		Addendum C. - Proposed HCPCS Codes Payable Under the 2015 OPPS by APC						
		CPT codes and descriptions only are copyright 2013 American Medical Association.  All Rights Reserved.  Applicable FARS/DFARS Apply. Dental codes (D codes) are copyright 2013/14 American Dental Association.  All Rights Reserved.						
APC	HCPCS	Group Title	Short Descriptor	SI	Relative Weight	Payment Rate	National Unadjusted Copayment	Minimum Unadjusted Copayment
0004		Level I Needle Biopsy/ Aspiration Except Bone Marrow		T	6.6620	$494.16	.	$98.84
0004	10022		"	Fna w/image"					
0004	19000		"	Drainage of breast lesion"					
0004	19100		"	Bx breast percut w/o image"					
0004	20615		"	Treatment of bone cyst"					
0004	42400		"	Biopsy of salivary gland"					
0004	47399		"	Liver surgery procedure"					
0004	48999		"	Pancreas surgery procedure"					
0004	54800		"	Biopsy of epididymis"					
0004	55000		"	Drainage of hydrocele"					
0004	60100		"	Biopsy of thyroid"					
0004	60300		"	Aspir/inj thyroid cyst"					
0004	62267		"	Interdiscal perq aspir dx"					
0005		Level II Needle Biopsy/Aspiration Except Bone Marrow		T	14.3211	"$1,062.28"	.	$212.46
0005	19081		"	Bx breast 1st lesion strtctc"					
0005	19083		"	Bx breast 1st lesion us imag"					
0005	19085		"	Bx breast 1st lesion mr imag"					
0005	20206		"	Needle biopsy muscle"					
0005	32400		"	Needle biopsy chest lining"					
0005	32405		"	Percut bx lung/mediastinum"					
0005	38505		"	Needle biopsy lymph nodes"					
0005	47000		"	Needle biopsy of liver"					
0005	48102		"	Needle biopsy pancreas"					
0005	49180		"	Biopsy abdominal mass"					
0005	49405		"	Image cath fluid colxn visc"					
0005	49406		"	Image cath fluid peri/retro"					
0005	49407		"	Image cath fluid trns/vgnl"					
0005	50200		"	Renal biopsy perq"					
0005	50390		"	Drainage of kidney lesion"					
0005	54500		"	Biopsy of testis"					
0005	62269		"	Needle biopsy spinal cord"					
0006		Level I Incision & Drainage		T	2.1965	$162.93	.	$32.59
0006	10060		"	Drainage of skin abscess"					
0006	10061		"	Drainage of skin abscess"					
0006	10080		"	Drainage of pilonidal cyst"					
0006	10160		"	Puncture drainage of lesion"					
0006	20950		"	Fluid pressure muscle"					
0006	21725		"	Revision of neck muscle"					
0006	26010		"	Drainage of finger abscess"					
0006	40800		"	Drainage of mouth lesion"					
0006	41800		"	Drainage of gum lesion"					
0006	69000		"	Drain external ear lesion"					
0006	69020		"	Drain outer ear canal lesion"					
0007		Level II Incision & Drainage		T	12.2415	$908.03	.	$181.61
0007	10030		"	Guide cathet fluid drainage"					
0007	10081		"	Drainage of pilonidal cyst"					
0007	10140		"	Drainage of hematoma/fluid"					
0007	20103		"	Explore wound extremity"					
0007	23931		"	Drainage of arm bursa"					
0007	26011		"	Drainage of finger abscess"					
0007	28001		"	Drainage of bursa of foot"					
0007	38300		"	Drainage lymph node lesion"					
0007	55100		"	Drainage of scrotum abscess"					
0007	57022		"	I & d vaginal hematoma pp"					
0007	69005		"	Drain external ear lesion"					
0008		Level III Incision and Drainage		T	22.1865	"$1,645.71"	.	$329.15
0008	10180		"	Complex drainage wound"					
0008	19020		"	Incision of breast lesion"					
0008	21501		"	Drain neck/chest lesion"					
0008	23030		"	Drain shoulder lesion"					
0008	23031		"	Drain shoulder bursa"					
0008	23930		"	Drainage of arm lesion"					
0008	27301		"	Drain thigh/knee lesion"					
0008	27603		"	Drain lower leg lesion"					
0008	38305		"	Drainage lymph node lesion"					
0008	51080		"	Drainage of bladder abscess"					
0008	54015		"	Drain penis lesion"					
0008	54115		"	Treatment of penis lesion"					
0008	57023		"	I & d vag hematoma non-ob"					
0012		Level I Debridement & Destruction		T	0.9824	$72.87	.	$14.58
0012	10040		"	Acne surgery"					
0012	11055		"	Trim skin lesion"					
0012	11200		"	Removal of skin tags <w/15"					
0012	11305		"	Shave skin lesion 0.5 cm/<"					
0012	11719		"	Trim nail(s) any number"					
0012	11720		"	Debride nail 1-5"					
0012	11721		"	Debride nail 6 or more"					
0012	11740		"	Drain blood from under nail"					
0012	11900		"	Inject skin lesions </w 7"					
0012	12001		"	Rpr s/n/ax/gen/trnk 2.5cm/<"					
0012	12002		"	Rpr s/n/ax/gen/trnk2.6-7.5cm"					
0012	12011		"	Rpr f/e/e/n/l/m 2.5 cm/<"					
0012	12013		"	Rpr f/e/e/n/l/m 2.6-5.0 cm"					
0012	15786		"	Abrasion lesion single"					
0012	15788		"	Chemical peel face epiderm"					
0012	15792		"	Chemical peel nonfacial"					
0012	15793		"	Chemical peel nonfacial"					
0012	16000		"	Initial treatment of burn(s)"					
0012	17110		"	Destruct b9 lesion 1-14"					
0012	17340		"	Cryotherapy of skin"					
0012	17999		"	Skin tissue procedure"					
0012	54056		"	Cryosurgery penis lesion(s)"					
0012	69220		"	Clean out mastoid cavity"					
0012	96921		"	Laser tx skin 250-500 sq cm"					
0012	96922		"	Laser tx skin >500 sq cm"					
0012	96999		"	Dermatological procedure"					
0012	G0127		"	Trim nail(s)"					
0012	G0247		"	Routine footcare pt w lops"					
0015		Level II Debridement & Destruction		T	1.9098	$141.66	.	$28.34
0015	11056		"	Trim skin lesions 2 to 4"					
0015	11057		"	Trim skin lesions over 4"					
0015	11100		"	Biopsy skin lesion"					
0015	11300		"	Shave skin lesion 0.5 cm/<"					
0015	11301		"	Shave skin lesion 0.6-1.0 cm"					
0015	11302		"	Shave skin lesion 1.1-2.0 cm"					
0015	11303		"	Shave skin lesion >2.0 cm"					
0015	11306		"	Shave skin lesion 0.6-1.0 cm"					
0015	11307		"	Shave skin lesion 1.1-2.0 cm"					
0015	11308		"	Shave skin lesion >2.0 cm"					
0015	11310		"	Shave skin lesion 0.5 cm/<"					
0015	11311		"	Shave skin lesion 0.6-1.0 cm"					
0015	11312		"	Shave skin lesion 1.1-2.0 cm"					
0015	11313		"	Shave skin lesion >2.0 cm"					
0015	11730		"	Removal of nail plate"					
0015	11765		"	Excision of nail fold toe"					
0015	11901		"	Inject skin lesions >7"					
0015	12004		"	Rpr s/n/ax/gen/trk7.6-12.5cm"					
0015	12005		"	Rpr s/n/a/gen/trk12.6-20.0cm"					
0015	12007		"	Rpr s/n/ax/gen/trnk >30.0 cm"					
0015	12014		"	Rpr f/e/e/n/l/m 5.1-7.5 cm"					
0015	12015		"	Rpr f/e/e/n/l/m 7.6-12.5 cm"					
0015	12016		"	Rpr fe/e/en/l/m 12.6-20.0 cm"					
0015	12017		"	Rpr fe/e/en/l/m 20.1-30.0 cm"					
0015	12018		"	Rpr f/e/e/n/l/m >30.0 cm"					
0015	15789		"	Chemical peel face dermal"					
0015	16020		"	Dress/debrid p-thick burn s"					
0015	16025		"	Dress/debrid p-thick burn m"					
0015	17000		"	Destruct premalg lesion"					
0015	17111		"	Destruct lesion 15 or more"					
0015	17250		"	Chemical cautery tissue"					
0015	17260		"	Destruction of skin lesions"					
0015	17261		"	Destruction of skin lesions"					
0015	17262		"	Destruction of skin lesions"					
0015	17263		"	Destruction of skin lesions"					
0015	17264		"	Destruction of skin lesions"					
0015	17270		"	Destruction of skin lesions"					
0015	17271		"	Destruction of skin lesions"					
0015	17272		"	Destruction of skin lesions"					
0015	17280		"	Destruction of skin lesions"					
0015	17281		"	Destruction of skin lesions"					
0015	17360		"	Skin peel therapy"					
0015	36468		"	Injection(s) spider veins"					
0015	36469		"	Injection(s) spider veins"					
0015	36471		"	Injection therapy of veins"					
0015	45520		"	Treatment of rectal prolapse"					
0015	46916		"	Cryosurgery anal lesion(s)"					
0015	54050		"	Destruction penis lesion(s)"					
0015	96567		"	Photodynamic tx skin"					
0015	96920		"	Laser tx skin < 250 sq cm"					
0015	97597		"	Rmvl devital tis 20 cm/<"					
0015	97602		"	Wound(s) care non-selective"					
0015	97605		"	Neg press wound tx </=50 cm"					
0015	97606		"	Neg press wound tx >50 cm"					
0015	97610		"	Low frequency non-thermal us"					
0015	G0456		"	Neg pre wound <=50 sq cm"					
0015	G0457		"	Neg pres wound >50 sq cm"					
0016		Level III Debridement & Destruction		T	3.8335	$284.35	.	$56.87
0016	10021		"	Fna w/o image"					
0016	10120		"	Remove foreign body"					
0016	11000		"	Debride infected skin"					
0016	11042		"	Deb subq tissue 20 sq cm/<"					
0016	11043		"	Deb musc/fascia 20 sq cm/<"					
0016	15783		"	Dermabrasion suprfl any site"					
0016	15850		"	Remove sutures same surgeon"					
0016	15851		"	Remove sutures diff surgeon"					
0016	16030		"	Dress/debrid p-thick burn l"					
0016	16035		"	Incision of burn scab initi"					
0016	17004		"	Destroy premal lesions 15/>"					
0016	17106		"	Destruction of skin lesions"					
0016	17107		"	Destruction of skin lesions"					
0016	17108		"	Destruction of skin lesions"					
0016	17266		"	Destruction of skin lesions"					
0016	17273		"	Destruction of skin lesions"					
0016	17274		"	Destruction of skin lesions"					
0016	17276		"	Destruction of skin lesions"					
0016	17282		"	Destruction of skin lesions"					
0016	17283		"	Destruction of skin lesions"					
0016	17284		"	Destruction of skin lesions"					
0016	17286		"	Destruction of skin lesions"					
0016	17380		"	Hair removal by electrolysis"					
0016	36470		"	Injection therapy of vein"					
0016	46900		"	Destruction anal lesion(s)"					
0017		Level IV Debridement & Destruction		T	17.9799	"$1,333.68"	.	$266.74
0017	46910		"	Destruction anal lesion(s)"					
0017	54055		"	Destruction penis lesion(s)"					
0017	54057		"	Laser surg penis lesion(s)"					
0017	54060		"	Excision of penis lesion(s)"					
0017	54065		"	Destruction penis lesion(s)"					
0017	56501		"	Destroy vulva lesions sim"					
0017	56515		"	Destroy vulva lesion/s compl"					
0019		Level I Excision/ Biopsy		T	5.1272	$380.32	.	$76.07
0019	11011		"	Debride skin musc at fx site"					
0019	11400		"	Exc tr-ext b9+marg 0.5 cm<"					
0019	11401		"	Exc tr-ext b9+marg 0.6-1 cm"					
0019	11402		"	Exc tr-ext b9+marg 1.1-2 cm"					
0019	11440		"	Exc face-mm b9+marg 0.5 cm/<"					
0019	11441		"	Exc face-mm b9+marg 0.6-1 cm"					
0019	11601		"	Exc tr-ext mal+marg 0.6-1 cm"					
0019	11602		"	Exc tr-ext mal+marg 1.1-2 cm"					
0019	11750		"	Removal of nail bed"					
0019	11755		"	Biopsy nail unit"					
0019	11976		"	Remove contraceptive capsule"					
0019	15782		"	Dermabrasion other than face"					
0019	15999		"	Removal of pressure sore"					
0020		Level II Excision/ Biopsy		T	11.0768	$821.63	.	$164.33
0020	11010		"	Debride skin at fx site"					
0020	11012		"	Deb skin bone at fx site"					
0020	11044		"	Deb bone 20 sq cm/<"					
0020	11403		"	Exc tr-ext b9+marg 2.1-3cm/<"					
0020	11420		"	Exc h-f-nk-sp b9+marg 0.5/<"					
0020	11421		"	Exc h-f-nk-sp b9+marg 0.6-1"					
0020	11422		"	Exc h-f-nk-sp b9+marg 1.1-2"					
0020	11442		"	Exc face-mm b9+marg 1.1-2 cm"					
0020	11443		"	Exc face-mm b9+marg 2.1-3 cm"					
0020	11444		"	Exc face-mm b9+marg 3.1-4 cm"					
0020	11600		"	Exc tr-ext mal+marg 0.5 cm/<"					
0020	11603		"	Exc tr-ext mal+marg 2.1-3 cm"					
0020	11604		"	Exc tr-ext mal+marg 3.1-4 cm"					
0020	11620		"	Exc h-f-nk-sp mal+marg 0.5/<"					
0020	11621		"	Exc s/n/h/f/g mal+mrg 0.6-1"					
0020	11622		"	Exc s/n/h/f/g mal+mrg 1.1-2"					
0020	11623		"	Exc s/n/h/f/g mal+mrg 2.1-3"					
0020	11640		"	Exc f/e/e/n/l mal+mrg 0.5cm<"					
0020	11641		"	Exc f/e/e/n/l mal+mrg 0.6-1"					
0020	11642		"	Exc f/e/e/n/l mal+mrg 1.1-2"					
0020	11643		"	Exc f/e/e/n/l mal+mrg 2.1-3"					
0020	15781		"	Dermabrasion segmental face"					
0020	15920		"	Removal of tail bone ulcer"					
0020	20005		"	I&d abscess subfascial"					
0020	20220		"	Bone biopsy trocar/needle"					
0020	20520		"	Removal of foreign body"					
0020	21011		"	Exc face les sc <2 cm"					
0020	21012		"	Exc face les sbq 2 cm/<"					
0020	21013		"	Exc face tum deep < 2 cm"					
0020	21014		"	Exc face tum deep 2 cm/>"					
0020	21920		"	Biopsy soft tissue of back"					
0020	23065		"	Biopsy shoulder tissues"					
0020	23330		"	Remove shoulder foreign body"					
0020	23333		"	Remove shoulder fb deep"					
0020	24200		"	Removal of arm foreign body"					
0020	25065		"	Biopsy forearm soft tissues"					
0020	27040		"	Biopsy of soft tissues"					
0020	27041		"	Biopsy of soft tissues"					
0020	27086		"	Remove hip foreign body"					
0020	27323		"	Biopsy thigh soft tissues"					
0020	27613		"	Biopsy lower leg soft tissue"					
0020	28190		"	Removal of foot foreign body"					
0020	28193		"	Removal of foot foreign body"					
0020	35226		"	Repair blood vessel lesion"					
0020	38220		"	Bone marrow aspiration"					
0020	38221		"	Bone marrow biopsy"					
0020	41108		"	Biopsy of floor of mouth"					
0021		Level III Excision/ Biopsy		T	17.6294	"$1,307.68"	.	$261.54
0021	10121		"	Remove foreign body"					
0021	11404		"	Exc tr-ext b9+marg 3.1-4 cm"					
0021	11406		"	Exc tr-ext b9+marg >4.0 cm"					
0021	11423		"	Exc h-f-nk-sp b9+marg 2.1-3"					
0021	11424		"	Exc h-f-nk-sp b9+marg 3.1-4"					
0021	11606		"	Exc tr-ext mal+marg >4 cm"					
0021	11624		"	Exc s/n/h/f/g mal+mrg 3.1-4"					
0021	11644		"	Exc f/e/e/n/l mal+mrg 3.1-4"					
0021	15836		"	Excise excessive skin arm"					
0021	15837		"	Excise excess skin arm/hand"					
0021	15838		"	Excise excess skin fat pad"					
0021	15839		"	Excise excess skin & tissue"					
0021	19260		"	Removal of chest wall lesion"					
0021	20200		"	Muscle biopsy"					
0021	20205		"	Deep muscle biopsy"					
0021	20225		"	Bone biopsy trocar/needle"					
0021	20670		"	Removal of support implant"					
0021	21015		"	Resect face/scalp tum < 2 cm"					
0021	21550		"	Biopsy of neck/chest"					
0021	21555		"	Exc neck les sc < 3 cm"					
0021	21557		"	Resect neck thorax tumor<5cm"					
0021	21930		"	Exc back les sc < 3 cm"					
0021	21932		"	Exc back tum deep < 5 cm"					
0021	21935		"	Resect back tum < 5 cm"					
0021	22902		"	Exc abd les sc < 3 cm"					
0021	22904		"	Radical resect abd tumor<5cm"					
0021	23000		"	Removal of calcium deposits"					
0021	23075		"	Exc shoulder les sc < 3 cm"					
0021	23076		"	Exc shoulder tum deep < 5 cm"					
0021	23077		"	Resect shoulder tumor < 5 cm"					
0021	24065		"	Biopsy arm/elbow soft tissue"					
0021	24066		"	Biopsy arm/elbow soft tissue"					
0021	24075		"	Exc arm/elbow les sc < 3 cm"					
0021	24076		"	Ex arm/elbow tum deep < 5 cm"					
0021	24077		"	Resect arm/elbow tum < 5 cm"					
0021	24201		"	Removal of arm foreign body"					
0021	25075		"	Exc forearm les sc < 3 cm"					
0021	25076		"	Exc forearm tum deep < 3 cm"					
0021	25077		"	Resect forearm/wrist tum<3cm"					
0021	26115		"	Exc hand les sc < 1.5 cm"					
0021	26116		"	Exc hand tum deep < 1.5 cm"					
0021	26117		"	Rad resect hand tumor < 3 cm"					
0021	26320		"	Removal of implant from hand"					
0021	27047		"	Exc hip/pelvis les sc < 3 cm"					
0021	27048		"	Exc hip/pelv tum deep < 5 cm"					
0021	27049		"	Resect hip/pelv tum < 5 cm"					
0021	27328		"	Exc thigh/knee tum deep <5cm"					
0021	27329		"	Resect thigh/knee tum < 5 cm"					
0021	27615		"	Resect leg/ankle tum < 5 cm"					
0021	27618		"	Exc leg/ankle tum < 3 cm"					
0021	27619		"	Exc leg/ankle tum deep <5 cm"					
0021	28043		"	Exc foot/toe tum sc < 1.5 cm"					
0021	28045		"	Exc foot/toe tum deep <1.5cm"					
0021	28046		"	Resect foot/toe tumor < 3 cm"					
0021	28192		"	Removal of foot foreign body"					
0021	33284		"	Remove pat-active ht record"					
0021	37609		"	Temporal artery procedure"					
0021	54100		"	Biopsy of penis"					
0021	69110		"	Remove external ear partial"					
0021	69145		"	Remove ear canal lesion(s)"					
0022		Level IV Excision/ Biopsy		T	24.5994	"$1,824.69"	.	$364.94
0022	11426		"	Exc h-f-nk-sp b9+marg >4 cm"					
0022	11446		"	Exc face-mm b9+marg >4 cm"					
0022	11450		"	Removal sweat gland lesion"					
0022	11451		"	Removal sweat gland lesion"					
0022	11462		"	Removal sweat gland lesion"					
0022	11463		"	Removal sweat gland lesion"					
0022	11470		"	Removal sweat gland lesion"					
0022	11471		"	Removal sweat gland lesion"					
0022	11626		"	Exc s/n/h/f/g mal+mrg >4 cm"					
0022	11646		"	Exc f/e/e/n/l mal+mrg >4 cm"					
0022	11752		"	Remove nail bed/finger tip"					
0022	11770		"	Remove pilonidal cyst simple"					
0022	11771		"	Remove pilonidal cyst exten"					
0022	11772		"	Remove pilonidal cyst compl"					
0022	11971		"	Remove tissue expander(s)"					
0022	15780		"	Dermabrasion total face"					
0022	15832		"	Excise excessive skin thigh"					
0022	15833		"	Excise excessive skin leg"					
0022	15834		"	Excise excessive skin hip"					
0022	15835		"	Excise excessive skin buttck"					
0022	15931		"	Remove sacrum pressure sore"					
0022	15933		"	Remove sacrum pressure sore"					
0022	15940		"	Remove hip pressure sore"					
0022	15941		"	Remove hip pressure sore"					
0022	15950		"	Remove thigh pressure sore"					
0022	15951		"	Remove thigh pressure sore"					
0022	20240		"	Bone biopsy excisional"					
0022	20245		"	Bone biopsy excisional"					
0022	20525		"	Removal of foreign body"					
0022	20680		"	Removal of support implant"					
0022	21016		"	Resect face/scalp tum 2 cm/>"					
0022	21552		"	Exc neck les sc 3 cm/>"					
0022	21554		"	Exc neck tum deep 5 cm/>"					
0022	21556		"	Exc neck tum deep < 5 cm"					
0022	21558		"	Resect neck tumor 5 cm/>"					
0022	21925		"	Biopsy soft tissue of back"					
0022	21931		"	Exc back les sc 3 cm/>"					
0022	21933		"	Exc back tum deep 5 cm/>"					
0022	21936		"	Resect back tum 5 cm/>"					
0022	22900		"	Exc abdl tum deep < 5 cm"					
0022	22901		"	Exc abdl tum deep 5 cm/>"					
0022	22903		"	Exc abd les sc 3 cm/>"					
0022	22905		"	Rad resect abd tumor 5 cm/>"					
0022	23066		"	Biopsy shoulder tissues"					
0022	23071		"	Exc shoulder les sc 3 cm/>"					
0022	23073		"	Exc shoulder tum deep 5 cm/>"					
0022	23078		"	Resect shoulder tumor 5 cm/>"					
0022	23334		"	Shoulder prosthesis removal"					
0022	24071		"	Exc arm/elbow les sc 3 cm/>"					
0022	24073		"	Ex arm/elbow tum deep 5 cm/>"					
0022	24079		"	Resect arm/elbow tum 5 cm/>"					
0022	25066		"	Biopsy forearm soft tissues"					
0022	25071		"	Exc forearm les sc 3 cm/>"					
0022	25073		"	Exc forearm tum deep 3 cm/>"					
0022	25078		"	Resect forarm/wrist tum 3cm>"					
0022	26111		"	Exc hand les sc 1.5 cm/>"					
0022	26113		"	Exc hand tum deep 1.5 cm/>"					
0022	26118		"	Rad resect hand tumor 3 cm/>"					
0022	27043		"	Exc hip pelvis les sc 3 cm/>"					
0022	27045		"	Exc hip/pelv tum deep 5 cm/>"					
0022	27059		"	Resect hip/pelv tum 5 cm/>"					
0022	27324		"	Biopsy thigh soft tissues"					
0022	27327		"	Exc thigh/knee les sc < 3 cm"					
0022	27337		"	Exc thigh/knee les sc 3 cm/>"					
0022	27339		"	Exc thigh/knee tum dep 5cm/>"					
0022	27364		"	Resect thigh/knee tum 5 cm/>"					
0022	27372		"	Removal of foreign body"					
0022	27614		"	Biopsy lower leg soft tissue"					
0022	27616		"	Resect leg/ankle tum 5 cm/>"					
0022	27632		"	Exc leg/ankle les sc 3 cm/>"					
0022	27634		"	Exc leg/ankle tum dep 5 cm/>"					
0022	28039		"	Exc foot/toe tum sc 1.5 cm/>"					
0022	28041		"	Exc foot/toe tum dep 1.5cm/>"					
0022	28047		"	Resect foot/toe tumor 3 cm/>"					
0022	54105		"	Biopsy of penis"					
0022	69205		"	Clear outer ear canal"					
0028		Level I Breast and Skin Surgery		T	29.3421	"$2,176.48"	.	$435.30
0028	19101		"	Biopsy of breast open"					
0028	19110		"	Nipple exploration"					
0028	19112		"	Excise breast duct fistula"					
0028	19120		"	Removal of breast lesion"					
0028	19125		"	Excision breast lesion"					
0028	19300		"	Removal of breast tissue"					
0028	19301		"	Partial mastectomy"					
0028	19350		"	Breast reconstruction"					
0028	19499		"	Breast surgery procedure"					
0029		Level II Breast and Skin Surgery		T	40.6893	"$3,018.17"	.	$603.64
0029	19105		"	Cryosurg ablate fa each"					
0029	19303		"	Mast simple complete"					
0029	19304		"	Mast subq"					
0029	19316		"	Suspension of breast"					
0029	19328		"	Removal of breast implant"					
0029	19330		"	Removal of implant material"					
0029	19355		"	Correct inverted nipple(s)"					
0029	19366		"	Breast reconstruction"					
0029	19370		"	Surgery of breast capsule"					
0029	19371		"	Removal of breast capsule"					
0029	19396		"	Design custom breast implant"					
0030		Level III Breast and Skin Surgery		T	55.9502	"$4,150.16"	.	$830.04
0030	15830		"	Exc skin abd"					
0030	19302		"	P-mastectomy w/ln removal"					
0030	19307		"	Mast mod rad"					
0030	19318		"	Reduction of large breast"					
0030	19324		"	Enlarge breast"					
0030	19340		"	Immediate breast prosthesis"					
0030	19380		"	Revise breast reconstruction"					
0031		Level I Health and Behavior Services		S	0.3493	$25.91	.	$5.19
0031	96153		"	Intervene hlth/behave group"					
0031	99406		"	Behav chng smoking 3-10 min"					
0031	99407		"	Behav chng smoking > 10 min"					
0031	G0436		"	Tobacco-use counsel 3-10 min"				$0.00	$0.00
0031	G0444		"	Depression screen annual"				$0.00	$0.00
0031	G0445		High inten beh couns std 30m				$0.00	$0.00
0031	G0446		"	Intens behave ther cardio dx"				$0.00	$0.00
0039		Level III Neurostimulator & Related Procedures		J1	227.8762	"$16,902.95"	.	"$3,380.59"
0039	0268T		"	Implt/rpl crtd sns dev gen"					
0039	0316T		"	Replc vagus nerve pls gen"					
0039	61885		"	Insrt/redo neurostim 1 array"					
0039	63655		"	Implant neuroelectrodes"					
0039	64580		"	Implant neuroelectrodes"					
0039	64590		"	Insrt/redo pn/gastr stimul"					
0041		Level I Arthroscopy		T	29.3994	"$2,180.73"	.	$436.15
0041	29800		"	Jaw arthroscopy/surgery"					
0041	29804		"	Jaw arthroscopy/surgery"					
0041	29805		"	Shoulder arthroscopy dx"					
0041	29822		"	Shoulder arthroscopy/surgery"					
0041	29834		"	Elbow arthroscopy/surgery"					
0041	29837		"	Elbow arthroscopy/surgery"					
0041	29838		"	Elbow arthroscopy/surgery"					
0041	29840		"	Wrist arthroscopy"					
0041	29843		"	Wrist arthroscopy/surgery"					
0041	29844		"	Wrist arthroscopy/surgery"					
0041	29845		"	Wrist arthroscopy/surgery"					
0041	29846		"	Wrist arthroscopy/surgery"					
0041	29848		"	Wrist endoscopy/surgery"					
0041	29850		"	Knee arthroscopy/surgery"					
0041	29870		"	Knee arthroscopy dx"					
0041	29871		"	Knee arthroscopy/drainage"					
0041	29873		"	Knee arthroscopy/surgery"					
0041	29874		"	Knee arthroscopy/surgery"					
0041	29875		"	Knee arthroscopy/surgery"					
0041	29876		"	Knee arthroscopy/surgery"					
0041	29877		"	Knee arthroscopy/surgery"					
0041	29879		"	Knee arthroscopy/surgery"					
0041	29880		"	Knee arthroscopy/surgery"					
0041	29881		"	Knee arthroscopy/surgery"					
0041	29882		"	Knee arthroscopy/surgery"					
0041	29883		"	Knee arthroscopy/surgery"					
0041	29884		"	Knee arthroscopy/surgery"					
0041	29886		"	Knee arthroscopy/surgery"					
0041	29887		"	Knee arthroscopy/surgery"					
0041	29894		"	Ankle arthroscopy/surgery"					
0041	29895		"	Ankle arthroscopy/surgery"					
0041	29897		"	Ankle arthroscopy/surgery"					
0041	29898		"	Ankle arthroscopy/surgery"					
0041	29900		"	Mcp joint arthroscopy dx"					
0041	29902		"	Mcp joint arthroscopy surg"					
0041	29904		"	Subtalar arthro w/fb rmvl"					
0041	29905		"	Subtalar arthro w/exc"					
0041	29906		"	Subtalar arthro w/deb"					
0041	29999		"	Arthroscopy of joint"					
0042		Level II Arthroscopy		T	58.9907	"$4,375.69"	.	$875.14
0042	29806		"	Shoulder arthroscopy/surgery"					
0042	29807		"	Shoulder arthroscopy/surgery"					
0042	29819		"	Shoulder arthroscopy/surgery"					
0042	29820		"	Shoulder arthroscopy/surgery"					
0042	29821		"	Shoulder arthroscopy/surgery"					
0042	29823		"	Shoulder arthroscopy/surgery"					
0042	29824		"	Shoulder arthroscopy/surgery"					
0042	29825		"	Shoulder arthroscopy/surgery"					
0042	29827		"	Arthroscop rotator cuff repr"					
0042	29828		"	Arthroscopy biceps tenodesis"					
0042	29830		"	Elbow arthroscopy"					
0042	29835		"	Elbow arthroscopy/surgery"					
0042	29836		"	Elbow arthroscopy/surgery"					
0042	29847		"	Wrist arthroscopy/surgery"					
0042	29851		"	Knee arthroscopy/surgery"					
0042	29855		"	Tibial arthroscopy/surgery"					
0042	29856		"	Tibial arthroscopy/surgery"					
0042	29860		"	Hip arthroscopy dx"					
0042	29861		"	Hip arthro w/fb removal"					
0042	29862		"	Hip arthr0 w/debridement"					
0042	29863		"	Hip arthr0 w/synovectomy"					
0042	29866		"	Autgrft implnt knee w/scope"					
0042	29867		"	Allgrft implnt knee w/scope"					
0042	29868		"	Meniscal trnspl knee w/scpe"					
0042	29885		"	Knee arthroscopy/surgery"					
0042	29891		"	Ankle arthroscopy/surgery"					
0042	29899		"	Ankle arthroscopy/surgery"					
0042	29901		"	Mcp joint arthroscopy surg"					
0042	29907		"	Subtalar arthro w/fusion"					
0042	29914		"	Hip arthro w/femoroplasty"					
0042	29915		"	Hip arthro acetabuloplasty"					
0042	29916		"	Hip arthro w/labral repair"					
0045		Bone/Joint Manipulation Under Anesthesia		T	15.5856	"$1,156.08"	$257.70	$231.22
0045	22505		"	Manipulation of spine"					
0045	23655		"	Treat shoulder dislocation"					
0045	23700		"	Fixation of shoulder"					
0045	24300		"	Manipulate elbow w/anesth"					
0045	24605		"	Treat elbow dislocation"					
0045	27266		"	Treat hip dislocation"					
0045	27275		"	Manipulation of hip joint"					
0045	27552		"	Treat knee dislocation"					
0045	27570		"	Fixation of knee joint"					
0045	27842		"	Treat ankle dislocation"					
0045	27860		"	Fixation of ankle joint"					
0047		Arthroplasty		T	45.0191	"$3,339.34"	.	$667.87
0047	23473		"	Revis reconst shoulder joint"					
0047	24360		"	Reconstruct elbow joint"					
0047	24362		"	Reconstruct elbow joint"					
0047	25332		"	Revise wrist joint"					
0047	25443		"	Reconstruct wrist joint"					
0047	25445		"	Reconstruct wrist joint"					
0047	25447		"	Repair wrist joints"					
0047	25449		"	Remove wrist joint implant"					
0047	26530		"	Revise knuckle joint"					
0047	26531		"	Revise knuckle with implant"					
0047	26535		"	Revise finger joint"					
0047	26536		"	Revise/implant finger joint"					
0047	27437		"	Revise kneecap"					
0047	27441		"	Revision of knee joint"					
0047	27700		"	Revision of ankle joint"					
0047	69717		"	Temple bone implant revision"					
0049		Level I Musculoskeletal Procedures Except Hand and Foot		T	22.4288	"$1,663.68"	.	$332.74
0049	20662		"	Application of pelvis brace"					
0049	20694		"	Remove bone fixation device"					
0049	20999		"	Musculoskeletal surgery"					
0049	21502		"	Drain chest lesion"					
0049	21700		"	Revision of neck muscle"					
0049	21720		"	Revision of neck muscle"					
0049	22999		"	Abdomen surgery procedure"					
0049	23035		"	Drain shoulder bone lesion"					
0049	23100		"	Biopsy of shoulder joint"					
0049	23140		"	Removal of bone lesion"					
0049	23605		"	Treat humerus fracture"					
0049	23935		"	Drain arm/elbow bone lesion"					
0049	24100		"	Biopsy elbow joint lining"					
0049	24105		"	Removal of elbow bursa"					
0049	24110		"	Remove humerus lesion"					
0049	24120		"	Remove elbow lesion"					
0049	24310		"	Revision of arm tendon"					
0049	24925		"	Amputation follow-up surgery"					
0049	25000		"	Incision of tendon sheath"					
0049	25001		"	Incise flexor carpi radialis"					
0049	25028		"	Drainage of forearm lesion"					
0049	25031		"	Drainage of forearm bursa"					
0049	25035		"	Treat forearm bone lesion"					
0049	25085		"	Incision of wrist capsule"					
0049	25100		"	Biopsy of wrist joint"					
0049	25109		"	Excise tendon forearm/wrist"					
0049	25110		"	Remove wrist tendon lesion"					
0049	25111		"	Remove wrist tendon lesion"					
0049	25112		"	Reremove wrist tendon lesion"					
0049	25115		"	Remove wrist/forearm lesion"					
0049	25116		"	Remove wrist/forearm lesion"					
0049	25248		"	Remove forearm foreign body"					
0049	25295		"	Release wrist/forearm tendon"					
0049	25907		"	Amputation follow-up surgery"					
0049	25909		"	Amputation follow-up surgery"					
0049	25922		"	Amputate hand at wrist"					
0049	25931		"	Amputation follow-up surgery"					
0049	26990		"	Drainage of pelvis lesion"					
0049	26991		"	Drainage of pelvis bursa"					
0049	27000		"	Incision of hip tendon"					
0049	27050		"	Biopsy of sacroiliac joint"					
0049	27052		"	Biopsy of hip joint"					
0049	27057		"	Buttock fasciotomy w/dbrdmt"					
0049	27060		"	Removal of ischial bursa"					
0049	27062		"	Remove femur lesion/bursa"					
0049	27065		"	Remove hip bone les super"					
0049	27087		"	Remove hip foreign body"					
0049	27305		"	Incise thigh tendon & fascia"					
0049	27306		"	Incision of thigh tendon"					
0049	27340		"	Removal of kneecap bursa"					
0049	27345		"	Removal of knee cyst"					
0049	27347		"	Remove knee cyst"					
0049	27390		"	Incision of thigh tendon"					
0049	27391		"	Incision of thigh tendons"					
0049	27497		"	Decompression of thigh/knee"					
0049	27594		"	Amputation follow-up surgery"					
0049	27600		"	Decompression of lower leg"					
0049	27601		"	Decompression of lower leg"					
0049	27606		"	Incision of achilles tendon"					
0049	27607		"	Treat lower leg bone lesion"					
0049	27630		"	Removal of tendon lesion"					
0049	27656		"	Repair leg fascia defect"					
0049	27658		"	Repair of leg tendon each"					
0049	27659		"	Repair of leg tendon each"					
0049	27675		"	Repair lower leg tendons"					
0049	27704		"	Removal of ankle implant"					
0049	27884		"	Amputation follow-up surgery"					
0049	28002		"	Treatment of foot infection"					
0049	28003		"	Treatment of foot infection"					
0050		Level II Musculoskeletal Procedures Except Hand and Foot		T	34.9427	"$2,591.91"	.	$518.39
0050	0101T		"	Extracorp shockwv tx hi enrg"					
0050	0102T		"	Extracorp shockwv tx anesth"					
0050	0200T		"	Perq sacral augmt unilat inj"					
0050	0201T		"	Perq sacral augmt bilat inj"					
0050	0221T		"	Plmt post facet implt lumb"					
0050	20250		"	Open bone biopsy"					
0050	20251		"	Open bone biopsy"					
0050	20555		"	Place ndl musc/tis for rt"					
0050	20650		"	Insert and remove bone pin"					
0050	20663		"	Application of thigh brace"					
0050	20690		"	Apply bone fixation device"					
0050	20692		"	Apply bone fixation device"					
0050	20693		"	Adjust bone fixation device"					
0050	20696		"	Comp multiplane ext fixation"					
0050	20900		"	Removal of bone for graft"					
0050	20902		"	Removal of bone for graft"					
0050	20924		"	Removal of tendon for graft"					
0050	21600		"	Partial removal of rib"					
0050	21610		"	Partial removal of rib"					
0050	22520		"	Percut vertebroplasty thor"					
0050	22521		"	Percut vertebroplasty lumb"					
0050	22899		"	Spine surgery procedure"					
0050	23020		"	Release shoulder joint"					
0050	23040		"	Exploratory shoulder surgery"					
0050	23044		"	Exploratory shoulder surgery"					
0050	23101		"	Shoulder joint surgery"					
0050	23105		"	Remove shoulder joint lining"					
0050	23106		"	Incision of collarbone joint"					
0050	23107		"	Explore treat shoulder joint"					
0050	23120		"	Partial removal collar bone"					
0050	23125		"	Removal of collar bone"					
0050	23145		"	Removal of bone lesion"					
0050	23146		"	Removal of bone lesion"					
0050	23150		"	Removal of humerus lesion"					
0050	23155		"	Removal of humerus lesion"					
0050	23156		"	Removal of humerus lesion"					
0050	23170		"	Remove collar bone lesion"					
0050	23172		"	Remove shoulder blade lesion"					
0050	23174		"	Remove humerus lesion"					
0050	23180		"	Remove collar bone lesion"					
0050	23182		"	Remove shoulder blade lesion"					
0050	23184		"	Remove humerus lesion"					
0050	23190		"	Partial removal of scapula"					
0050	23195		"	Removal of head of humerus"					
0050	23400		"	Fixation of shoulder blade"					
0050	23405		"	Incision of tendon & muscle"					
0050	23406		"	Incise tendon(s) & muscle(s)"					
0050	23440		"	Remove/transplant tendon"					
0050	24000		"	Exploratory elbow surgery"					
0050	24006		"	Release elbow joint"					
0050	24101		"	Explore/treat elbow joint"					
0050	24102		"	Remove elbow joint lining"					
0050	24115		"	Remove/graft bone lesion"					
0050	24116		"	Remove/graft bone lesion"					
0050	24125		"	Remove/graft bone lesion"					
0050	24126		"	Remove/graft bone lesion"					
0050	24130		"	Removal of head of radius"					
0050	24134		"	Removal of arm bone lesion"					
0050	24136		"	Remove radius bone lesion"					
0050	24138		"	Remove elbow bone lesion"					
0050	24140		"	Partial removal of arm bone"					
0050	24145		"	Partial removal of radius"					
0050	24147		"	Partial removal of elbow"					
0050	24149		"	Radical resection of elbow"					
0050	24155		"	Removal of elbow joint"					
0050	24160		"	Remove elbow joint implant"					
0050	24164		"	Remove radius head implant"					
0050	24301		"	Muscle/tendon transfer"					
0050	24305		"	Arm tendon lengthening"					
0050	24320		"	Repair of arm tendon"					
0050	24332		"	Tenolysis triceps"					
0050	24343		"	Repr elbow lat ligmnt w/tiss"					
0050	24345		"	Repr elbw med ligmnt w/tissu"					
0050	24357		"	Repair elbow perc"					
0050	24358		"	Repair elbow w/deb open"					
0050	24359		"	Repair elbow deb/attch open"					
0050	24495		"	Decompression of forearm"					
0050	25020		"	Decompress forearm 1 space"					
0050	25023		"	Decompress forearm 1 space"					
0050	25024		"	Decompress forearm 2 spaces"					
0050	25025		"	Decompress forearm 2 spaces"					
0050	25040		"	Explore/treat wrist joint"					
0050	25101		"	Explore/treat wrist joint"					
0050	25105		"	Remove wrist joint lining"					
0050	25107		"	Remove wrist joint cartilage"					
0050	25118		"	Excise wrist tendon sheath"					
0050	25119		"	Partial removal of ulna"					
0050	25120		"	Removal of forearm lesion"					
0050	25125		"	Remove/graft forearm lesion"					
0050	25126		"	Remove/graft forearm lesion"					
0050	25130		"	Removal of wrist lesion"					
0050	25135		"	Remove & graft wrist lesion"					
0050	25136		"	Remove & graft wrist lesion"					
0050	25145		"	Remove forearm bone lesion"					
0050	25150		"	Partial removal of ulna"					
0050	25151		"	Partial removal of radius"					
0050	25170		"	Resect radius/ulnar tumor"					
0050	25210		"	Removal of wrist bone"					
0050	25215		"	Removal of wrist bones"					
0050	25230		"	Partial removal of radius"					
0050	25240		"	Partial removal of ulna"					
0050	25250		"	Removal of wrist prosthesis"					
0050	25251		"	Removal of wrist prosthesis"					
0050	25260		"	Repair forearm tendon/muscle"					
0050	25263		"	Repair forearm tendon/muscle"					
0050	25265		"	Repair forearm tendon/muscle"					
0050	25270		"	Repair forearm tendon/muscle"					
0050	25272		"	Repair forearm tendon/muscle"					
0050	25274		"	Repair forearm tendon/muscle"					
0050	25275		"	Repair forearm tendon sheath"					
0050	25280		"	Revise wrist/forearm tendon"					
0050	25290		"	Incise wrist/forearm tendon"					
0050	25300		"	Fusion of tendons at wrist"					
0050	25301		"	Fusion of tendons at wrist"					
0050	25310		"	Transplant forearm tendon"					
0050	25315		"	Revise palsy hand tendon(s)"					
0050	25392		"	Shorten radius & ulna"					
0050	27001		"	Incision of hip tendon"					
0050	27003		"	Incision of hip tendon"					
0050	27006		"	Incision of hip tendons"					
0050	27027		"	Buttock fasciotomy"					
0050	27035		"	Denervation of hip joint"					
0050	27066		"	Remove hip bone les deep"					
0050	27067		"	Remove/graft hip bone lesion"					
0050	27080		"	Removal of tail bone"					
0050	27097		"	Revision of hip tendon"					
0050	27098		"	Transfer tendon to pelvis"					
0050	27235		"	Treat thigh fracture"					
0050	27307		"	Incision of thigh tendons"					
0050	27310		"	Exploration of knee joint"					
0050	27330		"	Biopsy knee joint lining"					
0050	27331		"	Explore/treat knee joint"					
0050	27332		"	Removal of knee cartilage"					
0050	27333		"	Removal of knee cartilage"					
0050	27334		"	Remove knee joint lining"					
0050	27335		"	Remove knee joint lining"					
0050	27350		"	Removal of kneecap"					
0050	27355		"	Remove femur lesion"					
0050	27356		"	Remove femur lesion/graft"					
0050	27357		"	Remove femur lesion/graft"					
0050	27360		"	Partial removal leg bone(s)"					
0050	27380		"	Repair of kneecap tendon"					
0050	27381		"	Repair/graft kneecap tendon"					
0050	27385		"	Repair of thigh muscle"					
0050	27386		"	Repair/graft of thigh muscle"					
0050	27392		"	Incision of thigh tendons"					
0050	27393		"	Lengthening of thigh tendon"					
0050	27394		"	Lengthening of thigh tendons"					
0050	27396		"	Transplant of thigh tendon"					
0050	27403		"	Repair of knee cartilage"					
0050	27425		"	Lat retinacular release open"					
0050	27435		"	Incision of knee joint"					
0050	27475		"	Surgery to stop leg growth"					
0050	27479		"	Surgery to stop leg growth"					
0050	27496		"	Decompression of thigh/knee"					
0050	27498		"	Decompression of thigh/knee"					
0050	27499		"	Decompression of thigh/knee"					
0050	27602		"	Decompression of lower leg"					
0050	27604		"	Drain lower leg bursa"					
0050	27610		"	Explore/treat ankle joint"					
0050	27612		"	Exploration of ankle joint"					
0050	27620		"	Explore/treat ankle joint"					
0050	27625		"	Remove ankle joint lining"					
0050	27626		"	Remove ankle joint lining"					
0050	27635		"	Remove lower leg bone lesion"					
0050	27637		"	Remove/graft leg bone lesion"					
0050	27638		"	Remove/graft leg bone lesion"					
0050	27640		"	Partial removal of tibia"					
0050	27641		"	Partial removal of fibula"					
0050	27647		"	Resect talus/calcaneus tum"					
