FS 204 2008 - UVPN

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FS 204 2008 - UVPN Powered By Docstoc
					PxCode   Mod   Medium Description              NF rate           F rate
   10021                                                 $190.53
               FINE NEEDLE ASPIRATION WITHOUT IMAGING GUIDANCE            $104.68
   10022                                                 $210.59
               FINE NEEDLE ASPIRATION WITH IMAGING GUIDANCE                $97.53
   10040       ACNE SURGERY                              $123.13          $111.39
   10060       INC & DRAIN ABSCESS SIMPLE                $135.48          $120.55
   10061       INC/DRAIN MULTIPLE/COMPLICATED            $243.13          $226.06
   10080       INC/DRN PILONIDAL CYST SIMPLE             $235.89          $129.76
   10081       INC/DRN PILONIDAL CYST COMPLIC            $365.57          $228.52
   10120       INCISION/REMOVAL FB SKIN SIMPL            $189.52          $125.51
   10121       INCISION/REMOVAL FB SKIN COMPL            $351.96          $259.71
   10140       DRAINAGE OF HEMATOMA/FLUID                $188.42          $162.83
   10160       PUNCTURE ASPIRATION ABSCESS ET            $158.73          $131.01
   10180       DRAINAGE OF POSTOP INFECTION              $299.09          $245.77
   11000       SURGICAL CLEANSING OF SKIN                 $67.63           $48.44
   11001       ADDITIONAL CLEANSING OF SKIN               $30.43           $24.03
   11004                                                 $818.67          $818.67
               DEBRIDE - SKIN/SUBQ TISS/MUSC/FASCIA NECROTIZING SOFT TISS INFECTION
   11005                                               $1,113.44        $1,113.44
               DEBRIDE - SKIN/SUBQ TISS/MUSCLE/FASCIA NECRO TISS INFECTION - ABD WALL
   11006                                               $1,022.88        $1,022.88
               DEBRIDE - SKIN/SUBQ TISS/MUSCLE/FASCIA NECRO TISS INFECTION - GENITAL
   11008                                                 $414.61          $414.61
               REMOVAL PROSTHETIC MATERIAL/MESH, ABD WALL FOR NECROTIZING TISSUE
   11010       DEBRIDE INCL REMOVAL FOREIGN MATERIAL $626.86              $400.22
   11011       DEBRIDE SKIN, SUB-Q TISSUE,MUSCLE,FASCIA $742.00           $431.65
   11012       SKIN SUB-Q TISSUE, MUSCLE FASCIA        $1,077.50          $637.03
   11040       DEBRIDE SKIN PARTIAL THICKNESS             $58.37           $41.85
   11041       DEBRIDE SKIN FULL THICKNESS                $85.52           $67.92
   11042                                                 $120.23
               DEBRIDEMENT - SKIN, AND SUBCUTANEOUS TISSUE                 $91.95
   11043                                                 $326.31
               DEBRIDEMENT - SKIN,SUBCUTANEOUS TISSUE AND MUSC            $284.18
   11044                                                 $426.12
               DEBRIDEMENT - SKIN, SUBCUT TISSUE , MUSC AND BONE          $388.79
   11055       TRIM SKIN LESION                           $56.16           $35.36
   11056       TRIM 2 TO 4 SKIN LESIONS                   $71.41           $49.54
   11057       TRIM OVER 4 SKIN LESIONS                   $88.09           $64.62
   11100       BIOPSY SKIN/SUBCUTAN 1 LESION             $114.16           $67.24
   11101       BIOPSY, EACH ADDED LESION                  $41.63           $34.18
   11200       REMOVAL OF SKIN TAGS                      $101.06           $86.13
   11201       EXC SKIN TAGS EACH ADD 10                  $25.74           $23.61
   11300       SHAVE LESION O.5CM OR LESS                 $82.88           $41.29
   11301       SHAVING OF LESION                         $109.34           $70.42
   11302       SHAVING LESION 1.1 TO 2.0CM               $130.83           $86.04
   11303       SHAVING LESION OVER 2CM                   $157.31          $100.78
   11305       SHAVING LESION 0.5 OR LESS                 $86.01           $55.08
   11306       SHAVING LESION 0.6 - 1.0CM                $117.89           $81.63
   11307       SHAVE SKIN LESION 1                       $136.54           $93.88
   11308       SHAVING LESION - OVER 2CM                 $162.28          $116.42
   11310       SHAVING LESION 0.5CM OR LESS              $102.54           $60.40
   11311       SHAVE SKIN LESION 2                       $127.48           $88.01
   11312       SHAVING LESION 1.1 - 2.0CM                $146.12           $99.74
   11313       SHAVE SKIN LESION                         $191.75          $134.16
   11400       EXC BEN LES TRUNK LIMBS < .5 C            $157.02           $97.83
   11401       EXC BEN LES TRUNK LIMBS .5-1CM            $182.93          $128.00
   11402       EXC BEN LES TRUNK LIMBS 1-2CM             $209.02          $148.23
   11403       EXC BEN LES TRUNK LIMBS 2-3CM             $235.49          $178.45
   11404       EXC BEN LES TRUNK LIMBS 3-4CM             $268.86          $199.54
   11406       EXC BEN LES TRUNK LIMBS GT 4CM            $331.94          $256.75
11420   EXC BEN LES SCALP HANDS <.5CM              $153.27     $109.00
11421   EXC BEN LES SCALP HANDS .5-1CM             $195.37     $144.71
11422   EXC BEN LES SCALP HANDS 1-2CM              $218.19     $169.13
11423   EXC BEN LES SCALP HANDS 2-3CM              $259.26     $198.99
11424   EXC BEN LES SCALP HANDS 3-4CM              $296.72     $232.72
11426   EXC BEN LES SCALP HANDS GT 4 CM            $415.46     $341.87
11440   EXC BEN LES FACE ADNEXA <0.5CM             $180.52     $133.07
11441   EXC BEN LES FACE ADNEXA .5-1CM             $213.19     $168.39
11442   EXC BEN LES FACE ADNEXA 1-2CM              $238.76     $187.04
11443   EXC BEN LES FACE ADNEXA 2-3CM              $293.12     $234.46
11444   EXC BEN LES FACE ADNEXA 3-4CM              $374.27     $305.47
11446   EXC BEN LES FACE ADNEXA GT 4CM             $485.64     $417.92
11450   EXC SKIN/SUBC AXIL W PRIM SUTU             $436.05     $275.54
11451   EXC SKIN/SUBC AXIL W OTHR CLOS             $594.89     $378.37
11462   EXC SKIN/SUBC INGNL W SUTURE               $426.32     $261.01
11463   REMOVAL, SWEAT GLAND LESION                $606.60     $385.84
11470   EXC SKIN/SUBC PERI W PRIM CLOS             $469.05     $319.75
11471   EXC SKIN/SUBC PERI W OTHR CLOS             $627.85     $417.74
11600   EXC MAL LES TRUNK LIMBS <.5CM              $218.40     $129.89
11601   EXC MAL LES TRUNK LIMBS .5-1CM             $250.71     $171.79
11602   EXC MAL LES TRUNK LIMBS 1-2CM              $266.00     $182.82
11603   REMOVAL OF SKIN LESION                     $294.09     $201.31
11604   EXC MAL LES TRUNK LIMBS 3-4CM              $323.52     $217.93
11606   EXC MAL LES TRUNK LIMBS GT 4CM             $424.26     $300.01
11620   EXC MAL LES SCALP HANDS <0.5CM             $209.45     $122.01
11621   EXC MAL LES SCALP HANDS .5-1CM             $248.44     $170.59
11622   EXC MAL LES SCALP HANDS 1-2CM              $281.80     $198.08
11623   EXC MAL LES SCALP HANDS 2-3CM              $333.31     $240.00
11624   EXC MAL LES SCALP HANDS 3-4CM              $383.37     $278.32
11626   EXC MAL LES SCALP HANDS GT 4CM             $507.07     $387.62
11640   EXC MAL LES FACE ADNEXA <0.5CM             $221.74     $139.62
11641   EXC MAL LES FACE ADNEXA 0.5-1C             $289.73     $210.27
11642   EXC MAL LES FACE ADNEXA 1-2CM              $335.53     $245.42
11643   EXC MAL LES FACE ADNEXA 2-3CM              $388.09     $289.96
11644   EXC MAL LES FACE ADNEXA 3-4CM              $491.77     $372.85
11646   EXC MAL LES FACE ADNEXA GT 4CM             $666.51     $544.93
11719   TRIM NAIL(S)                                $23.72      $14.15
11720                                               $37.80
        DEBRIDEMENT OF NAIL(S) BY ANY METHOD(S) - ONE TO FIVE   $26.08
11721                                               $56.76
        DEBRIDEMENT OF NAILS BY ANY METHOD - SIX OR MORE        $44.50
11730                                              COMPLETE
        AVULSION OF NAIL PLATE, SINGLE, PARTIAL OR $124.36      $92.36
11732   AVULSION NAIL PLATE EACH ADDIT              $58.47      $46.73
11740   EVACUATION SUBUNGAL HEMATOMA                $51.85      $41.18
11750                                              $229.09     $207.22
        EXCISION NAIL AND MATRIX, PARTIAL OR COMPLETE FOR PERMANENT REMOVAL
11752   REMOVE NAIL BED/FINGER TIP                 $324.23     $324.23
11755   BIOPSY, NAIL UNIT                          $163.75     $121.09
11760   REPAIR OF NAIL BED                         $236.96     $192.16
11762   RECONSTRUCT NAIL BED W GRAFT               $331.23     $302.44
11765   WEDGE EXC.OF SKIN OF NAIL FOLD             $137.11      $82.73
11770   EXC PILONIDAL CYST/SINUS SIMP              $345.45     $239.88
11771   EXC PILONIDAL CYST/SINUS EXTEN             $653.61     $529.36
11772   EXC PILONIDAL CYST/SINUS COMPL             $828.86     $699.27
11900   INJECTION INTO SKIN LESIONS                 $65.32      $41.85
11901   INJECTION INTRALESIONAL 8 PLUS            $81.76       $65.23
11920   TATTOOING 6.0 SQ CM OR LESS              $297.39      $158.21
11921   CORRECT SKIN COLOR DEFECTS 1             $331.30      $187.86
11922   CORRECT SKIN COLOR DEFECTS                $91.24       $43.79
11950   INJECTION SUBCUTAN FILLER <1             $110.75       $70.75
11951   INJECTION SUBCUTAN FILLER <5CC           $151.17       $98.91
11952   INJECTION SUBCUTAN FILL 5-10CC           $200.65      $138.26
11954   INJECTION SUBCUTAN FILL GT 10CC          $244.20      $162.07
11960   INSERT TISSUE EXPANDER(S)              $1,117.26    $1,117.26
11970   REPLACE EXPANDER W/PROSTHESIS            $765.98      $765.98
11971   REMOVE TISSUE EXPANDER (S)               $618.03      $334.34
11975   INSERT CONTRACEPTIVE CAP                 $166.16      $120.83
11976   REMOVAL CONTRACEPTIVE CAPSULES           $200.71      $145.25
11977   REMOVE/REINSERT CONTRA CAP               $322.37      $268.51
11980   SUBCUTANEOUS HORMONE PELLET IMPLANTATION $146.53      $117.75
11981                                            $
        INSERTION OF DRUG DELIVERY IMPLANT DEVICE179.21       $124.82
11982   REMOVAL OF DRUG DELIVERY IMPLANT DEVICE  $210.93      $151.74
11983                                            $318.01      $274.82
        REMOVAL AND REINSERTION OF DRUG DELIVERY IMPLANT DEVICE
12001   REP SIMPLE SCALP ETC <2.5CMM             $208.14      $143.61
12002   REP SIMPLE SCALP ETC 2.5-7.5CM           $221.18      $160.40
12004   REP SIMPLE SCALP ETC 7.5-12.5C           $259.20      $189.33
12005   REP SIMPLE SCALP ETC 12.5-20CM           $323.32      $236.93
12006   REP SIMPLE SCALP ETC 20.0-30CM           $402.91      $302.66
12007   REP SIMPLE SCALP ETC OVER 30CM           $453.65      $346.47
12011   REP SIMPLE FACE ADNEXA <2.5CM            $219.93      $147.93
12013   REP SIMPLE FACE ADNEXA 2.5-5CM           $241.21      $169.75
12014   REP SIMPLE FACE ADNEXA 5-7.5CM           $285.40      $204.88
12015   REP SIMP FACE ADNEXA 7.5-12.5C           $359.35      $259.09
12016   REP SIMP FACE ADNEXA 12.5-20CM           $426.21      $317.96
12017   REP SIMPLE FACE ADNEXA 20-30CM           $386.11      $386.11
12018   REP SIMPLE FACE ADNEXA GT 30CM           $456.40      $456.40
12020   TREAT SUPERFICIAL/SIMP CLOSURE           $363.78      $262.46
12021   CLOSURE OF SPLIT WOUND                   $210.20      $188.32
12031   REP INTERMED SCALP ETC <2.5CM            $250.44      $180.05
12032   REP INTERMED SCALP 2.5-7.5CM             $351.43      $242.12
12034   REP INTERMED SCALP 7.5-12.5CM            $345.71      $252.91
12035   REP INTERMED SCALP 12.5-20.0CM           $485.26      $323.16
12036   REP INTERMED SCALP 20.0-30.0CM           $544.94      $384.43
12037   REP INTERMED SCALP ETC GT 30.0CM         $612.70      $445.79
12041   REP INTERMED NECK ETC <2.5CM             $277.56      $202.37
12042   REP INTERMED NECK 2.5-7.5CM              $336.59      $240.61
12044   REP INTERMED NECK 7.5-12.5CM             $360.40      $274.55
12045   REP INTERMED NECK 12.5-20.0CM            $501.69      $342.76
12046   REP INTERMED NECK 20.0-30.0CM            $606.58      $406.61
12047   REP INTERMED NECK ETC GT 30.0CM          $622.64      $448.80
12051   REP INTERMED FACE ETC GT 2.5CM           $322.17      $225.11
12052   REP INTERMED FACE 2.5-5.0CM              $336.16      $240.70
12053   REP INTERMED FACE 5.0-7.5CM              $358.98      $267.79
12054   REP INTERMED FACE 7.5-12.5CM             $397.05      $294.13
12055   REP INTERMED FACE 12.5-20.0CM            $506.83      $380.98
12056   REP INTERMED FACE 20.0-30.0CM            $678.39      $481.08
12057   REP INTERMED FACE ETC GT 30.0CM          $685.09      $558.18
13100   REP COMPLEX TRUNK 1.0-2.5CM                $403.30       $309.99
13101   REP COMPLEX TRUNK 2.5-7.5CM                $481.07       $375.49
13102                                              $137.70       $105.71
        EACH ADDITIONAL 5CM OR LESS IN ADDITION TO PRIMARY PROCEDURE
13120   REP COMP SCALP LIMBS 1-2.5CM               $418.70       $322.73
13121   REPAIR OF WOUND OR LESION                  $514.87       $405.01
13122                                              $167.93
        EA ADDL 5 CM OR < IN ADDITION TO PRIMARY PROCEDURE       $121.02
13131   REP COMP FACE HANDS 1.0-2.5CM              $457.69       $368.11
13132   REP COMP FACE HANDS 2.5-7.5CM              $665.12       $572.32
13133                                              $219.65
        EA ADDL 5CM OR LESS IN ADDITION TO PRIMARY PROCEDURE $186.07
13150   REP COMPLEX FACIAL ADNEXA <1CM             $488.27       $375.77
13151   REP COMP FACIAL ADNEXA 1-2.5CM             $520.14       $431.62
13152   REP COM FACIAL ADNEXA 2.5-7.5C             $696.25       $590.13
13153                                              $247.48
        EACH ADD 5CM OR LESS IN ADDITION TO PRIMARY PROCEDURE $205.35
13160   SECONDARY CLOSE/EXTEN OR COMP            $1,031.86     $1,031.86
14000   REP PLASTIC TRUNK < 10 SQ CM               $774.71       $647.27
14001   REP PLASTIC TRUNK 10-30 SQ CM            $1,013.44       $888.66
14020   REP PLAS SCALP LIMBS < 10 SQ C             $856.87       $745.96
14021   REP PLAS SCALP LIMBS 10-30SQ C           $1,133.57     $1,042.92
14040   REP PLAS FACE HANDS < 10 SQ CM             $940.08       $854.75
14041   REP PLAS FACE HANDS 10-30 SQ C           $1,244.67     $1,142.29
14060   REP PLAS FACIAL ADNEXA <10 SQC             $975.90       $903.93
14061   REP PLAS FACIAL ADNEXA 10-30SC           $1,344.34     $1,232.35
14300   REP PLAS ANY AREA OVER 30 SQ C           $1,303.84     $1,199.32
14350   FILLETED FINGER OR TOE FLAP                $975.55       $975.55
15000   SKIN GRAFT PROCEDURE                       $446.74       $360.88
15001                                              $134.05        $83.92
        BURN WOUND PREP, EACH ADDL 100 SQ CM (OR EACH ADDL 1%) INFANTS & CHILDREN
15050   SKIN PINCH GRAFT PROCEDURE                 $633.17       $537.18
15100   GRAFT SPLT TRUNK LIMBS <101SQC           $1,231.22       $977.39
15101   SKIN SPLIT GRAFT PROCEDURE                 $305.61       $169.09
15120   GRAFT SPLIT FACE ETC <101 SQCM           $1,172.56     $1,015.79
15121   GRAFT SPLIT FACE ADD 100 SQ CM             $404.75       $262.90
15200   GRAF FUL THICK TRUNK TO 20 SQC             $993.18       $822.54
15201   GRAF FUL THICK TRUNK ADD 20SQC             $218.24       $114.79
15220   GRAF FUL THICK SCALP LIMB 20CM             $967.11       $833.78
15221   GRAF FUL THICK SCLP LIMB ADD20             $197.30       $103.45
15240   GRAF FUL THICK FACE ETC 20SQCM           $1,092.07       $972.09
15241   GRAF FUL THICK FACE ADD 20 CM              $244.02       $162.43
15260   GRAF FUL THICK FACE ADNEX 20CM           $1,141.31     $1,054.40
15261   GRAF FUL THICK FACE ADNEX ADD2             $277.98       $209.19
15342                                              $159.58        $90.25
        APPLICATION OF BILAMINATE SKIN SUBSTITUTE/NEODERMIS - 25 SQ. CM.
15343                                               25 SQ.
        APPLICATION FOR BILAMINATE SKIN EACH ADD'L$20.12 CM.      $20.12
15350   SKIN HOMOGRAFT PROCEDURE                   $589.50       $449.78
15351   SKIN HOMOGRAFT ADD-ON                       $81.24        $81.24
15400   HETEROGRAFT SKIN                           $457.73       $457.73
15401   SKIN HETEROGRAFT ADD-ON                    $162.84        $85.52
15570   FORMATION DIRECT/TUBED PEDICLE           $1,172.80       $930.69
15572   FORM SKIN PEDICLE FLAP                   $1,076.30       $914.19
15574   PEDICLE,FOREHEAD,CHEEKS,CHIN             $1,174.40     $1,020.29
15576   PEDICLE,EYELIDS,NOSE, LIPS               $1,045.56       $892.53
15600   GRAFT PEDICLE DELAY AT TRUNK               $523.52       $281.43
15610   GRAF PEDICLE DELAY SCALP LIMBS             $400.31       $332.58
15620   GRAF PEDICLE DELAY AT FACE ETC             $595.00       $387.03
15630   GRAF PEDICL DELAY FACIAL ADNEX          $573.53      $419.40
15650   GRAF PEDICL INTERMED TRANSFER           $621.42      $465.18
15732   MUSCLE-SKIN FLAP, HEAD/NECK           $2,047.50    $1,736.59
15734   MUSCLE-SKIN GRAFT TRUNK               $2,069.81    $1,763.72
15736   MUSCLE-SKIN GRAFT ARM                 $1,984.45    $1,610.63
15738   MUSCLE-SKIN GRAFT, LEG                $2,072.36    $1,739.07
15740   FLAP, ISLAND PEDICLE                  $1,146.72    $1,046.99
15750   NEUROVASCULAR PEDICLE FLAP            $1,181.53    $1,181.53
15756                                         $3,265.68    $3,265.68
        FREE MUSCLE FLAP W/WO SKIN GRAFT W/ MICROVASCULAR ANASTOMOSIS
15757                                         $3,296.18
        FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS         $3,296.18
15758                                         $3,299.39
        FREE FACIAL FLAP W/VICROVASCULAR ANASTOMOSIS       $3,299.39
15760   GRAF COMPOSITE-FULTHICK EAR/AL        $1,062.07      $914.87
15770   GRAFT DERMA-FAT-FASCIA                  $821.43      $821.43
15775   TRANSPLT HAIR 1-15 PUNCH GRAFT          $469.44      $313.19
15776   HAIR TRANSPLANT PUNCH GRAFTS            $626.41      $490.43
15780   ABRASION SKIN TOTAL FACE              $1,052.93      $878.57
15781   ABRASION SKIN < THAN TOTAL FAC          $656.13      $573.48
15782   ABRASION SKIN REGIONAL NOT FAC          $782.80      $606.83
15783   ABRASION TREATMENT OF SKIN              $619.94      $476.49
15786   ABRASION TREATMENT OF LESION            $298.82      $190.57
15787   ABRASION, ADDED SKIN LESIONS             $78.37       $28.79
15788   CHEMICAL PEEL - FACE,EPIDERMAL          $481.40      $287.82
15789   CHEMICAL PEEL - FACE,DERMAL             $718.14      $542.69
15792   CHEMICAL PEEL - NON-FACE,EPI            $488.60      $347.81
15793   CHEMICAL PEEL, NONFACIAL                $554.60      $453.29
15810   SALABRASION UP TO 20 SQ CM              $494.85      $494.85
15811   SALABRASION                             $628.36      $589.97
15819   CERVICOPLASTY                           $951.47      $951.47
15820   BLEPHAROPLASTY LOWER EYELIDS            $678.99      $603.81
15821   BLEPHAROPLASTY W EXTEN FAT PAD          $733.14      $645.68
15822   REVISION OF UPPER EYELID                $576.57      $505.11
15823   RHYTIDEC W EXCESS SKIN ON LIDS          $837.20      $761.48
15824   RHYTIDECTOMY FOREHEAD                 $1,105.14    $1,105.14
15825   REMOVAL OF NECK WRINKLES              $1,263.50    $1,263.50
15826   RHYTIDECTOMY GLABELLAR FROWN          $1,105.14    $1,105.14
15828   RHYTIDECTOMY CHEEKS CHIN NECK         $2,920.66    $2,920.66
15829   REMOVAL OF SKIN WRINKLES              $3,236.24    $3,236.24
15831   EXC EXCESS SKIN ABDOMEN               $1,202.50    $1,202.50
15832   EXC EXCESS SKIN THIGHS                $1,163.45    $1,163.45
15833   EXC EXCESS SKIN LEGS                  $1,094.30    $1,094.30
15834   EXC EXCESS SKIN HIPS                  $1,085.28    $1,085.28
15835   EXC EXCESS SKIN BUTTOCKS              $1,123.45    $1,123.45
15836   EXC EXCESS SKIN ARMS                    $941.03      $941.03
15837   EXC EXCESS SKIN FOREARMS                $978.48      $915.53
15838   EXC SUBMETAL FAT PAD                    $750.06      $750.06
15839   EXC EXCESS SKIN OTHER AREA            $1,046.82      $917.23
15840   GRAF FREE FASCIA-FACIAL PARALY        $1,333.56    $1,333.56
15841   GRAF FREE MUSCLE-FACIAL PARALY        $2,214.83    $2,214.83
15842   GRAFT FOR FACE NERVE PALSY            $3,557.87    $3,557.87
15845   REANIMAT FACE-MUSCLE TRANSFER         $1,238.71    $1,238.71
15850   REMOVAL OF SUTURES                      $129.36       $62.17
15851   REM SUTURES UNDER ANESTHESIA            $140.68       $67.62
15852   DRESSING CHANGE,NOT FOR BURN               $150.35          $69.81
15860                                              $164.40
        INTRA INJECT AGENT TEST VASC. FLOW-FLAP OR GRAFT           $161.73
15920   COCCYGECTOMY                               $785.61         $785.61
15922   COCCYGECTOMY W SKIN FLP CLOSUR             $998.76         $998.76
15931   EXC DECUBIT ULC SACRAL W SUTUR             $873.30         $873.30
15933   REMOVE SACRUM PRESSURE SORE              $1,089.66       $1,089.66
15934   EXC SACRAL PRESS ULCER W FLAP            $1,214.43       $1,214.43
15935   EXC DECUB UL SACRAL W FLP PLUS OSTE      $1,453.68       $1,453.68
15936   EXC SACRAL PRESSURE ULCER WITH           $1,205.30       $1,205.30
15937   EXC,SACRAL PRESS ULCER-OSTECT            $1,405.46       $1,405.46
15940   REMOVAL OF PRESSURE SORE                   $907.36         $907.36
15941   EXC DECUB UL ISCHIAL W OSTECTM           $1,213.57       $1,213.57
15944   EXC ISCHIAL ULCER W OSTECTOMY            $1,169.57       $1,169.57
15945   EXC UL ISCHIAL SKIN FLAP PLUS OSTE       $1,300.88       $1,300.88
15946   EXC UL ISCHIAL MUSCL FLAP CLO            $2,106.10       $2,106.10
15950   EXC DECUB ULC TROCHAN W SUTURE             $754.10         $754.10
15951   REMOVE THIGH PRESSURE SORE               $1,081.30       $1,081.30
15952   EX TROCHANTERIC UL W FLAP CLOS           $1,118.75       $1,118.75
15953   EX DECUB UL TROCHAN OSTECT PLUS FL       $1,262.45       $1,262.45
15956   EX DECUB UL TROCHAN W MUSCL FL           $1,535.78       $1,535.78
15958   EX DECUB UL TROCHAN W OSTEC PLUS FL $1,549.77            $1,549.77
16000   TREATMNT BURN 1 DEG INITIAL                 $99.41          $67.42
16010   DEBRIDE BURN SM W ANESTHESIA                $87.98          $86.39
16015   DEBRIDE BURN MED/LG PLUS ANESTHESIA        $206.43         $206.43
16020   DEBRIDE BURN SM W/O ANESTHESIA             $117.23          $79.37
16025   DEBRIDE BURN MED W/O ANESTHESI             $206.06         $163.39
16030   DEBRIDE BURN LG W/O ANESTHESIA             $242.86         $186.87
16035   ESCHAROTOMY                                $313.56         $313.56
16036   ESCHAROTOMY FOR EACH ADD'L INCISION        $124.70         $124.70
17000                                               $86.93
        DESTR FIRST LESION, ANY METHOD BENIGN OR PREMAL             $64.00
17003   DESTROY 2-14 LESIONS                        $14.77          $12.61
17004   DESTROY 15 & MORE LESIONS BENIGN OR PREMAL $285.99         $248.13
17106   DESTRUCT LESIONS LESS 10 SQ CM             $518.55         $450.82
17107   DESTRUCT LESION 10.0-50.0 SQ C             $928.38         $835.07
17108   DESTRUCT LESION OVER 50.0 SQ/C           $1,273.11       $1,187.80
17110   DESTRUCT LESION, 1-14                      $125.18          $76.12
17111   DESTRUCT LESION, 15 OR MORE                $143.19          $97.32
17250   CHEMICAL CAUTERY, TISSUE                    $95.33          $48.42
17260                                              $121.44
        DEST'N LESION 0.5 CM OR LESS TRUNK, ARMS, LEGS              $88.91
17261   DESTRUCT LESION 0.6 TO 1.0 CM              $154.19         $112.58
17262   DESTRUCT LESION 1.1 TO 2.0 CM              $192.61         $146.75
17263   DESTRUCT LESION 2.1 TO 3.0                 $213.98         $162.78
17264   DESTRUCT LESION 3.1 TO 4.0 CM              $231.56         $172.91
17266   DESTRUCT LESION OVER 4.0 CM                $270.72         $202.46
17270                                              HANDS,          $123.60
        DEST MALIG LESION 0.5 OR LESS SCALP, NECK, $167.87 FEET, GENIT
17271   DESTRUCTION OF SKIN LESIONS 1              $181.25         $139.14
17272   DEST MALIG LESION 1.1 TO 2.0CM             $209.65         $162.72
17273   DEST LESION 2.1 TO 3.0 CM                  $237.13         $184.34
17274   DESTRUCTION OF SKIN LESIONS 2              $288.11         $228.38
17276   DEST MALIG LESION OVER 4.0 CM              $345.28         $278.08
17280                                              $154.19         $111.52
        DESTR OF SKIN LESIONS 0.5 OR LESS-FACE, EARS, EYELIDE, NOSE, LIPS
17281   DEST MAL LESION 0.6 TO 1.0 CM              $201.63         $158.44
17282   DESTRUCTION OF SKIN LESIONS 4           $233.89       $185.37
17283   DESTRUCTION OF SKIN LESIONS 5           $289.89       $233.89
17284   DEST LESION 3.1 TO 4.0 CM               $343.64       $281.25
17286   DEST MAL LESION OVER 4.0 CM             $457.07       $391.47
17304   CHEMO/FIRST STAGE/MICRO SPEC            $882.48       $632.91
17305   2ND STAGE CHEMOSURGERY                  $373.80       $237.82
17306   3RD STAGE CHEMOSURGERY                  $374.87       $238.35
17307   CHEMO/ADD STAGES/5 SPECIMENS            $356.20       $238.89
17310   EXTENSIVE SKIN CHEMOSURGERY             $141.47        $79.62
17340   CRYOTHERAPY OF SKIN                      $64.77        $64.24
17360   SKIN PEEL THERAPY                       $160.26       $129.86
17380   HAIR REMOVAL BY ELECTROLYSIS            $107.59       $107.59
19000   DRAINAGE OF BREAST LESION               $156.31        $67.24
19001   DRAIN ADDED BREAST LESION                $38.69        $32.83
19020   INCISION OF BREAST LESION               $556.26       $361.10
19030   INJECT FOR MAMMARY DUCTOGRAM            $242.78       $116.93
19100   BIOPSY OF BREAST                        $189.05       $100.54
19101   BIOPSY BREAST INCISIONAL                $434.84       $296.74
19102                                           $323.09       $154.04
        BIOPSY OF BREAST PERCUTANEOUS, NEEDLE CORE, USING IMAGING GUIDANCE
19103                                           $833.55       $286.43
        BIOPSY OF BREAST PERCUTANEOUS,AUTOMATED VACUUM ASSISTED OR ROTATING BIOPSY
19110   NIPPLE EXPLORATION                      $573.45       $417.19
19112   EXCISE BREAST DUCT FISTULA              $549.05       $368.82
19120   REMOVAL OF BREAST LESION                $584.35       $505.43
19125   EXCISION BREAST LESION - SINGLE         $628.18       $548.19
19126   EXCISION,ADD'L BREAST LESION            $234.01       $234.01
19140   MASTECTOMY/GYNECOMASTIA UNILAT          $698.39       $498.41
19160   MASTECTOMY PARTIAL UNILATERAL           $551.68       $551.68
19162   REMOVE BREAST TISSUE, NODES           $1,171.33     $1,171.33
19180   MASTECTOMY SIMP COMPLETE UNILA          $811.23       $811.23
19182   MASTECTOMY SUBCUTANEOUS UNILAT          $730.82       $730.82
19200   MASTECTOMY RADICAL UNILATERAL         $1,374.07     $1,374.07
19220   MASTECTOMY URBAN TYPE UNILAT          $1,406.43     $1,406.43
19240   MASTECTOMY MODIFIED RAD UNILAT        $1,423.73     $1,423.73
19260   EXC TUMOR CHEST WALL                  $1,548.10     $1,548.10
19271   EX TUMOR CHEST W THORACOPLASTY        $2,126.19     $2,126.19
19272   EX TUMOR CHST MEDIAST LYMPHADE        $2,343.23     $2,343.23
19290   PLACE NEEDLE WIRE, BREAST               $227.11        $97.53
19291   PLCMT BRST NDLE/WIRE,EA PLUS /WIRE      $101.81        $48.48
19295                                           $143.82
        IMAGE GUIDED PLACEMENT OF LOCALIZATION CLIP           $143.82
19296                                         BALLOON         $301.26
        PLACEMENT OF RADIOTHERAPY AFTER LOAD $6,906.21 CATHETER INTO BREAST
19297                                           $138.21       $138.21
        PLACEMENT OF RADIOTHERAPY AFTERLOADING BALLOON CATHETER INTO BREAST
19298                                         $2,605.12
        AFTERLOAD BRACHYTHERAPY CATHETER PLACEMENT IN BREAST  $485.43
19316   SUSPENSION OF BREAST                  $1,066.58     $1,066.58
19318   REDUCTION OF LARGE BREAST             $1,589.09     $1,589.09
19324   MAMMOPLSTY W/O PROSTHE IMPLANT          $623.99       $623.99
19325   MAMMOPLSTY W PROSTHET IMPLANT           $875.86       $875.86
19328   REMOVAL OF BREAST IMPLANT               $623.53       $623.53
19330   REMOVAL MAMMARY IMPLANT UNILAT          $797.52       $797.52
19340   IMMED INSERTION BREAST PROTHES          $563.85       $563.85
19342   DELAY INSERTION BREAST PROTHES        $1,177.88     $1,177.88
19350   RECONSTRUC NIPPLE/AREOLAR UNIL        $1,296.27       $940.59
19355   CORRECT INVERTED NIPPLES              $1,010.51       $714.55
19357   BREAST RECONSTRUCT IMM/DELAYED         $1,969.54     $1,969.54
19361   BREAST RECONSTRUCT W DORSI FLA         $1,862.43     $1,862.43
19364   BREAST RECONSTRUCTION                  $3,810.72     $3,810.72
19366   BREAST RECONSTRUCT OTHR TECHNI         $1,944.60     $1,944.60
19367   BREAST RECONST. W/TRAM                 $2,497.44     $2,497.44
19368                                          $3,053.23
        BREAST RECONST. WITH MICROVASCULAR ANASTOMOSIS       $3,053.23
19369                                          $2,839.31
        BREAST RECONSTR. W/TRAM W/DOUBLE PEDICLE FLAP        $2,839.31
19370   SURGERY OF BREAST CAPSULE                $872.28       $872.28
19371   REMOVAL OF BREAST CAPSULE              $1,007.20     $1,007.20
19380   REVISION RECONSTRUCTED BREAST            $982.49       $982.49
19396   DESIGN CUSTOM BREAST IMPLANT             $192.10       $187.30
20000   INCISION OF ABSCESS                      $272.86       $221.67
20005   INCIS SFT TISUE ABSC DP/COMPLI           $396.30       $330.17
20100   WOUND EXPLORATION, NECK                  $855.76       $855.76
20101   WOUND EXPLORATION, CHEST                 $514.34       $285.04
20102   WOUND EXPLORATION, ABD/FLANK/BACK        $639.41       $342.93
20103   WOUND EXPLORATION, EXTREMITY             $784.65       $507.89
20150                                          $1,226.77     GRAFT
        EXCISION EPIPHYSEAL BAR W/WO AUTOGENOUS SOFT TISSUE $1,226.77
20200   MUSCLE BIOPSY                            $252.39       $130.80
20205   BIOPSY MUSCLE DEEP                       $352.92       $208.95
20206   BIOPSY MUSCLE PERCUTAN NEEDLE            $405.46        $92.46
20220   BX BONE TROCAR/NEEDLE SUPERFIC           $318.68       $117.62
20225   BIOPSY BONE TROCAR OR NEEDLE DEEP      $1,418.28       $174.73
20240   BONE BIOPSY, EXCISIONAL                  $335.20       $335.20
20245   BIOPSY EXCISIONAL DEEP                   $837.86       $837.86
20250   OPEN BONE BIOPSY                         $508.58       $508.58
20251   BX VERTEB BODY OPEN LUMBAR/CER           $578.38       $578.38
20500   INJECT SINUS TRACT THERAPEUTIC           $194.88       $155.95
20501   INJECT SINUS TRACT DIAGNOSTIC            $199.85        $57.99
20520   REMOVE FB MUSCLE SIMPLE                  $268.13       $206.81
20525   REMOVAL OF FOREIGN BODY                  $704.01       $356.34
20526   CARPAL TUNNEL THERAPEUTIC INJECTION      $109.62        $85.63
20550   INJ TENDON/LIGAMENT GANGLION CYST         $83.47        $57.86
20551   INJECTION, TENDON ORIGIN/INSERTION        $81.86        $63.20
20552                                             $77.76        $50.03
        INJECT SINGLE OR MULTIPLE TRIGGER POINTS ONE OR TWO MUSCLE GROUPS
20553                                             $88.19        $56.20
        INJECT SINGLE OR MULTIPLE TRIGGER POINTS THREE OR MORE MUSCLE GROUPS
20600   ARTHROCENTESIS ASPIR/INJECT SM            $75.15        $59.17
20605   ARTHROCENTESIS ASPIR/INJECT ME            $82.15        $60.81
20610   DRAIN/INJECT JOINT/BURSA                  $99.28        $71.02
20612                                             $81.00        $62.34
        ASPIRATION AND OR INJECTION OF GANGLION CYSTS ANY LOCATION
20615   TREATMENT OF BONE CYST                   $324.18       $235.12
20650   INSERT AND REMOVE BONE PIN               $264.16       $220.96
20660   APPLY,REMOVE FIXATION DEVICE             $325.87       $249.07
20661   APPLICATION HALO CRANIAL                 $580.70       $580.70
20662   APPLICATION OF PELVIS BRACE              $659.56       $659.56
20663   APPLICATION HALO FEMORAL                 $600.32       $600.32
20664   HALO BRACE APPLICATION                   $895.73       $895.73
20665   REMOVAL OF FIXATION DEVICE               $195.81       $153.16
20670   REMOVAL IMPLANT SUPERFICIAL              $724.34       $220.95
20680   REMOVAL OF SUPPORT IMPLANT               $678.18       $408.35
20690   APPLY BONE FIXATION DEVICE               $354.99       $354.99
20692   APPLY EXTERNAL FIXATION SYSTEM           $603.22       $603.22
20693   ADJUST BONE FIXATION DEVICE              $659.17       $659.17
20694   REMOVAL EXTERNAL FIXATION SYST           $642.37       $477.06
20802   REPLANTATION, ARM, COMPLETE            $3,592.78     $3,592.78
20805   REPLANT FOREARM, COMPLETE              $4,845.60     $4,845.60
20808   REPLANTATION, HAND, COMPLETE           $6,003.43     $6,003.43
20816   REIMPLANT DIGIT COMPLETE               $3,938.22     $3,938.22
20822   REPLANTATION DIGIT, COMPLETE           $3,428.98     $3,428.98
20824   REPLANTATION,THUMB, COMPLETE           $3,874.57     $3,874.57
20827   REPLANTATION, THUMB,COMPLETE           $3,578.81     $3,578.81
20838   REPLANTATION, FOOT, COMPLETE           $3,578.09     $3,578.09
20900   GRAFT BONE ANY MINOR/SMALL               $800.44       $653.27
20902   GRAFT BONE ANY MAJOR/LARGE               $843.21       $843.21
20910   GRAFT CARTILAGE COSTOCHONDRAL            $602.61       $602.61
20912   CARTILAGE GRAFT NASAL SEPTUM             $695.50       $695.50
20920   GRAFT FASCIA LATA BY STRIPPER            $549.70       $549.70
20922   REMOVAL OF FASCIA FOR GRAFT              $803.58       $661.21
20924   REMOVAL OF TENDON FOR GRAFT              $719.33       $719.33
20926   REMOVAL OF TISSUE FOR GRAFT              $597.22       $597.22
20930   ALLOGRAFT-SPINE, MORSELIZED              $140.44       $140.44
20931   ALLOGRAFT-SPINE, STRUCTURAL              $168.18       $168.18
20936   AUTOGRAFT-SPINAL, LOCAL                  $148.03       $148.03
20937   AUTOGRAFT-SPINAL, MORSELIZED             $256.07       $256.07
20938   AUTOGRAFT-SPINAL, STRUCTURAL             $278.00       $278.00
20950   RECORD FLUID PRESSURE,MUSCLE             $443.45       $131.49
20955   GRAF FIBULA MICROVASC ANASTOMO         $3,698.38     $3,698.38
20956   BONE GRAFT ILLIAC CREST                $3,802.03     $3,802.03
20957   BONE GRAFT METATARSAL                  $3,578.26     $3,578.26
20962   MICROVASCULAR BONE GRAFT               $3,872.52     $3,872.52
20969   BONE-SKIN GRAFT                        $4,093.01     $4,093.01
20970   GRAF OSTEOCUTAN MICROVASC ANAS         $4,041.63     $4,041.63
20972   BONE-SKIN GRAFT, METATARSAL            $3,735.06     $3,735.06
20973   BONE-SKIN GRAFT, GREAT TOE             $4,145.44     $4,145.44
20974   STIM BONE ELECTRIC NONINVASIVE            $75.76        $67.76
20975   STIM BONE ELECTRIC INVASIVE              $257.63       $257.63
20979                                             $81.24        $56.73
        ULTRASOUND LOW INTENSITY STIMULATION TO AID BONE HEALING NON INVASIVE
20982                                          $6,280.11       $597.18
        ABLATION BONE TUM OSTEOID OSTEOMA METASTASIS RADIOFREQUENCY PERQ
21010   INCISION OF JAW JOINT                    $992.26       $992.26
21015   RESECTION OF FACIAL TUMOR                $592.58       $592.58
21025   EXCISION OF BONE, LOWER JAW            $1,272.14     $1,118.01
21026   EXCISION OF FACIAL BONES                 $716.55       $634.44
21029   CONTOUR FACIAL BONE LESION               $972.29       $846.44
21030   EXCIS LESION FACIAL BONE                 $611.72       $542.39
21031   REMOVE EXOSTOSIS MANDIBLE                $477.38       $394.71
21032   REMOVE EXOSTOSIS, MAXILLA                $486.06       $388.47
21034   REMOVAL OF FACE BONE LESION            $1,829.65     $1,655.80
21040   EXCIS LESION MANDIBLE SIMPLE             $615.67       $526.61
21044   EXC MALIGN TUMOR MANDIBLE              $1,214.91     $1,214.91
21045   EXC MAL TUMOR MANDIBLE RADICAL         $1,633.25     $1,633.25
21046                                          $1,440.50     $1,440.50
        EXCIS OF BENIGN TUMOR OR CYST OF MANDIBLE REQ INTRAORAL OR DESTR LESIONS
21047                                          $1,858.75     $1,858.75
        EXC OF BENIGN TUM OR CYST OF MAND REQ EXTRAORAL OSTEOTOMY DEST LESIONS
21048                                          $1,478.17     $1,478.17
        EXCISION OF BEN TUM OR CYST OF MAXILLA REQ INTRAORAL OSTEOTOMY DEST LES
21049                                          $1,773.83     $1,773.83
        EXCISION BENIGN TUMOR OR CYST OF MAXILA REQUIRING EXTRAORAL OSTEOTOMY
21050   ARTHRECTOMY TEMPOROMANDIB UNIL        $1,166.89    $1,166.89
21060   REMOVE JAW JOINT CARTILAGE            $1,090.84    $1,090.84
21070   CORONOIDECTOMY UNILATERAL               $891.09      $891.09
21076   PREPARATION OBTURATOR PROTHESIS       $1,493.24    $1,367.93
21077   PREPARATION ORBITAL PROSTHESIS        $3,754.08    $3,469.84
21079   PREPARATION OBTURATOR PROSTHES        $2,528.15    $2,296.19
21080   DEFINITIVE OBTURATOR PROSTHESI        $2,865.96    $2,592.39
21081   MANDIBUBLAR RESECTION PROSTHES        $2,606.37    $2,349.88
21082   PALATAL AUGMENTATION PROSTHESI        $2,330.62    $2,138.11
21083   PREPARE FACE/ORAL PROSTHESIS 1        $2,203.48    $1,970.97
21084   SPEECH AID PROSTHESIS                 $2,556.96    $2,304.72
21085   PREPARE FACE/ORAL PROSTHESIS            $998.09      $917.57
21086   AURICAL PROSTHESIS                    $2,817.24    $2,587.41
21087   NASAL PROSTHESIS                      $2,782.93    $2,564.82
21100   APPLY HALO MAXILLOFACIAL FIXAT          $867.10      $505.01
21110   APPLY INTERDENTAL FIXATION OTH          $829.54      $765.55
21116   INJ FOR TMJ ARTHROTOMOGRAPHY            $279.16       $65.85
21120   GENIOPLASTY AUGMENTATION                $866.16      $701.38
21121   SLIDING OSTEOTOMY SINGLE PIECE          $986.00      $884.15
21122   2 OR MORE OSTEOTOMIES                   $983.17      $983.17
21123   RECONSTRUCTION OF CHIN                $1,261.19    $1,261.19
21125   AUGMENTATION MANDIBULAR BODY          $3,575.57    $1,074.60
21127   AUGMENTATION W BONE GRAFT             $2,969.85    $1,191.45
21137   REDUCTION FOREHEAD CONTOUR ONL        $1,018.94    $1,018.94
21138   CONTOURING PROSTHETIC MATERIAL        $1,263.99    $1,263.99
21139   REDUCTION OF FOREHEAD                 $1,462.70    $1,462.70
21141   RECON LEFORT I W/O BONE GRAFT         $1,841.68    $1,841.68
21142   RECON MIDFACE LEFORT I, 2 PIECE       $1,839.26    $1,839.26
21143   RECON MIDFACE LEFORT I, 3 PLUS PIECES $1,935.37    $1,935.37
21145   RECONST MIDFACE SINGLE PIECE          $1,977.56    $1,977.56
21146   RECONST MIDFACE TWO PIECES            $2,106.94    $2,106.94
21147   RECONST MIDFACE THREE OR MORE         $2,105.96    $2,105.96
21150   RECONST MIDFACE LEFORT II             $2,419.96    $2,419.96
21151   RECONST MIDFACE ANY DIRECTION         $2,914.44    $2,914.44
21154   RECON MIDFACE LEFORT III W/O          $3,055.76    $3,055.76
21155   RECONSTR MIDFACE W LEFORT I           $3,476.03    $3,476.03
21159   RECON MIDFACE LEFORT III              $4,259.71    $4,259.71
21160   RECONST M/F LEFORT III W LF I         $4,251.98    $4,251.98
21172   RECONST SUPERIOR-LATERAL ORB          $2,441.68    $2,441.68
21175   RECONSTRUCT ORBIT/FOREHEAD            $3,009.63    $3,009.63
21179   RECONST ENTIRE FOREHEAD W GRAF        $2,119.51    $2,119.51
21180   RECON ENTIRE FOREHEAD W AUTOGR        $2,378.12    $2,378.12
21181   CONTOUR CRANIAL BONE LESION           $1,009.09    $1,009.09
21182                                         $2,950.67    $2,950.67
        RECONSTRUCT CRANIAL BONE W/MULTI GRAFTS LESS THAN 40 SQ. CM.
21183                                          TO 80 CM
        RECON AREA CRANIAL BONE GRAFTING 40CM$3,280.12     $3,280.12
21184   BONE GRAFT RECONSTR GREATER THAN 80 CM$3,550.61    $3,550.61
21188   RECON MIDFACE OSTEOTOMIES             $2,342.84    $2,342.84
21193   RECON MANDIBULAR RAMUS WO GRAF        $1,729.52    $1,729.52
21194   RECON MANDIBULAR RAM W/GRAFT          $1,933.43    $1,933.43
21195   RECON MANDB RAMUS W/O FIXATION        $1,828.55    $1,828.55
21196   RECON MANDIB W RIGID FIXATION         $1,986.32    $1,986.32
21198   OSTEOTOMY, MANDIBLE, SEGMENTAL        $1,534.38    $1,534.38
21199                                        $1,446.68
        OSTEOTOMY WITH GENIOGLOSSUS ADVANCEMENT            $1,446.68
21206   RECONSTRUCT UPPER JAW BONE           $1,522.73     $1,522.73
21208   AUGMENTATION OF FACIAL BONES         $1,811.57     $1,131.65
21209   REDUCTION OF FACIAL BONES              $990.06       $844.48
21210   GRAFT BONE NASAL/MAXILLA/MALAR       $1,953.77     $1,126.17
21215   LOWER JAW BONE GRAFT                 $2,900.92     $1,166.77
21230   GRAF CART/RIB TO FACE ADNEXA         $1,087.36     $1,087.36
21235   EAR CARTILAGE GRAFT                    $928.72       $745.81
21240   ARTHROPLASTY TMJ JOINT W/WO GR       $1,523.18     $1,523.18
21242   ARTHROPLASTY TEMPOROMANDIB JT        $1,414.62     $1,414.62
21243   RECONSTRUCTION OF JAW JOINT          $2,227.98     $2,227.98
21244   RECONSTRUCTION OF LOWER JAW          $1,364.84     $1,364.84
21245   RECONSTRUCT JAW W/IMPLANTS           $1,485.03     $1,242.39
21246                                        $1,239.47     $1,239.47
        RECONSTRUCT MANDIBLE/MAXILLA,SUBPERIOSTEAL IMPLANT,COMPLETE
21247   RECON MANDIBULAR CONDYLE W GR        $2,313.93     $2,313.93
21248   RECONSTRUCTION OF JAW                $1,355.55     $1,209.97
21249                                        $1,977.35     $1,762.43
        RECONSTRUCT MANDIBLE/MAXILLA ENDOSTEAL IMPLANT,COMPLETE
21255   RECONSTRUCT ZYGOMATIC ARCH           $1,897.07     $1,897.07
21256   RECONSTRUCT ORBIT W OSTEOTOMIE       $1,610.26     $1,610.26
21260   REP ORB HYPERTELORISM EXTRACRA       $1,653.95     $1,653.95
21261   REVISE EYE SOCKETS                   $3,205.01     $3,205.01
21263   REP ORB HYPERTELORISM W FOREHD       $2,726.74     $2,726.74
21267   REP ORBIT UNIL EXTRACRANIAL          $2,189.04     $2,189.04
21268   REP ORBIT UNIL COMBIN APPR           $2,601.75     $2,601.75
21270   MALAR AUGMENTATION PROSTHETIC        $1,228.15       $993.51
21275   REVISION ORBITOFACIAL BONES          $1,120.44     $1,120.44
21280   MEDIAL CANTHOPEXY                      $673.36       $673.36
21282   LATERAL CANTHOPEXY                     $446.31       $446.31
21295   REDUCTION OF MASSETER MUSCLE           $227.82       $227.82
21296   REVISION OF JAW MUSCLE/BONE            $515.40       $515.40
21300   TREATMENT OF SKULL FRACTURE            $171.25        $59.27
21310   TREAT FX-NASAL                         $156.77        $43.20
21315   TREATMENT OF NOSE FRACTURE             $316.58       $191.27
21320   RED FX-NASAL PLUS STABILIZE            $320.33       $198.22
21325   RED FX OPEN-NASAL                      $684.85       $684.85
21330   RED FX OPEN-NASAL COMPLIC              $844.03       $844.03
21335   RED FX OPEN-NASAL W SEPTUM FX        $1,029.21     $1,029.21
21336   OPN TX NSL SEPTL FX2W/1W/0 RED         $857.79       $857.79
21337   RED FX-NASAL SEPTUM CLOSED             $490.22       $354.24
21338   RED FX OPEN-NASOETHMOID              $1,143.62     $1,143.62
21339   RED FX OPEN-NASOETHMOID W FIX        $1,235.81     $1,235.81
21340   RED FX-NASOETHMOID COMPLEX           $1,101.28     $1,101.28
21343   REPAIR OF SINUS FRACTURE             $1,615.25     $1,615.25
21344   OPEN TX SINUS FX,COMPL               $2,086.04     $2,086.04
21345   RED FX-LEFORT TYPE 2                 $1,022.16       $879.77
21346   RED FX OPEN-LEFORT TYPE 2            $1,296.72     $1,296.72
21347   RED FX OPEN-LEFORT 2 MULT APP        $1,637.38     $1,637.38
21348   OPEN TX NASOMAULLARY W/GRAFT         $1,631.43     $1,631.43
21355   RED FX-MALAR TOWEL CLIP                $558.54       $411.89
21356   OPEN TX ZYGOMATIC ARCH FX              $632.09       $495.04
21360   REPAIR CHEEK BONE FRACTURE             $709.59       $709.59
21365   RED FX OPEN-MALAR COMPLICATED        $1,488.18     $1,488.18
21366   OPEN TX MALAR FX W/BONE GRAFT        $1,704.86   $1,704.86
21385   RED FX OPEN-CALDWELL LUC               $997.25     $997.25
21386   RED FX OPEN-BLOWOUT PERIORBIT          $933.49     $933.49
21387   RED FX OPEN-BLOWOUT COMBINED         $1,067.42   $1,067.42
21390   RED FX OPEN-BLOWOUT W IMPLANT        $1,024.68   $1,024.68
21395   RED FX OPEN-BLOWOUT W GRAFT          $1,254.84   $1,254.84
21400   TREAT EYE SOCKET FRACTURE              $223.95     $184.50
21401   RED FX-ORBIT OTHER                     $625.49     $385.53
21406   RED FX OPEN-ORBIT OTHER                $748.82     $748.82
21407   RED FX OPEN-ORBIT OTHER PLUS IMPLT     $889.92     $889.92
21408   OPEN TX ORBIT W/BONE GRAFT           $1,229.22   $1,229.22
21421   TREAT MOUTH ROOF FRACTURE              $814.81     $760.41
21422   RED FX OPEN-LEFORT 1 TYPE              $940.02     $940.02
21423   OPEN TX MAXILLARY FX, COMPL          $1,133.10   $1,133.10
21431   TREAT CRANIOFACIAL FRACTURE            $933.78     $933.78
21432   RED FX OPEN-LEFORT 3 TYPE              $948.65     $948.65
21433   RED FX OPEN-LEFORT 3 COMP            $2,415.28   $2,415.28
21435   RED FX OPEN-LEFORT 3 COMP PLUS FIX   $1,728.85   $1,728.85
21436   OPEN TX CRANIOFACIAL FX,COMPL        $2,676.75   $2,676.75
21440   REPAIR DENTAL RIDGE FRACTURE           $545.85     $495.74
21445   RED FX OPEN-ALVEOLAR RIDGE             $853.46     $779.87
21450   TREAT FX-MANDIBLE                      $573.87     $546.68
21451   RED FX-MANDIBLE                        $797.15     $746.49
21452   TREAT FX-MANDIBLE OPEN                 $816.90     $368.43
21453   RED FX-MANDIBLE OPEN                   $914.21     $913.68
21454   RED FX OPEN-MANDIBLE W FIXAT           $730.56     $730.56
21461   RED FX OPEN-MANDIBLE                 $1,799.68   $1,170.43
21462   REPAIR LOWER JAW FRACTURE            $2,074.72   $1,280.18
21465   OPEN TREAT MANDIB CONDYLAR FX        $1,254.37   $1,254.37
21470   RED FX OPEN-MANDIBLE COMP            $1,583.94   $1,583.94
21480   TREAT DISLOC-TEMPOROMANDIBULAR         $131.29      $47.04
21485   RED DISLOC-TEMPOROMANDIB COMPL         $683.16     $653.30
21490   RED DISLOC OPEN-TEMPOROMANDIB        $1,262.05   $1,262.05
21493   TREAT HYOID BONE FRACTURE              $105.97     $105.97
21494   REPAIR HYOID BONE FRACTURE             $566.27     $566.27
21495   RED FX OPEN-HYOID                      $788.87     $788.87
21497   INTERDENTAL WIRING                     $688.03     $644.84
21501   DRAIN NECK/CHEST LESION                $574.69     $436.05
21502   DRAIN CHEST LESION                     $740.84     $740.84
21510   INC DEEP W OPEN BONE CORTEX            $656.18     $656.18
21550   BIOPSY NECK/THORAX                     $314.28     $215.09
21555   EXCISION BENIGN TUMOR RIB SQ           $560.60     $436.88
21556   REMOVE LESION NECK/CHEST               $559.21     $559.21
21557   REMOVE TUMOR, NECK OR CHEST            $829.62     $829.62
21600   EXCISION RIB PARTIAL                   $732.36     $732.36
21610   COSTOTRANSVERSECTOMY                 $1,404.79   $1,404.79
21615   EXCISION FIRST/CERVICAL RIB            $970.31     $970.31
21616   EXC 1ST/CERV RIB W SYMPATHECT        $1,179.83   $1,179.83
21620   PARTIAL REMOVAL OF STERNUM             $739.47     $739.47
21627   STERNAL DEBRIDEMENT                    $759.35     $759.35
21630   RESECT STERNUM RADICAL-TUMOR         $1,711.42   $1,711.42
21632   RESECT STERNUM RAD W LYMPHADEN       $1,717.16   $1,717.16
21685   HYOID MYOTOMY AND SUSPENSION          $1,308.65    $1,308.65
21700   DIVIDE SCALENUS ANTICUS                 $604.65      $604.65
21705   DIV SCALENUS ANTICUS RESECT RI          $895.93      $895.93
21720   DIVIDE STERNOCLEIDOMASTOID OPE          $486.25      $486.25
21725   DIV STERNOCLEIDOMAST OP W CAST          $731.60      $731.60
21740   RECONSTRUCTION OF STERNUM             $1,478.59    $1,478.59
21742                                         $1,344.14    $1,344.14
        RECONSTRUCTVE REPAIR OF PECTUS EXCAVATUM OR CARINATUM MINIMALLY INVAS
21743                                         $1,769.37    $1,769.37
        RECON REPAIR OF PECTUS EXCAVATUM OR CARINATUM MINIMALLY INVASIVE APP
21750   CLOSURE MEDI STERNOTOMY SEP W/WO DEBRI  $994.59      $994.59
21800   RED FX-RIB                              $129.36      $129.36
21805   RED FX-RIB OPEN/COMPLICATED             $341.11      $341.11
21810   RED FX-RIB W EXTERNAL FIX               $689.38      $689.38
21820   RED FX-STERNUM CLOSED                   $175.39      $172.18
21825   REPAIR STERNUM FRACTURE                 $801.22      $801.22
21920   BIOPSY SOFT TISSUE OF BACK              $297.54      $201.02
21925   BIOPSY SOFT TISSUE OF BACK 1            $552.30      $449.38
21930   REMOVE LESION, BACK OR FLANK            $611.93      $488.74
21935   REMOVE TUMOR OF BACK                  $1,621.09    $1,621.09
22100   REMOVE PART OF NECK VERTEBRA          $1,031.36    $1,031.36
22101   RESECT VERTEBRA PART THORACIC         $1,033.35    $1,033.35
22102   RESECT VERTEBRA PART LUMBAR           $1,052.17    $1,052.17
22103   RESEC VERT PART, EA COMPONENT           $212.83      $212.83
22110   EXC VERTEBRA PART CERVICAL            $1,312.34    $1,312.34
22112   EXC VERTEBRA PART THORACIC            $1,312.40    $1,312.40
22114   EXC VERTEBRA PART LUMBAR              $1,313.22    $1,313.22
22116   EXC VERTEB PART, EA SEGMENT             $211.82      $211.82
22210   REVISION OF NECK SPINE 1              $2,373.35    $2,373.35
22212   REVISION OF THORAX SPINE 1            $1,949.03    $1,949.03
22214   REVISION OF LUMBAR SPINE 1            $1,982.90    $1,982.90
22216   OSTEOTOMY, EA VERT SEG                  $557.48      $557.48
22220   REVISION OF NECK SPINE                $2,126.93    $2,126.93
22222   REVISION OF THORAX SPINE              $1,942.89    $1,942.89
22224   REVISION OF LUMBAR SPINE              $2,130.58    $2,130.58
22226   OSTEOTOMY, EA VERTEB                    $553.47      $553.47
22305   TREAT SPINE PROCESS FRACTURE            $252.76      $231.96
22310   TREAT FX/DISLOC-VERTEBRAL BODY          $315.58      $291.58
22315   RED FX/DISLOC VERTEBRAL BODY          $1,084.95      $959.63
22318                                         $2,126.01    $2,126.01
        OPEN TREATMENT AND/OR REDUCTION OF ODONTOID FRACTURE AND/OR DISLOCATION
22319                                         $2,368.05    $2,368.05
        OPEN TREAT AND/OR REDUCTION OF ODONTOID FRAC DISLOCATION WITH GRAFTING
22325   REPAIR OF SPINE FRACTURE              $1,822.56    $1,822.56
22326   RED FX/DIS OP-VERTEB BODY CERV        $1,947.84    $1,947.84
22327   RED FX/DIS OP-VERTEB BODY THOR        $1,893.64    $1,893.64
22328   RED FX/DIS OP-VERTEB, EA SEG            $416.72      $416.72
22505   MANIPULATION OF SPINE                   $167.60      $167.60
22520                                         $3,846.89      $830.78
        PERCUTANEOUS VERTEBROPLASTY, ONE VERTEBRAL BODY UNILATERAL OR BILATERAL
22521   PERCUTANEOUS VERTEBROPLASTY LUMBAR $3,507.70         $787.03
22522                                           $359.72      $359.72
        PERCUTANEOUS VERTEBROPLASTY EACH ADD'L THORACIC OR LUMBAR VERTEBRAL BODY
22532                                         DISKECTOMY THORACIC
        LAT EXTRA CAVITARY ARTHRODESIS W MIN $2,303.99     $2,303.99
22533                                         $2,146.14    $2,146.14
        LAT EXTRA CAVITARY ARTHRODESIS W MIN DISKECTOMY LUMBAR
22534                                           $546.12       LUMB
        LAT EXTRA CAVITARY ARTHRODESIS W MIN DISKECTOMY THOR$546.12EA ADDL
22548   NECK SPINE FUSION 1                   $2,514.87    $2,514.87
22554   NECK SPINE FUSION                     $1,876.56    $1,876.56
22556   THORAX SPINE FUSION                  $2,268.52     $2,268.52
22558   LUMBAR SPINE FUSION 1                $2,082.43     $2,082.43
22585   ADDITIONAL SPINAL FUSION 1             $506.62       $506.62
22590   SPINE AND SKULL SDPINAL FUSION       $2,047.41     $2,047.41
22595   NECK SPINAL FUSION                   $1,944.16     $1,944.16
22600   FUSION CERVICAL POST < C1            $1,648.63     $1,648.63
22610   THORAX SPINE FUSION 1                $1,646.05     $1,646.05
22612   LUMBAR SPINE FUSION                  $2,112.03     $2,112.03
22614   LUMBAR SPINE FUSION, EA SEG            $594.94       $594.94
22630   LUMBAR SPINE FUSION 3                $2,079.59     $2,079.59
22632   LUMBAR SPINE FUSION, EA INTER          $481.15       $481.15
22800   ARTHRODESIS SCOLIOSIS 6 OR LES       $1,852.91     $1,852.91
22802   ARTHRODESIS SCOLIOSIS GT 6           $3,024.07     $3,024.07
22804   ARTHRODESIS SCOLIOSIS GT 13 PLUS     $3,526.68     $3,526.68
22808   ARTHRODESIS,ANT 2-3                  $2,538.51     $2,538.51
22810   ARTHRODESIS, ANT - 4-7 VERT          $2,874.58     $2,874.58
22812   FUSION OF SPINE                      $3,121.28     $3,121.28
22818   KYPHECTOMY, 1-2 SEGMENTS             $3,047.50     $3,047.50
22819   KYPHECTOMY, 3 & MORE SEGMENTS        $3,421.11     $3,421.11
22830   EXPLORATION OF SPINAL FUSION         $1,123.73     $1,123.73
22840   INSTRUMENTATION POSTERIOR            $1,158.98     $1,158.98
22841   INTERNAL SPINAL FIXATION               $346.43       $346.43
22842   INSTRUMENTAT POST W SEG WIRING       $1,159.52     $1,159.52
22843   INSTRUMEN POST SEG 7-12              $1,220.09     $1,220.09
22844   INSTRUMENTATION POST 13 PLUS         $1,516.77     $1,516.77
22845   INSTRUMENTATION ANTERIOR             $1,105.52     $1,105.52
22846   INSTRUMENTATION ANT 4-7              $1,149.64     $1,149.64
22847   INSTRUMENTATION ANT 8 PLUS           $1,268.20     $1,268.20
22848   PELVIC FIXATION, NO SACRUM             $552.61       $552.61
22849   REINSERT SPINAL FIXATION             $1,817.85     $1,817.85
22850   REMOVE SPINE FIXATION DEVICE           $988.00       $988.00
22851                                          $614.55       $614.55
        APPL INTERVERTEBRAL BIOMECH DEV TO VERTEBRAL DEFECT/INTERSPACE
22852   REMOVE SPINE FIXATION DEVICE 1         $942.74       $942.74
22855   REMOVE SPINE FIXATION DEVICE 2       $1,501.05     $1,501.05
22900   EXC ABD WALL TUMOR SUBFASCIAL          $528.71       $528.71
23000   REM SUBDELTOID CALCIUM DEPOSIT, OPEN   $726.35       $507.18
23020   REL CAPSULE CONTRACT ERBS PALS         $966.85       $966.85
23030   I&D DEEP ABS/HEMATOMA SHOULDER         $608.22       $368.80
23031   I&D INFECTED BURSA SHOULDER            $591.28       $317.19
23035   DRAIN SHOULDER BONE LESION             $983.54       $983.54
23040   ARTHROTOMY GLENOHUMERAL                $999.69       $999.69
23044   ARTH ACROMIO/STERNOCLAVICULAR          $791.78       $791.78
23065   BIOPSY SOFT TISSUE SHOULDER            $268.68       $222.83
23066   BX SOFT TISSUE SHOULDER DEEP           $667.62       $470.85
23075   EXCIS BEN TUMOR SHOULDER SUBQ          $342.93       $242.67
23076   EXCIS BEN TUMOR SHOULDER DEEP          $770.05       $770.05
23077   REMOVE TUMOR OF SHOULDER             $1,542.79     $1,542.79
23100   ARTHROTOMY W BX GLENOHUMERAL           $681.88       $681.88
23101   SHOULDER JOINT SURGERY                 $635.89       $635.89
23105   REMOVE SHOULDER JOINT LINING           $899.12       $899.12
23106   SYNOVECT ACROM/STERNOCLAVICUL          $678.33       $678.33
23107   EXPLORE,TREAT SHOULDER JOINT           $938.30       $938.30
23120   CLAVICULECTOMY PARTIAL                $793.18       $793.18
23125   CLAVICULECTOMY TOTAL                  $995.62       $995.62
23130   PARTIAL REMOVAL,SHOULDERBONE          $856.90       $856.90
23140   EXC LESION CLAVICLE SCAPULA           $708.17       $708.17
23145   EXC LESION CLAV/SCAPULA AUTOG         $968.41       $968.41
23146   REMOVAL OF BONE LESION                $873.99       $873.99
23150   EXC LESION PROXIMAL HUMERUS           $897.78       $897.78
23155   EXC LESION PROX HUMERUS W AUTO      $1,097.77     $1,097.77
23156   EXC LESION PROX HUMERUS W HOMO        $941.93       $941.93
23170   REMOVE COLLARBONE LESION              $749.50       $749.50
23172   REMOVE SHOULDER BLADE LESION          $764.14       $764.14
23174   SEQUESTRECTOMY HUMERUS NECK         $1,046.58     $1,046.58
23180   EXC CLAVICLE PARTIAL                $1,017.38     $1,017.38
23182   EXC SCAPULA PARTIAL                   $967.46       $967.46
23184   EXC PROXIMAL HUMERUS PARTIAL        $1,088.37     $1,088.37
23190   PARTIAL REMOVAL OF SCAPULA            $783.60       $783.60
23195   RESECTION HUMERAL HEAD              $1,031.91     $1,031.91
23200   RESECT CLAVICLE RADICAL             $1,216.81     $1,216.81
23210   REMOVAL OF SHOULDERBLADE            $1,261.62     $1,261.62
23220   RESECT PROXIMAL HUMERUS RADICA      $1,494.07     $1,494.07
23221   RES PROX HUMERUS RAD W AUTOGRA      $1,744.64     $1,744.64
23222   PARTIAL REMOVAL OF HUMERUS          $2,344.61     $2,344.61
23330   REMOVE FB SHOULDER SUBCUTANEOU        $309.95       $213.96
23331   REMOVE SHOULDER FOREIGN BODY          $827.24       $827.24
23332   REMOVE FB SHOULDER COMPLICATED      $1,229.83     $1,229.83
23350                                         $243.55
        INJECT FOR SHOULDER ARTHOGRAP OR ENHANC. CT/MRI      $76.65
23395   TRANSFER MUSCLE SHOULDER SINGL      $1,746.24     $1,746.24
23397   TRANSFER MUSCLE SHOULDER MULTI      $1,620.83     $1,620.83
23400   FIXATION OF SHOULDERBLADE           $1,390.13     $1,390.13
23405   TENOMYOTOMY SINGLE                    $897.16       $897.16
23406   INCISE TENDON(S) & MUSCLE(S)        $1,124.79     $1,124.79
23410   REP RUPT SUPRASPIN TENDON ACUT      $1,286.49     $1,286.49
23412   REP RUPT SUPRASPIN TENDON CHRO      $1,367.10     $1,367.10
23415   RELEASE OF SHOULDER LIGAMENT        $1,055.60     $1,055.60
23420   REPAIR OF SHOULDER                  $1,417.57     $1,417.57
23430   TENODESIS RUPT LG TENDON BICEP      $1,062.06     $1,062.06
23440   RES/TRANSPLANT LG TENDON BICEP      $1,101.79     $1,101.79
23450   CAPSUL PUTTI PLATT/MAGNUSON         $1,370.67     $1,370.67
23455   CAPSULORRHAPHY BANKART              $1,463.76     $1,463.76
23460   CAPSULORRHAPHY ANT W BONE BLOC      $1,576.91     $1,576.91
23462   CAPSULORRHAPHY W CORACOID TRAN      $1,537.62     $1,537.62
23465   REPAIR SHOULDER CAPSULE 1           $1,597.05     $1,597.05
23466   REPAIR SHOULDER CAPSULE             $1,503.71     $1,503.71
23470   ARTHRO W PROX HUMERAL IMPLANT       $1,735.26     $1,735.26
23472   RECONSTRUCT SHOULDER JOINT          $2,099.95     $2,099.95
23480   OSTEOTOMY CLAVICLE                  $1,173.62     $1,173.62
23485   OSTEOTOMY CLAVICLE W BONE GRAF      $1,375.41     $1,375.41
23490   REINFORCE CLAVICLE                  $1,190.69     $1,190.69
23491   REINFORCE SHOULDER BONES            $1,469.09     $1,469.09
23500   TREAT FX-CLAVICLE                     $282.07       $263.41
23505   TREAT CLAVICLE FRACTURE               $466.34       $435.95
23515   RED FX OPEN-CLAVICLE                  $817.27       $817.27
23520   TREAT DISLOC-STERNOCLAVICULAR          $286.68     $280.81
23525   RED DISLOC-STERNOCLAVICULAR            $462.52     $430.52
23530   RED DISLOC OPN-STERNOCLAVICULA         $775.90     $775.90
23532   RED DISLO OPN-STERNOCLAV W GRA         $877.88     $877.88
23540   TREAT DISLOC-ACROMIOCLAVICULAR         $289.30     $262.63
23545   RED DISLOC-ACROMIOCLAVICULAR           $420.78     $376.53
23550   RED DIS/OEPN-ACROMIOCLAVICULAR         $796.14     $796.14
23552   RED DIS/OPEN-ACROMIOCLAV W GRA         $924.16     $924.16
23570   TREAT SHOULDERBLADE FRACTURE           $300.31     $293.92
23575   RED FX-SCAPULA                         $511.27     $480.88
23585   REPAIR SCAPULA FRACTURE                $973.21     $973.21
23600   TREAT FX-HUMERAL                       $426.32     $372.99
23605   RED FX-HUMERAL                         $634.03     $578.57
23615   RED FX OPEN-HUMERAL                  $1,061.44   $1,061.44
23616   OPEN TX HUMERUS W/PROSTHESIS         $2,096.71   $2,096.71
23620   TX FX-GREAT TUBEROSITY HUMERUS         $343.09     $309.50
23625   RED FX-GREAT TUBEROSITY HUMERU         $509.35     $474.16
23630   RED FX OPN-GREAT TUBEROSITY HU         $817.37     $817.37
23650   RED DISLOC-SHOULDER                    $404.27     $350.40
23655   RED DIS-SHOULDER W ANESTHESIA          $505.77     $505.77
23660   RED DISLOC OPEN-SHOULDER               $812.76     $812.76
23665   RED DIS-SHOULDER W FX TUBEROSI         $563.46     $530.92
23670   REPAIR DISLOCATION/FRACTURE            $862.66     $862.66
23675   RED DISLOC-SHOULDER W NECK FX          $743.32     $689.99
23680   RED DIS OPEN-SHOULDER W NECK F       $1,066.56   $1,066.56
23700   MANIP SHOULDER W ANESTHESIA            $274.99     $274.99
23800   ARTHRODESIS SHOULDER                 $1,442.34   $1,442.34
23802   ARTHRODESIS SHOULDER W AUTOGRA       $1,584.66   $1,584.66
23900   AMPUTATION INTERTHORACOSCAPULA       $1,859.56   $1,859.56
23920   DISARTICULATION OF SHOULDER          $1,445.91   $1,445.91
23921   DISARTICULATE SHOULDER 2NDCLOS         $611.05     $611.05
23930   I&D DP ABSC/HEMAT HUMER/ELBOW          $519.39     $305.57
23931   DRAINAGE OF ARM BURSA                  $426.58     $227.15
23935   INC CORTEX HUMERUS/ELBOW               $698.78     $698.78
24000   EXPLORATORY ELBOW SURGERY              $654.16     $654.16
24006   RELEASE ELBOW JOINT                    $997.06     $997.06
24065   BIOPSY SOFT TISSUE UPPER ARM           $295.70     $217.30
24066   BIOPSY ARM/ELBOW SOFT TISSUE           $800.07     $544.11
24075   EXC BEN TUMOR UPPER ARM/ELBOW SUBQ     $634.29     $423.65
24076   EXC BEN TUMOR ARM/ELBOW DEEP           $650.97     $650.97
24077   REMOVE TUMOR OF ARM/ELBOW            $1,141.49   $1,141.49
24100   ARTHROTOMY ELBOW SYNOVIAL BX           $549.75     $549.75
24101   ARTHROTOMY ELBOW W EXPLORATION         $702.51     $702.51
24102   SYNOVECTOMY ELBOW                      $869.39     $869.39
24105   EXCISION OLECRANON BURSA               $461.11     $461.11
24110   EXC LESION HUMERUS                     $820.87     $820.87
24115   EXC LESION HUMERUS W AUTOGRAFT         $993.20     $993.20
24116   REMOVE/GRAFT BONE LESION             $1,229.53   $1,229.53
24120   EXC LESION HEAD RAD/OLECRANON          $733.74     $733.74
24125   EXC LES HEAD RAD/OLEC W AUTOG          $815.85     $815.85
24126   REMOVE/GRAFT BONE LESION 1             $889.32     $889.32
24130   REMOVAL OF HEAD OF RADIUS              $714.11     $714.11
24134   SEQUEST SHAFT/DISTAL HUMERUS          $1,084.83     $1,084.83
24136   SEQUESTRECTOMY RADIAL HEAD/NEC          $890.08       $890.08
24138   SEQUESTRECTOMY OLECRANON PROCE          $921.09       $921.09
24140   EXC HUMERUS PART                      $1,062.43     $1,062.43
24145   PARTIAL REMOVAL OF RADIUS               $905.95       $905.95
24147   EXC OLECRANON PROCESS PART              $933.98       $933.98
24149                                         $1,511.40     $1,511.40
        RADICAL RESECT CAPSULE, SOFT TISSUE,HEREROTOPIC BONE,ELBOW
24150   EXTENSIVE HUMERUS SURGERY             $1,369.78     $1,369.78
24151   RESECT HUM SHAFT RAD W AUTOG          $1,594.43     $1,594.43
24152   RESECT RADIAL HEAD/NECK RADICA        $1,038.02     $1,038.02
24153   RESECT RADIUS HEAD RAD W SUCT           $979.06       $979.06
24155   ARTHRECTOMY ELBOW                     $1,184.39     $1,184.39
24160   REMOVE ELBOW JOINT IMPLANT              $859.26       $859.26
24164   REMOVE IMPLANT RADIAL HEAD              $699.27       $699.27
24200   REMOVE FB UPPER ARM SUBCUTAN            $288.93       $194.02
24201   REMOVE FB UPPER ARM DEEP                $806.33       $508.77
24220   INJECT FOR ELBOW ARTHROGRAPHY           $271.36       $101.24
24300   MANIPULATION,ELBOW, UNDER ANESTHESIA $540.19          $540.19
24301   TRANS MUSCLE/TENDON UPPER ARM         $1,073.72     $1,073.72
24305   ARM TENDON LENGTHENING                  $822.82       $822.82
24310   REVISION OF ARM TENDON                  $671.93       $671.93
24320   TENOPLASTY ELBOW TO SHOULDER          $1,064.77     $1,064.77
24330   FLEXOR-PLASTY ELBOW                   $1,024.23     $1,024.23
24331   FLEX-PLASTY ELBOW EXTENS ADVAN        $1,132.18     $1,132.18
24332   TENOLYSIS OF TRICEPS                    $829.78       $829.78
24340   REPAIR OF RUPTURED TENDON               $869.72       $869.72
24341                                           $920.41       $920.41
        REPAIR,TENDON OR MUSCLE UPPER ARM OR ELBOW EACH TENDON OR MUSCLE
24342   REINSERT RUPTURED BICEPS TENDO        $1,123.23     $1,123.23
24343   REPAIR OF ELBOW LIGAMENT                $977.90       $977.90
24344   REPAIR OF ELBOW LIGAMENT              $1,495.84     $1,495.84
24345    REPAIR OF ELBOW LIGAMENT               $970.59       $970.59
24346   RECONSTRUCT ELBOW LIGAMENT            $1,485.49     $1,485.49
24350   FASCIOTOMY ELBOW                        $627.46       $627.46
24351   FASCIOTOMY ELBOW W EXTENSOR DE          $688.35       $688.35
24352   REPAIR OF TENNIS ELBOW                  $735.49       $735.49
24354   FASCIOTOMY ELBOW W STRIPPING            $735.61       $735.61
24356   REVISION OF TENNIS ELBOW                $756.25       $756.25
24360   ARTHROPLASTY ELBOW W MEMBRANE         $1,280.22     $1,280.22
24361   ARTHROP ELBOW W HUMERAL PROSTH        $1,443.87     $1,443.87
24362   ARTHROPL ELBOW W IMPLANT/RECN         $1,482.53     $1,482.53
24363   REPLACE ELBOW JOINT                   $1,890.72     $1,890.72
24365   RECONSTRUCT HEAD OF RADIUS              $912.85       $912.85
24366   ARTHRO RADIAL HEAD W IMPLANT            $976.77       $976.77
24400   OSTEOTOMY HUMERUS                     $1,168.82     $1,168.82
24410   OSTEOTOMIES SOFIELD TYPE              $1,486.15     $1,486.15
24420   OSTEOPLASTY HUMERUS                   $1,405.01     $1,405.01
24430   REPAIR NON/MALUNION HUMERUS           $1,327.32     $1,327.32
24435   REP NON/MALUNION HUMERUS/AUTOG        $1,410.43     $1,410.43
24470   HEMIEPIPHYSEAL ARRST DIS HUMER          $963.09       $963.09
24495   DECOMPRESSION OF FOREARM                $970.24       $970.24
24498   REINFORCE HUMERUS                     $1,245.54     $1,245.54
24500   TREAT FX-HUMERUS                        $458.97       $396.58
24505   RED FX-HUMERUS                          $676.94     $612.42
24515   RED FX OPEN-HUMERUS                   $1,235.10   $1,235.10
24516   OPEN TX HUMERUS W/IMPLANT             $1,221.08   $1,221.08
24530   TREAT HUMERUS FRACTURE                  $496.17     $434.31
24535   RED FX-HUM TRANSCONDYL                  $850.88     $785.83
24538   RED FX-HUM TRANSCONDYL W FIX          $1,057.92   $1,057.92
24545   RED FX OPEN-HUM TRANSCONDYL           $1,110.79   $1,110.79
24546   OPN TX HUMRS FX W/INTRCOND EXT        $1,593.93   $1,593.93
24560   TREAT FX-HUM EPICONDYLE                 $413.32     $344.54
24565   RED FX-HUM EPICONDYLE                   $701.51     $643.37
24566   SKELETAL FIX, EPICONDYL FX              $925.46     $925.46
24575   RED FX OPEN-HUM EPICONDYLE            $1,120.61   $1,120.61
24576   TREAT FX-HUM CONDYLE                    $432.80     $376.80
24577   RED FX-HUM CONDYLE                      $733.14     $675.01
24579   RED FX OPEN-HUM CONDYLE               $1,202.93   $1,202.93
24582   SKELETAL FIX - CONDYLAR FX W/MAN      $1,026.05   $1,026.05
24586   RED FX OPN-ELBOW COMMINUTED PLUS RE $1,558.48     $1,558.48
24587   RED FX OPEN-ELBOW COMMINUTE PLUS IM $1,541.44     $1,541.44
24600   RED DISLOC-ELBOW                        $516.48     $443.96
24605   RED DISLOC-ELBOW W ANESTHESIA           $625.78     $625.78
24615   REPAIR ELBOW DISLOCATION              $1,010.80   $1,010.80
24620   TREAT ELBOW FRACTURE                    $767.83     $767.83
24635   RED FX DIS OPEN-ELBOW MONTEGGI        $1,581.74   $1,581.74
24640   RED DIS-RAD-HEAD SUBLUX CHILD           $170.77     $115.32
24650   TREAT RADIUS FRACTURE                   $336.65     $281.72
24655   RED FX-RADIAL HEAD/NECK                 $592.16     $530.30
24665   REPAIR RADIUS FRACTURE                  $914.06     $914.06
24666   RED FX OPEN-RAD HD/NECK W IMP         $1,028.49   $1,028.49
24670   TREATMENT OF ULNA FRACTURE              $378.08     $322.61
24675   RED FX-ULNAR PROXIMAL                   $616.39     $561.46
24685   REPAIR ULNA FRACTURE                    $956.59     $956.59
24800   FUSION OF ELBOW JOINT                 $1,161.88   $1,161.88
24802   ARTHRODESIS ELBOW W AUTOGRAFT         $1,414.81   $1,414.81
24900   AMPUTATE ARM THRU HUM-1ST CLOS          $977.11     $977.11
24920   AMPUTA ARM THRU HUM OPN FLP CI          $970.69     $970.69
24925   AMPUTATE ARM THRU HUM-2ND CLOS          $768.01     $768.01
24930   REAMPUTATE ARM THRU HUMERUS           $1,027.94   $1,027.94
24931   AMPUTATE UPPER ARM & IMPLANT          $1,096.93   $1,096.93
24935   REVISION OF AMPUTATION                $1,389.88   $1,389.88
24940   CINEPLASTY UP EXTREM COMPLETE         $1,508.94   $1,508.94
25000   INC TEND SHEATH AT RAD STYLOID          $577.65     $577.65
25001   INCISION OF FLEXOR TENDON SHEATH, WRIST $436.50     $436.50
25020   DECOMPRESS FOREARM/WRIST W/O DEBRI      $880.39     $880.39
25023   DECOMP FOREARM COMPART W DEBRI        $1,605.23   $1,605.23
25024                                           $986.53
        DECOMPRESSION FASCIOTOMY OF FOREARM/WRIST           $986.53
25025                                         $1,534.48
        DECOMPRESSION FASCIOTOMY OF FOREARM/WRIST         $1,534.48
25028   DRAINAGE OF FOREARM LESION              $761.65     $761.65
25031   DRAINAGE OF FOREARM BURSA               $679.44     $679.44
25035   INC DEEP BONE FOREARM/WRIST           $1,187.22   $1,187.22
25040   ARTHROTOMY WRIST                        $838.95     $838.95
25065   BX TISSUE FOREARM SUPERFICIAL           $290.73     $220.34
25066   BIOPSY TISSUE FOREARM DEEP              $633.76     $633.76
25075   EXC BEN TUMOR FOREARM/WRIST SUBCU      $545.09     $545.09
25076   EXC BEN TUMOR FOREARM DEEP             $815.01     $815.01
25077   REMOVE TUMOR, FOREARM/WRIST          $1,249.01   $1,249.01
25085   CAPSULOTOMY WRIST                      $722.66     $722.66
25100   BIOPSY OF WRIST JOINT                  $523.74     $523.74
25101   EXPLORE/TREAT WRIST JOINT              $608.06     $608.06
25105   SYNOVECTOMY WRIST                      $755.15     $755.15
25107   REMOVE WRIST JOINT CARTILAGE           $846.17     $846.17
25110   EXC LES TENDON SHEATH FOREARM          $620.93     $620.93
25111   EXC GANGLION WRIST PRIMARY             $462.14     $462.14
25112   EXC GANGLION WRIST RECURRENT           $562.96     $562.96
25115   EXC TENDON SHEATH FOERARM FLEX       $1,297.35   $1,297.35
25116   EXC TENDON SHEATH FOREARM EXT        $1,145.26   $1,145.26
25118   EXCISE WRIST TENDON SHEATH             $579.26     $579.26
25119   SYNOVECT EXTENS WRIST RES ULNA         $782.68     $782.68
25120   EXC LESION RADIUS/ULNA               $1,026.87   $1,026.87
25125   EXC LES RADIUS/ULNA W AUTOGRAF       $1,148.77   $1,148.77
25126   EXC LES RADIUS/ULNA W HOMOGRAF       $1,169.71   $1,169.71
25130   REMOVAL OF WRIST LESION                $670.57     $670.57
25135   EXC LESION CARPAL W AUTOGRAFT          $828.41     $828.41
25136   EXC LESION CARPAL W HOMOGRAFT          $728.60     $728.60
25145   REMOVE FOREARM BONE LESION           $1,041.90   $1,041.90
25150   EXC ULNA PART                          $883.12     $883.12
25151   EXC RADIUS PART                      $1,141.78   $1,141.78
25170   RESECT RADIUS OR ULNA RADICAL        $1,500.09   $1,500.09
25210   REMOVAL OF WRIST BONE                  $732.12     $732.12
25215   REMOVAL OF WRIST BONES                 $958.84     $958.84
25230   STYLOIDECTOMY RADIAL                   $653.20     $653.20
25240   EXC ULNA DISTAL DARRACH TYPE           $693.73     $693.73
25246   INJECTION FOR WRIST X-RAY              $269.18     $111.33
25248   REMOVE FOREARM FOREIGN BODY            $771.60     $771.60
25250   REMOVE WRIST PROSTHESIS                $736.38     $736.38
25251   REMOVAL OF WRIST PROSTHESIS          $1,012.24   $1,012.24
25259   MANIPULATION OF WRIST UNDER ANESTHESIA $539.98     $539.98
25260   REP TENDON/MUSCLE FLEXOR PRIMA       $1,196.14   $1,196.14
25263   REP TENDON/MUSCLE FLEXOR SECON       $1,193.50   $1,193.50
25265   REP TENDON/MUSCLE FLEX 2ND/GRA       $1,378.87   $1,378.87
25270   REP TENDON/MUSCLE EXTENSOR 1ST       $1,016.65   $1,016.65
25272   REP TENDON/MUSCLE EXTENSOR 2ND       $1,122.24   $1,122.24
25274   REP TENDON/MUSCLE EXT 2ND/FREE GRAFT $1,273.01   $1,273.01
25275   REPAIR OF TENDON SHEATH, FOREARM/WRIST $935.61     $935.61
25280   LENGTHEN/SHORTEN TENDON FOREAR       $1,122.82   $1,122.82
25290   INCISE WRIST/FOREARM TENDON          $1,129.66   $1,129.66
25295   TENOLYSIS FOREARM SINGLE             $1,056.91   $1,056.91
25300   TENODESIS WRIST-FLEXOR FINGER          $997.16     $997.16
25301   TENODESIS WRIST-EXTEN FINGER           $954.02     $954.02
25310   TRANSPLANT TENDON FOREARM            $1,202.02   $1,202.02
25312   TRANS TENDON FOREARM W GRAFT         $1,339.28   $1,339.28
25315   REPOSIT FLEXOR FOREARM FOR CP        $1,404.67   $1,404.67
25316   REVISE PALSY HAND TENDON(S)          $1,629.07   $1,629.07
25320   CAPSULORRHAPHY/RECONSTRUC WRIS       $1,277.27   $1,277.27
25332   ARTHROPLASTY WRIST W INT FIXAT       $1,203.89   $1,203.89
25335   REALIGN HAND ULNA RIORDAN TYP            $1,419.79   $1,419.79
25337                                            $1,226.66
        RECONST. UNSTABLE DISTAL ULNA/RADIOULNAR JOINT       $1,226.66
25350   OSTEOTOMY RADIUS DISTAL THIRD            $1,296.78   $1,296.78
25355   OSTEOTOMY RADIUS MID/PROX THIR           $1,420.16   $1,420.16
25360   OSTEOTOMY ULNA                           $1,270.44   $1,270.44
25365   OSTEOTOMY RADIUS AND ULNA                $1,617.16   $1,617.16
25370   OSTEOT RADIUS OR ULNA SOFIELD            $1,699.86   $1,699.86
25375   REVISE RADIUS & ULNA                     $1,699.22   $1,699.22
25390   OSTEOPLAS RADIUS/ ULNA SHORTEN           $1,428.25   $1,428.25
25391   OSTEOPLAS RADIUS/ ULNA LENGTH            $1,739.30   $1,739.30
25392   OSTEOPLAS RADIUS PLUS ULNA SHORTE        $1,720.74   $1,720.74
25393   LENGTHEN RADIUS & ULNA                   $1,940.22   $1,940.22
25394   OSTEOPLASTY OF CARPAL BONE               $1,078.69   $1,078.69
25400   REP NONUNION RADIUS OR ULNA              $1,496.32   $1,496.32
25405   REP NONUNION RADIUS/ULNA W AUTOGRAFT $1,822.16       $1,822.16
25415   REPAIR RADIUS & ULNA                     $1,717.88   $1,717.88
25420   REP NONUNION RADIUS PLUS ULNA W AUT $1,997.88        $1,997.88
25425   REP DEFECT RADIUS/ULNA W AUTOG           $1,957.37   $1,957.37
25426   REP DEFECT RADIUS PLUS ULNA W AUTOG $1,874.56        $1,874.56
25430   VASCULAR PEDICLE GRAFT FOR CARPAL BONE$963.53          $963.53
25431   REPAIR OF NONUNION CARPAL BONE           $1,110.75   $1,110.75
25440                                            $1,153.18
        REP NONUNION SCAPH CARPAL W/WO RADIAL STYLOID        $1,153.18
25441   ARTHRO DISTAL RADIUS W PROSTH            $1,340.27   $1,340.27
25442   RECONSTRUCT WRIST JOINT                  $1,146.09   $1,146.09
25443   ARTHO SCAPH CARPAL W/PROS. REPLACE       $1,107.70   $1,107.70
25444   ARTHRO LUNATE W PROSTHESIS               $1,177.14   $1,177.14
25445   ARTHRO TRAPEZIUM W PROSTHESIS            $1,033.69   $1,033.69
25446   WRIST REPLACEMENT                        $1,666.49   $1,666.49
25447   REPAIR WRIST JOINT(S)                    $1,108.82   $1,108.82
25449   ARTHROPLASTY W REMOVAL IMPLANT           $1,472.32   $1,472.32
25450   EPIPHYSEAL ARREST RADIUS/ULNA            $1,040.51   $1,040.51
25455   REVISION OF WRIST JOINT                  $1,153.21   $1,153.21
25490   REINFORCE RADIUS                         $1,327.13   $1,327.13
25491   REINFORCE ULNA                           $1,395.55   $1,395.55
25492   REINFORCE RADIUS AND ULNA                $1,594.68   $1,594.68
25500   TREAT FRACTURE OF RADIUS                   $341.92     $296.06
25505   RED FX-RADIAL SHAFT                        $674.52     $614.79
25515   RED FX OPEN-RADIAL SHAFT                   $976.85     $976.85
25520   CLSD TX, RADL FX, GALEAZZI FRAC/DISC       $759.10     $716.44
25525   OPN TX,RADL FX,GALEAZZI TYPE             $1,301.88   $1,301.88
25526                                            $1,535.97
        OPN TX, RADL FX, GALEAZZI W/TRI FIBRO REPAIR         $1,535.97
25530   TREAT FRACTURE OF ULNA                     $331.22     $283.23
25535   RED FX-ULNAR SHAFT                         $643.39     $605.01
25545   RED FX OPEN-ULNAR SHAFT                    $969.35     $969.35
25560   TREAT FX-RADIAL PLUS ULNAR SHAFT           $347.75     $289.62
25565   TREAT FRACTURE RADIUS & ULNA               $709.91     $641.63
25574   RADIUS/ULNA/OPN TX W/FIXATION              $826.59     $826.59
25575   RADS & ULNA/OPEN TX W/FIXATION           $1,165.61   $1,165.61
25600   TX FX-COLLES TYPE OR EPIPHY SE             $382.50     $322.78
25605   RED FX-COLLES TYPE/EPIPHY SEP              $750.65     $696.78
25611   RED FX-COLLES/EPIPHY SEP W FIX             $968.13     $968.13
25620   RED FX OPEN-COLLES/EPIPHY SEP              $925.14     $925.14
25622   TREAT FX-NAVICULAR                      $390.59       $328.19
25624   RED FX-NAVICULAR                        $620.08       $554.49
25628   REPAIR WRIST BONE FRACTURE              $946.30       $946.30
25630   TREAT FX-CARPAL OTHER                   $402.62       $336.49
25635   TREAT WRIST BONE FRACTURE               $592.19       $483.40
25645   RED FX OPEN-CARPAL, EACH BONE           $809.44       $809.44
25650   RED FX-ULNAR STYLOID                    $419.21       $358.43
25651                                           $626.88       $626.88
        PERCUTANEOUS SKELETAL FIXATION OF ULNAR STYLOID FRACTURE
25652   OPEN TREATMENT OF ULNAR STYLOID FRACTURE$849.43       $849.43
25660   RED DISLOC-RADIO/INTERCARPAL            $542.34       $542.34
25670   REPAIR WRIST DISLOCATION                $869.33       $869.33
25671                                           $704.97       $704.97
        PERCUTANEOUS DKELETAL FIXATION OF DISTAL RADIOULNER DISLOCATION
25675   TREAT WRIST DISLOCATION                 $587.74       $534.41
25676   RED DIS OPEN-DISTAL RADIOULNA           $895.30       $895.30
25680   TREAT WRIST FRACTURE                    $620.18       $620.18
25685   RED FX OPN-TRANSSCAPHOPERILUNA        $1,029.43     $1,029.43
25690   RED DISLOC-LUNATE                       $637.40       $637.40
25695   RED DISLOC OPEN-LUNATE                  $900.77       $900.77
25800   ARTHRODESIS WRIST                     $1,096.32     $1,096.32
25805   ARTHRODESIS WRIST/SLIDING GRAF        $1,252.96     $1,252.96
25810   ARTHRODESIS WRIST W AUTOGRAFT         $1,188.71     $1,188.71
25820   FUSION OF HAND BONES                    $886.62       $886.62
25825   FUSION HAND BONES WITH GRAFT          $1,070.71     $1,070.71
25830                                         $1,396.49     $1,396.49
        DISTAL RADIOULNAR JOINT ARTHRODESIS/RESECTION ULNA W/W/0 BONE GRAFT
25900   AMPU FOREARM-THRU RADIUS PLUS ULN     $1,229.00     $1,229.00
25905   AMPUT FOREARM-OPEN FLAP OR CIR        $1,224.63     $1,224.63
25907   AMPUTATE FOREARM-2ND CLOSURE          $1,110.85     $1,110.85
25909   AMPUTATION FOLLOW-UP SURGERY 1        $1,214.45     $1,214.45
25915   KRUKENBERG PROCEDURE                  $2,084.46     $2,084.46
25920   DISARTICULATION AT WRIST                $961.36       $961.36
25922   AMPUTATE HAND AT WRIST                  $838.87       $838.87
25924   AMPUTATION FOLLOW-UP SURGERY            $960.90       $960.90
25927   AMPUTATION OF HAND                    $1,169.40     $1,169.40
25929   AMPUT TRANSMETACARPAL-2ND CLOS          $786.36       $786.36
25931   REAMPUTATE TRANSMETACARPAL            $1,097.30     $1,097.30
26010   DRAIN FINGER ABSCESS                    $390.34       $180.76
26011   DRAIN FINGER ABSCESS COMP               $606.19       $260.12
26020   DRAIN TENDON SHEATH DIGIT/PALM          $577.01       $577.01
26025   DRAIN PALMAR BURSA ULNAR/RADIA          $574.38       $574.38
26030   DRAINAGE OF PALM BURSA(S)               $675.44       $675.44
26034   INC DEEP FINGER INTO BONE               $728.31       $728.31
26035   DECOMPRESS FINGERS/HAND 1             $1,012.57     $1,012.57
26037   DECOMPRESS FINGERS/HAND                 $790.28       $790.28
26040   FASCIOTOMY PALMAR CLOSED                $425.01       $425.01
26045   FASCIOTOMY PALMAR OPEN PARTIAL          $650.53       $650.53
26055   INC TENDON SHEATH-TRIGGERFINGE          $934.15       $379.03
26060   TENOTOMY SUBQ EA DIGIT                  $363.30       $363.30
26070   EXPLORE/TREAT HAND JOINT                $405.45       $405.45
26075   ARTHROTOMY METACARPOPHALANGEAL          $435.41       $435.41
26080   ARTHROTOMY INTERPHALANGEAL              $522.92       $522.92
26100   BIOPSY HAND JOINT LINING                $446.88       $446.88
26105   ARTHRO W SYNOV BX METACARPOPHA          $457.49       $457.49
26110   BIOPSY FINGER JOINT LINING               $435.26     $435.26
26115   REMOVAL OF HAND LESION SUBQ              $938.48     $494.81
26116   EXC BEN TUMOR HAND/FING. DEEP            $664.64     $664.64
26117   REMOVE TUMOR, HAND/FINGER                $908.08     $908.08
26121   RELEASE PALM CONTRACTURE                 $842.39     $842.39
26123   PARTIAL PALMAR EXCISION                $1,052.33   $1,052.33
26125   PARTIAL PALM EXCISION RELEASE            $417.66     $417.66
26130   SYNOVECTOMY CARPOMETACARPAL              $627.33     $627.33
26135   SYNOVECT METACARPOPHALANGEAL             $779.03     $779.03
26140   SYNOVECT PROX INTERPHALANGEAL            $706.12     $706.12
26145   TENOSYNOVECT FLEXOR PALM/FINGE           $717.06     $717.06
26160   REMOVE TENDON SHEATH LESION HAND/FING. $856.57       $416.63
26170   REMOVAL OF PALM TENDON, EACH             $560.07     $560.07
26180   REMOVAL OF FINGER TENDON                 $611.42     $611.42
26185                                            $648.83
        SESAMOIDECTOMY, THUMB OR FINGER (SEPERATE PROC)      $648.83
26200   REMOVE HAND BONE LESION                  $629.60     $629.60
26205   EXC LES METACARPAL W AUTOGRAFT           $848.87     $848.87
26210   EXC LESION PHALANX                       $609.88     $609.88
26215   REMOVE/GRAFT FINGER LESION               $775.59     $775.59
26230   EXC METACARPAL PART                      $711.28     $711.28
26235   EXC PROX/MID PHALANX PART                $696.12     $696.12
26236   PARTIAL REMOVAL, FINGER BONE             $614.95     $614.95
26250   RESECT METACARPAL RADICAL                $811.30     $811.30
26255   RES METACARPAL RADICAL W AUTOG         $1,266.83   $1,266.83
26260   RESECT PROX/MID PHALANX RADICA           $765.05     $765.05
26261   RES PROX/MID PHALANX RAD W AUT           $887.15     $887.15
26262   PARTIAL REMOVAL OF FINGER                $638.73     $638.73
26320   REMOVAL OF IMPLANT FROM HAND             $477.10     $477.10
26340                                            $416.49
        MANIPULATION OF FINGER JOINT UNDER ANESTHESIA        $416.49
26350                                          $1,152.90
        REP TENDON FLEXOR PRIMARY/2ND W/O FREE GRAFT       $1,152.90
26352   REP TEND FLEXOR SECOND W GRAFT         $1,296.78   $1,296.78
26356                                          $1,482.44
        REP TEND FLEX ZONE 2 PRIMARY/2ND W/O FREE GRAFT    $1,482.44
26357   REPAIR FINGER/HAND TENDON              $1,369.79   $1,369.79
26358   REP TEND FLEX NO MAN'S LAND #2         $1,457.34   $1,457.34
26370   REP TENDON PROFUNDUS PRIMARY           $1,250.32   $1,250.32
26372   REP TEND PROFUNDUS 2ND W GRAFT         $1,430.65   $1,430.65
26373   REP TEND PROFUNDUS 2ND WO GRFT         $1,364.43   $1,364.43
26390   REVISE HAND/FING TENDON IMPLANT ROD    $1,281.76   $1,281.76
26392   REM ROD W INSERT TENDON GRAFT HAND/FING$1,530.28   $1,530.28
26410   REP TEND EXTENSOR HAND WO GRAF           $925.78     $925.78
26412   REP TEND EXTENSOR HAND W GRAFT         $1,101.50   $1,101.50
26415   EXCISION, HAND/FINGER TENDON           $1,137.70   $1,137.70
26416   GRAFT HAND OR FINGER TENDON            $1,339.28   $1,339.28
26418   REP TEND EXTENSOR FING WO GRAF           $921.82     $921.82
26420   REP TEND EXTENSOR FINGER W GRA         $1,150.58   $1,150.58
26426                                          $1,085.42
        REP TEND EXTENSOR BOUTON DEFOR EACH FING.          $1,085.42
26428                                          $1,188.59
        REP TEND EXTENSOR BOUTON W FREE GRAFT EACH TEND    $1,188.59
26432   REP TEND EXTENSOR MALLET FINGE           $798.16     $798.16
26433   REP TENDON EXTENSOR FINGER OPE           $860.47     $860.47
26434   REP TEND EXTENS FING OPN W GRA           $995.63     $995.63
26437   REALIGNMENT OF TENDONS                   $980.39     $980.39
26440   RELEASE PALM/FINGER TENDON             $1,028.50   $1,028.50
26442   TENOLYSIS FLEXOR PALM PLUS FINGER    $1,357.22    $1,357.22
26445   TENOLYSIS EXTENSOR HAND/FINGER         $968.95      $968.95
26449   RELEASE FOREARM/HAND TENDON          $1,277.39    $1,277.39
26450   INCISION OF PALM TENDON                $620.52      $620.52
26455   INCISION OF FINGER TENDON              $615.79      $615.79
26460   TENOTOMY EXTENSOR HAND/FINGER          $596.97      $596.97
26471   TENODESIS PIP STABILIZATION            $956.93      $956.93
26474   FUSION OF FINGER TENDONS               $937.13      $937.13
26476   TENDON LENGTHENING                     $905.40      $905.40
26477   SHORTEN TENDON EXTENSOR HAND           $911.76      $911.76
26478   LENGTHENING OF HAND TENDON             $993.65      $993.65
26479   SHORTENING OF HAND TENDON              $976.06      $976.06
26480   TRANSFER TENDON CARPOMETACARPA       $1,219.34    $1,219.34
26483   TRANSPLANT/GRAFT HAND TENDON         $1,344.14    $1,344.14
26485   TRANSPLANT PALM TENDON               $1,298.28    $1,298.28
26489   TRANSFER TENDON PALMAR W GRAFT       $1,229.62    $1,229.62
26490   REVISE THUMB TENDON                  $1,205.79    $1,205.79
26492   OPPONENS PLASTY TEND TRANS PLUS GRA $1,323.62     $1,323.62
26494   HAND TENDON/MUSCLE TRANSFER          $1,220.20    $1,220.20
26496   OPPONENS PLASTY OTHER METHODS        $1,303.69    $1,303.69
26497   CORRECT CLAW FING SUBLIMIS IV-       $1,318.80    $1,318.80
26498   CORRECT CLAW FING SUBLIMIS II-       $1,734.24    $1,734.24
26499   REVISION OF FINGER                   $1,255.16    $1,255.16
26500   RECONSTRUCT TENDON PULLEY              $981.41      $981.41
26502   RECONST TENDON PULLEY W GRAFT        $1,088.00    $1,088.00
26504   HAND TENDON RECONSTRUCTION           $1,141.12    $1,141.12
26508   REL THENAR MUSCLE FOR CONTRACT         $999.68      $999.68
26510   CROSS INTRINSIC TRANSFER EACH TENDON $942.22        $942.22
26516   FUSION OF KNUCKLE JOINT              $1,098.25    $1,098.25
26517   FUSION OF KNUCKLE JOINTS             $1,273.41    $1,273.41
26518   CAPSULODESIS M-P JT 3-4 DIGITS       $1,274.96    $1,274.96
26520   CAPSULECTOMY M-P JOINT               $1,070.81    $1,070.81
26525   CAPSULECTOMY I-P JOINT               $1,077.15    $1,077.15
26530   ARTHROPLASTY M-P JOINT                 $745.50      $745.50
26531   REVISE KNUCKLE WITH IMPLANT            $872.31      $872.31
26535   ARTHROPLASTY I-P JOINT                 $523.15      $523.15
26536   REVISE/IMPLANT FINGER JOINT            $911.11      $911.11
26540   REPAIR HAND JOINT                    $1,034.41    $1,034.41
26541   REPAIR HAND JOINT WITH GRAFT         $1,250.74    $1,250.74
26542   REPAIR HAND JOINT WITH GRAFT 1       $1,064.32    $1,064.32
26545   RECONSTRUCT COLLAT LIG I-P JT        $1,078.36    $1,078.36
26546                                        $1,361.25
        REPAIR NON-UNION, METACARPAL OR PHALANX           $1,361.25
26548   RECONSTRUCT FINGER JOINT             $1,185.05    $1,185.05
26550   CONSTRUCT THUMB REPLACEMENT          $2,233.33    $2,233.33
26551                                         ANASTOMOSIS $4,668.94
        TOE TO HAND TRANSFER W/MIRCOVASCULAR$4,668.94
26553   ANASTOMOSIS OTHER THAN GREAT TOE     $3,923.36    $3,923.36
26554                                        $5,469.27    $5,469.27
        MICROVASCULAR ANASTOMOSIS OTHER THAN GREAT TOE, DOUBLE
26555   POSITIONAL CHANGE OF FINGER          $2,005.23    $2,005.23
26556                                        $4,552.61    $4,552.61
        FREE TOE JOINT TRANSFER W/MICROVASCULAR ANASTOMOSIS
26560   REPAIR OF WEB FINGER                   $859.14      $859.14
26561   REP SYNDACTYLY W FLAPS PLUS GRAFT    $1,331.56    $1,331.56
26562   REPAIR SYNDACTYLY COMPLEX            $1,848.19    $1,848.19
26565   CORRECT METACARPAL FLAW                $1,059.85   $1,059.85
26567   CORRECT FINGER DEFORMITY               $1,062.70   $1,062.70
26568   LENGTHEN METACARPAL/FINGER             $1,393.92   $1,393.92
26580   REPAIR HAND DEFORMITY                  $1,843.44   $1,843.44
26587                                          $
        RECONSTRUCT EXTRA FINGER TISS AND BONE1,345.04     $1,345.04
26590   REPAIR MACRODACTYLIA EACH DIGIT        $1,864.62   $1,864.62
26591   REPAIR INTRINSIC MUSCLES/HAND            $715.24     $715.24
26593   RELEASE MUSCLES OF HAND                  $923.83     $923.83
26596   EXCISION CONSTRICTING TISSUE           $1,029.92   $1,029.92
26600   TREAT FX-METACARPAL                      $314.72     $263.53
26605   RED FX-METACARPAL                        $421.94     $373.41
26607   RED FX-METACARPAL W EXT FIX. EACH BONE $670.14       $670.14
26608   METACARPAL FX, W/FIXATION                $669.82     $669.82
26615   REPAIR METACARPAL FRACTURE               $616.71     $616.71
26641   TREAT THUMB DISLOCATION                  $481.92     $426.46
26645   RED FX-BENNETT                           $549.26     $496.99
26650   RED FX-BENNETT W FIXATION                $715.99     $715.99
26665   REPAIR THUMB FRACTURE                    $816.61     $816.61
26670   RED DISLOC-CARPOMETACARPAL W/O ANES $450.44          $380.05
26675   RED DIS-CARPOMETACARPAL W ANES           $582.83     $529.49
26676   PIN HAND DISLOCATION W MANIP, EACH JOINT $702.76     $702.76
26685                                            $763.48
        RED DISLOC OPEN-CARPOMETACARPA W/WO INT/EXT FIX      $763.48
26686   RED DIS OPEN-CARPOMETACAR COMP           $864.54     $864.54
26700   TREAT KNUCKLE DISLOCATION                $422.64     $374.65
26705   RED DISLOC-METACARPOPHAL W ANE           $544.54     $489.62
26706   PIN KNUCKLE DISLOCATION                  $590.95     $590.95
26715   RED DIS OPN-METACARPOPHALANGEA           $653.43     $653.43
26720   TREAT FX-PHALANX PROX/MID                $250.78     $211.86
26725   RED FX-PHALANX PROX/MID                  $461.89     $394.18
26727   RED FX-PHALAN SHFT PROX/MID/FI           $659.86     $659.86
26735   RED FX OPEN-PHALANX PROX/MID             $669.96     $669.96
26740   TREAT FX-ARTICULAR M-P/PIP               $287.98     $265.05
26742   TREAT FINGER FRACTURE, EACH              $505.23     $446.03
26746   REPAIR FINGER FRACTURE, EACH             $659.70     $659.70
26750   TREAT FX-PHALANX DISTAL                  $236.69     $211.63
26755   RED FX-PHALANX DISTAL                    $426.79     $351.07
26756   PIN FINGER FRACTURE, EACH                $580.08     $580.08
26765   RED FX OPEN-PHALANX DISTAL               $494.03     $494.03
26770   TREAT FINGER DISLOCATION                 $364.93     $310.54
26775   RED DIS-INTERPHALANGEAL W ANES           $506.43     $432.85
26776   PIN FINGER DISLOCATION                   $620.55     $620.55
26785   REPAIR FINGER DISLOCATION                $504.53     $504.53
26820   THUMB FUSION WITH GRAFT                $1,222.45   $1,222.45
26841   FUSION OF THUMB                        $1,153.82   $1,153.82
26842   ARTHRODE CARPOMETA THUMB W GRA         $1,229.98   $1,229.98
26843   FUSION OF HAND JOINT/DIGIT, NO THUMB   $1,133.41   $1,133.41
26844   ARTHRODE CARPOMETA DIGIT W GRA         $1,257.27   $1,257.27
26850   FUSION OF KNUCKLE                      $1,085.32   $1,085.32
26852   FUSION OF KNUCKLE WITH GRAFT           $1,212.73   $1,212.73
26860   ARTHRODESIS INTERPHALANGEAL              $889.56     $889.56
26861   ARTHRODESIS INTERPHALANG ADD J           $158.19     $158.19
26862   ARTHRODESIS INTERPHALANG W GRA         $1,116.99   $1,116.99
26863   ARTHRODE INTERPHALAN W GRAF AD          $354.48     $354.48
26910   AMPUTATE METACARPAL PLUS FING/THUMB $1,072.58     $1,072.58
26951   AMPUTATION OF FINGER/THUMB              $827.67     $827.67
26952   AMPUTATE FINGER/THUMB W FLAP C        $1,014.51   $1,014.51
26990   INC & DRAIN ABSCES/HEMATOMA HI          $852.68     $852.68
26991   DRAINAGE OF PELVIS BURSA              $1,014.50     $708.95
26992   DRAINAGE OF BONE LESION               $1,371.86   $1,371.86
27000   INCISION OF HIP TENDON                  $636.24     $636.24
27001   TENOTOMY ADDUCTOR HIP SUBCUT U          $764.19     $764.19
27003   TENOT HIP W OBTURAT NEURECT UN          $803.17     $803.17
27005   TENOTOMY ILIOPSOAS OPEN               $1,027.44   $1,027.44
27006   TENOTOMY ABDUCTORS HIP OPEN           $1,037.48   $1,037.48
27025   FASCIOTOMY HIP OR THIGH               $1,155.86   $1,155.86
27030   ARTHROTOMY HIP W DRAINAGE             $1,335.21   $1,335.21
27033   ARTHROT HIP EXPL/REM LOOSE/FB         $1,374.37   $1,374.37
27035   DENERVATION OF HIP JOINT              $1,623.92   $1,623.92
27036   CAPSULECTOMY OR CAPSULOTOMY OF HIP $1,346.65      $1,346.65
27040   BIOPSY SOFT TISSUE HIP SUPERFI          $452.04     $280.32
27041   BIOPSY SOFT TISSUE HIP DEEP             $964.03     $964.03
27047   EXC BENIGN TUMOR HIP SUBCUTAN           $839.26     $714.46
27048   REMOVE HIP/PELVIS LESION                $644.18     $644.18
27049   REMOVE TUMOR, HIP/PELVIS              $1,298.11   $1,298.11
27050   ARTHROTOMY SACROILIAC W BIOPSY          $505.29     $505.29
27052   ARTHROTOMY HIP W BIOPSY                 $706.26     $706.26
27054   SYNOVECTOMY HIP                         $930.73     $930.73
27060   REMOVAL OF ISCHIAL BURSA                $570.53     $570.53
27062   EXCISION TROCHANTERIC BURSA             $615.75     $615.75
27065   REMOVAL OF HIP BONE LESION              $660.30     $660.30
27066   EXC LESION HIP/PELVIS DEEP            $1,100.61   $1,100.61
27067   EXC LES HIP/PELVIS W BONE GRAF        $1,421.14   $1,421.14
27070   EXC HIP/PELVIS PART SUPERFIC          $1,158.80   $1,158.80
27071   PARTIAL REMOVAL OF HIP BONE           $1,260.39   $1,260.39
27075   RES ILIUM 1 RAMUS SYMPHYS PUBI        $3,215.45   $3,215.45
27076   RES ILIUM RAMI ISCHIUM ACETABU        $2,163.22   $2,163.22
27077   RESECTION INNOMINATE BONE RAD         $3,704.76   $3,704.76
27078   RESECT ISCHIAL TUBER PLUS TROCHANTE $1,374.88     $1,374.88
27079   EXTENSIVE HIP SURGERY                 $1,359.51   $1,359.51
27080   COCCYGECTOMY PRIMARY                    $654.46     $654.46
27086   REMOVE HIP FOREIGN BODY                 $357.48     $211.90
27087   REMOVAL FB HIP DEEP                     $888.44     $888.44
27090   REMOVAL PROSTHESIS HIP                $1,172.08   $1,172.08
27091   REMOVAL PROSTHESIS HIP COMP           $2,143.77   $2,143.77
27093   INJ HIP ARTHROGRAPHY W/O ANES           $316.17     $103.94
27095   INJ HIP ARTHROGRAPHY W ANES             $395.47     $118.18
27096                                           $315.24
        INJECTION FOR SACROILIAC JOINT ARTHROGRAPHY         $100.86
27097   RECESSION HAMSTRING PROXIMAL            $899.27     $899.27
27098   TRANSFER ADDUCTOR TO ISCHIUM            $910.95     $910.95
27100   TRANS EXT OBLIQUE TO TROCHANTE        $1,156.82   $1,156.82
27105   TRANSFER OF SPINAL MUSCLE             $1,219.66   $1,219.66
27110   TRANS ILIOPSOAS TO TROCHANTER OF FEMUR$1,315.90   $1,315.90
27111   TRANSFER OF ILIOPSOAS MUSCLE          $1,247.92   $1,247.92
27120   ACETABULOPLASTY                       $1,764.12   $1,764.12
27122   RECONSTRUCTION OF HIP SOCKET          $1,534.53     $1,534.53
27125   PARTIAL HIP REPLACEMENT               $1,493.42     $1,493.42
27130                                         $
        TOTAL HIP JOINT REPLACEMENT W/WO GRAFT 1,979.84     $1,979.84
27132   TOTAL HIP ARTHROPLASTY W/WO GRAFT     $2,304.98     $2,304.98
27134   REVISE HIP JOINT REPLACEMENT          $2,749.50     $2,749.50
27137   REVISE HIP JOINT COMPONENT            $2,079.84     $2,079.84
27138   REVISE HIP JOINT REPLACEMENT 1        $2,167.18     $2,167.18
27140   OSTEOTOMY W TRANS GR TROCHAN OF FEMUR $1,272.84     $1,272.84
27146   INCISION OF HIP BONE                  $1,745.90     $1,745.90
27147   REVISION OF HIP BONE                  $2,006.69     $2,006.69
27151   INCISION OF HIP BONES                 $1,846.45     $1,846.45
27156   REVISION OF HIP BONES                 $2,407.39     $2,407.39
27158   OSTEOT PELVIS BILAT FOR MALFOR        $1,821.98     $1,821.98
27161   INCISION OF NECK OF FEMUR             $1,700.41     $1,700.41
27165   INCISION/FIXATION OF FEMUR            $1,819.26     $1,819.26
27170   REPAIR/GRAFT FEMUR HEAD/NECK          $1,617.82     $1,617.82
27175   TX FOR SLIPPED FEMOR EPIPHYS            $890.45       $890.45
27176   PIN IN SITU SLIPPED FEM EPIPHY        $1,246.36     $1,246.36
27177   TREAT OPN SLIP EPIPHYS PIN/GRA        $1,533.73     $1,533.73
27178   REPAIR SLIPPED EPIPHYSIS              $1,206.23     $1,206.23
27179   REVISE HEAD/NECK OF FEMUR             $1,352.55     $1,352.55
27181   OSTEOT SLIP FEM EPIPHYS W FIXA        $1,435.12     $1,435.12
27185                                         $1,010.87
        ARREST EPIPHYSEAL BY STAPLING GR TROCHANTE OF FEMUR $1,010.87
27187   REINFORCE HIP BONES                   $1,406.10     $1,406.10
27193   CLOSED TX,PELVIC RING FX                $621.56       $621.56
27194   CLSD TX,PELVC RING FX,W/MANIP         $1,016.30     $1,016.30
27200   TREAT TAIL BONE FRACTURE                $232.65       $228.92
27202   RED FX OPEN-COCCYGEAL                 $1,338.16     $1,338.16
27215   OPEN TX ILIAC W/INT FIXATION          $1,019.72     $1,019.72
27216   OPEN TX PELVIC FX, W/FIX.             $1,472.90     $1,472.90
27217   OPN TX ANT.PELVIC FX,W/FIX            $1,429.25     $1,429.25
27218   TREAT PELVIC RING FRACTURE            $1,880.23     $1,880.23
27220   TREAT HIP SOCKET FRACTURE               $694.53       $689.72
27222   RED FX-ACETABULUM                     $1,330.71     $1,330.71
27226   TREAT HIP WALL FRACTURE               $1,354.18     $1,354.18
27227   TREAT HIP FRACTURE(S)                 $2,300.30     $2,300.30
27228                                         $2,653.06     $2,653.06
        OPN TREAT ACETABULAR FX'S ANTERIOR & POSTERIER COLUMNS
27230                              27228        $639.43       $617.57
27232   RED FX-FEMORAL NECK                   $1,050.88     $1,050.88
27235   RED FX-FEMORAL NECK IN SITU PI        $1,271.56     $1,271.56
27236   REPAIR OF THIGH FRACTURE              $1,574.03     $1,574.03
27238   TREAT FX-INTER/PERTROCHANTERIC          $619.72       $619.72
27240   RED FX-INTER/PERTROCHANTERIC          $1,291.17     $1,291.17
27244   RED FX OP-INTER/PERTROCHANTERI        $1,608.94     $1,608.94
27245   OPEN TX THIGH,W/IMPLANT               $2,014.85     $2,014.85
27246   TREAT FX-GREATER TROCHANTERIC           $534.82       $532.68
27248   RED FX OP-GREATER TROCHANTERIC        $1,097.04     $1,097.04
27250   RED DISLOC-HIP WO ANESTHESIA            $663.42       $663.42
27252   TREAT HIP DISLOCATION                 $1,045.28     $1,045.28
27253   RED DISLOC OPEN-HIP WO FIXATIO        $1,336.83     $1,336.83
27254   RED DIS OPN-HIP PLUS ACETAB FIXATIO   $1,792.43     $1,792.43
27256   TREAT DISLOC-HIP CONGENITAL             $437.65       $360.86
27257   TREATMENT OF HIP DISLOCATION            $471.28     $471.28
27258   RED DIS-HIP CONGEN REP FEM HEA        $1,552.16   $1,552.16
27259   RED DIS-HIP CONGN SHORTEN FEMU        $2,114.56   $2,114.56
27265   TREATMENT OF HIP DISLOCATION 1          $564.59     $564.59
27266   TREATMENT OF HIP DISLOCATION 2          $810.63     $810.63
27275   MANIPULATION HIP W GEN ANESTHE          $255.18     $255.18
27280   FUSION OF SACROILIAC JOINT            $1,395.87   $1,395.87
27282   FUSION OF PUBIC BONES                 $1,139.03   $1,139.03
27284   ARTHRODESIS HIP                       $2,262.78   $2,262.78
27286   FUSION OF HIP JOINT                   $2,287.64   $2,287.64
27290   AMPUTATION INTERPELVIABDOMINAL        $2,194.94   $2,194.94
27295   DISARTICULATION HIP                   $1,768.81   $1,768.81
27301   I&D ABSCES/BURSA/HEMATOMA THIG          $942.58     $679.69
27303   INC THIGH W OPENING BONE CORTE          $894.50     $894.50
27305   INCISE THIGH TENDON & FASCIA            $648.70     $648.70
27306   TENOTOMY ADDUCTOR/HAMSTRING ON          $544.70     $544.70
27307   TENOTOMY ADDUCTOR/HAMSTRING MU          $654.43     $654.43
27310   EXPLORATION OF KNEE JOINT               $989.48     $989.48
27315   NEURECTOMY HAMSTRING MUSCLE             $700.19     $700.19
27320   PARTIAL REMOVAL, THIGH NERVE            $675.57     $675.57
27323   BIOPSY SOFT TISSUE THIGH                $325.67     $238.75
27324   BIOPSY SOFT TISSUE THIGH DEEP           $528.05     $528.05
27327   EXC BENIGN TUMOR THIGH SUBCUTA          $596.02     $474.97
27328   REMOVAL OF THIGH LESION                 $579.99     $579.99
27329   REMOVE TUMOR, THIGH/KNEE              $1,361.45   $1,361.45
27330   ARTHROTOMY KNEE W SYNOVIAL BX           $556.21     $556.21
27331   EXPLORE/TREAT KNEE JOINT                $665.32     $665.32
27332   EXC SEMILUNAR CARTILAGE MED/LA          $902.15     $902.15
27333   EXC SEMILUNAR CARTILAGE MED PLUS LA     $817.05     $817.05
27334   SYNOVECTOMY KNEE ANTERIOR/POST          $944.66     $944.66
27335   SYNOVECTOMY KNEE ANTERIOR PLUS POST   $1,070.34   $1,070.34
27340   EXCISION PREPATELLAR BURSA              $506.68     $506.68
27345   REMOVAL OF KNEE CYST                    $672.54     $672.54
27347   REMOVE KNEE CYST                        $653.18     $653.18
27350   PATELLECTOMY OR HEMIPATELLECTO          $902.12     $902.12
27355   REMOVE FEMUR LESION                     $844.14     $844.14
27356   EXC LESION FEMUR W HOMOGRAFT          $1,016.57   $1,016.57
27357   EXC LESION FEMUR W AUTOGRAFT          $1,132.98   $1,132.98
27358   EXC LESION FEMUR W INT FIXATIO          $433.83     $433.83
27360   PARTIAL REMOVAL LEG BONE(S)           $1,170.22   $1,170.22
27365   EXTENSIVE LEG SURGERY                 $1,648.31   $1,648.31
27370   INJECTION FOR KNEE X-RAY                $255.89      $74.59
27372   REMOVAL FB KNEE DEEP                    $852.99     $567.17
27380   REPAIR OF KNEECAP TENDON                $840.50     $840.50
27381   REPAIR/GRAFT KNEECAP TENDON           $1,136.97   $1,136.97
27385   REPAIR OF THIGH MUSCLE                  $897.37     $897.37
27386   SUT QUADRICEPS RUPT SECONDARY         $1,173.74   $1,173.74
27390   INCISION OF THIGH TENDON                $608.84     $608.84
27391   TENOTOMY HAMSTRING MULT UNILAT          $803.24     $803.24
27392   TENOTOMY HAMSTRING MULT BILAT           $985.30     $985.30
27393   LENGTHEN HAMSTRING SINGLE               $713.05     $713.05
27394   LENGTHEN HAMSTRING MULTIPLE UN          $921.67     $921.67
27395   LENGTHEN HAMSTRING MULTIPLE BI        $1,237.95    $1,237.95
27396   TRANSPLANT OF THIGH TENDON              $868.70      $868.70
27397   TRANSPLANTS OF THIGH TENDONS          $1,189.57    $1,189.57
27400   REVISE THIGH MUSCLES/TENDONS            $947.53      $947.53
27403   REPAIR OF KNEE CARTILAGE                $909.13      $909.13
27405   SUTURE COLLAT LIGAMENT KNEE PR          $946.09      $946.09
27407   REPAIR OF KNEE LIGAMENT               $1,090.63    $1,090.63
27409   REPAIR OF KNEE LIGAMENTS              $1,345.50    $1,345.50
27412                                         $2,271.24
        AUTOLOGOUS CHONDROCYTE IMPLANTATION, KNEE          $2,271.24
27415   OSTEOCHONDRAL ALLOGRAFT, KNEE, OPEN $1,882.06      $1,882.06
27418   REP ANT TIBIALTUBERCULE(MAQUET        $1,159.94    $1,159.94
27420   STABILIZE PATELLA (HAUSER TYPE        $1,052.93    $1,052.93
27422   STABILIZE PATELLA(CAMPBELL ETC        $1,051.01    $1,051.01
27424   STABILZE PATELLA W PATELLECTOM        $1,051.11    $1,051.11
27425   RELEASE LATRAL RETINACULAR KNE          $624.07      $624.07
27427   RECONSTRUCTION,KNEE                   $1,006.33    $1,006.33
27428   RECONSTRUCTION, KNEE                  $1,482.78    $1,482.78
27429                                         $1,642.39    $1,642.39
        LIGAMENTOUS RECONSTRUCT INTRA-ARTICULAR(OPEN) EX ARTICULAR
27430   REVISION OF THIGH MUSCLES             $1,037.60    $1,037.60
27435   RELEASE POSTERIOR CAPSULE KNEE        $1,053.36    $1,053.36
27437   ARTHROPLASTY PATELLA WO PROSTH          $921.59      $921.59
27438   ARTHROPLASTY PATELLA W PROSTHE        $1,164.58    $1,164.58
27440   ARTHROPLAST KNEE TIBIAL PLATEA          $978.28      $978.28
27441   ARTHROP KNEE PLATEAU PLUS SYNOVECT $1,040.32       $1,040.32
27442   ARTHROP KNEE CONDYLES/PLATEAUS        $1,227.05    $1,227.05
27443   ARTHROP KNEE CONDYL/PLAT PLUS SYNOV $1,154.87      $1,154.87
27445   ARTHROPLASTY KNEE TOT PROSTHET        $1,775.57    $1,775.57
27446   ARTHROP KNEE MED/LAT COMPART          $1,603.16    $1,603.16
27447                                         $2,137.31
        TOTAL KNEE REPLACEMENT MEDIAL AND LATERAL          $2,137.31
27448   INCISION OF THIGH                     $1,157.00    $1,157.00
27450   OSTEOTOMY FEMUR W FIXATION UNI        $1,446.45    $1,446.45
27454   REALIGNMENT OF THIGH BONE             $1,776.77    $1,776.77
27455   REALIGNMENT OF KNEE                   $1,337.23    $1,337.23
27457   OSTEOT TIBIA UNIL POST EPIPHYS        $1,378.90    $1,378.90
27465   SHORTENING FEMUR                      $1,423.64    $1,423.64
27466   LENGTHENING OF THIGH BONE             $1,660.10    $1,660.10
