725.78,98,,1380.62,percent of total billed charges,98% of total billed charges,1725.78,98,,1380.62,percent of total billed charges,98% of total billed charges,845.28,48,,676.22,percent of total billed charges,48% of total billed charges,792.45,45,,633.96,percent of total billed charges,45% of total billed charges,673.58,38.25,,538.86,percent of total billed charges,38.25% of total billed charges,792.45,45,,633.96,percent of total billed charges,45% of total billed charges,792.45,45,,633.96,percent of total billed charges,45% of total billed charges,673.58,1739.69,
26850 FUSION OF KNUCKLE,10126850,CDM,360,RC,26850,HCPCS,OUTPATIENT,,,2580,2064,,2451,95,,1960.8,percent of total billed charges,95% of total billed charges,2443.78,94.72,,1955.02,percent of total billed charges,94.72% of total billed charges,2548.78,98.79,,2039.02,percent of total billed charges,98.79% of total billed charges,2528.4,98,,2022.72,percent of total billed charges,98% of total billed charges,2528.4,98,,2022.72,percent of total billed charges,98% of total billed charges,1238.4,48,,990.72,percent of total billed charges,48% of total billed charges,1161,45,,928.8,percent of total billed charges,45% of total billed charges,986.85,38.25,,789.48,percent of total billed charges,38.25% of total billed charges,1161,45,,928.8,percent of total billed charges,45% of total billed charges,1161,45,,928.8,percent of total billed charges,45% of total billed charges,986.85,2548.78,
26860 FUSION OF FINGER JOINT,10126860,CDM,360,RC,26860,HCPCS,OUTPATIENT,,,1966,1572.8,,1867.7,95,,1494.16,percent of total billed charges,95% of total billed charges,1862.2,94.72,,1489.76,percent of total billed charges,94.72% of total billed charges,1942.21,98.79,,1553.77,percent of total billed charges,98.79% of total billed charges,1926.68,98,,1541.34,percent of total billed charges,98% of total billed charges,1926.68,98,,1541.34,percent of total billed charges,98% of total billed charges,943.68,48,,754.94,percent of total billed charges,48% of total billed charges,884.7,45,,707.76,percent of total billed charges,45% of total billed charges,752,38.25,,601.6,percent of total billed charges,38.25% of total billed charges,884.7,45,,707.76,percent of total billed charges,45% of total billed charges,884.7,45,,707.76,percent of total billed charges,45% of total billed charges,752,1942.21,
27132 TOTAL HIP ARTHROPLASTY,10127132,CDM,360,RC,27132,HCPCS,OUTPATIENT,,,8671,6936.8,,8237.45,95,,6589.96,percent of total billed charges,95% of total billed charges,8213.17,94.72,,6570.54,percent of total billed charges,94.72% of total billed charges,8566.08,98.79,,6852.86,percent of total billed charges,98.79% of total billed charges,8497.58,98,,6798.06,percent of total billed charges,98% of total billed charges,8497.58,98,,6798.06,percent of total billed charges,98% of total billed charges,4162.08,48,,3329.66,percent of total billed charges,48% of total billed charges,3901.95,45,,3121.56,percent of total billed charges,45% of total billed charges,3316.66,38.25,,2653.33,percent of total billed charges,38.25% of total billed charges,3901.95,45,,3121.56,percent of total billed charges,45% of total billed charges,3901.95,45,,3121.56,percent of total billed charges,45% of total billed charges,3316.66,8566.08,
27138 REVISE HIP JOINT REPLACEMENT,10127138,CDM,360,RC,27138,HCPCS,OUTPATIENT,,,9479,7583.2,,9005.05,95,,7204.04,percent of total billed charges,95% of total billed charges,8978.51,94.72,,7182.81,percent of total billed charges,94.72% of total billed charges,9364.3,98.79,,7491.44,percent of total billed charges,98.79% of total billed charges,9289.42,98,,7431.54,percent of total billed charges,98% of total billed charges,9289.42,98,,7431.54,percent of total billed charges,98% of total billed charges,4549.92,48,,3639.94,percent of total billed charges,48% of total billed charges,4265.55,45,,3412.44,percent of total billed charges,45% of total billed charges,3625.72,38.25,,2900.58,percent of total billed charges,38.25% of total billed charges,4265.55,45,,3412.44,percent of total billed charges,45% of total billed charges,4265.55,45,,3412.44,percent of total billed charges,45% of total billed charges,3625.72,9364.3,
27244 TREAT THIGH FRACTURE,10127244,CDM,360,RC,27244,HCPCS,OUTPATIENT,,,4873,3898.4,,4629.35,95,,3703.48,percent of total billed charges,95% of total billed charges,4615.71,94.72,,3692.57,percent of total billed charges,94.72% of total billed charges,4814.04,98.79,,3851.23,percent of total billed charges,98.79% of total billed charges,4775.54,98,,3820.43,percent of total billed charges,98% of total billed charges,4775.54,98,,3820.43,percent of total billed charges,98% of total billed charges,2339.04,48,,1871.23,percent of total billed charges,48% of total billed charges,2192.85,45,,1754.28,percent of total billed charges,45% of total billed charges,1863.92,38.25,,1491.14,percent of total billed charges,38.25% of total billed charges,2192.85,45,,1754.28,percent of total billed charges,45% of total billed charges,2192.85,45,,1754.28,percent of total billed charges,45% of total billed charges,1863.92,4814.04,
27299 PELVIS/HIP JOINT SURGERY,10127299,CDM,360,RC,27299,HCPCS,OUTPATIENT,,,162,129.6,,153.9,95,,123.12,percent of total billed charges,95% of total billed charges,153.45,94.72,,122.76,percent of total billed charges,94.72% of total billed charges,160.04,98.79,,128.03,percent of total billed charges,98.79% of total billed charges,158.76,98,,127.01,percent of total billed charges,98% of total billed charges,158.76,98,,127.01,percent of total billed charges,98% of total billed charges,77.76,48,,62.21,percent of total billed charges,48% of total billed charges,72.9,45,,58.32,percent of total billed charges,45% of total billed charges,61.97,38.25,,49.58,percent of total billed charges,38.25% of total billed charges,72.9,45,,58.32,percent of total billed charges,45% of total billed charges,72.9,45,,58.32,percent of total billed charges,45% of total billed charges,61.97,160.04,
27301 DRAIN THIGH/KNEE LESION,10127301,CDM,360,RC,27301,HCPCS,OUTPATIENT,,,1706,1364.8,,1620.7,95,,1296.56,percent of total billed charges,95% of total billed charges,1615.92,94.72,,1292.74,percent of total billed charges,94.72% of total billed charges,1685.36,98.79,,1348.29,percent of total billed charges,98.79% of total billed charges,1671.88,98,,1337.5,percent of total billed charges,98% of total billed charges,1671.88,98,,1337.5,percent of total billed charges,98% of total billed charges,818.88,48,,655.1,percent of total billed charges,48% of total billed charges,767.7,45,,614.16,percent of total billed charges,45% of total billed charges,652.55,38.25,,522.04,percent of total billed charges,38.25% of total billed charges,767.7,45,,614.16,percent of total billed charges,45% of total billed charges,767.7,45,,614.16,percent of total billed charges,45% of total billed charges,652.55,1685.36,
27385 REPAIR OF THIGH MUSCLE,10127385,CDM,360,RC,27385,HCPCS,OUTPATIENT,,,2560,2048,,2432,95,,1945.6,percent of total billed charges,95% of total billed charges,2424.83,94.72,,1939.86,percent of total billed charges,94.72% of total billed charges,2529.02,98.79,,2023.22,percent of total billed charges,98.79% of total billed charges,2508.8,98,,2007.04,percent of total billed charges,98% of total billed charges,2508.8,98,,2007.04,percent of total billed charges,98% of total billed charges,1228.8,48,,983.04,percent of total billed charges,48% of total billed charges,1152,45,,921.6,percent of total billed charges,45% of total billed charges,979.2,38.25,,783.36,percent of total billed charges,38.25% of total billed charges,1152,45,,921.6,percent of total billed charges,45% of total billed charges,1152,45,,921.6,percent of total billed charges,45% of total billed charges,979.2,2529.02,
27447 TOTAL KNEE ARTHROPLASTY,10127447,CDM,360,RC,27447,HCPCS,OUTPATIENT,,,7521,6016.8,,7144.95,95,,5715.96,percent of total billed charges,95% of total billed charges,7123.89,94.72,,5699.11,percent of total billed charges,94.72% of total billed charges,7430,98.79,,5944,percent of total billed charges,98.79% of total billed charges,7370.58,98,,5896.46,percent of total billed charges,98% of total billed charges,7370.58,98,,5896.46,percent of total billed charges,98% of total billed charges,3610.08,48,,2888.06,percent of total billed charges,48% of total billed charges,3384.45,45,,2707.56,percent of total billed charges,45% of total billed charges,2876.78,38.25,,2301.42,percent of total billed charges,38.25% of total billed charges,3384.45,45,,2707.56,percent of total billed charges,45% of total billed charges,3384.45,45,,2707.56,percent of total billed charges,45% of total billed charges,2876.78,7430,
27486 REVISE/REPLACE KNEE JOINT,10127486,CDM,360,RC,27486,HCPCS,OUTPATIENT,,,6486,5188.8,,6161.7,95,,4929.36,percent of total billed charges,95% of total billed charges,6143.54,94.72,,4914.83,percent of total billed charges,94.72% of total billed charges,6407.52,98.79,,5126.02,percent of total billed charges,98.79% of total billed charges,6356.28,98,,5085.02,percent of total billed charges,98% of total billed charges,6356.28,98,,5085.02,percent of total billed charges,98% of total billed charges,3113.28,48,,2490.62,percent of total billed charges,48% of total billed charges,2918.7,45,,2334.96,percent of total billed charges,45% of total billed charges,2480.9,38.25,,1984.72,percent of total billed charges,38.25% of total billed charges,2918.7,45,,2334.96,percent of total billed charges,45% of total billed charges,2918.7,45,,2334.96,percent of total billed charges,45% of total billed charges,2480.9,6407.52,
27612 EXPLORATION OF ANKLE JOINT,10127612,CDM,360,RC,27612,HCPCS,OUTPATIENT,,,2596,2076.8,,2466.2,95,,1972.96,percent of total billed charges,95% of total billed charges,2458.93,94.72,,1967.14,percent of total billed charges,94.72% of total billed charges,2564.59,98.79,,2051.67,percent of total billed charges,98.79% of total billed charges,2544.08,98,,2035.26,percent of total billed charges,98% of total billed charges,2544.08,98,,2035.26,percent of total billed charges,98% of total billed charges,1246.08,48,,996.86,percent of total billed charges,48% of total billed charges,1168.2,45,,934.56,percent of total billed charges,45% of total billed charges,992.97,38.25,,794.38,percent of total billed charges,38.25% of total billed charges,1168.2,45,,934.56,percent of total billed charges,45% of total billed charges,1168.2,45,,934.56,percent of total billed charges,45% of total billed charges,992.97,2564.59,
27635 REMOVE LOWER LEG BONE LESION,10127635,CDM,360,RC,27635,HCPCS,OUTPATIENT,,,2713,2170.4,,2577.35,95,,2061.88,percent of total billed charges,95% of total billed charges,2569.75,94.72,,2055.8,percent of total billed charges,94.72% of total billed charges,2680.17,98.79,,2144.14,percent of total billed charges,98.79% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,1302.24,48,,1041.79,percent of total billed charges,48% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,38.25,,830.18,percent of total billed charges,38.25% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,2680.17,
27650 REPAIR ACHILLES TENDON,10127650,CDM,360,RC,27650,HCPCS,OUTPATIENT,,,4553,3642.4,,4325.35,95,,3460.28,percent of total billed charges,95% of total billed charges,4312.6,94.72,,3450.08,percent of total billed charges,94.72% of total billed charges,4497.91,98.79,,3598.33,percent of total billed charges,98.79% of total billed charges,4461.94,98,,3569.55,percent of total billed charges,98% of total billed charges,4461.94,98,,3569.55,percent of total billed charges,98% of total billed charges,2185.44,48,,1748.35,percent of total billed charges,48% of total billed charges,2048.85,45,,1639.08,percent of total billed charges,45% of total billed charges,1741.52,38.25,,1393.22,percent of total billed charges,38.25% of total billed charges,2048.85,45,,1639.08,percent of total billed charges,45% of total billed charges,2048.85,45,,1639.08,percent of total billed charges,45% of total billed charges,1741.52,4497.91,
27691 REVISE LOWER LEG TENDON,10127691,CDM,360,RC,27691,HCPCS,OUTPATIENT,,,4933,3946.4,,4686.35,95,,3749.08,percent of total billed charges,95% of total billed charges,4672.54,94.72,,3738.03,percent of total billed charges,94.72% of total billed charges,4873.31,98.79,,3898.65,percent of total billed charges,98.79% of total billed charges,4834.34,98,,3867.47,percent of total billed charges,98% of total billed charges,4834.34,98,,3867.47,percent of total billed charges,98% of total billed charges,2367.84,48,,1894.27,percent of total billed charges,48% of total billed charges,2219.85,45,,1775.88,percent of total billed charges,45% of total billed charges,1886.87,38.25,,1509.5,percent of total billed charges,38.25% of total billed charges,2219.85,45,,1775.88,percent of total billed charges,45% of total billed charges,2219.85,45,,1775.88,percent of total billed charges,45% of total billed charges,1886.87,4873.31,
27698 REPAIR OF ANKLE LIGAMENT,10127698,CDM,360,RC,27698,HCPCS,OUTPATIENT,,,5235,4188,,4973.25,95,,3978.6,percent of total billed charges,95% of total billed charges,4958.59,94.72,,3966.87,percent of total billed charges,94.72% of total billed charges,5171.66,98.79,,4137.33,percent of total billed charges,98.79% of total billed charges,5130.3,98,,4104.24,percent of total billed charges,98% of total billed charges,5130.3,98,,4104.24,percent of total billed charges,98% of total billed charges,2512.8,48,,2010.24,percent of total billed charges,48% of total billed charges,2355.75,45,,1884.6,percent of total billed charges,45% of total billed charges,2002.39,38.25,,1601.91,percent of total billed charges,38.25% of total billed charges,2355.75,45,,1884.6,percent of total billed charges,45% of total billed charges,2355.75,45,,1884.6,percent of total billed charges,45% of total billed charges,2002.39,5171.66,
27752 TREATMENT OF TIBIA FRACTURE,10127752,CDM,360,RC,27752,HCPCS,OUTPATIENT,,,2071,1656.8,,1967.45,95,,1573.96,percent of total billed charges,95% of total billed charges,1961.65,94.72,,1569.32,percent of total billed charges,94.72% of total billed charges,2045.94,98.79,,1636.75,percent of total billed charges,98.79% of total billed charges,2029.58,98,,1623.66,percent of total billed charges,98% of total billed charges,2029.58,98,,1623.66,percent of total billed charges,98% of total billed charges,994.08,48,,795.26,percent of total billed charges,48% of total billed charges,931.95,45,,745.56,percent of total billed charges,45% of total billed charges,792.16,38.25,,633.73,percent of total billed charges,38.25% of total billed charges,931.95,45,,745.56,percent of total billed charges,45% of total billed charges,931.95,45,,745.56,percent of total billed charges,45% of total billed charges,792.16,2045.94,
27822 TREATMENT OF ANKLE FRACTURE,10127822,CDM,360,RC,27822,HCPCS,OUTPATIENT,,,5810,4648,,5519.5,95,,4415.6,percent of total billed charges,95% of total billed charges,5503.23,94.72,,4402.58,percent of total billed charges,94.72% of total billed charges,5739.7,98.79,,4591.76,percent of total billed charges,98.79% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,2788.8,48,,2231.04,percent of total billed charges,48% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,38.25,,1777.86,percent of total billed charges,38.25% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,5739.7,
27829 TREAT LOWER LEG JOINT,10127829,CDM,360,RC,27829,HCPCS,OUTPATIENT,,,3390,2712,,3220.5,95,,2576.4,percent of total billed charges,95% of total billed charges,3211.01,94.72,,2568.81,percent of total billed charges,94.72% of total billed charges,3348.98,98.79,,2679.18,percent of total billed charges,98.79% of total billed charges,3322.2,98,,2657.76,percent of total billed charges,98% of total billed charges,3322.2,98,,2657.76,percent of total billed charges,98% of total billed charges,1627.2,48,,1301.76,percent of total billed charges,48% of total billed charges,1525.5,45,,1220.4,percent of total billed charges,45% of total billed charges,1296.68,38.25,,1037.34,percent of total billed charges,38.25% of total billed charges,1525.5,45,,1220.4,percent of total billed charges,45% of total billed charges,1525.5,45,,1220.4,percent of total billed charges,45% of total billed charges,1296.68,3348.98,
28008 INCISION OF FOOT FASCIA,10128008,CDM,360,RC,28008,HCPCS,OUTPATIENT,,,1620,1296,,1539,95,,1231.2,percent of total billed charges,95% of total billed charges,1534.46,94.72,,1227.57,percent of total billed charges,94.72% of total billed charges,1600.4,98.79,,1280.32,percent of total billed charges,98.79% of total billed charges,1587.6,98,,1270.08,percent of total billed charges,98% of total billed charges,1587.6,98,,1270.08,percent of total billed charges,98% of total billed charges,777.6,48,,622.08,percent of total billed charges,48% of total billed charges,729,45,,583.2,percent of total billed charges,45% of total billed charges,619.65,38.25,,495.72,percent of total billed charges,38.25% of total billed charges,729,45,,583.2,percent of total billed charges,45% of total billed charges,729,45,,583.2,percent of total billed charges,45% of total billed charges,619.65,1600.4,
28116 REVISION OF FOOT,10128116,CDM,360,RC,28116,HCPCS,OUTPATIENT,,,2915,2332,,2769.25,95,,2215.4,percent of total billed charges,95% of total billed charges,2761.09,94.72,,2208.87,percent of total billed charges,94.72% of total billed charges,2879.73,98.79,,2303.78,percent of total billed charges,98.79% of total billed charges,2856.7,98,,2285.36,percent of total billed charges,98% of total billed charges,2856.7,98,,2285.36,percent of total billed charges,98% of total billed charges,1399.2,48,,1119.36,percent of total billed charges,48% of total billed charges,1311.75,45,,1049.4,percent of total billed charges,45% of total billed charges,1114.99,38.25,,891.99,percent of total billed charges,38.25% of total billed charges,1311.75,45,,1049.4,percent of total billed charges,45% of total billed charges,1311.75,45,,1049.4,percent of total billed charges,45% of total billed charges,1114.99,2879.73,
28118 REMOVAL OF HEEL BONE,10128118,CDM,360,RC,28118,HCPCS,OUTPATIENT,,,2242,1793.6,,2129.9,95,,1703.92,percent of total billed charges,95% of total billed charges,2123.62,94.72,,1698.9,percent of total billed charges,94.72% of total billed charges,2214.87,98.79,,1771.9,percent of total billed charges,98.79% of total billed charges,2197.16,98,,1757.73,percent of total billed charges,98% of total billed charges,2197.16,98,,1757.73,percent of total billed charges,98% of total billed charges,1076.16,48,,860.93,percent of total billed charges,48% of total billed charges,1008.9,45,,807.12,percent of total billed charges,45% of total billed charges,857.57,38.25,,686.06,percent of total billed charges,38.25% of total billed charges,1008.9,45,,807.12,percent of total billed charges,45% of total billed charges,1008.9,45,,807.12,percent of total billed charges,45% of total billed charges,857.57,2214.87,
28120 PART REMOVAL OF ANKLE/HEEL,10128120,CDM,360,RC,28120,HCPCS,OUTPATIENT,,,2577,2061.6,,2448.15,95,,1958.52,percent of total billed charges,95% of total billed charges,2440.93,94.72,,1952.74,percent of total billed charges,94.72% of total billed charges,2545.82,98.79,,2036.66,percent of total billed charges,98.79% of total billed charges,2525.46,98,,2020.37,percent of total billed charges,98% of total billed charges,2525.46,98,,2020.37,percent of total billed charges,98% of total billed charges,1236.96,48,,989.57,percent of total billed charges,48% of total billed charges,1159.65,45,,927.72,percent of total billed charges,45% of total billed charges,985.7,38.25,,788.56,percent of total billed charges,38.25% of total billed charges,1159.65,45,,927.72,percent of total billed charges,45% of total billed charges,1159.65,45,,927.72,percent of total billed charges,45% of total billed charges,985.7,2545.82,
28122 PARTIAL REMOVAL OF FOOT BONE,10128122,CDM,360,RC,28122,HCPCS,OUTPATIENT,,,2713,2170.4,,2577.35,95,,2061.88,percent of total billed charges,95% of total billed charges,2569.75,94.72,,2055.8,percent of total billed charges,94.72% of total billed charges,2680.17,98.79,,2144.14,percent of total billed charges,98.79% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,1302.24,48,,1041.79,percent of total billed charges,48% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,38.25,,830.18,percent of total billed charges,38.25% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,2680.17,
28208 REPAIR OF FOOT TENDON,10128208,CDM,360,RC,28208,HCPCS,OUTPATIENT,,,1082,865.6,,1027.9,95,,822.32,percent of total billed charges,95% of total billed charges,1024.87,94.72,,819.9,percent of total billed charges,94.72% of total billed charges,1068.91,98.79,,855.13,percent of total billed charges,98.79% of total billed charges,1060.36,98,,848.29,percent of total billed charges,98% of total billed charges,1060.36,98,,848.29,percent of total billed charges,98% of total billed charges,519.36,48,,415.49,percent of total billed charges,48% of total billed charges,486.9,45,,389.52,percent of total billed charges,45% of total billed charges,413.87,38.25,,331.1,percent of total billed charges,38.25% of total billed charges,486.9,45,,389.52,percent of total billed charges,45% of total billed charges,486.9,45,,389.52,percent of total billed charges,45% of total billed charges,413.87,1068.91,
28297 CORRECTION HALLUX VALGUS,10128297,CDM,360,RC,28297,HCPCS,OUTPATIENT,,,5810,4648,,5519.5,95,,4415.6,percent of total billed charges,95% of total billed charges,5503.23,94.72,,4402.58,percent of total billed charges,94.72% of total billed charges,5739.7,98.79,,4591.76,percent of total billed charges,98.79% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,2788.8,48,,2231.04,percent of total billed charges,48% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,38.25,,1777.86,percent of total billed charges,38.25% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,5739.7,
28299 CORRECTION HALLUX VALGUS,10128299,CDM,360,RC,28299,HCPCS,OUTPATIENT,,,3272,2617.6,,3108.4,95,,2486.72,percent of total billed charges,95% of total billed charges,3099.24,94.72,,2479.39,percent of total billed charges,94.72% of total billed charges,3232.41,98.79,,2585.93,percent of total billed charges,98.79% of total billed charges,3206.56,98,,2565.25,percent of total billed charges,98% of total billed charges,3206.56,98,,2565.25,percent of total billed charges,98% of total billed charges,1570.56,48,,1256.45,percent of total billed charges,48% of total billed charges,1472.4,45,,1177.92,percent of total billed charges,45% of total billed charges,1251.54,38.25,,1001.23,percent of total billed charges,38.25% of total billed charges,1472.4,45,,1177.92,percent of total billed charges,45% of total billed charges,1472.4,45,,1177.92,percent of total billed charges,45% of total billed charges,1251.54,3232.41,
28300 INCISION OF HEEL BONE,10128300,CDM,360,RC,28300,HCPCS,OUTPATIENT,,,2850,2280,,2707.5,95,,2166,percent of total billed charges,95% of total billed charges,2699.52,94.72,,2159.62,percent of total billed charges,94.72% of total billed charges,2815.52,98.79,,2252.42,percent of total billed charges,98.79% of total billed charges,2793,98,,2234.4,percent of total billed charges,98% of total billed charges,2793,98,,2234.4,percent of total billed charges,98% of total billed charges,1368,48,,1094.4,percent of total billed charges,48% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1090.13,38.25,,872.1,percent of total billed charges,38.25% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1282.5,45,,1026,percent of total billed charges,45% of total billed charges,1090.13,2815.52,
28322 REPAIR OF METATARSALS,10128322,CDM,360,RC,28322,HCPCS,OUTPATIENT,,,747,597.6,,709.65,95,,567.72,percent of total billed charges,95% of total billed charges,707.56,94.72,,566.05,percent of total billed charges,94.72% of total billed charges,737.96,98.79,,590.37,percent of total billed charges,98.79% of total billed charges,732.06,98,,585.65,percent of total billed charges,98% of total billed charges,732.06,98,,585.65,percent of total billed charges,98% of total billed charges,358.56,48,,286.85,percent of total billed charges,48% of total billed charges,336.15,45,,268.92,percent of total billed charges,45% of total billed charges,285.73,38.25,,228.58,percent of total billed charges,38.25% of total billed charges,336.15,45,,268.92,percent of total billed charges,45% of total billed charges,336.15,45,,268.92,percent of total billed charges,45% of total billed charges,285.73,737.96,
28740 FUSION OF FOOT BONES,10128740,CDM,360,RC,28740,HCPCS,OUTPATIENT,,,2214,1771.2,,2103.3,95,,1682.64,percent of total billed charges,95% of total billed charges,2097.1,94.72,,1677.68,percent of total billed charges,94.72% of total billed charges,2187.21,98.79,,1749.77,percent of total billed charges,98.79% of total billed charges,2169.72,98,,1735.78,percent of total billed charges,98% of total billed charges,2169.72,98,,1735.78,percent of total billed charges,98% of total billed charges,1062.72,48,,850.18,percent of total billed charges,48% of total billed charges,996.3,45,,797.04,percent of total billed charges,45% of total billed charges,846.86,38.25,,677.49,percent of total billed charges,38.25% of total billed charges,996.3,45,,797.04,percent of total billed charges,45% of total billed charges,996.3,45,,797.04,percent of total billed charges,45% of total billed charges,846.86,2187.21,
28750 FUSION OF BIG TOE JOINT,10128750,CDM,360,RC,28750,HCPCS,OUTPATIENT,,,3284,2627.2,,3119.8,95,,2495.84,percent of total billed charges,95% of total billed charges,3110.6,94.72,,2488.48,percent of total billed charges,94.72% of total billed charges,3244.26,98.79,,2595.41,percent of total billed charges,98.79% of total billed charges,3218.32,98,,2574.66,percent of total billed charges,98% of total billed charges,3218.32,98,,2574.66,percent of total billed charges,98% of total billed charges,1576.32,48,,1261.06,percent of total billed charges,48% of total billed charges,1477.8,45,,1182.24,percent of total billed charges,45% of total billed charges,1256.13,38.25,,1004.9,percent of total billed charges,38.25% of total billed charges,1477.8,45,,1182.24,percent of total billed charges,45% of total billed charges,1477.8,45,,1182.24,percent of total billed charges,45% of total billed charges,1256.13,3244.26,
29822 SHOULDER ARTHROSCOPY/SURGERY,10129822,CDM,360,RC,29822,HCPCS,OUTPATIENT,,,3022,2417.6,,2870.9,95,,2296.72,percent of total billed charges,95% of total billed charges,2862.44,94.72,,2289.95,percent of total billed charges,94.72% of total billed charges,2985.43,98.79,,2388.34,percent of total billed charges,98.79% of total billed charges,2961.56,98,,2369.25,percent of total billed charges,98% of total billed charges,2961.56,98,,2369.25,percent of total billed charges,98% of total billed charges,1450.56,48,,1160.45,percent of total billed charges,48% of total billed charges,1359.9,45,,1087.92,percent of total billed charges,45% of total billed charges,1155.92,38.25,,924.74,percent of total billed charges,38.25% of total billed charges,1359.9,45,,1087.92,percent of total billed charges,45% of total billed charges,1359.9,45,,1087.92,percent of total billed charges,45% of total billed charges,1155.92,2985.43,
29826 SHOULDER ARTHROSCOPY/SURGERY,10129826,CDM,360,RC,29826,HCPCS,OUTPATIENT,,,3325,2660,,3158.75,95,,2527,percent of total billed charges,95% of total billed charges,3149.44,94.72,,2519.55,percent of total billed charges,94.72% of total billed charges,3284.77,98.79,,2627.82,percent of total billed charges,98.79% of total billed charges,3258.5,98,,2606.8,percent of total billed charges,98% of total billed charges,3258.5,98,,2606.8,percent of total billed charges,98% of total billed charges,1596,48,,1276.8,percent of total billed charges,48% of total billed charges,1496.25,45,,1197,percent of total billed charges,45% of total billed charges,1271.81,38.25,,1017.45,percent of total billed charges,38.25% of total billed charges,1496.25,45,,1197,percent of total billed charges,45% of total billed charges,1496.25,45,,1197,percent of total billed charges,45% of total billed charges,1271.81,3284.77,
29828 ARTHROSCOPY BICEPS TENODESIS,10129828,CDM,360,RC,29828,HCPCS,OUTPATIENT,,,5810,4648,,5519.5,95,,4415.6,percent of total billed charges,95% of total billed charges,5503.23,94.72,,4402.58,percent of total billed charges,94.72% of total billed charges,5739.7,98.79,,4591.76,percent of total billed charges,98.79% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,2788.8,48,,2231.04,percent of total billed charges,48% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,38.25,,1777.86,percent of total billed charges,38.25% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,5739.7,
29881 KNEE ARTHROSCOPY/SURGERY,10129881,CDM,360,RC,29881,HCPCS,OUTPATIENT,,,4910,3928,,4664.5,95,,3731.6,percent of total billed charges,95% of total billed charges,4650.75,94.72,,3720.6,percent of total billed charges,94.72% of total billed charges,4850.59,98.79,,3880.47,percent of total billed charges,98.79% of total billed charges,4811.8,98,,3849.44,percent of total billed charges,98% of total billed charges,4811.8,98,,3849.44,percent of total billed charges,98% of total billed charges,2356.8,48,,1885.44,percent of total billed charges,48% of total billed charges,2209.5,45,,1767.6,percent of total billed charges,45% of total billed charges,1878.08,38.25,,1502.46,percent of total billed charges,38.25% of total billed charges,2209.5,45,,1767.6,percent of total billed charges,45% of total billed charges,2209.5,45,,1767.6,percent of total billed charges,45% of total billed charges,1878.08,4850.59,
29883 KNEE ARTHROSCOPY/SURGERY,10129883,CDM,360,RC,29883,HCPCS,OUTPATIENT,,,4040,3232,,3838,95,,3070.4,percent of total billed charges,95% of total billed charges,3826.69,94.72,,3061.35,percent of total billed charges,94.72% of total billed charges,3991.12,98.79,,3192.9,percent of total billed charges,98.79% of total billed charges,3959.2,98,,3167.36,percent of total billed charges,98% of total billed charges,3959.2,98,,3167.36,percent of total billed charges,98% of total billed charges,1939.2,48,,1551.36,percent of total billed charges,48% of total billed charges,1818,45,,1454.4,percent of total billed charges,45% of total billed charges,1545.3,38.25,,1236.24,percent of total billed charges,38.25% of total billed charges,1818,45,,1454.4,percent of total billed charges,45% of total billed charges,1818,45,,1454.4,percent of total billed charges,45% of total billed charges,1545.3,3991.12,
29888 KNEE ARTHROSCOPY/SURGERY,10129888,CDM,360,RC,29888,HCPCS,OUTPATIENT,,,6501,5200.8,,6175.95,95,,4940.76,percent of total billed charges,95% of total billed charges,6157.75,94.72,,4926.2,percent of total billed charges,94.72% of total billed charges,6422.34,98.79,,5137.87,percent of total billed charges,98.79% of total billed charges,6370.98,98,,5096.78,percent of total billed charges,98% of total billed charges,6370.98,98,,5096.78,percent of total billed charges,98% of total billed charges,3120.48,48,,2496.38,percent of total billed charges,48% of total billed charges,2925.45,45,,2340.36,percent of total billed charges,45% of total billed charges,2486.63,38.25,,1989.3,percent of total billed charges,38.25% of total billed charges,2925.45,45,,2340.36,percent of total billed charges,45% of total billed charges,2925.45,45,,2340.36,percent of total billed charges,45% of total billed charges,2486.63,6422.34,
36471 NJX SCLRSNT MLT INCMPTNT VN,10236471,CDM,360,RC,36471,HCPCS,OUTPATIENT,,,521,416.8,,494.95,95,,395.96,percent of total billed charges,95% of total billed charges,493.49,94.72,,394.79,percent of total billed charges,94.72% of total billed charges,514.7,98.79,,411.76,percent of total billed charges,98.79% of total billed charges,510.58,98,,408.46,percent of total billed charges,98% of total billed charges,510.58,98,,408.46,percent of total billed charges,98% of total billed charges,250.08,48,,200.06,percent of total billed charges,48% of total billed charges,234.45,45,,187.56,percent of total billed charges,45% of total billed charges,199.28,38.25,,159.42,percent of total billed charges,38.25% of total billed charges,234.45,45,,187.56,percent of total billed charges,45% of total billed charges,234.45,45,,187.56,percent of total billed charges,45% of total billed charges,199.28,514.7,
36478 ENDOVENOUS LASER 1ST VEIN,10236478,CDM,360,RC,36478,HCPCS,OUTPATIENT,,,5711,4568.8,,5425.45,95,,4340.36,percent of total billed charges,95% of total billed charges,5409.46,94.72,,4327.57,percent of total billed charges,94.72% of total billed charges,5641.9,98.79,,4513.52,percent of total billed charges,98.79% of total billed charges,5596.78,98,,4477.42,percent of total billed charges,98% of total billed charges,5596.78,98,,4477.42,percent of total billed charges,98% of total billed charges,2741.28,48,,2193.02,percent of total billed charges,48% of total billed charges,2569.95,45,,2055.96,percent of total billed charges,45% of total billed charges,2184.46,38.25,,1747.57,percent of total billed charges,38.25% of total billed charges,2569.95,45,,2055.96,percent of total billed charges,45% of total billed charges,2569.95,45,,2055.96,percent of total billed charges,45% of total billed charges,2184.46,5641.9,
37765 STAB PHLEB VEINS XTR 10-20,10237765,CDM,360,RC,37765,HCPCS,OUTPATIENT,,,2625,2100,,2493.75,95,,1995,percent of total billed charges,95% of total billed charges,2486.4,94.72,,1989.12,percent of total billed charges,94.72% of total billed charges,2593.24,98.79,,2074.59,percent of total billed charges,98.79% of total billed charges,2572.5,98,,2058,percent of total billed charges,98% of total billed charges,2572.5,98,,2058,percent of total billed charges,98% of total billed charges,1260,48,,1008,percent of total billed charges,48% of total billed charges,1181.25,45,,945,percent of total billed charges,45% of total billed charges,1004.06,38.25,,803.25,percent of total billed charges,38.25% of total billed charges,1181.25,45,,945,percent of total billed charges,45% of total billed charges,1181.25,45,,945,percent of total billed charges,45% of total billed charges,1004.06,2593.24,
37766 PHLEB VEINS - EXTREM 20+,10237766,CDM,360,RC,37766,HCPCS,OUTPATIENT,,,2625,2100,,2493.75,95,,1995,percent of total billed charges,95% of total billed charges,2486.4,94.72,,1989.12,percent of total billed charges,94.72% of total billed charges,2593.24,98.79,,2074.59,percent of total billed charges,98.79% of total billed charges,2572.5,98,,2058,percent of total billed charges,98% of total billed charges,2572.5,98,,2058,percent of total billed charges,98% of total billed charges,1260,48,,1008,percent of total billed charges,48% of total billed charges,1181.25,45,,945,percent of total billed charges,45% of total billed charges,1004.06,38.25,,803.25,percent of total billed charges,38.25% of total billed charges,1181.25,45,,945,percent of total billed charges,45% of total billed charges,1181.25,45,,945,percent of total billed charges,45% of total billed charges,1004.06,2593.24,
37799 VASCULAR SURGERY PROCEDURE,10237799,CDM,360,RC,37799,HCPCS,OUTPATIENT,,,1264,1011.2,,1200.8,95,,960.64,percent of total billed charges,95% of total billed charges,1197.26,94.72,,957.81,percent of total billed charges,94.72% of total billed charges,1248.71,98.79,,998.97,percent of total billed charges,98.79% of total billed charges,1238.72,98,,990.98,percent of total billed charges,98% of total billed charges,1238.72,98,,990.98,percent of total billed charges,98% of total billed charges,606.72,48,,485.38,percent of total billed charges,48% of total billed charges,568.8,45,,455.04,percent of total billed charges,45% of total billed charges,483.48,38.25,,386.78,percent of total billed charges,38.25% of total billed charges,568.8,45,,455.04,percent of total billed charges,45% of total billed charges,568.8,45,,455.04,percent of total billed charges,45% of total billed charges,483.48,1248.71,
51720 TREAT BLADDER LESION,10851720,CDM,360,RC,51720,HCPCS,OUTPATIENT,,,382,305.6,,362.9,95,,290.32,percent of total billed charges,95% of total billed charges,361.83,94.72,,289.46,percent of total billed charges,94.72% of total billed charges,377.38,98.79,,301.9,percent of total billed charges,98.79% of total billed charges,374.36,98,,299.49,percent of total billed charges,98% of total billed charges,374.36,98,,299.49,percent of total billed charges,98% of total billed charges,183.36,48,,146.69,percent of total billed charges,48% of total billed charges,171.9,45,,137.52,percent of total billed charges,45% of total billed charges,146.12,38.25,,116.9,percent of total billed charges,38.25% of total billed charges,171.9,45,,137.52,percent of total billed charges,45% of total billed charges,171.9,45,,137.52,percent of total billed charges,45% of total billed charges,146.12,377.38,
52000 CYSTOSCOPY,10852000,CDM,360,RC,52000,HCPCS,OUTPATIENT,,,830,664,,788.5,95,,630.8,percent of total billed charges,95% of total billed charges,786.18,94.72,,628.94,percent of total billed charges,94.72% of total billed charges,819.96,98.79,,655.97,percent of total billed charges,98.79% of total billed charges,813.4,98,,650.72,percent of total billed charges,98% of total billed charges,813.4,98,,650.72,percent of total billed charges,98% of total billed charges,398.4,48,,318.72,percent of total billed charges,48% of total billed charges,373.5,45,,298.8,percent of total billed charges,45% of total billed charges,317.48,38.25,,253.98,percent of total billed charges,38.25% of total billed charges,373.5,45,,298.8,percent of total billed charges,45% of total billed charges,373.5,45,,298.8,percent of total billed charges,45% of total billed charges,317.48,819.96,
52204 CYSTOSCOPY W/BIOPSY(S),10852204,CDM,360,RC,52204,HCPCS,OUTPATIENT,,,1830,1464,,1738.5,95,,1390.8,percent of total billed charges,95% of total billed charges,1733.38,94.72,,1386.7,percent of total billed charges,94.72% of total billed charges,1807.86,98.79,,1446.29,percent of total billed charges,98.79% of total billed charges,1793.4,98,,1434.72,percent of total billed charges,98% of total billed charges,1793.4,98,,1434.72,percent of total billed charges,98% of total billed charges,878.4,48,,702.72,percent of total billed charges,48% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,699.98,38.25,,559.98,percent of total billed charges,38.25% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,699.98,1807.86,
52234 CYSTOSCOPY AND TREATMENT,10852234,CDM,360,RC,52234,HCPCS,OUTPATIENT,,,2830,2264,,2688.5,95,,2150.8,percent of total billed charges,95% of total billed charges,2680.58,94.72,,2144.46,percent of total billed charges,94.72% of total billed charges,2795.76,98.79,,2236.61,percent of total billed charges,98.79% of total billed charges,2773.4,98,,2218.72,percent of total billed charges,98% of total billed charges,2773.4,98,,2218.72,percent of total billed charges,98% of total billed charges,1358.4,48,,1086.72,percent of total billed charges,48% of total billed charges,1273.5,45,,1018.8,percent of total billed charges,45% of total billed charges,1082.48,38.25,,865.98,percent of total billed charges,38.25% of total billed charges,1273.5,45,,1018.8,percent of total billed charges,45% of total billed charges,1273.5,45,,1018.8,percent of total billed charges,45% of total billed charges,1082.48,2795.76,
52235 CYSTOSCOPY AND TREATMENT,10852235,CDM,360,RC,52235,HCPCS,OUTPATIENT,,,1472,1177.6,,1398.4,95,,1118.72,percent of total billed charges,95% of total billed charges,1394.28,94.72,,1115.42,percent of total billed charges,94.72% of total billed charges,1454.19,98.79,,1163.35,percent of total billed charges,98.79% of total billed charges,1442.56,98,,1154.05,percent of total billed charges,98% of total billed charges,1442.56,98,,1154.05,percent of total billed charges,98% of total billed charges,706.56,48,,565.25,percent of total billed charges,48% of total billed charges,662.4,45,,529.92,percent of total billed charges,45% of total billed charges,563.04,38.25,,450.43,percent of total billed charges,38.25% of total billed charges,662.4,45,,529.92,percent of total billed charges,45% of total billed charges,662.4,45,,529.92,percent of total billed charges,45% of total billed charges,563.04,1454.19,
52250 CYSTOSCOPY AND RADIOTRACER,10852250,CDM,360,RC,52250,HCPCS,OUTPATIENT,,,3878,3102.4,,3684.1,95,,2947.28,percent of total billed charges,95% of total billed charges,3673.24,94.72,,2938.59,percent of total billed charges,94.72% of total billed charges,3831.08,98.79,,3064.86,percent of total billed charges,98.79% of total billed charges,3800.44,98,,3040.35,percent of total billed charges,98% of total billed charges,3800.44,98,,3040.35,percent of total billed charges,98% of total billed charges,1861.44,48,,1489.15,percent of total billed charges,48% of total billed charges,1745.1,45,,1396.08,percent of total billed charges,45% of total billed charges,1483.34,38.25,,1186.67,percent of total billed charges,38.25% of total billed charges,1745.1,45,,1396.08,percent of total billed charges,45% of total billed charges,1745.1,45,,1396.08,percent of total billed charges,45% of total billed charges,1483.34,3831.08,
52276 CYSTOSCOPY AND TREATMENT,10852276,CDM,360,RC,52276,HCPCS,OUTPATIENT,,,1218,974.4,,1157.1,95,,925.68,percent of total billed charges,95% of total billed charges,1153.69,94.72,,922.95,percent of total billed charges,94.72% of total billed charges,1203.26,98.79,,962.61,percent of total billed charges,98.79% of total billed charges,1193.64,98,,954.91,percent of total billed charges,98% of total billed charges,1193.64,98,,954.91,percent of total billed charges,98% of total billed charges,584.64,48,,467.71,percent of total billed charges,48% of total billed charges,548.1,45,,438.48,percent of total billed charges,45% of total billed charges,465.89,38.25,,372.71,percent of total billed charges,38.25% of total billed charges,548.1,45,,438.48,percent of total billed charges,45% of total billed charges,548.1,45,,438.48,percent of total billed charges,45% of total billed charges,465.89,1203.26,
52281 CYSTOSCOPE W/DILATION UNDER LOCAL,10852281,CDM,360,RC,52281,HCPCS,OUTPATIENT,,,1830,1464,,1738.5,95,,1390.8,percent of total billed charges,95% of total billed charges,1733.38,94.72,,1386.7,percent of total billed charges,94.72% of total billed charges,1807.86,98.79,,1446.29,percent of total billed charges,98.79% of total billed charges,1793.4,98,,1434.72,percent of total billed charges,98% of total billed charges,1793.4,98,,1434.72,percent of total billed charges,98% of total billed charges,878.4,48,,702.72,percent of total billed charges,48% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,699.98,38.25,,559.98,percent of total billed charges,38.25% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,699.98,1807.86,
52310 CYSTO W REM FB/STNT URETHA/BLDR,10852310,CDM,360,RC,52310,HCPCS,OUTPATIENT,,,921,736.8,,874.95,95,,699.96,percent of total billed charges,95% of total billed charges,872.37,94.72,,697.9,percent of total billed charges,94.72% of total billed charges,909.86,98.79,,727.89,percent of total billed charges,98.79% of total billed charges,902.58,98,,722.06,percent of total billed charges,98% of total billed charges,902.58,98,,722.06,percent of total billed charges,98% of total billed charges,442.08,48,,353.66,percent of total billed charges,48% of total billed charges,414.45,45,,331.56,percent of total billed charges,45% of total billed charges,352.28,38.25,,281.82,percent of total billed charges,38.25% of total billed charges,414.45,45,,331.56,percent of total billed charges,45% of total billed charges,414.45,45,,331.56,percent of total billed charges,45% of total billed charges,352.28,909.86,
52353 CYSTOURETERO W/LITHOTRIPSY,10852353,CDM,360,RC,52353,HCPCS,OUTPATIENT,,,3878,3102.4,,3684.1,95,,2947.28,percent of total billed charges,95% of total billed charges,3673.24,94.72,,2938.59,percent of total billed charges,94.72% of total billed charges,3831.08,98.79,,3064.86,percent of total billed charges,98.79% of total billed charges,3800.44,98,,3040.35,percent of total billed charges,98% of total billed charges,3800.44,98,,3040.35,percent of total billed charges,98% of total billed charges,1861.44,48,,1489.15,percent of total billed charges,48% of total billed charges,1745.1,45,,1396.08,percent of total billed charges,45% of total billed charges,1483.34,38.25,,1186.67,percent of total billed charges,38.25% of total billed charges,1745.1,45,,1396.08,percent of total billed charges,45% of total billed charges,1745.1,45,,1396.08,percent of total billed charges,45% of total billed charges,1483.34,3831.08,
52356 CYSTO/URETERO W/LITHOTRIPSY,10852356,CDM,360,RC,52356,HCPCS,OUTPATIENT,,,3878,3102.4,,3684.1,95,,2947.28,percent of total billed charges,95% of total billed charges,3673.24,94.72,,2938.59,percent of total billed charges,94.72% of total billed charges,3831.08,98.79,,3064.86,percent of total billed charges,98.79% of total billed charges,3800.44,98,,3040.35,percent of total billed charges,98% of total billed charges,3800.44,98,,3040.35,percent of total billed charges,98% of total billed charges,1861.44,48,,1489.15,percent of total billed charges,48% of total billed charges,1745.1,45,,1396.08,percent of total billed charges,45% of total billed charges,1483.34,38.25,,1186.67,percent of total billed charges,38.25% of total billed charges,1745.1,45,,1396.08,percent of total billed charges,45% of total billed charges,1745.1,45,,1396.08,percent of total billed charges,45% of total billed charges,1483.34,3831.08,
52601 PROSTATECTOMY (TURP),10852601,CDM,360,RC,52601,HCPCS,OUTPATIENT,,,3878,3102.4,,3684.1,95,,2947.28,percent of total billed charges,95% of total billed charges,3673.24,94.72,,2938.59,percent of total billed charges,94.72% of total billed charges,3831.08,98.79,,3064.86,percent of total billed charges,98.79% of total billed charges,3800.44,98,,3040.35,percent of total billed charges,98% of total billed charges,3800.44,98,,3040.35,percent of total billed charges,98% of total billed charges,1861.44,48,,1489.15,percent of total billed charges,48% of total billed charges,1745.1,45,,1396.08,percent of total billed charges,45% of total billed charges,1483.34,38.25,,1186.67,percent of total billed charges,38.25% of total billed charges,1745.1,45,,1396.08,percent of total billed charges,45% of total billed charges,1745.1,45,,1396.08,percent of total billed charges,45% of total billed charges,1483.34,3831.08,
57288 REPAIR BLADDER DEFECT,10857288,CDM,360,RC,57288,HCPCS,OUTPATIENT,,,4240,3392,,4028,95,,3222.4,percent of total billed charges,95% of total billed charges,4016.13,94.72,,3212.9,percent of total billed charges,94.72% of total billed charges,4188.7,98.79,,3350.96,percent of total billed charges,98.79% of total billed charges,4155.2,98,,3324.16,percent of total billed charges,98% of total billed charges,4155.2,98,,3324.16,percent of total billed charges,98% of total billed charges,2035.2,48,,1628.16,percent of total billed charges,48% of total billed charges,1908,45,,1526.4,percent of total billed charges,45% of total billed charges,1621.8,38.25,,1297.44,percent of total billed charges,38.25% of total billed charges,1908,45,,1526.4,percent of total billed charges,45% of total billed charges,1908,45,,1526.4,percent of total billed charges,45% of total billed charges,1621.8,4188.7,
11981 INSERT DRUG IMPLANT DEVICE,10911981,CDM,360,RC,11981,HCPCS,OUTPATIENT,,,566,452.8,,537.7,95,,430.16,percent of total billed charges,95% of total billed charges,536.12,94.72,,428.9,percent of total billed charges,94.72% of total billed charges,559.15,98.79,,447.32,percent of total billed charges,98.79% of total billed charges,554.68,98,,443.74,percent of total billed charges,98% of total billed charges,554.68,98,,443.74,percent of total billed charges,98% of total billed charges,271.68,48,,217.34,percent of total billed charges,48% of total billed charges,254.7,45,,203.76,percent of total billed charges,45% of total billed charges,216.5,38.25,,173.2,percent of total billed charges,38.25% of total billed charges,254.7,45,,203.76,percent of total billed charges,45% of total billed charges,254.7,45,,203.76,percent of total billed charges,45% of total billed charges,216.5,559.15,
14021 TIS TRNFR S/A/L 10.1-30 SQCM,10914021,CDM,360,RC,14021,HCPCS,OUTPATIENT,,,4437,3549.6,,4215.15,95,,3372.12,percent of total billed charges,95% of total billed charges,4202.73,94.72,,3362.18,percent of total billed charges,94.72% of total billed charges,4383.31,98.79,,3506.65,percent of total billed charges,98.79% of total billed charges,4348.26,98,,3478.61,percent of total billed charges,98% of total billed charges,4348.26,98,,3478.61,percent of total billed charges,98% of total billed charges,2129.76,48,,1703.81,percent of total billed charges,48% of total billed charges,1996.65,45,,1597.32,percent of total billed charges,45% of total billed charges,1697.15,38.25,,1357.72,percent of total billed charges,38.25% of total billed charges,1996.65,45,,1597.32,percent of total billed charges,45% of total billed charges,1996.65,45,,1597.32,percent of total billed charges,45% of total billed charges,1697.15,4383.31,
14040 TIS TRNFR F/C/C/M/N/A/G/H/F,10914040,CDM,360,RC,14040,HCPCS,OUTPATIENT,,,4101,3280.8,,3895.95,95,,3116.76,percent of total billed charges,95% of total billed charges,3884.47,94.72,,3107.58,percent of total billed charges,94.72% of total billed charges,4051.38,98.79,,3241.1,percent of total billed charges,98.79% of total billed charges,4018.98,98,,3215.18,percent of total billed charges,98% of total billed charges,4018.98,98,,3215.18,percent of total billed charges,98% of total billed charges,1968.48,48,,1574.78,percent of total billed charges,48% of total billed charges,1845.45,45,,1476.36,percent of total billed charges,45% of total billed charges,1568.63,38.25,,1254.9,percent of total billed charges,38.25% of total billed charges,1845.45,45,,1476.36,percent of total billed charges,45% of total billed charges,1845.45,45,,1476.36,percent of total billed charges,45% of total billed charges,1568.63,4051.38,
15271 SKIN SUB GRAFT TRNK/ARM/LEG,10915271,CDM,360,RC,15271,HCPCS,OUTPATIENT,,,727,581.6,,690.65,95,,552.52,percent of total billed charges,95% of total billed charges,688.61,94.72,,550.89,percent of total billed charges,94.72% of total billed charges,718.2,98.79,,574.56,percent of total billed charges,98.79% of total billed charges,712.46,98,,569.97,percent of total billed charges,98% of total billed charges,712.46,98,,569.97,percent of total billed charges,98% of total billed charges,348.96,48,,279.17,percent of total billed charges,48% of total billed charges,327.15,45,,261.72,percent of total billed charges,45% of total billed charges,278.08,38.25,,222.46,percent of total billed charges,38.25% of total billed charges,327.15,45,,261.72,percent of total billed charges,45% of total billed charges,327.15,45,,261.72,percent of total billed charges,45% of total billed charges,278.08,718.2,
20525 REMOVAL OF FOREIGN BODY,10920525,CDM,360,RC,20525,HCPCS,OUTPATIENT,,,1799,1439.2,,1709.05,95,,1367.24,percent of total billed charges,95% of total billed charges,1704.01,94.72,,1363.21,percent of total billed charges,94.72% of total billed charges,1777.23,98.79,,1421.78,percent of total billed charges,98.79% of total billed charges,1763.02,98,,1410.42,percent of total billed charges,98% of total billed charges,1763.02,98,,1410.42,percent of total billed charges,98% of total billed charges,863.52,48,,690.82,percent of total billed charges,48% of total billed charges,809.55,45,,647.64,percent of total billed charges,45% of total billed charges,688.12,38.25,,550.5,percent of total billed charges,38.25% of total billed charges,809.55,45,,647.64,percent of total billed charges,45% of total billed charges,809.55,45,,647.64,percent of total billed charges,45% of total billed charges,688.12,1777.23,
20902 REMOVAL OF BONE FOR GRAFT,10920902,CDM,360,RC,20902,HCPCS,OUTPATIENT,,,5810,4648,,5519.5,95,,4415.6,percent of total billed charges,95% of total billed charges,5503.23,94.72,,4402.58,percent of total billed charges,94.72% of total billed charges,5739.7,98.79,,4591.76,percent of total billed charges,98.79% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,2788.8,48,,2231.04,percent of total billed charges,48% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,38.25,,1777.86,percent of total billed charges,38.25% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,5739.7,
27695 REPAIR OF ANKLE LIGAMENT,10927695,CDM,360,RC,27695,HCPCS,OUTPATIENT,,,5355,4284,,5087.25,95,,4069.8,percent of total billed charges,95% of total billed charges,5072.26,94.72,,4057.81,percent of total billed charges,94.72% of total billed charges,5290.2,98.79,,4232.16,percent of total billed charges,98.79% of total billed charges,5247.9,98,,4198.32,percent of total billed charges,98% of total billed charges,5247.9,98,,4198.32,percent of total billed charges,98% of total billed charges,2570.4,48,,2056.32,percent of total billed charges,48% of total billed charges,2409.75,45,,1927.8,percent of total billed charges,45% of total billed charges,2048.29,38.25,,1638.63,percent of total billed charges,38.25% of total billed charges,2409.75,45,,1927.8,percent of total billed charges,45% of total billed charges,2409.75,45,,1927.8,percent of total billed charges,45% of total billed charges,2048.29,5290.2,
27696 REPAIR OF ANKLE LIGAMENTS,10927696,CDM,360,RC,27696,HCPCS,OUTPATIENT,,,5810,4648,,5519.5,95,,4415.6,percent of total billed charges,95% of total billed charges,5503.23,94.72,,4402.58,percent of total billed charges,94.72% of total billed charges,5739.7,98.79,,4591.76,percent of total billed charges,98.79% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,2788.8,48,,2231.04,percent of total billed charges,48% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,38.25,,1777.86,percent of total billed charges,38.25% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,5739.7,
Open treatment of distal fibular fracture (lateral malleolus,10927792,CDM,360,RC,27792,HCPCS,OUTPATIENT,,,5810,4648,,5519.5,95,,4415.6,percent of total billed charges,95% of total billed charges,5503.23,94.72,,4402.58,percent of total billed charges,94.72% of total billed charges,5739.7,98.79,,4591.76,percent of total billed charges,98.79% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,2788.8,48,,2231.04,percent of total billed charges,48% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,38.25,,1777.86,percent of total billed charges,38.25% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,5739.7,
27814 TREATMENT OF ANKLE FRACTURE,10927814,CDM,360,RC,27814,HCPCS,OUTPATIENT,,,4347,3477.6,,4129.65,95,,3303.72,percent of total billed charges,95% of total billed charges,4117.48,94.72,,3293.98,percent of total billed charges,94.72% of total billed charges,4294.4,98.79,,3435.52,percent of total billed charges,98.79% of total billed charges,4260.06,98,,3408.05,percent of total billed charges,98% of total billed charges,4260.06,98,,3408.05,percent of total billed charges,98% of total billed charges,2086.56,48,,1669.25,percent of total billed charges,48% of total billed charges,1956.15,45,,1564.92,percent of total billed charges,45% of total billed charges,1662.73,38.25,,1330.18,percent of total billed charges,38.25% of total billed charges,1956.15,45,,1564.92,percent of total billed charges,45% of total billed charges,1956.15,45,,1564.92,percent of total billed charges,45% of total billed charges,1662.73,4294.4,
27827 TREAT LOWER LEG FRACTURE,10927827,CDM,360,RC,27827,HCPCS,OUTPATIENT,,,10635,8508,,10103.25,95,,8082.6,percent of total billed charges,95% of total billed charges,10073.47,94.72,,8058.78,percent of total billed charges,94.72% of total billed charges,10506.32,98.79,,8405.06,percent of total billed charges,98.79% of total billed charges,10422.3,98,,8337.84,percent of total billed charges,98% of total billed charges,10422.3,98,,8337.84,percent of total billed charges,98% of total billed charges,5104.8,48,,4083.84,percent of total billed charges,48% of total billed charges,4785.75,45,,3828.6,percent of total billed charges,45% of total billed charges,4067.89,38.25,,3254.31,percent of total billed charges,38.25% of total billed charges,4785.75,45,,3828.6,percent of total billed charges,45% of total billed charges,4785.75,45,,3828.6,percent of total billed charges,45% of total billed charges,4067.89,10506.32,
27870 FUSION OF ANKLE JOINT OPEN,10927870,CDM,360,RC,27870,HCPCS,OUTPATIENT,,,6350,5080,,6032.5,95,,4826,percent of total billed charges,95% of total billed charges,6014.72,94.72,,4811.78,percent of total billed charges,94.72% of total billed charges,6273.17,98.79,,5018.54,percent of total billed charges,98.79% of total billed charges,6223,98,,4978.4,percent of total billed charges,98% of total billed charges,6223,98,,4978.4,percent of total billed charges,98% of total billed charges,3048,48,,2438.4,percent of total billed charges,48% of total billed charges,2857.5,45,,2286,percent of total billed charges,45% of total billed charges,2428.88,38.25,,1943.1,percent of total billed charges,38.25% of total billed charges,2857.5,45,,2286,percent of total billed charges,45% of total billed charges,2857.5,45,,2286,percent of total billed charges,45% of total billed charges,2428.88,6273.17,
28005 TREAT FOOT BONE LESION,10928005,CDM,360,RC,28005,HCPCS,OUTPATIENT,,,2713,2170.4,,2577.35,95,,2061.88,percent of total billed charges,95% of total billed charges,2569.75,94.72,,2055.8,percent of total billed charges,94.72% of total billed charges,2680.17,98.79,,2144.14,percent of total billed charges,98.79% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,1302.24,48,,1041.79,percent of total billed charges,48% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,38.25,,830.18,percent of total billed charges,38.25% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,2680.17,
28060 PARTIAL REMOVAL FOOT FASCIA,10928060,CDM,360,RC,28060,HCPCS,OUTPATIENT,,,2713,2170.4,,2577.35,95,,2061.88,percent of total billed charges,95% of total billed charges,2569.75,94.72,,2055.8,percent of total billed charges,94.72% of total billed charges,2680.17,98.79,,2144.14,percent of total billed charges,98.79% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,1302.24,48,,1041.79,percent of total billed charges,48% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,38.25,,830.18,percent of total billed charges,38.25% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,2680.17,
28238 REVISION OF FOOT TENDON,10928238,CDM,360,RC,28238,HCPCS,OUTPATIENT,,,5810,4648,,5519.5,95,,4415.6,percent of total billed charges,95% of total billed charges,5503.23,94.72,,4402.58,percent of total billed charges,94.72% of total billed charges,5739.7,98.79,,4591.76,percent of total billed charges,98.79% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,2788.8,48,,2231.04,percent of total billed charges,48% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,38.25,,1777.86,percent of total billed charges,38.25% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,5739.7,
28270 RELEASE OF FOOT CONTRACTURE,10928270,CDM,360,RC,28270,HCPCS,OUTPATIENT,,,1516,1212.8,,1440.2,95,,1152.16,percent of total billed charges,95% of total billed charges,1435.96,94.72,,1148.77,percent of total billed charges,94.72% of total billed charges,1497.66,98.79,,1198.13,percent of total billed charges,98.79% of total billed charges,1485.68,98,,1188.54,percent of total billed charges,98% of total billed charges,1485.68,98,,1188.54,percent of total billed charges,98% of total billed charges,727.68,48,,582.14,percent of total billed charges,48% of total billed charges,682.2,45,,545.76,percent of total billed charges,45% of total billed charges,579.87,38.25,,463.9,percent of total billed charges,38.25% of total billed charges,682.2,45,,545.76,percent of total billed charges,45% of total billed charges,682.2,45,,545.76,percent of total billed charges,45% of total billed charges,579.87,1497.66,
28298 CORRECTION HALLUX VALGUS,10928298,CDM,360,RC,28298,HCPCS,OUTPATIENT,,,2599,2079.2,,2469.05,95,,1975.24,percent of total billed charges,95% of total billed charges,2461.77,94.72,,1969.42,percent of total billed charges,94.72% of total billed charges,2567.55,98.79,,2054.04,percent of total billed charges,98.79% of total billed charges,2547.02,98,,2037.62,percent of total billed charges,98% of total billed charges,2547.02,98,,2037.62,percent of total billed charges,98% of total billed charges,1247.52,48,,998.02,percent of total billed charges,48% of total billed charges,1169.55,45,,935.64,percent of total billed charges,45% of total billed charges,994.12,38.25,,795.3,percent of total billed charges,38.25% of total billed charges,1169.55,45,,935.64,percent of total billed charges,45% of total billed charges,1169.55,45,,935.64,percent of total billed charges,45% of total billed charges,994.12,2567.55,
28306 INCISION OF METATARSAL,10928306,CDM,360,RC,28306,HCPCS,OUTPATIENT,,,2385,1908,,2265.75,95,,1812.6,percent of total billed charges,95% of total billed charges,2259.07,94.72,,1807.26,percent of total billed charges,94.72% of total billed charges,2356.14,98.79,,1884.91,percent of total billed charges,98.79% of total billed charges,2337.3,98,,1869.84,percent of total billed charges,98% of total billed charges,2337.3,98,,1869.84,percent of total billed charges,98% of total billed charges,1144.8,48,,915.84,percent of total billed charges,48% of total billed charges,1073.25,45,,858.6,percent of total billed charges,45% of total billed charges,912.26,38.25,,729.81,percent of total billed charges,38.25% of total billed charges,1073.25,45,,858.6,percent of total billed charges,45% of total billed charges,1073.25,45,,858.6,percent of total billed charges,45% of total billed charges,912.26,2356.14,
28308 INCISION OF METATARSAL,10928308,CDM,360,RC,28308,HCPCS,OUTPATIENT,,,2713,2170.4,,2577.35,95,,2061.88,percent of total billed charges,95% of total billed charges,2569.75,94.72,,2055.8,percent of total billed charges,94.72% of total billed charges,2680.17,98.79,,2144.14,percent of total billed charges,98.79% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,1302.24,48,,1041.79,percent of total billed charges,48% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,38.25,,830.18,percent of total billed charges,38.25% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,2680.17,
28485 TREAT METATARSAL FRACTURE,10928485,CDM,360,RC,28485,HCPCS,OUTPATIENT,,,5810,4648,,5519.5,95,,4415.6,percent of total billed charges,95% of total billed charges,5503.23,94.72,,4402.58,percent of total billed charges,94.72% of total billed charges,5739.7,98.79,,4591.76,percent of total billed charges,98.79% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,2788.8,48,,2231.04,percent of total billed charges,48% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,38.25,,1777.86,percent of total billed charges,38.25% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,5739.7,
28725 FUSION OF FOOT BONES,10928725,CDM,360,RC,28725,HCPCS,OUTPATIENT,,,10635,8508,,10103.25,95,,8082.6,percent of total billed charges,95% of total billed charges,10073.47,94.72,,8058.78,percent of total billed charges,94.72% of total billed charges,10506.32,98.79,,8405.06,percent of total billed charges,98.79% of total billed charges,10422.3,98,,8337.84,percent of total billed charges,98% of total billed charges,10422.3,98,,8337.84,percent of total billed charges,98% of total billed charges,5104.8,48,,4083.84,percent of total billed charges,48% of total billed charges,4785.75,45,,3828.6,percent of total billed charges,45% of total billed charges,4067.89,38.25,,3254.31,percent of total billed charges,38.25% of total billed charges,4785.75,45,,3828.6,percent of total billed charges,45% of total billed charges,4785.75,45,,3828.6,percent of total billed charges,45% of total billed charges,4067.89,10506.32,
28755 FUSION OF BIG TOE JOINT,10928755,CDM,360,RC,28755,HCPCS,OUTPATIENT,,,5810,4648,,5519.5,95,,4415.6,percent of total billed charges,95% of total billed charges,5503.23,94.72,,4402.58,percent of total billed charges,94.72% of total billed charges,5739.7,98.79,,4591.76,percent of total billed charges,98.79% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,2788.8,48,,2231.04,percent of total billed charges,48% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,38.25,,1777.86,percent of total billed charges,38.25% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,5739.7,
29898 ANKLE ARTHROSCOPY/SURGERY,10929898,CDM,360,RC,29898,HCPCS,OUTPATIENT,,,3777,3021.6,,3588.15,95,,2870.52,percent of total billed charges,95% of total billed charges,3577.57,94.72,,2862.06,percent of total billed charges,94.72% of total billed charges,3731.3,98.79,,2985.04,percent of total billed charges,98.79% of total billed charges,3701.46,98,,2961.17,percent of total billed charges,98% of total billed charges,3701.46,98,,2961.17,percent of total billed charges,98% of total billed charges,1812.96,48,,1450.37,percent of total billed charges,48% of total billed charges,1699.65,45,,1359.72,percent of total billed charges,45% of total billed charges,1444.7,38.25,,1155.76,percent of total billed charges,38.25% of total billed charges,1699.65,45,,1359.72,percent of total billed charges,45% of total billed charges,1699.65,45,,1359.72,percent of total billed charges,45% of total billed charges,1444.7,3731.3,
Gastro plyp/les rmvl w ablation/ModSed,12541020,CDM,360,RC,43270,HCPCS,OUTPATIENT,,,2001,1600.8,,1900.95,95,,1520.76,percent of total billed charges,95% of total billed charges,1895.35,94.72,,1516.28,percent of total billed charges,94.72% of total billed charges,1976.79,98.79,,1581.43,percent of total billed charges,98.79% of total billed charges,1960.98,98,,1568.78,percent of total billed charges,98% of total billed charges,1960.98,98,,1568.78,percent of total billed charges,98% of total billed charges,960.48,48,,768.38,percent of total billed charges,48% of total billed charges,900.45,45,,720.36,percent of total billed charges,45% of total billed charges,765.38,38.25,,612.3,percent of total billed charges,38.25% of total billed charges,900.45,45,,720.36,percent of total billed charges,45% of total billed charges,900.45,45,,720.36,percent of total billed charges,45% of total billed charges,765.38,1976.79,
64417 N BLOCK INJ AXILLARY,12744090,CDM,360,RC,64417,HCPCS,OUTPATIENT,,,991,792.8,,941.45,95,,753.16,percent of total billed charges,95% of total billed charges,938.68,94.72,,750.94,percent of total billed charges,94.72% of total billed charges,979.01,98.79,,783.21,percent of total billed charges,98.79% of total billed charges,971.18,98,,776.94,percent of total billed charges,98% of total billed charges,971.18,98,,776.94,percent of total billed charges,98% of total billed charges,475.68,48,,380.54,percent of total billed charges,48% of total billed charges,445.95,45,,356.76,percent of total billed charges,45% of total billed charges,379.06,38.25,,303.25,percent of total billed charges,38.25% of total billed charges,445.95,45,,356.76,percent of total billed charges,45% of total billed charges,445.95,45,,356.76,percent of total billed charges,45% of total billed charges,379.06,979.01,
FNA W/O IMAGE,15010021,CDM,360,RC,10021,HCPCS,OUTPATIENT,,,544,435.2,,516.8,95,,413.44,percent of total billed charges,95% of total billed charges,515.28,94.72,,412.22,percent of total billed charges,94.72% of total billed charges,537.42,98.79,,429.94,percent of total billed charges,98.79% of total billed charges,533.12,98,,426.5,percent of total billed charges,98% of total billed charges,533.12,98,,426.5,percent of total billed charges,98% of total billed charges,261.12,48,,208.9,percent of total billed charges,48% of total billed charges,244.8,45,,195.84,percent of total billed charges,45% of total billed charges,208.08,38.25,,166.46,percent of total billed charges,38.25% of total billed charges,244.8,45,,195.84,percent of total billed charges,45% of total billed charges,244.8,45,,195.84,percent of total billed charges,45% of total billed charges,208.08,537.42,
12035 INTMD RPR S/A/T/EXT 12.6-20,15012035,CDM,360,RC,12035,HCPCS,OUTPATIENT,,,561,448.8,,532.95,95,,426.36,percent of total billed charges,95% of total billed charges,531.38,94.72,,425.1,percent of total billed charges,94.72% of total billed charges,554.21,98.79,,443.37,percent of total billed charges,98.79% of total billed charges,549.78,98,,439.82,percent of total billed charges,98% of total billed charges,549.78,98,,439.82,percent of total billed charges,98% of total billed charges,269.28,48,,215.42,percent of total billed charges,48% of total billed charges,252.45,45,,201.96,percent of total billed charges,45% of total billed charges,214.58,38.25,,171.66,percent of total billed charges,38.25% of total billed charges,252.45,45,,201.96,percent of total billed charges,45% of total billed charges,252.45,45,,201.96,percent of total billed charges,45% of total billed charges,214.58,554.21,
INTMD RPR N-HF/GENIT7.6-12.5,15012044,CDM,360,RC,12044,HCPCS,OUTPATIENT,,,540,432,,513,95,,410.4,percent of total billed charges,95% of total billed charges,511.49,94.72,,409.19,percent of total billed charges,94.72% of total billed charges,533.47,98.79,,426.78,percent of total billed charges,98.79% of total billed charges,529.2,98,,423.36,percent of total billed charges,98% of total billed charges,529.2,98,,423.36,percent of total billed charges,98% of total billed charges,259.2,48,,207.36,percent of total billed charges,48% of total billed charges,243,45,,194.4,percent of total billed charges,45% of total billed charges,206.55,38.25,,165.24,percent of total billed charges,38.25% of total billed charges,243,45,,194.4,percent of total billed charges,45% of total billed charges,243,45,,194.4,percent of total billed charges,45% of total billed charges,206.55,533.47,
TREAT NOSE FRACTURE,15021315,CDM,360,RC,21315,HCPCS,OUTPATIENT,,,968,774.4,,919.6,95,,735.68,percent of total billed charges,95% of total billed charges,916.89,94.72,,733.51,percent of total billed charges,94.72% of total billed charges,956.29,98.79,,765.03,percent of total billed charges,98.79% of total billed charges,948.64,98,,758.91,percent of total billed charges,98% of total billed charges,948.64,98,,758.91,percent of total billed charges,98% of total billed charges,464.64,48,,371.71,percent of total billed charges,48% of total billed charges,435.6,45,,348.48,percent of total billed charges,45% of total billed charges,370.26,38.25,,296.21,percent of total billed charges,38.25% of total billed charges,435.6,45,,348.48,percent of total billed charges,45% of total billed charges,435.6,45,,348.48,percent of total billed charges,45% of total billed charges,370.26,956.29,
21320 CLOSED TX NOSE FX W/ STABLJ,15021320,CDM,360,RC,21320,HCPCS,OUTPATIENT,,,1256,1004.8,,1193.2,95,,954.56,percent of total billed charges,95% of total billed charges,1189.68,94.72,,951.74,percent of total billed charges,94.72% of total billed charges,1240.8,98.79,,992.64,percent of total billed charges,98.79% of total billed charges,1230.88,98,,984.7,percent of total billed charges,98% of total billed charges,1230.88,98,,984.7,percent of total billed charges,98% of total billed charges,602.88,48,,482.3,percent of total billed charges,48% of total billed charges,565.2,45,,452.16,percent of total billed charges,45% of total billed charges,480.42,38.25,,384.34,percent of total billed charges,38.25% of total billed charges,565.2,45,,452.16,percent of total billed charges,45% of total billed charges,565.2,45,,452.16,percent of total billed charges,45% of total billed charges,480.42,1240.8,
30310 REMOVE NASAL FOREIGN BODY,15030310,CDM,360,RC,30310,HCPCS,OUTPATIENT,,,725,580,,688.75,95,,551,percent of total billed charges,95% of total billed charges,686.72,94.72,,549.38,percent of total billed charges,94.72% of total billed charges,716.23,98.79,,572.98,percent of total billed charges,98.79% of total billed charges,710.5,98,,568.4,percent of total billed charges,98% of total billed charges,710.5,98,,568.4,percent of total billed charges,98% of total billed charges,348,48,,278.4,percent of total billed charges,48% of total billed charges,326.25,45,,261,percent of total billed charges,45% of total billed charges,277.31,38.25,,221.85,percent of total billed charges,38.25% of total billed charges,326.25,45,,261,percent of total billed charges,45% of total billed charges,326.25,45,,261,percent of total billed charges,45% of total billed charges,277.31,716.23,
31238 Nasal/sinus endoscopy| surgical; w/ contr TechFee,15031238,CDM,360,RC,31238,HCPCS,OUTPATIENT,,,1323,1058.4,,1256.85,95,,1005.48,percent of total billed charges,95% of total billed charges,1253.15,94.72,,1002.52,percent of total billed charges,94.72% of total billed charges,1306.99,98.79,,1045.59,percent of total billed charges,98.79% of total billed charges,1296.54,98,,1037.23,percent of total billed charges,98% of total billed charges,1296.54,98,,1037.23,percent of total billed charges,98% of total billed charges,635.04,48,,508.03,percent of total billed charges,48% of total billed charges,595.35,45,,476.28,percent of total billed charges,45% of total billed charges,506.05,38.25,,404.84,percent of total billed charges,38.25% of total billed charges,595.35,45,,476.28,percent of total billed charges,45% of total billed charges,595.35,45,,476.28,percent of total billed charges,45% of total billed charges,506.05,1306.99,
REMOVAL OF CERUMEN,15069210,CDM,360,RC,69210,HCPCS,OUTPATIENT,,,173,138.4,,164.35,95,,131.48,percent of total billed charges,95% of total billed charges,163.87,94.72,,131.1,percent of total billed charges,94.72% of total billed charges,170.91,98.79,,136.73,percent of total billed charges,98.79% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,83.04,48,,66.43,percent of total billed charges,48% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,38.25,,52.94,percent of total billed charges,38.25% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,170.91,
92950 HEART/LUNG RESUSCITATION CPR,15092950,CDM,360,RC,92950,HCPCS,OUTPATIENT,,,1800,1440,,1710,95,,1368,percent of total billed charges,95% of total billed charges,1704.96,94.72,,1363.97,percent of total billed charges,94.72% of total billed charges,1778.22,98.79,,1422.58,percent of total billed charges,98.79% of total billed charges,1764,98,,1411.2,percent of total billed charges,98% of total billed charges,1764,98,,1411.2,percent of total billed charges,98% of total billed charges,864,48,,691.2,percent of total billed charges,48% of total billed charges,810,45,,648,percent of total billed charges,45% of total billed charges,688.5,38.25,,550.8,percent of total billed charges,38.25% of total billed charges,810,45,,648,percent of total billed charges,45% of total billed charges,810,45,,648,percent of total billed charges,45% of total billed charges,688.5,1778.22,
24530 Closed tx supra/transcondylar humeral fx| w/,22524530,CDM,360,RC,24530,HCPCS,OUTPATIENT,,,1512,1209.6,,1436.4,95,,1149.12,percent of total billed charges,95% of total billed charges,1432.17,94.72,,1145.74,percent of total billed charges,94.72% of total billed charges,1493.7,98.79,,1194.96,percent of total billed charges,98.79% of total billed charges,1481.76,98,,1185.41,percent of total billed charges,98% of total billed charges,1481.76,98,,1185.41,percent of total billed charges,98% of total billed charges,725.76,48,,580.61,percent of total billed charges,48% of total billed charges,680.4,45,,544.32,percent of total billed charges,45% of total billed charges,578.34,38.25,,462.67,percent of total billed charges,38.25% of total billed charges,680.4,45,,544.32,percent of total billed charges,45% of total billed charges,680.4,45,,544.32,percent of total billed charges,45% of total billed charges,578.34,1493.7,
BIOPSY OF PROSTATE,2255700,CDM,361,RC,55700,HCPCS,OUTPATIENT,,,1830,1464,,1738.5,95,,1390.8,percent of total billed charges,95% of total billed charges,1733.38,94.72,,1386.7,percent of total billed charges,94.72% of total billed charges,1807.86,98.79,,1446.29,percent of total billed charges,98.79% of total billed charges,1793.4,98,,1434.72,percent of total billed charges,98% of total billed charges,1793.4,98,,1434.72,percent of total billed charges,98% of total billed charges,878.4,48,,702.72,percent of total billed charges,48% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,699.98,38.25,,559.98,percent of total billed charges,38.25% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,699.98,1807.86,
Closed treatment of humeral condylar fracture| medial or lateral| without manipulation 24576,10024576,CDM,361,RC,24576,HCPCS,OUTPATIENT,,,1484,1187.2,,1409.8,95,,1127.84,percent of total billed charges,95% of total billed charges,1405.64,94.72,,1124.51,percent of total billed charges,94.72% of total billed charges,1466.04,98.79,,1172.83,percent of total billed charges,98.79% of total billed charges,1454.32,98,,1163.46,percent of total billed charges,98% of total billed charges,1454.32,98,,1163.46,percent of total billed charges,98% of total billed charges,712.32,48,,569.86,percent of total billed charges,48% of total billed charges,667.8,45,,534.24,percent of total billed charges,45% of total billed charges,567.63,38.25,,454.1,percent of total billed charges,38.25% of total billed charges,667.8,45,,534.24,percent of total billed charges,45% of total billed charges,667.8,45,,534.24,percent of total billed charges,45% of total billed charges,567.63,1466.04,
62270 LUMBAR PUNCTURE CHARGE,10062270,CDM,361,RC,62270,HCPCS,OUTPATIENT,,,564,451.2,,535.8,95,,428.64,percent of total billed charges,95% of total billed charges,534.22,94.72,,427.38,percent of total billed charges,94.72% of total billed charges,557.18,98.79,,445.74,percent of total billed charges,98.79% of total billed charges,552.72,98,,442.18,percent of total billed charges,98% of total billed charges,552.72,98,,442.18,percent of total billed charges,98% of total billed charges,270.72,48,,216.58,percent of total billed charges,48% of total billed charges,253.8,45,,203.04,percent of total billed charges,45% of total billed charges,215.73,38.25,,172.58,percent of total billed charges,38.25% of total billed charges,253.8,45,,203.04,percent of total billed charges,45% of total billed charges,253.8,45,,203.04,percent of total billed charges,45% of total billed charges,215.73,557.18,
62270 LUMBAR PUNCTURE CHARGE,10062270,CDM,361,RC,62270,HCPCS,OUTPATIENT,,,564,451.2,,535.8,95,,428.64,percent of total billed charges,95% of total billed charges,534.22,94.72,,427.38,percent of total billed charges,94.72% of total billed charges,557.18,98.79,,445.74,percent of total billed charges,98.79% of total billed charges,552.72,98,,442.18,percent of total billed charges,98% of total billed charges,552.72,98,,442.18,percent of total billed charges,98% of total billed charges,270.72,48,,216.58,percent of total billed charges,48% of total billed charges,253.8,45,,203.04,percent of total billed charges,45% of total billed charges,215.73,38.25,,172.58,percent of total billed charges,38.25% of total billed charges,253.8,45,,203.04,percent of total billed charges,45% of total billed charges,253.8,45,,203.04,percent of total billed charges,45% of total billed charges,215.73,557.18,
62328 Dx lmbr spi pnxr w/fluor/ct,10062328,CDM,361,RC,62328,HCPCS,OUTPATIENT,,,887,709.6,,842.65,95,,674.12,percent of total billed charges,95% of total billed charges,840.17,94.72,,672.14,percent of total billed charges,94.72% of total billed charges,876.27,98.79,,701.02,percent of total billed charges,98.79% of total billed charges,869.26,98,,695.41,percent of total billed charges,98% of total billed charges,869.26,98,,695.41,percent of total billed charges,98% of total billed charges,425.76,48,,340.61,percent of total billed charges,48% of total billed charges,399.15,45,,319.32,percent of total billed charges,45% of total billed charges,339.28,38.25,,271.42,percent of total billed charges,38.25% of total billed charges,399.15,45,,319.32,percent of total billed charges,45% of total billed charges,399.15,45,,319.32,percent of total billed charges,45% of total billed charges,339.28,876.27,
32552 RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF,10232552,CDM,361,RC,32552,HCPCS,OUTPATIENT,,,1053,842.4,,1000.35,95,,800.28,percent of total billed charges,95% of total billed charges,997.4,94.72,,797.92,percent of total billed charges,94.72% of total billed charges,1040.26,98.79,,832.21,percent of total billed charges,98.79% of total billed charges,1031.94,98,,825.55,percent of total billed charges,98% of total billed charges,1031.94,98,,825.55,percent of total billed charges,98% of total billed charges,505.44,48,,404.35,percent of total billed charges,48% of total billed charges,473.85,45,,379.08,percent of total billed charges,45% of total billed charges,402.77,38.25,,322.22,percent of total billed charges,38.25% of total billed charges,473.85,45,,379.08,percent of total billed charges,45% of total billed charges,473.85,45,,379.08,percent of total billed charges,45% of total billed charges,402.77,1040.26,
51720 TREATMENT OF BLADDER LESION,10851720,CDM,361,RC,51720,HCPCS,OUTPATIENT,,,382,305.6,,362.9,95,,290.32,percent of total billed charges,95% of total billed charges,361.83,94.72,,289.46,percent of total billed charges,94.72% of total billed charges,377.38,98.79,,301.9,percent of total billed charges,98.79% of total billed charges,374.36,98,,299.49,percent of total billed charges,98% of total billed charges,374.36,98,,299.49,percent of total billed charges,98% of total billed charges,183.36,48,,146.69,percent of total billed charges,48% of total billed charges,171.9,45,,137.52,percent of total billed charges,45% of total billed charges,146.12,38.25,,116.9,percent of total billed charges,38.25% of total billed charges,171.9,45,,137.52,percent of total billed charges,45% of total billed charges,171.9,45,,137.52,percent of total billed charges,45% of total billed charges,146.12,377.38,
27606 INCISION OF ACHILLES TENDON,10927606,CDM,361,RC,27606,HCPCS,OUTPATIENT,,,2713,2170.4,,2577.35,95,,2061.88,percent of total billed charges,95% of total billed charges,2569.75,94.72,,2055.8,percent of total billed charges,94.72% of total billed charges,2680.17,98.79,,2144.14,percent of total billed charges,98.79% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,1302.24,48,,1041.79,percent of total billed charges,48% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,38.25,,830.18,percent of total billed charges,38.25% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,2680.17,
52310 CYSTOSCOPY AND TREATMENT,12552310,CDM,361,RC,52310,HCPCS,OUTPATIENT,,,1830,1464,,1738.5,95,,1390.8,percent of total billed charges,95% of total billed charges,1733.38,94.72,,1386.7,percent of total billed charges,94.72% of total billed charges,1807.86,98.79,,1446.29,percent of total billed charges,98.79% of total billed charges,1793.4,98,,1434.72,percent of total billed charges,98% of total billed charges,1793.4,98,,1434.72,percent of total billed charges,98% of total billed charges,878.4,48,,702.72,percent of total billed charges,48% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,699.98,38.25,,559.98,percent of total billed charges,38.25% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,699.98,1807.86,
HYSTEROSCOPY| SURGICAL; WITH BILATERAL FALLOPIAN,12758565,CDM,361,RC,58565,HCPCS,OUTPATIENT,,,5119,4095.2,,4863.05,95,,3890.44,percent of total billed charges,95% of total billed charges,4848.72,94.72,,3878.98,percent of total billed charges,94.72% of total billed charges,5057.06,98.79,,4045.65,percent of total billed charges,98.79% of total billed charges,5016.62,98,,4013.3,percent of total billed charges,98% of total billed charges,5016.62,98,,4013.3,percent of total billed charges,98% of total billed charges,2457.12,48,,1965.7,percent of total billed charges,48% of total billed charges,2303.55,45,,1842.84,percent of total billed charges,45% of total billed charges,1958.02,38.25,,1566.42,percent of total billed charges,38.25% of total billed charges,2303.55,45,,1842.84,percent of total billed charges,45% of total billed charges,2303.55,45,,1842.84,percent of total billed charges,45% of total billed charges,1958.02,5057.06,
ANESTHESIA CHARGE - FIRST 30 MINUTES,10600307,CDM,370,RC,,,OUTPATIENT,,,601,480.8,,570.95,95,,456.76,percent of total billed charges,95% of total billed charges,569.27,94.72,,455.42,percent of total billed charges,94.72% of total billed charges,593.73,98.79,,474.98,percent of total billed charges,98.79% of total billed charges,588.98,98,,471.18,percent of total billed charges,98% of total billed charges,588.98,98,,471.18,percent of total billed charges,98% of total billed charges,288.48,48,,230.78,percent of total billed charges,48% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,229.88,38.25,,183.9,percent of total billed charges,38.25% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,229.88,593.73,
ANES GENERAL EA ADD 30 MINUTES,10603072,CDM,370,RC,,,OUTPATIENT,,,571,456.8,,542.45,95,,433.96,percent of total billed charges,95% of total billed charges,540.85,94.72,,432.68,percent of total billed charges,94.72% of total billed charges,564.09,98.79,,451.27,percent of total billed charges,98.79% of total billed charges,559.58,98,,447.66,percent of total billed charges,98% of total billed charges,559.58,98,,447.66,percent of total billed charges,98% of total billed charges,274.08,48,,219.26,percent of total billed charges,48% of total billed charges,256.95,45,,205.56,percent of total billed charges,45% of total billed charges,218.41,38.25,,174.73,percent of total billed charges,38.25% of total billed charges,256.95,45,,205.56,percent of total billed charges,45% of total billed charges,256.95,45,,205.56,percent of total billed charges,45% of total billed charges,218.41,564.09,
ANESTHESIA CHARGE - EA ADDITIONAL 30 MINUTES,10603072,CDM,370,RC,,,OUTPATIENT,,,571,456.8,,542.45,95,,433.96,percent of total billed charges,95% of total billed charges,540.85,94.72,,432.68,percent of total billed charges,94.72% of total billed charges,564.09,98.79,,451.27,percent of total billed charges,98.79% of total billed charges,559.58,98,,447.66,percent of total billed charges,98% of total billed charges,559.58,98,,447.66,percent of total billed charges,98% of total billed charges,274.08,48,,219.26,percent of total billed charges,48% of total billed charges,256.95,45,,205.56,percent of total billed charges,45% of total billed charges,218.41,38.25,,174.73,percent of total billed charges,38.25% of total billed charges,256.95,45,,205.56,percent of total billed charges,45% of total billed charges,256.95,45,,205.56,percent of total billed charges,45% of total billed charges,218.41,564.09,
ANES AGE UNDER 2/OVER 70,10607003,CDM,370,RC,,,OUTPATIENT,,,244,195.2,,231.8,95,,185.44,percent of total billed charges,95% of total billed charges,231.12,94.72,,184.9,percent of total billed charges,94.72% of total billed charges,241.05,98.79,,192.84,percent of total billed charges,98.79% of total billed charges,239.12,98,,191.3,percent of total billed charges,98% of total billed charges,239.12,98,,191.3,percent of total billed charges,98% of total billed charges,117.12,48,,93.7,percent of total billed charges,48% of total billed charges,109.8,45,,87.84,percent of total billed charges,45% of total billed charges,93.33,38.25,,74.66,percent of total billed charges,38.25% of total billed charges,109.8,45,,87.84,percent of total billed charges,45% of total billed charges,109.8,45,,87.84,percent of total billed charges,45% of total billed charges,93.33,241.05,
ANESTHESIA UNDER 2/OVER 70,10607003,CDM,370,RC,,,OUTPATIENT,,,244,195.2,,231.8,95,,185.44,percent of total billed charges,95% of total billed charges,231.12,94.72,,184.9,percent of total billed charges,94.72% of total billed charges,241.05,98.79,,192.84,percent of total billed charges,98.79% of total billed charges,239.12,98,,191.3,percent of total billed charges,98% of total billed charges,239.12,98,,191.3,percent of total billed charges,98% of total billed charges,117.12,48,,93.7,percent of total billed charges,48% of total billed charges,109.8,45,,87.84,percent of total billed charges,45% of total billed charges,93.33,38.25,,74.66,percent of total billed charges,38.25% of total billed charges,109.8,45,,87.84,percent of total billed charges,45% of total billed charges,109.8,45,,87.84,percent of total billed charges,45% of total billed charges,93.33,241.05,
ORAL AIRWAY,10607021,CDM,370,RC,,,OUTPATIENT,,,15,12,,14.25,95,,11.4,percent of total billed charges,95% of total billed charges,14.21,94.72,,11.37,percent of total billed charges,94.72% of total billed charges,14.82,98.79,,11.86,percent of total billed charges,98.79% of total billed charges,14.7,98,,11.76,percent of total billed charges,98% of total billed charges,14.7,98,,11.76,percent of total billed charges,98% of total billed charges,7.2,48,,5.76,percent of total billed charges,48% of total billed charges,6.75,45,,5.4,percent of total billed charges,45% of total billed charges,5.74,38.25,,4.59,percent of total billed charges,38.25% of total billed charges,6.75,45,,5.4,percent of total billed charges,45% of total billed charges,6.75,45,,5.4,percent of total billed charges,45% of total billed charges,5.74,14.82,
NASAL AIRWAY,10607030,CDM,370,RC,,,OUTPATIENT,,,32,25.6,,30.4,95,,24.32,percent of total billed charges,95% of total billed charges,30.31,94.72,,24.25,percent of total billed charges,94.72% of total billed charges,31.61,98.79,,25.29,percent of total billed charges,98.79% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,15.36,48,,12.29,percent of total billed charges,48% of total billed charges,14.4,45,,11.52,percent of total billed charges,45% of total billed charges,12.24,38.25,,9.79,percent of total billed charges,38.25% of total billed charges,14.4,45,,11.52,percent of total billed charges,45% of total billed charges,14.4,45,,11.52,percent of total billed charges,45% of total billed charges,12.24,31.61,
Sedation the first 30 min. <5yr old,10699155,CDM,370,RC,99155,HCPCS,OUTPATIENT,,,340,272,,323,95,,258.4,percent of total billed charges,95% of total billed charges,322.05,94.72,,257.64,percent of total billed charges,94.72% of total billed charges,335.89,98.79,,268.71,percent of total billed charges,98.79% of total billed charges,333.2,98,,266.56,percent of total billed charges,98% of total billed charges,333.2,98,,266.56,percent of total billed charges,98% of total billed charges,163.2,48,,130.56,percent of total billed charges,48% of total billed charges,153,45,,122.4,percent of total billed charges,45% of total billed charges,130.05,38.25,,104.04,percent of total billed charges,38.25% of total billed charges,153,45,,122.4,percent of total billed charges,45% of total billed charges,153,45,,122.4,percent of total billed charges,45% of total billed charges,130.05,335.89,
Sedation first 30 min >5 yr. old,10699156,CDM,370,RC,99156,HCPCS,OUTPATIENT,,,340,272,,323,95,,258.4,percent of total billed charges,95% of total billed charges,322.05,94.72,,257.64,percent of total billed charges,94.72% of total billed charges,335.89,98.79,,268.71,percent of total billed charges,98.79% of total billed charges,333.2,98,,266.56,percent of total billed charges,98% of total billed charges,333.2,98,,266.56,percent of total billed charges,98% of total billed charges,163.2,48,,130.56,percent of total billed charges,48% of total billed charges,153,45,,122.4,percent of total billed charges,45% of total billed charges,130.05,38.25,,104.04,percent of total billed charges,38.25% of total billed charges,153,45,,122.4,percent of total billed charges,45% of total billed charges,153,45,,122.4,percent of total billed charges,45% of total billed charges,130.05,335.89,
Sedation ea. Addl. 15 min.,10699157,CDM,370,RC,99157,HCPCS,OUTPATIENT,,,340,272,,323,95,,258.4,percent of total billed charges,95% of total billed charges,322.05,94.72,,257.64,percent of total billed charges,94.72% of total billed charges,335.89,98.79,,268.71,percent of total billed charges,98.79% of total billed charges,333.2,98,,266.56,percent of total billed charges,98% of total billed charges,333.2,98,,266.56,percent of total billed charges,98% of total billed charges,163.2,48,,130.56,percent of total billed charges,48% of total billed charges,153,45,,122.4,percent of total billed charges,45% of total billed charges,130.05,38.25,,104.04,percent of total billed charges,38.25% of total billed charges,153,45,,122.4,percent of total billed charges,45% of total billed charges,153,45,,122.4,percent of total billed charges,45% of total billed charges,130.05,335.89,
E5633 RBC AS3 LR Irr Deglyc Open,5062155,CDM,390,RC,P9039,HCPCS,OUTPATIENT,,,522,417.6,,495.9,95,,396.72,percent of total billed charges,95% of total billed charges,494.44,94.72,,395.55,percent of total billed charges,94.72% of total billed charges,515.68,98.79,,412.54,percent of total billed charges,98.79% of total billed charges,511.56,98,,409.25,percent of total billed charges,98% of total billed charges,511.56,98,,409.25,percent of total billed charges,98% of total billed charges,250.56,48,,200.45,percent of total billed charges,48% of total billed charges,234.9,45,,187.92,percent of total billed charges,45% of total billed charges,199.67,38.25,,159.74,percent of total billed charges,38.25% of total billed charges,234.9,45,,187.92,percent of total billed charges,45% of total billed charges,234.9,45,,187.92,percent of total billed charges,45% of total billed charges,199.67,515.68,
E5635 RBC AS3 LR Deglyc Open,5062155,CDM,390,RC,P9039,HCPCS,OUTPATIENT,,,522,417.6,,495.9,95,,396.72,percent of total billed charges,95% of total billed charges,494.44,94.72,,395.55,percent of total billed charges,94.72% of total billed charges,515.68,98.79,,412.54,percent of total billed charges,98.79% of total billed charges,511.56,98,,409.25,percent of total billed charges,98% of total billed charges,511.56,98,,409.25,percent of total billed charges,98% of total billed charges,250.56,48,,200.45,percent of total billed charges,48% of total billed charges,234.9,45,,187.92,percent of total billed charges,45% of total billed charges,199.67,38.25,,159.74,percent of total billed charges,38.25% of total billed charges,234.9,45,,187.92,percent of total billed charges,45% of total billed charges,234.9,45,,187.92,percent of total billed charges,45% of total billed charges,199.67,515.68,
E0307 ARBC CPD AS1 450 LR Irr,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E0311 ARBC CPD AS1 450 LR,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E0332 ARBC CPD AS1 500 LR Irr,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E0336 ARBC CPD AS1 500 LR,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E0382 ARBC CP2D AS3 500 LR,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E0420 ARBC CPD AS5 500 LR Irr,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E0424 ARBC CPD AS5 500 LR,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E0473 Washed ARBC 450 LR Irr Open,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E0476 Washed ARBC 450 LR Open,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E0484 Washed ARBC 500 LR Irr Open,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E0487 Washed ARBC 500 LR Open,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E4532 Aph ARBC ACDA AS1 LR 1,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E4533 Aph ARBC ACDA AS1 LR 2,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E4538 Aph ARBC ACDA AS3 LR Irr,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E4539 Aph ARBC ACDA AS3 LR Irr 1,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E4540 Aph ARBC ACDA AS3 LR Irr 2,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E4543 Aph ARBC ACDA AS3 LR,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E4544 Aph ARBC ACDA AS3 LR 1,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E4545 Aph ARBC ACDA AS3 LR 2,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E4995 ARBC AS3 LR Deglyc,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E4997 ARBC AS3 LR Irr Deglyc,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E5633 ARBC AS3 LR Irr Deglyc Open,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E5635 ARBC AS3 LR Deglyc Open,5501008,CDM,390,RC,P9021,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
E0307 DRBC CPD AS1 450 LR Irr,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0307 RBC CPD AS1 450 LR Irr,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0311 DRBC CPD AS1 450 LR,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0311 RBC CPD AS1 450 LR,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0332 DRBC CPD AS1 500 LR Irr,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0332 RBC CPD AS1 500 LR Irr,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0336 DRBC CPD AS1 500 LR,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0336 RBC CPD AS1 500 LR,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0379 RBC CP2D AS3 500 LR Irr,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0382 DRBC CP2D AS3 500 LR,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0382 RBC CP2D AS3 500 LR,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0420 DRBC CPD AS5 500 LR Irr,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0420 RBC CPD AS5 500 LR Irr,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0424 DRBC CPD AS5 500 LR,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0424 RBC CPD AS5 500 LR,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0473 Washed DRBC 450 LR Irr Open,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0473 Washed RBC 450 LR Irr Open,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0476 Washed DRBC 450 LR Open,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0476 Washed RBC 450 LR Open,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0484 Washed DRBC 500 LR Irr Open,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0484 Washed RBC 500 LR Irr Open,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0487 Washed DRBC 500 LR Open,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0487 Washed RBC 500 LR Open,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E4532 Aph DRBC ACDA AS1 LR 1,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E4532 Aph RBC ACDA AS1 LR 1,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E4533 Aph DRBC ACDA AS1 LR 2,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E4533 Aph RBC ACDA AS1 LR 2,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E4538 Aph DRBC ACDA AS3 LR Irr,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E4538 Aph RBC ACDA AS3 LR Irr,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E4539 Aph DRBC ACDA AS3 LR Irr 1,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E4539 Aph RBC ACDA AS3 LR Irr 1,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E4540 Aph DRBC ACDA AS3 LR Irr 2,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E4540 Aph RBC ACDA AS3 LR Irr 2,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E4543 Aph DRBC ACDA AS3 LR,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E4543 Aph RBC ACDA AS3 LR,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E4544 Aph DRBC ACDA AS3 LR 1,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E4544 Aph RBC ACDA AS3 LR 1,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E4545 Aph DRBC ACDA AS3 LR 2,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E4545 Aph RBC ACDA AS3 LR 2,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E4995 DRBC AS3 LR Deglyc,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E4995 RBC AS3 LR Deglyc,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E4997 DRBC AS3 LR Irr Deglyc,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E4997 RBC AS3 LR Irr Deglyc,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E5633 DRBC AS3 LR Irr Deglyc Open,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E5635 DRBC AS3 LR Deglyc Open,5564002,CDM,390,RC,P9016,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
E0773 Thawed FFP CPD,5564003,CDM,390,RC,P9017,HCPCS,OUTPATIENT,,,126,100.8,,119.7,95,,95.76,percent of total billed charges,95% of total billed charges,119.35,94.72,,95.48,percent of total billed charges,94.72% of total billed charges,124.48,98.79,,99.58,percent of total billed charges,98.79% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,60.48,48,,48.38,percent of total billed charges,48% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,38.25,,38.56,percent of total billed charges,38.25% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,124.48,
E1237 Thawed Aph FFP ACDA,5564003,CDM,390,RC,P9017,HCPCS,OUTPATIENT,,,126,100.8,,119.7,95,,95.76,percent of total billed charges,95% of total billed charges,119.35,94.72,,95.48,percent of total billed charges,94.72% of total billed charges,124.48,98.79,,99.58,percent of total billed charges,98.79% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,60.48,48,,48.38,percent of total billed charges,48% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,38.25,,38.56,percent of total billed charges,38.25% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,124.48,
E2121 Thawed Aph Plasma ACDA,5564003,CDM,390,RC,P9017,HCPCS,OUTPATIENT,,,126,100.8,,119.7,95,,95.76,percent of total billed charges,95% of total billed charges,119.35,94.72,,95.48,percent of total billed charges,94.72% of total billed charges,124.48,98.79,,99.58,percent of total billed charges,98.79% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,60.48,48,,48.38,percent of total billed charges,48% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,38.25,,38.56,percent of total billed charges,38.25% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,124.48,
E2684 Thawed Plasma CPD,5564003,CDM,390,RC,P9017,HCPCS,OUTPATIENT,,,126,100.8,,119.7,95,,95.76,percent of total billed charges,95% of total billed charges,119.35,94.72,,95.48,percent of total billed charges,94.72% of total billed charges,124.48,98.79,,99.58,percent of total billed charges,98.79% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,60.48,48,,48.38,percent of total billed charges,48% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,38.25,,38.56,percent of total billed charges,38.25% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,124.48,
E4713 Thawed Aph FFP ACDA 1,5564003,CDM,390,RC,P9017,HCPCS,OUTPATIENT,,,126,100.8,,119.7,95,,95.76,percent of total billed charges,95% of total billed charges,119.35,94.72,,95.48,percent of total billed charges,94.72% of total billed charges,124.48,98.79,,99.58,percent of total billed charges,98.79% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,60.48,48,,48.38,percent of total billed charges,48% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,38.25,,38.56,percent of total billed charges,38.25% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,124.48,
E4717 Thawed Aph FFP ACDA 2,5564003,CDM,390,RC,P9017,HCPCS,OUTPATIENT,,,126,100.8,,119.7,95,,95.76,percent of total billed charges,95% of total billed charges,119.35,94.72,,95.48,percent of total billed charges,94.72% of total billed charges,124.48,98.79,,99.58,percent of total billed charges,98.79% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,60.48,48,,48.38,percent of total billed charges,48% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,38.25,,38.56,percent of total billed charges,38.25% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,124.48,
E4721 Thawed Aph FFP ACDA 3,5564003,CDM,390,RC,P9017,HCPCS,OUTPATIENT,,,126,100.8,,119.7,95,,95.76,percent of total billed charges,95% of total billed charges,119.35,94.72,,95.48,percent of total billed charges,94.72% of total billed charges,124.48,98.79,,99.58,percent of total billed charges,98.79% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,60.48,48,,48.38,percent of total billed charges,48% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,38.25,,38.56,percent of total billed charges,38.25% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,124.48,
E4725 Thawed Aph FFP ACDA 4,5564003,CDM,390,RC,P9017,HCPCS,OUTPATIENT,,,126,100.8,,119.7,95,,95.76,percent of total billed charges,95% of total billed charges,119.35,94.72,,95.48,percent of total billed charges,94.72% of total billed charges,124.48,98.79,,99.58,percent of total billed charges,98.79% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,60.48,48,,48.38,percent of total billed charges,48% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,38.25,,38.56,percent of total billed charges,38.25% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,124.48,
E3077 Aph Plt ACDA LR,5564008,CDM,390,RC,P9037,HCPCS,OUTPATIENT,,,683,546.4,,648.85,95,,519.08,percent of total billed charges,95% of total billed charges,646.94,94.72,,517.55,percent of total billed charges,94.72% of total billed charges,674.74,98.79,,539.79,percent of total billed charges,98.79% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,327.84,48,,262.27,percent of total billed charges,48% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,38.25,,209,percent of total billed charges,38.25% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,674.74,
E3087 Aph Plt ACDA LR 1,5564008,CDM,390,RC,P9037,HCPCS,OUTPATIENT,,,683,546.4,,648.85,95,,519.08,percent of total billed charges,95% of total billed charges,646.94,94.72,,517.55,percent of total billed charges,94.72% of total billed charges,674.74,98.79,,539.79,percent of total billed charges,98.79% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,327.84,48,,262.27,percent of total billed charges,48% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,38.25,,209,percent of total billed charges,38.25% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,674.74,
E3088 Aph Plt ACDA LR 2,5564008,CDM,390,RC,P9037,HCPCS,OUTPATIENT,,,683,546.4,,648.85,95,,519.08,percent of total billed charges,95% of total billed charges,646.94,94.72,,517.55,percent of total billed charges,94.72% of total billed charges,674.74,98.79,,539.79,percent of total billed charges,98.79% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,327.84,48,,262.27,percent of total billed charges,48% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,38.25,,209,percent of total billed charges,38.25% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,674.74,
E3089 Aph Plt ACDA LR 3,5564008,CDM,390,RC,P9037,HCPCS,OUTPATIENT,,,683,546.4,,648.85,95,,519.08,percent of total billed charges,95% of total billed charges,646.94,94.72,,517.55,percent of total billed charges,94.72% of total billed charges,674.74,98.79,,539.79,percent of total billed charges,98.79% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,327.84,48,,262.27,percent of total billed charges,48% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,38.25,,209,percent of total billed charges,38.25% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,674.74,
E2940 Aph Plt ACDA,5564010,CDM,390,RC,P9035,HCPCS,OUTPATIENT,,,665,532,,631.75,95,,505.4,percent of total billed charges,95% of total billed charges,629.89,94.72,,503.91,percent of total billed charges,94.72% of total billed charges,656.95,98.79,,525.56,percent of total billed charges,98.79% of total billed charges,651.7,98,,521.36,percent of total billed charges,98% of total billed charges,651.7,98,,521.36,percent of total billed charges,98% of total billed charges,319.2,48,,255.36,percent of total billed charges,48% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,254.36,38.25,,203.49,percent of total billed charges,38.25% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,254.36,656.95,
E3102 Aph Plt ACDA 1,5564010,CDM,390,RC,P9035,HCPCS,OUTPATIENT,,,665,532,,631.75,95,,505.4,percent of total billed charges,95% of total billed charges,629.89,94.72,,503.91,percent of total billed charges,94.72% of total billed charges,656.95,98.79,,525.56,percent of total billed charges,98.79% of total billed charges,651.7,98,,521.36,percent of total billed charges,98% of total billed charges,651.7,98,,521.36,percent of total billed charges,98% of total billed charges,319.2,48,,255.36,percent of total billed charges,48% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,254.36,38.25,,203.49,percent of total billed charges,38.25% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,254.36,656.95,
E3103 Aph Plt ACDA 2,5564010,CDM,390,RC,P9035,HCPCS,OUTPATIENT,,,665,532,,631.75,95,,505.4,percent of total billed charges,95% of total billed charges,629.89,94.72,,503.91,percent of total billed charges,94.72% of total billed charges,656.95,98.79,,525.56,percent of total billed charges,98.79% of total billed charges,651.7,98,,521.36,percent of total billed charges,98% of total billed charges,651.7,98,,521.36,percent of total billed charges,98% of total billed charges,319.2,48,,255.36,percent of total billed charges,48% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,254.36,38.25,,203.49,percent of total billed charges,38.25% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,254.36,656.95,
E3104 Aph Plt ACDA 3,5564010,CDM,390,RC,P9035,HCPCS,OUTPATIENT,,,665,532,,631.75,95,,505.4,percent of total billed charges,95% of total billed charges,629.89,94.72,,503.91,percent of total billed charges,94.72% of total billed charges,656.95,98.79,,525.56,percent of total billed charges,98.79% of total billed charges,651.7,98,,521.36,percent of total billed charges,98% of total billed charges,651.7,98,,521.36,percent of total billed charges,98% of total billed charges,319.2,48,,255.36,percent of total billed charges,48% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,254.36,38.25,,203.49,percent of total billed charges,38.25% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,254.36,656.95,
E3045 Aph Plt ACDA Irr,5564011,CDM,390,RC,P9036,HCPCS,OUTPATIENT,,,683,546.4,,648.85,95,,519.08,percent of total billed charges,95% of total billed charges,646.94,94.72,,517.55,percent of total billed charges,94.72% of total billed charges,674.74,98.79,,539.79,percent of total billed charges,98.79% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,327.84,48,,262.27,percent of total billed charges,48% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,38.25,,209,percent of total billed charges,38.25% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,674.74,
E3071 Aph Plt ACDA Irr 1,5564011,CDM,390,RC,P9036,HCPCS,OUTPATIENT,,,683,546.4,,648.85,95,,519.08,percent of total billed charges,95% of total billed charges,646.94,94.72,,517.55,percent of total billed charges,94.72% of total billed charges,674.74,98.79,,539.79,percent of total billed charges,98.79% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,327.84,48,,262.27,percent of total billed charges,48% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,38.25,,209,percent of total billed charges,38.25% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,674.74,
E3072 Aph Plt ACDA Irr 2,5564011,CDM,390,RC,P9036,HCPCS,OUTPATIENT,,,683,546.4,,648.85,95,,519.08,percent of total billed charges,95% of total billed charges,646.94,94.72,,517.55,percent of total billed charges,94.72% of total billed charges,674.74,98.79,,539.79,percent of total billed charges,98.79% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,327.84,48,,262.27,percent of total billed charges,48% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,38.25,,209,percent of total billed charges,38.25% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,674.74,
E3073 Aph Plt ACDA Irr 3,5564011,CDM,390,RC,P9036,HCPCS,OUTPATIENT,,,683,546.4,,648.85,95,,519.08,percent of total billed charges,95% of total billed charges,646.94,94.72,,517.55,percent of total billed charges,94.72% of total billed charges,674.74,98.79,,539.79,percent of total billed charges,98.79% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,327.84,48,,262.27,percent of total billed charges,48% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,38.25,,209,percent of total billed charges,38.25% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,674.74,
E3046 Aph Plt ACDA LR Irr,5564012,CDM,390,RC,P9037,HCPCS,OUTPATIENT,,,719,575.2,,683.05,95,,546.44,percent of total billed charges,95% of total billed charges,681.04,94.72,,544.83,percent of total billed charges,94.72% of total billed charges,710.3,98.79,,568.24,percent of total billed charges,98.79% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,345.12,48,,276.1,percent of total billed charges,48% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,38.25,,220.02,percent of total billed charges,38.25% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,710.3,
E3056 Aph Plt ACDA LR Irr 1,5564012,CDM,390,RC,P9037,HCPCS,OUTPATIENT,,,719,575.2,,683.05,95,,546.44,percent of total billed charges,95% of total billed charges,681.04,94.72,,544.83,percent of total billed charges,94.72% of total billed charges,710.3,98.79,,568.24,percent of total billed charges,98.79% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,345.12,48,,276.1,percent of total billed charges,48% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,38.25,,220.02,percent of total billed charges,38.25% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,710.3,
E3057 Aph Plt ACDA LR Irr 2,5564012,CDM,390,RC,P9037,HCPCS,OUTPATIENT,,,719,575.2,,683.05,95,,546.44,percent of total billed charges,95% of total billed charges,681.04,94.72,,544.83,percent of total billed charges,94.72% of total billed charges,710.3,98.79,,568.24,percent of total billed charges,98.79% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,345.12,48,,276.1,percent of total billed charges,48% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,38.25,,220.02,percent of total billed charges,38.25% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,710.3,
E3058 Aph Plt ACDA LR Irr 3,5564012,CDM,390,RC,P9037,HCPCS,OUTPATIENT,,,719,575.2,,683.05,95,,546.44,percent of total billed charges,95% of total billed charges,681.04,94.72,,544.83,percent of total billed charges,94.72% of total billed charges,710.3,98.79,,568.24,percent of total billed charges,98.79% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,345.12,48,,276.1,percent of total billed charges,48% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,38.25,,220.02,percent of total billed charges,38.25% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,710.3,
E8595 Aph Plt ACDA LR Irr BM 3,5564012,CDM,390,RC,P9037,HCPCS,OUTPATIENT,,,719,575.2,,683.05,95,,546.44,percent of total billed charges,95% of total billed charges,681.04,94.72,,544.83,percent of total billed charges,94.72% of total billed charges,710.3,98.79,,568.24,percent of total billed charges,98.79% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,345.12,48,,276.1,percent of total billed charges,48% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,38.25,,220.02,percent of total billed charges,38.25% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,710.3,
E8596 Aph Plt ACDA LR Irr BM 2,5564012,CDM,390,RC,P9037,HCPCS,OUTPATIENT,,,719,575.2,,683.05,95,,546.44,percent of total billed charges,95% of total billed charges,681.04,94.72,,544.83,percent of total billed charges,94.72% of total billed charges,710.3,98.79,,568.24,percent of total billed charges,98.79% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,345.12,48,,276.1,percent of total billed charges,48% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,38.25,,220.02,percent of total billed charges,38.25% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,710.3,
E8597 Aph Plt ACDA LR Irr BM 1,5564012,CDM,390,RC,P9037,HCPCS,OUTPATIENT,,,719,575.2,,683.05,95,,546.44,percent of total billed charges,95% of total billed charges,681.04,94.72,,544.83,percent of total billed charges,94.72% of total billed charges,710.3,98.79,,568.24,percent of total billed charges,98.79% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,345.12,48,,276.1,percent of total billed charges,48% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,38.25,,220.02,percent of total billed charges,38.25% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,710.3,
E8598 Aph Plt ACDA LR Irr BM,5564012,CDM,390,RC,P9037,HCPCS,OUTPATIENT,,,719,575.2,,683.05,95,,546.44,percent of total billed charges,95% of total billed charges,681.04,94.72,,544.83,percent of total billed charges,94.72% of total billed charges,710.3,98.79,,568.24,percent of total billed charges,98.79% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,345.12,48,,276.1,percent of total billed charges,48% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,38.25,,220.02,percent of total billed charges,38.25% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,710.3,
E8642 Aph Plt ACDA LR Irr BM LV 2,5564012,CDM,390,RC,P9037,HCPCS,OUTPATIENT,,,719,575.2,,683.05,95,,546.44,percent of total billed charges,95% of total billed charges,681.04,94.72,,544.83,percent of total billed charges,94.72% of total billed charges,710.3,98.79,,568.24,percent of total billed charges,98.79% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,345.12,48,,276.1,percent of total billed charges,48% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,38.25,,220.02,percent of total billed charges,38.25% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,710.3,
E8643 Aph Plt ACDA LR Irr BM LV 1,5564012,CDM,390,RC,P9037,HCPCS,OUTPATIENT,,,719,575.2,,683.05,95,,546.44,percent of total billed charges,95% of total billed charges,681.04,94.72,,544.83,percent of total billed charges,94.72% of total billed charges,710.3,98.79,,568.24,percent of total billed charges,98.79% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,345.12,48,,276.1,percent of total billed charges,48% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,38.25,,220.02,percent of total billed charges,38.25% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,710.3,
E8644 Aph Plt ACDA LR Irr BM LV,5564012,CDM,390,RC,P9037,HCPCS,OUTPATIENT,,,719,575.2,,683.05,95,,546.44,percent of total billed charges,95% of total billed charges,681.04,94.72,,544.83,percent of total billed charges,94.72% of total billed charges,710.3,98.79,,568.24,percent of total billed charges,98.79% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,345.12,48,,276.1,percent of total billed charges,48% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,38.25,,220.02,percent of total billed charges,38.25% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,710.3,
E8645 Aph Plt ACDA LR Irr BM LV 3,5564012,CDM,390,RC,P9037,HCPCS,OUTPATIENT,,,719,575.2,,683.05,95,,546.44,percent of total billed charges,95% of total billed charges,681.04,94.72,,544.83,percent of total billed charges,94.72% of total billed charges,710.3,98.79,,568.24,percent of total billed charges,98.79% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,704.62,98,,563.7,percent of total billed charges,98% of total billed charges,345.12,48,,276.1,percent of total billed charges,48% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,38.25,,220.02,percent of total billed charges,38.25% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,323.55,45,,258.84,percent of total billed charges,45% of total billed charges,275.02,710.3,
Platelets,100P9010,CDM,390,RC,P9019,HCPCS,OUTPATIENT,,,905,724,,859.75,95,,687.8,percent of total billed charges,95% of total billed charges,857.22,94.72,,685.78,percent of total billed charges,94.72% of total billed charges,894.05,98.79,,715.24,percent of total billed charges,98.79% of total billed charges,886.9,98,,709.52,percent of total billed charges,98% of total billed charges,886.9,98,,709.52,percent of total billed charges,98% of total billed charges,434.4,48,,347.52,percent of total billed charges,48% of total billed charges,407.25,45,,325.8,percent of total billed charges,45% of total billed charges,346.16,38.25,,276.93,percent of total billed charges,38.25% of total billed charges,407.25,45,,325.8,percent of total billed charges,45% of total billed charges,407.25,45,,325.8,percent of total billed charges,45% of total billed charges,346.16,894.05,
P9019 Platelets| each unit,100P9019,CDM,390,RC,P9019,HCPCS,OUTPATIENT,,,862,689.6,,818.9,95,,655.12,percent of total billed charges,95% of total billed charges,816.49,94.72,,653.19,percent of total billed charges,94.72% of total billed charges,851.57,98.79,,681.26,percent of total billed charges,98.79% of total billed charges,844.76,98,,675.81,percent of total billed charges,98% of total billed charges,844.76,98,,675.81,percent of total billed charges,98% of total billed charges,413.76,48,,331.01,percent of total billed charges,48% of total billed charges,387.9,45,,310.32,percent of total billed charges,45% of total billed charges,329.72,38.25,,263.78,percent of total billed charges,38.25% of total billed charges,387.9,45,,310.32,percent of total billed charges,45% of total billed charges,387.9,45,,310.32,percent of total billed charges,45% of total billed charges,329.72,851.57,
Blood Administration Charges,10036430,CDM,391,RC,36430,HCPCS,OUTPATIENT,,,860,688,,817,95,,653.6,percent of total billed charges,95% of total billed charges,814.59,94.72,,651.67,percent of total billed charges,94.72% of total billed charges,849.59,98.79,,679.67,percent of total billed charges,98.79% of total billed charges,842.8,98,,674.24,percent of total billed charges,98% of total billed charges,842.8,98,,674.24,percent of total billed charges,98% of total billed charges,412.8,48,,330.24,percent of total billed charges,48% of total billed charges,387,45,,309.6,percent of total billed charges,45% of total billed charges,328.95,38.25,,263.16,percent of total billed charges,38.25% of total billed charges,387,45,,309.6,percent of total billed charges,45% of total billed charges,387,45,,309.6,percent of total billed charges,45% of total billed charges,328.95,849.59,
Blood Transfusion,12745031,CDM,391,RC,36430,HCPCS,OUTPATIENT,,,885,708,,840.75,95,,672.6,percent of total billed charges,95% of total billed charges,838.27,94.72,,670.62,percent of total billed charges,94.72% of total billed charges,874.29,98.79,,699.43,percent of total billed charges,98.79% of total billed charges,867.3,98,,693.84,percent of total billed charges,98% of total billed charges,867.3,98,,693.84,percent of total billed charges,98% of total billed charges,424.8,48,,339.84,percent of total billed charges,48% of total billed charges,398.25,45,,318.6,percent of total billed charges,45% of total billed charges,338.51,38.25,,270.81,percent of total billed charges,38.25% of total billed charges,398.25,45,,318.6,percent of total billed charges,45% of total billed charges,398.25,45,,318.6,percent of total billed charges,45% of total billed charges,338.51,874.29,
MG DIGITAL DIAGNOSTIC BILAT MAMMO,931028,CDM,401,RC,77066,HCPCS,OUTPATIENT,,,670,536,,636.5,95,,509.2,percent of total billed charges,95% of total billed charges,634.62,94.72,,507.7,percent of total billed charges,94.72% of total billed charges,661.89,98.79,,529.51,percent of total billed charges,98.79% of total billed charges,656.6,98,,525.28,percent of total billed charges,98% of total billed charges,656.6,98,,525.28,percent of total billed charges,98% of total billed charges,321.6,48,,257.28,percent of total billed charges,48% of total billed charges,301.5,45,,241.2,percent of total billed charges,45% of total billed charges,256.28,38.25,,205.02,percent of total billed charges,38.25% of total billed charges,301.5,45,,241.2,percent of total billed charges,45% of total billed charges,301.5,45,,241.2,percent of total billed charges,45% of total billed charges,256.28,661.89,
MG DIGITAL DIAGNOSTIC UNI LT MAMMO,931029,CDM,401,RC,77065,HCPCS,OUTPATIENT,,,521,416.8,LT,494.95,95,,395.96,percent of total billed charges,95% of total billed charges,493.49,94.72,,394.79,percent of total billed charges,94.72% of total billed charges,514.7,98.79,,411.76,percent of total billed charges,98.79% of total billed charges,510.58,98,,408.46,percent of total billed charges,98% of total billed charges,510.58,98,,408.46,percent of total billed charges,98% of total billed charges,250.08,48,,200.06,percent of total billed charges,48% of total billed charges,234.45,45,,187.56,percent of total billed charges,45% of total billed charges,199.28,38.25,,159.42,percent of total billed charges,38.25% of total billed charges,234.45,45,,187.56,percent of total billed charges,45% of total billed charges,234.45,45,,187.56,percent of total billed charges,45% of total billed charges,199.28,514.7,
MG DIGITAL DIAGNOSTIC UNI RT MAMMO,931030,CDM,401,RC,77065,HCPCS,OUTPATIENT,,,521,416.8,RT,494.95,95,,395.96,percent of total billed charges,95% of total billed charges,493.49,94.72,,394.79,percent of total billed charges,94.72% of total billed charges,514.7,98.79,,411.76,percent of total billed charges,98.79% of total billed charges,510.58,98,,408.46,percent of total billed charges,98% of total billed charges,510.58,98,,408.46,percent of total billed charges,98% of total billed charges,250.08,48,,200.06,percent of total billed charges,48% of total billed charges,234.45,45,,187.56,percent of total billed charges,45% of total billed charges,199.28,38.25,,159.42,percent of total billed charges,38.25% of total billed charges,234.45,45,,187.56,percent of total billed charges,45% of total billed charges,234.45,45,,187.56,percent of total billed charges,45% of total billed charges,199.28,514.7,
MG Ductogram or Galactogram Multiple Lt,931045,CDM,401,RC,77053,HCPCS,OUTPATIENT,,,481,384.8,LT,456.95,95,,365.56,percent of total billed charges,95% of total billed charges,455.6,94.72,,364.48,percent of total billed charges,94.72% of total billed charges,475.18,98.79,,380.14,percent of total billed charges,98.79% of total billed charges,471.38,98,,377.1,percent of total billed charges,98% of total billed charges,471.38,98,,377.1,percent of total billed charges,98% of total billed charges,230.88,48,,184.7,percent of total billed charges,48% of total billed charges,216.45,45,,173.16,percent of total billed charges,45% of total billed charges,183.98,38.25,,147.18,percent of total billed charges,38.25% of total billed charges,216.45,45,,173.16,percent of total billed charges,45% of total billed charges,216.45,45,,173.16,percent of total billed charges,45% of total billed charges,183.98,475.18,
MG Ductogram or Galactogram Single Left.,931045,CDM,401,RC,77053,HCPCS,OUTPATIENT,,,481,384.8,LT,456.95,95,,365.56,percent of total billed charges,95% of total billed charges,455.6,94.72,,364.48,percent of total billed charges,94.72% of total billed charges,475.18,98.79,,380.14,percent of total billed charges,98.79% of total billed charges,471.38,98,,377.1,percent of total billed charges,98% of total billed charges,471.38,98,,377.1,percent of total billed charges,98% of total billed charges,230.88,48,,184.7,percent of total billed charges,48% of total billed charges,216.45,45,,173.16,percent of total billed charges,45% of total billed charges,183.98,38.25,,147.18,percent of total billed charges,38.25% of total billed charges,216.45,45,,173.16,percent of total billed charges,45% of total billed charges,216.45,45,,173.16,percent of total billed charges,45% of total billed charges,183.98,475.18,
MG Ductogram or Galactogram Single Left,931045,CDM,401,RC,77053,HCPCS,OUTPATIENT,,,496,396.8,LT,471.2,95,,376.96,percent of total billed charges,95% of total billed charges,469.81,94.72,,375.85,percent of total billed charges,94.72% of total billed charges,490,98.79,,392,percent of total billed charges,98.79% of total billed charges,486.08,98,,388.86,percent of total billed charges,98% of total billed charges,486.08,98,,388.86,percent of total billed charges,98% of total billed charges,238.08,48,,190.46,percent of total billed charges,48% of total billed charges,223.2,45,,178.56,percent of total billed charges,45% of total billed charges,189.72,38.25,,151.78,percent of total billed charges,38.25% of total billed charges,223.2,45,,178.56,percent of total billed charges,45% of total billed charges,223.2,45,,178.56,percent of total billed charges,45% of total billed charges,189.72,490,
MG Ductogram or Galactogram Multiple Rt,931046,CDM,401,RC,77053,HCPCS,OUTPATIENT,,,481,384.8,RT,456.95,95,,365.56,percent of total billed charges,95% of total billed charges,455.6,94.72,,364.48,percent of total billed charges,94.72% of total billed charges,475.18,98.79,,380.14,percent of total billed charges,98.79% of total billed charges,471.38,98,,377.1,percent of total billed charges,98% of total billed charges,471.38,98,,377.1,percent of total billed charges,98% of total billed charges,230.88,48,,184.7,percent of total billed charges,48% of total billed charges,216.45,45,,173.16,percent of total billed charges,45% of total billed charges,183.98,38.25,,147.18,percent of total billed charges,38.25% of total billed charges,216.45,45,,173.16,percent of total billed charges,45% of total billed charges,216.45,45,,173.16,percent of total billed charges,45% of total billed charges,183.98,475.18,
MG Ductogram or Galactogram Single Right,931046,CDM,401,RC,77053,HCPCS,OUTPATIENT,,,481,384.8,RT,456.95,95,,365.56,percent of total billed charges,95% of total billed charges,455.6,94.72,,364.48,percent of total billed charges,94.72% of total billed charges,475.18,98.79,,380.14,percent of total billed charges,98.79% of total billed charges,471.38,98,,377.1,percent of total billed charges,98% of total billed charges,471.38,98,,377.1,percent of total billed charges,98% of total billed charges,230.88,48,,184.7,percent of total billed charges,48% of total billed charges,216.45,45,,173.16,percent of total billed charges,45% of total billed charges,183.98,38.25,,147.18,percent of total billed charges,38.25% of total billed charges,216.45,45,,173.16,percent of total billed charges,45% of total billed charges,216.45,45,,173.16,percent of total billed charges,45% of total billed charges,183.98,475.18,
MG Ductogram or Galactogram Single Right,931046,CDM,401,RC,77053,HCPCS,OUTPATIENT,,,496,396.8,RT,471.2,95,,376.96,percent of total billed charges,95% of total billed charges,469.81,94.72,,375.85,percent of total billed charges,94.72% of total billed charges,490,98.79,,392,percent of total billed charges,98.79% of total billed charges,486.08,98,,388.86,percent of total billed charges,98% of total billed charges,486.08,98,,388.86,percent of total billed charges,98% of total billed charges,238.08,48,,190.46,percent of total billed charges,48% of total billed charges,223.2,45,,178.56,percent of total billed charges,45% of total billed charges,189.72,38.25,,151.78,percent of total billed charges,38.25% of total billed charges,223.2,45,,178.56,percent of total billed charges,45% of total billed charges,223.2,45,,178.56,percent of total billed charges,45% of total billed charges,189.72,490,
MG Mammo Diagnostic Unilateral w/ Tomo.,10077065,CDM,401,RC,77065,HCPCS,OUTPATIENT,,,867,693.6,,823.65,95,,658.92,percent of total billed charges,95% of total billed charges,821.22,94.72,,656.98,percent of total billed charges,94.72% of total billed charges,856.51,98.79,,685.21,percent of total billed charges,98.79% of total billed charges,849.66,98,,679.73,percent of total billed charges,98% of total billed charges,849.66,98,,679.73,percent of total billed charges,98% of total billed charges,416.16,48,,332.93,percent of total billed charges,48% of total billed charges,390.15,45,,312.12,percent of total billed charges,45% of total billed charges,331.63,38.25,,265.3,percent of total billed charges,38.25% of total billed charges,390.15,45,,312.12,percent of total billed charges,45% of total billed charges,390.15,45,,312.12,percent of total billed charges,45% of total billed charges,331.63,856.51,
MG Mammo Diagnostic Bilateral w/ Tomo.,10077066,CDM,401,RC,77066,HCPCS,OUTPATIENT,,,1106,884.8,,1050.7,95,,840.56,percent of total billed charges,95% of total billed charges,1047.6,94.72,,838.08,percent of total billed charges,94.72% of total billed charges,1092.62,98.79,,874.1,percent of total billed charges,98.79% of total billed charges,1083.88,98,,867.1,percent of total billed charges,98% of total billed charges,1083.88,98,,867.1,percent of total billed charges,98% of total billed charges,530.88,48,,424.7,percent of total billed charges,48% of total billed charges,497.7,45,,398.16,percent of total billed charges,45% of total billed charges,423.05,38.25,,338.44,percent of total billed charges,38.25% of total billed charges,497.7,45,,398.16,percent of total billed charges,45% of total billed charges,497.7,45,,398.16,percent of total billed charges,45% of total billed charges,423.05,1092.62,
MG Mammo Implant Diag Right w/ Tomo,10177065,CDM,401,RC,77065,HCPCS,OUTPATIENT,,,867,693.6,,823.65,95,,658.92,percent of total billed charges,95% of total billed charges,821.22,94.72,,656.98,percent of total billed charges,94.72% of total billed charges,856.51,98.79,,685.21,percent of total billed charges,98.79% of total billed charges,849.66,98,,679.73,percent of total billed charges,98% of total billed charges,849.66,98,,679.73,percent of total billed charges,98% of total billed charges,416.16,48,,332.93,percent of total billed charges,48% of total billed charges,390.15,45,,312.12,percent of total billed charges,45% of total billed charges,331.63,38.25,,265.3,percent of total billed charges,38.25% of total billed charges,390.15,45,,312.12,percent of total billed charges,45% of total billed charges,390.15,45,,312.12,percent of total billed charges,45% of total billed charges,331.63,856.51,
MG Mammo Diagnostic Right w/ Tomo.,11077065,CDM,401,RC,77065,HCPCS,OUTPATIENT,,,867,693.6,RT,823.65,95,,658.92,percent of total billed charges,95% of total billed charges,821.22,94.72,,656.98,percent of total billed charges,94.72% of total billed charges,856.51,98.79,,685.21,percent of total billed charges,98.79% of total billed charges,849.66,98,,679.73,percent of total billed charges,98% of total billed charges,849.66,98,,679.73,percent of total billed charges,98% of total billed charges,416.16,48,,332.93,percent of total billed charges,48% of total billed charges,390.15,45,,312.12,percent of total billed charges,45% of total billed charges,331.63,38.25,,265.3,percent of total billed charges,38.25% of total billed charges,390.15,45,,312.12,percent of total billed charges,45% of total billed charges,390.15,45,,312.12,percent of total billed charges,45% of total billed charges,331.63,856.51,
MG Mammo Diagnostic Right w/ Tomo,11077065,CDM,401,RC,77065,HCPCS,OUTPATIENT,,,867,693.6,RT,823.65,95,,658.92,percent of total billed charges,95% of total billed charges,821.22,94.72,,656.98,percent of total billed charges,94.72% of total billed charges,856.51,98.79,,685.21,percent of total billed charges,98.79% of total billed charges,849.66,98,,679.73,percent of total billed charges,98% of total billed charges,849.66,98,,679.73,percent of total billed charges,98% of total billed charges,416.16,48,,332.93,percent of total billed charges,48% of total billed charges,390.15,45,,312.12,percent of total billed charges,45% of total billed charges,331.63,38.25,,265.3,percent of total billed charges,38.25% of total billed charges,390.15,45,,312.12,percent of total billed charges,45% of total billed charges,390.15,45,,312.12,percent of total billed charges,45% of total billed charges,331.63,856.51,
MG Mammo Implant Diag Left w/ Tomo.,11077065,CDM,401,RC,77065,HCPCS,OUTPATIENT,,,867,693.6,LT,823.65,95,,658.92,percent of total billed charges,95% of total billed charges,821.22,94.72,,656.98,percent of total billed charges,94.72% of total billed charges,856.51,98.79,,685.21,percent of total billed charges,98.79% of total billed charges,849.66,98,,679.73,percent of total billed charges,98% of total billed charges,849.66,98,,679.73,percent of total billed charges,98% of total billed charges,416.16,48,,332.93,percent of total billed charges,48% of total billed charges,390.15,45,,312.12,percent of total billed charges,45% of total billed charges,331.63,38.25,,265.3,percent of total billed charges,38.25% of total billed charges,390.15,45,,312.12,percent of total billed charges,45% of total billed charges,390.15,45,,312.12,percent of total billed charges,45% of total billed charges,331.63,856.51,
IMAGE-GUIDED CATHETER FLUID COLLECTION D,110030,CDM,402,RC,76942,HCPCS,OUTPATIENT,,,1084,867.2,,1029.8,95,,823.84,percent of total billed charges,95% of total billed charges,1026.76,94.72,,821.41,percent of total billed charges,94.72% of total billed charges,1070.88,98.79,,856.7,percent of total billed charges,98.79% of total billed charges,1062.32,98,,849.86,percent of total billed charges,98% of total billed charges,1062.32,98,,849.86,percent of total billed charges,98% of total billed charges,520.32,48,,416.26,percent of total billed charges,48% of total billed charges,487.8,45,,390.24,percent of total billed charges,45% of total billed charges,414.63,38.25,,331.7,percent of total billed charges,38.25% of total billed charges,487.8,45,,390.24,percent of total billed charges,45% of total billed charges,487.8,45,,390.24,percent of total billed charges,45% of total billed charges,414.63,1070.88,
US GUIDANCE NEEDLE PLACEMENT IMG SI,533030,CDM,402,RC,76942,HCPCS,OUTPATIENT,,,651,520.8,,618.45,95,,494.76,percent of total billed charges,95% of total billed charges,616.63,94.72,,493.3,percent of total billed charges,94.72% of total billed charges,643.12,98.79,,514.5,percent of total billed charges,98.79% of total billed charges,637.98,98,,510.38,percent of total billed charges,98% of total billed charges,637.98,98,,510.38,percent of total billed charges,98% of total billed charges,312.48,48,,249.98,percent of total billed charges,48% of total billed charges,292.95,45,,234.36,percent of total billed charges,45% of total billed charges,249.01,38.25,,199.21,percent of total billed charges,38.25% of total billed charges,292.95,45,,234.36,percent of total billed charges,45% of total billed charges,292.95,45,,234.36,percent of total billed charges,45% of total billed charges,249.01,643.12,
US GUIDANCE NEEDLE PLACEMENT IMG SI,533030,CDM,402,RC,76942,HCPCS,OUTPATIENT,,,651,520.8,,618.45,95,,494.76,percent of total billed charges,95% of total billed charges,616.63,94.72,,493.3,percent of total billed charges,94.72% of total billed charges,643.12,98.79,,514.5,percent of total billed charges,98.79% of total billed charges,637.98,98,,510.38,percent of total billed charges,98% of total billed charges,637.98,98,,510.38,percent of total billed charges,98% of total billed charges,312.48,48,,249.98,percent of total billed charges,48% of total billed charges,292.95,45,,234.36,percent of total billed charges,45% of total billed charges,249.01,38.25,,199.21,percent of total billed charges,38.25% of total billed charges,292.95,45,,234.36,percent of total billed charges,45% of total billed charges,292.95,45,,234.36,percent of total billed charges,45% of total billed charges,249.01,643.12,
US ABD (SINGLE OR F/U),533050,CDM,402,RC,76705,HCPCS,OUTPATIENT,,,735,588,,698.25,95,,558.6,percent of total billed charges,95% of total billed charges,696.19,94.72,,556.95,percent of total billed charges,94.72% of total billed charges,726.11,98.79,,580.89,percent of total billed charges,98.79% of total billed charges,720.3,98,,576.24,percent of total billed charges,98% of total billed charges,720.3,98,,576.24,percent of total billed charges,98% of total billed charges,352.8,48,,282.24,percent of total billed charges,48% of total billed charges,330.75,45,,264.6,percent of total billed charges,45% of total billed charges,281.14,38.25,,224.91,percent of total billed charges,38.25% of total billed charges,330.75,45,,264.6,percent of total billed charges,45% of total billed charges,330.75,45,,264.6,percent of total billed charges,45% of total billed charges,281.14,726.11,
US POCUS ABD SINGLE,533052,CDM,402,RC,76705,HCPCS,OUTPATIENT,,,558,446.4,,530.1,95,,424.08,percent of total billed charges,95% of total billed charges,528.54,94.72,,422.83,percent of total billed charges,94.72% of total billed charges,551.25,98.79,,441,percent of total billed charges,98.79% of total billed charges,546.84,98,,437.47,percent of total billed charges,98% of total billed charges,546.84,98,,437.47,percent of total billed charges,98% of total billed charges,267.84,48,,214.27,percent of total billed charges,48% of total billed charges,251.1,45,,200.88,percent of total billed charges,45% of total billed charges,213.44,38.25,,170.75,percent of total billed charges,38.25% of total billed charges,251.1,45,,200.88,percent of total billed charges,45% of total billed charges,251.1,45,,200.88,percent of total billed charges,45% of total billed charges,213.44,551.25,
US ABD COMPLETE,533060,CDM,402,RC,76700,HCPCS,OUTPATIENT,,,922,737.6,,875.9,95,,700.72,percent of total billed charges,95% of total billed charges,873.32,94.72,,698.66,percent of total billed charges,94.72% of total billed charges,910.84,98.79,,728.67,percent of total billed charges,98.79% of total billed charges,903.56,98,,722.85,percent of total billed charges,98% of total billed charges,903.56,98,,722.85,percent of total billed charges,98% of total billed charges,442.56,48,,354.05,percent of total billed charges,48% of total billed charges,414.9,45,,331.92,percent of total billed charges,45% of total billed charges,352.67,38.25,,282.14,percent of total billed charges,38.25% of total billed charges,414.9,45,,331.92,percent of total billed charges,45% of total billed charges,414.9,45,,331.92,percent of total billed charges,45% of total billed charges,352.67,910.84,
US Biopsy Liver,533062,CDM,402,RC,76942,HCPCS,OUTPATIENT,,,1809,1447.2,,1718.55,95,,1374.84,percent of total billed charges,95% of total billed charges,1713.48,94.72,,1370.78,percent of total billed charges,94.72% of total billed charges,1787.11,98.79,,1429.69,percent of total billed charges,98.79% of total billed charges,1772.82,98,,1418.26,percent of total billed charges,98% of total billed charges,1772.82,98,,1418.26,percent of total billed charges,98% of total billed charges,868.32,48,,694.66,percent of total billed charges,48% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,691.94,38.25,,553.55,percent of total billed charges,38.25% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,691.94,1787.11,
US Biopsy Prostate,533064,CDM,402,RC,76942,HCPCS,OUTPATIENT,,,558,446.4,,530.1,95,,424.08,percent of total billed charges,95% of total billed charges,528.54,94.72,,422.83,percent of total billed charges,94.72% of total billed charges,551.25,98.79,,441,percent of total billed charges,98.79% of total billed charges,546.84,98,,437.47,percent of total billed charges,98% of total billed charges,546.84,98,,437.47,percent of total billed charges,98% of total billed charges,267.84,48,,214.27,percent of total billed charges,48% of total billed charges,251.1,45,,200.88,percent of total billed charges,45% of total billed charges,213.44,38.25,,170.75,percent of total billed charges,38.25% of total billed charges,251.1,45,,200.88,percent of total billed charges,45% of total billed charges,251.1,45,,200.88,percent of total billed charges,45% of total billed charges,213.44,551.25,
US Biopsy Thyroid,533065,CDM,402,RC,76942,HCPCS,OUTPATIENT,,,1809,1447.2,,1718.55,95,,1374.84,percent of total billed charges,95% of total billed charges,1713.48,94.72,,1370.78,percent of total billed charges,94.72% of total billed charges,1787.11,98.79,,1429.69,percent of total billed charges,98.79% of total billed charges,1772.82,98,,1418.26,percent of total billed charges,98% of total billed charges,1772.82,98,,1418.26,percent of total billed charges,98% of total billed charges,868.32,48,,694.66,percent of total billed charges,48% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,691.94,38.25,,553.55,percent of total billed charges,38.25% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,691.94,1787.11,
US Biopsy Renal Left,533066,CDM,402,RC,76942,HCPCS,OUTPATIENT,,,1809,1447.2,,1718.55,95,,1374.84,percent of total billed charges,95% of total billed charges,1713.48,94.72,,1370.78,percent of total billed charges,94.72% of total billed charges,1787.11,98.79,,1429.69,percent of total billed charges,98.79% of total billed charges,1772.82,98,,1418.26,percent of total billed charges,98% of total billed charges,1772.82,98,,1418.26,percent of total billed charges,98% of total billed charges,868.32,48,,694.66,percent of total billed charges,48% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,691.94,38.25,,553.55,percent of total billed charges,38.25% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,691.94,1787.11,
US Biopsy Renal Right,533067,CDM,402,RC,76942,HCPCS,OUTPATIENT,,,1809,1447.2,,1718.55,95,,1374.84,percent of total billed charges,95% of total billed charges,1713.48,94.72,,1370.78,percent of total billed charges,94.72% of total billed charges,1787.11,98.79,,1429.69,percent of total billed charges,98.79% of total billed charges,1772.82,98,,1418.26,percent of total billed charges,98% of total billed charges,1772.82,98,,1418.26,percent of total billed charges,98% of total billed charges,868.32,48,,694.66,percent of total billed charges,48% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,691.94,38.25,,553.55,percent of total billed charges,38.25% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,691.94,1787.11,
US ABD (AORTA/KIDNEYS),533070,CDM,402,RC,76770,HCPCS,OUTPATIENT,,,570,456,,541.5,95,,433.2,percent of total billed charges,95% of total billed charges,539.9,94.72,,431.92,percent of total billed charges,94.72% of total billed charges,563.1,98.79,,450.48,percent of total billed charges,98.79% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,273.6,48,,218.88,percent of total billed charges,48% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,38.25,,174.42,percent of total billed charges,38.25% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,563.1,
US POCUS ABD (AORTA/KIDNEYS),533071,CDM,402,RC,76775,HCPCS,OUTPATIENT,,,590,472,,560.5,95,,448.4,percent of total billed charges,95% of total billed charges,558.85,94.72,,447.08,percent of total billed charges,94.72% of total billed charges,582.86,98.79,,466.29,percent of total billed charges,98.79% of total billed charges,578.2,98,,462.56,percent of total billed charges,98% of total billed charges,578.2,98,,462.56,percent of total billed charges,98% of total billed charges,283.2,48,,226.56,percent of total billed charges,48% of total billed charges,265.5,45,,212.4,percent of total billed charges,45% of total billed charges,225.68,38.25,,180.54,percent of total billed charges,38.25% of total billed charges,265.5,45,,212.4,percent of total billed charges,45% of total billed charges,265.5,45,,212.4,percent of total billed charges,45% of total billed charges,225.68,582.86,
US ABD AORTA,533080,CDM,402,RC,76775,HCPCS,OUTPATIENT,,,563,450.4,,534.85,95,,427.88,percent of total billed charges,95% of total billed charges,533.27,94.72,,426.62,percent of total billed charges,94.72% of total billed charges,556.19,98.79,,444.95,percent of total billed charges,98.79% of total billed charges,551.74,98,,441.39,percent of total billed charges,98% of total billed charges,551.74,98,,441.39,percent of total billed charges,98% of total billed charges,270.24,48,,216.19,percent of total billed charges,48% of total billed charges,253.35,45,,202.68,percent of total billed charges,45% of total billed charges,215.35,38.25,,172.28,percent of total billed charges,38.25% of total billed charges,253.35,45,,202.68,percent of total billed charges,45% of total billed charges,253.35,45,,202.68,percent of total billed charges,45% of total billed charges,215.35,556.19,
US ABD AORTA SCREENING,533082,CDM,402,RC,76706,HCPCS,OUTPATIENT,,,537,429.6,,510.15,95,,408.12,percent of total billed charges,95% of total billed charges,508.65,94.72,,406.92,percent of total billed charges,94.72% of total billed charges,530.5,98.79,,424.4,percent of total billed charges,98.79% of total billed charges,526.26,98,,421.01,percent of total billed charges,98% of total billed charges,526.26,98,,421.01,percent of total billed charges,98% of total billed charges,257.76,48,,206.21,percent of total billed charges,48% of total billed charges,241.65,45,,193.32,percent of total billed charges,45% of total billed charges,205.4,38.25,,164.32,percent of total billed charges,38.25% of total billed charges,241.65,45,,193.32,percent of total billed charges,45% of total billed charges,241.65,45,,193.32,percent of total billed charges,45% of total billed charges,205.4,530.5,
US KIDNEYS,533085,CDM,402,RC,76775,HCPCS,OUTPATIENT,,,563,450.4,,534.85,95,,427.88,percent of total billed charges,95% of total billed charges,533.27,94.72,,426.62,percent of total billed charges,94.72% of total billed charges,556.19,98.79,,444.95,percent of total billed charges,98.79% of total billed charges,551.74,98,,441.39,percent of total billed charges,98% of total billed charges,551.74,98,,441.39,percent of total billed charges,98% of total billed charges,270.24,48,,216.19,percent of total billed charges,48% of total billed charges,253.35,45,,202.68,percent of total billed charges,45% of total billed charges,215.35,38.25,,172.28,percent of total billed charges,38.25% of total billed charges,253.35,45,,202.68,percent of total billed charges,45% of total billed charges,253.35,45,,202.68,percent of total billed charges,45% of total billed charges,215.35,556.19,
US Renal Artery Duplex Left,533086,CDM,402,RC,93976,HCPCS,OUTPATIENT,,,499,399.2,,474.05,95,,379.24,percent of total billed charges,95% of total billed charges,472.65,94.72,,378.12,percent of total billed charges,94.72% of total billed charges,492.96,98.79,,394.37,percent of total billed charges,98.79% of total billed charges,489.02,98,,391.22,percent of total billed charges,98% of total billed charges,489.02,98,,391.22,percent of total billed charges,98% of total billed charges,239.52,48,,191.62,percent of total billed charges,48% of total billed charges,224.55,45,,179.64,percent of total billed charges,45% of total billed charges,190.87,38.25,,152.7,percent of total billed charges,38.25% of total billed charges,224.55,45,,179.64,percent of total billed charges,45% of total billed charges,224.55,45,,179.64,percent of total billed charges,45% of total billed charges,190.87,492.96,
US Renal Artery Duplex Right,533087,CDM,402,RC,93976,HCPCS,OUTPATIENT,,,499,399.2,,474.05,95,,379.24,percent of total billed charges,95% of total billed charges,472.65,94.72,,378.12,percent of total billed charges,94.72% of total billed charges,492.96,98.79,,394.37,percent of total billed charges,98.79% of total billed charges,489.02,98,,391.22,percent of total billed charges,98% of total billed charges,489.02,98,,391.22,percent of total billed charges,98% of total billed charges,239.52,48,,191.62,percent of total billed charges,48% of total billed charges,224.55,45,,179.64,percent of total billed charges,45% of total billed charges,190.87,38.25,,152.7,percent of total billed charges,38.25% of total billed charges,224.55,45,,179.64,percent of total billed charges,45% of total billed charges,224.55,45,,179.64,percent of total billed charges,45% of total billed charges,190.87,492.96,
US BREAST LT,533104,CDM,402,RC,76641,HCPCS,OUTPATIENT,,,435,348,,413.25,95,,330.6,percent of total billed charges,95% of total billed charges,412.03,94.72,,329.62,percent of total billed charges,94.72% of total billed charges,429.74,98.79,,343.79,percent of total billed charges,98.79% of total billed charges,426.3,98,,341.04,percent of total billed charges,98% of total billed charges,426.3,98,,341.04,percent of total billed charges,98% of total billed charges,208.8,48,,167.04,percent of total billed charges,48% of total billed charges,195.75,45,,156.6,percent of total billed charges,45% of total billed charges,166.39,38.25,,133.11,percent of total billed charges,38.25% of total billed charges,195.75,45,,156.6,percent of total billed charges,45% of total billed charges,195.75,45,,156.6,percent of total billed charges,45% of total billed charges,166.39,429.74,
US BREAST LT,533104,CDM,402,RC,76642,HCPCS,OUTPATIENT,,,558,446.4,,530.1,95,,424.08,percent of total billed charges,95% of total billed charges,528.54,94.72,,422.83,percent of total billed charges,94.72% of total billed charges,551.25,98.79,,441,percent of total billed charges,98.79% of total billed charges,546.84,98,,437.47,percent of total billed charges,98% of total billed charges,546.84,98,,437.47,percent of total billed charges,98% of total billed charges,267.84,48,,214.27,percent of total billed charges,48% of total billed charges,251.1,45,,200.88,percent of total billed charges,45% of total billed charges,213.44,38.25,,170.75,percent of total billed charges,38.25% of total billed charges,251.1,45,,200.88,percent of total billed charges,45% of total billed charges,251.1,45,,200.88,percent of total billed charges,45% of total billed charges,213.44,551.25,
US BREAST RT,533108,CDM,402,RC,76641,HCPCS,OUTPATIENT,,,435,348,,413.25,95,,330.6,percent of total billed charges,95% of total billed charges,412.03,94.72,,329.62,percent of total billed charges,94.72% of total billed charges,429.74,98.79,,343.79,percent of total billed charges,98.79% of total billed charges,426.3,98,,341.04,percent of total billed charges,98% of total billed charges,426.3,98,,341.04,percent of total billed charges,98% of total billed charges,208.8,48,,167.04,percent of total billed charges,48% of total billed charges,195.75,45,,156.6,percent of total billed charges,45% of total billed charges,166.39,38.25,,133.11,percent of total billed charges,38.25% of total billed charges,195.75,45,,156.6,percent of total billed charges,45% of total billed charges,195.75,45,,156.6,percent of total billed charges,45% of total billed charges,166.39,429.74,
US CHEST,533178,CDM,402,RC,76604,HCPCS,OUTPATIENT,,,515,412,,489.25,95,,391.4,percent of total billed charges,95% of total billed charges,487.81,94.72,,390.25,percent of total billed charges,94.72% of total billed charges,508.77,98.79,,407.02,percent of total billed charges,98.79% of total billed charges,504.7,98,,403.76,percent of total billed charges,98% of total billed charges,504.7,98,,403.76,percent of total billed charges,98% of total billed charges,247.2,48,,197.76,percent of total billed charges,48% of total billed charges,231.75,45,,185.4,percent of total billed charges,45% of total billed charges,196.99,38.25,,157.59,percent of total billed charges,38.25% of total billed charges,231.75,45,,185.4,percent of total billed charges,45% of total billed charges,231.75,45,,185.4,percent of total billed charges,45% of total billed charges,196.99,508.77,
US VENOUS DOP BIL,533180,CDM,402,RC,93970,HCPCS,OUTPATIENT,,,1731,1384.8,,1644.45,95,,1315.56,percent of total billed charges,95% of total billed charges,1639.6,94.72,,1311.68,percent of total billed charges,94.72% of total billed charges,1710.05,98.79,,1368.04,percent of total billed charges,98.79% of total billed charges,1696.38,98,,1357.1,percent of total billed charges,98% of total billed charges,1696.38,98,,1357.1,percent of total billed charges,98% of total billed charges,830.88,48,,664.7,percent of total billed charges,48% of total billed charges,778.95,45,,623.16,percent of total billed charges,45% of total billed charges,662.11,38.25,,529.69,percent of total billed charges,38.25% of total billed charges,778.95,45,,623.16,percent of total billed charges,45% of total billed charges,778.95,45,,623.16,percent of total billed charges,45% of total billed charges,662.11,1710.05,
US OB LESS 14 WKS SINGLE,533245,CDM,402,RC,76801,HCPCS,OUTPATIENT,,,810,648,,769.5,95,,615.6,percent of total billed charges,95% of total billed charges,767.23,94.72,,613.78,percent of total billed charges,94.72% of total billed charges,800.2,98.79,,640.16,percent of total billed charges,98.79% of total billed charges,793.8,98,,635.04,percent of total billed charges,98% of total billed charges,793.8,98,,635.04,percent of total billed charges,98% of total billed charges,388.8,48,,311.04,percent of total billed charges,48% of total billed charges,364.5,45,,291.6,percent of total billed charges,45% of total billed charges,309.83,38.25,,247.86,percent of total billed charges,38.25% of total billed charges,364.5,45,,291.6,percent of total billed charges,45% of total billed charges,364.5,45,,291.6,percent of total billed charges,45% of total billed charges,309.83,800.2,
US OB LESS 14 WKS EACH ADD GEST,533247,CDM,402,RC,76802,HCPCS,OUTPATIENT,,,665,532,,631.75,95,,505.4,percent of total billed charges,95% of total billed charges,629.89,94.72,,503.91,percent of total billed charges,94.72% of total billed charges,656.95,98.79,,525.56,percent of total billed charges,98.79% of total billed charges,651.7,98,,521.36,percent of total billed charges,98% of total billed charges,651.7,98,,521.36,percent of total billed charges,98% of total billed charges,319.2,48,,255.36,percent of total billed charges,48% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,254.36,38.25,,203.49,percent of total billed charges,38.25% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,254.36,656.95,
US OB GREATER 14 WKS SINGLE OR FIRST,533250,CDM,402,RC,76805,HCPCS,OUTPATIENT,,,810,648,,769.5,95,,615.6,percent of total billed charges,95% of total billed charges,767.23,94.72,,613.78,percent of total billed charges,94.72% of total billed charges,800.2,98.79,,640.16,percent of total billed charges,98.79% of total billed charges,793.8,98,,635.04,percent of total billed charges,98% of total billed charges,793.8,98,,635.04,percent of total billed charges,98% of total billed charges,388.8,48,,311.04,percent of total billed charges,48% of total billed charges,364.5,45,,291.6,percent of total billed charges,45% of total billed charges,309.83,38.25,,247.86,percent of total billed charges,38.25% of total billed charges,364.5,45,,291.6,percent of total billed charges,45% of total billed charges,364.5,45,,291.6,percent of total billed charges,45% of total billed charges,309.83,800.2,
US OB/TVP,533255,CDM,402,RC,76817,HCPCS,OUTPATIENT,,,627,501.6,,595.65,95,,476.52,percent of total billed charges,95% of total billed charges,593.89,94.72,,475.11,percent of total billed charges,94.72% of total billed charges,619.41,98.79,,495.53,percent of total billed charges,98.79% of total billed charges,614.46,98,,491.57,percent of total billed charges,98% of total billed charges,614.46,98,,491.57,percent of total billed charges,98% of total billed charges,300.96,48,,240.77,percent of total billed charges,48% of total billed charges,282.15,45,,225.72,percent of total billed charges,45% of total billed charges,239.83,38.25,,191.86,percent of total billed charges,38.25% of total billed charges,282.15,45,,225.72,percent of total billed charges,45% of total billed charges,282.15,45,,225.72,percent of total billed charges,45% of total billed charges,239.83,619.41,
US OB BIOPHYS PROFILE W/O STRESS,533270,CDM,402,RC,76819,HCPCS,OUTPATIENT,,,558,446.4,,530.1,95,,424.08,percent of total billed charges,95% of total billed charges,528.54,94.72,,422.83,percent of total billed charges,94.72% of total billed charges,551.25,98.79,,441,percent of total billed charges,98.79% of total billed charges,546.84,98,,437.47,percent of total billed charges,98% of total billed charges,546.84,98,,437.47,percent of total billed charges,98% of total billed charges,267.84,48,,214.27,percent of total billed charges,48% of total billed charges,251.1,45,,200.88,percent of total billed charges,45% of total billed charges,213.44,38.25,,170.75,percent of total billed charges,38.25% of total billed charges,251.1,45,,200.88,percent of total billed charges,45% of total billed charges,251.1,45,,200.88,percent of total billed charges,45% of total billed charges,213.44,551.25,
US OB LIMITED,533280,CDM,402,RC,76815,HCPCS,OUTPATIENT,,,392,313.6,,372.4,95,,297.92,percent of total billed charges,95% of total billed charges,371.3,94.72,,297.04,percent of total billed charges,94.72% of total billed charges,387.26,98.79,,309.81,percent of total billed charges,98.79% of total billed charges,384.16,98,,307.33,percent of total billed charges,98% of total billed charges,384.16,98,,307.33,percent of total billed charges,98% of total billed charges,188.16,48,,150.53,percent of total billed charges,48% of total billed charges,176.4,45,,141.12,percent of total billed charges,45% of total billed charges,149.94,38.25,,119.95,percent of total billed charges,38.25% of total billed charges,176.4,45,,141.12,percent of total billed charges,45% of total billed charges,176.4,45,,141.12,percent of total billed charges,45% of total billed charges,149.94,387.26,
US OB GREATER 14 WKS EACH ADD GEST,533290,CDM,402,RC,76810,HCPCS,OUTPATIENT,,,899,719.2,,854.05,95,,683.24,percent of total billed charges,95% of total billed charges,851.53,94.72,,681.22,percent of total billed charges,94.72% of total billed charges,888.12,98.79,,710.5,percent of total billed charges,98.79% of total billed charges,881.02,98,,704.82,percent of total billed charges,98% of total billed charges,881.02,98,,704.82,percent of total billed charges,98% of total billed charges,431.52,48,,345.22,percent of total billed charges,48% of total billed charges,404.55,45,,323.64,percent of total billed charges,45% of total billed charges,343.87,38.25,,275.1,percent of total billed charges,38.25% of total billed charges,404.55,45,,323.64,percent of total billed charges,45% of total billed charges,404.55,45,,323.64,percent of total billed charges,45% of total billed charges,343.87,888.12,
US OB F/U EACH FETUS,533300,CDM,402,RC,76816,HCPCS,OUTPATIENT,,,522,417.6,,495.9,95,,396.72,percent of total billed charges,95% of total billed charges,494.44,94.72,,395.55,percent of total billed charges,94.72% of total billed charges,515.68,98.79,,412.54,percent of total billed charges,98.79% of total billed charges,511.56,98,,409.25,percent of total billed charges,98% of total billed charges,511.56,98,,409.25,percent of total billed charges,98% of total billed charges,250.56,48,,200.45,percent of total billed charges,48% of total billed charges,234.9,45,,187.92,percent of total billed charges,45% of total billed charges,199.67,38.25,,159.74,percent of total billed charges,38.25% of total billed charges,234.9,45,,187.92,percent of total billed charges,45% of total billed charges,234.9,45,,187.92,percent of total billed charges,45% of total billed charges,199.67,515.68,
US PARACENTESIS,533320,CDM,402,RC,49083,HCPCS,OUTPATIENT,,,1766,1412.8,,1677.7,95,,1342.16,percent of total billed charges,95% of total billed charges,1672.76,94.72,,1338.21,percent of total billed charges,94.72% of total billed charges,1744.63,98.79,,1395.7,percent of total billed charges,98.79% of total billed charges,1730.68,98,,1384.54,percent of total billed charges,98% of total billed charges,1730.68,98,,1384.54,percent of total billed charges,98% of total billed charges,847.68,48,,678.14,percent of total billed charges,48% of total billed charges,794.7,45,,635.76,percent of total billed charges,45% of total billed charges,675.5,38.25,,540.4,percent of total billed charges,38.25% of total billed charges,794.7,45,,635.76,percent of total billed charges,45% of total billed charges,794.7,45,,635.76,percent of total billed charges,45% of total billed charges,675.5,1744.63,
US THORACENTESIS,533325,CDM,402,RC,76942,HCPCS,OUTPATIENT,,,2411,1928.8,,2290.45,95,,1832.36,percent of total billed charges,95% of total billed charges,2283.7,94.72,,1826.96,percent of total billed charges,94.72% of total billed charges,2381.83,98.79,,1905.46,percent of total billed charges,98.79% of total billed charges,2362.78,98,,1890.22,percent of total billed charges,98% of total billed charges,2362.78,98,,1890.22,percent of total billed charges,98% of total billed charges,1157.28,48,,925.82,percent of total billed charges,48% of total billed charges,1084.95,45,,867.96,percent of total billed charges,45% of total billed charges,922.21,38.25,,737.77,percent of total billed charges,38.25% of total billed charges,1084.95,45,,867.96,percent of total billed charges,45% of total billed charges,1084.95,45,,867.96,percent of total billed charges,45% of total billed charges,922.21,2381.83,
US PSEUDOANYRYSM REPAIR,533330,CDM,402,RC,76936,HCPCS,OUTPATIENT,,,1515,1212,,1439.25,95,,1151.4,percent of total billed charges,95% of total billed charges,1435.01,94.72,,1148.01,percent of total billed charges,94.72% of total billed charges,1496.67,98.79,,1197.34,percent of total billed charges,98.79% of total billed charges,1484.7,98,,1187.76,percent of total billed charges,98% of total billed charges,1484.7,98,,1187.76,percent of total billed charges,98% of total billed charges,727.2,48,,581.76,percent of total billed charges,48% of total billed charges,681.75,45,,545.4,percent of total billed charges,45% of total billed charges,579.49,38.25,,463.59,percent of total billed charges,38.25% of total billed charges,681.75,45,,545.4,percent of total billed charges,45% of total billed charges,681.75,45,,545.4,percent of total billed charges,45% of total billed charges,579.49,1496.67,
US PELVIS,533340,CDM,402,RC,76856,HCPCS,OUTPATIENT,,,664,531.2,,630.8,95,,504.64,percent of total billed charges,95% of total billed charges,628.94,94.72,,503.15,percent of total billed charges,94.72% of total billed charges,655.97,98.79,,524.78,percent of total billed charges,98.79% of total billed charges,650.72,98,,520.58,percent of total billed charges,98% of total billed charges,650.72,98,,520.58,percent of total billed charges,98% of total billed charges,318.72,48,,254.98,percent of total billed charges,48% of total billed charges,298.8,45,,239.04,percent of total billed charges,45% of total billed charges,253.98,38.25,,203.18,percent of total billed charges,38.25% of total billed charges,298.8,45,,239.04,percent of total billed charges,45% of total billed charges,298.8,45,,239.04,percent of total billed charges,45% of total billed charges,253.98,655.97,
US POCUS PELVIS,533342,CDM,402,RC,76857,HCPCS,OUTPATIENT,,,285,228,,270.75,95,,216.6,percent of total billed charges,95% of total billed charges,269.95,94.72,,215.96,percent of total billed charges,94.72% of total billed charges,281.55,98.79,,225.24,percent of total billed charges,98.79% of total billed charges,279.3,98,,223.44,percent of total billed charges,98% of total billed charges,279.3,98,,223.44,percent of total billed charges,98% of total billed charges,136.8,48,,109.44,percent of total billed charges,48% of total billed charges,128.25,45,,102.6,percent of total billed charges,45% of total billed charges,109.01,38.25,,87.21,percent of total billed charges,38.25% of total billed charges,128.25,45,,102.6,percent of total billed charges,45% of total billed charges,128.25,45,,102.6,percent of total billed charges,45% of total billed charges,109.01,281.55,
US PELVIS FOLLOW UP/LIMITED,533350,CDM,402,RC,76857,HCPCS,OUTPATIENT,,,513,410.4,,487.35,95,,389.88,percent of total billed charges,95% of total billed charges,485.91,94.72,,388.73,percent of total billed charges,94.72% of total billed charges,506.79,98.79,,405.43,percent of total billed charges,98.79% of total billed charges,502.74,98,,402.19,percent of total billed charges,98% of total billed charges,502.74,98,,402.19,percent of total billed charges,98% of total billed charges,246.24,48,,196.99,percent of total billed charges,48% of total billed charges,230.85,45,,184.68,percent of total billed charges,45% of total billed charges,196.22,38.25,,156.98,percent of total billed charges,38.25% of total billed charges,230.85,45,,184.68,percent of total billed charges,45% of total billed charges,230.85,45,,184.68,percent of total billed charges,45% of total billed charges,196.22,506.79,
US EXT NONVASCULAR-LT COMP,533365,CDM,402,RC,76881,HCPCS,OUTPATIENT,,,861,688.8,,817.95,95,,654.36,percent of total billed charges,95% of total billed charges,815.54,94.72,,652.43,percent of total billed charges,94.72% of total billed charges,850.58,98.79,,680.46,percent of total billed charges,98.79% of total billed charges,843.78,98,,675.02,percent of total billed charges,98% of total billed charges,843.78,98,,675.02,percent of total billed charges,98% of total billed charges,413.28,48,,330.62,percent of total billed charges,48% of total billed charges,387.45,45,,309.96,percent of total billed charges,45% of total billed charges,329.33,38.25,,263.46,percent of total billed charges,38.25% of total billed charges,387.45,45,,309.96,percent of total billed charges,45% of total billed charges,387.45,45,,309.96,percent of total billed charges,45% of total billed charges,329.33,850.58,
US EXT NONVASCULAR-LT LIMITED,533366,CDM,402,RC,76882,HCPCS,OUTPATIENT,,,198,158.4,,188.1,95,,150.48,percent of total billed charges,95% of total billed charges,187.55,94.72,,150.04,percent of total billed charges,94.72% of total billed charges,195.6,98.79,,156.48,percent of total billed charges,98.79% of total billed charges,194.04,98,,155.23,percent of total billed charges,98% of total billed charges,194.04,98,,155.23,percent of total billed charges,98% of total billed charges,95.04,48,,76.03,percent of total billed charges,48% of total billed charges,89.1,45,,71.28,percent of total billed charges,45% of total billed charges,75.74,38.25,,60.59,percent of total billed charges,38.25% of total billed charges,89.1,45,,71.28,percent of total billed charges,45% of total billed charges,89.1,45,,71.28,percent of total billed charges,45% of total billed charges,75.74,195.6,
US EXT NONVASCULAR-RT COMP,533367,CDM,402,RC,76881,HCPCS,OUTPATIENT,,,861,688.8,,817.95,95,,654.36,percent of total billed charges,95% of total billed charges,815.54,94.72,,652.43,percent of total billed charges,94.72% of total billed charges,850.58,98.79,,680.46,percent of total billed charges,98.79% of total billed charges,843.78,98,,675.02,percent of total billed charges,98% of total billed charges,843.78,98,,675.02,percent of total billed charges,98% of total billed charges,413.28,48,,330.62,percent of total billed charges,48% of total billed charges,387.45,45,,309.96,percent of total billed charges,45% of total billed charges,329.33,38.25,,263.46,percent of total billed charges,38.25% of total billed charges,387.45,45,,309.96,percent of total billed charges,45% of total billed charges,387.45,45,,309.96,percent of total billed charges,45% of total billed charges,329.33,850.58,
US EXT NONVASCULAR-RT LIMITED,533368,CDM,402,RC,76882,HCPCS,OUTPATIENT,,,198,158.4,,188.1,95,,150.48,percent of total billed charges,95% of total billed charges,187.55,94.72,,150.04,percent of total billed charges,94.72% of total billed charges,195.6,98.79,,156.48,percent of total billed charges,98.79% of total billed charges,194.04,98,,155.23,percent of total billed charges,98% of total billed charges,194.04,98,,155.23,percent of total billed charges,98% of total billed charges,95.04,48,,76.03,percent of total billed charges,48% of total billed charges,89.1,45,,71.28,percent of total billed charges,45% of total billed charges,75.74,38.25,,60.59,percent of total billed charges,38.25% of total billed charges,89.1,45,,71.28,percent of total billed charges,45% of total billed charges,89.1,45,,71.28,percent of total billed charges,45% of total billed charges,75.74,195.6,
US TESTICULAR,533370,CDM,402,RC,76870,HCPCS,OUTPATIENT,,,704,563.2,,668.8,95,,535.04,percent of total billed charges,95% of total billed charges,666.83,94.72,,533.46,percent of total billed charges,94.72% of total billed charges,695.48,98.79,,556.38,percent of total billed charges,98.79% of total billed charges,689.92,98,,551.94,percent of total billed charges,98% of total billed charges,689.92,98,,551.94,percent of total billed charges,98% of total billed charges,337.92,48,,270.34,percent of total billed charges,48% of total billed charges,316.8,45,,253.44,percent of total billed charges,45% of total billed charges,269.28,38.25,,215.42,percent of total billed charges,38.25% of total billed charges,316.8,45,,253.44,percent of total billed charges,45% of total billed charges,316.8,45,,253.44,percent of total billed charges,45% of total billed charges,269.28,695.48,
US POCUS TESTICULAR /GROIN,533371,CDM,402,RC,76870,HCPCS,OUTPATIENT,,,704,563.2,,668.8,95,,535.04,percent of total billed charges,95% of total billed charges,666.83,94.72,,533.46,percent of total billed charges,94.72% of total billed charges,695.48,98.79,,556.38,percent of total billed charges,98.79% of total billed charges,689.92,98,,551.94,percent of total billed charges,98% of total billed charges,689.92,98,,551.94,percent of total billed charges,98% of total billed charges,337.92,48,,270.34,percent of total billed charges,48% of total billed charges,316.8,45,,253.44,percent of total billed charges,45% of total billed charges,269.28,38.25,,215.42,percent of total billed charges,38.25% of total billed charges,316.8,45,,253.44,percent of total billed charges,45% of total billed charges,316.8,45,,253.44,percent of total billed charges,45% of total billed charges,269.28,695.48,
US Head/Neck Soft Tissue,533380,CDM,402,RC,76536,HCPCS,OUTPATIENT,,,614,491.2,,583.3,95,,466.64,percent of total billed charges,95% of total billed charges,581.58,94.72,,465.26,percent of total billed charges,94.72% of total billed charges,606.57,98.79,,485.26,percent of total billed charges,98.79% of total billed charges,601.72,98,,481.38,percent of total billed charges,98% of total billed charges,601.72,98,,481.38,percent of total billed charges,98% of total billed charges,294.72,48,,235.78,percent of total billed charges,48% of total billed charges,276.3,45,,221.04,percent of total billed charges,45% of total billed charges,234.86,38.25,,187.89,percent of total billed charges,38.25% of total billed charges,276.3,45,,221.04,percent of total billed charges,45% of total billed charges,276.3,45,,221.04,percent of total billed charges,45% of total billed charges,234.86,606.57,
US THYROID/SOFT TISSUE NECK,533380,CDM,402,RC,76536,HCPCS,OUTPATIENT,,,614,491.2,,583.3,95,,466.64,percent of total billed charges,95% of total billed charges,581.58,94.72,,465.26,percent of total billed charges,94.72% of total billed charges,606.57,98.79,,485.26,percent of total billed charges,98.79% of total billed charges,601.72,98,,481.38,percent of total billed charges,98% of total billed charges,601.72,98,,481.38,percent of total billed charges,98% of total billed charges,294.72,48,,235.78,percent of total billed charges,48% of total billed charges,276.3,45,,221.04,percent of total billed charges,45% of total billed charges,234.86,38.25,,187.89,percent of total billed charges,38.25% of total billed charges,276.3,45,,221.04,percent of total billed charges,45% of total billed charges,276.3,45,,221.04,percent of total billed charges,45% of total billed charges,234.86,606.57,
US ENT THYROID/SOFT TISSUE NECK,533381,CDM,402,RC,76536,HCPCS,OUTPATIENT,,,614,491.2,,583.3,95,,466.64,percent of total billed charges,95% of total billed charges,581.58,94.72,,465.26,percent of total billed charges,94.72% of total billed charges,606.57,98.79,,485.26,percent of total billed charges,98.79% of total billed charges,601.72,98,,481.38,percent of total billed charges,98% of total billed charges,601.72,98,,481.38,percent of total billed charges,98% of total billed charges,294.72,48,,235.78,percent of total billed charges,48% of total billed charges,276.3,45,,221.04,percent of total billed charges,45% of total billed charges,234.86,38.25,,187.89,percent of total billed charges,38.25% of total billed charges,276.3,45,,221.04,percent of total billed charges,45% of total billed charges,276.3,45,,221.04,percent of total billed charges,45% of total billed charges,234.86,606.57,
Ultrasound| Thyroid EO,533382,CDM,402,RC,76536,HCPCS,OUTPATIENT,,,614,491.2,,583.3,95,,466.64,percent of total billed charges,95% of total billed charges,581.58,94.72,,465.26,percent of total billed charges,94.72% of total billed charges,606.57,98.79,,485.26,percent of total billed charges,98.79% of total billed charges,601.72,98,,481.38,percent of total billed charges,98% of total billed charges,601.72,98,,481.38,percent of total billed charges,98% of total billed charges,294.72,48,,235.78,percent of total billed charges,48% of total billed charges,276.3,45,,221.04,percent of total billed charges,45% of total billed charges,234.86,38.25,,187.89,percent of total billed charges,38.25% of total billed charges,276.3,45,,221.04,percent of total billed charges,45% of total billed charges,276.3,45,,221.04,percent of total billed charges,45% of total billed charges,234.86,606.57,
US Transvaginal,533390,CDM,402,RC,76830,HCPCS,OUTPATIENT,,,657,525.6,,624.15,95,,499.32,percent of total billed charges,95% of total billed charges,622.31,94.72,,497.85,percent of total billed charges,94.72% of total billed charges,649.05,98.79,,519.24,percent of total billed charges,98.79% of total billed charges,643.86,98,,515.09,percent of total billed charges,98% of total billed charges,643.86,98,,515.09,percent of total billed charges,98% of total billed charges,315.36,48,,252.29,percent of total billed charges,48% of total billed charges,295.65,45,,236.52,percent of total billed charges,45% of total billed charges,251.3,38.25,,201.04,percent of total billed charges,38.25% of total billed charges,295.65,45,,236.52,percent of total billed charges,45% of total billed charges,295.65,45,,236.52,percent of total billed charges,45% of total billed charges,251.3,649.05,
US TRANSVAGINAL PROBE,533390,CDM,402,RC,76830,HCPCS,OUTPATIENT,,,657,525.6,,624.15,95,,499.32,percent of total billed charges,95% of total billed charges,622.31,94.72,,497.85,percent of total billed charges,94.72% of total billed charges,649.05,98.79,,519.24,percent of total billed charges,98.79% of total billed charges,643.86,98,,515.09,percent of total billed charges,98% of total billed charges,643.86,98,,515.09,percent of total billed charges,98% of total billed charges,315.36,48,,252.29,percent of total billed charges,48% of total billed charges,295.65,45,,236.52,percent of total billed charges,45% of total billed charges,251.3,38.25,,201.04,percent of total billed charges,38.25% of total billed charges,295.65,45,,236.52,percent of total billed charges,45% of total billed charges,295.65,45,,236.52,percent of total billed charges,45% of total billed charges,251.3,649.05,
US EXAMINATION (MISC),533405,CDM,402,RC,76999,HCPCS,OUTPATIENT,,,357,285.6,,339.15,95,,271.32,percent of total billed charges,95% of total billed charges,338.15,94.72,,270.52,percent of total billed charges,94.72% of total billed charges,352.68,98.79,,282.14,percent of total billed charges,98.79% of total billed charges,349.86,98,,279.89,percent of total billed charges,98% of total billed charges,349.86,98,,279.89,percent of total billed charges,98% of total billed charges,171.36,48,,137.09,percent of total billed charges,48% of total billed charges,160.65,45,,128.52,percent of total billed charges,45% of total billed charges,136.55,38.25,,109.24,percent of total billed charges,38.25% of total billed charges,160.65,45,,128.52,percent of total billed charges,45% of total billed charges,160.65,45,,128.52,percent of total billed charges,45% of total billed charges,136.55,352.68,
US BREAST RT,5331081,CDM,402,RC,76642,HCPCS,OUTPATIENT,,,558,446.4,,530.1,95,,424.08,percent of total billed charges,95% of total billed charges,528.54,94.72,,422.83,percent of total billed charges,94.72% of total billed charges,551.25,98.79,,441,percent of total billed charges,98.79% of total billed charges,546.84,98,,437.47,percent of total billed charges,98% of total billed charges,546.84,98,,437.47,percent of total billed charges,98% of total billed charges,267.84,48,,214.27,percent of total billed charges,48% of total billed charges,251.1,45,,200.88,percent of total billed charges,45% of total billed charges,213.44,38.25,,170.75,percent of total billed charges,38.25% of total billed charges,251.1,45,,200.88,percent of total billed charges,45% of total billed charges,251.1,45,,200.88,percent of total billed charges,45% of total billed charges,213.44,551.25,
Doppler velocimetry| fetal; umbilical artery,10076820,CDM,402,RC,76820,HCPCS,OUTPATIENT,,,337,269.6,,320.15,95,,256.12,percent of total billed charges,95% of total billed charges,319.21,94.72,,255.37,percent of total billed charges,94.72% of total billed charges,332.92,98.79,,266.34,percent of total billed charges,98.79% of total billed charges,330.26,98,,264.21,percent of total billed charges,98% of total billed charges,330.26,98,,264.21,percent of total billed charges,98% of total billed charges,161.76,48,,129.41,percent of total billed charges,48% of total billed charges,151.65,45,,121.32,percent of total billed charges,45% of total billed charges,128.9,38.25,,103.12,percent of total billed charges,38.25% of total billed charges,151.65,45,,121.32,percent of total billed charges,45% of total billed charges,151.65,45,,121.32,percent of total billed charges,45% of total billed charges,128.9,332.92,
76942 Ultrasonic guidance for needle placement,10076942,CDM,402,RC,76942,HCPCS,OUTPATIENT,,,632,505.6,,600.4,95,,480.32,percent of total billed charges,95% of total billed charges,598.63,94.72,,478.9,percent of total billed charges,94.72% of total billed charges,624.35,98.79,,499.48,percent of total billed charges,98.79% of total billed charges,619.36,98,,495.49,percent of total billed charges,98% of total billed charges,619.36,98,,495.49,percent of total billed charges,98% of total billed charges,303.36,48,,242.69,percent of total billed charges,48% of total billed charges,284.4,45,,227.52,percent of total billed charges,45% of total billed charges,241.74,38.25,,193.39,percent of total billed charges,38.25% of total billed charges,284.4,45,,227.52,percent of total billed charges,45% of total billed charges,284.4,45,,227.52,percent of total billed charges,45% of total billed charges,241.74,624.35,
MG DIGITAL SCREENING BILAT MAMMOGRAM,931025,CDM,403,RC,77067,HCPCS,OUTPATIENT,,,587,469.6,,557.65,95,,446.12,percent of total billed charges,95% of total billed charges,556.01,94.72,,444.81,percent of total billed charges,94.72% of total billed charges,579.9,98.79,,463.92,percent of total billed charges,98.79% of total billed charges,575.26,98,,460.21,percent of total billed charges,98% of total billed charges,575.26,98,,460.21,percent of total billed charges,98% of total billed charges,281.76,48,,225.41,percent of total billed charges,48% of total billed charges,264.15,45,,211.32,percent of total billed charges,45% of total billed charges,224.53,38.25,,179.62,percent of total billed charges,38.25% of total billed charges,264.15,45,,211.32,percent of total billed charges,45% of total billed charges,264.15,45,,211.32,percent of total billed charges,45% of total billed charges,224.53,579.9,
MG DIGITAL SCREENING UNI LT MAMMO,931026,CDM,403,RC,77067,HCPCS,OUTPATIENT,,,279,223.2,LT,265.05,95,,212.04,percent of total billed charges,95% of total billed charges,264.27,94.72,,211.42,percent of total billed charges,94.72% of total billed charges,275.62,98.79,,220.5,percent of total billed charges,98.79% of total billed charges,273.42,98,,218.74,percent of total billed charges,98% of total billed charges,273.42,98,,218.74,percent of total billed charges,98% of total billed charges,133.92,48,,107.14,percent of total billed charges,48% of total billed charges,125.55,45,,100.44,percent of total billed charges,45% of total billed charges,106.72,38.25,,85.38,percent of total billed charges,38.25% of total billed charges,125.55,45,,100.44,percent of total billed charges,45% of total billed charges,125.55,45,,100.44,percent of total billed charges,45% of total billed charges,106.72,275.62,
MG DIGITAL SCREENING UNI RT MAMMO,931027,CDM,403,RC,77067,HCPCS,OUTPATIENT,,,279,223.2,RT,265.05,95,,212.04,percent of total billed charges,95% of total billed charges,264.27,94.72,,211.42,percent of total billed charges,94.72% of total billed charges,275.62,98.79,,220.5,percent of total billed charges,98.79% of total billed charges,273.42,98,,218.74,percent of total billed charges,98% of total billed charges,273.42,98,,218.74,percent of total billed charges,98% of total billed charges,133.92,48,,107.14,percent of total billed charges,48% of total billed charges,125.55,45,,100.44,percent of total billed charges,45% of total billed charges,106.72,38.25,,85.38,percent of total billed charges,38.25% of total billed charges,125.55,45,,100.44,percent of total billed charges,45% of total billed charges,125.55,45,,100.44,percent of total billed charges,45% of total billed charges,106.72,275.62,
MG Mammo Implant Screening Bil w/ Tomo.,20077067,CDM,403,RC,77067,HCPCS,OUTPATIENT,,,482,385.6,,457.9,95,,366.32,percent of total billed charges,95% of total billed charges,456.55,94.72,,365.24,percent of total billed charges,94.72% of total billed charges,476.17,98.79,,380.94,percent of total billed charges,98.79% of total billed charges,472.36,98,,377.89,percent of total billed charges,98% of total billed charges,472.36,98,,377.89,percent of total billed charges,98% of total billed charges,231.36,48,,185.09,percent of total billed charges,48% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,184.37,38.25,,147.5,percent of total billed charges,38.25% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,184.37,476.17,
MG Mammo Implant Screening Bil w/ Tomo,20077067,CDM,403,RC,77067,HCPCS,OUTPATIENT,,,482,385.6,,457.9,95,,366.32,percent of total billed charges,95% of total billed charges,456.55,94.72,,365.24,percent of total billed charges,94.72% of total billed charges,476.17,98.79,,380.94,percent of total billed charges,98.79% of total billed charges,472.36,98,,377.89,percent of total billed charges,98% of total billed charges,472.36,98,,377.89,percent of total billed charges,98% of total billed charges,231.36,48,,185.09,percent of total billed charges,48% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,184.37,38.25,,147.5,percent of total billed charges,38.25% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,184.37,476.17,
MG Mammo Screening Bilateral w/ Tomo.,20077067,CDM,403,RC,77067,HCPCS,OUTPATIENT,,,482,385.6,,457.9,95,,366.32,percent of total billed charges,95% of total billed charges,456.55,94.72,,365.24,percent of total billed charges,94.72% of total billed charges,476.17,98.79,,380.94,percent of total billed charges,98.79% of total billed charges,472.36,98,,377.89,percent of total billed charges,98% of total billed charges,472.36,98,,377.89,percent of total billed charges,98% of total billed charges,231.36,48,,185.09,percent of total billed charges,48% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,184.37,38.25,,147.5,percent of total billed charges,38.25% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,184.37,476.17,
MG Mammo Screening Bilateral w/ Tomo,20077067,CDM,403,RC,77067,HCPCS,OUTPATIENT,,,482,385.6,,457.9,95,,366.32,percent of total billed charges,95% of total billed charges,456.55,94.72,,365.24,percent of total billed charges,94.72% of total billed charges,476.17,98.79,,380.94,percent of total billed charges,98.79% of total billed charges,472.36,98,,377.89,percent of total billed charges,98% of total billed charges,472.36,98,,377.89,percent of total billed charges,98% of total billed charges,231.36,48,,185.09,percent of total billed charges,48% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,184.37,38.25,,147.5,percent of total billed charges,38.25% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,184.37,476.17,
MG Mammo Implant Screening Rt w/ Tomo.,21077067,CDM,403,RC,77067,HCPCS,OUTPATIENT,,,482,385.6,,457.9,95,,366.32,percent of total billed charges,95% of total billed charges,456.55,94.72,,365.24,percent of total billed charges,94.72% of total billed charges,476.17,98.79,,380.94,percent of total billed charges,98.79% of total billed charges,472.36,98,,377.89,percent of total billed charges,98% of total billed charges,472.36,98,,377.89,percent of total billed charges,98% of total billed charges,231.36,48,,185.09,percent of total billed charges,48% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,184.37,38.25,,147.5,percent of total billed charges,38.25% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,184.37,476.17,
MG Mammo Screening Right w/ Tomo.,21077067,CDM,403,RC,77067,HCPCS,OUTPATIENT,,,482,385.6,,457.9,95,,366.32,percent of total billed charges,95% of total billed charges,456.55,94.72,,365.24,percent of total billed charges,94.72% of total billed charges,476.17,98.79,,380.94,percent of total billed charges,98.79% of total billed charges,472.36,98,,377.89,percent of total billed charges,98% of total billed charges,472.36,98,,377.89,percent of total billed charges,98% of total billed charges,231.36,48,,185.09,percent of total billed charges,48% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,184.37,38.25,,147.5,percent of total billed charges,38.25% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,184.37,476.17,
MG Mammo Implant Screening Lt w/ Tomo.,21177067,CDM,403,RC,77067,HCPCS,OUTPATIENT,,,482,385.6,,457.9,95,,366.32,percent of total billed charges,95% of total billed charges,456.55,94.72,,365.24,percent of total billed charges,94.72% of total billed charges,476.17,98.79,,380.94,percent of total billed charges,98.79% of total billed charges,472.36,98,,377.89,percent of total billed charges,98% of total billed charges,472.36,98,,377.89,percent of total billed charges,98% of total billed charges,231.36,48,,185.09,percent of total billed charges,48% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,184.37,38.25,,147.5,percent of total billed charges,38.25% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,184.37,476.17,
MG Mammo Screening Left w/ Tomo.,21177067,CDM,403,RC,77067,HCPCS,OUTPATIENT,,,482,385.6,,457.9,95,,366.32,percent of total billed charges,95% of total billed charges,456.55,94.72,,365.24,percent of total billed charges,94.72% of total billed charges,476.17,98.79,,380.94,percent of total billed charges,98.79% of total billed charges,472.36,98,,377.89,percent of total billed charges,98% of total billed charges,472.36,98,,377.89,percent of total billed charges,98% of total billed charges,231.36,48,,185.09,percent of total billed charges,48% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,184.37,38.25,,147.5,percent of total billed charges,38.25% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,216.9,45,,173.52,percent of total billed charges,45% of total billed charges,184.37,476.17,
MDI TREATMENT,7003504,CDM,410,RC,94640,HCPCS,OUTPATIENT,,,61,48.8,,57.95,95,,46.36,percent of total billed charges,95% of total billed charges,57.78,94.72,,46.22,percent of total billed charges,94.72% of total billed charges,60.26,98.79,,48.21,percent of total billed charges,98.79% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,29.28,48,,23.42,percent of total billed charges,48% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,23.33,38.25,,18.66,percent of total billed charges,38.25% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,23.33,60.26,
MDI TREATMENT,7003504,CDM,410,RC,94640,HCPCS,OUTPATIENT,,,182,145.6,,172.9,95,,138.32,percent of total billed charges,95% of total billed charges,172.39,94.72,,137.91,percent of total billed charges,94.72% of total billed charges,179.8,98.79,,143.84,percent of total billed charges,98.79% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,87.36,48,,69.89,percent of total billed charges,48% of total billed charges,81.9,45,,65.52,percent of total billed charges,45% of total billed charges,69.62,38.25,,55.7,percent of total billed charges,38.25% of total billed charges,81.9,45,,65.52,percent of total billed charges,45% of total billed charges,81.9,45,,65.52,percent of total billed charges,45% of total billed charges,69.62,179.8,
AEROSOL TREATMENT SUBSEQUENT,7003506,CDM,410,RC,94640,HCPCS,OUTPATIENT,,,90,72,,85.5,95,,68.4,percent of total billed charges,95% of total billed charges,85.25,94.72,,68.2,percent of total billed charges,94.72% of total billed charges,88.91,98.79,,71.13,percent of total billed charges,98.79% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,43.2,48,,34.56,percent of total billed charges,48% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,38.25,,27.54,percent of total billed charges,38.25% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,88.91,
Nebulizer Treatment,94640,CDM,412,RC,94640,HCPCS,OUTPATIENT,,,91,72.8,,86.45,95,,69.16,percent of total billed charges,95% of total billed charges,86.2,94.72,,68.96,percent of total billed charges,94.72% of total billed charges,89.9,98.79,,71.92,percent of total billed charges,98.79% of total billed charges,89.18,98,,71.34,percent of total billed charges,98% of total billed charges,89.18,98,,71.34,percent of total billed charges,98% of total billed charges,43.68,48,,34.94,percent of total billed charges,48% of total billed charges,40.95,45,,32.76,percent of total billed charges,45% of total billed charges,34.81,38.25,,27.85,percent of total billed charges,38.25% of total billed charges,40.95,45,,32.76,percent of total billed charges,45% of total billed charges,40.95,45,,32.76,percent of total billed charges,45% of total billed charges,34.81,89.9,
AEROSOL TREATMENT INITIAL,7003507,CDM,412,RC,94640,HCPCS,OUTPATIENT,,,90,72,,85.5,95,,68.4,percent of total billed charges,95% of total billed charges,85.25,94.72,,68.2,percent of total billed charges,94.72% of total billed charges,88.91,98.79,,71.13,percent of total billed charges,98.79% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,43.2,48,,34.56,percent of total billed charges,48% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,38.25,,27.54,percent of total billed charges,38.25% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,88.91,
AEROSOL TREATMENT,7003507,CDM,412,RC,94640,HCPCS,OUTPATIENT,,,182,145.6,,172.9,95,,138.32,percent of total billed charges,95% of total billed charges,172.39,94.72,,137.91,percent of total billed charges,94.72% of total billed charges,179.8,98.79,,143.84,percent of total billed charges,98.79% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,87.36,48,,69.89,percent of total billed charges,48% of total billed charges,81.9,45,,65.52,percent of total billed charges,45% of total billed charges,69.62,38.25,,55.7,percent of total billed charges,38.25% of total billed charges,81.9,45,,65.52,percent of total billed charges,45% of total billed charges,81.9,45,,65.52,percent of total billed charges,45% of total billed charges,69.62,179.8,
PENTAMIDINE AEROSOL TREATMENT,7003508,CDM,412,RC,94642,HCPCS,OUTPATIENT,,,540,432,,513,95,,410.4,percent of total billed charges,95% of total billed charges,511.49,94.72,,409.19,percent of total billed charges,94.72% of total billed charges,533.47,98.79,,426.78,percent of total billed charges,98.79% of total billed charges,529.2,98,,423.36,percent of total billed charges,98% of total billed charges,529.2,98,,423.36,percent of total billed charges,98% of total billed charges,259.2,48,,207.36,percent of total billed charges,48% of total billed charges,243,45,,194.4,percent of total billed charges,45% of total billed charges,206.55,38.25,,165.24,percent of total billed charges,38.25% of total billed charges,243,45,,194.4,percent of total billed charges,45% of total billed charges,243,45,,194.4,percent of total billed charges,45% of total billed charges,206.55,533.47,
PENTAMIDINE AEROSOL TREATMENT,7003508,CDM,412,RC,94642,HCPCS,OUTPATIENT,,,540,432,,513,95,,410.4,percent of total billed charges,95% of total billed charges,511.49,94.72,,409.19,percent of total billed charges,94.72% of total billed charges,533.47,98.79,,426.78,percent of total billed charges,98.79% of total billed charges,529.2,98,,423.36,percent of total billed charges,98% of total billed charges,529.2,98,,423.36,percent of total billed charges,98% of total billed charges,259.2,48,,207.36,percent of total billed charges,48% of total billed charges,243,45,,194.4,percent of total billed charges,45% of total billed charges,206.55,38.25,,165.24,percent of total billed charges,38.25% of total billed charges,243,45,,194.4,percent of total billed charges,45% of total billed charges,243,45,,194.4,percent of total billed charges,45% of total billed charges,206.55,533.47,
AEROSOL TREATMENT INITIAL RN,7003515,CDM,412,RC,94640,HCPCS,OUTPATIENT,,,91,72.8,,86.45,95,,69.16,percent of total billed charges,95% of total billed charges,86.2,94.72,,68.96,percent of total billed charges,94.72% of total billed charges,89.9,98.79,,71.92,percent of total billed charges,98.79% of total billed charges,89.18,98,,71.34,percent of total billed charges,98% of total billed charges,89.18,98,,71.34,percent of total billed charges,98% of total billed charges,43.68,48,,34.94,percent of total billed charges,48% of total billed charges,40.95,45,,32.76,percent of total billed charges,45% of total billed charges,34.81,38.25,,27.85,percent of total billed charges,38.25% of total billed charges,40.95,45,,32.76,percent of total billed charges,45% of total billed charges,40.95,45,,32.76,percent of total billed charges,45% of total billed charges,34.81,89.9,
OXYGEN SET-UP,7003519,CDM,412,RC,94640,HCPCS,OUTPATIENT,,,79,63.2,,75.05,95,,60.04,percent of total billed charges,95% of total billed charges,74.83,94.72,,59.86,percent of total billed charges,94.72% of total billed charges,78.04,98.79,,62.43,percent of total billed charges,98.79% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,37.92,48,,30.34,percent of total billed charges,48% of total billed charges,35.55,45,,28.44,percent of total billed charges,45% of total billed charges,30.22,38.25,,24.18,percent of total billed charges,38.25% of total billed charges,35.55,45,,28.44,percent of total billed charges,45% of total billed charges,35.55,45,,28.44,percent of total billed charges,45% of total billed charges,30.22,78.04,
PULMONARY PRECUSSION W/DRAIN INITIAL,7003520,CDM,412,RC,94667,HCPCS,OUTPATIENT,,,66,52.8,,62.7,95,,50.16,percent of total billed charges,95% of total billed charges,62.52,94.72,,50.02,percent of total billed charges,94.72% of total billed charges,65.2,98.79,,52.16,percent of total billed charges,98.79% of total billed charges,64.68,98,,51.74,percent of total billed charges,98% of total billed charges,64.68,98,,51.74,percent of total billed charges,98% of total billed charges,31.68,48,,25.34,percent of total billed charges,48% of total billed charges,29.7,45,,23.76,percent of total billed charges,45% of total billed charges,25.25,38.25,,20.2,percent of total billed charges,38.25% of total billed charges,29.7,45,,23.76,percent of total billed charges,45% of total billed charges,29.7,45,,23.76,percent of total billed charges,45% of total billed charges,25.25,65.2,
PULMONARY PRECUSSION W/DRAIN SUBSEQU,7003523,CDM,412,RC,94668,HCPCS,OUTPATIENT,,,65,52,,61.75,95,,49.4,percent of total billed charges,95% of total billed charges,61.57,94.72,,49.26,percent of total billed charges,94.72% of total billed charges,64.21,98.79,,51.37,percent of total billed charges,98.79% of total billed charges,63.7,98,,50.96,percent of total billed charges,98% of total billed charges,63.7,98,,50.96,percent of total billed charges,98% of total billed charges,31.2,48,,24.96,percent of total billed charges,48% of total billed charges,29.25,45,,23.4,percent of total billed charges,45% of total billed charges,24.86,38.25,,19.89,percent of total billed charges,38.25% of total billed charges,29.25,45,,23.4,percent of total billed charges,45% of total billed charges,29.25,45,,23.4,percent of total billed charges,45% of total billed charges,24.86,64.21,
CPAP/BIPAP,7003525,CDM,412,RC,94660,HCPCS,OUTPATIENT,,,178,142.4,,169.1,95,,135.28,percent of total billed charges,95% of total billed charges,168.6,94.72,,134.88,percent of total billed charges,94.72% of total billed charges,175.85,98.79,,140.68,percent of total billed charges,98.79% of total billed charges,174.44,98,,139.55,percent of total billed charges,98% of total billed charges,174.44,98,,139.55,percent of total billed charges,98% of total billed charges,85.44,48,,68.35,percent of total billed charges,48% of total billed charges,80.1,45,,64.08,percent of total billed charges,45% of total billed charges,68.09,38.25,,54.47,percent of total billed charges,38.25% of total billed charges,80.1,45,,64.08,percent of total billed charges,45% of total billed charges,80.1,45,,64.08,percent of total billed charges,45% of total billed charges,68.09,175.85,
CPAP/BIPAP,7003525,CDM,412,RC,94660,HCPCS,OUTPATIENT,,,178,142.4,,169.1,95,,135.28,percent of total billed charges,95% of total billed charges,168.6,94.72,,134.88,percent of total billed charges,94.72% of total billed charges,175.85,98.79,,140.68,percent of total billed charges,98.79% of total billed charges,174.44,98,,139.55,percent of total billed charges,98% of total billed charges,174.44,98,,139.55,percent of total billed charges,98% of total billed charges,85.44,48,,68.35,percent of total billed charges,48% of total billed charges,80.1,45,,64.08,percent of total billed charges,45% of total billed charges,68.09,38.25,,54.47,percent of total billed charges,38.25% of total billed charges,80.1,45,,64.08,percent of total billed charges,45% of total billed charges,80.1,45,,64.08,percent of total billed charges,45% of total billed charges,68.09,175.85,
BiPAP,7003525,CDM,412,RC,94660,HCPCS,OUTPATIENT,,,182,145.6,,172.9,95,,138.32,percent of total billed charges,95% of total billed charges,172.39,94.72,,137.91,percent of total billed charges,94.72% of total billed charges,179.8,98.79,,143.84,percent of total billed charges,98.79% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,87.36,48,,69.89,percent of total billed charges,48% of total billed charges,81.9,45,,65.52,percent of total billed charges,45% of total billed charges,69.62,38.25,,55.7,percent of total billed charges,38.25% of total billed charges,81.9,45,,65.52,percent of total billed charges,45% of total billed charges,81.9,45,,65.52,percent of total billed charges,45% of total billed charges,69.62,179.8,
CPAP,7003525,CDM,412,RC,94660,HCPCS,OUTPATIENT,,,182,145.6,,172.9,95,,138.32,percent of total billed charges,95% of total billed charges,172.39,94.72,,137.91,percent of total billed charges,94.72% of total billed charges,179.8,98.79,,143.84,percent of total billed charges,98.79% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,87.36,48,,69.89,percent of total billed charges,48% of total billed charges,81.9,45,,65.52,percent of total billed charges,45% of total billed charges,69.62,38.25,,55.7,percent of total billed charges,38.25% of total billed charges,81.9,45,,65.52,percent of total billed charges,45% of total billed charges,81.9,45,,65.52,percent of total billed charges,45% of total billed charges,69.62,179.8,
AIRWAY INHALATION (AEROSOL) TREATMENT,15094640,CDM,412,RC,94640,HCPCS,OUTPATIENT,,,182,145.6,,172.9,95,,138.32,percent of total billed charges,95% of total billed charges,172.39,94.72,,137.91,percent of total billed charges,94.72% of total billed charges,179.8,98.79,,143.84,percent of total billed charges,98.79% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,87.36,48,,69.89,percent of total billed charges,48% of total billed charges,81.9,45,,65.52,percent of total billed charges,45% of total billed charges,69.62,38.25,,55.7,percent of total billed charges,38.25% of total billed charges,81.9,45,,65.52,percent of total billed charges,45% of total billed charges,81.9,45,,65.52,percent of total billed charges,45% of total billed charges,69.62,179.8,
PT DEBRIDEMENT>OR=TO 20 SQ CM,6007250,CDM,420,RC,97598,HCPCS,OUTPATIENT,,,186,148.8,,176.7,95,,141.36,percent of total billed charges,95% of total billed charges,176.18,94.72,,140.94,percent of total billed charges,94.72% of total billed charges,183.75,98.79,,147,percent of total billed charges,98.79% of total billed charges,182.28,98,,145.82,percent of total billed charges,98% of total billed charges,182.28,98,,145.82,percent of total billed charges,98% of total billed charges,89.28,48,,71.42,percent of total billed charges,48% of total billed charges,83.7,45,,66.96,percent of total billed charges,45% of total billed charges,71.15,38.25,,56.92,percent of total billed charges,38.25% of total billed charges,83.7,45,,66.96,percent of total billed charges,45% of total billed charges,83.7,45,,66.96,percent of total billed charges,45% of total billed charges,71.15,183.75,
PT DEBRIDEMENT<OR=TO 20 SQ CM,6007251,CDM,420,RC,97597,HCPCS,OUTPATIENT,,,229,183.2,,217.55,95,,174.04,percent of total billed charges,95% of total billed charges,216.91,94.72,,173.53,percent of total billed charges,94.72% of total billed charges,226.23,98.79,,180.98,percent of total billed charges,98.79% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,109.92,48,,87.94,percent of total billed charges,48% of total billed charges,103.05,45,,82.44,percent of total billed charges,45% of total billed charges,87.59,38.25,,70.07,percent of total billed charges,38.25% of total billed charges,103.05,45,,82.44,percent of total billed charges,45% of total billed charges,103.05,45,,82.44,percent of total billed charges,45% of total billed charges,87.59,226.23,
PT DEBRIDEMENT<OR=TO 20 SQ CM,6007251,CDM,420,RC,97597,HCPCS,OUTPATIENT,,,240,192,,228,95,,182.4,percent of total billed charges,95% of total billed charges,227.33,94.72,,181.86,percent of total billed charges,94.72% of total billed charges,237.1,98.79,,189.68,percent of total billed charges,98.79% of total billed charges,235.2,98,,188.16,percent of total billed charges,98% of total billed charges,235.2,98,,188.16,percent of total billed charges,98% of total billed charges,115.2,48,,92.16,percent of total billed charges,48% of total billed charges,108,45,,86.4,percent of total billed charges,45% of total billed charges,91.8,38.25,,73.44,percent of total billed charges,38.25% of total billed charges,108,45,,86.4,percent of total billed charges,45% of total billed charges,108,45,,86.4,percent of total billed charges,45% of total billed charges,91.8,237.1,
PT Contrast Bath Charges Assist Units,10027034,CDM,420,RC,97034,HCPCS,OUTPATIENT,,,54,43.2,,51.3,95,,41.04,percent of total billed charges,95% of total billed charges,51.15,94.72,,40.92,percent of total billed charges,94.72% of total billed charges,53.35,98.79,,42.68,percent of total billed charges,98.79% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,25.92,48,,20.74,percent of total billed charges,48% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,38.25,,16.53,percent of total billed charges,38.25% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,53.35,
PT Contrast Bath Charges,10027034,CDM,420,RC,97034,HCPCS,OUTPATIENT,,,54,43.2,,51.3,95,,41.04,percent of total billed charges,95% of total billed charges,51.15,94.72,,40.92,percent of total billed charges,94.72% of total billed charges,53.35,98.79,,42.68,percent of total billed charges,98.79% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,25.92,48,,20.74,percent of total billed charges,48% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,38.25,,16.53,percent of total billed charges,38.25% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,53.35,
THER PX 1/> AREAS EACH 15 MIN AQUA PHYSIC THERAPY,10097113,CDM,420,RC,97113,HCPCS,OUTPATIENT,,,84,67.2,,79.8,95,,63.84,percent of total billed charges,95% of total billed charges,79.56,94.72,,63.65,percent of total billed charges,94.72% of total billed charges,82.98,98.79,,66.38,percent of total billed charges,98.79% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,40.32,48,,32.26,percent of total billed charges,48% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,38.25,,25.7,percent of total billed charges,38.25% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,82.98,
THER PX 1/> AREAS EACH 15 MIN AQUA PHYSIC THERAPY ASST,10097113,CDM,420,RC,97113,HCPCS,OUTPATIENT,,,84,67.2,,79.8,95,,63.84,percent of total billed charges,95% of total billed charges,79.56,94.72,,63.65,percent of total billed charges,94.72% of total billed charges,82.98,98.79,,66.38,percent of total billed charges,98.79% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,40.32,48,,32.26,percent of total billed charges,48% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,38.25,,25.7,percent of total billed charges,38.25% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,82.98,
Wheelchair Management EA 15 Min,10097542,CDM,420,RC,97542,HCPCS,OUTPATIENT,,,76,60.8,,72.2,95,,57.76,percent of total billed charges,95% of total billed charges,71.99,94.72,,57.59,percent of total billed charges,94.72% of total billed charges,75.08,98.79,,60.06,percent of total billed charges,98.79% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,36.48,48,,29.18,percent of total billed charges,48% of total billed charges,34.2,45,,27.36,percent of total billed charges,45% of total billed charges,29.07,38.25,,23.26,percent of total billed charges,38.25% of total billed charges,34.2,45,,27.36,percent of total billed charges,45% of total billed charges,34.2,45,,27.36,percent of total billed charges,45% of total billed charges,29.07,75.08,
PT ORTHOTIC/PROSTHETIC USE CHECK,6007011,CDM,421,RC,97763,HCPCS,OUTPATIENT,,,187,149.6,,177.65,95,,142.12,percent of total billed charges,95% of total billed charges,177.13,94.72,,141.7,percent of total billed charges,94.72% of total billed charges,184.74,98.79,,147.79,percent of total billed charges,98.79% of total billed charges,183.26,98,,146.61,percent of total billed charges,98% of total billed charges,183.26,98,,146.61,percent of total billed charges,98% of total billed charges,89.76,48,,71.81,percent of total billed charges,48% of total billed charges,84.15,45,,67.32,percent of total billed charges,45% of total billed charges,71.53,38.25,,57.22,percent of total billed charges,38.25% of total billed charges,84.15,45,,67.32,percent of total billed charges,45% of total billed charges,84.15,45,,67.32,percent of total billed charges,45% of total billed charges,71.53,184.74,
Unattended ESTIM,6007021,CDM,421,RC,97014,HCPCS,OUTPATIENT,,,58,46.4,,55.1,95,,44.08,percent of total billed charges,95% of total billed charges,54.94,94.72,,43.95,percent of total billed charges,94.72% of total billed charges,57.3,98.79,,45.84,percent of total billed charges,98.79% of total billed charges,56.84,98,,45.47,percent of total billed charges,98% of total billed charges,56.84,98,,45.47,percent of total billed charges,98% of total billed charges,27.84,48,,22.27,percent of total billed charges,48% of total billed charges,26.1,45,,20.88,percent of total billed charges,45% of total billed charges,22.19,38.25,,17.75,percent of total billed charges,38.25% of total billed charges,26.1,45,,20.88,percent of total billed charges,45% of total billed charges,26.1,45,,20.88,percent of total billed charges,45% of total billed charges,22.19,57.3,
PT INTERMITTENT TRACTION CERV  PELV,6007022,CDM,421,RC,97012,HCPCS,OUTPATIENT,,,29,23.2,,27.55,95,,22.04,percent of total billed charges,95% of total billed charges,27.47,94.72,,21.98,percent of total billed charges,94.72% of total billed charges,28.65,98.79,,22.92,percent of total billed charges,98.79% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,13.92,48,,11.14,percent of total billed charges,48% of total billed charges,13.05,45,,10.44,percent of total billed charges,45% of total billed charges,11.09,38.25,,8.87,percent of total billed charges,38.25% of total billed charges,13.05,45,,10.44,percent of total billed charges,45% of total billed charges,13.05,45,,10.44,percent of total billed charges,45% of total billed charges,11.09,28.65,
PT GAIT TRAINING,6007023,CDM,421,RC,97116,HCPCS,OUTPATIENT,,,81,64.8,,76.95,95,,61.56,percent of total billed charges,95% of total billed charges,76.72,94.72,,61.38,percent of total billed charges,94.72% of total billed charges,80.02,98.79,,64.02,percent of total billed charges,98.79% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,38.88,48,,31.1,percent of total billed charges,48% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,38.25,,24.78,percent of total billed charges,38.25% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,80.02,
Gait Training PT Assist Units,6007023,CDM,421,RC,97116,HCPCS,OUTPATIENT,,,81,64.8,,76.95,95,,61.56,percent of total billed charges,95% of total billed charges,76.72,94.72,,61.38,percent of total billed charges,94.72% of total billed charges,80.02,98.79,,64.02,percent of total billed charges,98.79% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,38.88,48,,31.1,percent of total billed charges,48% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,38.25,,24.78,percent of total billed charges,38.25% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,80.02,