0050	27664		"	Repair of leg tendon each"					
0050	27665		"	Repair of leg tendon each"					
0050	27676		"	Repair lower leg tendons"					
0050	27680		"	Release of lower leg tendon"					
0050	27681		"	Release of lower leg tendons"					
0050	27685		"	Revision of lower leg tendon"					
0050	27686		"	Revise lower leg tendons"					
0050	27687		"	Revision of calf tendon"					
0050	27695		"	Repair of ankle ligament"					
0050	27696		"	Repair of ankle ligaments"					
0050	27698		"	Repair of ankle ligament"					
0050	27707		"	Incision of fibula"					
0050	27709		"	Incision of tibia & fibula"					
0050	27730		"	Repair of tibia epiphysis"					
0050	27732		"	Repair of fibula epiphysis"					
0050	27734		"	Repair lower leg epiphyses"					
0050	27740		"	Repair of leg epiphyses"					
0050	27889		"	Amputation of foot at ankle"					
0050	27892		"	Decompression of leg"					
0050	27893		"	Decompression of leg"					
0050	27894		"	Decompression of leg"					
0050	28890		"	Hi enrgy eswt plantar fascia"					
0050	G0413		"	Pelvic ring fracture uni/bil"					
0051		Level III Musculoskeletal Procedures Except Hand and Foot		T	51.1976	"$3,797.63"	.	$759.53
0051	11970		"	Replace tissue expander"					
0051	20150		"	Excise epiphyseal bar"					
0051	20982		"	Ablate bone tumor(s) perq"					
0051	21742		"	Repair stern/nuss w/o scope"					
0051	21743		"	Repair sternum/nuss w/scope"					
0051	23130		"	Remove shoulder bone part"					
0051	23395		"	Muscle transfer shoulder/arm"					
0051	23397		"	Muscle transfers"					
0051	23410		"	Repair rotator cuff acute"					
0051	23412		"	Repair rotator cuff chronic"					
0051	23415		"	Release of shoulder ligament"					
0051	23420		"	Repair of shoulder"					
0051	23430		"	Repair biceps tendon"					
0051	23462		"	Repair shoulder capsule"					
0051	23465		"	Repair shoulder capsule"					
0051	23466		"	Repair shoulder capsule"					
0051	23480		"	Revision of collar bone"					
0051	24150		"	Resect distal humerus tumor"					
0051	24152		"	Resect radius tumor"					
0051	24331		"	Revision of arm muscles"					
0051	24340		"	Repair of biceps tendon"					
0051	24341		"	Repair arm tendon/muscle"					
0051	24342		"	Repair of ruptured tendon"					
0051	24344		"	Reconstruct elbow lat ligmnt"					
0051	24346		"	Reconstruct elbow med ligmnt"					
0051	24400		"	Revision of humerus"					
0051	24410		"	Revision of humerus"					
0051	24420		"	Revision of humerus"					
0051	24470		"	Revision of elbow joint"					
0051	24800		"	Fusion of elbow joint"					
0051	25312		"	Transplant forearm tendon"					
0051	25320		"	Repair/revise wrist joint"					
0051	25335		"	Realignment of hand"					
0051	25337		"	Reconstruct ulna/radioulnar"					
0051	25350		"	Revision of radius"					
0051	25355		"	Revision of radius"					
0051	25360		"	Revision of ulna"					
0051	25365		"	Revise radius & ulna"					
0051	25370		"	Revise radius or ulna"					
0051	25375		"	Revise radius & ulna"					
0051	25390		"	Shorten radius or ulna"					
0051	25391		"	Lengthen radius or ulna"					
0051	25393		"	Lengthen radius & ulna"					
0051	25394		"	Repair carpal bone shorten"					
0051	25425		"	Repair/graft radius or ulna"					
0051	25426		"	Repair/graft radius & ulna"					
0051	25430		"	Vasc graft into carpal bone"					
0051	25431		"	Repair nonunion carpal bone"					
0051	25440		"	Repair/graft wrist bone"					
0051	25450		"	Revision of wrist joint"					
0051	25455		"	Revision of wrist joint"					
0051	25490		"	Reinforce radius"					
0051	25491		"	Reinforce ulna"					
0051	25492		"	Reinforce radius and ulna"					
0051	25820		"	Fusion of hand bones"					
0051	25830		"	Fusion radioulnar jnt/ulna"					
0051	27033		"	Exploration of hip joint"					
0051	27100		"	Transfer of abdominal muscle"					
0051	27105		"	Transfer of spinal muscle"					
0051	27110		"	Transfer of iliopsoas muscle"					
0051	27111		"	Transfer of iliopsoas muscle"					
0051	27395		"	Lengthening of thigh tendons"					
0051	27397		"	Transplants of thigh tendons"					
0051	27400		"	Revise thigh muscles/tendons"					
0051	27405		"	Repair of knee ligament"					
0051	27409		"	Repair of knee ligaments"					
0051	27416		"	Osteochondral knee autograft"					
0051	27418		"	Repair degenerated kneecap"					
0051	27420		"	Revision of unstable kneecap"					
0051	27422		"	Revision of unstable kneecap"					
0051	27424		"	Revision/removal of kneecap"					
0051	27430		"	Revision of thigh muscles"					
0051	27650		"	Repair achilles tendon"					
0051	27652		"	Repair/graft achilles tendon"					
0051	27654		"	Repair of achilles tendon"					
0051	27690		"	Revise lower leg tendon"					
0051	27691		"	Revise lower leg tendon"					
0051	27705		"	Incision of tibia"					
0051	27742		"	Repair of leg epiphyses"					
0051	29892		"	Ankle arthroscopy/surgery"					
0052		Level IV Musculoskeletal Procedures Except Hand and Foot		T	84.6949	"$6,282.33"	.	"$1,256.47"
0052	22523		"	Percut kyphoplasty thor"					
0052	22524		"	Percut kyphoplasty lumbar"					
0052	23450		"	Repair shoulder capsule"					
0052	23455		"	Repair shoulder capsule"					
0052	23460		"	Repair shoulder capsule"					
0052	23485		"	Revision of collar bone"					
0052	23490		"	Reinforce clavicle"					
0052	23491		"	Reinforce shoulder bones"					
0052	23800		"	Fusion of shoulder joint"					
0052	23802		"	Fusion of shoulder joint"					
0052	24330		"	Revision of arm muscles"					
0052	24430		"	Repair of humerus"					
0052	24802		"	Fusion/graft of elbow joint"					
0052	24935		"	Revision of amputation"					
0052	25316		"	Revise palsy hand tendon(s)"					
0052	25400		"	Repair radius or ulna"					
0052	25405		"	Repair/graft radius or ulna"					
0052	25415		"	Repair radius & ulna"					
0052	25420		"	Repair/graft radius & ulna"					
0052	25800		"	Fusion of wrist joint"					
0052	25805		"	Fusion/graft of wrist joint"					
0052	25810		"	Fusion/graft of wrist joint"					
0052	25825		"	Fuse hand bones with graft"					
0052	27179		"	Revise head/neck of femur"					
0052	27407		"	Repair of knee ligament"					
0052	27427		"	Reconstruction knee"					
0052	27429		"	Reconstruction knee"					
0052	27870		"	Fusion of ankle joint open"					
0052	27871		"	Fusion of tibiofibular joint"					
0052	29888		"	Knee arthroscopy/surgery"					
0052	29889		"	Knee arthroscopy/surgery"					
0053		Level I Hand Musculoskeletal Procedures		T	17.0204	"$1,262.51"	.	$252.51
0053	26020		"	Drain hand tendon sheath"					
0053	26025		"	Drainage of palm bursa"					
0053	26030		"	Drainage of palm bursas"					
0053	26034		"	Treat hand bone lesion"					
0053	26035		"	Decompress fingers/hand"					
0053	26037		"	Decompress fingers/hand"					
0053	26040		"	Release palm contracture"					
0053	26055		"	Incise finger tendon sheath"					
0053	26060		"	Incision of finger tendon"					
0053	26070		"	Explore/treat hand joint"					
0053	26075		"	Explore/treat finger joint"					
0053	26080		"	Explore/treat finger joint"					
0053	26100		"	Biopsy hand joint lining"					
0053	26105		"	Biopsy finger joint lining"					
0053	26110		"	Biopsy finger joint lining"					
0053	26130		"	Remove wrist joint lining"					
0053	26140		"	Revise finger joint each"					
0053	26145		"	Tendon excision palm/finger"					
0053	26160		"	Remove tendon sheath lesion"					
0053	26170		"	Removal of palm tendon each"					
0053	26180		"	Removal of finger tendon"					
0053	26185		"	Remove finger bone"					
0053	26200		"	Remove hand bone lesion"					
0053	26210		"	Removal of finger lesion"					
0053	26215		"	Remove/graft finger lesion"					
0053	26230		"	Partial removal of hand bone"					
0053	26235		"	Partial removal finger bone"					
0053	26236		"	Partial removal finger bone"					
0053	26250		"	Extensive hand surgery"					
0053	26260		"	Resect prox finger tumor"					
0053	26262		"	Resect distal finger tumor"					
0053	26410		"	Repair hand tendon"					
0053	26418		"	Repair finger tendon"					
0053	26432		"	Repair finger tendon"					
0053	26433		"	Repair finger tendon"					
0053	26437		"	Realignment of tendons"					
0053	26440		"	Release palm/finger tendon"					
0053	26445		"	Release hand/finger tendon"					
0053	26450		"	Incision of palm tendon"					
0053	26455		"	Incision of finger tendon"					
0053	26460		"	Incise hand/finger tendon"					
0053	26471		"	Fusion of finger tendons"					
0053	26474		"	Fusion of finger tendons"					
0053	26476		"	Tendon lengthening"					
0053	26477		"	Tendon shortening"					
0053	26478		"	Lengthening of hand tendon"					
0053	26479		"	Shortening of hand tendon"					
0053	26500		"	Hand tendon reconstruction"					
0053	26508		"	Release thumb contracture"					
0053	26520		"	Release knuckle contracture"					
0053	26525		"	Release finger contracture"					
0053	26540		"	Repair hand joint"					
0053	26542		"	Repair hand joint with graft"					
0053	26560		"	Repair of web finger"					
0053	26580		"	Repair hand deformity"					
0053	26587		"	Reconstruct extra finger"					
0053	26590		"	Repair finger deformity"					
0053	26593		"	Release muscles of hand"					
0053	26596		"	Excision constricting tissue"					
0053	26951		"	Amputation of finger/thumb"					
0053	26952		"	Amputation of finger/thumb"					
0054		Level II Hand Musculoskeletal Procedures		T	29.5714	"$2,193.49"	.	$438.70
0054	20822		"	Replantation digit complete"					
0054	26045		"	Release palm contracture"					
0054	26121		"	Release palm contracture"					
0054	26123		"	Release palm contracture"					
0054	26135		"	Revise finger joint each"					
0054	26205		"	Remove/graft bone lesion"					
0054	26350		"	Repair finger/hand tendon"					
0054	26352		"	Repair/graft hand tendon"					
0054	26356		"	Repair finger/hand tendon"					
0054	26357		"	Repair finger/hand tendon"					
0054	26358		"	Repair/graft hand tendon"					
0054	26370		"	Repair finger/hand tendon"					
0054	26372		"	Repair/graft hand tendon"					
0054	26373		"	Repair finger/hand tendon"					
0054	26390		"	Revise hand/finger tendon"					
0054	26392		"	Repair/graft hand tendon"					
0054	26412		"	Repair/graft hand tendon"					
0054	26415		"	Excision hand/finger tendon"					
0054	26416		"	Graft hand or finger tendon"					
0054	26420		"	Repair/graft finger tendon"					
0054	26426		"	Repair finger/hand tendon"					
0054	26428		"	Repair/graft finger tendon"					
0054	26434		"	Repair/graft finger tendon"					
0054	26442		"	Release palm & finger tendon"					
0054	26449		"	Release forearm/hand tendon"					
0054	26480		"	Transplant hand tendon"					
0054	26483		"	Transplant/graft hand tendon"					
0054	26485		"	Transplant palm tendon"					
0054	26489		"	Transplant/graft palm tendon"					
0054	26490		"	Revise thumb tendon"					
0054	26492		"	Tendon transfer with graft"					
0054	26494		"	Hand tendon/muscle transfer"					
0054	26496		"	Revise thumb tendon"					
0054	26497		"	Finger tendon transfer"					
0054	26498		"	Finger tendon transfer"					
0054	26499		"	Revision of finger"					
0054	26502		"	Hand tendon reconstruction"					
0054	26510		"	Thumb tendon transfer"					
0054	26516		"	Fusion of knuckle joint"					
0054	26517		"	Fusion of knuckle joints"					
0054	26518		"	Fusion of knuckle joints"					
0054	26541		"	Repair hand joint with graft"					
0054	26545		"	Reconstruct finger joint"					
0054	26546		"	Repair nonunion hand"					
0054	26548		"	Reconstruct finger joint"					
0054	26550		"	Construct thumb replacement"					
0054	26555		"	Positional change of finger"					
0054	26561		"	Repair of web finger"					
0054	26562		"	Repair of web finger"					
0054	26565		"	Correct metacarpal flaw"					
0054	26567		"	Correct finger deformity"					
0054	26568		"	Lengthen metacarpal/finger"					
0054	26591		"	Repair muscles of hand"					
0054	26820		"	Thumb fusion with graft"					
0054	26841		"	Fusion of thumb"					
0054	26842		"	Thumb fusion with graft"					
0054	26843		"	Fusion of hand joint"					
0054	26844		"	Fusion/graft of hand joint"					
0054	26850		"	Fusion of knuckle"					
0054	26852		"	Fusion of knuckle with graft"					
0054	26860		"	Fusion of finger joint"					
0054	26862		"	Fusion/graft of finger joint"					
0054	26910		"	Amputate metacarpal bone"					
0054	64821		"	Remove sympathetic nerves"					
0054	64822		"	Remove sympathetic nerves"					
0054	64823		"	Sympathectomy supfc palmar"					
0055		Level I Foot Musculoskeletal Procedures		T	23.6709	"$1,755.81"	$353.37	$351.17
0055	27605		"	Incision of achilles tendon"					
0055	28005		"	Treat foot bone lesion"					
0055	28008		"	Incision of foot fascia"					
0055	28010		"	Incision of toe tendon"					
0055	28011		"	Incision of toe tendons"					
0055	28020		"	Exploration of foot joint"					
0055	28022		"	Exploration of foot joint"					
0055	28024		"	Exploration of toe joint"					
0055	28050		"	Biopsy of foot joint lining"					
0055	28052		"	Biopsy of foot joint lining"					
0055	28054		"	Biopsy of toe joint lining"					
0055	28060		"	Partial removal foot fascia"					
0055	28062		"	Removal of foot fascia"					
0055	28070		"	Removal of foot joint lining"					
0055	28072		"	Removal of foot joint lining"					
0055	28080		"	Removal of foot lesion"					
0055	28086		"	Excise foot tendon sheath"					
0055	28088		"	Excise foot tendon sheath"					
0055	28090		"	Removal of foot lesion"					
0055	28092		"	Removal of toe lesions"					
0055	28100		"	Removal of ankle/heel lesion"					
0055	28104		"	Removal of foot lesion"					
0055	28108		"	Removal of toe lesions"					
0055	28110		"	Part removal of metatarsal"					
0055	28111		"	Part removal of metatarsal"					
0055	28112		"	Part removal of metatarsal"					
0055	28113		"	Part removal of metatarsal"					
0055	28114		"	Removal of metatarsal heads"					
0055	28116		"	Revision of foot"					
0055	28118		"	Removal of heel bone"					
0055	28119		"	Removal of heel spur"					
0055	28120		"	Part removal of ankle/heel"					
0055	28122		"	Partial removal of foot bone"					
0055	28124		"	Partial removal of toe"					
0055	28126		"	Partial removal of toe"					
0055	28130		"	Removal of ankle bone"					
0055	28140		"	Removal of metatarsal"					
0055	28150		"	Removal of toe"					
0055	28153		"	Partial removal of toe"					
0055	28160		"	Partial removal of toe"					
0055	28171		"	Resect tarsal tumor"					
0055	28173		"	Resect metatarsal tumor"					
0055	28175		"	Resect phalanx of toe tumor"					
0055	28200		"	Repair of foot tendon"					
0055	28202		"	Repair/graft of foot tendon"					
0055	28208		"	Repair of foot tendon"					
0055	28220		"	Release of foot tendon"					
0055	28222		"	Release of foot tendons"					
0055	28225		"	Release of foot tendon"					
0055	28226		"	Release of foot tendons"					
0055	28230		"	Incision of foot tendon(s)"					
0055	28232		"	Incision of toe tendon"					
0055	28234		"	Incision of foot tendon"					
0055	28240		"	Release of big toe"					
0055	28250		"	Revision of foot fascia"					
0055	28260		"	Release of midfoot joint"					
0055	28261		"	Revision of foot tendon"					
0055	28262		"	Revision of foot and ankle"					
0055	28270		"	Release of foot contracture"					
0055	28272		"	Release of toe joint each"					
0055	28280		"	Fusion of toes"					
0055	28285		"	Repair of hammertoe"					
0055	28286		"	Repair of hammertoe"					
0055	28288		"	Partial removal of foot bone"					
0055	28289		"	Repair hallux rigidus"					
0055	28302		"	Incision of ankle bone"					
0055	28306		"	Incision of metatarsal"					
0055	28307		"	Incision of metatarsal"					
0055	28308		"	Incision of metatarsal"					
0055	28310		"	Revision of big toe"					
0055	28312		"	Revision of toe"					
0055	28313		"	Repair deformity of toe"					
0055	28315		"	Removal of sesamoid bone"					
0055	28322		"	Repair of metatarsals"					
0055	28340		"	Resect enlarged toe tissue"					
0055	28341		"	Resect enlarged toe"					
0055	28344		"	Repair extra toe(s)"					
0055	28345		"	Repair webbed toe(s)"					
0055	28755		"	Fusion of big toe joint"					
0055	28805		"	Amputation thru metatarsal"					
0055	28810		"	Amputation toe & metatarsal"					
0055	28820		"	Amputation of toe"					
0055	28825		"	Partial amputation of toe"					
0055	29893		"	Scope plantar fasciotomy"					
0056		Level II Foot Musculoskeletal Procedures		T	69.7901	"$5,176.75"	.	"$1,035.35"
0056	20972		"	Bone/skin graft metatarsal"					
0056	20973		"	Bone/skin graft great toe"					
0056	28102		"	Remove/graft foot lesion"					
0056	28103		"	Remove/graft foot lesion"					
0056	28106		"	Remove/graft foot lesion"					
0056	28107		"	Remove/graft foot lesion"					
0056	28210		"	Repair/graft of foot tendon"					
0056	28238		"	Revision of foot tendon"					
0056	28264		"	Release of midfoot joint"					
0056	28300		"	Incision of heel bone"					
0056	28304		"	Incision of midfoot bones"					
0056	28305		"	Incise/graft midfoot bones"					
0056	28309		"	Incision of metatarsals"					
0056	28320		"	Repair of foot bones"					
0056	28360		"	Reconstruct cleft foot"					
0056	28446		"	Osteochondral talus autogrft"					
0056	28705		"	Fusion of foot bones"					
0056	28725		"	Fusion of foot bones"					
0056	28730		"	Fusion of foot bones"					
0056	28735		"	Fusion of foot bones"					
0056	28737		"	Revision of foot bones"					
0056	28740		"	Fusion of foot bones"					
0056	28750		"	Fusion of big toe joint"					
0056	28760		"	Fusion of big toe joint"					
0057		Bunion Procedures		T	35.9817	"$2,668.98"	.	$533.80
0057	28290		"	Correction of bunion"					
0057	28292		"	Correction of bunion"					
0057	28293		"	Correction of bunion"					
0057	28294		"	Correction of bunion"					
0057	28296		"	Correction of bunion"					
0057	28297		"	Correction of bunion"					
0057	28298		"	Correction of bunion"					
0057	28299		"	Correction of bunion"					
0058		Level II Strapping and Cast Application		S	3.0454	$225.90	.	$45.18
0058	26775		"	Treat finger dislocation"					
0058	28665		"	Treat toe dislocation"					
0058	29000		"	Application of body cast"					
0058	29010		"	Application of body cast"					
0058	29015		"	Application of body cast"					
0058	29020		"	Application of body cast"					
0058	29025		"	Application of body cast"					
0058	29035		"	Application of body cast"					
0058	29040		"	Application of body cast"					
0058	29046		"	Application of body cast"					
0058	29049		"	Application of figure eight"					
0058	29055		"	Application of shoulder cast"					
0058	29058		"	Application of shoulder cast"					
0058	29065		"	Application of long arm cast"					
0058	29075		"	Application of forearm cast"					
0058	29085		"	Apply hand/wrist cast"					
0058	29305		"	Application of hip cast"					
0058	29325		"	Application of hip casts"					
0058	29345		"	Application of long leg cast"					
0058	29355		"	Application of long leg cast"					
0058	29358		"	Apply long leg cast brace"					
0058	29365		"	Application of long leg cast"					
0058	29405		"	Apply short leg cast"					
0058	29425		"	Apply short leg cast"					
0058	29435		"	Apply short leg cast"					
0058	29445		"	Apply rigid leg cast"					
0058	29450		"	Application of leg cast"					
0058	29705		"	Removal/revision of cast"					
0058	29710		"	Removal/revision of cast"					
0058	29750		"	Wedging of clubfoot cast"					
0059		Level I Strapping and Cast Application		S	1.7096	$126.81	.	$25.37
0059	21800		"	Treatment of rib fracture"					
0059	29044		"	Application of body cast"					
0059	29086		"	Apply finger cast"					
0059	29105		"	Apply long arm splint"					
0059	29200		"	Strapping of chest"					
0059	29440		"	Addition of walker to cast"					
0059	29505		"	Application long leg splint"					
0059	29515		"	Application lower leg splint"					
0059	29540		"	Strapping of ankle and/or ft"					
0059	29580		"	Application of paste boot"					
0059	29581		"	Apply multlay comprs lwr leg"					
0059	29582		"	Apply multlay comprs upr leg"					
0059	29583		"	Apply multlay comprs upr arm"					
0059	29584		"	Appl multlay comprs arm/hand"					
0059	29700		"	Removal/revision of cast"					
0059	29715		"	Removal/revision of cast"					
0059	29720		"	Repair of body cast"					
0059	29730		"	Windowing of cast"					
0059	29740		"	Wedging of cast"					
0059	29799		"	Casting/strapping procedure"					
0060		Manipulation Therapy		S	0.2657	$19.71	.	$3.95
0060	98925		"	Osteopath manj 1-2 regions"					
0060	98926		"	Osteopath manj 3-4 regions"					
0060	98927		"	Osteopath manj 5-6 regions"					
0060	98928		"	Osteopath manj 7-8 regions"					
0060	98929		"	Osteopath manj 9-10 regions"					
0060	98940		"	Chiropract manj 1-2 regions"					
0060	98941		"	Chiropract manj 3-4 regions"					
0060	98942		"	Chiropractic manj 5 regions"					
0061		Level II Neurostimulator & Related Procedures		J1	71.8762	"$5,331.49"	.	"$1,066.30"
0061	0282T		"	Periph field stimul trial"					
0061	43647		"	Lap impl electrode antrum"					
0061	61888		"	Revise/remove neuroreceiver"					
0061	63650		"	Implant neuroelectrodes"					
0061	63663		"	Revise spine eltrd perq aray"					
0061	63664		"	Revise spine eltrd plate"					
0061	64553		"	Implant neuroelectrodes"					
0061	64555		"	Implant neuroelectrodes"					
0061	64561		"	Implant neuroelectrodes"					
0061	64565		"	Implant neuroelectrodes"					
0061	64569		"	Revise/repl vagus n eltrd"					
0061	64575		"	Implant neuroelectrodes"					
0061	64581		"	Implant neuroelectrodes"					
0062		Level I Treatment Fracture/Dislocation		T	27.9930	"$2,076.41"	.	$415.29
0062	0245T		"	Open tx rib fx 1-2 ribs"					
0062	0246T		"	Opn tx rib fx 3-4 ribs"					
0062	0247T		"	Opn tx rib fx 5-6 ribs"					
0062	0248T		"	Open tx rib fx 7/> ribs"					
0062	0335T		"	Extraosseous joint stblztion"					
0062	21336		"	Open tx septal fx w/wo stabj"					
0062	21805		"	Treatment of rib fracture"					
0062	23532		"	Treat clavicle dislocation"					
0062	24538		"	Treat humerus fracture"					
0062	24566		"	Treat humerus fracture"					
0062	24582		"	Treat humerus fracture"					
0062	25606		"	Treat fx distal radial"					
0062	25651		"	Pin ulnar styloid fracture"					
0062	25670		"	Treat wrist dislocation"					
0062	25671		"	Pin radioulnar dislocation"					
0062	25676		"	Treat wrist dislocation"					
0062	25685		"	Treat wrist fracture"					
0062	25695		"	Treat wrist dislocation"					
0062	26608		"	Treat metacarpal fracture"					
0062	26650		"	Treat thumb fracture"					
0062	26676		"	Pin hand dislocation"					
0062	26685		"	Treat hand dislocation"					
0062	26715		"	Treat knuckle dislocation"					
0062	26727		"	Treat finger fracture each"					
0062	26735		"	Treat finger fracture each"					
0062	26746		"	Treat finger fracture each"					
0062	26756		"	Pin finger fracture each"					
0062	26765		"	Treat finger fracture each"					
0062	26776		"	Pin finger dislocation"					
0062	26785		"	Treat finger dislocation"					
0062	27509		"	Treatment of thigh fracture"					
0062	27756		"	Treatment of tibia fracture"					
0062	28406		"	Treatment of heel fracture"					
0062	28436		"	Treatment of ankle fracture"					
0062	28456		"	Treat midfoot fracture"					
0062	28476		"	Treat metatarsal fracture"					
0062	28496		"	Treat big toe fracture"					
0062	28505		"	Treat big toe fracture"					
0062	28525		"	Treat toe fracture"					
0062	28531		"	Treat sesamoid bone fracture"					
0062	28545		"	Treat foot dislocation"					
0062	28546		"	Treat foot dislocation"					
0062	28576		"	Treat foot dislocation"					
0062	28585		"	Repair foot dislocation"					
0062	28606		"	Treat foot dislocation"					
0062	28636		"	Treat toe dislocation"					
0062	28645		"	Repair toe dislocation"					
0062	28666		"	Treat toe dislocation"					
0062	28675		"	Repair of toe dislocation"					
0063		Level II Treatment Fracture/Dislocation		T	56.3193	"$4,177.54"	.	$835.51
0063	23530		"	Treat clavicle dislocation"					
0063	23550		"	Treat clavicle dislocation"					
0063	23552		"	Treat clavicle dislocation"					
0063	23660		"	Treat shoulder dislocation"					
0063	23680		"	Treat dislocation/fracture"					
0063	24665		"	Treat radius fracture"					
0063	24685		"	Treat ulnar fracture"					
0063	25515		"	Treat fracture of radius"					
0063	25525		"	Treat fracture of radius"					
0063	25526		"	Treat fracture of radius"					
0063	25545		"	Treat fracture of ulna"					
0063	25628		"	Treat wrist bone fracture"					
0063	25645		"	Treat wrist bone fracture"					
0063	25652		"	Treat fracture ulnar styloid"					
0063	26615		"	Treat metacarpal fracture"					
0063	26665		"	Treat thumb fracture"					
0063	27202		"	Treat tail bone fracture"					
0063	27524		"	Treat kneecap fracture"					
0063	27566		"	Treat kneecap dislocation"					
0063	27720		"	Repair of tibia"					
0063	27726		"	Repair fibula nonunion"					
0063	27758		"	Treatment of tibia fracture"					
0063	27766		"	Optx medial ankle fx"					
0063	27769		"	Optx post ankle fx"					
0063	27784		"	Treatment of fibula fracture"					
0063	27792		"	Treatment of ankle fracture"					
0063	27814		"	Treatment of ankle fracture"					
0063	27822		"	Treatment of ankle fracture"					
0063	27826		"	Treat lower leg fracture"					
0063	27829		"	Treat lower leg joint"					
0063	27832		"	Treat lower leg dislocation"					
0063	27846		"	Treat ankle dislocation"					
0063	27848		"	Treat ankle dislocation"					
0063	28420		"	Treat/graft heel fracture"					
0063	28445		"	Treat ankle fracture"					
0063	28465		"	Treat midfoot fracture each"					
0063	28485		"	Treat metatarsal fracture"					
0063	28555		"	Repair foot dislocation"					
0063	28615		"	Repair foot dislocation"					
0064		Level III Treatment Fracture/Dislocation		T	74.6693	"$5,538.67"	.	"$1,107.74"
0064	23515		"	Treat clavicle fracture"					
0064	23585		"	Treat scapula fracture"					
0064	23615		"	Treat humerus fracture"					
0064	23616		"	Treat humerus fracture"					
0064	23630		"	Treat humerus fracture"					
0064	23670		"	Treat dislocation/fracture"					
0064	24515		"	Treat humerus fracture"					
0064	24516		"	Treat humerus fracture"					
0064	24545		"	Treat humerus fracture"					
0064	24546		"	Treat humerus fracture"					
0064	24575		"	Treat humerus fracture"					
0064	24579		"	Treat humerus fracture"					
0064	24586		"	Treat elbow fracture"					
0064	24587		"	Treat elbow fracture"					
0064	24615		"	Treat elbow dislocation"					
0064	24635		"	Treat elbow fracture"					
0064	24666		"	Treat radius fracture"					
0064	25574		"	Treat fracture radius & ulna"					
0064	25575		"	Treat fracture radius/ulna"					
0064	25607		"	Treat fx rad extra-articul"					
0064	25608		"	Treat fx rad intra-articul"					
0064	25609		"	Treat fx radial 3+ frag"					
0064	26686		"	Treat hand dislocation"					
0064	27722		"	Repair/graft of tibia"					
0064	27759		"	Treatment of tibia fracture"					
0064	27823		"	Treatment of ankle fracture"					
0064	27827		"	Treat lower leg fracture"					
0064	27828		"	Treat lower leg fracture"					
0064	28415		"	Treat heel fracture"					
0066		Level V Radiation Therapy		S	25.5187	"$1,892.88"	.	$378.58
0066	0071T		"	U/s leiomyomata ablate <200"					
0066	0072T		"	U/s leiomyomata ablate >200"					
0066	0301T		"	Mw therapy for breast tumor"					
0066	77373		"	Sbrt delivery"					
0066	C9734		"U/s trtmt, not leiomyomata"					
0067		Single Session Cranial Stereotactic Radiosurgery		J1	131.6865	"$9,767.98"	.	"$1,953.60"
0067	77371		"	Srs multisource"					
0067	77372		"	Srs linear based"					
0069		Thoracoscopy		T	40.4987	"$3,004.03"	.	$600.81
0069	32601		"	Thoracoscopy diagnostic"					
0069	32604		"	Thoracoscopy wbx sac"					
0069	32606		"	Thoracoscopy w/bx med space"					
0069	32607		"	Thoracoscopy w/bx infiltrate"					
0069	32608		"	Thoracoscopy w/bx nodule"					
0069	32609		"	Thoracoscopy w/bx pleura"					
0069	39400		"	Mediastinoscopy incl biopsy"					
0070		Thoracentesis/Lavage Procedures		T	6.6432	$492.77	.	$98.56
0070	32551		"	Insertion of chest tube"					
0070	32552		"	Remove lung catheter"					
0070	32554		"	Aspirate pleura w/o imaging"					
0070	32555		"	Aspirate pleura w/ imaging"					
0070	32556		"	Insert cath pleura w/o image"					
0070	32557		"	Insert cath pleura w/ image"					
0070	32560		"	Treat pleurodesis w/agent"					
0070	32561		"	Lyse chest fibrin init day"					
0070	32562		"	Lyse chest fibrin subq day"					
0070	32960		"	Therapeutic pneumothorax"					
0070	32999		"	Chest surgery procedure"					
0070	33010		"	Drainage of heart sac"					
0070	33011		"	Repeat drainage of heart sac"					
0070	33999		"	Cardiac surgery procedure"					
0070	49082		"	Abd paracentesis"					
0070	49083		"	Abd paracentesis w/imaging"					
0070	49084		"	Peritoneal lavage"					
0071		Level I Endoscopy Upper Airway		T	2.0240	$150.13	.	$30.03
0071	31231		"	Nasal endoscopy dx"					
0071	31505		"	Diagnostic laryngoscopy"					
0071	31511		"	Remove foreign body larynx"					
0071	31575		"	Diagnostic laryngoscopy"					
0071	92511		"	Nasopharyngoscopy"					
0072		Level II Endoscopy Upper Airway		T	5.1480	$381.86	.	$76.38
0072	31233		"	Nasal/sinus endoscopy dx"					
0072	31513		"	Injection into vocal cord"					
0072	31520		"	Dx laryngoscopy newborn"					
0072	31577		"	Remove foreign body larynx"					
0072	31579		"	Diagnostic laryngoscopy"					
0072	31717		"	Bronchial brush biopsy"					
0072	31730		"	Intro windpipe wire/tube"					
0073		Level III Endoscopy Upper Airway		T	17.1576	"$1,272.68"	.	$254.54
0073	31235		"	Nasal/sinus endoscopy dx"					
0073	31237		"	Nasal/sinus endoscopy surg"					
0073	31238		"	Nasal/sinus endoscopy surg"					
0073	31510		"	Laryngoscopy with biopsy"					
0073	31515		"	Laryngoscopy for aspiration"					
0073	31525		"	Dx laryngoscopy excl nb"					
0073	31526		"	Dx laryngoscopy w/oper scope"					
0073	31530		"	Laryngoscopy w/fb removal"					
0073	31531		"	Laryngoscopy w/fb & op scope"					
0073	31570		"	Laryngoscope w/vc inj"					
0073	31576		"	Laryngoscopy with biopsy"					
0073	31578		"	Removal of larynx lesion"					
0074		Level IV Endoscopy Upper Airway		T	27.0171	"$2,004.02"	.	$400.81
0074	31239		"	Nasal/sinus endoscopy surg"					
0074	31240		"	Nasal/sinus endoscopy surg"					
0074	31254		"	Revision of ethmoid sinus"					
0074	31256		"	Exploration maxillary sinus"					
0074	31267		"	Endoscopy maxillary sinus"					
0074	31297		"	Sinus endo w/balloon dil"					
0074	31512		"	Removal of larynx lesion"					
0074	31527		"	Laryngoscopy for treatment"					
0074	31528		"	Laryngoscopy and dilation"					
0074	31529		"	Laryngoscopy and dilation"					
0074	31535		"	Laryngoscopy w/biopsy"					
0074	31536		"	Laryngoscopy w/bx & op scope"					
0074	31540		"	Laryngoscopy w/exc of tumor"					
0074	31541		"	Larynscop w/tumr exc + scope"					
0074	31545		"	Remove vc lesion w/scope"					
0074	31561		"	Larynscop remve cart + scop"					
0074	31571		"	Laryngoscop w/vc inj + scope"					
0075		Level V Endoscopy Upper Airway		T	40.7118	"$3,019.84"	.	$603.97
0075	31255		"	Removal of ethmoid sinus"					
0075	31276		"	Sinus endoscopy surgical"					
0075	31287		"	Nasal/sinus endoscopy surg"					
0075	31288		"	Nasal/sinus endoscopy surg"					
0075	31292		"	Nasal/sinus endoscopy surg"					
0075	31293		"	Nasal/sinus endoscopy surg"					
0075	31294		"	Nasal/sinus endoscopy surg"					
0075	31295		"	Sinus endo w/balloon dil"					
0075	31296		"	Sinus endo w/balloon dil"					
0075	31546		"	Remove vc lesion scope/graft"					
0075	31560		"	Laryngoscop w/arytenoidectom"					
0076		Level I Endoscopy Lower Airway		T	14.0732	"$1,043.89"	.	$208.78
0076	31622		"	Dx bronchoscope/wash"					
0076	31623		"	Dx bronchoscope/brush"					
0076	31624		"	Dx bronchoscope/lavage"					
0076	31625		"	Bronchoscopy w/biopsy(s)"					
0076	31628		"	Bronchoscopy/lung bx each"					
0076	31635		"	Bronchoscopy w/fb removal"					
0076	31643		"	Diag bronchoscope/catheter"					
0076	31645		"	Bronchoscopy clear airways"					
0076	31646		"	Bronchoscopy reclear airway"					
0076	31649		"	Bronchial valve remov addl"					
0076	31899		"	Airways surgical procedure"					
0077		Level I Pulmonary Treatment		S	0.6707	$49.75	.	$9.95
0077	31720		"	Clearance of airways"					
0077	94668		"	Chest wall manipulation"					
0077	94669		"	Mechanical chest wall oscill"					
0077	G0237		"	Therapeutic procd strg endur"					
0077	G0238		"	Oth resp proc, indiv"					
0077	G0424		"	Pulmonary rehab w exer"					
0078		Level II Pulmonary Treatment		S	1.1767	$87.28	.	$17.46
0078	0243T		"	Intm msr bronchodil wheeze"					
0078	94610		"	Surfactant admin thru tube"					
0078	94640		"	Airway inhalation treatment"					
0078	94642		"	Aerosol inhalation treatment"					
0078	94660		"	Pos airway pressure cpap"					
0078	94664		"	Evaluate pt use of inhaler"					
0078	94667		"	Chest wall manipulation"					
0079		Ventilation Initiation and Management		S	4.6152	$342.34	.	$68.47
0079	94002		"	Vent mgmt inpat init day"					
0079	94003		"	Vent mgmt inpat subq day"					
0079	94662		"	Neg press ventilation cnp"					
0080		Diagnostic Cardiac Catheterization		T	35.0526	"$2,600.06"	$795.89	$520.02
0080	93451		"	Right heart cath"					
0080	93452		"	Left hrt cath w/ventrclgrphy"					
0080	93453		"	R&l hrt cath w/ventriclgrphy"					
0080	93454		"	Coronary artery angio s&i"					
0080	93455		"	Coronary art/grft angio s&i"					
0080	93456		"	R hrt coronary artery angio"					
0080	93457		"	R hrt art/grft angio"					
0080	93458		"	L hrt artery/ventricle angio"					
0080	93459		"	L hrt art/grft angio"					
0080	93460		"	R&l hrt art/ventricle angio"					
0080	93461		"	R&l hrt art/ventricle angio"					
0080	93530		"	Rt heart cath congenital"					
0080	93531		"	R & l heart cath congenital"					
0080	93532		"	R & l heart cath congenital"					
0080	93533		"	R & l heart cath congenital"					
0083		Level I Endovascular Procedures		J1	58.4316	"$4,334.22"	.	$866.85
0083	35458		"	Repair arterial blockage"					
0083	35460		"	Repair venous blockage"					
0083	35471		"	Repair arterial blockage"					
0083	35472		"	Repair arterial blockage"					
0083	35475		"	Repair arterial blockage"					
0083	35476		"	Repair venous blockage"					
0083	37183		"	Remove hepatic shunt (tips)"					
0083	37220		"	Iliac revasc"					
0083	37224		"	Fem/popl revas w/tla"					
0083	92920		"	Prq cardiac angioplast 1 art"					
0083	92986		"	Revision of aortic valve"					
0084		Level I Electrophysiologic Procedures		J1	11.8827	$881.41	.	$176.29
0084	93603		"	Right ventricular recording"					
0084	93615		"	Esophageal recording"					
0084	93616		"	Esophageal recording"					
0084	93618		"	Heart rhythm pacing"					
0084	93642		"	Electrophysiology evaluation"					
0085		Level II Electrophysiologic Procedures		J1	61.9048	"$4,591.85"	.	$918.37
0085	93600		"	Bundle of his recording"					
0085	93602		"	Intra-atrial recording"					
0085	93610		"	Intra-atrial pacing"					
0085	93612		"	Intraventricular pacing"					
0085	93619		"	Electrophysiology evaluation"					
0085	93620		"	Electrophysiology evaluation"					
0085	93624		"	Electrophysiologic study"					
0085	93650		"	Ablate heart dysrhythm focus"					
0086		Level III Electrophysiologic Procedures		J1	191.0191	"$14,169.03"	.	"$2,833.81"
0086	93653		"	Ep & ablate supravent arrhyt"					
0086	93654		"	Ep & ablate ventric tachy"					
0086	93656		"	Tx atrial fib pulm vein isol"					
0088		Thrombectomy		T	44.2321	"$3,280.96"	.	$656.20
0088	34101		"	Removal of artery clot"					
0088	34111		"	Removal of arm artery clot"					
0088	34201		"	Removal of artery clot"					
0088	34203		"	Removal of leg artery clot"					
0088	34421		"	Removal of vein clot"					
0088	34471		"	Removal of vein clot"					
0088	34490		"	Removal of vein clot"					
0088	34501		"	Repair valve femoral vein"					
0088	34510		"	Transposition of vein valve"					
0088	34520		"	Cross-over vein graft"					
0088	34530		"	Leg vein fusion"					
0088	35188		"	Repair blood vessel lesion"					
0088	35207		"	Repair blood vessel lesion"					
0088	35875		"	Removal of clot in graft"					
0088	35876		"	Removal of clot in graft"					
0088	35879		"	Revise graft w/vein"					
0088	35881		"	Revise graft w/vein"					
0088	35883		"	Revise graft w/nonauto graft"					
0088	35884		"	Revise graft w/vein"					
0088	36818		"	Av fuse uppr arm cephalic"					
0088	36819		"	Av fuse uppr arm basilic"					
0088	36820		"	Av fusion/forearm vein"					
0088	36821		"	Av fusion direct any site"					
0088	36825		"	Artery-vein autograft"					
0088	36830		"	Artery-vein nonautograft"					
0088	36831		"	Open thrombect av fistula"					
0088	36832		"	Av fistula revision open"					
0088	36833		"	Av fistula revision"					
0088	36838		"	Dist revas ligation hemo"					
0088	37184		"	Prim art mech thrombectomy"					
0088	37187		"	Venous mech thrombectomy"					
0088	37188		"	Venous m-thrombectomy add-on"					
0089		Level III Pacemaker and Similar Procedures		J1	127.7827	"$9,478.41"	.	"$1,895.69"
0089	0302T		"	Icar ischm mntrng sys compl"					
0089	33206		"	Insert heart pm atrial"					
0089	33207		"	Insert heart pm ventricular"					
0089	33208		"	Insrt heart pm atrial & vent"					
0089	33213		"	Insert pulse gen dual leads"					
0089	33214		"	Upgrade of pacemaker system"					
0089	33224		"	Insert pacing lead & connect"					
0089	33228		"	Remv&replc pm gen dual lead"					
0090		Level II Pacemaker and Similar Procedures		J1	89.6370	"$6,648.91"	.	"$1,329.79"
0090	0303T		"	Icar ischm mntrng sys eltrd"					
0090	0304T		"	Icar ischm mntrng sys device"					
0090	0320T		"	Insert subq defib electrode"					
0090	33210		"	Insert electrd/pm cath sngl"					
0090	33211		"	Insert card electrodes dual"					