27468   OSTEOPLASTY FEMUR SHORTEN PLUS LENG $1,857.12      $1,857.12
27470   REPAIR OF THIGH                       $1,643.21    $1,643.21
27472   REP NON/MALUNION FEMUR W AUTOG        $1,794.33    $1,794.33
27475                                           $925.72
        ARREST EPIPHYSEAL FEMUR DISTAL ANY METHOD            $925.72
27477   ARR EPIPHYSEAL TIBIA FIBULA PR        $1,035.32    $1,035.32
27479   SURGERY TO STOP LEG GROWTH            $1,343.23    $1,343.23
27485   ARREST HEMIEPIPHYSEAL LEG PROX          $953.22      $953.22
27486   REVISE TOTAL KNEE REPAIR              $1,936.82    $1,936.82
27487   REVISION TOTAL KNEE ARTHROPLAS        $2,478.14    $2,478.14
27488   REMOVAL OF KNEE PROSTHESIS            $1,618.16    $1,618.16
27495   REINFORCE THIGH                       $1,590.40    $1,590.40
27496   DECOMPRESS THIGH/KNEE,1 AREA            $681.51      $681.51
27497   DECOMPRS THIGH/KNEE,W/DEBRID.           $739.03      $739.03
27498   DECOMP FASCIOTOMY,THIGH/KNEE            $817.09      $817.09
27499   DECMPRS THIGH/KNEE,MULT W/DEBR          $929.11      $929.11
27500   TREAT FX-FEMUR SHAFT                    $698.07      $637.82
27501   THIGH FX,CLOSED RED                     $682.36     $660.49
27502   RED FX-FEMUR SHAFT                    $1,096.84   $1,096.84
27503   THIGH FX,CLOSED,W/MANIP               $1,109.43   $1,109.43
27506   RED FX OPEN-FEMUR SHAFT               $1,781.69   $1,781.69
27507   THIGH FX, OPEN TX                     $1,406.81   $1,406.81
27508   TREAT FX-FEMUR DISTAL END               $710.73     $658.46
27509   OPN TX,THIGH FX,W/ W/O EXTENS           $911.76     $911.76
27510   RED FX-FEMUR DISTAL END                 $964.81     $964.81
27511   OPN TX THIGH FX W W/O FIXATION        $1,458.32   $1,458.32
27513   OPN TX THIGH FX W/ W/O EXT,FIX        $1,871.55   $1,871.55
27514   RED FX OPEN-FEMUR DISTAL END          $1,803.57   $1,803.57
27516   TREAT FEMUR DISTAL SEPARATION           $672.34     $627.54
27517   RED FEMUR DISTAL SEPARATION             $940.82     $940.82
27519   REPAIR OF THIGH GROWTH PLATE          $1,565.02   $1,565.02
27520   TREAT FX-PATELLA                        $421.43     $362.78
27524   RED FX OPEN-PATELLA W REP/EXC         $1,070.49   $1,070.49
27530   TREAT FX-TIBIA PROXIMAL                 $520.56     $473.10
27532   RED FX-TIBIA PROXIMAL                   $853.09     $804.57
27535   TREATMENT OF KNEE FRACTURE            $1,265.13   $1,265.13
27536   RED FX OPEN-TIBIA PROXIMAL            $1,607.51   $1,607.51
27538   TREAT FX-TIBIA INTERCONDYL SPI          $633.33     $583.21
27540   RED FX OPEN-INTERCONDYL W FIXA        $1,333.40   $1,333.40
27550   RED DISLOC-KNEE WO ANESTHESIA           $674.09     $616.50
27552   RED DISLOC-KNEE W ANESTHESIA            $868.69     $868.69
27556   RED DISLOC OPEN-KNEE                  $1,530.94   $1,530.94
27557   RED DISLOC OP-KNEE W PR LIG RP        $1,758.95   $1,758.95
27558   REPAIR OF KNEE DISLOCATION            $1,814.65   $1,814.65
27560   RED DISLOC-PATELLA WO ANESTHES          $489.52     $400.98
27562   TREAT KNEECAP DISLOCATION               $617.20     $617.20
27566   REPAIR KNEECAP DISLOCATION            $1,269.36   $1,269.36
27570   MANIPULATION KNEE W GEN ANESTH          $204.47     $204.47
27580   FUSION OF KNEE                        $2,010.48   $2,010.48
27590   AMPUTATE LEG AT THIGH                 $1,102.38   $1,102.38
27591   AMPUTATION THIGH W IMMED FITT         $1,253.00   $1,253.00
27592   AMPUTAT THIGH OPEN FLAP CIRCUL          $951.07     $951.07
27594   AMPUTATION THIGH 2ND CLOS/REVI          $706.08     $706.08
27596   REAMPUTATION THIGH                    $1,022.26   $1,022.26
27598   DISARTICULATION KNEE                  $1,031.74   $1,031.74
27600   DECOMPRESSION OF LOWER LEG 1            $593.45     $593.45
27601   DECOMPRESSION OF LOWER LEG              $608.43     $608.43
27602   DECOMPRESS ANT PLUS POST COMPART LE     $731.01     $731.01
27603   DRAIN LOWER LEG LESION                  $706.08     $528.50
27604   INC & DRAIN INFECTED BURSA LEG          $603.06     $490.02
27605   TENOTOMY ACHIL TENDON LOC ANES          $587.95     $302.11
27606   INCISION OF ACHILLES TENDON             $439.29     $439.29
27607   TREAT LOWER LEG BONE LESION             $829.56     $829.56
27610   EXPLORE/TREAT ANKLE JOINT               $897.85     $897.85
27612   EXPLORATION OF ANKLE JOINT              $782.57     $782.57
27613   BIOPSY SOFT TISSUE LEG                  $303.37     $227.12
27614   BIOPSY SOFT TISSUE LEG DEEP             $730.02     $586.58
27615   REMOVE TUMOR,LOWER LEG                $1,279.42   $1,279.42
27618   EXC BENIGN TUMOR LEG SUBCUTAN           $634.93     $527.20
27619   REMOVE LOWER LEG LESION          $1,029.84     $840.00
27620   EXPLORE, TREAT ANKLE JOINT         $665.90     $665.90
27625   SYNOVECTOMY ANKLE                  $863.39     $863.39
27626   TENOSYNOVECTOMY ANKLE              $929.71     $929.71
27630   REMOVAL OF TENDON LESION           $702.61     $533.03
27635   EXC BONE LESION LEG                $849.18     $849.18
27637   REMOVE/GRAFT LEG BONE LESION     $1,062.54   $1,062.54
27638   EXC BONE LESION LEG W HOMOGRFT   $1,108.51   $1,108.51
27640   EXC TIBIA PARTIAL                $1,263.54   $1,263.54
27641   EXC FIBULA PARTIAL               $1,023.41   $1,023.41
27645   EXTENSIVE LOWER LEG SURGERY      $1,534.49   $1,534.49
27646   RESECT FIBULA RADICAL FOR TUMR   $1,381.57   $1,381.57
27647   EXTENSIVE ANKLE/HEEL SURGERY     $1,165.20   $1,165.20
27648   INJECTION FOR ANKLE X-RAY          $245.24      $75.12
27650   REPAIR ACHILLES TENDON           $1,009.23   $1,009.23
27652   SUTURE ACHILL TENDON PRI W GRF   $1,076.86   $1,076.86
27654   SUTURE ACHILLES TENDON SECOND    $1,007.29   $1,007.29
27656   REPAIR LEG FASCIA DEFECT           $737.90     $484.06
27658   REPAIR TENDON FLEXOR LEG PRIM      $554.73     $554.73
27659   REPAIR TENDON FLEXOR LEG SECON     $727.53     $727.53
27664   REPAIR TENDON EXTENSOR LEG PRI     $530.92     $530.92
27665   REP TENDON EXTENSOR LEG SECOND     $604.21     $604.21
27675   REP DISLOCATED PERONEAL TENDON     $754.47     $754.47
27676   REP DISLOC PERONEAL TEND W OST     $889.06     $889.06
27680   RELEASE OF LOWER LEG TENDON        $632.87     $632.87
27681   TENOLYSIS LEG/ANKLE MULTIPLE       $744.75     $744.75
27685   LENGTHN/SHORTN TENDON LEG SING     $793.77     $696.19
27686   REVISE LOWER LEG TENDONS           $815.79     $815.79
27687   RECESSION GASTROCNEMIUS            $674.56     $674.56
27690   REVISE LOWER LEG TENDON            $882.31     $882.31
27691   TRANSFER TENDON ANT/POST TIBIA   $1,040.15   $1,040.15
27692   REVISE ADDITIONAL LEG TENDON       $167.82     $167.82
27695   SUTURE COLLAT LIGAM ANKLE PRI      $721.25     $721.25
27696   SUTURE COLLAT LIGAMNTS ANKL PR     $860.09     $860.09
27698   SUTURE COLLAT LIGAMNT ANKL SEC     $956.34     $956.34
27700   ARTHROPLASTY ANKLE                 $879.14     $879.14
27702   RECONSTRUCT ANKLE JOINT          $1,421.31   $1,421.31
27703   RECONSTRUCTION, ANKLE JOINT      $1,601.23   $1,601.23
27704   REMOVAL OF ANKLE IMPLANT           $777.64     $777.64
27705   INCISION OF TIBIA                $1,089.44   $1,089.44
27707   INCISION OF FIBULA                 $538.86     $538.86
27709   OSTEOTOMY TIBIA & FIBULA         $1,061.56   $1,061.56
27712   OSTEOTOMY TIBIA/FIBULA MULTIPL   $1,472.95   $1,472.95
27715   LENGTHEN TIBIA & FIBULA          $1,482.12   $1,482.12
27720   REPAIR OF TIBIA                  $1,245.24   $1,245.24
27722   REP NON/MALUN TIBIA W SLID GRF   $1,232.17   $1,232.17
27724   REP NON/MALUN TIBIA W AUTOGRFT   $1,808.28   $1,808.28
27725   REP NON/MALUN TIBIA W SYNOSTOS   $1,617.83   $1,617.83
27727   REP CONGENTL PSEUDARTHROSI TIB   $1,436.49   $1,436.49
27730   ARREST EPIPHYSEAL DISTAL TIBIA     $826.50     $826.50
27732   REPAIR OF FIBULA EPIPHYSIS         $593.40     $593.40
27734   REPAIR LOWER LEG EPIPHYSES         $866.64     $866.64
27740   REPAIR OF LEG EPIPHYSES          $1,013.81   $1,013.81
27742   ARR EPIPHYSEAL TIB/FIB W FEMUR     $946.83     $946.83
27745   REINFORCE TIBIA                  $1,070.33   $1,070.33
27750   TREAT FX-TIBIAL SHAFT              $454.17     $405.65
27752   RED FX-TIBIAL SHAFT                $722.54     $670.29
27756   RED FX OPEN-TIBIAL SHAFT SIMPL     $772.19     $772.19
27758   RED FX OPEN-TIBIAL SHAFT COMPL   $1,226.31   $1,226.31
27759   OPN TX TIBIAL FX BY IMPLANT      $1,418.42   $1,418.42
27760   TREATMENT OF ANKLE FRACTURE 1      $437.42     $379.30
27762   RED FX-MEDIAL MALLEOLUS            $665.57     $609.05
27766   RED FX OPN-MED MALLEOLUS W FIX     $912.60     $912.60
27780   TREAT FX-FIBULA                    $388.44     $336.71
27781   RED FX-FIBULA                      $568.75     $523.43
27784   REPAIR OF FIBULA FRACTURE          $793.72     $793.72
27786   TREAT FX-LATERAL MALLEOLUS         $415.29     $355.03
27788   RED FX-LATERAL MALLEOLUS           $579.60     $526.81
27792   RED FX OPN-LAT MALLEOLUS W FIX     $854.46     $854.46
27808   TREAT FX-BIMALLEOLAR               $433.59     $374.94
27810   RED FX-BIMALLEOLAR                 $653.59     $595.47
27814   RED FX OPEN-BIMALLEOLAR          $1,130.27   $1,130.27
27816   TREAT FX-TRIMALLEOLAR              $413.10     $361.38
27818   RED FX-TRIMALLEOLAR                $681.15     $617.17
27822   RED FX OPN-TRIMALL EX POST LIP   $1,261.78   $1,261.78
27823   RED FX OPN-TRIMALL W POST LIP    $1,431.87   $1,431.87
27824   CLSD TX TIBIA W/O MANIP.           $396.79     $370.12
27825   CLSD TX TIBIA W/FIX.               $740.50     $675.45
27826   OPEN TX FIBULA W/FIX             $1,009.65   $1,009.65
27827   OPEN TX TIBIA W/FIX              $1,567.62   $1,567.62
27828   OPEN TX FIBULA/TIBIA             $1,767.16   $1,767.16
27829   OPEN TX DISTAL JOINT               $708.10     $708.10
27830   RED DISLOC-TIBIOFIBULAR WO ANE     $468.32     $439.53
27831   TREAT LOWER LEG DISLOCATION        $523.66     $523.66
27832   RED DISLOC OPEN-TIBIOFIBULAR       $733.49     $733.49
27840   RED DISLOC-ANKLE WO ANESTHESIA     $476.94     $476.94
27842   RED DISLOC-ANKLE W ANESTHESIA      $661.59     $661.59
27846   RED DISLOC OPEN-ANKLE            $1,039.56   $1,039.56
27848   RED DISLOC OPEN-ANKLE W FIXATI   $1,223.38   $1,223.38
27860   FIXATION OF ANKLE JOINT            $252.76     $252.76
27870   FUSION OF ANKLE JOINT            $1,437.77   $1,437.77
27871   FUSION OF TIBIOFIBULAR JOINT       $983.05     $983.05
27880   AMPUTATION LEG                   $1,117.08   $1,117.08
27881   AMPUTAT LEG W IMMD FITTING TEC   $1,244.36   $1,244.36
27882   AMPUTATION OF LOWER LEG            $900.81     $900.81
27884   AMPUTAT LEG 2ND CLOSRE/REVISIO     $817.41     $817.41
27886   REAMPUTATION LEG                   $927.74     $927.74
27888   AMPUTATION ANKLE                 $1,004.93   $1,004.93
27889   DISARTICULATION ANKLE              $965.36     $965.36
27892   DECOMPRS LEG W/DEBRIDEMENT         $757.80     $757.80
27893   DECOMPRESSION OF LEG               $748.98     $748.98
27894   DECOMPRS LEG, MULT AREAS         $1,069.46   $1,069.46
28001   DRAINAGE OF BURSA OF FOOT          $326.72     $271.80
28002   TREATMENT OF FOOT INFECTION        $551.21     $486.14
28003   DISSECT INFECT BURSA FOOT MULT         $851.74       $797.88
28005   TREAT FOOT BONE LESION                 $858.44       $858.44
28008   INCISION OF FOOT FASCIA                $516.58       $444.59
28010   TENOTOMY TOE SUBCUTAN SINGLE           $301.58       $301.58
28011   INCISION OF TOE TENDONS                $432.69       $432.69
28020   ARTHROTOMY INTER/TARSOMETATARS         $631.50       $531.25
28022   ARTHROTOMY METATARSOPHALANGEAL         $565.08       $493.64
28024   EXPLORATION OF A TOE JOINT             $547.44       $478.64
28030   NEURECTOMY FOOT INTRINSIC MUSC         $571.89       $571.89
28035   RELEASE TARSAL TUNNEL                  $626.77       $532.92
28043   EXCISION OF FOOT LESION                $420.94       $386.80
28045   EXC BEN TUMOR FOOT DEEP                $577.52       $483.14
28046   RESECTION OF TUMOR, FOOT             $1,094.87       $972.76
28050   ARTHROT TARSOMETATRSL W SYNV B         $524.10       $454.79
28052   BIOPSY OF FOOT JOINT LINING            $504.94       $426.03
28054   BIOPSY OF TOE JOINT LINING             $464.35       $384.90
28060   FASCIECTOMY PLANTAR PARTIAL            $614.45       $529.13
28062   FASCIECTOMY PLANTAR RADICAL            $748.43       $615.12
28070   REMOVAL OF FOOT JOINT LINING           $594.33       $519.69
28072   SYNOVECTOMY METATARSOPHALANGEA         $579.07       $514.02
28080   EXCISION MORTON NEUROMA                $492.90       $416.66
28086   SYNOVECTOMY TENDON FLEXOR FOOT         $724.63       $548.64
28088   EXCISE FOOT TENDON SHEATH              $547.82       $448.64
28090   EXC LESION SOFT TISSUE FOOT            $546.15       $456.04
28092   REMOVAL OF TOE LESIONS                 $502.40       $412.27
28100   REMOVAL OF ANKLE/HEEL LESION           $775.41       $601.04
28102   EXC LES TALUS/CALCANEUS W AUTO         $798.39       $798.39
28103   EXC LES TALUS/CALCANEUS W HOMO         $648.60       $648.60
28104                                          $608.73
        EXC LESION TARSAL/METATARSAL EXCEPT TALUS/CALCANEOUS$525.55
28106   REMOVE/GRAFT FOOT LESION               $678.74       $678.74
28107   EXC LES TARSAL/METATRSL W HOMO         $690.69       $566.97
28108   EXC LESION PHALANGES                   $500.37       $428.92
28110   OSTECTOMY 5TH METATARSL PARTIA         $529.26       $423.15
28111   OSTECTOMY 1ST METATARSL COMPLE         $643.88       $504.16
28112   OSTECTMY METATARSL (2-4) COMPL         $587.02       $468.10
28113   PART REMOVAL OF METATARSAL             $617.76       $524.98
28114   REMOVAL OF METATARSAL HEADS          $1,228.82     $1,055.50
28116   OSTECTOMY TARSAL COALITION             $840.74       $754.34
28118   REMOVAL OF HEEL BONE                   $702.23       $600.91
28119   OSTECTOMY CALCANEAL SPUR               $620.87       $530.21
28120   EXC TALUS/CALCANEOUS PARTIAL           $723.26       $570.21
28122   EXC TARSAL/METATARSAL PARTIAL          $814.48       $730.77
28124   EXC PHALANX PARTIAL                    $561.25       $489.78
28126   CONDYLECTOMY PHALANGEAL BASE           $440.75       $375.69
28130   REMOVAL OF ANKLE BONE                  $864.80       $864.80
28140   REMOVAL OF METATARSAL                  $811.45       $680.28
28150   PHALANGECTOMY SINGLE                   $509.19       $426.53
28153   PARTIAL REMOVAL OF TOE                 $454.79       $367.87
28160   HEMIPHALANGECTOMY SINGLE               $473.41       $407.83
28171   RESECT TARSAL RADICAL FOR TUMO         $883.64       $883.64
28173   RESECT METATARSAL RAD FOR TUMO         $946.41       $818.42
28175   RESECT PHALANX RADICAL FOR TUM         $674.79       $568.14
28190   REMOVAL FB FOOT SUBCUTANEOUS            $300.35     $198.50
28192   REMOVAL FB FOOT DEEP                    $576.81     $479.22
28193   REMOVAL FB FOOT COMPLICATED             $650.53     $560.95
28200   REPAIR TENDON FLEXOR FOOT               $555.04     $472.91
28202   REP TENDN FLEXR FT W FREE GRFT          $806.57     $661.52
28208   REPAIR TENDON EXTENSOR FOOT             $525.91     $445.38
28210   REP TENDON EXTENSOR FOOT W GRF          $722.03     $605.24
28220   RELEASE OF FOOT TENDON                  $527.15     $460.49
28222   TENOLYSIS FLEXOR FOOT MULTIPLE          $623.81     $564.61
28225   TENOLYSIS EXTENSOR FOOT SINGLE          $453.19     $379.60
28226   RELEASE OF FOOT TENDONS                 $533.93     $477.93
28230   TENOTOMY OPEN FLEXOR FOOT               $510.31     $456.97
28232   TENOTOMY OPEN FLEXOR TOE                $449.90     $385.38
28234   TENOTOMY OPEN EXTENSOR FT/TOE           $456.39     $386.00
28238   ADV TENDN POST TIBIAL (KIDNER PROC)     $864.35     $741.16
28240   RELEASE OF BIG TOE                      $515.74     $454.41
28250   DIVISION PLANTAR FASCIA & MUSC          $666.52     $587.07
28260   CAPSULOTOMY MIDFT MEDIAL RELEA          $831.36     $760.44
28261   REVISION OF FOOT TENDON               $1,183.17   $1,113.31
28262   CAPSULOTOMY MIDFOOT EXTENSIVE         $1,717.03   $1,576.26
28264   RELEASE OF MIDFOOT JOINT              $1,056.74   $1,032.75
28270   CAPSULOTOMY METATARSOPHALANGEA          $553.82     $491.96
28272   RELEASE OF TOE JOINT, EACH              $455.80     $384.89
28280   FUSION OF TOES                          $654.37     $560.51
28285   HAMMERTOE OPERATION 1 TOE               $541.81     $465.02
28286   REPAIR HAMMERTOE COCK-UP 5TH T          $535.63     $453.51
28288   OSTECTOMY PART METTRSL HD 1-5           $609.27     $553.29
28289   REPAIR HALLUX RIGIDUS                   $863.13     $744.74
28290   REP HALLUX VALGUS (SILVER TYPE          $684.97     $603.38
28292   REP HALLUX VALGUS (KELLER ETC)          $831.62     $728.70
28293   REP HALLUX VALGUS RESECT W IMP        $1,134.64     $887.21
28294   REP HALLUS VALGUS TENDON TRANS          $923.12     $778.07
28296   REP HALLX VALGS METATRSL OSTEO        $1,000.48     $854.37
28297   CORRECTION OF BUNION                  $1,047.13     $903.68
28298   REP HALLX VALGS PHALNX OSTEOTO          $874.30     $756.45
28299   REP HALLX VALGS BY DOUBLE OSTEOTOMY   $1,118.72     $974.74
28300   OSTEOTOMY CALCANEUS                     $973.61     $973.61
28302   INCISION OF ANKLE BONE                  $962.05     $962.05
28304   INCISION OF MIDFOOT BONES               $990.78     $872.92
28305   OSTEOTOMY MIDTARSAL W AUTOGRAF        $1,001.24   $1,001.24
28306   OSTEOTOMY METTRSL BAS/SHFT 1ST          $728.01     $586.16
28307   ANCISION OF METATARSAL                  $980.77     $674.69
28308   OSTEOTOMY METTRSL BAS/SHFT 2-5          $632.25     $522.41
28309   INCISION OF METATARSALS               $1,224.51   $1,224.51
28310   REVISION OF BIG TOE                     $640.20     $523.41
28312   OSTEOTOMY PHALANX OTHER                 $571.07     $475.08
28313   REPAIR DEFORMITY OF TOE                 $592.42     $568.96
28315   REMOVAL OF SESAMOID BONE                $559.88     $476.70
28320   REPAIR NON/MALUNION TARSAL BON          $931.97     $931.97
28322   REPAIR OF METATARSALS                 $1,009.42     $857.97
28340   RESECT ENLARGED TOE TISSUE              $771.20     $653.89
28341   RESECT ENLARGED TOE                     $886.06     $773.00
28344   REPAIR EXTRA TOE(S)                $566.99     $454.48
28345   REPAIR WEBBED TOE(S)               $696.17     $615.65
28360   RECONSTRUCT CLEFT FOOT           $1,401.17   $1,401.17
28400   TREAT FX-CALCANEUS                 $328.64     $297.73
28405   RED FX-CALCANEUS                   $543.60     $532.40
28406   RED FX-CALCANEUS W FIXATION        $760.83     $760.83
28415   RED FX OPEN-CALCANEUS            $1,712.84   $1,712.84
28420   RED FX OPEN-CALCANEUS W AUTOGR   $1,735.67   $1,735.67
28430   TREAT FX-TALUS                     $310.75     $266.48
28435   RED FX-TALUS                       $419.34     $411.88
28436   TREATMENT OF ANKLE FRACTURE        $611.39     $611.39
28445   RED FX OPEN-TALUS                $1,569.97   $1,569.97
28450   TREAT FX-TARSAL                    $284.27     $250.14
28455   TREAT MIDFOOT FRACTURE, EACH       $374.02     $374.02
28456   REPAIR MIDFOOT FRACTURE            $390.04     $390.04
28465   REPAIR MIDFOOT FRACTURE,EACH       $774.62     $774.62
28470   TREAT METATARSAL FRACTURE          $290.29     $254.04
28475   RED FX-METATARSAL                  $362.41     $356.01
28476   REPAIR METATARSUL FRACTURE         $477.25     $477.25
28485   RED FX OPEN-METATARSAL             $645.00     $645.00
28490   TREAT FX-GREAT TOE                 $174.35     $154.62
28495   TREAT BIG TOE FRACTURE             $212.96     $207.10
28496   REPAIR BIG TOE FRACTURE            $585.79     $315.97
28505   RED FX OPEN-GREAT TOE              $668.42     $444.45
28510   TREAT FX-TOE EX GREAT              $148.37     $148.37
28515   TREATMENT OF TOE FRACTURE          $190.47     $190.47
28525   REPAIR OF TOE FRACTURE             $606.70     $389.11
28530   TREAT SESAMOID BONE FRACTURE       $142.25     $142.25
28531   OPN TX SESAMOID,W W/O FIX          $533.38     $256.10
28540   RED DISLOC-TARSAL WO ANESTHESI     $253.23     $253.23
28545   RED DISLOC-TARSAL W ANESTHESIA     $277.83     $277.83
28546   RED DISLOC-TARSAL W FIXATION       $569.75     $434.84
28555   REPAIR FOOT DISLOCATION            $924.23     $698.67
28570   RED DISLOC-TALOTARSAL WO ANES      $231.59     $226.80
28575   RED DISLOC-TALOTARSAL W ANES       $407.40     $407.40
28576   TX FOOT DISLOCATION W/MANIP        $484.56     $484.56
28585   RED DISLOC OPEN-TALOTARSAL         $889.77     $810.32
28600   RED DISLOC-TARSOMETTRSL WO ANE     $267.33     $260.40
28605   RED DISLOC-TARSOMETTRSL W ANES     $335.32     $335.32
28606   RED DISLOC-TARSOMETTRSL W FIXA     $558.63     $558.63
28615   RED DISLOC OPEN-TARSOMETATRSL      $917.93     $917.93
28630   RED DISL-METATARSOPHALNG WO AN     $187.41     $157.01
28635   RED DISL-METATARSOPHALNG W ANE     $225.97     $199.84
28636   TX MPJ DISLOC W/MANIP              $379.85     $313.19
28645   RED DISL OPEN-METATARSOPHALANG     $524.86     $435.27
28660   RED DISL-INTERPHALANGEAL WO AN     $141.93     $116.87
28665   RED DISL-INTERPHALANGEAL W ANE     $194.69     $194.69
28666   TX IPJ DISLOC, W/MANIP             $480.78     $304.81
28675   RED DISLOC OPEN-INTERPHALANGEA     $563.50     $361.39
28705   ARTHRODESIS PANTALAR             $1,843.45   $1,843.45
28715   ARTHRODESIS TRIPLE               $1,343.19   $1,343.19
28725   ARTHRODESIS SUBTALAR             $1,167.16   $1,167.16
28730   ARTHRODESIS TARSAL MULTIPLE            $1,125.29   $1,125.29
28735   ARTHROD TARSAL MULT W OSTEOTOM         $1,094.82   $1,094.82
28737   REVISION OF FOOT BONES MILLER PROC       $964.39     $964.39
28740   ARTHRODESIS TARSAL SINGLE              $1,079.86     $845.23
28750   ARTHRODESIS M-P JOINT GREAT TO         $1,090.84     $810.87
28755   ARTHRODESIS I-P JOINT GREAT TO           $618.33     $493.02
28760   ARTHRODESIS GREAT TOE JONES TY           $904.40     $773.24
28800   AMPUTATION OF MIDFOOT                    $817.67     $817.67
28805   AMPUTATION FOOT TRANSMETATARSA           $820.66     $820.66
28810   AMPUTATION METATARSAL W TOE              $622.80     $622.80
28820   AMPUTATION OF TOE                        $675.42     $474.38
28825   AMPUTATION TOE INTERPHALANGEAL           $594.84     $407.68
29000   CAST BODY HALO TYPE                      $300.66     $235.07
29010   CAST BODY RISSER JACKET                  $308.82     $228.29
29015   CAST BODY RISSER JACKET W HEAD           $306.14     $233.09
29020   CAST BODY TURNBUCKLE JACKET              $299.93     $205.55
29025   CAST BODY TURNBUCK JACKT W HEA           $320.29     $251.49
29035   CAST BODY SHOULDER TO HIPS               $303.55     $195.30
29040   APPLICATION OF BODY CAST                 $270.79     $220.13
29044   CAST BODY W ONE THIGH                    $345.27     $234.88
29046   CAST BODY W BOTH THIGHS                  $324.52     $263.73
29049   APPLICATION, CAST FIGURE OF EIGHT        $124.38      $83.31
29055   CAST SHOULDER SPICA                      $270.52     $190.00
29058   CAST PLASTER VELPEAU                     $163.60     $118.82
29065   CAST LONG ARM                            $125.59      $94.67
29075   APPLICATION OF FOREARM CAST              $115.43      $84.51
29085   APPLY HAND/WRIST CAST                    $122.54      $87.88
29086   APPLICATION OF FINGER CAST                $89.03      $63.96
29105   SPLINT LONG ARM                          $119.51      $81.11
29125   SPLINT SHORT ARM STATIC TYPE              $90.53      $56.93
29126   SPLINT SHORT ARM DYNAMIC TYPE            $110.50      $70.51
29130   SPLINT FINGER STATIC TYPE                 $55.72      $39.72
29131   SPLINT FINGER DYNAMIC TYPE                $72.19      $45.54
29200   STRAPPING THORAX                          $76.82      $56.54
29220   STRAPPING LOW BACK                        $76.24      $58.64
29240   STRAPPING SHOULDER                        $87.53      $61.40
29260   STRAPPING ELBOW OR WRIST                  $72.57      $50.18
29280   STRAPPING HAND OR FINGER                  $72.76      $47.16
29305   APPLICATION OF HIP CAST                  $305.80     $221.54
29325   CAST HIP SPICA BILAT OR 1 1/2            $334.28     $250.03
29345   CAST LONG LEG                            $182.01     $144.67
29355   APPLICATION OF LONG LEG CAST             $187.10     $155.64
29358   APPLY BRACE LONG LEG CAST                $200.08     $148.36
29365   CAST LEG CYLINDER                        $163.05     $125.20
29405   CAST SHORT LEG                           $119.17      $91.96
29425   CAST SHORT LEG AMBULATORY TYPE           $128.59     $102.45
29435   CAST PATELLAR TENDON BEAR TYPE           $157.72     $124.13
29440   ADDITION OF WALKER TO CAST                $72.17      $49.77
29445                                            $206.84
        APPLICATION OF RIGID TOTAL CONTACT LEG CAST          $162.05
29450   APPLICATION OF LEG CAST                  $206.67     $186.41
29505   SPLINT LONG LEG                          $104.74      $65.81
29515   APPLICATION LOWER LEG SPLINT              $91.23      $69.37
29520   STRAPPING OF HIP                        $77.11       $56.85
29530   STRAPPING OF KNEE                       $76.00       $51.47
29540   STRAPPING ANKLE                         $53.62       $47.75
29550   STRAPPING TOES                          $51.35       $43.88
29580   STRAPPING UNNA BOOT                     $69.66       $53.66
29590   STRAPPING DENIS-BROWNE SPLINT           $73.74       $62.01
29700   REMOVAL CAST GAUNTLET BOOT BOD          $82.47       $49.93
29705   REMOVAL CAST FULL ARM/FULL LEG          $91.41       $67.93
29710   REMOVAL SPICA OR BODY JACKET           $164.82      $120.57
29715   REMOVAL/REVISION OF CAST               $119.54       $78.48
29720   REPAIR SPICA OR BODY CAST/JACK         $104.62       $63.55
29730   WINDOWING CAST                          $90.29       $65.77
29740   WEDGING OF CAST                        $131.33       $96.12
29750   WEDGING OF CLUBFOOT CAST               $135.60      $110.00
29800   ARTHROSCOPY TMJ DIAGNOSTIC             $773.12      $773.12
29804   ARTHROSCOPY TMJ SURGICAL               $919.93      $919.93
29805   SHOULD ARTHROSCOPY                     $673.87      $673.87
29806    SHOULDER ARTHROSCOPY                $1,502.16    $1,502.16
29807   SHOULDER ARTHROSCOPY                 $1,463.02    $1,463.02
29819   SHOULDER ARTHROSCOPY/SURGERY 1         $842.75      $842.75
29820   SHOULDER ARTHROSCOPY/SURGERY 2         $777.73      $777.73
29821   SHOULDER ARTHROSCOPY/SURGERY 3         $849.34      $849.34
29822   SHOULDER ARTHROSCOPY/SURGERY           $825.88      $825.88
29823   ARTHRO,SHOULDER,DEBRIDE,EXTENS         $900.68      $900.68
29824   SHOULDER ARTHROSCOPY                   $922.50      $922.50
29825   ARTHRO,SHOULDER W/RESECT ADHES         $841.16      $841.16
29826   SHOULDER ARTHROSCOPY/SURG.             $969.42      $969.42
29827                                        $1,584.87
        ARTHRSCPY SHOULDR SURGCAL W ROTATOR CUFF REPAIR $1,584.87
29830   ELBOW ARTHROSCOPY                      $647.40      $647.40
29834   ARTHRO,ELBOW,SURG,REMOVAL              $706.81      $706.81
29835   ARTHRO,ELBOW,SYNOVECTOMY,PART          $722.72      $722.72
29836   ARTHRO,ELBOW,SYNOVECTOMY,COMP          $835.76      $835.76
29837   ARTHRO,ELBOW,DEBRIDE,LIMITED           $760.82      $760.82
29838   ARTHRO,ELBOW,DEBRIDE,EXTENSIVE         $852.44      $852.44
29840   WRIST ARTHROSCOPY                      $628.95      $628.95
29843   WRIST ARTHROSCOPY/SURGERY 1            $675.02      $675.02
29844   WRIST ARTHROSCOPY/SURGERY              $710.64      $710.64
29845   WRIST ARTHROSCOPY/SURGERY 2            $808.73      $808.73
29846   WRIST ARTHROSCOPY/SURGERY 3            $745.24      $745.24
29847   WRIST ARTHROSCOPY/SURGERY 4            $772.20      $772.20
29848   ARTHROSCOPY W TRANSVERSE CARP          $639.70      $639.70
29850   KNEE ARTHROSCOPY/SURGERY 1             $777.30      $777.30
29851   KNEE ARTHROSCOPY/SURGERY 2           $1,352.10    $1,352.10
29855   TIBIAL ARTHROSCOPY/UNICONDYTAR       $1,137.53    $1,137.53
29856   TIBIAL ARTHROSCOPY/BICONDYLAR        $1,460.34    $1,460.34
29860   HIP ARTHROSCOPY, DX                    $877.96      $877.96
29861   HIP ARTHROSCOPY/FOREIGN-LOOSE BODY     $968.74      $968.74
29862                                        $1,078.65
        HIP ARTHROSCOPY/DEBRIDEMENT/SHAVING/PLASTY        $1,078.65
29863   HIP ARTHROSCOPY WITH SYNOVECTOMY     $1,068.84    $1,068.84
29866                                        $1,482.97    $1,482.97
        ARTHROSCOPY, KNEE, SURGICAL - OSTEOCHONDRAL AUTOGRAFT(S) W HARVEST
29867   OSTEOCHONDRAL ALLOGRAFT              $1,774.16    $1,774.16
29868                                        $2,397.80    $2,397.80
        MENISCAL TRANSPLANTATION W/ARTHROTOMY FOR MENISCAL INSERTION
29870   KNEE ARTHROSCOPY, DIAGNOSTIC             $579.33       $579.33
29871   KNEE ARTHROSCOPY/DRAINAGE                $726.53       $726.53
29873   ARTHRSCOPY KNEE SURGCAL W LATERAL RELEASE$729.25       $729.25
29874   ARTHRO,KNEE,SURG,REMOV LOOSE             $763.71       $763.71
29875   ARTHRO,KNEE,SYNOVECT,LIMIT               $710.33       $710.33
29876   ARTHRO,KNEE,SYNOVECT,MAJOR               $874.68       $874.68
29877   ARTHRO,KNEE,SHAVING ART CARTIL           $823.62       $823.62
29879   ARTHRO,KNEE,ABRASION/MULT DRIL           $887.59       $887.59
29880   KNEE ARTHROSCOPY/SURGERY 3               $929.51       $929.51
29881   ARTHROSCOPY W/MENISCECTOMY               $861.27       $861.27
29882   ARTHROSCOPY W/MENISCUS REPAIR            $932.38       $932.38
29883   KNEE ARTHROSCOPY/SURGERY 4             $1,180.58     $1,180.58
29884   ARTHROSCOPY W/LYSIS                      $820.36       $820.36
29885   KNEE ARTHROSCOPY/SURGERY 5               $999.31       $999.31
29886   ARTHROSCOPY/DRILLING                     $841.40       $841.40
29887   OSTEOCHONDRITIS DISSEC DRILL             $993.96       $993.96
29888   KNEE ARTHROSCOPY/SURGERY 6             $1,421.65     $1,421.65
29889   KNEE ARTHROSCOPY/SURGERY               $1,672.98     $1,672.98
29891   ANKLE ARTHROSCOPY/EXCISION               $928.84       $928.84
29892   ANKLE ARTHOSCOPY-W/WO INTERNAL FIXATION  $976.29       $976.29
29893   SCOPE, PLANTAR FASCIOTOMY                $655.19       $533.09
29894   ANKLE ARTHROSCOPY/SURGERY 1              $743.43       $743.43
29895   ANKLE ARTHROSCOPY/SURGERY 2              $729.44       $729.44
29897   ANKLE ARTHROSCOPY/SURGERY 3              $764.72       $764.72
29898   ANKLE ARTHROSCOPY/SURGERY                $849.76       $849.76
29899                                          JOINTS SURGICAL W ANKLE ARTHROD
        ARTHRO ANKLE TIBIOTALAR AND FIBIOTALAR $1,439.59     $1,439.59
29900                                            $
        METACARPOPHALANGEAL JOINT ARTHROSCOPY654.68            $654.68
29901    METACARPOPHALANGEAL JOINT ARTHROSCOPY   $721.22       $721.22
29902    METACARPOPHALANGEAL JOINT ARTHROSCOPY   $770.78       $770.78
30000   DRAIN ABSC/HEMATOMA NASAL INTE           $302.76       $159.85
30020   DRAIN ABSC/HEMATOMA NASAL SEPT           $260.10       $164.10
30100   INTRANASAL BIOPSY                        $161.06        $99.75
30110   REMOVAL OF NOSE POLYP(S)                 $270.61       $181.56
30115   EXC POLYPS NASAL EXTENSIVE UNI           $569.03       $569.03
30117   EXC LESION INTRANASAL INT APPR           $889.93       $436.13
30118   EXC LESION INTRANASAL EXT APPR         $1,070.62     $1,070.62
30120   EXC/PLANE SKIN NASAL RHINOPHYM           $664.35       $638.23
30124   EXC CYST DERMOID NOSE SIMPLE             $377.95       $377.95
30125   EXC CYST DERMOID NOSE COMPLEX            $874.16       $874.16
30130   EXC TURBINATE PARTIAL/COMPLETE           $501.51       $501.51
30140   RESECTION SUBMUCOUS TURBINATE            $537.85       $537.85
30150   RHINECTOMY PARTIAL                     $1,139.44     $1,139.44
30160   REMOVAL OF NOSE                        $1,122.15     $1,122.15
30200   INJECTION TREATMENT OF NOSE              $132.94        $86.01
30210   DISPLACEMENT THERAPY PROETZ TY           $176.71       $134.57
30220   INSERT NASAL SEPTAL BUTTON               $317.92       $173.93
30300   REMOVE FB INTRANASAL                     $308.97       $163.92
30310   REMOVE FB INTRANASAL GEN ANES            $283.00       $283.00
30320   REM FB INTRANASAL LAT RHINOTOM           $646.19       $646.19
30400   RHINOPLASTY PRIMARY PARTIAL            $1,422.41     $1,422.41
30410   RHINOPLASTY PRIMARY COMPLETE           $1,768.60     $1,768.60
30420   RECONSTRUCTION OF NOSE                 $1,910.64     $1,910.64
30430   RHINOPLASTY SECOND MINOR REVIS         $1,291.59      $1,291.59
30435   RHINOPLASTY SECOND INTERMED RE         $1,740.46      $1,740.46
30450   RHINOPLASTY SECOND MAJOR REVIS         $2,297.30      $2,297.30
30460   RHINOPLASTY,SECONDARY                  $1,133.85      $1,133.85
30462   RHINOPLASTY,SECONDARY,EXT.             $2,283.36      $2,283.36
30465   REPAIR OF NASAL VESTIBULAR STENOSIS    $1,337.68      $1,337.68
30520   REPAIR OF NASAL SEPTUM                   $695.96        $695.96
30540   REPR CHOANAL ATRESIA INTRANASA           $959.45        $959.45
30545   REPR CHOANAL ATRESIA TRANSPLNT         $1,342.88      $1,342.88
30560   LYSIS INTRANASAL SYNECHIA                $329.68        $188.90
30580   REPAIR UPPER JAW FISTULA                 $827.16        $721.57
30600   REPAIR FISTULA ORONASAL                  $767.88        $634.57
30620   RECONSTRUCTION NOSE INT FUNCTI           $830.77        $830.77
30630   REPAIR PERFORATIONS NASAL SEPT           $850.65        $850.65
30801                                            $285.52
        CAUTERIZATION ABL. ANY METHOD, SUPERFICIAL              $167.67
30802   CAUTERIZATIO ABL INTRAMURAL              $367.51        $247.52
30901   CONTR HEMORR NASL ANT SIMP UNI           $145.37         $89.91
30903   CONTR HEMORR NASL ANT COMPLEX            $236.86        $119.00
30905                                            $305.44
        CONTR HEMORR NASL POST ANY METHOD, INITIAL              $158.80
30906   CONTR HEMORR NASL POST SUBSEQ            $354.09        $210.65
30915   LIGATION ARTERIES ETHMOIDAL              $787.24        $787.24
30920   LIGATION ARTERIES INT MAXILLAR         $1,066.09      $1,066.09
30930   THERAPY FRACTURE OF NOSE                 $162.45        $162.45
31000   LAVAGE MAXILLARY SINUS UNILATE           $220.14        $143.34
31002   IRRIGATION SPHENOID SINUS                $287.25        $287.25
31020   EXPLORATION MAXILLARY SINUS              $632.74        $454.10
31030   SINUSOTMY MAXILL RAD UNIL WO P           $970.68        $712.59
31032   SINUSOTMY MAXILL RAD UNIL W PO           $780.65        $780.65
31040   EXPLORATION BEHIND UPPER JAW           $1,090.01      $1,090.01
31050   SINUSOTOMY SPHENOID                      $657.83        $657.83
31051   SPHENOID SINUS SURGERY                   $866.68        $866.68
31070   SINUSOTOMY FRON EXTERNAL SIMPL           $573.75        $573.75
31075   SINUSOTOMY FRON TRANSORBIT UNI         $1,068.57      $1,068.57
31080   SINUSOTMY FRON OBLIT WO FLP BR         $1,412.14      $1,412.14
31081   SINUSOTMY FRON OBLIT WO FLP CO         $1,561.23      $1,561.23
31084   SINUSOTMY FRON OBLIT W FLP BRO         $1,532.99      $1,532.99
31085   SINUSOTMY FRON OBLIT W FLP COR         $1,612.87      $1,612.87
31086                                          $1,478.33
        NONOBLITERATIVE,W/ OSTEOPLASTIC FLAP, BROW INCISION   $1,478.33
31087   REMOVAL OF FRONTAL SINUS               $1,467.00      $1,467.00
31090   EXPLORATION OF SINUSES                 $1,244.85      $1,244.85
31200   ETHMOIDECTOMY INTRANASAL ANTER           $784.08        $784.08
31201   ETHMOIDECTOMY INTRANASAL TOTAL           $994.59        $994.59
31205   ETHMOIDECTOMY EXTRANASAL TOTAL         $1,239.46      $1,239.46
31225   MAXILLECTOMY WO ORBIT EXENTERA         $2,104.16      $2,104.16
31230   MAXILLECTOMY W ORBIT EXENTERAT         $2,344.70      $2,344.70
31231   NASAL ENDOSCOPY, DIAGNOSTIC              $246.10        $112.78
31233   ENDOSCOPY,NASAL/SINUS,DIAG               $360.63        $210.24
31235   NASAL/SINUS ENDOSCOPY, DX 1              $421.53        $251.42
31237   ENDOSCOPY,NASAL/SINUS,SURGICAL           $456.51        $280.02
31238                                            $474.17
        ENDO, NASAL/SINUS, SURG W/CONTROL OF NASAL HEMORR       $306.75
31239   ENDO,NASAL/SINUS,SURG W/DACRY            $943.42        $943.42
31240   ENDO,NASAL/SINUS,SURG W/CONCHA           $249.51        $249.51
31254   REVISION OF ETHMOID SINUS 1             $432.40       $432.40
31255   REMOVAL OF ETHMOID SINUS 1              $641.31       $641.31
31256                                           $312.14
        NASAL/SINUS ENDOSCOPY, SURG, W/MAXICLLARY ANTROSTOMY. $312.14
31267   ENDOSCOPY, MAXILLARY SINUS 4            $505.63       $505.63
31276                                           $809.27       $809.27
        NASAL/SINUS ENDOSCOPY W/EXPLORATION W/W/O TISSUE REMOVAL
31287   ENDO,NASAL/SINUS W/SPHENOID             $367.36       $367.36
31288   ENDO,NASAL/SINUS,W/SPHENOID PLUS        $426.66       $426.66
31290   ENDO,NASAL/SINUS W/REPAIR             $1,675.94     $1,675.94
31291   ENDO,NASAL/SINUS, SPHENOID            $1,759.07     $1,759.07
31292   ENDO,NASAL/SINUS W/DECOMPRESS         $1,448.36     $1,448.36
31293   ENDO,NASAL/SINUS, W/DECOMPRESS        $1,575.52     $1,575.52
31294   ENDO,NASAL/SURG,DECOMP OPTIC          $1,824.15     $1,824.15
31300   LARYNGOTOMY W EXCISION LESION         $1,653.58     $1,653.58
31320   LARYNGOTOMY DIAGNOSTIC                  $864.70       $864.70
31360   LARYNGECTOMY TOTAL WO RAD NECK        $1,912.51     $1,912.51
31365   LARYNGECTOMY TOTAL W RAD NECK         $2,531.42     $2,531.42
31367   LARYNGECT SUBTO SUPRAGLOT WO N        $2,475.09     $2,475.09
31368   PARTIAL REMOVAL OF LARYNX             $2,979.28     $2,979.28
31370   HEMILARYNGECTOMY HORIZONTAL           $2,467.55     $2,467.55
31375   HEMILARYNGECTOMY LATEROVERTICA        $2,293.33     $2,293.33
31380   HEMILARYNGECTOMY ANTEROVERTICA        $2,308.07     $2,308.07
31382   HEMILARYNGECTOMY ANT-LAT-VERTI        $2,380.28     $2,380.28
31390   REMOVAL OF LARYNX & PHARYNX           $2,949.58     $2,949.58
31395   RECONSTRUCT LARYNX & PHARYNX          $3,366.62     $3,366.62
31400   ARYTENOIDECTOMY/OPEXY EXT APPR        $1,350.61     $1,350.61
31420   EPIGLOTTIDECTOMY                      $1,119.57     $1,119.57
31500   INSERT EMERGENCY AIRWAY                 $168.80       $168.80
31502   TRACHEOTOMY TUBE CHANGE PRIOR            $55.33        $53.72
31505   LARYNGOSCOPY INDIRECT DIAGNOST          $113.85        $69.04
31510   LARYNGOSCOPY INDIRECT W BIOPSY          $291.02       $181.71
31511   LARYNGOSCOPY INDIRECT REM FB            $296.18       $186.33
31512   LARYNGOSCOPY INDIRECT REM LESI          $294.97       $196.85
31513   LARYNGOSCOPY INDIR INJ VOC COR          $203.50       $203.50
31515   LARYNGOSCOPY DIR FOR ASPIRATIO          $296.25       $164.01
31520   LARYNGOSCOPY DIRECT DX NEWBORN          $236.09       $236.09
31525   LARYNGOSCOPY DIR DX, EXCEPT NEWBORN $351.36           $245.77
31526   LARYNGOSCOPY DIR DX MICROSCOPY          $245.57       $245.57
31527   LARYNGOSCOPY DIRECT W OBTURATO          $295.20       $295.20
31528   LARYNGOSCOPY AND DILATATION, INITIAL    $219.97       $219.97
31529                                           $251.66
        LARYNGOSCOPY DIR W/WO TRACHE W DILAT SUBSE            $251.66
31530   LARYNGOSCOPY DIR W REMOVE FB            $306.84       $306.84
31531   LARYNGOSCOPY DIR W REM FB-MICR          $335.27       $335.27
31535   LARYNGOSCOPY DIRECT W BIOPSY            $295.35       $295.35
31536   LARYNGOSCOPY DIR W BIOPSY-MICR          $332.49       $332.49
31540   LARYNGOSCOPY DIR EXCIS/STRIPPI          $382.20       $382.20
31541   LARYNGOSCOPY DIR EXC/STRIP-MIC          $418.85       $418.85
31545                                           $556.72       $556.72
        LARYNGOSCOPY, DIRECT, OPERATIVE, WITH OPERATING MICROSCOPE
31546                                           $846.92       $846.92
        LARYNGOSCOPY, DIRECT, OPERATIVE, WITH OPERATING MICROSCOPE
31560   LARYNGOSCOPY DIR W ARYTENOIDEC          $493.65       $493.65
31561   LARYNGOSCOPY W ARYTENOIDECT-MI          $537.93       $537.93
31570   LARYNGOSCOPY WITH INJECTION             $533.23       $357.78
31571   LARYNGSCPY DIR INJ VOC CORD-MI          $393.34       $393.34
31575   LARYNGOSCOPY DIAGNOST-FLEX SCO          $167.18       $113.31
31576   LARYNGOSCOPY WITH BIOPSY                $312.69       $186.30
31577   LARYNGOSCOPY W REM FB-FLEX SCO          $348.66       $229.75
31578   LARYNGOSCOPY W REM LES-FLEX SC          $398.16       $251.00
31579   FIBER SCOPIC LARYNGOSCOPY               $337.07       $214.40
31580   LARYNGOPLASTY WEB 2 STAGE W KE        $1,588.68     $1,588.68
31582   LARYNGOPLASTY FOR STENOSIS            $2,667.32     $2,667.32
31584   LARYNGOPLASTY OPEN REDUCTION F        $2,145.43     $2,145.43
31585   REPAIR OF LARYNX FRACTURE               $633.59       $633.59
31586   REPAIR OF LARYNX FRACTURE 1           $1,059.39     $1,059.39
31587   REVISION OF LARYNX                    $1,212.29     $1,212.29
31588   REVISION OF LARYNX 1                  $1,509.00     $1,509.00
31590   REINNERVATION LARYNX                  $1,253.48     $1,253.48
31595   LARYNX NERVE SURGERY                  $1,061.58     $1,061.58
31600   INCISION OF WINDPIPE                    $607.38       $607.38
31601   TRACHEOSTOMY PLANND UNDER 2 YR          $395.17       $395.17
31603   TRACHEOSTOMY EMERG TRANSTRACH           $342.84       $342.84
31605   TRACHEOSTOMY EMERG CRICOTHYROI          $280.49       $280.49
31610   TRACHEOSTOMY FENESTR W SKN FLA          $967.46       $967.46
31611   SURGERY/SPEECH PROSTHESIS               $713.89       $713.89
31612   ASPIRATION TRANSTRACHEAL                $113.34        $73.36
31613   REVISION TRACHEOSTOMA SIMPLE            $596.06       $596.06
31614   REVISION TRACHEOSTOMA COMPLEX           $891.55       $891.55
31615   TRACHEOSCOPY VIA EST TRACH INC          $263.20       $189.07
31620                                           $384.41       $112.97
        ENDOBRONCHOSCOPIC ULTRASOUND (EBUS) DURING BRONCHOSCOPIC
31622   DIAGNOSTIC BRONCHOSCOPY                 $466.69       $221.92
31623                                           $511.92
        BRONCHOSCOPY, W/BRUSHING OR PROTECTED BRUSHINGS       $225.56
31624                                           $477.26
        BRONCHOSCOPY, W/BRONCHIAL ALVEOLAR LAVAGE             $225.56
31625   BRONCHOSCOPY BIOPSY-RIGID SCOP          $508.15       $262.86
31628   BRONCHOSCPY BX LUNG-FLX/FLUORO          $597.28       $292.26
31629   BRONCHOSCOPY WITH BIOPSY                $998.56       $313.32
31630   BRONCHOSCOPY DILAT/CLOSD FX RE          $320.87       $320.87
31631   BRONCHOSCOPY WITH DILATION              $354.99       $354.99
31632                                           $108.84        BX EA
        BRONCHO RIGID FLEX W WO FLUORO GUID W TRANSBRONCHIAL $82.16 ADDL LOBE
31633                                           $130.41       $102.68
        BRONCH RIGID FLEX W WO FLUORO GUID W TRANSBRONCH ASPIR BXS EA ADDL
31635   REMOVE FOREIGN BODY, AIRWAY             $544.02       $294.45
31636                                           $349.70       $349.70
        BRONCHOSCOPY, RIG/FLEX, W/WO FLUORO GUIDANCE - WITH PLACEMENT OF STENT
31637                                           $124.48       $124.48
        BRONCHOSCOPY, RIG/FLEX, W/WO FLUORO GUIDE - EACH ADDIT MAJOR STENTED
31638                                           $390.46       $390.46
        BRONCHOSCOPY, RIG/FLEX, W/WO FLUORO GUIDE - W/REVISION OF TRACHEAL
31640   BRONCHOSCOPY W EXCISION TUMOR           $407.66       $407.66
31641   BRONCHOSCOPY,TREAT BLOCKAGE             $399.62       $399.62
31643                                           $271.31       $271.31
        BRONCHOSCOPY, W/PLACEMENT OF CATHETER (S) FOR INTRACAV RADIOELEMENT APPLIC
31645   BRONCHOSCOPY, CLEAR AIRWAYS             $460.70       $246.33
31646   BRONCHOSCOPY ASPIR THERAP SUBS          $419.64       $213.82
31656   BRONCHOSCOPY,INJECT FOR XRAY            $518.00       $173.51
31700   CATHETERIZATION TRANSGLOTTIC            $194.52       $116.12
31708   INSTILL CONTRAST MATERL WO CAT          $190.96       $107.23
31710   CATHETERIZATION BRONCHOGRAPHY           $100.59       $100.59
31715   INJECTION FOR BRONCHUS X-RAY             $83.81        $83.81
31717   CATHETERIZ W BRONCH BRUSH BIOP          $565.60       $167.79
31720   ASPIRAT CATH NASOTRACHEOBRONCH           $80.43        $80.43
31725   ASPIRATION CATH TRACHEOBRONCH           $151.60       $147.87
31730   INSERT STERN INDWELLING TUBE            $287.27      $223.83
31750   TRACHEOPLASTY CERVICAL                $1,716.24    $1,716.24
31755   FISTULIZATION TRACHEOPHARYNGEA        $2,260.32    $2,260.32
31760   REPAIR OF WINDPIPE                    $1,943.19    $1,943.19
31766   RECONSTRUCTION OF WINDPIPE            $2,621.98    $2,621.98
31770   REPAIR/GRAFT OF BRONCHUS              $1,927.96    $1,927.96
31775   BRONCHOPLASTY EXC STENO/ANASTO        $2,075.31    $2,075.31
31780   EXC TRACH STENOS/ANASTOM CERV         $1,655.90    $1,655.90
31781   EXC TRACH STEN/ANASTOM CERVTHO        $2,063.39    $2,063.39
31785   REMOVE WINDPIPE LESION 1              $1,579.42    $1,579.42
31786   REMOVE WINDPIPE LESION                $2,180.15    $2,180.15
31800   SUTURE EXT TRACH WOUND CERVICA          $943.43      $943.43
31805   REPAIR OF WINDPIPE INJURY             $1,197.04    $1,197.04
31820   CLOSURE TRACHEOSTOMY/FISTULA            $570.89      $463.71
31825   CLOSUR TRACHEOS/FISTU PLAST RE          $815.70      $693.59
31830   REVISE WINDPIPE SCAR                    $578.69      $483.76
32000   DRAINAGE OF CHEST                       $253.49      $116.44
32002   TREATMENT OF COLLAPSED LUNG             $300.80      $186.16
32005   TREAT LUNG LINING CHEMICALLY            $476.59      $169.97
32019                                         $1,316.99      $340.59
        INSERTION OF INDWELLING TUNNELED PLEURAL CATHETER WITH CUFF
32020   INSERTION OF CHEST TUBE                 $313.23      $313.23
32035   EXPLORATION OF CHEST                    $849.62      $849.62
32036   THORACOSTMY OPEN FLAP DRN EMPY          $943.93      $943.93
32095   BIOPSY THROUGH CHEST WALL               $804.01      $804.01
32100   EXPLORATION/BIOPSY OF CHEST           $1,362.55    $1,362.55
32110   EXPLORE/REPAIR CHEST                  $1,994.33    $1,994.33
32120   RE-EXPLORATION OF CHEST               $1,091.76    $1,091.76
32124   EXPLORE CHEST,FREE ADHESIONS          $1,175.26    $1,175.26
32140   THORACOTOMY W REMOVAL CYSTS           $1,272.81    $1,272.81
32141   THORACOTOMY W EXC/PLICAT BULLA        $1,270.96    $1,270.96
32150   THORACOTMY W REM INTRPL FB/FIB        $1,281.41    $1,281.41
32151   REMOVE LUNG FOREIGN BODY              $1,304.64    $1,304.64
32160   OPEN CHEST HEART MASSAGE                $855.07      $855.07
32200   OPEN DRAINAGE, LUNG LESION            $1,398.88    $1,398.88
32201   PERCUT DRAINAGE, LUNG LESION          $1,339.46      $304.94
32215   TREAT CHEST LINING                    $1,068.89    $1,068.89
32220   RELEASE OF LUNG                       $2,179.46    $2,179.46
32225   PARTIAL RELEASE OF LUNG               $1,273.66    $1,273.66
32310   REMOVAL OF CHEST LINING               $1,228.37    $1,228.37
32320   FREE/REMOVE CHEST LINING              $2,136.04    $2,136.04
32400   BIOPSY PLEURA NEEDLE                    $216.76      $133.04
32402   OPEN BIOPSY CHEST LINING                $740.36      $740.36
32405   BIOPSY LUNG PERCUTANEOUS NEEDL          $149.46      $147.34
32420   PNEUMOCENTESIS                          $165.33      $165.33
32440   PNEUMONECTOMY TOTAL                   $2,238.69    $2,238.69
32442   SLEEVE PNEUMONECTOMY                  $2,418.23    $2,418.23
32445   PNEUMONECTOMY EXTRAPLEURAL            $2,308.45    $2,308.45
32480   LOBECTOMY TOTAL/SEGMENTAL             $2,116.67    $2,116.67
32482   BILOBECTOMY                           $2,238.63    $2,238.63
32484   SEGMENTECTOMY                         $1,890.65    $1,890.65
32486   SLEEVE LOBECTOMY                      $2,193.00    $2,193.00
32488   PNEUMONECTOMY,COMPLETION              $2,330.22    $2,330.22
32491                                         $1,988.59
        EXCISION -PLICATION OF EMPHYSEMATOUS LUNGS        $1,988.59
32500   RESECT LUNG WEDGE SINGL/MULTIP        $2,024.30   $2,024.30
32501   RESECT BRONCHUS                         $372.34     $372.34
32520   RESECT LUNG & CHEST WALL              $1,946.91   $1,946.91
32522   RESECT LUNG RECON CHST WO PROS        $2,141.66   $2,141.66
32525   RESECT LUNG MJR RECON CHST W P        $2,325.09   $2,325.09
32540   REMOVAL OF LUNG LESION                $1,420.48   $1,420.48
32601   THORACOSCOPY,LUNGS AND PLUERAL          $464.16     $464.16
32602   THORACOSCOPY,LUNGS PLUS W/BX            $503.87     $503.87
32603   THORACOSCOPY, DIAGNOSTIC 1              $646.27     $646.27
32604   THROACOSCOPY,LUNGS,PERICAR SAC          $728.26     $728.26
32605   THORACOSCOPY,LNGS,PERI SAC              $584.09     $584.09
32606   THORACOSCOPY,LNGS,MED SPACE             $699.16     $699.16
32650   THORACOSCOPY SURGICAL W/PLEURODESIS$1,026.22      $1,026.22
32651   T-SCOPY,W/PULM DECORTICATION          $1,185.99   $1,185.99
32652   T-SCOPY,PULM DECORT,PNEUMOLYS         $1,696.47   $1,696.47
32653   T-SCOPY, REMOVAL FB                   $1,168.72   $1,168.72
32654   T-SCOPY,CONTROL HEMORRHAGE            $1,167.78   $1,167.78
32655   T-SCOPY,EXCISE/PLICATE BULLAE         $1,197.31   $1,197.31
32656   T-SCOPY,PARIETAL PLEURECTOMY          $1,223.86   $1,223.86
32657   T-SCOPY,WEDGE RESECT LUNG             $1,256.53   $1,256.53
32658   T-SCOPY,CLOT OR FB REMOVAL            $1,112.18   $1,112.18
32659   T-SCOPY,CREATE PERI WINDOW            $1,114.86   $1,114.86
32660   T-SCOPY,W/TOTAL PERICARDECTOMY        $1,571.13   $1,571.13
32661   T-SCOPY,EXCISE CYST,PERCARDIAL        $1,235.16   $1,235.16
32662   T-SCOPY,EXCISE CYST,MEDIASTIN         $1,484.03   $1,484.03
32663   THORACOSCOPY, SURGICAL                $1,720.99   $1,720.99
32664   T-SCOPY,W/THORACIC SYMPATHECT         $1,299.75   $1,299.75
32665   T-SCOPY,W/ESOPHAGOMYOTOMY             $1,395.00   $1,395.00
32800   REPAIR LUNG HERNIA VIA CHEST W        $1,241.39   $1,241.39
32810   CLOSE CHEST AFTER DRAINAGE            $1,211.28   $1,211.28
32815   CLOSE BRONCHIAL FISTULA               $2,019.40   $2,019.40
32820   RECONSTRUCT INJURED CHEST             $1,960.95   $1,960.95
32851   LUNG TRANSPLANT, SINGLE               $3,866.51   $3,866.51
32852   LUNG TRANSPLANT W/BYPASS              $4,362.77   $4,362.77
32853   LUNG TRANSPLANT, DOUBLE               $4,661.78   $4,661.78
32854   TRANSPLANT,LUNG(2)W/BYPASS            $5,011.79   $5,011.79
32900   RESECT RIBS EXTRAPLEURAL              $1,784.93   $1,784.93
32905   THORACOPLASTY SCHEDE/EXTRAPLEU        $1,830.80   $1,830.80
32906   REVISE & REPAIR CHEST WALL            $2,304.72   $2,304.72
32940   PNEUMONOLYSIS EXTRAPERIOSTEAL         $1,710.11   $1,710.11
32960   PNEUMOTHORAX ARTIFICIAL                 $202.77     $140.37
32997   TOTAL LUNG LAVAGE UNILATERAL            $462.32     $462.32
33010   PERICARDIOCENTESIS INITIAL              $174.44     $174.44
33011   PERIOCARDIOCENTESIS SUBSEQUENT          $176.80     $176.80
33015   PERICARDIOSTOMY TUBE                    $673.63     $673.63
33020   INCISION OF HEART SAC                 $1,141.95   $1,141.95
33025   CREATION PERICARDIAL WINDOW           $1,088.74   $1,088.74
33030   RESECTION PERICARDIUM PARTIAL         $1,671.14   $1,671.14
33031   PARTIAL REMOVAL OF HEART SAC          $1,887.15   $1,887.15
33050   EXCISION CYST/TUMOR PERICARDIU        $1,310.65   $1,310.65
33120   REMOVAL OF HEART LESION               $2,144.21   $2,144.21
33130   RESECTION TUMOR CARDIAC EXTERN          $1,860.06     $1,860.06
33140   TRANSMYOCARDIAL LASER REVASCULARIZATION $1,819.92     $1,819.92
33141                                             $384.49       $384.49
        TRANSMYOCARDIAL REVASCULARIZATION LASER PERFORMED WITH ADD'L OPEN CARDIAC
33200   INS PACEMAKER EPICARDIAL THORA          $1,135.13     $1,135.13
33201   INS PACEMAKER EPICARDIAL XIPHO            $978.25       $978.25
33206   INS PACEMAKER TRANSVENOUS ATRI            $635.61       $635.61
33207   INS PACEMAKER TRANSVEN VENTRIC            $727.46       $727.46
33208   INSERTION OF HEART PACEMAKER              $737.67       $737.67
33210   INS PACEMAKER TRANSVENOUS TEMP            $261.21       $261.21
33211   INSERTION OF HEART ELECTRODE              $271.02       $271.02
33212   INS/REPLACE PULSE GENERATOR               $509.38       $509.38
33213   INSERTION OF PULSE GENERATOR              $577.60       $577.60
33214   UPGRADE OF PACEMAKER SYSTEM               $722.12       $722.12
33215                                             $453.24       $453.24
        REPOSTIONNG OF PREV IMPLANTED TRANSVENOUS PACEMAKER OR PACING
33216   INSERT/REVISE ELECTRODE, SINGLE CHAMBER$566.69          $566.69
33217   INSERT/REVISE ELECTRODE, DUAL CHAMBER $566.95           $566.95
33218   REPAIR PACEMAKER ELECTRODE, SINGLE CHAMBER$552.33       $552.33
33220   REPAIR PACEMAKER ELECTRODE, DUAL CHAMBER  $555.28       $555.28
33222   REPAIR PACEMAKER,PULSE GENER              $525.67       $525.67
33223   PACEMAKER AICD POCKET                     $627.98       $627.98
33224                                             $748.12       $748.12
        INS OF PAC ELEC CARD VEN SYS LEFT VENT PAC W ATTACH TO PREV PLACED PACE
33225                                             $664.41       $664.41
        INSERT PAC ELEC CARD VEN SYS LEFT VENT PACING AT TIME OF INS PAC CARDIOVERT
33226                                             $719.57       LEFT VENT
        REPOSITIONNG OF PREV IMPLANTED CARDIAC VENOUS SYSTEM $719.57
33233                                             $369.87
        REMOVAL PERMANENT PACEMAKER - PULSE GENERATOR ONLY $369.87
33234   REMOVAL OF PACEMAKER SYSTEM               $727.17       $727.17
33235   REMOVE PACEMAKER AND LEADS                $924.60       $924.60
33236   REMOVE ELECTRODE/THORACOTOMY            $1,173.03     $1,173.03
33237   REMOVE ELECTRODE/THORACOTOMY 1          $1,250.98     $1,250.98
33238   REMOVE ELECTRODES,THORACOTOMY           $1,373.79     $1,373.79
33240   INSERT PULSE GENER, SINGLE OR DUAL CHAMBER$693.30       $693.30
33241                                             $349.74
        REMOVAL OF PULSE GENERATOR, SINGLE OR DUAL CHAMBER $349.74
33243                                           $1,974.09
        REMOVE SINGLE/DUAL CHAMBER ELECTRODES BY THORACOTOMY  $1,974.09
33244                                           $1,291.95
        REMOVE ELECTRODES, TRANSVENOUS EXTRACTION             $1,291.95
33245                                           $1,306.67
        INSERT EPICARDIAL ELECTRODES BY THORACOTOMY           $1,306.67
33246   INSERT EPIC ELECTRODES, PULSE GENERATOR $1,819.98     $1,819.98
33249   INSERT/REPLACE LEADS/GENER              $1,283.99     $1,283.99
33250   ABLATE HEART DYSRHYTHM W/O BYPASS       $1,941.86     $1,941.86
33251   ABLATE HEART DYSRHYTHM FOCUS            $2,163.64     $2,163.64
33253   ATRIA RECONSTRUCTION                    $2,665.31     $2,665.31
33261   OPER ABLATION W CARDIO BYPASS           $2,165.39     $2,165.39
33282                                             $460.01
        IMPLANTATION OF PATIENT ACTIVATED CARDIAC EVENT RECORDER$460.01
33284                                             $335.86       $335.86
        REMOVAL OF AN IMPLANTABLE, PATIENT ACTIVATED CARDIAC EVENT RECORDER
33300   REPAIR OF HEART WOUND                   $1,604.42     $1,604.42
33305   REPAIR CARDIAC WOUND W BYPASS           $1,897.07     $1,897.07
33310   CARDIOTOMY EXPLORATORY WO BYPA          $1,656.58     $1,656.58
33315   CARDIOTOMY EXPLORATORY W BYPAS          $1,970.30     $1,970.30
33320   SUTURE AORTA WO BYPASS                  $1,466.46     $1,466.46
33321                                           $1,774.87
        SUTURE REPAIR AORTA/GREAT VESSELS W/SHUNT BYPASS      $1,774.87
33322   SUTURE AORTA W BYPASS                   $1,827.03     $1,827.03
33330   INSERT GRAFT HEART WO BYPASS            $1,865.06     $1,865.06
33332                                           $2,031.28
        INSERTION GRAFT,AORTA/GREAT VESSELS W/SHUNT BYPASS $2,031.28
33335   INSERT GRAFT HEART W BYPASS             $2,569.78     $2,569.78
33400   VALVULOPLASTY AORTIC OPN W BYP       $2,603.20     $2,603.20
33401   VALVULOPLASTY, OPEN                  $2,208.18     $2,208.18
33403   VALVULOPLASTY, W/CP BYPASS           $2,305.75     $2,305.75
33404   PREPARE HEART-AORTA CONDUIT          $2,555.16     $2,555.16
33405   REPLACEMENT AORTIC VALVE             $3,151.50     $3,151.50
33406                                        $3,348.07
        REPLACE AORTIC VALVE W/ALLOGRAFT VALVE             $3,348.07
33410                                        TISSUE VALVE $2,898.01
        REPLACEMENT AORTIC VALVE W STENTLESS $2,898.01
33411   REPLACEMENT OF AORTIC VALVE          $3,254.01     $3,254.01
33412   REPLACEMENT OF AORTIC VALVE 1        $3,706.09     $3,706.09
33413   REPLACE AORTIC VALVE(ROSS)           $3,818.96     $3,818.96
33414   REPAIR VENTRICULAR TRACT             $2,641.53     $2,641.53
33415   REVISION, SUBVALVULAR TISSUE         $2,323.41     $2,323.41
33416   REVISE VENTRICLE MUSCLE              $2,608.31     $2,608.31
33417   AORTOPLASTY SUPRAVALVULAR STEN       $2,495.97     $2,495.97
33420   VALVOTOMY MITRAL CLOSED              $1,865.64     $1,865.64
33422   VALVOTOMY MITRAL OPEN W BYPASS       $2,340.11     $2,340.11
33425   VALVULOPLASTY MITRAL W BYPASS        $2,373.96     $2,373.96
33426   REPAIR OF MITRAL VALVE               $2,964.04     $2,964.04
33427   REPAIR OF MITRAL VALVE 1             $3,519.39     $3,519.39
33430   REPLACEMENT MITRAL VALVE W BYP       $3,003.96     $3,003.96
33460   VALVULOPLASTY TRICUSPID W BYPA       $2,068.01     $2,068.01
33463   VALVULOPLASTY, TRICUSPID             $2,280.60     $2,280.60
33464   VALVULOPLASTY,TRICUSP,W/RING         $2,419.64     $2,419.64
33465   REPLACE TRICUSPID VALVE W BYPA       $2,480.96     $2,480.96
33468   REVISION OF TRICUSPID VALVE          $2,587.08     $2,587.08
33470   VALVOTOMY PULMONARY CLOSED           $1,788.87     $1,788.87
33471   VALVOTOMY, PULMONARY VALVE           $1,907.75     $1,907.75
33472   VALVOTMY PULMN OPN W INFLOW OC       $2,026.65     $2,026.65
33474   VALVOTMY PULMONARY OPEN W BYPA       $2,006.48     $2,006.48
33475   REPLACEMENT, PULMONARY VALVE         $2,869.80     $2,869.80
33476   RESECTION INFUNDIBULAR STENOSI       $2,188.83     $2,188.83
33478   AUGMENTAT CARDIAC OUTFLOW TRAC       $2,356.94     $2,356.94
33496   REPAIR, PROSTH VALVE CLOT            $2,375.39     $2,375.39
33500   REPAIR HEART VESSEL FISTULA          $2,197.42     $2,197.42
33501   REPAIR HEART W/ C/P BYPASS           $1,518.74     $1,518.74
33502   CORONARY ARTERY CORRECTION           $1,894.76     $1,894.76
33503   GRAFT ANOMALOUS CORONARY ARTER       $1,823.97     $1,823.97
33504   GRFT ANOMAL CORONRY ART W BYPA       $2,152.75     $2,152.75
33505   REP CORONARY ARTERY(TAKEUCHI)        $2,291.46     $2,291.46
33506   REP CORONARY ARTERY,TRANSLOC         $2,963.32     $2,963.32
33508                                           $24.43        $24.43
        ENDOSCOPY SURGICAL INCL VIDEO ASSISTED HARVEST OF VEINS FOR CORONARY
33510   CABG, VEIN, SINGLE                   $2,672.98     $2,672.98
33511   CABG, VEIN, TWO                      $2,775.61     $2,775.61
33512   CABG, VEIN, THREE                    $2,914.17     $2,914.17
33513   CABG, VEIN, FOUR                     $2,936.65     $2,936.65
33514   CABG, VEIN, FIVE                     $2,995.51     $2,995.51
33516   BYPASS CORON AUTOGRAFT 6 PLUS ARTE   $3,176.06     $3,176.06
33517   CABG, ARTERY-VEIN, SINGLE              $204.66       $204.66
33518   CABG, ARTERY-VEIN, TWO                 $385.44       $385.44
33519   CABG X3 VENOUS GRAFTS                  $566.22       $566.22
33521   CABG, ARTERY-VEIN, FOUR                $747.71       $747.71
33522   CABG X5 VENOUS GRAFTS                  $928.31       $928.31
33523   CABG X6 VENOUS GRAFTS                $1,110.09   $1,110.09
33530   CORONARY ARTERY, BYPASS/REOP           $466.03     $466.03
33533   CABG,ARTENAL X1                      $2,741.96   $2,741.96
33534   CABG,ARTENAL X2                      $2,940.50   $2,940.50
33535   CABG, ARTENAL X3                     $3,108.92   $3,108.92
33536   CABG, ARTENAL X4 PLUS                $3,299.67   $3,299.67
33542   RESECTION ANEURYSM MYOCARDIUM        $2,485.96   $2,485.96
33545   REPAIR VSD POSTINFARCTION            $3,111.14   $3,111.14
33572   OPEN CORONARY ENDARTERECTOMY           $353.54     $353.54
33600   CLOSURE OF VALVE                     $2,505.38   $2,505.38
33602   CLOSE SEMILUNAR VALVE                $2,424.00   $2,424.00
33606   ANASTOMOSIS PULMONARY ARTERY         $2,636.14   $2,636.14
33608   REP CARDIAC ANOMALY                  $2,690.97   $2,690.97
33610   REPAIR CARDIAC ANOM BY ENLARGEMENT   $2,630.66   $2,630.66
33611   REPAIR DOUBLE VENTRICLE 1            $2,844.29   $2,844.29
33612   REPAIR DOUBLE VENTRICLE              $2,989.32   $2,989.32
33615   REPAIR COMPLEX ANOMALIES             $2,788.86   $2,788.86
33617   REPAIR BY MODIFIED FONTAN            $3,160.66   $3,160.66
33619   REPAIR SINGLE VENTRICLE              $3,900.98   $3,900.98
33641   REPAIR ASD SECUNDUM W BYPASS         $1,839.91   $1,839.91
33645   REVISION OF HEART VEINS              $2,171.37   $2,171.37
33647   REPAIR HEART SEPTUM DEFECTS          $2,484.66   $2,484.66
33660   CLOSUR ENDOCARDIAL CUSHN DEFCT       $2,587.56   $2,587.56
33665   CLOSUR ENDOCARD DEFCT W REP VS       $2,508.29   $2,508.29
33670   REP COMPLETE ATRIOVENTRIC CANA       $2,860.43   $2,860.43
33681   CLOSURE VSD DIRECT                   $2,683.37   $2,683.37
33684   REPAIR HEART SEPTUM DEFECT           $2,537.93   $2,537.93
33688   CLOSURE VSD W REMOV PULMON BAN       $2,470.70   $2,470.70
33690   BANDING PULMONARY ARTERY             $1,723.27   $1,723.27
33692   REPAIR FALLOT TETRALOGY              $2,656.82   $2,656.82
33694   REP TETRALOGY FALLOT, W/O ATRE       $2,882.18   $2,882.18
33697   REPAIR TETRALOGY FALLOT,COMP         $2,986.80   $2,986.80
33702   REP FISTULA SINUS VALSALVA           $2,311.56   $2,311.56
33710   REP FISTUL SINUS VALSALVA & VS       $2,594.05   $2,594.05
33720   REP ANEURYSM SINUS VALSALVA          $2,302.26   $2,302.26
33722   CLOSE AORTICO-LFT VENT TUNNEL        $2,398.56   $2,398.56
33730   REPAIR HEART-VEIN DEFECT(S)          $2,881.65   $2,881.65
33732   REP COR TRIATRIATUM                  $2,447.28   $2,447.28
33735   SEPTECTOMY ATRIAL CLOSED             $1,761.35   $1,761.35
33736   SEPTECTOMY/OSTOMY,OPEN HEART         $2,080.00   $2,080.00
33737   SEPTECTOMY ATRIAL OPEN               $1,937.58   $1,937.58
33750   SHUNT SUBCLAVIAN-PULMONARY           $1,802.23   $1,802.23
33755   MAJOR VESSEL SHUNT                   $1,826.08   $1,826.08
33762   SHUNT DESCENDING AORTA-PULMONA       $1,893.56   $1,893.56
33764   MAJOR VESSEL HUNT & GRAFT            $1,892.39   $1,892.39
33766   SHUNT VENA CAVA-PULMONARY            $2,051.13   $2,051.13
33767   SHUNT,SUPERIOR VENA CAVA             $2,156.55   $2,156.55
33770   REP TRANSPOSITION GRT ARTERIES       $3,093.81   $3,093.81
33771   REP TRANSP GRT ART - SURG ENLRG      $2,836.77   $2,836.77
33774   REPAIR GREAT VESSELS DEFECT 1        $2,716.85   $2,716.85
33775   REPAIR GREAT VESSELS DEFECT          $2,810.87   $2,810.87
33776   REPAIR GREAT VESSELS DEFECT 2        $2,961.57   $2,961.57
33777   REPAIR GREAT VESSELS DEFECT 3          $2,934.28    $2,934.28
33778   REPAIR GREAT VESSELS DEFECT 4          $3,399.32    $3,399.32
33779   REPAIR GREAT VESSELS DEFECT 5          $2,981.79    $2,981.79
33780   REPAIR GREAT VESSELS DEFECT 6          $3,521.88    $3,521.88
33781   REPAIR GREAT VESSELS DEFECT 7          $3,000.55    $3,000.55
33786   REPAIR TRUNCUS ARTERIOSUS              $3,315.25    $3,315.25
33788   REVISION OF PULMONARY ARTERY           $2,297.09    $2,297.09
33800   AORTIC SUSPENSION                      $1,444.97    $1,444.97
33802   DIVIDE ABERRANT AORTIC VESSEL          $1,577.07    $1,577.07
33803   REPAIR VESSEL DEFECT                   $1,751.02    $1,751.02
33813   REPAIR SEPTAL DEFECT                   $1,868.96    $1,868.96
33814                                          $2,278.11    $2,278.11
        OBLITERATION OF AORTOPULMONARY SEPTAL DEFECT W/ CARDIO BYPASS
33820   LIGATE PATENT DUCTUS ARTERIOSU         $1,459.26    $1,459.26
33822   DIVISION PATENT DUCTUS < 18 YR         $1,559.16    $1,559.16
33824   DIVISION PATENT DUCTUS GT 18 YR        $1,746.55    $1,746.55
33840   EXC COARCTATION OF AORTA               $1,799.05    $1,799.05
33845   EXC COARCTATION OF AORT W GRAF         $1,979.30    $1,979.30
33851   REMOVE AORTA CONSTRICTION              $1,893.78    $1,893.78
33852   REPAIR SEPTAL DEFECT 2                 $2,030.08    $2,030.08
33853   REP AORTIC ARCH,W/BYPASS               $2,755.00    $2,755.00
33860   GRAFT ASCENDING AORTA                  $3,239.73    $3,239.73
33861   AORTA GRAFT W/RECONSTRUCTION           $3,554.38    $3,554.38
33863   AORTIC GRAFT W/ROOT REPLACE            $3,791.47    $3,791.47
33870   GRAFT TRANSVERSE AORTIC ARCH           $3,711.01    $3,711.01
33875   GRAFT DESCENDING THORACIC AORT         $2,803.82    $2,803.82
33877   THORACOABDOMINAL GRAFT                 $3,502.51    $3,502.51
33910   EMBOLECTOMY PULMON ARTRY W BYP         $2,139.81    $2,139.81
33915   EMBOLECTOMY PULMON ARTRY WO BY         $1,767.95    $1,767.95
33916   SURGERY OF GREAT VESSEL                $2,206.17    $2,206.17
33917   REPAIR PULMONARY ARTERY                $2,176.20    $2,176.20
33918   REP PULMONARY ATRESIA                  $2,298.36    $2,298.36
33919   REP PULMONARY ATRESIA,BYPASS           $3,423.74    $3,423.74
33920   REP ATRESIA W/VENT DEFECT              $2,712.09    $2,712.09
33922   TRANSECT PULM ARTERY W/BYPASS          $2,029.72    $2,029.72
33924   LIGATION, PUL ARTERY SHUNT               $440.72      $440.72
33935   TRANSPLANTATION, HEART/LUNG            $5,327.47    $5,327.47
33945   TRANSPLANTATION OF HEART               $3,756.66    $3,756.66
33960   BYPASS CARDIOPULMONARY PROLONG         $1,457.33    $1,457.33
33961   EXTERNAL CIRCULATION ASSIST              $845.92      $845.92
33967                                            $386.14
        PERCUTANEOUS INSERTION OF INTRA-AORTIC BALLOON        $386.14
33968                                             $51.24       $51.24
        REMOVAL OF INTRA AORTIC BALLON ASSIST DEVICE PERCUTANEOUS
33970   AORTIC CIRCULATION ASSIST 1              $535.17      $535.17
33971   AORTIC CIRCULATION ASSIST                $915.17      $915.17
33973   INSERT BALLOON DEVICE                    $776.07      $776.07
33974   REMOVE INTRA-AORTIC BALLOON            $1,300.58    $1,300.58
33975   IMPLANT VENTRICULAR DEVICE, SINGLE     $1,638.18    $1,638.18
33976                                          $1,827.38
        IMPLANT VENTRICULAR DEVICE, BIVENT SUPPORT          $1,827.38
33977   REMOVE DEVICE, VENTRICULAR SINGLE      $1,788.24    $1,788.24
33978                                          $1,979.23
        REMOVE VENTRICULAR DEVICE, BIVENT SUPPORT           $1,979.23
33979                                          $3,659.63
        INSERTION OF INTRACORPORAL VENTRICULAR ASSIST DEVICE$3,659.63
33980                                           ASSIST
        REMOVAL OF INTRACORPORAL VENTRICULAR$4,849.76DEVICE $4,849.76
34001   EMBOLCTMY CAROTID ETC VIA NECK         $1,156.39    $1,156.39
34051   EMBOLCTMY INNOMINATE ETC THOR          $1,359.46       $1,359.46
34101   EMBOLCTMY AXILLARY ETC VIA ARM           $904.50         $904.50
34111   REMOVAL OF ARM ARTERY CLOT               $903.37         $903.37
34151   REMOVAL OF ARTERY CLOT                 $2,102.53       $2,102.53
34201   EMBOLCTMY FEMOROPOPLITEAL VLEG           $910.34         $910.34
34203   REMOVAL OF LEG ARTERY CLOT             $1,452.55       $1,452.55
34401   THROMBCTMY VENA CAVA ETC V ABD         $2,096.47       $2,096.47
34421   THROMBCTMY VENA CAVA ETC V LEG         $1,073.66       $1,073.66
34451   REMOVAL OF VEIN CLOT                   $2,280.21       $2,280.21
34471   THROMBCTMY SUBCLAVIAN VIA NECK           $902.48         $902.48
34490   THROMBCTMY AXILLARY ETC VI ARM           $898.41         $898.41
34501   REPAIR VALVE, FEMORAL VEIN             $1,442.57       $1,442.57
34502   RECONSTRUCT VENA CAVA,                 $2,317.80       $2,317.80
34510   VENOUS VALVE TRANSPOSTION              $1,661.60       $1,661.60
34520   CROSS-OVER VEIN GRAFT                  $1,550.24       $1,550.24
34530   LEG VEIN FUSION                        $1,467.27       $1,467.27
34800                                          $1,751.61       $1,751.61
        ENDOVASCULAR ABDOMINAL AORTIC ANEURYSM REPAIR OR DISSECTION USING AORTO-
34802                                          $1,910.58       $1,910.58
        ENDOVASCLAR REPAIR OF ABDOM AORTIC ANER URYSM W/ MODI ULAR BIFURCATED
34803                                          $1,982.23       $1,982.23
        REPAIR, ENDOVASC, INFRARENAL ABDOM AORTIC ANEURYSM OR DISSECTION
34804                                          $1,910.90       $1,910.90
        ENDOVASCULAR GRAFT REPAIR OF ABDOMINAL AORTIC ANEURYSM W/ UNIBODY BIFURICA
34805                                          $1,829.75       $1,829.75
        REPR ENDOVASC INFRARENAL ABDOM AORT ANEUR DISSECT AORTOILIAC FEM UNI PROS
34808                                            OCCLUSION DEVICE
        ENDOVASCULAR PLACEMENT OF ILIAC ARTERY $326.96           $326.96
34812                                            $544.92         $544.92
        OPEN FEMORAL ARTERY EXPOSURE FOR ENDOVASCULAR PROSTHESIS BY GROIN INCISION
34813                                            $379.80         $379.80
        PLACEMENT OF FEMORAL-FEMORAL PROSTHETIC GRAFT DURING ENDOVASCULAR AORTIC
34820                                            OF ENDOVASCULAR PROSTHESIS OR ILIAC
        OPEN ILIAC ARTERY EXPOSURE FOR DELIVERY $778.39          $778.39
34825                                          $1,055.14       $1,055.14
        PLACEMENT OF PROXIMAL OR DISTAL EXTENSION PROSTHESIS FOR ENDOVASCULAR REPAI
34826                                             OR DISTAL EXTENSION PROSTHESIS FOR
        ADD'L VESSELS FOR PLACEMENT OF PROXIMAL$323.20           $323.20
34830                                          $2,747.91       $2,747.91
        OPEN REPAIR OF INFRARENAL AORTIC ANEURYSM OR DISSECTION PLUS REPAIR OF ART
34831   AORTO-BI-ILIAC PROSTHESIS              $2,802.19       $2,802.19
34832   AORTO- BIFEMORAL PROSTHESIS            $2,960.07       $2,960.07
34833                                            $977.86         $977.86
        OPN ILIAC ARTERY EXP WITH CREATION OF CONDUIT DELIVERY INFRARENAL AORTIC
34834                                            $448.24         $448.24
        OPEN BRACHIAL ARTERY EXPOSURE TO ASSIST IN THE DEPLOYMENT OF INFRARENAL
34900                                          REPAIR OF       $1,404.73
        ENDO VASCULAR GRAFT REPLACEMENT FOR $1,404.73 ILIAC ARTERY ANEURYSM
35001                                          $1,725.54
        REP ANEURYSM CAROTID SUBCLAVIA BY NECK INCISION        $1,725.54
35002   REPAIR ARTERY RUPTURE, NECK            $1,820.40       $1,820.40
35005   REPAIR DEFECT OF VERTEBRAL ARTERY      $1,564.52       $1,564.52
35011   REPAIR DEFECT OF ARTERY 1              $1,539.29       $1,539.29
35013   REP ANEURYSM RUPT AXIL-BRACHIA         $1,877.63       $1,877.63
35021                                          $1,719.77
        REP ANEURYSM INNOMIN SUBCLAVIA BY THORACIC INS.        $1,719.77
35022   REPAIR ARTERY RUPTURE, CHEST           $1,957.61       $1,957.61
35045                                          $1,486.64
        REPAIR DEFECT FOR RADIAL OR ULNAR ARTERY               $1,486.64
35081   REP ANEURYSM ABDOMINAL AORTA           $2,346.53       $2,346.53
35082   REPAIR ARTERY RUPTURE, AORTA           $3,198.36       $3,198.36
35091   REP ANEURYSM ABD AORTA PLUS VISCERA $2,920.10          $2,920.10
35092   REP ANEUR RUPT ABD AORTA PLUS VISCE    $3,725.56       $3,725.56
35102   REP ANEURYSM ABD AORTA PLUS ILIAC      $2,567.64       $2,567.64
35103   REPAIR ARTERY RUPTURE, GROIN           $3,355.19       $3,355.19
35111   REP ANEURYSM SPLENIC ARTERY            $2,101.59       $2,101.59
35112   REPAIR ARTERY RUPTURE,SPLEEN           $2,491.09       $2,491.09
35121   REP ANEURYSM VISCERAL VESSELS          $2,518.81       $2,518.81
35122   REPAIR ARTERY RUPTURE, BELLY           $2,897.02       $2,897.02
35131   REP ANEURYSM ILIAC ARTERY              $2,129.30       $2,129.30
35132   REP ANEURYSM RUPT ILIAC ARTERY      $2,521.61   $2,521.61
35141   REP ANEURYSM COMMON FEM ARTERY      $1,715.24   $1,715.24
35142   REPAIR ARTERY RUPTURE, THIGH        $1,997.28   $1,997.28
35151   REP ANEURYSM POPLITEAL ARTERY       $1,935.77   $1,935.77
35152   REP ANEURYSM RUPT POPLI ARTERY      $2,192.47   $2,192.47
35180   REPAIR BLOOD VESSEL LESION 1        $1,180.02   $1,180.02
35182   REPAIR BLOOD VESSEL LESION 2        $2,545.50   $2,545.50
35184   REPAIR BLOOD VESSEL LESION 3        $1,556.20   $1,556.20
35188   REPAIR OF BLOOD VESSEL LESION       $1,296.79   $1,296.79
35189   REPAIR BLOOD VESSEL LESION 4        $2,372.46   $2,372.46
35190   REPAIR BLOOD VESSEL LESION 5        $1,134.12   $1,134.12
35201   REP A-V FISTULA NECK                $1,426.49   $1,426.49
35206   REP A-V FISTULA ARM                 $1,169.78   $1,169.78
35207   REPAIR VESSEL,HAND,FINGER           $1,021.36   $1,021.36
35211   REP A-V FIST INTRATHOR W BYPAS      $1,938.71   $1,938.71
35216   REP A-V FIST INTRATHOR WO BYP       $1,639.55   $1,639.55
35221   REP A-V FISTULA INTRABDOMINAL       $2,035.29   $2,035.29
35226   REP A-V FISTULA LEG                 $1,292.97   $1,292.97
35231   REP A-V FIST W VEIN GRAFT NECK      $1,759.08   $1,759.08
35236   REP A-V FIST W VEIN GRAFT ARM       $1,480.41   $1,480.41
35241   REP A-V FIST W VEIN GRFT THOR PLUS  $2,034.35   $2,034.35
35246   REP A-V FIST W VEIN GRAFT THOR      $2,247.53   $2,247.53
35251   REP A-V FIST W VEIN GRAFT ABDO      $2,493.19   $2,493.19
35256   REP A-V FIST W VEIN GRAFT LEG       $1,583.61   $1,583.61
35261   REPAIR BLOOD VESSEL LESION          $1,531.79   $1,531.79
35266   REP A-V FIST W OTH GRAFT ARM        $1,295.95   $1,295.95
35271   REP A-V FIST W OTH GRFT THOR PLUS B $1,932.24   $1,932.24
35276   REPAIR OF BLOOD VESSEL LESION 6     $2,098.45   $2,098.45
35281   REP A-V FIST W OTH GRAFT ABDOM      $2,358.01   $2,358.01
35286   REP A-V FIST W OTH GRAFT LEG        $1,432.33   $1,432.33
35301   THROMBOENDARTERECT CAROTID ETC      $1,610.57   $1,610.57
35311   THROMBOENDARTERECT SUBCLAV VIA      $2,284.18   $2,284.18
35321   THROMBOENDARTERECT AXILLARY-BR      $1,384.51   $1,384.51
35331   THROMBOENDARTERECT ABDOMINAL A      $2,224.32   $2,224.32
35341   THROMBOENDARTERECT MESENTERIC       $2,142.32   $2,142.32
35351   THROMBOENDARTERECTOMY ILIAC         $1,939.92   $1,939.92
35355   RECHANNELING OF ARTERY              $1,578.66   $1,578.66
35361   THROMBOENDARTERECT AORTOILIAC       $2,371.99   $2,371.99
35363                                       $2,543.59
        THROMBOENDARTECTOMY COMBINED AORTOILIOFEMORAL   $2,543.59
35371   THROMBOENDARTERECT COMM FEMORA      $1,283.63   $1,283.63
35372   DEEP (PROFUNDA) FEMORAL             $1,546.62   $1,546.62
35381   THROMBOENDARTERECT FEMORAL ETC      $1,395.14   $1,395.14
35390   REOPERATION, CAROTID                  $254.60     $254.60
35400   ANGIOSCOPY                            $245.36     $245.36
35450   ANGIO OPEN - RENAL/VISCERAL ART       $807.20     $807.20
35452   REPAIR ARTERIAL BLOCKAGE              $564.33     $564.33
35454   REPAIR ARTERIAL BLOCKAGE 1            $497.20     $497.20
35456   REPAIR ARTERIAL BLOCKAGE 2            $601.98     $601.98
35458   ANGIO OPEN - BRACHIOCEPHALIC          $769.66     $769.66
35459   TRANSLUMINAL ANGIO TRUNK/BRANC        $702.56     $702.56
35460   TRANSLUMINAL ANGIO VENUS              $494.32     $494.32
35470   TRANSLUMINAL ANGIOPLASTY            $5,255.13     $695.24
35471   RENAL OR VISCERAL ARTERY              $5,943.88      $808.06
35472   TRANSLUMINAL ANGIO AORTIC             $3,845.93      $560.51
35473   TRANSLUMINAL ANGIO ILIAC              $3,553.01      $491.04
35474   TRANS ANGIO FEMORAL-POPLITEAL         $5,117.86      $593.70
35475   TRANS ANGIO BRACHIOCEPHALIC           $3,554.38      $752.64
35476   TRANSLUMINAL ANGIO VENOUS             $2,742.36      $482.43
35480   TRANSLUMINAL ARTHERECTOMY               $891.65      $891.65
35481   TRANSLUMINAL ATHERECTOMY,AORTC          $626.01      $626.01
35482   ATHERECTOMY,ILIAC                       $547.07      $547.07
35483   ATHERECTOMY,FEMORAL/PUPLITEAL           $662.21      $662.21
35484   ATHERECTOMY,BRACHIOCEPHALIC             $840.91      $840.91
35485   ATHERECTOMY,OPEN TIBIOPERONEAL          $775.85      $775.85
35490   ATHERECTOMY,PERCUTANEOUS                $907.29      $907.29
35491   ATHERECTOMY,PERCUT,AORTIC               $634.88      $634.88
35492   ATHERECTOMY,PERCUT,ILIAC                $565.25      $565.25
35493   ATHERECTOMY,PERCUT FEMRL/POPLT          $683.87      $683.87
35494   ATHERECTMY,PERCUT BRACHIOCEPHA          $856.64      $856.64
35495   ATHERECTOMY,PERC TIBIOPERONEAL          $799.16      $799.16
35500   HARVEST VEIN FOR BYPASS                 $507.28      $507.28
35501   BYPASS AUTOGRAFT CAROTID              $1,641.12    $1,641.12
35506   BYPASS AUTOGR CAROTID-SUBCLAVI        $1,724.33    $1,724.33
35507   BYPASS AUTOGR SUBCLAVIAN-CAROT        $1,724.08    $1,724.08
35508   ARTERY BYPASS GRAFT 1                 $1,667.22    $1,667.22
35509   BYPASS AUTOGRAFT CAROTID-CAROT        $1,589.74    $1,589.74
35510   BYPSS GRAFT W VEIN CAROTID BRACHIAL $1,925.74      $1,925.74
35511   BYPASS AUTOGRAFT SUBCLAV-SUBCL        $1,806.10    $1,806.10
35512                                         $1,888.28
        BYP ASS GRAFT W VEIN SUBCLAVIAN BRACHIAL           $1,888.28
35515   ARTERY BYPASS GRAFT 2                 $1,655.30    $1,655.30
35516   BYPASS AUTOGRAFT SUBCLAV-AXILL        $1,375.52    $1,375.52
35518   ARTERY BYPASS GRAFT 3                 $1,791.48    $1,791.48
35521   BYPASS AUTOGRAFT AXILLARY-FEMO        $1,897.14    $1,897.14
35522   BY PASS GRAFT W VEIN AXILLARY BRACHIAL$1,832.93    $1,832.93
35525   BYPASS GRAFT W VEIN BRACHIAL BRACHIAL $1,748.48    $1,748.48
35526   BYPASS AUTOGRAFT AORTOSUBCLAVI        $2,500.13    $2,500.13
35531   BYPASS AUTOGRAFT AORTOCELIAC E        $3,013.31    $3,013.31
35533   ARTERY BYPASS GRAFT 4                 $2,351.93    $2,351.93
35536   BYPASS AUTOGRAFT SPLENORENAL          $2,654.74    $2,654.74
35541   BYPASS AUTOGRAFT AORTOILIAC           $2,195.87    $2,195.87
35546   BYPASS AUTOGRAFT AORTOFEMORAL         $2,162.99    $2,162.99
35548   BYPASS AUTOGR AORTILIOFEM UNIL        $1,836.12    $1,836.12
35549   BYPASS AUTOGR AORTILIOFEM BILA        $1,999.33    $1,999.33
35551   BYPASS AUTOGR AORTOFEM-POPLITE        $2,258.12    $2,258.12
35556   BYPASS AUTOGR FEMORAL-POPLITEA        $1,866.66    $1,866.66
35558   BYPASS AUTOGR FEMORAL-FEMORAL         $1,820.76    $1,820.76
35560   AORTO-RENAL,AUTO,UNILATERAL           $2,699.40    $2,699.40
35563   BYPASS AUTOGRAFT ILIOILIAC            $2,060.85    $2,060.85
35565   BYPASS AUTOGRAFT ILIOFEMORAL          $1,977.82    $1,977.82
35566   BYPASS AUTOGRAFT FEMORAL-TIBIA        $2,275.47    $2,275.47
35571   POPLITEAL-TIBIAL PERONEAL ARTE        $2,069.59    $2,069.59
35572                                           $543.03      $543.03
        HARVEST OF FEMOROPOPLITEAL VEIN ONE SEGMENT FOR VASCULAR RECONST
35583   VEIN BYPASS GRAFT 1                   $1,927.62    $1,927.62
35585   VEIN BYPASS GRAFT 2                   $2,410.37    $2,410.37
35587   VEIN BYPASS GRAFT 3                  $2,143.95     $2,143.95
35600   HARVEST OF UPPER EXTREMITY             $393.99       $393.99
35601   BYPASS NONAUTOGRAFT CAROTID          $1,546.53     $1,546.53
35606   BYPASS NONAUTOGR CAROTID-SUBCL       $1,640.18     $1,640.18
35612   ARTERY BYPASS GRAFT                  $1,390.41     $1,390.41
35616   BYPASS NONAUTOGR SUBCLAV-AXILL       $1,402.49     $1,402.49
35621   BYPASS NONAUTOGR AXILLA-FEMORA       $1,703.96     $1,703.96
35623   BYPASS GRAFT, NOT VEIN               $2,049.03     $2,049.03
35626   BYPASS NONAUTOGR AORTOSUBCLAVI       $2,360.09     $2,360.09
35631   BYPASS NONAUTOGRAFT AORTOCELIA       $2,848.23     $2,848.23
35636   BYPASS NONAUTOGRAFT SPLENORENA       $2,481.04     $2,481.04
35641   BYPASS NONAUTOGRAFT AORTOILIAC       $2,112.55     $2,112.55
35642   ARTERY BYPASS GRAFT 5                $1,566.83     $1,566.83
35645   ARTERY BYPASS GRAFT 6                $1,524.29     $1,524.29
35646   BYPASS NONAUTOGRAFT AORTOBIFEMORAL $2,619.76       $2,619.76
35647   AORTOFEMORAL BYPASS GRAFT            $2,362.48     $2,362.48
35650   ARTERY BYPASS GRAFT 7                $1,623.11     $1,623.11
35651   BYPASS NONAUTOGR AORTOFEM-POPL       $2,112.46     $2,112.46
35654   ARTERY BYPASS GRAFT 8                $2,116.23     $2,116.23
35656   BYPASS NONAUTOGR FEMORAL-POPLI       $1,668.64     $1,668.64
35661   BYPASS NONAUTOGR FEMORAL-FEMOR       $1,652.98     $1,652.98
35663   BYPASS NONAUTOGRAFT ILIOILIAC        $1,894.38     $1,894.38
35665   BYPASS NONAUTOGRAFT ILIOFEMORA       $1,805.57     $1,805.57
35666   BYPASS NONAUTOGR FEMORAL-TIBIA       $1,942.78     $1,942.78
35671   BYPASS NONAUTOGRPOPLITEAL-TIBI       $1,697.43     $1,697.43
35681   ARTERY BYPASS GRAFT 9                  $127.40       $127.40
35682   COMPOSITE BYPASS GRAFT                 $573.58       $573.58
35683   COMPOSITE BYPASS GRAF                  $677.64       $677.64
35685   BYPASS GRAFT PATENCY/VEIN PATCH        $323.23       $323.23
35686   BYPASS GRAFT PATENCY/ AV FISTULA       $267.61       $267.61
35691   TRANSPOSE VERTEBRAL TO CAROTID       $1,569.05     $1,569.05
35693   TRANSPOSE,VERTEBRAL TO SUBCLAV       $1,365.54     $1,365.54
35694   TRANSPOSE,SUBCLAV TO CAROTID         $1,645.38     $1,645.38
35695   ARTERIAL TRANSPOSITION               $1,644.21     $1,644.21
35697                                          $240.18       $240.18
        REIMPLANTATION VISCERAL ARTERY INFRARENAL AORTIC PROSTHESIS EA ARTERY
35700   REOPERATION, BYPASS GRAFT              $245.47       $245.47
35701   EXPLORATION CAROTID ARTERY             $798.52       $798.52
35721   EXPLORATION FEMORAL ARTERY             $681.77       $681.77
35741   EXPLORATION POPLITEAL ARTERY           $743.23       $743.23
35761   EXPLORATION OTHER VESSELS              $546.06       $546.06
35800   EXPL POSTOP HEMOR/THROMBUS NEC         $681.78       $681.78
35820   EXPLORE CHEST VESSELS                $1,184.18     $1,184.18
35840   EXPLORE ABDOMINAL VESSELS              $885.07       $885.07
35860   EXPLORE LIMB VESSELS                   $558.48       $558.48
35870   REPAIR VESSEL GRAFT DEFECT           $1,887.57     $1,887.57
35875   REMOVAL OF CLOT IN GRAFT               $902.25       $902.25
35876   THROMBECTOMY,REVISE ART GRFT         $1,452.93     $1,452.93
35879                                        $1,402.55      PATCH ANGIOPLASTY
        REVIS LOWER EXTREMITY W/O THROMBECTOMY OPEN W VEIN$1,402.55
35881                                        W SEGMENTAL VEIN INTERPOSITION
        REVISION LOWER EXTREM ARTERIAL BYPASS$1,577.43     $1,577.43
35901   EXCISE INFECTED GRAFT - NECK           $790.02       $790.02
35903   EXCISE INFECTED GRAFT - EXTREM         $909.14       $909.14
35905   EXCISION, GRAFT, THORAX              $2,638.97     $2,638.97
35907   EXCISE INFECTED GRAFT - ABDOMEN        $2,921.87   $2,921.87
36000   INTRO NEEDLE/CATH VEIN UNILAT             $41.00      $13.26
36002   PSEUDOANEURYSM INJECTION                 $270.22     $169.43
36005                                            CATH
        INJECTION, VENOGRAPHY, INCL NEEDLE/INTRA $464.16      $72.74
36010   PLACE CATHETER IN VEIN                 $1,174.34     $187.26
36011   CATHETER,SUPER/INFERIOR VENA           $1,672.37     $245.38
36012   SELECTIVE CATHETER SINUS/              $1,218.89     $271.81
36013   CATHETER,PULMONARY ARTERY              $1,290.79     $188.56
36014   CATH PLACE L/R PULMONARY ARTE          $1,251.56     $233.58
36015   SEG OR SUBSEGMENTAL PUL ARTERY         $1,469.30     $271.06
36100   INTRO NEEDLE/CATH CAROTID UNIL           $825.30     $240.84
36120   INTR NEEDLE/CATH RETRO BRACHIA           $690.38     $154.44
36140   INTR NEEDLE/CATH EXTREM ARTERY           $801.13     $154.29
36145   INTRO CATH ARTERIOVENOUS SHUNT           $788.27     $154.24
36160   INTR NEEDLE/CATH AORT TRANSLUM           $871.35     $197.30
36200   PLACE CATHETER IN AORTA                $1,061.31     $234.76
36215   PLACE CATHETER IN ARTERY 1             $1,718.64     $363.10
36216   CATH PLACEMENT WITHIN VASCULAR         $1,863.91     $408.64
36217   THIRD ORDER WITHIN VASCULAR FA         $3,330.89     $490.22
36218   PLACE CATHETER IN ARTERY                 $331.80      $78.50
36245   CATH PLACEMENT ARTERIAL SYSTEM         $1,988.83     $367.21
36246   ABDOMINAL PELVIC LOWER EXT ART         $1,911.59     $411.00
36247   SELECTIVE CATH PLACEMENT               $3,015.43     $489.37
36248   PLACE CATHETER IN ARTERY 2               $275.80      $78.50
36260   INSERT IMPLANT INFUSION PUMP             $859.22     $859.22
36261   REVISN IMPLANTED INFUSION PUMP           $530.43     $530.43
36262   REMOVAL OF INFUSION PUMP                 $393.92     $393.92
36400   VENIPUNCT <3 YRS FEMORAL/JUGUL            $37.64      $27.50
36405   VENIPUNCTURE <3 YRS SCALP                 $32.59      $22.99
36406   DRAWING BLOOD 1                           $25.53      $13.26
36410   DRAWING BLOOD                             $26.06      $13.26
36420   ESTABLISH ACCESS TO VEIN                  $78.12      $74.39
36425   CUTDN VENIPUNCTURE AGE <1 YEAR            $57.15      $57.15
36430   BLOOD TRANSFUSION SERVICE                 $56.12      $56.12
36440   TRANSFUSION BLOOD PUSH TO 2 YR            $77.72      $77.72
36450   EXCHANGE TRANSFUSION SERVICE             $172.40     $172.40
36455   TRANSFUS EXCHGE EXCEPT NEWBORN           $197.88     $197.88
36460   TRANSFUSION SERVICE, FETAL               $522.84     $522.84
36470   INJECT SCLEROSING AGENT 1 VEIN           $209.33     $105.34
36471   INJECTION SCLEROSING AGENT MULTIPLE VEINS$260.01     $147.49
36475                                          $3,135.95     $530.45
        ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, EXTREMITY
36476                                            $618.93     $259.51
        ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, SINGLE EXTREMITY,
36478                                          $2,889.58     $530.45
        ENOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, EXTREMITY, 1ST VEIN
36479                                            $624.79     $259.51
        ENOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, EXTREMITY SEPARATE
36481   PERCUTANEOUS PORTAL VEIN CATH            $722.25     $554.80
36500   CATHETERIZ VEIN BLOOD SAMPLING           $281.03     $281.03
36510   CATHETERIZAT VEIN UMBILICAL NB           $273.10      $98.19
36511                                            $140.75
        THERAPEUTIC APHERESIS FOR WHITE BLOOD CELLS          $140.75
36512   THERA APHERESIS FOR RED BLOOD CELLS      $141.28     $141.28
36513   THERAPEUTIC APHERS FOR PLATELETS         $144.14     $144.14
36514   THERA APHERESIS FOR PLASMA PHERESIS $1,006.76        $139.68
36515                                          $3,637.32     $137.02
        THERA APHER WITH EXTRACORPOREAL IMMUNOADSORPTION AND PLASMA
36516                                          $4,554.32          $97.89
        EXTRACORPOREAL SELECTIVE ADSORPTION OR SELECTIVE FILTRATION AND PLASMA
36522   PHOTOPHERESIS                          $1,825.88         $150.92
36540                                             $40.59          $40.59
        COLLECTION OF BLOOD SPECIMEN FOR A PARTIALLY OR COMPLETELY IMPLANTABLE VENOU
36550                                             $34.70          $34.70
        DECLOTTING BY THROMBOLYTIC AGENT OF IMPLANTED DEVICE OR CATHETER
36555                                            $463.33         $199.36
        INSERTION NON TUNNELED CENT INSERTED VEN CATH LESS THAN 5 YRS
36556                                            $448.81         $188.58
        INSERT NONTUNNELED CENTRALLY INSERTED VENOUS CATHETER GREATER THAN 5 YEARS
36557                                          $1,437.80         $451.80
        INS ERTN TUNN CENTR INSERTED VEN CATH WO SUBQ PORT PUMP LESS THAN 5 YRS
36558                                          $1,415.43         $429.42
        INSERT TUNNL CENTR INSERTED VEN CATH WO SUBQ PORT PUMP GREATR THAN 5 YRS
36560                                          DEVC W            $537.38
        IN SERT TUNNEL CENTRL INSER VEN ACCESS $1,957.98 SUBQ PORT LESS THAN 5 YEARS
36561                                          $1,938.99         $518.91
        INSERT TUNN CENT INSERT VEN ACCESS DEVC W SUBQ PORT GREAT THAN 5 YRS
36563                                          $1,808.67         $541.65
        INSERT TUNNELED CENTR INSERTED VENOUS ACCESS DEVICE W SUBQ PUMP
36565                                          $1,678.74         $518.91
        INSER TUNN VEN ACCESS DEVC REQ 2 CATH VIA 2 SITES WO SUBQ PORT PUM
36566                                          $1,749.80          SUBQ
        INSER TN TUNNLD VEN ACCESS DEVC REQ 2 CATH VIA 2 SITES W$555.83PORT PUMP
36568                                            $515.09         $144.49
        INSERTN PERIPH CENTRAL VENOUS CATH WO SUBQ PORT PUMP LESS THAN 5 YEARS
36569                                            $501.91         $140.88
        INSER TN PERIPH CENT VENO CATH WO SUBQ PORT PUMPGREATER THAN 5 YEARS
36570                                          $2,091.80         $468.03
        INSERTION PERIPHERAL CENTRAL VEN ACCESS DEVC W SUBQ PORT LESS THAN 5 YRS
36571                                          $2,094.40         $466.37
        INSER PERIPH CENT VENOUS ACCESS DEVC W SUBQ PORT GREATER THAN 5 YEARS
36575                                            $261.90
        REP TUNNELED NON TUNNELED CVA CATHETER WO SUBQ PORT PUMP  $59.80
36576   REPAIR CVA DEVICE W SUBQ PORT PUMP       $558.75         $286.80
36578                                            $799.23         $328.36
        REPLACE CATH CVA DEVICE W SUBQ PORT PUMP CENTRAL PERIPH INSERTION
36580                                             CATH WO SUBQ PORT PUMP
        REPLCMNT COMPL NON TUNNELED CENTR VEN$451.61             $103.40
36581                                          $1,241.63         $304.70
        REPLMNT COMP TUNNELED CENTRAL VENOUS CATHETER WO SUBQ PORT PUMP
36582                                          $1,689.27
        RE PLACEMENT COMPLETE TUNNELED CVA DEVICE W SUBQ PORT    $454.76
36583                                          $1,693.17
        REPLA CEMENT COMPLETE TUNNELED CVA DEVICE W SUBQ PUMP    $458.68
36584                                             PORT
        REPL COMP PERIPH CENT VEN CATH WO SUBQ$446.97PUMP        $104.63
36585                                          $1,763.07
        REPLACEMENT COMPLETE PERIPHERAL CVA DEVICE W SUBQ PORT   $425.12
36589                                            $257.39         $212.07
        REMOVAL OF TUNNELED CENTRAL VENOUS CATHETER WO SUBQ PORT PUMP
36590                                            $383.27         $295.30
        REMOVL OF TUNNEL CVA DEVC W SUBQ PORT OR PUMP CENT OR PERIPHERAL INSERTION
36595                                          $1,132.78         $290.22
        MECHAN REMOV PERICATH OBSTRUCT MATERIAL CENTR VEN DEVC VIA VENO
36596                                            $241.24          $71.13
        MECHANICAL REMVL INTRALUMINAL OBSTRUC MATERIAL CENTR VEN DEVC THRU DE
36597                                            W FLUOROSCOPIC GUIDANCE
        REPOSITIONING PREV PLACED CV CATHETER $199.71             $95.17
36600   PUNCTURE ARTERIAL                         $45.06          $23.71
36620   CATHETERIZ ARTERY PERCUTANEOUS            $80.58          $80.58
36625   CATHETERIZAT ARTERY CUTDOWN              $157.49         $157.49
36640   CATHETERIZ CHEMOTHERAPY CUTDOW           $182.62         $182.62
36660   CATHETERIZAT ARTERY UMBILICAL            $108.23         $108.23
36680   INSERT NEEDLE, BONE CAVITY                $98.42          $98.42
36800   INSERT CANNULA VEIN TO VEIN              $243.01         $243.01
36810   INS CANNULA ARTERIOVENOUS EXTE           $331.03         $331.03
36815   INS CANNULA ARTERIOVEN REVISIO           $223.97         $223.97
36818                                          $1,046.46       $1,046.46
        ARTERIOVENOUS ANASTOMOSIS, OPEN - BY UPPER ARM CEPHALIC VEIN TRANS
36819                                          $1,205.79       $1,205.79
        ARTERIOVENOUS ANASTOMOSIS OPEN BY BASILIC VEIN TRANSPOSITION
36820   ANASTOMOSIS,FOREARM VEIN TRANSPOSITION $1,206.32       $1,206.32
36821   ARTERY-VEIN FUSION                       $800.02         $800.02
36822   INSERTION OF CANNULA(S)                  $568.62         $568.62
36823                                          $1,796.57       $1,796.57
        INSERT ARTERIAL&VENOUS CANNULA FOR ISOLTED EXTRACORPOR CIRC & REG CHEM PER
36825   ARTERIOVENOUS FISTULA W AUTOGR           $877.55         $877.55
36830   ARTERIOVENOUS FISTULA NONAUTOG         $1,020.89       $1,020.89
36831                                            $704.44          OR NONAUTO DIAL GRAFT
        THROMBECTOMY,ARERIOVENOUS FISTULA W/O REVISION, AUTO$704.44
36832   REVISE ARTERY-VEIN FISTULA               $900.62         $900.62
36833                                          $1,016.45        OR NON
        REVISION,ARTERIOVENOUS FISTULA W THROMBECTOMY AUTO$1,016.45 AUTO DIAL GRAFT
36834   REPAIR A-V ANEURYSM                      $869.92         $869.92
36835   ARTERY TO VEIN SHUNT                     $672.69         $672.69
36838                                          $1,782.48       $1,782.48
        DISTAL REVASC AND INTERVAL LIGATION UP EXTREM HEMODIALYSIS ACCESS
36860   CANNULA DECLOTTING                       $213.81         $155.67
36861   DECLOT CANNULA W BALLOON CATH            $232.35         $232.35
36870                                          $3,132.74         $472.85
        THROMBECTOMY,PERCUTANEOUS,ARTERIOVENOUS FISTULA,AUTOGENOUS OR NONAUTOG
37140   REVISION OF CIRCULATION                $1,971.64       $1,971.64
37145   ANASTOMOSIS RENOPORTAL                 $2,095.51       $2,095.51
37160   ANASTOMOSIS CAVAL-MESENTERIC           $1,822.73       $1,822.73
37180   ANASTOMOSIS SPLENORENAL PROXIM         $2,068.49       $2,068.49
37181   SPLICE SPLEEN/KIDNEY VEINS             $2,226.17       $2,226.17
37182                                          SHUNTS          $1,324.46
        INS OF TRANSVEN INTRAHEPATIC PORTOSYS $1,324.46 INCL VEN ACC HEPATIC PORTAL
37183                                            $632.30         $632.30
        REVIS OF TRANSVEN INTRAHEP PORTOSYS SHUNTS INCL VEN ACC HEPATIC PORTAL
37195   THROMBOLYTIC THERAPY, STROKE             $230.62         $230.62
37200   TRANSCATHETER BIOPSY                     $348.53         $348.53
37201   TRANSCATHETER THERAPY INFUSION           $432.37         $432.37
37202   TRANSCATHETER THERAPY INFUSE             $500.86         $500.86
37203   TRANSCATHETER RETRIEVAL                $2,051.07         $406.49
37204   TRANSCATH OCCLUSION/EMBOLIZATI         $1,399.86       $1,399.86
37205   TRANSCATH STENT INSERTION, 1             $692.56         $692.56
37206   TRANSCATH STENT,EACH ADD'L               $322.25         $322.25
37207   TRANSCATHETER STENT                      $680.65         $680.65
37208   TRANSCATH STENT,OPEN,EA ADD'L            $329.00         $329.00
37209   EXCHANGE ARTERIAL CATHETER               $174.39         $174.39
37215                                          $1,588.26        CERVICAL
        TRANSCATHETER PLACEMENT OF INTRAVASCULAR STENT(S),$1,588.26 CAROTID
37216                                          $1,529.99       $1,529.99
        TRANSCATH PLACEMNT OF INTRAVASCULAR STENT(S), CERVICAL CAROTID ARTERY
37250   INTRAVASCULAR ULTRASOUND INITIAL VESSEL$167.14           $167.14
37251                                            $127.34
        INTRAVASCULAR ULTRASOUND EACH ADDITIONAL VESSEL          $127.34
37500                                          $1,046.36       $1,046.36
        VASCULAR ENDSCPY SURG W LIG OF PERFORATOR VEINS SUBFASCIAL SEPS
37565   LIGATION OF NECK VEIN                    $966.43         $966.43
37600   LIGAT ARTERY EXTERNAL CAROTID          $1,044.32       $1,044.32
37605   LIGAT ARTERY INT/COMMON CAROTI         $1,184.27       $1,184.27
37606   LIGATION ARTERY CAROTID W CLAM           $645.47         $645.47
37607   LIGATE ANGIOACCESS FISTULA               $570.31         $570.31
37609   LIGATION/BIOPSY ARTERY TEMPORA           $424.24         $288.81
37615   LIGATION ARTERY NECK                     $570.33         $570.33
37616   LIGATION ARTERY CHEST                  $1,452.29       $1,452.29
37617   LIGATION ARTERY ABDOMEN                $1,850.24       $1,850.24
37618   LIGATION OF EXTREMITY ARTERY             $491.62         $491.62
37620   INTERRUPT INFERIOR VENA CAVA             $938.02         $938.02
37650   INTERRUPTN VEIN FEMORAL UNILAT           $728.80         $728.80
37660   INTERRUPTN VEIN COMMON ILIAC           $1,765.96       $1,765.96
37700   REVISE LEG VEIN                          $379.59         $379.59
37720   LIGAT & STRIP LG/ST SAPHEN UNI           $547.50         $547.50
37730   LIGAT & STRIP LG PLUS ST SAPHEN UNI      $680.83         $680.83
37735   REMOVAL OF LEG VEINS/LESION              $945.79         $945.79
37760   REVISION OF LEG VEINS                    $930.47         $930.47
37765                                            $681.25         $681.25
        STAB PHLEBECTOMY VARICOSE VEINS 1 EXTREMITY LESS THAN 20 INCISIONS
37766                                            $829.32         $829.32
        STAB PHLEBECTOMY VARICOSE VEINS 1 EXTREMITYGREATER THAN 20 INCISIONS
37780   LIGAT SAPHEN SAPHENOPOPLIT UNI           $389.41         $389.41
37785   REVISE SECONDARY VARICOSITY              $513.44         $381.73
37788   PENILE REVASCULARIZATION               $1,816.28       $1,816.28
37790   PENILE VENOUS OCCLUSIVE PROC             $728.27         $728.27
38100   REMOVAL OF SPLEEN, TOTAL              $1,222.01     $1,222.01
38101   REMOVAL OF SPLEEN, PARTIAL            $1,289.69     $1,289.69
38102   SPLENECTOMY - TOTAL EN BLOC             $382.79       $382.79
38115   SPLENORRH W/WO PART SPLENECTOM        $1,326.54     $1,326.54
38120   LAPAROSCOPY SURGICAL SPLENECTOMY      $1,440.36     $1,440.36
38200   INJECTION FOR SPLEEN X-RAY              $203.79       $203.79
38205                                           $123.54       $123.54
        BLOOD DERIVED HEMATOPOIETIC PROGENITOR CELL HARVESTING FOR TRANSPLANT
38206                                           HARVESTING FOR TRANSPLANT
        BLOOD DERIVED HEMATOP PROGENITOR CELL $123.54         $123.54
38207                                            $89.15
        TRANSPLANT PREP OF HEMAT PROGENITOR CELLS CRYOPRES $89.15
38208                                            $97.27        $97.27
        TRANSPLNT PREP OF HEMATOPOIETIC PROGENITOR CELLS THAWING OF PREV
38209                                            $85.43        WASH
        TRANSPLANT PREPRATION HEMATOPOIETIC PROGENITOR CELLS $85.43 OF HARV
38210                                            $93.01        $93.01
        TRANSPLANT PREP HEMAT PROGEN CELLS SPEC CELL DEPLET WIN HARV CELL DEPL
38211                                            $93.01        $93.01
        TRANSPLANT PREPAR HEMATOPOIETIC PROGENITOR CELLS TUMOR CELL DEPLETION
38212                                            $93.01         RED BLOOD REMOV
        TRANSPLNT PREPARATION HEMATOPOIETIC PROGENITOR CELLS$93.01
38213                                            $93.01        $93.01
        TRANSPLANT PREP OF HEMATOPOIETIC PROGENITOR CELLS PLATELET DEPLETION
38214                                            $77.89        $77.89
        TRANSPLNT PREP HEMATOPOIETIC PROGENITOR CELLS PLASMA VOLUME DEPLETION
38215                                            $93.01        $93.01
        TRANSPLANT PREPARATION HEMATOPOIETIC PROGENITOR CELLS CELL CONC
38220    BONE MARROW ASPIRATION                 $261.95        $91.31
38221   BONE MARROW BIOPSY                      $290.00       $115.09
38230   BONE MARROW HARVESTING                  $446.63       $446.63
38240   BONE MARROW TRANSPLANTATION             $186.65       $186.65
38241   BONE MARROW TRANSPLANTATION 1           $187.93       $187.93
38242                                           $142.47       $142.47
        BONE MARROW OR BLOOD DERIVED PERIPHERAL STEM CELL TRANSPLANT ALLOG
38300   DRAIN LYMPH NODE ABSCESS SIMPL          $351.34       $231.35
38305   DRAIN LYMPH NODE ABSCESS EXTEN          $608.90       $608.90
38308   LYMPHGIOTMY OR OTH LYMPHATIC O          $597.12       $597.12
38380   LIGATION THORACIC DUCT CERVICA          $756.06       $756.06
38381   LIGATION THORACIC DUCT THORACI        $1,165.99     $1,165.99
38382   THORACIC DUCT PROCEDURE                 $929.43       $929.43
38500   BIOPSY/REMOVAL LYMPH NODE(S)            $427.21       $341.36
38505   NEEDLE BIOPSY,LYMPH NODE(S)             $177.45       $109.72
38510   BIOPSY/REMOVAL,LYMPH NODE(S)            $687.84       $577.98
38520   BIOPSY/REMOVAL,LYMPH NODE(S) 1          $625.78       $625.78
38525   BIOPSY REMOVAL OF LYMPH                 $549.66       $549.66
38530   BIOPSY/REMOVAL, LYMPH NODE(S)           $728.07       $728.07
38542   EXPLORE DEEP NODE(S), NECK              $597.26       $597.26
38550   EXC CYST HYGROMA WO DISSCT SIM          $633.62       $633.62
38555   EXC CYST HYGROMA WO DISSCT COM        $1,323.67     $1,323.67
38562   REMOVAL, PELVIC LYMPH NODES             $947.77       $947.77
38564   REMOVAL, ABDOMEN LYMPH NODES            $942.95       $942.95
38570                                           $778.92       $778.92
        LAPAROSCOPY SURGICAL W RETROPERITONEAL BIOPSY SINGLE OR MULTIPLE
38571                                         PELVIC LYMPHADENEATOMY
        LAPARSCOPY SURGICAL W BILATERAL TOTAL $1,176.91     $1,176.91
38572                                         $1,389.08     $1,389.08
        LAPAROSCOPY SURGICAL W BILATERAL TOTAL PELVIC LYMPHADENECTOMY BIOSPY SINGL
38700   LYMPHADENECTMY SUPRAHYOID UNIL          $828.17       $828.17
38720   LYMPHADENECTOMY CERVICAL UNILA        $1,317.36     $1,317.36
38724   CERVICAL LYMPHADENECTOMY/MODI         $1,398.03     $1,398.03
38740   REMOVE ARMPIT LYMPH NODES               $881.14       $881.14
38745   REMOVE ARMPITS LYMPH NODES            $1,130.79     $1,130.79
38746   LYMPHADENECTOMY,THORACIC                $389.31       $389.31
38747   LYMPHADENECTOMY,ABDOMINAL               $389.88       $389.88
38760   LYMPHADENECTMY INGUINOFEM UNIL        $1,123.81     $1,123.81
38765   LYMPHADENECT INGUIN & PELVIC U        $1,694.71     $1,694.71
38770   LYMPHADENECTOMY PELVIC UNILAT       $1,109.29   $1,109.29
38780   LYMPHADENECTOMY RETROPERITONEA      $1,448.58   $1,448.58
38790   INJECT FOR LYMPHANGIOGRAPHY UN        $470.09     $118.66
38792   IDENTIFY SENTINEL NODE                 $55.25      $55.25
38794   CANNULATION THORACIC DUCT             $447.77     $447.77
39000   MEDIASTINOTOMY W EXP/DR CERVIC        $625.78     $625.78
39010   MEDIASTINOTOMY W EXP/DR THORAC      $1,133.28   $1,133.28
39200   EXC MEDIASTINAL CYST                $1,245.69   $1,245.69
39220   EXC MEDIASTINAL TUMOR               $1,576.18   $1,576.18
39400   MEDIASTINOSCOPY W/WO BIOPSY           $606.74     $606.74
39501   REPAIR DIAPHRAGM LACERATION         $1,156.91   $1,156.91
39502   REPAIR PARAESOPHAGEAL HERNIA        $1,387.45   $1,387.45
39503   REPAIR DIAPH HERNIA NEONATAL        $7,575.23   $7,575.23
39520   REP HERNIA DIAPH TRANSTHORACIC      $1,424.64   $1,424.64
39530   REP HERNIA DIAPH THORACICOABDO      $1,332.40   $1,332.40
39531   REP HERNIA DIAPH COMBIN W DILA      $1,407.23   $1,407.23
39540   REP HERNIA DIAPH TRAUMAT ACUTE      $1,152.78   $1,152.78
39541   REPAIR OF DIAPHRAGM HERNIA          $1,239.52   $1,239.52
39545   IMBRICAT DIAPHR PARAL EVENTRAT      $1,228.27   $1,228.27
39560   RESECTION,DIAPHRAGM W SIMPLE REPAIR $1,073.51   $1,073.51
39561   RESECTION DIAPHRAGM W COMPLEX REPAIR$1,578.38   $1,578.38
40490   BIOPSY LIP                            $179.39     $117.82
40500   VERMILIONECTOMY W MUCOSAL ADVA        $707.06     $552.51
40510   EXCISION LIP TRANSVERSE WEDGE         $720.99     $564.03
40520   EXC LIP V-TYPE W PRIMARY CLOSE        $776.90     $569.83
40525   EXC LIP RECONSTRT W LOCAL FLAP        $901.24     $901.24
40527   EXCIS LIP/FULL/RECON W/CROSS        $1,072.18   $1,072.18
40530   RESECT LIP GT 1/4 WO RECONSTRUC       $841.41     $646.42
40650   REP LIP FULL THICK VERMILN ONL        $659.45     $448.16
40652   REP LIP FULL THICK < 1/2 HGT          $761.77     $551.69
40654   REP LIP FULL THICK GT 1/2 HGT         $885.45     $663.90
40700   REP LIP CLEFT PRIMARY UNIL          $1,408.97   $1,408.97
40701   REP LIP CLEFT PRIMARY BIL 1 ST      $1,771.50   $1,771.50
40702   REP LIP CLFT PRI BIL 1 STG OF       $1,387.88   $1,387.88
40720   REP LIP CLEFT SECONDARY UNIL        $1,542.65   $1,542.65
40761   REPAIR CLEFT LIP/NASAL              $1,646.35   $1,646.35
40800   DRAIN LESION ORAL VESTIBULE           $259.01     $187.18
40801   DRAIN LESION ORAL VESTIB COMPL        $418.53     $341.25
40804   REM FB ORAL VESTIB EMBED SIMPL        $289.05     $196.08