DIATHERMY PT,6007025,CDM,421,RC,97024,HCPCS,OUTPATIENT,,,54,43.2,,51.3,95,,41.04,percent of total billed charges,95% of total billed charges,51.15,94.72,,40.92,percent of total billed charges,94.72% of total billed charges,53.35,98.79,,42.68,percent of total billed charges,98.79% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,25.92,48,,20.74,percent of total billed charges,48% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,38.25,,16.53,percent of total billed charges,38.25% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,53.35,
DIATHERMY PT,6007025,CDM,421,RC,97024,HCPCS,OUTPATIENT,,,54,43.2,,51.3,95,,41.04,percent of total billed charges,95% of total billed charges,51.15,94.72,,40.92,percent of total billed charges,94.72% of total billed charges,53.35,98.79,,42.68,percent of total billed charges,98.79% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,25.92,48,,20.74,percent of total billed charges,48% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,38.25,,16.53,percent of total billed charges,38.25% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,53.35,
PT EXTREMITY WHIRLPOOL,6007033,CDM,421,RC,97022,HCPCS,OUTPATIENT,,,95,76,,90.25,95,,72.2,percent of total billed charges,95% of total billed charges,89.98,94.72,,71.98,percent of total billed charges,94.72% of total billed charges,93.85,98.79,,75.08,percent of total billed charges,98.79% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,45.6,48,,36.48,percent of total billed charges,48% of total billed charges,42.75,45,,34.2,percent of total billed charges,45% of total billed charges,36.34,38.25,,29.07,percent of total billed charges,38.25% of total billed charges,42.75,45,,34.2,percent of total billed charges,45% of total billed charges,42.75,45,,34.2,percent of total billed charges,45% of total billed charges,36.34,93.85,
PT EXTREMITY WHIRLPOOL,6007033,CDM,421,RC,97022,HCPCS,OUTPATIENT,,,100,80,,95,95,,76,percent of total billed charges,95% of total billed charges,94.72,94.72,,75.78,percent of total billed charges,94.72% of total billed charges,98.79,98.79,,79.03,percent of total billed charges,98.79% of total billed charges,98,98,,78.4,percent of total billed charges,98% of total billed charges,98,98,,78.4,percent of total billed charges,98% of total billed charges,48,48,,38.4,percent of total billed charges,48% of total billed charges,45,45,,36,percent of total billed charges,45% of total billed charges,38.25,38.25,,30.6,percent of total billed charges,38.25% of total billed charges,45,45,,36,percent of total billed charges,45% of total billed charges,45,45,,36,percent of total billed charges,45% of total billed charges,38.25,98.79,
PT THERA ACT 1-1 IMPROVE FUNC 15MIN,6007050,CDM,421,RC,97530,HCPCS,OUTPATIENT,,,84,67.2,,79.8,95,,63.84,percent of total billed charges,95% of total billed charges,79.56,94.72,,63.65,percent of total billed charges,94.72% of total billed charges,82.98,98.79,,66.38,percent of total billed charges,98.79% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,40.32,48,,32.26,percent of total billed charges,48% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,38.25,,25.7,percent of total billed charges,38.25% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,82.98,
PT MASSAGE,6007051,CDM,421,RC,97124,HCPCS,OUTPATIENT,,,68,54.4,,64.6,95,,51.68,percent of total billed charges,95% of total billed charges,64.41,94.72,,51.53,percent of total billed charges,94.72% of total billed charges,67.18,98.79,,53.74,percent of total billed charges,98.79% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,32.64,48,,26.11,percent of total billed charges,48% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,26.01,38.25,,20.81,percent of total billed charges,38.25% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,26.01,67.18,
PT SELF CARE COMPENS 1-1 15 MIN,6007055,CDM,421,RC,97535,HCPCS,OUTPATIENT,,,75,60,,71.25,95,,57,percent of total billed charges,95% of total billed charges,71.04,94.72,,56.83,percent of total billed charges,94.72% of total billed charges,74.09,98.79,,59.27,percent of total billed charges,98.79% of total billed charges,73.5,98,,58.8,percent of total billed charges,98% of total billed charges,73.5,98,,58.8,percent of total billed charges,98% of total billed charges,36,48,,28.8,percent of total billed charges,48% of total billed charges,33.75,45,,27,percent of total billed charges,45% of total billed charges,28.69,38.25,,22.95,percent of total billed charges,38.25% of total billed charges,33.75,45,,27,percent of total billed charges,45% of total billed charges,33.75,45,,27,percent of total billed charges,45% of total billed charges,28.69,74.09,
PT WRK HARDENING/CONDI INT 2HR,6007060,CDM,421,RC,97545,HCPCS,OUTPATIENT,,,422,337.6,,400.9,95,,320.72,percent of total billed charges,95% of total billed charges,399.72,94.72,,319.78,percent of total billed charges,94.72% of total billed charges,416.89,98.79,,333.51,percent of total billed charges,98.79% of total billed charges,413.56,98,,330.85,percent of total billed charges,98% of total billed charges,413.56,98,,330.85,percent of total billed charges,98% of total billed charges,202.56,48,,162.05,percent of total billed charges,48% of total billed charges,189.9,45,,151.92,percent of total billed charges,45% of total billed charges,161.42,38.25,,129.14,percent of total billed charges,38.25% of total billed charges,189.9,45,,151.92,percent of total billed charges,45% of total billed charges,189.9,45,,151.92,percent of total billed charges,45% of total billed charges,161.42,416.89,
PT Therapeutic Ex 15 mins,6007066,CDM,421,RC,97110,HCPCS,OUTPATIENT,,,90,72,,85.5,95,,68.4,percent of total billed charges,95% of total billed charges,85.25,94.72,,68.2,percent of total billed charges,94.72% of total billed charges,88.91,98.79,,71.13,percent of total billed charges,98.79% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,43.2,48,,34.56,percent of total billed charges,48% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,38.25,,27.54,percent of total billed charges,38.25% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,88.91,
PT THERAPUTIC EXER 15 MIN,6007066,CDM,421,RC,97110,HCPCS,OUTPATIENT,,,90,72,,85.5,95,,68.4,percent of total billed charges,95% of total billed charges,85.25,94.72,,68.2,percent of total billed charges,94.72% of total billed charges,88.91,98.79,,71.13,percent of total billed charges,98.79% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,43.2,48,,34.56,percent of total billed charges,48% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,38.25,,27.54,percent of total billed charges,38.25% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,88.91,
PT PARAFFIN BATH,6007071,CDM,421,RC,97018,HCPCS,OUTPATIENT,,,60,48,,57,95,,45.6,percent of total billed charges,95% of total billed charges,56.83,94.72,,45.46,percent of total billed charges,94.72% of total billed charges,59.27,98.79,,47.42,percent of total billed charges,98.79% of total billed charges,58.8,98,,47.04,percent of total billed charges,98% of total billed charges,58.8,98,,47.04,percent of total billed charges,98% of total billed charges,28.8,48,,23.04,percent of total billed charges,48% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,22.95,38.25,,18.36,percent of total billed charges,38.25% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,22.95,59.27,
PT PARAFFIN BATH,6007071,CDM,421,RC,97018,HCPCS,OUTPATIENT,,,63,50.4,,59.85,95,,47.88,percent of total billed charges,95% of total billed charges,59.67,94.72,,47.74,percent of total billed charges,94.72% of total billed charges,62.24,98.79,,49.79,percent of total billed charges,98.79% of total billed charges,61.74,98,,49.39,percent of total billed charges,98% of total billed charges,61.74,98,,49.39,percent of total billed charges,98% of total billed charges,30.24,48,,24.19,percent of total billed charges,48% of total billed charges,28.35,45,,22.68,percent of total billed charges,45% of total billed charges,24.1,38.25,,19.28,percent of total billed charges,38.25% of total billed charges,28.35,45,,22.68,percent of total billed charges,45% of total billed charges,28.35,45,,22.68,percent of total billed charges,45% of total billed charges,24.1,62.24,
PT ELECTRICAL STIMULATION CONSTANT ATTEN,6007074,CDM,421,RC,97032,HCPCS,OUTPATIENT,,,68,54.4,,64.6,95,,51.68,percent of total billed charges,95% of total billed charges,64.41,94.72,,51.53,percent of total billed charges,94.72% of total billed charges,67.18,98.79,,53.74,percent of total billed charges,98.79% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,32.64,48,,26.11,percent of total billed charges,48% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,26.01,38.25,,20.81,percent of total billed charges,38.25% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,26.01,67.18,
PT IONTOPHORESIS,6007076,CDM,421,RC,97033,HCPCS,OUTPATIENT,,,68,54.4,,64.6,95,,51.68,percent of total billed charges,95% of total billed charges,64.41,94.72,,51.53,percent of total billed charges,94.72% of total billed charges,67.18,98.79,,53.74,percent of total billed charges,98.79% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,32.64,48,,26.11,percent of total billed charges,48% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,26.01,38.25,,20.81,percent of total billed charges,38.25% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,26.01,67.18,
PT PHONOPHORESIS Assist Units,6007081,CDM,421,RC,97035,HCPCS,OUTPATIENT,,,74,59.2,,70.3,95,,56.24,percent of total billed charges,95% of total billed charges,70.09,94.72,,56.07,percent of total billed charges,94.72% of total billed charges,73.1,98.79,,58.48,percent of total billed charges,98.79% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,35.52,48,,28.42,percent of total billed charges,48% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,38.25,,22.65,percent of total billed charges,38.25% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,73.1,
PT PHONOPHORESIS,6007081,CDM,421,RC,97035,HCPCS,OUTPATIENT,,,74,59.2,,70.3,95,,56.24,percent of total billed charges,95% of total billed charges,70.09,94.72,,56.07,percent of total billed charges,94.72% of total billed charges,73.1,98.79,,58.48,percent of total billed charges,98.79% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,35.52,48,,28.42,percent of total billed charges,48% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,38.25,,22.65,percent of total billed charges,38.25% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,73.1,
PT NEUROMUSCULAR RE-ED EA 15 MIN,6007085,CDM,421,RC,97112,HCPCS,OUTPATIENT,,,86,68.8,,81.7,95,,65.36,percent of total billed charges,95% of total billed charges,81.46,94.72,,65.17,percent of total billed charges,94.72% of total billed charges,84.96,98.79,,67.97,percent of total billed charges,98.79% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,41.28,48,,33.02,percent of total billed charges,48% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,32.9,38.25,,26.32,percent of total billed charges,38.25% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,32.9,84.96,
PT MANUAL THERAPY,6007090,CDM,421,RC,97140,HCPCS,OUTPATIENT,,,86,68.8,,81.7,95,,65.36,percent of total billed charges,95% of total billed charges,81.46,94.72,,65.17,percent of total billed charges,94.72% of total billed charges,84.96,98.79,,67.97,percent of total billed charges,98.79% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,41.28,48,,33.02,percent of total billed charges,48% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,32.9,38.25,,26.32,percent of total billed charges,38.25% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,32.9,84.96,
Manual Traction,6007090,CDM,421,RC,97140,HCPCS,OUTPATIENT,,,86,68.8,,81.7,95,,65.36,percent of total billed charges,95% of total billed charges,81.46,94.72,,65.17,percent of total billed charges,94.72% of total billed charges,84.96,98.79,,67.97,percent of total billed charges,98.79% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,41.28,48,,33.02,percent of total billed charges,48% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,32.9,38.25,,26.32,percent of total billed charges,38.25% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,32.9,84.96,
PT INFRARED THERAPY,6007091,CDM,421,RC,97026,HCPCS,OUTPATIENT,,,49,39.2,,46.55,95,,37.24,percent of total billed charges,95% of total billed charges,46.41,94.72,,37.13,percent of total billed charges,94.72% of total billed charges,48.41,98.79,,38.73,percent of total billed charges,98.79% of total billed charges,48.02,98,,38.42,percent of total billed charges,98% of total billed charges,48.02,98,,38.42,percent of total billed charges,98% of total billed charges,23.52,48,,18.82,percent of total billed charges,48% of total billed charges,22.05,45,,17.64,percent of total billed charges,45% of total billed charges,18.74,38.25,,14.99,percent of total billed charges,38.25% of total billed charges,22.05,45,,17.64,percent of total billed charges,45% of total billed charges,22.05,45,,17.64,percent of total billed charges,45% of total billed charges,18.74,48.41,
PT INFRARED THERAPY,6007091,CDM,421,RC,97026,HCPCS,OUTPATIENT,,,51,40.8,,48.45,95,,38.76,percent of total billed charges,95% of total billed charges,48.31,94.72,,38.65,percent of total billed charges,94.72% of total billed charges,50.38,98.79,,40.3,percent of total billed charges,98.79% of total billed charges,49.98,98,,39.98,percent of total billed charges,98% of total billed charges,49.98,98,,39.98,percent of total billed charges,98% of total billed charges,24.48,48,,19.58,percent of total billed charges,48% of total billed charges,22.95,45,,18.36,percent of total billed charges,45% of total billed charges,19.51,38.25,,15.61,percent of total billed charges,38.25% of total billed charges,22.95,45,,18.36,percent of total billed charges,45% of total billed charges,22.95,45,,18.36,percent of total billed charges,45% of total billed charges,19.51,50.38,
PT ULTRASOUND,6007101,CDM,421,RC,97035,HCPCS,OUTPATIENT,,,74,59.2,,70.3,95,,56.24,percent of total billed charges,95% of total billed charges,70.09,94.72,,56.07,percent of total billed charges,94.72% of total billed charges,73.1,98.79,,58.48,percent of total billed charges,98.79% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,35.52,48,,28.42,percent of total billed charges,48% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,38.25,,22.65,percent of total billed charges,38.25% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,73.1,
PT MIST ULTRASOUND,6007102,CDM,421,RC,97610,HCPCS,OUTPATIENT,,,131,104.8,,124.45,95,,99.56,percent of total billed charges,95% of total billed charges,124.08,94.72,,99.26,percent of total billed charges,94.72% of total billed charges,129.41,98.79,,103.53,percent of total billed charges,98.79% of total billed charges,128.38,98,,102.7,percent of total billed charges,98% of total billed charges,128.38,98,,102.7,percent of total billed charges,98% of total billed charges,62.88,48,,50.3,percent of total billed charges,48% of total billed charges,58.95,45,,47.16,percent of total billed charges,45% of total billed charges,50.11,38.25,,40.09,percent of total billed charges,38.25% of total billed charges,58.95,45,,47.16,percent of total billed charges,45% of total billed charges,58.95,45,,47.16,percent of total billed charges,45% of total billed charges,50.11,129.41,
PT MIST ULTRASOUND,6007102,CDM,421,RC,97610,HCPCS,OUTPATIENT,,,138,110.4,,131.1,95,,104.88,percent of total billed charges,95% of total billed charges,130.71,94.72,,104.57,percent of total billed charges,94.72% of total billed charges,136.33,98.79,,109.06,percent of total billed charges,98.79% of total billed charges,135.24,98,,108.19,percent of total billed charges,98% of total billed charges,135.24,98,,108.19,percent of total billed charges,98% of total billed charges,66.24,48,,52.99,percent of total billed charges,48% of total billed charges,62.1,45,,49.68,percent of total billed charges,45% of total billed charges,52.79,38.25,,42.23,percent of total billed charges,38.25% of total billed charges,62.1,45,,49.68,percent of total billed charges,45% of total billed charges,62.1,45,,49.68,percent of total billed charges,45% of total billed charges,52.79,136.33,
PT ORTHOTIC MGMT/TRAIN-15 MIN EA,6007110,CDM,421,RC,97760,HCPCS,OUTPATIENT,,,86,68.8,,81.7,95,,65.36,percent of total billed charges,95% of total billed charges,81.46,94.72,,65.17,percent of total billed charges,94.72% of total billed charges,84.96,98.79,,67.97,percent of total billed charges,98.79% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,41.28,48,,33.02,percent of total billed charges,48% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,32.9,38.25,,26.32,percent of total billed charges,38.25% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,32.9,84.96,
PT PROSTHETIC TRAINING 15 MIN EA,6007111,CDM,421,RC,97761,HCPCS,OUTPATIENT,,,76,60.8,,72.2,95,,57.76,percent of total billed charges,95% of total billed charges,71.99,94.72,,57.59,percent of total billed charges,94.72% of total billed charges,75.08,98.79,,60.06,percent of total billed charges,98.79% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,36.48,48,,29.18,percent of total billed charges,48% of total billed charges,34.2,45,,27.36,percent of total billed charges,45% of total billed charges,29.07,38.25,,23.26,percent of total billed charges,38.25% of total billed charges,34.2,45,,27.36,percent of total billed charges,45% of total billed charges,34.2,45,,27.36,percent of total billed charges,45% of total billed charges,29.07,75.08,
PT JOBST PUMP,6007141,CDM,421,RC,97016,HCPCS,OUTPATIENT,,,78,62.4,,74.1,95,,59.28,percent of total billed charges,95% of total billed charges,73.88,94.72,,59.1,percent of total billed charges,94.72% of total billed charges,77.06,98.79,,61.65,percent of total billed charges,98.79% of total billed charges,76.44,98,,61.15,percent of total billed charges,98% of total billed charges,76.44,98,,61.15,percent of total billed charges,98% of total billed charges,37.44,48,,29.95,percent of total billed charges,48% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,29.84,38.25,,23.87,percent of total billed charges,38.25% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,35.1,45,,28.08,percent of total billed charges,45% of total billed charges,29.84,77.06,
PT JOBST PUMP,6007141,CDM,421,RC,97016,HCPCS,OUTPATIENT,,,82,65.6,,77.9,95,,62.32,percent of total billed charges,95% of total billed charges,77.67,94.72,,62.14,percent of total billed charges,94.72% of total billed charges,81.01,98.79,,64.81,percent of total billed charges,98.79% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,39.36,48,,31.49,percent of total billed charges,48% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,31.37,38.25,,25.1,percent of total billed charges,38.25% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,31.37,81.01,
PT EVAL LOW COMPLEXITY,6007044,CDM,424,RC,97161,HCPCS,OUTPATIENT,,,187,149.6,,177.65,95,,142.12,percent of total billed charges,95% of total billed charges,177.13,94.72,,141.7,percent of total billed charges,94.72% of total billed charges,184.74,98.79,,147.79,percent of total billed charges,98.79% of total billed charges,183.26,98,,146.61,percent of total billed charges,98% of total billed charges,183.26,98,,146.61,percent of total billed charges,98% of total billed charges,89.76,48,,71.81,percent of total billed charges,48% of total billed charges,84.15,45,,67.32,percent of total billed charges,45% of total billed charges,71.53,38.25,,57.22,percent of total billed charges,38.25% of total billed charges,84.15,45,,67.32,percent of total billed charges,45% of total billed charges,84.15,45,,67.32,percent of total billed charges,45% of total billed charges,71.53,184.74,
PT EVAL MODERATE COMPLEXITY,6007045,CDM,424,RC,97162,HCPCS,OUTPATIENT,,,198,158.4,,188.1,95,,150.48,percent of total billed charges,95% of total billed charges,187.55,94.72,,150.04,percent of total billed charges,94.72% of total billed charges,195.6,98.79,,156.48,percent of total billed charges,98.79% of total billed charges,194.04,98,,155.23,percent of total billed charges,98% of total billed charges,194.04,98,,155.23,percent of total billed charges,98% of total billed charges,95.04,48,,76.03,percent of total billed charges,48% of total billed charges,89.1,45,,71.28,percent of total billed charges,45% of total billed charges,75.74,38.25,,60.59,percent of total billed charges,38.25% of total billed charges,89.1,45,,71.28,percent of total billed charges,45% of total billed charges,89.1,45,,71.28,percent of total billed charges,45% of total billed charges,75.74,195.6,
PT EVAL HIGH COMPLEXITY,6007046,CDM,424,RC,97163,HCPCS,OUTPATIENT,,,208,166.4,,197.6,95,,158.08,percent of total billed charges,95% of total billed charges,197.02,94.72,,157.62,percent of total billed charges,94.72% of total billed charges,205.48,98.79,,164.38,percent of total billed charges,98.79% of total billed charges,203.84,98,,163.07,percent of total billed charges,98% of total billed charges,203.84,98,,163.07,percent of total billed charges,98% of total billed charges,99.84,48,,79.87,percent of total billed charges,48% of total billed charges,93.6,45,,74.88,percent of total billed charges,45% of total billed charges,79.56,38.25,,63.65,percent of total billed charges,38.25% of total billed charges,93.6,45,,74.88,percent of total billed charges,45% of total billed charges,93.6,45,,74.88,percent of total billed charges,45% of total billed charges,79.56,205.48,
PT RE-EVAL,6007047,CDM,424,RC,97164,HCPCS,OUTPATIENT,,,174,139.2,,165.3,95,,132.24,percent of total billed charges,95% of total billed charges,164.81,94.72,,131.85,percent of total billed charges,94.72% of total billed charges,171.89,98.79,,137.51,percent of total billed charges,98.79% of total billed charges,170.52,98,,136.42,percent of total billed charges,98% of total billed charges,170.52,98,,136.42,percent of total billed charges,98% of total billed charges,83.52,48,,66.82,percent of total billed charges,48% of total billed charges,78.3,45,,62.64,percent of total billed charges,45% of total billed charges,66.56,38.25,,53.25,percent of total billed charges,38.25% of total billed charges,78.3,45,,62.64,percent of total billed charges,45% of total billed charges,78.3,45,,62.64,percent of total billed charges,45% of total billed charges,66.56,171.89,
PT CONSULT RESTRAINT EVALS CHARGE,6007080,CDM,424,RC,,,OUTPATIENT,,,50,40,,47.5,95,,38,percent of total billed charges,95% of total billed charges,47.36,94.72,,37.89,percent of total billed charges,94.72% of total billed charges,49.4,98.79,,39.52,percent of total billed charges,98.79% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,24,48,,19.2,percent of total billed charges,48% of total billed charges,22.5,45,,18,percent of total billed charges,45% of total billed charges,19.13,38.25,,15.3,percent of total billed charges,38.25% of total billed charges,22.5,45,,18,percent of total billed charges,45% of total billed charges,22.5,45,,18,percent of total billed charges,45% of total billed charges,19.13,49.4,
29105 OT SPLINTS LONG ARM CHARGE,6106002,CDM,430,RC,29105,HCPCS,OUTPATIENT,,,210,168,,199.5,95,,159.6,percent of total billed charges,95% of total billed charges,198.91,94.72,,159.13,percent of total billed charges,94.72% of total billed charges,207.46,98.79,,165.97,percent of total billed charges,98.79% of total billed charges,205.8,98,,164.64,percent of total billed charges,98% of total billed charges,205.8,98,,164.64,percent of total billed charges,98% of total billed charges,100.8,48,,80.64,percent of total billed charges,48% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,80.33,38.25,,64.26,percent of total billed charges,38.25% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,80.33,207.46,
OT SPLINTS FOREARM STATIC,6106003,CDM,430,RC,29125,HCPCS,OUTPATIENT,,,221,176.8,,209.95,95,,167.96,percent of total billed charges,95% of total billed charges,209.33,94.72,,167.46,percent of total billed charges,94.72% of total billed charges,218.33,98.79,,174.66,percent of total billed charges,98.79% of total billed charges,216.58,98,,173.26,percent of total billed charges,98% of total billed charges,216.58,98,,173.26,percent of total billed charges,98% of total billed charges,106.08,48,,84.86,percent of total billed charges,48% of total billed charges,99.45,45,,79.56,percent of total billed charges,45% of total billed charges,84.53,38.25,,67.62,percent of total billed charges,38.25% of total billed charges,99.45,45,,79.56,percent of total billed charges,45% of total billed charges,99.45,45,,79.56,percent of total billed charges,45% of total billed charges,84.53,218.33,
OT SPLINTS FOREARM DYNAMIC,6106004,CDM,430,RC,29126,HCPCS,OUTPATIENT,,,322,257.6,,305.9,95,,244.72,percent of total billed charges,95% of total billed charges,305,94.72,,244,percent of total billed charges,94.72% of total billed charges,318.1,98.79,,254.48,percent of total billed charges,98.79% of total billed charges,315.56,98,,252.45,percent of total billed charges,98% of total billed charges,315.56,98,,252.45,percent of total billed charges,98% of total billed charges,154.56,48,,123.65,percent of total billed charges,48% of total billed charges,144.9,45,,115.92,percent of total billed charges,45% of total billed charges,123.17,38.25,,98.54,percent of total billed charges,38.25% of total billed charges,144.9,45,,115.92,percent of total billed charges,45% of total billed charges,144.9,45,,115.92,percent of total billed charges,45% of total billed charges,123.17,318.1,
OT SPLINTS FINGER STATIC,6106005,CDM,430,RC,29130,HCPCS,OUTPATIENT,,,175,140,,166.25,95,,133,percent of total billed charges,95% of total billed charges,165.76,94.72,,132.61,percent of total billed charges,94.72% of total billed charges,172.88,98.79,,138.3,percent of total billed charges,98.79% of total billed charges,171.5,98,,137.2,percent of total billed charges,98% of total billed charges,171.5,98,,137.2,percent of total billed charges,98% of total billed charges,84,48,,67.2,percent of total billed charges,48% of total billed charges,78.75,45,,63,percent of total billed charges,45% of total billed charges,66.94,38.25,,53.55,percent of total billed charges,38.25% of total billed charges,78.75,45,,63,percent of total billed charges,45% of total billed charges,78.75,45,,63,percent of total billed charges,45% of total billed charges,66.94,172.88,
OT SPLINTS FINGER DYNAMIC,6106006,CDM,430,RC,29131,HCPCS,OUTPATIENT,,,277,221.6,,263.15,95,,210.52,percent of total billed charges,95% of total billed charges,262.37,94.72,,209.9,percent of total billed charges,94.72% of total billed charges,273.65,98.79,,218.92,percent of total billed charges,98.79% of total billed charges,271.46,98,,217.17,percent of total billed charges,98% of total billed charges,271.46,98,,217.17,percent of total billed charges,98% of total billed charges,132.96,48,,106.37,percent of total billed charges,48% of total billed charges,124.65,45,,99.72,percent of total billed charges,45% of total billed charges,105.95,38.25,,84.76,percent of total billed charges,38.25% of total billed charges,124.65,45,,99.72,percent of total billed charges,45% of total billed charges,124.65,45,,99.72,percent of total billed charges,45% of total billed charges,105.95,273.65,
OT STRAP SHOULDER,6106009,CDM,430,RC,29240,HCPCS,OUTPATIENT,,,261,208.8,,247.95,95,,198.36,percent of total billed charges,95% of total billed charges,247.22,94.72,,197.78,percent of total billed charges,94.72% of total billed charges,257.84,98.79,,206.27,percent of total billed charges,98.79% of total billed charges,255.78,98,,204.62,percent of total billed charges,98% of total billed charges,255.78,98,,204.62,percent of total billed charges,98% of total billed charges,125.28,48,,100.22,percent of total billed charges,48% of total billed charges,117.45,45,,93.96,percent of total billed charges,45% of total billed charges,99.83,38.25,,79.86,percent of total billed charges,38.25% of total billed charges,117.45,45,,93.96,percent of total billed charges,45% of total billed charges,117.45,45,,93.96,percent of total billed charges,45% of total billed charges,99.83,257.84,
OT STRAP ELBOW OR WRIST,6106010,CDM,430,RC,29260,HCPCS,OUTPATIENT,,,208,166.4,,197.6,95,,158.08,percent of total billed charges,95% of total billed charges,197.02,94.72,,157.62,percent of total billed charges,94.72% of total billed charges,205.48,98.79,,164.38,percent of total billed charges,98.79% of total billed charges,203.84,98,,163.07,percent of total billed charges,98% of total billed charges,203.84,98,,163.07,percent of total billed charges,98% of total billed charges,99.84,48,,79.87,percent of total billed charges,48% of total billed charges,93.6,45,,74.88,percent of total billed charges,45% of total billed charges,79.56,38.25,,63.65,percent of total billed charges,38.25% of total billed charges,93.6,45,,74.88,percent of total billed charges,45% of total billed charges,93.6,45,,74.88,percent of total billed charges,45% of total billed charges,79.56,205.48,
OT STRAP HAND OR FINGER,6106012,CDM,430,RC,29280,HCPCS,OUTPATIENT,,,215,172,,204.25,95,,163.4,percent of total billed charges,95% of total billed charges,203.65,94.72,,162.92,percent of total billed charges,94.72% of total billed charges,212.4,98.79,,169.92,percent of total billed charges,98.79% of total billed charges,210.7,98,,168.56,percent of total billed charges,98% of total billed charges,210.7,98,,168.56,percent of total billed charges,98% of total billed charges,103.2,48,,82.56,percent of total billed charges,48% of total billed charges,96.75,45,,77.4,percent of total billed charges,45% of total billed charges,82.24,38.25,,65.79,percent of total billed charges,38.25% of total billed charges,96.75,45,,77.4,percent of total billed charges,45% of total billed charges,96.75,45,,77.4,percent of total billed charges,45% of total billed charges,82.24,212.4,
OT INFRARED THERAPY,6106366,CDM,430,RC,97026,HCPCS,OUTPATIENT,,,40,32,,38,95,,30.4,percent of total billed charges,95% of total billed charges,37.89,94.72,,30.31,percent of total billed charges,94.72% of total billed charges,39.52,98.79,,31.62,percent of total billed charges,98.79% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,39.2,98,,31.36,percent of total billed charges,98% of total billed charges,19.2,48,,15.36,percent of total billed charges,48% of total billed charges,18,45,,14.4,percent of total billed charges,45% of total billed charges,15.3,38.25,,12.24,percent of total billed charges,38.25% of total billed charges,18,45,,14.4,percent of total billed charges,45% of total billed charges,18,45,,14.4,percent of total billed charges,45% of total billed charges,15.3,39.52,
OT MIST ULTRASOUND,6106420,CDM,430,RC,97610,HCPCS,OUTPATIENT,,,146,116.8,,138.7,95,,110.96,percent of total billed charges,95% of total billed charges,138.29,94.72,,110.63,percent of total billed charges,94.72% of total billed charges,144.23,98.79,,115.38,percent of total billed charges,98.79% of total billed charges,143.08,98,,114.46,percent of total billed charges,98% of total billed charges,143.08,98,,114.46,percent of total billed charges,98% of total billed charges,70.08,48,,56.06,percent of total billed charges,48% of total billed charges,65.7,45,,52.56,percent of total billed charges,45% of total billed charges,55.85,38.25,,44.68,percent of total billed charges,38.25% of total billed charges,65.7,45,,52.56,percent of total billed charges,45% of total billed charges,65.7,45,,52.56,percent of total billed charges,45% of total billed charges,55.85,144.23,
OT Contrast Bath Charges,10027034,CDM,430,RC,97034,HCPCS,OUTPATIENT,,,54,43.2,,51.3,95,,41.04,percent of total billed charges,95% of total billed charges,51.15,94.72,,40.92,percent of total billed charges,94.72% of total billed charges,53.35,98.79,,42.68,percent of total billed charges,98.79% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,25.92,48,,20.74,percent of total billed charges,48% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,38.25,,16.53,percent of total billed charges,38.25% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,53.35,
THER PX 1/> AREAS EACH 15 MIN AQUA OCCUP THERAPY,10097113,CDM,430,RC,97113,HCPCS,OUTPATIENT,,,84,67.2,,79.8,95,,63.84,percent of total billed charges,95% of total billed charges,79.56,94.72,,63.65,percent of total billed charges,94.72% of total billed charges,82.98,98.79,,66.38,percent of total billed charges,98.79% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,40.32,48,,32.26,percent of total billed charges,48% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,38.25,,25.7,percent of total billed charges,38.25% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,82.98,
THER PX 1/> AREAS EACH 15 MIN AQUA OCCUP THERAPY ASST,10097113,CDM,430,RC,97113,HCPCS,OUTPATIENT,,,84,67.2,,79.8,95,,63.84,percent of total billed charges,95% of total billed charges,79.56,94.72,,63.65,percent of total billed charges,94.72% of total billed charges,82.98,98.79,,66.38,percent of total billed charges,98.79% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,40.32,48,,32.26,percent of total billed charges,48% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,38.25,,25.7,percent of total billed charges,38.25% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,82.98,
OT Cog Ther Intervent|First 15 Min Units,97129,CDM,431,RC,97129,HCPCS,OUTPATIENT,,,90,72,,85.5,95,,68.4,percent of total billed charges,95% of total billed charges,85.25,94.72,,68.2,percent of total billed charges,94.72% of total billed charges,88.91,98.79,,71.13,percent of total billed charges,98.79% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,43.2,48,,34.56,percent of total billed charges,48% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,38.25,,27.54,percent of total billed charges,38.25% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,88.91,
OT Cog Ther Intervent| Addl 15 Min Units,97130,CDM,431,RC,97130,HCPCS,OUTPATIENT,,,103,82.4,,97.85,95,,78.28,percent of total billed charges,95% of total billed charges,97.56,94.72,,78.05,percent of total billed charges,94.72% of total billed charges,101.75,98.79,,81.4,percent of total billed charges,98.79% of total billed charges,100.94,98,,80.75,percent of total billed charges,98% of total billed charges,100.94,98,,80.75,percent of total billed charges,98% of total billed charges,49.44,48,,39.55,percent of total billed charges,48% of total billed charges,46.35,45,,37.08,percent of total billed charges,45% of total billed charges,39.4,38.25,,31.52,percent of total billed charges,38.25% of total billed charges,46.35,45,,37.08,percent of total billed charges,45% of total billed charges,46.35,45,,37.08,percent of total billed charges,45% of total billed charges,39.4,101.75,
DAITHERMY OT,6100625,CDM,431,RC,97024,HCPCS,OUTPATIENT,,,51,40.8,,48.45,95,,38.76,percent of total billed charges,95% of total billed charges,48.31,94.72,,38.65,percent of total billed charges,94.72% of total billed charges,50.38,98.79,,40.3,percent of total billed charges,98.79% of total billed charges,49.98,98,,39.98,percent of total billed charges,98% of total billed charges,49.98,98,,39.98,percent of total billed charges,98% of total billed charges,24.48,48,,19.58,percent of total billed charges,48% of total billed charges,22.95,45,,18.36,percent of total billed charges,45% of total billed charges,19.51,38.25,,15.61,percent of total billed charges,38.25% of total billed charges,22.95,45,,18.36,percent of total billed charges,45% of total billed charges,22.95,45,,18.36,percent of total billed charges,45% of total billed charges,19.51,50.38,
DIATHERMY OT,6100625,CDM,431,RC,97024,HCPCS,OUTPATIENT,,,54,43.2,,51.3,95,,41.04,percent of total billed charges,95% of total billed charges,51.15,94.72,,40.92,percent of total billed charges,94.72% of total billed charges,53.35,98.79,,42.68,percent of total billed charges,98.79% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,25.92,48,,20.74,percent of total billed charges,48% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,38.25,,16.53,percent of total billed charges,38.25% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,53.35,
OT PARAFFIN BATH,6106039,CDM,431,RC,97018,HCPCS,OUTPATIENT,,,63,50.4,,59.85,95,,47.88,percent of total billed charges,95% of total billed charges,59.67,94.72,,47.74,percent of total billed charges,94.72% of total billed charges,62.24,98.79,,49.79,percent of total billed charges,98.79% of total billed charges,61.74,98,,49.39,percent of total billed charges,98% of total billed charges,61.74,98,,49.39,percent of total billed charges,98% of total billed charges,30.24,48,,24.19,percent of total billed charges,48% of total billed charges,28.35,45,,22.68,percent of total billed charges,45% of total billed charges,24.1,38.25,,19.28,percent of total billed charges,38.25% of total billed charges,28.35,45,,22.68,percent of total billed charges,45% of total billed charges,28.35,45,,22.68,percent of total billed charges,45% of total billed charges,24.1,62.24,
OT MASSAGE W/WO ICE,6106045,CDM,431,RC,97124,HCPCS,OUTPATIENT,,,68,54.4,,64.6,95,,51.68,percent of total billed charges,95% of total billed charges,64.41,94.72,,51.53,percent of total billed charges,94.72% of total billed charges,67.18,98.79,,53.74,percent of total billed charges,98.79% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,32.64,48,,26.11,percent of total billed charges,48% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,26.01,38.25,,20.81,percent of total billed charges,38.25% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,26.01,67.18,
OT Cognitive Function Assistant units,6106049,CDM,431,RC,97129,HCPCS,OUTPATIENT,,,74,59.2,,70.3,95,,56.24,percent of total billed charges,95% of total billed charges,70.09,94.72,,56.07,percent of total billed charges,94.72% of total billed charges,73.1,98.79,,58.48,percent of total billed charges,98.79% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,35.52,48,,28.42,percent of total billed charges,48% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,38.25,,22.65,percent of total billed charges,38.25% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,73.1,
OT ORTHO FITTING/TRAIN INIT 15MIN,6106070,CDM,431,RC,97760,HCPCS,OUTPATIENT,,,163,130.4,,154.85,95,,123.88,percent of total billed charges,95% of total billed charges,154.39,94.72,,123.51,percent of total billed charges,94.72% of total billed charges,161.03,98.79,,128.82,percent of total billed charges,98.79% of total billed charges,159.74,98,,127.79,percent of total billed charges,98% of total billed charges,159.74,98,,127.79,percent of total billed charges,98% of total billed charges,78.24,48,,62.59,percent of total billed charges,48% of total billed charges,73.35,45,,58.68,percent of total billed charges,45% of total billed charges,62.35,38.25,,49.88,percent of total billed charges,38.25% of total billed charges,73.35,45,,58.68,percent of total billed charges,45% of total billed charges,73.35,45,,58.68,percent of total billed charges,45% of total billed charges,62.35,161.03,
OT COMM/WRK REINTEGRATION 15M,6106302,CDM,431,RC,97537,HCPCS,OUTPATIENT,,,86,68.8,,81.7,95,,65.36,percent of total billed charges,95% of total billed charges,81.46,94.72,,65.17,percent of total billed charges,94.72% of total billed charges,84.96,98.79,,67.97,percent of total billed charges,98.79% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,41.28,48,,33.02,percent of total billed charges,48% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,32.9,38.25,,26.32,percent of total billed charges,38.25% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,32.9,84.96,
OT ACT DAILY LIVING 15 MIN,6106311,CDM,431,RC,97535,HCPCS,OUTPATIENT,,,75,60,,71.25,95,,57,percent of total billed charges,95% of total billed charges,71.04,94.72,,56.83,percent of total billed charges,94.72% of total billed charges,74.09,98.79,,59.27,percent of total billed charges,98.79% of total billed charges,73.5,98,,58.8,percent of total billed charges,98% of total billed charges,73.5,98,,58.8,percent of total billed charges,98% of total billed charges,36,48,,28.8,percent of total billed charges,48% of total billed charges,33.75,45,,27,percent of total billed charges,45% of total billed charges,28.69,38.25,,22.95,percent of total billed charges,38.25% of total billed charges,33.75,45,,27,percent of total billed charges,45% of total billed charges,33.75,45,,27,percent of total billed charges,45% of total billed charges,28.69,74.09,
OT EXER THERAPUTIC  15 MIN,6106321,CDM,431,RC,97110,HCPCS,OUTPATIENT,,,90,72,,85.5,95,,68.4,percent of total billed charges,95% of total billed charges,85.25,94.72,,68.2,percent of total billed charges,94.72% of total billed charges,88.91,98.79,,71.13,percent of total billed charges,98.79% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,43.2,48,,34.56,percent of total billed charges,48% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,38.25,,27.54,percent of total billed charges,38.25% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,88.91,
OT ACTIVITIES THERAPUTIC (15),6106331,CDM,431,RC,97530,HCPCS,OUTPATIENT,,,84,67.2,,79.8,95,,63.84,percent of total billed charges,95% of total billed charges,79.56,94.72,,63.65,percent of total billed charges,94.72% of total billed charges,82.98,98.79,,66.38,percent of total billed charges,98.79% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,40.32,48,,32.26,percent of total billed charges,48% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,38.25,,25.7,percent of total billed charges,38.25% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,82.98,
OT NEUROMUSCULAR RE-ED (15),6106341,CDM,431,RC,97112,HCPCS,OUTPATIENT,,,86,68.8,,81.7,95,,65.36,percent of total billed charges,95% of total billed charges,81.46,94.72,,65.17,percent of total billed charges,94.72% of total billed charges,84.96,98.79,,67.97,percent of total billed charges,98.79% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,41.28,48,,33.02,percent of total billed charges,48% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,32.9,38.25,,26.32,percent of total billed charges,38.25% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,32.9,84.96,
OT ELECTRICAL STIMULATION UNATTENED,6106361,CDM,431,RC,97014,HCPCS,OUTPATIENT,,,58,46.4,,55.1,95,,44.08,percent of total billed charges,95% of total billed charges,54.94,94.72,,43.95,percent of total billed charges,94.72% of total billed charges,57.3,98.79,,45.84,percent of total billed charges,98.79% of total billed charges,56.84,98,,45.47,percent of total billed charges,98% of total billed charges,56.84,98,,45.47,percent of total billed charges,98% of total billed charges,27.84,48,,22.27,percent of total billed charges,48% of total billed charges,26.1,45,,20.88,percent of total billed charges,45% of total billed charges,22.19,38.25,,17.75,percent of total billed charges,38.25% of total billed charges,26.1,45,,20.88,percent of total billed charges,45% of total billed charges,26.1,45,,20.88,percent of total billed charges,45% of total billed charges,22.19,57.3,
OT MANUAL THERAPY,6106365,CDM,431,RC,97140,HCPCS,OUTPATIENT,,,86,68.8,,81.7,95,,65.36,percent of total billed charges,95% of total billed charges,81.46,94.72,,65.17,percent of total billed charges,94.72% of total billed charges,84.96,98.79,,67.97,percent of total billed charges,98.79% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,84.28,98,,67.42,percent of total billed charges,98% of total billed charges,41.28,48,,33.02,percent of total billed charges,48% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,32.9,38.25,,26.32,percent of total billed charges,38.25% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,38.7,45,,30.96,percent of total billed charges,45% of total billed charges,32.9,84.96,
OT ULTRASOUND,6106421,CDM,431,RC,97035,HCPCS,OUTPATIENT,,,74,59.2,,70.3,95,,56.24,percent of total billed charges,95% of total billed charges,70.09,94.72,,56.07,percent of total billed charges,94.72% of total billed charges,73.1,98.79,,58.48,percent of total billed charges,98.79% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,35.52,48,,28.42,percent of total billed charges,48% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,38.25,,22.65,percent of total billed charges,38.25% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,73.1,
OT IONTOPHORESIS,6106431,CDM,431,RC,97033,HCPCS,OUTPATIENT,,,68,54.4,,64.6,95,,51.68,percent of total billed charges,95% of total billed charges,64.41,94.72,,51.53,percent of total billed charges,94.72% of total billed charges,67.18,98.79,,53.74,percent of total billed charges,98.79% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,66.64,98,,53.31,percent of total billed charges,98% of total billed charges,32.64,48,,26.11,percent of total billed charges,48% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,26.01,38.25,,20.81,percent of total billed charges,38.25% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,30.6,45,,24.48,percent of total billed charges,45% of total billed charges,26.01,67.18,
OT Prosthetic Mgmt| Tain Assistant Units,6106514,CDM,431,RC,97761,HCPCS,OUTPATIENT,,,76,60.8,,72.2,95,,57.76,percent of total billed charges,95% of total billed charges,71.99,94.72,,57.59,percent of total billed charges,94.72% of total billed charges,75.08,98.79,,60.06,percent of total billed charges,98.79% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,36.48,48,,29.18,percent of total billed charges,48% of total billed charges,34.2,45,,27.36,percent of total billed charges,45% of total billed charges,29.07,38.25,,23.26,percent of total billed charges,38.25% of total billed charges,34.2,45,,27.36,percent of total billed charges,45% of total billed charges,34.2,45,,27.36,percent of total billed charges,45% of total billed charges,29.07,75.08,
OT PROSTHETIC TRAIN (INIT 15MIN),6106514,CDM,431,RC,97520,HCPCS,OUTPATIENT,,,76,60.8,,72.2,95,,57.76,percent of total billed charges,95% of total billed charges,71.99,94.72,,57.59,percent of total billed charges,94.72% of total billed charges,75.08,98.79,,60.06,percent of total billed charges,98.79% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,74.48,98,,59.58,percent of total billed charges,98% of total billed charges,36.48,48,,29.18,percent of total billed charges,48% of total billed charges,34.2,45,,27.36,percent of total billed charges,45% of total billed charges,29.07,38.25,,23.26,percent of total billed charges,38.25% of total billed charges,34.2,45,,27.36,percent of total billed charges,45% of total billed charges,34.2,45,,27.36,percent of total billed charges,45% of total billed charges,29.07,75.08,
OT ORTHOTIC/PROSTHETIC USE CHECK,6106721,CDM,431,RC,97763,HCPCS,OUTPATIENT,,,187,149.6,,177.65,95,,142.12,percent of total billed charges,95% of total billed charges,177.13,94.72,,141.7,percent of total billed charges,94.72% of total billed charges,184.74,98.79,,147.79,percent of total billed charges,98.79% of total billed charges,183.26,98,,146.61,percent of total billed charges,98% of total billed charges,183.26,98,,146.61,percent of total billed charges,98% of total billed charges,89.76,48,,71.81,percent of total billed charges,48% of total billed charges,84.15,45,,67.32,percent of total billed charges,45% of total billed charges,71.53,38.25,,57.22,percent of total billed charges,38.25% of total billed charges,84.15,45,,67.32,percent of total billed charges,45% of total billed charges,84.15,45,,67.32,percent of total billed charges,45% of total billed charges,71.53,184.74,
OT EXTREMITY WHIRLPOOL,6107033,CDM,431,RC,97022,HCPCS,OUTPATIENT,,,95,76,,90.25,95,,72.2,percent of total billed charges,95% of total billed charges,89.98,94.72,,71.98,percent of total billed charges,94.72% of total billed charges,93.85,98.79,,75.08,percent of total billed charges,98.79% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,93.1,98,,74.48,percent of total billed charges,98% of total billed charges,45.6,48,,36.48,percent of total billed charges,48% of total billed charges,42.75,45,,34.2,percent of total billed charges,45% of total billed charges,36.34,38.25,,29.07,percent of total billed charges,38.25% of total billed charges,42.75,45,,34.2,percent of total billed charges,45% of total billed charges,42.75,45,,34.2,percent of total billed charges,45% of total billed charges,36.34,93.85,
OT PHONOPHORESIS,6107081,CDM,431,RC,97035,HCPCS,OUTPATIENT,,,74,59.2,,70.3,95,,56.24,percent of total billed charges,95% of total billed charges,70.09,94.72,,56.07,percent of total billed charges,94.72% of total billed charges,73.1,98.79,,58.48,percent of total billed charges,98.79% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,35.52,48,,28.42,percent of total billed charges,48% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,38.25,,22.65,percent of total billed charges,38.25% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,73.1,
OT EVAL LOW COMPLEXITY,6106011,CDM,434,RC,97165,HCPCS,OUTPATIENT,,,210,168,,199.5,95,,159.6,percent of total billed charges,95% of total billed charges,198.91,94.72,,159.13,percent of total billed charges,94.72% of total billed charges,207.46,98.79,,165.97,percent of total billed charges,98.79% of total billed charges,205.8,98,,164.64,percent of total billed charges,98% of total billed charges,205.8,98,,164.64,percent of total billed charges,98% of total billed charges,100.8,48,,80.64,percent of total billed charges,48% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,80.33,38.25,,64.26,percent of total billed charges,38.25% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,80.33,207.46,
OT Inpatient Evaluation Acute,6106011,CDM,434,RC,97165,HCPCS,OUTPATIENT,,,210,168,,199.5,95,,159.6,percent of total billed charges,95% of total billed charges,198.91,94.72,,159.13,percent of total billed charges,94.72% of total billed charges,207.46,98.79,,165.97,percent of total billed charges,98.79% of total billed charges,205.8,98,,164.64,percent of total billed charges,98% of total billed charges,205.8,98,,164.64,percent of total billed charges,98% of total billed charges,100.8,48,,80.64,percent of total billed charges,48% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,80.33,38.25,,64.26,percent of total billed charges,38.25% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,80.33,207.46,
OT EVAL MODERATE COMPLEXITY,6106013,CDM,434,RC,97166,HCPCS,OUTPATIENT,,,200,160,,190,95,,152,percent of total billed charges,95% of total billed charges,189.44,94.72,,151.55,percent of total billed charges,94.72% of total billed charges,197.58,98.79,,158.06,percent of total billed charges,98.79% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,96,48,,76.8,percent of total billed charges,48% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,38.25,,61.2,percent of total billed charges,38.25% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,197.58,
OT EVAL MODERATE COMPLEXITY,6106013,CDM,434,RC,97166,HCPCS,OUTPATIENT,,,200,160,,190,95,,152,percent of total billed charges,95% of total billed charges,189.44,94.72,,151.55,percent of total billed charges,94.72% of total billed charges,197.58,98.79,,158.06,percent of total billed charges,98.79% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,96,48,,76.8,percent of total billed charges,48% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,38.25,,61.2,percent of total billed charges,38.25% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,197.58,
OT EVAL HIGH COMPLEXITY,6106014,CDM,434,RC,97167,HCPCS,OUTPATIENT,,,227,181.6,,215.65,95,,172.52,percent of total billed charges,95% of total billed charges,215.01,94.72,,172.01,percent of total billed charges,94.72% of total billed charges,224.25,98.79,,179.4,percent of total billed charges,98.79% of total billed charges,222.46,98,,177.97,percent of total billed charges,98% of total billed charges,222.46,98,,177.97,percent of total billed charges,98% of total billed charges,108.96,48,,87.17,percent of total billed charges,48% of total billed charges,102.15,45,,81.72,percent of total billed charges,45% of total billed charges,86.83,38.25,,69.46,percent of total billed charges,38.25% of total billed charges,102.15,45,,81.72,percent of total billed charges,45% of total billed charges,102.15,45,,81.72,percent of total billed charges,45% of total billed charges,86.83,224.25,
OT RE- EVALUATION,6106015,CDM,434,RC,97168,HCPCS,OUTPATIENT,,,158,126.4,,150.1,95,,120.08,percent of total billed charges,95% of total billed charges,149.66,94.72,,119.73,percent of total billed charges,94.72% of total billed charges,156.09,98.79,,124.87,percent of total billed charges,98.79% of total billed charges,154.84,98,,123.87,percent of total billed charges,98% of total billed charges,154.84,98,,123.87,percent of total billed charges,98% of total billed charges,75.84,48,,60.67,percent of total billed charges,48% of total billed charges,71.1,45,,56.88,percent of total billed charges,45% of total billed charges,60.44,38.25,,48.35,percent of total billed charges,38.25% of total billed charges,71.1,45,,56.88,percent of total billed charges,45% of total billed charges,71.1,45,,56.88,percent of total billed charges,45% of total billed charges,60.44,156.09,
ST INDIVIDUAL SPEECH THERAPY,6203007,CDM,440,RC,92507,HCPCS,OUTPATIENT,,,144,115.2,,136.8,95,,109.44,percent of total billed charges,95% of total billed charges,136.4,94.72,,109.12,percent of total billed charges,94.72% of total billed charges,142.26,98.79,,113.81,percent of total billed charges,98.79% of total billed charges,141.12,98,,112.9,percent of total billed charges,98% of total billed charges,141.12,98,,112.9,percent of total billed charges,98% of total billed charges,69.12,48,,55.3,percent of total billed charges,48% of total billed charges,64.8,45,,51.84,percent of total billed charges,45% of total billed charges,55.08,38.25,,44.06,percent of total billed charges,38.25% of total billed charges,64.8,45,,51.84,percent of total billed charges,45% of total billed charges,64.8,45,,51.84,percent of total billed charges,45% of total billed charges,55.08,142.26,
ST INDIVIDUAL SPEECH THERAPY,6203007,CDM,440,RC,92507,HCPCS,OUTPATIENT,,,144,115.2,,136.8,95,,109.44,percent of total billed charges,95% of total billed charges,136.4,94.72,,109.12,percent of total billed charges,94.72% of total billed charges,142.26,98.79,,113.81,percent of total billed charges,98.79% of total billed charges,141.12,98,,112.9,percent of total billed charges,98% of total billed charges,141.12,98,,112.9,percent of total billed charges,98% of total billed charges,69.12,48,,55.3,percent of total billed charges,48% of total billed charges,64.8,45,,51.84,percent of total billed charges,45% of total billed charges,55.08,38.25,,44.06,percent of total billed charges,38.25% of total billed charges,64.8,45,,51.84,percent of total billed charges,45% of total billed charges,64.8,45,,51.84,percent of total billed charges,45% of total billed charges,55.08,142.26,
ST GROUP SPEECH THERAPY,6203010,CDM,440,RC,92508,HCPCS,OUTPATIENT,,,229,183.2,,217.55,95,,174.04,percent of total billed charges,95% of total billed charges,216.91,94.72,,173.53,percent of total billed charges,94.72% of total billed charges,226.23,98.79,,180.98,percent of total billed charges,98.79% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,109.92,48,,87.94,percent of total billed charges,48% of total billed charges,103.05,45,,82.44,percent of total billed charges,45% of total billed charges,87.59,38.25,,70.07,percent of total billed charges,38.25% of total billed charges,103.05,45,,82.44,percent of total billed charges,45% of total billed charges,103.05,45,,82.44,percent of total billed charges,45% of total billed charges,87.59,226.23,
Treatment of speech| language| voice| communication| and/or,6203007,CDM,441,RC,92507,HCPCS,OUTPATIENT,,,144,115.2,,136.8,95,,109.44,percent of total billed charges,95% of total billed charges,136.4,94.72,,109.12,percent of total billed charges,94.72% of total billed charges,142.26,98.79,,113.81,percent of total billed charges,98.79% of total billed charges,141.12,98,,112.9,percent of total billed charges,98% of total billed charges,141.12,98,,112.9,percent of total billed charges,98% of total billed charges,69.12,48,,55.3,percent of total billed charges,48% of total billed charges,64.8,45,,51.84,percent of total billed charges,45% of total billed charges,55.08,38.25,,44.06,percent of total billed charges,38.25% of total billed charges,64.8,45,,51.84,percent of total billed charges,45% of total billed charges,64.8,45,,51.84,percent of total billed charges,45% of total billed charges,55.08,142.26,
ST EXERCISE THERAPUTIC EA 15MIN,6203017,CDM,441,RC,97110,HCPCS,OUTPATIENT,,,90,72,,85.5,95,,68.4,percent of total billed charges,95% of total billed charges,85.25,94.72,,68.2,percent of total billed charges,94.72% of total billed charges,88.91,98.79,,71.13,percent of total billed charges,98.79% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,88.2,98,,70.56,percent of total billed charges,98% of total billed charges,43.2,48,,34.56,percent of total billed charges,48% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,38.25,,27.54,percent of total billed charges,38.25% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,40.5,45,,32.4,percent of total billed charges,45% of total billed charges,34.43,88.91,
ST SWALLOWING/ORAL MOTOR,6242531,CDM,441,RC,92526,HCPCS,OUTPATIENT,,,247,197.6,,234.65,95,,187.72,percent of total billed charges,95% of total billed charges,233.96,94.72,,187.17,percent of total billed charges,94.72% of total billed charges,244.01,98.79,,195.21,percent of total billed charges,98.79% of total billed charges,242.06,98,,193.65,percent of total billed charges,98% of total billed charges,242.06,98,,193.65,percent of total billed charges,98% of total billed charges,118.56,48,,94.85,percent of total billed charges,48% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,94.48,38.25,,75.58,percent of total billed charges,38.25% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,94.48,244.01,
ST EVALUATION,6203001,CDM,444,RC,92521,HCPCS,OUTPATIENT,,,385,308,,365.75,95,,292.6,percent of total billed charges,95% of total billed charges,364.67,94.72,,291.74,percent of total billed charges,94.72% of total billed charges,380.34,98.79,,304.27,percent of total billed charges,98.79% of total billed charges,377.3,98,,301.84,percent of total billed charges,98% of total billed charges,377.3,98,,301.84,percent of total billed charges,98% of total billed charges,184.8,48,,147.84,percent of total billed charges,48% of total billed charges,173.25,45,,138.6,percent of total billed charges,45% of total billed charges,147.26,38.25,,117.81,percent of total billed charges,38.25% of total billed charges,173.25,45,,138.6,percent of total billed charges,45% of total billed charges,173.25,45,,138.6,percent of total billed charges,45% of total billed charges,147.26,380.34,
ST APHASIA EVAL,6203015,CDM,444,RC,96105,HCPCS,OUTPATIENT,,,245,196,,232.75,95,,186.2,percent of total billed charges,95% of total billed charges,232.06,94.72,,185.65,percent of total billed charges,94.72% of total billed charges,242.04,98.79,,193.63,percent of total billed charges,98.79% of total billed charges,240.1,98,,192.08,percent of total billed charges,98% of total billed charges,240.1,98,,192.08,percent of total billed charges,98% of total billed charges,117.6,48,,94.08,percent of total billed charges,48% of total billed charges,110.25,45,,88.2,percent of total billed charges,45% of total billed charges,93.71,38.25,,74.97,percent of total billed charges,38.25% of total billed charges,110.25,45,,88.2,percent of total billed charges,45% of total billed charges,110.25,45,,88.2,percent of total billed charges,45% of total billed charges,93.71,242.04,
ST APHASIA EVAL,6203015,CDM,444,RC,96105,HCPCS,OUTPATIENT,,,257,205.6,,244.15,95,,195.32,percent of total billed charges,95% of total billed charges,243.43,94.72,,194.74,percent of total billed charges,94.72% of total billed charges,253.89,98.79,,203.11,percent of total billed charges,98.79% of total billed charges,251.86,98,,201.49,percent of total billed charges,98% of total billed charges,251.86,98,,201.49,percent of total billed charges,98% of total billed charges,123.36,48,,98.69,percent of total billed charges,48% of total billed charges,115.65,45,,92.52,percent of total billed charges,45% of total billed charges,98.3,38.25,,78.64,percent of total billed charges,38.25% of total billed charges,115.65,45,,92.52,percent of total billed charges,45% of total billed charges,115.65,45,,92.52,percent of total billed charges,45% of total billed charges,98.3,253.89,
ST SWALLOW EVAL,6203016,CDM,444,RC,92610,HCPCS,OUTPATIENT,,,247,197.6,,234.65,95,,187.72,percent of total billed charges,95% of total billed charges,233.96,94.72,,187.17,percent of total billed charges,94.72% of total billed charges,244.01,98.79,,195.21,percent of total billed charges,98.79% of total billed charges,242.06,98,,193.65,percent of total billed charges,98% of total billed charges,242.06,98,,193.65,percent of total billed charges,98% of total billed charges,118.56,48,,94.85,percent of total billed charges,48% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,94.48,38.25,,75.58,percent of total billed charges,38.25% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,94.48,244.01,
Eval of Oral and Pharyngeal Swallowing Fx Chg,6242531,CDM,444,RC,92610,HCPCS,OUTPATIENT,,,247,197.6,,234.65,95,,187.72,percent of total billed charges,95% of total billed charges,233.96,94.72,,187.17,percent of total billed charges,94.72% of total billed charges,244.01,98.79,,195.21,percent of total billed charges,98.79% of total billed charges,242.06,98,,193.65,percent of total billed charges,98% of total billed charges,242.06,98,,193.65,percent of total billed charges,98% of total billed charges,118.56,48,,94.85,percent of total billed charges,48% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,94.48,38.25,,75.58,percent of total billed charges,38.25% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,94.48,244.01,
ST MODIFIED BARIUM SWALLOW STUDY,6242533,CDM,444,RC,92611,HCPCS,OUTPATIENT,,,344,275.2,,326.8,95,,261.44,percent of total billed charges,95% of total billed charges,325.84,94.72,,260.67,percent of total billed charges,94.72% of total billed charges,339.84,98.79,,271.87,percent of total billed charges,98.79% of total billed charges,337.12,98,,269.7,percent of total billed charges,98% of total billed charges,337.12,98,,269.7,percent of total billed charges,98% of total billed charges,165.12,48,,132.1,percent of total billed charges,48% of total billed charges,154.8,45,,123.84,percent of total billed charges,45% of total billed charges,131.58,38.25,,105.26,percent of total billed charges,38.25% of total billed charges,154.8,45,,123.84,percent of total billed charges,45% of total billed charges,154.8,45,,123.84,percent of total billed charges,45% of total billed charges,131.58,339.84,
ST EVALUATION OF SPEECH FLUENCY,6292521,CDM,444,RC,92521,HCPCS,OUTPATIENT,,,385,308,,365.75,95,,292.6,percent of total billed charges,95% of total billed charges,364.67,94.72,,291.74,percent of total billed charges,94.72% of total billed charges,380.34,98.79,,304.27,percent of total billed charges,98.79% of total billed charges,377.3,98,,301.84,percent of total billed charges,98% of total billed charges,377.3,98,,301.84,percent of total billed charges,98% of total billed charges,184.8,48,,147.84,percent of total billed charges,48% of total billed charges,173.25,45,,138.6,percent of total billed charges,45% of total billed charges,147.26,38.25,,117.81,percent of total billed charges,38.25% of total billed charges,173.25,45,,138.6,percent of total billed charges,45% of total billed charges,173.25,45,,138.6,percent of total billed charges,45% of total billed charges,147.26,380.34,
ST EVAL OF SPEECH SOUND PRODUCT,6292522,CDM,444,RC,92522,HCPCS,OUTPATIENT,,,385,308,,365.75,95,,292.6,percent of total billed charges,95% of total billed charges,364.67,94.72,,291.74,percent of total billed charges,94.72% of total billed charges,380.34,98.79,,304.27,percent of total billed charges,98.79% of total billed charges,377.3,98,,301.84,percent of total billed charges,98% of total billed charges,377.3,98,,301.84,percent of total billed charges,98% of total billed charges,184.8,48,,147.84,percent of total billed charges,48% of total billed charges,173.25,45,,138.6,percent of total billed charges,45% of total billed charges,147.26,38.25,,117.81,percent of total billed charges,38.25% of total billed charges,173.25,45,,138.6,percent of total billed charges,45% of total billed charges,173.25,45,,138.6,percent of total billed charges,45% of total billed charges,147.26,380.34,
Speech Sound Production Eval Charge,6292522,CDM,444,RC,92522,HCPCS,OUTPATIENT,,,385,308,,365.75,95,,292.6,percent of total billed charges,95% of total billed charges,364.67,94.72,,291.74,percent of total billed charges,94.72% of total billed charges,380.34,98.79,,304.27,percent of total billed charges,98.79% of total billed charges,377.3,98,,301.84,percent of total billed charges,98% of total billed charges,377.3,98,,301.84,percent of total billed charges,98% of total billed charges,184.8,48,,147.84,percent of total billed charges,48% of total billed charges,173.25,45,,138.6,percent of total billed charges,45% of total billed charges,147.26,38.25,,117.81,percent of total billed charges,38.25% of total billed charges,173.25,45,,138.6,percent of total billed charges,45% of total billed charges,173.25,45,,138.6,percent of total billed charges,45% of total billed charges,147.26,380.34,
ST EVAL OF SPEECH SOUND  LANG,6292523,CDM,444,RC,92523,HCPCS,OUTPATIENT,,,385,308,,365.75,95,,292.6,percent of total billed charges,95% of total billed charges,364.67,94.72,,291.74,percent of total billed charges,94.72% of total billed charges,380.34,98.79,,304.27,percent of total billed charges,98.79% of total billed charges,377.3,98,,301.84,percent of total billed charges,98% of total billed charges,377.3,98,,301.84,percent of total billed charges,98% of total billed charges,184.8,48,,147.84,percent of total billed charges,48% of total billed charges,173.25,45,,138.6,percent of total billed charges,45% of total billed charges,147.26,38.25,,117.81,percent of total billed charges,38.25% of total billed charges,173.25,45,,138.6,percent of total billed charges,45% of total billed charges,173.25,45,,138.6,percent of total billed charges,45% of total billed charges,147.26,380.34,
ST EVAL BEHAV  QUAL VOICE  RESONANCE,6292524,CDM,444,RC,92524,HCPCS,OUTPATIENT,,,385,308,,365.75,95,,292.6,percent of total billed charges,95% of total billed charges,364.67,94.72,,291.74,percent of total billed charges,94.72% of total billed charges,380.34,98.79,,304.27,percent of total billed charges,98.79% of total billed charges,377.3,98,,301.84,percent of total billed charges,98% of total billed charges,377.3,98,,301.84,percent of total billed charges,98% of total billed charges,184.8,48,,147.84,percent of total billed charges,48% of total billed charges,173.25,45,,138.6,percent of total billed charges,45% of total billed charges,147.26,38.25,,117.81,percent of total billed charges,38.25% of total billed charges,173.25,45,,138.6,percent of total billed charges,45% of total billed charges,173.25,45,,138.6,percent of total billed charges,45% of total billed charges,147.26,380.34,
ST STD COGNITIVE PERFORMANCE TESTING,6293125,CDM,444,RC,96125,HCPCS,OUTPATIENT,,,173,138.4,,164.35,95,,131.48,percent of total billed charges,95% of total billed charges,163.87,94.72,,131.1,percent of total billed charges,94.72% of total billed charges,170.91,98.79,,136.73,percent of total billed charges,98.79% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,83.04,48,,66.43,percent of total billed charges,48% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,38.25,,52.94,percent of total billed charges,38.25% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,170.91,
28630 CLTX METATARSOPHLNGL JT DISLC W/O ANES TechF,28630,CDM,450,RC,28630,HCPCS,OUTPATIENT,,,762,609.6,,723.9,95,,579.12,percent of total billed charges,95% of total billed charges,721.77,94.72,,577.42,percent of total billed charges,94.72% of total billed charges,752.78,98.79,,602.22,percent of total billed charges,98.79% of total billed charges,746.76,98,,597.41,percent of total billed charges,98% of total billed charges,746.76,98,,597.41,percent of total billed charges,98% of total billed charges,365.76,48,,292.61,percent of total billed charges,48% of total billed charges,342.9,45,,274.32,percent of total billed charges,45% of total billed charges,291.47,38.25,,233.18,percent of total billed charges,38.25% of total billed charges,342.9,45,,274.32,percent of total billed charges,45% of total billed charges,342.9,45,,274.32,percent of total billed charges,45% of total billed charges,291.47,752.78,
RH IGFULL-DOSE IM,5061317,CDM,450,RC,90384,HCPCS,OUTPATIENT,,,235,188,,223.25,95,,178.6,percent of total billed charges,95% of total billed charges,222.59,94.72,,178.07,percent of total billed charges,94.72% of total billed charges,232.16,98.79,,185.73,percent of total billed charges,98.79% of total billed charges,230.3,98,,184.24,percent of total billed charges,98% of total billed charges,230.3,98,,184.24,percent of total billed charges,98% of total billed charges,112.8,48,,90.24,percent of total billed charges,48% of total billed charges,105.75,45,,84.6,percent of total billed charges,45% of total billed charges,89.89,38.25,,71.91,percent of total billed charges,38.25% of total billed charges,105.75,45,,84.6,percent of total billed charges,45% of total billed charges,105.75,45,,84.6,percent of total billed charges,45% of total billed charges,89.89,232.16,
12017 SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM TechFee,10012017,CDM,450,RC,12017,HCPCS,OUTPATIENT,,,1990,1592,,1890.5,95,,1512.4,percent of total billed charges,95% of total billed charges,1884.93,94.72,,1507.94,percent of total billed charges,94.72% of total billed charges,1965.92,98.79,,1572.74,percent of total billed charges,98.79% of total billed charges,1950.2,98,,1560.16,percent of total billed charges,98% of total billed charges,1950.2,98,,1560.16,percent of total billed charges,98% of total billed charges,955.2,48,,764.16,percent of total billed charges,48% of total billed charges,895.5,45,,716.4,percent of total billed charges,45% of total billed charges,761.18,38.25,,608.94,percent of total billed charges,38.25% of total billed charges,895.5,45,,716.4,percent of total billed charges,45% of total billed charges,895.5,45,,716.4,percent of total billed charges,45% of total billed charges,761.18,1965.92,
23605 CLOSED TREATMENT OF PROXIMAL HUMERAL Tech Fee,10023605,CDM,450,RC,23605,HCPCS,OUTPATIENT,,,2898,2318.4,,2753.1,95,,2202.48,percent of total billed charges,95% of total billed charges,2744.99,94.72,,2195.99,percent of total billed charges,94.72% of total billed charges,2862.93,98.79,,2290.34,percent of total billed charges,98.79% of total billed charges,2840.04,98,,2272.03,percent of total billed charges,98% of total billed charges,2840.04,98,,2272.03,percent of total billed charges,98% of total billed charges,1391.04,48,,1112.83,percent of total billed charges,48% of total billed charges,1304.1,45,,1043.28,percent of total billed charges,45% of total billed charges,1108.49,38.25,,886.79,percent of total billed charges,38.25% of total billed charges,1304.1,45,,1043.28,percent of total billed charges,45% of total billed charges,1304.1,45,,1043.28,percent of total billed charges,45% of total billed charges,1108.49,2862.93,
37195 THROMBOLYTIC THERAPY STROKE TechFee,10037195,CDM,450,RC,37195,HCPCS,OUTPATIENT,,,1625,1300,,1543.75,95,,1235,percent of total billed charges,95% of total billed charges,1539.2,94.72,,1231.36,percent of total billed charges,94.72% of total billed charges,1605.34,98.79,,1284.27,percent of total billed charges,98.79% of total billed charges,1592.5,98,,1274,percent of total billed charges,98% of total billed charges,1592.5,98,,1274,percent of total billed charges,98% of total billed charges,780,48,,624,percent of total billed charges,48% of total billed charges,731.25,45,,585,percent of total billed charges,45% of total billed charges,621.56,38.25,,497.25,percent of total billed charges,38.25% of total billed charges,731.25,45,,585,percent of total billed charges,45% of total billed charges,731.25,45,,585,percent of total billed charges,45% of total billed charges,621.56,1605.34,
I  D ABSCESS/CYST,15010060,CDM,450,RC,10060,HCPCS,OUTPATIENT,,,293,234.4,,278.35,95,,222.68,percent of total billed charges,95% of total billed charges,277.53,94.72,,222.02,percent of total billed charges,94.72% of total billed charges,289.45,98.79,,231.56,percent of total billed charges,98.79% of total billed charges,287.14,98,,229.71,percent of total billed charges,98% of total billed charges,287.14,98,,229.71,percent of total billed charges,98% of total billed charges,140.64,48,,112.51,percent of total billed charges,48% of total billed charges,131.85,45,,105.48,percent of total billed charges,45% of total billed charges,112.07,38.25,,89.66,percent of total billed charges,38.25% of total billed charges,131.85,45,,105.48,percent of total billed charges,45% of total billed charges,131.85,45,,105.48,percent of total billed charges,45% of total billed charges,112.07,289.45,
DRAIN SKIN ABSCESS,15010061,CDM,450,RC,10061,HCPCS,OUTPATIENT,,,569,455.2,,540.55,95,,432.44,percent of total billed charges,95% of total billed charges,538.96,94.72,,431.17,percent of total billed charges,94.72% of total billed charges,562.12,98.79,,449.7,percent of total billed charges,98.79% of total billed charges,557.62,98,,446.1,percent of total billed charges,98% of total billed charges,557.62,98,,446.1,percent of total billed charges,98% of total billed charges,273.12,48,,218.5,percent of total billed charges,48% of total billed charges,256.05,45,,204.84,percent of total billed charges,45% of total billed charges,217.64,38.25,,174.11,percent of total billed charges,38.25% of total billed charges,256.05,45,,204.84,percent of total billed charges,45% of total billed charges,256.05,45,,204.84,percent of total billed charges,45% of total billed charges,217.64,562.12,
DRAIN PILONIDAL CYST,15010080,CDM,450,RC,10080,HCPCS,OUTPATIENT,,,600,480,,570,95,,456,percent of total billed charges,95% of total billed charges,568.32,94.72,,454.66,percent of total billed charges,94.72% of total billed charges,592.74,98.79,,474.19,percent of total billed charges,98.79% of total billed charges,588,98,,470.4,percent of total billed charges,98% of total billed charges,588,98,,470.4,percent of total billed charges,98% of total billed charges,288,48,,230.4,percent of total billed charges,48% of total billed charges,270,45,,216,percent of total billed charges,45% of total billed charges,229.5,38.25,,183.6,percent of total billed charges,38.25% of total billed charges,270,45,,216,percent of total billed charges,45% of total billed charges,270,45,,216,percent of total billed charges,45% of total billed charges,229.5,592.74,
DRAIN HEMATOMA/FLUID,15010140,CDM,450,RC,10140,HCPCS,OUTPATIENT,,,652,521.6,,619.4,95,,495.52,percent of total billed charges,95% of total billed charges,617.57,94.72,,494.06,percent of total billed charges,94.72% of total billed charges,644.11,98.79,,515.29,percent of total billed charges,98.79% of total billed charges,638.96,98,,511.17,percent of total billed charges,98% of total billed charges,638.96,98,,511.17,percent of total billed charges,98% of total billed charges,312.96,48,,250.37,percent of total billed charges,48% of total billed charges,293.4,45,,234.72,percent of total billed charges,45% of total billed charges,249.39,38.25,,199.51,percent of total billed charges,38.25% of total billed charges,293.4,45,,234.72,percent of total billed charges,45% of total billed charges,293.4,45,,234.72,percent of total billed charges,45% of total billed charges,249.39,644.11,
ID CPLX POST OP WND INF,15010180,CDM,450,RC,10180,HCPCS,OUTPATIENT,,,705,564,,669.75,95,,535.8,percent of total billed charges,95% of total billed charges,667.78,94.72,,534.22,percent of total billed charges,94.72% of total billed charges,696.47,98.79,,557.18,percent of total billed charges,98.79% of total billed charges,690.9,98,,552.72,percent of total billed charges,98% of total billed charges,690.9,98,,552.72,percent of total billed charges,98% of total billed charges,338.4,48,,270.72,percent of total billed charges,48% of total billed charges,317.25,45,,253.8,percent of total billed charges,45% of total billed charges,269.66,38.25,,215.73,percent of total billed charges,38.25% of total billed charges,317.25,45,,253.8,percent of total billed charges,45% of total billed charges,317.25,45,,253.8,percent of total billed charges,45% of total billed charges,269.66,696.47,
DEBRIDE OF EXT INFECTED SKIN TO 10%,15011000,CDM,450,RC,11000,HCPCS,OUTPATIENT,,,256,204.8,,243.2,95,,194.56,percent of total billed charges,95% of total billed charges,242.48,94.72,,193.98,percent of total billed charges,94.72% of total billed charges,252.9,98.79,,202.32,percent of total billed charges,98.79% of total billed charges,250.88,98,,200.7,percent of total billed charges,98% of total billed charges,250.88,98,,200.7,percent of total billed charges,98% of total billed charges,122.88,48,,98.3,percent of total billed charges,48% of total billed charges,115.2,45,,92.16,percent of total billed charges,45% of total billed charges,97.92,38.25,,78.34,percent of total billed charges,38.25% of total billed charges,115.2,45,,92.16,percent of total billed charges,45% of total billed charges,115.2,45,,92.16,percent of total billed charges,45% of total billed charges,97.92,252.9,
DEBRIDE EA ADDL 10% BODY SURFACE,15011001,CDM,450,RC,11001,HCPCS,OUTPATIENT,,,116,92.8,,110.2,95,,88.16,percent of total billed charges,95% of total billed charges,109.88,94.72,,87.9,percent of total billed charges,94.72% of total billed charges,114.6,98.79,,91.68,percent of total billed charges,98.79% of total billed charges,113.68,98,,90.94,percent of total billed charges,98% of total billed charges,113.68,98,,90.94,percent of total billed charges,98% of total billed charges,55.68,48,,44.54,percent of total billed charges,48% of total billed charges,52.2,45,,41.76,percent of total billed charges,45% of total billed charges,44.37,38.25,,35.5,percent of total billed charges,38.25% of total billed charges,52.2,45,,41.76,percent of total billed charges,45% of total billed charges,52.2,45,,41.76,percent of total billed charges,45% of total billed charges,44.37,114.6,
DEBRIDE REMOVAL OF FM OPEN FRACTURE,15011010,CDM,450,RC,11010,HCPCS,OUTPATIENT,,,2309,1847.2,,2193.55,95,,1754.84,percent of total billed charges,95% of total billed charges,2187.08,94.72,,1749.66,percent of total billed charges,94.72% of total billed charges,2281.06,98.79,,1824.85,percent of total billed charges,98.79% of total billed charges,2262.82,98,,1810.26,percent of total billed charges,98% of total billed charges,2262.82,98,,1810.26,percent of total billed charges,98% of total billed charges,1108.32,48,,886.66,percent of total billed charges,48% of total billed charges,1039.05,45,,831.24,percent of total billed charges,45% of total billed charges,883.19,38.25,,706.55,percent of total billed charges,38.25% of total billed charges,1039.05,45,,831.24,percent of total billed charges,45% of total billed charges,1039.05,45,,831.24,percent of total billed charges,45% of total billed charges,883.19,2281.06,
DEBRIDE SKIN TISSUE MUSCLE FASCIA,15011011,CDM,450,RC,11011,HCPCS,OUTPATIENT,,,2983,2386.4,,2833.85,95,,2267.08,percent of total billed charges,95% of total billed charges,2825.5,94.72,,2260.4,percent of total billed charges,94.72% of total billed charges,2946.91,98.79,,2357.53,percent of total billed charges,98.79% of total billed charges,2923.34,98,,2338.67,percent of total billed charges,98% of total billed charges,2923.34,98,,2338.67,percent of total billed charges,98% of total billed charges,1431.84,48,,1145.47,percent of total billed charges,48% of total billed charges,1342.35,45,,1073.88,percent of total billed charges,45% of total billed charges,1141,38.25,,912.8,percent of total billed charges,38.25% of total billed charges,1342.35,45,,1073.88,percent of total billed charges,45% of total billed charges,1342.35,45,,1073.88,percent of total billed charges,45% of total billed charges,1141,2946.91,
DEBRIDE SKIN TISSUE MUSCLE FASCIA,15011012,CDM,450,RC,11012,HCPCS,OUTPATIENT,,,4479,3583.2,,4255.05,95,,3404.04,percent of total billed charges,95% of total billed charges,4242.51,94.72,,3394.01,percent of total billed charges,94.72% of total billed charges,4424.8,98.79,,3539.84,percent of total billed charges,98.79% of total billed charges,4389.42,98,,3511.54,percent of total billed charges,98% of total billed charges,4389.42,98,,3511.54,percent of total billed charges,98% of total billed charges,2149.92,48,,1719.94,percent of total billed charges,48% of total billed charges,2015.55,45,,1612.44,percent of total billed charges,45% of total billed charges,1713.22,38.25,,1370.58,percent of total billed charges,38.25% of total billed charges,2015.55,45,,1612.44,percent of total billed charges,45% of total billed charges,2015.55,45,,1612.44,percent of total billed charges,45% of total billed charges,1713.22,4424.8,
DEBRIDE SKIN  SUBCUTANEOUS TISSUE,15011042,CDM,450,RC,11042,HCPCS,OUTPATIENT,,,411,328.8,,390.45,95,,312.36,percent of total billed charges,95% of total billed charges,389.3,94.72,,311.44,percent of total billed charges,94.72% of total billed charges,406.03,98.79,,324.82,percent of total billed charges,98.79% of total billed charges,402.78,98,,322.22,percent of total billed charges,98% of total billed charges,402.78,98,,322.22,percent of total billed charges,98% of total billed charges,197.28,48,,157.82,percent of total billed charges,48% of total billed charges,184.95,45,,147.96,percent of total billed charges,45% of total billed charges,157.21,38.25,,125.77,percent of total billed charges,38.25% of total billed charges,184.95,45,,147.96,percent of total billed charges,45% of total billed charges,184.95,45,,147.96,percent of total billed charges,45% of total billed charges,157.21,406.03,
TRIM SKIN LESION,15011055,CDM,450,RC,11055,HCPCS,OUTPATIENT,,,81,64.8,,76.95,95,,61.56,percent of total billed charges,95% of total billed charges,76.72,94.72,,61.38,percent of total billed charges,94.72% of total billed charges,80.02,98.79,,64.02,percent of total billed charges,98.79% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,38.88,48,,31.1,percent of total billed charges,48% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,38.25,,24.78,percent of total billed charges,38.25% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,80.02,
TRIM SKIN LESIONS 2 TO 4,15011056,CDM,450,RC,11056,HCPCS,OUTPATIENT,,,87,69.6,,82.65,95,,66.12,percent of total billed charges,95% of total billed charges,82.41,94.72,,65.93,percent of total billed charges,94.72% of total billed charges,85.95,98.79,,68.76,percent of total billed charges,98.79% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,41.76,48,,33.41,percent of total billed charges,48% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,38.25,,26.62,percent of total billed charges,38.25% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,85.95,
SHAVE SKIN LESION,15011300,CDM,450,RC,11300,HCPCS,OUTPATIENT,,,303,242.4,,287.85,95,,230.28,percent of total billed charges,95% of total billed charges,287,94.72,,229.6,percent of total billed charges,94.72% of total billed charges,299.33,98.79,,239.46,percent of total billed charges,98.79% of total billed charges,296.94,98,,237.55,percent of total billed charges,98% of total billed charges,296.94,98,,237.55,percent of total billed charges,98% of total billed charges,145.44,48,,116.35,percent of total billed charges,48% of total billed charges,136.35,45,,109.08,percent of total billed charges,45% of total billed charges,115.9,38.25,,92.72,percent of total billed charges,38.25% of total billed charges,136.35,45,,109.08,percent of total billed charges,45% of total billed charges,136.35,45,,109.08,percent of total billed charges,45% of total billed charges,115.9,299.33,
SHAVE LESION F/E/N/L 0.5CM<,15011310,CDM,450,RC,11310,HCPCS,OUTPATIENT,,,368,294.4,,349.6,95,,279.68,percent of total billed charges,95% of total billed charges,348.57,94.72,,278.86,percent of total billed charges,94.72% of total billed charges,363.55,98.79,,290.84,percent of total billed charges,98.79% of total billed charges,360.64,98,,288.51,percent of total billed charges,98% of total billed charges,360.64,98,,288.51,percent of total billed charges,98% of total billed charges,176.64,48,,141.31,percent of total billed charges,48% of total billed charges,165.6,45,,132.48,percent of total billed charges,45% of total billed charges,140.76,38.25,,112.61,percent of total billed charges,38.25% of total billed charges,165.6,45,,132.48,percent of total billed charges,45% of total billed charges,165.6,45,,132.48,percent of total billed charges,45% of total billed charges,140.76,363.55,
EXC BENIGN .5 CM OR LESS TRUNK,15011400,CDM,450,RC,11400,HCPCS,OUTPATIENT,,,345,276,,327.75,95,,262.2,percent of total billed charges,95% of total billed charges,326.78,94.72,,261.42,percent of total billed charges,94.72% of total billed charges,340.83,98.79,,272.66,percent of total billed charges,98.79% of total billed charges,338.1,98,,270.48,percent of total billed charges,98% of total billed charges,338.1,98,,270.48,percent of total billed charges,98% of total billed charges,165.6,48,,132.48,percent of total billed charges,48% of total billed charges,155.25,45,,124.2,percent of total billed charges,45% of total billed charges,131.96,38.25,,105.57,percent of total billed charges,38.25% of total billed charges,155.25,45,,124.2,percent of total billed charges,45% of total billed charges,155.25,45,,124.2,percent of total billed charges,45% of total billed charges,131.96,340.83,
REMOVE SKIN LESION,15011420,CDM,450,RC,11420,HCPCS,OUTPATIENT,,,504,403.2,,478.8,95,,383.04,percent of total billed charges,95% of total billed charges,477.39,94.72,,381.91,percent of total billed charges,94.72% of total billed charges,497.9,98.79,,398.32,percent of total billed charges,98.79% of total billed charges,493.92,98,,395.14,percent of total billed charges,98% of total billed charges,493.92,98,,395.14,percent of total billed charges,98% of total billed charges,241.92,48,,193.54,percent of total billed charges,48% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,192.78,38.25,,154.22,percent of total billed charges,38.25% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,192.78,497.9,
DEBRIDE NAIL 1-5,15011720,CDM,450,RC,11720,HCPCS,OUTPATIENT,,,102,81.6,,96.9,95,,77.52,percent of total billed charges,95% of total billed charges,96.61,94.72,,77.29,percent of total billed charges,94.72% of total billed charges,100.77,98.79,,80.62,percent of total billed charges,98.79% of total billed charges,99.96,98,,79.97,percent of total billed charges,98% of total billed charges,99.96,98,,79.97,percent of total billed charges,98% of total billed charges,48.96,48,,39.17,percent of total billed charges,48% of total billed charges,45.9,45,,36.72,percent of total billed charges,45% of total billed charges,39.02,38.25,,31.22,percent of total billed charges,38.25% of total billed charges,45.9,45,,36.72,percent of total billed charges,45% of total billed charges,45.9,45,,36.72,percent of total billed charges,45% of total billed charges,39.02,100.77,
REM NAIL PLATE ADD ON,15011732,CDM,450,RC,11732,HCPCS,OUTPATIENT,,,202,161.6,,191.9,95,,153.52,percent of total billed charges,95% of total billed charges,191.33,94.72,,153.06,percent of total billed charges,94.72% of total billed charges,199.56,98.79,,159.65,percent of total billed charges,98.79% of total billed charges,197.96,98,,158.37,percent of total billed charges,98% of total billed charges,197.96,98,,158.37,percent of total billed charges,98% of total billed charges,96.96,48,,77.57,percent of total billed charges,48% of total billed charges,90.9,45,,72.72,percent of total billed charges,45% of total billed charges,77.27,38.25,,61.82,percent of total billed charges,38.25% of total billed charges,90.9,45,,72.72,percent of total billed charges,45% of total billed charges,90.9,45,,72.72,percent of total billed charges,45% of total billed charges,77.27,199.56,
DRAIN BLOOD FROM UNDER NAIL,15011740,CDM,450,RC,11740,HCPCS,OUTPATIENT,,,243,194.4,,230.85,95,,184.68,percent of total billed charges,95% of total billed charges,230.17,94.72,,184.14,percent of total billed charges,94.72% of total billed charges,240.06,98.79,,192.05,percent of total billed charges,98.79% of total billed charges,238.14,98,,190.51,percent of total billed charges,98% of total billed charges,238.14,98,,190.51,percent of total billed charges,98% of total billed charges,116.64,48,,93.31,percent of total billed charges,48% of total billed charges,109.35,45,,87.48,percent of total billed charges,45% of total billed charges,92.95,38.25,,74.36,percent of total billed charges,38.25% of total billed charges,109.35,45,,87.48,percent of total billed charges,45% of total billed charges,109.35,45,,87.48,percent of total billed charges,45% of total billed charges,92.95,240.06,
WEDGE EXC NAIL FOLD,15011765,CDM,450,RC,11765,HCPCS,OUTPATIENT,,,504,403.2,,478.8,95,,383.04,percent of total billed charges,95% of total billed charges,477.39,94.72,,381.91,percent of total billed charges,94.72% of total billed charges,497.9,98.79,,398.32,percent of total billed charges,98.79% of total billed charges,493.92,98,,395.14,percent of total billed charges,98% of total billed charges,493.92,98,,395.14,percent of total billed charges,98% of total billed charges,241.92,48,,193.54,percent of total billed charges,48% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,192.78,38.25,,154.22,percent of total billed charges,38.25% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,192.78,497.9,
REPAIR SIMPLE 2.6-7.5 CM,15012002,CDM,450,RC,12002,HCPCS,OUTPATIENT,,,601,480.8,,570.95,95,,456.76,percent of total billed charges,95% of total billed charges,569.27,94.72,,455.42,percent of total billed charges,94.72% of total billed charges,593.73,98.79,,474.98,percent of total billed charges,98.79% of total billed charges,588.98,98,,471.18,percent of total billed charges,98% of total billed charges,588.98,98,,471.18,percent of total billed charges,98% of total billed charges,288.48,48,,230.78,percent of total billed charges,48% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,229.88,38.25,,183.9,percent of total billed charges,38.25% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,229.88,593.73,
REPAIR SIMPLE 7.6-12.5 CM,15012004,CDM,450,RC,12004,HCPCS,OUTPATIENT,,,1094,875.2,,1039.3,95,,831.44,percent of total billed charges,95% of total billed charges,1036.24,94.72,,828.99,percent of total billed charges,94.72% of total billed charges,1080.76,98.79,,864.61,percent of total billed charges,98.79% of total billed charges,1072.12,98,,857.7,percent of total billed charges,98% of total billed charges,1072.12,98,,857.7,percent of total billed charges,98% of total billed charges,525.12,48,,420.1,percent of total billed charges,48% of total billed charges,492.3,45,,393.84,percent of total billed charges,45% of total billed charges,418.46,38.25,,334.77,percent of total billed charges,38.25% of total billed charges,492.3,45,,393.84,percent of total billed charges,45% of total billed charges,492.3,45,,393.84,percent of total billed charges,45% of total billed charges,418.46,1080.76,
REPAIR-SIMPLE 12.6-20 CM,15012005,CDM,450,RC,12005,HCPCS,OUTPATIENT,,,464,371.2,,440.8,95,,352.64,percent of total billed charges,95% of total billed charges,439.5,94.72,,351.6,percent of total billed charges,94.72% of total billed charges,458.39,98.79,,366.71,percent of total billed charges,98.79% of total billed charges,454.72,98,,363.78,percent of total billed charges,98% of total billed charges,454.72,98,,363.78,percent of total billed charges,98% of total billed charges,222.72,48,,178.18,percent of total billed charges,48% of total billed charges,208.8,45,,167.04,percent of total billed charges,45% of total billed charges,177.48,38.25,,141.98,percent of total billed charges,38.25% of total billed charges,208.8,45,,167.04,percent of total billed charges,45% of total billed charges,208.8,45,,167.04,percent of total billed charges,45% of total billed charges,177.48,458.39,
REPAIR-SUPERFICIAL WOUND(S),15012006,CDM,450,RC,12006,HCPCS,OUTPATIENT,,,762,609.6,,723.9,95,,579.12,percent of total billed charges,95% of total billed charges,721.77,94.72,,577.42,percent of total billed charges,94.72% of total billed charges,752.78,98.79,,602.22,percent of total billed charges,98.79% of total billed charges,746.76,98,,597.41,percent of total billed charges,98% of total billed charges,746.76,98,,597.41,percent of total billed charges,98% of total billed charges,365.76,48,,292.61,percent of total billed charges,48% of total billed charges,342.9,45,,274.32,percent of total billed charges,45% of total billed charges,291.47,38.25,,233.18,percent of total billed charges,38.25% of total billed charges,342.9,45,,274.32,percent of total billed charges,45% of total billed charges,342.9,45,,274.32,percent of total billed charges,45% of total billed charges,291.47,752.78,
REPAIR-SUPERFICIAL WOUND(S),15012007,CDM,450,RC,12007,HCPCS,OUTPATIENT,,,904,723.2,,858.8,95,,687.04,percent of total billed charges,95% of total billed charges,856.27,94.72,,685.02,percent of total billed charges,94.72% of total billed charges,893.06,98.79,,714.45,percent of total billed charges,98.79% of total billed charges,885.92,98,,708.74,percent of total billed charges,98% of total billed charges,885.92,98,,708.74,percent of total billed charges,98% of total billed charges,433.92,48,,347.14,percent of total billed charges,48% of total billed charges,406.8,45,,325.44,percent of total billed charges,45% of total billed charges,345.78,38.25,,276.62,percent of total billed charges,38.25% of total billed charges,406.8,45,,325.44,percent of total billed charges,45% of total billed charges,406.8,45,,325.44,percent of total billed charges,45% of total billed charges,345.78,893.06,
REPAIR-SIMPLE FACE EARS 2.6-5.0 CM,15012013,CDM,450,RC,12013,HCPCS,OUTPATIENT,,,812,649.6,,771.4,95,,617.12,percent of total billed charges,95% of total billed charges,769.13,94.72,,615.3,percent of total billed charges,94.72% of total billed charges,802.17,98.79,,641.74,percent of total billed charges,98.79% of total billed charges,795.76,98,,636.61,percent of total billed charges,98% of total billed charges,795.76,98,,636.61,percent of total billed charges,98% of total billed charges,389.76,48,,311.81,percent of total billed charges,48% of total billed charges,365.4,45,,292.32,percent of total billed charges,45% of total billed charges,310.59,38.25,,248.47,percent of total billed charges,38.25% of total billed charges,365.4,45,,292.32,percent of total billed charges,45% of total billed charges,365.4,45,,292.32,percent of total billed charges,45% of total billed charges,310.59,802.17,
REPAIR-SIMPLE FACE EARS 5.1-7.5 CM,15012014,CDM,450,RC,12014,HCPCS,OUTPATIENT,,,465,372,,441.75,95,,353.4,percent of total billed charges,95% of total billed charges,440.45,94.72,,352.36,percent of total billed charges,94.72% of total billed charges,459.37,98.79,,367.5,percent of total billed charges,98.79% of total billed charges,455.7,98,,364.56,percent of total billed charges,98% of total billed charges,455.7,98,,364.56,percent of total billed charges,98% of total billed charges,223.2,48,,178.56,percent of total billed charges,48% of total billed charges,209.25,45,,167.4,percent of total billed charges,45% of total billed charges,177.86,38.25,,142.29,percent of total billed charges,38.25% of total billed charges,209.25,45,,167.4,percent of total billed charges,45% of total billed charges,209.25,45,,167.4,percent of total billed charges,45% of total billed charges,177.86,459.37,
REPAIR-SIMPLE FACE EARS 7.6-12.5 CM,15012015,CDM,450,RC,12015,HCPCS,OUTPATIENT,,,502,401.6,,476.9,95,,381.52,percent of total billed charges,95% of total billed charges,475.49,94.72,,380.39,percent of total billed charges,94.72% of total billed charges,495.93,98.79,,396.74,percent of total billed charges,98.79% of total billed charges,491.96,98,,393.57,percent of total billed charges,98% of total billed charges,491.96,98,,393.57,percent of total billed charges,98% of total billed charges,240.96,48,,192.77,percent of total billed charges,48% of total billed charges,225.9,45,,180.72,percent of total billed charges,45% of total billed charges,192.02,38.25,,153.62,percent of total billed charges,38.25% of total billed charges,225.9,45,,180.72,percent of total billed charges,45% of total billed charges,225.9,45,,180.72,percent of total billed charges,45% of total billed charges,192.02,495.93,
REPAIR-SIMPLE FACE EARS 12.6-20 CM,15012016,CDM,450,RC,12016,HCPCS,OUTPATIENT,,,513,410.4,,487.35,95,,389.88,percent of total billed charges,95% of total billed charges,485.91,94.72,,388.73,percent of total billed charges,94.72% of total billed charges,506.79,98.79,,405.43,percent of total billed charges,98.79% of total billed charges,502.74,98,,402.19,percent of total billed charges,98% of total billed charges,502.74,98,,402.19,percent of total billed charges,98% of total billed charges,246.24,48,,196.99,percent of total billed charges,48% of total billed charges,230.85,45,,184.68,percent of total billed charges,45% of total billed charges,196.22,38.25,,156.98,percent of total billed charges,38.25% of total billed charges,230.85,45,,184.68,percent of total billed charges,45% of total billed charges,230.85,45,,184.68,percent of total billed charges,45% of total billed charges,196.22,506.79,
REPAIR-INTERMEDIATE <=2.5 CM,15012031,CDM,450,RC,12031,HCPCS,OUTPATIENT,,,833,666.4,,791.35,95,,633.08,percent of total billed charges,95% of total billed charges,789.02,94.72,,631.22,percent of total billed charges,94.72% of total billed charges,822.92,98.79,,658.34,percent of total billed charges,98.79% of total billed charges,816.34,98,,653.07,percent of total billed charges,98% of total billed charges,816.34,98,,653.07,percent of total billed charges,98% of total billed charges,399.84,48,,319.87,percent of total billed charges,48% of total billed charges,374.85,45,,299.88,percent of total billed charges,45% of total billed charges,318.62,38.25,,254.9,percent of total billed charges,38.25% of total billed charges,374.85,45,,299.88,percent of total billed charges,45% of total billed charges,374.85,45,,299.88,percent of total billed charges,45% of total billed charges,318.62,822.92,
REPAIR-INTERMEDIATE 2.6-7.5 CM,15012032,CDM,450,RC,12032,HCPCS,OUTPATIENT,,,1058,846.4,,1005.1,95,,804.08,percent of total billed charges,95% of total billed charges,1002.14,94.72,,801.71,percent of total billed charges,94.72% of total billed charges,1045.2,98.79,,836.16,percent of total billed charges,98.79% of total billed charges,1036.84,98,,829.47,percent of total billed charges,98% of total billed charges,1036.84,98,,829.47,percent of total billed charges,98% of total billed charges,507.84,48,,406.27,percent of total billed charges,48% of total billed charges,476.1,45,,380.88,percent of total billed charges,45% of total billed charges,404.69,38.25,,323.75,percent of total billed charges,38.25% of total billed charges,476.1,45,,380.88,percent of total billed charges,45% of total billed charges,476.1,45,,380.88,percent of total billed charges,45% of total billed charges,404.69,1045.2,
REPAIR-INTER NECK HANDS 2.6-7.5 CM,15012042,CDM,450,RC,12042,HCPCS,OUTPATIENT,,,1185,948,,1125.75,95,,900.6,percent of total billed charges,95% of total billed charges,1122.43,94.72,,897.94,percent of total billed charges,94.72% of total billed charges,1170.66,98.79,,936.53,percent of total billed charges,98.79% of total billed charges,1161.3,98,,929.04,percent of total billed charges,98% of total billed charges,1161.3,98,,929.04,percent of total billed charges,98% of total billed charges,568.8,48,,455.04,percent of total billed charges,48% of total billed charges,533.25,45,,426.6,percent of total billed charges,45% of total billed charges,453.26,38.25,,362.61,percent of total billed charges,38.25% of total billed charges,533.25,45,,426.6,percent of total billed charges,45% of total billed charges,533.25,45,,426.6,percent of total billed charges,45% of total billed charges,453.26,1170.66,
REPAIR-INTER FACE EARS <=2.5 CM,15012051,CDM,450,RC,12051,HCPCS,OUTPATIENT,,,1253,1002.4,,1190.35,95,,952.28,percent of total billed charges,95% of total billed charges,1186.84,94.72,,949.47,percent of total billed charges,94.72% of total billed charges,1237.84,98.79,,990.27,percent of total billed charges,98.79% of total billed charges,1227.94,98,,982.35,percent of total billed charges,98% of total billed charges,1227.94,98,,982.35,percent of total billed charges,98% of total billed charges,601.44,48,,481.15,percent of total billed charges,48% of total billed charges,563.85,45,,451.08,percent of total billed charges,45% of total billed charges,479.27,38.25,,383.42,percent of total billed charges,38.25% of total billed charges,563.85,45,,451.08,percent of total billed charges,45% of total billed charges,563.85,45,,451.08,percent of total billed charges,45% of total billed charges,479.27,1237.84,
REPAIR INTER FACE EARS 2.6-5.0 CM,15012052,CDM,450,RC,12052,HCPCS,OUTPATIENT,,,1872,1497.6,,1778.4,95,,1422.72,percent of total billed charges,95% of total billed charges,1773.16,94.72,,1418.53,percent of total billed charges,94.72% of total billed charges,1849.35,98.79,,1479.48,percent of total billed charges,98.79% of total billed charges,1834.56,98,,1467.65,percent of total billed charges,98% of total billed charges,1834.56,98,,1467.65,percent of total billed charges,98% of total billed charges,898.56,48,,718.85,percent of total billed charges,48% of total billed charges,842.4,45,,673.92,percent of total billed charges,45% of total billed charges,716.04,38.25,,572.83,percent of total billed charges,38.25% of total billed charges,842.4,45,,673.92,percent of total billed charges,45% of total billed charges,842.4,45,,673.92,percent of total billed charges,45% of total billed charges,716.04,1849.35,
REPAIR INTER FACE EARS 5.1-7.5 CM,15012053,CDM,450,RC,12053,HCPCS,OUTPATIENT,,,1602,1281.6,,1521.9,95,,1217.52,percent of total billed charges,95% of total billed charges,1517.41,94.72,,1213.93,percent of total billed charges,94.72% of total billed charges,1582.62,98.79,,1266.1,percent of total billed charges,98.79% of total billed charges,1569.96,98,,1255.97,percent of total billed charges,98% of total billed charges,1569.96,98,,1255.97,percent of total billed charges,98% of total billed charges,768.96,48,,615.17,percent of total billed charges,48% of total billed charges,720.9,45,,576.72,percent of total billed charges,45% of total billed charges,612.77,38.25,,490.22,percent of total billed charges,38.25% of total billed charges,720.9,45,,576.72,percent of total billed charges,45% of total billed charges,720.9,45,,576.72,percent of total billed charges,45% of total billed charges,612.77,1582.62,
REPAIR INTER FACE EARS 7.6-12.5 CM,15012054,CDM,450,RC,12054,HCPCS,OUTPATIENT,,,1644,1315.2,,1561.8,95,,1249.44,percent of total billed charges,95% of total billed charges,1557.2,94.72,,1245.76,percent of total billed charges,94.72% of total billed charges,1624.11,98.79,,1299.29,percent of total billed charges,98.79% of total billed charges,1611.12,98,,1288.9,percent of total billed charges,98% of total billed charges,1611.12,98,,1288.9,percent of total billed charges,98% of total billed charges,789.12,48,,631.3,percent of total billed charges,48% of total billed charges,739.8,45,,591.84,percent of total billed charges,45% of total billed charges,628.83,38.25,,503.06,percent of total billed charges,38.25% of total billed charges,739.8,45,,591.84,percent of total billed charges,45% of total billed charges,739.8,45,,591.84,percent of total billed charges,45% of total billed charges,628.83,1624.11,
REPAIR INTERMED FACE EARS 12.6-20CM,15012055,CDM,450,RC,12055,HCPCS,OUTPATIENT,,,819,655.2,,778.05,95,,622.44,percent of total billed charges,95% of total billed charges,775.76,94.72,,620.61,percent of total billed charges,94.72% of total billed charges,809.09,98.79,,647.27,percent of total billed charges,98.79% of total billed charges,802.62,98,,642.1,percent of total billed charges,98% of total billed charges,802.62,98,,642.1,percent of total billed charges,98% of total billed charges,393.12,48,,314.5,percent of total billed charges,48% of total billed charges,368.55,45,,294.84,percent of total billed charges,45% of total billed charges,313.27,38.25,,250.62,percent of total billed charges,38.25% of total billed charges,368.55,45,,294.84,percent of total billed charges,45% of total billed charges,368.55,45,,294.84,percent of total billed charges,45% of total billed charges,313.27,809.09,
REPAIR INTERMED FACE EARS 20.1-30 CM,15012056,CDM,450,RC,12056,HCPCS,OUTPATIENT,,,1072,857.6,,1018.4,95,,814.72,percent of total billed charges,95% of total billed charges,1015.4,94.72,,812.32,percent of total billed charges,94.72% of total billed charges,1059.03,98.79,,847.22,percent of total billed charges,98.79% of total billed charges,1050.56,98,,840.45,percent of total billed charges,98% of total billed charges,1050.56,98,,840.45,percent of total billed charges,98% of total billed charges,514.56,48,,411.65,percent of total billed charges,48% of total billed charges,482.4,45,,385.92,percent of total billed charges,45% of total billed charges,410.04,38.25,,328.03,percent of total billed charges,38.25% of total billed charges,482.4,45,,385.92,percent of total billed charges,45% of total billed charges,482.4,45,,385.92,percent of total billed charges,45% of total billed charges,410.04,1059.03,
REPAIR INTERMED FACE EARS OVER 30CM,15012057,CDM,450,RC,12057,HCPCS,OUTPATIENT,,,1151,920.8,,1093.45,95,,874.76,percent of total billed charges,95% of total billed charges,1090.23,94.72,,872.18,percent of total billed charges,94.72% of total billed charges,1137.07,98.79,,909.66,percent of total billed charges,98.79% of total billed charges,1127.98,98,,902.38,percent of total billed charges,98% of total billed charges,1127.98,98,,902.38,percent of total billed charges,98% of total billed charges,552.48,48,,441.98,percent of total billed charges,48% of total billed charges,517.95,45,,414.36,percent of total billed charges,45% of total billed charges,440.26,38.25,,352.21,percent of total billed charges,38.25% of total billed charges,517.95,45,,414.36,percent of total billed charges,45% of total billed charges,517.95,45,,414.36,percent of total billed charges,45% of total billed charges,440.26,1137.07,
REP COMPLEX TRUNK 1.1-2.5 CM,15013100,CDM,450,RC,13100,HCPCS,OUTPATIENT,,,805,644,,764.75,95,,611.8,percent of total billed charges,95% of total billed charges,762.5,94.72,,610,percent of total billed charges,94.72% of total billed charges,795.26,98.79,,636.21,percent of total billed charges,98.79% of total billed charges,788.9,98,,631.12,percent of total billed charges,98% of total billed charges,788.9,98,,631.12,percent of total billed charges,98% of total billed charges,386.4,48,,309.12,percent of total billed charges,48% of total billed charges,362.25,45,,289.8,percent of total billed charges,45% of total billed charges,307.91,38.25,,246.33,percent of total billed charges,38.25% of total billed charges,362.25,45,,289.8,percent of total billed charges,45% of total billed charges,362.25,45,,289.8,percent of total billed charges,45% of total billed charges,307.91,795.26,
REPAIR COMPLEX TRUNK 2.6-7.5 CM,15013101,CDM,450,RC,13101,HCPCS,OUTPATIENT,,,965,772,,916.75,95,,733.4,percent of total billed charges,95% of total billed charges,914.05,94.72,,731.24,percent of total billed charges,94.72% of total billed charges,953.32,98.79,,762.66,percent of total billed charges,98.79% of total billed charges,945.7,98,,756.56,percent of total billed charges,98% of total billed charges,945.7,98,,756.56,percent of total billed charges,98% of total billed charges,463.2,48,,370.56,percent of total billed charges,48% of total billed charges,434.25,45,,347.4,percent of total billed charges,45% of total billed charges,369.11,38.25,,295.29,percent of total billed charges,38.25% of total billed charges,434.25,45,,347.4,percent of total billed charges,45% of total billed charges,434.25,45,,347.4,percent of total billed charges,45% of total billed charges,369.11,953.32,
REPAIR COMPLEX TRUNK EA ADDL 5CM,15013102,CDM,450,RC,13102,HCPCS,OUTPATIENT,,,271,216.8,,257.45,95,,205.96,percent of total billed charges,95% of total billed charges,256.69,94.72,,205.35,percent of total billed charges,94.72% of total billed charges,267.72,98.79,,214.18,percent of total billed charges,98.79% of total billed charges,265.58,98,,212.46,percent of total billed charges,98% of total billed charges,265.58,98,,212.46,percent of total billed charges,98% of total billed charges,130.08,48,,104.06,percent of total billed charges,48% of total billed charges,121.95,45,,97.56,percent of total billed charges,45% of total billed charges,103.66,38.25,,82.93,percent of total billed charges,38.25% of total billed charges,121.95,45,,97.56,percent of total billed charges,45% of total billed charges,121.95,45,,97.56,percent of total billed charges,45% of total billed charges,103.66,267.72,
REPAIR-COMP SCALP ARMS LEGS ADDL 5,15013122,CDM,450,RC,13122,HCPCS,OUTPATIENT,,,315,252,,299.25,95,,239.4,percent of total billed charges,95% of total billed charges,298.37,94.72,,238.7,percent of total billed charges,94.72% of total billed charges,311.19,98.79,,248.95,percent of total billed charges,98.79% of total billed charges,308.7,98,,246.96,percent of total billed charges,98% of total billed charges,308.7,98,,246.96,percent of total billed charges,98% of total billed charges,151.2,48,,120.96,percent of total billed charges,48% of total billed charges,141.75,45,,113.4,percent of total billed charges,45% of total billed charges,120.49,38.25,,96.39,percent of total billed charges,38.25% of total billed charges,141.75,45,,113.4,percent of total billed charges,45% of total billed charges,141.75,45,,113.4,percent of total billed charges,45% of total billed charges,120.49,311.19,
REPAIR COMPLEX FOREHEAD CHEEKS CHIN,15013132,CDM,450,RC,13132,HCPCS,OUTPATIENT,,,2097,1677.6,,1992.15,95,,1593.72,percent of total billed charges,95% of total billed charges,1986.28,94.72,,1589.02,percent of total billed charges,94.72% of total billed charges,2071.63,98.79,,1657.3,percent of total billed charges,98.79% of total billed charges,2055.06,98,,1644.05,percent of total billed charges,98% of total billed charges,2055.06,98,,1644.05,percent of total billed charges,98% of total billed charges,1006.56,48,,805.25,percent of total billed charges,48% of total billed charges,943.65,45,,754.92,percent of total billed charges,45% of total billed charges,802.1,38.25,,641.68,percent of total billed charges,38.25% of total billed charges,943.65,45,,754.92,percent of total billed charges,45% of total billed charges,943.65,45,,754.92,percent of total billed charges,45% of total billed charges,802.1,2071.63,
REP COMPLEX EYELID NOSE EAR 1.0 OR <,15013150,CDM,450,RC,13150,HCPCS,OUTPATIENT,,,1104,883.2,,1048.8,95,,839.04,percent of total billed charges,95% of total billed charges,1045.71,94.72,,836.57,percent of total billed charges,94.72% of total billed charges,1090.64,98.79,,872.51,percent of total billed charges,98.79% of total billed charges,1081.92,98,,865.54,percent of total billed charges,98% of total billed charges,1081.92,98,,865.54,percent of total billed charges,98% of total billed charges,529.92,48,,423.94,percent of total billed charges,48% of total billed charges,496.8,45,,397.44,percent of total billed charges,45% of total billed charges,422.28,38.25,,337.82,percent of total billed charges,38.25% of total billed charges,496.8,45,,397.44,percent of total billed charges,45% of total billed charges,496.8,45,,397.44,percent of total billed charges,45% of total billed charges,422.28,1090.64,
DRESSING/DEBRIDE INIT OF SUBSQ SMALL,15016020,CDM,450,RC,16020,HCPCS,OUTPATIENT,,,405,324,,384.75,95,,307.8,percent of total billed charges,95% of total billed charges,383.62,94.72,,306.9,percent of total billed charges,94.72% of total billed charges,400.1,98.79,,320.08,percent of total billed charges,98.79% of total billed charges,396.9,98,,317.52,percent of total billed charges,98% of total billed charges,396.9,98,,317.52,percent of total billed charges,98% of total billed charges,194.4,48,,155.52,percent of total billed charges,48% of total billed charges,182.25,45,,145.8,percent of total billed charges,45% of total billed charges,154.91,38.25,,123.93,percent of total billed charges,38.25% of total billed charges,182.25,45,,145.8,percent of total billed charges,45% of total billed charges,182.25,45,,145.8,percent of total billed charges,45% of total billed charges,154.91,400.1,
EXPLORE WOUND EXTREMITY,15020103,CDM,450,RC,20103,HCPCS,OUTPATIENT,,,1456,1164.8,,1383.2,95,,1106.56,percent of total billed charges,95% of total billed charges,1379.12,94.72,,1103.3,percent of total billed charges,94.72% of total billed charges,1438.38,98.79,,1150.7,percent of total billed charges,98.79% of total billed charges,1426.88,98,,1141.5,percent of total billed charges,98% of total billed charges,1426.88,98,,1141.5,percent of total billed charges,98% of total billed charges,698.88,48,,559.1,percent of total billed charges,48% of total billed charges,655.2,45,,524.16,percent of total billed charges,45% of total billed charges,556.92,38.25,,445.54,percent of total billed charges,38.25% of total billed charges,655.2,45,,524.16,percent of total billed charges,45% of total billed charges,655.2,45,,524.16,percent of total billed charges,45% of total billed charges,556.92,1438.38,
THER INJET CARPAL TUNNEL,15020526,CDM,450,RC,20526,HCPCS,OUTPATIENT,,,259,207.2,,246.05,95,,196.84,percent of total billed charges,95% of total billed charges,245.32,94.72,,196.26,percent of total billed charges,94.72% of total billed charges,255.87,98.79,,204.7,percent of total billed charges,98.79% of total billed charges,253.82,98,,203.06,percent of total billed charges,98% of total billed charges,253.82,98,,203.06,percent of total billed charges,98% of total billed charges,124.32,48,,99.46,percent of total billed charges,48% of total billed charges,116.55,45,,93.24,percent of total billed charges,45% of total billed charges,99.07,38.25,,79.26,percent of total billed charges,38.25% of total billed charges,116.55,45,,93.24,percent of total billed charges,45% of total billed charges,116.55,45,,93.24,percent of total billed charges,45% of total billed charges,99.07,255.87,
INJ TRIGGER POINT 1 OR 2,15020552,CDM,450,RC,20552,HCPCS,OUTPATIENT,,,193,154.4,,183.35,95,,146.68,percent of total billed charges,95% of total billed charges,182.81,94.72,,146.25,percent of total billed charges,94.72% of total billed charges,190.66,98.79,,152.53,percent of total billed charges,98.79% of total billed charges,189.14,98,,151.31,percent of total billed charges,98% of total billed charges,189.14,98,,151.31,percent of total billed charges,98% of total billed charges,92.64,48,,74.11,percent of total billed charges,48% of total billed charges,86.85,45,,69.48,percent of total billed charges,45% of total billed charges,73.82,38.25,,59.06,percent of total billed charges,38.25% of total billed charges,86.85,45,,69.48,percent of total billed charges,45% of total billed charges,86.85,45,,69.48,percent of total billed charges,45% of total billed charges,73.82,190.66,
INJ SING/MULTI TRIG PTS>3 MUSCLE,15020553,CDM,450,RC,20553,HCPCS,OUTPATIENT,,,399,319.2,,379.05,95,,303.24,percent of total billed charges,95% of total billed charges,377.93,94.72,,302.34,percent of total billed charges,94.72% of total billed charges,394.17,98.79,,315.34,percent of total billed charges,98.79% of total billed charges,391.02,98,,312.82,percent of total billed charges,98% of total billed charges,391.02,98,,312.82,percent of total billed charges,98% of total billed charges,191.52,48,,153.22,percent of total billed charges,48% of total billed charges,179.55,45,,143.64,percent of total billed charges,45% of total billed charges,152.62,38.25,,122.1,percent of total billed charges,38.25% of total billed charges,179.55,45,,143.64,percent of total billed charges,45% of total billed charges,179.55,45,,143.64,percent of total billed charges,45% of total billed charges,152.62,394.17,
ASPIRATE/INJ GANGLON CYST,15020612,CDM,450,RC,20612,HCPCS,OUTPATIENT,,,254,203.2,,241.3,95,,193.04,percent of total billed charges,95% of total billed charges,240.59,94.72,,192.47,percent of total billed charges,94.72% of total billed charges,250.93,98.79,,200.74,percent of total billed charges,98.79% of total billed charges,248.92,98,,199.14,percent of total billed charges,98% of total billed charges,248.92,98,,199.14,percent of total billed charges,98% of total billed charges,121.92,48,,97.54,percent of total billed charges,48% of total billed charges,114.3,45,,91.44,percent of total billed charges,45% of total billed charges,97.16,38.25,,77.73,percent of total billed charges,38.25% of total billed charges,114.3,45,,91.44,percent of total billed charges,45% of total billed charges,114.3,45,,91.44,percent of total billed charges,45% of total billed charges,97.16,250.93,
MONITOR INTERST FLUID PRESSURE,15020950,CDM,450,RC,20950,HCPCS,OUTPATIENT,,,602,481.6,,571.9,95,,457.52,percent of total billed charges,95% of total billed charges,570.21,94.72,,456.17,percent of total billed charges,94.72% of total billed charges,594.72,98.79,,475.78,percent of total billed charges,98.79% of total billed charges,589.96,98,,471.97,percent of total billed charges,98% of total billed charges,589.96,98,,471.97,percent of total billed charges,98% of total billed charges,288.96,48,,231.17,percent of total billed charges,48% of total billed charges,270.9,45,,216.72,percent of total billed charges,45% of total billed charges,230.27,38.25,,184.22,percent of total billed charges,38.25% of total billed charges,270.9,45,,216.72,percent of total billed charges,45% of total billed charges,270.9,45,,216.72,percent of total billed charges,45% of total billed charges,230.27,594.72,
TREAT CLAVICLE FRACTURE,15023500,CDM,450,RC,23500,HCPCS,OUTPATIENT,,,947,757.6,,899.65,95,,719.72,percent of total billed charges,95% of total billed charges,897,94.72,,717.6,percent of total billed charges,94.72% of total billed charges,935.54,98.79,,748.43,percent of total billed charges,98.79% of total billed charges,928.06,98,,742.45,percent of total billed charges,98% of total billed charges,928.06,98,,742.45,percent of total billed charges,98% of total billed charges,454.56,48,,363.65,percent of total billed charges,48% of total billed charges,426.15,45,,340.92,percent of total billed charges,45% of total billed charges,362.23,38.25,,289.78,percent of total billed charges,38.25% of total billed charges,426.15,45,,340.92,percent of total billed charges,45% of total billed charges,426.15,45,,340.92,percent of total billed charges,45% of total billed charges,362.23,935.54,
TREAT SHOULDER BLADE FRACTURE,15023575,CDM,450,RC,23575,HCPCS,OUTPATIENT,,,1258,1006.4,,1195.1,95,,956.08,percent of total billed charges,95% of total billed charges,1191.58,94.72,,953.26,percent of total billed charges,94.72% of total billed charges,1242.78,98.79,,994.22,percent of total billed charges,98.79% of total billed charges,1232.84,98,,986.27,percent of total billed charges,98% of total billed charges,1232.84,98,,986.27,percent of total billed charges,98% of total billed charges,603.84,48,,483.07,percent of total billed charges,48% of total billed charges,566.1,45,,452.88,percent of total billed charges,45% of total billed charges,481.19,38.25,,384.95,percent of total billed charges,38.25% of total billed charges,566.1,45,,452.88,percent of total billed charges,45% of total billed charges,566.1,45,,452.88,percent of total billed charges,45% of total billed charges,481.19,1242.78,
CL TX PROXIMAL HUMERAL FX WO MANIPULATIO,15023600,CDM,450,RC,23600,HCPCS,OUTPATIENT,,,1349,1079.2,,1281.55,95,,1025.24,percent of total billed charges,95% of total billed charges,1277.77,94.72,,1022.22,percent of total billed charges,94.72% of total billed charges,1332.68,98.79,,1066.14,percent of total billed charges,98.79% of total billed charges,1322.02,98,,1057.62,percent of total billed charges,98% of total billed charges,1322.02,98,,1057.62,percent of total billed charges,98% of total billed charges,647.52,48,,518.02,percent of total billed charges,48% of total billed charges,607.05,45,,485.64,percent of total billed charges,45% of total billed charges,515.99,38.25,,412.79,percent of total billed charges,38.25% of total billed charges,607.05,45,,485.64,percent of total billed charges,45% of total billed charges,607.05,45,,485.64,percent of total billed charges,45% of total billed charges,515.99,1332.68,
CL TX SHLDR DISLOC W MANIP W/O ANESTHE,15023650,CDM,450,RC,23650,HCPCS,OUTPATIENT,,,859,687.2,,816.05,95,,652.84,percent of total billed charges,95% of total billed charges,813.64,94.72,,650.91,percent of total billed charges,94.72% of total billed charges,848.61,98.79,,678.89,percent of total billed charges,98.79% of total billed charges,841.82,98,,673.46,percent of total billed charges,98% of total billed charges,841.82,98,,673.46,percent of total billed charges,98% of total billed charges,412.32,48,,329.86,percent of total billed charges,48% of total billed charges,386.55,45,,309.24,percent of total billed charges,45% of total billed charges,328.57,38.25,,262.86,percent of total billed charges,38.25% of total billed charges,386.55,45,,309.24,percent of total billed charges,45% of total billed charges,386.55,45,,309.24,percent of total billed charges,45% of total billed charges,328.57,848.61,
TREAT SHOULDER DISLOCATION,15023655,CDM,450,RC,23655,HCPCS,OUTPATIENT,,,1356,1084.8,,1288.2,95,,1030.56,percent of total billed charges,95% of total billed charges,1284.4,94.72,,1027.52,percent of total billed charges,94.72% of total billed charges,1339.59,98.79,,1071.67,percent of total billed charges,98.79% of total billed charges,1328.88,98,,1063.1,percent of total billed charges,98% of total billed charges,1328.88,98,,1063.1,percent of total billed charges,98% of total billed charges,650.88,48,,520.7,percent of total billed charges,48% of total billed charges,610.2,45,,488.16,percent of total billed charges,45% of total billed charges,518.67,38.25,,414.94,percent of total billed charges,38.25% of total billed charges,610.2,45,,488.16,percent of total billed charges,45% of total billed charges,610.2,45,,488.16,percent of total billed charges,45% of total billed charges,518.67,1339.59,
TREAT HUMERUS FRACTURE,15024500,CDM,450,RC,24500,HCPCS,OUTPATIENT,,,1492,1193.6,,1417.4,95,,1133.92,percent of total billed charges,95% of total billed charges,1413.22,94.72,,1130.58,percent of total billed charges,94.72% of total billed charges,1473.95,98.79,,1179.16,percent of total billed charges,98.79% of total billed charges,1462.16,98,,1169.73,percent of total billed charges,98% of total billed charges,1462.16,98,,1169.73,percent of total billed charges,98% of total billed charges,716.16,48,,572.93,percent of total billed charges,48% of total billed charges,671.4,45,,537.12,percent of total billed charges,45% of total billed charges,570.69,38.25,,456.55,percent of total billed charges,38.25% of total billed charges,671.4,45,,537.12,percent of total billed charges,45% of total billed charges,671.4,45,,537.12,percent of total billed charges,45% of total billed charges,570.69,1473.95,
CL TX HUMERUS FX W MANIP,15024505,CDM,450,RC,24505,HCPCS,OUTPATIENT,,,1563,1250.4,,1484.85,95,,1187.88,percent of total billed charges,95% of total billed charges,1480.47,94.72,,1184.38,percent of total billed charges,94.72% of total billed charges,1544.09,98.79,,1235.27,percent of total billed charges,98.79% of total billed charges,1531.74,98,,1225.39,percent of total billed charges,98% of total billed charges,1531.74,98,,1225.39,percent of total billed charges,98% of total billed charges,750.24,48,,600.19,percent of total billed charges,48% of total billed charges,703.35,45,,562.68,percent of total billed charges,45% of total billed charges,597.85,38.25,,478.28,percent of total billed charges,38.25% of total billed charges,703.35,45,,562.68,percent of total billed charges,45% of total billed charges,703.35,45,,562.68,percent of total billed charges,45% of total billed charges,597.85,1544.09,
TREAT ELBOW DISLOCATION,15024600,CDM,450,RC,24600,HCPCS,OUTPATIENT,,,1430,1144,,1358.5,95,,1086.8,percent of total billed charges,95% of total billed charges,1354.5,94.72,,1083.6,percent of total billed charges,94.72% of total billed charges,1412.7,98.79,,1130.16,percent of total billed charges,98.79% of total billed charges,1401.4,98,,1121.12,percent of total billed charges,98% of total billed charges,1401.4,98,,1121.12,percent of total billed charges,98% of total billed charges,686.4,48,,549.12,percent of total billed charges,48% of total billed charges,643.5,45,,514.8,percent of total billed charges,45% of total billed charges,546.98,38.25,,437.58,percent of total billed charges,38.25% of total billed charges,643.5,45,,514.8,percent of total billed charges,45% of total billed charges,643.5,45,,514.8,percent of total billed charges,45% of total billed charges,546.98,1412.7,
TREAT RADIUS FRACTURE,15024655,CDM,450,RC,24655,HCPCS,OUTPATIENT,,,1273,1018.4,,1209.35,95,,967.48,percent of total billed charges,95% of total billed charges,1205.79,94.72,,964.63,percent of total billed charges,94.72% of total billed charges,1257.6,98.79,,1006.08,percent of total billed charges,98.79% of total billed charges,1247.54,98,,998.03,percent of total billed charges,98% of total billed charges,1247.54,98,,998.03,percent of total billed charges,98% of total billed charges,611.04,48,,488.83,percent of total billed charges,48% of total billed charges,572.85,45,,458.28,percent of total billed charges,45% of total billed charges,486.92,38.25,,389.54,percent of total billed charges,38.25% of total billed charges,572.85,45,,458.28,percent of total billed charges,45% of total billed charges,572.85,45,,458.28,percent of total billed charges,45% of total billed charges,486.92,1257.6,
TREAT ULNAR FRACTURE,15024670,CDM,450,RC,24670,HCPCS,OUTPATIENT,,,1194,955.2,,1134.3,95,,907.44,percent of total billed charges,95% of total billed charges,1130.96,94.72,,904.77,percent of total billed charges,94.72% of total billed charges,1179.55,98.79,,943.64,percent of total billed charges,98.79% of total billed charges,1170.12,98,,936.1,percent of total billed charges,98% of total billed charges,1170.12,98,,936.1,percent of total billed charges,98% of total billed charges,573.12,48,,458.5,percent of total billed charges,48% of total billed charges,537.3,45,,429.84,percent of total billed charges,45% of total billed charges,456.71,38.25,,365.37,percent of total billed charges,38.25% of total billed charges,537.3,45,,429.84,percent of total billed charges,45% of total billed charges,537.3,45,,429.84,percent of total billed charges,45% of total billed charges,456.71,1179.55,
OP TREATMT SHAFT FRAC W/ OR W/O FIXA,15025515,CDM,450,RC,25515,HCPCS,OUTPATIENT,,,2221,1776.8,,2109.95,95,,1687.96,percent of total billed charges,95% of total billed charges,2103.73,94.72,,1682.98,percent of total billed charges,94.72% of total billed charges,2194.13,98.79,,1755.3,percent of total billed charges,98.79% of total billed charges,2176.58,98,,1741.26,percent of total billed charges,98% of total billed charges,2176.58,98,,1741.26,percent of total billed charges,98% of total billed charges,1066.08,48,,852.86,percent of total billed charges,48% of total billed charges,999.45,45,,799.56,percent of total billed charges,45% of total billed charges,849.53,38.25,,679.62,percent of total billed charges,38.25% of total billed charges,999.45,45,,799.56,percent of total billed charges,45% of total billed charges,999.45,45,,799.56,percent of total billed charges,45% of total billed charges,849.53,2194.13,
CL TREATMT SHAFT FRAC W/O MAN,15025530,CDM,450,RC,25530,HCPCS,OUTPATIENT,,,1115,892,,1059.25,95,,847.4,percent of total billed charges,95% of total billed charges,1056.13,94.72,,844.9,percent of total billed charges,94.72% of total billed charges,1101.51,98.79,,881.21,percent of total billed charges,98.79% of total billed charges,1092.7,98,,874.16,percent of total billed charges,98% of total billed charges,1092.7,98,,874.16,percent of total billed charges,98% of total billed charges,535.2,48,,428.16,percent of total billed charges,48% of total billed charges,501.75,45,,401.4,percent of total billed charges,45% of total billed charges,426.49,38.25,,341.19,percent of total billed charges,38.25% of total billed charges,501.75,45,,401.4,percent of total billed charges,45% of total billed charges,501.75,45,,401.4,percent of total billed charges,45% of total billed charges,426.49,1101.51,
CL TREATMT SHAFT FRAC W/MANIPULATION,15025535,CDM,450,RC,25535,HCPCS,OUTPATIENT,,,1422,1137.6,,1350.9,95,,1080.72,percent of total billed charges,95% of total billed charges,1346.92,94.72,,1077.54,percent of total billed charges,94.72% of total billed charges,1404.79,98.79,,1123.83,percent of total billed charges,98.79% of total billed charges,1393.56,98,,1114.85,percent of total billed charges,98% of total billed charges,1393.56,98,,1114.85,percent of total billed charges,98% of total billed charges,682.56,48,,546.05,percent of total billed charges,48% of total billed charges,639.9,45,,511.92,percent of total billed charges,45% of total billed charges,543.92,38.25,,435.14,percent of total billed charges,38.25% of total billed charges,639.9,45,,511.92,percent of total billed charges,45% of total billed charges,639.9,45,,511.92,percent of total billed charges,45% of total billed charges,543.92,1404.79,
OP TREATMT SHAFT FRAC W/ OR W/O INT,15025545,CDM,450,RC,25545,HCPCS,OUTPATIENT,,,2186,1748.8,,2076.7,95,,1661.36,percent of total billed charges,95% of total billed charges,2070.58,94.72,,1656.46,percent of total billed charges,94.72% of total billed charges,2159.55,98.79,,1727.64,percent of total billed charges,98.79% of total billed charges,2142.28,98,,1713.82,percent of total billed charges,98% of total billed charges,2142.28,98,,1713.82,percent of total billed charges,98% of total billed charges,1049.28,48,,839.42,percent of total billed charges,48% of total billed charges,983.7,45,,786.96,percent of total billed charges,45% of total billed charges,836.15,38.25,,668.92,percent of total billed charges,38.25% of total billed charges,983.7,45,,786.96,percent of total billed charges,45% of total billed charges,983.7,45,,786.96,percent of total billed charges,45% of total billed charges,836.15,2159.55,
CL TREATMT RADIAL/ULNAR SHAFT FRAC,15025560,CDM,450,RC,25560,HCPCS,OUTPATIENT,,,1190,952,,1130.5,95,,904.4,percent of total billed charges,95% of total billed charges,1127.17,94.72,,901.74,percent of total billed charges,94.72% of total billed charges,1175.6,98.79,,940.48,percent of total billed charges,98.79% of total billed charges,1166.2,98,,932.96,percent of total billed charges,98% of total billed charges,1166.2,98,,932.96,percent of total billed charges,98% of total billed charges,571.2,48,,456.96,percent of total billed charges,48% of total billed charges,535.5,45,,428.4,percent of total billed charges,45% of total billed charges,455.18,38.25,,364.14,percent of total billed charges,38.25% of total billed charges,535.5,45,,428.4,percent of total billed charges,45% of total billed charges,535.5,45,,428.4,percent of total billed charges,45% of total billed charges,455.18,1175.6,
CLOSED TMT OF RADIAL/UNAR FRAC W/MAN,15025565,CDM,450,RC,25565,HCPCS,OUTPATIENT,,,1515,1212,,1439.25,95,,1151.4,percent of total billed charges,95% of total billed charges,1435.01,94.72,,1148.01,percent of total billed charges,94.72% of total billed charges,1496.67,98.79,,1197.34,percent of total billed charges,98.79% of total billed charges,1484.7,98,,1187.76,percent of total billed charges,98% of total billed charges,1484.7,98,,1187.76,percent of total billed charges,98% of total billed charges,727.2,48,,581.76,percent of total billed charges,48% of total billed charges,681.75,45,,545.4,percent of total billed charges,45% of total billed charges,579.49,38.25,,463.59,percent of total billed charges,38.25% of total billed charges,681.75,45,,545.4,percent of total billed charges,45% of total billed charges,681.75,45,,545.4,percent of total billed charges,45% of total billed charges,579.49,1496.67,
OP TREATMT RADIAL/ULNAR FRAC,15025575,CDM,450,RC,25575,HCPCS,OUTPATIENT,,,2565,2052,,2436.75,95,,1949.4,percent of total billed charges,95% of total billed charges,2429.57,94.72,,1943.66,percent of total billed charges,94.72% of total billed charges,2533.96,98.79,,2027.17,percent of total billed charges,98.79% of total billed charges,2513.7,98,,2010.96,percent of total billed charges,98% of total billed charges,2513.7,98,,2010.96,percent of total billed charges,98% of total billed charges,1231.2,48,,984.96,percent of total billed charges,48% of total billed charges,1154.25,45,,923.4,percent of total billed charges,45% of total billed charges,981.11,38.25,,784.89,percent of total billed charges,38.25% of total billed charges,1154.25,45,,923.4,percent of total billed charges,45% of total billed charges,1154.25,45,,923.4,percent of total billed charges,45% of total billed charges,981.11,2533.96,
CL TREATMT DISTAL RADIAL FRAC OR EPI,15025600,CDM,450,RC,25600,HCPCS,OUTPATIENT,,,1847,1477.6,,1754.65,95,,1403.72,percent of total billed charges,95% of total billed charges,1749.48,94.72,,1399.58,percent of total billed charges,94.72% of total billed charges,1824.65,98.79,,1459.72,percent of total billed charges,98.79% of total billed charges,1810.06,98,,1448.05,percent of total billed charges,98% of total billed charges,1810.06,98,,1448.05,percent of total billed charges,98% of total billed charges,886.56,48,,709.25,percent of total billed charges,48% of total billed charges,831.15,45,,664.92,percent of total billed charges,45% of total billed charges,706.48,38.25,,565.18,percent of total billed charges,38.25% of total billed charges,831.15,45,,664.92,percent of total billed charges,45% of total billed charges,831.15,45,,664.92,percent of total billed charges,45% of total billed charges,706.48,1824.65,
CL TX DISTAL RADIAL FRAC/EPIPH,15025605,CDM,450,RC,25605,HCPCS,OUTPATIENT,,,1928,1542.4,,1831.6,95,,1465.28,percent of total billed charges,95% of total billed charges,1826.2,94.72,,1460.96,percent of total billed charges,94.72% of total billed charges,1904.67,98.79,,1523.74,percent of total billed charges,98.79% of total billed charges,1889.44,98,,1511.55,percent of total billed charges,98% of total billed charges,1889.44,98,,1511.55,percent of total billed charges,98% of total billed charges,925.44,48,,740.35,percent of total billed charges,48% of total billed charges,867.6,45,,694.08,percent of total billed charges,45% of total billed charges,737.46,38.25,,589.97,percent of total billed charges,38.25% of total billed charges,867.6,45,,694.08,percent of total billed charges,45% of total billed charges,867.6,45,,694.08,percent of total billed charges,45% of total billed charges,737.46,1904.67,
TREAT WRIST BONE FRACTURE,15025622,CDM,450,RC,25622,HCPCS,OUTPATIENT,,,1308,1046.4,,1242.6,95,,994.08,percent of total billed charges,95% of total billed charges,1238.94,94.72,,991.15,percent of total billed charges,94.72% of total billed charges,1292.17,98.79,,1033.74,percent of total billed charges,98.79% of total billed charges,1281.84,98,,1025.47,percent of total billed charges,98% of total billed charges,1281.84,98,,1025.47,percent of total billed charges,98% of total billed charges,627.84,48,,502.27,percent of total billed charges,48% of total billed charges,588.6,45,,470.88,percent of total billed charges,45% of total billed charges,500.31,38.25,,400.25,percent of total billed charges,38.25% of total billed charges,588.6,45,,470.88,percent of total billed charges,45% of total billed charges,588.6,45,,470.88,percent of total billed charges,45% of total billed charges,500.31,1292.17,
TREAT WRIST DISLOCATION,15025660,CDM,450,RC,25660,HCPCS,OUTPATIENT,,,1233,986.4,,1171.35,95,,937.08,percent of total billed charges,95% of total billed charges,1167.9,94.72,,934.32,percent of total billed charges,94.72% of total billed charges,1218.08,98.79,,974.46,percent of total billed charges,98.79% of total billed charges,1208.34,98,,966.67,percent of total billed charges,98% of total billed charges,1208.34,98,,966.67,percent of total billed charges,98% of total billed charges,591.84,48,,473.47,percent of total billed charges,48% of total billed charges,554.85,45,,443.88,percent of total billed charges,45% of total billed charges,471.62,38.25,,377.3,percent of total billed charges,38.25% of total billed charges,554.85,45,,443.88,percent of total billed charges,45% of total billed charges,554.85,45,,443.88,percent of total billed charges,45% of total billed charges,471.62,1218.08,
TREAT WRIST DISLOCATION,15025675,CDM,450,RC,25675,HCPCS,OUTPATIENT,,,1287,1029.6,,1222.65,95,,978.12,percent of total billed charges,95% of total billed charges,1219.05,94.72,,975.24,percent of total billed charges,94.72% of total billed charges,1271.43,98.79,,1017.14,percent of total billed charges,98.79% of total billed charges,1261.26,98,,1009.01,percent of total billed charges,98% of total billed charges,1261.26,98,,1009.01,percent of total billed charges,98% of total billed charges,617.76,48,,494.21,percent of total billed charges,48% of total billed charges,579.15,45,,463.32,percent of total billed charges,45% of total billed charges,492.28,38.25,,393.82,percent of total billed charges,38.25% of total billed charges,579.15,45,,463.32,percent of total billed charges,45% of total billed charges,579.15,45,,463.32,percent of total billed charges,45% of total billed charges,492.28,1271.43,
DRAIN FINGER ABSCESS,15026010,CDM,450,RC,26010,HCPCS,OUTPATIENT,,,821,656.8,,779.95,95,,623.96,percent of total billed charges,95% of total billed charges,777.65,94.72,,622.12,percent of total billed charges,94.72% of total billed charges,811.07,98.79,,648.86,percent of total billed charges,98.79% of total billed charges,804.58,98,,643.66,percent of total billed charges,98% of total billed charges,804.58,98,,643.66,percent of total billed charges,98% of total billed charges,394.08,48,,315.26,percent of total billed charges,48% of total billed charges,369.45,45,,295.56,percent of total billed charges,45% of total billed charges,314.03,38.25,,251.22,percent of total billed charges,38.25% of total billed charges,369.45,45,,295.56,percent of total billed charges,45% of total billed charges,369.45,45,,295.56,percent of total billed charges,45% of total billed charges,314.03,811.07,
MANIPULATE FINGER W/ ANESTHESIA,15026340,CDM,450,RC,26340,HCPCS,OUTPATIENT,,,718,574.4,,682.1,95,,545.68,percent of total billed charges,95% of total billed charges,680.09,94.72,,544.07,percent of total billed charges,94.72% of total billed charges,709.31,98.79,,567.45,percent of total billed charges,98.79% of total billed charges,703.64,98,,562.91,percent of total billed charges,98% of total billed charges,703.64,98,,562.91,percent of total billed charges,98% of total billed charges,344.64,48,,275.71,percent of total billed charges,48% of total billed charges,323.1,45,,258.48,percent of total billed charges,45% of total billed charges,274.64,38.25,,219.71,percent of total billed charges,38.25% of total billed charges,323.1,45,,258.48,percent of total billed charges,45% of total billed charges,323.1,45,,258.48,percent of total billed charges,45% of total billed charges,274.64,709.31,
REPAIR HAND TENDON,15026410,CDM,450,RC,26410,HCPCS,OUTPATIENT,,,1667,1333.6,,1583.65,95,,1266.92,percent of total billed charges,95% of total billed charges,1578.98,94.72,,1263.18,percent of total billed charges,94.72% of total billed charges,1646.83,98.79,,1317.46,percent of total billed charges,98.79% of total billed charges,1633.66,98,,1306.93,percent of total billed charges,98% of total billed charges,1633.66,98,,1306.93,percent of total billed charges,98% of total billed charges,800.16,48,,640.13,percent of total billed charges,48% of total billed charges,750.15,45,,600.12,percent of total billed charges,45% of total billed charges,637.63,38.25,,510.1,percent of total billed charges,38.25% of total billed charges,750.15,45,,600.12,percent of total billed charges,45% of total billed charges,750.15,45,,600.12,percent of total billed charges,45% of total billed charges,637.63,1646.83,
EXTENSOR TENDON REPAIR EA,15026418,CDM,450,RC,26418,HCPCS,OUTPATIENT,,,1910,1528,,1814.5,95,,1451.6,percent of total billed charges,95% of total billed charges,1809.15,94.72,,1447.32,percent of total billed charges,94.72% of total billed charges,1886.89,98.79,,1509.51,percent of total billed charges,98.79% of total billed charges,1871.8,98,,1497.44,percent of total billed charges,98% of total billed charges,1871.8,98,,1497.44,percent of total billed charges,98% of total billed charges,916.8,48,,733.44,percent of total billed charges,48% of total billed charges,859.5,45,,687.6,percent of total billed charges,45% of total billed charges,730.58,38.25,,584.46,percent of total billed charges,38.25% of total billed charges,859.5,45,,687.6,percent of total billed charges,45% of total billed charges,859.5,45,,687.6,percent of total billed charges,45% of total billed charges,730.58,1886.89,
TREAT METACARPAL FRACTURE,15026605,CDM,450,RC,26605,HCPCS,OUTPATIENT,,,1696,1356.8,,1611.2,95,,1288.96,percent of total billed charges,95% of total billed charges,1606.45,94.72,,1285.16,percent of total billed charges,94.72% of total billed charges,1675.48,98.79,,1340.38,percent of total billed charges,98.79% of total billed charges,1662.08,98,,1329.66,percent of total billed charges,98% of total billed charges,1662.08,98,,1329.66,percent of total billed charges,98% of total billed charges,814.08,48,,651.26,percent of total billed charges,48% of total billed charges,763.2,45,,610.56,percent of total billed charges,45% of total billed charges,648.72,38.25,,518.98,percent of total billed charges,38.25% of total billed charges,763.2,45,,610.56,percent of total billed charges,45% of total billed charges,763.2,45,,610.56,percent of total billed charges,45% of total billed charges,648.72,1675.48,
CL TRTMT OF DISLOCATION THUMB W/ MAN,15026641,CDM,450,RC,26641,HCPCS,OUTPATIENT,,,879,703.2,,835.05,95,,668.04,percent of total billed charges,95% of total billed charges,832.59,94.72,,666.07,percent of total billed charges,94.72% of total billed charges,868.36,98.79,,694.69,percent of total billed charges,98.79% of total billed charges,861.42,98,,689.14,percent of total billed charges,98% of total billed charges,861.42,98,,689.14,percent of total billed charges,98% of total billed charges,421.92,48,,337.54,percent of total billed charges,48% of total billed charges,395.55,45,,316.44,percent of total billed charges,45% of total billed charges,336.22,38.25,,268.98,percent of total billed charges,38.25% of total billed charges,395.55,45,,316.44,percent of total billed charges,45% of total billed charges,395.55,45,,316.44,percent of total billed charges,45% of total billed charges,336.22,868.36,
TREAT HAND DISLOCATION,15026670,CDM,450,RC,26670,HCPCS,OUTPATIENT,,,979,783.2,,930.05,95,,744.04,percent of total billed charges,95% of total billed charges,927.31,94.72,,741.85,percent of total billed charges,94.72% of total billed charges,967.15,98.79,,773.72,percent of total billed charges,98.79% of total billed charges,959.42,98,,767.54,percent of total billed charges,98% of total billed charges,959.42,98,,767.54,percent of total billed charges,98% of total billed charges,469.92,48,,375.94,percent of total billed charges,48% of total billed charges,440.55,45,,352.44,percent of total billed charges,45% of total billed charges,374.47,38.25,,299.58,percent of total billed charges,38.25% of total billed charges,440.55,45,,352.44,percent of total billed charges,45% of total billed charges,440.55,45,,352.44,percent of total billed charges,45% of total billed charges,374.47,967.15,
TREAT HAND DISLOCATION,15026675,CDM,450,RC,26675,HCPCS,OUTPATIENT,,,1181,944.8,,1121.95,95,,897.56,percent of total billed charges,95% of total billed charges,1118.64,94.72,,894.91,percent of total billed charges,94.72% of total billed charges,1166.71,98.79,,933.37,percent of total billed charges,98.79% of total billed charges,1157.38,98,,925.9,percent of total billed charges,98% of total billed charges,1157.38,98,,925.9,percent of total billed charges,98% of total billed charges,566.88,48,,453.5,percent of total billed charges,48% of total billed charges,531.45,45,,425.16,percent of total billed charges,45% of total billed charges,451.73,38.25,,361.38,percent of total billed charges,38.25% of total billed charges,531.45,45,,425.16,percent of total billed charges,45% of total billed charges,531.45,45,,425.16,percent of total billed charges,45% of total billed charges,451.73,1166.71,
CL TX METACARPOPHALANGEAL DISLOC SINGLE,15026700,CDM,450,RC,26700,HCPCS,OUTPATIENT,,,884,707.2,,839.8,95,,671.84,percent of total billed charges,95% of total billed charges,837.32,94.72,,669.86,percent of total billed charges,94.72% of total billed charges,873.3,98.79,,698.64,percent of total billed charges,98.79% of total billed charges,866.32,98,,693.06,percent of total billed charges,98% of total billed charges,866.32,98,,693.06,percent of total billed charges,98% of total billed charges,424.32,48,,339.46,percent of total billed charges,48% of total billed charges,397.8,45,,318.24,percent of total billed charges,45% of total billed charges,338.13,38.25,,270.5,percent of total billed charges,38.25% of total billed charges,397.8,45,,318.24,percent of total billed charges,45% of total billed charges,397.8,45,,318.24,percent of total billed charges,45% of total billed charges,338.13,873.3,
TREAT FINGER FRACTURE EACH,15026720,CDM,450,RC,26720,HCPCS,OUTPATIENT,,,807,645.6,,766.65,95,,613.32,percent of total billed charges,95% of total billed charges,764.39,94.72,,611.51,percent of total billed charges,94.72% of total billed charges,797.24,98.79,,637.79,percent of total billed charges,98.79% of total billed charges,790.86,98,,632.69,percent of total billed charges,98% of total billed charges,790.86,98,,632.69,percent of total billed charges,98% of total billed charges,387.36,48,,309.89,percent of total billed charges,48% of total billed charges,363.15,45,,290.52,percent of total billed charges,45% of total billed charges,308.68,38.25,,246.94,percent of total billed charges,38.25% of total billed charges,363.15,45,,290.52,percent of total billed charges,45% of total billed charges,363.15,45,,290.52,percent of total billed charges,45% of total billed charges,308.68,797.24,
TREAT FINGER FRACTURE EACH,15026725,CDM,450,RC,26725,HCPCS,OUTPATIENT,,,1411,1128.8,,1340.45,95,,1072.36,percent of total billed charges,95% of total billed charges,1336.5,94.72,,1069.2,percent of total billed charges,94.72% of total billed charges,1393.93,98.79,,1115.14,percent of total billed charges,98.79% of total billed charges,1382.78,98,,1106.22,percent of total billed charges,98% of total billed charges,1382.78,98,,1106.22,percent of total billed charges,98% of total billed charges,677.28,48,,541.82,percent of total billed charges,48% of total billed charges,634.95,45,,507.96,percent of total billed charges,45% of total billed charges,539.71,38.25,,431.77,percent of total billed charges,38.25% of total billed charges,634.95,45,,507.96,percent of total billed charges,45% of total billed charges,634.95,45,,507.96,percent of total billed charges,45% of total billed charges,539.71,1393.93,
CL TX ART FX MCP/IP JNT WO MAN,15026740,CDM,450,RC,26740,HCPCS,OUTPATIENT,,,1040,832,,988,95,,790.4,percent of total billed charges,95% of total billed charges,985.09,94.72,,788.07,percent of total billed charges,94.72% of total billed charges,1027.42,98.79,,821.94,percent of total billed charges,98.79% of total billed charges,1019.2,98,,815.36,percent of total billed charges,98% of total billed charges,1019.2,98,,815.36,percent of total billed charges,98% of total billed charges,499.2,48,,399.36,percent of total billed charges,48% of total billed charges,468,45,,374.4,percent of total billed charges,45% of total billed charges,397.8,38.25,,318.24,percent of total billed charges,38.25% of total billed charges,468,45,,374.4,percent of total billed charges,45% of total billed charges,468,45,,374.4,percent of total billed charges,45% of total billed charges,397.8,1027.42,
CL TX ARTFX MCP/IP JNT W MANIP,15026742,CDM,450,RC,26742,HCPCS,OUTPATIENT,,,1024,819.2,,972.8,95,,778.24,percent of total billed charges,95% of total billed charges,969.93,94.72,,775.94,percent of total billed charges,94.72% of total billed charges,1011.61,98.79,,809.29,percent of total billed charges,98.79% of total billed charges,1003.52,98,,802.82,percent of total billed charges,98% of total billed charges,1003.52,98,,802.82,percent of total billed charges,98% of total billed charges,491.52,48,,393.22,percent of total billed charges,48% of total billed charges,460.8,45,,368.64,percent of total billed charges,45% of total billed charges,391.68,38.25,,313.34,percent of total billed charges,38.25% of total billed charges,460.8,45,,368.64,percent of total billed charges,45% of total billed charges,460.8,45,,368.64,percent of total billed charges,45% of total billed charges,391.68,1011.61,
CL TREATMT DISTAL PHAL FRAC W/O MAN,15026750,CDM,450,RC,26750,HCPCS,OUTPATIENT,,,751,600.8,,713.45,95,,570.76,percent of total billed charges,95% of total billed charges,711.35,94.72,,569.08,percent of total billed charges,94.72% of total billed charges,741.91,98.79,,593.53,percent of total billed charges,98.79% of total billed charges,735.98,98,,588.78,percent of total billed charges,98% of total billed charges,735.98,98,,588.78,percent of total billed charges,98% of total billed charges,360.48,48,,288.38,percent of total billed charges,48% of total billed charges,337.95,45,,270.36,percent of total billed charges,45% of total billed charges,287.26,38.25,,229.81,percent of total billed charges,38.25% of total billed charges,337.95,45,,270.36,percent of total billed charges,45% of total billed charges,337.95,45,,270.36,percent of total billed charges,45% of total billed charges,287.26,741.91,
CLOSED TX DISTAL PHALANGEAL FX;FINGER/TH,15026755,CDM,450,RC,26755,HCPCS,OUTPATIENT,,,708,566.4,,672.6,95,,538.08,percent of total billed charges,95% of total billed charges,670.62,94.72,,536.5,percent of total billed charges,94.72% of total billed charges,699.43,98.79,,559.54,percent of total billed charges,98.79% of total billed charges,693.84,98,,555.07,percent of total billed charges,98% of total billed charges,693.84,98,,555.07,percent of total billed charges,98% of total billed charges,339.84,48,,271.87,percent of total billed charges,48% of total billed charges,318.6,45,,254.88,percent of total billed charges,45% of total billed charges,270.81,38.25,,216.65,percent of total billed charges,38.25% of total billed charges,318.6,45,,254.88,percent of total billed charges,45% of total billed charges,318.6,45,,254.88,percent of total billed charges,45% of total billed charges,270.81,699.43,
TX FINGER FX EA,15026765,CDM,450,RC,26765,HCPCS,OUTPATIENT,,,1289,1031.2,,1224.55,95,,979.64,percent of total billed charges,95% of total billed charges,1220.94,94.72,,976.75,percent of total billed charges,94.72% of total billed charges,1273.4,98.79,,1018.72,percent of total billed charges,98.79% of total billed charges,1263.22,98,,1010.58,percent of total billed charges,98% of total billed charges,1263.22,98,,1010.58,percent of total billed charges,98% of total billed charges,618.72,48,,494.98,percent of total billed charges,48% of total billed charges,580.05,45,,464.04,percent of total billed charges,45% of total billed charges,493.04,38.25,,394.43,percent of total billed charges,38.25% of total billed charges,580.05,45,,464.04,percent of total billed charges,45% of total billed charges,580.05,45,,464.04,percent of total billed charges,45% of total billed charges,493.04,1273.4,
CLOSE TRTMT JOINT DISLOCATION SINGL,15026770,CDM,450,RC,26770,HCPCS,OUTPATIENT,,,1051,840.8,,998.45,95,,798.76,percent of total billed charges,95% of total billed charges,995.51,94.72,,796.41,percent of total billed charges,94.72% of total billed charges,1038.28,98.79,,830.62,percent of total billed charges,98.79% of total billed charges,1029.98,98,,823.98,percent of total billed charges,98% of total billed charges,1029.98,98,,823.98,percent of total billed charges,98% of total billed charges,504.48,48,,403.58,percent of total billed charges,48% of total billed charges,472.95,45,,378.36,percent of total billed charges,45% of total billed charges,402.01,38.25,,321.61,percent of total billed charges,38.25% of total billed charges,472.95,45,,378.36,percent of total billed charges,45% of total billed charges,472.95,45,,378.36,percent of total billed charges,45% of total billed charges,402.01,1038.28,
TX FINGER DISLOCATION,15026775,CDM,450,RC,26775,HCPCS,OUTPATIENT,,,1068,854.4,,1014.6,95,,811.68,percent of total billed charges,95% of total billed charges,1011.61,94.72,,809.29,percent of total billed charges,94.72% of total billed charges,1055.08,98.79,,844.06,percent of total billed charges,98.79% of total billed charges,1046.64,98,,837.31,percent of total billed charges,98% of total billed charges,1046.64,98,,837.31,percent of total billed charges,98% of total billed charges,512.64,48,,410.11,percent of total billed charges,48% of total billed charges,480.6,45,,384.48,percent of total billed charges,45% of total billed charges,408.51,38.25,,326.81,percent of total billed charges,38.25% of total billed charges,480.6,45,,384.48,percent of total billed charges,45% of total billed charges,480.6,45,,384.48,percent of total billed charges,45% of total billed charges,408.51,1055.08,
26785 OPEN TX INTERPHALANGEAL JOINT DISLOCATION TechFee,15026785,CDM,450,RC,26785,HCPCS,OUTPATIENT,,,1373,1098.4,,1304.35,95,,1043.48,percent of total billed charges,95% of total billed charges,1300.51,94.72,,1040.41,percent of total billed charges,94.72% of total billed charges,1356.39,98.79,,1085.11,percent of total billed charges,98.79% of total billed charges,1345.54,98,,1076.43,percent of total billed charges,98% of total billed charges,1345.54,98,,1076.43,percent of total billed charges,98% of total billed charges,659.04,48,,527.23,percent of total billed charges,48% of total billed charges,617.85,45,,494.28,percent of total billed charges,45% of total billed charges,525.17,38.25,,420.14,percent of total billed charges,38.25% of total billed charges,617.85,45,,494.28,percent of total billed charges,45% of total billed charges,617.85,45,,494.28,percent of total billed charges,45% of total billed charges,525.17,1356.39,
TREAT HIP SOCKET FRACTURE,15027220,CDM,450,RC,27220,HCPCS,OUTPATIENT,,,1542,1233.6,,1464.9,95,,1171.92,percent of total billed charges,95% of total billed charges,1460.58,94.72,,1168.46,percent of total billed charges,94.72% of total billed charges,1523.34,98.79,,1218.67,percent of total billed charges,98.79% of total billed charges,1511.16,98,,1208.93,percent of total billed charges,98% of total billed charges,1511.16,98,,1208.93,percent of total billed charges,98% of total billed charges,740.16,48,,592.13,percent of total billed charges,48% of total billed charges,693.9,45,,555.12,percent of total billed charges,45% of total billed charges,589.82,38.25,,471.86,percent of total billed charges,38.25% of total billed charges,693.9,45,,555.12,percent of total billed charges,45% of total billed charges,693.9,45,,555.12,percent of total billed charges,45% of total billed charges,589.82,1523.34,
CL TREATMT FEMORAL FRAC PROXIMAL W/OA,15027230,CDM,450,RC,27230,HCPCS,OUTPATIENT,,,2390,1912,,2270.5,95,,1816.4,percent of total billed charges,95% of total billed charges,2263.81,94.72,,1811.05,percent of total billed charges,94.72% of total billed charges,2361.08,98.79,,1888.86,percent of total billed charges,98.79% of total billed charges,2342.2,98,,1873.76,percent of total billed charges,98% of total billed charges,2342.2,98,,1873.76,percent of total billed charges,98% of total billed charges,1147.2,48,,917.76,percent of total billed charges,48% of total billed charges,1075.5,45,,860.4,percent of total billed charges,45% of total billed charges,914.18,38.25,,731.34,percent of total billed charges,38.25% of total billed charges,1075.5,45,,860.4,percent of total billed charges,45% of total billed charges,1075.5,45,,860.4,percent of total billed charges,45% of total billed charges,914.18,2361.08,
CL TX  HIP DISLOC TRAUMATIC W ANESTHESIA,15027252,CDM,450,RC,27252,HCPCS,OUTPATIENT,,,2013,1610.4,,1912.35,95,,1529.88,percent of total billed charges,95% of total billed charges,1906.71,94.72,,1525.37,percent of total billed charges,94.72% of total billed charges,1988.64,98.79,,1590.91,percent of total billed charges,98.79% of total billed charges,1972.74,98,,1578.19,percent of total billed charges,98% of total billed charges,1972.74,98,,1578.19,percent of total billed charges,98% of total billed charges,966.24,48,,772.99,percent of total billed charges,48% of total billed charges,905.85,45,,724.68,percent of total billed charges,45% of total billed charges,769.97,38.25,,615.98,percent of total billed charges,38.25% of total billed charges,905.85,45,,724.68,percent of total billed charges,45% of total billed charges,905.85,45,,724.68,percent of total billed charges,45% of total billed charges,769.97,1988.64,
CL TX POST HIP DISLOC WO ANESTH,15027265,CDM,450,RC,27265,HCPCS,OUTPATIENT,,,1276,1020.8,,1212.2,95,,969.76,percent of total billed charges,95% of total billed charges,1208.63,94.72,,966.9,percent of total billed charges,94.72% of total billed charges,1260.56,98.79,,1008.45,percent of total billed charges,98.79% of total billed charges,1250.48,98,,1000.38,percent of total billed charges,98% of total billed charges,1250.48,98,,1000.38,percent of total billed charges,98% of total billed charges,612.48,48,,489.98,percent of total billed charges,48% of total billed charges,574.2,45,,459.36,percent of total billed charges,45% of total billed charges,488.07,38.25,,390.46,percent of total billed charges,38.25% of total billed charges,574.2,45,,459.36,percent of total billed charges,45% of total billed charges,574.2,45,,459.36,percent of total billed charges,45% of total billed charges,488.07,1260.56,
TREAT THIGH FRACTURE,15027501,CDM,450,RC,27501,HCPCS,OUTPATIENT,,,2449,1959.2,,2326.55,95,,1861.24,percent of total billed charges,95% of total billed charges,2319.69,94.72,,1855.75,percent of total billed charges,94.72% of total billed charges,2419.37,98.79,,1935.5,percent of total billed charges,98.79% of total billed charges,2400.02,98,,1920.02,percent of total billed charges,98% of total billed charges,2400.02,98,,1920.02,percent of total billed charges,98% of total billed charges,1175.52,48,,940.42,percent of total billed charges,48% of total billed charges,1102.05,45,,881.64,percent of total billed charges,45% of total billed charges,936.74,38.25,,749.39,percent of total billed charges,38.25% of total billed charges,1102.05,45,,881.64,percent of total billed charges,45% of total billed charges,1102.05,45,,881.64,percent of total billed charges,45% of total billed charges,936.74,2419.37,
TREAT THIGH FRACTURE,15027508,CDM,450,RC,27508,HCPCS,OUTPATIENT,,,1593,1274.4,,1513.35,95,,1210.68,percent of total billed charges,95% of total billed charges,1508.89,94.72,,1207.11,percent of total billed charges,94.72% of total billed charges,1573.72,98.79,,1258.98,percent of total billed charges,98.79% of total billed charges,1561.14,98,,1248.91,percent of total billed charges,98% of total billed charges,1561.14,98,,1248.91,percent of total billed charges,98% of total billed charges,764.64,48,,611.71,percent of total billed charges,48% of total billed charges,716.85,45,,573.48,percent of total billed charges,45% of total billed charges,609.32,38.25,,487.46,percent of total billed charges,38.25% of total billed charges,716.85,45,,573.48,percent of total billed charges,45% of total billed charges,716.85,45,,573.48,percent of total billed charges,45% of total billed charges,609.32,1573.72,
27516 CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ TechFee,15027516,CDM,450,RC,27516,HCPCS,OUTPATIENT,,,1944,1555.2,,1846.8,95,,1477.44,percent of total billed charges,95% of total billed charges,1841.36,94.72,,1473.09,percent of total billed charges,94.72% of total billed charges,1920.48,98.79,,1536.38,percent of total billed charges,98.79% of total billed charges,1905.12,98,,1524.1,percent of total billed charges,98% of total billed charges,1905.12,98,,1524.1,percent of total billed charges,98% of total billed charges,933.12,48,,746.5,percent of total billed charges,48% of total billed charges,874.8,45,,699.84,percent of total billed charges,45% of total billed charges,743.58,38.25,,594.86,percent of total billed charges,38.25% of total billed charges,874.8,45,,699.84,percent of total billed charges,45% of total billed charges,874.8,45,,699.84,percent of total billed charges,45% of total billed charges,743.58,1920.48,
27532 CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRA,15027532,CDM,450,RC,27532,HCPCS,OUTPATIENT,,,2915,2332,,2769.25,95,,2215.4,percent of total billed charges,95% of total billed charges,2761.09,94.72,,2208.87,percent of total billed charges,94.72% of total billed charges,2879.73,98.79,,2303.78,percent of total billed charges,98.79% of total billed charges,2856.7,98,,2285.36,percent of total billed charges,98% of total billed charges,2856.7,98,,2285.36,percent of total billed charges,98% of total billed charges,1399.2,48,,1119.36,percent of total billed charges,48% of total billed charges,1311.75,45,,1049.4,percent of total billed charges,45% of total billed charges,1114.99,38.25,,891.99,percent of total billed charges,38.25% of total billed charges,1311.75,45,,1049.4,percent of total billed charges,45% of total billed charges,1311.75,45,,1049.4,percent of total billed charges,45% of total billed charges,1114.99,2879.73,
27552 TREATMENT CL KNEE DISLOCATIO-ER SERV,15027552,CDM,450,RC,27552,HCPCS,OUTPATIENT,,,3152,2521.6,,2994.4,95,,2395.52,percent of total billed charges,95% of total billed charges,2985.57,94.72,,2388.46,percent of total billed charges,94.72% of total billed charges,3113.86,98.79,,2491.09,percent of total billed charges,98.79% of total billed charges,3088.96,98,,2471.17,percent of total billed charges,98% of total billed charges,3088.96,98,,2471.17,percent of total billed charges,98% of total billed charges,1512.96,48,,1210.37,percent of total billed charges,48% of total billed charges,1418.4,45,,1134.72,percent of total billed charges,45% of total billed charges,1205.64,38.25,,964.51,percent of total billed charges,38.25% of total billed charges,1418.4,45,,1134.72,percent of total billed charges,45% of total billed charges,1418.4,45,,1134.72,percent of total billed charges,45% of total billed charges,1205.64,3113.86,
27560 CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA TechFee,15027560,CDM,450,RC,27560,HCPCS,OUTPATIENT,,,1373,1098.4,,1304.35,95,,1043.48,percent of total billed charges,95% of total billed charges,1300.51,94.72,,1040.41,percent of total billed charges,94.72% of total billed charges,1356.39,98.79,,1085.11,percent of total billed charges,98.79% of total billed charges,1345.54,98,,1076.43,percent of total billed charges,98% of total billed charges,1345.54,98,,1076.43,percent of total billed charges,98% of total billed charges,659.04,48,,527.23,percent of total billed charges,48% of total billed charges,617.85,45,,494.28,percent of total billed charges,45% of total billed charges,525.17,38.25,,420.14,percent of total billed charges,38.25% of total billed charges,617.85,45,,494.28,percent of total billed charges,45% of total billed charges,617.85,45,,494.28,percent of total billed charges,45% of total billed charges,525.17,1356.39,
27562 CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA TechFee,15027562,CDM,450,RC,27562,HCPCS,OUTPATIENT,,,2293,1834.4,,2178.35,95,,1742.68,percent of total billed charges,95% of total billed charges,2171.93,94.72,,1737.54,percent of total billed charges,94.72% of total billed charges,2265.25,98.79,,1812.2,percent of total billed charges,98.79% of total billed charges,2247.14,98,,1797.71,percent of total billed charges,98% of total billed charges,2247.14,98,,1797.71,percent of total billed charges,98% of total billed charges,1100.64,48,,880.51,percent of total billed charges,48% of total billed charges,1031.85,45,,825.48,percent of total billed charges,45% of total billed charges,877.07,38.25,,701.66,percent of total billed charges,38.25% of total billed charges,1031.85,45,,825.48,percent of total billed charges,45% of total billed charges,1031.85,45,,825.48,percent of total billed charges,45% of total billed charges,877.07,2265.25,
TREAT TIBIA FRACTURE,15027750,CDM,450,RC,27750,HCPCS,OUTPATIENT,,,1632,1305.6,,1550.4,95,,1240.32,percent of total billed charges,95% of total billed charges,1545.83,94.72,,1236.66,percent of total billed charges,94.72% of total billed charges,1612.25,98.79,,1289.8,percent of total billed charges,98.79% of total billed charges,1599.36,98,,1279.49,percent of total billed charges,98% of total billed charges,1599.36,98,,1279.49,percent of total billed charges,98% of total billed charges,783.36,48,,626.69,percent of total billed charges,48% of total billed charges,734.4,45,,587.52,percent of total billed charges,45% of total billed charges,624.24,38.25,,499.39,percent of total billed charges,38.25% of total billed charges,734.4,45,,587.52,percent of total billed charges,45% of total billed charges,734.4,45,,587.52,percent of total billed charges,45% of total billed charges,624.24,1612.25,
TREAT TIBIA FRACTURE,15027752,CDM,450,RC,27752,HCPCS,OUTPATIENT,,,2071,1656.8,,1967.45,95,,1573.96,percent of total billed charges,95% of total billed charges,1961.65,94.72,,1569.32,percent of total billed charges,94.72% of total billed charges,2045.94,98.79,,1636.75,percent of total billed charges,98.79% of total billed charges,2029.58,98,,1623.66,percent of total billed charges,98% of total billed charges,2029.58,98,,1623.66,percent of total billed charges,98% of total billed charges,994.08,48,,795.26,percent of total billed charges,48% of total billed charges,931.95,45,,745.56,percent of total billed charges,45% of total billed charges,792.16,38.25,,633.73,percent of total billed charges,38.25% of total billed charges,931.95,45,,745.56,percent of total billed charges,45% of total billed charges,931.95,45,,745.56,percent of total billed charges,45% of total billed charges,792.16,2045.94,
TREAT ANKLE FRACTURE,15027760,CDM,450,RC,27760,HCPCS,OUTPATIENT,,,1352,1081.6,,1284.4,95,,1027.52,percent of total billed charges,95% of total billed charges,1280.61,94.72,,1024.49,percent of total billed charges,94.72% of total billed charges,1335.64,98.79,,1068.51,percent of total billed charges,98.79% of total billed charges,1324.96,98,,1059.97,percent of total billed charges,98% of total billed charges,1324.96,98,,1059.97,percent of total billed charges,98% of total billed charges,648.96,48,,519.17,percent of total billed charges,48% of total billed charges,608.4,45,,486.72,percent of total billed charges,45% of total billed charges,517.14,38.25,,413.71,percent of total billed charges,38.25% of total billed charges,608.4,45,,486.72,percent of total billed charges,45% of total billed charges,608.4,45,,486.72,percent of total billed charges,45% of total billed charges,517.14,1335.64,
TREAT FIBULA FRACTURE,15027780,CDM,450,RC,27780,HCPCS,OUTPATIENT,,,1173,938.4,,1114.35,95,,891.48,percent of total billed charges,95% of total billed charges,1111.07,94.72,,888.86,percent of total billed charges,94.72% of total billed charges,1158.81,98.79,,927.05,percent of total billed charges,98.79% of total billed charges,1149.54,98,,919.63,percent of total billed charges,98% of total billed charges,1149.54,98,,919.63,percent of total billed charges,98% of total billed charges,563.04,48,,450.43,percent of total billed charges,48% of total billed charges,527.85,45,,422.28,percent of total billed charges,45% of total billed charges,448.67,38.25,,358.94,percent of total billed charges,38.25% of total billed charges,527.85,45,,422.28,percent of total billed charges,45% of total billed charges,527.85,45,,422.28,percent of total billed charges,45% of total billed charges,448.67,1158.81,
CL TX PROX FIB SHAFT F W MANIP,15027781,CDM,450,RC,27781,HCPCS,OUTPATIENT,,,1292,1033.6,,1227.4,95,,981.92,percent of total billed charges,95% of total billed charges,1223.78,94.72,,979.02,percent of total billed charges,94.72% of total billed charges,1276.37,98.79,,1021.1,percent of total billed charges,98.79% of total billed charges,1266.16,98,,1012.93,percent of total billed charges,98% of total billed charges,1266.16,98,,1012.93,percent of total billed charges,98% of total billed charges,620.16,48,,496.13,percent of total billed charges,48% of total billed charges,581.4,45,,465.12,percent of total billed charges,45% of total billed charges,494.19,38.25,,395.35,percent of total billed charges,38.25% of total billed charges,581.4,45,,465.12,percent of total billed charges,45% of total billed charges,581.4,45,,465.12,percent of total billed charges,45% of total billed charges,494.19,1276.37,
TREAT ANKLE FRACTURE,15027786,CDM,450,RC,27786,HCPCS,OUTPATIENT,,,1328,1062.4,,1261.6,95,,1009.28,percent of total billed charges,95% of total billed charges,1257.88,94.72,,1006.3,percent of total billed charges,94.72% of total billed charges,1311.93,98.79,,1049.54,percent of total billed charges,98.79% of total billed charges,1301.44,98,,1041.15,percent of total billed charges,98% of total billed charges,1301.44,98,,1041.15,percent of total billed charges,98% of total billed charges,637.44,48,,509.95,percent of total billed charges,48% of total billed charges,597.6,45,,478.08,percent of total billed charges,45% of total billed charges,507.96,38.25,,406.37,percent of total billed charges,38.25% of total billed charges,597.6,45,,478.08,percent of total billed charges,45% of total billed charges,597.6,45,,478.08,percent of total billed charges,45% of total billed charges,507.96,1311.93,
TREAT ANKLE FRACTURE,15027788,CDM,450,RC,27788,HCPCS,OUTPATIENT,,,1436,1148.8,,1364.2,95,,1091.36,percent of total billed charges,95% of total billed charges,1360.18,94.72,,1088.14,percent of total billed charges,94.72% of total billed charges,1418.62,98.79,,1134.9,percent of total billed charges,98.79% of total billed charges,1407.28,98,,1125.82,percent of total billed charges,98% of total billed charges,1407.28,98,,1125.82,percent of total billed charges,98% of total billed charges,689.28,48,,551.42,percent of total billed charges,48% of total billed charges,646.2,45,,516.96,percent of total billed charges,45% of total billed charges,549.27,38.25,,439.42,percent of total billed charges,38.25% of total billed charges,646.2,45,,516.96,percent of total billed charges,45% of total billed charges,646.2,45,,516.96,percent of total billed charges,45% of total billed charges,549.27,1418.62,
TREAT ANKLE FRACTURE,15027810,CDM,450,RC,27810,HCPCS,OUTPATIENT,,,2237,1789.6,,2125.15,95,,1700.12,percent of total billed charges,95% of total billed charges,2118.89,94.72,,1695.11,percent of total billed charges,94.72% of total billed charges,2209.93,98.79,,1767.94,percent of total billed charges,98.79% of total billed charges,2192.26,98,,1753.81,percent of total billed charges,98% of total billed charges,2192.26,98,,1753.81,percent of total billed charges,98% of total billed charges,1073.76,48,,859.01,percent of total billed charges,48% of total billed charges,1006.65,45,,805.32,percent of total billed charges,45% of total billed charges,855.65,38.25,,684.52,percent of total billed charges,38.25% of total billed charges,1006.65,45,,805.32,percent of total billed charges,45% of total billed charges,1006.65,45,,805.32,percent of total billed charges,45% of total billed charges,855.65,2209.93,
TREAT ANKLE FRACTURE,15027816,CDM,450,RC,27816,HCPCS,OUTPATIENT,,,1649,1319.2,,1566.55,95,,1253.24,percent of total billed charges,95% of total billed charges,1561.93,94.72,,1249.54,percent of total billed charges,94.72% of total billed charges,1629.05,98.79,,1303.24,percent of total billed charges,98.79% of total billed charges,1616.02,98,,1292.82,percent of total billed charges,98% of total billed charges,1616.02,98,,1292.82,percent of total billed charges,98% of total billed charges,791.52,48,,633.22,percent of total billed charges,48% of total billed charges,742.05,45,,593.64,percent of total billed charges,45% of total billed charges,630.74,38.25,,504.59,percent of total billed charges,38.25% of total billed charges,742.05,45,,593.64,percent of total billed charges,45% of total billed charges,742.05,45,,593.64,percent of total billed charges,45% of total billed charges,630.74,1629.05,
TREAT ANKLE FRACTURE,15027818,CDM,450,RC,27818,HCPCS,OUTPATIENT,,,1649,1319.2,,1566.55,95,,1253.24,percent of total billed charges,95% of total billed charges,1561.93,94.72,,1249.54,percent of total billed charges,94.72% of total billed charges,1629.05,98.79,,1303.24,percent of total billed charges,98.79% of total billed charges,1616.02,98,,1292.82,percent of total billed charges,98% of total billed charges,1616.02,98,,1292.82,percent of total billed charges,98% of total billed charges,791.52,48,,633.22,percent of total billed charges,48% of total billed charges,742.05,45,,593.64,percent of total billed charges,45% of total billed charges,630.74,38.25,,504.59,percent of total billed charges,38.25% of total billed charges,742.05,45,,593.64,percent of total billed charges,45% of total billed charges,742.05,45,,593.64,percent of total billed charges,45% of total billed charges,630.74,1629.05,
TREAT LOWER LEG FRACTURE,15027824,CDM,450,RC,27824,HCPCS,OUTPATIENT,,,1474,1179.2,,1400.3,95,,1120.24,percent of total billed charges,95% of total billed charges,1396.17,94.72,,1116.94,percent of total billed charges,94.72% of total billed charges,1456.16,98.79,,1164.93,percent of total billed charges,98.79% of total billed charges,1444.52,98,,1155.62,percent of total billed charges,98% of total billed charges,1444.52,98,,1155.62,percent of total billed charges,98% of total billed charges,707.52,48,,566.02,percent of total billed charges,48% of total billed charges,663.3,45,,530.64,percent of total billed charges,45% of total billed charges,563.81,38.25,,451.05,percent of total billed charges,38.25% of total billed charges,663.3,45,,530.64,percent of total billed charges,45% of total billed charges,663.3,45,,530.64,percent of total billed charges,45% of total billed charges,563.81,1456.16,
TREAT ANKLE DISLOCATION,15027840,CDM,450,RC,27840,HCPCS,OUTPATIENT,,,1146,916.8,,1088.7,95,,870.96,percent of total billed charges,95% of total billed charges,1085.49,94.72,,868.39,percent of total billed charges,94.72% of total billed charges,1132.13,98.79,,905.7,percent of total billed charges,98.79% of total billed charges,1123.08,98,,898.46,percent of total billed charges,98% of total billed charges,1123.08,98,,898.46,percent of total billed charges,98% of total billed charges,550.08,48,,440.06,percent of total billed charges,48% of total billed charges,515.7,45,,412.56,percent of total billed charges,45% of total billed charges,438.35,38.25,,350.68,percent of total billed charges,38.25% of total billed charges,515.7,45,,412.56,percent of total billed charges,45% of total billed charges,515.7,45,,412.56,percent of total billed charges,45% of total billed charges,438.35,1132.13,
TREAT ANKLE DISLOCATION,15027842,CDM,450,RC,27842,HCPCS,OUTPATIENT,,,1323,1058.4,,1256.85,95,,1005.48,percent of total billed charges,95% of total billed charges,1253.15,94.72,,1002.52,percent of total billed charges,94.72% of total billed charges,1306.99,98.79,,1045.59,percent of total billed charges,98.79% of total billed charges,1296.54,98,,1037.23,percent of total billed charges,98% of total billed charges,1296.54,98,,1037.23,percent of total billed charges,98% of total billed charges,635.04,48,,508.03,percent of total billed charges,48% of total billed charges,595.35,45,,476.28,percent of total billed charges,45% of total billed charges,506.05,38.25,,404.84,percent of total billed charges,38.25% of total billed charges,595.35,45,,476.28,percent of total billed charges,45% of total billed charges,595.35,45,,476.28,percent of total billed charges,45% of total billed charges,506.05,1306.99,
REM FOREIGN BODY FOOT SUBCUTANE,15028190,CDM,450,RC,28190,HCPCS,OUTPATIENT,,,743,594.4,,705.85,95,,564.68,percent of total billed charges,95% of total billed charges,703.77,94.72,,563.02,percent of total billed charges,94.72% of total billed charges,734.01,98.79,,587.21,percent of total billed charges,98.79% of total billed charges,728.14,98,,582.51,percent of total billed charges,98% of total billed charges,728.14,98,,582.51,percent of total billed charges,98% of total billed charges,356.64,48,,285.31,percent of total billed charges,48% of total billed charges,334.35,45,,267.48,percent of total billed charges,45% of total billed charges,284.2,38.25,,227.36,percent of total billed charges,38.25% of total billed charges,334.35,45,,267.48,percent of total billed charges,45% of total billed charges,334.35,45,,267.48,percent of total billed charges,45% of total billed charges,284.2,734.01,
TREAT HEEL FRACTURE,15028400,CDM,450,RC,28400,HCPCS,OUTPATIENT,,,1118,894.4,,1062.1,95,,849.68,percent of total billed charges,95% of total billed charges,1058.97,94.72,,847.18,percent of total billed charges,94.72% of total billed charges,1104.47,98.79,,883.58,percent of total billed charges,98.79% of total billed charges,1095.64,98,,876.51,percent of total billed charges,98% of total billed charges,1095.64,98,,876.51,percent of total billed charges,98% of total billed charges,536.64,48,,429.31,percent of total billed charges,48% of total billed charges,503.1,45,,402.48,percent of total billed charges,45% of total billed charges,427.64,38.25,,342.11,percent of total billed charges,38.25% of total billed charges,503.1,45,,402.48,percent of total billed charges,45% of total billed charges,503.1,45,,402.48,percent of total billed charges,45% of total billed charges,427.64,1104.47,
TREAT METATARSAL FRACTURE,15028475,CDM,450,RC,28475,HCPCS,OUTPATIENT,,,965,772,,916.75,95,,733.4,percent of total billed charges,95% of total billed charges,914.05,94.72,,731.24,percent of total billed charges,94.72% of total billed charges,953.32,98.79,,762.66,percent of total billed charges,98.79% of total billed charges,945.7,98,,756.56,percent of total billed charges,98% of total billed charges,945.7,98,,756.56,percent of total billed charges,98% of total billed charges,463.2,48,,370.56,percent of total billed charges,48% of total billed charges,434.25,45,,347.4,percent of total billed charges,45% of total billed charges,369.11,38.25,,295.29,percent of total billed charges,38.25% of total billed charges,434.25,45,,347.4,percent of total billed charges,45% of total billed charges,434.25,45,,347.4,percent of total billed charges,45% of total billed charges,369.11,953.32,
TREAT BIG TOE FRACTURE,15028490,CDM,450,RC,28490,HCPCS,OUTPATIENT,,,549,439.2,,521.55,95,,417.24,percent of total billed charges,95% of total billed charges,520.01,94.72,,416.01,percent of total billed charges,94.72% of total billed charges,542.36,98.79,,433.89,percent of total billed charges,98.79% of total billed charges,538.02,98,,430.42,percent of total billed charges,98% of total billed charges,538.02,98,,430.42,percent of total billed charges,98% of total billed charges,263.52,48,,210.82,percent of total billed charges,48% of total billed charges,247.05,45,,197.64,percent of total billed charges,45% of total billed charges,209.99,38.25,,167.99,percent of total billed charges,38.25% of total billed charges,247.05,45,,197.64,percent of total billed charges,45% of total billed charges,247.05,45,,197.64,percent of total billed charges,45% of total billed charges,209.99,542.36,
TREAT TOE FRACTURE,15028510,CDM,450,RC,28510,HCPCS,OUTPATIENT,,,484,387.2,,459.8,95,,367.84,percent of total billed charges,95% of total billed charges,458.44,94.72,,366.75,percent of total billed charges,94.72% of total billed charges,478.14,98.79,,382.51,percent of total billed charges,98.79% of total billed charges,474.32,98,,379.46,percent of total billed charges,98% of total billed charges,474.32,98,,379.46,percent of total billed charges,98% of total billed charges,232.32,48,,185.86,percent of total billed charges,48% of total billed charges,217.8,45,,174.24,percent of total billed charges,45% of total billed charges,185.13,38.25,,148.1,percent of total billed charges,38.25% of total billed charges,217.8,45,,174.24,percent of total billed charges,45% of total billed charges,217.8,45,,174.24,percent of total billed charges,45% of total billed charges,185.13,478.14,
CL TX TMT JNT DISL WO ANESTHIESIA,15028600,CDM,450,RC,28600,HCPCS,OUTPATIENT,,,672,537.6,,638.4,95,,510.72,percent of total billed charges,95% of total billed charges,636.52,94.72,,509.22,percent of total billed charges,94.72% of total billed charges,663.87,98.79,,531.1,percent of total billed charges,98.79% of total billed charges,658.56,98,,526.85,percent of total billed charges,98% of total billed charges,658.56,98,,526.85,percent of total billed charges,98% of total billed charges,322.56,48,,258.05,percent of total billed charges,48% of total billed charges,302.4,45,,241.92,percent of total billed charges,45% of total billed charges,257.04,38.25,,205.63,percent of total billed charges,38.25% of total billed charges,302.4,45,,241.92,percent of total billed charges,45% of total billed charges,302.4,45,,241.92,percent of total billed charges,45% of total billed charges,257.04,663.87,
CL TX IP JNT DISLOC WO ANESTH,15028660,CDM,450,RC,28660,HCPCS,OUTPATIENT,,,426,340.8,,404.7,95,,323.76,percent of total billed charges,95% of total billed charges,403.51,94.72,,322.81,percent of total billed charges,94.72% of total billed charges,420.85,98.79,,336.68,percent of total billed charges,98.79% of total billed charges,417.48,98,,333.98,percent of total billed charges,98% of total billed charges,417.48,98,,333.98,percent of total billed charges,98% of total billed charges,204.48,48,,163.58,percent of total billed charges,48% of total billed charges,191.7,45,,153.36,percent of total billed charges,45% of total billed charges,162.95,38.25,,130.36,percent of total billed charges,38.25% of total billed charges,191.7,45,,153.36,percent of total billed charges,45% of total billed charges,191.7,45,,153.36,percent of total billed charges,45% of total billed charges,162.95,420.85,
TREAT TOE DISLOCATION,15028665,CDM,450,RC,28665,HCPCS,OUTPATIENT,,,444,355.2,,421.8,95,,337.44,percent of total billed charges,95% of total billed charges,420.56,94.72,,336.45,percent of total billed charges,94.72% of total billed charges,438.63,98.79,,350.9,percent of total billed charges,98.79% of total billed charges,435.12,98,,348.1,percent of total billed charges,98% of total billed charges,435.12,98,,348.1,percent of total billed charges,98% of total billed charges,213.12,48,,170.5,percent of total billed charges,48% of total billed charges,199.8,45,,159.84,percent of total billed charges,45% of total billed charges,169.83,38.25,,135.86,percent of total billed charges,38.25% of total billed charges,199.8,45,,159.84,percent of total billed charges,45% of total billed charges,199.8,45,,159.84,percent of total billed charges,45% of total billed charges,169.83,438.63,
APPLY CAST SHOULDER TO HAND,15029065,CDM,450,RC,29065,HCPCS,OUTPATIENT,,,311,248.8,,295.45,95,,236.36,percent of total billed charges,95% of total billed charges,294.58,94.72,,235.66,percent of total billed charges,94.72% of total billed charges,307.24,98.79,,245.79,percent of total billed charges,98.79% of total billed charges,304.78,98,,243.82,percent of total billed charges,98% of total billed charges,304.78,98,,243.82,percent of total billed charges,98% of total billed charges,149.28,48,,119.42,percent of total billed charges,48% of total billed charges,139.95,45,,111.96,percent of total billed charges,45% of total billed charges,118.96,38.25,,95.17,percent of total billed charges,38.25% of total billed charges,139.95,45,,111.96,percent of total billed charges,45% of total billed charges,139.95,45,,111.96,percent of total billed charges,45% of total billed charges,118.96,307.24,
APPLY SHORT ARM CAST (FINGER TO ELBOW),15029075,CDM,450,RC,29075,HCPCS,OUTPATIENT,,,193,154.4,,183.35,95,,146.68,percent of total billed charges,95% of total billed charges,182.81,94.72,,146.25,percent of total billed charges,94.72% of total billed charges,190.66,98.79,,152.53,percent of total billed charges,98.79% of total billed charges,189.14,98,,151.31,percent of total billed charges,98% of total billed charges,189.14,98,,151.31,percent of total billed charges,98% of total billed charges,92.64,48,,74.11,percent of total billed charges,48% of total billed charges,86.85,45,,69.48,percent of total billed charges,45% of total billed charges,73.82,38.25,,59.06,percent of total billed charges,38.25% of total billed charges,86.85,45,,69.48,percent of total billed charges,45% of total billed charges,86.85,45,,69.48,percent of total billed charges,45% of total billed charges,73.82,190.66,
APPLY GAUNTLET CAST,15029085,CDM,450,RC,29085,HCPCS,OUTPATIENT,,,278,222.4,,264.1,95,,211.28,percent of total billed charges,95% of total billed charges,263.32,94.72,,210.66,percent of total billed charges,94.72% of total billed charges,274.64,98.79,,219.71,percent of total billed charges,98.79% of total billed charges,272.44,98,,217.95,percent of total billed charges,98% of total billed charges,272.44,98,,217.95,percent of total billed charges,98% of total billed charges,133.44,48,,106.75,percent of total billed charges,48% of total billed charges,125.1,45,,100.08,percent of total billed charges,45% of total billed charges,106.34,38.25,,85.07,percent of total billed charges,38.25% of total billed charges,125.1,45,,100.08,percent of total billed charges,45% of total billed charges,125.1,45,,100.08,percent of total billed charges,45% of total billed charges,106.34,274.64,
APPLY FINGER CAST,15029086,CDM,450,RC,29086,HCPCS,OUTPATIENT,,,170,136,,161.5,95,,129.2,percent of total billed charges,95% of total billed charges,161.02,94.72,,128.82,percent of total billed charges,94.72% of total billed charges,167.94,98.79,,134.35,percent of total billed charges,98.79% of total billed charges,166.6,98,,133.28,percent of total billed charges,98% of total billed charges,166.6,98,,133.28,percent of total billed charges,98% of total billed charges,81.6,48,,65.28,percent of total billed charges,48% of total billed charges,76.5,45,,61.2,percent of total billed charges,45% of total billed charges,65.03,38.25,,52.02,percent of total billed charges,38.25% of total billed charges,76.5,45,,61.2,percent of total billed charges,45% of total billed charges,76.5,45,,61.2,percent of total billed charges,45% of total billed charges,65.03,167.94,
29105 ER LONG ARM SPLINT (SHOULDER TO HAND),15029105,CDM,450,RC,29105,HCPCS,OUTPATIENT,,,210,168,,199.5,95,,159.6,percent of total billed charges,95% of total billed charges,198.91,94.72,,159.13,percent of total billed charges,94.72% of total billed charges,207.46,98.79,,165.97,percent of total billed charges,98.79% of total billed charges,205.8,98,,164.64,percent of total billed charges,98% of total billed charges,205.8,98,,164.64,percent of total billed charges,98% of total billed charges,100.8,48,,80.64,percent of total billed charges,48% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,80.33,38.25,,64.26,percent of total billed charges,38.25% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,94.5,45,,75.6,percent of total billed charges,45% of total billed charges,80.33,207.46,
SHORT ARM SPLINT DYNAMIC,15029126,CDM,450,RC,29126,HCPCS,OUTPATIENT,,,286,228.8,,271.7,95,,217.36,percent of total billed charges,95% of total billed charges,270.9,94.72,,216.72,percent of total billed charges,94.72% of total billed charges,282.54,98.79,,226.03,percent of total billed charges,98.79% of total billed charges,280.28,98,,224.22,percent of total billed charges,98% of total billed charges,280.28,98,,224.22,percent of total billed charges,98% of total billed charges,137.28,48,,109.82,percent of total billed charges,48% of total billed charges,128.7,45,,102.96,percent of total billed charges,45% of total billed charges,109.4,38.25,,87.52,percent of total billed charges,38.25% of total billed charges,128.7,45,,102.96,percent of total billed charges,45% of total billed charges,128.7,45,,102.96,percent of total billed charges,45% of total billed charges,109.4,282.54,
FINGER SPLINT STATIC,15029130,CDM,450,RC,29130,HCPCS,OUTPATIENT,,,144,115.2,,136.8,95,,109.44,percent of total billed charges,95% of total billed charges,136.4,94.72,,109.12,percent of total billed charges,94.72% of total billed charges,142.26,98.79,,113.81,percent of total billed charges,98.79% of total billed charges,141.12,98,,112.9,percent of total billed charges,98% of total billed charges,141.12,98,,112.9,percent of total billed charges,98% of total billed charges,69.12,48,,55.3,percent of total billed charges,48% of total billed charges,64.8,45,,51.84,percent of total billed charges,45% of total billed charges,55.08,38.25,,44.06,percent of total billed charges,38.25% of total billed charges,64.8,45,,51.84,percent of total billed charges,45% of total billed charges,64.8,45,,51.84,percent of total billed charges,45% of total billed charges,55.08,142.26,
FINGER SPLINT DYNAMIC,15029131,CDM,450,RC,29131,HCPCS,OUTPATIENT,,,239,191.2,,227.05,95,,181.64,percent of total billed charges,95% of total billed charges,226.38,94.72,,181.1,percent of total billed charges,94.72% of total billed charges,236.11,98.79,,188.89,percent of total billed charges,98.79% of total billed charges,234.22,98,,187.38,percent of total billed charges,98% of total billed charges,234.22,98,,187.38,percent of total billed charges,98% of total billed charges,114.72,48,,91.78,percent of total billed charges,48% of total billed charges,107.55,45,,86.04,percent of total billed charges,45% of total billed charges,91.42,38.25,,73.14,percent of total billed charges,38.25% of total billed charges,107.55,45,,86.04,percent of total billed charges,45% of total billed charges,107.55,45,,86.04,percent of total billed charges,45% of total billed charges,91.42,236.11,
STRAP CHEST,15029200,CDM,450,RC,29200,HCPCS,OUTPATIENT,,,159,127.2,,151.05,95,,120.84,percent of total billed charges,95% of total billed charges,150.6,94.72,,120.48,percent of total billed charges,94.72% of total billed charges,157.08,98.79,,125.66,percent of total billed charges,98.79% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,76.32,48,,61.06,percent of total billed charges,48% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,38.25,,48.66,percent of total billed charges,38.25% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,157.08,
STRAP SHOULDER,15029240,CDM,450,RC,29240,HCPCS,OUTPATIENT,,,190,152,,180.5,95,,144.4,percent of total billed charges,95% of total billed charges,179.97,94.72,,143.98,percent of total billed charges,94.72% of total billed charges,187.7,98.79,,150.16,percent of total billed charges,98.79% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,91.2,48,,72.96,percent of total billed charges,48% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,38.25,,58.14,percent of total billed charges,38.25% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,187.7,
STRAP HAND OR FINGER,15029280,CDM,450,RC,29280,HCPCS,OUTPATIENT,,,107,85.6,,101.65,95,,81.32,percent of total billed charges,95% of total billed charges,101.35,94.72,,81.08,percent of total billed charges,94.72% of total billed charges,105.71,98.79,,84.57,percent of total billed charges,98.79% of total billed charges,104.86,98,,83.89,percent of total billed charges,98% of total billed charges,104.86,98,,83.89,percent of total billed charges,98% of total billed charges,51.36,48,,41.09,percent of total billed charges,48% of total billed charges,48.15,45,,38.52,percent of total billed charges,45% of total billed charges,40.93,38.25,,32.74,percent of total billed charges,38.25% of total billed charges,48.15,45,,38.52,percent of total billed charges,45% of total billed charges,48.15,45,,38.52,percent of total billed charges,45% of total billed charges,40.93,105.71,
SHORT LEG SPLINT (CALF TO FOOT),15029515,CDM,450,RC,29515,HCPCS,OUTPATIENT,,,167,133.6,,158.65,95,,126.92,percent of total billed charges,95% of total billed charges,158.18,94.72,,126.54,percent of total billed charges,94.72% of total billed charges,164.98,98.79,,131.98,percent of total billed charges,98.79% of total billed charges,163.66,98,,130.93,percent of total billed charges,98% of total billed charges,163.66,98,,130.93,percent of total billed charges,98% of total billed charges,80.16,48,,64.13,percent of total billed charges,48% of total billed charges,75.15,45,,60.12,percent of total billed charges,45% of total billed charges,63.88,38.25,,51.1,percent of total billed charges,38.25% of total billed charges,75.15,45,,60.12,percent of total billed charges,45% of total billed charges,75.15,45,,60.12,percent of total billed charges,45% of total billed charges,63.88,164.98,
REM GAUNTLET BOOT OR BODY CAST,15029700,CDM,450,RC,29700,HCPCS,OUTPATIENT,,,227,181.6,,215.65,95,,172.52,percent of total billed charges,95% of total billed charges,215.01,94.72,,172.01,percent of total billed charges,94.72% of total billed charges,224.25,98.79,,179.4,percent of total billed charges,98.79% of total billed charges,222.46,98,,177.97,percent of total billed charges,98% of total billed charges,222.46,98,,177.97,percent of total billed charges,98% of total billed charges,108.96,48,,87.17,percent of total billed charges,48% of total billed charges,102.15,45,,81.72,percent of total billed charges,45% of total billed charges,86.83,38.25,,69.46,percent of total billed charges,38.25% of total billed charges,102.15,45,,81.72,percent of total billed charges,45% of total billed charges,102.15,45,,81.72,percent of total billed charges,45% of total billed charges,86.83,224.25,
REMOVE NASAL FOREIGN BODY,15030300,CDM,450,RC,30300,HCPCS,OUTPATIENT,,,626,500.8,,594.7,95,,475.76,percent of total billed charges,95% of total billed charges,592.95,94.72,,474.36,percent of total billed charges,94.72% of total billed charges,618.43,98.79,,494.74,percent of total billed charges,98.79% of total billed charges,613.48,98,,490.78,percent of total billed charges,98% of total billed charges,613.48,98,,490.78,percent of total billed charges,98% of total billed charges,300.48,48,,240.38,percent of total billed charges,48% of total billed charges,281.7,45,,225.36,percent of total billed charges,45% of total billed charges,239.45,38.25,,191.56,percent of total billed charges,38.25% of total billed charges,281.7,45,,225.36,percent of total billed charges,45% of total billed charges,281.7,45,,225.36,percent of total billed charges,45% of total billed charges,239.45,618.43,
30310 REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES TechFee,15030310,CDM,450,RC,30310,HCPCS,OUTPATIENT,,,725,580,,688.75,95,,551,percent of total billed charges,95% of total billed charges,686.72,94.72,,549.38,percent of total billed charges,94.72% of total billed charges,716.23,98.79,,572.98,percent of total billed charges,98.79% of total billed charges,710.5,98,,568.4,percent of total billed charges,98% of total billed charges,710.5,98,,568.4,percent of total billed charges,98% of total billed charges,348,48,,278.4,percent of total billed charges,48% of total billed charges,326.25,45,,261,percent of total billed charges,45% of total billed charges,277.31,38.25,,221.85,percent of total billed charges,38.25% of total billed charges,326.25,45,,261,percent of total billed charges,45% of total billed charges,326.25,45,,261,percent of total billed charges,45% of total billed charges,277.31,716.23,
CONTROL NOSEBLEED,15030903,CDM,450,RC,30903,HCPCS,OUTPATIENT,,,626,500.8,,594.7,95,,475.76,percent of total billed charges,95% of total billed charges,592.95,94.72,,474.36,percent of total billed charges,94.72% of total billed charges,618.43,98.79,,494.74,percent of total billed charges,98.79% of total billed charges,613.48,98,,490.78,percent of total billed charges,98% of total billed charges,613.48,98,,490.78,percent of total billed charges,98% of total billed charges,300.48,48,,240.38,percent of total billed charges,48% of total billed charges,281.7,45,,225.36,percent of total billed charges,45% of total billed charges,239.45,38.25,,191.56,percent of total billed charges,38.25% of total billed charges,281.7,45,,225.36,percent of total billed charges,45% of total billed charges,281.7,45,,225.36,percent of total billed charges,45% of total billed charges,239.45,618.43,
CONTROL NOSEBLEED,15030905,CDM,450,RC,30905,HCPCS,OUTPATIENT,,,655,524,,622.25,95,,497.8,percent of total billed charges,95% of total billed charges,620.42,94.72,,496.34,percent of total billed charges,94.72% of total billed charges,647.07,98.79,,517.66,percent of total billed charges,98.79% of total billed charges,641.9,98,,513.52,percent of total billed charges,98% of total billed charges,641.9,98,,513.52,percent of total billed charges,98% of total billed charges,314.4,48,,251.52,percent of total billed charges,48% of total billed charges,294.75,45,,235.8,percent of total billed charges,45% of total billed charges,250.54,38.25,,200.43,percent of total billed charges,38.25% of total billed charges,294.75,45,,235.8,percent of total billed charges,45% of total billed charges,294.75,45,,235.8,percent of total billed charges,45% of total billed charges,250.54,647.07,
REPEAT CONTROL NOSEBLEED,15030906,CDM,450,RC,30906,HCPCS,OUTPATIENT,,,683,546.4,,648.85,95,,519.08,percent of total billed charges,95% of total billed charges,646.94,94.72,,517.55,percent of total billed charges,94.72% of total billed charges,674.74,98.79,,539.79,percent of total billed charges,98.79% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,327.84,48,,262.27,percent of total billed charges,48% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,38.25,,209,percent of total billed charges,38.25% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,674.74,
INTUBATION,15031500,CDM,450,RC,31500,HCPCS,OUTPATIENT,,,593,474.4,,563.35,95,,450.68,percent of total billed charges,95% of total billed charges,561.69,94.72,,449.35,percent of total billed charges,94.72% of total billed charges,585.82,98.79,,468.66,percent of total billed charges,98.79% of total billed charges,581.14,98,,464.91,percent of total billed charges,98% of total billed charges,581.14,98,,464.91,percent of total billed charges,98% of total billed charges,284.64,48,,227.71,percent of total billed charges,48% of total billed charges,266.85,45,,213.48,percent of total billed charges,45% of total billed charges,226.82,38.25,,181.46,percent of total billed charges,38.25% of total billed charges,266.85,45,,213.48,percent of total billed charges,45% of total billed charges,266.85,45,,213.48,percent of total billed charges,45% of total billed charges,226.82,585.82,
31505 LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX TechFee,15031505,CDM,450,RC,31505,HCPCS,OUTPATIENT,,,230,184,,218.5,95,,174.8,percent of total billed charges,95% of total billed charges,217.86,94.72,,174.29,percent of total billed charges,94.72% of total billed charges,227.22,98.79,,181.78,percent of total billed charges,98.79% of total billed charges,225.4,98,,180.32,percent of total billed charges,98% of total billed charges,225.4,98,,180.32,percent of total billed charges,98% of total billed charges,110.4,48,,88.32,percent of total billed charges,48% of total billed charges,103.5,45,,82.8,percent of total billed charges,45% of total billed charges,87.98,38.25,,70.38,percent of total billed charges,38.25% of total billed charges,103.5,45,,82.8,percent of total billed charges,45% of total billed charges,103.5,45,,82.8,percent of total billed charges,45% of total billed charges,87.98,227.22,
31511 LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY TechFee,15031511,CDM,450,RC,31511,HCPCS,OUTPATIENT,,,1035,828,,983.25,95,,786.6,percent of total billed charges,95% of total billed charges,980.35,94.72,,784.28,percent of total billed charges,94.72% of total billed charges,1022.48,98.79,,817.98,percent of total billed charges,98.79% of total billed charges,1014.3,98,,811.44,percent of total billed charges,98% of total billed charges,1014.3,98,,811.44,percent of total billed charges,98% of total billed charges,496.8,48,,397.44,percent of total billed charges,48% of total billed charges,465.75,45,,372.6,percent of total billed charges,45% of total billed charges,395.89,38.25,,316.71,percent of total billed charges,38.25% of total billed charges,465.75,45,,372.6,percent of total billed charges,45% of total billed charges,465.75,45,,372.6,percent of total billed charges,45% of total billed charges,395.89,1022.48,
CATHETER ASPIRATION,15031720,CDM,450,RC,31720,HCPCS,OUTPATIENT,,,142,113.6,,134.9,95,,107.92,percent of total billed charges,95% of total billed charges,134.5,94.72,,107.6,percent of total billed charges,94.72% of total billed charges,140.28,98.79,,112.22,percent of total billed charges,98.79% of total billed charges,139.16,98,,111.33,percent of total billed charges,98% of total billed charges,139.16,98,,111.33,percent of total billed charges,98% of total billed charges,68.16,48,,54.53,percent of total billed charges,48% of total billed charges,63.9,45,,51.12,percent of total billed charges,45% of total billed charges,54.32,38.25,,43.46,percent of total billed charges,38.25% of total billed charges,63.9,45,,51.12,percent of total billed charges,45% of total billed charges,63.9,45,,51.12,percent of total billed charges,45% of total billed charges,54.32,140.28,
INSERT CHEST TUBE,15032551,CDM,450,RC,32551,HCPCS,OUTPATIENT,,,762,609.6,,723.9,95,,579.12,percent of total billed charges,95% of total billed charges,721.77,94.72,,577.42,percent of total billed charges,94.72% of total billed charges,752.78,98.79,,602.22,percent of total billed charges,98.79% of total billed charges,746.76,98,,597.41,percent of total billed charges,98% of total billed charges,746.76,98,,597.41,percent of total billed charges,98% of total billed charges,365.76,48,,292.61,percent of total billed charges,48% of total billed charges,342.9,45,,274.32,percent of total billed charges,45% of total billed charges,291.47,38.25,,233.18,percent of total billed charges,38.25% of total billed charges,342.9,45,,274.32,percent of total billed charges,45% of total billed charges,342.9,45,,274.32,percent of total billed charges,45% of total billed charges,291.47,752.78,
35207 REPAIR BLOOD VESSEL DIRECT HAND FINGER TechFee,15035207,CDM,450,RC,35207,HCPCS,OUTPATIENT,,,4424,3539.2,,4202.8,95,,3362.24,percent of total billed charges,95% of total billed charges,4190.41,94.72,,3352.33,percent of total billed charges,94.72% of total billed charges,4370.47,98.79,,3496.38,percent of total billed charges,98.79% of total billed charges,4335.52,98,,3468.42,percent of total billed charges,98% of total billed charges,4335.52,98,,3468.42,percent of total billed charges,98% of total billed charges,2123.52,48,,1698.82,percent of total billed charges,48% of total billed charges,1990.8,45,,1592.64,percent of total billed charges,45% of total billed charges,1692.18,38.25,,1353.74,percent of total billed charges,38.25% of total billed charges,1990.8,45,,1592.64,percent of total billed charges,45% of total billed charges,1990.8,45,,1592.64,percent of total billed charges,45% of total billed charges,1692.18,4370.47,
INTRO OF NEEDLE/INTRACATHETER VEIN,15036000,CDM,450,RC,36000,HCPCS,OUTPATIENT,,,87,69.6,,82.65,95,,66.12,percent of total billed charges,95% of total billed charges,82.41,94.72,,65.93,percent of total billed charges,94.72% of total billed charges,85.95,98.79,,68.76,percent of total billed charges,98.79% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,41.76,48,,33.41,percent of total billed charges,48% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,38.25,,26.62,percent of total billed charges,38.25% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,85.95,
36140 INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY TechFee,15036140,CDM,450,RC,36140,HCPCS,OUTPATIENT,,,695,556,,660.25,95,,528.2,percent of total billed charges,95% of total billed charges,658.3,94.72,,526.64,percent of total billed charges,94.72% of total billed charges,686.59,98.79,,549.27,percent of total billed charges,98.79% of total billed charges,681.1,98,,544.88,percent of total billed charges,98% of total billed charges,681.1,98,,544.88,percent of total billed charges,98% of total billed charges,333.6,48,,266.88,percent of total billed charges,48% of total billed charges,312.75,45,,250.2,percent of total billed charges,45% of total billed charges,265.84,38.25,,212.67,percent of total billed charges,38.25% of total billed charges,312.75,45,,250.2,percent of total billed charges,45% of total billed charges,312.75,45,,250.2,percent of total billed charges,45% of total billed charges,265.84,686.59,
36620 ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ TechFee,15036620,CDM,450,RC,36620,HCPCS,OUTPATIENT,,,247,197.6,,234.65,95,,187.72,percent of total billed charges,95% of total billed charges,233.96,94.72,,187.17,percent of total billed charges,94.72% of total billed charges,244.01,98.79,,195.21,percent of total billed charges,98.79% of total billed charges,242.06,98,,193.65,percent of total billed charges,98% of total billed charges,242.06,98,,193.65,percent of total billed charges,98% of total billed charges,118.56,48,,94.85,percent of total billed charges,48% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,94.48,38.25,,75.58,percent of total billed charges,38.25% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,94.48,244.01,
INSERT NEEDLE BONE CAVITY,15036680,CDM,450,RC,36680,HCPCS,OUTPATIENT,,,294,235.2,,279.3,95,,223.44,percent of total billed charges,95% of total billed charges,278.48,94.72,,222.78,percent of total billed charges,94.72% of total billed charges,290.44,98.79,,232.35,percent of total billed charges,98.79% of total billed charges,288.12,98,,230.5,percent of total billed charges,98% of total billed charges,288.12,98,,230.5,percent of total billed charges,98% of total billed charges,141.12,48,,112.9,percent of total billed charges,48% of total billed charges,132.3,45,,105.84,percent of total billed charges,45% of total billed charges,112.46,38.25,,89.97,percent of total billed charges,38.25% of total billed charges,132.3,45,,105.84,percent of total billed charges,45% of total billed charges,132.3,45,,105.84,percent of total billed charges,45% of total billed charges,112.46,290.44,
38505 BX/EXC LYMPH NODE NEEDLE SUPERFICIAL TechFee,15038505,CDM,450,RC,38505,HCPCS,OUTPATIENT,,,814,651.2,,773.3,95,,618.64,percent of total billed charges,95% of total billed charges,771.02,94.72,,616.82,percent of total billed charges,94.72% of total billed charges,804.15,98.79,,643.32,percent of total billed charges,98.79% of total billed charges,797.72,98,,638.18,percent of total billed charges,98% of total billed charges,797.72,98,,638.18,percent of total billed charges,98% of total billed charges,390.72,48,,312.58,percent of total billed charges,48% of total billed charges,366.3,45,,293.04,percent of total billed charges,45% of total billed charges,311.36,38.25,,249.09,percent of total billed charges,38.25% of total billed charges,366.3,45,,293.04,percent of total billed charges,45% of total billed charges,366.3,45,,293.04,percent of total billed charges,45% of total billed charges,311.36,804.15,
DRAIN GUM LESION,15041800,CDM,450,RC,41800,HCPCS,OUTPATIENT,,,320,256,,304,95,,243.2,percent of total billed charges,95% of total billed charges,303.1,94.72,,242.48,percent of total billed charges,94.72% of total billed charges,316.13,98.79,,252.9,percent of total billed charges,98.79% of total billed charges,313.6,98,,250.88,percent of total billed charges,98% of total billed charges,313.6,98,,250.88,percent of total billed charges,98% of total billed charges,153.6,48,,122.88,percent of total billed charges,48% of total billed charges,144,45,,115.2,percent of total billed charges,45% of total billed charges,122.4,38.25,,97.92,percent of total billed charges,38.25% of total billed charges,144,45,,115.2,percent of total billed charges,45% of total billed charges,144,45,,115.2,percent of total billed charges,45% of total billed charges,122.4,316.13,
43205 ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES TechFee,15042305,CDM,450,RC,43205,HCPCS,OUTPATIENT,,,1509,1207.2,,1433.55,95,,1146.84,percent of total billed charges,95% of total billed charges,1429.32,94.72,,1143.46,percent of total billed charges,94.72% of total billed charges,1490.74,98.79,,1192.59,percent of total billed charges,98.79% of total billed charges,1478.82,98,,1183.06,percent of total billed charges,98% of total billed charges,1478.82,98,,1183.06,percent of total billed charges,98% of total billed charges,724.32,48,,579.46,percent of total billed charges,48% of total billed charges,679.05,45,,543.24,percent of total billed charges,45% of total billed charges,577.19,38.25,,461.75,percent of total billed charges,38.25% of total billed charges,679.05,45,,543.24,percent of total billed charges,45% of total billed charges,679.05,45,,543.24,percent of total billed charges,45% of total billed charges,577.19,1490.74,
DRAIN TONSIL ABSCESS,15042700,CDM,450,RC,42700,HCPCS,OUTPATIENT,,,709,567.2,,673.55,95,,538.84,percent of total billed charges,95% of total billed charges,671.56,94.72,,537.25,percent of total billed charges,94.72% of total billed charges,700.42,98.79,,560.34,percent of total billed charges,98.79% of total billed charges,694.82,98,,555.86,percent of total billed charges,98% of total billed charges,694.82,98,,555.86,percent of total billed charges,98% of total billed charges,340.32,48,,272.26,percent of total billed charges,48% of total billed charges,319.05,45,,255.24,percent of total billed charges,45% of total billed charges,271.19,38.25,,216.95,percent of total billed charges,38.25% of total billed charges,319.05,45,,255.24,percent of total billed charges,45% of total billed charges,319.05,45,,255.24,percent of total billed charges,45% of total billed charges,271.19,700.42,
REM FB PHARYNX,15042809,CDM,450,RC,42809,HCPCS,OUTPATIENT,,,500,400,,475,95,,380,percent of total billed charges,95% of total billed charges,473.6,94.72,,378.88,percent of total billed charges,94.72% of total billed charges,493.95,98.79,,395.16,percent of total billed charges,98.79% of total billed charges,490,98,,392,percent of total billed charges,98% of total billed charges,490,98,,392,percent of total billed charges,98% of total billed charges,240,48,,192,percent of total billed charges,48% of total billed charges,225,45,,180,percent of total billed charges,45% of total billed charges,191.25,38.25,,153,percent of total billed charges,38.25% of total billed charges,225,45,,180,percent of total billed charges,45% of total billed charges,225,45,,180,percent of total billed charges,45% of total billed charges,191.25,493.95,