0090	33212		"	Insert pulse gen sngl lead"					
0090	33216		"	Insert 1 electrode pm-defib"					
0090	33217		"	Insert 2 electrode pm-defib"					
0090	33227		"	Remove&replace pm gen singl"					
0090	33233		"	Removal of pm generator"					
0090	33282		"	Implant pat-active ht record"					
0093		Vascular Reconstruction/Fistula Repair		T	32.9337	"$2,442.89"	.	$488.58
0093	35045		"	Repair defect of arm artery"					
0093	35180		"	Repair blood vessel lesion"					
0093	35184		"	Repair blood vessel lesion"					
0093	35190		"	Repair blood vessel lesion"					
0093	35201		"	Repair blood vessel lesion"					
0093	35206		"	Repair blood vessel lesion"					
0093	35231		"	Repair blood vessel lesion"					
0093	35236		"	Repair blood vessel lesion"					
0093	35256		"	Repair blood vessel lesion"					
0093	35321		"	Rechanneling of artery"					
0093	35761		"	Exploration of artery/vein"					
0093	35860		"	Explore limb vessels"					
0093	35903		"	Excision graft extremity"					
0093	37565		"	Ligation of neck vein"					
0093	37600		"	Ligation of neck artery"					
0093	75978		"	Repair venous blockage"					
0094		Resuscitation and Cardioversion		S	6.4032	$474.96	.	$95.00
0094	92953		"	Temporary external pacing"					
0094	92960		"	Cardioversion electric ext"					
0094	92961		"	Cardioversion electric int"					
0094	99465		"	Nb resuscitation"					
0095		Cardiac Rehabilitation		S	1.3942	$103.42	.	$20.69
0095	93797		"	Cardiac rehab"					
0095	93798		"	Cardiac rehab/monitor"					
0095	G0422		"	Intens cardiac rehab w/exerc"					
0095	G0423		"	Intens cardiac rehab no exer"					
0096		Level II Noninvasive Physiologic Studies		S	4.5099	$334.53	.	$66.91
0096	43755		"	Dx gastr intub w/asp specs"					
0096	76936		"	Echo guide for artery repair"					
0096	93660		"	Tilt table evaluation"					
0097		Level I Noninvasive Physiologic Studies		S	1.5066	$111.75	.	$22.35
0097	0239T		"	Bioimpedance spectroscopy"					
0097	0337T		"	Endothel fxnassmnt non-invas"					
0097	93799		"	Cardiovascular procedure"					
0097	93922		"	Upr/l xtremity art 2 levels"					
0097	93923		"	Upr/lxtr art stdy 3+ lvls"					
0097	93924		"	Lwr xtr vasc stdy bilat"					
0097	93965		"	Extremity study"					
0097	93982		"	Aneurysm pressure sens study"					
0097	94762		"	Measure blood oxygen level"					
0097	94775		"	Ped home apnea rec hk-up"					
0097	94776		"	Ped home apnea rec downld"					
0099		Electrocardiograms/Cardiography		S	1.0465	$77.63	.	$15.53
0099	0223T		"	Acoustic ecg w/i&r"					
0099	0296T		"	Ext ecg recording"					
0099	0297T		"	Ext ecg scan w/report"					
0099	0311T		"	Cal & alys cntrl artl press"					
0099	93005		"	Electrocardiogram tracing"					
0099	93225		"	Ecg monit/reprt up to 48 hrs"					
0099	93226		"	Ecg monit/reprt up to 48 hrs"					
0099	93701		"	Bioimpedance cv analysis"					
0099	93786		"	Ambulatory bp recording"					
0099	93788		"	Ambulatory bp analysis"					
0100		Cardiac Stress Tests		S	3.1934	$236.87	.	$47.38
0100	0179T		"	64 lead ecg w/tracing"					
0100	92950		"	Heart/lung resuscitation cpr"					
0100	93017		"	Cardiovascular stress test"					
0100	93024		"	Cardiac drug stress test"					
0100	93025		"	Microvolt t-wave assess"					
0100	Q0035		"	Cardiokymography"					
0103		Miscellaneous Vascular Procedures		T	21.8244	"$1,618.85"	.	$323.77
0103	33215		"	Reposition pacing-defib lead"					
0103	33226		"	Reposition l ventric lead"					
0103	37202		"	Transcatheter therapy infuse"					
0103	49422		"	Remove tunneled ip cath"					
0103	49429		"	Removal of shunt"					
0103	93503		"	Insert/place heart catheter"					
0103	93505		"	Biopsy of heart lining"					
0105		Level I Pacemaker & Similar Procedures		T	28.0399	"$2,079.89"	.	$415.98
0105	0307T		"	Rmvl icar ischm mntrng dvce"					
0105	0322T		"	Rmvl subq defib pls gen"					
0105	0324T		"	Rmvl subq defib electrode"					
0105	0325T		"	Repos subq defib eltrd &/gen"					
0105	33218		"	Repair lead pace-defib one"					
0105	33220		"	Repair lead pace-defib dual"					
0105	33234		"	Removal of pacemaker system"					
0105	33235		"	Removal pacemaker electrode"					
0105	33241		"	Remove pulse generator"					
0105	33244		"	Remove eltrd transven"					
0105	36261		"	Revision of infusion pump"					
0105	36262		"	Removal of infusion pump"					
0107		Level I ICD and Similar Procedures		J1	311.1895	"$23,082.79"	.	"$4,616.56"
0107	0321T		"	Insert subq defib pls gen"					
0107	0323T		"	Rmvl & replc subq pls gen"					
0107	33230		"	Insrt pulse gen w/dual leads"					
0107	33240		"	Insrt pulse gen w/singl lead"					
0107	33262		"	Remv&replc cvd gen sing lead"					
0107	33263		"	Remv&replc cvd gen dual lead"					
0108		Level II ICD and Similar Procedures		J1	413.1447	"$30,645.42"	.	"$6,129.09"
0108	0319T		"	Insert subq defib w/eltrd"					
0108	33231		"	Insrt pulse gen w/mult leads"					
0108	33249		"	Nsert pace-defib w/lead"					
0108	33264		"	Remv&replc cvd gen mult lead"					
0110		Transfusion		S	4.0037	$296.98	.	$59.40
0110	36430		"	Blood transfusion service"					
0110	36440		"	Bl push transfuse 2 yr/<"					
0110	36450		"	Bl exchange/transfuse nb"					
0110	36455		"	Bl exchange/transfuse non-nb"					
0110	36460		"	Transfusion service fetal"					
0110	38207		"	Cryopreserve stem cells"					
0110	38208		"	Thaw preserved stem cells"					
0110	38209		"	Wash harvest stem cells"					
0110	38999		"	Blood/lymph system procedure"					
0111		Blood Product Exchange		S	14.5302	"$1,077.79"	.	$215.56
0111	36511		"	Apheresis wbc"					
0111	36512		"	Apheresis rbc"					
0111	36513		"	Apheresis platelets"					
0111	36514		"	Apheresis plasma"					
0111	38206		"	Harvest auto stem cells"					
0111	38242		"	Transplt allo lymphocytes"					
0111	38243		"	Transplj hematopoietic boost"					
0112		Apheresis and Stem Cell Procedures		S	39.1136	"$2,901.29"	.	$580.26
0112	0263T		"	Im b1 mrw cel ther cmpl"					
0112	0264T		"	Im b1 mrw cel ther xcl hrvst"					
0112	0265T		"	Im b1 mrw cel ther hrvst onl"					
0112	0342T		Thxp apheresis w/hdl delip					
0112	36515		"	Apheresis adsorp/reinfuse"					
0112	36516		"	Apheresis selective"					
0112	36522		"	Photopheresis"					
0112	38230		"	Bone marrow harvest allogen"					
0112	38232		"	Bone marrow harvest autolog"					
0112	38240		"	Transplt allo hct/donor"					
0112	38241		"	Transplt autol hct/donor"					
0113		Excision Lymphatic System		T	31.3318	"$2,324.07"	.	$464.82
0113	38308		"	Incision of lymph channels"					
0113	38500		"	Biopsy/removal lymph nodes"					
0113	38510		"	Biopsy/removal lymph nodes"					
0113	38520		"	Biopsy/removal lymph nodes"					
0113	38525		"	Biopsy/removal lymph nodes"					
0113	38530		"	Biopsy/removal lymph nodes"					
0113	38550		"	Removal neck/armpit lesion"					
0113	38555		"	Removal neck/armpit lesion"					
0113	38700		"	Removal of lymph nodes neck"					
0113	38720		"	Removal of lymph nodes neck"					
0113	38760		"	Remove groin lymph nodes"					
0114		Thyroid/Lymphadenectomy Procedures		T	57.3663	"$4,255.20"	.	$851.04
0114	38542		"	Explore deep node(s) neck"					
0114	38740		"	Remove armpit lymph nodes"					
0114	38745		"	Remove armpit lymph nodes"					
0114	60200		"	Remove thyroid lesion"					
0114	60210		"	Partial thyroid excision"					
0114	60212		"	Partial thyroid excision"					
0114	60220		"	Partial removal of thyroid"					
0114	60225		"	Partial removal of thyroid"					
0114	60240		"	Removal of thyroid"					
0114	60280		"	Remove thyroid duct lesion"					
0114	60281		"	Remove thyroid duct lesion"					
0114	60699		"	Endocrine surgery procedure"					
0121		Level I Tube or Catheter Changes or Repositioning		T	6.3403	$470.30	.	$94.06
0121	36575		"	Repair tunneled cv cath"					
0121	36589		"	Removal tunneled cv cath"					
0121	44500		"	Intro gastrointestinal tube"					
0121	49450		"	Replace g/c tube perc"					
0121	49451		"	Replace duod/jej tube perc"					
0121	49452		"	Replace g-j tube perc"					
0121	49460		"	Fix g/colon tube w/device"					
0121	51710		"	Change of bladder tube"					
0121	61070		"	Brain canal shunt procedure"					
0126		Level I Urinary and Anal Procedures		T	1.4913	$110.62	.	$22.13
0126	50686		"	Measure ureter pressure"					
0126	51101		"	Drain bladder by trocar/cath"					
0126	51703		"	Insert bladder cath complex"					
0126	51741		"	Electro-uroflowmetry first"					
0126	51784		"	Anal/urinary muscle study"					
0126	51792		"	Urinary reflex study"					
0126	53601		"	Dilate urethra stricture"					
0126	53660		"	Dilation of urethra"					
0126	53661		"	Dilation of urethra"					
0126	53899		"	Urology surgery procedure"					
0126	54240		"	Penis study"					
0126	55899		"	Genital surgery procedure"					
0126	90911		"	Biofeedback peri/uro/rectal"					
0126	91120		"	Rectal sensation test"					
0129		Level I Closed Treatment Fracture		T	2.3316	$172.95	.	$34.59
0129	21820		"	Treat sternum fracture"					
0129	22305		"	Closed tx spine process fx"					
0129	23500		"	Treat clavicle fracture"					
0129	23570		"	Treat shoulder blade fx"					
0129	23929		"	Shoulder surgery procedure"					
0129	24560		"	Treat humerus fracture"					
0129	24670		"	Treat ulnar fracture"					
0129	24999		"	Upper arm/elbow surgery"					
0129	25500		"	Treat fracture of radius"					
0129	25530		"	Treat fracture of ulna"					
0129	25560		"	Treat fracture radius & ulna"					
0129	25680		"	Treat wrist fracture"					
0129	25999		"	Forearm or wrist surgery"					
0129	26670		"	Treat hand dislocation"					
0129	26720		"	Treat finger fracture each"					
0129	26750		"	Treat finger fracture each"					
0129	26770		"	Treat finger dislocation"					
0129	26989		"	Hand/finger surgery"					
0129	27200		"	Treat tail bone fracture"					
0129	27220		"	Treat hip socket fracture"					
0129	27256		"	Treat hip dislocation"					
0129	27299		"	Pelvis/hip joint surgery"					
0129	27516		"	Treat thigh fx growth plate"					
0129	27560		"	Treat kneecap dislocation"					
0129	27599		"	Leg surgery procedure"					
0129	27767		"	Cltx post ankle fx"					
0129	27768		"	Cltx post ankle fx w/mnpj"					
0129	27830		"	Treat lower leg dislocation"					
0129	27899		"	Leg/ankle surgery procedure"					
0129	28430		"	Treatment of ankle fracture"					
0129	28450		"	Treat midfoot fracture each"					
0129	28455		"	Treat midfoot fracture each"					
0129	28490		"	Treat big toe fracture"					
0129	28510		"	Treatment of toe fracture"					
0129	28530		"	Treat sesamoid bone fracture"					
0129	28540		"	Treat foot dislocation"					
0129	28600		"	Treat foot dislocation"					
0129	28605		"	Treat foot dislocation"					
0129	28660		"	Treat toe dislocation"					
0129	28899		"	Foot/toes surgery procedure"					
0130		Level I Laparoscopy		T	39.7951	"$2,951.84"	$659.53	$590.37
0130	38129		"	Laparoscope proc spleen"					
0130	38589		"	Laparoscope proc lymphatic"					
0130	43289		"	Laparoscope proc esoph"					
0130	43648		"	Lap revise/remv eltrd antrum"					
0130	43659		"	Laparoscope proc stom"					
0130	44238		"	Laparoscope proc intestine"					
0130	44979		"	Laparoscope proc app"					
0130	45499		"	Laparoscope proc rectum"					
0130	47379		"	Laparoscope procedure liver"					
0130	47560		"	Laparoscopy w/cholangio"					
0130	47561		"	Laparo w/cholangio/biopsy"					
0130	47579		"	Laparoscope proc biliary"					
0130	49320		"	Diag laparo separate proc"					
0130	49321		"	Laparoscopy biopsy"					
0130	49322		"	Laparoscopy aspiration"					
0130	49323		"	Laparo drain lymphocele"					
0130	49324		"	Lap insert tunnel ip cath"					
0130	49325		"	Lap revision perm ip cath"					
0130	49329		"	Laparo proc abdm/per/oment"					
0130	49659		"	Laparo proc hernia repair"					
0130	50541		"	Laparo ablate renal cyst"					
0130	50549		"	Laparoscope proc renal"					
0130	50949		"	Laparoscope proc ureter"					
0130	51999		"	Laparoscope proc bla"					
0130	54699		"	Laparoscope proc testis"					
0130	55559		"	Laparo proc spermatic cord"					
0130	58545		"	Laparoscopic myomectomy"					
0130	58578		"	Laparo proc uterus"					
0130	58679		"	Laparo proc oviduct-ovary"					
0130	59898		"	Laparo proc ob care/deliver"					
0130	60659		"	Laparo proc endocrine"					
0131		Level II Laparoscopy		T	51.1019	"$3,790.53"	"$1,001.89"	$758.11
0131	38120		"	Laparoscopy splenectomy"					
0131	38570		"	Laparoscopy lymph node biop"					
0131	38572		"	Laparoscopy lymphadenectomy"					
0131	43653		"	Laparoscopy gastrostomy"					
0131	44180		"	Lap enterolysis"					
0131	44186		"	Lap jejunostomy"					
0131	44970		"	Laparoscopy appendectomy"					
0131	47562		"	Laparoscopic cholecystectomy"					
0131	47563		"	Laparo cholecystectomy/graph"					
0131	47564		"	Laparo cholecystectomy/explr"					
0131	49650		"	Lap ing hernia repair init"					
0131	49651		"	Lap ing hernia repair recur"					
0131	50543		"	Laparo partial nephrectomy"					
0131	50544		"	Laparoscopy pyeloplasty"					
0131	50945		"	Laparoscopy ureterolithotomy"					
0131	50947		"	Laparo new ureter/bladder"					
0131	50948		"	Laparo new ureter/bladder"					
0131	51990		"	Laparo urethral suspension"					
0131	51992		"	Laparo sling operation"					
0131	54690		"	Laparoscopy orchiectomy"					
0131	55550		"	Laparo ligate spermatic vein"					
0131	57423		"	Repair paravag defect lap"					
0131	57425		"	Laparoscopy surg colpopexy"					
0131	58546		"	Laparo-myomectomy complex"					
0131	58552		"	Laparo-vag hyst incl t/o"					
0131	58553		"	Laparo-vag hyst complex"					
0131	58554		"	Laparo-vag hyst w/t/o compl"					
0131	58570		"	Tlh uterus 250 g or less"					
0131	58571		"	Tlh w/t/o 250 g or less"					
0131	58572		"	Tlh uterus over 250 g"					
0131	58573		"	Tlh w/t/o uterus over 250 g"					
0131	58660		"	Laparoscopy lysis"					
0131	58661		"	Laparoscopy remove adnexa"					
0131	58662		"	Laparoscopy excise lesions"					
0131	58670		"	Laparoscopy tubal cautery"					
0131	58671		"	Laparoscopy tubal block"					
0131	58672		"	Laparoscopy fimbrioplasty"					
0131	58673		"	Laparoscopy salpingostomy"					
0131	59150		"	Treat ectopic pregnancy"					
0131	59151		"	Treat ectopic pregnancy"					
0132		Level III Laparoscopy		T	73.5332	"$5,454.40"	"$1,236.99"	"$1,090.88"
0132	38571		"	Laparoscopy lymphadenectomy"					
0132	43280		"	Laparoscopy fundoplasty"					
0132	43281		"	Lap paraesophag hern repair"					
0132	43651		"	Laparoscopy vagus nerve"					
0132	43652		"	Laparoscopy vagus nerve"					
0132	43770		"	Lap place gastr adj device"					
0132	49652		"	Lap vent/abd hernia repair"					
0132	49653		"	Lap vent/abd hern proc comp"					
0132	49654		"	Lap inc hernia repair"					
0132	49655		"	Lap inc hern repair comp"					
0132	49656		"	Lap inc hernia repair recur"					
0132	49657		"	Lap inc hern recur comp"					
0132	54692		"	Laparoscopy orchiopexy"					
0132	58541		"	Lsh uterus 250 g or less"					
0132	58542		"	Lsh w/t/o ut 250 g or less"					
0132	58543		"	Lsh uterus above 250 g"					
0132	58544		"	Lsh w/t/o uterus above 250 g"					
0132	58550		"	Laparo-asst vag hysterectomy"					
0138		Level II Closed Treatment Fracture		T	2.9951	$222.16	.	$44.44
0138	22310		"	Closed tx vert fx w/o manj"					
0138	23525		"	Treat clavicle dislocation"					
0138	23540		"	Treat clavicle dislocation"					
0138	23545		"	Treat clavicle dislocation"					
0138	23575		"	Treat shoulder blade fx"					
0138	23600		"	Treat humerus fracture"					
0138	23620		"	Treat humerus fracture"					
0138	23650		"	Treat shoulder dislocation"					
0138	23675		"	Treat dislocation/fracture"					
0138	24500		"	Treat humerus fracture"					
0138	24505		"	Treat humerus fracture"					
0138	24530		"	Treat humerus fracture"					
0138	24535		"	Treat humerus fracture"					
0138	24565		"	Treat humerus fracture"					
0138	24576		"	Treat humerus fracture"					
0138	24577		"	Treat humerus fracture"					
0138	24600		"	Treat elbow dislocation"					
0138	24640		"	Treat elbow dislocation"					
0138	24650		"	Treat radius fracture"					
0138	24655		"	Treat radius fracture"					
0138	24675		"	Treat ulnar fracture"					
0138	25520		"	Treat fracture of radius"					
0138	25535		"	Treat fracture of ulna"					
0138	25565		"	Treat fracture radius & ulna"					
0138	25600		"	Treat fracture radius/ulna"					
0138	25622		"	Treat wrist bone fracture"					
0138	25630		"	Treat wrist bone fracture"					
0138	25635		"	Treat wrist bone fracture"					
0138	25650		"	Treat wrist bone fracture"					
0138	25660		"	Treat wrist dislocation"					
0138	25675		"	Treat wrist dislocation"					
0138	26340		"	Manipulate finger w/anesth"					
0138	26341		"	Manipulat palm cord post inj"					
0138	26600		"	Treat metacarpal fracture"					
0138	26605		"	Treat metacarpal fracture"					
0138	26641		"	Treat thumb dislocation"					
0138	26645		"	Treat thumb fracture"					
0138	26675		"	Treat hand dislocation"					
0138	26700		"	Treat knuckle dislocation"					
0138	26705		"	Treat knuckle dislocation"					
0138	26725		"	Treat finger fracture each"					
0138	26740		"	Treat finger fracture each"					
0138	26742		"	Treat finger fracture each"					
0138	26755		"	Treat finger fracture each"					
0138	27193		"	Treat pelvic ring fracture"					
0138	27230		"	Treat thigh fracture"					
0138	27238		"	Treat thigh fracture"					
0138	27246		"	Treat thigh fracture"					
0138	27250		"	Treat hip dislocation"					
0138	27265		"	Treat hip dislocation"					
0138	27500		"	Treatment of thigh fracture"					
0138	27501		"	Treatment of thigh fracture"					
0138	27503		"	Treatment of thigh fracture"					
0138	27508		"	Treatment of thigh fracture"					
0138	27510		"	Treatment of thigh fracture"					
0138	27517		"	Treat thigh fx growth plate"					
0138	27520		"	Treat kneecap fracture"					
0138	27530		"	Treat knee fracture"					
0138	27538		"	Treat knee fracture(s)"					
0138	27550		"	Treat knee dislocation"					
0138	27750		"	Treatment of tibia fracture"					
0138	27760		"	Cltx medial ankle fx"					
0138	27780		"	Treatment of fibula fracture"					
0138	27786		"	Treatment of ankle fracture"					
0138	27788		"	Treatment of ankle fracture"					
0138	27808		"	Treatment of ankle fracture"					
0138	27816		"	Treatment of ankle fracture"					
0138	27824		"	Treat lower leg fracture"					
0138	27840		"	Treat ankle dislocation"					
0138	28400		"	Treatment of heel fracture"					
0138	28470		"	Treat metatarsal fracture"					
0138	28475		"	Treat metatarsal fracture"					
0138	28495		"	Treat big toe fracture"					
0138	28515		"	Treatment of toe fracture"					
0138	28570		"	Treat foot dislocation"					
0138	28630		"	Treat toe dislocation"					
0139		Level III Closed Treatment Fracture		T	9.7973	$726.72	.	$145.35
0139	20660		"	Apply rem fixation device"					
0139	20697		"	Comp ext fixate strut change"					
0139	23505		"	Treat clavicle fracture"					
0139	23665		"	Treat dislocation/fracture"					
0139	25505		"	Treat fracture of radius"					
0139	25605		"	Treat fracture radius/ulna"					
0139	25624		"	Treat wrist bone fracture"					
0139	27194		"	Treat pelvic ring fracture"					
0139	27252		"	Treat hip dislocation"					
0139	27257		"	Treat hip dislocation"					
0139	27562		"	Treat kneecap dislocation"					
0139	27781		"	Treatment of fibula fracture"					
0139	27810		"	Treatment of ankle fracture"					
0139	27818		"	Treatment of ankle fracture"					
0139	27831		"	Treat lower leg dislocation"					
0139	28405		"	Treatment of heel fracture"					
0141		Level I Upper GI Procedures		T	10.0669	$746.72	.	$149.35
0141	43191		"	Esophagoscopy rigid trnso dx"					
0141	43197		"	Esophagoscopy flex dx brush"					
0141	43198		Esophagosc flex trnsn biopy					
0141	43200		"	Esophagoscopy flexible brush"					
0141	43202		"	Esophagoscopy flex biopsy"					
0141	43204		"	Esoph scope w/sclerosis inj"					
0141	43235		"	Egd diagnostic brush wash"					
0141	43236		"	Uppr gi scope w/submuc inj"					
0141	43239		"	Egd biopsy single/multiple"					
0141	43241		"	Egd tube/cath insertion"					
0141	43243		"	Egd injection varices"					
0141	43247		"	Egd remove foreign body"					
0141	43248		"	Egd guide wire insertion"					
0141	43450		"	Dilate esophagus 1/mult pass"					
0141	43499		"	Esophagus surgery procedure"					
0141	43510		"	Surgical opening of stomach"					
0141	43761		"	Reposition gastrostomy tube"					
0141	43831		"	Place gastrostomy tube"					
0141	43999		"	Stomach surgery procedure"					
0142		Level I Small Intestine Endoscopy		T	11.5634	$857.73	.	$171.55
0142	44360		"	Small bowel endoscopy"					
0142	44361		"	Small bowel endoscopy/biopsy"					
0142	44363		"	Small bowel endoscopy"					
0142	44376		"	Small bowel endoscopy"					
0142	44380		"	Small bowel endoscopy"					
0142	44382		"	Small bowel endoscopy"					
0142	91110		"	Gi tract capsule endoscopy"					
0142	91111		"	Esophageal capsule endoscopy"					
0142	91112		"	Gi wireless capsule measure"					
0143		Lower GI Endoscopy		T	10.6918	$793.07	$186.06	$158.62
0143	44385		"	Endoscopy of bowel pouch"					
0143	44386		"	Endoscopy bowel pouch/biop"					
0143	44388		"	Colonoscopy"					
0143	44389		"	Colonoscopy with biopsy"					
0143	44390		"	Colonoscopy for foreign body"					
0143	44391		"	Colonoscopy for bleeding"					
0143	44392		"	Colonoscopy & polypectomy"					
0143	44393		"	Colonoscopy lesion removal"					
0143	44394		"	Colonoscopy w/snare"					
0143	45355		"	Surgical colonoscopy"					
0143	45378		"	Diagnostic colonoscopy"					
0143	45379		"	Colonoscopy w/fb removal"					
0143	45380		"	Colonoscopy and biopsy"					
0143	45381		"	Colonoscopy submucous inj"					
0143	45382		"	Colonoscopy/control bleeding"					
0143	45383		"	Lesion removal colonoscopy"					
0143	45384		"	Lesion remove colonoscopy"					
0143	45385		"	Lesion removal colonoscopy"					
0143	45386		"	Colonoscopy dilate stricture"					
0143	45391		"	Colonoscopy w/endoscope us"					
0143	45392		"	Colonoscopy w/endoscopic fnb"					
0146		Level I Sigmoidoscopy and Anoscopy		T	6.6817	$495.62	.	$99.13
0146	45300		"	Proctosigmoidoscopy dx"					
0146	45330		"	Diagnostic sigmoidoscopy"					
0146	45331		"	Sigmoidoscopy and biopsy"					
0146	45333		"	Sigmoidoscopy & polypectomy"					
0146	45335		"	Sigmoidoscopy w/submuc inj"					
0147		Level II Sigmoidoscopy and Anoscopy		T	11.1389	$826.24	.	$165.25
0147	0227T		"	Anoscopy hra w/biopsy"					
0147	45303		"	Proctosigmoidoscopy dilate"					
0147	45305		"	Proctosigmoidoscopy w/bx"					
0147	45308		"	Proctosigmoidoscopy removal"					
0147	45309		"	Proctosigmoidoscopy removal"					
0147	45315		"	Proctosigmoidoscopy removal"					
0147	45317		"	Proctosigmoidoscopy bleed"					
0147	45332		"	Sigmoidoscopy w/fb removal"					
0147	45334		"	Sigmoidoscopy for bleeding"					
0147	45337		"	Sigmoidoscopy & decompress"					
0147	45338		"	Sigmoidoscopy w/tumr remove"					
0147	45339		"	Sigmoidoscopy w/ablate tumr"					
0147	45340		"	Sig w/balloon dilation"					
0147	45341		"	Sigmoidoscopy w/ultrasound"					
0147	45342		"	Sigmoidoscopy w/us guide bx"					
0147	46604		"	Anoscopy and dilation"					
0147	46606		"	Anoscopy and biopsy"					
0147	46608		"	Anoscopy remove for body"					
0147	46611		"	Anoscopy"					
0147	46614		"	Anoscopy control bleeding"					
0148		Level I Anal/Rectal Procedures		T	5.9597	$442.07	.	$88.42
0148	45900		"	Reduction of rectal prolapse"					
0148	45999		"	Rectum surgery procedure"					
0148	46030		"	Removal of rectal marker"					
0148	46050		"	Incision of anal abscess"					
0148	46221		"	Ligation of hemorrhoid(s)"					
0148	46500		"	Injection into hemorrhoid(s)"					
0148	46930		"	Destroy internal hemorrhoids"					
0148	46942		"	Treatment of anal fissure"					
0148	46999		"	Anus surgery procedure"					
0148	C9725		"	Place endorectal app"					
0149		Level III Anal/Rectal Procedures		T	26.3923	"$1,957.68"	.	$391.54
0149	45000		"	Drainage of pelvic abscess"					
0149	45108		"	Removal of anorectal lesion"					
0149	45150		"	Excision of rectal stricture"					
0149	45160		"	Excision of rectal lesion"					
0149	45171		"	Exc rect tum transanal part"					
0149	45190		"	Destruction rectal tumor"					
0149	45500		"	Repair of rectum"					
0149	46020		"	Placement of seton"					
0149	46045		"	Incision of rectal abscess"					
0149	46200		"	Removal of anal fissure"					
0149	46250		"	Remove ext hem groups 2+"					
0149	46255		"	Remove int/ext hem 1 group"					
0149	46257		"	Remove in/ex hem grp & fiss"					
0149	46258		"	Remove in/ex hem grp w/fistu"					
0149	46260		"	Remove in/ex hem groups 2+"					
0149	46261		"	Remove in/ex hem grps & fiss"					
0149	46262		"	Remove in/ex hem grps w/fist"					
0149	46270		"	Remove anal fist subq"					
0149	46275		"	Remove anal fist inter"					
0149	46280		"	Remove anal fist complex"					
0149	46285		"	Remove anal fist 2 stage"					
0149	46700		"	Repair of anal stricture"					
0149	46706		"	Repr of anal fistula w/glue"					
0149	46753		"	Reconstruction of anus"					
0149	46917		"	Laser surgery anal lesions"					
0149	46922		"	Excision of anal lesion(s)"					
0149	46924		"	Destruction anal lesion(s)"					
0149	46945		"	Remove by ligat int hem grp"					
0149	46946		"	Remove by ligat int hem grps"					
0150		Level IV Anal/Rectal Procedures		T	35.2231	"$2,612.71"	.	$522.55
0150	0184T		"	Exc rectal tumor endoscopic"					
0150	0249T		"	Ligation hemorrhoid w/us"					
0150	0288T		"	Anoscopy w/rf delivery"					
0150	45172		"	Exc rect tum transanal full"					
0150	45505		"	Repair of rectum"					
0150	45541		"	Correct rectal prolapse"					
0150	45560		"	Repair of rectocele"					
0150	46288		"	Repair anal fistula"					
0150	46707		"	Repair anorectal fist w/plug"					
0150	46750		"	Repair of anal sphincter"					
0150	46760		"	Repair of anal sphincter"					
0150	46761		"	Repair of anal sphincter"					
0150	46762		"	Implant artificial sphincter"					
0150	46947		"	Hemorrhoidopexy by stapling"					
0150	C9735		"	Anoscopy, submucosal inj"					
0151		Endoscopic Retrograde Cholangio-Pancreatography (ERCP)		T	26.1924	"$1,942.85"	.	$388.57
0151	43260		"	Ercp w/specimen collection"					
0151	43261		"	Endo cholangiopancreatograph"					
0151	43262		"	Endo cholangiopancreatograph"					
0151	43263		"	Ercp sphincter pressure meas"					
0151	43264		"	Ercp remove duct calculi"					
0151	43265		"	Ercp lithotripsy calculi"					
0151	43275		"	Ercp remove forgn body duct"					
0151	43277		"	Ercp ea duct/ampulla dilate"					
0151	43278		"	Ercp lesion ablate w/dilate"					
0152		Level I Percutaneous Abdominal and Biliary Procedures		T	24.7009	"$1,832.21"	.	$366.45
0152	47490		"	Incision of gallbladder"					
0152	47510		"	Insert catheter bile duct"					
0152	47552		"	Biliary endo perq dx w/speci"					
0152	47554		"	Biliary endoscopy thru skin"					
0152	47555		"	Biliary endoscopy thru skin"					
0152	47630		"	Remove bile duct stone"					
0152	47999		"	Bile tract surgery procedure"					
0153		Peritoneal and Abdominal Procedures		T	29.6334	"$2,198.09"	.	$439.62
0153	44799		"	Unlisted procedure intestine"					
0153	44950		"	Appendectomy"					
0153	49250		"	Excision of umbilicus"					
0153	49402		"	Remove foreign body adbomen"					
0153	49426		"	Revise abdomen-venous shunt"					
0153	49999		"	Abdomen surgery procedure"					
0153	55920		"	Place needles pelvic for rt"					
0154		Hernia/Hydrocele Procedures		T	36.2323	"$2,687.57"	.	$537.52
0154	49491		"	Rpr hern preemie reduc"					
0154	49492		"	Rpr ing hern premie blocked"					
0154	49495		"	Rpr ing hernia baby reduc"					
0154	49496		"	Rpr ing hernia baby blocked"					
0154	49500		"	Rpr ing hernia init reduce"					
0154	49501		"	Rpr ing hernia init blocked"					
0154	49505		"	Prp i/hern init reduc >5 yr"					
0154	49507		"	Prp i/hern init block >5 yr"					
0154	49520		"	Rerepair ing hernia reduce"					
0154	49521		"	Rerepair ing hernia blocked"					
0154	49525		"	Repair ing hernia sliding"					
0154	49540		"	Repair lumbar hernia"					
0154	49550		"	Rpr rem hernia init reduce"					
0154	49553		"	Rpr fem hernia init blocked"					
0154	49555		"	Rerepair fem hernia reduce"					
0154	49557		"	Rerepair fem hernia blocked"					
0154	49560		"	Rpr ventral hern init reduc"					
0154	49561		"	Rpr ventral hern init block"					
0154	49565		"	Rerepair ventrl hern reduce"					
0154	49566		"	Rerepair ventrl hern block"					
0154	49570		"	Rpr epigastric hern reduce"					
0154	49572		"	Rpr epigastric hern blocked"					
0154	49580		"	Rpr umbil hern reduc < 5 yr"					
0154	49582		"	Rpr umbil hern block < 5 yr"					
0154	49585		"	Rpr umbil hern reduc > 5 yr"					
0154	49587		"	Rpr umbil hern block > 5 yr"					
0154	49590		"	Repair spigelian hernia"					
0154	49600		"	Repair umbilical lesion"					
0154	51500		"	Removal of bladder cyst"					
0154	54530		"	Removal of testis"					
0154	54550		"	Exploration for testis"					
0154	54640		"	Suspension of testis"					
0154	54650		"	Orchiopexy (fowler-stephens)"					
0154	55040		"	Removal of hydrocele"					
0154	55041		"	Removal of hydroceles"					
0154	55535		"	Revise spermatic cord veins"					
0154	55540		"	Revise hernia & sperm veins"					
0155		Level II Anal/Rectal Procedures		T	19.7023	"$1,461.44"	.	$292.29
0155	45005		"	Drainage of rectal abscess"					
0155	45020		"	Drainage of rectal abscess"					
0155	45100		"	Biopsy of rectum"					
0155	45905		"	Dilation of anal sphincter"					
0155	45910		"	Dilation of rectal narrowing"					
0155	45915		"	Remove rectal obstruction"					
0155	45990		"	Surg dx exam anorectal"					
0155	46040		"	Incision of rectal abscess"					
0155	46060		"	Incision of rectal abscess"					
0155	46070		"	Incision of anal septum"					
0155	46080		"	Incision of anal sphincter"					
0155	46220		"	Excise anal ext tag/papilla"					
0155	46230		"	Removal of anal tags"					
0155	46320		"	Removal of hemorrhoid clot"					
0155	46505		"	Chemodenervation anal musc"					
0155	46754		"	Removal of suture from anus"					
0155	46940		"	Treatment of anal fissure"					
0155	49442		"	Place cecostomy tube perc"					
0156		Level III Urinary and Anal Procedures		T	5.2937	$392.67	.	$78.54
0156	51726		"	Complex cystometrogram"					
0156	51727		"	Cystometrogram w/up"					
0156	51728		"	Cystometrogram w/vp"					
0156	51729		"	Cystometrogram w/vp&up"					
0157		Colorectal Cancer Screening: Barium Enema		S	4.5884	$340.35	$0.00	$0.00
0157	G0106		Colon ca screen;barium enema				$0.00	$0.00
0157	G0120		"	Colon ca scrn; barium enema"				$0.00	$0.00
0158		Colorectal Cancer Screening: Colonoscopy		T	8.8599	$657.19	$0.00	$0.00
0158	G0105		"	Colorectal scrn; hi risk ind"				$0.00	$0.00
0158	G0121		"	Colon ca scrn not hi rsk ind"				$0.00	$0.00
0159		Colorectal Cancer Screening: Flexible Sigmoidoscopy		S	6.2935	$466.83	$0.00	$0.00
0159	G0104		Ca screen;flexi sigmoidscope				$0.00	$0.00
0160		Level I Cystourethroscopy and other Genitourinary Procedures		T	7.4504	$552.64	.	$110.53
0160	50386		"	Remove stent via transureth"					
0160	50389		"	Remove renal tube w/fluoro"					
0160	50551		"	Kidney endoscopy"					
0160	50555		"	Kidney endoscopy & biopsy"					
0160	50562		"	Renal scope w/tumor resect"					
0160	50570		"	Kidney endoscopy"					
0160	50572		"	Kidney endoscopy"					
0160	50574		"	Kidney endoscopy & biopsy"					
0160	50951		"	Endoscopy of ureter"					
0160	50953		"	Endoscopy of ureter"					
0160	50970		"	Ureter endoscopy"					
0160	50972		"	Ureter endoscopy & catheter"					
0160	51045		"	Incise bladder/drain ureter"					
0160	52000		"	Cystoscopy"					
0160	52010		"	Cystoscopy & duct catheter"					
0160	52265		"	Cystoscopy and treatment"					
0160	53620		"	Dilate urethra stricture"					
0160	53855		"	Insert prost urethral stent"					
0161		Level II Cystourethroscopy and other Genitourinary Procedures		T	16.6501	"$1,235.04"	.	$247.01
0161	50384		"	Remove ureter stent percut"					
0161	50392		"	Insert kidney drain"					
0161	50576		"	Kidney endoscopy & treatment"					
0161	50580		"	Kidney endoscopy & treatment"					
0161	50974		"	Ureter endoscopy & biopsy"					
0161	50976		"	Ureter endoscopy & treatment"					
0161	52001		"	Cystoscopy removal of clots"					
0161	52260		"	Cystoscopy and treatment"					
0161	52270		"	Cystoscopy & revise urethra"					
0161	52281		"	Cystoscopy and treatment"					
0161	52285		"	Cystoscopy and treatment"					
0161	52287		"	Cystoscopy chemodenervation"					
0161	52310		"	Cystoscopy and treatment"					
0161	53605		"	Dilate urethra stricture"					
0161	53850		"	Prostatic microwave thermotx"					
0161	74475		"	X-ray control cath insert"					
0161	74480		"	X-ray control cath insert"					
0161	74485		"	X-ray guide gu dilation"					
0162		Level III Cystourethroscopy and other Genitourinary Procedures		T	28.1882	"$2,090.89"	.	$418.18
0162	50020		"	Renal abscess open drain"					
0162	50382		"	Change ureter stent percut"					
0162	50385		"	Change stent via transureth"					
0162	50393		"	Insert ureteral tube"					
0162	50395		"	Create passage to kidney"					
0162	50553		"	Kidney endoscopy"					
0162	50557		"	Kidney endoscopy & treatment"					
0162	50561		"	Kidney endoscopy & treatment"					
0162	50955		"	Ureter endoscopy & biopsy"					
0162	50957		"	Ureter endoscopy & treatment"					
0162	50961		"	Ureter endoscopy & treatment"					
0162	50980		"	Ureter endoscopy & treatment"					
0162	51020		"	Incise & treat bladder"					
0162	51030		"	Incise & treat bladder"					
0162	51040		"	Incise & drain bladder"					
0162	51050		"	Removal of bladder stone"					
0162	51065		"	Remove ureter calculus"					
0162	51520		"	Removal of bladder lesion"					
0162	51535		"	Repair of ureter lesion"					
0162	51860		"	Repair of bladder wound"					
0162	51880		"	Repair of bladder opening"					
0162	52005		"	Cystoscopy & ureter catheter"					
0162	52007		"	Cystoscopy and biopsy"					
0162	52204		"	Cystoscopy w/biopsy(s)"					
0162	52214		"	Cystoscopy and treatment"					
0162	52224		"	Cystoscopy and treatment"					
0162	52234		"	Cystoscopy and treatment"					
0162	52235		"	Cystoscopy and treatment"					
0162	52240		"	Cystoscopy and treatment"					
0162	52250		"	Cystoscopy and radiotracer"					
0162	52275		"	Cystoscopy & revise urethra"					
0162	52276		"	Cystoscopy and treatment"					
0162	52277		"	Cystoscopy and treatment"					
0162	52282		"	Cystoscopy implant stent"					
0162	52283		"	Cystoscopy and treatment"					
0162	52290		"	Cystoscopy and treatment"					
0162	52300		"	Cystoscopy and treatment"					
0162	52301		"	Cystoscopy and treatment"					
0162	52305		"	Cystoscopy and treatment"					
0162	52315		"	Cystoscopy and treatment"					
0162	52317		"	Remove bladder stone"					
0162	52318		"	Remove bladder stone"					
0162	52320		"	Cystoscopy and treatment"					
0162	52325		"	Cystoscopy stone removal"					
0162	52330		"	Cystoscopy and treatment"					
0162	52332		"	Cystoscopy and treatment"					
0162	52334		"	Create passage to kidney"					
0162	52341		"	Cysto w/ureter stricture tx"					
0162	52342		"	Cysto w/up stricture tx"					
0162	52343		"	Cysto w/renal stricture tx"					
0162	52344		"	Cysto/uretero stricture tx"					
0162	52345		"	Cysto/uretero w/up stricture"					
0162	52346		"	Cystouretero w/renal strict"					
0162	52351		"	Cystouretero & or pyeloscope"					
0162	52352		"	Cystouretero w/stone remove"					
0162	52354		"	Cystouretero w/biopsy"					
0162	52355		"	Cystouretero w/excise tumor"					
0162	52400		"	Cystouretero w/congen repr"					
0162	52402		"	Cystourethro cut ejacul duct"					
0162	52450		"	Incision of prostate"					
0162	52500		"	Revision of bladder neck"					
0162	52640		"	Relieve bladder contracture"					
0162	52700		"	Drainage of prostate abscess"					
0162	55720		"	Drainage of prostate abscess"					
0162	55725		"	Drainage of prostate abscess"					
0162	55875		"	Transperi needle place pros"					
0162	C9739		Cystoscopy prostatic imp 1-3					
0163		Level IV Cystourethroscopy and other Genitourinary Procedures		T	42.0293	"$3,117.57"	.	$623.52
0163	50080		"	Removal of kidney stone"					
0163	50081		"	Removal of kidney stone"					
0163	50575		"	Kidney endoscopy"					
0163	50590		"	Fragmenting of kidney stone"					
0163	51060		"	Removal of ureter stone"					
0163	52327		"	Cystoscopy inject material"					
0163	52353		"	Cystouretero w/lithotripsy"					
0163	52356		"	Cysto/uretero w/lithotripsy"					
0163	52601		"	Prostatectomy (turp)"					
0163	52630		"	Remove prostate regrowth"					
0163	52647		"	Laser surgery of prostate"					
0163	52648		"	Laser surgery of prostate"					
0163	52649		"	Prostate laser enucleation"					
0163	53852		"	Prostatic rf thermotx"					
0164		Level II Urinary and Anal Procedures		T	2.9112	$215.94	.	$43.19
0164	46083		"	Incise external hemorrhoid"					
0164	50391		"	Instll rx agnt into rnal tub"					
0164	50396		"	Measure kidney pressure"					
0164	51100		"	Drain bladder by needle"					
0164	51700		"	Irrigation of bladder"					
0164	51705		"	Change of bladder tube"					
0164	51720		"	Treatment of bladder lesion"					
0164	51725		"	Simple cystometrogram"					
0164	51785		"	Anal/urinary muscle study"					
0164	53600		"	Dilate urethra stricture"					
0164	53621		"	Dilate urethra stricture"					
0164	54200		"	Treatment of penis lesion"					
0164	54220		"	Treatment of penis lesion"					
0164	54235		"	Penile injection"					
0164	54250		"	Penis study"					
0164	54450		"	Preputial stretching"					
0164	91117		"	Colon motility 6 hr study"					
0164	91122		"	Anal pressure record"					
0165		Level IV Urinary and Anal Procedures		T	18.6102	"$1,380.43"	.	$276.09
0165	50727		"	Revise ureter"					