40805   REMOVAL FOREIGN BODY, MOUTH           $456.59     $355.77
40806   INCISION OF LIP FOLD                  $132.11      $51.81
40808   BIOPSY ORAL VESTIBULE                 $225.96     $155.33
40810   EXC LES ORAL VESTIBULE WO REP         $263.61     $189.97
40812   EXC LES ORAL VESTIB SIMPLE REP        $385.00     $305.31
40814   EXCISE/REPAIR MOUTH LESION            $534.91     $471.52
40816   EXC LES ORAL VESTIB & MUSCLE          $564.85     $494.23
40818   EXCISE ORAL MUCOSA FOR GRAFT          $475.99     $403.55
40819   EXC FRENUM LABIAL/BUCCAL              $412.74     $352.97
40820   DESTRUCT LESION ORAL VESTIBULE        $324.23     $234.28
40830   REP LAC ORAL VESTIB < 2CM             $345.80     $247.41
40831   REP LAC ORAL VESTIB GT 2CM/COMP       $451.81     $354.63
40840   VESTIBULOPLASTY ANTERIOR            $1,195.71   $1,026.08
40842   VESTIBULOPLASTY POSTERIOR UNIL   $1,213.90   $1,015.88
40843   RECONSTRUCTION OF MOUTH          $1,556.77   $1,306.85
40844   VESTIBULOPLASTY ENTIRE ARCH      $2,063.27   $1,809.72
40845   VESTIBULOPLASTY COMPLEX          $2,307.17   $2,074.75
41000   I&D LES INTRAORAL LINGUAL          $228.14     $173.81
41005   I&D LES INTRAORAL SUBLINGUAL       $287.14     $189.95
41006   I&D LES INTRAORAL SUBLING DEEP     $512.37     $414.57
41007   I&D LES INTRAORAL SUBMENTAL        $522.80     $394.81
41008   I&D LES INTRAORAL SUBMANDIBULA     $516.41     $427.08
41009   I&D LES INTRAORAL MASTICATOR       $549.76     $465.27
41010   FRENOTOMY LINGUAL                  $278.01     $168.14
41015   I&D LES EXTRAORAL SUBLINGUAL       $599.53     $523.46
41016   I&D LES EXTRAORAL SUBMENTAL        $621.82     $537.91
41017   I&D LES EXTRAORAL SUBMANDIBULA     $623.46     $543.16
41018   I&D LES EXTRAORAL MASTICATOR       $725.39     $631.21
41100   BIOPSY TONGUE ANTERIOR 2/3         $257.27     $196.90
41105   BIOPSY OF TONGUE                   $235.68     $176.51
41108   BIOPSY OF FLOOR OF MOUTH           $196.73     $139.99
41110   EXC LESION TONGUE WO CLOSURE       $282.52     $201.61
41112   EXC LES TONGUE W CLOSE ANT 2/3     $457.70     $382.23
41113   EXCISION OF TONGUE LESION          $505.71     $429.03
41114   EXC LES TONGUE W TONGUE FLAP     $1,013.27   $1,013.27
41115   FRENECTOMY LINGUAL                 $318.14     $231.21
41116   EXC LESION ORAL FLOOR              $429.26     $335.69
41120   GLOSSECTOMY < 1/2                $1,587.04   $1,587.04
41130   PARTIAL REMOVAL OF TONGUE        $1,734.20   $1,734.20
41135   GLOSSECTOMY PARTIAL W UNIL RAD   $2,968.14   $2,968.14
41140   GLOSSECTOMY TOT WO RAD NECK      $3,342.20   $3,342.20
41145   TONGUE REMOVAL - NECK SURGERY    $3,882.82   $3,882.82
41150   TONGUE, MOUTH, JAW SURGERY       $3,056.59   $3,056.59
41153   TONGUE, MOUTH, NECK SURGERY      $3,124.14   $3,124.14
41155   TONGUE, JAW, & NECK SURGERY      $3,500.43   $3,500.43
41250   REP LAC ORAL FLR/ANT TONGUE 2C     $296.29     $202.12
41251   REP LAC ORAL FLR/POST TONGUE 2     $352.71     $248.88
41252   REP LAC ORAL FLR/TONGUE GT 2CM     $438.12     $339.11
41500   FIXATION OF TONGUE                 $700.39     $700.39
41510   TONGUE TO LIP SURGERY              $706.46     $706.46
41520   FRENOPLASTY LINGUAL                $465.91     $405.54
41800   DRAIN LESION DENTOALVEOLAR         $236.69     $157.59
41805   REM FB DENTOALVEOLAR SOFT TISS     $246.44     $218.68
41806   REM FB DENTOALVEOLAR BONE          $404.38     $371.18
41820   GINGIVECTOMY EA QUADRANT           $362.30     $362.30
41821   EXCISION OF GUM FLAP                $81.89      $81.89
41822   EXC FIBR TUBEROSITIES DENTOALV     $396.55     $274.60
41823   EXC OSSE TUBEROSITIES DENTOALV     $567.39     $473.81
41825   EXC LES DENTOALVEOLAR WO REP       $275.34     $225.83
41826   EXC LES DENTOALVEOLAR SIMPLE R     $307.97     $288.05
41827   EXC LES DENTOALVEOLAR COMPLX R     $566.76     $455.08
41828   EXC MUCOSA ALVEO HYPERPLASTIC      $446.78     $396.07
41830   REMOVAL OF GUM TISSUE              $532.89     $451.99
41850   TREATMENT OF GUM LESION            $181.14     $181.14
41870   GRAFT PERIODONTAL MUCOSA           $452.75     $452.75
41872   GINGIVOPLASTY                           $482.33     $388.15
41874   ALVEOPLASTY                             $509.57     $408.75
42000   DRAINAGE MOUTH ROOF LESION              $238.72     $159.64
42100   BIOPSY PALATE UVULA                     $215.32     $171.86
42104   EXCISION LESION, MOUTH ROOF             $265.59     $205.82
42106   EXC LES PALATE UVULA W CLOSURE          $340.04     $292.95
42107   EXC. OF PALATE LESION                   $648.67     $542.42
42120   REMOVE PALATE/LESION                  $1,129.55   $1,129.55
42140   EXCISION OF UVULA                       $334.26     $235.85
42145   REPAIR,PALATE,PHARYNX/UVULA             $996.72     $996.72
42160   DESTRUCT LESION PALATE/UVULA            $379.53     $261.20
42180   REPAIR LAC PALATE 2CM                   $355.00     $296.45
42182   REP LAC PALATE GT 2CM OR COMPLE         $496.23     $445.53
42200   PALATOPLASTY SOFT/HARD PALATE         $1,440.61   $1,440.61
42205   RECONSTRUCT CLEFT PALATE              $1,527.45   $1,527.45
42210   PALATOPLASTY ALVEOL RIDGE W GR        $1,713.83   $1,713.83
42215   PALATOPLASTY MAJOR                    $1,169.28   $1,169.28
42220   PALATOPLASTY 2ND LENGTHENING            $890.62     $890.62
42225   PALATOPLASTY W PHARYNGEAL FLAP        $1,680.46   $1,680.46
42226   LENGTHENING OF PALATE                 $1,572.67   $1,572.67
42227   LENGTHEN PALATE W ISLAND FLAP         $1,591.24   $1,591.24
42235   REPAIR PALATE ANT W VOMER FLAP        $1,251.94   $1,251.94
42260   REPAIR FISTULA NASOLABIAL             $1,297.75   $1,108.81
42280   MAXIL IMPRES PALATAL PROSTHESI          $225.41     $175.91
42281   INSERTION, PALATE PROSTHESIS            $290.09     $244.21
42300   DRAIN ABSCESS PAROTID SIMPLE            $301.12     $240.16
42305   DRN ABSCESS PAROTID COMPLICATE          $697.10     $697.10
42310   DRAINAGE OF SALIVARY GLAND              $242.26     $198.80
42320   DRN ABSC EXTERNAL SUBMAXILLARY          $357.43     $286.18
42325   FISTULIZ CYST SUBLINGUAL SALIV          $466.16     $326.71
42326   FISTULIZ CYST SUBLING SALIVA PLUS P     $610.89     $444.88
42330   SIALOLITHOTOMY INTRAORAL SIMPL          $339.72     $261.24
42335   SIALOLITHOTOMY COMPLIC EX PARO          $521.38     $415.12
42340   SIALOLITHOTOMY PAROTID COMPLIC          $678.01     $550.65
42400   BIOPSY SALIVARY GLAND NEEDLE            $152.30      $96.16
42405   BIOPSY SALIVARY GLAND INCISION          $464.91     $371.34
42408   EXC SUBLINGUAL SALIVARY CYST            $667.17     $528.32
42409   MARSUPIALIZE SUBLING SALIVARY           $465.01     $358.76
42410   EXC PAROTID LAT WO DISS NERVE         $1,014.05   $1,014.05
42415   EXC PAROTID LAT W DISS NERVE          $1,801.68   $1,801.68
42420   EXC PAROTID TOTAL W DISS NERVE        $2,075.37   $2,075.37
42425   EXC PAROTID TOTAL SACRIF NERVE        $1,403.65   $1,403.65
42426   EXC PAROTID TOT W UNIL RAD NEC        $2,229.03   $2,229.03
42440   EXC SUBMANDIBULAR GLAN                  $762.17     $762.17
42450   EXCISION SUBLINGUAL GLAND               $670.43     $570.82
42500   SIALODOCHOPLASTY PRIMARY/SIMPL          $636.16     $545.60
42505   SIALODOCHOPLASTY SECOND/COMPLI          $850.33     $744.09
42507   DIVERT PAROTID DUCT BILAT               $807.23     $807.23
42508   PAROTID DUST DIVERSION 1              $1,132.14   $1,132.14
42509   DIVERT PAROTID DUCT BIL EXC GL        $1,395.37   $1,395.37
42510   PAROTID DUCT DIVERSION, BIL           $1,021.69   $1,021.69
42550   INJECT FOR SIALOGRAPHY                  $277.12     $108.10
42600   CLOSE SALIVARY FISTULA                $724.77      $576.26
42650   DILATE SALIVARY DUCT                  $118.89       $95.34
42660   DILATE PLUS CATH SALIVARY DUCT        $157.97      $127.80
42665   LIGATE SALIVARY DUCT INTRAORAL        $424.18      $328.81
42700   I&D ABSCESS PERITONSILAR              $269.66      $212.30
42720   I&D ABSC RETR/PARAPHARYN INTRA        $659.40      $596.62
42725   I&D ABSC RETR/PARAPHARYNG EXT       $1,225.01    $1,225.01
42800   BIOPSY OF THROAT                      $225.65      $178.57
42802   BIOPSY HYPOPHARYNX                    $391.89      $228.90
42804   BIOPSY NASOPHARYNX VISIBLE LES        $309.75      $188.42
42806   BIOPSY NASOPHARYNX SURVEY             $352.81      $223.62
42808   EXC LESION PHARYNX ANY METHOD         $342.50      $272.47
42809   REMOVE FB PHARYNX                     $263.84      $203.47
42810   EXC BRANCHIAL CLEFT CYST              $566.42      $435.42
42815   EXC BRANCHIAL CLEFT CYST DEEP         $867.25      $867.25
42820   T&A < AGE 12                          $462.54      $462.54
42821   REMOVE TONSILS AND ADENOIDS           $501.35      $501.35
42825   TONSILLECTOMY < AGE 12                $421.24      $421.24
42826   TONSILLECTOMY AGE 12 AND OVER         $411.49      $411.49
42830   REMOVAL OF ADENOIDS                   $328.28      $328.28
42831   ADENOIDECTOMY PRIMARY 12 & OVE        $355.04      $355.04
42835   ADENOIDECTOMY SECONDARY < 12 Y        $305.31      $305.31
42836   ADENOIDECTOMY SECONDARY 12 & O        $394.20      $394.20
42842   RADICAL RESECT TONSIL WO CLOSU      $1,256.64    $1,256.64
42844   EXTENSIVE SURGERY OF THROAT         $1,949.15    $1,949.15
42845   RADIC RESECT TONSIL CLOS OTHR       $3,046.06    $3,046.06
42860   EXCISION OF TONSIL TAGS               $295.28      $295.28
42870   EXC LINGUAL TONSIL ANY METHOD         $882.61      $882.61
42890   PHARYNGECTOMY LIMIT WO RAD NEC      $1,731.25    $1,731.25
42892   RESECT PHARYNG WALL DIRECT CLO      $2,110.43    $2,110.43
42894   REVISION OF PHARYNGEAL WALLS        $2,879.64    $2,879.64
42900   SUTURE PHARYNX WOUND/INJURY           $580.40      $580.40
42950   RECONSTRUCTION OF THROAT            $1,267.33    $1,267.33
42953   REPAIR THROAT, ESOPHAGUS            $1,659.89    $1,659.89
42955   SURGICAL OPENING OF THROAT          $1,152.64    $1,152.64
42960   CONTROL HEMORR OROPHARYNX SIMP        $276.64      $276.64
42961   CONTROL THROAT BLEEDING               $677.76      $677.76
42962   CONTR HEMORR OROPHARYNX 2ND SU        $840.28      $840.28
42970                                         $617.39
        CONTROL NOSE/THROAT BLEEDING PRIMARY/2ND           $617.39
42971   CONTR HEMORR NASOPHARYNX COMPL        $729.39      $729.39
42972   CONTR HEMORR NASOPHARYNX 2ND S        $832.72      $832.72
43020   ESOPHAGOTOMY CERVIC W REM FB          $883.52      $883.52
43030   MYOTOMY CRICOPHARYNGEAL               $854.98      $854.98
43045   INCISION OF ESOPHAGUS               $2,046.50    $2,046.50
43100   EXCISION OF ESOPHAGUS LESION        $1,004.84    $1,004.84
43101   EXC LES ESOPHAGUS LOCAL THORAC      $1,613.40    $1,613.40
43107                                       $3,883.75    $3,883.75
        TOTAL ESOPHAGECTOMY W/W/O THORACOTOMY, W/W/O PYLOROPLASTY
43108                                       $3,220.41    $3,220.41
        TOTAL ESOPHAGECTOMY W/COLON/SM. BOWEL RECONSTR INCL INTEST, PREP, ANAS
43112   ESOPHAGUS REMOVAL                   $4,201.77    $4,201.77
43113                                       $3,362.90
        REMOVE ESOPHAGUS W COLON/SM. BOWEL RECONSTR      $3,362.90
43116   PARTIAL REM. ESOPHAGUS W/ GRAFT     $3,140.02    $3,140.02
43117                                       $3,826.11    $3,826.11
        PART. REM. ESOPHAGUS W/THORACOTOMY W/W/O PYLOROPLASTY
43118                                          $3,136.34    $3,136.34
        PARTIAL REM. ESOPHAGUS W/COLON OR BOWEL RECONSTRUCTION
43121                                          $2,863.59
        PART. REM. ESOPHAGUS, DISTAL 2/3 W/THORACOTOMY      $2,863.59
43122   PARTIAL REMOVAL ESOPHAGUS              $3,841.02    $3,841.02
43123                                          $3,159.48
        ESOPHAGECTOMY, PARTIAL W/ESOPHAGOGOASTROSTOMY $3,159.48
43124                                          $2,699.67
        TOTAL/PARTIAL ESOPHAGECTOMY W/CERVICAL ESOPHAGOSTOMY$2,699.67
43130   DIVERTICUL HYPOPHAR/ESOPHAG CE         $1,260.74    $1,260.74
43135   DIVERTICUL HYPOPHAR/ESOPHAG TH         $1,618.79    $1,618.79
43200   ESOPHAGOSCOPY DIAGNOSTIC                 $357.09      $172.36
43201                                            $420.69      $207.59
        ESOPHAGOSCOPY RIGID OR FLEXIBLE WITH DIRECTED SUBMUCOSAL INJ ANY SUB
43202   ESOPHAGUS ENDOSCOPY, BIOPSY              $462.77      $185.06
43204   ESOPHAGUS ENDOSCOPY & INJECT             $346.26      $346.26
43205   ESOPHAGOSCOPY - BAND LIGATION            $346.70      $346.70
43215   ESOPHAGOSCOPY W REM FB                   $249.38      $249.38
43216   ESOPHAGUS ENDOSCOPY/LESION               $226.80      $226.80
43217   ESOPHAGUS ENDOSCOPY                      $617.08      $269.35
43219   ESOPHAGOSCOPY W INS TUBE/STENT           $271.73      $271.73
43220   ESOPHAGOSCOPY W DILAT DIRECT             $200.80      $200.80
43226   ESOPHAGUS ENDOSCOPY,DILATION             $220.71      $220.71
43227   ESOPHAGOSCOPY W CONT HEMORRHAG           $330.25      $330.25
43228   ESOPHAGUS ENDOSCOPY,ABLATION             $349.77      $349.77
43231   ESOPHAGOSCOPY W/ ENDOSCOPIC ULTRASOUND   $294.38      $294.38
43232                                            $411.12      $411.12
        ESOPHAGOSCOPY W/ TRANSENDOSCOPIC ULTRASOUND FNA/ BIOPSY
43234   UPPER GASTRO ENDO,SIMP EXAM              $458.05      $189.41
43235   UPPER GI ENDOSCOPY,DIAGNOSIS             $473.84      $223.31
43236                                            $583.46      $270.74
        UPPER GASTRO ENDOSCOPY INCL ESOPH STOMACH AND DUODENUM AND OR JEJUN
43237                                            $370.60
        UPPER GI ENDOSCOPY W ENDOSCOPIC US ESOPHAGEAL EXAM$370.60
43238                                            $459.78      $459.78
        UP GI ENDOS W TRANSENDOS US GUIDED NEEDLE ASPIRATIONBX ESOPHAGUS
43239   UPPER GI ENDOSCOPY, BIOPSY               $538.58      $265.71
43240                                            $621.18
        UPPER GI ENDOSCOPY FOR PSEUDOCRYPT DRAINAGE           $621.18
43241   UPPER GI ENDOSCOPY WITH TUBE             $241.85      $241.85
43242                                            $656.69
        UPPER GI ENDOSCOPY W/ ULTRASOUND FNA/BIOPSY           $656.69
43243   UPPER GI ENDOSCOPY&INJECT                $416.12      $416.12
43244   ENDO - UPPER GI,W/LIGATION               $458.10      $458.10
43245   UP GASTRO ENDO,DILATION OUTLET           $293.99      $293.99
43246   UP GASTRO ENDO,REPLACE TUBE              $394.23      $394.23
43247   ENDOSCOPY UPPER GI W REM FB              $311.49      $311.49
43248   UPPER GI ENDOSCOPY/GUIDEWIRE             $291.82      $291.82
43249   ESOPHAGUS ENDOSCOPY, W/DILATION          $268.85      $268.85
43250   ENDO,UPPER GI,REMOVE TUMOR               $295.87      $295.87
43251   ENDOSCOPY UPPER GI W REM POLYP           $338.92      $338.92
43255   ENDOS UPPER GI W CONTROL HEMOR           $438.05      $438.05
43256   UPPER GI ENDOSCOPY STENT PLACEMENT       $396.73      $396.73
43257                                            $501.74      $501.74
        UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH
43258   ENDOS UP GI W FULGUR LES MUCOS           $413.81      $413.81
43259   ENDOSCOPIC ULTRASOUND EXAM               $469.12      $469.12
43260   ENDOSCOPY W/ERCP - W/WO BX               $538.90      $538.90
43261   ERCP,DIAGNOSITC, W/BIOPSY                $566.32      $566.32
43262   ENDOS W SPHINCTEROTOMY/PAPILLO           $665.28      $665.28
43263   ENDOS W PRESSURE SPHINCTER ODD           $657.63      $657.63
43264   ENDOSCOPY W EXTRACT STONE CBD            $799.02      $799.02
43265   ENDOSCOPIC RETROGRADE BILE DUCT/PANCREAS $896.74      $896.74
43267   ENDOSCOPY,BILE DUCT/PANCREAS             $665.70      $665.70
43268   ENDOSCOPY W BILIARY CATHETER           $671.32     $671.32
43269   ENDOSCOPY BILE DUCT/PANCREAS           $738.48     $738.48
43271   ENDOSCOPY, BILE DUCT/PANCREAS 1        $665.28     $665.28
43272   ENDOSCOPY, BILE DUCT/PANCREAS 2        $665.70     $665.70
43280                                        $
        LAPAROSCOPY SURGICAL ESOPHAGOGASTRIC1,641.71     $1,641.71
43300   ESOPHAGOPLASTY CERV WO REP FIS       $1,017.07   $1,017.07
43305   ESOPHAGOPLASTY CERV W REP FIST       $1,828.67   $1,828.67
43310   ESOPHAGOPLASTY THOR WO REP FIS       $2,441.72   $2,441.72
43312   ESOPHAGOPLASTY THOR W REP FIST       $2,710.89   $2,710.89
43313   ESOPHAGOPLASTY FOR CONGENITAL DEFECT $4,271.94   $4,271.94
43314                                        $
         ESOPHAGOPLASTY FOR CONGENITAL DEFECT4,664.66    $4,664.66
43320   FUSE ESOPHAGUS & STOMACH             $1,942.45   $1,942.45
43324   FUNDOPLASTY ESOPHAGOGASTRIC          $1,965.13   $1,965.13
43325   REVISE ESOPHAGUS & STOMACH           $1,928.01   $1,928.01
43326   ESOPHAGOGASTRIC W GASTROPLASTY       $1,946.31   $1,946.31
43330   ESOPHAGOMYOTOMY ABD APPR             $1,893.84   $1,893.84
43331   ESOPHAGOMYOTOMY THORACIC APPR        $2,003.08   $2,003.08
43340   ESOPHAGOJEJUNOSTOMY ABD APPR         $1,903.99   $1,903.99
43341   ESOPHAGOJEJUNOSTOMY THORAC APP       $2,065.40   $2,065.40
43350   ESOPHAGOSTOMY EXT ABDOMINAL          $1,582.73   $1,582.73
43351   ESOPHAGOSTOMY EXT THORACIC           $1,872.66   $1,872.66
43352   SURGICAL OPENING, ESOPHAGUS          $1,569.52   $1,569.52
43360                                        $3,407.29
        GASTROINTESTINAL RECONSTR. W/W/O PYLOROPLASTY    $3,407.29
43361                                        $3,807.48
        GASTROINTESTINAL RECONSTR. W/BOWEL RESECTION     $3,807.48
43400   LIGATE ESOPHAGUS VEINS               $2,011.60   $2,011.60
43401   ESOPHAGUS SURGERY FOR VEINS          $2,118.66   $2,118.66
43405                                        $1,980.32
        LIGATION/STAPLING ESOPHAGEAL PERFORATION         $1,980.32
43410   SUTURE ESOPHAGUS CERVICAL            $1,399.80   $1,399.80
43415   SUTURE ESOPHAGUS THORACIC            $2,457.69   $2,457.69
43420   CLOSE ESOPHAGOSTOMY/FIST CERV        $1,429.30   $1,429.30
43425   CLOSE ESOPHAGOSTOMY/FIST THORA       $2,076.25   $2,076.25
43450   DILATE ESOPHAGUS INDIR INITIAL         $252.17     $135.05
43453   DILATE ESOPHAGUS                       $467.59     $145.83
43456   DIL ESOPHAGUS BRUSQUE RETROGRA       $1,003.21     $240.15
43458   DILATION OF ESOPHAGUS                  $608.38     $284.22
43460   ESOPHAGOGASTR TAMPONADE SENGST         $347.23     $347.23
43500   SURGICAL OPENING OF STOMACH          $1,069.17   $1,069.17
43501   SURGICAL REPAIR OF STOMACH           $1,899.02   $1,899.02
43502   GASTROTOMY W/ REPAIR LACERATION      $2,185.83   $2,185.83
43510   GASTROTOMY W DIL ESOPHAG & TUB       $1,299.00   $1,299.00
43520   PYLOROMYOTOMY                        $1,014.74   $1,014.74
43600   BIOPSY STOMACH                         $168.60     $168.60
43605   BIOPSY STOMACH BY LAPAROTOMY         $1,154.48   $1,154.48
43610   EXC ULCER OR TUMOR STOMACH LOC       $1,388.89   $1,388.89
43611   EXCISION OF STOMACH LESION           $1,700.14   $1,700.14
43620   GASTRECTOMY TOT W INTESTINE AN       $2,806.23   $2,806.23
43621   GASTRECTOMY - ROUX-EN Y RECON        $2,865.29   $2,865.29
43622   REMOVAL OF STOMACH                   $3,028.47   $3,028.47
43631   REMOVAL OF STOMACH, PARTIAL          $2,127.90   $2,127.90
43632   GASTRECTOMY,PART - W/G-JEJUN         $2,127.90   $2,127.90
43633   GASTRECTOMY,PART W/ROUX-EN Y         $2,174.35   $2,174.35
43634   GASTRECTOMY,PARTIAL W/POUCH          $2,361.37   $2,361.37
43635   PARTIAL REMOVAL OF STOMACH               $186.18      $186.18
43638   HEMIGASTRECTOMY PROXIMAL               $2,738.65    $2,738.65
43639   GASTRECTOMY,PART W/PYLOROPLAST         $2,772.61    $2,772.61
43640   VAGOTOMY & PYLOROPLASTY                $1,624.45    $1,624.45
43641   VAGOTOMY & PYLORUS REPAIR              $1,645.46    $1,645.46
43644                                          $2,599.15    $2,599.15
        LAPAROSCOPIC GASTRIC RESTRICTIVE PX, W/GASTRIC BYPASS/ ROUX-EN-Y
43645                                          $2,800.56    $2,800.56
        LAPAROSCOPIC GASTRIC RESTRICTIVE PX, W/GASTRIC BYPASS ROUX LIMB
43651                                            $995.22      $995.22
        LAPAROSCOPY SURGICAL TANSECTION OF VAGUS VERVES TRUNCAL
43652                                          $1,192.51    $1,192.51
        LAPAROSCOPY SURGICAL TRANSECTION OF VAGUS NERVES, SELECTIVE OR HIGHLY SE
43653                                            $791.22
        GASTROSTOMY W/O CONSTRUCTION OF GASTRIC TUBE          $791.22
43750   PLACE GASTROSTOMY TUBE                   $438.53      $438.53
43752   NASO/ORO-GASTRIC TUBE PLACEMENT           $69.83       $68.62
43760   CHANGE TUBE GASTROSTOMY SIMPLE           $200.11      $101.72
43761   REPOSITION GASTROSTOMY TUBE              $205.82      $175.03
43800   RECONSTRUCTION OF PYLORUS              $1,310.17    $1,310.17
43810   GASTRODUODENOSTOMY                     $1,394.34    $1,394.34
43820   GASTROJEJUNOSTOMY                      $1,458.35    $1,458.35
43825   FUSION OF STOMACH AND BOWEL            $1,824.54    $1,824.54
43830   GASTROSTOMY, OPEN                        $955.31      $955.31
43831   GASTROSTOMY TEMPORARY NEONATAL           $817.80      $817.80
43832   GASTROSTOMY PERMANENT                  $1,496.71    $1,496.71
43840   REPAIR OF STOMACH LESION               $1,493.13    $1,493.13
43842   GASTROPLASTY,OBESITY,VERTICAL          $1,758.78    $1,758.78
43843   GASTROPLASTY,NON-VERTCL BANDED         $1,768.97    $1,768.97
43845                                          $3,023.08    $3,023.08
        GASTRIC RESTRICTIVE PX W PART GASTRECTOMY DUODENOILEOSTOMY
43846   GASTRIC BYP W GASTROENTEROSTOM         $2,281.72    $2,281.72
43847                                          $2,534.93    $2,534.93
        GASTRIC BYPASS W/SMALL BOWEL RECONSTRUCTION TO LIMIT ABSORPTION
43848                                           OBESITY
        REVISION GASTRIC PROCEDURE FOR MORBID$2,762.90      $2,762.90
43850   REVISE STOMACH-BOWEL FUSION            $2,314.25    $2,314.25
43855   REV GASTRODUODENOST W VAGOTOMY         $2,448.26    $2,448.26
43860   REV GASTROJEJUNOST ANAST. W/O VAGOTOMY $2,344.29    $2,344.29
43865   REV GASTROJEJUNOST W VAGOTOMY          $2,482.70    $2,482.70
43870   CLOSURE GASTROSTOMY SURGICAL             $946.95      $946.95
43880   CLOSURE GASTROCOLIC FISTULA            $2,314.58    $2,314.58
44005   FREEING OF BOWEL ADHESION              $1,535.76    $1,535.76
44010   DUODENOTOMY                            $1,200.13    $1,200.13
44015   JEJUNOSTOMY TUBE ENTERAL ALIME           $236.04      $236.04
44020   ENTEROTOMY EXPLORATION OF SMALL BOWEL  $1,332.31    $1,332.31
44021   DECOMPRESS SMALL BOWEL                 $1,339.91    $1,339.91
44025   INCISION OF LARGE BOWEL                $1,356.40    $1,356.40
44050   REDUCE BOWEL OBSTRUCTION               $1,336.94    $1,336.94
44055   CORRECT MALROTATION OF BOWEL           $2,058.47    $2,058.47
44100   BIOPSY OF BOWEL                          $179.32      $179.32
44110                                          $1,137.37
        EXCISION OF BOWEL LESION(S) SINGLE ENTEROTOMY       $1,137.37
44111   EXC LES BOWEL MULT ENTEROTOMIE         $1,363.56    $1,363.56
44120   RESECT SM BOWEL W ANASTOMOSIS          $1,611.03    $1,611.03
44121                                            $401.48
        ENTERECTOMY, W/ADDITIONAL RESECTION/ANASTOMOSIS       $401.48
44125   RESECT SM BOWEL W DOUB ENTEROS         $1,658.31    $1,658.31
44126                                          $3,329.23    $3,329.23
        ENTERECTOMY OF SMALL INTESTINE FOR CONGENITAL ATRESIA
44127                                          $3,823.05    $3,823.05
         ENTERECTOMY OF SMALL INTESTINE FOR CONGENITAL ATRESIA
44128                                            $403.77
        ENTERECTOMY OF SMALL INTESTINE FOR CONGENITAL ATRESIA $403.77
44130   BOWEL TO BOWEL FUSION                  $1,383.49    $1,383.49
44139   MOBILIZATION OF COLON                     $201.16       $201.16
44140   COLECTOMY PARTIAL W ANASTOMOSI          $1,983.40     $1,983.40
44141   COLECTOMY PARTIAL W OSTOMY              $1,964.46     $1,964.46
44143   COLECTOMY PARTIAL HARTMANN TYP          $2,246.40     $2,246.40
44144   COLECTOMY PART W RESECT W OSTO          $2,080.28     $2,080.28
44145   COLECTOMY PART W COLOPROCTOSTO          $2,485.86     $2,485.86
44146   COLECTOMY PART PLUS COLOPROCTOST PLUS CO$2,687.16     $2,687.16
44147   PARTIAL REMOVAL OF COLON                $1,960.36     $1,960.36
44150   COLECTOMY TOTAL WO PROCTECTOMY          $2,390.51     $2,390.51
44151   REMOVAL COLON/ILEOSTOMY                 $2,680.30     $2,680.30
44152   REMOVAL OF COLON/ILEOSTMY)              $2,634.00     $2,634.00
44153   REMOVAL OF COLON/ILEOSTOMY              $2,980.74     $2,980.74
44155   REMOVAL OF COLON                        $2,729.36     $2,729.36
44156   REMOVAL OF COLON AND ILEOSTOMY          $3,051.32     $3,051.32
44160   PARTIAL COLECTOMY W ILECOLOSTOMY        $1,761.58     $1,761.58
44200   LAPAROSCOPY SURGICAL ENTEROLYSIS        $1,379.49     $1,379.49
44201   LAPAROSCOPY SURGICAL JEJUNOSTOMY          $963.50       $963.50
44202                                            W/ANASTOMOSIS$2,073.12
        LAPROSCOPY SURG. INTESTINAL RESECTION $2,073.12
44203   LAPAROSCOPIC RESECTION OF SMALL INTESTINE $400.26       $400.26
44204   LAPAROSCOPIC PARTIAL COLECTOMY          $2,341.16     $2,341.16
44205    LAPAROSCOPIC PARTIAL COLECTOMY         $2,076.25     $2,076.25
44206                                            WITH END     $2,557.55
        LAPAROSCOPY SURGIC COLECTOMY PARTIAL$2,557.55 COLOSTOMY AND CLOS
44207                                           $2,773.68     $2,773.68
        LAPAROSCOPY SURG COLECTOMY PARTIAL WITH ANASTOMOSIS WITH COLOPROCT
44208                                           $3,010.16     $3,010.16
        LAPARO SURGCAL COLECTOMY PARTIAL WITH ANASTOMOSIS WITH COLOPROCT
44210                                            WITHOUT      $2,658.42
        LAPAR SURG COLECTOMY TOTAL ABDOMINAL$2,658.42 PROCTECTOMY WITH ILEOS
44211                                           $3,308.77     $3,308.77
        LAPARO SURG COLECT TOTAL AB WITH ILEOANAL ANASTOMOSIS CREATION OF ILEAL
44212                                           $3,067.84     $3,067.84
        LAPARSCPY SURG COLECT TOTAL ABD W PROCTECTOMY WITH ILEOSTOMY
44300   ENTEROSTOMY OR CECOSTOMY TUBE           $1,174.49     $1,174.49
44310   ILEOSTOMY/JEJUNOSTOMY                   $1,511.01     $1,511.01
44312   REVISE ILEOSTOMY SIMPLE                   $795.43       $795.43
44314   REVISION OF ILEOSTOMY                   $1,435.33     $1,435.33
44316   DEVISE BOWEL POUCH                      $1,969.94     $1,969.94
44320   COLOSTOMY/SKIN LEVEL CECOSTOMY          $1,688.89     $1,688.89
44322   COLOCSTOMY WITH MULTI BIOPSIES          $1,351.40     $1,351.40
44340   REVISE COLOSTOMY SIMPLE                   $794.56       $794.56
44345   REVISE COLOSTOMY COMPLICATED            $1,488.63     $1,488.63
44346   REPAIR PARACOLOSTOMY HERNIA             $1,624.84     $1,624.84
44360   ENTEROSCOPY SM BOWEL DIAGNOSTI            $241.01       $241.01
44361   SMALL BOWEL ENDOSCOPY,BIOPSY              $265.89       $265.89
44363   ENDOSCOPY W REMOV FOREIGN BODY            $319.17       $319.17
44364   ENDOSCOPY W/REM POLYPOID LESIO            $341.24       $341.24
44365   ENDO - SM INTEST W/TUMOR REMOVAL          $305.12       $305.12
44366   ENDOSCOPY W CONTROL OF HEMMORR. ANY METHOD$400.94       $400.94
44369   ENDOSCOPY W ABLATION OF TUMOR             $408.44       $408.44
44370                                             $442.62
        SMALL INTESTINAL ENDOSCOPY W/ STENT PLACEMENT           $442.62
44372   ENDO OF PERC JEJUNOSTOMY TUBE             $402.21       $402.21
44373   CONVERSION GASTRO/JEJUNOS TUBE            $321.58       $321.58
44376   ENDO - SM INTEST, BEYOND 2ND              $477.78       $477.78
44377   ENDO,SM INTEST,2ND PORT, W/BX             $500.49       $500.49
44378                                             $642.69
        ENDO. SM INT. INCL ILEUM, CONTROL BLEEDING ANY METHOD $642.69
44379                                             $681.68
        SMALL INTESTINAL W/ TRANSENDOSCOPIC STENT PLACEMENT $681.68
44380   ILEOSCOPY FIBEROPTIC VIA STOMA            $104.10       $104.10
44382   ILEOSC FIBEROPTIC VIA STOMA W          $124.79       $124.79
44383   ILEOSCOPY W/ STENT PLACEMENT           $275.04       $275.04
44385   EVALUATE KOCK POUCH FIBEROPTIC         $325.63       $168.66
44386   ENDOSCOPY,BOWEL POUCH,BIOPSY           $545.23       $197.52
44388   COLONOSCOPY STOMAL DIAGNOSTIC          $499.03       $261.79
44389   ENDO W BX BY BRUSHING/WASHING          $612.37       $289.40
44390   COLONOSCOPY FOR FOREIGN BODY           $688.43       $349.17
44391                                          $817.98
        COLONSCOPY THRU STOMA, CONTROL OF HEMMOR. ANY METHOD $393.59
44392   COLONOSC STOMAL W REM POLYP LE         $656.64       $349.36
44393   COLONOSCOPY FOR ABLATION TUMOR         $744.95       $440.68
44394   COLONOSCOPY W/SNARE                    $771.82       $404.18
44397   COLONSCOPY WITH STENT PLACEMENT        $426.83       $426.83
44500   INTRO LONG GI TUBE                      $42.44        $42.44
44602   SUTURE, SMALL INTESTINE              $1,502.29     $1,502.29
44603   ENTERORRHAPHY,MULTIPLE PERF          $1,737.92     $1,737.92
44604   SUTURE, LARGE INTESTINE              $1,505.50     $1,505.50
44605   ENTERORRHAPHY W COLOSTOMY            $1,865.71     $1,865.71
44615   STRICTUROPLASTY - INTESTINAL         $1,511.08     $1,511.08
44620   REPAIR BOWEL OPENING                 $1,168.50     $1,168.50
44625   CLS ENTEROSTOM RESECT & ANASTO       $1,424.49     $1,424.49
44626   REPAIR OPENING OF BOWEL              $2,357.09     $2,357.09
44640   CLS FISTULA INTESTINAL CUTANEO       $2,023.08     $2,023.08
44650   REPAIR BOWEL FISTULA                 $2,106.05     $2,106.05
44660   CLS FISTULA ENTEROVESIC WO RES       $1,965.03     $1,965.03
44661                                        $2,287.74
        REPAIR FISTULA W/BOWEL-BLADDER RECONSTR            $2,287.74
44680   SURGICAL REVISION, INTESTINE         $1,458.01     $1,458.01
44700                                        TISS.
        SUSPEND BOWEL W/PROSTHESIS OR NATIVE $1,513.09     $1,513.09
44701   INTRAOPERATIVE COLONIC LAVAGE          $279.04       $279.04
44720                                          $440.43       $440.43
        BACKBENCH CADAVER/LIVING DONOR INTESTINE ALLOGRAFT RECONSTRUCT
44721                                          $635.60       $635.60
        BACKBENCH CADAVER/LIVING DONOR INTESTINE ALLOGRAFT RECONSTRUCT
44800   EXC MECKEL'S DIVERTICULUM            $1,105.91     $1,105.91
44820   EXCISION OF MESENTERY LESION         $1,171.92     $1,171.92
44850   REPAIR OF MESENTERY                  $1,049.35     $1,049.35
44900   DRAIN, APP ABSCESS, OPEN               $988.65       $988.65
44901   DRAIN, APP ABSCESS, PERC             $1,910.13       $293.46
44950   APPENDECTOMY 1                         $957.78       $957.78
44955   APPENDECTOMY W OTH MAJ PROCEDU         $139.05       $139.05
44960   APPENDECTOMY                         $1,182.35     $1,182.35
44970   LAPAROSCOPY SURGICAL APPENDECTOMY      $853.08       $853.08
45000   DRAIN ABSC PELVIC TRANSRECTAL          $490.34       $490.34
45005   I&D ABSCESS RECTUM SUBMUCOUS           $382.64       $233.53
45020   I&D ABSCESS RECTUM DEEP                $523.20       $523.20
45100   BIOPSY OF RECTUM                       $396.29       $396.29
45108   MYOMECTOMY ANORECTAL                   $497.28       $497.28
45110   PROCTECTOMY TOTAL W COLOSTOMY        $2,686.83     $2,686.83
45111   PROCTECTOMY W PART RESECT RECT       $1,577.29     $1,577.29
45112   PROCTECTOMY PULL THRU PROCEDUR       $2,814.01     $2,814.01
45113   PROCTECTOMY W/COLOSTOMY              $2,866.27     $2,866.27
45114   PROCTECT W ANASTOM ABD PLUS TRANSAC $2,550.93      $2,550.93
45116   PARTIAL REMOVAL OF RECTUM            $2,306.44     $2,306.44
45119   REMOVE, RECTUM W/RESERVOIR           $2,871.98     $2,871.98
45120   PROCTECTOMY TOT CONGEN MEGACOL       $2,311.63     $2,311.63
45121      REMOVAL OF RECTUM AND COLON           $2,542.56      $2,542.56
45123                                            $1,563.78
           PROCTECTOMY, PARTIAL, W/PERINEAL APPROACH            $1,563.78
45126                                            $4,239.67      $4,239.67
           PELVIC EXENTERATION FOR COLORECTAL MALIG W/PROTECTOMY (W/WO COLOSTOMY)
45130      EXC RECT PROLAPSE PLUS ANAST PERINE $1,538.65        $1,538.65
45135      EXCISION OF RECTAL PROLAPSE           $1,844.88      $1,844.88
45136      EXCISION OF ILEOANAL RESERVOIR        $2,623.10      $2,623.10
45150      EXCISION OF RECTAL STRICTURE            $567.68        $567.68
45160      EXC RECTAL TUMOR                      $1,455.14      $1,455.14
45170      EXC RECTAL TUMOR TRANSANAL            $1,110.16      $1,110.16
45190      DESTRUCTION RECTAL TUMOR, TRANSANAL APP.$950.84        $950.84
45300      PROCTOSIGMOIDOSCOPY DIAGNOSTIC          $118.50         $43.03
45303      PROCTOSIGMOIDOSCOPY W DILATION        $1,158.11         $50.34
45305      PROCTOSIGMOIDOSCOPY - BIOPSY            $228.38         $99.80
45307      PROCTOSIGMOIDOSCOPY W REM FB            $248.03         $94.08
45308      PROCTO W/REMOVAL SINGLE TUMOR           $177.32         $83.75
45309      PROCTO W/TUMOR REMOVAL,SNARE            $308.22        $189.29
45315      PROCTOSIGMOIDOSC W REM PAPILLO          $269.04        $134.42
45317                                              $249.52
           PROCTOSIGMOIDOSC W CONTROL HEM. ANY METHOD             $142.65
45320      PROCTOSIGMOIDOSCOPY W ABLATION          $284.05        $151.25
45321      PROCTOSIGMOIDOSOPY W DECOMPRES          $114.55        $114.55
45327      PROCTOSIGMOIDOSCOPY WITH STENT PLACEMENT$154.55        $154.55
45330      SIGMOIDOSCOPY, DIAGNOSTIC               $202.16         $95.31
45331      SIGMOIDOSCOPY W BIOPSY                  $263.11        $113.38
45332      SIGMOIDOSCOPY W REM FB                  $423.74        $170.19
45333      SIGMOIDOSCOPY & POLYPECTOMY             $415.45        $169.76
45334                                              $253.27
           SIGMIODOSCOPY W CONTR HEMORRHA. ANY METHOD             $253.27
45335                                              $292.32        $140.20
           SIGMOIDOSCPY FLEXIBLE W DIRECTED SUBMUCOSAL INJECTIONS ANY SUBSTANCE
45337      SIGMOIDOSCOPY, DECOMPRESSION            $221.03        $221.03
45338      SIGMOIDOSCOPY                           $473.04        $218.90
45339      SIGMOID - TUMOR ABLATION,SNARE          $421.81        $290.21
45340                                              $500.37        $177.99
           SIGMOIDOSCOPY FLEX WITH DILATION BY BALLOON 1 OR MORE STRICTURES
45341      SIGMOIDOSCOPY WITH ENDOSCOPIC ULTRASOUND$240.27        $240.27
45342                                              $366.11
           SIGMOIDOSCOPY CODE W/ ULTRASOUND FNA/BIOPSY            $366.11
45345      SIGMOIDOSCOPY W/ STENT PLACEMENT        $267.55        $267.55
45355      SURGICAL COLONOSCOPY                    $323.87        $323.87
45378      COLONOSCOPY FIBEROPTIC W/WO DE          $620.67        $338.74
45378   53 COLONOSCOPY FIBEROPTIC W/WO DE          $202.16         $95.31
45379      COLONOSCOPY                             $779.91        $426.76
45380      COLONOSC POSTFLEX W BX/SPECIME          $733.75        $404.14
45381                                              $712.22        $382.60
           COLONOSCPY FLEXIBLE WITH DIRECTED SUBMUCOSAL INJECTIONS ANY SUBSTANCE
45382      COLONOSC W CONTROL HEMMORAGE, ANY METHOD$983.54        $515.07
45383      COLONOSCOPY, ABLATION TUMOR             $875.30        $531.19
45384      COLONOSCOPY - FLEX,TUMOR REMOVAL        $728.21        $427.56
45385      COLONOSCOPY, LESION REMOVAL             $829.48        $481.16
45386                                            $1,058.99        $417.87
           COLONOSCOPY FLEX WITH DILATION BY BALLOON 1 OR MORE STRICTURES
45387      COLONOSCOPY WITH STENT PLACEMENT        $540.40        $540.40
45391                                              $464.03        $464.03
           COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE - W/ENDOSCOPIC
45392                                              $588.05        $588.05
           COLONOSCOPY, FLEX, PROXIMAL-SPLENIC FLEXURE - WITH TRANSENDOSCOPIC
45500      PROCTOPLASTY STENOSIS                   $712.21        $712.21
45505      PROCTOPLASTY PROLAP MUCOUS MEM          $755.28        $755.28
45520      TREATMENT OF RECTAL PROLAPSE            $136.49         $59.82
45540      PROCTOPEXY ABD PROLAPSE               $1,532.09      $1,532.09
45541   PROCTOPEXY PERINEAL PROLAPSE          $1,284.77   $1,284.77
45550   PROCTOPEXY W SIGMOID RESECT           $2,142.56   $2,142.56
45560   REPAIR OF RECTOCELE                   $1,031.87   $1,031.87
45562   EXPLORATION, REPAIR FOR RECTAL INJURY $1,485.91   $1,485.91
45563   EXPL./REPAIR RECTAL INJURY W/COLOSTOMY$2,270.19   $2,270.19
45800   CLOSE RECTOVESICAL FISTULA            $1,666.33   $1,666.33
45805   CLS RECTOVESICAL FISTULA W COL        $1,995.20   $1,995.20
45820   REPAIR RECTOURETHRAL FISTULA          $1,713.84   $1,713.84
45825   CLS RECTOURETH FISTULA W COLOS        $2,053.93   $2,053.93
45900   RED PROCIDENTIA RECT W ANESTHE          $271.12     $271.12
45905   DILATION OF ANAL SPHINCTER              $245.69     $245.69
45910   DILATE RECTAL STRICTURE W ANES          $292.57     $292.57
45915   REMOVE FECAL IMPACTION/FB W AN          $475.43     $340.81
46020   PLACEMENT OF ANAN SETON                 $340.30     $311.32
46030   REMOVE SETON/OTHER MARKER ANAL          $166.10     $127.48
46040   I&D ABSC ISCHIORECTAL/PERIRECT          $675.20     $559.90
46045   INCISION OF RECTAL ABSCESS              $474.10     $474.10
46050   I&D ABSC PERIANAL SUPERFICIAL           $235.38     $132.75
46060   I&D ABSC RECTL W FISTULCT SUBM          $588.86     $588.86
46070   INCISION OF ANAL SEPTUM                 $299.60     $299.60
46080   SPHINCTEROTOMY ANAL                     $315.32     $241.07
46083   INCISE EXTERNAL HEMORRHOID              $248.52     $151.92
46200   FISSURECTOMY ANAL                       $467.82     $408.06
46210   CRYPTECTOMY ANAL SINGLE                 $493.33     $343.01
46211   REMOVAL OF ANAL CRYPTS                  $618.58     $503.89
46220   REMOVAL OF ANAL TAB                     $245.77     $164.89
46221   LIGATION OF HEMORRHOID(S)               $299.90     $245.56
46230   REMOVAL OF ANAL TABS                    $362.90     $255.45
46250   HEMORRHOIDECTOMY                        $589.41     $427.02
46255   HEMORRHOIDECTOMY SIMPLE                 $670.88     $489.77
46257   REMOVE HEMORRHOIDS & FISSURE            $546.59     $546.59
46258   HEMORRHOIDECT SIMPLE W FISTULE          $594.08     $594.08
46260   HEMORRHOIDECTOMY COMPLEX                $632.79     $632.79
46261   HEMORRHOIDECT COMPLX W FISSURE          $705.47     $705.47
46262   HEMORRHOIDECT COMPLX W FISTULE          $741.61     $741.61
46270   FISTULECTOMY ANAL SUBQ                  $559.34     $428.94
46275   FISTULECTOMY ANAL SUBMUSCULAR           $594.16     $493.94
46280   FISTULECTOMY ANAL COMPLX/MULTI          $608.11     $608.11
46285   FISTULECTOMY ANAL 2ND STAGE             $507.60     $446.02
46288   CLOSURE ANAL FISTULA W/ADV. FLAP        $712.93     $712.93
46320   EXC/ENUCLEATE HEMORR EXT THROM          $239.16     $162.49
46500   INJECTION INTO HEMORRHOIDS              $237.68     $179.74
46600   ANOSCOPY DIAGNOSTIC                     $128.45      $54.79
46604   ANOSCOPY WITH DILATION                  $639.90     $126.77
46606   ANOSCOPY W BIOPSY                       $284.09      $81.86
46608   ANOSCOPY - REMOVE FOREIGN BODY          $369.52     $143.14
46610   ANOSCOPY W REMOVAL POLYP                $334.54     $128.08
46611   ANOSCOPY                                $325.48     $171.54
46612   ANOSCOPY - REMOVE LESIONS               $474.65     $221.10
46614   ANASCOPY, CONTROL BLEEDING ANY METHOD $277.79       $188.45
46615   ANOSCOPY - TUMOR ABLATION               $335.63     $250.50
46700   ANOPLASTY FOR STRICTURE ADULT           $879.46     $879.46
46705   REPAIR OF ANAL STRICTURE                  $703.42     $703.42
46706   REPAIR OF ANAL FISTULA WITH FIBRIN GLUE $240.61       $240.61
46715                                             $716.92
        REPAIR OF LOW IMPERFORATE ANUS W ANOPERINEAL FISTULA $716.92
46716   REPAIR OF ANOVESTIBULAR FISTULA         $1,515.53   $1,515.53
46730   CONSTR ANUS PERINEAL/SACROCOCC          $2,547.10   $2,547.10
46735   CONSTRUCT ANUS ABD PLUS PERINEAL        $3,017.75   $3,017.75
46740   CONSTRCT ANUS W REP URINARY FI          $2,826.36   $2,826.36
46742   REPAIR, IMPERFORATED ANUS               $3,482.51   $3,482.51
46744   REPAIR, CLOACAL ANOMALY                 $4,922.27   $4,922.27
46746   REPAIR - ANOMALY W/VAG LENGTHEN         $5,579.19   $5,579.19
46748   REPAIR, CLOACAL ANOMALY 1               $5,690.34   $5,690.34
46750   SPHINCTEROPLASTY ANAL ADULT             $1,008.95   $1,008.95
46751   SPHINCTEROPLASTY ANAL CHILD               $929.79     $929.79
46753   GRAFT RECTAL (THIERSCH OP)                $804.14     $804.14
46754   REMOVE THIERSCH WIRE/SUTURE               $366.25     $250.34
46760   SPHINCTEROPL ANAL W MUSCLE TRA          $1,420.23   $1,420.23
46761   REPAIR OF ANAL SPHINCTER                $1,310.73   $1,310.73
46762   IMPLANT ARTIFICIAL SPHINCTER            $1,200.83   $1,200.83
46900   DESTRUCTION, ANAL LESION(S)               $285.78     $206.70
46910   DESTRUCTION, ANAL LESION(S) 1             $302.31     $191.22
46916   CRYOSURGERY ANAL LESION                   $314.42     $208.17
46917   LASER SURGERY,ANAL LESION(S)              $679.07     $196.13
46922   EXCISION OF ANAL LESION(S)                $325.93     $193.12
46924   DESTRUCTION ANAL LESIONS                  $712.51     $270.01
46934   DESTRUCTION OF HEMORRHOIDS                $544.29     $416.31
46935   DESTRUCTION OF HEMORRHOIDS 1              $374.89     $239.06
46936   DESTRUCTION OF HEMORRHOIDS 2              $545.06     $401.37
46937   CRYOSURGERY TUMOR RECTAL BENIG            $346.12     $252.55
46938   CRYOTHERAPY OF RECTAL LESION              $564.50     $507.76
46940   CAUTERIZE/CURET FISS ANAL SPINCTER INITIAL$278.66     $224.32
46942   CAUTERIZ/CURET FISS ANAL SUBSE            $249.71     $200.81
46945   LIGATE HEMORRHDS INTERNAL SING            $323.19     $275.49
46946   LIGATE HEMORRHDS INTERNAL MULT            $401.51     $321.21
46947                                             $529.83     $529.83
        HEMORRHOIDOPEXY (EG, PROLAPSING INTERNAL HEMORRHOIDS) BY STAPLING
47000   NEEDLE BIOPSY OF LIVER 1                  $312.58     $165.30
47001   NEEDLE BIOPSY OF LIVER                    $171.60     $171.60
47010   OPEN DRAINAGE, LIVER LESION             $1,609.83   $1,609.83
47011   PERCUT DRAIN, LIVER LESION                $319.64     $319.64
47015                                           $1,497.89
        LAPAROTOMY W/ASPIRATION/INJ. HEPATIC PARASITIC      $1,497.89
47100   BIOPSY LIVER WEDGE                      $1,176.85   $1,176.85
47120   HEPATECTOMY PARTIAL LOBECTOMY           $3,386.31   $3,386.31
47122   EXTENSIVE REMOVAL OF LIVER              $5,135.68   $5,135.68
47125   HEPATECTOMY TOT LEFT LOBECTOMY          $4,597.74   $4,597.74
47130   HEPATECTOMY TOT RIGHT LOBECTOM          $4,977.80   $4,977.80
47135   TRANSPLANTATION OF LIVER                $7,545.58   $7,545.58
47136                                           $6,390.26   $6,390.26
        LIVER TRANSPLANTATION, FROM CADAVER/LIVING DONOR, ANY AGE
47140                                            SEGMENT
        DONOR HEPATECTOMY LIVING DONOR LT LAT$5,093.59      $5,093.59
47141                                           $6,175.44   $6,175.44
        DONOR HEPATECT W PREP MAINT ALLOGRAFT LIVING DON TTL LT LOBECTOMY
47142                                           $6,811.52    TOTAL RT
        DON OR HEPATEC W PREP MAINTE ALLOGRAFT LIVING DONOR $6,811.52 LOBECTOMY
47146                                             $544.81
        BACKBENCH CADAVER/LIVING DONOR LIVER GRAFT RECONSTRUCT$544.81
47147                                             $635.60     $635.60
        BACKBENCH CADAVER/LIVING DONOR LIVER GRAFT RECONSTRUCT - ARTERIAL
47300   MARSUPIALIZE CYST/ABSC LIVER            $1,485.80   $1,485.80
47350   HEPATORRHAPHY SIMPLE                   $1,897.29  $1,897.29
47360   REPAIR LIVER WOUND                     $2,567.47  $2,567.47
47361   HEPATORRHAPY EXPLORE                   $4,388.71  $4,388.71
47362   HEPATORRHAPHY REMOVAL PACK             $1,815.62  $1,815.62
47370                                           OF LIVER  $1,859.45
        LAPAROSCOPIC RADIOFREQUENCY ABLATION$1,859.45 TUMOR
47371                                          $1,865.17
        LAPAROSCOPIC CRYOSURGICAL ABLATION OF LIVER TUMOR $1,865.17
47380                                          $2,159.52
        OPEN RADIOFREQUENCY ABLLATION OF LIVER TUMOR      $2,159.52
47381                                          $2,192.03
        OPEN CRYOSURGICAL ABLATION OF LIVER TUMOR         $2,192.03
47382                                          $1,383.00  $1,383.00
        PERCUTANEQUS RADIOFREQUENCY ABLATION OF LIVER TUMOR
47400   HEPATICOTOMY/OSTOMY                    $3,028.71  $3,028.71
47420   CHOLEDOCHOTOMY/OSTOMY                  $1,914.63  $1,914.63
47425   CHOLEDOCHOT/OSTOMY W SPHINCTER         $1,913.58  $1,913.58
47460   SPHINCTEROT/PLASTY TRANSDUODEN         $1,751.93  $1,751.93
47480   CHOLECYSTOTOMY/OSTOMY                  $1,109.68  $1,109.68
47490   INCISION OF GALLBLADDER                  $818.56    $818.56
47500   INJECTION FOR LIVER X-RAYS               $169.75    $169.75
47505   INJECTION FOR LIVER X-RAYS 1              $66.08     $66.08
47510   INTRO TRANSHEPATIC CATH/STENT            $825.63    $825.63
47511   INSERT BILE DUCT DRAIN                 $1,007.25  $1,007.25
47525   CHANGE BILE DUCT CATHETER              $1,281.19    $539.25
47530   REVISE, REINSERT BILE TUBE             $2,430.46    $615.17
47550   BILE DUCT ENDOSCOPY                      $272.33    $272.33
47552   BILIARY ENDOSCOPY, DIAGNOSTIC            $549.05    $549.05
47553   BILIARY ENDOSCOPY, BIOPSY                $548.99    $548.99
47554   BILIARY ENDOSCOPY,REMOVE STONE           $824.49    $824.49
47555   BILIARY ENDOSCOPY,DILATION               $653.05    $653.05
47556   ENDO DILATION BILIARY DUCT               $739.22    $739.22
47560                                            $441.79    $441.79
        LAPAROSCOPY SURGICAL W GUIDED TRANSHEPATIC CHOLANGIOGRAPHY W/O BIOSPY
47561                                            $474.93    $474.93
        LAP SURGICAL W GUIDED TRANSHEPATIC CHOLANGIOGRAPHY W BIOSPY
47562   LAPAROSCOPY SURGICAL CHOLECYSTECTOMY   $1,073.62  $1,073.62
47563                                          $1,152.09  $1,152.09
        LAPAROSCOPY SURGICAL W CHOLECYSTECTOMY W CHOLANGIOGRAPHY
47564                                          $1,351.32  $1,351.32
        LAP SURGICAL W CHOLECYSTECTOMY W EXPLORATION OF COMMON DUCT
47570                                          $1,200.45
        LAPAROSCOPY SURGICAL CHOLECYSTOENTEROSTOMY        $1,200.45
47600   CHOLECYSTECTOMY                        $1,316.58  $1,316.58
47605   CHOLECYSTECT W CHOLANGIOGRAPHY         $1,416.65  $1,416.65
47610   CHOLECYSTECT W EXPLORE CBD             $1,790.42  $1,790.42
47612   REMOVAL OF GALLBLADDER                 $1,785.25  $1,785.25
47620   CHOLECYSTECT EXPLOR CBD W SPHI         $1,953.68  $1,953.68
47630   EXTRACT BILE DUCT STONE PERCUT           $907.30    $907.30
47700   EXPLORATION OF BILE DUCTS              $1,535.62  $1,535.62
47701   BILE DUCT REVISION                     $2,632.70  $2,632.70
47711   EXCISION BILE DUCT TUMOR, EXTRAHEPATIC $2,205.05  $2,205.05
47712   EXCISION BILE DUCT TUMOR, INTRAHEPATIC $2,854.21  $2,854.21
47715   EXCISION OF BILE DUCT CYST             $1,819.32  $1,819.32
47716   FUSION OF BILE DUCT CYST               $1,617.35  $1,617.35
47720   CHOLECYSTOENTEROSTOMY DIRECT           $1,560.45  $1,560.45
47721   CHOLECYSTOENTEROST W GASTROENT         $1,849.01  $1,849.01
47740   CHOLECYSTOENTEROSTOMY ROUX-EN-         $1,790.85  $1,790.85
47741   ROUX-EN Y WITH GASTROENTEROSTOMY       $2,049.25  $2,049.25
47760   FUSE BILE DUCTS AND BOWEL              $2,456.56  $2,456.56
47765   FUSE LIVER DUCTS & BOWEL               $2,385.65  $2,385.65
47780   ANASTOM ROUX-EN-Y EXTHEP DUCTS         $2,522.64  $2,522.64
47785   FUSION BILE DUCTS AND BOWEL           $2,949.34      $2,949.34
47800   RECONSTRUCTION OF BILE DUCTS          $2,228.98      $2,228.98
47801   PLACEMENT, BILE DUCT SUPPORT          $1,514.77      $1,514.77
47802   FUSE LIVER DUCT & INTESTINE           $2,086.11      $2,086.11
47900                                         $1,923.65      $1,923.65
        SUTURE EXTRAHEPATIC BILIARY DUCT FOR PREEXISTING INJURY
48000   DRAINAGE OF ABDOMEN                   $2,639.13      $2,639.13
48001   PLACEMENT OF DRAIN, PANCREAS          $3,308.38      $3,308.38
48005   RESECT/DEBRIDE PANCREAS               $3,937.74      $3,937.74
48020   REMOVAL OF PANCREATIC STONE           $1,537.54      $1,537.54
48100   BIOPSY PANCREAS, OPEN                 $1,188.24      $1,188.24
48102   BIOPSY PANCREAS NEEDLE PERCUTA          $792.51        $429.69
48120   REMOVAL OF PANCREAS LESION            $1,518.32      $1,518.32
48140   PANCREATECTOMY DISTAL SUBTOTAL        $2,174.01      $2,174.01
48145   PANCREATECTOMY DISTAL W JEJUNO        $2,267.97      $2,267.97
48146   PANCREATECTOMY,DISTAL,SUBTOTAL        $2,564.14      $2,564.14
48148   EXC AMPULLA VATER SIMPLE              $1,665.55      $1,665.55
48150   PANCREATECT PROX W JEJUN/DUODE        $4,522.58      $4,522.58
48152   PANCREATECTOMY - W/O PJJ              $4,151.29      $4,151.29
48153   PANCREATECTOMY,PROXIMAL,SUBTOT        $4,519.19      $4,519.19
48154   PANCREATECTOMY,W/O PJJ                $4,175.61      $4,175.61
48155   PANCREATECTOMY TOTAL                  $2,421.04      $2,421.04
48160                                         $4,213.59
        PANCREAS REMOVAL, TRANSPLANT PANCREAS OR CELLS       $4,213.59
48180   FUSE PANCREAS AND BOWEL               $2,335.88      $2,335.88
48400   INJECTION, INTRAOPERATIVE               $170.39        $170.39
48500   MARSUPIALIZE CYST PANCREAS            $1,508.09      $1,508.09
48510   DRAIN PANCREATIC PSEUDOCYST           $1,443.01      $1,443.01
48511   DRAIN PANCREAT CYST/PERCUTANEOUS      $1,527.85        $345.81
48520   FUSE PANCREAS CYST AND BOWEL          $1,490.84      $1,490.84
48540   ANASTOM CYST PANCRS-GI ROUX-EN        $1,862.55      $1,862.55
48545   PANCREATORRHAPHY, FOR INJURY          $1,746.75      $1,746.75
48547   DUODENAL EXCLUSION W/GASTROJEJUNOSTOMY$2,431.85      $2,431.85
48552                                           $377.78        $377.78
        BACKBENCH CADAVER DONOR PANCREAS ALLOGRAFT RECONSTRUCT, VENOUS
48554   TRANSPLANT - PANCREATIC ALLOGRFT      $3,471.10      $3,471.10
48556   REMOVAL, ALLOGRAFT PANCREAS           $1,580.42      $1,580.42
49000   LAPAROT/CELIOTOMY EXPLORATORY         $1,136.80      $1,136.80
49002   REOPEN RECENT LAPAROT INCISION        $1,032.60      $1,032.60
49010   EXPLORATION BEHIND ABDOMEN            $1,208.04      $1,208.04
49020   DRAIN ABDOMINAL ABSCESS               $2,198.06      $2,198.06
49021                                         $1,495.93
        DRAINAGE PERITONEAL ABCESS, PERCUTANEOUS               $292.18
49040   OPEN DRAINAGE ABDOM ABSCESS           $1,325.11      $1,325.11
49041   PERCUT DRAIN ABDOM ABSCESS            $1,444.53        $345.81
49060   OPEN DRAIN RETROPER ABSCESS           $1,540.78      $1,540.78
49061   PERCUT DRAIN RETROPER ABSCESS         $1,431.04        $319.64
49062   DRAIN TO PERITONEAL CAVITY            $1,115.84      $1,115.84
49080   PUNCTURE, PERITONEAL CAVITY             $330.89        $118.38
49081   PERITONEOCENTESIS SUBSEQUENT            $240.59        $110.80
49085   REMOVE ABDOMEN FOREIGN BODY           $1,176.59      $1,176.59
49180   BIOPSY, ABDOMINAL MASS                  $303.04        $150.31
49200   EXC LES INTRA-ABD/RETROPERITON        $1,011.82      $1,011.82
49201   EXC LES INT-ABD/RETROPERITON E        $1,451.91      $1,451.91
49215   EXCISE SACRAL SPINE TUMOR             $3,178.55      $3,178.55
49220   LAPAROTOMY FOR HODGKINS OR LYMPHOMA$1,435.01         $1,435.01
49250   UMBILECTOMY/OMPHALECTOMY                    $838.90   $838.90
49255   OMENTECTOMY/EPIPLOECTOMY                  $1,112.56 $1,112.56
49320                                               $512.83   $512.83
        LAPAROSCOPY SURGICAL ABDOMEN/PERITONEUM/OMENTUM DIAGNOSTIC W OR W/O SPE
49321   LAPAROSCOPY SURGICAL PERITONEOSCOPY W BIOSPY$535.27   $535.27
49322                                               $576.54   CYST
        LAP SURGICAL PERITONEOSCOPY W ASPIRATION OF CAVITY OF $576.54
49323                                               $930.11   TO PERITONEAL
        LAP SURG PERITONEOSCOPY WITH DRAINAGE OF LYMPHOCELE $930.11
49400   PNEUMOPERITONEUM INITIAL                    $312.57   $164.68
49419                                               $675.85   $675.85
        INSERTION OF INTRAPERITONEAL CANNULA OR CATHETER WITH SUBCUTANEOUS RES
49420   INSERT CATH INTRAPERITONEAL TE              $217.46   $217.46
49421   INSERT ABDOMINAL DRAIN                      $575.49   $575.49
49422   REMOVAL PERMANENT CANNULA/CATHETER $609.26            $609.26
49423   EXCHANGE DRAINAGE CATH                      $947.09   $129.08
49424   ABSESS CYST, CONTRAST INJ. VIA CATH/TUBE $274.96       $68.50
49425   SHUNT PERITONEAL-VENOUS                   $1,131.01 $1,131.01
49426   REVISE ABDOMEN-VENOUS SHUNT                 $959.04   $959.04
49427   INJECT,ABDOMENVENOUS SHUNT                   $78.31    $78.31
49428   LIGATION PERITONEAL-VENOUS SHUNT            $659.65   $659.65
49429   REMOVAL PERITONEAL-VENOUS SHUNT             $724.12   $724.12
49491   INGUINAL HERNIA REPAIR ON PRETERM INFANT  $1,078.72 $1,078.72
49492    INGUINAL HERNIA REPAIR ON PRETERM INFANT $1,344.72 $1,344.72
49495   HERNIA REP - INITIAL IGUINAL<6 MOS - REDUCI $587.18   $587.18
49496   REP HERNIA,ING,<6MOS,INCARC                 $867.79   $867.79
49500   REPAIR INGUINAL HERNIA                      $569.64   $569.64
49501   REP HERNIA - ING,5YRS<6MOS - INCAR          $869.77   $869.77
49505   REP HERNIA INGUINAL UNIL GT 5 Y             $756.73   $756.73
49507   REPAIR, INGUINAL HERNIA                     $936.46   $936.46
49520   REREPAIR INGUINAL HERNIA                    $939.97   $939.97
49521   REP HERNIA,RECURR ING,ANY AGE             $1,150.39 $1,150.39
49525   REP HERN INGUINAL SLIDING GT 5Y             $843.27   $843.27
49540   REP HERNIA LUMBAR                         $1,010.73 $1,010.73
49550   REP HERNIA FEMORAL GROIN UNIL               $851.00   $851.00
49553   REP HERNIA - FEMORAL,ANY AGE                $924.84   $924.84
49555   REP HERNIA FEMORAL RECURRENT                $887.30   $887.30
49557   REP HERNIA,RECUR FEM,INCARCER             $1,078.33 $1,078.33
49560   REP HERNIA VENTRAL                        $1,116.70 $1,116.70
49561   REPAIR INCISIONAL HERNIA                  $1,358.82 $1,358.82
49565   REREPAIR ABDOMINAL HERNIA                 $1,121.35 $1,121.35
49566   REP HERNIA - RECUR INCIS,INCARC           $1,373.55 $1,373.55
49568   IMPLANT MESH FOR HERNIA REPAIR              $441.79   $441.79
49570   REPAIR EPIGASTRIC HERNIA                    $587.44   $587.44
49572   REPAIR, EPIGASTRIC HERNIA                   $678.36   $678.36
49580   REP HERNIA UMBILICAL < AGE 5                $441.22   $441.22
49582   REP HERNIA - UMB,<5YRS,INCARCER             $673.22   $673.22
49585   REP HERNIA - UMB, GT 5YRS,REDUCIBLE         $632.97   $632.97
49587   REP HERNIA,UMB GT 5YRS,INCARCER             $752.27   $752.27
49590   REP HERNIA SPIGELIAN                        $841.95   $841.95
49600   REP OMPHALOCELE SM W PRIM CLOS            $1,080.68 $1,080.68
49605   REP OMPHALOCELE LAR/GASTROSCHI            $6,994.91 $6,994.91
49606   REPAIR UMBILICAL LESION                   $1,760.50 $1,760.50
49610   REP OMPHALOCELE GR TYPE 1ST ST            $1,032.62 $1,032.62
49611   REP OMPHALOCELE GR TYPE 2ND ST            $1,026.80 $1,026.80
49650                                               $634.20
        LAPAROSCOPY SURGICAL REPAIR INITAL INGUINAL HERNIA    $634.20
49651                                            INGUINAL HERNIA
        LAPAROSCOPY SURGICAL REPAIR RECURRENT$821.10            $821.10
49900   REPAIR OF ABDOMINAL WALL               $1,229.66      $1,229.66
49904                                          $2,314.03       STERNAL
        OMENTAL FLAP EXTRA ABDOMINAL FOR RECONSTRUCTION OF$2,314.03 AND CHEST
49905   OMENTAL FLAP                             $591.48        $591.48
50010   EXPLORATION RENAL                      $1,059.15      $1,059.15
50020   OPEN DRAIN RENAL ABSCESS               $1,462.94      $1,462.94
50021   PERCUT DRAIN RENAL ABSCESS             $1,532.16        $291.58
50040   DRAINAGE OF KIDNEY                     $1,415.25      $1,415.25
50045   EXPLORATION OF KIDNEY                  $1,444.10      $1,444.10
50060   NEPHROLITHOTOMY                        $1,768.84      $1,768.84
50065   INCISION OF KIDNEY                     $1,768.36      $1,768.36
50070   NEPHROLITHOTOMY COMPL BY ANOMA         $1,860.95      $1,860.95
50075   NEPHROLITHOTOMY LRG STAGHORN C         $2,300.20      $2,300.20
50080                                          PYELOSTOLITHOTOMY UP TO 2CM
        PERCUTANEOUS NEPHROSTOLITHOTOMY OR $1,367.21          $1,367.21
50081   REMOVAL OF KIDNEY STONE                $1,993.37      $1,993.37
50100   REVISE KIDNEY BLOOD VESSELS            $1,588.79      $1,588.79
50120   PYELOTOMY W EXPLORATION                $1,481.60      $1,481.60
50125   PYELOSTOMY                             $1,541.83      $1,541.83
50130   PYELOLITHOTOMY                         $1,593.81      $1,593.81
50135   PYELOTOMY COMPLICATED                  $1,758.54      $1,758.54
50200   BIOPSY RENAL NEEDLE/TROCAR               $253.76        $253.76
50205   BIOPSY OF KIDNEY                       $1,083.62      $1,083.62
50220                                          $1,595.85
        NEPHRECTOMY W PART URETERECTOMY, OPEN APP.            $1,595.85
50225   NEPHRECT COMPLX W PART URETERE         $1,853.92      $1,853.92
50230   NEPHRECT RAD W LYMPHADENECTOMY         $2,001.99      $2,001.99
50234   NEPHRECT W URETERECT SAME INCI         $2,039.15      $2,039.15
50236   REMOVAL OF KIDNEY & URETER             $2,288.35      $2,288.35
50240   PARTIAL REMOVAL OF KIDNEY              $2,023.44      $2,023.44
50280   EXCISION/UNROOFING CYST RENAL          $1,460.07      $1,460.07
50290   EXCISION CYST PERINEPHRIC              $1,394.25      $1,394.25
50320   REMOVAL OF DONOR KIDNEY                $2,169.34      $2,169.34
50327                                            $351.01        $351.01
        BACKBENCH CADAVER OR LIVING DONOR RENAL ALLOGRAFT RECONSTRUCT
50328                                            $307.31        $307.31
        BCKBNCH CADAVER/LIVING DONOR RENAL ALLOGRAFT RECONSTRUCT PRIOR
50329                                             ALLOGRAFT RECONSTRUCT PRIOR
        BACKBENCH CADAVER/LIVING DONOR RENAL$293.59             $293.59
50340   NEPHRECTOMY RECIPIENT UNILATER         $1,241.44      $1,241.44
50360   TRANSPLANT RENAL HOMOGRAFT             $3,118.66      $3,118.66
50365   TRANSP RENAL W UNIL NEPHRECTOM         $3,647.64      $3,647.64
50370   REMOVAL TRANSPLANT RENAL               $1,382.04      $1,382.04
50380   REIMPLANTATION OF KIDNEY               $2,160.95      $2,160.95
50390   ASPIRATE/INJ RENAL CYST NEEDLE           $169.75        $169.75
50391                                            $227.36        $170.00
        THERAPEUTIC AGENT INSTILL INTO RENAL PELVIS/URETER THRU NEPHROSTOMY
50392   INSERT KIDNEY DRAIN                      $317.36        $317.36
50393   INSERT URETERAL TUBE                     $384.91        $384.91
50394   INJECT FOR PYELOGRAPHY                   $212.79         $90.83
50395   CREATE PASSAGE TO KIDNEY                 $316.15        $316.15
50396   MEASURE KIDNEY PRESSURE                  $205.09        $205.09
50398   CHANGE KIDNEY TUBE                     $1,082.31        $129.08
50400   PYELOPLASTY                            $1,786.43      $1,786.43
50405   PYELOPLASTY COMPLICATED                $2,155.32      $2,155.32
50500   NEPHRORRHAPHY                          $1,847.25      $1,847.25
50520   CLOSE KIDNEY-SKIN FISTULA              $1,617.16      $1,617.16
50525   CLS FISTLA NEPHROVISCERAL ABD          $2,050.01      $2,050.01
50526   CLS FIST NEPHROVISCERAL THORAC         $2,219.31     $2,219.31
50540   REVISION OF HORSESHOE KIDNEY           $1,839.11     $1,839.11
50541                                          $1,467.50
        LAPAROSCOPY SURGICAL ABLATION OF RENAL CYSTS         $1,467.50
50542                                          MASS LESIONS $1,833.84
        LAPROSCOPY SURGICL ABLATION OF RENAL $1,833.84
50543   LAPROSCOPY SURG PARTIAL NEPHRECTOMY    $2,330.30     $2,330.30
50544   LAPAROSCOPY PYELOPLASTY                $2,019.34     $2,019.34
50545   LAPAROSCOPIC RADICAL NEPHRECTOMY       $2,168.64     $2,168.64
50546   LAPROSCOPY NEPHRECTOMY                 $1,885.82     $1,885.82
50547                                           LIVING DONOR $2,423.55
        LAPAROSCOPY DONOR NEPHRECTOMY FROM$2,423.55
50548                                          $2,193.75
        LAPAROSCOPICALLY ASSISTED NEPHROURETERECTOMY         $2,193.75
50551   ENDOSCOPY RENAL OFFICE                   $626.76       $495.77
50553   ENDOSC RENAL W URETER CATH OFC           $664.27       $532.06
50555   ENDOSCOPY RENAL W BIOPSY OFC             $729.13       $579.41
50557   ENDOSCOPY RENAL W FULGURATE OF           $721.46       $583.21
50561   ENDOSC RENAL W REM FB/CALC OFC           $816.98       $669.68
50562                                            $993.29       $993.29
        RENAL ENDO THRU ESTAB NEPHRO OR PYELOST W WO IRRIGATION INSTILL OR URETER
50570   KIDNEY ENDOSCOPY                         $835.41       $835.41
50572   ENDOSC RENAL W OTOMY PLUS URETER CA $911.16            $911.16
50574   KIDNEY ENDOSCOPY & BIOPSY                $966.59       $966.59
50575   ENDO - RENAL W/ENDOPYELOTOMY           $1,219.56     $1,219.56
50576   ENDOSC RENAL W OTOMY PLUS FULGURATI      $959.42       $959.42
50580   KIDNEY ENDOSCOPY & TREATMENT           $1,037.71     $1,037.71
50590   FRAGMENTING OF KIDNEY STONE            $1,359.39       $859.55
50600   URETEROTOMY W EXPLORE/DRAIN            $1,470.63     $1,470.63
50605   URETEROTOMY, INDWELL STENT             $1,461.07     $1,461.07
50610   REMOVAL OF URETER STONE                $1,501.12     $1,501.12
50620   URETEROLITHOTOMY MIDDLE 1/3            $1,401.89     $1,401.89
50630   URETEROLITHOTOMY LOWER 1/3             $1,384.97     $1,384.97
50650   REMOVAL OF URETER                      $1,606.86     $1,606.86
50660   URETERECTOMY TOTAL ECTOPIC             $1,795.75     $1,795.75
50684   INJECT FOR URETEROGRAPHY                 $351.03        $79.37
50686   MEASURE URETER PRESSURE                  $309.42       $151.27
50688   CHANGE URETEROSTOMY TUBE                 $142.19       $142.19
50690   INJ FOR URETEROPYELOG/ILIAL CO           $187.44       $121.03
50700   REVISION OF URETER 1                   $1,460.27     $1,460.27
50715   RELEASE OF URETER                      $1,829.99     $1,829.99
50722   URETEROLY FOR OVARIAN VEIN SYN         $1,600.76     $1,600.76
50725   RELEASE/REVISE URETER                  $1,736.44     $1,736.44
50727   REVISION OF URETER                       $809.41       $809.41
50728   REVISION OF URETER W/REPAIR            $1,149.51     $1,149.51
50740   FUSION OF URETER & KIDNEY              $1,732.37     $1,732.37
50750   URETEROCALYCOSTOMY                     $1,792.86     $1,792.86
50760   URETEROURETEROSTOMY                    $1,712.59     $1,712.59
50770   TRANSURETEROURETEROSTOMY               $1,796.52     $1,796.52
50780   URETERONEOCYSTOST UNILATERAL           $1,701.16     $1,701.16
50782   REIMPLANT URETER IN BLADDER            $1,850.39     $1,850.39
50783   REIMPLANT URETER IN BLADDR.EXT         $1,898.71     $1,898.71
50785                                          $1,884.17
        ANASTOMOSIS W/VESICO-PSOAS HITCH OR BLADDER FLAP     $1,884.17
50800   IMPLANT URETER IN BOWEL                $1,373.27     $1,373.27
50810                                          $1,933.13
        URETEROSIGMOIDOSTOMY, INCL INTESTINE ANAS.           $1,933.13
50815                                          $1,856.99
        URINE SHUNT TO BOWEL, INCL INTESTINE ANAS.           $1,856.99
50820                                          $2,006.39
        URETEROILEAL CONDUIT UNLATERAL, INCL INTESINE ANAS.  $2,006.39
50825                                          $2,568.97
        CONSTRUCT BOWL BLADDER, KOCKPOUCH/CAMEY APP.     $2,568.97
50830   UNDIVERSION URINARY                    $2,841.47 $2,841.47
50840                                          $1,856.46
        REPLACE URETER BY BOWEL, INCL INTESTINE ANAS.    $1,856.46
50845   APPENDICO-VESICOSTOMY                  $1,942.90 $1,942.90
50860   TRANSPLANT URETER TO SKIN              $1,440.57 $1,440.57
50900   REPAIR OF URETER                       $1,294.21 $1,294.21
50920   CLOSURE URETER/SKIN FISTULA            $1,359.01 $1,359.01
50930   CLOSE FISTULA URETEROVISCERAL          $1,736.60 $1,736.60
50940   DELIGATION OF URETER                   $1,370.95 $1,370.95
50945   LAPAROSCOPY SURGICAL URETEROLITHOTOMY  $1,573.29 $1,573.29
50947                                          $2,248.00 AND URETERAL STENT PLACE
        LAPAROSCOPIC URETERONEOCYSTOSTOMY W/ CYSTOSCOPY $2,248.00
50948                                          $2,040.53 $2,040.53
        LAP. URETERONEOCYSTOSTOMY W/O CYSTOSCOPY AND URETERAL STENT PLACEMENT
50951   ENDOSCOPY URETER OFFICE                  $651.67   $516.44
50953   ENDOSCOPY URETER W CATH OFFICE           $684.88   $561.73
50955   ENDOSCOPY URETER W BIOPSY OFFI           $840.71   $615.53
50957   ENDOSC URETER W FULGURATION OF           $732.03   $599.82
50961   ENDOSC URETER W REM FB/CALC OF           $668.97   $537.38
50970   ENDOSCOPY URETER W OTOMY                 $629.03   $629.03
50972   URETER ENDOSCOPY & CATHETER              $612.11   $612.11
50974   URETER ENDOSCOPY & BIOPSY                $803.27   $803.27
50976   ENDOSC URETER W OTOMY & FULGUR           $792.94   $792.94
50980   URETER ENDOSCOPY & TREATMENT             $604.10   $604.10
51000   DRAINAGE OF BLADDER                      $169.81    $67.19
51005   ASPIR BLADDER W TROCAR/INTRACA           $353.57    $90.36
51010   ASPIR BLADDER & INSERT SP CATH           $576.29   $351.12
51020   CYSTOSTOMY W FULGURAT/INSERT R           $684.02   $684.02
51030   CYSTOSTOMY W CRYOSURGERY                 $698.96   $698.96
51040   INCISE & DRAIN BLADDER                   $462.48   $462.48
51045   INCISE BLADDER, DRAIN URETER             $694.66   $694.66
51050   REMOVAL OF BLADDER STONE                 $684.84   $684.84
51060   URETEROLITHOTOMY TRANSVESICAL            $865.94   $865.94
51065   CYSTOT W EXTRACT URETER CALCUL           $858.18   $858.18
51080   DRAIN ABSCESS PERI/PREVESICAL            $614.96   $614.96
51500   REMOVAL OF BLADDER CYST                  $996.29   $996.29
51520   CYSTOTOMY EXC VESICAL NECK               $907.90   $907.90
51525   REMOVAL OF BLADDER LESION              $1,309.30 $1,309.30
51530   CYSTOTOMY EXC BLADDER TUMOR            $1,186.26 $1,186.26
51535   CYSTOTOMY W URETEROCELE UNIL           $1,226.59 $1,226.59
51550   CYSTECTOMY PARTIAL SIMPLE              $1,468.22 $1,468.22
51555   CYSTECTOMY PARTIAL COMPLICATED         $1,958.35 $1,958.35
51565   REVISE BLADDER & URETER(S)             $1,998.99 $1,998.99
51570   REMOVAL OF BLADDER                     $2,221.53 $2,221.53
51575   CYSTECT TOTAL W BIL LYMPHADENE         $2,772.00 $2,772.00
51580   CYSTECT TOT W URETER TRANSPLAN         $2,842.82 $2,842.82
51585   CYSTECT TOT W URETER TRANS PLUS NOD $3,193.74    $3,193.74
51590   REMOVE BLADDER - REVISE TRACT          $2,955.90 $2,955.90
51595   CYSTECT TOT W CONDUIT PLUS LYMPHADE $3,347.81    $3,347.81
51596   CYSTECTOMY COMPLETE, ANY OPEN TECHNIQUE$3,574.05 $3,574.05
51597   EXENTERATION PELVIC COMPLETE           $3,476.79 $3,476.79
51600   INJECT FOR CYSTOGRAPHY                   $363.99    $76.64
51605   INJ PLUS PLACE CHAIN URETH-CYSTOGRA      $408.09    $63.98
51610   INJ FOR RETRO URETHROCYSTOGRAP           $208.13   $106.71
51700             IRRIGATION OF BLADDER                  $156.14         $76.47
51701                                                    $129.24         $45.32
                  INSERTION OF NONINDWELLING BLADDER CATHETER STRAIGHT CATH
51702                                                    $159.42         $48.33
                  INSERTION OF TEMP INDWELLING BLADDER CATHETER SIMPLE FOLLEY
51703                                                     CATHETER COMPLICATED ALTERED
                  INSERT OF TEMPORARY INDWELLING BLADDER$263.99         $133.00
51705             CHANGE CYSTOSTOMY TUBE SIMPLE          $205.60        $105.38
51710             CHANGE OF BLADDER TUBE                 $301.50        $146.96
51715             ENDOSCOPIC INJ - IMP MATERIAL          $487.58        $333.64
51720             INSTILL ANTICARCINOGEN BLADDER         $237.01        $173.63
51725             SIMPLE CYSTOMETROGRAM                  $441.36        $441.36
51725        26   SIMPLE CYSTOMETROGRAM                  $131.76        $131.76
51725   TC        SIMPLE CYSTOMETROGRAM                  $309.59        $309.59
51726             COMPLEX CYSTOMETROGRAM                 $570.37        $570.37
51726        26   COMPLEX CYSTOMETROGRAM                 $149.27        $149.27
51726   TC        COMPLEX CYSTOMETROGRAM                 $421.09        $421.09
51736             UROFLOWMETRY SIMPLE                     $76.78         $76.78
51736        26   UROFLOWMETRY SIMPLE                     $53.42         $53.42
51736   TC        UROFLOWMETRY SIMPLE                     $23.36         $23.36
51741             UROFLOWMETRY ELECTRONIC INITIA         $125.66        $125.66
51741        26   UROFLOWMETRY ELECTRONIC INITIA          $99.45         $99.45
51741   TC        UROFLOWMETRY ELECTRONIC INITIA          $26.21         $26.21
51772             UPP INITIAL                            $448.45        $448.45
51772        26   UPP INITIAL                            $142.66        $142.66
51772   TC        UPP INITIAL                            $305.79        $305.79
51784                                                    $345.44
                  ELECTROMYOGRAPHY (EMG) ANAL/URETHRAL SPHINCTER        $345.44
51784        26                                          $133.65
                  ELECTROMYOGRAPHY (EMG) ANAL/URETHRAL SPHINCTER        $133.65
51784   TC                                               $211.79
                  ELECTROMYOGRAPHY (EMG) ANAL/URETHRAL SPHINCTER        $211.79
51785             ANAL/URINARY MUSCLE STUDY              $372.79        $372.79
51785        26   ANAL/URINARY MUSCLE STUDY              $133.23        $133.23
51785   TC        ANAL/URINARY MUSCLE STUDY              $239.56        $239.56
51792             URINARY REFLEX STUDY                   $440.83        $440.83
51792        26   URINARY REFLEX STUDY                    $98.45         $98.45
51792   TC        URINARY REFLEX STUDY                   $342.39        $342.39
51795             VOIDING PRESSURE VIA URETHRA           $547.82        $547.82
51795        26   VOIDING PRESSURE VIA URETHRA           $133.65        $133.65
51795   TC        VOIDING PRESSURE VIA URETHRA           $414.16        $414.16
51797             INTRAABDOMINAL PRESSURE TEST           $459.03        $459.03
51797        26   INTRAABDOMINAL PRESSURE TEST           $139.98        $139.98
51797   TC        INTRAABDOMINAL PRESSURE TEST           $319.06        $319.06
51798                                                     $23.93         $23.93
                  MEASUREMENT OF POST VOIDING RESIDUAL URINE AND OR BLADDER CAPACITY
51798   TC                                                $23.93         $23.93
                  MEASUREMENT OF POST VOIDING RESIDUAL URINE AND OR BLADDER CAPACITY
51800             CYSTOPLASTY OR CYSTOURETHROPLA       $1,631.86      $1,631.86
51820             REVISION OF URINARY TRACT            $1,721.71      $1,721.71
51840             VESICOURETHROPEXY ANT SIMPLE         $1,068.45      $1,068.45
51841             ATTACH BLADDER/URETHRA               $1,274.60      $1,274.60
51845             REPAIR BLADDER NECK                    $945.10        $945.10
51860             CYSTORRHAPHY SIMPLE                  $1,167.97      $1,167.97
51865             CYSTORRHAPHY COMPLICATED             $1,421.94      $1,421.94
51880             REPAIR OF BLADDER OPENING              $760.91        $760.91
51900             CLS FISTULA VESICOVAGINAL ABD        $1,249.89      $1,249.89
51920             CLOSE BLADDER-UTERUS FISTULA         $1,148.08      $1,148.08
51925             CLS FISTULA VESICOUTERINE W HY       $1,606.11      $1,606.11
51940             CLOSURE, EXTROPHY OF BLADDER         $2,644.09      $2,644.09
51960   ENTEROCYSTOPLASTY W ANASTOMOSI        $2,128.98     $2,128.98
51980   CONSTRUCT BLADDER OPENING             $1,089.84     $1,089.84
51990                                         $1,232.60     $1,232.60
        LAPAROCOPSY SURGICAL URETHRAL SUSPENSION FOR STRESS INCONTINENCE
51992                                         $1,333.30
        LAP SLING OPERATION FOR STRESS INCONTINENCE         $1,333.30
52000   CYSTOSCOPY                              $334.39       $181.06
52001   CYSTOURETHROSCOPY WITH REMOVAL OF CLOTS $672.41       $478.62
52005   CYSTOSCOPY & URETER CATHETER            $495.25       $213.33
52007   C-USCOPY W URETER CATH & BX OF        $1,195.99       $272.94
52010   CYSTOSCOPY & DUCT CATHETER              $852.48       $272.94
52204   C-USCOPY W BX OFFICE                  $1,035.55       $213.94
52214   C-USCOPY W FULGURATION OFC            $2,549.00       $329.23
52224   C-USCOPY W FULGURAT/TX LES OFC        $2,411.68       $280.66
52234   C-USCOPY W FULGR/EXC SM TUM OF          $411.27       $411.27
52235   C-USCOPY W FULGUR/EXC MED TUMO          $482.85       $482.85
52240   C-USCOPY FULGUR/EXC LARGE TUMO          $852.84       $852.84
52250   CYSTOSCOPY & RADIOTRACER                $401.89       $401.89
52260   C-USCOPY W DILAT GEN/SPINAL AN          $349.01       $349.01
52265   C-USCOPY W DILATION LOCAL ANES        $1,003.69       $265.39
52270   C-USCOPY W INT URETHROTOMY FEM          $892.10       $301.08
52275   C-USCOPY W INT URETHROTOMY MAL        $1,254.30       $415.78
52276   C-USCOPY W DIR VISION INT URET          $443.17       $443.17
52277   C-USCOPY W SPINCTEROTOMY                $548.77       $548.77
52281   C-USCOPY W CALIB/DIL URETH OFC          $616.53       $253.72
52282   CYSTOSCOPY, IMPLANT STENT               $565.45       $565.45
52283   CYSTOSCOPY AND TREATMENT                $488.72       $334.19
52285   D-USCOPY FEMALE URETH SYNDROME          $484.59       $322.81
52290   C-USCOPY W URETERAL MEATOTOMY           $407.68       $407.68
52300   C-USCOPY W FULGUR/EXC URETEROC          $471.61       $471.61
52301                                           $492.70       $492.70
        CYSTOURETHROSCOPY W/RESECTION/FULGURATION ECTOPIC URETEROCELES
52305   C-USCOPY W INC/EXC DIVERTICULU          $468.59       $468.59
52310   C-USCOPY W REM FB/CALC SIMPLE           $472.30       $251.35
52315   C-USCOPY W REM FB/CALC COMPLIC          $872.85       $460.53
52317   LITHOLAPAXY,SIMPLE,SMALL,2.5CM        $2,198.89       $589.46
52318   LITHOLAPAXY,COMP,LARGE,2.5 PLUS CM      $804.39       $804.39
52320   C-USCOPY W REM URETER CALCULUS          $414.39       $414.39
52325   CYSTOURETHRO W/FRAG OF CALCUL           $541.49       $541.49
52327                                          IMPLANT
        CYSTOURETHROSCOPY W/SUBURETERIC INJ.$2,269.53 MATERIAL$458.47
52330   C-USCOPY W MANIPULATION               $2,682.23       $444.34
52332   C-USCOPY W INSERT URETER STENT          $537.40       $254.27
52334   CYSTOURETHRO W/URETERAL WIRE            $428.80       $428.80
52341                                           $536.82
        CYSTOURETHROSCOPY WITH URETER STRICTURE TX            $536.82
52342                                           $578.09       $578.09
        CYSTOURETHROSCOPY WITH TREATMENT OF URETEROPELVIC JUNCTION STRICTURE
52343                                           $640.13
        CYSTOURETHROSCOPY W/ INTRA - RENAL STRICTURE TREATMENT$640.13
52344                                            URETER       $686.22
        CYSTOURETHROSCOPY/URETEROSCOPY WITH$686.22 STRICTURE TX
52345                                           $729.31
        CYSTOURETHROSCOPY / URETEROSCOPY WITH UP STRICTURE TX $729.31
52346                                           $819.29       $819.29
        CYSTOURETHROSCOPY/ URETEROSCOPY WITH RENAL STRICTURE TX
52351                                           $523.17
        CYSTOURETHROSCOPY/URETEROSCOPY/PYELOSCOPY DX          $523.17
52352                                            AND PYELOSCOPY WITH STONE TX
        CYSTOURETHROSCOPY WITH URETEROSCOPY$613.45            $613.45
52353                                           $708.06       $708.06
        CYSTOURETHROSCOPY AND URETEROSCOPY AND/OR PYELOSCOPY WITH LITHOTRIPSY
52354                                           $654.57
        CYSTOURETHROSCOPY-URETEROSCOPY-PYLOSCOPY W BIOPSY     $654.57
52355                                           $782.77       $782.77
        CYSTOURETHERSCOPY - URETERSCOPY - PYELOSCOPY W TUMOR RESECTION
52400   CYSTOURETHROSCOPY WITH CONGENITAL REPAIR$876.24       $876.24
52402                                           $458.47      $458.47
        CYSTOURETHROSCOPY W/TRANSURETHRAL RESECTION/INCISION EJACULATORY
52450   TRANSURETHRAL INCISION PROSTRA          $735.08      $735.08
52500   REVISION OF BLADDER NECK                $806.08      $806.08
52510                                           $639.56
        TRANSURETHRAL BALLOON DILATION OF PROSTATIC URETHRA $639.56
52601   PROSTATECTOMY (TURP)                  $1,138.90    $1,138.90
52606   FULGURAT TRANSURETH POSTOP OFC          $761.04      $761.04
52612   PROSTATECTOMY, FIRST STAGE              $761.83      $761.83
52614   TURP STAGE 2 OF 2                       $661.17      $661.17
52620   TUR RESID TISSUE 90 DAYS POSTO          $624.22      $624.22
52630   REMOVE PROSTATE REGROWTH                $680.39      $680.39
52640   RELIEVE BLADDER CONTRACTURE             $623.64      $623.64
52647                                         $5,159.51
        LASER COAGULATION PROSTATE, NON-CONTACT              $969.31
52648                                         $1,042.20    $1,042.20
        LASER VAPORIZATION W/W/O PROSTATE RESECTION, CONTACT
52700   DRAIN ABSC PROSTATE TRANSURETH          $648.94      $648.94
53000   URETHROTOMY/OSTOMY EXT PENDULO          $246.36      $246.36
53010   URETHROTOMY/OSTOMY EXT PERINEA          $419.69      $419.69
53020   MEATOTOMY EX INFANT OFFICE              $300.42      $159.77
53025   MEATOTOMY INFANT                        $301.23      $106.84
53040   DRAIN ABSCESS DEEP PERIURETHRA          $637.89      $637.89
53060   DRAINAGE OF URETHRA ABSCESS             $306.14      $263.28
53080   DRAINAGE OF URINARY LEAKAGE             $785.07      $785.07
53085   DRN EXTRAVAS PERINEAL URIN COM        $1,144.43    $1,144.43
53200   BIOPSY OF URETHRA                       $255.14      $234.61
53210   REMOVAL OF URETHRA                    $1,198.38    $1,198.38
53215   URETHRECT W CYSTOSTOMY MALE           $1,447.25    $1,447.25
53220   EXC/FULGURATE URETHRA CARCINOM          $695.91      $695.91
53230   EXC DIVERTICUL URETHRAL FEMALE          $930.67      $930.67
53235   EXC DIVERTICUL URETHRAL MALE            $977.50      $977.50
53240   MARSUPIALIZE DIVERTICUL URETHR          $649.09      $649.09
53250   REMOVAL OF URETHRA GLAND                $597.50      $597.50
53260   TREATMENT OF URETHRA LESION             $337.88      $288.38
53265   EXC/FULGURATE URETHRAL CARUNCL          $374.40      $296.53
53270   EXC/FULGURATE SKENES GLANDS             $344.24      $304.39
53275   REPAIR OF URETHRA DEFECT                $440.46      $440.46
53400   REVISE URETHRA, 1ST STAGE             $1,225.70    $1,225.70
53405   URETHROPL JOHANNSEN TYPE STG 2        $1,356.96    $1,356.96
53410   URETHROPLASTY MALE SINGLE STAG        $1,531.90    $1,531.90
53415   URETHROPLASTY,TRANSPUBIC              $1,747.20    $1,747.20
53420   RECONSTRUCT URETHRA, STAGE 1          $1,326.03    $1,326.03
53425   RECONSTRUCT URETHRA, STAGE 2          $1,489.50    $1,489.50
53430   URETHROPLASTY FEMALE                  $1,522.27    $1,522.27
53431   URETHROPLASTY                         $1,824.48    $1,824.48
53440   CORRECT BLADDER FUNCTION              $1,276.04    $1,276.04
53442   REMOVE PERINEAL PROSTHESIS            $1,105.69    $1,105.69
53444   INSETION OF TANDEM CUFF               $1,254.58    $1,254.58
53445                                         $1,372.61
        INSERT URETHRAL SPHINCTER PUMP, RESERVOIR AND CUFF $1,372.61
53446                                         $1,002.00
        REMOVAL OF URETHRAL/BLADDER NECK SPHINCTER         $1,002.00
53447                                         $
        REMOVE AND REPLACE ARTIFICIAL SPHINCTER1,294.00    $1,294.00
53448                                         $1,968.25    $1,968.25
        REMOVAL/REPLACEMENT OF URETHRAL/BLADDER NECK SPHINCTER
53449   REP INFLATABLE SPHINCTER SURGI          $937.28      $937.28
53450   REVISION OF URETHRA                     $611.02      $611.02
53460   MEATOPL URETHRA RICHARDSON TYP          $701.99      $701.99
53500                                                $1,196.72 $1,196.72
              URETHROLYSIS TRANSVAGINAL SECONDARY OPEN W CYSTOURETHROSCOPY
53502         REPAIR OF URETHRA INJURY                 $756.97   $756.97
53505         URETHRORRHAPHY PENILE                    $745.90   $745.90
53510         URETHRORRHAPHY PERINEAL                  $992.97   $992.97
53515         URETHRORRHAPHY PROSTATOMEMBRAN         $1,256.49 $1,256.49
53520         CLS URETHROSTOMY/CUTAN FIST MA           $854.06   $854.06
53600         DIL URETHRA W SOUND MALE INITI           $150.44   $107.58
53601         DIL URETHRA W SOUND MALE SUBSE           $142.64    $88.32
53605         DIL URETH W SOUND ANES MALE HO           $110.87   $110.87
53620         DILATE URETHRA STRICTURE                 $229.39   $144.88
53621         DIL URETH W FILIFORM MALE SUBS           $216.02   $120.63
53660         DIL URETHRA FEMALE INITIAL               $126.86    $66.49
53661         DIL URETHRA FEMALE SUBSEQ                $126.90    $65.92
53665         DIL URETH FEMALE GEN ANES HOSP            $66.51    $66.51
53850         PROSTATIC MICROWAVE THERMOTX           $6,313.70   $873.27
53852         PROSTATIC RF THERMOTX                  $6,023.29   $928.16
53853         PROSTATIC WATER INDUCED THERMOTHERAPY  $3,692.79   $524.04
54000         SLITTING OF PREPUCE                      $256.08   $146.50
54001         SPLIT PREPUCE DORS/LATER EX NB           $311.29   $196.73
54015         INC & DRAINAGE PENIS DEEP                $468.87   $468.87
54050         DESTRUCTION PENIS LESION(S) 1            $168.06   $133.20
54055         DESTRUCTION, PENIS LESION(S)             $161.90   $119.29
54056         CRYOSURGERY, PENIS LESION(S)             $168.93   $137.95
54057         LASER SURG, PENIS LESION(S)              $198.89   $122.51
54060         EXICISION OF PENIS LESION(S)             $290.75   $177.86
54065         DESTRUCTION PENIS LESION(S), EXTENSIVE   $293.62   $216.14
54100         BIOPSY PENIS CUTANEOUS                   $271.21   $161.64
54105         BIOPSY PENIS DEEP STRUCTURES             $452.27   $322.23
54110         EXCISION PENILE PLAQUE                   $887.54   $887.54
54111         EXCIS,PENILE PLAQUE,GRAFT 5 CM         $1,155.13 $1,155.13
54112         EXCIS,PENILE PLAQUE,GRAFT 5 PLUS CM    $1,352.95 $1,352.95
54115         REMOVAL FB PENIS (IMPLANT)               $621.22   $570.33
54120         PARTIAL REMOVAL OF PENIS                 $871.92   $871.92
54125         AMPUTATION PENIS COMPLETE              $1,156.49 $1,156.49
54130         REMOVE PENIS & NODES                   $1,696.16 $1,696.16
54135         AMPUTAT PENIS W INGUIN PLUS PELV AD    $2,185.92 $2,185.92
54150         CIRCUMCISION CLAMP NB                    $353.63   $151.65
54152         CIRCUMCISION CLAMP EX NB OFFIC           $209.95   $209.95
54160         CIRCUMCISION                             $382.67   $213.89
54161         CIRCUMCISION SURGICAL EXC EX N           $288.40   $288.40
54162         LYSIS OF PENILE CIRCUMCISION ADHESIONS $442.70     $265.06
54163         REPAIR OF INCOMPLETE CIRCUMCISION        $296.06   $296.06
54164         FRENULOTOMY OF THE PENIS                 $256.01   $256.01
54200         INJECT FOR PEYRONIE DISEASE              $164.65   $119.27
54205         TREATMENT OF PENIS LESION                $747.58   $747.58
54220         IRRIG CORPORA CAVERNOSA PRIAPI           $362.14   $202.21
54230         PREPARE PENIS STUDY                      $142.24   $117.34
54231         DYNAMIC CAVERNOSOMETRY                   $202.27   $174.62
54235         PENILE INJECTION                         $126.78   $105.74
54240         PLETHYSMOGRAPHY PENIS                    $140.44   $140.44
54240      26 PLETHYSMOGRAPHY PENIS                    $104.91   $104.91
54240 TC      PLETHYSMOGRAPHY PENIS                     $35.55    $35.55
54250         NOCTURNAL PENILE TUMESCENCE               $188.21        $188.21
54250      26 NOCTURNAL PENILE TUMESCENCE               $176.37        $176.37
54250 TC      NOCTURNAL PENILE TUMESCENCE                $11.85         $11.85
54300         RELEASE CHORDEE (HYPOSPADIAS)             $949.65        $949.65
54304         REPAIR FIRST STAGE HYPOSPADIAS          $1,118.58      $1,118.58
54308         REPAIR 2ND STAGE HYPOSPADIAS            $1,058.03      $1,058.03
54312         REPAIR 2ND STAGE HYPOSPAD 3 PLUS CM     $1,232.80      $1,232.80
54316         URETHRO,2ND STAGE 2/SKIN GRAFT          $1,476.08      $1,476.08
54318         URETHRO,3RD STAGE,CECIL REPAIR          $1,035.90      $1,035.90
54322         DISTAL HYPOSPAD,SIMP MEATAL             $1,158.36      $1,158.36
54324         DISTAL HYPOSPAD,URETHROPLASTY           $1,444.04      $1,444.04
54326         RECONSTRUCTION OF URETHRA               $1,398.54      $1,398.54
54328         REVISE PENIS, URETHRA 1                 $1,359.62      $1,359.62
54332         REVISE PENIS, URETHRA                   $1,478.83      $1,478.83
54336         PERINEAL HYPOSPADIAS REPAIR             $1,833.57      $1,833.57
54340         REPAIR OF HYPOSPADIAS,SIMP                $827.43        $827.43
54344         REPAIR HYPOSPADIAS,URETHROPLAS          $1,426.22      $1,426.22
54348         REPAIR HYPOSPADIAS,EXTENSIVE            $1,518.43      $1,518.43
54352         REPAIR HYPOSPADIAS, CRIPPLE             $2,160.38      $2,160.38
54360         PENIS PLASTIC SURGERY                   $1,068.19      $1,068.19
54380         REPAIR PENIS ESPISPADIAS                $1,177.07      $1,177.07
54385         REP PENIS EPISPADIAS W INCONTI          $1,395.88      $1,395.88
54390         REPAIR PENIS AND BLADDER                $1,852.03      $1,852.03
54400         INSERT PENILE PROSTH NON-INFL             $794.35        $794.35
54401         INSERT SELF-CONTD PROSTHESIS              $949.67        $949.67
54405                                                 $1,154.40      $1,154.40
              INSERT INFLAT PROSTHESIS PENIS, PLACE PUMP, CYL, RESERVOIR
54406         REMOVAL OF PENILE PROSTHESIS            $1,044.83      $1,044.83
54408         REPAIR OF PENILE PROSTHESIS             $1,102.25      $1,102.25
54410         REMOVAL/REPLACEMENT OF PENILE PROSTHESIS$1,320.97      $1,320.97
54411                                                 $1,374.47
               REMOVAL/REPLACEMENT OF PENILE PROSTHESIS              $1,374.47
54415          REMOVAL OF PENILE PROSTHESIS             $737.16        $737.16
54416          REMOVAL/ REPLACEMENT OF PENILE PROSTHESIS$966.08        $966.08
54417                                                 $1,214.98
              REMOVAL/ REPLACEMENT OF PENILE PROSTHESIS              $1,214.98
54420         SHNT CORPORA CAVERNOSA-SAPHEN           $1,010.73      $1,010.73
54430         SHNT CORPORA CAVERNOSA-SPONGIO            $907.29        $907.29
54435         FISTULIZ CORPORA CAVERNOSA-GLA            $577.02        $577.02
54440         REPAIR PENIS INJURY                       $855.35        $855.35
54450         PREPUTIAL STRETCHING                      $121.71         $93.49
54500         BIOPSY OF TESTIS                          $114.46        $111.71
54505         BIOPSY TESTIS INCISIONAL UNILA            $319.55        $319.55
54512         EXCISION OF TESTIS LESION                 $759.58        $759.58
54520         ORCHIECTOMY SIMPLE UNILAT                 $480.98        $480.98
54522         PARTIAL ORCHIECTOMY                       $862.94        $862.94
54530         ORCHIECTOMY RADIC INGUINAL APP            $764.89        $764.89
54535         EXTENSIVE TESTIS SURGERY                $1,059.70      $1,059.70
54550         EXPLOR UNDESCEND TESTIS UNILAT            $691.20        $691.20
54560         EXPLOR ABDOM UNDESC TESTIS UNI            $974.84        $974.84
54600         REDUCE TESTIS TORSION                     $628.71        $628.71
54620         FIXATION CONTRALATERAL TESTIS             $437.09        $437.09
54640         ORCHIOPEXY UNILATERAL                     $637.04        $637.04
54650         ORCHIOPEXY - ABD APPROACH               $1,016.75      $1,016.75
54660         REVISION OF TESTIS                        $483.18        $483.18
54670   SUTURE/REPAIR TESTICULAR INJUR         $590.47        $590.47
54680   TRANSPLANT TESTIS TO THIGH           $1,129.36      $1,129.36
54690   LAPAROSCOPY SURGICAL ORCHIECTOMY       $956.94        $956.94
54692                                        $1,108.54
        LAPAROSCOPY ORCHIOPEXY FOR INTRA ABDOMINAL TESTIS $1,108.54
54700   DRAINAGE OF SCROTUM                    $319.28        $319.28
54800   BIOPSY OF EPIDIDYMIS                   $198.30        $196.08
54820   EXPLORATION OF EPIDIDYMIS              $480.06        $480.06
54830   REMOVE EPIDIDYMIS LESION               $499.03        $499.03
54840   EXCISION SPERMATOCELE EPIDIDYM         $473.97        $473.97
54860   EPIDIDYMECTOMY UNILATERAL              $572.04        $572.04
54861   EPIDIDYMECTOMY BILATERAL               $786.45        $786.45
54900   EPIDIDYMOVASOSTOMY UNILATERAL        $1,132.88      $1,132.88
54901   EPIDIDYMOVASOSTOMY BILATERAL         $1,541.69      $1,541.69
55000   PUNCTURE ASPIRATION HYDROCELE          $202.56        $124.53
55040   EXCISION HYDROCELE UNILATERAL          $491.99        $491.99
55041   EXCISION HYDROCELE BILATERAL           $698.10        $698.10
55060   REPAIR HYDROCELE (BOTTLE TYPE)         $512.55        $512.55
55100   DRAINAGE OF SCROTUM ABSCESS            $335.26        $218.49
55110   EXPLORE SCROTUM                        $524.76        $524.76
55120   REMOVAL FB SCROTUM                     $477.29        $477.29
55150   RESECTION SCROTUM                      $659.09        $659.09
55175   REVISION OF SCROTUM 1                  $489.44        $489.44
55180   REVISION OF SCROTUM                    $961.76        $961.76
55200   VASOTOMY OR VAS CANNULIZATION          $942.98        $392.92
55250   VASECTOMY                              $838.75        $326.33
55300   PREPARATION,SPERM DUCT X-RAY           $288.52        $288.52
55400   REPAIR OF SPERM DUCT                   $748.83        $748.83
55450   LIGATION OF SPERM DUCT                 $640.35        $356.46
55500   REMOVAL OF HYDROCELE                   $521.14        $521.14
55520   EXCISION LESION SPERMATIC CORD         $562.93        $562.93
55530   EXCISION VARICOCELE                    $516.54        $516.54
55535   EXCISION VARICOCELE ABDOM APPR         $592.73        $592.73
55540   EXCISION VARICOC W HERNIA REPA         $697.83        $697.83
55550                                          $590.90        $590.90
        LAPAROSCOPY SURGICAL W LIGATION OF SPERMATIC VEINS FOR VARICOCELE
55600   INCISE SPERM DUCT POUCH                $583.70        $583.70
55605   VESICULOTOMY COMPLICATED               $730.33        $730.33
55650   VESICULECTOMY UNILATERAL             $1,022.77      $1,022.77
55680   EXCISION MULLERIAN DUCT CYST           $487.42        $487.42
55700   BIOPSY PROSTATE NEEDLE/PUNCH           $328.68        $132.23
55705   BIOPSY PROSTATE INCISIONAL             $408.33        $408.33
55720   DRAINAGE OF PROSTATE ABSCESS           $697.16        $697.16
55725   PROSTATOTOMY W DRN ABSCS COMPL         $786.17        $786.17
55801   PROSTATECTOMY PERINEAL SUBTOTA       $1,520.09      $1,520.09
55810   PROSTATECTOMY PERINEAL RADICAL       $1,884.59      $1,884.59
55812   PROSTATECT PERINEL RAD PLUS LYMPH B $2,304.59       $2,304.59
55815   PROSTATECT PERINEL RAD PLUS LYMPHAD $2,533.28       $2,533.28
55821   REMOVAL OF PROSTATE                  $1,220.56      $1,220.56
55831   PROSTATECT RETROPUBIC SUBTOTAL       $1,330.11      $1,330.11
55840   PROSTATECT RETROPUBIC RADICAL        $1,910.66      $1,910.66
55842   PROSTATECT RETROPUB RAD PLUS LYMPH $2,044.17        $2,044.17
55845   PROSTATECT W PELVIC LYMPHADENE       $2,362.73      $2,362.73
55859   TRANS PLACE INTO PROSTATE            $1,093.23      $1,093.23
55860   SURGICAL EXPOSURE, PROSTATE            $1,243.80     $1,243.80
55862   EXPOS PROSTATE W/NODE BIOPSY           $1,573.04     $1,573.04
55865   EXPOS PROSTATE W/LYMPHADENECT          $1,920.16     $1,920.16
55866                                          $2,539.99     $2,539.99
        LAPAROSCOPY SURG PROSTATECT RETROPUBIC RAD INCL NERVE SPARING
55870   ELECTROEJACULATION                       $242.96       $218.06
55873   CRYOSURGICAL ABLATION OF PROSTATE      $1,693.28     $1,693.28
56405   I&D OF VULVA/PERINEUM                    $159.09       $148.96
56420   DRAINAGE OF GLAND ABSCESS                $206.00       $140.41
56440   MARSUPIALIZATION CYST BARTHOLI           $265.26       $265.26
56441   LYSIS OF LABIAL ADHESIONS                $215.93       $194.59
56501   DESTRUCTION, VULVA LESION(S), SIMPLE     $188.20       $159.41
56515   DESTRUCTION, VULVA LESION(S), EXTENSIVE $304.22        $265.30
56605   BIOPSY OF VULVA/PERINEUM                 $124.41        $91.88
56606   BIOPSY OF VULVA/PERINEUM 1                $59.99        $45.59
56620   VULVECTOMY PARTIAL UNILAT/BILA           $712.54       $712.54
56625   VULVECTOMY COMPLETE BILATERAL            $797.22       $797.22
56630   VULVECTOMY RADL WO SKIN GRAFT          $1,120.28     $1,120.28
56631   REMOVE VULVA/LYMPH NODE                $1,460.31     $1,460.31
56632   VULVECTOMY,RAD W/BILAT LYMPH           $1,745.28     $1,745.28
56633   VULVECTOMY,RADICAL                     $1,464.81     $1,464.81
56634   VULVECTMY W/LYMPHADENECTMY UNI         $1,596.49     $1,596.49
56637   VULVECTMY W/LYMPHADENECTMY BI          $1,931.24     $1,931.24
56640   VULVECT W INGUIN PLUS PELV NODES UN    $1,928.38     $1,928.38
56700   PARTIAL REMOVAL OF HYMEN                 $251.97       $251.97
56720   INCISION OF HYMEN                         $68.82        $68.82
56740   EXCISION BARTHOLIN GLAND/CYST            $415.78       $415.78
56800   REPAIR OF VAGINA                         $353.67       $353.67
56805   CLITOROPLASTY ANDROGENITAL SY          $1,651.23     $1,651.23
56810   PERINEOPLASTY,NON-OB                     $374.14       $374.14
56820   COLPOSCPY OF THE VULVA                   $161.81       $126.60
56821   COLPOSCOPY OF THE VULVA WITH BIOPSYS $218.76           $173.97
57000   COLPOTOMY W EXPLORATION                  $272.05       $272.05
57010   COLPOTOMY W DRAIN ABSCESS PELV           $570.07       $570.07
57020   COLPOCENTESIS                            $141.71       $123.04
57022   I & S OF VAGINAL HEMATOMA, POST OB       $234.62       $234.62
57023                                            $426.91
        I & D OF VAGINAL HEMATOMA TRAUMA NON-OBSTETRICAL       $426.91
57061   DESTRUCTION VAGINA LESION(S)             $164.62       $136.35
57065   DESTRUCTION VAGINA LESION(S), EXTENSIVE $281.99        $248.93
57100   BIOPSY OF VAGINA                         $131.01        $99.01
57105   BIOPSY VAGINAL MUCOSA EXTENSIV           $198.95       $179.22
57106                                            WALL
        VAGINECTOMY,PARTIAL REMOVAL OF VAGINAL $610.97         $610.97
57107                                          $1,961.88     $1,961.88
        VAGINECTOMY,PART REMOVAL VAGINAL WALL - W/REMOVAL OF PARAVAGINAL TISSUE
57109                                          $2,248.48     $2,248.48
        VAGINECTOMY,PART REMOV VAG WALL:W/REMOVE PARAVAG W/BIL TOTAL LYMPHADE
57110   COLPECTOMY COMPLETE                    $1,261.60     $1,261.60
57111                                          $2,322.29     $2,322.29
        VAGINECTOMY,COMPLETE REMOVE BAG WALL:W/REMOVE OF PARAVAGINAL TISSUE
57112                                          - W REMOV PARAVAG TISS W/BIL PELVIC LYMP
        VAGINECTOMY,COMPLETE REMOV VAG WALL $2,403.64        $2,403.64
57120   COLPOCLESIS LE FORT TYPE                 $698.25       $698.25
57130   EXCISION VAGINAL SEPTUM                  $263.55       $231.03
57135   EXCISION CYST/TUMOR VAGINA               $283.80       $251.28
57150   TREAT VAGINA INFECTION                    $92.15        $44.69
57155                                            $614.83       $614.83
        INSERTION OF UTERINE TANDEMS/VAGINAL OVOIDS FOR CLINICAL BRACHYTHERAPY
57160   INSERTION OF PESSARY                     $108.16        $72.44
57170   FITTING OF DIAPHRAGM/CAP                 $134.73        $73.42
57180   TREAT VAGINAL BLEEDING                   $211.68       $163.68
57200   COLPORRHAPHY                             $394.22       $394.22
57210   REPAIR VAGINA/PERINEUM                   $498.88       $498.88
57220   SPHINCTEROPLASTY URETHRA                 $428.30       $428.30
57230   PLASTIC REPAIR URETHROCELE               $521.73       $521.73
57240   REPAIR BLADDER & VAGINA                  $570.64       $570.64
57250   COLPORRHAPHY POSTERIOR                   $528.28       $528.28
57260   COLPORRHAPHY ANTEROPOSTERIOR             $763.13       $763.13
57265   COLPORRHAP A&P W ENTEROCELE RE         $1,014.04     $1,014.04
57267                                            $406.25       $406.25
        MESH/PROSTHESIS INSERTION, FOR PELVIC FLOOR DEFECT REPAIR, EA SITE
57268   REP ENTEROCELE VAGINAL APPR              $636.09       $636.09
57270   REP ENTEROCELE ABDOMINAL APPR          $1,072.35     $1,072.35
57280   COLPOPEXY ABDOMINAL APPR               $1,307.88     $1,307.88
57282   REPAIR OF VAGINAL PROLAPSE               $667.89       $667.89
57283                                            $969.11       $969.11
        COLPOPEXY, VAGINAL - INTRA-PERITONEAL APPROACH (UTEROSACRAL, LEVATOR
57284   PARAVAGINAL DEFECT REPAIR              $1,153.85     $1,153.85
57287                                            $932.99
        REMOVAL/REVISION OF SLING FOR STRESS INCONTINENCE      $932.99
57288   REPAIR BLADDER DEFECT                  $1,095.00     $1,095.00
57289   PEREYRA PROCEDURE                      $1,023.54     $1,023.54
57291   CONST ARTIFICIAL VAGINA WO GRF           $748.24       $748.24
57292   CONSTRUCT VAGINA WITH GRAFT            $1,170.44     $1,170.44
57300   REPAIR RECTUM-VAGINA FISTULA             $692.17       $692.17
57305   FISTULECT RECTOVAGINAL ABD APP         $1,178.23     $1,178.23
57307   FISTULA REPAIR & COLOSTOMY             $1,348.46     $1,348.46
57308   FISTULA REPAIR, TRANSPERINE              $877.83       $877.83
57310   REPAIR URETHROVAGINAL LESION             $609.00       $609.00
57311   REPAIR URETHROVAGINAL LESION 1           $696.22       $696.22
57320   REPAIR BLADDER-VAGINA LESION             $712.38       $712.38
57330   FISTULECT VESICOVAGIN TRANSVES         $1,044.03     $1,044.03
57335   REPAIR VAGINA                          $1,614.03     $1,614.03
57400   DILAT VAGINA UNDER ANESTHESIA            $197.51       $197.51
57410   EXAM PELVIS UNDER ANESTHESIA             $212.96       $153.24
57415   REMOVAL VAGINAL FORIEGN BODY             $207.98       $207.98
57420                                            $169.62
        COLPOSCOPY OF THE ENT VAGINA WITH CERVIX IF PRESENT    $133.36
57421                                            $232.83       $185.91
        COLPOSCOPY OF THE ENTIRE VAGINA WITH CERVIX IF PRESENT WITH BIOPSYS
57425   LAPAROSCOPY SURGICAL COLPOPEXY         $1,312.26     $1,312.26
57452   COLPOSCOPY                               $159.84       $132.11
57454   COLPOSC W BIOPSIES/BIOPSY CERV           $230.30       $204.18
57455                                            $213.75       $168.44
        COLPOSCOPY OF THE CERVIX INCLUDING UPPER ADJACENT VAGINA WITH BIOPSYS
57456                                            $201.32       $157.07
        COLPOSCPY OF CERVIX INCL UPPER ADJACENT VAGINA W ENDOCERV
57460   VAGINA EXAM/CERVIX EXCISION              $484.92       $247.10
57461                                            $535.48       $288.59
        COLPSCOPY OF THE CERVIX INCL UPPER ADJA VAGINA WITH LOOP ELECT
57500   BIOPSY OF CERVIX                         $194.67        $92.82
57505   ENDOCERVICAL CURETTAGE                   $147.48       $128.28
57510                                            $
        CAUTERIZATION OF CERVIX, ELECTRO/THERMAL199.36         $171.64
57511   CRYOCAUTERIZATION CERVIX                 $213.22       $189.23
57513   LASER ABLATION CERVIX                    $208.27       $191.19
57520   CONIZATION OF CERVIX                     $456.48       $399.95
57522                                            $373.26
        CONIZATION OF CERVIX W/LOOP ELECTRODE EXCISION         $335.94
57530   REMOVAL OF CERVIX                        $473.50       $473.50
57531   REMOVAL OF CERVIX, RADICAL             $2,414.06     $2,414.06
57540   EXC CERVICAL STUMP ABDOM APPR          $1,080.71    $1,080.71
57545   EXC CERVIC STUMP W REP PELVIC          $1,151.29    $1,151.29
57550   EXC CERVICAL STUMP VAGIN APPR            $542.00      $542.00
57555   EXC CERVICAL STUMP W A/P REPAI           $818.83      $818.83
57556   EXC CERVIC STUMP W REP ENTEROC           $768.36      $768.36
57700   CERCLAGE UTERINE CERVIX                  $381.76      $381.76
57720   TRACHELORRHAPHY VAGINAL APPR             $417.32      $417.32
57800   DILATION CERVICAL CANAL                   $87.64       $72.17
57820   D & C CERVICAL STUMP                     $180.74      $163.15
58100   BIOPSY OF UTERUS LINING                  $164.04      $132.06
58120   DILATION AND CURETTAGE (D&C)             $323.02      $300.08
58140                                          $1,273.54
        MYOMECTOMY, SINGLE/MULTI, ABDOMINAL APPROACH        $1,273.54
58145   MYOMECTOMY VAGINAL APPR                  $747.55      $747.55
58146                                          $1,642.58    $1,642.58
        MYOM EXC OF FIBROID TUMORS OF UTERUS 5 OR MORE INTRAMURAL MYOMAS
58150   HYSTERECTOMY TOTAL                     $1,331.26    $1,331.26
58152   TOT HYSTEREC W COLPO-URETHROCY         $1,784.03    $1,784.03
58180   PARTIAL HYSTERECTOMY                   $1,326.12    $1,326.12
58200   HYSTERECTOMY TOTAL ABDOMINAL           $1,850.73    $1,850.73
58210   HYSTERECT RADICAL W BILATERAL          $2,463.54    $2,463.54
58240   HYSTERECT W PELVIC EXENTERATIO         $3,271.83    $3,271.83
58260   HYSTERECTOMY VAGINAL                   $1,151.02    $1,151.02
58262   VAG HYSTERCTMY W/EXC TUBE/OVRY         $1,297.73    $1,297.73
58263   VAGINAL HYSTERECTOMY                   $1,403.30    $1,403.30
58267   HYSTERECTOMY & VAGINA REPAIR           $1,489.03    $1,489.03
58270   HYSTERECT VAG W REP ENTEROCELE         $1,249.08    $1,249.08
58275                                          $1,378.15
        HYSTERECTOMY VAG W TOTAL OR PARTIAL VAGINECTOMY     $1,378.15
58280   HYSTER VAG W COLPECT REP ENTER         $1,479.04    $1,479.04
58285   HYSTERECTOMY VAGINAL RADICAL           $1,893.26    $1,893.26
58290                                          $1,649.35    $1,649.35
        VAGINAL HYSTERECTMY FOR UTERUS GREATER THAN 250 GRAMS
58291                                          THAN 250     $1,798.52
        VAG HYSTERECTOMY FOR UTERUS GREATER$1,798.52 GRAMS WITH REMOV OF TUBES
58292                                          $1,905.06    $1,905.06
        VAGINL HYSTERCTMY UTERUS GREATER THAN 250 GRAMS REMOVAL OF TUBES
58293                                          $1,979.19    COLPO URETHROCYST
        VAGINAL HYST FOR UTERUS GREATER THAN 250 GRAMS WITH $1,979.19
58294                                          $1,746.47    $1,746.47
        VAGINAL HYSTERECTOMY FOR UTERUS GREATER THAN 250 GRAMS REPAIR OF ENTER
58300   INSERTION INTRAUTERINE DEVICE            $137.59       $82.13
58301   REMOVAL INTRAUTERINE DEVICE              $148.16      $103.35
58321   ARTIFICIAL INSEM - INTRA CERV            $117.33       $75.73
58322   ARTIFICIAL INSEM - INTRAUTERINE          $131.35       $89.75
58323   SPERM WASHING FOR ARTIFICIAL INSEMINATION$42.45        $18.99
58340   CATHETER FOR HYSTEROGRAPHY               $221.87       $88.02
58345   PLACE CATHETER TUBE                      $409.07      $409.07
58346                                            $613.62
        INSERTIO OF HEYMAN CAPSULES FOR CLINICAL BRACHYTHERAPY$613.62
58350   HYDROTUBATION OVIDUCT                    $141.33      $110.94
58353                                          $2,119.00       GUIDANCE
        ENDOMETRIAL ABLATION, THERMAL, WITHOUT HYSTEROSCOPIC$326.71