TX GASTRO INT W ASP,15043753,CDM,450,RC,43753,HCPCS,OUTPATIENT,,,258,206.4,,245.1,95,,196.08,percent of total billed charges,95% of total billed charges,244.38,94.72,,195.5,percent of total billed charges,94.72% of total billed charges,254.88,98.79,,203.9,percent of total billed charges,98.79% of total billed charges,252.84,98,,202.27,percent of total billed charges,98% of total billed charges,252.84,98,,202.27,percent of total billed charges,98% of total billed charges,123.84,48,,99.07,percent of total billed charges,48% of total billed charges,116.1,45,,92.88,percent of total billed charges,45% of total billed charges,98.69,38.25,,78.95,percent of total billed charges,38.25% of total billed charges,116.1,45,,92.88,percent of total billed charges,45% of total billed charges,116.1,45,,92.88,percent of total billed charges,45% of total billed charges,98.69,254.88,
INCISE RECTAL ABSCESS,15046040,CDM,450,RC,46040,HCPCS,OUTPATIENT,,,1091,872.8,,1036.45,95,,829.16,percent of total billed charges,95% of total billed charges,1033.4,94.72,,826.72,percent of total billed charges,94.72% of total billed charges,1077.8,98.79,,862.24,percent of total billed charges,98.79% of total billed charges,1069.18,98,,855.34,percent of total billed charges,98% of total billed charges,1069.18,98,,855.34,percent of total billed charges,98% of total billed charges,523.68,48,,418.94,percent of total billed charges,48% of total billed charges,490.95,45,,392.76,percent of total billed charges,45% of total billed charges,417.31,38.25,,333.85,percent of total billed charges,38.25% of total billed charges,490.95,45,,392.76,percent of total billed charges,45% of total billed charges,490.95,45,,392.76,percent of total billed charges,45% of total billed charges,417.31,1077.8,
INCISE EXTERNAL HEMORRHOID,15046083,CDM,450,RC,46083,HCPCS,OUTPATIENT,,,610,488,,579.5,95,,463.6,percent of total billed charges,95% of total billed charges,577.79,94.72,,462.23,percent of total billed charges,94.72% of total billed charges,602.62,98.79,,482.1,percent of total billed charges,98.79% of total billed charges,597.8,98,,478.24,percent of total billed charges,98% of total billed charges,597.8,98,,478.24,percent of total billed charges,98% of total billed charges,292.8,48,,234.24,percent of total billed charges,48% of total billed charges,274.5,45,,219.6,percent of total billed charges,45% of total billed charges,233.33,38.25,,186.66,percent of total billed charges,38.25% of total billed charges,274.5,45,,219.6,percent of total billed charges,45% of total billed charges,274.5,45,,219.6,percent of total billed charges,45% of total billed charges,233.33,602.62,
ABDOMINAL PARACENTESIS W/O IMAGING GUIDA,15049082,CDM,450,RC,49082,HCPCS,OUTPATIENT,,,779,623.2,,740.05,95,,592.04,percent of total billed charges,95% of total billed charges,737.87,94.72,,590.3,percent of total billed charges,94.72% of total billed charges,769.57,98.79,,615.66,percent of total billed charges,98.79% of total billed charges,763.42,98,,610.74,percent of total billed charges,98% of total billed charges,763.42,98,,610.74,percent of total billed charges,98% of total billed charges,373.92,48,,299.14,percent of total billed charges,48% of total billed charges,350.55,45,,280.44,percent of total billed charges,45% of total billed charges,297.97,38.25,,238.38,percent of total billed charges,38.25% of total billed charges,350.55,45,,280.44,percent of total billed charges,45% of total billed charges,350.55,45,,280.44,percent of total billed charges,45% of total billed charges,297.97,769.57,
ABDOMINAL PARACENTESIS W IMAGING GUIDANC,15049083,CDM,450,RC,49083,HCPCS,OUTPATIENT,,,988,790.4,,938.6,95,,750.88,percent of total billed charges,95% of total billed charges,935.83,94.72,,748.66,percent of total billed charges,94.72% of total billed charges,976.05,98.79,,780.84,percent of total billed charges,98.79% of total billed charges,968.24,98,,774.59,percent of total billed charges,98% of total billed charges,968.24,98,,774.59,percent of total billed charges,98% of total billed charges,474.24,48,,379.39,percent of total billed charges,48% of total billed charges,444.6,45,,355.68,percent of total billed charges,45% of total billed charges,377.91,38.25,,302.33,percent of total billed charges,38.25% of total billed charges,444.6,45,,355.68,percent of total billed charges,45% of total billed charges,444.6,45,,355.68,percent of total billed charges,45% of total billed charges,377.91,976.05,
49451 REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ TechFee,15049451,CDM,450,RC,49451,HCPCS,OUTPATIENT,,,1475,1180,,1401.25,95,,1121,percent of total billed charges,95% of total billed charges,1397.12,94.72,,1117.7,percent of total billed charges,94.72% of total billed charges,1457.15,98.79,,1165.72,percent of total billed charges,98.79% of total billed charges,1445.5,98,,1156.4,percent of total billed charges,98% of total billed charges,1445.5,98,,1156.4,percent of total billed charges,98% of total billed charges,708,48,,566.4,percent of total billed charges,48% of total billed charges,663.75,45,,531,percent of total billed charges,45% of total billed charges,564.19,38.25,,451.35,percent of total billed charges,38.25% of total billed charges,663.75,45,,531,percent of total billed charges,45% of total billed charges,663.75,45,,531,percent of total billed charges,45% of total billed charges,564.19,1457.15,
SIMPLE BLADDER INSTILLATION/IRRIGATE,15051700,CDM,450,RC,51700,HCPCS,OUTPATIENT,,,264,211.2,,250.8,95,,200.64,percent of total billed charges,95% of total billed charges,250.06,94.72,,200.05,percent of total billed charges,94.72% of total billed charges,260.81,98.79,,208.65,percent of total billed charges,98.79% of total billed charges,258.72,98,,206.98,percent of total billed charges,98% of total billed charges,258.72,98,,206.98,percent of total billed charges,98% of total billed charges,126.72,48,,101.38,percent of total billed charges,48% of total billed charges,118.8,45,,95.04,percent of total billed charges,45% of total billed charges,100.98,38.25,,80.78,percent of total billed charges,38.25% of total billed charges,118.8,45,,95.04,percent of total billed charges,45% of total billed charges,118.8,45,,95.04,percent of total billed charges,45% of total billed charges,100.98,260.81,
STRAIGHT CATHETER,15051701,CDM,450,RC,51701,HCPCS,OUTPATIENT,,,247,197.6,,234.65,95,,187.72,percent of total billed charges,95% of total billed charges,233.96,94.72,,187.17,percent of total billed charges,94.72% of total billed charges,244.01,98.79,,195.21,percent of total billed charges,98.79% of total billed charges,242.06,98,,193.65,percent of total billed charges,98% of total billed charges,242.06,98,,193.65,percent of total billed charges,98% of total billed charges,118.56,48,,94.85,percent of total billed charges,48% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,94.48,38.25,,75.58,percent of total billed charges,38.25% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,94.48,244.01,
FOLEY INSERTION,15051702,CDM,450,RC,51702,HCPCS,OUTPATIENT,,,353,282.4,,335.35,95,,268.28,percent of total billed charges,95% of total billed charges,334.36,94.72,,267.49,percent of total billed charges,94.72% of total billed charges,348.73,98.79,,278.98,percent of total billed charges,98.79% of total billed charges,345.94,98,,276.75,percent of total billed charges,98% of total billed charges,345.94,98,,276.75,percent of total billed charges,98% of total billed charges,169.44,48,,135.55,percent of total billed charges,48% of total billed charges,158.85,45,,127.08,percent of total billed charges,45% of total billed charges,135.02,38.25,,108.02,percent of total billed charges,38.25% of total billed charges,158.85,45,,127.08,percent of total billed charges,45% of total billed charges,158.85,45,,127.08,percent of total billed charges,45% of total billed charges,135.02,348.73,
INSERT TEMP BLADDER CATH COMPLICATED,15051703,CDM,450,RC,51703,HCPCS,OUTPATIENT,,,279,223.2,,265.05,95,,212.04,percent of total billed charges,95% of total billed charges,264.27,94.72,,211.42,percent of total billed charges,94.72% of total billed charges,275.62,98.79,,220.5,percent of total billed charges,98.79% of total billed charges,273.42,98,,218.74,percent of total billed charges,98% of total billed charges,273.42,98,,218.74,percent of total billed charges,98% of total billed charges,133.92,48,,107.14,percent of total billed charges,48% of total billed charges,125.55,45,,100.44,percent of total billed charges,45% of total billed charges,106.72,38.25,,85.38,percent of total billed charges,38.25% of total billed charges,125.55,45,,100.44,percent of total billed charges,45% of total billed charges,125.55,45,,100.44,percent of total billed charges,45% of total billed charges,106.72,275.62,
CHANGE OF BLADDER TUBE,15051705,CDM,450,RC,51705,HCPCS,OUTPATIENT,,,437,349.6,,415.15,95,,332.12,percent of total billed charges,95% of total billed charges,413.93,94.72,,331.14,percent of total billed charges,94.72% of total billed charges,431.71,98.79,,345.37,percent of total billed charges,98.79% of total billed charges,428.26,98,,342.61,percent of total billed charges,98% of total billed charges,428.26,98,,342.61,percent of total billed charges,98% of total billed charges,209.76,48,,167.81,percent of total billed charges,48% of total billed charges,196.65,45,,157.32,percent of total billed charges,45% of total billed charges,167.15,38.25,,133.72,percent of total billed charges,38.25% of total billed charges,196.65,45,,157.32,percent of total billed charges,45% of total billed charges,196.65,45,,157.32,percent of total billed charges,45% of total billed charges,167.15,431.71,
US MEASUREMENT POST VOIDING,15051798,CDM,450,RC,51798,HCPCS,OUTPATIENT,,,87,69.6,,82.65,95,,66.12,percent of total billed charges,95% of total billed charges,82.41,94.72,,65.93,percent of total billed charges,94.72% of total billed charges,85.95,98.79,,68.76,percent of total billed charges,98.79% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,41.76,48,,33.41,percent of total billed charges,48% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,38.25,,26.62,percent of total billed charges,38.25% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,85.95,
ID EPIDIDYMIS TESTIS/SCROTAL SP,15054700,CDM,450,RC,54700,HCPCS,OUTPATIENT,,,1258,1006.4,,1195.1,95,,956.08,percent of total billed charges,95% of total billed charges,1191.58,94.72,,953.26,percent of total billed charges,94.72% of total billed charges,1242.78,98.79,,994.22,percent of total billed charges,98.79% of total billed charges,1232.84,98,,986.27,percent of total billed charges,98% of total billed charges,1232.84,98,,986.27,percent of total billed charges,98% of total billed charges,603.84,48,,483.07,percent of total billed charges,48% of total billed charges,566.1,45,,452.88,percent of total billed charges,45% of total billed charges,481.19,38.25,,384.95,percent of total billed charges,38.25% of total billed charges,566.1,45,,452.88,percent of total billed charges,45% of total billed charges,566.1,45,,452.88,percent of total billed charges,45% of total billed charges,481.19,1242.78,
ID BARTHOLINS GLAD ABSCESS,15056420,CDM,450,RC,56420,HCPCS,OUTPATIENT,,,803,642.4,,762.85,95,,610.28,percent of total billed charges,95% of total billed charges,760.6,94.72,,608.48,percent of total billed charges,94.72% of total billed charges,793.28,98.79,,634.62,percent of total billed charges,98.79% of total billed charges,786.94,98,,629.55,percent of total billed charges,98% of total billed charges,786.94,98,,629.55,percent of total billed charges,98% of total billed charges,385.44,48,,308.35,percent of total billed charges,48% of total billed charges,361.35,45,,289.08,percent of total billed charges,45% of total billed charges,307.15,38.25,,245.72,percent of total billed charges,38.25% of total billed charges,361.35,45,,289.08,percent of total billed charges,45% of total billed charges,361.35,45,,289.08,percent of total billed charges,45% of total billed charges,307.15,793.28,
REMOVE INTRAUTERINE DEVICE,15058301,CDM,450,RC,58301,HCPCS,OUTPATIENT,,,412,329.6,,391.4,95,,313.12,percent of total billed charges,95% of total billed charges,390.25,94.72,,312.2,percent of total billed charges,94.72% of total billed charges,407.01,98.79,,325.61,percent of total billed charges,98.79% of total billed charges,403.76,98,,323.01,percent of total billed charges,98% of total billed charges,403.76,98,,323.01,percent of total billed charges,98% of total billed charges,197.76,48,,158.21,percent of total billed charges,48% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,157.59,38.25,,126.07,percent of total billed charges,38.25% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,157.59,407.01,
EPISIOTOMY OR VAGAINAL REPAIR,15059300,CDM,450,RC,59300,HCPCS,OUTPATIENT,,,2322,1857.6,,2205.9,95,,1764.72,percent of total billed charges,95% of total billed charges,2199.4,94.72,,1759.52,percent of total billed charges,94.72% of total billed charges,2293.9,98.79,,1835.12,percent of total billed charges,98.79% of total billed charges,2275.56,98,,1820.45,percent of total billed charges,98% of total billed charges,2275.56,98,,1820.45,percent of total billed charges,98% of total billed charges,1114.56,48,,891.65,percent of total billed charges,48% of total billed charges,1044.9,45,,835.92,percent of total billed charges,45% of total billed charges,888.17,38.25,,710.54,percent of total billed charges,38.25% of total billed charges,1044.9,45,,835.92,percent of total billed charges,45% of total billed charges,1044.9,45,,835.92,percent of total billed charges,45% of total billed charges,888.17,2293.9,
VAG DELIVERY W/WO/EPI,15059409,CDM,450,RC,59409,HCPCS,OUTPATIENT,,,2322,1857.6,,2205.9,95,,1764.72,percent of total billed charges,95% of total billed charges,2199.4,94.72,,1759.52,percent of total billed charges,94.72% of total billed charges,2293.9,98.79,,1835.12,percent of total billed charges,98.79% of total billed charges,2275.56,98,,1820.45,percent of total billed charges,98% of total billed charges,2275.56,98,,1820.45,percent of total billed charges,98% of total billed charges,1114.56,48,,891.65,percent of total billed charges,48% of total billed charges,1044.9,45,,835.92,percent of total billed charges,45% of total billed charges,888.17,38.25,,710.54,percent of total billed charges,38.25% of total billed charges,1044.9,45,,835.92,percent of total billed charges,45% of total billed charges,1044.9,45,,835.92,percent of total billed charges,45% of total billed charges,888.17,2293.9,
DELIVERY OF PLACENTA,15059414,CDM,450,RC,59414,HCPCS,OUTPATIENT,,,435,348,,413.25,95,,330.6,percent of total billed charges,95% of total billed charges,412.03,94.72,,329.62,percent of total billed charges,94.72% of total billed charges,429.74,98.79,,343.79,percent of total billed charges,98.79% of total billed charges,426.3,98,,341.04,percent of total billed charges,98% of total billed charges,426.3,98,,341.04,percent of total billed charges,98% of total billed charges,208.8,48,,167.04,percent of total billed charges,48% of total billed charges,195.75,45,,156.6,percent of total billed charges,45% of total billed charges,166.39,38.25,,133.11,percent of total billed charges,38.25% of total billed charges,195.75,45,,156.6,percent of total billed charges,45% of total billed charges,195.75,45,,156.6,percent of total billed charges,45% of total billed charges,166.39,429.74,
LUMBAR PUNCTURE,15062270,CDM,450,RC,62270,HCPCS,OUTPATIENT,,,564,451.2,,535.8,95,,428.64,percent of total billed charges,95% of total billed charges,534.22,94.72,,427.38,percent of total billed charges,94.72% of total billed charges,557.18,98.79,,445.74,percent of total billed charges,98.79% of total billed charges,552.72,98,,442.18,percent of total billed charges,98% of total billed charges,552.72,98,,442.18,percent of total billed charges,98% of total billed charges,270.72,48,,216.58,percent of total billed charges,48% of total billed charges,253.8,45,,203.04,percent of total billed charges,45% of total billed charges,215.73,38.25,,172.58,percent of total billed charges,38.25% of total billed charges,253.8,45,,203.04,percent of total billed charges,45% of total billed charges,253.8,45,,203.04,percent of total billed charges,45% of total billed charges,215.73,557.18,
TREAT EPIDURAL SPINE LESION,15062273,CDM,450,RC,62273,HCPCS,OUTPATIENT,,,805,644,,764.75,95,,611.8,percent of total billed charges,95% of total billed charges,762.5,94.72,,610,percent of total billed charges,94.72% of total billed charges,795.26,98.79,,636.21,percent of total billed charges,98.79% of total billed charges,788.9,98,,631.12,percent of total billed charges,98% of total billed charges,788.9,98,,631.12,percent of total billed charges,98% of total billed charges,386.4,48,,309.12,percent of total billed charges,48% of total billed charges,362.25,45,,289.8,percent of total billed charges,45% of total billed charges,307.91,38.25,,246.33,percent of total billed charges,38.25% of total billed charges,362.25,45,,289.8,percent of total billed charges,45% of total billed charges,362.25,45,,289.8,percent of total billed charges,45% of total billed charges,307.91,795.26,
Injection| anesthetic agent; brachial plexus| single,15064415,CDM,450,RC,64415,HCPCS,OUTPATIENT,,,1332,1065.6,,1265.4,95,,1012.32,percent of total billed charges,95% of total billed charges,1261.67,94.72,,1009.34,percent of total billed charges,94.72% of total billed charges,1315.88,98.79,,1052.7,percent of total billed charges,98.79% of total billed charges,1305.36,98,,1044.29,percent of total billed charges,98% of total billed charges,1305.36,98,,1044.29,percent of total billed charges,98% of total billed charges,639.36,48,,511.49,percent of total billed charges,48% of total billed charges,599.4,45,,479.52,percent of total billed charges,45% of total billed charges,509.49,38.25,,407.59,percent of total billed charges,38.25% of total billed charges,599.4,45,,479.52,percent of total billed charges,45% of total billed charges,599.4,45,,479.52,percent of total billed charges,45% of total billed charges,509.49,1315.88,
64455 NJX ANES/STEROID PLANTAR COMMON DIGITAL NERVE TechFee,15064455,CDM,450,RC,64455,HCPCS,OUTPATIENT,,,189,151.2,,179.55,95,,143.64,percent of total billed charges,95% of total billed charges,179.02,94.72,,143.22,percent of total billed charges,94.72% of total billed charges,186.71,98.79,,149.37,percent of total billed charges,98.79% of total billed charges,185.22,98,,148.18,percent of total billed charges,98% of total billed charges,185.22,98,,148.18,percent of total billed charges,98% of total billed charges,90.72,48,,72.58,percent of total billed charges,48% of total billed charges,85.05,45,,68.04,percent of total billed charges,45% of total billed charges,72.29,38.25,,57.83,percent of total billed charges,38.25% of total billed charges,85.05,45,,68.04,percent of total billed charges,45% of total billed charges,85.05,45,,68.04,percent of total billed charges,45% of total billed charges,72.29,186.71,
REMOVAL OF FOREIGN BODY EXTERNAL EYE,15065205,CDM,450,RC,65205,HCPCS,OUTPATIENT,,,182,145.6,,172.9,95,,138.32,percent of total billed charges,95% of total billed charges,172.39,94.72,,137.91,percent of total billed charges,94.72% of total billed charges,179.8,98.79,,143.84,percent of total billed charges,98.79% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,178.36,98,,142.69,percent of total billed charges,98% of total billed charges,87.36,48,,69.89,percent of total billed charges,48% of total billed charges,81.9,45,,65.52,percent of total billed charges,45% of total billed charges,69.62,38.25,,55.7,percent of total billed charges,38.25% of total billed charges,81.9,45,,65.52,percent of total billed charges,45% of total billed charges,81.9,45,,65.52,percent of total billed charges,45% of total billed charges,69.62,179.8,
REMOVE FOREIGN BODY EYE,15065210,CDM,450,RC,65210,HCPCS,OUTPATIENT,,,271,216.8,,257.45,95,,205.96,percent of total billed charges,95% of total billed charges,256.69,94.72,,205.35,percent of total billed charges,94.72% of total billed charges,267.72,98.79,,214.18,percent of total billed charges,98.79% of total billed charges,265.58,98,,212.46,percent of total billed charges,98% of total billed charges,265.58,98,,212.46,percent of total billed charges,98% of total billed charges,130.08,48,,104.06,percent of total billed charges,48% of total billed charges,121.95,45,,97.56,percent of total billed charges,45% of total billed charges,103.66,38.25,,82.93,percent of total billed charges,38.25% of total billed charges,121.95,45,,97.56,percent of total billed charges,45% of total billed charges,121.95,45,,97.56,percent of total billed charges,45% of total billed charges,103.66,267.72,
REM FOREIGN BODY FROM EYE,15065222,CDM,450,RC,65222,HCPCS,OUTPATIENT,,,315,252,,299.25,95,,239.4,percent of total billed charges,95% of total billed charges,298.37,94.72,,238.7,percent of total billed charges,94.72% of total billed charges,311.19,98.79,,248.95,percent of total billed charges,98.79% of total billed charges,308.7,98,,246.96,percent of total billed charges,98% of total billed charges,308.7,98,,246.96,percent of total billed charges,98% of total billed charges,151.2,48,,120.96,percent of total billed charges,48% of total billed charges,141.75,45,,113.4,percent of total billed charges,45% of total billed charges,120.49,38.25,,96.39,percent of total billed charges,38.25% of total billed charges,141.75,45,,113.4,percent of total billed charges,45% of total billed charges,141.75,45,,113.4,percent of total billed charges,45% of total billed charges,120.49,311.19,
REMOVE EYELID FOREIGN BODY,15067938,CDM,450,RC,67938,HCPCS,OUTPATIENT,,,512,409.6,,486.4,95,,389.12,percent of total billed charges,95% of total billed charges,484.97,94.72,,387.98,percent of total billed charges,94.72% of total billed charges,505.8,98.79,,404.64,percent of total billed charges,98.79% of total billed charges,501.76,98,,401.41,percent of total billed charges,98% of total billed charges,501.76,98,,401.41,percent of total billed charges,98% of total billed charges,245.76,48,,196.61,percent of total billed charges,48% of total billed charges,230.4,45,,184.32,percent of total billed charges,45% of total billed charges,195.84,38.25,,156.67,percent of total billed charges,38.25% of total billed charges,230.4,45,,184.32,percent of total billed charges,45% of total billed charges,230.4,45,,184.32,percent of total billed charges,45% of total billed charges,195.84,505.8,
IMMUNIZATION ADMIN EA ADDTL VACCINE,15090472,CDM,450,RC,90472,HCPCS,OUTPATIENT,,,35,28,,33.25,95,,26.6,percent of total billed charges,95% of total billed charges,33.15,94.72,,26.52,percent of total billed charges,94.72% of total billed charges,34.58,98.79,,27.66,percent of total billed charges,98.79% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,16.8,48,,13.44,percent of total billed charges,48% of total billed charges,15.75,45,,12.6,percent of total billed charges,45% of total billed charges,13.39,38.25,,10.71,percent of total billed charges,38.25% of total billed charges,15.75,45,,12.6,percent of total billed charges,45% of total billed charges,15.75,45,,12.6,percent of total billed charges,45% of total billed charges,13.39,34.58,
90675 RABIES VACCINE INTRAMUSCULAR TechFee,15090675,CDM,450,RC,90675,HCPCS,OUTPATIENT,,,320,256,,304,95,,243.2,percent of total billed charges,95% of total billed charges,303.1,94.72,,242.48,percent of total billed charges,94.72% of total billed charges,316.13,98.79,,252.9,percent of total billed charges,98.79% of total billed charges,313.6,98,,250.88,percent of total billed charges,98% of total billed charges,313.6,98,,250.88,percent of total billed charges,98% of total billed charges,153.6,48,,122.88,percent of total billed charges,48% of total billed charges,144,45,,115.2,percent of total billed charges,45% of total billed charges,122.4,38.25,,97.92,percent of total billed charges,38.25% of total billed charges,144,45,,115.2,percent of total billed charges,45% of total billed charges,144,45,,115.2,percent of total billed charges,45% of total billed charges,122.4,316.13,
90676 RABIES VACCINE INTRADERMAL TechFee,15090676,CDM,450,RC,90676,HCPCS,OUTPATIENT,,,213,170.4,,202.35,95,,161.88,percent of total billed charges,95% of total billed charges,201.75,94.72,,161.4,percent of total billed charges,94.72% of total billed charges,210.42,98.79,,168.34,percent of total billed charges,98.79% of total billed charges,208.74,98,,166.99,percent of total billed charges,98% of total billed charges,208.74,98,,166.99,percent of total billed charges,98% of total billed charges,102.24,48,,81.79,percent of total billed charges,48% of total billed charges,95.85,45,,76.68,percent of total billed charges,45% of total billed charges,81.47,38.25,,65.18,percent of total billed charges,38.25% of total billed charges,95.85,45,,76.68,percent of total billed charges,45% of total billed charges,95.85,45,,76.68,percent of total billed charges,45% of total billed charges,81.47,210.42,
90700 DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM TechFee,15090700,CDM,450,RC,90700,HCPCS,OUTPATIENT,,,72,57.6,,68.4,95,,54.72,percent of total billed charges,95% of total billed charges,68.2,94.72,,54.56,percent of total billed charges,94.72% of total billed charges,71.13,98.79,,56.9,percent of total billed charges,98.79% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,34.56,48,,27.65,percent of total billed charges,48% of total billed charges,32.4,45,,25.92,percent of total billed charges,45% of total billed charges,27.54,38.25,,22.03,percent of total billed charges,38.25% of total billed charges,32.4,45,,25.92,percent of total billed charges,45% of total billed charges,32.4,45,,25.92,percent of total billed charges,45% of total billed charges,27.54,71.13,
ER FACILITY IV INJECT ADD-ON,15090775,CDM,450,RC,96375,HCPCS,OUTPATIENT,,,118,94.4,,112.1,95,,89.68,percent of total billed charges,95% of total billed charges,111.77,94.72,,89.42,percent of total billed charges,94.72% of total billed charges,116.57,98.79,,93.26,percent of total billed charges,98.79% of total billed charges,115.64,98,,92.51,percent of total billed charges,98% of total billed charges,115.64,98,,92.51,percent of total billed charges,98% of total billed charges,56.64,48,,45.31,percent of total billed charges,48% of total billed charges,53.1,45,,42.48,percent of total billed charges,45% of total billed charges,45.14,38.25,,36.11,percent of total billed charges,38.25% of total billed charges,53.1,45,,42.48,percent of total billed charges,45% of total billed charges,53.1,45,,42.48,percent of total billed charges,45% of total billed charges,45.14,116.57,
EACH ADDL SEQUET SAME SUBST/DRUG,15090776,CDM,450,RC,96376,HCPCS,OUTPATIENT,,,164,131.2,,155.8,95,,124.64,percent of total billed charges,95% of total billed charges,155.34,94.72,,124.27,percent of total billed charges,94.72% of total billed charges,162.02,98.79,,129.62,percent of total billed charges,98.79% of total billed charges,160.72,98,,128.58,percent of total billed charges,98% of total billed charges,160.72,98,,128.58,percent of total billed charges,98% of total billed charges,78.72,48,,62.98,percent of total billed charges,48% of total billed charges,73.8,45,,59.04,percent of total billed charges,45% of total billed charges,62.73,38.25,,50.18,percent of total billed charges,38.25% of total billed charges,73.8,45,,59.04,percent of total billed charges,45% of total billed charges,73.8,45,,59.04,percent of total billed charges,45% of total billed charges,62.73,162.02,
GASTRIC INTUBATION TREATMENT,15091105,CDM,450,RC,91105,HCPCS,OUTPATIENT,,,203,162.4,,192.85,95,,154.28,percent of total billed charges,95% of total billed charges,192.28,94.72,,153.82,percent of total billed charges,94.72% of total billed charges,200.54,98.79,,160.43,percent of total billed charges,98.79% of total billed charges,198.94,98,,159.15,percent of total billed charges,98% of total billed charges,198.94,98,,159.15,percent of total billed charges,98% of total billed charges,97.44,48,,77.95,percent of total billed charges,48% of total billed charges,91.35,45,,73.08,percent of total billed charges,45% of total billed charges,77.65,38.25,,62.12,percent of total billed charges,38.25% of total billed charges,91.35,45,,73.08,percent of total billed charges,45% of total billed charges,91.35,45,,73.08,percent of total billed charges,45% of total billed charges,77.65,200.54,
CARDIO PULMONARY RESUSCITATION,15092950,CDM,450,RC,92950,HCPCS,OUTPATIENT,,,1800,1440,,1710,95,,1368,percent of total billed charges,95% of total billed charges,1704.96,94.72,,1363.97,percent of total billed charges,94.72% of total billed charges,1778.22,98.79,,1422.58,percent of total billed charges,98.79% of total billed charges,1764,98,,1411.2,percent of total billed charges,98% of total billed charges,1764,98,,1411.2,percent of total billed charges,98% of total billed charges,864,48,,691.2,percent of total billed charges,48% of total billed charges,810,45,,648,percent of total billed charges,45% of total billed charges,688.5,38.25,,550.8,percent of total billed charges,38.25% of total billed charges,810,45,,648,percent of total billed charges,45% of total billed charges,810,45,,648,percent of total billed charges,45% of total billed charges,688.5,1778.22,
TEMP TRASCUTAN PACING,15092953,CDM,450,RC,92953,HCPCS,OUTPATIENT,,,537,429.6,,510.15,95,,408.12,percent of total billed charges,95% of total billed charges,508.65,94.72,,406.92,percent of total billed charges,94.72% of total billed charges,530.5,98.79,,424.4,percent of total billed charges,98.79% of total billed charges,526.26,98,,421.01,percent of total billed charges,98% of total billed charges,526.26,98,,421.01,percent of total billed charges,98% of total billed charges,257.76,48,,206.21,percent of total billed charges,48% of total billed charges,241.65,45,,193.32,percent of total billed charges,45% of total billed charges,205.4,38.25,,164.32,percent of total billed charges,38.25% of total billed charges,241.65,45,,193.32,percent of total billed charges,45% of total billed charges,241.65,45,,193.32,percent of total billed charges,45% of total billed charges,205.4,530.5,
ER Tech Fee - CARDIOVERSION ELECTIVE ARRHYT,15092960,CDM,450,RC,92960,HCPCS,OUTPATIENT,,,1554,1243.2,,1476.3,95,,1181.04,percent of total billed charges,95% of total billed charges,1471.95,94.72,,1177.56,percent of total billed charges,94.72% of total billed charges,1535.2,98.79,,1228.16,percent of total billed charges,98.79% of total billed charges,1522.92,98,,1218.34,percent of total billed charges,98% of total billed charges,1522.92,98,,1218.34,percent of total billed charges,98% of total billed charges,745.92,48,,596.74,percent of total billed charges,48% of total billed charges,699.3,45,,559.44,percent of total billed charges,45% of total billed charges,594.41,38.25,,475.53,percent of total billed charges,38.25% of total billed charges,699.3,45,,559.44,percent of total billed charges,45% of total billed charges,699.3,45,,559.44,percent of total billed charges,45% of total billed charges,594.41,1535.2,
92971 CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL TechFee,15092971,CDM,450,RC,92971,HCPCS,OUTPATIENT,,,977,781.6,,928.15,95,,742.52,percent of total billed charges,95% of total billed charges,925.41,94.72,,740.33,percent of total billed charges,94.72% of total billed charges,965.18,98.79,,772.14,percent of total billed charges,98.79% of total billed charges,957.46,98,,765.97,percent of total billed charges,98% of total billed charges,957.46,98,,765.97,percent of total billed charges,98% of total billed charges,468.96,48,,375.17,percent of total billed charges,48% of total billed charges,439.65,45,,351.72,percent of total billed charges,45% of total billed charges,373.7,38.25,,298.96,percent of total billed charges,38.25% of total billed charges,439.65,45,,351.72,percent of total billed charges,45% of total billed charges,439.65,45,,351.72,percent of total billed charges,45% of total billed charges,373.7,965.18,
DISSOLVE CLOT HEART VESSEL,15092977,CDM,450,RC,92977,HCPCS,OUTPATIENT,,,1196,956.8,,1136.2,95,,908.96,percent of total billed charges,95% of total billed charges,1132.85,94.72,,906.28,percent of total billed charges,94.72% of total billed charges,1181.53,98.79,,945.22,percent of total billed charges,98.79% of total billed charges,1172.08,98,,937.66,percent of total billed charges,98% of total billed charges,1172.08,98,,937.66,percent of total billed charges,98% of total billed charges,574.08,48,,459.26,percent of total billed charges,48% of total billed charges,538.2,45,,430.56,percent of total billed charges,45% of total billed charges,457.47,38.25,,365.98,percent of total billed charges,38.25% of total billed charges,538.2,45,,430.56,percent of total billed charges,45% of total billed charges,538.2,45,,430.56,percent of total billed charges,45% of total billed charges,457.47,1181.53,
HYDRATION IV-1ST HOUR,15096360,CDM,450,RC,96360,HCPCS,OUTPATIENT,,,235,188,,223.25,95,,178.6,percent of total billed charges,95% of total billed charges,222.59,94.72,,178.07,percent of total billed charges,94.72% of total billed charges,232.16,98.79,,185.73,percent of total billed charges,98.79% of total billed charges,230.3,98,,184.24,percent of total billed charges,98% of total billed charges,230.3,98,,184.24,percent of total billed charges,98% of total billed charges,112.8,48,,90.24,percent of total billed charges,48% of total billed charges,105.75,45,,84.6,percent of total billed charges,45% of total billed charges,89.89,38.25,,71.91,percent of total billed charges,38.25% of total billed charges,105.75,45,,84.6,percent of total billed charges,45% of total billed charges,105.75,45,,84.6,percent of total billed charges,45% of total billed charges,89.89,232.16,
HYDRATION IV INFUS ADD-ON,15096361,CDM,450,RC,96361,HCPCS,OUTPATIENT,,,74,59.2,,70.3,95,,56.24,percent of total billed charges,95% of total billed charges,70.09,94.72,,56.07,percent of total billed charges,94.72% of total billed charges,73.1,98.79,,58.48,percent of total billed charges,98.79% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,72.52,98,,58.02,percent of total billed charges,98% of total billed charges,35.52,48,,28.42,percent of total billed charges,48% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,38.25,,22.65,percent of total billed charges,38.25% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,33.3,45,,26.64,percent of total billed charges,45% of total billed charges,28.31,73.1,
IV DRIP MEDICATION 1ST HOUR,15096365,CDM,450,RC,96365,HCPCS,OUTPATIENT,,,294,235.2,,279.3,95,,223.44,percent of total billed charges,95% of total billed charges,278.48,94.72,,222.78,percent of total billed charges,94.72% of total billed charges,290.44,98.79,,232.35,percent of total billed charges,98.79% of total billed charges,288.12,98,,230.5,percent of total billed charges,98% of total billed charges,288.12,98,,230.5,percent of total billed charges,98% of total billed charges,141.12,48,,112.9,percent of total billed charges,48% of total billed charges,132.3,45,,105.84,percent of total billed charges,45% of total billed charges,112.46,38.25,,89.97,percent of total billed charges,38.25% of total billed charges,132.3,45,,105.84,percent of total billed charges,45% of total billed charges,132.3,45,,105.84,percent of total billed charges,45% of total billed charges,112.46,290.44,
IV DRIP MEDICATION ADD-ON,15096366,CDM,450,RC,96366,HCPCS,OUTPATIENT,,,140,112,,133,95,,106.4,percent of total billed charges,95% of total billed charges,132.61,94.72,,106.09,percent of total billed charges,94.72% of total billed charges,138.31,98.79,,110.65,percent of total billed charges,98.79% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,67.2,48,,53.76,percent of total billed charges,48% of total billed charges,63,45,,50.4,percent of total billed charges,45% of total billed charges,53.55,38.25,,42.84,percent of total billed charges,38.25% of total billed charges,63,45,,50.4,percent of total billed charges,45% of total billed charges,63,45,,50.4,percent of total billed charges,45% of total billed charges,53.55,138.31,
IV DRIP ADDED SEQ INF,15096367,CDM,450,RC,96367,HCPCS,OUTPATIENT,,,171,136.8,,162.45,95,,129.96,percent of total billed charges,95% of total billed charges,161.97,94.72,,129.58,percent of total billed charges,94.72% of total billed charges,168.93,98.79,,135.14,percent of total billed charges,98.79% of total billed charges,167.58,98,,134.06,percent of total billed charges,98% of total billed charges,167.58,98,,134.06,percent of total billed charges,98% of total billed charges,82.08,48,,65.66,percent of total billed charges,48% of total billed charges,76.95,45,,61.56,percent of total billed charges,45% of total billed charges,65.41,38.25,,52.33,percent of total billed charges,38.25% of total billed charges,76.95,45,,61.56,percent of total billed charges,45% of total billed charges,76.95,45,,61.56,percent of total billed charges,45% of total billed charges,65.41,168.93,
THER/DIAG CONCURRENT INF,15096368,CDM,450,RC,96368,HCPCS,OUTPATIENT,,,83,66.4,,78.85,95,,63.08,percent of total billed charges,95% of total billed charges,78.62,94.72,,62.9,percent of total billed charges,94.72% of total billed charges,82,98.79,,65.6,percent of total billed charges,98.79% of total billed charges,81.34,98,,65.07,percent of total billed charges,98% of total billed charges,81.34,98,,65.07,percent of total billed charges,98% of total billed charges,39.84,48,,31.87,percent of total billed charges,48% of total billed charges,37.35,45,,29.88,percent of total billed charges,45% of total billed charges,31.75,38.25,,25.4,percent of total billed charges,38.25% of total billed charges,37.35,45,,29.88,percent of total billed charges,45% of total billed charges,37.35,45,,29.88,percent of total billed charges,45% of total billed charges,31.75,82,
ER FACILITY IM INJECTION,15096372,CDM,450,RC,96372,HCPCS,OUTPATIENT,,,82,65.6,,77.9,95,,62.32,percent of total billed charges,95% of total billed charges,77.67,94.72,,62.14,percent of total billed charges,94.72% of total billed charges,81.01,98.79,,64.81,percent of total billed charges,98.79% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,39.36,48,,31.49,percent of total billed charges,48% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,31.37,38.25,,25.1,percent of total billed charges,38.25% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,31.37,81.01,
ER FACILITY IV INJECTION,15096374,CDM,450,RC,96374,HCPCS,OUTPATIENT,,,201,160.8,,190.95,95,,152.76,percent of total billed charges,95% of total billed charges,190.39,94.72,,152.31,percent of total billed charges,94.72% of total billed charges,198.57,98.79,,158.86,percent of total billed charges,98.79% of total billed charges,196.98,98,,157.58,percent of total billed charges,98% of total billed charges,196.98,98,,157.58,percent of total billed charges,98% of total billed charges,96.48,48,,77.18,percent of total billed charges,48% of total billed charges,90.45,45,,72.36,percent of total billed charges,45% of total billed charges,76.88,38.25,,61.5,percent of total billed charges,38.25% of total billed charges,90.45,45,,72.36,percent of total billed charges,45% of total billed charges,90.45,45,,72.36,percent of total billed charges,45% of total billed charges,76.88,198.57,
FLUSH-IMPLATED ACCESS DEVICE,15096523,CDM,450,RC,96523,HCPCS,OUTPATIENT,,,168,134.4,,159.6,95,,127.68,percent of total billed charges,95% of total billed charges,159.13,94.72,,127.3,percent of total billed charges,94.72% of total billed charges,165.97,98.79,,132.78,percent of total billed charges,98.79% of total billed charges,164.64,98,,131.71,percent of total billed charges,98% of total billed charges,164.64,98,,131.71,percent of total billed charges,98% of total billed charges,80.64,48,,64.51,percent of total billed charges,48% of total billed charges,75.6,45,,60.48,percent of total billed charges,45% of total billed charges,64.26,38.25,,51.41,percent of total billed charges,38.25% of total billed charges,75.6,45,,60.48,percent of total billed charges,45% of total billed charges,75.6,45,,60.48,percent of total billed charges,45% of total billed charges,64.26,165.97,
MOD SED SAME INITIAL 15MIN<5YRS,15099151,CDM,450,RC,99151,HCPCS,OUTPATIENT,,,240,192,,228,95,,182.4,percent of total billed charges,95% of total billed charges,227.33,94.72,,181.86,percent of total billed charges,94.72% of total billed charges,237.1,98.79,,189.68,percent of total billed charges,98.79% of total billed charges,235.2,98,,188.16,percent of total billed charges,98% of total billed charges,235.2,98,,188.16,percent of total billed charges,98% of total billed charges,115.2,48,,92.16,percent of total billed charges,48% of total billed charges,108,45,,86.4,percent of total billed charges,45% of total billed charges,91.8,38.25,,73.44,percent of total billed charges,38.25% of total billed charges,108,45,,86.4,percent of total billed charges,45% of total billed charges,108,45,,86.4,percent of total billed charges,45% of total billed charges,91.8,237.1,
MOD SED SAME INITIAL 15MIN>5YRS,15099152,CDM,450,RC,99152,HCPCS,OUTPATIENT,,,152,121.6,,144.4,95,,115.52,percent of total billed charges,95% of total billed charges,143.97,94.72,,115.18,percent of total billed charges,94.72% of total billed charges,150.16,98.79,,120.13,percent of total billed charges,98.79% of total billed charges,148.96,98,,119.17,percent of total billed charges,98% of total billed charges,148.96,98,,119.17,percent of total billed charges,98% of total billed charges,72.96,48,,58.37,percent of total billed charges,48% of total billed charges,68.4,45,,54.72,percent of total billed charges,45% of total billed charges,58.14,38.25,,46.51,percent of total billed charges,38.25% of total billed charges,68.4,45,,54.72,percent of total billed charges,45% of total billed charges,68.4,45,,54.72,percent of total billed charges,45% of total billed charges,58.14,150.16,
MOD SED SAME EA ADDTL 15 MIN,15099153,CDM,450,RC,99153,HCPCS,OUTPATIENT,,,53,42.4,,50.35,95,,40.28,percent of total billed charges,95% of total billed charges,50.2,94.72,,40.16,percent of total billed charges,94.72% of total billed charges,52.36,98.79,,41.89,percent of total billed charges,98.79% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,25.44,48,,20.35,percent of total billed charges,48% of total billed charges,23.85,45,,19.08,percent of total billed charges,45% of total billed charges,20.27,38.25,,16.22,percent of total billed charges,38.25% of total billed charges,23.85,45,,19.08,percent of total billed charges,45% of total billed charges,23.85,45,,19.08,percent of total billed charges,45% of total billed charges,20.27,52.36,
99155 MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS TechFee,15099155,CDM,450,RC,99155,HCPCS,OUTPATIENT,,,442,353.6,,419.9,95,,335.92,percent of total billed charges,95% of total billed charges,418.66,94.72,,334.93,percent of total billed charges,94.72% of total billed charges,436.65,98.79,,349.32,percent of total billed charges,98.79% of total billed charges,433.16,98,,346.53,percent of total billed charges,98% of total billed charges,433.16,98,,346.53,percent of total billed charges,98% of total billed charges,212.16,48,,169.73,percent of total billed charges,48% of total billed charges,198.9,45,,159.12,percent of total billed charges,45% of total billed charges,169.07,38.25,,135.26,percent of total billed charges,38.25% of total billed charges,198.9,45,,159.12,percent of total billed charges,45% of total billed charges,198.9,45,,159.12,percent of total billed charges,45% of total billed charges,169.07,436.65,
99156 MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS TechFee,15099156,CDM,450,RC,99156,HCPCS,OUTPATIENT,,,362,289.6,,343.9,95,,275.12,percent of total billed charges,95% of total billed charges,342.89,94.72,,274.31,percent of total billed charges,94.72% of total billed charges,357.62,98.79,,286.1,percent of total billed charges,98.79% of total billed charges,354.76,98,,283.81,percent of total billed charges,98% of total billed charges,354.76,98,,283.81,percent of total billed charges,98% of total billed charges,173.76,48,,139.01,percent of total billed charges,48% of total billed charges,162.9,45,,130.32,percent of total billed charges,45% of total billed charges,138.47,38.25,,110.78,percent of total billed charges,38.25% of total billed charges,162.9,45,,130.32,percent of total billed charges,45% of total billed charges,162.9,45,,130.32,percent of total billed charges,45% of total billed charges,138.47,357.62,
99157 MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS TechFee,15099157,CDM,450,RC,99157,HCPCS,OUTPATIENT,,,274,219.2,,260.3,95,,208.24,percent of total billed charges,95% of total billed charges,259.53,94.72,,207.62,percent of total billed charges,94.72% of total billed charges,270.68,98.79,,216.54,percent of total billed charges,98.79% of total billed charges,268.52,98,,214.82,percent of total billed charges,98% of total billed charges,268.52,98,,214.82,percent of total billed charges,98% of total billed charges,131.52,48,,105.22,percent of total billed charges,48% of total billed charges,123.3,45,,98.64,percent of total billed charges,45% of total billed charges,104.81,38.25,,83.85,percent of total billed charges,38.25% of total billed charges,123.3,45,,98.64,percent of total billed charges,45% of total billed charges,123.3,45,,98.64,percent of total billed charges,45% of total billed charges,104.81,270.68,
99204 CLINIC FEE-NEW PT 45-59 minutes,15099204,CDM,450,RC,99204,HCPCS,OUTPATIENT,,,471,376.8,,447.45,95,,357.96,percent of total billed charges,95% of total billed charges,446.13,94.72,,356.9,percent of total billed charges,94.72% of total billed charges,465.3,98.79,,372.24,percent of total billed charges,98.79% of total billed charges,461.58,98,,369.26,percent of total billed charges,98% of total billed charges,461.58,98,,369.26,percent of total billed charges,98% of total billed charges,226.08,48,,180.86,percent of total billed charges,48% of total billed charges,211.95,45,,169.56,percent of total billed charges,45% of total billed charges,180.16,38.25,,144.13,percent of total billed charges,38.25% of total billed charges,211.95,45,,169.56,percent of total billed charges,45% of total billed charges,211.95,45,,169.56,percent of total billed charges,45% of total billed charges,180.16,465.3,
ER VISIT LEVEL 1,15099281,CDM,450,RC,99281,HCPCS,OUTPATIENT,,,217,173.6,,206.15,95,,164.92,percent of total billed charges,95% of total billed charges,205.54,94.72,,164.43,percent of total billed charges,94.72% of total billed charges,214.37,98.79,,171.5,percent of total billed charges,98.79% of total billed charges,212.66,98,,170.13,percent of total billed charges,98% of total billed charges,212.66,98,,170.13,percent of total billed charges,98% of total billed charges,104.16,48,,83.33,percent of total billed charges,48% of total billed charges,97.65,45,,78.12,percent of total billed charges,45% of total billed charges,83,38.25,,66.4,percent of total billed charges,38.25% of total billed charges,97.65,45,,78.12,percent of total billed charges,45% of total billed charges,97.65,45,,78.12,percent of total billed charges,45% of total billed charges,83,214.37,
ER VISIT LEVEL 2,15099282,CDM,450,RC,99282,HCPCS,OUTPATIENT,,,293,234.4,,278.35,95,,222.68,percent of total billed charges,95% of total billed charges,277.53,94.72,,222.02,percent of total billed charges,94.72% of total billed charges,289.45,98.79,,231.56,percent of total billed charges,98.79% of total billed charges,287.14,98,,229.71,percent of total billed charges,98% of total billed charges,287.14,98,,229.71,percent of total billed charges,98% of total billed charges,140.64,48,,112.51,percent of total billed charges,48% of total billed charges,131.85,45,,105.48,percent of total billed charges,45% of total billed charges,112.07,38.25,,89.66,percent of total billed charges,38.25% of total billed charges,131.85,45,,105.48,percent of total billed charges,45% of total billed charges,131.85,45,,105.48,percent of total billed charges,45% of total billed charges,112.07,289.45,
ER VISIT LEVEL 3,15099283,CDM,450,RC,99283,HCPCS,OUTPATIENT,,,439,351.2,,417.05,95,,333.64,percent of total billed charges,95% of total billed charges,415.82,94.72,,332.66,percent of total billed charges,94.72% of total billed charges,433.69,98.79,,346.95,percent of total billed charges,98.79% of total billed charges,430.22,98,,344.18,percent of total billed charges,98% of total billed charges,430.22,98,,344.18,percent of total billed charges,98% of total billed charges,210.72,48,,168.58,percent of total billed charges,48% of total billed charges,197.55,45,,158.04,percent of total billed charges,45% of total billed charges,167.92,38.25,,134.34,percent of total billed charges,38.25% of total billed charges,197.55,45,,158.04,percent of total billed charges,45% of total billed charges,197.55,45,,158.04,percent of total billed charges,45% of total billed charges,167.92,433.69,
ER VISIT LEVEL 4,15099284,CDM,450,RC,99284,HCPCS,OUTPATIENT,,,651,520.8,,618.45,95,,494.76,percent of total billed charges,95% of total billed charges,616.63,94.72,,493.3,percent of total billed charges,94.72% of total billed charges,643.12,98.79,,514.5,percent of total billed charges,98.79% of total billed charges,637.98,98,,510.38,percent of total billed charges,98% of total billed charges,637.98,98,,510.38,percent of total billed charges,98% of total billed charges,312.48,48,,249.98,percent of total billed charges,48% of total billed charges,292.95,45,,234.36,percent of total billed charges,45% of total billed charges,249.01,38.25,,199.21,percent of total billed charges,38.25% of total billed charges,292.95,45,,234.36,percent of total billed charges,45% of total billed charges,292.95,45,,234.36,percent of total billed charges,45% of total billed charges,249.01,643.12,
ER VISIT LEVEL 5,15099285,CDM,450,RC,99285,HCPCS,OUTPATIENT,,,1531,1224.8,,1454.45,95,,1163.56,percent of total billed charges,95% of total billed charges,1450.16,94.72,,1160.13,percent of total billed charges,94.72% of total billed charges,1512.47,98.79,,1209.98,percent of total billed charges,98.79% of total billed charges,1500.38,98,,1200.3,percent of total billed charges,98% of total billed charges,1500.38,98,,1200.3,percent of total billed charges,98% of total billed charges,734.88,48,,587.9,percent of total billed charges,48% of total billed charges,688.95,45,,551.16,percent of total billed charges,45% of total billed charges,585.61,38.25,,468.49,percent of total billed charges,38.25% of total billed charges,688.95,45,,551.16,percent of total billed charges,45% of total billed charges,688.95,45,,551.16,percent of total billed charges,45% of total billed charges,585.61,1512.47,
ER VISIT DIRECT ADV LIFE SUPPORT,15099288,CDM,450,RC,99288,HCPCS,OUTPATIENT,,,877,701.6,,833.15,95,,666.52,percent of total billed charges,95% of total billed charges,830.69,94.72,,664.55,percent of total billed charges,94.72% of total billed charges,866.39,98.79,,693.11,percent of total billed charges,98.79% of total billed charges,859.46,98,,687.57,percent of total billed charges,98% of total billed charges,859.46,98,,687.57,percent of total billed charges,98% of total billed charges,420.96,48,,336.77,percent of total billed charges,48% of total billed charges,394.65,45,,315.72,percent of total billed charges,45% of total billed charges,335.45,38.25,,268.36,percent of total billed charges,38.25% of total billed charges,394.65,45,,315.72,percent of total billed charges,45% of total billed charges,394.65,45,,315.72,percent of total billed charges,45% of total billed charges,335.45,866.39,
CRITICAL CARE 1ST HOUR,15099291,CDM,450,RC,99291,HCPCS,OUTPATIENT,,,1758,1406.4,,1670.1,95,,1336.08,percent of total billed charges,95% of total billed charges,1665.18,94.72,,1332.14,percent of total billed charges,94.72% of total billed charges,1736.73,98.79,,1389.38,percent of total billed charges,98.79% of total billed charges,1722.84,98,,1378.27,percent of total billed charges,98% of total billed charges,1722.84,98,,1378.27,percent of total billed charges,98% of total billed charges,843.84,48,,675.07,percent of total billed charges,48% of total billed charges,791.1,45,,632.88,percent of total billed charges,45% of total billed charges,672.44,38.25,,537.95,percent of total billed charges,38.25% of total billed charges,791.1,45,,632.88,percent of total billed charges,45% of total billed charges,791.1,45,,632.88,percent of total billed charges,45% of total billed charges,672.44,1736.73,
CRITICAL CARE ADD 30 MIN,15099292,CDM,450,RC,99292,HCPCS,OUTPATIENT,,,624,499.2,,592.8,95,,474.24,percent of total billed charges,95% of total billed charges,591.05,94.72,,472.84,percent of total billed charges,94.72% of total billed charges,616.45,98.79,,493.16,percent of total billed charges,98.79% of total billed charges,611.52,98,,489.22,percent of total billed charges,98% of total billed charges,611.52,98,,489.22,percent of total billed charges,98% of total billed charges,299.52,48,,239.62,percent of total billed charges,48% of total billed charges,280.8,45,,224.64,percent of total billed charges,45% of total billed charges,238.68,38.25,,190.94,percent of total billed charges,38.25% of total billed charges,280.8,45,,224.64,percent of total billed charges,45% of total billed charges,280.8,45,,224.64,percent of total billed charges,45% of total billed charges,238.68,616.45,
99460 1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB TechFee,15099460,CDM,450,RC,99460,HCPCS,OUTPATIENT,,,288,230.4,,273.6,95,,218.88,percent of total billed charges,95% of total billed charges,272.79,94.72,,218.23,percent of total billed charges,94.72% of total billed charges,284.52,98.79,,227.62,percent of total billed charges,98.79% of total billed charges,282.24,98,,225.79,percent of total billed charges,98% of total billed charges,282.24,98,,225.79,percent of total billed charges,98% of total billed charges,138.24,48,,110.59,percent of total billed charges,48% of total billed charges,129.6,45,,103.68,percent of total billed charges,45% of total billed charges,110.16,38.25,,88.13,percent of total billed charges,38.25% of total billed charges,129.6,45,,103.68,percent of total billed charges,45% of total billed charges,129.6,45,,103.68,percent of total billed charges,45% of total billed charges,110.16,284.52,
CRITICAL CARE 1ST HOUR,20099291,CDM,450,RC,99291,HCPCS,OUTPATIENT,,,1758,1406.4,,1670.1,95,,1336.08,percent of total billed charges,95% of total billed charges,1665.18,94.72,,1332.14,percent of total billed charges,94.72% of total billed charges,1736.73,98.79,,1389.38,percent of total billed charges,98.79% of total billed charges,1722.84,98,,1378.27,percent of total billed charges,98% of total billed charges,1722.84,98,,1378.27,percent of total billed charges,98% of total billed charges,843.84,48,,675.07,percent of total billed charges,48% of total billed charges,791.1,45,,632.88,percent of total billed charges,45% of total billed charges,672.44,38.25,,537.95,percent of total billed charges,38.25% of total billed charges,791.1,45,,632.88,percent of total billed charges,45% of total billed charges,791.1,45,,632.88,percent of total billed charges,45% of total billed charges,672.44,1736.73,
10120 INCISION  REMOVAL FOREIGN BODY SUBQ TISS SIMPLE TechF,45010210,CDM,450,RC,10120,HCPCS,OUTPATIENT,,,452,361.6,,429.4,95,,343.52,percent of total billed charges,95% of total billed charges,428.13,94.72,,342.5,percent of total billed charges,94.72% of total billed charges,446.53,98.79,,357.22,percent of total billed charges,98.79% of total billed charges,442.96,98,,354.37,percent of total billed charges,98% of total billed charges,442.96,98,,354.37,percent of total billed charges,98% of total billed charges,216.96,48,,173.57,percent of total billed charges,48% of total billed charges,203.4,45,,162.72,percent of total billed charges,45% of total billed charges,172.89,38.25,,138.31,percent of total billed charges,38.25% of total billed charges,203.4,45,,162.72,percent of total billed charges,45% of total billed charges,203.4,45,,162.72,percent of total billed charges,45% of total billed charges,172.89,446.53,
Tracheostomy| emergency procedure; transtracheal,45031603,CDM,450,RC,31603,HCPCS,OUTPATIENT,,,1352,1081.6,,1284.4,95,,1027.52,percent of total billed charges,95% of total billed charges,1280.61,94.72,,1024.49,percent of total billed charges,94.72% of total billed charges,1335.64,98.79,,1068.51,percent of total billed charges,98.79% of total billed charges,1324.96,98,,1059.97,percent of total billed charges,98% of total billed charges,1324.96,98,,1059.97,percent of total billed charges,98% of total billed charges,648.96,48,,519.17,percent of total billed charges,48% of total billed charges,608.4,45,,486.72,percent of total billed charges,45% of total billed charges,517.14,38.25,,413.71,percent of total billed charges,38.25% of total billed charges,608.4,45,,486.72,percent of total billed charges,45% of total billed charges,608.4,45,,486.72,percent of total billed charges,45% of total billed charges,517.14,1335.64,
94070 ARIDOL CHALLENGE TEST CHARGE,7003522,CDM,460,RC,94070,HCPCS,OUTPATIENT,,,362,289.6,,343.9,95,,275.12,percent of total billed charges,95% of total billed charges,342.89,94.72,,274.31,percent of total billed charges,94.72% of total billed charges,357.62,98.79,,286.1,percent of total billed charges,98.79% of total billed charges,354.76,98,,283.81,percent of total billed charges,98% of total billed charges,354.76,98,,283.81,percent of total billed charges,98% of total billed charges,173.76,48,,139.01,percent of total billed charges,48% of total billed charges,162.9,45,,130.32,percent of total billed charges,45% of total billed charges,138.47,38.25,,110.78,percent of total billed charges,38.25% of total billed charges,162.9,45,,130.32,percent of total billed charges,45% of total billed charges,162.9,45,,130.32,percent of total billed charges,45% of total billed charges,138.47,357.62,
PULMONARY STRESS TEST,7003600,CDM,460,RC,94618,HCPCS,OUTPATIENT,,,234,187.2,,222.3,95,,177.84,percent of total billed charges,95% of total billed charges,221.64,94.72,,177.31,percent of total billed charges,94.72% of total billed charges,231.17,98.79,,184.94,percent of total billed charges,98.79% of total billed charges,229.32,98,,183.46,percent of total billed charges,98% of total billed charges,229.32,98,,183.46,percent of total billed charges,98% of total billed charges,112.32,48,,89.86,percent of total billed charges,48% of total billed charges,105.3,45,,84.24,percent of total billed charges,45% of total billed charges,89.51,38.25,,71.61,percent of total billed charges,38.25% of total billed charges,105.3,45,,84.24,percent of total billed charges,45% of total billed charges,105.3,45,,84.24,percent of total billed charges,45% of total billed charges,89.51,231.17,
PULMONARY STRESS TEST,7003600,CDM,460,RC,94618,HCPCS,OUTPATIENT,,,238,190.4,,226.1,95,,180.88,percent of total billed charges,95% of total billed charges,225.43,94.72,,180.34,percent of total billed charges,94.72% of total billed charges,235.12,98.79,,188.1,percent of total billed charges,98.79% of total billed charges,233.24,98,,186.59,percent of total billed charges,98% of total billed charges,233.24,98,,186.59,percent of total billed charges,98% of total billed charges,114.24,48,,91.39,percent of total billed charges,48% of total billed charges,107.1,45,,85.68,percent of total billed charges,45% of total billed charges,91.04,38.25,,72.83,percent of total billed charges,38.25% of total billed charges,107.1,45,,85.68,percent of total billed charges,45% of total billed charges,107.1,45,,85.68,percent of total billed charges,45% of total billed charges,91.04,235.12,
PULMONARY FUNCTION,7003601,CDM,460,RC,94010,HCPCS,OUTPATIENT,,,213,170.4,,202.35,95,,161.88,percent of total billed charges,95% of total billed charges,201.75,94.72,,161.4,percent of total billed charges,94.72% of total billed charges,210.42,98.79,,168.34,percent of total billed charges,98.79% of total billed charges,208.74,98,,166.99,percent of total billed charges,98% of total billed charges,208.74,98,,166.99,percent of total billed charges,98% of total billed charges,102.24,48,,81.79,percent of total billed charges,48% of total billed charges,95.85,45,,76.68,percent of total billed charges,45% of total billed charges,81.47,38.25,,65.18,percent of total billed charges,38.25% of total billed charges,95.85,45,,76.68,percent of total billed charges,45% of total billed charges,95.85,45,,76.68,percent of total billed charges,45% of total billed charges,81.47,210.42,
PULMONARY FUNCTION,7003601,CDM,460,RC,94010,HCPCS,OUTPATIENT,,,213,170.4,,202.35,95,,161.88,percent of total billed charges,95% of total billed charges,201.75,94.72,,161.4,percent of total billed charges,94.72% of total billed charges,210.42,98.79,,168.34,percent of total billed charges,98.79% of total billed charges,208.74,98,,166.99,percent of total billed charges,98% of total billed charges,208.74,98,,166.99,percent of total billed charges,98% of total billed charges,102.24,48,,81.79,percent of total billed charges,48% of total billed charges,95.85,45,,76.68,percent of total billed charges,45% of total billed charges,81.47,38.25,,65.18,percent of total billed charges,38.25% of total billed charges,95.85,45,,76.68,percent of total billed charges,45% of total billed charges,95.85,45,,76.68,percent of total billed charges,45% of total billed charges,81.47,210.42,
PEAK FLOW TEST,7003603,CDM,460,RC,94799,HCPCS,OUTPATIENT,,,32,25.6,,30.4,95,,24.32,percent of total billed charges,95% of total billed charges,30.31,94.72,,24.25,percent of total billed charges,94.72% of total billed charges,31.61,98.79,,25.29,percent of total billed charges,98.79% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,31.36,98,,25.09,percent of total billed charges,98% of total billed charges,15.36,48,,12.29,percent of total billed charges,48% of total billed charges,14.4,45,,11.52,percent of total billed charges,45% of total billed charges,12.24,38.25,,9.79,percent of total billed charges,38.25% of total billed charges,14.4,45,,11.52,percent of total billed charges,45% of total billed charges,14.4,45,,11.52,percent of total billed charges,45% of total billed charges,12.24,31.61,
PULMONARY PLETH COMPLETE PFT,7003605,CDM,460,RC,94010,HCPCS,OUTPATIENT,,,213,170.4,,202.35,95,,161.88,percent of total billed charges,95% of total billed charges,201.75,94.72,,161.4,percent of total billed charges,94.72% of total billed charges,210.42,98.79,,168.34,percent of total billed charges,98.79% of total billed charges,208.74,98,,166.99,percent of total billed charges,98% of total billed charges,208.74,98,,166.99,percent of total billed charges,98% of total billed charges,102.24,48,,81.79,percent of total billed charges,48% of total billed charges,95.85,45,,76.68,percent of total billed charges,45% of total billed charges,81.47,38.25,,65.18,percent of total billed charges,38.25% of total billed charges,95.85,45,,76.68,percent of total billed charges,45% of total billed charges,95.85,45,,76.68,percent of total billed charges,45% of total billed charges,81.47,210.42,
PULMONARY PLETH COMPLETE PFT,7003605,CDM,460,RC,94010,HCPCS,OUTPATIENT,,,213,170.4,,202.35,95,,161.88,percent of total billed charges,95% of total billed charges,201.75,94.72,,161.4,percent of total billed charges,94.72% of total billed charges,210.42,98.79,,168.34,percent of total billed charges,98.79% of total billed charges,208.74,98,,166.99,percent of total billed charges,98% of total billed charges,208.74,98,,166.99,percent of total billed charges,98% of total billed charges,102.24,48,,81.79,percent of total billed charges,48% of total billed charges,95.85,45,,76.68,percent of total billed charges,45% of total billed charges,81.47,38.25,,65.18,percent of total billed charges,38.25% of total billed charges,95.85,45,,76.68,percent of total billed charges,45% of total billed charges,95.85,45,,76.68,percent of total billed charges,45% of total billed charges,81.47,210.42,
PULMONARY N2 COMPLETE PFT,7003607,CDM,460,RC,94060,HCPCS,OUTPATIENT,,,325,260,,308.75,95,,247,percent of total billed charges,95% of total billed charges,307.84,94.72,,246.27,percent of total billed charges,94.72% of total billed charges,321.07,98.79,,256.86,percent of total billed charges,98.79% of total billed charges,318.5,98,,254.8,percent of total billed charges,98% of total billed charges,318.5,98,,254.8,percent of total billed charges,98% of total billed charges,156,48,,124.8,percent of total billed charges,48% of total billed charges,146.25,45,,117,percent of total billed charges,45% of total billed charges,124.31,38.25,,99.45,percent of total billed charges,38.25% of total billed charges,146.25,45,,117,percent of total billed charges,45% of total billed charges,146.25,45,,117,percent of total billed charges,45% of total billed charges,124.31,321.07,
PULMONARY FUNCTION W/DILATION,7004602,CDM,460,RC,94060,HCPCS,OUTPATIENT,,,325,260,,308.75,95,,247,percent of total billed charges,95% of total billed charges,307.84,94.72,,246.27,percent of total billed charges,94.72% of total billed charges,321.07,98.79,,256.86,percent of total billed charges,98.79% of total billed charges,318.5,98,,254.8,percent of total billed charges,98% of total billed charges,318.5,98,,254.8,percent of total billed charges,98% of total billed charges,156,48,,124.8,percent of total billed charges,48% of total billed charges,146.25,45,,117,percent of total billed charges,45% of total billed charges,124.31,38.25,,99.45,percent of total billed charges,38.25% of total billed charges,146.25,45,,117,percent of total billed charges,45% of total billed charges,146.25,45,,117,percent of total billed charges,45% of total billed charges,124.31,321.07,
PULMONARY FUNCTION W/DILATION,7004602,CDM,460,RC,94060,HCPCS,OUTPATIENT,,,332,265.6,,315.4,95,,252.32,percent of total billed charges,95% of total billed charges,314.47,94.72,,251.58,percent of total billed charges,94.72% of total billed charges,327.98,98.79,,262.38,percent of total billed charges,98.79% of total billed charges,325.36,98,,260.29,percent of total billed charges,98% of total billed charges,325.36,98,,260.29,percent of total billed charges,98% of total billed charges,159.36,48,,127.49,percent of total billed charges,48% of total billed charges,149.4,45,,119.52,percent of total billed charges,45% of total billed charges,126.99,38.25,,101.59,percent of total billed charges,38.25% of total billed charges,149.4,45,,119.52,percent of total billed charges,45% of total billed charges,149.4,45,,119.52,percent of total billed charges,45% of total billed charges,126.99,327.98,
VENTILATION ASST  MANAGE INITAIL DAY,7094002,CDM,460,RC,94002,HCPCS,OUTPATIENT,,,462,369.6,,438.9,95,,351.12,percent of total billed charges,95% of total billed charges,437.61,94.72,,350.09,percent of total billed charges,94.72% of total billed charges,456.41,98.79,,365.13,percent of total billed charges,98.79% of total billed charges,452.76,98,,362.21,percent of total billed charges,98% of total billed charges,452.76,98,,362.21,percent of total billed charges,98% of total billed charges,221.76,48,,177.41,percent of total billed charges,48% of total billed charges,207.9,45,,166.32,percent of total billed charges,45% of total billed charges,176.72,38.25,,141.38,percent of total billed charges,38.25% of total billed charges,207.9,45,,166.32,percent of total billed charges,45% of total billed charges,207.9,45,,166.32,percent of total billed charges,45% of total billed charges,176.72,456.41,
VENTILATION ASST  MANAGE INITAIL DAY,7094002,CDM,460,RC,94002,HCPCS,OUTPATIENT,,,471,376.8,,447.45,95,,357.96,percent of total billed charges,95% of total billed charges,446.13,94.72,,356.9,percent of total billed charges,94.72% of total billed charges,465.3,98.79,,372.24,percent of total billed charges,98.79% of total billed charges,461.58,98,,369.26,percent of total billed charges,98% of total billed charges,461.58,98,,369.26,percent of total billed charges,98% of total billed charges,226.08,48,,180.86,percent of total billed charges,48% of total billed charges,211.95,45,,169.56,percent of total billed charges,45% of total billed charges,180.16,38.25,,144.13,percent of total billed charges,38.25% of total billed charges,211.95,45,,169.56,percent of total billed charges,45% of total billed charges,211.95,45,,169.56,percent of total billed charges,45% of total billed charges,180.16,465.3,
VENTILATION ASST  MANAGE SUBSEQUENT DAY,7094003,CDM,460,RC,94003,HCPCS,OUTPATIENT,,,193,154.4,,183.35,95,,146.68,percent of total billed charges,95% of total billed charges,182.81,94.72,,146.25,percent of total billed charges,94.72% of total billed charges,190.66,98.79,,152.53,percent of total billed charges,98.79% of total billed charges,189.14,98,,151.31,percent of total billed charges,98% of total billed charges,189.14,98,,151.31,percent of total billed charges,98% of total billed charges,92.64,48,,74.11,percent of total billed charges,48% of total billed charges,86.85,45,,69.48,percent of total billed charges,45% of total billed charges,73.82,38.25,,59.06,percent of total billed charges,38.25% of total billed charges,86.85,45,,69.48,percent of total billed charges,45% of total billed charges,86.85,45,,69.48,percent of total billed charges,45% of total billed charges,73.82,190.66,
VENTILATION ASST  MANAGE SUBSEQUENT DAY,7094003,CDM,460,RC,94003,HCPCS,OUTPATIENT,,,196,156.8,,186.2,95,,148.96,percent of total billed charges,95% of total billed charges,185.65,94.72,,148.52,percent of total billed charges,94.72% of total billed charges,193.63,98.79,,154.9,percent of total billed charges,98.79% of total billed charges,192.08,98,,153.66,percent of total billed charges,98% of total billed charges,192.08,98,,153.66,percent of total billed charges,98% of total billed charges,94.08,48,,75.26,percent of total billed charges,48% of total billed charges,88.2,45,,70.56,percent of total billed charges,45% of total billed charges,74.97,38.25,,59.98,percent of total billed charges,38.25% of total billed charges,88.2,45,,70.56,percent of total billed charges,45% of total billed charges,88.2,45,,70.56,percent of total billed charges,45% of total billed charges,74.97,193.63,
SPIROMETRY BRONCHODILATION,7094060,CDM,460,RC,94060,HCPCS,OUTPATIENT,,,318,254.4,,302.1,95,,241.68,percent of total billed charges,95% of total billed charges,301.21,94.72,,240.97,percent of total billed charges,94.72% of total billed charges,314.15,98.79,,251.32,percent of total billed charges,98.79% of total billed charges,311.64,98,,249.31,percent of total billed charges,98% of total billed charges,311.64,98,,249.31,percent of total billed charges,98% of total billed charges,152.64,48,,122.11,percent of total billed charges,48% of total billed charges,143.1,45,,114.48,percent of total billed charges,45% of total billed charges,121.64,38.25,,97.31,percent of total billed charges,38.25% of total billed charges,143.1,45,,114.48,percent of total billed charges,45% of total billed charges,143.1,45,,114.48,percent of total billed charges,45% of total billed charges,121.64,314.15,
METHACHOLINE CHALLENGE,7094070,CDM,460,RC,94070,HCPCS,OUTPATIENT,,,362,289.6,,343.9,95,,275.12,percent of total billed charges,95% of total billed charges,342.89,94.72,,274.31,percent of total billed charges,94.72% of total billed charges,357.62,98.79,,286.1,percent of total billed charges,98.79% of total billed charges,354.76,98,,283.81,percent of total billed charges,98% of total billed charges,354.76,98,,283.81,percent of total billed charges,98% of total billed charges,173.76,48,,139.01,percent of total billed charges,48% of total billed charges,162.9,45,,130.32,percent of total billed charges,45% of total billed charges,138.47,38.25,,110.78,percent of total billed charges,38.25% of total billed charges,162.9,45,,130.32,percent of total billed charges,45% of total billed charges,162.9,45,,130.32,percent of total billed charges,45% of total billed charges,138.47,357.62,
METHACHOLINE CHALLENGE,7094070,CDM,460,RC,94070,HCPCS,OUTPATIENT,,,362,289.6,,343.9,95,,275.12,percent of total billed charges,95% of total billed charges,342.89,94.72,,274.31,percent of total billed charges,94.72% of total billed charges,357.62,98.79,,286.1,percent of total billed charges,98.79% of total billed charges,354.76,98,,283.81,percent of total billed charges,98% of total billed charges,354.76,98,,283.81,percent of total billed charges,98% of total billed charges,173.76,48,,139.01,percent of total billed charges,48% of total billed charges,162.9,45,,130.32,percent of total billed charges,45% of total billed charges,138.47,38.25,,110.78,percent of total billed charges,38.25% of total billed charges,162.9,45,,130.32,percent of total billed charges,45% of total billed charges,162.9,45,,130.32,percent of total billed charges,45% of total billed charges,138.47,357.62,
PULMONARY PLETHYSMOGRAPHY,7094726,CDM,460,RC,94726,HCPCS,OUTPATIENT,,,273,218.4,,259.35,95,,207.48,percent of total billed charges,95% of total billed charges,258.59,94.72,,206.87,percent of total billed charges,94.72% of total billed charges,269.7,98.79,,215.76,percent of total billed charges,98.79% of total billed charges,267.54,98,,214.03,percent of total billed charges,98% of total billed charges,267.54,98,,214.03,percent of total billed charges,98% of total billed charges,131.04,48,,104.83,percent of total billed charges,48% of total billed charges,122.85,45,,98.28,percent of total billed charges,45% of total billed charges,104.42,38.25,,83.54,percent of total billed charges,38.25% of total billed charges,122.85,45,,98.28,percent of total billed charges,45% of total billed charges,122.85,45,,98.28,percent of total billed charges,45% of total billed charges,104.42,269.7,
94727 PULMONARY N2 WASHOUT CHARGE,7094727,CDM,460,RC,94727,HCPCS,OUTPATIENT,,,208,166.4,,197.6,95,,158.08,percent of total billed charges,95% of total billed charges,197.02,94.72,,157.62,percent of total billed charges,94.72% of total billed charges,205.48,98.79,,164.38,percent of total billed charges,98.79% of total billed charges,203.84,98,,163.07,percent of total billed charges,98% of total billed charges,203.84,98,,163.07,percent of total billed charges,98% of total billed charges,99.84,48,,79.87,percent of total billed charges,48% of total billed charges,93.6,45,,74.88,percent of total billed charges,45% of total billed charges,79.56,38.25,,63.65,percent of total billed charges,38.25% of total billed charges,93.6,45,,74.88,percent of total billed charges,45% of total billed charges,93.6,45,,74.88,percent of total billed charges,45% of total billed charges,79.56,205.48,
PULMONARY DIFFUSION CAPACITY,7094729,CDM,460,RC,94729,HCPCS,OUTPATIENT,,,281,224.8,,266.95,95,,213.56,percent of total billed charges,95% of total billed charges,266.16,94.72,,212.93,percent of total billed charges,94.72% of total billed charges,277.6,98.79,,222.08,percent of total billed charges,98.79% of total billed charges,275.38,98,,220.3,percent of total billed charges,98% of total billed charges,275.38,98,,220.3,percent of total billed charges,98% of total billed charges,134.88,48,,107.9,percent of total billed charges,48% of total billed charges,126.45,45,,101.16,percent of total billed charges,45% of total billed charges,107.48,38.25,,85.98,percent of total billed charges,38.25% of total billed charges,126.45,45,,101.16,percent of total billed charges,45% of total billed charges,126.45,45,,101.16,percent of total billed charges,45% of total billed charges,107.48,277.6,
SENSOR OXIMETER ADULT REUSE LNCS,7700116,CDM,460,RC,94760,HCPCS,OUTPATIENT,,,23,18.4,,21.85,95,,17.48,percent of total billed charges,95% of total billed charges,21.79,94.72,,17.43,percent of total billed charges,94.72% of total billed charges,22.72,98.79,,18.18,percent of total billed charges,98.79% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,11.04,48,,8.83,percent of total billed charges,48% of total billed charges,10.35,45,,8.28,percent of total billed charges,45% of total billed charges,8.8,38.25,,7.04,percent of total billed charges,38.25% of total billed charges,10.35,45,,8.28,percent of total billed charges,45% of total billed charges,10.35,45,,8.28,percent of total billed charges,45% of total billed charges,8.8,22.72,
SENSOR OXIMETER ADULT REUSE LNCS,7700116,CDM,460,RC,94760,HCPCS,OUTPATIENT,,,23,18.4,,21.85,95,,17.48,percent of total billed charges,95% of total billed charges,21.79,94.72,,17.43,percent of total billed charges,94.72% of total billed charges,22.72,98.79,,18.18,percent of total billed charges,98.79% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,11.04,48,,8.83,percent of total billed charges,48% of total billed charges,10.35,45,,8.28,percent of total billed charges,45% of total billed charges,8.8,38.25,,7.04,percent of total billed charges,38.25% of total billed charges,10.35,45,,8.28,percent of total billed charges,45% of total billed charges,10.35,45,,8.28,percent of total billed charges,45% of total billed charges,8.8,22.72,
PULSE OXIMETRY,15094760,CDM,460,RC,94760,HCPCS,OUTPATIENT,,,23,18.4,,21.85,95,,17.48,percent of total billed charges,95% of total billed charges,21.79,94.72,,17.43,percent of total billed charges,94.72% of total billed charges,22.72,98.79,,18.18,percent of total billed charges,98.79% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,11.04,48,,8.83,percent of total billed charges,48% of total billed charges,10.35,45,,8.28,percent of total billed charges,45% of total billed charges,8.8,38.25,,7.04,percent of total billed charges,38.25% of total billed charges,10.35,45,,8.28,percent of total billed charges,45% of total billed charges,10.35,45,,8.28,percent of total billed charges,45% of total billed charges,8.8,22.72,
OXIMETER MULT,15094761,CDM,460,RC,94761,HCPCS,OUTPATIENT,,,31,24.8,,29.45,95,,23.56,percent of total billed charges,95% of total billed charges,29.36,94.72,,23.49,percent of total billed charges,94.72% of total billed charges,30.62,98.79,,24.5,percent of total billed charges,98.79% of total billed charges,30.38,98,,24.3,percent of total billed charges,98% of total billed charges,30.38,98,,24.3,percent of total billed charges,98% of total billed charges,14.88,48,,11.9,percent of total billed charges,48% of total billed charges,13.95,45,,11.16,percent of total billed charges,45% of total billed charges,11.86,38.25,,9.49,percent of total billed charges,38.25% of total billed charges,13.95,45,,11.16,percent of total billed charges,45% of total billed charges,13.95,45,,11.16,percent of total billed charges,45% of total billed charges,11.86,30.62,
92552 Pure tone audiometry (threshold); air only,92552,CDM,470,RC,92552,HCPCS,OUTPATIENT,,,109,87.2,,103.55,95,,82.84,percent of total billed charges,95% of total billed charges,103.24,94.72,,82.59,percent of total billed charges,94.72% of total billed charges,107.68,98.79,,86.14,percent of total billed charges,98.79% of total billed charges,106.82,98,,85.46,percent of total billed charges,98% of total billed charges,106.82,98,,85.46,percent of total billed charges,98% of total billed charges,52.32,48,,41.86,percent of total billed charges,48% of total billed charges,49.05,45,,39.24,percent of total billed charges,45% of total billed charges,41.69,38.25,,33.35,percent of total billed charges,38.25% of total billed charges,49.05,45,,39.24,percent of total billed charges,45% of total billed charges,49.05,45,,39.24,percent of total billed charges,45% of total billed charges,41.69,107.68,
92552 Pure tone audiometry (threshold); air only,92552,CDM,470,RC,92552,HCPCS,OUTPATIENT,,,109,87.2,,103.55,95,,82.84,percent of total billed charges,95% of total billed charges,103.24,94.72,,82.59,percent of total billed charges,94.72% of total billed charges,107.68,98.79,,86.14,percent of total billed charges,98.79% of total billed charges,106.82,98,,85.46,percent of total billed charges,98% of total billed charges,106.82,98,,85.46,percent of total billed charges,98% of total billed charges,52.32,48,,41.86,percent of total billed charges,48% of total billed charges,49.05,45,,39.24,percent of total billed charges,45% of total billed charges,41.69,38.25,,33.35,percent of total billed charges,38.25% of total billed charges,49.05,45,,39.24,percent of total billed charges,45% of total billed charges,49.05,45,,39.24,percent of total billed charges,45% of total billed charges,41.69,107.68,
92556 Speech audiometry threshold; with speech recognition,92556,CDM,470,RC,92556,HCPCS,OUTPATIENT,,,131,104.8,,124.45,95,,99.56,percent of total billed charges,95% of total billed charges,124.08,94.72,,99.26,percent of total billed charges,94.72% of total billed charges,129.41,98.79,,103.53,percent of total billed charges,98.79% of total billed charges,128.38,98,,102.7,percent of total billed charges,98% of total billed charges,128.38,98,,102.7,percent of total billed charges,98% of total billed charges,62.88,48,,50.3,percent of total billed charges,48% of total billed charges,58.95,45,,47.16,percent of total billed charges,45% of total billed charges,50.11,38.25,,40.09,percent of total billed charges,38.25% of total billed charges,58.95,45,,47.16,percent of total billed charges,45% of total billed charges,58.95,45,,47.16,percent of total billed charges,45% of total billed charges,50.11,129.41,
92556 Speech audiometry threshold; with speech recognition,92556,CDM,470,RC,92556,HCPCS,OUTPATIENT,,,131,104.8,,124.45,95,,99.56,percent of total billed charges,95% of total billed charges,124.08,94.72,,99.26,percent of total billed charges,94.72% of total billed charges,129.41,98.79,,103.53,percent of total billed charges,98.79% of total billed charges,128.38,98,,102.7,percent of total billed charges,98% of total billed charges,128.38,98,,102.7,percent of total billed charges,98% of total billed charges,62.88,48,,50.3,percent of total billed charges,48% of total billed charges,58.95,45,,47.16,percent of total billed charges,45% of total billed charges,50.11,38.25,,40.09,percent of total billed charges,38.25% of total billed charges,58.95,45,,47.16,percent of total billed charges,45% of total billed charges,58.95,45,,47.16,percent of total billed charges,45% of total billed charges,50.11,129.41,
92557 Comprehensive audiometry threshold evaluation and spee,92557,CDM,470,RC,92557,HCPCS,OUTPATIENT,,,130,104,,123.5,95,,98.8,percent of total billed charges,95% of total billed charges,123.14,94.72,,98.51,percent of total billed charges,94.72% of total billed charges,128.43,98.79,,102.74,percent of total billed charges,98.79% of total billed charges,127.4,98,,101.92,percent of total billed charges,98% of total billed charges,127.4,98,,101.92,percent of total billed charges,98% of total billed charges,62.4,48,,49.92,percent of total billed charges,48% of total billed charges,58.5,45,,46.8,percent of total billed charges,45% of total billed charges,49.73,38.25,,39.78,percent of total billed charges,38.25% of total billed charges,58.5,45,,46.8,percent of total billed charges,45% of total billed charges,58.5,45,,46.8,percent of total billed charges,45% of total billed charges,49.73,128.43,
92557 Comprehensive audiometry threshold evaluation and spee,92557,CDM,470,RC,92557,HCPCS,OUTPATIENT,,,130,104,,123.5,95,,98.8,percent of total billed charges,95% of total billed charges,123.14,94.72,,98.51,percent of total billed charges,94.72% of total billed charges,128.43,98.79,,102.74,percent of total billed charges,98.79% of total billed charges,127.4,98,,101.92,percent of total billed charges,98% of total billed charges,127.4,98,,101.92,percent of total billed charges,98% of total billed charges,62.4,48,,49.92,percent of total billed charges,48% of total billed charges,58.5,45,,46.8,percent of total billed charges,45% of total billed charges,49.73,38.25,,39.78,percent of total billed charges,38.25% of total billed charges,58.5,45,,46.8,percent of total billed charges,45% of total billed charges,58.5,45,,46.8,percent of total billed charges,45% of total billed charges,49.73,128.43,
92567 Tympanometry (impedance testing),92567,CDM,470,RC,92567,HCPCS,OUTPATIENT,,,55,44,,52.25,95,,41.8,percent of total billed charges,95% of total billed charges,52.1,94.72,,41.68,percent of total billed charges,94.72% of total billed charges,54.33,98.79,,43.46,percent of total billed charges,98.79% of total billed charges,53.9,98,,43.12,percent of total billed charges,98% of total billed charges,53.9,98,,43.12,percent of total billed charges,98% of total billed charges,26.4,48,,21.12,percent of total billed charges,48% of total billed charges,24.75,45,,19.8,percent of total billed charges,45% of total billed charges,21.04,38.25,,16.83,percent of total billed charges,38.25% of total billed charges,24.75,45,,19.8,percent of total billed charges,45% of total billed charges,24.75,45,,19.8,percent of total billed charges,45% of total billed charges,21.04,54.33,
92567 Tympanometry (impedance testing),92567,CDM,470,RC,92567,HCPCS,OUTPATIENT,,,55,44,,52.25,95,,41.8,percent of total billed charges,95% of total billed charges,52.1,94.72,,41.68,percent of total billed charges,94.72% of total billed charges,54.33,98.79,,43.46,percent of total billed charges,98.79% of total billed charges,53.9,98,,43.12,percent of total billed charges,98% of total billed charges,53.9,98,,43.12,percent of total billed charges,98% of total billed charges,26.4,48,,21.12,percent of total billed charges,48% of total billed charges,24.75,45,,19.8,percent of total billed charges,45% of total billed charges,21.04,38.25,,16.83,percent of total billed charges,38.25% of total billed charges,24.75,45,,19.8,percent of total billed charges,45% of total billed charges,24.75,45,,19.8,percent of total billed charges,45% of total billed charges,21.04,54.33,
92579 Visual reinforcement audiometry,92576,CDM,470,RC,92579,HCPCS,OUTPATIENT,,,170,136,,161.5,95,,129.2,percent of total billed charges,95% of total billed charges,161.02,94.72,,128.82,percent of total billed charges,94.72% of total billed charges,167.94,98.79,,134.35,percent of total billed charges,98.79% of total billed charges,166.6,98,,133.28,percent of total billed charges,98% of total billed charges,166.6,98,,133.28,percent of total billed charges,98% of total billed charges,81.6,48,,65.28,percent of total billed charges,48% of total billed charges,76.5,45,,61.2,percent of total billed charges,45% of total billed charges,65.03,38.25,,52.02,percent of total billed charges,38.25% of total billed charges,76.5,45,,61.2,percent of total billed charges,45% of total billed charges,76.5,45,,61.2,percent of total billed charges,45% of total billed charges,65.03,167.94,
92579 Visual reinforcement audiometry,92579,CDM,470,RC,92579,HCPCS,OUTPATIENT,,,170,136,,161.5,95,,129.2,percent of total billed charges,95% of total billed charges,161.02,94.72,,128.82,percent of total billed charges,94.72% of total billed charges,167.94,98.79,,134.35,percent of total billed charges,98.79% of total billed charges,166.6,98,,133.28,percent of total billed charges,98% of total billed charges,166.6,98,,133.28,percent of total billed charges,98% of total billed charges,81.6,48,,65.28,percent of total billed charges,48% of total billed charges,76.5,45,,61.2,percent of total billed charges,45% of total billed charges,65.03,38.25,,52.02,percent of total billed charges,38.25% of total billed charges,76.5,45,,61.2,percent of total billed charges,45% of total billed charges,76.5,45,,61.2,percent of total billed charges,45% of total billed charges,65.03,167.94,
92582 Conditioning play audiometry,92582,CDM,470,RC,92582,HCPCS,OUTPATIENT,,,170,136,,161.5,95,,129.2,percent of total billed charges,95% of total billed charges,161.02,94.72,,128.82,percent of total billed charges,94.72% of total billed charges,167.94,98.79,,134.35,percent of total billed charges,98.79% of total billed charges,166.6,98,,133.28,percent of total billed charges,98% of total billed charges,166.6,98,,133.28,percent of total billed charges,98% of total billed charges,81.6,48,,65.28,percent of total billed charges,48% of total billed charges,76.5,45,,61.2,percent of total billed charges,45% of total billed charges,65.03,38.25,,52.02,percent of total billed charges,38.25% of total billed charges,76.5,45,,61.2,percent of total billed charges,45% of total billed charges,76.5,45,,61.2,percent of total billed charges,45% of total billed charges,65.03,167.94,
AMBULATORY BP MONITORING RECORDING ONLY,7094071,CDM,480,RC,93786,HCPCS,OUTPATIENT,,,137,109.6,,130.15,95,,104.12,percent of total billed charges,95% of total billed charges,129.77,94.72,,103.82,percent of total billed charges,94.72% of total billed charges,135.34,98.79,,108.27,percent of total billed charges,98.79% of total billed charges,134.26,98,,107.41,percent of total billed charges,98% of total billed charges,134.26,98,,107.41,percent of total billed charges,98% of total billed charges,65.76,48,,52.61,percent of total billed charges,48% of total billed charges,61.65,45,,49.32,percent of total billed charges,45% of total billed charges,52.4,38.25,,41.92,percent of total billed charges,38.25% of total billed charges,61.65,45,,49.32,percent of total billed charges,45% of total billed charges,61.65,45,,49.32,percent of total billed charges,45% of total billed charges,52.4,135.34,
AMB BP MONITORING SCAN ANALYSIS W/REPORT,7094072,CDM,480,RC,93788,HCPCS,OUTPATIENT,,,110,88,,104.5,95,,83.6,percent of total billed charges,95% of total billed charges,104.19,94.72,,83.35,percent of total billed charges,94.72% of total billed charges,108.67,98.79,,86.94,percent of total billed charges,98.79% of total billed charges,107.8,98,,86.24,percent of total billed charges,98% of total billed charges,107.8,98,,86.24,percent of total billed charges,98% of total billed charges,52.8,48,,42.24,percent of total billed charges,48% of total billed charges,49.5,45,,39.6,percent of total billed charges,45% of total billed charges,42.08,38.25,,33.66,percent of total billed charges,38.25% of total billed charges,49.5,45,,39.6,percent of total billed charges,45% of total billed charges,49.5,45,,39.6,percent of total billed charges,45% of total billed charges,42.08,108.67,
IV MEDICATIONS - TREADMILL,8608301,CDM,480,RC,90784,HCPCS,OUTPATIENT,,,126,100.8,,119.7,95,,95.76,percent of total billed charges,95% of total billed charges,119.35,94.72,,95.48,percent of total billed charges,94.72% of total billed charges,124.48,98.79,,99.58,percent of total billed charges,98.79% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,123.48,98,,98.78,percent of total billed charges,98% of total billed charges,60.48,48,,48.38,percent of total billed charges,48% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,38.25,,38.56,percent of total billed charges,38.25% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,56.7,45,,45.36,percent of total billed charges,45% of total billed charges,48.2,124.48,
IV MEDICATIONS - TREADMILL,8608302,CDM,480,RC,96374,HCPCS,OUTPATIENT,,,200,160,,190,95,,152,percent of total billed charges,95% of total billed charges,189.44,94.72,,151.55,percent of total billed charges,94.72% of total billed charges,197.58,98.79,,158.06,percent of total billed charges,98.79% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,96,48,,76.8,percent of total billed charges,48% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,38.25,,61.2,percent of total billed charges,38.25% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,197.58,
REMOVAL INSER SUBQ CARDIAC RHYTHM MNTR,10033286,CDM,480,RC,33286,HCPCS,OUTPATIENT,,,651,520.8,,618.45,95,,494.76,percent of total billed charges,95% of total billed charges,616.63,94.72,,493.3,percent of total billed charges,94.72% of total billed charges,643.12,98.79,,514.5,percent of total billed charges,98.79% of total billed charges,637.98,98,,510.38,percent of total billed charges,98% of total billed charges,637.98,98,,510.38,percent of total billed charges,98% of total billed charges,312.48,48,,249.98,percent of total billed charges,48% of total billed charges,292.95,45,,234.36,percent of total billed charges,45% of total billed charges,249.01,38.25,,199.21,percent of total billed charges,38.25% of total billed charges,292.95,45,,234.36,percent of total billed charges,45% of total billed charges,292.95,45,,234.36,percent of total billed charges,45% of total billed charges,249.01,643.12,
REMOVAL INSER SUBQ CARDIAC RHYTHM MNTR,10033286,CDM,480,RC,33286,HCPCS,OUTPATIENT,,,651,520.8,,618.45,95,,494.76,percent of total billed charges,95% of total billed charges,616.63,94.72,,493.3,percent of total billed charges,94.72% of total billed charges,643.12,98.79,,514.5,percent of total billed charges,98.79% of total billed charges,637.98,98,,510.38,percent of total billed charges,98% of total billed charges,637.98,98,,510.38,percent of total billed charges,98% of total billed charges,312.48,48,,249.98,percent of total billed charges,48% of total billed charges,292.95,45,,234.36,percent of total billed charges,45% of total billed charges,249.01,38.25,,199.21,percent of total billed charges,38.25% of total billed charges,292.95,45,,234.36,percent of total billed charges,45% of total billed charges,292.95,45,,234.36,percent of total billed charges,45% of total billed charges,249.01,643.12,
92960 CARDIOVERSION ELECTRIC EXT,11392960,CDM,480,RC,92960,HCPCS,OUTPATIENT,,,1554,1243.2,,1476.3,95,,1181.04,percent of total billed charges,95% of total billed charges,1471.95,94.72,,1177.56,percent of total billed charges,94.72% of total billed charges,1535.2,98.79,,1228.16,percent of total billed charges,98.79% of total billed charges,1522.92,98,,1218.34,percent of total billed charges,98% of total billed charges,1522.92,98,,1218.34,percent of total billed charges,98% of total billed charges,745.92,48,,596.74,percent of total billed charges,48% of total billed charges,699.3,45,,559.44,percent of total billed charges,45% of total billed charges,594.41,38.25,,475.53,percent of total billed charges,38.25% of total billed charges,699.3,45,,559.44,percent of total billed charges,45% of total billed charges,699.3,45,,559.44,percent of total billed charges,45% of total billed charges,594.41,1535.2,
51700 BLADDER IRRIGATION,12733282,CDM,480,RC,51700,HCPCS,OUTPATIENT,,,7762,6209.6,,7373.9,95,,5899.12,percent of total billed charges,95% of total billed charges,7352.17,94.72,,5881.74,percent of total billed charges,94.72% of total billed charges,7668.08,98.79,,6134.46,percent of total billed charges,98.79% of total billed charges,7606.76,98,,6085.41,percent of total billed charges,98% of total billed charges,7606.76,98,,6085.41,percent of total billed charges,98% of total billed charges,3725.76,48,,2980.61,percent of total billed charges,48% of total billed charges,3492.9,45,,2794.32,percent of total billed charges,45% of total billed charges,2968.97,38.25,,2375.18,percent of total billed charges,38.25% of total billed charges,3492.9,45,,2794.32,percent of total billed charges,45% of total billed charges,3492.9,45,,2794.32,percent of total billed charges,45% of total billed charges,2968.97,7668.08,
51729 CYSTOMETROGRAM WNP&UP,12733282,CDM,480,RC,33282,HCPCS,OUTPATIENT,,,7762,6209.6,,7373.9,95,,5899.12,percent of total billed charges,95% of total billed charges,7352.17,94.72,,5881.74,percent of total billed charges,94.72% of total billed charges,7668.08,98.79,,6134.46,percent of total billed charges,98.79% of total billed charges,7606.76,98,,6085.41,percent of total billed charges,98% of total billed charges,7606.76,98,,6085.41,percent of total billed charges,98% of total billed charges,3725.76,48,,2980.61,percent of total billed charges,48% of total billed charges,3492.9,45,,2794.32,percent of total billed charges,45% of total billed charges,2968.97,38.25,,2375.18,percent of total billed charges,38.25% of total billed charges,3492.9,45,,2794.32,percent of total billed charges,45% of total billed charges,3492.9,45,,2794.32,percent of total billed charges,45% of total billed charges,2968.97,7668.08,
CVSLR STRESS TEST TRACING,8608201,CDM,482,RC,93017,HCPCS,OUTPATIENT,,,330,264,,313.5,95,,250.8,percent of total billed charges,95% of total billed charges,312.58,94.72,,250.06,percent of total billed charges,94.72% of total billed charges,326.01,98.79,,260.81,percent of total billed charges,98.79% of total billed charges,323.4,98,,258.72,percent of total billed charges,98% of total billed charges,323.4,98,,258.72,percent of total billed charges,98% of total billed charges,158.4,48,,126.72,percent of total billed charges,48% of total billed charges,148.5,45,,118.8,percent of total billed charges,45% of total billed charges,126.23,38.25,,100.98,percent of total billed charges,38.25% of total billed charges,148.5,45,,118.8,percent of total billed charges,45% of total billed charges,148.5,45,,118.8,percent of total billed charges,45% of total billed charges,126.23,326.01,
CVSLR STRESS TEST TRACING,8608201,CDM,482,RC,93017,HCPCS,OUTPATIENT,,,336,268.8,,319.2,95,,255.36,percent of total billed charges,95% of total billed charges,318.26,94.72,,254.61,percent of total billed charges,94.72% of total billed charges,331.93,98.79,,265.54,percent of total billed charges,98.79% of total billed charges,329.28,98,,263.42,percent of total billed charges,98% of total billed charges,329.28,98,,263.42,percent of total billed charges,98% of total billed charges,161.28,48,,129.02,percent of total billed charges,48% of total billed charges,151.2,45,,120.96,percent of total billed charges,45% of total billed charges,128.52,38.25,,102.82,percent of total billed charges,38.25% of total billed charges,151.2,45,,120.96,percent of total billed charges,45% of total billed charges,151.2,45,,120.96,percent of total billed charges,45% of total billed charges,128.52,331.93,
TREADMILL MONITOR OR DRUG INDUCED,8608202,CDM,482,RC,93015,HCPCS,OUTPATIENT,,,589,471.2,,559.55,95,,447.64,percent of total billed charges,95% of total billed charges,557.9,94.72,,446.32,percent of total billed charges,94.72% of total billed charges,581.87,98.79,,465.5,percent of total billed charges,98.79% of total billed charges,577.22,98,,461.78,percent of total billed charges,98% of total billed charges,577.22,98,,461.78,percent of total billed charges,98% of total billed charges,282.72,48,,226.18,percent of total billed charges,48% of total billed charges,265.05,45,,212.04,percent of total billed charges,45% of total billed charges,225.29,38.25,,180.23,percent of total billed charges,38.25% of total billed charges,265.05,45,,212.04,percent of total billed charges,45% of total billed charges,265.05,45,,212.04,percent of total billed charges,45% of total billed charges,225.29,581.87,
US POCUS THORACOABDOMINAL TRAUMA,533045,CDM,483,RC,93308,HCPCS,OUTPATIENT,,,632,505.6,,600.4,95,,480.32,percent of total billed charges,95% of total billed charges,598.63,94.72,,478.9,percent of total billed charges,94.72% of total billed charges,624.35,98.79,,499.48,percent of total billed charges,98.79% of total billed charges,619.36,98,,495.49,percent of total billed charges,98% of total billed charges,619.36,98,,495.49,percent of total billed charges,98% of total billed charges,303.36,48,,242.69,percent of total billed charges,48% of total billed charges,284.4,45,,227.52,percent of total billed charges,45% of total billed charges,241.74,38.25,,193.39,percent of total billed charges,38.25% of total billed charges,284.4,45,,227.52,percent of total billed charges,45% of total billed charges,284.4,45,,227.52,percent of total billed charges,45% of total billed charges,241.74,624.35,
US COLOR FLOW DOPPLER,533200,CDM,483,RC,93325,HCPCS,OUTPATIENT,,,393,314.4,,373.35,95,,298.68,percent of total billed charges,95% of total billed charges,372.25,94.72,,297.8,percent of total billed charges,94.72% of total billed charges,388.24,98.79,,310.59,percent of total billed charges,98.79% of total billed charges,385.14,98,,308.11,percent of total billed charges,98% of total billed charges,385.14,98,,308.11,percent of total billed charges,98% of total billed charges,188.64,48,,150.91,percent of total billed charges,48% of total billed charges,176.85,45,,141.48,percent of total billed charges,45% of total billed charges,150.32,38.25,,120.26,percent of total billed charges,38.25% of total billed charges,176.85,45,,141.48,percent of total billed charges,45% of total billed charges,176.85,45,,141.48,percent of total billed charges,45% of total billed charges,150.32,388.24,
US ECHO TRANSESOPHAGEAL (TEE),533205,CDM,483,RC,93312,HCPCS,OUTPATIENT,,,670,536,,636.5,95,,509.2,percent of total billed charges,95% of total billed charges,634.62,94.72,,507.7,percent of total billed charges,94.72% of total billed charges,661.89,98.79,,529.51,percent of total billed charges,98.79% of total billed charges,656.6,98,,525.28,percent of total billed charges,98% of total billed charges,656.6,98,,525.28,percent of total billed charges,98% of total billed charges,321.6,48,,257.28,percent of total billed charges,48% of total billed charges,301.5,45,,241.2,percent of total billed charges,45% of total billed charges,256.28,38.25,,205.02,percent of total billed charges,38.25% of total billed charges,301.5,45,,241.2,percent of total billed charges,45% of total billed charges,301.5,45,,241.2,percent of total billed charges,45% of total billed charges,256.28,661.89,
93312 ECHO TRANSESOPHAGEAL,533205,CDM,483,RC,93312,HCPCS,OUTPATIENT,,,683,546.4,,648.85,95,,519.08,percent of total billed charges,95% of total billed charges,646.94,94.72,,517.55,percent of total billed charges,94.72% of total billed charges,674.74,98.79,,539.79,percent of total billed charges,98.79% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,327.84,48,,262.27,percent of total billed charges,48% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,38.25,,209,percent of total billed charges,38.25% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,674.74,
US ECHO TRANSESOPHAGEAL (TEE),533205,CDM,483,RC,93312,HCPCS,OUTPATIENT,,,683,546.4,,648.85,95,,519.08,percent of total billed charges,95% of total billed charges,646.94,94.72,,517.55,percent of total billed charges,94.72% of total billed charges,674.74,98.79,,539.79,percent of total billed charges,98.79% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,327.84,48,,262.27,percent of total billed charges,48% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,38.25,,209,percent of total billed charges,38.25% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,674.74,
US ECHO TRANSESOPHAGEAL (TEE) W/ CONTRAST,533206,CDM,483,RC,93355,HCPCS,OUTPATIENT,,,1323,1058.4,,1256.85,95,,1005.48,percent of total billed charges,95% of total billed charges,1253.15,94.72,,1002.52,percent of total billed charges,94.72% of total billed charges,1306.99,98.79,,1045.59,percent of total billed charges,98.79% of total billed charges,1296.54,98,,1037.23,percent of total billed charges,98% of total billed charges,1296.54,98,,1037.23,percent of total billed charges,98% of total billed charges,635.04,48,,508.03,percent of total billed charges,48% of total billed charges,595.35,45,,476.28,percent of total billed charges,45% of total billed charges,506.05,38.25,,404.84,percent of total billed charges,38.25% of total billed charges,595.35,45,,476.28,percent of total billed charges,45% of total billed charges,595.35,45,,476.28,percent of total billed charges,45% of total billed charges,506.05,1306.99,
US TRANSTHORACIC STRES ECHO COMP W/O CON,533207,CDM,483,RC,93350,HCPCS,OUTPATIENT,,,712,569.6,,676.4,95,,541.12,percent of total billed charges,95% of total billed charges,674.41,94.72,,539.53,percent of total billed charges,94.72% of total billed charges,703.38,98.79,,562.7,percent of total billed charges,98.79% of total billed charges,697.76,98,,558.21,percent of total billed charges,98% of total billed charges,697.76,98,,558.21,percent of total billed charges,98% of total billed charges,341.76,48,,273.41,percent of total billed charges,48% of total billed charges,320.4,45,,256.32,percent of total billed charges,45% of total billed charges,272.34,38.25,,217.87,percent of total billed charges,38.25% of total billed charges,320.4,45,,256.32,percent of total billed charges,45% of total billed charges,320.4,45,,256.32,percent of total billed charges,45% of total billed charges,272.34,703.38,
US TRANSTHORACIC STRES ECHO COMP W/O CON,533207,CDM,483,RC,93350,HCPCS,OUTPATIENT,,,726,580.8,,689.7,95,,551.76,percent of total billed charges,95% of total billed charges,687.67,94.72,,550.14,percent of total billed charges,94.72% of total billed charges,717.22,98.79,,573.78,percent of total billed charges,98.79% of total billed charges,711.48,98,,569.18,percent of total billed charges,98% of total billed charges,711.48,98,,569.18,percent of total billed charges,98% of total billed charges,348.48,48,,278.78,percent of total billed charges,48% of total billed charges,326.7,45,,261.36,percent of total billed charges,45% of total billed charges,277.7,38.25,,222.16,percent of total billed charges,38.25% of total billed charges,326.7,45,,261.36,percent of total billed charges,45% of total billed charges,326.7,45,,261.36,percent of total billed charges,45% of total billed charges,277.7,717.22,
US TRANSTHORACIC STRESS ECHO COMP W/ CON,533208,CDM,483,RC,93350,HCPCS,OUTPATIENT,,,712,569.6,,676.4,95,,541.12,percent of total billed charges,95% of total billed charges,674.41,94.72,,539.53,percent of total billed charges,94.72% of total billed charges,703.38,98.79,,562.7,percent of total billed charges,98.79% of total billed charges,697.76,98,,558.21,percent of total billed charges,98% of total billed charges,697.76,98,,558.21,percent of total billed charges,98% of total billed charges,341.76,48,,273.41,percent of total billed charges,48% of total billed charges,320.4,45,,256.32,percent of total billed charges,45% of total billed charges,272.34,38.25,,217.87,percent of total billed charges,38.25% of total billed charges,320.4,45,,256.32,percent of total billed charges,45% of total billed charges,320.4,45,,256.32,percent of total billed charges,45% of total billed charges,272.34,703.38,
US TRANSTHORACIC STRESS ECHO COMP W/ CON,533208,CDM,483,RC,93350,HCPCS,OUTPATIENT,,,726,580.8,,689.7,95,,551.76,percent of total billed charges,95% of total billed charges,687.67,94.72,,550.14,percent of total billed charges,94.72% of total billed charges,717.22,98.79,,573.78,percent of total billed charges,98.79% of total billed charges,711.48,98,,569.18,percent of total billed charges,98% of total billed charges,711.48,98,,569.18,percent of total billed charges,98% of total billed charges,348.48,48,,278.78,percent of total billed charges,48% of total billed charges,326.7,45,,261.36,percent of total billed charges,45% of total billed charges,277.7,38.25,,222.16,percent of total billed charges,38.25% of total billed charges,326.7,45,,261.36,percent of total billed charges,45% of total billed charges,326.7,45,,261.36,percent of total billed charges,45% of total billed charges,277.7,717.22,
US ECHO REAL/M-MODE COMP,533210,CDM,483,RC,93306,HCPCS,OUTPATIENT,,,2368,1894.4,,2249.6,95,,1799.68,percent of total billed charges,95% of total billed charges,2242.97,94.72,,1794.38,percent of total billed charges,94.72% of total billed charges,2339.35,98.79,,1871.48,percent of total billed charges,98.79% of total billed charges,2320.64,98,,1856.51,percent of total billed charges,98% of total billed charges,2320.64,98,,1856.51,percent of total billed charges,98% of total billed charges,1136.64,48,,909.31,percent of total billed charges,48% of total billed charges,1065.6,45,,852.48,percent of total billed charges,45% of total billed charges,905.76,38.25,,724.61,percent of total billed charges,38.25% of total billed charges,1065.6,45,,852.48,percent of total billed charges,45% of total billed charges,1065.6,45,,852.48,percent of total billed charges,45% of total billed charges,905.76,2339.35,
US ECHO REAL/M-MODE COMP,533210,CDM,483,RC,93306,HCPCS,OUTPATIENT,,,2368,1894.4,,2249.6,95,,1799.68,percent of total billed charges,95% of total billed charges,2242.97,94.72,,1794.38,percent of total billed charges,94.72% of total billed charges,2339.35,98.79,,1871.48,percent of total billed charges,98.79% of total billed charges,2320.64,98,,1856.51,percent of total billed charges,98% of total billed charges,2320.64,98,,1856.51,percent of total billed charges,98% of total billed charges,1136.64,48,,909.31,percent of total billed charges,48% of total billed charges,1065.6,45,,852.48,percent of total billed charges,45% of total billed charges,905.76,38.25,,724.61,percent of total billed charges,38.25% of total billed charges,1065.6,45,,852.48,percent of total billed charges,45% of total billed charges,1065.6,45,,852.48,percent of total billed charges,45% of total billed charges,905.76,2339.35,
US ECHO REAL/M-MODE COMP W CONTRAST,533215,CDM,483,RC,C8929,HCPCS,OUTPATIENT,,,3476,2780.8,,3302.2,95,,2641.76,percent of total billed charges,95% of total billed charges,3292.47,94.72,,2633.98,percent of total billed charges,94.72% of total billed charges,3433.94,98.79,,2747.15,percent of total billed charges,98.79% of total billed charges,3406.48,98,,2725.18,percent of total billed charges,98% of total billed charges,3406.48,98,,2725.18,percent of total billed charges,98% of total billed charges,1668.48,48,,1334.78,percent of total billed charges,48% of total billed charges,1564.2,45,,1251.36,percent of total billed charges,45% of total billed charges,1329.57,38.25,,1063.66,percent of total billed charges,38.25% of total billed charges,1564.2,45,,1251.36,percent of total billed charges,45% of total billed charges,1564.2,45,,1251.36,percent of total billed charges,45% of total billed charges,1329.57,3433.94,
US ECHO REAL/M-MODE COMP W CONTRAST,533215,CDM,483,RC,C8929,HCPCS,OUTPATIENT,,,3544,2835.2,,3366.8,95,,2693.44,percent of total billed charges,95% of total billed charges,3356.88,94.72,,2685.5,percent of total billed charges,94.72% of total billed charges,3501.12,98.79,,2800.9,percent of total billed charges,98.79% of total billed charges,3473.12,98,,2778.5,percent of total billed charges,98% of total billed charges,3473.12,98,,2778.5,percent of total billed charges,98% of total billed charges,1701.12,48,,1360.9,percent of total billed charges,48% of total billed charges,1594.8,45,,1275.84,percent of total billed charges,45% of total billed charges,1355.58,38.25,,1084.46,percent of total billed charges,38.25% of total billed charges,1594.8,45,,1275.84,percent of total billed charges,45% of total billed charges,1594.8,45,,1275.84,percent of total billed charges,45% of total billed charges,1355.58,3501.12,
US ECHO REAL TIME F/U OR LIMITED,533220,CDM,483,RC,93308,HCPCS,OUTPATIENT,,,464,371.2,,440.8,95,,352.64,percent of total billed charges,95% of total billed charges,439.5,94.72,,351.6,percent of total billed charges,94.72% of total billed charges,458.39,98.79,,366.71,percent of total billed charges,98.79% of total billed charges,454.72,98,,363.78,percent of total billed charges,98% of total billed charges,454.72,98,,363.78,percent of total billed charges,98% of total billed charges,222.72,48,,178.18,percent of total billed charges,48% of total billed charges,208.8,45,,167.04,percent of total billed charges,45% of total billed charges,177.48,38.25,,141.98,percent of total billed charges,38.25% of total billed charges,208.8,45,,167.04,percent of total billed charges,45% of total billed charges,208.8,45,,167.04,percent of total billed charges,45% of total billed charges,177.48,458.39,
US ECHO REAL TIME F/U OR LIMITED,533220,CDM,483,RC,93308,HCPCS,OUTPATIENT,,,473,378.4,,449.35,95,,359.48,percent of total billed charges,95% of total billed charges,448.03,94.72,,358.42,percent of total billed charges,94.72% of total billed charges,467.28,98.79,,373.82,percent of total billed charges,98.79% of total billed charges,463.54,98,,370.83,percent of total billed charges,98% of total billed charges,463.54,98,,370.83,percent of total billed charges,98% of total billed charges,227.04,48,,181.63,percent of total billed charges,48% of total billed charges,212.85,45,,170.28,percent of total billed charges,45% of total billed charges,180.92,38.25,,144.74,percent of total billed charges,38.25% of total billed charges,212.85,45,,170.28,percent of total billed charges,45% of total billed charges,212.85,45,,170.28,percent of total billed charges,45% of total billed charges,180.92,467.28,
US POCUS ECHO LIMITED,533221,CDM,483,RC,93308,HCPCS,OUTPATIENT,,,464,371.2,,440.8,95,,352.64,percent of total billed charges,95% of total billed charges,439.5,94.72,,351.6,percent of total billed charges,94.72% of total billed charges,458.39,98.79,,366.71,percent of total billed charges,98.79% of total billed charges,454.72,98,,363.78,percent of total billed charges,98% of total billed charges,454.72,98,,363.78,percent of total billed charges,98% of total billed charges,222.72,48,,178.18,percent of total billed charges,48% of total billed charges,208.8,45,,167.04,percent of total billed charges,45% of total billed charges,177.48,38.25,,141.98,percent of total billed charges,38.25% of total billed charges,208.8,45,,167.04,percent of total billed charges,45% of total billed charges,208.8,45,,167.04,percent of total billed charges,45% of total billed charges,177.48,458.39,
US POCUS ECHO LIMITED,533221,CDM,483,RC,93308,HCPCS,OUTPATIENT,,,473,378.4,,449.35,95,,359.48,percent of total billed charges,95% of total billed charges,448.03,94.72,,358.42,percent of total billed charges,94.72% of total billed charges,467.28,98.79,,373.82,percent of total billed charges,98.79% of total billed charges,463.54,98,,370.83,percent of total billed charges,98% of total billed charges,463.54,98,,370.83,percent of total billed charges,98% of total billed charges,227.04,48,,181.63,percent of total billed charges,48% of total billed charges,212.85,45,,170.28,percent of total billed charges,45% of total billed charges,180.92,38.25,,144.74,percent of total billed charges,38.25% of total billed charges,212.85,45,,170.28,percent of total billed charges,45% of total billed charges,212.85,45,,170.28,percent of total billed charges,45% of total billed charges,180.92,467.28,
US ECHO REAL/M-MODE F/U LTD W CONTRAST,533225,CDM,483,RC,C8924,HCPCS,OUTPATIENT,,,3355,2684,,3187.25,95,,2549.8,percent of total billed charges,95% of total billed charges,3177.86,94.72,,2542.29,percent of total billed charges,94.72% of total billed charges,3314.4,98.79,,2651.52,percent of total billed charges,98.79% of total billed charges,3287.9,98,,2630.32,percent of total billed charges,98% of total billed charges,3287.9,98,,2630.32,percent of total billed charges,98% of total billed charges,1610.4,48,,1288.32,percent of total billed charges,48% of total billed charges,1509.75,45,,1207.8,percent of total billed charges,45% of total billed charges,1283.29,38.25,,1026.63,percent of total billed charges,38.25% of total billed charges,1509.75,45,,1207.8,percent of total billed charges,45% of total billed charges,1509.75,45,,1207.8,percent of total billed charges,45% of total billed charges,1283.29,3314.4,
US ECHO REAL/M-MODE F/U LTD W CONTRAST,533225,CDM,483,RC,C8924,HCPCS,OUTPATIENT,,,3420,2736,,3249,95,,2599.2,percent of total billed charges,95% of total billed charges,3239.42,94.72,,2591.54,percent of total billed charges,94.72% of total billed charges,3378.62,98.79,,2702.9,percent of total billed charges,98.79% of total billed charges,3351.6,98,,2681.28,percent of total billed charges,98% of total billed charges,3351.6,98,,2681.28,percent of total billed charges,98% of total billed charges,1641.6,48,,1313.28,percent of total billed charges,48% of total billed charges,1539,45,,1231.2,percent of total billed charges,45% of total billed charges,1308.15,38.25,,1046.52,percent of total billed charges,38.25% of total billed charges,1539,45,,1231.2,percent of total billed charges,45% of total billed charges,1539,45,,1231.2,percent of total billed charges,45% of total billed charges,1308.15,3378.62,
US ECHO DOP COMPLETE,533230,CDM,483,RC,93320,HCPCS,OUTPATIENT,,,1198,958.4,,1138.1,95,,910.48,percent of total billed charges,95% of total billed charges,1134.75,94.72,,907.8,percent of total billed charges,94.72% of total billed charges,1183.5,98.79,,946.8,percent of total billed charges,98.79% of total billed charges,1174.04,98,,939.23,percent of total billed charges,98% of total billed charges,1174.04,98,,939.23,percent of total billed charges,98% of total billed charges,575.04,48,,460.03,percent of total billed charges,48% of total billed charges,539.1,45,,431.28,percent of total billed charges,45% of total billed charges,458.24,38.25,,366.59,percent of total billed charges,38.25% of total billed charges,539.1,45,,431.28,percent of total billed charges,45% of total billed charges,539.1,45,,431.28,percent of total billed charges,45% of total billed charges,458.24,1183.5,
US ECHO DOP F/U OR LTD,533240,CDM,483,RC,93321,HCPCS,OUTPATIENT,,,837,669.6,,795.15,95,,636.12,percent of total billed charges,95% of total billed charges,792.81,94.72,,634.25,percent of total billed charges,94.72% of total billed charges,826.87,98.79,,661.5,percent of total billed charges,98.79% of total billed charges,820.26,98,,656.21,percent of total billed charges,98% of total billed charges,820.26,98,,656.21,percent of total billed charges,98% of total billed charges,401.76,48,,321.41,percent of total billed charges,48% of total billed charges,376.65,45,,301.32,percent of total billed charges,45% of total billed charges,320.15,38.25,,256.12,percent of total billed charges,38.25% of total billed charges,376.65,45,,301.32,percent of total billed charges,45% of total billed charges,376.65,45,,301.32,percent of total billed charges,45% of total billed charges,320.15,826.87,
US POCUS OB LIMITED,533281,CDM,483,RC,76815,HCPCS,OUTPATIENT,,,392,313.6,,372.4,95,,297.92,percent of total billed charges,95% of total billed charges,371.3,94.72,,297.04,percent of total billed charges,94.72% of total billed charges,387.26,98.79,,309.81,percent of total billed charges,98.79% of total billed charges,384.16,98,,307.33,percent of total billed charges,98% of total billed charges,384.16,98,,307.33,percent of total billed charges,98% of total billed charges,188.16,48,,150.53,percent of total billed charges,48% of total billed charges,176.4,45,,141.12,percent of total billed charges,45% of total billed charges,149.94,38.25,,119.95,percent of total billed charges,38.25% of total billed charges,176.4,45,,141.12,percent of total billed charges,45% of total billed charges,176.4,45,,141.12,percent of total billed charges,45% of total billed charges,149.94,387.26,
US POCUS OB LIMITED,533281,CDM,483,RC,76815,HCPCS,OUTPATIENT,,,392,313.6,,372.4,95,,297.92,percent of total billed charges,95% of total billed charges,371.3,94.72,,297.04,percent of total billed charges,94.72% of total billed charges,387.26,98.79,,309.81,percent of total billed charges,98.79% of total billed charges,384.16,98,,307.33,percent of total billed charges,98% of total billed charges,384.16,98,,307.33,percent of total billed charges,98% of total billed charges,188.16,48,,150.53,percent of total billed charges,48% of total billed charges,176.4,45,,141.12,percent of total billed charges,45% of total billed charges,149.94,38.25,,119.95,percent of total billed charges,38.25% of total billed charges,176.4,45,,141.12,percent of total billed charges,45% of total billed charges,176.4,45,,141.12,percent of total billed charges,45% of total billed charges,149.94,387.26,
US ECHO LIMITED,533815,CDM,483,RC,93308,HCPCS,OUTPATIENT,,,384,307.2,,364.8,95,,291.84,percent of total billed charges,95% of total billed charges,363.72,94.72,,290.98,percent of total billed charges,94.72% of total billed charges,379.35,98.79,,303.48,percent of total billed charges,98.79% of total billed charges,376.32,98,,301.06,percent of total billed charges,98% of total billed charges,376.32,98,,301.06,percent of total billed charges,98% of total billed charges,184.32,48,,147.46,percent of total billed charges,48% of total billed charges,172.8,45,,138.24,percent of total billed charges,45% of total billed charges,146.88,38.25,,117.5,percent of total billed charges,38.25% of total billed charges,172.8,45,,138.24,percent of total billed charges,45% of total billed charges,172.8,45,,138.24,percent of total billed charges,45% of total billed charges,146.88,379.35,
US Biopsy Breast Left,533090,CDM,490,RC,19083,HCPCS,OUTPATIENT,,,1809,1447.2,,1718.55,95,,1374.84,percent of total billed charges,95% of total billed charges,1713.48,94.72,,1370.78,percent of total billed charges,94.72% of total billed charges,1787.11,98.79,,1429.69,percent of total billed charges,98.79% of total billed charges,1772.82,98,,1418.26,percent of total billed charges,98% of total billed charges,1772.82,98,,1418.26,percent of total billed charges,98% of total billed charges,868.32,48,,694.66,percent of total billed charges,48% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,691.94,38.25,,553.55,percent of total billed charges,38.25% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,691.94,1787.11,
US Biopsy Breast Right,533091,CDM,490,RC,19083,HCPCS,OUTPATIENT,,,1809,1447.2,,1718.55,95,,1374.84,percent of total billed charges,95% of total billed charges,1713.48,94.72,,1370.78,percent of total billed charges,94.72% of total billed charges,1787.11,98.79,,1429.69,percent of total billed charges,98.79% of total billed charges,1772.82,98,,1418.26,percent of total billed charges,98% of total billed charges,1772.82,98,,1418.26,percent of total billed charges,98% of total billed charges,868.32,48,,694.66,percent of total billed charges,48% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,691.94,38.25,,553.55,percent of total billed charges,38.25% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,814.05,45,,651.24,percent of total billed charges,45% of total billed charges,691.94,1787.11,
10030 Image Guided Catheter Fluir Collection Drainage,10010030,CDM,490,RC,10030,HCPCS,OUTPATIENT,,,1869,1495.2,,1775.55,95,,1420.44,percent of total billed charges,95% of total billed charges,1770.32,94.72,,1416.26,percent of total billed charges,94.72% of total billed charges,1846.39,98.79,,1477.11,percent of total billed charges,98.79% of total billed charges,1831.62,98,,1465.3,percent of total billed charges,98% of total billed charges,1831.62,98,,1465.3,percent of total billed charges,98% of total billed charges,897.12,48,,717.7,percent of total billed charges,48% of total billed charges,841.05,45,,672.84,percent of total billed charges,45% of total billed charges,714.89,38.25,,571.91,percent of total billed charges,38.25% of total billed charges,841.05,45,,672.84,percent of total billed charges,45% of total billed charges,841.05,45,,672.84,percent of total billed charges,45% of total billed charges,714.89,1846.39,
20206 Biopsy| muscle| percutaneous needle,10020206,CDM,490,RC,20206,HCPCS,OUTPATIENT,,,668,534.4,,634.6,95,,507.68,percent of total billed charges,95% of total billed charges,632.73,94.72,,506.18,percent of total billed charges,94.72% of total billed charges,659.92,98.79,,527.94,percent of total billed charges,98.79% of total billed charges,654.64,98,,523.71,percent of total billed charges,98% of total billed charges,654.64,98,,523.71,percent of total billed charges,98% of total billed charges,320.64,48,,256.51,percent of total billed charges,48% of total billed charges,300.6,45,,240.48,percent of total billed charges,45% of total billed charges,255.51,38.25,,204.41,percent of total billed charges,38.25% of total billed charges,300.6,45,,240.48,percent of total billed charges,45% of total billed charges,300.6,45,,240.48,percent of total billed charges,45% of total billed charges,255.51,659.92,
TREAT KNEECAP FRACTURE,10027524,CDM,490,RC,27524,HCPCS,OUTPATIENT,,,3074,2459.2,,2920.3,95,,2336.24,percent of total billed charges,95% of total billed charges,2911.69,94.72,,2329.35,percent of total billed charges,94.72% of total billed charges,3036.8,98.79,,2429.44,percent of total billed charges,98.79% of total billed charges,3012.52,98,,2410.02,percent of total billed charges,98% of total billed charges,3012.52,98,,2410.02,percent of total billed charges,98% of total billed charges,1475.52,48,,1180.42,percent of total billed charges,48% of total billed charges,1383.3,45,,1106.64,percent of total billed charges,45% of total billed charges,1175.81,38.25,,940.65,percent of total billed charges,38.25% of total billed charges,1383.3,45,,1106.64,percent of total billed charges,45% of total billed charges,1383.3,45,,1106.64,percent of total billed charges,45% of total billed charges,1175.81,3036.8,
46221 Hemorrhoidectomy| internal| by rubber band Tech Fee,10046221,CDM,490,RC,46221,HCPCS,OUTPATIENT,,,832,665.6,,790.4,95,,632.32,percent of total billed charges,95% of total billed charges,788.07,94.72,,630.46,percent of total billed charges,94.72% of total billed charges,821.93,98.79,,657.54,percent of total billed charges,98.79% of total billed charges,815.36,98,,652.29,percent of total billed charges,98% of total billed charges,815.36,98,,652.29,percent of total billed charges,98% of total billed charges,399.36,48,,319.49,percent of total billed charges,48% of total billed charges,374.4,45,,299.52,percent of total billed charges,45% of total billed charges,318.24,38.25,,254.59,percent of total billed charges,38.25% of total billed charges,374.4,45,,299.52,percent of total billed charges,45% of total billed charges,374.4,45,,299.52,percent of total billed charges,45% of total billed charges,318.24,821.93,
46255 Hemorrhoidectomy| internal and external| single column,10046255,CDM,490,RC,46255,HCPCS,OUTPATIENT,,,2158,1726.4,,2050.1,95,,1640.08,percent of total billed charges,95% of total billed charges,2044.06,94.72,,1635.25,percent of total billed charges,94.72% of total billed charges,2131.89,98.79,,1705.51,percent of total billed charges,98.79% of total billed charges,2114.84,98,,1691.87,percent of total billed charges,98% of total billed charges,2114.84,98,,1691.87,percent of total billed charges,98% of total billed charges,1035.84,48,,828.67,percent of total billed charges,48% of total billed charges,971.1,45,,776.88,percent of total billed charges,45% of total billed charges,825.44,38.25,,660.35,percent of total billed charges,38.25% of total billed charges,971.1,45,,776.88,percent of total billed charges,45% of total billed charges,971.1,45,,776.88,percent of total billed charges,45% of total billed charges,825.44,2131.89,
47000 Biopsy of liver| needle; percutaneous,10047000,CDM,490,RC,47000,HCPCS,OUTPATIENT,,,3998,3198.4,,3798.1,95,,3038.48,percent of total billed charges,95% of total billed charges,3786.91,94.72,,3029.53,percent of total billed charges,94.72% of total billed charges,3949.62,98.79,,3159.7,percent of total billed charges,98.79% of total billed charges,3918.04,98,,3134.43,percent of total billed charges,98% of total billed charges,3918.04,98,,3134.43,percent of total billed charges,98% of total billed charges,1919.04,48,,1535.23,percent of total billed charges,48% of total billed charges,1799.1,45,,1439.28,percent of total billed charges,45% of total billed charges,1529.24,38.25,,1223.39,percent of total billed charges,38.25% of total billed charges,1799.1,45,,1439.28,percent of total billed charges,45% of total billed charges,1799.1,45,,1439.28,percent of total billed charges,45% of total billed charges,1529.24,3949.62,
REMOVAL OF IMPLANTED CARDIAC EVENT MONIT,12733284,CDM,490,RC,33284,HCPCS,OUTPATIENT,,,1760,1408,,1672,95,,1337.6,percent of total billed charges,95% of total billed charges,1667.07,94.72,,1333.66,percent of total billed charges,94.72% of total billed charges,1738.7,98.79,,1390.96,percent of total billed charges,98.79% of total billed charges,1724.8,98,,1379.84,percent of total billed charges,98% of total billed charges,1724.8,98,,1379.84,percent of total billed charges,98% of total billed charges,844.8,48,,675.84,percent of total billed charges,48% of total billed charges,792,45,,633.6,percent of total billed charges,45% of total billed charges,673.2,38.25,,538.56,percent of total billed charges,38.25% of total billed charges,792,45,,633.6,percent of total billed charges,45% of total billed charges,792,45,,633.6,percent of total billed charges,45% of total billed charges,673.2,1738.7,
BONE MARROW ASPIRATION,12738220,CDM,490,RC,38220,HCPCS,OUTPATIENT,,,718,574.4,,682.1,95,,545.68,percent of total billed charges,95% of total billed charges,680.09,94.72,,544.07,percent of total billed charges,94.72% of total billed charges,709.31,98.79,,567.45,percent of total billed charges,98.79% of total billed charges,703.64,98,,562.91,percent of total billed charges,98% of total billed charges,703.64,98,,562.91,percent of total billed charges,98% of total billed charges,344.64,48,,275.71,percent of total billed charges,48% of total billed charges,323.1,45,,258.48,percent of total billed charges,45% of total billed charges,274.64,38.25,,219.71,percent of total billed charges,38.25% of total billed charges,323.1,45,,258.48,percent of total billed charges,45% of total billed charges,323.1,45,,258.48,percent of total billed charges,45% of total billed charges,274.64,709.31,
BONE MARROW ASPIRATION,12738220,CDM,490,RC,38220,HCPCS,OUTPATIENT,,,718,574.4,,682.1,95,,545.68,percent of total billed charges,95% of total billed charges,680.09,94.72,,544.07,percent of total billed charges,94.72% of total billed charges,709.31,98.79,,567.45,percent of total billed charges,98.79% of total billed charges,703.64,98,,562.91,percent of total billed charges,98% of total billed charges,703.64,98,,562.91,percent of total billed charges,98% of total billed charges,344.64,48,,275.71,percent of total billed charges,48% of total billed charges,323.1,45,,258.48,percent of total billed charges,45% of total billed charges,274.64,38.25,,219.71,percent of total billed charges,38.25% of total billed charges,323.1,45,,258.48,percent of total billed charges,45% of total billed charges,323.1,45,,258.48,percent of total billed charges,45% of total billed charges,274.64,709.31,
BONE MARROW BIOPSY,12738221,CDM,490,RC,38221,HCPCS,OUTPATIENT,,,756,604.8,,718.2,95,,574.56,percent of total billed charges,95% of total billed charges,716.08,94.72,,572.86,percent of total billed charges,94.72% of total billed charges,746.85,98.79,,597.48,percent of total billed charges,98.79% of total billed charges,740.88,98,,592.7,percent of total billed charges,98% of total billed charges,740.88,98,,592.7,percent of total billed charges,98% of total billed charges,362.88,48,,290.3,percent of total billed charges,48% of total billed charges,340.2,45,,272.16,percent of total billed charges,45% of total billed charges,289.17,38.25,,231.34,percent of total billed charges,38.25% of total billed charges,340.2,45,,272.16,percent of total billed charges,45% of total billed charges,340.2,45,,272.16,percent of total billed charges,45% of total billed charges,289.17,746.85,
DX BONE MARROW BX  ASPIR,12738222,CDM,490,RC,38222,HCPCS,OUTPATIENT,,,789,631.2,,749.55,95,,599.64,percent of total billed charges,95% of total billed charges,747.34,94.72,,597.87,percent of total billed charges,94.72% of total billed charges,779.45,98.79,,623.56,percent of total billed charges,98.79% of total billed charges,773.22,98,,618.58,percent of total billed charges,98% of total billed charges,773.22,98,,618.58,percent of total billed charges,98% of total billed charges,378.72,48,,302.98,percent of total billed charges,48% of total billed charges,355.05,45,,284.04,percent of total billed charges,45% of total billed charges,301.79,38.25,,241.43,percent of total billed charges,38.25% of total billed charges,355.05,45,,284.04,percent of total billed charges,45% of total billed charges,355.05,45,,284.04,percent of total billed charges,45% of total billed charges,301.79,779.45,
INTRO OF NEEDLE/INTRACATHETER VEIN,36000,CDM,510,RC,36000,HCPCS,OUTPATIENT,,,87,69.6,,82.65,95,,66.12,percent of total billed charges,95% of total billed charges,82.41,94.72,,65.93,percent of total billed charges,94.72% of total billed charges,85.95,98.79,,68.76,percent of total billed charges,98.79% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,41.76,48,,33.41,percent of total billed charges,48% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,38.25,,26.62,percent of total billed charges,38.25% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,85.95,
TEMPORAL ARTERY PROCEDURE,37609,CDM,510,RC,37609,HCPCS,OUTPATIENT,,,1168,934.4,,1109.6,95,,887.68,percent of total billed charges,95% of total billed charges,1106.33,94.72,,885.06,percent of total billed charges,94.72% of total billed charges,1153.87,98.79,,923.1,percent of total billed charges,98.79% of total billed charges,1144.64,98,,915.71,percent of total billed charges,98% of total billed charges,1144.64,98,,915.71,percent of total billed charges,98% of total billed charges,560.64,48,,448.51,percent of total billed charges,48% of total billed charges,525.6,45,,420.48,percent of total billed charges,45% of total billed charges,446.76,38.25,,357.41,percent of total billed charges,38.25% of total billed charges,525.6,45,,420.48,percent of total billed charges,45% of total billed charges,525.6,45,,420.48,percent of total billed charges,45% of total billed charges,446.76,1153.87,
Hepatitis B Adult Administration Immunization,90746,CDM,510,RC,90746,HCPCS,OUTPATIENT,,,266,212.8,,252.7,95,,202.16,percent of total billed charges,95% of total billed charges,251.96,94.72,,201.57,percent of total billed charges,94.72% of total billed charges,262.78,98.79,,210.22,percent of total billed charges,98.79% of total billed charges,260.68,98,,208.54,percent of total billed charges,98% of total billed charges,260.68,98,,208.54,percent of total billed charges,98% of total billed charges,127.68,48,,102.14,percent of total billed charges,48% of total billed charges,119.7,45,,95.76,percent of total billed charges,45% of total billed charges,101.75,38.25,,81.4,percent of total billed charges,38.25% of total billed charges,119.7,45,,95.76,percent of total billed charges,45% of total billed charges,119.7,45,,95.76,percent of total billed charges,45% of total billed charges,101.75,262.78,
HIB Hep B Combination Administration Immunizations,90748,CDM,510,RC,90748,HCPCS,OUTPATIENT,,,116,92.8,,110.2,95,,88.16,percent of total billed charges,95% of total billed charges,109.88,94.72,,87.9,percent of total billed charges,94.72% of total billed charges,114.6,98.79,,91.68,percent of total billed charges,98.79% of total billed charges,113.68,98,,90.94,percent of total billed charges,98% of total billed charges,113.68,98,,90.94,percent of total billed charges,98% of total billed charges,55.68,48,,44.54,percent of total billed charges,48% of total billed charges,52.2,45,,41.76,percent of total billed charges,45% of total billed charges,44.37,38.25,,35.5,percent of total billed charges,38.25% of total billed charges,52.2,45,,41.76,percent of total billed charges,45% of total billed charges,52.2,45,,41.76,percent of total billed charges,45% of total billed charges,44.37,114.6,
PSYTX CRISIS EA ADDL 30 MIN,90840,CDM,510,RC,90840,HCPCS,OUTPATIENT,,,183,146.4,,173.85,95,,139.08,percent of total billed charges,95% of total billed charges,173.34,94.72,,138.67,percent of total billed charges,94.72% of total billed charges,180.79,98.79,,144.63,percent of total billed charges,98.79% of total billed charges,179.34,98,,143.47,percent of total billed charges,98% of total billed charges,179.34,98,,143.47,percent of total billed charges,98% of total billed charges,87.84,48,,70.27,percent of total billed charges,48% of total billed charges,82.35,45,,65.88,percent of total billed charges,45% of total billed charges,70,38.25,,56,percent of total billed charges,38.25% of total billed charges,82.35,45,,65.88,percent of total billed charges,45% of total billed charges,82.35,45,,65.88,percent of total billed charges,45% of total billed charges,70,180.79,
EYE EXAM WITH PHOTOS,92250,CDM,510,RC,92250,HCPCS,OUTPATIENT,,,88,70.4,,83.6,95,,66.88,percent of total billed charges,95% of total billed charges,83.35,94.72,,66.68,percent of total billed charges,94.72% of total billed charges,86.94,98.79,,69.55,percent of total billed charges,98.79% of total billed charges,86.24,98,,68.99,percent of total billed charges,98% of total billed charges,86.24,98,,68.99,percent of total billed charges,98% of total billed charges,42.24,48,,33.79,percent of total billed charges,48% of total billed charges,39.6,45,,31.68,percent of total billed charges,45% of total billed charges,33.66,38.25,,26.93,percent of total billed charges,38.25% of total billed charges,39.6,45,,31.68,percent of total billed charges,45% of total billed charges,39.6,45,,31.68,percent of total billed charges,45% of total billed charges,33.66,86.94,
NASOPHARYNGOSCOPY,92511,CDM,510,RC,92511,HCPCS,OUTPATIENT,,,492,393.6,,467.4,95,,373.92,percent of total billed charges,95% of total billed charges,466.02,94.72,,372.82,percent of total billed charges,94.72% of total billed charges,486.05,98.79,,388.84,percent of total billed charges,98.79% of total billed charges,482.16,98,,385.73,percent of total billed charges,98% of total billed charges,482.16,98,,385.73,percent of total billed charges,98% of total billed charges,236.16,48,,188.93,percent of total billed charges,48% of total billed charges,221.4,45,,177.12,percent of total billed charges,45% of total billed charges,188.19,38.25,,150.55,percent of total billed charges,38.25% of total billed charges,221.4,45,,177.12,percent of total billed charges,45% of total billed charges,221.4,45,,177.12,percent of total billed charges,45% of total billed charges,188.19,486.05,
BH ASSESSMENT (CLINICAL INTERVIEW BEHAVIORAL OBS HEALTH-ORIENTED QUESTIONNAIRE) EACH 15 MIN FACE TO FACE,96150,CDM,510,RC,96150,HCPCS,OUTPATIENT,,,54,43.2,,51.3,95,,41.04,percent of total billed charges,95% of total billed charges,51.15,94.72,,40.92,percent of total billed charges,94.72% of total billed charges,53.35,98.79,,42.68,percent of total billed charges,98.79% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,25.92,48,,20.74,percent of total billed charges,48% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,38.25,,16.53,percent of total billed charges,38.25% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,53.35,
ASSESS HLTH/BEHAVE SUBSEQ,96151,CDM,510,RC,96151,HCPCS,OUTPATIENT,,,200,160,,190,95,,152,percent of total billed charges,95% of total billed charges,189.44,94.72,,151.55,percent of total billed charges,94.72% of total billed charges,197.58,98.79,,158.06,percent of total billed charges,98.79% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,96,48,,76.8,percent of total billed charges,48% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,38.25,,61.2,percent of total billed charges,38.25% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,197.58,
HEALTH AND BEHAVIOR INTERVENTION EACH 15 MIN. FACE TO FACE INDIVIDUAL,96152,CDM,510,RC,96152,HCPCS,OUTPATIENT,,,29,23.2,,27.55,95,,22.04,percent of total billed charges,95% of total billed charges,27.47,94.72,,21.98,percent of total billed charges,94.72% of total billed charges,28.65,98.79,,22.92,percent of total billed charges,98.79% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,28.42,98,,22.74,percent of total billed charges,98% of total billed charges,13.92,48,,11.14,percent of total billed charges,48% of total billed charges,13.05,45,,10.44,percent of total billed charges,45% of total billed charges,11.09,38.25,,8.87,percent of total billed charges,38.25% of total billed charges,13.05,45,,10.44,percent of total billed charges,45% of total billed charges,13.05,45,,10.44,percent of total billed charges,45% of total billed charges,11.09,28.65,
HEALTH AND BEHAVIOR INTERVENTION EACH 15 MIN FACE TO FACE GROUP,96153,CDM,510,RC,96153,HCPCS,OUTPATIENT,,,10,8,,9.5,95,,7.6,percent of total billed charges,95% of total billed charges,9.47,94.72,,7.58,percent of total billed charges,94.72% of total billed charges,9.88,98.79,,7.9,percent of total billed charges,98.79% of total billed charges,9.8,98,,7.84,percent of total billed charges,98% of total billed charges,9.8,98,,7.84,percent of total billed charges,98% of total billed charges,4.8,48,,3.84,percent of total billed charges,48% of total billed charges,4.5,45,,3.6,percent of total billed charges,45% of total billed charges,3.83,38.25,,3.06,percent of total billed charges,38.25% of total billed charges,4.5,45,,3.6,percent of total billed charges,45% of total billed charges,4.5,45,,3.6,percent of total billed charges,45% of total billed charges,3.83,9.88,
HEALTH AND BEHAVIOR INTERVENTION EACH 15 MIN FACE TO FACE FAMILY-WITH PATIENT PRESENT,96154,CDM,510,RC,96154,HCPCS,OUTPATIENT,,,72,57.6,,68.4,95,,54.72,percent of total billed charges,95% of total billed charges,68.2,94.72,,54.56,percent of total billed charges,94.72% of total billed charges,71.13,98.79,,56.9,percent of total billed charges,98.79% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,34.56,48,,27.65,percent of total billed charges,48% of total billed charges,32.4,45,,25.92,percent of total billed charges,45% of total billed charges,27.54,38.25,,22.03,percent of total billed charges,38.25% of total billed charges,32.4,45,,25.92,percent of total billed charges,45% of total billed charges,32.4,45,,25.92,percent of total billed charges,45% of total billed charges,27.54,71.13,
21550 Biopsy| soft tissue of neck or thorax,10021550,CDM,510,RC,21550,HCPCS,OUTPATIENT,,,940,752,,893,95,,714.4,percent of total billed charges,95% of total billed charges,890.37,94.72,,712.3,percent of total billed charges,94.72% of total billed charges,928.63,98.79,,742.9,percent of total billed charges,98.79% of total billed charges,921.2,98,,736.96,percent of total billed charges,98% of total billed charges,921.2,98,,736.96,percent of total billed charges,98% of total billed charges,451.2,48,,360.96,percent of total billed charges,48% of total billed charges,423,45,,338.4,percent of total billed charges,45% of total billed charges,359.55,38.25,,287.64,percent of total billed charges,38.25% of total billed charges,423,45,,338.4,percent of total billed charges,45% of total billed charges,423,45,,338.4,percent of total billed charges,45% of total billed charges,359.55,928.63,
31611 Construction of tracheoesophageal fistula and insertion of alaryngeal speech prosthesis,10031611,CDM,510,RC,31611,HCPCS,OUTPATIENT,,,2478,1982.4,,2354.1,95,,1883.28,percent of total billed charges,95% of total billed charges,2347.16,94.72,,1877.73,percent of total billed charges,94.72% of total billed charges,2448.02,98.79,,1958.42,percent of total billed charges,98.79% of total billed charges,2428.44,98,,1942.75,percent of total billed charges,98% of total billed charges,2428.44,98,,1942.75,percent of total billed charges,98% of total billed charges,1189.44,48,,951.55,percent of total billed charges,48% of total billed charges,1115.1,45,,892.08,percent of total billed charges,45% of total billed charges,947.84,38.25,,758.27,percent of total billed charges,38.25% of total billed charges,1115.1,45,,892.08,percent of total billed charges,45% of total billed charges,1115.1,45,,892.08,percent of total billed charges,45% of total billed charges,947.84,2448.02,
64611 Chemodenervation of parotid and submandibular salivary,10064611,CDM,510,RC,64611,HCPCS,OUTPATIENT,,,567,453.6,,538.65,95,,430.92,percent of total billed charges,95% of total billed charges,537.06,94.72,,429.65,percent of total billed charges,94.72% of total billed charges,560.14,98.79,,448.11,percent of total billed charges,98.79% of total billed charges,555.66,98,,444.53,percent of total billed charges,98% of total billed charges,555.66,98,,444.53,percent of total billed charges,98% of total billed charges,272.16,48,,217.73,percent of total billed charges,48% of total billed charges,255.15,45,,204.12,percent of total billed charges,45% of total billed charges,216.88,38.25,,173.5,percent of total billed charges,38.25% of total billed charges,255.15,45,,204.12,percent of total billed charges,45% of total billed charges,255.15,45,,204.12,percent of total billed charges,45% of total billed charges,216.88,560.14,
Clinic Fee Est Pt Level 1 Facility,12744005,CDM,510,RC,99211,HCPCS,OUTPATIENT,,,66,52.8,,62.7,95,,50.16,percent of total billed charges,95% of total billed charges,62.52,94.72,,50.02,percent of total billed charges,94.72% of total billed charges,65.2,98.79,,52.16,percent of total billed charges,98.79% of total billed charges,64.68,98,,51.74,percent of total billed charges,98% of total billed charges,64.68,98,,51.74,percent of total billed charges,98% of total billed charges,31.68,48,,25.34,percent of total billed charges,48% of total billed charges,29.7,45,,23.76,percent of total billed charges,45% of total billed charges,25.25,38.25,,20.2,percent of total billed charges,38.25% of total billed charges,29.7,45,,23.76,percent of total billed charges,45% of total billed charges,29.7,45,,23.76,percent of total billed charges,45% of total billed charges,25.25,65.2,
99213 Clinic FEE-EST PT LEVEL 20-29 minutes Tech Fee,12744007,CDM,510,RC,99213,HCPCS,OUTPATIENT,,,190,152,,180.5,95,,144.4,percent of total billed charges,95% of total billed charges,179.97,94.72,,143.98,percent of total billed charges,94.72% of total billed charges,187.7,98.79,,150.16,percent of total billed charges,98.79% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,91.2,48,,72.96,percent of total billed charges,48% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,38.25,,58.14,percent of total billed charges,38.25% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,187.7,
99215 CLINIC FEE-EST PT LEVEL 40-54 minutes Tech Fee,12744009,CDM,510,RC,99215,HCPCS,OUTPATIENT,,,392,313.6,,372.4,95,,297.92,percent of total billed charges,95% of total billed charges,371.3,94.72,,297.04,percent of total billed charges,94.72% of total billed charges,387.26,98.79,,309.81,percent of total billed charges,98.79% of total billed charges,384.16,98,,307.33,percent of total billed charges,98% of total billed charges,384.16,98,,307.33,percent of total billed charges,98% of total billed charges,188.16,48,,150.53,percent of total billed charges,48% of total billed charges,176.4,45,,141.12,percent of total billed charges,45% of total billed charges,149.94,38.25,,119.95,percent of total billed charges,38.25% of total billed charges,176.4,45,,141.12,percent of total billed charges,45% of total billed charges,176.4,45,,141.12,percent of total billed charges,45% of total billed charges,149.94,387.26,
99212 CLINIC FEE-EST PT LEVEL 10-19 minutes Tech Fee,12799212,CDM,510,RC,99212,HCPCS,OUTPATIENT,,,124,99.2,,117.8,95,,94.24,percent of total billed charges,95% of total billed charges,117.45,94.72,,93.96,percent of total billed charges,94.72% of total billed charges,122.5,98.79,,98,percent of total billed charges,98.79% of total billed charges,121.52,98,,97.22,percent of total billed charges,98% of total billed charges,121.52,98,,97.22,percent of total billed charges,98% of total billed charges,59.52,48,,47.62,percent of total billed charges,48% of total billed charges,55.8,45,,44.64,percent of total billed charges,45% of total billed charges,47.43,38.25,,37.94,percent of total billed charges,38.25% of total billed charges,55.8,45,,44.64,percent of total billed charges,45% of total billed charges,55.8,45,,44.64,percent of total billed charges,45% of total billed charges,47.43,122.5,
99213 Clinic FEE-EST PT LEVEL 20-29 minutes Tech Fee,12799213,CDM,510,RC,99213,HCPCS,OUTPATIENT,,,190,152,,180.5,95,,144.4,percent of total billed charges,95% of total billed charges,179.97,94.72,,143.98,percent of total billed charges,94.72% of total billed charges,187.7,98.79,,150.16,percent of total billed charges,98.79% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,91.2,48,,72.96,percent of total billed charges,48% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,38.25,,58.14,percent of total billed charges,38.25% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,187.7,
CLINIC FEE-NEW PT LEVEL 2 EXPANDED,13099202,CDM,510,RC,99202,HCPCS,OUTPATIENT,,,195,156,,185.25,95,,148.2,percent of total billed charges,95% of total billed charges,184.7,94.72,,147.76,percent of total billed charges,94.72% of total billed charges,192.64,98.79,,154.11,percent of total billed charges,98.79% of total billed charges,191.1,98,,152.88,percent of total billed charges,98% of total billed charges,191.1,98,,152.88,percent of total billed charges,98% of total billed charges,93.6,48,,74.88,percent of total billed charges,48% of total billed charges,87.75,45,,70.2,percent of total billed charges,45% of total billed charges,74.59,38.25,,59.67,percent of total billed charges,38.25% of total billed charges,87.75,45,,70.2,percent of total billed charges,45% of total billed charges,87.75,45,,70.2,percent of total billed charges,45% of total billed charges,74.59,192.64,
CLINIC FEE-NEW PT 99203 30-44minutes,13099203,CDM,510,RC,99203,HCPCS,OUTPATIENT,,,295,236,,280.25,95,,224.2,percent of total billed charges,95% of total billed charges,279.42,94.72,,223.54,percent of total billed charges,94.72% of total billed charges,291.43,98.79,,233.14,percent of total billed charges,98.79% of total billed charges,289.1,98,,231.28,percent of total billed charges,98% of total billed charges,289.1,98,,231.28,percent of total billed charges,98% of total billed charges,141.6,48,,113.28,percent of total billed charges,48% of total billed charges,132.75,45,,106.2,percent of total billed charges,45% of total billed charges,112.84,38.25,,90.27,percent of total billed charges,38.25% of total billed charges,132.75,45,,106.2,percent of total billed charges,45% of total billed charges,132.75,45,,106.2,percent of total billed charges,45% of total billed charges,112.84,291.43,
99204 CLINIC FEE-NEW PT 45-59 minutes Tech Fee,13099204,CDM,510,RC,99204,HCPCS,OUTPATIENT,,,471,376.8,,447.45,95,,357.96,percent of total billed charges,95% of total billed charges,446.13,94.72,,356.9,percent of total billed charges,94.72% of total billed charges,465.3,98.79,,372.24,percent of total billed charges,98.79% of total billed charges,461.58,98,,369.26,percent of total billed charges,98% of total billed charges,461.58,98,,369.26,percent of total billed charges,98% of total billed charges,226.08,48,,180.86,percent of total billed charges,48% of total billed charges,211.95,45,,169.56,percent of total billed charges,45% of total billed charges,180.16,38.25,,144.13,percent of total billed charges,38.25% of total billed charges,211.95,45,,169.56,percent of total billed charges,45% of total billed charges,211.95,45,,169.56,percent of total billed charges,45% of total billed charges,180.16,465.3,
99205 CLINIC FEE-NEW PT 60-74 minutes Tech Fee,13099205,CDM,510,RC,99205,HCPCS,OUTPATIENT,,,521,416.8,,494.95,95,,395.96,percent of total billed charges,95% of total billed charges,493.49,94.72,,394.79,percent of total billed charges,94.72% of total billed charges,514.7,98.79,,411.76,percent of total billed charges,98.79% of total billed charges,510.58,98,,408.46,percent of total billed charges,98% of total billed charges,510.58,98,,408.46,percent of total billed charges,98% of total billed charges,250.08,48,,200.06,percent of total billed charges,48% of total billed charges,234.45,45,,187.56,percent of total billed charges,45% of total billed charges,199.28,38.25,,159.42,percent of total billed charges,38.25% of total billed charges,234.45,45,,187.56,percent of total billed charges,45% of total billed charges,234.45,45,,187.56,percent of total billed charges,45% of total billed charges,199.28,514.7,
99212 CLINIC FEE-EST PT LEVEL 10-19 minutes Tech Fee,13099212,CDM,510,RC,99212,HCPCS,OUTPATIENT,,,124,99.2,,117.8,95,,94.24,percent of total billed charges,95% of total billed charges,117.45,94.72,,93.96,percent of total billed charges,94.72% of total billed charges,122.5,98.79,,98,percent of total billed charges,98.79% of total billed charges,121.52,98,,97.22,percent of total billed charges,98% of total billed charges,121.52,98,,97.22,percent of total billed charges,98% of total billed charges,59.52,48,,47.62,percent of total billed charges,48% of total billed charges,55.8,45,,44.64,percent of total billed charges,45% of total billed charges,47.43,38.25,,37.94,percent of total billed charges,38.25% of total billed charges,55.8,45,,44.64,percent of total billed charges,45% of total billed charges,55.8,45,,44.64,percent of total billed charges,45% of total billed charges,47.43,122.5,
99213 Clinic FEE-EST PT LEVEL 20-29 minutes Tech Fee,13099213,CDM,510,RC,99213,HCPCS,OUTPATIENT,,,190,152,,180.5,95,,144.4,percent of total billed charges,95% of total billed charges,179.97,94.72,,143.98,percent of total billed charges,94.72% of total billed charges,187.7,98.79,,150.16,percent of total billed charges,98.79% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,91.2,48,,72.96,percent of total billed charges,48% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,38.25,,58.14,percent of total billed charges,38.25% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,187.7,
99214 Clinic FEE-EST PT LEVEL 30-39 minutes Tech Fee,13099214,CDM,510,RC,99214,HCPCS,OUTPATIENT,,,309,247.2,,293.55,95,,234.84,percent of total billed charges,95% of total billed charges,292.68,94.72,,234.14,percent of total billed charges,94.72% of total billed charges,305.26,98.79,,244.21,percent of total billed charges,98.79% of total billed charges,302.82,98,,242.26,percent of total billed charges,98% of total billed charges,302.82,98,,242.26,percent of total billed charges,98% of total billed charges,148.32,48,,118.66,percent of total billed charges,48% of total billed charges,139.05,45,,111.24,percent of total billed charges,45% of total billed charges,118.19,38.25,,94.55,percent of total billed charges,38.25% of total billed charges,139.05,45,,111.24,percent of total billed charges,45% of total billed charges,139.05,45,,111.24,percent of total billed charges,45% of total billed charges,118.19,305.26,
Acne Surgery,10040,CDM,521,RC,10040,HCPCS,OUTPATIENT,,,368,294.4,,349.6,95,,279.68,percent of total billed charges,95% of total billed charges,348.57,94.72,,278.86,percent of total billed charges,94.72% of total billed charges,363.55,98.79,,290.84,percent of total billed charges,98.79% of total billed charges,360.64,98,,288.51,percent of total billed charges,98% of total billed charges,360.64,98,,288.51,percent of total billed charges,98% of total billed charges,176.64,48,,141.31,percent of total billed charges,48% of total billed charges,165.6,45,,132.48,percent of total billed charges,45% of total billed charges,140.76,38.25,,112.61,percent of total billed charges,38.25% of total billed charges,165.6,45,,132.48,percent of total billed charges,45% of total billed charges,165.6,45,,132.48,percent of total billed charges,45% of total billed charges,140.76,363.55,
I  D Abscess Cyst Simple,10060,CDM,521,RC,10060,HCPCS,OUTPATIENT,,,293,234.4,,278.35,95,,222.68,percent of total billed charges,95% of total billed charges,277.53,94.72,,222.02,percent of total billed charges,94.72% of total billed charges,289.45,98.79,,231.56,percent of total billed charges,98.79% of total billed charges,287.14,98,,229.71,percent of total billed charges,98% of total billed charges,287.14,98,,229.71,percent of total billed charges,98% of total billed charges,140.64,48,,112.51,percent of total billed charges,48% of total billed charges,131.85,45,,105.48,percent of total billed charges,45% of total billed charges,112.07,38.25,,89.66,percent of total billed charges,38.25% of total billed charges,131.85,45,,105.48,percent of total billed charges,45% of total billed charges,131.85,45,,105.48,percent of total billed charges,45% of total billed charges,112.07,289.45,
I  D Cyst Multiple,10061,CDM,521,RC,10061,HCPCS,OUTPATIENT,,,569,455.2,,540.55,95,,432.44,percent of total billed charges,95% of total billed charges,538.96,94.72,,431.17,percent of total billed charges,94.72% of total billed charges,562.12,98.79,,449.7,percent of total billed charges,98.79% of total billed charges,557.62,98,,446.1,percent of total billed charges,98% of total billed charges,557.62,98,,446.1,percent of total billed charges,98% of total billed charges,273.12,48,,218.5,percent of total billed charges,48% of total billed charges,256.05,45,,204.84,percent of total billed charges,45% of total billed charges,217.64,38.25,,174.11,percent of total billed charges,38.25% of total billed charges,256.05,45,,204.84,percent of total billed charges,45% of total billed charges,256.05,45,,204.84,percent of total billed charges,45% of total billed charges,217.64,562.12,
10080 Incision and drainage of pilondial cyst; simple,10080,CDM,521,RC,10080,HCPCS,OUTPATIENT,,,600,480,,570,95,,456,percent of total billed charges,95% of total billed charges,568.32,94.72,,454.66,percent of total billed charges,94.72% of total billed charges,592.74,98.79,,474.19,percent of total billed charges,98.79% of total billed charges,588,98,,470.4,percent of total billed charges,98% of total billed charges,588,98,,470.4,percent of total billed charges,98% of total billed charges,288,48,,230.4,percent of total billed charges,48% of total billed charges,270,45,,216,percent of total billed charges,45% of total billed charges,229.5,38.25,,183.6,percent of total billed charges,38.25% of total billed charges,270,45,,216,percent of total billed charges,45% of total billed charges,270,45,,216,percent of total billed charges,45% of total billed charges,229.5,592.74,
10081 Incision and drainage of pilonidal cyst; complicated,10081,CDM,521,RC,10081,HCPCS,OUTPATIENT,,,1271,1016.8,,1207.45,95,,965.96,percent of total billed charges,95% of total billed charges,1203.89,94.72,,963.11,percent of total billed charges,94.72% of total billed charges,1255.62,98.79,,1004.5,percent of total billed charges,98.79% of total billed charges,1245.58,98,,996.46,percent of total billed charges,98% of total billed charges,1245.58,98,,996.46,percent of total billed charges,98% of total billed charges,610.08,48,,488.06,percent of total billed charges,48% of total billed charges,571.95,45,,457.56,percent of total billed charges,45% of total billed charges,486.16,38.25,,388.93,percent of total billed charges,38.25% of total billed charges,571.95,45,,457.56,percent of total billed charges,45% of total billed charges,571.95,45,,457.56,percent of total billed charges,45% of total billed charges,486.16,1255.62,
I  D Removal Foreign Body Subcutaneous Simple,10120,CDM,521,RC,10120,HCPCS,OUTPATIENT,,,452,361.6,,429.4,95,,343.52,percent of total billed charges,95% of total billed charges,428.13,94.72,,342.5,percent of total billed charges,94.72% of total billed charges,446.53,98.79,,357.22,percent of total billed charges,98.79% of total billed charges,442.96,98,,354.37,percent of total billed charges,98% of total billed charges,442.96,98,,354.37,percent of total billed charges,98% of total billed charges,216.96,48,,173.57,percent of total billed charges,48% of total billed charges,203.4,45,,162.72,percent of total billed charges,45% of total billed charges,172.89,38.25,,138.31,percent of total billed charges,38.25% of total billed charges,203.4,45,,162.72,percent of total billed charges,45% of total billed charges,203.4,45,,162.72,percent of total billed charges,45% of total billed charges,172.89,446.53,
Remove Foreign Body Complicated,10121,CDM,521,RC,10121,HCPCS,OUTPATIENT,,,1204,963.2,,1143.8,95,,915.04,percent of total billed charges,95% of total billed charges,1140.43,94.72,,912.34,percent of total billed charges,94.72% of total billed charges,1189.43,98.79,,951.54,percent of total billed charges,98.79% of total billed charges,1179.92,98,,943.94,percent of total billed charges,98% of total billed charges,1179.92,98,,943.94,percent of total billed charges,98% of total billed charges,577.92,48,,462.34,percent of total billed charges,48% of total billed charges,541.8,45,,433.44,percent of total billed charges,45% of total billed charges,460.53,38.25,,368.42,percent of total billed charges,38.25% of total billed charges,541.8,45,,433.44,percent of total billed charges,45% of total billed charges,541.8,45,,433.44,percent of total billed charges,45% of total billed charges,460.53,1189.43,
I  D Hematoma Simple,10140,CDM,521,RC,10140,HCPCS,OUTPATIENT,,,652,521.6,,619.4,95,,495.52,percent of total billed charges,95% of total billed charges,617.57,94.72,,494.06,percent of total billed charges,94.72% of total billed charges,644.11,98.79,,515.29,percent of total billed charges,98.79% of total billed charges,638.96,98,,511.17,percent of total billed charges,98% of total billed charges,638.96,98,,511.17,percent of total billed charges,98% of total billed charges,312.96,48,,250.37,percent of total billed charges,48% of total billed charges,293.4,45,,234.72,percent of total billed charges,45% of total billed charges,249.39,38.25,,199.51,percent of total billed charges,38.25% of total billed charges,293.4,45,,234.72,percent of total billed charges,45% of total billed charges,293.4,45,,234.72,percent of total billed charges,45% of total billed charges,249.39,644.11,
Pucture Apiration Abscess Cyst,10160,CDM,521,RC,10160,HCPCS,OUTPATIENT,,,533,426.4,,506.35,95,,405.08,percent of total billed charges,95% of total billed charges,504.86,94.72,,403.89,percent of total billed charges,94.72% of total billed charges,526.55,98.79,,421.24,percent of total billed charges,98.79% of total billed charges,522.34,98,,417.87,percent of total billed charges,98% of total billed charges,522.34,98,,417.87,percent of total billed charges,98% of total billed charges,255.84,48,,204.67,percent of total billed charges,48% of total billed charges,239.85,45,,191.88,percent of total billed charges,45% of total billed charges,203.87,38.25,,163.1,percent of total billed charges,38.25% of total billed charges,239.85,45,,191.88,percent of total billed charges,45% of total billed charges,239.85,45,,191.88,percent of total billed charges,45% of total billed charges,203.87,526.55,
Debridement of Extensive Eczematous or Infected Skin (up to 10%),11000,CDM,521,RC,11000,HCPCS,OUTPATIENT,,,247,197.6,,234.65,95,,187.72,percent of total billed charges,95% of total billed charges,233.96,94.72,,187.17,percent of total billed charges,94.72% of total billed charges,244.01,98.79,,195.21,percent of total billed charges,98.79% of total billed charges,242.06,98,,193.65,percent of total billed charges,98% of total billed charges,242.06,98,,193.65,percent of total billed charges,98% of total billed charges,118.56,48,,94.85,percent of total billed charges,48% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,94.48,38.25,,75.58,percent of total billed charges,38.25% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,94.48,244.01,
Each Additional 10% of the Body Surface,11001,CDM,521,RC,11001,HCPCS,OUTPATIENT,,,116,92.8,,110.2,95,,88.16,percent of total billed charges,95% of total billed charges,109.88,94.72,,87.9,percent of total billed charges,94.72% of total billed charges,114.6,98.79,,91.68,percent of total billed charges,98.79% of total billed charges,113.68,98,,90.94,percent of total billed charges,98% of total billed charges,113.68,98,,90.94,percent of total billed charges,98% of total billed charges,55.68,48,,44.54,percent of total billed charges,48% of total billed charges,52.2,45,,41.76,percent of total billed charges,45% of total billed charges,44.37,38.25,,35.5,percent of total billed charges,38.25% of total billed charges,52.2,45,,41.76,percent of total billed charges,45% of total billed charges,52.2,45,,41.76,percent of total billed charges,45% of total billed charges,44.37,114.6,
Debridement of Skin Subcutaneous Tissue Muscle and Fascia,11004,CDM,521,RC,11004,HCPCS,OUTPATIENT,,,3190,2552,,3030.5,95,,2424.4,percent of total billed charges,95% of total billed charges,3021.57,94.72,,2417.26,percent of total billed charges,94.72% of total billed charges,3151.4,98.79,,2521.12,percent of total billed charges,98.79% of total billed charges,3126.2,98,,2500.96,percent of total billed charges,98% of total billed charges,3126.2,98,,2500.96,percent of total billed charges,98% of total billed charges,1531.2,48,,1224.96,percent of total billed charges,48% of total billed charges,1435.5,45,,1148.4,percent of total billed charges,45% of total billed charges,1220.18,38.25,,976.14,percent of total billed charges,38.25% of total billed charges,1435.5,45,,1148.4,percent of total billed charges,45% of total billed charges,1435.5,45,,1148.4,percent of total billed charges,45% of total billed charges,1220.18,3151.4,
Debridement Including Removal of Foreign Body,11010,CDM,521,RC,11010,HCPCS,OUTPATIENT,,,2309,1847.2,,2193.55,95,,1754.84,percent of total billed charges,95% of total billed charges,2187.08,94.72,,1749.66,percent of total billed charges,94.72% of total billed charges,2281.06,98.79,,1824.85,percent of total billed charges,98.79% of total billed charges,2262.82,98,,1810.26,percent of total billed charges,98% of total billed charges,2262.82,98,,1810.26,percent of total billed charges,98% of total billed charges,1108.32,48,,886.66,percent of total billed charges,48% of total billed charges,1039.05,45,,831.24,percent of total billed charges,45% of total billed charges,883.19,38.25,,706.55,percent of total billed charges,38.25% of total billed charges,1039.05,45,,831.24,percent of total billed charges,45% of total billed charges,1039.05,45,,831.24,percent of total billed charges,45% of total billed charges,883.19,2281.06,
Skin Subcutaneous Tissue Muscle Fascia and Muscle,11011,CDM,521,RC,11011,HCPCS,OUTPATIENT,,,2983,2386.4,,2833.85,95,,2267.08,percent of total billed charges,95% of total billed charges,2825.5,94.72,,2260.4,percent of total billed charges,94.72% of total billed charges,2946.91,98.79,,2357.53,percent of total billed charges,98.79% of total billed charges,2923.34,98,,2338.67,percent of total billed charges,98% of total billed charges,2923.34,98,,2338.67,percent of total billed charges,98% of total billed charges,1431.84,48,,1145.47,percent of total billed charges,48% of total billed charges,1342.35,45,,1073.88,percent of total billed charges,45% of total billed charges,1141,38.25,,912.8,percent of total billed charges,38.25% of total billed charges,1342.35,45,,1073.88,percent of total billed charges,45% of total billed charges,1342.35,45,,1073.88,percent of total billed charges,45% of total billed charges,1141,2946.91,
Skin Subcutaneous Tissue Muscle Fascia Muscle and Bone,11012,CDM,521,RC,11012,HCPCS,OUTPATIENT,,,4479,3583.2,,4255.05,95,,3404.04,percent of total billed charges,95% of total billed charges,4242.51,94.72,,3394.01,percent of total billed charges,94.72% of total billed charges,4424.8,98.79,,3539.84,percent of total billed charges,98.79% of total billed charges,4389.42,98,,3511.54,percent of total billed charges,98% of total billed charges,4389.42,98,,3511.54,percent of total billed charges,98% of total billed charges,2149.92,48,,1719.94,percent of total billed charges,48% of total billed charges,2015.55,45,,1612.44,percent of total billed charges,45% of total billed charges,1713.22,38.25,,1370.58,percent of total billed charges,38.25% of total billed charges,2015.55,45,,1612.44,percent of total billed charges,45% of total billed charges,2015.55,45,,1612.44,percent of total billed charges,45% of total billed charges,1713.22,4424.8,
Debridement Subcutaneous Tissue First 20 sq cm or less,11042,CDM,521,RC,11042,HCPCS,OUTPATIENT,,,411,328.8,,390.45,95,,312.36,percent of total billed charges,95% of total billed charges,389.3,94.72,,311.44,percent of total billed charges,94.72% of total billed charges,406.03,98.79,,324.82,percent of total billed charges,98.79% of total billed charges,402.78,98,,322.22,percent of total billed charges,98% of total billed charges,402.78,98,,322.22,percent of total billed charges,98% of total billed charges,197.28,48,,157.82,percent of total billed charges,48% of total billed charges,184.95,45,,147.96,percent of total billed charges,45% of total billed charges,157.21,38.25,,125.77,percent of total billed charges,38.25% of total billed charges,184.95,45,,147.96,percent of total billed charges,45% of total billed charges,184.95,45,,147.96,percent of total billed charges,45% of total billed charges,157.21,406.03,
Debridement  Muscle andor Fascia First 20 sq cm or less,11043,CDM,521,RC,11043,HCPCS,OUTPATIENT,,,1307,1045.6,,1241.65,95,,993.32,percent of total billed charges,95% of total billed charges,1237.99,94.72,,990.39,percent of total billed charges,94.72% of total billed charges,1291.19,98.79,,1032.95,percent of total billed charges,98.79% of total billed charges,1280.86,98,,1024.69,percent of total billed charges,98% of total billed charges,1280.86,98,,1024.69,percent of total billed charges,98% of total billed charges,627.36,48,,501.89,percent of total billed charges,48% of total billed charges,588.15,45,,470.52,percent of total billed charges,45% of total billed charges,499.93,38.25,,399.94,percent of total billed charges,38.25% of total billed charges,588.15,45,,470.52,percent of total billed charges,45% of total billed charges,588.15,45,,470.52,percent of total billed charges,45% of total billed charges,499.93,1291.19,
Debridement Bone First 20 sq cm or less,11044,CDM,521,RC,11044,HCPCS,OUTPATIENT,,,2014,1611.2,,1913.3,95,,1530.64,percent of total billed charges,95% of total billed charges,1907.66,94.72,,1526.13,percent of total billed charges,94.72% of total billed charges,1989.63,98.79,,1591.7,percent of total billed charges,98.79% of total billed charges,1973.72,98,,1578.98,percent of total billed charges,98% of total billed charges,1973.72,98,,1578.98,percent of total billed charges,98% of total billed charges,966.72,48,,773.38,percent of total billed charges,48% of total billed charges,906.3,45,,725.04,percent of total billed charges,45% of total billed charges,770.36,38.25,,616.29,percent of total billed charges,38.25% of total billed charges,906.3,45,,725.04,percent of total billed charges,45% of total billed charges,906.3,45,,725.04,percent of total billed charges,45% of total billed charges,770.36,1989.63,
DEB SUBQ TISSUE EACH ADD 20 SQ CM,11045,CDM,521,RC,11045,HCPCS,OUTPATIENT,,,204,163.2,,193.8,95,,155.04,percent of total billed charges,95% of total billed charges,193.23,94.72,,154.58,percent of total billed charges,94.72% of total billed charges,201.53,98.79,,161.22,percent of total billed charges,98.79% of total billed charges,199.92,98,,159.94,percent of total billed charges,98% of total billed charges,199.92,98,,159.94,percent of total billed charges,98% of total billed charges,97.92,48,,78.34,percent of total billed charges,48% of total billed charges,91.8,45,,73.44,percent of total billed charges,45% of total billed charges,78.03,38.25,,62.42,percent of total billed charges,38.25% of total billed charges,91.8,45,,73.44,percent of total billed charges,45% of total billed charges,91.8,45,,73.44,percent of total billed charges,45% of total billed charges,78.03,201.53,
DEB MUSC/FASCIA EACH ADD 20 SQ CM,11046,CDM,521,RC,11046,HCPCS,OUTPATIENT,,,474,379.2,,450.3,95,,360.24,percent of total billed charges,95% of total billed charges,448.97,94.72,,359.18,percent of total billed charges,94.72% of total billed charges,468.26,98.79,,374.61,percent of total billed charges,98.79% of total billed charges,464.52,98,,371.62,percent of total billed charges,98% of total billed charges,464.52,98,,371.62,percent of total billed charges,98% of total billed charges,227.52,48,,182.02,percent of total billed charges,48% of total billed charges,213.3,45,,170.64,percent of total billed charges,45% of total billed charges,181.31,38.25,,145.05,percent of total billed charges,38.25% of total billed charges,213.3,45,,170.64,percent of total billed charges,45% of total billed charges,213.3,45,,170.64,percent of total billed charges,45% of total billed charges,181.31,468.26,
DEB BONE EACH ADD 20 SQ CM,11047,CDM,521,RC,11047,HCPCS,OUTPATIENT,,,752,601.6,,714.4,95,,571.52,percent of total billed charges,95% of total billed charges,712.29,94.72,,569.83,percent of total billed charges,94.72% of total billed charges,742.9,98.79,,594.32,percent of total billed charges,98.79% of total billed charges,736.96,98,,589.57,percent of total billed charges,98% of total billed charges,736.96,98,,589.57,percent of total billed charges,98% of total billed charges,360.96,48,,288.77,percent of total billed charges,48% of total billed charges,338.4,45,,270.72,percent of total billed charges,45% of total billed charges,287.64,38.25,,230.11,percent of total billed charges,38.25% of total billed charges,338.4,45,,270.72,percent of total billed charges,45% of total billed charges,338.4,45,,270.72,percent of total billed charges,45% of total billed charges,287.64,742.9,
Trim Skin Lesion,11055,CDM,521,RC,11055,HCPCS,OUTPATIENT,,,81,64.8,,76.95,95,,61.56,percent of total billed charges,95% of total billed charges,76.72,94.72,,61.38,percent of total billed charges,94.72% of total billed charges,80.02,98.79,,64.02,percent of total billed charges,98.79% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,38.88,48,,31.1,percent of total billed charges,48% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,38.25,,24.78,percent of total billed charges,38.25% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,80.02,
Trim Skin Lesions 2 TO 4,11056,CDM,521,RC,11056,HCPCS,OUTPATIENT,,,87,69.6,,82.65,95,,66.12,percent of total billed charges,95% of total billed charges,82.41,94.72,,65.93,percent of total billed charges,94.72% of total billed charges,85.95,98.79,,68.76,percent of total billed charges,98.79% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,41.76,48,,33.41,percent of total billed charges,48% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,38.25,,26.62,percent of total billed charges,38.25% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,85.95,
Trim Skin Lesions Over 4,11057,CDM,521,RC,11057,HCPCS,OUTPATIENT,,,224,179.2,,212.8,95,,170.24,percent of total billed charges,95% of total billed charges,212.17,94.72,,169.74,percent of total billed charges,94.72% of total billed charges,221.29,98.79,,177.03,percent of total billed charges,98.79% of total billed charges,219.52,98,,175.62,percent of total billed charges,98% of total billed charges,219.52,98,,175.62,percent of total billed charges,98% of total billed charges,107.52,48,,86.02,percent of total billed charges,48% of total billed charges,100.8,45,,80.64,percent of total billed charges,45% of total billed charges,85.68,38.25,,68.54,percent of total billed charges,38.25% of total billed charges,100.8,45,,80.64,percent of total billed charges,45% of total billed charges,100.8,45,,80.64,percent of total billed charges,45% of total billed charges,85.68,221.29,
TANGNTL BX SKIN SINGLE LES,11102,CDM,521,RC,11102,HCPCS,OUTPATIENT,,,356,284.8,,338.2,95,,270.56,percent of total billed charges,95% of total billed charges,337.2,94.72,,269.76,percent of total billed charges,94.72% of total billed charges,351.69,98.79,,281.35,percent of total billed charges,98.79% of total billed charges,348.88,98,,279.1,percent of total billed charges,98% of total billed charges,348.88,98,,279.1,percent of total billed charges,98% of total billed charges,170.88,48,,136.7,percent of total billed charges,48% of total billed charges,160.2,45,,128.16,percent of total billed charges,45% of total billed charges,136.17,38.25,,108.94,percent of total billed charges,38.25% of total billed charges,160.2,45,,128.16,percent of total billed charges,45% of total billed charges,160.2,45,,128.16,percent of total billed charges,45% of total billed charges,136.17,351.69,
TANGNTL BX SKIN EA SEP/ADDL,11103,CDM,521,RC,11103,HCPCS,OUTPATIENT,,,257,205.6,,244.15,95,,195.32,percent of total billed charges,95% of total billed charges,243.43,94.72,,194.74,percent of total billed charges,94.72% of total billed charges,253.89,98.79,,203.11,percent of total billed charges,98.79% of total billed charges,251.86,98,,201.49,percent of total billed charges,98% of total billed charges,251.86,98,,201.49,percent of total billed charges,98% of total billed charges,123.36,48,,98.69,percent of total billed charges,48% of total billed charges,115.65,45,,92.52,percent of total billed charges,45% of total billed charges,98.3,38.25,,78.64,percent of total billed charges,38.25% of total billed charges,115.65,45,,92.52,percent of total billed charges,45% of total billed charges,115.65,45,,92.52,percent of total billed charges,45% of total billed charges,98.3,253.89,
PUNCH BX SKIN SINGLE LESION INCLUDING SIMPLE CLOSURE,11104,CDM,521,RC,11104,HCPCS,OUTPATIENT,,,625,500,,593.75,95,,475,percent of total billed charges,95% of total billed charges,592,94.72,,473.6,percent of total billed charges,94.72% of total billed charges,617.44,98.79,,493.95,percent of total billed charges,98.79% of total billed charges,612.5,98,,490,percent of total billed charges,98% of total billed charges,612.5,98,,490,percent of total billed charges,98% of total billed charges,300,48,,240,percent of total billed charges,48% of total billed charges,281.25,45,,225,percent of total billed charges,45% of total billed charges,239.06,38.25,,191.25,percent of total billed charges,38.25% of total billed charges,281.25,45,,225,percent of total billed charges,45% of total billed charges,281.25,45,,225,percent of total billed charges,45% of total billed charges,239.06,617.44,
PUNCH BX SKIN EA SEP/ADDL,11105,CDM,521,RC,11105,HCPCS,OUTPATIENT,,,321,256.8,,304.95,95,,243.96,percent of total billed charges,95% of total billed charges,304.05,94.72,,243.24,percent of total billed charges,94.72% of total billed charges,317.12,98.79,,253.7,percent of total billed charges,98.79% of total billed charges,314.58,98,,251.66,percent of total billed charges,98% of total billed charges,314.58,98,,251.66,percent of total billed charges,98% of total billed charges,154.08,48,,123.26,percent of total billed charges,48% of total billed charges,144.45,45,,115.56,percent of total billed charges,45% of total billed charges,122.78,38.25,,98.22,percent of total billed charges,38.25% of total billed charges,144.45,45,,115.56,percent of total billed charges,45% of total billed charges,144.45,45,,115.56,percent of total billed charges,45% of total billed charges,122.78,317.12,
11106 Incisional biopsy| skin (wedge) including simple closu,11106,CDM,521,RC,11106,HCPCS,OUTPATIENT,,,601,480.8,,570.95,95,,456.76,percent of total billed charges,95% of total billed charges,569.27,94.72,,455.42,percent of total billed charges,94.72% of total billed charges,593.73,98.79,,474.98,percent of total billed charges,98.79% of total billed charges,588.98,98,,471.18,percent of total billed charges,98% of total billed charges,588.98,98,,471.18,percent of total billed charges,98% of total billed charges,288.48,48,,230.78,percent of total billed charges,48% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,229.88,38.25,,183.9,percent of total billed charges,38.25% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,229.88,593.73,
Removal of Skin Tags up to 15,11200,CDM,521,RC,11200,HCPCS,OUTPATIENT,,,357,285.6,,339.15,95,,271.32,percent of total billed charges,95% of total billed charges,338.15,94.72,,270.52,percent of total billed charges,94.72% of total billed charges,352.68,98.79,,282.14,percent of total billed charges,98.79% of total billed charges,349.86,98,,279.89,percent of total billed charges,98% of total billed charges,349.86,98,,279.89,percent of total billed charges,98% of total billed charges,171.36,48,,137.09,percent of total billed charges,48% of total billed charges,160.65,45,,128.52,percent of total billed charges,45% of total billed charges,136.55,38.25,,109.24,percent of total billed charges,38.25% of total billed charges,160.65,45,,128.52,percent of total billed charges,45% of total billed charges,160.65,45,,128.52,percent of total billed charges,45% of total billed charges,136.55,352.68,
Each Additional Skin Tag,11201,CDM,521,RC,11201,HCPCS,OUTPATIENT,,,142,113.6,,134.9,95,,107.92,percent of total billed charges,95% of total billed charges,134.5,94.72,,107.6,percent of total billed charges,94.72% of total billed charges,140.28,98.79,,112.22,percent of total billed charges,98.79% of total billed charges,139.16,98,,111.33,percent of total billed charges,98% of total billed charges,139.16,98,,111.33,percent of total billed charges,98% of total billed charges,68.16,48,,54.53,percent of total billed charges,48% of total billed charges,63.9,45,,51.12,percent of total billed charges,45% of total billed charges,54.32,38.25,,43.46,percent of total billed charges,38.25% of total billed charges,63.9,45,,51.12,percent of total billed charges,45% of total billed charges,63.9,45,,51.12,percent of total billed charges,45% of total billed charges,54.32,140.28,
Shaving of Epidermal or Dermal lesion Single Trunk Arms or legs 0.5 cm or less,11300,CDM,521,RC,11300,HCPCS,OUTPATIENT,,,303,242.4,,287.85,95,,230.28,percent of total billed charges,95% of total billed charges,287,94.72,,229.6,percent of total billed charges,94.72% of total billed charges,299.33,98.79,,239.46,percent of total billed charges,98.79% of total billed charges,296.94,98,,237.55,percent of total billed charges,98% of total billed charges,296.94,98,,237.55,percent of total billed charges,98% of total billed charges,145.44,48,,116.35,percent of total billed charges,48% of total billed charges,136.35,45,,109.08,percent of total billed charges,45% of total billed charges,115.9,38.25,,92.72,percent of total billed charges,38.25% of total billed charges,136.35,45,,109.08,percent of total billed charges,45% of total billed charges,136.35,45,,109.08,percent of total billed charges,45% of total billed charges,115.9,299.33,
Shave Trunk 0.6-1 cm,11301,CDM,521,RC,11301,HCPCS,OUTPATIENT,,,395,316,,375.25,95,,300.2,percent of total billed charges,95% of total billed charges,374.14,94.72,,299.31,percent of total billed charges,94.72% of total billed charges,390.22,98.79,,312.18,percent of total billed charges,98.79% of total billed charges,387.1,98,,309.68,percent of total billed charges,98% of total billed charges,387.1,98,,309.68,percent of total billed charges,98% of total billed charges,189.6,48,,151.68,percent of total billed charges,48% of total billed charges,177.75,45,,142.2,percent of total billed charges,45% of total billed charges,151.09,38.25,,120.87,percent of total billed charges,38.25% of total billed charges,177.75,45,,142.2,percent of total billed charges,45% of total billed charges,177.75,45,,142.2,percent of total billed charges,45% of total billed charges,151.09,390.22,
Shave Trunk 1.1-2 cm,11302,CDM,521,RC,11302,HCPCS,OUTPATIENT,,,445,356,,422.75,95,,338.2,percent of total billed charges,95% of total billed charges,421.5,94.72,,337.2,percent of total billed charges,94.72% of total billed charges,439.62,98.79,,351.7,percent of total billed charges,98.79% of total billed charges,436.1,98,,348.88,percent of total billed charges,98% of total billed charges,436.1,98,,348.88,percent of total billed charges,98% of total billed charges,213.6,48,,170.88,percent of total billed charges,48% of total billed charges,200.25,45,,160.2,percent of total billed charges,45% of total billed charges,170.21,38.25,,136.17,percent of total billed charges,38.25% of total billed charges,200.25,45,,160.2,percent of total billed charges,45% of total billed charges,200.25,45,,160.2,percent of total billed charges,45% of total billed charges,170.21,439.62,
Shave Trunk >2 cm,11303,CDM,521,RC,11303,HCPCS,OUTPATIENT,,,547,437.6,,519.65,95,,415.72,percent of total billed charges,95% of total billed charges,518.12,94.72,,414.5,percent of total billed charges,94.72% of total billed charges,540.38,98.79,,432.3,percent of total billed charges,98.79% of total billed charges,536.06,98,,428.85,percent of total billed charges,98% of total billed charges,536.06,98,,428.85,percent of total billed charges,98% of total billed charges,262.56,48,,210.05,percent of total billed charges,48% of total billed charges,246.15,45,,196.92,percent of total billed charges,45% of total billed charges,209.23,38.25,,167.38,percent of total billed charges,38.25% of total billed charges,246.15,45,,196.92,percent of total billed charges,45% of total billed charges,246.15,45,,196.92,percent of total billed charges,45% of total billed charges,209.23,540.38,
Shave SNH,11305,CDM,521,RC,11305,HCPCS,OUTPATIENT,,,290,232,,275.5,95,,220.4,percent of total billed charges,95% of total billed charges,274.69,94.72,,219.75,percent of total billed charges,94.72% of total billed charges,286.49,98.79,,229.19,percent of total billed charges,98.79% of total billed charges,284.2,98,,227.36,percent of total billed charges,98% of total billed charges,284.2,98,,227.36,percent of total billed charges,98% of total billed charges,139.2,48,,111.36,percent of total billed charges,48% of total billed charges,130.5,45,,104.4,percent of total billed charges,45% of total billed charges,110.93,38.25,,88.74,percent of total billed charges,38.25% of total billed charges,130.5,45,,104.4,percent of total billed charges,45% of total billed charges,130.5,45,,104.4,percent of total billed charges,45% of total billed charges,110.93,286.49,
Shave SNH 0.6-1 cm,11306,CDM,521,RC,11306,HCPCS,OUTPATIENT,,,378,302.4,,359.1,95,,287.28,percent of total billed charges,95% of total billed charges,358.04,94.72,,286.43,percent of total billed charges,94.72% of total billed charges,373.43,98.79,,298.74,percent of total billed charges,98.79% of total billed charges,370.44,98,,296.35,percent of total billed charges,98% of total billed charges,370.44,98,,296.35,percent of total billed charges,98% of total billed charges,181.44,48,,145.15,percent of total billed charges,48% of total billed charges,170.1,45,,136.08,percent of total billed charges,45% of total billed charges,144.59,38.25,,115.67,percent of total billed charges,38.25% of total billed charges,170.1,45,,136.08,percent of total billed charges,45% of total billed charges,170.1,45,,136.08,percent of total billed charges,45% of total billed charges,144.59,373.43,
Shave SNH 1.1-2 cm,11307,CDM,521,RC,11307,HCPCS,OUTPATIENT,,,463,370.4,,439.85,95,,351.88,percent of total billed charges,95% of total billed charges,438.55,94.72,,350.84,percent of total billed charges,94.72% of total billed charges,457.4,98.79,,365.92,percent of total billed charges,98.79% of total billed charges,453.74,98,,362.99,percent of total billed charges,98% of total billed charges,453.74,98,,362.99,percent of total billed charges,98% of total billed charges,222.24,48,,177.79,percent of total billed charges,48% of total billed charges,208.35,45,,166.68,percent of total billed charges,45% of total billed charges,177.1,38.25,,141.68,percent of total billed charges,38.25% of total billed charges,208.35,45,,166.68,percent of total billed charges,45% of total billed charges,208.35,45,,166.68,percent of total billed charges,45% of total billed charges,177.1,457.4,
Shave SNH >2 cm,11308,CDM,521,RC,11308,HCPCS,OUTPATIENT,,,490,392,,465.5,95,,372.4,percent of total billed charges,95% of total billed charges,464.13,94.72,,371.3,percent of total billed charges,94.72% of total billed charges,484.07,98.79,,387.26,percent of total billed charges,98.79% of total billed charges,480.2,98,,384.16,percent of total billed charges,98% of total billed charges,480.2,98,,384.16,percent of total billed charges,98% of total billed charges,235.2,48,,188.16,percent of total billed charges,48% of total billed charges,220.5,45,,176.4,percent of total billed charges,45% of total billed charges,187.43,38.25,,149.94,percent of total billed charges,38.25% of total billed charges,220.5,45,,176.4,percent of total billed charges,45% of total billed charges,220.5,45,,176.4,percent of total billed charges,45% of total billed charges,187.43,484.07,
Shaving of Epidermal or Dermal Lesion Single face Ears Eyelids Nose Lips Mucos Membrane 0.5 cm or less,11310,CDM,521,RC,11310,HCPCS,OUTPATIENT,,,368,294.4,,349.6,95,,279.68,percent of total billed charges,95% of total billed charges,348.57,94.72,,278.86,percent of total billed charges,94.72% of total billed charges,363.55,98.79,,290.84,percent of total billed charges,98.79% of total billed charges,360.64,98,,288.51,percent of total billed charges,98% of total billed charges,360.64,98,,288.51,percent of total billed charges,98% of total billed charges,176.64,48,,141.31,percent of total billed charges,48% of total billed charges,165.6,45,,132.48,percent of total billed charges,45% of total billed charges,140.76,38.25,,112.61,percent of total billed charges,38.25% of total billed charges,165.6,45,,132.48,percent of total billed charges,45% of total billed charges,165.6,45,,132.48,percent of total billed charges,45% of total billed charges,140.76,363.55,
Shave FEENLM 0.6-1 cm,11311,CDM,521,RC,11311,HCPCS,OUTPATIENT,,,453,362.4,,430.35,95,,344.28,percent of total billed charges,95% of total billed charges,429.08,94.72,,343.26,percent of total billed charges,94.72% of total billed charges,447.52,98.79,,358.02,percent of total billed charges,98.79% of total billed charges,443.94,98,,355.15,percent of total billed charges,98% of total billed charges,443.94,98,,355.15,percent of total billed charges,98% of total billed charges,217.44,48,,173.95,percent of total billed charges,48% of total billed charges,203.85,45,,163.08,percent of total billed charges,45% of total billed charges,173.27,38.25,,138.62,percent of total billed charges,38.25% of total billed charges,203.85,45,,163.08,percent of total billed charges,45% of total billed charges,203.85,45,,163.08,percent of total billed charges,45% of total billed charges,173.27,447.52,
Shave FEENLM 1-2 cm,11312,CDM,521,RC,11312,HCPCS,OUTPATIENT,,,485,388,,460.75,95,,368.6,percent of total billed charges,95% of total billed charges,459.39,94.72,,367.51,percent of total billed charges,94.72% of total billed charges,479.13,98.79,,383.3,percent of total billed charges,98.79% of total billed charges,475.3,98,,380.24,percent of total billed charges,98% of total billed charges,475.3,98,,380.24,percent of total billed charges,98% of total billed charges,232.8,48,,186.24,percent of total billed charges,48% of total billed charges,218.25,45,,174.6,percent of total billed charges,45% of total billed charges,185.51,38.25,,148.41,percent of total billed charges,38.25% of total billed charges,218.25,45,,174.6,percent of total billed charges,45% of total billed charges,218.25,45,,174.6,percent of total billed charges,45% of total billed charges,185.51,479.13,
Shave FEENLM >2 cm,11313,CDM,521,RC,11313,HCPCS,OUTPATIENT,,,633,506.4,,601.35,95,,481.08,percent of total billed charges,95% of total billed charges,599.58,94.72,,479.66,percent of total billed charges,94.72% of total billed charges,625.34,98.79,,500.27,percent of total billed charges,98.79% of total billed charges,620.34,98,,496.27,percent of total billed charges,98% of total billed charges,620.34,98,,496.27,percent of total billed charges,98% of total billed charges,303.84,48,,243.07,percent of total billed charges,48% of total billed charges,284.85,45,,227.88,percent of total billed charges,45% of total billed charges,242.12,38.25,,193.7,percent of total billed charges,38.25% of total billed charges,284.85,45,,227.88,percent of total billed charges,45% of total billed charges,284.85,45,,227.88,percent of total billed charges,45% of total billed charges,242.12,625.34,
Excision TR-EXT B9 MARG 0.5 < CM,11400,CDM,521,RC,11400,HCPCS,OUTPATIENT,,,345,276,,327.75,95,,262.2,percent of total billed charges,95% of total billed charges,326.78,94.72,,261.42,percent of total billed charges,94.72% of total billed charges,340.83,98.79,,272.66,percent of total billed charges,98.79% of total billed charges,338.1,98,,270.48,percent of total billed charges,98% of total billed charges,338.1,98,,270.48,percent of total billed charges,98% of total billed charges,165.6,48,,132.48,percent of total billed charges,48% of total billed charges,155.25,45,,124.2,percent of total billed charges,45% of total billed charges,131.96,38.25,,105.57,percent of total billed charges,38.25% of total billed charges,155.25,45,,124.2,percent of total billed charges,45% of total billed charges,155.25,45,,124.2,percent of total billed charges,45% of total billed charges,131.96,340.83,
Excision TR-EXT B9 MARG 0.6-1 CM,11401,CDM,521,RC,11401,HCPCS,OUTPATIENT,,,599,479.2,,569.05,95,,455.24,percent of total billed charges,95% of total billed charges,567.37,94.72,,453.9,percent of total billed charges,94.72% of total billed charges,591.75,98.79,,473.4,percent of total billed charges,98.79% of total billed charges,587.02,98,,469.62,percent of total billed charges,98% of total billed charges,587.02,98,,469.62,percent of total billed charges,98% of total billed charges,287.52,48,,230.02,percent of total billed charges,48% of total billed charges,269.55,45,,215.64,percent of total billed charges,45% of total billed charges,229.12,38.25,,183.3,percent of total billed charges,38.25% of total billed charges,269.55,45,,215.64,percent of total billed charges,45% of total billed charges,269.55,45,,215.64,percent of total billed charges,45% of total billed charges,229.12,591.75,
Excision TR-EXT B9 MARG 1.1-2 CM,11402,CDM,521,RC,11402,HCPCS,OUTPATIENT,,,767,613.6,,728.65,95,,582.92,percent of total billed charges,95% of total billed charges,726.5,94.72,,581.2,percent of total billed charges,94.72% of total billed charges,757.72,98.79,,606.18,percent of total billed charges,98.79% of total billed charges,751.66,98,,601.33,percent of total billed charges,98% of total billed charges,751.66,98,,601.33,percent of total billed charges,98% of total billed charges,368.16,48,,294.53,percent of total billed charges,48% of total billed charges,345.15,45,,276.12,percent of total billed charges,45% of total billed charges,293.38,38.25,,234.7,percent of total billed charges,38.25% of total billed charges,345.15,45,,276.12,percent of total billed charges,45% of total billed charges,345.15,45,,276.12,percent of total billed charges,45% of total billed charges,293.38,757.72,
Excision TR-EXT B9 MARG 2.1-3 CM,11403,CDM,521,RC,11403,HCPCS,OUTPATIENT,,,857,685.6,,814.15,95,,651.32,percent of total billed charges,95% of total billed charges,811.75,94.72,,649.4,percent of total billed charges,94.72% of total billed charges,846.63,98.79,,677.3,percent of total billed charges,98.79% of total billed charges,839.86,98,,671.89,percent of total billed charges,98% of total billed charges,839.86,98,,671.89,percent of total billed charges,98% of total billed charges,411.36,48,,329.09,percent of total billed charges,48% of total billed charges,385.65,45,,308.52,percent of total billed charges,45% of total billed charges,327.8,38.25,,262.24,percent of total billed charges,38.25% of total billed charges,385.65,45,,308.52,percent of total billed charges,45% of total billed charges,385.65,45,,308.52,percent of total billed charges,45% of total billed charges,327.8,846.63,
Excision TR-EXT B9 MARG 3.1-4 CM,11404,CDM,521,RC,11404,HCPCS,OUTPATIENT,,,1043,834.4,,990.85,95,,792.68,percent of total billed charges,95% of total billed charges,987.93,94.72,,790.34,percent of total billed charges,94.72% of total billed charges,1030.38,98.79,,824.3,percent of total billed charges,98.79% of total billed charges,1022.14,98,,817.71,percent of total billed charges,98% of total billed charges,1022.14,98,,817.71,percent of total billed charges,98% of total billed charges,500.64,48,,400.51,percent of total billed charges,48% of total billed charges,469.35,45,,375.48,percent of total billed charges,45% of total billed charges,398.95,38.25,,319.16,percent of total billed charges,38.25% of total billed charges,469.35,45,,375.48,percent of total billed charges,45% of total billed charges,469.35,45,,375.48,percent of total billed charges,45% of total billed charges,398.95,1030.38,
Excision TR-EXT B9 MARG > 4.0 CM,11406,CDM,521,RC,11406,HCPCS,OUTPATIENT,,,1527,1221.6,,1450.65,95,,1160.52,percent of total billed charges,95% of total billed charges,1446.37,94.72,,1157.1,percent of total billed charges,94.72% of total billed charges,1508.52,98.79,,1206.82,percent of total billed charges,98.79% of total billed charges,1496.46,98,,1197.17,percent of total billed charges,98% of total billed charges,1496.46,98,,1197.17,percent of total billed charges,98% of total billed charges,732.96,48,,586.37,percent of total billed charges,48% of total billed charges,687.15,45,,549.72,percent of total billed charges,45% of total billed charges,584.08,38.25,,467.26,percent of total billed charges,38.25% of total billed charges,687.15,45,,549.72,percent of total billed charges,45% of total billed charges,687.15,45,,549.72,percent of total billed charges,45% of total billed charges,584.08,1508.52,
Excision H-F-NK-SP B9 MARG 0.5 <,11420,CDM,521,RC,11420,HCPCS,OUTPATIENT,,,504,403.2,,478.8,95,,383.04,percent of total billed charges,95% of total billed charges,477.39,94.72,,381.91,percent of total billed charges,94.72% of total billed charges,497.9,98.79,,398.32,percent of total billed charges,98.79% of total billed charges,493.92,98,,395.14,percent of total billed charges,98% of total billed charges,493.92,98,,395.14,percent of total billed charges,98% of total billed charges,241.92,48,,193.54,percent of total billed charges,48% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,192.78,38.25,,154.22,percent of total billed charges,38.25% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,192.78,497.9,
Excision H-F-NK-SP B9 MARG 0.6-1,11421,CDM,521,RC,11421,HCPCS,OUTPATIENT,,,620,496,,589,95,,471.2,percent of total billed charges,95% of total billed charges,587.26,94.72,,469.81,percent of total billed charges,94.72% of total billed charges,612.5,98.79,,490,percent of total billed charges,98.79% of total billed charges,607.6,98,,486.08,percent of total billed charges,98% of total billed charges,607.6,98,,486.08,percent of total billed charges,98% of total billed charges,297.6,48,,238.08,percent of total billed charges,48% of total billed charges,279,45,,223.2,percent of total billed charges,45% of total billed charges,237.15,38.25,,189.72,percent of total billed charges,38.25% of total billed charges,279,45,,223.2,percent of total billed charges,45% of total billed charges,279,45,,223.2,percent of total billed charges,45% of total billed charges,237.15,612.5,
Excision H-F-NK-SP B9 MARG 1.1-2,11422,CDM,521,RC,11422,HCPCS,OUTPATIENT,,,813,650.4,,772.35,95,,617.88,percent of total billed charges,95% of total billed charges,770.07,94.72,,616.06,percent of total billed charges,94.72% of total billed charges,803.16,98.79,,642.53,percent of total billed charges,98.79% of total billed charges,796.74,98,,637.39,percent of total billed charges,98% of total billed charges,796.74,98,,637.39,percent of total billed charges,98% of total billed charges,390.24,48,,312.19,percent of total billed charges,48% of total billed charges,365.85,45,,292.68,percent of total billed charges,45% of total billed charges,310.97,38.25,,248.78,percent of total billed charges,38.25% of total billed charges,365.85,45,,292.68,percent of total billed charges,45% of total billed charges,365.85,45,,292.68,percent of total billed charges,45% of total billed charges,310.97,803.16,
Excision H-F-NK-SP B9+MARG 2.1-3,11423,CDM,521,RC,11423,HCPCS,OUTPATIENT,,,956,764.8,,908.2,95,,726.56,percent of total billed charges,95% of total billed charges,905.52,94.72,,724.42,percent of total billed charges,94.72% of total billed charges,944.43,98.79,,755.54,percent of total billed charges,98.79% of total billed charges,936.88,98,,749.5,percent of total billed charges,98% of total billed charges,936.88,98,,749.5,percent of total billed charges,98% of total billed charges,458.88,48,,367.1,percent of total billed charges,48% of total billed charges,430.2,45,,344.16,percent of total billed charges,45% of total billed charges,365.67,38.25,,292.54,percent of total billed charges,38.25% of total billed charges,430.2,45,,344.16,percent of total billed charges,45% of total billed charges,430.2,45,,344.16,percent of total billed charges,45% of total billed charges,365.67,944.43,
Excision H-F-NK-SP B9 MARG 3.1-4,11424,CDM,521,RC,11424,HCPCS,OUTPATIENT,,,1132,905.6,,1075.4,95,,860.32,percent of total billed charges,95% of total billed charges,1072.23,94.72,,857.78,percent of total billed charges,94.72% of total billed charges,1118.3,98.79,,894.64,percent of total billed charges,98.79% of total billed charges,1109.36,98,,887.49,percent of total billed charges,98% of total billed charges,1109.36,98,,887.49,percent of total billed charges,98% of total billed charges,543.36,48,,434.69,percent of total billed charges,48% of total billed charges,509.4,45,,407.52,percent of total billed charges,45% of total billed charges,432.99,38.25,,346.39,percent of total billed charges,38.25% of total billed charges,509.4,45,,407.52,percent of total billed charges,45% of total billed charges,509.4,45,,407.52,percent of total billed charges,45% of total billed charges,432.99,1118.3,
Excision H-F-NK-SP B9 MARG > 4 CM,11426,CDM,521,RC,11426,HCPCS,OUTPATIENT,,,1647,1317.6,,1564.65,95,,1251.72,percent of total billed charges,95% of total billed charges,1560.04,94.72,,1248.03,percent of total billed charges,94.72% of total billed charges,1627.07,98.79,,1301.66,percent of total billed charges,98.79% of total billed charges,1614.06,98,,1291.25,percent of total billed charges,98% of total billed charges,1614.06,98,,1291.25,percent of total billed charges,98% of total billed charges,790.56,48,,632.45,percent of total billed charges,48% of total billed charges,741.15,45,,592.92,percent of total billed charges,45% of total billed charges,629.98,38.25,,503.98,percent of total billed charges,38.25% of total billed charges,741.15,45,,592.92,percent of total billed charges,45% of total billed charges,741.15,45,,592.92,percent of total billed charges,45% of total billed charges,629.98,1627.07,
Excision Face-MM B9 MARG 0.5 < CM,11440,CDM,521,RC,11440,HCPCS,OUTPATIENT,,,695,556,,660.25,95,,528.2,percent of total billed charges,95% of total billed charges,658.3,94.72,,526.64,percent of total billed charges,94.72% of total billed charges,686.59,98.79,,549.27,percent of total billed charges,98.79% of total billed charges,681.1,98,,544.88,percent of total billed charges,98% of total billed charges,681.1,98,,544.88,percent of total billed charges,98% of total billed charges,333.6,48,,266.88,percent of total billed charges,48% of total billed charges,312.75,45,,250.2,percent of total billed charges,45% of total billed charges,265.84,38.25,,212.67,percent of total billed charges,38.25% of total billed charges,312.75,45,,250.2,percent of total billed charges,45% of total billed charges,312.75,45,,250.2,percent of total billed charges,45% of total billed charges,265.84,686.59,
Excision Face-MM B9 MARG 0.6-1 CM,11441,CDM,521,RC,11441,HCPCS,OUTPATIENT,,,761,608.8,,722.95,95,,578.36,percent of total billed charges,95% of total billed charges,720.82,94.72,,576.66,percent of total billed charges,94.72% of total billed charges,751.79,98.79,,601.43,percent of total billed charges,98.79% of total billed charges,745.78,98,,596.62,percent of total billed charges,98% of total billed charges,745.78,98,,596.62,percent of total billed charges,98% of total billed charges,365.28,48,,292.22,percent of total billed charges,48% of total billed charges,342.45,45,,273.96,percent of total billed charges,45% of total billed charges,291.08,38.25,,232.86,percent of total billed charges,38.25% of total billed charges,342.45,45,,273.96,percent of total billed charges,45% of total billed charges,342.45,45,,273.96,percent of total billed charges,45% of total billed charges,291.08,751.79,
Excision Face-MM B9 MARG 1.1-2 CM,11442,CDM,521,RC,11442,HCPCS,OUTPATIENT,,,897,717.6,,852.15,95,,681.72,percent of total billed charges,95% of total billed charges,849.64,94.72,,679.71,percent of total billed charges,94.72% of total billed charges,886.15,98.79,,708.92,percent of total billed charges,98.79% of total billed charges,879.06,98,,703.25,percent of total billed charges,98% of total billed charges,879.06,98,,703.25,percent of total billed charges,98% of total billed charges,430.56,48,,344.45,percent of total billed charges,48% of total billed charges,403.65,45,,322.92,percent of total billed charges,45% of total billed charges,343.1,38.25,,274.48,percent of total billed charges,38.25% of total billed charges,403.65,45,,322.92,percent of total billed charges,45% of total billed charges,403.65,45,,322.92,percent of total billed charges,45% of total billed charges,343.1,886.15,
Excision Face-MM B9 MARG 2.1-3 CM,11443,CDM,521,RC,11443,HCPCS,OUTPATIENT,,,1104,883.2,,1048.8,95,,839.04,percent of total billed charges,95% of total billed charges,1045.71,94.72,,836.57,percent of total billed charges,94.72% of total billed charges,1090.64,98.79,,872.51,percent of total billed charges,98.79% of total billed charges,1081.92,98,,865.54,percent of total billed charges,98% of total billed charges,1081.92,98,,865.54,percent of total billed charges,98% of total billed charges,529.92,48,,423.94,percent of total billed charges,48% of total billed charges,496.8,45,,397.44,percent of total billed charges,45% of total billed charges,422.28,38.25,,337.82,percent of total billed charges,38.25% of total billed charges,496.8,45,,397.44,percent of total billed charges,45% of total billed charges,496.8,45,,397.44,percent of total billed charges,45% of total billed charges,422.28,1090.64,
Excision Face-MM B9 MARG 3.1-4 CM,11444,CDM,521,RC,11444,HCPCS,OUTPATIENT,,,1314,1051.2,,1248.3,95,,998.64,percent of total billed charges,95% of total billed charges,1244.62,94.72,,995.7,percent of total billed charges,94.72% of total billed charges,1298.1,98.79,,1038.48,percent of total billed charges,98.79% of total billed charges,1287.72,98,,1030.18,percent of total billed charges,98% of total billed charges,1287.72,98,,1030.18,percent of total billed charges,98% of total billed charges,630.72,48,,504.58,percent of total billed charges,48% of total billed charges,591.3,45,,473.04,percent of total billed charges,45% of total billed charges,502.61,38.25,,402.09,percent of total billed charges,38.25% of total billed charges,591.3,45,,473.04,percent of total billed charges,45% of total billed charges,591.3,45,,473.04,percent of total billed charges,45% of total billed charges,502.61,1298.1,
Excison Face-MM B9 MARG > 4 CM,11446,CDM,521,RC,11446,HCPCS,OUTPATIENT,,,2542,2033.6,,2414.9,95,,1931.92,percent of total billed charges,95% of total billed charges,2407.78,94.72,,1926.22,percent of total billed charges,94.72% of total billed charges,2511.24,98.79,,2008.99,percent of total billed charges,98.79% of total billed charges,2491.16,98,,1992.93,percent of total billed charges,98% of total billed charges,2491.16,98,,1992.93,percent of total billed charges,98% of total billed charges,1220.16,48,,976.13,percent of total billed charges,48% of total billed charges,1143.9,45,,915.12,percent of total billed charges,45% of total billed charges,972.32,38.25,,777.86,percent of total billed charges,38.25% of total billed charges,1143.9,45,,915.12,percent of total billed charges,45% of total billed charges,1143.9,45,,915.12,percent of total billed charges,45% of total billed charges,972.32,2511.24,
Excision TR-EXT MLG MARG 0.5 < CM,11600,CDM,521,RC,11600,HCPCS,OUTPATIENT,,,729,583.2,,692.55,95,,554.04,percent of total billed charges,95% of total billed charges,690.51,94.72,,552.41,percent of total billed charges,94.72% of total billed charges,720.18,98.79,,576.14,percent of total billed charges,98.79% of total billed charges,714.42,98,,571.54,percent of total billed charges,98% of total billed charges,714.42,98,,571.54,percent of total billed charges,98% of total billed charges,349.92,48,,279.94,percent of total billed charges,48% of total billed charges,328.05,45,,262.44,percent of total billed charges,45% of total billed charges,278.84,38.25,,223.07,percent of total billed charges,38.25% of total billed charges,328.05,45,,262.44,percent of total billed charges,45% of total billed charges,328.05,45,,262.44,percent of total billed charges,45% of total billed charges,278.84,720.18,
Excision TR-EXT MLG MARG 0.6-1 CM,11601,CDM,521,RC,11601,HCPCS,OUTPATIENT,,,848,678.4,,805.6,95,,644.48,percent of total billed charges,95% of total billed charges,803.23,94.72,,642.58,percent of total billed charges,94.72% of total billed charges,837.74,98.79,,670.19,percent of total billed charges,98.79% of total billed charges,831.04,98,,664.83,percent of total billed charges,98% of total billed charges,831.04,98,,664.83,percent of total billed charges,98% of total billed charges,407.04,48,,325.63,percent of total billed charges,48% of total billed charges,381.6,45,,305.28,percent of total billed charges,45% of total billed charges,324.36,38.25,,259.49,percent of total billed charges,38.25% of total billed charges,381.6,45,,305.28,percent of total billed charges,45% of total billed charges,381.6,45,,305.28,percent of total billed charges,45% of total billed charges,324.36,837.74,
Excision TR-EXT MLG MARG 1.1-2 CM,11602,CDM,521,RC,11602,HCPCS,OUTPATIENT,,,947,757.6,,899.65,95,,719.72,percent of total billed charges,95% of total billed charges,897,94.72,,717.6,percent of total billed charges,94.72% of total billed charges,935.54,98.79,,748.43,percent of total billed charges,98.79% of total billed charges,928.06,98,,742.45,percent of total billed charges,98% of total billed charges,928.06,98,,742.45,percent of total billed charges,98% of total billed charges,454.56,48,,363.65,percent of total billed charges,48% of total billed charges,426.15,45,,340.92,percent of total billed charges,45% of total billed charges,362.23,38.25,,289.78,percent of total billed charges,38.25% of total billed charges,426.15,45,,340.92,percent of total billed charges,45% of total billed charges,426.15,45,,340.92,percent of total billed charges,45% of total billed charges,362.23,935.54,
Excision TR-EXT MLG MARG 2.1-3 CM,11603,CDM,521,RC,11603,HCPCS,OUTPATIENT,,,1091,872.8,,1036.45,95,,829.16,percent of total billed charges,95% of total billed charges,1033.4,94.72,,826.72,percent of total billed charges,94.72% of total billed charges,1077.8,98.79,,862.24,percent of total billed charges,98.79% of total billed charges,1069.18,98,,855.34,percent of total billed charges,98% of total billed charges,1069.18,98,,855.34,percent of total billed charges,98% of total billed charges,523.68,48,,418.94,percent of total billed charges,48% of total billed charges,490.95,45,,392.76,percent of total billed charges,45% of total billed charges,417.31,38.25,,333.85,percent of total billed charges,38.25% of total billed charges,490.95,45,,392.76,percent of total billed charges,45% of total billed charges,490.95,45,,392.76,percent of total billed charges,45% of total billed charges,417.31,1077.8,
Excision TR-EXT MLG MARG 3.1-4 CM,11604,CDM,521,RC,11604,HCPCS,OUTPATIENT,,,1300,1040,,1235,95,,988,percent of total billed charges,95% of total billed charges,1231.36,94.72,,985.09,percent of total billed charges,94.72% of total billed charges,1284.27,98.79,,1027.42,percent of total billed charges,98.79% of total billed charges,1274,98,,1019.2,percent of total billed charges,98% of total billed charges,1274,98,,1019.2,percent of total billed charges,98% of total billed charges,624,48,,499.2,percent of total billed charges,48% of total billed charges,585,45,,468,percent of total billed charges,45% of total billed charges,497.25,38.25,,397.8,percent of total billed charges,38.25% of total billed charges,585,45,,468,percent of total billed charges,45% of total billed charges,585,45,,468,percent of total billed charges,45% of total billed charges,497.25,1284.27,