0165	51102		"	Drain bl w/cath insertion"					
0165	53860		"	Transurethral rf treatment"					
0165	54231		"	Dynamic cavernosometry"					
0165	55860		"	Surgical exposure prostate"					
0166		Level I Urethral Procedures		T	21.7632	"$1,614.31"	.	$322.87
0166	53000		"	Incision of urethra"					
0166	53010		"	Incision of urethra"					
0166	53020		"	Incision of urethra"					
0166	53025		"	Incision of urethra"					
0166	53040		"	Drainage of urethra abscess"					
0166	53060		"	Drainage of urethra abscess"					
0166	53080		"	Drainage of urinary leakage"					
0166	53085		"	Drainage of urinary leakage"					
0166	53200		"	Biopsy of urethra"					
0166	53215		"	Removal of urethra"					
0166	53235		"	Removal of urethra lesion"					
0166	53250		"	Removal of urethra gland"					
0166	53260		"	Treatment of urethra lesion"					
0166	53265		"	Treatment of urethra lesion"					
0166	53270		"	Removal of urethra gland"					
0166	53275		"	Repair of urethra defect"					
0166	53460		"	Revision of urethra"					
0166	53502		"	Repair of urethra injury"					
0166	53510		"	Repair of urethra injury"					
0166	53665		"	Dilation of urethra"					
0166	54000		"	Slitting of prepuce"					
0166	54001		"	Slitting of prepuce"					
0168		Level II Urethral Procedures		T	34.1532	"$2,533.35"	.	$506.67
0168	51715		"	Endoscopic injection/implant"					
0168	53210		"	Removal of urethra"					
0168	53220		"	Treatment of urethra lesion"					
0168	53230		"	Removal of urethra lesion"					
0168	53240		"	Surgery for urethra pouch"					
0168	53400		"	Revise urethra stage 1"					
0168	53405		"	Revise urethra stage 2"					
0168	53410		"	Reconstruction of urethra"					
0168	53420		"	Reconstruct urethra stage 1"					
0168	53425		"	Reconstruct urethra stage 2"					
0168	53430		"	Reconstruction of urethra"					
0168	53431		"	Reconstruct urethra/bladder"					
0168	53442		"	Remove/revise male sling"					
0168	53446		"	Remove uro sphincter"					
0168	53449		"	Repair uro sphincter"					
0168	53450		"	Revision of urethra"					
0168	53500		"	Urethrlys transvag w/ scope"					
0168	53505		"	Repair of urethra injury"					
0168	53515		"	Repair of urethra injury"					
0168	53520		"	Repair of urethra defect"					
0170		Dialysis		S	8.2911	$615.00	.	$123.00
0170	90935		"	Hemodialysis one evaluation"					
0170	G0257		Unsched dialysis esrd pt hos					
0174		Level IV Laparoscopy		T	106.4310	"$7,894.63"	"$1,756.17"	"$1,578.93"
0174	0336T		"	Lap ablat uterine fibroids"					
0174	47370		"	Laparo ablate liver tumor rf"					
0174	47371		"	Laparo ablate liver cryosurg"					
0174	50542		"	Laparo ablate renal mass"					
0174	C9737		"	Lap esoph augmentation"					
0177		Level I Echocardiogram with Contrast		S	6.4184	$476.09	$123.07	$95.22
0177	C8922		"Tte w or w/o fol w/cont, f/u"					
0177	C8923		"2d tte w or w/o fol w/con,co"					
0177	C8924		"2d tte w or w/o fol w/con,fu"					
0177	C8927		"Tee w or w/o fol w/cont, mon"					
0178		Level II Echocardiogram with Contrast		S	9.2783	$688.23	$172.48	$137.65
0178	C8921		"Tte w or w/o fol w/cont, com"					
0178	C8925		"2d tee w or w/o fol w/con,in"					
0178	C8926		"Tee w or w/o fol w/cont,cong"					
0178	C8928		"Tte w or w/o fol w/con,stres"					
0178	C8929		"Tte w or wo fol wcon,doppler"					
0178	C8930		"Tte w or w/o contr, cont ecg"					
0181		Level II Male Genital Procedures		T	30.2622	"$2,244.73"	.	$448.95
0181	37790		"	Penile venous occlusion"					
0181	54120		"	Partial removal of penis"					
0181	54205		"	Treatment of penis lesion"					
0181	54312		"	Reconstruction of urethra"					
0181	54316		"	Reconstruction of urethra"					
0181	54318		"	Reconstruction of urethra"					
0181	54322		"	Reconstruction of urethra"					
0181	54326		"	Reconstruction of urethra"					
0181	54332		"	Revise penis/urethra"					
0181	54336		"	Revise penis/urethra"					
0181	54340		"	Secondary urethral surgery"					
0181	54344		"	Secondary urethral surgery"					
0181	54348		"	Secondary urethral surgery"					
0181	54380		"	Repair penis"					
0181	54385		"	Repair penis"					
0181	54406		"	Remove muti-comp penis pros"					
0181	54415		"	Remove self-contd penis pros"					
0181	54420		"	Revision of penis"					
0181	54435		"	Revision of penis"					
0181	54440		"	Repair of penis"					
0181	54520		"	Removal of testis"					
0181	54535		"	Extensive testis surgery"					
0181	55500		"	Removal of hydrocele"					
0183		Level I Male Genital Procedures		T	24.6127	"$1,825.67"	.	$365.14
0183	54150		"	Circumcision w/regionl block"					
0183	54160		"	Circumcision neonate"					
0183	54161		"	Circum 28 days or older"					
0183	54162		"	Lysis penil circumic lesion"					
0183	54163		"	Repair of circumcision"					
0183	54164		"	Frenulotomy of penis"					
0183	54505		"	Biopsy of testis"					
0183	54512		"	Excise lesion testis"					
0183	54522		"	Orchiectomy partial"					
0183	54560		"	Exploration for testis"					
0183	54600		"	Reduce testis torsion"					
0183	54620		"	Suspension of testis"					
0183	54660		"	Revision of testis"					
0183	54670		"	Repair testis injury"					
0183	54680		"	Relocation of testis(es)"					
0183	54700		"	Drainage of scrotum"					
0183	54830		"	Remove epididymis lesion"					
0183	54840		"	Remove epididymis lesion"					
0183	54860		"	Removal of epididymis"					
0183	54861		"	Removal of epididymis"					
0183	54865		"	Explore epididymis"					
0183	54900		"	Fusion of spermatic ducts"					
0183	54901		"	Fusion of spermatic ducts"					
0183	55060		"	Repair of hydrocele"					
0183	55110		"	Explore scrotum"					
0183	55120		"	Removal of scrotum lesion"					
0183	55150		"	Removal of scrotum"					
0183	55180		"	Revision of scrotum"					
0183	55200		"	Incision of sperm duct"					
0183	55250		"	Removal of sperm duct(s)"					
0183	55400		"	Repair of sperm duct"					
0183	55450		"	Ligation of sperm duct"					
0183	55520		"	Removal of sperm cord lesion"					
0183	55530		"	Revise spermatic cord veins"					
0183	55600		"	Incise sperm duct pouch"					
0183	55680		"	Remove sperm pouch lesion"					
0184		Prostate Biopsy		T	19.9655	"$1,480.96"	.	$296.20
0184	55700		"	Biopsy of prostate"					
0184	55705		"	Biopsy of prostate"					
0184	55706		"	Prostate saturation sampling"					
0188		Level I Female Reproductive Procedures		T	1.7589	$130.47	.	$26.10
0188	56420		"	Drainage of gland abscess"					
0188	56820		"	Exam of vulva w/scope"					
0188	57150		"	Treat vagina infection"					
0188	57160		"	Insert pessary/other device"					
0188	57170		"	Fitting of diaphragm/cap"					
0188	57180		"	Treat vaginal bleeding"					
0188	57452		"	Exam of cervix w/scope"					
0188	58322		"	Artificial insemination"					
0188	58323		"	Sperm washing"					
0188	58999		"	Genital surgery procedure"					
0188	59020		"	Fetal contract stress test"					
0188	59025		"	Fetal non-stress test"					
0188	59897		"	Fetal invas px w/us"					
0188	59899		"	Maternity care procedure"					
0188	99170		"	Anogenital exam child w imag"					
0189		Level II Female Reproductive Procedures		T	3.0707	$227.77	.	$45.56
0189	56405		"	I & d of vulva/perineum"					
0189	56821		"	Exam/biopsy of vulva w/scope"					
0189	57156		"	Ins vag brachytx device"					
0189	57420		"	Exam of vagina w/scope"					
0189	57454		"	Bx/curett of cervix w/scope"					
0189	57455		"	Biopsy of cervix w/scope"					
0189	57456		"	Endocerv curettage w/scope"					
0189	57511		"	Cryocautery of cervix"					
0189	58100		"	Biopsy of uterus lining"					
0189	58301		"	Remove intrauterine device"					
0189	58321		"	Artificial insemination"					
0189	58976		"	Transfer of embryo"					
0189	59001		"	Amniocentesis therapeutic"					
0189	59012		"	Fetal cord puncture prenatal"					
0189	59030		"	Fetal scalp blood sample"					
0189	59072		"	Umbilical cord occlud w/us"					
0189	59074		"	Fetal fluid drainage w/us"					
0189	59076		"	Fetal shunt placement w/us"					
0189	59200		"	Insert cervical dilator"					
0189	59866		"	Abortion (mpr)"					
0190		Hysteroscopy		T	27.1564	"$2,014.35"	$424.28	$402.87
0190	58555		"	Hysteroscopy dx sep proc"					
0190	58558		"	Hysteroscopy biopsy"					
0190	58559		"	Hysteroscopy lysis"					
0190	58560		"	Hysteroscopy resect septum"					
0190	58561		"	Hysteroscopy remove myoma"					
0190	58562		"	Hysteroscopy remove fb"					
0190	58563		"	Hysteroscopy ablation"					
0190	58579		"	Hysteroscope procedure"					
0192		Level III Female Reproductive Procedures		T	6.7511	$500.77	.	$100.16
0192	55870		"	Electroejaculation"					
0192	56605		"	Biopsy of vulva/perineum"					
0192	57100		"	Biopsy of vagina"					
0192	57155		"	Insert uteri tandem/ovoids"					
0192	57421		"	Exam/biopsy of vag w/scope"					
0192	57500		"	Biopsy of cervix"					
0192	57505		"	Endocervical curettage"					
0192	58970		"	Retrieval of oocyte"					
0192	58974		"	Transfer of embryo"					
0192	59000		"	Amniocentesis diagnostic"					
0192	59015		"	Chorion biopsy"					
0192	59070		"	Transabdom amnioinfus w/us"					
0193		Level IV Female Reproductive Procedures		T	23.3152	"$1,729.43"	.	$345.89
0193	56440		"	Surgery for vulva lesion"					
0193	56441		"	Lysis of labial lesion(s)"					
0193	56442		"	Hymenotomy"					
0193	56620		"	Partial removal of vulva"					
0193	56625		"	Complete removal of vulva"					
0193	56700		"	Partial removal of hymen"					
0193	56740		"	Remove vagina gland lesion"					
0193	56800		"	Repair of vagina"					
0193	56805		"	Repair clitoris"					
0193	56810		"	Repair of perineum"					
0193	57000		"	Exploration of vagina"					
0193	57010		"	Drainage of pelvic abscess"					
0193	57020		"	Drainage of pelvic fluid"					
0193	57061		"	Destroy vag lesions simple"					
0193	57065		"	Destroy vag lesions complex"					
0193	57105		"	Biopsy of vagina"					
0193	57106		"	Remove vagina wall partial"					
0193	57107		"	Remove vagina tissue part"					
0193	57109		"	Vaginectomy partial w/nodes"					
0193	57130		"	Remove vagina lesion"					
0193	57135		"	Remove vagina lesion"					
0193	57200		"	Repair of vagina"					
0193	57210		"	Repair vagina/perineum"					
0193	57230		"	Repair of urethral lesion"					
0193	57268		"	Repair of bowel bulge"					
0193	57287		"	Revise/remove sling repair"					
0193	57291		"	Construction of vagina"					
0193	57295		"	Revise vag graft via vagina"					
0193	57300		"	Repair rectum-vagina fistula"					
0193	57335		"	Repair vagina"					
0193	57400		"	Dilation of vagina"					
0193	57410		"	Pelvic examination"					
0193	57415		"	Remove vaginal foreign body"					
0193	57460		"	Bx of cervix w/scope leep"					
0193	57461		"	Conz of cervix w/scope leep"					
0193	57510		"	Cauterization of cervix"					
0193	57513		"	Laser surgery of cervix"					
0193	57520		"	Conization of cervix"					
0193	57522		"	Conization of cervix"					
0193	57530		"	Removal of cervix"					
0193	57550		"	Removal of residual cervix"					
0193	57558		"	D&c of cervical stump"					
0193	57700		"	Revision of cervix"					
0193	57720		"	Revision of cervix"					
0193	57800		"	Dilation of cervical canal"					
0193	58120		"	Dilation and curettage"					
0193	58145		"	Myomectomy vag method"					
0193	58345		"	Reopen fallopian tube"					
0193	58346		"	Insert heyman uteri capsule"					
0193	58600		"	Division of fallopian tube"					
0193	58615		"	Occlude fallopian tube(s)"					
0193	58770		"	Create new tubal opening"					
0193	58800		"	Drainage of ovarian cyst(s)"					
0193	58805		"	Drainage of ovarian cyst(s)"					
0193	58820		"	Drain ovary abscess open"					
0193	58900		"	Biopsy of ovary(s)"					
0193	59100		"	Remove uterus lesion"					
0193	59160		"	D & c after delivery"					
0193	59300		"	Episiotomy or vaginal repair"					
0193	59320		"	Revision of cervix"					
0193	59409		"	Obstetrical care"					
0193	59412		"	Antepartum manipulation"					
0193	59414		"	Deliver placenta"					
0193	59612		"	Vbac delivery only"					
0193	59812		"	Treatment of miscarriage"					
0193	59820		"	Care of miscarriage"					
0193	59821		"	Treatment of miscarriage"					
0193	59840		"	Abortion"					
0193	59841		"	Abortion"					
0193	59870		"	Evacuate mole of uterus"					
0193	59871		"	Remove cerclage suture"					
0202		Level V Female Reproductive Procedures		J1	58.8580	"$4,365.85"	$981.50	$873.17
0202	51845		"	Repair bladder neck"					
0202	57120		"	Closure of vagina"					
0202	57220		"	Revision of urethra"					
0202	57240		"	Repair bladder & vagina"					
0202	57250		"	Repair rectum & vagina"					
0202	57260		"	Repair of vagina"					
0202	57265		"	Extensive repair of vagina"					
0202	57282		"	Colpopexy extraperitoneal"					
0202	57283		"	Colpopexy intraperitoneal"					
0202	57284		"	Repair paravag defect open"					
0202	57285		"	Repair paravag defect vag"					
0202	57288		"	Repair bladder defect"					
0202	57289		"	Repair bladder & vagina"					
0202	57292		"	Construct vagina with graft"					
0202	57310		"	Repair urethrovaginal lesion"					
0202	57320		"	Repair bladder-vagina lesion"					
0202	57330		"	Repair bladder-vagina lesion"					
0202	57426		"	Revise prosth vag graft lap"					
0202	57555		"	Remove cervix/repair vagina"					
0202	57556		"	Remove cervix repair bowel"					
0202	58260		"	Vaginal hysterectomy"					
0202	58262		"	Vag hyst including t/o"					
0202	58263		"	Vag hyst w/t/o & vag repair"					
0202	58270		"	Vag hyst w/enterocele repair"					
0202	58290		"	Vag hyst complex"					
0202	58291		"	Vag hyst incl t/o complex"					
0202	58292		"	Vag hyst t/o & repair compl"					
0202	58294		"	Vag hyst w/enterocele compl"					
0202	58350		"	Reopen fallopian tube"					
0202	58353		"	Endometr ablate thermal"					
0202	58356		"	Endometrial cryoablation"					
0202	58565		"	Hysteroscopy sterilization"					
0202	58920		"	Partial removal of ovary(s)"					
0202	58925		"	Removal of ovarian cyst(s)"					
0203		Level IV Nerve Injections		T	20.5390	"$1,523.50"	.	$304.70
0203	61050		"	Remove brain canal fluid"					
0203	61791		"	Treat trigeminal tract"					
0203	62194		"	Replace/irrigate catheter"					
0203	62263		"	Epidural lysis mult sessions"					
0203	62281		"	Treat spinal cord lesion"					
0203	62282		"	Treat spinal canal lesion"					
0203	62292		"	Injection into disk lesion"					
0203	62355		"	Remove spinal canal catheter"					
0203	63746		"	Removal of spinal shunt"					
0203	64448		"	N block inj fem cont inf"					
0203	64600		"	Injection treatment of nerve"					
0203	64620		"	Injection treatment of nerve"					
0203	64633		"	Destroy cerv/thor facet jnt"					
0203	64635		"	Destroy lumb/sac facet jnt"					
0203	64680		"	Injection treatment of nerve"					
0204		Level I Nerve Injections		T	2.9367	$217.83	.	$43.57
0204	20526		"	Ther injection carp tunnel"					
0204	20527		"	Inj dupuytren cord w/enzyme"					
0204	20550		"	Inj tendon sheath/ligament"					
0204	20551		"	Inj tendon origin/insertion"					
0204	20552		"	Inj trigger point 1/2 muscl"					
0204	20553		"	Inject trigger points 3/>"					
0204	20600		"	Drain/inject joint/bursa"					
0204	20605		"	Drain/inject joint/bursa"					
0204	20610		"	Drain/inject joint/bursa"					
0204	20612		"	Aspirate/inj ganglion cyst"					
0204	64400		"	N block inj trigeminal"					
0204	64408		"	N block inj vagus"					
0204	64410		"	N block inj phrenic"					
0204	64455		"	N block inj plantar digit"					
0204	64505		"	N block spenopalatine gangl"					
0204	64508		"	N block carotid sinus s/p"					
0204	64566		"	Neuroeltrd stim post tibial"					
0204	64611		"	Chemodenerv saliv glands"					
0204	64612		"	Destroy nerve face muscle"					
0204	64615		"	Chemodenerv musc migraine"					
0204	64616		"	Chemodenerv musc neck dyston"					
0204	64632		"	N block inj common digit"					
0204	64650		"	Chemodenerv eccrine glands"					
0204	64653		"	Chemodenerv eccrine glands"					
0204	64999		"	Nervous system surgery"					
0205		Level III Male Genital Procedures		T	45.5892	"$3,381.62"	.	$676.33
0205	54110		"	Treatment of penis lesion"					
0205	54111		"	Treat penis lesion graft"					
0205	54112		"	Treat penis lesion graft"					
0205	54300		"	Revision of penis"					
0205	54304		"	Revision of penis"					
0205	54308		"	Reconstruction of urethra"					
0205	54324		"	Reconstruction of urethra"					
0205	54328		"	Revise penis/urethra"					
0205	54352		"	Reconstruct urethra/penis"					
0205	54360		"	Penis plastic surgery"					
0205	54408		"	Repair multi-comp penis pros"					
0205	55175		"	Revision of scrotum"					
0206		Level II Nerve Injections		T	5.0610	$375.40	.	$75.08
0206	62270		"	Spinal fluid tap diagnostic"					
0206	62272		"	Drain cerebro spinal fluid"					
0206	64405		"	N block inj occipital"					
0206	64412		"	N block inj spinal accessor"					
0206	64413		"	N block inj cervical plexus"					
0206	64415		"	N block inj brachial plexus"					
0206	64417		"	N block inj axillary"					
0206	64418		"	N block inj suprascapular"					
0206	64420		"	N block inj intercost sng"					
0206	64425		"	N block inj ilio-ing/hypogi"					
0206	64435		"	N block inj paracervical"					
0206	64447		"	N block inj fem single"					
0206	64450		"	N block other peripheral"					
0206	64617		"	Chemodener muscle larynx emg"					
0206	64642		"	Chemodenerv 1 extremity 1-4"					
0206	64644		"	Chemodenerv 1 extrem 5/> mus"					
0206	64646		"	Chemodenerv trunk musc 1-5"					
0206	64647		"	Chemodenerv trunk musc 6/>"					
0207		Level III Nerve Injections		T	9.2110	$683.24	.	$136.65
0207	0213T		"	Njx paravert w/us cer/thor"					
0207	0216T		"	Njx paravert w/us lumb/sac"					
0207	0228T		"	Njx tfrml eprl w/us cer/thor"					
0207	0230T		"	Njx tfrml eprl w/us lumb/sac"					
0207	61000		"	Remove cranial cavity fluid"					
0207	61001		"	Remove cranial cavity fluid"					
0207	61020		"	Remove brain cavity fluid"					
0207	61026		"	Injection into brain canal"					
0207	61055		"	Injection into brain canal"					
0207	62264		"	Epidural lysis on single day"					
0207	62268		"	Drain spinal cord cyst"					
0207	62273		"	Inject epidural patch"					
0207	62280		"	Treat spinal cord lesion"					
0207	62294		"	Injection into spinal artery"					
0207	62310		"	Inject spine cerv/thoracic"					
0207	62311		"	Inject spine lumbar/sacral"					
0207	62318		"	Inject spine w/cath crv/thrc"					
0207	62319		"	Inject spine w/cath lmb/scrl"					
0207	64416		"	N block cont infuse b plex"					
0207	64421		"	N block inj intercost mlt"					
0207	64430		"	N block inj pudendal"					
0207	64445		"	N block inj sciatic sng"					
0207	64446		"	N blk inj sciatic cont inf"					
0207	64449		"	N block inj lumbar plexus"					
0207	64479		"	Inj foramen epidural c/t"					
0207	64483		"	Inj foramen epidural l/s"					
0207	64490		"	Inj paravert f jnt c/t 1 lev"					
0207	64493		"	Inj paravert f jnt l/s 1 lev"					
0207	64510		"	N block stellate ganglion"					
0207	64517		"	N block inj hypogas plxs"					
0207	64520		"	N block lumbar/thoracic"					
0207	64530		"	N block inj celiac pelus"					
0207	64630		"	Injection treatment of nerve"					
0207	64640		"	Injection treatment of nerve"					
0207	64681		"	Injection treatment of nerve"					
0207	G0260		"	Inj for sacroiliac jt anesth"					
0208		Laminotomies and Laminectomies		T	56.1878	"$4,167.79"	.	$833.56
0208	0274T		"	Perq lamot/lam crv/thrc"					
0208	0275T		"	Perq lamot/lam lumbar"					
0208	22100		"	Remove part of neck vertebra"					
0208	22101		"	Remove part thorax vertebra"					
0208	22102		"	Remove part lumbar vertebra"					
0208	22551		"	Neck spine fuse&remov bel c2"					
0208	22554		"	Neck spine fusion"					
0208	22612		"	Lumbar spine fusion"					
0208	22856		"	Cerv artific diskectomy"					
0208	62351		"	Implant spinal canal cath"					
0208	63001		"	Remove spine lamina 1/2 crvl"					
0208	63003		"	Remove spine lamina 1/2 thrc"					
0208	63005		"	Remove spine lamina 1/2 lmbr"					
0208	63011		"	Remove spine lamina 1/2 scrl"					
0208	63012		"	Remove lamina/facets lumbar"					
0208	63015		"	Remove spine lamina >2 crvcl"					
0208	63016		"	Remove spine lamina >2 thrc"					
0208	63017		"	Remove spine lamina >2 lmbr"					
0208	63020		"	Neck spine disk surgery"					
0208	63030		"	Low back disk surgery"					
0208	63040		"	Laminotomy single cervical"					
0208	63042		"	Laminotomy single lumbar"					
0208	63045		"	Remove spine lamina 1 crvl"					
0208	63046		"	Remove spine lamina 1 thrc"					
0208	63047		"	Remove spine lamina 1 lmbr"					
0208	63055		"	Decompress spinal cord thrc"					
0208	63056		"	Decompress spinal cord lmbr"					
0208	63064		"	Decompress spinal cord thrc"					
0208	63075		"	Neck spine disk surgery"					
0209		"Level II Extended EEG, Sleep, and Cardiovascular Studies"		S	3.2269	$239.36	$70.62	$47.88
0209	95807		"	Sleep study attended"					
0209	95812		"	Eeg 41-60 minutes"					
0209	95813		"	Eeg over 1 hour"					
0209	95822		"	Eeg coma or sleep only"					
0209	95827		"	Eeg all night recording"					
0209	95956		"	Eeg monitor technol attended"					
0209	G0302		Pre-op service lvrs complete					
0209	G0303		Pre-op service lvrs 10-15dos					
0213		"Level I Extended EEG, Sleep, and Cardiovascular Studies"		S	2.3648	$175.41	$51.75	$35.09
0213	93229		"	Remote 30 day ecg tech supp"					
0213	95800		"	Slp stdy unattended"					
0213	95801		"	Slp stdy unatnd w/anal"					
0213	95806		"	Sleep study unatt&resp efft"					
0213	95816		"	Eeg awake and drowsy"					
0213	95819		"	Eeg awake and asleep"					
0213	G0304		Pre-op service lvrs 1-9 dos					
0213	G0305		Post op service lvrs min 6					
0213	G0398		Home sleep test/type 2 porta					
0213	G0399		Home sleep test/type 3 porta					
0213	G0400		Home sleep test/type 4 porta					
0215		Level I Nerve and Muscle Services		S	1.3473	$99.94	.	$19.99
0215	0199T		"	Physiologic tremor record"					
0215	0278T		"	Tempr"					
0215	95860		"	Muscle test one limb"					
0215	95865		"	Muscle test larynx"					
0215	95866		"	Muscle test hemidiaphragm"					
0215	95869		"	Muscle test thor paraspinal"					
0215	95905		"	Motor &/ sens nrve cndj test"					
0215	95921		"	Autonomic nrv parasym inervj"					
0215	95922		"	Autonomic nrv adrenrg inervj"					
0215	95923		"	Autonomic nrv syst funj test"					
0215	95929		"	C motor evoked lwr limbs"					
0215	95933		"	Blink reflex test"					
0215	95970		"	Analyze neurostim no prog"					
0215	95981		"	Io anal gast n-stim subsq"					
0215	95999		"	Neurological procedure"					
0215	96003		"	Dynamic fine wire emg"					
0216		Level III Nerve and Muscle Services		S	3.7156	$275.61	.	$55.13
0216	0285T		"	Periph field stimul analys"					
0216	92585		"	Auditor evoke potent compre"					
0216	95824		"	Eeg cerebral death only"					
0216	95909		"	Nrv cndj tst 5-6 studies"					
0216	95910		"	Nrv cndj test 7-8 studies"					
0216	95911		"	Nrv cndj test 9-10 studies"					
0216	95912		"	Nrv cndj test 11-12 studies"					
0216	95913		"	Nrv cndj test 13/> studies"					
0216	95928		"	C motor evoked uppr limbs"					
0216	95938		"	Somatosensory testing"					
0216	95961		"	Electrode stimulation brain"					
0216	96000		"	Motion analysis video/3d"					
0216	96001		"	Motion test w/ft press meas"					
0218		Level II Nerve and Muscle Services		S	2.1560	$159.92	.	$31.99
0218	0272T		"	Interrogate crtd sns dev"					
0218	0273T		"	Interrogate crtd sns w/pgrmg"					
0218	0310T		"	Motor function mapping ntms"					
0218	90867		"	Tcranial magn stim tx plan"					
0218	90868		"	Tcranial magn stim tx deli"					
0218	90869		"	Tcran magn stim redetemine"					
0218	92584		"	Electrocochleography"					
0218	92586		"	Auditor evoke potent limit"					
0218	95857		"	Cholinesterase challenge"					
0218	95861		"	Muscle test 2 limbs"					
0218	95863		"	Muscle test 3 limbs"					
0218	95864		"	Muscle test 4 limbs"					
0218	95867		"	Muscle test cran nerv unilat"					
0218	95868		"	Muscle test cran nerve bilat"					
0218	95872		"	Muscle test one fiber"					
0218	95875		"	Limb exercise test"					
0218	95907		"	Nvr cndj tst 1-2 studies"					
0218	95908		"	Nrv cndj tst 3-4 studies"					
0218	95924		"	Ans parasymp & symp w/tilt"					
0218	95925		"	Somatosensory testing"					
0218	95926		"	Somatosensory testing"					
0218	95927		"	Somatosensory testing"					
0218	95930		"	Visual evoked potential test"					
0218	95937		"	Neuromuscular junction test"					
0218	95939		"	C motor evoked upr&lwr limbs"					
0218	95943		"	Parasymp&symp hrt rate test"					
0218	95954		"	Eeg monitoring/giving drugs"					
0218	96002		"	Dynamic surface emg"					
0219		Vascular Ligation		T	29.1153	"$2,159.66"	.	$431.94
0219	30915		"	Ligation nasal sinus artery"					
0219	30920		"	Ligation upper jaw artery"					
0219	36475		"	Endovenous rf 1st vein"					
0219	36478		"	Endovenous laser 1st vein"					
0219	37500		"	Endoscopy ligate perf veins"					
0219	37501		"	Vascular endoscopy procedure"					
0219	37605		"	Ligation of neck artery"					
0219	37606		"	Ligation of neck artery"					
0219	37607		"	Ligation of a-v fistula"					
0219	37615		"	Ligation of neck artery"					
0219	37619		"	Ligation of inf vena cava"					
0219	37650		"	Revision of major vein"					
0219	37700		"	Revise leg vein"					
0219	37718		"	Ligate/strip short leg vein"					
0219	37722		"	Ligate/strip long leg vein"					
0219	37735		"	Removal of leg veins/lesion"					
0219	37760		"	Ligate leg veins radical"					
0219	37761		"	Ligate leg veins open"					
0219	37765		"	Stab phleb veins xtr 10-20"					
0219	37766		"	Phleb veins - extrem 20+"					
0219	37780		"	Revision of leg vein"					
0219	37785		"	Ligate/divide/excise vein"					
0220		Level I Nerve Procedures		T	18.8413	"$1,397.57"	.	$279.52
0220	27325		"	Neurectomy hamstring"					
0220	27326		"	Neurectomy popliteal"					
0220	28035		"	Decompression of tibia nerve"					
0220	28055		"	Neurectomy foot"					
0220	61790		"	Treat trigeminal nerve"					
0220	63600		"	Remove spinal cord lesion"					
0220	63610		"	Stimulation of spinal cord"					
0220	63615		"	Remove lesion of spinal cord"					
0220	63661		"	Remove spine eltrd perq aray"					
0220	64605		"	Injection treatment of nerve"					
0220	64610		"	Injection treatment of nerve"					
0220	64702		"	Revise finger/toe nerve"					
0220	64704		"	Revise hand/foot nerve"					
0220	64708		"	Revise arm/leg nerve"					
0220	64712		"	Revision of sciatic nerve"					
0220	64713		"	Revision of arm nerve(s)"					
0220	64714		"	Revise low back nerve(s)"					
0220	64716		"	Revision of cranial nerve"					
0220	64718		"	Revise ulnar nerve at elbow"					
0220	64719		"	Revise ulnar nerve at wrist"					
0220	64721		"	Carpal tunnel surgery"					
0220	64722		"	Relieve pressure on nerve(s)"					
0220	64726		"	Release foot/toe nerve"					
0220	64732		"	Incision of brow nerve"					
0220	64734		"	Incision of cheek nerve"					
0220	64736		"	Incision of chin nerve"					
0220	64738		"	Incision of jaw nerve"					
0220	64740		"	Incision of tongue nerve"					
0220	64742		"	Incision of facial nerve"					
0220	64744		"	Incise nerve back of head"					
0220	64746		"	Incise diaphragm nerve"					
0220	64761		"	Incision of pelvis nerve"					
0220	64763		"	Incise hip/thigh nerve"					
0220	64771		"	Sever cranial nerve"					
0220	64772		"	Incision of spinal nerve"					
0220	64774		"	Remove skin nerve lesion"					
0220	64776		"	Remove digit nerve lesion"					
0220	64782		"	Remove limb nerve lesion"					
0220	64784		"	Remove nerve lesion"					
0220	64788		"	Remove skin nerve lesion"					
0220	64790		"	Removal of nerve lesion"					
0220	64795		"	Biopsy of nerve"					
0220	64802		"	Sympathectomy cervical"					
0220	64804		"	Remove sympathetic nerves"					
0220	64820		"	Sympathectomy digital artery"					
0221		Level II Nerve Procedures		T	39.0425	"$2,896.02"	.	$579.21
0221	0269T		"	Rev/remvl crtd sns dev total"					
0221	61215		"	Insert brain-fluid device"					
0221	61720		"	Incise skull/brain surgery"					
0221	61770		"	Incise skull for treatment"					
0221	62230		"	Replace/revise brain shunt"					
0221	62287		"	Percutaneous diskectomy"					
0221	62365		"	Remove spine infusion device"					
0221	63741		"	Install spinal shunt"					
0221	63744		"	Revision of spinal shunt"					
0221	64570		"	Remove vagus n eltrd"					
0221	64766		"	Incise hip/thigh nerve"					
0221	64786		"	Remove sciatic nerve lesion"					
0221	64792		"	Removal of nerve lesion"					
0221	64831		"	Repair of digit nerve"					
0221	64834		"	Repair of hand or foot nerve"					
0221	64835		"	Repair of hand or foot nerve"					
0221	64836		"	Repair of hand or foot nerve"					
0221	64840		"	Repair of leg nerve"					
0221	64856		"	Repair/transpose nerve"					
0221	64857		"	Repair arm/leg nerve"					
0221	64858		"	Repair sciatic nerve"					
0221	64861		"	Repair of arm nerves"					
0221	64862		"	Repair of low back nerves"					
0221	64864		"	Repair of facial nerve"					
0221	64865		"	Repair of facial nerve"					
0221	64870		"	Fusion of facial/other nerve"					
0221	64885		"	Nerve graft head/neck </4 cm"					
0221	64886		"	Nerve graft head/neck >4 cm"					
0221	64890		"	Nerve graft hand/foot </4 cm"					
0221	64891		"	Nerve graft hand/foot >4 cm"					
0221	64892		"	Nerve graft arm/leg <4 cm"					
0221	64893		"	Nerve graft arm/leg >4 cm"					
0221	64895		"	Nerve graft hand/foot </4 cm"					
0221	64896		"	Nerve graft hand/foot >4 cm"					
0221	64897		"	Nerve graft arm/leg </4 cm"					
0221	64898		"	Nerve graft arm/leg >4 cm"					
0221	64905		"	Nerve pedicle transfer"					
0221	64907		"	Nerve pedicle transfer"					
0221	64910		"	Nerve repair w/allograft"					
0221	64911		"	Neurorraphy w/vein autograft"					
0224		Implantation of Catheter/Reservoir/Shunt		T	50.1966	"$3,723.38"	.	$744.68
0224	62350		"	Implant spinal canal cath"					
0224	62360		"	Insert spine infusion device"					
0227		Implantation of Drug Infusion Device		J1	211.4267	"$15,682.79"	.	"$3,136.56"
0227	62361		"	Implant spine infusion pump"					
0227	62362		"	Implant spine infusion pump"					
0229		Level II Endovascular Procedures		J1	128.7303	"$9,548.70"	.	"$1,909.74"
0229	0234T		"	Trluml perip athrc renal art"					
0229	0236T		"	Trluml perip athrc abd aorta"					
0229	0237T		"	Trluml perip athrc brchiocph"					
0229	37221		"	Iliac revasc w/stent"					
0229	37225		"	Fem/popl revas w/ather"					
0229	37226		"	Fem/popl revasc w/stent"					
0229	37228		"	Tib/per revasc w/tla"					
0229	37236		"	Open/perq place stent 1st"					
0229	37238		"	Open/perq place stent same"					
0229	37241		"	Vasc embolize/occlude venous"					
0229	37242		"	Vasc embolize/occlude artery"					
0229	37243		"	Vasc embolize/occlude organ"					
0229	37244		"	Vasc embolize/occlude bleed"					
0229	61623		"	Endovasc tempory vessel occl"					
0229	61626		"	Transcath occlusion non-cns"					
0229	92924		"	Prq card angio/athrect 1 art"					
0229	92928		"	Prq card stent w/angio 1 vsl"					
0229	92937		"	Prq revasc byp graft 1 vsl"					
0229	92941		"	Prq card revasc mi 1 vsl"					
0229	92943		"	Prq card revasc chronic 1vsl"					
0229	92987		"	Revision of mitral valve"					
0229	92990		"	Revision of pulmonary valve"					
0229	92997		"	Pul art balloon repr percut"					
0229	C9600		"	Perc drug-el cor stent sing"					
0229	C9604		"	Perc d-e cor revasc t cabg s"					
0230		Level I Eye Tests & Treatments		S	0.7082	$52.53	.	$10.51
0230	0181T		"	Corneal hysteresis"					
0230	0207T		"	Clear eyelid gland w/heat"					
0230	0330T		"	Tear film img uni/bi w/i&r"					
0230	92020		"	Special eye evaluation"					
0230	92025		"	Corneal topography"					
0230	92060		"	Special eye evaluation"					
0230	92065		"	Orthoptic/pleoptic training"					
0230	92081		"	Visual field examination(s)"					
0230	92082		"	Visual field examination(s)"					
0230	92132		"	Cmptr ophth dx img ant segmt"					
0230	92133		"	Cmptr ophth img optic nerve"					
0230	92134		"	Cptr ophth dx img post segmt"					
0230	92140		"	Glaucoma provocative tests"					
0230	92225		"	Special eye exam initial"					
0230	92226		"	Special eye exam subsequent"					
0230	92260		"	Ophthalmoscopy/dynamometry"					
0230	92283		"	Color vision examination"					
0230	92285		"	Eye photography"					
0230	92317		"	Rx corneoscleral cntact lens"					
0230	92354		"	Fit spectacles single system"					
0230	92355		"	Fit spectacles compound lens"					
0230	92499		"	Eye service or procedure"					
0230	G0117		"	Glaucoma scrn hgh risk direc"				$0.00	$0.00
0230	G0118		"	Glaucoma scrn hgh risk direc"				$0.00	$0.00
0231		Level III Eye Tests & Treatments		S	4.2379	$314.35	.	$62.87
0231	65260		"	Remove foreign body from eye"					
0231	65800		"	Drainage of eye"					
0231	66500		"	Incision of iris"					
0231	66820		"	Incision secondary cataract"					
0231	67028		"	Injection eye drug"					
0231	92235		"	Eye exam with photos"					
0231	92240		"	Icg angiography"					
0231	92275		"	Electroretinography"					
0233		Level II Intraocular Procedures		T	23.8246	"$1,767.21"	.	$353.45
0233	0099T		"	Implant corneal ring"					
0233	0123T		"	Scleral fistulization"					
0233	65235		"	Remove foreign body from eye"					
0233	65265		"	Remove foreign body from eye"					
0233	65280		"	Repair of eye wound"					
0233	65285		"	Repair of eye wound"					
0233	65810		"	Drainage of eye"					
0233	65815		"	Drainage of eye"					
0233	65820		"	Relieve inner eye pressure"					
0233	65850		"	Incision of eye"					
0233	65865		"	Incise inner eye adhesions"					
0233	65870		"	Incise inner eye adhesions"					
0233	65875		"	Incise inner eye adhesions"					
0233	65880		"	Incise inner eye adhesions"					
0233	65900		"	Remove eye lesion"					
0233	65920		"	Remove implant of eye"					
0233	65930		"	Remove blood clot from eye"					
0233	66150		"	Glaucoma surgery"					
0233	66155		"	Glaucoma surgery"					
0233	66160		"	Glaucoma surgery"					
0233	66165		"	Glaucoma surgery"					
0233	66170		"	Glaucoma surgery"					
0233	66172		"	Incision of eye"					
0233	66185		"	Revise eye shunt"					
0233	66220		"	Repair eye lesion"					
0233	66225		"	Repair/graft eye lesion"					
0233	66250		"	Follow-up surgery of eye"					
0233	66600		"	Remove iris and lesion"					
0233	66635		"	Removal of iris"					
0233	66680		"	Repair iris & ciliary body"					
0233	66682		"	Repair iris & ciliary body"					
0233	66711		"	Ciliary endoscopic ablation"					
0233	66825		"	Reposition intraocular lens"					
0233	66830		"	Removal of lens lesion"					
0233	66840		"	Removal of lens material"					
0233	66850		"	Removal of lens material"					
0233	66920		"	Extraction of lens"					
0233	66930		"	Extraction of lens"					
0233	66982		"	Cataract surgery complex"					
0233	66983		"	Cataract surg w/iol 1 stage"					
0233	66984		"	Cataract surg w/iol 1 stage"					
0233	66985		"	Insert lens prosthesis"					
0233	66986		"	Exchange lens prosthesis"					
0233	67005		"	Partial removal of eye fluid"					
0233	67010		"	Partial removal of eye fluid"					
0233	67015		"	Release of eye fluid"					
0233	67025		"	Replace eye fluid"					
0233	67030		"	Incise inner eye strands"					
0233	67101		"	Repair detached retina"					
0233	67110		"	Repair detached retina"					
0233	67115		"	Release encircling material"					
0233	67120		"	Remove eye implant material"					
0233	67255		"	Reinforce/graft eye wall"					
0233	68330		"	Revise eyelid lining"					
0238		"Level I Extraocular, Repair, and Plastic Eye Procedures"		T	4.0444	$300.00	.	$60.00
0238	65450		"	Treatment of corneal lesion"					
0238	67141		"	Treatment of retina"					
0238	67208		"	Treatment of retinal lesion"					
0238	67345		"	Destroy nerve of eye muscle"					
0238	67500		"	Inject/treat eye socket"					
0238	67505		"	Inject/treat eye socket"					
0238	67515		"	Inject/treat eye socket"					
0238	67599		"	Orbit surgery procedure"					
0238	67700		"	Drainage of eyelid abscess"					
0238	67800		"	Remove eyelid lesion"					
0238	67805		"	Remove eyelid lesions"					
0238	67810		"	Biopsy eyelid & lid margin"					
0238	67825		"	Revise eyelashes"					
0238	67938		"	Remove eyelid foreign body"					
0238	67999		"	Revision of eyelid"					
0238	68040		"	Treatment of eyelid lesions"					
0238	68399		"	Eyelid lining surgery"					
0238	68440		"	Incise tear duct opening"					
0238	68530		"	Clearance of tear duct"					
0238	68705		"	Revise tear duct opening"					
0238	68760		"	Close tear duct opening"					
0238	68761		"	Close tear duct opening"					
0238	68810		"	Probe nasolacrimal duct"					
0238	68840		"	Explore/irrigate tear ducts"					
0238	68899		"	Tear duct system surgery"					
0239		"Level II Extraocular, Repair, and Plastic Eye Procedures"		T	9.5004	$704.70	.	$140.94
0239	65400		"	Removal of eye lesion"					
0239	65410		"	Biopsy of cornea"					
0239	65435		"	Curette/treat cornea"					
0239	65772		"	Correction of astigmatism"					
0239	65778		"	Cover eye w/membrane"					
0239	67710		"	Incision of eyelid"					
0239	67801		"	Remove eyelid lesions"					
0239	67830		"	Revise eyelashes"					
0239	67840		"	Remove eyelid lesion"					
0239	67850		"	Treat eyelid lesion"					
0239	67875		"	Closure of eyelid by suture"					
0239	68020		"	Incise/drain eyelid lining"					
0239	68100		"	Biopsy of eyelid lining"					
0239	68400		"	Incise/drain tear gland"					
0239	68420		"	Incise/drain tear sac"					
0239	68770		"	Close tear system fistula"					
0240		"Level III Extraocular, Repair, and Plastic Eye Procedures"		T	20.7017	"$1,535.57"	.	$307.12
0240	65091		"	Revise eye"					
0240	65125		"	Revise ocular implant"					
0240	65150		"	Revise ocular implant"					
0240	65175		"	Removal of ocular implant"					
0240	65270		"	Repair of eye wound"					