58356                                          $3,667.82      $535.45
        ENDOMETRIAL CRYOABLATION W/US, W/ENDOMETRIAL CURETTAGE,
58400   SUSPENSION OF UTERUS                     $598.01      $598.01
58410   SUSPEN UTERUS W SYMPATHECTOMY          $1,119.21    $1,119.21
58520   REPAIR OF RUPTURED UTERUS              $1,052.62    $1,052.62
58540   REVISION OF UTERUS                     $1,267.05    $1,267.05
58545                                          $1,277.04    $1,277.04
        LAPROSCOPY SURGICL MYOMECTOMY EXCISION 1 TO 4 INTRAMURAL MYOMAS WITH
58546                                          $1,638.15    $1,638.15
        LAPAROSCPY SURG MYOMECTMY EXCISION 5 OR MORE INTRAMURAL MYOMAS
58550                                          $1,257.37    $1,257.37
        LAPAROSCOPY SURGICAL W VAGINAL HYSTERECTOMY W OR W/O REMOVAL OF TUBES
58552                                          $1,398.56     LESS REMOV OF TUBES
        LAPARSCPY SURG W VAG HYSTERECT FOR UTER 250 GRAMS$1,398.56
58553                                             FOR UTER     $1,638.53
        LAPAROSCPY SURG W VAG HYSTERECTOMY$1,638.53 GREAT THAN 250 GRAMS
58554                                            $1,885.94     $1,885.94
        LAPARO SURGICAL W VAGINAL HYSTERECTOMY FOR UTERUS GREAT THAN 250 GRAMS
58555   HYSTEROSCOPY DIAGNOSTIC                    $320.94       $286.80
58558                                              $406.33       $406.33
        HYSTEROSCOPY SURGICAL W BIOSPY OF ENDOMETRUIM &/OR POLYPECTOMY W OR W/O
58559                                              $522.86
        HYSTEROSCOPY W LYSIS OF INTRAUTERINE ADHESIONS ANY METHOD$522.86
58560                                              $592.41       $592.41
        HYSTEROSCOPY W DIVISION OR REPECTION OF INTRAUTERINE SEPTUM ANY METHOD
58561   HYSTEROSCOPY W REMOVAL OF LEIOMYOMATA      $840.31       $840.31
58562                                              $443.94
        HYSTEROSCOPY W REMOVAL OF IMPACTED FOREIGN BODY          $443.94
58563                                            $3,374.03
        HYSTEROSCOPY W/ENDOMETRIAL ABLATION (ANY METHOD)         $524.29
58565                                            $3,086.23       CANNULATION
        HYSTEROSCOPY, SURGICAL - WITH BILATERAL FALLOPIAN TUBE $651.37
58600   TRANSECTION FALLOPIAN TUBE                 $519.46       $519.46
58605   DIVISION OF FALLOPIAN TUBE                 $471.41       $471.41
58611                                              $119.14       $119.14
        LIGATION FALLOPIAN TUBE AT CESAR. DELIV/INTRA ABDOM. SURGERY
58615   OCCLUDE FALLOPIAN TUBE(S)                  $382.56       $382.56
58660   LAPAROSCOPY SURGICAL W LYSIS OF ADHESIONS  $971.87       $971.87
58661   LAPAROSCOPY W REMOVAL OF ADNEXAL STRUCTURES$949.42       $949.42
58662                                            $1,030.03     $1,030.03
        LAPAROSCOPY FULGURATION/EXCISION OF LESIONS OF OVARY PELVIC VISCERA OR
58670   LAPAROSCOPY FULGURATION OF OVIDUCTS $517.03              $517.03
58671                                              $517.03
        LAPAROSCOPY OF OCCLUSION OF OVIDUCTS BY DEVICE           $517.03
58672   LAPAROSCOPY FIMBRIOPLASTY                $1,119.28     $1,119.28
58673   LAPAROSCOPY SALPINOSTOMY                 $1,191.91     $1,191.91
58700   SALPINGECTOMY UNILAT/BILAT               $1,058.46     $1,058.46
58720   REMOVAL OF OVARY/TUBE(S)                 $1,003.19     $1,003.19
58740   LYSIS OF ADHESIONS (TUBES, OVARIES)      $1,236.92     $1,236.92
58750   REPAIR OVIDUCT(S)                        $1,302.90     $1,302.90
58752   IMPLANTATION TUBOUTERINE                 $1,278.63     $1,278.63
58760   REMOVE TUBAL OBSTRUCTION                 $1,169.26     $1,169.26
58770   SALPINGOSTOMY                            $1,224.83     $1,224.83
58800   DRAINAGE OF OVARIAN CYST(S)                $444.44       $404.98
58805   DRNAGE OVARIAN CYST ABDOM APPR             $544.80       $544.80
58820   OPEN DRAIN OVARY ABSCESS                   $434.08       $434.08
58822   PERCUT DRAIN OVARY ABSCESS                 $895.21       $895.21
58823   PERCUT DRAIN PELVIC ABSCESS              $1,337.68       $260.50
58825   TRANSPOSITION, OVARY(S)                    $980.79       $980.79
58900   BIOPSY OVARY                               $555.54       $555.54
58920   WEDGE RESECTION OVARY                      $994.03       $994.03
58925   CYSTECTOMY OVARIAN                         $999.14       $999.14
58940   OOPHORECTOMY UNILAT/BILAT                  $665.52       $665.52
58943   REMOVAL OF OVARY(S) MALIGNANCY           $1,588.39     $1,588.39
58950   RESECT OVARIAN MALIGNANCY 1              $1,483.26     $1,483.26
58951   RESECT OVARIAN MALIGNANCY 2              $1,923.35     $1,923.35
58952   RESECT OVARIAN MALIGNANCY                $2,155.91     $2,155.91
58953                                            $2,730.78     $2,730.78
        HYSTERECTOMY/REMOVAL OF TUBES/OVARIES W/RADICAL DISSECTION
58954                                            $2,976.55     $2,976.55
        HYSTERECTOMY /REMOVAL OF TUBES/OVARIES W/RADICAL DISSECTION/LYMPHADENECTOM
58956                                            $1,879.51     $1,879.51
        BILAT SALPINGO-OOPHORECTOMY W/TOTAL OMENTECTOMY/ABDOMINAL HYSTER
58960   EXPLORATION OF ABDOMEN                   $1,288.95     $1,288.95
58970   FOLLICLE PUNCTURE OOCYTE RETR              $338.88       $295.14
58974   EMBRYO TRANSFER,ANY METHOD                 $202.65       $202.65
58976   TRANSFER OF EMBRYO                         $377.53       $331.66
59000   AMNIOCENTESIS DIAGNOSTIC                   $195.86       $121.21
59001   THERAPEUTIC AMNIOTIC FLUID REDUCTION       $272.25       $272.25
59012   FETAL CORD PUNCTURE,PRENATAL               $307.93       $307.93
59015         CHORION BIOPSY                          $227.14       $199.95
59020         FETAL CONTRACTION STRESS TEST            $88.85        $88.85
59020      26 FETAL CONTRACTION STRESS TEST            $57.36        $57.36
59020 TC      FETAL CONTRACTION STRESS TEST            $31.49        $31.49
59025         FETAL NON-STRESS TEST                    $58.83        $58.83
59025      26 FETAL NON-STRESS TEST                    $45.80        $45.80
59025 TC      FETAL NON-STRESS TEST                    $13.02        $13.02
59030         FETAL SCALP BLOOD SAMPLE                $171.74       $171.74
59050         FETAL MONITOR W/REPORT                   $77.10        $77.10
59051         FETAL MONITORING, INTERPRETATION ONLY    $63.88        $63.88
59070                                                 $582.73
              TRANSABDOMINAL AMNIOINFUSION W US GUIDANCE            $431.30
59072                                                 $682.93
              FE TAL UMBILICAL CORD OCCLUSION W US GUIDANCE         $682.93
59074         FETAL FLUID DRAINAGE W US GUIDANCE      $551.80       $431.30
59076         FET AL SHUNT PLACEMENT W US GUIDANCE $682.93          $682.93
59100         REMOVE UTERUS LESION                  $1,153.58     $1,153.58
59120         SALPINGECTOMY TUBAL PREGNANCY         $1,084.12     $1,084.12
59121         TREATMENT TUBAL PREGNANCY             $1,102.00     $1,102.00
59130         TREATMENT ABDOMINAL PREGNANCY         $1,187.79     $1,187.79
59135         HYSTERECTOMY INTERSTITIAL PREG        $1,295.06     $1,295.06
59136         TREAT ECTOPIC PREGNANCY 1             $1,216.22     $1,216.22
59140         TREATMENT CERVICAL PREGNANCY            $475.85       $475.85
59150         TREAT ECTOPIC PREGNANCY               $1,084.41     $1,084.41
59151         TREAT ECTOPIC PREGNANCY 2             $1,075.88     $1,075.88
59160         D&C AFTER DELIVERY                      $353.40       $291.55
59200         INSERT CERVICAL DILATOR                 $115.46        $68.00
59300         EPISIOTOMY OR VAGINAL REPAIR            $274.00       $209.49
59320         REVISION OF CERVIX                      $228.78       $228.78
59325         REVISION OF CERVIX 1                    $364.44       $364.44
59350         REPAIR OF UTERUS                        $424.24       $424.24
59400         OBSTETRIC CARE TOTAL                  $2,328.97     $2,328.97
59409         DELIVERY,VAGINAL ONLY                 $1,167.70     $1,167.70
59410         OBSTETRICAL CARE                      $1,305.00     $1,305.00
59412         ANTIPARTUM MANIPULATION                 $155.35       $155.35
59414         DELIVERY OF PLACENTA                    $139.84       $139.84
59425         ANTEPARTUM CARE ONLY - 4-6 VISIT        $539.04       $413.73
59426         ANTEPARTUM CARE ONLY                    $945.04       $714.68
59430         POSTPARTUM CARE                         $205.35       $189.89
59510         CESAREAN DELIVERY                     $2,639.50     $2,639.50
59514         CESAREAN DELIVERY ONLY                $1,378.32     $1,378.32
59515         CESAREAN WITH POSTPARTUM CARE         $1,556.05     $1,556.05
59525         REMOVE UTERUS AFTER CESAREAN            $732.96       $732.96
59610                                               $2,459.69     $2,459.69
              ROUTINE OB INCLUD ANTEPARTUM CARE,VAGINAL DELV,& POST CARE AFTER PREV CSECT
59612         VAGINAL DELIVERY                      $1,310.20     $1,310.20
59614         VAGINAL DEL INCL POSTPARTUM           $1,441.11     $1,441.11
59618         ROUTINE OB CARE, C-SECTION            $2,793.35     $2,793.35
59620         C-SECTION                             $1,509.57     $1,509.57
59622         C-SECTION INCL POSTPARTUM             $1,701.20     $1,701.20
59812         TREATMENT OF MISCARRIAGE                $397.95       $397.95
59820         ABORT MISSED MED/SURGICAL MGMN          $498.20       $452.33
59821         TREATMENT OF MISCARRIAGE 1              $520.46       $474.06
59830         TREAT UTERUS INFECTION                  $612.80       $612.80
59840         ABORTION LEGAL D & C                    $310.69       $310.69
59841   ABORTION LEGAL D & EVACUATION            $529.36    $501.63
59850   ABORT LEGAL INTRAMNIOTIC INJEC           $556.49    $556.49
59851   ABORTION LEGAL INJECT W D&C              $583.75    $583.75
59852   ABORT LEGAL INJECT W HYSTEROTO           $803.43    $803.43
59855   ABORTION, INDUCED                        $589.90    $589.90
59856   ABORTION, INDUCED W/D&C                  $706.90    $706.90
59857   INDUCED ABORTION W/HYSTEROTOMY           $853.36    $853.36
59866   MULTIFETAL PREGNANCY REDUCTIONS (MPR) $360.08       $360.08
59870   EVACUATE MOLE OF UTERUS                  $633.03    $633.03
59871   REMOVE CERCLAGE SUTURE                   $232.55    $200.02
60000   INC & DRAINAGE THYROGLOSSAL CY. INFECTED $223.27    $211.22
60001   ASPIRATION AND/OR INJECTION, THYROID CYST$142.94     $81.00
60100   BIOPSY THYROID NEEDLE                    $179.62    $129.71
60200   EXCISION THYROID CYST OR ADENO           $966.46    $966.46
60210   PARTIAL THYROID LOBECTOMY, UNILATERAL $1,035.90   $1,035.90
60212                                          $1,495.31
        PARTIAL THYROID LOBECTOMY W/ISTHMUSECTOMY         $1,495.31
60220   THYROID LOBECTOMY TOTAL UNILAT         $1,131.49  $1,131.49
60225   THYR LOBECT W S/T CONTRALAT LO         $1,355.75  $1,355.75
60240   REMOVAL OF THYROID                     $1,489.16  $1,489.16
60252   THYROIDEC W LIMIT NECK DISSECT         $1,926.56  $1,926.56
60254   EXTENSIVE THYROID SURGERY              $2,563.28  $2,563.28
60260   THYROIDECTOMY SECONDARY UNILAT         $1,639.11  $1,639.11
60270                                          $1,927.68  $1,927.68
        THYROIDECTOMY, STERN SPLIT OR TRANSTHORACIC APPROACH
60271   THYROIDECTOMY, CERVICAL APPROACH       $1,590.52  $1,590.52
60280   EXC THYROGLOS DUCT CYST/SINUS            $646.99    $646.99
60281   REMOVE THYROID DUCT LESION               $884.23    $884.23
60500   PARATHYROIDEC/EXPL PARATHYROID         $1,495.31  $1,495.31
60502   RE-EXPLORE PARATHYROIDS                $1,878.77  $1,878.77
60505   PARATHYROIDECT W MEDIASTIN EXP         $2,042.89  $2,042.89
60512   PARATHYROID AUTOTRANSPLANTATION          $385.91    $385.91
60520   REMOVAL OF THYMUS GLAND                $1,587.22  $1,587.22
60521                                          $1,808.99  $1,808.99
        THYMECTOMY, STERNAL SPLIT OR TRANSTHORACIC APPROACH
60522                                          $2,184.37
        THYMECTOMY W/RADICAL MEDIASTINAL DISSECTION       $2,184.37
60540   ADRENALECTOMY/EXPL ADRENAL UNI         $1,544.17  $1,544.17
60545   ADRENALEC W EXC RETROPERIT LES         $1,786.07  $1,786.07
60600   EXC CAROT BODY LES WO EXC ARTE         $1,810.37  $1,810.37
60605   EXC CAROT BODY LES W EXC ARTER         $2,036.34  $2,036.34
60650   LAPAROSCOPY ADRENALECTOMY              $1,769.13  $1,769.13
61000   TAP SUBDURAL INFANT INITIAL              $150.76    $150.76
61001   TAP SUBDURAL INFANT SUBSEQUENT           $152.71    $152.71
61020   PUNCTURE VENTRICLE WO INJECTIO           $174.45    $174.45
61026   VENTRICULAR PUNCTURE W/INJECT            $187.45    $187.45
61050   REMOVE BRAIN CANAL FLUID                 $163.56    $163.56
61055   CISTERNAL/CERVICAL PUNCTURE W/INJECTION$208.59      $208.59
61070   BRAIN CANAL SHUNT PROCEDURE              $114.19    $114.19
61105   PUNCTURE VENTRIC W TWIST DRILL           $569.74    $569.74
61107   DRILL SKULL FOR IMPLANTATION             $482.07    $482.07
61108   DRILL SKULL FOR DRAINAGE               $1,093.16  $1,093.16
61120   PUNCTURE VENTRIC W TREPHINE              $921.66    $921.66
61140   PIERCE SKULL FOR BIOPSY                $1,639.82  $1,639.82
61150   TREPHINE W DRAINAGE ABSCESS/CY         $1,774.51  $1,774.51
61151   TREPHINE W ASPIRAT ABSCS SUBSE         $1,278.83  $1,278.83
61154   TREPHINE W DRN HEMAT DURA UNIL         $1,565.61   $1,565.61
61156   TREPHINE W ASPR HEMAT CEREBRAL         $1,662.59   $1,662.59
61210   PIERCE SKULL - IMPLANT DEVICE            $561.18     $561.18
61215   INSERT SUBCUTANEOUS RESERVOIR            $555.76     $555.76
61250   TREPHINE W EXPL SUPRATENTOR UN         $1,098.49   $1,098.49
61253   TREPHINE INFRATENTORIAL                $1,255.49   $1,255.49
61304   EXPLORATION SUPRATENTORIAL             $2,204.86   $2,204.86
61305   EXPLORATION INFRATENTORIAL             $2,638.56   $2,638.56
61312   OPEN SKULL FOR DRAINAGE 1              $2,517.46   $2,517.46
61313   INCISE SKULL FOR DRAINAGE              $2,530.07   $2,530.07
61314   OPEN SKULL FOR DRAINAGE                $2,385.41   $2,385.41
61315   OPEN SKULL FOR DRAINAGE 2              $2,784.46   $2,784.46
61316                                             CRANIAL    $128.38
        INCISION AND SUBCUTANEOUS PLACEMENT OF$128.38 BONE GRAFT
61320   DRAINAGE ABSCESS SUPRATENTORIA         $2,567.19   $2,567.19
61321   DRAINAGE ABSCESS INFRATENTORIA         $2,839.25   $2,839.25
61322                                          $2,886.00   $2,886.00
        CRANIECTOMY OR CRAINOTOMY DECOMP W WO DURAPLAS FOR TREAT INTRACRAN
61323                                          $3,018.51   $3,018.51
        CRANIECT OR CRAINOTOMY DECOMP W WO DURAPLASTY TREAT INTRACRAN HTN
61330   DECOMPRESS EYE SOCKET                  $2,223.08   $2,223.08
61332   EXPLORATION ORBIT W BIOPSY             $2,647.92   $2,647.92
61333   EXPLORAT ORBIT W REMOVAL LESIO         $2,655.08   $2,655.08
61334   EXPLORATION ORBIT W REMOVAL FB         $1,730.69   $1,730.69
61340   DECOMPRES SUPRATENTORIAL UNILA         $1,892.35   $1,892.35
61343   INCISE SKULL,PRESSURE RELIEF           $2,970.46   $2,970.46
61345   RELIEVE CRANIAL PRESSURE               $2,712.89   $2,712.89
61440   SECTION TENTORIUM CEREBELLI            $2,619.28   $2,619.28
61450   SECTION GASSERIAN GANGLION ROO         $2,540.74   $2,540.74
61458   INCISE SKULL FOR BRAIN WOUND           $2,726.38   $2,726.38
61460   SECT CRANIAL NERVE(S) SUBOCCIP         $2,808.25   $2,808.25
61470   TRACTOT MEDULLARY SUBOCCIPITAL         $2,527.31   $2,527.31
61480   TRACTOT MESENCEPHALIC SUBOCCIP         $2,664.41   $2,664.41
61490   LOBOTOMY UNILATERAL                    $2,569.54   $2,569.54
61500   REMOVAL OF SKULL LESION                $1,805.28   $1,805.28
61501   CRANIECTOMY, OSTEOMYELITIS             $1,499.92   $1,499.92
61510   EXCISION TUMOR SUPRATENTORIAL          $2,874.48   $2,874.48
61512   EXCISION MENINGIOMA SUPRATENTO         $3,495.28   $3,495.28
61514   REMOVAL OF BRAIN ABSCESS               $2,529.04   $2,529.04
61516   EXCISION CYST SUPRATENTORIAL           $2,478.61   $2,478.61
61517                                            $130.01     $130.01
        INPLANTATION OF BRAIN INTRACAVITARY CHEMOTHERAPY AGENT
61518   EXCISION TUMOR INFRATENTORIAL          $3,725.75   $3,725.75
61519   REMOVE BRAIN LINING LESION             $4,082.58   $4,082.58
61520   EXC TUMOR CEREBELLOPONTINE ANG         $5,323.25   $5,323.25
61521   CRANIECTOMY, MIDLING TUMOR             $4,367.38   $4,367.38
61522   EXCISION ABSCESS INFRATENTORIA         $2,931.19   $2,931.19
61524   EXCISION CYST INFRATENTORIAL           $2,765.94   $2,765.94
61526   EXC LES CEREBELLOPONT TRANSTEM         $4,967.25   $4,967.25
61530   EXC LES CEREBPONT TRANSTEMP PLUS OT $4,200.98      $4,200.98
61531   IMPLANT BRAIN ELECTRODES               $1,510.43   $1,510.43
61533   CRANIECTOMY, INSERT ELECTRODE          $1,989.79   $1,989.79
61534   EXC SCAR CEREBRAL CORTEX               $2,110.49   $2,110.49
61535   REMOVE BRAIN ELECTRODES                $1,208.74   $1,208.74
61536   EXC SCAR CORTEX PLUS ELECTROCORTICO $3,523.58      $3,523.58
61537                                          $2,549.99    LB WO ELECTROCORTICO
        CRANIO TOMY W ELEVATION BONE FLAP LOBECTOMY TEMPOR$2,549.99
61538   LOBECTOMY TEMPORAL                         $2,688.20 $2,688.20
61539   LOBECTOMY EXCEPT TEMPORAL                  $3,191.13 $3,191.13
61540                                              $3,040.35 $3,040.35
        CRANIOT W ELEVAT BONE FLAP LOBECTOMY EXC TEMPOR LOBE WO ELECTROCORTICOG
61541   CRANIECTOMY, CORPUS CALLOSUM               $2,849.10 $2,849.10
61542   HEMISPHERECTOMY                            $3,121.44 $3,121.44
61543   REMOVAL OF BRAIN TISSUE                    $2,918.32 $2,918.32
61544   REMOVE & TREAT BRAIN LESION                $2,496.16 $2,496.16
61545   EXCISION OF BRAIN TUMOR                    $4,303.88 $4,303.88
61546   HYPOPHYSECT INTRACRANIAL APPR              $3,100.94 $3,100.94
61548   HYPOPHYSECT TRANSNASAL/SEPTAL              $2,104.58 $2,104.58
61550   CRANIECTOMY SINGLE SUTURE                  $1,283.92 $1,283.92
61552   CRANIECTOMY MULTIPLE SUTURES               $1,696.45 $1,696.45
61556   INCISE SKULL/SUTURES                       $2,118.17 $2,118.17
61557   CRANIOTOMY BIFRONTAL BONE FLAP             $2,294.80 $2,294.80
61558   EXTENSIVE CRANIECTOMY                      $2,343.07 $2,343.07
61559   EXCISION OF SKULL/SUTURES                  $3,325.76 $3,325.76
61563   EXCISION OF CRANIAL BONE TUMOR             $2,621.53 $2,621.53
61564   EXCISION OF SKULL TUMOR                    $3,340.60 $3,340.60
61566                                              $3,070.67 $3,070.67
        CRANIOTOMY W ELEVATION BONE FLAP SELECTIVE AMYGDALOHIPPOCAMPECT
61567                                              $3,486.21 $3,486.21
        CRANIOTMY W ELEVATION BONE FLAP MULTIPLE SUBPIAL TRANSEC W ELECTROCORT
61570   REMOVE BRAIN FOREIGN BODY                  $2,424.70 $2,424.70
61571   CRANIECTOMY FOR PENETRATG WOUN             $2,652.87 $2,652.87
61575   SKULL BASE/BRAINSTEM SURGERY               $3,307.25 $3,307.25
61576   SKULL BASE/BRAINSTEM SURGERY 1             $5,222.00 $5,222.00
61580   APPROACH ANTERIOR CRAN FOSSA               $3,331.12 $3,331.12
61581   CRANIOFACIAL APPROACH, SKULL 1             $3,484.25 $3,484.25
61582   CRANIOFACIAL APPROACH, SKULL 2             $3,643.18 $3,643.18
61583   APPROACH ANT CRANIAL FOSSA                 $3,845.16 $3,845.16
61584   ORBITOCRANIAL APPROACH/SKULL 1             $3,695.98 $3,695.98
61585   APP ANT CRAN FOSSA,ORBITOCRAN              $4,009.31 $4,009.31
61586                                              $2,894.93
        BICORONAL,TRANSZYGOMATIC/LEFORRT I OSTEOTOMY         $2,894.93
61590   APP MID CRAN FOSSA,INFRATEMP               $4,244.55 $4,244.55
61591   INFRATEMPORAL APPROACH/SKULL               $4,417.45 $4,417.45
61592   APP MID CRAN FOSSA,ORBITOCRAN              $4,162.24 $4,162.24
61595   TRANSTEMPORAL APPROACH/SKULL               $3,127.70 $3,127.70
61596   TRANSCOCHLEAR APPROACH/SKULL               $3,580.38 $3,580.38
61597   TRANSCONDYLAR APPROACH/SKULL               $3,829.99 $3,829.99
61598   APP POST CRAN FOSSA,TRANSPETRO             $3,467.26 $3,467.26
61600   RESECT LESION - ANT CRANIAL FOSS           $2,756.33 $2,756.33
61601   RESECT LESION - INTRADURAL                 $3,022.51 $3,022.51
61605   RESECT LESION - INFRATEMP FOSSA            $3,051.00 $3,051.00
61606   RESECT/EXCISE CRANIAL LESION 1             $4,010.94 $4,010.94
61607   RESCET LESION - PARASELLAR                 $3,711.49 $3,711.49
61608   RESECT/EXCISE CRANIAL LESION               $4,335.84 $4,335.84
61609   TRANSECT/LIGATE CAROTID ARTERY               $949.36   $949.36
61610   TRANSECT/LIGATE CA BY ANASTOM              $2,769.83 $2,769.83
61611   TRANSECT, ARTERY, SINUS                      $721.04   $721.04
61612   TRANSECT/LIGATE CA BY ANASTOMO             $2,544.22 $2,544.22
61613   REMOVE ANEURYSM, SINUS                     $4,183.03 $4,183.03
61615   RESECT/EXCISE LESION, SKULL 1              $3,325.73 $3,325.73
61616   RESECT/EXCISE LESION, SKULL                $4,443.27 $4,443.27
61618                                              GRAFT
        REPAIR CSF LEAK - ANT, MID OR PST BY TISS. $1,718.46 $1,718.46
61619   REPAIR DURA                            $2,047.85      $2,047.85
61623                                            $853.13        $853.13
        ENDOVAS TEMP BALLOON ART OCCL HEAD NECK EXTRA INTRACRAN INCL SELEC CATH
61624   TRANSCATH OCCLUSION - CNS              $1,641.92      $1,641.92
61626   ENDOVASCULAR SURG HEAD/NECK            $1,331.57      $1,331.57
61680   INTRACRANIAL VESSEL SURGERY 1          $3,067.94      $3,067.94
61682   INTRACRANIAL VESSEL SURGERY 2          $6,010.36      $6,010.36
61684   INTRACRANIAL VESSEL SURGERY 3          $3,957.96      $3,957.96
61686   INTRACRANIAL VESSEL SURGERY            $6,346.11      $6,346.11
61690   INTRACRANIAL VESSEL SURGERY 4          $2,918.24      $2,918.24
61692   INTRACRANIAL VESSEL SURGERY 5          $5,090.77      $5,090.77
61697   SURGERY OF INTRACRANIAL ANEURYSM       $5,007.93      $5,007.93
61698                                          $4,797.09      $4,797.09
        SURG OF COMPLEX INTRACRANIAL ANEURYSM,VERTEBROBASILAR CIRCULATION
61700   REP ANEURYSM CAROT INTRACRANIA         $5,002.16      $5,002.16
61702   REP ANEURYSM VERTEBRAL-BASILAR         $4,691.88      $4,691.88
61703   CLAMP NECK ARTERY                      $1,760.34      $1,760.34
61705   REP LES W CAROT OCCLUS COMB AP         $3,537.44      $3,537.44
61708   REP LES W CRAN ELECTROTHROMBOS         $3,012.90      $3,012.90
61710   REP LES W INTRA-ART EMBOLIZATI         $2,675.39      $2,675.39
61711   FUSION OF SKULL ARTERIES               $3,591.15      $3,591.15
61720   STEREOTAX GLOBUS PALLIDUS/THAL         $1,644.38      $1,644.38
61735   STEREOTAX SUBCORTICAL STRUCTUR         $1,980.09      $1,980.09
61750   STEREOTAXIS INTRACRANIAL LESIO         $1,833.50      $1,833.50
61751   BRAIN BIOPSY WITH CAT SCAN/MR GUIDE    $1,806.66      $1,806.66
61760   STEREOTATIC IMPLANT ELECTRODES         $1,990.47      $1,990.47
61770   INCISE SKULL FOR TREATMENT             $2,076.58      $2,076.58
61790   TREAT TRIGEMINAL NERVE                 $1,070.44      $1,070.44
61791   TREAT TRIGEMINAL TRACT                 $1,472.67      $1,472.67
61793   FOCUS RADIATION BEAM                   $1,739.68      $1,739.68
61795   BRAIN SURGERY USING COMPUTER             $379.89        $379.89
61850   IMPL NEUROSTIMUL CORTICAL-DRIL         $1,277.51      $1,277.51
61860   IMPL NEUROSTIM CORTICAL-CRANIE         $2,086.71      $2,086.71
61863                                          SUBCORT        $1,972.55
        STEREOT IMPLT NEUROS ELECTRODE ARRAY$1,972.55 SITE WO INTRAOP MER 1ST ARRAY
61864                                             SUBCORT SITE WO INTRAOP MER EA ADDL
        STER EOTACTIC IMPL NEUROSTIM ELEC ARRAY$594.04          $594.04
61867                                          SUBCORT        $3,044.47
        STEREOTACTIC IMPLT NEURO ELECT ARRAY$3,044.47 SITE W INTRAOP MER 1ST ARRAY
61868                                            SUBCORT SITE W INTRAOP MER EA ADDL
        STEREOTAC IMPLT NEUROS ELECTROD ARRAY $891.33           $891.33
61870   IMPL NEUROSTIM CEREBELL CORTIC         $1,565.49      $1,565.49
61875   IMPL NEUROSTIM CEREBELL SUBCOR         $1,474.51      $1,474.51
61880   REV INTRACRAN NEUROSTIM ELECTR           $684.64        $684.64
61885   IMPLANT NEURORSTIMULATOR                 $692.86        $692.86
61886                                            $897.17        $897.17
        PLACEMENT OF CRANIAL NEUROSTINULATOR DEVICE W CONNECTION TO 2 OR MORE
61888   REVISE/REMOVE NEURORECEIVER              $549.28        $549.28
62000   ELEVAT FX SKULL SIMP EXTRADURA         $1,082.73      $1,082.73
62005   REPAIR OF SKULL FRACTURE               $1,584.09      $1,584.09
62010   TREATMENT OF HEAD INJURY               $2,000.96      $2,000.96
62100                                          $2,187.50
        REPAIR CSF LEAK CEREBRAL DURA, INCL SURG RHIN/OTORRHEA$2,187.50
62115   RED CRANIOMEGALIC SKULL                $2,131.88      $2,131.88
62116   RED CRANIO SKULL W CRANIOPLAST         $2,363.23      $2,363.23
62117   RED CRANIOTOMY W/WO AUTOGRAFT          $2,590.59      $2,590.59
62120   REPAIR SKULL CAVITY LESION             $2,511.86      $2,511.86
62121   CRANIOTOMY W REPAIR SKULL BASE         $2,284.16      $2,284.16
62140   CRANIOPLASTY SKULL DEFECT <5CM         $1,381.05      $1,381.05
62141   CRANIOPLASTY SKULL DEFECT GT 5CM       $1,513.93      $1,513.93
62142         REM BONE FLP/PROSTHES PLATE SK          $1,121.01      $1,121.01
62143         REPLACE SKULL PLATE/FLAP                $1,336.88      $1,336.88
62145         CRANIOPLASTY DEFECT W REP BRAI          $1,877.74      $1,877.74
62146         CRANIOPLASTY W AUTOGRAFT 5 CM           $1,619.05      $1,619.05
62147         REPAIR OF SKULL WITH GRAFT              $1,927.18      $1,927.18
62148                                                   $183.80        $183.80
              INCISION AND RETRIEVAL OF SUBCUTANEOUS CRAN BONE GRAFT FOR CRANIOPLASTY
62160                                                    OR REPLACEMENT OF VENTRIC
              NEUROENDSCPY INTRA CRAN FOR PLACEMENT$290.72             $290.72
62161                                                 $2,041.79      $2,041.79
              NEURO INTRACRAN WITH DISSECTION OF ADHESIONS FENESTRATION OF SEPTUM PELL
62162                                                 $2,535.70      $2,535.70
              NEURENDPY INTRACRANIAL WITH FENESTRATION OR EXCISION OF COLLOID CYST
62163                                                 $1,616.13      $1,616.13
              NEURO ENDOSCOPY INTRACRAN WITH RETRIEVAL OF FOREIGN BODY
62164                                                 $2,652.77      $2,652.77
              NEUROENDO SCOPY INTRACRANI WITH EXCISION OF BRAIN TUMOR INC PLACE
62165                                                 $2,150.27      $2,150.27
              NEUROENDOSCPY INTRACRAN EXCISION PITUITARY TUMOR TRANSNASAL
62180         VENTRICULOCISTERNOSTOMY                 $2,105.01      $2,105.01
62190         CREATION SHUNT SUBDURAL-ATRIAL          $1,150.68      $1,150.68
62192         CREAT SHUNT SUBDURAL-PERITONEA          $1,256.74      $1,256.74
62194         REPLACE CATHETER SUBDURAL                 $465.03        $465.03
62200         VENTRICULOCISTERNOS 3RD VENTRI          $1,852.92      $1,852.92
62201         ESTABLISH BRAIN CAVITY SHUNT            $1,530.00      $1,530.00
62220         CREAT SHUNT VENTRICULO-ATRIAL           $1,325.93      $1,325.93
62223         CREAT SHUNT VENTRICULO-PERITON          $1,331.10      $1,331.10
62225         REPLACE CATHETER VENTRICULAR              $596.46        $596.46
62230         REPL/REVS SHUNT/VALVE/DISTAL CATHETER $1,077.66        $1,077.66
62252         REPROGRAMMING OF PROGRAMABLE CSF SHUNT    $132.76        $132.76
62252      26 REPROGRAMMING OF PROGRAMABLE CSF SHUNT     $71.10         $71.10
62252 TC      REPROGRAMMING OF PROGRAMABLE CSF SHUNT     $61.66         $61.66
62256         REMOVE BRAIN CAVITY SHUNT W/O REPLACEMENT $712.27        $712.27
62258         REM SHUNT SYSTEM W REPLACEMENT          $1,476.59      $1,476.59
62263                                                 $1,079.88        $554.18
              PERCUTANEOUS LYSIS OF EPIDURAL ADHESIONS INCLUDING RADIOLOGIC LOCALI
62264                                                   $698.78        $349.60
              PERCU LYSIS OF EPI ADHES USING INJ HYPERTONIC SALINE ENZYME OR MECH MEANS
62268         PERCUT ASPIRAT SPINAL CORD CYS            $933.57        $413.96
62269         NEEDLE BIOPSY SPINAL CORD               $1,122.84        $419.48
62270         SPINAL FLUID TAP, DIAGNOSTIC              $235.17        $100.70
62272                                                   $285.97
              SPINAL PUNCT, THERAPEUTIC, DRAIN NEEDLE/CATH             $125.48
62273         TREAT LUMBAR SPINE LESION                 $282.14        $171.46
62280         INJ NEUROLYTIC SUBARACHNOID               $550.59        $222.98
62281         TREAT SPINAL CORD LESION                  $476.45        $213.03
62282         TREAT SPINAL CANAL LESION                 $607.34        $195.64
62284         INJECT FOR MYELOGRAPHY-SPINAL             $370.31        $133.46
62287         PERCUTANEOUS LUMBAR DISKECTOMY            $807.68        $807.68
62290         INJECT FOR SPINE DISK X-RAY               $581.11        $262.91
62291         INJECT FOR CERVICAL/THORACIC, C1-C2 FOSS $509.79         $249.70
62292         INJ FOR CHEMONUCLEOLYSIS LUMBA            $741.59        $741.59
62294         INJECTION INTO SPINAL ARTERY            $1,052.77      $1,052.77
62310                                                   $383.42        $153.22
              INJECTION,SINGLE EPIDURAL OR SUBARACHNOID CERVICAL OR THORACIC
62311         INJECTION, SINGLE LUMBAR, SACRAL CAUDAL $366.91          $127.30
62318                                                   $441.82        $161.27
              CERVICAL,THORACIC, EPIDURAL OR SUBARACHNOID INJECTION W INDWELLING CATH
62319                                                   $390.47
              INJECTION INCLUDING CATH PLACEMENT LUMBAR, SACRAL CAUDAL $148.64
62350         CATH IMPLANT W/O LAMINECTOMY              $660.54        $660.54
62351         CATH IMPLANT W/LAMINECTOMY              $1,067.41      $1,067.41
62355         CATH IMPLANT REMOVAL                      $524.33        $524.33
62360         RESERVOIR/PUMP IMPLANT                    $316.76        $316.76
62361         NONPROGRAM PUMP IMPLANT                   $565.79        $565.79
62362   PUMP W/WO PROGRAM IMPLANT                $700.44       $700.44
62365   REMOVE IMPLANTED PUMP                    $549.32       $549.32
62367   PUMP ANALYSIS W/O REPROGRAM               $63.22        $35.00
62368   PUMP ANALYSIS W/REPROGRAM                 $84.72        $55.94
63001   LAMINECTOMY W EXPLORATION              $1,599.80     $1,599.80
63003                                          $1,626.06
        LAMINECTOMY W/EXPLORATION/DECOMPRESSSION THORACIC$1,626.06
63005                                          $1,557.39
        LAMINECTOMY LUMBAR,EXCEPT FOR SPONDYLOLISTHESIS      $1,557.39
63011   LAMINECTOMY SACRAL                     $1,441.30     $1,441.30
63012   LAMINECTOMY GILL TYPE PROCEDUR         $1,599.45     $1,599.45
63015                                          $1,976.48     $1,976.48
        LAMINECTOMY W/EXPLOR,DECOMPRESSION SPINAL CORD 2 OR MORE VERTEBRA
63016                                          $1,955.23     $1,955.23
        LAMINECTOMY W/EXPLORATION,DECOMPRESS SPINAL CORD, THORACIC
63017   REMOVAL OF SPINAL LAMINA               $1,652.06     $1,652.06
63020   LAMINOTOMY DECOMPRESS NERVE            $1,547.19     $1,547.19
63030   EXC IV DISK LUMBAR UNILAT              $1,285.49     $1,285.49
63035   EXC IV DISK CERV/LUMB GT 1 SPACE         $303.67       $303.67
63040   LAMINOTOMY RE EXP CERVICAL             $1,918.32     $1,918.32
63042   RE-EXPLOR IV DISK LUMBAR               $1,814.51     $1,814.51
63043                                            $808.22
        CERVICAL LAMINOTOMY EACH ADDITIONAL CERVICAL SPACE     $808.22
63044                                            $767.82
        LUMBAR LAMINOTOMY EACH ADDITIONAL LUMBAR INTERSPACE $767.82
63045   LAMINECTOMY, FACETECTOMY,              $1,695.73     $1,695.73
63046                                          $1,628.69
        LAMINECTOMY,FACETECTOMY & FORAMINOTOMY THORACIC $1,628.69
63047                                          $1,530.02
        LAMINECTOMY FACETECTOMY, FORAMINOTOMY LUMBAR         $1,530.02
63048                                            $311.69        CERVICAL,THORACIC,LUMB
        LAMINECTOMY,FACETECTOMY,FORAMINOTOMY EA AD SEGMENT$311.69
63050                                          $2,059.09     $2,059.09
        LAMINOPLASTY, CERVICAL, W/SPINAL CORD DECOMPRESSION, 2 VERTEBRA
63051                                          $2,355.55     $2,355.55
        LAMINOPLASTY, CERVICAL, W/SPINAL CORD DECOMPRESS, 2 VERT SEGMENTS
63055   DECOMPRESS SPINAL CORD 1               $2,220.90     $2,220.90
63056   DECOMPRESS SPINAL CORD                 $2,071.45     $2,071.45
63057   DECOMPRESS SPINAL CORD 2                 $500.98       $500.98
63064   DECOMPRESS SPINAL CORD SINGLE          $2,458.59     $2,458.59
63066   DECOMPRESS SPINAL CORD 3                 $310.12       $310.12
63075   EXC IV DISK CERVAL ANT 1 SPACE         $1,985.78     $1,985.78
63076   EXC IV DISK CERVL ANT GT 1 SPACE         $387.81       $387.81
63077   SPINE DISK SURGERY, THORAX 1           $2,113.88     $2,113.88
63078   SPINE DISK SURGERY,THORAX                $308.64       $308.64
63081   VERTEBRAL CORPECTOMY SINGLE SEGMENT $2,397.67        $2,397.67
63082                                            $418.82
        VERTEBRAL CORPECTOMY CERVICAL, EACH ADDITIONAL SEGMENT $418.82
63085   REM VERTEBRAL BODY PART/COMPL          $2,603.28     $2,603.28
63086                                            $297.45
        VERTEBRAL CORPECTOMY THORACIC EACH ADDITIONAL SEGMENT  $297.45
63087   VERTEBRAL CORPECTOMY PARTIAL           $3,390.04     $3,390.04
63088                                            $405.10
        VERTEBRAL CORPECTOMY EACH ADDITIONAL SEGMENT           $405.10
63090   REMOVAL OF VETEBRAL BODY 5             $2,702.66     $2,702.66
63091   REMOVAL OF VETERBRAL BODY 7              $277.69       $277.69
63101                                          $3,161.90     $3,161.90
        VERTEBRAL CORPECTOMY LAT EXTRACAV W DECOMPRESS THORACIC SINGLE SEGM
63102                                          $3,161.90     $3,161.90
        VERTE BRAL CORPECT LAT EXTRACAVITARY W DECOMPRESS LUMBAR SINGLE SEGMENT
63103                                            $448.55       $448.55
        VER TEBRAL CORPEC LAT EXTRACAVIT W DECOMPRESS THORACIC LUMBAR EA ADDL
63170   INCISE SPINAL CORD TRACT(S)            $2,010.84     $2,010.84
63172   DRAINAGE OF SPINAL CYST 1              $1,798.27     $1,798.27
63173   DRAINAGE OF SPINAL CYST                $2,222.54     $2,222.54
63180   REVISE SPINAL CORD LIGAMENTS           $1,835.48     $1,835.48
63182   SECTION DENTATE LIG CERV GT 2 SE       $2,017.14     $2,017.14
63185   RHIZOTOMY <2 SEGMENTS                  $1,436.63     $1,436.63
63190   RHIZOTOMY GT 2 SEGMENTS                $1,712.41     $1,712.41
63191   LAMIN SPINAL ASSORY/NERVE              $1,856.69   $1,856.69
63194   LAMIN CORDOTOMY 1 STAGE CERVIC         $1,903.18   $1,903.18
63195   CORDOTOMY UNILAT 1 STAGE THOR          $1,907.90   $1,907.90
63196   CORDOTOMY ONE STAGE CERVICAL           $2,276.02   $2,276.02
63197   CORDOTOMY BILAT 1 STAGE THOR           $2,125.37   $2,125.37
63198   INCISE SPINAL COLUMN & CORD            $2,209.55   $2,209.55
63199   CORDOTOMY BILAT 2 STAGE THOR           $2,468.70   $2,468.70
63200   RELEASE OF SPINAL CORD                 $1,937.87   $1,937.87
63250   EXC AV MALFORM SP CORD CERVICA         $3,849.30   $3,849.30
63251   EXC AV MALFORM SP CORD THORACI         $4,061.05   $4,061.05
63252   REVISE SPINAL CORD VESSELS             $4,046.96   $4,046.96
63265   EXCISE INTRASPINAL LESION 1            $2,180.93   $2,180.93
63266   EXCISE INTRASPINAL LESION              $2,250.75   $2,250.75
63267   EXCISE INTRASPINAL LESION 2            $1,834.87   $1,834.87
63268   EXCISE INTRASPINAL LESION 3            $1,803.81   $1,803.81
63270   EXCISE INTRASPINAL LESION 4            $2,688.50   $2,688.50
63271   EXCISE INTRASPINAL LESION 5            $2,697.60   $2,697.60
63272   EXCISE INTRASPINAL LESION 6            $2,537.84   $2,537.84
63273   EXCISE INTRASPINAL LESION 7            $2,444.11   $2,444.11
63275   BIOPSY/EXCISE SPINAL TUMOR 1           $2,373.50   $2,373.50
63276   BIOPSY/EXCISE SPINAL TUMOR 2           $2,354.56   $2,354.56
63277   BIOPSY/EXCISE SPINAL TUMOR 3           $2,107.69   $2,107.69
63278   BIOPSY/EXCISE SPINAL TUMOR 4           $2,066.64   $2,066.64
63280   BIOPSY/SPINAL TUMOR 5                  $2,843.89   $2,843.89
63281   BIOPSY/EXCISE SPINAL TUMOR 6           $2,814.16   $2,814.16
63282   BIOPSY/EXCISE SPINAL TUMOR 7           $2,650.35   $2,650.35
63283   BIOPSY/EXCISE SPINAL TUMOR 8           $2,524.34   $2,524.34
63285                                          $3,571.89   $3,571.89
        LAMINECTOMY BX/EXC INTRADURAL,INTRAMEDULLARY,CERVICAL
63286   BIOPSY/EXCISE SPINAL TUMOR             $3,543.56   $3,543.56
63287   BIOPSY/EXCISE SPINAL TUMOR 10          $3,632.47   $3,632.47
63290   BIOSPY/EXCISE SPINAL TUMOR 1           $3,679.22   $3,679.22
63295                                            $468.00     $468.00
        OSTEOPLASTIC DORSAL SPINAL ELEMENTS RECONSTRUCTION, FOLLOWING PRIMARY
63300   REMOVAL OF VETEBRAL BODY 7             $2,445.08   $2,445.08
63301   REMOVAL OF VETEBRAL BODY 8             $2,675.70   $2,675.70
63302   REMOVAL OF VERTEBRAL BODY              $2,716.78   $2,716.78
63303   REMOVAL OF VETEBRAL BODY 10            $2,904.89   $2,904.89
63304   REMOVAL OF VERTEBAL BODY               $2,987.75   $2,987.75
63305   8REMOVAL OF VERTEBRAL BODY             $3,103.80   $3,103.80
63306   REMOVAL OF VETEBRAL BODY 11            $3,202.60   $3,202.60
63307   REMOVAL OF VETEBRAL BODY 12            $2,963.60   $2,963.60
63308   REMOVAL OF VETEBRAL BODY                 $501.84     $501.84
63600   STEREOTAXIS SPINAL CORD PERCUT         $1,181.47   $1,181.47
63610   STEREOTAXIS W STIMULATION SP C         $3,850.03     $671.95
63615   REMOVE LESION OF SPINAL CORD           $1,573.68   $1,573.68
63650   IMPL NEUROSTIMUL EPIDURAL-PERC           $593.11     $593.11
63655   IMPL NEUROSTIMUL EPIDURAL-LAMI         $1,077.43   $1,077.43
63660   REV SPINAL NEUROSTIMUL RECEIVE           $593.02     $593.02
63685   IMPLANT NEURORECEIVER                    $683.19     $683.19
63688   REVISE/REMOVE NEURORECEIVER 1            $546.68     $546.68
63700                                          $1,676.40
        REPAIR SPINAL FLUID LEAKAGE W/LAMINECTOMY          $1,676.40
63702   REPAIR MENINGOCELE GT 5CM              $1,857.26   $1,857.26
63704   REPAIR MYELOMENINGOCELE <5CM           $2,137.97   $2,137.97
63706   REPAIR MYELOMENINGOCELE GT 5CM         $2,410.57      $2,410.57
63707                                          $1,182.53
        REPAIR SPINAL FLUID LEAKAGE W/O LAMINECTOMY           $1,182.53
63709   REPAIR SPINAL FLUID LEAKAGE            $1,480.19      $1,480.19
63710   GRAFT SPINAL DURA                      $1,458.02      $1,458.02
63740   REPAIR MYELOMENINGOCELE 5 CM           $1,179.03      $1,179.03
63741   SHUNT PERCUTNEOUS WO LAMINECTO           $810.49        $810.49
63744   REPLACE SHUNT LUMBOSUBARACHNOI           $835.97        $835.97
63746   REMOVAL OF SPINAL SHUNT                  $645.10        $645.10
64400   INJECT ANES TRIGEMINAL NERVE             $173.52         $92.72
64402   INJECT ANES FACIAL NERVE                 $166.29        $110.37
64405   INJ ANES GREATR OCCIPITAL NERV           $161.70        $106.37
64408   INJECT ANES VAGUS NERVE                  $174.43        $134.04
64410   INJECT ANES PHRENIC NERVE                $226.51        $113.64
64412   INJ ANES SPINAL ACCESSORY NERV           $219.30         $96.46
64413   INJECT ANES CERVICAL PLEXUS              $187.84        $113.69
64415   INJECT ANES BRACHIAL PLEXUS              $246.08        $116.57
64416                                             CONTINUOUS INFUSION BY CATH INCL
        INJECTION ANESTHE AGENT BRACHIAL PLEXUS$261.49          $261.49
64417   INJECT ANES AXILLARY NERVE               $256.83        $116.27
64418   INJECT ANES SUPRASCAPULAR NERV           $225.89        $105.27
64420   INJ ANES INTERCOSTAL NERVE SIN           $287.77         $96.30
64421   INJ ANES INTERCOSTAL NERVE MUL           $440.14        $132.46
64425   INJ ANES ILIOINGUIN/HYPOGASTRI           $199.90        $138.48
64430   INJECT ANES PUDENDAL NERVE               $229.23        $120.77
64435   INJECT ANES PARACERVICAL NERVE           $230.75        $129.49
64445   INJECT ANES SCIATIC NERVE                $238.88        $118.80
64446                                            $256.23        $256.23
        INJECTION ANSTHTIC AGENT SCIATIC NERVE CONTINUOUS INFUSION BY CATH INCL
64447   INJECT ANEST AGENT FEMORAL NERVE SINGLE  $116.10        $116.10
64448                                            $229.82        $229.82
        INJECTION ANESTH AGENT FEMORAL NERVE CONTINUOUS INFUSION BY CATH INCL
64449                                            CONTINU        $236.16
        INJECTN ANESTHE AGT LUMBAR PLEXUS POST $236.16 CATHETER INFUSION W DA
64450   INJ ANES OTHER PERIPHERAL NERV           $148.53        $106.47
64470                                            $514.20        $153.38
        SINGLE LEVEL PARAVERTEBRAL CERVICAL OR THORACIC JOINT/NERVE INJECTION
64472   CERVICAL OR THORACIC EACH ADDL LEVEL     $208.47         $98.35
64475   INJECTION LUMBAR OR SACRAL SINGLE LEVEL $468.11         $122.25
64476                                            $177.81
        INJECTION LUMBAR OR SACRAL EACH ADDITIONLA LEVEL         $73.77
64479                                            $549.99        $184.76
        INJECTION ANESTHETIC AGENT AND/OR STEROID EPIDURAL CERVICAL OR THORACIC
64480                                            $
        INJECTION CERVICAL OR THORACIC EC ADD LEV252.59         $121.44
64483   INJECTION, LUMBAR/SACRAL SINGLE LV       $553.28        $162.58
64484                                            $263.40        $102.37
        INJECTION EPIDURAL LUMBAR OR SACRAL EACH ADDITIONAL LEVEL
64505   INJ ANES SPHENOPALATINE GANGLI           $152.66        $120.58
64508   INJECT ANES CAROTID SINUS                $252.46        $109.69
64510   INJECT ANES STELLATE GANGLION            $265.54        $102.86
64517                                            $284.46
        INJEC ANESTHETIC AGENT SUPERIOR HYPOGASTRIC PLEXUS      $182.09
64520   INJECT ANES LUMBAR/THORACIC              $367.12        $113.12
64530   INJECT ANES CELIAC PLEXUS                $343.27        $132.98
64550   APPLY NEUROSTIMULATOR                     $26.48         $13.78
64553   IMPL NEUROSTIM CRANIAL-PERCUT            $300.15        $245.92
64555   IMPL NEUROSTIM PERIPHERAL-PERC           $313.13        $207.43
64560   IMPLANT NEUROELECTRODES                  $292.81        $218.11
64561                                          $2,079.43
        PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODES $569.80
64565   IMPL NEUROSTIM NEUROMUSC-PERCU           $290.30        $178.53
64573   IMPLANT NEUROELECTRODES 1                $791.07        $791.07
64575   IMPL NEUROSTIM PERIPHERAL-INCI           $426.53        $426.53
64577   IMPLANT NEUROELECTRODES 2              $493.76        $493.76
64580   IMPLANT NEUROELECTRODES 3              $452.72        $452.72
64581                                        $1,132.54
        INCISION FOR NEUROSTIMULATOR ELECTRODE IMPLANT      $1,132.54
64585   REV PERIPHERAL NEUROSTIM ELECT         $753.42        $247.09
64590   PLACE SUBCUTAN NEUROSTIM RECEI         $544.74        $275.80
64595   REV PERIPHERAL NEUROSTIM RECEI         $684.33        $215.62
64600   DESTR NEUROLYTIC TRIGEMIN 1ST          $733.02        $306.91
64605   DESTR NEUROLYTIC TRIGEM 2ND/3R         $888.55        $480.70
64610   DESTR NEUROLYT TRIGEM 2-3 PLUS MONI    $969.41        $684.42
64612   CHEMODENERVATION OF MUSCLE END         $257.43        $193.23
64613   DEST CHEMODENERVATION MUSCLE           $281.94        $187.30
64614                                          $312.13        $206.43
        CHEMODENERVATION OF MUSCLES - EXTREMITY OR TRUNK MUSCLES
64620   DESTRUCT NEUROLYTIC INTERCOSTA         $455.19        $248.77
64622   DEST NEUROLYT PARAVERT FACET-1         $614.41        $260.80
64623   DEST NEUROLYT PARAVERT FACET-2         $224.89         $73.25
64626                                          $632.42        OR THORACIC SINGLE
        PARAVERTEBRAL FACET JOINT NERVE DESTRUCTION CERVICAL $310.34
64627                                          $322.16         $86.43
        PARAVERTEBRAL FACET DESTRUCTION BY NEUROLYTIC AGENT CERVIAL OR THORAC
64630   DESTRUCT NEUROLYTIC PUDENDAL           $336.85        $263.80
64640   DEST NEUROLYTIC OTH PERIPHERAL         $404.90        $275.40
64680   DEST NEUROLYTIC CELIAC PLEXUS          $532.74        $240.57
64681                                          $733.64        HYPOGASTRIC PLEXUS
        DESTRUCT NEUROLYTIC AGENT W WO RADIO MONITORING SUP $333.54
64702   REVISE FINGER/TOE NERVE                $486.10        $486.10
64704   NEUROLYSIS HAND OR FOOT                $475.71        $475.71
64708   NEUROLYSIS MAJ PERIPHL ARM/LEG         $665.70        $665.70
64712   REVISION OF SCIATIC NERVE              $769.25        $769.25
64713   REVISION OF ARM NERVE(S)             $1,039.81      $1,039.81
64714   REVISE LOW BACK NERVE(S)               $886.45        $886.45
64716   NEUROLYSIS/TRANSPOSIT CRANIAL          $727.01        $727.01
64718   NEUROL/TRANSPOSIT ULNAR @ ELBO         $724.46        $724.46
64719   NEUROL/TRANSPOSIT ULNAR @ WRIS         $565.41        $565.41
64721   CARPAL TUNNEL SURGERY                  $576.93        $576.93
64722   RELIEVE PRESSURE ON NERVE(S)           $464.91        $464.91
64726   DECOMPRSS PLANTAR DIGITAL NERV         $421.60        $421.60
64727   NEUROLYSIS BY DISSECTION               $284.03        $284.03
64732   TRANSECTION SUPRAORBITAL NERVE         $489.66        $489.66
64734   TRANSECTION INFRAORBITAL NERVE         $547.81        $547.81
64736   TRANSECTION MENTAL NERVE               $513.25        $513.25
64738   INCISION OF JAW NERVE                  $633.95        $633.95
64740   INCISION OF TONGUE NERVE               $639.10        $639.10
64742   INCISION OF FACIAL NERVE               $654.55        $654.55
64744   INCISE NERVE, BACK OF HEAD             $559.37        $559.37
64746   INCISE DIAPHRAGM NERVE                 $629.91        $629.91
64752   VAGOTOMY TRANSTHORACIC                 $688.22        $688.22
64755                                        $1,177.75      $1,177.75
        TRANSECTION/AVULSION VAGUS NERVES LIMITED TO PROXIMAL STOMACH
64760   VAGOTOMY ABDOMINAL                     $630.93        $630.93
64761   TRANSECT PUDENDAL NERVE UNILAT         $592.64        $592.64
64763   TRANSECT OBTURATOR EXTRPELV UN         $731.69        $731.69
64766   TRANSECT OBTURATOR INTRPELV UN         $841.68        $841.68
64771   TRANSECT OTH CRANIAL EXTRADURA         $787.28        $787.28
64772   INCISION OF SPINAL NERVE               $746.91        $746.91
64774   EXC NEUROMA CUTANEOUS NERVE            $545.31        $545.31
64776   EXC NEUROMA DIGITAL(S SAME DIG         $533.27        $533.27
64778   EXC NEUROMA DIGITAL(S ADDL DIG         $283.85      $283.85
64782   REMOVE LIMB NERVE LESION               $609.13      $609.13
64783   ADDED LIMB NERVE SURGERY               $339.80      $339.80
64784   REMOVE NERVE LESION                    $998.21      $998.21
64786   REMOVE SCIATIC NERVE LESION          $1,552.60    $1,552.60
64787   IMPLANT NERVE END                      $392.78      $392.78
64788   EXC NEUROFIBROM CUTANEOUS NERV         $489.08      $489.08
64790   EXC NEUROFIBROM MAJOR PERIPHER       $1,141.43    $1,141.43
64792   EXC NEUROFIBROM EXTENSIVE            $1,458.26    $1,458.26
64795   BIOPSY NERVE                           $283.22      $283.22
64802   SYMPATHECTOMY CERVICAL UNILAT          $872.47      $872.47
64804   SYMPATHECT CERVICOTHOR UNIL 1        $1,339.36    $1,339.36
64809   SYMPATHECTOMY THORACOLUMBAR UN       $1,181.71    $1,181.71
64818   SYMPATHECTOMY LUMBAR UNILAT            $949.51      $949.51
64820                                        $1,061.71
        SYMPATHECTOMY, DIGITAL ARTERIES W/MAGNIFICATION   $1,061.71
64821   SYMPHATHECTOMY                         $969.63      $969.63
64822    SYMPHATHECTOMY                        $964.71      $964.71
64823    SYMPHATHECTOMY                      $1,120.33    $1,120.33
64831   NEURORRHAPHY DIGITAL 1 NERVE         $1,001.20    $1,001.20
64832   REPAIR ADDITIONAL NERVE                $527.88      $527.88
64834   NEURORRHAPHY COMMON SENSORY          $1,051.01    $1,051.01
64835   NEURORRHAPHY MEDIAN MOTOR THEN       $1,134.25    $1,134.25
64836   NEURORRHAPHY ULNAR MOTOR             $1,132.20    $1,132.20
64837   NEURORRHAPHY HND/FT EA ADDN NE         $584.54      $584.54
64840   REPAIR OF LEG NERVE                  $1,275.73    $1,275.73
64856   REPAIR/TRANSPOSE NERVE               $1,401.24    $1,401.24
64857   REPAIR ARM/LEG NERVE                 $1,472.28    $1,472.28
64858   NEURORRHAPHY SCIATIC                 $1,695.37    $1,695.37
64859   ADDITIONAL NERVE SURGERY               $397.80      $397.80
64861   REPAIR OF ARM NERVES                 $1,941.44    $1,941.44
64862   NEURORRHAPHY LUMBAR PLEXUS           $1,971.06    $1,971.06
64864   REPAIR OF FACIAL NERVE               $1,273.91    $1,273.91
64865   NEURORRHAPHY FACIAL INFRATEMPO       $1,705.61    $1,705.61
64866   ANASTOM FACIAL-SPINAL ACCESSOR       $1,733.87    $1,733.87
64868   ANASTOMOSIS FACIAL-HYPOGLOSSAL       $1,514.55    $1,514.55
64870   ANASTOMOSIS FACIAL-PHRENIC           $1,474.43    $1,474.43
64872   SUBSEQUENT REPAIR OF NERVE             $188.35      $188.35
64874   REPAIR & REVISE NERVE                  $276.68      $276.68
64876   REPAIR NERVE - SHORTEN BONE            $313.23      $313.23
64885   NERVE GRAFT HEAD/NECK TO 4 CM        $1,738.40    $1,738.40
64886   NERVE GRAFT, HEAD OR NECK            $2,052.29    $2,052.29
64890   GRFT NERV 1 STRAND HAND/FOOT <       $1,533.43    $1,533.43
64891   GRFT NERV 1 STRAND HAND/FOOT GT      $1,432.65    $1,432.65
64892   GRFT NERV 1 STRAND ARM/LEG <4C       $1,448.07    $1,448.07
64893   GRFT NERV 1 STRAND ARM/LEG GT 4C     $1,565.25    $1,565.25
64895   GRFT NERV CABLE HAND/FOOT <4CM       $1,766.19    $1,766.19
64896   NERVE GRAFT, HAND OR FOOT            $1,935.50    $1,935.50
64897   GRFT NERV CABLE ARM/LEG <4CM         $1,763.05    $1,763.05
64898   GRFT NERV CABLE ARM/LEG GT 4CM       $1,906.77    $1,906.77
64901   GRFT NERV EA ADDN NERVE 1 STRA         $945.64      $945.64
64902   GRFT NERV EA ADDN NERVE CABLE        $1,085.89    $1,085.89
64905   NERVE PEDICLE TRANSFER               $1,372.14    $1,372.14
64907   TRANS NERVE PEDICLE 2ND STAGE       $1,922.89  $1,922.89
65091   REVISE EYE                            $854.68    $854.68
65093   REVISE EYE WITH IMPLANT               $900.32    $900.32
65101   ENUCLEATION EYE WO IMPLANT            $954.97    $954.97
65103   REMOVE EYE/INSERT IMPLANT             $998.79    $998.79
65105   ENUCLEATION EYE W INTEG IMPLAN      $1,095.37  $1,095.37
65110   REMOVAL OF EYE                      $1,610.17  $1,610.17
65112   EXENTERATION ORBIT W REM BONE       $1,910.59  $1,910.59
65114   EXENTERATION W MUSCLE/MYO FLAP      $1,975.35  $1,975.35
65125   MODIFICATION OF OCULAR IMPLANT        $677.87    $390.11
65130   INSERT IMPL OCULAR 2ND IN SHEL        $941.34    $941.34
65135   INSERT IMPL OCULAR 2ND WO INTE        $961.42    $961.42
65140   INSERT IMPL OCULAR 2ND W INTEG      $1,035.02  $1,035.02
65150   REINSERT IMPLANT OCULAR               $822.25    $822.25
65155   REINSERT OCULAR IMPLANT             $1,109.22  $1,109.22
65175   REM IMPLANT OCULAR                    $852.05    $852.05
65205   REM FB CONJUNCTIVA SUPERFICIAL         $78.82     $59.44
65210   REM FB CONJUNCTIVA EMBEDDED            $95.89     $72.09
65220   REM FB CORNEA WO SLIT LAMP             $79.20     $59.29
65222   REM FB CORNEA W SLIT LAMP             $106.01     $77.79
65235   REM FB AND CHAMBER EYE/LENS           $833.72    $833.72
65260   REM FB POST SEGMENT MAGNETIC        $1,200.97  $1,200.97
65265   REM FB POST SEGMENT NONMAGNETI      $1,353.06  $1,353.06
65270   REP LAC CONJUCTIVA DIRECT             $404.74    $192.80
65272   REP LAC CONJUNCT W MOBILIZATIO        $658.98    $414.39
65273   REP LAC CONJUNCT W MOBILIZ HOS        $463.04    $463.04
65275   REP LAC CORNEA NONPERFORATED          $674.61    $543.46
65280   REP LAC CORNEA/SCLERA PERFORAT        $810.41    $810.41
65285   REP LAC CORNEA/SCLERA PERF PLUS UVE $1,293.69  $1,293.69
65286   REPAIR OF EYE WOUND                   $951.14    $590.32
65290   REPAIR OF EYE SOCKET WOUND            $593.02    $593.02
65400   EXC LES CORNEA EX PTERYGIUM           $829.22    $706.92
65410   BIOPSY CORNEA                         $206.12    $143.03
65420   EXC/TRANSPOSE PTERYGIUM               $743.10    $499.05
65426   REMOVAL OF EYE LESION                 $881.75    $591.21
65430   CORNEAL SMEAR                         $160.75    $143.59
65435   CURETTE/TREAT CORNEA                  $111.51     $95.46
65436   REM EPITHELIUM CORNEA W CHELAT        $480.86    $457.62
65450   TREATMENT OF CORNEAL LESION           $424.18    $416.98
65600   REVISION OF CORNEA                    $483.66    $391.80
65710   KERATOPLASTY LAMELLA TRANSPLAN      $1,369.83  $1,369.83
65730   KERATOPLASTY PENETRATING            $1,531.09  $1,531.09
65750   CORNEAL TRANSPLANT                  $1,574.07  $1,574.07
65755   KERATOPLASTY (PSEUDOPHAKIA)         $1,562.78  $1,562.78
65760   KERATOMELEUSIS                      $1,823.30  $1,823.30
65765   KERATOPHAKIA                        $2,114.44  $2,114.44
65767   EPIKERATOPLASTY                     $1,969.05  $1,969.05
65770   KERATOPROSTHESIS                    $1,797.12  $1,797.12
65771   RADIAL KERATOTOMY                   $1,071.78  $1,071.78
65772   CORRECTION OF ASTIGMATISM             $566.45    $488.97
65775   CORRECTION OF ASTIGMATISM 1           $680.81    $680.81
65780                                       $1,189.48   TRANSPLANTATION
        OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE$1,189.48
65781                                        $1,813.22     $1,813.22
        OC ULAR SURFACE RECONSTRUCTION LIMBAL STEM CELL ALLOGRAFT
65782                                        $1,563.48     $1,563.48
        OCU LAR SURFACE RECONSTRUCTION LIMBAL CONJUNCTIVAL AUTOGRAFT
65800   PARACENTESIS ANT CHAM AQUES DX         $215.12       $181.38
65805   PARACENTESIS ANT CHAM AQUES RX         $236.16       $181.92
65810   PARACENTESIS ANT CHAM VITRES           $555.86       $555.86
65815   PARACENTESIS ANT CHAM W REM BL         $860.15       $572.94
65820   RELIEVE INNER EYE PRESSURE             $994.95       $994.95
65850   INCISION OF EYE                      $1,106.14     $1,106.14
65855   LASER SURGERY OF EYE                   $472.23       $405.27
65860   INCISE INNER EYE ADHESNS,LASER         $439.22       $353.99
65865   LYSIS ADHESIONS GONIOSYNECHIA          $651.36       $651.36
65870   LYSIS ADHESIONS OTH ANT SYNECH         $735.73       $735.73
65875   LYSIS ADHESIONS POST SYNECHIA          $773.05       $773.05
65880   LYSIS ADHESIONS CORNEOVITREAL          $819.94       $819.94
65900   REM DOWNGROWTH ANT CHAMBER EYE       $1,232.40     $1,232.40
65920   REMOVE IMPLANT FROM EYE ANT            $962.56       $962.56
65930   REM BLOOD CLOT ANT SEGMENT EYE         $830.27       $830.27
66020   INJECT ANT CHAMBER AIR/LIQUID EYE      $269.49       $176.51
66030   INJECT ANT CHAMBER MEDICATION          $239.80       $146.83
66130   EXC LESION SCLERA                      $999.78       $777.87
66150   TREPHINATION SCLERA W IRIDECTO       $1,026.68     $1,026.68
66155   THERMOCAUTERY SCLERA W IRIDECT       $1,021.37     $1,021.37
66160   SCLERECTOMY PUNCH/SCIS W IRIDE       $1,181.57     $1,181.57
66165   IRIDENCLEISIS OR IRIDOTASIS            $998.39       $998.39
66170   GLAUCOMA SURGERY 1                   $1,414.70     $1,414.70
66172   TRABECULECTOMY AB EXTERNO            $1,755.19     $1,755.19
66180   AQUEOUS SHUNT EXTRAOCULAR RES        $1,479.43     $1,479.43
66185   REVISE EYE SHUNT                       $903.12       $903.12
66220   REPAIR EYE LESION                      $866.60       $866.60
66225   REPAIR/GRAFT EYE LESION              $1,154.20     $1,154.20
66250   FOLLOW-UP SURGERY OF EYE             $1,010.43       $666.79
66500   INCISION OF IRIS                       $481.85       $481.85
66505   IRIDOTOMY W STAB & TRANSFIXION         $523.81       $523.81
66600   IRIDECTOMY W REMOVAL LESION            $982.99       $982.99
66605   IRIDECTOMY W CYCLECTOMY              $1,337.11     $1,337.11
66625   IRIDECTOMY PERIPH FOR GLAUCOMA         $573.24       $573.24
66630   IRIDECTOMY SECTOR FOR GLAUCOMA         $690.12       $690.12
66635   REMOVAL OF IRIS                        $697.48       $697.48
66680   REPAIR IRIS & CILIARY BODY             $622.17       $622.17
66682   REPAIR IRIS AND CILIARY BODY           $743.26       $743.26
66700   CILIARY BODY DESTRUCTION DIATH         $580.45       $507.95
66710   CYCLOPHOTOCOAGULATION TRANSSCLERAL $576.18           $502.58
66711                                          $758.70       $758.70
        CILIARY BODY DESTRUCTION - CYCLOPHOTOCOAGULATION, ENDOSCOPIC
66720   CYCLOCRYOTHERAPY INITIAL               $611.67       $552.45
66740   CYCLODIALYSIS INITIAL                  $571.76       $509.78
66761   COREOPLASTY W PHOTOCOAG GLAUCO         $556.42       $485.58
66762   COREOPLASTY W PHOTOCOAG OTHER          $590.96       $515.70
66770   DESTRUCT LES IRIS/CILIARY BODY         $651.28       $580.45
66820   INCISION, SECONDARY CATARACT           $557.59       $557.59
66821   AFTER CATARACT LASER SURGERY           $369.10       $343.11
66825   REPOSITION INTRAOCULAR LENS          $1,001.40     $1,001.40
66830   REM 2ND CATAR W CORNEOSCLERA S         $882.09       $882.09
66840   REM LENS MATERL W ASPIRATION            $860.02      $860.02
66850   REMOVAL OF LENS MATERIAL                $976.24      $976.24
66852   REMOVE LENS MAT PARS PLANA APP        $1,054.33    $1,054.33
66920   EXTRACT LENS INTRACAPSULAR              $942.69      $942.69
66930   EXTR LENS INTRACAPSULAR W DISL        $1,067.94    $1,067.94
66940   EXTR LENS EXTRACAPSULAR OTHER           $963.02      $963.02
66982                                         $1,363.84    $1,363.84
        EXTRACAPSULAR CATARACT REMOVAL W INSERT OF INTRAOCULAR LENS PROSTHESIS
66983   INTRACAPSULAR CONTARACT EXTRAC          $875.91      $875.91
66984   EXTRACAPSULAR CATARACT REMOVAL        $1,028.71    $1,028.71
66985   INSERT LENS PROSTHESIS                  $920.95      $920.95
66986   EXCHANGE OF INTRAOCULAR LENS          $1,252.99    $1,252.99
66990   USE OF OPHTHALMIC ENDOSCOPE             $130.30      $130.30
67005   REM VITREOUS PARTIAL                    $615.19      $615.19
67010   REM VITREOUS SUBTOT MECHANICAL          $716.92      $716.92
67015   RELEASE OF EYE FLUID                    $777.43      $777.43
67025   REPLACE EYE FLUID                       $926.00      $759.98
67027   IMPLANT EYE DRUG SYSTEM               $1,102.01    $1,102.01
67028   INJECTION EYE DRUG                      $302.61      $233.99
67030   DISCISSION VITREOUS STRANDS             $617.74      $617.74
67031   LASERSURGERY, EYE STRANDS               $477.27      $424.15
67036   VITRECTOMY,MECH,PARS PLANA            $1,226.85    $1,226.85
67038   STRIP RETINAL MEMBRANE                $2,147.73    $2,147.73
67039   VIRECTOMY W FOCAL ENDOLSER PH         $1,556.25    $1,556.25
67040   LASER TREATMENT OF RETINA             $1,803.83    $1,803.83
67101   REPAIR DETACHED RETINA                  $962.29      $818.97
67105   PHOTOCOAGULATION                        $897.67      $790.87
67107   REPAIR DETACHED RETINA 1              $1,527.19    $1,527.19
67108   REP RETINA DETACH W VITRECTOMY        $2,062.99    $2,062.99
67110   REP RETINAL DET BY AIR/GAS            $1,101.89      $944.72
67112   RE-REPAIR DETACHED RETINA             $1,677.76    $1,677.76
67115   RELEASE ENCIRCLING MATERIAL             $584.36      $584.36
67120   REM IMPLANT POST SEGMENT EYE            $838.34      $669.56
67121   REMOVE EYE IMPLANT MATERIAL           $1,120.35    $1,120.35
67141   TREATMENT OF RETINA 1                   $639.73      $584.95
67145   TREATMENT OF RETINA                     $642.95      $599.23
67208   TREATMENT OF RETINAL LESION 1           $745.80      $712.05
67210   TREATMENT OF RETINAL LESION 2           $899.94      $861.75
67218   TREATMENT OF RETINAL LESION 3         $1,798.50    $1,798.50
67220                                         $1,374.60    $1,296.57
        DESTRUCT LOCALIZED LESION OF CHOROID,ONE OR MORE SESSION,PHOTOCOAGULATION
67221   OCULAR PHOTODYNAMIC THERAPY             $483.14      $343.15
67225    OCULAR PHOTODYNAMIC THERAPY             $42.31       $40.10
67227   TREATMENT OF RETINAL LESION             $764.20      $705.54
67228   TREATMENT OF RETINAL LESION 4         $1,409.49    $1,246.80
67250   REINFORCE SCLERA WO GRAFT             $1,035.55    $1,035.55
67255   REINFORCE SCLERA W GRAFT              $1,088.38    $1,088.38
67311   OP FOR STRABISMUS 1 HORIZ MUS           $738.89      $738.89
67312   OP FOR STRABISMUS 2 MUSCLES             $893.00      $893.00
67314   STRABISMUS 1 VERTICAL MUSCLE            $820.26      $820.26
67316   STRABISMUS 2 OR MORE VERT MUSC        $1,002.86    $1,002.86
67318   STRABISMUS SURG ANY PROCEDURE           $861.52      $861.52
67320   TRANSPOSE EXTRAOCULAR MUSCLE(S          $371.47      $371.47
67331   STRABISMUS SURG 1 HORIZ MUSCLE          $348.15      $348.15
67332   REREVISE EYE MUSCLES                  $385.16        $385.16
67334   REVISE EYE MUSCLE W/SUTURE            $340.82        $340.82
67335   REVISE EYE MUSCLES                    $213.81        $213.81
67340   STRABISMUS SURG EXPLOR/REPAIR         $421.44        $421.44
67343   RELEASE EYE TISSUE                    $807.25        $807.25
67345   DESTROY NERVE OF EYE MUSCLE           $323.85        $292.30
67350   BIOPSY EYE MUSCLE                     $278.86        $278.86
67400   ORBITOTOMY WO BONE FLP W EXPLO      $1,219.95      $1,219.95
67405   EXPLORE/DRAIN EYE SOCKET            $1,025.35      $1,025.35
67412   ORBITOTOMY WO BONE FLP W REM L      $1,184.80      $1,184.80
67413   ORBITOTOMY WO BONE FLP W REM F      $1,205.80      $1,205.80
67414   ORBITOTOMY FOR DECOMPRESSION        $1,346.77      $1,346.77
67415   FINE NEEDLE ASPIRATION ORBITAL        $149.68        $149.68
67420   ORBITOTOMY W BONE FLP W REM LE      $2,190.37      $2,190.37
67430   ORBITOTOMY W BONE FLP W REM FB      $1,647.42      $1,647.42
67440   ORBITOTOMY W BONE FLP W DRAIN       $1,589.42      $1,589.42
67445   REMOVAL BONE FOR DECOMPRESSION      $1,654.67      $1,654.67
67450   ORBITOTOMY W BONE FLP W EXPLOR      $1,636.40      $1,636.40
67500   INJECT RETROBULBAR MEDICATION          $85.98         $64.94
67505   INJECT RETROBULBAR ALCOHOL             $88.47         $67.43
67515   INJ TENONS CAPSULE THERAPEUTIC         $69.76         $58.16
67550   INSERT EYE SOCKET IMPLANT           $1,253.16      $1,253.16
67560   REVISE EYE SOCKET IMPLANT           $1,275.73      $1,275.73
67570   OPTIC NERVE DECOMPRESION            $1,581.45      $1,581.45
67700   DRAINAGE OF EYELID ABSCESS            $415.42        $152.57
67710   TARSORRHAPHY SEVERING                 $359.23        $129.02
67715   CANTHOTOMY                            $371.41        $145.63
67800   EXC CHALAZION SINGLE                  $173.70        $141.60
67801   EXC CHALAZION MULT SAME LID           $222.77        $184.03
67805   EXC CHALAZION MULT DIFFT LIDS         $274.58        $226.43
67808   REMOVE EYELID LESION(S)               $440.17        $440.17
67810   BIOPSY EYELID                         $274.24        $127.58
67820   REP TRICHIASIS W EPILAT PLUS FORCEP    $87.20         $85.00
67825   REP TRICHIASIS W EPILAT PLUS ELECTR   $179.78        $162.08
67830   REP TRICHIASIS W INC LID MARGI        $409.72        $186.70
67835   REP TRICHIASIS W INC LID & GRA        $594.05        $594.05
67840   REMOVE EYELID LESION                  $426.83        $215.43
67850   DESTRUCT LES LID MARGIN 1 CM          $289.21        $184.06
67875   TEMPORY SUTURE OF EYLIDS              $265.30        $134.69
67880   TARSORRHAPHY MEDIAN                   $596.94        $441.44
67882   TARSORRHAPHY MEDIAN PLUS TRANS PLAT   $730.97        $574.91
67900   REPAIR BROW PTOSIS                    $877.45        $666.60
67901   REP BLEPHAROPT FRONTALIS PLUS SUTUR   $728.90        $728.90
67902   REP BLEPHAROPT FRONTALIS PLUS SLING   $733.41        $733.41
67903   REP BLEPHAROPT LEVATOR INTERNA        $922.18        $698.06
67904   REP BLEPHAROPT LEVATOR EXTERNA        $917.23        $673.74
67906   REP BLEPHAROPT SUP RECTUS PLUS SLIN   $714.68        $695.86
67908   REP BLEPHAROPT FASANELLA-SERVA        $679.95        $608.56
67909   REDUCE PTOSIS OVERCORRECTION          $774.10        $603.67
67911   REPAIR LID RETRACTION                 $586.60        $586.60
67912                                       $1,392.62        $651.10
        CORRECTION LAGOPHTHALMOS W IMPLANT UPPER EYELID LID LOAD
67914   REP ECTROPION W SUTURE                $575.33        $393.25
67915   REP ECTROPION W THERMOCAUTERY          $524.97     $348.99
67916   REP ECTROPION W BLEPHAROPLASTY         $769.53     $587.46
67917   REP BLKEPHAROPLASTY EXTENSION          $836.39     $648.80
67921   REP ENTROPION W SUTURE                 $549.35     $366.74
67922   REP ENTROPION W THERMOCAUTERY          $513.23     $338.37
67923   REP ENTROPION W BLEPHAROPLASTY         $807.77     $633.46
67924   REP ENTROPION W BLEPHAROPL MAJ         $846.73     $612.10
67930   BLEPHAROPLASTY PARTIAL THICKNE         $536.34     $340.44
67935   REPAIR EYELID WOUND                    $852.67     $625.23
67938   REMOVAL FB EYELID EMBEDDED             $378.83     $150.83
67950   CANTHOPLASTY MEDIAL                    $834.01     $644.75
67961   EXC & REP EYELID 1/4 MARGIN            $827.95     $625.97
67966   EXC & REP EYELID GT 1/4 MARGIN         $906.26     $708.72
67971   RECONSTR EYELID TO 2/3 1 STG           $999.91     $999.91
67973   RECONSTRUCTION OF EYELID             $1,301.75   $1,301.75
67974   RECONST EYELID TOT UPPER 1 STG       $1,295.55   $1,295.55
67975   RECONSTCT EYELID ANY 2ND STAGE         $941.57     $941.57
68020   INCISE CONJUNCTIVA W DRAIN CYS         $161.50     $150.43
68040   EXPRESS CONJUNCTIVAL FOLLICLES          $90.94      $75.45
68100   BIOPSY CONJUNCTIVA                     $262.14     $134.87
68110   EXC LESION CONJUNCTIVA 1 CM            $334.70     $199.13
68115   EXC LESION CONJUNCTIVA GT 1CM          $473.58     $249.45
68130   REMOVE EYELID LINING LESION            $781.70     $554.26
68135   DESTRUCT LESION CONJUNCTIVA            $212.11     $203.25
68200   TREAT EYELID BY INJECTION               $59.55      $47.91
68320   CONJUNCTIVOPLASTY W CONJUNC GR         $951.03     $632.27
68325   CONJUNCTIVOPLASTY W BUCCAL GRA         $812.23     $812.23
68326   RECON CUL-DE-SAC W CONJUNC GRA         $790.33     $790.33
68328   REVISE/GRAFT EYELID LINING             $905.97     $905.97
68330   REP SYMBLEPHARON WO GRAFT              $814.54     $555.02
68335   REP SYMBLEPHARON W GRAFT               $790.24     $790.24
68340   DIVIDE SYMBLEPHARON                    $744.21     $480.24
68360   FLAP CONJUNCTIVAL PARTIAL              $710.45     $496.85
68362   FLAP CONJUNCTIVAL TOTAL                $800.19     $800.19
68371                                          $567.09
        HARVESTING CONJUNCTIVAL ALLOGRAFT LIVING DONOR     $567.09
68400   I&D LACRIMAL GLAND                     $429.60     $203.83
68420   I&D LACRIMAL SAC                       $482.77     $256.44
68440   INCISE TEAR DUCT OPENING               $172.45     $127.62
68500   EXC LACRIMAL GLAND EX TUMOR TO       $1,208.16   $1,208.16
68505   EXC LACRIMAL GLAND EX TUMOR PA       $1,255.14   $1,255.14
68510   BIOPSY OF TEAR GLAND                   $686.09     $396.11
68520   REMOVAL OF TEAR SAC                    $868.60     $868.60
68525   BIOPSY OF TEAR SAC                     $381.23     $381.23
68530   REM FB/DACRYOLITH LACRIMAL PAS         $675.02     $368.99
68540   EXC TUMOR LACRIMAL GLAND FRONT       $1,166.93   $1,166.93
68550   EXC TUMOR LACRIMAL GLAND PLUS OSTEO $1,439.17    $1,439.17
68700   REPAIR TEAR DUCTS                      $732.95     $732.95
68705   REVISE TEAR DUCT OPENING               $356.07     $224.36
68720   DACRYOCYSTORHINOSTOMY                  $981.53     $981.53
68745   CREATE TEAR DUCT DRAIN                 $962.86     $962.86
68750   CONJUNCTIVORHINOSTOMY W TUBE           $985.76     $985.76
68760   CLOSE PUNCTUM LACRIMAL W CAUTE         $301.36     $195.67
68761   CLOSE TEAR DUCT VIA PLUG,EACH            $208.49      $155.93
68770   CLOSE TEAR SYSTEM FISTULA                $602.75      $602.75
68801                                            $164.70
        DILATION OF LACRIMAL PUNCTUM, W/O IRRIGATION          $139.26
68810   PROBING NASOLACRIMAL DUCT W/WO IRRIGTION $318.81      $264.01
68811                                            $277.32      $277.32
        PROBING NASOLACRIMAL DUCT WITH OR W O IRRIGATION REQUIRING GENERAL ANES
68815                                            $651.59
        PROBING NASOLACRIMAL DUCT W/INSERTION OF TUBE/STENT $351.12
68840   PROBE LACRIMAL CANALICULI                $164.56      $137.99
68850   INJECT FOR DACRYOCYSTOGRAPHY              $97.40       $86.34
69000   DRAIN EAR ABSCESS/HEMATOMA SIM           $240.43      $159.38
69005   DRAIN EAR ABSCESS/HEMATOMA COM           $282.84      $224.19
69020   DRAIN EXT AUDITORY CANAL ABSCE           $301.33      $198.41
69090   PIERCING OF EAR                           $41.54       $41.54
69100   BIOPSY OF EXTERNAL EAR                   $138.69       $68.30
69105   BIOPSY EXTERNAL AUDITORY CANAL           $175.69       $91.96
69110   PARTIAL REMOVAL EXTERNAL EAR             $565.49      $444.43
69120   AMPUTATION AURICLE COMPLETE              $573.27      $573.27
69140   EXC EXOSTOSIS EXT AUDITORY CAN         $1,185.40    $1,185.40
69145   EXC SKIN LESION EXT AUDITORY C           $465.29      $333.03
69150   EXTENSIVE EAR CANAL SURGERY            $1,523.11    $1,523.11
69155   EXTENSIVE EAR/NECK SURGERY             $2,295.95    $2,295.95
69200   CLEAR OUTER EAR CANAL                    $172.90       $75.32
69205   REM FB EXT AUD CANAL W GEN ANE           $144.42      $144.42
69210   REMOVE IMPACTED EAR WAX                   $70.11       $48.79
69220   DEBR MASTOIDECT CAV SIMPL UNIL           $175.62       $88.70
69222   DEBR MASTOIDECT CAV COMPLX UNI           $289.31      $193.87
69300   REVISE EXTERNAL EAR                      $612.72      $612.72
69310   RECONSTRUCT EXTERN AUDITORY CA         $1,512.11    $1,512.11
69320   RECONST EXT AUD CANAL SINGL ST         $2,178.72    $2,178.72
69400   INFLATE MIDDLE EAR CANAL                 $164.95       $85.50
69401   INFLAT EUSTACH TUBE TRANSNASAL           $103.79       $72.32
69405   CATH EUSTACHIAN TUB TRANSTYMPA           $344.27      $280.81
69410   INSET MIDDLE EAR BAFFLE                  $131.85       $45.46
69420   MYRINGOTOMY W ASPIR/EUSTACH IN           $247.64      $164.45
69421   INCISION OF EARDRUM                      $219.07      $219.07
69424   REMOVE VENTILATING TUBE                  $167.16       $87.16
69433   TYMPANOST LOC/TOPICAL ANES UNI           $255.98      $178.66
69436   TYMPANOSTOMY GEN ANES UNILATER           $240.57      $240.57
69440   EXPL MID EAR POSTAURIC/CANAL I           $919.94      $919.94
69450   TYMPANOLYSIS TRANSCANAL                  $707.55      $707.55
69501   MASTOIDECTOMY                          $1,023.39    $1,023.39
69502   MASTOIDECTOMY COMPLETE                 $1,357.57    $1,357.57
69505   REMOVE MASTOID STRUCTURES              $1,693.84    $1,693.84
69511   MASTOIDECTOMY RADICAL                  $1,739.25    $1,739.25
69530   PETROUS APICECTOMY W RAD MASTO         $2,298.68    $2,298.68
69535   REMOVE PART OF TEMPORAL BONE           $3,861.36    $3,861.36
69540   EXCISION AURAL POLYP                     $271.36      $176.95
69550   EXC AURAL GLOMUS TUMR TRANSCAN         $1,449.25    $1,449.25
69552   EXC AURAL GLOMUS TUMR TRANSMAS         $2,264.70    $2,264.70
69554   EXC AURAL GLOMUS TUMR EXTRATEM         $3,606.34    $3,606.34
69601   REV MASTOIDCT TO COMPL MASTOID         $1,465.87    $1,465.87
69602   REV MASTOIDCT TO MODIFIED RADI         $1,516.92    $1,516.92
69603   MASTOID SURGERY REVISION               $1,817.35    $1,817.35
69604         REV MASTOIDCT TO TYMPANOPLASTY        $1,567.20    $1,567.20
69605         REV MASTOIDCTOMY W APICECTOMY         $2,221.54    $2,221.54
69610         REPR TYMPANIC MEMBRANE WO GRAF          $560.50      $438.93
69620         MYRINGOPLASTY UNCOMPLICATED             $944.58      $687.00
69631         TYMPANOPL WO MASTOIDECT WO OCR        $1,186.71    $1,186.71
69632         TYMPANOPL WO MASTOIDECT W OCR         $1,480.34    $1,480.34
69633         REBUILD EARDRUM STRUCTURES            $1,418.76    $1,418.76
69635         TYMPANOPL W ANTROT/MASTOIDOTOM        $1,689.52    $1,689.52
69636         TYMPANOPL ANTROT/MASTOIDOTOMY         $1,939.02    $1,939.02
69637         TYMPANOPL W OCR ANTROT/MASTOID        $1,928.12    $1,928.12
69641         TYMPANOPLASTY W MASTOIDECTOMY         $1,441.26    $1,441.26
69642         TYMPANOPL W MASTOIDECT PLUS OCR       $1,874.29    $1,874.29
69643         TYMPANOPL INTACT WALL WO OCR          $1,705.79    $1,705.79
69644         TYMPANOPL INTACT WALL W OCR           $2,101.37    $2,101.37
69645         TYMPANOPL W MASTOIDECT RAD WO         $2,046.66    $2,046.66
69646         TYMPANOPL W MASTOIDECT RAD W O        $2,181.88    $2,181.88
69650         MOBILIZATION STAPES                   $1,105.81    $1,105.81
69660         STAPEDECT RESTOR OSSIC CONTINU        $1,306.94    $1,306.94
69661         STAPEDECT W FOOTPLATE DRILL OU        $1,724.37    $1,724.37
69662         REVISE MIDDLE EAR BONE                $1,655.92    $1,655.92
69666         REPAIR MIDDLE EAR STRUCTURES          $1,114.48    $1,114.48
69667         REPAIR ROUND WINDOW FISTULA           $1,115.59    $1,115.59
69670         REMOVE MASTOID AIR CELLS              $1,311.55    $1,311.55
69676         REMOVE MIDDLE EAR NERVE               $1,143.39    $1,143.39
69700         CLOSE MASTOID FISTULA                   $984.73      $984.73
69711         REMOVE/REPAIR HEARING AID             $1,198.34    $1,198.34
69714                                               TEMPORAL BONE W/O MASTOIDECTOMY
              IMPLANTATION, OSSEOINTEGRATED IMPLANT $1,511.52    $1,511.52
69715                                               $1,891.47     W MASTOIDECTOMY
              IMPLANTATION OSSEOINTEGRATED IMPLANT TEMPORAL BONE$1,891.47
69717                                               W/O MASTOIDECTOMY
              REPLACEMENT OSSEOINTEGRATED IMPLANT $1,655.05      $1,655.05
69718                                                W MASTOIDECTOMY
              REPLACEMENT, OSSEOINTEGRATED IMPLANT$1,984.35      $1,984.35
69720         DECOMPRS FACIAL N LAT TO GENIC        $1,634.16    $1,634.16
69725         RELEASE FACIAL NERVE                  $2,603.49    $2,603.49
69740         SUTUR FACIAL N LAT TO GENICULA        $1,668.07    $1,668.07
69745         REPAIR FACIAL NERVE                   $1,787.27    $1,787.27
69801         LABYRINTHOTOMY                        $1,015.96    $1,015.96
69802         LABYRINTHOTOMY W MASTOIDECTOMY        $1,439.64    $1,439.64
69805         OP ENDOLYMPHATIC SAC WO SHUNT         $1,459.32    $1,459.32
69806         OP ENDOLYMPHATIC SAC W SHUNT          $1,326.91    $1,326.91
69820         ESTABLISH INNER EAR WINDOW            $1,218.22    $1,218.22
69840         REVISE INNER EAR WINDOW               $1,313.54    $1,313.54
69905         REMOVE INNER EAR                      $1,272.83    $1,272.83
69910         REMOVE INNER EAR & MASTOID            $1,448.40    $1,448.40
69915         SECTION VESTIB N TRANSLABYRINT        $2,144.47    $2,144.47
69930         IMPLANT COCHLEAR DEVICE               $1,790.62    $1,790.62
69950         SECTION VESTIB N TRANSCRANIAL         $2,546.64    $2,546.64
69955         DECOMPRESS/REP FACIAL N TOTAL         $2,765.92    $2,765.92
69960         DECOMPRESS INTER AUDITORY CANA        $2,683.34    $2,683.34
69970         REMOVE INNER EAR LESION               $3,041.39    $3,041.39
69990         MICROSURG TECH REQ. MICROSCOPE          $323.15      $323.15
70010         CONTRAST X-RAY OF BRAIN                 $273.81      $273.81
70010      26 CONTRAST X-RAY OF BRAIN                  $75.25       $75.25
70010 TC      CONTRAST X-RAY OF BRAIN                 $198.57      $198.57
70015           CISTERNOGRAPHY,POSITIVE CONTRA   $138.13   $138.13
70015        26 CISTERNOGRAPHY,POSITIVE CONTRA    $75.86    $75.86
70015   TC      CISTERNOGRAPHY,POSITIVE CONTRA    $62.27    $62.27
70030           X-RAY EYE FOR FOREIGN BODY        $30.21    $30.21
70030        26 X-RAY EYE FOR FOREIGN BODY        $10.99    $10.99
70030   TC      X-RAY EYE FOR FOREIGN BODY        $19.22    $19.22
70100           X-RAY EXAM OF JAW                 $35.10    $35.10
70100        26 X-RAY EXAM OF JAW                 $11.45    $11.45
70100   TC      X-RAY EXAM OF JAW                 $23.64    $23.64
70110           X-RAY EXAM OF JAW 1               $44.34    $44.34
70110        26 X-RAY EXAM OF JAW 1               $15.64    $15.64
70110   TC      X-RAY EXAM OF JAW 1               $28.69    $28.69
70120           X-RAY EXAM OF MASTOIDS            $40.15    $40.15
70120        26 X-RAY EXAM OF MASTOIDS            $11.45    $11.45
70120   TC      X-RAY EXAM OF MASTOIDS            $28.69    $28.69
70130           X-RAY EXAM OF MASTOIDS 1          $57.61    $57.61
70130        26 X-RAY EXAM OF MASTOIDS 1          $21.52    $21.52
70130   TC      X-RAY EXAM OF MASTOIDS 1          $36.09    $36.09
70134           X-RAY EXAM OF MIDDLE EAR          $55.40    $55.40
70134        26 X-RAY EXAM OF MIDDLE EAR          $21.52    $21.52
70134   TC      X-RAY EXAM OF MIDDLE EAR          $33.89    $33.89
70140           X-RAY EXAM OF FACIAL BONES        $40.62    $40.62
70140        26 X-RAY EXAM OF FACIAL BONES        $11.92    $11.92
70140   TC      X-RAY EXAM OF FACIAL BONES        $28.69    $28.69
70150           X-RAY EXAM OF FACIAL BONES 1      $52.21    $52.21
70150        26 X-RAY EXAM OF FACIAL BONES 1      $16.11    $16.11
70150   TC      X-RAY EXAM OF FACIAL BONES 1      $36.09    $36.09
70160           X-RAY EXAM OF NASAL BONES         $34.63    $34.63
70160        26 X-RAY EXAM OF NASAL BONES         $10.99    $10.99
70160   TC      X-RAY EXAM OF NASAL BONES         $23.64    $23.64
70170           X-RAY EXAM OF TEAR DUCT           $62.81    $62.81
70170        26 X-RAY EXAM OF TEAR DUCT           $18.88    $18.88
70170   TC      X-RAY EXAM OF TEAR DUCT           $43.94    $43.94
70190           X-RAY EXAM OF EYE SOCKETS         $42.01    $42.01
70190        26 X-RAY EXAM OF EYE SOCKETS         $13.30    $13.30
70190   TC      X-RAY EXAM OF EYE SOCKETS         $28.69    $28.69
70200           X-RAY EXAM OF EYE SOCKETS 1       $53.59    $53.59
70200        26 X-RAY EXAM OF EYE SOCKETS 1       $17.49    $17.49
70200   TC      X-RAY EXAM OF EYE SOCKETS 1       $36.09    $36.09
70210           X-RAY EXAM OF SINUSES             $39.67    $39.67
70210        26 X-RAY EXAM OF SINUSES             $10.99    $10.99
70210   TC      X-RAY EXAM OF SINUSES             $28.69    $28.69
70220           X-RAY EXAM OF SINUSES 1           $51.73    $51.73
70220        26 X-RAY EXAM OF SINUSES 1           $15.64    $15.64
70220   TC      X-RAY EXAM OF SINUSES 1           $36.09    $36.09
70240           X-RAY EXAM PITUITARY SADDLE       $31.15    $31.15
70240        26 X-RAY EXAM PITUITARY SADDLE       $11.92    $11.92
70240   TC      X-RAY EXAM PITUITARY SADDLE       $19.22    $19.22
70250           X-RAY EXAM OF SKULL 1             $43.87    $43.87
70250        26 X-RAY EXAM OF SKULL 1             $15.17    $15.17
70250   TC      X-RAY EXAM OF SKULL 1             $28.69    $28.69
70260           X-RAY EXAM OF SKULL               $62.80    $62.80
70260        26 X-RAY EXAM OF SKULL             $21.52    $21.52
70260   TC      X-RAY EXAM OF SKULL             $41.28    $41.28
70300           X-RAY EXAM OF TEETH 1           $19.37    $19.37
70300        26 X-RAY EXAM OF TEETH 1            $7.24     $7.24
70300   TC      X-RAY EXAM OF TEETH 1           $12.13    $12.13
70310           X-RAY EXAM OF TEETH             $30.61    $30.61
70310        26 X-RAY EXAM OF TEETH             $11.40    $11.40
70310   TC      X-RAY EXAM OF TEETH             $19.22    $19.22
70320           FULL MOUTH X-RAY OF TEETH       $50.32    $50.32
70320        26 FULL MOUTH X-RAY OF TEETH       $14.23    $14.23
70320   TC      FULL MOUTH X-RAY OF TEETH       $36.09    $36.09
70328           X-RAY EXAM OF JAW JOINT         $33.77    $33.77
70328        26 X-RAY EXAM OF JAW JOINT         $11.45    $11.45
70328   TC      X-RAY EXAM OF JAW JOINT         $22.31    $22.31
70330           X-RAY EXAM OF JAW JOINTS        $53.91    $53.91
70330        26 X-RAY EXAM OF JAW JOINTS        $15.17    $15.17
70330   TC      X-RAY EXAM OF JAW JOINTS        $38.74    $38.74
70332           TMJ EXAM OF JAW JOINT          $131.97   $131.97
70332        26 TMJ EXAM OF JAW JOINT           $35.26    $35.26
70332   TC      TMJ EXAM OF JAW JOINT           $96.72    $96.72
70336           MAGNETIC IMAGE, JAW JOINT      $607.90   $607.90
70336        26 MAGNETIC IMAGE, JAW JOINT       $93.65    $93.65
70336   TC      MAGNETIC IMAGE, JAW JOINT      $514.24   $514.24
70350           X-RAY HEAD FOR ORTHODONTIA      $28.88    $28.88
70350        26 X-RAY HEAD FOR ORTHODONTIA      $11.42    $11.42
70350   TC      X-RAY HEAD FOR ORTHODONTIA      $17.44    $17.44
70355           PANORAMIC X-RAY OF JAWS         $39.32    $39.32
70355        26 PANORAMIC X-RAY OF JAWS         $12.84    $12.84
70355   TC      PANORAMIC X-RAY OF JAWS         $26.48    $26.48
70360           X-RAY EXAM OF NECK              $30.21    $30.21
70360        26 X-RAY EXAM OF NECK              $10.99    $10.99
70360   TC      X-RAY EXAM OF NECK              $19.22    $19.22
70370           THROAT X-RAY & FLUOROSCOPY      $80.01    $80.01
70370        26 THROAT X-RAY & FLUOROSCOPY      $19.83    $19.83
70370   TC      THROAT X-RAY & FLUOROSCOPY      $60.18    $60.18
70371           SPEECH EVALUATION, COMPLEX     $149.95   $149.95
70371        26 SPEECH EVALUATION, COMPLEX      $53.25    $53.25
70371   TC      SPEECH EVALUATION, COMPLEX      $96.72    $96.72
70373           CONTRAST X-RAY OF LARYNX       $109.80   $109.80
70373        26 CONTRAST X-RAY OF LARYNX        $27.57    $27.57
70373   TC      CONTRAST X-RAY OF LARYNX        $82.23    $82.23
70380           X-RAY EXAM OF SALIVARY GLAND    $41.89    $41.89
70380        26 X-RAY EXAM OF SALIVARY GLAND    $10.99    $10.99
70380   TC      X-RAY EXAM OF SALIVARY GLAND    $30.92    $30.92
70390           X-RAY EXAM OF SALIVARY DUCT    $106.09   $106.09
70390        26 X-RAY EXAM OF SALIVARY DUCT     $23.86    $23.86
70390   TC      X-RAY EXAM OF SALIVARY DUCT     $82.23    $82.23
70450           CAT SCAN OF HEAD OR BRAIN      $270.48   $270.48
70450        26 CAT SCAN OF HEAD OR BRAIN       $53.71    $53.71
70450   TC      CAT SCAN OF HEAD OR BRAIN      $216.76   $216.76
70460           CONTRAST CAT SCAN OF HEAD      $331.15   $331.15
70460        26 CONTRAST CAT SCAN OF HEAD       $71.21    $71.21
70460   TC        CONTRAST CAT SCAN OF HEAD              $259.94        $259.94
70470             CONTRAST CAT SCANS OF HEAD             $404.89        $404.89
70470        26   CONTRAST CAT SCANS OF HEAD              $80.35         $80.35
70470   TC        CONTRAST CAT SCANS OF HEAD             $324.54        $324.54
70480             CAT SCAN OF SKULL                      $297.57        $297.57
70480        26   CAT SCAN OF SKULL                       $80.81         $80.81
70480   TC        CAT SCAN OF SKULL                      $216.76        $216.76
70481             CONTRAST CAT SCAN OF SKULL             $346.79        $346.79
70481        26   CONTRAST CAT SCAN OF SKULL              $86.85         $86.85
70481   TC        CONTRAST CAT SCAN OF SKULL             $259.94        $259.94
70482             CONTRAST CAT SCANS OF SKULL            $416.03        $416.03
70482        26   CONTRAST CAT SCANS OF SKULL             $91.49         $91.49
70482   TC        CONTRAST CAT SCANS OF SKULL            $324.54        $324.54
70486             CAT SCAN OF FACE, JAW                  $288.46        $288.46
70486        26   CAT SCAN OF FACE, JAW                   $71.69         $71.69
70486   TC        CAT SCAN OF FACE, JAW                  $216.76        $216.76
70487             CONTRAST CAT SCAN, FACE/JAW            $342.14        $342.14
70487        26   CONTRAST CAT SCAN, FACE/JAW             $82.19         $82.19
70487   TC        CONTRAST CAT SCAN, FACE/JAW            $259.94        $259.94
70488             CONTRAST CAT SCANS FACE/JAW            $413.72        $413.72
70488        26   CONTRAST CAT SCANS FACE/JAW             $89.18         $89.18
70488   TC        CONTRAST CAT SCANS FACE/JAW            $324.54        $324.54
70490             CAT SCAN OF NECK TISSUE                $297.57        $297.57
70490        26   CAT SCAN OF NECK TISSUE                 $80.81         $80.81
70490   TC        CAT SCAN OF NECK TISSUE                $216.76        $216.76
70491             CONTRAST CAT OF NECK TISSUE            $346.79        $346.79
70491        26   CONTRAST CAT OF NECK TISSUE             $86.85         $86.85
70491   TC        CONTRAST CAT OF NECK TISSUE            $259.94        $259.94
70492             CONTRAST CAT OF NECK TISSUE 1          $415.58        $415.58
70492        26   CONTRAST CAT OF NECK TISSUE 1           $91.05         $91.05
70492   TC        CONTRAST CAT OF NECK TISSUE 1          $324.54        $324.54
70496                                                    $597.60        $597.60
                  COMPUTED TOMOGRAPHIC ANGIOGRAPHY HEAD W/O CONTRAST MATERIAL
70496        26                                          $110.24        $110.24
                  COMPUTED TOMOGRAPHIC ANGIOGRAPHY HEAD W/O CONTRAST MATERIAL
70496   TC                                               $487.37        $487.37
                  COMPUTED TOMOGRAPHIC ANGIOGRAPHY HEAD W/O CONTRAST MATERIAL
70498                                                    $597.60        $597.60
                  COMPUTED TOMOGRAPHIC ANGIOGRAPHY NECK W/O CONTRAST MATERIAL
70498        26                                          $110.24        $110.24
                  COMPUTED TOMOGRAPHIC ANGIOGRAPHY NECK W/O CONTRAST MATERIAL
70498   TC                                               $487.37        $487.37
                  COMPUTED TOMOGRAPHIC ANGIOGRAPHY NECK W/O CONTRAST MATERIAL
70540             MAGNETIC IMAGE FACE NECK               $593.00        $593.00
70540        26   MAGNETIC IMAGE FACE NECK                $85.00         $85.00
70540   TC        MAGNETIC IMAGE FACE NECK               $508.00        $508.00
70542                                                    $711.69        $711.69
                  MAGNETIC RESONANCE IMAGING ORBIT, FACE AND NECK W CONTRAST MATERIAL
70542        26                                          $102.03        $102.03
                  MAGNETIC RESONANCE IMAGING ORBIT, FACE AND NECK W CONTRAST MATERIAL
70542   TC                                               $609.67        $609.67
                  MAGNETIC RESONANCE IMAGING ORBIT, FACE AND NECK W CONTRAST MATERIAL
70543                                                  $1,263.59      $1,263.59
                  MAGNETIC RESONANCE IMAGING FACE, ORBIT AND NECK W/O CONTRAST MATERIAL
70543        26                                          $135.93        $135.93
                  MAGNETIC RESONANCE IMAGING FACE, ORBIT AND NECK W/O CONTRAST MATERIAL
70543   TC                                             $1,127.67      $1,127.67
                  MAGNETIC RESONANCE IMAGING FACE, ORBIT AND NECK W/O CONTRAST MATERIAL
70544                                                    $590.09
                  MAGNETIC RESONANCE ANGIOGRAPHY, HEAD W/O CONTRAST $590.09
70544        26                                           $75.84
                  MAGNETIC RESONANCE ANGIOGRAPHY, HEAD W/O CONTRAST      $75.84
70544   TC                                               $514.24
                  MAGNETIC RESONANCE ANGIOGRAPHY, HEAD W/O CONTRAST $514.24
70545                                                    $589.64
                  MAGNETIC RESONANCE ANGIOGRAPHY HEAD W CONTRAST        $589.64
70545        26                                           CONTRAST
                  MAGNETIC RESONANCE ANGIOGRAPHY HEAD W $75.40           $75.40
70545   TC                                               $514.24
                  MAGNETIC RESONANCE ANGIOGRAPHY HEAD W CONTRAST        $514.24
70546                                                $1,123.99      FURTHER
                MAGNETIC RESONANCE ANGIOGRAPHY - HEAD W/O CONTRAST$1,123.99 SEQUENCE
70546                                                  W/O CONTRAST FURTHER SEQUENCE
             26 MAGNETIC RESONANCE ANGIOGRAPHY - HEAD $113.48        $113.48
70546   TC                                           $1,010.52      FURTHER
                MAGNETIC RESONANCE ANGIOGRAPHY - HEAD W/O CONTRAST$1,010.52 SEQUENCE
70547                                                  $589.64
                MAGNETIC RESONANCE ANGIOGRAPHY-NECK W/O CONTRAST $589.64
70547                                                   $75.40
             26 MAGNETIC RESONANCE ANGIOGRAPHY-NECK W/O CONTRAST      $75.40
70547   TC                                             $514.24
                MAGNETIC RESONANCE ANGIOGRAPHY-NECK W/O CONTRAST $514.24
70548                                                  $589.64
                MAGNETIC RESONANCE ANGIOGRAPHY NECK W CONTRAST       $589.64
70548                                                    CONTRAST
             26 MAGNETIC RESONANCE ANGIOGRAPHY NECK W$75.40           $75.40
70548   TC                                             $514.24
                MAGNETIC RESONANCE ANGIOGRAPHY NECK W CONTRAST       $514.24
70549                                                $1,123.99     FURTHER
                MAGNETIC RESONANCE ANGIOGRAPHY NECK W/O CONTRAST $1,123.99 SEQUENCES
70549                                                  $113.48       $113.48
             26 MAGNETIC RESONANCE ANGIOGRAPHY NECK W/O CONTRAST FURTHER SEQUENCES
70549   TC                                           $1,010.52     FURTHER
                MAGNETIC RESONANCE ANGIOGRAPHY NECK W/O CONTRAST $1,010.52 SEQUENCES
70551           MAGNETIC IMAGE BRAIN                   $607.90       $607.90
70551        26 MAGNETIC IMAGE BRAIN                    $93.65        $93.65
70551   TC      MAGNETIC IMAGE BRAIN                   $514.24       $514.24
70552           MAGNETIC IMAGE, BRAIN STEM             $729.37       $729.37
70552        26 MAGNETIC IMAGE, BRAIN STEM             $112.54       $112.54
70552   TC      MAGNETIC IMAGE, BRAIN STEM             $616.85       $616.85
70553                                                $1,291.57
                MRI OF BRAIN WITHOUT CONTRAST FOLLOWED BY CONTRAST $1,291.57
70553                                                   BY CONTRAST $149.23
             26 MRI OF BRAIN WITHOUT CONTRAST FOLLOWED$149.23
70553   TC                                           $1,142.33
                MRI OF BRAIN WITHOUT CONTRAST FOLLOWED BY CONTRAST $1,142.33
70557                                                  CONTRAST MATL$906.35
                MRIBRAIN DURING INTRACRANIAL PROCED WO $906.35
70557                                                  CONTRAST MATL$189.25
             26 MRIBRAIN DURING INTRACRANIAL PROCED WO $189.25
70557   TC                                             CONTRAST MATL$717.10
                MRIBRAIN DURING INTRACRANIAL PROCED WO $717.10
70558                                                W CONTRAST MATLS
                MRI BRAIN DURING INTRACRANIAL PROCED $1,000.95     $1,000.95
70558                                                   CONTRAST MATLS
             26 MRI BRAIN DURING INTRACRANIAL PROCED W$208.88        $208.88
70558   TC                                              CONTRAST MATLS
                MRI BRAIN DURING INTRACRANIAL PROCED W$792.07        $792.07
70559                                                $1,005.12     $1,005.12
                MRI BRAIN DURING INTRACRAN PROC WO CONTRST MATLS THEN W CONTRST MATLS FUR
70559                                                  $209.51       $209.51
             26 MRI BRAIN DURING INTRACRAN PROC WO CONTRST MATLS THEN W CONTRST MATLS FUR
70559   TC                                             $795.61       $795.61
                MRI BRAIN DURING INTRACRAN PROC WO CONTRST MATLS THEN W CONTRST MATLS FUR
71010           CHEST X-RAY 1                           $32.89        $32.89
71010        26 CHEST X-RAY 1                           $11.45        $11.45
71010   TC      CHEST X-RAY 1                           $21.43        $21.43
71015           STEREO X-RAY EXAM OF CHEST              $36.96        $36.96
71015        26 STEREO X-RAY EXAM OF CHEST              $13.30        $13.30
71015   TC      STEREO X-RAY EXAM OF CHEST              $23.64        $23.64
71020           CHEST X-RAY 2                           $42.47        $42.47
71020        26 CHEST X-RAY 2                           $13.79        $13.79
71020   TC      CHEST X-RAY 2                           $28.69        $28.69
71021           CHEST X-RAY 3                           $50.91        $50.91
71021        26 CHEST X-RAY 3                           $17.03        $17.03
71021   TC      CHEST X-RAY 3                           $33.89        $33.89
71022           CHEST X-RAY                             $53.24        $53.24
71022        26 CHEST X-RAY                             $19.35        $19.35
71022   TC      CHEST X-RAY                             $33.89        $33.89
71023           CHEST X-RAY AND FLUOROSCOPY             $60.39        $60.39
71023        26 CHEST X-RAY AND FLUOROSCOPY             $24.29        $24.29
71023   TC      CHEST X-RAY AND FLUOROSCOPY             $36.09        $36.09
71030           X-RAY EXAM OF CHEST                     $55.45        $55.45
71030        26 X-RAY EXAM OF CHEST                     $19.35        $19.35
71030   TC      X-RAY EXAM OF CHEST                     $36.09        $36.09
71034           CHEST X-RAY & FLUOROSCOPY               $95.65        $95.65
71034        26 CHEST X-RAY & FLUOROSCOPY              $29.39        $29.39
71034   TC      CHEST X-RAY & FLUOROSCOPY              $66.25        $66.25
71035           CHEST X-RAY 4                          $35.10        $35.10
71035        26 CHEST X-RAY 4                          $11.45        $11.45
71035   TC      CHEST X-RAY 4                          $23.64        $23.64
71040           BRONCHOGRAPHY,UNILATERAL RAD          $103.83       $103.83
71040        26 BRONCHOGRAPHY,UNILATERAL RAD           $36.69        $36.69
71040   TC      BRONCHOGRAPHY,UNILATERAL RAD           $67.13        $67.13
71060           CONTRAST X-RAY OF BRONCHI             $148.21       $148.21
71060        26 CONTRAST X-RAY OF BRONCHI              $46.76        $46.76
71060   TC      CONTRAST X-RAY OF BRONCHI             $101.45       $101.45
71090           X-RAY & PACEMAKER INSERTION           $113.18       $113.18
71090        26 X-RAY & PACEMAKER INSERTION            $35.38        $35.38
71090   TC      X-RAY & PACEMAKER INSERTION            $77.81        $77.81
71100           X-RAY EXAM OF RIBS                     $40.27        $40.27
71100        26 X-RAY EXAM OF RIBS                     $13.79        $13.79
71100   TC      X-RAY EXAM OF RIBS                     $26.48        $26.48
71101           X-RAY EXAM OF RIBS, CHEST 1            $47.93        $47.93
71101        26 X-RAY EXAM OF RIBS, CHEST 1            $17.03        $17.03
71101   TC      X-RAY EXAM OF RIBS, CHEST 1            $30.92        $30.92
71110           E-RAY EXAM OF RIBS 1                   $53.12        $53.12
71110        26 E-RAY EXAM OF RIBS 1                   $17.03        $17.03
71110   TC      E-RAY EXAM OF RIBS 1                   $36.09        $36.09
71111           X-RAY EXAM OF RIBS, CHEST              $61.09        $61.09
71111        26 X-RAY EXAM OF RIBS, CHEST              $19.83        $19.83
71111   TC      X-RAY EXAM OF RIBS, CHEST              $41.28        $41.28
71120           X-RAY EXAM OF BREASTBONE 1             $42.86        $42.86
71120        26 X-RAY EXAM OF BREASTBONE 1             $12.84        $12.84
71120   TC      X-RAY EXAM OF BREASTBONE 1             $30.03        $30.03
71130           X-RAY EXAM OF BREASTBONE               $46.46        $46.46
71130        26 X-RAY EXAM OF BREASTBONE               $13.79        $13.79
71130   TC      X-RAY EXAM OF BREASTBONE               $32.68        $32.68
71250           CAT SCAN OF CHEST                     $344.38       $344.38
71250        26 CAT SCAN OF CHEST                      $73.08        $73.08
71250   TC      CAT SCAN OF CHEST                     $271.32       $271.32
71260           CONTRAST CAT SCAN OF CHEST            $403.02       $403.02
71260        26 CONTRAST CAT SCAN OF CHEST             $78.49        $78.49
71260   TC      CONTRAST CAT SCAN OF CHEST            $324.54       $324.54
71270                                                 $493.01       $493.01
                CAT SCAN THORAX WITHOUT CONTRAST, FOLLOWED BY CONTRAST MATERIALS
71270                                                  $86.85        $86.85
             26 CAT SCAN THORAX WITHOUT CONTRAST, FOLLOWED BY CONTRAST MATERIALS
71270   TC                                            $406.15       $406.15
                CAT SCAN THORAX WITHOUT CONTRAST, FOLLOWED BY CONTRAST MATERIALS
71275                                                 $681.46
                COMPUTED TOMOGRAPHIC ANGIOGRAPHY CHEST W/O CONTRAST $681.46
71275                                                 $121.22
             26 COMPUTED TOMOGRAPHIC ANGIOGRAPHY CHEST W/O CONTRAST $121.22
71275   TC                                            $560.25
                COMPUTED TOMOGRAPHIC ANGIOGRAPHY CHEST W/O CONTRAST $560.25
71550           MAGNETIC RESONANCE IMAGE,CHEST        $601.84       $601.84
71550        26 MAGNETIC RESONANCE IMAGE,CHEST         $91.95        $91.95
71550   TC      MAGNETIC RESONANCE IMAGE,CHEST        $509.88       $509.88
71551                                                 $720.51
                MAGNETIC RESONANCE IMAGING CHEST W CONTRAST         $720.51
71551                                                 $109.29
             26 MAGNETIC RESONANCE IMAGING CHEST W CONTRAST         $109.29
71551   TC                                            $611.22
                MAGNETIC RESONANCE IMAGING CHEST W CONTRAST         $611.22
71552                                                CONTRAST FURTHER SEQUENCES
                MAGNETIC RESONANCE IMAGING CHEST W/O$1,265.11     $1,265.11
71552                                                 $142.44       $142.44
             26 MAGNETIC RESONANCE IMAGING CHEST W/O CONTRAST FURTHER SEQUENCES
71552   TC                                             CONTRAST FURTHER SEQUENCES
                  MAGNETIC RESONANCE IMAGING CHEST W/O$1,122.68    $1,122.68
71555             MAG RESONANCE ANGIOGRAPHY             $628.63      $628.63
71555        26   MAG RESONANCE ANGIOGRAPHY             $114.39      $114.39
71555   TC        MAG RESONANCE ANGIOGRAPHY             $514.24      $514.24
72010             X-RAY EXAM OF SPINE                    $75.51       $75.51
72010        26   X-RAY EXAM OF SPINE                    $28.48       $28.48
72010   TC        X-RAY EXAM OF SPINE                    $47.04       $47.04
72020             X-RAY EXAM OF SPINE 1                  $28.82       $28.82
72020        26   X-RAY EXAM OF SPINE 1                   $9.61        $9.61
72020   TC        X-RAY EXAM OF SPINE 1                  $19.22       $19.22
72040             X-RAY EXAM OF NECK SPINE 1             $41.59       $41.59
72040        26   X-RAY EXAM OF NECK SPINE 1             $13.79       $13.79
72040   TC        X-RAY EXAM OF NECK SPINE 1             $27.81       $27.81
72050             X-RAY EXAM OF NECK SPINE               $60.63       $60.63
72050        26   X-RAY EXAM OF NECK SPINE               $19.35       $19.35
72050   TC        X-RAY EXAM OF NECK SPINE               $41.28       $41.28
72052             EXAM OF NECK/SPINE                     $74.81       $74.81
72052        26   EXAM OF NECK/SPINE                     $22.91       $22.91
72052   TC        EXAM OF NECK/SPINE                     $51.89       $51.89
72069             RAD EXAM, SPINE,STANDING               $36.53       $36.53
72069        26   RAD EXAM, SPINE,STANDING               $14.23       $14.23
72069   TC        RAD EXAM, SPINE,STANDING               $22.31       $22.31
72070             X-RAY EXAM OF THORAX SPINE             $43.80       $43.80
72070        26   X-RAY EXAM OF THORAX SPINE             $13.79       $13.79
72070   TC        X-RAY EXAM OF THORAX SPINE             $30.03       $30.03
72072             X-RAY EXAM OF THORACIC SPINE           $47.65       $47.65
72072        26   X-RAY EXAM OF THORACIC SPINE           $13.79       $13.79
72072   TC        X-RAY EXAM OF THORACIC SPINE           $33.89       $33.89
72074             X-RAY EXAM OF THORACIC SPINE 1         $55.94       $55.94
72074        26   X-RAY EXAM OF THORACIC SPINE 1         $13.79       $13.79
72074   TC        X-RAY EXAM OF THORACIC SPINE 1         $42.17       $42.17
72080             X-RAY EXAM OF TRUNK SPINE 1            $44.69       $44.69
72080        26   X-RAY EXAM OF TRUNK SPINE 1            $13.79       $13.79
72080   TC        X-RAY EXAM OF TRUNK SPINE 1            $30.92       $30.92
72090             X-RAY EXAM OF TRUNK SPINE              $48.42       $48.42
72090        26   X-RAY EXAM OF TRUNK SPINE              $17.49       $17.49
72090   TC        X-RAY EXAM OF TRUNK SPINE              $30.92       $30.92
72100             X-RAY EXAM OF LOWER SPINE 1            $44.69       $44.69
72100        26   X-RAY EXAM OF LOWER SPINE 1            $13.79       $13.79
72100   TC        X-RAY EXAM OF LOWER SPINE 1            $30.92       $30.92
72110             X-RAY EXAM OF LOWER SPINE 2            $61.51       $61.51
72110        26   X-RAY EXAM OF LOWER SPINE 2            $19.35       $19.35
72110   TC        X-RAY EXAM OF LOWER SPINE 2            $42.17       $42.17
72114             X-RAY EXAM OF LOWER SPINE              $77.46       $77.46
72114        26   X-RAY EXAM OF LOWER SPINE              $22.91       $22.91
72114   TC        X-RAY EXAM OF LOWER SPINE              $54.55       $54.55
72120             X-RAY EXAM OF LOWER SPINE 3            $55.06       $55.06
72120        26   X-RAY EXAM OF LOWER SPINE 3            $13.79       $13.79
72120   TC        X-RAY EXAM OF LOWER SPINE 3            $41.28       $41.28
72125             CAT SCAN OF NECK SPINE                $344.38      $344.38
72125        26   CAT SCAN OF NECK SPINE                 $73.08       $73.08
72125   TC        CAT SCAN OF NECK SPINE                $271.32      $271.32
72126           CONTRAST CAT SCAN OF NECK            $401.32       $401.32
72126        26 CONTRAST CAT SCAN OF NECK             $76.78        $76.78
72126   TC      CONTRAST CAT SCAN OF NECK            $324.54       $324.54
72127           CONTRAST CAT SCANS OF NECK           $486.50       $486.50
72127        26 CONTRAST CAT SCANS OF NECK            $80.35        $80.35
72127   TC      CONTRAST CAT SCANS OF NECK           $406.15       $406.15
72128           CAT SCAN OF THORAX SPINE             $344.38       $344.38
72128        26 CAT SCAN OF THORAX SPINE              $73.08        $73.08
72128   TC      CAT SCAN OF THORAX SPINE             $271.32       $271.32
72129                                                $401.65       $401.65
                COMPUTED TOMOGRAPHY THORACIC SPINE WITH CONTRAST MATERIAL
72129                                                 $77.09        $77.09
             26 COMPUTED TOMOGRAPHY THORACIC SPINE WITH CONTRAST MATERIAL
72129   TC                                           $324.54       $324.54
                COMPUTED TOMOGRAPHY THORACIC SPINE WITH CONTRAST MATERIAL
72130           CONTRAST CAT SCANS OF THORAX         $486.50       $486.50
72130        26 CONTRAST CAT SCANS OF THORAX          $80.35        $80.35
72130   TC      CONTRAST CAT SCANS OF THORAX         $406.15       $406.15
72131           CAT SCAN OF LOWER SPINE              $344.38       $344.38
72131        26 CAT SCAN OF LOWER SPINE               $73.08        $73.08
72131   TC      CAT SCAN OF LOWER SPINE              $271.32       $271.32
72132           CONTRAST CAT OF LOWER SPINE          $401.32       $401.32
72132        26 CONTRAST CAT OF LOWER SPINE           $76.78        $76.78