Excision TR-EXT MLG MARG > 4 CM,11606,CDM,521,RC,11606,HCPCS,OUTPATIENT,,,1917,1533.6,,1821.15,95,,1456.92,percent of total billed charges,95% of total billed charges,1815.78,94.72,,1452.62,percent of total billed charges,94.72% of total billed charges,1893.8,98.79,,1515.04,percent of total billed charges,98.79% of total billed charges,1878.66,98,,1502.93,percent of total billed charges,98% of total billed charges,1878.66,98,,1502.93,percent of total billed charges,98% of total billed charges,920.16,48,,736.13,percent of total billed charges,48% of total billed charges,862.65,45,,690.12,percent of total billed charges,45% of total billed charges,733.25,38.25,,586.6,percent of total billed charges,38.25% of total billed charges,862.65,45,,690.12,percent of total billed charges,45% of total billed charges,862.65,45,,690.12,percent of total billed charges,45% of total billed charges,733.25,1893.8,
Excision H-F-NK-SP MLG+MARG 0.5 <,11620,CDM,521,RC,11620,HCPCS,OUTPATIENT,,,770,616,,731.5,95,,585.2,percent of total billed charges,95% of total billed charges,729.34,94.72,,583.47,percent of total billed charges,94.72% of total billed charges,760.68,98.79,,608.54,percent of total billed charges,98.79% of total billed charges,754.6,98,,603.68,percent of total billed charges,98% of total billed charges,754.6,98,,603.68,percent of total billed charges,98% of total billed charges,369.6,48,,295.68,percent of total billed charges,48% of total billed charges,346.5,45,,277.2,percent of total billed charges,45% of total billed charges,294.53,38.25,,235.62,percent of total billed charges,38.25% of total billed charges,346.5,45,,277.2,percent of total billed charges,45% of total billed charges,346.5,45,,277.2,percent of total billed charges,45% of total billed charges,294.53,760.68,
Excision H-F-NK-SP MLG MARG 0.6-1,11621,CDM,521,RC,11621,HCPCS,OUTPATIENT,,,895,716,,850.25,95,,680.2,percent of total billed charges,95% of total billed charges,847.74,94.72,,678.19,percent of total billed charges,94.72% of total billed charges,884.17,98.79,,707.34,percent of total billed charges,98.79% of total billed charges,877.1,98,,701.68,percent of total billed charges,98% of total billed charges,877.1,98,,701.68,percent of total billed charges,98% of total billed charges,429.6,48,,343.68,percent of total billed charges,48% of total billed charges,402.75,45,,322.2,percent of total billed charges,45% of total billed charges,342.34,38.25,,273.87,percent of total billed charges,38.25% of total billed charges,402.75,45,,322.2,percent of total billed charges,45% of total billed charges,402.75,45,,322.2,percent of total billed charges,45% of total billed charges,342.34,884.17,
Excision H-F-NK-SP MLG MARG 1.1-2,11622,CDM,521,RC,11622,HCPCS,OUTPATIENT,,,1007,805.6,,956.65,95,,765.32,percent of total billed charges,95% of total billed charges,953.83,94.72,,763.06,percent of total billed charges,94.72% of total billed charges,994.82,98.79,,795.86,percent of total billed charges,98.79% of total billed charges,986.86,98,,789.49,percent of total billed charges,98% of total billed charges,986.86,98,,789.49,percent of total billed charges,98% of total billed charges,483.36,48,,386.69,percent of total billed charges,48% of total billed charges,453.15,45,,362.52,percent of total billed charges,45% of total billed charges,385.18,38.25,,308.14,percent of total billed charges,38.25% of total billed charges,453.15,45,,362.52,percent of total billed charges,45% of total billed charges,453.15,45,,362.52,percent of total billed charges,45% of total billed charges,385.18,994.82,
Excision H-F-NK-SP MLG MARG 2.1-3,11623,CDM,521,RC,11623,HCPCS,OUTPATIENT,,,1195,956,,1135.25,95,,908.2,percent of total billed charges,95% of total billed charges,1131.9,94.72,,905.52,percent of total billed charges,94.72% of total billed charges,1180.54,98.79,,944.43,percent of total billed charges,98.79% of total billed charges,1171.1,98,,936.88,percent of total billed charges,98% of total billed charges,1171.1,98,,936.88,percent of total billed charges,98% of total billed charges,573.6,48,,458.88,percent of total billed charges,48% of total billed charges,537.75,45,,430.2,percent of total billed charges,45% of total billed charges,457.09,38.25,,365.67,percent of total billed charges,38.25% of total billed charges,537.75,45,,430.2,percent of total billed charges,45% of total billed charges,537.75,45,,430.2,percent of total billed charges,45% of total billed charges,457.09,1180.54,
Excision H-F-NK-SP MLG MARG 3.1-4,11624,CDM,521,RC,11624,HCPCS,OUTPATIENT,,,1471,1176.8,,1397.45,95,,1117.96,percent of total billed charges,95% of total billed charges,1393.33,94.72,,1114.66,percent of total billed charges,94.72% of total billed charges,1453.2,98.79,,1162.56,percent of total billed charges,98.79% of total billed charges,1441.58,98,,1153.26,percent of total billed charges,98% of total billed charges,1441.58,98,,1153.26,percent of total billed charges,98% of total billed charges,706.08,48,,564.86,percent of total billed charges,48% of total billed charges,661.95,45,,529.56,percent of total billed charges,45% of total billed charges,562.66,38.25,,450.13,percent of total billed charges,38.25% of total billed charges,661.95,45,,529.56,percent of total billed charges,45% of total billed charges,661.95,45,,529.56,percent of total billed charges,45% of total billed charges,562.66,1453.2,
Excision H-F-NK-SP MLG MAR > 4 CM,11626,CDM,521,RC,11626,HCPCS,OUTPATIENT,,,1993,1594.4,,1893.35,95,,1514.68,percent of total billed charges,95% of total billed charges,1887.77,94.72,,1510.22,percent of total billed charges,94.72% of total billed charges,1968.88,98.79,,1575.1,percent of total billed charges,98.79% of total billed charges,1953.14,98,,1562.51,percent of total billed charges,98% of total billed charges,1953.14,98,,1562.51,percent of total billed charges,98% of total billed charges,956.64,48,,765.31,percent of total billed charges,48% of total billed charges,896.85,45,,717.48,percent of total billed charges,45% of total billed charges,762.32,38.25,,609.86,percent of total billed charges,38.25% of total billed charges,896.85,45,,717.48,percent of total billed charges,45% of total billed charges,896.85,45,,717.48,percent of total billed charges,45% of total billed charges,762.32,1968.88,
Excision Face-MM MALIG MARG 0.5 <,11640,CDM,521,RC,11640,HCPCS,OUTPATIENT,,,813,650.4,,772.35,95,,617.88,percent of total billed charges,95% of total billed charges,770.07,94.72,,616.06,percent of total billed charges,94.72% of total billed charges,803.16,98.79,,642.53,percent of total billed charges,98.79% of total billed charges,796.74,98,,637.39,percent of total billed charges,98% of total billed charges,796.74,98,,637.39,percent of total billed charges,98% of total billed charges,390.24,48,,312.19,percent of total billed charges,48% of total billed charges,365.85,45,,292.68,percent of total billed charges,45% of total billed charges,310.97,38.25,,248.78,percent of total billed charges,38.25% of total billed charges,365.85,45,,292.68,percent of total billed charges,45% of total billed charges,365.85,45,,292.68,percent of total billed charges,45% of total billed charges,310.97,803.16,
Excision Face-MM MALIG MARG 0.6-1,11641,CDM,521,RC,11641,HCPCS,OUTPATIENT,,,987,789.6,,937.65,95,,750.12,percent of total billed charges,95% of total billed charges,934.89,94.72,,747.91,percent of total billed charges,94.72% of total billed charges,975.06,98.79,,780.05,percent of total billed charges,98.79% of total billed charges,967.26,98,,773.81,percent of total billed charges,98% of total billed charges,967.26,98,,773.81,percent of total billed charges,98% of total billed charges,473.76,48,,379.01,percent of total billed charges,48% of total billed charges,444.15,45,,355.32,percent of total billed charges,45% of total billed charges,377.53,38.25,,302.02,percent of total billed charges,38.25% of total billed charges,444.15,45,,355.32,percent of total billed charges,45% of total billed charges,444.15,45,,355.32,percent of total billed charges,45% of total billed charges,377.53,975.06,
Excision Face-MM MALIG MARG 1.1-2,11642,CDM,521,RC,11642,HCPCS,OUTPATIENT,,,1180,944,,1121,95,,896.8,percent of total billed charges,95% of total billed charges,1117.7,94.72,,894.16,percent of total billed charges,94.72% of total billed charges,1165.72,98.79,,932.58,percent of total billed charges,98.79% of total billed charges,1156.4,98,,925.12,percent of total billed charges,98% of total billed charges,1156.4,98,,925.12,percent of total billed charges,98% of total billed charges,566.4,48,,453.12,percent of total billed charges,48% of total billed charges,531,45,,424.8,percent of total billed charges,45% of total billed charges,451.35,38.25,,361.08,percent of total billed charges,38.25% of total billed charges,531,45,,424.8,percent of total billed charges,45% of total billed charges,531,45,,424.8,percent of total billed charges,45% of total billed charges,451.35,1165.72,
Excision Face-MM MALIG MARG 2.1-3,11643,CDM,521,RC,11643,HCPCS,OUTPATIENT,,,1472,1177.6,,1398.4,95,,1118.72,percent of total billed charges,95% of total billed charges,1394.28,94.72,,1115.42,percent of total billed charges,94.72% of total billed charges,1454.19,98.79,,1163.35,percent of total billed charges,98.79% of total billed charges,1442.56,98,,1154.05,percent of total billed charges,98% of total billed charges,1442.56,98,,1154.05,percent of total billed charges,98% of total billed charges,706.56,48,,565.25,percent of total billed charges,48% of total billed charges,662.4,45,,529.92,percent of total billed charges,45% of total billed charges,563.04,38.25,,450.43,percent of total billed charges,38.25% of total billed charges,662.4,45,,529.92,percent of total billed charges,45% of total billed charges,662.4,45,,529.92,percent of total billed charges,45% of total billed charges,563.04,1454.19,
Excision malign lesion face ears eyelids nose lips 3.1 to 4.0 cm,11644,CDM,521,RC,11644,HCPCS,OUTPATIENT,,,1817,1453.6,,1726.15,95,,1380.92,percent of total billed charges,95% of total billed charges,1721.06,94.72,,1376.85,percent of total billed charges,94.72% of total billed charges,1795.01,98.79,,1436.01,percent of total billed charges,98.79% of total billed charges,1780.66,98,,1424.53,percent of total billed charges,98% of total billed charges,1780.66,98,,1424.53,percent of total billed charges,98% of total billed charges,872.16,48,,697.73,percent of total billed charges,48% of total billed charges,817.65,45,,654.12,percent of total billed charges,45% of total billed charges,695,38.25,,556,percent of total billed charges,38.25% of total billed charges,817.65,45,,654.12,percent of total billed charges,45% of total billed charges,817.65,45,,654.12,percent of total billed charges,45% of total billed charges,695,1795.01,
Excision Face-MM MLG MARG > 4 CM,11646,CDM,521,RC,11646,HCPCS,OUTPATIENT,,,2491,1992.8,,2366.45,95,,1893.16,percent of total billed charges,95% of total billed charges,2359.48,94.72,,1887.58,percent of total billed charges,94.72% of total billed charges,2460.86,98.79,,1968.69,percent of total billed charges,98.79% of total billed charges,2441.18,98,,1952.94,percent of total billed charges,98% of total billed charges,2441.18,98,,1952.94,percent of total billed charges,98% of total billed charges,1195.68,48,,956.54,percent of total billed charges,48% of total billed charges,1120.95,45,,896.76,percent of total billed charges,45% of total billed charges,952.81,38.25,,762.25,percent of total billed charges,38.25% of total billed charges,1120.95,45,,896.76,percent of total billed charges,45% of total billed charges,1120.95,45,,896.76,percent of total billed charges,45% of total billed charges,952.81,2460.86,
Trim Nail(S),11719,CDM,521,RC,11719,HCPCS,OUTPATIENT,,,81,64.8,,76.95,95,,61.56,percent of total billed charges,95% of total billed charges,76.72,94.72,,61.38,percent of total billed charges,94.72% of total billed charges,80.02,98.79,,64.02,percent of total billed charges,98.79% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,38.88,48,,31.1,percent of total billed charges,48% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,38.25,,24.78,percent of total billed charges,38.25% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,80.02,
Nail Debridement 1 to 5,11720,CDM,521,RC,11720,HCPCS,OUTPATIENT,,,102,81.6,,96.9,95,,77.52,percent of total billed charges,95% of total billed charges,96.61,94.72,,77.29,percent of total billed charges,94.72% of total billed charges,100.77,98.79,,80.62,percent of total billed charges,98.79% of total billed charges,99.96,98,,79.97,percent of total billed charges,98% of total billed charges,99.96,98,,79.97,percent of total billed charges,98% of total billed charges,48.96,48,,39.17,percent of total billed charges,48% of total billed charges,45.9,45,,36.72,percent of total billed charges,45% of total billed charges,39.02,38.25,,31.22,percent of total billed charges,38.25% of total billed charges,45.9,45,,36.72,percent of total billed charges,45% of total billed charges,45.9,45,,36.72,percent of total billed charges,45% of total billed charges,39.02,100.77,
Nail Debridement 6 or More,11721,CDM,521,RC,11721,HCPCS,OUTPATIENT,,,118,94.4,,112.1,95,,89.68,percent of total billed charges,95% of total billed charges,111.77,94.72,,89.42,percent of total billed charges,94.72% of total billed charges,116.57,98.79,,93.26,percent of total billed charges,98.79% of total billed charges,115.64,98,,92.51,percent of total billed charges,98% of total billed charges,115.64,98,,92.51,percent of total billed charges,98% of total billed charges,56.64,48,,45.31,percent of total billed charges,48% of total billed charges,53.1,45,,42.48,percent of total billed charges,45% of total billed charges,45.14,38.25,,36.11,percent of total billed charges,38.25% of total billed charges,53.1,45,,42.48,percent of total billed charges,45% of total billed charges,53.1,45,,42.48,percent of total billed charges,45% of total billed charges,45.14,116.57,
Nail Avulsion Simple,11730,CDM,521,RC,11730,HCPCS,OUTPATIENT,,,236,188.8,,224.2,95,,179.36,percent of total billed charges,95% of total billed charges,223.54,94.72,,178.83,percent of total billed charges,94.72% of total billed charges,233.14,98.79,,186.51,percent of total billed charges,98.79% of total billed charges,231.28,98,,185.02,percent of total billed charges,98% of total billed charges,231.28,98,,185.02,percent of total billed charges,98% of total billed charges,113.28,48,,90.62,percent of total billed charges,48% of total billed charges,106.2,45,,84.96,percent of total billed charges,45% of total billed charges,90.27,38.25,,72.22,percent of total billed charges,38.25% of total billed charges,106.2,45,,84.96,percent of total billed charges,45% of total billed charges,106.2,45,,84.96,percent of total billed charges,45% of total billed charges,90.27,233.14,
Remove Nail Plate Add-On,11732,CDM,521,RC,11732,HCPCS,OUTPATIENT,,,202,161.6,,191.9,95,,153.52,percent of total billed charges,95% of total billed charges,191.33,94.72,,153.06,percent of total billed charges,94.72% of total billed charges,199.56,98.79,,159.65,percent of total billed charges,98.79% of total billed charges,197.96,98,,158.37,percent of total billed charges,98% of total billed charges,197.96,98,,158.37,percent of total billed charges,98% of total billed charges,96.96,48,,77.57,percent of total billed charges,48% of total billed charges,90.9,45,,72.72,percent of total billed charges,45% of total billed charges,77.27,38.25,,61.82,percent of total billed charges,38.25% of total billed charges,90.9,45,,72.72,percent of total billed charges,45% of total billed charges,90.9,45,,72.72,percent of total billed charges,45% of total billed charges,77.27,199.56,
Nail Evacuation of Subungual Hematoma,11740,CDM,521,RC,11740,HCPCS,OUTPATIENT,,,243,194.4,,230.85,95,,184.68,percent of total billed charges,95% of total billed charges,230.17,94.72,,184.14,percent of total billed charges,94.72% of total billed charges,240.06,98.79,,192.05,percent of total billed charges,98.79% of total billed charges,238.14,98,,190.51,percent of total billed charges,98% of total billed charges,238.14,98,,190.51,percent of total billed charges,98% of total billed charges,116.64,48,,93.31,percent of total billed charges,48% of total billed charges,109.35,45,,87.48,percent of total billed charges,45% of total billed charges,92.95,38.25,,74.36,percent of total billed charges,38.25% of total billed charges,109.35,45,,87.48,percent of total billed charges,45% of total billed charges,109.35,45,,87.48,percent of total billed charges,45% of total billed charges,92.95,240.06,
Nail Excision permanent,11750,CDM,521,RC,11750,HCPCS,OUTPATIENT,,,748,598.4,,710.6,95,,568.48,percent of total billed charges,95% of total billed charges,708.51,94.72,,566.81,percent of total billed charges,94.72% of total billed charges,738.95,98.79,,591.16,percent of total billed charges,98.79% of total billed charges,733.04,98,,586.43,percent of total billed charges,98% of total billed charges,733.04,98,,586.43,percent of total billed charges,98% of total billed charges,359.04,48,,287.23,percent of total billed charges,48% of total billed charges,336.6,45,,269.28,percent of total billed charges,45% of total billed charges,286.11,38.25,,228.89,percent of total billed charges,38.25% of total billed charges,336.6,45,,269.28,percent of total billed charges,45% of total billed charges,336.6,45,,269.28,percent of total billed charges,45% of total billed charges,286.11,738.95,
REPAIR OF NAIL BED,11760,CDM,521,RC,11760,HCPCS,OUTPATIENT,,,1250,1000,,1187.5,95,,950,percent of total billed charges,95% of total billed charges,1184,94.72,,947.2,percent of total billed charges,94.72% of total billed charges,1234.88,98.79,,987.9,percent of total billed charges,98.79% of total billed charges,1225,98,,980,percent of total billed charges,98% of total billed charges,1225,98,,980,percent of total billed charges,98% of total billed charges,600,48,,480,percent of total billed charges,48% of total billed charges,562.5,45,,450,percent of total billed charges,45% of total billed charges,478.13,38.25,,382.5,percent of total billed charges,38.25% of total billed charges,562.5,45,,450,percent of total billed charges,45% of total billed charges,562.5,45,,450,percent of total billed charges,45% of total billed charges,478.13,1234.88,
Nail Wedge Excision of Skin,11765,CDM,521,RC,11765,HCPCS,OUTPATIENT,,,504,403.2,,478.8,95,,383.04,percent of total billed charges,95% of total billed charges,477.39,94.72,,381.91,percent of total billed charges,94.72% of total billed charges,497.9,98.79,,398.32,percent of total billed charges,98.79% of total billed charges,493.92,98,,395.14,percent of total billed charges,98% of total billed charges,493.92,98,,395.14,percent of total billed charges,98% of total billed charges,241.92,48,,193.54,percent of total billed charges,48% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,192.78,38.25,,154.22,percent of total billed charges,38.25% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,192.78,497.9,
INJECTION INTO SKIN LESIONS,11900,CDM,521,RC,11900,HCPCS,OUTPATIENT,,,251,200.8,,238.45,95,,190.76,percent of total billed charges,95% of total billed charges,237.75,94.72,,190.2,percent of total billed charges,94.72% of total billed charges,247.96,98.79,,198.37,percent of total billed charges,98.79% of total billed charges,245.98,98,,196.78,percent of total billed charges,98% of total billed charges,245.98,98,,196.78,percent of total billed charges,98% of total billed charges,120.48,48,,96.38,percent of total billed charges,48% of total billed charges,112.95,45,,90.36,percent of total billed charges,45% of total billed charges,96.01,38.25,,76.81,percent of total billed charges,38.25% of total billed charges,112.95,45,,90.36,percent of total billed charges,45% of total billed charges,112.95,45,,90.36,percent of total billed charges,45% of total billed charges,96.01,247.96,
REMOVAL OF CONTRACEPTIVE CAPSULE,11976,CDM,521,RC,11976,HCPCS,OUTPATIENT,,,738,590.4,,701.1,95,,560.88,percent of total billed charges,95% of total billed charges,699.03,94.72,,559.22,percent of total billed charges,94.72% of total billed charges,729.07,98.79,,583.26,percent of total billed charges,98.79% of total billed charges,723.24,98,,578.59,percent of total billed charges,98% of total billed charges,723.24,98,,578.59,percent of total billed charges,98% of total billed charges,354.24,48,,283.39,percent of total billed charges,48% of total billed charges,332.1,45,,265.68,percent of total billed charges,45% of total billed charges,282.29,38.25,,225.83,percent of total billed charges,38.25% of total billed charges,332.1,45,,265.68,percent of total billed charges,45% of total billed charges,332.1,45,,265.68,percent of total billed charges,45% of total billed charges,282.29,729.07,
Insertion| non-biodegradable drug delivery implant 11981,11981,CDM,521,RC,11981,HCPCS,OUTPATIENT,,,549,439.2,,521.55,95,,417.24,percent of total billed charges,95% of total billed charges,520.01,94.72,,416.01,percent of total billed charges,94.72% of total billed charges,542.36,98.79,,433.89,percent of total billed charges,98.79% of total billed charges,538.02,98,,430.42,percent of total billed charges,98% of total billed charges,538.02,98,,430.42,percent of total billed charges,98% of total billed charges,263.52,48,,210.82,percent of total billed charges,48% of total billed charges,247.05,45,,197.64,percent of total billed charges,45% of total billed charges,209.99,38.25,,167.99,percent of total billed charges,38.25% of total billed charges,247.05,45,,197.64,percent of total billed charges,45% of total billed charges,247.05,45,,197.64,percent of total billed charges,45% of total billed charges,209.99,542.36,
REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT,11982,CDM,521,RC,11982,HCPCS,OUTPATIENT,,,617,493.6,,586.15,95,,468.92,percent of total billed charges,95% of total billed charges,584.42,94.72,,467.54,percent of total billed charges,94.72% of total billed charges,609.53,98.79,,487.62,percent of total billed charges,98.79% of total billed charges,604.66,98,,483.73,percent of total billed charges,98% of total billed charges,604.66,98,,483.73,percent of total billed charges,98% of total billed charges,296.16,48,,236.93,percent of total billed charges,48% of total billed charges,277.65,45,,222.12,percent of total billed charges,45% of total billed charges,236,38.25,,188.8,percent of total billed charges,38.25% of total billed charges,277.65,45,,222.12,percent of total billed charges,45% of total billed charges,277.65,45,,222.12,percent of total billed charges,45% of total billed charges,236,609.53,
11983 Removal with reinsertion| non-biodegradable,11983,CDM,521,RC,11983,HCPCS,OUTPATIENT,,,794,635.2,,754.3,95,,603.44,percent of total billed charges,95% of total billed charges,752.08,94.72,,601.66,percent of total billed charges,94.72% of total billed charges,784.39,98.79,,627.51,percent of total billed charges,98.79% of total billed charges,778.12,98,,622.5,percent of total billed charges,98% of total billed charges,778.12,98,,622.5,percent of total billed charges,98% of total billed charges,381.12,48,,304.9,percent of total billed charges,48% of total billed charges,357.3,45,,285.84,percent of total billed charges,45% of total billed charges,303.71,38.25,,242.97,percent of total billed charges,38.25% of total billed charges,357.3,45,,285.84,percent of total billed charges,45% of total billed charges,357.3,45,,285.84,percent of total billed charges,45% of total billed charges,303.71,784.39,
Repair Simple; Superficial Wounds Scalp Neck Trunk Extremities 2.5 cm or less,12001,CDM,521,RC,12001,HCPCS,OUTPATIENT,,,526,420.8,,499.7,95,,399.76,percent of total billed charges,95% of total billed charges,498.23,94.72,,398.58,percent of total billed charges,94.72% of total billed charges,519.64,98.79,,415.71,percent of total billed charges,98.79% of total billed charges,515.48,98,,412.38,percent of total billed charges,98% of total billed charges,515.48,98,,412.38,percent of total billed charges,98% of total billed charges,252.48,48,,201.98,percent of total billed charges,48% of total billed charges,236.7,45,,189.36,percent of total billed charges,45% of total billed charges,201.2,38.25,,160.96,percent of total billed charges,38.25% of total billed charges,236.7,45,,189.36,percent of total billed charges,45% of total billed charges,236.7,45,,189.36,percent of total billed charges,45% of total billed charges,201.2,519.64,
Simple Repair of Superficial Wounds Scalp. Neck Trunk Extremities 2.6 cm to 7.5 cm,12002,CDM,521,RC,12002,HCPCS,OUTPATIENT,,,601,480.8,,570.95,95,,456.76,percent of total billed charges,95% of total billed charges,569.27,94.72,,455.42,percent of total billed charges,94.72% of total billed charges,593.73,98.79,,474.98,percent of total billed charges,98.79% of total billed charges,588.98,98,,471.18,percent of total billed charges,98% of total billed charges,588.98,98,,471.18,percent of total billed charges,98% of total billed charges,288.48,48,,230.78,percent of total billed charges,48% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,229.88,38.25,,183.9,percent of total billed charges,38.25% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,229.88,593.73,
REPAIR SUPERFICIAL WOUND(S),12004,CDM,521,RC,12004,HCPCS,OUTPATIENT,,,1094,875.2,,1039.3,95,,831.44,percent of total billed charges,95% of total billed charges,1036.24,94.72,,828.99,percent of total billed charges,94.72% of total billed charges,1080.76,98.79,,864.61,percent of total billed charges,98.79% of total billed charges,1072.12,98,,857.7,percent of total billed charges,98% of total billed charges,1072.12,98,,857.7,percent of total billed charges,98% of total billed charges,525.12,48,,420.1,percent of total billed charges,48% of total billed charges,492.3,45,,393.84,percent of total billed charges,45% of total billed charges,418.46,38.25,,334.77,percent of total billed charges,38.25% of total billed charges,492.3,45,,393.84,percent of total billed charges,45% of total billed charges,492.3,45,,393.84,percent of total billed charges,45% of total billed charges,418.46,1080.76,
REPAIR SIMPLE FACE EARS EYELIDS NOSE LIPS 2.5 CM OR LESS,12011,CDM,521,RC,12011,HCPCS,OUTPATIENT,,,597,477.6,,567.15,95,,453.72,percent of total billed charges,95% of total billed charges,565.48,94.72,,452.38,percent of total billed charges,94.72% of total billed charges,589.78,98.79,,471.82,percent of total billed charges,98.79% of total billed charges,585.06,98,,468.05,percent of total billed charges,98% of total billed charges,585.06,98,,468.05,percent of total billed charges,98% of total billed charges,286.56,48,,229.25,percent of total billed charges,48% of total billed charges,268.65,45,,214.92,percent of total billed charges,45% of total billed charges,228.35,38.25,,182.68,percent of total billed charges,38.25% of total billed charges,268.65,45,,214.92,percent of total billed charges,45% of total billed charges,268.65,45,,214.92,percent of total billed charges,45% of total billed charges,228.35,589.78,
Repair Simple of Superficial Wounds Face Ears Eye Lids Nose Lips Mucos Membranes 2.6 cm to 7.5 cm,12013,CDM,521,RC,12013,HCPCS,OUTPATIENT,,,812,649.6,,771.4,95,,617.12,percent of total billed charges,95% of total billed charges,769.13,94.72,,615.3,percent of total billed charges,94.72% of total billed charges,802.17,98.79,,641.74,percent of total billed charges,98.79% of total billed charges,795.76,98,,636.61,percent of total billed charges,98% of total billed charges,795.76,98,,636.61,percent of total billed charges,98% of total billed charges,389.76,48,,311.81,percent of total billed charges,48% of total billed charges,365.4,45,,292.32,percent of total billed charges,45% of total billed charges,310.59,38.25,,248.47,percent of total billed charges,38.25% of total billed charges,365.4,45,,292.32,percent of total billed charges,45% of total billed charges,365.4,45,,292.32,percent of total billed charges,45% of total billed charges,310.59,802.17,
TX SUPERFICAL WOUND SIMPLE CLOSURE,12020,CDM,521,RC,12020,HCPCS,OUTPATIENT,,,517,413.6,,491.15,95,,392.92,percent of total billed charges,95% of total billed charges,489.7,94.72,,391.76,percent of total billed charges,94.72% of total billed charges,510.74,98.79,,408.59,percent of total billed charges,98.79% of total billed charges,506.66,98,,405.33,percent of total billed charges,98% of total billed charges,506.66,98,,405.33,percent of total billed charges,98% of total billed charges,248.16,48,,198.53,percent of total billed charges,48% of total billed charges,232.65,45,,186.12,percent of total billed charges,45% of total billed charges,197.75,38.25,,158.2,percent of total billed charges,38.25% of total billed charges,232.65,45,,186.12,percent of total billed charges,45% of total billed charges,232.65,45,,186.12,percent of total billed charges,45% of total billed charges,197.75,510.74,
REPAIR INTERMEDIATE WOUNDS OF SCALP AXILLAE TRUNK AND/OR EXTR (EXCLUDING HANDS AND FEET) 2.5 CM OR LESS,12031,CDM,521,RC,12031,HCPCS,OUTPATIENT,,,833,666.4,,791.35,95,,633.08,percent of total billed charges,95% of total billed charges,789.02,94.72,,631.22,percent of total billed charges,94.72% of total billed charges,822.92,98.79,,658.34,percent of total billed charges,98.79% of total billed charges,816.34,98,,653.07,percent of total billed charges,98% of total billed charges,816.34,98,,653.07,percent of total billed charges,98% of total billed charges,399.84,48,,319.87,percent of total billed charges,48% of total billed charges,374.85,45,,299.88,percent of total billed charges,45% of total billed charges,318.62,38.25,,254.9,percent of total billed charges,38.25% of total billed charges,374.85,45,,299.88,percent of total billed charges,45% of total billed charges,374.85,45,,299.88,percent of total billed charges,45% of total billed charges,318.62,822.92,
REPAIR INTERMEDIATE WOUNDS OF SCALP AXILLAE TRUNK AND/OR EXTR (EXCLUDING HANDS AND FEET) 2.6 CM TO 7.5 CM,12032,CDM,521,RC,12032,HCPCS,OUTPATIENT,,,1058,846.4,,1005.1,95,,804.08,percent of total billed charges,95% of total billed charges,1002.14,94.72,,801.71,percent of total billed charges,94.72% of total billed charges,1045.2,98.79,,836.16,percent of total billed charges,98.79% of total billed charges,1036.84,98,,829.47,percent of total billed charges,98% of total billed charges,1036.84,98,,829.47,percent of total billed charges,98% of total billed charges,507.84,48,,406.27,percent of total billed charges,48% of total billed charges,476.1,45,,380.88,percent of total billed charges,45% of total billed charges,404.69,38.25,,323.75,percent of total billed charges,38.25% of total billed charges,476.1,45,,380.88,percent of total billed charges,45% of total billed charges,476.1,45,,380.88,percent of total billed charges,45% of total billed charges,404.69,1045.2,
LAYER CLOSURE OF WOUND(S),12034,CDM,521,RC,12034,HCPCS,OUTPATIENT,,,1418,1134.4,,1347.1,95,,1077.68,percent of total billed charges,95% of total billed charges,1343.13,94.72,,1074.5,percent of total billed charges,94.72% of total billed charges,1400.84,98.79,,1120.67,percent of total billed charges,98.79% of total billed charges,1389.64,98,,1111.71,percent of total billed charges,98% of total billed charges,1389.64,98,,1111.71,percent of total billed charges,98% of total billed charges,680.64,48,,544.51,percent of total billed charges,48% of total billed charges,638.1,45,,510.48,percent of total billed charges,45% of total billed charges,542.39,38.25,,433.91,percent of total billed charges,38.25% of total billed charges,638.1,45,,510.48,percent of total billed charges,45% of total billed charges,638.1,45,,510.48,percent of total billed charges,45% of total billed charges,542.39,1400.84,
REPAIR INTERMEDIATE WOUNDS OF NECK HANDS FEET EXTERNAL GENITALIA 2.5 CM OR LESS,12041,CDM,521,RC,12041,HCPCS,OUTPATIENT,,,972,777.6,,923.4,95,,738.72,percent of total billed charges,95% of total billed charges,920.68,94.72,,736.54,percent of total billed charges,94.72% of total billed charges,960.24,98.79,,768.19,percent of total billed charges,98.79% of total billed charges,952.56,98,,762.05,percent of total billed charges,98% of total billed charges,952.56,98,,762.05,percent of total billed charges,98% of total billed charges,466.56,48,,373.25,percent of total billed charges,48% of total billed charges,437.4,45,,349.92,percent of total billed charges,45% of total billed charges,371.79,38.25,,297.43,percent of total billed charges,38.25% of total billed charges,437.4,45,,349.92,percent of total billed charges,45% of total billed charges,437.4,45,,349.92,percent of total billed charges,45% of total billed charges,371.79,960.24,
REPAIR INTERMEDIATE WOUNDS OF NECK HANDS FEET EXTERNAL GENITALIA 2.6 CM TO 7.5 CM,12042,CDM,521,RC,12042,HCPCS,OUTPATIENT,,,1185,948,,1125.75,95,,900.6,percent of total billed charges,95% of total billed charges,1122.43,94.72,,897.94,percent of total billed charges,94.72% of total billed charges,1170.66,98.79,,936.53,percent of total billed charges,98.79% of total billed charges,1161.3,98,,929.04,percent of total billed charges,98% of total billed charges,1161.3,98,,929.04,percent of total billed charges,98% of total billed charges,568.8,48,,455.04,percent of total billed charges,48% of total billed charges,533.25,45,,426.6,percent of total billed charges,45% of total billed charges,453.26,38.25,,362.61,percent of total billed charges,38.25% of total billed charges,533.25,45,,426.6,percent of total billed charges,45% of total billed charges,533.25,45,,426.6,percent of total billed charges,45% of total billed charges,453.26,1170.66,
REPAIR INTERMEDIATE WOUNDS OF FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANE 2.5 CM OR LESS,12051,CDM,521,RC,12051,HCPCS,OUTPATIENT,,,1253,1002.4,,1190.35,95,,952.28,percent of total billed charges,95% of total billed charges,1186.84,94.72,,949.47,percent of total billed charges,94.72% of total billed charges,1237.84,98.79,,990.27,percent of total billed charges,98.79% of total billed charges,1227.94,98,,982.35,percent of total billed charges,98% of total billed charges,1227.94,98,,982.35,percent of total billed charges,98% of total billed charges,601.44,48,,481.15,percent of total billed charges,48% of total billed charges,563.85,45,,451.08,percent of total billed charges,45% of total billed charges,479.27,38.25,,383.42,percent of total billed charges,38.25% of total billed charges,563.85,45,,451.08,percent of total billed charges,45% of total billed charges,563.85,45,,451.08,percent of total billed charges,45% of total billed charges,479.27,1237.84,
REPAIR INTERMEDIATE WOUNDS OF FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANES 2.6 CM TO 7.5 CM,12052,CDM,521,RC,12052,HCPCS,OUTPATIENT,,,1872,1497.6,,1778.4,95,,1422.72,percent of total billed charges,95% of total billed charges,1773.16,94.72,,1418.53,percent of total billed charges,94.72% of total billed charges,1849.35,98.79,,1479.48,percent of total billed charges,98.79% of total billed charges,1834.56,98,,1467.65,percent of total billed charges,98% of total billed charges,1834.56,98,,1467.65,percent of total billed charges,98% of total billed charges,898.56,48,,718.85,percent of total billed charges,48% of total billed charges,842.4,45,,673.92,percent of total billed charges,45% of total billed charges,716.04,38.25,,572.83,percent of total billed charges,38.25% of total billed charges,842.4,45,,673.92,percent of total billed charges,45% of total billed charges,842.4,45,,673.92,percent of total billed charges,45% of total billed charges,716.04,1849.35,
LAYER CLOSURE OF WOUND(S),12053,CDM,521,RC,12053,HCPCS,OUTPATIENT,,,1602,1281.6,,1521.9,95,,1217.52,percent of total billed charges,95% of total billed charges,1517.41,94.72,,1213.93,percent of total billed charges,94.72% of total billed charges,1582.62,98.79,,1266.1,percent of total billed charges,98.79% of total billed charges,1569.96,98,,1255.97,percent of total billed charges,98% of total billed charges,1569.96,98,,1255.97,percent of total billed charges,98% of total billed charges,768.96,48,,615.17,percent of total billed charges,48% of total billed charges,720.9,45,,576.72,percent of total billed charges,45% of total billed charges,612.77,38.25,,490.22,percent of total billed charges,38.25% of total billed charges,720.9,45,,576.72,percent of total billed charges,45% of total billed charges,720.9,45,,576.72,percent of total billed charges,45% of total billed charges,612.77,1582.62,
REPAIR COMPLEX WOUND SCALP AND/OR EXTREM 2.6 CM TO 7.5 CM,13121,CDM,521,RC,13121,HCPCS,OUTPATIENT,,,1842,1473.6,,1749.9,95,,1399.92,percent of total billed charges,95% of total billed charges,1744.74,94.72,,1395.79,percent of total billed charges,94.72% of total billed charges,1819.71,98.79,,1455.77,percent of total billed charges,98.79% of total billed charges,1805.16,98,,1444.13,percent of total billed charges,98% of total billed charges,1805.16,98,,1444.13,percent of total billed charges,98% of total billed charges,884.16,48,,707.33,percent of total billed charges,48% of total billed charges,828.9,45,,663.12,percent of total billed charges,45% of total billed charges,704.57,38.25,,563.66,percent of total billed charges,38.25% of total billed charges,828.9,45,,663.12,percent of total billed charges,45% of total billed charges,828.9,45,,663.12,percent of total billed charges,45% of total billed charges,704.57,1819.71,
Repair;complex;fccmnaghf 1.1 to 2.5 cm,13131,CDM,521,RC,13131,HCPCS,OUTPATIENT,,,1740,1392,,1653,95,,1322.4,percent of total billed charges,95% of total billed charges,1648.13,94.72,,1318.5,percent of total billed charges,94.72% of total billed charges,1718.95,98.79,,1375.16,percent of total billed charges,98.79% of total billed charges,1705.2,98,,1364.16,percent of total billed charges,98% of total billed charges,1705.2,98,,1364.16,percent of total billed charges,98% of total billed charges,835.2,48,,668.16,percent of total billed charges,48% of total billed charges,783,45,,626.4,percent of total billed charges,45% of total billed charges,665.55,38.25,,532.44,percent of total billed charges,38.25% of total billed charges,783,45,,626.4,percent of total billed charges,45% of total billed charges,783,45,,626.4,percent of total billed charges,45% of total billed charges,665.55,1718.95,
Repair;complex;fccmnaghf 2.6 to 7.5 cm,13132,CDM,521,RC,13132,HCPCS,OUTPATIENT,,,2097,1677.6,,1992.15,95,,1593.72,percent of total billed charges,95% of total billed charges,1986.28,94.72,,1589.02,percent of total billed charges,94.72% of total billed charges,2071.63,98.79,,1657.3,percent of total billed charges,98.79% of total billed charges,2055.06,98,,1644.05,percent of total billed charges,98% of total billed charges,2055.06,98,,1644.05,percent of total billed charges,98% of total billed charges,1006.56,48,,805.25,percent of total billed charges,48% of total billed charges,943.65,45,,754.92,percent of total billed charges,45% of total billed charges,802.1,38.25,,641.68,percent of total billed charges,38.25% of total billed charges,943.65,45,,754.92,percent of total billed charges,45% of total billed charges,943.65,45,,754.92,percent of total billed charges,45% of total billed charges,802.1,2071.63,
SECONDARY CLOSURE OF SURG WOUND/DEHISCENCE EXTENSIVE OR COMPLICATED,13160,CDM,521,RC,13160,HCPCS,OUTPATIENT,,,4522,3617.6,,4295.9,95,,3436.72,percent of total billed charges,95% of total billed charges,4283.24,94.72,,3426.59,percent of total billed charges,94.72% of total billed charges,4467.28,98.79,,3573.82,percent of total billed charges,98.79% of total billed charges,4431.56,98,,3545.25,percent of total billed charges,98% of total billed charges,4431.56,98,,3545.25,percent of total billed charges,98% of total billed charges,2170.56,48,,1736.45,percent of total billed charges,48% of total billed charges,2034.9,45,,1627.92,percent of total billed charges,45% of total billed charges,1729.67,38.25,,1383.74,percent of total billed charges,38.25% of total billed charges,2034.9,45,,1627.92,percent of total billed charges,45% of total billed charges,2034.9,45,,1627.92,percent of total billed charges,45% of total billed charges,1729.67,4467.28,
Skin Tissue Rearrangement scalp arms legs; defect 10 sq cm or less,14020,CDM,521,RC,14020,HCPCS,OUTPATIENT,,,3157,2525.6,,2999.15,95,,2399.32,percent of total billed charges,95% of total billed charges,2990.31,94.72,,2392.25,percent of total billed charges,94.72% of total billed charges,3118.8,98.79,,2495.04,percent of total billed charges,98.79% of total billed charges,3093.86,98,,2475.09,percent of total billed charges,98% of total billed charges,3093.86,98,,2475.09,percent of total billed charges,98% of total billed charges,1515.36,48,,1212.29,percent of total billed charges,48% of total billed charges,1420.65,45,,1136.52,percent of total billed charges,45% of total billed charges,1207.55,38.25,,966.04,percent of total billed charges,38.25% of total billed charges,1420.65,45,,1136.52,percent of total billed charges,45% of total billed charges,1420.65,45,,1136.52,percent of total billed charges,45% of total billed charges,1207.55,3118.8,
Skin Tissue Rearrangement eyelids nose ears lips; defect 10 sq cm or less,14060,CDM,521,RC,14060,HCPCS,OUTPATIENT,,,4077,3261.6,,3873.15,95,,3098.52,percent of total billed charges,95% of total billed charges,3861.73,94.72,,3089.38,percent of total billed charges,94.72% of total billed charges,4027.67,98.79,,3222.14,percent of total billed charges,98.79% of total billed charges,3995.46,98,,3196.37,percent of total billed charges,98% of total billed charges,3995.46,98,,3196.37,percent of total billed charges,98% of total billed charges,1956.96,48,,1565.57,percent of total billed charges,48% of total billed charges,1834.65,45,,1467.72,percent of total billed charges,45% of total billed charges,1559.45,38.25,,1247.56,percent of total billed charges,38.25% of total billed charges,1834.65,45,,1467.72,percent of total billed charges,45% of total billed charges,1834.65,45,,1467.72,percent of total billed charges,45% of total billed charges,1559.45,4027.67,
WND PREP CH/INF F/N/HF/G,15004,CDM,521,RC,15004,HCPCS,OUTPATIENT,,,2621,2096.8,,2489.95,95,,1991.96,percent of total billed charges,95% of total billed charges,2482.61,94.72,,1986.09,percent of total billed charges,94.72% of total billed charges,2589.29,98.79,,2071.43,percent of total billed charges,98.79% of total billed charges,2568.58,98,,2054.86,percent of total billed charges,98% of total billed charges,2568.58,98,,2054.86,percent of total billed charges,98% of total billed charges,1258.08,48,,1006.46,percent of total billed charges,48% of total billed charges,1179.45,45,,943.56,percent of total billed charges,45% of total billed charges,1002.53,38.25,,802.02,percent of total billed charges,38.25% of total billed charges,1179.45,45,,943.56,percent of total billed charges,45% of total billed charges,1179.45,45,,943.56,percent of total billed charges,45% of total billed charges,1002.53,2589.29,
1st Degree Burn Initial Treatment,16000,CDM,521,RC,16000,HCPCS,OUTPATIENT,,,338,270.4,,321.1,95,,256.88,percent of total billed charges,95% of total billed charges,320.15,94.72,,256.12,percent of total billed charges,94.72% of total billed charges,333.91,98.79,,267.13,percent of total billed charges,98.79% of total billed charges,331.24,98,,264.99,percent of total billed charges,98% of total billed charges,331.24,98,,264.99,percent of total billed charges,98% of total billed charges,162.24,48,,129.79,percent of total billed charges,48% of total billed charges,152.1,45,,121.68,percent of total billed charges,45% of total billed charges,129.29,38.25,,103.43,percent of total billed charges,38.25% of total billed charges,152.1,45,,121.68,percent of total billed charges,45% of total billed charges,152.1,45,,121.68,percent of total billed charges,45% of total billed charges,129.29,333.91,
16020 Dressings and/or debridement of partial-thic tech,16020,CDM,521,RC,16020,HCPCS,OUTPATIENT,,,405,324,,384.75,95,,307.8,percent of total billed charges,95% of total billed charges,383.62,94.72,,306.9,percent of total billed charges,94.72% of total billed charges,400.1,98.79,,320.08,percent of total billed charges,98.79% of total billed charges,396.9,98,,317.52,percent of total billed charges,98% of total billed charges,396.9,98,,317.52,percent of total billed charges,98% of total billed charges,194.4,48,,155.52,percent of total billed charges,48% of total billed charges,182.25,45,,145.8,percent of total billed charges,45% of total billed charges,154.91,38.25,,123.93,percent of total billed charges,38.25% of total billed charges,182.25,45,,145.8,percent of total billed charges,45% of total billed charges,182.25,45,,145.8,percent of total billed charges,45% of total billed charges,154.91,400.1,
16025 Dressings and/or debridement of partial-thic Tech,16025,CDM,521,RC,16025,HCPCS,OUTPATIENT,,,630,504,,598.5,95,,478.8,percent of total billed charges,95% of total billed charges,596.74,94.72,,477.39,percent of total billed charges,94.72% of total billed charges,622.38,98.79,,497.9,percent of total billed charges,98.79% of total billed charges,617.4,98,,493.92,percent of total billed charges,98% of total billed charges,617.4,98,,493.92,percent of total billed charges,98% of total billed charges,302.4,48,,241.92,percent of total billed charges,48% of total billed charges,283.5,45,,226.8,percent of total billed charges,45% of total billed charges,240.98,38.25,,192.78,percent of total billed charges,38.25% of total billed charges,283.5,45,,226.8,percent of total billed charges,45% of total billed charges,283.5,45,,226.8,percent of total billed charges,45% of total billed charges,240.98,622.38,
Part Full Thickness Large,16030,CDM,521,RC,16030,HCPCS,OUTPATIENT,,,1230,984,,1168.5,95,,934.8,percent of total billed charges,95% of total billed charges,1165.06,94.72,,932.05,percent of total billed charges,94.72% of total billed charges,1215.12,98.79,,972.1,percent of total billed charges,98.79% of total billed charges,1205.4,98,,964.32,percent of total billed charges,98% of total billed charges,1205.4,98,,964.32,percent of total billed charges,98% of total billed charges,590.4,48,,472.32,percent of total billed charges,48% of total billed charges,553.5,45,,442.8,percent of total billed charges,45% of total billed charges,470.48,38.25,,376.38,percent of total billed charges,38.25% of total billed charges,553.5,45,,442.8,percent of total billed charges,45% of total billed charges,553.5,45,,442.8,percent of total billed charges,45% of total billed charges,470.48,1215.12,
Destruction Premalignant Lesion (actinic keratoses) first,17000,CDM,521,RC,17000,HCPCS,OUTPATIENT,,,378,302.4,,359.1,95,,287.28,percent of total billed charges,95% of total billed charges,358.04,94.72,,286.43,percent of total billed charges,94.72% of total billed charges,373.43,98.79,,298.74,percent of total billed charges,98.79% of total billed charges,370.44,98,,296.35,percent of total billed charges,98% of total billed charges,370.44,98,,296.35,percent of total billed charges,98% of total billed charges,181.44,48,,145.15,percent of total billed charges,48% of total billed charges,170.1,45,,136.08,percent of total billed charges,45% of total billed charges,144.59,38.25,,115.67,percent of total billed charges,38.25% of total billed charges,170.1,45,,136.08,percent of total billed charges,45% of total billed charges,170.1,45,,136.08,percent of total billed charges,45% of total billed charges,144.59,373.43,
Destruction premalignant lesions (actinic keratoses) 2-14,17003,CDM,521,RC,17003,HCPCS,OUTPATIENT,,,91,72.8,,86.45,95,,69.16,percent of total billed charges,95% of total billed charges,86.2,94.72,,68.96,percent of total billed charges,94.72% of total billed charges,89.9,98.79,,71.92,percent of total billed charges,98.79% of total billed charges,89.18,98,,71.34,percent of total billed charges,98% of total billed charges,89.18,98,,71.34,percent of total billed charges,98% of total billed charges,43.68,48,,34.94,percent of total billed charges,48% of total billed charges,40.95,45,,32.76,percent of total billed charges,45% of total billed charges,34.81,38.25,,27.85,percent of total billed charges,38.25% of total billed charges,40.95,45,,32.76,percent of total billed charges,45% of total billed charges,40.95,45,,32.76,percent of total billed charges,45% of total billed charges,34.81,89.9,
DESTROY LESIONS 15 OR MORE,17004,CDM,521,RC,17004,HCPCS,OUTPATIENT,,,910,728,,864.5,95,,691.6,percent of total billed charges,95% of total billed charges,861.95,94.72,,689.56,percent of total billed charges,94.72% of total billed charges,898.99,98.79,,719.19,percent of total billed charges,98.79% of total billed charges,891.8,98,,713.44,percent of total billed charges,98% of total billed charges,891.8,98,,713.44,percent of total billed charges,98% of total billed charges,436.8,48,,349.44,percent of total billed charges,48% of total billed charges,409.5,45,,327.6,percent of total billed charges,45% of total billed charges,348.08,38.25,,278.46,percent of total billed charges,38.25% of total billed charges,409.5,45,,327.6,percent of total billed charges,45% of total billed charges,409.5,45,,327.6,percent of total billed charges,45% of total billed charges,348.08,898.99,
Destruction of Benign Lesions other than Skin Tags or CVP Lesions up to 14,17110,CDM,521,RC,17110,HCPCS,OUTPATIENT,,,425,340,,403.75,95,,323,percent of total billed charges,95% of total billed charges,402.56,94.72,,322.05,percent of total billed charges,94.72% of total billed charges,419.86,98.79,,335.89,percent of total billed charges,98.79% of total billed charges,416.5,98,,333.2,percent of total billed charges,98% of total billed charges,416.5,98,,333.2,percent of total billed charges,98% of total billed charges,204,48,,163.2,percent of total billed charges,48% of total billed charges,191.25,45,,153,percent of total billed charges,45% of total billed charges,162.56,38.25,,130.05,percent of total billed charges,38.25% of total billed charges,191.25,45,,153,percent of total billed charges,45% of total billed charges,191.25,45,,153,percent of total billed charges,45% of total billed charges,162.56,419.86,
Destruction of benign lesions other than skin tags or CVP lesions 15 or more,17111,CDM,521,RC,17111,HCPCS,OUTPATIENT,,,456,364.8,,433.2,95,,346.56,percent of total billed charges,95% of total billed charges,431.92,94.72,,345.54,percent of total billed charges,94.72% of total billed charges,450.48,98.79,,360.38,percent of total billed charges,98.79% of total billed charges,446.88,98,,357.5,percent of total billed charges,98% of total billed charges,446.88,98,,357.5,percent of total billed charges,98% of total billed charges,218.88,48,,175.1,percent of total billed charges,48% of total billed charges,205.2,45,,164.16,percent of total billed charges,45% of total billed charges,174.42,38.25,,139.54,percent of total billed charges,38.25% of total billed charges,205.2,45,,164.16,percent of total billed charges,45% of total billed charges,205.2,45,,164.16,percent of total billed charges,45% of total billed charges,174.42,450.48,
Chemical Cauterization,17250,CDM,521,RC,17250,HCPCS,OUTPATIENT,,,310,248,,294.5,95,,235.6,percent of total billed charges,95% of total billed charges,293.63,94.72,,234.9,percent of total billed charges,94.72% of total billed charges,306.25,98.79,,245,percent of total billed charges,98.79% of total billed charges,303.8,98,,243.04,percent of total billed charges,98% of total billed charges,303.8,98,,243.04,percent of total billed charges,98% of total billed charges,148.8,48,,119.04,percent of total billed charges,48% of total billed charges,139.5,45,,111.6,percent of total billed charges,45% of total billed charges,118.58,38.25,,94.86,percent of total billed charges,38.25% of total billed charges,139.5,45,,111.6,percent of total billed charges,45% of total billed charges,139.5,45,,111.6,percent of total billed charges,45% of total billed charges,118.58,306.25,
DESTRUCTION MAL LESIONS; TRUNK ARMS AND/OR LEGS .5 CM OR LESS,17260,CDM,521,RC,17260,HCPCS,OUTPATIENT,,,425,340,,403.75,95,,323,percent of total billed charges,95% of total billed charges,402.56,94.72,,322.05,percent of total billed charges,94.72% of total billed charges,419.86,98.79,,335.89,percent of total billed charges,98.79% of total billed charges,416.5,98,,333.2,percent of total billed charges,98% of total billed charges,416.5,98,,333.2,percent of total billed charges,98% of total billed charges,204,48,,163.2,percent of total billed charges,48% of total billed charges,191.25,45,,153,percent of total billed charges,45% of total billed charges,162.56,38.25,,130.05,percent of total billed charges,38.25% of total billed charges,191.25,45,,153,percent of total billed charges,45% of total billed charges,191.25,45,,153,percent of total billed charges,45% of total billed charges,162.56,419.86,
DESTRUCTION MAL LESIONS; TRUNK ARMS AND/OR LEGS .6 TO 1.0 CM,17261,CDM,521,RC,17261,HCPCS,OUTPATIENT,,,552,441.6,,524.4,95,,419.52,percent of total billed charges,95% of total billed charges,522.85,94.72,,418.28,percent of total billed charges,94.72% of total billed charges,545.32,98.79,,436.26,percent of total billed charges,98.79% of total billed charges,540.96,98,,432.77,percent of total billed charges,98% of total billed charges,540.96,98,,432.77,percent of total billed charges,98% of total billed charges,264.96,48,,211.97,percent of total billed charges,48% of total billed charges,248.4,45,,198.72,percent of total billed charges,45% of total billed charges,211.14,38.25,,168.91,percent of total billed charges,38.25% of total billed charges,248.4,45,,198.72,percent of total billed charges,45% of total billed charges,248.4,45,,198.72,percent of total billed charges,45% of total billed charges,211.14,545.32,
DESTRUCTION MAL LESION; TRUNK ARMS AND/OR LEGS 1.1 TO 2.0 CM,17262,CDM,521,RC,17262,HCPCS,OUTPATIENT,,,668,534.4,,634.6,95,,507.68,percent of total billed charges,95% of total billed charges,632.73,94.72,,506.18,percent of total billed charges,94.72% of total billed charges,659.92,98.79,,527.94,percent of total billed charges,98.79% of total billed charges,654.64,98,,523.71,percent of total billed charges,98% of total billed charges,654.64,98,,523.71,percent of total billed charges,98% of total billed charges,320.64,48,,256.51,percent of total billed charges,48% of total billed charges,300.6,45,,240.48,percent of total billed charges,45% of total billed charges,255.51,38.25,,204.41,percent of total billed charges,38.25% of total billed charges,300.6,45,,240.48,percent of total billed charges,45% of total billed charges,300.6,45,,240.48,percent of total billed charges,45% of total billed charges,255.51,659.92,
DESTRUCTION MAL LES; TRUNK ARMS AND/OR LEGS 2.1 TO 3.0 CM,17263,CDM,521,RC,17263,HCPCS,OUTPATIENT,,,779,623.2,,740.05,95,,592.04,percent of total billed charges,95% of total billed charges,737.87,94.72,,590.3,percent of total billed charges,94.72% of total billed charges,769.57,98.79,,615.66,percent of total billed charges,98.79% of total billed charges,763.42,98,,610.74,percent of total billed charges,98% of total billed charges,763.42,98,,610.74,percent of total billed charges,98% of total billed charges,373.92,48,,299.14,percent of total billed charges,48% of total billed charges,350.55,45,,280.44,percent of total billed charges,45% of total billed charges,297.97,38.25,,238.38,percent of total billed charges,38.25% of total billed charges,350.55,45,,280.44,percent of total billed charges,45% of total billed charges,350.55,45,,280.44,percent of total billed charges,45% of total billed charges,297.97,769.57,
DESTRUCTION MAL LESIONS; TRUNK ARMS AND/OR LEGS 3.1 TO 4.0 CM,17264,CDM,521,RC,17264,HCPCS,OUTPATIENT,,,874,699.2,,830.3,95,,664.24,percent of total billed charges,95% of total billed charges,827.85,94.72,,662.28,percent of total billed charges,94.72% of total billed charges,863.42,98.79,,690.74,percent of total billed charges,98.79% of total billed charges,856.52,98,,685.22,percent of total billed charges,98% of total billed charges,856.52,98,,685.22,percent of total billed charges,98% of total billed charges,419.52,48,,335.62,percent of total billed charges,48% of total billed charges,393.3,45,,314.64,percent of total billed charges,45% of total billed charges,334.31,38.25,,267.45,percent of total billed charges,38.25% of total billed charges,393.3,45,,314.64,percent of total billed charges,45% of total billed charges,393.3,45,,314.64,percent of total billed charges,45% of total billed charges,334.31,863.42,
DESTRUCTION MAL LESIONS; TRUNK ARMS AND/OR LEGS OVER 4.0 CM,17266,CDM,521,RC,17266,HCPCS,OUTPATIENT,,,1048,838.4,,995.6,95,,796.48,percent of total billed charges,95% of total billed charges,992.67,94.72,,794.14,percent of total billed charges,94.72% of total billed charges,1035.32,98.79,,828.26,percent of total billed charges,98.79% of total billed charges,1027.04,98,,821.63,percent of total billed charges,98% of total billed charges,1027.04,98,,821.63,percent of total billed charges,98% of total billed charges,503.04,48,,402.43,percent of total billed charges,48% of total billed charges,471.6,45,,377.28,percent of total billed charges,45% of total billed charges,400.86,38.25,,320.69,percent of total billed charges,38.25% of total billed charges,471.6,45,,377.28,percent of total billed charges,45% of total billed charges,471.6,45,,377.28,percent of total billed charges,45% of total billed charges,400.86,1035.32,
DESTRUCT MAL LESION; SCALP NECK HANDS FEET GENITALIA .5 CM OR LESS,17270,CDM,521,RC,17270,HCPCS,OUTPATIENT,,,540,432,,513,95,,410.4,percent of total billed charges,95% of total billed charges,511.49,94.72,,409.19,percent of total billed charges,94.72% of total billed charges,533.47,98.79,,426.78,percent of total billed charges,98.79% of total billed charges,529.2,98,,423.36,percent of total billed charges,98% of total billed charges,529.2,98,,423.36,percent of total billed charges,98% of total billed charges,259.2,48,,207.36,percent of total billed charges,48% of total billed charges,243,45,,194.4,percent of total billed charges,45% of total billed charges,206.55,38.25,,165.24,percent of total billed charges,38.25% of total billed charges,243,45,,194.4,percent of total billed charges,45% of total billed charges,243,45,,194.4,percent of total billed charges,45% of total billed charges,206.55,533.47,
DESTRUCTION MAL LESIONS; SCALP NECK HANDS FEET GENITALIA .6 TO 1.0 CM,17271,CDM,521,RC,17271,HCPCS,OUTPATIENT,,,601,480.8,,570.95,95,,456.76,percent of total billed charges,95% of total billed charges,569.27,94.72,,455.42,percent of total billed charges,94.72% of total billed charges,593.73,98.79,,474.98,percent of total billed charges,98.79% of total billed charges,588.98,98,,471.18,percent of total billed charges,98% of total billed charges,588.98,98,,471.18,percent of total billed charges,98% of total billed charges,288.48,48,,230.78,percent of total billed charges,48% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,229.88,38.25,,183.9,percent of total billed charges,38.25% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,229.88,593.73,
DESTRUCT MAL LESIONS; SCALP NECK HANDS FEET GENITALIA 1.1 TO 2.0 CM,17272,CDM,521,RC,17272,HCPCS,OUTPATIENT,,,697,557.6,,662.15,95,,529.72,percent of total billed charges,95% of total billed charges,660.2,94.72,,528.16,percent of total billed charges,94.72% of total billed charges,688.57,98.79,,550.86,percent of total billed charges,98.79% of total billed charges,683.06,98,,546.45,percent of total billed charges,98% of total billed charges,683.06,98,,546.45,percent of total billed charges,98% of total billed charges,334.56,48,,267.65,percent of total billed charges,48% of total billed charges,313.65,45,,250.92,percent of total billed charges,45% of total billed charges,266.6,38.25,,213.28,percent of total billed charges,38.25% of total billed charges,313.65,45,,250.92,percent of total billed charges,45% of total billed charges,313.65,45,,250.92,percent of total billed charges,45% of total billed charges,266.6,688.57,
DESTRUCT MAL LESIONS; SCALP NECK HANDS FEET GENITALIA 2.1 TO 3.0 CM,17273,CDM,521,RC,17273,HCPCS,OUTPATIENT,,,833,666.4,,791.35,95,,633.08,percent of total billed charges,95% of total billed charges,789.02,94.72,,631.22,percent of total billed charges,94.72% of total billed charges,822.92,98.79,,658.34,percent of total billed charges,98.79% of total billed charges,816.34,98,,653.07,percent of total billed charges,98% of total billed charges,816.34,98,,653.07,percent of total billed charges,98% of total billed charges,399.84,48,,319.87,percent of total billed charges,48% of total billed charges,374.85,45,,299.88,percent of total billed charges,45% of total billed charges,318.62,38.25,,254.9,percent of total billed charges,38.25% of total billed charges,374.85,45,,299.88,percent of total billed charges,45% of total billed charges,374.85,45,,299.88,percent of total billed charges,45% of total billed charges,318.62,822.92,
DESTRUCT MAL LESIONS; SCALP NECK HANDS FEET GENITALIA 3.1 TO 4.0 CM,17274,CDM,521,RC,17274,HCPCS,OUTPATIENT,,,947,757.6,,899.65,95,,719.72,percent of total billed charges,95% of total billed charges,897,94.72,,717.6,percent of total billed charges,94.72% of total billed charges,935.54,98.79,,748.43,percent of total billed charges,98.79% of total billed charges,928.06,98,,742.45,percent of total billed charges,98% of total billed charges,928.06,98,,742.45,percent of total billed charges,98% of total billed charges,454.56,48,,363.65,percent of total billed charges,48% of total billed charges,426.15,45,,340.92,percent of total billed charges,45% of total billed charges,362.23,38.25,,289.78,percent of total billed charges,38.25% of total billed charges,426.15,45,,340.92,percent of total billed charges,45% of total billed charges,426.15,45,,340.92,percent of total billed charges,45% of total billed charges,362.23,935.54,
DESTRUCT MAL LESIONS; SCALP NECK HANDS FEET GENITALIA OVER 4.0 CM,17276,CDM,521,RC,17276,HCPCS,OUTPATIENT,,,1250,1000,,1187.5,95,,950,percent of total billed charges,95% of total billed charges,1184,94.72,,947.2,percent of total billed charges,94.72% of total billed charges,1234.88,98.79,,987.9,percent of total billed charges,98.79% of total billed charges,1225,98,,980,percent of total billed charges,98% of total billed charges,1225,98,,980,percent of total billed charges,98% of total billed charges,600,48,,480,percent of total billed charges,48% of total billed charges,562.5,45,,450,percent of total billed charges,45% of total billed charges,478.13,38.25,,382.5,percent of total billed charges,38.25% of total billed charges,562.5,45,,450,percent of total billed charges,45% of total billed charges,562.5,45,,450,percent of total billed charges,45% of total billed charges,478.13,1234.88,
DESTRUCT MAL LESIONS; FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANE .5 CM OR LESS,17280,CDM,521,RC,17280,HCPCS,OUTPATIENT,,,533,426.4,,506.35,95,,405.08,percent of total billed charges,95% of total billed charges,504.86,94.72,,403.89,percent of total billed charges,94.72% of total billed charges,526.55,98.79,,421.24,percent of total billed charges,98.79% of total billed charges,522.34,98,,417.87,percent of total billed charges,98% of total billed charges,522.34,98,,417.87,percent of total billed charges,98% of total billed charges,255.84,48,,204.67,percent of total billed charges,48% of total billed charges,239.85,45,,191.88,percent of total billed charges,45% of total billed charges,203.87,38.25,,163.1,percent of total billed charges,38.25% of total billed charges,239.85,45,,191.88,percent of total billed charges,45% of total billed charges,239.85,45,,191.88,percent of total billed charges,45% of total billed charges,203.87,526.55,
DESTRUCT MAL LESIONS; FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANE .6 TO 1.0 CM,17281,CDM,521,RC,17281,HCPCS,OUTPATIENT,,,649,519.2,,616.55,95,,493.24,percent of total billed charges,95% of total billed charges,614.73,94.72,,491.78,percent of total billed charges,94.72% of total billed charges,641.15,98.79,,512.92,percent of total billed charges,98.79% of total billed charges,636.02,98,,508.82,percent of total billed charges,98% of total billed charges,636.02,98,,508.82,percent of total billed charges,98% of total billed charges,311.52,48,,249.22,percent of total billed charges,48% of total billed charges,292.05,45,,233.64,percent of total billed charges,45% of total billed charges,248.24,38.25,,198.59,percent of total billed charges,38.25% of total billed charges,292.05,45,,233.64,percent of total billed charges,45% of total billed charges,292.05,45,,233.64,percent of total billed charges,45% of total billed charges,248.24,641.15,
DESTRUCT MAL LESION; FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANE 1.1 TO 2.0 CM,17282,CDM,521,RC,17282,HCPCS,OUTPATIENT,,,768,614.4,,729.6,95,,583.68,percent of total billed charges,95% of total billed charges,727.45,94.72,,581.96,percent of total billed charges,94.72% of total billed charges,758.71,98.79,,606.97,percent of total billed charges,98.79% of total billed charges,752.64,98,,602.11,percent of total billed charges,98% of total billed charges,752.64,98,,602.11,percent of total billed charges,98% of total billed charges,368.64,48,,294.91,percent of total billed charges,48% of total billed charges,345.6,45,,276.48,percent of total billed charges,45% of total billed charges,293.76,38.25,,235.01,percent of total billed charges,38.25% of total billed charges,345.6,45,,276.48,percent of total billed charges,45% of total billed charges,345.6,45,,276.48,percent of total billed charges,45% of total billed charges,293.76,758.71,
DESTRUCT MAL LESION; FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANE 2.1 TO 3.0 CM,17283,CDM,521,RC,17283,HCPCS,OUTPATIENT,,,956,764.8,,908.2,95,,726.56,percent of total billed charges,95% of total billed charges,905.52,94.72,,724.42,percent of total billed charges,94.72% of total billed charges,944.43,98.79,,755.54,percent of total billed charges,98.79% of total billed charges,936.88,98,,749.5,percent of total billed charges,98% of total billed charges,936.88,98,,749.5,percent of total billed charges,98% of total billed charges,458.88,48,,367.1,percent of total billed charges,48% of total billed charges,430.2,45,,344.16,percent of total billed charges,45% of total billed charges,365.67,38.25,,292.54,percent of total billed charges,38.25% of total billed charges,430.2,45,,344.16,percent of total billed charges,45% of total billed charges,430.2,45,,344.16,percent of total billed charges,45% of total billed charges,365.67,944.43,
DESTRUCT MAL LESION; FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANE 3.1 TO 4.0 CM,17284,CDM,521,RC,17284,HCPCS,OUTPATIENT,,,1059,847.2,,1006.05,95,,804.84,percent of total billed charges,95% of total billed charges,1003.08,94.72,,802.46,percent of total billed charges,94.72% of total billed charges,1046.19,98.79,,836.95,percent of total billed charges,98.79% of total billed charges,1037.82,98,,830.26,percent of total billed charges,98% of total billed charges,1037.82,98,,830.26,percent of total billed charges,98% of total billed charges,508.32,48,,406.66,percent of total billed charges,48% of total billed charges,476.55,45,,381.24,percent of total billed charges,45% of total billed charges,405.07,38.25,,324.06,percent of total billed charges,38.25% of total billed charges,476.55,45,,381.24,percent of total billed charges,45% of total billed charges,476.55,45,,381.24,percent of total billed charges,45% of total billed charges,405.07,1046.19,
DESTRUCT MAL LESION; FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANE OVER 4.0 CM,17286,CDM,521,RC,17286,HCPCS,OUTPATIENT,,,1563,1250.4,,1484.85,95,,1187.88,percent of total billed charges,95% of total billed charges,1480.47,94.72,,1184.38,percent of total billed charges,94.72% of total billed charges,1544.09,98.79,,1235.27,percent of total billed charges,98.79% of total billed charges,1531.74,98,,1225.39,percent of total billed charges,98% of total billed charges,1531.74,98,,1225.39,percent of total billed charges,98% of total billed charges,750.24,48,,600.19,percent of total billed charges,48% of total billed charges,703.35,45,,562.68,percent of total billed charges,45% of total billed charges,597.85,38.25,,478.28,percent of total billed charges,38.25% of total billed charges,703.35,45,,562.68,percent of total billed charges,45% of total billed charges,703.35,45,,562.68,percent of total billed charges,45% of total billed charges,597.85,1544.09,
Biopsy Breast Percutaneous W/O Image,19100,CDM,521,RC,19100,HCPCS,OUTPATIENT,,,779,623.2,,740.05,95,,592.04,percent of total billed charges,95% of total billed charges,737.87,94.72,,590.3,percent of total billed charges,94.72% of total billed charges,769.57,98.79,,615.66,percent of total billed charges,98.79% of total billed charges,763.42,98,,610.74,percent of total billed charges,98% of total billed charges,763.42,98,,610.74,percent of total billed charges,98% of total billed charges,373.92,48,,299.14,percent of total billed charges,48% of total billed charges,350.55,45,,280.44,percent of total billed charges,45% of total billed charges,297.97,38.25,,238.38,percent of total billed charges,38.25% of total billed charges,350.55,45,,280.44,percent of total billed charges,45% of total billed charges,350.55,45,,280.44,percent of total billed charges,45% of total billed charges,297.97,769.57,
REMOVAL FOREIGN BODY IN MUSCLE OR TENDON SHEATH; SIMPLE,20520,CDM,521,RC,20520,HCPCS,OUTPATIENT,,,644,515.2,,611.8,95,,489.44,percent of total billed charges,95% of total billed charges,610,94.72,,488,percent of total billed charges,94.72% of total billed charges,636.21,98.79,,508.97,percent of total billed charges,98.79% of total billed charges,631.12,98,,504.9,percent of total billed charges,98% of total billed charges,631.12,98,,504.9,percent of total billed charges,98% of total billed charges,309.12,48,,247.3,percent of total billed charges,48% of total billed charges,289.8,45,,231.84,percent of total billed charges,45% of total billed charges,246.33,38.25,,197.06,percent of total billed charges,38.25% of total billed charges,289.8,45,,231.84,percent of total billed charges,45% of total billed charges,289.8,45,,231.84,percent of total billed charges,45% of total billed charges,246.33,636.21,
REMOVAL OF FOREIGN BODY,20525,CDM,521,RC,20525,HCPCS,OUTPATIENT,,,1799,1439.2,,1709.05,95,,1367.24,percent of total billed charges,95% of total billed charges,1704.01,94.72,,1363.21,percent of total billed charges,94.72% of total billed charges,1777.23,98.79,,1421.78,percent of total billed charges,98.79% of total billed charges,1763.02,98,,1410.42,percent of total billed charges,98% of total billed charges,1763.02,98,,1410.42,percent of total billed charges,98% of total billed charges,863.52,48,,690.82,percent of total billed charges,48% of total billed charges,809.55,45,,647.64,percent of total billed charges,45% of total billed charges,688.12,38.25,,550.5,percent of total billed charges,38.25% of total billed charges,809.55,45,,647.64,percent of total billed charges,45% of total billed charges,809.55,45,,647.64,percent of total billed charges,45% of total billed charges,688.12,1777.23,
Therapeutic Injection Carp Tunnel,20526,CDM,521,RC,20526,HCPCS,OUTPATIENT,,,259,207.2,,246.05,95,,196.84,percent of total billed charges,95% of total billed charges,245.32,94.72,,196.26,percent of total billed charges,94.72% of total billed charges,255.87,98.79,,204.7,percent of total billed charges,98.79% of total billed charges,253.82,98,,203.06,percent of total billed charges,98% of total billed charges,253.82,98,,203.06,percent of total billed charges,98% of total billed charges,124.32,48,,99.46,percent of total billed charges,48% of total billed charges,116.55,45,,93.24,percent of total billed charges,45% of total billed charges,99.07,38.25,,79.26,percent of total billed charges,38.25% of total billed charges,116.55,45,,93.24,percent of total billed charges,45% of total billed charges,116.55,45,,93.24,percent of total billed charges,45% of total billed charges,99.07,255.87,
Injection Single Tendon Sheath,20550,CDM,521,RC,20550,HCPCS,OUTPATIENT,,,246,196.8,,233.7,95,,186.96,percent of total billed charges,95% of total billed charges,233.01,94.72,,186.41,percent of total billed charges,94.72% of total billed charges,243.02,98.79,,194.42,percent of total billed charges,98.79% of total billed charges,241.08,98,,192.86,percent of total billed charges,98% of total billed charges,241.08,98,,192.86,percent of total billed charges,98% of total billed charges,118.08,48,,94.46,percent of total billed charges,48% of total billed charges,110.7,45,,88.56,percent of total billed charges,45% of total billed charges,94.1,38.25,,75.28,percent of total billed charges,38.25% of total billed charges,110.7,45,,88.56,percent of total billed charges,45% of total billed charges,110.7,45,,88.56,percent of total billed charges,45% of total billed charges,94.1,243.02,
Injection single tendon origin/insertion,20551,CDM,521,RC,20551,HCPCS,OUTPATIENT,,,173,138.4,,164.35,95,,131.48,percent of total billed charges,95% of total billed charges,163.87,94.72,,131.1,percent of total billed charges,94.72% of total billed charges,170.91,98.79,,136.73,percent of total billed charges,98.79% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,83.04,48,,66.43,percent of total billed charges,48% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,38.25,,52.94,percent of total billed charges,38.25% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,170.91,
Single Multiple Trigger Points 1 or 2 Muscles,20552,CDM,521,RC,20552,HCPCS,OUTPATIENT,,,193,154.4,,183.35,95,,146.68,percent of total billed charges,95% of total billed charges,182.81,94.72,,146.25,percent of total billed charges,94.72% of total billed charges,190.66,98.79,,152.53,percent of total billed charges,98.79% of total billed charges,189.14,98,,151.31,percent of total billed charges,98% of total billed charges,189.14,98,,151.31,percent of total billed charges,98% of total billed charges,92.64,48,,74.11,percent of total billed charges,48% of total billed charges,86.85,45,,69.48,percent of total billed charges,45% of total billed charges,73.82,38.25,,59.06,percent of total billed charges,38.25% of total billed charges,86.85,45,,69.48,percent of total billed charges,45% of total billed charges,86.85,45,,69.48,percent of total billed charges,45% of total billed charges,73.82,190.66,
Single Multiple Trigger Points 3 or more Muscles,20553,CDM,521,RC,20553,HCPCS,OUTPATIENT,,,399,319.2,,379.05,95,,303.24,percent of total billed charges,95% of total billed charges,377.93,94.72,,302.34,percent of total billed charges,94.72% of total billed charges,394.17,98.79,,315.34,percent of total billed charges,98.79% of total billed charges,391.02,98,,312.82,percent of total billed charges,98% of total billed charges,391.02,98,,312.82,percent of total billed charges,98% of total billed charges,191.52,48,,153.22,percent of total billed charges,48% of total billed charges,179.55,45,,143.64,percent of total billed charges,45% of total billed charges,152.62,38.25,,122.1,percent of total billed charges,38.25% of total billed charges,179.55,45,,143.64,percent of total billed charges,45% of total billed charges,179.55,45,,143.64,percent of total billed charges,45% of total billed charges,152.62,394.17,
Injection Aspiration Small Joint,20600,CDM,521,RC,20600,HCPCS,OUTPATIENT,,,138,110.4,,131.1,95,,104.88,percent of total billed charges,95% of total billed charges,130.71,94.72,,104.57,percent of total billed charges,94.72% of total billed charges,136.33,98.79,,109.06,percent of total billed charges,98.79% of total billed charges,135.24,98,,108.19,percent of total billed charges,98% of total billed charges,135.24,98,,108.19,percent of total billed charges,98% of total billed charges,66.24,48,,52.99,percent of total billed charges,48% of total billed charges,62.1,45,,49.68,percent of total billed charges,45% of total billed charges,52.79,38.25,,42.23,percent of total billed charges,38.25% of total billed charges,62.1,45,,49.68,percent of total billed charges,45% of total billed charges,62.1,45,,49.68,percent of total billed charges,45% of total billed charges,52.79,136.33,
Injection Aspiration Medium Joint,20605,CDM,521,RC,20605,HCPCS,OUTPATIENT,,,315,252,,299.25,95,,239.4,percent of total billed charges,95% of total billed charges,298.37,94.72,,238.7,percent of total billed charges,94.72% of total billed charges,311.19,98.79,,248.95,percent of total billed charges,98.79% of total billed charges,308.7,98,,246.96,percent of total billed charges,98% of total billed charges,308.7,98,,246.96,percent of total billed charges,98% of total billed charges,151.2,48,,120.96,percent of total billed charges,48% of total billed charges,141.75,45,,113.4,percent of total billed charges,45% of total billed charges,120.49,38.25,,96.39,percent of total billed charges,38.25% of total billed charges,141.75,45,,113.4,percent of total billed charges,45% of total billed charges,141.75,45,,113.4,percent of total billed charges,45% of total billed charges,120.49,311.19,
Tech Fee Aspiration/Inj Large Joints,20610,CDM,521,RC,20610,HCPCS,OUTPATIENT,,,342,273.6,,324.9,95,,259.92,percent of total billed charges,95% of total billed charges,323.94,94.72,,259.15,percent of total billed charges,94.72% of total billed charges,337.86,98.79,,270.29,percent of total billed charges,98.79% of total billed charges,335.16,98,,268.13,percent of total billed charges,98% of total billed charges,335.16,98,,268.13,percent of total billed charges,98% of total billed charges,164.16,48,,131.33,percent of total billed charges,48% of total billed charges,153.9,45,,123.12,percent of total billed charges,45% of total billed charges,130.82,38.25,,104.66,percent of total billed charges,38.25% of total billed charges,153.9,45,,123.12,percent of total billed charges,45% of total billed charges,153.9,45,,123.12,percent of total billed charges,45% of total billed charges,130.82,337.86,
ASPIRATE AND/OR INJ GANGLION CYST ANY LOCATION,20612,CDM,521,RC,20612,HCPCS,OUTPATIENT,,,254,203.2,,241.3,95,,193.04,percent of total billed charges,95% of total billed charges,240.59,94.72,,192.47,percent of total billed charges,94.72% of total billed charges,250.93,98.79,,200.74,percent of total billed charges,98.79% of total billed charges,248.92,98,,199.14,percent of total billed charges,98% of total billed charges,248.92,98,,199.14,percent of total billed charges,98% of total billed charges,121.92,48,,97.54,percent of total billed charges,48% of total billed charges,114.3,45,,91.44,percent of total billed charges,45% of total billed charges,97.16,38.25,,77.73,percent of total billed charges,38.25% of total billed charges,114.3,45,,91.44,percent of total billed charges,45% of total billed charges,114.3,45,,91.44,percent of total billed charges,45% of total billed charges,97.16,250.93,
REMOVAL OF IMPLANT; SUPERFICIAL,20670,CDM,521,RC,20670,HCPCS,OUTPATIENT,,,1435,1148,,1363.25,95,,1090.6,percent of total billed charges,95% of total billed charges,1359.23,94.72,,1087.38,percent of total billed charges,94.72% of total billed charges,1417.64,98.79,,1134.11,percent of total billed charges,98.79% of total billed charges,1406.3,98,,1125.04,percent of total billed charges,98% of total billed charges,1406.3,98,,1125.04,percent of total billed charges,98% of total billed charges,688.8,48,,551.04,percent of total billed charges,48% of total billed charges,645.75,45,,516.6,percent of total billed charges,45% of total billed charges,548.89,38.25,,439.11,percent of total billed charges,38.25% of total billed charges,645.75,45,,516.6,percent of total billed charges,45% of total billed charges,645.75,45,,516.6,percent of total billed charges,45% of total billed charges,548.89,1417.64,
REMOVAL OF IMPLANT; DEEP,20680,CDM,521,RC,20680,HCPCS,OUTPATIENT,,,1728,1382.4,,1641.6,95,,1313.28,percent of total billed charges,95% of total billed charges,1636.76,94.72,,1309.41,percent of total billed charges,94.72% of total billed charges,1707.09,98.79,,1365.67,percent of total billed charges,98.79% of total billed charges,1693.44,98,,1354.75,percent of total billed charges,98% of total billed charges,1693.44,98,,1354.75,percent of total billed charges,98% of total billed charges,829.44,48,,663.55,percent of total billed charges,48% of total billed charges,777.6,45,,622.08,percent of total billed charges,45% of total billed charges,660.96,38.25,,528.77,percent of total billed charges,38.25% of total billed charges,777.6,45,,622.08,percent of total billed charges,45% of total billed charges,777.6,45,,622.08,percent of total billed charges,45% of total billed charges,660.96,1707.09,
ELECTRICAL BONE STIMULATION,20974,CDM,521,RC,20974,HCPCS,OUTPATIENT,,,671,536.8,,637.45,95,,509.96,percent of total billed charges,95% of total billed charges,635.57,94.72,,508.46,percent of total billed charges,94.72% of total billed charges,662.88,98.79,,530.3,percent of total billed charges,98.79% of total billed charges,657.58,98,,526.06,percent of total billed charges,98% of total billed charges,657.58,98,,526.06,percent of total billed charges,98% of total billed charges,322.08,48,,257.66,percent of total billed charges,48% of total billed charges,301.95,45,,241.56,percent of total billed charges,45% of total billed charges,256.66,38.25,,205.33,percent of total billed charges,38.25% of total billed charges,301.95,45,,241.56,percent of total billed charges,45% of total billed charges,301.95,45,,241.56,percent of total billed charges,45% of total billed charges,256.66,662.88,
ELECTRICAL BONE STIMULATION,20975,CDM,521,RC,20975,HCPCS,OUTPATIENT,,,1885,1508,,1790.75,95,,1432.6,percent of total billed charges,95% of total billed charges,1785.47,94.72,,1428.38,percent of total billed charges,94.72% of total billed charges,1862.19,98.79,,1489.75,percent of total billed charges,98.79% of total billed charges,1847.3,98,,1477.84,percent of total billed charges,98% of total billed charges,1847.3,98,,1477.84,percent of total billed charges,98% of total billed charges,904.8,48,,723.84,percent of total billed charges,48% of total billed charges,848.25,45,,678.6,percent of total billed charges,45% of total billed charges,721.01,38.25,,576.81,percent of total billed charges,38.25% of total billed charges,848.25,45,,678.6,percent of total billed charges,45% of total billed charges,848.25,45,,678.6,percent of total billed charges,45% of total billed charges,721.01,1862.19,
EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ<2CM,21011,CDM,521,RC,21011,HCPCS,OUTPATIENT,,,1527,1221.6,,1450.65,95,,1160.52,percent of total billed charges,95% of total billed charges,1446.37,94.72,,1157.1,percent of total billed charges,94.72% of total billed charges,1508.52,98.79,,1206.82,percent of total billed charges,98.79% of total billed charges,1496.46,98,,1197.17,percent of total billed charges,98% of total billed charges,1496.46,98,,1197.17,percent of total billed charges,98% of total billed charges,732.96,48,,586.37,percent of total billed charges,48% of total billed charges,687.15,45,,549.72,percent of total billed charges,45% of total billed charges,584.08,38.25,,467.26,percent of total billed charges,38.25% of total billed charges,687.15,45,,549.72,percent of total billed charges,45% of total billed charges,687.15,45,,549.72,percent of total billed charges,45% of total billed charges,584.08,1508.52,
EXC FACE TUM DEEP 2+ CM,21014,CDM,521,RC,21014,HCPCS,OUTPATIENT,,,2409,1927.2,,2288.55,95,,1830.84,percent of total billed charges,95% of total billed charges,2281.8,94.72,,1825.44,percent of total billed charges,94.72% of total billed charges,2379.85,98.79,,1903.88,percent of total billed charges,98.79% of total billed charges,2360.82,98,,1888.66,percent of total billed charges,98% of total billed charges,2360.82,98,,1888.66,percent of total billed charges,98% of total billed charges,1156.32,48,,925.06,percent of total billed charges,48% of total billed charges,1084.05,45,,867.24,percent of total billed charges,45% of total billed charges,921.44,38.25,,737.15,percent of total billed charges,38.25% of total billed charges,1084.05,45,,867.24,percent of total billed charges,45% of total billed charges,1084.05,45,,867.24,percent of total billed charges,45% of total billed charges,921.44,2379.85,
CLOSED TREATMENT OF NOSE FX WITHOUT STABILIZATION,21315,CDM,521,RC,21315,HCPCS,OUTPATIENT,,,968,774.4,,919.6,95,,735.68,percent of total billed charges,95% of total billed charges,916.89,94.72,,733.51,percent of total billed charges,94.72% of total billed charges,956.29,98.79,,765.03,percent of total billed charges,98.79% of total billed charges,948.64,98,,758.91,percent of total billed charges,98% of total billed charges,948.64,98,,758.91,percent of total billed charges,98% of total billed charges,464.64,48,,371.71,percent of total billed charges,48% of total billed charges,435.6,45,,348.48,percent of total billed charges,45% of total billed charges,370.26,38.25,,296.21,percent of total billed charges,38.25% of total billed charges,435.6,45,,348.48,percent of total billed charges,45% of total billed charges,435.6,45,,348.48,percent of total billed charges,45% of total billed charges,370.26,956.29,
CLOSEDTREATMENT OF NOSE FX WITH STABILIZATION,21320,CDM,521,RC,21320,HCPCS,OUTPATIENT,,,1256,1004.8,,1193.2,95,,954.56,percent of total billed charges,95% of total billed charges,1189.68,94.72,,951.74,percent of total billed charges,94.72% of total billed charges,1240.8,98.79,,992.64,percent of total billed charges,98.79% of total billed charges,1230.88,98,,984.7,percent of total billed charges,98% of total billed charges,1230.88,98,,984.7,percent of total billed charges,98% of total billed charges,602.88,48,,482.3,percent of total billed charges,48% of total billed charges,565.2,45,,452.16,percent of total billed charges,45% of total billed charges,480.42,38.25,,384.34,percent of total billed charges,38.25% of total billed charges,565.2,45,,452.16,percent of total billed charges,45% of total billed charges,565.2,45,,452.16,percent of total billed charges,45% of total billed charges,480.42,1240.8,
Clavicular Fx Closed Treatment,23500,CDM,521,RC,23500,HCPCS,OUTPATIENT,,,947,757.6,,899.65,95,,719.72,percent of total billed charges,95% of total billed charges,897,94.72,,717.6,percent of total billed charges,94.72% of total billed charges,935.54,98.79,,748.43,percent of total billed charges,98.79% of total billed charges,928.06,98,,742.45,percent of total billed charges,98% of total billed charges,928.06,98,,742.45,percent of total billed charges,98% of total billed charges,454.56,48,,363.65,percent of total billed charges,48% of total billed charges,426.15,45,,340.92,percent of total billed charges,45% of total billed charges,362.23,38.25,,289.78,percent of total billed charges,38.25% of total billed charges,426.15,45,,340.92,percent of total billed charges,45% of total billed charges,426.15,45,,340.92,percent of total billed charges,45% of total billed charges,362.23,935.54,
CLOSED TREATMENT ACROMIOCLAVICULAR DISLOCATION,23540,CDM,521,RC,23540,HCPCS,OUTPATIENT,,,952,761.6,,904.4,95,,723.52,percent of total billed charges,95% of total billed charges,901.73,94.72,,721.38,percent of total billed charges,94.72% of total billed charges,940.48,98.79,,752.38,percent of total billed charges,98.79% of total billed charges,932.96,98,,746.37,percent of total billed charges,98% of total billed charges,932.96,98,,746.37,percent of total billed charges,98% of total billed charges,456.96,48,,365.57,percent of total billed charges,48% of total billed charges,428.4,45,,342.72,percent of total billed charges,45% of total billed charges,364.14,38.25,,291.31,percent of total billed charges,38.25% of total billed charges,428.4,45,,342.72,percent of total billed charges,45% of total billed charges,428.4,45,,342.72,percent of total billed charges,45% of total billed charges,364.14,940.48,
Scapular Fx Closed Treatment,23570,CDM,521,RC,23570,HCPCS,OUTPATIENT,,,1007,805.6,,956.65,95,,765.32,percent of total billed charges,95% of total billed charges,953.83,94.72,,763.06,percent of total billed charges,94.72% of total billed charges,994.82,98.79,,795.86,percent of total billed charges,98.79% of total billed charges,986.86,98,,789.49,percent of total billed charges,98% of total billed charges,986.86,98,,789.49,percent of total billed charges,98% of total billed charges,483.36,48,,386.69,percent of total billed charges,48% of total billed charges,453.15,45,,362.52,percent of total billed charges,45% of total billed charges,385.18,38.25,,308.14,percent of total billed charges,38.25% of total billed charges,453.15,45,,362.52,percent of total billed charges,45% of total billed charges,453.15,45,,362.52,percent of total billed charges,45% of total billed charges,385.18,994.82,
Humerus Fx Closed Treatment,23600,CDM,521,RC,23600,HCPCS,OUTPATIENT,,,1349,1079.2,,1281.55,95,,1025.24,percent of total billed charges,95% of total billed charges,1277.77,94.72,,1022.22,percent of total billed charges,94.72% of total billed charges,1332.68,98.79,,1066.14,percent of total billed charges,98.79% of total billed charges,1322.02,98,,1057.62,percent of total billed charges,98% of total billed charges,1322.02,98,,1057.62,percent of total billed charges,98% of total billed charges,647.52,48,,518.02,percent of total billed charges,48% of total billed charges,607.05,45,,485.64,percent of total billed charges,45% of total billed charges,515.99,38.25,,412.79,percent of total billed charges,38.25% of total billed charges,607.05,45,,485.64,percent of total billed charges,45% of total billed charges,607.05,45,,485.64,percent of total billed charges,45% of total billed charges,515.99,1332.68,
CLOSED TREATMENT GREATER HUMERAL TUBEROSITY FX,23620,CDM,521,RC,23620,HCPCS,OUTPATIENT,,,1153,922.4,,1095.35,95,,876.28,percent of total billed charges,95% of total billed charges,1092.12,94.72,,873.7,percent of total billed charges,94.72% of total billed charges,1139.05,98.79,,911.24,percent of total billed charges,98.79% of total billed charges,1129.94,98,,903.95,percent of total billed charges,98% of total billed charges,1129.94,98,,903.95,percent of total billed charges,98% of total billed charges,553.44,48,,442.75,percent of total billed charges,48% of total billed charges,518.85,45,,415.08,percent of total billed charges,45% of total billed charges,441.02,38.25,,352.82,percent of total billed charges,38.25% of total billed charges,518.85,45,,415.08,percent of total billed charges,45% of total billed charges,518.85,45,,415.08,percent of total billed charges,45% of total billed charges,441.02,1139.05,
Shoulder Dislocation Closed Treatment,23650,CDM,521,RC,23650,HCPCS,OUTPATIENT,,,859,687.2,,816.05,95,,652.84,percent of total billed charges,95% of total billed charges,813.64,94.72,,650.91,percent of total billed charges,94.72% of total billed charges,848.61,98.79,,678.89,percent of total billed charges,98.79% of total billed charges,841.82,98,,673.46,percent of total billed charges,98% of total billed charges,841.82,98,,673.46,percent of total billed charges,98% of total billed charges,412.32,48,,329.86,percent of total billed charges,48% of total billed charges,386.55,45,,309.24,percent of total billed charges,45% of total billed charges,328.57,38.25,,262.86,percent of total billed charges,38.25% of total billed charges,386.55,45,,309.24,percent of total billed charges,45% of total billed charges,386.55,45,,309.24,percent of total billed charges,45% of total billed charges,328.57,848.61,
CLOSED TREATMENT OF HUMERAL SHAFT FX WITHOUT MANIPULATION,24500,CDM,521,RC,24500,HCPCS,OUTPATIENT,,,1492,1193.6,,1417.4,95,,1133.92,percent of total billed charges,95% of total billed charges,1413.22,94.72,,1130.58,percent of total billed charges,94.72% of total billed charges,1473.95,98.79,,1179.16,percent of total billed charges,98.79% of total billed charges,1462.16,98,,1169.73,percent of total billed charges,98% of total billed charges,1462.16,98,,1169.73,percent of total billed charges,98% of total billed charges,716.16,48,,572.93,percent of total billed charges,48% of total billed charges,671.4,45,,537.12,percent of total billed charges,45% of total billed charges,570.69,38.25,,456.55,percent of total billed charges,38.25% of total billed charges,671.4,45,,537.12,percent of total billed charges,45% of total billed charges,671.4,45,,537.12,percent of total billed charges,45% of total billed charges,570.69,1473.95,
CLOSED TREATMENT OF SUPRACONDYLAR OR TRANSCONDYLAR HUMERAL FX WITHOUT MANIPULATION,24530,CDM,521,RC,24530,HCPCS,OUTPATIENT,,,1603,1282.4,,1522.85,95,,1218.28,percent of total billed charges,95% of total billed charges,1518.36,94.72,,1214.69,percent of total billed charges,94.72% of total billed charges,1583.6,98.79,,1266.88,percent of total billed charges,98.79% of total billed charges,1570.94,98,,1256.75,percent of total billed charges,98% of total billed charges,1570.94,98,,1256.75,percent of total billed charges,98% of total billed charges,769.44,48,,615.55,percent of total billed charges,48% of total billed charges,721.35,45,,577.08,percent of total billed charges,45% of total billed charges,613.15,38.25,,490.52,percent of total billed charges,38.25% of total billed charges,721.35,45,,577.08,percent of total billed charges,45% of total billed charges,721.35,45,,577.08,percent of total billed charges,45% of total billed charges,613.15,1583.6,
Epicondyle Fx Closed Treatment,24560,CDM,521,RC,24560,HCPCS,OUTPATIENT,,,1398,1118.4,,1328.1,95,,1062.48,percent of total billed charges,95% of total billed charges,1324.19,94.72,,1059.35,percent of total billed charges,94.72% of total billed charges,1381.08,98.79,,1104.86,percent of total billed charges,98.79% of total billed charges,1370.04,98,,1096.03,percent of total billed charges,98% of total billed charges,1370.04,98,,1096.03,percent of total billed charges,98% of total billed charges,671.04,48,,536.83,percent of total billed charges,48% of total billed charges,629.1,45,,503.28,percent of total billed charges,45% of total billed charges,534.74,38.25,,427.79,percent of total billed charges,38.25% of total billed charges,629.1,45,,503.28,percent of total billed charges,45% of total billed charges,629.1,45,,503.28,percent of total billed charges,45% of total billed charges,534.74,1381.08,
Dislocation Elbow Closed Treatment,24600,CDM,521,RC,24600,HCPCS,OUTPATIENT,,,1430,1144,,1358.5,95,,1086.8,percent of total billed charges,95% of total billed charges,1354.5,94.72,,1083.6,percent of total billed charges,94.72% of total billed charges,1412.7,98.79,,1130.16,percent of total billed charges,98.79% of total billed charges,1401.4,98,,1121.12,percent of total billed charges,98% of total billed charges,1401.4,98,,1121.12,percent of total billed charges,98% of total billed charges,686.4,48,,549.12,percent of total billed charges,48% of total billed charges,643.5,45,,514.8,percent of total billed charges,45% of total billed charges,546.98,38.25,,437.58,percent of total billed charges,38.25% of total billed charges,643.5,45,,514.8,percent of total billed charges,45% of total billed charges,643.5,45,,514.8,percent of total billed charges,45% of total billed charges,546.98,1412.7,
Radial Head or Neck Fx Closed Treatment,24650,CDM,521,RC,24650,HCPCS,OUTPATIENT,,,515,412,,489.25,95,,391.4,percent of total billed charges,95% of total billed charges,487.81,94.72,,390.25,percent of total billed charges,94.72% of total billed charges,508.77,98.79,,407.02,percent of total billed charges,98.79% of total billed charges,504.7,98,,403.76,percent of total billed charges,98% of total billed charges,504.7,98,,403.76,percent of total billed charges,98% of total billed charges,247.2,48,,197.76,percent of total billed charges,48% of total billed charges,231.75,45,,185.4,percent of total billed charges,45% of total billed charges,196.99,38.25,,157.59,percent of total billed charges,38.25% of total billed charges,231.75,45,,185.4,percent of total billed charges,45% of total billed charges,231.75,45,,185.4,percent of total billed charges,45% of total billed charges,196.99,508.77,
Ulnar Proximal End Fx Closed Treatment,24670,CDM,521,RC,24670,HCPCS,OUTPATIENT,,,1194,955.2,,1134.3,95,,907.44,percent of total billed charges,95% of total billed charges,1130.96,94.72,,904.77,percent of total billed charges,94.72% of total billed charges,1179.55,98.79,,943.64,percent of total billed charges,98.79% of total billed charges,1170.12,98,,936.1,percent of total billed charges,98% of total billed charges,1170.12,98,,936.1,percent of total billed charges,98% of total billed charges,573.12,48,,458.5,percent of total billed charges,48% of total billed charges,537.3,45,,429.84,percent of total billed charges,45% of total billed charges,456.71,38.25,,365.37,percent of total billed charges,38.25% of total billed charges,537.3,45,,429.84,percent of total billed charges,45% of total billed charges,537.3,45,,429.84,percent of total billed charges,45% of total billed charges,456.71,1179.55,
CLOSED TREATMENT ULNAR SHAFT FX W/O MANIPULATION,25530,CDM,521,RC,25530,HCPCS,OUTPATIENT,,,1115,892,,1059.25,95,,847.4,percent of total billed charges,95% of total billed charges,1056.13,94.72,,844.9,percent of total billed charges,94.72% of total billed charges,1101.51,98.79,,881.21,percent of total billed charges,98.79% of total billed charges,1092.7,98,,874.16,percent of total billed charges,98% of total billed charges,1092.7,98,,874.16,percent of total billed charges,98% of total billed charges,535.2,48,,428.16,percent of total billed charges,48% of total billed charges,501.75,45,,401.4,percent of total billed charges,45% of total billed charges,426.49,38.25,,341.19,percent of total billed charges,38.25% of total billed charges,501.75,45,,401.4,percent of total billed charges,45% of total billed charges,501.75,45,,401.4,percent of total billed charges,45% of total billed charges,426.49,1101.51,
CLOSED TREATMENT RADIAL AND ULNAR SHAFT FX W/O MANIP,25560,CDM,521,RC,25560,HCPCS,OUTPATIENT,,,1190,952,,1130.5,95,,904.4,percent of total billed charges,95% of total billed charges,1127.17,94.72,,901.74,percent of total billed charges,94.72% of total billed charges,1175.6,98.79,,940.48,percent of total billed charges,98.79% of total billed charges,1166.2,98,,932.96,percent of total billed charges,98% of total billed charges,1166.2,98,,932.96,percent of total billed charges,98% of total billed charges,571.2,48,,456.96,percent of total billed charges,48% of total billed charges,535.5,45,,428.4,percent of total billed charges,45% of total billed charges,455.18,38.25,,364.14,percent of total billed charges,38.25% of total billed charges,535.5,45,,428.4,percent of total billed charges,45% of total billed charges,535.5,45,,428.4,percent of total billed charges,45% of total billed charges,455.18,1175.6,
Distal Radial Fx Closed Treatment,25600,CDM,521,RC,25600,HCPCS,OUTPATIENT,,,1847,1477.6,,1754.65,95,,1403.72,percent of total billed charges,95% of total billed charges,1749.48,94.72,,1399.58,percent of total billed charges,94.72% of total billed charges,1824.65,98.79,,1459.72,percent of total billed charges,98.79% of total billed charges,1810.06,98,,1448.05,percent of total billed charges,98% of total billed charges,1810.06,98,,1448.05,percent of total billed charges,98% of total billed charges,886.56,48,,709.25,percent of total billed charges,48% of total billed charges,831.15,45,,664.92,percent of total billed charges,45% of total billed charges,706.48,38.25,,565.18,percent of total billed charges,38.25% of total billed charges,831.15,45,,664.92,percent of total billed charges,45% of total billed charges,831.15,45,,664.92,percent of total billed charges,45% of total billed charges,706.48,1824.65,
CLOSED TREATMENT DISTAL RADIAL FX WITH MANIPULATION,25605,CDM,521,RC,25605,HCPCS,OUTPATIENT,,,1928,1542.4,,1831.6,95,,1465.28,percent of total billed charges,95% of total billed charges,1826.2,94.72,,1460.96,percent of total billed charges,94.72% of total billed charges,1904.67,98.79,,1523.74,percent of total billed charges,98.79% of total billed charges,1889.44,98,,1511.55,percent of total billed charges,98% of total billed charges,1889.44,98,,1511.55,percent of total billed charges,98% of total billed charges,925.44,48,,740.35,percent of total billed charges,48% of total billed charges,867.6,45,,694.08,percent of total billed charges,45% of total billed charges,737.46,38.25,,589.97,percent of total billed charges,38.25% of total billed charges,867.6,45,,694.08,percent of total billed charges,45% of total billed charges,867.6,45,,694.08,percent of total billed charges,45% of total billed charges,737.46,1904.67,
Navicular Fx Closed Treatment,25622,CDM,521,RC,25622,HCPCS,OUTPATIENT,,,1308,1046.4,,1242.6,95,,994.08,percent of total billed charges,95% of total billed charges,1238.94,94.72,,991.15,percent of total billed charges,94.72% of total billed charges,1292.17,98.79,,1033.74,percent of total billed charges,98.79% of total billed charges,1281.84,98,,1025.47,percent of total billed charges,98% of total billed charges,1281.84,98,,1025.47,percent of total billed charges,98% of total billed charges,627.84,48,,502.27,percent of total billed charges,48% of total billed charges,588.6,45,,470.88,percent of total billed charges,45% of total billed charges,500.31,38.25,,400.25,percent of total billed charges,38.25% of total billed charges,588.6,45,,470.88,percent of total billed charges,45% of total billed charges,588.6,45,,470.88,percent of total billed charges,45% of total billed charges,500.31,1292.17,
Carpal Bone Fx Closed Treatment,25630,CDM,521,RC,25630,HCPCS,OUTPATIENT,,,1277,1021.6,,1213.15,95,,970.52,percent of total billed charges,95% of total billed charges,1209.57,94.72,,967.66,percent of total billed charges,94.72% of total billed charges,1261.55,98.79,,1009.24,percent of total billed charges,98.79% of total billed charges,1251.46,98,,1001.17,percent of total billed charges,98% of total billed charges,1251.46,98,,1001.17,percent of total billed charges,98% of total billed charges,612.96,48,,490.37,percent of total billed charges,48% of total billed charges,574.65,45,,459.72,percent of total billed charges,45% of total billed charges,488.45,38.25,,390.76,percent of total billed charges,38.25% of total billed charges,574.65,45,,459.72,percent of total billed charges,45% of total billed charges,574.65,45,,459.72,percent of total billed charges,45% of total billed charges,488.45,1261.55,
CLOSED TREATMENT ULNAR STYLOID FRACTURE,25650,CDM,521,RC,25650,HCPCS,OUTPATIENT,,,1412,1129.6,,1341.4,95,,1073.12,percent of total billed charges,95% of total billed charges,1337.45,94.72,,1069.96,percent of total billed charges,94.72% of total billed charges,1394.91,98.79,,1115.93,percent of total billed charges,98.79% of total billed charges,1383.76,98,,1107.01,percent of total billed charges,98% of total billed charges,1383.76,98,,1107.01,percent of total billed charges,98% of total billed charges,677.76,48,,542.21,percent of total billed charges,48% of total billed charges,635.4,45,,508.32,percent of total billed charges,45% of total billed charges,540.09,38.25,,432.07,percent of total billed charges,38.25% of total billed charges,635.4,45,,508.32,percent of total billed charges,45% of total billed charges,635.4,45,,508.32,percent of total billed charges,45% of total billed charges,540.09,1394.91,
I  D Abscesss Finger Simple,26010,CDM,521,RC,26010,HCPCS,OUTPATIENT,,,821,656.8,,779.95,95,,623.96,percent of total billed charges,95% of total billed charges,777.65,94.72,,622.12,percent of total billed charges,94.72% of total billed charges,811.07,98.79,,648.86,percent of total billed charges,98.79% of total billed charges,804.58,98,,643.66,percent of total billed charges,98% of total billed charges,804.58,98,,643.66,percent of total billed charges,98% of total billed charges,394.08,48,,315.26,percent of total billed charges,48% of total billed charges,369.45,45,,295.56,percent of total billed charges,45% of total billed charges,314.03,38.25,,251.22,percent of total billed charges,38.25% of total billed charges,369.45,45,,295.56,percent of total billed charges,45% of total billed charges,369.45,45,,295.56,percent of total billed charges,45% of total billed charges,314.03,811.07,
REPAIR FINGER TENDON,26432,CDM,521,RC,26432,HCPCS,OUTPATIENT,,,2339,1871.2,,2222.05,95,,1777.64,percent of total billed charges,95% of total billed charges,2215.5,94.72,,1772.4,percent of total billed charges,94.72% of total billed charges,2310.7,98.79,,1848.56,percent of total billed charges,98.79% of total billed charges,2292.22,98,,1833.78,percent of total billed charges,98% of total billed charges,2292.22,98,,1833.78,percent of total billed charges,98% of total billed charges,1122.72,48,,898.18,percent of total billed charges,48% of total billed charges,1052.55,45,,842.04,percent of total billed charges,45% of total billed charges,894.67,38.25,,715.74,percent of total billed charges,38.25% of total billed charges,1052.55,45,,842.04,percent of total billed charges,45% of total billed charges,1052.55,45,,842.04,percent of total billed charges,45% of total billed charges,894.67,2310.7,
Metacarpal Fx Closed Treatment,26600,CDM,521,RC,26600,HCPCS,OUTPATIENT,,,1078,862.4,,1024.1,95,,819.28,percent of total billed charges,95% of total billed charges,1021.08,94.72,,816.86,percent of total billed charges,94.72% of total billed charges,1064.96,98.79,,851.97,percent of total billed charges,98.79% of total billed charges,1056.44,98,,845.15,percent of total billed charges,98% of total billed charges,1056.44,98,,845.15,percent of total billed charges,98% of total billed charges,517.44,48,,413.95,percent of total billed charges,48% of total billed charges,485.1,45,,388.08,percent of total billed charges,45% of total billed charges,412.34,38.25,,329.87,percent of total billed charges,38.25% of total billed charges,485.1,45,,388.08,percent of total billed charges,45% of total billed charges,485.1,45,,388.08,percent of total billed charges,45% of total billed charges,412.34,1064.96,
Phalanx Shaft Fx Closed Treatment,26720,CDM,521,RC,26720,HCPCS,OUTPATIENT,,,807,645.6,,766.65,95,,613.32,percent of total billed charges,95% of total billed charges,764.39,94.72,,611.51,percent of total billed charges,94.72% of total billed charges,797.24,98.79,,637.79,percent of total billed charges,98.79% of total billed charges,790.86,98,,632.69,percent of total billed charges,98% of total billed charges,790.86,98,,632.69,percent of total billed charges,98% of total billed charges,387.36,48,,309.89,percent of total billed charges,48% of total billed charges,363.15,45,,290.52,percent of total billed charges,45% of total billed charges,308.68,38.25,,246.94,percent of total billed charges,38.25% of total billed charges,363.15,45,,290.52,percent of total billed charges,45% of total billed charges,363.15,45,,290.52,percent of total billed charges,45% of total billed charges,308.68,797.24,
CLOSED TREAT PHALEANGEAL SHAFT FX W/MANIP EACH,26725,CDM,521,RC,26725,HCPCS,OUTPATIENT,,,1411,1128.8,,1340.45,95,,1072.36,percent of total billed charges,95% of total billed charges,1336.5,94.72,,1069.2,percent of total billed charges,94.72% of total billed charges,1393.93,98.79,,1115.14,percent of total billed charges,98.79% of total billed charges,1382.78,98,,1106.22,percent of total billed charges,98% of total billed charges,1382.78,98,,1106.22,percent of total billed charges,98% of total billed charges,677.28,48,,541.82,percent of total billed charges,48% of total billed charges,634.95,45,,507.96,percent of total billed charges,45% of total billed charges,539.71,38.25,,431.77,percent of total billed charges,38.25% of total billed charges,634.95,45,,507.96,percent of total billed charges,45% of total billed charges,634.95,45,,507.96,percent of total billed charges,45% of total billed charges,539.71,1393.93,
Closed Treatment of Articular Fx,26740,CDM,521,RC,26740,HCPCS,OUTPATIENT,,,1040,832,,988,95,,790.4,percent of total billed charges,95% of total billed charges,985.09,94.72,,788.07,percent of total billed charges,94.72% of total billed charges,1027.42,98.79,,821.94,percent of total billed charges,98.79% of total billed charges,1019.2,98,,815.36,percent of total billed charges,98% of total billed charges,1019.2,98,,815.36,percent of total billed charges,98% of total billed charges,499.2,48,,399.36,percent of total billed charges,48% of total billed charges,468,45,,374.4,percent of total billed charges,45% of total billed charges,397.8,38.25,,318.24,percent of total billed charges,38.25% of total billed charges,468,45,,374.4,percent of total billed charges,45% of total billed charges,468,45,,374.4,percent of total billed charges,45% of total billed charges,397.8,1027.42,
Closed Treatment of Distal Phalangeal Fx,26750,CDM,521,RC,26750,HCPCS,OUTPATIENT,,,751,600.8,,713.45,95,,570.76,percent of total billed charges,95% of total billed charges,711.35,94.72,,569.08,percent of total billed charges,94.72% of total billed charges,741.91,98.79,,593.53,percent of total billed charges,98.79% of total billed charges,735.98,98,,588.78,percent of total billed charges,98% of total billed charges,735.98,98,,588.78,percent of total billed charges,98% of total billed charges,360.48,48,,288.38,percent of total billed charges,48% of total billed charges,337.95,45,,270.36,percent of total billed charges,45% of total billed charges,287.26,38.25,,229.81,percent of total billed charges,38.25% of total billed charges,337.95,45,,270.36,percent of total billed charges,45% of total billed charges,337.95,45,,270.36,percent of total billed charges,45% of total billed charges,287.26,741.91,
Closed Treatment interphalangeal joint dislocation: w/manip,26770,CDM,521,RC,26770,HCPCS,OUTPATIENT,,,1051,840.8,,998.45,95,,798.76,percent of total billed charges,95% of total billed charges,995.51,94.72,,796.41,percent of total billed charges,94.72% of total billed charges,1038.28,98.79,,830.62,percent of total billed charges,98.79% of total billed charges,1029.98,98,,823.98,percent of total billed charges,98% of total billed charges,1029.98,98,,823.98,percent of total billed charges,98% of total billed charges,504.48,48,,403.58,percent of total billed charges,48% of total billed charges,472.95,45,,378.36,percent of total billed charges,45% of total billed charges,402.01,38.25,,321.61,percent of total billed charges,38.25% of total billed charges,472.95,45,,378.36,percent of total billed charges,45% of total billed charges,472.95,45,,378.36,percent of total billed charges,45% of total billed charges,402.01,1038.28,
Closed Treatment supracondylar/transcondylar femoral fracture with or without intercondylar extension w/o manipulation,27501,CDM,521,RC,27501,HCPCS,OUTPATIENT,,,2449,1959.2,,2326.55,95,,1861.24,percent of total billed charges,95% of total billed charges,2319.69,94.72,,1855.75,percent of total billed charges,94.72% of total billed charges,2419.37,98.79,,1935.5,percent of total billed charges,98.79% of total billed charges,2400.02,98,,1920.02,percent of total billed charges,98% of total billed charges,2400.02,98,,1920.02,percent of total billed charges,98% of total billed charges,1175.52,48,,940.42,percent of total billed charges,48% of total billed charges,1102.05,45,,881.64,percent of total billed charges,45% of total billed charges,936.74,38.25,,749.39,percent of total billed charges,38.25% of total billed charges,1102.05,45,,881.64,percent of total billed charges,45% of total billed charges,1102.05,45,,881.64,percent of total billed charges,45% of total billed charges,936.74,2419.37,
Closed treatment of patellar fracture w/o manipulation,27520,CDM,521,RC,27520,HCPCS,OUTPATIENT,,,1363,1090.4,,1294.85,95,,1035.88,percent of total billed charges,95% of total billed charges,1291.03,94.72,,1032.82,percent of total billed charges,94.72% of total billed charges,1346.51,98.79,,1077.21,percent of total billed charges,98.79% of total billed charges,1335.74,98,,1068.59,percent of total billed charges,98% of total billed charges,1335.74,98,,1068.59,percent of total billed charges,98% of total billed charges,654.24,48,,523.39,percent of total billed charges,48% of total billed charges,613.35,45,,490.68,percent of total billed charges,45% of total billed charges,521.35,38.25,,417.08,percent of total billed charges,38.25% of total billed charges,613.35,45,,490.68,percent of total billed charges,45% of total billed charges,613.35,45,,490.68,percent of total billed charges,45% of total billed charges,521.35,1346.51,
Closed treatment tibial fracture proximal; without manipulation,27530,CDM,521,RC,27530,HCPCS,OUTPATIENT,,,1677,1341.6,,1593.15,95,,1274.52,percent of total billed charges,95% of total billed charges,1588.45,94.72,,1270.76,percent of total billed charges,94.72% of total billed charges,1656.71,98.79,,1325.37,percent of total billed charges,98.79% of total billed charges,1643.46,98,,1314.77,percent of total billed charges,98% of total billed charges,1643.46,98,,1314.77,percent of total billed charges,98% of total billed charges,804.96,48,,643.97,percent of total billed charges,48% of total billed charges,754.65,45,,603.72,percent of total billed charges,45% of total billed charges,641.45,38.25,,513.16,percent of total billed charges,38.25% of total billed charges,754.65,45,,603.72,percent of total billed charges,45% of total billed charges,754.65,45,,603.72,percent of total billed charges,45% of total billed charges,641.45,1656.71,
Closed TX of Intercondylar spine and/or tuberosity FX of knee w/wo manipulation,27538,CDM,521,RC,27538,HCPCS,OUTPATIENT,,,2013,1610.4,,1912.35,95,,1529.88,percent of total billed charges,95% of total billed charges,1906.71,94.72,,1525.37,percent of total billed charges,94.72% of total billed charges,1988.64,98.79,,1590.91,percent of total billed charges,98.79% of total billed charges,1972.74,98,,1578.19,percent of total billed charges,98% of total billed charges,1972.74,98,,1578.19,percent of total billed charges,98% of total billed charges,966.24,48,,772.99,percent of total billed charges,48% of total billed charges,905.85,45,,724.68,percent of total billed charges,45% of total billed charges,769.97,38.25,,615.98,percent of total billed charges,38.25% of total billed charges,905.85,45,,724.68,percent of total billed charges,45% of total billed charges,905.85,45,,724.68,percent of total billed charges,45% of total billed charges,769.97,1988.64,
DRAIN LOWER LEG LESION,27603,CDM,521,RC,27603,HCPCS,OUTPATIENT,,,2334,1867.2,,2217.3,95,,1773.84,percent of total billed charges,95% of total billed charges,2210.76,94.72,,1768.61,percent of total billed charges,94.72% of total billed charges,2305.76,98.79,,1844.61,percent of total billed charges,98.79% of total billed charges,2287.32,98,,1829.86,percent of total billed charges,98% of total billed charges,2287.32,98,,1829.86,percent of total billed charges,98% of total billed charges,1120.32,48,,896.26,percent of total billed charges,48% of total billed charges,1050.3,45,,840.24,percent of total billed charges,45% of total billed charges,892.76,38.25,,714.21,percent of total billed charges,38.25% of total billed charges,1050.3,45,,840.24,percent of total billed charges,45% of total billed charges,1050.3,45,,840.24,percent of total billed charges,45% of total billed charges,892.76,2305.76,
DRAIN LOWER LEG BURSA,27604,CDM,521,RC,27604,HCPCS,OUTPATIENT,,,1782,1425.6,,1692.9,95,,1354.32,percent of total billed charges,95% of total billed charges,1687.91,94.72,,1350.33,percent of total billed charges,94.72% of total billed charges,1760.44,98.79,,1408.35,percent of total billed charges,98.79% of total billed charges,1746.36,98,,1397.09,percent of total billed charges,98% of total billed charges,1746.36,98,,1397.09,percent of total billed charges,98% of total billed charges,855.36,48,,684.29,percent of total billed charges,48% of total billed charges,801.9,45,,641.52,percent of total billed charges,45% of total billed charges,681.62,38.25,,545.3,percent of total billed charges,38.25% of total billed charges,801.9,45,,641.52,percent of total billed charges,45% of total billed charges,801.9,45,,641.52,percent of total billed charges,45% of total billed charges,681.62,1760.44,
BIOPSY LOWER LEG SOFT TISSUE,27614,CDM,521,RC,27614,HCPCS,OUTPATIENT,,,1574,1259.2,,1495.3,95,,1196.24,percent of total billed charges,95% of total billed charges,1490.89,94.72,,1192.71,percent of total billed charges,94.72% of total billed charges,1554.95,98.79,,1243.96,percent of total billed charges,98.79% of total billed charges,1542.52,98,,1234.02,percent of total billed charges,98% of total billed charges,1542.52,98,,1234.02,percent of total billed charges,98% of total billed charges,755.52,48,,604.42,percent of total billed charges,48% of total billed charges,708.3,45,,566.64,percent of total billed charges,45% of total billed charges,602.06,38.25,,481.65,percent of total billed charges,38.25% of total billed charges,708.3,45,,566.64,percent of total billed charges,45% of total billed charges,708.3,45,,566.64,percent of total billed charges,45% of total billed charges,602.06,1554.95,
REMOVE LOWER LEG LESION,27618,CDM,521,RC,27618,HCPCS,OUTPATIENT,,,1760,1408,,1672,95,,1337.6,percent of total billed charges,95% of total billed charges,1667.07,94.72,,1333.66,percent of total billed charges,94.72% of total billed charges,1738.7,98.79,,1390.96,percent of total billed charges,98.79% of total billed charges,1724.8,98,,1379.84,percent of total billed charges,98% of total billed charges,1724.8,98,,1379.84,percent of total billed charges,98% of total billed charges,844.8,48,,675.84,percent of total billed charges,48% of total billed charges,792,45,,633.6,percent of total billed charges,45% of total billed charges,673.2,38.25,,538.56,percent of total billed charges,38.25% of total billed charges,792,45,,633.6,percent of total billed charges,45% of total billed charges,792,45,,633.6,percent of total billed charges,45% of total billed charges,673.2,1738.7,
REMOVE LOWER LEG LESION,27619,CDM,521,RC,27619,HCPCS,OUTPATIENT,,,2724,2179.2,,2587.8,95,,2070.24,percent of total billed charges,95% of total billed charges,2580.17,94.72,,2064.14,percent of total billed charges,94.72% of total billed charges,2691.04,98.79,,2152.83,percent of total billed charges,98.79% of total billed charges,2669.52,98,,2135.62,percent of total billed charges,98% of total billed charges,2669.52,98,,2135.62,percent of total billed charges,98% of total billed charges,1307.52,48,,1046.02,percent of total billed charges,48% of total billed charges,1225.8,45,,980.64,percent of total billed charges,45% of total billed charges,1041.93,38.25,,833.54,percent of total billed charges,38.25% of total billed charges,1225.8,45,,980.64,percent of total billed charges,45% of total billed charges,1225.8,45,,980.64,percent of total billed charges,45% of total billed charges,1041.93,2691.04,
EXC LEG/ANKLE LES SC 3+ CM,27632,CDM,521,RC,27632,HCPCS,OUTPATIENT,,,1831,1464.8,,1739.45,95,,1391.56,percent of total billed charges,95% of total billed charges,1734.32,94.72,,1387.46,percent of total billed charges,94.72% of total billed charges,1808.84,98.79,,1447.07,percent of total billed charges,98.79% of total billed charges,1794.38,98,,1435.5,percent of total billed charges,98% of total billed charges,1794.38,98,,1435.5,percent of total billed charges,98% of total billed charges,878.88,48,,703.1,percent of total billed charges,48% of total billed charges,823.95,45,,659.16,percent of total billed charges,45% of total billed charges,700.36,38.25,,560.29,percent of total billed charges,38.25% of total billed charges,823.95,45,,659.16,percent of total billed charges,45% of total billed charges,823.95,45,,659.16,percent of total billed charges,45% of total billed charges,700.36,1808.84,
Closed treatment tibial shaft fracture without manipulation,27750,CDM,521,RC,27750,HCPCS,OUTPATIENT,,,1632,1305.6,,1550.4,95,,1240.32,percent of total billed charges,95% of total billed charges,1545.83,94.72,,1236.66,percent of total billed charges,94.72% of total billed charges,1612.25,98.79,,1289.8,percent of total billed charges,98.79% of total billed charges,1599.36,98,,1279.49,percent of total billed charges,98% of total billed charges,1599.36,98,,1279.49,percent of total billed charges,98% of total billed charges,783.36,48,,626.69,percent of total billed charges,48% of total billed charges,734.4,45,,587.52,percent of total billed charges,45% of total billed charges,624.24,38.25,,499.39,percent of total billed charges,38.25% of total billed charges,734.4,45,,587.52,percent of total billed charges,45% of total billed charges,734.4,45,,587.52,percent of total billed charges,45% of total billed charges,624.24,1612.25,
Malleous Fx Closed Treatment,27760,CDM,521,RC,27760,HCPCS,OUTPATIENT,,,1352,1081.6,,1284.4,95,,1027.52,percent of total billed charges,95% of total billed charges,1280.61,94.72,,1024.49,percent of total billed charges,94.72% of total billed charges,1335.64,98.79,,1068.51,percent of total billed charges,98.79% of total billed charges,1324.96,98,,1059.97,percent of total billed charges,98% of total billed charges,1324.96,98,,1059.97,percent of total billed charges,98% of total billed charges,648.96,48,,519.17,percent of total billed charges,48% of total billed charges,608.4,45,,486.72,percent of total billed charges,45% of total billed charges,517.14,38.25,,413.71,percent of total billed charges,38.25% of total billed charges,608.4,45,,486.72,percent of total billed charges,45% of total billed charges,608.4,45,,486.72,percent of total billed charges,45% of total billed charges,517.14,1335.64,
Closed treatment of proximal fibula or shaft fx without manipulation,27780,CDM,521,RC,27780,HCPCS,OUTPATIENT,,,1173,938.4,,1114.35,95,,891.48,percent of total billed charges,95% of total billed charges,1111.07,94.72,,888.86,percent of total billed charges,94.72% of total billed charges,1158.81,98.79,,927.05,percent of total billed charges,98.79% of total billed charges,1149.54,98,,919.63,percent of total billed charges,98% of total billed charges,1149.54,98,,919.63,percent of total billed charges,98% of total billed charges,563.04,48,,450.43,percent of total billed charges,48% of total billed charges,527.85,45,,422.28,percent of total billed charges,45% of total billed charges,448.67,38.25,,358.94,percent of total billed charges,38.25% of total billed charges,527.85,45,,422.28,percent of total billed charges,45% of total billed charges,527.85,45,,422.28,percent of total billed charges,45% of total billed charges,448.67,1158.81,
Distal Fibular Fx Closed Treatment,27786,CDM,521,RC,27786,HCPCS,OUTPATIENT,,,1328,1062.4,,1261.6,95,,1009.28,percent of total billed charges,95% of total billed charges,1257.88,94.72,,1006.3,percent of total billed charges,94.72% of total billed charges,1311.93,98.79,,1049.54,percent of total billed charges,98.79% of total billed charges,1301.44,98,,1041.15,percent of total billed charges,98% of total billed charges,1301.44,98,,1041.15,percent of total billed charges,98% of total billed charges,637.44,48,,509.95,percent of total billed charges,48% of total billed charges,597.6,45,,478.08,percent of total billed charges,45% of total billed charges,507.96,38.25,,406.37,percent of total billed charges,38.25% of total billed charges,597.6,45,,478.08,percent of total billed charges,45% of total billed charges,597.6,45,,478.08,percent of total billed charges,45% of total billed charges,507.96,1311.93,
Closed treatment bimalleolar ankle fx with manipulation,27810,CDM,521,RC,27810,HCPCS,OUTPATIENT,,,2237,1789.6,,2125.15,95,,1700.12,percent of total billed charges,95% of total billed charges,2118.89,94.72,,1695.11,percent of total billed charges,94.72% of total billed charges,2209.93,98.79,,1767.94,percent of total billed charges,98.79% of total billed charges,2192.26,98,,1753.81,percent of total billed charges,98% of total billed charges,2192.26,98,,1753.81,percent of total billed charges,98% of total billed charges,1073.76,48,,859.01,percent of total billed charges,48% of total billed charges,1006.65,45,,805.32,percent of total billed charges,45% of total billed charges,855.65,38.25,,684.52,percent of total billed charges,38.25% of total billed charges,1006.65,45,,805.32,percent of total billed charges,45% of total billed charges,1006.65,45,,805.32,percent of total billed charges,45% of total billed charges,855.65,2209.93,
Closed treatment of fx of weight bearing articular portion of distal tibia with or without anesthesia without manipulation,27824,CDM,521,RC,27824,HCPCS,OUTPATIENT,,,1474,1179.2,,1400.3,95,,1120.24,percent of total billed charges,95% of total billed charges,1396.17,94.72,,1116.94,percent of total billed charges,94.72% of total billed charges,1456.16,98.79,,1164.93,percent of total billed charges,98.79% of total billed charges,1444.52,98,,1155.62,percent of total billed charges,98% of total billed charges,1444.52,98,,1155.62,percent of total billed charges,98% of total billed charges,707.52,48,,566.02,percent of total billed charges,48% of total billed charges,663.3,45,,530.64,percent of total billed charges,45% of total billed charges,563.81,38.25,,451.05,percent of total billed charges,38.25% of total billed charges,663.3,45,,530.64,percent of total billed charges,45% of total billed charges,663.3,45,,530.64,percent of total billed charges,45% of total billed charges,563.81,1456.16,
DRAINAGE OF BURSA OF FOOT,28001,CDM,521,RC,28001,HCPCS,OUTPATIENT,,,685,548,,650.75,95,,520.6,percent of total billed charges,95% of total billed charges,648.83,94.72,,519.06,percent of total billed charges,94.72% of total billed charges,676.71,98.79,,541.37,percent of total billed charges,98.79% of total billed charges,671.3,98,,537.04,percent of total billed charges,98% of total billed charges,671.3,98,,537.04,percent of total billed charges,98% of total billed charges,328.8,48,,263.04,percent of total billed charges,48% of total billed charges,308.25,45,,246.6,percent of total billed charges,45% of total billed charges,262.01,38.25,,209.61,percent of total billed charges,38.25% of total billed charges,308.25,45,,246.6,percent of total billed charges,45% of total billed charges,308.25,45,,246.6,percent of total billed charges,45% of total billed charges,262.01,676.71,
ID FOOT WITH OR WITHOUT TENDON SHEATH INVOLVEMENT,28002,CDM,521,RC,28002,HCPCS,OUTPATIENT,,,1533,1226.4,,1456.35,95,,1165.08,percent of total billed charges,95% of total billed charges,1452.06,94.72,,1161.65,percent of total billed charges,94.72% of total billed charges,1514.45,98.79,,1211.56,percent of total billed charges,98.79% of total billed charges,1502.34,98,,1201.87,percent of total billed charges,98% of total billed charges,1502.34,98,,1201.87,percent of total billed charges,98% of total billed charges,735.84,48,,588.67,percent of total billed charges,48% of total billed charges,689.85,45,,551.88,percent of total billed charges,45% of total billed charges,586.37,38.25,,469.1,percent of total billed charges,38.25% of total billed charges,689.85,45,,551.88,percent of total billed charges,45% of total billed charges,689.85,45,,551.88,percent of total billed charges,45% of total billed charges,586.37,1514.45,
TREATMENT OF FOOT INFECTION,28003,CDM,521,RC,28003,HCPCS,OUTPATIENT,,,2140,1712,,2033,95,,1626.4,percent of total billed charges,95% of total billed charges,2027.01,94.72,,1621.61,percent of total billed charges,94.72% of total billed charges,2114.11,98.79,,1691.29,percent of total billed charges,98.79% of total billed charges,2097.2,98,,1677.76,percent of total billed charges,98% of total billed charges,2097.2,98,,1677.76,percent of total billed charges,98% of total billed charges,1027.2,48,,821.76,percent of total billed charges,48% of total billed charges,963,45,,770.4,percent of total billed charges,45% of total billed charges,818.55,38.25,,654.84,percent of total billed charges,38.25% of total billed charges,963,45,,770.4,percent of total billed charges,45% of total billed charges,963,45,,770.4,percent of total billed charges,45% of total billed charges,818.55,2114.11,
INCISION OF FOOT FASCIA,28008,CDM,521,RC,28008,HCPCS,OUTPATIENT,,,1620,1296,,1539,95,,1231.2,percent of total billed charges,95% of total billed charges,1534.46,94.72,,1227.57,percent of total billed charges,94.72% of total billed charges,1600.4,98.79,,1280.32,percent of total billed charges,98.79% of total billed charges,1587.6,98,,1270.08,percent of total billed charges,98% of total billed charges,1587.6,98,,1270.08,percent of total billed charges,98% of total billed charges,777.6,48,,622.08,percent of total billed charges,48% of total billed charges,729,45,,583.2,percent of total billed charges,45% of total billed charges,619.65,38.25,,495.72,percent of total billed charges,38.25% of total billed charges,729,45,,583.2,percent of total billed charges,45% of total billed charges,729,45,,583.2,percent of total billed charges,45% of total billed charges,619.65,1600.4,
EXC FOOT/TOE TUM DEEP 1.5CM+,28041,CDM,521,RC,28041,HCPCS,OUTPATIENT,,,1818,1454.4,,1727.1,95,,1381.68,percent of total billed charges,95% of total billed charges,1722.01,94.72,,1377.61,percent of total billed charges,94.72% of total billed charges,1796,98.79,,1436.8,percent of total billed charges,98.79% of total billed charges,1781.64,98,,1425.31,percent of total billed charges,98% of total billed charges,1781.64,98,,1425.31,percent of total billed charges,98% of total billed charges,872.64,48,,698.11,percent of total billed charges,48% of total billed charges,818.1,45,,654.48,percent of total billed charges,45% of total billed charges,695.39,38.25,,556.31,percent of total billed charges,38.25% of total billed charges,818.1,45,,654.48,percent of total billed charges,45% of total billed charges,818.1,45,,654.48,percent of total billed charges,45% of total billed charges,695.39,1796,
EXCISION OF FOOT LESION,28043,CDM,521,RC,28043,HCPCS,OUTPATIENT,,,1135,908,,1078.25,95,,862.6,percent of total billed charges,95% of total billed charges,1075.07,94.72,,860.06,percent of total billed charges,94.72% of total billed charges,1121.27,98.79,,897.02,percent of total billed charges,98.79% of total billed charges,1112.3,98,,889.84,percent of total billed charges,98% of total billed charges,1112.3,98,,889.84,percent of total billed charges,98% of total billed charges,544.8,48,,435.84,percent of total billed charges,48% of total billed charges,510.75,45,,408.6,percent of total billed charges,45% of total billed charges,434.14,38.25,,347.31,percent of total billed charges,38.25% of total billed charges,510.75,45,,408.6,percent of total billed charges,45% of total billed charges,510.75,45,,408.6,percent of total billed charges,45% of total billed charges,434.14,1121.27,
EXCISION OF FOOT LESION,28045,CDM,521,RC,28045,HCPCS,OUTPATIENT,,,1550,1240,,1472.5,95,,1178,percent of total billed charges,95% of total billed charges,1468.16,94.72,,1174.53,percent of total billed charges,94.72% of total billed charges,1531.25,98.79,,1225,percent of total billed charges,98.79% of total billed charges,1519,98,,1215.2,percent of total billed charges,98% of total billed charges,1519,98,,1215.2,percent of total billed charges,98% of total billed charges,744,48,,595.2,percent of total billed charges,48% of total billed charges,697.5,45,,558,percent of total billed charges,45% of total billed charges,592.88,38.25,,474.3,percent of total billed charges,38.25% of total billed charges,697.5,45,,558,percent of total billed charges,45% of total billed charges,697.5,45,,558,percent of total billed charges,45% of total billed charges,592.88,1531.25,
REMOVAL OF FOOT LESION,28080,CDM,521,RC,28080,HCPCS,OUTPATIENT,,,1997,1597.6,,1897.15,95,,1517.72,percent of total billed charges,95% of total billed charges,1891.56,94.72,,1513.25,percent of total billed charges,94.72% of total billed charges,1972.84,98.79,,1578.27,percent of total billed charges,98.79% of total billed charges,1957.06,98,,1565.65,percent of total billed charges,98% of total billed charges,1957.06,98,,1565.65,percent of total billed charges,98% of total billed charges,958.56,48,,766.85,percent of total billed charges,48% of total billed charges,898.65,45,,718.92,percent of total billed charges,45% of total billed charges,763.85,38.25,,611.08,percent of total billed charges,38.25% of total billed charges,898.65,45,,718.92,percent of total billed charges,45% of total billed charges,898.65,45,,718.92,percent of total billed charges,45% of total billed charges,763.85,1972.84,
REMOVAL OF FOOT LESION,28090,CDM,521,RC,28090,HCPCS,OUTPATIENT,,,1989,1591.2,,1889.55,95,,1511.64,percent of total billed charges,95% of total billed charges,1883.98,94.72,,1507.18,percent of total billed charges,94.72% of total billed charges,1964.93,98.79,,1571.94,percent of total billed charges,98.79% of total billed charges,1949.22,98,,1559.38,percent of total billed charges,98% of total billed charges,1949.22,98,,1559.38,percent of total billed charges,98% of total billed charges,954.72,48,,763.78,percent of total billed charges,48% of total billed charges,895.05,45,,716.04,percent of total billed charges,45% of total billed charges,760.79,38.25,,608.63,percent of total billed charges,38.25% of total billed charges,895.05,45,,716.04,percent of total billed charges,45% of total billed charges,895.05,45,,716.04,percent of total billed charges,45% of total billed charges,760.79,1964.93,
REMOVAL OF TOE LESIONS,28092,CDM,521,RC,28092,HCPCS,OUTPATIENT,,,1314,1051.2,,1248.3,95,,998.64,percent of total billed charges,95% of total billed charges,1244.62,94.72,,995.7,percent of total billed charges,94.72% of total billed charges,1298.1,98.79,,1038.48,percent of total billed charges,98.79% of total billed charges,1287.72,98,,1030.18,percent of total billed charges,98% of total billed charges,1287.72,98,,1030.18,percent of total billed charges,98% of total billed charges,630.72,48,,504.58,percent of total billed charges,48% of total billed charges,591.3,45,,473.04,percent of total billed charges,45% of total billed charges,502.61,38.25,,402.09,percent of total billed charges,38.25% of total billed charges,591.3,45,,473.04,percent of total billed charges,45% of total billed charges,591.3,45,,473.04,percent of total billed charges,45% of total billed charges,502.61,1298.1,
REMOVAL OF ANKLE/HEEL LESION,28100,CDM,521,RC,28100,HCPCS,OUTPATIENT,,,2612,2089.6,,2481.4,95,,1985.12,percent of total billed charges,95% of total billed charges,2474.09,94.72,,1979.27,percent of total billed charges,94.72% of total billed charges,2580.39,98.79,,2064.31,percent of total billed charges,98.79% of total billed charges,2559.76,98,,2047.81,percent of total billed charges,98% of total billed charges,2559.76,98,,2047.81,percent of total billed charges,98% of total billed charges,1253.76,48,,1003.01,percent of total billed charges,48% of total billed charges,1175.4,45,,940.32,percent of total billed charges,45% of total billed charges,999.09,38.25,,799.27,percent of total billed charges,38.25% of total billed charges,1175.4,45,,940.32,percent of total billed charges,45% of total billed charges,1175.4,45,,940.32,percent of total billed charges,45% of total billed charges,999.09,2580.39,
REMOVAL OF FOOT LESION,28104,CDM,521,RC,28104,HCPCS,OUTPATIENT,,,2415,1932,,2294.25,95,,1835.4,percent of total billed charges,95% of total billed charges,2287.49,94.72,,1829.99,percent of total billed charges,94.72% of total billed charges,2385.78,98.79,,1908.62,percent of total billed charges,98.79% of total billed charges,2366.7,98,,1893.36,percent of total billed charges,98% of total billed charges,2366.7,98,,1893.36,percent of total billed charges,98% of total billed charges,1159.2,48,,927.36,percent of total billed charges,48% of total billed charges,1086.75,45,,869.4,percent of total billed charges,45% of total billed charges,923.74,38.25,,738.99,percent of total billed charges,38.25% of total billed charges,1086.75,45,,869.4,percent of total billed charges,45% of total billed charges,1086.75,45,,869.4,percent of total billed charges,45% of total billed charges,923.74,2385.78,
REMOVAL OF TOE LESIONS,28108,CDM,521,RC,28108,HCPCS,OUTPATIENT,,,1418,1134.4,,1347.1,95,,1077.68,percent of total billed charges,95% of total billed charges,1343.13,94.72,,1074.5,percent of total billed charges,94.72% of total billed charges,1400.84,98.79,,1120.67,percent of total billed charges,98.79% of total billed charges,1389.64,98,,1111.71,percent of total billed charges,98% of total billed charges,1389.64,98,,1111.71,percent of total billed charges,98% of total billed charges,680.64,48,,544.51,percent of total billed charges,48% of total billed charges,638.1,45,,510.48,percent of total billed charges,45% of total billed charges,542.39,38.25,,433.91,percent of total billed charges,38.25% of total billed charges,638.1,45,,510.48,percent of total billed charges,45% of total billed charges,638.1,45,,510.48,percent of total billed charges,45% of total billed charges,542.39,1400.84,
REVISION OF FOOT,28116,CDM,521,RC,28116,HCPCS,OUTPATIENT,,,3216,2572.8,,3055.2,95,,2444.16,percent of total billed charges,95% of total billed charges,3046.2,94.72,,2436.96,percent of total billed charges,94.72% of total billed charges,3177.09,98.79,,2541.67,percent of total billed charges,98.79% of total billed charges,3151.68,98,,2521.34,percent of total billed charges,98% of total billed charges,3151.68,98,,2521.34,percent of total billed charges,98% of total billed charges,1543.68,48,,1234.94,percent of total billed charges,48% of total billed charges,1447.2,45,,1157.76,percent of total billed charges,45% of total billed charges,1230.12,38.25,,984.1,percent of total billed charges,38.25% of total billed charges,1447.2,45,,1157.76,percent of total billed charges,45% of total billed charges,1447.2,45,,1157.76,percent of total billed charges,45% of total billed charges,1230.12,3177.09,
I  D Removal Foreign Body Foot Subcutaneous,28190,CDM,521,RC,28190,HCPCS,OUTPATIENT,,,743,594.4,,705.85,95,,564.68,percent of total billed charges,95% of total billed charges,703.77,94.72,,563.02,percent of total billed charges,94.72% of total billed charges,734.01,98.79,,587.21,percent of total billed charges,98.79% of total billed charges,728.14,98,,582.51,percent of total billed charges,98% of total billed charges,728.14,98,,582.51,percent of total billed charges,98% of total billed charges,356.64,48,,285.31,percent of total billed charges,48% of total billed charges,334.35,45,,267.48,percent of total billed charges,45% of total billed charges,284.2,38.25,,227.36,percent of total billed charges,38.25% of total billed charges,334.35,45,,267.48,percent of total billed charges,45% of total billed charges,334.35,45,,267.48,percent of total billed charges,45% of total billed charges,284.2,734.01,
REMOVAL OF FOOT FOREIGN BODY,28193,CDM,521,RC,28193,HCPCS,OUTPATIENT,,,1929,1543.2,,1832.55,95,,1466.04,percent of total billed charges,95% of total billed charges,1827.15,94.72,,1461.72,percent of total billed charges,94.72% of total billed charges,1905.66,98.79,,1524.53,percent of total billed charges,98.79% of total billed charges,1890.42,98,,1512.34,percent of total billed charges,98% of total billed charges,1890.42,98,,1512.34,percent of total billed charges,98% of total billed charges,925.92,48,,740.74,percent of total billed charges,48% of total billed charges,868.05,45,,694.44,percent of total billed charges,45% of total billed charges,737.84,38.25,,590.27,percent of total billed charges,38.25% of total billed charges,868.05,45,,694.44,percent of total billed charges,45% of total billed charges,868.05,45,,694.44,percent of total billed charges,45% of total billed charges,737.84,1905.66,
Closed treatment of calcaneal fx without manipulation,28400,CDM,521,RC,28400,HCPCS,OUTPATIENT,,,1118,894.4,,1062.1,95,,849.68,percent of total billed charges,95% of total billed charges,1058.97,94.72,,847.18,percent of total billed charges,94.72% of total billed charges,1104.47,98.79,,883.58,percent of total billed charges,98.79% of total billed charges,1095.64,98,,876.51,percent of total billed charges,98% of total billed charges,1095.64,98,,876.51,percent of total billed charges,98% of total billed charges,536.64,48,,429.31,percent of total billed charges,48% of total billed charges,503.1,45,,402.48,percent of total billed charges,45% of total billed charges,427.64,38.25,,342.11,percent of total billed charges,38.25% of total billed charges,503.1,45,,402.48,percent of total billed charges,45% of total billed charges,503.1,45,,402.48,percent of total billed charges,45% of total billed charges,427.64,1104.47,
Closed treatment of calcaneal fx with manipulation,28405,CDM,521,RC,28405,HCPCS,OUTPATIENT,,,1668,1334.4,,1584.6,95,,1267.68,percent of total billed charges,95% of total billed charges,1579.93,94.72,,1263.94,percent of total billed charges,94.72% of total billed charges,1647.82,98.79,,1318.26,percent of total billed charges,98.79% of total billed charges,1634.64,98,,1307.71,percent of total billed charges,98% of total billed charges,1634.64,98,,1307.71,percent of total billed charges,98% of total billed charges,800.64,48,,640.51,percent of total billed charges,48% of total billed charges,750.6,45,,600.48,percent of total billed charges,45% of total billed charges,638.01,38.25,,510.41,percent of total billed charges,38.25% of total billed charges,750.6,45,,600.48,percent of total billed charges,45% of total billed charges,750.6,45,,600.48,percent of total billed charges,45% of total billed charges,638.01,1647.82,
Talus Fx Closed Treatment,28430,CDM,521,RC,28430,HCPCS,OUTPATIENT,,,1076,860.8,,1022.2,95,,817.76,percent of total billed charges,95% of total billed charges,1019.19,94.72,,815.35,percent of total billed charges,94.72% of total billed charges,1062.98,98.79,,850.38,percent of total billed charges,98.79% of total billed charges,1054.48,98,,843.58,percent of total billed charges,98% of total billed charges,1054.48,98,,843.58,percent of total billed charges,98% of total billed charges,516.48,48,,413.18,percent of total billed charges,48% of total billed charges,484.2,45,,387.36,percent of total billed charges,45% of total billed charges,411.57,38.25,,329.26,percent of total billed charges,38.25% of total billed charges,484.2,45,,387.36,percent of total billed charges,45% of total billed charges,484.2,45,,387.36,percent of total billed charges,45% of total billed charges,411.57,1062.98,
Tarsal Bone Fx Closed Treatment,28450,CDM,521,RC,28450,HCPCS,OUTPATIENT,,,935,748,,888.25,95,,710.6,percent of total billed charges,95% of total billed charges,885.63,94.72,,708.5,percent of total billed charges,94.72% of total billed charges,923.69,98.79,,738.95,percent of total billed charges,98.79% of total billed charges,916.3,98,,733.04,percent of total billed charges,98% of total billed charges,916.3,98,,733.04,percent of total billed charges,98% of total billed charges,448.8,48,,359.04,percent of total billed charges,48% of total billed charges,420.75,45,,336.6,percent of total billed charges,45% of total billed charges,357.64,38.25,,286.11,percent of total billed charges,38.25% of total billed charges,420.75,45,,336.6,percent of total billed charges,45% of total billed charges,420.75,45,,336.6,percent of total billed charges,45% of total billed charges,357.64,923.69,
Metatarsal Fx Closed Treatment,28470,CDM,521,RC,28470,HCPCS,OUTPATIENT,,,907,725.6,,861.65,95,,689.32,percent of total billed charges,95% of total billed charges,859.11,94.72,,687.29,percent of total billed charges,94.72% of total billed charges,896.03,98.79,,716.82,percent of total billed charges,98.79% of total billed charges,888.86,98,,711.09,percent of total billed charges,98% of total billed charges,888.86,98,,711.09,percent of total billed charges,98% of total billed charges,435.36,48,,348.29,percent of total billed charges,48% of total billed charges,408.15,45,,326.52,percent of total billed charges,45% of total billed charges,346.93,38.25,,277.54,percent of total billed charges,38.25% of total billed charges,408.15,45,,326.52,percent of total billed charges,45% of total billed charges,408.15,45,,326.52,percent of total billed charges,45% of total billed charges,346.93,896.03,
CLOSED TREATMENT OF FX GREAT TOE PHALANX OR PHALANGES WITHOUT MANIPULATION,28490,CDM,521,RC,28490,HCPCS,OUTPATIENT,,,549,439.2,,521.55,95,,417.24,percent of total billed charges,95% of total billed charges,520.01,94.72,,416.01,percent of total billed charges,94.72% of total billed charges,542.36,98.79,,433.89,percent of total billed charges,98.79% of total billed charges,538.02,98,,430.42,percent of total billed charges,98% of total billed charges,538.02,98,,430.42,percent of total billed charges,98% of total billed charges,263.52,48,,210.82,percent of total billed charges,48% of total billed charges,247.05,45,,197.64,percent of total billed charges,45% of total billed charges,209.99,38.25,,167.99,percent of total billed charges,38.25% of total billed charges,247.05,45,,197.64,percent of total billed charges,45% of total billed charges,247.05,45,,197.64,percent of total billed charges,45% of total billed charges,209.99,542.36,
CLOSED TREATMENT OF FX GREAT TOE PHALANX OR PHALANGES WITH MANIPULATION,28495,CDM,521,RC,28495,HCPCS,OUTPATIENT,,,676,540.8,,642.2,95,,513.76,percent of total billed charges,95% of total billed charges,640.31,94.72,,512.25,percent of total billed charges,94.72% of total billed charges,667.82,98.79,,534.26,percent of total billed charges,98.79% of total billed charges,662.48,98,,529.98,percent of total billed charges,98% of total billed charges,662.48,98,,529.98,percent of total billed charges,98% of total billed charges,324.48,48,,259.58,percent of total billed charges,48% of total billed charges,304.2,45,,243.36,percent of total billed charges,45% of total billed charges,258.57,38.25,,206.86,percent of total billed charges,38.25% of total billed charges,304.2,45,,243.36,percent of total billed charges,45% of total billed charges,304.2,45,,243.36,percent of total billed charges,45% of total billed charges,258.57,667.82,
Percutaneous skeletol fixation of fracture great toe w/manip,28496,CDM,521,RC,28496,HCPCS,OUTPATIENT,,,1356,1084.8,,1288.2,95,,1030.56,percent of total billed charges,95% of total billed charges,1284.4,94.72,,1027.52,percent of total billed charges,94.72% of total billed charges,1339.59,98.79,,1071.67,percent of total billed charges,98.79% of total billed charges,1328.88,98,,1063.1,percent of total billed charges,98% of total billed charges,1328.88,98,,1063.1,percent of total billed charges,98% of total billed charges,650.88,48,,520.7,percent of total billed charges,48% of total billed charges,610.2,45,,488.16,percent of total billed charges,45% of total billed charges,518.67,38.25,,414.94,percent of total billed charges,38.25% of total billed charges,610.2,45,,488.16,percent of total billed charges,45% of total billed charges,610.2,45,,488.16,percent of total billed charges,45% of total billed charges,518.67,1339.59,
Closed Treatment of Fx Phalanx or Phalanges,28510,CDM,521,RC,28510,HCPCS,OUTPATIENT,,,484,387.2,,459.8,95,,367.84,percent of total billed charges,95% of total billed charges,458.44,94.72,,366.75,percent of total billed charges,94.72% of total billed charges,478.14,98.79,,382.51,percent of total billed charges,98.79% of total billed charges,474.32,98,,379.46,percent of total billed charges,98% of total billed charges,474.32,98,,379.46,percent of total billed charges,98% of total billed charges,232.32,48,,185.86,percent of total billed charges,48% of total billed charges,217.8,45,,174.24,percent of total billed charges,45% of total billed charges,185.13,38.25,,148.1,percent of total billed charges,38.25% of total billed charges,217.8,45,,174.24,percent of total billed charges,45% of total billed charges,217.8,45,,174.24,percent of total billed charges,45% of total billed charges,185.13,478.14,
CLOSED TREATMENT OF FX PHALANX OR PHALANGES OTHER THAN GREAT TOE WITH MANIPULATION,28515,CDM,521,RC,28515,HCPCS,OUTPATIENT,,,584,467.2,,554.8,95,,443.84,percent of total billed charges,95% of total billed charges,553.16,94.72,,442.53,percent of total billed charges,94.72% of total billed charges,576.93,98.79,,461.54,percent of total billed charges,98.79% of total billed charges,572.32,98,,457.86,percent of total billed charges,98% of total billed charges,572.32,98,,457.86,percent of total billed charges,98% of total billed charges,280.32,48,,224.26,percent of total billed charges,48% of total billed charges,262.8,45,,210.24,percent of total billed charges,45% of total billed charges,223.38,38.25,,178.7,percent of total billed charges,38.25% of total billed charges,262.8,45,,210.24,percent of total billed charges,45% of total billed charges,262.8,45,,210.24,percent of total billed charges,45% of total billed charges,223.38,576.93,
Long Arm Cast,29065,CDM,521,RC,29065,HCPCS,OUTPATIENT,,,401,320.8,,380.95,95,,304.76,percent of total billed charges,95% of total billed charges,379.83,94.72,,303.86,percent of total billed charges,94.72% of total billed charges,396.15,98.79,,316.92,percent of total billed charges,98.79% of total billed charges,392.98,98,,314.38,percent of total billed charges,98% of total billed charges,392.98,98,,314.38,percent of total billed charges,98% of total billed charges,192.48,48,,153.98,percent of total billed charges,48% of total billed charges,180.45,45,,144.36,percent of total billed charges,45% of total billed charges,153.38,38.25,,122.7,percent of total billed charges,38.25% of total billed charges,180.45,45,,144.36,percent of total billed charges,45% of total billed charges,180.45,45,,144.36,percent of total billed charges,45% of total billed charges,153.38,396.15,
Short Arm Cast,29075,CDM,521,RC,29075,HCPCS,OUTPATIENT,,,299,239.2,,284.05,95,,227.24,percent of total billed charges,95% of total billed charges,283.21,94.72,,226.57,percent of total billed charges,94.72% of total billed charges,295.38,98.79,,236.3,percent of total billed charges,98.79% of total billed charges,293.02,98,,234.42,percent of total billed charges,98% of total billed charges,293.02,98,,234.42,percent of total billed charges,98% of total billed charges,143.52,48,,114.82,percent of total billed charges,48% of total billed charges,134.55,45,,107.64,percent of total billed charges,45% of total billed charges,114.37,38.25,,91.5,percent of total billed charges,38.25% of total billed charges,134.55,45,,107.64,percent of total billed charges,45% of total billed charges,134.55,45,,107.64,percent of total billed charges,45% of total billed charges,114.37,295.38,
29105 Application of long arm splint (shoulder to hand),29105,CDM,521,RC,29105,HCPCS,OUTPATIENT,,,308,246.4,,292.6,95,,234.08,percent of total billed charges,95% of total billed charges,291.74,94.72,,233.39,percent of total billed charges,94.72% of total billed charges,304.27,98.79,,243.42,percent of total billed charges,98.79% of total billed charges,301.84,98,,241.47,percent of total billed charges,98% of total billed charges,301.84,98,,241.47,percent of total billed charges,98% of total billed charges,147.84,48,,118.27,percent of total billed charges,48% of total billed charges,138.6,45,,110.88,percent of total billed charges,45% of total billed charges,117.81,38.25,,94.25,percent of total billed charges,38.25% of total billed charges,138.6,45,,110.88,percent of total billed charges,45% of total billed charges,138.6,45,,110.88,percent of total billed charges,45% of total billed charges,117.81,304.27,
Short Arm Splint Applicaiton,29125,CDM,521,RC,29125,HCPCS,OUTPATIENT,,,240,192,,228,95,,182.4,percent of total billed charges,95% of total billed charges,227.33,94.72,,181.86,percent of total billed charges,94.72% of total billed charges,237.1,98.79,,189.68,percent of total billed charges,98.79% of total billed charges,235.2,98,,188.16,percent of total billed charges,98% of total billed charges,235.2,98,,188.16,percent of total billed charges,98% of total billed charges,115.2,48,,92.16,percent of total billed charges,48% of total billed charges,108,45,,86.4,percent of total billed charges,45% of total billed charges,91.8,38.25,,73.44,percent of total billed charges,38.25% of total billed charges,108,45,,86.4,percent of total billed charges,45% of total billed charges,108,45,,86.4,percent of total billed charges,45% of total billed charges,91.8,237.1,
Finger Splint Applicaiton,29130,CDM,521,RC,29130,HCPCS,OUTPATIENT,,,161,128.8,,152.95,95,,122.36,percent of total billed charges,95% of total billed charges,152.5,94.72,,122,percent of total billed charges,94.72% of total billed charges,159.05,98.79,,127.24,percent of total billed charges,98.79% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,157.78,98,,126.22,percent of total billed charges,98% of total billed charges,77.28,48,,61.82,percent of total billed charges,48% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,61.58,38.25,,49.26,percent of total billed charges,38.25% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,72.45,45,,57.96,percent of total billed charges,45% of total billed charges,61.58,159.05,
STRAPPING OF CHEST,29200,CDM,521,RC,29200,HCPCS,OUTPATIENT,,,159,127.2,,151.05,95,,120.84,percent of total billed charges,95% of total billed charges,150.6,94.72,,120.48,percent of total billed charges,94.72% of total billed charges,157.08,98.79,,125.66,percent of total billed charges,98.79% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,76.32,48,,61.06,percent of total billed charges,48% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,38.25,,48.66,percent of total billed charges,38.25% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,157.08,
STRAPPING OF SHOULDER,29240,CDM,521,RC,29240,HCPCS,OUTPATIENT,,,159,127.2,,151.05,95,,120.84,percent of total billed charges,95% of total billed charges,150.6,94.72,,120.48,percent of total billed charges,94.72% of total billed charges,157.08,98.79,,125.66,percent of total billed charges,98.79% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,76.32,48,,61.06,percent of total billed charges,48% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,38.25,,48.66,percent of total billed charges,38.25% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,157.08,
APPLICATION OF LONG LEG CAST THIGH TO TOES,29345,CDM,521,RC,29345,HCPCS,OUTPATIENT,,,549,439.2,,521.55,95,,417.24,percent of total billed charges,95% of total billed charges,520.01,94.72,,416.01,percent of total billed charges,94.72% of total billed charges,542.36,98.79,,433.89,percent of total billed charges,98.79% of total billed charges,538.02,98,,430.42,percent of total billed charges,98% of total billed charges,538.02,98,,430.42,percent of total billed charges,98% of total billed charges,263.52,48,,210.82,percent of total billed charges,48% of total billed charges,247.05,45,,197.64,percent of total billed charges,45% of total billed charges,209.99,38.25,,167.99,percent of total billed charges,38.25% of total billed charges,247.05,45,,197.64,percent of total billed charges,45% of total billed charges,247.05,45,,197.64,percent of total billed charges,45% of total billed charges,209.99,542.36,
Cylinder Cast,29365,CDM,521,RC,29365,HCPCS,OUTPATIENT,,,532,425.6,,505.4,95,,404.32,percent of total billed charges,95% of total billed charges,503.91,94.72,,403.13,percent of total billed charges,94.72% of total billed charges,525.56,98.79,,420.45,percent of total billed charges,98.79% of total billed charges,521.36,98,,417.09,percent of total billed charges,98% of total billed charges,521.36,98,,417.09,percent of total billed charges,98% of total billed charges,255.36,48,,204.29,percent of total billed charges,48% of total billed charges,239.4,45,,191.52,percent of total billed charges,45% of total billed charges,203.49,38.25,,162.79,percent of total billed charges,38.25% of total billed charges,239.4,45,,191.52,percent of total billed charges,45% of total billed charges,239.4,45,,191.52,percent of total billed charges,45% of total billed charges,203.49,525.56,
APPLY SHORT LEG CAST BELOW KNEE TO TOES,29405,CDM,521,RC,29405,HCPCS,OUTPATIENT,,,375,300,,356.25,95,,285,percent of total billed charges,95% of total billed charges,355.2,94.72,,284.16,percent of total billed charges,94.72% of total billed charges,370.46,98.79,,296.37,percent of total billed charges,98.79% of total billed charges,367.5,98,,294,percent of total billed charges,98% of total billed charges,367.5,98,,294,percent of total billed charges,98% of total billed charges,180,48,,144,percent of total billed charges,48% of total billed charges,168.75,45,,135,percent of total billed charges,45% of total billed charges,143.44,38.25,,114.75,percent of total billed charges,38.25% of total billed charges,168.75,45,,135,percent of total billed charges,45% of total billed charges,168.75,45,,135,percent of total billed charges,45% of total billed charges,143.44,370.46,
APPLICATION OF SHORT LEG WALKING CAST,29425,CDM,521,RC,29425,HCPCS,OUTPATIENT,,,369,295.2,,350.55,95,,280.44,percent of total billed charges,95% of total billed charges,349.52,94.72,,279.62,percent of total billed charges,94.72% of total billed charges,364.54,98.79,,291.63,percent of total billed charges,98.79% of total billed charges,361.62,98,,289.3,percent of total billed charges,98% of total billed charges,361.62,98,,289.3,percent of total billed charges,98% of total billed charges,177.12,48,,141.7,percent of total billed charges,48% of total billed charges,166.05,45,,132.84,percent of total billed charges,45% of total billed charges,141.14,38.25,,112.91,percent of total billed charges,38.25% of total billed charges,166.05,45,,132.84,percent of total billed charges,45% of total billed charges,166.05,45,,132.84,percent of total billed charges,45% of total billed charges,141.14,364.54,
APPLICATION OF RIGID TOTAL CONTACT LEG CAST,29445,CDM,521,RC,29445,HCPCS,OUTPATIENT,,,610,488,,579.5,95,,463.6,percent of total billed charges,95% of total billed charges,577.79,94.72,,462.23,percent of total billed charges,94.72% of total billed charges,602.62,98.79,,482.1,percent of total billed charges,98.79% of total billed charges,597.8,98,,478.24,percent of total billed charges,98% of total billed charges,597.8,98,,478.24,percent of total billed charges,98% of total billed charges,292.8,48,,234.24,percent of total billed charges,48% of total billed charges,274.5,45,,219.6,percent of total billed charges,45% of total billed charges,233.33,38.25,,186.66,percent of total billed charges,38.25% of total billed charges,274.5,45,,219.6,percent of total billed charges,45% of total billed charges,274.5,45,,219.6,percent of total billed charges,45% of total billed charges,233.33,602.62,
APPLICATION OF CLUBFOOT CAST WITH MOLDING OR MANIPULATION LONG OR SHORT LEG,29450,CDM,521,RC,29450,HCPCS,OUTPATIENT,,,587,469.6,,557.65,95,,446.12,percent of total billed charges,95% of total billed charges,556.01,94.72,,444.81,percent of total billed charges,94.72% of total billed charges,579.9,98.79,,463.92,percent of total billed charges,98.79% of total billed charges,575.26,98,,460.21,percent of total billed charges,98% of total billed charges,575.26,98,,460.21,percent of total billed charges,98% of total billed charges,281.76,48,,225.41,percent of total billed charges,48% of total billed charges,264.15,45,,211.32,percent of total billed charges,45% of total billed charges,224.53,38.25,,179.62,percent of total billed charges,38.25% of total billed charges,264.15,45,,211.32,percent of total billed charges,45% of total billed charges,264.15,45,,211.32,percent of total billed charges,45% of total billed charges,224.53,579.9,
Long Leg Splint Application,29505,CDM,521,RC,29505,HCPCS,OUTPATIENT,,,315,252,,299.25,95,,239.4,percent of total billed charges,95% of total billed charges,298.37,94.72,,238.7,percent of total billed charges,94.72% of total billed charges,311.19,98.79,,248.95,percent of total billed charges,98.79% of total billed charges,308.7,98,,246.96,percent of total billed charges,98% of total billed charges,308.7,98,,246.96,percent of total billed charges,98% of total billed charges,151.2,48,,120.96,percent of total billed charges,48% of total billed charges,141.75,45,,113.4,percent of total billed charges,45% of total billed charges,120.49,38.25,,96.39,percent of total billed charges,38.25% of total billed charges,141.75,45,,113.4,percent of total billed charges,45% of total billed charges,141.75,45,,113.4,percent of total billed charges,45% of total billed charges,120.49,311.19,
APPLICATION OF SHORT LEG SPLINT,29515,CDM,521,RC,29515,HCPCS,OUTPATIENT,,,282,225.6,,267.9,95,,214.32,percent of total billed charges,95% of total billed charges,267.11,94.72,,213.69,percent of total billed charges,94.72% of total billed charges,278.59,98.79,,222.87,percent of total billed charges,98.79% of total billed charges,276.36,98,,221.09,percent of total billed charges,98% of total billed charges,276.36,98,,221.09,percent of total billed charges,98% of total billed charges,135.36,48,,108.29,percent of total billed charges,48% of total billed charges,126.9,45,,101.52,percent of total billed charges,45% of total billed charges,107.87,38.25,,86.3,percent of total billed charges,38.25% of total billed charges,126.9,45,,101.52,percent of total billed charges,45% of total billed charges,126.9,45,,101.52,percent of total billed charges,45% of total billed charges,107.87,278.59,
STRAPPING OF ANKLE AND/OR FT,29540,CDM,521,RC,29540,HCPCS,OUTPATIENT,,,79,63.2,,75.05,95,,60.04,percent of total billed charges,95% of total billed charges,74.83,94.72,,59.86,percent of total billed charges,94.72% of total billed charges,78.04,98.79,,62.43,percent of total billed charges,98.79% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,37.92,48,,30.34,percent of total billed charges,48% of total billed charges,35.55,45,,28.44,percent of total billed charges,45% of total billed charges,30.22,38.25,,24.18,percent of total billed charges,38.25% of total billed charges,35.55,45,,28.44,percent of total billed charges,45% of total billed charges,35.55,45,,28.44,percent of total billed charges,45% of total billed charges,30.22,78.04,
STRAPPING OF TOES,29550,CDM,521,RC,29550,HCPCS,OUTPATIENT,,,102,81.6,,96.9,95,,77.52,percent of total billed charges,95% of total billed charges,96.61,94.72,,77.29,percent of total billed charges,94.72% of total billed charges,100.77,98.79,,80.62,percent of total billed charges,98.79% of total billed charges,99.96,98,,79.97,percent of total billed charges,98% of total billed charges,99.96,98,,79.97,percent of total billed charges,98% of total billed charges,48.96,48,,39.17,percent of total billed charges,48% of total billed charges,45.9,45,,36.72,percent of total billed charges,45% of total billed charges,39.02,38.25,,31.22,percent of total billed charges,38.25% of total billed charges,45.9,45,,36.72,percent of total billed charges,45% of total billed charges,45.9,45,,36.72,percent of total billed charges,45% of total billed charges,39.02,100.77,
Application of Multi-layer compression system; leg (below knee) including ankle and foot,29581,CDM,521,RC,29581,HCPCS,OUTPATIENT,,,272,217.6,,258.4,95,,206.72,percent of total billed charges,95% of total billed charges,257.64,94.72,,206.11,percent of total billed charges,94.72% of total billed charges,268.71,98.79,,214.97,percent of total billed charges,98.79% of total billed charges,266.56,98,,213.25,percent of total billed charges,98% of total billed charges,266.56,98,,213.25,percent of total billed charges,98% of total billed charges,130.56,48,,104.45,percent of total billed charges,48% of total billed charges,122.4,45,,97.92,percent of total billed charges,45% of total billed charges,104.04,38.25,,83.23,percent of total billed charges,38.25% of total billed charges,122.4,45,,97.92,percent of total billed charges,45% of total billed charges,122.4,45,,97.92,percent of total billed charges,45% of total billed charges,104.04,268.71,
REMOVAL/REVISION OF CAST GAUNTLET BOOT OR BODY CAST,29700,CDM,521,RC,29700,HCPCS,OUTPATIENT,,,227,181.6,,215.65,95,,172.52,percent of total billed charges,95% of total billed charges,215.01,94.72,,172.01,percent of total billed charges,94.72% of total billed charges,224.25,98.79,,179.4,percent of total billed charges,98.79% of total billed charges,222.46,98,,177.97,percent of total billed charges,98% of total billed charges,222.46,98,,177.97,percent of total billed charges,98% of total billed charges,108.96,48,,87.17,percent of total billed charges,48% of total billed charges,102.15,45,,81.72,percent of total billed charges,45% of total billed charges,86.83,38.25,,69.46,percent of total billed charges,38.25% of total billed charges,102.15,45,,81.72,percent of total billed charges,45% of total billed charges,102.15,45,,81.72,percent of total billed charges,45% of total billed charges,86.83,224.25,
REMOVAL/REVISION OF CAST FULL ARM OR FULL LEG CAST,29705,CDM,521,RC,29705,HCPCS,OUTPATIENT,,,274,219.2,,260.3,95,,208.24,percent of total billed charges,95% of total billed charges,259.53,94.72,,207.62,percent of total billed charges,94.72% of total billed charges,270.68,98.79,,216.54,percent of total billed charges,98.79% of total billed charges,268.52,98,,214.82,percent of total billed charges,98% of total billed charges,268.52,98,,214.82,percent of total billed charges,98% of total billed charges,131.52,48,,105.22,percent of total billed charges,48% of total billed charges,123.3,45,,98.64,percent of total billed charges,45% of total billed charges,104.81,38.25,,83.85,percent of total billed charges,38.25% of total billed charges,123.3,45,,98.64,percent of total billed charges,45% of total billed charges,123.3,45,,98.64,percent of total billed charges,45% of total billed charges,104.81,270.68,
INTRANASAL BIOPSY,30100,CDM,521,RC,30100,HCPCS,OUTPATIENT,,,447,357.6,,424.65,95,,339.72,percent of total billed charges,95% of total billed charges,423.4,94.72,,338.72,percent of total billed charges,94.72% of total billed charges,441.59,98.79,,353.27,percent of total billed charges,98.79% of total billed charges,438.06,98,,350.45,percent of total billed charges,98% of total billed charges,438.06,98,,350.45,percent of total billed charges,98% of total billed charges,214.56,48,,171.65,percent of total billed charges,48% of total billed charges,201.15,45,,160.92,percent of total billed charges,45% of total billed charges,170.98,38.25,,136.78,percent of total billed charges,38.25% of total billed charges,201.15,45,,160.92,percent of total billed charges,45% of total billed charges,201.15,45,,160.92,percent of total billed charges,45% of total billed charges,170.98,441.59,
Removal Foreign Body-Intranasal,30300,CDM,521,RC,30300,HCPCS,OUTPATIENT,,,626,500.8,,594.7,95,,475.76,percent of total billed charges,95% of total billed charges,592.95,94.72,,474.36,percent of total billed charges,94.72% of total billed charges,618.43,98.79,,494.74,percent of total billed charges,98.79% of total billed charges,613.48,98,,490.78,percent of total billed charges,98% of total billed charges,613.48,98,,490.78,percent of total billed charges,98% of total billed charges,300.48,48,,240.38,percent of total billed charges,48% of total billed charges,281.7,45,,225.36,percent of total billed charges,45% of total billed charges,239.45,38.25,,191.56,percent of total billed charges,38.25% of total billed charges,281.7,45,,225.36,percent of total billed charges,45% of total billed charges,281.7,45,,225.36,percent of total billed charges,45% of total billed charges,239.45,618.43,
Remove Nasal Foreign Body,30310,CDM,521,RC,30310,HCPCS,OUTPATIENT,,,725,580,,688.75,95,,551,percent of total billed charges,95% of total billed charges,686.72,94.72,,549.38,percent of total billed charges,94.72% of total billed charges,716.23,98.79,,572.98,percent of total billed charges,98.79% of total billed charges,710.5,98,,568.4,percent of total billed charges,98% of total billed charges,710.5,98,,568.4,percent of total billed charges,98% of total billed charges,348,48,,278.4,percent of total billed charges,48% of total billed charges,326.25,45,,261,percent of total billed charges,45% of total billed charges,277.31,38.25,,221.85,percent of total billed charges,38.25% of total billed charges,326.25,45,,261,percent of total billed charges,45% of total billed charges,326.25,45,,261,percent of total billed charges,45% of total billed charges,277.31,716.23,
CONTROL OF NOSEBLEED,30901,CDM,521,RC,30901,HCPCS,OUTPATIENT,,,507,405.6,,481.65,95,,385.32,percent of total billed charges,95% of total billed charges,480.23,94.72,,384.18,percent of total billed charges,94.72% of total billed charges,500.87,98.79,,400.7,percent of total billed charges,98.79% of total billed charges,496.86,98,,397.49,percent of total billed charges,98% of total billed charges,496.86,98,,397.49,percent of total billed charges,98% of total billed charges,243.36,48,,194.69,percent of total billed charges,48% of total billed charges,228.15,45,,182.52,percent of total billed charges,45% of total billed charges,193.93,38.25,,155.14,percent of total billed charges,38.25% of total billed charges,228.15,45,,182.52,percent of total billed charges,45% of total billed charges,228.15,45,,182.52,percent of total billed charges,45% of total billed charges,193.93,500.87,
CONTROL OF NOSEBLEED,30903,CDM,521,RC,30903,HCPCS,OUTPATIENT,,,626,500.8,,594.7,95,,475.76,percent of total billed charges,95% of total billed charges,592.95,94.72,,474.36,percent of total billed charges,94.72% of total billed charges,618.43,98.79,,494.74,percent of total billed charges,98.79% of total billed charges,613.48,98,,490.78,percent of total billed charges,98% of total billed charges,613.48,98,,490.78,percent of total billed charges,98% of total billed charges,300.48,48,,240.38,percent of total billed charges,48% of total billed charges,281.7,45,,225.36,percent of total billed charges,45% of total billed charges,239.45,38.25,,191.56,percent of total billed charges,38.25% of total billed charges,281.7,45,,225.36,percent of total billed charges,45% of total billed charges,281.7,45,,225.36,percent of total billed charges,45% of total billed charges,239.45,618.43,
NASAL ENDOSCOPY DX,31231,CDM,521,RC,31231,HCPCS,OUTPATIENT,,,1067,853.6,,1013.65,95,,810.92,percent of total billed charges,95% of total billed charges,1010.66,94.72,,808.53,percent of total billed charges,94.72% of total billed charges,1054.09,98.79,,843.27,percent of total billed charges,98.79% of total billed charges,1045.66,98,,836.53,percent of total billed charges,98% of total billed charges,1045.66,98,,836.53,percent of total billed charges,98% of total billed charges,512.16,48,,409.73,percent of total billed charges,48% of total billed charges,480.15,45,,384.12,percent of total billed charges,45% of total billed charges,408.13,38.25,,326.5,percent of total billed charges,38.25% of total billed charges,480.15,45,,384.12,percent of total billed charges,45% of total billed charges,480.15,45,,384.12,percent of total billed charges,45% of total billed charges,408.13,1054.09,
31575 Laryngoscopy| flexible fiberoptic; diagnosti,31575,CDM,521,RC,31575,HCPCS,OUTPATIENT,,,459,367.2,,436.05,95,,348.84,percent of total billed charges,95% of total billed charges,434.76,94.72,,347.81,percent of total billed charges,94.72% of total billed charges,453.45,98.79,,362.76,percent of total billed charges,98.79% of total billed charges,449.82,98,,359.86,percent of total billed charges,98% of total billed charges,449.82,98,,359.86,percent of total billed charges,98% of total billed charges,220.32,48,,176.26,percent of total billed charges,48% of total billed charges,206.55,45,,165.24,percent of total billed charges,45% of total billed charges,175.57,38.25,,140.46,percent of total billed charges,38.25% of total billed charges,206.55,45,,165.24,percent of total billed charges,45% of total billed charges,206.55,45,,165.24,percent of total billed charges,45% of total billed charges,175.57,453.45,
INSERT CATH PLEURA W/O IMAGE,32556,CDM,521,RC,32556,HCPCS,OUTPATIENT,,,1486,1188.8,,1411.7,95,,1129.36,percent of total billed charges,95% of total billed charges,1407.54,94.72,,1126.03,percent of total billed charges,94.72% of total billed charges,1468.02,98.79,,1174.42,percent of total billed charges,98.79% of total billed charges,1456.28,98,,1165.02,percent of total billed charges,98% of total billed charges,1456.28,98,,1165.02,percent of total billed charges,98% of total billed charges,713.28,48,,570.62,percent of total billed charges,48% of total billed charges,668.7,45,,534.96,percent of total billed charges,45% of total billed charges,568.4,38.25,,454.72,percent of total billed charges,38.25% of total billed charges,668.7,45,,534.96,percent of total billed charges,45% of total billed charges,668.7,45,,534.96,percent of total billed charges,45% of total billed charges,568.4,1468.02,
BIOPSY/REMOVAL LYMPH NODES,38510,CDM,521,RC,38510,HCPCS,OUTPATIENT,,,2135,1708,,2028.25,95,,1622.6,percent of total billed charges,95% of total billed charges,2022.27,94.72,,1617.82,percent of total billed charges,94.72% of total billed charges,2109.17,98.79,,1687.34,percent of total billed charges,98.79% of total billed charges,2092.3,98,,1673.84,percent of total billed charges,98% of total billed charges,2092.3,98,,1673.84,percent of total billed charges,98% of total billed charges,1024.8,48,,819.84,percent of total billed charges,48% of total billed charges,960.75,45,,768.6,percent of total billed charges,45% of total billed charges,816.64,38.25,,653.31,percent of total billed charges,38.25% of total billed charges,960.75,45,,768.6,percent of total billed charges,45% of total billed charges,960.75,45,,768.6,percent of total billed charges,45% of total billed charges,816.64,2109.17,
BIOPSY/REMOVAL LYMPH NODES,38525,CDM,521,RC,38525,HCPCS,OUTPATIENT,,,2046,1636.8,,1943.7,95,,1554.96,percent of total billed charges,95% of total billed charges,1937.97,94.72,,1550.38,percent of total billed charges,94.72% of total billed charges,2021.24,98.79,,1616.99,percent of total billed charges,98.79% of total billed charges,2005.08,98,,1604.06,percent of total billed charges,98% of total billed charges,2005.08,98,,1604.06,percent of total billed charges,98% of total billed charges,982.08,48,,785.66,percent of total billed charges,48% of total billed charges,920.7,45,,736.56,percent of total billed charges,45% of total billed charges,782.6,38.25,,626.08,percent of total billed charges,38.25% of total billed charges,920.7,45,,736.56,percent of total billed charges,45% of total billed charges,920.7,45,,736.56,percent of total billed charges,45% of total billed charges,782.6,2021.24,
BIOPSY OF LIP,40490,CDM,521,RC,40490,HCPCS,OUTPATIENT,,,377,301.6,,358.15,95,,286.52,percent of total billed charges,95% of total billed charges,357.09,94.72,,285.67,percent of total billed charges,94.72% of total billed charges,372.44,98.79,,297.95,percent of total billed charges,98.79% of total billed charges,369.46,98,,295.57,percent of total billed charges,98% of total billed charges,369.46,98,,295.57,percent of total billed charges,98% of total billed charges,180.96,48,,144.77,percent of total billed charges,48% of total billed charges,169.65,45,,135.72,percent of total billed charges,45% of total billed charges,144.2,38.25,,115.36,percent of total billed charges,38.25% of total billed charges,169.65,45,,135.72,percent of total billed charges,45% of total billed charges,169.65,45,,135.72,percent of total billed charges,45% of total billed charges,144.2,372.44,
REPAIR LIP,40654,CDM,521,RC,40654,HCPCS,OUTPATIENT,,,4032,3225.6,,3830.4,95,,3064.32,percent of total billed charges,95% of total billed charges,3819.11,94.72,,3055.29,percent of total billed charges,94.72% of total billed charges,3983.21,98.79,,3186.57,percent of total billed charges,98.79% of total billed charges,3951.36,98,,3161.09,percent of total billed charges,98% of total billed charges,3951.36,98,,3161.09,percent of total billed charges,98% of total billed charges,1935.36,48,,1548.29,percent of total billed charges,48% of total billed charges,1814.4,45,,1451.52,percent of total billed charges,45% of total billed charges,1542.24,38.25,,1233.79,percent of total billed charges,38.25% of total billed charges,1814.4,45,,1451.52,percent of total billed charges,45% of total billed charges,1814.4,45,,1451.52,percent of total billed charges,45% of total billed charges,1542.24,3983.21,
DRAINAGE OF MOUTH LESION,40800,CDM,521,RC,40800,HCPCS,OUTPATIENT,,,554,443.2,,526.3,95,,421.04,percent of total billed charges,95% of total billed charges,524.75,94.72,,419.8,percent of total billed charges,94.72% of total billed charges,547.3,98.79,,437.84,percent of total billed charges,98.79% of total billed charges,542.92,98,,434.34,percent of total billed charges,98% of total billed charges,542.92,98,,434.34,percent of total billed charges,98% of total billed charges,265.92,48,,212.74,percent of total billed charges,48% of total billed charges,249.3,45,,199.44,percent of total billed charges,45% of total billed charges,211.91,38.25,,169.53,percent of total billed charges,38.25% of total billed charges,249.3,45,,199.44,percent of total billed charges,45% of total billed charges,249.3,45,,199.44,percent of total billed charges,45% of total billed charges,211.91,547.3,
BIOPSY OF MOUTH LESION,40808,CDM,521,RC,40808,HCPCS,OUTPATIENT,,,608,486.4,,577.6,95,,462.08,percent of total billed charges,95% of total billed charges,575.9,94.72,,460.72,percent of total billed charges,94.72% of total billed charges,600.64,98.79,,480.51,percent of total billed charges,98.79% of total billed charges,595.84,98,,476.67,percent of total billed charges,98% of total billed charges,595.84,98,,476.67,percent of total billed charges,98% of total billed charges,291.84,48,,233.47,percent of total billed charges,48% of total billed charges,273.6,45,,218.88,percent of total billed charges,45% of total billed charges,232.56,38.25,,186.05,percent of total billed charges,38.25% of total billed charges,273.6,45,,218.88,percent of total billed charges,45% of total billed charges,273.6,45,,218.88,percent of total billed charges,45% of total billed charges,232.56,600.64,
EXCISION OF MOUTH LESION,40810,CDM,521,RC,40810,HCPCS,OUTPATIENT,,,694,555.2,,659.3,95,,527.44,percent of total billed charges,95% of total billed charges,657.36,94.72,,525.89,percent of total billed charges,94.72% of total billed charges,685.6,98.79,,548.48,percent of total billed charges,98.79% of total billed charges,680.12,98,,544.1,percent of total billed charges,98% of total billed charges,680.12,98,,544.1,percent of total billed charges,98% of total billed charges,333.12,48,,266.5,percent of total billed charges,48% of total billed charges,312.3,45,,249.84,percent of total billed charges,45% of total billed charges,265.46,38.25,,212.37,percent of total billed charges,38.25% of total billed charges,312.3,45,,249.84,percent of total billed charges,45% of total billed charges,312.3,45,,249.84,percent of total billed charges,45% of total billed charges,265.46,685.6,
EXCISE/REPAIR MOUTH LESION,40812,CDM,521,RC,40812,HCPCS,OUTPATIENT,,,846,676.8,,803.7,95,,642.96,percent of total billed charges,95% of total billed charges,801.33,94.72,,641.06,percent of total billed charges,94.72% of total billed charges,835.76,98.79,,668.61,percent of total billed charges,98.79% of total billed charges,829.08,98,,663.26,percent of total billed charges,98% of total billed charges,829.08,98,,663.26,percent of total billed charges,98% of total billed charges,406.08,48,,324.86,percent of total billed charges,48% of total billed charges,380.7,45,,304.56,percent of total billed charges,45% of total billed charges,323.6,38.25,,258.88,percent of total billed charges,38.25% of total billed charges,380.7,45,,304.56,percent of total billed charges,45% of total billed charges,380.7,45,,304.56,percent of total billed charges,45% of total billed charges,323.6,835.76,
FRENULECTOMY,40819,CDM,521,RC,40819,HCPCS,OUTPATIENT,,,929,743.2,,882.55,95,,706.04,percent of total billed charges,95% of total billed charges,879.95,94.72,,703.96,percent of total billed charges,94.72% of total billed charges,917.76,98.79,,734.21,percent of total billed charges,98.79% of total billed charges,910.42,98,,728.34,percent of total billed charges,98% of total billed charges,910.42,98,,728.34,percent of total billed charges,98% of total billed charges,445.92,48,,356.74,percent of total billed charges,48% of total billed charges,418.05,45,,334.44,percent of total billed charges,45% of total billed charges,355.34,38.25,,284.27,percent of total billed charges,38.25% of total billed charges,418.05,45,,334.44,percent of total billed charges,45% of total billed charges,418.05,45,,334.44,percent of total billed charges,45% of total billed charges,355.34,917.76,
INCISION OF TONGUE FOLD,41010,CDM,521,RC,41010,HCPCS,OUTPATIENT,,,731,584.8,,694.45,95,,555.56,percent of total billed charges,95% of total billed charges,692.4,94.72,,553.92,percent of total billed charges,94.72% of total billed charges,722.15,98.79,,577.72,percent of total billed charges,98.79% of total billed charges,716.38,98,,573.1,percent of total billed charges,98% of total billed charges,716.38,98,,573.1,percent of total billed charges,98% of total billed charges,350.88,48,,280.7,percent of total billed charges,48% of total billed charges,328.95,45,,263.16,percent of total billed charges,45% of total billed charges,279.61,38.25,,223.69,percent of total billed charges,38.25% of total billed charges,328.95,45,,263.16,percent of total billed charges,45% of total billed charges,328.95,45,,263.16,percent of total billed charges,45% of total billed charges,279.61,722.15,
BIOPSY OF TONGUE,41100,CDM,521,RC,41100,HCPCS,OUTPATIENT,,,593,474.4,,563.35,95,,450.68,percent of total billed charges,95% of total billed charges,561.69,94.72,,449.35,percent of total billed charges,94.72% of total billed charges,585.82,98.79,,468.66,percent of total billed charges,98.79% of total billed charges,581.14,98,,464.91,percent of total billed charges,98% of total billed charges,581.14,98,,464.91,percent of total billed charges,98% of total billed charges,284.64,48,,227.71,percent of total billed charges,48% of total billed charges,266.85,45,,213.48,percent of total billed charges,45% of total billed charges,226.82,38.25,,181.46,percent of total billed charges,38.25% of total billed charges,266.85,45,,213.48,percent of total billed charges,45% of total billed charges,266.85,45,,213.48,percent of total billed charges,45% of total billed charges,226.82,585.82,
EXCISION OF TONGUE LESION- ANTERIOR TWO-THIRDS,41110,CDM,521,RC,41110,HCPCS,OUTPATIENT,,,694,555.2,,659.3,95,,527.44,percent of total billed charges,95% of total billed charges,657.36,94.72,,525.89,percent of total billed charges,94.72% of total billed charges,685.6,98.79,,548.48,percent of total billed charges,98.79% of total billed charges,680.12,98,,544.1,percent of total billed charges,98% of total billed charges,680.12,98,,544.1,percent of total billed charges,98% of total billed charges,333.12,48,,266.5,percent of total billed charges,48% of total billed charges,312.3,45,,249.84,percent of total billed charges,45% of total billed charges,265.46,38.25,,212.37,percent of total billed charges,38.25% of total billed charges,312.3,45,,249.84,percent of total billed charges,45% of total billed charges,312.3,45,,249.84,percent of total billed charges,45% of total billed charges,265.46,685.6,
EXC OF TONGUE LESION WITH CLOSURE- ANTERIOR TWO THIRDS,41112,CDM,521,RC,41112,HCPCS,OUTPATIENT,,,1009,807.2,,958.55,95,,766.84,percent of total billed charges,95% of total billed charges,955.72,94.72,,764.58,percent of total billed charges,94.72% of total billed charges,996.79,98.79,,797.43,percent of total billed charges,98.79% of total billed charges,988.82,98,,791.06,percent of total billed charges,98% of total billed charges,988.82,98,,791.06,percent of total billed charges,98% of total billed charges,484.32,48,,387.46,percent of total billed charges,48% of total billed charges,454.05,45,,363.24,percent of total billed charges,45% of total billed charges,385.94,38.25,,308.75,percent of total billed charges,38.25% of total billed charges,454.05,45,,363.24,percent of total billed charges,45% of total billed charges,454.05,45,,363.24,percent of total billed charges,45% of total billed charges,385.94,996.79,
EXCISION OF LINGUAL FRENUM,41115,CDM,521,RC,41115,HCPCS,OUTPATIENT,,,818,654.4,,777.1,95,,621.68,percent of total billed charges,95% of total billed charges,774.81,94.72,,619.85,percent of total billed charges,94.72% of total billed charges,808.1,98.79,,646.48,percent of total billed charges,98.79% of total billed charges,801.64,98,,641.31,percent of total billed charges,98% of total billed charges,801.64,98,,641.31,percent of total billed charges,98% of total billed charges,392.64,48,,314.11,percent of total billed charges,48% of total billed charges,368.1,45,,294.48,percent of total billed charges,45% of total billed charges,312.89,38.25,,250.31,percent of total billed charges,38.25% of total billed charges,368.1,45,,294.48,percent of total billed charges,45% of total billed charges,368.1,45,,294.48,percent of total billed charges,45% of total billed charges,312.89,808.1,
REPAIR TONGUE LACERATION,41252,CDM,521,RC,41252,HCPCS,OUTPATIENT,,,1511,1208.8,,1435.45,95,,1148.36,percent of total billed charges,95% of total billed charges,1431.22,94.72,,1144.98,percent of total billed charges,94.72% of total billed charges,1492.72,98.79,,1194.18,percent of total billed charges,98.79% of total billed charges,1480.78,98,,1184.62,percent of total billed charges,98% of total billed charges,1480.78,98,,1184.62,percent of total billed charges,98% of total billed charges,725.28,48,,580.22,percent of total billed charges,48% of total billed charges,679.95,45,,543.96,percent of total billed charges,45% of total billed charges,577.96,38.25,,462.37,percent of total billed charges,38.25% of total billed charges,679.95,45,,543.96,percent of total billed charges,45% of total billed charges,679.95,45,,543.96,percent of total billed charges,45% of total billed charges,577.96,1492.72,
BIOPSY ROOF OF MOUTH,42100,CDM,521,RC,42100,HCPCS,OUTPATIENT,,,575,460,,546.25,95,,437,percent of total billed charges,95% of total billed charges,544.64,94.72,,435.71,percent of total billed charges,94.72% of total billed charges,568.04,98.79,,454.43,percent of total billed charges,98.79% of total billed charges,563.5,98,,450.8,percent of total billed charges,98% of total billed charges,563.5,98,,450.8,percent of total billed charges,98% of total billed charges,276,48,,220.8,percent of total billed charges,48% of total billed charges,258.75,45,,207,percent of total billed charges,45% of total billed charges,219.94,38.25,,175.95,percent of total billed charges,38.25% of total billed charges,258.75,45,,207,percent of total billed charges,45% of total billed charges,258.75,45,,207,percent of total billed charges,45% of total billed charges,219.94,568.04,
EXC LESION PALATE UVULA W/O CLOSURE,42104,CDM,521,RC,42104,HCPCS,OUTPATIENT,,,747,597.6,,709.65,95,,567.72,percent of total billed charges,95% of total billed charges,707.56,94.72,,566.05,percent of total billed charges,94.72% of total billed charges,737.96,98.79,,590.37,percent of total billed charges,98.79% of total billed charges,732.06,98,,585.65,percent of total billed charges,98% of total billed charges,732.06,98,,585.65,percent of total billed charges,98% of total billed charges,358.56,48,,286.85,percent of total billed charges,48% of total billed charges,336.15,45,,268.92,percent of total billed charges,45% of total billed charges,285.73,38.25,,228.58,percent of total billed charges,38.25% of total billed charges,336.15,45,,268.92,percent of total billed charges,45% of total billed charges,336.15,45,,268.92,percent of total billed charges,45% of total billed charges,285.73,737.96,
REMOVAL OF SALIVARY STONE,42330,CDM,521,RC,42330,HCPCS,OUTPATIENT,,,841,672.8,,798.95,95,,639.16,percent of total billed charges,95% of total billed charges,796.6,94.72,,637.28,percent of total billed charges,94.72% of total billed charges,830.82,98.79,,664.66,percent of total billed charges,98.79% of total billed charges,824.18,98,,659.34,percent of total billed charges,98% of total billed charges,824.18,98,,659.34,percent of total billed charges,98% of total billed charges,403.68,48,,322.94,percent of total billed charges,48% of total billed charges,378.45,45,,302.76,percent of total billed charges,45% of total billed charges,321.68,38.25,,257.34,percent of total billed charges,38.25% of total billed charges,378.45,45,,302.76,percent of total billed charges,45% of total billed charges,378.45,45,,302.76,percent of total billed charges,45% of total billed charges,321.68,830.82,
DRAINAGE OF TONSIL ABSCESS,42700,CDM,521,RC,42700,HCPCS,OUTPATIENT,,,709,567.2,,673.55,95,,538.84,percent of total billed charges,95% of total billed charges,671.56,94.72,,537.25,percent of total billed charges,94.72% of total billed charges,700.42,98.79,,560.34,percent of total billed charges,98.79% of total billed charges,694.82,98,,555.86,percent of total billed charges,98% of total billed charges,694.82,98,,555.86,percent of total billed charges,98% of total billed charges,340.32,48,,272.26,percent of total billed charges,48% of total billed charges,319.05,45,,255.24,percent of total billed charges,45% of total billed charges,271.19,38.25,,216.95,percent of total billed charges,38.25% of total billed charges,319.05,45,,255.24,percent of total billed charges,45% of total billed charges,319.05,45,,255.24,percent of total billed charges,45% of total billed charges,271.19,700.42,
BIOPSY OF UPPER NOSE/THROAT,42804,CDM,521,RC,42804,HCPCS,OUTPATIENT,,,749,599.2,,711.55,95,,569.24,percent of total billed charges,95% of total billed charges,709.45,94.72,,567.56,percent of total billed charges,94.72% of total billed charges,739.94,98.79,,591.95,percent of total billed charges,98.79% of total billed charges,734.02,98,,587.22,percent of total billed charges,98% of total billed charges,734.02,98,,587.22,percent of total billed charges,98% of total billed charges,359.52,48,,287.62,percent of total billed charges,48% of total billed charges,337.05,45,,269.64,percent of total billed charges,45% of total billed charges,286.49,38.25,,229.19,percent of total billed charges,38.25% of total billed charges,337.05,45,,269.64,percent of total billed charges,45% of total billed charges,337.05,45,,269.64,percent of total billed charges,45% of total billed charges,286.49,739.94,
I  D Perianal Abscess,46050,CDM,521,RC,46050,HCPCS,OUTPATIENT,,,693,554.4,,658.35,95,,526.68,percent of total billed charges,95% of total billed charges,656.41,94.72,,525.13,percent of total billed charges,94.72% of total billed charges,684.61,98.79,,547.69,percent of total billed charges,98.79% of total billed charges,679.14,98,,543.31,percent of total billed charges,98% of total billed charges,679.14,98,,543.31,percent of total billed charges,98% of total billed charges,332.64,48,,266.11,percent of total billed charges,48% of total billed charges,311.85,45,,249.48,percent of total billed charges,45% of total billed charges,265.07,38.25,,212.06,percent of total billed charges,38.25% of total billed charges,311.85,45,,249.48,percent of total billed charges,45% of total billed charges,311.85,45,,249.48,percent of total billed charges,45% of total billed charges,265.07,684.61,
I  D Thrombosed Hemorrhoid,46083,CDM,521,RC,46083,HCPCS,OUTPATIENT,,,610,488,,579.5,95,,463.6,percent of total billed charges,95% of total billed charges,577.79,94.72,,462.23,percent of total billed charges,94.72% of total billed charges,602.62,98.79,,482.1,percent of total billed charges,98.79% of total billed charges,597.8,98,,478.24,percent of total billed charges,98% of total billed charges,597.8,98,,478.24,percent of total billed charges,98% of total billed charges,292.8,48,,234.24,percent of total billed charges,48% of total billed charges,274.5,45,,219.6,percent of total billed charges,45% of total billed charges,233.33,38.25,,186.66,percent of total billed charges,38.25% of total billed charges,274.5,45,,219.6,percent of total billed charges,45% of total billed charges,274.5,45,,219.6,percent of total billed charges,45% of total billed charges,233.33,602.62,
EXC MULTIPLE EXT PAPILLAE/TAGS ANUS,46230,CDM,521,RC,46230,HCPCS,OUTPATIENT,,,893,714.4,,848.35,95,,678.68,percent of total billed charges,95% of total billed charges,845.85,94.72,,676.68,percent of total billed charges,94.72% of total billed charges,882.19,98.79,,705.75,percent of total billed charges,98.79% of total billed charges,875.14,98,,700.11,percent of total billed charges,98% of total billed charges,875.14,98,,700.11,percent of total billed charges,98% of total billed charges,428.64,48,,342.91,percent of total billed charges,48% of total billed charges,401.85,45,,321.48,percent of total billed charges,45% of total billed charges,341.57,38.25,,273.26,percent of total billed charges,38.25% of total billed charges,401.85,45,,321.48,percent of total billed charges,45% of total billed charges,401.85,45,,321.48,percent of total billed charges,45% of total billed charges,341.57,882.19,
Injection of Sclerosing Solution Hemorrhoid(s),46500,CDM,521,RC,46500,HCPCS,OUTPATIENT,,,657,525.6,,624.15,95,,499.32,percent of total billed charges,95% of total billed charges,622.31,94.72,,497.85,percent of total billed charges,94.72% of total billed charges,649.05,98.79,,519.24,percent of total billed charges,98.79% of total billed charges,643.86,98,,515.09,percent of total billed charges,98% of total billed charges,643.86,98,,515.09,percent of total billed charges,98% of total billed charges,315.36,48,,252.29,percent of total billed charges,48% of total billed charges,295.65,45,,236.52,percent of total billed charges,45% of total billed charges,251.3,38.25,,201.04,percent of total billed charges,38.25% of total billed charges,295.65,45,,236.52,percent of total billed charges,45% of total billed charges,295.65,45,,236.52,percent of total billed charges,45% of total billed charges,251.3,649.05,
DIAGNOSTIC ANOSCOPY,46600,CDM,521,RC,46600,HCPCS,OUTPATIENT,,,311,248.8,,295.45,95,,236.36,percent of total billed charges,95% of total billed charges,294.58,94.72,,235.66,percent of total billed charges,94.72% of total billed charges,307.24,98.79,,245.79,percent of total billed charges,98.79% of total billed charges,304.78,98,,243.82,percent of total billed charges,98% of total billed charges,304.78,98,,243.82,percent of total billed charges,98% of total billed charges,149.28,48,,119.42,percent of total billed charges,48% of total billed charges,139.95,45,,111.96,percent of total billed charges,45% of total billed charges,118.96,38.25,,95.17,percent of total billed charges,38.25% of total billed charges,139.95,45,,111.96,percent of total billed charges,45% of total billed charges,139.95,45,,111.96,percent of total billed charges,45% of total billed charges,118.96,307.24,
Destruction of Lesion Anus Simple Chemical,46900,CDM,521,RC,46900,HCPCS,OUTPATIENT,,,751,600.8,,713.45,95,,570.76,percent of total billed charges,95% of total billed charges,711.35,94.72,,569.08,percent of total billed charges,94.72% of total billed charges,741.91,98.79,,593.53,percent of total billed charges,98.79% of total billed charges,735.98,98,,588.78,percent of total billed charges,98% of total billed charges,735.98,98,,588.78,percent of total billed charges,98% of total billed charges,360.48,48,,288.38,percent of total billed charges,48% of total billed charges,337.95,45,,270.36,percent of total billed charges,45% of total billed charges,287.26,38.25,,229.81,percent of total billed charges,38.25% of total billed charges,337.95,45,,270.36,percent of total billed charges,45% of total billed charges,337.95,45,,270.36,percent of total billed charges,45% of total billed charges,287.26,741.91,
SIMPLE BLADDER INSTILLATION/IRRIGATE,51700,CDM,521,RC,51700,HCPCS,OUTPATIENT,,,264,211.2,,250.8,95,,200.64,percent of total billed charges,95% of total billed charges,250.06,94.72,,200.05,percent of total billed charges,94.72% of total billed charges,260.81,98.79,,208.65,percent of total billed charges,98.79% of total billed charges,258.72,98,,206.98,percent of total billed charges,98% of total billed charges,258.72,98,,206.98,percent of total billed charges,98% of total billed charges,126.72,48,,101.38,percent of total billed charges,48% of total billed charges,118.8,45,,95.04,percent of total billed charges,45% of total billed charges,100.98,38.25,,80.78,percent of total billed charges,38.25% of total billed charges,118.8,45,,95.04,percent of total billed charges,45% of total billed charges,118.8,45,,95.04,percent of total billed charges,45% of total billed charges,100.98,260.81,
Insertion Catheter,51701,CDM,521,RC,51701,HCPCS,OUTPATIENT,,,247,197.6,,234.65,95,,187.72,percent of total billed charges,95% of total billed charges,233.96,94.72,,187.17,percent of total billed charges,94.72% of total billed charges,244.01,98.79,,195.21,percent of total billed charges,98.79% of total billed charges,242.06,98,,193.65,percent of total billed charges,98% of total billed charges,242.06,98,,193.65,percent of total billed charges,98% of total billed charges,118.56,48,,94.85,percent of total billed charges,48% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,94.48,38.25,,75.58,percent of total billed charges,38.25% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,94.48,244.01,
Insert Temp Indwelling Bladder Cath Simple,51702,CDM,521,RC,51702,HCPCS,OUTPATIENT,,,353,282.4,,335.35,95,,268.28,percent of total billed charges,95% of total billed charges,334.36,94.72,,267.49,percent of total billed charges,94.72% of total billed charges,348.73,98.79,,278.98,percent of total billed charges,98.79% of total billed charges,345.94,98,,276.75,percent of total billed charges,98% of total billed charges,345.94,98,,276.75,percent of total billed charges,98% of total billed charges,169.44,48,,135.55,percent of total billed charges,48% of total billed charges,158.85,45,,127.08,percent of total billed charges,45% of total billed charges,135.02,38.25,,108.02,percent of total billed charges,38.25% of total billed charges,158.85,45,,127.08,percent of total billed charges,45% of total billed charges,158.85,45,,127.08,percent of total billed charges,45% of total billed charges,135.02,348.73,
SUPRA PUBIC CATHETER CHANGE (SIMPLE),51705,CDM,521,RC,51705,HCPCS,OUTPATIENT,,,437,349.6,,415.15,95,,332.12,percent of total billed charges,95% of total billed charges,413.93,94.72,,331.14,percent of total billed charges,94.72% of total billed charges,431.71,98.79,,345.37,percent of total billed charges,98.79% of total billed charges,428.26,98,,342.61,percent of total billed charges,98% of total billed charges,428.26,98,,342.61,percent of total billed charges,98% of total billed charges,209.76,48,,167.81,percent of total billed charges,48% of total billed charges,196.65,45,,157.32,percent of total billed charges,45% of total billed charges,167.15,38.25,,133.72,percent of total billed charges,38.25% of total billed charges,196.65,45,,157.32,percent of total billed charges,45% of total billed charges,196.65,45,,157.32,percent of total billed charges,45% of total billed charges,167.15,431.71,
SUPRA PUBIC CATHETER CHANGE (COMPLEX),51710,CDM,521,RC,51710,HCPCS,OUTPATIENT,,,634,507.2,,602.3,95,,481.84,percent of total billed charges,95% of total billed charges,600.52,94.72,,480.42,percent of total billed charges,94.72% of total billed charges,626.33,98.79,,501.06,percent of total billed charges,98.79% of total billed charges,621.32,98,,497.06,percent of total billed charges,98% of total billed charges,621.32,98,,497.06,percent of total billed charges,98% of total billed charges,304.32,48,,243.46,percent of total billed charges,48% of total billed charges,285.3,45,,228.24,percent of total billed charges,45% of total billed charges,242.51,38.25,,194.01,percent of total billed charges,38.25% of total billed charges,285.3,45,,228.24,percent of total billed charges,45% of total billed charges,285.3,45,,228.24,percent of total billed charges,45% of total billed charges,242.51,626.33,
US URINE CAPACITY MEASURE,51798,CDM,521,RC,51798,HCPCS,OUTPATIENT,,,87,69.6,,82.65,95,,66.12,percent of total billed charges,95% of total billed charges,82.41,94.72,,65.93,percent of total billed charges,94.72% of total billed charges,85.95,98.79,,68.76,percent of total billed charges,98.79% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,41.76,48,,33.41,percent of total billed charges,48% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,38.25,,26.62,percent of total billed charges,38.25% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,85.95,
DESTRUCTION OF LESIONS VULVA SIMPLE,56501,CDM,521,RC,56501,HCPCS,OUTPATIENT,,,466,372.8,,442.7,95,,354.16,percent of total billed charges,95% of total billed charges,441.4,94.72,,353.12,percent of total billed charges,94.72% of total billed charges,460.36,98.79,,368.29,percent of total billed charges,98.79% of total billed charges,456.68,98,,365.34,percent of total billed charges,98% of total billed charges,456.68,98,,365.34,percent of total billed charges,98% of total billed charges,223.68,48,,178.94,percent of total billed charges,48% of total billed charges,209.7,45,,167.76,percent of total billed charges,45% of total billed charges,178.25,38.25,,142.6,percent of total billed charges,38.25% of total billed charges,209.7,45,,167.76,percent of total billed charges,45% of total billed charges,209.7,45,,167.76,percent of total billed charges,45% of total billed charges,178.25,460.36,
Fitting and Insertion Pessary/Other Device,57160,CDM,521,RC,57160,HCPCS,OUTPATIENT,,,275,220,,261.25,95,,209,percent of total billed charges,95% of total billed charges,260.48,94.72,,208.38,percent of total billed charges,94.72% of total billed charges,271.67,98.79,,217.34,percent of total billed charges,98.79% of total billed charges,269.5,98,,215.6,percent of total billed charges,98% of total billed charges,269.5,98,,215.6,percent of total billed charges,98% of total billed charges,132,48,,105.6,percent of total billed charges,48% of total billed charges,123.75,45,,99,percent of total billed charges,45% of total billed charges,105.19,38.25,,84.15,percent of total billed charges,38.25% of total billed charges,123.75,45,,99,percent of total billed charges,45% of total billed charges,123.75,45,,99,percent of total billed charges,45% of total billed charges,105.19,271.67,
Colposcopy of the Cervix,57452,CDM,521,RC,57452,HCPCS,OUTPATIENT,,,444,355.2,,421.8,95,,337.44,percent of total billed charges,95% of total billed charges,420.56,94.72,,336.45,percent of total billed charges,94.72% of total billed charges,438.63,98.79,,350.9,percent of total billed charges,98.79% of total billed charges,435.12,98,,348.1,percent of total billed charges,98% of total billed charges,435.12,98,,348.1,percent of total billed charges,98% of total billed charges,213.12,48,,170.5,percent of total billed charges,48% of total billed charges,199.8,45,,159.84,percent of total billed charges,45% of total billed charges,169.83,38.25,,135.86,percent of total billed charges,38.25% of total billed charges,199.8,45,,159.84,percent of total billed charges,45% of total billed charges,199.8,45,,159.84,percent of total billed charges,45% of total billed charges,169.83,438.63,
Colposcopy of the Cervix with Biopsy,57454,CDM,521,RC,57454,HCPCS,OUTPATIENT,,,459,367.2,,436.05,95,,348.84,percent of total billed charges,95% of total billed charges,434.76,94.72,,347.81,percent of total billed charges,94.72% of total billed charges,453.45,98.79,,362.76,percent of total billed charges,98.79% of total billed charges,449.82,98,,359.86,percent of total billed charges,98% of total billed charges,449.82,98,,359.86,percent of total billed charges,98% of total billed charges,220.32,48,,176.26,percent of total billed charges,48% of total billed charges,206.55,45,,165.24,percent of total billed charges,45% of total billed charges,175.57,38.25,,140.46,percent of total billed charges,38.25% of total billed charges,206.55,45,,165.24,percent of total billed charges,45% of total billed charges,206.55,45,,165.24,percent of total billed charges,45% of total billed charges,175.57,453.45,
Colposcopy of Cervix,57455,CDM,521,RC,57455,HCPCS,OUTPATIENT,,,593,474.4,,563.35,95,,450.68,percent of total billed charges,95% of total billed charges,561.69,94.72,,449.35,percent of total billed charges,94.72% of total billed charges,585.82,98.79,,468.66,percent of total billed charges,98.79% of total billed charges,581.14,98,,464.91,percent of total billed charges,98% of total billed charges,581.14,98,,464.91,percent of total billed charges,98% of total billed charges,284.64,48,,227.71,percent of total billed charges,48% of total billed charges,266.85,45,,213.48,percent of total billed charges,45% of total billed charges,226.82,38.25,,181.46,percent of total billed charges,38.25% of total billed charges,266.85,45,,213.48,percent of total billed charges,45% of total billed charges,266.85,45,,213.48,percent of total billed charges,45% of total billed charges,226.82,585.82,
Colposcopy with Endocervical Curettage,57456,CDM,521,RC,57456,HCPCS,OUTPATIENT,,,465,372,,441.75,95,,353.4,percent of total billed charges,95% of total billed charges,440.45,94.72,,352.36,percent of total billed charges,94.72% of total billed charges,459.37,98.79,,367.5,percent of total billed charges,98.79% of total billed charges,455.7,98,,364.56,percent of total billed charges,98% of total billed charges,455.7,98,,364.56,percent of total billed charges,98% of total billed charges,223.2,48,,178.56,percent of total billed charges,48% of total billed charges,209.25,45,,167.4,percent of total billed charges,45% of total billed charges,177.86,38.25,,142.29,percent of total billed charges,38.25% of total billed charges,209.25,45,,167.4,percent of total billed charges,45% of total billed charges,209.25,45,,167.4,percent of total billed charges,45% of total billed charges,177.86,459.37,
ENDOCERVICAL CURETTAGE,57505,CDM,521,RC,57505,HCPCS,OUTPATIENT,,,403,322.4,,382.85,95,,306.28,percent of total billed charges,95% of total billed charges,381.72,94.72,,305.38,percent of total billed charges,94.72% of total billed charges,398.12,98.79,,318.5,percent of total billed charges,98.79% of total billed charges,394.94,98,,315.95,percent of total billed charges,98% of total billed charges,394.94,98,,315.95,percent of total billed charges,98% of total billed charges,193.44,48,,154.75,percent of total billed charges,48% of total billed charges,181.35,45,,145.08,percent of total billed charges,45% of total billed charges,154.15,38.25,,123.32,percent of total billed charges,38.25% of total billed charges,181.35,45,,145.08,percent of total billed charges,45% of total billed charges,181.35,45,,145.08,percent of total billed charges,45% of total billed charges,154.15,398.12,
Cryocautery Cervix,57511,CDM,521,RC,57511,HCPCS,OUTPATIENT,,,524,419.2,,497.8,95,,398.24,percent of total billed charges,95% of total billed charges,496.33,94.72,,397.06,percent of total billed charges,94.72% of total billed charges,517.66,98.79,,414.13,percent of total billed charges,98.79% of total billed charges,513.52,98,,410.82,percent of total billed charges,98% of total billed charges,513.52,98,,410.82,percent of total billed charges,98% of total billed charges,251.52,48,,201.22,percent of total billed charges,48% of total billed charges,235.8,45,,188.64,percent of total billed charges,45% of total billed charges,200.43,38.25,,160.34,percent of total billed charges,38.25% of total billed charges,235.8,45,,188.64,percent of total billed charges,45% of total billed charges,235.8,45,,188.64,percent of total billed charges,45% of total billed charges,200.43,517.66,
Endometrial Biopsy,58100,CDM,521,RC,58100,HCPCS,OUTPATIENT,,,590,472,,560.5,95,,448.4,percent of total billed charges,95% of total billed charges,558.85,94.72,,447.08,percent of total billed charges,94.72% of total billed charges,582.86,98.79,,466.29,percent of total billed charges,98.79% of total billed charges,578.2,98,,462.56,percent of total billed charges,98% of total billed charges,578.2,98,,462.56,percent of total billed charges,98% of total billed charges,283.2,48,,226.56,percent of total billed charges,48% of total billed charges,265.5,45,,212.4,percent of total billed charges,45% of total billed charges,225.68,38.25,,180.54,percent of total billed charges,38.25% of total billed charges,265.5,45,,212.4,percent of total billed charges,45% of total billed charges,265.5,45,,212.4,percent of total billed charges,45% of total billed charges,225.68,582.86,
Insert Intrauterine Device,58300,CDM,521,RC,58300,HCPCS,OUTPATIENT,,,353,282.4,,335.35,95,,268.28,percent of total billed charges,95% of total billed charges,334.36,94.72,,267.49,percent of total billed charges,94.72% of total billed charges,348.73,98.79,,278.98,percent of total billed charges,98.79% of total billed charges,345.94,98,,276.75,percent of total billed charges,98% of total billed charges,345.94,98,,276.75,percent of total billed charges,98% of total billed charges,169.44,48,,135.55,percent of total billed charges,48% of total billed charges,158.85,45,,127.08,percent of total billed charges,45% of total billed charges,135.02,38.25,,108.02,percent of total billed charges,38.25% of total billed charges,158.85,45,,127.08,percent of total billed charges,45% of total billed charges,158.85,45,,127.08,percent of total billed charges,45% of total billed charges,135.02,348.73,
Removal Intrauterine Device,58301,CDM,521,RC,58301,HCPCS,OUTPATIENT,,,412,329.6,,391.4,95,,313.12,percent of total billed charges,95% of total billed charges,390.25,94.72,,312.2,percent of total billed charges,94.72% of total billed charges,407.01,98.79,,325.61,percent of total billed charges,98.79% of total billed charges,403.76,98,,323.01,percent of total billed charges,98% of total billed charges,403.76,98,,323.01,percent of total billed charges,98% of total billed charges,197.76,48,,158.21,percent of total billed charges,48% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,157.59,38.25,,126.07,percent of total billed charges,38.25% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,185.4,45,,148.32,percent of total billed charges,45% of total billed charges,157.59,407.01,
BIOPSY OF THYROID,60100,CDM,521,RC,60100,HCPCS,OUTPATIENT,,,516,412.8,,490.2,95,,392.16,percent of total billed charges,95% of total billed charges,488.76,94.72,,391.01,percent of total billed charges,94.72% of total billed charges,509.76,98.79,,407.81,percent of total billed charges,98.79% of total billed charges,505.68,98,,404.54,percent of total billed charges,98% of total billed charges,505.68,98,,404.54,percent of total billed charges,98% of total billed charges,247.68,48,,198.14,percent of total billed charges,48% of total billed charges,232.2,45,,185.76,percent of total billed charges,45% of total billed charges,197.37,38.25,,157.9,percent of total billed charges,38.25% of total billed charges,232.2,45,,185.76,percent of total billed charges,45% of total billed charges,232.2,45,,185.76,percent of total billed charges,45% of total billed charges,197.37,509.76,
SCAN PROC CRANIAL EXTRA,61782,CDM,521,RC,61782,HCPCS,OUTPATIENT,,,1218,974.4,,1157.1,95,,925.68,percent of total billed charges,95% of total billed charges,1153.69,94.72,,922.95,percent of total billed charges,94.72% of total billed charges,1203.26,98.79,,962.61,percent of total billed charges,98.79% of total billed charges,1193.64,98,,954.91,percent of total billed charges,98% of total billed charges,1193.64,98,,954.91,percent of total billed charges,98% of total billed charges,584.64,48,,467.71,percent of total billed charges,48% of total billed charges,548.1,45,,438.48,percent of total billed charges,45% of total billed charges,465.89,38.25,,372.71,percent of total billed charges,38.25% of total billed charges,548.1,45,,438.48,percent of total billed charges,45% of total billed charges,548.1,45,,438.48,percent of total billed charges,45% of total billed charges,465.89,1203.26,