0240	65272		"	Repair of eye wound"					
0240	65290		"	Repair of eye socket wound"					
0240	65420		"	Removal of eye lesion"					
0240	65426		"	Removal of eye lesion"					
0240	65436		"	Curette/treat cornea"					
0240	65600		"	Revision of cornea"					
0240	65775		"	Correction of astigmatism"					
0240	66130		"	Remove eye lesion"					
0240	66710		"	Ciliary transsleral therapy"					
0240	66720		"	Destruction ciliary body"					
0240	66740		"	Destruction ciliary body"					
0240	67218		"	Treatment of retinal lesion"					
0240	67250		"	Reinforce eye wall"					
0240	67311		"	Revise eye muscle"					
0240	67312		"	Revise two eye muscles"					
0240	67314		"	Revise eye muscle"					
0240	67316		"	Revise two eye muscles"					
0240	67318		"	Revise eye muscle(s)"					
0240	67343		"	Release eye tissue"					
0240	67346		"	Biopsy eye muscle"					
0240	67399		"	Eye muscle surgery procedure"					
0240	67405		"	Explore/drain eye socket"					
0240	67412		"	Explore/treat eye socket"					
0240	67413		"	Explore/treat eye socket"					
0240	67415		"	Aspiration orbital contents"					
0240	67560		"	Revise eye socket implant"					
0240	67570		"	Decompress optic nerve"					
0240	67715		"	Incision of eyelid fold"					
0240	67808		"	Remove eyelid lesion(s)"					
0240	67835		"	Revise eyelashes"					
0240	67880		"	Revision of eyelid"					
0240	67882		"	Revision of eyelid"					
0240	67900		"	Repair brow defect"					
0240	67901		"	Repair eyelid defect"					
0240	67903		"	Repair eyelid defect"					
0240	67904		"	Repair eyelid defect"					
0240	67906		"	Repair eyelid defect"					
0240	67908		"	Repair eyelid defect"					
0240	67909		"	Revise eyelid defect"					
0240	67911		"	Revise eyelid defect"					
0240	67912		"	Correction eyelid w/implant"					
0240	67914		"	Repair eyelid defect"					
0240	67915		"	Repair eyelid defect"					
0240	67916		"	Repair eyelid defect"					
0240	67917		"	Repair eyelid defect"					
0240	67921		"	Repair eyelid defect"					
0240	67922		"	Repair eyelid defect"					
0240	67923		"	Repair eyelid defect"					
0240	67924		"	Repair eyelid defect"					
0240	67930		"	Repair eyelid wound"					
0240	67935		"	Repair eyelid wound"					
0240	67950		"	Revision of eyelid"					
0240	67961		"	Revision of eyelid"					
0240	67966		"	Revision of eyelid"					
0240	67971		"	Reconstruction of eyelid"					
0240	67973		"	Reconstruction of eyelid"					
0240	67974		"	Reconstruction of eyelid"					
0240	67975		"	Reconstruction of eyelid"					
0240	68110		"	Remove eyelid lining lesion"					
0240	68115		"	Remove eyelid lining lesion"					
0240	68130		"	Remove eyelid lining lesion"					
0240	68135		"	Remove eyelid lining lesion"					
0240	68320		"	Revise/graft eyelid lining"					
0240	68328		"	Revise/graft eyelid lining"					
0240	68340		"	Separate eyelid adhesions"					
0240	68362		"	Revise eyelid lining"					
0240	68371		"	Harvest eye tissue alograft"					
0240	68505		"	Partial removal tear gland"					
0240	68510		"	Biopsy of tear gland"					
0240	68525		"	Biopsy of tear sac"					
0240	68540		"	Remove tear gland lesion"					
0240	68700		"	Repair tear ducts"					
0240	68750		"	Create tear duct drain"					
0240	68811		"	Probe nasolacrimal duct"					
0240	68815		"	Probe nasolacrimal duct"					
0240	68816		"	Probe nl duct w/balloon"					
0240	92018		"	New eye exam & treatment"					
0240	92019		"	Eye exam & treatment"					
0242		"Level IV Extraocular, Repair, and Plastic Eye Procedures"		T	36.2128	"$2,686.12"	.	$537.23
0242	65093		"	Revise eye with implant"					
0242	65101		"	Removal of eye"					
0242	65103		"	Remove eye/insert implant"					
0242	65105		"	Remove eye/attach implant"					
0242	65110		"	Removal of eye"					
0242	65112		"	Remove eye/revise socket"					
0242	65114		"	Remove eye/revise socket"					
0242	65130		"	Insert ocular implant"					
0242	65135		"	Insert ocular implant"					
0242	65140		"	Attach ocular implant"					
0242	65155		"	Reinsert ocular implant"					
0242	65275		"	Repair of eye wound"					
0242	65779		"	Cover eye w/membrane suture"					
0242	65780		"	Ocular reconst transplant"					
0242	65782		"	Ocular reconst transplant"					
0242	67227		"	Treatment of retinal lesion"					
0242	67400		"	Explore/biopsy eye socket"					
0242	67414		"	Explr/decompress eye socket"					
0242	67420		"	Explore/treat eye socket"					
0242	67430		"	Explore/treat eye socket"					
0242	67440		"	Explore/drain eye socket"					
0242	67445		"	Explr/decompress eye socket"					
0242	67450		"	Explore/biopsy eye socket"					
0242	67550		"	Insert eye socket implant"					
0242	67902		"	Repair eyelid defect"					
0242	68325		"	Revise/graft eyelid lining"					
0242	68326		"	Revise/graft eyelid lining"					
0242	68335		"	Revise/graft eyelid lining"					
0242	68360		"	Revise eyelid lining"					
0242	68500		"	Removal of tear gland"					
0242	68520		"	Removal of tear sac"					
0242	68550		"	Remove tear gland lesion"					
0242	68720		"	Create tear sac drain"					
0242	68745		"	Create tear duct drain"					
0247		Laser Eye Procedures		T	5.9831	$443.80	$102.26	$88.76
0247	65855		"	Laser surgery of eye"					
0247	65860		"	Incise inner eye adhesions"					
0247	66761		"	Revision of iris"					
0247	66762		"	Revision of iris"					
0247	66770		"	Removal of inner eye lesion"					
0247	66821		"	After cataract laser surgery"					
0247	67031		"	Laser surgery eye strands"					
0247	67105		"	Repair detached retina"					
0247	67145		"	Treatment of retina"					
0247	67210		"	Treatment of retinal lesion"					
0247	67220		"	Treatment of choroid lesion"					
0247	67221		"	Ocular photodynamic ther"					
0247	67228		"	Treatment of retinal lesion"					
0247	67229		"	Tr retinal les preterm inf"					
0247	G0186		"	Dstry eye lesn,fdr vssl tech"					
0250		Level I ENT Procedures		T	1.7338	$128.61	.	$25.73
0250	21089		"	Prepare face/oral prosthesis"					
0250	21299		"	Cranio/maxillofacial surgery"					
0250	21310		"	Closed tx nose fx w/o manj"					
0250	21480		"	Reset dislocated jaw"					
0250	21499		"	Head surgery procedure"					
0250	21899		"	Neck/chest surgery procedure"					
0250	30000		"	Drainage of nose lesion"					
0250	30903		"	Control of nosebleed"					
0250	30905		"	Control of nosebleed"					
0250	30906		"	Repeat control of nosebleed"					
0250	30999		"	Nasal surgery procedure"					
0250	31299		"	Sinus surgery procedure"					
0250	31500		"	Insert emergency airway"					
0250	31502		"	Change of windpipe airway"					
0250	31599		"	Larynx surgery procedure"					
0250	40799		"	Lip surgery procedure"					
0250	40899		"	Mouth surgery procedure"					
0250	41250		"	Repair tongue laceration"					
0250	41599		"	Tongue and mouth surgery"					
0250	41899		"	Dental surgery procedure"					
0250	42299		"	Palate/uvula surgery"					
0250	42699		"	Salivary surgery procedure"					
0250	42960		"	Control throat bleeding"					
0250	42970		"	Control nose/throat bleeding"					
0250	42999		"	Throat surgery procedure"					
0250	69399		"	Outer ear surgery procedure"					
0250	69799		"	Middle ear surgery procedure"					
0250	69949		"	Inner ear surgery procedure"					
0250	69979		"	Temporal bone surgery"					
0251		Level II ENT Procedures		T	4.8654	$360.90	.	$72.18
0251	21450		"	Treat lower jaw fracture"					
0251	30020		"	Drainage of nose lesion"					
0251	30560		"	Release of nasal adhesions"					
0251	31000		"	Irrigation maxillary sinus"					
0251	40490		"	Biopsy of lip"					
0251	40806		"	Incision of lip fold"					
0251	40808		"	Biopsy of mouth lesion"					
0251	40818		"	Excise oral mucosa for graft"					
0251	40830		"	Repair mouth laceration"					
0251	41005		"	Drainage of mouth lesion"					
0251	41009		"	Drainage of mouth lesion"					
0251	41015		"	Drainage of mouth lesion"					
0251	41251		"	Repair tongue laceration"					
0251	42000		"	Drainage mouth roof lesion"					
0251	42180		"	Repair palate"					
0251	42280		"	Preparation palate mold"					
0251	42310		"	Drainage of salivary gland"					
0251	42320		"	Drainage of salivary gland"					
0251	42660		"	Dilation of salivary duct"					
0251	42700		"	Drainage of tonsil abscess"					
0251	69100		"	Biopsy of external ear"					
0251	69400		"	Inflate middle ear canal"					
0251	69401		"	Inflate middle ear canal"					
0251	69420		"	Incision of eardrum"					
0251	69433		"	Create eardrum opening"					
0251	92502		"	Ear and throat examination"					
0252		Level III ENT Procedures		T	8.9312	$662.48	.	$132.50
0252	20100		"	Explore wound neck"					
0252	20500		"	Injection of sinus tract"					
0252	21085		"	Prepare face/oral prosthesis"					
0252	21110		"	Interdental fixation"					
0252	21295		"	Revision of jaw muscle/bone"					
0252	21400		"	Closed tx orbit w/o manipulj"					
0252	21401		"	Closed tx orbit w/ manipulj"					
0252	21497		"	Interdental wiring"					
0252	30100		"	Intranasal biopsy"					
0252	30110		"	Removal of nose polyp(s)"					
0252	30200		"	Injection treatment of nose"					
0252	30210		"	Nasal sinus therapy"					
0252	30801		"	Ablate inf turbinate superf"					
0252	31002		"	Irrigation sphenoid sinus"					
0252	31603		"	Incision of windpipe"					
0252	31605		"	Incision of windpipe"					
0252	31615		"	Visualization of windpipe"					
0252	40650		"	Repair lip"					
0252	40652		"	Repair lip"					
0252	40654		"	Repair lip"					
0252	40801		"	Drainage of mouth lesion"					
0252	40831		"	Repair mouth laceration"					
0252	41000		"	Drainage of mouth lesion"					
0252	41010		"	Incision of tongue fold"					
0252	41018		"	Drainage of mouth lesion"					
0252	41100		"	Biopsy of tongue"					
0252	41115		"	Excision of tongue fold"					
0252	41252		"	Repair tongue laceration"					
0252	41821		"	Excision of gum flap"					
0252	41822		"	Excision of gum lesion"					
0252	42100		"	Biopsy roof of mouth"					
0252	42300		"	Drainage of salivary gland"					
0252	42800		"	Biopsy of throat"					
0252	43020		"	Incision of esophagus"					
0252	60000		"	Drain thyroid/tongue cyst"					
0252	69222		"	Clean out mastoid cavity"					
0252	C9727		"	Insert palate implants"					
0253		Level IV ENT Procedures		T	17.1471	"$1,271.90"	.	$254.38
0253	21235		"	Ear cartilage graft"					
0253	21282		"	Revision of eyelid"					
0253	21315		"	Closed tx nose fx w/o stablj"					
0253	21320		"	Closed tx nose fx w/ stablj"					
0253	21337		"	Closed tx septal&nose fx"					
0253	21451		"	Treat lower jaw fracture"					
0253	21452		"	Treat lower jaw fracture"					
0253	21495		"	Treat hyoid bone fracture"					
0253	30117		"	Removal of intranasal lesion"					
0253	30220		"	Insert nasal septal button"					
0253	30310		"	Remove nasal foreign body"					
0253	30802		"	Ablate inf turbinate submuc"					
0253	40500		"	Partial excision of lip"					
0253	40520		"	Partial excision of lip"					
0253	40810		"	Excision of mouth lesion"					
0253	40812		"	Excise/repair mouth lesion"					
0253	40819		"	Excise lip or cheek fold"					
0253	40820		"	Treatment of mouth lesion"					
0253	41008		"	Drainage of mouth lesion"					
0253	41017		"	Drainage of mouth lesion"					
0253	41105		"	Biopsy of tongue"					
0253	41110		"	Excision of tongue lesion"					
0253	41112		"	Excision of tongue lesion"					
0253	41113		"	Excision of tongue lesion"					
0253	41500		"	Fixation of tongue"					
0253	41510		"	Tongue to lip surgery"					
0253	41806		"	Removal foreign body jawbone"					
0253	41825		"	Excision of gum lesion"					
0253	41874		"	Repair tooth socket"					
0253	42104		"	Excision lesion mouth roof"					
0253	42106		"	Excision lesion mouth roof"					
0253	42140		"	Excision of uvula"					
0253	42160		"	Treatment mouth roof lesion"					
0253	42281		"	Insertion palate prosthesis"					
0253	42330		"	Removal of salivary stone"					
0253	42340		"	Removal of salivary stone"					
0253	42600		"	Closure of salivary fistula"					
0253	42650		"	Dilation of salivary duct"					
0253	42720		"	Drainage of throat abscess"					
0253	42804		"	Biopsy of upper nose/throat"					
0253	42972		"	Control nose/throat bleeding"					
0253	69105		"	Biopsy of external ear canal"					
0253	69405		"	Catheterize middle ear canal"					
0253	69421		"	Incision of eardrum"					
0253	69424		"	Remove ventilating tube"					
0253	69436		"	Create eardrum opening"					
0253	69540		"	Remove ear lesion"					
0253	69801		"	Incise inner ear"					
0254		Level V ENT Procedures		T	26.2467	"$1,946.88"	.	$389.38
0254	21026		"	Excision of facial bone(s)"					
0254	21029		"	Contour of face bone lesion"					
0254	21030		"	Excise max/zygoma b9 tumor"					
0254	21031		"	Remove exostosis mandible"					
0254	21032		"	Remove exostosis maxilla"					
0254	21040		"	Excise mandible lesion"					
0254	21073		"	Mnpj of tmj w/anesth"					
0254	21076		"	Prepare face/oral prosthesis"					
0254	21121		"	Reconstruction of chin"					
0254	21122		"	Reconstruction of chin"					
0254	21123		"	Reconstruction of chin"					
0254	21125		"	Augmentation lower jaw bone"					
0254	21137		"	Reduction of forehead"					
0254	21198		"	Reconstr lwr jaw segment"					
0254	21296		"	Revision of jaw muscle/bone"					
0254	21325		"	Open tx nose fx uncomplicatd"					
0254	21330		"	Open tx nose fx w/skele fixj"					
0254	21335		"	Open tx nose & septal fx"					
0254	21339		"	Open nasoethmoid fx w/ fixj"					
0254	21345		"	Closed tx nose/jaw fx"					
0254	21356		"	Opn tx dprsd zygomatic arch"					
0254	21440		"	Treat dental ridge fracture"					
0254	21485		"	Reset dislocated jaw"					
0254	21685		"	Hyoid myotomy & suspension"					
0254	30115		"	Removal of nose polyp(s)"					
0254	30118		"	Removal of intranasal lesion"					
0254	30120		"	Revision of nose"					
0254	30124		"	Removal of nose lesion"					
0254	30130		"	Excise inferior turbinate"					
0254	30140		"	Resect inferior turbinate"					
0254	30320		"	Remove nasal foreign body"					
0254	30400		"	Reconstruction of nose"					
0254	30430		"	Revision of nose"					
0254	30520		"	Repair of nasal septum"					
0254	30630		"	Repair nasal septum defect"					
0254	30930		"	Ther fx nasal inf turbinate"					
0254	31020		"	Exploration maxillary sinus"					
0254	31040		"	Exploration behind upper jaw"					
0254	31201		"	Removal of ethmoid sinus"					
0254	31205		"	Removal of ethmoid sinus"					
0254	31300		"	Removal of larynx lesion"					
0254	31600		"	Incision of windpipe"					
0254	31601		"	Incision of windpipe"					
0254	31611		"	Surgery/speech prosthesis"					
0254	31613		"	Repair windpipe opening"					
0254	31785		"	Remove windpipe lesion"					
0254	31820		"	Closure of windpipe lesion"					
0254	31825		"	Repair of windpipe defect"					
0254	31830		"	Revise windpipe scar"					
0254	40510		"	Partial excision of lip"					
0254	40525		"	Reconstruct lip with flap"					
0254	40530		"	Partial removal of lip"					
0254	40805		"	Removal foreign body mouth"					
0254	40814		"	Excise/repair mouth lesion"					
0254	40816		"	Excision of mouth lesion"					
0254	40840		"	Reconstruction of mouth"					
0254	40843		"	Reconstruction of mouth"					
0254	41006		"	Drainage of mouth lesion"					
0254	41007		"	Drainage of mouth lesion"					
0254	41016		"	Drainage of mouth lesion"					
0254	41019		"	Place needles h&n for rt"					
0254	41114		"	Excision of tongue lesion"					
0254	41116		"	Excision of mouth lesion"					
0254	41530		"	Tongue base vol reduction"					
0254	41805		"	Removal foreign body gum"					
0254	41820		"	Excision gum each quadrant"					
0254	41826		"	Excision of gum lesion"					
0254	41828		"	Excision of gum lesion"					
0254	41830		"	Removal of gum tissue"					
0254	41850		"	Treatment of gum lesion"					
0254	42120		"	Remove palate/lesion"					
0254	42182		"	Repair palate"					
0254	42260		"	Repair nose to lip fistula"					
0254	42305		"	Drainage of salivary gland"					
0254	42335		"	Removal of salivary stone"					
0254	42405		"	Biopsy of salivary gland"					
0254	42408		"	Excision of salivary cyst"					
0254	42409		"	Drainage of salivary cyst"					
0254	42500		"	Repair salivary duct"					
0254	42508		"	Parotid duct diversion"					
0254	42806		"	Biopsy of upper nose/throat"					
0254	42808		"	Excise pharynx lesion"					
0254	42810		"	Excision of neck cyst"					
0254	42820		"	Remove tonsils and adenoids"					
0254	42821		"	Remove tonsils and adenoids"					
0254	42826		"	Removal of tonsils"					
0254	42831		"	Removal of adenoids"					
0254	42835		"	Removal of adenoids"					
0254	42836		"	Removal of adenoids"					
0254	42870		"	Excision of lingual tonsil"					
0254	42900		"	Repair throat wound"					
0254	42955		"	Surgical opening of throat"					
0254	42962		"	Control throat bleeding"					
0254	43420		"	Repair esophagus opening"					
0254	69120		"	Removal of external ear"					
0254	69150		"	Extensive ear canal surgery"					
0254	69300		"	Revise external ear"					
0254	69610		"	Repair of eardrum"					
0254	69620		"	Repair of eardrum"					
0254	69666		"	Repair middle ear structures"					
0254	69667		"	Repair middle ear structures"					
0254	69676		"	Remove middle ear nerve"					
0254	69700		"	Close mastoid fistula"					
0255		Level I Intraocular Procedures		T	10.2261	$758.53	.	$151.71
0255	65286		"	Repair of eye wound"					
0255	66020		"	Injection treatment of eye"					
0255	66030		"	Injection treatment of eye"					
0255	66505		"	Incision of iris"					
0255	66625		"	Removal of iris"					
0255	66630		"	Removal of iris"					
0255	66700		"	Destruction ciliary body"					
0255	66940		"	Extraction of lens"					
0255	66999		"	Eye surgery procedure"					
0255	67299		"	Eye surgery procedure"					
0256		Level VI ENT Procedures		T	50.1547	"$3,720.28"	.	$744.06
0256	21010		"	Incision of jaw joint"					
0256	21025		"	Excision of bone lower jaw"					
0256	21034		"	Excise max/zygoma mal tumor"					
0256	21044		"	Removal of jaw bone lesion"					
0256	21046		"	Remove mandible cyst complex"					
0256	21047		"	Excise lwr jaw cyst w/repair"					
0256	21048		"	Remove maxilla cyst complex"					
0256	21049		"	Excis uppr jaw cyst w/repair"					
0256	21050		"	Removal of jaw joint"					
0256	21060		"	Remove jaw joint cartilage"					
0256	21070		"	Remove coronoid process"					
0256	21077		"	Prepare face/oral prosthesis"					
0256	21079		"	Prepare face/oral prosthesis"					
0256	21080		"	Prepare face/oral prosthesis"					
0256	21081		"	Prepare face/oral prosthesis"					
0256	21082		"	Prepare face/oral prosthesis"					
0256	21083		"	Prepare face/oral prosthesis"					
0256	21084		"	Prepare face/oral prosthesis"					
0256	21086		"	Prepare face/oral prosthesis"					
0256	21087		"	Prepare face/oral prosthesis"					
0256	21088		"	Prepare face/oral prosthesis"					
0256	21100		"	Maxillofacial fixation"					
0256	21120		"	Reconstruction of chin"					
0256	21127		"	Augmentation lower jaw bone"					
0256	21138		"	Reduction of forehead"					
0256	21139		"	Reduction of forehead"					
0256	21150		"	Lefort ii anterior intrusion"					
0256	21172		"	Reconstruct orbit/forehead"					
0256	21175		"	Reconstruct orbit/forehead"					
0256	21181		"	Contour cranial bone lesion"					
0256	21193		"	Reconst lwr jaw w/o graft"					
0256	21195		"	Reconst lwr jaw w/o fixation"					
0256	21199		"	Reconstr lwr jaw w/advance"					
0256	21206		"	Reconstruct upper jaw bone"					
0256	21208		"	Augmentation of facial bones"					
0256	21209		"	Reduction of facial bones"					
0256	21210		"	Face bone graft"					
0256	21215		"	Lower jaw bone graft"					
0256	21230		"	Rib cartilage graft"					
0256	21240		"	Reconstruction of jaw joint"					
0256	21242		"	Reconstruction of jaw joint"					
0256	21243		"	Reconstruction of jaw joint"					
0256	21244		"	Reconstruction of lower jaw"					
0256	21245		"	Reconstruction of jaw"					
0256	21246		"	Reconstruction of jaw"					
0256	21248		"	Reconstruction of jaw"					
0256	21249		"	Reconstruction of jaw"					
0256	21256		"	Reconstruction of orbit"					
0256	21260		"	Revise eye sockets"					
0256	21261		"	Revise eye sockets"					
0256	21263		"	Revise eye sockets"					
0256	21267		"	Revise eye sockets"					
0256	21270		"	Augmentation cheek bone"					
0256	21275		"	Revision orbitofacial bones"					
0256	21280		"	Revision of eyelid"					
0256	21338		"	Open nasoethmoid fx w/o fixj"					
0256	21340		"	Perq tx nasoethmoid fx"					
0256	21346		"	Opn tx nasomax fx w/fixj"					
0256	21355		"	Perq tx malar fracture"					
0256	21360		"	Opn tx dprsd malar fracture"					
0256	21365		"	Opn tx complx malar fx"					
0256	21385		"	Opn tx orbit fx transantral"					
0256	21386		"	Opn tx orbit fx periorbital"					
0256	21387		"	Opn tx orbit fx combined"					
0256	21390		"	Opn tx orbit periorbtl implt"					
0256	21395		"	Opn tx orbit periorbt w/grft"					
0256	21406		"	Opn tx orbit fx w/o implant"					
0256	21407		"	Opn tx orbit fx w/implant"					
0256	21408		"	Opn tx orbit fx w/bone grft"					
0256	21421		"	Treat mouth roof fracture"					
0256	21445		"	Treat dental ridge fracture"					
0256	21453		"	Treat lower jaw fracture"					
0256	21454		"	Treat lower jaw fracture"					
0256	21461		"	Treat lower jaw fracture"					
0256	21462		"	Treat lower jaw fracture"					
0256	21465		"	Treat lower jaw fracture"					
0256	21470		"	Treat lower jaw fracture"					
0256	21490		"	Repair dislocated jaw"					
0256	30125		"	Removal of nose lesion"					
0256	30150		"	Partial removal of nose"					
0256	30160		"	Removal of nose"					
0256	30410		"	Reconstruction of nose"					
0256	30420		"	Reconstruction of nose"					
0256	30435		"	Revision of nose"					
0256	30450		"	Revision of nose"					
0256	30460		"	Revision of nose"					
0256	30462		"	Revision of nose"					
0256	30465		"	Repair nasal stenosis"					
0256	30540		"	Repair nasal defect"					
0256	30545		"	Repair nasal defect"					
0256	30580		"	Repair upper jaw fistula"					
0256	30600		"	Repair mouth/nose fistula"					
0256	30620		"	Intranasal reconstruction"					
0256	31030		"	Exploration maxillary sinus"					
0256	31032		"	Explore sinus remove polyps"					
0256	31050		"	Exploration sphenoid sinus"					
0256	31051		"	Sphenoid sinus surgery"					
0256	31070		"	Exploration of frontal sinus"					
0256	31075		"	Exploration of frontal sinus"					
0256	31080		"	Removal of frontal sinus"					
0256	31081		"	Removal of frontal sinus"					
0256	31084		"	Removal of frontal sinus"					
0256	31085		"	Removal of frontal sinus"					
0256	31086		"	Removal of frontal sinus"					
0256	31087		"	Removal of frontal sinus"					
0256	31090		"	Exploration of sinuses"					
0256	31200		"	Removal of ethmoid sinus"					
0256	31320		"	Diagnostic incision larynx"					
0256	31400		"	Revision of larynx"					
0256	31420		"	Removal of epiglottis"					
0256	31580		"	Revision of larynx"					
0256	31582		"	Revision of larynx"					
0256	31588		"	Revision of larynx"					
0256	31590		"	Reinnervate larynx"					
0256	31595		"	Larynx nerve surgery"					
0256	31610		"	Incision of windpipe"					
0256	31612		"	Puncture/clear windpipe"					
0256	31614		"	Repair windpipe opening"					
0256	31750		"	Repair of windpipe"					
0256	31755		"	Repair of windpipe"					
0256	40527		"	Reconstruct lip with flap"					
0256	40700		"	Repair cleft lip/nasal"					
0256	40701		"	Repair cleft lip/nasal"					
0256	40702		"	Repair cleft lip/nasal"					
0256	40720		"	Repair cleft lip/nasal"					
0256	40761		"	Repair cleft lip/nasal"					
0256	40842		"	Reconstruction of mouth"					
0256	40844		"	Reconstruction of mouth"					
0256	40845		"	Reconstruction of mouth"					
0256	41120		"	Partial removal of tongue"					
0256	41512		"	Tongue suspension"					
0256	41520		"	Reconstruction tongue fold"					
0256	41823		"	Excision of gum lesion"					
0256	41827		"	Excision of gum lesion"					
0256	41870		"	Gum graft"					
0256	41872		"	Repair gum"					
0256	42107		"	Excision lesion mouth roof"					
0256	42145		"	Repair palate pharynx/uvula"					
0256	42200		"	Reconstruct cleft palate"					
0256	42205		"	Reconstruct cleft palate"					
0256	42210		"	Reconstruct cleft palate"					
0256	42215		"	Reconstruct cleft palate"					
0256	42220		"	Reconstruct cleft palate"					
0256	42225		"	Reconstruct cleft palate"					
0256	42226		"	Lengthening of palate"					
0256	42227		"	Lengthening of palate"					
0256	42235		"	Repair palate"					
0256	42410		"	Excise parotid gland/lesion"					
0256	42415		"	Excise parotid gland/lesion"					
0256	42420		"	Excise parotid gland/lesion"					
0256	42425		"	Excise parotid gland/lesion"					
0256	42440		"	Excise submaxillary gland"					
0256	42450		"	Excise sublingual gland"					
0256	42505		"	Repair salivary duct"					
0256	42507		"	Parotid duct diversion"					
0256	42509		"	Parotid duct diversion"					
0256	42510		"	Parotid duct diversion"					
0256	42665		"	Ligation of salivary duct"					
0256	42725		"	Drainage of throat abscess"					
0256	42815		"	Excision of neck cyst"					
0256	42825		"	Removal of tonsils"					
0256	42830		"	Removal of adenoids"					
0256	42842		"	Extensive surgery of throat"					
0256	42844		"	Extensive surgery of throat"					
0256	42860		"	Excision of tonsil tags"					
0256	42890		"	Partial removal of pharynx"					
0256	42892		"	Revision of pharyngeal walls"					
0256	42950		"	Reconstruction of throat"					
0256	43030		"	Throat muscle surgery"					
0256	43130		"	Removal of esophagus pouch"					
0256	60252		"	Removal of thyroid"					
0256	60260		"	Repeat thyroid surgery"					
0256	60271		"	Removal of thyroid"					
0256	60500		"	Explore parathyroid glands"					
0256	60502		"	Re-explore parathyroids"					
0256	60520		"	Removal of thymus gland"					
0256	61330		"	Decompress eye socket"					
0256	61334		"	Explore orbit/remove object"					
0256	62000		"	Treat skull fracture"					
0256	69140		"	Remove ear canal lesion(s)"					
0256	69310		"	Rebuild outer ear canal"					
0256	69320		"	Rebuild outer ear canal"					
0256	69440		"	Exploration of middle ear"					
0256	69450		"	Eardrum revision"					
0256	69501		"	Mastoidectomy"					
0256	69502		"	Mastoidectomy"					
0256	69505		"	Remove mastoid structures"					
0256	69511		"	Extensive mastoid surgery"					
0256	69530		"	Extensive mastoid surgery"					
0256	69550		"	Remove ear lesion"					
0256	69552		"	Remove ear lesion"					
0256	69601		"	Mastoid surgery revision"					
0256	69602		"	Mastoid surgery revision"					
0256	69603		"	Mastoid surgery revision"					
0256	69604		"	Mastoid surgery revision"					
0256	69605		"	Mastoid surgery revision"					
0256	69631		"	Repair eardrum structures"					
0256	69632		"	Rebuild eardrum structures"					
0256	69633		"	Rebuild eardrum structures"					
0256	69635		"	Repair eardrum structures"					
0256	69636		"	Rebuild eardrum structures"					
0256	69637		"	Rebuild eardrum structures"					
0256	69641		"	Revise middle ear & mastoid"					
0256	69642		"	Revise middle ear & mastoid"					
0256	69643		"	Revise middle ear & mastoid"					
0256	69644		"	Revise middle ear & mastoid"					
0256	69645		"	Revise middle ear & mastoid"					
0256	69646		"	Revise middle ear & mastoid"					
0256	69650		"	Release middle ear bone"					
0256	69660		"	Revise middle ear bone"					
0256	69661		"	Revise middle ear bone"					
0256	69662		"	Revise middle ear bone"					
0256	69670		"	Remove mastoid air cells"					
0256	69711		"	Remove/repair hearing aid"					
0256	69720		"	Release facial nerve"					
0256	69725		"	Release facial nerve"					
0256	69740		"	Repair facial nerve"					
0256	69745		"	Repair facial nerve"					
0256	69805		"	Explore inner ear"					
0256	69806		"	Explore inner ear"					
0256	69820		"	Establish inner ear window"					
0256	69840		"	Revise inner ear window"					
0256	69905		"	Remove inner ear"					
0256	69910		"	Remove inner ear & mastoid"					
0256	69915		"	Incise inner ear nerve"					
0256	69955		"	Release facial nerve"					
0256	69960		"	Release inner ear canal"					
0256	69970		"	Remove inner ear lesion"					
0259		Level VII ENT Procedures		J1	402.6820	"$29,869.34"	"$7,691.99"	"$5,973.87"
0259	69930		"	Implant cochlear device"					
0260		Level I Plain Film Including Bone Density Measurement		S	0.8039	$59.63	.	$11.93
0260	70030		"	X-ray eye for foreign body"					
0260	70100		"	X-ray exam of jaw <4views"					
0260	70120		"	X-ray exam of mastoids"					
0260	70140		"	X-ray exam of facial bones"					
0260	70160		"	X-ray exam of nasal bones"					
0260	70210		"	X-ray exam of sinuses"					
0260	70240		"	X-ray exam pituitary saddle"					
0260	70300		"	X-ray exam of teeth"					
0260	70320		"	Full mouth x-ray of teeth"					
0260	70328		"	X-ray exam of jaw joint"					
0260	70330		"	X-ray exam of jaw joints"					
0260	70350		"	X-ray head for orthodontia"					
0260	70355		"	Panoramic x-ray of jaws"					
0260	70360		"	X-ray exam of neck"					
0260	70380		"	X-ray exam of salivary gland"					
0260	71010		"	Chest x-ray 1 view frontal"					
0260	71015		"	Chest x-ray stereo frontal"					
0260	71020		"	Chest x-ray 2vw frontal&latl"					
0260	71021		"	Chest x-ray frnt lat lordotc"					
0260	71035		"	Chest x-ray special views"					
0260	71100		"	X-ray exam ribs uni 2 views"					
0260	71120		"	X-ray exam breastbone 2/>vws"					
0260	71130		"	X-ray strenoclavic jt 3/>vws"					
0260	72020		"	X-ray exam of spine 1 view"					
0260	72069		"	X-ray exam trunk spine stand"					
0260	72080		"	X-ray exam trunk spine 2 vws"					
0260	72200		"	X-ray exam si joints"					
0260	72220		"	X-ray exam sacrum tailbone"					
0260	73000		"	X-ray exam of collar bone"					
0260	73010		"	X-ray exam of shoulder blade"					
0260	73020		"	X-ray exam of shoulder"					
0260	73060		"	X-ray exam of humerus"					
0260	73070		"	X-ray exam of elbow"					
0260	73080		"	X-ray exam of elbow"					
0260	73090		"	X-ray exam of forearm"					
0260	73100		"	X-ray exam of wrist"					
0260	73110		"	X-ray exam of wrist"					
0260	73130		"	X-ray exam of hand"					
0260	73140		"	X-ray exam of finger(s)"					
0260	73500		"	X-ray exam of hip"					
0260	73510		"	X-ray exam of hip"					
0260	73540		"	X-ray exam of pelvis & hips"					
0260	73550		"	X-ray exam of thigh"					
0260	73560		"	X-ray exam of knee 1 or 2"					
0260	73565		"	X-ray exam of knees"					
0260	73590		"	X-ray exam of lower leg"					
0260	73620		"	X-ray exam of foot"					
0260	73630		"	X-ray exam of foot"					
0260	73650		"	X-ray exam of heel"					
0260	73660		"	X-ray exam of toe(s)"					
0260	74000		"	X-ray exam of abdomen"					
0260	74010		"	X-ray exam of abdomen"					
0260	76010		"	X-ray nose to rectum"					
0260	76380		"	Cat scan follow-up study"					
0260	76497		"	Ct procedure"					
0260	76499		"	Radiographic procedure"					
0260	77071		"	X-ray stress view"					
0260	77078		"	Ct bone density axial"				$0.00	$0.00
0260	77081		"	Dxa bone density/peripheral"				$0.00	$0.00
0260	77082		"	Dxa bone density vert fx"					
0260	G0130		"	Single energy x-ray study"				$0.00	$0.00
0261		Level II Plain Film Including Bone Density Measurement		S	1.2856	$95.36	.	$19.08
0261	70110		"	X-ray exam of jaw 4/> views"					
0261	70130		"	X-ray exam of mastoids"					
0261	70134		"	X-ray exam of middle ear"					
0261	70150		"	X-ray exam of facial bones"					
0261	70190		"	X-ray exam of eye sockets"					
0261	70200		"	X-ray exam of eye sockets"					
0261	70220		"	X-ray exam of sinuses"					
0261	70250		"	X-ray exam of skull"					
0261	70260		"	X-ray exam of skull"					
0261	70310		"	X-ray exam of teeth"					
0261	71022		"	Chest x-ray frnt lat oblique"					
0261	71023		"	Chest x-ray and fluoroscopy"					
0261	71030		"	Chest x-ray 4/> views"					
0261	71101		"	X-ray exam unilat ribs/chest"					
0261	71110		"	X-ray exam ribs bil 3 views"					
0261	71111		"	X-ray exam ribs/chest4/> vws"					
0261	72040		"	X-ray exam neck spine 2-3 vw"					
0261	72050		"	X-ray exam neck spine 4/5vws"					
0261	72052		"	X-ray exam neck spine 6/>vws"					
0261	72070		"	X-ray exam thorac spine 2vws"					
0261	72072		"	X-ray exam thorac spine 3vws"					
0261	72074		"	X-ray exam thorac spine4/>vw"					
0261	72090		"	X-ray exam scloiosis erect"					
0261	72100		"	X-ray exam l-s spine 2/3 vws"					
0261	72110		"	X-ray exam l-2 spine 4/>vws"					
0261	72114		"	X-ray exam l-s spine bending"					
0261	72120		"	X-ray bend only l-s spine"					
0261	72170		"	X-ray exam of pelvis"					
0261	72190		"	X-ray exam of pelvis"					
0261	72202		"	X-ray exam si joints 3/> vws"					
0261	73030		"	X-ray exam of shoulder"					
0261	73050		"	X-ray exam of shoulders"					
0261	73092		"	X-ray exam of arm infant"					
0261	73120		"	X-ray exam of hand"					
0261	73520		"	X-ray exam of hips"					
0261	73562		"	X-ray exam of knee 3"					
0261	73564		"	X-ray exam knee 4 or more"					
0261	73592		"	X-ray exam of leg infant"					
0261	73600		"	X-ray exam of ankle"					
0261	73610		"	X-ray exam of ankle"					
0261	74020		"	X-ray exam of abdomen"					
0261	74022		"	X-ray exam series abdomen"					
0261	74710		"	X-ray measurement of pelvis"					
0261	75809		"	Nonvascular shunt x-ray"					
0261	76100		"	X-ray exam of body section"					
0261	77072		"	X-rays for bone age"					
0261	77073		"	X-rays bone length studies"					
0261	77074		"	X-rays bone survey limited"					
0261	77076		"	X-rays bone survey infant"					
0261	77077		"	Joint survey single view"					
0261	77080		"	Dxa bone density axial"				$0.00	$0.00
0263		Level I Miscellaneous Radiology Procedures		S	4.6010	$341.28	.	$68.26
0263	70170		"	X-ray exam of tear duct"					
0263	70373		"	Contrast x-ray of larynx"					
0263	70390		"	X-ray exam of salivary duct"					
0263	74190		"	X-ray exam of peritoneum"					
0263	74305		"	X-ray bile ducts/pancreas"					
0263	74740		"	X-ray female genital tract"					
0263	75801		"	Lymph vessel x-ray arm/leg"					
0263	75870		"	Vein x-ray skull"					
0263	76080		"	X-ray exam of fistula"					
0263	76098		"	X-ray exam breast specimen"					
0263	76101		"	Complex body section x-ray"					
0263	76102		"	Complex body section x-rays"					
0263	77053		"	X-ray of mammary duct"					
0263	77054		"	X-ray of mammary ducts"					
0263	78071		"	Parathyrd planar w/wo subtrj"					
0263	78445		"	Vascular flow imaging"					
0263	78457		"	Venous thrombosis imaging"					
0263	78458		"	Ven thrombosis images bilat"					
0263	C9733		Non-ophthalmic fva					
0265		Level I Diagnostic and Screening Ultrasound		S	1.2427	$92.18	$22.26	$18.44
0265	76516		"	Echo exam of eye"					
0265	76519		"	Echo exam of eye"					
0265	76645		"	Us exam breast(s)"					
0265	76800		"	Us exam spinal canal"					
0265	76816		"	Ob us follow-up per fetus"					
0265	76820		"	Umbilical artery echo"					
0265	76821		"	Middle cerebral artery echo"					
0265	76827		"	Echo exam of fetal heart"					
0265	76828		"	Echo exam of fetal heart"					
0265	76857		"	Us exam pelvic limited"					
0265	76882		"	Us xtr non-vasc lmtd"					
0265	76885		"	Us exam infant hips dynamic"					
0265	76886		"	Us exam infant hips static"					
0265	76970		"	Ultrasound exam follow-up"					
0265	76999		"	Echo examination procedure"					
0265	G0389		Ultrasound exam aaa screen				$0.00	$0.00
0266		Level II Diagnostic and Screening Ultrasound		S	1.8245	$135.33	$37.23	$27.07
0266	76506		"	Echo exam of head"					
0266	76511		"	Ophth us quant a only"					
0266	76512		"	Ophth us b w/non-quant a"					
0266	76513		"	Echo exam of eye water bath"					
0266	76529		"	Echo exam of eye"					
0266	76536		"	Us exam of head and neck"					
0266	76604		"	Us exam chest"					
0266	76700		"	Us exam abdom complete"					
0266	76705		"	Echo exam of abdomen"					
0266	76770		"	Us exam abdo back wall comp"					
0266	76775		"	Us exam abdo back wall lim"					
0266	76776		"	Us exam k transpl w/doppler"					
0266	76801		"	Ob us < 14 wks single fetus"					
0266	76805		"	Ob us >/= 14 wks sngl fetus"					
0266	76813		"	Ob us nuchal meas 1 gest"					
0266	76815		"	Ob us limited fetus(s)"					
0266	76817		"	Transvaginal us obstetric"					
0266	76818		"	Fetal biophys profile w/nst"					
0266	76819		"	Fetal biophys profil w/o nst"					
0266	76830		"	Transvaginal us non-ob"					
0266	76856		"	Us exam pelvic complete"					
0266	76870		"	Us exam scrotum"					
0266	76872		"	Us transrectal"					
0266	76881		"	Us xtr non-vasc complete"					
0266	93888		"	Intracranial limited study"					
0266	93890		"	Tcd vasoreactivity study"					
0266	93892		"	Tcd emboli detect w/o inj"					
0266	93893		"	Tcd emboli detect w/inj"					
0266	93926		"	Lower extremity study"					
0266	93931		"	Upper extremity study"					
0266	93971		"	Extremity study"					
0266	93979		"	Vascular study"					
0266	93990		"	Doppler flow testing"					
0267		Level III Diagnostic and Screening Ultrasound		S	2.5558	$189.58	$59.16	$37.92
0267	36002		"	Pseudoaneurysm injection trt"					
0267	75945		"	Intravascular us"					
0267	76811		"	Ob us detailed sngl fetus"					
0267	76831		"	Echo exam uterus"					
0267	76873		"	Echograp trans r pros study"					
0267	76975		"	Gi endoscopic ultrasound"					
0267	93880		"	Extracranial bilat study"					
0267	93882		"	Extracranial uni/ltd study"					
0267	93886		"	Intracranial complete study"					
0267	93925		"	Lower extremity study"					
0267	93930		"	Upper extremity study"					
0267	93970		"	Extremity study"					
0267	93975		"	Vascular study"					
0267	93976		"	Vascular study"					
0267	93978		"	Vascular study"					
0267	93980		"	Penile vascular study"					
0267	93981		"	Penile vascular study"					
0267	G0365		"	Vessel mapping hemo access"					
0269		Level II Echocardiogram Without Contrast		S	5.7265	$424.77	.	$84.96