72132   TC      CONTRAST CAT OF LOWER SPINE          $324.54       $324.54
72133                                                $486.50       $486.50
                COMPUTED TOMOGRAPHY LUMBAR SPINE WO CONTRAST MATERIAL FOLL BY CONTRAST MA
72133                                                 $80.35        $80.35
             26 COMPUTED TOMOGRAPHY LUMBAR SPINE WO CONTRAST MATERIAL FOLL BY CONTRAST MA
72133   TC                                           $406.15       $406.15
                COMPUTED TOMOGRAPHY LUMBAR SPINE WO CONTRAST MATERIAL FOLL BY CONTRAST MA
72141           MAGNETIC IMAGE,NECK SPINE            $615.32       $615.32
72141        26 MAGNETIC IMAGE,NECK SPINE            $101.09       $101.09
72141   TC      MAGNETIC IMAGE,NECK SPINE            $514.24       $514.24
72142           MAGNETIC IMAGE, NECK SPINE           $738.51       $738.51
72142        26 MAGNETIC IMAGE, NECK SPINE           $121.66       $121.66
72142   TC      MAGNETIC IMAGE, NECK SPINE           $616.85       $616.85
72146           MAGNETIC IMAGE, CHEST SPINE          $671.78       $671.78
72146        26 MAGNETIC IMAGE, CHEST SPINE          $101.09       $101.09
72146   TC      MAGNETIC IMAGE, CHEST SPINE          $570.70       $570.70
72147           MAGNETIC IMAGE, CHEST SPINE 1        $738.06       $738.06
72147        26 MAGNETIC IMAGE, CHEST SPINE 1        $121.22       $121.22
72147   TC      MAGNETIC IMAGE, CHEST SPINE 1        $616.85       $616.85
72148           MAGNETIC IMAGE, LUMBAR SPINE         $664.36       $664.36
72148        26 MAGNETIC IMAGE, LUMBAR SPINE          $93.65        $93.65
72148   TC      MAGNETIC IMAGE, LUMBAR SPINE         $570.70       $570.70
72149           MAGNETIC IMAGE, LUMBAR SPINE 1       $729.83       $729.83
72149        26 MAGNETIC IMAGE, LUMBAR SPINE 1       $112.98       $112.98
72149   TC      MAGNETIC IMAGE, LUMBAR SPINE 1       $616.85       $616.85
72156           MRI OF SPINAL CANAL                $1,304.87     $1,304.87
72156        26 MRI OF SPINAL CANAL                  $162.54       $162.54
72156   TC      MRI OF SPINAL CANAL                $1,142.33     $1,142.33
72157           MRI SPINAL CANAL, THORACIC         $1,304.12     $1,304.12
72157        26 MRI SPINAL CANAL, THORACIC           $161.79       $161.79
72157   TC      MRI SPINAL CANAL, THORACIC         $1,142.33     $1,142.33
72158           MRI SPINAL CANAL, LUMBAR           $1,291.57     $1,291.57
72158        26 MRI SPINAL CANAL, LUMBAR             $149.23       $149.23
72158   TC      MRI SPINAL CANAL, LUMBAR           $1,142.33     $1,142.33
72159           MAG RES ANGIOGRAPHY - SPINAL         $679.94       $679.94
72159        26 MAG RES ANGIOGRAPHY - SPINAL            $118.53       $118.53
72159   TC      MAG RES ANGIOGRAPHY - SPINAL            $561.41       $561.41
72170           X-RAY EXAM OF PELVIS                     $34.63        $34.63
72170        26 X-RAY EXAM OF PELVIS                     $10.99        $10.99
72170   TC      X-RAY EXAM OF PELVIS                     $23.64        $23.64
72190           X-RAY EXAM OF PELVIS 1                   $44.23        $44.23
72190        26 X-RAY EXAM OF PELVIS 1                   $13.30        $13.30
72190   TC      X-RAY EXAM OF PELVIS 1                   $30.92        $30.92
72191                                                   $659.14
                COMPUTED TOMOGRAPHIC ANGIOGRAPHY PELVIS W/O CONTRAST  $659.14
72191                                                   $114.39
             26 COMPUTED TOMOGRAPHIC ANGIOGRAPHY PELVIS W/O CONTRAST  $114.39
72191   TC                                              $544.74
                COMPUTED TOMOGRAPHIC ANGIOGRAPHY PELVIS W/O CONTRAST  $544.74
72192           CAT SCAN OF PELVIS                      $340.21       $340.21
72192        26 CAT SCAN OF PELVIS                       $68.89        $68.89
72192   TC      CAT SCAN OF PELVIS                      $271.32       $271.32
72193           CONTRAST CAT SCAN OF PELVIS             $387.11       $387.11
72193        26 CONTRAST CAT SCAN OF PELVIS              $73.08        $73.08
72193   TC      CONTRAST CAT SCAN OF PELVIS             $314.05       $314.05
72194           CONTRAST CAT SCANS OF PELVIS            $466.06       $466.06
72194        26 CONTRAST CAT SCANS OF PELVIS             $76.78        $76.78
72194   TC      CONTRAST CAT SCANS OF PELVIS            $389.28       $389.28
72195                                                   $602.14
                MAGNETIC RESONANCE IMAGING PELVIS W/O CONTRAST        $602.14
72195                                                    $92.26
             26 MAGNETIC RESONANCE IMAGING PELVIS W/O CONTRAST         $92.26
72195   TC                                              $509.88
                MAGNETIC RESONANCE IMAGING PELVIS W/O CONTRAST        $509.88
72196           MAGNETIC IMAGE, PELVIS                  $720.51       $720.51
72196        26 MAGNETIC IMAGE, PELVIS                  $109.29       $109.29
72196   TC      MAGNETIC IMAGE, PELVIS                  $611.22       $611.22
72197                                                 CONTRAST FURTHER SEQUENCES
                MAGNETIC RESONANCE IMAGING PELVIS W/O $1,272.60     $1,272.60
72197                                                   $142.44       $142.44
             26 MAGNETIC RESONANCE IMAGING PELVIS W/O CONTRAST FURTHER SEQUENCES
72197   TC                                            CONTRAST FURTHER SEQUENCES
                MAGNETIC RESONANCE IMAGING PELVIS W/O $1,130.16     $1,130.16
72198           MAGNETIC IMAGING/PELVIS(MRA)            $627.72       $627.72
72198        26 MAGNETIC IMAGING/PELVIS(MRA)            $113.48       $113.48
72198   TC      MAGNETIC IMAGING/PELVIS(MRA)            $514.24       $514.24
72200           X-RAY EXAM SACROILIAC JOINTS             $34.63        $34.63
72200        26 X-RAY EXAM SACROILIAC JOINTS             $10.99        $10.99
72200   TC      X-RAY EXAM SACROILIAC JOINTS             $23.64        $23.64
72202           X-RAY EXAM OF SACROILIAC JOINTS 1        $40.62        $40.62
72202        26 X-RAY EXAM OF SACROILIAC JOINTS 1        $11.92        $11.92
72202   TC      X-RAY EXAM OF SACROILIAC JOINTS 1        $28.69        $28.69
72220           X-RAY EXAM OF TAILBONE                   $37.47        $37.47
72220        26 X-RAY EXAM OF TAILBONE                   $10.99        $10.99
72220   TC      X-RAY EXAM OF TAILBONE                   $26.48        $26.48
72240                                                   $275.07
                MYELOGRAPHY/CERVICAL SUPERVISION/INTERPRETATION       $275.07
72240                                                    $56.99
             26 MYELOGRAPHY/CERVICAL SUPERVISION/INTERPRETATION        $56.99
72240   TC                                              $218.09
                MYELOGRAPHY/CERVICAL SUPERVISION/INTERPRETATION       $218.09
72255                                                   $254.66
                MYELOGRAPHY/THORACIC RAD SUPERVISION/INTERPRETATION $254.66
72255                                                    $56.11
             26 MYELOGRAPHY/THORACIC RAD SUPERVISION/INTERPRETATION $56.11
72255   TC                                              $198.57
                MYELOGRAPHY/THORACIC RAD SUPERVISION/INTERPRETATION $198.57
72265                                                   $238.50
                MYELOGRAPHY LUMBOSACRAL RAD SUPERVISION/INTERPRETATION$238.50
72265                                                    $51.44
             26 MYELOGRAPHY LUMBOSACRAL RAD SUPERVISION/INTERPRETATION $51.44
72265   TC                                              $187.04
                MYELOGRAPHY LUMBOSACRAL RAD SUPERVISION/INTERPRETATION$187.04
72270                                                   $363.52       $363.52
                MYELOGRAPHY/ENTIRE SPINAL CANAL,RAD SUPERVISION/INTERPRETATION
72270                                                    $83.17        $83.17
             26 MYELOGRAPHY/ENTIRE SPINAL CANAL,RAD SUPERVISION/INTERPRETATION
72270   TC                                               $280.35       $280.35
                  MYELOGRAPHY/ENTIRE SPINAL CANAL,RAD SUPERVISION/INTERPRETATION
72275                                                    $145.76
                  EPIDUROGRAPHY RAD SUPERVISION AND INTERPRETATION     $145.76
72275        26                                           $45.93
                  EPIDUROGRAPHY RAD SUPERVISION AND INTERPRETATION      $45.93
72275   TC                                                $99.84
                  EPIDUROGRAPHY RAD SUPERVISION AND INTERPRETATION      $99.84
72285             DISKOGRAPHY,CERV/THORACIC,RADIOLOGI    $457.23       $457.23
72285        26   DISKOGRAPHY,CERV/THORACIC,RADIOLOGI     $72.81        $72.81
72285   TC        DISKOGRAPHY,CERV/THORACIC,RADIOLOGI    $384.41       $384.41
72295             DISKOGRAPHY,LUMBAR, RADIOLOGIC         $413.40       $413.40
72295        26   DISKOGRAPHY,LUMBAR, RADIOLOGIC          $52.95        $52.95
72295   TC        DISKOGRAPHY,LUMBAR, RADIOLOGIC         $360.45       $360.45
73000             X-RAY EXAM OF COLLARBONE                $33.70        $33.70
73000        26   X-RAY EXAM OF COLLARBONE                $10.07        $10.07
73000   TC        X-RAY EXAM OF COLLARBONE                $23.64        $23.64
73010             X-RAY EXAM OF SHOULDER BLADE            $34.63        $34.63
73010        26   X-RAY EXAM OF SHOULDER BLADE            $10.99        $10.99
73010   TC        X-RAY EXAM OF SHOULDER BLADE            $23.64        $23.64
73020             X-RAY EXAM OF SHOULDER                  $31.03        $31.03
73020        26   X-RAY EXAM OF SHOULDER                   $9.61         $9.61
73020   TC        X-RAY EXAM OF SHOULDER                  $21.43        $21.43
73030             X-RAY EXAM OF SHOULDER 1                $37.94        $37.94
73030        26   X-RAY EXAM OF SHOULDER 1                $11.45        $11.45
73030   TC        X-RAY EXAM OF SHOULDER 1                $26.48        $26.48
73040             CONTRAST X-RAY OF SHOULDER             $130.76       $130.76
73040        26   CONTRAST X-RAY OF SHOULDER              $34.05        $34.05
73040   TC        CONTRAST X-RAY OF SHOULDER              $96.72        $96.72
73050             X-RAY EXAM OF SHOULDERS                 $43.74        $43.74
73050        26   X-RAY EXAM OF SHOULDERS                 $12.84        $12.84
73050   TC        X-RAY EXAM OF SHOULDERS                 $30.92        $30.92
73060             X-RAY EXAM OF HUMERUS                   $37.47        $37.47
73060        26   X-RAY EXAM OF HUMERUS                   $10.99        $10.99
73060   TC        X-RAY EXAM OF HUMERUS                   $26.48        $26.48
73070             X-RAY EXAM OF ELBOW                     $33.24        $33.24
73070        26   X-RAY EXAM OF ELBOW                      $9.61         $9.61
73070   TC        X-RAY EXAM OF ELBOW                     $23.64        $23.64
73080             X-RAY EXAM OF ELBOW 1                   $37.47        $37.47
73080        26   X-RAY EXAM OF ELBOW 1                   $10.99        $10.99
73080   TC        X-RAY EXAM OF ELBOW 1                   $26.48        $26.48
73085             CONTRAST X-RAY OF ELBOW                $131.51       $131.51
73085        26   CONTRAST X-RAY OF ELBOW                 $34.79        $34.79
73085   TC        CONTRAST X-RAY OF ELBOW                 $96.72        $96.72
73090             X-RAY EXAM OF FOREARM                   $33.70        $33.70
73090        26   X-RAY EXAM OF FOREARM                   $10.07        $10.07
73090   TC        X-RAY EXAM OF FOREARM                   $23.64        $23.64
73092             X-RAY EXAM OF ARM, INFANT               $32.38        $32.38
73092        26   X-RAY EXAM OF ARM, INFANT               $10.07        $10.07
73092   TC        X-RAY EXAM OF ARM, INFANT               $22.31        $22.31
73100             X-RAY EXAM OF WRIST                     $32.38        $32.38
73100        26   X-RAY EXAM OF WRIST                     $10.07        $10.07
73100   TC        X-RAY EXAM OF WRIST                     $22.31        $22.31
73110             X-RAY EXAM OF WRIST 1                   $35.07        $35.07
73110        26   X-RAY EXAM OF WRIST 1                   $10.99        $10.99
73110   TC        X-RAY EXAM OF WRIST 1                   $24.08        $24.08
73115           CONTRAST X-RAY OF WRIST                $107.43        $107.43
73115        26 CONTRAST X-RAY OF WRIST                 $34.36         $34.36
73115   TC      CONTRAST X-RAY OF WRIST                 $73.07         $73.07
73120           X-RAY EXAM OF HAND 1                    $32.38         $32.38
73120        26 X-RAY EXAM OF HAND 1                    $10.07         $10.07
73120   TC      X-RAY EXAM OF HAND 1                    $22.31         $22.31
73130           X-RAY EXAM OF HAND                      $35.07         $35.07
73130        26 X-RAY EXAM OF HAND                      $10.99         $10.99
73130   TC      X-RAY EXAM OF HAND                      $24.08         $24.08
73140           X-RAY EXAM OF FINGER(S)                 $27.43         $27.43
73140        26 X-RAY EXAM OF FINGER(S)                  $8.21          $8.21
73140   TC      X-RAY EXAM OF FINGER(S)                 $19.22         $19.22
73200           CAT SCAN OF ARM                        $296.27        $296.27
73200        26 CAT SCAN OF ARM                         $68.89         $68.89
73200   TC      CAT SCAN OF ARM                        $227.39        $227.39
73201           CONTRAST CAT SCAN OF ARM               $344.38        $344.38
73201        26 CONTRAST CAT SCAN OF ARM                $73.08         $73.08
73201   TC      CONTRAST CAT SCAN OF ARM               $271.32        $271.32
73202           CONTRAST CAT SCANS OF ARM              $417.77        $417.77
73202        26 CONTRAST CAT SCANS OF ARM               $77.09         $77.09
73202   TC      CONTRAST CAT SCANS OF ARM              $340.65        $340.65
73206                                                  $611.33        $611.33
                COMPUTED TOMOGRAPH ANGIOGRAPHY UPPER EXTREMITY W/O CONTRAST
73206                                                  $113.96        $113.96
             26 COMPUTED TOMOGRAPH ANGIOGRAPHY UPPER EXTREMITY W/O CONTRAST
73206   TC                                             $497.37        $497.37
                COMPUTED TOMOGRAPH ANGIOGRAPHY UPPER EXTREMITY W/O CONTRAST
73218                                                  $593.00        $593.00
                MAGNETIC RESONANCE IMAGING UPPER EXTREMITIES W/O CONTRAST
73218                                                   $85.00         $85.00
             26 MAGNETIC RESONANCE IMAGING UPPER EXTREMITIES W/O CONTRAST
73218   TC                                             $508.00        $508.00
                MAGNETIC RESONANCE IMAGING UPPER EXTREMITIES W/O CONTRAST
73219                                                  $712.14        $712.14
                MAGNETIC RESONANCE IMAGING-UPPER EXTREMITIES W CONTRAST
73219                                                  $102.47        $102.47
             26 MAGNETIC RESONANCE IMAGING-UPPER EXTREMITIES W CONTRAST
73219   TC                                             $609.67        $609.67
                MAGNETIC RESONANCE IMAGING-UPPER EXTREMITIES W CONTRAST
73220           MAGNETIC IMAGE, ARM, HAND            $1,263.59      $1,263.59
73220        26 MAGNETIC IMAGE, ARM, HAND              $135.93        $135.93
73220   TC      MAGNETIC IMAGE, ARM, HAND            $1,127.67      $1,127.67
73221           MAGNETIC IMAGE, JOINT OF ARM           $593.00        $593.00
73221        26 MAGNETIC IMAGE, JOINT OF ARM            $85.00         $85.00
73221   TC      MAGNETIC IMAGE, JOINT OF ARM           $508.00        $508.00
73222                                                  $711.69        $711.69
                MAGNETIC RESONANCE IMAGING ANY JOINT UPPER EXTREMENTY W CONTRAST
73222                                                  $102.03        $102.03
             26 MAGNETIC RESONANCE IMAGING ANY JOINT UPPER EXTREMENTY W CONTRAST
73222   TC                                             $609.67        $609.67
                MAGNETIC RESONANCE IMAGING ANY JOINT UPPER EXTREMENTY W CONTRAST
73223                                                $1,263.59      $1,263.59
                MAGNETIC RESONANCE IMAGING ANY JOINT UPR EXTREMITY W/O CONTRAST FURTHER SEQ
73223                                                  $135.93        $135.93
             26 MAGNETIC RESONANCE IMAGING ANY JOINT UPR EXTREMITY W/O CONTRAST FURTHER SEQ
73223   TC                                           $1,127.67      $1,127.67
                MAGNETIC RESONANCE IMAGING ANY JOINT UPR EXTREMITY W/O CONTRAST FURTHER SEQ
73225           MAG RES ANGIOGRAPHY - UP EXTREM        $620.17        $620.17
73225        26 MAG RES ANGIOGRAPHY - UP EXTREM        $114.34        $114.34
73225   TC      MAG RES ANGIOGRAPHY - UP EXTREM        $505.83        $505.83
73500           X-RAY EXAM OF HIP                       $32.41         $32.41
73500        26 X-RAY EXAM OF HIP                       $10.99         $10.99
73500   TC      X-RAY EXAM OF HIP                       $21.43         $21.43
73510           X-RAY EXAM OF HIP 1                     $39.79         $39.79
73510        26 X-RAY EXAM OF HIP 1                     $13.30         $13.30
73510   TC      X-RAY EXAM OF HIP 1                     $26.48         $26.48
73520           X-RAY EXAM OF HIPS                      $47.47         $47.47
73520        26 X-RAY EXAM OF HIPS                     $16.55    $16.55
73520   TC      X-RAY EXAM OF HIPS                     $30.92    $30.92
73525           CONTRAST X-RAY OF HIP                 $131.08   $131.08
73525        26 CONTRAST X-RAY OF HIP                  $34.36    $34.36
73525   TC      CONTRAST X-RAY OF HIP                  $96.72    $96.72
73530           X-RAY EXAM OF HIP 2                    $42.06    $42.06
73530        26 X-RAY EXAM OF HIP 2                    $18.41    $18.41
73530   TC      X-RAY EXAM OF HIP 2                    $23.64    $23.64
73540           X-RAY EXAM OF PELVIS & HIPS            $39.32    $39.32
73540        26 X-RAY EXAM OF PELVIS & HIPS            $12.84    $12.84
73540   TC      X-RAY EXAM OF PELVIS & HIPS            $26.48    $26.48
73542                                                 $132.86
                SACROILIAC JOINT ARTHROGRAPHY RADIOLOGIC EXAM   $132.86
73542                                                  $36.15
             26 SACROILIAC JOINT ARTHROGRAPHY RADIOLOGIC EXAM    $36.15
73542   TC                                             $96.72
                SACROILIAC JOINT ARTHROGRAPHY RADIOLOGIC EXAM    $96.72
73550           X-RAY EXAM OF THIGH                    $37.47    $37.47
73550        26 X-RAY EXAM OF THIGH                    $10.99    $10.99
73550   TC      X-RAY EXAM OF THIGH                    $26.48    $26.48
73560           X-RAY EXAM OF KNEE 1                   $34.63    $34.63
73560        26 X-RAY EXAM OF KNEE 1                   $10.99    $10.99
73560   TC      X-RAY EXAM OF KNEE 1                   $23.64    $23.64
73562           X-RAY EXAM OF KNEE 2                   $37.94    $37.94
73562        26 X-RAY EXAM OF KNEE 2                   $11.45    $11.45
73562   TC      X-RAY EXAM OF KNEE 2                   $26.48    $26.48
73564           RAD EXAM,KNEE,COMPLETE                 $42.47    $42.47
73564        26 RAD EXAM,KNEE,COMPLETE                 $13.79    $13.79
73564   TC      RAD EXAM,KNEE,COMPLETE                 $28.69    $28.69
73565           X-RAY EXAM OF KNEE                     $33.30    $33.30
73565        26 X-RAY EXAM OF KNEE                     $10.99    $10.99
73565   TC      X-RAY EXAM OF KNEE                     $22.31    $22.31
73580           CONTRAST X-RAY OF KNEE JOINT          $154.28   $154.28
73580        26 CONTRAST X-RAY OF KNEE JOINT           $33.93    $33.93
73580   TC      CONTRAST X-RAY OF KNEE JOINT          $120.36   $120.36
73590           X-RAY EXAM OF LOWER LEG                $34.63    $34.63
73590        26 X-RAY EXAM OF LOWER LEG                $10.99    $10.99
73590   TC      X-RAY EXAM OF LOWER LEG                $23.64    $23.64
73592           X-RAY EXAM OF LEG, INFANT              $32.38    $32.38
73592        26 X-RAY EXAM OF LEG, INFANT              $10.07    $10.07
73592   TC      X-RAY EXAM OF LEG, INFANT              $22.31    $22.31
73600           X-RAY EXAM OF ANKLE 1                  $32.38    $32.38
73600        26 X-RAY EXAM OF ANKLE 1                  $10.07    $10.07
73600   TC      X-RAY EXAM OF ANKLE 1                  $22.31    $22.31
73610           X-RAY EXAM OF ANKLE                    $35.07    $35.07
73610        26 X-RAY EXAM OF ANKLE                    $10.99    $10.99
73610   TC      X-RAY EXAM OF ANKLE                    $24.08    $24.08
73615           RADIOLOGIC EXAM OF ANKLE              $131.08   $131.08
73615        26 RADIOLOGIC EXAM OF ANKLE               $34.36    $34.36
73615   TC      RADIOLOGIC EXAM OF ANKLE               $96.72    $96.72
73620           X-RAY EXAM OF FOOT 1                   $32.38    $32.38
73620        26 X-RAY EXAM OF FOOT 1                   $10.07    $10.07
73620   TC      X-RAY EXAM OF FOOT 1                   $22.31    $22.31
73630           X-RAY EXAM OF FOOT                     $35.07    $35.07
73630        26 X-RAY EXAM OF FOOT                     $10.99    $10.99
73630   TC        X-RAY EXAM OF FOOT                       $24.08       $24.08
73650             X-RAY EXAM OF HEEL                       $31.50       $31.50
73650        26   X-RAY EXAM OF HEEL                       $10.07       $10.07
73650   TC        X-RAY EXAM OF HEEL                       $21.43       $21.43
73660             X-RAY EXAM OF TOE(S)                     $27.43       $27.43
73660        26   X-RAY EXAM OF TOE(S)                      $8.21        $8.21
73660   TC        X-RAY EXAM OF TOE(S)                     $19.22       $19.22
73700             CAT SCAN OF LEG                         $296.27      $296.27
73700        26   CAT SCAN OF LEG                          $68.89       $68.89
73700   TC        CAT SCAN OF LEG                         $227.39      $227.39
73701             CONTRAST CAT SCAN OF LEG                $344.38      $344.38
73701        26   CONTRAST CAT SCAN OF LEG                 $73.08       $73.08
73701   TC        CONTRAST CAT SCAN OF LEG                $271.32      $271.32
73702             CONTRAST CAT SCANS OF LEG               $417.45      $417.45
73702        26   CONTRAST CAT SCANS OF LEG                $76.78       $76.78
73702   TC        CONTRAST CAT SCANS OF LEG               $340.65      $340.65
73706                                                     $617.21      $617.21
                  COMPUTED TOMGRAPHIC ANGIOGRAPHY LOWER EXTREMITY W/O CONTRAST
73706        26                                           $119.85      $119.85
                  COMPUTED TOMGRAPHIC ANGIOGRAPHY LOWER EXTREMITY W/O CONTRAST
73706   TC                                                $497.37      $497.37
                  COMPUTED TOMGRAPHIC ANGIOGRAPHY LOWER EXTREMITY W/O CONTRAST
73718                                                     $593.00      $593.00
                  MAGNETIC RESONANCE IMAGING LOWER EXTREMITY OTHER THAN JOINT W/O CONTRAST
73718        26                                            $85.00       $85.00
                  MAGNETIC RESONANCE IMAGING LOWER EXTREMITY OTHER THAN JOINT W/O CONTRAST
73718   TC                                                $508.00      $508.00
                  MAGNETIC RESONANCE IMAGING LOWER EXTREMITY OTHER THAN JOINT W/O CONTRAST
73719                                                     $711.69       JOINT
                  MAGNETIC RESONANCE IMAGING LWR EXTREMITY OTHER THAN$711.69W CONTRAST
73719        26                                           $102.03       JOINT
                  MAGNETIC RESONANCE IMAGING LWR EXTREMITY OTHER THAN$102.03W CONTRAST
73719   TC                                                $609.67       JOINT
                  MAGNETIC RESONANCE IMAGING LWR EXTREMITY OTHER THAN$609.67W CONTRAST
73720             MAGNETIC IMAGE, LEG, FOOT             $1,263.15    $1,263.15
73720        26   MAGNETIC IMAGE, LEG, FOOT               $135.47      $135.47
73720   TC        MAGNETIC IMAGE, LEG, FOOT             $1,127.67    $1,127.67
73721             MAGNETIC IMAGE, JOINT OF LEG            $593.00      $593.00
73721        26   MAGNETIC IMAGE, JOINT OF LEG             $85.00       $85.00
73721   TC        MAGNETIC IMAGE, JOINT OF LEG            $508.00      $508.00
73722                                                     $711.69      $711.69
                  MAGNETIC RESONANCE IMAGING ANY JOINT LWR EXREMITY W CONTRAST
73722        26                                           $102.03      $102.03
                  MAGNETIC RESONANCE IMAGING ANY JOINT LWR EXREMITY W CONTRAST
73722   TC                                                $609.67      $609.67
                  MAGNETIC RESONANCE IMAGING ANY JOINT LWR EXREMITY W CONTRAST
73723                                                   $1,263.59    $1,263.59
                  MRI ANY JOINT LWR EXTREM W/O CONTR FOLLOWED BY CONTR MATERIAL
73723        26                                           $135.93      MATERIAL
                  MRI ANY JOINT LWR EXTREM W/O CONTR FOLLOWED BY CONTR $135.93
73723   TC                                              $1,127.67    $1,127.67
                  MRI ANY JOINT LWR EXTREM W/O CONTR FOLLOWED BY CONTR MATERIAL
73725             MAG RES ANGIOGRAPHY - LOW EXTREM        $629.10      $629.10
73725        26   MAG RES ANGIOGRAPHY - LOW EXTREM        $114.87      $114.87
73725   TC        MAG RES ANGIOGRAPHY - LOW EXTREM        $514.24      $514.24
74000             X-RAY EXAM OF ABDOMEN                    $35.10       $35.10
74000        26   X-RAY EXAM OF ABDOMEN                    $11.45       $11.45
74000   TC        X-RAY EXAM OF ABDOMEN                    $23.64       $23.64
74010             X-RAY EXAM OF ABDOMEN 1                  $41.18       $41.18
74010        26   X-RAY EXAM OF ABDOMEN 1                  $14.70       $14.70
74010   TC        X-RAY EXAM OF ABDOMEN 1                  $26.48       $26.48
74020             X-RAY EXAM OF ABDOMEN 2                  $45.72       $45.72
74020        26   X-RAY EXAM OF ABDOMEN 2                  $17.03       $17.03
74020   TC        X-RAY EXAM OF ABDOMEN 2                  $28.69       $28.69
74022             X-RAY EXAM SERIES, ABDOMEN               $53.70       $53.70
74022        26   X-RAY EXAM SERIES, ABDOMEN               $19.83       $19.83
74022   TC        X-RAY EXAM SERIES, ABDOMEN               $33.89       $33.89
74150           CAT SCAN OF ABDOMEN                   $334.88    $334.88
74150        26 CAT SCAN OF ABDOMEN                    $74.93     $74.93
74150   TC      CAT SCAN OF ABDOMEN                   $259.94    $259.94
74160           CONTRAST CAT SCAN OF ABDOMEN          $394.38    $394.38
74160        26 CONTRAST CAT SCAN OF ABDOMEN           $80.35     $80.35
74160   TC      CONTRAST CAT SCAN OF ABDOMEN          $314.05    $314.05
74170           CONTRAST CAT SCANS, ABDOMEN           $477.52    $477.52
74170        26 CONTRAST CAT SCANS, ABDOMEN            $88.23     $88.23
74170   TC      CONTRAST CAT SCANS, ABDOMEN           $389.28    $389.28
74175                                                 $664.28    $664.28
                COMPUTED TOMOGRAPH ANGIOGRAPH ABDOMEN W/O CONTRAST
74175                                                 $119.53    $119.53
             26 COMPUTED TOMOGRAPH ANGIOGRAPH ABDOMEN W/O CONTRAST
74175   TC                                            $544.74    $544.74
                COMPUTED TOMOGRAPH ANGIOGRAPH ABDOMEN W/O CONTRAST
74181           MAGNETIC IMAGE, ABDOMEN               $601.84    $601.84
74181        26 MAGNETIC IMAGE, ABDOMEN                $91.95     $91.95
74181   TC      MAGNETIC IMAGE, ABDOMEN               $509.88    $509.88
74182                                                 $720.51
                MAGNETIC RESONANCE IMAGING ABDOMEN W CONTRAST    $720.51
74182                                                 $109.29
             26 MAGNETIC RESONANCE IMAGING ABDOMEN W CONTRAST    $109.29
74182   TC                                            $611.22
                MAGNETIC RESONANCE IMAGING ABDOMEN W CONTRAST    $611.22
74183           MRI ABDOMEN W/O CONTRAST            $1,272.60  $1,272.60
74183        26 MRI ABDOMEN W/O CONTRAST              $142.44    $142.44
74183   TC      MRI ABDOMEN W/O CONTRAST            $1,130.16  $1,130.16
74185           MAG RES ANGIOGRAPHY - ABDOMEN         $627.72    $627.72
74185        26 MAG RES ANGIOGRAPHY - ABDOMEN         $113.48    $113.48
74185   TC      MAG RES ANGIOGRAPHY - ABDOMEN         $514.24    $514.24
74190           X-RAY EXAM OF PERITONEUM               $90.52     $90.52
74190        26 X-RAY EXAM OF PERITONEUM               $30.33     $30.33
74190   TC      X-RAY EXAM OF PERITONEUM               $60.18     $60.18
74210           CONTRAST XRAY EXAM OF THROAT           $77.46     $77.46
74210        26 CONTRAST XRAY EXAM OF THROAT           $22.91     $22.91
74210   TC      CONTRAST XRAY EXAM OF THROAT           $54.55     $54.55
74220           CONTRAST XRAY EXAM,ESOPHAGUS           $83.51     $83.51
74220        26 CONTRAST XRAY EXAM,ESOPHAGUS           $28.95     $28.95
74220   TC      CONTRAST XRAY EXAM,ESOPHAGUS           $54.55     $54.55
74230           CINEMA/VIDEO XRAY THROAT/ESOPHAGUS     $93.31     $93.31
74230        26 CINEMA/VIDEO XRAY THROAT/ESOPHAGUS     $33.15     $33.15
74230   TC      CINEMA/VIDEO XRAY THROAT/ESOPHAGUS     $60.18     $60.18
74235           REMOVE ESOPHAGUS OBSTRUCTION          $195.61    $195.61
74235        26 REMOVE ESOPHAGUS OBSTRUCTION           $75.25     $75.25
74235   TC      REMOVE ESOPHAGUS OBSTRUCTION          $120.36    $120.36
74240           X-RAY EXAM UPPER GI TRACT 1           $110.78    $110.78
74240        26 X-RAY EXAM UPPER GI TRACT 1            $43.65     $43.65
74240   TC      X-RAY EXAM UPPER GI TRACT 1            $67.13     $67.13
74241           X-RAY EXAM OF UPPER GI TRACT 2        $112.11    $112.11
74241        26 X-RAY EXAM OF UPPER GI TRACT 2         $43.65     $43.65
74241   TC      X-RAY EXAM OF UPPER GI TRACT 2         $68.46     $68.46
74245           X-RAY EXAM UPPER GI TRACT INTESTINE   $166.85    $166.85
74245        26 X-RAY EXAM UPPER GI TRACT INTESTINE    $57.44     $57.44
74245   TC      X-RAY EXAM UPPER GI TRACT INTESTINE   $109.42    $109.42
74246           CONTRAST XRAY UPPER GI TRACT 1        $119.37    $119.37
74246        26 CONTRAST XRAY UPPER GI TRACT 1         $43.65     $43.65
74246   TC      CONTRAST XRAY UPPER GI TRACT 1         $75.72     $75.72
74247           CONTRAST XRAY UPPER GI TRACT          $121.45    $121.45
74247        26 CONTRAST XRAY UPPER GI TRACT              $43.65    $43.65
74247   TC      CONTRAST XRAY UPPER GI TRACT              $77.81    $77.81
74249                                                    $175.58
                RADIOLOG EXAM, GI TRACT, SM BL FOLLWOW THRU        $175.58
74249                                                     $57.44
             26 RADIOLOG EXAM, GI TRACT, SM BL FOLLWOW THRU         $57.44
74249   TC                                               $118.15
                RADIOLOG EXAM, GI TRACT, SM BL FOLLWOW THRU        $118.15
74250           X-RAY EXAM OF SMALL BOWEL, MULTI FILMS    $89.60    $89.60
74250        26 X-RAY EXAM OF SMALL BOWEL, MULTI FILMS    $29.42    $29.42
74250   TC      X-RAY EXAM OF SMALL BOWEL, MULTI FILMS    $60.18    $60.18
74251           RAD EXAM - SM BOWEL,VIA TUBE             $103.83   $103.83
74251        26 RAD EXAM - SM BOWEL,VIA TUBE              $43.65    $43.65
74251   TC      RAD EXAM - SM BOWEL,VIA TUBE              $60.18    $60.18
74260           X-RAY EXAM OF SMALL BOWEL 1               $99.74    $99.74
74260        26 X-RAY EXAM OF SMALL BOWEL 1               $31.28    $31.28
74260   TC      X-RAY EXAM OF SMALL BOWEL 1               $68.46    $68.46
74270           CONTRAST X-RAY EXAM OF COLON 1           $122.35   $122.35
74270        26 CONTRAST X-RAY EXAM OF COLON 1            $43.65    $43.65
74270   TC      CONTRAST X-RAY EXAM OF COLON 1            $78.69    $78.69
74280           CONTRAST X-RAY EXAM OF COLON 2           $164.87   $164.87
74280        26 CONTRAST X-RAY EXAM OF COLON 2            $62.09    $62.09
74280   TC      CONTRAST X-RAY EXAM OF COLON 2           $102.78   $102.78
74283           CONTRAST X-RAY EXAM OF COLON             $244.97   $244.97
74283        26 CONTRAST X-RAY EXAM OF COLON             $127.26   $127.26
74283   TC      CONTRAST X-RAY EXAM OF COLON             $117.71   $117.71
74290           CONTRAST X-RAY, GALLBLADDER               $53.70    $53.70
74290        26 CONTRAST X-RAY, GALLBLADDER               $19.83    $19.83
74290   TC      CONTRAST X-RAY, GALLBLADDER               $33.89    $33.89
74291           CONTRAST X-RAYS, GALLBLADDER              $32.06    $32.06
74291        26 CONTRAST X-RAYS, GALLBLADDER              $12.84    $12.84
74291   TC      CONTRAST X-RAYS, GALLBLADDER              $19.22    $19.22
74300           X-RAY BILE DUCTS, PANCREAS 1              $63.44    $63.44
74300        26 X-RAY BILE DUCTS, PANCREAS 1              $22.91    $22.91
74300   TC      X-RAY BILE DUCTS, PANCREAS 1              $40.51    $40.51
74301           ADDITIONAL X-RAYS AT SURGERY              $36.82    $36.82
74301        26 ADDITIONAL X-RAYS AT SURGERY              $13.30    $13.30
74301   TC      ADDITIONAL X-RAYS AT SURGERY              $23.52    $23.52
74305                                                     $62.72
                X-RAY BILE DUCTS, PANCREAS THRU EXISTING CATH       $62.72
74305                                                     $26.63
             26 X-RAY BILE DUCTS, PANCREAS THRU EXISTING CATH       $26.63
74305   TC                                                $36.09
                X-RAY BILE DUCTS, PANCREAS THRU EXISTING CATH       $36.09
74320           CONTRAST X-RAY OF BILE DUCTS             $178.82   $178.82
74320        26 CONTRAST X-RAY OF BILE DUCTS              $34.05    $34.05
74320   TC      CONTRAST X-RAY OF BILE DUCTS             $144.75   $144.75
74327                                                    $125.47
                X-RAY FOR BILE STONE REMOVAL VIA BURHENNE TECH     $125.47
74327                                                     $44.13
             26 X-RAY FOR BILE STONE REMOVAL VIA BURHENNE TECH      $44.13
74327   TC                                                $81.36
                X-RAY FOR BILE STONE REMOVAL VIA BURHENNE TECH      $81.36
74328           ENDOSCOPY CATH OF BILIARY DUCT           $188.88   $188.88
74328        26 ENDOSCOPY CATH OF BILIARY DUCT            $44.13    $44.13
74328   TC      ENDOSCOPY CATH OF BILIARY DUCT           $144.75   $144.75
74329           X-RAY FOR PANCREAS ENDOSCOPY             $188.88   $188.88
74329        26 X-RAY FOR PANCREAS ENDOSCOPY              $44.13    $44.13
74329   TC      X-RAY FOR PANCREAS ENDOSCOPY             $144.75   $144.75
74330           XRAY,BILE/PANCREAS ENDOSCOPY             $201.27   $201.27
74330        26 XRAY,BILE/PANCREAS ENDOSCOPY              $56.52    $56.52
74330   TC        XRAY,BILE/PANCREAS ENDOSCOPY            $144.75   $144.75
74340             X-RAY GUIDE FOR GI TUBE                 $154.41   $154.41
74340        26   X-RAY GUIDE FOR GI TUBE                  $34.05    $34.05
74340   TC        X-RAY GUIDE FOR GI TUBE                 $120.36   $120.36
74350             X-RAY GUIDE, STOMACH TUBE               $192.59   $192.59
74350        26   X-RAY GUIDE, STOMACH TUBE                $47.83    $47.83
74350   TC        X-RAY GUIDE, STOMACH TUBE               $144.75   $144.75
74355             PLACE ENTEROCLYSIS TUBE                 $168.20   $168.20
74355        26   PLACE ENTEROCLYSIS TUBE                  $47.83    $47.83
74355   TC        PLACE ENTEROCLYSIS TUBE                 $120.36   $120.36
74360             X-RAY GUIDE, GI DILATION                $179.57   $179.57
74360        26   X-RAY GUIDE, GI DILATION                 $34.79    $34.79
74360   TC        X-RAY GUIDE, GI DILATION                $144.75   $144.75
74363                                                     $335.94
                  PERCU TRANSHEPATIC DIAL BILARY DUCT STRICTURE     $335.94
74363        26                                            $55.58
                  PERCU TRANSHEPATIC DIAL BILARY DUCT STRICTURE      $55.58
74363   TC                                                $280.35
                  PERCU TRANSHEPATIC DIAL BILARY DUCT STRICTURE     $280.35
74400             CONTRAST X-RAY URINARY TRACT 1          $108.62   $108.62
74400        26   CONTRAST X-RAY URINARY TRACT 1           $30.81    $30.81
74400   TC        CONTRAST X-RAY URINARY TRACT 1           $77.81    $77.81
74410             CONTRAST X-RAY URINARY TRACT 2          $120.57   $120.57
74410        26   CONTRAST X-RAY URINARY TRACT 2           $30.81    $30.81
74410   TC        CONTRAST X-RAY URINARY TRACT 2           $89.76    $89.76
74415             CONTRAST X-RAY URINARY TRACT 3          $128.41   $128.41
74415        26   CONTRAST X-RAY URINARY TRACT 3           $30.81    $30.81
74415   TC        CONTRAST X-RAY URINARY TRACT 3           $97.60    $97.60
74420             CONTRAST X-RAY URINARY TRACT 4          $143.27   $143.27
74420        26   CONTRAST X-RAY URINARY TRACT 4           $22.91    $22.91
74420   TC        CONTRAST X-RAY URINARY TRACT 4          $120.36   $120.36
74425             UROGRAPHY,ANTEGRADE INTERPRET            $83.09    $83.09
74425        26   UROGRAPHY,ANTEGRADE INTERPRET            $22.91    $22.91
74425   TC        UROGRAPHY,ANTEGRADE INTERPRET            $60.18    $60.18
74430             CONTRAST X-RAY OF BLADDER                $68.50    $68.50
74430        26   CONTRAST X-RAY OF BLADDER                $20.13    $20.13
74430   TC        CONTRAST X-RAY OF BLADDER                $48.35    $48.35
74440             XRAY EXAM MALE GENITAL TRACT             $75.75    $75.75
74440        26   XRAY EXAM MALE GENITAL TRACT             $23.86    $23.86
74440   TC        XRAY EXAM MALE GENITAL TRACT             $51.89    $51.89
74445             X-RAY EXAM OF PENIS                     $124.21   $124.21
74445        26   X-RAY EXAM OF PENIS                      $72.32    $72.32
74445   TC        X-RAY EXAM OF PENIS                      $51.89    $51.89
74450             URETHROCYSTOGRAPHY, RETROGRADE           $88.18    $88.18
74450        26   URETHROCYSTOGRAPHY, RETROGRADE           $21.06    $21.06
74450   TC        URETHROCYSTOGRAPHY, RETROGRADE           $67.13    $67.13
74455             X-RAY EXAM URETHRA/BLADDER               $94.12    $94.12
74455        26   X-RAY EXAM URETHRA/BLADDER               $21.06    $21.06
74455   TC        X-RAY EXAM URETHRA/BLADDER               $73.07    $73.07
74470             X-RAY EXAM OF RENAL CYSTS STUD           $91.57    $91.57
74470        26   X-RAY EXAM OF RENAL CYSTS STUD           $34.05    $34.05
74470   TC        X-RAY EXAM OF RENAL CYSTS STUD           $57.52    $57.52
74475             INTRO OF INTRACATH/CATH RENAL           $221.10   $221.10
74475        26   INTRO OF INTRACATH/CATH RENAL            $34.05    $34.05
74475   TC        INTRO OF INTRACATH/CATH RENAL           $187.04   $187.04
74480           XRAY CONTROL CATHETER INSERT           $221.10       $221.10
74480        26 XRAY CONTROL CATHETER INSERT            $34.05        $34.05
74480   TC      XRAY CONTROL CATHETER INSERT           $187.04       $187.04
74485           X-RAY GUIDE, GU DILATION               $178.67       $178.67
74485        26 X-RAY GUIDE, GU DILATION                $33.93        $33.93
74485   TC      X-RAY GUIDE, GU DILATION               $144.75       $144.75
74710           X-RAY MEASUREMENT OF PELVIS             $69.89        $69.89
74710        26 X-RAY MEASUREMENT OF PELVIS             $21.52        $21.52
74710   TC      X-RAY MEASUREMENT OF PELVIS             $48.35        $48.35
74740           X-RAY FEMALE GENITAL TRACT              $84.49        $84.49
74740        26 X-RAY FEMALE GENITAL TRACT              $24.29        $24.29
74740   TC      X-RAY FEMALE GENITAL TRACT              $60.18        $60.18
74742           X-RAY FALLOPIAN TUBE                   $183.30       $183.30
74742        26 X-RAY FALLOPIAN TUBE                    $38.55        $38.55
74742   TC      X-RAY FALLOPIAN TUBE                   $144.75       $144.75
74775           X-RAY EXAM OF PERINEUM                 $106.59       $106.59
74775        26 X-RAY EXAM OF PERINEUM                  $39.46        $39.46
74775   TC      X-RAY EXAM OF PERINEUM                  $67.13        $67.13
75552           MAG RESONANCE IMAGE,MYOCARDIUM         $615.32       $615.32
75552        26 MAG RESONANCE IMAGE,MYOCARDIUM         $101.09       $101.09
75552   TC      MAG RESONANCE IMAGE,MYOCARDIUM         $514.24       $514.24
75553           MRI - CARDIAC W CONTRAST               $639.49       $639.49
75553        26 MRI - CARDIAC W CONTRAST               $125.25       $125.25
75553   TC      MRI - CARDIAC W CONTRAST               $514.24       $514.24
75554           CARDIAC MRI/FUNCTION                   $631.05       $631.05
75554        26 CARDIAC MRI/FUNCTION                   $116.80       $116.80
75554   TC      CARDIAC MRI/FUNCTION                   $514.24       $514.24
75555           CARDIAC MRI/LIMITED STUDY              $626.81       $626.81
75555        26 CARDIAC MRI/LIMITED STUDY              $112.55       $112.55
75555   TC      CARDIAC MRI/LIMITED STUDY              $514.24       $514.24
75600           AORTOGRAPHY,THORACIC WO SERIAL         $610.24       $610.24
75600        26 AORTOGRAPHY,THORACIC WO SERIAL          $32.14        $32.14
75600   TC      AORTOGRAPHY,THORACIC WO SERIAL         $578.09       $578.09
75605           CONTRAST X-RAY EXAM OF AORTA           $651.12       $651.12
75605        26 CONTRAST X-RAY EXAM OF AORTA            $73.01        $73.01
75605   TC      CONTRAST X-RAY EXAM OF AORTA           $578.09       $578.09
75625           CONTRAST X-RAY EXAM OF AORTA 1         $650.53       $650.53
75625        26 CONTRAST X-RAY EXAM OF AORTA 1          $72.45        $72.45
75625   TC      CONTRAST X-RAY EXAM OF AORTA 1         $578.09       $578.09
75630           X-RAY AORTA, LEG ARTERIES              $717.63       $717.63
75630        26 X-RAY AORTA, LEG ARTERIES              $114.84       $114.84
75630   TC      X-RAY AORTA, LEG ARTERIES              $602.81       $602.81
75635                                                  $868.06       $868.06
                CT ANGIOGRAPHY ABDOMINAL AORTA AND BILATERAL ILIOFEMORAL LWR EXTREMITY
75635                                                  $151.55       $151.55
             26 CT ANGIOGRAPHY ABDOMINAL AORTA AND BILATERAL ILIOFEMORAL LWR EXTREMITY
75635   TC                                             $716.51       $716.51
                CT ANGIOGRAPHY ABDOMINAL AORTA AND BILATERAL ILIOFEMORAL LWR EXTREMITY
75650           ANGIOGRAPHY,CERVICOCEREBRAL            $672.53       $672.53
75650        26 ANGIOGRAPHY,CERVICOCEREBRAL             $94.44        $94.44
75650   TC      ANGIOGRAPHY,CERVICOCEREBRAL            $578.09       $578.09
75658           ANGIOGRAPHY BRACHIAL RETROGRAD         $662.85       $662.85
75658        26 ANGIOGRAPHY BRACHIAL RETROGRAD          $84.75        $84.75
75658   TC      ANGIOGRAPHY BRACHIAL RETROGRAD         $578.09       $578.09
75660           ANGIOGRAPHY,EXTERNAL CARTOID           $661.83       $661.83
75660        26 ANGIOGRAPHY,EXTERNAL CARTOID      $83.73    $83.73
75660   TC      ANGIOGRAPHY,EXTERNAL CARTOID     $578.09   $578.09
75662           ANGIO EXT CAROTID,BILATERAL      $684.97   $684.97
75662        26 ANGIO EXT CAROTID,BILATERAL      $106.88   $106.88
75662   TC      ANGIO EXT CAROTID,BILATERAL      $578.09   $578.09
75665           ARTERY X-RAYS, HEAD & NECK 1     $662.16   $662.16
75665        26 ARTERY X-RAYS, HEAD & NECK 1      $84.04    $84.04
75665   TC      ARTERY X-RAYS, HEAD & NECK 1     $578.09   $578.09
75671           ARTERY X-RAYS, HEAD & NECK       $683.52   $683.52
75671        26 ARTERY X-RAYS, HEAD & NECK       $105.42   $105.42
75671   TC      ARTERY X-RAYS, HEAD & NECK       $578.09   $578.09
75676           ARTERY X-RAYS, NECK              $662.16   $662.16
75676        26 ARTERY X-RAYS, NECK               $84.04    $84.04
75676   TC      ARTERY X-RAYS, NECK              $578.09   $578.09
75680           ANGIOGRAPHY,CERVICAL BILATERAL   $683.52   $683.52
75680        26 ANGIOGRAPHY,CERVICAL BILATERAL   $105.42   $105.42
75680   TC      ANGIOGRAPHY,CERVICAL BILATERAL   $578.09   $578.09
75685           ARTERY X-RAYS, SPINE             $661.08   $661.08
75685        26 ARTERY X-RAYS, SPINE              $82.97    $82.97
75685   TC      ARTERY X-RAYS, SPINE             $578.09   $578.09
75705           ARTERY X-RAYS, SPINE SELECTIVE   $717.24   $717.24
75705        26 ARTERY X-RAYS, SPINE SELECTIVE   $139.16   $139.16
75705   TC      ARTERY X-RAYS, SPINE SELECTIVE   $578.09   $578.09
75710           ARTERY X-RAYS, ARM/LEG           $651.29   $651.29
75710        26 ARTERY X-RAYS, ARM/LEG            $73.19    $73.19
75710   TC      ARTERY X-RAYS, ARM/LEG           $578.09   $578.09
75716           ANGIOGRAPHY,EXTREMITY,BILATERA   $661.08   $661.08
75716        26 ANGIOGRAPHY,EXTREMITY,BILATERA    $82.97    $82.97
75716   TC      ANGIOGRAPHY,EXTREMITY,BILATERA   $578.09   $578.09
75722           ARTERY X-RAYS, KIDNEY            $651.43   $651.43
75722        26 ARTERY X-RAYS, KIDNEY             $73.32    $73.32
75722   TC      ARTERY X-RAYS, KIDNEY            $578.09   $578.09
75724           ARTERY X-RAYS, RENAL,BILATERAL   $675.01   $675.01
75724        26 ARTERY X-RAYS, RENAL,BILATERAL    $96.90    $96.90
75724   TC      ARTERY X-RAYS, RENAL,BILATERAL   $578.09   $578.09
75726           ARTERY X-RAYS, ABDOMEN           $649.78   $649.78
75726        26 ARTERY X-RAYS, ABDOMEN            $71.69    $71.69
75726   TC      ARTERY X-RAYS, ABDOMEN           $578.09   $578.09
75731           ARTERY X-RAYS, ADRENAL GLAND     $650.10   $650.10
75731        26 ARTERY X-RAYS, ADRENAL GLAND      $72.00    $72.00
75731   TC      ARTERY X-RAYS, ADRENAL GLAND     $578.09   $578.09
75733           ANGIOGRAPHY,ADRENAL,BILATERAL    $661.21   $661.21
75733        26 ANGIOGRAPHY,ADRENAL,BILATERAL     $83.12    $83.12
75733   TC      ANGIOGRAPHY,ADRENAL,BILATERAL    $578.09   $578.09
75736           ARTERY X-RAYS, PELVIS            $650.53   $650.53
75736        26 ARTERY X-RAYS, PELVIS             $72.45    $72.45
75736   TC      ARTERY X-RAYS, PELVIS            $578.09   $578.09
75741           ANGIOGRAPHY,PULMONARY,UNILATER   $660.77   $660.77
75741        26 ANGIOGRAPHY,PULMONARY,UNILATER    $82.66    $82.66
75741   TC      ANGIOGRAPHY,PULMONARY,UNILATER   $578.09   $578.09
75743           ANGIOGRAPH,PULMONARY,BILATERAL   $682.45   $682.45
75743        26 ANGIOGRAPH,PULMONARY,BILATERAL   $104.35   $104.35
75743   TC        ANGIOGRAPH,PULMONARY,BILATERAL   $578.09   $578.09
75746             ARTERY X-RAYS, LUNG              $650.22   $650.22
75746        26   ARTERY X-RAYS, LUNG               $72.13    $72.13
75746   TC        ARTERY X-RAYS, LUNG              $578.09   $578.09
75756             ARTERY X-RAYS,INTERNAL MAMMARY   $653.01   $653.01
75756        26   ARTERY X-RAYS,INTERNAL MAMMARY    $74.92    $74.92
75756   TC        ARTERY X-RAYS,INTERNAL MAMMARY   $578.09   $578.09
75774             ARTERY X-RAY,EACH VESSEL         $601.01   $601.01
75774        26   ARTERY X-RAY,EACH VESSEL          $22.91    $22.91
75774   TC        ARTERY X-RAY,EACH VESSEL         $578.09   $578.09
75790             ANGIOGRAPHY,ARTERIOVENUS SHUNT   $178.69   $178.69
75790        26   ANGIOGRAPHY,ARTERIOVENUS SHUNT   $116.43   $116.43
75790   TC        ANGIOGRAPHY,ARTERIOVENUS SHUNT    $62.27    $62.27
75801             LYMPH VESSEL X-RAY, ARM/LEG      $300.88   $300.88
75801        26   LYMPH VESSEL X-RAY, ARM/LEG       $52.32    $52.32
75801   TC        LYMPH VESSEL X-RAY, ARM/LEG      $248.56   $248.56
75803             LYMPHANGIOGRAPHY,EXTREMITY ONL   $322.10   $322.10
75803        26   LYMPHANGIOGRAPHY,EXTREMITY ONL    $73.55    $73.55
75803   TC        LYMPHANGIOGRAPHY,EXTREMITY ONL   $248.56   $248.56
75805             LYMPHANGIOGRAPHY PELVIC/ABD      $332.06   $332.06
75805        26   LYMPHANGIOGRAPHY PELVIC/ABD       $51.70    $51.70
75805   TC        LYMPHANGIOGRAPHY PELVIC/ABD      $280.35   $280.35
75807             LYMPHANGIOGRAPH,PELVIC/ABD       $353.90   $353.90
75807        26   LYMPHANGIOGRAPH,PELVIC/ABD        $73.55    $73.55
75807   TC        LYMPHANGIOGRAPH,PELVIC/ABD       $280.35   $280.35
75809             NONVASCULAR SHUNT,X-RAY           $65.51    $65.51
75809        26   NONVASCULAR SHUNT,X-RAY           $29.42    $29.42
75809   TC        NONVASCULAR SHUNT,X-RAY           $36.09    $36.09
75810             VEIN X-RAY, SPLEEN/LIVER         $649.78   $649.78
75810        26   VEIN X-RAY, SPLEEN/LIVER          $71.69    $71.69
75810   TC        VEIN X-RAY, SPLEEN/LIVER         $578.09   $578.09
75820             VENOGRAPHY,EXTREMITY,UNILATERA    $88.36    $88.36
75820        26   VENOGRAPHY,EXTREMITY,UNILATERA    $44.43    $44.43
75820   TC        VENOGRAPHY,EXTREMITY,UNILATERA    $43.94    $43.94
75822             VENOGRAPHY,EXTREMITY,BILATERAL   $135.04   $135.04
75822        26   VENOGRAPHY,EXTREMITY,BILATERAL    $67.03    $67.03
75822   TC        VENOGRAPHY,EXTREMITY,BILATERAL    $68.01    $68.01
75825             VEIN X-RAY,CAVAL,INFERIOR W      $650.41   $650.41
75825        26   VEIN X-RAY,CAVAL,INFERIOR W       $72.32    $72.32
75825   TC        VEIN X-RAY,CAVAL,INFERIOR W      $578.09   $578.09
75827             VEIN X-RAY, CHEST                $650.10   $650.10
75827        26   VEIN X-RAY, CHEST                 $72.00    $72.00
75827   TC        VEIN X-RAY, CHEST                $578.09   $578.09
75831             VEIN X-RAY,RENAL,UNILATERAL      $650.41   $650.41
75831        26   VEIN X-RAY,RENAL,UNILATERAL       $72.32    $72.32
75831   TC        VEIN X-RAY,RENAL,UNILATERAL      $578.09   $578.09
75833             VEIN X-RAY, RENAL,BILATERAL      $672.84   $672.84
75833        26   VEIN X-RAY, RENAL,BILATERAL       $94.75    $94.75
75833   TC        VEIN X-RAY, RENAL,BILATERAL      $578.09   $578.09
75840             VEIN X-RAY, ADRENAL UNILATERAL   $650.84   $650.84
75840        26   VEIN X-RAY, ADRENAL UNILATERAL    $72.76    $72.76
75840   TC        VEIN X-RAY, ADRENAL UNILATERAL   $578.09   $578.09
75842           VEIN X-RAY, ADRENAL BILATERAL           $671.78      $671.78
75842        26 VEIN X-RAY, ADRENAL BILATERAL            $93.68       $93.68
75842   TC      VEIN X-RAY, ADRENAL BILATERAL           $578.09      $578.09
75860           VEIN X-RAY, SINUS,JUGULAR CATH          $650.66      $650.66
75860        26 VEIN X-RAY, SINUS,JUGULAR CATH           $72.57       $72.57
75860   TC      VEIN X-RAY, SINUS,JUGULAR CATH          $578.09      $578.09
75870           VEIN X-RAY,SUP SAGITTAL SINUS           $650.66      $650.66
75870        26 VEIN X-RAY,SUP SAGITTAL SINUS            $72.57       $72.57
75870   TC      VEIN X-RAY,SUP SAGITTAL SINUS           $578.09      $578.09
75872           VEIN X-RAY, EPIDURAL                    $652.28      $652.28
75872        26 VEIN X-RAY, EPIDURAL                     $74.18       $74.18
75872   TC      VEIN X-RAY, EPIDURAL                    $578.09      $578.09
75880           VEIN X-RAY, EYE SOCKET                   $88.05       $88.05
75880        26 VEIN X-RAY, EYE SOCKET                   $44.13       $44.13
75880   TC      VEIN X-RAY, EYE SOCKET                   $43.94       $43.94
75885           PERCUTANEOUS TRANSHEPATIC PHOT          $668.97      $668.97
75885        26 PERCUTANEOUS TRANSHEPATIC PHOT           $90.88       $90.88
75885   TC      PERCUTANEOUS TRANSHEPATIC PHOT          $578.09      $578.09
75887           VEIN X-RAY, LIVER                       $668.66      $668.66
75887        26 VEIN X-RAY, LIVER                        $90.58       $90.58
75887   TC      VEIN X-RAY, LIVER                       $578.09      $578.09
75889           VEIN X-RAY, LIVER 1                     $649.78      $649.78
75889        26 VEIN X-RAY, LIVER 1                      $71.69       $71.69
75889   TC      VEIN X-RAY, LIVER 1                     $578.09      $578.09
75891           HEPATIC VENOGRAPHY,WEDGED/FREE          $649.78      $649.78
75891        26 HEPATIC VENOGRAPHY,WEDGED/FREE           $71.69       $71.69
75891   TC      HEPATIC VENOGRAPHY,WEDGED/FREE          $578.09      $578.09
75893           VENOUS SAMPLING BY CATHETER             $612.46      $612.46
75893        26 VENOUS SAMPLING BY CATHETER              $34.36       $34.36
75893   TC      VENOUS SAMPLING BY CATHETER             $578.09      $578.09
75894           XRAYS, TRANSCATHETER THERAPY          $1,191.17    $1,191.17
75894        26 XRAYS, TRANSCATHETER THERAPY             $83.29       $83.29
75894   TC      XRAYS, TRANSCATHETER THERAPY          $1,107.89    $1,107.89
75896           X-RAYS, TRANSCATHETER THERAPY 1       $1,047.44    $1,047.44
75896        26 X-RAYS, TRANSCATHETER THERAPY 1          $83.87       $83.87
75896   TC      X-RAYS, TRANSCATHETER THERAPY 1         $963.57      $963.57
75898           FOLLOW-UP ANGIOGRAM THRU EXISTING CATH$152.98        $152.98
75898        26 FOLLOW-UP ANGIOGRAM THRU EXISTING CATH$104.64        $104.64
75898   TC      FOLLOW-UP ANGIOGRAM THRU EXISTING CATH $48.35         $48.35
75900                                                   $994.11
                ARTERIAL CATHETER EX.,RADIOLOGICAL COMPONENT         $994.11
75900                                                    $31.12
             26 ARTERIAL CATHETER EX.,RADIOLOGICAL COMPONENT          $31.12
75900   TC                                              $962.99
                ARTERIAL CATHETER EX.,RADIOLOGICAL COMPONENT         $962.99
75901                                                   $114.71      $114.71
                MECH REMOVAL OF PERICATH OBSTRUCTIVE MATERIAL FROM CENTRAL VENOUS DEV
75901                                                    $30.81       $30.81
             26 MECH REMOVAL OF PERICATH OBSTRUCTIVE MATERIAL FROM CENTRAL VENOUS DEV
75901   TC                                               $83.90       $83.90
                MECH REMOVAL OF PERICATH OBSTRUCTIVE MATERIAL FROM CENTRAL VENOUS DEV
75902                                                   $108.66      $108.66
                MECHANIC REMOVAL OF INTRALUMINAL INTRACATH OBSTRUCTIVE MATERIAL
75902                                                    $24.76       $24.76
             26 MECHANIC REMOVAL OF INTRALUMINAL INTRACATH OBSTRUCTIVE MATERIAL
75902   TC                                               $83.90       $83.90
                MECHANIC REMOVAL OF INTRALUMINAL INTRACATH OBSTRUCTIVE MATERIAL
75940           PLACEMENT OF IVC FILTER                 $612.78      $612.78
75940        26 PLACEMENT OF IVC FILTER                  $34.67       $34.67
75940   TC      PLACEMENT OF IVC FILTER                 $578.09      $578.09
75945           INTERVASCULAR ULTRASOUND, INITIAL VESSEL$235.67      $235.67
75945        26 INTERVASCULAR ULTRASOUND, INITIAL VESSEL $26.31        $26.31
75945   TC      INTERVASCULAR ULTRASOUND, INITIAL VESSEL$209.36       $209.36
75946           INTRAVASCULAR ULTRASOUND ADDT'L VESSEL$132.06         $132.06
75946        26 INTRAVASCULAR ULTRASOUND ADDT'L VESSEL $26.62          $26.62
75946   TC      INTRAVASCULAR ULTRASOUND ADDT'L VESSEL$105.43         $105.43
75952                                                  ANEURYSM RAD SUPERVISION AND INTERP
                ENDOVASC REPAIR INFRARENAL ABD AORTIC $2,811.59     $2,811.59
75952                                                   $291.39       $291.39
             26 ENDOVASC REPAIR INFRARENAL ABD AORTIC ANEURYSM RAD SUPERVISION AND INTERP
75952   TC                                             ANEURYSM RAD SUPERVISION AND INTERP
                ENDOVASC REPAIR INFRARENAL ABD AORTIC $2,520.21     $2,520.21
75953                                                   $849.69       $849.69
                ENDOVASCULAR EXTENSION PROSTHES PLACEMENT RADIOLOGICAL SUPERVISION AND INT
75953                                                    $88.10        $88.10
             26 ENDOVASCULAR EXTENSION PROSTHES PLACEMENT RADIOLOGICAL SUPERVISION AND INT
75953   TC                                              $761.59       $761.59
                ENDOVASCULAR EXTENSION PROSTHES PLACEMENT RADIOLOGICAL SUPERVISION AND INT
75954                                                 $1,393.64     $1,393.64
                ENDOVASC REPAIR OF ILIAC ARTERY ANEURYSM PSEUDOANEURYSM ARTERIOVENOUS
75954                                                   $145.30       $145.30
             26 ENDOVASC REPAIR OF ILIAC ARTERY ANEURYSM PSEUDOANEURYSM ARTERIOVENOUS
75954   TC                                            $1,248.35     $1,248.35
                ENDOVASC REPAIR OF ILIAC ARTERY ANEURYSM PSEUDOANEURYSM ARTERIOVENOUS
75960           TRANSCATHETER INTRO, STENT              $736.27       $736.27
75960        26 TRANSCATHETER INTRO, STENT               $52.61        $52.61
75960   TC      TRANSCATHETER INTRO, STENT              $683.67       $683.67
75961           RETRIEVAL, BROKEN CATHETER              $750.32       $750.32
75961        26 RETRIEVAL, BROKEN CATHETER              $268.31       $268.31
75961   TC      RETRIEVAL, BROKEN CATHETER              $482.01       $482.01
75962           TRANSLUMINAL ANGIO,ANY METHOD           $757.40       $757.40
75962        26 TRANSLUMINAL ANGIO,ANY METHOD            $34.67        $34.67
75962   TC      TRANSLUMINAL ANGIO,ANY METHOD           $722.72       $722.72
75964           REPAIR ARTERY BLOCKAGE, EACH 1          $408.08       $408.08
75964        26 REPAIR ARTERY BLOCKAGE, EACH 1           $23.22        $23.22
75964   TC      REPAIR ARTERY BLOCKAGE, EACH 1          $384.86       $384.86
75966           REPAIR ARTERIAL BLOCKAGE 3              $807.03       $807.03
75966        26 REPAIR ARTERIAL BLOCKAGE 3               $84.30        $84.30
75966   TC      REPAIR ARTERIAL BLOCKAGE 3              $722.72       $722.72
75968           REPAIR ARTERY BLOCKAGE, EACH            $408.20       $408.20
75968        26 REPAIR ARTERY BLOCKAGE, EACH             $23.34        $23.34
75968   TC      REPAIR ARTERY BLOCKAGE, EACH            $384.86       $384.86
75970           VASCULAR BIOPSY                         $582.39       $582.39
75970        26 VASCULAR BIOPSY                          $52.77        $52.77
75970   TC      VASCULAR BIOPSY                         $529.60       $529.60
75978           ANGIOPLASTY VENOUS                      $757.09       $757.09
75978        26 ANGIOPLASTY VENOUS                       $34.36        $34.36
75978   TC      ANGIOPLASTY VENOUS                      $722.72       $722.72
75980           PERCUTANEOUS BILE DRAINAGE              $339.12       $339.12
75980        26 PERCUTANEOUS BILE DRAINAGE               $90.58        $90.58
75980   TC      PERCUTANEOUS BILE DRAINAGE              $248.56       $248.56
75982           PLACE CATH FOR INT/BILE DUCT            $370.93       $370.93
75982        26 PLACE CATH FOR INT/BILE DUCT             $90.58        $90.58
75982   TC      PLACE CATH FOR INT/BILE DUCT            $280.35       $280.35
75984           XRAY CONTROL CATHETER CHANGE            $134.82       $134.82
75984        26 XRAY CONTROL CATHETER CHANGE             $45.07        $45.07
75984   TC      XRAY CONTROL CATHETER CHANGE             $89.76        $89.76
75989                                                   $219.70
                DRAINAGE OF ABCESS W/PLACEMENT OF INDWELLING CATH     $219.70
75989                                                    $74.93
             26 DRAINAGE OF ABCESS W/PLACEMENT OF INDWELLING CATH      $74.93
75989   TC                                              $144.75
                DRAINAGE OF ABCESS W/PLACEMENT OF INDWELLING CATH     $144.75
75992           ARTHERECTOMY,X-RAY EXAM,ONE             $757.53       $757.53
75992        26 ARTHERECTOMY,X-RAY EXAM,ONE              $34.79        $34.79
75992   TC        ARTHERECTOMY,X-RAY EXAM,ONE             $722.72        $722.72
75993             ATHERCTMY,X-RAY EXAM,EA ADD'L           $408.20        $408.20
75993        26   ATHERCTMY,X-RAY EXAM,EA ADD'L            $23.34         $23.34
75993   TC        ATHERCTMY,X-RAY EXAM,EA ADD'L           $384.86        $384.86
75994             ATHERECTOMY,X-RAY EXAM,RENAL            $807.03        $807.03
75994        26   ATHERECTOMY,X-RAY EXAM,RENAL             $84.30         $84.30
75994   TC        ATHERECTOMY,X-RAY EXAM,RENAL            $722.72        $722.72
75995             ATHERCTMY,X-RAY EXAM,VISCERAL           $806.86        $806.86
75995        26   ATHERCTMY,X-RAY EXAM,VISCERAL            $84.13         $84.13
75995   TC        ATHERCTMY,X-RAY EXAM,VISCERAL           $722.72        $722.72
75996             ATHERCTMY,X-RAY EX,EA ADD,VISC          $407.77        $407.77
75996        26   ATHERCTMY,X-RAY EX,EA ADD,VISC           $22.91         $22.91
75996   TC        ATHERCTMY,X-RAY EX,EA ADD,VISC          $384.86        $384.86
75998                                                      $85.09         $85.09
                  FLUOROSCOPIC GUIDANCE CENTR VENOUS ACCESS DEVC PLACE REPLAC REMOV
75998        26                                            $23.98         $23.98
                  FLUOROSCOPIC GUIDANCE CENTR VENOUS ACCESS DEVC PLACE REPLAC REMOV
75998   TC                                                 $61.12         $61.12
                  FLUOROSCOPIC GUIDANCE CENTR VENOUS ACCESS DEVC PLACE REPLAC REMOV
76000             FLUOROSCOPE EXAMINATION                  $70.72         $70.72
76000        26   FLUOROSCOPE EXAMINATION                  $10.54         $10.54
76000   TC        FLUOROSCOPE EXAMINATION                  $60.18         $60.18
76001             FLUOROSCOPE EXAM, EXTENSIVE             $163.25        $163.25
76001        26   FLUOROSCOPE EXAM, EXTENSIVE              $42.89         $42.89
76001   TC        FLUOROSCOPE EXAM, EXTENSIVE             $120.36        $120.36
76003             NEEDLE LOCALIZATION BY X-RAY             $94.09         $94.09
76003        26   NEEDLE LOCALIZATION BY X-RAY             $33.93         $33.93
76003   TC        NEEDLE LOCALIZATION BY X-RAY             $60.18         $60.18
76005             FLUOROSCOPIC GUIDANCE FOR SPINE INJECTION$96.36         $96.36
76005        26   FLUOROSCOPIC GUIDANCE FOR SPINE INJECTION$36.17         $36.17
76005   TC        FLUOROSCOPIC GUIDANCE FOR SPINE INJECTION$60.18         $60.18
76006                                                      BY PHYSICIAN,N,(INC COMPARE VIEWS)
                  RADIOLOGIC EXAM,STRESS VIEW ANY JT, APPLY$29.17         $29.17
76006        26                                            BY PHYSICIAN,N,(INC COMPARE VIEWS)
                  RADIOLOGIC EXAM,STRESS VIEW ANY JT, APPLY$17.91         $17.91
76006   TC                                                 BY PHYSICIAN,N,(INC COMPARE VIEWS)
                  RADIOLOGIC EXAM,STRESS VIEW ANY JT, APPLY$11.26         $11.26
76010             X-RAY, NOSE TO RECTUM                    $35.10         $35.10
76010        26   X-RAY, NOSE TO RECTUM                    $11.45         $11.45
76010   TC        X-RAY, NOSE TO RECTUM                    $23.64         $23.64
76012                                                     $237.97        $237.97
                  PERCUTANEOUS VERTEBROPLASTY UNDER FLUROSCOPE RADIOLOGIC SUPERVISION AND IN
76012        26                                            $85.69         $85.69
                  PERCUTANEOUS VERTEBROPLASTY UNDER FLUROSCOPE RADIOLOGIC SUPERVISION AND IN
76012   TC                                                $152.28        $152.28
                  PERCUTANEOUS VERTEBROPLASTY UNDER FLUROSCOPE RADIOLOGIC SUPERVISION AND IN
76013                                                     $427.25        $427.25
                  PERCUT VERTEBROPLASTY UNDER CT GUIDANCE RAD SUPERVISION AND INTERP
76013        26                                            $88.81         $88.81
                  PERCUT VERTEBROPLASTY UNDER CT GUIDANCE RAD SUPERVISION AND INTERP
76013   TC                                                $338.45        $338.45
                  PERCUT VERTEBROPLASTY UNDER CT GUIDANCE RAD SUPERVISION AND INTERP
76020             X-RAYS FOR BONE AGE                      $35.58         $35.58
76020        26   X-RAYS FOR BONE AGE                      $11.92         $11.92
76020   TC        X-RAYS FOR BONE AGE                      $23.64         $23.64
76040             X-RAYS, BONE EVALUATION                  $53.12         $53.12
76040        26   X-RAYS, BONE EVALUATION                  $17.03         $17.03
76040   TC        X-RAYS, BONE EVALUATION                  $36.09         $36.09
76061             X-RAYS, BONE SURVEY 1                    $74.62         $74.62
76061        26   X-RAYS, BONE SURVEY 1                    $28.48         $28.48
76061   TC        X-RAYS, BONE SURVEY 1                    $46.14         $46.14
76062             X-RAYS, BONE SURVEY                     $100.29        $100.29
76062        26   X-RAYS, BONE SURVEY                      $34.05         $34.05
76062   TC        X-RAYS, BONE SURVEY                      $66.25         $66.25
76065           X-RAYS, BONE EVALUATION 1                    $77.99        $77.99
76065        26 X-RAYS, BONE EVALUATION 1                    $44.13        $44.13
76065   TC      X-RAYS, BONE EVALUATION 1                    $33.89        $33.89
76066           JOINT(S) SURVEY, SINGLE FILM, 2 PLUS JOINTS $70.68         $70.68
76066        26 JOINT(S) SURVEY, SINGLE FILM, 2 PLUS JOINTS $19.66         $19.66
76066   TC      JOINT(S) SURVEY, SINGLE FILM, 2 PLUS JOINTS $51.02         $51.02
76070           CT SCAN, BONE DENSITY STUDY, 1 OR MORE SITES$151.23       $151.23
76070        26 CT SCAN, BONE DENSITY STUDY, 1 OR MORE SITES $15.64        $15.64
76070   TC      CT SCAN, BONE DENSITY STUDY, 1 OR MORE SITES$135.59       $135.59
76071                                                       $145.95       $145.95
                COMPUTED TOMOGR BONE MINERAL DENSITY STUDY ONE OR MORE SITES APPEND
76071                                                        $13.79        $13.79
             26 COMPUTED TOMOGR BONE MINERAL DENSITY STUDY ONE OR MORE SITES APPEND
76071   TC                                                  $132.16       $132.16
                COMPUTED TOMOGR BONE MINERAL DENSITY STUDY ONE OR MORE SITES APPEND
76075           DUAL ENERGY X-RAY STUDY                     $160.98       $160.98
76075        26 DUAL ENERGY X-RAY STUDY                      $18.88        $18.88
76075   TC      DUAL ENERGY X-RAY STUDY                     $142.11       $142.11
76076           DUAL-ENERGY X-RAY STUDY                      $48.99        $48.99
76076        26 DUAL-ENERGY X-RAY STUDY                      $14.23        $14.23
76076   TC      DUAL-ENERGY X-RAY STUDY                      $34.75        $34.75
76077                                                        $45.74
                DXA, BONE DENSITY STUDY, 1 PLUS SITES - VERTEBRAL FX ASSESS$45.74
76077                                                        $10.99
             26 DXA, BONE DENSITY STUDY, 1 PLUS SITES - VERTEBRAL FX ASSESS$10.99
76077   TC                                                   $34.75
                DXA, BONE DENSITY STUDY, 1 PLUS SITES - VERTEBRAL FX ASSESS$34.75
76078           PHOTODENSITOMETRY, 1 OR MORE SITES           $47.60        $47.60
76078        26 PHOTODENSITOMETRY, 1 OR MORE SITES           $12.84        $12.84
76078   TC      PHOTODENSITOMETRY, 1 OR MORE SITES           $34.75        $34.75
76080           X-RAY EXAM OF FISTULA                        $82.42        $82.42
76080        26 X-RAY EXAM OF FISTULA                        $34.05        $34.05
76080   TC      X-RAY EXAM OF FISTULA                        $48.35        $48.35
76082           COMPUTER AIDED DETECTION DX MAMMOGRAPHY      $22.93        $22.93
76082        26 COMPUTER AIDED DETECTION DX MAMMOGRAPHY       $4.03         $4.03
76082   TC      COMPUTER AIDED DETECTION DX MAMMOGRAPHY      $18.91        $18.91
76083                                                        $22.93
                COM PUTER AIDED DETECTION SCREENING MAMMOGRAPHY            $22.93
76083                                                         $4.03
             26 COM PUTER AIDED DETECTION SCREENING MAMMOGRAPHY             $4.03
76083   TC                                                   $18.91
                COM PUTER AIDED DETECTION SCREENING MAMMOGRAPHY            $18.91
76086           MAMMARY DUCTOGRAM OR GALACTOGR              $143.27       $143.27
76086        26 MAMMARY DUCTOGRAM OR GALACTOGR               $22.91        $22.91
76086   TC      MAMMARY DUCTOGRAM OR GALACTOGR              $120.36       $120.36
76088           X-RAY OF MAMMARY DUCTS                      $196.43       $196.43
76088        26 X-RAY OF MAMMARY DUCTS                       $28.48        $28.48
76088   TC      X-RAY OF MAMMARY DUCTS                      $167.95       $167.95
76090           X-RAY EXAM OF BREAST                         $92.49        $92.49
76090        26 X-RAY EXAM OF BREAST                         $44.13        $44.13
76090   TC      X-RAY EXAM OF BREAST                         $48.35        $48.35
76091           X-RAY EXAM OF BREASTS                       $114.85       $114.85
76091        26 X-RAY EXAM OF BREASTS                        $54.66        $54.66
76091   TC      X-RAY EXAM OF BREASTS                        $60.18        $60.18
76092           MAMMOGRAPHY 2 VIEW EACH BREAST              $100.76       $100.76
76092        26 MAMMOGRAPHY 2 VIEW EACH BREAST               $44.13        $44.13
76092   TC      MAMMOGRAPHY 2 VIEW EACH BREAST               $56.64        $56.64
76093           MRI BREAST, UNILATERAL                      $911.25       $911.25
76093        26 MRI BREAST, UNILATERAL                      $102.50       $102.50
76093   TC      MRI BREAST, UNILATERAL                      $808.76       $808.76
76094           MRI BREAST, BILATERAL                     $1,199.71     $1,199.71
76094        26 MRI BREAST, BILATERAL                   $102.50     $102.50
76094   TC      MRI BREAST, BILATERAL                 $1,097.20   $1,097.20
76095           STEREO LOCALIZATION,BREAST BX           $429.32     $429.32
76095        26 STEREO LOCALIZATION,BREAST BX           $100.80     $100.80
76095   TC      STEREO LOCALIZATION,BREAST BX           $328.52     $328.52
76096           X-RAY OF NEEDLE WIRE, BREAST             $95.48      $95.48
76096        26 X-RAY OF NEEDLE WIRE, BREAST             $35.31      $35.31
76096   TC      X-RAY OF NEEDLE WIRE, BREAST             $60.18      $60.18
76098           X-RAY EXAM, BREAST SPECIMEN              $29.28      $29.28
76098        26 X-RAY EXAM, BREAST SPECIMEN              $10.07      $10.07
76098   TC      X-RAY EXAM, BREAST SPECIMEN              $19.22      $19.22
76100           X-RAY EXAM OF BODY SECTION               $94.22      $94.22
76100        26 X-RAY EXAM OF BODY SECTION               $36.69      $36.69
76100   TC      X-RAY EXAM OF BODY SECTION               $57.52      $57.52
76101           COMPLEX BODY SECTION X-RAY              $102.05     $102.05
76101        26 COMPLEX BODY SECTION X-RAY               $36.69      $36.69
76101   TC      COMPLEX BODY SECTION X-RAY               $65.36      $65.36
76102           COMPLEX BODY SECTION X-RAYS             $116.72     $116.72
76102        26 COMPLEX BODY SECTION X-RAYS              $36.69      $36.69
76102   TC      COMPLEX BODY SECTION X-RAYS              $80.02      $80.02
76120           CINEMATIC X-RAYS                         $72.64      $72.64
76120        26 CINEMATIC X-RAYS                         $24.29      $24.29
76120   TC      CINEMATIC X-RAYS                         $48.35      $48.35
76125           CINEMATIC X-RAYS W/ROUTINE EXAM          $53.12      $53.12
76125        26 CINEMATIC X-RAYS W/ROUTINE EXAM          $17.03      $17.03
76125   TC      CINEMATIC X-RAYS W/ROUTINE EXAM          $36.09      $36.09
76150           X-RAY EXAM, DRY PROCESS                  $19.22      $19.22
76150   TC      X-RAY EXAM, DRY PROCESS                  $19.22      $19.22
76350           SPECIAL X-RAY CONTRAST STUDY             $45.47      $45.47
76350        26 SPECIAL X-RAY CONTRAST STUDY              $9.26       $9.26
76350   TC      SPECIAL X-RAY CONTRAST STUDY             $36.21      $36.21
76355           CAT SCAN FOR STEREOTACTIC LOCALIZATION $455.41      $455.41
76355        26 CAT SCAN FOR STEREOTACTIC LOCALIZATION $76.63        $76.63
76355   TC      CAT SCAN FOR STEREOTACTIC LOCALIZATION $378.78      $378.78
76360           CAT SCAN FOR NEEDLE BIOPSY              $451.85     $451.85
76360        26 CAT SCAN FOR NEEDLE BIOPSY               $73.08      $73.08
76360   TC      CAT SCAN FOR NEEDLE BIOPSY              $378.78     $378.78
76362           CAT GUIDANCE FOR TISSUE ABLATION        $662.83     $662.83
76362        26 CAT GUIDANCE FOR TISSUE ABLATION        $251.60     $251.60
76362   TC      CAT GUIDANCE FOR TISSUE ABLATION        $411.24     $411.24
76370           CAT SCAN FOR RADIATION THERAPY GUIDE    $189.31     $189.31
76370        26 CAT SCAN FOR RADIATION THERAPY GUIDE     $53.71      $53.71
76370   TC      CAT SCAN FOR RADIATION THERAPY GUIDE    $135.59     $135.59
76375           3D/HOLOGRAPH RECONSTR CAT/MRI           $172.41     $172.41
76375        26 3D/HOLOGRAPH RECONSTR CAT/MRI            $10.07      $10.07
76375   TC      3D/HOLOGRAPH RECONSTR CAT/MRI           $162.34     $162.34
76380                                                   $222.19
                COMPUTERIZED TOMOGRAPHY LIMITED, FOLLOW UP          $222.19
76380                                                    $61.63
             26 COMPUTERIZED TOMOGRAPHY LIMITED, FOLLOW UP           $61.63
76380   TC                                              $160.57
                COMPUTERIZED TOMOGRAPHY LIMITED, FOLLOW UP          $160.57
76390           MR SPECTROSCOPY                         $594.82     $594.82
76390        26 MR SPECTROSCOPY                          $89.00      $89.00
76390   TC      MR SPECTROSCOPY                         $505.83     $505.83
76393                                                  $608.66
                MAGNETIC RESONANCE GUIDANCE FOR NEEDLE PLACMENT       $608.66
76393                                                    PLACMENT
             26 MAGNETIC RESONANCE GUIDANCE FOR NEEDLE$95.67           $95.67
76393   TC                                             $512.99
                MAGNETIC RESONANCE GUIDANCE FOR NEEDLE PLACMENT       $512.99
76394           MRI GUIDANCE FOR TISSUE ABLATION       $813.01        $813.01
76394        26 MRI GUIDANCE FOR TISSUE ABLATION       $268.49        $268.49
76394   TC      MRI GUIDANCE FOR TISSUE ABLATION       $544.52        $544.52
76400           MAGNETIC IMAGE, BONE MARROW            $614.89        $614.89
76400        26 MAGNETIC IMAGE, BONE MARROW            $100.64        $100.64
76400   TC      MAGNETIC IMAGE, BONE MARROW            $514.24        $514.24
76506           ECHO EXAM OF HEAD                      $107.24        $107.24
76506        26 ECHO EXAM OF HEAD                       $41.88         $41.88
76506   TC      ECHO EXAM OF HEAD                       $65.36         $65.36
76510                                                  $202.82        $202.82
                OPHTHALMIC ULTRASOUND, DIAGNOSTIC, B-SCAN/A-SCAN DURING SAME ENCOUNTER
76510                                                  $104.12        $104.12
             26 OPHTHALMIC ULTRASOUND, DIAGNOSTIC, B-SCAN/A-SCAN DURING SAME ENCOUNTER
76510   TC                                              $98.70         $98.70
                OPHTHALMIC ULTRASOUND, DIAGNOSTIC, B-SCAN/A-SCAN DURING SAME ENCOUNTER
76511           ECHO EXAM OF EYE 1                     $155.01        $155.01
76511        26 ECHO EXAM OF EYE 1                      $62.96         $62.96
76511   TC      ECHO EXAM OF EYE 1                      $92.05         $92.05
76512           ECHO EXAM OF EYE B SCAN                $146.78        $146.78
76512        26 ECHO EXAM OF EYE B SCAN                 $63.54         $63.54
76512   TC      ECHO EXAM OF EYE B SCAN                 $83.24         $83.24
76513           ECHO EXAM OF EYE, WATER BATH           $115.00        $115.00
76513        26 ECHO EXAM OF EYE, WATER BATH            $44.58         $44.58
76513   TC      ECHO EXAM OF EYE, WATER BATH            $70.41         $70.41
76514                                                   $14.38
                OPHTHALMIC ULTRASOUND ECHOGRAPHY DX CORNEAL PACHYMETRY $14.38
76514                                                   $11.87
             26 OPHTHALMIC ULTRASOUND ECHOGRAPHY DX CORNEAL PACHYMETRY $11.87
76514   TC                                               $2.53
                OPHTHALMIC ULTRASOUND ECHOGRAPHY DX CORNEAL PACHYMETRY  $2.53
76516           ECHO EXAM OF EYE A- SCAN                $92.59         $92.59
76516        26 ECHO EXAM OF EYE A- SCAN                $36.40         $36.40
76516   TC      ECHO EXAM OF EYE A- SCAN                $56.19         $56.19
76519           ECHO EXAM OF EYE 2                      $96.57         $96.57
76519        26 ECHO EXAM OF EYE 2                      $36.40         $36.40
76519   TC      ECHO EXAM OF EYE 2                      $60.18         $60.18
76529           ECHO EXAM OF EYE                        $90.65         $90.65
76529        26 ECHO EXAM OF EYE                        $38.13         $38.13
76529   TC      ECHO EXAM OF EYE                        $52.52         $52.52
76536           ULTRASOUND OF HEAD AND NECK, BSCAN     $100.67        $100.67
76536        26 ULTRASOUND OF HEAD AND NECK, BSCAN      $35.31         $35.31
76536   TC      ULTRASOUND OF HEAD AND NECK, BSCAN      $65.36         $65.36
76604           ULTRASOUND, CHEST, BSCAN                $94.70         $94.70
76604        26 ULTRASOUND, CHEST, BSCAN                $34.53         $34.53
76604   TC      ULTRASOUND, CHEST, BSCAN                $60.18         $60.18
76645           ULTRASOUND, BREASTS, BSCAN              $82.42         $82.42
76645        26 ULTRASOUND, BREASTS, BSCAN              $34.05         $34.05
76645   TC      ULTRASOUND, BREASTS, BSCAN              $48.35         $48.35
76700           ULTRASOUND, ABDOMINAL, BSCAN COMPLETE $142.05         $142.05
76700        26 ULTRASOUND, ABDOMINAL, BSCAN COMPLETE $51.39           $51.39
76700   TC      ULTRASOUND, ABDOMINAL, BSCAN COMPLETE $90.65           $90.65
76705           ECHO EXAM OF ABDOMEN                   $102.53        $102.53
76705        26 ECHO EXAM OF ABDOMEN                    $37.16         $37.16
76705   TC      ECHO EXAM OF ABDOMEN                    $65.36         $65.36
76770           ULTRASOUND, RETROPERITONEAL, BSCAN     $137.10        $137.10
76770        26 ULTRASOUND, RETROPERITONEAL, BSCAN       $46.45        $46.45
76770   TC      ULTRASOUND, RETROPERITONEAL, BSCAN       $90.65        $90.65
76775           ECHO EXAM ABDOMEN BACK WALL             $102.05       $102.05
76775        26 ECHO EXAM ABDOMEN BACK WALL              $36.69        $36.69
76775   TC      ECHO EXAM ABDOMEN BACK WALL              $65.36        $65.36
76778                                                    W/WO         $137.10
                ULTRASOUND, TRANSPLANTED KIDNEY, BSCAN $137.10DUPLEX DOPPLER
76778                                                    $46.45        $46.45
             26 ULTRASOUND, TRANSPLANTED KIDNEY, BSCAN W/WO DUPLEX DOPPLER
76778   TC                                               $90.65        $90.65
                ULTRASOUND, TRANSPLANTED KIDNEY, BSCAN W/WO DUPLEX DOPPLER
76800           ULTRASOUND, SPINAL CANAL AND CONTENTS $135.25         $135.25
76800        26 ULTRASOUND, SPINAL CANAL AND CONTENTS $69.89           $69.89
76800   TC      ULTRASOUND, SPINAL CANAL AND CONTENTS $65.36           $65.36
76801                                                   $159.69       $159.69
                ULTRASOUND PREGNANT UTERUS REAL TIME W/ IMAGE DOC FETAL AND MATERNAL
76801                                                    $62.97        $62.97
             26 ULTRASOUND PREGNANT UTERUS REAL TIME W/ IMAGE DOC FETAL AND MATERNAL
76801   TC                                               $96.72        $96.72
                ULTRASOUND PREGNANT UTERUS REAL TIME W/ IMAGE DOC FETAL AND MATERNAL
76802                                                   $103.44       $103.44
                ULTRASOUND PREG UTER REAL TIME WITH IMAGE DOC FETAL AND MATERNAL EVAL
76802                                                    $53.22        $53.22
             26 ULTRASOUND PREG UTER REAL TIME WITH IMAGE DOC FETAL AND MATERNAL EVAL
76802   TC                                               $50.24        $50.24
                ULTRASOUND PREG UTER REAL TIME WITH IMAGE DOC FETAL AND MATERNAL EVAL
76805           ULTRASOUND, PREGNANT UTERUS, BSCAN      $159.69       $159.69
76805        26 ULTRASOUND, PREGNANT UTERUS, BSCAN       $62.97        $62.97
76805   TC      ULTRASOUND, PREGNANT UTERUS, BSCAN       $96.72        $96.72
76810           ECHOGRAPHY,FETAL/MATERNAL EVAL          $115.85       $115.85
76810        26 ECHOGRAPHY,FETAL/MATERNAL EVAL           $62.50        $62.50
76810   TC      ECHOGRAPHY,FETAL/MATERNAL EVAL           $53.35        $53.35
76811                                                   $293.52       $293.52
                ULTRASOUND PREG UTERUS REAL TIME WITH IMAGE DOC FETAL AND MATERNAL EVAL
76811                                                   $123.83       $123.83
             26 ULTRASOUND PREG UTERUS REAL TIME WITH IMAGE DOC FETAL AND MATERNAL EVAL
76811   TC                                              $169.69       $169.69
                ULTRASOUND PREG UTERUS REAL TIME WITH IMAGE DOC FETAL AND MATERNAL EVAL
76812                                                   $174.91        MATERNAL EVAL
                ULTRASOUND PREG UT REAL TIME WITH IMAGE DOC FETAL AND$174.91
76812                                                   $115.63        MATERNAL EVAL
             26 ULTRASOUND PREG UT REAL TIME WITH IMAGE DOC FETAL AND$115.63
76812   TC                                               DOC FETAL AND MATERNAL EVAL
                ULTRASOUND PREG UT REAL TIME WITH IMAGE $59.28         $59.28
76815           ECHO EXAM OF PREGNANT UTERUS 1          $107.13       $107.13
76815        26 ECHO EXAM OF PREGNANT UTERUS 1           $41.76        $41.76
76815   TC      ECHO EXAM OF PREGNANT UTERUS 1           $65.36        $65.36
76816           ECHO EXAM FOLLOWUP OR REPEAT            $106.49       $106.49
76816        26 ECHO EXAM FOLLOWUP OR REPEAT             $55.49        $55.49
76816   TC      ECHO EXAM FOLLOWUP OR REPEAT             $51.02        $51.02
76817                                                   $116.96       $116.96
                ULTRASOUND PREGNANT UTERUS REAL TIME WITH IMAGE DOCUMENTATION TRANSVAG
76817                                                    $47.81        $47.81
             26 ULTRASOUND PREGNANT UTERUS REAL TIME WITH IMAGE DOCUMENTATION TRANSVAG
76817   TC                                               $69.16        $69.16
                ULTRASOUND PREGNANT UTERUS REAL TIME WITH IMAGE DOCUMENTATION TRANSVAG
76818           FETAL BIOPHYSICAL PROFILE               $142.73       $142.73
76818        26 FETAL BIOPHYSICAL PROFILE                $68.33        $68.33
76818   TC      FETAL BIOPHYSICAL PROFILE                $74.40        $74.40
76819                                                   TESTING
                FETAL BIOPHYSICAL PROFILE W/P NONSTRESS $124.03       $124.03
76819                                                    $49.63
             26 FETAL BIOPHYSICAL PROFILE W/P NONSTRESS TESTING        $49.63
76819   TC                                               $74.40
                FETAL BIOPHYSICAL PROFILE W/P NONSTRESS TESTING        $74.40
76820                                                   $107.94
                DOPPLER VELOCIMETRY, FETAL - UMBILICAL ARTERY         $107.94
76820                                                    $32.92
             26 DOPPLER VELOCIMETRY, FETAL - UMBILICAL ARTERY          $32.92
76820   TC                                               $75.01
                DOPPLER VELOCIMETRY, FETAL - UMBILICAL ARTERY          $75.01
76821                                                   $120.92
                DOPPLER VELOCIMETRY, FETAL - MIDDLE CEREBRAL ARTERY   $120.92
76821                                                    $45.88
             26 DOPPLER VELOCIMETRY, FETAL - MIDDLE CEREBRAL ARTERY    $45.88
76821   TC                                               $75.01
                DOPPLER VELOCIMETRY, FETAL - MIDDLE CEREBRAL ARTERY    $75.01
76825           ECHO EXAM OF FETAL HEART                $198.13       $198.13
76825        26 ECHO EXAM OF FETAL HEART                $107.48       $107.48
76825   TC        ECHO EXAM OF FETAL HEART                  $90.65      $90.65
76826             ECHO EXAM HEART,F/U REPEAT                $85.91      $85.91
76826        26   ECHO EXAM HEART,F/U REPEAT                $52.91      $52.91
76826   TC        ECHO EXAM HEART,F/U REPEAT                $32.99      $32.99
76827             ECHO EXAM HEART,COMPLETE                 $117.47     $117.47
76827        26   ECHO EXAM HEART,COMPLETE                  $37.57      $37.57
76827   TC        ECHO EXAM HEART,COMPLETE                  $79.89      $79.89
76828             ECHO EXAM OF FETAL HEART 1                $88.71      $88.71
76828        26   ECHO EXAM OF FETAL HEART 1                $37.08      $37.08
76828   TC        ECHO EXAM OF FETAL HEART 1                $51.64      $51.64
76830             ULTRASOUND, TRANSVAGINAL                 $114.06     $114.06
76830        26   ULTRASOUND, TRANSVAGINAL                  $43.65      $43.65
76830   TC        ULTRASOUND, TRANSVAGINAL                  $70.41      $70.41
76831             ECHO EXAM, UTERUS                        $116.37     $116.37
76831        26   ECHO EXAM, UTERUS                         $45.96      $45.96
76831   TC        ECHO EXAM, UTERUS                         $70.41      $70.41
76856             ULTRASOUND, PELVIC, BSCAN COMPLETE       $114.06     $114.06
76856        26   ULTRASOUND, PELVIC, BSCAN COMPLETE        $43.65      $43.65
76856   TC        ULTRASOUND, PELVIC, BSCAN COMPLETE        $70.41      $70.41
76857             ECHO EXAM OF PELVIS                      $101.43     $101.43
76857        26   ECHO EXAM OF PELVIS                       $23.86      $23.86
76857   TC        ECHO EXAM OF PELVIS                       $77.58      $77.58
76870             ULTRASOUND, SCROTUM AND CONTENTS         $110.82     $110.82
76870        26   ULTRASOUND, SCROTUM AND CONTENTS          $40.41      $40.41
76870   TC        ULTRASOUND, SCROTUM AND CONTENTS          $70.41      $70.41
76872             ECHO EXAM, TRANSRECTAL                   $136.07     $136.07
76872        26   ECHO EXAM, TRANSRECTAL                    $43.51      $43.51
76872   TC        ECHO EXAM, TRANSRECTAL                    $92.55      $92.55
76873             PROSTATE VOLUME STUDY                    $195.98     $195.98
76873        26   PROSTATE VOLUME STUDY                     $98.02      $98.02
76873   TC        PROSTATE VOLUME STUDY                     $97.95      $97.95
76880             ULTRASOUND, EXTREMITY, NON-VASCULAR BSCAN$102.53     $102.53
76880        26   ULTRASOUND, EXTREMITY, NON-VASCULAR BSCAN $37.16      $37.16
76880   TC        ULTRASOUND, EXTREMITY, NON-VASCULAR BSCAN $65.36      $65.36
76885                                                      $116.86
                  ULTRASOUND, INFANT HIPS, REAL TIME W/MANIPULATION    $116.86
76885        26                                             $46.45
                  ULTRASOUND, INFANT HIPS, REAL TIME W/MANIPULATION     $46.45
76885   TC                                                  $70.41
                  ULTRASOUND, INFANT HIPS, REAL TIME W/MANIPULATION     $70.41
76886                                                      $104.38
                  ULTRASOUND, INFANT W/O MANIPULATION, LIMITED         $104.38
76886        26                                             $39.03
                  ULTRASOUND, INFANT W/O MANIPULATION, LIMITED          $39.03
76886   TC                                                  $65.36
                  ULTRASOUND, INFANT W/O MANIPULATION, LIMITED          $65.36
76930             ECHO GUIDE FOR HEART SAC TAP             $113.69     $113.69
76930        26   ECHO GUIDE FOR HEART SAC TAP              $43.28      $43.28
76930   TC        ECHO GUIDE FOR HEART SAC TAP              $70.41      $70.41
76932             ECHO GUIDE FOR HEART BIOPSY              $113.69     $113.69
76932        26   ECHO GUIDE FOR HEART BIOPSY               $43.28      $43.28
76932   TC        ECHO GUIDE FOR HEART BIOPSY               $70.41      $70.41
76936             ULTRASONIC GUIDE FOR ARTERY REPAIR       $416.17     $416.17
76936        26   ULTRASONIC GUIDE FOR ARTERY REPAIR       $127.11     $127.11
76936   TC        ULTRASONIC GUIDE FOR ARTERY REPAIR       $289.07     $289.07
76937                                                       $39.45      $39.45
                  US GUID VASC ACCESS REQ EVAL POTEN SITES VESSEL PATENCY NDL ENTRY W RECORD
76937        26                                             $19.51      $19.51
                  US GUID VASC ACCESS REQ EVAL POTEN SITES VESSEL PATENCY NDL ENTRY W RECORD
76937   TC                                                  $19.95      $19.95
                  US GUID VASC ACCESS REQ EVAL POTEN SITES VESSEL PATENCY NDL ENTRY W RECORD
76940                                                  ABLATION
                US GUIDANCE MONITORING VISCERAL TISSUE $208.46       $208.46
76940                                                  ABLATION
             26 US GUIDANCE MONITORING VISCERAL TISSUE $132.12       $132.12
76940   TC                                              $76.35
                US GUIDANCE MONITORING VISCERAL TISSUE ABLATION       $76.35
76941                                                  $156.40       $156.40
                ULTRASONIC GUIDANCE FOR INTRAUTERINE FETAL TRANSFUSION
76941                                                   $86.16
             26 ULTRASONIC GUIDANCE FOR INTRAUTERINE FETAL TRANSFUSION$86.16
76941   TC                                              $70.24
                ULTRASONIC GUIDANCE FOR INTRAUTERINE FETAL TRANSFUSION$70.24
76942           ECHO GUIDE FOR NEEDLE BIOPSY           $169.78       $169.78
76942        26 ECHO GUIDE FOR NEEDLE BIOPSY            $42.26        $42.26
76942   TC      ECHO GUIDE FOR NEEDLE BIOPSY           $127.52       $127.52
76945           ECHO EXAM FOR DRAINAGE                 $112.81       $112.81
76945        26 ECHO EXAM FOR DRAINAGE                  $42.57        $42.57
76945   TC      ECHO EXAM FOR DRAINAGE                  $70.24        $70.24
76946           ECHO GUIDE FOR AMNIOCENTESIS            $95.14        $95.14
76946        26 ECHO GUIDE FOR AMNIOCENTESIS            $24.73        $24.73
76946   TC      ECHO GUIDE FOR AMNIOCENTESIS            $70.41        $70.41
76948           ECHO GUIDE, OVA ASPIRATION              $94.71        $94.71
76948        26 ECHO GUIDE, OVA ASPIRATION              $24.29        $24.29
76948   TC      ECHO GUIDE, OVA ASPIRATION              $70.41        $70.41
76950           ECHO GUIDANCE RADIOTHERAPY 1            $96.87        $96.87
76950        26 ECHO GUIDANCE RADIOTHERAPY 1            $36.69        $36.69
76950   TC      ECHO GUIDANCE RADIOTHERAPY 1            $60.18        $60.18
76965           ULTRASOUND GUIDANCE                    $340.34       $340.34
76965        26 ULTRASOUND GUIDANCE                     $84.71        $84.71
76965   TC      ULTRASOUND GUIDANCE                    $255.64       $255.64
76970           ULTRASOUND EXAM FOLLOW-UP               $73.59        $73.59
76970        26 ULTRASOUND EXAM FOLLOW-UP               $25.24        $25.24
76970   TC      ULTRASOUND EXAM FOLLOW-UP               $48.35        $48.35
76975           GI ENDOSCOPIC ULTRASOUND               $122.25       $122.25
76975        26 GI ENDOSCOPIC ULTRASOUND                $51.82        $51.82
76975   TC      GI ENDOSCOPIC ULTRASOUND                $70.41        $70.41
76977           US BONE DENSITY MEASURE                 $41.41        $41.41
76977        26 US BONE DENSITY MEASURE                  $3.56         $3.56
76977   TC      US BONE DENSITY MEASURE                 $37.86        $37.86
76986           ECHO EXAM AT SURGERY                   $198.38       $198.38
76986        26 ECHO EXAM AT SURGERY                    $78.02        $78.02
76986   TC      ECHO EXAM AT SURGERY                   $120.36       $120.36
77261           RADIATION THERAPY PLANNING 1           $116.98       $116.98
77262           RADIATION THERAPY PLANNING 2           $176.34       $176.34
77263           RADIATION THERAPY PLANNING             $261.90       $261.90
77280           SET RADIATION THERAPY FIELD            $263.27       $263.27
77280        26 SET RADIATION THERAPY FIELD             $56.98        $56.98
77280   TC      SET RADIATION THERAPY FIELD            $206.29       $206.29
77285           SET RADIATION THERAPY FIELD 1          $417.22       $417.22
77285        26 SET RADIATION THERAPY FIELD 1           $85.65        $85.65
77285   TC      SET RADIATION THERAPY FIELD 1          $331.56       $331.56
77290           SET RADIATION THERAPY FIELD 2          $514.69       $514.69
77290        26 SET RADIATION THERAPY FIELD 2          $127.19       $127.19
77290   TC      SET RADIATION THERAPY FIELD 2          $387.50       $387.50
77295           THERAPEUTIC RAD,3-D RECONSTRUC       $2,033.57     $2,033.57
77295        26 THERAPEUTIC RAD,3-D RECONSTRUC         $371.94       $371.94
77295   TC      THERAPEUTIC RAD,3-D RECONSTRUC       $1,661.63     $1,661.63
77300           RADIATION THERAPY DOSE PLAN 1          $130.24       $130.24
77300        26 RADIATION THERAPY DOSE PLAN 1           $50.56      $50.56
77300   TC      RADIATION THERAPY DOSE PLAN 1           $79.68      $79.68
77301           INTENSITY MODULATED RADIOTHERAPY PLAN$2,312.63   $2,312.63
77301        26 INTENSITY MODULATED RADIOTHERAPY PLAN $650.99      $650.99
77301   TC      INTENSITY MODULATED RADIOTHERAPY PLAN$1,661.63   $1,661.63
77305           RADIATION THERAPY DOSE PLAN 2          $168.67     $168.67
77305        26 RADIATION THERAPY DOSE PLAN 2           $57.56      $57.56
77305   TC      RADIATION THERAPY DOSE PLAN 2          $111.11     $111.11
77310           RADIATION THERAPY DOSE PLAN 3          $224.54     $224.54
77310        26 RADIATION THERAPY DOSE PLAN 3           $85.65      $85.65
77310   TC      RADIATION THERAPY DOSE PLAN 3          $138.89     $138.89
77315           RADIATION THERAPY DOSE PLAN            $285.40     $285.40
77315        26 RADIATION THERAPY DOSE PLAN            $127.19     $127.19
77315   TC      RADIATION THERAPY DOSE PLAN            $158.21     $158.21
77321           RADIATION THERAPY PORT PLAN            $317.43     $317.43
77321        26 RADIATION THERAPY PORT PLAN             $77.24      $77.24
77321   TC      RADIATION THERAPY PORT PLAN            $240.19     $240.19
77326           RADIATION THERAPY DOSE PLAN 4          $216.63     $216.63
77326        26 RADIATION THERAPY DOSE PLAN 4           $76.02      $76.02
77326   TC      RADIATION THERAPY DOSE PLAN 4          $140.60     $140.60
77327           RAD IMMRDIATE MULTI DOSE PLAN          $319.25     $319.25
77327        26 RAD IMMRDIATE MULTI DOSE PLAN          $112.96     $112.96
77327   TC      RAD IMMRDIATE MULTI DOSE PLAN          $206.29     $206.29
77328           COMPLEX MULTI DOSE PLAN                $465.08     $465.08
77328        26 COMPLEX MULTI DOSE PLAN                $170.52     $170.52
77328   TC      COMPLEX MULTI DOSE PLAN                $294.57     $294.57
77331           SPECIAL RADIATION DOSIMETRY            $100.29     $100.29
77331        26 SPECIAL RADIATION DOSIMETRY             $70.81      $70.81
77331   TC      SPECIAL RADIATION DOSIMETRY             $29.49      $29.49
77332           RADIATION TREATMENT AID(S) 1           $123.61     $123.61
77332        26 RADIATION TREATMENT AID(S) 1            $43.95      $43.95
77332   TC      RADIATION TREATMENT AID(S) 1            $79.68      $79.68
77333           RADIATION TREATMENT AID(S)             $181.24     $181.24
77333        26 RADIATION TREATMENT AID(S)              $68.41      $68.41
77333   TC      RADIATION TREATMENT AID(S)             $112.84     $112.84
77334           RADIATION TREATMENT AID(S) 2           $294.36     $294.36
77334        26 RADIATION TREATMENT AID(S) 2           $101.10     $101.10
77334   TC      RADIATION TREATMENT AID(S) 2           $193.25     $193.25
77336           RADIATION PHYSICS CONSULT              $177.39     $177.39
77336   TC      RADIATION PHYSICS CONSULT              $177.39     $177.39
77370           SPECIAL PHYSICS CONSULTATION           $207.43     $207.43
77370   TC      SPECIAL PHYSICS CONSULTATION           $207.43     $207.43
77401           RADIATION TREAT DELIVERY               $105.97     $105.97
77401   TC      RADIATION TREAT DELIVERY               $105.97     $105.97
77402           RAD TREAT DELIVERY SINGLE              $105.97     $105.97
77402   TC      RAD TREAT DELIVERY SINGLE              $105.97     $105.97
77403           RAD TREATMENT 6-10 MEV                 $105.97     $105.97
77403   TC      RAD TREATMENT 6-10 MEV                 $105.97     $105.97
77404           RAD TREATMENT 11-19 MEV                $105.97     $105.97
77404   TC      RAD TREATMENT 11-19 MEV                $105.97     $105.97
77406           RAD TREAT 20 MEV OR GREATER            $105.97     $105.97
77406   TC      RAD TREAT 20 MEV OR GREATER            $105.97     $105.97
77407             RAD TREAT DEL 2 AREAS                  $124.71     $124.71
77407   TC        RAD TREAT DEL 2 AREAS                  $124.71     $124.71
77408             RAD TREAT 2 AREAS 6-10 MEV             $124.71     $124.71
77408   TC        RAD TREAT 2 AREAS 6-10 MEV             $124.71     $124.71
77409             RAD TREAT 2 AREAS 11-19 MEV            $124.71     $124.71
77409   TC        RAD TREAT 2 AREAS 11-19 MEV            $124.71     $124.71
77411             RAD 2 AREAS 20 MEV OR GREATER          $124.71     $124.71
77411   TC        RAD 2 AREAS 20 MEV OR GREATER          $124.71     $124.71
77412             RAD TREAT 3 AREAS UP TO 5MEV           $138.89     $138.89
77412   TC        RAD TREAT 3 AREAS UP TO 5MEV           $138.89     $138.89
77413             RAD TREAT 3 6-10 MEV                   $138.89     $138.89
77413   TC        RAD TREAT 3 6-10 MEV                   $138.89     $138.89
77414             RAD TREAT 3 AREAS 11-19 MEV            $138.89     $138.89
77414   TC        RAD TREAT 3 AREAS 11-19 MEV            $138.89     $138.89
77416             RAD TREAT 20 MEV OR GGREATER           $138.89     $138.89
77416   TC        RAD TREAT 20 MEV OR GGREATER           $138.89     $138.89
77417             THERAPEUTIC RAD PORT FILMS              $35.45      $35.45
77417   TC        THERAPEUTIC RAD PORT FILMS              $35.45      $35.45
77418                                                  $1,038.70
                  INTENSITY MODULATED TREATMENT DELIVERY           $1,038.70
77418   TC                                             $1,038.70
                  INTENSITY MODULATED TREATMENT DELIVERY           $1,038.70
77427                                                    $269.82
                  RADIATION TREATMENT MANAGEMENT 5 TREATME           $269.82
77431             RADIATION THERAPY MANAGEMENT           $153.19     $153.19
77432             RAD TX MANAGEMENT - CEREB LESION       $666.61     $666.61
77470             SPECIAL RADIATION TREATMENT            $833.85     $833.85
77470        26   SPECIAL RADIATION TREATMENT            $170.52     $170.52
77470   TC        SPECIAL RADIATION TREATMENT            $663.31     $663.31
77600             HYPERTHERMIA TREATMENT 1               $308.58     $308.58
77600        26   HYPERTHERMIA TREATMENT 1               $127.19     $127.19
77600   TC        HYPERTHERMIA TREATMENT 1               $181.39     $181.39
77605             HYPERTHERMIA TREATMENT                 $413.71     $413.71
77605        26   HYPERTHERMIA TREATMENT                 $171.96     $171.96
77605   TC        HYPERTHERMIA TREATMENT                 $241.73     $241.73
77610             HYPERTHERMIA TREATMENT 2               $309.16     $309.16
77610        26   HYPERTHERMIA TREATMENT 2               $127.77     $127.77
77610   TC        HYPERTHERMIA TREATMENT 2               $181.39     $181.39
77615             HYPERTHERMIA TREATMENT 3               $411.69     $411.69
77615        26   HYPERTHERMIA TREATMENT 3               $169.95     $169.95
77615   TC        HYPERTHERMIA TREATMENT 3               $241.73     $241.73
77620             HYPERTHERMIA TREATMENT 4               $314.57     $314.57
77620        26   HYPERTHERMIA TREATMENT 4               $133.19     $133.19
77620   TC        HYPERTHERMIA TREATMENT 4               $181.39     $181.39
77750             INFUSE RADIOACTIVE MATERIALS           $479.10     $479.10
77750        26   INFUSE RADIOACTIVE MATERIALS           $400.00     $400.00
77750   TC        INFUSE RADIOACTIVE MATERIALS            $79.10      $79.10
77761             RADIOELEMENT APPLICATION 1             $451.33     $451.33
77761        26   RADIOELEMENT APPLICATION 1             $302.28     $302.28
77761   TC        RADIOELEMENT APPLICATION 1             $149.04     $149.04
77762             RADIOELEMENT APPLICATION 2             $680.54     $680.54
77762        26   RADIOELEMENT APPLICATION 2             $465.82     $465.82
77762   TC        RADIOELEMENT APPLICATION 2             $214.72     $214.72
77763             RADIOELEMENT APPLICATION 3             $964.95     $964.95
77763        26   RADIOELEMENT APPLICATION 3             $698.14     $698.14
77763   TC        RADIOELEMENT APPLICATION 3         $266.80     $266.80
77776             RADIOELEMENT APPLICATION 4         $486.15     $486.15
77776        26   RADIOELEMENT APPLICATION 4         $355.86     $355.86
77776   TC        RADIOELEMENT APPLICATION 4         $130.29     $130.29
77777             RADIOELEMENT APPLICATION 5         $860.22     $860.22
77777        26   RADIOELEMENT APPLICATION 5         $608.73     $608.73
77777   TC        RADIOELEMENT APPLICATION 5         $251.48     $251.48
77778             RADIOELEMENT APPLICAION 6        $1,215.13   $1,215.13
77778        26   RADIOELEMENT APPLICAION 6          $910.01     $910.01
77778   TC        RADIOELEMENT APPLICAION 6          $305.12     $305.12
77781             BRACHYTHERAPY 1-4 SOURCE POS     $1,342.09   $1,342.09
77781        26   BRACHYTHERAPY 1-4 SOURCE POS       $135.02     $135.02
77781   TC        BRACHYTHERAPY 1-4 SOURCE POS     $1,207.07   $1,207.07
77782             BRACHYTHERAPY 5-8 SOURCE POS     $1,410.29   $1,410.29
77782        26   BRACHYTHERAPY 5-8 SOURCE POS       $203.21     $203.21
77782   TC        BRACHYTHERAPY 5-8 SOURCE POS     $1,207.07   $1,207.07
77783             BRACHYTHERAPY 9-12 SOURCE POS    $1,510.20   $1,510.20
77783        26   BRACHYTHERAPY 9-12 SOURCE POS      $303.13     $303.13
77783   TC        BRACHYTHERAPY 9-12 SOURCE POS    $1,207.07   $1,207.07
77784             BRACHYTHERAPY OVER 12 POSITION   $1,663.47   $1,663.47
77784        26   BRACHYTHERAPY OVER 12 POSITION     $456.41     $456.41
77784   TC        BRACHYTHERAPY OVER 12 POSITION   $1,207.07   $1,207.07
77789             RADIOELEMENT APPLICATION           $118.26     $118.26
77789        26   RADIOELEMENT APPLICATION            $91.65      $91.65
77789   TC        RADIOELEMENT APPLICATION            $26.62      $26.62
77790             RADIOELEMENT HANDLING              $115.13     $115.13
77790        26   RADIOELEMENT HANDLING               $85.65      $85.65
77790   TC        RADIOELEMENT HANDLING               $29.49      $29.49
78000             NUCLEAR EXAM OF THYROID             $56.74      $56.74
78000        26   NUCLEAR EXAM OF THYROID             $11.92      $11.92
78000   TC        NUCLEAR EXAM OF THYROID             $44.80      $44.80
78001             NUCLEAR EXAMS OF THYROID            $76.73      $76.73
78001        26   NUCLEAR EXAMS OF THYROID            $16.55      $16.55
78001   TC        NUCLEAR EXAMS OF THYROID            $60.18      $60.18
78003             SPECIAL THYROID NUCLEAR EXAM        $65.56      $65.56
78003        26   SPECIAL THYROID NUCLEAR EXAM        $20.75      $20.75
78003   TC        SPECIAL THYROID NUCLEAR EXAM        $44.80      $44.80
78006             THYROID,IMAGING WITH UPTAKE        $140.23     $140.23
78006        26   THYROID,IMAGING WITH UPTAKE         $30.81      $30.81
78006   TC        THYROID,IMAGING WITH UPTAKE        $109.42     $109.42
78007             THYROID, IMAGE, MULT UPTAKES       $149.87     $149.87
78007        26   THYROID, IMAGE, MULT UPTAKES        $31.73      $31.73
78007   TC        THYROID, IMAGE, MULT UPTAKES       $118.15     $118.15
78010             THYROID IMAGING                    $108.78     $108.78
78010        26   THYROID IMAGING                     $24.76      $24.76
78010   TC        THYROID IMAGING                     $84.00      $84.00
78011             NUCLEAR SCAN, THYROID FLOW         $139.24     $139.24
78011        26   NUCLEAR SCAN, THYROID FLOW          $28.48      $28.48