LUMBAR PUNCTURE,62270,CDM,521,RC,62270,HCPCS,OUTPATIENT,,,460,368,,437,95,,349.6,percent of total billed charges,95% of total billed charges,435.71,94.72,,348.57,percent of total billed charges,94.72% of total billed charges,454.43,98.79,,363.54,percent of total billed charges,98.79% of total billed charges,450.8,98,,360.64,percent of total billed charges,98% of total billed charges,450.8,98,,360.64,percent of total billed charges,98% of total billed charges,220.8,48,,176.64,percent of total billed charges,48% of total billed charges,207,45,,165.6,percent of total billed charges,45% of total billed charges,175.95,38.25,,140.76,percent of total billed charges,38.25% of total billed charges,207,45,,165.6,percent of total billed charges,45% of total billed charges,207,45,,165.6,percent of total billed charges,45% of total billed charges,175.95,454.43,
Nerve Block Injection Occipital Nerve,64405,CDM,521,RC,64405,HCPCS,OUTPATIENT,,,432,345.6,,410.4,95,,328.32,percent of total billed charges,95% of total billed charges,409.19,94.72,,327.35,percent of total billed charges,94.72% of total billed charges,426.77,98.79,,341.42,percent of total billed charges,98.79% of total billed charges,423.36,98,,338.69,percent of total billed charges,98% of total billed charges,423.36,98,,338.69,percent of total billed charges,98% of total billed charges,207.36,48,,165.89,percent of total billed charges,48% of total billed charges,194.4,45,,155.52,percent of total billed charges,45% of total billed charges,165.24,38.25,,132.19,percent of total billed charges,38.25% of total billed charges,194.4,45,,155.52,percent of total billed charges,45% of total billed charges,194.4,45,,155.52,percent of total billed charges,45% of total billed charges,165.24,426.77,
CHEMODENERVATION FACIAL NERVE UNI,64612,CDM,521,RC,64612,HCPCS,OUTPATIENT,,,723,578.4,,686.85,95,,549.48,percent of total billed charges,95% of total billed charges,684.83,94.72,,547.86,percent of total billed charges,94.72% of total billed charges,714.25,98.79,,571.4,percent of total billed charges,98.79% of total billed charges,708.54,98,,566.83,percent of total billed charges,98% of total billed charges,708.54,98,,566.83,percent of total billed charges,98% of total billed charges,347.04,48,,277.63,percent of total billed charges,48% of total billed charges,325.35,45,,260.28,percent of total billed charges,45% of total billed charges,276.55,38.25,,221.24,percent of total billed charges,38.25% of total billed charges,325.35,45,,260.28,percent of total billed charges,45% of total billed charges,325.35,45,,260.28,percent of total billed charges,45% of total billed charges,276.55,714.25,
REMOVE FOREIGN BODY FROM EYE,65205,CDM,521,RC,65205,HCPCS,OUTPATIENT,,,173,138.4,,164.35,95,,131.48,percent of total billed charges,95% of total billed charges,163.87,94.72,,131.1,percent of total billed charges,94.72% of total billed charges,170.91,98.79,,136.73,percent of total billed charges,98.79% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,83.04,48,,66.43,percent of total billed charges,48% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,38.25,,52.94,percent of total billed charges,38.25% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,170.91,
Removal Foreign Body Conjunctiva,65210,CDM,521,RC,65210,HCPCS,OUTPATIENT,,,271,216.8,,257.45,95,,205.96,percent of total billed charges,95% of total billed charges,256.69,94.72,,205.35,percent of total billed charges,94.72% of total billed charges,267.72,98.79,,214.18,percent of total billed charges,98.79% of total billed charges,265.58,98,,212.46,percent of total billed charges,98% of total billed charges,265.58,98,,212.46,percent of total billed charges,98% of total billed charges,130.08,48,,104.06,percent of total billed charges,48% of total billed charges,121.95,45,,97.56,percent of total billed charges,45% of total billed charges,103.66,38.25,,82.93,percent of total billed charges,38.25% of total billed charges,121.95,45,,97.56,percent of total billed charges,45% of total billed charges,121.95,45,,97.56,percent of total billed charges,45% of total billed charges,103.66,267.72,
Remove Foreign Body Cornea,65220,CDM,521,RC,65220,HCPCS,OUTPATIENT,,,306,244.8,,290.7,95,,232.56,percent of total billed charges,95% of total billed charges,289.84,94.72,,231.87,percent of total billed charges,94.72% of total billed charges,302.3,98.79,,241.84,percent of total billed charges,98.79% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,299.88,98,,239.9,percent of total billed charges,98% of total billed charges,146.88,48,,117.5,percent of total billed charges,48% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,38.25,,93.64,percent of total billed charges,38.25% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,137.7,45,,110.16,percent of total billed charges,45% of total billed charges,117.05,302.3,
BIOPSY OF EXTERNAL EAR,69100,CDM,521,RC,69100,HCPCS,OUTPATIENT,,,841,672.8,,798.95,95,,639.16,percent of total billed charges,95% of total billed charges,796.6,94.72,,637.28,percent of total billed charges,94.72% of total billed charges,830.82,98.79,,664.66,percent of total billed charges,98.79% of total billed charges,824.18,98,,659.34,percent of total billed charges,98% of total billed charges,824.18,98,,659.34,percent of total billed charges,98% of total billed charges,403.68,48,,322.94,percent of total billed charges,48% of total billed charges,378.45,45,,302.76,percent of total billed charges,45% of total billed charges,321.68,38.25,,257.34,percent of total billed charges,38.25% of total billed charges,378.45,45,,302.76,percent of total billed charges,45% of total billed charges,378.45,45,,302.76,percent of total billed charges,45% of total billed charges,321.68,830.82,
REMOVE EXTERNAL EAR PARTIAL,69110,CDM,521,RC,69110,HCPCS,OUTPATIENT,,,2033,1626.4,,1931.35,95,,1545.08,percent of total billed charges,95% of total billed charges,1925.66,94.72,,1540.53,percent of total billed charges,94.72% of total billed charges,2008.4,98.79,,1606.72,percent of total billed charges,98.79% of total billed charges,1992.34,98,,1593.87,percent of total billed charges,98% of total billed charges,1992.34,98,,1593.87,percent of total billed charges,98% of total billed charges,975.84,48,,780.67,percent of total billed charges,48% of total billed charges,914.85,45,,731.88,percent of total billed charges,45% of total billed charges,777.62,38.25,,622.1,percent of total billed charges,38.25% of total billed charges,914.85,45,,731.88,percent of total billed charges,45% of total billed charges,914.85,45,,731.88,percent of total billed charges,45% of total billed charges,777.62,2008.4,
FOREIGN BODY/EAR,69200,CDM,521,RC,69200,HCPCS,OUTPATIENT,,,383,306.4,,363.85,95,,291.08,percent of total billed charges,95% of total billed charges,362.78,94.72,,290.22,percent of total billed charges,94.72% of total billed charges,378.37,98.79,,302.7,percent of total billed charges,98.79% of total billed charges,375.34,98,,300.27,percent of total billed charges,98% of total billed charges,375.34,98,,300.27,percent of total billed charges,98% of total billed charges,183.84,48,,147.07,percent of total billed charges,48% of total billed charges,172.35,45,,137.88,percent of total billed charges,45% of total billed charges,146.5,38.25,,117.2,percent of total billed charges,38.25% of total billed charges,172.35,45,,137.88,percent of total billed charges,45% of total billed charges,172.35,45,,137.88,percent of total billed charges,45% of total billed charges,146.5,378.37,
REMOVAL FB EXT AUDITORY CANAL W/GEN ANESTHESIA,69205,CDM,521,RC,69205,HCPCS,OUTPATIENT,,,554,443.2,,526.3,95,,421.04,percent of total billed charges,95% of total billed charges,524.75,94.72,,419.8,percent of total billed charges,94.72% of total billed charges,547.3,98.79,,437.84,percent of total billed charges,98.79% of total billed charges,542.92,98,,434.34,percent of total billed charges,98% of total billed charges,542.92,98,,434.34,percent of total billed charges,98% of total billed charges,265.92,48,,212.74,percent of total billed charges,48% of total billed charges,249.3,45,,199.44,percent of total billed charges,45% of total billed charges,211.91,38.25,,169.53,percent of total billed charges,38.25% of total billed charges,249.3,45,,199.44,percent of total billed charges,45% of total billed charges,249.3,45,,199.44,percent of total billed charges,45% of total billed charges,211.91,547.3,
REMOVAL IMPACTED CERUMEN UNI BY IRRIGATION,69209,CDM,521,RC,69209,HCPCS,OUTPATIENT,,,61,48.8,,57.95,95,,46.36,percent of total billed charges,95% of total billed charges,57.78,94.72,,46.22,percent of total billed charges,94.72% of total billed charges,60.26,98.79,,48.21,percent of total billed charges,98.79% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,29.28,48,,23.42,percent of total billed charges,48% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,23.33,38.25,,18.66,percent of total billed charges,38.25% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,23.33,60.26,
Removal Impacted Cerumen Uni With Instrumentation,69210,CDM,521,RC,69210,HCPCS,OUTPATIENT,,,173,138.4,,164.35,95,,131.48,percent of total billed charges,95% of total billed charges,163.87,94.72,,131.1,percent of total billed charges,94.72% of total billed charges,170.91,98.79,,136.73,percent of total billed charges,98.79% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,83.04,48,,66.43,percent of total billed charges,48% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,38.25,,52.94,percent of total billed charges,38.25% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,170.91,
DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE,69220,CDM,521,RC,69220,HCPCS,OUTPATIENT,,,427,341.6,,405.65,95,,324.52,percent of total billed charges,95% of total billed charges,404.45,94.72,,323.56,percent of total billed charges,94.72% of total billed charges,421.83,98.79,,337.46,percent of total billed charges,98.79% of total billed charges,418.46,98,,334.77,percent of total billed charges,98% of total billed charges,418.46,98,,334.77,percent of total billed charges,98% of total billed charges,204.96,48,,163.97,percent of total billed charges,48% of total billed charges,192.15,45,,153.72,percent of total billed charges,45% of total billed charges,163.33,38.25,,130.66,percent of total billed charges,38.25% of total billed charges,192.15,45,,153.72,percent of total billed charges,45% of total billed charges,192.15,45,,153.72,percent of total billed charges,45% of total billed charges,163.33,421.83,
INCISION OF EARDRUM REQUIRING GENERAL ANESTHESIA,69421,CDM,521,RC,69421,HCPCS,OUTPATIENT,,,771,616.8,,732.45,95,,585.96,percent of total billed charges,95% of total billed charges,730.29,94.72,,584.23,percent of total billed charges,94.72% of total billed charges,761.67,98.79,,609.34,percent of total billed charges,98.79% of total billed charges,755.58,98,,604.46,percent of total billed charges,98% of total billed charges,755.58,98,,604.46,percent of total billed charges,98% of total billed charges,370.08,48,,296.06,percent of total billed charges,48% of total billed charges,346.95,45,,277.56,percent of total billed charges,45% of total billed charges,294.91,38.25,,235.93,percent of total billed charges,38.25% of total billed charges,346.95,45,,277.56,percent of total billed charges,45% of total billed charges,346.95,45,,277.56,percent of total billed charges,45% of total billed charges,294.91,761.67,
REMOVE VENTILATING TUBE,69424,CDM,521,RC,69424,HCPCS,OUTPATIENT,,,474,379.2,,450.3,95,,360.24,percent of total billed charges,95% of total billed charges,448.97,94.72,,359.18,percent of total billed charges,94.72% of total billed charges,468.26,98.79,,374.61,percent of total billed charges,98.79% of total billed charges,464.52,98,,371.62,percent of total billed charges,98% of total billed charges,464.52,98,,371.62,percent of total billed charges,98% of total billed charges,227.52,48,,182.02,percent of total billed charges,48% of total billed charges,213.3,45,,170.64,percent of total billed charges,45% of total billed charges,181.31,38.25,,145.05,percent of total billed charges,38.25% of total billed charges,213.3,45,,170.64,percent of total billed charges,45% of total billed charges,213.3,45,,170.64,percent of total billed charges,45% of total billed charges,181.31,468.26,
CREATE EAR DRUM OPENING/LOCAL OR TOPICAL ANESTHESIA,69433,CDM,521,RC,69433,HCPCS,OUTPATIENT,,,698,558.4,,663.1,95,,530.48,percent of total billed charges,95% of total billed charges,661.15,94.72,,528.92,percent of total billed charges,94.72% of total billed charges,689.55,98.79,,551.64,percent of total billed charges,98.79% of total billed charges,684.04,98,,547.23,percent of total billed charges,98% of total billed charges,684.04,98,,547.23,percent of total billed charges,98% of total billed charges,335.04,48,,268.03,percent of total billed charges,48% of total billed charges,314.1,45,,251.28,percent of total billed charges,45% of total billed charges,266.99,38.25,,213.59,percent of total billed charges,38.25% of total billed charges,314.1,45,,251.28,percent of total billed charges,45% of total billed charges,314.1,45,,251.28,percent of total billed charges,45% of total billed charges,266.99,689.55,
CREATE EAR DRUM OPENING/GENERAL ANESTHESIA,69436,CDM,521,RC,69436,HCPCS,OUTPATIENT,,,1158,926.4,,1100.1,95,,880.08,percent of total billed charges,95% of total billed charges,1096.86,94.72,,877.49,percent of total billed charges,94.72% of total billed charges,1143.99,98.79,,915.19,percent of total billed charges,98.79% of total billed charges,1134.84,98,,907.87,percent of total billed charges,98% of total billed charges,1134.84,98,,907.87,percent of total billed charges,98% of total billed charges,555.84,48,,444.67,percent of total billed charges,48% of total billed charges,521.1,45,,416.88,percent of total billed charges,45% of total billed charges,442.94,38.25,,354.35,percent of total billed charges,38.25% of total billed charges,521.1,45,,416.88,percent of total billed charges,45% of total billed charges,521.1,45,,416.88,percent of total billed charges,45% of total billed charges,442.94,1143.99,
REPAIR OF EARDRUM,69610,CDM,521,RC,69610,HCPCS,OUTPATIENT,,,1219,975.2,,1158.05,95,,926.44,percent of total billed charges,95% of total billed charges,1154.64,94.72,,923.71,percent of total billed charges,94.72% of total billed charges,1204.25,98.79,,963.4,percent of total billed charges,98.79% of total billed charges,1194.62,98,,955.7,percent of total billed charges,98% of total billed charges,1194.62,98,,955.7,percent of total billed charges,98% of total billed charges,585.12,48,,468.1,percent of total billed charges,48% of total billed charges,548.55,45,,438.84,percent of total billed charges,45% of total billed charges,466.27,38.25,,373.02,percent of total billed charges,38.25% of total billed charges,548.55,45,,438.84,percent of total billed charges,45% of total billed charges,548.55,45,,438.84,percent of total billed charges,45% of total billed charges,466.27,1204.25,
INCISE INNER EAR,69801,CDM,521,RC,69801,HCPCS,OUTPATIENT,,,2454,1963.2,,2331.3,95,,1865.04,percent of total billed charges,95% of total billed charges,2324.43,94.72,,1859.54,percent of total billed charges,94.72% of total billed charges,2424.31,98.79,,1939.45,percent of total billed charges,98.79% of total billed charges,2404.92,98,,1923.94,percent of total billed charges,98% of total billed charges,2404.92,98,,1923.94,percent of total billed charges,98% of total billed charges,1177.92,48,,942.34,percent of total billed charges,48% of total billed charges,1104.3,45,,883.44,percent of total billed charges,45% of total billed charges,938.66,38.25,,750.93,percent of total billed charges,38.25% of total billed charges,1104.3,45,,883.44,percent of total billed charges,45% of total billed charges,1104.3,45,,883.44,percent of total billed charges,45% of total billed charges,938.66,2424.31,
TB Skin Test,86580,CDM,521,RC,86580,HCPCS,OUTPATIENT,,,65,52,,61.75,95,,49.4,percent of total billed charges,95% of total billed charges,61.57,94.72,,49.26,percent of total billed charges,94.72% of total billed charges,64.21,98.79,,51.37,percent of total billed charges,98.79% of total billed charges,63.7,98,,50.96,percent of total billed charges,98% of total billed charges,63.7,98,,50.96,percent of total billed charges,98% of total billed charges,31.2,48,,24.96,percent of total billed charges,48% of total billed charges,29.25,45,,23.4,percent of total billed charges,45% of total billed charges,24.86,38.25,,19.89,percent of total billed charges,38.25% of total billed charges,29.25,45,,23.4,percent of total billed charges,45% of total billed charges,29.25,45,,23.4,percent of total billed charges,45% of total billed charges,24.86,64.21,
Immun administration by intranasal or oral route,90473,CDM,521,RC,90473,HCPCS,OUTPATIENT,,,60,48,,57,95,,45.6,percent of total billed charges,95% of total billed charges,56.83,94.72,,45.46,percent of total billed charges,94.72% of total billed charges,59.27,98.79,,47.42,percent of total billed charges,98.79% of total billed charges,58.8,98,,47.04,percent of total billed charges,98% of total billed charges,58.8,98,,47.04,percent of total billed charges,98% of total billed charges,28.8,48,,23.04,percent of total billed charges,48% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,22.95,38.25,,18.36,percent of total billed charges,38.25% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,22.95,59.27,
DEVELOPMENTAL TEST LIM,96110,CDM,521,RC,96110,HCPCS,OUTPATIENT,,,26,20.8,,24.7,95,,19.76,percent of total billed charges,95% of total billed charges,24.63,94.72,,19.7,percent of total billed charges,94.72% of total billed charges,25.69,98.79,,20.55,percent of total billed charges,98.79% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,25.48,98,,20.38,percent of total billed charges,98% of total billed charges,12.48,48,,9.98,percent of total billed charges,48% of total billed charges,11.7,45,,9.36,percent of total billed charges,45% of total billed charges,9.95,38.25,,7.96,percent of total billed charges,38.25% of total billed charges,11.7,45,,9.36,percent of total billed charges,45% of total billed charges,11.7,45,,9.36,percent of total billed charges,45% of total billed charges,9.95,25.69,
Basic Debridement (shallow) Active Wound Care 20 sq cm or less,97597,CDM,521,RC,97597,HCPCS,OUTPATIENT,,,240,192,,228,95,,182.4,percent of total billed charges,95% of total billed charges,227.33,94.72,,181.86,percent of total billed charges,94.72% of total billed charges,237.1,98.79,,189.68,percent of total billed charges,98.79% of total billed charges,235.2,98,,188.16,percent of total billed charges,98% of total billed charges,235.2,98,,188.16,percent of total billed charges,98% of total billed charges,115.2,48,,92.16,percent of total billed charges,48% of total billed charges,108,45,,86.4,percent of total billed charges,45% of total billed charges,91.8,38.25,,73.44,percent of total billed charges,38.25% of total billed charges,108,45,,86.4,percent of total billed charges,45% of total billed charges,108,45,,86.4,percent of total billed charges,45% of total billed charges,91.8,237.1,
Debridement Each Additional > 20 CM,97598,CDM,521,RC,97598,HCPCS,OUTPATIENT,,,146,116.8,,138.7,95,,110.96,percent of total billed charges,95% of total billed charges,138.29,94.72,,110.63,percent of total billed charges,94.72% of total billed charges,144.23,98.79,,115.38,percent of total billed charges,98.79% of total billed charges,143.08,98,,114.46,percent of total billed charges,98% of total billed charges,143.08,98,,114.46,percent of total billed charges,98% of total billed charges,70.08,48,,56.06,percent of total billed charges,48% of total billed charges,65.7,45,,52.56,percent of total billed charges,45% of total billed charges,55.85,38.25,,44.68,percent of total billed charges,38.25% of total billed charges,65.7,45,,52.56,percent of total billed charges,45% of total billed charges,65.7,45,,52.56,percent of total billed charges,45% of total billed charges,55.85,144.23,
Removal of Devitalized Tissue Non-Selective Debridement,97602,CDM,521,RC,97602,HCPCS,OUTPATIENT,,,109,87.2,,103.55,95,,82.84,percent of total billed charges,95% of total billed charges,103.24,94.72,,82.59,percent of total billed charges,94.72% of total billed charges,107.68,98.79,,86.14,percent of total billed charges,98.79% of total billed charges,106.82,98,,85.46,percent of total billed charges,98% of total billed charges,106.82,98,,85.46,percent of total billed charges,98% of total billed charges,52.32,48,,41.86,percent of total billed charges,48% of total billed charges,49.05,45,,39.24,percent of total billed charges,45% of total billed charges,41.69,38.25,,33.35,percent of total billed charges,38.25% of total billed charges,49.05,45,,39.24,percent of total billed charges,45% of total billed charges,49.05,45,,39.24,percent of total billed charges,45% of total billed charges,41.69,107.68,
NEG PRESSURE THERAPY,97605,CDM,521,RC,97605,HCPCS,OUTPATIENT,,,278,222.4,,264.1,95,,211.28,percent of total billed charges,95% of total billed charges,263.32,94.72,,210.66,percent of total billed charges,94.72% of total billed charges,274.64,98.79,,219.71,percent of total billed charges,98.79% of total billed charges,272.44,98,,217.95,percent of total billed charges,98% of total billed charges,272.44,98,,217.95,percent of total billed charges,98% of total billed charges,133.44,48,,106.75,percent of total billed charges,48% of total billed charges,125.1,45,,100.08,percent of total billed charges,45% of total billed charges,106.34,38.25,,85.07,percent of total billed charges,38.25% of total billed charges,125.1,45,,100.08,percent of total billed charges,45% of total billed charges,125.1,45,,100.08,percent of total billed charges,45% of total billed charges,106.34,274.64,
OSTEOPATHIC MANIPULATION,98925,CDM,521,RC,98925,HCPCS,OUTPATIENT,,,77,61.6,,73.15,95,,58.52,percent of total billed charges,95% of total billed charges,72.93,94.72,,58.34,percent of total billed charges,94.72% of total billed charges,76.07,98.79,,60.86,percent of total billed charges,98.79% of total billed charges,75.46,98,,60.37,percent of total billed charges,98% of total billed charges,75.46,98,,60.37,percent of total billed charges,98% of total billed charges,36.96,48,,29.57,percent of total billed charges,48% of total billed charges,34.65,45,,27.72,percent of total billed charges,45% of total billed charges,29.45,38.25,,23.56,percent of total billed charges,38.25% of total billed charges,34.65,45,,27.72,percent of total billed charges,45% of total billed charges,34.65,45,,27.72,percent of total billed charges,45% of total billed charges,29.45,76.07,
NON PHYSICIAN TELEPHONE ASSESMENT 5-10 MIN,98966,CDM,521,RC,98966,HCPCS,OUTPATIENT,,,41,32.8,,38.95,95,,31.16,percent of total billed charges,95% of total billed charges,38.84,94.72,,31.07,percent of total billed charges,94.72% of total billed charges,40.5,98.79,,32.4,percent of total billed charges,98.79% of total billed charges,40.18,98,,32.14,percent of total billed charges,98% of total billed charges,40.18,98,,32.14,percent of total billed charges,98% of total billed charges,19.68,48,,15.74,percent of total billed charges,48% of total billed charges,18.45,45,,14.76,percent of total billed charges,45% of total billed charges,15.68,38.25,,12.54,percent of total billed charges,38.25% of total billed charges,18.45,45,,14.76,percent of total billed charges,45% of total billed charges,18.45,45,,14.76,percent of total billed charges,45% of total billed charges,15.68,40.5,
NON PHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN,98967,CDM,521,RC,98967,HCPCS,OUTPATIENT,,,79,63.2,,75.05,95,,60.04,percent of total billed charges,95% of total billed charges,74.83,94.72,,59.86,percent of total billed charges,94.72% of total billed charges,78.04,98.79,,62.43,percent of total billed charges,98.79% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,37.92,48,,30.34,percent of total billed charges,48% of total billed charges,35.55,45,,28.44,percent of total billed charges,45% of total billed charges,30.22,38.25,,24.18,percent of total billed charges,38.25% of total billed charges,35.55,45,,28.44,percent of total billed charges,45% of total billed charges,35.55,45,,28.44,percent of total billed charges,45% of total billed charges,30.22,78.04,
NON PHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN,98968,CDM,521,RC,98968,HCPCS,OUTPATIENT,,,105,84,,99.75,95,,79.8,percent of total billed charges,95% of total billed charges,99.46,94.72,,79.57,percent of total billed charges,94.72% of total billed charges,103.73,98.79,,82.98,percent of total billed charges,98.79% of total billed charges,102.9,98,,82.32,percent of total billed charges,98% of total billed charges,102.9,98,,82.32,percent of total billed charges,98% of total billed charges,50.4,48,,40.32,percent of total billed charges,48% of total billed charges,47.25,45,,37.8,percent of total billed charges,45% of total billed charges,40.16,38.25,,32.13,percent of total billed charges,38.25% of total billed charges,47.25,45,,37.8,percent of total billed charges,45% of total billed charges,47.25,45,,37.8,percent of total billed charges,45% of total billed charges,40.16,103.73,
Snellen eye test,99173,CDM,521,RC,99173,HCPCS,OUTPATIENT,,,12,9.6,,11.4,95,,9.12,percent of total billed charges,95% of total billed charges,11.37,94.72,,9.1,percent of total billed charges,94.72% of total billed charges,11.85,98.79,,9.48,percent of total billed charges,98.79% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,11.76,98,,9.41,percent of total billed charges,98% of total billed charges,5.76,48,,4.61,percent of total billed charges,48% of total billed charges,5.4,45,,4.32,percent of total billed charges,45% of total billed charges,4.59,38.25,,3.67,percent of total billed charges,38.25% of total billed charges,5.4,45,,4.32,percent of total billed charges,45% of total billed charges,5.4,45,,4.32,percent of total billed charges,45% of total billed charges,4.59,11.85,
NP Expanded 15-29 Minutes TECH FEE,99202,CDM,521,RC,99202,HCPCS,OUTPATIENT,,,195,156,,185.25,95,,148.2,percent of total billed charges,95% of total billed charges,184.7,94.72,,147.76,percent of total billed charges,94.72% of total billed charges,192.64,98.79,,154.11,percent of total billed charges,98.79% of total billed charges,191.1,98,,152.88,percent of total billed charges,98% of total billed charges,191.1,98,,152.88,percent of total billed charges,98% of total billed charges,93.6,48,,74.88,percent of total billed charges,48% of total billed charges,87.75,45,,70.2,percent of total billed charges,45% of total billed charges,74.59,38.25,,59.67,percent of total billed charges,38.25% of total billed charges,87.75,45,,70.2,percent of total billed charges,45% of total billed charges,87.75,45,,70.2,percent of total billed charges,45% of total billed charges,74.59,192.64,
99202 Office/Outpatient Visit - New Patient| 15-29 MIN,99202,CDM,521,RC,99202,HCPCS,OUTPATIENT,,,195,156,,185.25,95,,148.2,percent of total billed charges,95% of total billed charges,184.7,94.72,,147.76,percent of total billed charges,94.72% of total billed charges,192.64,98.79,,154.11,percent of total billed charges,98.79% of total billed charges,191.1,98,,152.88,percent of total billed charges,98% of total billed charges,191.1,98,,152.88,percent of total billed charges,98% of total billed charges,93.6,48,,74.88,percent of total billed charges,48% of total billed charges,87.75,45,,70.2,percent of total billed charges,45% of total billed charges,74.59,38.25,,59.67,percent of total billed charges,38.25% of total billed charges,87.75,45,,70.2,percent of total billed charges,45% of total billed charges,87.75,45,,70.2,percent of total billed charges,45% of total billed charges,74.59,192.64,
99203 Office/Outpatient Visit - New Patient|30-44 minutes,99203,CDM,521,RC,99203,HCPCS,OUTPATIENT,,,295,236,,280.25,95,,224.2,percent of total billed charges,95% of total billed charges,279.42,94.72,,223.54,percent of total billed charges,94.72% of total billed charges,291.43,98.79,,233.14,percent of total billed charges,98.79% of total billed charges,289.1,98,,231.28,percent of total billed charges,98% of total billed charges,289.1,98,,231.28,percent of total billed charges,98% of total billed charges,141.6,48,,113.28,percent of total billed charges,48% of total billed charges,132.75,45,,106.2,percent of total billed charges,45% of total billed charges,112.84,38.25,,90.27,percent of total billed charges,38.25% of total billed charges,132.75,45,,106.2,percent of total billed charges,45% of total billed charges,132.75,45,,106.2,percent of total billed charges,45% of total billed charges,112.84,291.43,
99203 Office/Outpatient Visit - NP 30-44 MIN,99203,CDM,521,RC,99203,HCPCS,OUTPATIENT,,,295,236,,280.25,95,,224.2,percent of total billed charges,95% of total billed charges,279.42,94.72,,223.54,percent of total billed charges,94.72% of total billed charges,291.43,98.79,,233.14,percent of total billed charges,98.79% of total billed charges,289.1,98,,231.28,percent of total billed charges,98% of total billed charges,289.1,98,,231.28,percent of total billed charges,98% of total billed charges,141.6,48,,113.28,percent of total billed charges,48% of total billed charges,132.75,45,,106.2,percent of total billed charges,45% of total billed charges,112.84,38.25,,90.27,percent of total billed charges,38.25% of total billed charges,132.75,45,,106.2,percent of total billed charges,45% of total billed charges,132.75,45,,106.2,percent of total billed charges,45% of total billed charges,112.84,291.43,
99204 Office/Outpatient Visit - New Patient| Level 4 45-59 M,99204,CDM,521,RC,99204,HCPCS,OUTPATIENT,,,471,376.8,,447.45,95,,357.96,percent of total billed charges,95% of total billed charges,446.13,94.72,,356.9,percent of total billed charges,94.72% of total billed charges,465.3,98.79,,372.24,percent of total billed charges,98.79% of total billed charges,461.58,98,,369.26,percent of total billed charges,98% of total billed charges,461.58,98,,369.26,percent of total billed charges,98% of total billed charges,226.08,48,,180.86,percent of total billed charges,48% of total billed charges,211.95,45,,169.56,percent of total billed charges,45% of total billed charges,180.16,38.25,,144.13,percent of total billed charges,38.25% of total billed charges,211.95,45,,169.56,percent of total billed charges,45% of total billed charges,211.95,45,,169.56,percent of total billed charges,45% of total billed charges,180.16,465.3,
99204 CLINIC FEE-NEW PT 45-59 minutes Tech Fee,99204,CDM,521,RC,99204,HCPCS,OUTPATIENT,,,471,376.8,,447.45,95,,357.96,percent of total billed charges,95% of total billed charges,446.13,94.72,,356.9,percent of total billed charges,94.72% of total billed charges,465.3,98.79,,372.24,percent of total billed charges,98.79% of total billed charges,461.58,98,,369.26,percent of total billed charges,98% of total billed charges,461.58,98,,369.26,percent of total billed charges,98% of total billed charges,226.08,48,,180.86,percent of total billed charges,48% of total billed charges,211.95,45,,169.56,percent of total billed charges,45% of total billed charges,180.16,38.25,,144.13,percent of total billed charges,38.25% of total billed charges,211.95,45,,169.56,percent of total billed charges,45% of total billed charges,211.95,45,,169.56,percent of total billed charges,45% of total billed charges,180.16,465.3,
99205 Office/Outpatient Visit - New Patient| Level 5 60-74 M,99205,CDM,521,RC,99205,HCPCS,OUTPATIENT,,,521,416.8,,494.95,95,,395.96,percent of total billed charges,95% of total billed charges,493.49,94.72,,394.79,percent of total billed charges,94.72% of total billed charges,514.7,98.79,,411.76,percent of total billed charges,98.79% of total billed charges,510.58,98,,408.46,percent of total billed charges,98% of total billed charges,510.58,98,,408.46,percent of total billed charges,98% of total billed charges,250.08,48,,200.06,percent of total billed charges,48% of total billed charges,234.45,45,,187.56,percent of total billed charges,45% of total billed charges,199.28,38.25,,159.42,percent of total billed charges,38.25% of total billed charges,234.45,45,,187.56,percent of total billed charges,45% of total billed charges,234.45,45,,187.56,percent of total billed charges,45% of total billed charges,199.28,514.7,
99205 CLINIC FEE-NEW PT 60-74 minutes Tech Fee,99205,CDM,521,RC,99205,HCPCS,OUTPATIENT,,,521,416.8,,494.95,95,,395.96,percent of total billed charges,95% of total billed charges,493.49,94.72,,394.79,percent of total billed charges,94.72% of total billed charges,514.7,98.79,,411.76,percent of total billed charges,98.79% of total billed charges,510.58,98,,408.46,percent of total billed charges,98% of total billed charges,510.58,98,,408.46,percent of total billed charges,98% of total billed charges,250.08,48,,200.06,percent of total billed charges,48% of total billed charges,234.45,45,,187.56,percent of total billed charges,45% of total billed charges,199.28,38.25,,159.42,percent of total billed charges,38.25% of total billed charges,234.45,45,,187.56,percent of total billed charges,45% of total billed charges,234.45,45,,187.56,percent of total billed charges,45% of total billed charges,199.28,514.7,
99212 Office/Outpatient Visit - Established Patient| Level 2,99212,CDM,521,RC,99212,HCPCS,OUTPATIENT,,,124,99.2,,117.8,95,,94.24,percent of total billed charges,95% of total billed charges,117.45,94.72,,93.96,percent of total billed charges,94.72% of total billed charges,122.5,98.79,,98,percent of total billed charges,98.79% of total billed charges,121.52,98,,97.22,percent of total billed charges,98% of total billed charges,121.52,98,,97.22,percent of total billed charges,98% of total billed charges,59.52,48,,47.62,percent of total billed charges,48% of total billed charges,55.8,45,,44.64,percent of total billed charges,45% of total billed charges,47.43,38.25,,37.94,percent of total billed charges,38.25% of total billed charges,55.8,45,,44.64,percent of total billed charges,45% of total billed charges,55.8,45,,44.64,percent of total billed charges,45% of total billed charges,47.43,122.5,
99212 CLINIC FEE-EST PT LEVEL 10-19 minutes Tech Fee,99212,CDM,521,RC,99212,HCPCS,OUTPATIENT,,,124,99.2,,117.8,95,,94.24,percent of total billed charges,95% of total billed charges,117.45,94.72,,93.96,percent of total billed charges,94.72% of total billed charges,122.5,98.79,,98,percent of total billed charges,98.79% of total billed charges,121.52,98,,97.22,percent of total billed charges,98% of total billed charges,121.52,98,,97.22,percent of total billed charges,98% of total billed charges,59.52,48,,47.62,percent of total billed charges,48% of total billed charges,55.8,45,,44.64,percent of total billed charges,45% of total billed charges,47.43,38.25,,37.94,percent of total billed charges,38.25% of total billed charges,55.8,45,,44.64,percent of total billed charges,45% of total billed charges,55.8,45,,44.64,percent of total billed charges,45% of total billed charges,47.43,122.5,
99213 Clinic FEE-EST PT LEVEL 20-29 minutes Tech Fee,99213,CDM,521,RC,99213,HCPCS,OUTPATIENT,,,190,152,,180.5,95,,144.4,percent of total billed charges,95% of total billed charges,179.97,94.72,,143.98,percent of total billed charges,94.72% of total billed charges,187.7,98.79,,150.16,percent of total billed charges,98.79% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,91.2,48,,72.96,percent of total billed charges,48% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,38.25,,58.14,percent of total billed charges,38.25% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,187.7,
99213 Office/Outpatient Visit - Established Patient| Level 3,99213,CDM,521,RC,99213,HCPCS,OUTPATIENT,,,190,152,,180.5,95,,144.4,percent of total billed charges,95% of total billed charges,179.97,94.72,,143.98,percent of total billed charges,94.72% of total billed charges,187.7,98.79,,150.16,percent of total billed charges,98.79% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,91.2,48,,72.96,percent of total billed charges,48% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,38.25,,58.14,percent of total billed charges,38.25% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,187.7,
99214 Clinic FEE-EST PT LEVEL 30-39 minutes Tech Fee,99214,CDM,521,RC,99214,HCPCS,OUTPATIENT,,,309,247.2,,293.55,95,,234.84,percent of total billed charges,95% of total billed charges,292.68,94.72,,234.14,percent of total billed charges,94.72% of total billed charges,305.26,98.79,,244.21,percent of total billed charges,98.79% of total billed charges,302.82,98,,242.26,percent of total billed charges,98% of total billed charges,302.82,98,,242.26,percent of total billed charges,98% of total billed charges,148.32,48,,118.66,percent of total billed charges,48% of total billed charges,139.05,45,,111.24,percent of total billed charges,45% of total billed charges,118.19,38.25,,94.55,percent of total billed charges,38.25% of total billed charges,139.05,45,,111.24,percent of total billed charges,45% of total billed charges,139.05,45,,111.24,percent of total billed charges,45% of total billed charges,118.19,305.26,
99214 Office/Outpatient Visit - Established Patient| Level 4,99214,CDM,521,RC,99214,HCPCS,OUTPATIENT,,,309,247.2,,293.55,95,,234.84,percent of total billed charges,95% of total billed charges,292.68,94.72,,234.14,percent of total billed charges,94.72% of total billed charges,305.26,98.79,,244.21,percent of total billed charges,98.79% of total billed charges,302.82,98,,242.26,percent of total billed charges,98% of total billed charges,302.82,98,,242.26,percent of total billed charges,98% of total billed charges,148.32,48,,118.66,percent of total billed charges,48% of total billed charges,139.05,45,,111.24,percent of total billed charges,45% of total billed charges,118.19,38.25,,94.55,percent of total billed charges,38.25% of total billed charges,139.05,45,,111.24,percent of total billed charges,45% of total billed charges,139.05,45,,111.24,percent of total billed charges,45% of total billed charges,118.19,305.26,
99215 CLINIC FEE-EST PT LEVEL 40-54 minutes Tech Fee,99215,CDM,521,RC,99215,HCPCS,OUTPATIENT,,,392,313.6,,372.4,95,,297.92,percent of total billed charges,95% of total billed charges,371.3,94.72,,297.04,percent of total billed charges,94.72% of total billed charges,387.26,98.79,,309.81,percent of total billed charges,98.79% of total billed charges,384.16,98,,307.33,percent of total billed charges,98% of total billed charges,384.16,98,,307.33,percent of total billed charges,98% of total billed charges,188.16,48,,150.53,percent of total billed charges,48% of total billed charges,176.4,45,,141.12,percent of total billed charges,45% of total billed charges,149.94,38.25,,119.95,percent of total billed charges,38.25% of total billed charges,176.4,45,,141.12,percent of total billed charges,45% of total billed charges,176.4,45,,141.12,percent of total billed charges,45% of total billed charges,149.94,387.26,
99215 CLINIC FEE-EST PT LEVEL 40-54 minutes Tech Fee,99215,CDM,521,RC,99215,HCPCS,OUTPATIENT,,,392,313.6,,372.4,95,,297.92,percent of total billed charges,95% of total billed charges,371.3,94.72,,297.04,percent of total billed charges,94.72% of total billed charges,387.26,98.79,,309.81,percent of total billed charges,98.79% of total billed charges,384.16,98,,307.33,percent of total billed charges,98% of total billed charges,384.16,98,,307.33,percent of total billed charges,98% of total billed charges,188.16,48,,150.53,percent of total billed charges,48% of total billed charges,176.4,45,,141.12,percent of total billed charges,45% of total billed charges,149.94,38.25,,119.95,percent of total billed charges,38.25% of total billed charges,176.4,45,,141.12,percent of total billed charges,45% of total billed charges,176.4,45,,141.12,percent of total billed charges,45% of total billed charges,149.94,387.26,
OFFICE CONSULT EXPANDED PROBLEM FOCUS FOR NEW OR ESTABLISHED PATIENT,99242,CDM,521,RC,99242,HCPCS,OUTPATIENT,,,410,328,,389.5,95,,311.6,percent of total billed charges,95% of total billed charges,388.35,94.72,,310.68,percent of total billed charges,94.72% of total billed charges,405.04,98.79,,324.03,percent of total billed charges,98.79% of total billed charges,401.8,98,,321.44,percent of total billed charges,98% of total billed charges,401.8,98,,321.44,percent of total billed charges,98% of total billed charges,196.8,48,,157.44,percent of total billed charges,48% of total billed charges,184.5,45,,147.6,percent of total billed charges,45% of total billed charges,156.83,38.25,,125.46,percent of total billed charges,38.25% of total billed charges,184.5,45,,147.6,percent of total billed charges,45% of total billed charges,184.5,45,,147.6,percent of total billed charges,45% of total billed charges,156.83,405.04,
OFFICE CONSULTATION DETAILED FOR NEW OR ESTABLISHED PATIENT,99243,CDM,521,RC,99243,HCPCS,OUTPATIENT,,,464,371.2,,440.8,95,,352.64,percent of total billed charges,95% of total billed charges,439.5,94.72,,351.6,percent of total billed charges,94.72% of total billed charges,458.39,98.79,,366.71,percent of total billed charges,98.79% of total billed charges,454.72,98,,363.78,percent of total billed charges,98% of total billed charges,454.72,98,,363.78,percent of total billed charges,98% of total billed charges,222.72,48,,178.18,percent of total billed charges,48% of total billed charges,208.8,45,,167.04,percent of total billed charges,45% of total billed charges,177.48,38.25,,141.98,percent of total billed charges,38.25% of total billed charges,208.8,45,,167.04,percent of total billed charges,45% of total billed charges,208.8,45,,167.04,percent of total billed charges,45% of total billed charges,177.48,458.39,
Office Consultation Level 4,99244,CDM,521,RC,99244,HCPCS,OUTPATIENT,,,580,464,,551,95,,440.8,percent of total billed charges,95% of total billed charges,549.38,94.72,,439.5,percent of total billed charges,94.72% of total billed charges,572.98,98.79,,458.38,percent of total billed charges,98.79% of total billed charges,568.4,98,,454.72,percent of total billed charges,98% of total billed charges,568.4,98,,454.72,percent of total billed charges,98% of total billed charges,278.4,48,,222.72,percent of total billed charges,48% of total billed charges,261,45,,208.8,percent of total billed charges,45% of total billed charges,221.85,38.25,,177.48,percent of total billed charges,38.25% of total billed charges,261,45,,208.8,percent of total billed charges,45% of total billed charges,261,45,,208.8,percent of total billed charges,45% of total billed charges,221.85,572.98,
Office Consultation Level 5 for a New or Established Patient,99245,CDM,521,RC,99245,HCPCS,OUTPATIENT,,,692,553.6,,657.4,95,,525.92,percent of total billed charges,95% of total billed charges,655.46,94.72,,524.37,percent of total billed charges,94.72% of total billed charges,683.63,98.79,,546.9,percent of total billed charges,98.79% of total billed charges,678.16,98,,542.53,percent of total billed charges,98% of total billed charges,678.16,98,,542.53,percent of total billed charges,98% of total billed charges,332.16,48,,265.73,percent of total billed charges,48% of total billed charges,311.4,45,,249.12,percent of total billed charges,45% of total billed charges,264.69,38.25,,211.75,percent of total billed charges,38.25% of total billed charges,311.4,45,,249.12,percent of total billed charges,45% of total billed charges,311.4,45,,249.12,percent of total billed charges,45% of total billed charges,264.69,683.63,
HOME V NP HI COMP,99345,CDM,521,RC,99345,HCPCS,OUTPATIENT,,,483,386.4,,458.85,95,,367.08,percent of total billed charges,95% of total billed charges,457.5,94.72,,366,percent of total billed charges,94.72% of total billed charges,477.16,98.79,,381.73,percent of total billed charges,98.79% of total billed charges,473.34,98,,378.67,percent of total billed charges,98% of total billed charges,473.34,98,,378.67,percent of total billed charges,98% of total billed charges,231.84,48,,185.47,percent of total billed charges,48% of total billed charges,217.35,45,,173.88,percent of total billed charges,45% of total billed charges,184.75,38.25,,147.8,percent of total billed charges,38.25% of total billed charges,217.35,45,,173.88,percent of total billed charges,45% of total billed charges,217.35,45,,173.88,percent of total billed charges,45% of total billed charges,184.75,477.16,
NP Preventative Infant to 12 months,99381,CDM,521,RC,99381,HCPCS,OUTPATIENT,,,324,259.2,,307.8,95,,246.24,percent of total billed charges,95% of total billed charges,306.89,94.72,,245.51,percent of total billed charges,94.72% of total billed charges,320.08,98.79,,256.06,percent of total billed charges,98.79% of total billed charges,317.52,98,,254.02,percent of total billed charges,98% of total billed charges,317.52,98,,254.02,percent of total billed charges,98% of total billed charges,155.52,48,,124.42,percent of total billed charges,48% of total billed charges,145.8,45,,116.64,percent of total billed charges,45% of total billed charges,123.93,38.25,,99.14,percent of total billed charges,38.25% of total billed charges,145.8,45,,116.64,percent of total billed charges,45% of total billed charges,145.8,45,,116.64,percent of total billed charges,45% of total billed charges,123.93,320.08,
NP Preventative 1 to 4 yrs,99382,CDM,521,RC,99382,HCPCS,OUTPATIENT,,,340,272,,323,95,,258.4,percent of total billed charges,95% of total billed charges,322.05,94.72,,257.64,percent of total billed charges,94.72% of total billed charges,335.89,98.79,,268.71,percent of total billed charges,98.79% of total billed charges,333.2,98,,266.56,percent of total billed charges,98% of total billed charges,333.2,98,,266.56,percent of total billed charges,98% of total billed charges,163.2,48,,130.56,percent of total billed charges,48% of total billed charges,153,45,,122.4,percent of total billed charges,45% of total billed charges,130.05,38.25,,104.04,percent of total billed charges,38.25% of total billed charges,153,45,,122.4,percent of total billed charges,45% of total billed charges,153,45,,122.4,percent of total billed charges,45% of total billed charges,130.05,335.89,
NP Preventative 5 to 11 yrs,99383,CDM,521,RC,99383,HCPCS,OUTPATIENT,,,294,235.2,,279.3,95,,223.44,percent of total billed charges,95% of total billed charges,278.48,94.72,,222.78,percent of total billed charges,94.72% of total billed charges,290.44,98.79,,232.35,percent of total billed charges,98.79% of total billed charges,288.12,98,,230.5,percent of total billed charges,98% of total billed charges,288.12,98,,230.5,percent of total billed charges,98% of total billed charges,141.12,48,,112.9,percent of total billed charges,48% of total billed charges,132.3,45,,105.84,percent of total billed charges,45% of total billed charges,112.46,38.25,,89.97,percent of total billed charges,38.25% of total billed charges,132.3,45,,105.84,percent of total billed charges,45% of total billed charges,132.3,45,,105.84,percent of total billed charges,45% of total billed charges,112.46,290.44,
NP Preventative 12 to 17 yrs,99384,CDM,521,RC,99384,HCPCS,OUTPATIENT,,,315,252,,299.25,95,,239.4,percent of total billed charges,95% of total billed charges,298.37,94.72,,238.7,percent of total billed charges,94.72% of total billed charges,311.19,98.79,,248.95,percent of total billed charges,98.79% of total billed charges,308.7,98,,246.96,percent of total billed charges,98% of total billed charges,308.7,98,,246.96,percent of total billed charges,98% of total billed charges,151.2,48,,120.96,percent of total billed charges,48% of total billed charges,141.75,45,,113.4,percent of total billed charges,45% of total billed charges,120.49,38.25,,96.39,percent of total billed charges,38.25% of total billed charges,141.75,45,,113.4,percent of total billed charges,45% of total billed charges,141.75,45,,113.4,percent of total billed charges,45% of total billed charges,120.49,311.19,
NP Preventative 18 to 39 yrs,99385,CDM,521,RC,99385,HCPCS,OUTPATIENT,,,389,311.2,,369.55,95,,295.64,percent of total billed charges,95% of total billed charges,368.46,94.72,,294.77,percent of total billed charges,94.72% of total billed charges,384.29,98.79,,307.43,percent of total billed charges,98.79% of total billed charges,381.22,98,,304.98,percent of total billed charges,98% of total billed charges,381.22,98,,304.98,percent of total billed charges,98% of total billed charges,186.72,48,,149.38,percent of total billed charges,48% of total billed charges,175.05,45,,140.04,percent of total billed charges,45% of total billed charges,148.79,38.25,,119.03,percent of total billed charges,38.25% of total billed charges,175.05,45,,140.04,percent of total billed charges,45% of total billed charges,175.05,45,,140.04,percent of total billed charges,45% of total billed charges,148.79,384.29,
NP Preventative 40 to 64 yrs,99386,CDM,521,RC,99386,HCPCS,OUTPATIENT,,,450,360,,427.5,95,,342,percent of total billed charges,95% of total billed charges,426.24,94.72,,340.99,percent of total billed charges,94.72% of total billed charges,444.56,98.79,,355.65,percent of total billed charges,98.79% of total billed charges,441,98,,352.8,percent of total billed charges,98% of total billed charges,441,98,,352.8,percent of total billed charges,98% of total billed charges,216,48,,172.8,percent of total billed charges,48% of total billed charges,202.5,45,,162,percent of total billed charges,45% of total billed charges,172.13,38.25,,137.7,percent of total billed charges,38.25% of total billed charges,202.5,45,,162,percent of total billed charges,45% of total billed charges,202.5,45,,162,percent of total billed charges,45% of total billed charges,172.13,444.56,
NP Preventative 65 yrs and older,99387,CDM,521,RC,99387,HCPCS,OUTPATIENT,,,437,349.6,,415.15,95,,332.12,percent of total billed charges,95% of total billed charges,413.93,94.72,,331.14,percent of total billed charges,94.72% of total billed charges,431.71,98.79,,345.37,percent of total billed charges,98.79% of total billed charges,428.26,98,,342.61,percent of total billed charges,98% of total billed charges,428.26,98,,342.61,percent of total billed charges,98% of total billed charges,209.76,48,,167.81,percent of total billed charges,48% of total billed charges,196.65,45,,157.32,percent of total billed charges,45% of total billed charges,167.15,38.25,,133.72,percent of total billed charges,38.25% of total billed charges,196.65,45,,157.32,percent of total billed charges,45% of total billed charges,196.65,45,,157.32,percent of total billed charges,45% of total billed charges,167.15,431.71,
EP Preventative Infant to 12 mos,99391,CDM,521,RC,99391,HCPCS,OUTPATIENT,,,294,235.2,,279.3,95,,223.44,percent of total billed charges,95% of total billed charges,278.48,94.72,,222.78,percent of total billed charges,94.72% of total billed charges,290.44,98.79,,232.35,percent of total billed charges,98.79% of total billed charges,288.12,98,,230.5,percent of total billed charges,98% of total billed charges,288.12,98,,230.5,percent of total billed charges,98% of total billed charges,141.12,48,,112.9,percent of total billed charges,48% of total billed charges,132.3,45,,105.84,percent of total billed charges,45% of total billed charges,112.46,38.25,,89.97,percent of total billed charges,38.25% of total billed charges,132.3,45,,105.84,percent of total billed charges,45% of total billed charges,132.3,45,,105.84,percent of total billed charges,45% of total billed charges,112.46,290.44,
EP Prevenetative 1 to 4 yrs,99392,CDM,521,RC,99392,HCPCS,OUTPATIENT,,,322,257.6,,305.9,95,,244.72,percent of total billed charges,95% of total billed charges,305,94.72,,244,percent of total billed charges,94.72% of total billed charges,318.1,98.79,,254.48,percent of total billed charges,98.79% of total billed charges,315.56,98,,252.45,percent of total billed charges,98% of total billed charges,315.56,98,,252.45,percent of total billed charges,98% of total billed charges,154.56,48,,123.65,percent of total billed charges,48% of total billed charges,144.9,45,,115.92,percent of total billed charges,45% of total billed charges,123.17,38.25,,98.54,percent of total billed charges,38.25% of total billed charges,144.9,45,,115.92,percent of total billed charges,45% of total billed charges,144.9,45,,115.92,percent of total billed charges,45% of total billed charges,123.17,318.1,
EP Preventative 5 to 11 yrs,99393,CDM,521,RC,99393,HCPCS,OUTPATIENT,,,302,241.6,,286.9,95,,229.52,percent of total billed charges,95% of total billed charges,286.05,94.72,,228.84,percent of total billed charges,94.72% of total billed charges,298.35,98.79,,238.68,percent of total billed charges,98.79% of total billed charges,295.96,98,,236.77,percent of total billed charges,98% of total billed charges,295.96,98,,236.77,percent of total billed charges,98% of total billed charges,144.96,48,,115.97,percent of total billed charges,48% of total billed charges,135.9,45,,108.72,percent of total billed charges,45% of total billed charges,115.52,38.25,,92.42,percent of total billed charges,38.25% of total billed charges,135.9,45,,108.72,percent of total billed charges,45% of total billed charges,135.9,45,,108.72,percent of total billed charges,45% of total billed charges,115.52,298.35,
EP Preveventative 12 to 17 yrs,99394,CDM,521,RC,99394,HCPCS,OUTPATIENT,,,332,265.6,,315.4,95,,252.32,percent of total billed charges,95% of total billed charges,314.47,94.72,,251.58,percent of total billed charges,94.72% of total billed charges,327.98,98.79,,262.38,percent of total billed charges,98.79% of total billed charges,325.36,98,,260.29,percent of total billed charges,98% of total billed charges,325.36,98,,260.29,percent of total billed charges,98% of total billed charges,159.36,48,,127.49,percent of total billed charges,48% of total billed charges,149.4,45,,119.52,percent of total billed charges,45% of total billed charges,126.99,38.25,,101.59,percent of total billed charges,38.25% of total billed charges,149.4,45,,119.52,percent of total billed charges,45% of total billed charges,149.4,45,,119.52,percent of total billed charges,45% of total billed charges,126.99,327.98,
EP Preventative 18 to 39 yrs,99395,CDM,521,RC,99395,HCPCS,OUTPATIENT,,,362,289.6,,343.9,95,,275.12,percent of total billed charges,95% of total billed charges,342.89,94.72,,274.31,percent of total billed charges,94.72% of total billed charges,357.62,98.79,,286.1,percent of total billed charges,98.79% of total billed charges,354.76,98,,283.81,percent of total billed charges,98% of total billed charges,354.76,98,,283.81,percent of total billed charges,98% of total billed charges,173.76,48,,139.01,percent of total billed charges,48% of total billed charges,162.9,45,,130.32,percent of total billed charges,45% of total billed charges,138.47,38.25,,110.78,percent of total billed charges,38.25% of total billed charges,162.9,45,,130.32,percent of total billed charges,45% of total billed charges,162.9,45,,130.32,percent of total billed charges,45% of total billed charges,138.47,357.62,
EP Preventative 40 to 64 yrs,99396,CDM,521,RC,99396,HCPCS,OUTPATIENT,,,382,305.6,,362.9,95,,290.32,percent of total billed charges,95% of total billed charges,361.83,94.72,,289.46,percent of total billed charges,94.72% of total billed charges,377.38,98.79,,301.9,percent of total billed charges,98.79% of total billed charges,374.36,98,,299.49,percent of total billed charges,98% of total billed charges,374.36,98,,299.49,percent of total billed charges,98% of total billed charges,183.36,48,,146.69,percent of total billed charges,48% of total billed charges,171.9,45,,137.52,percent of total billed charges,45% of total billed charges,146.12,38.25,,116.9,percent of total billed charges,38.25% of total billed charges,171.9,45,,137.52,percent of total billed charges,45% of total billed charges,171.9,45,,137.52,percent of total billed charges,45% of total billed charges,146.12,377.38,
EP preventative 65 yrs and older,99397,CDM,521,RC,99397,HCPCS,OUTPATIENT,,,369,295.2,,350.55,95,,280.44,percent of total billed charges,95% of total billed charges,349.52,94.72,,279.62,percent of total billed charges,94.72% of total billed charges,364.54,98.79,,291.63,percent of total billed charges,98.79% of total billed charges,361.62,98,,289.3,percent of total billed charges,98% of total billed charges,361.62,98,,289.3,percent of total billed charges,98% of total billed charges,177.12,48,,141.7,percent of total billed charges,48% of total billed charges,166.05,45,,132.84,percent of total billed charges,45% of total billed charges,141.14,38.25,,112.91,percent of total billed charges,38.25% of total billed charges,166.05,45,,132.84,percent of total billed charges,45% of total billed charges,166.05,45,,132.84,percent of total billed charges,45% of total billed charges,141.14,364.54,
Tobacco Cessation 3 - 10 min,99406,CDM,521,RC,99406,HCPCS,OUTPATIENT,,,46,36.8,,43.7,95,,34.96,percent of total billed charges,95% of total billed charges,43.57,94.72,,34.86,percent of total billed charges,94.72% of total billed charges,45.44,98.79,,36.35,percent of total billed charges,98.79% of total billed charges,45.08,98,,36.06,percent of total billed charges,98% of total billed charges,45.08,98,,36.06,percent of total billed charges,98% of total billed charges,22.08,48,,17.66,percent of total billed charges,48% of total billed charges,20.7,45,,16.56,percent of total billed charges,45% of total billed charges,17.6,38.25,,14.08,percent of total billed charges,38.25% of total billed charges,20.7,45,,16.56,percent of total billed charges,45% of total billed charges,20.7,45,,16.56,percent of total billed charges,45% of total billed charges,17.6,45.44,
Behav Chng Smoking < 10 Min,99407,CDM,521,RC,99407,HCPCS,OUTPATIENT,,,93,74.4,,88.35,95,,70.68,percent of total billed charges,95% of total billed charges,88.09,94.72,,70.47,percent of total billed charges,94.72% of total billed charges,91.87,98.79,,73.5,percent of total billed charges,98.79% of total billed charges,91.14,98,,72.91,percent of total billed charges,98% of total billed charges,91.14,98,,72.91,percent of total billed charges,98% of total billed charges,44.64,48,,35.71,percent of total billed charges,48% of total billed charges,41.85,45,,33.48,percent of total billed charges,45% of total billed charges,35.57,38.25,,28.46,percent of total billed charges,38.25% of total billed charges,41.85,45,,33.48,percent of total billed charges,45% of total billed charges,41.85,45,,33.48,percent of total billed charges,45% of total billed charges,35.57,91.87,
ALCOHOL/SUBSTANCE SCREEN  INTERVENTION>30 MIN,99409,CDM,521,RC,99409,HCPCS,OUTPATIENT,,,225,180,,213.75,95,,171,percent of total billed charges,95% of total billed charges,213.12,94.72,,170.5,percent of total billed charges,94.72% of total billed charges,222.28,98.79,,177.82,percent of total billed charges,98.79% of total billed charges,220.5,98,,176.4,percent of total billed charges,98% of total billed charges,220.5,98,,176.4,percent of total billed charges,98% of total billed charges,108,48,,86.4,percent of total billed charges,48% of total billed charges,101.25,45,,81,percent of total billed charges,45% of total billed charges,86.06,38.25,,68.85,percent of total billed charges,38.25% of total billed charges,101.25,45,,81,percent of total billed charges,45% of total billed charges,101.25,45,,81,percent of total billed charges,45% of total billed charges,86.06,222.28,
99417 PROLONG OFFICE E/M EA 15 MIN,99417,CDM,521,RC,99417,HCPCS,OUTPATIENT,,,97,77.6,,92.15,95,,73.72,percent of total billed charges,95% of total billed charges,91.88,94.72,,73.5,percent of total billed charges,94.72% of total billed charges,95.83,98.79,,76.66,percent of total billed charges,98.79% of total billed charges,95.06,98,,76.05,percent of total billed charges,98% of total billed charges,95.06,98,,76.05,percent of total billed charges,98% of total billed charges,46.56,48,,37.25,percent of total billed charges,48% of total billed charges,43.65,45,,34.92,percent of total billed charges,45% of total billed charges,37.1,38.25,,29.68,percent of total billed charges,38.25% of total billed charges,43.65,45,,34.92,percent of total billed charges,45% of total billed charges,43.65,45,,34.92,percent of total billed charges,45% of total billed charges,37.1,95.83,
99421 Online Digital Eval and Management Service Est Pt,99421,CDM,521,RC,99421,HCPCS,OUTPATIENT,,,79,63.2,,75.05,95,,60.04,percent of total billed charges,95% of total billed charges,74.83,94.72,,59.86,percent of total billed charges,94.72% of total billed charges,78.04,98.79,,62.43,percent of total billed charges,98.79% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,77.42,98,,61.94,percent of total billed charges,98% of total billed charges,37.92,48,,30.34,percent of total billed charges,48% of total billed charges,35.55,45,,28.44,percent of total billed charges,45% of total billed charges,30.22,38.25,,24.18,percent of total billed charges,38.25% of total billed charges,35.55,45,,28.44,percent of total billed charges,45% of total billed charges,35.55,45,,28.44,percent of total billed charges,45% of total billed charges,30.22,78.04,
99422 Online Digital Eval and Management Service Est Pt,99422,CDM,521,RC,99422,HCPCS,OUTPATIENT,,,151,120.8,,143.45,95,,114.76,percent of total billed charges,95% of total billed charges,143.03,94.72,,114.42,percent of total billed charges,94.72% of total billed charges,149.17,98.79,,119.34,percent of total billed charges,98.79% of total billed charges,147.98,98,,118.38,percent of total billed charges,98% of total billed charges,147.98,98,,118.38,percent of total billed charges,98% of total billed charges,72.48,48,,57.98,percent of total billed charges,48% of total billed charges,67.95,45,,54.36,percent of total billed charges,45% of total billed charges,57.76,38.25,,46.21,percent of total billed charges,38.25% of total billed charges,67.95,45,,54.36,percent of total billed charges,45% of total billed charges,67.95,45,,54.36,percent of total billed charges,45% of total billed charges,57.76,149.17,
99441 Telephone Evaluation and Management 5-10 min,99441,CDM,521,RC,99441,HCPCS,OUTPATIENT,,,61,48.8,,57.95,95,,46.36,percent of total billed charges,95% of total billed charges,57.78,94.72,,46.22,percent of total billed charges,94.72% of total billed charges,60.26,98.79,,48.21,percent of total billed charges,98.79% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,29.28,48,,23.42,percent of total billed charges,48% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,23.33,38.25,,18.66,percent of total billed charges,38.25% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,23.33,60.26,
99442 Telephone Evaluation and Management 11-20 min,99442,CDM,521,RC,99442,HCPCS,OUTPATIENT,,,125,100,,118.75,95,,95,percent of total billed charges,95% of total billed charges,118.4,94.72,,94.72,percent of total billed charges,94.72% of total billed charges,123.49,98.79,,98.79,percent of total billed charges,98.79% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,60,48,,48,percent of total billed charges,48% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,38.25,,38.25,percent of total billed charges,38.25% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,123.49,
99443 Telephone E/M 21-30 Minutes,99443,CDM,521,RC,99443,HCPCS,OUTPATIENT,,,238,190.4,,226.1,95,,180.88,percent of total billed charges,95% of total billed charges,225.43,94.72,,180.34,percent of total billed charges,94.72% of total billed charges,235.12,98.79,,188.1,percent of total billed charges,98.79% of total billed charges,233.24,98,,186.59,percent of total billed charges,98% of total billed charges,233.24,98,,186.59,percent of total billed charges,98% of total billed charges,114.24,48,,91.39,percent of total billed charges,48% of total billed charges,107.1,45,,85.68,percent of total billed charges,45% of total billed charges,91.04,38.25,,72.83,percent of total billed charges,38.25% of total billed charges,107.1,45,,85.68,percent of total billed charges,45% of total billed charges,107.1,45,,85.68,percent of total billed charges,45% of total billed charges,91.04,235.12,
COMPLX CHRON CARE ADDL30 MIN,99489,CDM,521,RC,99489,HCPCS,OUTPATIENT,,,146,116.8,,138.7,95,,110.96,percent of total billed charges,95% of total billed charges,138.29,94.72,,110.63,percent of total billed charges,94.72% of total billed charges,144.23,98.79,,115.38,percent of total billed charges,98.79% of total billed charges,143.08,98,,114.46,percent of total billed charges,98% of total billed charges,143.08,98,,114.46,percent of total billed charges,98% of total billed charges,70.08,48,,56.06,percent of total billed charges,48% of total billed charges,65.7,45,,52.56,percent of total billed charges,45% of total billed charges,55.85,38.25,,44.68,percent of total billed charges,38.25% of total billed charges,65.7,45,,52.56,percent of total billed charges,45% of total billed charges,65.7,45,,52.56,percent of total billed charges,45% of total billed charges,55.85,144.23,
CHRON CARE MGMT SRVC 20 MIN,99490,CDM,521,RC,99490,HCPCS,OUTPATIENT,,,116,92.8,,110.2,95,,88.16,percent of total billed charges,95% of total billed charges,109.88,94.72,,87.9,percent of total billed charges,94.72% of total billed charges,114.6,98.79,,91.68,percent of total billed charges,98.79% of total billed charges,113.68,98,,90.94,percent of total billed charges,98% of total billed charges,113.68,98,,90.94,percent of total billed charges,98% of total billed charges,55.68,48,,44.54,percent of total billed charges,48% of total billed charges,52.2,45,,41.76,percent of total billed charges,45% of total billed charges,44.37,38.25,,35.5,percent of total billed charges,38.25% of total billed charges,52.2,45,,41.76,percent of total billed charges,45% of total billed charges,52.2,45,,41.76,percent of total billed charges,45% of total billed charges,44.37,114.6,
TRANS CARE MGMT 14 DAY DISCH,99495,CDM,521,RC,99495,HCPCS,OUTPATIENT,,,532,425.6,,505.4,95,,404.32,percent of total billed charges,95% of total billed charges,503.91,94.72,,403.13,percent of total billed charges,94.72% of total billed charges,525.56,98.79,,420.45,percent of total billed charges,98.79% of total billed charges,521.36,98,,417.09,percent of total billed charges,98% of total billed charges,521.36,98,,417.09,percent of total billed charges,98% of total billed charges,255.36,48,,204.29,percent of total billed charges,48% of total billed charges,239.4,45,,191.52,percent of total billed charges,45% of total billed charges,203.49,38.25,,162.79,percent of total billed charges,38.25% of total billed charges,239.4,45,,191.52,percent of total billed charges,45% of total billed charges,239.4,45,,191.52,percent of total billed charges,45% of total billed charges,203.49,525.56,
TRANS CARE MGMT 7 DAY DISCH,99496,CDM,521,RC,99496,HCPCS,OUTPATIENT,,,602,481.6,,571.9,95,,457.52,percent of total billed charges,95% of total billed charges,570.21,94.72,,456.17,percent of total billed charges,94.72% of total billed charges,594.72,98.79,,475.78,percent of total billed charges,98.79% of total billed charges,589.96,98,,471.97,percent of total billed charges,98% of total billed charges,589.96,98,,471.97,percent of total billed charges,98% of total billed charges,288.96,48,,231.17,percent of total billed charges,48% of total billed charges,270.9,45,,216.72,percent of total billed charges,45% of total billed charges,230.27,38.25,,184.22,percent of total billed charges,38.25% of total billed charges,270.9,45,,216.72,percent of total billed charges,45% of total billed charges,270.9,45,,216.72,percent of total billed charges,45% of total billed charges,230.27,594.72,
Advanced Care Planning 30 MIN,99497,CDM,521,RC,99497,HCPCS,OUTPATIENT,,,242,193.6,,229.9,95,,183.92,percent of total billed charges,95% of total billed charges,229.22,94.72,,183.38,percent of total billed charges,94.72% of total billed charges,239.07,98.79,,191.26,percent of total billed charges,98.79% of total billed charges,237.16,98,,189.73,percent of total billed charges,98% of total billed charges,237.16,98,,189.73,percent of total billed charges,98% of total billed charges,116.16,48,,92.93,percent of total billed charges,48% of total billed charges,108.9,45,,87.12,percent of total billed charges,45% of total billed charges,92.57,38.25,,74.06,percent of total billed charges,38.25% of total billed charges,108.9,45,,87.12,percent of total billed charges,45% of total billed charges,108.9,45,,87.12,percent of total billed charges,45% of total billed charges,92.57,239.07,
Advanced Care Planning ADDL 30 MIN,99498,CDM,521,RC,99498,HCPCS,OUTPATIENT,,,252,201.6,,239.4,95,,191.52,percent of total billed charges,95% of total billed charges,238.69,94.72,,190.95,percent of total billed charges,94.72% of total billed charges,248.95,98.79,,199.16,percent of total billed charges,98.79% of total billed charges,246.96,98,,197.57,percent of total billed charges,98% of total billed charges,246.96,98,,197.57,percent of total billed charges,98% of total billed charges,120.96,48,,96.77,percent of total billed charges,48% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,96.39,38.25,,77.11,percent of total billed charges,38.25% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,113.4,45,,90.72,percent of total billed charges,45% of total billed charges,96.39,248.95,
Pap Smear Screen Obtain Prep  Convey-Lab,Q0091,CDM,521,RC,Q0091,HCPCS,OUTPATIENT,,,112,89.6,,106.4,95,,85.12,percent of total billed charges,95% of total billed charges,106.09,94.72,,84.87,percent of total billed charges,94.72% of total billed charges,110.64,98.79,,88.51,percent of total billed charges,98.79% of total billed charges,109.76,98,,87.81,percent of total billed charges,98% of total billed charges,109.76,98,,87.81,percent of total billed charges,98% of total billed charges,53.76,48,,43.01,percent of total billed charges,48% of total billed charges,50.4,45,,40.32,percent of total billed charges,45% of total billed charges,42.84,38.25,,34.27,percent of total billed charges,38.25% of total billed charges,50.4,45,,40.32,percent of total billed charges,45% of total billed charges,50.4,45,,40.32,percent of total billed charges,45% of total billed charges,42.84,110.64,
TELEHEALTH ORIG SITE FACILITY FEE,Q3014,CDM,521,RC,Q3014,HCPCS,OUTPATIENT,,,42,33.6,,39.9,95,,31.92,percent of total billed charges,95% of total billed charges,39.78,94.72,,31.82,percent of total billed charges,94.72% of total billed charges,41.49,98.79,,33.19,percent of total billed charges,98.79% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,20.16,48,,16.13,percent of total billed charges,48% of total billed charges,18.9,45,,15.12,percent of total billed charges,45% of total billed charges,16.07,38.25,,12.86,percent of total billed charges,38.25% of total billed charges,18.9,45,,15.12,percent of total billed charges,45% of total billed charges,18.9,45,,15.12,percent of total billed charges,45% of total billed charges,16.07,41.49,
HOME V NP FOCUSED,99341,CDM,522,RC,99341,HCPCS,OUTPATIENT,,,122,97.6,,115.9,95,,92.72,percent of total billed charges,95% of total billed charges,115.56,94.72,,92.45,percent of total billed charges,94.72% of total billed charges,120.52,98.79,,96.42,percent of total billed charges,98.79% of total billed charges,119.56,98,,95.65,percent of total billed charges,98% of total billed charges,119.56,98,,95.65,percent of total billed charges,98% of total billed charges,58.56,48,,46.85,percent of total billed charges,48% of total billed charges,54.9,45,,43.92,percent of total billed charges,45% of total billed charges,46.67,38.25,,37.34,percent of total billed charges,38.25% of total billed charges,54.9,45,,43.92,percent of total billed charges,45% of total billed charges,54.9,45,,43.92,percent of total billed charges,45% of total billed charges,46.67,120.52,
NP Home Visit,99342,CDM,522,RC,99342,HCPCS,OUTPATIENT,,,192,153.6,,182.4,95,,145.92,percent of total billed charges,95% of total billed charges,181.86,94.72,,145.49,percent of total billed charges,94.72% of total billed charges,189.68,98.79,,151.74,percent of total billed charges,98.79% of total billed charges,188.16,98,,150.53,percent of total billed charges,98% of total billed charges,188.16,98,,150.53,percent of total billed charges,98% of total billed charges,92.16,48,,73.73,percent of total billed charges,48% of total billed charges,86.4,45,,69.12,percent of total billed charges,45% of total billed charges,73.44,38.25,,58.75,percent of total billed charges,38.25% of total billed charges,86.4,45,,69.12,percent of total billed charges,45% of total billed charges,86.4,45,,69.12,percent of total billed charges,45% of total billed charges,73.44,189.68,
HOME V NP COMREH,99344,CDM,522,RC,99344,HCPCS,OUTPATIENT,,,399,319.2,,379.05,95,,303.24,percent of total billed charges,95% of total billed charges,377.93,94.72,,302.34,percent of total billed charges,94.72% of total billed charges,394.17,98.79,,315.34,percent of total billed charges,98.79% of total billed charges,391.02,98,,312.82,percent of total billed charges,98% of total billed charges,391.02,98,,312.82,percent of total billed charges,98% of total billed charges,191.52,48,,153.22,percent of total billed charges,48% of total billed charges,179.55,45,,143.64,percent of total billed charges,45% of total billed charges,152.62,38.25,,122.1,percent of total billed charges,38.25% of total billed charges,179.55,45,,143.64,percent of total billed charges,45% of total billed charges,179.55,45,,143.64,percent of total billed charges,45% of total billed charges,152.62,394.17,
HOME V EP FOCUSED,99347,CDM,522,RC,99347,HCPCS,OUTPATIENT,,,108,86.4,,102.6,95,,82.08,percent of total billed charges,95% of total billed charges,102.3,94.72,,81.84,percent of total billed charges,94.72% of total billed charges,106.69,98.79,,85.35,percent of total billed charges,98.79% of total billed charges,105.84,98,,84.67,percent of total billed charges,98% of total billed charges,105.84,98,,84.67,percent of total billed charges,98% of total billed charges,51.84,48,,41.47,percent of total billed charges,48% of total billed charges,48.6,45,,38.88,percent of total billed charges,45% of total billed charges,41.31,38.25,,33.05,percent of total billed charges,38.25% of total billed charges,48.6,45,,38.88,percent of total billed charges,45% of total billed charges,48.6,45,,38.88,percent of total billed charges,45% of total billed charges,41.31,106.69,
EP Home Visit Expanded Problem Focus,99348,CDM,522,RC,99348,HCPCS,OUTPATIENT,,,186,148.8,,176.7,95,,141.36,percent of total billed charges,95% of total billed charges,176.18,94.72,,140.94,percent of total billed charges,94.72% of total billed charges,183.75,98.79,,147,percent of total billed charges,98.79% of total billed charges,182.28,98,,145.82,percent of total billed charges,98% of total billed charges,182.28,98,,145.82,percent of total billed charges,98% of total billed charges,89.28,48,,71.42,percent of total billed charges,48% of total billed charges,83.7,45,,66.96,percent of total billed charges,45% of total billed charges,71.15,38.25,,56.92,percent of total billed charges,38.25% of total billed charges,83.7,45,,66.96,percent of total billed charges,45% of total billed charges,83.7,45,,66.96,percent of total billed charges,45% of total billed charges,71.15,183.75,
EP Home Visit Detailed Problem Focus,99349,CDM,522,RC,99349,HCPCS,OUTPATIENT,,,298,238.4,,283.1,95,,226.48,percent of total billed charges,95% of total billed charges,282.27,94.72,,225.82,percent of total billed charges,94.72% of total billed charges,294.39,98.79,,235.51,percent of total billed charges,98.79% of total billed charges,292.04,98,,233.63,percent of total billed charges,98% of total billed charges,292.04,98,,233.63,percent of total billed charges,98% of total billed charges,143.04,48,,114.43,percent of total billed charges,48% of total billed charges,134.1,45,,107.28,percent of total billed charges,45% of total billed charges,113.99,38.25,,91.19,percent of total billed charges,38.25% of total billed charges,134.1,45,,107.28,percent of total billed charges,45% of total billed charges,134.1,45,,107.28,percent of total billed charges,45% of total billed charges,113.99,294.39,
99350 Home Visit| Established Patient| Comprehensive,99350,CDM,522,RC,99350,HCPCS,OUTPATIENT,,,350,280,,332.5,95,,266,percent of total billed charges,95% of total billed charges,331.52,94.72,,265.22,percent of total billed charges,94.72% of total billed charges,345.77,98.79,,276.62,percent of total billed charges,98.79% of total billed charges,343,98,,274.4,percent of total billed charges,98% of total billed charges,343,98,,274.4,percent of total billed charges,98% of total billed charges,168,48,,134.4,percent of total billed charges,48% of total billed charges,157.5,45,,126,percent of total billed charges,45% of total billed charges,133.88,38.25,,107.1,percent of total billed charges,38.25% of total billed charges,157.5,45,,126,percent of total billed charges,45% of total billed charges,157.5,45,,126,percent of total billed charges,45% of total billed charges,133.88,345.77,
Initial Nursing Facility Carelow complexity,99304,CDM,524,RC,99304,HCPCS,OUTPATIENT,,,229,183.2,,217.55,95,,174.04,percent of total billed charges,95% of total billed charges,216.91,94.72,,173.53,percent of total billed charges,94.72% of total billed charges,226.23,98.79,,180.98,percent of total billed charges,98.79% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,224.42,98,,179.54,percent of total billed charges,98% of total billed charges,109.92,48,,87.94,percent of total billed charges,48% of total billed charges,103.05,45,,82.44,percent of total billed charges,45% of total billed charges,87.59,38.25,,70.07,percent of total billed charges,38.25% of total billed charges,103.05,45,,82.44,percent of total billed charges,45% of total billed charges,103.05,45,,82.44,percent of total billed charges,45% of total billed charges,87.59,226.23,
Initial Nursing Facility Care Moderate Complexity,99305,CDM,524,RC,99305,HCPCS,OUTPATIENT,,,336,268.8,,319.2,95,,255.36,percent of total billed charges,95% of total billed charges,318.26,94.72,,254.61,percent of total billed charges,94.72% of total billed charges,331.93,98.79,,265.54,percent of total billed charges,98.79% of total billed charges,329.28,98,,263.42,percent of total billed charges,98% of total billed charges,329.28,98,,263.42,percent of total billed charges,98% of total billed charges,161.28,48,,129.02,percent of total billed charges,48% of total billed charges,151.2,45,,120.96,percent of total billed charges,45% of total billed charges,128.52,38.25,,102.82,percent of total billed charges,38.25% of total billed charges,151.2,45,,120.96,percent of total billed charges,45% of total billed charges,151.2,45,,120.96,percent of total billed charges,45% of total billed charges,128.52,331.93,
Initial Nursing Facility CareHigh Complexity,99306,CDM,524,RC,99306,HCPCS,OUTPATIENT,,,385,308,,365.75,95,,292.6,percent of total billed charges,95% of total billed charges,364.67,94.72,,291.74,percent of total billed charges,94.72% of total billed charges,380.34,98.79,,304.27,percent of total billed charges,98.79% of total billed charges,377.3,98,,301.84,percent of total billed charges,98% of total billed charges,377.3,98,,301.84,percent of total billed charges,98% of total billed charges,184.8,48,,147.84,percent of total billed charges,48% of total billed charges,173.25,45,,138.6,percent of total billed charges,45% of total billed charges,147.26,38.25,,117.81,percent of total billed charges,38.25% of total billed charges,173.25,45,,138.6,percent of total billed charges,45% of total billed charges,173.25,45,,138.6,percent of total billed charges,45% of total billed charges,147.26,380.34,
99307 Subsequent nursing facility care| per day| for evaluat,99307,CDM,524,RC,99307,HCPCS,OUTPATIENT,,,99,79.2,,94.05,95,,75.24,percent of total billed charges,95% of total billed charges,93.77,94.72,,75.02,percent of total billed charges,94.72% of total billed charges,97.8,98.79,,78.24,percent of total billed charges,98.79% of total billed charges,97.02,98,,77.62,percent of total billed charges,98% of total billed charges,97.02,98,,77.62,percent of total billed charges,98% of total billed charges,47.52,48,,38.02,percent of total billed charges,48% of total billed charges,44.55,45,,35.64,percent of total billed charges,45% of total billed charges,37.87,38.25,,30.3,percent of total billed charges,38.25% of total billed charges,44.55,45,,35.64,percent of total billed charges,45% of total billed charges,44.55,45,,35.64,percent of total billed charges,45% of total billed charges,37.87,97.8,
99308 Subsequent Nursing Facility Care| Low,99308,CDM,524,RC,99308,HCPCS,OUTPATIENT,,,179,143.2,,170.05,95,,136.04,percent of total billed charges,95% of total billed charges,169.55,94.72,,135.64,percent of total billed charges,94.72% of total billed charges,176.83,98.79,,141.46,percent of total billed charges,98.79% of total billed charges,175.42,98,,140.34,percent of total billed charges,98% of total billed charges,175.42,98,,140.34,percent of total billed charges,98% of total billed charges,85.92,48,,68.74,percent of total billed charges,48% of total billed charges,80.55,45,,64.44,percent of total billed charges,45% of total billed charges,68.47,38.25,,54.78,percent of total billed charges,38.25% of total billed charges,80.55,45,,64.44,percent of total billed charges,45% of total billed charges,80.55,45,,64.44,percent of total billed charges,45% of total billed charges,68.47,176.83,
99309 Subsequent Nursing Facility Care| Moderate,99309,CDM,524,RC,99309,HCPCS,OUTPATIENT,,,236,188.8,,224.2,95,,179.36,percent of total billed charges,95% of total billed charges,223.54,94.72,,178.83,percent of total billed charges,94.72% of total billed charges,233.14,98.79,,186.51,percent of total billed charges,98.79% of total billed charges,231.28,98,,185.02,percent of total billed charges,98% of total billed charges,231.28,98,,185.02,percent of total billed charges,98% of total billed charges,113.28,48,,90.62,percent of total billed charges,48% of total billed charges,106.2,45,,84.96,percent of total billed charges,45% of total billed charges,90.27,38.25,,72.22,percent of total billed charges,38.25% of total billed charges,106.2,45,,84.96,percent of total billed charges,45% of total billed charges,106.2,45,,84.96,percent of total billed charges,45% of total billed charges,90.27,233.14,
99310 Subsequent Nursing Facility Care| High,99310,CDM,524,RC,99310,HCPCS,OUTPATIENT,,,363,290.4,,344.85,95,,275.88,percent of total billed charges,95% of total billed charges,343.83,94.72,,275.06,percent of total billed charges,94.72% of total billed charges,358.61,98.79,,286.89,percent of total billed charges,98.79% of total billed charges,355.74,98,,284.59,percent of total billed charges,98% of total billed charges,355.74,98,,284.59,percent of total billed charges,98% of total billed charges,174.24,48,,139.39,percent of total billed charges,48% of total billed charges,163.35,45,,130.68,percent of total billed charges,45% of total billed charges,138.85,38.25,,111.08,percent of total billed charges,38.25% of total billed charges,163.35,45,,130.68,percent of total billed charges,45% of total billed charges,163.35,45,,130.68,percent of total billed charges,45% of total billed charges,138.85,358.61,
99315 Nursing Facility Discharge| < 30 Min,99315,CDM,524,RC,99315,HCPCS,OUTPATIENT,,,200,160,,190,95,,152,percent of total billed charges,95% of total billed charges,189.44,94.72,,151.55,percent of total billed charges,94.72% of total billed charges,197.58,98.79,,158.06,percent of total billed charges,98.79% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,196,98,,156.8,percent of total billed charges,98% of total billed charges,96,48,,76.8,percent of total billed charges,48% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,38.25,,61.2,percent of total billed charges,38.25% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,90,45,,72,percent of total billed charges,45% of total billed charges,76.5,197.58,
99316 Nursing facility discharge day management; more than 3,99316,CDM,524,RC,99316,HCPCS,OUTPATIENT,,,278,222.4,,264.1,95,,211.28,percent of total billed charges,95% of total billed charges,263.32,94.72,,210.66,percent of total billed charges,94.72% of total billed charges,274.64,98.79,,219.71,percent of total billed charges,98.79% of total billed charges,272.44,98,,217.95,percent of total billed charges,98% of total billed charges,272.44,98,,217.95,percent of total billed charges,98% of total billed charges,133.44,48,,106.75,percent of total billed charges,48% of total billed charges,125.1,45,,100.08,percent of total billed charges,45% of total billed charges,106.34,38.25,,85.07,percent of total billed charges,38.25% of total billed charges,125.1,45,,100.08,percent of total billed charges,45% of total billed charges,125.1,45,,100.08,percent of total billed charges,45% of total billed charges,106.34,274.64,
MRI ANGIO HEAD W/O,734050,CDM,610,RC,70544,HCPCS,OUTPATIENT,,,2678,2142.4,,2544.1,95,,2035.28,percent of total billed charges,95% of total billed charges,2536.6,94.72,,2029.28,percent of total billed charges,94.72% of total billed charges,2645.6,98.79,,2116.48,percent of total billed charges,98.79% of total billed charges,2624.44,98,,2099.55,percent of total billed charges,98% of total billed charges,2624.44,98,,2099.55,percent of total billed charges,98% of total billed charges,1285.44,48,,1028.35,percent of total billed charges,48% of total billed charges,1205.1,45,,964.08,percent of total billed charges,45% of total billed charges,1024.34,38.25,,819.47,percent of total billed charges,38.25% of total billed charges,1205.1,45,,964.08,percent of total billed charges,45% of total billed charges,1205.1,45,,964.08,percent of total billed charges,45% of total billed charges,1024.34,2645.6,
MRI ANGIO HEAD W/CONT,734060,CDM,610,RC,70545,HCPCS,OUTPATIENT,,,2994,2395.2,,2844.3,95,,2275.44,percent of total billed charges,95% of total billed charges,2835.92,94.72,,2268.74,percent of total billed charges,94.72% of total billed charges,2957.77,98.79,,2366.22,percent of total billed charges,98.79% of total billed charges,2934.12,98,,2347.3,percent of total billed charges,98% of total billed charges,2934.12,98,,2347.3,percent of total billed charges,98% of total billed charges,1437.12,48,,1149.7,percent of total billed charges,48% of total billed charges,1347.3,45,,1077.84,percent of total billed charges,45% of total billed charges,1145.21,38.25,,916.17,percent of total billed charges,38.25% of total billed charges,1347.3,45,,1077.84,percent of total billed charges,45% of total billed charges,1347.3,45,,1077.84,percent of total billed charges,45% of total billed charges,1145.21,2957.77,
MRI ANGIO HEAD W/WO,734070,CDM,610,RC,70546,HCPCS,OUTPATIENT,,,3997,3197.6,,3797.15,95,,3037.72,percent of total billed charges,95% of total billed charges,3785.96,94.72,,3028.77,percent of total billed charges,94.72% of total billed charges,3948.64,98.79,,3158.91,percent of total billed charges,98.79% of total billed charges,3917.06,98,,3133.65,percent of total billed charges,98% of total billed charges,3917.06,98,,3133.65,percent of total billed charges,98% of total billed charges,1918.56,48,,1534.85,percent of total billed charges,48% of total billed charges,1798.65,45,,1438.92,percent of total billed charges,45% of total billed charges,1528.85,38.25,,1223.08,percent of total billed charges,38.25% of total billed charges,1798.65,45,,1438.92,percent of total billed charges,45% of total billed charges,1798.65,45,,1438.92,percent of total billed charges,45% of total billed charges,1528.85,3948.64,
MRI ABDOMEN W/O,734080,CDM,610,RC,74181,HCPCS,OUTPATIENT,,,3110,2488,,2954.5,95,,2363.6,percent of total billed charges,95% of total billed charges,2945.79,94.72,,2356.63,percent of total billed charges,94.72% of total billed charges,3072.37,98.79,,2457.9,percent of total billed charges,98.79% of total billed charges,3047.8,98,,2438.24,percent of total billed charges,98% of total billed charges,3047.8,98,,2438.24,percent of total billed charges,98% of total billed charges,1492.8,48,,1194.24,percent of total billed charges,48% of total billed charges,1399.5,45,,1119.6,percent of total billed charges,45% of total billed charges,1189.58,38.25,,951.66,percent of total billed charges,38.25% of total billed charges,1399.5,45,,1119.6,percent of total billed charges,45% of total billed charges,1399.5,45,,1119.6,percent of total billed charges,45% of total billed charges,1189.58,3072.37,
MRI ABDOMEN W/O (MRCP),734085,CDM,610,RC,74181,HCPCS,OUTPATIENT,,,3110,2488,,2954.5,95,,2363.6,percent of total billed charges,95% of total billed charges,2945.79,94.72,,2356.63,percent of total billed charges,94.72% of total billed charges,3072.37,98.79,,2457.9,percent of total billed charges,98.79% of total billed charges,3047.8,98,,2438.24,percent of total billed charges,98% of total billed charges,3047.8,98,,2438.24,percent of total billed charges,98% of total billed charges,1492.8,48,,1194.24,percent of total billed charges,48% of total billed charges,1399.5,45,,1119.6,percent of total billed charges,45% of total billed charges,1189.58,38.25,,951.66,percent of total billed charges,38.25% of total billed charges,1399.5,45,,1119.6,percent of total billed charges,45% of total billed charges,1399.5,45,,1119.6,percent of total billed charges,45% of total billed charges,1189.58,3072.37,
MRI ABDOMEN W/CONT,734090,CDM,610,RC,74182,HCPCS,OUTPATIENT,,,2962,2369.6,,2813.9,95,,2251.12,percent of total billed charges,95% of total billed charges,2805.61,94.72,,2244.49,percent of total billed charges,94.72% of total billed charges,2926.16,98.79,,2340.93,percent of total billed charges,98.79% of total billed charges,2902.76,98,,2322.21,percent of total billed charges,98% of total billed charges,2902.76,98,,2322.21,percent of total billed charges,98% of total billed charges,1421.76,48,,1137.41,percent of total billed charges,48% of total billed charges,1332.9,45,,1066.32,percent of total billed charges,45% of total billed charges,1132.97,38.25,,906.38,percent of total billed charges,38.25% of total billed charges,1332.9,45,,1066.32,percent of total billed charges,45% of total billed charges,1332.9,45,,1066.32,percent of total billed charges,45% of total billed charges,1132.97,2926.16,
MRI ABDOMEN W/WO,734100,CDM,610,RC,74183,HCPCS,OUTPATIENT,,,4569,3655.2,,4340.55,95,,3472.44,percent of total billed charges,95% of total billed charges,4327.76,94.72,,3462.21,percent of total billed charges,94.72% of total billed charges,4513.72,98.79,,3610.98,percent of total billed charges,98.79% of total billed charges,4477.62,98,,3582.1,percent of total billed charges,98% of total billed charges,4477.62,98,,3582.1,percent of total billed charges,98% of total billed charges,2193.12,48,,1754.5,percent of total billed charges,48% of total billed charges,2056.05,45,,1644.84,percent of total billed charges,45% of total billed charges,1747.64,38.25,,1398.11,percent of total billed charges,38.25% of total billed charges,2056.05,45,,1644.84,percent of total billed charges,45% of total billed charges,2056.05,45,,1644.84,percent of total billed charges,45% of total billed charges,1747.64,4513.72,
MRI ANGIO ABDOMEN W OR WO CONT,734110,CDM,610,RC,74185,HCPCS,OUTPATIENT,,,2547,2037.6,,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI ANGIO ABDOMEN W CONT,734110,CDM,610,RC,74185,HCPCS,OUTPATIENT,,,2547,2037.6,,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI ANGIO ABDOMEN WO CONT,734110,CDM,610,RC,74185,HCPCS,OUTPATIENT,,,2547,2037.6,,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI ANGIO CHEST W OR WO CONT,734120,CDM,610,RC,71555,HCPCS,OUTPATIENT,,,2547,2037.6,,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI ANGIO LOWER EXT W/WO CONT-LT,734180,CDM,610,RC,73725,HCPCS,OUTPATIENT,,,2547,2037.6,LT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI ANGIO LOWER EXT W/WO CONT-RT,734185,CDM,610,RC,73725,HCPCS,OUTPATIENT,,,2547,2037.6,RT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI ANGIO PELVIS W/WO,734190,CDM,610,RC,72198,HCPCS,OUTPATIENT,,,2547,2037.6,,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI ANGIO UPPER EXT W/WO CONT-LT,734210,CDM,610,RC,73225,HCPCS,OUTPATIENT,,,2547,2037.6,LT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI ANGIO UPPER EXT W/WO CONT-RT,734215,CDM,610,RC,73225,HCPCS,OUTPATIENT,,,2547,2037.6,RT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI LOWER EXT W/O CONT-LT,734220,CDM,610,RC,73718,HCPCS,OUTPATIENT,,,2547,2037.6,LT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI FEMUR W/O CONT-LT,734221,CDM,610,RC,73718,HCPCS,OUTPATIENT,,,2426,1940.8,LT,2304.7,95,,1843.76,percent of total billed charges,95% of total billed charges,2297.91,94.72,,1838.33,percent of total billed charges,94.72% of total billed charges,2396.65,98.79,,1917.32,percent of total billed charges,98.79% of total billed charges,2377.48,98,,1901.98,percent of total billed charges,98% of total billed charges,2377.48,98,,1901.98,percent of total billed charges,98% of total billed charges,1164.48,48,,931.58,percent of total billed charges,48% of total billed charges,1091.7,45,,873.36,percent of total billed charges,45% of total billed charges,927.95,38.25,,742.36,percent of total billed charges,38.25% of total billed charges,1091.7,45,,873.36,percent of total billed charges,45% of total billed charges,1091.7,45,,873.36,percent of total billed charges,45% of total billed charges,927.95,2396.65,
MRI LEG W/O CONT-LT,734222,CDM,610,RC,73718,HCPCS,OUTPATIENT,,,2547,2037.6,LT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI FOOT W/O LT,734223,CDM,610,RC,73718,HCPCS,OUTPATIENT,,,2547,2037.6,LT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI LOWER EXT W/O CONT-RT,734225,CDM,610,RC,73718,HCPCS,OUTPATIENT,,,2547,2037.6,RT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI FEMUR W/O CONT-RT,734226,CDM,610,RC,73718,HCPCS,OUTPATIENT,,,2547,2037.6,RT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI LEG W/O CONT-RT,734227,CDM,610,RC,73718,HCPCS,OUTPATIENT,,,2547,2037.6,RT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI FOOT W/O RT,734228,CDM,610,RC,73718,HCPCS,OUTPATIENT,,,2547,2037.6,RT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI LOWER EXT W/CONT-LT,734230,CDM,610,RC,73719,HCPCS,OUTPATIENT,,,2547,2037.6,LT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI FEMUR W/CONT-LT,734231,CDM,610,RC,73719,HCPCS,OUTPATIENT,,,2426,1940.8,LT,2304.7,95,,1843.76,percent of total billed charges,95% of total billed charges,2297.91,94.72,,1838.33,percent of total billed charges,94.72% of total billed charges,2396.65,98.79,,1917.32,percent of total billed charges,98.79% of total billed charges,2377.48,98,,1901.98,percent of total billed charges,98% of total billed charges,2377.48,98,,1901.98,percent of total billed charges,98% of total billed charges,1164.48,48,,931.58,percent of total billed charges,48% of total billed charges,1091.7,45,,873.36,percent of total billed charges,45% of total billed charges,927.95,38.25,,742.36,percent of total billed charges,38.25% of total billed charges,1091.7,45,,873.36,percent of total billed charges,45% of total billed charges,1091.7,45,,873.36,percent of total billed charges,45% of total billed charges,927.95,2396.65,
MRI LEG W/CONT-LT,734232,CDM,610,RC,73719,HCPCS,OUTPATIENT,,,2547,2037.6,LT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI ANKLE  W/CONT-LT,734233,CDM,610,RC,73719,HCPCS,OUTPATIENT,,,2547,2037.6,LT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI FOOT W-LT,734234,CDM,610,RC,73719,HCPCS,OUTPATIENT,,,2547,2037.6,LT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI LOWER EXT W/CONT-RT,734235,CDM,610,RC,73719,HCPCS,OUTPATIENT,,,2547,2037.6,RT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI FEMUR W/CONT-RT,734236,CDM,610,RC,73719,HCPCS,OUTPATIENT,,,2547,2037.6,RT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI LEG W/CONT-RT,734237,CDM,610,RC,73719,HCPCS,OUTPATIENT,,,2547,2037.6,RT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI ANKLE W/CONT-RT,734238,CDM,610,RC,73719,HCPCS,OUTPATIENT,,,2547,2037.6,RT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI FOOT W-RT,734239,CDM,610,RC,73719,HCPCS,OUTPATIENT,,,2547,2037.6,RT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI LOWER EXT W/WO CONT-LT,734240,CDM,610,RC,73720,HCPCS,OUTPATIENT,,,3379,2703.2,LT,3210.05,95,,2568.04,percent of total billed charges,95% of total billed charges,3200.59,94.72,,2560.47,percent of total billed charges,94.72% of total billed charges,3338.11,98.79,,2670.49,percent of total billed charges,98.79% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,1621.92,48,,1297.54,percent of total billed charges,48% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,38.25,,1033.98,percent of total billed charges,38.25% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,3338.11,
MRI FEMUR W/WO CONT-LT,734241,CDM,610,RC,73720,HCPCS,OUTPATIENT,,,3218,2574.4,LT,3057.1,95,,2445.68,percent of total billed charges,95% of total billed charges,3048.09,94.72,,2438.47,percent of total billed charges,94.72% of total billed charges,3179.06,98.79,,2543.25,percent of total billed charges,98.79% of total billed charges,3153.64,98,,2522.91,percent of total billed charges,98% of total billed charges,3153.64,98,,2522.91,percent of total billed charges,98% of total billed charges,1544.64,48,,1235.71,percent of total billed charges,48% of total billed charges,1448.1,45,,1158.48,percent of total billed charges,45% of total billed charges,1230.89,38.25,,984.71,percent of total billed charges,38.25% of total billed charges,1448.1,45,,1158.48,percent of total billed charges,45% of total billed charges,1448.1,45,,1158.48,percent of total billed charges,45% of total billed charges,1230.89,3179.06,
MRI LEG  W/WO CONT-LT,734242,CDM,610,RC,73720,HCPCS,OUTPATIENT,,,3379,2703.2,LT,3210.05,95,,2568.04,percent of total billed charges,95% of total billed charges,3200.59,94.72,,2560.47,percent of total billed charges,94.72% of total billed charges,3338.11,98.79,,2670.49,percent of total billed charges,98.79% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,1621.92,48,,1297.54,percent of total billed charges,48% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,38.25,,1033.98,percent of total billed charges,38.25% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,3338.11,
MRI ANKLE  W/WO CONT-LT,734243,CDM,610,RC,73720,HCPCS,OUTPATIENT,,,3379,2703.2,LT,3210.05,95,,2568.04,percent of total billed charges,95% of total billed charges,3200.59,94.72,,2560.47,percent of total billed charges,94.72% of total billed charges,3338.11,98.79,,2670.49,percent of total billed charges,98.79% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,1621.92,48,,1297.54,percent of total billed charges,48% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,38.25,,1033.98,percent of total billed charges,38.25% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,3338.11,
MRI FOOT W/WO-LT,734244,CDM,610,RC,73720,HCPCS,OUTPATIENT,,,3379,2703.2,LT,3210.05,95,,2568.04,percent of total billed charges,95% of total billed charges,3200.59,94.72,,2560.47,percent of total billed charges,94.72% of total billed charges,3338.11,98.79,,2670.49,percent of total billed charges,98.79% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,1621.92,48,,1297.54,percent of total billed charges,48% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,38.25,,1033.98,percent of total billed charges,38.25% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,3338.11,
MRI LOWER EXT W/WO CONT-RT,734245,CDM,610,RC,73720,HCPCS,OUTPATIENT,,,3379,2703.2,RT,3210.05,95,,2568.04,percent of total billed charges,95% of total billed charges,3200.59,94.72,,2560.47,percent of total billed charges,94.72% of total billed charges,3338.11,98.79,,2670.49,percent of total billed charges,98.79% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,1621.92,48,,1297.54,percent of total billed charges,48% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,38.25,,1033.98,percent of total billed charges,38.25% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,3338.11,
MRI FEMUR W/WO CONT-RT,734246,CDM,610,RC,73720,HCPCS,OUTPATIENT,,,3379,2703.2,RT,3210.05,95,,2568.04,percent of total billed charges,95% of total billed charges,3200.59,94.72,,2560.47,percent of total billed charges,94.72% of total billed charges,3338.11,98.79,,2670.49,percent of total billed charges,98.79% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,1621.92,48,,1297.54,percent of total billed charges,48% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,38.25,,1033.98,percent of total billed charges,38.25% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,3338.11,
MRI LEG W/WO CONT-RT,734247,CDM,610,RC,73720,HCPCS,OUTPATIENT,,,3379,2703.2,RT,3210.05,95,,2568.04,percent of total billed charges,95% of total billed charges,3200.59,94.72,,2560.47,percent of total billed charges,94.72% of total billed charges,3338.11,98.79,,2670.49,percent of total billed charges,98.79% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,1621.92,48,,1297.54,percent of total billed charges,48% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,38.25,,1033.98,percent of total billed charges,38.25% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,3338.11,
MRI FOOT W/WO- RT,734248,CDM,610,RC,73720,HCPCS,OUTPATIENT,,,3379,2703.2,RT,3210.05,95,,2568.04,percent of total billed charges,95% of total billed charges,3200.59,94.72,,2560.47,percent of total billed charges,94.72% of total billed charges,3338.11,98.79,,2670.49,percent of total billed charges,98.79% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,1621.92,48,,1297.54,percent of total billed charges,48% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,38.25,,1033.98,percent of total billed charges,38.25% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,3338.11,
MRI HIP W/O CONT-LT,734251,CDM,610,RC,73721,HCPCS,OUTPATIENT,,,2674,2139.2,LT,2540.3,95,,2032.24,percent of total billed charges,95% of total billed charges,2532.81,94.72,,2026.25,percent of total billed charges,94.72% of total billed charges,2641.64,98.79,,2113.31,percent of total billed charges,98.79% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,1283.52,48,,1026.82,percent of total billed charges,48% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,38.25,,818.25,percent of total billed charges,38.25% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,2641.64,
MRI KNEE W/O CONT-LT,734252,CDM,610,RC,73721,HCPCS,OUTPATIENT,,,2674,2139.2,LT,2540.3,95,,2032.24,percent of total billed charges,95% of total billed charges,2532.81,94.72,,2026.25,percent of total billed charges,94.72% of total billed charges,2641.64,98.79,,2113.31,percent of total billed charges,98.79% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,1283.52,48,,1026.82,percent of total billed charges,48% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,38.25,,818.25,percent of total billed charges,38.25% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,2641.64,
MRI ANKLE W/O CONT-LT,734253,CDM,610,RC,73721,HCPCS,OUTPATIENT,,,2674,2139.2,LT,2540.3,95,,2032.24,percent of total billed charges,95% of total billed charges,2532.81,94.72,,2026.25,percent of total billed charges,94.72% of total billed charges,2641.64,98.79,,2113.31,percent of total billed charges,98.79% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,1283.52,48,,1026.82,percent of total billed charges,48% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,38.25,,818.25,percent of total billed charges,38.25% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,2641.64,
MRI HIP W/O CONT-RT,734256,CDM,610,RC,73721,HCPCS,OUTPATIENT,,,2674,2139.2,RT,2540.3,95,,2032.24,percent of total billed charges,95% of total billed charges,2532.81,94.72,,2026.25,percent of total billed charges,94.72% of total billed charges,2641.64,98.79,,2113.31,percent of total billed charges,98.79% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,1283.52,48,,1026.82,percent of total billed charges,48% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,38.25,,818.25,percent of total billed charges,38.25% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,2641.64,
MRI KNEE W/O CONT-RT,734257,CDM,610,RC,73721,HCPCS,OUTPATIENT,,,2674,2139.2,RT,2540.3,95,,2032.24,percent of total billed charges,95% of total billed charges,2532.81,94.72,,2026.25,percent of total billed charges,94.72% of total billed charges,2641.64,98.79,,2113.31,percent of total billed charges,98.79% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,1283.52,48,,1026.82,percent of total billed charges,48% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,38.25,,818.25,percent of total billed charges,38.25% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,2641.64,
MRI ANKLE W/O CONT-RT,734258,CDM,610,RC,73721,HCPCS,OUTPATIENT,,,2674,2139.2,RT,2540.3,95,,2032.24,percent of total billed charges,95% of total billed charges,2532.81,94.72,,2026.25,percent of total billed charges,94.72% of total billed charges,2641.64,98.79,,2113.31,percent of total billed charges,98.79% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,1283.52,48,,1026.82,percent of total billed charges,48% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,38.25,,818.25,percent of total billed charges,38.25% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,2641.64,
MRI HIP W/WO CONT-LT,734261,CDM,610,RC,73720,HCPCS,OUTPATIENT,,,3379,2703.2,LT,3210.05,95,,2568.04,percent of total billed charges,95% of total billed charges,3200.59,94.72,,2560.47,percent of total billed charges,94.72% of total billed charges,3338.11,98.79,,2670.49,percent of total billed charges,98.79% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,1621.92,48,,1297.54,percent of total billed charges,48% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,38.25,,1033.98,percent of total billed charges,38.25% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,3338.11,
MRI KNEE W/WO CONT-LT,734262,CDM,610,RC,73720,HCPCS,OUTPATIENT,,,3379,2703.2,LT,3210.05,95,,2568.04,percent of total billed charges,95% of total billed charges,3200.59,94.72,,2560.47,percent of total billed charges,94.72% of total billed charges,3338.11,98.79,,2670.49,percent of total billed charges,98.79% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,1621.92,48,,1297.54,percent of total billed charges,48% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,38.25,,1033.98,percent of total billed charges,38.25% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,3338.11,
MRI HIP W/WO CONT-RT,734263,CDM,610,RC,73720,HCPCS,OUTPATIENT,,,3379,2703.2,RT,3210.05,95,,2568.04,percent of total billed charges,95% of total billed charges,3200.59,94.72,,2560.47,percent of total billed charges,94.72% of total billed charges,3338.11,98.79,,2670.49,percent of total billed charges,98.79% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,1621.92,48,,1297.54,percent of total billed charges,48% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,38.25,,1033.98,percent of total billed charges,38.25% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,3338.11,
MRI KNEE  W/WO CONT-RT,734264,CDM,610,RC,73720,HCPCS,OUTPATIENT,,,3379,2703.2,RT,3210.05,95,,2568.04,percent of total billed charges,95% of total billed charges,3200.59,94.72,,2560.47,percent of total billed charges,94.72% of total billed charges,3338.11,98.79,,2670.49,percent of total billed charges,98.79% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,1621.92,48,,1297.54,percent of total billed charges,48% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,38.25,,1033.98,percent of total billed charges,38.25% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,3338.11,
MRI ANKLE W/WO CONT-RT,734266,CDM,610,RC,73720,HCPCS,OUTPATIENT,,,3379,2703.2,RT,3210.05,95,,2568.04,percent of total billed charges,95% of total billed charges,3200.59,94.72,,2560.47,percent of total billed charges,94.72% of total billed charges,3338.11,98.79,,2670.49,percent of total billed charges,98.79% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,3311.42,98,,2649.14,percent of total billed charges,98% of total billed charges,1621.92,48,,1297.54,percent of total billed charges,48% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,38.25,,1033.98,percent of total billed charges,38.25% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1520.55,45,,1216.44,percent of total billed charges,45% of total billed charges,1292.47,3338.11,
MRI HIP W/CONT-LT,734267,CDM,610,RC,73719,HCPCS,OUTPATIENT,,,2547,2037.6,LT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI KNEE  W/CONT-LT,734268,CDM,610,RC,73719,HCPCS,OUTPATIENT,,,2547,2037.6,LT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI HIP W/CONT-RT,734269,CDM,610,RC,73719,HCPCS,OUTPATIENT,,,2547,2037.6,RT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI KNEE W/CONT-RT,734271,CDM,610,RC,73719,HCPCS,OUTPATIENT,,,2547,2037.6,RT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI UPPER EXT W/O CONT-LT,734280,CDM,610,RC,73218,HCPCS,OUTPATIENT,,,2674,2139.2,LT,2540.3,95,,2032.24,percent of total billed charges,95% of total billed charges,2532.81,94.72,,2026.25,percent of total billed charges,94.72% of total billed charges,2641.64,98.79,,2113.31,percent of total billed charges,98.79% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,1283.52,48,,1026.82,percent of total billed charges,48% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,38.25,,818.25,percent of total billed charges,38.25% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,2641.64,
MRI HUMERUS W/O CONT-LT,734281,CDM,610,RC,73218,HCPCS,OUTPATIENT,,,2674,2139.2,LT,2540.3,95,,2032.24,percent of total billed charges,95% of total billed charges,2532.81,94.72,,2026.25,percent of total billed charges,94.72% of total billed charges,2641.64,98.79,,2113.31,percent of total billed charges,98.79% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,1283.52,48,,1026.82,percent of total billed charges,48% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,38.25,,818.25,percent of total billed charges,38.25% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,2641.64,
MRI FOREARM W/O CONT-LT,734282,CDM,610,RC,73218,HCPCS,OUTPATIENT,,,2674,2139.2,LT,2540.3,95,,2032.24,percent of total billed charges,95% of total billed charges,2532.81,94.72,,2026.25,percent of total billed charges,94.72% of total billed charges,2641.64,98.79,,2113.31,percent of total billed charges,98.79% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,1283.52,48,,1026.82,percent of total billed charges,48% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,38.25,,818.25,percent of total billed charges,38.25% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,2641.64,
MRI HAND W/O-RT,734283,CDM,610,RC,73218,HCPCS,OUTPATIENT,,,2674,2139.2,RT,2540.3,95,,2032.24,percent of total billed charges,95% of total billed charges,2532.81,94.72,,2026.25,percent of total billed charges,94.72% of total billed charges,2641.64,98.79,,2113.31,percent of total billed charges,98.79% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,1283.52,48,,1026.82,percent of total billed charges,48% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,38.25,,818.25,percent of total billed charges,38.25% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,2641.64,
MRI UPPER EXT W/O CONT-RT,734285,CDM,610,RC,73218,HCPCS,OUTPATIENT,,,2674,2139.2,RT,2540.3,95,,2032.24,percent of total billed charges,95% of total billed charges,2532.81,94.72,,2026.25,percent of total billed charges,94.72% of total billed charges,2641.64,98.79,,2113.31,percent of total billed charges,98.79% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,1283.52,48,,1026.82,percent of total billed charges,48% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,38.25,,818.25,percent of total billed charges,38.25% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,2641.64,
MRI HUMERUS W/O CONT-RT,734286,CDM,610,RC,73218,HCPCS,OUTPATIENT,,,2674,2139.2,RT,2540.3,95,,2032.24,percent of total billed charges,95% of total billed charges,2532.81,94.72,,2026.25,percent of total billed charges,94.72% of total billed charges,2641.64,98.79,,2113.31,percent of total billed charges,98.79% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,1283.52,48,,1026.82,percent of total billed charges,48% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,38.25,,818.25,percent of total billed charges,38.25% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,2641.64,
MRI FOREARM W/O CONT-RT,734287,CDM,610,RC,73218,HCPCS,OUTPATIENT,,,2674,2139.2,RT,2540.3,95,,2032.24,percent of total billed charges,95% of total billed charges,2532.81,94.72,,2026.25,percent of total billed charges,94.72% of total billed charges,2641.64,98.79,,2113.31,percent of total billed charges,98.79% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,1283.52,48,,1026.82,percent of total billed charges,48% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,38.25,,818.25,percent of total billed charges,38.25% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,2641.64,
MRI HAND W/O LT,734288,CDM,610,RC,73218,HCPCS,OUTPATIENT,,,2674,2139.2,LT,2540.3,95,,2032.24,percent of total billed charges,95% of total billed charges,2532.81,94.72,,2026.25,percent of total billed charges,94.72% of total billed charges,2641.64,98.79,,2113.31,percent of total billed charges,98.79% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,1283.52,48,,1026.82,percent of total billed charges,48% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,38.25,,818.25,percent of total billed charges,38.25% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,2641.64,
MRI UPPER EXT W/CONT-LT,734290,CDM,610,RC,73219,HCPCS,OUTPATIENT,,,2547,2037.6,LT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI HUMERUS W/CONT-LT,734291,CDM,610,RC,73219,HCPCS,OUTPATIENT,,,2547,2037.6,LT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI FOREARM W/CONT-LT,734292,CDM,610,RC,73219,HCPCS,OUTPATIENT,,,2547,2037.6,LT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI HAND W-LT,734293,CDM,610,RC,73219,HCPCS,OUTPATIENT,,,2547,2037.6,LT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI UPPER EXT W/CONT-RT,734295,CDM,610,RC,73219,HCPCS,OUTPATIENT,,,2547,2037.6,RT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI HUMERUS W/CONT-RT,734296,CDM,610,RC,73219,HCPCS,OUTPATIENT,,,2547,2037.6,RT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI FOREARM W CONT-RT,734297,CDM,610,RC,73219,HCPCS,OUTPATIENT,,,2547,2037.6,RT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI HAND W-RT,734298,CDM,610,RC,73219,HCPCS,OUTPATIENT,,,2547,2037.6,RT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI UPPER EXT W/WO CONT-LT,734300,CDM,610,RC,73220,HCPCS,OUTPATIENT,,,3784,3027.2,LT,3594.8,95,,2875.84,percent of total billed charges,95% of total billed charges,3584.2,94.72,,2867.36,percent of total billed charges,94.72% of total billed charges,3738.21,98.79,,2990.57,percent of total billed charges,98.79% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,1816.32,48,,1453.06,percent of total billed charges,48% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,38.25,,1157.9,percent of total billed charges,38.25% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,3738.21,
MRI HUMERUS W/WO CONT-LT,734301,CDM,610,RC,73220,HCPCS,OUTPATIENT,,,3784,3027.2,LT,3594.8,95,,2875.84,percent of total billed charges,95% of total billed charges,3584.2,94.72,,2867.36,percent of total billed charges,94.72% of total billed charges,3738.21,98.79,,2990.57,percent of total billed charges,98.79% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,1816.32,48,,1453.06,percent of total billed charges,48% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,38.25,,1157.9,percent of total billed charges,38.25% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,3738.21,
MRI FOREARM W/WO CONT-LT,734302,CDM,610,RC,73220,HCPCS,OUTPATIENT,,,3784,3027.2,LT,3594.8,95,,2875.84,percent of total billed charges,95% of total billed charges,3584.2,94.72,,2867.36,percent of total billed charges,94.72% of total billed charges,3738.21,98.79,,2990.57,percent of total billed charges,98.79% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,1816.32,48,,1453.06,percent of total billed charges,48% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,38.25,,1157.9,percent of total billed charges,38.25% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,3738.21,
MRI HAND W/WO-LT,734303,CDM,610,RC,73220,HCPCS,OUTPATIENT,,,3784,3027.2,LT,3594.8,95,,2875.84,percent of total billed charges,95% of total billed charges,3584.2,94.72,,2867.36,percent of total billed charges,94.72% of total billed charges,3738.21,98.79,,2990.57,percent of total billed charges,98.79% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,1816.32,48,,1453.06,percent of total billed charges,48% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,38.25,,1157.9,percent of total billed charges,38.25% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,3738.21,
MRI UPPER EXT W/WO CONT-RT,734305,CDM,610,RC,73220,HCPCS,OUTPATIENT,,,3784,3027.2,RT,3594.8,95,,2875.84,percent of total billed charges,95% of total billed charges,3584.2,94.72,,2867.36,percent of total billed charges,94.72% of total billed charges,3738.21,98.79,,2990.57,percent of total billed charges,98.79% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,1816.32,48,,1453.06,percent of total billed charges,48% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,38.25,,1157.9,percent of total billed charges,38.25% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,3738.21,
MRI HUMERUS W/WO CONT-RT,734306,CDM,610,RC,73220,HCPCS,OUTPATIENT,,,3784,3027.2,RT,3594.8,95,,2875.84,percent of total billed charges,95% of total billed charges,3584.2,94.72,,2867.36,percent of total billed charges,94.72% of total billed charges,3738.21,98.79,,2990.57,percent of total billed charges,98.79% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,1816.32,48,,1453.06,percent of total billed charges,48% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,38.25,,1157.9,percent of total billed charges,38.25% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,3738.21,
MRI FOREARM W/WO CONT-RT,734307,CDM,610,RC,73220,HCPCS,OUTPATIENT,,,3784,3027.2,RT,3594.8,95,,2875.84,percent of total billed charges,95% of total billed charges,3584.2,94.72,,2867.36,percent of total billed charges,94.72% of total billed charges,3738.21,98.79,,2990.57,percent of total billed charges,98.79% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,1816.32,48,,1453.06,percent of total billed charges,48% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,38.25,,1157.9,percent of total billed charges,38.25% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,3738.21,
MRI HAND W/WO-RT,734308,CDM,610,RC,73220,HCPCS,OUTPATIENT,,,3784,3027.2,RT,3594.8,95,,2875.84,percent of total billed charges,95% of total billed charges,3584.2,94.72,,2867.36,percent of total billed charges,94.72% of total billed charges,3738.21,98.79,,2990.57,percent of total billed charges,98.79% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,1816.32,48,,1453.06,percent of total billed charges,48% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,38.25,,1157.9,percent of total billed charges,38.25% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,3738.21,
MRI UPPER EXT JTS W/O CONT-LT,734310,CDM,610,RC,73221,HCPCS,OUTPATIENT,,,2674,2139.2,LT,2540.3,95,,2032.24,percent of total billed charges,95% of total billed charges,2532.81,94.72,,2026.25,percent of total billed charges,94.72% of total billed charges,2641.64,98.79,,2113.31,percent of total billed charges,98.79% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,1283.52,48,,1026.82,percent of total billed charges,48% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,38.25,,818.25,percent of total billed charges,38.25% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,2641.64,
MRI SHOULDER W/O CONT-LT,734311,CDM,610,RC,73221,HCPCS,OUTPATIENT,,,2674,2139.2,LT,2540.3,95,,2032.24,percent of total billed charges,95% of total billed charges,2532.81,94.72,,2026.25,percent of total billed charges,94.72% of total billed charges,2641.64,98.79,,2113.31,percent of total billed charges,98.79% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,1283.52,48,,1026.82,percent of total billed charges,48% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,38.25,,818.25,percent of total billed charges,38.25% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,2641.64,
MRI ELBOW W/O CONT-LT,734312,CDM,610,RC,73221,HCPCS,OUTPATIENT,,,2674,2139.2,LT,2540.3,95,,2032.24,percent of total billed charges,95% of total billed charges,2532.81,94.72,,2026.25,percent of total billed charges,94.72% of total billed charges,2641.64,98.79,,2113.31,percent of total billed charges,98.79% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,1283.52,48,,1026.82,percent of total billed charges,48% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,38.25,,818.25,percent of total billed charges,38.25% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,2641.64,
MRI WRIST W/O CONT-LT,734313,CDM,610,RC,73221,HCPCS,OUTPATIENT,,,2674,2139.2,LT,2540.3,95,,2032.24,percent of total billed charges,95% of total billed charges,2532.81,94.72,,2026.25,percent of total billed charges,94.72% of total billed charges,2641.64,98.79,,2113.31,percent of total billed charges,98.79% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,1283.52,48,,1026.82,percent of total billed charges,48% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,38.25,,818.25,percent of total billed charges,38.25% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,2641.64,
MRI UPPER EXT JTS W/O CONT-RT,734315,CDM,610,RC,73221,HCPCS,OUTPATIENT,,,2674,2139.2,RT,2540.3,95,,2032.24,percent of total billed charges,95% of total billed charges,2532.81,94.72,,2026.25,percent of total billed charges,94.72% of total billed charges,2641.64,98.79,,2113.31,percent of total billed charges,98.79% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,1283.52,48,,1026.82,percent of total billed charges,48% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,38.25,,818.25,percent of total billed charges,38.25% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,2641.64,
MRI SHOULDER W/O CONT-RT,734316,CDM,610,RC,73221,HCPCS,OUTPATIENT,,,2674,2139.2,RT,2540.3,95,,2032.24,percent of total billed charges,95% of total billed charges,2532.81,94.72,,2026.25,percent of total billed charges,94.72% of total billed charges,2641.64,98.79,,2113.31,percent of total billed charges,98.79% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,1283.52,48,,1026.82,percent of total billed charges,48% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,38.25,,818.25,percent of total billed charges,38.25% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,2641.64,
MRI ELBOW W/O CONT-RT,734317,CDM,610,RC,73221,HCPCS,OUTPATIENT,,,2547,2037.6,RT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI WRIST W/O CONT-RT,734318,CDM,610,RC,73221,HCPCS,OUTPATIENT,,,2674,2139.2,RT,2540.3,95,,2032.24,percent of total billed charges,95% of total billed charges,2532.81,94.72,,2026.25,percent of total billed charges,94.72% of total billed charges,2641.64,98.79,,2113.31,percent of total billed charges,98.79% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,2620.52,98,,2096.42,percent of total billed charges,98% of total billed charges,1283.52,48,,1026.82,percent of total billed charges,48% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,38.25,,818.25,percent of total billed charges,38.25% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1203.3,45,,962.64,percent of total billed charges,45% of total billed charges,1022.81,2641.64,
MRI UPPER EXT JTS W/CONT-LT,734320,CDM,610,RC,73222,HCPCS,OUTPATIENT,,,2547,2037.6,LT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI SHOULDER W/CONT-LT,734321,CDM,610,RC,73222,HCPCS,OUTPATIENT,,,2547,2037.6,LT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI ELBOW  W/CONT-LT,734322,CDM,610,RC,73222,HCPCS,OUTPATIENT,,,2547,2037.6,LT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI WRIST W/CONT-LT,734323,CDM,610,RC,73222,HCPCS,OUTPATIENT,,,2547,2037.6,LT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI UPPER EXT JTS W/CONT-RT,734325,CDM,610,RC,73222,HCPCS,OUTPATIENT,,,2547,2037.6,RT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI SHOULDER W/CONT-RT,734326,CDM,610,RC,73222,HCPCS,OUTPATIENT,,,2547,2037.6,RT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI ELBOW W/CONT-RT,734327,CDM,610,RC,73222,HCPCS,OUTPATIENT,,,2426,1940.8,RT,2304.7,95,,1843.76,percent of total billed charges,95% of total billed charges,2297.91,94.72,,1838.33,percent of total billed charges,94.72% of total billed charges,2396.65,98.79,,1917.32,percent of total billed charges,98.79% of total billed charges,2377.48,98,,1901.98,percent of total billed charges,98% of total billed charges,2377.48,98,,1901.98,percent of total billed charges,98% of total billed charges,1164.48,48,,931.58,percent of total billed charges,48% of total billed charges,1091.7,45,,873.36,percent of total billed charges,45% of total billed charges,927.95,38.25,,742.36,percent of total billed charges,38.25% of total billed charges,1091.7,45,,873.36,percent of total billed charges,45% of total billed charges,1091.7,45,,873.36,percent of total billed charges,45% of total billed charges,927.95,2396.65,
MRI WRIST W/CONT-RT,734328,CDM,610,RC,73222,HCPCS,OUTPATIENT,,,2547,2037.6,RT,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI UPPER EXT JTS W/WO CONT-LT,734330,CDM,610,RC,73223,HCPCS,OUTPATIENT,,,3784,3027.2,LT,3594.8,95,,2875.84,percent of total billed charges,95% of total billed charges,3584.2,94.72,,2867.36,percent of total billed charges,94.72% of total billed charges,3738.21,98.79,,2990.57,percent of total billed charges,98.79% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,1816.32,48,,1453.06,percent of total billed charges,48% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,38.25,,1157.9,percent of total billed charges,38.25% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,3738.21,
MRI SHOULER W/WO CONT-LT,734331,CDM,610,RC,73223,HCPCS,OUTPATIENT,,,3784,3027.2,LT,3594.8,95,,2875.84,percent of total billed charges,95% of total billed charges,3584.2,94.72,,2867.36,percent of total billed charges,94.72% of total billed charges,3738.21,98.79,,2990.57,percent of total billed charges,98.79% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,1816.32,48,,1453.06,percent of total billed charges,48% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,38.25,,1157.9,percent of total billed charges,38.25% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,3738.21,
MRI ELBOW W/WO CONT-LT,734332,CDM,610,RC,73223,HCPCS,OUTPATIENT,,,3784,3027.2,LT,3594.8,95,,2875.84,percent of total billed charges,95% of total billed charges,3584.2,94.72,,2867.36,percent of total billed charges,94.72% of total billed charges,3738.21,98.79,,2990.57,percent of total billed charges,98.79% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,1816.32,48,,1453.06,percent of total billed charges,48% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,38.25,,1157.9,percent of total billed charges,38.25% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,3738.21,
MRI WRIST W/WO CONT-LT,734333,CDM,610,RC,73223,HCPCS,OUTPATIENT,,,3784,3027.2,LT,3594.8,95,,2875.84,percent of total billed charges,95% of total billed charges,3584.2,94.72,,2867.36,percent of total billed charges,94.72% of total billed charges,3738.21,98.79,,2990.57,percent of total billed charges,98.79% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,1816.32,48,,1453.06,percent of total billed charges,48% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,38.25,,1157.9,percent of total billed charges,38.25% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,3738.21,
MRI UPPER EXT JTS W/WO CONT-RT,734335,CDM,610,RC,73223,HCPCS,OUTPATIENT,,,3784,3027.2,RT,3594.8,95,,2875.84,percent of total billed charges,95% of total billed charges,3584.2,94.72,,2867.36,percent of total billed charges,94.72% of total billed charges,3738.21,98.79,,2990.57,percent of total billed charges,98.79% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,1816.32,48,,1453.06,percent of total billed charges,48% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,38.25,,1157.9,percent of total billed charges,38.25% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,3738.21,
MRI SHOULDER W/WO CONT-RT,734336,CDM,610,RC,73223,HCPCS,OUTPATIENT,,,3784,3027.2,RT,3594.8,95,,2875.84,percent of total billed charges,95% of total billed charges,3584.2,94.72,,2867.36,percent of total billed charges,94.72% of total billed charges,3738.21,98.79,,2990.57,percent of total billed charges,98.79% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,1816.32,48,,1453.06,percent of total billed charges,48% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,38.25,,1157.9,percent of total billed charges,38.25% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,3738.21,
MRI ELBOW W/WO CONT-RT,734337,CDM,610,RC,73223,HCPCS,OUTPATIENT,,,3604,2883.2,RT,3423.8,95,,2739.04,percent of total billed charges,95% of total billed charges,3413.71,94.72,,2730.97,percent of total billed charges,94.72% of total billed charges,3560.39,98.79,,2848.31,percent of total billed charges,98.79% of total billed charges,3531.92,98,,2825.54,percent of total billed charges,98% of total billed charges,3531.92,98,,2825.54,percent of total billed charges,98% of total billed charges,1729.92,48,,1383.94,percent of total billed charges,48% of total billed charges,1621.8,45,,1297.44,percent of total billed charges,45% of total billed charges,1378.53,38.25,,1102.82,percent of total billed charges,38.25% of total billed charges,1621.8,45,,1297.44,percent of total billed charges,45% of total billed charges,1621.8,45,,1297.44,percent of total billed charges,45% of total billed charges,1378.53,3560.39,
MRI WRIST W/WO CONT-RT,734338,CDM,610,RC,73223,HCPCS,OUTPATIENT,,,3784,3027.2,RT,3594.8,95,,2875.84,percent of total billed charges,95% of total billed charges,3584.2,94.72,,2867.36,percent of total billed charges,94.72% of total billed charges,3738.21,98.79,,2990.57,percent of total billed charges,98.79% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,3708.32,98,,2966.66,percent of total billed charges,98% of total billed charges,1816.32,48,,1453.06,percent of total billed charges,48% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,38.25,,1157.9,percent of total billed charges,38.25% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1702.8,45,,1362.24,percent of total billed charges,45% of total billed charges,1447.38,3738.21,
MRI BRACHIAL PLEXUS W/O CONT-LT,734342,CDM,610,RC,71550,HCPCS,OUTPATIENT,,,2571,2056.8,LT,2442.45,95,,1953.96,percent of total billed charges,95% of total billed charges,2435.25,94.72,,1948.2,percent of total billed charges,94.72% of total billed charges,2539.89,98.79,,2031.91,percent of total billed charges,98.79% of total billed charges,2519.58,98,,2015.66,percent of total billed charges,98% of total billed charges,2519.58,98,,2015.66,percent of total billed charges,98% of total billed charges,1234.08,48,,987.26,percent of total billed charges,48% of total billed charges,1156.95,45,,925.56,percent of total billed charges,45% of total billed charges,983.41,38.25,,786.73,percent of total billed charges,38.25% of total billed charges,1156.95,45,,925.56,percent of total billed charges,45% of total billed charges,1156.95,45,,925.56,percent of total billed charges,45% of total billed charges,983.41,2539.89,
MRI BRACHIAL PLEXUS W/CONT-LT,734343,CDM,610,RC,71551,HCPCS,OUTPATIENT,,,3099,2479.2,LT,2944.05,95,,2355.24,percent of total billed charges,95% of total billed charges,2935.37,94.72,,2348.3,percent of total billed charges,94.72% of total billed charges,3061.5,98.79,,2449.2,percent of total billed charges,98.79% of total billed charges,3037.02,98,,2429.62,percent of total billed charges,98% of total billed charges,3037.02,98,,2429.62,percent of total billed charges,98% of total billed charges,1487.52,48,,1190.02,percent of total billed charges,48% of total billed charges,1394.55,45,,1115.64,percent of total billed charges,45% of total billed charges,1185.37,38.25,,948.3,percent of total billed charges,38.25% of total billed charges,1394.55,45,,1115.64,percent of total billed charges,45% of total billed charges,1394.55,45,,1115.64,percent of total billed charges,45% of total billed charges,1185.37,3061.5,
MRI BRACHIAL PLEXUS W/WO CONT-LT,734344,CDM,610,RC,71552,HCPCS,OUTPATIENT,,,3842,3073.6,LT,3649.9,95,,2919.92,percent of total billed charges,95% of total billed charges,3639.14,94.72,,2911.31,percent of total billed charges,94.72% of total billed charges,3795.51,98.79,,3036.41,percent of total billed charges,98.79% of total billed charges,3765.16,98,,3012.13,percent of total billed charges,98% of total billed charges,3765.16,98,,3012.13,percent of total billed charges,98% of total billed charges,1844.16,48,,1475.33,percent of total billed charges,48% of total billed charges,1728.9,45,,1383.12,percent of total billed charges,45% of total billed charges,1469.57,38.25,,1175.66,percent of total billed charges,38.25% of total billed charges,1728.9,45,,1383.12,percent of total billed charges,45% of total billed charges,1728.9,45,,1383.12,percent of total billed charges,45% of total billed charges,1469.57,3795.51,
MRI BRACHIAL PLEXUS W/O CONT-RT,734346,CDM,610,RC,71550,HCPCS,OUTPATIENT,,,2571,2056.8,RT,2442.45,95,,1953.96,percent of total billed charges,95% of total billed charges,2435.25,94.72,,1948.2,percent of total billed charges,94.72% of total billed charges,2539.89,98.79,,2031.91,percent of total billed charges,98.79% of total billed charges,2519.58,98,,2015.66,percent of total billed charges,98% of total billed charges,2519.58,98,,2015.66,percent of total billed charges,98% of total billed charges,1234.08,48,,987.26,percent of total billed charges,48% of total billed charges,1156.95,45,,925.56,percent of total billed charges,45% of total billed charges,983.41,38.25,,786.73,percent of total billed charges,38.25% of total billed charges,1156.95,45,,925.56,percent of total billed charges,45% of total billed charges,1156.95,45,,925.56,percent of total billed charges,45% of total billed charges,983.41,2539.89,
MRI BRACHIAL PLEXUS W/CONT-RT,734347,CDM,610,RC,71551,HCPCS,OUTPATIENT,,,3099,2479.2,RT,2944.05,95,,2355.24,percent of total billed charges,95% of total billed charges,2935.37,94.72,,2348.3,percent of total billed charges,94.72% of total billed charges,3061.5,98.79,,2449.2,percent of total billed charges,98.79% of total billed charges,3037.02,98,,2429.62,percent of total billed charges,98% of total billed charges,3037.02,98,,2429.62,percent of total billed charges,98% of total billed charges,1487.52,48,,1190.02,percent of total billed charges,48% of total billed charges,1394.55,45,,1115.64,percent of total billed charges,45% of total billed charges,1185.37,38.25,,948.3,percent of total billed charges,38.25% of total billed charges,1394.55,45,,1115.64,percent of total billed charges,45% of total billed charges,1394.55,45,,1115.64,percent of total billed charges,45% of total billed charges,1185.37,3061.5,
MRI BRACHIAL PLEXUS W/WO CONT-RT,734348,CDM,610,RC,71552,HCPCS,OUTPATIENT,,,3842,3073.6,RT,3649.9,95,,2919.92,percent of total billed charges,95% of total billed charges,3639.14,94.72,,2911.31,percent of total billed charges,94.72% of total billed charges,3795.51,98.79,,3036.41,percent of total billed charges,98.79% of total billed charges,3765.16,98,,3012.13,percent of total billed charges,98% of total billed charges,3765.16,98,,3012.13,percent of total billed charges,98% of total billed charges,1844.16,48,,1475.33,percent of total billed charges,48% of total billed charges,1728.9,45,,1383.12,percent of total billed charges,45% of total billed charges,1469.57,38.25,,1175.66,percent of total billed charges,38.25% of total billed charges,1728.9,45,,1383.12,percent of total billed charges,45% of total billed charges,1728.9,45,,1383.12,percent of total billed charges,45% of total billed charges,1469.57,3795.51,
MRI BRAIN W/WO,734370,CDM,610,RC,70553,HCPCS,OUTPATIENT,,,3974,3179.2,,3775.3,95,,3020.24,percent of total billed charges,95% of total billed charges,3764.17,94.72,,3011.34,percent of total billed charges,94.72% of total billed charges,3925.91,98.79,,3140.73,percent of total billed charges,98.79% of total billed charges,3894.52,98,,3115.62,percent of total billed charges,98% of total billed charges,3894.52,98,,3115.62,percent of total billed charges,98% of total billed charges,1907.52,48,,1526.02,percent of total billed charges,48% of total billed charges,1788.3,45,,1430.64,percent of total billed charges,45% of total billed charges,1520.06,38.25,,1216.05,percent of total billed charges,38.25% of total billed charges,1788.3,45,,1430.64,percent of total billed charges,45% of total billed charges,1788.3,45,,1430.64,percent of total billed charges,45% of total billed charges,1520.06,3925.91,
MRI Breast w/ + w/o Contrast Left,734380,CDM,610,RC,77048,HCPCS,OUTPATIENT,,,2387,1909.6,LT,2267.65,95,,1814.12,percent of total billed charges,95% of total billed charges,2260.97,94.72,,1808.78,percent of total billed charges,94.72% of total billed charges,2358.12,98.79,,1886.5,percent of total billed charges,98.79% of total billed charges,2339.26,98,,1871.41,percent of total billed charges,98% of total billed charges,2339.26,98,,1871.41,percent of total billed charges,98% of total billed charges,1145.76,48,,916.61,percent of total billed charges,48% of total billed charges,1074.15,45,,859.32,percent of total billed charges,45% of total billed charges,913.03,38.25,,730.42,percent of total billed charges,38.25% of total billed charges,1074.15,45,,859.32,percent of total billed charges,45% of total billed charges,1074.15,45,,859.32,percent of total billed charges,45% of total billed charges,913.03,2358.12,
MRI Breast w/ + w/o Contrast Right,734385,CDM,610,RC,77048,HCPCS,OUTPATIENT,,,2387,1909.6,RT,2267.65,95,,1814.12,percent of total billed charges,95% of total billed charges,2260.97,94.72,,1808.78,percent of total billed charges,94.72% of total billed charges,2358.12,98.79,,1886.5,percent of total billed charges,98.79% of total billed charges,2339.26,98,,1871.41,percent of total billed charges,98% of total billed charges,2339.26,98,,1871.41,percent of total billed charges,98% of total billed charges,1145.76,48,,916.61,percent of total billed charges,48% of total billed charges,1074.15,45,,859.32,percent of total billed charges,45% of total billed charges,913.03,38.25,,730.42,percent of total billed charges,38.25% of total billed charges,1074.15,45,,859.32,percent of total billed charges,45% of total billed charges,1074.15,45,,859.32,percent of total billed charges,45% of total billed charges,913.03,2358.12,
MRI CHEST HILAR/MEDIS W/O,734450,CDM,610,RC,71550,HCPCS,OUTPATIENT,,,2426,1940.8,,2304.7,95,,1843.76,percent of total billed charges,95% of total billed charges,2297.91,94.72,,1838.33,percent of total billed charges,94.72% of total billed charges,2396.65,98.79,,1917.32,percent of total billed charges,98.79% of total billed charges,2377.48,98,,1901.98,percent of total billed charges,98% of total billed charges,2377.48,98,,1901.98,percent of total billed charges,98% of total billed charges,1164.48,48,,931.58,percent of total billed charges,48% of total billed charges,1091.7,45,,873.36,percent of total billed charges,45% of total billed charges,927.95,38.25,,742.36,percent of total billed charges,38.25% of total billed charges,1091.7,45,,873.36,percent of total billed charges,45% of total billed charges,1091.7,45,,873.36,percent of total billed charges,45% of total billed charges,927.95,2396.65,
MRI CHEST HILAR/MEDIS W/,734460,CDM,610,RC,71551,HCPCS,OUTPATIENT,,,2547,2037.6,,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI CHEST HILAR/MEDIS W/WO,734470,CDM,610,RC,71552,HCPCS,OUTPATIENT,,,3604,2883.2,,3423.8,95,,2739.04,percent of total billed charges,95% of total billed charges,3413.71,94.72,,2730.97,percent of total billed charges,94.72% of total billed charges,3560.39,98.79,,2848.31,percent of total billed charges,98.79% of total billed charges,3531.92,98,,2825.54,percent of total billed charges,98% of total billed charges,3531.92,98,,2825.54,percent of total billed charges,98% of total billed charges,1729.92,48,,1383.94,percent of total billed charges,48% of total billed charges,1621.8,45,,1297.44,percent of total billed charges,45% of total billed charges,1378.53,38.25,,1102.82,percent of total billed charges,38.25% of total billed charges,1621.8,45,,1297.44,percent of total billed charges,45% of total billed charges,1621.8,45,,1297.44,percent of total billed charges,45% of total billed charges,1378.53,3560.39,
MRI CERVICAL W/WO,734500,CDM,610,RC,72156,HCPCS,OUTPATIENT,,,4164,3331.2,,3955.8,95,,3164.64,percent of total billed charges,95% of total billed charges,3944.14,94.72,,3155.31,percent of total billed charges,94.72% of total billed charges,4113.62,98.79,,3290.9,percent of total billed charges,98.79% of total billed charges,4080.72,98,,3264.58,percent of total billed charges,98% of total billed charges,4080.72,98,,3264.58,percent of total billed charges,98% of total billed charges,1998.72,48,,1598.98,percent of total billed charges,48% of total billed charges,1873.8,45,,1499.04,percent of total billed charges,45% of total billed charges,1592.73,38.25,,1274.18,percent of total billed charges,38.25% of total billed charges,1873.8,45,,1499.04,percent of total billed charges,45% of total billed charges,1873.8,45,,1499.04,percent of total billed charges,45% of total billed charges,1592.73,4113.62,
MRI FACE W/O CONT,734510,CDM,610,RC,70540,HCPCS,OUTPATIENT,,,2880,2304,,2736,95,,2188.8,percent of total billed charges,95% of total billed charges,2727.94,94.72,,2182.35,percent of total billed charges,94.72% of total billed charges,2845.15,98.79,,2276.12,percent of total billed charges,98.79% of total billed charges,2822.4,98,,2257.92,percent of total billed charges,98% of total billed charges,2822.4,98,,2257.92,percent of total billed charges,98% of total billed charges,1382.4,48,,1105.92,percent of total billed charges,48% of total billed charges,1296,45,,1036.8,percent of total billed charges,45% of total billed charges,1101.6,38.25,,881.28,percent of total billed charges,38.25% of total billed charges,1296,45,,1036.8,percent of total billed charges,45% of total billed charges,1296,45,,1036.8,percent of total billed charges,45% of total billed charges,1101.6,2845.15,
MRI NECK W/O CONT,734514,CDM,610,RC,70540,HCPCS,OUTPATIENT,,,2880,2304,,2736,95,,2188.8,percent of total billed charges,95% of total billed charges,2727.94,94.72,,2182.35,percent of total billed charges,94.72% of total billed charges,2845.15,98.79,,2276.12,percent of total billed charges,98.79% of total billed charges,2822.4,98,,2257.92,percent of total billed charges,98% of total billed charges,2822.4,98,,2257.92,percent of total billed charges,98% of total billed charges,1382.4,48,,1105.92,percent of total billed charges,48% of total billed charges,1296,45,,1036.8,percent of total billed charges,45% of total billed charges,1101.6,38.25,,881.28,percent of total billed charges,38.25% of total billed charges,1296,45,,1036.8,percent of total billed charges,45% of total billed charges,1296,45,,1036.8,percent of total billed charges,45% of total billed charges,1101.6,2845.15,
MRI ORBIT W/O CONT,734516,CDM,610,RC,70540,HCPCS,OUTPATIENT,,,2880,2304,,2736,95,,2188.8,percent of total billed charges,95% of total billed charges,2727.94,94.72,,2182.35,percent of total billed charges,94.72% of total billed charges,2845.15,98.79,,2276.12,percent of total billed charges,98.79% of total billed charges,2822.4,98,,2257.92,percent of total billed charges,98% of total billed charges,2822.4,98,,2257.92,percent of total billed charges,98% of total billed charges,1382.4,48,,1105.92,percent of total billed charges,48% of total billed charges,1296,45,,1036.8,percent of total billed charges,45% of total billed charges,1101.6,38.25,,881.28,percent of total billed charges,38.25% of total billed charges,1296,45,,1036.8,percent of total billed charges,45% of total billed charges,1296,45,,1036.8,percent of total billed charges,45% of total billed charges,1101.6,2845.15,
MRI IAC W/CONT,734522,CDM,610,RC,70552,HCPCS,OUTPATIENT,,,3024,2419.2,,2872.8,95,,2298.24,percent of total billed charges,95% of total billed charges,2864.33,94.72,,2291.46,percent of total billed charges,94.72% of total billed charges,2987.41,98.79,,2389.93,percent of total billed charges,98.79% of total billed charges,2963.52,98,,2370.82,percent of total billed charges,98% of total billed charges,2963.52,98,,2370.82,percent of total billed charges,98% of total billed charges,1451.52,48,,1161.22,percent of total billed charges,48% of total billed charges,1360.8,45,,1088.64,percent of total billed charges,45% of total billed charges,1156.68,38.25,,925.34,percent of total billed charges,38.25% of total billed charges,1360.8,45,,1088.64,percent of total billed charges,45% of total billed charges,1360.8,45,,1088.64,percent of total billed charges,45% of total billed charges,1156.68,2987.41,
MRI NECK W/CONT,734524,CDM,610,RC,70542,HCPCS,OUTPATIENT,,,2880,2304,,2736,95,,2188.8,percent of total billed charges,95% of total billed charges,2727.94,94.72,,2182.35,percent of total billed charges,94.72% of total billed charges,2845.15,98.79,,2276.12,percent of total billed charges,98.79% of total billed charges,2822.4,98,,2257.92,percent of total billed charges,98% of total billed charges,2822.4,98,,2257.92,percent of total billed charges,98% of total billed charges,1382.4,48,,1105.92,percent of total billed charges,48% of total billed charges,1296,45,,1036.8,percent of total billed charges,45% of total billed charges,1101.6,38.25,,881.28,percent of total billed charges,38.25% of total billed charges,1296,45,,1036.8,percent of total billed charges,45% of total billed charges,1296,45,,1036.8,percent of total billed charges,45% of total billed charges,1101.6,2845.15,
MRI ORBIT W CONT,734526,CDM,610,RC,70542,HCPCS,OUTPATIENT,,,2880,2304,,2736,95,,2188.8,percent of total billed charges,95% of total billed charges,2727.94,94.72,,2182.35,percent of total billed charges,94.72% of total billed charges,2845.15,98.79,,2276.12,percent of total billed charges,98.79% of total billed charges,2822.4,98,,2257.92,percent of total billed charges,98% of total billed charges,2822.4,98,,2257.92,percent of total billed charges,98% of total billed charges,1382.4,48,,1105.92,percent of total billed charges,48% of total billed charges,1296,45,,1036.8,percent of total billed charges,45% of total billed charges,1101.6,38.25,,881.28,percent of total billed charges,38.25% of total billed charges,1296,45,,1036.8,percent of total billed charges,45% of total billed charges,1296,45,,1036.8,percent of total billed charges,45% of total billed charges,1101.6,2845.15,
MRI FACE W AND W/O CONT,734530,CDM,610,RC,70543,HCPCS,OUTPATIENT,,,4371,3496.8,,4152.45,95,,3321.96,percent of total billed charges,95% of total billed charges,4140.21,94.72,,3312.17,percent of total billed charges,94.72% of total billed charges,4318.11,98.79,,3454.49,percent of total billed charges,98.79% of total billed charges,4283.58,98,,3426.86,percent of total billed charges,98% of total billed charges,4283.58,98,,3426.86,percent of total billed charges,98% of total billed charges,2098.08,48,,1678.46,percent of total billed charges,48% of total billed charges,1966.95,45,,1573.56,percent of total billed charges,45% of total billed charges,1671.91,38.25,,1337.53,percent of total billed charges,38.25% of total billed charges,1966.95,45,,1573.56,percent of total billed charges,45% of total billed charges,1966.95,45,,1573.56,percent of total billed charges,45% of total billed charges,1671.91,4318.11,
MRI NECK W/WO CONT,734534,CDM,610,RC,70543,HCPCS,OUTPATIENT,,,4371,3496.8,,4152.45,95,,3321.96,percent of total billed charges,95% of total billed charges,4140.21,94.72,,3312.17,percent of total billed charges,94.72% of total billed charges,4318.11,98.79,,3454.49,percent of total billed charges,98.79% of total billed charges,4283.58,98,,3426.86,percent of total billed charges,98% of total billed charges,4283.58,98,,3426.86,percent of total billed charges,98% of total billed charges,2098.08,48,,1678.46,percent of total billed charges,48% of total billed charges,1966.95,45,,1573.56,percent of total billed charges,45% of total billed charges,1671.91,38.25,,1337.53,percent of total billed charges,38.25% of total billed charges,1966.95,45,,1573.56,percent of total billed charges,45% of total billed charges,1966.95,45,,1573.56,percent of total billed charges,45% of total billed charges,1671.91,4318.11,
MRI ORBIT W/WO CONT,734536,CDM,610,RC,70543,HCPCS,OUTPATIENT,,,4371,3496.8,,4152.45,95,,3321.96,percent of total billed charges,95% of total billed charges,4140.21,94.72,,3312.17,percent of total billed charges,94.72% of total billed charges,4318.11,98.79,,3454.49,percent of total billed charges,98.79% of total billed charges,4283.58,98,,3426.86,percent of total billed charges,98% of total billed charges,4283.58,98,,3426.86,percent of total billed charges,98% of total billed charges,2098.08,48,,1678.46,percent of total billed charges,48% of total billed charges,1966.95,45,,1573.56,percent of total billed charges,45% of total billed charges,1671.91,38.25,,1337.53,percent of total billed charges,38.25% of total billed charges,1966.95,45,,1573.56,percent of total billed charges,45% of total billed charges,1966.95,45,,1573.56,percent of total billed charges,45% of total billed charges,1671.91,4318.11,
MRI LUMBAR W/O,734540,CDM,610,RC,72148,HCPCS,OUTPATIENT,,,3357,2685.6,,3189.15,95,,2551.32,percent of total billed charges,95% of total billed charges,3179.75,94.72,,2543.8,percent of total billed charges,94.72% of total billed charges,3316.38,98.79,,2653.1,percent of total billed charges,98.79% of total billed charges,3289.86,98,,2631.89,percent of total billed charges,98% of total billed charges,3289.86,98,,2631.89,percent of total billed charges,98% of total billed charges,1611.36,48,,1289.09,percent of total billed charges,48% of total billed charges,1510.65,45,,1208.52,percent of total billed charges,45% of total billed charges,1284.05,38.25,,1027.24,percent of total billed charges,38.25% of total billed charges,1510.65,45,,1208.52,percent of total billed charges,45% of total billed charges,1510.65,45,,1208.52,percent of total billed charges,45% of total billed charges,1284.05,3316.38,
MRI PELVIS W/O,734570,CDM,610,RC,72195,HCPCS,OUTPATIENT,,,2962,2369.6,,2813.9,95,,2251.12,percent of total billed charges,95% of total billed charges,2805.61,94.72,,2244.49,percent of total billed charges,94.72% of total billed charges,2926.16,98.79,,2340.93,percent of total billed charges,98.79% of total billed charges,2902.76,98,,2322.21,percent of total billed charges,98% of total billed charges,2902.76,98,,2322.21,percent of total billed charges,98% of total billed charges,1421.76,48,,1137.41,percent of total billed charges,48% of total billed charges,1332.9,45,,1066.32,percent of total billed charges,45% of total billed charges,1132.97,38.25,,906.38,percent of total billed charges,38.25% of total billed charges,1332.9,45,,1066.32,percent of total billed charges,45% of total billed charges,1332.9,45,,1066.32,percent of total billed charges,45% of total billed charges,1132.97,2926.16,
MRI PELVIS W/,734580,CDM,610,RC,72196,HCPCS,OUTPATIENT,,,2962,2369.6,,2813.9,95,,2251.12,percent of total billed charges,95% of total billed charges,2805.61,94.72,,2244.49,percent of total billed charges,94.72% of total billed charges,2926.16,98.79,,2340.93,percent of total billed charges,98.79% of total billed charges,2902.76,98,,2322.21,percent of total billed charges,98% of total billed charges,2902.76,98,,2322.21,percent of total billed charges,98% of total billed charges,1421.76,48,,1137.41,percent of total billed charges,48% of total billed charges,1332.9,45,,1066.32,percent of total billed charges,45% of total billed charges,1132.97,38.25,,906.38,percent of total billed charges,38.25% of total billed charges,1332.9,45,,1066.32,percent of total billed charges,45% of total billed charges,1332.9,45,,1066.32,percent of total billed charges,45% of total billed charges,1132.97,2926.16,
MRI PELVIS W/WO,734590,CDM,610,RC,72197,HCPCS,OUTPATIENT,,,4371,3496.8,,4152.45,95,,3321.96,percent of total billed charges,95% of total billed charges,4140.21,94.72,,3312.17,percent of total billed charges,94.72% of total billed charges,4318.11,98.79,,3454.49,percent of total billed charges,98.79% of total billed charges,4283.58,98,,3426.86,percent of total billed charges,98% of total billed charges,4283.58,98,,3426.86,percent of total billed charges,98% of total billed charges,2098.08,48,,1678.46,percent of total billed charges,48% of total billed charges,1966.95,45,,1573.56,percent of total billed charges,45% of total billed charges,1671.91,38.25,,1337.53,percent of total billed charges,38.25% of total billed charges,1966.95,45,,1573.56,percent of total billed charges,45% of total billed charges,1966.95,45,,1573.56,percent of total billed charges,45% of total billed charges,1671.91,4318.11,
MRI PROSTATE WO,734591,CDM,610,RC,72195,HCPCS,OUTPATIENT,,,2962,2369.6,,2813.9,95,,2251.12,percent of total billed charges,95% of total billed charges,2805.61,94.72,,2244.49,percent of total billed charges,94.72% of total billed charges,2926.16,98.79,,2340.93,percent of total billed charges,98.79% of total billed charges,2902.76,98,,2322.21,percent of total billed charges,98% of total billed charges,2902.76,98,,2322.21,percent of total billed charges,98% of total billed charges,1421.76,48,,1137.41,percent of total billed charges,48% of total billed charges,1332.9,45,,1066.32,percent of total billed charges,45% of total billed charges,1132.97,38.25,,906.38,percent of total billed charges,38.25% of total billed charges,1332.9,45,,1066.32,percent of total billed charges,45% of total billed charges,1332.9,45,,1066.32,percent of total billed charges,45% of total billed charges,1132.97,2926.16,
MRI PROSTATE W,734592,CDM,610,RC,72196,HCPCS,OUTPATIENT,,,2962,2369.6,,2813.9,95,,2251.12,percent of total billed charges,95% of total billed charges,2805.61,94.72,,2244.49,percent of total billed charges,94.72% of total billed charges,2926.16,98.79,,2340.93,percent of total billed charges,98.79% of total billed charges,2902.76,98,,2322.21,percent of total billed charges,98% of total billed charges,2902.76,98,,2322.21,percent of total billed charges,98% of total billed charges,1421.76,48,,1137.41,percent of total billed charges,48% of total billed charges,1332.9,45,,1066.32,percent of total billed charges,45% of total billed charges,1132.97,38.25,,906.38,percent of total billed charges,38.25% of total billed charges,1332.9,45,,1066.32,percent of total billed charges,45% of total billed charges,1332.9,45,,1066.32,percent of total billed charges,45% of total billed charges,1132.97,2926.16,
MRI PROSTATE W/WO,734593,CDM,610,RC,72197,HCPCS,OUTPATIENT,,,4371,3496.8,,4152.45,95,,3321.96,percent of total billed charges,95% of total billed charges,4140.21,94.72,,3312.17,percent of total billed charges,94.72% of total billed charges,4318.11,98.79,,3454.49,percent of total billed charges,98.79% of total billed charges,4283.58,98,,3426.86,percent of total billed charges,98% of total billed charges,4283.58,98,,3426.86,percent of total billed charges,98% of total billed charges,2098.08,48,,1678.46,percent of total billed charges,48% of total billed charges,1966.95,45,,1573.56,percent of total billed charges,45% of total billed charges,1671.91,38.25,,1337.53,percent of total billed charges,38.25% of total billed charges,1966.95,45,,1573.56,percent of total billed charges,45% of total billed charges,1966.95,45,,1573.56,percent of total billed charges,45% of total billed charges,1671.91,4318.11,
MRI RENAL W/O CONT,734594,CDM,610,RC,74181,HCPCS,OUTPATIENT,,,3110,2488,,2954.5,95,,2363.6,percent of total billed charges,95% of total billed charges,2945.79,94.72,,2356.63,percent of total billed charges,94.72% of total billed charges,3072.37,98.79,,2457.9,percent of total billed charges,98.79% of total billed charges,3047.8,98,,2438.24,percent of total billed charges,98% of total billed charges,3047.8,98,,2438.24,percent of total billed charges,98% of total billed charges,1492.8,48,,1194.24,percent of total billed charges,48% of total billed charges,1399.5,45,,1119.6,percent of total billed charges,45% of total billed charges,1189.58,38.25,,951.66,percent of total billed charges,38.25% of total billed charges,1399.5,45,,1119.6,percent of total billed charges,45% of total billed charges,1399.5,45,,1119.6,percent of total billed charges,45% of total billed charges,1189.58,3072.37,
MRI RENAL W/CONT,734596,CDM,610,RC,74182,HCPCS,OUTPATIENT,,,2962,2369.6,,2813.9,95,,2251.12,percent of total billed charges,95% of total billed charges,2805.61,94.72,,2244.49,percent of total billed charges,94.72% of total billed charges,2926.16,98.79,,2340.93,percent of total billed charges,98.79% of total billed charges,2902.76,98,,2322.21,percent of total billed charges,98% of total billed charges,2902.76,98,,2322.21,percent of total billed charges,98% of total billed charges,1421.76,48,,1137.41,percent of total billed charges,48% of total billed charges,1332.9,45,,1066.32,percent of total billed charges,45% of total billed charges,1132.97,38.25,,906.38,percent of total billed charges,38.25% of total billed charges,1332.9,45,,1066.32,percent of total billed charges,45% of total billed charges,1332.9,45,,1066.32,percent of total billed charges,45% of total billed charges,1132.97,2926.16,
MRI RENAL W/WO CONT,734598,CDM,610,RC,74183,HCPCS,OUTPATIENT,,,4569,3655.2,,4340.55,95,,3472.44,percent of total billed charges,95% of total billed charges,4327.76,94.72,,3462.21,percent of total billed charges,94.72% of total billed charges,4513.72,98.79,,3610.98,percent of total billed charges,98.79% of total billed charges,4477.62,98,,3582.1,percent of total billed charges,98% of total billed charges,4477.62,98,,3582.1,percent of total billed charges,98% of total billed charges,2193.12,48,,1754.5,percent of total billed charges,48% of total billed charges,2056.05,45,,1644.84,percent of total billed charges,45% of total billed charges,1747.64,38.25,,1398.11,percent of total billed charges,38.25% of total billed charges,2056.05,45,,1644.84,percent of total billed charges,45% of total billed charges,2056.05,45,,1644.84,percent of total billed charges,45% of total billed charges,1747.64,4513.72,
MRI TMJ'S,734600,CDM,610,RC,70336,HCPCS,OUTPATIENT,,,2962,2369.6,,2813.9,95,,2251.12,percent of total billed charges,95% of total billed charges,2805.61,94.72,,2244.49,percent of total billed charges,94.72% of total billed charges,2926.16,98.79,,2340.93,percent of total billed charges,98.79% of total billed charges,2902.76,98,,2322.21,percent of total billed charges,98% of total billed charges,2902.76,98,,2322.21,percent of total billed charges,98% of total billed charges,1421.76,48,,1137.41,percent of total billed charges,48% of total billed charges,1332.9,45,,1066.32,percent of total billed charges,45% of total billed charges,1132.97,38.25,,906.38,percent of total billed charges,38.25% of total billed charges,1332.9,45,,1066.32,percent of total billed charges,45% of total billed charges,1332.9,45,,1066.32,percent of total billed charges,45% of total billed charges,1132.97,2926.16,
MRI THORACIC W/O,734610,CDM,610,RC,72146,HCPCS,OUTPATIENT,,,3357,2685.6,,3189.15,95,,2551.32,percent of total billed charges,95% of total billed charges,3179.75,94.72,,2543.8,percent of total billed charges,94.72% of total billed charges,3316.38,98.79,,2653.1,percent of total billed charges,98.79% of total billed charges,3289.86,98,,2631.89,percent of total billed charges,98% of total billed charges,3289.86,98,,2631.89,percent of total billed charges,98% of total billed charges,1611.36,48,,1289.09,percent of total billed charges,48% of total billed charges,1510.65,45,,1208.52,percent of total billed charges,45% of total billed charges,1284.05,38.25,,1027.24,percent of total billed charges,38.25% of total billed charges,1510.65,45,,1208.52,percent of total billed charges,45% of total billed charges,1510.65,45,,1208.52,percent of total billed charges,45% of total billed charges,1284.05,3316.38,
MRI BRAIN W/O,734350,CDM,611,RC,70551,HCPCS,OUTPATIENT,,,3024,2419.2,,2872.8,95,,2298.24,percent of total billed charges,95% of total billed charges,2864.33,94.72,,2291.46,percent of total billed charges,94.72% of total billed charges,2987.41,98.79,,2389.93,percent of total billed charges,98.79% of total billed charges,2963.52,98,,2370.82,percent of total billed charges,98% of total billed charges,2963.52,98,,2370.82,percent of total billed charges,98% of total billed charges,1451.52,48,,1161.22,percent of total billed charges,48% of total billed charges,1360.8,45,,1088.64,percent of total billed charges,45% of total billed charges,1156.68,38.25,,925.34,percent of total billed charges,38.25% of total billed charges,1360.8,45,,1088.64,percent of total billed charges,45% of total billed charges,1360.8,45,,1088.64,percent of total billed charges,45% of total billed charges,1156.68,2987.41,
MRI BRAIN W/,734360,CDM,611,RC,70552,HCPCS,OUTPATIENT,,,3024,2419.2,,2872.8,95,,2298.24,percent of total billed charges,95% of total billed charges,2864.33,94.72,,2291.46,percent of total billed charges,94.72% of total billed charges,2987.41,98.79,,2389.93,percent of total billed charges,98.79% of total billed charges,2963.52,98,,2370.82,percent of total billed charges,98% of total billed charges,2963.52,98,,2370.82,percent of total billed charges,98% of total billed charges,1451.52,48,,1161.22,percent of total billed charges,48% of total billed charges,1360.8,45,,1088.64,percent of total billed charges,45% of total billed charges,1156.68,38.25,,925.34,percent of total billed charges,38.25% of total billed charges,1360.8,45,,1088.64,percent of total billed charges,45% of total billed charges,1360.8,45,,1088.64,percent of total billed charges,45% of total billed charges,1156.68,2987.41,
MRI FACE W/CONT,734520,CDM,611,RC,70542,HCPCS,OUTPATIENT,,,2743,2194.4,,2605.85,95,,2084.68,percent of total billed charges,95% of total billed charges,2598.17,94.72,,2078.54,percent of total billed charges,94.72% of total billed charges,2709.81,98.79,,2167.85,percent of total billed charges,98.79% of total billed charges,2688.14,98,,2150.51,percent of total billed charges,98% of total billed charges,2688.14,98,,2150.51,percent of total billed charges,98% of total billed charges,1316.64,48,,1053.31,percent of total billed charges,48% of total billed charges,1234.35,45,,987.48,percent of total billed charges,45% of total billed charges,1049.2,38.25,,839.36,percent of total billed charges,38.25% of total billed charges,1234.35,45,,987.48,percent of total billed charges,45% of total billed charges,1234.35,45,,987.48,percent of total billed charges,45% of total billed charges,1049.2,2709.81,
MRI CERVICAL W/O,734480,CDM,612,RC,72141,HCPCS,OUTPATIENT,,,3024,2419.2,,2872.8,95,,2298.24,percent of total billed charges,95% of total billed charges,2864.33,94.72,,2291.46,percent of total billed charges,94.72% of total billed charges,2987.41,98.79,,2389.93,percent of total billed charges,98.79% of total billed charges,2963.52,98,,2370.82,percent of total billed charges,98% of total billed charges,2963.52,98,,2370.82,percent of total billed charges,98% of total billed charges,1451.52,48,,1161.22,percent of total billed charges,48% of total billed charges,1360.8,45,,1088.64,percent of total billed charges,45% of total billed charges,1156.68,38.25,,925.34,percent of total billed charges,38.25% of total billed charges,1360.8,45,,1088.64,percent of total billed charges,45% of total billed charges,1360.8,45,,1088.64,percent of total billed charges,45% of total billed charges,1156.68,2987.41,
MRI CERVICAL W/,734490,CDM,612,RC,72142,HCPCS,OUTPATIENT,,,2880,2304,,2736,95,,2188.8,percent of total billed charges,95% of total billed charges,2727.94,94.72,,2182.35,percent of total billed charges,94.72% of total billed charges,2845.15,98.79,,2276.12,percent of total billed charges,98.79% of total billed charges,2822.4,98,,2257.92,percent of total billed charges,98% of total billed charges,2822.4,98,,2257.92,percent of total billed charges,98% of total billed charges,1382.4,48,,1105.92,percent of total billed charges,48% of total billed charges,1296,45,,1036.8,percent of total billed charges,45% of total billed charges,1101.6,38.25,,881.28,percent of total billed charges,38.25% of total billed charges,1296,45,,1036.8,percent of total billed charges,45% of total billed charges,1296,45,,1036.8,percent of total billed charges,45% of total billed charges,1101.6,2845.15,
MRI LUMBAR W/,734550,CDM,612,RC,72149,HCPCS,OUTPATIENT,,,3197,2557.6,,3037.15,95,,2429.72,percent of total billed charges,95% of total billed charges,3028.2,94.72,,2422.56,percent of total billed charges,94.72% of total billed charges,3158.32,98.79,,2526.66,percent of total billed charges,98.79% of total billed charges,3133.06,98,,2506.45,percent of total billed charges,98% of total billed charges,3133.06,98,,2506.45,percent of total billed charges,98% of total billed charges,1534.56,48,,1227.65,percent of total billed charges,48% of total billed charges,1438.65,45,,1150.92,percent of total billed charges,45% of total billed charges,1222.85,38.25,,978.28,percent of total billed charges,38.25% of total billed charges,1438.65,45,,1150.92,percent of total billed charges,45% of total billed charges,1438.65,45,,1150.92,percent of total billed charges,45% of total billed charges,1222.85,3158.32,
MRI LUMBAR W/WO,734560,CDM,612,RC,72158,HCPCS,OUTPATIENT,,,4768,3814.4,,4529.6,95,,3623.68,percent of total billed charges,95% of total billed charges,4516.25,94.72,,3613,percent of total billed charges,94.72% of total billed charges,4710.31,98.79,,3768.25,percent of total billed charges,98.79% of total billed charges,4672.64,98,,3738.11,percent of total billed charges,98% of total billed charges,4672.64,98,,3738.11,percent of total billed charges,98% of total billed charges,2288.64,48,,1830.91,percent of total billed charges,48% of total billed charges,2145.6,45,,1716.48,percent of total billed charges,45% of total billed charges,1823.76,38.25,,1459.01,percent of total billed charges,38.25% of total billed charges,2145.6,45,,1716.48,percent of total billed charges,45% of total billed charges,2145.6,45,,1716.48,percent of total billed charges,45% of total billed charges,1823.76,4710.31,
MRI THORACIC W/,734620,CDM,612,RC,72147,HCPCS,OUTPATIENT,,,3197,2557.6,,3037.15,95,,2429.72,percent of total billed charges,95% of total billed charges,3028.2,94.72,,2422.56,percent of total billed charges,94.72% of total billed charges,3158.32,98.79,,2526.66,percent of total billed charges,98.79% of total billed charges,3133.06,98,,2506.45,percent of total billed charges,98% of total billed charges,3133.06,98,,2506.45,percent of total billed charges,98% of total billed charges,1534.56,48,,1227.65,percent of total billed charges,48% of total billed charges,1438.65,45,,1150.92,percent of total billed charges,45% of total billed charges,1222.85,38.25,,978.28,percent of total billed charges,38.25% of total billed charges,1438.65,45,,1150.92,percent of total billed charges,45% of total billed charges,1438.65,45,,1150.92,percent of total billed charges,45% of total billed charges,1222.85,3158.32,
MRI THORACIC W/WO,734630,CDM,612,RC,72157,HCPCS,OUTPATIENT,,,4768,3814.4,,4529.6,95,,3623.68,percent of total billed charges,95% of total billed charges,4516.25,94.72,,3613,percent of total billed charges,94.72% of total billed charges,4710.31,98.79,,3768.25,percent of total billed charges,98.79% of total billed charges,4672.64,98,,3738.11,percent of total billed charges,98% of total billed charges,4672.64,98,,3738.11,percent of total billed charges,98% of total billed charges,2288.64,48,,1830.91,percent of total billed charges,48% of total billed charges,2145.6,45,,1716.48,percent of total billed charges,45% of total billed charges,1823.76,38.25,,1459.01,percent of total billed charges,38.25% of total billed charges,2145.6,45,,1716.48,percent of total billed charges,45% of total billed charges,2145.6,45,,1716.48,percent of total billed charges,45% of total billed charges,1823.76,4710.31,
MRI Breast w/ + w/o Contrast Bilateral,734390,CDM,614,RC,77049,HCPCS,OUTPATIENT,,,3472,2777.6,,3298.4,95,,2638.72,percent of total billed charges,95% of total billed charges,3288.68,94.72,,2630.94,percent of total billed charges,94.72% of total billed charges,3429.99,98.79,,2743.99,percent of total billed charges,98.79% of total billed charges,3402.56,98,,2722.05,percent of total billed charges,98% of total billed charges,3402.56,98,,2722.05,percent of total billed charges,98% of total billed charges,1666.56,48,,1333.25,percent of total billed charges,48% of total billed charges,1562.4,45,,1249.92,percent of total billed charges,45% of total billed charges,1328.04,38.25,,1062.43,percent of total billed charges,38.25% of total billed charges,1562.4,45,,1249.92,percent of total billed charges,45% of total billed charges,1562.4,45,,1249.92,percent of total billed charges,45% of total billed charges,1328.04,3429.99,
MRI ANGIO NECK W/O,734150,CDM,615,RC,70547,HCPCS,OUTPATIENT,,,2547,2037.6,,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI ANGIO NECK W/,734160,CDM,615,RC,70548,HCPCS,OUTPATIENT,,,2547,2037.6,,2419.65,95,,1935.72,percent of total billed charges,95% of total billed charges,2412.52,94.72,,1930.02,percent of total billed charges,94.72% of total billed charges,2516.18,98.79,,2012.94,percent of total billed charges,98.79% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,2496.06,98,,1996.85,percent of total billed charges,98% of total billed charges,1222.56,48,,978.05,percent of total billed charges,48% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,38.25,,779.38,percent of total billed charges,38.25% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,1146.15,45,,916.92,percent of total billed charges,45% of total billed charges,974.23,2516.18,
MRI ANGIO NECK W/WO,734170,CDM,615,RC,70549,HCPCS,OUTPATIENT,,,3407,2725.6,,3236.65,95,,2589.32,percent of total billed charges,95% of total billed charges,3227.11,94.72,,2581.69,percent of total billed charges,94.72% of total billed charges,3365.78,98.79,,2692.62,percent of total billed charges,98.79% of total billed charges,3338.86,98,,2671.09,percent of total billed charges,98% of total billed charges,3338.86,98,,2671.09,percent of total billed charges,98% of total billed charges,1635.36,48,,1308.29,percent of total billed charges,48% of total billed charges,1533.15,45,,1226.52,percent of total billed charges,45% of total billed charges,1303.18,38.25,,1042.54,percent of total billed charges,38.25% of total billed charges,1533.15,45,,1226.52,percent of total billed charges,45% of total billed charges,1533.15,45,,1226.52,percent of total billed charges,45% of total billed charges,1303.18,3365.78,
90619 MenQuadfi,90619,CDM,636,RC,90619,HCPCS,OUTPATIENT,,,578,462.4,,549.1,95,,439.28,percent of total billed charges,95% of total billed charges,547.48,94.72,,437.98,percent of total billed charges,94.72% of total billed charges,571.01,98.79,,456.81,percent of total billed charges,98.79% of total billed charges,566.44,98,,453.15,percent of total billed charges,98% of total billed charges,566.44,98,,453.15,percent of total billed charges,98% of total billed charges,277.44,48,,221.95,percent of total billed charges,48% of total billed charges,260.1,45,,208.08,percent of total billed charges,45% of total billed charges,221.09,38.25,,176.87,percent of total billed charges,38.25% of total billed charges,260.1,45,,208.08,percent of total billed charges,45% of total billed charges,260.1,45,,208.08,percent of total billed charges,45% of total billed charges,221.09,571.01,
Meningococcal B,90621,CDM,636,RC,90621,HCPCS,OUTPATIENT,,,605,484,,574.75,95,,459.8,percent of total billed charges,95% of total billed charges,573.06,94.72,,458.45,percent of total billed charges,94.72% of total billed charges,597.68,98.79,,478.14,percent of total billed charges,98.79% of total billed charges,592.9,98,,474.32,percent of total billed charges,98% of total billed charges,592.9,98,,474.32,percent of total billed charges,98% of total billed charges,290.4,48,,232.32,percent of total billed charges,48% of total billed charges,272.25,45,,217.8,percent of total billed charges,45% of total billed charges,231.41,38.25,,185.13,percent of total billed charges,38.25% of total billed charges,272.25,45,,217.8,percent of total billed charges,45% of total billed charges,272.25,45,,217.8,percent of total billed charges,45% of total billed charges,231.41,597.68,
Hepatitis A vaccine (HepA)| adult dosage| for intramuscular,90632,CDM,636,RC,90632,HCPCS,OUTPATIENT,,,367,293.6,,348.65,95,,278.92,percent of total billed charges,95% of total billed charges,347.62,94.72,,278.1,percent of total billed charges,94.72% of total billed charges,362.56,98.79,,290.05,percent of total billed charges,98.79% of total billed charges,359.66,98,,287.73,percent of total billed charges,98% of total billed charges,359.66,98,,287.73,percent of total billed charges,98% of total billed charges,176.16,48,,140.93,percent of total billed charges,48% of total billed charges,165.15,45,,132.12,percent of total billed charges,45% of total billed charges,140.38,38.25,,112.3,percent of total billed charges,38.25% of total billed charges,165.15,45,,132.12,percent of total billed charges,45% of total billed charges,165.15,45,,132.12,percent of total billed charges,45% of total billed charges,140.38,362.56,
90632 Hepatitis A vaccine| peds dosage| for intramuscular us,90632,CDM,636,RC,90632,HCPCS,OUTPATIENT,,,367,293.6,,348.65,95,,278.92,percent of total billed charges,95% of total billed charges,347.62,94.72,,278.1,percent of total billed charges,94.72% of total billed charges,362.56,98.79,,290.05,percent of total billed charges,98.79% of total billed charges,359.66,98,,287.73,percent of total billed charges,98% of total billed charges,359.66,98,,287.73,percent of total billed charges,98% of total billed charges,176.16,48,,140.93,percent of total billed charges,48% of total billed charges,165.15,45,,132.12,percent of total billed charges,45% of total billed charges,140.38,38.25,,112.3,percent of total billed charges,38.25% of total billed charges,165.15,45,,132.12,percent of total billed charges,45% of total billed charges,165.15,45,,132.12,percent of total billed charges,45% of total billed charges,140.38,362.56,
Hepatitis A PedAdol Administration Immunizations,90633,CDM,636,RC,90633,HCPCS,OUTPATIENT,,,350,280,,332.5,95,,266,percent of total billed charges,95% of total billed charges,331.52,94.72,,265.22,percent of total billed charges,94.72% of total billed charges,345.77,98.79,,276.62,percent of total billed charges,98.79% of total billed charges,343,98,,274.4,percent of total billed charges,98% of total billed charges,343,98,,274.4,percent of total billed charges,98% of total billed charges,168,48,,134.4,percent of total billed charges,48% of total billed charges,157.5,45,,126,percent of total billed charges,45% of total billed charges,133.88,38.25,,107.1,percent of total billed charges,38.25% of total billed charges,157.5,45,,126,percent of total billed charges,45% of total billed charges,157.5,45,,126,percent of total billed charges,45% of total billed charges,133.88,345.77,
Hib PEDVAX (USE THIS ONE),90647,CDM,636,RC,90647,HCPCS,OUTPATIENT,,,138,110.4,,131.1,95,,104.88,percent of total billed charges,95% of total billed charges,130.71,94.72,,104.57,percent of total billed charges,94.72% of total billed charges,136.33,98.79,,109.06,percent of total billed charges,98.79% of total billed charges,135.24,98,,108.19,percent of total billed charges,98% of total billed charges,135.24,98,,108.19,percent of total billed charges,98% of total billed charges,66.24,48,,52.99,percent of total billed charges,48% of total billed charges,62.1,45,,49.68,percent of total billed charges,45% of total billed charges,52.79,38.25,,42.23,percent of total billed charges,38.25% of total billed charges,62.1,45,,49.68,percent of total billed charges,45% of total billed charges,62.1,45,,49.68,percent of total billed charges,45% of total billed charges,52.79,136.33,
90648,90648,CDM,636,RC,90648,HCPCS,OUTPATIENT,,,149,119.2,,141.55,95,,113.24,percent of total billed charges,95% of total billed charges,141.13,94.72,,112.9,percent of total billed charges,94.72% of total billed charges,147.2,98.79,,117.76,percent of total billed charges,98.79% of total billed charges,146.02,98,,116.82,percent of total billed charges,98% of total billed charges,146.02,98,,116.82,percent of total billed charges,98% of total billed charges,71.52,48,,57.22,percent of total billed charges,48% of total billed charges,67.05,45,,53.64,percent of total billed charges,45% of total billed charges,56.99,38.25,,45.59,percent of total billed charges,38.25% of total billed charges,67.05,45,,53.64,percent of total billed charges,45% of total billed charges,67.05,45,,53.64,percent of total billed charges,45% of total billed charges,56.99,147.2,
Gardasil Administration Immunizations,90649,CDM,636,RC,90649,HCPCS,OUTPATIENT,,,157,125.6,,149.15,95,,119.32,percent of total billed charges,95% of total billed charges,148.71,94.72,,118.97,percent of total billed charges,94.72% of total billed charges,155.1,98.79,,124.08,percent of total billed charges,98.79% of total billed charges,153.86,98,,123.09,percent of total billed charges,98% of total billed charges,153.86,98,,123.09,percent of total billed charges,98% of total billed charges,75.36,48,,60.29,percent of total billed charges,48% of total billed charges,70.65,45,,56.52,percent of total billed charges,45% of total billed charges,60.05,38.25,,48.04,percent of total billed charges,38.25% of total billed charges,70.65,45,,56.52,percent of total billed charges,45% of total billed charges,70.65,45,,56.52,percent of total billed charges,45% of total billed charges,60.05,155.1,
HPV 9 VIRUS VACCINE,90651,CDM,636,RC,90651,HCPCS,OUTPATIENT,,,967,773.6,,918.65,95,,734.92,percent of total billed charges,95% of total billed charges,915.94,94.72,,732.75,percent of total billed charges,94.72% of total billed charges,955.3,98.79,,764.24,percent of total billed charges,98.79% of total billed charges,947.66,98,,758.13,percent of total billed charges,98% of total billed charges,947.66,98,,758.13,percent of total billed charges,98% of total billed charges,464.16,48,,371.33,percent of total billed charges,48% of total billed charges,435.15,45,,348.12,percent of total billed charges,45% of total billed charges,369.88,38.25,,295.9,percent of total billed charges,38.25% of total billed charges,435.15,45,,348.12,percent of total billed charges,45% of total billed charges,435.15,45,,348.12,percent of total billed charges,45% of total billed charges,369.88,955.3,
Influenza Vaccine High Dose,90653,CDM,636,RC,90653,HCPCS,OUTPATIENT,,,135,108,,128.25,95,,102.6,percent of total billed charges,95% of total billed charges,127.87,94.72,,102.3,percent of total billed charges,94.72% of total billed charges,133.37,98.79,,106.7,percent of total billed charges,98.79% of total billed charges,132.3,98,,105.84,percent of total billed charges,98% of total billed charges,132.3,98,,105.84,percent of total billed charges,98% of total billed charges,64.8,48,,51.84,percent of total billed charges,48% of total billed charges,60.75,45,,48.6,percent of total billed charges,45% of total billed charges,51.64,38.25,,41.31,percent of total billed charges,38.25% of total billed charges,60.75,45,,48.6,percent of total billed charges,45% of total billed charges,60.75,45,,48.6,percent of total billed charges,45% of total billed charges,51.64,133.37,
Pneumococcal conjugate vaccine| 13 valent (PCV13)| for intra,90670,CDM,636,RC,90670,HCPCS,OUTPATIENT,,,815,652,,774.25,95,,619.4,percent of total billed charges,95% of total billed charges,771.97,94.72,,617.58,percent of total billed charges,94.72% of total billed charges,805.14,98.79,,644.11,percent of total billed charges,98.79% of total billed charges,798.7,98,,638.96,percent of total billed charges,98% of total billed charges,798.7,98,,638.96,percent of total billed charges,98% of total billed charges,391.2,48,,312.96,percent of total billed charges,48% of total billed charges,366.75,45,,293.4,percent of total billed charges,45% of total billed charges,311.74,38.25,,249.39,percent of total billed charges,38.25% of total billed charges,366.75,45,,293.4,percent of total billed charges,45% of total billed charges,366.75,45,,293.4,percent of total billed charges,45% of total billed charges,311.74,805.14,
90671 Pneumococcal 15-valent conjugate vaccine,90671,CDM,636,RC,90671,HCPCS,OUTPATIENT,,,815,652,,774.25,95,,619.4,percent of total billed charges,95% of total billed charges,771.97,94.72,,617.58,percent of total billed charges,94.72% of total billed charges,805.14,98.79,,644.11,percent of total billed charges,98.79% of total billed charges,798.7,98,,638.96,percent of total billed charges,98% of total billed charges,798.7,98,,638.96,percent of total billed charges,98% of total billed charges,391.2,48,,312.96,percent of total billed charges,48% of total billed charges,366.75,45,,293.4,percent of total billed charges,45% of total billed charges,311.74,38.25,,249.39,percent of total billed charges,38.25% of total billed charges,366.75,45,,293.4,percent of total billed charges,45% of total billed charges,366.75,45,,293.4,percent of total billed charges,45% of total billed charges,311.74,805.14,
90672 FluMist,90672,CDM,636,RC,90672,HCPCS,OUTPATIENT,,,119,95.2,,113.05,95,,90.44,percent of total billed charges,95% of total billed charges,112.72,94.72,,90.18,percent of total billed charges,94.72% of total billed charges,117.56,98.79,,94.05,percent of total billed charges,98.79% of total billed charges,116.62,98,,93.3,percent of total billed charges,98% of total billed charges,116.62,98,,93.3,percent of total billed charges,98% of total billed charges,57.12,48,,45.7,percent of total billed charges,48% of total billed charges,53.55,45,,42.84,percent of total billed charges,45% of total billed charges,45.52,38.25,,36.42,percent of total billed charges,38.25% of total billed charges,53.55,45,,42.84,percent of total billed charges,45% of total billed charges,53.55,45,,42.84,percent of total billed charges,45% of total billed charges,45.52,117.56,
FLUBLOK 90674,90674,CDM,636,RC,90674,HCPCS,OUTPATIENT,,,60,48,,57,95,,45.6,percent of total billed charges,95% of total billed charges,56.83,94.72,,45.46,percent of total billed charges,94.72% of total billed charges,59.27,98.79,,47.42,percent of total billed charges,98.79% of total billed charges,58.8,98,,47.04,percent of total billed charges,98% of total billed charges,58.8,98,,47.04,percent of total billed charges,98% of total billed charges,28.8,48,,23.04,percent of total billed charges,48% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,22.95,38.25,,18.36,percent of total billed charges,38.25% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,22.95,59.27,
90674 Flucelvax,90674,CDM,636,RC,90674,HCPCS,OUTPATIENT,,,60,48,,57,95,,45.6,percent of total billed charges,95% of total billed charges,56.83,94.72,,45.46,percent of total billed charges,94.72% of total billed charges,59.27,98.79,,47.42,percent of total billed charges,98.79% of total billed charges,58.8,98,,47.04,percent of total billed charges,98% of total billed charges,58.8,98,,47.04,percent of total billed charges,98% of total billed charges,28.8,48,,23.04,percent of total billed charges,48% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,22.95,38.25,,18.36,percent of total billed charges,38.25% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,22.95,59.27,
Rabies intramuscular injection,90675,CDM,636,RC,90675,HCPCS,OUTPATIENT,,,1347,1077.6,,1279.65,95,,1023.72,percent of total billed charges,95% of total billed charges,1275.88,94.72,,1020.7,percent of total billed charges,94.72% of total billed charges,1330.7,98.79,,1064.56,percent of total billed charges,98.79% of total billed charges,1320.06,98,,1056.05,percent of total billed charges,98% of total billed charges,1320.06,98,,1056.05,percent of total billed charges,98% of total billed charges,646.56,48,,517.25,percent of total billed charges,48% of total billed charges,606.15,45,,484.92,percent of total billed charges,45% of total billed charges,515.23,38.25,,412.18,percent of total billed charges,38.25% of total billed charges,606.15,45,,484.92,percent of total billed charges,45% of total billed charges,606.15,45,,484.92,percent of total billed charges,45% of total billed charges,515.23,1330.7,
90677 Prevnar 20 Vaccine Charge,90677,CDM,636,RC,90677,HCPCS,OUTPATIENT,,,896,716.8,,851.2,95,,680.96,percent of total billed charges,95% of total billed charges,848.69,94.72,,678.95,percent of total billed charges,94.72% of total billed charges,885.16,98.79,,708.13,percent of total billed charges,98.79% of total billed charges,878.08,98,,702.46,percent of total billed charges,98% of total billed charges,878.08,98,,702.46,percent of total billed charges,98% of total billed charges,430.08,48,,344.06,percent of total billed charges,48% of total billed charges,403.2,45,,322.56,percent of total billed charges,45% of total billed charges,342.72,38.25,,274.18,percent of total billed charges,38.25% of total billed charges,403.2,45,,322.56,percent of total billed charges,45% of total billed charges,403.2,45,,322.56,percent of total billed charges,45% of total billed charges,342.72,885.16,
90680 Rotavirus vaccine| pentavalent| 3 dose sched,90680,CDM,636,RC,90680,HCPCS,OUTPATIENT,,,335,268,,318.25,95,,254.6,percent of total billed charges,95% of total billed charges,317.31,94.72,,253.85,percent of total billed charges,94.72% of total billed charges,330.95,98.79,,264.76,percent of total billed charges,98.79% of total billed charges,328.3,98,,262.64,percent of total billed charges,98% of total billed charges,328.3,98,,262.64,percent of total billed charges,98% of total billed charges,160.8,48,,128.64,percent of total billed charges,48% of total billed charges,150.75,45,,120.6,percent of total billed charges,45% of total billed charges,128.14,38.25,,102.51,percent of total billed charges,38.25% of total billed charges,150.75,45,,120.6,percent of total billed charges,45% of total billed charges,150.75,45,,120.6,percent of total billed charges,45% of total billed charges,128.14,330.95,
90681 Rotavirus| RV1 oral vaccine (2 dose schedule),90681,CDM,636,RC,90681,HCPCS,OUTPATIENT,,,3137,2509.6,,2980.15,95,,2384.12,percent of total billed charges,95% of total billed charges,2971.37,94.72,,2377.1,percent of total billed charges,94.72% of total billed charges,3099.04,98.79,,2479.23,percent of total billed charges,98.79% of total billed charges,3074.26,98,,2459.41,percent of total billed charges,98% of total billed charges,3074.26,98,,2459.41,percent of total billed charges,98% of total billed charges,1505.76,48,,1204.61,percent of total billed charges,48% of total billed charges,1411.65,45,,1129.32,percent of total billed charges,45% of total billed charges,1199.9,38.25,,959.92,percent of total billed charges,38.25% of total billed charges,1411.65,45,,1129.32,percent of total billed charges,45% of total billed charges,1411.65,45,,1129.32,percent of total billed charges,45% of total billed charges,1199.9,3099.04,
Influenza Peds 6 to 35 mths Syringe,90685,CDM,636,RC,90685,HCPCS,OUTPATIENT,,,45,36,,42.75,95,,34.2,percent of total billed charges,95% of total billed charges,42.62,94.72,,34.1,percent of total billed charges,94.72% of total billed charges,44.46,98.79,,35.57,percent of total billed charges,98.79% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,21.6,48,,17.28,percent of total billed charges,48% of total billed charges,20.25,45,,16.2,percent of total billed charges,45% of total billed charges,17.21,38.25,,13.77,percent of total billed charges,38.25% of total billed charges,20.25,45,,16.2,percent of total billed charges,45% of total billed charges,20.25,45,,16.2,percent of total billed charges,45% of total billed charges,17.21,44.46,
90686 Influenza Quadrivalent Vaccine Charge,90686,CDM,636,RC,90686,HCPCS,OUTPATIENT,,,97,77.6,,92.15,95,,73.72,percent of total billed charges,95% of total billed charges,91.88,94.72,,73.5,percent of total billed charges,94.72% of total billed charges,95.83,98.79,,76.66,percent of total billed charges,98.79% of total billed charges,95.06,98,,76.05,percent of total billed charges,98% of total billed charges,95.06,98,,76.05,percent of total billed charges,98% of total billed charges,46.56,48,,37.25,percent of total billed charges,48% of total billed charges,43.65,45,,34.92,percent of total billed charges,45% of total billed charges,37.1,38.25,,29.68,percent of total billed charges,38.25% of total billed charges,43.65,45,,34.92,percent of total billed charges,45% of total billed charges,43.65,45,,34.92,percent of total billed charges,45% of total billed charges,37.1,95.83,
Influenza peds 6 to 35 months .25 ML,90687,CDM,636,RC,90687,HCPCS,OUTPATIENT,,,45,36,,42.75,95,,34.2,percent of total billed charges,95% of total billed charges,42.62,94.72,,34.1,percent of total billed charges,94.72% of total billed charges,44.46,98.79,,35.57,percent of total billed charges,98.79% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,21.6,48,,17.28,percent of total billed charges,48% of total billed charges,20.25,45,,16.2,percent of total billed charges,45% of total billed charges,17.21,38.25,,13.77,percent of total billed charges,38.25% of total billed charges,20.25,45,,16.2,percent of total billed charges,45% of total billed charges,20.25,45,,16.2,percent of total billed charges,45% of total billed charges,17.21,44.46,
Influenza 36 months and older.5 ML Vial,90688,CDM,636,RC,90688,HCPCS,OUTPATIENT,,,45,36,,42.75,95,,34.2,percent of total billed charges,95% of total billed charges,42.62,94.72,,34.1,percent of total billed charges,94.72% of total billed charges,44.46,98.79,,35.57,percent of total billed charges,98.79% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,44.1,98,,35.28,percent of total billed charges,98% of total billed charges,21.6,48,,17.28,percent of total billed charges,48% of total billed charges,20.25,45,,16.2,percent of total billed charges,45% of total billed charges,17.21,38.25,,13.77,percent of total billed charges,38.25% of total billed charges,20.25,45,,16.2,percent of total billed charges,45% of total billed charges,20.25,45,,16.2,percent of total billed charges,45% of total billed charges,17.21,44.46,
TYPHOID VACCINE IM,90691,CDM,636,RC,90691,HCPCS,OUTPATIENT,,,440,352,,418,95,,334.4,percent of total billed charges,95% of total billed charges,416.77,94.72,,333.42,percent of total billed charges,94.72% of total billed charges,434.68,98.79,,347.74,percent of total billed charges,98.79% of total billed charges,431.2,98,,344.96,percent of total billed charges,98% of total billed charges,431.2,98,,344.96,percent of total billed charges,98% of total billed charges,211.2,48,,168.96,percent of total billed charges,48% of total billed charges,198,45,,158.4,percent of total billed charges,45% of total billed charges,168.3,38.25,,134.64,percent of total billed charges,38.25% of total billed charges,198,45,,158.4,percent of total billed charges,45% of total billed charges,198,45,,158.4,percent of total billed charges,45% of total billed charges,168.3,434.68,
90694 Fuad Quadrivalent High Dose,90694,CDM,636,RC,90694,HCPCS,OUTPATIENT,,,131,104.8,,124.45,95,,99.56,percent of total billed charges,95% of total billed charges,124.08,94.72,,99.26,percent of total billed charges,94.72% of total billed charges,129.41,98.79,,103.53,percent of total billed charges,98.79% of total billed charges,128.38,98,,102.7,percent of total billed charges,98% of total billed charges,128.38,98,,102.7,percent of total billed charges,98% of total billed charges,62.88,48,,50.3,percent of total billed charges,48% of total billed charges,58.95,45,,47.16,percent of total billed charges,45% of total billed charges,50.11,38.25,,40.09,percent of total billed charges,38.25% of total billed charges,58.95,45,,47.16,percent of total billed charges,45% of total billed charges,58.95,45,,47.16,percent of total billed charges,45% of total billed charges,50.11,129.41,
90696 DTaP-IPV,90696,CDM,636,RC,90696,HCPCS,OUTPATIENT,,,255,204,,242.25,95,,193.8,percent of total billed charges,95% of total billed charges,241.54,94.72,,193.23,percent of total billed charges,94.72% of total billed charges,251.91,98.79,,201.53,percent of total billed charges,98.79% of total billed charges,249.9,98,,199.92,percent of total billed charges,98% of total billed charges,249.9,98,,199.92,percent of total billed charges,98% of total billed charges,122.4,48,,97.92,percent of total billed charges,48% of total billed charges,114.75,45,,91.8,percent of total billed charges,45% of total billed charges,97.54,38.25,,78.03,percent of total billed charges,38.25% of total billed charges,114.75,45,,91.8,percent of total billed charges,45% of total billed charges,114.75,45,,91.8,percent of total billed charges,45% of total billed charges,97.54,251.91,
90697 DTaP-IPV-HibHepB (Vaxelis) Vaccine,90697,CDM,636,RC,90697,HCPCS,OUTPATIENT,,,501,400.8,,475.95,95,,380.76,percent of total billed charges,95% of total billed charges,474.55,94.72,,379.64,percent of total billed charges,94.72% of total billed charges,494.94,98.79,,395.95,percent of total billed charges,98.79% of total billed charges,490.98,98,,392.78,percent of total billed charges,98% of total billed charges,490.98,98,,392.78,percent of total billed charges,98% of total billed charges,240.48,48,,192.38,percent of total billed charges,48% of total billed charges,225.45,45,,180.36,percent of total billed charges,45% of total billed charges,191.63,38.25,,153.3,percent of total billed charges,38.25% of total billed charges,225.45,45,,180.36,percent of total billed charges,45% of total billed charges,225.45,45,,180.36,percent of total billed charges,45% of total billed charges,191.63,494.94,
Pentacel Administration Immunizations,90698,CDM,636,RC,90698,HCPCS,OUTPATIENT,,,380,304,,361,95,,288.8,percent of total billed charges,95% of total billed charges,359.94,94.72,,287.95,percent of total billed charges,94.72% of total billed charges,375.4,98.79,,300.32,percent of total billed charges,98.79% of total billed charges,372.4,98,,297.92,percent of total billed charges,98% of total billed charges,372.4,98,,297.92,percent of total billed charges,98% of total billed charges,182.4,48,,145.92,percent of total billed charges,48% of total billed charges,171,45,,136.8,percent of total billed charges,45% of total billed charges,145.35,38.25,,116.28,percent of total billed charges,38.25% of total billed charges,171,45,,136.8,percent of total billed charges,45% of total billed charges,171,45,,136.8,percent of total billed charges,45% of total billed charges,145.35,375.4,
90700 DTaP| Under 7 years| For IM use,90700,CDM,636,RC,90700,HCPCS,OUTPATIENT,,,128,102.4,,121.6,95,,97.28,percent of total billed charges,95% of total billed charges,121.24,94.72,,96.99,percent of total billed charges,94.72% of total billed charges,126.45,98.79,,101.16,percent of total billed charges,98.79% of total billed charges,125.44,98,,100.35,percent of total billed charges,98% of total billed charges,125.44,98,,100.35,percent of total billed charges,98% of total billed charges,61.44,48,,49.15,percent of total billed charges,48% of total billed charges,57.6,45,,46.08,percent of total billed charges,45% of total billed charges,48.96,38.25,,39.17,percent of total billed charges,38.25% of total billed charges,57.6,45,,46.08,percent of total billed charges,45% of total billed charges,57.6,45,,46.08,percent of total billed charges,45% of total billed charges,48.96,126.45,
MMR,90707,CDM,636,RC,90707,HCPCS,OUTPATIENT,,,322,257.6,,305.9,95,,244.72,percent of total billed charges,95% of total billed charges,305,94.72,,244,percent of total billed charges,94.72% of total billed charges,318.1,98.79,,254.48,percent of total billed charges,98.79% of total billed charges,315.56,98,,252.45,percent of total billed charges,98% of total billed charges,315.56,98,,252.45,percent of total billed charges,98% of total billed charges,154.56,48,,123.65,percent of total billed charges,48% of total billed charges,144.9,45,,115.92,percent of total billed charges,45% of total billed charges,123.17,38.25,,98.54,percent of total billed charges,38.25% of total billed charges,144.9,45,,115.92,percent of total billed charges,45% of total billed charges,144.9,45,,115.92,percent of total billed charges,45% of total billed charges,123.17,318.1,
MMRV Administration Immunizations,90710,CDM,636,RC,90710,HCPCS,OUTPATIENT,,,943,754.4,,895.85,95,,716.68,percent of total billed charges,95% of total billed charges,893.21,94.72,,714.57,percent of total billed charges,94.72% of total billed charges,931.59,98.79,,745.27,percent of total billed charges,98.79% of total billed charges,924.14,98,,739.31,percent of total billed charges,98% of total billed charges,924.14,98,,739.31,percent of total billed charges,98% of total billed charges,452.64,48,,362.11,percent of total billed charges,48% of total billed charges,424.35,45,,339.48,percent of total billed charges,45% of total billed charges,360.7,38.25,,288.56,percent of total billed charges,38.25% of total billed charges,424.35,45,,339.48,percent of total billed charges,45% of total billed charges,424.35,45,,339.48,percent of total billed charges,45% of total billed charges,360.7,931.59,
IPV Polio Administration Immunizations,90713,CDM,636,RC,90713,HCPCS,OUTPATIENT,,,186,148.8,,176.7,95,,141.36,percent of total billed charges,95% of total billed charges,176.18,94.72,,140.94,percent of total billed charges,94.72% of total billed charges,183.75,98.79,,147,percent of total billed charges,98.79% of total billed charges,182.28,98,,145.82,percent of total billed charges,98% of total billed charges,182.28,98,,145.82,percent of total billed charges,98% of total billed charges,89.28,48,,71.42,percent of total billed charges,48% of total billed charges,83.7,45,,66.96,percent of total billed charges,45% of total billed charges,71.15,38.25,,56.92,percent of total billed charges,38.25% of total billed charges,83.7,45,,66.96,percent of total billed charges,45% of total billed charges,83.7,45,,66.96,percent of total billed charges,45% of total billed charges,71.15,183.75,
Td (USE THIS ONE),90714,CDM,636,RC,90714,HCPCS,OUTPATIENT,,,181,144.8,,171.95,95,,137.56,percent of total billed charges,95% of total billed charges,171.44,94.72,,137.15,percent of total billed charges,94.72% of total billed charges,178.81,98.79,,143.05,percent of total billed charges,98.79% of total billed charges,177.38,98,,141.9,percent of total billed charges,98% of total billed charges,177.38,98,,141.9,percent of total billed charges,98% of total billed charges,86.88,48,,69.5,percent of total billed charges,48% of total billed charges,81.45,45,,65.16,percent of total billed charges,45% of total billed charges,69.23,38.25,,55.38,percent of total billed charges,38.25% of total billed charges,81.45,45,,65.16,percent of total billed charges,45% of total billed charges,81.45,45,,65.16,percent of total billed charges,45% of total billed charges,69.23,178.81,
90715 Tdap 7 years or older for IM use,90715,CDM,636,RC,90715,HCPCS,OUTPATIENT,,,214,171.2,,203.3,95,,162.64,percent of total billed charges,95% of total billed charges,202.7,94.72,,162.16,percent of total billed charges,94.72% of total billed charges,211.41,98.79,,169.13,percent of total billed charges,98.79% of total billed charges,209.72,98,,167.78,percent of total billed charges,98% of total billed charges,209.72,98,,167.78,percent of total billed charges,98% of total billed charges,102.72,48,,82.18,percent of total billed charges,48% of total billed charges,96.3,45,,77.04,percent of total billed charges,45% of total billed charges,81.86,38.25,,65.49,percent of total billed charges,38.25% of total billed charges,96.3,45,,77.04,percent of total billed charges,45% of total billed charges,96.3,45,,77.04,percent of total billed charges,45% of total billed charges,81.86,211.41,
Varicella Varivax Immunizations,90716,CDM,636,RC,90716,HCPCS,OUTPATIENT,,,576,460.8,,547.2,95,,437.76,percent of total billed charges,95% of total billed charges,545.59,94.72,,436.47,percent of total billed charges,94.72% of total billed charges,569.03,98.79,,455.22,percent of total billed charges,98.79% of total billed charges,564.48,98,,451.58,percent of total billed charges,98% of total billed charges,564.48,98,,451.58,percent of total billed charges,98% of total billed charges,276.48,48,,221.18,percent of total billed charges,48% of total billed charges,259.2,45,,207.36,percent of total billed charges,45% of total billed charges,220.32,38.25,,176.26,percent of total billed charges,38.25% of total billed charges,259.2,45,,207.36,percent of total billed charges,45% of total billed charges,259.2,45,,207.36,percent of total billed charges,45% of total billed charges,220.32,569.03,
Pediarix Administration Immunizations,90723,CDM,636,RC,90723,HCPCS,OUTPATIENT,,,396,316.8,,376.2,95,,300.96,percent of total billed charges,95% of total billed charges,375.09,94.72,,300.07,percent of total billed charges,94.72% of total billed charges,391.21,98.79,,312.97,percent of total billed charges,98.79% of total billed charges,388.08,98,,310.46,percent of total billed charges,98% of total billed charges,388.08,98,,310.46,percent of total billed charges,98% of total billed charges,190.08,48,,152.06,percent of total billed charges,48% of total billed charges,178.2,45,,142.56,percent of total billed charges,45% of total billed charges,151.47,38.25,,121.18,percent of total billed charges,38.25% of total billed charges,178.2,45,,142.56,percent of total billed charges,45% of total billed charges,178.2,45,,142.56,percent of total billed charges,45% of total billed charges,151.47,391.21,
Pneumovax (G0009) Administration Immunizations,90732,CDM,636,RC,90732,HCPCS,OUTPATIENT,,,422,337.6,,400.9,95,,320.72,percent of total billed charges,95% of total billed charges,399.72,94.72,,319.78,percent of total billed charges,94.72% of total billed charges,416.89,98.79,,333.51,percent of total billed charges,98.79% of total billed charges,413.56,98,,330.85,percent of total billed charges,98% of total billed charges,413.56,98,,330.85,percent of total billed charges,98% of total billed charges,202.56,48,,162.05,percent of total billed charges,48% of total billed charges,189.9,45,,151.92,percent of total billed charges,45% of total billed charges,161.42,38.25,,129.14,percent of total billed charges,38.25% of total billed charges,189.9,45,,151.92,percent of total billed charges,45% of total billed charges,189.9,45,,151.92,percent of total billed charges,45% of total billed charges,161.42,416.89,
90734 Meningococcal conjugate vaccine| quadrivalen,90734,CDM,636,RC,90734,HCPCS,OUTPATIENT,,,1084,867.2,,1029.8,95,,823.84,percent of total billed charges,95% of total billed charges,1026.76,94.72,,821.41,percent of total billed charges,94.72% of total billed charges,1070.88,98.79,,856.7,percent of total billed charges,98.79% of total billed charges,1062.32,98,,849.86,percent of total billed charges,98% of total billed charges,1062.32,98,,849.86,percent of total billed charges,98% of total billed charges,520.32,48,,416.26,percent of total billed charges,48% of total billed charges,487.8,45,,390.24,percent of total billed charges,45% of total billed charges,414.63,38.25,,331.7,percent of total billed charges,38.25% of total billed charges,487.8,45,,390.24,percent of total billed charges,45% of total billed charges,487.8,45,,390.24,percent of total billed charges,45% of total billed charges,414.63,1070.88,
Hep B Ped/Adol (USE THIS ONE),90744,CDM,636,RC,90744,HCPCS,OUTPATIENT,,,266,212.8,,252.7,95,,202.16,percent of total billed charges,95% of total billed charges,251.96,94.72,,201.57,percent of total billed charges,94.72% of total billed charges,262.78,98.79,,210.22,percent of total billed charges,98.79% of total billed charges,260.68,98,,208.54,percent of total billed charges,98% of total billed charges,260.68,98,,208.54,percent of total billed charges,98% of total billed charges,127.68,48,,102.14,percent of total billed charges,48% of total billed charges,119.7,45,,95.76,percent of total billed charges,45% of total billed charges,101.75,38.25,,81.4,percent of total billed charges,38.25% of total billed charges,119.7,45,,95.76,percent of total billed charges,45% of total billed charges,119.7,45,,95.76,percent of total billed charges,45% of total billed charges,101.75,262.78,
Zoster Shingrix,90750,CDM,636,RC,90750,HCPCS,OUTPATIENT,,,584,467.2,,554.8,95,,443.84,percent of total billed charges,95% of total billed charges,553.16,94.72,,442.53,percent of total billed charges,94.72% of total billed charges,576.93,98.79,,461.54,percent of total billed charges,98.79% of total billed charges,572.32,98,,457.86,percent of total billed charges,98% of total billed charges,572.32,98,,457.86,percent of total billed charges,98% of total billed charges,280.32,48,,224.26,percent of total billed charges,48% of total billed charges,262.8,45,,210.24,percent of total billed charges,45% of total billed charges,223.38,38.25,,178.7,percent of total billed charges,38.25% of total billed charges,262.8,45,,210.24,percent of total billed charges,45% of total billed charges,262.8,45,,210.24,percent of total billed charges,45% of total billed charges,223.38,576.93,
Omnipaque IV 240mg/mL 10mL,3756169,CDM,636,RC,Q9966,HCPCS,OUTPATIENT,,,209,167.2,,198.55,95,,158.84,percent of total billed charges,95% of total billed charges,197.96,94.72,,158.37,percent of total billed charges,94.72% of total billed charges,206.47,98.79,,165.18,percent of total billed charges,98.79% of total billed charges,204.82,98,,163.86,percent of total billed charges,98% of total billed charges,204.82,98,,163.86,percent of total billed charges,98% of total billed charges,100.32,48,,80.26,percent of total billed charges,48% of total billed charges,94.05,45,,75.24,percent of total billed charges,45% of total billed charges,79.94,38.25,,63.95,percent of total billed charges,38.25% of total billed charges,94.05,45,,75.24,percent of total billed charges,45% of total billed charges,94.05,45,,75.24,percent of total billed charges,45% of total billed charges,79.94,206.47,
DERMAGRAFT PER SQ CM,7511100,CDM,636,RC,Q4106,HCPCS,OUTPATIENT,,,1875,1500,,1781.25,95,,1425,percent of total billed charges,95% of total billed charges,1776,94.72,,1420.8,percent of total billed charges,94.72% of total billed charges,1852.31,98.79,,1481.85,percent of total billed charges,98.79% of total billed charges,1837.5,98,,1470,percent of total billed charges,98% of total billed charges,1837.5,98,,1470,percent of total billed charges,98% of total billed charges,900,48,,720,percent of total billed charges,48% of total billed charges,843.75,45,,675,percent of total billed charges,45% of total billed charges,717.19,38.25,,573.75,percent of total billed charges,38.25% of total billed charges,843.75,45,,675,percent of total billed charges,45% of total billed charges,843.75,45,,675,percent of total billed charges,45% of total billed charges,717.19,1852.31,
NUSHIELD 1.6 CM DISC,7511101,CDM,636,RC,Q4160,HCPCS,OUTPATIENT,,,592.5,474,,562.88,95,,450.3,percent of total billed charges,95% of total billed charges,561.22,94.72,,448.98,percent of total billed charges,94.72% of total billed charges,585.33,98.79,,468.26,percent of total billed charges,98.79% of total billed charges,580.65,98,,464.52,percent of total billed charges,98% of total billed charges,580.65,98,,464.52,percent of total billed charges,98% of total billed charges,284.4,48,,227.52,percent of total billed charges,48% of total billed charges,266.63,45,,213.3,percent of total billed charges,45% of total billed charges,226.63,38.25,,181.3,percent of total billed charges,38.25% of total billed charges,266.63,45,,213.3,percent of total billed charges,45% of total billed charges,266.63,45,,213.3,percent of total billed charges,45% of total billed charges,226.63,585.33,
Apligraf - com 44sq cm each,7511103,CDM,636,RC,Q4101,HCPCS,OUTPATIENT,,,1942.5,1554,,1845.38,95,,1476.3,percent of total billed charges,95% of total billed charges,1839.94,94.72,,1471.95,percent of total billed charges,94.72% of total billed charges,1919,98.79,,1535.2,percent of total billed charges,98.79% of total billed charges,1903.65,98,,1522.92,percent of total billed charges,98% of total billed charges,1903.65,98,,1522.92,percent of total billed charges,98% of total billed charges,932.4,48,,745.92,percent of total billed charges,48% of total billed charges,874.13,45,,699.3,percent of total billed charges,45% of total billed charges,743.01,38.25,,594.41,percent of total billed charges,38.25% of total billed charges,874.13,45,,699.3,percent of total billed charges,45% of total billed charges,874.13,45,,699.3,percent of total billed charges,45% of total billed charges,743.01,1919,
PURAPLYAM-COM 2X2,7511104,CDM,636,RC,Q4196,HCPCS,OUTPATIENT,,,1125,900,,1068.75,95,,855,percent of total billed charges,95% of total billed charges,1065.6,94.72,,852.48,percent of total billed charges,94.72% of total billed charges,1111.39,98.79,,889.11,percent of total billed charges,98.79% of total billed charges,1102.5,98,,882,percent of total billed charges,98% of total billed charges,1102.5,98,,882,percent of total billed charges,98% of total billed charges,540,48,,432,percent of total billed charges,48% of total billed charges,506.25,45,,405,percent of total billed charges,45% of total billed charges,430.31,38.25,,344.25,percent of total billed charges,38.25% of total billed charges,506.25,45,,405,percent of total billed charges,45% of total billed charges,506.25,45,,405,percent of total billed charges,45% of total billed charges,430.31,1111.39,
PURAPLYAM-COM 2X4,7511105,CDM,636,RC,Q4196,HCPCS,OUTPATIENT,,,1425,1140,,1353.75,95,,1083,percent of total billed charges,95% of total billed charges,1349.76,94.72,,1079.81,percent of total billed charges,94.72% of total billed charges,1407.76,98.79,,1126.21,percent of total billed charges,98.79% of total billed charges,1396.5,98,,1117.2,percent of total billed charges,98% of total billed charges,1396.5,98,,1117.2,percent of total billed charges,98% of total billed charges,684,48,,547.2,percent of total billed charges,48% of total billed charges,641.25,45,,513,percent of total billed charges,45% of total billed charges,545.06,38.25,,436.05,percent of total billed charges,38.25% of total billed charges,641.25,45,,513,percent of total billed charges,45% of total billed charges,641.25,45,,513,percent of total billed charges,45% of total billed charges,545.06,1407.76,
PURAPLYAM-COM 5X5,7511106,CDM,636,RC,Q4196,HCPCS,OUTPATIENT,,,4237.5,3390,,4025.63,95,,3220.5,percent of total billed charges,95% of total billed charges,4013.76,94.72,,3211.01,percent of total billed charges,94.72% of total billed charges,4186.23,98.79,,3348.98,percent of total billed charges,98.79% of total billed charges,4152.75,98,,3322.2,percent of total billed charges,98% of total billed charges,4152.75,98,,3322.2,percent of total billed charges,98% of total billed charges,2034,48,,1627.2,percent of total billed charges,48% of total billed charges,1906.88,45,,1525.5,percent of total billed charges,45% of total billed charges,1620.84,38.25,,1296.67,percent of total billed charges,38.25% of total billed charges,1906.88,45,,1525.5,percent of total billed charges,45% of total billed charges,1906.88,45,,1525.5,percent of total billed charges,45% of total billed charges,1620.84,4186.23,
AFFINITY 2.5X2.5CM,7511107,CDM,636,RC,Q4159,HCPCS,OUTPATIENT,,,3150,2520,,2992.5,95,,2394,percent of total billed charges,95% of total billed charges,2983.68,94.72,,2386.94,percent of total billed charges,94.72% of total billed charges,3111.89,98.79,,2489.51,percent of total billed charges,98.79% of total billed charges,3087,98,,2469.6,percent of total billed charges,98% of total billed charges,3087,98,,2469.6,percent of total billed charges,98% of total billed charges,1512,48,,1209.6,percent of total billed charges,48% of total billed charges,1417.5,45,,1134,percent of total billed charges,45% of total billed charges,1204.88,38.25,,963.9,percent of total billed charges,38.25% of total billed charges,1417.5,45,,1134,percent of total billed charges,45% of total billed charges,1417.5,45,,1134,percent of total billed charges,45% of total billed charges,1204.88,3111.89,