0269	93304		"	Echo transthoracic"					
0269	93306		"	Tte w/doppler complete"					
0269	93307		"	Tte w/o doppler complete"					
0269	93313		"	Echo transesophageal"					
0269	93315		"	Echo transesophageal"					
0269	93350		"	Stress tte only"					
0270		Level III Echocardiogram Without Contrast		S	8.1130	$601.79	$128.73	$120.36
0270	93303		"	Echo transthoracic"					
0270	93312		"	Echo transesophageal"					
0270	93316		"	Echo transesophageal"					
0270	93318		"	Echo transesophageal intraop"					
0270	93351		"	Stress tte complete"					
0272		Fluoroscopy and Other Radiology Services		S	2.1030	$155.99	.	$31.20
0272	43756		"	Dx duod intub w/asp spec"					
0272	43757		"	Dx duod intub w/asp specs"					
0272	70370		"	Throat x-ray & fluoroscopy"					
0272	70371		"	Speech evaluation complex"					
0272	71034		"	Chest x-ray&fluoro 4/> views"					
0272	72010		"	X-ray exam spine ap&lat"					
0272	76000		"	Fluoroscope examination"					
0272	76120		"	Cine/video x-rays"					
0272	76496		"	Fluoroscopic procedure"					
0272	77075		"	X-rays bone survey complete"					
0274		Myelography		S	8.1943	$607.82	.	$121.57
0274	70010		"	Contrast x-ray of brain"					
0274	70015		"	Contrast x-ray of brain"					
0274	72240		"	Myelography neck spine"					
0274	72255		"	Myelography thoracic spine"					
0274	72265		"	Myelography l-s spine"					
0274	72270		"	Myelogphy 2/> spine regions"					
0275		Arthrography		S	4.5605	$338.28	$68.69	$67.66
0275	70332		"	X-ray exam of jaw joint"					
0275	73040		"	Contrast x-ray of shoulder"					
0275	73085		"	Contrast x-ray of elbow"					
0275	73115		"	Contrast x-ray of wrist"					
0275	73525		"	Contrast x-ray of hip"					
0275	73580		"	Contrast x-ray of knee joint"					
0275	73615		"	Contrast x-ray of ankle"					
0276		Level I Digestive Radiology		S	1.3761	$102.07	$32.84	$20.42
0276	74210		"	Contrst x-ray exam of throat"					
0276	74220		"	Contrast x-ray esophagus"					
0276	74230		"	Cine/vid x-ray throat/esoph"					
0276	74250		"	X-ray exam of small bowel"					
0276	74260		"	X-ray exam of small bowel"					
0276	74290		"	Contrast x-ray gallbladder"					
0276	74291		"	Contrast x-rays gallbladder"					
0277		Level II Digestive Radiology		S	2.0376	$151.14	$46.48	$30.23
0277	43752		Nasal/orogastric w/tube plmt					
0277	49465		"	Fluoro exam of g/colon tube"					
0277	74240		"	X-ray upper gi delay w/o kub"					
0277	74241		"	X-rayupper gi delay w/kub"					
0277	74245		"	X-ray upper gi&small intest"					
0277	74246		"	Contrst x-ray uppr gi tract"					
0277	74247		"	Contrst x-ray uppr gi tract"					
0277	74249		"	Contrst x-ray uppr gi tract"					
0277	74251		"	X-ray exam of small bowel"					
0277	74270		"	Contrast x-ray exam of colon"					
0277	74280		"	Contrast x-ray exam of colon"					
0277	74283		"	Contrast x-ray exam of colon"					
0278		Diagnostic Urography		S	3.5519	$263.47	$58.44	$52.70
0278	74400		"	Contrst x-ray urinary tract"					
0278	74410		"	Contrst x-ray urinary tract"					
0278	74415		"	Contrst x-ray urinary tract"					
0278	74420		"	Contrst x-ray urinary tract"					
0278	74425		"	Contrst x-ray urinary tract"					
0278	74430		"	Contrast x-ray bladder"					
0278	74440		"	X-ray male genital tract"					
0278	74445		"	X-ray exam of penis"					
0278	74450		"	X-ray urethra/bladder"					
0278	74455		"	X-ray urethra/bladder"					
0278	74775		"	X-ray exam of perineum"					
0279		Level II Angiography and Venography		S	34.2432	"$2,540.02"	.	$508.01
0279	0338T		"	Trnscth renal symp denrv unl"					
0279	0339T		"	Trnscth renal symp denrv bil"					
0279	36221		"	Place cath thoracic aorta"					
0279	36222		"	Place cath carotid/inom art"					
0279	36223		"	Place cath carotid/inom art"					
0279	36225		"	Place cath subclavian art"					
0279	36251		"	Ins cath ren art 1st unilat"					
0279	36252		"	Ins cath ren art 1st bilat"					
0279	36253		"	Ins cath ren art 2nd+ unilat"					
0279	36254		"	Ins cath ren art 2nd+ bilat"					
0279	75600		"	Contrast exam thoracic aorta"					
0279	75605		"	Contrast exam thoracic aorta"					
0279	75625		"	Contrast exam abdominl aorta"					
0279	75630		"	X-ray aorta leg arteries"					
0279	75658		"	Artery x-rays arm"					
0279	75710		"	Artery x-rays arm/leg"					
0279	75716		"	Artery x-rays arms/legs"					
0279	75731		"	Artery x-rays adrenal gland"					
0279	75733		"	Artery x-rays adrenals"					
0279	75736		"	Artery x-rays pelvis"					
0279	75741		"	Artery x-rays lung"					
0279	75743		"	Artery x-rays lungs"					
0279	75810		"	Vein x-ray spleen/liver"					
0279	75825		"	Vein x-ray trunk"					
0279	75831		"	Vein x-ray kidney"					
0279	75833		"	Vein x-ray kidneys"					
0279	75840		"	Vein x-ray adrenal gland"					
0279	75842		"	Vein x-ray adrenal glands"					
0279	75885		"	Vein x-ray liver w/hemodynam"					
0279	75889		"	Vein x-ray liver w/hemodynam"					
0279	75891		"	Vein x-ray liver"					
0279	75893		"	Venous sampling by catheter"					
0280		Level III Angiography and Venography		S	69.6732	"$5,168.08"	.	"$1,033.62"
0280	36224		"	Place cath carotd art"					
0280	36226		"	Place cath vertebral art"					
0280	75705		"	Artery x-rays spine"					
0280	75726		"	Artery x-rays abdomen"					
0283		Computed Tomography with Contrast		S	3.2902	$244.05	$78.40	$48.81
0283	70460		"	Ct head/brain w/dye"					
0283	70481		"	Ct orbit/ear/fossa w/dye"					
0283	70487		"	Ct maxillofacial w/dye"					
0283	70491		"	Ct soft tissue neck w/dye"					
0283	71260		"	Ct thorax w/dye"					
0283	72126		"	Ct neck spine w/dye"					
0283	72129		"	Ct chest spine w/dye"					
0283	72132		"	Ct lumbar spine w/dye"					
0283	72193		"	Ct pelvis w/dye"					
0283	73201		"	Ct upper extremity w/dye"					
0283	73701		"	Ct lower extremity w/dye"					
0283	74160		"	Ct abdomen w/dye"					
0283	74262		"	Ct colonography dx w/dye"					
0284		Magnetic Resonance Imaging and Magnetic Resonance Angiography with Contrast		S	5.8674	$435.22	$137.54	$87.05
0284	70542		"	Mri orbit/face/neck w/dye"					
0284	70545		"	Mr angiography head w/dye"					
0284	70548		"	Mr angiography neck w/dye"					
0284	70552		"	Mri brain stem w/dye"					
0284	70558		"	Mri brain w/dye"					
0284	71551		"	Mri chest w/dye"					
0284	72142		"	Mri neck spine w/dye"					
0284	72147		"	Mri chest spine w/dye"					
0284	72149		"	Mri lumbar spine w/dye"					
0284	72196		"	Mri pelvis w/dye"					
0284	73219		"	Mri upper extremity w/dye"					
0284	73222		"	Mri joint upr extrem w/dye"					
0284	73719		"	Mri lower extremity w/dye"					
0284	73722		"	Mri joint of lwr extr w/dye"					
0284	74182		"	Mri abdomen w/dye"					
0284	C8900		"Mra w/cont, abd"					
0284	C8903		"Mri w/cont, breast,  uni"					
0284	C8906		"Mri w/cont, breast,  bi"					
0284	C8909		"Mra w/cont, chest"					
0284	C8912		"Mra w/cont, lwr ext"					
0284	C8918		"Mra w/cont, pelvis"					
0284	C8931		"Mra, w/dye, spinal canal"					
0284	C8934		"Mra, w/dye, upper extremity"					
0293		Level IV Intraocular Procedures		J1	116.5253	"$8,643.38"	.	"$1,728.68"
0293	65770		"	Revise cornea with implant"					
0300		Level I Radiation Therapy		S	1.3747	$101.97	.	$20.40
0300	77401		"	Radiation treatment delivery"					
0300	77402		"	Radiation treatment delivery"					
0300	77403		"	Radiation treatment delivery"					
0300	77404		"	Radiation treatment delivery"					
0300	77407		"	Radiation treatment delivery"					
0301		Level II Radiation Therapy		S	2.6461	$196.28	.	$39.26
0301	77406		"	Radiation treatment delivery"					
0301	77408		"	Radiation treatment delivery"					
0301	77409		"	Radiation treatment delivery"					
0301	77411		"	Radiation treatment delivery"					
0301	77412		"	Radiation treatment delivery"					
0301	77413		"	Radiation treatment delivery"					
0301	77414		"	Radiation treatment delivery"					
0301	77416		"	Radiation treatment delivery"					
0301	77422		"	Neutron beam tx simple"					
0301	77423		"	Neutron beam tx complex"					
0301	77600		"	Hyperthermia treatment"					
0301	77750		"	Infuse radioactive materials"					
0301	77789		"	Apply surface radiation"					
0303		Treatment Device Construction		S	2.9178	$216.43	$66.95	$43.29
0303	77332		"	Radiation treatment aid(s)"					
0303	77333		"	Radiation treatment aid(s)"					
0303	77334		"	Radiation treatment aid(s)"					
0304		Level I Therapeutic Radiation Treatment Preparation		S	1.5452	$114.62	$34.62	$22.93
0304	77280		"	Set radiation therapy field"					
0304	77299		"	Radiation therapy planning"					
0304	77300		"	Radiation therapy dose plan"					
0304	77305		"	Teletx isodose plan simple"					
0304	77310		"	Teletx isodose plan intermed"					
0304	77326		"	Brachytx isodose calc simp"					
0304	77331		"	Special radiation dosimetry"					
0304	77336		"	Radiation physics consult"					
0304	77370		"	Radiation physics consult"					
0304	77399		"	External radiation dosimetry"					
0305		Level II Therapeutic Radiation Treatment Preparation		S	4.2730	$316.95	$88.78	$63.39
0305	77285		"	Set radiation therapy field"					
0305	77290		"	Set radiation therapy field"					
0305	77315		"	Teletx isodose plan complex"					
0305	77321		"	Special teletx port plan"					
0305	77327		"	Brachytx isodose calc interm"					
0305	77328		"	Brachytx isodose plan compl"					
0305	77338		"	Design mlc device for imrt"					
0308		Positron Emission Tomography (PET) imaging		S	17.3433	"$1,286.46"	.	$257.30
0308	78459		"	Heart muscle imaging (pet)"					
0308	78491		"	Heart image (pet) single"					
0308	78492		"	Heart image (pet) multiple"					
0308	78608		"	Brain imaging (pet)"					
0308	78811		"	Pet image ltd area"					
0308	78812		"	Pet image skull-thigh"					
0308	78813		"	Pet image full body"					
0308	78814		"	Pet image w/ct lmtd"					
0308	78815		"	Pet image w/ct skull-thigh"					
0308	78816		"	Pet image w/ct full body"					
0310		Level III Therapeutic Radiation Treatment Preparation		S	14.0443	"$1,041.75"	$325.27	$208.35
0310	32553		"	Ins mark thor for rt perq"					
0310	49411		"	Ins mark abd/pel for rt perq"					
0310	55876		"	Place rt device/marker pros"					
0310	77295		"	3-d radiotherapy plan"					
0310	77301		"	Radiotherapy dose plan imrt"					
0310	C9728		"	Place device/marker, non pro"					
0312		Radioelement Applications		S	4.5655	$338.65	.	$67.73
0312	77761		"	Apply intrcav radiat simple"					
0312	77762		"	Apply intrcav radiat interm"					
0312	77763		"	Apply intrcav radiat compl"					
0312	77776		"	Apply interstit radiat simpl"					
0312	77777		"	Apply interstit radiat inter"					
0312	77799		"	Radium/radioisotope therapy"					
0313		Brachytherapy		S	9.7872	$725.98	$257.09	$145.20
0313	0182T		"	Hdr elect brachytherapy"					
0313	77785		"	Hdr brachytx 1 channel"					
0313	77786		"	Hdr brachytx 2-12 channel"					
0313	77787		"	Hdr brachytx over 12 chan"					
0317		Level II Miscellaneous Radiology Procedures		S	7.4337	$551.40	.	$110.28
0317	74320		"	Contrast x-ray of bile ducts"					
0317	74470		"	X-ray exam of kidney lesion"					
0317	75803		"	Lymph vessel x-ray arms/legs"					
0317	75805		"	Lymph vessel x-ray trunk"					
0317	75807		"	Lymph vessel x-ray trunk"					
0317	75822		"	Vein x-ray arms/legs"					
0317	78072		"	Parathyrd planar w/spect&ct"					
0317	78456		"	Acute venous thrombus image"					
0318		Level IV Neurostimulator & Related Procedures		J1	351.3029	"$26,058.24"	.	"$5,211.65"
0318	0283T		"	Periph field stimul perm"					
0318	61886		"	Implant neurostim arrays"					
0318	63685		"	Insrt/redo spine n generator"					
0318	64568		"	Inc for vagus n elect impl"					
0319		Level III Endovascular Procedures		J1	198.9730	"$14,759.02"	.	"$2,951.81"
0319	0238T		"	Trluml perip athrc iliac art"					
0319	37227		"	Fem/popl revasc stnt & ather"					
0319	37229		"	Tib/per revasc w/ather"					
0319	37230		"	Tib/per revasc w/stent"					
0319	37231		"	Tib/per revasc stent & ather"					
0319	92933		"	Prq card stent/ath/angio"					
0319	93580		"	Transcath closure of asd"					
0319	93581		"	Transcath closure of vsd"					
0319	93582		"	Perq transcath closure pda"					
0319	C9602		"	Perc d-e cor stent ather s"					
0319	C9606		Perc d-e cor revasc w ami s					
0319	C9607		"	Perc d-e cor revasc chro sin"					
0320		Electroconvulsive Therapy		S	5.9462	$441.07	.	$88.22
0320	90870		"	Electroconvulsive therapy"					
0322		Brief Individual Psychotherapy		S	1.2485	$92.61	.	$18.53
0322	90832		"	Psytx pt&/family 30 minutes"					
0322	90899		"	Psychiatric service/therapy"					
0322	G0397		"	Alcohol/subs interv >30 min"					
0323		Extended Individual Psychotherapy		S	1.5822	$117.36	.	$23.48
0323	90791		"	Psych diagnostic evaluation"					
0323	90792		"	Psych diag eval w/med srvcs"					
0323	90834		"	Psytx pt&/family 45 minutes"					
0323	90837		"	Psytx pt&/family 60 minutes"					
0323	90839		"	Psytx crisis initial 60 min"					
0323	90845		"	Psychoanalysis"					
0323	90865		"	Narcosynthesis"					
0323	90880		"	Hypnotherapy"					
0324		Family Psychotherapy		S	1.7564	$130.28	.	$26.06
0324	90846		"	Family psytx w/o patient"					
0324	90847		"	Family psytx w/patient"					
0325		Group Psychotherapy		S	0.8885	$65.91	.	$13.19
0325	90849		"	Multiple family group psytx"					
0325	90853		"	Group psychotherapy"					
0326		Level I Skin Procedures		T	2.9224	$216.77	.	$43.36
0326	0299T		"	Esw wound healing init wound"					
0326	11760		"	Repair of nail bed"					
0326	11954		"	Tx contour defects >10.0 cc"					
0326	12006		"	Rpr s/n/a/gen/trk20.1-30.0cm"					
0326	12021		"	Closure of split wound"					
0326	12031		"	Intmd rpr s/a/t/ext 2.5 cm/<"					
0326	12032		"	Intmd rpr s/a/t/ext 2.6-7.5"					
0326	12034		"	Intmd rpr s/tr/ext 7.6-12.5"					
0326	12041		"	Intmd rpr n-hf/genit 2.5cm/<"					
0326	12042		"	Intmd rpr n-hf/genit2.6-7.5"					
0326	12044		"	Intmd rpr n-hf/genit7.6-12.5"					
0326	12045		"	Intmd rpr n-hf/genit12.6-20"					
0326	12046		"	Intmd rpr n-hf/genit20.1-30"					
0326	12051		"	Intmd rpr face/mm 2.5 cm/<"					
0326	12052		"	Intmd rpr face/mm 2.6-5.0 cm"					
0326	12053		"	Intmd rpr face/mm 5.1-7.5 cm"					
0326	12054		"	Intmd rpr face/mm 7.6-12.5cm"					
0326	12055		"	Intmd rpr face/mm 12.6-20 cm"					
0326	12056		"	Intmd rpr face/mm 20.1-30.0"					
0326	12057		"	Intmd rpr face/mm >30.0 cm"					
0326	13120		"	Cmplx rpr s/a/l 1.1-2.5 cm"					
0326	13131		"	Cmplx rpr f/c/c/m/n/ax/g/h/f"					
0326	15775		"	Hair trnspl 1-15 punch grfts"					
0326	15776		"	Hair trnspl >15 punch grafts"					
0326	96913		"	Photochemotherapy uv-a or b"					
0327		Level II Skin Procedures		T	5.8090	$430.89	.	$86.18
0327	11920		"	Correct skin color 6.0 cm/<"					
0327	11921		"	Corect skin color 6.1-20.0cm"					
0327	11950		"	Tx contour defects 1 cc/<"					
0327	11951		"	Tx contour defects 1.1-5.0cc"					
0327	11952		"	Tx contour defects 5.1-10cc"					
0327	12020		"	Closure of split wound"					
0327	12035		"	Intmd rpr s/a/t/ext 12.6-20"					
0327	12036		"	Intmd rpr s/a/t/ext 20.1-30"					
0327	12037		"	Intmd rpr s/tr/ext >30.0 cm"					
0327	12047		"	Intmd rpr n-hf/genit >30.0cm"					
0327	13100		"	Cmplx rpr trunk 1.1-2.5 cm"					
0327	13101		"	Cmplx rpr trunk 2.6-7.5 cm"					
0327	13121		"	Cmplx rpr s/a/l 2.6-7.5 cm"					
0327	13132		"	Cmplx rpr f/c/c/m/n/ax/g/h/f"					
0327	13151		"	Cmplx rpr e/n/e/l 1.1-2.5 cm"					
0327	13152		"	Cmplx rpr e/n/e/l 2.6-7.5 cm"					
0327	15002		"	Wound prep trk/arm/leg"					
0327	15004		"	Wound prep f/n/hf/g"					
0327	15040		"	Harvest cultured skin graft"					
0327	15050		"	Skin pinch graft"					
0327	15110		"	Epidrm autogrft trnk/arm/leg"					
0327	15945		"	Remove hip pressure sore"					
0327	17311		"	Mohs 1 stage h/n/hf/g"					
0327	17313		"	Mohs 1 stage t/a/l"					
0327	20910		"	Remove cartilage for graft"					
0327	C5271		"	Low cost skin substitute app"					
0327	C5275		"	Low cost skin substitute app"					
0327	C5277		"	Low cost skin substitute app"					
0327	G0460		Autologous prp for ulcers					
0328		Level III Skin Procedures		T	18.9821	"$1,408.02"	.	$281.61
0328	11762		"	Reconstruction of nail bed"					
0328	13160		"	Late closure of wound"					
0328	14000		"	Tis trnfr trunk 10 sq cm/<"					
0328	14001		"	Tis trnfr trunk 10.1-30sqcm"					
0328	14020		"	Tis trnfr s/a/l 10 sq cm/<"					
0328	14021		"	Tis trnfr s/a/l 10.1-30 sqcm"					
0328	14040		"	Tis trnfr f/c/c/m/n/a/g/h/f"					
0328	14041		"	Tis trnfr f/c/c/m/n/a/g/h/f"					
0328	14060		"	Tis trnfr e/n/e/l 10 sq cm/<"					
0328	14061		"	Tis trnfr e/n/e/l10.1-30sqcm"					
0328	14350		"	Filleted finger/toe flap"					
0328	15115		"	Epidrm a-grft face/nck/hf/g"					
0328	15135		"	Derm autograft face/nck/hf/g"					
0328	15150		"	Cult skin grft t/arm/leg"					
0328	15220		"	Skin full graft sclp/arm/leg"					
0328	15240		"	Skin full grft face/genit/hf"					
0328	15260		"	Skin full graft een & lips"					
0328	15271		"	Skin sub graft trnk/arm/leg"					
0328	15275		"	Skin sub graft face/nk/hf/g"					
0328	15277		"	Skn sub grft f/n/hf/g child"					
0328	15570		"	Skin pedicle flap trunk"					
0328	15572		"	Skin pedicle flap arms/legs"					
0328	15574		"	Pedcle fh/ch/ch/m/n/ax/g/h/f"					
0328	15576		"	Pedicle e/n/e/l/ntroral"					
0328	15620		"	Delay flap f/c/c/n/ax/g/h/f"					
0328	15630		"	Delay flap eye/nos/ear/lip"					
0328	15650		"	Transfer skin pedicle flap"					
0328	15732		"	Muscle-skin graft head/neck"					
0328	15736		"	Muscle-skin graft arm"					
0328	15740		"	Island pedicle flap graft"					
0328	15750		"	Neurovascular pedicle flap"					
0328	15760		"	Composite skin graft"					
0328	15819		"	Plastic surgery neck"					
0328	15820		"	Revision of lower eyelid"					
0328	15821		"	Revision of lower eyelid"					
0328	15822		"	Revision of upper eyelid"					
0328	15823		"	Revision of upper eyelid"					
0328	15824		"	Removal of forehead wrinkles"					
0328	15825		"	Removal of neck wrinkles"					
0328	15922		"	Removal of tail bone ulcer"					
0328	15936		"	Remove sacrum pressure sore"					
0328	15937		"	Remove sacrum pressure sore"					
0328	15944		"	Remove hip pressure sore"					
0328	15956		"	Remove thigh pressure sore"					
0328	20101		"	Explore wound chest"					
0328	20102		"	Explore wound abdomen"					
0328	25929		"	Amputation follow-up surgery"					
0328	33222		"	Relocation pocket pacemaker"					
0328	33223		"	Relocate pocket for defib"					
0328	43887		"	Remove gastric port open"					
0328	C5273		"	Low cost skin substitute app"					
0328	C9800		"	Dermal filler inj px/suppl"					
0329		Level IV Skin Procedures		T	30.5102	"$2,263.12"	.	$452.63
0329	11960		"	Insert tissue expander(s)"					
0329	14301		"	Tis trnfr any 30.1-60 sq cm"					
0329	15100		"	Skin splt grft trnk/arm/leg"					
0329	15120		"	Skn splt a-grft fac/nck/hf/g"					
0329	15130		"	Derm autograft trnk/arm/leg"					
0329	15155		"	Cult skin graft f/n/hf/g"					
0329	15200		"	Skin full graft trunk"					
0329	15273		"	Skin sub grft t/arm/lg child"					
0329	15600		"	Delay flap trunk"					
0329	15610		"	Delay flap arms/legs"					
0329	15731		"	Forehead flap w/vasc pedicle"					
0329	15734		"	Muscle-skin graft trunk"					
0329	15738		"	Muscle-skin graft leg"					
0329	15770		"	Derma-fat-fascia graft"					
0329	15826		"	Removal of brow wrinkles"					
0329	15828		"	Removal of face wrinkles"					
0329	15829		"	Removal of skin wrinkles"					
0329	15840		"	Nerve palsy fascial graft"					
0329	15841		"	Nerve palsy muscle graft"					
0329	15842		"	Nerve palsy microsurg graft"					
0329	15845		"	Skin and muscle repair face"					
0329	15876		"	Suction lipectomy head&neck"					
0329	15877		"	Suction lipectomy trunk"					
0329	15878		"	Suction lipectomy upr extrem"					
0329	15879		"	Suction lipectomy lwr extrem"					
0329	15934		"	Remove sacrum pressure sore"					
0329	15935		"	Remove sacrum pressure sore"					
0329	15946		"	Remove hip pressure sore"					
0329	15952		"	Remove thigh pressure sore"					
0329	15953		"	Remove thigh pressure sore"					
0329	15958		"	Remove thigh pressure sore"					
0329	20912		"	Remove cartilage for graft"					
0329	20920		"	Removal of fascia for graft"					
0329	20922		"	Removal of fascia for graft"					
0329	20926		"	Removal of tissue for graft"					
0329	23921		"	Amputation follow-up surgery"					
0329	43886		"	Revise gastric port open"					
0329	43888		"	Change gastric port open"					
0329	44312		"	Revision of ileostomy"					
0329	44340		"	Revision of colostomy"					
0330		Dental Procedures		S	1.8957	$140.62	.	$28.13
0330	D0150		"	Comprehensve oral evaluation"					
0330	D0240		"	Intraoral occlusal film"					
0330	D0250		"	Extraoral first film"					
0330	D0260		"	Extraoral ea additional film"					
0330	D0270		"	Dental bitewing single image"					
0330	D0272		"	Dental bitewings two images"					
0330	D0274		"	Bitewings four images"					
0330	D0277		"	Vert bitewings 7 to 8 images"					
0330	D0460		"	Pulp vitality test"					
0330	D1510		"	Space maintainer fxd unilat"					
0330	D1515		"	Fixed bilat space maintainer"					
0330	D1520		"	Remove unilat space maintain"					
0330	D1525		"	Remove bilat space maintain"					
0330	D1550		"	Recement space maintainer"					
0330	D2999		"	Dental unspec restorative pr"					
0330	D3460		"	Endodontic endosseous implan"					
0330	D3999		"	Endodontic procedure"					
0330	D4260		"	Osseous surgery 4 or more"					
0330	D4263		"	Bone replce graft first site"					
0330	D4264		"	Bone replce graft each add"					
0330	D4268		"	Surgical revision procedure"					
0330	D4270		"	Pedicle soft tissue graft pr"					
0330	D4273		"	Subepithelial tissue graft"					
0330	D4355		"	Full mouth debridement"					
0330	D4381		"	Localized delivery antimicro"					
0330	D5911		"	Facial moulage sectional"					
0330	D5912		"	Facial moulage complete"					
0330	D5983		"	Radiation applicator"					
0330	D5984		"	Radiation shield"					
0330	D5985		"	Radiation cone locator"					
0330	D5987		"	Commissure splint"					
0330	D6920		"	Dental connector bar"					
0330	D7111		"	Extraction coronal remnants"					
0330	D7140		"	Extraction erupted tooth/exr"					
0330	D7210		"	Rem imp tooth w mucoper flp"					
0330	D7220		"	Impact tooth remov soft tiss"					
0330	D7230		"	Impact tooth remov part bony"					
0330	D7240		"	Impact tooth remov comp bony"					
0330	D7241		"	Impact tooth rem bony w/comp"					
0330	D7250		"	Tooth root removal"					
0330	D7260		"	Oral antral fistula closure"					
0330	D7261		"	Primary closure sinus perf"					
0330	D7291		"	Transseptal fiberotomy"					
0330	D7940		"	Reshaping bone orthognathic"					
0330	D9630		"	Other drugs/medicaments"					
0330	D9930		"	Treatment of complications"					
0330	D9940		"	Dental occlusal guard"					
0330	D9950		"	Occlusion analysis"					
0330	D9951		"	Limited occlusal adjustment"					
0330	D9952		"	Complete occlusal adjustment"					
0331		Combined Abdomen and Pelvis CT without Contrast		S	3.2623	$241.98	$93.48	$48.40
0331	74176		"	Ct abd & pelvis w/o contrast"					
0332		Computed Tomography without Contrast		S	1.6629	$123.35	$47.69	$24.67
0332	70450		"	Ct head/brain w/o dye"					
0332	70480		"	Ct orbit/ear/fossa w/o dye"					
0332	70486		"	Ct maxillofacial w/o dye"					
0332	70490		"	Ct soft tissue neck w/o dye"					
0332	71250		"	Ct thorax w/o dye"					
0332	72125		"	Ct neck spine w/o dye"					
0332	72128		"	Ct chest spine w/o dye"					
0332	72131		"	Ct lumbar spine w/o dye"					
0332	72192		"	Ct pelvis w/o dye"					
0332	73200		"	Ct upper extremity w/o dye"					
0332	73700		"	Ct lower extremity w/o dye"					
0332	74150		"	Ct abdomen w/o dye"					
0332	74261		"	Ct colonography dx"					
0333		Computed Tomography without Contrast followed by Contrast		S	3.7004	$274.48	$95.32	$54.90
0333	70470		"	Ct head/brain w/o & w/dye"					
0333	70482		"	Ct orbit/ear/fossa w/o&w/dye"					
0333	70488		"	Ct maxillofacial w/o & w/dye"					
0333	70492		"	Ct sft tsue nck w/o & w/dye"					
0333	71270		"	Ct thorax w/o & w/dye"					
0333	72127		"	Ct neck spine w/o & w/dye"					
0333	72130		"	Ct chest spine w/o & w/dye"					
0333	72133		"	Ct lumbar spine w/o & w/dye"					
0333	72194		"	Ct pelvis w/o & w/dye"					
0333	73202		"	Ct uppr extremity w/o&w/dye"					
0333	73702		"	Ct lwr extremity w/o&w/dye"					
0333	74170		"	Ct abdomen w/o & w/dye"					
0334		Combined Abdomen and Pelvis CT with Contrast		S	5.1717	$383.62	$123.63	$76.73
0334	74174		"	Ct angio abd&pelv w/o&w/dye"					
0334	74177		"	Ct abd & pelv w/contrast"					
0334	74178		"	Ct abd & pelv 1/> regns"					
0336		Magnetic Resonance Imaging and Magnetic Resonance Angiography without Contrast		S	3.9039	$289.58	$114.11	$57.92
0336	70336		"	Magnetic image jaw joint"					
0336	70540		"	Mri orbit/face/neck w/o dye"					
0336	70544		"	Mr angiography head w/o dye"					
0336	70547		"	Mr angiography neck w/o dye"					
0336	70551		"	Mri brain stem w/o dye"					
0336	70554		"	Fmri brain by tech"					
0336	70555		"	Fmri brain by phys/psych"					
0336	70557		"	Mri brain w/o dye"					
0336	71550		"	Mri chest w/o dye"					
0336	72141		"	Mri neck spine w/o dye"					
0336	72146		"	Mri chest spine w/o dye"					
0336	72148		"	Mri lumbar spine w/o dye"					
0336	72195		"	Mri pelvis w/o dye"					
0336	73218		"	Mri upper extremity w/o dye"					
0336	73221		"	Mri joint upr extrem w/o dye"					
0336	73718		"	Mri lower extremity w/o dye"					
0336	73721		"	Mri jnt of lwr extre w/o dye"					
0336	74181		"	Mri abdomen w/o dye"					
0336	75557		"	Cardiac mri for morph"					
0336	75559		"	Cardiac mri w/stress img"					
0336	76498		"	Mri procedure"					
0336	77084		"	Magnetic image bone marrow"					
0336	C8901		"Mra w/o cont, abd"					
0336	C8904		"Mri w/o cont, breast, uni"					
0336	C8907		"Mri w/o cont, breast, bi"					
0336	C8910		"Mra w/o cont, chest"					
0336	C8913		"Mra w/o cont, lwr ext"					
0336	C8919		"Mra w/o cont, pelvis"					
0336	C8932		"Mra, w/o dye, spinal canal"					
0336	C8935		"Mra, w/o dye, upper extr"					
0337		Magnetic Resonance Imaging and Magnetic Resonance Angiography without Contrast f		S	6.5365	$484.85	$174.40	$96.97
0337	70543		"	Mri orbt/fac/nck w/o &w/dye"					
0337	70546		"	Mr angiograph head w/o&w/dye"					
0337	70549		"	Mr angiograph neck w/o&w/dye"					
0337	70553		"	Mri brain stem w/o & w/dye"					
0337	70559		"	Mri brain w/o & w/dye"					
0337	71552		"	Mri chest w/o & w/dye"					
0337	72156		"	Mri neck spine w/o & w/dye"					
0337	72157		"	Mri chest spine w/o & w/dye"					
0337	72158		"	Mri lumbar spine w/o & w/dye"					
0337	72197		"	Mri pelvis w/o & w/dye"					
0337	73220		"	Mri uppr extremity w/o&w/dye"					
0337	73223		"	Mri joint upr extr w/o&w/dye"					
0337	73720		"	Mri lwr extremity w/o&w/dye"					
0337	73723		"	Mri joint lwr extr w/o&w/dye"					
0337	74183		"	Mri abdomen w/o & w/dye"					
0337	75561		"	Cardiac mri for morph w/dye"					
0337	C8902		"Mra w/o fol w/cont, abd"					
0337	C8905		"Mri w/o fol w/cont, brst, un"					
0337	C8908		"Mri w/o fol w/cont, breast,"					
0337	C8911		"Mra w/o fol w/cont, chest"					
0337	C8914		"Mra w/o fol w/cont, lwr ext"					
0337	C8920		"Mra w/o fol w/cont, pelvis"					
0337	C8933		"Mra, w/o&w/dye, spinal canal"					
0337	C8936		"Mra, w/o&w/dye, upper extr"					
0340		Level II Minor Procedures		S	0.8342	$61.88	.	$12.38
0340	0106T		"	Touch quant sensory test"					
0340	0107T		"	Vibrate quant sensory test"					
0340	0109T		"	Heat quant sensory test"					
0340	0110T		"	Nos quant sensory test"					
0340	0126T		"	Chd risk imt study"					
0340	20979		"	Us bone stimulation"					
0340	29126		"	Apply forearm splint"					
0340	29130		"	Application of finger splint"					
0340	29131		"	Application of finger splint"					
0340	29240		"	Strapping of shoulder"					
0340	29260		"	Strapping of elbow or wrist"					
0340	29280		"	Strapping of hand or finger"					
0340	29520		"	Strapping of hip"					
0340	29530		"	Strapping of knee"					
0340	29550		"	Strapping of toes"					
0340	51798		"	Us urine capacity measure"					
0340	69210		"	Remove impacted ear wax uni"					
0340	76977		"	Us bone density measure"				$0.00	$0.00
0340	86485		"	Skin test candida"					
0340	86486		"	Skin test nos antigen"					
0340	86510		"	Histoplasmosis skin test"					
0340	92227		"	Remote dx retinal imaging"					
0340	92520		"	Laryngeal function studies"					
0340	92542		"	Positional nystagmus test"					
0340	93041		"	Rhythm ecg tracing"					
0340	93278		"	Ecg/signal-averaged"					
0340	93998		"	Noninvas vasc dx study proc"					
0340	94250		"	Expired gas collection"					
0340	94690		"	Exhaled air analysis"					
0340	94780		"	Car seat/bed test 60 min"					
0340	95012		"	Exhaled nitric oxide meas"					
0340	95018		"	Perq&ic allg test drugs/biol"					
0340	95024		"	Icut allergy test drug/bug"					
0340	95028		"	Icut allergy test-delayed"					
0340	95052		"	Photo patch test"					
0340	95056		"	Photosensitivity tests"					
0340	95065		"	Nose allergy test"					
0340	95803		"	Actigraphy testing"					
0340	95870		"	Muscle test nonparaspinal"					
0340	96910		"	Photochemotherapy with uv-b"					
0340	96912		"	Photochemotherapy with uv-a"					
0340	G0293		"	Non-cov surg proc,clin trial"					
0340	G0294		"	Non-cov proc, clinical trial"					
0342		Level I Pathology		S	0.7338	$54.43	.	$10.89
0342	80502		"	Lab pathology consultation"					
0342	88112		"	Cytopath cell enhance tech"					
0342	88162		"	Cytopath smear other source"					
0342	88172		"	Cytp dx eval fna 1st ea site"					
0342	88173		"	Cytopath eval fna report"					
0342	88199		"	Cytopathology procedure"					
0342	88299		"	Cytogenetic study"					
0342	88304		"	Tissue exam by pathologist"					
0342	88305		"	Tissue exam by pathologist"					
0342	88312		"	Special stains group 1"					
0342	88313		"	Special stains group 2"					
0342	88325		"	Comprehensive review of data"					
0342	88356		"	Analysis nerve"					
0342	88365		"	Insitu hybridization (fish)"					
0342	88375		"	Optical endomicroscpy interp"					
0342	88399		"	Surgical pathology procedure"					
0342	89230		"	Collect sweat for test"					
0342	89240		"	Pathology lab procedure"					
0342	89257		"	Sperm identification"					
0342	89260		"	Sperm isolation simple"					
0342	89261		"	Sperm isolation complex"					
0342	89335		"	Cryopreserve testicular tiss"					
0342	89343		"	Storage/year sperm/semen"					
0342	89398		"	Unlisted reprod med lab proc"					
0345		Level I Transfusion Laboratory Procedures		S	1.0150	$75.29	.	$15.06
0345	86850		"	Rbc antibody screen"					
0345	86900		"	Blood typing abo"					
0345	86901		"	Blood typing rh (d)"					
0345	86902		"	Blood type antigen donor ea"					
0345	86904		"	Blood typing patient serum"					
0345	86905		"	Blood typing rbc antigens"					
0345	86906		"	Blood typing rh phenotype"					
0345	86921		"	Compatibility test incubate"					
0345	86930		"	Frozen blood prep"					
0345	86932		"	Frozen blood freeze/thaw"					
0345	86945		"	Blood product/irradiation"					
0345	86950		"	Leukacyte transfusion"					
0345	86976		"	Rbc serum pretx id dilution"					
0345	86977		"	Rbc serum pretx incubj/inhib"					
0345	86978		"	Rbc pretreatment serum"					
0345	86999		"	Transfusion procedure"					
0346		Level II Transfusion Laboratory Procedures		S	1.6419	$121.79	.	$24.36
0346	86860		"	Rbc antibody elution"					
0346	86880		"	Coombs test direct"					
0346	86885		"	Coombs test indirect qual"					
0346	86890		"	Autologous blood process"					
0346	86891		"	Autologous blood op salvage"					
0346	86920		"	Compatibility test spin"					
0346	86922		"	Compatibility test antiglob"					
0346	86923		"	Compatibility test electric"					
0346	86931		"	Frozen blood thaw"					
0346	86960		"	Vol reduction of blood/prod"					
0346	86965		"	Pooling blood platelets"					
0346	86971		"	Rbc pretx incubatj w/enzymes"					
0346	86972		"	Rbc pretx incubatj w/density"					
0346	86975		"	Rbc serum pretx incubj drugs"					
0346	86985		"	Split blood or products"					
0351		Level V Intraocular Procedures		J1	271.1265	"$20,111.08"	.	"$4,022.22"
0351	0308T		"	Insj ocular telescope prosth"					
0360		Level I Alimentary Tests		S	1.9273	$142.96	$33.08	$28.60
0360	91037		"	Esoph imped function test"					
0360	91040		"	Esoph balloon distension tst"					
0360	91065		"	Breath hydrogen/methane test"					
0360	91132		"	Electrogastrography"					
0360	91133		"	Electrogastrography w/test"					
0360	91299		"	Gastroenterology procedure"					
0361		Level II Alimentary Tests		S	4.4537	$330.36	$83.23	$66.08
0361	0240T		"	Esoph motility 3d topography"					
0361	91010		"	Esophagus motility study"					
0361	91020		"	Gastric motility studies"					
0361	91022		"	Duodenal motility study"					
0361	91030		"	Acid perfusion of esophagus"					
0361	91034		"	Gastroesophageal reflux test"					
0361	91035		"	G-esoph reflx tst w/electrod"					
0361	91038		"	Esoph imped funct test > 1hr"					
0361	95076		"	Ingest challenge ini 120 min"					
0363		Level I Otorhinolaryngologic Function Tests		S	2.0971	$155.55	.	$31.11
0363	92512		"	Nasal function studies"					
0363	92516		"	Facial nerve function test"					
0363	92544		"	Optokinetic nystagmus test"					
0363	92545		"	Oscillating tracking test"					
0363	92548		"	Posturography"					
0363	92587		"	Evoked auditory test limited"					
0363	92588		"	Evoked auditory tst complete"					
0364		Level I Audiometry		S	0.5497	$40.77	.	$8.16
0364	0208T		"	Audiometry air only"					
0364	0209T		"	Audiometry air & bone"					
0364	0210T		"	Speech audiometry threshold"					
0364	0211T		"	Speech audiom thresh & recog"					
0364	92555		"	Speech threshold audiometry"					
0364	92556		"	Speech audiometry complete"					
0364	92563		"	Tone decay hearing test"					
0364	92564		"	Sisi hearing test"					
0364	92565		"	Stenger test pure tone"					
0364	92567		"	Tympanometry"					
0364	92571		"	Filtered speech hearing test"					
0364	92575		"	Sensorineural acuity test"					
0364	92576		"	Synthetic sentence test"					
0364	92583		"	Select picture audiometry"					
0364	92596		"	Ear protector evaluation"					
0364	92700		"	Ent procedure/service"					
0365		Level II Audiometry		S	1.5865	$117.68	.	$23.54
0365	0212T		"	Compre audiometry evaluation"					
0365	92550		"	Tympanometry & reflex thresh"					
0365	92552		"	Pure tone audiometry air"					
0365	92553		"	Audiometry air & bone"					
0365	92557		"	Comprehensive hearing test"					
0365	92561		"	Bekesy audiometry diagnosis"					
0365	92562		"	Loudness balance test"					
0365	92570		"	Acoustic immitance testing"					
0365	92572		"	Staggered spondaic word test"					
0365	92577		"	Stenger test speech"					
0365	92579		"	Visual audiometry (vra)"					
0365	92582		"	Conditioning play audiometry"					
0365	92601		"	Cochlear implt f/up exam <7"					
0365	92602		"	Reprogram cochlear implt 7/>"					
0365	92603		"	Cochlear implt f/up exam 7/>"					
0365	92604		"	Reprogram cochlear implt 7/>"					
0365	92620		"	Auditory function 60 min"					
0365	92625		"	Tinnitus assessment"					
0365	92626		"	Eval aud rehab status"					
0365	92640		"	Aud brainstem implt programg"					
0367		Level I Pulmonary Tests		S	2.1415	$158.85	.	$31.77
0367	93740		"	Temperature gradient studies"					
0367	94010		"	Breathing capacity test"					
0367	94011		"	Spirometry up to 2 yrs old"					
0367	94012		"	Spirmtry w/brnchdil inf-2 yr"					
0367	94014		"	Patient recorded spirometry"					
0367	94015		"	Patient recorded spirometry"					
0367	94150		"	Vital capacity test"					
0367	94375		"	Respiratory flow volume loop"					
0367	94400		"	Co2 breathing response curve"					
0367	94450		"	Hypoxia response curve"					
0367	94452		"	Hast w/report"					
0367	94453		"	Hast w/oxygen titrate"					
0367	94680		"	Exhaled air analysis o2"					
0367	94681		"	Exhaled air analysis o2/co2"					
0367	94726		"	Pulm funct tst plethysmograp"					
0367	94727		"	Pulm function test by gas"					
0367	94728		"	Pulm funct test oscillometry"					
0367	94750		"	Pulmonary compliance study"					
0367	94799		"	Pulmonary service/procedure"					
0367	95071		"	Bronchial allergy tests"					
0369		Level II Pulmonary Tests		S	3.1661	$234.85	.	$46.97
0369	0244T		"	Cont msr bronchodil wheeze"					
0369	94013		"	Meas lung vol thru 2 yrs"					
0369	94060		"	Evaluation of wheezing"					
0369	94070		"	Evaluation of wheezing"					
0369	94621		"	Pulm stress test/complex"					
0369	94770		"	Exhaled carbon dioxide test"					
0369	94772		"	Breath recording infant"					
0369	95070		"	Bronchial allergy tests"					
0373		Neuropsychological Testing		S	2.7992	$207.63	.	$41.53
0373	96101		"	Psycho testing by psych/phys"					
0373	96102		"	Psycho testing by technician"					
0373	96103		"	Psycho testing admin by comp"					
0373	96116		"	Neurobehavioral status exam"					
0373	96118		"	Neuropsych tst by psych/phys"					
0373	96119		"	Neuropsych testing by tec"					
0373	96120		"	Neuropsych tst admin w/comp"					
0377		Level II Cardiac Imaging		S	15.3605	"$1,139.38"	.	$227.88
0377	0331T		"	Heart symp image plnr"					
0377	0332T		"	Heart symp image plnr spect"					
0377	75563		"	Card mri w/stress img & dye"					
0377	78451		"	Ht muscle image spect sing"					
0377	78452		"	Ht muscle image spect mult"					
0377	78453		"	Ht muscle image planar sing"					
0377	78454		"	Ht musc image planar mult"					
0377	78483		"	Heart first pass multiple"					
0378		Level II Pulmonary Imaging		S	5.7557	$426.93	$125.48	$85.39
0378	78582		"	Lung ventilat&perfus imaging"					
0378	78598		"	Lung perf&ventilat diferentl"					