78011   TC        NUCLEAR SCAN, THYROID FLOW         $110.75     $110.75
78015             THYROID MET IMAGING                $160.85     $160.85
78015        26   THYROID MET IMAGING                 $42.71      $42.71
78015   TC        THYROID MET IMAGING                $118.15     $118.15
78016           THYROID MET IMAGING/STUDIES           $211.99   $211.99
78016        26 THYROID MET IMAGING/STUDIES            $52.30    $52.30
78016   TC      THYROID MET IMAGING/STUDIES           $159.67   $159.67
78018           THYROID, MET IMAGING, BODY            $304.07   $304.07
78018        26 THYROID, MET IMAGING, BODY             $55.08    $55.08
78018   TC      THYROID, MET IMAGING, BODY            $249.00   $249.00
78020           THYROID CARCINOMA METASTASES UPTAKE   $100.58   $100.58
78020        26 THYROID CARCINOMA METASTASES UPTAKE    $38.21    $38.21
78020   TC      THYROID CARCINOMA METASTASES UPTAKE    $62.37    $62.37
78070           PARATHYROID NUCLEAR IMAGING           $244.77   $244.77
78070        26 PARATHYROID NUCLEAR IMAGING            $52.30    $52.30
78070   TC      PARATHYROID NUCLEAR IMAGING           $192.47   $192.47
78075           ADRENAL NUCLEAR IMAGING               $296.34   $296.34
78075        26 ADRENAL NUCLEAR IMAGING                $47.35    $47.35
78075   TC      ADRENAL NUCLEAR IMAGING               $249.00   $249.00
78102           BONE MARROW IMAGING, LTD              $129.02   $129.02
78102        26 BONE MARROW IMAGING, LTD               $34.97    $34.97
78102   TC      BONE MARROW IMAGING, LTD               $94.05    $94.05
78103           BONE MARROW IMAGING, MULT             $193.46   $193.46
78103        26 BONE MARROW IMAGING, MULT              $47.81    $47.81
78103   TC      BONE MARROW IMAGING, MULT             $145.64   $145.64
78104           BONE MARROW IMAGING, BODY             $237.64   $237.64
78104        26 BONE MARROW IMAGING, BODY              $50.61    $50.61
78104   TC      BONE MARROW IMAGING, BODY             $187.04   $187.04
78110           PLASMA VOLUME, SINGLE                  $56.30    $56.30
78110        26 PLASMA VOLUME, SINGLE                  $12.37    $12.37
78110   TC      PLASMA VOLUME, SINGLE                  $43.94    $43.94
78111           PLASMA VOLUME, MULTIPLE               $132.38   $132.38
78111        26 PLASMA VOLUME, MULTIPLE                $14.23    $14.23
78111   TC      PLASMA VOLUME, MULTIPLE               $118.15   $118.15
78120           RED CELL MASS, SINGLE                  $94.72    $94.72
78120        26 RED CELL MASS, SINGLE                  $14.70    $14.70
78120   TC      RED CELL MASS, SINGLE                  $80.02    $80.02
78121           RED CELL MASS, MULTIPLE               $153.47   $153.47
78121        26 RED CELL MASS, MULTIPLE                $20.27    $20.27
78121   TC      RED CELL MASS, MULTIPLE               $133.20   $133.20
78122           BLOOD VOLUME                          $240.06   $240.06
78122        26 BLOOD VOLUME                           $28.92    $28.92
78122   TC      BLOOD VOLUME                          $211.13   $211.13
78130           RED CELL SURVIVAL EXAM                $169.54   $169.54
78130        26 RED CELL SURVIVAL EXAM                 $38.99    $38.99
78130   TC      RED CELL SURVIVAL EXAM                $130.53   $130.53
78135           RED CELL SURVIVAL STUDY DIFFER        $264.25   $264.25
78135        26 RED CELL SURVIVAL STUDY DIFFER         $40.84    $40.84
78135   TC      RED CELL SURVIVAL STUDY DIFFER        $223.39   $223.39
78140           RED CELL SEQUESTRATION                $219.09   $219.09
78140        26 RED CELL SEQUESTRATION                 $38.55    $38.55
78140   TC      RED CELL SEQUESTRATION                $180.54   $180.54
78160           NUCLEAR EXAM OF PLASMA IRON           $190.07   $190.07
78160        26 NUCLEAR EXAM OF PLASMA IRON            $22.12    $22.12
78160   TC      NUCLEAR EXAM OF PLASMA IRON           $167.95   $167.95
78162           NUCLEAR EXAM,IRON ABSORPTION          $177.22   $177.22
78162        26 NUCLEAR EXAM,IRON ABSORPTION      $30.25    $30.25
78162   TC      NUCLEAR EXAM,IRON ABSORPTION     $146.97   $146.97
78170           RED CELL IRON UTILIZATION        $269.97   $269.97
78170        26 RED CELL IRON UTILIZATION         $26.15    $26.15
78170   TC      RED CELL IRON UTILIZATION        $243.81   $243.81
78172           TOTAL BODY IRON ESTIMATION       $127.32   $127.32
78172        26 TOTAL BODY IRON ESTIMATION        $33.15    $33.15
78172   TC      TOTAL BODY IRON ESTIMATION        $94.19    $94.19
78185           SPLEEN IMAGING ONLY W/WO VASCU   $134.22   $134.22
78185        26 SPLEEN IMAGING ONLY W/WO VASCU    $25.68    $25.68
78185   TC      SPLEEN IMAGING ONLY W/WO VASCU   $108.53   $108.53
78190           KINETICS PLATELET STUDY          $333.30   $333.30
78190        26 KINETICS PLATELET STUDY           $71.14    $71.14
78190   TC      KINETICS PLATELET STUDY          $262.15   $262.15
78191           PLATELET SURVIVAL                $375.04   $375.04
78191        26 PLATELET SURVIVAL                 $38.55    $38.55
78191   TC      PLATELET SURVIVAL                $336.49   $336.49
78195           NUCLEAR SCAN OF LYMPH SYSTEM     $263.64   $263.64
78195        26 NUCLEAR SCAN OF LYMPH SYSTEM      $76.60    $76.60
78195   TC      NUCLEAR SCAN OF LYMPH SYSTEM     $187.04   $187.04
78201           NUCLEAR SCAN OF LIVER            $136.54   $136.54
78201        26 NUCLEAR SCAN OF LIVER             $28.01    $28.01
78201   TC      NUCLEAR SCAN OF LIVER            $108.53   $108.53
78202           LIVER IMAGING WITH FLOW          $164.05   $164.05
78202        26 LIVER IMAGING WITH FLOW           $32.20    $32.20
78202   TC      LIVER IMAGING WITH FLOW          $131.87   $131.87
78205           LIVER IMAGING (3D)               $316.35   $316.35
78205        26 LIVER IMAGING (3D)                $45.04    $45.04
78205   TC      LIVER IMAGING (3D)               $271.32   $271.32
78206           LIVER IMAGE (3-D) W/FLOW         $326.19   $326.19
78206        26 LIVER IMAGE (3-D) W/FLOW          $61.12    $61.12
78206   TC      LIVER IMAGE (3-D) W/FLOW         $265.06   $265.06
78215           NUCLEAR SCAN, LIVER & SPLEEN     $165.34   $165.34
78215        26 NUCLEAR SCAN, LIVER & SPLEEN      $30.81    $30.81
78215   TC      NUCLEAR SCAN, LIVER & SPLEEN     $134.53   $134.53
78216           LIVER & SPLEEN IMAGE, FLOW       $195.60   $195.60
78216        26 LIVER & SPLEEN IMAGE, FLOW        $35.92    $35.92
78216   TC      LIVER & SPLEEN IMAGE, FLOW       $159.67   $159.67
78220           LIVER FUNCTION STUDY             $201.42   $201.42
78220        26 LIVER FUNCTION STUDY              $30.81    $30.81
78220   TC      LIVER FUNCTION STUDY             $170.62   $170.62
78223           HEPATOBILIARY IMAGING            $221.20   $221.20
78223        26 HEPATOBILIARY IMAGING             $53.25    $53.25
78223   TC      HEPATOBILIARY IMAGING            $167.95   $167.95
78230           SALIVARY GLAND IMAGING           $129.05   $129.05
78230        26 SALIVARY GLAND IMAGING            $28.48    $28.48
78230   TC      SALIVARY GLAND IMAGING           $100.58   $100.58
78231           SERIAL SALIVARY IMAGING          $178.74   $178.74
78231        26 SERIAL SALIVARY IMAGING           $33.11    $33.11
78231   TC      SERIAL SALIVARY IMAGING          $145.64   $145.64
78232           NUCLEAR EXAM, SALIVARY GLAND     $192.19   $192.19
78232        26 NUCLEAR EXAM, SALIVARY GLAND      $29.87    $29.87
78232   TC        NUCLEAR EXAM, SALIVARY GLAND            $162.34   $162.34
78258             NUCLEAR IMAGING OF ESOPHAGUS            $178.75   $178.75
78258        26   NUCLEAR IMAGING OF ESOPHAGUS             $46.88    $46.88
78258   TC        NUCLEAR IMAGING OF ESOPHAGUS            $131.87   $131.87
78261             NUCLEAR SCAN, GASTRIC MUCOSA            $232.46   $232.46
78261        26   NUCLEAR SCAN, GASTRIC MUCOSA             $44.09    $44.09
78261   TC        NUCLEAR SCAN, GASTRIC MUCOSA            $188.37   $188.37
78262             GULLET REFLUX NUCLEAR EXAM              $238.20   $238.20
78262        26   GULLET REFLUX NUCLEAR EXAM               $43.19    $43.19
78262   TC        GULLET REFLUX NUCLEAR EXAM              $195.01   $195.01
78264             GASTRIC EMPTYING STUDY                  $238.93   $238.93
78264        26   GASTRIC EMPTYING STUDY                   $49.23    $49.23
78264   TC        GASTRIC EMPTYING STUDY                  $189.70   $189.70
78267                                                      $10.59
                  UREA BREATH TEST C-14 ACQUISITION FOR ANALYSIS     $10.59
78267   TC                                                 $10.59
                  UREA BREATH TEST C-14 ACQUISITION FOR ANALYSIS     $10.59
78268             UREA BREATH TEST, C-14 ANALYSIS          $90.76    $90.76
78268   TC        UREA BREATH TEST, C-14 ANALYSIS          $90.76    $90.76
78270             VIT B-12 ABSORPTION EXAM                 $84.59    $84.59
78270        26   VIT B-12 ABSORPTION EXAM                 $12.84    $12.84
78270   TC        VIT B-12 ABSORPTION EXAM                 $71.74    $71.74
78271             VIT B-12 ABSORPTION EXAMS                $88.56    $88.56
78271        26   VIT B-12 ABSORPTION EXAMS                $12.84    $12.84
78271   TC        VIT B-12 ABSORPTION EXAMS                $75.72    $75.72
78272             VIT B-12 ABSORP, COMBINED               $123.80   $123.80
78272        26   VIT B-12 ABSORP, COMBINED                $17.03    $17.03
78272   TC        VIT B-12 ABSORP, COMBINED               $106.77   $106.77
78278             NUCLEAR SCAN, GI BLOOD LOSS             $285.94   $285.94
78278        26   NUCLEAR SCAN, GI BLOOD LOSS              $62.53    $62.53
78278   TC        NUCLEAR SCAN, GI BLOOD LOSS             $223.39   $223.39
78282             GI PROTEIN LOSS EXAM                     $93.64    $93.64
78282        26   GI PROTEIN LOSS EXAM                     $24.29    $24.29
78282   TC        GI PROTEIN LOSS EXAM                     $69.35    $69.35
78290             NUCLEAR SCAN OF BOWEL                   $183.19   $183.19
78290        26   NUCLEAR SCAN OF BOWEL                    $43.19    $43.19
78290   TC        NUCLEAR SCAN OF BOWEL                   $140.02   $140.02
78291             PERITONEAL-VENOUS SHUNT TEST            $196.49   $196.49
78291        26   PERITONEAL-VENOUS SHUNT TEST             $56.02    $56.02
78291   TC        PERITONEAL-VENOUS SHUNT TEST            $140.46   $140.46
78300             NUCLEAR SCAN OF BONE LIMITED            $153.62   $153.62
78300        26   NUCLEAR SCAN OF BONE LIMITED             $39.46    $39.46
78300   TC        NUCLEAR SCAN OF BONE LIMITED            $114.16   $114.16
78305             NUCLEAR SCAN OF BONES                   $220.74   $220.74
78305        26   NUCLEAR SCAN OF BONES                    $52.77    $52.77
78305   TC        NUCLEAR SCAN OF BONES                   $167.95   $167.95
78306             BONE IMAGING, WHOLE BODY                $250.52   $250.52
78306        26   BONE IMAGING, WHOLE BODY                 $54.64    $54.64
78306   TC        BONE IMAGING, WHOLE BODY                $195.90   $195.90
78315             3 PHASE STUDY BONE/JOINT IMAG           $283.81   $283.81
78315        26   3 PHASE STUDY BONE/JOINT IMAG            $64.39    $64.39
78315   TC        3 PHASE STUDY BONE/JOINT IMAG           $219.41   $219.41
78320             BONE IMAGING (3D)                       $337.53   $337.53
78320        26   BONE IMAGING (3D)                        $66.22    $66.22
78320   TC        BONE IMAGING (3D)                      $271.32   $271.32
78350             BONE MINERAL CONTENT STUDY              $48.55    $48.55
78350        26   BONE MINERAL CONTENT STUDY              $13.79    $13.79
78350   TC        BONE MINERAL CONTENT STUDY              $34.75    $34.75
78351             BONE MINERAL, DUAL PHOTON               $90.60    $19.77
78351        26   BONE MINERAL, DUAL PHOTON               $27.26     $6.01
78351   TC        BONE MINERAL, DUAL PHOTON               $63.34    $13.77
78414             NUCLEAR EXAM OF HEART FLOW              $93.08    $93.08
78414        26   NUCLEAR EXAM OF HEART FLOW              $28.92    $28.92
78414   TC        NUCLEAR EXAM OF HEART FLOW              $64.17    $64.17
78428             CARDIAC SHUNT IMAGING                  $154.22   $154.22
78428        26   CARDIAC SHUNT IMAGING                   $50.56    $50.56
78428   TC        CARDIAC SHUNT IMAGING                  $103.67   $103.67
78445             VASCULAR FLOW IMAGING                  $117.04   $117.04
78445        26   VASCULAR FLOW IMAGING                   $31.26    $31.26
78445   TC        VASCULAR FLOW IMAGING                   $85.77    $85.77
78455             VENOUS THROMBOSIS STUDY                $229.18   $229.18
78455        26   VENOUS THROMBOSIS STUDY                 $46.42    $46.42
78455   TC        VENOUS THROMBOSIS STUDY                $182.75   $182.75
78456                                                    $248.69
                  ACUTE VENOUS THROMBOSIS IMAGING PEP TIDE         $248.69
78456        26   ACUTE VENOUS THROMBOSIS IMAGING PEP TIDE$63.45    $63.45
78456   TC                                               $185.24
                  ACUTE VENOUS THROMBOSIS IMAGING PEP TIDE         $185.24
78457             NUCLEAR SCAN VEIN THROMBOSIS           $171.20   $171.20
78457        26   NUCLEAR SCAN VEIN THROMBOSIS            $49.06    $49.06
78457   TC        NUCLEAR SCAN VEIN THROMBOSIS           $122.13   $122.13
78458             VEN THROMBOSIS IMAGES, BILAT           $242.37   $242.37
78458        26   VEN THROMBOSIS IMAGES, BILAT            $57.85    $57.85
78458   TC        VEN THROMBOSIS IMAGES, BILAT           $184.53   $184.53
78459             MYOCARDIAL IMAGING PET                 $313.38   $313.38
78459        26   MYOCARDIAL IMAGING PET                  $97.52    $97.52
78459   TC        MYOCARDIAL IMAGING PET                 $215.88   $215.88
78460             HEART MUSCLE BLOOD SINGLE              $163.18   $163.18
78460        26   HEART MUSCLE BLOOD SINGLE               $54.64    $54.64
78460   TC        HEART MUSCLE BLOOD SINGLE              $108.53   $108.53
78461             MULTI STUDIES OF THE HEART             $295.35   $295.35
78461        26   MULTI STUDIES OF THE HEART              $78.59    $78.59
78461   TC        MULTI STUDIES OF THE HEART             $216.76   $216.76
78464             TOMOGRAPHIC (SPECT) SINGLE             $394.00   $394.00
78464        26   TOMOGRAPHIC (SPECT) SINGLE              $69.46    $69.46
78464   TC        TOMOGRAPHIC (SPECT) SINGLE             $324.54   $324.54
78465             TOMOGRAPHIC (SPECT) MULTIPLE           $635.03   $635.03
78465        26   TOMOGRAPHIC (SPECT) MULTIPLE            $93.72    $93.72
78465   TC        TOMOGRAPHIC (SPECT) MULTIPLE           $541.31   $541.31
78466             MYOCARDIAL IMAGING HEART MUSCL         $164.45   $164.45
78466        26   MYOCARDIAL IMAGING HEART MUSCL          $44.09    $44.09
78466   TC        MYOCARDIAL IMAGING HEART MUSCL         $120.36   $120.36
78468             NUCLEAR SCAN,HEART MUSCLE              $218.56   $218.56
78468        26   NUCLEAR SCAN,HEART MUSCLE               $50.61    $50.61
78468   TC        NUCLEAR SCAN,HEART MUSCLE              $167.95   $167.95
78469             TOMOGRAPHIC SPECT W/WO QUANTIT         $297.87   $297.87
78469        26   TOMOGRAPHIC SPECT W/WO QUANTIT          $58.02    $58.02
78469   TC        TOMOGRAPHIC SPECT W/WO QUANTIT         $239.83   $239.83
78472           CARDIAC BLOOD POOL IMAGING     $315.80   $315.80
78472        26 CARDIAC BLOOD POOL IMAGING      $62.50    $62.50
78472   TC      CARDIAC BLOOD POOL IMAGING     $253.29   $253.29
78473           GATED HEART, MULTIPLE          $472.54   $472.54
78473        26 GATED HEART, MULTIPLE           $93.76    $93.76
78473   TC      GATED HEART, MULTIPLE          $378.78   $378.78
78481           HEART FIRST PASS SINGLE        $303.21   $303.21
78481        26 HEART FIRST PASS SINGLE         $63.39    $63.39
78481   TC      HEART FIRST PASS SINGLE        $239.83   $239.83
78483           HEART FIRST PASS MULTIPLE      $455.98   $455.98
78483        26 HEART FIRST PASS MULTIPLE       $94.77    $94.77
78483   TC      HEART FIRST PASS MULTIPLE      $361.21   $361.21
78491           HEART IMAGE (PET) SINGLE       $317.68   $317.68
78491        26 HEART IMAGE (PET) SINGLE        $98.71    $98.71
78491   TC      HEART IMAGE (PET) SINGLE       $218.97   $218.97
78492           HEART IMAGE (PET) MULTIPLE     $395.75   $395.75
78492        26 HEART IMAGE (PET) MULTIPLE     $123.11   $123.11
78492   TC      HEART IMAGE (PET) MULTIPLE     $272.64   $272.64
78494           HEART IMAGE,SPECT              $398.62   $398.62
78494        26 HEART IMAGE,SPECT               $76.27    $76.27
78494   TC      HEART IMAGE,SPECT              $322.36   $322.36
78496           HEART FIRST PASS ADD-ON        $354.52   $354.52
78496        26 HEART FIRST PASS ADD-ON         $32.17    $32.17
78496   TC      HEART FIRST PASS ADD-ON        $322.36   $322.36
78580           LUNG PERFUSION IMAGING         $204.35   $204.35
78580        26 LUNG PERFUSION IMAGING          $46.88    $46.88
78580   TC      LUNG PERFUSION IMAGING         $157.47   $157.47
78584           LUNG V/Q IMAGE SINGLE BREATH   $209.50   $209.50
78584        26 LUNG V/Q IMAGE SINGLE BREATH    $62.53    $62.53
78584   TC      LUNG V/Q IMAGE SINGLE BREATH   $146.97   $146.97
78585           LUNG V/Q IMAGING               $327.94   $327.94
78585        26 LUNG V/Q IMAGING                $68.89    $68.89
78585   TC      LUNG V/Q IMAGING               $259.04   $259.04
78586           AEROSOL LUNG IMAGE, SINGLE     $144.27   $144.27
78586        26 AEROSOL LUNG IMAGE, SINGLE      $25.24    $25.24
78586   TC      AEROSOL LUNG IMAGE, SINGLE     $119.03   $119.03
78587           AEROSOL LUNG IMAGE, MULTIPLE   $159.58   $159.58
78587        26 AEROSOL LUNG IMAGE, MULTIPLE    $31.26    $31.26
78587   TC      AEROSOL LUNG IMAGE, MULTIPLE   $128.32   $128.32
78588           PERFUSION LUNG IMAGE           $216.16   $216.16
78588        26 PERFUSION LUNG IMAGE            $68.89    $68.89
78588   TC      PERFUSION LUNG IMAGE           $147.28   $147.28
78591           VENT IMAGE, 1 BREATH, 1 PROJ   $155.77   $155.77
78591        26 VENT IMAGE, 1 BREATH, 1 PROJ    $25.24    $25.24
78591   TC      VENT IMAGE, 1 BREATH, 1 PROJ   $130.53   $130.53
78593           VENT IMAGE, 1 PROJ, GAS        $189.17   $189.17
78593        26 VENT IMAGE, 1 PROJ, GAS         $30.81    $30.81
78593   TC      VENT IMAGE, 1 PROJ, GAS        $158.35   $158.35
78594           VENT IMAGE, MULT PROJ, GAS     $261.85   $261.85
78594        26 VENT IMAGE, MULT PROJ, GAS      $33.58    $33.58
78594   TC      VENT IMAGE, MULT PROJ, GAS     $228.27   $228.27
78596           PULMONARY FUNCTION STUDY       $404.58   $404.58
78596        26 PULMONARY FUNCTION STUDY                 $80.03    $80.03
78596   TC      PULMONARY FUNCTION STUDY                $324.54   $324.54
78600           BRAIN IMAGING, LTD STATIC               $159.88   $159.88
78600        26 BRAIN IMAGING, LTD STATIC                $28.01    $28.01
78600   TC      BRAIN IMAGING, LTD STATIC               $131.87   $131.87
78601           BRAIN LTD IMAGING & FLOW                $188.32   $188.32
78601        26 BRAIN LTD IMAGING & FLOW                 $32.20    $32.20
78601   TC      BRAIN LTD IMAGING & FLOW                $156.14   $156.14
78605           BRAIN IMAGING, COMPLETE                 $189.72   $189.72
78605        26 BRAIN IMAGING, COMPLETE                  $33.58    $33.58
78605   TC      BRAIN IMAGING, COMPLETE                 $156.14   $156.14
78606           BRAIN IMAGING COMP & FLOW               $218.28   $218.28
78606        26 BRAIN IMAGING COMP & FLOW                $40.41    $40.41
78606   TC      BRAIN IMAGING COMP & FLOW               $177.88   $177.88
78607           BRAIN IMAGING (3D)                      $379.48   $379.48
78607        26 BRAIN IMAGING (3D)                       $78.59    $78.59
78607   TC      BRAIN IMAGING (3D)                      $300.89   $300.89
78608        26 BRAIN IMAGING(PET) - METABOLIC           $95.16    $95.16
78609        26 BRAIN IMAGING(PET) - PERFUSION           $95.16    $95.16
78610           BRAIN FLOW IMAGING ONLY                  $92.39    $92.39
78610        26 BRAIN FLOW IMAGING ONLY                  $19.33    $19.33
78610   TC      BRAIN FLOW IMAGING ONLY                  $73.07    $73.07
78615           CEREBRAL BLOOD FLOW                     $204.05   $204.05
78615        26 CEREBRAL BLOOD FLOW                      $27.07    $27.07
78615   TC      CEREBRAL BLOOD FLOW                     $176.99   $176.99
78630           CEREBROSPINAL FLUID SCAN                $274.72   $274.72
78630        26 CEREBROSPINAL FLUID SCAN                 $43.19    $43.19
78630   TC      CEREBROSPINAL FLUID SCAN                $231.55   $231.55
78635           CSF VENTRICULOGRAPHY                    $156.39   $156.39
78635        26 CSF VENTRICULOGRAPHY                     $39.57    $39.57
78635   TC      CSF VENTRICULOGRAPHY                    $116.82   $116.82
78645           CSF SHUNT EVALUATION                    $193.37   $193.37
78645        26 CSF SHUNT EVALUATION                     $35.92    $35.92
78645   TC      CSF SHUNT EVALUATION                    $157.47   $157.47
78647           CEREBROSPINAL FLUID FLOW, TOMOGRAPHIC   $328.71   $328.71
78647        26 CEREBROSPINAL FLUID FLOW, TOMOGRAPHIC    $57.41    $57.41
78647   TC      CEREBROSPINAL FLUID FLOW, TOMOGRAPHIC   $271.32   $271.32
78650           CSF LEAKAGE IMAGING                     $251.89   $251.89
78650        26 CSF LEAKAGE IMAGING                      $38.99    $38.99
78650   TC      CSF LEAKAGE IMAGING                     $212.91   $212.91
78660           NUCLEAR EXAM OF TEAR FLOW               $131.17   $131.17
78660        26 NUCLEAR EXAM OF TEAR FLOW                $33.58    $33.58
78660   TC      NUCLEAR EXAM OF TEAR FLOW                $97.60    $97.60
78700           KIDNEY IMAGING, STATIC                  $168.50   $168.50
78700        26 KIDNEY IMAGING, STATIC                   $28.48    $28.48
78700   TC      KIDNEY IMAGING, STATIC                  $140.02   $140.02
78701           KIDNEY IMAGING WITH FLOW                $194.03   $194.03
78701        26 KIDNEY IMAGING WITH FLOW                 $30.81    $30.81
78701   TC      KIDNEY IMAGING WITH FLOW                $163.23   $163.23
78704           IMAGING RENOGRAM                        $228.31   $228.31
78704        26 IMAGING RENOGRAM                         $46.88    $46.88
78704   TC      IMAGING RENOGRAM                        $181.43   $181.43
78707                                                    $265.74
                KIDNEY IMAGING, SINGLE W PHAR INTERVENTION         $265.74
78707        26 KIDNEY IMAGING, SINGLE W PHAR INTERVENTION$60.68    $60.68
78707   TC                                               $205.06
                KIDNEY IMAGING, SINGLE W PHAR INTERVENTION         $205.06
78708                                                    $281.83
                KIDNEY IMAGING, SINGLE W/O PHAR INTERVENTIO        $281.83
78708                                                     $76.76
             26 KIDNEY IMAGING, SINGLE W/O PHAR INTERVENTIO         $76.76
78708   TC                                               $205.06
                KIDNEY IMAGING, SINGLE W/O PHAR INTERVENTIO        $205.06
78709                                                    $294.22
                KIDNEY IMAGE,MULTI STUDIES, W/WO PHAR INTERVENTION $294.22
78709                                                     $89.16
             26 KIDNEY IMAGE,MULTI STUDIES, W/WO PHAR INTERVENTION  $89.16
78709   TC                                               $205.06
                KIDNEY IMAGE,MULTI STUDIES, W/WO PHAR INTERVENTION $205.06
78710           NUCLEAR SCAN OF KIDNEY(3D)               $313.11   $313.11
78710        26 NUCLEAR SCAN OF KIDNEY(3D)                $41.79    $41.79
78710   TC      NUCLEAR SCAN OF KIDNEY(3D)               $271.32   $271.32
78715           RENAL VASCULAR FLOW EXAM                  $92.39    $92.39
78715        26 RENAL VASCULAR FLOW EXAM                  $19.33    $19.33
78715   TC      RENAL VASCULAR FLOW EXAM                  $73.07    $73.07
78725           KIDNEY FUNCTION STUDY                    $106.52   $106.52
78725        26 KIDNEY FUNCTION STUDY                     $24.29    $24.29
78725   TC      KIDNEY FUNCTION STUDY                     $82.23    $82.23
78730           NUCLEAR EXAM OF BLADDER                   $90.04    $90.04
78730        26 NUCLEAR EXAM OF BLADDER                   $22.91    $22.91
78730   TC      NUCLEAR EXAM OF BLADDER                   $67.13    $67.13
78740           URETERAL REFLUX STUDY                    $133.83   $133.83
78740        26 URETERAL REFLUX STUDY                     $36.21    $36.21
78740   TC      URETERAL REFLUX STUDY                     $97.60    $97.60
78760           TESTICULAR IMAGING                       $164.80   $164.80
78760        26 TESTICULAR IMAGING                        $41.79    $41.79
78760   TC      TESTICULAR IMAGING                       $123.01   $123.01
78761           TESTICULAR IMAGING & FLOW                $192.01   $192.01
78761        26 TESTICULAR IMAGING & FLOW                 $45.04    $45.04
78761   TC      TESTICULAR IMAGING & FLOW                $146.97   $146.97
78800           NUCLEAR EXAM OF LESION                   $198.24   $198.24
78800        26 NUCLEAR EXAM OF LESION                    $42.10    $42.10
78800   TC      NUCLEAR EXAM OF LESION                   $156.14   $156.14
78801           TUMOR IMAGING, MULT AREAS                $244.44   $244.44
78801        26 TUMOR IMAGING, MULT AREAS                 $50.75    $50.75
78801   TC      TUMOR IMAGING, MULT AREAS                $193.69   $193.69
78802           TUMOR IMAGING, WHOLE BODY                $308.82   $308.82
78802        26 TUMOR IMAGING, WHOLE BODY                 $54.64    $54.64
78802   TC      TUMOR IMAGING, WHOLE BODY                $254.19   $254.19
78803           TUMOR IMAGING (3D)                       $370.67   $370.67
78803        26 TUMOR IMAGING (3D)                        $69.77    $69.77
78803   TC      TUMOR IMAGING (3D)                       $300.89   $300.89
78804                                                    $567.07   $567.07
                RADIOPHARMACEUTICAL LOCALIZATION TUMOR WHOLE BODY 2 PLUS IMAGING DAYS
78804                                                     $68.07    PLUS
             26 RADIOPHARMACEUTICAL LOCALIZATION TUMOR WHOLE BODY 2 $68.07IMAGING DAYS
78804   TC                                               $498.99   $498.99
                RADIOPHARMACEUTICAL LOCALIZATION TUMOR WHOLE BODY 2 PLUS IMAGING DAYS
78805           NUCLEAR EXAM OF ABSCESS                  $202.56   $202.56
78805        26 NUCLEAR EXAM OF ABSCESS                   $46.42    $46.42
78805   TC      NUCLEAR EXAM OF ABSCESS                  $156.14   $156.14
78806           ABSCESS IMAGING, WHOLE BODY              $350.22   $350.22
78806        26 ABSCESS IMAGING, WHOLE BODY               $54.64    $54.64
78806   TC      ABSCESS IMAGING, WHOLE BODY              $295.59   $295.59
78807           NUCLEAR LOCALIZATION/ABSCESS             $370.79   $370.79
78807        26 NUCLEAR LOCALIZATION/ABSCESS            $69.91         $69.91
78807   TC      NUCLEAR LOCALIZATION/ABSCESS           $300.89        $300.89
78811                                                  $384.72        $384.72
                TUMOR IMAGING, POSITRON EMISSION TOMOGRAPHY (PET) - LIMITED AREA
78811                                                   $99.51         $99.51
             26 TUMOR IMAGING, POSITRON EMISSION TOMOGRAPHY (PET) - LIMITED AREA
78811   TC                                             $285.22        $285.22
                TUMOR IMAGING, POSITRON EMISSION TOMOGRAPHY (PET) - LIMITED AREA
78812                                                  $476.88        $476.88
                TUMOR IMAGING, POSITRON EMISSION TOMOGRAPHY (PET) - SKULL BASE
78812                                                  $123.64        $123.64
             26 TUMOR IMAGING, POSITRON EMISSION TOMOGRAPHY (PET) - SKULL BASE
78812   TC                                             $353.24        $353.24
                TUMOR IMAGING, POSITRON EMISSION TOMOGRAPHY (PET) - SKULL BASE
78813           TUMOR IMAGING,                         $494.67        $494.67
                                 POSITRON EMISSION TOMOGRAPHY (PET) - WHOLE BODY
78813        26 TUMOR IMAGING,                         $128.27        $128.27
                                 POSITRON EMISSION TOMOGRAPHY (PET) - WHOLE BODY
78813   TC      TUMOR IMAGING,                         $366.40        $366.40
                                 POSITRON EMISSION TOMOGRAPHY (PET) - WHOLE BODY
78814                                                  $542.53        $542.53
                TUMOR IMAGING, POSITRON EMISSION TOMOGRAPHY (PET) WITH CT
78814                                                  $140.79        $140.79
             26 TUMOR IMAGING, POSITRON EMISSION TOMOGRAPHY (PET) WITH CT
78814   TC                                             $401.72        $401.72
                TUMOR IMAGING, POSITRON EMISSION TOMOGRAPHY (PET) WITH CT
78815                                                  $599.23        $599.23
                TUMOR IMAGING, POSITRON EMISSION TOMOGRAPHY (PET) SKULL BASE
78815                                                  $155.66        $155.66
             26 TUMOR IMAGING, POSITRON EMISSION TOMOGRAPHY (PET) SKULL BASE
78815   TC                                             $443.57        $443.57
                TUMOR IMAGING, POSITRON EMISSION TOMOGRAPHY (PET) SKULL BASE
78816                                                  $613.44        $613.44
                TUMOR IMAGING, POSITRON EMISSION TOMOGRAPHY (PET) WHOLE BODY
78816                                                  $159.38        $159.38
             26 TUMOR IMAGING, POSITRON EMISSION TOMOGRAPHY (PET) WHOLE BODY
78816   TC                                             $454.06        $454.06
                TUMOR IMAGING, POSITRON EMISSION TOMOGRAPHY (PET) WHOLE BODY
78890           NUCLEAR MEDICINE DATA PROC              $63.43         $63.43
78890        26 NUCLEAR MEDICINE DATA PROC               $3.56          $3.56
78890   TC      NUCLEAR MEDICINE DATA PROC              $59.87         $59.87
78891           AUTOMATED DATA, NUCLEAR MED            $126.85        $126.85
78891        26 AUTOMATED DATA, NUCLEAR MED              $6.80          $6.80
78891   TC      AUTOMATED DATA, NUCLEAR MED            $120.04        $120.04
79005           RADIOPHARM THERAPY, BY ORAL ADMIN      $234.29        $234.29
79005        26 RADIOPHARM THERAPY, BY ORAL ADMIN      $113.93        $113.93
79005   TC      RADIOPHARM THERAPY, BY ORAL ADMIN      $120.36        $120.36
79101           RADIOPHARM THERAPY BY INTRAVENOUS ADMIN$244.93        $244.93
79101        26 RADIOPHARM THERAPY BY INTRAVENOUS ADMIN$124.56        $124.56
79101   TC      RADIOPHARM THERAPY BY INTRAVENOUS ADMIN$120.36        $120.36
79200           INTRACAVITARY NUC TREATMENT            $247.54        $247.54
79200        26 INTRACAVITARY NUC TREATMENT            $127.18        $127.18
79200   TC      INTRACAVITARY NUC TREATMENT            $120.36        $120.36
79300           RADIONUCLIDE THERAPY                   $170.97        $170.97
79300        26 RADIONUCLIDE THERAPY                   $104.28        $104.28
79300   TC      RADIONUCLIDE THERAPY                    $66.69         $66.69
79403                                                  $342.01        $342.01
                RADIO PHARMA CEUTICAL THER RADIOLABELED MONOCLONAL ANTIBODY IV INJECTION
79403                                                  $148.60        $148.60
             26 RADIO PHARMA CEUTICAL THER RADIOLABELED MONOCLONAL ANTIBODY IV INJECTION
79403   TC                                             $193.42        $193.42
                RADIO PHARMA CEUTICAL THER RADIOLABELED MONOCLONAL ANTIBODY IV INJECTION
79440           NUCLEAR JOINT THERAPY                  $248.55        $248.55
79440        26 NUCLEAR JOINT THERAPY                  $128.20        $128.20
79440   TC      NUCLEAR JOINT THERAPY                  $120.36        $120.36
79445                                                  $274.18
                RADIOPHARM THERAPY BY INTRA-ARTERIAL PARTICULATE ADMIN$274.18
79445                                                  $153.20
             26 RADIOPHARM THERAPY BY INTRA-ARTERIAL PARTICULATE ADMIN$153.20
79445   TC                                             $120.99
                RADIOPHARM THERAPY BY INTRA-ARTERIAL PARTICULATE ADMIN$120.99
80048           BASIC METABOLIC PANEL                   $11.41         $11.41
80048   TC      BASIC METABOLIC PANEL                   $11.41         $11.41
80050           GENERAL HEALTH PANEL                    $51.62         $51.62
80050   TC      GENERAL HEALTH PANEL                    $51.62         $51.62
80051           ELECTROLYTE PANEL                        $9.44          $9.44
80051   TC   ELECTROLYTE PANEL                $9.44    $9.44
80053        COMPREHENSIVE METABOLIC PANEL   $14.24   $14.24
80053   TC   COMPREHENSIVE METABOLIC PANEL   $14.24   $14.24
80055        OBSTETRIC PROFILE               $59.31   $59.31
80055   TC   OBSTETRIC PROFILE               $59.31   $59.31
80061        LIPID PROFILE                   $18.06   $18.06
80061   TC   LIPID PROFILE                   $18.06   $18.06
80069        RENAL FUNTION PANEL             $11.71   $11.71
80069   TC   RENAL FUNTION PANEL             $11.71   $11.71
80074        ACUTE HEPATITIS PANEL           $62.89   $62.89
80074   TC   ACUTE HEPATITIS PANEL           $62.89   $62.89
80076        HEPATIC FUNCTION PN             $11.02   $11.02
80076   TC   HEPATIC FUNCTION PN             $11.02   $11.02
80100        DRUG TEST,MULT. CLASSES,EA      $19.60   $19.60
80100   TC   DRUG TEST,MULT. CLASSES,EA      $19.60   $19.60
80101        DRUG TESTING,SINGLE CLASS,EA    $18.56   $18.56
80101   TC   DRUG TESTING,SINGLE CLASS,EA    $18.56   $18.56
80102        DRUG CONFIRMATION,EA            $17.85   $17.85
80102   TC   DRUG CONFIRMATION,EA            $17.85   $17.85
80103        DRUG ANALYSIS, TISSUE PREP      $23.54   $23.54
80103   TC   DRUG ANALYSIS, TISSUE PREP      $23.54   $23.54
80150        ASSAY,AMIKACIN                  $20.31   $20.31
80150   TC   ASSAY,AMIKACIN                  $20.31   $20.31
80152        ASSAY,AMITRYPTYLINE             $24.13   $24.13
80152   TC   ASSAY,AMITRYPTYLINE             $24.13   $24.13
80154        ASSAY OF BENZODIAZEPINES        $24.93   $24.93
80154   TC   ASSAY OF BENZODIAZEPINES        $24.93   $24.93
80156        ASSAY CARBAMAZEPINE             $11.79   $11.79
80156   TC   ASSAY CARBAMAZEPINE             $11.79   $11.79
80157        CARBANAZEPINE - FREE            $17.87   $17.87
80157   TC   CARBANAZEPINE - FREE            $17.87   $17.87
80158        ASSAY OF CYCLOSPORINE           $24.33   $24.33
80158   TC   ASSAY OF CYCLOSPORINE           $24.33   $24.33
80160        ASSAY,DESIPRAMINE               $23.20   $23.20
80160   TC   ASSAY,DESIPRAMINE               $23.20   $23.20
80162        ASSAY FOR DIGOXIN               $17.90   $17.90
80162   TC   ASSAY FOR DIGOXIN               $17.90   $17.90
80164        ASSAY,DIPROPYLACETIC ACID       $14.10   $14.10
80164   TC   ASSAY,DIPROPYLACETIC ACID       $14.10   $14.10
80166        ASSAY OF DOXEPIN                 $5.52    $5.52
80166   TC   ASSAY OF DOXEPIN                 $5.52    $5.52
80168        ASSAY,ETHOSUXIMIDE              $11.79   $11.79
80168   TC   ASSAY,ETHOSUXIMIDE              $11.79   $11.79
80170        GENTAMICIN                      $22.09   $22.09
80170   TC   GENTAMICIN                      $22.09   $22.09
80172        ASSAY,GOLD                      $21.94   $21.94
80172   TC   ASSAY,GOLD                      $21.94   $21.94
80173        HALOPERIDOL ASSAY               $11.79   $11.79
80173   TC   HALOPERIDOL ASSAY               $11.79   $11.79
80174        ASSAY,IMIPRAMINE                $23.20   $23.20
80174   TC   ASSAY,IMIPRAMINE                $23.20   $23.20
80176        ASSAY FOR LIDOCAINE             $19.79   $19.79
80176   TC   ASSAY FOR LIDOCAINE                     $19.79    $19.79
80178        ASSAY,LITHIUM                            $8.92     $8.92
80178   TC   ASSAY,LITHIUM                            $8.92     $8.92
80182        ASSAY,NORTRYPTYLINE                     $14.10    $14.10
80182   TC   ASSAY,NORTRYPTYLINE                     $14.10    $14.10
80184        ASSAY FOR PHENOBARBITAL                 $15.00    $15.00
80184   TC   ASSAY FOR PHENOBARBITAL                 $15.00    $15.00
80185        ASSAY FOR PHENYTOIN                     $17.87    $17.87
80185   TC   ASSAY FOR PHENYTOIN                     $17.87    $17.87
80186        ASSAY FOR PHENYTOIN, FREE               $18.54    $18.54
80186   TC   ASSAY FOR PHENYTOIN, FREE               $18.54    $18.54
80188        ASSAY,PRIMIDONE                         $11.79    $11.79
80188   TC   ASSAY,PRIMIDONE                         $11.79    $11.79
80190        ASSAY,PROCAINAMIDE                      $21.83    $21.83
80190   TC   ASSAY,PROCAINAMIDE                      $21.83    $21.83
80192        ASSAY,PROCAINAMIDE METABOL              $21.83    $21.83
80192   TC   ASSAY,PROCAINAMIDE METABOL              $21.83    $21.83
80194        ASSAY,QUINIDINE                         $19.66    $19.66
80194   TC   ASSAY,QUINIDINE                         $19.66    $19.66
80196        ASSAY FOR SALICYLATE                     $9.57     $9.57
80196   TC   ASSAY FOR SALICYLATE                     $9.57     $9.57
80197        THERAPEUTIC DRUG TESTING, TACROLIMUS    $18.48    $18.48
80197   TC   THERAPEUTIC DRUG TESTING, TACROLIMUS    $18.48    $18.48
80198        ASSAY,THEOPHYLINE                       $19.06    $19.06
80198   TC   ASSAY,THEOPHYLINE                       $19.06    $19.06
80200        ASSAY,TOBRAMYCIN                        $21.73    $21.73
80200   TC   ASSAY,TOBRAMYCIN                        $21.73    $21.73
80201        ASSAY FOR TOPIRAMATE                    $16.06    $16.06
80201   TC   ASSAY FOR TOPIRAMATE                    $16.06    $16.06
80202        ASSAY,VANCOMYCIN                        $14.10    $14.10
80202   TC   ASSAY,VANCOMYCIN                        $14.10    $14.10
80299        QUANTITATIVE ASSAY, DRUG                $14.92    $14.92
80299   TC   QUANTITATIVE ASSAY, DRUG                $14.92    $14.92
80400        ACTH (LAB) STIMULATION PANEL 1          $43.94    $43.94
80400   TC   ACTH (LAB) STIMULATION PANEL 1          $43.94    $43.94
80402        ACTH (LAB) STIMULATION PANEL           $117.13   $117.13
80402   TC   ACTH (LAB) STIMULATION PANEL           $117.13   $117.13
80406        ACTH PANEL (LAB) 3-BETA HYDROX          $85.40    $85.40
80406   TC   ACTH PANEL (LAB) 3-BETA HYDROX          $85.40    $85.40
80408        ALDOSTERONE SUPRESSION PANEL           $169.09   $169.09
80408   TC   ALDOSTERONE SUPRESSION PANEL           $169.09   $169.09
80410        CALCIUM STIMULATION PANEL              $108.23   $108.23
80410   TC   CALCIUM STIMULATION PANEL              $108.23   $108.23
80412        CRH STIMULATION PANEL                  $444.09   $444.09
80412   TC   CRH STIMULATION PANEL                  $444.09   $444.09
80414        CGS PANEL - TESTOSTERONE                $69.59    $69.59
80414   TC   CGS PANEL - TESTOSTERONE                $69.59    $69.59
80415        CGS PANEL - ESTRADIOL RESPONSE          $75.30    $75.30
80415   TC   CGS PANEL - ESTRADIOL RESPONSE          $75.30    $75.30
80416        RVRS PANEL                             $177.81   $177.81
80416   TC   RVRS PANEL                             $177.81   $177.81
80417        PVRS PANEL                              $59.27    $59.27
80417   TC   PVRS PANEL                         $59.27    $59.27
80418        PITUITARY EVALUATION PANEL        $775.10   $775.10
80418   TC   PITUITARY EVALUATION PANEL        $775.10   $775.10
80420        DEXAMETHASONE PANEL - 48 HR        $97.06    $97.06
80420   TC   DEXAMETHASONE PANEL - 48 HR        $97.06    $97.06
80422        GLUCAGON TOLERANCE PANEL 1         $62.08    $62.08
80422   TC   GLUCAGON TOLERANCE PANEL 1         $62.08    $62.08
80424        GLUCAGON TOLERANCE PANEL           $68.04    $68.04
80424   TC   GLUCAGON TOLERANCE PANEL           $68.04    $68.04
80426        GONADOTROPIN HORMONE PANEL        $194.22   $194.22
80426   TC   GONADOTROPIN HORMONE PANEL        $194.22   $194.22
80428        GHSP PANEL                         $89.84    $89.84
80428   TC   GHSP PANEL                         $89.84    $89.84
80430        GH SUPPRESSION PANEL              $105.70   $105.70
80430   TC   GH SUPPRESSION PANEL              $105.70   $105.70
80432        INSULIN C-PEP SUPRESSION PANEL    $182.01   $182.01
80432   TC   INSULIN C-PEP SUPRESSION PANEL    $182.01   $182.01
80434        INSULIN TOLERANCE PANEL           $136.27   $136.27
80434   TC   INSULIN TOLERANCE PANEL           $136.27   $136.27
80435        INSULIN TOLERANCE PANEL - GHD     $138.72   $138.72
80435   TC   INSULIN TOLERANCE PANEL - GHD     $138.72   $138.72
80436        METYRAPONE PANEL                  $122.82   $122.82
80436   TC   METYRAPONE PANEL                  $122.82   $122.82
80438        TRH STIMULATION PANEL              $67.90    $67.90
80438   TC   TRH STIMULATION PANEL              $67.90    $67.90
80439        TSH STIMULATION PANEL - 2 HR       $90.53    $90.53
80439   TC   TSH STIMULATION PANEL - 2 HR       $90.53    $90.53
80440        TSH STIMULATION PANEL - HYPERPR    $78.35    $78.35
80440   TC   TSH STIMULATION PANEL - HYPERPR    $78.35    $78.35
80500        CLINICAL PATH CONSULT, LIMITED     $27.66    $25.40
80502        CLINICAL PATH CONSULT, COMPREH     $90.50    $90.50
81000        URINALYSIS WITH MICROSCOPY          $4.27     $4.27
81000   TC   URINALYSIS WITH MICROSCOPY          $4.27     $4.27
81001        URINALYSIS, AUTO W/SCOPE            $4.27     $4.27
81001   TC   URINALYSIS, AUTO W/SCOPE            $4.27     $4.27
81002        ROUTINE URINE ANALYSIS              $3.44     $3.44
81002   TC   ROUTINE URINE ANALYSIS              $3.44     $3.44
81003        URINALYSIS,AUTO,W/O SCOPE           $3.03     $3.03
81003   TC   URINALYSIS,AUTO,W/O SCOPE           $3.03     $3.03
81005        URINALYSIS                          $2.90     $2.90
81005   TC   URINALYSIS                          $2.90     $2.90
81007        URINE SCREEN FOR BACTERIA           $3.27     $3.27
81007   TC   URINE SCREEN FOR BACTERIA           $3.27     $3.27
81015        MICROSCOPIC EXAM OF URINE           $2.87     $2.87
81015   TC   MICROSCOPIC EXAM OF URINE           $2.87     $2.87
81020        URINALYSIS, GLASS TEST              $4.97     $4.97
81020   TC   URINALYSIS, GLASS TEST              $4.97     $4.97
81025        URINE PREGNANCY TEST                $8.53     $8.53
81025   TC   URINE PREGNANCY TEST                $8.53     $8.53
81050        URINALYSIS,VOLUME MEASURE           $4.04     $4.04
81050   TC   URINALYSIS,VOLUME MEASURE           $4.04     $4.04
82000        ASSAY BLOOD ACETALDEHYDE            $5.14     $5.14
82000   TC   ASSAY BLOOD ACETALDEHYDE                   $5.14    $5.14
82003        ASSAY URINE ACETAMINOPHEN                 $27.27   $27.27
82003   TC   ASSAY URINE ACETAMINOPHEN                 $27.27   $27.27
82009        TEST FOR ACETONE/KETONES                   $4.23    $4.23
82009   TC   TEST FOR ACETONE/KETONES                   $4.23    $4.23
82010        ACETONE ASSAY                              $9.05    $9.05
82010   TC   ACETONE ASSAY                              $9.05    $9.05
82013        ACETYLCHOLINESTERASE ASSAY                $15.05   $15.05
82013   TC   ACETYLCHOLINESTERASE ASSAY                $15.05   $15.05
82016        ACYLCARNITINES, QUALITATIVE, EACH SPECIMEN$18.67   $18.67
82016   TC   ACYLCARNITINES, QUALITATIVE, EACH SPECIMEN$18.67   $18.67
82017                                                  $20.59
             ACYLCARNITINESS - QUANTITATIVE,EACH SPECIMEN       $20.59
82017   TC                                             $20.59
             ACYLCARNITINESS - QUANTITATIVE,EACH SPECIMEN       $20.59
82024        ACTH (LAB) RADIOIMMUNE ASSAY              $52.05   $52.05
82024   TC   ACTH (LAB) RADIOIMMUNE ASSAY              $52.05   $52.05
82030        ADP & AMP                                 $34.76   $34.76
82030   TC   ADP & AMP                                 $34.76   $34.76
82040        ASSAY SERUM ALBUMIN                        $6.27    $6.27
82040   TC   ASSAY SERUM ALBUMIN                        $6.27    $6.27
82042        ASSAY URINE ALBUMIN                        $6.98    $6.98
82042   TC   ASSAY URINE ALBUMIN                        $6.98    $6.98
82043        MICROALBUMIN, QUANTITATIVE                 $7.81    $7.81
82043   TC   MICROALBUMIN, QUANTITATIVE                 $7.81    $7.81
82044        MICROALBUMIN, SEMIQUANT                    $2.07    $2.07
82044   TC   MICROALBUMIN, SEMIQUANT                    $2.07    $2.07
82045        ALBUMIN - ISCHEMIA MODIFIED               $45.74   $45.74
82045   TC   ALBUMIN - ISCHEMIA MODIFIED               $45.74   $45.74
82055        ASSAY BLOOD ETHANOL                       $14.56   $14.56
82055   TC   ASSAY BLOOD ETHANOL                       $14.56   $14.56
82075        ASSAY BREATH ETHANOL                      $16.24   $16.24
82075   TC   ASSAY BREATH ETHANOL                      $16.24   $16.24
82085        ASSAY OF ALDOLASE                         $13.08   $13.08
82085   TC   ASSAY OF ALDOLASE                         $13.08   $13.08
82088        ALDOSTERONE                               $54.91   $54.91
82088   TC   ALDOSTERONE                               $54.91   $54.91
82101        ASSAY OF URINE ALKALOIDS                  $40.45   $40.45
82101   TC   ASSAY OF URINE ALKALOIDS                  $40.45   $40.45
82103        ALPHA-1-ANTITRYPSIN, TOTAL                $18.10   $18.10
82103   TC   ALPHA-1-ANTITRYPSIN, TOTAL                $18.10   $18.10
82104        ALPHA-1-ANTITRYPSIN,PHENO                 $19.48   $19.48
82104   TC   ALPHA-1-ANTITRYPSIN,PHENO                 $19.48   $19.48
82105        ALPHA-FETOPROTEIN,SERUM                   $22.60   $22.60
82105   TC   ALPHA-FETOPROTEIN,SERUM                   $22.60   $22.60
82106        ALPHA-FETOPROTEIN - AMNIOTIC              $22.60   $22.60
82106   TC   ALPHA-FETOPROTEIN - AMNIOTIC              $22.60   $22.60
82108        ASSAY, ALUMINUM                           $25.07   $25.07
82108   TC   ASSAY, ALUMINUM                           $25.07   $25.07
82120        AMINES VAGINAL FLUID QUALITATIVE           $5.07    $5.07
82120   TC   AMINES VAGINAL FLUID QUALITATIVE           $5.07    $5.07
82127                                                  $18.67
             AMINO ACIDS - SINGLE,QUALITATIVE,EACH SPECIMEN     $18.67
82127   TC                                             $18.67
             AMINO ACIDS - SINGLE,QUALITATIVE,EACH SPECIMEN     $18.67
82128        TEST FOR AMINO ACIDS                      $18.67   $18.67
82128   TC   TEST FOR AMINO ACIDS                        $18.67       $18.67
82131        AMINO ACIDS                                 $22.74       $22.74
82131   TC   AMINO ACIDS                                 $22.74       $22.74
82135        ASSAY, AMINOLEVULINIC ACID                  $22.18       $22.18
82135   TC   ASSAY, AMINOLEVULINIC ACID                  $22.18       $22.18
82136                                                    $20.59
             AMINO ACIDS,2-5 AMINO ACIDS, QUANTITATIVE, EACH SPECIMEN $20.59
82136   TC                                               $20.59
             AMINO ACIDS,2-5 AMINO ACIDS, QUANTITATIVE, EACH SPECIMEN $20.59
82139                                                    $20.59       $20.59
             AMINO ACIDS, 6 OR MORE AMINO ACIDS,QUANTITATIVE,EACH SPECIMEN
82139   TC                                               $20.59       $20.59
             AMINO ACIDS, 6 OR MORE AMINO ACIDS,QUANTITATIVE,EACH SPECIMEN
82140        ASSAY OF AMMONIA                            $19.63       $19.63
82140   TC   ASSAY OF AMMONIA                            $19.63       $19.63
82143        AMNIOTIC FLUID SCAN                          $9.27        $9.27
82143   TC   AMNIOTIC FLUID SCAN                          $9.27        $9.27
82145        ASSAY OF AMPHETAMINES                       $20.95       $20.95
82145   TC   ASSAY OF AMPHETAMINES                       $20.95       $20.95
82150        ASSAY OF AMYLASE                             $8.73        $8.73
82150   TC   ASSAY OF AMYLASE                             $8.73        $8.73
82154        ANDROSTANEDIOL GLUCURONIDE                  $20.74       $20.74
82154   TC   ANDROSTANEDIOL GLUCURONIDE                  $20.74       $20.74
82157        ASSAY OF ANDROSTENEDIONE                    $39.44       $39.44
82157   TC   ASSAY OF ANDROSTENEDIONE                    $39.44       $39.44
82160        RIA ASSAY ANDROSTERONE                      $33.69       $33.69
82160   TC   RIA ASSAY ANDROSTERONE                      $33.69       $33.69
82163        ASSAY OF ANGIOTENSIN II                     $21.68       $21.68
82163   TC   ASSAY OF ANGIOTENSIN II                     $21.68       $21.68
82164        ANGROTENSION-CONVERTING ENZYME              $19.66       $19.66
82164   TC   ANGROTENSION-CONVERTING ENZYME              $19.66       $19.66
82172        APOLIPOPROTEIN IMMUMOASSAY                  $19.04       $19.04
82172   TC   APOLIPOPROTEIN IMMUMOASSAY                  $19.04       $19.04
82175        ASSAY OF ARSENIC                            $25.57       $25.57
82175   TC   ASSAY OF ARSENIC                            $25.57       $25.57
82180        ASSAY OF ASCORBIC ACID                      $13.31       $13.31
82180   TC   ASSAY OF ASCORBIC ACID                      $13.31       $13.31
82190        ATOMIC ABSORPTION                           $20.09       $20.09
82190   TC   ATOMIC ABSORPTION                           $20.09       $20.09
82205        ASSAY OF BARBITURATES                       $15.00       $15.00
82205   TC   ASSAY OF BARBITURATES                       $15.00       $15.00
82232        RIA ASSAY SERUM PROTEIN                     $21.81       $21.81
82232   TC   RIA ASSAY SERUM PROTEIN                     $21.81       $21.81
82239        ASSAY,BILE ACIDS,TOTAL                      $20.21       $20.21
82239   TC   ASSAY,BILE ACIDS,TOTAL                      $20.21       $20.21
82240        BILE ACIDS, CHOLYLGLYCINE                   $35.80       $35.80
82240   TC   BILE ACIDS, CHOLYLGLYCINE                   $35.80       $35.80
82247        BILIRUBIN - TOTAL                            $6.78        $6.78
82247   TC   BILIRUBIN - TOTAL                            $6.78        $6.78
82248        BILIRUBIN - DIRECT                           $6.78        $6.78
82248   TC   BILIRUBIN - DIRECT                           $6.78        $6.78
82252        FECAL BILIRUBIN TEST                         $6.13        $6.13
82252   TC   FECAL BILIRUBIN TEST                         $6.13        $6.13
82261        BIOTINIDASE, EACH SPECIMEN                  $20.59       $20.59
82261   TC   BIOTINIDASE, EACH SPECIMEN                  $20.59       $20.59
82270        TEST FECES FOR BLOOD                         $4.38        $4.38
82270   TC   TEST FECES FOR BLOOD                        $4.38       $4.38
82273        TEST FOR GASTRIC BLOOD                      $4.38       $4.38
82273   TC   TEST FOR GASTRIC BLOOD                      $4.38       $4.38
82274        FECAL HMOGLOBIN IMMUNOASAY TEST            $16.29      $16.29
82274   TC   FECAL HMOGLOBIN IMMUNOASAY TEST            $16.29      $16.29
82286        ASSAY OF BRADYKININ                         $9.28       $9.28
82286   TC   ASSAY OF BRADYKININ                         $9.28       $9.28
82300        ASSAY CADMIUM IN URINE                     $31.18      $31.18
82300   TC   ASSAY CADMIUM IN URINE                     $31.18      $31.18
82306        ASSAY OF VITAMIN D                         $39.88      $39.88
82306   TC   ASSAY OF VITAMIN D                         $39.88      $39.88
82307        RIA ASSAY OF VITAMIN D                     $43.42      $43.42
82307   TC   RIA ASSAY OF VITAMIN D                     $43.42      $43.42
82308        RIA ASSAY OF CALCITONIN                    $36.08      $36.08
82308   TC   RIA ASSAY OF CALCITONIN                    $36.08      $36.08
82310        ASSAY CALCIUM IN BLOOD                      $6.94       $6.94
82310   TC   ASSAY CALCIUM IN BLOOD                      $6.94       $6.94
82330        ASSAY CALCIUM 1                            $18.41      $18.41
82330   TC   ASSAY CALCIUM 1                            $18.41      $18.41
82331        CALCIUM INFUSION TEST                       $6.98       $6.98
82331   TC   CALCIUM INFUSION TEST                       $6.98       $6.98
82340        ASSAY CALCIUM IN URINE                      $7.02       $7.02
82340   TC   ASSAY CALCIUM IN URINE                      $7.02       $7.02
82355        CALCULUS (STONE) ANALYSIS                  $15.59      $15.59
82355   TC   CALCULUS (STONE) ANALYSIS                  $15.59      $15.59
82360        CALCULUS (STONE) ASSAY 1                   $17.35      $17.35
82360   TC   CALCULUS (STONE) ASSAY 1                   $17.35      $17.35
82365        CALCULUS (STONE) ASSAY                      $6.39       $6.39
82365   TC   CALCULUS (STONE) ASSAY                      $6.39       $6.39
82370        X-RAY ASSAY,CALCULUS (STONE)               $16.89      $16.89
82370   TC   X-RAY ASSAY,CALCULUS (STONE)               $16.89      $16.89
82373        CARBOHYDRATE DEFICIENT TRANSFERRIN ASSAY   $24.33      $24.33
82373   TC   CARBOHYDRATE DEFICIENT TRANSFERRIN ASSAY   $24.33      $24.33
82374        ASSAY BLOOD CARBON DIOXIDE                  $5.79       $5.79
82374   TC   ASSAY BLOOD CARBON DIOXIDE                  $5.79       $5.79
82375        ASSAY BLOOD CARBON MONOXIDE                $16.61      $16.61
82375   TC   ASSAY BLOOD CARBON MONOXIDE                $16.61      $16.61
82376        TEST FOR CARBON MONOXIDE                    $8.07       $8.07
82376   TC   TEST FOR CARBON MONOXIDE                    $8.07       $8.07
82378        CARCINOEMBRYONIC ANTIGEN                   $25.57      $25.57
82378   TC   CARCINOEMBRYONIC ANTIGEN                   $25.57      $25.57
82379                                                   $20.59
             CARNITINE (TOTAL & FREE) QUANTITATIVE, EACH SPECIMEN   $20.59
82379   TC                                              $20.59
             CARNITINE (TOTAL & FREE) QUANTITATIVE, EACH SPECIMEN   $20.59
82380        ASSAY BLOOD CAROTENE                       $12.43      $12.43
82380   TC   ASSAY BLOOD CAROTENE                       $12.43      $12.43
82382        ASSAY URINE CATECHOLAMINES                 $23.17      $23.17
82382   TC   ASSAY URINE CATECHOLAMINES                 $23.17      $23.17
82383        ASSAY BLOOD CATECHOLAMINES                 $33.76      $33.76
82383   TC   ASSAY BLOOD CATECHOLAMINES                 $33.76      $33.76
82384        ASSAY THREE CATECHOLAMINES                 $34.02      $34.02
82384   TC   ASSAY THREE CATECHOLAMINES                 $34.02      $34.02
82387        ASSAY CTHEPSIN-D                           $28.03      $28.03
82387   TC   ASSAY CTHEPSIN-D                     $28.03         $28.03
82390        ASSAY BLOOD CERULOPLASMIN             $8.38          $8.38
82390   TC   ASSAY BLOOD CERULOPLASMIN             $8.38          $8.38
82397        CHEMILUMINESCENT ASSAY               $19.04         $19.04
82397   TC   CHEMILUMINESCENT ASSAY               $19.04         $19.04
82415        ASSAY CHLORAMPHENICOL                $17.07         $17.07
82415   TC   ASSAY CHLORAMPHENICOL                $17.07         $17.07
82435        ASSAY BLOOD CHLORIDES                 $3.88          $3.88
82435   TC   ASSAY BLOOD CHLORIDES                 $3.88          $3.88
82436        ASSAY URINE CHLORIDE                  $5.52          $5.52
82436   TC   ASSAY URINE CHLORIDE                  $5.52          $5.52
82438        ASSAY SPINAL FLUID CHLORIDES          $4.25          $4.25
82438   TC   ASSAY SPINAL FLUID CHLORIDES          $4.25          $4.25
82441        TEST FOR CHLOROHYDROCARBONS           $8.08          $8.08
82441   TC   TEST FOR CHLOROHYDROCARBONS           $8.08          $8.08
82465        ASSAY SERUM CHOLESTEROL               $5.86          $5.86
82465   TC   ASSAY SERUM CHOLESTEROL               $5.86          $5.86
82480        ASSAY SERUM CHOLINESTERASE           $10.63         $10.63
82480   TC   ASSAY SERUM CHOLINESTERASE           $10.63         $10.63
82482        ASSAY RBC CHOLINESTERASE             $10.36         $10.36
82482   TC   ASSAY RBC CHOLINESTERASE             $10.36         $10.36
82485        ASSAY CHONDROITIN SULFATE            $27.83         $27.83
82485   TC   ASSAY CHONDROITIN SULFATE            $27.83         $27.83
82486        GAS/LIQUID CHROMATOGRAPHY            $24.33         $24.33
82486   TC   GAS/LIQUID CHROMATOGRAPHY            $24.33         $24.33
82487        PAPER CHROMATOGRAPHY 1               $21.50         $21.50
82487   TC   PAPER CHROMATOGRAPHY 1               $21.50         $21.50
82488        PAPER CHROMATOGRAPHY                 $28.80         $28.80
82488   TC   PAPER CHROMATOGRAPHY                 $28.80         $28.80
82489        THIN LAYER CHROMATOGRAPHY            $24.93         $24.93
82489   TC   THIN LAYER CHROMATOGRAPHY            $24.93         $24.93
82491        CHROMOTOGRAPHY, QUANTITATIVE         $24.33         $24.33
82491   TC   CHROMOTOGRAPHY, QUANTITATIVE         $24.33         $24.33
82492                                             $24.33         $24.33
             CHROMATOGRAPHY,QUANT COLUMN:MULTI ANALYTES,SINGLE STATION & MOBILE PHASE
82492   TC                                        $24.33         $24.33
             CHROMATOGRAPHY,QUANT COLUMN:MULTI ANALYTES,SINGLE STATION & MOBILE PHASE
82495        ASSAY CHROMIUM                       $27.34         $27.34
82495   TC   ASSAY CHROMIUM                       $27.34         $27.34
82507        ASSAY CITRATE                        $37.47         $37.47
82507   TC   ASSAY CITRATE                        $37.47         $37.47
82520        ASSAY FOR COCAINE                    $20.41         $20.41
82520   TC   ASSAY FOR COCAINE                    $20.41         $20.41
82523        COLLAGEN CROSS LINKS, ANY METHOD     $16.16         $16.16
82523   TC   COLLAGEN CROSS LINKS, ANY METHOD     $16.16         $16.16
82525        ASSAY COPPER                         $16.73         $16.73
82525   TC   ASSAY COPPER                         $16.73         $16.73
82528        ASSAY CORTICOSTERONE                 $30.33         $30.33
82528   TC   ASSAY CORTICOSTERONE                 $30.33         $30.33
82530        CORTISOL, FREE                       $22.52         $22.52
82530   TC   CORTISOL, FREE                       $22.52         $22.52
82533        RIA ASSAY PLASMA CORTISOL            $21.97         $21.97
82533   TC   RIA ASSAY PLASMA CORTISOL            $21.97         $21.97
82540        ASSAY BLOOD CREATINE                  $6.24          $6.24
82540   TC   ASSAY BLOOD CREATINE                       $6.24         $6.24
82541        LAB TEST                                  $24.33        $24.33
82541   TC   LAB TEST                                  $24.33        $24.33
82542                                                   SINGLE       $24.33
             COLUMN CHROMA/MASS SPECT,ANA NES:QUANT$24.33 STATION & MOBILE PHASE
82542   TC                                              SINGLE       $24.33
             COLUMN CHROMA/MASS SPECT,ANA NES:QUANT$24.33 STATION & MOBILE PHASE
82543                                                  $24.33        $24.33
             STABLE ISOTOPE DIL,SINGLE ANALYTE,QUANT,SINGLE STATIONARY & MOBILE PHASE
82543   TC                                             $24.33        $24.33
             STABLE ISOTOPE DIL,SINGLE ANALYTE,QUANT,SINGLE STATIONARY & MOBILE PHASE
82544                                                  $24.33        $24.33
             COLUMN CHROMA,MASS SPECT,ANA NES - STABLE ISOTOPE DIL MULT ANALYTES,QUANT
82544   TC                                             $24.33        $24.33
             COLUMN CHROMA,MASS SPECT,ANA NES - STABLE ISOTOPE DIL MULT ANALYTES,QUANT
82550        ASSAY CPK IN BLOOD                         $8.78         $8.78
82550   TC   ASSAY CPK IN BLOOD                         $8.78         $8.78
82552        ASSAY CPK IN BLOOD 1                      $18.05        $18.05
82552   TC   ASSAY CPK IN BLOOD 1                      $18.05        $18.05
82553        CREATINE,MB FRACTION                      $15.56        $15.56
82553   TC   CREATINE,MB FRACTION                      $15.56        $15.56
82554        CREATINE,ISOFORMS                         $15.99        $15.99
82554   TC   CREATINE,ISOFORMS                         $15.99        $15.99
82565        ASSAY BLOOD CREATININE                     $6.90         $6.90
82565   TC   ASSAY BLOOD CREATININE                     $6.90         $6.90
82570        ASSAY URINE CREATININE                     $5.52         $5.52
82570   TC   ASSAY URINE CREATININE                     $5.52         $5.52
82575        CREATININE CLEARANCE TEST                 $12.74        $12.74
82575   TC   CREATININE CLEARANCE TEST                 $12.74        $12.74
82585        ASSAY CRYOFIBRINOGEN                       $9.02         $9.02
82585   TC   ASSAY CRYOFIBRINOGEN                       $9.02         $9.02
82595        ASSAY BLOOD CRYOGLOBULIN                   $8.72         $8.72
82595   TC   ASSAY BLOOD CRYOGLOBULIN                   $8.72         $8.72
82600        ASSAY BLOOD CYANIDE                       $26.14        $26.14
82600   TC   ASSAY BLOOD CYANIDE                       $26.14        $26.14
82607        RIA ASSAY FOR VITAMIN B-12                $20.31        $20.31
82607   TC   RIA ASSAY FOR VITAMIN B-12                $20.31        $20.31
82608        B-12 BINDING CAPACITY                     $19.30        $19.30
82608   TC   B-12 BINDING CAPACITY                     $19.30        $19.30
82615        TEST FOR URINE CYSTINES                   $10.02        $10.02
82615   TC   TEST FOR URINE CYSTINES                   $10.02        $10.02
82626        DEHYDROEPIANDROSTERONE, RIA               $24.96        $24.96
82626   TC   DEHYDROEPIANDROSTERONE, RIA               $24.96        $24.96
82627        DEHYDROEIANDROSTERINE                     $24.96        $24.96
82627   TC   DEHYDROEIANDROSTERINE                     $24.96        $24.96
82633        DESOXYCORTICOSTERONE, RIA                 $41.73        $41.73
82633   TC   DESOXYCORTICOSTERONE, RIA                 $41.73        $41.73
82634        DEOXYCORTISOL, RIA                        $39.44        $39.44
82634   TC   DEOXYCORTISOL, RIA                        $39.44        $39.44
82638        ASSAY DIBUCAINE NUMBER                    $16.50        $16.50
82638   TC   ASSAY DIBUCAINE NUMBER                    $16.50        $16.50
82646        ASSAY OF DIHYDROCODINONE                  $27.83        $27.83
82646   TC   ASSAY OF DIHYDROCODINONE                  $27.83        $27.83
82649        ASSAY OF DIHYDROMORPHINONE                $34.63        $34.63
82649   TC   ASSAY OF DIHYDROMORPHINONE                $34.63        $34.63
82651        DIHYDROTESTOSTERONE ASSAY                 $34.77        $34.77
82651   TC   DIHYDROTESTOSTERONE ASSAY                 $34.77        $34.77
82652        ASSAY, DIHYDROXYVITAMIN D                 $51.86        $51.86
82652   TC   ASSAY, DIHYDROXYVITAMIN D                  $51.86         $51.86
82654        ASSAY OF DIMETHADIONE                      $18.65         $18.65
82654   TC   ASSAY OF DIMETHADIONE                      $18.65         $18.65
82656                                                   $15.55         $15.55
             ELASTASE, PANCREATIC (EL-1), FECAL, QUALITATIVE/SEMI-QUANTITATIVE
82656   TC                                              $15.55         $15.55
             ELASTASE, PANCREATIC (EL-1), FECAL, QUALITATIVE/SEMI-QUANTITATIVE
82657                                                   $24.33         $24.33
             ENZYME ACTIVITY IN BLOOD CELLS,CULTURED CELLS,OR TISSUE,NES - NON RADIO SUB
82657   TC                                              $24.33         $24.33
             ENZYME ACTIVITY IN BLOOD CELLS,CULTURED CELLS,OR TISSUE,NES - NON RADIO SUB
82658                                                   $24.33         $24.33
             ENZYME ACTIVITY BLOOD CELLS - CULT CELLS OR TISSUE,NES - RADIO SUB,EA SPECIMEN
82658   TC                                              $24.33         $24.33
             ENZYME ACTIVITY BLOOD CELLS - CULT CELLS OR TISSUE,NES - RADIO SUB,EA SPECIMEN
82664        ELECTROPHORETIC TEST                       $46.30         $46.30
82664   TC   ELECTROPHORETIC TEST                       $46.30         $46.30
82666        EPIANDROSTERONE ASSAY                      $28.94         $28.94
82666   TC   EPIANDROSTERONE ASSAY                      $28.94         $28.94
82668        ERYTHROPOIETIN BIOASSAY                    $25.32         $25.32
82668   TC   ERYTHROPOIETIN BIOASSAY                    $25.32         $25.32
82670        ESTRADIOL                                  $37.65         $37.65
82670   TC   ESTRADIOL                                  $37.65         $37.65
82671        ESTROGENS ASSAY                            $43.53         $43.53
82671   TC   ESTROGENS ASSAY                            $43.53         $43.53
82672        ESTROGEN ASSAY                             $29.21         $29.21
82672   TC   ESTROGEN ASSAY                             $29.21         $29.21
82677        ESTRIOL                                    $32.58         $32.58
82677   TC   ESTRIOL                                    $32.58         $32.58
82679        RIA ASSAY OF ESTRONE                       $33.63         $33.63
82679   TC   RIA ASSAY OF ESTRONE                       $33.63         $33.63
82690        ASSAY BLOOD ETHCHLORVYNOL                  $23.29         $23.29
82690   TC   ASSAY BLOOD ETHCHLORVYNOL                  $23.29         $23.29
82693        ASSAY,ETHYLENE GLYCOL                      $20.08         $20.08
82693   TC   ASSAY,ETHYLENE GLYCOL                      $20.08         $20.08
82696        ETIOCHOLANOLONE                            $31.78         $31.78
82696   TC   ETIOCHOLANOLONE                            $31.78         $31.78
82705        FATS/LIPIDS,FECES,SCREENING                 $5.79          $5.79
82705   TC   FATS/LIPIDS,FECES,SCREENING                 $5.79          $5.79
82710        FATS/LIPIDS,FECES,QUANTITATI               $22.62         $22.62
82710   TC   FATS/LIPIDS,FECES,QUANTITATI               $22.62         $22.62
82715        FECAL FAT ASSAY                            $22.83         $22.83
82715   TC   FECAL FAT ASSAY                            $22.83         $22.83
82725        ASSAY BLOOD FATTY ACIDS                    $17.94         $17.94
82725   TC   ASSAY BLOOD FATTY ACIDS                    $17.94         $17.94
82726        VERY LONG CHAIN FATTY ACIDS                $24.33         $24.33
82726   TC   VERY LONG CHAIN FATTY ACIDS                $24.33         $24.33
82728        ASSAY FERRITIN                             $18.35         $18.35
82728   TC   ASSAY FERRITIN                             $18.35         $18.35
82731                                                   $86.78         $86.78
             FET FIBRONECTIN,CERVICOVAGINAL SECRETIONS,SEMI-QUANTITATIVE
82731   TC                                              $86.78         $86.78
             FET FIBRONECTIN,CERVICOVAGINAL SECRETIONS,SEMI-QUANTITATIVE
82735        ASSAY FLUORIDE                             $24.99         $24.99
82735   TC   ASSAY FLUORIDE                             $24.99         $24.99
82742        ASSAY OF FLURAZEPAM                        $26.67         $26.67
82742   TC   ASSAY OF FLURAZEPAM                        $26.67         $26.67
82746        BLOOD FOLIC ACID SERUM                     $19.81         $19.81
82746   TC   BLOOD FOLIC ACID SERUM                     $19.81         $19.81
82747        FOLIC ACID,RBC                             $23.21         $23.21
82747   TC   FOLIC ACID,RBC                            $23.21   $23.21
82757        ASSAY SEMEN FRUCTOSE                      $23.37   $23.37
82757   TC   ASSAY SEMEN FRUCTOSE                      $23.37   $23.37
82759        RBC GALACTOKINASE ASSAY                   $28.94   $28.94
82759   TC   RBC GALACTOKINASE ASSAY                   $28.94   $28.94
82760        ASSAY BLOOD GALACTOSE                     $15.09   $15.09
82760   TC   ASSAY BLOOD GALACTOSE                     $15.09   $15.09
82775        ASSAY GALACTOSE TRANSFERASE               $28.38   $28.38
82775   TC   ASSAY GALACTOSE TRANSFERASE               $28.38   $28.38
82776        GALACTOSE TRANSFERASE TEST                $11.30   $11.30
82776   TC   GALACTOSE TRANSFERASE TEST                $11.30   $11.30
82784        ASSAY GAMMAGLOBULIN A/D/G/M                $9.78    $9.78
82784   TC   ASSAY GAMMAGLOBULIN A/D/G/M                $9.78    $9.78
82785        ASSAY, GAMMAGLOBULIN E                    $22.19   $22.19
82785   TC   ASSAY, GAMMAGLOBULIN E                    $22.19   $22.19
82787        IMMUNOGLOBULIN SUBCLASSES                  $6.95    $6.95
82787   TC   IMMUNOGLOBULIN SUBCLASSES                  $6.95    $6.95
82800        BLOOD PH                                  $11.41   $11.41
82800   TC   BLOOD PH                                  $11.41   $11.41
82803        BLOOD GASES: PH, PO2 & PCO2               $26.08   $26.08
82803   TC   BLOOD GASES: PH, PO2 & PCO2               $26.08   $26.08
82805        BLOOD GASES - WITH O2 SATURATION          $38.24   $38.24
82805   TC   BLOOD GASES - WITH O2 SATURATION          $38.24   $38.24
82810        GASES,BLOOD,O2 SATURATION                 $11.77   $11.77
82810   TC   GASES,BLOOD,O2 SATURATION                 $11.77   $11.77
82820        HEMOGLOBIN OXYGEN AFFINITY                $13.46   $13.46
82820   TC   HEMOGLOBIN OXYGEN AFFINITY                $13.46   $13.46
82926        ASSAY OF GASTRIC ACID 1                    $7.34    $7.34
82926   TC   ASSAY OF GASTRIC ACID 1                    $7.34    $7.34
82928        ASSAY GASTRIC ACID                         $8.83    $8.83
82928   TC   ASSAY GASTRIC ACID                         $8.83    $8.83
82938        GASTRIN AFTER SECRETIN STIMULA            $23.85   $23.85
82938   TC   GASTRIN AFTER SECRETIN STIMULA            $23.85   $23.85
82941        RIA ASSAY OF GASTRIN                      $23.51   $23.51
82941   TC   RIA ASSAY OF GASTRIN                      $23.51   $23.51
82943        RIA ASSAY OF GLUCAGON                     $18.31   $18.31
82943   TC   RIA ASSAY OF GLUCAGON                     $18.31   $18.31
82945        GLUCOSE - BODY FLUID - OTHER THAN BLOOD    $5.28    $5.28
82945   TC   GLUCOSE - BODY FLUID - OTHER THAN BLOOD    $5.28    $5.28
82946        GLUCAGON TOLERANCE TEST                   $18.31   $18.31
82946   TC   GLUCAGON TOLERANCE TEST                   $18.31   $18.31
82947        ASSAY BODY FLUID, GLUCOSE                  $5.28    $5.28
82947   TC   ASSAY BODY FLUID, GLUCOSE                  $5.28    $5.28
82948        REAGENT STRIP/BLOOD GLUCOSE                $4.27    $4.27
82948   TC   REAGENT STRIP/BLOOD GLUCOSE                $4.27    $4.27
82950        GLUCOSE TEST                               $6.40    $6.40
82950   TC   GLUCOSE TEST                               $6.40    $6.40
82951        GLUCOSE TOLERANCE TEST (GTT)              $11.79   $11.79
82951   TC   GLUCOSE TOLERANCE TEST (GTT)              $11.79   $11.79
82952        GTT-ADDED SAMPLES                          $5.28    $5.28
82952   TC   GTT-ADDED SAMPLES                          $5.28    $5.28
82953        GLUCOSE-TOLBUTAMIDE TEST                  $12.53   $12.53
82953   TC      GLUCOSE-TOLBUTAMIDE TEST                   $12.53         $12.53
82955           ASSAY G6PD ENZYME                           $4.88          $4.88
82955   TC      ASSAY G6PD ENZYME                           $4.88          $4.88
82960           TEST FOR G6PD ENZYME                        $8.17          $8.17
82960   TC      TEST FOR G6PD ENZYME                        $8.17          $8.17
82962           GLUCOSE BLOOD TEST                          $3.15          $3.15
82962   TC      GLUCOSE BLOOD TEST                          $3.15          $3.15
82963           GLUCOSIDASE ASSAY                          $28.94         $28.94
82963   TC      GLUCOSIDASE ASSAY                          $28.94         $28.94
82965           ASSAY BLOOD GDH ENZYME                     $10.41         $10.41
82965   TC      ASSAY BLOOD GDH ENZYME                     $10.41         $10.41
82975           ASSAY SPINAL FLUID GLUTAMINE               $21.35         $21.35
82975   TC      ASSAY SPINAL FLUID GLUTAMINE               $21.35         $21.35
82977           ASSAY OF GGT ENZYME                         $9.41          $9.41
82977   TC      ASSAY OF GGT ENZYME                         $9.41          $9.41
82978           GLUTATHIONE ASSAY                          $19.20         $19.20
82978   TC      GLUTATHIONE ASSAY                          $19.20         $19.20
82979           ASSAY RBC GLUTATHIONE ENZYME                $9.28          $9.28
82979   TC      ASSAY RBC GLUTATHIONE ENZYME                $9.28          $9.28
82980           ASSAY OF GLUTETHIMIDE                      $24.68         $24.68
82980   TC      ASSAY OF GLUTETHIMIDE                      $24.68         $24.68
82985           GLYCOPROTEIN ELECTROPHORESIS               $20.31         $20.31
82985   TC      GLYCOPROTEIN ELECTROPHORESIS               $20.31         $20.31
83001           GONADOTROPIN (FSH)                         $25.04         $25.04
83001   TC      GONADOTROPIN (FSH)                         $25.04         $25.04
83002           GONADOTROPIN (LH)                          $23.51         $23.51
83002   TC      GONADOTROPIN (LH)                          $23.51         $23.51
83003           RIA ASSAY GROWTH HORMONE                   $22.46         $22.46
83003   TC      RIA ASSAY GROWTH HORMONE                   $22.46         $22.46
83008           RIA ASSAY GUANOSINE                        $22.61         $22.61
83008   TC      RIA ASSAY GUANOSINE                        $22.61         $22.61
83009                                                      $90.76         $90.76
                H. PYLORI - BLOOD TEST ANALYSIS, UREASE ACTIVITY, NON-RADIOACTIVE ISOTOPE
83009   TC                                                 $90.76         $90.76
                H. PYLORI - BLOOD TEST ANALYSIS, UREASE ACTIVITY, NON-RADIOACTIVE ISOTOPE
83010           QUANT ASSAY HAPTOGLOBIN                    $16.95         $16.95
83010   TC      QUANT ASSAY HAPTOGLOBIN                    $16.95         $16.95
83012           ELP ASSAY HAPTOGLOBINS                     $23.17         $23.17
83012   TC      ELP ASSAY HAPTOGLOBINS                     $23.17         $23.17
83013           HELICOBACTER PYLORI,BREATH TEST ANALYSIS$90.76            $90.76
83013   TC      HELICOBACTER PYLORI,BREATH TEST ANALYSIS$90.76            $90.76
83014           HELICOBACTER PYLORI DRUG ADMIN             $10.59         $10.59
83014   TC      HELICOBACTER PYLORI DRUG ADMIN             $10.59         $10.59
83015           HEAVY METAL SCREEN                         $25.37         $25.37
83015   TC      HEAVY METAL SCREEN                         $25.37         $25.37
83018           CHROMATOGRAPH SCREEN, METALS               $29.58         $29.58
83018   TC      CHROMATOGRAPH SCREEN, METALS               $29.58         $29.58
83020           ASSAY HEMOGLOBIN                            $6.51          $6.51
83020        26 ASSAY HEMOGLOBIN                            $3.59          $3.59
83020   TC      ASSAY HEMOGLOBIN                            $2.93          $2.93
83021           HEMOGLOBIN FRAC & QUAN - CHROMOTOGRAPHY    $24.33         $24.33
83021   TC      HEMOGLOBIN FRAC & QUAN - CHROMOTOGRAPHY    $24.33         $24.33
83026           HEMOGLOBIN, COPPER SULFATE                  $3.18          $3.18
83026   TC      HEMOGLOBIN, COPPER SULFATE                  $3.18          $3.18
83030        FETAL HEMOGLOBIN ASSAY         $11.14   $11.14
83030   TC   FETAL HEMOGLOBIN ASSAY         $11.14   $11.14
83033        FETAL FECAL HEMOGLOBIN ASSAY    $8.04    $8.04
83033   TC   FETAL FECAL HEMOGLOBIN ASSAY    $8.04    $8.04
83036        GLYCATED HEMOGLOBIN TEST       $13.08   $13.08
83036   TC   GLYCATED HEMOGLOBIN TEST       $13.08   $13.08
83045        BLOOD METHEMOGLOBIN TEST        $6.69    $6.69
83045   TC   BLOOD METHEMOGLOBIN TEST        $6.69    $6.69
83050        BLOOD METHEMOGLOBIN ASSAY       $4.76    $4.76
83050   TC   BLOOD METHEMOGLOBIN ASSAY       $4.76    $4.76
83051        ASSAY PLASMA HEMOGLOBIN         $9.85    $9.85
83051   TC   ASSAY PLASMA HEMOGLOBIN         $9.85    $9.85
83055        BLOOD SULFHEMOGLOBIN TEST       $6.63    $6.63
83055   TC   BLOOD SULFHEMOGLOBIN TEST       $6.63    $6.63
83060        BLOOD SULFHEMOGLOBIN ASSAY     $11.14   $11.14
83060   TC   BLOOD SULFHEMOGLOBIN ASSAY     $11.14   $11.14
83065        HEMOGLOBIN HEAT ASSAY           $9.28    $9.28
83065   TC   HEMOGLOBIN HEAT ASSAY           $9.28    $9.28
83068        HEMOGLOBIN STABILITY SCREEN    $11.41   $11.41
83068   TC   HEMOGLOBIN STABILITY SCREEN    $11.41   $11.41
83069        ASSAY URINE HEMOGLOBIN          $5.31    $5.31
83069   TC   ASSAY URINE HEMOGLOBIN          $5.31    $5.31
83070        QUALT ASSAY HEMOSIDERIN         $6.40    $6.40
83070   TC   QUALT ASSAY HEMOSIDERIN         $6.40    $6.40
83071        QUANT ASSAY OF HEMOSIDERIN      $9.27    $9.27
83071   TC   QUANT ASSAY OF HEMOSIDERIN      $9.27    $9.27
83080        B-HEXOSAMINIDAS, EACH ASSAY    $20.59   $20.59
83080   TC   B-HEXOSAMINIDAS, EACH ASSAY    $20.59   $20.59
83088        ASSAY HISTAMINE                $39.78   $39.78
83088   TC   ASSAY HISTAMINE                $39.78   $39.78
83090        HOMOCYSTINE ASSAY              $22.74   $22.74
83090   TC   HOMOCYSTINE ASSAY              $22.74   $22.74
83150        ASSAY FOR HVA                  $26.08   $26.08
83150   TC   ASSAY FOR HVA                  $26.08   $26.08
83491        ASSAY OF CORTICOSTEROIDS       $23.59   $23.59
83491   TC   ASSAY OF CORTICOSTEROIDS       $23.59   $23.59
83497        ASSAY URINE 5-HIAA             $17.37   $17.37
83497   TC   ASSAY URINE 5-HIAA             $17.37   $17.37
83498        ASSAY OF PROGESTERONE          $36.60   $36.60
83498   TC   ASSAY OF PROGESTERONE          $36.60   $36.60
83499        ASSAY OF PROGESTERONE 1        $33.97   $33.97
83499   TC   ASSAY OF PROGESTERONE 1        $33.97   $33.97
83500        ASSAY FREE HYDROXYPROLINE      $26.04   $26.04
83500   TC   ASSAY FREE HYDROXYPROLINE      $26.04   $26.04
83505        ASSAY TOTAL HYDROXYPROLINE     $32.74   $32.74
83505   TC   ASSAY TOTAL HYDROXYPROLINE     $32.74   $32.74
83516        IMMUNOASSAY, NON ANTIBODY      $15.55   $15.55
83516   TC   IMMUNOASSAY, NON ANTIBODY      $15.55   $15.55
83518        IMMUNUOASSAY,DIPSTICK           $9.42    $9.42
83518   TC   IMMUNUOASSAY,DIPSTICK           $9.42    $9.42
83519        IMMUNOASSAY NONANTIBODY        $18.21   $18.21
83519   TC   IMMUNOASSAY NONANTIBODY        $18.21   $18.21
83520        IMMUNOASSAY, RIA                         $17.44         $17.44
83520   TC   IMMUNOASSAY, RIA                         $17.44         $17.44
83525        RIA ASSAY OF INSULIN                     $15.40         $15.40
83525   TC   RIA ASSAY OF INSULIN                     $15.40         $15.40
83527        ASSAY OF INSULIN                         $17.44         $17.44
83527   TC   ASSAY OF INSULIN                         $17.44         $17.44
83528        ASSAY INTRINSIC FACTOR LEVEL             $21.43         $21.43
83528   TC   ASSAY INTRINSIC FACTOR LEVEL             $21.43         $21.43
83540        ASSAY SERUM IRON                          $8.73          $8.73
83540   TC   ASSAY SERUM IRON                          $8.73          $8.73
83550        IRON BINDING TEST                        $11.78         $11.78
83550   TC   IRON BINDING TEST                        $11.78         $11.78
83570        UV-ASSAY BLOOD IDH ENZYME                $11.91         $11.91
83570   TC   UV-ASSAY BLOOD IDH ENZYME                $11.91         $11.91
83582        ASSAY KETOGENIC STEROIDS                 $19.09         $19.09
83582   TC   ASSAY KETOGENIC STEROIDS                 $19.09         $19.09
83586        ASSAY BLOOD 17-KETOSTEROIDS              $17.25         $17.25
83586   TC   ASSAY BLOOD 17-KETOSTEROIDS              $17.25         $17.25
83593        FRACTIONATION KETOSTEROIDS               $35.44         $35.44
83593   TC   FRACTIONATION KETOSTEROIDS               $35.44         $35.44
83605        LACTIC ACID ASSAY                        $14.38         $14.38
83605   TC   LACTIC ACID ASSAY                        $14.38         $14.38
83615        UV-ASSAY BLOOD LDH ENZYME                 $7.96          $7.96
83615   TC   UV-ASSAY BLOOD LDH ENZYME                 $7.96          $7.96
83625        ASSAY BLOOD LDH ENZYMES                  $17.24         $17.24
83625   TC   ASSAY BLOOD LDH ENZYMES                  $17.24         $17.24
83630        LACTOFERRIN, FECAL, QUALITATIVE          $15.55         $15.55
83630   TC   LACTOFERRIN, FECAL, QUALITATIVE          $15.55         $15.55
83632        PLACENTAL LACTOGEN                       $27.24         $27.24
83632   TC   PLACENTAL LACTOGEN                       $27.24         $27.24
83633        TEST URINE FOR LACTOSE                    $7.41          $7.41
83633   TC   TEST URINE FOR LACTOSE                    $7.41          $7.41
83634        ASSAY URINE FOR LACTOSE                  $15.52         $15.52
83634   TC   ASSAY URINE FOR LACTOSE                  $15.52         $15.52
83655        ASSAY FOR LEAD                           $16.31         $16.31
83655   TC   ASSAY FOR LEAD                           $16.31         $16.31
83661        ASSAY L/S RATIO                          $29.61         $29.61
83661   TC   ASSAY L/S RATIO                          $29.61         $29.61
83662        L/S RATIO,FOAM STABILTY                   $5.15          $5.15
83662   TC   L/S RATIO,FOAM STABILTY                   $5.15          $5.15
83663                                                  $5.15          $5.15
             FETAL LUNG MATURITY ASSESSMENT - FLUORESCENCE POLARIZATION
83663   TC                                             $5.15          $5.15
             FETAL LUNG MATURITY ASSESSMENT - FLUORESCENCE POLARIZATION
83664                                                  $5.15
             FETAL LUNG MATURITY ASSES LAMELLAR BODY DENSITY          $5.15
83664   TC                                             $5.15
             FETAL LUNG MATURITY ASSES LAMELLAR BODY DENSITY          $5.15
83670        UV-ASSAY BLOOD LAP ENZYME                $12.35         $12.35
83670   TC   UV-ASSAY BLOOD LAP ENZYME                $12.35         $12.35
83690        ASSAY LIPASE                              $9.28          $9.28
83690   TC   ASSAY LIPASE                              $9.28          $9.28
83715        ASSAY BLOOD LIPOPROTEINS                  $9.78          $9.78
83715   TC   ASSAY BLOOD LIPOPROTEINS                  $9.78          $9.78
83716                                                 $15.68         $15.68
             LIPBPROTEIN,BLOOD - HIGH RESOLUTION FRACTION & QUAN LIPOPROTEIN CHOLESTEROLS
83716   TC                                            $15.68         $15.68
             LIPBPROTEIN,BLOOD - HIGH RESOLUTION FRACTION & QUAN LIPOPROTEIN CHOLESTEROLS
83718        LIPOPROTEIN BLOOD ASSAY                  $11.04         $11.04
83718   TC   LIPOPROTEIN BLOOD ASSAY                  $11.04         $11.04
83719        BLOOD LIPOPROTEIN ASSAY                  $15.68         $15.68
83719   TC   BLOOD LIPOPROTEIN ASSAY                  $15.68         $15.68
83721        ASSAY,BLOOD LIPOPROTEIN                  $12.86         $12.86
83721   TC   ASSAY,BLOOD LIPOPROTEIN                  $12.86         $12.86
83727        LRH HORMONE ASSAY                        $23.17         $23.17
83727   TC   LRH HORMONE ASSAY                        $23.17         $23.17
83735        ASSAY BLOOD MAGNESIUM                     $9.02          $9.02
83735   TC   ASSAY BLOOD MAGNESIUM                     $9.02          $9.02
83775        UV-ASSAY OF MD ENZYME                     $9.94          $9.94
83775   TC   UV-ASSAY OF MD ENZYME                     $9.94          $9.94
83785        ASSAY OF MANGANESE                       $33.14         $33.14
83785   TC   ASSAY OF MANGANESE                       $33.14         $33.14
83788                                                 ANALYTE NES - QUAL,EACH
             MASS SPECTROMETRY & TANDEM MASS SPECT, $24.33           $24.33
83788   TC                                            ANALYTE NES - QUAL,EACH
             MASS SPECTROMETRY & TANDEM MASS SPECT, $24.33           $24.33
83789                                                 $24.33
             MASS SPECT & TANDEM MASS SPECT, ANALYTE NES - QUAN, EACH$24.33
83789   TC                                            $24.33
             MASS SPECT & TANDEM MASS SPECT, ANALYTE NES - QUAN, EACH$24.33
83805        ASSAY OF MEPROBAMATE                     $23.77         $23.77
83805   TC   ASSAY OF MEPROBAMATE                     $23.77         $23.77
83825        ASSAY MERCURY                            $21.91         $21.91
83825   TC   ASSAY MERCURY                            $21.91         $21.91
83835        ASSAY URINE METANEPHRINES                $22.83         $22.83
83835   TC   ASSAY URINE METANEPHRINES                $22.83         $22.83
83840        ASSAY METHADONE                          $22.00         $22.00
83840   TC   ASSAY METHADONE                          $22.00         $22.00
83857        ASSAY METHEMALBUMIN                      $14.48         $14.48
83857   TC   ASSAY METHEMALBUMIN                      $14.48         $14.48
83858        ASSAY SERUM METHSUXIMIDE                 $19.98         $19.98
83858   TC   ASSAY SERUM METHSUXIMIDE                 $19.98         $19.98
83864        BLOOD MUCOPOLYSACCHARIDES                $26.83         $26.83
83864   TC   BLOOD MUCOPOLYSACCHARIDES                $26.83         $26.83
83866        MUCOPOLYSACCHARIDES SCREEN               $13.26         $13.26
83866   TC   MUCOPOLYSACCHARIDES SCREEN               $13.26         $13.26
83872        ASSAY SYNOVIAL FLUID MUCIN                $7.90          $7.90
83872   TC   ASSAY SYNOVIAL FLUID MUCIN                $7.90          $7.90
83873        ASSAY, CSF PROTEIN                       $23.19         $23.19
83873   TC   ASSAY, CSF PROTEIN                       $23.19         $23.19
83874        MYOGLOBIN ELECTROPHORESIS                $17.40         $17.40
83874   TC   MYOGLOBIN ELECTROPHORESIS                $17.40         $17.40
83880        ASSAY NALORPHINE                         $45.74         $45.74
83880   TC   ASSAY NALORPHINE                         $45.74         $45.74
83883        NEPHELOMETRY,NOT SPECIFIED                $9.78          $9.78
83883   TC   NEPHELOMETRY,NOT SPECIFIED                $9.78          $9.78
83885        ASSAY URINE FOR NICKEL                   $33.01         $33.01
83885   TC   ASSAY URINE FOR NICKEL                   $33.01         $33.01
83887        ASSAY NICOTINE                           $31.91         $31.91
83887   TC   ASSAY NICOTINE                           $31.91         $31.91
83890        MEOLECULAR DIAGNOSTICS                    $4.29          $4.29
83890   TC   MEOLECULAR DIAGNOSTICS                    $4.29          $4.29
83891                                                  $4.29          $4.29
             MOLECULAR DIAG - ISOLATION OR EXTRACTION OF HIGHLY PURIFIED NUCLEIC ACID
83891   TC                                             $4.29          $4.29
             MOLECULAR DIAG - ISOLATION OR EXTRACTION OF HIGHLY PURIFIED NUCLEIC ACID
83892           MEOLECULAR DIAGNOSTICS,ENZYMAT              $4.29          $4.29
83892   TC      MEOLECULAR DIAGNOSTICS,ENZYMAT              $4.29          $4.29
83893           MOLECULAR DIAG - DOT/SLOT BLOT PRODUCTION$4.29             $4.29
83893   TC      MOLECULAR DIAG - DOT/SLOT BLOT PRODUCTION$4.29             $4.29
83894           MEOLECULAR DIAGNSTC,SEPARATN                $4.29          $4.29
83894   TC      MEOLECULAR DIAGNSTC,SEPARATN                $4.29          $4.29
83896           MOLECULAR DIAGNOSTICS                       $4.29          $4.29
83896   TC      MOLECULAR DIAGNOSTICS                       $4.29          $4.29
83897           MOLECULAR DIAG - NUCLEIC ACID TRANSFER      $4.29          $4.29
83897   TC      MOLECULAR DIAG - NUCLEIC ACID TRANSFER      $4.29          $4.29
83898           MEOLECULAR DIAGNSTC,DNA W/AMP              $20.05         $20.05
83898   TC      MEOLECULAR DIAGNSTC,DNA W/AMP              $20.05         $20.05
83901                                                      $20.05         $20.05
                MOLECULAR DIAG - AMPLIFI OF PATIENT NUCLEIC ACID,MULTIPLEX,EA MULTI REACTION
83901   TC                                                 $20.05         $20.05
                MOLECULAR DIAG - AMPLIFI OF PATIENT NUCLEIC ACID,MULTIPLEX,EA MULTI REACTION
83902           REVERSE TRANSCRIPTION/MOLECULAR DIAG       $19.13         $19.13
83902   TC      REVERSE TRANSCRIPTION/MOLECULAR DIAG       $19.13         $19.13
83903                                                      $20.05         $20.05
                MOLEC DIAG - MUTATION SCANNING, BY PHYSICAL PROPERTIES, SINGLE EACH
83903   TC                                                 $20.05         $20.05
                MOLEC DIAG - MUTATION SCANNING, BY PHYSICAL PROPERTIES, SINGLE EACH
83904                                                      $20.05
                MOLEC DIAG - MUTATION ID BY SEQUENCING, SINGLE, EACH      $20.05
83904   TC                                                 $20.05
                MOLEC DIAG - MUTATION ID BY SEQUENCING, SINGLE, EACH      $20.05
83905                                                      $20.05         $20.05
                MOLEC DIAGS - MUTATION ID BY ALLELE SPECIFIC TRANSCRIPTION, SINGLE,EACH
83905   TC                                                 $20.05         $20.05
                MOLEC DIAGS - MUTATION ID BY ALLELE SPECIFIC TRANSCRIPTION, SINGLE,EACH
83906                                                       TRANSLATION,SINGLE,EACH
                MOLEC DIAG - MUTATION ID BY ALLELE SPECIFIC$20.05         $20.05
83906   TC                                                  TRANSLATION,SINGLE,EACH
                MOLEC DIAG - MUTATION ID BY ALLELE SPECIFIC$20.05         $20.05
83912           GENETIC EXAMINATION                         $4.29          $4.29
83912        26 GENETIC EXAMINATION                         $3.38          $3.38
83912   TC      GENETIC EXAMINATION                         $0.91          $0.91
83915           ASSAY NUCLEOTIDASE                         $15.02         $15.02
83915   TC      ASSAY NUCLEOTIDASE                         $15.02         $15.02
83916           OLIGOCLONAL BANDS                          $27.09         $27.09
83916   TC      OLIGOCLONAL BANDS                          $27.09         $27.09
83918           ASSAY ORGANIC ACIDS                        $22.18         $22.18
83918   TC      ASSAY ORGANIC ACIDS                        $22.18         $22.18
83919           ORGANCI ACIDS - QUANTITATIVE EACH          $22.18         $22.18
83919   TC      ORGANCI ACIDS - QUANTITATIVE EACH          $22.18         $22.18
83921           ORGANIC ACID - SINGLE QUANTITATIVE         $22.18         $22.18
83921   TC      ORGANIC ACID - SINGLE QUANTITATIVE         $22.18         $22.18
83925           ASSAY,OPIATES                              $26.22         $26.22
83925   TC      ASSAY,OPIATES                              $26.22         $26.22
83930           ASSAY BLOOD OSMOLALITY                      $4.39          $4.39
83930   TC      ASSAY BLOOD OSMOLALITY                      $4.39          $4.39
83935           ASSAY URINE OSMOLALITY                      $9.02          $9.02
83935   TC      ASSAY URINE OSMOLALITY                      $9.02          $9.02
83937           OSTEOCALCIN                                $40.23         $40.23
83937   TC      OSTEOCALCIN                                $40.23         $40.23
83945           ASSAY OXALATE                              $17.03         $17.03
83945   TC      ASSAY OXALATE                              $17.03         $17.03
83950           ONCOPROTEIN HER-2/NEU                      $86.78         $86.78
83950   TC      ONCOPROTEIN HER-2/NEU                      $86.78         $86.78
83970           ASSAY OF PARATHORMONE                      $55.61         $55.61
83970   TC      ASSAY OF PARATHORMONE                      $55.61         $55.61
83986           ASSAY BODY FLUID ACIDITY                    $4.83          $4.83
83986   TC   ASSAY BODY FLUID ACIDITY        $4.83    $4.83
83992        ASSAY FOR PHENCYCLIDINE        $19.81   $19.81
83992   TC   ASSAY FOR PHENCYCLIDINE        $19.81   $19.81
84022        ASSAY OF PHENOTHIAZINE         $16.26   $16.26
84022   TC   ASSAY OF PHENOTHIAZINE         $16.26   $16.26
84030        ASSAY BLOOD PKU                 $4.37    $4.37
84030   TC   ASSAY BLOOD PKU                 $4.37    $4.37
84035        ASSAY BLOOD PHENYLKETONES       $4.93    $4.93
84035   TC   ASSAY BLOOD PHENYLKETONES       $4.93    $4.93
84060        ASSAY ACID PHOSPHATASE          $8.65    $8.65
84060   TC   ASSAY ACID PHOSPHATASE          $8.65    $8.65
84061        PHOSPHATASE, FORENSIC EXAM     $10.67   $10.67
84061   TC   PHOSPHATASE, FORENSIC EXAM     $10.67   $10.67
84066        ASSAY PROSTATE PHOSPHATASE     $13.02   $13.02
84066   TC   ASSAY PROSTATE PHOSPHATASE     $13.02   $13.02
84075        ASSAY ALKALINE PHOSPHATASE 1    $6.98    $6.98
84075   TC   ASSAY ALKALINE PHOSPHATASE 1    $6.98    $6.98
84078        ASSAY ALKALINE PHOSPHATASE      $9.84    $9.84
84078   TC   ASSAY ALKALINE PHOSPHATASE      $9.84    $9.84
84080        ASSAY ALKALINE PHOSPHATASES    $19.92   $19.92
84080   TC   ASSAY ALKALINE PHOSPHATASES    $19.92   $19.92
84081        AMNIOTIC FLUID ENZYME TEST     $22.26   $22.26
84081   TC   AMNIOTIC FLUID ENZYME TEST     $22.26   $22.26
84085        ASSAY RBC PG6D ENZYME           $9.08    $9.08
84085   TC   ASSAY RBC PG6D ENZYME           $9.08    $9.08
84087        ASSAY PHOSPHOHEXOSE ENZYMES    $13.91   $13.91
84087   TC   ASSAY PHOSPHOHEXOSE ENZYMES    $13.91   $13.91
84100        ASSAY PHOSPHORUS                $6.39    $6.39
84100   TC   ASSAY PHOSPHORUS                $6.39    $6.39
84105        ASSAY URINE PHOSPHORUS          $6.98    $6.98
84105   TC   ASSAY URINE PHOSPHORUS          $6.98    $6.98
84106        TEST FOR PORPHOBILINOGEN        $5.78    $5.78
84106   TC   TEST FOR PORPHOBILINOGEN        $5.78    $5.78
84110        ASSAY PORPHOBILINOGEN          $11.38   $11.38
84110   TC   ASSAY PORPHOBILINOGEN          $11.38   $11.38
84119        TEST URINE FOR PORPHYRINS      $11.59   $11.59
84119   TC   TEST URINE FOR PORPHYRINS      $11.59   $11.59
84120        ASSAY URINE PORPHYRINS         $19.83   $19.83
84120   TC   ASSAY URINE PORPHYRINS         $19.83   $19.83
84126        ASSAY FECES PORPHYRINS         $34.32   $34.32
84126   TC   ASSAY FECES PORPHYRINS         $34.32   $34.32
84127        ASSAY,FECES PORPHYRINS         $15.70   $15.70
84127   TC   ASSAY,FECES PORPHYRINS         $15.70   $15.70
84132        ASSAY BLOOD POTASSIUM           $6.19    $6.19
84132   TC   ASSAY BLOOD POTASSIUM           $6.19    $6.19
84133        ASSAY URINE POTASSIUM           $4.71    $4.71
84133   TC   ASSAY URINE POTASSIUM           $4.71    $4.71
84134        PREALBUMIN                      $9.78    $9.78
84134   TC   PREALBUMIN                      $9.78    $9.78
84135        ASSAY PREGNANEDIOL             $25.78   $25.78
84135   TC   ASSAY PREGNANEDIOL             $25.78   $25.78
84138        RIA ASSAY PREGNANETRIOL        $25.51   $25.51
84138   TC        RIA ASSAY PREGNANETRIOL                 $25.51         $25.51
84140             ASSAY FOR PREGNENOLONE                  $27.86         $27.86
84140   TC        ASSAY FOR PREGNENOLONE                  $27.86         $27.86
84143             ASSAY/17-HYDROXYPREGNENOLONE            $20.74         $20.74
84143   TC        ASSAY/17-HYDROXYPREGNENOLONE            $20.74         $20.74
84144             ASSAY PROGESTERONE 1                    $28.12         $28.12
84144   TC        ASSAY PROGESTERONE 1                    $28.12         $28.12
84146             RIA ASSAY FOR PROLACTIN                 $26.11         $26.11
84146   TC        RIA ASSAY FOR PROLACTIN                 $26.11         $26.11
84150             ASSAY OF PROSTAGLANDIN                  $33.63         $33.63
84150   TC        ASSAY OF PROSTAGLANDIN                  $33.63         $33.63
84152             PROSTATE SPECIFIC ANTIGEN               $24.78         $24.78
84152   TC        PROSTATE SPECIFIC ANTIGEN               $24.78         $24.78
84153             ASSAY,PSA                               $24.78         $24.78
84153   TC        ASSAY,PSA                               $24.78         $24.78
84154             PROSTATE SPECIFIC ANTIGEN (PSA): FREE   $24.78         $24.78
84154   TC        PROSTATE SPECIFIC ANTIGEN (PSA): FREE   $24.78         $24.78
84155             ASSAY PROTEIN                            $4.94          $4.94
84155   TC        ASSAY PROTEIN                            $4.94          $4.94
84156             PROTEIN TOTAL EXCEPT REFRACTOMETRY URINE $4.94          $4.94
84156   TC        PROTEIN TOTAL EXCEPT REFRACTOMETRY URINE $4.94          $4.94
84157             PROTEIN TOTAL EXCEPT REFRACTOMETRY OTHER $4.94          $4.94
84157   TC        PROTEIN TOTAL EXCEPT REFRACTOMETRY OTHER $4.94          $4.94
84160             ASSAY SERUM PROTEIN                      $6.98          $6.98
84160   TC        ASSAY SERUM PROTEIN                      $6.98          $6.98
84163                                                      $7.27
                  PREGNANCY-ASSOCIATED PLASMA PROTEIN-A (PAPP-A)          $7.27
84163   TC                                                 $7.27
                  PREGNANCY-ASSOCIATED PLASMA PROTEIN-A (PAPP-A)          $7.27
84165             ASSAY SERUM PROTEINS                    $14.48         $14.48
84165        26   ASSAY SERUM PROTEINS                     $8.54          $8.54
84165   TC        ASSAY SERUM PROTEINS                     $5.94          $5.94
84166                                                     $24.03
                  PROTEIN - ELECTROPHORETIC FRACTIONATION & QUANTITATION,$24.03
84166        26                                           $24.03
                  PROTEIN - ELECTROPHORETIC FRACTIONATION & QUANTITATION,$24.03
84166   TC                                                $24.03
                  PROTEIN - ELECTROPHORETIC FRACTIONATION & QUANTITATION,$24.03
84181             WESTERN BLOT TEST                       $22.95         $22.95
84181        26   WESTERN BLOT TEST                       $10.79         $10.79
84181   TC        WESTERN BLOT TEST                       $12.16         $12.16
84182             PROTEIN, WESTERN BLOT TEST 1            $24.26         $24.26
84182        26   PROTEIN, WESTERN BLOT TEST 1            $11.40         $11.40
84182   TC        PROTEIN, WESTERN BLOT TEST 1            $12.86         $12.86
84202             ASSAY RBC PROTOPORPHYRIN                $19.34         $19.34
84202   TC        ASSAY RBC PROTOPORPHYRIN                $19.34         $19.34
84203             TEST RBC PROTOPORPHYRIN                 $11.59         $11.59
84203   TC        TEST RBC PROTOPORPHYRIN                 $11.59         $11.59
84206             RIA ASSAY OF PROINSULIN                 $24.00         $24.00
84206   TC        RIA ASSAY OF PROINSULIN                 $24.00         $24.00
84207             ASSAY VITAMIN B-6                       $37.85         $37.85
84207   TC        ASSAY VITAMIN B-6                       $37.85         $37.85
84210             ASSAY BLOOD PYRUVATE                    $14.62         $14.62
84210   TC        ASSAY BLOOD PYRUVATE                    $14.62         $14.62
84220             ASSAY PYRUVATE KINASE                   $12.72         $12.72
84220   TC        ASSAY PYRUVATE KINASE                   $12.72         $12.72
84228             ASSAY QUININE                           $15.68         $15.68
84228   TC   ASSAY QUININE                             $15.68          $15.68
84233        ASSAY ESTROGEN                            $86.78          $86.78
84233   TC   ASSAY ESTROGEN                            $86.78          $86.78
84234        ASSAY PROGESTERONE                        $87.42          $87.42
84234   TC   ASSAY PROGESTERONE                        $87.42          $87.42
84235        ASSAY ENDOCRINE HORMONE                   $70.51          $70.51
84235   TC   ASSAY ENDOCRINE HORMONE                   $70.51          $70.51
84238        ASSAY NON-ENDOCRINE RECEPTOR              $49.27          $49.27
84238   TC   ASSAY NON-ENDOCRINE RECEPTOR              $49.27          $49.27
84244        ASSAY OF RENIN                            $29.63          $29.63
84244   TC   ASSAY OF RENIN                            $29.63          $29.63
84252        ASSAY VITAMIN B-2                         $27.27          $27.27
84252   TC   ASSAY VITAMIN B-2                         $27.27          $27.27
84255        ASSAY SELENIUM                            $34.39          $34.39
84255   TC   ASSAY SELENIUM                            $34.39          $34.39
84260        ASSAY BLOOD SEROTONIN                     $41.73          $41.73
84260   TC   ASSAY BLOOD SEROTONIN                     $41.73          $41.73
84270        SEX HORMONE GLOBULIN (SHBG)               $21.94          $21.94
84270   TC   SEX HORMONE GLOBULIN (SHBG)               $21.94          $21.94
84275        ASSAY BLOOD SIALIC ACID                   $18.10          $18.10
84275   TC   ASSAY BLOOD SIALIC ACID                   $18.10          $18.10
84285        ASSAY SILICA                              $31.73          $31.73
84285   TC   ASSAY SILICA                              $31.73          $31.73
84295        ASSAY BLOOD SODIUM                         $6.48           $6.48
84295   TC   ASSAY BLOOD SODIUM                         $6.48           $6.48
84300        ASSAY URINE SODIUM                         $6.54           $6.54
84300   TC   ASSAY URINE SODIUM                         $6.54           $6.54
84302        SODIUM OTHER SOURCE                        $6.54           $6.54
84302   TC   SODIUM OTHER SOURCE                        $6.54           $6.54
84305        SOMATOMEDIN                               $21.19          $21.19
84305   TC   SOMATOMEDIN                               $21.19          $21.19
84307        ASSAY,SOMATOSTATIN                        $21.19          $21.19
84307   TC   ASSAY,SOMATOSTATIN                        $21.19          $21.19
84311        SPECTROPHOTOMETRY                          $9.41           $9.41
84311   TC   SPECTROPHOTOMETRY                          $9.41           $9.41
84315        BODY FLUID SPECIFIC GRAVITY                $2.37           $2.37
84315   TC   BODY FLUID SPECIFIC GRAVITY                $2.37           $2.37
84375        CHROMATOGRAM ASSAY, SUGARS                 $2.18           $2.18
84375   TC   CHROMATOGRAM ASSAY, SUGARS                 $2.18           $2.18
84376                                                   $7.41           $7.41
             SUGARS (MON-,DI & OLIGOSACCHARIDES) - SINGLE, QUAL, EACH SPECIMEN
84376   TC                                              $7.41           $7.41
             SUGARS (MON-,DI & OLIGOSACCHARIDES) - SINGLE, QUAL, EACH SPECIMEN
84377        SUGAR - MULTIPLE QUAL EACH                 $7.41           $7.41
84377   TC   SUGAR - MULTIPLE QUAL EACH                 $7.41           $7.41
84378        SUGARS - SINGLE QUAN - EACH               $15.52          $15.52
84378   TC   SUGARS - SINGLE QUAN - EACH               $15.52          $15.52
84379        SUGARS - MULTIPLE QUAN - EACH             $15.52          $15.52
84379   TC   SUGARS - MULTIPLE QUAN - EACH             $15.52          $15.52
84392        ASSAY URINE SULFATE                        $6.40           $6.40
84392   TC   ASSAY URINE SULFATE                        $6.40           $6.40
84402        ASSAY,FREE TESTOSTERONE                   $34.30          $34.30
84402   TC   ASSAY,FREE TESTOSTERONE                   $34.30          $34.30
84403        ASSAY TOTAL TESTOSTERONE                  $34.78          $34.78
84403   TC   ASSAY TOTAL TESTOSTERONE       $34.78   $34.78
84425        ASSAY VITAMIN B-1              $28.61   $28.61
84425   TC   ASSAY VITAMIN B-1              $28.61   $28.61
84430        ASSAY BLOOD THIOCYANATE         $7.02    $7.02
84430   TC   ASSAY BLOOD THIOCYANATE         $7.02    $7.02
84432        THYROGLOBULIN                   $9.78    $9.78
84432   TC   THYROGLOBULIN                   $9.78    $9.78
84436        ASSAY, TOTAL THYROXINE          $8.65    $8.65
84436   TC   ASSAY, TOTAL THYROXINE          $8.65    $8.65
84437        ASSAY NEONATAL THYROXINE        $8.72    $8.72
84437   TC   ASSAY NEONATAL THYROXINE        $8.72    $8.72
84439        RIA ASSAY, FREE THYROXINE      $11.79   $11.79
84439   TC   RIA ASSAY, FREE THYROXINE      $11.79   $11.79
84442        THYROID ACTIVITY (TBG) ASSAY   $19.92   $19.92
84442   TC   THYROID ACTIVITY (TBG) ASSAY   $19.92   $19.92
84443        ASSAY THYROID STIM HORMONE     $22.62   $22.62
84443   TC   ASSAY THYROID STIM HORMONE     $22.62   $22.62
84445        THYROID IMMUNOGLOBULINS TSI    $68.53   $68.53