PURAPLYAM-COM 6x9,7511108,CDM,636,RC,Q4196,HCPCS,OUTPATIENT,,,8910,7128,,8464.5,95,,6771.6,percent of total billed charges,95% of total billed charges,8439.55,94.72,,6751.64,percent of total billed charges,94.72% of total billed charges,8802.19,98.79,,7041.75,percent of total billed charges,98.79% of total billed charges,8731.8,98,,6985.44,percent of total billed charges,98% of total billed charges,8731.8,98,,6985.44,percent of total billed charges,98% of total billed charges,4276.8,48,,3421.44,percent of total billed charges,48% of total billed charges,4009.5,45,,3207.6,percent of total billed charges,45% of total billed charges,3408.08,38.25,,2726.46,percent of total billed charges,38.25% of total billed charges,4009.5,45,,3207.6,percent of total billed charges,45% of total billed charges,4009.5,45,,3207.6,percent of total billed charges,45% of total billed charges,3408.08,8802.19,
PURAPLYAM-COM 4X4,7511109,CDM,636,RC,Q4196,HCPCS,OUTPATIENT,,,2720,2176,,2584,95,,2067.2,percent of total billed charges,95% of total billed charges,2576.38,94.72,,2061.1,percent of total billed charges,94.72% of total billed charges,2687.09,98.79,,2149.67,percent of total billed charges,98.79% of total billed charges,2665.6,98,,2132.48,percent of total billed charges,98% of total billed charges,2665.6,98,,2132.48,percent of total billed charges,98% of total billed charges,1305.6,48,,1044.48,percent of total billed charges,48% of total billed charges,1224,45,,979.2,percent of total billed charges,45% of total billed charges,1040.4,38.25,,832.32,percent of total billed charges,38.25% of total billed charges,1224,45,,979.2,percent of total billed charges,45% of total billed charges,1224,45,,979.2,percent of total billed charges,45% of total billed charges,1040.4,2687.09,
PURAPLY XT 4.91 CM X 4.91CM,7511110,CDM,636,RC,Q4197,HCPCS,OUTPATIENT,,,3300,2640,,3135,95,,2508,percent of total billed charges,95% of total billed charges,3125.76,94.72,,2500.61,percent of total billed charges,94.72% of total billed charges,3260.07,98.79,,2608.06,percent of total billed charges,98.79% of total billed charges,3234,98,,2587.2,percent of total billed charges,98% of total billed charges,3234,98,,2587.2,percent of total billed charges,98% of total billed charges,1584,48,,1267.2,percent of total billed charges,48% of total billed charges,1485,45,,1188,percent of total billed charges,45% of total billed charges,1262.25,38.25,,1009.8,percent of total billed charges,38.25% of total billed charges,1485,45,,1188,percent of total billed charges,45% of total billed charges,1485,45,,1188,percent of total billed charges,45% of total billed charges,1262.25,3260.07,
DRESSING WOUND OASIS MATRIX 3X7CM,7530081,CDM,636,RC,Q4102,HCPCS,OUTPATIENT,,,406.75,325.4, ,386.41,95,,309.13,percent of total billed charges,95% of total billed charges,385.27,94.72,,308.22,percent of total billed charges,94.72% of total billed charges,401.83,98.79,,321.46,percent of total billed charges,98.79% of total billed charges,398.62,98,,318.9,percent of total billed charges,98% of total billed charges,398.62,98,,318.9,percent of total billed charges,98% of total billed charges,195.24,48,,156.19,percent of total billed charges,48% of total billed charges,183.04,45,,146.43,percent of total billed charges,45% of total billed charges,155.58,38.25,,124.46,percent of total billed charges,38.25% of total billed charges,183.04,45,,146.43,percent of total billed charges,45% of total billed charges,183.04,45,,146.43,percent of total billed charges,45% of total billed charges,155.58,401.83,
INTEGRA MESHED BILAYER WOUND MATRIX 2X2,7530177,CDM,636,RC,C9363,HCPCS,OUTPATIENT,,,8670,6936, ,8236.5,95,,6589.2,percent of total billed charges,95% of total billed charges,8212.22,94.72,,6569.78,percent of total billed charges,94.72% of total billed charges,8565.09,98.79,,6852.07,percent of total billed charges,98.79% of total billed charges,8496.6,98,,6797.28,percent of total billed charges,98% of total billed charges,8496.6,98,,6797.28,percent of total billed charges,98% of total billed charges,4161.6,48,,3329.28,percent of total billed charges,48% of total billed charges,3901.5,45,,3121.2,percent of total billed charges,45% of total billed charges,3316.28,38.25,,2653.02,percent of total billed charges,38.25% of total billed charges,3901.5,45,,3121.2,percent of total billed charges,45% of total billed charges,3901.5,45,,3121.2,percent of total billed charges,45% of total billed charges,3316.28,8565.09,
INTEGRA MESHED BILAYER WOUND MATRIX 4X5,7530178,CDM,636,RC,C9363,HCPCS,OUTPATIENT,,,15120,12096,,14364,95,,11491.2,percent of total billed charges,95% of total billed charges,14321.66,94.72,,11457.33,percent of total billed charges,94.72% of total billed charges,14937.05,98.79,,11949.64,percent of total billed charges,98.79% of total billed charges,14817.6,98,,11854.08,percent of total billed charges,98% of total billed charges,14817.6,98,,11854.08,percent of total billed charges,98% of total billed charges,7257.6,48,,5806.08,percent of total billed charges,48% of total billed charges,6804,45,,5443.2,percent of total billed charges,45% of total billed charges,5783.4,38.25,,4626.72,percent of total billed charges,38.25% of total billed charges,6804,45,,5443.2,percent of total billed charges,45% of total billed charges,6804,45,,5443.2,percent of total billed charges,45% of total billed charges,5783.4,14937.05,
DRESSING WOUND OASIS MATRIX  3X 3.5 CM,7530181,CDM,636,RC,Q4102,HCPCS,OUTPATIENT,,,177.19,141.752,,168.33,95,,134.66,percent of total billed charges,95% of total billed charges,167.83,94.72,,134.26,percent of total billed charges,94.72% of total billed charges,175.05,98.79,,140.04,percent of total billed charges,98.79% of total billed charges,173.65,98,,138.92,percent of total billed charges,98% of total billed charges,173.65,98,,138.92,percent of total billed charges,98% of total billed charges,85.05,48,,68.04,percent of total billed charges,48% of total billed charges,79.74,45,,63.79,percent of total billed charges,45% of total billed charges,67.78,38.25,,54.22,percent of total billed charges,38.25% of total billed charges,79.74,45,,63.79,percent of total billed charges,45% of total billed charges,79.74,45,,63.79,percent of total billed charges,45% of total billed charges,67.78,175.05,
GRAFT AMNIO EXCEL 3.5CM X 3.5CM,7570500,CDM,636,RC,Q4137,HCPCS,OUTPATIENT,,,2500.5,2000.4,,2375.48,95,,1900.38,percent of total billed charges,95% of total billed charges,2368.47,94.72,,1894.78,percent of total billed charges,94.72% of total billed charges,2470.24,98.79,,1976.19,percent of total billed charges,98.79% of total billed charges,2450.49,98,,1960.39,percent of total billed charges,98% of total billed charges,2450.49,98,,1960.39,percent of total billed charges,98% of total billed charges,1200.24,48,,960.19,percent of total billed charges,48% of total billed charges,1125.23,45,,900.18,percent of total billed charges,45% of total billed charges,956.44,38.25,,765.15,percent of total billed charges,38.25% of total billed charges,1125.23,45,,900.18,percent of total billed charges,45% of total billed charges,1125.23,45,,900.18,percent of total billed charges,45% of total billed charges,956.44,2470.24,
AMNIOEXCEL 5CM X 5CM,7570503,CDM,636,RC,Q4137,HCPCS,OUTPATIENT,,,3507,2805.6,,3331.65,95,,2665.32,percent of total billed charges,95% of total billed charges,3321.83,94.72,,2657.46,percent of total billed charges,94.72% of total billed charges,3464.57,98.79,,2771.66,percent of total billed charges,98.79% of total billed charges,3436.86,98,,2749.49,percent of total billed charges,98% of total billed charges,3436.86,98,,2749.49,percent of total billed charges,98% of total billed charges,1683.36,48,,1346.69,percent of total billed charges,48% of total billed charges,1578.15,45,,1262.52,percent of total billed charges,45% of total billed charges,1341.43,38.25,,1073.14,percent of total billed charges,38.25% of total billed charges,1578.15,45,,1262.52,percent of total billed charges,45% of total billed charges,1578.15,45,,1262.52,percent of total billed charges,45% of total billed charges,1341.43,3464.57,
GRAFT AMNIO EXCEL 2CM X 3CM,7570510,CDM,636,RC,Q4137,HCPCS,OUTPATIENT,,,2020.5,1616.4,,1919.48,95,,1535.58,percent of total billed charges,95% of total billed charges,1913.82,94.72,,1531.06,percent of total billed charges,94.72% of total billed charges,1996.05,98.79,,1596.84,percent of total billed charges,98.79% of total billed charges,1980.09,98,,1584.07,percent of total billed charges,98% of total billed charges,1980.09,98,,1584.07,percent of total billed charges,98% of total billed charges,969.84,48,,775.87,percent of total billed charges,48% of total billed charges,909.23,45,,727.38,percent of total billed charges,45% of total billed charges,772.84,38.25,,618.27,percent of total billed charges,38.25% of total billed charges,909.23,45,,727.38,percent of total billed charges,45% of total billed charges,909.23,45,,727.38,percent of total billed charges,45% of total billed charges,772.84,1996.05,
AMNIOEXCEL 1.5CM X 1.5CM,7570512,CDM,636,RC,Q4137,HCPCS,OUTPATIENT,,,1381.5,1105.2,,1312.43,95,,1049.94,percent of total billed charges,95% of total billed charges,1308.56,94.72,,1046.85,percent of total billed charges,94.72% of total billed charges,1364.78,98.79,,1091.82,percent of total billed charges,98.79% of total billed charges,1353.87,98,,1083.1,percent of total billed charges,98% of total billed charges,1353.87,98,,1083.1,percent of total billed charges,98% of total billed charges,663.12,48,,530.5,percent of total billed charges,48% of total billed charges,621.68,45,,497.34,percent of total billed charges,45% of total billed charges,528.42,38.25,,422.74,percent of total billed charges,38.25% of total billed charges,621.68,45,,497.34,percent of total billed charges,45% of total billed charges,621.68,45,,497.34,percent of total billed charges,45% of total billed charges,528.42,1364.78,
AMNIOEXCEL 18MM DISK,7570515,CDM,636,RC,Q4137,HCPCS,OUTPATIENT,,,1266,1012.8,,1202.7,95,,962.16,percent of total billed charges,95% of total billed charges,1199.16,94.72,,959.33,percent of total billed charges,94.72% of total billed charges,1250.68,98.79,,1000.54,percent of total billed charges,98.79% of total billed charges,1240.68,98,,992.54,percent of total billed charges,98% of total billed charges,1240.68,98,,992.54,percent of total billed charges,98% of total billed charges,607.68,48,,486.14,percent of total billed charges,48% of total billed charges,569.7,45,,455.76,percent of total billed charges,45% of total billed charges,484.25,38.25,,387.4,percent of total billed charges,38.25% of total billed charges,569.7,45,,455.76,percent of total billed charges,45% of total billed charges,569.7,45,,455.76,percent of total billed charges,45% of total billed charges,484.25,1250.68,
AMNIOEXCEL 24MM DISK,7570518,CDM,636,RC,Q4137,HCPCS,OUTPATIENT,,,1543.5,1234.8,,1466.33,95,,1173.06,percent of total billed charges,95% of total billed charges,1462,94.72,,1169.6,percent of total billed charges,94.72% of total billed charges,1524.82,98.79,,1219.86,percent of total billed charges,98.79% of total billed charges,1512.63,98,,1210.1,percent of total billed charges,98% of total billed charges,1512.63,98,,1210.1,percent of total billed charges,98% of total billed charges,740.88,48,,592.7,percent of total billed charges,48% of total billed charges,694.58,45,,555.66,percent of total billed charges,45% of total billed charges,590.39,38.25,,472.31,percent of total billed charges,38.25% of total billed charges,694.58,45,,555.66,percent of total billed charges,45% of total billed charges,694.58,45,,555.66,percent of total billed charges,45% of total billed charges,590.39,1524.82,
MICROMATRIX 200MG,7570520,CDM,636,RC,Q4118,HCPCS,OUTPATIENT,,,966,772.8,,917.7,95,,734.16,percent of total billed charges,95% of total billed charges,915,94.72,,732,percent of total billed charges,94.72% of total billed charges,954.31,98.79,,763.45,percent of total billed charges,98.79% of total billed charges,946.68,98,,757.34,percent of total billed charges,98% of total billed charges,946.68,98,,757.34,percent of total billed charges,98% of total billed charges,463.68,48,,370.94,percent of total billed charges,48% of total billed charges,434.7,45,,347.76,percent of total billed charges,45% of total billed charges,369.5,38.25,,295.6,percent of total billed charges,38.25% of total billed charges,434.7,45,,347.76,percent of total billed charges,45% of total billed charges,434.7,45,,347.76,percent of total billed charges,45% of total billed charges,369.5,954.31,
MICROMATRIX 500MG,7570530,CDM,636,RC,Q4118,HCPCS,OUTPATIENT,,,1485,1188,,1410.75,95,,1128.6,percent of total billed charges,95% of total billed charges,1406.59,94.72,,1125.27,percent of total billed charges,94.72% of total billed charges,1467.03,98.79,,1173.62,percent of total billed charges,98.79% of total billed charges,1455.3,98,,1164.24,percent of total billed charges,98% of total billed charges,1455.3,98,,1164.24,percent of total billed charges,98% of total billed charges,712.8,48,,570.24,percent of total billed charges,48% of total billed charges,668.25,45,,534.6,percent of total billed charges,45% of total billed charges,568.01,38.25,,454.41,percent of total billed charges,38.25% of total billed charges,668.25,45,,534.6,percent of total billed charges,45% of total billed charges,668.25,45,,534.6,percent of total billed charges,45% of total billed charges,568.01,1467.03,
OMNIGRAFT MATRIX 2.5CM X 2.5CM,7570540,CDM,636,RC,Q4105,HCPCS,OUTPATIENT,,,1516.5,1213.2,,1440.68,95,,1152.54,percent of total billed charges,95% of total billed charges,1436.43,94.72,,1149.14,percent of total billed charges,94.72% of total billed charges,1498.15,98.79,,1198.52,percent of total billed charges,98.79% of total billed charges,1486.17,98,,1188.94,percent of total billed charges,98% of total billed charges,1486.17,98,,1188.94,percent of total billed charges,98% of total billed charges,727.92,48,,582.34,percent of total billed charges,48% of total billed charges,682.43,45,,545.94,percent of total billed charges,45% of total billed charges,580.06,38.25,,464.05,percent of total billed charges,38.25% of total billed charges,682.43,45,,545.94,percent of total billed charges,45% of total billed charges,682.43,45,,545.94,percent of total billed charges,45% of total billed charges,580.06,1498.15,
OMNIGRAFT MATRIX 4CM X 4CM,7570545,CDM,636,RC,Q4105,HCPCS,OUTPATIENT,,,2230.5,1784.4,,2118.98,95,,1695.18,percent of total billed charges,95% of total billed charges,2112.73,94.72,,1690.18,percent of total billed charges,94.72% of total billed charges,2203.51,98.79,,1762.81,percent of total billed charges,98.79% of total billed charges,2185.89,98,,1748.71,percent of total billed charges,98% of total billed charges,2185.89,98,,1748.71,percent of total billed charges,98% of total billed charges,1070.64,48,,856.51,percent of total billed charges,48% of total billed charges,1003.73,45,,802.98,percent of total billed charges,45% of total billed charges,853.17,38.25,,682.54,percent of total billed charges,38.25% of total billed charges,1003.73,45,,802.98,percent of total billed charges,45% of total billed charges,1003.73,45,,802.98,percent of total billed charges,45% of total billed charges,853.17,2203.51,
OMNIGRAFT MATRIX 7CM X 7CM,7570550,CDM,636,RC,Q4105,HCPCS,OUTPATIENT,,,4462.5,3570,,4239.38,95,,3391.5,percent of total billed charges,95% of total billed charges,4226.88,94.72,,3381.5,percent of total billed charges,94.72% of total billed charges,4408.5,98.79,,3526.8,percent of total billed charges,98.79% of total billed charges,4373.25,98,,3498.6,percent of total billed charges,98% of total billed charges,4373.25,98,,3498.6,percent of total billed charges,98% of total billed charges,2142,48,,1713.6,percent of total billed charges,48% of total billed charges,2008.13,45,,1606.5,percent of total billed charges,45% of total billed charges,1706.91,38.25,,1365.53,percent of total billed charges,38.25% of total billed charges,2008.13,45,,1606.5,percent of total billed charges,45% of total billed charges,2008.13,45,,1606.5,percent of total billed charges,45% of total billed charges,1706.91,4408.5,
STRAVIX 2X4 CM,7711111,CDM,636,RC,Q4133,HCPCS,OUTPATIENT,,,2707.5,2166,,2572.13,95,,2057.7,percent of total billed charges,95% of total billed charges,2564.54,94.72,,2051.63,percent of total billed charges,94.72% of total billed charges,2674.74,98.79,,2139.79,percent of total billed charges,98.79% of total billed charges,2653.35,98,,2122.68,percent of total billed charges,98% of total billed charges,2653.35,98,,2122.68,percent of total billed charges,98% of total billed charges,1299.6,48,,1039.68,percent of total billed charges,48% of total billed charges,1218.38,45,,974.7,percent of total billed charges,45% of total billed charges,1035.62,38.25,,828.5,percent of total billed charges,38.25% of total billed charges,1218.38,45,,974.7,percent of total billed charges,45% of total billed charges,1218.38,45,,974.7,percent of total billed charges,45% of total billed charges,1035.62,2674.74,
STRAVIX 3X6 CM,7711112,CDM,636,RC,Q4133,HCPCS,OUTPATIENT,,,4773.75,3819,,4535.06,95,,3628.05,percent of total billed charges,95% of total billed charges,4521.7,94.72,,3617.36,percent of total billed charges,94.72% of total billed charges,4715.99,98.79,,3772.79,percent of total billed charges,98.79% of total billed charges,4678.28,98,,3742.62,percent of total billed charges,98% of total billed charges,4678.28,98,,3742.62,percent of total billed charges,98% of total billed charges,2291.4,48,,1833.12,percent of total billed charges,48% of total billed charges,2148.19,45,,1718.55,percent of total billed charges,45% of total billed charges,1825.96,38.25,,1460.77,percent of total billed charges,38.25% of total billed charges,2148.19,45,,1718.55,percent of total billed charges,45% of total billed charges,2148.19,45,,1718.55,percent of total billed charges,45% of total billed charges,1825.96,4715.99,
GRAFIX PRIME DISC 16MM,7713016,CDM,636,RC,Q4133,HCPCS,OUTPATIENT,,,742.5,594,,705.38,95,,564.3,percent of total billed charges,95% of total billed charges,703.3,94.72,,562.64,percent of total billed charges,94.72% of total billed charges,733.52,98.79,,586.82,percent of total billed charges,98.79% of total billed charges,727.65,98,,582.12,percent of total billed charges,98% of total billed charges,727.65,98,,582.12,percent of total billed charges,98% of total billed charges,356.4,48,,285.12,percent of total billed charges,48% of total billed charges,334.13,45,,267.3,percent of total billed charges,45% of total billed charges,284.01,38.25,,227.21,percent of total billed charges,38.25% of total billed charges,334.13,45,,267.3,percent of total billed charges,45% of total billed charges,334.13,45,,267.3,percent of total billed charges,45% of total billed charges,284.01,733.52,
Lasix 40mL,37591037,CDM,636,RC,J1940,HCPCS,OUTPATIENT,,,17,13.6,,16.15,95,,12.92,percent of total billed charges,95% of total billed charges,16.1,94.72,,12.88,percent of total billed charges,94.72% of total billed charges,16.79,98.79,,13.43,percent of total billed charges,98.79% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,16.66,98,,13.33,percent of total billed charges,98% of total billed charges,8.16,48,,6.53,percent of total billed charges,48% of total billed charges,7.65,45,,6.12,percent of total billed charges,45% of total billed charges,6.5,38.25,,5.2,percent of total billed charges,38.25% of total billed charges,7.65,45,,6.12,percent of total billed charges,45% of total billed charges,7.65,45,,6.12,percent of total billed charges,45% of total billed charges,6.5,16.79,
Lasix 20mL,37591138,CDM,636,RC,J1940,HCPCS,OUTPATIENT,,,20,16,,19,95,,15.2,percent of total billed charges,95% of total billed charges,18.94,94.72,,15.15,percent of total billed charges,94.72% of total billed charges,19.76,98.79,,15.81,percent of total billed charges,98.79% of total billed charges,19.6,98,,15.68,percent of total billed charges,98% of total billed charges,19.6,98,,15.68,percent of total billed charges,98% of total billed charges,9.6,48,,7.68,percent of total billed charges,48% of total billed charges,9,45,,7.2,percent of total billed charges,45% of total billed charges,7.65,38.25,,6.12,percent of total billed charges,38.25% of total billed charges,9,45,,7.2,percent of total billed charges,45% of total billed charges,9,45,,7.2,percent of total billed charges,45% of total billed charges,7.65,19.76,
30ml Gastrografin,37594766,CDM,636,RC,Q9963,HCPCS,OUTPATIENT,,,335,268,,318.25,95,,254.6,percent of total billed charges,95% of total billed charges,317.31,94.72,,253.85,percent of total billed charges,94.72% of total billed charges,330.95,98.79,,264.76,percent of total billed charges,98.79% of total billed charges,328.3,98,,262.64,percent of total billed charges,98% of total billed charges,328.3,98,,262.64,percent of total billed charges,98% of total billed charges,160.8,48,,128.64,percent of total billed charges,48% of total billed charges,150.75,45,,120.6,percent of total billed charges,45% of total billed charges,128.14,38.25,,102.51,percent of total billed charges,38.25% of total billed charges,150.75,45,,120.6,percent of total billed charges,45% of total billed charges,150.75,45,,120.6,percent of total billed charges,45% of total billed charges,128.14,330.95,
OMNIPAQUE (IOHEXOL) IV 350MG/ML 100ML,37594820,CDM,636,RC,Q9967,HCPCS,OUTPATIENT,,,363,290.4,,344.85,95,,275.88,percent of total billed charges,95% of total billed charges,343.83,94.72,,275.06,percent of total billed charges,94.72% of total billed charges,358.61,98.79,,286.89,percent of total billed charges,98.79% of total billed charges,355.74,98,,284.59,percent of total billed charges,98% of total billed charges,355.74,98,,284.59,percent of total billed charges,98% of total billed charges,174.24,48,,139.39,percent of total billed charges,48% of total billed charges,163.35,45,,130.68,percent of total billed charges,45% of total billed charges,138.85,38.25,,111.08,percent of total billed charges,38.25% of total billed charges,163.35,45,,130.68,percent of total billed charges,45% of total billed charges,163.35,45,,130.68,percent of total billed charges,45% of total billed charges,138.85,358.61,
OMNIPAQUE (IOHEXOL) IV 350MG/ML 75ML,37796153,CDM,636,RC,Q9967,HCPCS,OUTPATIENT,,,362,289.6,,343.9,95,,275.12,percent of total billed charges,95% of total billed charges,342.89,94.72,,274.31,percent of total billed charges,94.72% of total billed charges,357.62,98.79,,286.1,percent of total billed charges,98.79% of total billed charges,354.76,98,,283.81,percent of total billed charges,98% of total billed charges,354.76,98,,283.81,percent of total billed charges,98% of total billed charges,173.76,48,,139.01,percent of total billed charges,48% of total billed charges,162.9,45,,130.32,percent of total billed charges,45% of total billed charges,138.47,38.25,,110.78,percent of total billed charges,38.25% of total billed charges,162.9,45,,130.32,percent of total billed charges,45% of total billed charges,162.9,45,,130.32,percent of total billed charges,45% of total billed charges,138.47,357.62,
Ketorolac Tromethamine (Toradol) 1ml SDV,37798891,CDM,636,RC,J1885,HCPCS,OUTPATIENT,,,31,24.8,,29.45,95,,23.56,percent of total billed charges,95% of total billed charges,29.36,94.72,,23.49,percent of total billed charges,94.72% of total billed charges,30.62,98.79,,24.5,percent of total billed charges,98.79% of total billed charges,30.38,98,,24.3,percent of total billed charges,98% of total billed charges,30.38,98,,24.3,percent of total billed charges,98% of total billed charges,14.88,48,,11.9,percent of total billed charges,48% of total billed charges,13.95,45,,11.16,percent of total billed charges,45% of total billed charges,11.86,38.25,,9.49,percent of total billed charges,38.25% of total billed charges,13.95,45,,11.16,percent of total billed charges,45% of total billed charges,13.95,45,,11.16,percent of total billed charges,45% of total billed charges,11.86,30.62,
BUPIVACAINE (MARCAINE 0.5%) 30mL MDV,37799303,CDM,636,RC,J3490,HCPCS,OUTPATIENT,,,4,3.2,,3.8,95,,3.04,percent of total billed charges,95% of total billed charges,3.79,94.72,,3.03,percent of total billed charges,94.72% of total billed charges,3.95,98.79,,3.16,percent of total billed charges,98.79% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,3.92,98,,3.14,percent of total billed charges,98% of total billed charges,1.92,48,,1.54,percent of total billed charges,48% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,38.25,,1.22,percent of total billed charges,38.25% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.8,45,,1.44,percent of total billed charges,45% of total billed charges,1.53,3.95,
LIDOCAINE INJ 1% 5ML MDV,37799376,CDM,636,RC,J2001,HCPCS,OUTPATIENT,,,19,15.2,,18.05,95,,14.44,percent of total billed charges,95% of total billed charges,18,94.72,,14.4,percent of total billed charges,94.72% of total billed charges,18.77,98.79,,15.02,percent of total billed charges,98.79% of total billed charges,18.62,98,,14.9,percent of total billed charges,98% of total billed charges,18.62,98,,14.9,percent of total billed charges,98% of total billed charges,9.12,48,,7.3,percent of total billed charges,48% of total billed charges,8.55,45,,6.84,percent of total billed charges,45% of total billed charges,7.27,38.25,,5.82,percent of total billed charges,38.25% of total billed charges,8.55,45,,6.84,percent of total billed charges,45% of total billed charges,8.55,45,,6.84,percent of total billed charges,45% of total billed charges,7.27,18.77,
LIDOCAINE INJ 1% 10ML MDV,37799593,CDM,636,RC,,,OUTPATIENT,,,15,12,,14.25,95,,11.4,percent of total billed charges,95% of total billed charges,14.21,94.72,,11.37,percent of total billed charges,94.72% of total billed charges,14.82,98.79,,11.86,percent of total billed charges,98.79% of total billed charges,14.7,98,,11.76,percent of total billed charges,98% of total billed charges,14.7,98,,11.76,percent of total billed charges,98% of total billed charges,7.2,48,,5.76,percent of total billed charges,48% of total billed charges,6.75,45,,5.4,percent of total billed charges,45% of total billed charges,5.74,38.25,,4.59,percent of total billed charges,38.25% of total billed charges,6.75,45,,5.4,percent of total billed charges,45% of total billed charges,6.75,45,,5.4,percent of total billed charges,45% of total billed charges,5.74,14.82,
OMNIPAQUE (IOHEXOL) IV 300MG/ML 100ML,37799730,CDM,636,RC,Q9967,HCPCS,OUTPATIENT,,,327,261.6,,310.65,95,,248.52,percent of total billed charges,95% of total billed charges,309.73,94.72,,247.78,percent of total billed charges,94.72% of total billed charges,323.04,98.79,,258.43,percent of total billed charges,98.79% of total billed charges,320.46,98,,256.37,percent of total billed charges,98% of total billed charges,320.46,98,,256.37,percent of total billed charges,98% of total billed charges,156.96,48,,125.57,percent of total billed charges,48% of total billed charges,147.15,45,,117.72,percent of total billed charges,45% of total billed charges,125.08,38.25,,100.06,percent of total billed charges,38.25% of total billed charges,147.15,45,,117.72,percent of total billed charges,45% of total billed charges,147.15,45,,117.72,percent of total billed charges,45% of total billed charges,125.08,323.04,
Omnipaque IV 180mg/mL 10mL,37799731,CDM,636,RC,Q9966,HCPCS,OUTPATIENT,,,189,151.2,,179.55,95,,143.64,percent of total billed charges,95% of total billed charges,179.02,94.72,,143.22,percent of total billed charges,94.72% of total billed charges,186.71,98.79,,149.37,percent of total billed charges,98.79% of total billed charges,185.22,98,,148.18,percent of total billed charges,98% of total billed charges,185.22,98,,148.18,percent of total billed charges,98% of total billed charges,90.72,48,,72.58,percent of total billed charges,48% of total billed charges,85.05,45,,68.04,percent of total billed charges,45% of total billed charges,72.29,38.25,,57.83,percent of total billed charges,38.25% of total billed charges,85.05,45,,68.04,percent of total billed charges,45% of total billed charges,85.05,45,,68.04,percent of total billed charges,45% of total billed charges,72.29,186.71,
OMNIPAQUE (IOHEXOL) IV 240MG/ML 100ML,37799731,CDM,636,RC,Q9966,HCPCS,OUTPATIENT,,,208,166.4,,197.6,95,,158.08,percent of total billed charges,95% of total billed charges,197.02,94.72,,157.62,percent of total billed charges,94.72% of total billed charges,205.48,98.79,,164.38,percent of total billed charges,98.79% of total billed charges,203.84,98,,163.07,percent of total billed charges,98% of total billed charges,203.84,98,,163.07,percent of total billed charges,98% of total billed charges,99.84,48,,79.87,percent of total billed charges,48% of total billed charges,93.6,45,,74.88,percent of total billed charges,45% of total billed charges,79.56,38.25,,63.65,percent of total billed charges,38.25% of total billed charges,93.6,45,,74.88,percent of total billed charges,45% of total billed charges,93.6,45,,74.88,percent of total billed charges,45% of total billed charges,79.56,205.48,
ACU Recovery Charge - First Hour,10303850,CDM,710,RC,,,OUTPATIENT,,,1403,1122.4,,1332.85,95,,1066.28,percent of total billed charges,95% of total billed charges,1328.92,94.72,,1063.14,percent of total billed charges,94.72% of total billed charges,1386.02,98.79,,1108.82,percent of total billed charges,98.79% of total billed charges,1374.94,98,,1099.95,percent of total billed charges,98% of total billed charges,1374.94,98,,1099.95,percent of total billed charges,98% of total billed charges,673.44,48,,538.75,percent of total billed charges,48% of total billed charges,631.35,45,,505.08,percent of total billed charges,45% of total billed charges,536.65,38.25,,429.32,percent of total billed charges,38.25% of total billed charges,631.35,45,,505.08,percent of total billed charges,45% of total billed charges,631.35,45,,505.08,percent of total billed charges,45% of total billed charges,536.65,1386.02,
ACU Recovery Time - Each Additional 15 Minutes,10303851,CDM,710,RC,,,OUTPATIENT,,,328,262.4,,311.6,95,,249.28,percent of total billed charges,95% of total billed charges,310.68,94.72,,248.54,percent of total billed charges,94.72% of total billed charges,324.03,98.79,,259.22,percent of total billed charges,98.79% of total billed charges,321.44,98,,257.15,percent of total billed charges,98% of total billed charges,321.44,98,,257.15,percent of total billed charges,98% of total billed charges,157.44,48,,125.95,percent of total billed charges,48% of total billed charges,147.6,45,,118.08,percent of total billed charges,45% of total billed charges,125.46,38.25,,100.37,percent of total billed charges,38.25% of total billed charges,147.6,45,,118.08,percent of total billed charges,45% of total billed charges,147.6,45,,118.08,percent of total billed charges,45% of total billed charges,125.46,324.03,
Recovery Time - First Hour After Hours,10303852,CDM,710,RC,,,OUTPATIENT,,,263,210.4,,249.85,95,,199.88,percent of total billed charges,95% of total billed charges,249.11,94.72,,199.29,percent of total billed charges,94.72% of total billed charges,259.82,98.79,,207.86,percent of total billed charges,98.79% of total billed charges,257.74,98,,206.19,percent of total billed charges,98% of total billed charges,257.74,98,,206.19,percent of total billed charges,98% of total billed charges,126.24,48,,100.99,percent of total billed charges,48% of total billed charges,118.35,45,,94.68,percent of total billed charges,45% of total billed charges,100.6,38.25,,80.48,percent of total billed charges,38.25% of total billed charges,118.35,45,,94.68,percent of total billed charges,45% of total billed charges,118.35,45,,94.68,percent of total billed charges,45% of total billed charges,100.6,259.82,
Recovery Time - Each Additional 15 Minutes After Hours,10303853,CDM,710,RC,,,OUTPATIENT,,,143.75,115,,136.56,95,,109.25,percent of total billed charges,95% of total billed charges,136.16,94.72,,108.93,percent of total billed charges,94.72% of total billed charges,142.01,98.79,,113.61,percent of total billed charges,98.79% of total billed charges,140.88,98,,112.7,percent of total billed charges,98% of total billed charges,140.88,98,,112.7,percent of total billed charges,98% of total billed charges,69,48,,55.2,percent of total billed charges,48% of total billed charges,64.69,45,,51.75,percent of total billed charges,45% of total billed charges,54.98,38.25,,43.98,percent of total billed charges,38.25% of total billed charges,64.69,45,,51.75,percent of total billed charges,45% of total billed charges,64.69,45,,51.75,percent of total billed charges,45% of total billed charges,54.98,142.01,
XR EKG EO,8535000,CDM,730,RC,93005,HCPCS,OUTPATIENT,,,160,128,,152,95,,121.6,percent of total billed charges,95% of total billed charges,151.55,94.72,,121.24,percent of total billed charges,94.72% of total billed charges,158.06,98.79,,126.45,percent of total billed charges,98.79% of total billed charges,156.8,98,,125.44,percent of total billed charges,98% of total billed charges,156.8,98,,125.44,percent of total billed charges,98% of total billed charges,76.8,48,,61.44,percent of total billed charges,48% of total billed charges,72,45,,57.6,percent of total billed charges,45% of total billed charges,61.2,38.25,,48.96,percent of total billed charges,38.25% of total billed charges,72,45,,57.6,percent of total billed charges,45% of total billed charges,72,45,,57.6,percent of total billed charges,45% of total billed charges,61.2,158.06,
93268 EVENT MONITORING GLOBAL CHARGE,8708014,CDM,730,RC,93268,HCPCS,OUTPATIENT,,,1113,890.4,,1057.35,95,,845.88,percent of total billed charges,95% of total billed charges,1054.23,94.72,,843.38,percent of total billed charges,94.72% of total billed charges,1099.53,98.79,,879.62,percent of total billed charges,98.79% of total billed charges,1090.74,98,,872.59,percent of total billed charges,98% of total billed charges,1090.74,98,,872.59,percent of total billed charges,98% of total billed charges,534.24,48,,427.39,percent of total billed charges,48% of total billed charges,500.85,45,,400.68,percent of total billed charges,45% of total billed charges,425.72,38.25,,340.58,percent of total billed charges,38.25% of total billed charges,500.85,45,,400.68,percent of total billed charges,45% of total billed charges,500.85,45,,400.68,percent of total billed charges,45% of total billed charges,425.72,1099.53,
MONITOR SCANNING ANALYSIS REPORT,8708003,CDM,731,RC,93226,HCPCS,OUTPATIENT,,,298,238.4,,283.1,95,,226.48,percent of total billed charges,95% of total billed charges,282.27,94.72,,225.82,percent of total billed charges,94.72% of total billed charges,294.39,98.79,,235.51,percent of total billed charges,98.79% of total billed charges,292.04,98,,233.63,percent of total billed charges,98% of total billed charges,292.04,98,,233.63,percent of total billed charges,98% of total billed charges,143.04,48,,114.43,percent of total billed charges,48% of total billed charges,134.1,45,,107.28,percent of total billed charges,45% of total billed charges,113.99,38.25,,91.19,percent of total billed charges,38.25% of total billed charges,134.1,45,,107.28,percent of total billed charges,45% of total billed charges,134.1,45,,107.28,percent of total billed charges,45% of total billed charges,113.99,294.39,
EVENT MONITORING HOOK UP,8708012,CDM,731,RC,93270,HCPCS,OUTPATIENT,,,105,84,,99.75,95,,79.8,percent of total billed charges,95% of total billed charges,99.46,94.72,,79.57,percent of total billed charges,94.72% of total billed charges,103.73,98.79,,82.98,percent of total billed charges,98.79% of total billed charges,102.9,98,,82.32,percent of total billed charges,98% of total billed charges,102.9,98,,82.32,percent of total billed charges,98% of total billed charges,50.4,48,,40.32,percent of total billed charges,48% of total billed charges,47.25,45,,37.8,percent of total billed charges,45% of total billed charges,40.16,38.25,,32.13,percent of total billed charges,38.25% of total billed charges,47.25,45,,37.8,percent of total billed charges,45% of total billed charges,47.25,45,,37.8,percent of total billed charges,45% of total billed charges,40.16,103.73,
HOLTER MONITOR UP TO 48HRS,8708021,CDM,731,RC,93225,HCPCS,OUTPATIENT,,,333,266.4,,316.35,95,,253.08,percent of total billed charges,95% of total billed charges,315.42,94.72,,252.34,percent of total billed charges,94.72% of total billed charges,328.97,98.79,,263.18,percent of total billed charges,98.79% of total billed charges,326.34,98,,261.07,percent of total billed charges,98% of total billed charges,326.34,98,,261.07,percent of total billed charges,98% of total billed charges,159.84,48,,127.87,percent of total billed charges,48% of total billed charges,149.85,45,,119.88,percent of total billed charges,45% of total billed charges,127.37,38.25,,101.9,percent of total billed charges,38.25% of total billed charges,149.85,45,,119.88,percent of total billed charges,45% of total billed charges,149.85,45,,119.88,percent of total billed charges,45% of total billed charges,127.37,328.97,
MONITOR SCAN ANALYSIS REPORT 48HRS,8708022,CDM,731,RC,93226,HCPCS,OUTPATIENT,,,523,418.4,,496.85,95,,397.48,percent of total billed charges,95% of total billed charges,495.39,94.72,,396.31,percent of total billed charges,94.72% of total billed charges,516.67,98.79,,413.34,percent of total billed charges,98.79% of total billed charges,512.54,98,,410.03,percent of total billed charges,98% of total billed charges,512.54,98,,410.03,percent of total billed charges,98% of total billed charges,251.04,48,,200.83,percent of total billed charges,48% of total billed charges,235.35,45,,188.28,percent of total billed charges,45% of total billed charges,200.05,38.25,,160.04,percent of total billed charges,38.25% of total billed charges,235.35,45,,188.28,percent of total billed charges,45% of total billed charges,235.35,45,,188.28,percent of total billed charges,45% of total billed charges,200.05,516.67,
93242 Holter Hook UP 3 to 7 days,10093242,CDM,731,RC,93242,HCPCS,OUTPATIENT,,,61,48.8,,57.95,95,,46.36,percent of total billed charges,95% of total billed charges,57.78,94.72,,46.22,percent of total billed charges,94.72% of total billed charges,60.26,98.79,,48.21,percent of total billed charges,98.79% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,29.28,48,,23.42,percent of total billed charges,48% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,23.33,38.25,,18.66,percent of total billed charges,38.25% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,23.33,60.26,
93246 Holter Hook Up 8 to 15 days,10093246,CDM,731,RC,93246,HCPCS,OUTPATIENT,,,61,48.8,,57.95,95,,46.36,percent of total billed charges,95% of total billed charges,57.78,94.72,,46.22,percent of total billed charges,94.72% of total billed charges,60.26,98.79,,48.21,percent of total billed charges,98.79% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,59.78,98,,47.82,percent of total billed charges,98% of total billed charges,29.28,48,,23.42,percent of total billed charges,48% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,23.33,38.25,,18.66,percent of total billed charges,38.25% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,27.45,45,,21.96,percent of total billed charges,45% of total billed charges,23.33,60.26,
POLYSOMNOGRAPHY > 4 PARAMETERS OBSERVATI,7201003,CDM,740,RC,95810,HCPCS,OUTPATIENT,,,3157,2525.6,,2999.15,95,,2399.32,percent of total billed charges,95% of total billed charges,2990.31,94.72,,2392.25,percent of total billed charges,94.72% of total billed charges,3118.8,98.79,,2495.04,percent of total billed charges,98.79% of total billed charges,3093.86,98,,2475.09,percent of total billed charges,98% of total billed charges,3093.86,98,,2475.09,percent of total billed charges,98% of total billed charges,1515.36,48,,1212.29,percent of total billed charges,48% of total billed charges,1420.65,45,,1136.52,percent of total billed charges,45% of total billed charges,1207.55,38.25,,966.04,percent of total billed charges,38.25% of total billed charges,1420.65,45,,1136.52,percent of total billed charges,45% of total billed charges,1420.65,45,,1136.52,percent of total billed charges,45% of total billed charges,1207.55,3118.8,
POLYSOMNOGRAPHY W/CPAP > 4 PARAMETERS,7201008,CDM,740,RC,95811,HCPCS,OUTPATIENT,,,3528,2822.4,,3351.6,95,,2681.28,percent of total billed charges,95% of total billed charges,3341.72,94.72,,2673.38,percent of total billed charges,94.72% of total billed charges,3485.31,98.79,,2788.25,percent of total billed charges,98.79% of total billed charges,3457.44,98,,2765.95,percent of total billed charges,98% of total billed charges,3457.44,98,,2765.95,percent of total billed charges,98% of total billed charges,1693.44,48,,1354.75,percent of total billed charges,48% of total billed charges,1587.6,45,,1270.08,percent of total billed charges,45% of total billed charges,1349.46,38.25,,1079.57,percent of total billed charges,38.25% of total billed charges,1587.6,45,,1270.08,percent of total billed charges,45% of total billed charges,1587.6,45,,1270.08,percent of total billed charges,45% of total billed charges,1349.46,3485.31,
EEG (Awake and Drowsy),8804070,CDM,740,RC,95816,HCPCS,OUTPATIENT,,,739,591.2,,702.05,95,,561.64,percent of total billed charges,95% of total billed charges,699.98,94.72,,559.98,percent of total billed charges,94.72% of total billed charges,730.06,98.79,,584.05,percent of total billed charges,98.79% of total billed charges,724.22,98,,579.38,percent of total billed charges,98% of total billed charges,724.22,98,,579.38,percent of total billed charges,98% of total billed charges,354.72,48,,283.78,percent of total billed charges,48% of total billed charges,332.55,45,,266.04,percent of total billed charges,45% of total billed charges,282.67,38.25,,226.14,percent of total billed charges,38.25% of total billed charges,332.55,45,,266.04,percent of total billed charges,45% of total billed charges,332.55,45,,266.04,percent of total billed charges,45% of total billed charges,282.67,730.06,
EEG (Awake and Asleep),8804072,CDM,740,RC,95819,HCPCS,OUTPATIENT,,,762,609.6,,723.9,95,,579.12,percent of total billed charges,95% of total billed charges,721.77,94.72,,577.42,percent of total billed charges,94.72% of total billed charges,752.78,98.79,,602.22,percent of total billed charges,98.79% of total billed charges,746.76,98,,597.41,percent of total billed charges,98% of total billed charges,746.76,98,,597.41,percent of total billed charges,98% of total billed charges,365.76,48,,292.61,percent of total billed charges,48% of total billed charges,342.9,45,,274.32,percent of total billed charges,45% of total billed charges,291.47,38.25,,233.18,percent of total billed charges,38.25% of total billed charges,342.9,45,,274.32,percent of total billed charges,45% of total billed charges,342.9,45,,274.32,percent of total billed charges,45% of total billed charges,291.47,752.78,
95813 EEG >1HOUR CHARGE,8804073,CDM,740,RC,95813,HCPCS,OUTPATIENT,,,965,772,,916.75,95,,733.4,percent of total billed charges,95% of total billed charges,914.05,94.72,,731.24,percent of total billed charges,94.72% of total billed charges,953.32,98.79,,762.66,percent of total billed charges,98.79% of total billed charges,945.7,98,,756.56,percent of total billed charges,98% of total billed charges,945.7,98,,756.56,percent of total billed charges,98% of total billed charges,463.2,48,,370.56,percent of total billed charges,48% of total billed charges,434.25,45,,347.4,percent of total billed charges,45% of total billed charges,369.11,38.25,,295.29,percent of total billed charges,38.25% of total billed charges,434.25,45,,347.4,percent of total billed charges,45% of total billed charges,434.25,45,,347.4,percent of total billed charges,45% of total billed charges,369.11,953.32,
EEG 41-60 mins,8804074,CDM,740,RC,95812,HCPCS,OUTPATIENT,,,1146,916.8,,1088.7,95,,870.96,percent of total billed charges,95% of total billed charges,1085.49,94.72,,868.39,percent of total billed charges,94.72% of total billed charges,1132.13,98.79,,905.7,percent of total billed charges,98.79% of total billed charges,1123.08,98,,898.46,percent of total billed charges,98% of total billed charges,1123.08,98,,898.46,percent of total billed charges,98% of total billed charges,550.08,48,,440.06,percent of total billed charges,48% of total billed charges,515.7,45,,412.56,percent of total billed charges,45% of total billed charges,438.35,38.25,,350.68,percent of total billed charges,38.25% of total billed charges,515.7,45,,412.56,percent of total billed charges,45% of total billed charges,515.7,45,,412.56,percent of total billed charges,45% of total billed charges,438.35,1132.13,
Sigmoidoscopy Screen/Anesth,12501104,CDM,750,RC,G0104,HCPCS,OUTPATIENT,,,463,370.4,,439.85,95,,351.88,percent of total billed charges,95% of total billed charges,438.55,94.72,,350.84,percent of total billed charges,94.72% of total billed charges,457.4,98.79,,365.92,percent of total billed charges,98.79% of total billed charges,453.74,98,,362.99,percent of total billed charges,98% of total billed charges,453.74,98,,362.99,percent of total billed charges,98% of total billed charges,222.24,48,,177.79,percent of total billed charges,48% of total billed charges,208.35,45,,166.68,percent of total billed charges,45% of total billed charges,177.1,38.25,,141.68,percent of total billed charges,38.25% of total billed charges,208.35,45,,166.68,percent of total billed charges,45% of total billed charges,208.35,45,,166.68,percent of total billed charges,45% of total billed charges,177.1,457.4,
Colonoscopy Screen High risklAnesth,12501105,CDM,750,RC,G0105,HCPCS,OUTPATIENT,,,1106,884.8,,1050.7,95,,840.56,percent of total billed charges,95% of total billed charges,1047.6,94.72,,838.08,percent of total billed charges,94.72% of total billed charges,1092.62,98.79,,874.1,percent of total billed charges,98.79% of total billed charges,1083.88,98,,867.1,percent of total billed charges,98% of total billed charges,1083.88,98,,867.1,percent of total billed charges,98% of total billed charges,530.88,48,,424.7,percent of total billed charges,48% of total billed charges,497.7,45,,398.16,percent of total billed charges,45% of total billed charges,423.05,38.25,,338.44,percent of total billed charges,38.25% of total billed charges,497.7,45,,398.16,percent of total billed charges,45% of total billed charges,497.7,45,,398.16,percent of total billed charges,45% of total billed charges,423.05,1092.62,
ColonoscopyScrn Not High Risk/Anesth,12501121,CDM,750,RC,G0121,HCPCS,OUTPATIENT,,,1481,1184.8,,1406.95,95,,1125.56,percent of total billed charges,95% of total billed charges,1402.8,94.72,,1122.24,percent of total billed charges,94.72% of total billed charges,1463.08,98.79,,1170.46,percent of total billed charges,98.79% of total billed charges,1451.38,98,,1161.1,percent of total billed charges,98% of total billed charges,1451.38,98,,1161.1,percent of total billed charges,98% of total billed charges,710.88,48,,568.7,percent of total billed charges,48% of total billed charges,666.45,45,,533.16,percent of total billed charges,45% of total billed charges,566.48,38.25,,453.18,percent of total billed charges,38.25% of total billed charges,666.45,45,,533.16,percent of total billed charges,45% of total billed charges,666.45,45,,533.16,percent of total billed charges,45% of total billed charges,566.48,1463.08,
EGD/DILATION/W ANESTHESIA,12503249,CDM,750,RC,43249,HCPCS,OUTPATIENT,,,1668,1334.4,,1584.6,95,,1267.68,percent of total billed charges,95% of total billed charges,1579.93,94.72,,1263.94,percent of total billed charges,94.72% of total billed charges,1647.82,98.79,,1318.26,percent of total billed charges,98.79% of total billed charges,1634.64,98,,1307.71,percent of total billed charges,98% of total billed charges,1634.64,98,,1307.71,percent of total billed charges,98% of total billed charges,800.64,48,,640.51,percent of total billed charges,48% of total billed charges,750.6,45,,600.48,percent of total billed charges,45% of total billed charges,638.01,38.25,,510.41,percent of total billed charges,38.25% of total billed charges,750.6,45,,600.48,percent of total billed charges,45% of total billed charges,750.6,45,,600.48,percent of total billed charges,45% of total billed charges,638.01,1647.82,
COLONOSCOPY THRU STOMA;DX/MOD SED,12539000,CDM,750,RC,44388,HCPCS,OUTPATIENT,,,2023,1618.4,,1921.85,95,,1537.48,percent of total billed charges,95% of total billed charges,1916.19,94.72,,1532.95,percent of total billed charges,94.72% of total billed charges,1998.52,98.79,,1598.82,percent of total billed charges,98.79% of total billed charges,1982.54,98,,1586.03,percent of total billed charges,98% of total billed charges,1982.54,98,,1586.03,percent of total billed charges,98% of total billed charges,971.04,48,,776.83,percent of total billed charges,48% of total billed charges,910.35,45,,728.28,percent of total billed charges,45% of total billed charges,773.8,38.25,,619.04,percent of total billed charges,38.25% of total billed charges,910.35,45,,728.28,percent of total billed charges,45% of total billed charges,910.35,45,,728.28,percent of total billed charges,45% of total billed charges,773.8,1998.52,
COLONOSCOPY THRU STOMA W BX/MOD SED,12539001,CDM,750,RC,44389,HCPCS,OUTPATIENT,,,2057,1645.6,,1954.15,95,,1563.32,percent of total billed charges,95% of total billed charges,1948.39,94.72,,1558.71,percent of total billed charges,94.72% of total billed charges,2032.11,98.79,,1625.69,percent of total billed charges,98.79% of total billed charges,2015.86,98,,1612.69,percent of total billed charges,98% of total billed charges,2015.86,98,,1612.69,percent of total billed charges,98% of total billed charges,987.36,48,,789.89,percent of total billed charges,48% of total billed charges,925.65,45,,740.52,percent of total billed charges,45% of total billed charges,786.8,38.25,,629.44,percent of total billed charges,38.25% of total billed charges,925.65,45,,740.52,percent of total billed charges,45% of total billed charges,925.65,45,,740.52,percent of total billed charges,45% of total billed charges,786.8,2032.11,
COLONOSCOP STOMA W REM BY HBF/BPC/MOD SE,12539004,CDM,750,RC,44392,HCPCS,OUTPATIENT,,,2226,1780.8,,2114.7,95,,1691.76,percent of total billed charges,95% of total billed charges,2108.47,94.72,,1686.78,percent of total billed charges,94.72% of total billed charges,2199.07,98.79,,1759.26,percent of total billed charges,98.79% of total billed charges,2181.48,98,,1745.18,percent of total billed charges,98% of total billed charges,2181.48,98,,1745.18,percent of total billed charges,98% of total billed charges,1068.48,48,,854.78,percent of total billed charges,48% of total billed charges,1001.7,45,,801.36,percent of total billed charges,45% of total billed charges,851.45,38.25,,681.16,percent of total billed charges,38.25% of total billed charges,1001.7,45,,801.36,percent of total billed charges,45% of total billed charges,1001.7,45,,801.36,percent of total billed charges,45% of total billed charges,851.45,2199.07,
Colonoscope/Anesth,12540000,CDM,750,RC,45378,HCPCS,OUTPATIENT,,,1902,1521.6,,1806.9,95,,1445.52,percent of total billed charges,95% of total billed charges,1801.57,94.72,,1441.26,percent of total billed charges,94.72% of total billed charges,1878.99,98.79,,1503.19,percent of total billed charges,98.79% of total billed charges,1863.96,98,,1491.17,percent of total billed charges,98% of total billed charges,1863.96,98,,1491.17,percent of total billed charges,98% of total billed charges,912.96,48,,730.37,percent of total billed charges,48% of total billed charges,855.9,45,,684.72,percent of total billed charges,45% of total billed charges,727.52,38.25,,582.02,percent of total billed charges,38.25% of total billed charges,855.9,45,,684.72,percent of total billed charges,45% of total billed charges,855.9,45,,684.72,percent of total billed charges,45% of total billed charges,727.52,1878.99,
Colon w stent placementlAnesth,12540005,CDM,750,RC,45389,HCPCS,OUTPATIENT,,,2101,1680.8,,1995.95,95,,1596.76,percent of total billed charges,95% of total billed charges,1990.07,94.72,,1592.06,percent of total billed charges,94.72% of total billed charges,2075.58,98.79,,1660.46,percent of total billed charges,98.79% of total billed charges,2058.98,98,,1647.18,percent of total billed charges,98% of total billed charges,2058.98,98,,1647.18,percent of total billed charges,98% of total billed charges,1008.48,48,,806.78,percent of total billed charges,48% of total billed charges,945.45,45,,756.36,percent of total billed charges,45% of total billed charges,803.63,38.25,,642.9,percent of total billed charges,38.25% of total billed charges,945.45,45,,756.36,percent of total billed charges,45% of total billed charges,945.45,45,,756.36,percent of total billed charges,45% of total billed charges,803.63,2075.58,
Colonoscope w/biopsy/Anesth.,12540010,CDM,750,RC,45380,HCPCS,OUTPATIENT,,,2130,1704,,2023.5,95,,1618.8,percent of total billed charges,95% of total billed charges,2017.54,94.72,,1614.03,percent of total billed charges,94.72% of total billed charges,2104.23,98.79,,1683.38,percent of total billed charges,98.79% of total billed charges,2087.4,98,,1669.92,percent of total billed charges,98% of total billed charges,2087.4,98,,1669.92,percent of total billed charges,98% of total billed charges,1022.4,48,,817.92,percent of total billed charges,48% of total billed charges,958.5,45,,766.8,percent of total billed charges,45% of total billed charges,814.73,38.25,,651.78,percent of total billed charges,38.25% of total billed charges,958.5,45,,766.8,percent of total billed charges,45% of total billed charges,958.5,45,,766.8,percent of total billed charges,45% of total billed charges,814.73,2104.23,
Flexible Sigmoidoscope w/snare/Anesth,12540017,CDM,750,RC,45338,HCPCS,OUTPATIENT,,,897,717.6,,852.15,95,,681.72,percent of total billed charges,95% of total billed charges,849.64,94.72,,679.71,percent of total billed charges,94.72% of total billed charges,886.15,98.79,,708.92,percent of total billed charges,98.79% of total billed charges,879.06,98,,703.25,percent of total billed charges,98% of total billed charges,879.06,98,,703.25,percent of total billed charges,98% of total billed charges,430.56,48,,344.45,percent of total billed charges,48% of total billed charges,403.65,45,,322.92,percent of total billed charges,45% of total billed charges,343.1,38.25,,274.48,percent of total billed charges,38.25% of total billed charges,403.65,45,,322.92,percent of total billed charges,45% of total billed charges,403.65,45,,322.92,percent of total billed charges,45% of total billed charges,343.1,886.15,
Colon p/I rmvl w ablation/Anesth,12540020,CDM,750,RC,45388,HCPCS,OUTPATIENT,,,2541,2032.8,,2413.95,95,,1931.16,percent of total billed charges,95% of total billed charges,2406.84,94.72,,1925.47,percent of total billed charges,94.72% of total billed charges,2510.25,98.79,,2008.2,percent of total billed charges,98.79% of total billed charges,2490.18,98,,1992.14,percent of total billed charges,98% of total billed charges,2490.18,98,,1992.14,percent of total billed charges,98% of total billed charges,1219.68,48,,975.74,percent of total billed charges,48% of total billed charges,1143.45,45,,914.76,percent of total billed charges,45% of total billed charges,971.93,38.25,,777.54,percent of total billed charges,38.25% of total billed charges,1143.45,45,,914.76,percent of total billed charges,45% of total billed charges,1143.45,45,,914.76,percent of total billed charges,45% of total billed charges,971.93,2510.25,
Colon w rmvl hot bx/bipo caut/Anesth,12540022,CDM,750,RC,45384,HCPCS,OUTPATIENT,,,1434,1147.2,,1362.3,95,,1089.84,percent of total billed charges,95% of total billed charges,1358.28,94.72,,1086.62,percent of total billed charges,94.72% of total billed charges,1416.65,98.79,,1133.32,percent of total billed charges,98.79% of total billed charges,1405.32,98,,1124.26,percent of total billed charges,98% of total billed charges,1405.32,98,,1124.26,percent of total billed charges,98% of total billed charges,688.32,48,,550.66,percent of total billed charges,48% of total billed charges,645.3,45,,516.24,percent of total billed charges,45% of total billed charges,548.51,38.25,,438.81,percent of total billed charges,38.25% of total billed charges,645.3,45,,516.24,percent of total billed charges,45% of total billed charges,645.3,45,,516.24,percent of total billed charges,45% of total billed charges,548.51,1416.65,
Colon w rmvl by snare/Anesth,12540033,CDM,750,RC,45385,HCPCS,OUTPATIENT,,,1473,1178.4,,1399.35,95,,1119.48,percent of total billed charges,95% of total billed charges,1395.23,94.72,,1116.18,percent of total billed charges,94.72% of total billed charges,1455.18,98.79,,1164.14,percent of total billed charges,98.79% of total billed charges,1443.54,98,,1154.83,percent of total billed charges,98% of total billed charges,1443.54,98,,1154.83,percent of total billed charges,98% of total billed charges,707.04,48,,565.63,percent of total billed charges,48% of total billed charges,662.85,45,,530.28,percent of total billed charges,45% of total billed charges,563.42,38.25,,450.74,percent of total billed charges,38.25% of total billed charges,662.85,45,,530.28,percent of total billed charges,45% of total billed charges,662.85,45,,530.28,percent of total billed charges,45% of total billed charges,563.42,1455.18,
Colon w hemostasis/Anesth,12540055,CDM,750,RC,45382,HCPCS,OUTPATIENT,,,2342,1873.6,,2224.9,95,,1779.92,percent of total billed charges,95% of total billed charges,2218.34,94.72,,1774.67,percent of total billed charges,94.72% of total billed charges,2313.66,98.79,,1850.93,percent of total billed charges,98.79% of total billed charges,2295.16,98,,1836.13,percent of total billed charges,98% of total billed charges,2295.16,98,,1836.13,percent of total billed charges,98% of total billed charges,1124.16,48,,899.33,percent of total billed charges,48% of total billed charges,1053.9,45,,843.12,percent of total billed charges,45% of total billed charges,895.82,38.25,,716.66,percent of total billed charges,38.25% of total billed charges,1053.9,45,,843.12,percent of total billed charges,45% of total billed charges,1053.9,45,,843.12,percent of total billed charges,45% of total billed charges,895.82,2313.66,
Flexible Sigmoid w/biopsy/Anesth,12540066,CDM,750,RC,45331,HCPCS,OUTPATIENT,,,620,496,,589,95,,471.2,percent of total billed charges,95% of total billed charges,587.26,94.72,,469.81,percent of total billed charges,94.72% of total billed charges,612.5,98.79,,490,percent of total billed charges,98.79% of total billed charges,607.6,98,,486.08,percent of total billed charges,98% of total billed charges,607.6,98,,486.08,percent of total billed charges,98% of total billed charges,297.6,48,,238.08,percent of total billed charges,48% of total billed charges,279,45,,223.2,percent of total billed charges,45% of total billed charges,237.15,38.25,,189.72,percent of total billed charges,38.25% of total billed charges,279,45,,223.2,percent of total billed charges,45% of total billed charges,279,45,,223.2,percent of total billed charges,45% of total billed charges,237.15,612.5,
Gastroscope/washing/brushing/Anesth,12541000,CDM,750,RC,43235,HCPCS,OUTPATIENT,,,1326,1060.8,,1259.7,95,,1007.76,percent of total billed charges,95% of total billed charges,1255.99,94.72,,1004.79,percent of total billed charges,94.72% of total billed charges,1309.96,98.79,,1047.97,percent of total billed charges,98.79% of total billed charges,1299.48,98,,1039.58,percent of total billed charges,98% of total billed charges,1299.48,98,,1039.58,percent of total billed charges,98% of total billed charges,636.48,48,,509.18,percent of total billed charges,48% of total billed charges,596.7,45,,477.36,percent of total billed charges,45% of total billed charges,507.2,38.25,,405.76,percent of total billed charges,38.25% of total billed charges,596.7,45,,477.36,percent of total billed charges,45% of total billed charges,596.7,45,,477.36,percent of total billed charges,45% of total billed charges,507.2,1309.96,
Gastroscope w/biopsy/Anesth.,12541010,CDM,750,RC,43239,HCPCS,OUTPATIENT,,,1481,1184.8,,1406.95,95,,1125.56,percent of total billed charges,95% of total billed charges,1402.8,94.72,,1122.24,percent of total billed charges,94.72% of total billed charges,1463.08,98.79,,1170.46,percent of total billed charges,98.79% of total billed charges,1451.38,98,,1161.1,percent of total billed charges,98% of total billed charges,1451.38,98,,1161.1,percent of total billed charges,98% of total billed charges,710.88,48,,568.7,percent of total billed charges,48% of total billed charges,666.45,45,,533.16,percent of total billed charges,45% of total billed charges,566.48,38.25,,453.18,percent of total billed charges,38.25% of total billed charges,666.45,45,,533.16,percent of total billed charges,45% of total billed charges,666.45,45,,533.16,percent of total billed charges,45% of total billed charges,566.48,1463.08,
43258 Deactivated 2017,12541021,CDM,750,RC,43270,HCPCS,OUTPATIENT,,,1813,1450.4,,1722.35,95,,1377.88,percent of total billed charges,95% of total billed charges,1717.27,94.72,,1373.82,percent of total billed charges,94.72% of total billed charges,1791.06,98.79,,1432.85,percent of total billed charges,98.79% of total billed charges,1776.74,98,,1421.39,percent of total billed charges,98% of total billed charges,1776.74,98,,1421.39,percent of total billed charges,98% of total billed charges,870.24,48,,696.19,percent of total billed charges,48% of total billed charges,815.85,45,,652.68,percent of total billed charges,45% of total billed charges,693.47,38.25,,554.78,percent of total billed charges,38.25% of total billed charges,815.85,45,,652.68,percent of total billed charges,45% of total billed charges,815.85,45,,652.68,percent of total billed charges,45% of total billed charges,693.47,1791.06,
Gastroscope w/hemostasis/Anesth,12541024,CDM,750,RC,43255,HCPCS,OUTPATIENT,,,1889,1511.2,,1794.55,95,,1435.64,percent of total billed charges,95% of total billed charges,1789.26,94.72,,1431.41,percent of total billed charges,94.72% of total billed charges,1866.14,98.79,,1492.91,percent of total billed charges,98.79% of total billed charges,1851.22,98,,1480.98,percent of total billed charges,98% of total billed charges,1851.22,98,,1480.98,percent of total billed charges,98% of total billed charges,906.72,48,,725.38,percent of total billed charges,48% of total billed charges,850.05,45,,680.04,percent of total billed charges,45% of total billed charges,722.54,38.25,,578.03,percent of total billed charges,38.25% of total billed charges,850.05,45,,680.04,percent of total billed charges,45% of total billed charges,850.05,45,,680.04,percent of total billed charges,45% of total billed charges,722.54,1866.14,
Gastroscope w/hemostasis/ModSed,12541025,CDM,750,RC,43255,HCPCS,OUTPATIENT,,,2072,1657.6,,1968.4,95,,1574.72,percent of total billed charges,95% of total billed charges,1962.6,94.72,,1570.08,percent of total billed charges,94.72% of total billed charges,2046.93,98.79,,1637.54,percent of total billed charges,98.79% of total billed charges,2030.56,98,,1624.45,percent of total billed charges,98% of total billed charges,2030.56,98,,1624.45,percent of total billed charges,98% of total billed charges,994.56,48,,795.65,percent of total billed charges,48% of total billed charges,932.4,45,,745.92,percent of total billed charges,45% of total billed charges,792.54,38.25,,634.03,percent of total billed charges,38.25% of total billed charges,932.4,45,,745.92,percent of total billed charges,45% of total billed charges,932.4,45,,745.92,percent of total billed charges,45% of total billed charges,792.54,2046.93,
Castro wftmvi foreign body/Anesth,12541029,CDM,750,RC,43247,HCPCS,OUTPATIENT,,,1904,1523.2,,1808.8,95,,1447.04,percent of total billed charges,95% of total billed charges,1803.47,94.72,,1442.78,percent of total billed charges,94.72% of total billed charges,1880.96,98.79,,1504.77,percent of total billed charges,98.79% of total billed charges,1865.92,98,,1492.74,percent of total billed charges,98% of total billed charges,1865.92,98,,1492.74,percent of total billed charges,98% of total billed charges,913.92,48,,731.14,percent of total billed charges,48% of total billed charges,856.8,45,,685.44,percent of total billed charges,45% of total billed charges,728.28,38.25,,582.62,percent of total billed charges,38.25% of total billed charges,856.8,45,,685.44,percent of total billed charges,45% of total billed charges,856.8,45,,685.44,percent of total billed charges,45% of total billed charges,728.28,1880.96,
Gastroscope w hot biopsy/Anesth,12541033,CDM,750,RC,43250,HCPCS,OUTPATIENT,,,1904,1523.2,,1808.8,95,,1447.04,percent of total billed charges,95% of total billed charges,1803.47,94.72,,1442.78,percent of total billed charges,94.72% of total billed charges,1880.96,98.79,,1504.77,percent of total billed charges,98.79% of total billed charges,1865.92,98,,1492.74,percent of total billed charges,98% of total billed charges,1865.92,98,,1492.74,percent of total billed charges,98% of total billed charges,913.92,48,,731.14,percent of total billed charges,48% of total billed charges,856.8,45,,685.44,percent of total billed charges,45% of total billed charges,728.28,38.25,,582.62,percent of total billed charges,38.25% of total billed charges,856.8,45,,685.44,percent of total billed charges,45% of total billed charges,856.8,45,,685.44,percent of total billed charges,45% of total billed charges,728.28,1880.96,
Gastroscope plyp/rmvl w snare/Anesth,12541044,CDM,750,RC,43251,HCPCS,OUTPATIENT,,,1904,1523.2,,1808.8,95,,1447.04,percent of total billed charges,95% of total billed charges,1803.47,94.72,,1442.78,percent of total billed charges,94.72% of total billed charges,1880.96,98.79,,1504.77,percent of total billed charges,98.79% of total billed charges,1865.92,98,,1492.74,percent of total billed charges,98% of total billed charges,1865.92,98,,1492.74,percent of total billed charges,98% of total billed charges,913.92,48,,731.14,percent of total billed charges,48% of total billed charges,856.8,45,,685.44,percent of total billed charges,45% of total billed charges,728.28,38.25,,582.62,percent of total billed charges,38.25% of total billed charges,856.8,45,,685.44,percent of total billed charges,45% of total billed charges,856.8,45,,685.44,percent of total billed charges,45% of total billed charges,728.28,1880.96,
45330 FLEXIBLE SIGMOIDOSCOPY Charges,12542001,CDM,750,RC,45330,HCPCS,OUTPATIENT,,,743,594.4,,705.85,95,,564.68,percent of total billed charges,95% of total billed charges,703.77,94.72,,563.02,percent of total billed charges,94.72% of total billed charges,734.01,98.79,,587.21,percent of total billed charges,98.79% of total billed charges,728.14,98,,582.51,percent of total billed charges,98% of total billed charges,728.14,98,,582.51,percent of total billed charges,98% of total billed charges,356.64,48,,285.31,percent of total billed charges,48% of total billed charges,334.35,45,,267.48,percent of total billed charges,45% of total billed charges,284.2,38.25,,227.36,percent of total billed charges,38.25% of total billed charges,334.35,45,,267.48,percent of total billed charges,45% of total billed charges,334.35,45,,267.48,percent of total billed charges,45% of total billed charges,284.2,734.01,
EGD W INJ ANY SUBSTANCES/ANESTHESIA,12543236,CDM,750,RC,43236,HCPCS,OUTPATIENT,,,910,728,,864.5,95,,691.6,percent of total billed charges,95% of total billed charges,861.95,94.72,,689.56,percent of total billed charges,94.72% of total billed charges,898.99,98.79,,719.19,percent of total billed charges,98.79% of total billed charges,891.8,98,,713.44,percent of total billed charges,98% of total billed charges,891.8,98,,713.44,percent of total billed charges,98% of total billed charges,436.8,48,,349.44,percent of total billed charges,48% of total billed charges,409.5,45,,327.6,percent of total billed charges,45% of total billed charges,348.08,38.25,,278.46,percent of total billed charges,38.25% of total billed charges,409.5,45,,327.6,percent of total billed charges,45% of total billed charges,409.5,45,,327.6,percent of total billed charges,45% of total billed charges,348.08,898.99,
ESOPH ENDOSCOPY DILATION/MOD SED,12543249,CDM,750,RC,43249,HCPCS,OUTPATIENT,,,1734,1387.2,,1647.3,95,,1317.84,percent of total billed charges,95% of total billed charges,1642.44,94.72,,1313.95,percent of total billed charges,94.72% of total billed charges,1713.02,98.79,,1370.42,percent of total billed charges,98.79% of total billed charges,1699.32,98,,1359.46,percent of total billed charges,98% of total billed charges,1699.32,98,,1359.46,percent of total billed charges,98% of total billed charges,832.32,48,,665.86,percent of total billed charges,48% of total billed charges,780.3,45,,624.24,percent of total billed charges,45% of total billed charges,663.26,38.25,,530.61,percent of total billed charges,38.25% of total billed charges,780.3,45,,624.24,percent of total billed charges,45% of total billed charges,780.3,45,,624.24,percent of total billed charges,45% of total billed charges,663.26,1713.02,
COLONOSCOPY W/DIRECTED SUBMUCOSAL INJ,12545381,CDM,750,RC,45381,HCPCS,OUTPATIENT,,,1428,1142.4,,1356.6,95,,1085.28,percent of total billed charges,95% of total billed charges,1352.6,94.72,,1082.08,percent of total billed charges,94.72% of total billed charges,1410.72,98.79,,1128.58,percent of total billed charges,98.79% of total billed charges,1399.44,98,,1119.55,percent of total billed charges,98% of total billed charges,1399.44,98,,1119.55,percent of total billed charges,98% of total billed charges,685.44,48,,548.35,percent of total billed charges,48% of total billed charges,642.6,45,,514.08,percent of total billed charges,45% of total billed charges,546.21,38.25,,436.97,percent of total billed charges,38.25% of total billed charges,642.6,45,,514.08,percent of total billed charges,45% of total billed charges,642.6,45,,514.08,percent of total billed charges,45% of total billed charges,546.21,1410.72,
46600 DIAGNOSTIC ANOSCOPY SPX,12546600,CDM,750,RC,46600,HCPCS,OUTPATIENT,,,311,248.8,,295.45,95,,236.36,percent of total billed charges,95% of total billed charges,294.58,94.72,,235.66,percent of total billed charges,94.72% of total billed charges,307.24,98.79,,245.79,percent of total billed charges,98.79% of total billed charges,304.78,98,,243.82,percent of total billed charges,98% of total billed charges,304.78,98,,243.82,percent of total billed charges,98% of total billed charges,149.28,48,,119.42,percent of total billed charges,48% of total billed charges,139.95,45,,111.96,percent of total billed charges,45% of total billed charges,118.96,38.25,,95.17,percent of total billed charges,38.25% of total billed charges,139.95,45,,111.96,percent of total billed charges,45% of total billed charges,139.95,45,,111.96,percent of total billed charges,45% of total billed charges,118.96,307.24,
MINOR PROCEDURE ROOM(PAIN MGMT CLI),40360030,CDM,760,RC,,,OUTPATIENT,,,96,76.8,,91.2,95,,72.96,percent of total billed charges,95% of total billed charges,90.93,94.72,,72.74,percent of total billed charges,94.72% of total billed charges,94.84,98.79,,75.87,percent of total billed charges,98.79% of total billed charges,94.08,98,,75.26,percent of total billed charges,98% of total billed charges,94.08,98,,75.26,percent of total billed charges,98% of total billed charges,46.08,48,,36.86,percent of total billed charges,48% of total billed charges,43.2,45,,34.56,percent of total billed charges,45% of total billed charges,36.72,38.25,,29.38,percent of total billed charges,38.25% of total billed charges,43.2,45,,34.56,percent of total billed charges,45% of total billed charges,43.2,45,,34.56,percent of total billed charges,45% of total billed charges,36.72,94.84,
28234 Tenotomy| open| extensor| foot or toe| each tendon,28234,CDM,761,RC,28234,HCPCS,OUTPATIENT,,,1316,1052.8,,1250.2,95,,1000.16,percent of total billed charges,95% of total billed charges,1246.52,94.72,,997.22,percent of total billed charges,94.72% of total billed charges,1300.08,98.79,,1040.06,percent of total billed charges,98.79% of total billed charges,1289.68,98,,1031.74,percent of total billed charges,98% of total billed charges,1289.68,98,,1031.74,percent of total billed charges,98% of total billed charges,631.68,48,,505.34,percent of total billed charges,48% of total billed charges,592.2,45,,473.76,percent of total billed charges,45% of total billed charges,503.37,38.25,,402.7,percent of total billed charges,38.25% of total billed charges,592.2,45,,473.76,percent of total billed charges,45% of total billed charges,592.2,45,,473.76,percent of total billed charges,45% of total billed charges,503.37,1300.08,
Intraoral incision and drainage of abscess| cyst| or hematom,41008,CDM,761,RC,41008,HCPCS,OUTPATIENT,,,1537,1229.6,,1460.15,95,,1168.12,percent of total billed charges,95% of total billed charges,1455.85,94.72,,1164.68,percent of total billed charges,94.72% of total billed charges,1518.4,98.79,,1214.72,percent of total billed charges,98.79% of total billed charges,1506.26,98,,1205.01,percent of total billed charges,98% of total billed charges,1506.26,98,,1205.01,percent of total billed charges,98% of total billed charges,737.76,48,,590.21,percent of total billed charges,48% of total billed charges,691.65,45,,553.32,percent of total billed charges,45% of total billed charges,587.9,38.25,,470.32,percent of total billed charges,38.25% of total billed charges,691.65,45,,553.32,percent of total billed charges,45% of total billed charges,691.65,45,,553.32,percent of total billed charges,45% of total billed charges,587.9,1518.4,
EXC TMR SOFT TSU LEG/ANKL SUBFASC 5CM/>,1027634,CDM,761,RC,27634,HCPCS,OUTPATIENT,,,3564,2851.2,,3385.8,95,,2708.64,percent of total billed charges,95% of total billed charges,3375.82,94.72,,2700.66,percent of total billed charges,94.72% of total billed charges,3520.88,98.79,,2816.7,percent of total billed charges,98.79% of total billed charges,3492.72,98,,2794.18,percent of total billed charges,98% of total billed charges,3492.72,98,,2794.18,percent of total billed charges,98% of total billed charges,1710.72,48,,1368.58,percent of total billed charges,48% of total billed charges,1603.8,45,,1283.04,percent of total billed charges,45% of total billed charges,1363.23,38.25,,1090.58,percent of total billed charges,38.25% of total billed charges,1603.8,45,,1283.04,percent of total billed charges,45% of total billed charges,1603.8,45,,1283.04,percent of total billed charges,45% of total billed charges,1363.23,3520.88,
ID CPLX POSTOP WND INF,2110180,CDM,761,RC,10180,HCPCS,OUTPATIENT,,,705,564,,669.75,95,,535.8,percent of total billed charges,95% of total billed charges,667.78,94.72,,534.22,percent of total billed charges,94.72% of total billed charges,696.47,98.79,,557.18,percent of total billed charges,98.79% of total billed charges,690.9,98,,552.72,percent of total billed charges,98% of total billed charges,690.9,98,,552.72,percent of total billed charges,98% of total billed charges,338.4,48,,270.72,percent of total billed charges,48% of total billed charges,317.25,45,,253.8,percent of total billed charges,45% of total billed charges,269.66,38.25,,215.73,percent of total billed charges,38.25% of total billed charges,317.25,45,,253.8,percent of total billed charges,45% of total billed charges,317.25,45,,253.8,percent of total billed charges,45% of total billed charges,269.66,696.47,
ARTHROCENTISIS ASP/INJ INTERMED W ULTRA,2220606,CDM,761,RC,20606,HCPCS,OUTPATIENT,,,165,132,,156.75,95,,125.4,percent of total billed charges,95% of total billed charges,156.29,94.72,,125.03,percent of total billed charges,94.72% of total billed charges,163,98.79,,130.4,percent of total billed charges,98.79% of total billed charges,161.7,98,,129.36,percent of total billed charges,98% of total billed charges,161.7,98,,129.36,percent of total billed charges,98% of total billed charges,79.2,48,,63.36,percent of total billed charges,48% of total billed charges,74.25,45,,59.4,percent of total billed charges,45% of total billed charges,63.11,38.25,,50.49,percent of total billed charges,38.25% of total billed charges,74.25,45,,59.4,percent of total billed charges,45% of total billed charges,74.25,45,,59.4,percent of total billed charges,45% of total billed charges,63.11,163,
ARTHROCENTISIS ASP/INJ MAJOR W ULTRA SOU,2220611,CDM,761,RC,20611,HCPCS,OUTPATIENT,,,431,344.8,,409.45,95,,327.56,percent of total billed charges,95% of total billed charges,408.24,94.72,,326.59,percent of total billed charges,94.72% of total billed charges,425.78,98.79,,340.62,percent of total billed charges,98.79% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,422.38,98,,337.9,percent of total billed charges,98% of total billed charges,206.88,48,,165.5,percent of total billed charges,48% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,38.25,,131.89,percent of total billed charges,38.25% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,193.95,45,,155.16,percent of total billed charges,45% of total billed charges,164.86,425.78,
INJ SACROILIAC JOINT,2227096,CDM,761,RC,27096,HCPCS,OUTPATIENT,,,1026,820.8,,974.7,95,,779.76,percent of total billed charges,95% of total billed charges,971.83,94.72,,777.46,percent of total billed charges,94.72% of total billed charges,1013.59,98.79,,810.87,percent of total billed charges,98.79% of total billed charges,1005.48,98,,804.38,percent of total billed charges,98% of total billed charges,1005.48,98,,804.38,percent of total billed charges,98% of total billed charges,492.48,48,,393.98,percent of total billed charges,48% of total billed charges,461.7,45,,369.36,percent of total billed charges,45% of total billed charges,392.45,38.25,,313.96,percent of total billed charges,38.25% of total billed charges,461.7,45,,369.36,percent of total billed charges,45% of total billed charges,461.7,45,,369.36,percent of total billed charges,45% of total billed charges,392.45,1013.59,
INJ W/FLUOR EVAL CV DEVICE,2236598,CDM,761,RC,36598,HCPCS,OUTPATIENT,,,413,330.4,,392.35,95,,313.88,percent of total billed charges,95% of total billed charges,391.19,94.72,,312.95,percent of total billed charges,94.72% of total billed charges,408,98.79,,326.4,percent of total billed charges,98.79% of total billed charges,404.74,98,,323.79,percent of total billed charges,98% of total billed charges,404.74,98,,323.79,percent of total billed charges,98% of total billed charges,198.24,48,,158.59,percent of total billed charges,48% of total billed charges,185.85,45,,148.68,percent of total billed charges,45% of total billed charges,157.97,38.25,,126.38,percent of total billed charges,38.25% of total billed charges,185.85,45,,148.68,percent of total billed charges,45% of total billed charges,185.85,45,,148.68,percent of total billed charges,45% of total billed charges,157.97,408,
INJ TRIGEMINAL NERVE,2264400,CDM,761,RC,64400,HCPCS,OUTPATIENT,,,751,600.8,,713.45,95,,570.76,percent of total billed charges,95% of total billed charges,711.35,94.72,,569.08,percent of total billed charges,94.72% of total billed charges,741.91,98.79,,593.53,percent of total billed charges,98.79% of total billed charges,735.98,98,,588.78,percent of total billed charges,98% of total billed charges,735.98,98,,588.78,percent of total billed charges,98% of total billed charges,360.48,48,,288.38,percent of total billed charges,48% of total billed charges,337.95,45,,270.36,percent of total billed charges,45% of total billed charges,287.26,38.25,,229.81,percent of total billed charges,38.25% of total billed charges,337.95,45,,270.36,percent of total billed charges,45% of total billed charges,337.95,45,,270.36,percent of total billed charges,45% of total billed charges,287.26,741.91,
INJ DX THERAPEUTIC AGENT W IMAGE GUIDANC,2264490,CDM,761,RC,64490,HCPCS,OUTPATIENT,,,956,764.8,,908.2,95,,726.56,percent of total billed charges,95% of total billed charges,905.52,94.72,,724.42,percent of total billed charges,94.72% of total billed charges,944.43,98.79,,755.54,percent of total billed charges,98.79% of total billed charges,936.88,98,,749.5,percent of total billed charges,98% of total billed charges,936.88,98,,749.5,percent of total billed charges,98% of total billed charges,458.88,48,,367.1,percent of total billed charges,48% of total billed charges,430.2,45,,344.16,percent of total billed charges,45% of total billed charges,365.67,38.25,,292.54,percent of total billed charges,38.25% of total billed charges,430.2,45,,344.16,percent of total billed charges,45% of total billed charges,430.2,45,,344.16,percent of total billed charges,45% of total billed charges,365.67,944.43,
INJ SPHENOPALATINE GANGLION,2264505,CDM,761,RC,64505,HCPCS,OUTPATIENT,,,926,740.8,,879.7,95,,703.76,percent of total billed charges,95% of total billed charges,877.11,94.72,,701.69,percent of total billed charges,94.72% of total billed charges,914.8,98.79,,731.84,percent of total billed charges,98.79% of total billed charges,907.48,98,,725.98,percent of total billed charges,98% of total billed charges,907.48,98,,725.98,percent of total billed charges,98% of total billed charges,444.48,48,,355.58,percent of total billed charges,48% of total billed charges,416.7,45,,333.36,percent of total billed charges,45% of total billed charges,354.2,38.25,,283.36,percent of total billed charges,38.25% of total billed charges,416.7,45,,333.36,percent of total billed charges,45% of total billed charges,416.7,45,,333.36,percent of total billed charges,45% of total billed charges,354.2,914.8,
ABG DRAW,5061305,CDM,761,RC,36600,HCPCS,OUTPATIENT,,,245,196,,232.75,95,,186.2,percent of total billed charges,95% of total billed charges,232.06,94.72,,185.65,percent of total billed charges,94.72% of total billed charges,242.04,98.79,,193.63,percent of total billed charges,98.79% of total billed charges,240.1,98,,192.08,percent of total billed charges,98% of total billed charges,240.1,98,,192.08,percent of total billed charges,98% of total billed charges,117.6,48,,94.08,percent of total billed charges,48% of total billed charges,110.25,45,,88.2,percent of total billed charges,45% of total billed charges,93.71,38.25,,74.97,percent of total billed charges,38.25% of total billed charges,110.25,45,,88.2,percent of total billed charges,45% of total billed charges,110.25,45,,88.2,percent of total billed charges,45% of total billed charges,93.71,242.04,
TREATMENT ROOM - Radiology Room Charge,10010000,CDM,761,RC,,,OUTPATIENT,,,152,121.6,,144.4,95,,115.52,percent of total billed charges,95% of total billed charges,143.97,94.72,,115.18,percent of total billed charges,94.72% of total billed charges,150.16,98.79,,120.13,percent of total billed charges,98.79% of total billed charges,148.96,98,,119.17,percent of total billed charges,98% of total billed charges,148.96,98,,119.17,percent of total billed charges,98% of total billed charges,72.96,48,,58.37,percent of total billed charges,48% of total billed charges,68.4,45,,54.72,percent of total billed charges,45% of total billed charges,58.14,38.25,,46.51,percent of total billed charges,38.25% of total billed charges,68.4,45,,54.72,percent of total billed charges,45% of total billed charges,68.4,45,,54.72,percent of total billed charges,45% of total billed charges,58.14,150.16,
FINE NDL ASPIRATN BX W/O IMG GDN EA ADDL,10010004,CDM,761,RC,10004,HCPCS,OUTPATIENT,,,372,297.6,,353.4,95,,282.72,percent of total billed charges,95% of total billed charges,352.36,94.72,,281.89,percent of total billed charges,94.72% of total billed charges,367.5,98.79,,294,percent of total billed charges,98.79% of total billed charges,364.56,98,,291.65,percent of total billed charges,98% of total billed charges,364.56,98,,291.65,percent of total billed charges,98% of total billed charges,178.56,48,,142.85,percent of total billed charges,48% of total billed charges,167.4,45,,133.92,percent of total billed charges,45% of total billed charges,142.29,38.25,,113.83,percent of total billed charges,38.25% of total billed charges,167.4,45,,133.92,percent of total billed charges,45% of total billed charges,167.4,45,,133.92,percent of total billed charges,45% of total billed charges,142.29,367.5,
FINE NDL ASPIRATION BX W/US GDN 1ST LSN,10010005,CDM,761,RC,10005,HCPCS,OUTPATIENT,,,867,693.6,,823.65,95,,658.92,percent of total billed charges,95% of total billed charges,821.22,94.72,,656.98,percent of total billed charges,94.72% of total billed charges,856.51,98.79,,685.21,percent of total billed charges,98.79% of total billed charges,849.66,98,,679.73,percent of total billed charges,98% of total billed charges,849.66,98,,679.73,percent of total billed charges,98% of total billed charges,416.16,48,,332.93,percent of total billed charges,48% of total billed charges,390.15,45,,312.12,percent of total billed charges,45% of total billed charges,331.63,38.25,,265.3,percent of total billed charges,38.25% of total billed charges,390.15,45,,312.12,percent of total billed charges,45% of total billed charges,390.15,45,,312.12,percent of total billed charges,45% of total billed charges,331.63,856.51,
FINE NDL ASPIRATION BX W/US GDN EA ADDL,10010006,CDM,761,RC,10006,HCPCS,OUTPATIENT,,,435,348,,413.25,95,,330.6,percent of total billed charges,95% of total billed charges,412.03,94.72,,329.62,percent of total billed charges,94.72% of total billed charges,429.74,98.79,,343.79,percent of total billed charges,98.79% of total billed charges,426.3,98,,341.04,percent of total billed charges,98% of total billed charges,426.3,98,,341.04,percent of total billed charges,98% of total billed charges,208.8,48,,167.04,percent of total billed charges,48% of total billed charges,195.75,45,,156.6,percent of total billed charges,45% of total billed charges,166.39,38.25,,133.11,percent of total billed charges,38.25% of total billed charges,195.75,45,,156.6,percent of total billed charges,45% of total billed charges,195.75,45,,156.6,percent of total billed charges,45% of total billed charges,166.39,429.74,
FINE NDL ASPIRATION BX W/FLUOR GDN 1ST L,10010007,CDM,761,RC,10007,HCPCS,OUTPATIENT,,,1922,1537.6,,1825.9,95,,1460.72,percent of total billed charges,95% of total billed charges,1820.52,94.72,,1456.42,percent of total billed charges,94.72% of total billed charges,1898.74,98.79,,1518.99,percent of total billed charges,98.79% of total billed charges,1883.56,98,,1506.85,percent of total billed charges,98% of total billed charges,1883.56,98,,1506.85,percent of total billed charges,98% of total billed charges,922.56,48,,738.05,percent of total billed charges,48% of total billed charges,864.9,45,,691.92,percent of total billed charges,45% of total billed charges,735.17,38.25,,588.14,percent of total billed charges,38.25% of total billed charges,864.9,45,,691.92,percent of total billed charges,45% of total billed charges,864.9,45,,691.92,percent of total billed charges,45% of total billed charges,735.17,1898.74,
FINE NDL ASPIRATION BX W/FLUOR GDN EA AD,10010008,CDM,761,RC,10008,HCPCS,OUTPATIENT,,,1116,892.8,,1060.2,95,,848.16,percent of total billed charges,95% of total billed charges,1057.08,94.72,,845.66,percent of total billed charges,94.72% of total billed charges,1102.5,98.79,,882,percent of total billed charges,98.79% of total billed charges,1093.68,98,,874.94,percent of total billed charges,98% of total billed charges,1093.68,98,,874.94,percent of total billed charges,98% of total billed charges,535.68,48,,428.54,percent of total billed charges,48% of total billed charges,502.2,45,,401.76,percent of total billed charges,45% of total billed charges,426.87,38.25,,341.5,percent of total billed charges,38.25% of total billed charges,502.2,45,,401.76,percent of total billed charges,45% of total billed charges,502.2,45,,401.76,percent of total billed charges,45% of total billed charges,426.87,1102.5,
FINE NDL ASPIRATION BX W/MR GDN 1ST LSN,10010010,CDM,761,RC,10011,HCPCS,OUTPATIENT,,,3099,2479.2,,2944.05,95,,2355.24,percent of total billed charges,95% of total billed charges,2935.37,94.72,,2348.3,percent of total billed charges,94.72% of total billed charges,3061.5,98.79,,2449.2,percent of total billed charges,98.79% of total billed charges,3037.02,98,,2429.62,percent of total billed charges,98% of total billed charges,3037.02,98,,2429.62,percent of total billed charges,98% of total billed charges,1487.52,48,,1190.02,percent of total billed charges,48% of total billed charges,1394.55,45,,1115.64,percent of total billed charges,45% of total billed charges,1185.37,38.25,,948.3,percent of total billed charges,38.25% of total billed charges,1394.55,45,,1115.64,percent of total billed charges,45% of total billed charges,1394.55,45,,1115.64,percent of total billed charges,45% of total billed charges,1185.37,3061.5,
FINE NDL ASPIRATION BX W/MR GDN EA ADDL,10010012,CDM,761,RC,10012,HCPCS,OUTPATIENT,,,1859,1487.2,,1766.05,95,,1412.84,percent of total billed charges,95% of total billed charges,1760.84,94.72,,1408.67,percent of total billed charges,94.72% of total billed charges,1836.51,98.79,,1469.21,percent of total billed charges,98.79% of total billed charges,1821.82,98,,1457.46,percent of total billed charges,98% of total billed charges,1821.82,98,,1457.46,percent of total billed charges,98% of total billed charges,892.32,48,,713.86,percent of total billed charges,48% of total billed charges,836.55,45,,669.24,percent of total billed charges,45% of total billed charges,711.07,38.25,,568.86,percent of total billed charges,38.25% of total billed charges,836.55,45,,669.24,percent of total billed charges,45% of total billed charges,836.55,45,,669.24,percent of total billed charges,45% of total billed charges,711.07,1836.51,
11042 DEBRIDEMENT SKIN  SUBCUTANEOUS TIS Fac Fee,10011042,CDM,761,RC,11042,HCPCS,OUTPATIENT,,,411,328.8,,390.45,95,,312.36,percent of total billed charges,95% of total billed charges,389.3,94.72,,311.44,percent of total billed charges,94.72% of total billed charges,406.03,98.79,,324.82,percent of total billed charges,98.79% of total billed charges,402.78,98,,322.22,percent of total billed charges,98% of total billed charges,402.78,98,,322.22,percent of total billed charges,98% of total billed charges,197.28,48,,157.82,percent of total billed charges,48% of total billed charges,184.95,45,,147.96,percent of total billed charges,45% of total billed charges,157.21,38.25,,125.77,percent of total billed charges,38.25% of total billed charges,184.95,45,,147.96,percent of total billed charges,45% of total billed charges,184.95,45,,147.96,percent of total billed charges,45% of total billed charges,157.21,406.03,
Debridement| subcutaneous tissue (includes epidermis and der,10011042,CDM,761,RC,11042,HCPCS,OUTPATIENT,,,411,328.8,,390.45,95,,312.36,percent of total billed charges,95% of total billed charges,389.3,94.72,,311.44,percent of total billed charges,94.72% of total billed charges,406.03,98.79,,324.82,percent of total billed charges,98.79% of total billed charges,402.78,98,,322.22,percent of total billed charges,98% of total billed charges,402.78,98,,322.22,percent of total billed charges,98% of total billed charges,197.28,48,,157.82,percent of total billed charges,48% of total billed charges,184.95,45,,147.96,percent of total billed charges,45% of total billed charges,157.21,38.25,,125.77,percent of total billed charges,38.25% of total billed charges,184.95,45,,147.96,percent of total billed charges,45% of total billed charges,184.95,45,,147.96,percent of total billed charges,45% of total billed charges,157.21,406.03,
11042 DEBRIDEMENT SKIN  SUBCUTANEOUS TIS CHARGE,10011042,CDM,761,RC,11042,HCPCS,OUTPATIENT,,,411,328.8,,390.45,95,,312.36,percent of total billed charges,95% of total billed charges,389.3,94.72,,311.44,percent of total billed charges,94.72% of total billed charges,406.03,98.79,,324.82,percent of total billed charges,98.79% of total billed charges,402.78,98,,322.22,percent of total billed charges,98% of total billed charges,402.78,98,,322.22,percent of total billed charges,98% of total billed charges,197.28,48,,157.82,percent of total billed charges,48% of total billed charges,184.95,45,,147.96,percent of total billed charges,45% of total billed charges,157.21,38.25,,125.77,percent of total billed charges,38.25% of total billed charges,184.95,45,,147.96,percent of total billed charges,45% of total billed charges,184.95,45,,147.96,percent of total billed charges,45% of total billed charges,157.21,406.03,
TANGENTIAL BIOPSY SKIN SINGLE LESION,10011102,CDM,761,RC,11102,HCPCS,OUTPATIENT,,,267,213.6,,253.65,95,,202.92,percent of total billed charges,95% of total billed charges,252.9,94.72,,202.32,percent of total billed charges,94.72% of total billed charges,263.77,98.79,,211.02,percent of total billed charges,98.79% of total billed charges,261.66,98,,209.33,percent of total billed charges,98% of total billed charges,261.66,98,,209.33,percent of total billed charges,98% of total billed charges,128.16,48,,102.53,percent of total billed charges,48% of total billed charges,120.15,45,,96.12,percent of total billed charges,45% of total billed charges,102.13,38.25,,81.7,percent of total billed charges,38.25% of total billed charges,120.15,45,,96.12,percent of total billed charges,45% of total billed charges,120.15,45,,96.12,percent of total billed charges,45% of total billed charges,102.13,263.77,
TANGENTIAL BIOPSY SKN EA SEP/ADDL LESION,10011103,CDM,761,RC,11103,HCPCS,OUTPATIENT,,,267,213.6,,253.65,95,,202.92,percent of total billed charges,95% of total billed charges,252.9,94.72,,202.32,percent of total billed charges,94.72% of total billed charges,263.77,98.79,,211.02,percent of total billed charges,98.79% of total billed charges,261.66,98,,209.33,percent of total billed charges,98% of total billed charges,261.66,98,,209.33,percent of total billed charges,98% of total billed charges,128.16,48,,102.53,percent of total billed charges,48% of total billed charges,120.15,45,,96.12,percent of total billed charges,45% of total billed charges,102.13,38.25,,81.7,percent of total billed charges,38.25% of total billed charges,120.15,45,,96.12,percent of total billed charges,45% of total billed charges,120.15,45,,96.12,percent of total billed charges,45% of total billed charges,102.13,263.77,
PUNCH BIOPSY SKIN SINGLE LESION,10011104,CDM,761,RC,11104,HCPCS,OUTPATIENT,,,625,500,,593.75,95,,475,percent of total billed charges,95% of total billed charges,592,94.72,,473.6,percent of total billed charges,94.72% of total billed charges,617.44,98.79,,493.95,percent of total billed charges,98.79% of total billed charges,612.5,98,,490,percent of total billed charges,98% of total billed charges,612.5,98,,490,percent of total billed charges,98% of total billed charges,300,48,,240,percent of total billed charges,48% of total billed charges,281.25,45,,225,percent of total billed charges,45% of total billed charges,239.06,38.25,,191.25,percent of total billed charges,38.25% of total billed charges,281.25,45,,225,percent of total billed charges,45% of total billed charges,281.25,45,,225,percent of total billed charges,45% of total billed charges,239.06,617.44,
PUNCH BIOPSY SKIN EA SEP/ADDL LESION,10011105,CDM,761,RC,11105,HCPCS,OUTPATIENT,,,321,256.8,,304.95,95,,243.96,percent of total billed charges,95% of total billed charges,304.05,94.72,,243.24,percent of total billed charges,94.72% of total billed charges,317.12,98.79,,253.7,percent of total billed charges,98.79% of total billed charges,314.58,98,,251.66,percent of total billed charges,98% of total billed charges,314.58,98,,251.66,percent of total billed charges,98% of total billed charges,154.08,48,,123.26,percent of total billed charges,48% of total billed charges,144.45,45,,115.56,percent of total billed charges,45% of total billed charges,122.78,38.25,,98.22,percent of total billed charges,38.25% of total billed charges,144.45,45,,115.56,percent of total billed charges,45% of total billed charges,144.45,45,,115.56,percent of total billed charges,45% of total billed charges,122.78,317.12,
INCISIONAL BIOPSY SKIN EA SEP/ADDL LSN,10011107,CDM,761,RC,11107,HCPCS,OUTPATIENT,,,620,496,,589,95,,471.2,percent of total billed charges,95% of total billed charges,587.26,94.72,,469.81,percent of total billed charges,94.72% of total billed charges,612.5,98.79,,490,percent of total billed charges,98.79% of total billed charges,607.6,98,,486.08,percent of total billed charges,98% of total billed charges,607.6,98,,486.08,percent of total billed charges,98% of total billed charges,297.6,48,,238.08,percent of total billed charges,48% of total billed charges,279,45,,223.2,percent of total billed charges,45% of total billed charges,237.15,38.25,,189.72,percent of total billed charges,38.25% of total billed charges,279,45,,223.2,percent of total billed charges,45% of total billed charges,279,45,,223.2,percent of total billed charges,45% of total billed charges,237.15,612.5,
SHAVE SKIN LESION DIAMETER .6 - 1 CM,10011301,CDM,761,RC,11301,HCPCS,OUTPATIENT,,,395,316,,375.25,95,,300.2,percent of total billed charges,95% of total billed charges,374.14,94.72,,299.31,percent of total billed charges,94.72% of total billed charges,390.22,98.79,,312.18,percent of total billed charges,98.79% of total billed charges,387.1,98,,309.68,percent of total billed charges,98% of total billed charges,387.1,98,,309.68,percent of total billed charges,98% of total billed charges,189.6,48,,151.68,percent of total billed charges,48% of total billed charges,177.75,45,,142.2,percent of total billed charges,45% of total billed charges,151.09,38.25,,120.87,percent of total billed charges,38.25% of total billed charges,177.75,45,,142.2,percent of total billed charges,45% of total billed charges,177.75,45,,142.2,percent of total billed charges,45% of total billed charges,151.09,390.22,
SHAVING SKN LESION 1 F/E/E/N/L/M DM >2CM,10011313,CDM,761,RC,11313,HCPCS,OUTPATIENT,,,633,506.4,,601.35,95,,481.08,percent of total billed charges,95% of total billed charges,599.58,94.72,,479.66,percent of total billed charges,94.72% of total billed charges,625.34,98.79,,500.27,percent of total billed charges,98.79% of total billed charges,620.34,98,,496.27,percent of total billed charges,98% of total billed charges,620.34,98,,496.27,percent of total billed charges,98% of total billed charges,303.84,48,,243.07,percent of total billed charges,48% of total billed charges,284.85,45,,227.88,percent of total billed charges,45% of total billed charges,242.12,38.25,,193.7,percent of total billed charges,38.25% of total billed charges,284.85,45,,227.88,percent of total billed charges,45% of total billed charges,284.85,45,,227.88,percent of total billed charges,45% of total billed charges,242.12,625.34,
11621 EXC MALIGNANT .6-1CM SCALP NECK HAND CHARGE,10011621,CDM,761,RC,11621,HCPCS,OUTPATIENT,,,895,716,,850.25,95,,680.2,percent of total billed charges,95% of total billed charges,847.74,94.72,,678.19,percent of total billed charges,94.72% of total billed charges,884.17,98.79,,707.34,percent of total billed charges,98.79% of total billed charges,877.1,98,,701.68,percent of total billed charges,98% of total billed charges,877.1,98,,701.68,percent of total billed charges,98% of total billed charges,429.6,48,,343.68,percent of total billed charges,48% of total billed charges,402.75,45,,322.2,percent of total billed charges,45% of total billed charges,342.34,38.25,,273.87,percent of total billed charges,38.25% of total billed charges,402.75,45,,322.2,percent of total billed charges,45% of total billed charges,402.75,45,,322.2,percent of total billed charges,45% of total billed charges,342.34,884.17,
11622 EXC MALIGNANT 1.1-2CM SCALP NECK HAN CHARGE,10011622,CDM,761,RC,11622,HCPCS,OUTPATIENT,,,1007,805.6,,956.65,95,,765.32,percent of total billed charges,95% of total billed charges,953.83,94.72,,763.06,percent of total billed charges,94.72% of total billed charges,994.82,98.79,,795.86,percent of total billed charges,98.79% of total billed charges,986.86,98,,789.49,percent of total billed charges,98% of total billed charges,986.86,98,,789.49,percent of total billed charges,98% of total billed charges,483.36,48,,386.69,percent of total billed charges,48% of total billed charges,453.15,45,,362.52,percent of total billed charges,45% of total billed charges,385.18,38.25,,308.14,percent of total billed charges,38.25% of total billed charges,453.15,45,,362.52,percent of total billed charges,45% of total billed charges,453.15,45,,362.52,percent of total billed charges,45% of total billed charges,385.18,994.82,
11626 EXC MALIGNANT OVER 4CM SCALP NECK CHARGE,10011626,CDM,761,RC,11626,HCPCS,OUTPATIENT,,,1993,1594.4,,1893.35,95,,1514.68,percent of total billed charges,95% of total billed charges,1887.77,94.72,,1510.22,percent of total billed charges,94.72% of total billed charges,1968.88,98.79,,1575.1,percent of total billed charges,98.79% of total billed charges,1953.14,98,,1562.51,percent of total billed charges,98% of total billed charges,1953.14,98,,1562.51,percent of total billed charges,98% of total billed charges,956.64,48,,765.31,percent of total billed charges,48% of total billed charges,896.85,45,,717.48,percent of total billed charges,45% of total billed charges,762.32,38.25,,609.86,percent of total billed charges,38.25% of total billed charges,896.85,45,,717.48,percent of total billed charges,45% of total billed charges,896.85,45,,717.48,percent of total billed charges,45% of total billed charges,762.32,1968.88,
11641 EXC MALIGNANT .6-1CM FACE EAR NOSE CHARGE,10011641,CDM,761,RC,11641,HCPCS,OUTPATIENT,,,1227,981.6,,1165.65,95,,932.52,percent of total billed charges,95% of total billed charges,1162.21,94.72,,929.77,percent of total billed charges,94.72% of total billed charges,1212.15,98.79,,969.72,percent of total billed charges,98.79% of total billed charges,1202.46,98,,961.97,percent of total billed charges,98% of total billed charges,1202.46,98,,961.97,percent of total billed charges,98% of total billed charges,588.96,48,,471.17,percent of total billed charges,48% of total billed charges,552.15,45,,441.72,percent of total billed charges,45% of total billed charges,469.33,38.25,,375.46,percent of total billed charges,38.25% of total billed charges,552.15,45,,441.72,percent of total billed charges,45% of total billed charges,552.15,45,,441.72,percent of total billed charges,45% of total billed charges,469.33,1212.15,
11644 EXC MALIGNANT 3.1-4CM FACE EAR NOSE CHARGE,10011644,CDM,761,RC,11644,HCPCS,OUTPATIENT,,,1817,1453.6,,1726.15,95,,1380.92,percent of total billed charges,95% of total billed charges,1721.06,94.72,,1376.85,percent of total billed charges,94.72% of total billed charges,1795.01,98.79,,1436.01,percent of total billed charges,98.79% of total billed charges,1780.66,98,,1424.53,percent of total billed charges,98% of total billed charges,1780.66,98,,1424.53,percent of total billed charges,98% of total billed charges,872.16,48,,697.73,percent of total billed charges,48% of total billed charges,817.65,45,,654.12,percent of total billed charges,45% of total billed charges,695,38.25,,556,percent of total billed charges,38.25% of total billed charges,817.65,45,,654.12,percent of total billed charges,45% of total billed charges,817.65,45,,654.12,percent of total billed charges,45% of total billed charges,695,1795.01,
11771 EXC PILONIDAL CYST OR SINUS EXTNESI CHARGE,10011771,CDM,761,RC,11771,HCPCS,OUTPATIENT,,,2391,1912.8,,2271.45,95,,1817.16,percent of total billed charges,95% of total billed charges,2264.76,94.72,,1811.81,percent of total billed charges,94.72% of total billed charges,2362.07,98.79,,1889.66,percent of total billed charges,98.79% of total billed charges,2343.18,98,,1874.54,percent of total billed charges,98% of total billed charges,2343.18,98,,1874.54,percent of total billed charges,98% of total billed charges,1147.68,48,,918.14,percent of total billed charges,48% of total billed charges,1075.95,45,,860.76,percent of total billed charges,45% of total billed charges,914.56,38.25,,731.65,percent of total billed charges,38.25% of total billed charges,1075.95,45,,860.76,percent of total billed charges,45% of total billed charges,1075.95,45,,860.76,percent of total billed charges,45% of total billed charges,914.56,2362.07,
11772 REMOVE PILONIDAL LESION CHARGE,10011772,CDM,761,RC,11772,HCPCS,OUTPATIENT,,,2591,2072.8,,2461.45,95,,1969.16,percent of total billed charges,95% of total billed charges,2454.2,94.72,,1963.36,percent of total billed charges,94.72% of total billed charges,2559.65,98.79,,2047.72,percent of total billed charges,98.79% of total billed charges,2539.18,98,,2031.34,percent of total billed charges,98% of total billed charges,2539.18,98,,2031.34,percent of total billed charges,98% of total billed charges,1243.68,48,,994.94,percent of total billed charges,48% of total billed charges,1165.95,45,,932.76,percent of total billed charges,45% of total billed charges,991.06,38.25,,792.85,percent of total billed charges,38.25% of total billed charges,1165.95,45,,932.76,percent of total billed charges,45% of total billed charges,1165.95,45,,932.76,percent of total billed charges,45% of total billed charges,991.06,2559.65,
11900 INJECT INTRALESIONAL </w 7 LESIONS CHARGE,10011900,CDM,761,RC,11900,HCPCS,OUTPATIENT,,,251,200.8,,238.45,95,,190.76,percent of total billed charges,95% of total billed charges,237.75,94.72,,190.2,percent of total billed charges,94.72% of total billed charges,247.96,98.79,,198.37,percent of total billed charges,98.79% of total billed charges,245.98,98,,196.78,percent of total billed charges,98% of total billed charges,245.98,98,,196.78,percent of total billed charges,98% of total billed charges,120.48,48,,96.38,percent of total billed charges,48% of total billed charges,112.95,45,,90.36,percent of total billed charges,45% of total billed charges,96.01,38.25,,76.81,percent of total billed charges,38.25% of total billed charges,112.95,45,,90.36,percent of total billed charges,45% of total billed charges,112.95,45,,90.36,percent of total billed charges,45% of total billed charges,96.01,247.96,
INTMD WOUND REPAIR S/TR/EXT 2.6-7.5 CM,10012032,CDM,761,RC,12032,HCPCS,OUTPATIENT,,,1058,846.4,,1005.1,95,,804.08,percent of total billed charges,95% of total billed charges,1002.14,94.72,,801.71,percent of total billed charges,94.72% of total billed charges,1045.2,98.79,,836.16,percent of total billed charges,98.79% of total billed charges,1036.84,98,,829.47,percent of total billed charges,98% of total billed charges,1036.84,98,,829.47,percent of total billed charges,98% of total billed charges,507.84,48,,406.27,percent of total billed charges,48% of total billed charges,476.1,45,,380.88,percent of total billed charges,45% of total billed charges,404.69,38.25,,323.75,percent of total billed charges,38.25% of total billed charges,476.1,45,,380.88,percent of total billed charges,45% of total billed charges,476.1,45,,380.88,percent of total billed charges,45% of total billed charges,404.69,1045.2,
12035 REPAIR INTERMEDIATE 12.6-20CM CHARGE,10012035,CDM,761,RC,12035,HCPCS,OUTPATIENT,,,561,448.8,,532.95,95,,426.36,percent of total billed charges,95% of total billed charges,531.38,94.72,,425.1,percent of total billed charges,94.72% of total billed charges,554.21,98.79,,443.37,percent of total billed charges,98.79% of total billed charges,549.78,98,,439.82,percent of total billed charges,98% of total billed charges,549.78,98,,439.82,percent of total billed charges,98% of total billed charges,269.28,48,,215.42,percent of total billed charges,48% of total billed charges,252.45,45,,201.96,percent of total billed charges,45% of total billed charges,214.58,38.25,,171.66,percent of total billed charges,38.25% of total billed charges,252.45,45,,201.96,percent of total billed charges,45% of total billed charges,252.45,45,,201.96,percent of total billed charges,45% of total billed charges,214.58,554.21,
LOW COST APP SKN SUB GRFT,10015271,CDM,761,RC,C5271,HCPCS,OUTPATIENT,,,727,581.6,,690.65,95,,552.52,percent of total billed charges,95% of total billed charges,688.61,94.72,,550.89,percent of total billed charges,94.72% of total billed charges,718.2,98.79,,574.56,percent of total billed charges,98.79% of total billed charges,712.46,98,,569.97,percent of total billed charges,98% of total billed charges,712.46,98,,569.97,percent of total billed charges,98% of total billed charges,348.96,48,,279.17,percent of total billed charges,48% of total billed charges,327.15,45,,261.72,percent of total billed charges,45% of total billed charges,278.08,38.25,,222.46,percent of total billed charges,38.25% of total billed charges,327.15,45,,261.72,percent of total billed charges,45% of total billed charges,327.15,45,,261.72,percent of total billed charges,45% of total billed charges,278.08,718.2,
GRAFT DERMA-FAT-FASCIA,10015770,CDM,761,RC,15770,HCPCS,OUTPATIENT,,,3607,2885.6,,3426.65,95,,2741.32,percent of total billed charges,95% of total billed charges,3416.55,94.72,,2733.24,percent of total billed charges,94.72% of total billed charges,3563.36,98.79,,2850.69,percent of total billed charges,98.79% of total billed charges,3534.86,98,,2827.89,percent of total billed charges,98% of total billed charges,3534.86,98,,2827.89,percent of total billed charges,98% of total billed charges,1731.36,48,,1385.09,percent of total billed charges,48% of total billed charges,1623.15,45,,1298.52,percent of total billed charges,45% of total billed charges,1379.68,38.25,,1103.74,percent of total billed charges,38.25% of total billed charges,1623.15,45,,1298.52,percent of total billed charges,45% of total billed charges,1623.15,45,,1298.52,percent of total billed charges,45% of total billed charges,1379.68,3563.36,
DESTROY BENIGN/PREMAL LESION,10017000,CDM,761,RC,17000,HCPCS,OUTPATIENT,,,378,302.4,,359.1,95,,287.28,percent of total billed charges,95% of total billed charges,358.04,94.72,,286.43,percent of total billed charges,94.72% of total billed charges,373.43,98.79,,298.74,percent of total billed charges,98.79% of total billed charges,370.44,98,,296.35,percent of total billed charges,98% of total billed charges,370.44,98,,296.35,percent of total billed charges,98% of total billed charges,181.44,48,,145.15,percent of total billed charges,48% of total billed charges,170.1,45,,136.08,percent of total billed charges,45% of total billed charges,144.59,38.25,,115.67,percent of total billed charges,38.25% of total billed charges,170.1,45,,136.08,percent of total billed charges,45% of total billed charges,170.1,45,,136.08,percent of total billed charges,45% of total billed charges,144.59,373.43,
DESTRUCT LESION 15 OR MORE,10017111,CDM,761,RC,17111,HCPCS,OUTPATIENT,,,456,364.8,,433.2,95,,346.56,percent of total billed charges,95% of total billed charges,431.92,94.72,,345.54,percent of total billed charges,94.72% of total billed charges,450.48,98.79,,360.38,percent of total billed charges,98.79% of total billed charges,446.88,98,,357.5,percent of total billed charges,98% of total billed charges,446.88,98,,357.5,percent of total billed charges,98% of total billed charges,218.88,48,,175.1,percent of total billed charges,48% of total billed charges,205.2,45,,164.16,percent of total billed charges,45% of total billed charges,174.42,38.25,,139.54,percent of total billed charges,38.25% of total billed charges,205.2,45,,164.16,percent of total billed charges,45% of total billed charges,205.2,45,,164.16,percent of total billed charges,45% of total billed charges,174.42,450.48,
DESTRUCT MALG LESION S/N/H/F/G 0.5 CM/>,10017270,CDM,761,RC,17270,HCPCS,OUTPATIENT,,,540,432,,513,95,,410.4,percent of total billed charges,95% of total billed charges,511.49,94.72,,409.19,percent of total billed charges,94.72% of total billed charges,533.47,98.79,,426.78,percent of total billed charges,98.79% of total billed charges,529.2,98,,423.36,percent of total billed charges,98% of total billed charges,529.2,98,,423.36,percent of total billed charges,98% of total billed charges,259.2,48,,207.36,percent of total billed charges,48% of total billed charges,243,45,,194.4,percent of total billed charges,45% of total billed charges,206.55,38.25,,165.24,percent of total billed charges,38.25% of total billed charges,243,45,,194.4,percent of total billed charges,45% of total billed charges,243,45,,194.4,percent of total billed charges,45% of total billed charges,206.55,533.47,
REMOVE FOREIGN BODY DEEP COMPLICATED,10020525,CDM,761,RC,20525,HCPCS,OUTPATIENT,,,1799,1439.2,,1709.05,95,,1367.24,percent of total billed charges,95% of total billed charges,1704.01,94.72,,1363.21,percent of total billed charges,94.72% of total billed charges,1777.23,98.79,,1421.78,percent of total billed charges,98.79% of total billed charges,1763.02,98,,1410.42,percent of total billed charges,98% of total billed charges,1763.02,98,,1410.42,percent of total billed charges,98% of total billed charges,863.52,48,,690.82,percent of total billed charges,48% of total billed charges,809.55,45,,647.64,percent of total billed charges,45% of total billed charges,688.12,38.25,,550.5,percent of total billed charges,38.25% of total billed charges,809.55,45,,647.64,percent of total billed charges,45% of total billed charges,809.55,45,,647.64,percent of total billed charges,45% of total billed charges,688.12,1777.23,
21480 CLOSED TX TEMPOROMANDIBULAR DIS,10021480,CDM,761,RC,21480,HCPCS,OUTPATIENT,,,646,516.8,,613.7,95,,490.96,percent of total billed charges,95% of total billed charges,611.89,94.72,,489.51,percent of total billed charges,94.72% of total billed charges,638.18,98.79,,510.54,percent of total billed charges,98.79% of total billed charges,633.08,98,,506.46,percent of total billed charges,98% of total billed charges,633.08,98,,506.46,percent of total billed charges,98% of total billed charges,310.08,48,,248.06,percent of total billed charges,48% of total billed charges,290.7,45,,232.56,percent of total billed charges,45% of total billed charges,247.1,38.25,,197.68,percent of total billed charges,38.25% of total billed charges,290.7,45,,232.56,percent of total billed charges,45% of total billed charges,290.7,45,,232.56,percent of total billed charges,45% of total billed charges,247.1,638.18,
ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMO,10024000,CDM,761,RC,24000,HCPCS,OUTPATIENT,,,2397,1917.6,,2277.15,95,,1821.72,percent of total billed charges,95% of total billed charges,2270.44,94.72,,1816.35,percent of total billed charges,94.72% of total billed charges,2368,98.79,,1894.4,percent of total billed charges,98.79% of total billed charges,2349.06,98,,1879.25,percent of total billed charges,98% of total billed charges,2349.06,98,,1879.25,percent of total billed charges,98% of total billed charges,1150.56,48,,920.45,percent of total billed charges,48% of total billed charges,1078.65,45,,862.92,percent of total billed charges,45% of total billed charges,916.85,38.25,,733.48,percent of total billed charges,38.25% of total billed charges,1078.65,45,,862.92,percent of total billed charges,45% of total billed charges,1078.65,45,,862.92,percent of total billed charges,45% of total billed charges,916.85,2368,
24065 BX SOFT TISSUE UPPER ARM/ELBOW CHARGE,10024065,CDM,761,RC,24065,HCPCS,OUTPATIENT,,,732,585.6,,695.4,95,,556.32,percent of total billed charges,95% of total billed charges,693.35,94.72,,554.68,percent of total billed charges,94.72% of total billed charges,723.14,98.79,,578.51,percent of total billed charges,98.79% of total billed charges,717.36,98,,573.89,percent of total billed charges,98% of total billed charges,717.36,98,,573.89,percent of total billed charges,98% of total billed charges,351.36,48,,281.09,percent of total billed charges,48% of total billed charges,329.4,45,,263.52,percent of total billed charges,45% of total billed charges,279.99,38.25,,223.99,percent of total billed charges,38.25% of total billed charges,329.4,45,,263.52,percent of total billed charges,45% of total billed charges,329.4,45,,263.52,percent of total billed charges,45% of total billed charges,279.99,723.14,
24310 TENOTOMY OPEN ELBOW TO SHOULDER EACH TEN CHARGE,10024310,CDM,761,RC,24310,HCPCS,OUTPATIENT,,,3375,2700,,3206.25,95,,2565,percent of total billed charges,95% of total billed charges,3196.8,94.72,,2557.44,percent of total billed charges,94.72% of total billed charges,3334.16,98.79,,2667.33,percent of total billed charges,98.79% of total billed charges,3307.5,98,,2646,percent of total billed charges,98% of total billed charges,3307.5,98,,2646,percent of total billed charges,98% of total billed charges,1620,48,,1296,percent of total billed charges,48% of total billed charges,1518.75,45,,1215,percent of total billed charges,45% of total billed charges,1290.94,38.25,,1032.75,percent of total billed charges,38.25% of total billed charges,1518.75,45,,1215,percent of total billed charges,45% of total billed charges,1518.75,45,,1215,percent of total billed charges,45% of total billed charges,1290.94,3334.16,
25295 TNOLS FLXR/XTNSR TENDON FOREARM&/WRIST 1 CHARGE,10025295,CDM,761,RC,25295,HCPCS,OUTPATIENT,,,3780,3024,,3591,95,,2872.8,percent of total billed charges,95% of total billed charges,3580.42,94.72,,2864.34,percent of total billed charges,94.72% of total billed charges,3734.26,98.79,,2987.41,percent of total billed charges,98.79% of total billed charges,3704.4,98,,2963.52,percent of total billed charges,98% of total billed charges,3704.4,98,,2963.52,percent of total billed charges,98% of total billed charges,1814.4,48,,1451.52,percent of total billed charges,48% of total billed charges,1701,45,,1360.8,percent of total billed charges,45% of total billed charges,1445.85,38.25,,1156.68,percent of total billed charges,38.25% of total billed charges,1701,45,,1360.8,percent of total billed charges,45% of total billed charges,1701,45,,1360.8,percent of total billed charges,45% of total billed charges,1445.85,3734.26,
27253 OPTX HIP DISLOCATION TRAUMATIC W/O INTER CHARGE,10027253,CDM,761,RC,27253,HCPCS,OUTPATIENT,,,4833,3866.4,,4591.35,95,,3673.08,percent of total billed charges,95% of total billed charges,4577.82,94.72,,3662.26,percent of total billed charges,94.72% of total billed charges,4774.52,98.79,,3819.62,percent of total billed charges,98.79% of total billed charges,4736.34,98,,3789.07,percent of total billed charges,98% of total billed charges,4736.34,98,,3789.07,percent of total billed charges,98% of total billed charges,2319.84,48,,1855.87,percent of total billed charges,48% of total billed charges,2174.85,45,,1739.88,percent of total billed charges,45% of total billed charges,1848.62,38.25,,1478.9,percent of total billed charges,38.25% of total billed charges,2174.85,45,,1739.88,percent of total billed charges,45% of total billed charges,2174.85,45,,1739.88,percent of total billed charges,45% of total billed charges,1848.62,4774.52,
SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNST,10027386,CDM,761,RC,27386,HCPCS,OUTPATIENT,,,5360,4288,,5092,95,,4073.6,percent of total billed charges,95% of total billed charges,5076.99,94.72,,4061.59,percent of total billed charges,94.72% of total billed charges,5295.14,98.79,,4236.11,percent of total billed charges,98.79% of total billed charges,5252.8,98,,4202.24,percent of total billed charges,98% of total billed charges,5252.8,98,,4202.24,percent of total billed charges,98% of total billed charges,2572.8,48,,2058.24,percent of total billed charges,48% of total billed charges,2412,45,,1929.6,percent of total billed charges,45% of total billed charges,2050.2,38.25,,1640.16,percent of total billed charges,38.25% of total billed charges,2412,45,,1929.6,percent of total billed charges,45% of total billed charges,2412,45,,1929.6,percent of total billed charges,45% of total billed charges,2050.2,5295.14,
TOTAL KNEE ARTHROPLASTY,10027447,CDM,761,RC,27447,HCPCS,OUTPATIENT,,,7536,6028.8,,7159.2,95,,5727.36,percent of total billed charges,95% of total billed charges,7138.1,94.72,,5710.48,percent of total billed charges,94.72% of total billed charges,7444.81,98.79,,5955.85,percent of total billed charges,98.79% of total billed charges,7385.28,98,,5908.22,percent of total billed charges,98% of total billed charges,7385.28,98,,5908.22,percent of total billed charges,98% of total billed charges,3617.28,48,,2893.82,percent of total billed charges,48% of total billed charges,3391.2,45,,2712.96,percent of total billed charges,45% of total billed charges,2882.52,38.25,,2306.02,percent of total billed charges,38.25% of total billed charges,3391.2,45,,2712.96,percent of total billed charges,45% of total billed charges,3391.2,45,,2712.96,percent of total billed charges,45% of total billed charges,2882.52,7444.81,
FIXATE KNEE JOINT,10027570,CDM,761,RC,27570,HCPCS,OUTPATIENT,,,861,688.8,,817.95,95,,654.36,percent of total billed charges,95% of total billed charges,815.54,94.72,,652.43,percent of total billed charges,94.72% of total billed charges,850.58,98.79,,680.46,percent of total billed charges,98.79% of total billed charges,843.78,98,,675.02,percent of total billed charges,98% of total billed charges,843.78,98,,675.02,percent of total billed charges,98% of total billed charges,413.28,48,,330.62,percent of total billed charges,48% of total billed charges,387.45,45,,309.96,percent of total billed charges,45% of total billed charges,329.33,38.25,,263.46,percent of total billed charges,38.25% of total billed charges,387.45,45,,309.96,percent of total billed charges,45% of total billed charges,387.45,45,,309.96,percent of total billed charges,45% of total billed charges,329.33,850.58,
27601 Decompression fasciotomy| leg; posterior compartment(s,10027601,CDM,761,RC,27601,HCPCS,OUTPATIENT,,,2912,2329.6,,2766.4,95,,2213.12,percent of total billed charges,95% of total billed charges,2758.25,94.72,,2206.6,percent of total billed charges,94.72% of total billed charges,2876.76,98.79,,2301.41,percent of total billed charges,98.79% of total billed charges,2853.76,98,,2283.01,percent of total billed charges,98% of total billed charges,2853.76,98,,2283.01,percent of total billed charges,98% of total billed charges,1397.76,48,,1118.21,percent of total billed charges,48% of total billed charges,1310.4,45,,1048.32,percent of total billed charges,45% of total billed charges,1113.84,38.25,,891.07,percent of total billed charges,38.25% of total billed charges,1310.4,45,,1048.32,percent of total billed charges,45% of total billed charges,1310.4,45,,1048.32,percent of total billed charges,45% of total billed charges,1113.84,2876.76,
DCMPRN FASCT LEG ANT/LATPST CMPRT,10027602,CDM,761,RC,27602,HCPCS,OUTPATIENT,,,2207,1765.6,,2096.65,95,,1677.32,percent of total billed charges,95% of total billed charges,2090.47,94.72,,1672.38,percent of total billed charges,94.72% of total billed charges,2180.3,98.79,,1744.24,percent of total billed charges,98.79% of total billed charges,2162.86,98,,1730.29,percent of total billed charges,98% of total billed charges,2162.86,98,,1730.29,percent of total billed charges,98% of total billed charges,1059.36,48,,847.49,percent of total billed charges,48% of total billed charges,993.15,45,,794.52,percent of total billed charges,45% of total billed charges,844.18,38.25,,675.34,percent of total billed charges,38.25% of total billed charges,993.15,45,,794.52,percent of total billed charges,45% of total billed charges,993.15,45,,794.52,percent of total billed charges,45% of total billed charges,844.18,2180.3,
Tenotomy/perc/Achilles/local anes 27605.,10027605,CDM,761,RC,27605,HCPCS,OUTPATIENT,,,1772,1417.6,,1683.4,95,,1346.72,percent of total billed charges,95% of total billed charges,1678.44,94.72,,1342.75,percent of total billed charges,94.72% of total billed charges,1750.56,98.79,,1400.45,percent of total billed charges,98.79% of total billed charges,1736.56,98,,1389.25,percent of total billed charges,98% of total billed charges,1736.56,98,,1389.25,percent of total billed charges,98% of total billed charges,850.56,48,,680.45,percent of total billed charges,48% of total billed charges,797.4,45,,637.92,percent of total billed charges,45% of total billed charges,677.79,38.25,,542.23,percent of total billed charges,38.25% of total billed charges,797.4,45,,637.92,percent of total billed charges,45% of total billed charges,797.4,45,,637.92,percent of total billed charges,45% of total billed charges,677.79,1750.56,
RPR PRMY OPEN/PRQ RUPTURED ACHILLES W/GR,10027652,CDM,761,RC,27652,HCPCS,OUTPATIENT,,,4331,3464.8,,4114.45,95,,3291.56,percent of total billed charges,95% of total billed charges,4102.32,94.72,,3281.86,percent of total billed charges,94.72% of total billed charges,4278.59,98.79,,3422.87,percent of total billed charges,98.79% of total billed charges,4244.38,98,,3395.5,percent of total billed charges,98% of total billed charges,4244.38,98,,3395.5,percent of total billed charges,98% of total billed charges,2078.88,48,,1663.1,percent of total billed charges,48% of total billed charges,1948.95,45,,1559.16,percent of total billed charges,45% of total billed charges,1656.61,38.25,,1325.29,percent of total billed charges,38.25% of total billed charges,1948.95,45,,1559.16,percent of total billed charges,45% of total billed charges,1948.95,45,,1559.16,percent of total billed charges,45% of total billed charges,1656.61,4278.59,
INCISE FOOT FASCIA,10028008,CDM,761,RC,28008,HCPCS,OUTPATIENT,,,1620,1296,,1539,95,,1231.2,percent of total billed charges,95% of total billed charges,1534.46,94.72,,1227.57,percent of total billed charges,94.72% of total billed charges,1600.4,98.79,,1280.32,percent of total billed charges,98.79% of total billed charges,1587.6,98,,1270.08,percent of total billed charges,98% of total billed charges,1587.6,98,,1270.08,percent of total billed charges,98% of total billed charges,777.6,48,,622.08,percent of total billed charges,48% of total billed charges,729,45,,583.2,percent of total billed charges,45% of total billed charges,619.65,38.25,,495.72,percent of total billed charges,38.25% of total billed charges,729,45,,583.2,percent of total billed charges,45% of total billed charges,729,45,,583.2,percent of total billed charges,45% of total billed charges,619.65,1600.4,
EXC TUMOR SOFT TIS FT/TOE SUBQ 1.5CM/>,10028039,CDM,761,RC,28039,HCPCS,OUTPATIENT,,,2033,1626.4,,1931.35,95,,1545.08,percent of total billed charges,95% of total billed charges,1925.66,94.72,,1540.53,percent of total billed charges,94.72% of total billed charges,2008.4,98.79,,1606.72,percent of total billed charges,98.79% of total billed charges,1992.34,98,,1593.87,percent of total billed charges,98% of total billed charges,1992.34,98,,1593.87,percent of total billed charges,98% of total billed charges,975.84,48,,780.67,percent of total billed charges,48% of total billed charges,914.85,45,,731.88,percent of total billed charges,45% of total billed charges,777.62,38.25,,622.1,percent of total billed charges,38.25% of total billed charges,914.85,45,,731.88,percent of total billed charges,45% of total billed charges,914.85,45,,731.88,percent of total billed charges,45% of total billed charges,777.62,2008.4,
28192 Removal of foreign body| foot; deep,10028192,CDM,761,RC,28192,HCPCS,OUTPATIENT,,,1533,1226.4,,1456.35,95,,1165.08,percent of total billed charges,95% of total billed charges,1452.06,94.72,,1161.65,percent of total billed charges,94.72% of total billed charges,1514.45,98.79,,1211.56,percent of total billed charges,98.79% of total billed charges,1502.34,98,,1201.87,percent of total billed charges,98% of total billed charges,1502.34,98,,1201.87,percent of total billed charges,98% of total billed charges,735.84,48,,588.67,percent of total billed charges,48% of total billed charges,689.85,45,,551.88,percent of total billed charges,45% of total billed charges,586.37,38.25,,469.1,percent of total billed charges,38.25% of total billed charges,689.85,45,,551.88,percent of total billed charges,45% of total billed charges,689.85,45,,551.88,percent of total billed charges,45% of total billed charges,586.37,1514.45,
28220 Tenolysis| flexor| foot; single tendon,10028220,CDM,761,RC,28220,HCPCS,OUTPATIENT,,,1305,1044,,1239.75,95,,991.8,percent of total billed charges,95% of total billed charges,1236.1,94.72,,988.88,percent of total billed charges,94.72% of total billed charges,1289.21,98.79,,1031.37,percent of total billed charges,98.79% of total billed charges,1278.9,98,,1023.12,percent of total billed charges,98% of total billed charges,1278.9,98,,1023.12,percent of total billed charges,98% of total billed charges,626.4,48,,501.12,percent of total billed charges,48% of total billed charges,587.25,45,,469.8,percent of total billed charges,45% of total billed charges,499.16,38.25,,399.33,percent of total billed charges,38.25% of total billed charges,587.25,45,,469.8,percent of total billed charges,45% of total billed charges,587.25,45,,469.8,percent of total billed charges,45% of total billed charges,499.16,1289.21,
28230 Tenotomy| open| tendon flexor; foot| tech Fee,10028230,CDM,761,RC,28230,HCPCS,OUTPATIENT,,,1625,1300,,1543.75,95,,1235,percent of total billed charges,95% of total billed charges,1539.2,94.72,,1231.36,percent of total billed charges,94.72% of total billed charges,1605.34,98.79,,1284.27,percent of total billed charges,98.79% of total billed charges,1592.5,98,,1274,percent of total billed charges,98% of total billed charges,1592.5,98,,1274,percent of total billed charges,98% of total billed charges,780,48,,624,percent of total billed charges,48% of total billed charges,731.25,45,,585,percent of total billed charges,45% of total billed charges,621.56,38.25,,497.25,percent of total billed charges,38.25% of total billed charges,731.25,45,,585,percent of total billed charges,45% of total billed charges,731.25,45,,585,percent of total billed charges,45% of total billed charges,621.56,1605.34,
TENOTOMY LENGTHENING/RLS ABDTR HALLUCIS,10028240,CDM,761,RC,28240,HCPCS,OUTPATIENT,,,1332,1065.6,,1265.4,95,,1012.32,percent of total billed charges,95% of total billed charges,1261.67,94.72,,1009.34,percent of total billed charges,94.72% of total billed charges,1315.88,98.79,,1052.7,percent of total billed charges,98.79% of total billed charges,1305.36,98,,1044.29,percent of total billed charges,98% of total billed charges,1305.36,98,,1044.29,percent of total billed charges,98% of total billed charges,639.36,48,,511.49,percent of total billed charges,48% of total billed charges,599.4,45,,479.52,percent of total billed charges,45% of total billed charges,509.49,38.25,,407.59,percent of total billed charges,38.25% of total billed charges,599.4,45,,479.52,percent of total billed charges,45% of total billed charges,599.4,45,,479.52,percent of total billed charges,45% of total billed charges,509.49,1315.88,
ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRA,10028730,CDM,761,RC,28730,HCPCS,OUTPATIENT,,,3966,3172.8,,3767.7,95,,3014.16,percent of total billed charges,95% of total billed charges,3756.6,94.72,,3005.28,percent of total billed charges,94.72% of total billed charges,3918.01,98.79,,3134.41,percent of total billed charges,98.79% of total billed charges,3886.68,98,,3109.34,percent of total billed charges,98% of total billed charges,3886.68,98,,3109.34,percent of total billed charges,98% of total billed charges,1903.68,48,,1522.94,percent of total billed charges,48% of total billed charges,1784.7,45,,1427.76,percent of total billed charges,45% of total billed charges,1517,38.25,,1213.6,percent of total billed charges,38.25% of total billed charges,1784.7,45,,1427.76,percent of total billed charges,45% of total billed charges,1784.7,45,,1427.76,percent of total billed charges,45% of total billed charges,1517,3918.01,
APPLICATION RIGID TOTAL CONTACT LEG CAST,10029445,CDM,761,RC,29445,HCPCS,OUTPATIENT,,,651,520.8,,618.45,95,,494.76,percent of total billed charges,95% of total billed charges,616.63,94.72,,493.3,percent of total billed charges,94.72% of total billed charges,643.12,98.79,,514.5,percent of total billed charges,98.79% of total billed charges,637.98,98,,510.38,percent of total billed charges,98% of total billed charges,637.98,98,,510.38,percent of total billed charges,98% of total billed charges,312.48,48,,249.98,percent of total billed charges,48% of total billed charges,292.95,45,,234.36,percent of total billed charges,45% of total billed charges,249.01,38.25,,199.21,percent of total billed charges,38.25% of total billed charges,292.95,45,,234.36,percent of total billed charges,45% of total billed charges,292.95,45,,234.36,percent of total billed charges,45% of total billed charges,249.01,643.12,
APPL CLUBFOOT MOLDING/MANJ LONG/ SHORT L,10029450,CDM,761,RC,29450,HCPCS,OUTPATIENT,,,620,496,,589,95,,471.2,percent of total billed charges,95% of total billed charges,587.26,94.72,,469.81,percent of total billed charges,94.72% of total billed charges,612.5,98.79,,490,percent of total billed charges,98.79% of total billed charges,607.6,98,,486.08,percent of total billed charges,98% of total billed charges,607.6,98,,486.08,percent of total billed charges,98% of total billed charges,297.6,48,,238.08,percent of total billed charges,48% of total billed charges,279,45,,223.2,percent of total billed charges,45% of total billed charges,237.15,38.25,,189.72,percent of total billed charges,38.25% of total billed charges,279,45,,223.2,percent of total billed charges,45% of total billed charges,279,45,,223.2,percent of total billed charges,45% of total billed charges,237.15,612.5,
BILAT MULTI-LAYER WRAP COMPRESSION,10029581,CDM,761,RC,29581,HCPCS,OUTPATIENT,,,547,437.6,,519.65,95,,415.72,percent of total billed charges,95% of total billed charges,518.12,94.72,,414.5,percent of total billed charges,94.72% of total billed charges,540.38,98.79,,432.3,percent of total billed charges,98.79% of total billed charges,536.06,98,,428.85,percent of total billed charges,98% of total billed charges,536.06,98,,428.85,percent of total billed charges,98% of total billed charges,262.56,48,,210.05,percent of total billed charges,48% of total billed charges,246.15,45,,196.92,percent of total billed charges,45% of total billed charges,209.23,38.25,,167.38,percent of total billed charges,38.25% of total billed charges,246.15,45,,196.92,percent of total billed charges,45% of total billed charges,246.15,45,,196.92,percent of total billed charges,45% of total billed charges,209.23,540.38,
ARTHROSCOPY SHOULDER DX W/WO SYNVL BPSY,10029805,CDM,761,RC,29805,HCPCS,OUTPATIENT,,,2571,2056.8,,2442.45,95,,1953.96,percent of total billed charges,95% of total billed charges,2435.25,94.72,,1948.2,percent of total billed charges,94.72% of total billed charges,2539.89,98.79,,2031.91,percent of total billed charges,98.79% of total billed charges,2519.58,98,,2015.66,percent of total billed charges,98% of total billed charges,2519.58,98,,2015.66,percent of total billed charges,98% of total billed charges,1234.08,48,,987.26,percent of total billed charges,48% of total billed charges,1156.95,45,,925.56,percent of total billed charges,45% of total billed charges,983.41,38.25,,786.73,percent of total billed charges,38.25% of total billed charges,1156.95,45,,925.56,percent of total billed charges,45% of total billed charges,1156.95,45,,925.56,percent of total billed charges,45% of total billed charges,983.41,2539.89,
EXCISION NASAL POLYP EXTENSIVE,10030115,CDM,761,RC,30115,HCPCS,OUTPATIENT,,,1550,1240,,1472.5,95,,1178,percent of total billed charges,95% of total billed charges,1468.16,94.72,,1174.53,percent of total billed charges,94.72% of total billed charges,1531.25,98.79,,1225,percent of total billed charges,98.79% of total billed charges,1519,98,,1215.2,percent of total billed charges,98% of total billed charges,1519,98,,1215.2,percent of total billed charges,98% of total billed charges,744,48,,595.2,percent of total billed charges,48% of total billed charges,697.5,45,,558,percent of total billed charges,45% of total billed charges,592.88,38.25,,474.3,percent of total billed charges,38.25% of total billed charges,697.5,45,,558,percent of total billed charges,45% of total billed charges,697.5,45,,558,percent of total billed charges,45% of total billed charges,592.88,1531.25,
EXC/DESTRUCTION INTRANASAL LSN INT APPR,10030117,CDM,761,RC,30117,HCPCS,OUTPATIENT,,,3204,2563.2,,3043.8,95,,2435.04,percent of total billed charges,95% of total billed charges,3034.83,94.72,,2427.86,percent of total billed charges,94.72% of total billed charges,3165.23,98.79,,2532.18,percent of total billed charges,98.79% of total billed charges,3139.92,98,,2511.94,percent of total billed charges,98% of total billed charges,3139.92,98,,2511.94,percent of total billed charges,98% of total billed charges,1537.92,48,,1230.34,percent of total billed charges,48% of total billed charges,1441.8,45,,1153.44,percent of total billed charges,45% of total billed charges,1225.53,38.25,,980.42,percent of total billed charges,38.25% of total billed charges,1441.8,45,,1153.44,percent of total billed charges,45% of total billed charges,1441.8,45,,1153.44,percent of total billed charges,45% of total billed charges,1225.53,3165.23,
Nasal/sinus endoscopy| surgical| with sphenoidotomy;,10031287,CDM,761,RC,31287,HCPCS,OUTPATIENT,,,2723,2178.4,,2586.85,95,,2069.48,percent of total billed charges,95% of total billed charges,2579.23,94.72,,2063.38,percent of total billed charges,94.72% of total billed charges,2690.05,98.79,,2152.04,percent of total billed charges,98.79% of total billed charges,2668.54,98,,2134.83,percent of total billed charges,98% of total billed charges,2668.54,98,,2134.83,percent of total billed charges,98% of total billed charges,1307.04,48,,1045.63,percent of total billed charges,48% of total billed charges,1225.35,45,,980.28,percent of total billed charges,45% of total billed charges,1041.55,38.25,,833.24,percent of total billed charges,38.25% of total billed charges,1225.35,45,,980.28,percent of total billed charges,45% of total billed charges,1225.35,45,,980.28,percent of total billed charges,45% of total billed charges,1041.55,2690.05,
31525 LARYNGOSCOPY DIRECT W/WO TRACHEOSCOP-Techfee,10031525,CDM,761,RC,31525,HCPCS,OUTPATIENT,,,974,779.2,,925.3,95,,740.24,percent of total billed charges,95% of total billed charges,922.57,94.72,,738.06,percent of total billed charges,94.72% of total billed charges,962.21,98.79,,769.77,percent of total billed charges,98.79% of total billed charges,954.52,98,,763.62,percent of total billed charges,98% of total billed charges,954.52,98,,763.62,percent of total billed charges,98% of total billed charges,467.52,48,,374.02,percent of total billed charges,48% of total billed charges,438.3,45,,350.64,percent of total billed charges,45% of total billed charges,372.56,38.25,,298.05,percent of total billed charges,38.25% of total billed charges,438.3,45,,350.64,percent of total billed charges,45% of total billed charges,438.3,45,,350.64,percent of total billed charges,45% of total billed charges,372.56,962.21,
31575 LARYNGOSCOPY FLEXIBLE DIAGNOSTIC CHARGE,10031575,CDM,761,RC,31575,HCPCS,OUTPATIENT,,,459,367.2,,436.05,95,,348.84,percent of total billed charges,95% of total billed charges,434.76,94.72,,347.81,percent of total billed charges,94.72% of total billed charges,453.45,98.79,,362.76,percent of total billed charges,98.79% of total billed charges,449.82,98,,359.86,percent of total billed charges,98% of total billed charges,449.82,98,,359.86,percent of total billed charges,98% of total billed charges,220.32,48,,176.26,percent of total billed charges,48% of total billed charges,206.55,45,,165.24,percent of total billed charges,45% of total billed charges,175.57,38.25,,140.46,percent of total billed charges,38.25% of total billed charges,206.55,45,,165.24,percent of total billed charges,45% of total billed charges,206.55,45,,165.24,percent of total billed charges,45% of total billed charges,175.57,453.45,
31576 LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES) CHARGE,10031576,CDM,761,RC,31576,HCPCS,OUTPATIENT,,,1068,854.4,,1014.6,95,,811.68,percent of total billed charges,95% of total billed charges,1011.61,94.72,,809.29,percent of total billed charges,94.72% of total billed charges,1055.08,98.79,,844.06,percent of total billed charges,98.79% of total billed charges,1046.64,98,,837.31,percent of total billed charges,98% of total billed charges,1046.64,98,,837.31,percent of total billed charges,98% of total billed charges,512.64,48,,410.11,percent of total billed charges,48% of total billed charges,480.6,45,,384.48,percent of total billed charges,45% of total billed charges,408.51,38.25,,326.81,percent of total billed charges,38.25% of total billed charges,480.6,45,,384.48,percent of total billed charges,45% of total billed charges,480.6,45,,384.48,percent of total billed charges,45% of total billed charges,408.51,1055.08,
32408 Core Needle Bx Lung/Mediastinum Perq W/Img,10032408,CDM,761,RC,32408,HCPCS,OUTPATIENT,,,5497,4397.6,,5222.15,95,,4177.72,percent of total billed charges,95% of total billed charges,5206.76,94.72,,4165.41,percent of total billed charges,94.72% of total billed charges,5430.49,98.79,,4344.39,percent of total billed charges,98.79% of total billed charges,5387.06,98,,4309.65,percent of total billed charges,98% of total billed charges,5387.06,98,,4309.65,percent of total billed charges,98% of total billed charges,2638.56,48,,2110.85,percent of total billed charges,48% of total billed charges,2473.65,45,,1978.92,percent of total billed charges,45% of total billed charges,2102.6,38.25,,1682.08,percent of total billed charges,38.25% of total billed charges,2473.65,45,,1978.92,percent of total billed charges,45% of total billed charges,2473.65,45,,1978.92,percent of total billed charges,45% of total billed charges,2102.6,5430.49,
SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH,10036011,CDM,761,RC,36011,HCPCS,OUTPATIENT,,,2449,1959.2,,2326.55,95,,1861.24,percent of total billed charges,95% of total billed charges,2319.69,94.72,,1855.75,percent of total billed charges,94.72% of total billed charges,2419.37,98.79,,1935.5,percent of total billed charges,98.79% of total billed charges,2400.02,98,,1920.02,percent of total billed charges,98% of total billed charges,2400.02,98,,1920.02,percent of total billed charges,98% of total billed charges,1175.52,48,,940.42,percent of total billed charges,48% of total billed charges,1102.05,45,,881.64,percent of total billed charges,45% of total billed charges,936.74,38.25,,749.39,percent of total billed charges,38.25% of total billed charges,1102.05,45,,881.64,percent of total billed charges,45% of total billed charges,1102.05,45,,881.64,percent of total billed charges,45% of total billed charges,936.74,2419.37,
INS PICC DEVICE W PORT 5YRS>,10036571,CDM,761,RC,36571,HCPCS,OUTPATIENT,,,2625,2100,,2493.75,95,,1995,percent of total billed charges,95% of total billed charges,2486.4,94.72,,1989.12,percent of total billed charges,94.72% of total billed charges,2593.24,98.79,,2074.59,percent of total billed charges,98.79% of total billed charges,2572.5,98,,2058,percent of total billed charges,98% of total billed charges,2572.5,98,,2058,percent of total billed charges,98% of total billed charges,1260,48,,1008,percent of total billed charges,48% of total billed charges,1181.25,45,,945,percent of total billed charges,45% of total billed charges,1004.06,38.25,,803.25,percent of total billed charges,38.25% of total billed charges,1181.25,45,,945,percent of total billed charges,45% of total billed charges,1181.25,45,,945,percent of total billed charges,45% of total billed charges,1004.06,2593.24,
REMOVAL TUNNELED CV CATH,10036589,CDM,761,RC,36589,HCPCS,OUTPATIENT,,,762,609.6,,723.9,95,,579.12,percent of total billed charges,95% of total billed charges,721.77,94.72,,577.42,percent of total billed charges,94.72% of total billed charges,752.78,98.79,,602.22,percent of total billed charges,98.79% of total billed charges,746.76,98,,597.41,percent of total billed charges,98% of total billed charges,746.76,98,,597.41,percent of total billed charges,98% of total billed charges,365.76,48,,292.61,percent of total billed charges,48% of total billed charges,342.9,45,,274.32,percent of total billed charges,45% of total billed charges,291.47,38.25,,233.18,percent of total billed charges,38.25% of total billed charges,342.9,45,,274.32,percent of total billed charges,45% of total billed charges,342.9,45,,274.32,percent of total billed charges,45% of total billed charges,291.47,752.78,
REMOVAL TUNNELED CV CATH,10036590,CDM,761,RC,36590,HCPCS,OUTPATIENT,,,944,755.2,,896.8,95,,717.44,percent of total billed charges,95% of total billed charges,894.16,94.72,,715.33,percent of total billed charges,94.72% of total billed charges,932.58,98.79,,746.06,percent of total billed charges,98.79% of total billed charges,925.12,98,,740.1,percent of total billed charges,98% of total billed charges,925.12,98,,740.1,percent of total billed charges,98% of total billed charges,453.12,48,,362.5,percent of total billed charges,48% of total billed charges,424.8,45,,339.84,percent of total billed charges,45% of total billed charges,361.08,38.25,,288.86,percent of total billed charges,38.25% of total billed charges,424.8,45,,339.84,percent of total billed charges,45% of total billed charges,424.8,45,,339.84,percent of total billed charges,45% of total billed charges,361.08,932.58,
LIGATE OR BX TEMPORAL ARTERY,10037609,CDM,761,RC,37609,HCPCS,OUTPATIENT,,,857,685.6,,814.15,95,,651.32,percent of total billed charges,95% of total billed charges,811.75,94.72,,649.4,percent of total billed charges,94.72% of total billed charges,846.63,98.79,,677.3,percent of total billed charges,98.79% of total billed charges,839.86,98,,671.89,percent of total billed charges,98% of total billed charges,839.86,98,,671.89,percent of total billed charges,98% of total billed charges,411.36,48,,329.09,percent of total billed charges,48% of total billed charges,385.65,45,,308.52,percent of total billed charges,45% of total billed charges,327.8,38.25,,262.24,percent of total billed charges,38.25% of total billed charges,385.65,45,,308.52,percent of total billed charges,45% of total billed charges,385.65,45,,308.52,percent of total billed charges,45% of total billed charges,327.8,846.63,
LIGATION MAJOR ARTERY EXTREMITY,10037618,CDM,761,RC,37618,HCPCS,OUTPATIENT,,,2298,1838.4,,2183.1,95,,1746.48,percent of total billed charges,95% of total billed charges,2176.67,94.72,,1741.34,percent of total billed charges,94.72% of total billed charges,2270.19,98.79,,1816.15,percent of total billed charges,98.79% of total billed charges,2252.04,98,,1801.63,percent of total billed charges,98% of total billed charges,2252.04,98,,1801.63,percent of total billed charges,98% of total billed charges,1103.04,48,,882.43,percent of total billed charges,48% of total billed charges,1034.1,45,,827.28,percent of total billed charges,45% of total billed charges,878.99,38.25,,703.19,percent of total billed charges,38.25% of total billed charges,1034.1,45,,827.28,percent of total billed charges,45% of total billed charges,1034.1,45,,827.28,percent of total billed charges,45% of total billed charges,878.99,2270.19,
LIGDIV LONG SAPH VEIN SAPHFEM JUNCT/INT,10037700,CDM,761,RC,37700,HCPCS,OUTPATIENT,,,1518,1214.4,,1442.1,95,,1153.68,percent of total billed charges,95% of total billed charges,1437.85,94.72,,1150.28,percent of total billed charges,94.72% of total billed charges,1499.63,98.79,,1199.7,percent of total billed charges,98.79% of total billed charges,1487.64,98,,1190.11,percent of total billed charges,98% of total billed charges,1487.64,98,,1190.11,percent of total billed charges,98% of total billed charges,728.64,48,,582.91,percent of total billed charges,48% of total billed charges,683.1,45,,546.48,percent of total billed charges,45% of total billed charges,580.64,38.25,,464.51,percent of total billed charges,38.25% of total billed charges,683.1,45,,546.48,percent of total billed charges,45% of total billed charges,683.1,45,,546.48,percent of total billed charges,45% of total billed charges,580.64,1499.63,
37761 LIG PRFRATR VEIN SUBFSL OPEN INCL US GID CHARGE,10037761,CDM,761,RC,37761,HCPCS,OUTPATIENT,,,2634,2107.2,,2502.3,95,,2001.84,percent of total billed charges,95% of total billed charges,2494.92,94.72,,1995.94,percent of total billed charges,94.72% of total billed charges,2602.13,98.79,,2081.7,percent of total billed charges,98.79% of total billed charges,2581.32,98,,2065.06,percent of total billed charges,98% of total billed charges,2581.32,98,,2065.06,percent of total billed charges,98% of total billed charges,1264.32,48,,1011.46,percent of total billed charges,48% of total billed charges,1185.3,45,,948.24,percent of total billed charges,45% of total billed charges,1007.51,38.25,,806.01,percent of total billed charges,38.25% of total billed charges,1185.3,45,,948.24,percent of total billed charges,45% of total billed charges,1185.3,45,,948.24,percent of total billed charges,45% of total billed charges,1007.51,2602.13,
38100 REMOVE SPLEEN TOTAL CHARGE,10038100,CDM,761,RC,38100,HCPCS,OUTPATIENT,,,3972,3177.6,,3773.4,95,,3018.72,percent of total billed charges,95% of total billed charges,3762.28,94.72,,3009.82,percent of total billed charges,94.72% of total billed charges,3923.94,98.79,,3139.15,percent of total billed charges,98.79% of total billed charges,3892.56,98,,3114.05,percent of total billed charges,98% of total billed charges,3892.56,98,,3114.05,percent of total billed charges,98% of total billed charges,1906.56,48,,1525.25,percent of total billed charges,48% of total billed charges,1787.4,45,,1429.92,percent of total billed charges,45% of total billed charges,1519.29,38.25,,1215.43,percent of total billed charges,38.25% of total billed charges,1787.4,45,,1429.92,percent of total billed charges,45% of total billed charges,1787.4,45,,1429.92,percent of total billed charges,45% of total billed charges,1519.29,3923.94,
38760 INGUINOFEM LYMPHADENECTOMY SUPERF CHARGE,10038760,CDM,761,RC,38760,HCPCS,OUTPATIENT,,,2507,2005.6,,2381.65,95,,1905.32,percent of total billed charges,95% of total billed charges,2374.63,94.72,,1899.7,percent of total billed charges,94.72% of total billed charges,2476.67,98.79,,1981.34,percent of total billed charges,98.79% of total billed charges,2456.86,98,,1965.49,percent of total billed charges,98% of total billed charges,2456.86,98,,1965.49,percent of total billed charges,98% of total billed charges,1203.36,48,,962.69,percent of total billed charges,48% of total billed charges,1128.15,45,,902.52,percent of total billed charges,45% of total billed charges,958.93,38.25,,767.14,percent of total billed charges,38.25% of total billed charges,1128.15,45,,902.52,percent of total billed charges,45% of total billed charges,1128.15,45,,902.52,percent of total billed charges,45% of total billed charges,958.93,2476.67,
38790 INJECTION PROCEDURE LYMPHANGIOGRAPHY,10038790,CDM,761,RC,38790,HCPCS,OUTPATIENT,,,527,421.6,,500.65,95,,400.52,percent of total billed charges,95% of total billed charges,499.17,94.72,,399.34,percent of total billed charges,94.72% of total billed charges,520.62,98.79,,416.5,percent of total billed charges,98.79% of total billed charges,516.46,98,,413.17,percent of total billed charges,98% of total billed charges,516.46,98,,413.17,percent of total billed charges,98% of total billed charges,252.96,48,,202.37,percent of total billed charges,48% of total billed charges,237.15,45,,189.72,percent of total billed charges,45% of total billed charges,201.58,38.25,,161.26,percent of total billed charges,38.25% of total billed charges,237.15,45,,189.72,percent of total billed charges,45% of total billed charges,237.15,45,,189.72,percent of total billed charges,45% of total billed charges,201.58,520.62,
INTRAOPERATIVE ID SENTINEL LYMPH NODE(S),10038900,CDM,761,RC,38900,HCPCS,OUTPATIENT,,,509,407.2,,483.55,95,,386.84,percent of total billed charges,95% of total billed charges,482.12,94.72,,385.7,percent of total billed charges,94.72% of total billed charges,502.84,98.79,,402.27,percent of total billed charges,98.79% of total billed charges,498.82,98,,399.06,percent of total billed charges,98% of total billed charges,498.82,98,,399.06,percent of total billed charges,98% of total billed charges,244.32,48,,195.46,percent of total billed charges,48% of total billed charges,229.05,45,,183.24,percent of total billed charges,45% of total billed charges,194.69,38.25,,155.75,percent of total billed charges,38.25% of total billed charges,229.05,45,,183.24,percent of total billed charges,45% of total billed charges,229.05,45,,183.24,percent of total billed charges,45% of total billed charges,194.69,502.84,
BIOPSY TONGUE ANTERIOR TWO-THIRDS,10041100,CDM,761,RC,41100,HCPCS,OUTPATIENT,,,655,524,,622.25,95,,497.8,percent of total billed charges,95% of total billed charges,620.42,94.72,,496.34,percent of total billed charges,94.72% of total billed charges,647.07,98.79,,517.66,percent of total billed charges,98.79% of total billed charges,641.9,98,,513.52,percent of total billed charges,98% of total billed charges,641.9,98,,513.52,percent of total billed charges,98% of total billed charges,314.4,48,,251.52,percent of total billed charges,48% of total billed charges,294.75,45,,235.8,percent of total billed charges,45% of total billed charges,250.54,38.25,,200.43,percent of total billed charges,38.25% of total billed charges,294.75,45,,235.8,percent of total billed charges,45% of total billed charges,294.75,45,,235.8,percent of total billed charges,45% of total billed charges,250.54,647.07,
EXCISION LESION FLOOR MOUTH,10041116,CDM,761,RC,41116,HCPCS,OUTPATIENT,,,1301,1040.8,,1235.95,95,,988.76,percent of total billed charges,95% of total billed charges,1232.31,94.72,,985.85,percent of total billed charges,94.72% of total billed charges,1285.26,98.79,,1028.21,percent of total billed charges,98.79% of total billed charges,1274.98,98,,1019.98,percent of total billed charges,98% of total billed charges,1274.98,98,,1019.98,percent of total billed charges,98% of total billed charges,624.48,48,,499.58,percent of total billed charges,48% of total billed charges,585.45,45,,468.36,percent of total billed charges,45% of total billed charges,497.63,38.25,,398.1,percent of total billed charges,38.25% of total billed charges,585.45,45,,468.36,percent of total billed charges,45% of total billed charges,585.45,45,,468.36,percent of total billed charges,45% of total billed charges,497.63,1285.26,
SUBMUCOSAL ABLTJ TONGUE RF 1/> SITES PR,10041530,CDM,761,RC,41530,HCPCS,OUTPATIENT,,,8835,7068,,8393.25,95,,6714.6,percent of total billed charges,95% of total billed charges,8368.51,94.72,,6694.81,percent of total billed charges,94.72% of total billed charges,8728.1,98.79,,6982.48,percent of total billed charges,98.79% of total billed charges,8658.3,98,,6926.64,percent of total billed charges,98% of total billed charges,8658.3,98,,6926.64,percent of total billed charges,98% of total billed charges,4240.8,48,,3392.64,percent of total billed charges,48% of total billed charges,3975.75,45,,3180.6,percent of total billed charges,45% of total billed charges,3379.39,38.25,,2703.51,percent of total billed charges,38.25% of total billed charges,3975.75,45,,3180.6,percent of total billed charges,45% of total billed charges,3975.75,45,,3180.6,percent of total billed charges,45% of total billed charges,3379.39,8728.1,
UVULECTOMY,10042140,CDM,761,RC,42140,HCPCS,OUTPATIENT,,,1377,1101.6,,1308.15,95,,1046.52,percent of total billed charges,95% of total billed charges,1304.29,94.72,,1043.43,percent of total billed charges,94.72% of total billed charges,1360.34,98.79,,1088.27,percent of total billed charges,98.79% of total billed charges,1349.46,98,,1079.57,percent of total billed charges,98% of total billed charges,1349.46,98,,1079.57,percent of total billed charges,98% of total billed charges,660.96,48,,528.77,percent of total billed charges,48% of total billed charges,619.65,45,,495.72,percent of total billed charges,45% of total billed charges,526.7,38.25,,421.36,percent of total billed charges,38.25% of total billed charges,619.65,45,,495.72,percent of total billed charges,45% of total billed charges,619.65,45,,495.72,percent of total billed charges,45% of total billed charges,526.7,1360.34,
DSTRJ LESION PALATE/UVULA THRML CRYO/CHM,10042160,CDM,761,RC,42160,HCPCS,OUTPATIENT,,,775,620,,736.25,95,,589,percent of total billed charges,95% of total billed charges,734.08,94.72,,587.26,percent of total billed charges,94.72% of total billed charges,765.62,98.79,,612.5,percent of total billed charges,98.79% of total billed charges,759.5,98,,607.6,percent of total billed charges,98% of total billed charges,759.5,98,,607.6,percent of total billed charges,98% of total billed charges,372,48,,297.6,percent of total billed charges,48% of total billed charges,348.75,45,,279,percent of total billed charges,45% of total billed charges,296.44,38.25,,237.15,percent of total billed charges,38.25% of total billed charges,348.75,45,,279,percent of total billed charges,45% of total billed charges,348.75,45,,279,percent of total billed charges,45% of total billed charges,296.44,765.62,
REMOVAL OF SALIVARY STONE,10042330,CDM,761,RC,42330,HCPCS,OUTPATIENT,,,841,672.8,,798.95,95,,639.16,percent of total billed charges,95% of total billed charges,796.6,94.72,,637.28,percent of total billed charges,94.72% of total billed charges,830.82,98.79,,664.66,percent of total billed charges,98.79% of total billed charges,824.18,98,,659.34,percent of total billed charges,98% of total billed charges,824.18,98,,659.34,percent of total billed charges,98% of total billed charges,403.68,48,,322.94,percent of total billed charges,48% of total billed charges,378.45,45,,302.76,percent of total billed charges,45% of total billed charges,321.68,38.25,,257.34,percent of total billed charges,38.25% of total billed charges,378.45,45,,302.76,percent of total billed charges,45% of total billed charges,378.45,45,,302.76,percent of total billed charges,45% of total billed charges,321.68,830.82,
EXC PRTD TUM/PRTD GLND LAT DSJPRSRV FAC,10042415,CDM,761,RC,42415,HCPCS,OUTPATIENT,,,6228,4982.4,,5916.6,95,,4733.28,percent of total billed charges,95% of total billed charges,5899.16,94.72,,4719.33,percent of total billed charges,94.72% of total billed charges,6152.64,98.79,,4922.11,percent of total billed charges,98.79% of total billed charges,6103.44,98,,4882.75,percent of total billed charges,98% of total billed charges,6103.44,98,,4882.75,percent of total billed charges,98% of total billed charges,2989.44,48,,2391.55,percent of total billed charges,48% of total billed charges,2802.6,45,,2242.08,percent of total billed charges,45% of total billed charges,2382.21,38.25,,1905.77,percent of total billed charges,38.25% of total billed charges,2802.6,45,,2242.08,percent of total billed charges,45% of total billed charges,2802.6,45,,2242.08,percent of total billed charges,45% of total billed charges,2382.21,6152.64,
Excision of parotid tumor or parotid gland; total| with diss,10042420,CDM,761,RC,42420,HCPCS,OUTPATIENT,,,5992,4793.6,,5692.4,95,,4553.92,percent of total billed charges,95% of total billed charges,5675.62,94.72,,4540.5,percent of total billed charges,94.72% of total billed charges,5919.5,98.79,,4735.6,percent of total billed charges,98.79% of total billed charges,5872.16,98,,4697.73,percent of total billed charges,98% of total billed charges,5872.16,98,,4697.73,percent of total billed charges,98% of total billed charges,2876.16,48,,2300.93,percent of total billed charges,48% of total billed charges,2696.4,45,,2157.12,percent of total billed charges,45% of total billed charges,2291.94,38.25,,1833.55,percent of total billed charges,38.25% of total billed charges,2696.4,45,,2157.12,percent of total billed charges,45% of total billed charges,2696.4,45,,2157.12,percent of total billed charges,45% of total billed charges,2291.94,5919.5,
BIOPSY OROPHARYNX,10042800,CDM,761,RC,42800,HCPCS,OUTPATIENT,,,648,518.4,,615.6,95,,492.48,percent of total billed charges,95% of total billed charges,613.79,94.72,,491.03,percent of total billed charges,94.72% of total billed charges,640.16,98.79,,512.13,percent of total billed charges,98.79% of total billed charges,635.04,98,,508.03,percent of total billed charges,98% of total billed charges,635.04,98,,508.03,percent of total billed charges,98% of total billed charges,311.04,48,,248.83,percent of total billed charges,48% of total billed charges,291.6,45,,233.28,percent of total billed charges,45% of total billed charges,247.86,38.25,,198.29,percent of total billed charges,38.25% of total billed charges,291.6,45,,233.28,percent of total billed charges,45% of total billed charges,291.6,45,,233.28,percent of total billed charges,45% of total billed charges,247.86,640.16,
EXPLORE SMALL INTESTINE,10044020,CDM,761,RC,44020,HCPCS,OUTPATIENT,,,3019,2415.2,,2868.05,95,,2294.44,percent of total billed charges,95% of total billed charges,2859.6,94.72,,2287.68,percent of total billed charges,94.72% of total billed charges,2982.47,98.79,,2385.98,percent of total billed charges,98.79% of total billed charges,2958.62,98,,2366.9,percent of total billed charges,98% of total billed charges,2958.62,98,,2366.9,percent of total billed charges,98% of total billed charges,1449.12,48,,1159.3,percent of total billed charges,48% of total billed charges,1358.55,45,,1086.84,percent of total billed charges,45% of total billed charges,1154.77,38.25,,923.82,percent of total billed charges,38.25% of total billed charges,1358.55,45,,1086.84,percent of total billed charges,45% of total billed charges,1358.55,45,,1086.84,percent of total billed charges,45% of total billed charges,1154.77,2982.47,
44143 COLECTOMY W END COLOSTOMY & CLOSURE CHARGE,10044143,CDM,761,RC,44143,HCPCS,OUTPATIENT,,,7404,5923.2,,7033.8,95,,5627.04,percent of total billed charges,95% of total billed charges,7013.07,94.72,,5610.46,percent of total billed charges,94.72% of total billed charges,7314.41,98.79,,5851.53,percent of total billed charges,98.79% of total billed charges,7255.92,98,,5804.74,percent of total billed charges,98% of total billed charges,7255.92,98,,5804.74,percent of total billed charges,98% of total billed charges,3553.92,48,,2843.14,percent of total billed charges,48% of total billed charges,3331.8,45,,2665.44,percent of total billed charges,45% of total billed charges,2832.03,38.25,,2265.62,percent of total billed charges,38.25% of total billed charges,3331.8,45,,2665.44,percent of total billed charges,45% of total billed charges,3331.8,45,,2665.44,percent of total billed charges,45% of total billed charges,2832.03,7314.41,
INC  DRAIN ISCHIO/PERIRECTAL ABSCES,10046040,CDM,761,RC,46040,HCPCS,OUTPATIENT,,,1315,1052,,1249.25,95,,999.4,percent of total billed charges,95% of total billed charges,1245.57,94.72,,996.46,percent of total billed charges,94.72% of total billed charges,1299.09,98.79,,1039.27,percent of total billed charges,98.79% of total billed charges,1288.7,98,,1030.96,percent of total billed charges,98% of total billed charges,1288.7,98,,1030.96,percent of total billed charges,98% of total billed charges,631.2,48,,504.96,percent of total billed charges,48% of total billed charges,591.75,45,,473.4,percent of total billed charges,45% of total billed charges,502.99,38.25,,402.39,percent of total billed charges,38.25% of total billed charges,591.75,45,,473.4,percent of total billed charges,45% of total billed charges,591.75,45,,473.4,percent of total billed charges,45% of total billed charges,502.99,1299.09,
49180 BIOPSY| ABDOMINAL OR RETROPERITONEAL MASS,10049180,CDM,761,RC,49180,HCPCS,OUTPATIENT,,,841,672.8,,798.95,95,,639.16,percent of total billed charges,95% of total billed charges,796.6,94.72,,637.28,percent of total billed charges,94.72% of total billed charges,830.82,98.79,,664.66,percent of total billed charges,98.79% of total billed charges,824.18,98,,659.34,percent of total billed charges,98% of total billed charges,824.18,98,,659.34,percent of total billed charges,98% of total billed charges,403.68,48,,322.94,percent of total billed charges,48% of total billed charges,378.45,45,,302.76,percent of total billed charges,45% of total billed charges,321.68,38.25,,257.34,percent of total billed charges,38.25% of total billed charges,378.45,45,,302.76,percent of total billed charges,45% of total billed charges,378.45,45,,302.76,percent of total billed charges,45% of total billed charges,321.68,830.82,
Bladder Scan (Ultrasound Measurement),10051798,CDM,761,RC,51798,HCPCS,OUTPATIENT,,,87,69.6,,82.65,95,,66.12,percent of total billed charges,95% of total billed charges,82.41,94.72,,65.93,percent of total billed charges,94.72% of total billed charges,85.95,98.79,,68.76,percent of total billed charges,98.79% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,41.76,48,,33.41,percent of total billed charges,48% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,38.25,,26.62,percent of total billed charges,38.25% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,85.95,
CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY,10052275,CDM,761,RC,52275,HCPCS,OUTPATIENT,,,2143,1714.4,,2035.85,95,,1628.68,percent of total billed charges,95% of total billed charges,2029.85,94.72,,1623.88,percent of total billed charges,94.72% of total billed charges,2117.07,98.79,,1693.66,percent of total billed charges,98.79% of total billed charges,2100.14,98,,1680.11,percent of total billed charges,98% of total billed charges,2100.14,98,,1680.11,percent of total billed charges,98% of total billed charges,1028.64,48,,822.91,percent of total billed charges,48% of total billed charges,964.35,45,,771.48,percent of total billed charges,45% of total billed charges,819.7,38.25,,655.76,percent of total billed charges,38.25% of total billed charges,964.35,45,,771.48,percent of total billed charges,45% of total billed charges,964.35,45,,771.48,percent of total billed charges,45% of total billed charges,819.7,2117.07,
CYSTOURETHROSCOPY W/RMVL URETERAL CALCUL,10052320,CDM,761,RC,52320,HCPCS,OUTPATIENT,,,1515,1212,,1439.25,95,,1151.4,percent of total billed charges,95% of total billed charges,1435.01,94.72,,1148.01,percent of total billed charges,94.72% of total billed charges,1496.67,98.79,,1197.34,percent of total billed charges,98.79% of total billed charges,1484.7,98,,1187.76,percent of total billed charges,98% of total billed charges,1484.7,98,,1187.76,percent of total billed charges,98% of total billed charges,727.2,48,,581.76,percent of total billed charges,48% of total billed charges,681.75,45,,545.4,percent of total billed charges,45% of total billed charges,579.49,38.25,,463.59,percent of total billed charges,38.25% of total billed charges,681.75,45,,545.4,percent of total billed charges,45% of total billed charges,681.75,45,,545.4,percent of total billed charges,45% of total billed charges,579.49,1496.67,
CYSTO W/URTROSCOPY W/TX URETERAL STRICTU,10052344,CDM,761,RC,52344,HCPCS,OUTPATIENT,,,2182,1745.6,,2072.9,95,,1658.32,percent of total billed charges,95% of total billed charges,2066.79,94.72,,1653.43,percent of total billed charges,94.72% of total billed charges,2155.6,98.79,,1724.48,percent of total billed charges,98.79% of total billed charges,2138.36,98,,1710.69,percent of total billed charges,98% of total billed charges,2138.36,98,,1710.69,percent of total billed charges,98% of total billed charges,1047.36,48,,837.89,percent of total billed charges,48% of total billed charges,981.9,45,,785.52,percent of total billed charges,45% of total billed charges,834.62,38.25,,667.7,percent of total billed charges,38.25% of total billed charges,981.9,45,,785.52,percent of total billed charges,45% of total billed charges,981.9,45,,785.52,percent of total billed charges,45% of total billed charges,834.62,2155.6,
THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK D,10060252,CDM,761,RC,60252,HCPCS,OUTPATIENT,,,7800,6240,,7410,95,,5928,percent of total billed charges,95% of total billed charges,7388.16,94.72,,5910.53,percent of total billed charges,94.72% of total billed charges,7705.62,98.79,,6164.5,percent of total billed charges,98.79% of total billed charges,7644,98,,6115.2,percent of total billed charges,98% of total billed charges,7644,98,,6115.2,percent of total billed charges,98% of total billed charges,3744,48,,2995.2,percent of total billed charges,48% of total billed charges,3510,45,,2808,percent of total billed charges,45% of total billed charges,2983.5,38.25,,2386.8,percent of total billed charges,38.25% of total billed charges,3510,45,,2808,percent of total billed charges,45% of total billed charges,3510,45,,2808,percent of total billed charges,45% of total billed charges,2983.5,7705.62,
ASPIRATION/INJ THRYOID CYST,10060300,CDM,761,RC,60300,HCPCS,OUTPATIENT,,,756,604.8,,718.2,95,,574.56,percent of total billed charges,95% of total billed charges,716.08,94.72,,572.86,percent of total billed charges,94.72% of total billed charges,746.85,98.79,,597.48,percent of total billed charges,98.79% of total billed charges,740.88,98,,592.7,percent of total billed charges,98% of total billed charges,740.88,98,,592.7,percent of total billed charges,98% of total billed charges,362.88,48,,290.3,percent of total billed charges,48% of total billed charges,340.2,45,,272.16,percent of total billed charges,45% of total billed charges,289.17,38.25,,231.34,percent of total billed charges,38.25% of total billed charges,340.2,45,,272.16,percent of total billed charges,45% of total billed charges,340.2,45,,272.16,percent of total billed charges,45% of total billed charges,289.17,746.85,
PARATHYROIDECTOMY/EXPLORE PARATHYROID,10060500,CDM,761,RC,60500,HCPCS,OUTPATIENT,,,6950,5560,,6602.5,95,,5282,percent of total billed charges,95% of total billed charges,6583.04,94.72,,5266.43,percent of total billed charges,94.72% of total billed charges,6865.91,98.79,,5492.73,percent of total billed charges,98.79% of total billed charges,6811,98,,5448.8,percent of total billed charges,98% of total billed charges,6811,98,,5448.8,percent of total billed charges,98% of total billed charges,3336,48,,2668.8,percent of total billed charges,48% of total billed charges,3127.5,45,,2502,percent of total billed charges,45% of total billed charges,2658.38,38.25,,2126.7,percent of total billed charges,38.25% of total billed charges,3127.5,45,,2502,percent of total billed charges,45% of total billed charges,3127.5,45,,2502,percent of total billed charges,45% of total billed charges,2658.38,6865.91,
MYELOGRAPHY INJ LUMBOSACRAL,10062304,CDM,761,RC,62304,HCPCS,OUTPATIENT,,,1419,1135.2,,1348.05,95,,1078.44,percent of total billed charges,95% of total billed charges,1344.08,94.72,,1075.26,percent of total billed charges,94.72% of total billed charges,1401.83,98.79,,1121.46,percent of total billed charges,98.79% of total billed charges,1390.62,98,,1112.5,percent of total billed charges,98% of total billed charges,1390.62,98,,1112.5,percent of total billed charges,98% of total billed charges,681.12,48,,544.9,percent of total billed charges,48% of total billed charges,638.55,45,,510.84,percent of total billed charges,45% of total billed charges,542.77,38.25,,434.22,percent of total billed charges,38.25% of total billed charges,638.55,45,,510.84,percent of total billed charges,45% of total billed charges,638.55,45,,510.84,percent of total billed charges,45% of total billed charges,542.77,1401.83,
62321 INJ DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,10062321,CDM,761,RC,62321,HCPCS,OUTPATIENT,,,1369,1095.2,,1300.55,95,,1040.44,percent of total billed charges,95% of total billed charges,1296.72,94.72,,1037.38,percent of total billed charges,94.72% of total billed charges,1352.44,98.79,,1081.95,percent of total billed charges,98.79% of total billed charges,1341.62,98,,1073.3,percent of total billed charges,98% of total billed charges,1341.62,98,,1073.3,percent of total billed charges,98% of total billed charges,657.12,48,,525.7,percent of total billed charges,48% of total billed charges,616.05,45,,492.84,percent of total billed charges,45% of total billed charges,523.64,38.25,,418.91,percent of total billed charges,38.25% of total billed charges,616.05,45,,492.84,percent of total billed charges,45% of total billed charges,616.05,45,,492.84,percent of total billed charges,45% of total billed charges,523.64,1352.44,
62322 INJ DX/THERA/LUMBAR/SACRAL,10062322,CDM,761,RC,62322,HCPCS,OUTPATIENT,,,930,744,,883.5,95,,706.8,percent of total billed charges,95% of total billed charges,880.9,94.72,,704.72,percent of total billed charges,94.72% of total billed charges,918.75,98.79,,735,percent of total billed charges,98.79% of total billed charges,911.4,98,,729.12,percent of total billed charges,98% of total billed charges,911.4,98,,729.12,percent of total billed charges,98% of total billed charges,446.4,48,,357.12,percent of total billed charges,48% of total billed charges,418.5,45,,334.8,percent of total billed charges,45% of total billed charges,355.73,38.25,,284.58,percent of total billed charges,38.25% of total billed charges,418.5,45,,334.8,percent of total billed charges,45% of total billed charges,418.5,45,,334.8,percent of total billed charges,45% of total billed charges,355.73,918.75,
Injection Lmbr/Scrl Epidural,10062323,CDM,761,RC,62323,HCPCS,OUTPATIENT,,,1314,1051.2,,1248.3,95,,998.64,percent of total billed charges,95% of total billed charges,1244.62,94.72,,995.7,percent of total billed charges,94.72% of total billed charges,1298.1,98.79,,1038.48,percent of total billed charges,98.79% of total billed charges,1287.72,98,,1030.18,percent of total billed charges,98% of total billed charges,1287.72,98,,1030.18,percent of total billed charges,98% of total billed charges,630.72,48,,504.58,percent of total billed charges,48% of total billed charges,591.3,45,,473.04,percent of total billed charges,45% of total billed charges,502.61,38.25,,402.09,percent of total billed charges,38.25% of total billed charges,591.3,45,,473.04,percent of total billed charges,45% of total billed charges,591.3,45,,473.04,percent of total billed charges,45% of total billed charges,502.61,1298.1,
INJ ANESTHETIC AGENT>OCCIPITAL NERV,10064405,CDM,761,RC,64405,HCPCS,OUTPATIENT,,,506,404.8,,480.7,95,,384.56,percent of total billed charges,95% of total billed charges,479.28,94.72,,383.42,percent of total billed charges,94.72% of total billed charges,499.88,98.79,,399.9,percent of total billed charges,98.79% of total billed charges,495.88,98,,396.7,percent of total billed charges,98% of total billed charges,495.88,98,,396.7,percent of total billed charges,98% of total billed charges,242.88,48,,194.3,percent of total billed charges,48% of total billed charges,227.7,45,,182.16,percent of total billed charges,45% of total billed charges,193.55,38.25,,154.84,percent of total billed charges,38.25% of total billed charges,227.7,45,,182.16,percent of total billed charges,45% of total billed charges,227.7,45,,182.16,percent of total billed charges,45% of total billed charges,193.55,499.88,
TRANSFORAMINAL INJ THORACIC,10064479,CDM,761,RC,64479,HCPCS,OUTPATIENT,,,2528,2022.4,,2401.6,95,,1921.28,percent of total billed charges,95% of total billed charges,2394.52,94.72,,1915.62,percent of total billed charges,94.72% of total billed charges,2497.41,98.79,,1997.93,percent of total billed charges,98.79% of total billed charges,2477.44,98,,1981.95,percent of total billed charges,98% of total billed charges,2477.44,98,,1981.95,percent of total billed charges,98% of total billed charges,1213.44,48,,970.75,percent of total billed charges,48% of total billed charges,1137.6,45,,910.08,percent of total billed charges,45% of total billed charges,966.96,38.25,,773.57,percent of total billed charges,38.25% of total billed charges,1137.6,45,,910.08,percent of total billed charges,45% of total billed charges,1137.6,45,,910.08,percent of total billed charges,45% of total billed charges,966.96,2497.41,
64483 LUMBAR/CAUDEL EPIDURAL INJ ANTHES OR STE,10064483,CDM,761,RC,64483,HCPCS,OUTPATIENT,,,1443,1154.4,,1370.85,95,,1096.68,percent of total billed charges,95% of total billed charges,1366.81,94.72,,1093.45,percent of total billed charges,94.72% of total billed charges,1425.54,98.79,,1140.43,percent of total billed charges,98.79% of total billed charges,1414.14,98,,1131.31,percent of total billed charges,98% of total billed charges,1414.14,98,,1131.31,percent of total billed charges,98% of total billed charges,692.64,48,,554.11,percent of total billed charges,48% of total billed charges,649.35,45,,519.48,percent of total billed charges,45% of total billed charges,551.95,38.25,,441.56,percent of total billed charges,38.25% of total billed charges,649.35,45,,519.48,percent of total billed charges,45% of total billed charges,649.35,45,,519.48,percent of total billed charges,45% of total billed charges,551.95,1425.54,
CHEMODENERVATION MUSCLE NECK UNI DYSTONI,10064616,CDM,761,RC,64616,HCPCS,OUTPATIENT,,,629,503.2,,597.55,95,,478.04,percent of total billed charges,95% of total billed charges,595.79,94.72,,476.63,percent of total billed charges,94.72% of total billed charges,621.39,98.79,,497.11,percent of total billed charges,98.79% of total billed charges,616.42,98,,493.14,percent of total billed charges,98% of total billed charges,616.42,98,,493.14,percent of total billed charges,98% of total billed charges,301.92,48,,241.54,percent of total billed charges,48% of total billed charges,283.05,45,,226.44,percent of total billed charges,45% of total billed charges,240.59,38.25,,192.47,percent of total billed charges,38.25% of total billed charges,283.05,45,,226.44,percent of total billed charges,45% of total billed charges,283.05,45,,226.44,percent of total billed charges,45% of total billed charges,240.59,621.39,
DSTRJ NEUROLYTIC AGNT OTHER PERIPHERAL N,10064640,CDM,761,RC,64640,HCPCS,OUTPATIENT,,,794,635.2,,754.3,95,,603.44,percent of total billed charges,95% of total billed charges,752.08,94.72,,601.66,percent of total billed charges,94.72% of total billed charges,784.39,98.79,,627.51,percent of total billed charges,98.79% of total billed charges,778.12,98,,622.5,percent of total billed charges,98% of total billed charges,778.12,98,,622.5,percent of total billed charges,98% of total billed charges,381.12,48,,304.9,percent of total billed charges,48% of total billed charges,357.3,45,,285.84,percent of total billed charges,45% of total billed charges,303.71,38.25,,242.97,percent of total billed charges,38.25% of total billed charges,357.3,45,,285.84,percent of total billed charges,45% of total billed charges,357.3,45,,285.84,percent of total billed charges,45% of total billed charges,303.71,784.39,
CHEMODENERVATION 1 EXTREMITY 1-4 MUSCLES,10064642,CDM,761,RC,64642,HCPCS,OUTPATIENT,,,671,536.8,,637.45,95,,509.96,percent of total billed charges,95% of total billed charges,635.57,94.72,,508.46,percent of total billed charges,94.72% of total billed charges,662.88,98.79,,530.3,percent of total billed charges,98.79% of total billed charges,657.58,98,,526.06,percent of total billed charges,98% of total billed charges,657.58,98,,526.06,percent of total billed charges,98% of total billed charges,322.08,48,,257.66,percent of total billed charges,48% of total billed charges,301.95,45,,241.56,percent of total billed charges,45% of total billed charges,256.66,38.25,,205.33,percent of total billed charges,38.25% of total billed charges,301.95,45,,241.56,percent of total billed charges,45% of total billed charges,301.95,45,,241.56,percent of total billed charges,45% of total billed charges,256.66,662.88,
CHEMODENERVATION 1 EXTMY EA ADDL1-4 MSCL,10064643,CDM,761,RC,64643,HCPCS,OUTPATIENT,,,450,360,,427.5,95,,342,percent of total billed charges,95% of total billed charges,426.24,94.72,,340.99,percent of total billed charges,94.72% of total billed charges,444.56,98.79,,355.65,percent of total billed charges,98.79% of total billed charges,441,98,,352.8,percent of total billed charges,98% of total billed charges,441,98,,352.8,percent of total billed charges,98% of total billed charges,216,48,,172.8,percent of total billed charges,48% of total billed charges,202.5,45,,162,percent of total billed charges,45% of total billed charges,172.13,38.25,,137.7,percent of total billed charges,38.25% of total billed charges,202.5,45,,162,percent of total billed charges,45% of total billed charges,202.5,45,,162,percent of total billed charges,45% of total billed charges,172.13,444.56,
CHEMODENERVATION 1 EXTMY 5 OR MORE MUSCL,10064644,CDM,761,RC,64644,HCPCS,OUTPATIENT,,,750,600,,712.5,95,,570,percent of total billed charges,95% of total billed charges,710.4,94.72,,568.32,percent of total billed charges,94.72% of total billed charges,740.93,98.79,,592.74,percent of total billed charges,98.79% of total billed charges,735,98,,588,percent of total billed charges,98% of total billed charges,735,98,,588,percent of total billed charges,98% of total billed charges,360,48,,288,percent of total billed charges,48% of total billed charges,337.5,45,,270,percent of total billed charges,45% of total billed charges,286.88,38.25,,229.5,percent of total billed charges,38.25% of total billed charges,337.5,45,,270,percent of total billed charges,45% of total billed charges,337.5,45,,270,percent of total billed charges,45% of total billed charges,286.88,740.93,
CHEMODENERVATION 1 EXTMY ES ADL5 /> MUSC,10064645,CDM,761,RC,64645,HCPCS,OUTPATIENT,,,533,426.4,,506.35,95,,405.08,percent of total billed charges,95% of total billed charges,504.86,94.72,,403.89,percent of total billed charges,94.72% of total billed charges,526.55,98.79,,421.24,percent of total billed charges,98.79% of total billed charges,522.34,98,,417.87,percent of total billed charges,98% of total billed charges,522.34,98,,417.87,percent of total billed charges,98% of total billed charges,255.84,48,,204.67,percent of total billed charges,48% of total billed charges,239.85,45,,191.88,percent of total billed charges,45% of total billed charges,203.87,38.25,,163.1,percent of total billed charges,38.25% of total billed charges,239.85,45,,191.88,percent of total billed charges,45% of total billed charges,239.85,45,,191.88,percent of total billed charges,45% of total billed charges,203.87,526.55,
67700 Blepharotomy| drainage of abscess| eyelid Surgery,10067700,CDM,761,RC,67700,HCPCS,OUTPATIENT,,,962,769.6,,913.9,95,,731.12,percent of total billed charges,95% of total billed charges,911.21,94.72,,728.97,percent of total billed charges,94.72% of total billed charges,950.36,98.79,,760.29,percent of total billed charges,98.79% of total billed charges,942.76,98,,754.21,percent of total billed charges,98% of total billed charges,942.76,98,,754.21,percent of total billed charges,98% of total billed charges,461.76,48,,369.41,percent of total billed charges,48% of total billed charges,432.9,45,,346.32,percent of total billed charges,45% of total billed charges,367.97,38.25,,294.38,percent of total billed charges,38.25% of total billed charges,432.9,45,,346.32,percent of total billed charges,45% of total billed charges,432.9,45,,346.32,percent of total billed charges,45% of total billed charges,367.97,950.36,
67715 CANTHOTOMY SEPARATE PROCEDURE CHARGE,10067715,CDM,761,RC,67715,HCPCS,OUTPATIENT,,,1139,911.2,,1082.05,95,,865.64,percent of total billed charges,95% of total billed charges,1078.86,94.72,,863.09,percent of total billed charges,94.72% of total billed charges,1125.22,98.79,,900.18,percent of total billed charges,98.79% of total billed charges,1116.22,98,,892.98,percent of total billed charges,98% of total billed charges,1116.22,98,,892.98,percent of total billed charges,98% of total billed charges,546.72,48,,437.38,percent of total billed charges,48% of total billed charges,512.55,45,,410.04,percent of total billed charges,45% of total billed charges,435.67,38.25,,348.54,percent of total billed charges,38.25% of total billed charges,512.55,45,,410.04,percent of total billed charges,45% of total billed charges,512.55,45,,410.04,percent of total billed charges,45% of total billed charges,435.67,1125.22,
67800 Excision of chalazion| single,10067800,CDM,761,RC,67800,HCPCS,OUTPATIENT,,,462,369.6,,438.9,95,,351.12,percent of total billed charges,95% of total billed charges,437.61,94.72,,350.09,percent of total billed charges,94.72% of total billed charges,456.41,98.79,,365.13,percent of total billed charges,98.79% of total billed charges,452.76,98,,362.21,percent of total billed charges,98% of total billed charges,452.76,98,,362.21,percent of total billed charges,98% of total billed charges,221.76,48,,177.41,percent of total billed charges,48% of total billed charges,207.9,45,,166.32,percent of total billed charges,45% of total billed charges,176.72,38.25,,141.38,percent of total billed charges,38.25% of total billed charges,207.9,45,,166.32,percent of total billed charges,45% of total billed charges,207.9,45,,166.32,percent of total billed charges,45% of total billed charges,176.72,456.41,
69000 Drainage external ear| abscess or hematoma; simple,10069000,CDM,761,RC,69000,HCPCS,OUTPATIENT,,,554,443.2,,526.3,95,,421.04,percent of total billed charges,95% of total billed charges,524.75,94.72,,419.8,percent of total billed charges,94.72% of total billed charges,547.3,98.79,,437.84,percent of total billed charges,98.79% of total billed charges,542.92,98,,434.34,percent of total billed charges,98% of total billed charges,542.92,98,,434.34,percent of total billed charges,98% of total billed charges,265.92,48,,212.74,percent of total billed charges,48% of total billed charges,249.3,45,,199.44,percent of total billed charges,45% of total billed charges,211.91,38.25,,169.53,percent of total billed charges,38.25% of total billed charges,249.3,45,,199.44,percent of total billed charges,45% of total billed charges,249.3,45,,199.44,percent of total billed charges,45% of total billed charges,211.91,547.3,
69105 BIOPSY EXTERNAL AUDITORY CANAL CHARGE,10069105,CDM,761,RC,69105,HCPCS,OUTPATIENT,,,515,412,,489.25,95,,391.4,percent of total billed charges,95% of total billed charges,487.81,94.72,,390.25,percent of total billed charges,94.72% of total billed charges,508.77,98.79,,407.02,percent of total billed charges,98.79% of total billed charges,504.7,98,,403.76,percent of total billed charges,98% of total billed charges,504.7,98,,403.76,percent of total billed charges,98% of total billed charges,247.2,48,,197.76,percent of total billed charges,48% of total billed charges,231.75,45,,185.4,percent of total billed charges,45% of total billed charges,196.99,38.25,,157.59,percent of total billed charges,38.25% of total billed charges,231.75,45,,185.4,percent of total billed charges,45% of total billed charges,231.75,45,,185.4,percent of total billed charges,45% of total billed charges,196.99,508.77,
69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG CHARGE,10069209,CDM,761,RC,69209,HCPCS,OUTPATIENT,,,84,67.2,,79.8,95,,63.84,percent of total billed charges,95% of total billed charges,79.56,94.72,,63.65,percent of total billed charges,94.72% of total billed charges,82.98,98.79,,66.38,percent of total billed charges,98.79% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,82.32,98,,65.86,percent of total billed charges,98% of total billed charges,40.32,48,,32.26,percent of total billed charges,48% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,38.25,,25.7,percent of total billed charges,38.25% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,37.8,45,,30.24,percent of total billed charges,45% of total billed charges,32.13,82.98,
69220 DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE CHARGE,10069220,CDM,761,RC,69220,HCPCS,OUTPATIENT,,,236,188.8,,224.2,95,,179.36,percent of total billed charges,95% of total billed charges,223.54,94.72,,178.83,percent of total billed charges,94.72% of total billed charges,233.14,98.79,,186.51,percent of total billed charges,98.79% of total billed charges,231.28,98,,185.02,percent of total billed charges,98% of total billed charges,231.28,98,,185.02,percent of total billed charges,98% of total billed charges,113.28,48,,90.62,percent of total billed charges,48% of total billed charges,106.2,45,,84.96,percent of total billed charges,45% of total billed charges,90.27,38.25,,72.22,percent of total billed charges,38.25% of total billed charges,106.2,45,,84.96,percent of total billed charges,45% of total billed charges,106.2,45,,84.96,percent of total billed charges,45% of total billed charges,90.27,233.14,
69420 MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ CHARGE,10069420,CDM,761,RC,69420,HCPCS,OUTPATIENT,,,665,532,,631.75,95,,505.4,percent of total billed charges,95% of total billed charges,629.89,94.72,,503.91,percent of total billed charges,94.72% of total billed charges,656.95,98.79,,525.56,percent of total billed charges,98.79% of total billed charges,651.7,98,,521.36,percent of total billed charges,98% of total billed charges,651.7,98,,521.36,percent of total billed charges,98% of total billed charges,319.2,48,,255.36,percent of total billed charges,48% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,254.36,38.25,,203.49,percent of total billed charges,38.25% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,299.25,45,,239.4,percent of total billed charges,45% of total billed charges,254.36,656.95,
69424 VENTILATING TUBE RMVL REQUIRING GNRL ANE CHARGE,10069424,CDM,761,RC,69424,HCPCS,OUTPATIENT,,,504,403.2,,478.8,95,,383.04,percent of total billed charges,95% of total billed charges,477.39,94.72,,381.91,percent of total billed charges,94.72% of total billed charges,497.9,98.79,,398.32,percent of total billed charges,98.79% of total billed charges,493.92,98,,395.14,percent of total billed charges,98% of total billed charges,493.92,98,,395.14,percent of total billed charges,98% of total billed charges,241.92,48,,193.54,percent of total billed charges,48% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,192.78,38.25,,154.22,percent of total billed charges,38.25% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,192.78,497.9,
69433 TYMPANOSTOMY CREATE EARDRUM OPENING CHARGE,10069433,CDM,761,RC,69433,HCPCS,OUTPATIENT,,,1217,973.6,,1156.15,95,,924.92,percent of total billed charges,95% of total billed charges,1152.74,94.72,,922.19,percent of total billed charges,94.72% of total billed charges,1202.27,98.79,,961.82,percent of total billed charges,98.79% of total billed charges,1192.66,98,,954.13,percent of total billed charges,98% of total billed charges,1192.66,98,,954.13,percent of total billed charges,98% of total billed charges,584.16,48,,467.33,percent of total billed charges,48% of total billed charges,547.65,45,,438.12,percent of total billed charges,45% of total billed charges,465.5,38.25,,372.4,percent of total billed charges,38.25% of total billed charges,547.65,45,,438.12,percent of total billed charges,45% of total billed charges,547.65,45,,438.12,percent of total billed charges,45% of total billed charges,465.5,1202.27,
69610 TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATC CHARGE,10069610,CDM,761,RC,69610,HCPCS,OUTPATIENT,,,1301,1040.8,,1235.95,95,,988.76,percent of total billed charges,95% of total billed charges,1232.31,94.72,,985.85,percent of total billed charges,94.72% of total billed charges,1285.26,98.79,,1028.21,percent of total billed charges,98.79% of total billed charges,1274.98,98,,1019.98,percent of total billed charges,98% of total billed charges,1274.98,98,,1019.98,percent of total billed charges,98% of total billed charges,624.48,48,,499.58,percent of total billed charges,48% of total billed charges,585.45,45,,468.36,percent of total billed charges,45% of total billed charges,497.63,38.25,,398.1,percent of total billed charges,38.25% of total billed charges,585.45,45,,468.36,percent of total billed charges,45% of total billed charges,585.45,45,,468.36,percent of total billed charges,45% of total billed charges,497.63,1285.26,
LABYRINTHOTOMY TRANSCANAL,10069801,CDM,761,RC,69801,HCPCS,OUTPATIENT,,,6738,5390.4,,6401.1,95,,5120.88,percent of total billed charges,95% of total billed charges,6382.23,94.72,,5105.78,percent of total billed charges,94.72% of total billed charges,6656.47,98.79,,5325.18,percent of total billed charges,98.79% of total billed charges,6603.24,98,,5282.59,percent of total billed charges,98% of total billed charges,6603.24,98,,5282.59,percent of total billed charges,98% of total billed charges,3234.24,48,,2587.39,percent of total billed charges,48% of total billed charges,3032.1,45,,2425.68,percent of total billed charges,45% of total billed charges,2577.29,38.25,,2061.83,percent of total billed charges,38.25% of total billed charges,3032.1,45,,2425.68,percent of total billed charges,45% of total billed charges,3032.1,45,,2425.68,percent of total billed charges,45% of total billed charges,2577.29,6656.47,
BACILLUS CALMETTE-GUERIN VACCINE INTRAVE,10090586,CDM,761,RC,90586,HCPCS,OUTPATIENT,,,372,297.6,,353.4,95,,282.72,percent of total billed charges,95% of total billed charges,352.36,94.72,,281.89,percent of total billed charges,94.72% of total billed charges,367.5,98.79,,294,percent of total billed charges,98.79% of total billed charges,364.56,98,,291.65,percent of total billed charges,98% of total billed charges,364.56,98,,291.65,percent of total billed charges,98% of total billed charges,178.56,48,,142.85,percent of total billed charges,48% of total billed charges,167.4,45,,133.92,percent of total billed charges,45% of total billed charges,142.29,38.25,,113.83,percent of total billed charges,38.25% of total billed charges,167.4,45,,133.92,percent of total billed charges,45% of total billed charges,167.4,45,,133.92,percent of total billed charges,45% of total billed charges,142.29,367.5,
NEG PRESS WOUND TX <50CM,10097605,CDM,761,RC,97605,HCPCS,OUTPATIENT,,,295,236,,280.25,95,,224.2,percent of total billed charges,95% of total billed charges,279.42,94.72,,223.54,percent of total billed charges,94.72% of total billed charges,291.43,98.79,,233.14,percent of total billed charges,98.79% of total billed charges,289.1,98,,231.28,percent of total billed charges,98% of total billed charges,289.1,98,,231.28,percent of total billed charges,98% of total billed charges,141.6,48,,113.28,percent of total billed charges,48% of total billed charges,132.75,45,,106.2,percent of total billed charges,45% of total billed charges,112.84,38.25,,90.27,percent of total billed charges,38.25% of total billed charges,132.75,45,,106.2,percent of total billed charges,45% of total billed charges,132.75,45,,106.2,percent of total billed charges,45% of total billed charges,112.84,291.43,
NEG PRESSURE WND THRPY NON DME>50 SQ CM,10097608,CDM,761,RC,97608,HCPCS,OUTPATIENT,,,590,472,,560.5,95,,448.4,percent of total billed charges,95% of total billed charges,558.85,94.72,,447.08,percent of total billed charges,94.72% of total billed charges,582.86,98.79,,466.29,percent of total billed charges,98.79% of total billed charges,578.2,98,,462.56,percent of total billed charges,98% of total billed charges,578.2,98,,462.56,percent of total billed charges,98% of total billed charges,283.2,48,,226.56,percent of total billed charges,48% of total billed charges,265.5,45,,212.4,percent of total billed charges,45% of total billed charges,225.68,38.25,,180.54,percent of total billed charges,38.25% of total billed charges,265.5,45,,212.4,percent of total billed charges,45% of total billed charges,265.5,45,,212.4,percent of total billed charges,45% of total billed charges,225.68,582.86,
CHRNC CARE MGMT SVC MIN OF 30 MIN PER MO,10099491,CDM,761,RC,99491,HCPCS,OUTPATIENT,,,311,248.8,,295.45,95,,236.36,percent of total billed charges,95% of total billed charges,294.58,94.72,,235.66,percent of total billed charges,94.72% of total billed charges,307.24,98.79,,245.79,percent of total billed charges,98.79% of total billed charges,304.78,98,,243.82,percent of total billed charges,98% of total billed charges,304.78,98,,243.82,percent of total billed charges,98% of total billed charges,149.28,48,,119.42,percent of total billed charges,48% of total billed charges,139.95,45,,111.96,percent of total billed charges,45% of total billed charges,118.96,38.25,,95.17,percent of total billed charges,38.25% of total billed charges,139.95,45,,111.96,percent of total billed charges,45% of total billed charges,139.95,45,,111.96,percent of total billed charges,45% of total billed charges,118.96,307.24,
20690 APPLY UNIL UNIPLANE CHARGE,10120690,CDM,761,RC,20690,HCPCS,OUTPATIENT,,,1295,1036,,1230.25,95,,984.2,percent of total billed charges,95% of total billed charges,1226.62,94.72,,981.3,percent of total billed charges,94.72% of total billed charges,1279.33,98.79,,1023.46,percent of total billed charges,98.79% of total billed charges,1269.1,98,,1015.28,percent of total billed charges,98% of total billed charges,1269.1,98,,1015.28,percent of total billed charges,98% of total billed charges,621.6,48,,497.28,percent of total billed charges,48% of total billed charges,582.75,45,,466.2,percent of total billed charges,45% of total billed charges,495.34,38.25,,396.27,percent of total billed charges,38.25% of total billed charges,582.75,45,,466.2,percent of total billed charges,45% of total billed charges,582.75,45,,466.2,percent of total billed charges,45% of total billed charges,495.34,1279.33,
CL TX RADIAL  UNLA FX W/MANIPL,10125565,CDM,761,RC,25565,HCPCS,OUTPATIENT,,,1775,1420,,1686.25,95,,1349,percent of total billed charges,95% of total billed charges,1681.28,94.72,,1345.02,percent of total billed charges,94.72% of total billed charges,1753.52,98.79,,1402.82,percent of total billed charges,98.79% of total billed charges,1739.5,98,,1391.6,percent of total billed charges,98% of total billed charges,1739.5,98,,1391.6,percent of total billed charges,98% of total billed charges,852,48,,681.6,percent of total billed charges,48% of total billed charges,798.75,45,,639,percent of total billed charges,45% of total billed charges,678.94,38.25,,543.15,percent of total billed charges,38.25% of total billed charges,798.75,45,,639,percent of total billed charges,45% of total billed charges,798.75,45,,639,percent of total billed charges,45% of total billed charges,678.94,1753.52,
TREAT FRACTURE RADIUS UNLA,10125574,CDM,761,RC,25574,HCPCS,OUTPATIENT,,,5810,4648,,5519.5,95,,4415.6,percent of total billed charges,95% of total billed charges,5503.23,94.72,,4402.58,percent of total billed charges,94.72% of total billed charges,5739.7,98.79,,4591.76,percent of total billed charges,98.79% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,2788.8,48,,2231.04,percent of total billed charges,48% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,38.25,,1777.86,percent of total billed charges,38.25% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,5739.7,
OP TX RADIAL/ULNAR FX,10125575,CDM,761,RC,25575,HCPCS,OUTPATIENT,,,2565,2052,,2436.75,95,,1949.4,percent of total billed charges,95% of total billed charges,2429.57,94.72,,1943.66,percent of total billed charges,94.72% of total billed charges,2533.96,98.79,,2027.17,percent of total billed charges,98.79% of total billed charges,2513.7,98,,2010.96,percent of total billed charges,98% of total billed charges,2513.7,98,,2010.96,percent of total billed charges,98% of total billed charges,1231.2,48,,984.96,percent of total billed charges,48% of total billed charges,1154.25,45,,923.4,percent of total billed charges,45% of total billed charges,981.11,38.25,,784.89,percent of total billed charges,38.25% of total billed charges,1154.25,45,,923.4,percent of total billed charges,45% of total billed charges,1154.25,45,,923.4,percent of total billed charges,45% of total billed charges,981.11,2533.96,
CL TX DISTAL RADIAL FX/EPIHY,10125600,CDM,761,RC,25600,HCPCS,OUTPATIENT,,,1847,1477.6,,1754.65,95,,1403.72,percent of total billed charges,95% of total billed charges,1749.48,94.72,,1399.58,percent of total billed charges,94.72% of total billed charges,1824.65,98.79,,1459.72,percent of total billed charges,98.79% of total billed charges,1810.06,98,,1448.05,percent of total billed charges,98% of total billed charges,1810.06,98,,1448.05,percent of total billed charges,98% of total billed charges,886.56,48,,709.25,percent of total billed charges,48% of total billed charges,831.15,45,,664.92,percent of total billed charges,45% of total billed charges,706.48,38.25,,565.18,percent of total billed charges,38.25% of total billed charges,831.15,45,,664.92,percent of total billed charges,45% of total billed charges,831.15,45,,664.92,percent of total billed charges,45% of total billed charges,706.48,1824.65,
TREAT FRACTURE RADIUS/ULNA,10125605,CDM,761,RC,25605,HCPCS,OUTPATIENT,,,1928,1542.4,,1831.6,95,,1465.28,percent of total billed charges,95% of total billed charges,1826.2,94.72,,1460.96,percent of total billed charges,94.72% of total billed charges,1904.67,98.79,,1523.74,percent of total billed charges,98.79% of total billed charges,1889.44,98,,1511.55,percent of total billed charges,98% of total billed charges,1889.44,98,,1511.55,percent of total billed charges,98% of total billed charges,925.44,48,,740.35,percent of total billed charges,48% of total billed charges,867.6,45,,694.08,percent of total billed charges,45% of total billed charges,737.46,38.25,,589.97,percent of total billed charges,38.25% of total billed charges,867.6,45,,694.08,percent of total billed charges,45% of total billed charges,867.6,45,,694.08,percent of total billed charges,45% of total billed charges,737.46,1904.67,
26410 REPAIR EXTENSOR TENDON HAND CHARGE,10126410,CDM,761,RC,26410,HCPCS,OUTPATIENT,,,1830,1464,,1738.5,95,,1390.8,percent of total billed charges,95% of total billed charges,1733.38,94.72,,1386.7,percent of total billed charges,94.72% of total billed charges,1807.86,98.79,,1446.29,percent of total billed charges,98.79% of total billed charges,1793.4,98,,1434.72,percent of total billed charges,98% of total billed charges,1793.4,98,,1434.72,percent of total billed charges,98% of total billed charges,878.4,48,,702.72,percent of total billed charges,48% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,699.98,38.25,,559.98,percent of total billed charges,38.25% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,823.5,45,,658.8,percent of total billed charges,45% of total billed charges,699.98,1807.86,
26765 TX FINGER FX EA CHARGE,10126765,CDM,761,RC,26765,HCPCS,OUTPATIENT,,,2713,2170.4,,2577.35,95,,2061.88,percent of total billed charges,95% of total billed charges,2569.75,94.72,,2055.8,percent of total billed charges,94.72% of total billed charges,2680.17,98.79,,2144.14,percent of total billed charges,98.79% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,1302.24,48,,1041.79,percent of total billed charges,48% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,38.25,,830.18,percent of total billed charges,38.25% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,2680.17,
27752 TREAT TIBIA FRACTURE CHARGE,10127752,CDM,761,RC,27752,HCPCS,OUTPATIENT,,,2071,1656.8,,1967.45,95,,1573.96,percent of total billed charges,95% of total billed charges,1961.65,94.72,,1569.32,percent of total billed charges,94.72% of total billed charges,2045.94,98.79,,1636.75,percent of total billed charges,98.79% of total billed charges,2029.58,98,,1623.66,percent of total billed charges,98% of total billed charges,2029.58,98,,1623.66,percent of total billed charges,98% of total billed charges,994.08,48,,795.26,percent of total billed charges,48% of total billed charges,931.95,45,,745.56,percent of total billed charges,45% of total billed charges,792.16,38.25,,633.73,percent of total billed charges,38.25% of total billed charges,931.95,45,,745.56,percent of total billed charges,45% of total billed charges,931.95,45,,745.56,percent of total billed charges,45% of total billed charges,792.16,2045.94,
27814 TREAT ANKLE FRACTURE CHARGE,10127814,CDM,761,RC,27814,HCPCS,OUTPATIENT,,,5810,4648,,5519.5,95,,4415.6,percent of total billed charges,95% of total billed charges,5503.23,94.72,,4402.58,percent of total billed charges,94.72% of total billed charges,5739.7,98.79,,4591.76,percent of total billed charges,98.79% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,2788.8,48,,2231.04,percent of total billed charges,48% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,38.25,,1777.86,percent of total billed charges,38.25% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,5739.7,
27870 OPEN ANKLE JNT FUSION CHARGE,10127870,CDM,761,RC,27870,HCPCS,OUTPATIENT,,,10635,8508,,10103.25,95,,8082.6,percent of total billed charges,95% of total billed charges,10073.47,94.72,,8058.78,percent of total billed charges,94.72% of total billed charges,10506.32,98.79,,8405.06,percent of total billed charges,98.79% of total billed charges,10422.3,98,,8337.84,percent of total billed charges,98% of total billed charges,10422.3,98,,8337.84,percent of total billed charges,98% of total billed charges,5104.8,48,,4083.84,percent of total billed charges,48% of total billed charges,4785.75,45,,3828.6,percent of total billed charges,45% of total billed charges,4067.89,38.25,,3254.31,percent of total billed charges,38.25% of total billed charges,4785.75,45,,3828.6,percent of total billed charges,45% of total billed charges,4785.75,45,,3828.6,percent of total billed charges,45% of total billed charges,4067.89,10506.32,
PARTIAL EXCISION BONE PHALANX OF TOE,10128124,CDM,761,RC,28124,HCPCS,OUTPATIENT,,,2713,2170.4,,2577.35,95,,2061.88,percent of total billed charges,95% of total billed charges,2569.75,94.72,,2055.8,percent of total billed charges,94.72% of total billed charges,2680.17,98.79,,2144.14,percent of total billed charges,98.79% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,1302.24,48,,1041.79,percent of total billed charges,48% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,38.25,,830.18,percent of total billed charges,38.25% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,2680.17,
28505 TX BIG TOE FX CHARGE,10128505,CDM,761,RC,28505,HCPCS,OUTPATIENT,,,1786,1428.8,,1696.7,95,,1357.36,percent of total billed charges,95% of total billed charges,1691.7,94.72,,1353.36,percent of total billed charges,94.72% of total billed charges,1764.39,98.79,,1411.51,percent of total billed charges,98.79% of total billed charges,1750.28,98,,1400.22,percent of total billed charges,98% of total billed charges,1750.28,98,,1400.22,percent of total billed charges,98% of total billed charges,857.28,48,,685.82,percent of total billed charges,48% of total billed charges,803.7,45,,642.96,percent of total billed charges,45% of total billed charges,683.15,38.25,,546.52,percent of total billed charges,38.25% of total billed charges,803.7,45,,642.96,percent of total billed charges,45% of total billed charges,803.7,45,,642.96,percent of total billed charges,45% of total billed charges,683.15,1764.39,
36569 INSERT PICC AGE 5YRS/> CHARGE,10236569,CDM,761,RC,36569,HCPCS,OUTPATIENT,,,827,661.6,,785.65,95,,628.52,percent of total billed charges,95% of total billed charges,783.33,94.72,,626.66,percent of total billed charges,94.72% of total billed charges,816.99,98.79,,653.59,percent of total billed charges,98.79% of total billed charges,810.46,98,,648.37,percent of total billed charges,98% of total billed charges,810.46,98,,648.37,percent of total billed charges,98% of total billed charges,396.96,48,,317.57,percent of total billed charges,48% of total billed charges,372.15,45,,297.72,percent of total billed charges,45% of total billed charges,316.33,38.25,,253.06,percent of total billed charges,38.25% of total billed charges,372.15,45,,297.72,percent of total billed charges,45% of total billed charges,372.15,45,,297.72,percent of total billed charges,45% of total billed charges,316.33,816.99,
36569 PICC PLACEMENT,10236569,CDM,761,RC,36569,HCPCS,OUTPATIENT,,,827,661.6,,785.65,95,,628.52,percent of total billed charges,95% of total billed charges,783.33,94.72,,626.66,percent of total billed charges,94.72% of total billed charges,816.99,98.79,,653.59,percent of total billed charges,98.79% of total billed charges,810.46,98,,648.37,percent of total billed charges,98% of total billed charges,810.46,98,,648.37,percent of total billed charges,98% of total billed charges,396.96,48,,317.57,percent of total billed charges,48% of total billed charges,372.15,45,,297.72,percent of total billed charges,45% of total billed charges,316.33,38.25,,253.06,percent of total billed charges,38.25% of total billed charges,372.15,45,,297.72,percent of total billed charges,45% of total billed charges,372.15,45,,297.72,percent of total billed charges,45% of total billed charges,316.33,816.99,
11042 WOUND DEBRIDE SUB-Q TISSUE,10911042,CDM,761,RC,11042,HCPCS,OUTPATIENT,,,411,328.8,,390.45,95,,312.36,percent of total billed charges,95% of total billed charges,389.3,94.72,,311.44,percent of total billed charges,94.72% of total billed charges,406.03,98.79,,324.82,percent of total billed charges,98.79% of total billed charges,402.78,98,,322.22,percent of total billed charges,98% of total billed charges,402.78,98,,322.22,percent of total billed charges,98% of total billed charges,197.28,48,,157.82,percent of total billed charges,48% of total billed charges,184.95,45,,147.96,percent of total billed charges,45% of total billed charges,157.21,38.25,,125.77,percent of total billed charges,38.25% of total billed charges,184.95,45,,147.96,percent of total billed charges,45% of total billed charges,184.95,45,,147.96,percent of total billed charges,45% of total billed charges,157.21,406.03,
DEBRIDE SKIN EA ADDTL,10911045,CDM,761,RC,11045,HCPCS,OUTPATIENT,,,204,163.2,,193.8,95,,155.04,percent of total billed charges,95% of total billed charges,193.23,94.72,,154.58,percent of total billed charges,94.72% of total billed charges,201.53,98.79,,161.22,percent of total billed charges,98.79% of total billed charges,199.92,98,,159.94,percent of total billed charges,98% of total billed charges,199.92,98,,159.94,percent of total billed charges,98% of total billed charges,97.92,48,,78.34,percent of total billed charges,48% of total billed charges,91.8,45,,73.44,percent of total billed charges,45% of total billed charges,78.03,38.25,,62.42,percent of total billed charges,38.25% of total billed charges,91.8,45,,73.44,percent of total billed charges,45% of total billed charges,91.8,45,,73.44,percent of total billed charges,45% of total billed charges,78.03,201.53,
DEBRIDE MUSCLE FASCIA EA ADDTL,10911046,CDM,761,RC,11046,HCPCS,OUTPATIENT,,,474,379.2,,450.3,95,,360.24,percent of total billed charges,95% of total billed charges,448.97,94.72,,359.18,percent of total billed charges,94.72% of total billed charges,468.26,98.79,,374.61,percent of total billed charges,98.79% of total billed charges,464.52,98,,371.62,percent of total billed charges,98% of total billed charges,464.52,98,,371.62,percent of total billed charges,98% of total billed charges,227.52,48,,182.02,percent of total billed charges,48% of total billed charges,213.3,45,,170.64,percent of total billed charges,45% of total billed charges,181.31,38.25,,145.05,percent of total billed charges,38.25% of total billed charges,213.3,45,,170.64,percent of total billed charges,45% of total billed charges,213.3,45,,170.64,percent of total billed charges,45% of total billed charges,181.31,468.26,
DEBRIDE BONE EA ADDTL,10911047,CDM,761,RC,11047,HCPCS,OUTPATIENT,,,752,601.6,,714.4,95,,571.52,percent of total billed charges,95% of total billed charges,712.29,94.72,,569.83,percent of total billed charges,94.72% of total billed charges,742.9,98.79,,594.32,percent of total billed charges,98.79% of total billed charges,736.96,98,,589.57,percent of total billed charges,98% of total billed charges,736.96,98,,589.57,percent of total billed charges,98% of total billed charges,360.96,48,,288.77,percent of total billed charges,48% of total billed charges,338.4,45,,270.72,percent of total billed charges,45% of total billed charges,287.64,38.25,,230.11,percent of total billed charges,38.25% of total billed charges,338.4,45,,270.72,percent of total billed charges,45% of total billed charges,338.4,45,,270.72,percent of total billed charges,45% of total billed charges,287.64,742.9,