0383		Cardiac Computed Tomographic Imaging		S	2.9252	$216.98	.	$43.40
0383	75572		"	Ct hrt w/3d image"					
0383	75573		"	Ct hrt w/3d image congen"					
0383	75574		"	Ct angio hrt w/3d image"					
0384		GI Procedures with Stents		J1	42.5933	"$3,159.40"	.	$631.88
0384	43212		"	Esophagoscop stent placement"					
0384	43266		"	Egd endoscopic stent place"					
0384	43274		"	Ercp duct stent placement"					
0384	43276		"	Ercp stent exchange w/dilate"					
0384	44370		"	Small bowel endoscopy/stent"					
0384	44379		"	S bowel endoscope w/stent"					
0384	44383		"	Ileoscopy w/stent"					
0384	44397		"	Colonoscopy w/stent"					
0384	45327		"	Proctosigmoidoscopy w/stent"					
0384	45345		"	Sigmoidoscopy w/stent"					
0384	45387		"	Colonoscopy w/stent"					
0385		Level I Urogenital Procedures		J1	103.2592	"$7,659.35"	.	"$1,531.87"
0385	53440		"	Male sling procedure"					
0385	53444		"	Insert tandem cuff"					
0385	54400		"	Insert semi-rigid prosthesis"					
0385	55873		"	Cryoablate prostate"					
0386		Level II Urogenital Procedures		J1	187.3364	"$13,895.86"	.	"$2,779.18"
0386	53445		"	Insert uro/ves nck sphincter"					
0386	53447		"	Remove/replace ur sphincter"					
0386	54401		"	Insert self-contd prosthesis"					
0386	54405		"	Insert multi-comp penis pros"					
0386	54410		"	Remove/replace penis prosth"					
0386	54416		"	Remv/repl penis contain pros"					
0388		Discography		S	39.3693	"$2,920.26"	.	$584.06
0388	72285		"	Discography cerv/thor spine"					
0388	72295		"	X-ray of lower spine disk"					
0389		Level I Non-imaging Nuclear Medicine		S	2.5694	$190.59	.	$38.12
0389	78012		"	Thyroid uptake measurement"					
0389	78999		"	Nuclear diagnostic exam"					
0390		Level I Endocrine Imaging		S	2.5497	$189.13	$47.69	$37.83
0390	78013		"	Thyroid imaging w/blood flow"					
0390	78099		"	Endocrine nuclear procedure"					
0391		Level II Endocrine Imaging		S	3.7937	$281.40	$64.20	$56.28
0391	78014		"	Thyroid imaging w/blood flow"					
0391	78070		"	Parathyroid planar imaging"					
0392		Level II Non-imaging Nuclear Medicine		S	3.8486	$285.47	.	$57.10
0392	38792		"	Ra tracer id of sentinl node"					
0392	78190		"	Platelet survival kinetics"					
0392	78191		"	Platelet survival"					
0392	78270		"	Vit b-12 absorption exam"					
0392	78271		"	Vit b-12 absrp exam int fac"					
0392	78272		"	Vit b-12 absorp combined"					
0392	78725		"	Kidney function study"					
0392	78808		"	Iv inj ra drug dx study"					
0393		Hematologic Processing & Studies		S	8.4776	$628.83	.	$125.77
0393	38210		"	T-cell depletion of harvest"					
0393	38211		"	Tumor cell deplete of harvst"					
0393	38212		"	Rbc depletion of harvest"					
0393	38213		"	Platelet deplete of harvest"					
0393	38214		"	Volume deplete of harvest"					
0393	38215		"	Harvest stem cell concentrte"					
0393	78110		"	Plasma volume single"					
0393	78111		"	Plasma volume multiple"					
0393	78120		"	Red cell mass single"					
0393	78121		"	Red cell mass multiple"					
0393	78122		"	Blood volume"					
0393	78130		"	Red cell survival study"					
0393	78135		"	Red cell survival kinetics"					
0393	78140		"	Red cell sequestration"					
0394		Hepatobiliary Imaging		S	5.0032	$371.12	$90.43	$74.23
0394	78201		"	Liver imaging"					
0394	78202		"	Liver imaging with flow"					
0394	78205		"	Liver imaging (3d)"					
0394	78206		"	Liver image (3d) with flow"					
0394	78215		"	Liver and spleen imaging"					
0394	78216		"	Liver & spleen image/flow"					
0394	78226		"	Hepatobiliary system imaging"					
0394	78227		"	Hepatobil syst image w/drug"					
0395		GI Tract Imaging		S	4.3913	$325.73	$87.01	$65.15
0395	78230		"	Salivary gland imaging"					
0395	78231		"	Serial salivary imaging"					
0395	78232		"	Salivary gland function exam"					
0395	78258		"	Esophageal motility study"					
0395	78261		"	Gastric mucosa imaging"					
0395	78262		"	Gastroesophageal reflux exam"					
0395	78264		"	Gastric emptying study"					
0395	78278		"	Acute gi blood loss imaging"					
0395	78282		"	Gi protein loss exam"					
0395	78290		"	Meckels divert exam"					
0395	78291		"	Leveen/shunt patency exam"					
0395	78299		"	Gi nuclear procedure"					
0396		Bone Imaging		S	4.4870	$332.83	$94.20	$66.57
0396	78300		"	Bone imaging limited area"					
0396	78305		"	Bone imaging multiple areas"					
0396	78306		"	Bone imaging whole body"					
0396	78315		"	Bone imaging 3 phase"					
0396	78320		"	Bone imaging (3d)"					
0396	78399		"	Musculoskeletal nuclear exam"					
0398		Level I Cardiac Imaging		S	5.0433	$374.09	$91.14	$74.82
0398	78414		"	Non-imaging heart function"					
0398	78428		"	Cardiac shunt imaging"					
0398	78466		"	Heart infarct image"					
0398	78468		"	Heart infarct image (ef)"					
0398	78469		"	Heart infarct image (3d)"					
0398	78472		"	Gated heart planar single"					
0398	78473		"	Gated heart multiple"					
0398	78481		"	Heart first pass single"					
0398	78494		"	Heart image spect"					
0398	78499		"	Cardiovascular nuclear exam"					
0400		Hematopoietic Imaging		S	4.9059	$363.90	$90.90	$72.78
0400	78102		"	Bone marrow imaging ltd"					
0400	78103		"	Bone marrow imaging mult"					
0400	78104		"	Bone marrow imaging body"					
0400	78185		"	Spleen imaging"					
0400	78195		"	Lymph system imaging"					
0400	78199		"	Blood/lymph nuclear exam"					
0401		Level I Pulmonary Imaging		S	4.1123	$305.03	$70.93	$61.01
0401	78579		"	Lung ventilation imaging"					
0401	78580		"	Lung perfusion imaging"					
0401	78597		"	Lung perfusion differential"					
0401	78599		"	Respiratory nuclear exam"					
0402		Level II Nervous System Imaging		S	7.6717	$569.06	.	$113.82
0402	78601		"	Brain image w/flow < 4 views"					
0402	78605		"	Brain image 4+ views"					
0402	78606		"	Brain image w/flow 4 + views"					
0402	78610		"	Brain flow imaging only"					
0402	78630		"	Cerebrospinal fluid scan"					
0402	78635		"	Csf ventriculography"					
0402	78645		"	Csf shunt evaluation"					
0402	78647		"	Cerebrospinal fluid scan"					
0402	78650		"	Csf leakage imaging"					
0403		Level I Nervous System Imaging		S	2.3570	$174.83	$44.61	$34.97
0403	78600		"	Brain image < 4 views"					
0403	78660		"	Nuclear exam of tear flow"					
0403	78699		"	Nervous system nuclear exam"					
0404		Renal and Genitourinary Studies		S	5.7104	$423.57	.	$84.72
0404	78700		"	Kidney imaging morphol"					
0404	78701		"	Kidney imaging with flow"					
0404	78707		"	K flow/funct image w/o drug"					
0404	78708		"	K flow/funct image w/drug"					
0404	78709		"	K flow/funct image multiple"					
0404	78710		"	Kidney imaging (3d)"					
0404	78740		"	Ureteral reflux study"					
0404	78761		"	Testicular imaging w/flow"					
0404	78799		"	Genitourinary nuclear exam"					
0406		Level I Tumor/Infection Imaging		S	5.1768	$383.99	$85.06	$76.80
0406	78015		"	Thyroid met imaging"					
0406	78016		"	Thyroid met imaging/studies"					
0406	78018		"	Thyroid met imaging body"					
0406	78800		"	Tumor imaging limited area"					
0406	78801		"	Tumor imaging mult areas"					
0407		Radionuclide Therapy		S	3.7573	$278.70	$78.13	$55.74
0407	79005		"	Nuclear rx oral admin"					
0407	79101		"	Nuclear rx iv admin"					
0407	79200		"	Nuclear rx intracav admin"					
0407	79300		"	Nuclr rx interstit colloid"					
0407	79403		"	Hematopoietic nuclear tx"					
0407	79440		"	Nuclear rx intra-articular"					
0407	79445		"	Nuclear rx intra-arterial"					
0407	79999		"	Nuclear medicine therapy"					
0408		Level III Tumor/Infection Imaging		S	16.0171	"$1,188.08"	.	$237.62
0408	78075		"	Adrenal cortex & medulla img"					
0408	78607		"	Brain imaging (3d)"					
0408	78804		"	Tumor imaging whole body"					
0412		Level III Radiation Therapy		S	6.9437	$515.06	.	$103.02
0412	0073T		"	Delivery comp imrt"					
0412	77418		"	Radiation tx delivery imrt"					
0412	77470		"	Special radiation treatment"					
0412	77520		"	Proton trmt simple w/o comp"					
0412	77605		"	Hyperthermia treatment"					
0412	77610		"	Hyperthermia treatment"					
0412	77615		"	Hyperthermia treatment"					
0412	77620		"	Hyperthermia treatment"					
0414		Level II Tumor/Infection Imaging		S	9.5123	$705.58	.	$141.12
0414	78802		"	Tumor imaging whole body"					
0414	78803		"	Tumor imaging (3d)"					
0414	78805		"	Abscess imaging ltd area"					
0414	78806		"	Abscess imaging whole body"					
0414	78807		"	Nuclear localization/abscess"					
0415		Level II Endoscopy Lower Airway		T	30.4870	"$2,261.40"	.	$452.28
0415	31626		"	Bronchoscopy w/markers"					
0415	31629		"	Bronchoscopy/needle bx each"					
0415	31630		"	Bronchoscopy dilate/fx repr"					
0415	31631		"	Bronchoscopy dilate w/stent"					
0415	31634		"	Bronch w/balloon occlusion"					
0415	31636		"	Bronchoscopy bronch stents"					
0415	31638		"	Bronchoscopy revise stent"					
0415	31640		"	Bronchoscopy w/tumor excise"					
0415	31641		"	Bronchoscopy treat blockage"					
0415	31647		"	Bronchial valve init insert"					
0415	31648		"	Bronchial valve remov init"					
0415	31660		"	Bronch thermoplsty 1 lobe"					
0415	31661		"	Bronch thermoplsty 2/> lobes"					
0419		Level II Upper GI Procedures		T	14.3040	"$1,061.01"	.	$212.21
0419	43192		"	Esophagoscp rig trnso inject"					
0419	43193		"	Esophagoscp rig trnso biopsy"					
0419	43194		"	Esophagoscp rig trnso rem fb"					
0419	43195		"	Esophagoscopy rigid balloon"					
0419	43196		"	Esophagoscp guide wire dilat"					
0419	43201		"	Esoph scope w/submucous inj"					
0419	43205		"	Esophagus endoscopy/ligation"					
0419	43206		"	Esoph optical endomicroscopy"					
0419	43211		"	Esophagoscop mucosal resect"					
0419	43213		"	Esophagoscopy retro balloon"					
0419	43214		"	Esophagosc dilate balloon 30"					
0419	43215		"	Esophagoscopy flex remove fb"					
0419	43217		"	Esophagoscopy snare les remv"					
0419	43220		"	Esophagoscopy balloon <30mm"					
0419	43226		"	Esoph endoscopy dilation"					
0419	43227		"	Esophagoscopy control bleed"					
0419	43231		"	Esophagoscop ultrasound exam"					
0419	43232		"	Esophagoscopy w/us needle bx"					
0419	43233		"	Egd balloon dil esoph30 mm/>"					
0419	43237		"	Endoscopic us exam esoph"					
0419	43238		"	Egd us fine needle bx/aspir"					
0419	43240		"	Egd w/transmural drain cyst"					
0419	43242		"	Egd us fine needle bx/aspir"					
0419	43244		"	Egd varices ligation"					
0419	43245		"	Egd dilate stricture"					
0419	43246		"	Egd place gastrostomy tube"					
0419	43249		"	Esoph egd dilation <30 mm"					
0419	43250		"	Egd cautery tumor polyp"					
0419	43251		"	Egd remove lesion snare"					
0419	43252		"	Egd optical endomicroscopy"					
0419	43253		"	Egd us transmural injxn/mark"					
0419	43254		"	Egd endo mucosal resection"					
0419	43255		"	Egd control bleeding any"					
0419	43259		"	Egd us exam duodenum/jejunum"					
0419	43270		"	Egd lesion ablation"					
0419	43453		"	Dilate esophagus"					
0419	44100		"	Biopsy of bowel"					
0419	49440		"	Place gastrostomy tube perc"					
0419	49441		"	Place duod/jej tube perc"					
0419	49446		"	Change g-tube to g-j perc"					
0420		Level III Minor Procedures		S	1.6859	$125.05	.	$25.01
0420	0108T		"	Cool quant sensory test"					
0420	0206T		"	Cptr dbs alys car elec dta"					
0420	0226T		"	Anoscopy hra w/spec collect"					
0420	0232T		"	Njx platelet plasma"					
0420	11980		"	Implant hormone pellet(s)"					
0420	11981		"	Insert drug implant device"					
0420	11982		"	Remove drug implant device"					
0420	11983		"	Remove/insert drug implant"					
0420	15852		"	Dressing change not for burn"					
0420	15860		"	Test for blood flow in graft"					
0420	19281		"	Perq device breast 1st imag"					
0420	19283		"	Perq dev breast 1st strtctc"					
0420	19285		"	Perq dev breast 1st us imag"					
0420	19287		"	Perq dev breast 1st mr guide"					
0420	20665		"	Removal of fixation device"					
0420	29125		"	Apply forearm splint"					
0420	30300		"	Remove nasal foreign body"					
0420	30901		"	Control of nosebleed"					
0420	36420		"	Vein access cutdown < 1 yr"					
0420	36425		"	Vein access cutdown > 1 yr"					
0420	36600		"	Withdrawal of arterial blood"					
0420	36680		"	Insert needle bone cavity"					
0420	40804		"	Removal foreign body mouth"					
0420	42809		"	Remove pharynx foreign body"					
0420	43753		"	Tx gastro intub w/asp"					
0420	43754		"	Dx gastr intub w/asp spec"					
0420	46600		"	Diagnostic anoscopy"					
0420	51701		"	Insert bladder catheter"					
0420	51702		"	Insert temp bladder cath"					
0420	51736		"	Urine flow measurement"					
0420	64402		"	N block inj facial"					
0420	69200		"	Clear outer ear canal"					
0420	86490		"	Coccidioidomycosis skin test"					
0420	92228		"	Remote retinal imaging mgmt"					
0420	92541		"	Spontaneous nystagmus test"					
0420	94200		"	Lung function test (mbc/mvv)"					
0420	94620		"	Pulmonary stress test/simple"					
0420	94644		"	Cbt 1st hour"					
0420	95004		"	Percut allergy skin tests"					
0420	95044		"	Allergy patch tests"					
0420	95060		"	Eye allergy tests"					
0420	95180		"	Rapid desensitization"					
0420	G0166		"	Extrnl counterpulse, per tx"					
0420	G0455		"	Fecal microbiota prep instil"					
0422		Level III Upper GI Procedures		T	25.3607	"$1,881.16"	.	$376.24
0422	43216		"	Esophagoscopy lesion removal"					
0422	43229		"	Esophagoscopy lesion ablate"					
0422	43257		"	Egd w/thrml txmnt gerd"					
0422	43830		"	Place gastrostomy tube"					
0422	43870		"	Repair stomach opening"					
0422	C9724		Eps stomach plic					
0423		Level II Percutaneous Abdominal and Biliary Procedures		T	54.6446	"$4,053.32"	.	$810.67
0423	0340T		"	Ablate pulm tumors + extnsn"					
0423	32998		"	Perq rf ablate tx pul tumor"					
0423	47382		"	Percut ablate liver rf"					
0423	47511		"	Insert bile duct drain"					
0423	47553		"	Biliary endoscopy thru skin"					
0423	47556		"	Biliary endoscopy thru skin"					
0423	50592		"	Perc rf ablate renal tumor"					
0423	50593		"	Perc cryo ablate renal tum"					
0424		Level II Small Intestine Endoscopy		T	16.4354	"$1,219.11"	.	$243.83
0424	44364		"	Small bowel endoscopy"					
0424	44365		"	Small bowel endoscopy"					
0424	44366		"	Small bowel endoscopy"					
0424	44369		"	Small bowel endoscopy"					
0424	44372		"	Small bowel endoscopy"					
0424	44373		"	Small bowel endoscopy"					
0424	44377		"	Small bowel endoscopy/biopsy"					
0424	44378		"	Small bowel endoscopy"					
0425		Level V Musculoskeletal Procedures Except Hand and Foot		J1	139.6616	"$10,359.54"	.	"$2,071.91"
0425	0171T		"	Lumbar spine proces distract"					
0425	0334T		"	Perq stablj sacroiliac joint"					
0425	23470		"	Reconstruct shoulder joint"					
0425	24361		"	Reconstruct elbow joint"					
0425	24363		"	Replace elbow joint"					
0425	24365		"	Reconstruct head of radius"					
0425	24366		"	Reconstruct head of radius"					
0425	24370		"	Revise reconst elbow joint"					
0425	24371		"	Revise reconst elbow joint"					
0425	24435		"	Repair humerus with graft"					
0425	24498		"	Reinforce humerus"					
0425	25441		"	Reconstruct wrist joint"					
0425	25442		"	Reconstruct wrist joint"					
0425	25444		"	Reconstruct wrist joint"					
0425	25446		"	Wrist replacement"					
0425	27412		"	Autochondrocyte implant knee"					
0425	27415		"	Osteochondral knee allograft"					
0425	27428		"	Reconstruction knee"					
0425	27438		"	Revise kneecap with implant"					
0425	27440		"	Revision of knee joint"					
0425	27442		"	Revision of knee joint"					
0425	27443		"	Revision of knee joint"					
0425	27446		"	Revision of knee joint"					
0425	27745		"	Reinforce tibia"					
0425	28715		"	Fusion of foot bones"					
0425	69714		"	Implant temple bone w/stimul"					
0425	69715		"	Temple bne implnt w/stimulat"					
0425	69718		"	Revise temple bone implant"					
0427		Level II Tube or Catheter Changes or Repositioning		J1	19.5996	"$1,453.82"	.	$290.77
0427	47525		"	Change bile duct catheter"					
0427	47530		"	Revise/reinsert bile tube"					
0427	49423		"	Exchange drainage catheter"					
0427	49436		"	Embedded ip cath exit-site"					
0427	50387		"	Change ext/int ureter stent"					
0427	50398		"	Change kidney tube"					
0427	50688		"	Change of ureter tube/stent"					
0427	62225		"	Replace/irrigate catheter"					
0428		Level III Sigmoidoscopy and Anoscopy		T	22.5458	"$1,672.36"	.	$334.48
0428	45307		"	Proctosigmoidoscopy fb"					
0428	45320		"	Proctosigmoidoscopy ablate"					
0428	45321		"	Proctosigmoidoscopy volvul"					
0428	46610		"	Anoscopy remove lesion"					
0428	46612		"	Anoscopy remove lesions"					
0428	46615		"	Anoscopy"					
0431		Level IV Closed Treatment Fracture		T	18.4054	"$1,365.24"	.	$273.05
0431	22315		"	Closed tx vert fx w/manj"					
0431	23520		"	Treat clavicle dislocation"					
0431	23625		"	Treat humerus fracture"					
0431	24620		"	Treat elbow fracture"					
0431	25259		"	Manipulate wrist w/anesthes"					
0431	25690		"	Treat wrist dislocation"					
0431	26607		"	Treat metacarpal fracture"					
0431	26706		"	Pin knuckle dislocation"					
0431	27267		"	Cltx thigh fx"					
0431	27502		"	Treatment of thigh fracture"					
0431	27532		"	Treat knee fracture"					
0431	27752		"	Treatment of tibia fracture"					
0431	27762		"	Cltx med ankle fx w/mnpj"					
0431	27825		"	Treat lower leg fracture"					
0431	28435		"	Treatment of ankle fracture"					
0431	28575		"	Treat foot dislocation"					
0431	28635		"	Treat toe dislocation"					
0432		Level II Health and Behavior Services		S	0.7258	$53.84	.	$10.77
0432	96150		"	Assess hlth/behave init"					
0432	96151		"	Assess hlth/behave subseq"					
0432	96152		"	Intervene hlth/behave indiv"					
0432	96154		"	Interv hlth/behav fam w/pt"					
0432	G0396		"	Alcohol/subs interv 15-30mn"					
0432	G0437		"	Tobacco-use counsel>10min"				$0.00	$0.00
0432	G0442		"	Annual alcohol screen 15 min"				$0.00	$0.00
0432	G0443		"	Brief alcohol misuse counsel"				$0.00	$0.00
0432	G0447		"	Behavior counsel obesity 15m"				$0.00	$0.00
0432	G0451		"	Devlopment test interpt&rep"					
0433		Level II Pathology		S	2.4491	$181.66	.	$36.34
0433	0058T		"	Cryopreservation ovary tiss"					
0433	0059T		"	Cryopreservation oocyte"					
0433	80500		"	Lab pathology consultation"					
0433	86078		"	Phys blood bank serv reactj"					
0433	86079		"	Phys blood bank serv authrj"					
0433	86870		"	Rbc antibody identification"					
0433	86886		"	Coombs test indirect titer"					
0433	88120		"	Cytp urne 3-5 probes ea spec"					
0433	88121		"	Cytp urine 3-5 probes cmptr"					
0433	88125		"	Forensic cytopathology"					
0433	88184		"	Flowcytometry/ tc 1 marker"					
0433	88307		"	Tissue exam by pathologist"					
0433	88323		"	Microslide consultation"					
0433	88331		"	Path consult intraop 1 bloc"					
0433	88346		"	Immunofluorescent study"					
0433	88347		"	Immunofluorescent study"					
0433	88348		"	Electron microscopy"					
0433	88355		"	Analysis skeletal muscle"					
0433	88360		"	Tumor immunohistochem/manual"					
0433	88361		"	Tumor immunohistochem/comput"					
0433	88367		"	Insitu hybridization auto"					
0433	88368		"	Insitu hybridization manual"					
0433	89049		"	Chct for mal hyperthermia"					
0433	89220		"	Sputum specimen collection"					
0433	89250		"	Cultr oocyte/embryo <4 days"					
0433	89251		"	Cultr oocyte/embryo <4 days"					
0433	89253		"	Embryo hatching"					
0433	89254		"	Oocyte identification"					
0433	89255		"	Prepare embryo for transfer"					
0433	89259		"	Cryopreservation sperm"					
0433	89264		"	Identify sperm tissue"					
0433	89268		"	Insemination of oocytes"					
0433	89281		"	Assist oocyte fertilization"					
0433	89290		"	Biopsy oocyte polar body"					
0433	89291		"	Biopsy oocyte polar body"					
0433	89342		"	Storage/year embryo(s)"					
0433	89344		"	Storage/year reprod tissue"					
0433	89346		"	Storage/year oocyte(s)"					
0433	89352		"	Thawing cryopresrved embryo"					
0433	89353		"	Thawing cryopresrved sperm"					
0433	89354		"	Thaw cryoprsvrd reprod tiss"					
0433	89356		"	Thawing cryopresrved oocyte"					
0433	G0461		"	Immunohisto/cyto chem 1st st"					
0435		"Level III Extended EEG, Sleep, and Cardiovascular Studies"		S	11.5022	$853.19	$264.84	$170.64
0435	95782		"	Polysom <6 yrs 4/> paramtrs"					
0435	95783		"	Polysom <6 yrs cpap/bilvl"					
0435	95805		"	Multiple sleep latency test"					
0435	95808		"	Polysom any age 1-3> param"					
0435	95810		"	Polysom 6/> yrs 4/> param"					
0435	95811		"	Polysom 6/>yrs cpap 4/> parm"					
0435	95950		"	Ambulatory eeg monitoring"					
0435	95951		"	Eeg monitoring/videorecord"					
0435	95953		"	Eeg monitoring/computer"					
0435	95958		"	Eeg monitoring/function test"					
0436		Level I Drug Administration		S	0.4450	$33.01	.	$6.61
0436	95115		"	Immunotherapy one injection"					
0436	95117		"	Immunotherapy injections"					
0436	95145		"	Antigen therapy services"					
0436	95165		"	Antigen therapy services"					
0436	96361		"	Hydrate iv infusion add-on"					
0436	96366		"	Ther/proph/diag iv inf addon"					
0436	96375		"	Tx/pro/dx inj new drug addon"					
0436	96379		"	Ther/prop/diag inj/inf proc"					
0436	96549		"	Chemotherapy unspecified"					
0436	G0008		"	Admin influenza virus vac"				$0.00	$0.00
0437		Level II Drug Administration		S	0.7063	$52.39	.	$10.48
0437	90471		"	Immunization admin"					
0437	90473		"	Immune admin oral/nasal"					
0437	95144		"	Antigen therapy services"					
0437	95148		"	Antigen therapy services"					
0437	95149		"	Antigen therapy services"					
0437	95170		"	Antigen therapy services"					
0437	96367		"	Tx/proph/dg addl seq iv inf"					
0437	96370		"	Sc ther infusion addl hr"					
0437	96372		"	Ther/proph/diag inj sc/im"					
0437	96402		"	Chemo hormon antineopl sq/im"					
0437	96405		"	Chemo intralesional up to 7"					
0437	96411		"	Chemo iv push addl drug"					
0437	96415		"	Chemo iv infusion addl hr"					
0437	96417		"	Chemo iv infus each addl seq"					
0437	G0009		"	Admin pneumococcal vaccine"				$0.00	$0.00
0437	G0010		"	Admin hepatitis b vaccine"				$0.00	$0.00
0438		Level III Drug Administration		S	1.4319	$106.21	.	$21.25
0438	86927		"	Plasma fresh frozen"					
0438	95146		"	Antigen therapy services"					
0438	95147		"	Antigen therapy services"					
0438	96360		"	Hydration iv infusion init"					
0438	96373		"	Ther/proph/diag inj ia"					
0438	96374		"	Ther/proph/diag inj iv push"					
0438	96401		"	Chemo anti-neopl sq/im"					
0438	96420		"	Chemo ia push tecnique"					
0438	96423		"	Chemo ia infuse each addl hr"					
0438	96542		"	Chemotherapy injection"					
0439		Level IV Drug Administration		S	2.3339	$173.12	.	$34.63
0439	95990		"	Spin/brain pump refil & main"					
0439	95991		"	Spin/brain pump refil & main"					
0439	96365		"	Ther/proph/diag iv inf init"					
0439	96369		"	Sc ther infusion up to 1 hr"					
0439	96406		"	Chemo intralesional over 7"					
0439	96409		"	Chemo iv push sngl drug"					
0439	96440		"	Chemotherapy intracavitary"					
0439	96446		"	Chemotx admn prtl cavity"					
0439	96521		"	Refill/maint portable pump"					
0439	96522		"	Refill/maint pump/resvr syst"					
0440		Level V Drug Administration		S	3.8100	$282.61	.	$56.53
0440	96413		"	Chemo iv infusion 1 hr"					
0440	96416		"	Chemo prolong infuse w/pump"					
0440	96422		"	Chemo ia infusion up to 1 hr"					
0440	96425		"	Chemotherapy infusion method"					
0440	96450		"	Chemotherapy into cns"					
0440	C8957		"Prolonged iv inf, req pump"					
0442		Dosimetric Drug Administration		S	14.1044	"$1,046.21"	.	$209.25
0442	G3001		"	Admin + supply, tositumomab"					
0446		Level IV Nerve and Muscle Services		S	19.1601	"$1,421.22"	.	$284.25
0446	95965		"	Meg spontaneous"					
0446	95966		"	Meg evoked single"					
0450		Level I Minor Procedures		S	0.3851	$28.57	.	$5.72
0450	75571		"	Ct hrt w/o dye w/ca test"					
0450	76514		"	Echo exam of eye thickness"					
0450	86077		"	Phys blood bank serv xmatch"					
0450	86580		"	Tb intradermal test"					
0450	86970		"	Rbc pretx incubatj w/chemicl"					
0450	88104		"	Cytopath fl nongyn smears"					
0450	88106		"	Cytopath fl nongyn filter"					
0450	88108		"	Cytopath concentrate tech"					
0450	88160		"	Cytopath smear other source"					
0450	88161		"	Cytopath smear other source"					
0450	88300		"	Surgical path gross"					
0450	88302		"	Tissue exam by pathologist"					
0450	88321		"	Microslide consultation"					
0450	88329		"	Path consult introp"					
0450	88363		"	Xm archive tissue molec anal"					
0450	92568		"	Acoustic refl threshold tst"					
0450	95017		"	Perq & icut allg test venoms"					
0450	95027		"	Icut allergy titrate-airborn"					
0450	95199		"	Allergy immunology services"					
0450	96900		"	Ultraviolet light therapy"					
0450	G0239		"	Oth resp proc, group"					
0450	G0404		Ekg tracing for initial prev				$0.00	$0.00
0450	Q0091		"	Obtaining screen pap smear"				$0.00	$0.00
0609		Level 1 Type A Emergency Visits		V	0.8282	$61.43	.	$12.29
0609	99281		"	Emergency dept visit"					
0613		Level 2 Type A Emergency Visits		V	1.5356	$113.90	.	$22.78
0613	99282		"	Emergency dept visit"					
0614		Level 3 Type A Emergency Visits		V	2.6989	$200.19	.	$40.04
0614	99283		"	Emergency dept visit"					
0615		Level 4 Type A Emergency Visits		V	4.5277	$335.85	.	$67.17
0615	99284		"	Emergency dept visit"					
0616		Level 5 Type A Emergency Visits		V	6.6312	$491.88	.	$98.38
0616	99285		"	Emergency dept visit"					
0617		Critical Care		S	8.8307	$655.03	.	$131.01
0617	99291		"	Critical care first hour"					
0618		Trauma Response with Critical Care		S	12.4843	$926.04	.	$185.21
0618	G0390		Trauma respons w/hosp criti					
0621		Level I Vascular Access Procedures		T	11.3681	$843.24	.	$168.65
0621	36555		"	Insert non-tunnel cv cath"					
0621	36556		"	Insert non-tunnel cv cath"					
0621	36568		"	Insert picc cath"					
0621	36569		"	Insert picc cath"					
0621	36576		"	Repair tunneled cv cath"					
0621	36580		"	Replace cvad cath"					
0621	36584		"	Replace picc cath"					
0621	36590		"	Removal tunneled cv cath"					
0621	36596		"	Mech remov tunneled cv cath"					
0621	36597		"	Reposition venous catheter"					
0621	37211		"	Thrombolytic art therapy"					
0621	37212		"	Thrombolytic venous therapy"					
0622		Level II Vascular Access Procedures		J1	33.9334	"$2,517.04"	.	$503.41
0622	35011		"	Repair defect of artery"					
0622	35261		"	Repair blood vessel lesion"					
0622	35266		"	Repair blood vessel lesion"					
0622	35286		"	Repair blood vessel lesion"					
0622	36260		"	Insertion of infusion pump"					
0622	36557		"	Insert tunneled cv cath"					
0622	36558		"	Insert tunneled cv cath"					
0622	36560		"	Insert tunneled cv cath"					
0622	36561		"	Insert tunneled cv cath"					
0622	36563		"	Insert tunneled cv cath"					
0622	36565		"	Insert tunneled cv cath"					
0622	36566		"	Insert tunneled cv cath"					
0622	36570		"	Insert picvad cath"					
0622	36571		"	Insert picvad cath"					
0622	36578		"	Replace tunneled cv cath"					
0622	36581		"	Replace tunneled cv cath"					
0622	36582		"	Replace tunneled cv cath"					
0622	36583		"	Replace tunneled cv cath"					
0622	36585		"	Replace picvad cath"					
0622	36595		"	Mech remov tunneled cv cath"					
0622	36640		"	Insertion catheter artery"					
0622	36800		"	Insertion of cannula"					
0622	36810		"	Insertion of cannula"					
0622	36815		"	Insertion of cannula"					
0622	36835		"	Artery to vein shunt"					
0622	36861		"	Cannula declotting"					
0622	36870		"	Percut thrombect av fistula"					
0622	37191		"	Ins endovas vena cava filtr"					
0622	37192		"	Redo endovas vena cava filtr"					
0622	37193		"	Rem endovas vena cava filter"					
0622	37197		"	Remove intrvas foreign body"					
0622	37200		"	Transcatheter biopsy"					
0622	37213		"	Thromblytic art/ven therapy"					
0622	37214		"	Cessj therapy cath removal"					
0622	49419		"	Insert tun ip cath w/port"					
0624		Phlebotomy and Minor Vascular Access Device Procedures		S	1.0766	$79.86	.	$15.98
0624	36591		"	Draw blood off venous device"					
0624	36592		"	Collect blood from picc"					
0624	37799		"	Vascular surgery procedure"					
0624	96523		"	Irrig drug delivery device"					
0624	99195		"	Phlebotomy"					
0626		Level 1 Type B Emergency Visits		V	0.8564	$63.52	.	$12.71
0626	G0380		Lev 1 hosp type b ed visit					
0627		Level 2 Type B Emergency Visits		V	0.9288	$68.89	.	$13.78
0627	G0381		Lev 2 hosp type b ed visit					
0628		Level 3 Type B Emergency Visits		V	1.5355	$113.90	.	$22.78
0628	G0382		Lev 3 hosp type b ed visit					
0629		Level 4 Type B Emergency Visits		V	2.6088	$193.51	.	$38.71
0629	G0383		Lev 4 hosp type b ed visit					
0630		Level 5 Type B Emergency Visits		V	4.0599	$301.15	.	$60.23
0630	G0384		Lev 5 hosp type b ed visit					
0631		Level 1 Examinations & Related Services		V	0.7059	$52.36	.	$10.48
0631	96111		"	Developmental test extend"					
0631	G0101		Ca screen;pelvic/breast exam				$0.00	$0.00
0631	G0245		"	Initial foot exam pt lops"					
0631	G0246		"	Followup eval of foot pt lop"					
0631	M0064		"	Visit for drug monitoring"					
0632		Level 2 Examinations & Related Services		V	1.4557	$107.98	.	$21.60
0632	92002		"	Eye exam new patient"					
0632	92004		"	Eye exam new patient"					
0632	92012		"	Eye exam establish patient"					
0632	92014		"	Eye exam&tx estab pt 1/>vst"					
0632	95250		"	Glucose monitoring cont"					
0632	99460		"	Init nb em per day hosp"					
0632	99463		"	Same day nb discharge"					
0632	99495		"	Trans care mgmt 14 day disch"					
0632	99496		"	Trans care mgmt 7 day disch"					
0632	G0248		"	Demonstrate use home inr mon"					
0632	G0249		Provide inr test mater/equip					
0632	G0402		"	Initial preventive exam"				$0.00	$0.00
0633		Level 3 Examinations & Related Services		V	5.0059	$371.32	.	$74.27
0633	90945		"	Dialysis one evaluation"					
0633	G0175		"Opps service,sched team conf"					
0633	G0379		"	Direct refer hospital observ"					
0634		Hospital Clinic Visits		V	1.3220	$98.06	.	$19.62
0634	G0463		"	Hospital outpt clinic visit"					
0648		Level IV Breast and Skin Surgery		J1	98.8146	"$7,329.67"	.	"$1,465.94"
0648	19296		"	Place po breast cath for rad"					
0648	19298		"	Place breast rad tube/caths"					
0648	19325		"	Enlarge breast with implant"					
0648	19342		"	Delayed breast prosthesis"					
0648	19357		"	Breast reconstruction"					
0648	77424		"	Io rad tx delivery by x-ray"					
0648	77425		"	Io rad tx deliver by elctrns"					
0651		Complex Interstitial Radiation Source Application		S	13.4365	$996.67	.	$199.34
0651	77778		"	Apply interstit radiat compl"					
0652		Insertion of Intraperitoneal and Pleural Catheters		J1	35.6008	"$2,640.72"	.	$528.15
0652	32550		"	Insert pleural cath"					
0652	49418		"	Insert tun ip cath perc"					
0652	49421		"	Ins tun ip cath for dial opn"					
0655		Level IV Pacemaker and Similar Procedures		J1	222.9267	"$16,535.81"	.	"$3,307.17"
0655	33221		"	Insert pulse gen mult leads"					
0655	33229		"	Remv&replc pm gen mult leads"					
0659		Hyperbaric Oxygen		S	1.4895	$110.49	.	$22.10
0659	C1300		Hyperbaric oxygen					
0660		Level II Otorhinolaryngologic Function Tests		S	1.7682	$131.16	.	$26.24
0660	92540		"	Basic vestibular evaluation"					
0660	92543		"	Caloric vestibular test"					
0660	92546		"	Sinusoidal rotational test"					
0661		Level III Pathology		S	4.6193	$342.64	.	$68.53
0661	85097		"	Bone marrow interpretation"					
0661	88182		"	Cell marker study"					
0661	88187		"	Flowcytometry/read 2-8"					
0661	88188		"	Flowcytometry/read 9-15"					
0661	88189		"	Flowcytometry/read 16 & >"					
0661	88309		"	Tissue exam by pathologist"					
0661	88319		"	Enzyme histochemistry"					
0661	88333		"	Intraop cyto path consult 1"					
0661	88349		"	Scanning electron microscopy"					
0661	88358		"	Analysis tumor"					
0661	88362		"	Nerve teasing preparations"					
0661	89258		"	Cryopreservation embryo(s)"					
0661	89272		"	Extended culture of oocytes"					
0661	89280		"	Assist oocyte fertilization"					
0661	G0416		Biopsy prostate 10-20 					
0661	G0417		Biopsy prostate 21-40 					
0661	G0418		Biopsy prostate 41-60 					
0661	G0419		Biopsy prostate: >60 					
0662		CT Angiography		S	3.8338	$284.38	$95.87	$56.88
0662	70496		"	Ct angiography head"					
0662	70498		"	Ct angiography neck"					
0662	71275		"	Ct angiography chest"					
0662	72191		"	Ct angiograph pelv w/o&w/dye"					
0662	73206		"	Ct angio upr extrm w/o&w/dye"					
0662	73706		"	Ct angio lwr extr w/o&w/dye"					
0662	74175		"	Ct angio abdom w/o & w/dye"					
0662	75635		"	Ct angio abdominal arteries"					
0667		Level IV Radiation Therapy		S	14.2398	"$1,056.25"	.	$211.25
0667	77522		"	Proton trmt simple w/comp"					
0667	77523		"	Proton trmt intermediate"					
0667	77525		"	Proton treatment complex"					
0668		Level I Angiography and Venography		T	11.3660	$843.08	.	$168.62
0668	36147		"	Access av dial grft for eval"					
0668	75746		"	Artery x-rays lung"					
0668	75756		"	Artery x-rays chest"					
0668	75791		"	Av dialysis shunt imaging"					
0668	75820		"	Vein x-ray arm/leg"					
0668	75827		"	Vein x-ray chest"					
0668	75860		"	Vein x-ray neck"					
0668	75872		"	Vein x-ray skull epidural"					
0668	75880		"	Vein x-ray eye socket"					
0668	75887		"	Vein x-ray liver w/o hemodyn"					
0668	75898		"	Follow-up angiography"					
0673		Level III Intraocular Procedures		T	41.6898	"$3,092.38"	$635.64	$618.48
0673	0100T		"	Prosth retina receive&gen"					
0673	0191T		"	Insert ant segment drain int"					
0673	0253T		"	Insert aqueous drain device"					
0673	65710		"	Corneal transplant"					
0673	65730		"	Corneal transplant"					
0673	65750		"	Corneal transplant"					
0673	65755		"	Corneal transplant"					
0673	65756		"	Corneal trnspl endothelial"					
0673	65781		"	Ocular reconst transplant"					
0673	66174		"	Translum dil eye canal"					
0673	66175		"	Trnslum dil eye canal w/stnt"					
0673	66180		"	Implant eye shunt"					
0673	66183		"	Insert ant drainage device"					
0673	66605		"	Removal of iris"					
0673	66852		"	Removal of lens material"					
0673	67027		"	Implant eye drug system"					
0673	67036		"	Removal of inner eye fluid"					
0673	67039		"	Laser treatment of retina"					
0673	67040		"	Laser treatment of retina"					
0673	67041		"	Vit for macular pucker"					
0673	67042		"	Vit for macular hole"					
0673	67043		"	Vit for membrane dissect"					
0673	67107		"	Repair detached retina"					
0673	67108		"	Repair detached retina"					
0673	67112		"	Rerepair detached retina"					
0673	67113		"	Repair retinal detach cplx"					
0673	67121		"	Remove eye implant material"					
0676		Thrombolysis and Other Device Revisions		T	2.6940	$199.83	.	$39.97
0676	36593		"	Declot vascular device"					
0676	36598		"	Inj w/fluor eval cv device"					
0676	36860		"	External cannula declotting"					
0676	37195		"	Thrombolytic therapy stroke"					
0676	43760		"	Change gastrostomy tube"					
0676	92977		"	Dissolve clot heart vessel"					
0688		Level I Neurostimulator & Related Procedures		T	28.7885	"$2,135.42"	$486.16	$427.09
0688	0267T		"	Implt/rpl crtd sns dev lead"					
0688	0270T		"	Rev/remvl crtd sns dev lead"					
0688	0271T		"	Rev/remvl crtd sns dev gen"					
0688	0284T		"	Periph field stimul revise"					
0688	0313T		"	Laps rmvl nstim array vagus"					
0688	0314T		"	Laps rmvl vgl arry & pls gen"					
0688	0315T		"	Rmvl vagus nerve pls gen"					
0688	61880		"	Revise/remove neuroelectrode"					
0688	63662		"	Remove spine eltrd plate"					
0688	63688		"	Revise/remove neuroreceiver"					
0688	64585		"	Revise/remove neuroelectrode"					
0688	64595		"	Revise/rmv pn/gastr stimul"					
0690		Level I Electronic Analysis of Devices		S	0.4796	$35.57	.	$7.12
0690	0224T		"	Acoustic ecg 1+ analysis"					
0690	0225T		"	Acoustic ecg analy & reprog"					
0690	0305T		"	Icar ischm mntrng prgrm eval"					
0690	0306T		"	Icar ischm mntr interr eval"					
0690	0317T		"	Elec alys vagus nrv pls gen"					
0690	0327T		"	Implt subq defib interogat"					
0690	0328T		"	Implt subq defib sys dev evl"					
0690	93270		"	Remote 30 day ecg rev/report"					
0690	93279		"	Pm device progr eval sngl"					
0690	93280		"	Pm device progr eval dual"					
0690	93281		"	Pm device progr eval multi"					
0690	93282		"	Icd device progr eval 1 sngl"					
0690	93283		"	Icd device progr eval dual"					
0690	93284		"	Icd device progr eval mult"					
0690	93285		"	Ilr device eval progr"					
0690	93288		"	Pm device eval in person"					
0690	93289		"	Icd device interrogate"					
0690	93290		"	Icm device eval"					
0690	93291		"	Ilr device interrogate"					
0690	93292		"	Wcd device interrogate"					
0690	93293		"	Pm phone r-strip device eval"					
0690	93296		"	Pm/icd remote tech serv"					
0690	93299		"	Icm/ilr remote tech serv"					
0690	95982		"	Io ga n-stim subsq w/reprog"					
0691		Level III Electronic Analysis of Devices		S	3.4498	$255.89	.	$51.18
0691	62367		"	Analyze spine infus pump"					
0691	62368		"	Analyze sp inf pump w/reprog"					
0691	62369		"	Anal sp inf pmp w/reprg&fill"					
0691	62370		"	Anl sp inf pmp w/mdreprg&fil"					
0691	93724		"	Analyze pacemaker system"					
0691	93745		"	Set-up cardiovert-defibrill"					
0692		Level II Electronic Analysis of Devices		S	1.7343	$128.64	.	$25.73
0692	62252		"	Csf shunt reprogram"					
0692	93271		"	Ecg/monitoring and analysis"					
0692	93750		"	Interrogation vad in person"					
0692	95971		"	Analyze neurostim simple"					