84445   TC   THYROID IMMUNOGLOBULINS TSI    $68.53   $68.53
84446        ASSAY VITAMIN E                $19.10   $19.10
84446   TC   ASSAY VITAMIN E                $19.10   $19.10
84449        ASSAY FOR TRANSCORTIN           $9.78    $9.78
84449   TC   ASSAY FOR TRANSCORTIN           $9.78    $9.78
84450        TRANSFERASE (AST) (SGOT)        $6.97    $6.97
84450   TC   TRANSFERASE (AST) (SGOT)        $6.97    $6.97
84460        UV-ASSAY TRANSAMINASE (SGPT)    $6.68    $6.68
84460   TC   UV-ASSAY TRANSAMINASE (SGPT)    $6.68    $6.68
84466        TRANSFERRIN                     $9.78    $9.78
84466   TC   TRANSFERRIN                     $9.78    $9.78
84478        ASSAY TRIGLYCERIDES             $7.76    $7.76
84478   TC   ASSAY TRIGLYCERIDES             $7.76    $7.76
84479        ASSAY TRIIODOTHYRONINE (T-3)    $7.84    $7.84
84479   TC   ASSAY TRIIODOTHYRONINE (T-3)    $7.84    $7.84
84480        TOTAL ASSAY, TT-3               $7.02    $7.02
84480   TC   TOTAL ASSAY, TT-3               $7.02    $7.02
84481        FREE ASSAY (FT-3)              $22.83   $22.83
84481   TC   FREE ASSAY (FT-3)              $22.83   $22.83
84482        T3 REVERSE ASSAY               $21.23   $21.23
84482   TC   T3 REVERSE ASSAY               $21.23   $21.23
84484        TROPONIN, QUANT                 $8.83    $8.83
84484   TC   TROPONIN, QUANT                 $8.83    $8.83
84485        ASSAY DUODENAL FLUID TRYPSIN   $10.11   $10.11
84485   TC   ASSAY DUODENAL FLUID TRYPSIN   $10.11   $10.11
84488        TEST FECES FOR TRYPSIN          $9.84    $9.84
84488   TC   TEST FECES FOR TRYPSIN          $9.84    $9.84
84490        ASSAY FECES FOR TRYPSIN        $10.26   $10.26
84490   TC   ASSAY FECES FOR TRYPSIN        $10.26   $10.26
84510        ASSAY BLOOD TYROSINE           $14.01   $14.01
84510   TC   ASSAY BLOOD TYROSINE           $14.01   $14.01
84512        TROPONIN, QUAL                 $10.37   $10.37
84512   TC   TROPONIN, QUAL                 $10.37   $10.37
84520        ASSAY BUN                       $5.31    $5.31
84520   TC   ASSAY BUN                              $5.31    $5.31
84525        STICK-ASSAY BUN                        $5.07    $5.07
84525   TC   STICK-ASSAY BUN                        $5.07    $5.07
84540        ASSAY URINE UREA-N                     $5.79    $5.79
84540   TC   ASSAY URINE UREA-N                     $5.79    $5.79
84545        UREA-N CLEARANCE TEST                  $8.91    $8.91
84545   TC   UREA-N CLEARANCE TEST                  $8.91    $8.91
84550        ASSAY BLOOD URIC ACID                  $6.09    $6.09
84550   TC   ASSAY BLOOD URIC ACID                  $6.09    $6.09
84560        ASSAY URINE URIC ACID                  $6.27    $6.27
84560   TC   ASSAY URINE URIC ACID                  $6.27    $6.27
84577        ASSAY FECES UROBILINOGEN              $16.81   $16.81
84577   TC   ASSAY FECES UROBILINOGEN              $16.81   $16.81
84578        TEST URINE UROBILINOGEN                $4.38    $4.38
84578   TC   TEST URINE UROBILINOGEN                $4.38    $4.38
84580        ASSAY URINE UROBILINOGEN               $3.88    $3.88
84580   TC   ASSAY URINE UROBILINOGEN               $3.88    $3.88
84583        ASSAY URINE UROBILINOGEN 1             $6.78    $6.78
84583   TC   ASSAY URINE UROBILINOGEN 1             $6.78    $6.78
84585        ASSAY URINE VMA                       $20.88   $20.88
84585   TC   ASSAY URINE VMA                       $20.88   $20.88
84586        VASOACTIVE INTESTINAL PEPTIDE         $20.74   $20.74
84586   TC   VASOACTIVE INTESTINAL PEPTIDE         $20.74   $20.74
84588        ASSAY VASOPRESSIN                     $45.74   $45.74
84588   TC   ASSAY VASOPRESSIN                     $45.74   $45.74
84590        ASSAY BLOOD VITAMIN-A                 $15.62   $15.62
84590   TC   ASSAY BLOOD VITAMIN-A                 $15.62   $15.62
84591        VITAMIN ASSAY                         $15.62   $15.62
84591   TC   VITAMIN ASSAY                         $15.62   $15.62
84597        ASSAY VITAMIN-K                       $18.47   $18.47
84597   TC   ASSAY VITAMIN-K                       $18.47   $18.47
84600        ASSAY FOR VOLATILES                   $21.65   $21.65
84600   TC   ASSAY FOR VOLATILES                   $21.65   $21.65
84620        XYLOSE TOLERANCE TEST                 $15.97   $15.97
84620   TC   XYLOSE TOLERANCE TEST                 $15.97   $15.97
84630        ASSAY ZINC                            $15.34   $15.34
84630   TC   ASSAY ZINC                            $15.34   $15.34
84681        ASSAY C-PEPTIDE                       $28.03   $28.03
84681   TC   ASSAY C-PEPTIDE                       $28.03   $28.03
84702        CHORIONIC GONADOTROPIN TEST            $7.27    $7.27
84702   TC   CHORIONIC GONADOTROPIN TEST            $7.27    $7.27
84703        CHORIONIC GONADOTROPHIN ASSAY         $10.11   $10.11
84703   TC   CHORIONIC GONADOTROPHIN ASSAY         $10.11   $10.11
84830        OVULATION TESTS 1                     $13.52   $13.52
84830   TC   OVULATION TESTS 1                     $13.52   $13.52
85002        BLEEDING TIME TEST                     $6.06    $6.06
85002   TC   BLEEDING TIME TEST                     $6.06    $6.06
85004                                               $7.66
             BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT    $7.66
85004   TC                                          $7.66
             BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT    $7.66
85007        DIFFERENTIAL WBC COUNT 1               $4.64    $4.64
85007   TC   DIFFERENTIAL WBC COUNT 1               $4.64    $4.64
85008        NONDIFFERENTIAL WBC COUNT              $3.65    $3.65
85008   TC   NONDIFFERENTIAL WBC COUNT              $3.65        $3.65
85009        DIFFERENTIAL WBC COUNT                 $4.71        $4.71
85009   TC   DIFFERENTIAL WBC COUNT                 $4.71        $4.71
85013        SPUN,MICROHEMATOCRIT                   $3.19        $3.19
85013   TC   SPUN,MICROHEMATOCRIT                   $3.19        $3.19
85014        HEMATOCRIT                             $3.19        $3.19
85014   TC   HEMATOCRIT                             $3.19        $3.19
85018        HEMOGLOBIN                             $3.19        $3.19
85018   TC   HEMOGLOBIN                             $3.19        $3.19
85025        AUTOMATED HEMOGRAM 5                   $7.13        $7.13
85025   TC   AUTOMATED HEMOGRAM 5                   $7.13        $7.13
85027        AUTOMATED HEMOGRAM 6                   $7.66        $7.66
85027   TC   AUTOMATED HEMOGRAM 6                   $7.66        $7.66
85032                                               $5.80        $5.80
             BLOOD COUNT MANUAL CELL COUNT ERYTHROCYTE LEUKOCYTE OR PLATELET EACH
85032   TC                                          $5.80        $5.80
             BLOOD COUNT MANUAL CELL COUNT ERYTHROCYTE LEUKOCYTE OR PLATELET EACH
85041        RED BLOOD CELL (RBC) COUNT             $4.05        $4.05
85041   TC   RED BLOOD CELL (RBC) COUNT             $4.05        $4.05
85044        RETICULOCYTE COUNT 1                   $5.80        $5.80
85044   TC   RETICULOCYTE COUNT 1                   $5.80        $5.80
85045        RETICULOCYTE COUNT                     $4.59        $4.59
85045   TC   RETICULOCYTE COUNT                     $4.59        $4.59
85046                                               $6.01        $6.01
             BLOOD COUNT RETICULOCYTES HEMOGLOBIN CONCENTRATION ONE OR MORE
85046   TC                                          $6.01        $6.01
             BLOOD COUNT RETICULOCYTES HEMOGLOBIN CONCENTRATION ONE OR MORE
85048        WHITE BLOOD CELL (WBC) COUNT           $3.43        $3.43
85048   TC   WHITE BLOOD CELL (WBC) COUNT           $3.43        $3.43
85049        BLOOD COUNT PLATELET AUTOMATED         $6.03        $6.03
85049   TC   BLOOD COUNT PLATELET AUTOMATED         $6.03        $6.03
85055        RETICULATED PLATELET ASSAY            $13.69       $13.69
85055   TC   RETICULATED PLATELET ASSAY            $13.69       $13.69
85060        BLOOD SMEAR INTERPRETATION            $30.48       $30.48
85097        BONE MARROW INTERPRETATION           $133.09       $65.17
85130        CHROMOGENIC SUBSTRATE ASSAY            $9.52        $9.52
85130   TC   CHROMOGENIC SUBSTRATE ASSAY            $9.52        $9.52
85170        BLOOD CLOT RETRACTION                  $2.64        $2.64
85170   TC   BLOOD CLOT RETRACTION                  $2.64        $2.64
85175        BLOOD CLOT LYSIS TIME                  $6.13        $6.13
85175   TC   BLOOD CLOT LYSIS TIME                  $6.13        $6.13
85210        BLOOD CLOT FACTOR II TEST             $17.49       $17.49
85210   TC   BLOOD CLOT FACTOR II TEST             $17.49       $17.49
85220        BLOOD CLOT FACTOR V TEST              $23.79       $23.79
85220   TC   BLOOD CLOT FACTOR V TEST              $23.79       $23.79
85230        BLOOD CLOT FACTOR VII TEST            $24.14       $24.14
85230   TC   BLOOD CLOT FACTOR VII TEST            $24.14       $24.14
85240        BLOOD CLOT FACTOR VIII TEST           $24.14       $24.14
85240   TC   BLOOD CLOT FACTOR VIII TEST           $24.14       $24.14
85244        CLOTTING FACTOR VIII                  $27.51       $27.51
85244   TC   CLOTTING FACTOR VIII                  $27.51       $27.51
85245        BLOOD CLOT FACTOR VIII TEST 1         $30.92       $30.92
85245   TC   BLOOD CLOT FACTOR VIII TEST 1         $30.92       $30.92
85246        BLOOD CLOT FACTOR VIII TEST 2         $30.92       $30.92
85246   TC   BLOOD CLOT FACTOR VIII TEST 2         $30.92       $30.92
85247        BLOOD CLOT FACTOR VIII TEST 3         $30.92       $30.92
85247   TC   BLOOD CLOT FACTOR VIII TEST 3    $30.92   $30.92
85250        BLOOD CLOT FACTOR IX TEST        $25.65   $25.65
85250   TC   BLOOD CLOT FACTOR IX TEST        $25.65   $25.65
85260        BLOOD CLOT FACTOR X TEST         $24.14   $24.14
85260   TC   BLOOD CLOT FACTOR X TEST         $24.14   $24.14
85270        BLOOD CLOT FACTOR XI TEST        $24.14   $24.14
85270   TC   BLOOD CLOT FACTOR XI TEST        $24.14   $24.14
85280        BLOOD CLOT FACTOR XII TEST       $26.08   $26.08
85280   TC   BLOOD CLOT FACTOR XII TEST       $26.08   $26.08
85290        BLOOD CLOT FACTOR XIII TEST      $22.03   $22.03
85290   TC   BLOOD CLOT FACTOR XIII TEST      $22.03   $22.03
85291        BLOOD CLOT FACTOR XIII TEST 4    $11.99   $11.99
85291   TC   BLOOD CLOT FACTOR XIII TEST 4    $11.99   $11.99
85292        BLOOD CLOT FACTOR ASSAY          $25.51   $25.51
85292   TC   BLOOD CLOT FACTOR ASSAY          $25.51   $25.51
85293        BLOOD CLOT FACTOR ASSAY 1        $25.51   $25.51
85293   TC   BLOOD CLOT FACTOR ASSAY 1        $25.51   $25.51
85300        ANTITHROMBIN III TEST            $15.97   $15.97
85300   TC   ANTITHROMBIN III TEST            $15.97   $15.97
85301        CLOT INHIBIT,ANTIGEN ASSAY       $14.57   $14.57
85301   TC   CLOT INHIBIT,ANTIGEN ASSAY       $14.57   $14.57
85302        CLOTTING INHIBITORS, C ASSAY     $16.20   $16.20
85302   TC   CLOTTING INHIBITORS, C ASSAY     $16.20   $16.20
85303        BLOOD CLOT INHIBITOR TEST        $18.63   $18.63
85303   TC   BLOOD CLOT INHIBITOR TEST        $18.63   $18.63
85305        PROTEIN S ASSAY                  $15.62   $15.62
85305   TC   PROTEIN S ASSAY                  $15.62   $15.62
85306        BLOOD CLOT INHIBITOR TEST 1      $18.59   $18.59
85306   TC   BLOOD CLOT INHIBITOR TEST 1      $18.59   $18.59
85307        ACTIVATED PROTEIN C ASSAY        $18.59   $18.59
85307   TC   ACTIVATED PROTEIN C ASSAY        $18.59   $18.59
85335        FACTOR IHIBITOR TEST             $17.35   $17.35
85335   TC   FACTOR IHIBITOR TEST             $17.35   $17.35
85337        THROMBOMODULIN                   $14.03   $14.03
85337   TC   THROMBOMODULIN                   $14.03   $14.03
85345        COAGULATION TIME 1                $5.80    $5.80
85345   TC   COAGULATION TIME 1                $5.80    $5.80
85347        COAGULATION TIME 2                $5.75    $5.75
85347   TC   COAGULATION TIME 2                $5.75    $5.75
85348        COAGULATION TIME                  $5.01    $5.01
85348   TC   COAGULATION TIME                  $5.01    $5.01
85360        EUGLOBULIN LYSIS                 $11.33   $11.33
85360   TC   EUGLOBULIN LYSIS                 $11.33   $11.33
85362        FIBRIN DEGRADATION PRODUCTS       $9.28    $9.28
85362   TC   FIBRIN DEGRADATION PRODUCTS       $9.28    $9.28
85366        FIBRINIGEN TEST,PARACOAGULATIO   $11.59   $11.59
85366   TC   FIBRINIGEN TEST,PARACOAGULATIO   $11.59   $11.59
85370        FIBRINIGEN TEST,QUANTITATIVE     $15.30   $15.30
85370   TC   FIBRINIGEN TEST,QUANTITATIVE     $15.30   $15.30
85378        FIBRIN DEGRADATION,SEMI-QUANT     $9.62    $9.62
85378   TC   FIBRIN DEGRADATION,SEMI-QUANT     $9.62    $9.62
85379        FIBRIN DEGRADATION               $13.72   $13.72
85379   TC      FIBRIN DEGRADATION                      $13.72         $13.72
85380                                                   $13.72         EVALUATION FOR VEN
                FIBRIN DEGRADATION PRODUCTS D DIMER ULTRASENSITIVE FOR $13.72
85380   TC                                              $13.72         EVALUATION FOR VEN
                FIBRIN DEGRADATION PRODUCTS D DIMER ULTRASENSITIVE FOR $13.72
85384           FIBRINOGEN,ACTIVITY                     $11.44         $11.44
85384   TC      FIBRINOGEN,ACTIVITY                     $11.44         $11.44
85385           FIBRINOGEN,ANTIGEN                      $11.44         $11.44
85385   TC      FIBRINOGEN,ANTIGEN                      $11.44         $11.44
85390           FIBRINOLYSINS SCREEN                     $6.97          $6.97
85390        26 FIBRINOLYSINS SCREEN                     $5.22          $5.22
85390   TC      FIBRINOLYSINS SCREEN                     $1.74          $1.74
85396           FIBRINOLYSINS,CLOT LYSIS                $26.36         $26.36
85400           FIBRINOLYTIC PLASMIN                    $11.91         $11.91
85400   TC      FIBRINOLYTIC PLASMIN                    $11.91         $11.91
85410           FIBRINOLYTIC ANTIPLASMIN                $10.38         $10.38
85410   TC      FIBRINOLYTIC ANTIPLASMIN                $10.38         $10.38
85415           FIBRINOLYTIC PLASMINOGEN                $23.17         $23.17
85415   TC      FIBRINOLYTIC PLASMINOGEN                $23.17         $23.17
85420           FIBRINOLYTIC PLASMINOGEN 1               $8.81          $8.81
85420   TC      FIBRINOLYTIC PLASMINOGEN 1               $8.81          $8.81
85421           FIBRINOLYTIC MECH, PLASMINOGEN          $13.73         $13.73
85421   TC      FIBRINOLYTIC MECH, PLASMINOGEN          $13.73         $13.73
85441           HEINZ BODIES - DIRECT                    $5.67          $5.67
85441   TC      HEINZ BODIES - DIRECT                    $5.67          $5.67
85445           HEINZ BODIES - INDUCED                   $9.18          $9.18
85445   TC      HEINZ BODIES - INDUCED                   $9.18          $9.18
85460           HEMOGLOBIN, FETAL                       $10.42         $10.42
85460   TC      HEMOGLOBIN, FETAL                       $10.42         $10.42
85461           HEMOGLOBIN, FETAL, ROSETTE               $4.71          $4.71
85461   TC      HEMOGLOBIN, FETAL, ROSETTE               $4.71          $4.71
85475           HEMOLYSIN                               $11.95         $11.95
85475   TC      HEMOLYSIN                               $11.95         $11.95
85520           HEPARIN ASSAY                           $17.63         $17.63
85520   TC      HEPARIN ASSAY                           $17.63         $17.63
85525           HEPARIN NEUTRALIZATION                  $15.97         $15.97
85525   TC      HEPARIN NEUTRALIZATION                  $15.97         $15.97
85530           HEPARIN-PROTAMINE TOLERANCE             $19.10         $19.10
85530   TC      HEPARIN-PROTAMINE TOLERANCE             $19.10         $19.10
85536           IRON STAIN - PERIPHERAL BLOOD            $8.14          $8.14
85536   TC      IRON STAIN - PERIPHERAL BLOOD            $8.14          $8.14
85540           WBC ALKALINE PHOSPHATASE                $11.58         $11.58
85540   TC      WBC ALKALINE PHOSPHATASE                $11.58         $11.58
85547           RBC MECHANICAL FRAGILITY                $11.58         $11.58
85547   TC      RBC MECHANICAL FRAGILITY                $11.58         $11.58
85549           MURAMIDASE                              $25.28         $25.28
85549   TC      MURAMIDASE                              $25.28         $25.28
85555           RBC OSMOTIC FRAGILITY 1                  $9.01          $9.01
85555   TC      RBC OSMOTIC FRAGILITY 1                  $9.01          $9.01
85557           RBC OSMOTIC FRAGILITY                   $17.99         $17.99
85557   TC      RBC OSMOTIC FRAGILITY                   $17.99         $17.99
85576           BLOOD PLATELET AGGREGATION              $28.94         $28.94
85576        26 BLOOD PLATELET AGGREGATION              $12.44         $12.44
85576   TC      BLOOD PLATELET AGGREGATION              $16.50         $16.50
85597        PLATELET NEUTRALIZATION                    $7.20      $7.20
85597   TC   PLATELET NEUTRALIZATION                    $7.20      $7.20
85610        PROTHROMBIN TIME                           $5.29      $5.29
85610   TC   PROTHROMBIN TIME                           $5.29      $5.29
85611        PROTHROMBIN TEST                           $5.31      $5.31
85611   TC   PROTHROMBIN TEST                           $5.31      $5.31
85612        VIPER VENOM PROTHROMBIN TIME              $12.89     $12.89
85612   TC   VIPER VENOM PROTHROMBIN TIME              $12.89     $12.89
85613        RUSSELL VIPER VENOM, DILUTED              $12.89     $12.89
85613   TC   RUSSELL VIPER VENOM, DILUTED              $12.89     $12.89
85635        REPTILASE TEST                            $13.26     $13.26
85635   TC   REPTILASE TEST                            $13.26     $13.26
85651        RBC SEDIMENTATION RATE                     $4.78      $4.78
85651   TC   RBC SEDIMENTATION RATE                     $4.78      $4.78
85652        RBC SED RATE, AUTO                         $3.63      $3.63
85652   TC   RBC SED RATE, AUTO                         $3.63      $3.63
85660        RBC SICKLE CELL TEST                       $7.43      $7.43
85660   TC   RBC SICKLE CELL TEST                       $7.43      $7.43
85670        THROMBIN TIME, PLASMA                      $7.78      $7.78
85670   TC   THROMBIN TIME, PLASMA                      $7.78      $7.78
85675        THROMBIN TIME, TITER                       $9.24      $9.24
85675   TC   THROMBIN TIME, TITER                       $9.24      $9.24
85705        THROMBOPLASTIN INHIBITION                 $12.97     $12.97
85705   TC   THROMBOPLASTIN INHIBITION                 $12.97     $12.97
85730        THROMBOPLASTINE TYPE, PARTIAL 1            $7.84      $7.84
85730   TC   THROMBOPLASTINE TYPE, PARTIAL 1            $7.84      $7.84
85732        THROMBOPLASTIN TIME, PARTIAL               $8.72      $8.72
85732   TC   THROMBOPLASTIN TIME, PARTIAL               $8.72      $8.72
85810        BLOOD VISCOSITY EXAMINATION               $15.74     $15.74
85810   TC   BLOOD VISCOSITY EXAMINATION               $15.74     $15.74
86000        AGGLUTININS - FEBRILE                      $8.27      $8.27
86000   TC   AGGLUTININS - FEBRILE                      $8.27      $8.27
86001                                                   $4.12
             ALLERGEN SPECIFIC IGG QUANTITATIVE - EACH ALLERGEN    $4.12
86001   TC                                              $4.12
             ALLERGEN SPECIFIC IGG QUANTITATIVE - EACH ALLERGEN    $4.12
86003        ALLERGEN SPECIFIC IGE - QUALIT             $4.12      $4.12
86003   TC   ALLERGEN SPECIFIC IGE - QUALIT             $4.12      $4.12
86005        ALLERGEN SPECIFIC IGE, MULTI               $9.42      $9.42
86005   TC   ALLERGEN SPECIFIC IGE, MULTI               $9.42      $9.42
86021        WBC ANTIBODY IDENTIFICATION               $20.29     $20.29
86021   TC   WBC ANTIBODY IDENTIFICATION               $20.29     $20.29
86022        PLATELET ANTIBODIES                       $24.73     $24.73
86022   TC   PLATELET ANTIBODIES                       $24.73     $24.73
86023        IMMUNOGLOBULIN ASSAY                      $16.78     $16.78
86023   TC   IMMUNOGLOBULIN ASSAY                      $16.78     $16.78
86038        ANTINUCLEAR ANTIBODIES, RIA               $16.29     $16.29
86038   TC   ANTINUCLEAR ANTIBODIES, RIA               $16.29     $16.29
86039        ANTINUCLEAR ANTIBODIES TITER              $15.04     $15.04
86039   TC   ANTINUCLEAR ANTIBODIES TITER              $15.04     $15.04
86060        ANTISTREPTOLYSIN O TITER                   $9.84      $9.84
86060   TC   ANTISTREPTOLYSIN O TITER                   $9.84      $9.84
86063        ANTISTREPTOLYSIN O SCREEN                  $7.78      $7.78
86063   TC   ANTISTREPTOLYSIN O SCREEN                  $7.78      $7.78
86064           B CELLS TOTAL COUNT                    $22.31        $22.31
86064   TC      B CELLS TOTAL COUNT                    $22.31        $22.31
86077           BLOOD BANK,DIFF CROSS MATCH            $64.26        $64.26
86078           PHYSICIAN BLOOD BANK SERVICE           $67.43        $64.71
86079           BLOOD BANK, AUTHOR DEVIATION           $66.66        $64.85
86140           C-REACTIVE PROTEIN                      $6.98         $6.98
86140   TC      C-REACTIVE PROTEIN                      $6.98         $6.98
86141           HIGH SENSITIVITY C REACTIVE PROTEIN    $17.44        $17.44
86141   TC      HIGH SENSITIVITY C REACTIVE PROTEIN    $17.44        $17.44
86146           BETA 2 GLYCOPROTEIN ANTIBODY - EACH    $21.61        $21.61
86146   TC      BETA 2 GLYCOPROTEIN ANTIBODY - EACH    $21.61        $21.61
86147           CARDIOLIPN ANTIBODY                    $21.61        $21.61
86147   TC      CARDIOLIPN ANTIBODY                    $21.61        $21.61
86148           PHOSPHOLIPID ANTIBODY                  $21.61        $21.61
86148   TC      PHOSPHOLIPID ANTIBODY                  $21.61        $21.61
86155           CHEMOTAXIS ASSAY                       $21.53        $21.53
86155   TC      CHEMOTAXIS ASSAY                       $21.53        $21.53
86156           COLD AGGLUTININ SCREEN                  $5.90         $5.90
86156   TC      COLD AGGLUTININ SCREEN                  $5.90         $5.90
86157           COLD AGGLUTININ, TITER                 $10.86        $10.86
86157   TC      COLD AGGLUTININ, TITER                 $10.86        $10.86
86160           COMPLEMENT ANTIGEN                     $16.18        $16.18
86160   TC      COMPLEMENT ANTIGEN                     $16.18        $16.18
86161           COMPLEMENT/FUNCTION ACTIVITY           $16.18        $16.18
86161   TC      COMPLEMENT/FUNCTION ACTIVITY           $16.18        $16.18
86162           COMPLEMENT - TOTAL (CH 50)             $27.38        $27.38
86162   TC      COMPLEMENT - TOTAL (CH 50)             $27.38        $27.38
86171           COMPLEMENT FIXATION, EACH              $13.50        $13.50
86171   TC      COMPLEMENT FIXATION, EACH              $13.50        $13.50
86185           COUNTERELECTROPHORESIS, EACH           $12.06        $12.06
86185   TC      COUNTERELECTROPHORESIS, EACH           $12.06        $12.06
86215           DEOXYRIBONUCLEASE, ANTIBODY            $17.85        $17.85
86215   TC      DEOXYRIBONUCLEASE, ANTIBODY            $17.85        $17.85
86225           DNA ANTIBODY 1                         $18.51        $18.51
86225   TC      DNA ANTIBODY 1                         $18.51        $18.51
86226           DNA ANTIBODY                           $16.32        $16.32
86226   TC      DNA ANTIBODY                           $16.32        $16.32
86235           NUCLEAR ANTIGEN ANTIBODY               $24.17        $24.17
86235   TC      NUCLEAR ANTIGEN ANTIBODY               $24.17        $24.17
86243           FC RECEPTOR ASSAY                      $27.65        $27.65
86243   TC      FC RECEPTOR ASSAY                      $27.65        $27.65
86255           FLUORESCENT ANTIBODY - SCREEN          $16.24        $16.24
86255        26 FLUORESCENT ANTIBODY - SCREEN           $9.26         $9.26
86255   TC      FLUORESCENT ANTIBODY - SCREEN           $6.99         $6.99
86256           FLUORESCENT ANTIBODY - TITER           $16.24        $16.24
86256        26 FLUORESCENT ANTIBODY - TITER            $9.26         $9.26
86256   TC      FLUORESCENT ANTIBODY - TITER            $6.99         $6.99
86277           GROWTH HORMONE ANTIBODY                $21.20        $21.20
86277   TC      GROWTH HORMONE ANTIBODY                $21.20        $21.20
86280           HEMAGGLUTINATION INHIBITION            $10.85        $10.85
86280   TC      HEMAGGLUTINATION INHIBITION            $10.85        $10.85
86294                                                  $26.43        $26.43
                IMMUNOASSAY FOR TUMOR ANTIGE QUALITATIVE OR SEMIQUANTITATIVE
86294   TC                                                $26.43       $26.43
                  IMMUNOASSAY FOR TUMOR ANTIGE QUALITATIVE OR SEMIQUANTITATIVE
86300             IMMUNOASSAY CA 15-3                     $28.03       $28.03
86300   TC        IMMUNOASSAY CA 15-3                     $28.03       $28.03
86301             IMMUNOASSAY FOR TUMOR ANTIGEN - CA 19-9 $28.03       $28.03
86301   TC        IMMUNOASSAY FOR TUMOR ANTIGEN - CA 19-9 $28.03       $28.03
86304             IMMUNOASSAY FOR TUMOR ANTIGEN CA125     $28.03       $28.03
86304   TC        IMMUNOASSAY FOR TUMOR ANTIGEN CA125     $28.03       $28.03
86308             HETEROPHILE ANTIBODIES                   $6.98        $6.98
86308   TC        HETEROPHILE ANTIBODIES                   $6.98        $6.98
86309             HEREROPHILE ANTIBODIES TITER             $8.72        $8.72
86309   TC        HEREROPHILE ANTIBODIES TITER             $8.72        $8.72
86310             HETEROPHILE ANTIBODIES 1                 $9.94        $9.94
86310   TC        HETEROPHILE ANTIBODIES 1                 $9.94        $9.94
86316             IMMUNOASSAY, TUMOR ANTIGEN              $28.03       $28.03
86316   TC        IMMUNOASSAY, TUMOR ANTIGEN              $28.03       $28.03
86317             IMMUNOASSAY,INFECTIOUS AGENT            $20.21       $20.21
86317   TC        IMMUNOASSAY,INFECTIOUS AGENT            $20.21       $20.21
86318             IMMUNOASSAY,INFECTIOUS AGENT 1          $17.44       $17.44
86318   TC        IMMUNOASSAY,INFECTIOUS AGENT 1          $17.44       $17.44
86320             SERUM IMMUNOELECTROPHORESIS             $30.21       $30.21
86320        26   SERUM IMMUNOELECTROPHORESIS             $12.39       $12.39
86320   TC        SERUM IMMUNOELECTROPHORESIS             $17.82       $17.82
86325             OTHER IMMUNOELECTROPHORESIS             $30.13       $30.13
86325        26   OTHER IMMUNOELECTROPHORESIS             $12.36       $12.36
86325   TC        OTHER IMMUNOELECTROPHORESIS             $17.78       $17.78
86327             IMMUNOELECTROPHORESIS ASSAY             $30.57       $30.57
86327        26   IMMUNOELECTROPHORESIS ASSAY             $13.45       $13.45
86327   TC        IMMUNOELECTROPHORESIS ASSAY             $17.12       $17.12
86329             IMMUNODIFFUSION                         $18.93       $18.93
86329   TC        IMMUNODIFFUSION                         $18.93       $18.93
86331             IMMUNODIFFUSION OUCHTERLONY             $14.10       $14.10
86331   TC        IMMUNODIFFUSION OUCHTERLONY             $14.10       $14.10
86332             IMMUNE COMPLEX ASSAY                    $32.85       $32.85
86332   TC        IMMUNE COMPLEX ASSAY                    $32.85       $32.85
86334             IMMUNOFIXATION PROCEDURE SERUM          $30.10       $30.10
86334        26   IMMUNOFIXATION PROCEDURE SERUM          $12.35       $12.35
86334   TC        IMMUNOFIXATION PROCEDURE SERUM          $17.76       $17.76
86335                                                     $39.54
                  IMMUNOFIXATION ELECTROPHORESIS OTHER FLUIDS          $39.54
86335        26                                           $39.54
                  IMMUNOFIXATION ELECTROPHORESIS OTHER FLUIDS          $39.54
86335   TC                                                $39.54
                  IMMUNOFIXATION ELECTROPHORESIS OTHER FLUIDS          $39.54
86336             INHIBIN A                               $21.00       $21.00
86336   TC        INHIBIN A                               $21.00       $21.00
86337             INSULIN ANTIBODIES, RIA                 $28.86       $28.86
86337   TC        INSULIN ANTIBODIES, RIA                 $28.86       $28.86
86340             INTRINSIC FACTOR ANTIBODY               $16.69       $16.69
86340   TC        INTRINSIC FACTOR ANTIBODY               $16.69       $16.69
86341             ISLET CELL ANTIBODY                     $19.26       $19.26
86341   TC        ISLET CELL ANTIBODY                     $19.26       $19.26
86343             LEUKOCYTE HISTAMINE RELEASE             $16.79       $16.79
86343   TC        LEUKOCYTE HISTAMINE RELEASE             $16.79       $16.79
86344             LEUKOCYTE PHAGOCYTOSIS                  $10.76       $10.76
86344   TC        LEUKOCYTE PHAGOCYTOSIS                  $10.76       $10.76
86353        LYMPHOCYTE TRANSFORMATION                 $66.04   $66.04
86353   TC   LYMPHOCYTE TRANSFORMATION                 $66.04   $66.04
86359        T CELLS, TOTAL COUNT                      $22.31   $22.31
86359   TC   T CELLS, TOTAL COUNT                      $22.31   $22.31
86360        T CELL ABSOLUTE COUNT/RATIO               $44.62   $44.62
86360   TC   T CELL ABSOLUTE COUNT/RATIO               $44.62   $44.62
86361        T CELL ABSOLUTE COUNT                     $13.69   $13.69
86361   TC   T CELL ABSOLUTE COUNT                     $13.69   $13.69
86376        MICROSOMAL ANTIBODY                       $19.61   $19.61
86376   TC   MICROSOMAL ANTIBODY                       $19.61   $19.61
86378        MIGRATION INHIBITORY FACTOR               $26.53   $26.53
86378   TC   MIGRATION INHIBITORY FACTOR               $26.53   $26.53
86379        NATURAL KILLER (NK) CELLS, TOTAL COUNT    $22.31   $22.31
86379   TC   NATURAL KILLER (NK) CELLS, TOTAL COUNT    $22.31   $22.31
86382        NEUTRALIZATION TEST, VIRAL                $22.79   $22.79
86382   TC   NEUTRALIZATION TEST, VIRAL                $22.79   $22.79
86384        NITROBLUE TETRAZOLIUM DYE                 $15.34   $15.34
86384   TC   NITROBLUE TETRAZOLIUM DYE                 $15.34   $15.34
86403        PARTICLE AGGLUTINATION TEST               $13.74   $13.74
86403   TC   PARTICLE AGGLUTINATION TEST               $13.74   $13.74
86406                                                  $14.33
             PARTICLE AGGLUTINATION - TITER, EACH ANTIBODY      $14.33
86406   TC                                             $14.33
             PARTICLE AGGLUTINATION - TITER, EACH ANTIBODY      $14.33
86430        RHEUMATOID FACTOR TEST                     $7.65    $7.65
86430   TC   RHEUMATOID FACTOR TEST                     $7.65    $7.65
86431        RHEUMATOID FACTOR,QUANT                    $7.65    $7.65
86431   TC   RHEUMATOID FACTOR,QUANT                    $7.65    $7.65
86485        SKIN TEST, CANDIDA                        $15.85   $15.85
86485   TC   SKIN TEST, CANDIDA                        $15.85   $15.85
86490        COCCIDIOIDOMYCOSIS SKIN TEST              $13.78   $13.78
86490   TC   COCCIDIOIDOMYCOSIS SKIN TEST              $13.78   $13.78
86510        HISTOPLASMOSIS SKIN TEST                  $15.13   $15.13
86510   TC   HISTOPLASMOSIS SKIN TEST                  $15.13   $15.13
86580        TB PATCH OR INTRADERMAL TEST              $11.95   $11.95
86580   TC   TB PATCH OR INTRADERMAL TEST              $11.95   $11.95
86585        TB TINE TEST                               $9.37    $9.37
86585   TC   TB TINE TEST                               $9.37    $9.37
86586        SKIN TEST,UNLISTED                        $15.85   $15.85
86586   TC   SKIN TEST,UNLISTED                        $15.85   $15.85
86587        STEM CELLS TOTAL COUNT                    $22.31   $22.31
86587   TC   STEM CELLS TOTAL COUNT                    $22.31   $22.31
86590        STREPTOKINASE, ANTIBODY                   $14.87   $14.87
86590   TC   STREPTOKINASE, ANTIBODY                   $14.87   $14.87
86592        BLOOD SEROLOGY, QUALITATIVE                $5.52    $5.52
86592   TC   BLOOD SEROLOGY, QUALITATIVE                $5.52    $5.52
86593        BLOOD SEROLOGY, QUANTITATIVE               $5.94    $5.94
86593   TC   BLOOD SEROLOGY, QUANTITATIVE               $5.94    $5.94
86602        ANTIBODY,ACTINOMYCES                      $11.03   $11.03
86602   TC   ANTIBODY,ACTINOMYCES                      $11.03   $11.03
86603        ANTIBODY,ADENOVIRUS                       $11.03   $11.03
86603   TC   ANTIBODY,ADENOVIRUS                       $11.03   $11.03
86606        ASPERGILLUS ANTIBODY                      $11.03   $11.03
86606   TC   ASPERGILLUS ANTIBODY                      $11.03   $11.03
86609        BACTERIUM, ANTIBODY              $11.03   $11.03
86609   TC   BACTERIUM, ANTIBODY              $11.03   $11.03
86611        BARTONELLA ANTIBODY              $11.03   $11.03
86611   TC   BARTONELLA ANTIBODY              $11.03   $11.03
86612        ANTIBODY,BLASTOMYCES             $11.03   $11.03
86612   TC   ANTIBODY,BLASTOMYCES             $11.03   $11.03
86615        BORDETELLA ANTIBODY              $11.03   $11.03
86615   TC   BORDETELLA ANTIBODY              $11.03   $11.03
86617        LYME DISEASE CONFIRMATORY TEST   $20.87   $20.87
86617   TC   LYME DISEASE CONFIRMATORY TEST   $20.87   $20.87
86618        LYME DISEASE ANTIBODY            $11.03   $11.03
86618   TC   LYME DISEASE ANTIBODY            $11.03   $11.03
86619        ANTIBODY,BORRELIA                $11.03   $11.03
86619   TC   ANTIBODY,BORRELIA                $11.03   $11.03
86622        ANTIBODY,BRUCELLA                $11.03   $11.03
86622   TC   ANTIBODY,BRUCELLA                $11.03   $11.03
86625        CAMPYLOBACTER, ANTIBODY          $11.03   $11.03
86625   TC   CAMPYLOBACTER, ANTIBODY          $11.03   $11.03
86628        CANDIDA, ANTIBODY                $11.03   $11.03
86628   TC   CANDIDA, ANTIBODY                $11.03   $11.03
86631        ANTIBODY,CHLAMYDIA               $11.03   $11.03
86631   TC   ANTIBODY,CHLAMYDIA               $11.03   $11.03
86632        ANTIBODY CHLAMYDIA,LGM           $17.11   $17.11
86632   TC   ANTIBODY CHLAMYDIA,LGM           $17.11   $17.11
86635        ANTIBODY,COCCIDIODES             $11.03   $11.03
86635   TC   ANTIBODY,COCCIDIODES             $11.03   $11.03
86638        ANTIBODY,Q FEVER                 $11.03   $11.03
86638   TC   ANTIBODY,Q FEVER                 $11.03   $11.03
86641        ANTIBODY,CRYPTOCOCCUS            $11.03   $11.03
86641   TC   ANTIBODY,CRYPTOCOCCUS            $11.03   $11.03
86644        ANTIBODY,CMV                     $19.39   $19.39
86644   TC   ANTIBODY,CMV                     $19.39   $19.39
86645        CMV ANTIBODY, IGM                $11.03   $11.03
86645   TC   CMV ANTIBODY, IGM                $11.03   $11.03
86648        ANTIBODY,DIPTHERIA               $11.03   $11.03
86648   TC   ANTIBODY,DIPTHERIA               $11.03   $11.03
86651        ANTIBODY,ENCEPHALITIS,CA         $11.03   $11.03
86651   TC   ANTIBODY,ENCEPHALITIS,CA         $11.03   $11.03
86652        ANTIBDY,ENCEPHLTS,EAST EQUINE    $11.03   $11.03
86652   TC   ANTIBDY,ENCEPHLTS,EAST EQUINE    $11.03   $11.03
86653        ANTIBDY,ENCEPHLTS,ST.LOUIS       $11.03   $11.03
86653   TC   ANTIBDY,ENCEPHLTS,ST.LOUIS       $11.03   $11.03
86654        ANTIBDY,ENCEPHLTS,WEST EQUINE    $11.03   $11.03
86654   TC   ANTIBDY,ENCEPHLTS,WEST EQUINE    $11.03   $11.03
86658        ANTIBODY,ENTEROVIRUS             $11.03   $11.03
86658   TC   ANTIBODY,ENTEROVIRUS             $11.03   $11.03
86663        ANTIBODY,EPSTEINBARR (EA)        $11.03   $11.03
86663   TC   ANTIBODY,EPSTEINBARR (EA)        $11.03   $11.03
86664        EPSTEIN-BARR ANTIBODY            $11.03   $11.03
86664   TC   EPSTEIN-BARR ANTIBODY            $11.03   $11.03
86665        ANTIBODY,EPSTEINBARR,(VCA)       $11.03   $11.03
86665   TC   ANTIBODY,EPSTEINBARR,(VCA)       $11.03   $11.03
86666        EHRLICHIA ANTIBODY               $11.03   $11.03
86666   TC   EHRLICHIA ANTIBODY               $11.03   $11.03
86668        FRANCISELLA TULARENSIS           $11.03   $11.03
86668   TC   FRANCISELLA TULARENSIS           $11.03   $11.03
86671        ANTIBODY, FUNGUS                 $11.03   $11.03
86671   TC   ANTIBODY, FUNGUS                 $11.03   $11.03
86674        ANTIBODY,GIARDIA LAMBIA          $11.03   $11.03
86674   TC   ANTIBODY,GIARDIA LAMBIA          $11.03   $11.03
86677        ANTIBODY,HELICOBACTER PYLORI     $11.03   $11.03
86677   TC   ANTIBODY,HELICOBACTER PYLORI     $11.03   $11.03
86682        ANTIBODY HELMINTH                $11.03   $11.03
86682   TC   ANTIBODY HELMINTH                $11.03   $11.03
86684        HEMOPHILUS INFLUENZA             $11.03   $11.03
86684   TC   HEMOPHILUS INFLUENZA             $11.03   $11.03
86687        HTLV 1 ANTIBODY DETECTION        $11.31   $11.31
86687   TC   HTLV 1 ANTIBODY DETECTION        $11.31   $11.31
86688        HTLV-II                          $13.45   $13.45
86688   TC   HTLV-II                          $13.45   $13.45
86689        HTLV/HIV CONFIRMATORY TEST       $26.09   $26.09
86689   TC   HTLV/HIV CONFIRMATORY TEST       $26.09   $26.09
86692        HEPATITIS, DELTA AGENT           $10.37   $10.37
86692   TC   HEPATITIS, DELTA AGENT           $10.37   $10.37
86694        HERPES SIMPLEX TEST              $19.39   $19.39
86694   TC   HERPES SIMPLEX TEST              $19.39   $19.39
86695        ANTIBODY,HERPES SIMPLEX          $11.03   $11.03
86695   TC   ANTIBODY,HERPES SIMPLEX          $11.03   $11.03
86696        HERPES SIMPLEX 2 ANTIBODY        $26.09   $26.09
86696   TC   HERPES SIMPLEX 2 ANTIBODY        $26.09   $26.09
86698        HISTOPLASMA                      $11.03   $11.03
86698   TC   HISTOPLASMA                      $11.03   $11.03
86701        ANTIBODY,HIV-1                    $9.92    $9.92
86701   TC   ANTIBODY,HIV-1                    $9.92    $9.92
86702        HIV-2                            $14.23   $14.23
86702   TC   HIV-2                            $14.23   $14.23
86703        ANTIBODY,HIV-1/HIV-2,SGL ASSAY   $14.23   $14.23
86703   TC   ANTIBODY,HIV-1/HIV-2,SGL ASSAY   $14.23   $14.23
86704        HEP B CORE AB TEST, IGG & M      $16.24   $16.24
86704   TC   HEP B CORE AB TEST, IGG & M      $16.24   $16.24
86705        HEP B CORE AB TEST, IGM          $15.86   $15.86
86705   TC   HEP B CORE AB TEST, IGM          $15.86   $15.86
86706        HEPATITIS B SURGACE AB TEST      $11.22   $11.22
86706   TC   HEPATITIS B SURGACE AB TEST      $11.22   $11.22
86707        HEPATITIS BE AB TEST             $15.58   $15.58
86707   TC   HEPATITIS BE AB TEST             $15.58   $15.58
86708        HEP A AB TEST, IGG & M           $16.70   $16.70
86708   TC   HEP A AB TEST, IGG & M           $16.70   $16.70
86709        HEP A AB TEST, IGM               $15.17   $15.17
86709   TC   HEP A AB TEST, IGM               $15.17   $15.17
86710        INFLUENZA VIRUS                  $11.03   $11.03
86710   TC   INFLUENZA VIRUS                  $11.03   $11.03
86713        LEGIONELLA                       $11.03   $11.03
86713   TC   LEGIONELLA                       $11.03   $11.03
86717        ANTIBODY,LEISHMANIA            $11.03   $11.03
86717   TC   ANTIBODY,LEISHMANIA            $11.03   $11.03
86720        LEPTOSPIRA                     $11.03   $11.03
86720   TC   LEPTOSPIRA                     $11.03   $11.03
86723        LISTERIA MONOCYTOGENES         $11.03   $11.03
86723   TC   LISTERIA MONOCYTOGENES         $11.03   $11.03
86727        LYMPHOCYTIC CHORIOMENINGITIS   $11.03   $11.03
86727   TC   LYMPHOCYTIC CHORIOMENINGITIS   $11.03   $11.03
86729        LYMPHOGRANALOMA VERNEREUM      $11.03   $11.03
86729   TC   LYMPHOGRANALOMA VERNEREUM      $11.03   $11.03
86732        MUCORMYCOSIS                   $11.03   $11.03
86732   TC   MUCORMYCOSIS                   $11.03   $11.03
86735        MUMPS                          $11.03   $11.03
86735   TC   MUMPS                          $11.03   $11.03
86738        ANTIBODY,MYCOPLASMA            $11.03   $11.03
86738   TC   ANTIBODY,MYCOPLASMA            $11.03   $11.03
86741        NEISSERIA MENINGITIDIS         $11.03   $11.03
86741   TC   NEISSERIA MENINGITIDIS         $11.03   $11.03
86744        ANTIBODY,NOCARDIA              $11.03   $11.03
86744   TC   ANTIBODY,NOCARDIA              $11.03   $11.03
86747        PARVOVIRUS                     $11.03   $11.03
86747   TC   PARVOVIRUS                     $11.03   $11.03
86750        MALARIA                        $11.03   $11.03
86750   TC   MALARIA                        $11.03   $11.03
86753        ANTIBODY,PROTOZOA              $11.03   $11.03
86753   TC   ANTIBODY,PROTOZOA              $11.03   $11.03
86756        RESPIRATORY VIRUS              $11.03   $11.03
86756   TC   RESPIRATORY VIRUS              $11.03   $11.03
86757        RICKETTSIA ANTIBODY            $26.09   $26.09
86757   TC   RICKETTSIA ANTIBODY            $26.09   $26.09
86759        ROTAVIRUS                      $11.03   $11.03
86759   TC   ROTAVIRUS                      $11.03   $11.03
86762        RUBELLA                        $19.39   $19.39
86762   TC   RUBELLA                        $19.39   $19.39
86765        ANTIBODY,RUBEOLA               $11.03   $11.03
86765   TC   ANTIBODY,RUBEOLA               $11.03   $11.03
86768        ANTIBODY,SALMONELLA            $11.03   $11.03
86768   TC   ANTIBODY,SALMONELLA            $11.03   $11.03
86771        SHIGELLA                       $11.03   $11.03
86771   TC   SHIGELLA                       $11.03   $11.03
86774        ANTIBODY,TETANUS               $11.03   $11.03
86774   TC   ANTIBODY,TETANUS               $11.03   $11.03
86777        TOXOPLASMA                     $19.39   $19.39
86777   TC   TOXOPLASMA                     $19.39   $19.39
86778        TOXOPLASMA, IGM                $11.03   $11.03
86778   TC   TOXOPLASMA, IGM                $11.03   $11.03
86781        TREPONEMA PALLIDUM CONFIRM     $17.84   $17.84
86781   TC   TREPONEMA PALLIDUM CONFIRM     $17.84   $17.84
86784        ANTIBODY,TRICHINELLA           $11.03   $11.03
86784   TC   ANTIBODY,TRICHINELLA           $11.03   $11.03
86787        ANTIBODY,VARICELLA-ZOSTER      $17.36   $17.36
86787   TC   ANTIBODY,VARICELLA-ZOSTER      $17.36   $17.36
86790        VIRUS, NOT SPECIFIED               $11.03    $11.03
86790   TC   VIRUS, NOT SPECIFIED               $11.03    $11.03
86793        YERSINIA                           $17.78    $17.78
86793   TC   YERSINIA                           $17.78    $17.78
86800        THYROGLOBULIN ANTIBODY             $16.29    $16.29
86800   TC   THYROGLOBULIN ANTIBODY             $16.29    $16.29
86803        HEPATITIS C AB TEST                $17.96    $17.96
86803   TC   HEPATITIS C AB TEST                $17.96    $17.96
86804        HEP C AB TEST, CONFIRM             $20.87    $20.87
86804   TC   HEP C AB TEST, CONFIRM             $20.87    $20.87
86805        LYMPHOCYTOXICITY ASSAY 1           $70.45    $70.45
86805   TC   LYMPHOCYTOXICITY ASSAY 1           $70.45    $70.45
86806        LYMPHOCYTOTOXICITY ASSAY           $64.12    $64.12
86806   TC   LYMPHOCYTOTOXICITY ASSAY           $64.12    $64.12
86807        SERUM SCREEN FOR PRA - STANDARD    $43.07    $43.07
86807   TC   SERUM SCREEN FOR PRA - STANDARD    $43.07    $43.07
86808        SERUM SCREEN FOR PRA - QUICK       $39.12    $39.12
86808   TC   SERUM SCREEN FOR PRA - QUICK       $39.12    $39.12
86812        HLA TYPING, A, B, OR C             $34.18    $34.18
86812   TC   HLA TYPING, A, B, OR C             $34.18    $34.18
86813        HLA TYPING, A, B, OR C 1           $78.13    $78.13
86813   TC   HLA TYPING, A, B, OR C 1           $78.13    $78.13
86816        HLA TYPING, DR/DQ                  $37.53    $37.53
86816   TC   HLA TYPING, DR/DQ                  $37.53    $37.53
86817        HLA TYPING, DR/DQ 1                $86.75    $86.75
86817   TC   HLA TYPING, DR/DQ 1                $86.75    $86.75
86821        LYMPHOCYTE CULTURE, MIXED          $76.06    $76.06
86821   TC   LYMPHOCYTE CULTURE, MIXED          $76.06    $76.06
86822        LYMPHOCYTE CULTURE, PRIMED         $49.25    $49.25
86822   TC   LYMPHOCYTE CULTURE, PRIMED         $49.25    $49.25
86850        RBC ANTIBODY SCREEN                $20.83    $20.83
86850   TC   RBC ANTIBODY SCREEN                $20.83    $20.83
86860        RBC ANTIBODY ELUTION               $20.83    $20.83
86860   TC   RBC ANTIBODY ELUTION               $20.83    $20.83
86870        RBC ANTIBODY IDENTIFICATION        $36.68    $36.68
86870   TC   RBC ANTIBODY IDENTIFICATION        $36.68    $36.68
86880        COOMBS TEST                         $7.23     $7.23
86880   TC   COOMBS TEST                         $7.23     $7.23
86885        COOMBS - INDIRECT,EA ANTISERUM      $7.02     $7.02
86885   TC   COOMBS - INDIRECT,EA ANTISERUM      $7.02     $7.02
86886        COOMBS TEST 1                       $5.52     $5.52
86886   TC   COOMBS TEST 1                       $5.52     $5.52
86890        AUTOLOGOUS BLOOD PROCESS           $83.30    $83.30
86890   TC   AUTOLOGOUS BLOOD PROCESS           $83.30    $83.30
86891        AUTOLOGOUS BLOOD, OP SALVAGE      $130.39   $130.39
86891   TC   AUTOLOGOUS BLOOD, OP SALVAGE      $130.39   $130.39
86900        BLOOD TYPING, ABO                   $4.02     $4.02
86900   TC   BLOOD TYPING, ABO                   $4.02     $4.02
86901        BLOOD TYPING, RH (D)               $10.41    $10.41
86901   TC   BLOOD TYPING, RH (D)               $10.41    $10.41
86903        BLOODTYPING,ANTIGEN SCREEN         $12.73    $12.73
86903   TC   BLOODTYPING,ANTIGEN SCREEN         $12.73    $12.73
86904        BLOOD TYPING, PATIENT SERUM        $12.81    $12.81
86904   TC   BLOOD TYPING, PATIENT SERUM        $12.81    $12.81
86905        BLOOD TYPING, RBC ANTIGENS          $5.15     $5.15
86905   TC   BLOOD TYPING, RBC ANTIGENS          $5.15     $5.15
86906        BLOOD TYPING, RH PHENOTYPE         $10.44    $10.44
86906   TC   BLOOD TYPING, RH PHENOTYPE         $10.44    $10.44
86910        BLOOD TYPING, PATERNITY TEST       $23.10    $23.10
86910   TC   BLOOD TYPING, PATERNITY TEST       $23.10    $23.10
86911        PATERNITY TESTING - EA ADDITION    $17.65    $17.65
86911   TC   PATERNITY TESTING - EA ADDITION    $17.65    $17.65
86920        COMPATIABITY TEST                  $23.10    $23.10
86920   TC   COMPATIABITY TEST                  $23.10    $23.10
86921        COMPATIBILITY TEST 1               $20.83    $20.83
86921   TC   COMPATIBILITY TEST 1               $20.83    $20.83
86922        COMPATIBILITY TEST 2               $12.68    $12.68
86922   TC   COMPATIBILITY TEST 2               $12.68    $12.68
86927        PLASMA,FRESH FROZEN                $11.32    $11.32
86927   TC   PLASMA,FRESH FROZEN                $11.32    $11.32
86930        FROZEN BLOOD PREP                 $104.14   $104.14
86930   TC   FROZEN BLOOD PREP                 $104.14   $104.14
86931        FROZEN BLOOD THAW                 $114.55   $114.55
86931   TC   FROZEN BLOOD THAW                 $114.55   $114.55
86932        BLOOD UNIT SERVICE,FREEZE/THAW    $124.96   $124.96
86932   TC   BLOOD UNIT SERVICE,FREEZE/THAW    $124.96   $124.96
86940        HEMOLYSINS AND AGGLUTININS          $6.32     $6.32
86940   TC   HEMOLYSINS AND AGGLUTININS          $6.32     $6.32
86941        HEMOLYSINS/AGGLUTININS             $16.32    $16.32
86941   TC   HEMOLYSINS/AGGLUTININS             $16.32    $16.32
86945        BLOOD PRODUCT/IRRADIATION          $31.24    $31.24
86945   TC   BLOOD PRODUCT/IRRADIATION          $31.24    $31.24
86950        LEUKACYTE TRANSFUSION              $57.50    $57.50
86950   TC   LEUKACYTE TRANSFUSION              $57.50    $57.50
86965        POOLING BLOOD PLATELETS            $14.49    $14.49
86965   TC   POOLING BLOOD PLATELETS            $14.49    $14.49
86970        PRETREATMENT RBC,DRUGS             $16.75    $16.75
86970   TC   PRETREATMENT RBC,DRUGS             $16.75    $16.75
86971        PRETREATMENT RBC,DILUTION          $16.75    $16.75
86971   TC   PRETREATMENT RBC,DILUTION          $16.75    $16.75
86972        RBC PRETREATMENT                   $15.85    $15.85
86972   TC   RBC PRETREATMENT                   $15.85    $15.85
86975        PRETREATMENT SERUM,DRUGS           $10.41    $10.41
86975   TC   PRETREATMENT SERUM,DRUGS           $10.41    $10.41
86976        RBC PRETREATMNT,SERUM-BY DILUT      $8.16     $8.16
86976   TC   RBC PRETREATMNT,SERUM-BY DILUT      $8.16     $8.16
86977        RBC PRETREAT,SERUM,INCUBAT. EA     $10.41    $10.41
86977   TC   RBC PRETREAT,SERUM,INCUBAT. EA     $10.41    $10.41
86978        RBC PRETREATMENT,SERUM,EA.         $23.10    $23.10
86978   TC   RBC PRETREATMENT,SERUM,EA.         $23.10    $23.10
86985        SPLIT BLOOD OR PRODUCTS            $21.74    $21.74
86985   TC   SPLIT BLOOD OR PRODUCTS            $21.74    $21.74
87001        SMALL ANIMAL INOCULATION           $17.81    $17.81
87001   TC   SMALL ANIMAL INOCULATION           $17.81    $17.81
87003        SMALL ANIMAL INOCULATION 1               $22.68        $22.68
87003   TC   SMALL ANIMAL INOCULATION 1               $22.68        $22.68
87015        SPECIMEN CONCENTRATION                    $9.00         $9.00
87015   TC   SPECIMEN CONCENTRATION                    $9.00         $9.00
87040        BLOOD CULTURE FOR BACTERIA               $13.91        $13.91
87040   TC   BLOOD CULTURE FOR BACTERIA               $13.91        $13.91
87045        STOOL CULTURE FOR BACTERIA W/PRELIM EXAM $11.79        $11.79
87045   TC   STOOL CULTURE FOR BACTERIA W/PRELIM EXAM $11.79        $11.79
87046        STOOL CULTURE - ADDITIONAL PATHOGENS     $11.79        $11.79
87046   TC   STOOL CULTURE - ADDITIONAL PATHOGENS     $11.79        $11.79
87070        CULTURE SPECIMEN, BACTERIA 1             $11.59        $11.59
87070   TC   CULTURE SPECIMEN, BACTERIA 1             $11.59        $11.59
87071        AEROBIC W ISOLATION QUANTITATIVE         $11.79        $11.79
87071   TC   AEROBIC W ISOLATION QUANTITATIVE         $11.79        $11.79
87073                                                 $11.79        $11.79
             CULTURE QUANTITATIVE - ANEROBIC W ISOLATION EXCEPT URINE, STOOL OR BLOOD
87073   TC                                            $11.79        $11.79
             CULTURE QUANTITATIVE - ANEROBIC W ISOLATION EXCEPT URINE, STOOL OR BLOOD
87075        CULTURE SPECIMEN, BACTERIA               $10.97        $10.97
87075   TC   CULTURE SPECIMEN, BACTERIA               $10.97        $10.97
87076        BACTERIA IDENTIFICATION                  $10.88        $10.88
87076   TC   BACTERIA IDENTIFICATION                  $10.88        $10.88
87077        AEROBIC ISOLATE, ADDITIONAL METHODS      $10.88        $10.88
87077   TC   AEROBIC ISOLATE, ADDITIONAL METHODS      $10.88        $10.88
87081        BACTERIA CULTURE SCREEN                   $4.25         $4.25
87081   TC   BACTERIA CULTURE SCREEN                   $4.25         $4.25
87084        CULTURE OF SPECIMEN BY KIT                $4.88         $4.88
87084   TC   CULTURE OF SPECIMEN BY KIT                $4.88         $4.88
87086        URINE CULTURE, COLONY COUNT              $10.87        $10.87
87086   TC   URINE CULTURE, COLONY COUNT              $10.87        $10.87
87088        URINE BACTERIA CULTURE                   $10.91        $10.91
87088   TC   URINE BACTERIA CULTURE                   $10.91        $10.91
87101        SKIN FUNGUS CULTURE                      $10.38        $10.38
87101   TC   SKIN FUNGUS CULTURE                      $10.38        $10.38
87102        FUNGUS ISOLATION CULTURE                 $11.33        $11.33
87102   TC   FUNGUS ISOLATION CULTURE                 $11.33        $11.33
87103        BLOOD FUNGUS CULTURE                     $12.15        $12.15
87103   TC   BLOOD FUNGUS CULTURE                     $12.15        $12.15
87106        FUNGUS IDENTIFICATION                    $13.91        $13.91
87106   TC   FUNGUS IDENTIFICATION                    $13.91        $13.91
87107        MOLD CULTURE                             $13.91        $13.91
87107   TC   MOLD CULTURE                             $13.91        $13.91
87109        MYCOPLASMA CULTURE                       $20.74        $20.74
87109   TC   MYCOPLASMA CULTURE                       $20.74        $20.74
87110        CULTURE, CHLAMYDIA                       $14.10        $14.10
87110   TC   CULTURE, CHLAMYDIA                       $14.10        $14.10
87116        MYCOBACTERIA CULTURE                      $6.51         $6.51
87116   TC   MYCOBACTERIA CULTURE                      $6.51         $6.51
87118        MYCOBACTERIA IDENTIFICATION              $14.75        $14.75
87118   TC   MYCOBACTERIA IDENTIFICATION              $14.75        $14.75
87140        CULTURE TYPING, FLUORESCENT               $7.51         $7.51
87140   TC   CULTURE TYPING, FLUORESCENT               $7.51         $7.51
87143        CULTURE TYPING, GLC METHOD               $16.89        $16.89
87143   TC   CULTURE TYPING, GLC METHOD               $16.89        $16.89
87147           CULTURE TYPING, SEROLOGIC               $6.98    $6.98
87147   TC      CULTURE TYPING, SEROLOGIC               $6.98    $6.98
87149           NUCLEIC ACID PROBE CULTURE             $21.45   $21.45
87149   TC      NUCLEIC ACID PROBE CULTURE             $21.45   $21.45
87152           PULSE FIELD GEL TYPING CULTURE          $6.51    $6.51
87152   TC      PULSE FIELD GEL TYPING CULTURE          $6.51    $6.51
87158           CULTURE TYPING, ADDED METHOD            $6.51    $6.51
87158   TC      CULTURE TYPING, ADDED METHOD            $6.51    $6.51
87164           DARK FIELD EXAMINATION                 $14.48   $14.48
87164        26 DARK FIELD EXAMINATION                  $8.40    $8.40
87164   TC      DARK FIELD EXAMINATION                  $6.08    $6.08
87166           DARK FIELD EXAMINATION 1               $15.22   $15.22
87166   TC      DARK FIELD EXAMINATION 1               $15.22   $15.22
87168           MACROSCOPIC EXAMINATION ARTHROPOD       $5.52    $5.52
87168   TC      MACROSCOPIC EXAMINATION ARTHROPOD       $5.52    $5.52
87169           MACROSCOPIC EXAMINATION PARASITE        $5.52    $5.52
87169   TC      MACROSCOPIC EXAMINATION PARASITE        $5.52    $5.52
87172           PINWORM EXAM                            $5.52    $5.52
87172   TC      PINWORM EXAM                            $5.52    $5.52
87176           ENDOTOXIN, BACTERIAL                    $7.93    $7.93
87176   TC      ENDOTOXIN, BACTERIAL                    $7.93    $7.93
87177           OVA AND PARASITES SMEARS               $12.00   $12.00
87177   TC      OVA AND PARASITES SMEARS               $12.00   $12.00
87181           ANTIBIOTIC SENSITIVITY, EACH            $6.40    $6.40
87181   TC      ANTIBIOTIC SENSITIVITY, EACH            $6.40    $6.40
87184           ANTIBIOTIC SENSITIVITY, EACH 1          $9.29    $9.29
87184   TC      ANTIBIOTIC SENSITIVITY, EACH 1          $9.29    $9.29
87185           SUSCEPTIBILITY STUDY ENYME DETECTION    $6.40    $6.40
87185   TC      SUSCEPTIBILITY STUDY ENYME DETECTION    $6.40    $6.40
87186           ANTIBIOTIC SENSITIVITY, MIC            $11.66   $11.66
87186   TC      ANTIBIOTIC SENSITIVITY, MIC            $11.66   $11.66
87187           ANTIBIOTIC SENSITIVITY, MBC            $13.66   $13.66
87187   TC      ANTIBIOTIC SENSITIVITY, MBC            $13.66   $13.66
87188           ANTIBIOTIC SENSITIVITY, EACH 2          $8.94    $8.94
87188   TC      ANTIBIOTIC SENSITIVITY, EACH 2          $8.94    $8.94
87190           TB ANTIBIOTIC SENSITIVITY               $7.62    $7.62
87190   TC      TB ANTIBIOTIC SENSITIVITY               $7.62    $7.62
87197           BACTERICIDAL LEVEL, SERUM              $12.02   $12.02
87197   TC      BACTERICIDAL LEVEL, SERUM              $12.02   $12.02
87205           SMEAR, STAIN & INTERPRET 1              $5.75    $5.75
87205   TC      SMEAR, STAIN & INTERPRET 1              $5.75    $5.75
87206           SMEAR, STAIN & INTERPRET 2              $7.23    $7.23
87206   TC      SMEAR, STAIN & INTERPRET 2              $7.23    $7.23
87207           SMEAR, STAIN & INTERPRET 3              $8.07    $8.07
87207        26 SMEAR, STAIN & INTERPRET 3              $5.90    $5.90
87207   TC      SMEAR, STAIN & INTERPRET 3              $2.17    $2.17
87210           SMEAR, STAIN & INTERPRET 5              $5.52    $5.52
87210   TC      SMEAR, STAIN & INTERPRET 5              $5.52    $5.52
87220           TISSUE EXAM FOR FUNGI                   $5.75    $5.75
87220   TC      TISSUE EXAM FOR FUNGI                   $5.75    $5.75
87230           ASSAY, TOXIN OR ANTITOXIN              $14.10   $14.10
87230   TC      ASSAY, TOXIN OR ANTITOXIN              $14.10   $14.10
87250        VIRUS INOCULATION FOR TEST 1                $19.55         $19.55
87250   TC   VIRUS INOCULATION FOR TEST 1                $19.55         $19.55
87252        VIRUS INOCULATION FOR TEST                  $19.43         $19.43
87252   TC   VIRUS INOCULATION FOR TEST                  $19.43         $19.43
87253        VIRUS INOCULATION FOR TEST 2                $11.43         $11.43
87253   TC   VIRUS INOCULATION FOR TEST 2                $11.43         $11.43
87254                                                    $19.55         $19.55
             VIRUS ISOLATION - SHELL VIAL INCLUDES IDNETIFICATION W IMMUNOFLUORESCENE
87254   TC                                               $19.55         $19.55
             VIRUS ISOLATION - SHELL VIAL INCLUDES IDNETIFICATION W IMMUNOFLUORESCENE
87255                                                    $25.16         $25.16
             VIRUS ISOLATION INCL IDENTIFICATION BY NON IMMUNOLOGIC METHOD OTHER
87255   TC                                               $25.16         $25.16
             VIRUS ISOLATION INCL IDENTIFICATION BY NON IMMUNOLOGIC METHOD OTHER
87260        ADENOVIRUS AG, DFA                          $16.16         $16.16
87260   TC   ADENOVIRUS AG, DFA                          $16.16         $16.16
87265        PERTUSSIS AG, DFA                           $16.16         $16.16
87265   TC   PERTUSSIS AG, DFA                           $16.16         $16.16
87267                                                    $16.16         $16.16
             INFECT AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE ENTEROVIR
87267   TC                                               $16.16         $16.16
             INFECT AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE ENTEROVIR
87269                                                    $16.16         $16.16
             INFECT AGENT ANTIGEN DETECT BY IMMUNOFLUOROSCENT TECHNIQUE GIARDIA
87269   TC                                               $16.16         $16.16
             INFECT AGENT ANTIGEN DETECT BY IMMUNOFLUOROSCENT TECHNIQUE GIARDIA
87270        CHYLMD TRACH AG, DFA                        $16.16         $16.16
87270   TC   CHYLMD TRACH AG, DFA                        $16.16         $16.16
87271                                                    $16.16         $16.16
             INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE CYTO
87271   TC                                               $16.16         $16.16
             INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE CYTO
87272        CRYPTOSPORIDUM AG, DFA                      $16.16         $16.16
87272   TC   CRYPTOSPORIDUM AG, DFA                      $16.16         $16.16
87273        ANTIGEN DETECTION - HERPES SIMPLEX 2        $16.16         $16.16
87273   TC   ANTIGEN DETECTION - HERPES SIMPLEX 2        $16.16         $16.16
87274        HERPES SIMPLEX AG, DFA                      $16.16         $16.16
87274   TC   HERPES SIMPLEX AG, DFA                      $16.16         $16.16
87275        ANTIGEN DETECTION - INFLUENZA               $16.16         $16.16
87275   TC   ANTIGEN DETECTION - INFLUENZA               $16.16         $16.16
87276        INFLUENZA AG, DFA                           $16.16         $16.16
87276   TC   INFLUENZA AG, DFA                           $16.16         $16.16
87277        ANTIGEN DETECTION - LEGIONELLA MICDADEI $16.16             $16.16
87277   TC   ANTIGEN DETECTION - LEGIONELLA MICDADEI $16.16             $16.16
87278        LEGION PNEUMO AG, DFA                       $16.16         $16.16
87278   TC   LEGION PNEUMO AG, DFA                       $16.16         $16.16
87279        ANTIGEN DETECTION - PARAINFLUENZA           $16.16         $16.16
87279   TC   ANTIGEN DETECTION - PARAINFLUENZA           $16.16         $16.16
87280        RESP SYNCYTIAL AG, DFA                      $16.16         $16.16
87280   TC   RESP SYNCYTIAL AG, DFA                      $16.16         $16.16
87281        ANTIGEN DETECTION - PNEUMOCYSTIS CARINII $16.16            $16.16
87281   TC   ANTIGEN DETECTION - PNEUMOCYSTIS CARINII $16.16            $16.16
87283        ANTIGEN DETECTION - RUBEOLA                 $16.16         $16.16
87283   TC   ANTIGEN DETECTION - RUBEOLA                 $16.16         $16.16
87285        TREPON PALLIDUM AG, DFA                     $16.16         $16.16
87285   TC   TREPON PALLIDUM AG, DFA                     $16.16         $16.16
87290        VARICELLA AG, DFA                           $16.16         $16.16
87290   TC   VARICELLA AG, DFA                           $16.16         $16.16
87299        AG DETECTION NOS, DFA                       $16.16         $16.16
87299   TC   AG DETECTION NOS, DFA                       $16.16         $16.16
87300        PREPARE AUTOVACCINE                         $16.16         $16.16
87300   TC   PREPARE AUTOVACCINE                         $16.16         $16.16
87301        ADENOVIRUS AG, EIA                       $16.16        $16.16
87301   TC   ADENOVIRUS AG, EIA                       $16.16        $16.16
87320        CHLAMYDIA TRACHOMATIS AG, EIA            $16.16        $16.16
87320   TC   CHLAMYDIA TRACHOMATIS AG, EIA            $16.16        $16.16
87324        CLOSTRIDIUM AG, EIA                      $16.16        $16.16
87324   TC   CLOSTRIDIUM AG, EIA                      $16.16        $16.16
87327                                                 $16.16
             ANTIGEN DETECTION - CRYSTOCOCCUS NEOFORMANS            $16.16
87327   TC                                            $16.16
             ANTIGEN DETECTION - CRYSTOCOCCUS NEOFORMANS            $16.16
87328        CRYPTOSPOR AG, EIA                       $16.16        $16.16
87328   TC   CRYPTOSPOR AG, EIA                       $16.16        $16.16
87329                                                 $16.16        $16.16
             ENZYME IMMUNOASSAY EIA QUALITATIVE SEMIQUANTITATIVE MULT STEP GIARDIA
87329   TC                                            $16.16        $16.16
             ENZYME IMMUNOASSAY EIA QUALITATIVE SEMIQUANTITATIVE MULT STEP GIARDIA
87332        CYTOMEGALOVIRUS AG, EIA                  $16.16        $16.16
87332   TC   CYTOMEGALOVIRUS AG, EIA                  $16.16        $16.16
87335        E COLI 0157 AG, EIA                      $16.16        $16.16
87335   TC   E COLI 0157 AG, EIA                      $16.16        $16.16
87336                                                 $16.16
             ANTIGEN DETECTION - ENTAMOEBA HISTOLYTICA DISPAR GROUP $16.16
87336   TC                                            $16.16
             ANTIGEN DETECTION - ENTAMOEBA HISTOLYTICA DISPAR GROUP $16.16
87337                                                 GROPU
             ANTIGEN DETECTION - ENTOMEBA HISTOLYTICA $16.16        $16.16
87337   TC                                            GROPU
             ANTIGEN DETECTION - ENTOMEBA HISTOLYTICA $16.16        $16.16
87338        HELICOBACTER PYLORI, STOOL               $19.38        $19.38
87338   TC   HELICOBACTER PYLORI, STOOL               $19.38        $19.38
87339        ANTIGEN DETECTION - H PYLORI             $16.16        $16.16
87339   TC   ANTIGEN DETECTION - H PYLORI             $16.16        $16.16
87340        HEPATITIS B SURFACE AG, EIA              $13.92        $13.92
87340   TC   HEPATITIS B SURFACE AG, EIA              $13.92        $13.92
87341        ANTIGEN DETECTION - HEPATITIS B SURFACE $13.92         $13.92
87341   TC   ANTIGEN DETECTION - HEPATITIS B SURFACE $13.92         $13.92
87350        HEPATITIS B AG, EIA                      $15.52        $15.52
87350   TC   HEPATITIS B AG, EIA                      $15.52        $15.52
87380        HEPATITIS DELTA AG, EIA                  $22.13        $22.13
87380   TC   HEPATITIS DELTA AG, EIA                  $22.13        $22.13
87385        HISTOPLASMA CAPSUL AG, EIA               $16.16        $16.16
87385   TC   HISTOPLASMA CAPSUL AG, EIA               $16.16        $16.16
87390        HIV-1 AG, EIA                             $9.92         $9.92
87390   TC   HIV-1 AG, EIA                             $9.92         $9.92
87391        HIV-2 AG, EIA                             $9.92         $9.92
87391   TC   HIV-2 AG, EIA                             $9.92         $9.92
87400        ANTIGEN DETECTION - INFLUENZA A/B        $16.16        $16.16
87400   TC   ANTIGEN DETECTION - INFLUENZA A/B        $16.16        $16.16
87420        RESP SYNCYTIAL AG, EIA                   $16.16        $16.16
87420   TC   RESP SYNCYTIAL AG, EIA                   $16.16        $16.16
87425        ROTAVIRUS AG, EIA                        $16.16        $16.16
87425   TC   ROTAVIRUS AG, EIA                        $16.16        $16.16
87427        ANTIGEN DETECTION - SHIGA-LIKE TOXIN     $16.16        $16.16
87427   TC   ANTIGEN DETECTION - SHIGA-LIKE TOXIN     $16.16        $16.16
87430        STREP A AG, EIA                          $16.16        $16.16
87430   TC   STREP A AG, EIA                          $16.16        $16.16
87449        AG DETECT NOS, EIA, MULT                 $16.16        $16.16
87449   TC   AG DETECT NOS, EIA, MULT                 $16.16        $16.16
87450        AG DETECT NOS, EIA, SINGLE               $10.93        $10.93
87450   TC   AG DETECT NOS, EIA, SINGLE               $10.93        $10.93
87451        ANTIGEN DETECTION - POLYVALENT   $10.93   $10.93
87451   TC   ANTIGEN DETECTION - POLYVALENT   $10.93   $10.93
87470        BARTONELLA, DNA, DIR PROBE       $21.45   $21.45
87470   TC   BARTONELLA, DNA, DIR PROBE       $21.45   $21.45
87471        BARTONELLA, DNA, AMP PROBE       $37.20   $37.20
87471   TC   BARTONELLA, DNA, AMP PROBE       $37.20   $37.20
87472        BARTONELLA, DNA, QUANT           $57.72   $57.72
87472   TC   BARTONELLA, DNA, QUANT           $57.72   $57.72
87475        LYME DIS, DNA, DIR PROBE         $21.45   $21.45
87475   TC   LYME DIS, DNA, DIR PROBE         $21.45   $21.45
87476        LYME DIS, DNA, AMP PROBE         $37.20   $37.20
87476   TC   LYME DIS, DNA, AMP PROBE         $37.20   $37.20
87477        LYME DIS, DNA, QUANT             $57.72   $57.72
87477   TC   LYME DIS, DNA, QUANT             $57.72   $57.72
87480        CANDIDA, DNA, DIR PROBE          $21.45   $21.45
87480   TC   CANDIDA, DNA, DIR PROBE          $21.45   $21.45
87481        CANDIDA, DNA, AMP PROBE          $37.20   $37.20
87481   TC   CANDIDA, DNA, AMP PROBE          $37.20   $37.20
87482        CANDIDA, DNA, QUANT              $56.26   $56.26
87482   TC   CANDIDA, DNA, QUANT              $56.26   $56.26
87485        CHLYMD PNEUM, DNA, DIR PROBE     $21.45   $21.45
87485   TC   CHLYMD PNEUM, DNA, DIR PROBE     $21.45   $21.45
87486        CHYLMD PNEUM, DNA, AMP PROBE     $37.20   $37.20
87486   TC   CHYLMD PNEUM, DNA, AMP PROBE     $37.20   $37.20
87487        CHYLMD PNEUM, DNA, QUANT         $57.72   $57.72
87487   TC   CHYLMD PNEUM, DNA, QUANT         $57.72   $57.72
87490        CHYLMD TRACH, DNA, DIR PROBE     $21.45   $21.45
87490   TC   CHYLMD TRACH, DNA, DIR PROBE     $21.45   $21.45
87491        CHYLMD TRACH, DNA, AMP PROBE     $37.20   $37.20
87491   TC   CHYLMD TRACH, DNA, AMP PROBE     $37.20   $37.20
87492        CHYLMD TRACH, DNA, QUANT         $47.11   $47.11
87492   TC   CHYLMD TRACH, DNA, QUANT         $47.11   $47.11
87495        CYTOMEG, DNA, DIR PROBE          $21.45   $21.45
87495   TC   CYTOMEG, DNA, DIR PROBE          $21.45   $21.45
87496        CYTOMEG, DNA, AMP PROBE          $37.20   $37.20
87496   TC   CYTOMEG, DNA, AMP PROBE          $37.20   $37.20
87497        CYTOMEG, DNA, QUANT              $57.72   $57.72
87497   TC   CYTOMEG, DNA, QUANT              $57.72   $57.72
87510        GARDNER VAG, DNA, DIR PROBE      $21.45   $21.45
87510   TC   GARDNER VAG, DNA, DIR PROBE      $21.45   $21.45
87511        GARDNER VAG, DNA, AMP PROBE      $37.20   $37.20
87511   TC   GARDNER VAG, DNA, AMP PROBE      $37.20   $37.20
87512        GARDNER VAG, DNA, QUANT          $56.26   $56.26
87512   TC   GARDNER VAG, DNA, QUANT          $56.26   $56.26
87515        HEPATITIS B, DNA, DIR PROBE      $21.45   $21.45
87515   TC   HEPATITIS B, DNA, DIR PROBE      $21.45   $21.45
87516        HEPATITIS B, DNA, AMP PROBE      $37.20   $37.20
87516   TC   HEPATITIS B, DNA, AMP PROBE      $37.20   $37.20
87517        HEPATITIS B, DNA, QUANT          $57.72   $57.72
87517   TC   HEPATITIS B, DNA, QUANT          $57.72   $57.72
87520        HEPATITIS C, RNA, DIR PROBE      $21.45   $21.45
87520   TC   HEPATITIS C, RNA, DIR PROBE      $21.45   $21.45
87521        HEPATITIS C, RNA AMP PROBE      $37.20   $37.20
87521   TC   HEPATITIS C, RNA AMP PROBE      $37.20   $37.20
87522        HEPATITIS C, RNA, QUANT         $57.72   $57.72
87522   TC   HEPATITIS C, RNA, QUANT         $57.72   $57.72
87525        HEPATITIS G, DNA, DIR PROBE     $21.45   $21.45
87525   TC   HEPATITIS G, DNA, DIR PROBE     $21.45   $21.45
87526        HEPATITIS G, DNA, AMP PROBE     $37.20   $37.20
87526   TC   HEPATITIS G, DNA, AMP PROBE     $37.20   $37.20
87527        HEPATITIS G, DNA, QUANT         $56.26   $56.26
87527   TC   HEPATITIS G, DNA, QUANT         $56.26   $56.26
87528        HSV, DNA, DIR PROBE             $21.45   $21.45
87528   TC   HSV, DNA, DIR PROBE             $21.45   $21.45
87529        HSV, DNA, AMP PROBE             $37.20   $37.20
87529   TC   HSV, DNA, AMP PROBE             $37.20   $37.20
87530        HSV, DNA, QUANT                 $57.72   $57.72
87530   TC   HSV, DNA, QUANT                 $57.72   $57.72
87531        HHV-6, DNA, DIR PROBE           $21.45   $21.45
87531   TC   HHV-6, DNA, DIR PROBE           $21.45   $21.45
87532        HHV-6, DNA, AMP PROBE           $37.20   $37.20
87532   TC   HHV-6, DNA, AMP PROBE           $37.20   $37.20
87533        HHV-6, DNA, QUANT               $56.26   $56.26
87533   TC   HHV-6, DNA, QUANT               $56.26   $56.26
87534        HIV-1, DNA, DIR PROBE           $21.45   $21.45
87534   TC   HIV-1, DNA, DIR PROBE           $21.45   $21.45
87535        HIV-1, DNA, AMP PROBE           $37.20   $37.20
87535   TC   HIV-1, DNA, AMP PROBE           $37.20   $37.20
87536        HIV-1, DNA, QUANT               $94.46   $94.46
87536   TC   HIV-1, DNA, QUANT               $94.46   $94.46
87537        HIV-2, DNA, DIR PROBE           $21.45   $21.45
87537   TC   HIV-2, DNA, DIR PROBE           $21.45   $21.45
87538        HIV-2, DNA, AMP PROBE           $37.20   $37.20
87538   TC   HIV-2, DNA, AMP PROBE           $37.20   $37.20
87539        HIV-2, DNA, QUANT               $57.72   $57.72
87539   TC   HIV-2, DNA, QUANT               $57.72   $57.72
87540        LEGION PNEUMO, DNA, DIR PROBE   $21.45   $21.45
87540   TC   LEGION PNEUMO, DNA, DIR PROBE   $21.45   $21.45
87541        LEGION PNEUMO, DNA, AMP PROB    $37.20   $37.20
87541   TC   LEGION PNEUMO, DNA, AMP PROB    $37.20   $37.20
87542        LEGION PNEUMO, DNA, QUANT       $56.26   $56.26
87542   TC   LEGION PNEUMO, DNA, QUANT       $56.26   $56.26
87550        MYCOBACTERIA, DNA, DIR PROBE    $21.45   $21.45
87550   TC   MYCOBACTERIA, DNA, DIR PROBE    $21.45   $21.45
87551        MYCOBACTERIA, DNA, AMP PROBE    $37.20   $37.20
87551   TC   MYCOBACTERIA, DNA, AMP PROBE    $37.20   $37.20
87552        MYCOBACTERIA, DNA, QUANT        $57.72   $57.72
87552   TC   MYCOBACTERIA, DNA, QUANT        $57.72   $57.72
87555        M.TUBERCULO, DNA, DIR PROBE     $21.45   $21.45
87555   TC   M.TUBERCULO, DNA, DIR PROBE     $21.45   $21.45
87556        M.TUBERCULO, DNA, AMP PROBE     $37.20   $37.20
87556   TC   M.TUBERCULO, DNA, AMP PROBE     $37.20   $37.20
87557        M.TUBERCULO, DNA, QUANT         $57.72   $57.72
87557   TC   M.TUBERCULO, DNA, QUANT         $57.72   $57.72
87560        M.AVIUM-INTRA, DNA, DIR PROB              $21.45        $21.45
87560   TC   M.AVIUM-INTRA, DNA, DIR PROB              $21.45        $21.45
87561        M.AVIUM-INTRA, DNA, AMP PROB              $37.20        $37.20
87561   TC   M.AVIUM-INTRA, DNA, AMP PROB              $37.20        $37.20
87562        M.AVIUM-INTRA, DNA, QUANT                 $57.72        $57.72
87562   TC   M.AVIUM-INTRA, DNA, QUANT                 $57.72        $57.72
87580        M.PNEUMON, DNA, DIR PROBE                 $21.45        $21.45
87580   TC   M.PNEUMON, DNA, DIR PROBE                 $21.45        $21.45
87581        M.PNEUMON, DNA, AMP PROBE                 $37.20        $37.20
87581   TC   M.PNEUMON, DNA, AMP PROBE                 $37.20        $37.20
87582        M.PNEUMON, DNA, QUANT                     $56.26        $56.26
87582   TC   M.PNEUMON, DNA, QUANT                     $56.26        $56.26
87590        N.GONORRHOEAE, DNA, DIR PROB              $21.45        $21.45
87590   TC   N.GONORRHOEAE, DNA, DIR PROB              $21.45        $21.45
87591        N.GONORRHOEAE, DNA, AMP PROB              $37.20        $37.20
87591   TC   N.GONORRHOEAE, DNA, AMP PROB              $37.20        $37.20
87592        N.GONORRHOEAE, DNA, QUANT                 $57.72        $57.72
87592   TC   N.GONORRHOEAE, DNA, QUANT                 $57.72        $57.72
87620        HPV, DNA, DIR PROBE                       $21.45        $21.45
87620   TC   HPV, DNA, DIR PROBE                       $21.45        $21.45
87621        HPV, DNA, AMP PROBE                       $37.20        $37.20
87621   TC   HPV, DNA, AMP PROBE                       $37.20        $37.20
87622        HPV, DNA, QUANT                           $56.26        $56.26
87622   TC   HPV, DNA, QUANT                           $56.26        $56.26
87650        STREP A, DNA, DIR PROBE                   $21.45        $21.45
87650   TC   STREP A, DNA, DIR PROBE                   $21.45        $21.45
87651        STREP A, DNA, AMP PROBE                   $37.20        $37.20
87651   TC   STREP A, DNA, AMP PROBE                   $37.20        $37.20
87652        STREP A, DNA, QUANT                       $56.26        $56.26
87652   TC   STREP A, DNA, QUANT                       $56.26        $56.26
87660                                                  $21.45        $21.45
             INFECTIOUS AGT NUCL ACID DNA RNA TRICHOMONAS VAGINALIS DIRECT PROBE
87660   TC                                             $21.45        $21.45
             INFECTIOUS AGT NUCL ACID DNA RNA TRICHOMONAS VAGINALIS DIRECT PROBE
87797        DETECT AGENT NOS, DNA, DIR                $21.45        $21.45
87797   TC   DETECT AGENT NOS, DNA, DIR                $21.45        $21.45
87798        DETECT AGENT NOS, DNA, AMP                $37.20        $37.20
87798   TC   DETECT AGENT NOS, DNA, AMP                $37.20        $37.20
87799        DETECT AGENT NOS, DNA, QUANT              $57.72        $57.72
87799   TC   DETECT AGENT NOS, DNA, QUANT              $57.72        $57.72
87800                                                  $42.89        $42.89
             INFECTIOUS AGENT DETECTION - MULT ORGANISMS DIRECT PROBE TECH
87800   TC                                             $42.89        $42.89
             INFECTIOUS AGENT DETECTION - MULT ORGANISMS DIRECT PROBE TECH
87801                                                  $74.41
             INFECTIOUS AGENT DETECTION - AMPLIFIED PROBE TECHNIQUE $74.41
87801   TC                                             $74.41
             INFECTIOUS AGENT DETECTION - AMPLIFIED PROBE TECHNIQUE $74.41
87802                                                  $16.16
             STREP B DETECTION IMMUNASSAY DETECTION WITH OPTIC       $16.16
87802   TC                                             $16.16
             STREP B DETECTION IMMUNASSAY DETECTION WITH OPTIC       $16.16
87803                                                  DETECTION WITH OPTIC
             CLOSTRIDIUM DIFFICILE TOXIN A IMMUNOASSAY $16.16        $16.16
87803   TC                                             DETECTION WITH OPTIC
             CLOSTRIDIUM DIFFICILE TOXIN A IMMUNOASSAY $16.16        $16.16
87804        INFLUENZA IMMUNOASSAY                     $16.16        $16.16
87804   TC   INFLUENZA IMMUNOASSAY                     $16.16        $16.16
87807                                                  $16.16        $16.16
             INFECTIOUS AGENT, IMMUNOASSAY, DIRECT OBSERVATION - RESPIRATORY
87807   TC                                             $16.16        $16.16
             INFECTIOUS AGENT, IMMUNOASSAY, DIRECT OBSERVATION - RESPIRATORY
87810        CHYLMD TRACH ASSAY W/OPTIC                $16.16        $16.16
87810   TC   CHYLMD TRACH ASSAY W/OPTIC                $16.16        $16.16
87850             N.GONORRHOEAE ASSAY W/OPTIC                $16.16         $16.16
87850   TC        N.GONORRHOEAE ASSAY W/OPTIC                $16.16         $16.16
87880             STREP A ASSAY W/OPTIC                      $16.16         $16.16
87880   TC        STREP A ASSAY W/OPTIC                      $16.16         $16.16
87899             AGENT NOS ASSAY W/OPTIC                    $16.16         $16.16
87899   TC        AGENT NOS ASSAY W/OPTIC                    $16.16         $16.16
87901                                                       $297.80
                  GENOTYPE HIV 1 REVERSE TRANSCRIPTASE AND PROTEASE        $297.80
87901   TC                                                  $297.80
                  GENOTYPE HIV 1 REVERSE TRANSCRIPTASE AND PROTEASE        $297.80
87902             HEPATITIS C GENOTYPE ANALYSIS             $297.80        $297.80
87902   TC        HEPATITIS C GENOTYPE ANALYSIS             $297.80        $297.80
87903                                                       $379.02        $379.02
                  PHENOTYPE HIV 1, W/DRUG RESISTANCE TISS. CULTURE ANALYSIS, 1-10
87903   TC                                                  $379.02        $379.02
                  PHENOTYPE HIV 1, W/DRUG RESISTANCE TISS. CULTURE ANALYSIS, 1-10
87904                                                        $97.20
                  PHENOTYPE BY DNA/RNA, HIV 1, EACH ADDTL. DRUG, UP TO FIVE $97.20
87904   TC                                                   $97.20
                  PHENOTYPE BY DNA/RNA, HIV 1, EACH ADDTL. DRUG, UP TO FIVE $97.20
88000             AUTOPSY (NECROPSY), GROSS 1               $269.40        $269.40
88005             AUTOPSY (NECROPSY), GROSS 2               $299.28        $299.28
88007             AUTOPSY (NECROPSY), GROSS 3               $329.16        $329.16
88012             AUTOPSY (NECROPSY), GROSS 4               $248.13        $248.13
88014             AUTOPSY (NECROPSY), GROSS                 $248.13        $248.13
88016             AUTOPSY (NECROPSY), GROSS 5               $301.55        $301.55
88020             AUTOPSY (NECROPSY), COMPLETE              $386.67        $386.67
88025             AUTOPSY (NECROPSY), COMPLETE 1            $416.54        $416.54
88027             AUTOPSY (NECROPSY), COMPLETE 2            $446.42        $446.42
88028             AUTOPSY (NECROPSY), COMPLETE 3            $248.13        $248.13
88029             AUTOPSY (NECROPSY), COMPLETE 4            $248.13        $248.13
88036             LIMITED AUTOPSY 1                         $160.28        $160.28
88037             LIMITED AUTOPSY                           $117.72        $117.72
88040             FORENSIC AUTOPSY (NECROPSY)               $641.12        $641.12
88045             CORONER'S AUTOPSY (NECROPSY)               $53.43         $53.43
88104             CYTOPATHOLOGY, FLUIDS                      $66.77         $66.77
88104        26   CYTOPATHOLOGY, FLUIDS                      $38.51         $38.51
88104   TC        CYTOPATHOLOGY, FLUIDS                      $28.25         $28.25
88106             CYTOPATHOLOGY,FLUIDS, FILTER METHOD        $89.41         $89.41
88106        26   CYTOPATHOLOGY,FLUIDS, FILTER METHOD        $38.51         $38.51
88106   TC        CYTOPATHOLOGY,FLUIDS, FILTER METHOD        $50.90         $50.90
88107             CYTOPATHOLOGY FLUIDS, SMEAR AND FILTER $107.96           $107.96
88107        26   CYTOPATHOLOGY FLUIDS, SMEAR AND FILTER $52.55             $52.55
88107   TC        CYTOPATHOLOGY FLUIDS, SMEAR AND FILTER $55.42             $55.42
88108             CYTOPATH, CONCENTRATE TECH                 $83.07         $83.07
88108        26   CYTOPATH, CONCENTRATE TECH                 $38.51         $38.51
88108   TC        CYTOPATH, CONCENTRATE TECH                 $44.55         $44.55
88112                                                       $147.37        $147.37
                  CYTOPATHOLOGY SELECTIVE CELLULAR ENHANCEMNT W INTERPRET EXC CERVI VAGI
88112        26                                              $80.64         $80.64
                  CYTOPATHOLOGY SELECTIVE CELLULAR ENHANCEMNT W INTERPRET EXC CERVI VAGI
88112   TC                                                   $66.74         $66.74
                  CYTOPATHOLOGY SELECTIVE CELLULAR ENHANCEMNT W INTERPRET EXC CERVI VAGI
88125             FORENSIC CYTOPATHOLOGY                     $25.39         $25.39
88125        26   FORENSIC CYTOPATHOLOGY                     $17.84         $17.84
88125   TC        FORENSIC CYTOPATHOLOGY                      $7.56          $7.56
88130             SEX CHROMATIN IDENTIFICATION               $20.27         $20.27
88130   TC        SEX CHROMATIN IDENTIFICATION               $20.27         $20.27
88140             SEX CHROMATIN IDENTIFICATION 1              $8.14          $8.14
88140   TC        SEX CHROMATIN IDENTIFICATION 1              $8.14          $8.14
88141             CYTOPATH, CERV/VAG INTERPRET               $27.67         $27.67
88142             CYTOPATH CERV/VAG THIN LAYER            $26.47         $26.47
88142   TC        CYTOPATH CERV/VAG THIN LAYER            $26.47         $26.47
88143                                                     $26.47         $26.47
                  CYTOPATH VAG/CERV,COLLECTED PRESERV FLUID,AUTO THIN LAYER PREP - MANUAL SCR
88143   TC                                                $26.47         $26.47
                  CYTOPATH VAG/CERV,COLLECTED PRESERV FLUID,AUTO THIN LAYER PREP - MANUAL SCR
88147                                                     $15.33         $15.33
                  CYTOPATH VA/CERV - SCRN AUTO SYST UNDER PHYSICIAN SUPERVISION
88147   TC                                                $15.33         $15.33
                  CYTOPATH VA/CERV - SCRN AUTO SYST UNDER PHYSICIAN SUPERVISION
88148                                                     $20.47
                  CYTOPATH VAG/CERV - SCRN BY AUTOMATED W/MANUAL RESCRN  $20.47
88148   TC                                                $20.47
                  CYTOPATH VAG/CERV - SCRN BY AUTOMATED W/MANUAL RESCRN  $20.47
88150             CYTOPATH CERV/VAG                       $14.23         $14.23
88150   TC        CYTOPATH CERV/VAG                       $14.23         $14.23
88152             CYTOPATH CERV/VAG AUTO                  $14.23         $14.23
88152   TC        CYTOPATH CERV/VAG AUTO                  $14.23         $14.23
88153                                                     $14.23         $14.23
                  CYTOPATH SLIDES AVG/CERV W/MANUAL SCRN & RESCRN UNDER PHYS SPRVS
88153   TC                                                $14.23         $14.23
                  CYTOPATH SLIDES AVG/CERV W/MANUAL SCRN & RESCRN UNDER PHYS SPRVS
88154                                                     $14.23         $14.23
                  CYTOPATH SLIDES VAG/CERV W/MAN SCRN & COMP ASSIS RESCRN USING CELL SELECT
88154   TC                                                $14.23         $14.23
                  CYTOPATH SLIDES VAG/CERV W/MAN SCRN & COMP ASSIS RESCRN USING CELL SELECT
88155             CYTOPATH CERV/VAG INDEX                  $8.07          $8.07
88155   TC        CYTOPATH CERV/VAG INDEX                  $8.07          $8.07
88160             CYTOPATH SMEAR, ANY OTHER SOURCE        $62.96         $62.96
88160        26   CYTOPATH SMEAR, ANY OTHER SOURCE        $34.26         $34.26
88160   TC        CYTOPATH SMEAR, ANY OTHER SOURCE        $28.70         $28.70
88161                                                     $67.94
                  CYTOPATHOLOGY PREP, SCREEN & INTERPRETATION            $67.94
88161        26                                           $34.26
                  CYTOPATHOLOGY PREP, SCREEN & INTERPRETATION            $34.26
88161   TC                                                $33.68
                  CYTOPATHOLOGY PREP, SCREEN & INTERPRETATION            $33.68
88162                                                     $84.42
                  CYTOPATHOLGY EXTENDED STUDY PLUS 5 SLIDES              $84.42
88162        26                                           $52.55
                  CYTOPATHOLGY EXTENDED STUDY PLUS 5 SLIDES              $52.55
88162   TC                                                $31.88
                  CYTOPATHOLGY EXTENDED STUDY PLUS 5 SLIDES              $31.88
88164                                                     $14.23         $14.23
                  CYTOPATH,SLIDES,CERV/VAG (BETHESDA SYSTEM),MAN SCRN UNDER PHYS SUPERVISION
88164   TC                                                $14.23         $14.23
                  CYTOPATH,SLIDES,CERV/VAG (BETHESDA SYSTEM),MAN SCRN UNDER PHYS SUPERVISION
88165                                                     $14.23         $14.23
                  CYTOPATH SLIDES CER/VAG W/MAN SCRN & RESCRN UNDER PHYS SUPERVISION
88165   TC                                                $14.23         $14.23
                  CYTOPATH SLIDES CER/VAG W/MAN SCRN & RESCRN UNDER PHYS SUPERVISION
88166                                                     $14.23         $14.23
                  CYTOPATH SLIDES CERV/VAG WITH MAN SCRN AND COMPUTER ASSIST RESCRN
88166   TC                                                $14.23         $14.23
                  CYTOPATH SLIDES CERV/VAG WITH MAN SCRN AND COMPUTER ASSIST RESCRN
88167                                                     $14.23          W/CELL
                  CYTO SLIDES VAG/CERV W/MAN SCRN&COMPUTER ASST RESCRN$14.23 SELECTION/RVW
88167   TC                                                $14.23          W/CELL
                  CYTO SLIDES VAG/CERV W/MAN SCRN&COMPUTER ASST RESCRN$14.23 SELECTION/RVW
88172             EVALUATION OF SMEAR                     $63.26         $63.26
88172        26   EVALUATION OF SMEAR                     $41.34         $41.34
88172   TC        EVALUATION OF SMEAR                     $21.92         $21.92
88173             INTERPRETATION OF SMEAR                $166.15        $166.15
88173        26   INTERPRETATION OF SMEAR                 $95.33         $95.33
88173   TC        INTERPRETATION OF SMEAR                 $70.81         $70.81
88174                                                     $27.96         $27.96
                  CYTOPATHOLOGY CERVICAL OR VAGINAL AUTOMATED THIN LAYER PREPARATION
88174   TC                                                $27.96         $27.96
                  CYTOPATHOLOGY CERVICAL OR VAGINAL AUTOMATED THIN LAYER PREPARATION
88175                                                     $35.69         THIN LAYER PREP
                  CYTOPATH CERV VAG COLLECT IN PRESERV FLUID AUTOMATED $35.69
88175   TC                                                $35.69         THIN LAYER PREP
                  CYTOPATH CERV VAG COLLECT IN PRESERV FLUID AUTOMATED $35.69
88182             CELL MARKER STUDY                      $129.01        $129.01
88182        26   CELL MARKER STUDY                       $53.03         $53.03
88182   TC        CELL MARKER STUDY                       $75.98         $75.98
88184                                                     $60.40         $60.40
                  FLOW CYTOMETRY, CELL SURFACE, CYTOPLASMIC/NUCLEAR MARKER
88184   TC                                                $60.40         $60.40
                  FLOW CYTOMETRY, CELL SURFACE, CYTOPLASMIC/NUCLEAR MARKER
88185                                                     $29.61         $29.61
                  FLOW CYTOMETRY, CELL SURFACE, CYTOPLASMIC/NUCLEAR MARKER, TECHNICAL
88185   TC                                                $29.61         $29.61
                  FLOW CYTOMETRY, CELL SURFACE, CYTOPLASMIC/NUCLEAR MARKER, TECHNICAL
88187                                                 $86.27
             FLOW CYTOMETRY, INTERPRETATION - 2 TO 8 MARKERS          $86.27
88188                                                $107.61
             FLOW CYTOMETRY, INTERPRETATION - 9 TO 15 MARKERS        $107.61
88189                                                $141.80
             FLOW CYTOMETRY, INTERPRETATION - 16 OR MORE MARKERS $141.80
88230        TISSUE CULTURE, LYMPHOCYTE              $156.96         $156.96
88230   TC   TISSUE CULTURE, LYMPHOCYTE              $156.96         $156.96
88233        TISSUE CULTURE, SKIN/BIOPSY             $189.63         $189.63
88233   TC   TISSUE CULTURE, SKIN/BIOPSY             $189.63         $189.63
88235        TISSUE CULTURE, PLACENTA                $198.41         $198.41
88235   TC   TISSUE CULTURE, PLACENTA                $198.41         $198.41
88237        TISSUE CULTURE, BONE MARROW             $170.17         $170.17
88237   TC   TISSUE CULTURE, BONE MARROW             $170.17         $170.17
88239        TISSUE CULTURE, OTHER                   $198.78         $198.78
88239   TC   TISSUE CULTURE, OTHER                   $198.78         $198.78
88240                                                  $5.73
             CRYOPRESERVATION,FREEZING STORAGE OF CELLS,EACH CELL LINE $5.73
88240   TC                                             $5.73
             CRYOPRESERVATION,FREEZING STORAGE OF CELLS,EACH CELL LINE $5.73
88241                                                  $5.73
             THAWING AND EXPANSION OF FROZEN CELLS, EACH ALIQUOT       $5.73
88241   TC                                             $5.73
             THAWING AND EXPANSION OF FROZEN CELLS, EACH ALIQUOT       $5.73
88245        CHROMOSOME ANALYSIS                     $200.57         $200.57
88245   TC   CHROMOSOME ANALYSIS                     $200.57         $200.57
88248        CHROMOSOME ANALYSIS 1                   $233.33         $233.33
88248   TC   CHROMOSOME ANALYSIS 1                   $233.33         $233.33
88249                                                $233.33         100 CELLS,CLASTOGEN STR
             CHROMOSOME ANALYSIS FOR BREAKAGE SYNDROMES - SCORE $233.33
88249   TC                                           $233.33         100 CELLS,CLASTOGEN STR
             CHROMOSOME ANALYSIS FOR BREAKAGE SYNDROMES - SCORE $233.33
88261        CHROMOSOME ANALYSIS: 5 CELLS            $238.14         $238.14
88261   TC   CHROMOSOME ANALYSIS: 5 CELLS            $238.14         $238.14
88262        CHROMOSOME COUNT:15-20 CELLS            $167.93         $167.93
88262   TC   CHROMOSOME COUNT:15-20 CELLS            $167.93         $167.93
88263        CHROMOSOME ANALYSIS:45 CELLS            $202.48         $202.48
88263   TC   CHROMOSOME ANALYSIS:45 CELLS            $202.48         $202.48
88264        CHROMOSOME ANAL - 20 - 25 CELLS         $167.93         $167.93
88264   TC   CHROMOSOME ANAL - 20 - 25 CELLS         $167.93         $167.93
88267        CHROMOSOME ANALYSIS:PLACENTA            $242.21         $242.21
88267   TC   CHROMOSOME ANALYSIS:PLACENTA            $242.21         $242.21
88269        CHROMOSOME ANALYSIS:AMNIOTIC            $224.09         $224.09
88269   TC   CHROMOSOME ANALYSIS:AMNIOTIC            $224.09         $224.09
88271        MOLECULAR CYTOGENICS - DNA PROBE, EACH $19.50            $19.50
88271   TC   MOLECULAR CYTOGENICS - DNA PROBE, EACH $19.50            $19.50
88272                                                 $34.13          $34.13
             MOLECULAR CYTOGENICS - 3-5 CELLS, CHROMOSOMAL IN SITU HYBRIDIZATION
88272   TC                                            $34.13          $34.13
             MOLECULAR CYTOGENICS - 3-5 CELLS, CHROMOSOMAL IN SITU HYBRIDIZATION
88273                                                 $43.29          $43.29
             MOLECULAR CYTOGENICS 10-30 CELLS, CHROMOSOMAL IN SITU HYBRIDIZATION
88273   TC                                            $43.29          $43.29
             MOLECULAR CYTOGENICS 10-30 CELLS, CHROMOSOMAL IN SITU HYBRIDIZATION
88274                                                 $46.89          $46.89
             MOLECULAR CYTOGENICS 25-99 CELLS,INTERPHASE IN SITU SYBRIDIZATIOIN
88274   TC                                            $46.89          $46.89
             MOLECULAR CYTOGENICS 25-99 CELLS,INTERPHASE IN SITU SYBRIDIZATIOIN
88275                                                 $54.12          $54.12
             MOLECULAR CYTOGENICS 100-300 CELLS, INTERPHASE IN SITU HYBRIDIZATION
88275   TC                                            $54.12          $54.12
             MOLECULAR CYTOGENICS 100-300 CELLS, INTERPHASE IN SITU HYBRIDIZATION
88280        CHROMOSOME KARYOTYPE STUDY               $33.82          $33.82
88280   TC   CHROMOSOME KARYOTYPE STUDY               $33.82          $33.82
88283        CHROMOSOME BANDING STUDY                 $92.44          $92.44
88283   TC   CHROMOSOME BANDING STUDY                 $92.44          $92.44
88285        CHROMOSOME COUNT: ADDITIONAL             $25.60          $25.60
88285   TC   CHROMOSOME COUNT: ADDITIONAL             $25.60          $25.60
88289        CHROMOSOME STUDY: ADDITIONAL             $46.40          $46.40
88289   TC        CHROMOSOME STUDY: ADDITIONAL              $46.40      $46.40
88291                                                       $33.41      $33.41
                  CYTOGENETIC & MOLECULAR CYTOGENETICS, INTERP AND REPORT
88300             SURGICAL PATHOLOGY, LEVEL 1               $24.88      $24.88
88300        26   SURGICAL PATHOLOGY, LEVEL 1                $5.54       $5.54
88300   TC        SURGICAL PATHOLOGY, LEVEL 1               $19.34      $19.34
88302             SURGICAL PATHOLOGY, LEVEL II              $53.86      $53.86
88302        26   SURGICAL PATHOLOGY, LEVEL II               $9.30       $9.30
88302   TC        SURGICAL PATHOLOGY, LEVEL II              $44.55      $44.55
88304                                                       $71.34
                  SURGICAL PATHOLOGY, LEVEL III, GROSS AND MICROSCOPIC  $71.34
88304        26                                             $15.00
                  SURGICAL PATHOLOGY, LEVEL III, GROSS AND MICROSCOPIC  $15.00
88304   TC                                                  $56.33
                  SURGICAL PATHOLOGY, LEVEL III, GROSS AND MICROSCOPIC  $56.33
88305                                                      $124.88
                  SURGICAL PATHOLOGY, LEVEL IV. GROSS AND MICROSCOPIC  $124.88
88305        26                                             $52.07
                  SURGICAL PATHOLOGY, LEVEL IV. GROSS AND MICROSCOPIC   $52.07
88305   TC                                                  $72.81
                  SURGICAL PATHOLOGY, LEVEL IV. GROSS AND MICROSCOPIC   $72.81
88307             SURGICAL PATHOLOGY, LEVEL V              $223.12     $223.12
88307        26   SURGICAL PATHOLOGY, LEVEL V              $109.36     $109.36
88307   TC        SURGICAL PATHOLOGY, LEVEL V              $113.75     $113.75
88309             SURGICAL PATHOLOGY, LEVEL VI             $313.17     $313.17
88309        26   SURGICAL PATHOLOGY, LEVEL VI             $156.41     $156.41
88309   TC        SURGICAL PATHOLOGY, LEVEL VI             $156.76     $156.76
88311             DECALCIFY TISSUE                          $22.61      $22.61
88311        26   DECALCIFY TISSUE                          $16.41      $16.41
88311   TC        DECALCIFY TISSUE                           $6.20       $6.20
88312             SPECIAL STAINS 1                          $95.81      $95.81
88312        26   SPECIAL STAINS 1                          $37.09      $37.09
88312   TC        SPECIAL STAINS 1                          $58.72      $58.72
88313             SPECIAL STAINS                            $68.80      $68.80
88313        26   SPECIAL STAINS                            $16.41      $16.41
88313   TC        SPECIAL STAINS                            $52.39      $52.39
88314             HISTOCHEMICAL STAIN                      $116.24     $116.24
88314        26   HISTOCHEMICAL STAIN                       $30.94      $30.94
88314   TC        HISTOCHEMICAL STAIN                       $85.30      $85.30
88318             CHEMICAL HISTOCHEMISTRY                   $95.92      $95.92
88318        26   CHEMICAL HISTOCHEMISTRY                   $29.04      $29.04
88318   TC        CHEMICAL HISTOCHEMISTRY                   $66.87      $66.87
88319             HISTOCHEMISTRY, ENZYME CONSTIT           $181.22     $181.22
88319        26   HISTOCHEMISTRY, ENZYME CONSTIT            $36.15      $36.15
88319   TC        HISTOCHEMISTRY, ENZYME CONSTIT           $145.07     $145.07
88321             MICROSLIDE CONSULTATION 1                $100.05      $89.63
88323             MICROSLIDE CONSULTATION                  $147.92     $147.92
88323        26   MICROSLIDE CONSULTATION                   $92.50      $92.50
88323   TC        MICROSLIDE CONSULTATION                   $55.42      $55.42
88325             COMPREHENSIVE REVIEW OF DATA             $242.58     $152.92
88329             PATHOLOGY CONSULT DUR SURGERY             $62.70      $46.40
88331             CONSULTATION DURING SURGERY              $109.73     $109.73
88331        26   CONSULTATION DURING SURGERY               $81.75      $81.75
88331   TC        CONSULTATION DURING SURGERY               $27.99      $27.99
88332             PATHOLOGY CONSULT IN SURGERY              $50.56      $50.56
88332        26   PATHOLOGY CONSULT IN SURGERY              $40.41      $40.41
88332   TC        PATHOLOGY CONSULT IN SURGERY              $10.14      $10.14
88342             IMMUNOCYTOCHEMISTRY                      $108.68     $108.68
88342        26   IMMUNOCYTOCHEMISTRY                       $58.25      $58.25
88342   TC        IMMUNOCYTOCHEMISTRY                      $50.44         $50.44
88346             IMMUNOFLUORESCENT STUDY                 $114.15        $114.15
88346        26   IMMUNOFLUORESCENT STUDY                  $58.72         $58.72
88346   TC        IMMUNOFLUORESCENT STUDY                  $55.42         $55.42
88347             IMMUNS FLUORESCENT STUDY                $100.11        $100.11
88347        26   IMMUNS FLUORESCENT STUDY                 $58.27         $58.27
88347   TC        IMMUNS FLUORESCENT STUDY                 $41.84         $41.84
88348             ELECTRON MICROSCOPY                     $500.30        $500.30
88348        26   ELECTRON MICROSCOPY                     $103.70        $103.70
88348   TC        ELECTRON MICROSCOPY                     $396.60        $396.60
88349             SCANNING ELECTRON MICROSCOPY            $200.71        $200.71
88349        26   SCANNING ELECTRON MICROSCOPY             $52.55         $52.55
88349   TC        SCANNING ELECTRON MICROSCOPY            $148.16        $148.16
88355             ANALYSIS, SKELETAL MUSCLE               $490.43        $490.43
88355        26   ANALYSIS, SKELETAL MUSCLE               $127.21        $127.21
88355   TC        ANALYSIS, SKELETAL MUSCLE               $363.22        $363.22
88356             ANALYSIS,NERVE                          $340.95        $340.95
88356        26   ANALYSIS,NERVE                          $206.50        $206.50
88356   TC        ANALYSIS,NERVE                          $134.44        $134.44
88358             ANALYSIS, TUMOR                          $89.59         $89.59
88358        26   ANALYSIS, TUMOR                          $67.43         $67.43
88358   TC        ANALYSIS, TUMOR                          $22.16         $22.16
88360                                                     $133.92
                  MORPHOMETRIC ANALYSIS - TUMOR IMMUNOCYTOCHEMISTRY, $133.92
88360        26                                            $76.23
                  MORPHOMETRIC ANALYSIS - TUMOR IMMUNOCYTOCHEMISTRY, $76.23
88360   TC                                                 $57.69
                  MORPHOMETRIC ANALYSIS - TUMOR IMMUNOCYTOCHEMISTRY, $57.69
88361                                                     $199.37        $199.37
                   MORPHOMETRIC ANALY TUMOR IMMUNOCYTOCHEM QUAN SEMIQUAN COMPUTER ASSISTED
88361        26                                            $82.59         $82.59
                   MORPHOMETRIC ANALY TUMOR IMMUNOCYTOCHEM QUAN SEMIQUAN COMPUTER ASSISTED
88361   TC                                                $116.79        $116.79
                   MORPHOMETRIC ANALY TUMOR IMMUNOCYTOCHEM QUAN SEMIQUAN COMPUTER ASSISTED
88362             NERVE TEASING PREPARATIONS              $322.09        $322.09
88362        26   NERVE TEASING PREPARATIONS              $149.48        $149.48
88362   TC        NERVE TEASING PREPARATIONS              $172.61        $172.61
88365             IN SITU HYBRIDIZATION EACH PROBE        $155.89        $155.89
88365        26   IN SITU HYBRIDIZATION EACH PROBE         $81.90         $81.90
88365   TC        IN SITU HYBRIDIZATION EACH PROBE         $73.98         $73.98
88367                                                     $248.98        $248.98
                  MORPHOMETRIC ANALYSIS IN SITU HYBRIDIZATION QUANTITATIVE
88367        26                                            $89.05
                  MORPHOMETRIC ANALYSIS IN SITU HYBRIDIZATION QUANTITATIVE$89.05
88367   TC                                                $159.93        $159.93
                  MORPHOMETRIC ANALYSIS IN SITU HYBRIDIZATION QUANTITATIVE
88368                                                     $179.55        $179.55
                  MORPHOMETRIC ANALYSIS IN SITU HYBRIDIZATION USING COMPUTER TECH
88368        26                                            $96.59         $96.59
                  MORPHOMETRIC ANALYSIS IN SITU HYBRIDIZATION USING COMPUTER TECH
88368   TC                                                 $82.95         $82.95
                  MORPHOMETRIC ANALYSIS IN SITU HYBRIDIZATION USING COMPUTER TECH
88371             PROTIEN ANALYSIS/WESTERN                 $29.94         $29.94
88371        26   PROTIEN ANALYSIS/WESTERN                 $11.98         $11.98
88371   TC        PROTIEN ANALYSIS/WESTERN                 $17.96         $17.96
88372             PROTEIN ANALYSIS W/PROBE                 $30.65         $30.65
88372        26   PROTEIN ANALYSIS W/PROBE                 $12.56         $12.56
88372   TC        PROTEIN ANALYSIS W/PROBE                 $18.09         $18.09
88400             BILIRUBIN,TOTAL, TRANSCUTANEOUS           $6.78          $6.78
88400   TC        BILIRUBIN,TOTAL, TRANSCUTANEOUS           $6.78          $6.78
89050             BODY FLUID CELL COUNT EXCEPT BLOOD        $6.37          $6.37
89050   TC        BODY FLUID CELL COUNT EXCEPT BLOOD        $6.37          $6.37
89051             BODY FLUID CELL COUNT                     $7.42          $7.42
89051   TC        BODY FLUID CELL COUNT                     $7.42          $7.42
89055           LEUKOCYTE COUNT FECAL                        $5.75          $5.75
89055   TC      LEUKOCYTE COUNT FECAL                        $5.75          $5.75
89060           EXAM,SYNOVIAL FLUID CRYSTALS                 $9.64          $9.64
89060        26 EXAM,SYNOVIAL FLUID CRYSTALS                 $6.65          $6.65
89060   TC      EXAM,SYNOVIAL FLUID CRYSTALS                 $2.99          $2.99
89100           SAMPLE INTESTINAL CONTENTS                 $112.75         $39.40
89105           SAMPLE INTESTINAL CONTENTS 1               $125.26         $32.45
89125           SPECIMEN FAT STAIN                           $5.64          $5.64
89125   TC      SPECIMEN FAT STAIN                           $5.64          $5.64
89130           SAMPLE STOMACH CONTENTS                    $101.12         $28.22
89132           SAMPLE STOMACH CONTENTS 1                   $79.66         $12.19
89135           SAMPLE STOMACH CONTENTS 2                  $124.94         $50.69
89136           SAMPLE STOMACH CONTENTS 3                   $88.78         $14.52
89140           SAMPLE STOMACH CONTENTS 4                  $140.77         $58.83
89141           SAMPLE STOMACH CONTENTS 5                  $168.27         $56.88
89160           EXAM FECES FOR MEAT FIBERS                   $4.97          $4.97
89160   TC      EXAM FECES FOR MEAT FIBERS                   $4.97          $4.97
89190           NASAL SMEAR FOR EOSINOPHILS                  $6.40          $6.40
89190   TC      NASAL SMEAR FOR EOSINOPHILS                  $6.40          $6.40
89220                                                       $20.11
                SPUTUM OBTAINING SPECIMEN AEROSOL INDUCED TECHNIQUE $20.11
89220   TC                                                  $20.11
                SPUTUM OBTAINING SPECIMEN AEROSOL INDUCED TECHNIQUE $20.11
89225           STARCH GRANULES FECES                        $4.50          $4.50
89225   TC      STARCH GRANULES FECES                        $4.50          $4.50
89230           SWEAT COLLECTION BY IONTOPHORESIS            $5.62          $5.62
89230   TC      SWEAT COLLECTION BY IONTOPHORESIS            $5.62          $5.62
89235           WATER LOAD TEST                              $6.90          $6.90