REMOVE NAIL PLATE ADD-ON,10911732,CDM,761,RC,11732,HCPCS,OUTPATIENT,,,202,161.6,,191.9,95,,153.52,percent of total billed charges,95% of total billed charges,191.33,94.72,,153.06,percent of total billed charges,94.72% of total billed charges,199.56,98.79,,159.65,percent of total billed charges,98.79% of total billed charges,197.96,98,,158.37,percent of total billed charges,98% of total billed charges,197.96,98,,158.37,percent of total billed charges,98% of total billed charges,96.96,48,,77.57,percent of total billed charges,48% of total billed charges,90.9,45,,72.72,percent of total billed charges,45% of total billed charges,77.27,38.25,,61.82,percent of total billed charges,38.25% of total billed charges,90.9,45,,72.72,percent of total billed charges,45% of total billed charges,90.9,45,,72.72,percent of total billed charges,45% of total billed charges,77.27,199.56,
APP SKN SUB GRFT T/A/L AREA/100SQ CM,10915271,CDM,761,RC,15271,HCPCS,OUTPATIENT,,,1590,1272,,1510.5,95,,1208.4,percent of total billed charges,95% of total billed charges,1506.05,94.72,,1204.84,percent of total billed charges,94.72% of total billed charges,1570.76,98.79,,1256.61,percent of total billed charges,98.79% of total billed charges,1558.2,98,,1246.56,percent of total billed charges,98% of total billed charges,1558.2,98,,1246.56,percent of total billed charges,98% of total billed charges,763.2,48,,610.56,percent of total billed charges,48% of total billed charges,715.5,45,,572.4,percent of total billed charges,45% of total billed charges,608.18,38.25,,486.54,percent of total billed charges,38.25% of total billed charges,715.5,45,,572.4,percent of total billed charges,45% of total billed charges,715.5,45,,572.4,percent of total billed charges,45% of total billed charges,608.18,1570.76,
APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST,10915273,CDM,761,RC,15273,HCPCS,OUTPATIENT,,,1506,1204.8,,1430.7,95,,1144.56,percent of total billed charges,95% of total billed charges,1426.48,94.72,,1141.18,percent of total billed charges,94.72% of total billed charges,1487.78,98.79,,1190.22,percent of total billed charges,98.79% of total billed charges,1475.88,98,,1180.7,percent of total billed charges,98% of total billed charges,1475.88,98,,1180.7,percent of total billed charges,98% of total billed charges,722.88,48,,578.3,percent of total billed charges,48% of total billed charges,677.7,45,,542.16,percent of total billed charges,45% of total billed charges,576.05,38.25,,460.84,percent of total billed charges,38.25% of total billed charges,677.7,45,,542.16,percent of total billed charges,45% of total billed charges,677.7,45,,542.16,percent of total billed charges,45% of total billed charges,576.05,1487.78,
APP SKN SUB GRFT F/S/N/H/F/G/M/D <100SQ,10915275,CDM,761,RC,15275,HCPCS,OUTPATIENT,,,1590,1272,,1510.5,95,,1208.4,percent of total billed charges,95% of total billed charges,1506.05,94.72,,1204.84,percent of total billed charges,94.72% of total billed charges,1570.76,98.79,,1256.61,percent of total billed charges,98.79% of total billed charges,1558.2,98,,1246.56,percent of total billed charges,98% of total billed charges,1558.2,98,,1246.56,percent of total billed charges,98% of total billed charges,763.2,48,,610.56,percent of total billed charges,48% of total billed charges,715.5,45,,572.4,percent of total billed charges,45% of total billed charges,608.18,38.25,,486.54,percent of total billed charges,38.25% of total billed charges,715.5,45,,572.4,percent of total billed charges,45% of total billed charges,715.5,45,,572.4,percent of total billed charges,45% of total billed charges,608.18,1570.76,
APPLY SKIN SUB GRAFT UPO 100SQCM EA ADDI,10915276,CDM,761,RC,15276,HCPCS,OUTPATIENT,,,195,156,,185.25,95,,148.2,percent of total billed charges,95% of total billed charges,184.7,94.72,,147.76,percent of total billed charges,94.72% of total billed charges,192.64,98.79,,154.11,percent of total billed charges,98.79% of total billed charges,191.1,98,,152.88,percent of total billed charges,98% of total billed charges,191.1,98,,152.88,percent of total billed charges,98% of total billed charges,93.6,48,,74.88,percent of total billed charges,48% of total billed charges,87.75,45,,70.2,percent of total billed charges,45% of total billed charges,74.59,38.25,,59.67,percent of total billed charges,38.25% of total billed charges,87.75,45,,70.2,percent of total billed charges,45% of total billed charges,87.75,45,,70.2,percent of total billed charges,45% of total billed charges,74.59,192.64,
BIOPSY BONE TROCAR OR NEEDLE SUPERFICAL,10920220,CDM,761,RC,20220,HCPCS,OUTPATIENT,,,1376,1100.8,,1307.2,95,,1045.76,percent of total billed charges,95% of total billed charges,1303.35,94.72,,1042.68,percent of total billed charges,94.72% of total billed charges,1359.35,98.79,,1087.48,percent of total billed charges,98.79% of total billed charges,1348.48,98,,1078.78,percent of total billed charges,98% of total billed charges,1348.48,98,,1078.78,percent of total billed charges,98% of total billed charges,660.48,48,,528.38,percent of total billed charges,48% of total billed charges,619.2,45,,495.36,percent of total billed charges,45% of total billed charges,526.32,38.25,,421.06,percent of total billed charges,38.25% of total billed charges,619.2,45,,495.36,percent of total billed charges,45% of total billed charges,619.2,45,,495.36,percent of total billed charges,45% of total billed charges,526.32,1359.35,
OPEN SUPERFIC BONE BX,10920240,CDM,761,RC,20240,HCPCS,OUTPATIENT,,,756,604.8,,718.2,95,,574.56,percent of total billed charges,95% of total billed charges,716.08,94.72,,572.86,percent of total billed charges,94.72% of total billed charges,746.85,98.79,,597.48,percent of total billed charges,98.79% of total billed charges,740.88,98,,592.7,percent of total billed charges,98% of total billed charges,740.88,98,,592.7,percent of total billed charges,98% of total billed charges,362.88,48,,290.3,percent of total billed charges,48% of total billed charges,340.2,45,,272.16,percent of total billed charges,45% of total billed charges,289.17,38.25,,231.34,percent of total billed charges,38.25% of total billed charges,340.2,45,,272.16,percent of total billed charges,45% of total billed charges,340.2,45,,272.16,percent of total billed charges,45% of total billed charges,289.17,746.85,
REMOVE FOREIGN BODY,10920520,CDM,761,RC,20520,HCPCS,OUTPATIENT,,,644,515.2,,611.8,95,,489.44,percent of total billed charges,95% of total billed charges,610,94.72,,488,percent of total billed charges,94.72% of total billed charges,636.21,98.79,,508.97,percent of total billed charges,98.79% of total billed charges,631.12,98,,504.9,percent of total billed charges,98% of total billed charges,631.12,98,,504.9,percent of total billed charges,98% of total billed charges,309.12,48,,247.3,percent of total billed charges,48% of total billed charges,289.8,45,,231.84,percent of total billed charges,45% of total billed charges,246.33,38.25,,197.06,percent of total billed charges,38.25% of total billed charges,289.8,45,,231.84,percent of total billed charges,45% of total billed charges,289.8,45,,231.84,percent of total billed charges,45% of total billed charges,246.33,636.21,
INJ TENDON ORIGIN INSERTION SINGLE,10920551,CDM,761,RC,20551,HCPCS,OUTPATIENT,,,173,138.4,,164.35,95,,131.48,percent of total billed charges,95% of total billed charges,163.87,94.72,,131.1,percent of total billed charges,94.72% of total billed charges,170.91,98.79,,136.73,percent of total billed charges,98.79% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,83.04,48,,66.43,percent of total billed charges,48% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,38.25,,52.94,percent of total billed charges,38.25% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,170.91,
REMOVE SUPPORT IMPLANT,10920670,CDM,761,RC,20670,HCPCS,OUTPATIENT,,,1435,1148,,1363.25,95,,1090.6,percent of total billed charges,95% of total billed charges,1359.23,94.72,,1087.38,percent of total billed charges,94.72% of total billed charges,1417.64,98.79,,1134.11,percent of total billed charges,98.79% of total billed charges,1406.3,98,,1125.04,percent of total billed charges,98% of total billed charges,1406.3,98,,1125.04,percent of total billed charges,98% of total billed charges,688.8,48,,551.04,percent of total billed charges,48% of total billed charges,645.75,45,,516.6,percent of total billed charges,45% of total billed charges,548.89,38.25,,439.11,percent of total billed charges,38.25% of total billed charges,645.75,45,,516.6,percent of total billed charges,45% of total billed charges,645.75,45,,516.6,percent of total billed charges,45% of total billed charges,548.89,1417.64,
BONE GRAFT MINOR SMALL,10920900,CDM,761,RC,20900,HCPCS,OUTPATIENT,,,5810,4648,,5519.5,95,,4415.6,percent of total billed charges,95% of total billed charges,5503.23,94.72,,4402.58,percent of total billed charges,94.72% of total billed charges,5739.7,98.79,,4591.76,percent of total billed charges,98.79% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,2788.8,48,,2231.04,percent of total billed charges,48% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,38.25,,1777.86,percent of total billed charges,38.25% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,5739.7,
ARTHROTOMY ANKLE EXPORE DRAIN REM FB,10927610,CDM,761,RC,27610,HCPCS,OUTPATIENT,,,3870,3096,,3676.5,95,,2941.2,percent of total billed charges,95% of total billed charges,3665.66,94.72,,2932.53,percent of total billed charges,94.72% of total billed charges,3823.17,98.79,,3058.54,percent of total billed charges,98.79% of total billed charges,3792.6,98,,3034.08,percent of total billed charges,98% of total billed charges,3792.6,98,,3034.08,percent of total billed charges,98% of total billed charges,1857.6,48,,1486.08,percent of total billed charges,48% of total billed charges,1741.5,45,,1393.2,percent of total billed charges,45% of total billed charges,1480.28,38.25,,1184.22,percent of total billed charges,38.25% of total billed charges,1741.5,45,,1393.2,percent of total billed charges,45% of total billed charges,1741.5,45,,1393.2,percent of total billed charges,45% of total billed charges,1480.28,3823.17,
EXC TUMOR LEG/ANKLE SUBCUTANEOUS<3CM,10927618,CDM,761,RC,27618,HCPCS,OUTPATIENT,,,1937,1549.6,,1840.15,95,,1472.12,percent of total billed charges,95% of total billed charges,1834.73,94.72,,1467.78,percent of total billed charges,94.72% of total billed charges,1913.56,98.79,,1530.85,percent of total billed charges,98.79% of total billed charges,1898.26,98,,1518.61,percent of total billed charges,98% of total billed charges,1898.26,98,,1518.61,percent of total billed charges,98% of total billed charges,929.76,48,,743.81,percent of total billed charges,48% of total billed charges,871.65,45,,697.32,percent of total billed charges,45% of total billed charges,740.9,38.25,,592.72,percent of total billed charges,38.25% of total billed charges,871.65,45,,697.32,percent of total billed charges,45% of total billed charges,871.65,45,,697.32,percent of total billed charges,45% of total billed charges,740.9,1913.56,
2 REP TORN COLLAT ANKLE LIGAM,10927698,CDM,761,RC,27698,HCPCS,OUTPATIENT,,,5235,4188,,4973.25,95,,3978.6,percent of total billed charges,95% of total billed charges,4958.59,94.72,,3966.87,percent of total billed charges,94.72% of total billed charges,5171.66,98.79,,4137.33,percent of total billed charges,98.79% of total billed charges,5130.3,98,,4104.24,percent of total billed charges,98% of total billed charges,5130.3,98,,4104.24,percent of total billed charges,98% of total billed charges,2512.8,48,,2010.24,percent of total billed charges,48% of total billed charges,2355.75,45,,1884.6,percent of total billed charges,45% of total billed charges,2002.39,38.25,,1601.91,percent of total billed charges,38.25% of total billed charges,2355.75,45,,1884.6,percent of total billed charges,45% of total billed charges,2355.75,45,,1884.6,percent of total billed charges,45% of total billed charges,2002.39,5171.66,
EXPL W DR/REM FB IP FT JNT,10928024,CDM,761,RC,28024,HCPCS,OUTPATIENT,,,1288,1030.4,,1223.6,95,,978.88,percent of total billed charges,95% of total billed charges,1219.99,94.72,,975.99,percent of total billed charges,94.72% of total billed charges,1272.42,98.79,,1017.94,percent of total billed charges,98.79% of total billed charges,1262.24,98,,1009.79,percent of total billed charges,98% of total billed charges,1262.24,98,,1009.79,percent of total billed charges,98% of total billed charges,618.24,48,,494.59,percent of total billed charges,48% of total billed charges,579.6,45,,463.68,percent of total billed charges,45% of total billed charges,492.66,38.25,,394.13,percent of total billed charges,38.25% of total billed charges,579.6,45,,463.68,percent of total billed charges,45% of total billed charges,579.6,45,,463.68,percent of total billed charges,45% of total billed charges,492.66,1272.42,
RELEASE TARSAL TUNNEL,10928035,CDM,761,RC,28035,HCPCS,OUTPATIENT,,,2802,2241.6,,2661.9,95,,2129.52,percent of total billed charges,95% of total billed charges,2654.05,94.72,,2123.24,percent of total billed charges,94.72% of total billed charges,2768.1,98.79,,2214.48,percent of total billed charges,98.79% of total billed charges,2745.96,98,,2196.77,percent of total billed charges,98% of total billed charges,2745.96,98,,2196.77,percent of total billed charges,98% of total billed charges,1344.96,48,,1075.97,percent of total billed charges,48% of total billed charges,1260.9,45,,1008.72,percent of total billed charges,45% of total billed charges,1071.77,38.25,,857.42,percent of total billed charges,38.25% of total billed charges,1260.9,45,,1008.72,percent of total billed charges,45% of total billed charges,1260.9,45,,1008.72,percent of total billed charges,45% of total billed charges,1071.77,2768.1,
EXC FOOT/TOE/TUM 1.5CM>,10928041,CDM,761,RC,28041,HCPCS,OUTPATIENT,,,2391,1912.8,,2271.45,95,,1817.16,percent of total billed charges,95% of total billed charges,2264.76,94.72,,1811.81,percent of total billed charges,94.72% of total billed charges,2362.07,98.79,,1889.66,percent of total billed charges,98.79% of total billed charges,2343.18,98,,1874.54,percent of total billed charges,98% of total billed charges,2343.18,98,,1874.54,percent of total billed charges,98% of total billed charges,1147.68,48,,918.14,percent of total billed charges,48% of total billed charges,1075.95,45,,860.76,percent of total billed charges,45% of total billed charges,914.56,38.25,,731.65,percent of total billed charges,38.25% of total billed charges,1075.95,45,,860.76,percent of total billed charges,45% of total billed charges,1075.95,45,,860.76,percent of total billed charges,45% of total billed charges,914.56,2362.07,
EXC TUMOR FOOT SUBCUTANEOUS,10928043,CDM,761,RC,28043,HCPCS,OUTPATIENT,,,1346,1076.8,,1278.7,95,,1022.96,percent of total billed charges,95% of total billed charges,1274.93,94.72,,1019.94,percent of total billed charges,94.72% of total billed charges,1329.71,98.79,,1063.77,percent of total billed charges,98.79% of total billed charges,1319.08,98,,1055.26,percent of total billed charges,98% of total billed charges,1319.08,98,,1055.26,percent of total billed charges,98% of total billed charges,646.08,48,,516.86,percent of total billed charges,48% of total billed charges,605.7,45,,484.56,percent of total billed charges,45% of total billed charges,514.85,38.25,,411.88,percent of total billed charges,38.25% of total billed charges,605.7,45,,484.56,percent of total billed charges,45% of total billed charges,605.7,45,,484.56,percent of total billed charges,45% of total billed charges,514.85,1329.71,
EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASCIA,10928045,CDM,761,RC,28045,HCPCS,OUTPATIENT,,,1848,1478.4,,1755.6,95,,1404.48,percent of total billed charges,95% of total billed charges,1750.43,94.72,,1400.34,percent of total billed charges,94.72% of total billed charges,1825.64,98.79,,1460.51,percent of total billed charges,98.79% of total billed charges,1811.04,98,,1448.83,percent of total billed charges,98% of total billed charges,1811.04,98,,1448.83,percent of total billed charges,98% of total billed charges,887.04,48,,709.63,percent of total billed charges,48% of total billed charges,831.6,45,,665.28,percent of total billed charges,45% of total billed charges,706.86,38.25,,565.49,percent of total billed charges,38.25% of total billed charges,831.6,45,,665.28,percent of total billed charges,45% of total billed charges,831.6,45,,665.28,percent of total billed charges,45% of total billed charges,706.86,1825.64,
REMOVE FOOT LESION,10928090,CDM,761,RC,28090,HCPCS,OUTPATIENT,,,1792,1433.6,,1702.4,95,,1361.92,percent of total billed charges,95% of total billed charges,1697.38,94.72,,1357.9,percent of total billed charges,94.72% of total billed charges,1770.32,98.79,,1416.26,percent of total billed charges,98.79% of total billed charges,1756.16,98,,1404.93,percent of total billed charges,98% of total billed charges,1756.16,98,,1404.93,percent of total billed charges,98% of total billed charges,860.16,48,,688.13,percent of total billed charges,48% of total billed charges,806.4,45,,645.12,percent of total billed charges,45% of total billed charges,685.44,38.25,,548.35,percent of total billed charges,38.25% of total billed charges,806.4,45,,645.12,percent of total billed charges,45% of total billed charges,806.4,45,,645.12,percent of total billed charges,45% of total billed charges,685.44,1770.32,
EXC/CURETT BONE CYST B9 TUMOR PHALANGES,10928108,CDM,761,RC,28108,HCPCS,OUTPATIENT,,,1626,1300.8,,1544.7,95,,1235.76,percent of total billed charges,95% of total billed charges,1540.15,94.72,,1232.12,percent of total billed charges,94.72% of total billed charges,1606.33,98.79,,1285.06,percent of total billed charges,98.79% of total billed charges,1593.48,98,,1274.78,percent of total billed charges,98% of total billed charges,1593.48,98,,1274.78,percent of total billed charges,98% of total billed charges,780.48,48,,624.38,percent of total billed charges,48% of total billed charges,731.7,45,,585.36,percent of total billed charges,45% of total billed charges,621.95,38.25,,497.56,percent of total billed charges,38.25% of total billed charges,731.7,45,,585.36,percent of total billed charges,45% of total billed charges,731.7,45,,585.36,percent of total billed charges,45% of total billed charges,621.95,1606.33,
OSTECTOMY EXC TARSALL COALITION,10928116,CDM,761,RC,28116,HCPCS,OUTPATIENT,,,2915,2332,,2769.25,95,,2215.4,percent of total billed charges,95% of total billed charges,2761.09,94.72,,2208.87,percent of total billed charges,94.72% of total billed charges,2879.73,98.79,,2303.78,percent of total billed charges,98.79% of total billed charges,2856.7,98,,2285.36,percent of total billed charges,98% of total billed charges,2856.7,98,,2285.36,percent of total billed charges,98% of total billed charges,1399.2,48,,1119.36,percent of total billed charges,48% of total billed charges,1311.75,45,,1049.4,percent of total billed charges,45% of total billed charges,1114.99,38.25,,891.99,percent of total billed charges,38.25% of total billed charges,1311.75,45,,1049.4,percent of total billed charges,45% of total billed charges,1311.75,45,,1049.4,percent of total billed charges,45% of total billed charges,1114.99,2879.73,
OSTECTOMY CALCANEUS SPUR W/WO PLANTAR,10928119,CDM,761,RC,28119,HCPCS,OUTPATIENT,,,2129,1703.2,,2022.55,95,,1618.04,percent of total billed charges,95% of total billed charges,2016.59,94.72,,1613.27,percent of total billed charges,94.72% of total billed charges,2103.24,98.79,,1682.59,percent of total billed charges,98.79% of total billed charges,2086.42,98,,1669.14,percent of total billed charges,98% of total billed charges,2086.42,98,,1669.14,percent of total billed charges,98% of total billed charges,1021.92,48,,817.54,percent of total billed charges,48% of total billed charges,958.05,45,,766.44,percent of total billed charges,45% of total billed charges,814.34,38.25,,651.47,percent of total billed charges,38.25% of total billed charges,958.05,45,,766.44,percent of total billed charges,45% of total billed charges,958.05,45,,766.44,percent of total billed charges,45% of total billed charges,814.34,2103.24,
REP TENDON FLEXOR FT PRIM OR 2ND WO FREE,10928200,CDM,761,RC,28200,HCPCS,OUTPATIENT,,,1702,1361.6,,1616.9,95,,1293.52,percent of total billed charges,95% of total billed charges,1612.13,94.72,,1289.7,percent of total billed charges,94.72% of total billed charges,1681.41,98.79,,1345.13,percent of total billed charges,98.79% of total billed charges,1667.96,98,,1334.37,percent of total billed charges,98% of total billed charges,1667.96,98,,1334.37,percent of total billed charges,98% of total billed charges,816.96,48,,653.57,percent of total billed charges,48% of total billed charges,765.9,45,,612.72,percent of total billed charges,45% of total billed charges,651.02,38.25,,520.82,percent of total billed charges,38.25% of total billed charges,765.9,45,,612.72,percent of total billed charges,45% of total billed charges,765.9,45,,612.72,percent of total billed charges,45% of total billed charges,651.02,1681.41,
FUSE TOES,10928280,CDM,761,RC,28280,HCPCS,OUTPATIENT,,,1332,1065.6,,1265.4,95,,1012.32,percent of total billed charges,95% of total billed charges,1261.67,94.72,,1009.34,percent of total billed charges,94.72% of total billed charges,1315.88,98.79,,1052.7,percent of total billed charges,98.79% of total billed charges,1305.36,98,,1044.29,percent of total billed charges,98% of total billed charges,1305.36,98,,1044.29,percent of total billed charges,98% of total billed charges,639.36,48,,511.49,percent of total billed charges,48% of total billed charges,599.4,45,,479.52,percent of total billed charges,45% of total billed charges,509.49,38.25,,407.59,percent of total billed charges,38.25% of total billed charges,599.4,45,,479.52,percent of total billed charges,45% of total billed charges,599.4,45,,479.52,percent of total billed charges,45% of total billed charges,509.49,1315.88,
CORR BUNION KELLER MCBRIDE MAYO TYPE,10928292,CDM,761,RC,28292,HCPCS,OUTPATIENT,,,2713,2170.4,,2577.35,95,,2061.88,percent of total billed charges,95% of total billed charges,2569.75,94.72,,2055.8,percent of total billed charges,94.72% of total billed charges,2680.17,98.79,,2144.14,percent of total billed charges,98.79% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,1302.24,48,,1041.79,percent of total billed charges,48% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,38.25,,830.18,percent of total billed charges,38.25% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,2680.17,
CORR BUNION W METATARSAL OSTEOTOMY,10928296,CDM,761,RC,28296,HCPCS,OUTPATIENT,,,3046,2436.8,,2893.7,95,,2314.96,percent of total billed charges,95% of total billed charges,2885.17,94.72,,2308.14,percent of total billed charges,94.72% of total billed charges,3009.14,98.79,,2407.31,percent of total billed charges,98.79% of total billed charges,2985.08,98,,2388.06,percent of total billed charges,98% of total billed charges,2985.08,98,,2388.06,percent of total billed charges,98% of total billed charges,1462.08,48,,1169.66,percent of total billed charges,48% of total billed charges,1370.7,45,,1096.56,percent of total billed charges,45% of total billed charges,1165.1,38.25,,932.08,percent of total billed charges,38.25% of total billed charges,1370.7,45,,1096.56,percent of total billed charges,45% of total billed charges,1370.7,45,,1096.56,percent of total billed charges,45% of total billed charges,1165.1,3009.14,
CORR BUNION W SESAMOIDECTOMY 1ST METATAR,10928297,CDM,761,RC,28297,HCPCS,OUTPATIENT,,,5810,4648,,5519.5,95,,4415.6,percent of total billed charges,95% of total billed charges,5503.23,94.72,,4402.58,percent of total billed charges,94.72% of total billed charges,5739.7,98.79,,4591.76,percent of total billed charges,98.79% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,2788.8,48,,2231.04,percent of total billed charges,48% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,38.25,,1777.86,percent of total billed charges,38.25% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,5739.7,
ARTHRODESIS MIDTARS TARSOMETATARS 1 JNT,10928740,CDM,761,RC,28740,HCPCS,OUTPATIENT,,,5810,4648,,5519.5,95,,4415.6,percent of total billed charges,95% of total billed charges,5503.23,94.72,,4402.58,percent of total billed charges,94.72% of total billed charges,5739.7,98.79,,4591.76,percent of total billed charges,98.79% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,2788.8,48,,2231.04,percent of total billed charges,48% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,38.25,,1777.86,percent of total billed charges,38.25% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,5739.7,
ARTHRODESIS GREAT TOE MTP JNT,10928750,CDM,761,RC,28750,HCPCS,OUTPATIENT,,,5810,4648,,5519.5,95,,4415.6,percent of total billed charges,95% of total billed charges,5503.23,94.72,,4402.58,percent of total billed charges,94.72% of total billed charges,5739.7,98.79,,4591.76,percent of total billed charges,98.79% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,5693.8,98,,4555.04,percent of total billed charges,98% of total billed charges,2788.8,48,,2231.04,percent of total billed charges,48% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,38.25,,1777.86,percent of total billed charges,38.25% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2614.5,45,,2091.6,percent of total billed charges,45% of total billed charges,2222.33,5739.7,
AMPUTATION FOOT TRANSMETATARSAL,10928805,CDM,761,RC,28805,HCPCS,OUTPATIENT,,,2713,2170.4,,2577.35,95,,2061.88,percent of total billed charges,95% of total billed charges,2569.75,94.72,,2055.8,percent of total billed charges,94.72% of total billed charges,2680.17,98.79,,2144.14,percent of total billed charges,98.79% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,1302.24,48,,1041.79,percent of total billed charges,48% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,38.25,,830.18,percent of total billed charges,38.25% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,2680.17,
PARTIAL AMPUTATE TOE,10928825,CDM,761,RC,28825,HCPCS,OUTPATIENT,,,2713,2170.4,,2577.35,95,,2061.88,percent of total billed charges,95% of total billed charges,2569.75,94.72,,2055.8,percent of total billed charges,94.72% of total billed charges,2680.17,98.79,,2144.14,percent of total billed charges,98.79% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,2658.74,98,,2126.99,percent of total billed charges,98% of total billed charges,1302.24,48,,1041.79,percent of total billed charges,48% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,38.25,,830.18,percent of total billed charges,38.25% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1220.85,45,,976.68,percent of total billed charges,45% of total billed charges,1037.72,2680.17,
STRAPPING UNNA BOOT Bilateral,10929580,CDM,761,RC,29580,HCPCS,OUTPATIENT,,,257,205.6,,244.15,95,,195.32,percent of total billed charges,95% of total billed charges,243.43,94.72,,194.74,percent of total billed charges,94.72% of total billed charges,253.89,98.79,,203.11,percent of total billed charges,98.79% of total billed charges,251.86,98,,201.49,percent of total billed charges,98% of total billed charges,251.86,98,,201.49,percent of total billed charges,98% of total billed charges,123.36,48,,98.69,percent of total billed charges,48% of total billed charges,115.65,45,,92.52,percent of total billed charges,45% of total billed charges,98.3,38.25,,78.64,percent of total billed charges,38.25% of total billed charges,115.65,45,,92.52,percent of total billed charges,45% of total billed charges,115.65,45,,92.52,percent of total billed charges,45% of total billed charges,98.3,253.89,
BILAT DRAIN/INJECT JOINT/BURSA,11120610,CDM,761,RC,20610,HCPCS,OUTPATIENT,,,683,546.4,,648.85,95,,519.08,percent of total billed charges,95% of total billed charges,646.94,94.72,,517.55,percent of total billed charges,94.72% of total billed charges,674.74,98.79,,539.79,percent of total billed charges,98.79% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,669.34,98,,535.47,percent of total billed charges,98% of total billed charges,327.84,48,,262.27,percent of total billed charges,48% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,38.25,,209,percent of total billed charges,38.25% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,307.35,45,,245.88,percent of total billed charges,45% of total billed charges,261.25,674.74,
INJECTION INTO HEMORROID(S),12546500,CDM,761,RC,46500,HCPCS,OUTPATIENT,,,657,525.6,,624.15,95,,499.32,percent of total billed charges,95% of total billed charges,622.31,94.72,,497.85,percent of total billed charges,94.72% of total billed charges,649.05,98.79,,519.24,percent of total billed charges,98.79% of total billed charges,643.86,98,,515.09,percent of total billed charges,98% of total billed charges,643.86,98,,515.09,percent of total billed charges,98% of total billed charges,315.36,48,,252.29,percent of total billed charges,48% of total billed charges,295.65,45,,236.52,percent of total billed charges,45% of total billed charges,251.3,38.25,,201.04,percent of total billed charges,38.25% of total billed charges,295.65,45,,236.52,percent of total billed charges,45% of total billed charges,295.65,45,,236.52,percent of total billed charges,45% of total billed charges,251.3,649.05,
EXC BEN LES 0.5CM OR LESS,12701420,CDM,761,RC,11420,HCPCS,OUTPATIENT,,,504,403.2,,478.8,95,,383.04,percent of total billed charges,95% of total billed charges,477.39,94.72,,381.91,percent of total billed charges,94.72% of total billed charges,497.9,98.79,,398.32,percent of total billed charges,98.79% of total billed charges,493.92,98,,395.14,percent of total billed charges,98% of total billed charges,493.92,98,,395.14,percent of total billed charges,98% of total billed charges,241.92,48,,193.54,percent of total billed charges,48% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,192.78,38.25,,154.22,percent of total billed charges,38.25% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,226.8,45,,181.44,percent of total billed charges,45% of total billed charges,192.78,497.9,
ID ABSCESS SIMPLE OF SINGLE,12710060,CDM,761,RC,10060,HCPCS,OUTPATIENT,,,293,234.4,,278.35,95,,222.68,percent of total billed charges,95% of total billed charges,277.53,94.72,,222.02,percent of total billed charges,94.72% of total billed charges,289.45,98.79,,231.56,percent of total billed charges,98.79% of total billed charges,287.14,98,,229.71,percent of total billed charges,98% of total billed charges,287.14,98,,229.71,percent of total billed charges,98% of total billed charges,140.64,48,,112.51,percent of total billed charges,48% of total billed charges,131.85,45,,105.48,percent of total billed charges,45% of total billed charges,112.07,38.25,,89.66,percent of total billed charges,38.25% of total billed charges,131.85,45,,105.48,percent of total billed charges,45% of total billed charges,131.85,45,,105.48,percent of total billed charges,45% of total billed charges,112.07,289.45,
INJ SING/MULTI TRIG PTS>3 MUSCLE,12720553,CDM,761,RC,20553,HCPCS,OUTPATIENT,,,399,319.2,,379.05,95,,303.24,percent of total billed charges,95% of total billed charges,377.93,94.72,,302.34,percent of total billed charges,94.72% of total billed charges,394.17,98.79,,315.34,percent of total billed charges,98.79% of total billed charges,391.02,98,,312.82,percent of total billed charges,98% of total billed charges,391.02,98,,312.82,percent of total billed charges,98% of total billed charges,191.52,48,,153.22,percent of total billed charges,48% of total billed charges,179.55,45,,143.64,percent of total billed charges,45% of total billed charges,152.62,38.25,,122.1,percent of total billed charges,38.25% of total billed charges,179.55,45,,143.64,percent of total billed charges,45% of total billed charges,179.55,45,,143.64,percent of total billed charges,45% of total billed charges,152.62,394.17,
DECLOTTING BY THROMBOLYTIC AGENT,12736550,CDM,761,RC,36593,HCPCS,OUTPATIENT,,,312,249.6,,296.4,95,,237.12,percent of total billed charges,95% of total billed charges,295.53,94.72,,236.42,percent of total billed charges,94.72% of total billed charges,308.22,98.79,,246.58,percent of total billed charges,98.79% of total billed charges,305.76,98,,244.61,percent of total billed charges,98% of total billed charges,305.76,98,,244.61,percent of total billed charges,98% of total billed charges,149.76,48,,119.81,percent of total billed charges,48% of total billed charges,140.4,45,,112.32,percent of total billed charges,45% of total billed charges,119.34,38.25,,95.47,percent of total billed charges,38.25% of total billed charges,140.4,45,,112.32,percent of total billed charges,45% of total billed charges,140.4,45,,112.32,percent of total billed charges,45% of total billed charges,119.34,308.22,
DECLOTTING BY THROMBOLYTIC AGENT,12736550,CDM,761,RC,36593,HCPCS,OUTPATIENT,,,312,249.6,,296.4,95,,237.12,percent of total billed charges,95% of total billed charges,295.53,94.72,,236.42,percent of total billed charges,94.72% of total billed charges,308.22,98.79,,246.58,percent of total billed charges,98.79% of total billed charges,305.76,98,,244.61,percent of total billed charges,98% of total billed charges,305.76,98,,244.61,percent of total billed charges,98% of total billed charges,149.76,48,,119.81,percent of total billed charges,48% of total billed charges,140.4,45,,112.32,percent of total billed charges,45% of total billed charges,119.34,38.25,,95.47,percent of total billed charges,38.25% of total billed charges,140.4,45,,112.32,percent of total billed charges,45% of total billed charges,140.4,45,,112.32,percent of total billed charges,45% of total billed charges,119.34,308.22,
INSERT TUNNELED CV CATH,12736558,CDM,761,RC,36558,HCPCS,OUTPATIENT,,,1883,1506.4,,1788.85,95,,1431.08,percent of total billed charges,95% of total billed charges,1783.58,94.72,,1426.86,percent of total billed charges,94.72% of total billed charges,1860.22,98.79,,1488.18,percent of total billed charges,98.79% of total billed charges,1845.34,98,,1476.27,percent of total billed charges,98% of total billed charges,1845.34,98,,1476.27,percent of total billed charges,98% of total billed charges,903.84,48,,723.07,percent of total billed charges,48% of total billed charges,847.35,45,,677.88,percent of total billed charges,45% of total billed charges,720.25,38.25,,576.2,percent of total billed charges,38.25% of total billed charges,847.35,45,,677.88,percent of total billed charges,45% of total billed charges,847.35,45,,677.88,percent of total billed charges,45% of total billed charges,720.25,1860.22,
BLOOD DRAW ALL EXTERNAL PORTS,12736592,CDM,761,RC,36592,HCPCS,OUTPATIENT,,,171,136.8,,162.45,95,,129.96,percent of total billed charges,95% of total billed charges,161.97,94.72,,129.58,percent of total billed charges,94.72% of total billed charges,168.93,98.79,,135.14,percent of total billed charges,98.79% of total billed charges,167.58,98,,134.06,percent of total billed charges,98% of total billed charges,167.58,98,,134.06,percent of total billed charges,98% of total billed charges,82.08,48,,65.66,percent of total billed charges,48% of total billed charges,76.95,45,,61.56,percent of total billed charges,45% of total billed charges,65.41,38.25,,52.33,percent of total billed charges,38.25% of total billed charges,76.95,45,,61.56,percent of total billed charges,45% of total billed charges,76.95,45,,61.56,percent of total billed charges,45% of total billed charges,65.41,168.93,
BLOOD DRAW FEE OP/PORT,12744061,CDM,761,RC,36591,HCPCS,OUTPATIENT,,,135,108,,128.25,95,,102.6,percent of total billed charges,95% of total billed charges,127.87,94.72,,102.3,percent of total billed charges,94.72% of total billed charges,133.37,98.79,,106.7,percent of total billed charges,98.79% of total billed charges,132.3,98,,105.84,percent of total billed charges,98% of total billed charges,132.3,98,,105.84,percent of total billed charges,98% of total billed charges,64.8,48,,51.84,percent of total billed charges,48% of total billed charges,60.75,45,,48.6,percent of total billed charges,45% of total billed charges,51.64,38.25,,41.31,percent of total billed charges,38.25% of total billed charges,60.75,45,,48.6,percent of total billed charges,45% of total billed charges,60.75,45,,48.6,percent of total billed charges,45% of total billed charges,51.64,133.37,
BLOOD DRAW FEE OP/PORT,12744061,CDM,761,RC,36591,HCPCS,OUTPATIENT,,,135,108,,128.25,95,,102.6,percent of total billed charges,95% of total billed charges,127.87,94.72,,102.3,percent of total billed charges,94.72% of total billed charges,133.37,98.79,,106.7,percent of total billed charges,98.79% of total billed charges,132.3,98,,105.84,percent of total billed charges,98% of total billed charges,132.3,98,,105.84,percent of total billed charges,98% of total billed charges,64.8,48,,51.84,percent of total billed charges,48% of total billed charges,60.75,45,,48.6,percent of total billed charges,45% of total billed charges,51.64,38.25,,41.31,percent of total billed charges,38.25% of total billed charges,60.75,45,,48.6,percent of total billed charges,45% of total billed charges,60.75,45,,48.6,percent of total billed charges,45% of total billed charges,51.64,133.37,
PICC REPAIR,12744130,CDM,761,RC,36575,HCPCS,OUTPATIENT,,,510,408,,484.5,95,,387.6,percent of total billed charges,95% of total billed charges,483.07,94.72,,386.46,percent of total billed charges,94.72% of total billed charges,503.83,98.79,,403.06,percent of total billed charges,98.79% of total billed charges,499.8,98,,399.84,percent of total billed charges,98% of total billed charges,499.8,98,,399.84,percent of total billed charges,98% of total billed charges,244.8,48,,195.84,percent of total billed charges,48% of total billed charges,229.5,45,,183.6,percent of total billed charges,45% of total billed charges,195.08,38.25,,156.06,percent of total billed charges,38.25% of total billed charges,229.5,45,,183.6,percent of total billed charges,45% of total billed charges,229.5,45,,183.6,percent of total billed charges,45% of total billed charges,195.08,503.83,
PICC OBSTRUCTION REMOVAL,12744150,CDM,761,RC,36596,HCPCS,OUTPATIENT,,,449,359.2,,426.55,95,,341.24,percent of total billed charges,95% of total billed charges,425.29,94.72,,340.23,percent of total billed charges,94.72% of total billed charges,443.57,98.79,,354.86,percent of total billed charges,98.79% of total billed charges,440.02,98,,352.02,percent of total billed charges,98% of total billed charges,440.02,98,,352.02,percent of total billed charges,98% of total billed charges,215.52,48,,172.42,percent of total billed charges,48% of total billed charges,202.05,45,,161.64,percent of total billed charges,45% of total billed charges,171.74,38.25,,137.39,percent of total billed charges,38.25% of total billed charges,202.05,45,,161.64,percent of total billed charges,45% of total billed charges,202.05,45,,161.64,percent of total billed charges,45% of total billed charges,171.74,443.57,
BLOOD TRANSFUSION ROOM,12745030,CDM,761,RC,,,OUTPATIENT,,,379,303.2,,360.05,95,,288.04,percent of total billed charges,95% of total billed charges,358.99,94.72,,287.19,percent of total billed charges,94.72% of total billed charges,374.41,98.79,,299.53,percent of total billed charges,98.79% of total billed charges,371.42,98,,297.14,percent of total billed charges,98% of total billed charges,371.42,98,,297.14,percent of total billed charges,98% of total billed charges,181.92,48,,145.54,percent of total billed charges,48% of total billed charges,170.55,45,,136.44,percent of total billed charges,45% of total billed charges,144.97,38.25,,115.98,percent of total billed charges,38.25% of total billed charges,170.55,45,,136.44,percent of total billed charges,45% of total billed charges,170.55,45,,136.44,percent of total billed charges,45% of total billed charges,144.97,374.41,
PERITONEOCENTESIS,12749080,CDM,761,RC,49080,HCPCS,OUTPATIENT,,,382,305.6,,362.9,95,,290.32,percent of total billed charges,95% of total billed charges,361.83,94.72,,289.46,percent of total billed charges,94.72% of total billed charges,377.38,98.79,,301.9,percent of total billed charges,98.79% of total billed charges,374.36,98,,299.49,percent of total billed charges,98% of total billed charges,374.36,98,,299.49,percent of total billed charges,98% of total billed charges,183.36,48,,146.69,percent of total billed charges,48% of total billed charges,171.9,45,,137.52,percent of total billed charges,45% of total billed charges,146.12,38.25,,116.9,percent of total billed charges,38.25% of total billed charges,171.9,45,,137.52,percent of total billed charges,45% of total billed charges,171.9,45,,137.52,percent of total billed charges,45% of total billed charges,146.12,377.38,
Simple Bladder Instillation/Irrigate,12751700,CDM,761,RC,51700,HCPCS,OUTPATIENT,,,264,211.2,,250.8,95,,200.64,percent of total billed charges,95% of total billed charges,250.06,94.72,,200.05,percent of total billed charges,94.72% of total billed charges,260.81,98.79,,208.65,percent of total billed charges,98.79% of total billed charges,258.72,98,,206.98,percent of total billed charges,98% of total billed charges,258.72,98,,206.98,percent of total billed charges,98% of total billed charges,126.72,48,,101.38,percent of total billed charges,48% of total billed charges,118.8,45,,95.04,percent of total billed charges,45% of total billed charges,100.98,38.25,,80.78,percent of total billed charges,38.25% of total billed charges,118.8,45,,95.04,percent of total billed charges,45% of total billed charges,118.8,45,,95.04,percent of total billed charges,45% of total billed charges,100.98,260.81,
Insert Straight Cath for Residual,12751701,CDM,761,RC,51701,HCPCS,OUTPATIENT,,,247,197.6,,234.65,95,,187.72,percent of total billed charges,95% of total billed charges,233.96,94.72,,187.17,percent of total billed charges,94.72% of total billed charges,244.01,98.79,,195.21,percent of total billed charges,98.79% of total billed charges,242.06,98,,193.65,percent of total billed charges,98% of total billed charges,242.06,98,,193.65,percent of total billed charges,98% of total billed charges,118.56,48,,94.85,percent of total billed charges,48% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,94.48,38.25,,75.58,percent of total billed charges,38.25% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,94.48,244.01,
INSERT TEMP BLADDER CATH COMPLICATED,12751703,CDM,761,RC,51703,HCPCS,OUTPATIENT,,,372,297.6,,353.4,95,,282.72,percent of total billed charges,95% of total billed charges,352.36,94.72,,281.89,percent of total billed charges,94.72% of total billed charges,367.5,98.79,,294,percent of total billed charges,98.79% of total billed charges,364.56,98,,291.65,percent of total billed charges,98% of total billed charges,364.56,98,,291.65,percent of total billed charges,98% of total billed charges,178.56,48,,142.85,percent of total billed charges,48% of total billed charges,167.4,45,,133.92,percent of total billed charges,45% of total billed charges,142.29,38.25,,113.83,percent of total billed charges,38.25% of total billed charges,167.4,45,,133.92,percent of total billed charges,45% of total billed charges,167.4,45,,133.92,percent of total billed charges,45% of total billed charges,142.29,367.5,
Supra Pubic Cath change (simple),12751705,CDM,761,RC,51705,HCPCS,OUTPATIENT,,,437,349.6,,415.15,95,,332.12,percent of total billed charges,95% of total billed charges,413.93,94.72,,331.14,percent of total billed charges,94.72% of total billed charges,431.71,98.79,,345.37,percent of total billed charges,98.79% of total billed charges,428.26,98,,342.61,percent of total billed charges,98% of total billed charges,428.26,98,,342.61,percent of total billed charges,98% of total billed charges,209.76,48,,167.81,percent of total billed charges,48% of total billed charges,196.65,45,,157.32,percent of total billed charges,45% of total billed charges,167.15,38.25,,133.72,percent of total billed charges,38.25% of total billed charges,196.65,45,,157.32,percent of total billed charges,45% of total billed charges,196.65,45,,157.32,percent of total billed charges,45% of total billed charges,167.15,431.71,
Supra Pubic Cath change (complex),12751710,CDM,761,RC,51710,HCPCS,OUTPATIENT,,,634,507.2,,602.3,95,,481.84,percent of total billed charges,95% of total billed charges,600.52,94.72,,480.42,percent of total billed charges,94.72% of total billed charges,626.33,98.79,,501.06,percent of total billed charges,98.79% of total billed charges,621.32,98,,497.06,percent of total billed charges,98% of total billed charges,621.32,98,,497.06,percent of total billed charges,98% of total billed charges,304.32,48,,243.46,percent of total billed charges,48% of total billed charges,285.3,45,,228.24,percent of total billed charges,45% of total billed charges,242.51,38.25,,194.01,percent of total billed charges,38.25% of total billed charges,285.3,45,,228.24,percent of total billed charges,45% of total billed charges,285.3,45,,228.24,percent of total billed charges,45% of total billed charges,242.51,626.33,
COMPLEX CYSTOMETROGRAM,12751726,CDM,761,RC,51726,HCPCS,OUTPATIENT,,,813,650.4,,772.35,95,,617.88,percent of total billed charges,95% of total billed charges,770.07,94.72,,616.06,percent of total billed charges,94.72% of total billed charges,803.16,98.79,,642.53,percent of total billed charges,98.79% of total billed charges,796.74,98,,637.39,percent of total billed charges,98% of total billed charges,796.74,98,,637.39,percent of total billed charges,98% of total billed charges,390.24,48,,312.19,percent of total billed charges,48% of total billed charges,365.85,45,,292.68,percent of total billed charges,45% of total billed charges,310.97,38.25,,248.78,percent of total billed charges,38.25% of total billed charges,365.85,45,,292.68,percent of total billed charges,45% of total billed charges,365.85,45,,292.68,percent of total billed charges,45% of total billed charges,310.97,803.16,
COMPLEX CYSTOMETROGRAM W UPP STUDY,12751727,CDM,761,RC,51727,HCPCS,OUTPATIENT,,,1244,995.2,,1181.8,95,,945.44,percent of total billed charges,95% of total billed charges,1178.32,94.72,,942.66,percent of total billed charges,94.72% of total billed charges,1228.95,98.79,,983.16,percent of total billed charges,98.79% of total billed charges,1219.12,98,,975.3,percent of total billed charges,98% of total billed charges,1219.12,98,,975.3,percent of total billed charges,98% of total billed charges,597.12,48,,477.7,percent of total billed charges,48% of total billed charges,559.8,45,,447.84,percent of total billed charges,45% of total billed charges,475.83,38.25,,380.66,percent of total billed charges,38.25% of total billed charges,559.8,45,,447.84,percent of total billed charges,45% of total billed charges,559.8,45,,447.84,percent of total billed charges,45% of total billed charges,475.83,1228.95,
COMPLEX CYSTOMETROGRAM W VOID URETHRAL S,12751729,CDM,761,RC,51729,HCPCS,OUTPATIENT,,,952,761.6,,904.4,95,,723.52,percent of total billed charges,95% of total billed charges,901.73,94.72,,721.38,percent of total billed charges,94.72% of total billed charges,940.48,98.79,,752.38,percent of total billed charges,98.79% of total billed charges,932.96,98,,746.37,percent of total billed charges,98% of total billed charges,932.96,98,,746.37,percent of total billed charges,98% of total billed charges,456.96,48,,365.57,percent of total billed charges,48% of total billed charges,428.4,45,,342.72,percent of total billed charges,45% of total billed charges,364.14,38.25,,291.31,percent of total billed charges,38.25% of total billed charges,428.4,45,,342.72,percent of total billed charges,45% of total billed charges,428.4,45,,342.72,percent of total billed charges,45% of total billed charges,364.14,940.48,
NEEDLE ELECTROMYOGRAPHY STUDY,12751785,CDM,761,RC,51785,HCPCS,OUTPATIENT,,,1277,1021.6,,1213.15,95,,970.52,percent of total billed charges,95% of total billed charges,1209.57,94.72,,967.66,percent of total billed charges,94.72% of total billed charges,1261.55,98.79,,1009.24,percent of total billed charges,98.79% of total billed charges,1251.46,98,,1001.17,percent of total billed charges,98% of total billed charges,1251.46,98,,1001.17,percent of total billed charges,98% of total billed charges,612.96,48,,490.37,percent of total billed charges,48% of total billed charges,574.65,45,,459.72,percent of total billed charges,45% of total billed charges,488.45,38.25,,390.76,percent of total billed charges,38.25% of total billed charges,574.65,45,,459.72,percent of total billed charges,45% of total billed charges,574.65,45,,459.72,percent of total billed charges,45% of total billed charges,488.45,1261.55,
US MEASUREMENT POST VOIDING,12751798,CDM,761,RC,51798,HCPCS,OUTPATIENT,,,87,69.6,,82.65,95,,66.12,percent of total billed charges,95% of total billed charges,82.41,94.72,,65.93,percent of total billed charges,94.72% of total billed charges,85.95,98.79,,68.76,percent of total billed charges,98.79% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,41.76,48,,33.41,percent of total billed charges,48% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,38.25,,26.62,percent of total billed charges,38.25% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,85.95,
Botox for blepharo/hemifacial spasm,12764612,CDM,761,RC,64612,HCPCS,OUTPATIENT,,,700,560,,665,95,,532,percent of total billed charges,95% of total billed charges,663.04,94.72,,530.43,percent of total billed charges,94.72% of total billed charges,691.53,98.79,,553.22,percent of total billed charges,98.79% of total billed charges,686,98,,548.8,percent of total billed charges,98% of total billed charges,686,98,,548.8,percent of total billed charges,98% of total billed charges,336,48,,268.8,percent of total billed charges,48% of total billed charges,315,45,,252,percent of total billed charges,45% of total billed charges,267.75,38.25,,214.2,percent of total billed charges,38.25% of total billed charges,315,45,,252,percent of total billed charges,45% of total billed charges,315,45,,252,percent of total billed charges,45% of total billed charges,267.75,691.53,
CHEMODENERVATION CERVICAL SPINAL BI,12764615,CDM,761,RC,64615,HCPCS,OUTPATIENT,,,491,392.8,,466.45,95,,373.16,percent of total billed charges,95% of total billed charges,465.08,94.72,,372.06,percent of total billed charges,94.72% of total billed charges,485.06,98.79,,388.05,percent of total billed charges,98.79% of total billed charges,481.18,98,,384.94,percent of total billed charges,98% of total billed charges,481.18,98,,384.94,percent of total billed charges,98% of total billed charges,235.68,48,,188.54,percent of total billed charges,48% of total billed charges,220.95,45,,176.76,percent of total billed charges,45% of total billed charges,187.81,38.25,,150.25,percent of total billed charges,38.25% of total billed charges,220.95,45,,176.76,percent of total billed charges,45% of total billed charges,220.95,45,,176.76,percent of total billed charges,45% of total billed charges,187.81,485.06,
DC PUMP FROM OUTSIDE SOURCE,12796521,CDM,761,RC,96521,HCPCS,OUTPATIENT,,,480,384,,456,95,,364.8,percent of total billed charges,95% of total billed charges,454.66,94.72,,363.73,percent of total billed charges,94.72% of total billed charges,474.19,98.79,,379.35,percent of total billed charges,98.79% of total billed charges,470.4,98,,376.32,percent of total billed charges,98% of total billed charges,470.4,98,,376.32,percent of total billed charges,98% of total billed charges,230.4,48,,184.32,percent of total billed charges,48% of total billed charges,216,45,,172.8,percent of total billed charges,45% of total billed charges,183.6,38.25,,146.88,percent of total billed charges,38.25% of total billed charges,216,45,,172.8,percent of total billed charges,45% of total billed charges,216,45,,172.8,percent of total billed charges,45% of total billed charges,183.6,474.19,
WOUND CARE DEBRIDE/WET TO DRY,12797602,CDM,761,RC,97602,HCPCS,OUTPATIENT,,,109,87.2,,103.55,95,,82.84,percent of total billed charges,95% of total billed charges,103.24,94.72,,82.59,percent of total billed charges,94.72% of total billed charges,107.68,98.79,,86.14,percent of total billed charges,98.79% of total billed charges,106.82,98,,85.46,percent of total billed charges,98% of total billed charges,106.82,98,,85.46,percent of total billed charges,98% of total billed charges,52.32,48,,41.86,percent of total billed charges,48% of total billed charges,49.05,45,,39.24,percent of total billed charges,45% of total billed charges,41.69,38.25,,33.35,percent of total billed charges,38.25% of total billed charges,49.05,45,,39.24,percent of total billed charges,45% of total billed charges,49.05,45,,39.24,percent of total billed charges,45% of total billed charges,41.69,107.68,
PUNCTURE DRAIN LESION,13010160,CDM,761,RC,10160,HCPCS,OUTPATIENT,,,533,426.4,,506.35,95,,405.08,percent of total billed charges,95% of total billed charges,504.86,94.72,,403.89,percent of total billed charges,94.72% of total billed charges,526.55,98.79,,421.24,percent of total billed charges,98.79% of total billed charges,522.34,98,,417.87,percent of total billed charges,98% of total billed charges,522.34,98,,417.87,percent of total billed charges,98% of total billed charges,255.84,48,,204.67,percent of total billed charges,48% of total billed charges,239.85,45,,191.88,percent of total billed charges,45% of total billed charges,203.87,38.25,,163.1,percent of total billed charges,38.25% of total billed charges,239.85,45,,191.88,percent of total billed charges,45% of total billed charges,239.85,45,,191.88,percent of total billed charges,45% of total billed charges,203.87,526.55,
TRIM DYSTROPHIC NAILS,13011719,CDM,761,RC,11719,HCPCS,OUTPATIENT,,,81,64.8,,76.95,95,,61.56,percent of total billed charges,95% of total billed charges,76.72,94.72,,61.38,percent of total billed charges,94.72% of total billed charges,80.02,98.79,,64.02,percent of total billed charges,98.79% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,79.38,98,,63.5,percent of total billed charges,98% of total billed charges,38.88,48,,31.1,percent of total billed charges,48% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,38.25,,24.78,percent of total billed charges,38.25% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,36.45,45,,29.16,percent of total billed charges,45% of total billed charges,30.98,80.02,
DEBRIDE NAIL 1-5,13011720,CDM,761,RC,11720,HCPCS,OUTPATIENT,,,102,81.6,,96.9,95,,77.52,percent of total billed charges,95% of total billed charges,96.61,94.72,,77.29,percent of total billed charges,94.72% of total billed charges,100.77,98.79,,80.62,percent of total billed charges,98.79% of total billed charges,99.96,98,,79.97,percent of total billed charges,98% of total billed charges,99.96,98,,79.97,percent of total billed charges,98% of total billed charges,48.96,48,,39.17,percent of total billed charges,48% of total billed charges,45.9,45,,36.72,percent of total billed charges,45% of total billed charges,39.02,38.25,,31.22,percent of total billed charges,38.25% of total billed charges,45.9,45,,36.72,percent of total billed charges,45% of total billed charges,45.9,45,,36.72,percent of total billed charges,45% of total billed charges,39.02,100.77,
DEBRIDE NAIL 6 OR MORE ANY METHOD,13011721,CDM,761,RC,11721,HCPCS,OUTPATIENT,,,118,94.4,,112.1,95,,89.68,percent of total billed charges,95% of total billed charges,111.77,94.72,,89.42,percent of total billed charges,94.72% of total billed charges,116.57,98.79,,93.26,percent of total billed charges,98.79% of total billed charges,115.64,98,,92.51,percent of total billed charges,98% of total billed charges,115.64,98,,92.51,percent of total billed charges,98% of total billed charges,56.64,48,,45.31,percent of total billed charges,48% of total billed charges,53.1,45,,42.48,percent of total billed charges,45% of total billed charges,45.14,38.25,,36.11,percent of total billed charges,38.25% of total billed charges,53.1,45,,42.48,percent of total billed charges,45% of total billed charges,53.1,45,,42.48,percent of total billed charges,45% of total billed charges,45.14,116.57,
APP SKN SUB GRFT T/A/L AREA/100SQ CM /<1,13015271,CDM,761,RC,15271,HCPCS,OUTPATIENT,,,727,581.6,,690.65,95,,552.52,percent of total billed charges,95% of total billed charges,688.61,94.72,,550.89,percent of total billed charges,94.72% of total billed charges,718.2,98.79,,574.56,percent of total billed charges,98.79% of total billed charges,712.46,98,,569.97,percent of total billed charges,98% of total billed charges,712.46,98,,569.97,percent of total billed charges,98% of total billed charges,348.96,48,,279.17,percent of total billed charges,48% of total billed charges,327.15,45,,261.72,percent of total billed charges,45% of total billed charges,278.08,38.25,,222.46,percent of total billed charges,38.25% of total billed charges,327.15,45,,261.72,percent of total billed charges,45% of total billed charges,327.15,45,,261.72,percent of total billed charges,45% of total billed charges,278.08,718.2,
APPLY SKIN GRAFT UP TO 100CM EA  ADD 25S,13015272,CDM,761,RC,15272,HCPCS,OUTPATIENT,,,159,127.2,,151.05,95,,120.84,percent of total billed charges,95% of total billed charges,150.6,94.72,,120.48,percent of total billed charges,94.72% of total billed charges,157.08,98.79,,125.66,percent of total billed charges,98.79% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,155.82,98,,124.66,percent of total billed charges,98% of total billed charges,76.32,48,,61.06,percent of total billed charges,48% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,38.25,,48.66,percent of total billed charges,38.25% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,71.55,45,,57.24,percent of total billed charges,45% of total billed charges,60.82,157.08,
DESTROY BENIGN LESION 1-14,13017110,CDM,761,RC,17110,HCPCS,OUTPATIENT,,,425,340,,403.75,95,,323,percent of total billed charges,95% of total billed charges,402.56,94.72,,322.05,percent of total billed charges,94.72% of total billed charges,419.86,98.79,,335.89,percent of total billed charges,98.79% of total billed charges,416.5,98,,333.2,percent of total billed charges,98% of total billed charges,416.5,98,,333.2,percent of total billed charges,98% of total billed charges,204,48,,163.2,percent of total billed charges,48% of total billed charges,191.25,45,,153,percent of total billed charges,45% of total billed charges,162.56,38.25,,130.05,percent of total billed charges,38.25% of total billed charges,191.25,45,,153,percent of total billed charges,45% of total billed charges,191.25,45,,153,percent of total billed charges,45% of total billed charges,162.56,419.86,
CHEMICAL CAUTERY GRANULATION TISSUE,13017250,CDM,761,RC,17250,HCPCS,OUTPATIENT,,,310,248,,294.5,95,,235.6,percent of total billed charges,95% of total billed charges,293.63,94.72,,234.9,percent of total billed charges,94.72% of total billed charges,306.25,98.79,,245,percent of total billed charges,98.79% of total billed charges,303.8,98,,243.04,percent of total billed charges,98% of total billed charges,303.8,98,,243.04,percent of total billed charges,98% of total billed charges,148.8,48,,119.04,percent of total billed charges,48% of total billed charges,139.5,45,,111.6,percent of total billed charges,45% of total billed charges,118.58,38.25,,94.86,percent of total billed charges,38.25% of total billed charges,139.5,45,,111.6,percent of total billed charges,45% of total billed charges,139.5,45,,111.6,percent of total billed charges,45% of total billed charges,118.58,306.25,
DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1,13017262,CDM,761,RC,17262,HCPCS,OUTPATIENT,,,668,534.4,,634.6,95,,507.68,percent of total billed charges,95% of total billed charges,632.73,94.72,,506.18,percent of total billed charges,94.72% of total billed charges,659.92,98.79,,527.94,percent of total billed charges,98.79% of total billed charges,654.64,98,,523.71,percent of total billed charges,98% of total billed charges,654.64,98,,523.71,percent of total billed charges,98% of total billed charges,320.64,48,,256.51,percent of total billed charges,48% of total billed charges,300.6,45,,240.48,percent of total billed charges,45% of total billed charges,255.51,38.25,,204.41,percent of total billed charges,38.25% of total billed charges,300.6,45,,240.48,percent of total billed charges,45% of total billed charges,300.6,45,,240.48,percent of total billed charges,45% of total billed charges,255.51,659.92,
CRYOTHERAPY,13017340,CDM,761,RC,17340,HCPCS,OUTPATIENT,,,122,97.6,,115.9,95,,92.72,percent of total billed charges,95% of total billed charges,115.56,94.72,,92.45,percent of total billed charges,94.72% of total billed charges,120.52,98.79,,96.42,percent of total billed charges,98.79% of total billed charges,119.56,98,,95.65,percent of total billed charges,98% of total billed charges,119.56,98,,95.65,percent of total billed charges,98% of total billed charges,58.56,48,,46.85,percent of total billed charges,48% of total billed charges,54.9,45,,43.92,percent of total billed charges,45% of total billed charges,46.67,38.25,,37.34,percent of total billed charges,38.25% of total billed charges,54.9,45,,43.92,percent of total billed charges,45% of total billed charges,54.9,45,,43.92,percent of total billed charges,45% of total billed charges,46.67,120.52,
STRAPPING UNNA BOOT,13029580,CDM,761,RC,29580,HCPCS,OUTPATIENT,,,140,112,,133,95,,106.4,percent of total billed charges,95% of total billed charges,132.61,94.72,,106.09,percent of total billed charges,94.72% of total billed charges,138.31,98.79,,110.65,percent of total billed charges,98.79% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,67.2,48,,53.76,percent of total billed charges,48% of total billed charges,63,45,,50.4,percent of total billed charges,45% of total billed charges,53.55,38.25,,42.84,percent of total billed charges,38.25% of total billed charges,63,45,,50.4,percent of total billed charges,45% of total billed charges,63,45,,50.4,percent of total billed charges,45% of total billed charges,53.55,138.31,
MULTI-LAYER WRAP COMPRESSION,13029581,CDM,761,RC,29581,HCPCS,OUTPATIENT,,,272,217.6,,258.4,95,,206.72,percent of total billed charges,95% of total billed charges,257.64,94.72,,206.11,percent of total billed charges,94.72% of total billed charges,268.71,98.79,,214.97,percent of total billed charges,98.79% of total billed charges,266.56,98,,213.25,percent of total billed charges,98% of total billed charges,266.56,98,,213.25,percent of total billed charges,98% of total billed charges,130.56,48,,104.45,percent of total billed charges,48% of total billed charges,122.4,45,,97.92,percent of total billed charges,45% of total billed charges,104.04,38.25,,83.23,percent of total billed charges,38.25% of total billed charges,122.4,45,,97.92,percent of total billed charges,45% of total billed charges,122.4,45,,97.92,percent of total billed charges,45% of total billed charges,104.04,268.71,
DEBRIDEMENT<20SQ=TO 20SQCM,13097597,CDM,761,RC,97597,HCPCS,OUTPATIENT,,,255,204,,242.25,95,,193.8,percent of total billed charges,95% of total billed charges,241.54,94.72,,193.23,percent of total billed charges,94.72% of total billed charges,251.91,98.79,,201.53,percent of total billed charges,98.79% of total billed charges,249.9,98,,199.92,percent of total billed charges,98% of total billed charges,249.9,98,,199.92,percent of total billed charges,98% of total billed charges,122.4,48,,97.92,percent of total billed charges,48% of total billed charges,114.75,45,,91.8,percent of total billed charges,45% of total billed charges,97.54,38.25,,78.03,percent of total billed charges,38.25% of total billed charges,114.75,45,,91.8,percent of total billed charges,45% of total billed charges,114.75,45,,91.8,percent of total billed charges,45% of total billed charges,97.54,251.91,
DEBRIDMENT>OR=TO 20SQ CM,13097598,CDM,761,RC,97598,HCPCS,OUTPATIENT,,,186,148.8,,176.7,95,,141.36,percent of total billed charges,95% of total billed charges,176.18,94.72,,140.94,percent of total billed charges,94.72% of total billed charges,183.75,98.79,,147,percent of total billed charges,98.79% of total billed charges,182.28,98,,145.82,percent of total billed charges,98% of total billed charges,182.28,98,,145.82,percent of total billed charges,98% of total billed charges,89.28,48,,71.42,percent of total billed charges,48% of total billed charges,83.7,45,,66.96,percent of total billed charges,45% of total billed charges,71.15,38.25,,56.92,percent of total billed charges,38.25% of total billed charges,83.7,45,,66.96,percent of total billed charges,45% of total billed charges,83.7,45,,66.96,percent of total billed charges,45% of total billed charges,71.15,183.75,
REMOVE DEVITALIZED TISSUE FROM WOUND(S),13097602,CDM,761,RC,97602,HCPCS,OUTPATIENT,,,116,92.8,,110.2,95,,88.16,percent of total billed charges,95% of total billed charges,109.88,94.72,,87.9,percent of total billed charges,94.72% of total billed charges,114.6,98.79,,91.68,percent of total billed charges,98.79% of total billed charges,113.68,98,,90.94,percent of total billed charges,98% of total billed charges,113.68,98,,90.94,percent of total billed charges,98% of total billed charges,55.68,48,,44.54,percent of total billed charges,48% of total billed charges,52.2,45,,41.76,percent of total billed charges,45% of total billed charges,44.37,38.25,,35.5,percent of total billed charges,38.25% of total billed charges,52.2,45,,41.76,percent of total billed charges,45% of total billed charges,52.2,45,,41.76,percent of total billed charges,45% of total billed charges,44.37,114.6,
NEG PRESS WOUND THERAPY>50CM,13097606,CDM,761,RC,97606,HCPCS,OUTPATIENT,,,257,205.6,,244.15,95,,195.32,percent of total billed charges,95% of total billed charges,243.43,94.72,,194.74,percent of total billed charges,94.72% of total billed charges,253.89,98.79,,203.11,percent of total billed charges,98.79% of total billed charges,251.86,98,,201.49,percent of total billed charges,98% of total billed charges,251.86,98,,201.49,percent of total billed charges,98% of total billed charges,123.36,48,,98.69,percent of total billed charges,48% of total billed charges,115.65,45,,92.52,percent of total billed charges,45% of total billed charges,98.3,38.25,,78.64,percent of total billed charges,38.25% of total billed charges,115.65,45,,92.52,percent of total billed charges,45% of total billed charges,115.65,45,,92.52,percent of total billed charges,45% of total billed charges,98.3,253.89,
NEG PRESSURE WOUND THERAPY,13097607,CDM,761,RC,97607,HCPCS,OUTPATIENT,,,490,392,,465.5,95,,372.4,percent of total billed charges,95% of total billed charges,464.13,94.72,,371.3,percent of total billed charges,94.72% of total billed charges,484.07,98.79,,387.26,percent of total billed charges,98.79% of total billed charges,480.2,98,,384.16,percent of total billed charges,98% of total billed charges,480.2,98,,384.16,percent of total billed charges,98% of total billed charges,235.2,48,,188.16,percent of total billed charges,48% of total billed charges,220.5,45,,176.4,percent of total billed charges,45% of total billed charges,187.43,38.25,,149.94,percent of total billed charges,38.25% of total billed charges,220.5,45,,176.4,percent of total billed charges,45% of total billed charges,220.5,45,,176.4,percent of total billed charges,45% of total billed charges,187.43,484.07,
INC  REM FB SQ SMPL,15010120,CDM,761,RC,10120,HCPCS,OUTPATIENT,,,452,361.6,,429.4,95,,343.52,percent of total billed charges,95% of total billed charges,428.13,94.72,,342.5,percent of total billed charges,94.72% of total billed charges,446.53,98.79,,357.22,percent of total billed charges,98.79% of total billed charges,442.96,98,,354.37,percent of total billed charges,98% of total billed charges,442.96,98,,354.37,percent of total billed charges,98% of total billed charges,216.96,48,,173.57,percent of total billed charges,48% of total billed charges,203.4,45,,162.72,percent of total billed charges,45% of total billed charges,172.89,38.25,,138.31,percent of total billed charges,38.25% of total billed charges,203.4,45,,162.72,percent of total billed charges,45% of total billed charges,203.4,45,,162.72,percent of total billed charges,45% of total billed charges,172.89,446.53,
REMOVE FOREIGN BODY,15010121,CDM,761,RC,10121,HCPCS,OUTPATIENT,,,1204,963.2,,1143.8,95,,915.04,percent of total billed charges,95% of total billed charges,1140.43,94.72,,912.34,percent of total billed charges,94.72% of total billed charges,1189.43,98.79,,951.54,percent of total billed charges,98.79% of total billed charges,1179.92,98,,943.94,percent of total billed charges,98% of total billed charges,1179.92,98,,943.94,percent of total billed charges,98% of total billed charges,577.92,48,,462.34,percent of total billed charges,48% of total billed charges,541.8,45,,433.44,percent of total billed charges,45% of total billed charges,460.53,38.25,,368.42,percent of total billed charges,38.25% of total billed charges,541.8,45,,433.44,percent of total billed charges,45% of total billed charges,541.8,45,,433.44,percent of total billed charges,45% of total billed charges,460.53,1189.43,
DEBRIDE SKIN SUBCUT TISSUE MUSCLE,15011043,CDM,761,RC,11043,HCPCS,OUTPATIENT,,,1307,1045.6,,1241.65,95,,993.32,percent of total billed charges,95% of total billed charges,1237.99,94.72,,990.39,percent of total billed charges,94.72% of total billed charges,1291.19,98.79,,1032.95,percent of total billed charges,98.79% of total billed charges,1280.86,98,,1024.69,percent of total billed charges,98% of total billed charges,1280.86,98,,1024.69,percent of total billed charges,98% of total billed charges,627.36,48,,501.89,percent of total billed charges,48% of total billed charges,588.15,45,,470.52,percent of total billed charges,45% of total billed charges,499.93,38.25,,399.94,percent of total billed charges,38.25% of total billed charges,588.15,45,,470.52,percent of total billed charges,45% of total billed charges,588.15,45,,470.52,percent of total billed charges,45% of total billed charges,499.93,1291.19,
DEBRIDE SKIN SUBCUT TISSUE MUSCLE,15011044,CDM,761,RC,11044,HCPCS,OUTPATIENT,,,2014,1611.2,,1913.3,95,,1530.64,percent of total billed charges,95% of total billed charges,1907.66,94.72,,1526.13,percent of total billed charges,94.72% of total billed charges,1989.63,98.79,,1591.7,percent of total billed charges,98.79% of total billed charges,1973.72,98,,1578.98,percent of total billed charges,98% of total billed charges,1973.72,98,,1578.98,percent of total billed charges,98% of total billed charges,966.72,48,,773.38,percent of total billed charges,48% of total billed charges,906.3,45,,725.04,percent of total billed charges,45% of total billed charges,770.36,38.25,,616.29,percent of total billed charges,38.25% of total billed charges,906.3,45,,725.04,percent of total billed charges,45% of total billed charges,906.3,45,,725.04,percent of total billed charges,45% of total billed charges,770.36,1989.63,
REMOVAL OF SKIN TAGS <=15 LESIONS,15011200,CDM,761,RC,11200,HCPCS,OUTPATIENT,,,357,285.6,,339.15,95,,271.32,percent of total billed charges,95% of total billed charges,338.15,94.72,,270.52,percent of total billed charges,94.72% of total billed charges,352.68,98.79,,282.14,percent of total billed charges,98.79% of total billed charges,349.86,98,,279.89,percent of total billed charges,98% of total billed charges,349.86,98,,279.89,percent of total billed charges,98% of total billed charges,171.36,48,,137.09,percent of total billed charges,48% of total billed charges,160.65,45,,128.52,percent of total billed charges,45% of total billed charges,136.55,38.25,,109.24,percent of total billed charges,38.25% of total billed charges,160.65,45,,128.52,percent of total billed charges,45% of total billed charges,160.65,45,,128.52,percent of total billed charges,45% of total billed charges,136.55,352.68,
REMOVAL OF SKIN TAGS EA ADD'L 10 LES,15011201,CDM,761,RC,11201,HCPCS,OUTPATIENT,,,142,113.6,,134.9,95,,107.92,percent of total billed charges,95% of total billed charges,134.5,94.72,,107.6,percent of total billed charges,94.72% of total billed charges,140.28,98.79,,112.22,percent of total billed charges,98.79% of total billed charges,139.16,98,,111.33,percent of total billed charges,98% of total billed charges,139.16,98,,111.33,percent of total billed charges,98% of total billed charges,68.16,48,,54.53,percent of total billed charges,48% of total billed charges,63.9,45,,51.12,percent of total billed charges,45% of total billed charges,54.32,38.25,,43.46,percent of total billed charges,38.25% of total billed charges,63.9,45,,51.12,percent of total billed charges,45% of total billed charges,63.9,45,,51.12,percent of total billed charges,45% of total billed charges,54.32,140.28,
REMOVE SKIN LESION,15011401,CDM,761,RC,11401,HCPCS,OUTPATIENT,,,599,479.2,,569.05,95,,455.24,percent of total billed charges,95% of total billed charges,567.37,94.72,,453.9,percent of total billed charges,94.72% of total billed charges,591.75,98.79,,473.4,percent of total billed charges,98.79% of total billed charges,587.02,98,,469.62,percent of total billed charges,98% of total billed charges,587.02,98,,469.62,percent of total billed charges,98% of total billed charges,287.52,48,,230.02,percent of total billed charges,48% of total billed charges,269.55,45,,215.64,percent of total billed charges,45% of total billed charges,229.12,38.25,,183.3,percent of total billed charges,38.25% of total billed charges,269.55,45,,215.64,percent of total billed charges,45% of total billed charges,269.55,45,,215.64,percent of total billed charges,45% of total billed charges,229.12,591.75,
AVULSION OF NAIL PLATE PARTIAL/COMP,15011730,CDM,761,RC,11730,HCPCS,OUTPATIENT,,,236,188.8,,224.2,95,,179.36,percent of total billed charges,95% of total billed charges,223.54,94.72,,178.83,percent of total billed charges,94.72% of total billed charges,233.14,98.79,,186.51,percent of total billed charges,98.79% of total billed charges,231.28,98,,185.02,percent of total billed charges,98% of total billed charges,231.28,98,,185.02,percent of total billed charges,98% of total billed charges,113.28,48,,90.62,percent of total billed charges,48% of total billed charges,106.2,45,,84.96,percent of total billed charges,45% of total billed charges,90.27,38.25,,72.22,percent of total billed charges,38.25% of total billed charges,106.2,45,,84.96,percent of total billed charges,45% of total billed charges,106.2,45,,84.96,percent of total billed charges,45% of total billed charges,90.27,233.14,
REMOVAL NAIL BED,15011750,CDM,761,RC,11750,HCPCS,OUTPATIENT,,,748,598.4,,710.6,95,,568.48,percent of total billed charges,95% of total billed charges,708.51,94.72,,566.81,percent of total billed charges,94.72% of total billed charges,738.95,98.79,,591.16,percent of total billed charges,98.79% of total billed charges,733.04,98,,586.43,percent of total billed charges,98% of total billed charges,733.04,98,,586.43,percent of total billed charges,98% of total billed charges,359.04,48,,287.23,percent of total billed charges,48% of total billed charges,336.6,45,,269.28,percent of total billed charges,45% of total billed charges,286.11,38.25,,228.89,percent of total billed charges,38.25% of total billed charges,336.6,45,,269.28,percent of total billed charges,45% of total billed charges,336.6,45,,269.28,percent of total billed charges,45% of total billed charges,286.11,738.95,
REPAIR NAIL BED,15011760,CDM,761,RC,11760,HCPCS,OUTPATIENT,,,1250,1000,,1187.5,95,,950,percent of total billed charges,95% of total billed charges,1184,94.72,,947.2,percent of total billed charges,94.72% of total billed charges,1234.88,98.79,,987.9,percent of total billed charges,98.79% of total billed charges,1225,98,,980,percent of total billed charges,98% of total billed charges,1225,98,,980,percent of total billed charges,98% of total billed charges,600,48,,480,percent of total billed charges,48% of total billed charges,562.5,45,,450,percent of total billed charges,45% of total billed charges,478.13,38.25,,382.5,percent of total billed charges,38.25% of total billed charges,562.5,45,,450,percent of total billed charges,45% of total billed charges,562.5,45,,450,percent of total billed charges,45% of total billed charges,478.13,1234.88,
REMOVE CONTRACEPTIVE CAPSULE,15011976,CDM,761,RC,11976,HCPCS,OUTPATIENT,,,738,590.4,,701.1,95,,560.88,percent of total billed charges,95% of total billed charges,699.03,94.72,,559.22,percent of total billed charges,94.72% of total billed charges,729.07,98.79,,583.26,percent of total billed charges,98.79% of total billed charges,723.24,98,,578.59,percent of total billed charges,98% of total billed charges,723.24,98,,578.59,percent of total billed charges,98% of total billed charges,354.24,48,,283.39,percent of total billed charges,48% of total billed charges,332.1,45,,265.68,percent of total billed charges,45% of total billed charges,282.29,38.25,,225.83,percent of total billed charges,38.25% of total billed charges,332.1,45,,265.68,percent of total billed charges,45% of total billed charges,332.1,45,,265.68,percent of total billed charges,45% of total billed charges,282.29,729.07,
REPAIR SIMPLE <=2.5 CM,15012001,CDM,761,RC,12001,HCPCS,OUTPATIENT,,,526,420.8,,499.7,95,,399.76,percent of total billed charges,95% of total billed charges,498.23,94.72,,398.58,percent of total billed charges,94.72% of total billed charges,519.64,98.79,,415.71,percent of total billed charges,98.79% of total billed charges,515.48,98,,412.38,percent of total billed charges,98% of total billed charges,515.48,98,,412.38,percent of total billed charges,98% of total billed charges,252.48,48,,201.98,percent of total billed charges,48% of total billed charges,236.7,45,,189.36,percent of total billed charges,45% of total billed charges,201.2,38.25,,160.96,percent of total billed charges,38.25% of total billed charges,236.7,45,,189.36,percent of total billed charges,45% of total billed charges,236.7,45,,189.36,percent of total billed charges,45% of total billed charges,201.2,519.64,
REPAIR-SIMPLE FACE EARS <=2.5 CM,15012011,CDM,761,RC,12011,HCPCS,OUTPATIENT,,,597,477.6,,567.15,95,,453.72,percent of total billed charges,95% of total billed charges,565.48,94.72,,452.38,percent of total billed charges,94.72% of total billed charges,589.78,98.79,,471.82,percent of total billed charges,98.79% of total billed charges,585.06,98,,468.05,percent of total billed charges,98% of total billed charges,585.06,98,,468.05,percent of total billed charges,98% of total billed charges,286.56,48,,229.25,percent of total billed charges,48% of total billed charges,268.65,45,,214.92,percent of total billed charges,45% of total billed charges,228.35,38.25,,182.68,percent of total billed charges,38.25% of total billed charges,268.65,45,,214.92,percent of total billed charges,45% of total billed charges,268.65,45,,214.92,percent of total billed charges,45% of total billed charges,228.35,589.78,
TX SUPERFICAL WOUND SIMPLE CLOSURE,15012020,CDM,761,RC,12020,HCPCS,OUTPATIENT,,,517,413.6,,491.15,95,,392.92,percent of total billed charges,95% of total billed charges,489.7,94.72,,391.76,percent of total billed charges,94.72% of total billed charges,510.74,98.79,,408.59,percent of total billed charges,98.79% of total billed charges,506.66,98,,405.33,percent of total billed charges,98% of total billed charges,506.66,98,,405.33,percent of total billed charges,98% of total billed charges,248.16,48,,198.53,percent of total billed charges,48% of total billed charges,232.65,45,,186.12,percent of total billed charges,45% of total billed charges,197.75,38.25,,158.2,percent of total billed charges,38.25% of total billed charges,232.65,45,,186.12,percent of total billed charges,45% of total billed charges,232.65,45,,186.12,percent of total billed charges,45% of total billed charges,197.75,510.74,
REPAIR-INTERMEDIATE 7.6-12.5 CM,15012034,CDM,761,RC,12034,HCPCS,OUTPATIENT,,,1418,1134.4,,1347.1,95,,1077.68,percent of total billed charges,95% of total billed charges,1343.13,94.72,,1074.5,percent of total billed charges,94.72% of total billed charges,1400.84,98.79,,1120.67,percent of total billed charges,98.79% of total billed charges,1389.64,98,,1111.71,percent of total billed charges,98% of total billed charges,1389.64,98,,1111.71,percent of total billed charges,98% of total billed charges,680.64,48,,544.51,percent of total billed charges,48% of total billed charges,638.1,45,,510.48,percent of total billed charges,45% of total billed charges,542.39,38.25,,433.91,percent of total billed charges,38.25% of total billed charges,638.1,45,,510.48,percent of total billed charges,45% of total billed charges,638.1,45,,510.48,percent of total billed charges,45% of total billed charges,542.39,1400.84,
LAYER CLOSE WOUND (S),15012037,CDM,761,RC,12037,HCPCS,OUTPATIENT,,,1184,947.2,,1124.8,95,,899.84,percent of total billed charges,95% of total billed charges,1121.48,94.72,,897.18,percent of total billed charges,94.72% of total billed charges,1169.67,98.79,,935.74,percent of total billed charges,98.79% of total billed charges,1160.32,98,,928.26,percent of total billed charges,98% of total billed charges,1160.32,98,,928.26,percent of total billed charges,98% of total billed charges,568.32,48,,454.66,percent of total billed charges,48% of total billed charges,532.8,45,,426.24,percent of total billed charges,45% of total billed charges,452.88,38.25,,362.3,percent of total billed charges,38.25% of total billed charges,532.8,45,,426.24,percent of total billed charges,45% of total billed charges,532.8,45,,426.24,percent of total billed charges,45% of total billed charges,452.88,1169.67,
REPAIR-INTER NECK HANDS <=2.5CM,15012041,CDM,761,RC,12041,HCPCS,OUTPATIENT,,,972,777.6,,923.4,95,,738.72,percent of total billed charges,95% of total billed charges,920.68,94.72,,736.54,percent of total billed charges,94.72% of total billed charges,960.24,98.79,,768.19,percent of total billed charges,98.79% of total billed charges,952.56,98,,762.05,percent of total billed charges,98% of total billed charges,952.56,98,,762.05,percent of total billed charges,98% of total billed charges,466.56,48,,373.25,percent of total billed charges,48% of total billed charges,437.4,45,,349.92,percent of total billed charges,45% of total billed charges,371.79,38.25,,297.43,percent of total billed charges,38.25% of total billed charges,437.4,45,,349.92,percent of total billed charges,45% of total billed charges,437.4,45,,349.92,percent of total billed charges,45% of total billed charges,371.79,960.24,
LAYER CLOSURE WOUND(S),15012044,CDM,761,RC,12044,HCPCS,OUTPATIENT,,,540,432,,513,95,,410.4,percent of total billed charges,95% of total billed charges,511.49,94.72,,409.19,percent of total billed charges,94.72% of total billed charges,533.47,98.79,,426.78,percent of total billed charges,98.79% of total billed charges,529.2,98,,423.36,percent of total billed charges,98% of total billed charges,529.2,98,,423.36,percent of total billed charges,98% of total billed charges,259.2,48,,207.36,percent of total billed charges,48% of total billed charges,243,45,,194.4,percent of total billed charges,45% of total billed charges,206.55,38.25,,165.24,percent of total billed charges,38.25% of total billed charges,243,45,,194.4,percent of total billed charges,45% of total billed charges,243,45,,194.4,percent of total billed charges,45% of total billed charges,206.55,533.47,
LAYER CLOSE WOUND(S),15012045,CDM,761,RC,12045,HCPCS,OUTPATIENT,,,637,509.6,,605.15,95,,484.12,percent of total billed charges,95% of total billed charges,603.37,94.72,,482.7,percent of total billed charges,94.72% of total billed charges,629.29,98.79,,503.43,percent of total billed charges,98.79% of total billed charges,624.26,98,,499.41,percent of total billed charges,98% of total billed charges,624.26,98,,499.41,percent of total billed charges,98% of total billed charges,305.76,48,,244.61,percent of total billed charges,48% of total billed charges,286.65,45,,229.32,percent of total billed charges,45% of total billed charges,243.65,38.25,,194.92,percent of total billed charges,38.25% of total billed charges,286.65,45,,229.32,percent of total billed charges,45% of total billed charges,286.65,45,,229.32,percent of total billed charges,45% of total billed charges,243.65,629.29,
REPAIR COMPLEX SCALP ARM LEG 1.1-2.5,15013120,CDM,761,RC,13120,HCPCS,OUTPATIENT,,,847,677.6,,804.65,95,,643.72,percent of total billed charges,95% of total billed charges,802.28,94.72,,641.82,percent of total billed charges,94.72% of total billed charges,836.75,98.79,,669.4,percent of total billed charges,98.79% of total billed charges,830.06,98,,664.05,percent of total billed charges,98% of total billed charges,830.06,98,,664.05,percent of total billed charges,98% of total billed charges,406.56,48,,325.25,percent of total billed charges,48% of total billed charges,381.15,45,,304.92,percent of total billed charges,45% of total billed charges,323.98,38.25,,259.18,percent of total billed charges,38.25% of total billed charges,381.15,45,,304.92,percent of total billed charges,45% of total billed charges,381.15,45,,304.92,percent of total billed charges,45% of total billed charges,323.98,836.75,
REPAIR-COMPLEX SCALP ARMS 2.6-7.5 CM,15013121,CDM,761,RC,13121,HCPCS,OUTPATIENT,,,1842,1473.6,,1749.9,95,,1399.92,percent of total billed charges,95% of total billed charges,1744.74,94.72,,1395.79,percent of total billed charges,94.72% of total billed charges,1819.71,98.79,,1455.77,percent of total billed charges,98.79% of total billed charges,1805.16,98,,1444.13,percent of total billed charges,98% of total billed charges,1805.16,98,,1444.13,percent of total billed charges,98% of total billed charges,884.16,48,,707.33,percent of total billed charges,48% of total billed charges,828.9,45,,663.12,percent of total billed charges,45% of total billed charges,704.57,38.25,,563.66,percent of total billed charges,38.25% of total billed charges,828.9,45,,663.12,percent of total billed charges,45% of total billed charges,828.9,45,,663.12,percent of total billed charges,45% of total billed charges,704.57,1819.71,
COMPLEX REPAIR F/G/H/F 1-2.5CM,15013131,CDM,761,RC,13131,HCPCS,OUTPATIENT,,,1740,1392,,1653,95,,1322.4,percent of total billed charges,95% of total billed charges,1648.13,94.72,,1318.5,percent of total billed charges,94.72% of total billed charges,1718.95,98.79,,1375.16,percent of total billed charges,98.79% of total billed charges,1705.2,98,,1364.16,percent of total billed charges,98% of total billed charges,1705.2,98,,1364.16,percent of total billed charges,98% of total billed charges,835.2,48,,668.16,percent of total billed charges,48% of total billed charges,783,45,,626.4,percent of total billed charges,45% of total billed charges,665.55,38.25,,532.44,percent of total billed charges,38.25% of total billed charges,783,45,,626.4,percent of total billed charges,45% of total billed charges,783,45,,626.4,percent of total billed charges,45% of total billed charges,665.55,1718.95,
REP COMPLEX FOREHEAD CHEEK EA ADD'L,15013133,CDM,761,RC,13133,HCPCS,OUTPATIENT,,,465,372,,441.75,95,,353.4,percent of total billed charges,95% of total billed charges,440.45,94.72,,352.36,percent of total billed charges,94.72% of total billed charges,459.37,98.79,,367.5,percent of total billed charges,98.79% of total billed charges,455.7,98,,364.56,percent of total billed charges,98% of total billed charges,455.7,98,,364.56,percent of total billed charges,98% of total billed charges,223.2,48,,178.56,percent of total billed charges,48% of total billed charges,209.25,45,,167.4,percent of total billed charges,45% of total billed charges,177.86,38.25,,142.29,percent of total billed charges,38.25% of total billed charges,209.25,45,,167.4,percent of total billed charges,45% of total billed charges,209.25,45,,167.4,percent of total billed charges,45% of total billed charges,177.86,459.37,
REP COMPLEX EYELID NOSE EAR 1.1-2.5 CM,15013151,CDM,761,RC,13151,HCPCS,OUTPATIENT,,,1202,961.6,,1141.9,95,,913.52,percent of total billed charges,95% of total billed charges,1138.53,94.72,,910.82,percent of total billed charges,94.72% of total billed charges,1187.46,98.79,,949.97,percent of total billed charges,98.79% of total billed charges,1177.96,98,,942.37,percent of total billed charges,98% of total billed charges,1177.96,98,,942.37,percent of total billed charges,98% of total billed charges,576.96,48,,461.57,percent of total billed charges,48% of total billed charges,540.9,45,,432.72,percent of total billed charges,45% of total billed charges,459.77,38.25,,367.82,percent of total billed charges,38.25% of total billed charges,540.9,45,,432.72,percent of total billed charges,45% of total billed charges,540.9,45,,432.72,percent of total billed charges,45% of total billed charges,459.77,1187.46,
REP COMPLEX EYELID NOSE EAR 2.6-7.5,15013152,CDM,761,RC,13152,HCPCS,OUTPATIENT,,,1622,1297.6,,1540.9,95,,1232.72,percent of total billed charges,95% of total billed charges,1536.36,94.72,,1229.09,percent of total billed charges,94.72% of total billed charges,1602.37,98.79,,1281.9,percent of total billed charges,98.79% of total billed charges,1589.56,98,,1271.65,percent of total billed charges,98% of total billed charges,1589.56,98,,1271.65,percent of total billed charges,98% of total billed charges,778.56,48,,622.85,percent of total billed charges,48% of total billed charges,729.9,45,,583.92,percent of total billed charges,45% of total billed charges,620.42,38.25,,496.34,percent of total billed charges,38.25% of total billed charges,729.9,45,,583.92,percent of total billed charges,45% of total billed charges,729.9,45,,583.92,percent of total billed charges,45% of total billed charges,620.42,1602.37,
REP COMPLEX EYELID NOSE EAR ADD'L 5C,15013153,CDM,761,RC,13153,HCPCS,OUTPATIENT,,,506,404.8,,480.7,95,,384.56,percent of total billed charges,95% of total billed charges,479.28,94.72,,383.42,percent of total billed charges,94.72% of total billed charges,499.88,98.79,,399.9,percent of total billed charges,98.79% of total billed charges,495.88,98,,396.7,percent of total billed charges,98% of total billed charges,495.88,98,,396.7,percent of total billed charges,98% of total billed charges,242.88,48,,194.3,percent of total billed charges,48% of total billed charges,227.7,45,,182.16,percent of total billed charges,45% of total billed charges,193.55,38.25,,154.84,percent of total billed charges,38.25% of total billed charges,227.7,45,,182.16,percent of total billed charges,45% of total billed charges,227.7,45,,182.16,percent of total billed charges,45% of total billed charges,193.55,499.88,
SECONDARY CLOSURE OF SURGICAL WOUND,15013160,CDM,761,RC,13160,HCPCS,OUTPATIENT,,,4522,3617.6,,4295.9,95,,3436.72,percent of total billed charges,95% of total billed charges,4283.24,94.72,,3426.59,percent of total billed charges,94.72% of total billed charges,4467.28,98.79,,3573.82,percent of total billed charges,98.79% of total billed charges,4431.56,98,,3545.25,percent of total billed charges,98% of total billed charges,4431.56,98,,3545.25,percent of total billed charges,98% of total billed charges,2170.56,48,,1736.45,percent of total billed charges,48% of total billed charges,2034.9,45,,1627.92,percent of total billed charges,45% of total billed charges,1729.67,38.25,,1383.74,percent of total billed charges,38.25% of total billed charges,2034.9,45,,1627.92,percent of total billed charges,45% of total billed charges,2034.9,45,,1627.92,percent of total billed charges,45% of total billed charges,1729.67,4467.28,
INIT TX 1ST DEGR BURN,15016000,CDM,761,RC,16000,HCPCS,OUTPATIENT,,,338,270.4,,321.1,95,,256.88,percent of total billed charges,95% of total billed charges,320.15,94.72,,256.12,percent of total billed charges,94.72% of total billed charges,333.91,98.79,,267.13,percent of total billed charges,98.79% of total billed charges,331.24,98,,264.99,percent of total billed charges,98% of total billed charges,331.24,98,,264.99,percent of total billed charges,98% of total billed charges,162.24,48,,129.79,percent of total billed charges,48% of total billed charges,152.1,45,,121.68,percent of total billed charges,45% of total billed charges,129.29,38.25,,103.43,percent of total billed charges,38.25% of total billed charges,152.1,45,,121.68,percent of total billed charges,45% of total billed charges,152.1,45,,121.68,percent of total billed charges,45% of total billed charges,129.29,333.91,
DRESSING/DEBRIDE INIT OF SUBSQ SMALL,15016020,CDM,761,RC,16020,HCPCS,OUTPATIENT,,,405,324,,384.75,95,,307.8,percent of total billed charges,95% of total billed charges,383.62,94.72,,306.9,percent of total billed charges,94.72% of total billed charges,400.1,98.79,,320.08,percent of total billed charges,98.79% of total billed charges,396.9,98,,317.52,percent of total billed charges,98% of total billed charges,396.9,98,,317.52,percent of total billed charges,98% of total billed charges,194.4,48,,155.52,percent of total billed charges,48% of total billed charges,182.25,45,,145.8,percent of total billed charges,45% of total billed charges,154.91,38.25,,123.93,percent of total billed charges,38.25% of total billed charges,182.25,45,,145.8,percent of total billed charges,45% of total billed charges,182.25,45,,145.8,percent of total billed charges,45% of total billed charges,154.91,400.1,
DRESSING/DEBRIDE INIT SUBSQ MED,15016025,CDM,761,RC,16025,HCPCS,OUTPATIENT,,,630,504,,598.5,95,,478.8,percent of total billed charges,95% of total billed charges,596.74,94.72,,477.39,percent of total billed charges,94.72% of total billed charges,622.38,98.79,,497.9,percent of total billed charges,98.79% of total billed charges,617.4,98,,493.92,percent of total billed charges,98% of total billed charges,617.4,98,,493.92,percent of total billed charges,98% of total billed charges,302.4,48,,241.92,percent of total billed charges,48% of total billed charges,283.5,45,,226.8,percent of total billed charges,45% of total billed charges,240.98,38.25,,192.78,percent of total billed charges,38.25% of total billed charges,283.5,45,,226.8,percent of total billed charges,45% of total billed charges,283.5,45,,226.8,percent of total billed charges,45% of total billed charges,240.98,622.38,
DRESSING/DEBRIDE INIT  SUBSQ LARGE,15016030,CDM,761,RC,16030,HCPCS,OUTPATIENT,,,1230,984,,1168.5,95,,934.8,percent of total billed charges,95% of total billed charges,1165.06,94.72,,932.05,percent of total billed charges,94.72% of total billed charges,1215.12,98.79,,972.1,percent of total billed charges,98.79% of total billed charges,1205.4,98,,964.32,percent of total billed charges,98% of total billed charges,1205.4,98,,964.32,percent of total billed charges,98% of total billed charges,590.4,48,,472.32,percent of total billed charges,48% of total billed charges,553.5,45,,442.8,percent of total billed charges,45% of total billed charges,470.48,38.25,,376.38,percent of total billed charges,38.25% of total billed charges,553.5,45,,442.8,percent of total billed charges,45% of total billed charges,553.5,45,,442.8,percent of total billed charges,45% of total billed charges,470.48,1215.12,
INJ SGL TRIGGER TENDON SHTH OR LIGAMENT,15020550,CDM,761,RC,20550,HCPCS,OUTPATIENT,,,246,196.8,,233.7,95,,186.96,percent of total billed charges,95% of total billed charges,233.01,94.72,,186.41,percent of total billed charges,94.72% of total billed charges,243.02,98.79,,194.42,percent of total billed charges,98.79% of total billed charges,241.08,98,,192.86,percent of total billed charges,98% of total billed charges,241.08,98,,192.86,percent of total billed charges,98% of total billed charges,118.08,48,,94.46,percent of total billed charges,48% of total billed charges,110.7,45,,88.56,percent of total billed charges,45% of total billed charges,94.1,38.25,,75.28,percent of total billed charges,38.25% of total billed charges,110.7,45,,88.56,percent of total billed charges,45% of total billed charges,110.7,45,,88.56,percent of total billed charges,45% of total billed charges,94.1,243.02,
DRAIN/INJECT JOINT/BURSA,15020600,CDM,761,RC,20600,HCPCS,OUTPATIENT,,,138,110.4,,131.1,95,,104.88,percent of total billed charges,95% of total billed charges,130.71,94.72,,104.57,percent of total billed charges,94.72% of total billed charges,136.33,98.79,,109.06,percent of total billed charges,98.79% of total billed charges,135.24,98,,108.19,percent of total billed charges,98% of total billed charges,135.24,98,,108.19,percent of total billed charges,98% of total billed charges,66.24,48,,52.99,percent of total billed charges,48% of total billed charges,62.1,45,,49.68,percent of total billed charges,45% of total billed charges,52.79,38.25,,42.23,percent of total billed charges,38.25% of total billed charges,62.1,45,,49.68,percent of total billed charges,45% of total billed charges,62.1,45,,49.68,percent of total billed charges,45% of total billed charges,52.79,136.33,
ARTHROCENTESIS INTERMED JOINT BURSA,15020605,CDM,761,RC,20605,HCPCS,OUTPATIENT,,,315,252,,299.25,95,,239.4,percent of total billed charges,95% of total billed charges,298.37,94.72,,238.7,percent of total billed charges,94.72% of total billed charges,311.19,98.79,,248.95,percent of total billed charges,98.79% of total billed charges,308.7,98,,246.96,percent of total billed charges,98% of total billed charges,308.7,98,,246.96,percent of total billed charges,98% of total billed charges,151.2,48,,120.96,percent of total billed charges,48% of total billed charges,141.75,45,,113.4,percent of total billed charges,45% of total billed charges,120.49,38.25,,96.39,percent of total billed charges,38.25% of total billed charges,141.75,45,,113.4,percent of total billed charges,45% of total billed charges,141.75,45,,113.4,percent of total billed charges,45% of total billed charges,120.49,311.19,
DRAIN/INJECT JOINT/BURSA,15020610,CDM,761,RC,20610,HCPCS,OUTPATIENT,,,342,273.6,,324.9,95,,259.92,percent of total billed charges,95% of total billed charges,323.94,94.72,,259.15,percent of total billed charges,94.72% of total billed charges,337.86,98.79,,270.29,percent of total billed charges,98.79% of total billed charges,335.16,98,,268.13,percent of total billed charges,98% of total billed charges,335.16,98,,268.13,percent of total billed charges,98% of total billed charges,164.16,48,,131.33,percent of total billed charges,48% of total billed charges,153.9,45,,123.12,percent of total billed charges,45% of total billed charges,130.82,38.25,,104.66,percent of total billed charges,38.25% of total billed charges,153.9,45,,123.12,percent of total billed charges,45% of total billed charges,153.9,45,,123.12,percent of total billed charges,45% of total billed charges,130.82,337.86,
DRAIN/INJECT JOINT/BURSA Tech Fee,15020610,CDM,761,RC,20610,HCPCS,OUTPATIENT,,,342,273.6,,324.9,95,,259.92,percent of total billed charges,95% of total billed charges,323.94,94.72,,259.15,percent of total billed charges,94.72% of total billed charges,337.86,98.79,,270.29,percent of total billed charges,98.79% of total billed charges,335.16,98,,268.13,percent of total billed charges,98% of total billed charges,335.16,98,,268.13,percent of total billed charges,98% of total billed charges,164.16,48,,131.33,percent of total billed charges,48% of total billed charges,153.9,45,,123.12,percent of total billed charges,45% of total billed charges,130.82,38.25,,104.66,percent of total billed charges,38.25% of total billed charges,153.9,45,,123.12,percent of total billed charges,45% of total billed charges,153.9,45,,123.12,percent of total billed charges,45% of total billed charges,130.82,337.86,
TREAT NOSE FRACTURE W/STABILIZATION,15021320,CDM,761,RC,21320,HCPCS,OUTPATIENT,,,1256,1004.8,,1193.2,95,,954.56,percent of total billed charges,95% of total billed charges,1189.68,94.72,,951.74,percent of total billed charges,94.72% of total billed charges,1240.8,98.79,,992.64,percent of total billed charges,98.79% of total billed charges,1230.88,98,,984.7,percent of total billed charges,98% of total billed charges,1230.88,98,,984.7,percent of total billed charges,98% of total billed charges,602.88,48,,482.3,percent of total billed charges,48% of total billed charges,565.2,45,,452.16,percent of total billed charges,45% of total billed charges,480.42,38.25,,384.34,percent of total billed charges,38.25% of total billed charges,565.2,45,,452.16,percent of total billed charges,45% of total billed charges,565.2,45,,452.16,percent of total billed charges,45% of total billed charges,480.42,1240.8,
TREAT ELBOW DISLOCATION,15024605,CDM,761,RC,24605,HCPCS,OUTPATIENT,,,1193,954.4,,1133.35,95,,906.68,percent of total billed charges,95% of total billed charges,1130.01,94.72,,904.01,percent of total billed charges,94.72% of total billed charges,1178.56,98.79,,942.85,percent of total billed charges,98.79% of total billed charges,1169.14,98,,935.31,percent of total billed charges,98% of total billed charges,1169.14,98,,935.31,percent of total billed charges,98% of total billed charges,572.64,48,,458.11,percent of total billed charges,48% of total billed charges,536.85,45,,429.48,percent of total billed charges,45% of total billed charges,456.32,38.25,,365.06,percent of total billed charges,38.25% of total billed charges,536.85,45,,429.48,percent of total billed charges,45% of total billed charges,536.85,45,,429.48,percent of total billed charges,45% of total billed charges,456.32,1178.56,
TREAT ELBOW DISLOCATION,15024640,CDM,761,RC,24640,HCPCS,OUTPATIENT,,,334,267.2,,317.3,95,,253.84,percent of total billed charges,95% of total billed charges,316.36,94.72,,253.09,percent of total billed charges,94.72% of total billed charges,329.96,98.79,,263.97,percent of total billed charges,98.79% of total billed charges,327.32,98,,261.86,percent of total billed charges,98% of total billed charges,327.32,98,,261.86,percent of total billed charges,98% of total billed charges,160.32,48,,128.26,percent of total billed charges,48% of total billed charges,150.3,45,,120.24,percent of total billed charges,45% of total billed charges,127.76,38.25,,102.21,percent of total billed charges,38.25% of total billed charges,150.3,45,,120.24,percent of total billed charges,45% of total billed charges,150.3,45,,120.24,percent of total billed charges,45% of total billed charges,127.76,329.96,
CL TRTMT RADIAL HEAD/NECK FRACTURE,15024650,CDM,761,RC,24650,HCPCS,OUTPATIENT,,,1026,820.8,,974.7,95,,779.76,percent of total billed charges,95% of total billed charges,971.83,94.72,,777.46,percent of total billed charges,94.72% of total billed charges,1013.59,98.79,,810.87,percent of total billed charges,98.79% of total billed charges,1005.48,98,,804.38,percent of total billed charges,98% of total billed charges,1005.48,98,,804.38,percent of total billed charges,98% of total billed charges,492.48,48,,393.98,percent of total billed charges,48% of total billed charges,461.7,45,,369.36,percent of total billed charges,45% of total billed charges,392.45,38.25,,313.96,percent of total billed charges,38.25% of total billed charges,461.7,45,,369.36,percent of total billed charges,45% of total billed charges,461.7,45,,369.36,percent of total billed charges,45% of total billed charges,392.45,1013.59,
CL TREATMT OF SHAFT FRAC W/O MAN,15025500,CDM,761,RC,25500,HCPCS,OUTPATIENT,,,747,597.6,,709.65,95,,567.72,percent of total billed charges,95% of total billed charges,707.56,94.72,,566.05,percent of total billed charges,94.72% of total billed charges,737.96,98.79,,590.37,percent of total billed charges,98.79% of total billed charges,732.06,98,,585.65,percent of total billed charges,98% of total billed charges,732.06,98,,585.65,percent of total billed charges,98% of total billed charges,358.56,48,,286.85,percent of total billed charges,48% of total billed charges,336.15,45,,268.92,percent of total billed charges,45% of total billed charges,285.73,38.25,,228.58,percent of total billed charges,38.25% of total billed charges,336.15,45,,268.92,percent of total billed charges,45% of total billed charges,336.15,45,,268.92,percent of total billed charges,45% of total billed charges,285.73,737.96,
CL TREATMT OF SHAFT FRAC W/MAN,15025505,CDM,761,RC,25505,HCPCS,OUTPATIENT,,,1432,1145.6,,1360.4,95,,1088.32,percent of total billed charges,95% of total billed charges,1356.39,94.72,,1085.11,percent of total billed charges,94.72% of total billed charges,1414.67,98.79,,1131.74,percent of total billed charges,98.79% of total billed charges,1403.36,98,,1122.69,percent of total billed charges,98% of total billed charges,1403.36,98,,1122.69,percent of total billed charges,98% of total billed charges,687.36,48,,549.89,percent of total billed charges,48% of total billed charges,644.4,45,,515.52,percent of total billed charges,45% of total billed charges,547.74,38.25,,438.19,percent of total billed charges,38.25% of total billed charges,644.4,45,,515.52,percent of total billed charges,45% of total billed charges,644.4,45,,515.52,percent of total billed charges,45% of total billed charges,547.74,1414.67,
OP TREATMT SHAFT FRAC W/ INT OR EXT,15025525,CDM,761,RC,25525,HCPCS,OUTPATIENT,,,2883,2306.4,,2738.85,95,,2191.08,percent of total billed charges,95% of total billed charges,2730.78,94.72,,2184.62,percent of total billed charges,94.72% of total billed charges,2848.12,98.79,,2278.5,percent of total billed charges,98.79% of total billed charges,2825.34,98,,2260.27,percent of total billed charges,98% of total billed charges,2825.34,98,,2260.27,percent of total billed charges,98% of total billed charges,1383.84,48,,1107.07,percent of total billed charges,48% of total billed charges,1297.35,45,,1037.88,percent of total billed charges,45% of total billed charges,1102.75,38.25,,882.2,percent of total billed charges,38.25% of total billed charges,1297.35,45,,1037.88,percent of total billed charges,45% of total billed charges,1297.35,45,,1037.88,percent of total billed charges,45% of total billed charges,1102.75,2848.12,
OP TREATMT SHAFT FRAC W/ INT OR EXT,15025526,CDM,761,RC,25526,HCPCS,OUTPATIENT,,,3276,2620.8,,3112.2,95,,2489.76,percent of total billed charges,95% of total billed charges,3103.03,94.72,,2482.42,percent of total billed charges,94.72% of total billed charges,3236.36,98.79,,2589.09,percent of total billed charges,98.79% of total billed charges,3210.48,98,,2568.38,percent of total billed charges,98% of total billed charges,3210.48,98,,2568.38,percent of total billed charges,98% of total billed charges,1572.48,48,,1257.98,percent of total billed charges,48% of total billed charges,1474.2,45,,1179.36,percent of total billed charges,45% of total billed charges,1253.07,38.25,,1002.46,percent of total billed charges,38.25% of total billed charges,1474.2,45,,1179.36,percent of total billed charges,45% of total billed charges,1474.2,45,,1179.36,percent of total billed charges,45% of total billed charges,1253.07,3236.36,
TREAT METACARPAL FRACTURE,15026600,CDM,761,RC,26600,HCPCS,OUTPATIENT,,,1078,862.4,,1024.1,95,,819.28,percent of total billed charges,95% of total billed charges,1021.08,94.72,,816.86,percent of total billed charges,94.72% of total billed charges,1064.96,98.79,,851.97,percent of total billed charges,98.79% of total billed charges,1056.44,98,,845.15,percent of total billed charges,98% of total billed charges,1056.44,98,,845.15,percent of total billed charges,98% of total billed charges,517.44,48,,413.95,percent of total billed charges,48% of total billed charges,485.1,45,,388.08,percent of total billed charges,45% of total billed charges,412.34,38.25,,329.87,percent of total billed charges,38.25% of total billed charges,485.1,45,,388.08,percent of total billed charges,45% of total billed charges,485.1,45,,388.08,percent of total billed charges,45% of total billed charges,412.34,1064.96,
CL TX CMC FX DISCLOC THUMB W MANIP,15026645,CDM,761,RC,26645,HCPCS,OUTPATIENT,,,875,700,,831.25,95,,665,percent of total billed charges,95% of total billed charges,828.8,94.72,,663.04,percent of total billed charges,94.72% of total billed charges,864.41,98.79,,691.53,percent of total billed charges,98.79% of total billed charges,857.5,98,,686,percent of total billed charges,98% of total billed charges,857.5,98,,686,percent of total billed charges,98% of total billed charges,420,48,,336,percent of total billed charges,48% of total billed charges,393.75,45,,315,percent of total billed charges,45% of total billed charges,334.69,38.25,,267.75,percent of total billed charges,38.25% of total billed charges,393.75,45,,315,percent of total billed charges,45% of total billed charges,393.75,45,,315,percent of total billed charges,45% of total billed charges,334.69,864.41,
CL TX  HIP DISLOC TRAUMATIC WO ANESTHES,15027250,CDM,761,RC,27250,HCPCS,OUTPATIENT,,,1407,1125.6,,1336.65,95,,1069.32,percent of total billed charges,95% of total billed charges,1332.71,94.72,,1066.17,percent of total billed charges,94.72% of total billed charges,1389.98,98.79,,1111.98,percent of total billed charges,98.79% of total billed charges,1378.86,98,,1103.09,percent of total billed charges,98% of total billed charges,1378.86,98,,1103.09,percent of total billed charges,98% of total billed charges,675.36,48,,540.29,percent of total billed charges,48% of total billed charges,633.15,45,,506.52,percent of total billed charges,45% of total billed charges,538.18,38.25,,430.54,percent of total billed charges,38.25% of total billed charges,633.15,45,,506.52,percent of total billed charges,45% of total billed charges,633.15,45,,506.52,percent of total billed charges,45% of total billed charges,538.18,1389.98,
TREAT HIP DISLOCATION,15027266,CDM,761,RC,27266,HCPCS,OUTPATIENT,,,2081,1664.8,,1976.95,95,,1581.56,percent of total billed charges,95% of total billed charges,1971.12,94.72,,1576.9,percent of total billed charges,94.72% of total billed charges,2055.82,98.79,,1644.66,percent of total billed charges,98.79% of total billed charges,2039.38,98,,1631.5,percent of total billed charges,98% of total billed charges,2039.38,98,,1631.5,percent of total billed charges,98% of total billed charges,998.88,48,,799.1,percent of total billed charges,48% of total billed charges,936.45,45,,749.16,percent of total billed charges,45% of total billed charges,795.98,38.25,,636.78,percent of total billed charges,38.25% of total billed charges,936.45,45,,749.16,percent of total billed charges,45% of total billed charges,936.45,45,,749.16,percent of total billed charges,45% of total billed charges,795.98,2055.82,
TREAT ANKLE FRACTURE,15027808,CDM,761,RC,27808,HCPCS,OUTPATIENT,,,1649,1319.2,,1566.55,95,,1253.24,percent of total billed charges,95% of total billed charges,1561.93,94.72,,1249.54,percent of total billed charges,94.72% of total billed charges,1629.05,98.79,,1303.24,percent of total billed charges,98.79% of total billed charges,1616.02,98,,1292.82,percent of total billed charges,98% of total billed charges,1616.02,98,,1292.82,percent of total billed charges,98% of total billed charges,791.52,48,,633.22,percent of total billed charges,48% of total billed charges,742.05,45,,593.64,percent of total billed charges,45% of total billed charges,630.74,38.25,,504.59,percent of total billed charges,38.25% of total billed charges,742.05,45,,593.64,percent of total billed charges,45% of total billed charges,742.05,45,,593.64,percent of total billed charges,45% of total billed charges,630.74,1629.05,
TREAT METATARSAL FRACTURE,15028470,CDM,761,RC,28470,HCPCS,OUTPATIENT,,,907,725.6,,861.65,95,,689.32,percent of total billed charges,95% of total billed charges,859.11,94.72,,687.29,percent of total billed charges,94.72% of total billed charges,896.03,98.79,,716.82,percent of total billed charges,98.79% of total billed charges,888.86,98,,711.09,percent of total billed charges,98% of total billed charges,888.86,98,,711.09,percent of total billed charges,98% of total billed charges,435.36,48,,348.29,percent of total billed charges,48% of total billed charges,408.15,45,,326.52,percent of total billed charges,45% of total billed charges,346.93,38.25,,277.54,percent of total billed charges,38.25% of total billed charges,408.15,45,,326.52,percent of total billed charges,45% of total billed charges,408.15,45,,326.52,percent of total billed charges,45% of total billed charges,346.93,896.03,
CL TX FX GREAT TOE PHALANX W MANIPULATIO,15028495,CDM,761,RC,28495,HCPCS,OUTPATIENT,,,676,540.8,,642.2,95,,513.76,percent of total billed charges,95% of total billed charges,640.31,94.72,,512.25,percent of total billed charges,94.72% of total billed charges,667.82,98.79,,534.26,percent of total billed charges,98.79% of total billed charges,662.48,98,,529.98,percent of total billed charges,98% of total billed charges,662.48,98,,529.98,percent of total billed charges,98% of total billed charges,324.48,48,,259.58,percent of total billed charges,48% of total billed charges,304.2,45,,243.36,percent of total billed charges,45% of total billed charges,258.57,38.25,,206.86,percent of total billed charges,38.25% of total billed charges,304.2,45,,243.36,percent of total billed charges,45% of total billed charges,304.2,45,,243.36,percent of total billed charges,45% of total billed charges,258.57,667.82,
TREAT TOE FRACTURE,15028515,CDM,761,RC,28515,HCPCS,OUTPATIENT,,,459,367.2,,436.05,95,,348.84,percent of total billed charges,95% of total billed charges,434.76,94.72,,347.81,percent of total billed charges,94.72% of total billed charges,453.45,98.79,,362.76,percent of total billed charges,98.79% of total billed charges,449.82,98,,359.86,percent of total billed charges,98% of total billed charges,449.82,98,,359.86,percent of total billed charges,98% of total billed charges,220.32,48,,176.26,percent of total billed charges,48% of total billed charges,206.55,45,,165.24,percent of total billed charges,45% of total billed charges,175.57,38.25,,140.46,percent of total billed charges,38.25% of total billed charges,206.55,45,,165.24,percent of total billed charges,45% of total billed charges,206.55,45,,165.24,percent of total billed charges,45% of total billed charges,175.57,453.45,
SHORT ARM SPLINT (FORE TO HAND) STAT,15029125,CDM,761,RC,29125,HCPCS,OUTPATIENT,,,190,152,,180.5,95,,144.4,percent of total billed charges,95% of total billed charges,179.97,94.72,,143.98,percent of total billed charges,94.72% of total billed charges,187.7,98.79,,150.16,percent of total billed charges,98.79% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,91.2,48,,72.96,percent of total billed charges,48% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,38.25,,58.14,percent of total billed charges,38.25% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,187.7,
APPLY LONG LEG CAST,15029345,CDM,761,RC,29345,HCPCS,OUTPATIENT,,,498,398.4,,473.1,95,,378.48,percent of total billed charges,95% of total billed charges,471.71,94.72,,377.37,percent of total billed charges,94.72% of total billed charges,491.97,98.79,,393.58,percent of total billed charges,98.79% of total billed charges,488.04,98,,390.43,percent of total billed charges,98% of total billed charges,488.04,98,,390.43,percent of total billed charges,98% of total billed charges,239.04,48,,191.23,percent of total billed charges,48% of total billed charges,224.1,45,,179.28,percent of total billed charges,45% of total billed charges,190.49,38.25,,152.39,percent of total billed charges,38.25% of total billed charges,224.1,45,,179.28,percent of total billed charges,45% of total billed charges,224.1,45,,179.28,percent of total billed charges,45% of total billed charges,190.49,491.97,
APPLY SHORT LEG CAST,15029405,CDM,761,RC,29405,HCPCS,OUTPATIENT,,,375,300,,356.25,95,,285,percent of total billed charges,95% of total billed charges,355.2,94.72,,284.16,percent of total billed charges,94.72% of total billed charges,370.46,98.79,,296.37,percent of total billed charges,98.79% of total billed charges,367.5,98,,294,percent of total billed charges,98% of total billed charges,367.5,98,,294,percent of total billed charges,98% of total billed charges,180,48,,144,percent of total billed charges,48% of total billed charges,168.75,45,,135,percent of total billed charges,45% of total billed charges,143.44,38.25,,114.75,percent of total billed charges,38.25% of total billed charges,168.75,45,,135,percent of total billed charges,45% of total billed charges,168.75,45,,135,percent of total billed charges,45% of total billed charges,143.44,370.46,
LONG LEG SPLINT (THIGH TO ANKLE/TOE),15029505,CDM,761,RC,29505,HCPCS,OUTPATIENT,,,172,137.6,,163.4,95,,130.72,percent of total billed charges,95% of total billed charges,162.92,94.72,,130.34,percent of total billed charges,94.72% of total billed charges,169.92,98.79,,135.94,percent of total billed charges,98.79% of total billed charges,168.56,98,,134.85,percent of total billed charges,98% of total billed charges,168.56,98,,134.85,percent of total billed charges,98% of total billed charges,82.56,48,,66.05,percent of total billed charges,48% of total billed charges,77.4,45,,61.92,percent of total billed charges,45% of total billed charges,65.79,38.25,,52.63,percent of total billed charges,38.25% of total billed charges,77.4,45,,61.92,percent of total billed charges,45% of total billed charges,77.4,45,,61.92,percent of total billed charges,45% of total billed charges,65.79,169.92,
STRAP KNEE,15029530,CDM,761,RC,29530,HCPCS,OUTPATIENT,,,125,100,,118.75,95,,95,percent of total billed charges,95% of total billed charges,118.4,94.72,,94.72,percent of total billed charges,94.72% of total billed charges,123.49,98.79,,98.79,percent of total billed charges,98.79% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,60,48,,48,percent of total billed charges,48% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,38.25,,38.25,percent of total billed charges,38.25% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,123.49,
CONTROL NASAL HEMORRHAGE SIMPLE,15030901,CDM,761,RC,30901,HCPCS,OUTPATIENT,,,507,405.6,,481.65,95,,385.32,percent of total billed charges,95% of total billed charges,480.23,94.72,,384.18,percent of total billed charges,94.72% of total billed charges,500.87,98.79,,400.7,percent of total billed charges,98.79% of total billed charges,496.86,98,,397.49,percent of total billed charges,98% of total billed charges,496.86,98,,397.49,percent of total billed charges,98% of total billed charges,243.36,48,,194.69,percent of total billed charges,48% of total billed charges,228.15,45,,182.52,percent of total billed charges,45% of total billed charges,193.93,38.25,,155.14,percent of total billed charges,38.25% of total billed charges,228.15,45,,182.52,percent of total billed charges,45% of total billed charges,228.15,45,,182.52,percent of total billed charges,45% of total billed charges,193.93,500.87,
ASPIRATE PLUERA W/O IMAGING,15032554,CDM,761,RC,32554,HCPCS,OUTPATIENT,,,1332,1065.6,,1265.4,95,,1012.32,percent of total billed charges,95% of total billed charges,1261.67,94.72,,1009.34,percent of total billed charges,94.72% of total billed charges,1315.88,98.79,,1052.7,percent of total billed charges,98.79% of total billed charges,1305.36,98,,1044.29,percent of total billed charges,98% of total billed charges,1305.36,98,,1044.29,percent of total billed charges,98% of total billed charges,639.36,48,,511.49,percent of total billed charges,48% of total billed charges,599.4,45,,479.52,percent of total billed charges,45% of total billed charges,509.49,38.25,,407.59,percent of total billed charges,38.25% of total billed charges,599.4,45,,479.52,percent of total billed charges,45% of total billed charges,599.4,45,,479.52,percent of total billed charges,45% of total billed charges,509.49,1315.88,
ASPIRATE PLUERA W IMAGING,15032555,CDM,761,RC,32555,HCPCS,OUTPATIENT,,,1626,1300.8,,1544.7,95,,1235.76,percent of total billed charges,95% of total billed charges,1540.15,94.72,,1232.12,percent of total billed charges,94.72% of total billed charges,1606.33,98.79,,1285.06,percent of total billed charges,98.79% of total billed charges,1593.48,98,,1274.78,percent of total billed charges,98% of total billed charges,1593.48,98,,1274.78,percent of total billed charges,98% of total billed charges,780.48,48,,624.38,percent of total billed charges,48% of total billed charges,731.7,45,,585.36,percent of total billed charges,45% of total billed charges,621.95,38.25,,497.56,percent of total billed charges,38.25% of total billed charges,731.7,45,,585.36,percent of total billed charges,45% of total billed charges,731.7,45,,585.36,percent of total billed charges,45% of total billed charges,621.95,1606.33,
INSERT CATH PLEURA W/O IMAGE,15032556,CDM,761,RC,32556,HCPCS,OUTPATIENT,,,1486,1188.8,,1411.7,95,,1129.36,percent of total billed charges,95% of total billed charges,1407.54,94.72,,1126.03,percent of total billed charges,94.72% of total billed charges,1468.02,98.79,,1174.42,percent of total billed charges,98.79% of total billed charges,1456.28,98,,1165.02,percent of total billed charges,98% of total billed charges,1456.28,98,,1165.02,percent of total billed charges,98% of total billed charges,713.28,48,,570.62,percent of total billed charges,48% of total billed charges,668.7,45,,534.96,percent of total billed charges,45% of total billed charges,568.4,38.25,,454.72,percent of total billed charges,38.25% of total billed charges,668.7,45,,534.96,percent of total billed charges,45% of total billed charges,668.7,45,,534.96,percent of total billed charges,45% of total billed charges,568.4,1468.02,
INSERT NON-TUNNEL CV CATH,15036556,CDM,761,RC,36556,HCPCS,OUTPATIENT,,,762,609.6,,723.9,95,,579.12,percent of total billed charges,95% of total billed charges,721.77,94.72,,577.42,percent of total billed charges,94.72% of total billed charges,752.78,98.79,,602.22,percent of total billed charges,98.79% of total billed charges,746.76,98,,597.41,percent of total billed charges,98% of total billed charges,746.76,98,,597.41,percent of total billed charges,98% of total billed charges,365.76,48,,292.61,percent of total billed charges,48% of total billed charges,342.9,45,,274.32,percent of total billed charges,45% of total billed charges,291.47,38.25,,233.18,percent of total billed charges,38.25% of total billed charges,342.9,45,,274.32,percent of total billed charges,45% of total billed charges,342.9,45,,274.32,percent of total billed charges,45% of total billed charges,291.47,752.78,
ARTERIAL BLOOD DRAW,15036600,CDM,761,RC,36600,HCPCS,OUTPATIENT,,,257,205.6,,244.15,95,,195.32,percent of total billed charges,95% of total billed charges,243.43,94.72,,194.74,percent of total billed charges,94.72% of total billed charges,253.89,98.79,,203.11,percent of total billed charges,98.79% of total billed charges,251.86,98,,201.49,percent of total billed charges,98% of total billed charges,251.86,98,,201.49,percent of total billed charges,98% of total billed charges,123.36,48,,98.69,percent of total billed charges,48% of total billed charges,115.65,45,,92.52,percent of total billed charges,45% of total billed charges,98.3,38.25,,78.64,percent of total billed charges,38.25% of total billed charges,115.65,45,,92.52,percent of total billed charges,45% of total billed charges,115.65,45,,92.52,percent of total billed charges,45% of total billed charges,98.3,253.89,
CHANGE OF GASTROSTOMY TUBE,15043760,CDM,761,RC,43760,HCPCS,OUTPATIENT,,,576,460.8,,547.2,95,,437.76,percent of total billed charges,95% of total billed charges,545.59,94.72,,436.47,percent of total billed charges,94.72% of total billed charges,569.03,98.79,,455.22,percent of total billed charges,98.79% of total billed charges,564.48,98,,451.58,percent of total billed charges,98% of total billed charges,564.48,98,,451.58,percent of total billed charges,98% of total billed charges,276.48,48,,221.18,percent of total billed charges,48% of total billed charges,259.2,45,,207.36,percent of total billed charges,45% of total billed charges,220.32,38.25,,176.26,percent of total billed charges,38.25% of total billed charges,259.2,45,,207.36,percent of total billed charges,45% of total billed charges,259.2,45,,207.36,percent of total billed charges,45% of total billed charges,220.32,569.03,
REPOSITION GASTRIC FEEDING TUBE,15043761,CDM,761,RC,43761,HCPCS,OUTPATIENT,,,630,504,,598.5,95,,478.8,percent of total billed charges,95% of total billed charges,596.74,94.72,,477.39,percent of total billed charges,94.72% of total billed charges,622.38,98.79,,497.9,percent of total billed charges,98.79% of total billed charges,617.4,98,,493.92,percent of total billed charges,98% of total billed charges,617.4,98,,493.92,percent of total billed charges,98% of total billed charges,302.4,48,,241.92,percent of total billed charges,48% of total billed charges,283.5,45,,226.8,percent of total billed charges,45% of total billed charges,240.98,38.25,,192.78,percent of total billed charges,38.25% of total billed charges,283.5,45,,226.8,percent of total billed charges,45% of total billed charges,283.5,45,,226.8,percent of total billed charges,45% of total billed charges,240.98,622.38,
ID PERIANAL ABSCESS,15046050,CDM,761,RC,46050,HCPCS,OUTPATIENT,,,693,554.4,,658.35,95,,526.68,percent of total billed charges,95% of total billed charges,656.41,94.72,,525.13,percent of total billed charges,94.72% of total billed charges,684.61,98.79,,547.69,percent of total billed charges,98.79% of total billed charges,679.14,98,,543.31,percent of total billed charges,98% of total billed charges,679.14,98,,543.31,percent of total billed charges,98% of total billed charges,332.64,48,,266.11,percent of total billed charges,48% of total billed charges,311.85,45,,249.48,percent of total billed charges,45% of total billed charges,265.07,38.25,,212.06,percent of total billed charges,38.25% of total billed charges,311.85,45,,249.48,percent of total billed charges,45% of total billed charges,311.85,45,,249.48,percent of total billed charges,45% of total billed charges,265.07,684.61,
DIAGNOSTIC ANOSCOPY,15046600,CDM,761,RC,46600,HCPCS,OUTPATIENT,,,311,248.8,,295.45,95,,236.36,percent of total billed charges,95% of total billed charges,294.58,94.72,,235.66,percent of total billed charges,94.72% of total billed charges,307.24,98.79,,245.79,percent of total billed charges,98.79% of total billed charges,304.78,98,,243.82,percent of total billed charges,98% of total billed charges,304.78,98,,243.82,percent of total billed charges,98% of total billed charges,149.28,48,,119.42,percent of total billed charges,48% of total billed charges,139.95,45,,111.96,percent of total billed charges,45% of total billed charges,118.96,38.25,,95.17,percent of total billed charges,38.25% of total billed charges,139.95,45,,111.96,percent of total billed charges,45% of total billed charges,139.95,45,,111.96,percent of total billed charges,45% of total billed charges,118.96,307.24,
NERVE BLOCK OTHER PERIPHERAL,15064450,CDM,761,RC,64450,HCPCS,OUTPATIENT,,,311,248.8,,295.45,95,,236.36,percent of total billed charges,95% of total billed charges,294.58,94.72,,235.66,percent of total billed charges,94.72% of total billed charges,307.24,98.79,,245.79,percent of total billed charges,98.79% of total billed charges,304.78,98,,243.82,percent of total billed charges,98% of total billed charges,304.78,98,,243.82,percent of total billed charges,98% of total billed charges,149.28,48,,119.42,percent of total billed charges,48% of total billed charges,139.95,45,,111.96,percent of total billed charges,45% of total billed charges,118.96,38.25,,95.17,percent of total billed charges,38.25% of total billed charges,139.95,45,,111.96,percent of total billed charges,45% of total billed charges,139.95,45,,111.96,percent of total billed charges,45% of total billed charges,118.96,307.24,
69200 Removal foreign body from external auditory canal; w/o,15069200,CDM,761,RC,69200,HCPCS,OUTPATIENT,,,383,306.4,,363.85,95,,291.08,percent of total billed charges,95% of total billed charges,362.78,94.72,,290.22,percent of total billed charges,94.72% of total billed charges,378.37,98.79,,302.7,percent of total billed charges,98.79% of total billed charges,375.34,98,,300.27,percent of total billed charges,98% of total billed charges,375.34,98,,300.27,percent of total billed charges,98% of total billed charges,183.84,48,,147.07,percent of total billed charges,48% of total billed charges,172.35,45,,137.88,percent of total billed charges,45% of total billed charges,146.5,38.25,,117.2,percent of total billed charges,38.25% of total billed charges,172.35,45,,137.88,percent of total billed charges,45% of total billed charges,172.35,45,,137.88,percent of total billed charges,45% of total billed charges,146.5,378.37,
REMOVAL OF CERUMEN,15069210,CDM,761,RC,69210,HCPCS,OUTPATIENT,,,173,138.4,,164.35,95,,131.48,percent of total billed charges,95% of total billed charges,163.87,94.72,,131.1,percent of total billed charges,94.72% of total billed charges,170.91,98.79,,136.73,percent of total billed charges,98.79% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,83.04,48,,66.43,percent of total billed charges,48% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,38.25,,52.94,percent of total billed charges,38.25% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,170.91,
INTRO OF NEEDLE/INTRACATHETER VEIN,20036000,CDM,761,RC,36000,HCPCS,OUTPATIENT,,,87,69.6,,82.65,95,,66.12,percent of total billed charges,95% of total billed charges,82.41,94.72,,65.93,percent of total billed charges,94.72% of total billed charges,85.95,98.79,,68.76,percent of total billed charges,98.79% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,85.26,98,,68.21,percent of total billed charges,98% of total billed charges,41.76,48,,33.41,percent of total billed charges,48% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,38.25,,26.62,percent of total billed charges,38.25% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,39.15,45,,31.32,percent of total billed charges,45% of total billed charges,33.28,85.95,
INSERT TEMP BLADDER CATH,20051702,CDM,761,RC,51702,HCPCS,OUTPATIENT,,,353,282.4,,335.35,95,,268.28,percent of total billed charges,95% of total billed charges,334.36,94.72,,267.49,percent of total billed charges,94.72% of total billed charges,348.73,98.79,,278.98,percent of total billed charges,98.79% of total billed charges,345.94,98,,276.75,percent of total billed charges,98% of total billed charges,345.94,98,,276.75,percent of total billed charges,98% of total billed charges,169.44,48,,135.55,percent of total billed charges,48% of total billed charges,158.85,45,,127.08,percent of total billed charges,45% of total billed charges,135.02,38.25,,108.02,percent of total billed charges,38.25% of total billed charges,158.85,45,,127.08,percent of total billed charges,45% of total billed charges,158.85,45,,127.08,percent of total billed charges,45% of total billed charges,135.02,348.73,
INSERTION OF EMERGENCY AIRWAY,24101200,CDM,761,RC,31500,HCPCS,OUTPATIENT,,,243,194.4,,230.85,95,,184.68,percent of total billed charges,95% of total billed charges,230.17,94.72,,184.14,percent of total billed charges,94.72% of total billed charges,240.06,98.79,,192.05,percent of total billed charges,98.79% of total billed charges,238.14,98,,190.51,percent of total billed charges,98% of total billed charges,238.14,98,,190.51,percent of total billed charges,98% of total billed charges,116.64,48,,93.31,percent of total billed charges,48% of total billed charges,109.35,45,,87.48,percent of total billed charges,45% of total billed charges,92.95,38.25,,74.36,percent of total billed charges,38.25% of total billed charges,109.35,45,,87.48,percent of total billed charges,45% of total billed charges,109.35,45,,87.48,percent of total billed charges,45% of total billed charges,92.95,240.06,
ROOM OUTPATIENT OBSERVATION,13145040,CDM,762,RC,G0378,HCPCS,OUTPATIENT,,,57,45.6,,54.15,95,,43.32,percent of total billed charges,95% of total billed charges,53.99,94.72,,43.19,percent of total billed charges,94.72% of total billed charges,56.31,98.79,,45.05,percent of total billed charges,98.79% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,55.86,98,,44.69,percent of total billed charges,98% of total billed charges,27.36,48,,21.89,percent of total billed charges,48% of total billed charges,25.65,45,,20.52,percent of total billed charges,45% of total billed charges,21.8,38.25,,17.44,percent of total billed charges,38.25% of total billed charges,25.65,45,,20.52,percent of total billed charges,45% of total billed charges,25.65,45,,20.52,percent of total billed charges,45% of total billed charges,21.8,56.31,
Hospital observation service| per hour,13145040,CDM,762,RC,G0378,HCPCS,OUTPATIENT,,,60,48,,57,95,,45.6,percent of total billed charges,95% of total billed charges,56.83,94.72,,45.46,percent of total billed charges,94.72% of total billed charges,59.27,98.79,,47.42,percent of total billed charges,98.79% of total billed charges,58.8,98,,47.04,percent of total billed charges,98% of total billed charges,58.8,98,,47.04,percent of total billed charges,98% of total billed charges,28.8,48,,23.04,percent of total billed charges,48% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,22.95,38.25,,18.36,percent of total billed charges,38.25% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,27,45,,21.6,percent of total billed charges,45% of total billed charges,22.95,59.27,
XR EKG Welcome to Medicare EO,8535005,CDM,770,RC,G0404,HCPCS,OUTPATIENT,,,131,104.8,,124.45,95,,99.56,percent of total billed charges,95% of total billed charges,124.08,94.72,,99.26,percent of total billed charges,94.72% of total billed charges,129.41,98.79,,103.53,percent of total billed charges,98.79% of total billed charges,128.38,98,,102.7,percent of total billed charges,98% of total billed charges,128.38,98,,102.7,percent of total billed charges,98% of total billed charges,62.88,48,,50.3,percent of total billed charges,48% of total billed charges,58.95,45,,47.16,percent of total billed charges,45% of total billed charges,50.11,38.25,,40.09,percent of total billed charges,38.25% of total billed charges,58.95,45,,47.16,percent of total billed charges,45% of total billed charges,58.95,45,,47.16,percent of total billed charges,45% of total billed charges,50.11,129.41,
Immunization Administration Fee,90471,CDM,771,RC,90471,HCPCS,OUTPATIENT,,,50,40,,47.5,95,,38,percent of total billed charges,95% of total billed charges,47.36,94.72,,37.89,percent of total billed charges,94.72% of total billed charges,49.4,98.79,,39.52,percent of total billed charges,98.79% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,24,48,,19.2,percent of total billed charges,48% of total billed charges,22.5,45,,18,percent of total billed charges,45% of total billed charges,19.13,38.25,,15.3,percent of total billed charges,38.25% of total billed charges,22.5,45,,18,percent of total billed charges,45% of total billed charges,22.5,45,,18,percent of total billed charges,45% of total billed charges,19.13,49.4,
Immunization Administration Fee,90472,CDM,771,RC,90472,HCPCS,OUTPATIENT,,,31,24.8,,29.45,95,,23.56,percent of total billed charges,95% of total billed charges,29.36,94.72,,23.49,percent of total billed charges,94.72% of total billed charges,30.62,98.79,,24.5,percent of total billed charges,98.79% of total billed charges,30.38,98,,24.3,percent of total billed charges,98% of total billed charges,30.38,98,,24.3,percent of total billed charges,98% of total billed charges,14.88,48,,11.9,percent of total billed charges,48% of total billed charges,13.95,45,,11.16,percent of total billed charges,45% of total billed charges,11.86,38.25,,9.49,percent of total billed charges,38.25% of total billed charges,13.95,45,,11.16,percent of total billed charges,45% of total billed charges,13.95,45,,11.16,percent of total billed charges,45% of total billed charges,11.86,30.62,
90480 COVID Vaccine Admin charge,90480,CDM,771,RC,90480,HCPCS,OUTPATIENT,,,50,40,,47.5,95,,38,percent of total billed charges,95% of total billed charges,47.36,94.72,,37.89,percent of total billed charges,94.72% of total billed charges,49.4,98.79,,39.52,percent of total billed charges,98.79% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,24,48,,19.2,percent of total billed charges,48% of total billed charges,22.5,45,,18,percent of total billed charges,45% of total billed charges,19.13,38.25,,15.3,percent of total billed charges,38.25% of total billed charges,22.5,45,,18,percent of total billed charges,45% of total billed charges,22.5,45,,18,percent of total billed charges,45% of total billed charges,19.13,49.4,
90480 Covid-19 Vaccine Adminsitration,90480,CDM,771,RC,90480,HCPCS,OUTPATIENT,,,50,40,,47.5,95,,38,percent of total billed charges,95% of total billed charges,47.36,94.72,,37.89,percent of total billed charges,94.72% of total billed charges,49.4,98.79,,39.52,percent of total billed charges,98.79% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,24,48,,19.2,percent of total billed charges,48% of total billed charges,22.5,45,,18,percent of total billed charges,45% of total billed charges,19.13,38.25,,15.3,percent of total billed charges,38.25% of total billed charges,22.5,45,,18,percent of total billed charges,45% of total billed charges,22.5,45,,18,percent of total billed charges,45% of total billed charges,19.13,49.4,
Ambulatory Medication Charge:90480 VFC COVID Vaccine Admin c,90480,CDM,771,RC,90480,HCPCS,OUTPATIENT,,,50,40,,47.5,95,,38,percent of total billed charges,95% of total billed charges,47.36,94.72,,37.89,percent of total billed charges,94.72% of total billed charges,49.4,98.79,,39.52,percent of total billed charges,98.79% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,24,48,,19.2,percent of total billed charges,48% of total billed charges,22.5,45,,18,percent of total billed charges,45% of total billed charges,19.13,38.25,,15.3,percent of total billed charges,38.25% of total billed charges,22.5,45,,18,percent of total billed charges,45% of total billed charges,22.5,45,,18,percent of total billed charges,45% of total billed charges,19.13,49.4,
FLU VIRUS VACCINE ADMIN,12701008,CDM,771,RC,G0008,HCPCS,OUTPATIENT,,,48,38.4,,45.6,95,,36.48,percent of total billed charges,95% of total billed charges,45.47,94.72,,36.38,percent of total billed charges,94.72% of total billed charges,47.42,98.79,,37.94,percent of total billed charges,98.79% of total billed charges,47.04,98,,37.63,percent of total billed charges,98% of total billed charges,47.04,98,,37.63,percent of total billed charges,98% of total billed charges,23.04,48,,18.43,percent of total billed charges,48% of total billed charges,21.6,45,,17.28,percent of total billed charges,45% of total billed charges,18.36,38.25,,14.69,percent of total billed charges,38.25% of total billed charges,21.6,45,,17.28,percent of total billed charges,45% of total billed charges,21.6,45,,17.28,percent of total billed charges,45% of total billed charges,18.36,47.42,
90471 Immunization Vaccines inj.,12790471,CDM,771,RC,90471,HCPCS,OUTPATIENT,,,53,42.4,,50.35,95,,40.28,percent of total billed charges,95% of total billed charges,50.2,94.72,,40.16,percent of total billed charges,94.72% of total billed charges,52.36,98.79,,41.89,percent of total billed charges,98.79% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,25.44,48,,20.35,percent of total billed charges,48% of total billed charges,23.85,45,,19.08,percent of total billed charges,45% of total billed charges,20.27,38.25,,16.22,percent of total billed charges,38.25% of total billed charges,23.85,45,,19.08,percent of total billed charges,45% of total billed charges,23.85,45,,19.08,percent of total billed charges,45% of total billed charges,20.27,52.36,
90471 IMMUNIZATION ADM 1 VACCINE,12790471,CDM,771,RC,90471,HCPCS,OUTPATIENT,,,53,42.4,,50.35,95,,40.28,percent of total billed charges,95% of total billed charges,50.2,94.72,,40.16,percent of total billed charges,94.72% of total billed charges,52.36,98.79,,41.89,percent of total billed charges,98.79% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,25.44,48,,20.35,percent of total billed charges,48% of total billed charges,23.85,45,,19.08,percent of total billed charges,45% of total billed charges,20.27,38.25,,16.22,percent of total billed charges,38.25% of total billed charges,23.85,45,,19.08,percent of total billed charges,45% of total billed charges,23.85,45,,19.08,percent of total billed charges,45% of total billed charges,20.27,52.36,
IMMUNIZATION ADM EA ADDTL VACCINE,12790472,CDM,771,RC,90472,HCPCS,OUTPATIENT,,,35,28,,33.25,95,,26.6,percent of total billed charges,95% of total billed charges,33.15,94.72,,26.52,percent of total billed charges,94.72% of total billed charges,34.58,98.79,,27.66,percent of total billed charges,98.79% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,34.3,98,,27.44,percent of total billed charges,98% of total billed charges,16.8,48,,13.44,percent of total billed charges,48% of total billed charges,15.75,45,,12.6,percent of total billed charges,45% of total billed charges,13.39,38.25,,10.71,percent of total billed charges,38.25% of total billed charges,15.75,45,,12.6,percent of total billed charges,45% of total billed charges,15.75,45,,12.6,percent of total billed charges,45% of total billed charges,13.39,34.58,
IMMUNIZATION ADM FEE,15000009,CDM,771,RC,G0009,HCPCS,OUTPATIENT,,,54,43.2,,51.3,95,,41.04,percent of total billed charges,95% of total billed charges,51.15,94.72,,40.92,percent of total billed charges,94.72% of total billed charges,53.35,98.79,,42.68,percent of total billed charges,98.79% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,52.92,98,,42.34,percent of total billed charges,98% of total billed charges,25.92,48,,20.74,percent of total billed charges,48% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,38.25,,16.53,percent of total billed charges,38.25% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,24.3,45,,19.44,percent of total billed charges,45% of total billed charges,20.66,53.35,
90471 Immunization administration (includes percutaneous| intradermal| subcutaneous| or intramuscula,22590471,CDM,771,RC,90471,HCPCS,OUTPATIENT,,,53,42.4,,50.35,95,,40.28,percent of total billed charges,95% of total billed charges,50.2,94.72,,40.16,percent of total billed charges,94.72% of total billed charges,52.36,98.79,,41.89,percent of total billed charges,98.79% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,51.94,98,,41.55,percent of total billed charges,98% of total billed charges,25.44,48,,20.35,percent of total billed charges,48% of total billed charges,23.85,45,,19.08,percent of total billed charges,45% of total billed charges,20.27,38.25,,16.22,percent of total billed charges,38.25% of total billed charges,23.85,45,,19.08,percent of total billed charges,45% of total billed charges,23.85,45,,19.08,percent of total billed charges,45% of total billed charges,20.27,52.36,
INFLUENZA VACCINE ADMINISTRATION FEE,50006100,CDM,771,RC,G0008,HCPCS,OUTPATIENT,,,48,38.4,,45.6,95,,36.48,percent of total billed charges,95% of total billed charges,45.47,94.72,,36.38,percent of total billed charges,94.72% of total billed charges,47.42,98.79,,37.94,percent of total billed charges,98.79% of total billed charges,47.04,98,,37.63,percent of total billed charges,98% of total billed charges,47.04,98,,37.63,percent of total billed charges,98% of total billed charges,23.04,48,,18.43,percent of total billed charges,48% of total billed charges,21.6,45,,17.28,percent of total billed charges,45% of total billed charges,18.36,38.25,,14.69,percent of total billed charges,38.25% of total billed charges,21.6,45,,17.28,percent of total billed charges,45% of total billed charges,21.6,45,,17.28,percent of total billed charges,45% of total billed charges,18.36,47.42,
TELEHEALTH-FACILITY FEE,41080000,CDM,780,RC,Q3014,HCPCS,OUTPATIENT,,,50,40,,47.5,95,,38,percent of total billed charges,95% of total billed charges,47.36,94.72,,37.89,percent of total billed charges,94.72% of total billed charges,49.4,98.79,,39.52,percent of total billed charges,98.79% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,49,98,,39.2,percent of total billed charges,98% of total billed charges,24,48,,19.2,percent of total billed charges,48% of total billed charges,22.5,45,,18,percent of total billed charges,45% of total billed charges,19.13,38.25,,15.3,percent of total billed charges,38.25% of total billed charges,22.5,45,,18,percent of total billed charges,45% of total billed charges,22.5,45,,18,percent of total billed charges,45% of total billed charges,19.13,49.4,
PSYTX COMPLEX INTERACTIVE,90785,CDM,900,RC,90785,HCPCS,OUTPATIENT,,,93,74.4,,88.35,95,,70.68,percent of total billed charges,95% of total billed charges,88.09,94.72,,70.47,percent of total billed charges,94.72% of total billed charges,91.87,98.79,,73.5,percent of total billed charges,98.79% of total billed charges,91.14,98,,72.91,percent of total billed charges,98% of total billed charges,91.14,98,,72.91,percent of total billed charges,98% of total billed charges,44.64,48,,35.71,percent of total billed charges,48% of total billed charges,41.85,45,,33.48,percent of total billed charges,45% of total billed charges,35.57,38.25,,28.46,percent of total billed charges,38.25% of total billed charges,41.85,45,,33.48,percent of total billed charges,45% of total billed charges,41.85,45,,33.48,percent of total billed charges,45% of total billed charges,35.57,91.87,
PSYCH DIAGNOSTIC EVALUATION,90791,CDM,900,RC,90791,HCPCS,OUTPATIENT,,,244,195.2,,231.8,95,,185.44,percent of total billed charges,95% of total billed charges,231.12,94.72,,184.9,percent of total billed charges,94.72% of total billed charges,241.05,98.79,,192.84,percent of total billed charges,98.79% of total billed charges,239.12,98,,191.3,percent of total billed charges,98% of total billed charges,239.12,98,,191.3,percent of total billed charges,98% of total billed charges,117.12,48,,93.7,percent of total billed charges,48% of total billed charges,109.8,45,,87.84,percent of total billed charges,45% of total billed charges,93.33,38.25,,74.66,percent of total billed charges,38.25% of total billed charges,109.8,45,,87.84,percent of total billed charges,45% of total billed charges,109.8,45,,87.84,percent of total billed charges,45% of total billed charges,93.33,241.05,
FAMILY PSYTX W/O PATIENT,90846,CDM,900,RC,90846,HCPCS,OUTPATIENT,,,188,150.4,,178.6,95,,142.88,percent of total billed charges,95% of total billed charges,178.07,94.72,,142.46,percent of total billed charges,94.72% of total billed charges,185.73,98.79,,148.58,percent of total billed charges,98.79% of total billed charges,184.24,98,,147.39,percent of total billed charges,98% of total billed charges,184.24,98,,147.39,percent of total billed charges,98% of total billed charges,90.24,48,,72.19,percent of total billed charges,48% of total billed charges,84.6,45,,67.68,percent of total billed charges,45% of total billed charges,71.91,38.25,,57.53,percent of total billed charges,38.25% of total billed charges,84.6,45,,67.68,percent of total billed charges,45% of total billed charges,84.6,45,,67.68,percent of total billed charges,45% of total billed charges,71.91,185.73,
FAMILY PSYTX W/PATIENT,90847,CDM,900,RC,90847,HCPCS,OUTPATIENT,,,217,173.6,,206.15,95,,164.92,percent of total billed charges,95% of total billed charges,205.54,94.72,,164.43,percent of total billed charges,94.72% of total billed charges,214.37,98.79,,171.5,percent of total billed charges,98.79% of total billed charges,212.66,98,,170.13,percent of total billed charges,98% of total billed charges,212.66,98,,170.13,percent of total billed charges,98% of total billed charges,104.16,48,,83.33,percent of total billed charges,48% of total billed charges,97.65,45,,78.12,percent of total billed charges,45% of total billed charges,83,38.25,,66.4,percent of total billed charges,38.25% of total billed charges,97.65,45,,78.12,percent of total billed charges,45% of total billed charges,97.65,45,,78.12,percent of total billed charges,45% of total billed charges,83,214.37,
ASSMT  CARE PLN PT COG IMP,99483,CDM,900,RC,99483,HCPCS,OUTPATIENT,,,601,480.8,,570.95,95,,456.76,percent of total billed charges,95% of total billed charges,569.27,94.72,,455.42,percent of total billed charges,94.72% of total billed charges,593.73,98.79,,474.98,percent of total billed charges,98.79% of total billed charges,588.98,98,,471.18,percent of total billed charges,98% of total billed charges,588.98,98,,471.18,percent of total billed charges,98% of total billed charges,288.48,48,,230.78,percent of total billed charges,48% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,229.88,38.25,,183.9,percent of total billed charges,38.25% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,270.45,45,,216.36,percent of total billed charges,45% of total billed charges,229.88,593.73,
CARE MGMT SVC BHVL HLTH COND,99484,CDM,900,RC,99484,HCPCS,OUTPATIENT,,,173,138.4,,164.35,95,,131.48,percent of total billed charges,95% of total billed charges,163.87,94.72,,131.1,percent of total billed charges,94.72% of total billed charges,170.91,98.79,,136.73,percent of total billed charges,98.79% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,169.54,98,,135.63,percent of total billed charges,98% of total billed charges,83.04,48,,66.43,percent of total billed charges,48% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,38.25,,52.94,percent of total billed charges,38.25% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,77.85,45,,62.28,percent of total billed charges,45% of total billed charges,66.17,170.91,
CMPLX CHRON CARE W/O PT VSIT,99487,CDM,900,RC,99487,HCPCS,OUTPATIENT,,,309,247.2,,293.55,95,,234.84,percent of total billed charges,95% of total billed charges,292.68,94.72,,234.14,percent of total billed charges,94.72% of total billed charges,305.26,98.79,,244.21,percent of total billed charges,98.79% of total billed charges,302.82,98,,242.26,percent of total billed charges,98% of total billed charges,302.82,98,,242.26,percent of total billed charges,98% of total billed charges,148.32,48,,118.66,percent of total billed charges,48% of total billed charges,139.05,45,,111.24,percent of total billed charges,45% of total billed charges,118.19,38.25,,94.55,percent of total billed charges,38.25% of total billed charges,139.05,45,,111.24,percent of total billed charges,45% of total billed charges,139.05,45,,111.24,percent of total billed charges,45% of total billed charges,118.19,305.26,
1ST PSYC COLLAB CARE MGMT,99492,CDM,900,RC,99492,HCPCS,OUTPATIENT,,,407,325.6,,386.65,95,,309.32,percent of total billed charges,95% of total billed charges,385.51,94.72,,308.41,percent of total billed charges,94.72% of total billed charges,402.08,98.79,,321.66,percent of total billed charges,98.79% of total billed charges,398.86,98,,319.09,percent of total billed charges,98% of total billed charges,398.86,98,,319.09,percent of total billed charges,98% of total billed charges,195.36,48,,156.29,percent of total billed charges,48% of total billed charges,183.15,45,,146.52,percent of total billed charges,45% of total billed charges,155.68,38.25,,124.54,percent of total billed charges,38.25% of total billed charges,183.15,45,,146.52,percent of total billed charges,45% of total billed charges,183.15,45,,146.52,percent of total billed charges,45% of total billed charges,155.68,402.08,
SBSQ PSYC COLLAB CARE MGMT,99493,CDM,900,RC,99493,HCPCS,OUTPATIENT,,,356,284.8,,338.2,95,,270.56,percent of total billed charges,95% of total billed charges,337.2,94.72,,269.76,percent of total billed charges,94.72% of total billed charges,351.69,98.79,,281.35,percent of total billed charges,98.79% of total billed charges,348.88,98,,279.1,percent of total billed charges,98% of total billed charges,348.88,98,,279.1,percent of total billed charges,98% of total billed charges,170.88,48,,136.7,percent of total billed charges,48% of total billed charges,160.2,45,,128.16,percent of total billed charges,45% of total billed charges,136.17,38.25,,108.94,percent of total billed charges,38.25% of total billed charges,160.2,45,,128.16,percent of total billed charges,45% of total billed charges,160.2,45,,128.16,percent of total billed charges,45% of total billed charges,136.17,351.69,
1ST/SBSQ PSYC COLLAB CARE,99494,CDM,900,RC,99494,HCPCS,OUTPATIENT,,,221,176.8,,209.95,95,,167.96,percent of total billed charges,95% of total billed charges,209.33,94.72,,167.46,percent of total billed charges,94.72% of total billed charges,218.33,98.79,,174.66,percent of total billed charges,98.79% of total billed charges,216.58,98,,173.26,percent of total billed charges,98% of total billed charges,216.58,98,,173.26,percent of total billed charges,98% of total billed charges,106.08,48,,84.86,percent of total billed charges,48% of total billed charges,99.45,45,,79.56,percent of total billed charges,45% of total billed charges,84.53,38.25,,67.62,percent of total billed charges,38.25% of total billed charges,99.45,45,,79.56,percent of total billed charges,45% of total billed charges,99.45,45,,79.56,percent of total billed charges,45% of total billed charges,84.53,218.33,
PSYTX PT/FAMILY 30 MINUTES,90832,CDM,914,RC,90832,HCPCS,OUTPATIENT,,,107,85.6,,101.65,95,,81.32,percent of total billed charges,95% of total billed charges,101.35,94.72,,81.08,percent of total billed charges,94.72% of total billed charges,105.71,98.79,,84.57,percent of total billed charges,98.79% of total billed charges,104.86,98,,83.89,percent of total billed charges,98% of total billed charges,104.86,98,,83.89,percent of total billed charges,98% of total billed charges,51.36,48,,41.09,percent of total billed charges,48% of total billed charges,48.15,45,,38.52,percent of total billed charges,45% of total billed charges,40.93,38.25,,32.74,percent of total billed charges,38.25% of total billed charges,48.15,45,,38.52,percent of total billed charges,45% of total billed charges,48.15,45,,38.52,percent of total billed charges,45% of total billed charges,40.93,105.71,
PSYTX PT/FAMILY 45 MINUTES,90834,CDM,914,RC,90834,HCPCS,OUTPATIENT,,,191,152.8,,181.45,95,,145.16,percent of total billed charges,95% of total billed charges,180.92,94.72,,144.74,percent of total billed charges,94.72% of total billed charges,188.69,98.79,,150.95,percent of total billed charges,98.79% of total billed charges,187.18,98,,149.74,percent of total billed charges,98% of total billed charges,187.18,98,,149.74,percent of total billed charges,98% of total billed charges,91.68,48,,73.34,percent of total billed charges,48% of total billed charges,85.95,45,,68.76,percent of total billed charges,45% of total billed charges,73.06,38.25,,58.45,percent of total billed charges,38.25% of total billed charges,85.95,45,,68.76,percent of total billed charges,45% of total billed charges,85.95,45,,68.76,percent of total billed charges,45% of total billed charges,73.06,188.69,
PSYTX PT/FAMILY 60 MINUTES,90837,CDM,914,RC,90837,HCPCS,OUTPATIENT,,,197,157.6,,187.15,95,,149.72,percent of total billed charges,95% of total billed charges,186.6,94.72,,149.28,percent of total billed charges,94.72% of total billed charges,194.62,98.79,,155.7,percent of total billed charges,98.79% of total billed charges,193.06,98,,154.45,percent of total billed charges,98% of total billed charges,193.06,98,,154.45,percent of total billed charges,98% of total billed charges,94.56,48,,75.65,percent of total billed charges,48% of total billed charges,88.65,45,,70.92,percent of total billed charges,45% of total billed charges,75.35,38.25,,60.28,percent of total billed charges,38.25% of total billed charges,88.65,45,,70.92,percent of total billed charges,45% of total billed charges,88.65,45,,70.92,percent of total billed charges,45% of total billed charges,75.35,194.62,
PSYTX CRISIS INITIAL 60 MIN,90839,CDM,914,RC,90839,HCPCS,OUTPATIENT,,,188,150.4,,178.6,95,,142.88,percent of total billed charges,95% of total billed charges,178.07,94.72,,142.46,percent of total billed charges,94.72% of total billed charges,185.73,98.79,,148.58,percent of total billed charges,98.79% of total billed charges,184.24,98,,147.39,percent of total billed charges,98% of total billed charges,184.24,98,,147.39,percent of total billed charges,98% of total billed charges,90.24,48,,72.19,percent of total billed charges,48% of total billed charges,84.6,45,,67.68,percent of total billed charges,45% of total billed charges,71.91,38.25,,57.53,percent of total billed charges,38.25% of total billed charges,84.6,45,,67.68,percent of total billed charges,45% of total billed charges,84.6,45,,67.68,percent of total billed charges,45% of total billed charges,71.91,185.73,
GROUP PSYCHOTHERAPY (OTHER THAN A MULTIPLE FAMILY GROUP),90853,CDM,915,RC,90853,HCPCS,OUTPATIENT,,,120,96,,114,95,,91.2,percent of total billed charges,95% of total billed charges,113.66,94.72,,90.93,percent of total billed charges,94.72% of total billed charges,118.55,98.79,,94.84,percent of total billed charges,98.79% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,117.6,98,,94.08,percent of total billed charges,98% of total billed charges,57.6,48,,46.08,percent of total billed charges,48% of total billed charges,54,45,,43.2,percent of total billed charges,45% of total billed charges,45.9,38.25,,36.72,percent of total billed charges,38.25% of total billed charges,54,45,,43.2,percent of total billed charges,45% of total billed charges,54,45,,43.2,percent of total billed charges,45% of total billed charges,45.9,118.55,
MULTIPLE FAMILY GROUP PSYTX,90849,CDM,916,RC,90849,HCPCS,OUTPATIENT,,,158,126.4,,150.1,95,,120.08,percent of total billed charges,95% of total billed charges,149.66,94.72,,119.73,percent of total billed charges,94.72% of total billed charges,156.09,98.79,,124.87,percent of total billed charges,98.79% of total billed charges,154.84,98,,123.87,percent of total billed charges,98% of total billed charges,154.84,98,,123.87,percent of total billed charges,98% of total billed charges,75.84,48,,60.67,percent of total billed charges,48% of total billed charges,71.1,45,,56.88,percent of total billed charges,45% of total billed charges,60.44,38.25,,48.35,percent of total billed charges,38.25% of total billed charges,71.1,45,,56.88,percent of total billed charges,45% of total billed charges,71.1,45,,56.88,percent of total billed charges,45% of total billed charges,60.44,156.09,
PT-FOCUSED HLTH RISK ASSMT,96160,CDM,918,RC,96160,HCPCS,OUTPATIENT,,,30,24,,28.5,95,,22.8,percent of total billed charges,95% of total billed charges,28.42,94.72,,22.74,percent of total billed charges,94.72% of total billed charges,29.64,98.79,,23.71,percent of total billed charges,98.79% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,29.4,98,,23.52,percent of total billed charges,98% of total billed charges,14.4,48,,11.52,percent of total billed charges,48% of total billed charges,13.5,45,,10.8,percent of total billed charges,45% of total billed charges,11.48,38.25,,9.18,percent of total billed charges,38.25% of total billed charges,13.5,45,,10.8,percent of total billed charges,45% of total billed charges,13.5,45,,10.8,percent of total billed charges,45% of total billed charges,11.48,29.64,
NUBHVL STATUS XM PR HR W/PT INTERPJPREP,10096116,CDM,918,RC,96116,HCPCS,OUTPATIENT,,,392,313.6,,372.4,95,,297.92,percent of total billed charges,95% of total billed charges,371.3,94.72,,297.04,percent of total billed charges,94.72% of total billed charges,387.26,98.79,,309.81,percent of total billed charges,98.79% of total billed charges,384.16,98,,307.33,percent of total billed charges,98% of total billed charges,384.16,98,,307.33,percent of total billed charges,98% of total billed charges,188.16,48,,150.53,percent of total billed charges,48% of total billed charges,176.4,45,,141.12,percent of total billed charges,45% of total billed charges,149.94,38.25,,119.95,percent of total billed charges,38.25% of total billed charges,176.4,45,,141.12,percent of total billed charges,45% of total billed charges,176.4,45,,141.12,percent of total billed charges,45% of total billed charges,149.94,387.26,
NUROPSYC TESTING PR HR W/PT  INTERPJ TI,10096118,CDM,918,RC,96132,HCPCS,OUTPATIENT,,,247,197.6,,234.65,95,,187.72,percent of total billed charges,95% of total billed charges,233.96,94.72,,187.17,percent of total billed charges,94.72% of total billed charges,244.01,98.79,,195.21,percent of total billed charges,98.79% of total billed charges,242.06,98,,193.65,percent of total billed charges,98% of total billed charges,242.06,98,,193.65,percent of total billed charges,98% of total billed charges,118.56,48,,94.85,percent of total billed charges,48% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,94.48,38.25,,75.58,percent of total billed charges,38.25% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,94.48,244.01,
NEUROPSYCHOLOG TESTING CMPTR W/PROF IR,10096120,CDM,918,RC,96136,HCPCS,OUTPATIENT,,,225,180,,213.75,95,,171,percent of total billed charges,95% of total billed charges,213.12,94.72,,170.5,percent of total billed charges,94.72% of total billed charges,222.28,98.79,,177.82,percent of total billed charges,98.79% of total billed charges,220.5,98,,176.4,percent of total billed charges,98% of total billed charges,220.5,98,,176.4,percent of total billed charges,98% of total billed charges,108,48,,86.4,percent of total billed charges,48% of total billed charges,101.25,45,,81,percent of total billed charges,45% of total billed charges,86.06,38.25,,68.85,percent of total billed charges,38.25% of total billed charges,101.25,45,,81,percent of total billed charges,45% of total billed charges,101.25,45,,81,percent of total billed charges,45% of total billed charges,86.06,222.28,
51728 CYSTOMETROGRM & VP STUDY,12751728,CDM,920,RC,51728,HCPCS,OUTPATIENT,,,1236,988.8,,1174.2,95,,939.36,percent of total billed charges,95% of total billed charges,1170.74,94.72,,936.59,percent of total billed charges,94.72% of total billed charges,1221.04,98.79,,976.83,percent of total billed charges,98.79% of total billed charges,1211.28,98,,969.02,percent of total billed charges,98% of total billed charges,1211.28,98,,969.02,percent of total billed charges,98% of total billed charges,593.28,48,,474.62,percent of total billed charges,48% of total billed charges,556.2,45,,444.96,percent of total billed charges,45% of total billed charges,472.77,38.25,,378.22,percent of total billed charges,38.25% of total billed charges,556.2,45,,444.96,percent of total billed charges,45% of total billed charges,556.2,45,,444.96,percent of total billed charges,45% of total billed charges,472.77,1221.04,
51741 COMPLEX UROFLOWMETRY,12751741,CDM,920,RC,51741,HCPCS,OUTPATIENT,,,542,433.6,,514.9,95,,411.92,percent of total billed charges,95% of total billed charges,513.38,94.72,,410.7,percent of total billed charges,94.72% of total billed charges,535.44,98.79,,428.35,percent of total billed charges,98.79% of total billed charges,531.16,98,,424.93,percent of total billed charges,98% of total billed charges,531.16,98,,424.93,percent of total billed charges,98% of total billed charges,260.16,48,,208.13,percent of total billed charges,48% of total billed charges,243.9,45,,195.12,percent of total billed charges,45% of total billed charges,207.32,38.25,,165.86,percent of total billed charges,38.25% of total billed charges,243.9,45,,195.12,percent of total billed charges,45% of total billed charges,243.9,45,,195.12,percent of total billed charges,45% of total billed charges,207.32,535.44,
51784 ELECTROMYOGRAPHY STUDY,12751784,CDM,920,RC,51784,HCPCS,OUTPATIENT,,,578,462.4,,549.1,95,,439.28,percent of total billed charges,95% of total billed charges,547.48,94.72,,437.98,percent of total billed charges,94.72% of total billed charges,571.01,98.79,,456.81,percent of total billed charges,98.79% of total billed charges,566.44,98,,453.15,percent of total billed charges,98% of total billed charges,566.44,98,,453.15,percent of total billed charges,98% of total billed charges,277.44,48,,221.95,percent of total billed charges,48% of total billed charges,260.1,45,,208.08,percent of total billed charges,45% of total billed charges,221.09,38.25,,176.87,percent of total billed charges,38.25% of total billed charges,260.1,45,,208.08,percent of total billed charges,45% of total billed charges,260.1,45,,208.08,percent of total billed charges,45% of total billed charges,221.09,571.01,
51797 INTRAABD.VOIDING PRESSURE STUDY,12751797,CDM,920,RC,51797,HCPCS,OUTPATIENT,,,557,445.6,,529.15,95,,423.32,percent of total billed charges,95% of total billed charges,527.59,94.72,,422.07,percent of total billed charges,94.72% of total billed charges,550.26,98.79,,440.21,percent of total billed charges,98.79% of total billed charges,545.86,98,,436.69,percent of total billed charges,98% of total billed charges,545.86,98,,436.69,percent of total billed charges,98% of total billed charges,267.36,48,,213.89,percent of total billed charges,48% of total billed charges,250.65,45,,200.52,percent of total billed charges,45% of total billed charges,213.05,38.25,,170.44,percent of total billed charges,38.25% of total billed charges,250.65,45,,200.52,percent of total billed charges,45% of total billed charges,250.65,45,,200.52,percent of total billed charges,45% of total billed charges,213.05,550.26,
51797 VOIDING PRESSURE STUDY,12751797,CDM,920,RC,51797,HCPCS,OUTPATIENT,,,557,445.6,,529.15,95,,423.32,percent of total billed charges,95% of total billed charges,527.59,94.72,,422.07,percent of total billed charges,94.72% of total billed charges,550.26,98.79,,440.21,percent of total billed charges,98.79% of total billed charges,545.86,98,,436.69,percent of total billed charges,98% of total billed charges,545.86,98,,436.69,percent of total billed charges,98% of total billed charges,267.36,48,,213.89,percent of total billed charges,48% of total billed charges,250.65,45,,200.52,percent of total billed charges,45% of total billed charges,213.05,38.25,,170.44,percent of total billed charges,38.25% of total billed charges,250.65,45,,200.52,percent of total billed charges,45% of total billed charges,250.65,45,,200.52,percent of total billed charges,45% of total billed charges,213.05,550.26,
51792 BLADDER SCAN,12751798,CDM,920,RC,51792,HCPCS,OUTPATIENT,,,190,152,,180.5,95,,144.4,percent of total billed charges,95% of total billed charges,179.97,94.72,,143.98,percent of total billed charges,94.72% of total billed charges,187.7,98.79,,150.16,percent of total billed charges,98.79% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,186.2,98,,148.96,percent of total billed charges,98% of total billed charges,91.2,48,,72.96,percent of total billed charges,48% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,38.25,,58.14,percent of total billed charges,38.25% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,85.5,45,,68.4,percent of total billed charges,45% of total billed charges,72.68,187.7,
APPLICATION OF ON BODY INJECTOR,12796377,CDM,920,RC,96377,HCPCS,OUTPATIENT,,,72,57.6,,68.4,95,,54.72,percent of total billed charges,95% of total billed charges,68.2,94.72,,54.56,percent of total billed charges,94.72% of total billed charges,71.13,98.79,,56.9,percent of total billed charges,98.79% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,34.56,48,,27.65,percent of total billed charges,48% of total billed charges,32.4,45,,25.92,percent of total billed charges,45% of total billed charges,27.54,38.25,,22.03,percent of total billed charges,38.25% of total billed charges,32.4,45,,25.92,percent of total billed charges,45% of total billed charges,32.4,45,,25.92,percent of total billed charges,45% of total billed charges,27.54,71.13,
APPLICATION OF ON BODY INJECTOR,12796377,CDM,920,RC,96377,HCPCS,OUTPATIENT,,,72,57.6,,68.4,95,,54.72,percent of total billed charges,95% of total billed charges,68.2,94.72,,54.56,percent of total billed charges,94.72% of total billed charges,71.13,98.79,,56.9,percent of total billed charges,98.79% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,70.56,98,,56.45,percent of total billed charges,98% of total billed charges,34.56,48,,27.65,percent of total billed charges,48% of total billed charges,32.4,45,,25.92,percent of total billed charges,45% of total billed charges,27.54,38.25,,22.03,percent of total billed charges,38.25% of total billed charges,32.4,45,,25.92,percent of total billed charges,45% of total billed charges,32.4,45,,25.92,percent of total billed charges,45% of total billed charges,27.54,71.13,
US Renal Artery Duplex Bilateral,533084,CDM,921,RC,93975,HCPCS,OUTPATIENT,,,1010,808,,959.5,95,,767.6,percent of total billed charges,95% of total billed charges,956.67,94.72,,765.34,percent of total billed charges,94.72% of total billed charges,997.78,98.79,,798.22,percent of total billed charges,98.79% of total billed charges,989.8,98,,791.84,percent of total billed charges,98% of total billed charges,989.8,98,,791.84,percent of total billed charges,98% of total billed charges,484.8,48,,387.84,percent of total billed charges,48% of total billed charges,454.5,45,,363.6,percent of total billed charges,45% of total billed charges,386.33,38.25,,309.06,percent of total billed charges,38.25% of total billed charges,454.5,45,,363.6,percent of total billed charges,45% of total billed charges,454.5,45,,363.6,percent of total billed charges,45% of total billed charges,386.33,997.78,
US ART SEG LOWER BILAT PV COMP,533110,CDM,921,RC,93923,HCPCS,OUTPATIENT,,,537,429.6,,510.15,95,,408.12,percent of total billed charges,95% of total billed charges,508.65,94.72,,406.92,percent of total billed charges,94.72% of total billed charges,530.5,98.79,,424.4,percent of total billed charges,98.79% of total billed charges,526.26,98,,421.01,percent of total billed charges,98% of total billed charges,526.26,98,,421.01,percent of total billed charges,98% of total billed charges,257.76,48,,206.21,percent of total billed charges,48% of total billed charges,241.65,45,,193.32,percent of total billed charges,45% of total billed charges,205.4,38.25,,164.32,percent of total billed charges,38.25% of total billed charges,241.65,45,,193.32,percent of total billed charges,45% of total billed charges,241.65,45,,193.32,percent of total billed charges,45% of total billed charges,205.4,530.5,
US ART SEG LOWER BILAT PV COMP W/ EXERSI,533111,CDM,921,RC,93924,HCPCS,OUTPATIENT,,,540,432,,513,95,,410.4,percent of total billed charges,95% of total billed charges,511.49,94.72,,409.19,percent of total billed charges,94.72% of total billed charges,533.47,98.79,,426.78,percent of total billed charges,98.79% of total billed charges,529.2,98,,423.36,percent of total billed charges,98% of total billed charges,529.2,98,,423.36,percent of total billed charges,98% of total billed charges,259.2,48,,207.36,percent of total billed charges,48% of total billed charges,243,45,,194.4,percent of total billed charges,45% of total billed charges,206.55,38.25,,165.24,percent of total billed charges,38.25% of total billed charges,243,45,,194.4,percent of total billed charges,45% of total billed charges,243,45,,194.4,percent of total billed charges,45% of total billed charges,206.55,533.47,
US ART SEG LOW BILAT LIMITED,533113,CDM,921,RC,93922,HCPCS,OUTPATIENT,,,369,295.2,,350.55,95,,280.44,percent of total billed charges,95% of total billed charges,349.52,94.72,,279.62,percent of total billed charges,94.72% of total billed charges,364.54,98.79,,291.63,percent of total billed charges,98.79% of total billed charges,361.62,98,,289.3,percent of total billed charges,98% of total billed charges,361.62,98,,289.3,percent of total billed charges,98% of total billed charges,177.12,48,,141.7,percent of total billed charges,48% of total billed charges,166.05,45,,132.84,percent of total billed charges,45% of total billed charges,141.14,38.25,,112.91,percent of total billed charges,38.25% of total billed charges,166.05,45,,132.84,percent of total billed charges,45% of total billed charges,166.05,45,,132.84,percent of total billed charges,45% of total billed charges,141.14,364.54,
US ART SEG UPPER BILAT COMP,533120,CDM,921,RC,93923,HCPCS,OUTPATIENT,,,379,303.2,,360.05,95,,288.04,percent of total billed charges,95% of total billed charges,358.99,94.72,,287.19,percent of total billed charges,94.72% of total billed charges,374.41,98.79,,299.53,percent of total billed charges,98.79% of total billed charges,371.42,98,,297.14,percent of total billed charges,98% of total billed charges,371.42,98,,297.14,percent of total billed charges,98% of total billed charges,181.92,48,,145.54,percent of total billed charges,48% of total billed charges,170.55,45,,136.44,percent of total billed charges,45% of total billed charges,144.97,38.25,,115.98,percent of total billed charges,38.25% of total billed charges,170.55,45,,136.44,percent of total billed charges,45% of total billed charges,170.55,45,,136.44,percent of total billed charges,45% of total billed charges,144.97,374.41,
US ART SEG UPPER BILAT LIMITED,533125,CDM,921,RC,93922,HCPCS,OUTPATIENT,,,757,605.6,,719.15,95,,575.32,percent of total billed charges,95% of total billed charges,717.03,94.72,,573.62,percent of total billed charges,94.72% of total billed charges,747.84,98.79,,598.27,percent of total billed charges,98.79% of total billed charges,741.86,98,,593.49,percent of total billed charges,98% of total billed charges,741.86,98,,593.49,percent of total billed charges,98% of total billed charges,363.36,48,,290.69,percent of total billed charges,48% of total billed charges,340.65,45,,272.52,percent of total billed charges,45% of total billed charges,289.55,38.25,,231.64,percent of total billed charges,38.25% of total billed charges,340.65,45,,272.52,percent of total billed charges,45% of total billed charges,340.65,45,,272.52,percent of total billed charges,45% of total billed charges,289.55,747.84,
US ART DOPPLER LOWER EXT BILAT,533130,CDM,921,RC,93925,HCPCS,OUTPATIENT,,,899,719.2,,854.05,95,,683.24,percent of total billed charges,95% of total billed charges,851.53,94.72,,681.22,percent of total billed charges,94.72% of total billed charges,888.12,98.79,,710.5,percent of total billed charges,98.79% of total billed charges,881.02,98,,704.82,percent of total billed charges,98% of total billed charges,881.02,98,,704.82,percent of total billed charges,98% of total billed charges,431.52,48,,345.22,percent of total billed charges,48% of total billed charges,404.55,45,,323.64,percent of total billed charges,45% of total billed charges,343.87,38.25,,275.1,percent of total billed charges,38.25% of total billed charges,404.55,45,,323.64,percent of total billed charges,45% of total billed charges,404.55,45,,323.64,percent of total billed charges,45% of total billed charges,343.87,888.12,
US ART DOPPLER LOWER EXT LT,533140,CDM,921,RC,93926,HCPCS,OUTPATIENT,,,570,456,,541.5,95,,433.2,percent of total billed charges,95% of total billed charges,539.9,94.72,,431.92,percent of total billed charges,94.72% of total billed charges,563.1,98.79,,450.48,percent of total billed charges,98.79% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,273.6,48,,218.88,percent of total billed charges,48% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,38.25,,174.42,percent of total billed charges,38.25% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,563.1,
US ART DOPPLER LOWER EXT RT,533145,CDM,921,RC,93926,HCPCS,OUTPATIENT,,,570,456,,541.5,95,,433.2,percent of total billed charges,95% of total billed charges,539.9,94.72,,431.92,percent of total billed charges,94.72% of total billed charges,563.1,98.79,,450.48,percent of total billed charges,98.79% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,558.6,98,,446.88,percent of total billed charges,98% of total billed charges,273.6,48,,218.88,percent of total billed charges,48% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,38.25,,174.42,percent of total billed charges,38.25% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,256.5,45,,205.2,percent of total billed charges,45% of total billed charges,218.03,563.1,
US ART DOPPLER UPPER EXT BILAT,533150,CDM,921,RC,93930,HCPCS,OUTPATIENT,,,757,605.6,,719.15,95,,575.32,percent of total billed charges,95% of total billed charges,717.03,94.72,,573.62,percent of total billed charges,94.72% of total billed charges,747.84,98.79,,598.27,percent of total billed charges,98.79% of total billed charges,741.86,98,,593.49,percent of total billed charges,98% of total billed charges,741.86,98,,593.49,percent of total billed charges,98% of total billed charges,363.36,48,,290.69,percent of total billed charges,48% of total billed charges,340.65,45,,272.52,percent of total billed charges,45% of total billed charges,289.55,38.25,,231.64,percent of total billed charges,38.25% of total billed charges,340.65,45,,272.52,percent of total billed charges,45% of total billed charges,340.65,45,,272.52,percent of total billed charges,45% of total billed charges,289.55,747.84,
US ART DOPPLER UPPER EXT LT,533163,CDM,921,RC,93931,HCPCS,OUTPATIENT,,,438,350.4,,416.1,95,,332.88,percent of total billed charges,95% of total billed charges,414.87,94.72,,331.9,percent of total billed charges,94.72% of total billed charges,432.7,98.79,,346.16,percent of total billed charges,98.79% of total billed charges,429.24,98,,343.39,percent of total billed charges,98% of total billed charges,429.24,98,,343.39,percent of total billed charges,98% of total billed charges,210.24,48,,168.19,percent of total billed charges,48% of total billed charges,197.1,45,,157.68,percent of total billed charges,45% of total billed charges,167.54,38.25,,134.03,percent of total billed charges,38.25% of total billed charges,197.1,45,,157.68,percent of total billed charges,45% of total billed charges,197.1,45,,157.68,percent of total billed charges,45% of total billed charges,167.54,432.7,
US ART DOPPLER UPPER EXT RT,533165,CDM,921,RC,93931,HCPCS,OUTPATIENT,,,438,350.4,,416.1,95,,332.88,percent of total billed charges,95% of total billed charges,414.87,94.72,,331.9,percent of total billed charges,94.72% of total billed charges,432.7,98.79,,346.16,percent of total billed charges,98.79% of total billed charges,429.24,98,,343.39,percent of total billed charges,98% of total billed charges,429.24,98,,343.39,percent of total billed charges,98% of total billed charges,210.24,48,,168.19,percent of total billed charges,48% of total billed charges,197.1,45,,157.68,percent of total billed charges,45% of total billed charges,167.54,38.25,,134.03,percent of total billed charges,38.25% of total billed charges,197.1,45,,157.68,percent of total billed charges,45% of total billed charges,197.1,45,,157.68,percent of total billed charges,45% of total billed charges,167.54,432.7,
US CAROTID DOPP BIL,533170,CDM,921,RC,93880,HCPCS,OUTPATIENT,,,1519,1215.2,,1443.05,95,,1154.44,percent of total billed charges,95% of total billed charges,1438.8,94.72,,1151.04,percent of total billed charges,94.72% of total billed charges,1500.62,98.79,,1200.5,percent of total billed charges,98.79% of total billed charges,1488.62,98,,1190.9,percent of total billed charges,98% of total billed charges,1488.62,98,,1190.9,percent of total billed charges,98% of total billed charges,729.12,48,,583.3,percent of total billed charges,48% of total billed charges,683.55,45,,546.84,percent of total billed charges,45% of total billed charges,581.02,38.25,,464.82,percent of total billed charges,38.25% of total billed charges,683.55,45,,546.84,percent of total billed charges,45% of total billed charges,683.55,45,,546.84,percent of total billed charges,45% of total billed charges,581.02,1500.62,
US VENOUS DOP BIL,533180,CDM,921,RC,93970,HCPCS,OUTPATIENT,,,1731,1384.8,,1644.45,95,,1315.56,percent of total billed charges,95% of total billed charges,1639.6,94.72,,1311.68,percent of total billed charges,94.72% of total billed charges,1710.05,98.79,,1368.04,percent of total billed charges,98.79% of total billed charges,1696.38,98,,1357.1,percent of total billed charges,98% of total billed charges,1696.38,98,,1357.1,percent of total billed charges,98% of total billed charges,830.88,48,,664.7,percent of total billed charges,48% of total billed charges,778.95,45,,623.16,percent of total billed charges,45% of total billed charges,662.11,38.25,,529.69,percent of total billed charges,38.25% of total billed charges,778.95,45,,623.16,percent of total billed charges,45% of total billed charges,778.95,45,,623.16,percent of total billed charges,45% of total billed charges,662.11,1710.05,
US VENOUS DOP BIL W MAPPING,533182,CDM,921,RC,93970,HCPCS,OUTPATIENT,,,1731,1384.8,,1644.45,95,,1315.56,percent of total billed charges,95% of total billed charges,1639.6,94.72,,1311.68,percent of total billed charges,94.72% of total billed charges,1710.05,98.79,,1368.04,percent of total billed charges,98.79% of total billed charges,1696.38,98,,1357.1,percent of total billed charges,98% of total billed charges,1696.38,98,,1357.1,percent of total billed charges,98% of total billed charges,830.88,48,,664.7,percent of total billed charges,48% of total billed charges,778.95,45,,623.16,percent of total billed charges,45% of total billed charges,662.11,38.25,,529.69,percent of total billed charges,38.25% of total billed charges,778.95,45,,623.16,percent of total billed charges,45% of total billed charges,778.95,45,,623.16,percent of total billed charges,45% of total billed charges,662.11,1710.05,
US VENOUS  LOWER-LT W MAPPING,533183,CDM,921,RC,93971,HCPCS,OUTPATIENT,,,1234,987.2,,1172.3,95,,937.84,percent of total billed charges,95% of total billed charges,1168.84,94.72,,935.07,percent of total billed charges,94.72% of total billed charges,1219.07,98.79,,975.26,percent of total billed charges,98.79% of total billed charges,1209.32,98,,967.46,percent of total billed charges,98% of total billed charges,1209.32,98,,967.46,percent of total billed charges,98% of total billed charges,592.32,48,,473.86,percent of total billed charges,48% of total billed charges,555.3,45,,444.24,percent of total billed charges,45% of total billed charges,472.01,38.25,,377.61,percent of total billed charges,38.25% of total billed charges,555.3,45,,444.24,percent of total billed charges,45% of total billed charges,555.3,45,,444.24,percent of total billed charges,45% of total billed charges,472.01,1219.07,
US VENOUS  LOWER-RT W MAPPING,533184,CDM,921,RC,93971,HCPCS,OUTPATIENT,,,1234,987.2,,1172.3,95,,937.84,percent of total billed charges,95% of total billed charges,1168.84,94.72,,935.07,percent of total billed charges,94.72% of total billed charges,1219.07,98.79,,975.26,percent of total billed charges,98.79% of total billed charges,1209.32,98,,967.46,percent of total billed charges,98% of total billed charges,1209.32,98,,967.46,percent of total billed charges,98% of total billed charges,592.32,48,,473.86,percent of total billed charges,48% of total billed charges,555.3,45,,444.24,percent of total billed charges,45% of total billed charges,472.01,38.25,,377.61,percent of total billed charges,38.25% of total billed charges,555.3,45,,444.24,percent of total billed charges,45% of total billed charges,555.3,45,,444.24,percent of total billed charges,45% of total billed charges,472.01,1219.07,
US VENOUS DOP LOWER-RT,533190,CDM,921,RC,93971,HCPCS,OUTPATIENT,,,1234,987.2,,1172.3,95,,937.84,percent of total billed charges,95% of total billed charges,1168.84,94.72,,935.07,percent of total billed charges,94.72% of total billed charges,1219.07,98.79,,975.26,percent of total billed charges,98.79% of total billed charges,1209.32,98,,967.46,percent of total billed charges,98% of total billed charges,1209.32,98,,967.46,percent of total billed charges,98% of total billed charges,592.32,48,,473.86,percent of total billed charges,48% of total billed charges,555.3,45,,444.24,percent of total billed charges,45% of total billed charges,472.01,38.25,,377.61,percent of total billed charges,38.25% of total billed charges,555.3,45,,444.24,percent of total billed charges,45% of total billed charges,555.3,45,,444.24,percent of total billed charges,45% of total billed charges,472.01,1219.07,
US VENOUS DOP LOWER-LT,533193,CDM,921,RC,93971,HCPCS,OUTPATIENT,,,1234,987.2,,1172.3,95,,937.84,percent of total billed charges,95% of total billed charges,1168.84,94.72,,935.07,percent of total billed charges,94.72% of total billed charges,1219.07,98.79,,975.26,percent of total billed charges,98.79% of total billed charges,1209.32,98,,967.46,percent of total billed charges,98% of total billed charges,1209.32,98,,967.46,percent of total billed charges,98% of total billed charges,592.32,48,,473.86,percent of total billed charges,48% of total billed charges,555.3,45,,444.24,percent of total billed charges,45% of total billed charges,472.01,38.25,,377.61,percent of total billed charges,38.25% of total billed charges,555.3,45,,444.24,percent of total billed charges,45% of total billed charges,555.3,45,,444.24,percent of total billed charges,45% of total billed charges,472.01,1219.07,
US VENOUS DOP UPPER-LT,533195,CDM,921,RC,93971,HCPCS,OUTPATIENT,,,1234,987.2,,1172.3,95,,937.84,percent of total billed charges,95% of total billed charges,1168.84,94.72,,935.07,percent of total billed charges,94.72% of total billed charges,1219.07,98.79,,975.26,percent of total billed charges,98.79% of total billed charges,1209.32,98,,967.46,percent of total billed charges,98% of total billed charges,1209.32,98,,967.46,percent of total billed charges,98% of total billed charges,592.32,48,,473.86,percent of total billed charges,48% of total billed charges,555.3,45,,444.24,percent of total billed charges,45% of total billed charges,472.01,38.25,,377.61,percent of total billed charges,38.25% of total billed charges,555.3,45,,444.24,percent of total billed charges,45% of total billed charges,555.3,45,,444.24,percent of total billed charges,45% of total billed charges,472.01,1219.07,
US VENOUS DOP UPPER-RT,533197,CDM,921,RC,93971,HCPCS,OUTPATIENT,,,1234,987.2,,1172.3,95,,937.84,percent of total billed charges,95% of total billed charges,1168.84,94.72,,935.07,percent of total billed charges,94.72% of total billed charges,1219.07,98.79,,975.26,percent of total billed charges,98.79% of total billed charges,1209.32,98,,967.46,percent of total billed charges,98% of total billed charges,1209.32,98,,967.46,percent of total billed charges,98% of total billed charges,592.32,48,,473.86,percent of total billed charges,48% of total billed charges,555.3,45,,444.24,percent of total billed charges,45% of total billed charges,472.01,38.25,,377.61,percent of total billed charges,38.25% of total billed charges,555.3,45,,444.24,percent of total billed charges,45% of total billed charges,555.3,45,,444.24,percent of total billed charges,45% of total billed charges,472.01,1219.07,
95860 Needle electromyography; 1 extremity with or without r,95860,CDM,922,RC,95860,HCPCS,OUTPATIENT,,,231,184.8,,219.45,95,,175.56,percent of total billed charges,95% of total billed charges,218.8,94.72,,175.04,percent of total billed charges,94.72% of total billed charges,228.2,98.79,,182.56,percent of total billed charges,98.79% of total billed charges,226.38,98,,181.1,percent of total billed charges,98% of total billed charges,226.38,98,,181.1,percent of total billed charges,98% of total billed charges,110.88,48,,88.7,percent of total billed charges,48% of total billed charges,103.95,45,,83.16,percent of total billed charges,45% of total billed charges,88.36,38.25,,70.69,percent of total billed charges,38.25% of total billed charges,103.95,45,,83.16,percent of total billed charges,45% of total billed charges,103.95,45,,83.16,percent of total billed charges,45% of total billed charges,88.36,228.2,
95861 Needle electromyography; 2 extremities with or without,95861,CDM,922,RC,95861,HCPCS,OUTPATIENT,,,338,270.4,,321.1,95,,256.88,percent of total billed charges,95% of total billed charges,320.15,94.72,,256.12,percent of total billed charges,94.72% of total billed charges,333.91,98.79,,267.13,percent of total billed charges,98.79% of total billed charges,331.24,98,,264.99,percent of total billed charges,98% of total billed charges,331.24,98,,264.99,percent of total billed charges,98% of total billed charges,162.24,48,,129.79,percent of total billed charges,48% of total billed charges,152.1,45,,121.68,percent of total billed charges,45% of total billed charges,129.29,38.25,,103.43,percent of total billed charges,38.25% of total billed charges,152.1,45,,121.68,percent of total billed charges,45% of total billed charges,152.1,45,,121.68,percent of total billed charges,45% of total billed charges,129.29,333.91,
95863 Needle electromyography; 3 extremities with or without,95863,CDM,922,RC,95863,HCPCS,OUTPATIENT,,,372,297.6,,353.4,95,,282.72,percent of total billed charges,95% of total billed charges,352.36,94.72,,281.89,percent of total billed charges,94.72% of total billed charges,367.5,98.79,,294,percent of total billed charges,98.79% of total billed charges,364.56,98,,291.65,percent of total billed charges,98% of total billed charges,364.56,98,,291.65,percent of total billed charges,98% of total billed charges,178.56,48,,142.85,percent of total billed charges,48% of total billed charges,167.4,45,,133.92,percent of total billed charges,45% of total billed charges,142.29,38.25,,113.83,percent of total billed charges,38.25% of total billed charges,167.4,45,,133.92,percent of total billed charges,45% of total billed charges,167.4,45,,133.92,percent of total billed charges,45% of total billed charges,142.29,367.5,
95864 Needle electromyography; 4 extremities with or without,95864,CDM,922,RC,95864,HCPCS,OUTPATIENT,,,580,464,,551,95,,440.8,percent of total billed charges,95% of total billed charges,549.38,94.72,,439.5,percent of total billed charges,94.72% of total billed charges,572.98,98.79,,458.38,percent of total billed charges,98.79% of total billed charges,568.4,98,,454.72,percent of total billed charges,98% of total billed charges,568.4,98,,454.72,percent of total billed charges,98% of total billed charges,278.4,48,,222.72,percent of total billed charges,48% of total billed charges,261,45,,208.8,percent of total billed charges,45% of total billed charges,221.85,38.25,,177.48,percent of total billed charges,38.25% of total billed charges,261,45,,208.8,percent of total billed charges,45% of total billed charges,261,45,,208.8,percent of total billed charges,45% of total billed charges,221.85,572.98,
95874 Needle electromyography for guidance in conjunction wi,95874,CDM,922,RC,95874,HCPCS,OUTPATIENT,,,127,101.6,,120.65,95,,96.52,percent of total billed charges,95% of total billed charges,120.29,94.72,,96.23,percent of total billed charges,94.72% of total billed charges,125.46,98.79,,100.37,percent of total billed charges,98.79% of total billed charges,124.46,98,,99.57,percent of total billed charges,98% of total billed charges,124.46,98,,99.57,percent of total billed charges,98% of total billed charges,60.96,48,,48.77,percent of total billed charges,48% of total billed charges,57.15,45,,45.72,percent of total billed charges,45% of total billed charges,48.58,38.25,,38.86,percent of total billed charges,38.25% of total billed charges,57.15,45,,45.72,percent of total billed charges,45% of total billed charges,57.15,45,,45.72,percent of total billed charges,45% of total billed charges,48.58,125.46,
95885 Needle electromyography| each extremity; limited,95885,CDM,922,RC,95885,HCPCS,OUTPATIENT,,,140,112,,133,95,,106.4,percent of total billed charges,95% of total billed charges,132.61,94.72,,106.09,percent of total billed charges,94.72% of total billed charges,138.31,98.79,,110.65,percent of total billed charges,98.79% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,137.2,98,,109.76,percent of total billed charges,98% of total billed charges,67.2,48,,53.76,percent of total billed charges,48% of total billed charges,63,45,,50.4,percent of total billed charges,45% of total billed charges,53.55,38.25,,42.84,percent of total billed charges,38.25% of total billed charges,63,45,,50.4,percent of total billed charges,45% of total billed charges,63,45,,50.4,percent of total billed charges,45% of total billed charges,53.55,138.31,
95886 Needle electromyography| each extremity| ; complete| 5,95886,CDM,922,RC,95886,HCPCS,OUTPATIENT,,,170,136,,161.5,95,,129.2,percent of total billed charges,95% of total billed charges,161.02,94.72,,128.82,percent of total billed charges,94.72% of total billed charges,167.94,98.79,,134.35,percent of total billed charges,98.79% of total billed charges,166.6,98,,133.28,percent of total billed charges,98% of total billed charges,166.6,98,,133.28,percent of total billed charges,98% of total billed charges,81.6,48,,65.28,percent of total billed charges,48% of total billed charges,76.5,45,,61.2,percent of total billed charges,45% of total billed charges,65.03,38.25,,52.02,percent of total billed charges,38.25% of total billed charges,76.5,45,,61.2,percent of total billed charges,45% of total billed charges,76.5,45,,61.2,percent of total billed charges,45% of total billed charges,65.03,167.94,
95907 Nerve conduction studies; 1-2 studies,95907,CDM,922,RC,95907,HCPCS,OUTPATIENT,,,125,100,,118.75,95,,95,percent of total billed charges,95% of total billed charges,118.4,94.72,,94.72,percent of total billed charges,94.72% of total billed charges,123.49,98.79,,98.79,percent of total billed charges,98.79% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,122.5,98,,98,percent of total billed charges,98% of total billed charges,60,48,,48,percent of total billed charges,48% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,38.25,,38.25,percent of total billed charges,38.25% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,56.25,45,,45,percent of total billed charges,45% of total billed charges,47.81,123.49,
95908 Nerve conduction studies; 3-4 studies,95908,CDM,922,RC,95908,HCPCS,OUTPATIENT,,,152,121.6,,144.4,95,,115.52,percent of total billed charges,95% of total billed charges,143.97,94.72,,115.18,percent of total billed charges,94.72% of total billed charges,150.16,98.79,,120.13,percent of total billed charges,98.79% of total billed charges,148.96,98,,119.17,percent of total billed charges,98% of total billed charges,148.96,98,,119.17,percent of total billed charges,98% of total billed charges,72.96,48,,58.37,percent of total billed charges,48% of total billed charges,68.4,45,,54.72,percent of total billed charges,45% of total billed charges,58.14,38.25,,46.51,percent of total billed charges,38.25% of total billed charges,68.4,45,,54.72,percent of total billed charges,45% of total billed charges,68.4,45,,54.72,percent of total billed charges,45% of total billed charges,58.14,150.16,
95909 Nerve conduction studies; 5-6 studies,95909,CDM,922,RC,95909,HCPCS,OUTPATIENT,,,247,197.6,,234.65,95,,187.72,percent of total billed charges,95% of total billed charges,233.96,94.72,,187.17,percent of total billed charges,94.72% of total billed charges,244.01,98.79,,195.21,percent of total billed charges,98.79% of total billed charges,242.06,98,,193.65,percent of total billed charges,98% of total billed charges,242.06,98,,193.65,percent of total billed charges,98% of total billed charges,118.56,48,,94.85,percent of total billed charges,48% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,94.48,38.25,,75.58,percent of total billed charges,38.25% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,111.15,45,,88.92,percent of total billed charges,45% of total billed charges,94.48,244.01,
95910 Nerve conduction studies; 7-8 studies,95910,CDM,922,RC,95910,HCPCS,OUTPATIENT,,,554,443.2,,526.3,95,,421.04,percent of total billed charges,95% of total billed charges,524.75,94.72,,419.8,percent of total billed charges,94.72% of total billed charges,547.3,98.79,,437.84,percent of total billed charges,98.79% of total billed charges,542.92,98,,434.34,percent of total billed charges,98% of total billed charges,542.92,98,,434.34,percent of total billed charges,98% of total billed charges,265.92,48,,212.74,percent of total billed charges,48% of total billed charges,249.3,45,,199.44,percent of total billed charges,45% of total billed charges,211.91,38.25,,169.53,percent of total billed charges,38.25% of total billed charges,249.3,45,,199.44,percent of total billed charges,45% of total billed charges,249.3,45,,199.44,percent of total billed charges,45% of total billed charges,211.91,547.3,
95911 Nerve conduction studies; 9-10 studies,95911,CDM,922,RC,95911,HCPCS,OUTPATIENT,,,337,269.6,,320.15,95,,256.12,percent of total billed charges,95% of total billed charges,319.21,94.72,,255.37,percent of total billed charges,94.72% of total billed charges,332.92,98.79,,266.34,percent of total billed charges,98.79% of total billed charges,330.26,98,,264.21,percent of total billed charges,98% of total billed charges,330.26,98,,264.21,percent of total billed charges,98% of total billed charges,161.76,48,,129.41,percent of total billed charges,48% of total billed charges,151.65,45,,121.32,percent of total billed charges,45% of total billed charges,128.9,38.25,,103.12,percent of total billed charges,38.25% of total billed charges,151.65,45,,121.32,percent of total billed charges,45% of total billed charges,151.65,45,,121.32,percent of total billed charges,45% of total billed charges,128.9,332.92,
95912 Nerve conduction studies; 11-12 studies,95912,CDM,922,RC,95912,HCPCS,OUTPATIENT,,,692,553.6,,657.4,95,,525.92,percent of total billed charges,95% of total billed charges,655.46,94.72,,524.37,percent of total billed charges,94.72% of total billed charges,683.63,98.79,,546.9,percent of total billed charges,98.79% of total billed charges,678.16,98,,542.53,percent of total billed charges,98% of total billed charges,678.16,98,,542.53,percent of total billed charges,98% of total billed charges,332.16,48,,265.73,percent of total billed charges,48% of total billed charges,311.4,45,,249.12,percent of total billed charges,45% of total billed charges,264.69,38.25,,211.75,percent of total billed charges,38.25% of total billed charges,311.4,45,,249.12,percent of total billed charges,45% of total billed charges,311.4,45,,249.12,percent of total billed charges,45% of total billed charges,264.69,683.63,
64617 Chemodenervation of muscle/s;larynx|unilater,10064617,CDM,922,RC,64617,HCPCS,OUTPATIENT,,,723,578.4,,686.85,95,,549.48,percent of total billed charges,95% of total billed charges,684.83,94.72,,547.86,percent of total billed charges,94.72% of total billed charges,714.25,98.79,,571.4,percent of total billed charges,98.79% of total billed charges,708.54,98,,566.83,percent of total billed charges,98% of total billed charges,708.54,98,,566.83,percent of total billed charges,98% of total billed charges,347.04,48,,277.63,percent of total billed charges,48% of total billed charges,325.35,45,,260.28,percent of total billed charges,45% of total billed charges,276.55,38.25,,221.24,percent of total billed charges,38.25% of total billed charges,325.35,45,,260.28,percent of total billed charges,45% of total billed charges,325.35,45,,260.28,percent of total billed charges,45% of total billed charges,276.55,714.25,
Needle EMG/larnyx 95865,10095865,CDM,922,RC,95865,HCPCS,OUTPATIENT,,,2608,2086.4,,2477.6,95,,1982.08,percent of total billed charges,95% of total billed charges,2470.3,94.72,,1976.24,percent of total billed charges,94.72% of total billed charges,2576.44,98.79,,2061.15,percent of total billed charges,98.79% of total billed charges,2555.84,98,,2044.67,percent of total billed charges,98% of total billed charges,2555.84,98,,2044.67,percent of total billed charges,98% of total billed charges,1251.84,48,,1001.47,percent of total billed charges,48% of total billed charges,1173.6,45,,938.88,percent of total billed charges,45% of total billed charges,997.56,38.25,,798.05,percent of total billed charges,38.25% of total billed charges,1173.6,45,,938.88,percent of total billed charges,45% of total billed charges,1173.6,45,,938.88,percent of total billed charges,45% of total billed charges,997.56,2576.44,
95861 Needle electromyography; 2 extremities w or w/o relat,22595861,CDM,922,RC,95861,HCPCS,OUTPATIENT,,,168,134.4,,159.6,95,,127.68,percent of total billed charges,95% of total billed charges,159.13,94.72,,127.3,percent of total billed charges,94.72% of total billed charges,165.97,98.79,,132.78,percent of total billed charges,98.79% of total billed charges,164.64,98,,131.71,percent of total billed charges,98% of total billed charges,164.64,98,,131.71,percent of total billed charges,98% of total billed charges,80.64,48,,64.51,percent of total billed charges,48% of total billed charges,75.6,45,,60.48,percent of total billed charges,45% of total billed charges,64.26,38.25,,51.41,percent of total billed charges,38.25% of total billed charges,75.6,45,,60.48,percent of total billed charges,45% of total billed charges,75.6,45,,60.48,percent of total billed charges,45% of total billed charges,64.26,165.97,
Allergy Shot Single Administration Immunizations,95115,CDM,940,RC,95115,HCPCS,OUTPATIENT,,,42,33.6,,39.9,95,,31.92,percent of total billed charges,95% of total billed charges,39.78,94.72,,31.82,percent of total billed charges,94.72% of total billed charges,41.49,98.79,,33.19,percent of total billed charges,98.79% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,41.16,98,,32.93,percent of total billed charges,98% of total billed charges,20.16,48,,16.13,percent of total billed charges,48% of total billed charges,18.9,45,,15.12,percent of total billed charges,45% of total billed charges,16.07,38.25,,12.86,percent of total billed charges,38.25% of total billed charges,18.9,45,,15.12,percent of total billed charges,45% of total billed charges,18.9,45,,15.12,percent of total billed charges,45% of total billed charges,16.07,41.49,
Allergy Inj POC - Multi,95117,CDM,940,RC,95117,HCPCS,OUTPATIENT,,,47,37.6,,44.65,95,,35.72,percent of total billed charges,95% of total billed charges,44.52,94.72,,35.62,percent of total billed charges,94.72% of total billed charges,46.43,98.79,,37.14,percent of total billed charges,98.79% of total billed charges,46.06,98,,36.85,percent of total billed charges,98% of total billed charges,46.06,98,,36.85,percent of total billed charges,98% of total billed charges,22.56,48,,18.05,percent of total billed charges,48% of total billed charges,21.15,45,,16.92,percent of total billed charges,45% of total billed charges,17.98,38.25,,14.38,percent of total billed charges,38.25% of total billed charges,21.15,45,,16.92,percent of total billed charges,45% of total billed charges,21.15,45,,16.92,percent of total billed charges,45% of total billed charges,17.98,46.43,
Allergy Shot Multiple Administration Immunizations,95117,CDM,940,RC,95117,HCPCS,OUTPATIENT,,,47,37.6,,44.65,95,,35.72,percent of total billed charges,95% of total billed charges,44.52,94.72,,35.62,percent of total billed charges,94.72% of total billed charges,46.43,98.79,,37.14,percent of total billed charges,98.79% of total billed charges,46.06,98,,36.85,percent of total billed charges,98% of total billed charges,46.06,98,,36.85,percent of total billed charges,98% of total billed charges,22.56,48,,18.05,percent of total billed charges,48% of total billed charges,21.15,45,,16.92,percent of total billed charges,45% of total billed charges,17.98,38.25,,14.38,percent of total billed charges,38.25% of total billed charges,21.15,45,,16.92,percent of total billed charges,45% of total billed charges,21.15,45,,16.92,percent of total billed charges,45% of total billed charges,17.98,46.43,
Injection Administration Fee,96372,CDM,940,RC,96372,HCPCS,OUTPATIENT,,,82,65.6,,77.9,95,,62.32,percent of total billed charges,95% of total billed charges,77.67,94.72,,62.14,percent of total billed charges,94.72% of total billed charges,81.01,98.79,,64.81,percent of total billed charges,98.79% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,39.36,48,,31.49,percent of total billed charges,48% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,31.37,38.25,,25.1,percent of total billed charges,38.25% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,31.37,81.01,
BB PHLEBOTOMY,5068006,CDM,940,RC,99195,HCPCS,OUTPATIENT,,,187,149.6,,177.65,95,,142.12,percent of total billed charges,95% of total billed charges,177.13,94.72,,141.7,percent of total billed charges,94.72% of total billed charges,184.74,98.79,,147.79,percent of total billed charges,98.79% of total billed charges,183.26,98,,146.61,percent of total billed charges,98% of total billed charges,183.26,98,,146.61,percent of total billed charges,98% of total billed charges,89.76,48,,71.81,percent of total billed charges,48% of total billed charges,84.15,45,,67.32,percent of total billed charges,45% of total billed charges,71.53,38.25,,57.22,percent of total billed charges,38.25% of total billed charges,84.15,45,,67.32,percent of total billed charges,45% of total billed charges,84.15,45,,67.32,percent of total billed charges,45% of total billed charges,71.53,184.74,
BB PHLEBOTOMY,5068006,CDM,940,RC,99195,HCPCS,OUTPATIENT,,,187,149.6,,177.65,95,,142.12,percent of total billed charges,95% of total billed charges,177.13,94.72,,141.7,percent of total billed charges,94.72% of total billed charges,184.74,98.79,,147.79,percent of total billed charges,98.79% of total billed charges,183.26,98,,146.61,percent of total billed charges,98% of total billed charges,183.26,98,,146.61,percent of total billed charges,98% of total billed charges,89.76,48,,71.81,percent of total billed charges,48% of total billed charges,84.15,45,,67.32,percent of total billed charges,45% of total billed charges,71.53,38.25,,57.22,percent of total billed charges,38.25% of total billed charges,84.15,45,,67.32,percent of total billed charges,45% of total billed charges,84.15,45,,67.32,percent of total billed charges,45% of total billed charges,71.53,184.74,
MED INJECTION SQ/IM 96372,10096372,CDM,940,RC,96372,HCPCS,OUTPATIENT,,,82,65.6,,77.9,95,,62.32,percent of total billed charges,95% of total billed charges,77.67,94.72,,62.14,percent of total billed charges,94.72% of total billed charges,81.01,98.79,,64.81,percent of total billed charges,98.79% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,39.36,48,,31.49,percent of total billed charges,48% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,31.37,38.25,,25.1,percent of total billed charges,38.25% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,31.37,81.01,
ALLERGY MULTIPLE,11095117,CDM,940,RC,95117,HCPCS,OUTPATIENT,,,46,36.8,,43.7,95,,34.96,percent of total billed charges,95% of total billed charges,43.57,94.72,,34.86,percent of total billed charges,94.72% of total billed charges,45.44,98.79,,36.35,percent of total billed charges,98.79% of total billed charges,45.08,98,,36.06,percent of total billed charges,98% of total billed charges,45.08,98,,36.06,percent of total billed charges,98% of total billed charges,22.08,48,,17.66,percent of total billed charges,48% of total billed charges,20.7,45,,16.56,percent of total billed charges,45% of total billed charges,17.6,38.25,,14.08,percent of total billed charges,38.25% of total billed charges,20.7,45,,16.56,percent of total billed charges,45% of total billed charges,20.7,45,,16.56,percent of total billed charges,45% of total billed charges,17.6,45.44,
MED INJECTION SQ/IM,12744001,CDM,940,RC,96372,HCPCS,OUTPATIENT,,,82,65.6,,77.9,95,,62.32,percent of total billed charges,95% of total billed charges,77.67,94.72,,62.14,percent of total billed charges,94.72% of total billed charges,81.01,98.79,,64.81,percent of total billed charges,98.79% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,80.36,98,,64.29,percent of total billed charges,98% of total billed charges,39.36,48,,31.49,percent of total billed charges,48% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,31.37,38.25,,25.1,percent of total billed charges,38.25% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,36.9,45,,29.52,percent of total billed charges,45% of total billed charges,31.37,81.01,
FLUSH-IMPLATED ACCESS DEVICE,12796523,CDM,940,RC,96523,HCPCS,OUTPATIENT,,,168,134.4,,159.6,95,,127.68,percent of total billed charges,95% of total billed charges,159.13,94.72,,127.3,percent of total billed charges,94.72% of total billed charges,165.97,98.79,,132.78,percent of total billed charges,98.79% of total billed charges,164.64,98,,131.71,percent of total billed charges,98% of total billed charges,164.64,98,,131.71,percent of total billed charges,98% of total billed charges,80.64,48,,64.51,percent of total billed charges,48% of total billed charges,75.6,45,,60.48,percent of total billed charges,45% of total billed charges,64.26,38.25,,51.41,percent of total billed charges,38.25% of total billed charges,75.6,45,,60.48,percent of total billed charges,45% of total billed charges,75.6,45,,60.48,percent of total billed charges,45% of total billed charges,64.26,165.97,
FLUSH-IMPLATED ACCESS DEVICE,12796523,CDM,940,RC,96523,HCPCS,OUTPATIENT,,,168,134.4,,159.6,95,,127.68,percent of total billed charges,95% of total billed charges,159.13,94.72,,127.3,percent of total billed charges,94.72% of total billed charges,165.97,98.79,,132.78,percent of total billed charges,98.79% of total billed charges,164.64,98,,131.71,percent of total billed charges,98% of total billed charges,164.64,98,,131.71,percent of total billed charges,98% of total billed charges,80.64,48,,64.51,percent of total billed charges,48% of total billed charges,75.6,45,,60.48,percent of total billed charges,45% of total billed charges,64.26,38.25,,51.41,percent of total billed charges,38.25% of total billed charges,75.6,45,,60.48,percent of total billed charges,45% of total billed charges,75.6,45,,60.48,percent of total billed charges,45% of total billed charges,64.26,165.97,
MNT GROUP THERAPY 30MIN,8001004,CDM,942,RC,97804,HCPCS,OUTPATIENT,,,27,21.6,,25.65,95,,20.52,percent of total billed charges,95% of total billed charges,25.57,94.72,,20.46,percent of total billed charges,94.72% of total billed charges,26.67,98.79,,21.34,percent of total billed charges,98.79% of total billed charges,26.46,98,,21.17,percent of total billed charges,98% of total billed charges,26.46,98,,21.17,percent of total billed charges,98% of total billed charges,12.96,48,,10.37,percent of total billed charges,48% of total billed charges,12.15,45,,9.72,percent of total billed charges,45% of total billed charges,10.33,38.25,,8.26,percent of total billed charges,38.25% of total billed charges,12.15,45,,9.72,percent of total billed charges,45% of total billed charges,12.15,45,,9.72,percent of total billed charges,45% of total billed charges,10.33,26.67,
DIETARY COUNSELING - PRIV PAY,8001005,CDM,942,RC,S9470,HCPCS,OUTPATIENT,,,38,30.4,,36.1,95,,28.88,percent of total billed charges,95% of total billed charges,35.99,94.72,,28.79,percent of total billed charges,94.72% of total billed charges,37.54,98.79,,30.03,percent of total billed charges,98.79% of total billed charges,37.24,98,,29.79,percent of total billed charges,98% of total billed charges,37.24,98,,29.79,percent of total billed charges,98% of total billed charges,18.24,48,,14.59,percent of total billed charges,48% of total billed charges,17.1,45,,13.68,percent of total billed charges,45% of total billed charges,14.54,38.25,,11.63,percent of total billed charges,38.25% of total billed charges,17.1,45,,13.68,percent of total billed charges,45% of total billed charges,17.1,45,,13.68,percent of total billed charges,45% of total billed charges,14.54,37.54,
NUTRITIONAL EDUCATION 15 MIN EA,8001006,CDM,942,RC,S9470,HCPCS,OUTPATIENT,,,23,18.4,,21.85,95,,17.48,percent of total billed charges,95% of total billed charges,21.79,94.72,,17.43,percent of total billed charges,94.72% of total billed charges,22.72,98.79,,18.18,percent of total billed charges,98.79% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,22.54,98,,18.03,percent of total billed charges,98% of total billed charges,11.04,48,,8.83,percent of total billed charges,48% of total billed charges,10.35,45,,8.28,percent of total billed charges,45% of total billed charges,8.8,38.25,,7.04,percent of total billed charges,38.25% of total billed charges,10.35,45,,8.28,percent of total billed charges,45% of total billed charges,10.35,45,,8.28,percent of total billed charges,45% of total billed charges,8.8,22.72,
MNT INITIAL VISIT 15 MIN EA,8001008,CDM,942,RC,97802,HCPCS,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,19.35,45,,15.48,percent of total billed charges,45% of total billed charges,16.45,38.25,,13.16,percent of total billed charges,38.25% of total billed charges,19.35,45,,15.48,percent of total billed charges,45% of total billed charges,19.35,45,,15.48,percent of total billed charges,45% of total billed charges,16.45,42.48,
MNT VISIT 15 MIN EA,8001009,CDM,942,RC,97803,HCPCS,OUTPATIENT,,,43,34.4,,40.85,95,,32.68,percent of total billed charges,95% of total billed charges,40.73,94.72,,32.58,percent of total billed charges,94.72% of total billed charges,42.48,98.79,,33.98,percent of total billed charges,98.79% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,42.14,98,,33.71,percent of total billed charges,98% of total billed charges,20.64,48,,16.51,percent of total billed charges,48% of total billed charges,19.35,45,,15.48,percent of total billed charges,45% of total billed charges,16.45,38.25,,13.16,percent of total billed charges,38.25% of total billed charges,19.35,45,,15.48,percent of total billed charges,45% of total billed charges,19.35,45,,15.48,percent of total billed charges,45% of total billed charges,16.45,42.48,