0692	95972		"	Analyze neurostim complex"					
0692	95974		"	Cranial neurostim complex"					
0692	95978		"	Analyze neurostim brain/1h"					
0697		Level I Echocardiogram Without Contrast		S	3.3341	$247.31	.	$49.47
0697	76825		"	Echo exam of fetal heart"					
0697	76826		"	Echo exam of fetal heart"					
0697	93308		"	Tte f-up or lmtd"					
0698		Level II Eye Tests & Treatments		S	1.3671	$101.41	.	$20.29
0698	0198T		"	Ocular blood flow measure"					
0698	65205		"	Remove foreign body from eye"					
0698	65210		"	Remove foreign body from eye"					
0698	65220		"	Remove foreign body from eye"					
0698	65222		"	Remove foreign body from eye"					
0698	65430		"	Corneal smear"					
0698	67820		"	Revise eyelashes"					
0698	68200		"	Treat eyelid by injection"					
0698	68801		"	Dilate tear duct opening"					
0698	76510		"	Ophth us b & quant a"					
0698	92083		"	Visual field examination(s)"					
0698	92136		"	Ophthalmic biometry"					
0698	92230		"	Eye exam with photos"					
0698	92250		"	Eye exam with photos"					
0698	92265		"	Eye muscle evaluation"					
0698	92270		"	Electro-oculography"					
0698	92284		"	Dark adaptation eye exam"					
0698	92286		"	Internal eye photography"					
0698	92287		"	Internal eye photography"					
0698	92311		"	Contact lens fitting"					
0698	92312		"	Contact lens fitting"					
0698	92313		"	Contact lens fitting"					
0698	92315		"	Rx cntact lens aphakia 1 eye"					
0698	92316		"	Rx cntact lens aphakia 2 eye"					
0698	92325		"	Modification of contact lens"					
0698	92326		"	Replacement of contact lens"					
0698	92352		"	Fit aphakia spectcl monofocl"					
0698	92353		"	Fit aphakia spectcl multifoc"					
0698	92358		"	Aphakia prosth service temp"					
0698	92371		"	Repair & adjust spectacles"					
0701		Sr89 strontium		K	14.7011	"$1,090.47"	.	$218.10
0701	A9600		"	Sr89 strontium"					
0726		Dexrazoxane HCl injection		K	1.8408	$136.54	.	$27.31
0726	J1190		Dexrazoxane hcl injection					
0731		Sargramostim injection		K	0.4375	$32.45	.	$6.49
0731	J2820		"	Sargramostim injection"					
0736		Amphotericin b liposome inj		K	0.2199	$16.31	.	$3.27
0736	J0289		"	Amphotericin b liposome inj"					
0738		Rasburicase		K	2.8933	$214.61	.	$42.93
0738	J2783		"	Rasburicase"					
0747		Chlorothiazide sodium inj		K	1.9134	$141.93	.	$28.39
0747	J1205		"	Chlorothiazide sodium inj"					
0751		Mechlorethamine hcl inj		K	2.0856	$154.70	.	$30.94
0751	J9230		"	Mechlorethamine hcl inj"					
0752		Dactinomycin injection		K	8.7056	$645.75	.	$129.15
0752	J9120		"	Dactinomycin injection"					
0759		"Naltrexone, depot form"		K	0.0372	$2.76	.	$0.56
0759	J2315		"	Naltrexone, depot form"					
0800		Leuprolide acetate		K	10.2463	$760.03	.	$152.01
0800	J1950		Leuprolide acetate /3.75 mg					
0802		Etoposide oral		K	0.7841	$58.16	.	$11.64
0802	J8560		Etoposide oral 50 mg					
0807		Aldesleukin injection		K	24.7242	"$1,833.94"	.	$366.79
0807	J9015		"	Aldesleukin injection"					
0809		Bcg live intravesical vac		K	1.6496	$122.36	.	$24.48
0809	J9031		"	Bcg live intravesical vac"					
0810		Goserelin acetate implant		K	2.9235	$216.85	.	$43.37
0810	J9202		"	Goserelin acetate implant"					
0812		Carmustine injection		K	19.0713	"$1,414.63"	.	$282.93
0812	J9050		"	Carmustine injection"					
0814		"Asparaginase, NOS"		K	0.8705	$64.57	.	$12.92
0814	J9020		"Asparaginase, nos"					
0820		Daunorubicin injection		K	0.3431	$25.45	.	$5.09
0820	J9150		"	Daunorubicin injection"					
0821		Daunorubicin citrate inj		K	3.2868	$243.80	.	$48.76
0821	J9151		"	Daunorubicin citrate inj"					
0823		Docetaxel injection		K	0.0516	$3.83	.	$0.77
0823	J9171		"	Docetaxel injection"					
0825		Nelarabine injection		K	1.8160	$134.70	.	$26.94
0825	J9261		"	Nelarabine injection"					
0827		Floxuridine injection		K	1.0551	$78.26	.	$15.66
0827	J9200		"	Floxuridine injection"					
0831		Ifosfamide injection		K	0.4607	$34.17	.	$6.84
0831	J9208		"	Ifosfamide injection"					
0832		Idarubicin hcl injection		K	0.3961	$29.38	.	$5.88
0832	J9211		"	Idarubicin hcl injection"					
0835		Cosyntropin injection NOS		K	1.3708	$101.68	.	$20.34
0835	J0833		Cosyntropin injection nos					
0836		Interferon alfa-2b inj		K	0.2785	$20.66	.	$4.14
0836	J9214		"	Interferon alfa-2b inj"					
0838		Interferon gamma 1-b inj		K	38.8197	"$2,879.49"	.	$575.90
0838	J9216		"	Interferon gamma 1-b inj"					
0840		Inj melphalan hydrochl		K	16.5647	"$1,228.70"	.	$245.74
0840	J9245		Inj melphalan hydrochl 50 mg					
0842		Fludarabine phosphate inj		K	1.1412	$84.65	.	$16.93
0842	J9185		"	Fludarabine phosphate inj"					
0843		Pegaspargase injection		K	80.9882	"$6,007.38"	.	"$1,201.48"
0843	J9266		"	Pegaspargase injection"					
0844		Pentostatin injection		K	19.5620	"$1,451.03"	.	$290.21
0844	J9268		"	Pentostatin injection"					
0849		Rituximab injection		K	9.3548	$693.90	.	$138.78
0849	J9310		"	Rituximab injection"					
0850		Streptozocin injection		K	4.5749	$339.35	.	$67.87
0850	J9320		"	Streptozocin injection"					
0851		Thiotepa injection		K	8.5028	$630.70	.	$126.14
0851	J9340		"	Thiotepa injection"					
0856		Porfimer sodium injection		K	260.5395	"$19,325.78"	.	"$3,865.16"
0856	J9600		"	Porfimer sodium injection"					
0858		Inj cladribine		K	0.3138	$23.28	.	$4.66
0858	J9065		Inj cladribine per 1 mg					
0864		Mitoxantrone hydrochl		K	0.4597	$34.10	.	$6.82
0864	J9293		Mitoxantrone hydrochl / 5 mg					
0868		Oral aprepitant		K	0.1004	$7.45	.	$1.49
0868	J8501		"	Oral aprepitant"					
0873		Hyalgan/supartz inj per dose		K	1.2082	$89.62	.	$17.93
0873	J7321		"	Hyalgan/supartz inj per dose"					
0874		Synvisc or synvisc-one		K	0.1662	$12.33	.	$2.47
0874	J7325		Synvisc or synvisc-one					
0875		Euflexxa inj per dose		K	2.0844	$154.61	.	$30.93
0875	J7323		"	Euflexxa inj per dose"					
0877		Orthovisc inj per dose		K	2.4956	$185.11	.	$37.03
0877	J7324		"	Orthovisc inj per dose"					
0887		Azathioprine parenteral		K	2.9295	$217.30	.	$43.46
0887	J7501		"	Azathioprine parenteral"					
0890		Lymphocyte immune globulin		K	10.0152	$742.89	.	$148.58
0890	J7504		"	Lymphocyte immune globulin"					
0901		Alpha 1 proteinase inhibitor		K	0.0554	$4.11	.	$0.83
0901	J0256		"	Alpha 1 proteinase inhibitor"					
0902		"Injection,onabotulinumtoxinA"		K	0.0732	$5.43	.	$1.09
0902	J0585		"Injection,onabotulinumtoxina"					
0903		Cytomegalovirus imm IV /vial		K	13.6684	"$1,013.87"	.	$202.78
0903	J0850		Cytomegalovirus imm iv /vial					
0910		Interferon beta-1b / .25 MG		K	4.1345	$306.68	.	$61.34
0910	J1830		Interferon beta-1b / .25 mg					
0913		Ganciclovir long act implant		K	228.6454	"$16,960.00"	.	"$3,392.00"
0913	J7310		"	Ganciclovir long act implant"					
0925		Factor viii		K	0.0124	$0.92	.	$0.19
0925	J7190		"	Factor viii"					
0927		Factor viii recombinant		K	0.0152	$1.13	.	$0.23
0927	J7192		Factor viii recombinant nos					
0928		Factor ix complex		K	0.0148	$1.10	.	$0.22
0928	J7194		"	Factor ix complex"					
0929		Anti-inhibitor		K	0.0221	$1.64	.	$0.33
0929	J7198		"	Anti-inhibitor"					
0931		Factor IX non-recombinant		K	0.0132	$0.98	.	$0.20
0931	J7193		Factor ix non-recombinant					
0932		Factor IX recombinant		K	0.0178	$1.32	.	$0.27
0932	J7195		Factor ix recombinant					
0934		"Capecitabine, oral"		K	0.4524	$33.56	.	$6.72
0934	J8521		"	Capecitabine, oral, 500 mg"					
0943		Octagam injection		K	0.4112	$30.50	.	$6.10
0943	J1568		"	Octagam injection"					
0944		Gammagard liquid injection		K	0.5281	$39.17	.	$7.84
0944	J1569		"	Gammagard liquid injection"					
0945		Rhophylac injection		K	0.0640	$4.75	.	$0.95
0945	J2791		"	Rhophylac injection"					
0946		Hepagam b im injection		K	0.6788	$50.35	.	$10.07
0946	J1571		"	Hepagam b im injection"					
0947		Flebogamma injection		K	0.4898	$36.33	.	$7.27
0947	J1572		"	Flebogamma injection"					
0948		Gamunex-C/Gammaked		K	0.5325	$39.50	.	$7.90
0948	J1561		Gamunex-c/gammaked					
0949		"Frozen plasma, pooled, sd"		R	0.9840	$72.99	.	$14.60
0949	P9023		"	Frozen plasma, pooled, sd"					
0950		Whole blood for transfusion		R	3.1702	$235.15	.	$47.03
0950	P9010		"	Whole blood for transfusion"					
0952		Cryoprecipitate each unit		R	0.9439	$70.01	.	$14.01
0952	P9012		"	Cryoprecipitate each unit"					
0954		RBC leukocytes reduced		R	2.5796	$191.34	.	$38.27
0954	P9016		Rbc leukocytes reduced					
0955		"Plasma, frz between 8-24hour"		R	0.9633	$71.45	.	$14.29
0955	P9059		"	Plasma, frz between 8-24hour"					
0956		"Plasma protein fract,5%,50ml"		R	2.6645	$197.64	.	$39.53
0956	P9043		"	Plasma protein fract,5%,50ml"					
0957		"Platelets, each unit"		R	1.6343	$121.23	.	$24.25
0957	P9019		"	Platelets, each unit"					
0958		Plaelet rich plasma unit		R	1.9493	$144.59	.	$28.92
0958	P9020		"	Plaelet rich plasma unit"					
0959		Red blood cells unit		R	2.0414	$151.42	.	$30.29
0959	P9021		"	Red blood cells unit"					
0960		Washed red blood cells unit		R	4.3758	$324.58	.	$64.92
0960	P9022		"	Washed red blood cells unit"					
0961		"Albumin (human),5%, 50ml"		K	0.2924	$21.69	.	$4.34
0961	P9041		"	Albumin (human),5%, 50ml"					
0963		"Albumin (human), 5%, 250 ml"		K	0.9022	$66.92	.	$13.39
0963	P9045		"	Albumin (human), 5%, 250 ml"					
0964		"Albumin (human), 25%, 20 ml"		K	0.4414	$32.74	.	$6.55
0964	P9046		"	Albumin (human), 25%, 20 ml"					
0965		"Albumin (human), 25%, 50ml"		K	1.0048	$74.53	.	$14.91
0965	P9047		"	Albumin (human), 25%, 50ml"					
0966		"Plasmaprotein fract,5%,250ml"		R	0.4361	$32.35	.	$6.47
0966	P9048		"	Plasmaprotein fract,5%,250ml"					
0967		Blood split unit		R	1.8143	$134.58	.	$26.92
0967	P9011		"	Blood split unit"					
0968		Platelets leukoreduced irrad		R	2.2108	$163.99	.	$32.80
0968	P9033		"	Platelets leukoreduced irrad"					
0969		RBC leukoreduced irradiated		R	3.7940	$281.42	.	$56.29
0969	P9040		Rbc leukoreduced irradiated					
1009		Cryoprecipitatereducedplasma		R	1.1168	$82.84	.	$16.57
1009	P9044		"	Cryoprecipitatereducedplasma"					
1010		"Blood, l/r, cmv-neg"		R	2.1824	$161.88	.	$32.38
1010	P9051		"	Blood, l/r, cmv-neg"					
1011		"Platelets, hla-m, l/r, unit"		R	10.1828	$755.32	.	$151.07
1011	P9052		"	Platelets, hla-m, l/r, unit"					
1013		Platelets leukocytes reduced		R	1.5313	$113.59	.	$22.72
1013	P9031		"	Platelets leukocytes reduced"					
1015		Injection glatiramer acetate		K	2.0201	$149.84	.	$29.97
1015	J1595		"	Injection glatiramer acetate"					
1016		"Blood, l/r, froz/degly/wash"		R	3.8688	$286.97	.	$57.40
1016	P9054		"	Blood, l/r, froz/degly/wash"					
1017		"Plt, aph/pher, l/r, cmv-neg"		R	5.9884	$444.20	.	$88.84
1017	P9055		"	Plt, aph/pher, l/r, cmv-neg"					
1018		"Blood, l/r, irradiated"		R	1.8716	$138.83	.	$27.77
1018	P9056		"	Blood, l/r, irradiated"					
1019		Plate pheres leukoredu irrad		R	9.1645	$679.79	.	$135.96
1019	P9037		"	Plate pheres leukoredu irrad"					
1020		"Plt, pher, l/r cmv-neg, irr"		R	8.9774	$665.91	.	$133.19
1020	P9053		"	Plt, pher, l/r cmv-neg, irr"					
1021		"RBC, frz/deg/wsh, l/r, irrad"		R	6.6076	$490.13	.	$98.03
1021	P9057		"Rbc, frz/deg/wsh, l/r, irrad"					
1022		"RBC, l/r, cmv-neg, irrad"		R	3.7398	$277.40	.	$55.48
1022	P9058		"Rbc, l/r, cmv-neg, irrad"					
1023		Pralidoxime chloride inj		K	1.1936	$88.54	.	$17.71
1023	J2730		"	Pralidoxime chloride inj"					
1052		"Injection, voriconazole"		K	0.0510	$3.78	.	$0.76
1052	J3465		"	Injection, voriconazole"					
1064		"I131 iodide cap, rx"		K	0.2351	$17.44	.	$3.49
1064	A9517		"	I131 iodide cap, rx"					
1083		Adalimumab injection		K	7.6531	$567.68	.	$113.54
1083	J0135		"	Adalimumab injection"					
1084		Denileukin diftitox inj		K	22.1929	"$1,646.18"	.	$329.24
1084	J9160		"	Denileukin diftitox inj"					
1086		Temozolomide		K	0.0994	$7.37	.	$1.48
1086	J8700		"	Temozolomide"					
1138		"Hepagam b intravenous, inj"		K	0.6788	$50.35	.	$10.07
1138	J1573		"	Hepagam b intravenous, inj"					
1139		Protein c concentrate		K	0.1924	$14.27	.	$2.86
1139	J2724		"	Protein c concentrate"					
1142		Supprelin LA implant		K	227.5127	"$16,875.98"	.	"$3,375.20"
1142	J9226		Supprelin la implant					
1150		"I131 iodide sol, rx"		K	0.1417	$10.51	.	$2.11
1150	A9530		"	I131 iodide sol, rx"					
1166		Cytarabine liposome inj		K	7.3408	$544.51	.	$108.91
1166	J9098		"	Cytarabine liposome inj"					
1168		"Inj, temsirolimus"		K	0.7697	$57.09	.	$11.42
1168	J9330		"	Temsirolimus injection"					
1178		Busulfan injection		K	0.3902	$28.94	.	$5.79
1178	J0594		"	Busulfan injection"					
1203		Verteporfin injection		K	0.1490	$11.05	.	$2.21
1203	J3396		"	Verteporfin injection"					
1207		"Octreotide injection, depot"		K	1.8751	$139.09	.	$27.82
1207	J2353		"	Octreotide injection, depot"					
1213		Antihemophilic viii/vwf comp		K	0.0127	$0.94	.	$0.19
1213	J7186		"	Antihemophilic viii/vwf comp"					
1214		Inj IVIG privigen 500 mg		K	0.4954	$36.75	.	$7.35
1214	J1459		Inj ivig privigen 500 mg					
1232		Mitomycin injection		K	0.3103	$23.02	.	$4.61
1232	J9280		"	Mitomycin injection"					
1235		Valrubicin injection		K	14.4452	"$1,071.49"	.	$214.30
1235	J9357		"	Valrubicin injection"					
1236		Levoleucovorin injection		K	0.0229	$1.70	.	$0.34
1236	J0641		"	Levoleucovorin injection"					
1237		Inj iron dextran		K	0.1608	$11.93	.	$2.39
1237	J1750		"	Inj iron dextran"					
1238		Topotecan oral		K	1.2393	$91.93	.	$18.39
1238	J8705		"	Topotecan oral"					
1253		Triamcinolone A inj PRS-free		K	0.0500	$3.71	.	$0.75
1253	J3300		Triamcinolone a inj prs-free					
1263		Antithrombin iii injection		K	0.0425	$3.15	.	$0.63
1263	J7197		"	Antithrombin iii injection"					
1268		Xyntha inj		K	0.0152	$1.13	.	$0.23
1268	J7185		"	Xyntha inj"					
1272		Acetylcysteine injection		K	0.0334	$2.48	.	$0.50
1272	J0132		"	Acetylcysteine injection"					
1274		Edetate calcium disodium inj		K	20.3388	"$1,508.65"	.	$301.73
1274	J0600		"	Edetate calcium disodium inj"					
1280		Corticotropin injection		K	42.6744	"$3,165.42"	.	$633.09
1280	J0800		"	Corticotropin injection"					
1281		Bevacizumab injection		K	0.0221	$1.64	.	$0.33
1281	C9257		"	Bevacizumab injection"					
1289		AbobotulinumtoxinA		K	0.0990	$7.34	.	$1.47
1289	J0586		Abobotulinumtoxina					
1291		Rilonacept injection		K	0.3248	$24.09	.	$4.82
1291	J2793		"	Rilonacept injection"					
1295		Sm 153 lexidronam		K	106.9587	"$7,933.77"	.	"$1,586.76"
1295	A9604		"	Sm 153 lexidronam"					
1296		Degarelix injection		K	0.0418	$3.10	.	$0.62
1296	J9155		"	Degarelix injection"					
1297		"Ferumoxytol, non-esrd"		K	0.0097	$0.72	.	$0.15
1297	Q0138		"	Ferumoxytol, non-esrd"					
1311		Canakinumab injection		K	1.2272	$91.03	.	$18.21
1311	J0638		"	Canakinumab injection"					
1312		Hizentra injection		K	0.1035	$7.68	.	$1.54
1312	J1559		"	Hizentra injection"					
1327		Imiglucerase injection		K	0.5664	$42.01	.	$8.41
1327	J1786		"	Imuglucerase injection"					
1331		Olanzapine long-acting inj		K	0.0371	$2.75	.	$0.55
1331	J2358		"	Olanzapine long-acting inj"					
1332		Antithrombin recombinant		K	1.3933	$103.35	.	$20.67
1332	J7196		"	Antithrombin recombinant"					
1338		"Methyl aminolevulinate, top"		K	1.1283	$83.69	.	$16.74
1338	J7309		"	Methyl aminolevulinate, top"					
1340		"Collagenase, clost hist inj"		K	0.5181	$38.43	.	$7.69
1340	J0775		"	Collagenase, clost hist inj"					
1341		Amobarbital 125 MG inj		K	2.4249	$179.87	.	$35.98
1341	J0300		Amobarbital 125 mg inj					
1350		Topotecan injection		K	0.0295	$2.19	.	$0.44
1350	J9351		"	Topotecan injection"					
1352		Wilate injection		K	0.0121	$0.90	.	$0.18
1352	J7183		"	Wilate injection"					
1353		Belimumab injection		K	0.5235	$38.83	.	$7.77
1353	J0490		"	Belimumab injection"					
1354		Hydroxyprogesterone caproate		K	0.0361	$2.68	.	$0.54
1354	J1725		"	Hydroxyprogesterone caproate"					
1356		Zoledronic Acid 1mg		K	1.0978	$81.43	.	$16.29
1356	J3489		Zoledronic acid 1mg					
1361		Enfuvirtide injection		K	0.3520	$26.11	.	$5.23
1361	J1324		"	Enfuvirtide injection"					
1408		Cyclophosphamide 100 MG inj		K	0.7071	$52.45	.	$10.49
1408	J9070		Cyclophosphamide 100 mg inj					
1413		Lumizyme injection		K	2.0712	$153.63	.	$30.73
1413	J0221		"	Lumizyme injection"					
1415		Glassia injection		K	0.0534	$3.96	.	$0.80
1415	J0257		"	Glassia injection"					
1417		Gel-one		K	7.8533	$582.53	.	$116.51
1417	J7326		"	Gel-one"					
1419		Dermacell		G	1.0165	$75.40	$0.00	$0.00
1419	Q4122		"	Dermacell"				$0.00	$0.00
1420		Aflibercept injection		K	13.2186	$980.50	.	$196.10
1420	J0178		"	Aflibercept injection"					
1421		Imported lipodox inj		K	6.7173	$498.26	.	$99.66
1421	Q2049		"	Imported lipodox inj"					
1422		Anthrax vaccine sc or im		K	1.2679	$94.05	.	$18.81
1422	90581		"	Anthrax vaccine sc or im"					
1424		Nabilone oral		K	0.3831	$28.42	.	$5.69
1424	J8650		"	Nabilone oral"					
1426		Eribulin mesylate injection		K	1.3251	$98.29	.	$19.66
1426	J9179		"	Eribulin mesylate injection"					
1431		Centruroides immune f(ab)		K	49.3584	"$3,661.21"	.	$732.25
1431	J0716		"	Centruroides immune f(ab)"					
1433		Calcitonin salmon injection		K	0.9305	$69.02	.	$13.81
1433	J0630		"	Calcitonin salmon injection"					
1440		Inj desmopressin acetate		K	0.0694	$5.15	.	$1.03
1440	J2597		"	Inj desmopressin acetate"					
1442		Non-HEU TC-99M add-on/dose		K	0.1348	$10.00	.	$2.00
1442	Q9969		Non-heu tc-99m add-on/dose					
1443		Icatibant injection		K	3.7190	$275.86	.	$55.18
1443	J1744		"	Icatibant injection"					
1446		Visualization adjunct		K	0.0582	$4.32	.	$0.87
1446	Q9968		"	Visualization adjunct"					
1448		Opthalmic mitomycin		G	5.1184	$379.66	.	$75.94
1448	J7315		Ophthalmic mitomycin					
1449		Talymed		G	0.1858	$13.78	$0.00	$0.00
1449	Q4127		"	Talymed"				$0.00	$0.00
1456		Pentobarbital sodium inj		K	0.4462	$33.10	.	$6.62
1456	J2515		"	Pentobarbital sodium inj"					
1458		Phentolaine mesylate inj		K	1.3657	$101.30	.	$20.26
1458	J2760		"	Phentolaine mesylate inj"					
1460		Interferon alfa-2a inj		K	9.8111	$727.75	.	$145.55
1460	J9213		"	Interferon alfa-2a inj"					
1463		Tc99 Tilmanocept diag 0.5mci		G	3.2355	$240.00	$0.00	$0.00
1463	A9520		Tc99 tilmanocept diag 0.5mci				$0.00	$0.00
1464		Factor VIII (porcine)		K	0.0027	$0.20	.	$0.04
1464	J7191		Factor viii (porcine)					
1465		Tacrolimus ex rel oral 0.1mg		G	0.0054	$0.40	.	$0.08
1465	J7508		"	Tacrolimus ex rel oral 0.1mg"					
1466		"Inj, vincristine sul lip 1mg"		G	27.8662	"$2,067.00"	.	$413.40
1466	J9371		"	Inj, vincristine sul lip 1mg"					
1467		Factor IX recombinant		G	0.0171	$1.27	.	$0.26
1467	C9133		Factor ix recombinant					
1468		Inj Aripiprazole Ext Rel 1mg		K	0.0508	$3.77	.	$0.76
1468	J0401		Inj aripiprazole ext rel 1mg					
1469		"Inj, Filgrastim G-CSF 1mcg"		K	0.0135	$1.00	.	$0.20
1469	J1442		"Inj, filgrastim g-csf 1mcg"					
1471		"Injection, Pertuzumab, 1 mg"		K	0.1376	$10.21	.	$2.05
1471	J9306		"Injection, pertuzumab, 1 mg"					
1472		Inj beta interferon im 1 mcg		K	0.4574	$33.93	.	$6.79
1472	Q3027		"	Inj beta interferon im 1 mcg"					
1474		Certolizumab pegol inj 1mg		K	0.0799	$5.93	.	$1.19
1474	J0717		Certolizumab pegol inj 1mg					
1475		Golimumab for iv use 1mg		K	0.3221	$23.89	.	$4.78
1475	J1602		Golimumab for iv use 1mg					
1476		"Injection, obinutuzumab"		G	0.7374	$54.70	.	$10.94
1476	C9021		"Injection, obinutuzumab"					
1477		"Inj, tbo-filgrastim, 5 mcg"		K	0.0569	$4.22	.	$0.85
1477	J1446		"	Inj, tbo-filgrastim, 5 mcg"					
1478		Human fibrinogen conc inj		K	0.0129	$0.96	.	$0.20
1478	J7178		"	Human fibrinogen conc inj"					
1479		Theraskin		G	0.3125	$23.18	$0.00	$0.00
1479	Q4121		"	Theraskin"				$0.00	$0.00
1482		"Darbepoetin alfa, esrd use"		K	0.0503	$3.73	.	$0.75
1482	J0882		"	Darbepoetin alfa, esrd use"					
1483		Epoetin alfa 1000 units esrd		K	0.1545	$11.46	.	$2.30
1483	J0886		Epoetin alfa 1000 units esrd					
1484		Pentazocine injection		K	2.1558	$159.91	.	$31.99
1484	J3070		"	Pentazocine injection"					
1485		"Ferumoxytol, esrd use"		K	0.0097	$0.72	.	$0.15
1485	Q0139		"	Ferumoxytol, esrd use"					
1564		New Technology - Level XXVII ($4500-$5000)		T	64.0369	"$4,750.00"	.	$950.00
1564	C9740		Cysto impl 4 or more					
1605		Abciximab injection		K	10.0018	$741.89	.	$148.38
1605	J0130		"	Abciximab injection"					
1607		Eptifibatide injection		K	0.3718	$27.58	.	$5.52
1607	J1327		"	Eptifibatide injection"					
1608		Etanercept injection		K	3.5986	$266.93	.	$53.39
1608	J1438		"	Etanercept injection"					
1609		"Rho(D) immune globulin h, sd"		K	0.2526	$18.74	.	$3.75
1609	J2792		"Rho(d) immune globulin h, sd"					
1613		Trastuzumab injection		K	1.0871	$80.64	.	$16.13
1613	J9355		"	Trastuzumab injection"					
1630		"Hep b ig, im"		K	1.5025	$111.45	.	$22.29
1630	90371		"	Hep b ig im"					
1631		Baclofen intrathecal trial		K	1.0178	$75.50	.	$15.10
1631	J0476		"	Baclofen intrathecal trial"					
1633		Alefacept		K	0.5614	$41.64	.	$8.33
1633	J0215		"	Alefacept"					
1643		"Y90 ibritumomab, rx"		K	582.7746	"$43,227.89"	.	"$8,645.58"
1643	A9543		"	Y90 ibritumomab, rx"					
1670		Tetanus immune globulin inj		K	4.0230	$298.41	.	$59.69
1670	J1670		"	Tetanus immune globulin inj"					
1675		P32 Na phosphate		K	2.6900	$199.53	.	$39.91
1675	A9563		P32 na phosphate					
1676		P32 chromic phosphate		K	10.3389	$766.90	.	$153.38
1676	A9564		"	P32 chromic phosphate"					
1683		Basiliximab		K	34.5364	"$2,561.77"	.	$512.36
1683	J0480		"	Basiliximab"					
1684		Corticorelin ovine triflutal		K	0.1045	$7.75	.	$1.55
1684	J0795		"	Corticorelin ovine triflutal"					
1685		"Darbepoetin alfa, non-esrd"		K	0.0503	$3.73	.	$0.75
1685	J0881		"	Darbepoetin alfa, non-esrd"					
1686		"Epoetin alfa, non-esrd"		K	0.1545	$11.46	.	$2.30
1686	J0885		"	Epoetin alfa, non-esrd"					
1687		Digoxin immune fab (ovine)		K	17.5756	"$1,303.69"	.	$260.74
1687	J1162		"	Digoxin immune fab (ovine)"					
1688		Ethanolamine oleate		K	4.0436	$299.94	.	$59.99
1688	J1430		"	Ethanolamine oleate 100 mg"					
1689		Fomepizole		K	0.0903	$6.70	.	$1.34
1689	J1451		"	Fomepizole, 15 mg"					
1690		Hemin		K	0.2237	$16.59	.	$3.32
1690	J1640		"	Hemin, 1 mg"					
1693		Lepirudin		K	3.7149	$275.56	.	$55.12
1693	J1945		"	Lepirudin"					
1694		Ziconotide injection		K	0.0890	$6.60	.	$1.32
1694	J2278		"	Ziconotide injection"					
1695		Nesiritide injection		K	0.8123	$60.25	.	$12.05
1695	J2325		"	Nesiritide injection"					
1696		Palifermin injection		K	0.1943	$14.41	.	$2.89
1696	J2425		"	Palifermin injection"					
1697		Pegaptanib sodium injection		K	13.8587	"$1,027.98"	.	$205.60
1697	J2503		"	Pegaptanib sodium injection"					
1700		Inj secretin synthetic human		K	0.3706	$27.49	.	$5.50
1700	J2850		"	Inj secretin synthetic human"					
1701		Treprostinil injection		K	0.8256	$61.24	.	$12.25
1701	J3285		"	Treprostinil injection"					
1704		"Humate-P, inj"		K	0.0128	$0.95	.	$0.19
1704	J7187		"Humate-p, inj"					
1705		Factor viia		K	0.0231	$1.71	.	$0.35
1705	J7189		"	Factor viia"					
1709		Azacitidine injection		K	0.0665	$4.93	.	$0.99
1709	J9025		"	Azacitidine injection"					
1710		Clofarabine injection		K	1.7476	$129.63	.	$25.93
1710	J9027		"	Clofarabine injection"					
1711		Vantas implant		K	40.1843	"$2,980.71"	.	$596.15
1711	J9225		"	Vantas implant"					
1712		Paclitaxel protein bound		K	0.1277	$9.47	.	$1.90
1712	J9264		"	Paclitaxel protein bound"					
1716		"Brachytx, non-str, Gold-198"		U	0.4947	$36.69	.	$7.34
1716	C1716		"Brachytx, non-str, gold-198"					
1717		"Brachytx, non-str, HDR Ir-192"		U	3.7401	$277.43	.	$55.49
1717	C1717		"Brachytx, non-str,hdr ir-192"					
1719		"Brachytx, NS, Non-HDRIr-192"		U	1.0514	$77.99	.	$15.60
1719	C1719		"Brachytx, ns, non-hdrir-192"					
1738		Oxaliplatin		K	0.0075	$0.56	.	$0.12
1738	J9263		"	Oxaliplatin"					
1739		"Pegademase bovine, 25 iu"		K	3.7193	$275.88	.	$55.18
1739	J2504		"	Pegademase bovine, 25 iu"					
1741		"Urofollitropin, 75 iu"		K	0.8551	$63.43	.	$12.69
1741	J3355		"	Urofollitropin, 75 iu"					
1841		Retinal prosth int/ext compá áááá		H				
1841	C1841		Retinal prosth int/ext comp					
2616		"Brachytx, non-str,Yttrium-90"		U	215.9376	"$16,017.39"	.	"$3,203.48"
2616	C2616		"Brachytx, non-str,yttrium-90"					
2632		Iodine I-125 sodium iodide		U	0.1770	$13.13	.	$2.63
2632	A9527		Iodine i-125 sodium iodide					
2634		"Brachytx, non-str, HA, I-125"		U	1.1926	$88.46	.	$17.70
2634	C2634		"Brachytx, non-str, ha, i-125"					
2635		"Brachytx, non-str, HA, P-103"		U	0.3359	$24.92	.	$4.99
2635	C2635		"Brachytx, non-str, ha, p-103"					
2636		"Brachy linear, non-str,P-103"		U	0.2637	$19.56	.	$3.92
2636	C2636		"Brachy linear, non-str,p-103"					
2638		"Brachytx, stranded, I-125"		U	0.6008	$44.56	.	$8.92
2638	C2638		"Brachytx, stranded, i-125"					
2639		"Brachytx, non-stranded,I-125"		U	0.5028	$37.30	.	$7.46
2639	C2639		"Brachytx, non-stranded,i-125"					
2640		"Brachytx, stranded, P-103"		U	0.8890	$65.94	.	$13.19
2640	C2640		"Brachytx, stranded, p-103"					
2641		"Brachytx, non-stranded,P-103"		U	0.9238	$68.52	.	$13.71
2641	C2641		"Brachytx, non-stranded,p-103"					
2642		"Brachytx, stranded, C-131"		U	1.5183	$112.62	.	$22.53
2642	C2642		"Brachytx, stranded, c-131"					
2643		"Brachytx, non-stranded,C-131"		U	0.7245	$53.74	.	$10.75
2643	C2643		"Brachytx, non-stranded,c-131"					
2698		"Brachytx, stranded, NOS"		U	0.6008	$44.56	.	$8.92
2698	C2698		"Brachytx, stranded, nos"					
2699		"Brachytx, non-stranded, NOS"		U	0.2637	$19.56	.	$3.92
2699	C2699		"Brachytx, non-stranded, nos"					
2731		"Immune globulin, powder"		K	0.4050	$30.04	.	$6.01
2731	J1566		"	Immune globulin, powder"					
2770		Quinupristin/dalfopristin		K	2.6788	$198.70	.	$39.74
2770	J2770		"	Quinupristin/dalfopristin"					
3041		Bivalirudin		K	0.0433	$3.21	.	$0.65
3041	J0583		"	Bivalirudin"					
7000		Amifostine		K	4.2030	$311.76	.	$62.36
7000	J0207		"	Amifostine"					
7011		Oprelvekin injection		K	3.7240	$276.23	.	$55.25
7011	J2355		"	Oprelvekin injection"					
7034		Somatropin injection		K	0.6413	$47.57	.	$9.52
7034	J2941		"	Somatropin injection"					
7035		Teniposide		K	9.1248	$676.84	.	$135.37
7035	Q2017		"	Teniposide, 50 mg"					
7041		Tirofiban HCl		K	0.1255	$9.31	.	$1.87
7041	J3246		Tirofiban hcl					
7042		"Capecitabine, oral"		K	0.1356	$10.06	.	$2.02
7042	J8520		"	Capecitabine, oral, 150 mg"					
7043		Infliximab injection		K	0.9619	$71.35	.	$14.27
7043	J1745		"	Infliximab injection"					
7046		Doxorubicin inj 10mg		K	6.5784	$487.96	.	$97.60
7046	Q2050		"	Doxorubicin inj 10mg"					
7048		Alteplase recombinant		K	0.8132	$60.32	.	$12.07
7048	J2997		"	Alteplase recombinant"					
7308		Aminolevulinic acid hcl top		K	3.3582	$249.10	.	$49.82
7308	J7308		"	Aminolevulinic acid hcl top"					
9001		Linezolid injection		K	0.5523	$40.97	.	$8.20
9001	J2020		"	Linezolid injection"					
9002		Tenecteplase injection		K	1.0657	$79.05	.	$15.81
9002	J3101		"	Tenecteplase injection"					
9003		Palivizumab		K	17.6391	"$1,308.40"	.	$261.68
9003	90378		"	Rsv mab im 50mg"					
9004		Gemtuzumab ozogamicin inj		K	36.9741	"$2,742.59"	.	$548.52
9004	J9300		"	Gemtuzumab ozogamicin inj"					
9005		Reteplase injection		K	31.0331	"$2,301.91"	.	$460.39
9005	J2993		"	Reteplase injection"					
9006		Tacrolimus injection		K	1.8373	$136.28	.	$27.26
9006	J7525		"	Tacrolimus injection"					
9012		Arsenic trioxide injection		K	0.6636	$49.22	.	$9.85
9012	J9017		"	Arsenic trioxide injection"					
9018		"Inj, rimabotulinumtoxinB"		K	0.1502	$11.14	.	$2.23
9018	J0587		"Inj, rimabotulinumtoxinb"					
9019		Caspofungin acetate		K	0.1765	$13.09	.	$2.62
9019	J0637		"	Caspofungin acetate"					
9024		Amphotericin b lipid complex		K	0.1406	$10.43	.	$2.09
9024	J0287		"	Amphotericin b lipid complex"					
9032		Baclofen 10 MG injection		K	2.1747	$161.31	.	$32.27
9032	J0475		Baclofen 10 mg injection					
9033		Cidofovir injection		K	8.2783	$614.05	.	$122.81
9033	J0740		"	Cidofovir injection"					
9038		Inj estrogen conjugate		K	2.2075	$163.74	.	$32.75
9038	J1410		Inj estrogen conjugate 25 mg					
9042		Glucagon hydrochloride		K	1.7782	$131.90	.	$26.38
9042	J1610		Glucagon hydrochloride/1 mg					
9044		Ibutilide fumarate injection		K	0.9910	$73.51	.	$14.71
9044	J1742		"	Ibutilide fumarate injection"					
9104		Antithymocyte globuln rabbit		K	7.2958	$541.17	.	$108.24
9104	J7511		"	Antithymocyte globuln rabbit"					
9108		Thyrotropin injection		K	16.3293	"$1,211.24"	.	$242.25
9108	J3240		"	Thyrotropin injection"					
9110		Alemtuzumab injection		K	7.1876	$533.15	.	$106.63
9110	J9010		"	Alemtuzumab injection"					
9119		"Injection, pegfilgrastim 6mg"		K	44.5904	"$3,307.54"	.	$661.51
9119	J2505		"	Injection, pegfilgrastim 6mg"					
9120		"Injection, Fulvestrant"		K	1.2253	$90.89	.	$18.18
9120	J9395		"Injection, fulvestrant"					
9121		"Injection, argatroban"		K	0.2241	$16.62	.	$3.33
9121	C9121		"	Injection, argatroban"					
9122		Triptorelin pamoate		K	2.4904	$184.73	.	$36.95
9122	J3315		"	Triptorelin pamoate"					
9124		Daptomycin injection		K	0.0086	$0.64	.	$0.13
9124	J0878		"	Daptomycin injection"					
9125		"Risperidone, long acting"		K	0.0806	$5.98	.	$1.20
9125	J2794		"	Risperidone, long acting"					
9126		Natalizumab injection		K	0.1883	$13.97	.	$2.80
9126	J2323		"	Natalizumab injection"					
9130		"Inj, Imm Glob Bivigam, 500mg"		G	0.5153	$38.22	.	$7.65
9130	J1556		"Inj, imm glob bivigam, 500mg"					
9131		"Inj, Ado-trastuzumab Emt 1mg"		G	0.3927	$29.13	.	$5.83
9131	J9354		"Inj, ado-trastuzumab emt 1mg"					
9132		"Kcentra, per i.u."		G	0.0208	$1.54	.	$0.31
9132	C9132		"	Kcentra, per i.u."					
9133		"Rabies ig, im/sc"		K	2.9679	$220.15	.	$44.03
9133	90375		"	Rabies ig im/sc"					
9134		"Rabies ig, heat treated"		K	2.8721	$213.04	.	$42.61
9134	90376		"	Rabies ig heat treated"					
9135		"Varicella-zoster ig, im"		K	9.1029	$675.22	.	$135.05
9135	90396		"	Varicella-zoster ig im"					
9137		"Bcg vaccine, percut"		K	1.6496	$122.36	.	$24.48
9137	90585		"	Bcg vaccine percut"					
9139		"Rabies vaccine, im"		K	3.1246	$231.77	.	$46.36
9139	90675		"	Rabies vaccine im"					
9140		"Rabies vaccine, id"		K	2.3011	$170.69	.	$34.14
9140	90676		"	Rabies vaccine id"					
9143		"Meningococcal vaccine, sc"		K	1.4356	$106.49	.	$21.30
9143	90733		"	Meningococcal vaccine sc"					
9144		"Encephalitis vaccine, sc"		K	1.4964	$111.00	.	$22.20
9144	90735		"	Encephalitis vaccine sc"					
9207		Bortezomib injection		K	0.6143	$45.57	.	$9.12
9207	J9041		"	Bortezomib injection"					
9208		Agalsidase beta injection		K	1.9710	$146.20	.	$29.24
9208	J0180		"	Agalsidase beta injection"					
9209		Laronidase injection		K	0.3817	$28.31	.	$5.67
9209	J1931		"	Laronidase injection"					
9210		Palonosetron hcl		K	0.2641	$19.59	.	$3.92
9210	J2469		"	Palonosetron hcl"					
9213		Pemetrexed injection		K	0.8083	$59.96	.	$12.00
9213	J9305		"	Pemetrexed injection"					
9214		Bevacizumab injection		K	0.8841	$65.58	.	$13.12
9214	J9035		"	Bevacizumab injection"					
9215		Cetuximab injection		K	0.7082	$52.53	.	$10.51
9215	J9055		"	Cetuximab injection"					
9217		Leuprolide acetate suspnsion		K	2.7877	$206.78	.	$41.36
9217	J9217		"	Leuprolide acetate suspnsion"					
9224		Galsulfase injection		K	4.8509	$359.82	.	$71.97
9224	J1458		"	Galsulfase injection"					
9225		Fluocinolone acetonide implt		K	260.7986	"$19,345.00"	.	"$3,869.00"
9225	J7311		"	Fluocinolone acetonide implt"					
9227		Micafungin sodium injection		K	0.0133	$0.99	.	$0.20
9227	J2248		"	Micafungin sodium injection"					
9228		Tigecycline injection		K	0.0239	$1.77	.	$0.36
9228	J3243		"	Tigecycline injection"					
9229		Ibandronate sodium injection		K	2.1326	$158.19	.	$31.64
9229	J1740		"	Ibandronate sodium injection"					
9230		Abatacept injection		K	0.3219	$23.88	.	$4.78
9230	J0129		"	Abatacept injection"					
9231		Decitabine injection		K	0.4026	$29.86	.	$5.98
9231	J0894		"	Decitabine injection"					
9232		Idursulfase injection		K	6.5010	$482.22	.	$96.45
9232	J1743		"	Idursulfase injection"					
9233		Ranibizumab injection		K	5.3523	$397.01	.	$79.41
9233	J2778		"	Ranibizumab injection"					
9234		Alglucosidase alfa injection		K	2.7855	$206.62	.	$41.33
9234	J0220		"	Alglucosidase alfa injection"					
9235		Panitumumab injection		K	1.2695	$94.17	.	$18.84
9235	J9303		"	Panitumumab injection"					
9236		Eculizumab injection		K	2.7791	$206.14	.	$41.23
9236	J1300		"	Eculizumab injection"					
9237		"Inj, lanreotide acetate"		K	0.5250	$38.94	.	$7.79
9237	J1930		"	Lanreotide injection"					
9240		"Injection, ixabepilone"		K	0.9251	$68.62	.	$13.73
9240	J9207		"	Ixabepilone injection"					
9242		"Injection, fosaprepitant"		K	0.0232	$1.72	.	$0.35
9242	J1453		"	Fosaprepitant injection"					
9243		Bendamustine injection		K	0.2878	$21.35	.	$4.27
9243	J9033		"	Bendamustine injection"					
9245		Romiplostim injection		K	0.6986	$51.82	.	$10.37
9245	J2796		"	Romiplostim injection"					
9248		"Inj, clevidipine butyrate"		K	0.0453	$3.36	.	$0.68
9248	C9248		"	Inj, clevidipine butyrate"					
9251		C1 esterase inhibitor inj		K	0.6634	$49.21	.	$9.85
9251	J0598		"	C-1 esterase, cinryze"					
9252		Plerixafor injection		K	4.0423	$299.84	.	$59.97
9252	J2562		"	Plerixafor injection"					
9253		Temozolomide injection		K	0.0693	$5.14	.	$1.03
9253	J9328		"	Temozolomide injection"					
9255		Paliperidone palmitate inj		K	0.1035	$7.68	.	$1.54
9255	J2426		"	Paliperidone palmitate inj"					
9256		Dexamethasone intra implant		K	2.6594	$197.26	.	$39.46
9256	J7312		"	Dexamethasone intra implant"					
9258		Telavancin injection		K	0.0558	$4.14	.	$0.83
9258	J3095		"	Telavancin injection"					
9259		Pralatrexate injection		K	2.5577	$189.72	.	$37.95
9259	J9307		"	Pralatrexate injection"					
9260		Ofatumumab injection		K	0.6363	$47.20	.	$9.44
9260	J9302		"	Ofatumumab injection"					
9261		Ustekinumab injection		K	2.0420	$151.47	.	$30.30
9261	J3357		"	Ustekinumab injection"					
9263		Ecallantide injection		K	4.7815	$354.67	.	$70.94
9263	J1290		"	Ecallantide injection"					
9264		Tocilizumab injection		K	0.0500	$3.71	.	$0.75
9264	J3262		"	Tocilizumab injection"					
9265		Romidepsin injection		K	3.5049	$259.98	.	$52.00
9265	J9315		"	Romidepsin injection"					
9268		Capsaicin 8% patch		K	0.3206	$23.78	.	$4.76
9268	J7335		"	Capsaicin 8% patch"					
9269		"C-1 esterase, berinert"		K	0.4901	$36.35	.	$7.27
9269	J0597		"	C-1 esterase, berinert"					
9270		Gammaplex IVIG		K	0.4963	$36.81	.	$7.37
9270	J1557		"	Gammaplex injection"					
9271		Velaglucerase alfa		K	4.7890	$355.23	.	$71.05
9271	J3385		"	Velaglucerase alfa"					
9272		"Inj, denosumab"		K	0.1931	$14.32	.	$2.87
9272	J0897		"	Denosumab injection"					
9273		Sipuleucel-T auto CD54+		K	471.8246	"$34,998.06"	.	"$6,999.62"
9273	Q2043		Sipuleucel-t auto cd54+					
9274		Crotalidae Poly Immune Fab		K	32.6251	"$2,420.00"	.	$484.00
9274	J0840		"	Crotalidae poly immune fab"					
9276		Cabazitaxel injection		K	1.9154	$142.08	.	$28.42
9276	J9043		"	Cabazitaxel injection"					
9278		Incobotulinumtoxin A		K	0.0604	$4.48	.	$0.90
9278	J0588		"	Incobotulinumtoxin a"					
9281		"Injection, pegloticase"		K	7.6309	$566.03	.	$113.21
9281	J2507		"	Pegloticase injection"					
9282		Ceftaroline fosamil inj		K	0.0138	$1.02	.	$0.21
9282	J0712		"	Ceftaroline fosamil inj"					
9284		Ipilimumab injection		K	1.7643	$130.87	.	$26.18
9284	J9228		"	Ipilimumab injection"					
9286		Belatacept injection		K	0.0511	$3.79	.	$0.76
9286	J0485		"	Belatacept injection"					
9287		Brentuximab vedotin inj		K	1.4382	$106.68	.	$21.34
9287	J9042		"	Brentuximab vedotin inj"					
9289		Erwinaze injection		K	4.6427	$344.38	.	$68.88
9289	J9019		"	Erwinaze injection"					
9293		"Injection, glucarpidase"		K	3.3086	$245.42	.	$49.09
9293	C9293		"	Injection, glucarpidase"					
9294		"Inj, Taliglucerace Alfa 10 u"		G	0.4166	$30.90	.	$6.18
9294	J3060		"Inj, taliglucerace alfa 10 u"					
9295		"Injection, Carfilzomib, 1 mg"		G	0.3949	$29.29	.	$5.86
9295	J9047		"Injection, carfilzomib, 1 mg"					
9296		"Inj, ziv-aflibercept, 1mg"		G	0.1088	$8.07	.	$1.62
9296	J9400		"	Inj, ziv-aflibercept, 1mg"					
9297		"Inj, Omacetaxine Mep, 0.01mg"		G	0.0334	$2.48	.	$0.50
9297	J9262		"Inj, omacetaxine mep, 0.01mg"					
9298		"Inj, Ocriplasmin, 0.125 mg"		G	14.1110	"$1,046.70"	.	$209.34
9298	J7316		"Inj, ocriplasmin, 0.125 mg"					
9300		Omalizumab injection		K	0.3573	$26.50	.	$5.30
9300	J2357		"	Omalizumab injection"					
9441		"Inj, ferric carboxymaltose"		G	0.0139	$1.03	.	$0.21
9441	C9441		"	Inj, ferric carboxymaltose"					
9497		"Loxapine, inhalation powder"		G	2.0721	$153.70	.	$30.74
9497	C9497		"Loxapine, inhalation powder"					
9500		"Platelets, irradiated"		R	2.2823	$169.29	.	$33.86
9500	P9032		"	Platelets, irradiated"					
9501		Platelet pheres leukoreduced		R	6.7922	$503.82	.	$100.77
9501	P9035		"	Platelet pheres leukoreduced"					
9502		Platelet pheresis irradiated		R	7.7248	$572.99	.	$114.60
9502	P9036		"	Platelet pheresis irradiated"					
9503		Fr frz plasma donor retested		R	0.8146	$60.42	.	$12.09
9503	P9060		"	Fr frz plasma donor retested"					
9504		RBC deglycerolized		R	6.3806	$473.29	.	$94.66
9504	P9039		Rbc deglycerolized					
9505		RBC irradiated		R	2.7818	$206.34	.	$41.27
9505	P9038		Rbc irradiated					
9506		"Granulocytes, pheresis unit"		R	24.9241	"$1,848.77"	.	$369.76
9506	P9050		"	Granulocytes, pheresis unit"					
9507		"Platelets, pheresis"		R	5.6767	$421.07	.	$84.22
9507	P9034		"	Platelets, pheresis"					
9508		Plasma 1 donor frz w/in 8 hr		R	1.0197	$75.64	.	$15.13
9508	P9017		"	Plasma 1 donor frz w/in 8 hr"					
								