DIAB ED INDIVIDUAL PER 30 MINUTES,13501004,CDM,942,RC,G0108,HCPCS,OUTPATIENT,,,70,56,,66.5,95,,53.2,percent of total billed charges,95% of total billed charges,66.3,94.72,,53.04,percent of total billed charges,94.72% of total billed charges,69.15,98.79,,55.32,percent of total billed charges,98.79% of total billed charges,68.6,98,,54.88,percent of total billed charges,98% of total billed charges,68.6,98,,54.88,percent of total billed charges,98% of total billed charges,33.6,48,,26.88,percent of total billed charges,48% of total billed charges,31.5,45,,25.2,percent of total billed charges,45% of total billed charges,26.78,38.25,,21.42,percent of total billed charges,38.25% of total billed charges,31.5,45,,25.2,percent of total billed charges,45% of total billed charges,31.5,45,,25.2,percent of total billed charges,45% of total billed charges,26.78,69.15,
DIAB ED GROUP SESSION PER 30 MINUTES,13501007,CDM,942,RC,G0109,HCPCS,OUTPATIENT,,,41,32.8,,38.95,95,,31.16,percent of total billed charges,95% of total billed charges,38.84,94.72,,31.07,percent of total billed charges,94.72% of total billed charges,40.5,98.79,,32.4,percent of total billed charges,98.79% of total billed charges,40.18,98,,32.14,percent of total billed charges,98% of total billed charges,40.18,98,,32.14,percent of total billed charges,98% of total billed charges,19.68,48,,15.74,percent of total billed charges,48% of total billed charges,18.45,45,,14.76,percent of total billed charges,45% of total billed charges,15.68,38.25,,12.54,percent of total billed charges,38.25% of total billed charges,18.45,45,,14.76,percent of total billed charges,45% of total billed charges,18.45,45,,14.76,percent of total billed charges,45% of total billed charges,15.68,40.5,
GLUCOSE MONITORING CONT,13595250,CDM,942,RC,95250,HCPCS,OUTPATIENT,,,261,208.8,,247.95,95,,198.36,percent of total billed charges,95% of total billed charges,247.22,94.72,,197.78,percent of total billed charges,94.72% of total billed charges,257.84,98.79,,206.27,percent of total billed charges,98.79% of total billed charges,255.78,98,,204.62,percent of total billed charges,98% of total billed charges,255.78,98,,204.62,percent of total billed charges,98% of total billed charges,125.28,48,,100.22,percent of total billed charges,48% of total billed charges,117.45,45,,93.96,percent of total billed charges,45% of total billed charges,99.83,38.25,,79.86,percent of total billed charges,38.25% of total billed charges,117.45,45,,93.96,percent of total billed charges,45% of total billed charges,117.45,45,,93.96,percent of total billed charges,45% of total billed charges,99.83,257.84,
CARDIAC REHAB - EKG RHYTHM STRIP,6393798,CDM,943,RC,93798,HCPCS,OUTPATIENT,,,198,158.4,,188.1,95,,150.48,percent of total billed charges,95% of total billed charges,187.55,94.72,,150.04,percent of total billed charges,94.72% of total billed charges,195.6,98.79,,156.48,percent of total billed charges,98.79% of total billed charges,194.04,98,,155.23,percent of total billed charges,98% of total billed charges,194.04,98,,155.23,percent of total billed charges,98% of total billed charges,95.04,48,,76.03,percent of total billed charges,48% of total billed charges,89.1,45,,71.28,percent of total billed charges,45% of total billed charges,75.74,38.25,,60.59,percent of total billed charges,38.25% of total billed charges,89.1,45,,71.28,percent of total billed charges,45% of total billed charges,89.1,45,,71.28,percent of total billed charges,45% of total billed charges,75.74,195.6,
PULMONARY REHAB NON MCR,7000238,CDM,948,RC,G0238,HCPCS,OUTPATIENT,,,38,30.4,,36.1,95,,28.88,percent of total billed charges,95% of total billed charges,35.99,94.72,,28.79,percent of total billed charges,94.72% of total billed charges,37.54,98.79,,30.03,percent of total billed charges,98.79% of total billed charges,37.24,98,,29.79,percent of total billed charges,98% of total billed charges,37.24,98,,29.79,percent of total billed charges,98% of total billed charges,18.24,48,,14.59,percent of total billed charges,48% of total billed charges,17.1,45,,13.68,percent of total billed charges,45% of total billed charges,14.54,38.25,,11.63,percent of total billed charges,38.25% of total billed charges,17.1,45,,13.68,percent of total billed charges,45% of total billed charges,17.1,45,,13.68,percent of total billed charges,45% of total billed charges,14.54,37.54,
PULMONARY REHAB NON MCR,7000239,CDM,948,RC,G0239,HCPCS,OUTPATIENT,,,151,120.8,,143.45,95,,114.76,percent of total billed charges,95% of total billed charges,143.03,94.72,,114.42,percent of total billed charges,94.72% of total billed charges,149.17,98.79,,119.34,percent of total billed charges,98.79% of total billed charges,147.98,98,,118.38,percent of total billed charges,98% of total billed charges,147.98,98,,118.38,percent of total billed charges,98% of total billed charges,72.48,48,,57.98,percent of total billed charges,48% of total billed charges,67.95,45,,54.36,percent of total billed charges,45% of total billed charges,57.76,38.25,,46.21,percent of total billed charges,38.25% of total billed charges,67.95,45,,54.36,percent of total billed charges,45% of total billed charges,67.95,45,,54.36,percent of total billed charges,45% of total billed charges,57.76,149.17,
PULMONARY REHAB,7003609,CDM,948,RC,94626,HCPCS,OUTPATIENT,,,151,120.8,,143.45,95,,114.76,percent of total billed charges,95% of total billed charges,143.03,94.72,,114.42,percent of total billed charges,94.72% of total billed charges,149.17,98.79,,119.34,percent of total billed charges,98.79% of total billed charges,147.98,98,,118.38,percent of total billed charges,98% of total billed charges,147.98,98,,118.38,percent of total billed charges,98% of total billed charges,72.48,48,,57.98,percent of total billed charges,48% of total billed charges,67.95,45,,54.36,percent of total billed charges,45% of total billed charges,57.76,38.25,,46.21,percent of total billed charges,38.25% of total billed charges,67.95,45,,54.36,percent of total billed charges,45% of total billed charges,67.95,45,,54.36,percent of total billed charges,45% of total billed charges,57.76,149.17,
PRO APPLY HIP SPICA CAST BOTH LEGS,10429325,CDM,960,RC,29325,HCPCS,OUTPATIENT,,,1059,847.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ECHO REAL-TIME INTERP  REPORT,22508441,CDM,960,RC,93307,HCPCS,OUTPATIENT,,,422,337.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ECHO DOPPLER INTERP  REPORT,22508442,CDM,960,RC,93320,HCPCS,OUTPATIENT,,,97,77.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ECHO DOPPLER COLOR FLOW INTERP,22508551,CDM,960,RC,93325,HCPCS,OUTPATIENT,,,68,54.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
HOLTER MONITOR PHY REV  INTERP,22508811,CDM,960,RC,93233,HCPCS,OUTPATIENT,,,130,104,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
36569 INSERTION OF PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER (PICC)| WITHOUT SUBCUTANEOU ProFee,22536569,CDM,960,RC,36569,HCPCS,OUTPATIENT,,,235,188,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
51798 MEASUREMENT OF POST-VOIDING RESIDUAL URINE AND/OR BLADDER CAPACITY BY ULTRASOUND| NON- ProFee,22551798,CDM,960,RC,51798,HCPCS,OUTPATIENT,,,43,34.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ANES GENERAL 1ST 30 MINUTES,10600307,CDM,964,RC,,,OUTPATIENT,,,601,480.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ANES ENDOTRACHEAL TUBE,10607005,CDM,964,RC,,,OUTPATIENT,,,129,103.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ANESTHESIA PER MINUTE,10607018,CDM,964,RC,,,OUTPATIENT,,,20,16,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ANES THERAPUTIC NERVE BLOCK/INTERSCALENE,10607031,CDM,964,RC,64415,HCPCS,OUTPATIENT,,,209,167.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FEE HOME VISIT PROBLEM FOCUSED,22899347,CDM,969,RC,99347,HCPCS,OUTPATIENT,,,139,111.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO HOME VISIT EXPANDED,22899348,CDM,969,RC,99348,HCPCS,OUTPATIENT,,,176,140.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO US ECHO REAL/M-MODE COMPLETE W CONTR,25133215,CDM,972,RC,93306,HCPCS,OUTPATIENT,,,811,648.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DRAIN BREAST LESION,2119000,CDM,975,RC,19000,HCPCS,OUTPATIENT,,,143,114.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INC  REM FB SQ SMPL,9910120,CDM,975,RC,10120,HCPCS,OUTPATIENT,,,438,350.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SHVG SKIN LESION DIAM 1.1-2 CM,9911312,CDM,975,RC,11312,HCPCS,OUTPATIENT,,,275,220,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXCISION BENIGN LESION>4CM,9911406,CDM,975,RC,11406,HCPCS,OUTPATIENT,,,788,630.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC BENIGN 2.1-3.0CM SCALP NECK HAND,9911423,CDM,975,RC,11423,HCPCS,OUTPATIENT,,,609,487.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC BENIGN 3.1-4.0CM SCALP NECK HAND,9911424,CDM,975,RC,11424,HCPCS,OUTPATIENT,,,578,462.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC BENIGN .6-1CM OTHER,9911441,CDM,975,RC,11441,HCPCS,OUTPATIENT,,,336,268.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC MALIGNANT 1.1-2CM TRUNK/ARM/LEG,9911602,CDM,975,RC,11602,HCPCS,OUTPATIENT,,,625,500,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC MALIGNANT 2.1-3CM TRUNK/ARM/LEG,9911603,CDM,975,RC,11603,HCPCS,OUTPATIENT,,,394,315.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC MLES T/A/L;3.1-4.0CM,9911604,CDM,975,RC,11604,HCPCS,OUTPATIENT,,,691,552.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC MALIGNANT OVER 4CM TRUNK/ARM/LEG,9911606,CDM,975,RC,11606,HCPCS,OUTPATIENT,,,1450,1160,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO MALIGNANT .5CM OR LESS FACE EAR,9911640,CDM,975,RC,11640,HCPCS,OUTPATIENT,,,561,448.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PILONIDAL CYST/SINUS SIMPLE,9911770,CDM,975,RC,11770,HCPCS,OUTPATIENT,,,502,401.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO  INTMD WND REPAIR S/TR/EXT,9912034,CDM,975,RC,12034,HCPCS,OUTPATIENT,,,748,598.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DESTRUC MALG LSN S/N/H/F/G 1.1-2.0CM,9917272,CDM,975,RC,17272,HCPCS,OUTPATIENT,,,553,442.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DEST MALG LESION S/N/H/F/G 3.1-4.0CM,9917274,CDM,975,RC,17274,HCPCS,OUTPATIENT,,,964,771.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DEST MAL LSN F/E/E/N/L/M 1.1-2.0CM,9917282,CDM,975,RC,17282,HCPCS,OUTPATIENT,,,630,504,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DEST MAL LSN F/E/E/N/L/M 2.1-3.0CM,9917283,CDM,975,RC,17283,HCPCS,OUTPATIENT,,,723,578.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BX BREAST OPEN INCIS,9919101,CDM,975,RC,19101,HCPCS,OUTPATIENT,,,707,565.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC TUMOR SOFT TISSUE THIGH/KNEE 3CM,9927337,CDM,975,RC,27337,HCPCS,OUTPATIENT,,,1136,908.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC TUMOR THIGH/KNEE SOFT TISSUE,9927339,CDM,975,RC,27339,HCPCS,OUTPATIENT,,,2756,2204.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SUPERF SFT TISS BX LEG/ANKLE,9927613,CDM,975,RC,27613,HCPCS,OUTPATIENT,,,835,668,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BRONCHOSCOPY CLEAR AIRWAYS,9931645,CDM,975,RC,31645,HCPCS,OUTPATIENT,,,385,308,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REM TUNNELED CV CATH,9936590,CDM,975,RC,36590,HCPCS,OUTPATIENT,,,749,599.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO GASTROSCOPE W/REMOV POLYP/LESION/ABL,9943258,CDM,975,RC,43258,HCPCS,OUTPATIENT,,,670,536,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SUTURE SMALL INTESTINE,9944602,CDM,975,RC,44602,HCPCS,OUTPATIENT,,,3007,2405.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CLOSE OF ENTEROSTOMY LG/SM INTESTINE,9944625,CDM,975,RC,44625,HCPCS,OUTPATIENT,,,3849,3079.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CLOSURE OF ENTEROSTOMY HARTMANN,9944626,CDM,975,RC,44626,HCPCS,OUTPATIENT,,,5109,4087.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO APPENDECTOMY RUPTURED,9944960,CDM,975,RC,44960,HCPCS,OUTPATIENT,,,3258,2606.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC RECTAL TUMOR TRANSANAL,9945171,CDM,975,RC,45171,HCPCS,OUTPATIENT,,,1640,1312,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INJECTION INTO HEMORROID(S),9946500,CDM,975,RC,46500,HCPCS,OUTPATIENT,,,791,632.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DESTROY LESIONS ELECTRODESIC,9946910,CDM,975,RC,46910,HCPCS,OUTPATIENT,,,510,408,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DESTROY ANAL LESION SIMPLE SURG EXC,9946922,CDM,975,RC,46922,HCPCS,OUTPATIENT,,,438,350.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO LAPAROSCOPIC CHOLECYSTECTOMY SX,9947562,CDM,975,RC,47562,HCPCS,OUTPATIENT,,,2183,1746.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CHOLECYSTECTOMY,9947600,CDM,975,RC,47600,HCPCS,OUTPATIENT,,,3405,2724,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OMENTECTOMY EPIPLOECTOMY RESECT OMEN,9949255,CDM,975,RC,49255,HCPCS,OUTPATIENT,,,1229,983.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP INT HERNIA 6MO TO 5YRS,9949500,CDM,975,RC,49500,HCPCS,OUTPATIENT,,,1195,956,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP I/HERN INT REDUC>5YR,9949505,CDM,975,RC,49505,HCPCS,OUTPATIENT,,,1344,1075.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REPAIR RECURRENT HERNIA ANY AGE,9949520,CDM,975,RC,49520,HCPCS,OUTPATIENT,,,2017,1613.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REPAIR FEMORAL HERNIA,9949550,CDM,975,RC,49550,HCPCS,OUTPATIENT,,,1282,1025.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP INIT FEM HERNIA REDUCABLE INCARC,9949553,CDM,975,RC,49553,HCPCS,OUTPATIENT,,,2017,1613.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CIRCUM 28 DAYS OR OLDER,9954161,CDM,975,RC,54161,HCPCS,OUTPATIENT,,,617,493.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO VASECTOMY,9955250,CDM,975,RC,55250,HCPCS,OUTPATIENT,,,828,662.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ID VULVA PERINEAL ABSCESS,9956405,CDM,975,RC,56405,HCPCS,OUTPATIENT,,,554,443.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EX BARTHOLIN CYST,9956740,CDM,975,RC,56740,HCPCS,OUTPATIENT,,,1160,928,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DC DIAGNOSTIC THERAPY NOT OB,9958120,CDM,975,RC,58120,HCPCS,OUTPATIENT,,,549,439.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TOT ABDOMINAL HYSTERECTOMY,9958150,CDM,975,RC,58150,HCPCS,OUTPATIENT,,,3221,2576.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO LAPAROSCOPY SX W/LYSIS OF ADHESIONS,9958660,CDM,975,RC,58660,HCPCS,OUTPATIENT,,,1607,1285.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO LAP W REM ADNEXAL STRUCTURES,9958661,CDM,975,RC,58661,HCPCS,OUTPATIENT,,,2106,1684.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO LAP W OCCLUSION OF OVIDUCTS W DIVICE,9958671,CDM,975,RC,58671,HCPCS,OUTPATIENT,,,1002,801.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SALPINGO-OOPHORECTOMY COMPLETE PART,9958720,CDM,975,RC,58720,HCPCS,OUTPATIENT,,,1129,903.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OOPHORECTOMY PART OF TOT UNILATERAL,9958940,CDM,975,RC,58940,HCPCS,OUTPATIENT,,,1682,1345.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PARTIAL THYROID LOBECTOMY UNILATERAL,9960210,CDM,975,RC,60210,HCPCS,OUTPATIENT,,,3740,2992,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO THYROIDECTOMY TOTAL OR COMPLETE,9960240,CDM,975,RC,60240,HCPCS,OUTPATIENT,,,4676,3740.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO THYROIDECTOMY CERVICAL,9960271,CDM,975,RC,60271,HCPCS,OUTPATIENT,,,2418,1934.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DESTRUCT MALG LESION S/N/H/F/G 0.6-1.0CM,10017271,CDM,975,RC,17271,HCPCS,OUTPATIENT,,,614,491.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CREP S/A/L 2.6-7.5CM,10413121,CDM,975,RC,13121,HCPCS,OUTPATIENT,,,1869,1495.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CREP F/G/H/F;1-2.5CM,10413131,CDM,975,RC,13131,HCPCS,OUTPATIENT,,,1077,861.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CREP F/G/H/F 2.6-7.5CM,10413132,CDM,975,RC,13132,HCPCS,OUTPATIENT,,,1911,1528.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COMPLEX FORHEAD CHEEK ED ADD'L,10413133,CDM,975,RC,13133,HCPCS,OUTPATIENT,,,419,335.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVE FOREIGN BODY,10420520,CDM,975,RC,20520,HCPCS,OUTPATIENT,,,511,408.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INJ TENDON ORIGIN INSERTION SINGLE,10420551,CDM,975,RC,20551,HCPCS,OUTPATIENT,,,208,166.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TREAT CLAVICLE FRACTURE,10423505,CDM,975,RC,23505,HCPCS,OUTPATIENT,,,1350,1080,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO RADIAL STYLOIDECTOMY,10425230,CDM,975,RC,25230,HCPCS,OUTPATIENT,,,3964,3171.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN REDUCT FIXATION EACH,10426746,CDM,975,RC,26746,HCPCS,OUTPATIENT,,,2805,2244,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO HEMIARTHROPLASTY HIP,10427125,CDM,975,RC,27125,HCPCS,OUTPATIENT,,,4295,3436,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TOTAL HIP ARTHROPLASTY,10427130,CDM,975,RC,27130,HCPCS,OUTPATIENT,,,4828,3862.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CONV TO TOT HIP ARTHROPL,10427132,CDM,975,RC,27132,HCPCS,OUTPATIENT,,,6348,5078.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REVISE TOTAL HIP ARTHO BOTH COMP W/W,10427134,CDM,975,RC,27134,HCPCS,OUTPATIENT,,,7909,6327.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REVISE HIP JOINT REPLACEMENT,10427137,CDM,975,RC,27137,HCPCS,OUTPATIENT,,,5581,4464.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REVISE TOT HIP ARTHROPL FEMORAL,10427138,CDM,975,RC,27138,HCPCS,OUTPATIENT,,,5800,4640,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REPAIR/GRAFT FEMUR HEAD/NECK,10427170,CDM,975,RC,27170,HCPCS,OUTPATIENT,,,4454,3563.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PERC FIX FEM PROX NK FX,10427235,CDM,975,RC,27235,HCPCS,OUTPATIENT,,,3427,2741.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TREAT THIGH FRACTURE,10427236,CDM,975,RC,27236,HCPCS,OUTPATIENT,,,4948,3958.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TREAT THIGH FRACTURE,10427244,CDM,975,RC,27244,HCPCS,OUTPATIENT,,,5086,4068.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TX THIGH FRACTURE,10427245,CDM,975,RC,27245,HCPCS,OUTPATIENT,,,4666,3732.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXPLORE KNEE,10427310,CDM,975,RC,27310,HCPCS,OUTPATIENT,,,2776,2220.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC THIGH/KNEE LES SC<3CM,10427327,CDM,975,RC,27327,HCPCS,OUTPATIENT,,,1196,956.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROTOMY W SYNOVECTOMY KNEE,10427334,CDM,975,RC,27334,HCPCS,OUTPATIENT,,,5467,4373.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVE KNEECAP BURSA,10427340,CDM,975,RC,27340,HCPCS,OUTPATIENT,,,1419,1135.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVE KNEE CYST,10427345,CDM,975,RC,27345,HCPCS,OUTPATIENT,,,1829,1463.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TRANSPLANT THIGHH SINGLE TEDNON,10427396,CDM,975,RC,27396,HCPCS,OUTPATIENT,,,1632,1305.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROTOMY W MENISCUS REPAIR KNEE,10427403,CDM,975,RC,27403,HCPCS,OUTPATIENT,,,2432,1945.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OSTEOCHONDRAL AUTOGRAFT,10427416,CDM,975,RC,27416,HCPCS,OUTPATIENT,,,2632,2105.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ANTERIOR TIBIAL TUBERCLEPLASTY,10427418,CDM,975,RC,27418,HCPCS,OUTPATIENT,,,2869,2295.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO QUADRICEPLASTY,10427430,CDM,975,RC,27430,HCPCS,OUTPATIENT,,,2813,2250.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP NONUNION MALUNIO FEMUR DIST ILIA,10427472,CDM,975,RC,27472,HCPCS,OUTPATIENT,,,4793,3834.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REVISE/REPLACE KNEE JOINT,10427486,CDM,975,RC,27486,HCPCS,OUTPATIENT,,,5336,4268.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REV TOT KNEE ARTHROPL FEMTIB COMPON,10427487,CDM,975,RC,27487,HCPCS,OUTPATIENT,,,7312,5849.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REM TOT KNEE PROSTHESIS W SPACER,10427488,CDM,975,RC,27488,HCPCS,OUTPATIENT,,,4417,3533.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN TX SUPRACONDYLAR FX,10427511,CDM,975,RC,27511,HCPCS,OUTPATIENT,,,2695,2156,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN TX FEMORAL FX DISTAL END MEDIAL,10427514,CDM,975,RC,27514,HCPCS,OUTPATIENT,,,2169,1735.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ABOVE KNEE AMPUTATION,10427590,CDM,975,RC,27590,HCPCS,OUTPATIENT,,,3105,2484,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO THIGH-FEMUR RE-AMPUTAION,10427596,CDM,975,RC,27596,HCPCS,OUTPATIENT,,,2364,1891.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXPLORE ANKLE JOINT,10427612,CDM,975,RC,27612,HCPCS,OUTPATIENT,,,2124,1699.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SECONDARY REP RUPT ACHILLIES TENDON,10427654,CDM,975,RC,27654,HCPCS,OUTPATIENT,,,2683,2146.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP FASCIAL DEFECT LEG,10427656,CDM,975,RC,27656,HCPCS,OUTPATIENT,,,1452,1161.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP PERONEAL TENSON W/O FIBULAR OSTE,10427675,CDM,975,RC,27675,HCPCS,OUTPATIENT,,,2210,1768,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DEEP TRANS TRANSF SGL LLEG TENDON,10427705,CDM,975,RC,27705,HCPCS,OUTPATIENT,,,1730,1384,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP NU/MU W AUTOGRAFT,10427724,CDM,975,RC,27724,HCPCS,OUTPATIENT,,,4801,3840.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PERCUTANEOUS TIBIAL SHAFT FX,10427756,CDM,975,RC,27756,HCPCS,OUTPATIENT,,,1284,1027.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN TX TIBIAL SHAFT FX W PLATES/SCR,10427758,CDM,975,RC,27758,HCPCS,OUTPATIENT,,,3541,2832.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TX TIBIAL SHAFT FX IMPLANT,10427759,CDM,975,RC,27759,HCPCS,OUTPATIENT,,,5792,4633.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPTX MEDIAL ANKLE FX,10427766,CDM,975,RC,27766,HCPCS,OUTPATIENT,,,3117,2493.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TREAT ANKLE FRACTURE,10427792,CDM,975,RC,27792,HCPCS,OUTPATIENT,,,4283,3426.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TREAT ANKLE FRACTURE,10427823,CDM,975,RC,27823,HCPCS,OUTPATIENT,,,5958,4766.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CL TX WB DSTL TIB WO MANIP,10427824,CDM,975,RC,27824,HCPCS,OUTPATIENT,,,1200,960,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ORIF TILLAUX FX DISTAL TIBIA,10427827,CDM,975,RC,27827,HCPCS,OUTPATIENT,,,4720,3776,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TX LOWER LEG JNT,10427829,CDM,975,RC,27829,HCPCS,OUTPATIENT,,,3291,2632.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN ANKLE JNT FUSION,10427870,CDM,975,RC,27870,HCPCS,OUTPATIENT,,,6166,4932.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BELOW KNEE AMPUTATION,10427880,CDM,975,RC,27880,HCPCS,OUTPATIENT,,,3526,2820.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REAMPUTATE LEG TIBIA FIBUL,10427886,CDM,975,RC,27886,HCPCS,OUTPATIENT,,,2553,2042.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXPL W DR/REM FB IP FT JNT,10428024,CDM,975,RC,28024,HCPCS,OUTPATIENT,,,1251,1000.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC FOOT/TOE TUM DEP 1.5CM>,10428041,CDM,975,RC,28041,HCPCS,OUTPATIENT,,,1248,998.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC TUMOR FOOT SUBCUTANEOUS TISSUE,10428043,CDM,975,RC,28043,HCPCS,OUTPATIENT,,,1306,1044.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVE FOOT LESION,10428090,CDM,975,RC,28090,HCPCS,OUTPATIENT,,,1741,1392.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC ANKLE LESION TOE,10428092,CDM,975,RC,28092,HCPCS,OUTPATIENT,,,1577,1261.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OSTECTOMY EXC TARSAL COALITION,10428116,CDM,975,RC,28116,HCPCS,OUTPATIENT,,,2829,2263.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OSTECTOMY CALCANEUS SPUR W/WO PLANTA,10428119,CDM,975,RC,28119,HCPCS,OUTPATIENT,,,2067,1653.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PART EXC BONE TARSAL METATARSAL NOT,10428122,CDM,975,RC,28122,HCPCS,OUTPATIENT,,,2448,1958.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO JOINT EXCISION TOE,10428160,CDM,975,RC,28160,HCPCS,OUTPATIENT,,,1469,1175.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FUSE TOES,10428280,CDM,975,RC,28280,HCPCS,OUTPATIENT,,,1294,1035.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REPAIR HAMMER  TOE,10428285,CDM,975,RC,28285,HCPCS,OUTPATIENT,,,1261,1008.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REPAIR HALLUS RIGIDUS,10428289,CDM,975,RC,28289,HCPCS,OUTPATIENT,,,1661,1328.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CORR HALLUS VALGUS BUNION SIMPLE,10428290,CDM,975,RC,28290,HCPCS,OUTPATIENT,,,2286,1828.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CORRECT BUNION,10428292,CDM,975,RC,28292,HCPCS,OUTPATIENT,,,2349,1879.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OSTEOTOMY CALCANEUS,10428300,CDM,975,RC,28300,HCPCS,OUTPATIENT,,,2767,2213.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO MI SHORTEN NOT 1ST MI,10428308,CDM,975,RC,28308,HCPCS,OUTPATIENT,,,1435,1148,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROSCOPY ELBOW REM LOOSE BODY/FB,10429834,CDM,975,RC,29834,HCPCS,OUTPATIENT,,,1324,1059.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO KNEE ARTHROSCOPY REMOVAL FOREIGN BOD,10429874,CDM,975,RC,29874,HCPCS,OUTPATIENT,,,2309,1847.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROSCOPY KNEE;MAJ. SYNOVECTOMY,10429876,CDM,975,RC,29876,HCPCS,OUTPATIENT,,,2726,2180.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROSCOPY KNEE SURG,10429877,CDM,975,RC,29877,HCPCS,OUTPATIENT,,,2590,2072,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROSCOPY KNEE SURG MENISCETOMY,10429878,CDM,975,RC,29881,HCPCS,OUTPATIENT,,,2258,1806.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO KNEE ARTHROSCOPY,10429882,CDM,975,RC,29882,HCPCS,OUTPATIENT,,,4045,3236,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SPLIT PREPUCE DORSAL OR LAT NOT NEWB,10454001,CDM,975,RC,54001,HCPCS,OUTPATIENT,,,540,432,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NEUROPLASTY NERVE OF HAND OR FOOT,10464704,CDM,975,RC,64704,HCPCS,OUTPATIENT,,,1203,962.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REVISE ULNAR NERVE@ELBOW,10464718,CDM,975,RC,64718,HCPCS,OUTPATIENT,,,2264,1811.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NEUROPLASTY MEDIAN NERVE @CARPAL TUN,10464721,CDM,975,RC,64721,HCPCS,OUTPATIENT,,,1628,1302.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVE SKIN NERVE SKIN LESION,10464774,CDM,975,RC,64774,HCPCS,OUTPATIENT,,,1600,1280,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TREAT BLADDER LESION,10751720,CDM,975,RC,51720,HCPCS,OUTPATIENT,,,1088,870.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYSTOURETHROSCOPY  W URETERAL CATH,10752005,CDM,975,RC,52005,HCPCS,OUTPATIENT,,,454,363.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYSTOURETHROSCOPY W URETERAL CATHETE,10752007,CDM,975,RC,52007,HCPCS,OUTPATIENT,,,646,516.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYSTOURETHROSCOPY W BIOPSY,10752204,CDM,975,RC,52204,HCPCS,OUTPATIENT,,,523,418.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYSTOURETHROSCOPY W FULGURATION W WO,10752224,CDM,975,RC,52224,HCPCS,OUTPATIENT,,,633,506.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYST W FULG BLADDR TUMOR 0.5-2.0CM,10752234,CDM,975,RC,52234,HCPCS,OUTPATIENT,,,764,611.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYST W FULDA BLADDR TUMOR 2.0-5.0CM,10752235,CDM,975,RC,52235,HCPCS,OUTPATIENT,,,898,718.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYSTOURETHROSCOPY W INSERTION OF RAD,10752250,CDM,975,RC,52250,HCPCS,OUTPATIENT,,,933,746.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYSTOSCOPY W URETHROTOMY,10752276,CDM,975,RC,52276,HCPCS,OUTPATIENT,,,826,660.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYST W DIL OF URETHRAL STRICTURE,10752281,CDM,975,RC,52281,HCPCS,OUTPATIENT,,,477,381.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYSTO W INJ CHEMODENERVATION,10752287,CDM,975,RC,52287,HCPCS,OUTPATIENT,,,635,508,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYSTO W REM FB/STNT/URETH/BLDR,10752310,CDM,975,RC,52310,HCPCS,OUTPATIENT,,,762,609.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYST W INS OF INDWELLING URETER STEN,10752332,CDM,975,RC,52332,HCPCS,OUTPATIENT,,,484,387.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYSTOURETHROSCOPY W TX URETERAL STRI,10752341,CDM,975,RC,52341,HCPCS,OUTPATIENT,,,1078,862.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYSTOURETHROSCOPY W URETERSCOPY PYEL,10752352,CDM,975,RC,52352,HCPCS,OUTPATIENT,,,1253,1002.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYSTOURETHROSCOPY W URETERSCOPY LIST,10752353,CDM,975,RC,52353,HCPCS,OUTPATIENT,,,1521,1216.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYSTOURETHROSCOPY W URETERSCOPY STEN,10752356,CDM,975,RC,52356,HCPCS,OUTPATIENT,,,1566,1252.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TRANSUR ELECTR RESECTION OF PROSTRAT,10752601,CDM,975,RC,52601,HCPCS,OUTPATIENT,,,2634,2107.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CIRCUMCISION REVISION,10754162,CDM,975,RC,54162,HCPCS,OUTPATIENT,,,575,460,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ORCHIECTOMY RADICAL TUMOR INGUINAL,10754530,CDM,975,RC,54530,HCPCS,OUTPATIENT,,,1848,1478.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC LOCAL LESION EPIDIDYMIS,10754830,CDM,975,RC,54830,HCPCS,OUTPATIENT,,,1788,1430.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC HYDROCELE UNI,10755040,CDM,975,RC,55040,HCPCS,OUTPATIENT,,,1066,852.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXCISION HYDROCELE BILATERAL,10755041,CDM,975,RC,55041,HCPCS,OUTPATIENT,,,1962,1569.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC HYDROCELE OF SPERM CORD UNIL,10755500,CDM,975,RC,55500,HCPCS,OUTPATIENT,,,1259,1007.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ANTERIOR COLPORRHAPHY,10757240,CDM,975,RC,57240,HCPCS,OUTPATIENT,,,1976,1580.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP INSERT MESH /PELVIC FLR ADD ON,10757267,CDM,975,RC,57267,HCPCS,OUTPATIENT,,,817,653.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SLING FOR STRESS INCONTINENCE,10757288,CDM,975,RC,57288,HCPCS,OUTPATIENT,,,2739,2191.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REVISE PROSTHETIC VAGINAL GRAFT,10757295,CDM,975,RC,57295,HCPCS,OUTPATIENT,,,1819,1455.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PELVIC EXAM,10757410,CDM,975,RC,57410,HCPCS,OUTPATIENT,,,345,276,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DEBRIDE NAIL 1-5,11011720,CDM,975,RC,11720,HCPCS,OUTPATIENT,,,72,57.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVE NAIL PLATE ADD-ON,11011732,CDM,975,RC,11732,HCPCS,OUTPATIENT,,,118,94.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REPAIR NAIL BED,11011760,CDM,975,RC,11760,HCPCS,OUTPATIENT,,,571,456.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ADJ TISSUE TRANS/REARRANGE>30 SQ CM,11014300,CDM,975,RC,14300,HCPCS,OUTPATIENT,,,1997,1597.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO APPLY SKIN GRAFT 100SQCM EA,11015276,CDM,975,RC,15276,HCPCS,OUTPATIENT,,,142,113.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INCISION DRAIN LEG ANKLE DEEP,11027603,CDM,975,RC,27603,HCPCS,OUTPATIENT,,,1731,1384.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INCISION DRAIN LEG ANKLE INFECTED BU,11027604,CDM,975,RC,27604,HCPCS,OUTPATIENT,,,1052,841.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TENOTOMY PERCUT ACHILLES TENDO GENER,11027606,CDM,975,RC,27606,HCPCS,OUTPATIENT,,,1473,1178.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PARTIAL EXC BONE TIBIA,11027640,CDM,975,RC,27640,HCPCS,OUTPATIENT,,,4862,3889.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROTOMY W SYNOVECTOMY ANKLE,11027641,CDM,975,RC,27641,HCPCS,OUTPATIENT,,,4052,3241.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PRIMARY REP RUPT TENDON,11027650,CDM,975,RC,27650,HCPCS,OUTPATIENT,,,4421,3536.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TENOLYSIS LEG/ANKLE SINGLE,11027680,CDM,975,RC,27680,HCPCS,OUTPATIENT,,,2210,1768,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO LENGTHENING/SHORTENING TENDON LEG/AN,11027685,CDM,975,RC,27685,HCPCS,OUTPATIENT,,,3093,2474.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO GASTROCNEMIUS RECESSION,11027687,CDM,975,RC,27687,HCPCS,OUTPATIENT,,,2578,2062.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TRANSFER/TRANSPLANT SINGLE TENDON,11027690,CDM,975,RC,27690,HCPCS,OUTPATIENT,,,3388,2710.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DEEP TRANSFER TRANSPLANT SINGLE TEND,11027691,CDM,975,RC,27691,HCPCS,OUTPATIENT,,,4788,3830.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP PRIMARY DISRUPTED LIGAMENT ANKLE,11027695,CDM,975,RC,27695,HCPCS,OUTPATIENT,,,3315,2652,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP PRIM DISRUPTED LIGAMENT ANKLE BO,11027696,CDM,975,RC,27696,HCPCS,OUTPATIENT,,,4935,3948,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC/CURETT BONE CYST B9 TUMOR W ALLO,11028103,CDM,975,RC,28103,HCPCS,OUTPATIENT,,,1957,1565.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVE FOOT FOREIGN BODY COMPLICATED,11028193,CDM,975,RC,28193,HCPCS,OUTPATIENT,,,1796,1436.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REVISE FOOT TENDON,11028238,CDM,975,RC,28238,HCPCS,OUTPATIENT,,,2479,1983.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OSTEOTOMY W/WO LENGTHENING SHORTENIN,11028306,CDM,975,RC,28306,HCPCS,OUTPATIENT,,,1870,1496,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CL TX GREAT TOE PHALANX W MANIPULATO,11028495,CDM,975,RC,28495,HCPCS,OUTPATIENT,,,487,389.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TREAT BIG TOE FRACTURE,11028505,CDM,975,RC,28505,HCPCS,OUTPATIENT,,,1731,1384.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHRODESIS TRIPLE,11028715,CDM,975,RC,28715,HCPCS,OUTPATIENT,,,4927,3941.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHRODESIS SUBTALAR,11028725,CDM,975,RC,28725,HCPCS,OUTPATIENT,,,3951,3160.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO AMPUTATION TOE METATARSOPHALANGEAL,11028820,CDM,975,RC,28820,HCPCS,OUTPATIENT,,,1895,1516,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO APPLY LONG LEG CAST,11029345,CDM,975,RC,28345,HCPCS,OUTPATIENT,,,482,385.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COLONOSCOPY STOMA W ABLATION,12644393,CDM,975,RC,44393,HCPCS,OUTPATIENT,,,697,557.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 11470 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR,22511470,CDM,975,RC,11470,HCPCS,OUTPATIENT,,,905,724,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Allograft| incld templating| cutting| placement & inter,22520932,CDM,975,RC,20932,HCPCS,OUTPATIENT,,,2277,1821.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
21422 OPEN TREATMENT OF PALATAL OR MAXILLARY,22521422,CDM,975,RC,21422,HCPCS,OUTPATIENT,,,1912,1529.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 23415 CORACOACROMIAL LIGAMENT RELEASE| WITH OR W/O,22523415,CDM,975,RC,23415,HCPCS,OUTPATIENT,,,1911,1528.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
24530 Closed tx supra/transcondylar humeral fx| w/wo interco,22524530,CDM,975,RC,24530,HCPCS,OUTPATIENT,,,718,574.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
24665 OPEN TREATMENT OF RADIAL HEAD OR NECK FRACTURE|,22524665,CDM,975,RC,24665,HCPCS,OUTPATIENT,,,1764,1411.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Incision and drainage| forearm and/or wrist| bursa 25031,22525031,CDM,975,RC,25031,HCPCS,OUTPATIENT,,,1016,812.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
25650 CLOSED TREATMENT OF ULNAR STYLOID FRACTURE ProFee,22525650,CDM,975,RC,25650,HCPCS,OUTPATIENT,,,932,745.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 26236 PARTIAL EXCISION (CRATERIZATION|,22526236,CDM,975,RC,26236,HCPCS,OUTPATIENT,,,1460,1168,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27030 ARTHROTOMY| HIP| WITH DRAINAGE (EG| INFECTION) ProFee,22527030,CDM,975,RC,27030,HCPCS,OUTPATIENT,,,2863,2290.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27355 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF FEMUR; ProFee,22527355,CDM,975,RC,27355,HCPCS,OUTPATIENT,,,1444,1155.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27566 OPEN TREATMENT OF PATELLAR DISLOCATION| WITH OR WITHOU,22527566,CDM,975,RC,27566,HCPCS,OUTPATIENT,,,2045,1636,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 28108 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN,22528108,CDM,975,RC,28108,HCPCS,OUTPATIENT,,,919,735.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Fee 29820 ARTHROSCOPY| SHOULDER| SURGICAL SYNVCTMY,22529820,CDM,975,RC,29820,HCPCS,OUTPATIENT,,,2040,1632,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
29821 ARTHROSCOPY| SHOULDER| SURGICAL; SYNOVECTOMY| COMPLETE,22529821,CDM,975,RC,29821,HCPCS,OUTPATIENT,,,2292,1833.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FEE 29848 ENDOSCOPY| WRIST| SURGICAL W/ RELEASE OF TRANS,22529848,CDM,975,RC,29848,HCPCS,OUTPATIENT,,,1678,1342.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO KNEE ARTHROSCOPY/SURGERY,22529875,CDM,975,RC,29875,HCPCS,OUTPATIENT,,,2060,1648,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
30420 RHINOPLASTY| PRIMARY; INCLUDING MAJOR SEPTAL,22530420,CDM,975,RC,30420,HCPCS,OUTPATIENT,,,3283,2626.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
31535 LARYNGOSCOPY| DIRECT| OPERATIVE| WITH BIOPSY; ProFee,22531535,CDM,975,RC,31535,HCPCS,OUTPATIENT,,,476,380.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
31541 LARYNGOSCOPY| DIRECT| OPERATIVE| WITH EXCISION OF TUMOR AND/OR STRIPPING OF VOCAL CORD ProFee,22531541,CDM,975,RC,31541,HCPCS,OUTPATIENT,,,1023,818.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
31622 BRONCHOSCOPY| RIGID OR FLEXIBLE| INCLUDING FLUOROSCOPIC GUIDANCE| WHEN PERFORMED; DIAG ProFee,22531622,CDM,975,RC,31622,HCPCS,OUTPATIENT,,,350,280,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
32552 REMOVAL OF INDWELLING TUNNELED PLEURAL CATHETER WITH CUFF ProFee,22532552,CDM,975,RC,32552,HCPCS,OUTPATIENT,,,422,337.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
35800 EXPLORATION FOR POSTOPERATIVE HEMORRHAGE Pro Fee,22535800,CDM,975,RC,35800,HCPCS,OUTPATIENT,,,1234,987.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 37617 Ligation| major artery (eg| post-traumatic|,22537617,CDM,975,RC,37617,HCPCS,OUTPATIENT,,,1796,1436.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CERVICAL LYMPHADEC MODIFIED RADICAL,22538724,CDM,975,RC,38724,HCPCS,OUTPATIENT,,,3760,3008,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Fee 41826 EXCISION OF LESION OR TUMOR,22541826,CDM,975,RC,41826,HCPCS,OUTPATIENT,,,598,478.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
42104 EXCISION| LESION OF PALATE| UVULA; WITHOUT CLOSURE Pro,22542104,CDM,975,RC,42104,HCPCS,OUTPATIENT,,,1336,1068.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 42440 Excision of submandibular (submaxillary),22542440,CDM,975,RC,42440,HCPCS,OUTPATIENT,,,1526,1220.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
42960 CONTROL OROPHARYNGEAL HEMORRHAGE| PRIMARY OR SECONDARY (EG| POST-TONSILLECTOMY); SIMPL ProFee,22542960,CDM,975,RC,42960,HCPCS,OUTPATIENT,,,422,337.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 43193 Esophagoscopy| rigid| transoral; with biopsy,22543193,CDM,975,RC,43193,HCPCS,OUTPATIENT,,,491,392.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
43644 LAPAROSCOPY| SURGICAL| GASTRIC RESTRICTIVE P,22543644,CDM,975,RC,43644,HCPCS,OUTPATIENT,,,3969,3175.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 43870 Closure of gastrostomy| surgical,22543870,CDM,975,RC,43870,HCPCS,OUTPATIENT,,,2116,1692.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
47379 UNLISTED LAPAROSCOPIC PROCEDURE| LIVER ProFe,22547379,CDM,975,RC,47379,HCPCS,OUTPATIENT,,,771,616.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FEE 49613 RPR ABD HERN(S)|RECURR|MESH|< 3CM REDUCIBLE,22549613,CDM,975,RC,49613,HCPCS,OUTPATIENT,,,1432,1145.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 51045 CYSTOTOMY| WITH INSERTION OF URET CATH OR STENT,22551045,CDM,975,RC,51045,HCPCS,OUTPATIENT,,,1987,1589.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO LAP SURGICAL SLING,22551992,CDM,975,RC,51992,HCPCS,OUTPATIENT,,,2319,1855.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYSTO W DIL OF BLADDER GEN ANESTH,22552260,CDM,975,RC,52260,HCPCS,OUTPATIENT,,,656,524.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
52354 Cystourethroscopy with Ureterscopy w/ biopsy,22552354,CDM,975,RC,52354,HCPCS,OUTPATIENT,,,1565,1252,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TOTAL THYROID LOBECTOMY UNILATERAL,22560220,CDM,975,RC,60220,HCPCS,OUTPATIENT,,,3850,3080,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC THYROGLOSSAL DUCT CYST/SINUS,22560280,CDM,975,RC,60280,HCPCS,OUTPATIENT,,,3025,2420,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BIOPSY EXTERNAL EAR,22569100,CDM,975,RC,69100,HCPCS,OUTPATIENT,,,428,342.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVE EXTERNAL EAR PART,22569110,CDM,975,RC,69110,HCPCS,OUTPATIENT,,,1716,1372.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CREATE EARDRUM OPENING GEN ANTHSIA,22569436,CDM,975,RC,69436,HCPCS,OUTPATIENT,,,1090,872,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO MYRINGOPLASTY,22569620,CDM,975,RC,69620,HCPCS,OUTPATIENT,,,1654,1323.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NASOPHARYNGOSCOPY W/ENDOSCOPE SPX,22592511,CDM,975,RC,92511,HCPCS,OUTPATIENT,,,312,249.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OSTECTOMY OF STERNUM PARTIAL,24121620,CDM,975,RC,21620,HCPCS,OUTPATIENT,,,1208,966.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO GASTROTOMY W/SUTURE REP BLEEDING ULC,24143501,CDM,975,RC,43501,HCPCS,OUTPATIENT,,,3020,2416,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO GASTRECTOMY PART DIS W GASTRODUODENO,24143631,CDM,975,RC,43631,HCPCS,OUTPATIENT,,,3255,2604,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CLOSE ENTEROSTOMY LG/SM INTESTINE,24144620,CDM,975,RC,44620,HCPCS,OUTPATIENT,,,1928,1542.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVEL ANAL SETON OTHER MARKER,24146030,CDM,975,RC,46030,HCPCS,OUTPATIENT,,,246,196.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXTENSIVE REPAIR VAGINA,24157265,CDM,975,RC,57265,HCPCS,OUTPATIENT,,,2126,1700.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PULMONARY FUNCTION PRO FEE,7003610,CDM,976,RC,94010,HCPCS,OUTPATIENT,,,128,102.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PULMONARY FUNCT W/ DILAT PRO FEE,7045000,CDM,976,RC,94060,HCPCS,OUTPATIENT,,,42,33.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
RABIES VACCINE IM,11090675,CDM,981,RC,90675,HCPCS,OUTPATIENT,,,161,128.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
RABIES VACCINE ID,11090676,CDM,981,RC,90676,HCPCS,OUTPATIENT,,,161,128.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
GASTRIC INTUBATION TREAT,11091105,CDM,981,RC,91105,HCPCS,OUTPATIENT,,,60,48,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
UNLISTED ENT PROCEDURE,11092700,CDM,981,RC,92700,HCPCS,OUTPATIENT,,,125,100,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EXTERNAL PACER PROFESSIONAL,11092971,CDM,981,RC,92971,HCPCS,OUTPATIENT,,,268,214.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
FETAL MONITOR EXTERNAL,13303402,CDM,981,RC,59050,HCPCS,OUTPATIENT,,,221,176.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26785 OPEN TX INTERPHALANGEAL JOINT DISLOCATION ProFee,15126785,CDM,981,RC,26785,HCPCS,OUTPATIENT,,,657,525.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INSERTION OF EMERGENCY AIRWAY,22501200,CDM,981,RC,31500,HCPCS,OUTPATIENT,,,236,188.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
11201 REMOVAL OF SKIN TAGS| MULTIPLE FIBROCUTANEOUS TAGS| ANY AREA; EACH ADDITIONAL 10 LESIO ProFee,22511201,CDM,981,RC,11201,HCPCS,OUTPATIENT,,,111,88.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
11300 SHAVING OF EPIDERMAL OR DERMAL LESION| SINGLE LESION| TRUNK| ARMS OR LEGS; LESION DIAM ProFee,22511300,CDM,981,RC,11300,HCPCS,OUTPATIENT,,,84,67.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
11740 EVACUATION OF SUBUNGUAL HEMATOMA ProFee,22511740,CDM,981,RC,11740,HCPCS,OUTPATIENT,,,104,83.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
12005 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP| NECK| AXILLAE| EXTERNAL GENITALIA| TRUNK ProFee,22512005,CDM,981,RC,12005,HCPCS,OUTPATIENT,,,415,332,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
12013 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE| EARS| EYELIDS| NOSE| LIPS AND/OR MUCOUS M ProFee,22512013,CDM,981,RC,12013,HCPCS,OUTPATIENT,,,340,272,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
12055 REPAIR| INTERMEDIATE| WOUNDS OF FACE| EARS| EYELIDS| NOSE| LIPS AND/OR MUCOUS MEMBRANE ProFee,22512055,CDM,981,RC,12055,HCPCS,OUTPATIENT,,,524,419.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
12057 REPAIR| INTERMEDIATE| WOUNDS OF FACE| EARS| EYELIDS| NOSE| LIPS AND/OR MUCOUS MEMBRANE ProFee,22512057,CDM,981,RC,12057,HCPCS,OUTPATIENT,,,772,617.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
13102 REPAIR| COMPLEX| TRUNK; EACH ADDITIONAL 5 CM OR LESS (LIST SEPARATELY IN ADDITION TO C ProFee,22513102,CDM,981,RC,13102,HCPCS,OUTPATIENT,,,148,118.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
13150 COMP REP LID NSE EAR LP TO 1CM ProFee,22513150,CDM,981,RC,13150,HCPCS,OUTPATIENT,,,468,374.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
16010 PF DRES DEB BURN UNDER ANES ProFee,22516010,CDM,981,RC,16010,HCPCS,OUTPATIENT,,,102,81.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
20604 ARTHROCENTESIS| ASPIRATION AND/OR INJECTION| SMALL JOINT OR BURSA (EG| FINGERS| TOES); ProFee,22520604,CDM,981,RC,20604,HCPCS,OUTPATIENT,,,179,143.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 23605 CLOSED TREATMENT OF PROXIMAL HUMERAL,22523605,CDM,981,RC,23605,HCPCS,OUTPATIENT,,,2986,2388.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
25520 CLOSED TREATMENT OF RADIAL SHAFT FRACTURE AND CLOSED TREATMENT OF DISLOCATION OF DISTA ProFee,22525520,CDM,981,RC,25520,HCPCS,OUTPATIENT,,,958,766.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26765 OPEN TREATMENT OF DISTAL PHALANGEAL FRACTURE| FINGER OR THUMB| INCLUDES INTERNAL FIXAT ProFee,22526765,CDM,981,RC,26765,HCPCS,OUTPATIENT,,,1910,1528,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Closed treatment of tibial fracture| proximal (plateau); wit,22527532,CDM,981,RC,27532,HCPCS,OUTPATIENT,,,1767,1413.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27752 CLOSED TREATMENT OF TIBIAL SHAFT FRACTURE (WITH OR WITHOUT FIBULAR FRACTURE); WITH MAN ProFee,22527752,CDM,981,RC,27752,HCPCS,OUTPATIENT,,,1894,1515.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27762 CLOSED TREATMENT OF MEDIAL MALLEOLUS FRACTURE; WITH MANIPULATION| WITH OR WITHOUT SKIN ProFee,22527762,CDM,981,RC,27762,HCPCS,OUTPATIENT,,,1345,1076,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
28190 REMOVAL OF FOREIGN BODY| FOOT; SUBCUTANEOUS ProFee,22528190,CDM,981,RC,28190,HCPCS,OUTPATIENT,,,324,259.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
29085 APPLICATION| CAST; HAND AND LOWER FOREARM (GAUNTLET) ProFee,22529085,CDM,981,RC,29085,HCPCS,OUTPATIENT,,,172,137.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO Application of long arm splint (shoulder to hand),22529105,CDM,981,RC,29105,HCPCS,OUTPATIENT,,,256,204.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
29130 APPLICATION OF FINGER SPLINT; STATIC ProFee,22529130,CDM,981,RC,29130,HCPCS,OUTPATIENT,,,96,76.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
32422 INSERT OF CHEST TUBE ProFee,22532422,CDM,981,RC,32422,HCPCS,OUTPATIENT,,,277,221.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
32551 TUBE THORACOSTOMY| INCLUDES CONNECTION TO DRAINAGE SYSTEM (EG| WATER SEAL)| WHEN PERFO ProFee,22532551,CDM,981,RC,32551,HCPCS,OUTPATIENT,,,584,467.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
32560 INSTILLATION| VIA CHEST TUBE/CATHETER| AGENT FOR PLEURODESIS (EG| TALC FOR RECURRENT O ProFee,22532560,CDM,981,RC,32560,HCPCS,OUTPATIENT,,,277,221.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
36010 INTRODUCTION OF CATHETER| SUPERIOR OR INFERIOR VENA CAVA ProFee,22536010,CDM,981,RC,36010,HCPCS,OUTPATIENT,,,271,216.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
42305 DRAINAGE OF ABSCESS; PAROTID| COMPLICATED ProFee,22542305,CDM,981,RC,42305,HCPCS,OUTPATIENT,,,252,201.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
43753 GASTRIC INTUBATION AND ASPIRATION(S) THERAPEUTIC| NECESSITATING PHYSICIAN'S SKILL (EG| ProFee,22543753,CDM,981,RC,43753,HCPCS,OUTPATIENT,,,53,42.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
43761 REPOSITIONING OF A NASO- OR ORO-GASTRIC FEEDING TUBE| THROUGH THE DUODENUM FOR ENTERIC ProFee,22543761,CDM,981,RC,43761,HCPCS,OUTPATIENT,,,307,245.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
51701 INSERTION OF NON-INDWELLING BLADDER CATHETER (EG| STRAIGHT CATHETERIZATION FOR RESIDUA ProFee,22551701,CDM,981,RC,51701,HCPCS,OUTPATIENT,,,117,93.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
51702 INSERTION OF TEMPORARY INDWELLING BLADDER CATHETER; SIMPLE (EG| FOLEY) ProFee,22551702,CDM,981,RC,51702,HCPCS,OUTPATIENT,,,117,93.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
51703 INSERTION OF TEMPORARY INDWELLING BLADDER CATHETER; COMPLICATED (EG| ALTERED ANATOMY| ProFee,22551703,CDM,981,RC,51703,HCPCS,OUTPATIENT,,,318,254.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
54700 INCISION AND DRAINAGE OF EPIDIDYMIS| TESTIS AND/OR SCROTAL SPACE (EG| ABSCESS OR HEMAT ProFee,22554700,CDM,981,RC,54700,HCPCS,OUTPATIENT,,,471,376.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
56420 INCISION AND DRAINAGE OF BARTHOLIN'S GLAND ABSCESS ProFee,22556420,CDM,981,RC,56420,HCPCS,OUTPATIENT,,,200,160,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
57180 INTRODUCTION OF ANY HEMOSTATIC AGENT OR PACK FOR SPONTANEOUS OR TRAUMATIC NONOBSTETRIC ProFee,22557180,CDM,981,RC,57180,HCPCS,OUTPATIENT,,,495,396,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
58301 REMOVAL OF INTRAUTERINE DEVICE (IUD) EDProFee,22558301,CDM,981,RC,58301,HCPCS,OUTPATIENT,,,198,158.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
59300 EPISIOTOMY OR VAGINAL REPAIR| BY OTHER THAN ATTENDING ProFee,22559300,CDM,981,RC,59300,HCPCS,OUTPATIENT,,,602,481.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
59409 VAGINAL DELIVERY ONLY (WITH OR WITHOUT EPISIOTOMY AND/OR FORCEPS); ProFee,22559409,CDM,981,RC,59409,HCPCS,OUTPATIENT,,,1617,1293.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
59414 DELIVERY OF PLACENTA (SEPARATE PROCEDURE) ProFee,22559414,CDM,981,RC,59414,HCPCS,OUTPATIENT,,,221,176.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
62273 INJECTION| EPIDURAL| OF BLOOD OR CLOT PATCH ProFee,22562273,CDM,981,RC,62273,HCPCS,OUTPATIENT,,,466,372.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
64415 INJECTION| ANESTHETIC AGENT; BRACHIAL PLEXUS| SINGLE ProFee,22564415,CDM,981,RC,64415,HCPCS,OUTPATIENT,,,769,615.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
65205 REMOVAL OF FOREIGN BODY| EXTERNAL EYE; CONJUNCTIVAL SUPERFICIAL ProFee,22565205,CDM,981,RC,65205,HCPCS,OUTPATIENT,,,156,124.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
65210 REMOVAL OF FOREIGN BODY| EXTERNAL EYE; CONJUNCTIVAL EMBEDDED (INCLUDES CONCRETIONS)| S ProFee,22565210,CDM,981,RC,65210,HCPCS,OUTPATIENT,,,142,113.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
65220 REMOVAL OF FOREIGN BODY| EXTERNAL EYE; CORNEAL| WITHOUT SLIT LAMP ProFee,22565220,CDM,981,RC,65220,HCPCS,OUTPATIENT,,,103,82.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
65222 REMOVAL OF FOREIGN BODY| EXTERNAL EYE; CORNEAL| WITH SLIT LAMP ProFee,22565222,CDM,981,RC,65222,HCPCS,OUTPATIENT,,,156,124.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
67938 REMOVAL OF EMBEDDED FOREIGN BODY| EYELID ProFee,22567938,CDM,981,RC,67938,HCPCS,OUTPATIENT,,,212,169.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
92953 PHY EXTERNAL PACING ProFee,22592953,CDM,981,RC,92953,HCPCS,OUTPATIENT,,,34,27.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
92977 CORONARY THROMBOLYSIS BY INTRAVENOUS INFUSION ProFee,22592977,CDM,981,RC,92977,HCPCS,OUTPATIENT,,,856,684.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99143 MOD SED UND 5YRS FIRST 30MIN TECH ProFee,22599143,CDM,981,RC,99143,HCPCS,OUTPATIENT,,,99,79.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99144 CONSCIOUS SEDATION > 5 YRS| 30 MINS| NURSE/RT MONITO PATIENT'S LEVEL OF CONSCIOUSNESS ProFee,22599144,CDM,981,RC,99144,HCPCS,OUTPATIENT,,,84,67.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99151 CONS SEDATE <5 YO 1ST 15M SAME PROV ProFee,22599151,CDM,981,RC,99151,HCPCS,OUTPATIENT,,,198,158.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99152 CONS SEDATE >5 YO 1ST 15M SAME PROV ProFee,22599152,CDM,981,RC,99152,HCPCS,OUTPATIENT,,,125,100,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99153 CONS SEDATE EA ADD 15MIN SAME PROVI ProFee,22599153,CDM,981,RC,99153,HCPCS,OUTPATIENT,,,43,34.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99155 MOD SEDATION| OTHER HEALTH CARE PERFORMING DIAG OR THERP SERVICE| INITIAL 15 MINUTES ProFee,22599155,CDM,981,RC,99155,HCPCS,OUTPATIENT,,,364,291.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99156 CONS SEDATE >5Y 1ST 15MIN DIFF PROV ProFee,22599156,CDM,981,RC,99156,HCPCS,OUTPATIENT,,,298,238.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99157 CONS SEDATE EA ADD 15MIN DIFF PROVI ProFee,22599157,CDM,981,RC,99157,HCPCS,OUTPATIENT,,,227,181.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99281-E&M that may not require the presence of a physician or other qualified healthcare prof.,22599281,CDM,981,RC,99281,HCPCS,OUTPATIENT,,,210,168,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99282-E&M req. a medically appropriate hx and/or exam and straightforward medical decision making,22599282,CDM,981,RC,99282,HCPCS,OUTPATIENT,,,282,225.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99283-E&M req. a medically appropriate hx and/or exam and low level medical decision making,22599283,CDM,981,RC,99283,HCPCS,OUTPATIENT,,,426,340.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99284-E&M req. a medically appropriate hx and/or exam and moderate level of medical decision making,22599284,CDM,981,RC,99284,HCPCS,OUTPATIENT,,,632,505.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99285-E&M req. a medically appropriate hx and/or exam and high level of medical decision making,22599285,CDM,981,RC,99285,HCPCS,OUTPATIENT,,,1323,1058.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99460 INITAL NEWBORN E/M ProFee,22599460,CDM,981,RC,99460,HCPCS,OUTPATIENT,,,200,160,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99464 ATTENDANCE AT DELIVERY OF NEWBORN ProFee,22599464,CDM,981,RC,99464,HCPCS,OUTPATIENT,,,522,417.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BX BREAST PLACEMENT OF DEVICE,2119083,CDM,982,RC,19083,HCPCS,OUTPATIENT,,,1681,1344.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROCENTESIS ASP/INJ MAJOR W ULTRA,2120605,CDM,982,RC,20611,HCPCS,OUTPATIENT,,,242,193.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROCENTESIS ASP/INJ INTERMED W UL,2120606,CDM,982,RC,20606,HCPCS,OUTPATIENT,,,202,161.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INJ W/FLUR EVAL CV DEVICE,2136598,CDM,982,RC,36598,HCPCS,OUTPATIENT,,,156,124.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PROSTATE NEEDLE PUNCH BOX,2155700,CDM,982,RC,55700,HCPCS,OUTPATIENT,,,434,347.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DEBRIDEMENT MASTOIDECTOMY CAVITY SIM,2252990,CDM,982,RC,69220,HCPCS,OUTPATIENT,,,171,136.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO POLYSOMNOGRAPHY > 4 PARAMETERS OF,7101003,CDM,982,RC,95810,HCPCS,OUTPATIENT,,,563,450.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO POLYSOMNOGRAPHY W/CPAP > 4 PARAMET,7101008,CDM,982,RC,95811,HCPCS,OUTPATIENT,,,563,450.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EKG RYTHM STRIP,7510568,CDM,982,RC,93041,HCPCS,OUTPATIENT,,,22,17.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INC REM FB SQ COMPL,9910121,CDM,982,RC,10121,HCPCS,OUTPATIENT,,,597,477.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ID HEMATOMA SEROMA FLUID COLL,9910140,CDM,982,RC,10140,HCPCS,OUTPATIENT,,,411,328.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC BENIGN .6 - 1.0CM TRUNK ARM LEG,9911401,CDM,982,RC,11401,HCPCS,OUTPATIENT,,,377,301.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC BENIGN 1.1-2.0CM 1.1-2.0CM TRUNK,9911402,CDM,982,RC,11402,HCPCS,OUTPATIENT,,,419,335.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC BEN 2.1-3.0 TRUNK ARM LEG,9911403,CDM,982,RC,11403,HCPCS,OUTPATIENT,,,621,496.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC BEN 3.1-4.0 TRUNK ARM LEG,9911404,CDM,982,RC,11404,HCPCS,OUTPATIENT,,,704,563.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC BENIGN .5CM OR LESS SCALP NECK,9911420,CDM,982,RC,11420,HCPCS,OUTPATIENT,,,366,292.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC BENIGN 0.6-1.0CM SCALP NECK HAND,9911421,CDM,982,RC,11421,HCPCS,OUTPATIENT,,,397,317.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC BENIGN 1.1-2.0CM SCALP NECK/HAND,9911422,CDM,982,RC,11422,HCPCS,OUTPATIENT,,,344,275.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC B9 OVER 4CM S/N/H,9911426,CDM,982,RC,11426,HCPCS,OUTPATIENT,,,811,648.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC BENIGN .5CM OR LESS OTHER,9911440,CDM,982,RC,11440,HCPCS,OUTPATIENT,,,257,205.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC BENIGN 1.1-2.0 CM OTHER,9911442,CDM,982,RC,11442,HCPCS,OUTPATIENT,,,445,356,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC BENIGN 2.1-3.0 CM OTHER,9911443,CDM,982,RC,11443,HCPCS,OUTPATIENT,,,723,578.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC BENIGN 3.1-4.0CM OTHER,9911444,CDM,982,RC,11444,HCPCS,OUTPATIENT,,,607,485.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC BENIGN OVER 4.0CM OTHER,9911446,CDM,982,RC,11446,HCPCS,OUTPATIENT,,,932,745.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC HIDRAD AXIL S/I REP,9911450,CDM,982,RC,11450,HCPCS,OUTPATIENT,,,811,648.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC HIDRAD ING S/I REP,9911462,CDM,982,RC,11462,HCPCS,OUTPATIENT,,,777,621.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC MALIGNANT .6-1CM TRUNK ARM LEGS,9911601,CDM,982,RC,11601,HCPCS,OUTPATIENT,,,578,462.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC MLES S/N/EXT/G 0.6-1.0CM,9911621,CDM,982,RC,11621,HCPCS,OUTPATIENT,,,643,514.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC MALIGNANT 1.1-2CM SCALP NECK HAN,9911622,CDM,982,RC,11622,HCPCS,OUTPATIENT,,,831,664.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC MLES S/N/EXT/G 2.1-3CM,9911623,CDM,982,RC,11623,HCPCS,OUTPATIENT,,,936,748.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC MAL 3.1-4CM SCALP NECK HAND,9911624,CDM,982,RC,11624,HCPCS,OUTPATIENT,,,770,616,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC MAL<4CM SCALP NECK HAND,9911626,CDM,982,RC,11626,HCPCS,OUTPATIENT,,,1219,975.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC MAL .6-1CM FACE EAR NOSE,9911641,CDM,982,RC,11641,HCPCS,OUTPATIENT,,,893,714.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO MALIGNANT 1.1-2CM FACE EAR NOSE,9911642,CDM,982,RC,11642,HCPCS,OUTPATIENT,,,1077,861.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXCISION MAL LESION 2.1-3CM,9911643,CDM,982,RC,11643,HCPCS,OUTPATIENT,,,1308,1046.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC MAL 3.1-4CM FACE/EAR/NOSE,9911644,CDM,982,RC,11644,HCPCS,OUTPATIENT,,,1414,1131.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC MALIGNAT OVER 4CM FACE EAR NOSE,9911646,CDM,982,RC,11646,HCPCS,OUTPATIENT,,,1478,1182.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC OF PILONIDAL CYST OR SINUS EXT,9911771,CDM,982,RC,11771,HCPCS,OUTPATIENT,,,1387,1109.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC OF PILONIDAL CYST COMPLICATED,9911772,CDM,982,RC,11772,HCPCS,OUTPATIENT,,,1856,1484.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TX S WND DEHISC SMP,9912020,CDM,982,RC,12020,HCPCS,OUTPATIENT,,,607,485.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REPAIR INTERMEDIATE <=2.5CM,9912031,CDM,982,RC,12031,HCPCS,OUTPATIENT,,,378,302.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INTMD WND REPAIR S/TR/EXT,9912032,CDM,982,RC,12032,HCPCS,OUTPATIENT,,,665,532,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP INTER NECK HAND 2.6-7.5CM,9912042,CDM,982,RC,12042,HCPCS,OUTPATIENT,,,644,515.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REPAIR INTER FACE EARS<=2.5CM,9912051,CDM,982,RC,12051,HCPCS,OUTPATIENT,,,732,585.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO LAYER CLOSE WOUND(S),9912052,CDM,982,RC,12052,HCPCS,OUTPATIENT,,,831,664.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP INTER FACE EARS 7.6-12.5CM,9912054,CDM,982,RC,12054,HCPCS,OUTPATIENT,,,1596,1276.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SECONDARY CLOSURE SX WOUND,9913160,CDM,982,RC,13160,HCPCS,OUTPATIENT,,,2595,2076,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ADJT TIS TRNSFR/REARGMT SCALP/ARM/LE,9914020,CDM,982,RC,14020,HCPCS,OUTPATIENT,,,1599,1279.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FTH/GFT FREE W/DIR CLSR S/A/L 20 CM,9915220,CDM,982,RC,15220,HCPCS,OUTPATIENT,,,2343,1874.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DESTROY BENIGN LESION 1-14,9917110,CDM,982,RC,17110,HCPCS,OUTPATIENT,,,317,253.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DESSTRUCT LESION S/N/H/F/G 0.5 CM/>,9917270,CDM,982,RC,17270,HCPCS,OUTPATIENT,,,445,356,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DEST MALG LESION F/E/E/N/L/M 0.5CM/<,9917280,CDM,982,RC,17280,HCPCS,OUTPATIENT,,,522,417.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DEST MAL LSN F/E/E/N/L/M 0.6-1.0CM/<,9917281,CDM,982,RC,17281,HCPCS,OUTPATIENT,,,538,430.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INCISE BREAST LESION,9919020,CDM,982,RC,19020,HCPCS,OUTPATIENT,,,986,788.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BX BREAST W DEVICE 1ST LESION STEREO,9919081,CDM,982,RC,19081,HCPCS,OUTPATIENT,,,675,540,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BX BREAST W DEVICE ADDL LESION STERO,9919082,CDM,982,RC,19082,HCPCS,OUTPATIENT,,,318,254.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC CYST/BENIGN TUMOR OPEN,9919120,CDM,982,RC,19120,HCPCS,OUTPATIENT,,,1321,1056.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC BREAST LESION OPEN SINGLE,9919125,CDM,982,RC,19125,HCPCS,OUTPATIENT,,,1466,1172.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC BREAST LESION EA  ADDTL,9919126,CDM,982,RC,19126,HCPCS,OUTPATIENT,,,436,348.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REM BREAST TISSUE,9919300,CDM,982,RC,19300,HCPCS,OUTPATIENT,,,1322,1057.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PARTICAL MASECTOMY,9919301,CDM,982,RC,19301,HCPCS,OUTPATIENT,,,2075,1660,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PART MASECTOMY W/LN REMOVE,9919302,CDM,982,RC,19302,HCPCS,OUTPATIENT,,,2860,2288,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO MASTECTOMY SIMPLE COMPLETE,9919303,CDM,982,RC,19303,HCPCS,OUTPATIENT,,,3216,2572.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO MASTECTOMY RADICAL,9919305,CDM,982,RC,19305,HCPCS,OUTPATIENT,,,2370,1896,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO MASTECTOMY MOD RAD,9919307,CDM,982,RC,19307,HCPCS,OUTPATIENT,,,3850,3080,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EX TUMOR>2CM FACE SCALP,9921012,CDM,982,RC,21012,HCPCS,OUTPATIENT,,,1314,1051.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC TUMOR SOFT TIS F/S SUB 2 CM/>,9921014,CDM,982,RC,21014,HCPCS,OUTPATIENT,,,1258,1006.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN TX COMP FX MALAR W/INT FXMULT,9921365,CDM,982,RC,21365,HCPCS,OUTPATIENT,,,4071,3256.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DRAIN NECK/ THORAX LESION,9921501,CDM,982,RC,21501,HCPCS,OUTPATIENT,,,1048,838.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC TUMOR SC=3CM,9921552,CDM,982,RC,21552,HCPCS,OUTPATIENT,,,1335,1068,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC NECK TUM DEEP 5 CM,9921554,CDM,982,RC,21554,HCPCS,OUTPATIENT,,,2340,1872,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REM LESION NECK/CHEST,9921555,CDM,982,RC,21555,HCPCS,OUTPATIENT,,,1161,928.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC NECK TUMOR DEEP<5CM,9921556,CDM,982,RC,21556,HCPCS,OUTPATIENT,,,1936,1548.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC LESION BACK/FLANK,9921930,CDM,982,RC,21930,HCPCS,OUTPATIENT,,,1546,1236.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC TUM BACK FLANK 3CM,9921931,CDM,982,RC,21931,HCPCS,OUTPATIENT,,,1508,1206.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC BACK TUM DEEP<5CM,9921932,CDM,982,RC,21932,HCPCS,OUTPATIENT,,,2117,1693.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXCISION TUMOR BACK OR FLANK,9921933,CDM,982,RC,21933,HCPCS,OUTPATIENT,,,2699,2159.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVE ABDOMINAL WALL LESION,9922900,CDM,982,RC,22900,HCPCS,OUTPATIENT,,,1801,1440.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC ABD/TUMOR DEEP 5CM>,9922901,CDM,982,RC,22901,HCPCS,OUTPATIENT,,,2121,1696.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC SHOULDER LES SC>3CM,9923071,CDM,982,RC,23071,HCPCS,OUTPATIENT,,,1346,1076.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC TUM SOFT TISSUE SHLDR SUBFASCIAL,9923073,CDM,982,RC,23073,HCPCS,OUTPATIENT,,,2699,2159.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC ARM ELBOW TUM 3CM,9924071,CDM,982,RC,24071,HCPCS,OUTPATIENT,,,1301,1040.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVE ARM/ELBOW LESION,9924075,CDM,982,RC,24075,HCPCS,OUTPATIENT,,,1065,852,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC FOREARM TISSUE SC>3CM,9925071,CDM,982,RC,25071,HCPCS,OUTPATIENT,,,1364,1091.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC TUMOR PELVIS/HIP AREA 3CM>,9927043,CDM,982,RC,27043,HCPCS,OUTPATIENT,,,1052,841.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC HIP/PELV TUM,9927045,CDM,982,RC,27045,HCPCS,OUTPATIENT,,,2380,1904,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPTX HIP DISLOCATION TRAUMA W/O INT,9927253,CDM,982,RC,27253,HCPCS,OUTPATIENT,,,2347,1877.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DCMPRN FASCT LEG ANT/LATPST CMPRT,9927602,CDM,982,RC,27602,HCPCS,OUTPATIENT,,,2857,2285.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC TMR SOFT TIS FT/TOE SUBQ 1.5CM/>,9928039,CDM,982,RC,28039,HCPCS,OUTPATIENT,,,987,789.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO HALLUX RIGIDUS W/CHEILECTOMY 1ST MP,9928291,CDM,982,RC,28291,HCPCS,OUTPATIENT,,,1156,924.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO APPLICATION RIGID TOTAL CONTACT LEG,9929445,CDM,982,RC,29445,HCPCS,OUTPATIENT,,,210,168,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SUBMUCOUS RESCJ INFERIOR TURBINATE,9930140,CDM,982,RC,30140,HCPCS,OUTPATIENT,,,1531,1224.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NASAL/SINUS NDSC SURG W/BX POLYP,9931237,CDM,982,RC,31237,HCPCS,OUTPATIENT,,,1337,1069.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NASAL/SINUS NDSC W/TOTAL ETHOIDECTOM,9931255,CDM,982,RC,31255,HCPCS,OUTPATIENT,,,1993,1594.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NASAL/SINUS ENDOSCOPY W/MAXILLARY AN,9931256,CDM,982,RC,31256,HCPCS,OUTPATIENT,,,1137,909.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NSL/SINUS NDSC MAX ANTROST W/RMVL TI,9931267,CDM,982,RC,31267,HCPCS,OUTPATIENT,,,1337,1069.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INSERT TUNNELED CV CATH,9936561,CDM,982,RC,36561,HCPCS,OUTPATIENT,,,1150,920,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INS PICC DEVICE W PORT 5YRs>,9936571,CDM,982,RC,36571,HCPCS,OUTPATIENT,,,1027,821.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REPLACE INL CV CATH,9936581,CDM,982,RC,36581,HCPCS,OUTPATIENT,,,751,600.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TUNNELED VAD W PORT,9936582,CDM,982,RC,36582,HCPCS,OUTPATIENT,,,1014,811.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVE INL CV CATH,9936589,CDM,982,RC,36589,HCPCS,OUTPATIENT,,,539,431.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO LIGATE OR BX TEMPORAL ARTERY,9937609,CDM,982,RC,37609,HCPCS,OUTPATIENT,,,576,460.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO LIG PRFRTR VEIN SUBFSL OPN INCL US/G,9937761,CDM,982,RC,37761,HCPCS,OUTPATIENT,,,1360,1088,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SPLENECTOMY TOTAL,9938100,CDM,982,RC,38100,HCPCS,OUTPATIENT,,,3667,2933.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SPLENECTOMY TOT EN BLOC FOR EXTNSV D,9938102,CDM,982,RC,38102,HCPCS,OUTPATIENT,,,826,660.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN BX/EXC LN;SUPERFICIAL,9938500,CDM,982,RC,38500,HCPCS,OUTPATIENT,,,1222,977.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BIOP/EXC LYMPH NODE OPEN DEEP CERVIC,9938510,CDM,982,RC,38510,HCPCS,OUTPATIENT,,,1577,1261.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BX EXC NODE OPEN DEEP AXILLARY,9938525,CDM,982,RC,38525,HCPCS,OUTPATIENT,,,1577,1261.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO AXILLARY LYMPHADENECTOMY SUPERFICIAL,9938740,CDM,982,RC,38740,HCPCS,OUTPATIENT,,,2103,1682.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INJ PROC RADIO ACTIVE TRACER I.D.SEN,9938792,CDM,982,RC,38792,HCPCS,OUTPATIENT,,,83,66.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INTRAOPERATIVE ID SENTINEL LYMPH NOD,9938900,CDM,982,RC,38900,HCPCS,OUTPATIENT,,,539,431.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TONSILLECTOMY PRIM/SEC OVER AGE 12,9942826,CDM,982,RC,42826,HCPCS,OUTPATIENT,,,1408,1126.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ESOPHAGOSCOPY W FB REMOVAL,9943215,CDM,982,RC,43215,HCPCS,OUTPATIENT,,,352,281.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EGD FLEXIBLE DX,9943235,CDM,982,RC,43235,HCPCS,OUTPATIENT,,,538,430.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EGD W/BIOPSY,9943239,CDM,982,RC,43239,HCPCS,OUTPATIENT,,,765,612,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PLACE GASTROSTOMY TUBE,9943246,CDM,982,RC,43246,HCPCS,OUTPATIENT,,,809,647.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO GASTROSCOPE W/REMOVAL OF FOREIGN BOD,9943247,CDM,982,RC,43247,HCPCS,OUTPATIENT,,,644,515.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO GASTROSCOPE W HOT  BIOPSY,9943250,CDM,982,RC,43250,HCPCS,OUTPATIENT,,,474,379.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO GASTROSCOPE W SNARE,9943251,CDM,982,RC,43251,HCPCS,OUTPATIENT,,,702,561.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ENTEROLYSIS FREEING INTESTINAL ADHES,9944005,CDM,982,RC,44005,HCPCS,OUTPATIENT,,,3483,2786.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ENTEROTOMY SMALL INTESTINE BX OR FB,9944020,CDM,982,RC,44020,HCPCS,OUTPATIENT,,,2211,1768.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO MOBILIZATION SPLENDIC FLEXURE,9944139,CDM,982,RC,44139,HCPCS,OUTPATIENT,,,352,281.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COLECTOMY PARTIAL W ANASTOMOSIS,9944140,CDM,982,RC,44140,HCPCS,OUTPATIENT,,,4275,3420,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COLECTOMY W END COLOSTOMY  CLOSURE,9944143,CDM,982,RC,44143,HCPCS,OUTPATIENT,,,4813,3850.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COLECTOMY W RESEC W/COLO/IELO,9944144,CDM,982,RC,44144,HCPCS,OUTPATIENT,,,4813,3850.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO LAP ENTEROLYSIS,9944180,CDM,982,RC,44180,HCPCS,OUTPATIENT,,,2931,2344.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COLONOSCOPE REMOVAL OF POLYP/LESION,9945383,CDM,982,RC,45383,HCPCS,OUTPATIENT,,,1254,1003.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVE FECAL IMPACTION FB,9945915,CDM,982,RC,45915,HCPCS,OUTPATIENT,,,1079,863.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ANRECT XM SURG REQ ANES GEN SPI/EDRL,9945990,CDM,982,RC,45990,HCPCS,OUTPATIENT,,,350,280,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PLACEMENT OF SETON,9946020,CDM,982,RC,46020,HCPCS,OUTPATIENT,,,573,458.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DRAINAGE PERIRECTAL ABCESS,9946045,CDM,982,RC,46045,HCPCS,OUTPATIENT,,,1181,944.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ID ISCHIORECTAL,9946060,CDM,982,RC,46060,HCPCS,OUTPATIENT,,,1298,1038.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO HEMORRHOIDECTOMY EXT COMPLETE,9946250,CDM,982,RC,46250,HCPCS,OUTPATIENT,,,666,532.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REM ANAL FIST SUBQ,9946270,CDM,982,RC,46270,HCPCS,OUTPATIENT,,,1271,1016.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BIOPSY LIVER WEDGE,9947100,CDM,982,RC,47100,HCPCS,OUTPATIENT,,,3132,2505.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXPLORATORY LAPAROTOMY W/ OR W/O BIO,9949000,CDM,982,RC,49000,HCPCS,OUTPATIENT,,,1925,1540,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO LAP;DXABDOMEN PERITONEUM OMETUM,9949320,CDM,982,RC,49320,HCPCS,OUTPATIENT,,,1049,839.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO LAPARO W/BIOPSY SINGLE/MULTI,9949321,CDM,982,RC,49321,HCPCS,OUTPATIENT,,,735,588,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO IMAGE FLUID COLLECTION DRAIN CATHETE,9949406,CDM,982,RC,49406,HCPCS,OUTPATIENT,,,477,381.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYSTO W/URTROSCOPY W/TX URETERAL STR,9952344,CDM,982,RC,52344,HCPCS,OUTPATIENT,,,932,745.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
15851 REMOVAL OF SUTURES UNDER ANESTHESIA,10015851,CDM,982,RC,15851,HCPCS,OUTPATIENT,,,286,228.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SMPL RPR SCALP/NK/AX/GNIT/TR 2.5CM/<,10412001,CDM,982,RC,12001,HCPCS,OUTPATIENT,,,378,302.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO WOUND REPAIR INTERMEDIATE NECK HANDS,10412041,CDM,982,RC,12041,HCPCS,OUTPATIENT,,,614,491.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SKIN SPLT A-GRAFT FAC/NECK/HF/G,10415120,CDM,982,RC,15120,HCPCS,OUTPATIENT,,,2246,1796.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN SUPERF BONE BX,10420240,CDM,982,RC,20240,HCPCS,OUTPATIENT,,,734,587.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BIOPSY BONE DEEP,10420245,CDM,982,RC,20245,HCPCS,OUTPATIENT,,,1782,1425.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INJ SGL TENDON SHTH OR LIGAMENT,10420550,CDM,982,RC,20550,HCPCS,OUTPATIENT,,,195,156,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVE SUPPORT IMPLANT,10420670,CDM,982,RC,20670,HCPCS,OUTPATIENT,,,1272,1017.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO APPLY UNIL UNIPLANE,10420690,CDM,982,RC,20690,HCPCS,OUTPATIENT,,,2237,1789.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BONE GRAFT MINOR; SMALL,10420900,CDM,982,RC,20900,HCPCS,OUTPATIENT,,,1468,1174.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TENDON GRAFT FROM A DISTANCE,10420924,CDM,982,RC,20924,HCPCS,OUTPATIENT,,,1962,1569.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROTOMY GHJ FOR INFECTION,10423040,CDM,982,RC,23040,HCPCS,OUTPATIENT,,,2731,2184.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROTOMY GLENOHUMERAL JOINT W EXPL,10423107,CDM,982,RC,23107,HCPCS,OUTPATIENT,,,2395,1916,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PARTIAL REMOVAL OF COLLAR BONE,10423120,CDM,982,RC,23120,HCPCS,OUTPATIENT,,,2433,1946.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ACROMIOPL/ACROMIONECT PARTIAL,10423130,CDM,982,RC,23130,HCPCS,OUTPATIENT,,,2315,1852,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INJ FOR SHOULDER ARTHROGRAPHY,10423350,CDM,982,RC,23350,HCPCS,OUTPATIENT,,,176,140.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO MUSCLE TRANSFER SHLDR OR UPPER ARM S,10423395,CDM,982,RC,23395,HCPCS,OUTPATIENT,,,3507,2805.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP RUPTURED MUSCULOTENDINOU CUFF OP,10423410,CDM,982,RC,23410,HCPCS,OUTPATIENT,,,3120,2496,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP ROTATOR CUFF CHRONIC,10423412,CDM,982,RC,23412,HCPCS,OUTPATIENT,,,3529,2823.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REPAIR SHOULDER,10423420,CDM,982,RC,23420,HCPCS,OUTPATIENT,,,4012,3209.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP BICEPS TENDON,10423430,CDM,982,RC,23430,HCPCS,OUTPATIENT,,,2847,2277.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REPAIR SHOULDER CAPSULE,10423450,CDM,982,RC,23450,HCPCS,OUTPATIENT,,,3588,2870.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CAPSULORRHAPHY BANKART,10423455,CDM,982,RC,23455,HCPCS,OUTPATIENT,,,3795,3036,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO RECONST SHOULDER JOINT,10423470,CDM,982,RC,23470,HCPCS,OUTPATIENT,,,4565,3652,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO RECONSTRUCT SHOULDER JOINT,10423472,CDM,982,RC,23472,HCPCS,OUTPATIENT,,,5537,4429.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OSTEOTOMY CLAVICLE W BONE GRAFT,10423485,CDM,982,RC,23485,HCPCS,OUTPATIENT,,,3628,2902.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TREAT CLAVICLE FRACTURE,10423515,CDM,982,RC,23515,HCPCS,OUTPATIENT,,,2741,2192.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OP TX ACLAV DISLOC ACUTE.CHRONIC,10423550,CDM,982,RC,23550,HCPCS,OUTPATIENT,,,2165,1732,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPTX ACLAV DISLOC W GRAFT,10423552,CDM,982,RC,23552,HCPCS,OUTPATIENT,,,1424,1139.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN TXT PROX HUMERUS FX W/INT FIXAT,10423615,CDM,982,RC,23615,HCPCS,OUTPATIENT,,,3362,2689.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO HEMIARTHROPLASTY INSERTION SHOULDER,10423616,CDM,982,RC,23616,HCPCS,OUTPATIENT,,,4703,3762.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TX HUMERUS FX,10423630,CDM,982,RC,23630,HCPCS,OUTPATIENT,,,2979,2383.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN TX SHOULDER DISLOC,10423670,CDM,982,RC,23670,HCPCS,OUTPATIENT,,,3800,3040,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SHOULDER MANIPULATION ANESTHESIA,10423700,CDM,982,RC,23700,HCPCS,OUTPATIENT,,,743,594.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARM/ELBOW TUM DEEP>5CM,10424073,CDM,982,RC,24073,HCPCS,OUTPATIENT,,,3306,2644.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EX OLECRANON,10424105,CDM,982,RC,24105,HCPCS,OUTPATIENT,,,1341,1072.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROGRAM INJ ELBOW,10424220,CDM,982,RC,24220,HCPCS,OUTPATIENT,,,179,143.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TENODESIS BICPES TENDON@ELBOW,10424340,CDM,982,RC,24340,HCPCS,OUTPATIENT,,,2641,2112.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REPAIR UA/ELBOW/TENDON/MUSCLE,10424341,CDM,982,RC,24341,HCPCS,OUTPATIENT,,,2850,2280,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REINSERT RUPTRD BIC/TRIC TENDON,10424342,CDM,982,RC,24342,HCPCS,OUTPATIENT,,,2946,2356.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TENOTOMY ELBOW LATERAL OR MEDIAL,10424357,CDM,982,RC,24357,HCPCS,OUTPATIENT,,,1666,1332.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TENOTOMY ELBOW LATERAL MEDIAL,10424358,CDM,982,RC,24358,HCPCS,OUTPATIENT,,,4324,3459.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REPAIR ELOW DEB/ATTCH OPEN,10424359,CDM,982,RC,24359,HCPCS,OUTPATIENT,,,2853,2282.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP HUMERUS MALUNION W AUTOGRAFT,10424435,CDM,982,RC,24435,HCPCS,OUTPATIENT,,,6128,4902.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OP TX HUM SHFT W PLATE W/WO CERCLAGE,10424515,CDM,982,RC,24515,HCPCS,OUTPATIENT,,,3325,2660,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PERCUTANEOUS SKELETAL FIX SUPRACONDY,10424538,CDM,982,RC,24538,HCPCS,OUTPATIENT,,,4286,3428.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TX HUMERAL SUPRACONDYLAR FX,10424545,CDM,982,RC,24545,HCPCS,OUTPATIENT,,,2505,2004,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN TX HUMERAL SUPRACORDYLAR FX,10424546,CDM,982,RC,24546,HCPCS,OUTPATIENT,,,3682,2945.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TREAT HUMERUS FRACTURE,10424579,CDM,982,RC,24579,HCPCS,OUTPATIENT,,,3171,2536.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OP TX ACUTE/CHRONIC ELBOW DISLOCATIO,10424615,CDM,982,RC,24615,HCPCS,OUTPATIENT,,,2697,2157.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TREAT ELBOW FRACTURE,10424635,CDM,982,RC,24635,HCPCS,OUTPATIENT,,,2555,2044,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OP TX ULNAR FX PROXIMAL END,10424685,CDM,982,RC,24685,HCPCS,OUTPATIENT,,,2491,1992.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INCIS EXTENSOR TENDON SHEATH WRIST,10425000,CDM,982,RC,25000,HCPCS,OUTPATIENT,,,1285,1028,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INC DRAIN FOREARM/WRIST DEEP ABSCESS,10425028,CDM,982,RC,25028,HCPCS,OUTPATIENT,,,2013,1610.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVE FOREARM LESION SUBCUT,10425075,CDM,982,RC,25075,HCPCS,OUTPATIENT,,,2288,1830.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC GANGLION WRIST PRIMARY,10425111,CDM,982,RC,25111,HCPCS,OUTPATIENT,,,1221,976.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC GANGLION WRIST RECURRENT,10425112,CDM,982,RC,25112,HCPCS,OUTPATIENT,,,1471,1176.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO RAD EXC WRIST BURSA/FARM TEND SHTH,10425115,CDM,982,RC,25115,HCPCS,OUTPATIENT,,,2868,2294.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXCISE TENDON SHEATH,10425118,CDM,982,RC,25118,HCPCS,OUTPATIENT,,,1447,1157.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CARPECTOMY 1 BONE,10425210,CDM,982,RC,25210,HCPCS,OUTPATIENT,,,1851,1480.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TENDON MUSCLE EXT FOREARM WRIST PRIM,10425270,CDM,982,RC,25270,HCPCS,OUTPATIENT,,,2763,2210.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROPLASTY WRIST W/WO INTERPOSITIO,10425332,CDM,982,RC,25332,HCPCS,OUTPATIENT,,,9385,7508,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OSTEOPLASTY OR ULNA SHORTENING,10425390,CDM,982,RC,25390,HCPCS,OUTPATIENT,,,2220,1776,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP NONUNION/MALUNION RADI OR UNLA W,10425400,CDM,982,RC,25400,HCPCS,OUTPATIENT,,,3035,2428,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CL TX OF SHAFT FX W MANIPULATION,10425505,CDM,982,RC,25505,HCPCS,OUTPATIENT,,,1639,1311.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CL TX DISTAL RADIAL FX/EPIHY,10425600,CDM,982,RC,25600,HCPCS,OUTPATIENT,,,666,532.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TREAT FRACTURE RADIUS/ULNA,10425606,CDM,982,RC,25606,HCPCS,OUTPATIENT,,,1783,1426.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TX FX RAD EXTRA ARTICUL,10425607,CDM,982,RC,25607,HCPCS,OUTPATIENT,,,2792,2233.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TX FX RAD INTRA-ARTICUL 2 FRAGS,10425608,CDM,982,RC,25608,HCPCS,OUTPATIENT,,,3121,2496.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TX FX RADIAL 3+ FRAG,10425609,CDM,982,RC,25609,HCPCS,OUTPATIENT,,,3965,3172,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO  ARTHRODESIS WRIST W ILIAC OR AUTOGR,10425810,CDM,982,RC,25810,HCPCS,OUTPATIENT,,,3356,2684.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO RADIOULNAR NT FUSION W UNLA RESECTIO,10425830,CDM,982,RC,25830,HCPCS,OUTPATIENT,,,3645,2916,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DRAINAGE TENDON SHEATH DIGIT OR PALM,10426020,CDM,982,RC,26020,HCPCS,OUTPATIENT,,,1871,1496.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO RELEASE PALM CONTRACTURE,10426045,CDM,982,RC,26045,HCPCS,OUTPATIENT,,,2023,1618.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TENDON SHEATH INCISION,10426055,CDM,982,RC,26055,HCPCS,OUTPATIENT,,,1187,949.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXPL/REM FB IPH JOINT EA,10426080,CDM,982,RC,26080,HCPCS,OUTPATIENT,,,1484,1187.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROTOMY W BX INTERPHALANGEAL JNT,10426110,CDM,982,RC,26110,HCPCS,OUTPATIENT,,,861,688.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC HAND LES SC<1.5CM,10426115,CDM,982,RC,26115,HCPCS,OUTPATIENT,,,1262,1009.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVE HAND LESION,10426116,CDM,982,RC,26116,HCPCS,OUTPATIENT,,,1995,1596,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO RELEASE PALM CONTRACTURE,10426121,CDM,982,RC,26121,HCPCS,OUTPATIENT,,,2259,1807.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FASCIECTOMY RELEASE PALM CONTRACTUR,10426123,CDM,982,RC,26123,HCPCS,OUTPATIENT,,,3151,2520.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26145 Pro SYNOVECTOMY| TENDON SHEATH| RADICAL (TENOSYN,10426145,CDM,982,RC,26145,HCPCS,OUTPATIENT,,,1938,1550.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC LESION TENDON SHEATH/CAPSULE,10426160,CDM,982,RC,26160,HCPCS,OUTPATIENT,,,1275,1020,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC TENDON SINGLE EA,10426170,CDM,982,RC,26170,HCPCS,OUTPATIENT,,,1504,1203.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PARTIAL EXC BONE METACARPAL,10426230,CDM,982,RC,26230,HCPCS,OUTPATIENT,,,4197,3357.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REAPAIR FINGER HAND TENDON EA,10426350,CDM,982,RC,26350,HCPCS,OUTPATIENT,,,2223,1778.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXTENSOR TENDON REALIGNMENT HAND,10426437,CDM,982,RC,26437,HCPCS,OUTPATIENT,,,2218,1774.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO  INC FINGER FLEXOR,10426455,CDM,982,RC,26455,HCPCS,OUTPATIENT,,,1540,1232,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FUSION FOR PROX IP JNT STABLIZ,10426471,CDM,982,RC,26471,HCPCS,OUTPATIENT,,,2326,1860.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TRANSF/TRANSPLANT TENDON CARPOMETACA,10426480,CDM,982,RC,26480,HCPCS,OUTPATIENT,,,1997,1597.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO IP JNT ARTHROPLASTY EA,10426535,CDM,982,RC,26535,HCPCS,OUTPATIENT,,,1583,1266.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP MCP IP JOINT COLLAT LIGAMENT,10426540,CDM,982,RC,26540,HCPCS,OUTPATIENT,,,2486,1988.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PERCUTANEOUS SKELETAL FIX METACAPARL,10426608,CDM,982,RC,26608,HCPCS,OUTPATIENT,,,1815,1452,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TX  METACARPAL FX,10426615,CDM,982,RC,26615,HCPCS,OUTPATIENT,,,2188,1750.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TX  FINGER FX;EA,10426735,CDM,982,RC,26735,HCPCS,OUTPATIENT,,,1813,1450.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PERC SKT FIX PHALANG FX;FINGER/THUMB,10426756,CDM,982,RC,26756,HCPCS,OUTPATIENT,,,1596,1276.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROD METACAROPHAHANGEAL JNT W/WO,10426850,CDM,982,RC,26850,HCPCS,OUTPATIENT,,,2607,2085.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHRODESIS INTERPHALANGEAL JOINT,10426860,CDM,982,RC,26860,HCPCS,OUTPATIENT,,,2138,1710.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROD IP JNT EA ADDTL IP JNT,10426861,CDM,982,RC,26861,HCPCS,OUTPATIENT,,,302,241.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO AMPUTATION MC W FING/THUMB,10426910,CDM,982,RC,26910,HCPCS,OUTPATIENT,,,2702,2161.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO AMPUTATE FINGER,10426952,CDM,982,RC,26952,HCPCS,OUTPATIENT,,,2438,1950.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO MUSCULOSKELETAL PELVIS HIP INCISION,10426992,CDM,982,RC,26992,HCPCS,OUTPATIENT,,,3646,2916.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REM HIP/PELVIS LESION,10427047,CDM,982,RC,27047,HCPCS,OUTPATIENT,,,1384,1107.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INJ SACROILIAC JOINT,10427096,CDM,982,RC,27096,HCPCS,OUTPATIENT,,,323,258.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PELVIS/HIP JOINT SURG,10427299,CDM,982,RC,27299,HCPCS,OUTPATIENT,,,80,64,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ID DEEP THIGH KNEE,10427301,CDM,982,RC,27301,HCPCS,OUTPATIENT,,,2863,2290.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROTOMY KNEE W EXLPORATION,10427305,CDM,982,RC,27305,HCPCS,OUTPATIENT,,,1305,1044,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO KNEE ARTHROGRAPHY INJ,10427370,CDM,982,RC,27370,HCPCS,OUTPATIENT,,,3143,2514.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REM DEEP FB THIGH OR KNEE,10427372,CDM,982,RC,27372,HCPCS,OUTPATIENT,,,2348,1878.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP KNEECAP TENDON,10427380,CDM,982,RC,27380,HCPCS,OUTPATIENT,,,1905,1524,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SUTURE INFRAPATELLAR TENDON 2NDARY R,10427381,CDM,982,RC,27381,HCPCS,OUTPATIENT,,,2130,1704,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SUTURE QUDD/HAMSTRING MSCL PUPT,10427385,CDM,982,RC,27385,HCPCS,OUTPATIENT,,,2202,1761.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TENOTOMY OPEN SINGLE TENDON,10427390,CDM,982,RC,27390,HCPCS,OUTPATIENT,,,721,576.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REVISE UNSTABLE KNEECAP,10427422,CDM,982,RC,27422,HCPCS,OUTPATIENT,,,2823,2258.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN LAT RETINACULAR RELEASE,10427425,CDM,982,RC,27425,HCPCS,OUTPATIENT,,,1581,1264.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO  ARTHROPLAS FEMORAL CONDYLES/KNEE,10427442,CDM,982,RC,27442,HCPCS,OUTPATIENT,,,2380,1904,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROPL KNEE CP MEDIAL LAT,10427446,CDM,982,RC,27446,HCPCS,OUTPATIENT,,,4190,3352,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TOTAL KNEE ARTHROPLASTY,10427447,CDM,982,RC,27447,HCPCS,OUTPATIENT,,,6357,5085.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN TXT FEMORAL SHAFT FX INTRAMEDUL,10427506,CDM,982,RC,27506,HCPCS,OUTPATIENT,,,5532,4425.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN TX FEMOR SHAFT FX W PLATES/SCRE,10427507,CDM,982,RC,27507,HCPCS,OUTPATIENT,,,3687,2949.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TREAT KNEECAP FRACTURE,10427524,CDM,982,RC,27524,HCPCS,OUTPATIENT,,,3119,2495.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FIXATE KNEE JOINT,10427570,CDM,982,RC,27570,HCPCS,OUTPATIENT,,,576,460.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC TUMOR LEG/ANKLE SUBCUTANEOUS,10427618,CDM,982,RC,27618,HCPCS,OUTPATIENT,,,1842,1473.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP PRIMARY RUPTURED ACHILLES TENDON,10427620,CDM,982,RC,27620,HCPCS,OUTPATIENT,,,2303,1842.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVE TENDON LESION,10427630,CDM,982,RC,27630,HCPCS,OUTPATIENT,,,989,791.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC TIB/FIB BONE CYST/TUMOR,10427635,CDM,982,RC,27635,HCPCS,OUTPATIENT,,,2243,1794.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TREAT ANKLE FRACTURE,10427814,CDM,982,RC,27814,HCPCS,OUTPATIENT,,,4219,3375.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TX ANKLE FX,10427822,CDM,982,RC,27822,HCPCS,OUTPATIENT,,,3208,2566.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN TX OF FX BOTH TIBIA  FIBULA,10427828,CDM,982,RC,27828,HCPCS,OUTPATIENT,,,4922,3937.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO MANIPULATE ANKLE UNDER GEN ANES,10427860,CDM,982,RC,27860,HCPCS,OUTPATIENT,,,680,544,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INCISE FOOT FASCIA,10428008,CDM,982,RC,28008,HCPCS,OUTPATIENT,,,1360,1088,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OSTECTOMY CALCANEOUS,10428118,CDM,982,RC,28118,HCPCS,OUTPATIENT,,,2175,1740,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PART EXC ANKLE OR HEEL BONE,10428120,CDM,982,RC,28120,HCPCS,OUTPATIENT,,,2501,2000.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PARTIAL EXCISION BONE PHALANX OF TOE,10428124,CDM,982,RC,28124,HCPCS,OUTPATIENT,,,1796,1436.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP TENDON FLEXOR FT PRIM OR 2ND WO,10428200,CDM,982,RC,28200,HCPCS,OUTPATIENT,,,1653,1322.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DIV PLANTAR FACICIA  MUSCLE,10428250,CDM,982,RC,28250,HCPCS,OUTPATIENT,,,1533,1226.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PARTIAL REMOVAL FOOT BONE,10428288,CDM,982,RC,28288,HCPCS,OUTPATIENT,,,2351,1880.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CORR BUNION W MTRSL BONE,10428296,CDM,982,RC,28296,HCPCS,OUTPATIENT,,,2958,2366.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CORR BUNN W SESAMOOIDECTOMY 1ST META,10428297,CDM,982,RC,28297,HCPCS,OUTPATIENT,,,2609,2087.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DBL OST BUNION CORRECT,10428299,CDM,982,RC,28299,HCPCS,OUTPATIENT,,,3175,2540,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OSTEOTOMY MIDT BONE,10428304,CDM,982,RC,28304,HCPCS,OUTPATIENT,,,1436,1148.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP NU/MU METATARSAL,10428322,CDM,982,RC,28322,HCPCS,OUTPATIENT,,,3060,2448,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN OSTEOCHONDRAL AUTOGRAFT TALUS,10428446,CDM,982,RC,28446,HCPCS,OUTPATIENT,,,1965,1572,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PERC SK FIX METATARSAL FX W MANIPULA,10428476,CDM,982,RC,28476,HCPCS,OUTPATIENT,,,1331,1064.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TX METATARSAL FX,10428485,CDM,982,RC,28485,HCPCS,OUTPATIENT,,,1625,1300,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SK FIX TMT JNT DISL W MANIP,10428606,CDM,982,RC,28606,HCPCS,OUTPATIENT,,,1515,1212,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP FOOT DISLOCATION,10428615,CDM,982,RC,28615,HCPCS,OUTPATIENT,,,3011,2408.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO APPLY CYLINDER CAST,10429365,CDM,982,RC,29365,HCPCS,OUTPATIENT,,,478,382.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SHLDR CAPSULAR ARTHROSC,10429806,CDM,982,RC,29806,HCPCS,OUTPATIENT,,,396,316.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROSCOPY SHOULDER SLPA LESION,10429807,CDM,982,RC,29807,HCPCS,OUTPATIENT,,,3928,3142.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROSC SHLDR W REMOVAL OF LOOSE BO,10429819,CDM,982,RC,29819,HCPCS,OUTPATIENT,,,2233,1786.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROSC SHLDR;DEBRIT LIMITED,10429822,CDM,982,RC,29822,HCPCS,OUTPATIENT,,,2905,2324,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROSC SHLDR DECOM AS SP W PA,10429826,CDM,982,RC,29826,HCPCS,OUTPATIENT,,,1463,1170.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROSC SHOULDER;SX BICEPS TENODESI,10429828,CDM,982,RC,29828,HCPCS,OUTPATIENT,,,2500,2000,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROSCOPY KNEE DX,10429870,CDM,982,RC,29870,HCPCS,OUTPATIENT,,,1575,1260,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROSC KNEE FOR INF/LAVAGE/DR,10429871,CDM,982,RC,29871,HCPCS,OUTPATIENT,,,1959,1567.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO KNEE ARTHROSCOPY/SURGERY,10429873,CDM,982,RC,29873,HCPCS,OUTPATIENT,,,2009,1607.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO KNEE ARTHROSCOPY/SX,10429879,CDM,982,RC,29879,HCPCS,OUTPATIENT,,,2756,2204.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROSCOPY KNEE W/ MENISCECTOMY,10429880,CDM,982,RC,29880,HCPCS,OUTPATIENT,,,2345,1876,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROSC KNEE W MEN REP MED/LAT,10429883,CDM,982,RC,29883,HCPCS,OUTPATIENT,,,3193,2554.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROSC: AIDED ANTERIOR CRUCIATE,10429888,CDM,982,RC,29888,HCPCS,OUTPATIENT,,,4096,3276.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROSCOPY ANKEL DEBRIDEMENT,10429897,CDM,982,RC,29897,HCPCS,OUTPATIENT,,,3236,2588.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP RECTOCELLE,10745560,CDM,982,RC,45560,HCPCS,OUTPATIENT,,,2230,1784,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYSTOURETHROSCOPY,10752000,CDM,982,RC,52000,HCPCS,OUTPATIENT,,,641,512.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FN NDL ASPIRTN BX W/O IMG GDN EA ADL,11010004,CDM,982,RC,10004,HCPCS,OUTPATIENT,,,182,145.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FN NDL ASPIRTN BX W/US GDN 1ST LSN,11010005,CDM,982,RC,10005,HCPCS,OUTPATIENT,,,422,337.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FN NDL ASPIRTN BX W/US GDN EA ADDL,11010006,CDM,982,RC,10006,HCPCS,OUTPATIENT,,,210,168,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FN NDL ASPIRTN BX W/FLOUR GDN 1ST LS,11010007,CDM,982,RC,10007,HCPCS,OUTPATIENT,,,932,745.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FINE NDL ASPR BX W/FLUOR GDN EA ADDL,11010008,CDM,982,RC,10008,HCPCS,OUTPATIENT,,,542,433.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FINE NDL ASPR BX W/CT GDN 1ST LSN,11010009,CDM,982,RC,10009,HCPCS,OUTPATIENT,,,1505,1204,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FINE NDL ASPR BX W/CT GDN EA ADDL,11010010,CDM,982,RC,10010,HCPCS,OUTPATIENT,,,903,722.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FINE NDL ASPR BX W/MR GDN 1ST LSN,11010011,CDM,982,RC,10011,HCPCS,OUTPATIENT,,,1505,1204,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FINE NDL ASPR BX W/MR GDN EA ADDL,11010012,CDM,982,RC,10012,HCPCS,OUTPATIENT,,,903,722.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DEBRIDE SKIN  EA ADDTL,11011045,CDM,982,RC,11045,HCPCS,OUTPATIENT,,,113,90.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DEBRIDE MUSCLE FASCIA  EA ADDTL,11011046,CDM,982,RC,11046,HCPCS,OUTPATIENT,,,284,227.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DEBRIDE BONE  EA ADDTL,11011047,CDM,982,RC,11047,HCPCS,OUTPATIENT,,,502,401.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TANGENTIAL BIOPSY SKIN SINGLE LESION,11011102,CDM,982,RC,11102,HCPCS,OUTPATIENT,,,422,337.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TANGENTIAL BIOPSY SKIN EA SEP/ADDL,11011103,CDM,982,RC,11103,HCPCS,OUTPATIENT,,,226,180.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PUNCH BIOPSY SKIN EA SEP/ADDL LESION,11011105,CDM,982,RC,11105,HCPCS,OUTPATIENT,,,271,216.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INCISIONAL BIOPSY SKIN SINGLE LESION,11011106,CDM,982,RC,11106,HCPCS,OUTPATIENT,,,601,480.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INCISIONAL BIOPSY SKIN EA SEP/ADDL L,11011107,CDM,982,RC,11107,HCPCS,OUTPATIENT,,,271,216.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DEBRIDE NAIL 6 OR MORE ANY METHOD,11011721,CDM,982,RC,11721,HCPCS,OUTPATIENT,,,96,76.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO AVULSION NAIL PLATE PART/COMPL,11011730,CDM,982,RC,11730,HCPCS,OUTPATIENT,,,226,180.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC NAIL  MATRIX PART  COMPL,11011750,CDM,982,RC,11750,HCPCS,OUTPATIENT,,,467,373.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INSERT NO-BIODEGRADABLE DRUG DEL IMP,11011981,CDM,982,RC,11981,HCPCS,OUTPATIENT,,,549,439.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ADJACENT TISSUE TRANS S/A/L DEFECT,11014021,CDM,982,RC,14021,HCPCS,OUTPATIENT,,,4307,3445.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ADJACENT TISSUE TRANFER F/C/C/M/A/G/,11014040,CDM,982,RC,14040,HCPCS,OUTPATIENT,,,3982,3185.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SX PREP CREATION OF RECIPIENT SITE,11015004,CDM,982,RC,15004,HCPCS,OUTPATIENT,,,1720,1376,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO APP SKN SUBGRFT T/A/L AREA/100SQ CM,11015273,CDM,982,RC,15273,HCPCS,OUTPATIENT,,,731,584.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO APP SKN GRFT F/S/N/H/F/G/M/D <100SQ,11015275,CDM,982,RC,15275,HCPCS,OUTPATIENT,,,751,600.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DESTROY BENIGN/PREMAL LESION,11017000,CDM,982,RC,17000,HCPCS,OUTPATIENT,,,285,228,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DESTROY LESIONS 2-14,11017003,CDM,982,RC,17003,HCPCS,OUTPATIENT,,,63,50.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DESTROY LESIONS 15 OR MORE,11017004,CDM,982,RC,17004,HCPCS,OUTPATIENT,,,424,339.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DESTROY LESION 15 OR MORE,11017111,CDM,982,RC,17111,HCPCS,OUTPATIENT,,,793,634.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INC / DRAIN SOFT TISSUE ABSCESS,11020005,CDM,982,RC,20005,HCPCS,OUTPATIENT,,,978,782.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BIOPSY BONE TROCAR OR NEEDLE SUPERFI,11020220,CDM,982,RC,20220,HCPCS,OUTPATIENT,,,538,430.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVE FOREIGN BODY DEEP COMPLICATED,11020525,CDM,982,RC,20525,HCPCS,OUTPATIENT,,,903,722.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DRAIN/INJECT/JOINT/BURSA,11020600,CDM,982,RC,20600,HCPCS,OUTPATIENT,,,208,166.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BONE GRFT/MAJ/LG,11020650,CDM,982,RC,20650,HCPCS,OUTPATIENT,,,553,442.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REM OF IMPLANT DEEP,11020680,CDM,982,RC,20680,HCPCS,OUTPATIENT,,,1418,1134.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BONE GRFT/MAJ/LG,11020902,CDM,982,RC,20902,HCPCS,OUTPATIENT,,,1955,1564,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ELECTRIC STIM AID BONE HEALING NONIN,11020974,CDM,982,RC,20974,HCPCS,OUTPATIENT,,,734,587.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ELECTRIC STIM AID BONE HEALING INVAS,11020975,CDM,982,RC,20975,HCPCS,OUTPATIENT,,,1418,1134.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INCISION LEG OR ANKLE,11027607,CDM,982,RC,27607,HCPCS,OUTPATIENT,,,2946,2356.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROTOMY ANKLE EXPLORE DRAIN FB,11027610,CDM,982,RC,27610,HCPCS,OUTPATIENT,,,3756,3004.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BIOPSY SOFT TISSUE LEG/ANKLE DEEP,11027614,CDM,982,RC,27614,HCPCS,OUTPATIENT,,,2357,1885.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC TUMOR SOFT TISSUE LE/ANKLE SUBFA,11027619,CDM,982,RC,27619,HCPCS,OUTPATIENT,,,2210,1768,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC TUMOR SOFT TISSUE LEG/ANKLE SUBC,11027632,CDM,982,RC,27632,HCPCS,OUTPATIENT,,,1768,1414.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC/CURETTAGE BONE CYST/B9 TUMOR TIB,11027637,CDM,982,RC,27637,HCPCS,OUTPATIENT,,,4715,3772,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 2 REP TORN COLLAT ANKLE LIGA,11027698,CDM,982,RC,27698,HCPCS,OUTPATIENT,,,5083,4066.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN TX ANKLE DISLOCATION W/WO PERCU,11027846,CDM,982,RC,27846,HCPCS,OUTPATIENT,,,4295,3436,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INCISION/DRAINAGE BURSA/FOOT,11028001,CDM,982,RC,28001,HCPCS,OUTPATIENT,,,513,410.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INCISION/DRAINAGE BELOW/FASCIA,11028002,CDM,982,RC,28002,HCPCS,OUTPATIENT,,,1156,924.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INCISION/DRAINAGE BELOW/FASCIA MULTI,11028003,CDM,982,RC,28003,HCPCS,OUTPATIENT,,,1632,1305.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TENOTOMY TOE SINGLE TENDON,11028010,CDM,982,RC,28010,HCPCS,OUTPATIENT,,,597,477.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TENOTOMY PERCUTANEOUS TOE MULIT TEND,11028011,CDM,982,RC,28011,HCPCS,OUTPATIENT,,,816,652.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROTOMY EXPLORE DRAIN REM LOOSE F,11028022,CDM,982,RC,28022,HCPCS,OUTPATIENT,,,1523,1218.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO RELEASE TARSAL TUNNLE,11028035,CDM,982,RC,28035,HCPCS,OUTPATIENT,,,2720,2176,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC TUMOR SOFT TISSUE FOOT/TOE SUBFA,11028045,CDM,982,RC,28045,HCPCS,OUTPATIENT,,,1796,1436.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO RADICAL RESECTION TUMOR FT/TOE<3CM,11028046,CDM,982,RC,28046,HCPCS,OUTPATIENT,,,3416,2732.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FASCIETOMY PLANTAR FASCIA PARTIAL,11028060,CDM,982,RC,28060,HCPCS,OUTPATIENT,,,1904,1523.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC INTERDIGITAL NEUROMA SINGLE,11028080,CDM,982,RC,28080,HCPCS,OUTPATIENT,,,1741,1392.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC/CURETTAGE BONE CYST OR B9 TUMOR,11028100,CDM,982,RC,28100,HCPCS,OUTPATIENT,,,1254,1003.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC/CURETT BONE CYST B9 TUMOR EXCEPT,11028104,CDM,982,RC,28104,HCPCS,OUTPATIENT,,,1904,1523.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC/CURETT BONE CYST B9 TUMOR AUTOGR,11028106,CDM,982,RC,28106,HCPCS,OUTPATIENT,,,2013,1610.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OSTECTOMY PART EXC 5TH METATARSAL HE,11028110,CDM,982,RC,28110,HCPCS,OUTPATIENT,,,1796,1436.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OSTECTOMY COMPLTE METATARSAL HE,11028112,CDM,982,RC,28112,HCPCS,OUTPATIENT,,,1848,1478.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO METATARSECTOMY,11028140,CDM,982,RC,28140,HCPCS,OUTPATIENT,,,2311,1848.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO RADICAL RESECTION TUMOR TARSAL,11028171,CDM,982,RC,28171,HCPCS,OUTPATIENT,,,2988,2390.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO RADICAL RESECTION TUMOR PHALANX TOE,11028175,CDM,982,RC,28175,HCPCS,OUTPATIENT,,,1904,1523.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP TENDON EXT FT PRIMARY/SECONDARY,11028208,CDM,982,RC,28208,HCPCS,OUTPATIENT,,,1175,940,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REP TENDON EXTENSOR FT SECONDARY,11028210,CDM,982,RC,28210,HCPCS,OUTPATIENT,,,1153,922.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TENOLYSIS FLEXOR FOOT SINGLE TENDON,11028220,CDM,982,RC,28220,HCPCS,OUTPATIENT,,,1305,1044,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TENOLYSIS EXTENSOR FOOT SINGLE TENDO,11028225,CDM,982,RC,28225,HCPCS,OUTPATIENT,,,761,608.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TENOTOMY OPEN TENDON FLEXOR FT SINGL,11028230,CDM,982,RC,28230,HCPCS,OUTPATIENT,,,782,625.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CAPSULOTOMY METATARSOPHAKABGEAK JNT,11028270,CDM,982,RC,28270,HCPCS,OUTPATIENT,,,1355,1084,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CORRECT COCK-UP 5TH TOE W PLASTIC SK,11028286,CDM,982,RC,28286,HCPCS,OUTPATIENT,,,1661,1328.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CORRECT HALLUX VALGUS W SESAMOIDECTO,11028298,CDM,982,RC,28298,HCPCS,OUTPATIENT,,,2523,2018.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OSTEOTOMY SHORTENING ANGULAR ROTATIO,11028310,CDM,982,RC,28310,HCPCS,OUTPATIENT,,,1260,1008,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SESAMOIDECTOMY 1ST TOE SEPARATE PROC,11028315,CDM,982,RC,28315,HCPCS,OUTPATIENT,,,1174,939.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN TREAT CALCANEAL FX INTERNAL FIX,11028415,CDM,982,RC,28415,HCPCS,OUTPATIENT,,,4059,3247.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN TREAT TARSAL BONE FX,11028465,CDM,982,RC,28465,HCPCS,OUTPATIENT,,,1895,1516,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN TREAT FX PHALANX PHALANGES,11028525,CDM,982,RC,28525,HCPCS,OUTPATIENT,,,1462,1169.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN TX TARSAL BONE DISLOCATION,11028555,CDM,982,RC,28555,HCPCS,OUTPATIENT,,,2084,1667.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CL TX METATARSOLPHALANGEAL DISLOCATI,11028635,CDM,982,RC,28635,HCPCS,OUTPATIENT,,,487,389.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CL TX METATARSOLPHALANGEAL DISL ANES,11028645,CDM,982,RC,28645,HCPCS,OUTPATIENT,,,1570,1256,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CL TX INTERPHALANGEAL DISLOCATION,11028675,CDM,982,RC,28675,HCPCS,OUTPATIENT,,,1252,1001.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHRODESIS PANTALAR,11028705,CDM,982,RC,28705,HCPCS,OUTPATIENT,,,3006,2404.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHRODESIS MIDTARS TAROMETATARS 1 J,11028740,CDM,982,RC,28740,HCPCS,OUTPATIENT,,,2599,2079.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHRODESIS GREAT TOE MTP JNT,11028750,CDM,982,RC,28750,HCPCS,OUTPATIENT,,,2381,1904.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHRODESIS GRT TOE INTERPHALENGEAL,11028755,CDM,982,RC,28755,HCPCS,OUTPATIENT,,,2087,1669.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHRODESIS W EXTENSOR HALLUCIS LONG,11028760,CDM,982,RC,28760,HCPCS,OUTPATIENT,,,2139,1711.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO AMPUTATION FOOT TRANSMETATARSAL,11028805,CDM,982,RC,28805,HCPCS,OUTPATIENT,,,2328,1862.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO AMPUTATION METATARSAL W TOE SINGLE,11028810,CDM,982,RC,28810,HCPCS,OUTPATIENT,,,938,750.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PARTIAL AMPUTATE TOE,11028825,CDM,982,RC,28825,HCPCS,OUTPATIENT,,,1625,1300,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN TX CALCANEAL FX INTERNAL FIX BO,11029420,CDM,982,RC,28420,HCPCS,OUTPATIENT,,,4917,3933.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO APPLY SHORT LEG CAST,11029425,CDM,982,RC,29425,HCPCS,OUTPATIENT,,,350,280,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROSCOPY ANKLE SURG EXC DEFECT,11029891,CDM,982,RC,29891,HCPCS,OUTPATIENT,,,4045,3236,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROSCOPY ANKLE SURG EXC DEBRIDEME,11029898,CDM,982,RC,29898,HCPCS,OUTPATIENT,,,3667,2933.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO US ENT THYROID/SOFT TISSUE NECK,11076536,CDM,982,RC,76536,HCPCS,OUTPATIENT,,,308,246.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CHRNC CARE MGMT MIN. OF 30MIN PR MO,11099491,CDM,982,RC,99491,HCPCS,OUTPATIENT,,,301,240.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SIGMOIDOSCOPY SCREENING,12600104,CDM,982,RC,G0104,HCPCS,OUTPATIENT,,,158,126.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COLONOSCOPY SCREENING HIGH RISK,12600105,CDM,982,RC,G0105,HCPCS,OUTPATIENT,,,853,682.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COLONOSCOPY SCREENING NOT HIGH RISK,12600121,CDM,982,RC,G0121,HCPCS,OUTPATIENT,,,963,770.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EGD W/INJ ANY SUBSTANCE,12643236,CDM,982,RC,43236,HCPCS,OUTPATIENT,,,332,265.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ESOPHAGEAL VARICES INJ SCLEROSING/AN,12643243,CDM,982,RC,43243,HCPCS,OUTPATIENT,,,981,784.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EGD GASTRO/DUODENO DILATION,12643245,CDM,982,RC,43245,HCPCS,OUTPATIENT,,,513,410.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ESOPH ENDOSCOPY DIALTION,12643249,CDM,982,RC,43249,HCPCS,OUTPATIENT,,,436,348.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO GASTROSCOPY W/HEMOSTASIS,12643255,CDM,982,RC,43255,HCPCS,OUTPATIENT,,,906,724.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COLONOSCOPY STOMA W REM BY HBF/BPC,12644392,CDM,982,RC,44392,HCPCS,OUTPATIENT,,,1221,976.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FLEXIBLE SIGMOIDOSCOPY,12645330,CDM,982,RC,45330,HCPCS,OUTPATIENT,,,360,288,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FLEXIBLE SIGMOIDOSCOPY W BIOPSY,12645331,CDM,982,RC,45331,HCPCS,OUTPATIENT,,,246,196.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FLEXIBLE SIGMOID W SNARE,12645338,CDM,982,RC,45338,HCPCS,OUTPATIENT,,,373,298.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COLONOSCOPY,12645378,CDM,982,RC,45378,HCPCS,OUTPATIENT,,,939,751.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COLONOSCOPY W/BIOPSY,12645380,CDM,982,RC,45380,HCPCS,OUTPATIENT,,,1181,944.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COLONOSCOPY W/DIRECTED SUBMUCOSAL IN,12645381,CDM,982,RC,45381,HCPCS,OUTPATIENT,,,791,632.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COLONOSCOPY W HEMOSTASIS,12645382,CDM,982,RC,45382,HCPCS,OUTPATIENT,,,1059,847.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COLONOSCOPY LESION REMOVAL HOT,12645384,CDM,982,RC,45384,HCPCS,OUTPATIENT,,,1163,930.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO HEMMORROIDECTOMY RUBBER BAND,12646221,CDM,982,RC,46221,HCPCS,OUTPATIENT,,,693,554.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYSTO W REM FB/STNT COMPLICATED,12652315,CDM,982,RC,52315,HCPCS,OUTPATIENT,,,1290,1032,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO IMPLANT OF CARDIAC EVENT MONITOR,12833282,CDM,982,RC,33282,HCPCS,OUTPATIENT,,,1448,1158.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVAL OF IMPLANTED CARDIAC EVENT M,12833284,CDM,982,RC,33284,HCPCS,OUTPATIENT,,,1281,1024.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYSTOTOMY CYSTOTOMY W DRAINAGE,12851040,CDM,982,RC,51040,HCPCS,OUTPATIENT,,,3106,2484.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COMP CYSTOMETROGRAM,12851726,CDM,982,RC,51726,HCPCS,OUTPATIENT,,,849,679.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COMP CYSTOMETROGRAM W/UP,12851727,CDM,982,RC,51727,HCPCS,OUTPATIENT,,,839,671.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COMP CYSTOMETROGRAM W/VP,12851728,CDM,982,RC,51728,HCPCS,OUTPATIENT,,,1011,808.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COMP CYSTOMETROGRAM W/VPUP,12851729,CDM,982,RC,51729,HCPCS,OUTPATIENT,,,910,728,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COMPL UROFLOWMETRY,12851741,CDM,982,RC,51741,HCPCS,OUTPATIENT,,,50,40,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EMG/ANAL/URETHR/SPHINCT NOT NEEDLE,12851784,CDM,982,RC,51784,HCPCS,OUTPATIENT,,,617,493.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NEEDLE EMG/ANAL/URETHRAL/SPHINCTER,12851785,CDM,982,RC,51785,HCPCS,OUTPATIENT,,,822,657.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INTRAABDOMINAL/PRESSURE TEST,12851797,CDM,982,RC,51797,HCPCS,OUTPATIENT,,,359,287.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO LIGATE SPERM DUCT,12855450,CDM,982,RC,55450,HCPCS,OUTPATIENT,,,949,759.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CATHETERIZATION W INTRODUCTION SALIN,12858340,CDM,982,RC,58340,HCPCS,OUTPATIENT,,,133,106.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO HYSTEROSCOPY BILAT STERILZATION,12858565,CDM,982,RC,58565,HCPCS,OUTPATIENT,,,965,772,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CHEMODENERVATION FACIAL NERVE UNI,12864612,CDM,982,RC,64612,HCPCS,OUTPATIENT,,,351,280.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CHEMODENERVATION CERVICAL SPINAL BI,12864615,CDM,982,RC,64615,HCPCS,OUTPATIENT,,,564,451.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Fee 12017 SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM,15012017,CDM,982,RC,12017,HCPCS,OUTPATIENT,,,838,670.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro 27560 CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA,15127560,CDM,982,RC,27560,HCPCS,OUTPATIENT,,,635,508,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVE TONSILS  ADENOIDS 12  OVER,22502821,CDM,982,RC,42821,HCPCS,OUTPATIENT,,,1479,1183.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
10021 FINE NEEDLE ASPIRATION; WITHOUT IMAGING GUID,22510021,CDM,982,RC,10021,HCPCS,OUTPATIENT,,,386,308.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ID ABCESS SIMPLE/SINGLE,22510060,CDM,982,RC,10060,HCPCS,OUTPATIENT,,,298,238.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ID ABSC COMPOR MULTI,22510061,CDM,982,RC,10061,HCPCS,OUTPATIENT,,,363,290.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
10080 INCISION AND DRAINAGE OF PILONIDAL CYST; SIMPLE ProFee,22510080,CDM,982,RC,10080,HCPCS,OUTPATIENT,,,188,150.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
11001 DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR INFECTED SKIN; EACH ADDITIONAL 10% OF THE BODY ProFee,22511001,CDM,982,RC,11001,HCPCS,OUTPATIENT,,,35,28,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DBRDMT SKN SUBQ T/M/F NECRO INFCTJ G,22511004,CDM,982,RC,11004,HCPCS,OUTPATIENT,,,1444,1155.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
11010 DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/ ProFee,22511010,CDM,982,RC,11010,HCPCS,OUTPATIENT,,,1061,848.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
11011 DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/ ProFee,22511011,CDM,982,RC,11011,HCPCS,OUTPATIENT,,,1838,1470.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
11012 DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/ ProFee,22511012,CDM,982,RC,11012,HCPCS,OUTPATIENT,,,1568,1254.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DEBRIDE SKIN  SUBCUTANEOUS TISSUE,22511042,CDM,982,RC,11042,HCPCS,OUTPATIENT,,,397,317.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DEBRIDE SKIN TO MUSCLE,22511043,CDM,982,RC,11043,HCPCS,OUTPATIENT,,,870,696,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
11044 DEBRIDEMENT| BONE (INCLUDES EPIDERMIS| DERMIS| SUBCUTANEOUS TISSUE| MUSCLE AND/OR FASC ProFee,22511044,CDM,982,RC,11044,HCPCS,OUTPATIENT,,,1416,1132.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
11055 PARING OR CUTTING OF BENIGN HYPERKERATOTIC LESION (EG| CORN OR CALLUS); SINGLE LESION ProFee,22511055,CDM,982,RC,11055,HCPCS,OUTPATIENT,,,69,55.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
11056 PARING OR CUTTING OF BENIGN HYPERKERATOTIC LESION (EG| CORN OR CALLUS); 2 TO 4 LESIONS ProFee,22511056,CDM,982,RC,11056,HCPCS,OUTPATIENT,,,74,59.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PUNCH BIOPSY SKIN SINGLE LESION,22511104,CDM,982,RC,11104,HCPCS,OUTPATIENT,,,542,433.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
11106 INCISIONAL BIOPSY SKIN SINGLE LESION ProFee,22511106,CDM,982,RC,11106,HCPCS,OUTPATIENT,,,601,480.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SHVG SKIN LSN 1 TRUNK/ARM/LEG DIA .6,22511301,CDM,982,RC,11301,HCPCS,OUTPATIENT,,,229,183.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
11302 SHAVING OF EPIDERMAL OR DERMAL LESION| SINGL,22511302,CDM,982,RC,11302,HCPCS,OUTPATIENT,,,179,143.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SHAVING SKN LSN 1 S/N/H/F/G 0.5CM/<,22511305,CDM,982,RC,11305,HCPCS,OUTPATIENT,,,202,161.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
11310 SHAVING OF EPIDERMAL OR DERMAL LESION| SINGLE LESION| FACE| EARS| EYELIDS| NOSE| LIPS| ProFee,22511310,CDM,982,RC,11310,HCPCS,OUTPATIENT,,,209,167.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
11311 SHAVING OF EPIDERMAL OR DERMAL LESION| SINGL,22511311,CDM,982,RC,11311,HCPCS,OUTPATIENT,,,202,161.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SHAVNG SKN LSN 1 F/E/E/N/L/M DM >2CM,22511313,CDM,982,RC,11313,HCPCS,OUTPATIENT,,,187,149.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
11400 EXCISION| BENIGN LESION INCLUDING MARGINS| EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE)| ProFee,22511400,CDM,982,RC,11400,HCPCS,OUTPATIENT,,,161,128.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INJECT INTRALESIONAL </w 7 LESIONS,22511900,CDM,982,RC,11900,HCPCS,OUTPATIENT,,,189,151.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
11976 REMOVAL| IMPLANTABLE CONTRACEPTIVE CAPSULES ProFee,22511976,CDM,982,RC,11976,HCPCS,OUTPATIENT,,,243,194.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
11982 REMOVAL| NON-BIODEGRADABLE DRUG DELIVERY IMP,22511982,CDM,982,RC,11982,HCPCS,OUTPATIENT,,,352,281.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
12002 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP| NECK| AXILLAE| EXTERNAL GENITALIA| TRUNK ProFee,22512002,CDM,982,RC,12002,HCPCS,OUTPATIENT,,,296,236.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
12004 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP| NECK| AXILLAE| EXTERNAL GENITALIA| TRUNK ProFee,22512004,CDM,982,RC,12004,HCPCS,OUTPATIENT,,,350,280,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
12006 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP| NECK| AXILLAE| EXTERNAL GENITALIA| TRUNK ProFee,22512006,CDM,982,RC,12006,HCPCS,OUTPATIENT,,,573,458.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
12007 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP| NECK| AXILLAE| EXTERNAL GENITALIA| TRUNK ProFee,22512007,CDM,982,RC,12007,HCPCS,OUTPATIENT,,,377,301.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
12011 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE| EARS| EYELIDS| NOSE| LIPS AND/OR MUCOUS M ProFee,22512011,CDM,982,RC,12011,HCPCS,OUTPATIENT,,,245,196,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
12014 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE| EARS| EYELIDS| NOSE| LIPS AND/OR MUCOUS M ProFee,22512014,CDM,982,RC,12014,HCPCS,OUTPATIENT,,,396,316.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
12015 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE| EARS| EYELIDS| NOSE| LIPS AND/OR MUCOUS M ProFee,22512015,CDM,982,RC,12015,HCPCS,OUTPATIENT,,,460,368,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
12016 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE| EARS| EYELIDS| NOSE| LIPS AND/OR MUCOUS M ProFee,22512016,CDM,982,RC,12016,HCPCS,OUTPATIENT,,,552,441.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TREAT SUPERFICIAL WOUND PACKING,22512021,CDM,982,RC,12021,HCPCS,OUTPATIENT,,,335,268,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
12035 REPAIR| INTERMEDIATE| WOUNDS OF SCALP| AXILLAE| TRUNK AND/OR EXTREMITIES (EXCLUDING HA ProFee,22512035,CDM,982,RC,12035,HCPCS,OUTPATIENT,,,964,771.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro 12036 Repair| intermediate; wounds of scalp| axil,22512036,CDM,982,RC,12036,HCPCS,OUTPATIENT,,,1088,870.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
12037 REPAIR| INTERMEDIATE| WOUNDS OF SCALP| AXILLAE| TRUNK AND/OR EXTREMITIES (EXCLUDING HA ProFee,22512037,CDM,982,RC,12037,HCPCS,OUTPATIENT,,,523,418.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
12044 REPAIR| INTERMEDIATE| WOUNDS OF NECK| HANDS| FEET AND/OR EXTERNAL GENITALIA; 7.6 CM TO ProFee,22512044,CDM,982,RC,12044,HCPCS,OUTPATIENT,,,839,671.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
12053 REPAIR| INTERMEDIATE| WOUNDS OF FACE| EARS| EYELIDS| NOSE| LIPS AND/OR MUCOUS MEMBRANE ProFee,22512053,CDM,982,RC,12053,HCPCS,OUTPATIENT,,,964,771.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
12056 REPAIR| INTERMEDIATE| WOUNDS OF FACE| EARS| EYELIDS| NOSE| LIPS AND/OR MUCOUS MEMBRANE ProFee,22512056,CDM,982,RC,12056,HCPCS,OUTPATIENT,,,654,523.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
13100 REPAIR| COMPLEX| TRUNK; 1.1 CM TO 2.5 CM ProFee,22513100,CDM,982,RC,13100,HCPCS,OUTPATIENT,,,350,280,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
13101 REPAIR| COMPLEX| TRUNK; 2.6 CM TO 7.5 CM ProFee,22513101,CDM,982,RC,13101,HCPCS,OUTPATIENT,,,441,352.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
13120 REPAIR| COMPLEX| SCALP| ARMS| AND/OR LEGS; 1.1 CM TO 2.5 CM ProFee,22513120,CDM,982,RC,13120,HCPCS,OUTPATIENT,,,519,415.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
13122 REPAIR| COMPLEX| SCALP| ARMS| AND/OR LEGS; EACH ADDITIONAL 5 CM OR LESS (LIST SEPARATE ProFee,22513122,CDM,982,RC,13122,HCPCS,OUTPATIENT,,,167,133.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
13151 REPAIR| COMPLEX| EYELIDS| NOSE| EARS AND/OR LIPS; 1.1 CM TO 2.5 CM ProFee,22513151,CDM,982,RC,13151,HCPCS,OUTPATIENT,,,524,419.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
13152 REPAIR| COMPLEX| EYELIDS| NOSE| EARS AND/OR LIPS; 2.6 CM TO 7.5 CM ProFee,22513152,CDM,982,RC,13152,HCPCS,OUTPATIENT,,,736,588.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
13153 REPAIR| COMPLEX| EYELIDS| NOSE| EARS AND/OR LIPS; EACH ADDITIONAL 5 CM OR LESS (LIST S ProFee,22513153,CDM,982,RC,13153,HCPCS,OUTPATIENT,,,268,214.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ADJ TIS TRNSFR/REARRGMT E/N/E/L DFCT,22514060,CDM,982,RC,14060,HCPCS,OUTPATIENT,,,3075,2460,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 14061 ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM,22514061,CDM,982,RC,14061,HCPCS,OUTPATIENT,,,3010,2408,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Fee 15260 Full thickness graft| free| direct closure,22515260,CDM,982,RC,15260,HCPCS,OUTPATIENT,,,1679,1343.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO APP SKN SUB GRFT T/A/L AREA/100SQ CM,22515271,CDM,982,RC,15271,HCPCS,OUTPATIENT,,,232,185.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO APPLY SKIN SUB GRAFT UP TO 100SQ CM,22515272,CDM,982,RC,15272,HCPCS,OUTPATIENT,,,197,157.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Application of skin substitute graft to trunk| arms| legs| t,22515274,CDM,982,RC,15274,HCPCS,OUTPATIENT,,,258,206.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO GRAFT DERMA-FAT-FASCIA,22515770,CDM,982,RC,15770,HCPCS,OUTPATIENT,,,1631,1304.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
15822 BLEPHAROPLASTY| UPPER EYELID; ProFee,22515822,CDM,982,RC,15822,HCPCS,OUTPATIENT,,,1332,1065.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
16000 INITIAL TREATMENT| FIRST DEGREE BURN| WHEN NO MORE THAN LOCAL TREATMENT IS REQUIRED ProFee,22516000,CDM,982,RC,16000,HCPCS,OUTPATIENT,,,141,112.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
16020 DRESSINGS AND/OR DEBRIDEMENT OF PARTIAL-THIC Pro,22516020,CDM,982,RC,16020,HCPCS,OUTPATIENT,,,272,217.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
16025 DRESSINGS AND/OR DEBRIDE OF PARTIAL-THIC Pro,22516025,CDM,982,RC,16025,HCPCS,OUTPATIENT,,,377,301.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
16030 DRESSINGS AND/OR DEBRIDEMENT OF PARTIAL-THICKNESS BURNS| INITIAL OR SUBSEQUENT; LARGE ProFee,22516030,CDM,982,RC,16030,HCPCS,OUTPATIENT,,,453,362.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CHEMICAL CAUTERY GRANULATION TISSUE,22517250,CDM,982,RC,17250,HCPCS,OUTPATIENT,,,141,112.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FEE 17260 DESTRUCTION| MALIGNANT LESION (EG| LASER SUR,22517260,CDM,982,RC,17260,HCPCS,OUTPATIENT,,,334,267.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Fee 17261 DESTRUCTION| MALIGNANT LESION (EG| LASER SURG,22517261,CDM,982,RC,17261,HCPCS,OUTPATIENT,,,300,240,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DESTRUCTION MAL LESION TRUNK/ARM/LEG,22517262,CDM,982,RC,17262,HCPCS,OUTPATIENT,,,240,192,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
17263 DESTRUCTION| MALIGNANT LESION Pro Fee,22517263,CDM,982,RC,17263,HCPCS,OUTPATIENT,,,578,462.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 17264 DESTRUCTION| MALIGNANT LESION (EG| LASER SUR,22517264,CDM,982,RC,17264,HCPCS,OUTPATIENT,,,513,410.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 17266 DESTRUCTION| MALIGNANT LESION (EG| LASER SUR,22517266,CDM,982,RC,17266,HCPCS,OUTPATIENT,,,615,492,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
17273 Destruction| malignant lesion 2.1 to 3.0 Pro Fee,22517273,CDM,982,RC,17273,HCPCS,OUTPATIENT,,,396,316.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Destruction| malignant lesion (eg| laser surgery| elect,22517284,CDM,982,RC,17284,HCPCS,OUTPATIENT,,,636,508.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BX BREAST PERCUTANEOUS NEEDLE,22519100,CDM,982,RC,19100,HCPCS,OUTPATIENT,,,413,330.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
19281 PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (,22519281,CDM,982,RC,19281,HCPCS,OUTPATIENT,,,369,295.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
19285 PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG| CLIP|,22519285,CDM,982,RC,19285,HCPCS,OUTPATIENT,,,669,535.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
20103 EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE); EXTREMITY ProFee,22520103,CDM,982,RC,20103,HCPCS,OUTPATIENT,,,925,740,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
20526 INJECTION| THERAPEUTIC (EG| LOCAL ANESTHETIC| CORTICOSTEROID)| CARPAL TUNNEL ProFee,22520526,CDM,982,RC,20526,HCPCS,OUTPATIENT,,,147,117.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
20552 INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S)| 1 OR 2 MUSCLE(S) ProFee,22520552,CDM,982,RC,20552,HCPCS,OUTPATIENT,,,168,134.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
20553 INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S)| 3 OR MORE MUSCLES ProFee,22520553,CDM,982,RC,20553,HCPCS,OUTPATIENT,,,156,124.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHRO INTER JOINT BURSA,22520605,CDM,982,RC,20605,HCPCS,OUTPATIENT,,,215,172,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DRAIN/INJ/JNT/BURSA,22520610,CDM,982,RC,20610,HCPCS,OUTPATIENT,,,195,156,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
20612 ASPIRATION AND/OR INJECTION OF GANGLION CYST(S) ANY LOCATION ProFee,22520612,CDM,982,RC,20612,HCPCS,OUTPATIENT,,,113,90.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
20950 MONITORING OF INTERSTITIAL FLUID PRESSURE (INCLUDES INSERTION OF DEVICE| EG| WICK CATH ProFee,22520950,CDM,982,RC,20950,HCPCS,OUTPATIENT,,,198,158.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXCISION TUMOR SOFT TISS FACE/SCALP,22521011,CDM,982,RC,21011,HCPCS,OUTPATIENT,,,632,505.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
21315 CLOSED TREATMENT OF NASAL BONE FRACTURE; WITHOUT STABILIZATION ProFee,22521315,CDM,982,RC,21315,HCPCS,OUTPATIENT,,,316,252.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
21320 CLOSED TREATMENT OF NASAL BONE FRACTURE; WITH STABILIZATION ProFee,22521320,CDM,982,RC,21320,HCPCS,OUTPATIENT,,,962,769.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
21480 CLOSED TREATMENT OF TEMPOROMANDIBULAR DISLOCATION; INITIAL OR SUBSEQUENT ProFee,22521480,CDM,982,RC,21480,HCPCS,OUTPATIENT,,,77,61.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Fee 21550 Biopsy| soft tissue of neck or thorax,22521550,CDM,982,RC,21550,HCPCS,OUTPATIENT,,,570,456,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro 21899 UNLISTED PROCEDURE| NECK OR THORAX,22521899,CDM,982,RC,21899,HCPCS,OUTPATIENT,,,479,383.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Fee 22903 Excision tumor soft tissue of abdominal wall|,22522903,CDM,982,RC,22903,HCPCS,OUTPATIENT,,,986,788.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
23330 REMOVAL OF FOREIGN BODY| SHOULDER; SUBCUTANEOUS ProFee,22523330,CDM,982,RC,23330,HCPCS,OUTPATIENT,,,627,501.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
23500 CLOSED TREATMENT OF CLAVICULAR FRACTURE; WITHOUT MANIPULATION ProFee,22523500,CDM,982,RC,23500,HCPCS,OUTPATIENT,,,337,269.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CL TX SCAPULAR FX WO MANIPULATION,22523570,CDM,982,RC,23570,HCPCS,OUTPATIENT,,,383,306.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
23575 CLOSED TREATMENT OF SCAPULAR FRACTURE; WITH MANIPULATION| WITH OR WITHOUT SKELETAL TRA ProFee,22523575,CDM,982,RC,23575,HCPCS,OUTPATIENT,,,896,716.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CL TX PROXIMAL HUMERAL FX WO MANIPUL,22523600,CDM,982,RC,23600,HCPCS,OUTPATIENT,,,1646,1316.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
23650 CLOSED TREATMENT OF SHOULDER DISLOCATION| WITH MANIPULATION; WITHOUT ANESTHESIA ProFee,22523650,CDM,982,RC,23650,HCPCS,OUTPATIENT,,,966,772.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
23655 CLOSED TREATMENT OF SHOULDER DISLOCATION| WITH MANIPULATION; REQUIRING ANESTHESIA ProFee,22523655,CDM,982,RC,23655,HCPCS,OUTPATIENT,,,1352,1081.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CLTX SHLDR DISLC W/FX HUMERAL TUBRST,22523665,CDM,982,RC,23665,HCPCS,OUTPATIENT,,,1173,938.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
23931 INCISION AND DRAINAGE| UPPER ARM OR ELBOW AREA; BURSA,22523931,CDM,982,RC,23931,HCPCS,OUTPATIENT,,,509,407.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHRT ELBOW W/EXPLORATION DRNG/REMO,22524000,CDM,982,RC,24000,HCPCS,OUTPATIENT,,,1162,929.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BX SOFT TISSUE UPPER ARM/ELBOW,22524065,CDM,982,RC,24065,HCPCS,OUTPATIENT,,,360,288,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TENOTOMY OPN ELBOW TO SHLDR EA TEN,22524310,CDM,982,RC,24310,HCPCS,OUTPATIENT,,,1395,1116,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TX HUMEROUS FX,22524500,CDM,982,RC,24500,HCPCS,OUTPATIENT,,,1251,1000.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
24505 CLOSED TREATMENT OF HUMERAL SHAFT FRACTURE; WITH MANIPULATION| WITH OR WITHOUT SKELETA ProFee,22524505,CDM,982,RC,24505,HCPCS,OUTPATIENT,,,1729,1383.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CL TX EC HUMERUS FX WO MANIP,22524560,CDM,982,RC,24560,HCPCS,OUTPATIENT,,,612,489.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 24576 CLOSED TREATMENT OF HUMERAL CONDYLAR FRACTUR,22524576,CDM,982,RC,24576,HCPCS,OUTPATIENT,,,887,709.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
24600 TREATMENT OF CLOSED ELBOW DISLOCATION; WITHOUT ANESTHESIA ProFee,22524600,CDM,982,RC,24600,HCPCS,OUTPATIENT,,,1432,1145.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
24605 TREATMENT OF CLOSED ELBOW DISLOCATION; REQUIRING ANESTHESIA ProFee,22524605,CDM,982,RC,24605,HCPCS,OUTPATIENT,,,1791,1432.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
24640 CLOSED TREATMENT OF RADIAL HEAD SUBLUXATION IN CHILD| NURSEMAID ELBOW| WITH MANIPULATI ProFee,22524640,CDM,982,RC,24640,HCPCS,OUTPATIENT,,,669,535.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
24650 CLOSED TREATMENT OF RADIAL HEAD OR NECK FRACTURE; WITHOUT MANIPULATION ProFee,22524650,CDM,982,RC,24650,HCPCS,OUTPATIENT,,,719,575.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
24655 CLOSED TREATMENT OF RADIAL HEAD OR NECK FRACTURE; WITH MANIPULATION ProFee,22524655,CDM,982,RC,24655,HCPCS,OUTPATIENT,,,1119,895.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
24670 CLOSED TREATMENT OF ULNAR FRACTURE| PROXIMAL END (EG| OLECRANON OR CORONOID PROCESS[ES ProFee,22524670,CDM,982,RC,24670,HCPCS,OUTPATIENT,,,563,450.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DCMPRN FASCT F/ARMWRST FLXR/XTNSR W,22525020,CDM,982,RC,25020,HCPCS,OUTPATIENT,,,1804,1443.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO RPR TDN/MUSC FLXR F/ARM/WRST PRIM,22525260,CDM,982,RC,25260,HCPCS,OUTPATIENT,,,2779,2223.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TNOLS FLXR/XTNSR TNDN FRARM/WRIST 1,22525295,CDM,982,RC,25295,HCPCS,OUTPATIENT,,,1834,1467.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REPAIR WRIST JOINT(S),22525447,CDM,982,RC,25447,HCPCS,OUTPATIENT,,,3125,2500,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
25500 CLOSED TREATMENT OF RADIAL SHAFT FRACTURE; WITHOUT MANIPULATION ProFee,22525500,CDM,982,RC,25500,HCPCS,OUTPATIENT,,,368,294.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
25515 OPEN TREATMENT OF RADIAL SHAFT FRACTURE| INCLUDES INTERNAL FIXATION| WHEN PERFORMED ProFee,22525515,CDM,982,RC,25515,HCPCS,OUTPATIENT,,,921,736.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
25525 OPEN TREATMENT OF RADIAL SHAFT FRACTURE| INCLUDES INTERNAL FIXATION| WHEN PERFORMED| A ProFee,22525525,CDM,982,RC,25525,HCPCS,OUTPATIENT,,,1058,846.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
25526 OPEN TREATMENT OF RADIAL SHAFT FRACTURE| INCLUDES INTERNAL FIXATION| WHEN PERFORMED| A ProFee,22525526,CDM,982,RC,25526,HCPCS,OUTPATIENT,,,1241,992.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
25530 CLOSED TREATMENT OF ULNAR SHAFT FRACTURE; WITHOUT MANIPULATION ProFee,22525530,CDM,982,RC,25530,HCPCS,OUTPATIENT,,,340,272,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
25535 CLOSED TREATMENT OF ULNAR SHAFT FRACTURE; WITH MANIPULATION ProFee,22525535,CDM,982,RC,25535,HCPCS,OUTPATIENT,,,782,625.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
25545 OPEN TREATMENT OF ULNAR SHAFT FRACTURE| INCLUDES INTERNAL FIXATION| WHEN PERFORMED ProFee,22525545,CDM,982,RC,25545,HCPCS,OUTPATIENT,,,921,736.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
25560 CLOSED TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES; WITHOUT MANIPULATION ProFee,22525560,CDM,982,RC,25560,HCPCS,OUTPATIENT,,,386,308.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
25565 CLOSED TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES; WITH MANIPULATION ProFee,22525565,CDM,982,RC,25565,HCPCS,OUTPATIENT,,,1804,1443.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
25574 OPEN TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES| WITH INTERNAL FIXATION| WHEN PERFO ProFee,22525574,CDM,982,RC,25574,HCPCS,OUTPATIENT,,,2561,2048.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
25575 OPEN TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES| WITH INTERNAL FIXATION| WHEN PERFO ProFee,22525575,CDM,982,RC,25575,HCPCS,OUTPATIENT,,,3413,2730.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
25605 CLOSED TREATMENT OF DISTAL RADIAL FRACTURE PRO FEE,22525605,CDM,982,RC,25605,HCPCS,OUTPATIENT,,,1069,855.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
25660 CLOSED TREATMENT OF RADIOCARPAL OR INTERCARPAL DISLOCATION| 1 OR MORE BONES| WITH MANI ProFee,22525660,CDM,982,RC,25660,HCPCS,OUTPATIENT,,,987,789.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
25675 CLOSED TREATMENT OF DISTAL RADIOULNAR DISLOCATION WITH MANIPULATION ProFee,22525675,CDM,982,RC,25675,HCPCS,OUTPATIENT,,,699,559.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26010 DRAINAGE OF FINGER ABSCESS; SIMPLE ProFee,22526010,CDM,982,RC,26010,HCPCS,OUTPATIENT,,,579,463.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26011 DRAINAGE OF FINGER ABSCESS; COMPL Pro Fee,22526011,CDM,982,RC,26011,HCPCS,OUTPATIENT,,,782,625.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXCISION HAND BONE LESION,22526200,CDM,982,RC,26200,HCPCS,OUTPATIENT,,,1323,1058.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO Fee 26210 EXC OR CURT OF BONE CYST OR BENIGN TUMOR OF,22526210,CDM,982,RC,26210,HCPCS,OUTPATIENT,,,1198,958.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26340 MANIPULATION| FINGER JOINT| UNDER ANESTHESIA| EACH JOINT ProFee,22526340,CDM,982,RC,26340,HCPCS,OUTPATIENT,,,537,429.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26410 REPAIR| EXTENSOR TENDON| HAND| PRIMARY OR SECONDARY; WITHOUT FREE GRAFT| EACH TENDON ProFee,22526410,CDM,982,RC,26410,HCPCS,OUTPATIENT,,,1551,1240.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26418 REPAIR| EXTENSOR TENDON| FINGER| PRIMARY OR SECONDARY; WITHOUT FREE GRAFT| EACH TENDON ProFee,22526418,CDM,982,RC,26418,HCPCS,OUTPATIENT,,,2209,1767.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26605 CLOSED TREATMENT OF METACARPAL FRACTURE| SINGLE; WITH MANIPULATION| EACH BONE ProFee,22526605,CDM,982,RC,26605,HCPCS,OUTPATIENT,,,1238,990.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26641 CLOSED TREATMENT OF CARPOMETACARPAL DISLOCATION| THUMB| WITH MANIPULATION ProFee,22526641,CDM,982,RC,26641,HCPCS,OUTPATIENT,,,593,474.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26645 CLOSED TREATMENT OF CARPOMETACARPAL FRACTURE DISLOCATION| THUMB (BENNETT FRACTURE)| WI ProFee,22526645,CDM,982,RC,26645,HCPCS,OUTPATIENT,,,823,658.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26670 CLOSED TREATMENT OF CARPOMETACARPAL DISLOCATION| OTHER THAN THUMB| WITH MANIPULATION| ProFee,22526670,CDM,982,RC,26670,HCPCS,OUTPATIENT,,,983,786.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26675 CLOSED TREATMENT OF CARPOMETACARPAL DISLOCATION| OTHER THAN THUMB| WITH MANIPULATION| ProFee,22526675,CDM,982,RC,26675,HCPCS,OUTPATIENT,,,874,699.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26700 CLOSED TREATMENT OF METACARPOPHALANGEAL DISLOCATION| SINGLE| WITH MANIPULATION; WITHOU ProFee,22526700,CDM,982,RC,26700,HCPCS,OUTPATIENT,,,657,525.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26720 CLOSED TREATMENT OF PHALANGEAL SHAFT FRACTURE| PROXIMAL OR MIDDLE PHALANX| FINGER OR T ProFee,22526720,CDM,982,RC,26720,HCPCS,OUTPATIENT,,,767,613.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26725 CLOSED TREATMENT OF PHALANGEAL SHAFT FRACTURE| PROXIMAL OR MIDDLE PHALANX| FINGER OR T ProFee,22526725,CDM,982,RC,26725,HCPCS,OUTPATIENT,,,1630,1304,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26740 CLOSED TREATMENT OF ARTICULAR FRACTURE| INVOLVING METACARPOPHALANGEAL OR INTERPHALANGE ProFee,22526740,CDM,982,RC,26740,HCPCS,OUTPATIENT,,,440,352,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26742 CLOSED TREATMENT OF ARTICULAR FRACTURE| INVOLVING METACARPOPHALANGEAL OR INTERPHALANGE ProFee,22526742,CDM,982,RC,26742,HCPCS,OUTPATIENT,,,709,567.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26750 CLOSED TREATMENT OF DISTAL PHALANGEAL FRACTURE| FINGER OR THUMB; WITHOUT MANIPULATION| ProFee,22526750,CDM,982,RC,26750,HCPCS,OUTPATIENT,,,277,221.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26755 CLOSED TREATMENT OF DISTAL PHALANGEAL FRACTURE| FINGER OR THUMB; WITH MANIPULATION| EA ProFee,22526755,CDM,982,RC,26755,HCPCS,OUTPATIENT,,,542,433.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26770 CLOSED TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION| SINGLE| WITH MANIPULATION; WITH ProFee,22526770,CDM,982,RC,26770,HCPCS,OUTPATIENT,,,1091,872.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26775 CLOSED TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION| SINGLE| WITH MANIPULATION; REQU ProFee,22526775,CDM,982,RC,26775,HCPCS,OUTPATIENT,,,917,733.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHRD CARP/METCRPL JT THUMB W/WO IN,22526841,CDM,982,RC,26841,HCPCS,OUTPATIENT,,,2124,1699.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26951 AMPUTATION| FINGER OR THUMB| PRIMARY OR SECONDARY| ANY JOINT OR PHALANX| SINGLE| INCLU ProFee,22526951,CDM,982,RC,26951,HCPCS,OUTPATIENT,,,2479,1983.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DECOMP FASCTMY PELVIC COMPART UNI,22527027,CDM,982,RC,27027,HCPCS,OUTPATIENT,,,2647,2117.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27095 INJECTION PROCEDURE FOR HIP ARTHROGRAPHY; WITH ANESTHESIA ProFee,22527095,CDM,982,RC,27095,HCPCS,OUTPATIENT,,,309,247.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27220 CLOSED TREATMENT OF ACETABULUM (HIP SOCKET) FRACTURE(S); WITHOUT MANIPULATION ProFee,22527220,CDM,982,RC,27220,HCPCS,OUTPATIENT,,,1234,987.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27230 CLOSED TREATMENT OF FEMORAL FRACTURE| PROXIMAL END| NECK; WITHOUT MANIPULATION ProFee,22527230,CDM,982,RC,27230,HCPCS,OUTPATIENT,,,828,662.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27250 CLOSED TREATMENT OF HIP DISLOCATION| TRAUMATIC; WITHOUT ANESTHESIA ProFee,22527250,CDM,982,RC,27250,HCPCS,OUTPATIENT,,,300,240,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27252 CLOSED TREATMENT OF HIP DISLOCATION| TRAUMATIC; REQUIRING ANESTHESIA ProFee,22527252,CDM,982,RC,27252,HCPCS,OUTPATIENT,,,1756,1404.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27265 CLOSED TREATMENT OF POST HIP ARTHROPLASTY DISLOCATION; WITHOUT ANESTHESIA ProFee,22527265,CDM,982,RC,27265,HCPCS,OUTPATIENT,,,848,678.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27266 CLOSED TREATMENT OF POST HIP ARTHROPLASTY DISLOCATION; REQUIRING REGIONAL OR GENERAL A ProFee,22527266,CDM,982,RC,27266,HCPCS,OUTPATIENT,,,2220,1776,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27350 PATELLECTOMY OR HEMIPATELLECTOMY ProFee,22527350,CDM,982,RC,27350,HCPCS,OUTPATIENT,,,3722,2977.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27386 SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE RUPTURE; SECONDARY RECONSTRUCTION| INCLUDING ProFee,22527386,CDM,982,RC,27386,HCPCS,OUTPATIENT,,,2407,1925.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27501 CLOSED TREATMENT OF SUPRACONDYLAR OR TRANSCONDYLAR FEMORAL FRACTURE WITH OR WITHOUT IN ProFee,22527501,CDM,982,RC,27501,HCPCS,OUTPATIENT,,,1185,948,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27502 CLOSED TREATMENT OF FEMORAL SHAFT FRACTURE| WITH MANIPULATION| WITH OR WITHOUT SKIN OR ProFee,22527502,CDM,982,RC,27502,HCPCS,OUTPATIENT,,,2767,2213.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27516 CLOSED TREATMENT OF DISTAL FEMORAL EPIPHYSEAL SEPARATION; WITHOUT MANIPULATION ProFee,22527516,CDM,982,RC,27516,HCPCS,OUTPATIENT,,,908,726.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27535 Open treatment of tibial fracture| proximal (plateau),22527535,CDM,982,RC,27535,HCPCS,OUTPATIENT,,,2216,1772.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27550 CLOSED TREATMENT OF KNEE DISLOCATION; WITHOUT ANESTHESIA ProFee,22527550,CDM,982,RC,27550,HCPCS,OUTPATIENT,,,1347,1077.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27552 CLOSED TREATMENT OF KNEE DISLOCATION; REQUIRING ANESTHESIA ProFee,22527552,CDM,982,RC,27552,HCPCS,OUTPATIENT,,,1862,1489.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27562 CLOSED TREATMENT OF PATELLAR DISLOCATION; REQUIRING ANESTHESIA ProFee,22527562,CDM,982,RC,27562,HCPCS,OUTPATIENT,,,1076,860.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro 27601 Decompression fasciotomy| leg; posterior compart,22527601,CDM,982,RC,27601,HCPCS,OUTPATIENT,,,1678,1342.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TENOTOMY PERCUT ACHILLES TENDO LOCAL,22527605,CDM,982,RC,27605,HCPCS,OUTPATIENT,,,1050,840,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC TMR SOFT TSU LEG/ANKL SUBF 5CM/>,22527634,CDM,982,RC,27634,HCPCS,OUTPATIENT,,,1684,1347.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
RPR PRMY OPEN/PRQ RUPTURED ACHILLES W/GR,22527652,CDM,982,RC,27652,HCPCS,OUTPATIENT,,,2106,1684.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 27720 Repair of nonunion or malunion| tibia; witho,22527720,CDM,982,RC,27720,HCPCS,OUTPATIENT,,,2778,2222.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27750 CLOSED TREATMENT OF TIBIAL SHAFT FRACTURE (WITH OR WITHOUT FIBULAR FRACTURE); WITHOUT ProFee,22527750,CDM,982,RC,27750,HCPCS,OUTPATIENT,,,772,617.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27780 CLOSED TREATMENT OF PROXIMAL FIBULA OR SHAFT FRACTURE; WITHOUT MANIPULATION ProFee,22527780,CDM,982,RC,27780,HCPCS,OUTPATIENT,,,696,556.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27781 CLOSED TREATMENT OF PROXIMAL FIBULA OR SHAFT FRACTURE; WITH MANIPULATION ProFee,22527781,CDM,982,RC,27781,HCPCS,OUTPATIENT,,,926,740.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27786 CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS); WITHOUT MANIPULATION ProFee,22527786,CDM,982,RC,27786,HCPCS,OUTPATIENT,,,1108,886.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27788 CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS); WITH MANIPULATION ProFee,22527788,CDM,982,RC,27788,HCPCS,OUTPATIENT,,,1940,1552,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27810 CLOSED TREATMENT OF BIMALLEOLAR ANKLE FRACTURE (EG| LATERAL AND MEDIAL MALLEOLI| OR LA ProFee,22527810,CDM,982,RC,27810,HCPCS,OUTPATIENT,,,2078,1662.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27818 CLOSED TREATMENT OF TRIMALLEOLAR ANKLE FRACTURE; WITH MANIPULATION ProFee,22527818,CDM,982,RC,27818,HCPCS,OUTPATIENT,,,1334,1067.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27840 CLOSED TREATMENT OF ANKLE DISLOCATION; WITHOUT ANESTHESIA ProFee,22527840,CDM,982,RC,27840,HCPCS,OUTPATIENT,,,665,532,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27842 CLOSED TREATMENT OF ANKLE DISLOCATION; REQUIRING ANESTHESIA| WITH OR WITHOUT PERCUTANE ProFee,22527842,CDM,982,RC,27842,HCPCS,OUTPATIENT,,,1675,1340,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INCISION BONE CORTEX,22528005,CDM,982,RC,28005,HCPCS,OUTPATIENT,,,1741,1392.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
28111 OSTECTOMY| COMPLETE EXCISION; FIRST METATARSAL HEAD Pr,22528111,CDM,982,RC,28111,HCPCS,OUTPATIENT,,,697,557.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Fee 28192 REMOVAL OF FOREIGN BODY| FOOT;,22528192,CDM,982,RC,28192,HCPCS,OUTPATIENT,,,1205,964,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TENOTOMY OPEN TENDON FLEXOR FT SINGL,22528232,CDM,982,RC,28232,HCPCS,OUTPATIENT,,,414,331.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TENOTOMY OPEN EXT FT/TOE EA TENDON,22528234,CDM,982,RC,28234,HCPCS,OUTPATIENT,,,800,640,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TENOTOMY LENGTHNG/RLS ABDTR HALLUCIS,22528240,CDM,982,RC,28240,HCPCS,OUTPATIENT,,,734,587.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CAPSULOTOMY IPHAL JOINT EACH SPX,22528272,CDM,982,RC,28272,HCPCS,OUTPATIENT,,,601,480.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
28400 CLOSED TREATMENT OF CALCANEAL FRACTURE; WITHOUT MANIPULATION ProFee,22528400,CDM,982,RC,28400,HCPCS,OUTPATIENT,,,508,406.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
28450 TREATMENT OF TARSAL BONE FRACTURE ProFee,22528450,CDM,982,RC,28450,HCPCS,OUTPATIENT,,,434,347.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
28470 CLOSED TREATMENT OF METATARSAL FRACTURE; WITHOUT MANIPULATION| EACH ProFee,22528470,CDM,982,RC,28470,HCPCS,OUTPATIENT,,,429,343.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
28475 CLOSED TREATMENT OF METATARSAL FRACTURE; WITH MANIPULATION| EACH ProFee,22528475,CDM,982,RC,28475,HCPCS,OUTPATIENT,,,713,570.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
28490 CLOSED TREATMENT OF FRACTURE GREAT TOE| PHALANX OR PHALANGES; WITHOUT MANIPULATION ProFee,22528490,CDM,982,RC,28490,HCPCS,OUTPATIENT,,,372,297.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
28510 CLOSED TREATMENT OF FRACTURE| PHALANX OR PHALANGES| OTHER THAN GREAT TOE; WITHOUT MANI ProFee,22528510,CDM,982,RC,28510,HCPCS,OUTPATIENT,,,379,303.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
28515 CLOSED TREATMENT OF FRACTURE| PHALANX OR PHALANGES| OTHER THAN GREAT TOE; WITH MANIPUL ProFee,22528515,CDM,982,RC,28515,HCPCS,OUTPATIENT,,,444,355.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
28600 CLOSED TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION; WITHOUT ANESTHESIA ProFee,22528600,CDM,982,RC,28600,HCPCS,OUTPATIENT,,,443,354.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
28630 CLOSED TREATMENT OF METATARSOPHALANGEAL JOINT DISLOCATION; WITHOUT ANESTHESIA ProFee,22528630,CDM,982,RC,28630,HCPCS,OUTPATIENT,,,437,349.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
28660 CLOSED TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION; WITHOUT ANESTHESIA ProFee,22528660,CDM,982,RC,28660,HCPCS,OUTPATIENT,,,264,211.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
28665 CLOSED TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION; REQUIRING ANESTHESIA ProFee,22528665,CDM,982,RC,28665,HCPCS,OUTPATIENT,,,499,399.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHRD MIDTARSL/TARSMETTRSL MULT/TRA,22528730,CDM,982,RC,28730,HCPCS,OUTPATIENT,,,1563,1250.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
29065 APPLICATION| CAST; SHOULDER TO HAND (LONG ARM) ProFee,22529065,CDM,982,RC,29065,HCPCS,OUTPATIENT,,,122,97.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
29075 APPLICATION| CAST; ELBOW TO FINGER (SHORT ARM) ProFee,22529075,CDM,982,RC,29075,HCPCS,OUTPATIENT,,,170,136,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
29086 APPLICATION| CAST; FINGER (EG| CONTRACTURE) ProFee,22529086,CDM,982,RC,29086,HCPCS,OUTPATIENT,,,131,104.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
29126 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); DYNAMIC ProFee,22529126,CDM,982,RC,29126,HCPCS,OUTPATIENT,,,102,81.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
29131 APPLICATION OF FINGER SPLINT; DYNAMIC ProFee,22529131,CDM,982,RC,29131,HCPCS,OUTPATIENT,,,142,113.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
29200 STRAPPING; THORAX ProFee,22529200,CDM,982,RC,29200,HCPCS,OUTPATIENT,,,74,59.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
29240 STRAPPING; SHOULDER (EG| VELPEAU) ProFee,22529240,CDM,982,RC,29240,HCPCS,OUTPATIENT,,,84,67.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
29280 STRAPPING; HAND OR FINGER ProFee,22529280,CDM,982,RC,29280,HCPCS,OUTPATIENT,,,102,81.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
29345 APPLICATION OF LONG LEG CAST (THIGH TO TOES); ProFee,22529345,CDM,982,RC,29345,HCPCS,OUTPATIENT,,,482,385.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
29405 APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES); ProFee,22529405,CDM,982,RC,29405,HCPCS,OUTPATIENT,,,298,238.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO APPL CLUBFOOT MOLDING/MANJ LONG/ SH,22529450,CDM,982,RC,29450,HCPCS,OUTPATIENT,,,301,240.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
29505 APPLICATION OF LONG LEG SPLINT (THIGH TO ANKLE OR TOES) ProFee,22529505,CDM,982,RC,29505,HCPCS,OUTPATIENT,,,249,199.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
29530 STRAPPING; KNEE ProFee,22529530,CDM,982,RC,29530,HCPCS,OUTPATIENT,,,104,83.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
29700 REMOVAL OR BIVALVING; GAUNTLET| BOOT OR BODY CAST ProFee,22529700,CDM,982,RC,29700,HCPCS,OUTPATIENT,,,100,80,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROSCOPY SHLDR DX W/WO SYNVL BPSY,22529805,CDM,982,RC,29805,HCPCS,OUTPATIENT,,,1413,1130.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ARTHROSCOPY SHLDR SURG DEBRIDEMENT E,22529823,CDM,982,RC,29823,HCPCS,OUTPATIENT,,,1943,1554.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Fee 29824 Arthroscopy| shoulder| surgical; distal clav,22529824,CDM,982,RC,29824,HCPCS,OUTPATIENT,,,2186,1748.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
29827 ARTHROSCOPY| SHOULDER| SURGICAL; WITH ROTATOR CUFF REP,22529827,CDM,982,RC,29827,HCPCS,OUTPATIENT,,,2248,1798.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BIOPSY INTRANASAL,22530100,CDM,982,RC,30100,HCPCS,OUTPATIENT,,,247,197.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXCISION NASAL POLYP SIMPLE,22530110,CDM,982,RC,30110,HCPCS,OUTPATIENT,,,456,364.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXCISION NASAL POLYP EXTENSIVE,22530115,CDM,982,RC,30115,HCPCS,OUTPATIENT,,,1052,841.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC/DESTRUCT INTRANSL LSN INT APPR,22530117,CDM,982,RC,30117,HCPCS,OUTPATIENT,,,1023,818.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO RHINECTOMY PARTIAL,22530150,CDM,982,RC,30150,HCPCS,OUTPATIENT,,,1243,994.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
30300 REMOVAL FOREIGN BODY| INTRANASAL; OFFICE TYPE PROCEDURE ProFee,22530300,CDM,982,RC,30300,HCPCS,OUTPATIENT,,,204,163.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
30310 REMOVAL FOREIGN BODY| INTRANASAL; REQUIRING GENERAL ANESTHESIA ProFee,22530310,CDM,982,RC,30310,HCPCS,OUTPATIENT,,,780,624,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
30901 CONTROL NASAL HEMORRHAGE| ANTERIOR| SIMPLE (LIMITED CAUTERY AND/OR PACKING) ANY METHOD ProFee,22530901,CDM,982,RC,30901,HCPCS,OUTPATIENT,,,320,256,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
30903 CONTROL NASAL HEMORRHAGE| ANTERIOR| COMPLEX (EXTENSIVE CAUTERY AND/OR PACKING) ANY MET ProFee,22530903,CDM,982,RC,30903,HCPCS,OUTPATIENT,,,632,505.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
30905 CONTROL NASAL HEMORRHAGE| POSTERIOR| WITH POSTERIOR NASAL PACKS AND/OR CAUTERY| ANY ME ProFee,22530905,CDM,982,RC,30905,HCPCS,OUTPATIENT,,,302,241.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
30906 CONTROL NASAL HEMORRHAGE| POSTERIOR| WITH POSTERIOR NASAL PACKS AND/OR CAUTERY| ANY ME ProFee,22530906,CDM,982,RC,30906,HCPCS,OUTPATIENT,,,384,307.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NASAL ENDOSCOPY DIAGN UNI/BI SPX,22531231,CDM,982,RC,31231,HCPCS,OUTPATIENT,,,626,500.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
31238 NASAL/SINUS ENDOSCOPY| SURGICAL; WITH CONTRO Pro Fee,22531238,CDM,982,RC,31238,HCPCS,OUTPATIENT,,,511,408.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 31240 Nasal/sinus endoscopy| surgical; with con,22531240,CDM,982,RC,31240,HCPCS,OUTPATIENT,,,554,443.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NASAL/SINUS ENDOSCOPY W/SPHENOIDOTMY,22531287,CDM,982,RC,31287,HCPCS,OUTPATIENT,,,1423,1138.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
31505 LARYNGOSCOPY| INDIRECT; DIAGNOSTIC (SEPARATE PROCEDURE) ProFee,22531505,CDM,982,RC,31505,HCPCS,OUTPATIENT,,,167,133.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
31511 LARYNGOSCOPY| INDIRECT; WITH REMOVAL OF FOREIGN BODY ProFee,22531511,CDM,982,RC,31511,HCPCS,OUTPATIENT,,,689,551.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
31525 LARYNGOSCOPY DIRECT W/WO TRACHEOSCOP Pro,22531525,CDM,982,RC,31525,HCPCS,OUTPATIENT,,,650,520,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 31526 LARYNGOSCOPY DIRECT| WITH OR WITHOUT TRACHEOSCOPY,22531526,CDM,982,RC,31526,HCPCS,OUTPATIENT,,,523,418.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 31531 Laryngoscopy| direct| operative| w/ foreign,22531531,CDM,982,RC,31531,HCPCS,OUTPATIENT,,,926,740.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Laryngoscopy| direct| operative| with biopsy 31536,22531536,CDM,982,RC,31536,HCPCS,OUTPATIENT,,,601,480.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO LARYNGOSCOPY FLEXIBLE DIAGNOSTIC,22531575,CDM,982,RC,31575,HCPCS,OUTPATIENT,,,218,174.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES),22531576,CDM,982,RC,31576,HCPCS,OUTPATIENT,,,360,288,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Fee LARYNGOSCOPY FLEX W RMVL OF LESION(S)| NON-LASER,22531578,CDM,982,RC,31578,HCPCS,OUTPATIENT,,,1276,1020.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Tracheostomy| emergency procedure; transtracheal,22531603,CDM,982,RC,31603,HCPCS,OUTPATIENT,,,580,464,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 31611 Construction of trach fistula & insertio,22531611,CDM,982,RC,31611,HCPCS,OUTPATIENT,,,1701,1360.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
35207 REPAIR BLOOD VESSEL| DIRECT; HAND| FINGER ProFee,22535207,CDM,982,RC,35207,HCPCS,OUTPATIENT,,,1466,1172.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SLCTV CATH PLMT VEN SYS 1ST ORD BRNC,22536011,CDM,982,RC,36011,HCPCS,OUTPATIENT,,,1189,951.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
36556 Insertion of non-tunneled centrally venous Pro Fee,22536556,CDM,982,RC,36556,HCPCS,OUTPATIENT,,,392,313.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
36556 INSERTION OF NON-TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER; AGE 5 YEARS OR O ProFee,22536556,CDM,982,RC,36556,HCPCS,OUTPATIENT,,,384,307.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
36558 INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER| WITHOUT SUBCUTANEOUS ProFee,22536558,CDM,982,RC,36558,HCPCS,OUTPATIENT,,,793,634.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
36600 ARTERIAL PUNCTURE| WITHDRAWAL OF BLOOD FOR DIAGNOSIS ProFee,22536600,CDM,982,RC,36600,HCPCS,OUTPATIENT,,,60,48,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
36620 ARTERIAL CATHETERIZATION OR CANNULATION FOR SAMPLING| MONITORING OR TRANSFUSION (SEPAR ProFee,22536620,CDM,982,RC,36620,HCPCS,OUTPATIENT,,,244,195.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION ProFee,22536680,CDM,982,RC,36680,HCPCS,OUTPATIENT,,,139,111.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LIGATION MAJOR ARTERY EXTREMITY,22537618,CDM,982,RC,37618,HCPCS,OUTPATIENT,,,842,673.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO LIGDIV LONG SAPH VN SAPHFM JNCT/INT,22537700,CDM,982,RC,37700,HCPCS,OUTPATIENT,,,739,591.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
38220 BONE MARROW; ASPIRATION ONLY ProFee,22538220,CDM,982,RC,38220,HCPCS,OUTPATIENT,,,299,239.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
38221 BONE MARROW; BIOPSY| NEEDLE OR TROCAR ProFee,22538221,CDM,982,RC,38221,HCPCS,OUTPATIENT,,,282,225.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
38222 DX BONE MARROW BX  ASPIR Profee,22538222,CDM,982,RC,38222,HCPCS,OUTPATIENT,,,312,249.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO OPEN BIOPSY/EXCISION INGUINOFEMORAL,22538531,CDM,982,RC,38531,HCPCS,OUTPATIENT,,,1094,875.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
38700 SUPRAHYOID LYMPHADENECTOMY ProFee,22538700,CDM,982,RC,38700,HCPCS,OUTPATIENT,,,1398,1118.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
38790 INJECTION PROCEDURE; LYMPHANGIOGRAPHY ProFee,22538790,CDM,982,RC,38790,HCPCS,OUTPATIENT,,,210,168,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
93312 ECHO TRANSESOPHAGEAL ProFee,22539912,CDM,982,RC,93312,HCPCS,OUTPATIENT,,,406,324.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 40490 BIOPSY OF LIP ProFee,22540490,CDM,982,RC,40490,HCPCS,OUTPATIENT,,,214,171.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DRAINAGE OF MOUTH LESION,22540800,CDM,982,RC,40800,HCPCS,OUTPATIENT,,,311,248.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BIOPSY VESTIBULE MOUTH,22540808,CDM,982,RC,40808,HCPCS,OUTPATIENT,,,382,305.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
40810 EXCISION OF LESION OF MUCOSA  SUBMUCOSA PRO FEE,22540810,CDM,982,RC,40810,HCPCS,OUTPATIENT,,,337,269.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXCISE/REPAIR MOUTH LESION,22540812,CDM,982,RC,40812,HCPCS,OUTPATIENT,,,596,476.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXCISION FRENUM LABIAL BUCCAL,22540819,CDM,982,RC,40819,HCPCS,OUTPATIENT,,,668,534.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
41008 INTRAORAL INCISION AND DRAINAGE OF ABSCESS| CYST| OR HEMATOMA OF TONGUE OR FLOOR OF MO ProFee,22541008,CDM,982,RC,41008,HCPCS,OUTPATIENT,,,824,659.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Fee 41016 EXTRAORAL INCISION AND DRAINAGE OF ABSCESS,22541016,CDM,982,RC,41016,HCPCS,OUTPATIENT,,,822,657.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BIOPSY TONGUE ANTERIOR TWO-THIRDS,22541100,CDM,982,RC,41100,HCPCS,OUTPATIENT,,,478,382.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC LESION TONGUE 2/3,22541112,CDM,982,RC,41112,HCPCS,OUTPATIENT,,,954,763.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXCISION OF TONGUE FOLD,22541115,CDM,982,RC,41115,HCPCS,OUTPATIENT,,,715,572,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXCISION LESION FLOOR MOUTH,22541116,CDM,982,RC,41116,HCPCS,OUTPATIENT,,,571,456.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SUBMCSL ABLTJ TONGUE RF 1/> SITES PR,22541530,CDM,982,RC,41530,HCPCS,OUTPATIENT,,,2586,2068.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
41800 DRAINAGE OF ABSCESS| CYST| HEMATOMA FROM DENTOALVEOLAR STRUCTURES ProFee,22541800,CDM,982,RC,41800,HCPCS,OUTPATIENT,,,279,223.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BIOPSY PALATE UVULA Pro Fee,22542100,CDM,982,RC,42100,HCPCS,OUTPATIENT,,,636,508.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO UVULECTOMY,22542140,CDM,982,RC,42140,HCPCS,OUTPATIENT,,,1336,1068.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRODSTRJ LSN PALATE/UVULA THRML CRYO/CHM,22542160,CDM,982,RC,42160,HCPCS,OUTPATIENT,,,379,303.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVAL OF SALIVARY STONE,22542330,CDM,982,RC,42330,HCPCS,OUTPATIENT,,,715,572,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Fee 42409 MARSUPIALIZATION OF SUBLINGUAL SALIVARY CYST,22542409,CDM,982,RC,42409,HCPCS,OUTPATIENT,,,664,531.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 42410 EXCISION OF PAROTID TUMOR OR PAROTID GLAND;,22542410,CDM,982,RC,42410,HCPCS,OUTPATIENT,,,2130,1704,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC PTD TM/PRTD GLND LAT DSJPRV FAC,22542415,CDM,982,RC,42415,HCPCS,OUTPATIENT,,,4535,3628,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Excision of parotid tumor or parotid gland; total,22542420,CDM,982,RC,42420,HCPCS,OUTPATIENT,,,2552,2041.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Fee42450 EXCISION OF SUBLINGUAL GLAND,22542450,CDM,982,RC,42450,HCPCS,OUTPATIENT,,,1395,1116,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INCISION AND DRAINAGE ABSCESS; PERITONSILLAR ProFee,22542700,CDM,982,RC,42700,HCPCS,OUTPATIENT,,,561,448.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BIOPSY OROPHARYNX,22542800,CDM,982,RC,42800,HCPCS,OUTPATIENT,,,627,501.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Fee 42808 EXCISION OR DESTRUCTION OF LESION OF PHARYNX|,22542808,CDM,982,RC,42808,HCPCS,OUTPATIENT,,,715,572,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
42809 REMOVAL OF FOREIGN BODY FROM PHARYNX ProFee,22542809,CDM,982,RC,42809,HCPCS,OUTPATIENT,,,218,174.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Fee 42815 EXCISION BRANCHIAL CLEFT CYST| VESTIGE| OR F,22542815,CDM,982,RC,42815,HCPCS,OUTPATIENT,,,1512,1209.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
42825 TONSILLECTOMY| PRIMARY OR SECONDARY; YOUNGER THAN AGE,22542825,CDM,982,RC,42825,HCPCS,OUTPATIENT,,,919,735.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CONTROL THROAT BLEEDING,22542962,CDM,982,RC,42962,HCPCS,OUTPATIENT,,,1003,802.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
43191 Esophagoscopy| rigid| transoral; diagnostic Pro Fee,22543191,CDM,982,RC,43191,HCPCS,OUTPATIENT,,,271,216.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 43635 VAGOTOMY WHEN PERFORMED W/ PART DISTAL GASTRECTOM,22543635,CDM,982,RC,43635,HCPCS,OUTPATIENT,,,362,289.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
43760 CHANGE OF GASTROSTOMY TUBE| PERCUTANEOUS| WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE ProFee,22543760,CDM,982,RC,43760,HCPCS,OUTPATIENT,,,166,132.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
44160 COLECTOMY| PARTIAL| WITH REMOVAL OF TERMINAL,22544160,CDM,982,RC,44160,HCPCS,OUTPATIENT,,,2727,2181.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
44300 Placement| enterostomy or cecostomy| tube open,22544300,CDM,982,RC,44300,HCPCS,OUTPATIENT,,,1360,1088,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Fee 44604 Suture of large intestine (colorrhaphy);,22544604,CDM,982,RC,44604,HCPCS,OUTPATIENT,,,2403,1922.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COLONOSCOPY LESION REMOVAL SNARE,22545385,CDM,982,RC,45385,HCPCS,OUTPATIENT,,,1150,920,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
46040 INCISION AND DRAINAGE OF ISCHIORECTAL AND/OR PERIRECTAL ABSCESS (SEPARATE PROCEDURE) ProFee,22546040,CDM,982,RC,46040,HCPCS,OUTPATIENT,,,1339,1071.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
46050 INCISION AND DRAINAGE| PERIANAL ABSCESS| SUPERFICIAL ProFee,22546050,CDM,982,RC,46050,HCPCS,OUTPATIENT,,,243,194.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
46083 INCISION OF THROMBOSED HEMORRHOID| EXTERNAL ProFee,22546083,CDM,982,RC,46083,HCPCS,OUTPATIENT,,,243,194.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
46255 HEMORRHOIDECTOMY| INTERNAL AND EXTERNAL| SINGLE COLUMN/GROUP; ProFee,22546255,CDM,982,RC,46255,HCPCS,OUTPATIENT,,,1139,911.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
46320 EXCISION OF THROMBOSED HEMORRHOID| EXTERNAL ProFee,22546320,CDM,982,RC,46320,HCPCS,OUTPATIENT,,,581,464.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
46600 ANOSCOPY; DIAGNOSTIC| INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING| WHEN ProFee,22546600,CDM,982,RC,46600,HCPCS,OUTPATIENT,,,225,180,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 46999 Unlisted procedure| anus,22546999,CDM,982,RC,46999,HCPCS,OUTPATIENT,,,793,634.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
49080 PERITONEOCENT INITIL ProFee,22549080,CDM,982,RC,49080,HCPCS,OUTPATIENT,,,175,140,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Fee 49180 BIOPSY| ABDOMINAL OR RETROPERITONEAL MASS,22549180,CDM,982,RC,49180,HCPCS,OUTPATIENT,,,419,335.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO LAPORO W/ ASPIRATION OF CAVITY CYST,22549322,CDM,982,RC,49322,HCPCS,OUTPATIENT,,,1187,949.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
49450 REPLACEMENT OF GASTROSTOMY OR CECOSTOMY (OR OTHER COLONIC) TUBE| PERCUTANEOUS| UNDER F ProFee,22549450,CDM,982,RC,49450,HCPCS,OUTPATIENT,,,257,205.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
49451 REPLACEMENT OF DUODENOSTOMY OR JEJUNOSTOMY TUBE| PERCUTANEOUS| UNDER FLUOROSCOPIC GUID ProFee,22549451,CDM,982,RC,49451,HCPCS,OUTPATIENT,,,368,294.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
49507 REPAIR INITIAL INGUINAL HERNIA| AGE 5 YEARS,22549507,CDM,982,RC,49507,HCPCS,OUTPATIENT,,,2109,1687.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO- RPR AA HERNIA Initial < 3 CM REDUCIBLE,22549591,CDM,982,RC,49591,HCPCS,OUTPATIENT,,,1191,952.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO - RPR AA HERNIA 1ST 3-10 CM REDUCIBLE,22549593,CDM,982,RC,49593,HCPCS,OUTPATIENT,,,1882,1505.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO - 49595 RPR AA HERNIA 1ST >10 CM REDUCIBLE,22549595,CDM,982,RC,49595,HCPCS,OUTPATIENT,,,2447,1957.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
51700 BLADDER IRRIGATION| SIMPLE| LAVAGE AND/OR INSTILLATION,22551700,CDM,982,RC,51700,HCPCS,OUTPATIENT,,,126,100.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYSTOURETHROSCOPY W/INTL URETHROTOMY,22552275,CDM,982,RC,52275,HCPCS,OUTPATIENT,,,687,549.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CYSTOURETHROSCOPY W/RMVL URTRL CALC,22552320,CDM,982,RC,52320,HCPCS,OUTPATIENT,,,734,587.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
52640 Transurethral resection;of postoperative bladder,22552640,CDM,982,RC,52640,HCPCS,OUTPATIENT,,,774,619.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 54060 DESTRUCTION OF LESION(S)| PENIS (EG| CONDYLO,22554060,CDM,982,RC,54060,HCPCS,OUTPATIENT,,,488,390.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 54520 ORCHIECTOMY| SIMPLE (INCLUDING SUBCAPSULAR)|,22554520,CDM,982,RC,54520,HCPCS,OUTPATIENT,,,1048,838.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO THYROIDECTOMY TOTAL/SUBTOTAL LMTD N,22560252,CDM,982,RC,60252,HCPCS,OUTPATIENT,,,3236,2588.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
60300 ASPIRATION AND/OR INJECTION| THYROID CYST ProFee,22560300,CDM,982,RC,60300,HCPCS,OUTPATIENT,,,363,290.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PARATHYROIDECTOMY/EXPLOR PARATHYROID,22560500,CDM,982,RC,60500,HCPCS,OUTPATIENT,,,5060,4048,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PARATHYROIDECTOMY/EXPLOR PARATHYROID,22560502,CDM,982,RC,60502,HCPCS,OUTPATIENT,,,3850,3080,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
61500 CRANIECTOMY; WITH EXCISION OF TUMOR OR OTHER,22561500,CDM,982,RC,61500,HCPCS,OUTPATIENT,,,5668,4534.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
62270 SPINAL PUNCTURE| LUMBAR| DIAGNOSTIC ProFee,22562270,CDM,982,RC,62270,HCPCS,OUTPATIENT,,,396,316.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
64405 INJECTION| ANESTHETIC AGENT; GREATER OCCIPITAL NERVE ProFee,22564405,CDM,982,RC,64405,HCPCS,OUTPATIENT,,,245,196,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
64450 INJECTION| ANESTHETIC AGENT; OTHER PERIPHERAL NERVE OR BRANCH ProFee,22564450,CDM,982,RC,64450,HCPCS,OUTPATIENT,,,151,120.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
64455 Injection(s)| anesthetic agent and/or steroid,22564455,CDM,982,RC,64455,HCPCS,OUTPATIENT,,,111,88.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Chemodenervation of parotid and submandibular salivary gland,22564611,CDM,982,RC,64611,HCPCS,OUTPATIENT,,,294,235.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CHEMODENERVATION MUSCLE NECK UNI,22564616,CDM,982,RC,64616,HCPCS,OUTPATIENT,,,307,245.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CHEMODENERVATN MSCL LRYNX UNI W/EMG,22564617,CDM,982,RC,64617,HCPCS,OUTPATIENT,,,387,309.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO 64632 DESTRUCTION BY NEUROLYTIC AGENT; PLANTAR COM,22564632,CDM,982,RC,64632,HCPCS,OUTPATIENT,,,282,225.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DSTRJ NEUROLYTIC AGNT OTHER PRPHRL N,22564640,CDM,982,RC,64640,HCPCS,OUTPATIENT,,,385,308,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CHEMODENERVATION 1 EXTMY 1-4 MUSCLES,22564642,CDM,982,RC,64642,HCPCS,OUTPATIENT,,,326,260.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CHEMODENERV 1 EXTMY EA ADL1-4 MSCL,22564643,CDM,982,RC,64643,HCPCS,OUTPATIENT,,,217,173.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CHEMODENERV 1 EXTMY 5 OR MORE MCL,22564644,CDM,982,RC,64644,HCPCS,OUTPATIENT,,,363,290.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CHEMODENERV 1 EXT ES ADL5 /> MUSC,22564645,CDM,982,RC,64645,HCPCS,OUTPATIENT,,,258,206.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FEE 64708 NEUROPLASTY MJR PERIPHERAL NRV ARM OR LEG OPEN,22564708,CDM,982,RC,64708,HCPCS,OUTPATIENT,,,1922,1537.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
65930 REMOVAL OF BLOOD CLOT| ANTERIOR SEGMENT OF EYE ProFee,22565930,CDM,982,RC,65930,HCPCS,OUTPATIENT,,,1355,1084,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
67700 BLEPHAROTOMY| DRAINAGE OF ABSCESS| EYELID ProFee,22567700,CDM,982,RC,67700,HCPCS,OUTPATIENT,,,360,288,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CANTHOTOMY SEPARATE PROCEDURE,22567715,CDM,982,RC,67715,HCPCS,OUTPATIENT,,,373,298.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO Fee 67800 EXCISION OF CHALAZION; SINGLE,22567800,CDM,982,RC,67800,HCPCS,OUTPATIENT,,,267,213.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro 67840 EXCSN OF LESION OF EYELID (EXCEPT CHALAZION) W/O,22567840,CDM,982,RC,67840,HCPCS,OUTPATIENT,,,480,384,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BIOPSY EXTERNAL AUDITORY CANAL,22569105,CDM,982,RC,69105,HCPCS,OUTPATIENT,,,182,145.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
69145 EXCISION SOFT TISSUE LESION| EXTERNAL AUDITORY CANAL P,22569145,CDM,982,RC,69145,HCPCS,OUTPATIENT,,,986,788.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
69200 REMOVAL FOREIGN BODY FROM EXTERNAL AUDITORY CANAL; WITHOUT GENERAL ANESTHESIA ProFee,22569200,CDM,982,RC,69200,HCPCS,OUTPATIENT,,,314,251.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
69205 Removal foreign body from external auditory canal,22569205,CDM,982,RC,69205,HCPCS,OUTPATIENT,,,337,269.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVAL IMPACTED CERUMEN IRRIG/LVG,22569209,CDM,982,RC,69209,HCPCS,OUTPATIENT,,,81,64.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION| UNILATERAL ProFee,22569210,CDM,982,RC,69210,HCPCS,OUTPATIENT,,,126,100.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
MYRINGOTOMY ASPIR/EUSTACHIAN TUBE NFLTJ,22569420,CDM,982,RC,69420,HCPCS,OUTPATIENT,,,295,236,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO MYRINGOTOMY ASPIRATION/EUSTACHIAN TU,22569421,CDM,982,RC,69421,HCPCS,OUTPATIENT,,,887,709.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO VENTILATING TUBE RMVL W/ GNRL ANE,22569424,CDM,982,RC,69424,HCPCS,OUTPATIENT,,,240,192,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TYMPANOSTOMY CREATE EARDRUM OPENING,22569433,CDM,982,RC,69433,HCPCS,OUTPATIENT,,,887,709.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TYMPANIC MMB RPR W/WO PRPJ PERFR PAT,22569610,CDM,982,RC,69610,HCPCS,OUTPATIENT,,,722,577.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO LABYRINTHOTOMY TRANSCANAL,22569801,CDM,982,RC,69801,HCPCS,OUTPATIENT,,,4906,3924.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Fee 69990 MICROSURGICAL TECHNIQUES| REQUIRING USE OF,22569990,CDM,982,RC,69990,HCPCS,OUTPATIENT,,,1277,1021.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
88172 PRO CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST ProFee,22588172,CDM,982,RC,88172,HCPCS,OUTPATIENT,,,182,145.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
90472 IMMUNIZAITON ADMIN| EA ADD VACCINE ProFee,22590472,CDM,982,RC,90472,HCPCS,OUTPATIENT,,,35,28,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FEE 92502 OTOLARYNGOLOGIC EXAM GEN ANES,22592502,CDM,982,RC,92502,HCPCS,OUTPATIENT,,,386,308.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
92960 PHY CARDIOVERSION EXTERNAL ProFee,22592960,CDM,982,RC,92960,HCPCS,OUTPATIENT,,,926,740.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
NDL EMG 1 XTR W/WO RELATED PARASPINAL AR,22595860,CDM,982,RC,95860,HCPCS,OUTPATIENT,,,83,66.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NEEDLE EMG GUID W/CHEMODENERVATION,22595874,CDM,982,RC,95874,HCPCS,OUTPATIENT,,,65,52,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NDL EMG EA EXTRMTY W/PARASPINL CMPL,22595886,CDM,982,RC,95886,HCPCS,OUTPATIENT,,,85,68,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NDL EMG NONEXTRMTY MSCLS W/NERVE CND,22595887,CDM,982,RC,95887,HCPCS,OUTPATIENT,,,82,65.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NERVE CONDUCTION STUDIES 1-2 STUDIES,22595907,CDM,982,RC,95907,HCPCS,OUTPATIENT,,,63,50.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NERVE CONDUCTION STUDIES 3-4 STUDIES,22595908,CDM,982,RC,95908,HCPCS,OUTPATIENT,,,76,60.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NERVE CONDUCTION STUDIES 5-6 STUDIES,22595909,CDM,982,RC,95909,HCPCS,OUTPATIENT,,,124,99.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NERVE CONDUCTION STUDIES 7-8 STUDIES,22595910,CDM,982,RC,95910,HCPCS,OUTPATIENT,,,278,222.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NERVE CONDUCTION  9-10 STUDIES,22595911,CDM,982,RC,95911,HCPCS,OUTPATIENT,,,168,134.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NERVE CONDUCTION STUDIES 11-12 STUDY,22595912,CDM,982,RC,95912,HCPCS,OUTPATIENT,,,481,384.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
96372 INJ IM/SUB THERAPUTIC/DIAGNOS ProFee,22596372,CDM,982,RC,96372,HCPCS,OUTPATIENT,,,80,64,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NEG PRSSR WND THRPY NON DME>50 SQ CM,22597608,CDM,982,RC,97608,HCPCS,OUTPATIENT,,,286,228.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99204 CLINIC FEE-NEW PT 45-59 minutes Pro Fee,22599204,CDM,982,RC,99204,HCPCS,OUTPATIENT,,,457,365.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99204 CLINIC FEE-NEW PT 45-59 minutes Pro Fee,22599204,CDM,982,RC,99204,HCPCS,OUTPATIENT,,,443,354.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99212 Pro FEE-EST PT LEVEL 10-19 minutes Pro Fee,22599212,CDM,982,RC,99212,HCPCS,OUTPATIENT,,,120,96,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99212 Pro FEE-EST PT LEVEL 10-19 minutes Pro Fee,22599212,CDM,982,RC,99212,HCPCS,OUTPATIENT,,,120,96,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99215 Pro FEE-EST PT LEVEL 40-54 minutes Pro Fee,22599215,CDM,982,RC,99215,HCPCS,OUTPATIENT,,,379,303.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99215 Pro FEE-EST PT LEVEL 40-54 minutes Pro Fee,22599215,CDM,982,RC,99215,HCPCS,OUTPATIENT,,,379,303.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Fee 99417-Prolonged office or other outpatient e/m,22599417,CDM,982,RC,99417,HCPCS,OUTPATIENT,,,97,77.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99497 ADVANCE CARE PLANNING - FIRST 30 MINUTES.. ProFee,22599497,CDM,982,RC,99497,HCPCS,OUTPATIENT,,,175,140,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99498 ADVANCE CARE PLANNING - EACH ADDITIONAL 30 MINUTES.. ProFee,22599498,CDM,982,RC,99498,HCPCS,OUTPATIENT,,,154,123.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO PUNCTURE DRAIN LESION,22810160,CDM,982,RC,10160,HCPCS,OUTPATIENT,,,247,197.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TRIM DYSTROPHIC NAILS,22811719,CDM,982,RC,11719,HCPCS,OUTPATIENT,,,40,32,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CRYOTHERAPY,22817340,CDM,982,RC,17340,HCPCS,OUTPATIENT,,,188,150.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO MULTI-LAYER WRAP COMPRESSION,22829581,CDM,982,RC,29581,HCPCS,OUTPATIENT,,,89,71.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO MULTI-LAYER COMPRESS UPPER ARM  FOR,22829583,CDM,982,RC,29583,HCPCS,OUTPATIENT,,,27,21.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NEG PRESSURE THERAPY,22897605,CDM,982,RC,97605,HCPCS,OUTPATIENT,,,128,102.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NEG PRESS WOUND THERAPY>50CM,22897606,CDM,982,RC,97606,HCPCS,OUTPATIENT,,,250,200,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO NEG PRESSURE WOUND THERAPY,22897607,CDM,982,RC,97607,HCPCS,OUTPATIENT,,,476,380.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
NP OFFICE/OUTPATIENT SF MDM 15-29 MINUTES Pro fee,22899202,CDM,982,RC,99202,HCPCS,OUTPATIENT,,,189,151.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99202 LEVEL 2 VISIT NEW PT ProFee (less than 30 mins),22899202,CDM,982,RC,99202,HCPCS,OUTPATIENT,,,189,151.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
NEW PT 99203 30-44 minutes Pro Fee,22899203,CDM,982,RC,99203,HCPCS,OUTPATIENT,,,277,221.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99203 LEVEL 3 VISIT NEW PT ProFee (30-44 mins),22899203,CDM,982,RC,99203,HCPCS,OUTPATIENT,,,277,221.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99205 CLINIC FEE-NEW PT 60-74 minutes Pro Fee,22899205,CDM,982,RC,99205,HCPCS,OUTPATIENT,,,506,404.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99205 CLINIC FEE-NEW PT 60-74 minutes Pro Fee,22899205,CDM,982,RC,99205,HCPCS,OUTPATIENT,,,506,404.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EST PT LEVEL 1,22899211,CDM,982,RC,99211,HCPCS,OUTPATIENT,,,66,52.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EST PT LEVEL 1 PROFEE,22899211,CDM,982,RC,99211,HCPCS,OUTPATIENT,,,66,52.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99213 Pro FEE-EST PT LEVEL 20-29 minutes Pro Fee,22899213,CDM,982,RC,99213,HCPCS,OUTPATIENT,,,185,148,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99213 Pro FEE-EST PT LEVEL 20-29 minutes Pro Fee,22899213,CDM,982,RC,99213,HCPCS,OUTPATIENT,,,185,148,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99214 Pro FEE-EST PT LEVEL 30-39 minutes Pro Fee,22899214,CDM,982,RC,99214,HCPCS,OUTPATIENT,,,298,238.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99214 Pro FEE-EST PT LEVEL 30-39 minutes Pro Fee,22899214,CDM,982,RC,99214,HCPCS,OUTPATIENT,,,298,238.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC MALIGNANT .5CM OR LESS TRUNK ARM,24111600,CDM,982,RC,11600,HCPCS,OUTPATIENT,,,235,188,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC SHOULDER TUMOR;SQ,24123075,CDM,982,RC,23075,HCPCS,OUTPATIENT,,,495,396,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INGUINOFEM LYMPHADENECTOMY SUPERF,24138760,CDM,982,RC,38760,HCPCS,OUTPATIENT,,,1797,1437.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ENTERECTOMY EA ADD'L RESECTION,24144121,CDM,982,RC,44121,HCPCS,OUTPATIENT,,,568,454.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FISSURECTOMY W/WO SPHINCTEROTOMY,24146200,CDM,982,RC,46200,HCPCS,OUTPATIENT,,,772,617.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REPAIR FISTULA W/WO SETON PLACEMENT,24146280,CDM,982,RC,46280,HCPCS,OUTPATIENT,,,975,780,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
OUT PT- CONSULTATION LEVEL 4,24199244,CDM,982,RC,99244,HCPCS,OUTPATIENT,,,562,449.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SEPTOPLASTY SBMUCUS RESCJ W WO CART,25230520,CDM,982,RC,30520,HCPCS,OUTPATIENT,,,3841,3072.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TONSILECTOMY ADENOIDECTOMY UNDER 12,25242820,CDM,982,RC,42820,HCPCS,OUTPATIENT,,,1385,1108,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ADENOIDECTOMY PRIMARY UNDER AGE 12,25242830,CDM,982,RC,42830,HCPCS,OUTPATIENT,,,1003,802.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ADENOIDECTOMY PRIMARY 12 AND OVER,25242831,CDM,982,RC,42831,HCPCS,OUTPATIENT,,,1050,840,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DRAIN ARM LESION,40023930,CDM,982,RC,23930,HCPCS,OUTPATIENT,,,731,584.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
WINDOWING CAST,40029730,CDM,982,RC,29730,HCPCS,OUTPATIENT,,,108,86.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
WEDGING CAST,40029740,CDM,982,RC,29740,HCPCS,OUTPATIENT,,,269,215.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
NOSE CAUTERY,40030801,CDM,982,RC,30801,HCPCS,OUTPATIENT,,,306,244.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DRAIN EXTERNAL EAR LESION,40069000,CDM,982,RC,69000,HCPCS,OUTPATIENT,,,285,228,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
APPLY PASTE BOOT,40250300,CDM,982,RC,29580,HCPCS,OUTPATIENT,,,153,122.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LAB DRAW FEE,40508030,CDM,982,RC,36415,HCPCS,OUTPATIENT,,,53,42.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVE ANAL TAGS,40546230,CDM,982,RC,46230,HCPCS,OUTPATIENT,,,581,464.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
URINE DIP,40581002,CDM,982,RC,81002,HCPCS,OUTPATIENT,,,28,22.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
AEROSOL SET UP,40769212,CDM,982,RC,94640,HCPCS,OUTPATIENT,,,128,102.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ACCUCHECK,40782962,CDM,982,RC,82962,HCPCS,OUTPATIENT,,,22,17.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
URINE DIPSTICK,11081003,CDM,983,RC,81003,HCPCS,OUTPATIENT,,,25,20,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
URINE PREGNANCY,11084703,CDM,983,RC,84703,HCPCS,OUTPATIENT,,,93,74.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
RAPID STREP,11087430,CDM,983,RC,87430,HCPCS,OUTPATIENT,,,101,80.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INFLUENZA VACCINE,11090658,CDM,983,RC,90658,HCPCS,OUTPATIENT,,,18,14.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DT VACCINE < 7 IM,11090702,CDM,983,RC,90702,HCPCS,OUTPATIENT,,,44,35.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PNEUMOCOCCAL VACCINE ADULT/ILL,11090732,CDM,983,RC,90732,HCPCS,OUTPATIENT,,,42,33.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
HEPATITIS B VACCINE,11090746,CDM,983,RC,90746,HCPCS,OUTPATIENT,,,32,25.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Botox Pro Fee (Rodney),12864612,CDM,983,RC,64612,HCPCS,OUTPATIENT,,,330,264,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ADMINISTRATION FEE PNU INJ,110G0009,CDM,983,RC,G0009,HCPCS,OUTPATIENT,,,54,43.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EKG W/O INTERP AND RPT,7510569,CDM,985,RC,93010,HCPCS,OUTPATIENT,,,62,49.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
HOLTER MON PHYS ANAL W/RPT REV W/INTERP,8403002,CDM,985,RC,93227,HCPCS,OUTPATIENT,,,83,66.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CVSLR STRESS TEST NP SUPER ONLY W/O INT,8403014,CDM,985,RC,93016,HCPCS,OUTPATIENT,,,222,177.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CVSLR STRESS TEST NP SUPER ONLY,8403014,CDM,985,RC,93016,HCPCS,OUTPATIENT,,,235,188,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
93018 CVSLR STRESS TEST INT&REPORT - H CHARGE,8403015,CDM,985,RC,93018,HCPCS,OUTPATIENT,,,149,119.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CVSLR STRESS TEST INT AND REPORT,8403015,CDM,985,RC,93018,HCPCS,OUTPATIENT,,,152,121.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CVSLR STRESS TEST MD SUPER ONLY,8403019,CDM,985,RC,93016,HCPCS,OUTPATIENT,,,235,188,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
93227 Holter interpretation up to 48 hrs.,8403020,CDM,985,RC,93227,HCPCS,OUTPATIENT,,,81,64.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EVENT MONITORING INTERPRETATION,8708013,CDM,985,RC,93272,HCPCS,OUTPATIENT,,,72,57.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EVENT MONITORING INTERPRETATION,8708013,CDM,985,RC,93272,HCPCS,OUTPATIENT,,,74,59.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVAL SUBQ CARDIAC RHYTHM MNTR,11033286,CDM,985,RC,33286,HCPCS,OUTPATIENT,,,318,254.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CVSLR STRESS TEST MD SUPER ONLY W/O INT,22508221,CDM,985,RC,93016,HCPCS,OUTPATIENT,,,227,181.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Fee for insertion LOOP recorder,22533285,CDM,985,RC,33285,HCPCS,OUTPATIENT,,,6577,5261.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO INSERTN SUBQ CARDIAC RHYTHM MNTR W/P,22533285,CDM,985,RC,33285,HCPCS,OUTPATIENT,,,6977,5581.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Pro Fee for removal LOOP recorder,22533286,CDM,985,RC,33286,HCPCS,OUTPATIENT,,,318,254.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
93244 Holter Interpretation >49 HRS 3 to 7 days Pro Fee,22593244,CDM,985,RC,93244,HCPCS,OUTPATIENT,,,80,64,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
93248 Holter Interpretation 8 to 15 days Pro Fee,22593248,CDM,985,RC,93248,HCPCS,OUTPATIENT,,,100,80,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
93298 INTERROGATION EVALUATION REMOTE ProFee,22593298,CDM,985,RC,93298,HCPCS,OUTPATIENT,,,86,68.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TREADMILL-W/SUPER INTERP  REPORT,22703001,CDM,985,RC,93015,HCPCS,OUTPATIENT,,,393,314.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CVSLR STRESS TEST INT AND REPORT,25133225,CDM,985,RC,93018,HCPCS,OUTPATIENT,,,152,121.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EEG 41-60 MINUTES,11095812,CDM,986,RC,95812,HCPCS,OUTPATIENT,,,123,98.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EEG>1 HOUR,11095813,CDM,986,RC,95813,HCPCS,OUTPATIENT,,,240,192,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EEG(AWAKE  DROWSY),12804071,CDM,986,RC,95816,HCPCS,OUTPATIENT,,,154,123.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EEG(AWAKEASLEEP),12804077,CDM,986,RC,95819,HCPCS,OUTPATIENT,,,124,99.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SWING BED DISCHARGE,2259315,CDM,987,RC,99315,HCPCS,OUTPATIENT,,,200,160,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DEBR EX/INF SKIN 10% BS,9911000,CDM,987,RC,11000,HCPCS,OUTPATIENT,,,213,170.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REMOVAL OF SKIN TAGS;TO 15,9911200,CDM,987,RC,11200,HCPCS,OUTPATIENT,,,288,230.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO EXC ENTERECTOMY SINGLE  ANASTOMOSIS,9944120,CDM,987,RC,44120,HCPCS,OUTPATIENT,,,3893,3114.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO APPENDECTOMY,9944950,CDM,987,RC,44950,HCPCS,OUTPATIENT,,,2046,1636.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO LAPAROSCOPY APPENDECTOMY,9944970,CDM,987,RC,44970,HCPCS,OUTPATIENT,,,1919,1535.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DRAIN RECTAL ABCESS,9945020,CDM,987,RC,45020,HCPCS,OUTPATIENT,,,1833,1466.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ID CPLX POSTOP WND INF,10410180,CDM,987,RC,10180,HCPCS,OUTPATIENT,,,684,547.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CONSULTATION/DETAILED LOW 55 MIN,10499253,CDM,987,RC,99253,HCPCS,OUTPATIENT,,,306,244.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ACP EA ADDITL 30 MIN IP,11099489,CDM,987,RC,99489,HCPCS,OUTPATIENT,,,146,116.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COLONOSCOPY THRU STOMA;DX,12644388,CDM,987,RC,44388,HCPCS,OUTPATIENT,,,508,406.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO COLONOSCOPY THRU STOMA W BX,12644389,CDM,987,RC,44389,HCPCS,OUTPATIENT,,,1334,1067.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DELIVERY/BIRTHING ROOM RESUSCITATION,15099465,CDM,987,RC,99465,HCPCS,OUTPATIENT,,,458,366.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INITIAL DAY IP VISIT/COMP LOW,22501000,CDM,987,RC,99221,HCPCS,OUTPATIENT,,,315,252,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SUBSEQUENT DAY IP VISIT LOW,22501003,CDM,987,RC,99231,HCPCS,OUTPATIENT,,,143,114.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SUBSEQUENT DAY IP VISIT HIGH,22501005,CDM,987,RC,99233,HCPCS,OUTPATIENT,,,274,219.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
HOSPITAL DISCHARGE DAY MANAGEMENT,22501006,CDM,987,RC,99238,HCPCS,OUTPATIENT,,,231,184.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99222 LEVEL 2: COMP HX/EXAM: MODERATE 50 MIN ProFee,22501008,CDM,987,RC,99222,HCPCS,OUTPATIENT,,,407,325.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DISCHARGE VISIT OBSERVATION,22501010,CDM,987,RC,99238,HCPCS,OUTPATIENT,,,266,212.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INITIAL AND DISCHARGE VISIT LOW,22501016,CDM,987,RC,99234,HCPCS,OUTPATIENT,,,377,301.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INITIAL AND DISCHARGE VISIT MODERATE,22501017,CDM,987,RC,99235,HCPCS,OUTPATIENT,,,548,438.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INITIAL AND DISCHARGE VISIT HIGH,22501018,CDM,987,RC,99236,HCPCS,OUTPATIENT,,,690,552,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
HOSPITAL DISCH DAY MANAG > 30 MINS IN PT,22501020,CDM,987,RC,99239,HCPCS,OUTPATIENT,,,293,234.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO BIOPSY SKIN,22511100,CDM,987,RC,11104,HCPCS,OUTPATIENT,,,399,319.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
11765 WEDGE EXCISION OF SKIN OF NAIL FOLD (EG| FOR INGROWN TOENAIL) ProFee,22511765,CDM,987,RC,11765,HCPCS,OUTPATIENT,,,166,132.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
12045 REPAIR| INTERMEDIATE| WOUNDS OF NECK| HANDS| FEET AND/OR EXTERNAL GENITALIA; 12.6 CM T ProFee,22512045,CDM,987,RC,12045,HCPCS,OUTPATIENT,,,1548,1238.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO TX WRIST BONE FX,22525622,CDM,987,RC,25622,HCPCS,OUTPATIENT,,,714,571.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
26600 CLOSED TREATMENT OF METACARPAL FRACTURE| SINGLE; WITHOUT MANIPULATION| EACH BONE ProFee,22526600,CDM,987,RC,26600,HCPCS,OUTPATIENT,,,883,706.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27246 CLOSED TREATMENT OF GREATER TROCHANTERIC FRACTURE| WITHOUT MANIPULATION ProFee,22527246,CDM,987,RC,27246,HCPCS,OUTPATIENT,,,1003,802.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27508 CLOSED TREATMENT OF FEMORAL FRACTURE| DISTAL END| MEDIAL OR LATERAL CONDYLE| WITHOUT M ProFee,22527508,CDM,987,RC,27508,HCPCS,OUTPATIENT,,,1216,972.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27760 CLOSED TREATMENT OF MEDIAL MALLEOLUS FRACTURE; WITHOUT MANIPULATION ProFee,22527760,CDM,987,RC,27760,HCPCS,OUTPATIENT,,,395,316,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27808 CLOSED TREATMENT OF BIMALLEOLAR ANKLE FRACTURE (EG| LATERAL AND MEDIAL MALLEOLI| OR LA ProFee,22527808,CDM,987,RC,27808,HCPCS,OUTPATIENT,,,1334,1067.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
27816 CLOSED TREATMENT OF TRIMALLEOLAR ANKLE FRACTURE; WITHOUT MANIPULATION ProFee,22527816,CDM,987,RC,27816,HCPCS,OUTPATIENT,,,1334,1067.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SHORT ARM SPLINT(FORE TO HAND),22529125,CDM,987,RC,29125,HCPCS,OUTPATIENT,,,322,257.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO APPLY SHORT LEG SPLINT,22529515,CDM,987,RC,29515,HCPCS,OUTPATIENT,,,162,129.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
32421 PF THORACENTESIS ProFee,22532421,CDM,987,RC,32421,HCPCS,OUTPATIENT,,,323,258.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ASPIRATE PLUERA W/O IMAGING,22532554,CDM,987,RC,32554,HCPCS,OUTPATIENT,,,1293,1034.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO ASPIRATE PLUERA W IMAGING,22532555,CDM,987,RC,32555,HCPCS,OUTPATIENT,,,1577,1261.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO CATH PLEURA W/O IMAGE,22532556,CDM,987,RC,32556,HCPCS,OUTPATIENT,,,1098,878.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
49082 ABDOMINAL PARACENTESIS (DIAGNOSTIC OR THERAPEUTIC); WITHOUT IMAGING GUIDANCE ProFee,22549082,CDM,987,RC,49082,HCPCS,OUTPATIENT,,,293,234.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
49083 ABDOMINAL PARACENTESIS (DIAGNOSTIC OR THERAPEUTIC); WITH IMAGING GUIDANCE ProFee,22549083,CDM,987,RC,49083,HCPCS,OUTPATIENT,,,301,240.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
97597 WOUND DEBRIDEMENT ProFee,22597597,CDM,987,RC,97597,HCPCS,OUTPATIENT,,,211,168.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO DEBRIDMENT>OR=TO 20 SQ CM,22597598,CDM,987,RC,97598,HCPCS,OUTPATIENT,,,155,124,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO REM DEVITALIZED TISSUE FROM WOUND(S),22597602,CDM,987,RC,97602,HCPCS,OUTPATIENT,,,71,56.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INITIAL DAY IP VISIT/COMP MODERATE,22599222,CDM,987,RC,99222,HCPCS,OUTPATIENT,,,425,340,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99291 CRITICAL CARE E&M-UNSTABL ProFee,22599291,CDM,987,RC,99291,HCPCS,OUTPATIENT,,,828,662.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FEE 99292 ED PF CRITICAL CARE ADDL',22599292,CDM,987,RC,99292,HCPCS,OUTPATIENT,,,415,332,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SWING BED INT 25 MINUTES,22599304,CDM,987,RC,99304,HCPCS,OUTPATIENT,,,223,178.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SWING BED INT 35 MINUTES,22599305,CDM,987,RC,99305,HCPCS,OUTPATIENT,,,324,259.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SWING BED INT 45 MINUTES,22599306,CDM,987,RC,99306,HCPCS,OUTPATIENT,,,373,298.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SWING BED SUBSEQUENT DAY LOW,22599307,CDM,987,RC,99307,HCPCS,OUTPATIENT,,,99,79.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO SWING BED SUBSEQUENT DAY MODERATE,22599309,CDM,987,RC,99309,HCPCS,OUTPATIENT,,,236,188.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SWING BED SUBSEQUENT DAY HIGH,22599310,CDM,987,RC,99310,HCPCS,OUTPATIENT,,,363,290.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INITIAL DAY IP VISIT COMP HIGH,22601002,CDM,987,RC,99223,HCPCS,OUTPATIENT,,,521,416.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INITIAL IN PT CONSULT N/E PT 40 MIN,22699252,CDM,987,RC,99252,HCPCS,OUTPATIENT,,,440,352,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INITIAL IN PT CONSULT N/E PT 110 MIN,22699255,CDM,987,RC,99255,HCPCS,OUTPATIENT,,,852,681.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PRO FEE SUBSEQUENT DAY EXPANDED,22899308,CDM,987,RC,99308,HCPCS,OUTPATIENT,,,148,118.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SUBSEQUENT DAY IP VISIT,22901004,CDM,987,RC,99232,HCPCS,OUTPATIENT,,,155,124,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
NASAL/OROGASTRIC W/STENT,23343752,CDM,987,RC,43752,HCPCS,OUTPATIENT,,,108,86.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CL TX PROX TIBIAL FX WO MANIP,23827530,CDM,987,RC,27530,HCPCS,OUTPATIENT,,,1287,1029.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ESTABLISH ACCESS TO ARTERY,24136140,CDM,987,RC,36140,HCPCS,OUTPATIENT,,,312,249.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
FOLLOW-UP IP CONSULT FOCUSED LOW,22501012,CDM,988,RC,99261,HCPCS,OUTPATIENT,,,102,81.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
FOLLOW-UP IP CONSULT/DETAILED HIGH,22501014,CDM,988,RC,99263,HCPCS,OUTPATIENT,,,258,206.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CONSULTATION/OFFICE-LEVEL 2,22599242,CDM,988,RC,99242,HCPCS,OUTPATIENT,,,397,317.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CONSULTATION/OFFICE-LEVEL 3,22599243,CDM,988,RC,99243,HCPCS,OUTPATIENT,,,449,359.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
99245 LEVEL 5 OUTPT CONSULT ProFee,22599245,CDM,988,RC,99245,HCPCS,OUTPATIENT,,,671,536.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INITIAL IN PT CONSULT N/E PT 80 MIN,22599254,CDM,988,RC,99254,HCPCS,OUTPATIENT,,,677,541.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
FOLLOW-UP IP CONSULT EXP MODERATE,24601013,CDM,988,RC,99262,HCPCS,OUTPATIENT,,,185,148,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ADAPTER TUBING PLASTIC MULTIPURPOSE,7516047,CDM,272,RC,,,OUTPATIENT,,,50.25,40.2,,47.74,95,,38.19,percent of total billed charges,95% of total billed charges,47.6,94.72,,38.08,percent of total billed charges,94.72% of total billed charges,49.64,98.79,,39.71,percent of total billed charges,98.79% of total billed charges,49.25,98,,39.4,percent of total billed charges,98% of total billed charges,49.25,98,,39.4,percent of total billed charges,98% of total billed charges,24.12,48,,19.3,percent of total billed charges,48% of total billed charges,22.61,45,,18.09,percent of total billed charges,45% of total billed charges,19.22,38.25,,15.38,percent of total billed charges,38.25% of total billed charges,22.61,45,,18.09,percent of total billed charges,45% of total billed charges,22.61,45,,18.09,percent of total billed charges,45% of total billed charges,19.22,49.64,
FIBULAR PLATE| STRAIGHT| 6 HOLE  P53-201-0006,7521373,CDM,272,RC,,,OUTPATIENT,,,1312.5,1050,,1246.88,95,,997.5,percent of total billed charges,95% of total billed charges,1243.2,94.72,,994.56,percent of total billed charges,94.72% of total billed charges,1296.62,98.79,,1037.3,percent of total billed charges,98.79% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,1286.25,98,,1029,percent of total billed charges,98% of total billed charges,630,48,,504,percent of total billed charges,48% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,38.25,,401.62,percent of total billed charges,38.25% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,590.63,45,,472.5,percent of total billed charges,45% of total billed charges,502.03,1296.62,
CATHETER COUDE 14FR. SILICONE,7540023,CDM,272,RC,,,OUTPATIENT,,,62,49.6,,58.9,95,,47.12,percent of total billed charges,95% of total billed charges,58.73,94.72,,46.98,percent of total billed charges,94.72% of total billed charges,61.25,98.79,,49,percent of total billed charges,98.79% of total billed charges,60.76,98,,48.61,percent of total billed charges,98% of total billed charges,60.76,98,,48.61,percent of total billed charges,98% of total billed charges,29.76,48,,23.81,percent of total billed charges,48% of total billed charges,27.9,45,,22.32,percent of total billed charges,45% of total billed charges,23.72,38.25,,18.98,percent of total billed charges,38.25% of total billed charges,27.9,45,,22.32,percent of total billed charges,45% of total billed charges,27.9,45,,22.32,percent of total billed charges,45% of total billed charges,23.72,61.25,
CATHETER DRAINAGE MULTIPURPOSE 8F X 35,7540024,CDM,272,RC,,,OUTPATIENT,,,262.5,210,,249.38,95,,199.5,percent of total billed charges,95% of total billed charges,248.64,94.72,,198.91,percent of total billed charges,94.72% of total billed charges,259.32,98.79,,207.46,percent of total billed charges,98.79% of total billed charges,257.25,98,,205.8,percent of total billed charges,98% of total billed charges,257.25,98,,205.8,percent of total billed charges,98% of total billed charges,126,48,,100.8,percent of total billed charges,48% of total billed charges,118.13,45,,94.5,percent of total billed charges,45% of total billed charges,100.41,38.25,,80.33,percent of total billed charges,38.25% of total billed charges,118.13,45,,94.5,percent of total billed charges,45% of total billed charges,118.13,45,,94.5,percent of total billed charges,45% of total billed charges,100.41,259.32,
CATHETER DRAINAGE TOTAL ABSCESSION 8F X 30,7540025,CDM,272,RC,,,OUTPATIENT,,,107.25,85.8,,101.89,95,,81.51,percent of total billed charges,95% of total billed charges,101.59,94.72,,81.27,percent of total billed charges,94.72% of total billed charges,105.95,98.79,,84.76,percent of total billed charges,98.79% of total billed charges,105.11,98,,84.09,percent of total billed charges,98% of total billed charges,105.11,98,,84.09,percent of total billed charges,98% of total billed charges,51.48,48,,41.18,percent of total billed charges,48% of total billed charges,48.26,45,,38.61,percent of total billed charges,45% of total billed charges,41.02,38.25,,32.82,percent of total billed charges,38.25% of total billed charges,48.26,45,,38.61,percent of total billed charges,45% of total billed charges,48.26,45,,38.61,percent of total billed charges,45% of total billed charges,41.02,105.95,
Pro Fee Panniculectomy,10015830,CDM,975,RC,15830,HCPCS,OUTPATIENT,,,4644,3715.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Panniculectomy,10015830,CDM,360,RC,15830,HCPCS,OUTPATIENT,,,8910,7128,,8464.5,95,,6771.6,percent of total billed charges,95% of total billed charges,8439.55,94.72,,6751.64,percent of total billed charges,94.72% of total billed charges,8802.19,98.79,,7041.75,percent of total billed charges,98.79% of total billed charges,8731.8,98,,6985.44,percent of total billed charges,98% of total billed charges,8731.8,98,,6985.44,percent of total billed charges,98% of total billed charges,4276.8,48,,3421.44,percent of total billed charges,48% of total billed charges,4009.5,45,,3207.6,percent of total billed charges,45% of total billed charges,3408.08,38.25,,2726.46,percent of total billed charges,38.25% of total billed charges,4009.5,45,,3207.6,percent of total billed charges,45% of total billed charges,4009.5,45,,3207.6,percent of total billed charges,45% of total billed charges,3408.08,8802.19,
Pro Fee Roux-en-Y Laparoscopy,10043645,CDM,975,RC,43645,HCPCS,OUTPATIENT,,,5211,4168.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Roux-en-Y Laparoscopy,10043645,CDM,360,RC,43645,HCPCS,OUTPATIENT,,,9558,7646.4,,9080.1,95,,7264.08,percent of total billed charges,95% of total billed charges,9053.34,94.72,,7242.67,percent of total billed charges,94.72% of total billed charges,9442.35,98.79,,7553.88,percent of total billed charges,98.79% of total billed charges,9366.84,98,,7493.47,percent of total billed charges,98% of total billed charges,9366.84,98,,7493.47,percent of total billed charges,98% of total billed charges,4587.84,48,,3670.27,percent of total billed charges,48% of total billed charges,4301.1,45,,3440.88,percent of total billed charges,45% of total billed charges,3655.94,38.25,,2924.75,percent of total billed charges,38.25% of total billed charges,4301.1,45,,3440.88,percent of total billed charges,45% of total billed charges,4301.1,45,,3440.88,percent of total billed charges,45% of total billed charges,3655.94,9442.35,
Pro Fee Gastric Banding Laparoscopy,10043770,CDM,975,RC,43770,HCPCS,OUTPATIENT,,,5346,4276.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Gastric Banding Laparoscopy,10043770,CDM,360,RC,43770,HCPCS,OUTPATIENT,,,9828,7862.4,,9336.6,95,,7469.28,percent of total billed charges,95% of total billed charges,9309.08,94.72,,7447.26,percent of total billed charges,94.72% of total billed charges,9709.08,98.79,,7767.26,percent of total billed charges,98.79% of total billed charges,9631.44,98,,7705.15,percent of total billed charges,98% of total billed charges,9631.44,98,,7705.15,percent of total billed charges,98% of total billed charges,4717.44,48,,3773.95,percent of total billed charges,48% of total billed charges,4422.6,45,,3538.08,percent of total billed charges,45% of total billed charges,3759.21,38.25,,3007.37,percent of total billed charges,38.25% of total billed charges,4422.6,45,,3538.08,percent of total billed charges,45% of total billed charges,4422.6,45,,3538.08,percent of total billed charges,45% of total billed charges,3759.21,9709.08,
Pro Fee Gastric Band Revision Laparoscopy,10043771,CDM,975,RC,43771,HCPCS,OUTPATIENT,,,3402,2721.6,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Gastric Band Revision Laparoscopy,10043771,CDM,360,RC,43771,HCPCS,OUTPATIENT,,,5940,4752,,5643,95,,4514.4,percent of total billed charges,95% of total billed charges,5626.37,94.72,,4501.1,percent of total billed charges,94.72% of total billed charges,5868.13,98.79,,4694.5,percent of total billed charges,98.79% of total billed charges,5821.2,98,,4656.96,percent of total billed charges,98% of total billed charges,5821.2,98,,4656.96,percent of total billed charges,98% of total billed charges,2851.2,48,,2280.96,percent of total billed charges,48% of total billed charges,2673,45,,2138.4,percent of total billed charges,45% of total billed charges,2272.05,38.25,,1817.64,percent of total billed charges,38.25% of total billed charges,2673,45,,2138.4,percent of total billed charges,45% of total billed charges,2673,45,,2138.4,percent of total billed charges,45% of total billed charges,2272.05,5868.13,
Pro Fee Removal Gastric Band Laparoscopy,10043772,CDM,975,RC,43772,HCPCS,OUTPATIENT,,,3024,2419.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Removal Gastric Band Laparoscopy,10043772,CDM,360,RC,43772,HCPCS,OUTPATIENT,,,5184,4147.2,,4924.8,95,,3939.84,percent of total billed charges,95% of total billed charges,4910.28,94.72,,3928.22,percent of total billed charges,94.72% of total billed charges,5121.27,98.79,,4097.02,percent of total billed charges,98.79% of total billed charges,5080.32,98,,4064.26,percent of total billed charges,98% of total billed charges,5080.32,98,,4064.26,percent of total billed charges,98% of total billed charges,2488.32,48,,1990.66,percent of total billed charges,48% of total billed charges,2332.8,45,,1866.24,percent of total billed charges,45% of total billed charges,1982.88,38.25,,1586.3,percent of total billed charges,38.25% of total billed charges,2332.8,45,,1866.24,percent of total billed charges,45% of total billed charges,2332.8,45,,1866.24,percent of total billed charges,45% of total billed charges,1982.88,5121.27,
Pro Fee Replacement Gastric Band Laparoscopy,10043773,CDM,975,RC,43773,HCPCS,OUTPATIENT,,,5616,4492.8,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Replacement Gastric Band Laparoscopy,10043773,CDM,360,RC,43773,HCPCS,OUTPATIENT,,,10368,8294.4,,9849.6,95,,7879.68,percent of total billed charges,95% of total billed charges,9820.57,94.72,,7856.46,percent of total billed charges,94.72% of total billed charges,10242.55,98.79,,8194.04,percent of total billed charges,98.79% of total billed charges,10160.64,98,,8128.51,percent of total billed charges,98% of total billed charges,10160.64,98,,8128.51,percent of total billed charges,98% of total billed charges,4976.64,48,,3981.31,percent of total billed charges,48% of total billed charges,4665.6,45,,3732.48,percent of total billed charges,45% of total billed charges,3965.76,38.25,,3172.61,percent of total billed charges,38.25% of total billed charges,4665.6,45,,3732.48,percent of total billed charges,45% of total billed charges,4665.6,45,,3732.48,percent of total billed charges,45% of total billed charges,3965.76,10242.55,
Pro Fee Removal Gastric Band and Subcutaneous Ports Laparoscopy,10043774,CDM,975,RC,43774,HCPCS,OUTPATIENT,,,5454,4363.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Removal Gastric Band and Subcutaneous Ports Laparoscopy,10043774,CDM,360,RC,43774,HCPCS,OUTPATIENT,,,9720,7776,,9234,95,,7387.2,percent of total billed charges,95% of total billed charges,9206.78,94.72,,7365.42,percent of total billed charges,94.72% of total billed charges,9602.39,98.79,,7681.91,percent of total billed charges,98.79% of total billed charges,9525.6,98,,7620.48,percent of total billed charges,98% of total billed charges,9525.6,98,,7620.48,percent of total billed charges,98% of total billed charges,4665.6,48,,3732.48,percent of total billed charges,48% of total billed charges,4374,45,,3499.2,percent of total billed charges,45% of total billed charges,3717.9,38.25,,2974.32,percent of total billed charges,38.25% of total billed charges,4374,45,,3499.2,percent of total billed charges,45% of total billed charges,4374,45,,3499.2,percent of total billed charges,45% of total billed charges,3717.9,9602.39,
Pro Fee Gastrectomy Sleeve Laparoscopy,10043775,CDM,975,RC,43775,HCPCS,OUTPATIENT,,,6804,5443.2,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Gastrectomy Sleeve Laparoscopy,10043775,CDM,360,RC,43775,HCPCS,OUTPATIENT,,,12744,10195.2,,12106.8,95,,9685.44,percent of total billed charges,95% of total billed charges,12071.12,94.72,,9656.9,percent of total billed charges,94.72% of total billed charges,12589.8,98.79,,10071.84,percent of total billed charges,98.79% of total billed charges,12489.12,98,,9991.3,percent of total billed charges,98% of total billed charges,12489.12,98,,9991.3,percent of total billed charges,98% of total billed charges,6117.12,48,,4893.7,percent of total billed charges,48% of total billed charges,5734.8,45,,4587.84,percent of total billed charges,45% of total billed charges,4874.58,38.25,,3899.66,percent of total billed charges,38.25% of total billed charges,5734.8,45,,4587.84,percent of total billed charges,45% of total billed charges,5734.8,45,,4587.84,percent of total billed charges,45% of total billed charges,4874.58,12589.8,
Pro Fee Biopsy Liver,10047001,CDM,975,RC,47001,HCPCS,OUTPATIENT,,,378,302.4,,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Biopsy Liver,10047001,CDM,360,RC,47001,HCPCS,OUTPATIENT,,,486,388.8,,461.7,95,,369.36,percent of total billed charges,95% of total billed charges,460.34,94.72,,368.27,percent of total billed charges,94.72% of total billed charges,480.12,98.79,,384.1,percent of total billed charges,98.79% of total billed charges,476.28,98,,381.02,percent of total billed charges,98% of total billed charges,476.28,98,,381.02,percent of total billed charges,98% of total billed charges,233.28,48,,186.62,percent of total billed charges,48% of total billed charges,218.7,45,,174.96,percent of total billed charges,45% of total billed charges,185.9,38.25,,148.72,percent of total billed charges,38.25% of total billed charges,218.7,45,,174.96,percent of total billed charges,45% of total billed charges,218.7,45,,174.96,percent of total billed charges,45% of total billed charges,185.9,480.12,