89235   TC      WATER LOAD TEST                              $6.90          $6.90
89250           CULTURE/FERT OOCYTE                     $1,243.29       $1,243.29
89250   TC      CULTURE/FERT OOCYTE                     $1,243.29       $1,243.29
89300           SEMEN ANALYSIS 1                            $12.02         $12.02
89300   TC      SEMEN ANALYSIS 1                            $12.02         $12.02
89310           SEMEN ANALYSIS                              $11.59         $11.59
89310   TC      SEMEN ANALYSIS                              $11.59         $11.59
89320           SEMEN ANALYSIS 2                            $16.24         $16.24
89320   TC      SEMEN ANALYSIS 2                            $16.24         $16.24
89321                                                       $16.24
                SEMEN ANALYSIS PRESENCE AND/OR MOTILITY OF SPERM           $16.24
89321   TC                                                  $16.24
                SEMEN ANALYSIS PRESENCE AND/OR MOTILITY OF SPERM           $16.24
89325           SPERM ANTIBODY TEST                         $14.37         $14.37
89325   TC      SPERM ANTIBODY TEST                         $14.37         $14.37
89329           SPERM EVALUATION TEST                       $28.25         $28.25
89329   TC      SPERM EVALUATION TEST                       $28.25         $28.25
89330           EVALUATION, CERVICAL MUCUS                  $13.33         $13.33
89330   TC      EVALUATION, CERVICAL MUCUS                  $13.33         $13.33
90371                                                      FOR IM
                HEPITITIS B IMMUNE GLOBULIN (HBIG), HUMAN, $132.85 USE    $132.85
90375                                                        OR SUBCUT USE $74.48
                RABIES IMMUNE GLOBULIN (RIG),HUMAN, FOR IM$74.48
90376                                                       $74.48         $74.48
                RABIES IMMUNE GLOBULIN, HEAT-TREATED (RIG-HT), HUMAN, FOR IM/SUBCU USE
90379                                                       $17.79         $17.79
                RESPIRATORY SYNCYTIAL,VIRUS IMMUNE GLOBULIN (RSV-IGIV) HUMAN, FOR IN USE
90384                                                      $100.19
                RHO(D) IMMUNE GLOBULIN (RHIG),HUMAN, FULL DOSE, FOR IM USE$100.19
90385                                                       $34.72
                RHO(D) IMMUNE GLOBULINE (RHIG), HUMAN, MINIDOSE FOR IM USE $34.72
90389                                                      $122.36
                TETANUS IMMUNE GLOBULIN (TIG), HUMAN, FOR IM USE          $122.36
90396                                                      $130.50
                VARICELLA-ZOSTER IMMUNE GLOBULIN, HUMAN, FOR IM USE       $130.50
90581           ANTHRAX VACCINE, FOR SUBCUTANEOUS USE $124.09             $124.09
90585                                             $164.22      $164.22
        BACILLUS CALMETTE-GUERIN (BCG) FOR TB, LIVE, PERCUTANEOUS UE
90586                                             $164.22
        BCG VACC, FOR BLADDER CANCER, LIVE, INTRAVESICAL USE   $164.22
90660   INFL VIRUS VACC, LIVE, INTRANASAL USE      $26.22       $26.22
90665   LYME DISEASE VACC, ADULT DOSAGE, IM USE $59.95          $59.95
90675   RABIES VACC, FOR IM USE                   $158.83      $158.83
90676   RABIES BAC, INTRADERMAL USE                $84.50       $84.50
90690    TYPHOID VACCINE, LIVE,ORAL                $43.67       $43.67
90691                                               (VICPS)     $43.71
        TYPHOID VACC, VI CAPSULAR POLYSACCHARIDE$43.71 FOR IM USE
90692                                                $0.91       $0.91
        TYPHOID VAC, HEAT.PHENOL-INACTIVATED, SUBCU OR INTRADERM USE
90708   MEASLES-RUBELLA IMMUNIZATION               $19.79       $19.79
90712   ORAL POLIOVIRUS IMMUNIZATION               $19.06       $19.06
90720   DTP/HIB VACCINE                            $35.05       $35.05
90725   CHOLERA IMMUNIZATION                         $0.81       $0.81
90735   ENCEPHALITIS VIRUS VACCINE                $102.70      $102.70
90740   HEPATITIS B 3 DOSE VACCINE                $193.29      $193.29
90747   HEPATITIS B VACCINE, ANY AGE              $101.47      $101.47
90780   IV INFUSION THERAPY, 1 HOUR               $110.17      $110.17
90781   IV INFUSION, ADDITIONAL HOUR               $30.98       $30.98
90782   INJECTION (SC)/(IM)                        $12.33       $12.33
90783   INJECTION (IA)                             $21.43       $21.43
90784   INJECTION (IV)                             $19.29       $19.29
90788   INJECTION OF ANTIBIOTIC                    $10.72       $10.72
90799                                              $10.72       $10.72
90801   PSY DX INTERVIEW                          $194.45      $183.34
90802   INTAC PSY DX INTERVIEW                    $206.51      $196.33
90804   PSYTX, OFFICE (20-30)                      $83.29       $78.21
90805   PSYTX, OFFICE (20-30) W/E&M                $91.65       $87.95
90806   PSYTX, OFFICE (45-50)                     $125.71      $121.08
90807   PSYTX, OFFICE (45-50) W/E&M               $133.59      $130.35
90808   PSYTX, OFFICE (75-80)                     $187.48      $181.46
90809   PSYTX, OFFICE (75-80) W/E&M               $194.29      $190.60
90810   INTAC PSYTX, OFFICE (20-30)                $89.97       $85.80
90811   INTAC PSYTX, OFF (20-30) W/E&M            $100.64       $95.56
90812   INTAC PSYTX, OFFICE (45-50)               $135.30      $128.35
90813   INTAC PSYTX, OFF (45-50) W/E&M            $142.25      $137.62
90814   INTAC PSYTX, OFFICE (75-80)               $196.14      $190.59
90815   INTAC PSYTX, OFF (75-80) W/E&M            $202.04      $197.40
90816   PSYTX, HOSP (20-30)                        $83.88       $83.88
90817   PSYTX, HOSP (20-30) W/E&M                  $92.10       $92.10
90818   PSYTX, HOSP (45-50)                       $126.72      $126.72
90819   PSYTX, HOSP (45-50) W/E&M                 $132.76      $132.76
90821   PSYTX, HOSP (75-80)                       $188.53      $188.53
90822   PSYTX, HOSP (75-80) W/E&M                 $193.95      $193.95
90823   INTAC PSYTX, HOSP (20-30)                  $90.23       $90.23
90824   INTAC PSYTX, HOSP (20-30) W/E&M            $98.90       $98.90
90826   INTAC PSYTX, HOSP (45-50)                 $134.02      $134.02
90827   INTAC PSYTX, HOSP (45-50) W/E&M           $139.56      $139.56
90828   INTAC PSYTX, HOSP (75-80)                 $196.25      $196.25
90829   INTAC PSYTX, HOSP (75-80) W/E&M           $200.77      $200.77
90845   PSYCHOANALYSIS                            $116.38      $114.99
90846   FAMILY PSYTX W/O PATIENT                  $121.92      $121.92
90847   FAMILY PSYTX W/PATIENT                    $148.51      $145.73
90849             MULTIPLE FAMILY GROUP PSYTX             $42.23      $40.84
90853             GROUP PSYCHOTHERAPY                     $41.31      $40.37
90857             INTAC GROUP PSYTX                       $45.13      $43.28
90862             MEDICATION MANAGEMENT                   $65.99      $62.29
90865             NARCOSYNTHESIS                         $206.51     $185.70
90870             ELECTROCONVULSIVE THERAPY              $183.63     $121.60
90871             ELECTROCONVULSIVE,MULT SEIZURE         $185.87     $185.87
90875             INDIVIDUAL PSYCHOPYSIOLOGICAL THERAPY $102.10       $81.75
90876                                                    $148.98
                  IND. PSYCHOPHYSIOLOGICAL THERAPY APPX 40-45 MIN.   $129.06
90880             HYPNOTHERAPY                           $158.03     $141.83
90882             ENVIRONMENTAL MANIPULATION             $109.32     $109.32
90885             PSY EVALUATION OF RECORDS               $65.59      $65.59
90887             CONSULTATION WITH FAMILY               $112.21     $100.17
90889             PREPARATION OF REPORT                   $94.37      $94.37
90901             BIOFEEDBACK TRAINING BY MODALITY        $50.95      $27.35
90911             BIOFEEDBACK PERI/URO/RECTAL            $117.71      $59.85
90918             HEMODIALYSIS SERVICES, GT AGE 2        $844.61     $844.61
90919             HEMODIALYSIS SERVICES AGE 2-12         $615.04     $615.04
90920             HEMODIALYSIS SERVICE AGE 12-19         $538.91     $538.91
90921             HEMODIALYSIS SERVICE AGE 20 PLUS       $337.33     $337.33
90922             ESRD RELATED SERVICES, MONTH            $28.29      $28.29
90923             ESRD RELATED SVC, 2-11 YRS              $20.14      $20.14
90924             ESRD RELATED SVC, 12-19 YRS             $17.72      $17.72
90925             ESRD RELATED SERVICES, 20 PLUS YRS      $11.42      $11.42
90935             HEMODIALYSIS, ONE EVALUATION            $92.46      $92.46
90937             HEMODIALYSIS, REPEATED EVAL.           $151.18     $151.18
90939              HEMODIALYSIS ACCESS FLOW STUDY         $98.37      $98.37
90939        26    HEMODIALYSIS ACCESS FLOW STUDY         $39.95      $39.95
90939   TC         HEMODIALYSIS ACCESS FLOW STUDY         $58.42      $58.42
90940             HEMODIALYSIS ACCESS FLOW STUDY          $98.37      $98.37
90940        26   HEMODIALYSIS ACCESS FLOW STUDY          $39.95      $39.95
90940   TC        HEMODIALYSIS ACCESS FLOW STUDY          $58.42      $58.42
90945             DIALYSIS, SINGLE EVALUATION             $96.33      $96.33
90947             DIALYSIS, REPEATED EVAL                $154.57     $154.57
90989             DIALYSIS TRAINING/COMPLETE             $648.22     $648.22
90993             DIALYSIS TRAIN NOT COMPLETED           $109.32     $109.32
90997             HEMOPERFUSION                          $123.20     $123.20
91000             ESOPHAGEAL INTUBATION                   $52.56      $52.56
91000        26   ESOPHAGEAL INTUBATION                   $48.53      $48.53
91000   TC        ESOPHAGEAL INTUBATION                     $4.03      $4.03
91010             ESOPHAGUS MOTILITY STUDY 1             $269.64     $269.64
91010        26   ESOPHAGUS MOTILITY STUDY 1              $83.93      $83.93
91010   TC        ESOPHAGUS MOTILITY STUDY 1             $185.71     $185.71
91011             ESOPHAGUS MOTILITY TEST 1              $320.23     $320.23
91011        26   ESOPHAGUS MOTILITY TEST 1              $100.75     $100.75
91011   TC        ESOPHAGUS MOTILITY TEST 1              $219.49     $219.49
91012             ESOPHAGUS MOTILITY STUDY               $342.65     $342.65
91012        26   ESOPHAGUS MOTILITY STUDY                $97.85      $97.85
91012   TC        ESOPHAGUS MOTILITY STUDY               $244.80     $244.80
91020             GASTRIC MOTILITY                       $284.42     $284.42
91020        26   GASTRIC MOTILITY                        $95.95      $95.95
91020   TC        GASTRIC MOTILITY                       $188.49     $188.49
91030           ACID PERFUSION OF ESOPHAGUS              $159.28       $159.28
91030        26 ACID PERFUSION OF ESOPHAGUS               $60.97        $60.97
91030   TC      ACID PERFUSION OF ESOPHAGUS               $98.31        $98.31
91034                                                    $294.25       CATHETER
                ESOPHAGUS, GASTROESPHOGEAL REFLUX TEST - WITH NASAL $294.25
91034                                                     $65.50        $65.50
             26 ESOPHAGUS, GASTROESPHOGEAL REFLUX TEST - WITH NASAL CATHETER
91034   TC                                               $228.74       CATHETER
                ESOPHAGUS, GASTROESPHOGEAL REFLUX TEST - WITH NASAL $228.74
91035                                                    $582.14       $582.14
                ESOPHAGUS, GASTROESPHOGEAL REFLUX TEST - W NASAL CATHETER PH
91035                                                    $106.24       $106.24
             26 ESOPHAGUS, GASTROESPHOGEAL REFLUX TEST - W NASAL CATHETER PH
91035   TC                                               $475.88       $475.88
                ESOPHAGUS, GASTROESPHOGEAL REFLUX TEST - W NASAL CATHETER PH
91037                                                    $187.32       $187.32
                ESOPHOGEAL FUNCTION TEST, GASTROESOPHAGEAL REFLUX TEST WITH NASAL
91037                                                     $65.50        $65.50
             26 ESOPHOGEAL FUNCTION TEST, GASTROESOPHAGEAL REFLUX TEST WITH NASAL
91037   TC                                               $121.83       $121.83
                ESOPHOGEAL FUNCTION TEST, GASTROESOPHAGEAL REFLUX TEST WITH NASAL
91038                                                    $160.87       $160.87
                ESOPHOGEAL FUNCTION TEST, GASTROESOPHAGEAL REFLUX TEST W NASAL
91038                                                     $74.22        $74.22
             26 ESOPHOGEAL FUNCTION TEST, GASTROESOPHAGEAL REFLUX TEST W NASAL
91038   TC                                                $86.66        $86.66
                ESOPHOGEAL FUNCTION TEST, GASTROESOPHAGEAL REFLUX TEST W NASAL
91040                                                    $566.85
                ESOPHAGEAL BALLOON DISTENSION PROVOCATION STUDY        $566.85
91040                                                     $65.50
             26 ESOPHAGEAL BALLOON DISTENSION PROVOCATION STUDY         $65.50
91040   TC                                               $501.35
                ESOPHAGEAL BALLOON DISTENSION PROVOCATION STUDY        $501.35
91052           GASTRIC ANALYSIS TEST                    $154.29       $154.29
91052        26 GASTRIC ANALYSIS TEST                     $53.20        $53.20
91052   TC      GASTRIC ANALYSIS TEST                    $101.09       $101.09
91055           GASTRIC INTUBATION FOR SMEAR             $184.69       $184.69
91055        26 GASTRIC INTUBATION FOR SMEAR              $60.46        $60.46
91055   TC      GASTRIC INTUBATION FOR SMEAR             $124.23       $124.23
91060           GASTRIC SALINE LOAD TEST                 $114.52       $114.52
91060        26 GASTRIC SALINE LOAD TEST                  $29.63        $29.63
91060   TC      GASTRIC SALINE LOAD TEST                  $84.89        $84.89
91065           BREATH HYDROGEN TEST                      $78.42        $78.42
91065        26 BREATH HYDROGEN TEST                      $13.43        $13.43
91065   TC      BREATH HYDROGEN TEST                      $64.98        $64.98
91100           PASS INTESTINE BLEEDING TUBE             $184.64        $68.48
91105           GASTRIC INTUBATION/ASPIRATION            $116.41        $23.37
91110                                                  $1,211.19     $1,211.19
                GI TRACT IMAGING INTRALUMINAL EG CAPSULE ENDOSCOPY W INTERP AND REPORT
91110                                                     ENDOSCOPY W INTERP AND REPORT
             26 GI TRACT IMAGING INTRALUMINAL EG CAPSULE$241.59        $241.59
91110   TC                                                ENDOSCOPY W INTERP AND REPORT
                GI TRACT IMAGING INTRALUMINAL EG CAPSULE$969.60        $969.60
91120                                                    $559.59       $559.59
                RECTAL SENSATION TONE AND COMPLIANCE TEST RESP TO BALLOO
91120                                                     $65.83
             26 RECTAL SENSATION TONE AND COMPLIANCE TEST RESP TO BALLOO$65.83
91120   TC                                               $493.75       $493.75
                RECTAL SENSATION TONE AND COMPLIANCE TEST RESP TO BALLOO
91122           ANAL PRESSURE RECORD                     $329.81       $329.81
91122        26 ANAL PRESSURE RECORD                     $118.93       $118.93
91122   TC      ANAL PRESSURE RECORD                     $210.88       $210.88
91132           ELECTROGASTROGRAPHY                       $52.72        $52.72
91132        26 ELECTROGASTROGRAPHY                       $34.95        $34.95
91132   TC      ELECTROGASTROGRAPHY                       $17.78        $17.78
91133                                                     $66.56        $66.56
                ELECTROGASTROGRAPHY DIAGNOSTIC TRANSCUTANEOUS W PROVOCATIVE TESTING
91133                                                     $44.16        $44.16
             26 ELECTROGASTROGRAPHY DIAGNOSTIC TRANSCUTANEOUS W PROVOCATIVE TESTING
91133   TC                                                $22.41        $22.41
                ELECTROGASTROGRAPHY DIAGNOSTIC TRANSCUTANEOUS W PROVOCATIVE TESTING
92002           EXAM OPHTHALM INTERMED NEW PT             $88.92        $59.76
92004           NEW EYE EXAM & TREATMENT                 $162.30       $115.09
92012           EYE EXAM ESTABLISHED PT                   $81.36        $47.11
92014           EYE EXAM & TREATMENT 1                   $120.45        $76.94
92015           DETERMINATION OF REFRACTIVE STATE         $88.01        $26.00
92018                                                     $175.03
                  GONIOSCOPY - OPHTHALMOLOGICAL EXAM/EVAL UNDER GEN ANES $175.03
92019                                                       $91.47
                  GONIOSCOPY LIMITED OPHTHALMOLOGICAL EXAM UNDER GEN ANES $91.47
92020             GONIOSCOPY - SEPARATE PROCEDURE           $34.30        $25.98
92060             SENSORIMOTOR EXAM OF EYE                  $68.78        $68.78
92060        26   SENSORIMOTOR EXAM OF EYE                  $48.10        $48.10
92060   TC        SENSORIMOTOR EXAM OF EYE                  $20.69        $20.69
92065             ORTHOPTIC/PLEOPTIC TRAINING               $43.42        $43.42
92065        26   ORTHOPTIC/PLEOPTIC TRAINING               $25.50        $25.50
92065   TC        ORTHOPTIC/PLEOPTIC TRAINING               $17.92        $17.92
92070                                                        INCLUDE SUPPLY OF LENS
                  FITTING OF CONTACT LENS FOR TX OF DISEASE,$84.68        $49.96
92081             EXAM VISUAL FIELD                         $61.90        $61.90
92081        26   EXAM VISUAL FIELD                         $25.01        $25.01
92081   TC        EXAM VISUAL FIELD                         $36.89        $36.89
92082             INTERMEDIATE EXAM OF EYE                  $79.27        $79.27
92082        26   INTERMEDIATE EXAM OF EYE                  $30.81        $30.81
92082   TC        INTERMEDIATE EXAM OF EYE                  $48.47        $48.47
92083             EXTENDED EXAM OF EYE                      $91.49        $91.49
92083        26   EXTENDED EXAM OF EYE                      $35.15        $35.15
92083   TC        EXTENDED EXAM OF EYE                      $56.33        $56.33
92100             SERIAL TONOMETRY EXAM(S)                $108.48         $62.66
92120             TONOGRAPHY & EYE EVALUATION               $90.10        $55.39
92130             WATER PROVOCATION TONOGRAPHY              $99.82        $57.70
92135             OPTHALMIC DX IMAGING                      $54.46        $54.46
92135        26   OPTHALMIC DX IMAGING                      $24.52        $24.52
92135   TC        OPTHALMIC DX IMAGING                      $29.95        $29.95
92136             OPHTHALMIC BIOMETRY                     $105.61        $105.61
92136        26   OPHTHALMIC BIOMETRY                       $38.06        $38.06
92136   TC        OPHTHALMIC BIOMETRY                       $67.55        $67.55
92140             GLAUCOMA PROVOCATIVE TESTS                $70.79        $34.69
92225             EXTENDED OPHTHALMOSCOPY, NEW              $29.24        $26.46
92226             EXTENDED OPHTHALMOSCOPY                   $26.32        $23.08
92230             OPHTHALMOSCOPY/ANGIOSCOPY               $101.04         $39.49
92235             OPHTHALMOSCOPY/ANGIOGRAPHY              $163.33        $163.33
92235        26   OPHTHALMOSCOPY/ANGIOGRAPHY                $57.70        $57.70
92235   TC        OPHTHALMOSCOPY/ANGIOGRAPHY              $105.64        $105.64
92240                                                     $339.47
                  INDOCYANINE-GREEN ANGIO W/INTERP & REPORT              $339.47
92240        26   INDOCYANINE-GREEN ANGIO W/INTERP & REPORT $78.34        $78.34
92240   TC                                                $261.14
                  INDOCYANINE-GREEN ANGIO W/INTERP & REPORT              $261.14
92250             EYE EXAM WITH PHOTOS                      $93.16        $93.16
92250        26   EYE EXAM WITH PHOTOS                      $30.81        $30.81
92250   TC        EYE EXAM WITH PHOTOS                      $62.35        $62.35
92260             OPHTHALMOSCOPY/DYNAMOMETRY                $22.22        $14.34
92265             EYE MUSCLE EVALUATION                   $110.85        $110.85
92265        26   EYE MUSCLE EVALUATION                     $54.19        $54.19
92265   TC        EYE MUSCLE EVALUATION                     $56.65        $56.65
92270             ELECTRO-OCULOGRAPHY                     $112.37        $112.37
92270        26   ELECTRO-OCULOGRAPHY                       $56.18        $56.18
92270   TC        ELECTRO-OCULOGRAPHY                       $56.19        $56.19
92275             ELECTRORETINOGRAPHY                     $141.20        $141.20
92275        26   ELECTRORETINOGRAPHY                       $70.67        $70.67
92275   TC        ELECTRORETINOGRAPHY                       $70.53        $70.53
92283             COLOR VISION EXAMINATION                  $47.90        $47.90
92283        26 COLOR VISION EXAMINATION          $11.94    $11.94
92283   TC      COLOR VISION EXAMINATION          $35.97    $35.97
92284           DARK ADAPTATION EYE EXAM          $99.50    $99.50
92284        26 DARK ADAPTATION EYE EXAM          $15.86    $15.86
92284   TC      DARK ADAPTATION EYE EXAM          $83.63    $83.63
92285           EYE PHOTOGRAPHY                   $56.33    $56.33
92285        26 EYE PHOTOGRAPHY                   $14.34    $14.34
92285   TC      EYE PHOTOGRAPHY                   $41.99    $41.99
92286           EYE MICROSCOPY                   $175.00   $175.00
92286        26 EYE MICROSCOPY                    $46.61    $46.61
92286   TC      EYE MICROSCOPY                   $128.38   $128.38
92287           INTERNAL EYE PHOTOGRAPHY         $150.73    $54.92
92287        26 INTERNAL EYE PHOTOGRAPHY          $45.02    $16.32
92287   TC      INTERNAL EYE PHOTOGRAPHY         $105.72    $38.60
92310           CONTACT LENS FITTING             $110.82    $79.80
92311           CONTACT LENS FITTING 1           $104.67    $70.41
92312           CONTACT LENS FITTING 2           $113.07    $86.22
92313           SPECIAL CONTACT LENS FITTING      $95.05    $59.42
92314           PRESCRIPTION OF CONTACT LENS 1    $77.84    $46.83
92315           PRESCRIPTION OF CONTACT LENS 2    $61.84    $29.92
92316           PRESCRIPTION OF CONTACT LENS 3    $76.30    $47.59
92317           SPECIAL CONTACT LENS RX           $66.01    $29.44
92325           MODIFICATION OF CONTACT LENS      $18.84    $18.84
92326           REPLACEMENT OF CONTACT LENS       $77.40    $77.40
92330           FITTING OF ARTIFICIAL EYE 1      $100.03    $69.02
92335           FITTING OF ARTIFICIAL EYE         $64.17    $29.92
92340           FITTING OF SPECTACLES             $50.96    $25.04
92341           FITTING OF SPECTACLES 1           $57.75    $31.83
92342           FITTING OF SPECTACLES 2           $61.63    $36.17
92352           SPECIAL SPECTACLES FITTING 1      $50.04    $25.04
92353           SPECIAL SPECTACLES FITTING 2      $59.07    $34.09
92354           SPECIAL SPECTACLES FITTING 3     $413.32   $413.32
92355           SPECIAL SPECTACLES FITTING       $200.73   $200.73
92358           EYE PROSTHESIS SERVICE            $46.52    $46.52
92370           REPAIR AND ADJUST SPECTACLES 1    $41.88    $22.44
92371           REPAIR & ADJUST SPECTACLES        $29.35    $29.35
92392           SUPPLY OF LOW VISION AIDS        $176.06   $176.06
92393           SUPPLY OF ARTIFICIAL EYE         $562.88   $562.88
92395           SUPPLY OF SPECTACLES 1            $62.50    $62.50
92396           SUPPLY OF CONTACT LENSES         $102.25   $102.25
92502           EAR AND THROAT EXAMINATION       $127.44   $127.44
92504           EAR MICROSCOPY EXAMINATION        $32.34    $13.36
92506           SPEECH & HEARING EVALUATION      $163.25    $61.87
92507           SPEECH/HEARING THERAPY            $77.65    $36.92
92508           SPEECH/HEARING THERAPY 1          $36.74    $18.70
92510           AURAL REHAB W/WO PROGRAM         $172.49   $114.17
92511           NASOPHARYNGOSCOPY                $195.59    $78.48
92512           NASAL FUNCTION STUDIES            $80.52    $36.09
92516           FACIAL NERVE FUNCTION TEST        $77.06    $31.70
92520           LARYNGEAL FUNCTION STUDIES        $62.04    $56.49
92526           SWALLOWING DYSFUNCTION           $103.67    $37.03
92531           SPONTANEOUS NYSTAGMUS STUDY       $28.81    $28.81
92532             POSITIONAL NYSTAGMUS, TEST            $33.52    $33.52
92533             CALORIC VESTIBULAR TEST               $53.00    $53.00
92534             OPTOKINETIC NYSTAGMUS, TEST           $23.29    $23.29
92541             SPONTANEOUS NYSTAGMUS TEST            $68.69    $68.69
92541        26   SPONTANEOUS NYSTAGMUS TEST            $29.17    $29.17
92541   TC        SPONTANEOUS NYSTAGMUS TEST            $39.53    $39.53
92542             POSITIONAL NYSTAGMUS TEST             $70.00    $70.00
92542        26   POSITIONAL NYSTAGMUS TEST             $24.00    $24.00
92542   TC        POSITIONAL NYSTAGMUS TEST             $46.02    $46.02
92543             CALORIC VESTIBULAR TEST 1             $31.96    $31.96
92543        26   CALORIC VESTIBULAR TEST 1              $7.56     $7.56
92543   TC        CALORIC VESTIBULAR TEST 1             $24.39    $24.39
92544             OPTOKINETIC NYSTAGMUS TEST            $55.45    $55.45
92544        26   OPTOKINETIC NYSTAGMUS TEST            $18.70    $18.70
92544   TC        OPTOKINETIC NYSTAGMUS TEST            $36.75    $36.75
92545             OSCILLATING TRACKING TEST             $49.34    $49.34
92545        26   OSCILLATING TRACKING TEST             $16.76    $16.76
92545   TC        OSCILLATING TRACKING TEST             $32.58    $32.58
92546             TORSION SWING RECORDING              $106.91   $106.91
92546        26   TORSION SWING RECORDING               $20.64    $20.64
92546   TC        TORSION SWING RECORDING               $86.28    $86.28
92547             SUPPLEMENTAL ELECTRICAL TEST           $5.66     $5.66
92547        26   SUPPLEMENTAL ELECTRICAL TEST           $4.40     $4.40
92547   TC        SUPPLEMENTAL ELECTRICAL TEST           $1.26     $1.26
92548             COMPUTERIZED DYNAMIC POSTUROGRAPHY   $133.66   $133.66
92548        26   COMPUTERIZED DYNAMIC POSTUROGRAPHY    $37.34    $37.34
92548   TC        COMPUTERIZED DYNAMIC POSTUROGRAPHY    $96.34    $96.34
92551             PURE TONE HEARING TEST, AIR           $13.52    $13.52
92552             PURE TONE AUDIOMETRY, AIR             $21.66    $21.66
92553             AUDIOMETRY, AIR & BONE                $32.51    $32.51
92555             SPEECH THRESHOLD AUDIOMETRY           $18.89    $18.89
92556             SPEECH AUDIOMETRY, COMPLETE           $28.34    $28.34
92557             COMPREHENSIVE AUDIOMETRY              $58.99    $58.99
92559             GROUP AUDIOMETRIC TESTING             $43.73    $43.73
92560             BEKESY AUDIOMETRY, SCREEN             $25.63    $25.63
92561             BEKESY AUDIOMETRY, DIAGNOSIS          $35.29    $35.29
92562             LOUDNESS BALANCE TEST                 $20.29    $20.29
92563             TONE DECAY HEARING TEST               $18.89    $18.89
92564             SISI HEARING TEST                     $23.37    $23.37
92565             STENGER TEST, PURE TONE               $19.83    $19.83
92567             TYMPANOMETRY                          $26.03    $26.03
92568             ACOUSTIC REFLEX TESTING               $18.89    $18.89
92569             ACOUSTIC REFLEX DECAY TEST            $20.29    $20.29
92571             FILTERED SPEECH HEARING TEST          $19.35    $19.35
92572             STAGGERED SPONDAIC WORD TEST           $4.49     $4.49
92573             LOMBARD TEST                          $17.50    $17.50
92575             SENSORINEURAL ACUITY TEST             $14.54    $14.54
92576             SYNTHETIC SENTENCE TEST               $22.00    $22.00
92577             STENGER TEST, SPEECH                  $35.61    $35.61
92579             AUDIOMETRY                            $35.74    $35.74
92582             CONDITIONING PLAY AUDIOMETRY          $35.74    $35.74
92583             SELECT PICTURE AUDIOMETRY             $43.80    $43.80
92584             ELECTROCOCHLEOGRAPHY                     $121.16       $121.16
92585             BRAINSTEM EVOKED AUDIOMETRY              $125.53       $125.53
92585        26   BRAINSTEM EVOKED AUDIOMETRY               $35.34        $35.34
92585   TC        BRAINSTEM EVOKED AUDIOMETRY               $90.19        $90.19
92586             AUDIOTORY EVOKED POTENTIALS LIMITED       $90.19        $90.19
92587             EVOKED OTOACOUSTIC EMISSIONS - LIMITED    $73.73        $73.73
92587        26   EVOKED OTOACOUSTIC EMISSIONS - LIMITED     $9.51         $9.51
92587   TC        EVOKED OTOACOUSTIC EMISSIONS - LIMITED    $64.22        $64.22
92588                                                       $97.76
                  EVOKED OTOACOUSTIC EMISSIONS, COMPREHENSIVE EXAM        $97.76
92588        26                                             $25.47
                  EVOKED OTOACOUSTIC EMISSIONS, COMPREHENSIVE EXAM        $25.47
92588   TC                                                  $72.27
                  EVOKED OTOACOUSTIC EMISSIONS, COMPREHENSIVE EXAM        $72.27
92590             HEARING AID EXAM, ONE EAR                 $52.06        $52.06
92591             HEARING AID EXAM, BOTH EARS               $78.17        $78.17
92592             HEARING AID CHECK, ONE EAR                $22.81        $22.81
92593             HEARING AID CHECK, BOTH EARS              $34.43        $34.43
92594             ELECTRO HEARING AID TEST,ONE              $25.17        $25.17
92595             ELECTRO HEARINGAID TEST,BOTH              $37.59        $37.59
92596             EAR PROTECTOR EVALUATION                  $29.26        $29.26
92597             VOICE PROSTHETIC FITTING                 $121.58        $64.20
92601             VESTIBULAR TEST,1 TEST                   $164.28       $164.28
92602             VESTIBULAR TEST, 2 TESTS                 $112.43       $112.43
92603             VESTIBULAR TEST, 3 TESTS                 $101.33       $101.33
92604             VESTIBULAR TEST, 4 TESTS                  $64.76        $64.76
92607             VESTIBULAR TEST, 7 TESTS                 $144.19       $144.19
92608             VESTIBULAR TEST, 8 TESTS                  $27.09        $27.09
92609             VESTIBULAR TEST, 9 TESTS                  $74.90        $74.90
92610                                                      $161.36
                  EVALUATION OF ORAL AND PHARYNGEAL SWALLOWING FUNCTION  $161.36
92611                                                      $161.36       $161.36
                  MOTION FLUOROSCOPIC EVALUATION OF SWALLOWING FUNCTION BY CINE OR VIDEO
92612                                                      $190.72        $94.45
                  FLEXIBLE FIBEROPTIC ENDOSCOPIC EVALUATION OF SWALLOWING BY CINE OR VIDEO
92613                                                       $55.14        $54.68
                  FLEXIBLE FIBEROPTIC ENDOSCOPIC EVAL OF SWALLOWING BY CINE OR VIDEO RECORD
92614                                                      $179.61        TESTING BY CINE
                  FLEXIBLE FIBER OPTIC ENDO EVALUATION LARYNGEAL SENSORY $94.45
92615                                                       $48.88        $48.88
                  FLEXIBLE FIBEROPTIC ENDO EVAL LARYNGEAL SENSORY TESTING BY CINE OR VIDEO
92616                                                      $251.51       $140.44
                  FLEX FIBER OPTIC ENDOSCOPIC EVALUATION OF SWALLOWING AND LARYNGEAL SENS
92617                                                       $60.94        SENSORY TESTING
                  FLEX FIBEROPTIC ENDO EVAL OF SWALLOWING AND LARYNGEAL $60.94
92620                                                       $54.72        INIT 60
                  EVALUATION OF CENTRAL AUDITORY FUNCTION, WITH REPORT - $54.72 MIN
92621                                                        WITH         $13.53
                  EVALUATION OF CENTRAL AUDITORY FUNCTION,$13.53 REPORT - EA ADDIT 15 MIN
92625                                                       $53.79        $53.79
                  ASSESSMENT OF TINNITUS (INCLUDES PITCH, LOUDNESS MATCHING, AND MASKING)
92950             HEART/LUNG RESUSCITATION                 $389.68       $240.19
92953             TEMPORY EXTERNAL PACING                   $15.23        $15.23
92960             HEART ELECTROCONVERSION                  $405.56       $167.65
92961             INTERNAL CARDIOVERSION                   $331.96       $331.96
92961        26   INTERNAL CARDIOVERSION                   $182.18       $182.18
92961   TC        INTERNAL CARDIOVERSION                   $149.77       $149.77
92970             CARDIOASSIST, INTERNAL                   $228.26       $228.26
92971             CARDIOASSIST, EXTERNAL                   $128.54       $128.54
92973             PERCUTANEOUS CORONARY THROMBECTOMY $228.88             $228.88
92974                                                      $209.33       $209.33
                  PLACEMENT OF RADIATION DELIVERY DEVICE FOR CORONARY BRACHYTHERAPY
92975             DISSOLVE CLOT, HEART VESSEL              $494.42       $494.42
92977             THROMBOLYSIS,INTRAVENOUS INFUS           $387.59       $387.59
92978             INTRAVASCULAR ULTRASOUND, INITIAL VESSEL$342.42        $342.42
92978        26   INTRAVASCULAR ULTRASOUND, INITIAL VESSEL$123.53        $123.53
92978   TC        INTRAVASCULAR ULTRASOUND, INITIAL VESSEL$218.88        $218.88
92979                                                   $209.08
                INTRAVASCULAR ULTRASOUND, EACH ADDL VESSEL          $209.08
92979                                                    $98.86
             26 INTRAVASCULAR ULTRASOUND, EACH ADDL VESSEL           $98.86
92979   TC                                              $110.23
                INTRAVASCULAR ULTRASOUND, EACH ADDL VESSEL          $110.23
92980           INSERTION INTRACORONARY STENT         $1,026.14   $1,026.14
92981                                                   $284.73
                INTRACORONARY STENT, EA. ADDITIONAL VESSEL          $284.73
92982           CORONARY ARTERY DILATION                $761.29     $761.29
92984           PERCUTANOUS TRANS,EACH ADD              $203.01     $203.01
92986           REVISION OF AORTIC VALVE              $1,643.39   $1,643.39
92987           REVISION OF MITRAL VALVE              $1,705.99   $1,705.99
92990           PULMONARY VALVE                       $1,332.09   $1,332.09
92992           REVISION OF HEART CHAMBER             $1,442.57   $1,442.57
92993           SEPTECTOMY - ATRIAL (BLADE)           $1,010.95   $1,010.95
92995           PTCA,W/ W/O BALLN,ANGIO,SINGLE          $837.21     $837.21
92996           PTCA, EACH ADD'L                        $222.73     $222.73
92997                                                   $828.57
                INITIAL VESSEL, BALLOON PERCUT PULMONARY ARTERY     $828.57
92998                                                   $406.19
                ADDL VESSEL, PERCUT PULMONARY ARTERY, BALLOON       $406.19
93000           ELECTROCARDIOGRAM, COMPLETE              $32.96      $32.96
93005           ELECTROCARDIOGRAM, TRACING               $21.48      $21.48
93005   TC      ELECTROCARDIOGRAM, TRACING               $21.48      $21.48
93010           ELECTROCARDIOGRAM REPORT                 $11.48      $11.48
93012           PHONIC/METRIC TRANS/ECG/RHYTHM          $284.03     $284.03
93012   TC      PHONIC/METRIC TRANS/ECG/RHYTHM          $284.03     $284.03
93014           REPORT ON TRANSMITTED ECG                $35.08      $35.08
93015           CARDIOVASCULAR STRESS TEST 1            $132.24     $132.24
93016           STRESS TEST,SUPERVISION ONLY             $30.70      $30.70
93017           CARDIOVASCULAR STRESS TEST               $81.36      $81.36
93017   TC      CARDIOVASCULAR STRESS TEST               $81.36      $81.36
93018           CARDIOVASCULAR STRESS TEST 2             $20.21      $20.21
93024           CARDIAC DRUG STRESS TEST                $134.57     $134.57
93024        26 CARDIAC DRUG STRESS TEST                 $80.12      $80.12
93024   TC      CARDIAC DRUG STRESS TEST                 $54.44      $54.44
93025           MICROVOLT T WAVE ASSESSMENT             $392.83     $392.83
93025        26 MICROVOLT T WAVE ASSESSMENT              $51.37      $51.37
93025   TC      MICROVOLT T WAVE ASSESSMENT             $341.46     $341.46
93040           RHYTHM ECG WITH REPORT                   $17.80      $17.80
93041           RHYTHM ECG, TRACING                       $7.26       $7.26
93041   TC      RHYTHM ECG, TRACING                       $7.26       $7.26
93042           RHYTHM ECG, REPORT                       $10.51      $10.51
93224           ECG MONITOR/REPORT, 24 HRS 2            $200.54     $200.54
93225           ECG MONITOR/RECORD, 24 HRS 1             $60.00      $60.00
93225   TC      ECG MONITOR/RECORD, 24 HRS 1             $60.00      $60.00
93226           ECG MONITOR/REPORT, 24HRS.              $105.46     $105.46
93226   TC      ECG MONITOR/REPORT, 24HRS.              $105.46     $105.46
93227           ECG MONITOR/REVIEW, 24 HRS.              $35.08      $35.08
93230           ECG MONITOR/REPORT, 24 HRS.             $214.16     $214.16
93231           ECG MONITOR/RECORD, 24 HRS               $73.93      $73.93
93231   TC      ECG MONITOR/RECORD, 24 HRS               $73.93      $73.93
93232           ECG MONITOR/REPORT 24 HRS.              $105.13     $105.13
93232   TC      ECG MONITOR/REPORT 24 HRS.              $105.13     $105.13
93233           ECG MONITOR/REVIEW, 24 HRS 4             $35.08      $35.08
93235           ECG MONITOR/REPORT, 24 HRS 3            $156.07     $156.07
93236           ECG MONITOR/REPORT, 24 HRS              $125.83     $125.83
93236   TC        ECG MONITOR/REPORT, 24 HRS              $125.83      $125.83
93237             ECG MONITOR/REVIEW, 24 HRS               $30.24       $30.24
93268             ECG MONITOR/RECORD                      $379.10      $379.10
93270             ECG MONITOR/REPORT, TO 12 HR             $60.00       $60.00
93270   TC        ECG MONITOR/REPORT, TO 12 HR             $60.00       $60.00
93271                                                     $284.03
                  ECG MONITORING, TRANSMISSION AND ANALYSIS            $284.03
93271   TC                                                $284.03
                  ECG MONITORING, TRANSMISSION AND ANALYSIS            $284.03
93272             ECG REVIEW, INTERPRETATION ONLY          $35.08       $35.08
93278             (SAECG) W/WO ECG                         $74.09       $74.09
93278        26   (SAECG) W/WO ECG                         $17.27       $17.27
93278   TC        (SAECG) W/WO ECG                         $56.81       $56.81
93303                                                     ANOMALIES COMP
                  TRANSTHORACIC ECHO CONGENITAL CARDIAC $273.74        $273.74
93303        26                                            $87.60
                  TRANSTHORACIC ECHO CONGENITAL CARDIAC ANOMALIES COMP$87.60
93303   TC                                                ANOMALIES COMP
                  TRANSTHORACIC ECHO CONGENITAL CARDIAC $186.15        $186.15
93304                                                     $144.94
                  TRANSTHORACIC ECHO - FOLLOW UP OR LIMITED STUDY      $144.94
93304        26                                            $50.91
                  TRANSTHORACIC ECHO - FOLLOW UP OR LIMITED STUDY       $50.91
93304   TC                                                 $94.03
                  TRANSTHORACIC ECHO - FOLLOW UP OR LIMITED STUDY       $94.03
93307             ECHO EXAM OF HEART                      $248.67      $248.67
93307        26   ECHO EXAM OF HEART                       $62.52       $62.52
93307   TC        ECHO EXAM OF HEART                      $186.15      $186.15
93308             ECHO EXAM OF HEART 1                    $130.06      $130.06
93308        26   ECHO EXAM OF HEART 1                     $36.04       $36.04
93308   TC        ECHO EXAM OF HEART 1                     $94.03       $94.03
93312             ECHO EXAM OF HEART 2                    $332.02      $332.02
93312        26   ECHO EXAM OF HEART 2                    $147.61      $147.61
93312   TC        ECHO EXAM OF HEART 2                    $184.41      $184.41
93313             ECHO EXAM OF HEART 3                     $58.51       $58.51
93314             ECHO EXAM HEART,IMAGE ACQ.              $269.41      $269.41
93314        26   ECHO EXAM HEART,IMAGE ACQ.               $84.99       $84.99
93314   TC        ECHO EXAM HEART,IMAGE ACQ.              $184.41      $184.41
93315                                                     $404.84
                  TRANSESOPHAGEAL ECHO FOR CONGENITAL CARDIAC ANOMALIES$404.84
93315        26                                           $187.37
                  TRANSESOPHAGEAL ECHO FOR CONGENITAL CARDIAC ANOMALIES$187.37
93315   TC                                                $217.49
                  TRANSESOPHAGEAL ECHO FOR CONGENITAL CARDIAC ANOMALIES$217.49
93316             PLACEMENT OF TRANSESOPHAGEAL PROBE ONLY  $59.57       $59.57
93317                                                     $300.34
                  IMAGE ACQUISITION, INTERPRETATION & REPORT           $300.34
93317        26                                           $123.83
                  IMAGE ACQUISITION, INTERPRETATION & REPORT           $123.83
93317   TC                                                $176.52
                  IMAGE ACQUISITION, INTERPRETATION & REPORT           $176.52
93318             ECHOCARDIOGRAPHY TRANSESOPHAGEL TEE $292.58          $292.58
93318        26   ECHOCARDIOGRAPHY TRANSESOPHAGEL TEE $135.23          $135.23
93318   TC        ECHOCARDIOGRAPHY TRANSESOPHAGEL TEE $157.36          $157.36
93320             DOPPLER ECHOCARDIOGRAPHY                $109.05      $109.05
93320        26   DOPPLER ECHOCARDIOGRAPHY                 $26.00       $26.00
93320   TC        DOPPLER ECHOCARDIOGRAPHY                 $83.07       $83.07
93321             DOPPLER ECHO EXAM, HEART                 $64.49       $64.49
93321        26   DOPPLER ECHO EXAM, HEART                 $10.49       $10.49
93321   TC        DOPPLER ECHO EXAM, HEART                 $53.98       $53.98
93325             DOPPLER COLOR FLOW                      $146.24      $146.24
93325        26   DOPPLER COLOR FLOW                        $5.16        $5.16
93325   TC        DOPPLER COLOR FLOW                      $141.08      $141.08
93350             ECHO EXAM OF HEART 4                    $186.66      $186.66
93350        26   ECHO EXAM OF HEART 4                    $100.96      $100.96
93350   TC        ECHO EXAM OF HEART 4                     $85.70       $85.70
93501           CATHETERIZAT HEART RIGHT                $1,025.37       $1,025.37
93501        26 CATHETERIZAT HEART RIGHT                  $208.94         $208.94
93501   TC      CATHETERIZAT HEART RIGHT                  $816.43         $816.43
93503           INSERT/PLACE HEART CATHETER               $181.43         $181.43
93505           BIOPSY OF HEART LINING                    $400.45         $400.45
93505        26 BIOPSY OF HEART LINING                    $303.59         $303.59
93505   TC      BIOPSY OF HEART LINING                     $96.86          $96.86
93508           CATH PLACEMENT, ANGIOGRAPHY               $911.37         $911.37
93508        26 CATH PLACEMENT, ANGIOGRAPHY               $307.00         $307.00
93508   TC      CATH PLACEMENT, ANGIOGRAPHY               $604.37         $604.37
93510           LEFT HEART CATHETERIZATION              $2,108.34       $2,108.34
93510        26 LEFT HEART CATHETERIZATION                $323.16         $323.16
93510   TC      LEFT HEART CATHETERIZATION              $1,785.20       $1,785.20
93511           CATHETERIZ HEART LT BY CUTDOWN          $2,109.34       $2,109.34
93511        26 CATHETERIZ HEART LT BY CUTDOWN            $371.78         $371.78
93511   TC      CATHETERIZ HEART LT BY CUTDOWN          $1,737.56       $1,737.56
93514           LFT HRT CATH VENTRIC PUNCTURE           $2,244.94       $2,244.94
93514        26 LFT HRT CATH VENTRIC PUNCTURE             $507.39         $507.39
93514   TC      LFT HRT CATH VENTRIC PUNCTURE           $1,737.56       $1,737.56
93524           CATH HRT LT RETROGRAD PLUS TRANSSEP $2,775.33           $2,775.33
93524        26 CATH HRT LT RETROGRAD PLUS TRANSSEP       $504.44         $504.44
93524   TC      CATH HRT LT RETROGRAD PLUS TRANSSEP $2,270.89           $2,270.89
93526           CATHIZAT HRT RT PLUS LT RETROGRADE      $2,771.71       $2,771.71
93526        26 CATHIZAT HRT RT PLUS LT RETROGRADE        $438.19         $438.19
93526   TC      CATHIZAT HRT RT PLUS LT RETROGRADE      $2,333.52       $2,333.52
93527           CATHRIZAT HRT RT PLUS LT TRANSSEPTA     $2,798.74       $2,798.74
93527        26 CATHRIZAT HRT RT PLUS LT TRANSSEPTA       $527.85         $527.85
93527   TC      CATHRIZAT HRT RT PLUS LT TRANSSEPTA     $2,270.89       $2,270.89
93528           RT & LT HEART CATHETERS                 $2,920.75       $2,920.75
93528        26 RT & LT HEART CATHETERS                   $649.85         $649.85
93528   TC      RT & LT HEART CATHETERS                 $2,270.89       $2,270.89
93529           RT,LT. HEART CATHETERIZATION            $2,622.82       $2,622.82
93529        26 RT,LT. HEART CATHETERIZATION              $351.92         $351.92
93529   TC      RT,LT. HEART CATHETERIZATION            $2,270.89       $2,270.89
93530           RT HEART CATH, CONGENITAL               $1,123.23       $1,123.23
93530        26 RT HEART CATH, CONGENITAL                 $306.80         $306.80
93530   TC      RT HEART CATH, CONGENITAL                 $816.43         $816.43
93531           R & L HEART CATH, CONGENITAL            $2,929.22       $2,929.22
93531        26 R & L HEART CATH, CONGENITAL              $595.70         $595.70
93531   TC      R & L HEART CATH, CONGENITAL            $2,333.52       $2,333.52
93532                                                   INTACT SEPTUM
                R HEART CATH/TRANSSEPTAL L HEART/THRU $2,982.51         $2,982.51
93532                                                     $711.62
             26 R HEART CATH/TRANSSEPTAL L HEART/THRU INTACT SEPTUM       $711.62
93532   TC                                              INTACT SEPTUM
                R HEART CATH/TRANSSEPTAL L HEART/THRU $2,270.89         $2,270.89
93533                                                   $2,744.78
                R HEART CATH/TRANS LT HEART/VIA EXIST SEPTAL OPENING    $2,744.78
93533                                                     $473.89
             26 R HEART CATH/TRANS LT HEART/VIA EXIST SEPTAL OPENING      $473.89
93533   TC                                              $2,270.89
                R HEART CATH/TRANS LT HEART/VIA EXIST SEPTAL OPENING    $2,270.89
93539           INJ PROCEDURE DURING CARD CATH             $27.45          $27.45
93540           INJ PROC DURING CARD CATH                  $29.39          $29.39
93541           INJECTION FOR LUNG ANGIOGRAM               $19.72          $19.72
93542           INJ FOR RT VENTRIC/ATRIAL ANGI             $19.72          $19.72
93543           INJ FOR LT VENTRIC/ATRIAL ANGI             $19.72          $19.72
93544           INJECT FOR AORTOGRAPHY                     $17.27          $17.27
93545             INJ FOR CORONARY ANGIOGRAPHY             $27.45         $27.45
93555             IMAGING SUPERVISION                     $357.01        $357.01
93555        26   IMAGING SUPERVISION                      $55.72         $55.72
93555   TC        IMAGING SUPERVISION                     $301.29        $301.29
93556             IMAGING SUPERVISION - PULMONARY         $531.08        $531.08
93556        26   IMAGING SUPERVISION - PULMONARY          $56.71         $56.71
93556   TC        IMAGING SUPERVISION - PULMONARY         $474.38        $474.38
93561             CARDIAC OUTPUT MEASUREMENT               $59.04         $59.04
93561        26   CARDIAC OUTPUT MEASUREMENT               $33.02         $33.02
93561   TC        CARDIAC OUTPUT MEASUREMENT               $26.03         $26.03
93562             CARDIAC OUTPUT MEASUREMENT 1             $26.64         $26.64
93562        26   CARDIAC OUTPUT MEASUREMENT 1             $10.51         $10.51
93562   TC        CARDIAC OUTPUT MEASUREMENT 1             $16.11         $16.11
93571             HEART FLOW RESERVE MEASURE              $341.03        $341.03
93571        26   HEART FLOW RESERVE MEASURE              $122.15        $122.15
93571   TC        HEART FLOW RESERVE MEASURE              $218.88        $218.88
93572             HEART FLOW RESERVE MEASUR               $205.98        $205.98
93572        26   HEART FLOW RESERVE MEASUR                $95.75         $95.75
93572   TC        HEART FLOW RESERVE MEASUR               $110.23        $110.23
93580                                                   $1,268.09      $1,268.09
                  PERCUTANEOUS TRANSCATH CLOSURE OF CONGENITAL INTERARTIAL COMM
93581                                                    OF A CONGENITAL VENTRICULAR SEPTAL
                  PERCUTANEOUS TRANS CATHETER CLOSURE$1,691.91         $1,691.91
93600             BUNDLE OF HIS RECORDING                 $242.62        $242.62
93600        26   BUNDLE OF HIS RECORDING                 $148.13        $148.13
93600   TC        BUNDLE OF HIS RECORDING                  $94.51         $94.51
93602             INTRA-ATRIAL RECORDING                  $201.66        $201.66
93602        26   INTRA-ATRIAL RECORDING                  $148.00        $148.00
93602   TC        INTRA-ATRIAL RECORDING                   $53.66         $53.66
93603             RIGHT VENTRICULAR RECORDING             $229.20        $229.20
93603        26   RIGHT VENTRICULAR RECORDING             $147.85        $147.85
93603   TC        RIGHT VENTRICULAR RECORDING              $81.36         $81.36
93609                                                     $479.06        $479.06
                  MAPPING OF TACHYCARDIA WITH CATH. MANIPULATION. MULTI SITES
93609        26                                           $347.62        $347.62
                  MAPPING OF TACHYCARDIA WITH CATH. MANIPULATION. MULTI SITES
93609   TC                                                $131.43        $131.43
                  MAPPING OF TACHYCARDIA WITH CATH. MANIPULATION. MULTI SITES
93610             INTRA-ATRIAL PACING                     $276.45        $276.45
93610        26   INTRA-ATRIAL PACING                     $210.71        $210.71
93610   TC        INTRA-ATRIAL PACING                      $65.75         $65.75
93612             INTRAVENTRICULAR PACING                 $288.81        $288.81
93612        26   INTRAVENTRICULAR PACING                 $210.71        $210.71
93612   TC        INTRAVENTRICULAR PACING                  $78.10         $78.10
93613             3-D INTRACARDIAC MAPPING                $487.93        $487.93
93613        26   3-D INTRACARDIAC MAPPING                $268.10        $268.10
93613   TC        3-D INTRACARDIAC MAPPING                $219.83        $219.83
93615             ESOPHAGEAL RECORDING                     $77.74         $77.74
93615        26   ESOPHAGEAL RECORDING                     $62.28         $62.28
93615   TC        ESOPHAGEAL RECORDING                     $15.46         $15.46
93616             ESOPHAGEAL RECORDING 1                  $111.75        $111.75
93616        26   ESOPHAGEAL RECORDING 1                   $96.28         $96.28
93616   TC        ESOPHAGEAL RECORDING 1                   $15.46         $15.46
93618             HEART RHYTHM PACING                     $482.45        $482.45
93618        26   HEART RHYTHM PACING                     $291.34        $291.34
93618   TC        HEART RHYTHM PACING                     $191.11        $191.11
93619             ELECTROPHYSIOLOGIC EVAL                 $887.02        $887.02
93619        26 ELECTROPHYSIOLOGIC EVAL                 $515.32       $515.32
93619   TC      ELECTROPHYSIOLOGIC EVAL                 $371.72       $371.72
93620                                                 $1,433.19
                ELECTROPHYSIOLOGY EVALUATION W/INDUCT ARRHYTHMIA $1,433.19
93620                                                   ARRHYTHMIA
             26 ELECTROPHYSIOLOGY EVALUATION W/INDUCT $806.69         $806.69
93620   TC                                              ARRHYTHMIA
                ELECTROPHYSIOLOGY EVALUATION W/INDUCT $626.50         $626.50
93621                                                   $255.50
                ELECTROPHYSIOLOGY EVAL. W/LEFT ATRIAL PACING          $255.50
93621                                                   $143.74
             26 ELECTROPHYSIOLOGY EVAL. W/LEFT ATRIAL PACING          $143.74
93621   TC                                              $111.76
                ELECTROPHYSIOLOGY EVAL. W/LEFT ATRIAL PACING          $111.76
93622                                                   $376.69
                ELECTROPHYSIOLOGY EVAL. W/VENTRICULAR PACING          $376.69
93622                                                   $212.07
             26 ELECTROPHYSIOLOGY EVAL. W/VENTRICULAR PACING          $212.07
93622   TC                                              $164.63
                ELECTROPHYSIOLOGY EVAL. W/VENTRICULAR PACING          $164.63
93623           STIMULATION PACING HEART                $346.12       $346.12
93623        26 STIMULATION PACING HEART                $194.79       $194.79
93623   TC      STIMULATION PACING HEART                $151.34       $151.34
93624           ELECTROPHYSIOLOGIC STUDY                $438.72       $438.72
93624        26 ELECTROPHYSIOLOGIC STUDY                $342.84       $342.84
93624   TC      ELECTROPHYSIOLOGIC STUDY                 $95.87        $95.87
93631           HEART PACING, MAPPING                   $835.56       $835.56
93631        26 HEART PACING, MAPPING                   $530.69       $530.69
93631   TC      HEART PACING, MAPPING                   $304.87       $304.87
93640           EVALUATION HEART DEVICE                 $585.42       $585.42
93640        26 EVALUATION HEART DEVICE                 $239.88       $239.88
93640   TC      EVALUATION HEART DEVICE                 $345.54       $345.54
93641           ELECTROPHYSIOLOGIC EVALUATION           $750.78       $750.78
93641        26 ELECTROPHYSIOLOGIC EVALUATION           $405.24       $405.24
93641   TC      ELECTROPHYSIOLOGIC EVALUATION           $345.54       $345.54
93642           ELECTROPHYSIOLOGY EVALUATION 2          $693.59       $693.59
93642        26 ELECTROPHYSIOLOGY EVALUATION 2          $348.04       $348.04
93642   TC      ELECTROPHYSIOLOGY EVALUATION 2          $345.54       $345.54
93650           ABLATE HEART DYSRHYTHM FOCUS 2          $745.90       $745.90
93651           INTRACARDIAC CATHETER ABLATION        $1,129.02     $1,129.02
93652           ABLATE HEART DYSRYTHM FOCUS 3         $1,228.20     $1,228.20
93660           TILT TABLE EVALUATION                   $207.78       $207.78
93660        26 TILT TABLE EVALUATION                   $129.36       $129.36
93660   TC      TILT TABLE EVALUATION                    $78.42        $78.42
93662                                                   THERAPEUTIC DIAG INTERVENTION
                INTRACARDIAC ECHOCARDIOGRAPHY DURING $341.48          $341.48
93662                                                   THERAPEUTIC DIAG INTERVENTION
             26 INTRACARDIAC ECHOCARDIOGRAPHY DURING $192.32          $192.32
93662   TC                                              THERAPEUTIC DIAG INTERVENTION
                INTRACARDIAC ECHOCARDIOGRAPHY DURING $149.17          $149.17
93668           PERIPHERAL VASCULAR REHAB PER SESSION $63.84           $63.84
93668   TC      PERIPHERAL VASCULAR REHAB PER SESSION $63.84           $63.84
93701           THORACIC BIOIMPEDANCE                    $54.39        $54.39
93701        26 THORACIC BIOIMPEDANCE                    $11.94        $11.94
93701   TC      THORACIC BIOIMPEDANCE                    $42.44        $42.44
93720           TOTAL BODY PLETHYSMOGRAPHY               $45.83        $45.83
93720        26 TOTAL BODY PLETHYSMOGRAPHY               $18.31        $18.31
93720   TC      TOTAL BODY PLETHYSMOGRAPHY               $27.52        $27.52
93721           PLETHYSMOGRAPHY TRACING                  $34.80        $34.80
93721   TC      PLETHYSMOGRAPHY TRACING                  $34.80        $34.80
93722           PLETHYSMOGRAPHY REPORT                   $11.02        $11.02
93724           ANALYSIS PACEMAKER SYSTEM               $525.27       $525.27
93724        26 ANALYSIS PACEMAKER SYSTEM               $334.16       $334.16
93724   TC      ANALYSIS PACEMAKER SYSTEM               $191.11       $191.11
93727                                                   $35.55
                ELECTRONIC ANALYSIS OF IMPLANTABLE LOOP RECORDER       $35.55
93727                                                   $24.55
             26 ELECTRONIC ANALYSIS OF IMPLANTABLE LOOP RECORDER       $24.55
93727   TC                                              $11.00
                ELECTRONIC ANALYSIS OF IMPLANTABLE LOOP RECORDER       $11.00
93731           ANALYZE PACEMAKER SYSTEM 1              $54.69         $54.69
93731        26 ANALYZE PACEMAKER SYSTEM 1              $30.70         $30.70
93731   TC      ANALYZE PACEMAKER SYSTEM 1              $23.98         $23.98
93732           ANALYZE PACEMAKER SYSTEM 2              $87.44         $87.44
93732        26 ANALYZE PACEMAKER SYSTEM 2              $62.52         $62.52
93732   TC      ANALYZE PACEMAKER SYSTEM 2              $24.92         $24.92
93733           TELEPHONE ANALYSIS,PACEMAKER            $47.70         $47.70
93733        26 TELEPHONE ANALYSIS,PACEMAKER            $11.94         $11.94
93733   TC      TELEPHONE ANALYSIS,PACEMAKER            $35.74         $35.74
93734           ANALYZE PACEMAKER SYSTEM                $42.85         $42.85
93734        26 ANALYZE PACEMAKER SYSTEM                $26.00         $26.00
93734   TC      ANALYZE PACEMAKER SYSTEM                $16.86         $16.86
93735           ANALYZE PACEMAKER SYSTEM 3              $72.08         $72.08
93735        26 ANALYZE PACEMAKER SYSTEM 3              $50.41         $50.41
93735   TC      ANALYZE PACEMAKER SYSTEM 3              $21.66         $21.66
93736           TELEPHONIC ANALYSIS                     $41.62         $41.62
93736        26 TELEPHONIC ANALYSIS                     $10.49         $10.49
93736   TC      TELEPHONIC ANALYSIS                     $31.12         $31.12
93740           TEMPERATURE GRADIENT STUDIES            $17.34         $17.34
93740        26 TEMPERATURE GRADIENT STUDIES            $10.06         $10.06
93740   TC      TEMPERATURE GRADIENT STUDIES             $7.26          $7.26
93741                                                   $87.07         $87.07
                ELECTRONIC ANALYSIS OF PACING CARDIOVERTER-DEFIBRILLATOR SINGEL CHANGER
93741                                                   $54.75         $54.75
             26 ELECTRONIC ANALYSIS OF PACING CARDIOVERTER-DEFIBRILLATOR SINGEL CHANGER
93741   TC                                              $32.31         $32.31
                ELECTRONIC ANALYSIS OF PACING CARDIOVERTER-DEFIBRILLATOR SINGEL CHANGER
93742                                                   $94.80
                ELECTRONIC ANALYSIS SINGLE CHAMBER WITH REPROGRAMMING  $94.80
93742                                                   $62.49
             26 ELECTRONIC ANALYSIS SINGLE CHAMBER WITH REPROGRAMMING  $62.49
93742   TC                                              $32.31
                ELECTRONIC ANALYSIS SINGLE CHAMBER WITH REPROGRAMMING  $32.31
93743                                                  $105.69
                ELECTRONIC ANALYSIS DUAL CHAMBER WITHOUT REPROGRAMMING$105.69
93743                                                   $70.60
             26 ELECTRONIC ANALYSIS DUAL CHAMBER WITHOUT REPROGRAMMING $70.60
93743   TC                                              $35.09
                ELECTRONIC ANALYSIS DUAL CHAMBER WITHOUT REPROGRAMMING $35.09
93744                                                  $113.08
                ELECTRONIC ANA DUAL CHAMBER WITH REPROGRAMMING        $113.08
93744                                                   $80.76
             26 ELECTRONIC ANA DUAL CHAMBER WITH REPROGRAMMING         $80.76
93744   TC                                              $32.31
                ELECTRONIC ANA DUAL CHAMBER WITH REPROGRAMMING         $32.31
93760           CEPHALIC THERMOGRAM                     $76.01         $76.01
93760        26 CEPHALIC THERMOGRAM                     $15.40         $15.40
93760   TC      CEPHALIC THERMOGRAM                     $60.61         $60.61
93762           PERIPHERAL THERMOGRAM                  $111.69        $111.69
93762        26 PERIPHERAL THERMOGRAM                   $22.33         $22.33
93762   TC      PERIPHERAL THERMOGRAM                   $89.35         $89.35
93770           MEASURE VENOUS PRESSURE                 $12.23         $12.23
93770        26 MEASURE VENOUS PRESSURE                 $10.51         $10.51
93770   TC      MEASURE VENOUS PRESSURE                  $1.72          $1.72
93784           AMBULATORY BP MONITORING                $91.45         $91.45
93786           AMBULATORY BP RECORDING                 $42.44         $42.44
93786   TC      AMBULATORY BP RECORDING                 $42.44         $42.44
93788           AMBULATORY BP ANALYSIS                  $23.93         $23.93
93788   TC      AMBULATORY BP ANALYSIS                  $23.93         $23.93
93790           REVIEW/REPORT BP RECORDING              $25.07         $25.07
93797           CARDIAC REHAB                           $23.09         $12.44
93798             CARDIAC REHAB/MONITOR                   $35.41         $19.22
93875             EXTRACRANIAL STUDY 1                   $111.94        $111.94
93875        26   EXTRACRANIAL STUDY 1                    $13.57         $13.57
93875   TC        EXTRACRANIAL STUDY 1                    $98.35         $98.35
93880             DUPLEX SCAN EXTRACRANIAL ARTER         $273.15        $273.15
93880        26   DUPLEX SCAN EXTRACRANIAL ARTER          $36.65         $36.65
93880   TC        DUPLEX SCAN EXTRACRANIAL ARTER         $236.50        $236.50
93882             NON-INVASIVE FOLLOW-UP STUDY           $173.65        $173.65
93882        26   NON-INVASIVE FOLLOW-UP STUDY            $25.10         $25.10
93882   TC        NON-INVASIVE FOLLOW-UP STUDY           $148.54        $148.54
93886             INTRACRANIAL STUDY                     $340.52        $340.52
93886        26   INTRACRANIAL STUDY                      $59.72         $59.72
93886   TC        INTRACRANIAL STUDY                     $280.80        $280.80
93888             DOPPLER STUDY FOLLOW-UP LIMIT          $216.60        $216.60
93888        26   DOPPLER STUDY FOLLOW-UP LIMIT           $39.12         $39.12
93888   TC        DOPPLER STUDY FOLLOW-UP LIMIT          $177.50        $177.50
93890                                                    ARTERIES - VASOREACTIVITY STUDY
                  TRANSCRANIAL DOPPLER STUDY, INTRACRAN $265.48         $265.48
93890        26                                           $63.69         $63.69
                  TRANSCRANIAL DOPPLER STUDY, INTRACRAN ARTERIES - VASOREACTIVITY STUDY
93890   TC                                               ARTERIES - VASOREACTIVITY STUDY
                  TRANSCRANIAL DOPPLER STUDY, INTRACRAN $201.78         $201.78
93892                                                    $283.21        $283.21
                  TRANSCRANIAL DOPPLER STUDY, INTRACRANIAL ARTERIES - EMBOLI DETECTION
93892        26                                           $72.97         $72.97
                  TRANSCRANIAL DOPPLER STUDY, INTRACRANIAL ARTERIES - EMBOLI DETECTION
93892   TC                                               $210.23        $210.23
                  TRANSCRANIAL DOPPLER STUDY, INTRACRANIAL ARTERIES - EMBOLI DETECTION
93893                                                    $277.72        $277.72
                  TRANSCRANIAL DOPPLER STUDY, INTRACRANIAL ARTERIES - EMBOLI DETECTION W
93893        26                                           $72.97         $72.97
                  TRANSCRANIAL DOPPLER STUDY, INTRACRANIAL ARTERIES - EMBOLI DETECTION W
93893   TC                                               $204.74        $204.74
                  TRANSCRANIAL DOPPLER STUDY, INTRACRANIAL ARTERIES - EMBOLI DETECTION W
93922             UPPER/LOWER EXTREM STUDY - NONIV       $128.97        $128.97
93922        26   UPPER/LOWER EXTREM STUDY - NONIV        $15.23         $15.23
93922   TC        UPPER/LOWER EXTREM STUDY - NONIV       $113.74        $113.74
93923             UPPER/LOWER EXTREMITY STUDY            $198.29        $198.29
93923        26   UPPER/LOWER EXTREMITY STUDY             $27.79         $27.79
93923   TC        UPPER/LOWER EXTREMITY STUDY            $170.52        $170.52
93924             EXTREMITY STUDY                        $233.86        $233.86
93924        26   EXTREMITY STUDY                         $31.17         $31.17
93924   TC        EXTREMITY STUDY                        $202.67        $202.67
93925             DUPLEX SCAN LOW EXTREMITIES            $324.23        $324.23
93925        26   DUPLEX SCAN LOW EXTREMITIES             $35.74         $35.74
93925   TC        DUPLEX SCAN LOW EXTREMITIES            $288.49        $288.49
93926             FOLLOW-UP OR LIMITED STUDY             $196.74        $196.74
93926        26   FOLLOW-UP OR LIMITED STUDY              $24.24         $24.24
93926   TC        FOLLOW-UP OR LIMITED STUDY             $172.50        $172.50
93930             DUPLEX SCAN UPPER BILAT STUDY          $258.99        $258.99
93930        26   DUPLEX SCAN UPPER BILAT STUDY           $28.65         $28.65
93930   TC        DUPLEX SCAN UPPER BILAT STUDY          $230.34        $230.34
93931             DUPLEX SCAN FOLLOW-UP LIMITED          $169.05        $169.05
93931        26   DUPLEX SCAN FOLLOW-UP LIMITED           $19.07         $19.07
93931   TC        DUPLEX SCAN FOLLOW-UP LIMITED          $149.99        $149.99
93965             NON-INVASIVE VASCULAR STUDY            $137.81        $137.81
93965        26   NON-INVASIVE VASCULAR STUDY             $21.42         $21.42
93965   TC        NON-INVASIVE VASCULAR STUDY            $116.41        $116.41
93970             DUPLEX SCAN EXTREMITYU VEINS           $265.86        $265.86
93970        26   DUPLEX SCAN EXTREMITYU VEINS            $41.81         $41.81
93970   TC        DUPLEX SCAN EXTREMITYU VEINS           $224.05        $224.05
93971           FOLLOW-UP LIMITED STUDY                    $180.89        $180.89
93971        26 FOLLOW-UP LIMITED STUDY                     $27.48         $27.48
93971   TC      FOLLOW-UP LIMITED STUDY                    $153.41        $153.41
93975           DUPLEX SCAN OF ARTERIAL INFLOW             $420.12        $420.12
93975        26 DUPLEX SCAN OF ARTERIAL INFLOW             $110.24        $110.24
93975   TC      DUPLEX SCAN OF ARTERIAL INFLOW             $309.89        $309.89
93976           DUPLEX SCAN FOLLOW UP STUDY                $248.17        $248.17
93976        26 DUPLEX SCAN FOLLOW UP STUDY                 $73.14         $73.14
93976   TC      DUPLEX SCAN FOLLOW UP STUDY                $175.01        $175.01
93978           DUPLEX SCAN OF AORTA COMPLETE              $232.64        $232.64
93978        26 DUPLEX SCAN OF AORTA COMPLETE               $40.33         $40.33
93978   TC      DUPLEX SCAN OF AORTA COMPLETE              $192.31        $192.31
93979           DUPLEX SCANOF AORTA FOLLOW UP              $163.49        $163.49
93979        26 DUPLEX SCANOF AORTA FOLLOW UP               $27.04         $27.04
93979   TC      DUPLEX SCANOF AORTA FOLLOW UP              $136.46        $136.46
93980           PENILE VASCLR STUDY,COMPLETE               $189.21        $189.21
93980        26 PENILE VASCLR STUDY,COMPLETE                $75.96         $75.96
93980   TC      PENILE VASCLR STUDY,COMPLETE               $113.24        $113.24
93981           PENILE VASCULAR STUDY                      $150.91        $150.91
93981        26 PENILE VASCULAR STUDY                       $26.32         $26.32
93981   TC      PENILE VASCULAR STUDY                      $124.60        $124.60
93990           DUPLEX SCAN OF HEMODIALYSIS ACCESS         $187.61        $187.61
93990        26 DUPLEX SCAN OF HEMODIALYSIS ACCESS          $15.95         $15.95
93990   TC      DUPLEX SCAN OF HEMODIALYSIS ACCESS         $171.66        $171.66
94010           BREATHING CAPACITY TEST                     $57.03         $57.03
94010        26 BREATHING CAPACITY TEST                     $15.57         $15.57
94010   TC      BREATHING CAPACITY TEST                     $41.47         $41.47
94014           PATIENT RECORDED SPIROMETRY                 $87.30         $87.30
94014        26 PATIENT RECORDED SPIROMETRY                 $34.70         $34.70
94014   TC      PATIENT RECORDED SPIROMETRY                 $52.60         $52.60
94015                                                       $39.05         $39.05
                SPIRO RECDING,PT INIT,30 DAYS - RECDING INC HOOK-UP,REINF ED,DATA,TRAN,CAPT
94015   TC                                                  $39.05         $39.05
                SPIRO RECDING,PT INIT,30 DAYS - RECDING INC HOOK-UP,REINF ED,DATA,TRAN,CAPT
94016                                                       $48.26         $48.26
                SPIRO RECORD,PT INITIALED/30 DAYS - PHYS REVIEW & INTERP ONLY
94060           BRONCHOSPASM EVALUATION                     $94.79         $94.79
94060        26 BRONCHOSPASM EVALUATION                     $27.94         $27.94
94060   TC      BRONCHOSPASM EVALUATION                     $66.86         $66.86
94070           EVALUATION OF WHEEZING 1                   $101.40        $101.40
94070        26 EVALUATION OF WHEEZING 1                    $54.94         $54.94
94070   TC      EVALUATION OF WHEEZING 1                    $46.47         $46.47
94150           VITAL CAPACITY TEST                         $36.53         $36.53
94150        26 VITAL CAPACITY TEST                          $7.29          $7.29
94150   TC      VITAL CAPACITY TEST                         $29.24         $29.24
94200           LUNG FUNCTION TEST (MBC/MVV)                $37.82         $37.82
94200        26 LUNG FUNCTION TEST (MBC/MVV)                $10.08         $10.08
94200   TC      LUNG FUNCTION TEST (MBC/MVV)                $27.73         $27.73
94240           RESIDUAL LUNG CAPACITY                      $64.03         $64.03
94240        26 RESIDUAL LUNG CAPACITY                      $23.81         $23.81
94240   TC      RESIDUAL LUNG CAPACITY                      $40.24         $40.24
94250           EXPIRED GAS COLLECTION 1                    $50.43         $50.43
94250        26 EXPIRED GAS COLLECTION 1                    $10.08         $10.08
94250   TC      EXPIRED GAS COLLECTION 1                    $40.35         $40.35
94260           THORACIC GAS VOLUME                         $49.29         $49.29
94260        26 THORACIC GAS VOLUME                        $12.13         $12.13
94260   TC      THORACIC GAS VOLUME                        $37.16         $37.16
94350           LUNG NITROGEN WASHOUT CURVE                $70.11         $70.11
94350        26 LUNG NITROGEN WASHOUT CURVE                $23.81         $23.81
94350   TC      LUNG NITROGEN WASHOUT CURVE                $46.33         $46.33
94360           MEASURE AIRFLOW RESISTANCE                 $67.12         $67.12
94360        26 MEASURE AIRFLOW RESISTANCE                 $23.81         $23.81
94360   TC      MEASURE AIRFLOW RESISTANCE                 $43.31         $43.31
94370           BREATH AIRWAY CLOSING VOLUME               $66.58         $66.58
94370        26 BREATH AIRWAY CLOSING VOLUME               $23.81         $23.81
94370   TC      BREATH AIRWAY CLOSING VOLUME               $42.77         $42.77
94375           RESPIRATORY FLOW VOLUME LOOP               $62.21         $62.21
94375        26 RESPIRATORY FLOW VOLUME LOOP               $27.94         $27.94
94375   TC      RESPIRATORY FLOW VOLUME LOOP               $34.28         $34.28
94400           CO2 BREATHING RESPONSE CURVE               $86.94         $86.94
94400        26 CO2 BREATHING RESPONSE CURVE               $37.10         $37.10
94400   TC      CO2 BREATHING RESPONSE CURVE               $49.86         $49.86
94450           HYPOXIA RESPONSE CURVE                     $85.29         $85.29
94450        26 HYPOXIA RESPONSE CURVE                     $36.63         $36.63
94450   TC      HYPOXIA RESPONSE CURVE                     $48.66         $48.66
94452                                                      PHYSICIAN INTERPRETATION
                HIGH ALTITUDE SIMULATION TEST (HAST), WITH $90.14         $90.14
94452                                                      PHYSICIAN INTERPRETATION
             26 HIGH ALTITUDE SIMULATION TEST (HAST), WITH $28.40         $28.40
94452   TC                                                 PHYSICIAN INTERPRETATION
                HIGH ALTITUDE SIMULATION TEST (HAST), WITH $61.74         $61.74
94453                                                     $128.45        $128.45
                HIGH ALTITUDE SIMULATION TEST (HAST), WITH PHYSICIAN INTERP - WITH OXYGEN
94453                                                      $36.63         $36.63
             26 HIGH ALTITUDE SIMULATION TEST (HAST), WITH PHYSICIAN INTERP - WITH OXYGEN
94453   TC                                                 $91.83         $91.83
                HIGH ALTITUDE SIMULATION TEST (HAST), WITH PHYSICIAN INTERP - WITH OXYGEN
94620           PULMONARY STRESS TESTING                  $213.41        $213.41
94620        26 PULMONARY STRESS TESTING                   $59.03         $59.03
94620   TC      PULMONARY STRESS TESTING                  $154.37        $154.37
94621           PLUM STRESS TEST/COMPLEX                  $250.15        $250.15
94621        26 PLUM STRESS TEST/COMPLEX                  $130.44        $130.44
94621   TC      PLUM STRESS TEST/COMPLEX                  $119.71        $119.71
94640           AIRWAY INHALATION TREATMENT                $20.54         $20.54
94642           AEROSOL INHALATION TREATMENT              $103.81        $103.81
94656           INITIAL VENTILATION ASSIST                $164.05        $109.13
94657           CONT. VENTILATOR                          $123.75         $76.00
94660           POS AIRWAY PRESSURE, CPAP                  $97.28         $69.81
94662           NEG PRESSURE VENTILATION,CNP               $69.36         $69.36
94664           AEROSOL OR VAPOR INHALATIONS               $22.12         $22.12
94667           CHEST WALL MANIPULATION 1                  $36.32         $36.32
94668           CHEST WALL MANIPULATION                    $30.36         $30.36
94680           EXHALED AIR ANALYSIS: O2                  $142.98        $142.98
94680        26 EXHALED AIR ANALYSIS: O2                   $23.81         $23.81
94680   TC      EXHALED AIR ANALYSIS: O2                  $119.18        $119.18
94681           EXHALED AIR ANALYSIS: O2,CO2              $184.73        $184.73
94681        26 EXHALED AIR ANALYSIS: O2,CO2               $18.31         $18.31
94681   TC      EXHALED AIR ANALYSIS: O2,CO2              $166.42        $166.42
94690           EXHALED AIR ANALYSIS                      $137.32        $137.32
94690        26 EXHALED AIR ANALYSIS                        $6.65          $6.65
94690   TC      EXHALED AIR ANALYSIS                      $130.68        $130.68
94720           MONOXIDE DIFFUSING CAPACITY                $86.74         $86.74
94720        26 MONOXIDE DIFFUSING CAPACITY                $23.81         $23.81
94720   TC      MONOXIDE DIFFUSING CAPACITY               $62.92        $62.92
94725           MEMBRANE DIFFUSION CAPACITY              $214.41       $214.41
94725        26 MEMBRANE DIFFUSION CAPACITY               $23.81        $23.81
94725   TC      MEMBRANE DIFFUSION CAPACITY              $190.62       $190.62
94750           PULMONARY COMPLIANCE STUDY               $105.97       $105.97
94750        26 PULMONARY COMPLIANCE STUDY                $21.06        $21.06
94750   TC      PULMONARY COMPLIANCE STUDY                $84.91        $84.91
94760           MEASURE BLOOD OXYGEN LEVEL                 $3.54         $3.54
94760   TC      MEASURE BLOOD OXYGEN LEVEL                 $3.54         $3.54
94761           MEASURED BLOOD OXYGEN LEVEL                $7.34         $7.34
94761   TC      MEASURED BLOOD OXYGEN LEVEL                $7.34         $7.34
94762           MEASURE BLOOD OXYGEN LEVEL 1              $35.35        $35.35
94762   TC      MEASURE BLOOD OXYGEN LEVEL 1              $35.35        $35.35
94770           EXHALED CARBON DIOXIDE TEST               $63.19        $63.19
94770        26 EXHALED CARBON DIOXIDE TEST               $13.52        $13.52
94770   TC      EXHALED CARBON DIOXIDE TEST               $49.66        $49.66
95004           ALLERGY SKIN TESTS 1                       $5.17         $5.17
95010           SENSITIVITY SKIN TESTS 1                  $23.51        $10.96
95015           SCRATCH,PUNCTURE,PRICK TESTS              $14.82        $10.96
95024           SKIN TEST-INTRADERM,IMMED REAC             $7.59         $7.59
95027           SKIN END POINT TITRATION                   $7.59         $7.59
95028           ALLERGY SKIN TESTS                        $11.44        $11.44
95044           PATCH OR APPLICATION TEST(S)              $10.00        $10.00
95052           PHOTO-PATCH TEST(S)                       $12.42        $12.42
95056           PHOTOSENSITIVITY TESTS                     $8.55         $8.55
95060           EYE ALLERGY TESTS                         $17.58        $17.58
95065           NOSE ALLERGY TEST                         $10.00        $10.00
95070           BRONCHIAL ALLERGY TESTS 1                $110.80       $110.80
95071           BRONCHIAL ALLERGY TESTS                  $141.71       $141.71
95075           INGESTION CHALLENGE TEST                  $89.49        $68.24
95078           PROVOCATIVE TESTING                       $12.76        $12.76
95115           IMMUNOTHERAPY, ONE INJECTION              $19.51        $19.51
95117           IMMUNOTHERAPY INJECTIONS                  $24.84        $24.84
95120           IMMUNOTHERAPY,SINGLE ANTIGEN              $24.78        $24.78
95125           IMMUNOTHERAPY, MANY ANTIGENS              $30.52        $30.52
95130           IMMUNOTHERAPY,INSECT ANTIGEN              $42.67        $42.67
95131           2 STINGING INSECT VENOM                   $54.32        $54.32
95132           3 STINGING INSECT VENOMS                  $65.50        $65.50
95133           4 STINGING INSECT VENOMS                  $79.10        $79.10
95134           5 STINGING INSECT VENOMS                  $94.70        $94.70
95144           PROVISION OF ANTIGENS, SINGLE DOSE VIAL   $12.59         $4.39
95145                                                     $18.88
                PROVISIONS OF ANTIGENS, SINGLE STINGING INSECT VENOM     $4.39
95146           ANTIGEN THERAPY SERVICES 1                $24.67         $4.88
95147           3 SINGLE INSECT VENOMS,1 DOSE             $23.70         $4.39
95148           4 SINGLE INSECT VENOMS,1 DOSE             $31.44         $4.88
95149           5 SINGLE INSECT VENOMS,1 DOSE             $42.07         $4.88
95165           PROVISION OF ANTIGENS, MULTI              $12.59         $4.39
95170           ANTIGEN THERAPY SERVICES 2                 $9.71         $4.88
95180           RAPID DESENSITZATION, EACH HOUR          $203.13       $150.01
95250           GLUCOSE CONTINUOUS MONITORING            $198.34       $198.34
95250   TC      GLUCOSE CONTINUOUS MONITORING            $198.34       $198.34
95805           MULTIPLE SLEEP LATENCY TEST              $905.53       $905.53
95805        26 MULTIPLE SLEEP LATENCY TEST        $126.15     $126.15
95805   TC      MULTIPLE SLEEP LATENCY TEST        $779.39     $779.39
95806           SLEEP STUDY, UNATTENDED            $248.34     $248.34
95806        26 SLEEP STUDY, UNATTENDED            $109.10     $109.10
95806   TC      SLEEP STUDY, UNATTENDED            $139.25     $139.25
95807           SLEEP STUDY, ATTENDED              $646.58     $646.58
95807        26 SLEEP STUDY, ATTENDED              $108.96     $108.96
95807   TC      SLEEP STUDY, ATTENDED              $537.62     $537.62
95808           POLYSOMNOGRAPHY, 1-3               $759.04     $759.04
95808        26 POLYSOMNOGRAPHY, 1-3               $177.45     $177.45
95808   TC      POLYSOMNOGRAPHY, 1-3               $581.59     $581.59
95810           POLYSOMNOGRAPHY, 4 OR MORE       $1,002.23   $1,002.23
95810        26 POLYSOMNOGRAPHY, 4 OR MORE         $233.66     $233.66
95810   TC      POLYSOMNOGRAPHY, 4 OR MORE         $768.57     $768.57
95811           POLYSOMNOGRAPHY W/CPAP           $1,094.87   $1,094.87
95811        26 POLYSOMNOGRAPHY W/CPAP             $251.46     $251.46
95811   TC      POLYSOMNOGRAPHY W/CPAP             $843.41     $843.41
95812            EEG                               $245.30     $245.30
95812        26 EEG                                 $76.01      $76.01
95812   TC       EEG                               $169.28     $169.28
95813           EEG, GREATER THAN ONE HOUR         $324.46     $324.46
95813        26 EEG, GREATER THAN ONE HOUR         $120.94     $120.94
95813   TC      EEG, GREATER THAN ONE HOUR         $203.54     $203.54
95816           ELECTROENCEPHALOGRAM (EEG)         $230.16     $230.16
95816        26 ELECTROENCEPHALOGRAM (EEG)          $76.49      $76.49
95816   TC      ELECTROENCEPHALOGRAM (EEG)         $153.68     $153.68
95819           ELECTROENCEPHALOGRAM (EEG) 1       $196.37     $196.37
95819        26 ELECTROENCEPHALOGRAM (EEG) 1        $76.49      $76.49
95819   TC      ELECTROENCEPHALOGRAM (EEG) 1       $119.90     $119.90
95822           SLEEP ELECTROENCEPHALOGRAM         $272.33     $272.33
95822        26 SLEEP ELECTROENCEPHALOGRAM          $76.49      $76.49
95822   TC      SLEEP ELECTROENCEPHALOGRAM         $195.85     $195.85
95824           ELECTROENCEPHALOGRAPHY             $126.48     $126.48
95824        26 ELECTROENCEPHALOGRAPHY              $52.13      $52.13
95824   TC      ELECTROENCEPHALOGRAPHY              $74.35      $74.35
95827           NIGHT ELECTROENCEPHALOGRAM         $184.40     $184.40
95827        26 NIGHT ELECTROENCEPHALOGRAM          $73.84      $73.84
95827   TC      NIGHT ELECTROENCEPHALOGRAM         $110.56     $110.56
95829           SURGERY ELECTROCORTICOGRAM       $1,756.67   $1,756.67
95829        26 SURGERY ELECTROCORTICOGRAM         $428.18     $428.18
95829   TC      SURGERY ELECTROCORTICOGRAM       $1,328.50   $1,328.50
95830           INSERT ELECTRODES FOR EEG          $239.65     $121.16
95831           LIMB MUSCLE TESTING, MANUAL         $35.41      $20.14
95832           HAND MUSCLE TESTING, MANUAL         $30.22      $20.49
95833           BODY MUSCLE TESTING, MANUAL 1       $50.66      $34.45
95834           BODY MUSCLE TESTING, MANUAL         $59.71      $43.51
95851           RANGE OF MOTION MEASUREMENTS 1      $24.88      $11.91
95852           RANGE OF MOTION MEASUREMENTS        $17.79       $8.06
95857           TENSILON TEST                       $54.55      $37.42
95858           TENSILON TEST & MYOGRAM            $130.33     $130.33
95858        26 TENSILON TEST & MYOGRAM            $110.51     $110.51
95858   TC      TENSILON TEST & MYOGRAM             $19.83      $19.83
95860           ELECTROMYOGRAPHY, ONE LIMB              $115.33        $115.33
95860        26 ELECTROMYOGRAPHY, ONE LIMB               $68.38         $68.38
95860   TC      ELECTROMYOGRAPHY, ONE LIMB               $46.92         $46.92
95861           MUSCLE TEST, TWO LIMBS                  $145.73        $145.73
95861        26 MUSCLE TEST, TWO LIMBS                  $109.99        $109.99
95861   TC      MUSCLE TEST, TWO LIMBS                   $35.74         $35.74
95863           MUSCLE TEST, 3 LIMBS                    $177.60        $177.60
95863        26 MUSCLE TEST, 3 LIMBS                    $132.14        $132.14
95863   TC      MUSCLE TEST, 3 LIMBS                     $45.46         $45.46
95864           ELECTROMYOGRAPHY, 4 LIMBS               $227.91        $227.91
95864        26 ELECTROMYOGRAPHY, 4 LIMBS               $141.60        $141.60
95864   TC      ELECTROMYOGRAPHY, 4 LIMBS                $86.30         $86.30
95867           MUSCLE TEST, HEAD OR NECK 1              $84.26         $84.26
95867        26 MUSCLE TEST, HEAD OR NECK 1              $56.12         $56.12
95867   TC      MUSCLE TEST, HEAD OR NECK 1              $28.15         $28.15
95868           MUSCLE TEST, HEAD OR NECK               $117.76        $117.76
95868        26 MUSCLE TEST, HEAD OR NECK                $83.72         $83.72
95868   TC      MUSCLE TEST, HEAD OR NECK                $34.03         $34.03
95869           MUSCLE TEST, THOR PARASPINAL             $36.67         $36.67
95869        26 MUSCLE TEST, THOR PARASPINAL             $26.30         $26.30
95869   TC      MUSCLE TEST, THOR PARASPINAL             $10.37         $10.37
95870           MUSCLE TEST, NON-PARASPINAL              $36.67         $36.67
95870        26 MUSCLE TEST, NON-PARASPINAL              $26.30         $26.30
95870   TC      MUSCLE TEST, NON-PARASPINAL              $10.37         $10.37
95872           MUSCLE TEST, ONE FIBER                  $135.11        $135.11
95872        26 MUSCLE TEST, ONE FIBER                  $105.71        $105.71
95872   TC      MUSCLE TEST, ONE FIBER                   $29.40         $29.40
95875                                                   $124.92
                LIMB EXERCISE TEST WITH SPECIMEN ACQUISITION           $124.92
95875                                                    $77.60
             26 LIMB EXERCISE TEST WITH SPECIMEN ACQUISITION            $77.60
95875   TC                                               $47.31
                LIMB EXERCISE TEST WITH SPECIMEN ACQUISITION            $47.31
95900           MOTOR NERVE CONDUCTION TEST              $80.33         $80.33
95900        26 MOTOR NERVE CONDUCTION TEST              $29.68         $29.68
95900   TC      MOTOR NERVE CONDUCTION TEST              $50.64         $50.64
95903           F-WAVE NERVE CONDUCTION                  $86.28         $86.28
95903        26 F-WAVE NERVE CONDUCTION                  $42.58         $42.58
95903   TC      F-WAVE NERVE CONDUCTION                  $43.69         $43.69
95904           SENSORY/MIXED NERVE CONDUCTION TEST      $68.52         $68.52
95904        26 SENSORY/MIXED NERVE CONDUCTION TEST      $24.35         $24.35
95904   TC      SENSORY/MIXED NERVE CONDUCTION TEST      $44.16         $44.16
95920           NEUROPHYSIOLOGY TEST 1 HOUR             $215.18        $215.18
95920        26 NEUROPHYSIOLOGY TEST 1 HOUR             $152.26        $152.26
95920   TC      NEUROPHYSIOLOGY TEST 1 HOUR              $62.91         $62.91
95921                                                     CARDIOVAGAL INNERVENTION
                TESTING AUTONOMIC NERVOUS SYSTEM FUNC -$79.17           $79.17
95921                                                     CARDIOVAGAL INNERVENTION
             26 TESTING AUTONOMIC NERVOUS SYSTEM FUNC -$60.94           $60.94
95921   TC                                                CARDIOVAGAL INNERVENTION
                TESTING AUTONOMIC NERVOUS SYSTEM FUNC -$18.24           $18.24
95922                                                     ADRENERGIC INNERVENTION
                TESTING AUTO NERVOUS SYSTEM/VASOMOTOR $85.70            $85.70
95922                                                     ADRENERGIC INNERVENTION
             26 TESTING AUTO NERVOUS SYSTEM/VASOMOTOR $67.47            $67.47
95922   TC                                                ADRENERGIC INNERVENTION
                TESTING AUTO NERVOUS SYSTEM/VASOMOTOR $18.24            $18.24
95923           SUDOMOTOR, ONE OR MORE (QSART)          $136.43        $136.43
95923        26 SUDOMOTOR, ONE OR MORE (QSART)           $63.58         $63.58
95923   TC      SUDOMOTOR, ONE OR MORE (QSART)           $72.85         $72.85
95925           SOMATOSENSORY TESTING                    $82.17         $82.17
95925        26 SOMATOSENSORY TESTING                  $38.11         $38.11
95925   TC      SOMATOSENSORY TESTING                  $44.07         $44.07
95926           SOMATOSENSORY (LOWER LIMBS)            $82.30         $82.30
95926        26 SOMATOSENSORY (LOWER LIMBS)            $38.24         $38.24
95926   TC      SOMATOSENSORY (LOWER LIMBS)            $44.07         $44.07
95927           SOMATOSENSORY (TRUNK/HEAD)             $83.24         $83.24
95927        26 SOMATOSENSORY (TRUNK/HEAD)             $39.17         $39.17
95927   TC      SOMATOSENSORY (TRUNK/HEAD)             $44.07         $44.07
95928                                                 $216.66        $216.66
                CENTRAL MOTOR EVOKED POTENTIAL STUDY (TRANSCRANIAL MOTOR STIMULATION
95928                                                 $105.98        $105.98
             26 CENTRAL MOTOR EVOKED POTENTIAL STUDY (TRANSCRANIAL MOTOR STIMULATION
95928   TC                                            $110.67        $110.67
                CENTRAL MOTOR EVOKED POTENTIAL STUDY (TRANSCRANIAL MOTOR STIMULATION
95929                                                 $225.43        $225.43
                CENTRAL MOTOR EVOKED POTENTIAL STUDY (TRANSCRANIAL MOTOR STIMULATION)
95929                                                 $105.98        $105.98
             26 CENTRAL MOTOR EVOKED POTENTIAL STUDY (TRANSCRANIAL MOTOR STIMULATION)
95929   TC                                            $119.45        $119.45
                CENTRAL MOTOR EVOKED POTENTIAL STUDY (TRANSCRANIAL MOTOR STIMULATION)
95930           VEP TESTING                           $121.91        $121.91
95930        26 VEP TESTING                            $24.86         $24.86
95930   TC      VEP TESTING                            $97.06         $97.06
95933           BLINK REFLEX TEST                      $79.55         $79.55
95933        26 BLINK REFLEX TEST                      $41.49         $41.49
95933   TC      BLINK REFLEX TEST                      $38.07         $38.07
95934           H-REFLEX (GASTRO/SOLEUS)               $46.35         $46.35
95934        26 H-REFLEX (GASTRO/SOLEUS)               $35.98         $35.98
95934   TC      H-REFLEX (GASTRO/SOLEUS)               $10.37         $10.37
95936           H-REFLEX                               $49.57         $49.57
95936        26 H-REFLEX                               $39.20         $39.20
95936   TC      H-REFLEX                               $10.37         $10.37
95937                                    95935         $63.21         $63.21
95937        26                          95935         $46.81         $46.81
95937   TC                               95935         $16.39         $16.39
95950           AMBULATORY EEG MONITORING             $272.95        $272.95
95950        26 AMBULATORY EEG MONITORING             $106.67        $106.67
95950   TC      AMBULATORY EEG MONITORING             $166.31        $166.31
95951           MONITOR,EEG&VIDEORECORDING,24H      $1,030.91      $1,030.91
95951        26 MONITOR,EEG&VIDEORECORDING,24H        $424.03        $424.03
95951   TC      MONITOR,EEG&VIDEORECORDING,24H        $606.88        $606.88
95953           EEG MONITORING/COMPUTER               $524.06        $524.06
95953        26 EEG MONITORING/COMPUTER               $217.07        $217.07
95953   TC      EEG MONITORING/COMPUTER               $307.00        $307.00
95954           PHARMACOLOGICAL ACTIVATION            $322.26        $322.26
95954        26 PHARMACOLOGICAL ACTIVATION            $173.13        $173.13
95954   TC      PHARMACOLOGICAL ACTIVATION            $149.14        $149.14
95955           EEG DURING SURGERY                    $164.66        $164.66
95955        26 EEG DURING SURGERY                     $68.41         $68.41
95955   TC      EEG DURING SURGERY                     $96.27         $96.27
95956           EEG MONITERING/CABLE/RADIO            $884.29        $884.29
95956        26 EEG MONITERING/CABLE/RADIO            $217.19        $217.19
95956   TC      EEG MONITERING/CABLE/RADIO            $667.08        $667.08
95957           EEG DIGITAL ANALYSIS                  $223.12        $223.12
95957        26 EEG DIGITAL ANALYSIS                  $140.51        $140.51
95957   TC      EEG DIGITAL ANALYSIS                   $82.59         $82.59
95958           WADA ACTIVATION TEST, INCL EEG        $382.12        $382.12
95958        26 WADA ACTIVATION TEST, INCL EEG        $297.36        $297.36
95958   TC        WADA ACTIVATION TEST, INCL EEG             $84.77         $84.77
95961             CORTICAL MAPPING 1 HOUR                   $285.73        $285.73
95961        26   CORTICAL MAPPING 1 HOUR                   $222.83        $222.83
95961   TC        CORTICAL MAPPING 1 HOUR                    $62.91         $62.91
95962             CORTICAL MAPPING ADDIT HOUR               $295.90        $295.90
95962        26   CORTICAL MAPPING ADDIT HOUR               $232.99        $232.99
95962   TC        CORTICAL MAPPING ADDIT HOUR                $62.91         $62.91
95965             MAGNETOENCEPHALOGRAPHY                  $2,730.09      $2,730.09
95965        26   MAGNETOENCEPHALOGRAPHY                    $566.80        $566.80
95965   TC        MAGNETOENCEPHALOGRAPHY                  $2,163.29      $2,163.29
95966              MAGNETOENCEPHALOGRAPHY                 $1,356.31      $1,356.31
95966        26    MAGNETOENCEPHALOGRAPHY                   $282.01        $282.01
95966   TC         MAGNETOENCEPHALOGRAPHY                 $1,074.32      $1,074.32
95967              MAGNETOENCEPHALOGRAPHY                 $1,110.75      $1,110.75
95967        26    MAGNETOENCEPHALOGRAPHY                   $231.53        $231.53
95967   TC         MAGNETOENCEPHALOGRAPHY                   $879.24        $879.24
95970                                                        $62.50         $29.63
                  ELEC ANALYSIS OF IMPLANTED NEUROSTIM PULSE GEN SYST, W/O REPROG
95971                                                        $72.19          W/INTRA OR SUB PROG
                  ELEC ANALY IMPLANT NEUR PULSE GEN - SIM NEURO PULSE GEN $50.91
95972                                                       $134.51        $101.18
                  ELEC ANAL IMP NEURO PUL GEN COMPLEX SPINAL CORD FIRST HOUR
95973                                                        $76.33         $63.37
                  ELEC ANAL IMP NEURO PULSE GEN COMPLEX SPINAL CORD EA ADDL HR
95974                                                       $232.10        $213.58
                  ELEC ANAL IMPL NEURO PULSE GEN - COMPLEX CRANIAL NERVE, FIRST HOUR
95975                                                       $128.91         ADD'D
                  ELEC ANALY IMPL NEURO PULSE GEN - COMPLEX CRANIAL EACH$121.4930 MINS
95978                                                       $267.72        $238.55
                  ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATOR PULSE GENERATED
95979                                                       $123.70        $115.38
                  ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATOR PULSE SYSTEM
95990                                                        $71.39          SPIN INTRA EPIDURAL
                  REFILNG AND MAINT OF IMPLANT PUMP OR RES FOR DRUG DELIV $71.39
95991                                                       $107.48         $47.78
                  REFILL MAINT IMPLANT PUMP RESERV DRUG DELIVERY SPINAL BRAIN PHYSICIAN
96000              MOTION ANALYSIS                          $116.84        $116.84
96000   TC         MOTION ANALYSIS                          $116.84        $116.84
96001             MOTION ANALYSIS                           $139.77        $139.77
96001   TC        MOTION ANALYSIS                           $139.77        $139.77
96002             MOTION ANALYSIS                            $27.81         $27.81
96002   TC        MOTION ANALYSIS                            $27.81         $27.81
96003              MOTION ANALYSIS                           $24.43         $24.43
96003   TC         MOTION ANALYSIS                           $24.43         $24.43
96004              MOTION ANALYSIS                          $152.57        $152.57
96100             PSYCH TESTING W/INTER                      $87.33         $87.33
96105             APHASIA ASSESSMENT                         $87.33         $87.33
96110             DEVELOPMENTAL TESTING                      $14.21         $14.21
96111             EXTENDED DEVELOP TESTING                  $182.63        $182.63
96115             NEUROBEHAVIORAL STATUS EXAM                $87.33         $87.33
96117             NEUROPSYCH TESTING                         $87.33         $87.33
96150                                                        $33.30         $33.30
                  HEALTH& BEHAVIOR ASSESSMNT EACH 15 MIN FACE TO FACE INITIAL
96151             HEALTH & BEHAVIOR RE-ASSESSMENT            $32.31         $31.86
96152                                                        $30.87          IND
                  HEALTH & BEHAVIOR INTERVENTION EACH 15 MIN FACE TO FACE $30.41
96153                                                         $7.10           $6.65
                  HEALTH AND BEHAVIORAL INTERVENTION EACH 15 MIN GROUP 2 OR MORE
96154                                                        TO FACE FAM W/ $29.92
                  HEALTH & BEHAV INTERVNTION EA 15 MIN FACE $30.38            PATIENT
96155                                                        $30.66         $30.21
                  HEALTH & BEHAV INTERVNTION EA 15 MIN FACE TO FACE FAM W OUT PAT
96400             CHEMO ADM, SUB/INTRAMUSCULAR               $60.55         $60.55
96405             CHEMO ADMINISTRATION - INTRALES           $133.07         $37.72
96406             INTRALESIONAL CHEMO ADMIN                 $179.72         $53.83
96408             CHEMOTHERAPY PUSH TECHNIQUE               $145.02        $145.02
96410             CHEMOTHERAPY, INFUSION METHOD 1           $203.53        $203.53
96412   CHEMOTHERAPY,INFUSION METHOD              $44.92         $44.92
96414   CHEMOTHERAPY, INFUSION METHOD 2          $252.58        $252.58
96420   CHEMOTHERAPY, PUSH TECHNIQUE             $133.63        $133.63
96422   CHEMOTHERAPY, INFUSION METHOD 3          $234.53        $234.53
96423   CHEMOTHERAPY INFUSION METHOD              $96.04         $96.04
96425   CHEMOTHERAPY, INFUSION METHOD 4          $217.87        $217.87
96440   CHEMOTHERAPY INTRACVITARY                $489.05        $178.96
96445   CHEMOTHERAPY INTRACAVITARY               $484.66        $167.61
96450                                             PUNC.
        CHEMOTHERAPY, INTO CNS REQUIRING SPINAL$417.29          $146.54
96520   PUMP REFILLING, MAINTENANCE              $186.33        $186.33
96530   PUMP REFILLING, MAINTENANCE 1            $134.50        $134.50
96542   CHEMOTHERAPY INJECTION                   $268.04        $102.83
96567   PHOTODYNAMIC THERAPY OF SKIN              $91.56         $91.56
96570   PHOTODYNAMIC THERAPY FIRST 30 MIN         $74.93         $74.93
96571                                             MIN
        PHOTODYNAMIC THERAPY EACH ADDITIONAL 15 $36.88           $36.88
96900   ULTRAVIOLET LIGHT THERAPY                 $21.02         $21.02
96902   TRICHOGRAM                                $28.87         $27.95
96910   PHOTOCHEMOTHERAPY WITH UV-B               $47.13         $47.13
96912   PHOTOCHEMOTHERAPY WITH UV-A               $59.95         $59.95
96913   PHOTOCHEMOTHERAPY, UV-A OR B              $81.02         $81.02
96920                                            LESS THAN 250 SQ$83.58
        LASER TREATMENT FOR INFLAM SKIN DISEASE $174.75           CM
96921                                            $178.98         $85.02
        LASER TREATMENT FOR INFLAMMATORY SKIN DISEASE PSORIASIS 250 TO 500 SQ CM
96922                                            $266.21        $133.84
        LASER TREAT MENT INFLAMMATORY SKIN DISEASE PSORIASIS OVER 500 SQ CM
97001   PT EVALUATION                             $95.49         $81.60
97002   PT RE-EVALUATION                          $50.59         $40.86
97003   OT EVALUATION                            $101.84         $79.62
97004   OT RE-EVALUATION                          $61.24         $39.03
97005   ATHLETIC TRAINING EVALUATION              $75.35         $75.35
97006   ATHLETIC TRAINING RE-EVALUATION           $37.59         $37.59
97010   HOT/COLD PACKS TREATMENT                   $5.60          $5.60
97012   MECHANICAL TRACTION THERAPY               $18.66         $18.66
97014   ELECTRIC STIMULATION THERAPY              $17.99         $17.99
97016   VASOPNEUMATIC DEVICE THERAPY              $17.53         $17.53
97018   PARAFFIN BATH THERAPY                      $7.91          $7.91
97020   MICROWAVE THERAPY                          $6.06          $6.06
97022   WHIRLPOOL THERAPY                         $18.43         $18.43
97024   DIATHERMY TREATMENT                        $6.52          $6.52
97026   INFRARED THERAPY                           $6.06          $6.06
97028   ULTRAVIOLET THERAPY                        $7.51          $7.51
97032   ELECTRICAL STIMULATION, 1 OR MORE AREAS $20.06           $20.06
97033                                             $25.64
        ELECTRICAL STIMULATION, IONTOPHORESIS, EACH 15 MINUTES $25.64
97034                                             $17.61
        APPLICATION OF MODALITY, CONTRAST BATHS, EA. 15 MINUTES $17.61
97035                                             $15.30
        APPLICATION OF MODALITY, ULTRASOUND, EA. 15 MINUTES      $15.30
97036                                              15 MINUTES
        APPLICATION OF MODALITY, HUBBARD TANK, EA.$28.94         $28.94
97039   PHYSICAL THERAPY TREATMENT                $14.81         $14.81
97110   THERAPEUTIC EXERCISES                     $35.33         $35.33
97112   NEUROMUSCULAR REEDUCATION                 $37.18         $37.18
97113                                             $40.38
        THERAPEUTIC PROCEDURE, AQUATIC THERAPY W/EXERCISE        $40.38
97116   GAIT TRAINING THERAPY                     $31.15         $31.15
97124                                             $28.22         $28.22
        MASSAGE, INCLUDING EFLEURAGE, PERTISSAGE AND/OR TAPOTEMENT
97139   PHYSICAL MEDICINE PROCEDURE               $19.93         $19.93
97140                                             $33.42
        MANUAL THERAPY TECH, ONE OR MORE REGIONS, EACH 15 MINUTES$33.42
97150                                                      PERSONS)
                THERAPEUTIC PROCEDURE, GROUP (2 OR MORE$21.97            $21.97
97504                                                     $38.44
                ORTHOTICS FITTING/TRAINING UPPER/LOWER EXTREMITIES       $38.44
97520           PROSTHETIC TRAINING                       $35.33         $35.33
97530           KINETIC THERAPY                           $37.15         $37.15
97532                                                     $31.27         $31.27
                DEVELOP OF COG SKILLS TO IMPROVE ATTENTION MEMORY PROB SOLVING 15 MINS
97533                                                     $33.13
                SENSORY INTEGRATION TECH TO ENHANCE SENSORY PROCESSING   $33.13
97535           HOME MGMT TRAINING                        $37.78         $37.78
97537           COMMUNITY/WORK INTEGR                     $34.55         $34.55
97542           WHEELCHAIR MGMT                           $35.46         $35.46
97545           WORK HARDENING                           $149.73        $149.73
97546           WORK HARDENING,EACH ADD'L                 $59.94         $59.94
97597                                                     $60.76         $60.76
                REMOVAL OF DEVITALIZED TISSUE FROM WOUND(S), SELECTIVE DEBRIDEMENT
97598                                                     $77.63         $77.63
                REMOVAL DEVITALIZED TISSUE, DEBRIDEMENT GREATER THAN 20 SQ CENT
97602                                                      NON SELECTIVE $21.87
                REMOVE OF DEVITALIZED TISSUE FROM WOUND$21.87            DEBRIDEMENT
97703           ORTHOTIC/PROSTHETIC CHECKOUT              $31.95         $31.95
97750                                                     $37.64         $37.64
                PHYSICAL PERFORMANCE/MEASUREMENT W/WRITTEN REPORT,EACH 15 MIN
97755                                                     CONTACT W REPORT EA 15 MIN
                ASSIS TIVE TECHNOLOGY ASSESSMENT DIRECT $44.17           $44.17
97802                                                     $22.09         $22.09
                MEDICAL NUTRITION THERAPY INITAL ASSESSMENT AND INTERVENTION
97803                                                      INTERVENTION INDIV
                MED NUTRITION THERAPY RE ASSESSMENT AND$22.09            $22.09
97804           MEDICAL NUTRITION THERAP GROUP 30 MINS      $8.66         $8.66
98925           OMT - 1-2 REGIONS                         $37.64         $29.32
98926           OMT - 3-4 REGIONS                         $51.99         $44.59
98927           OMT - 5-6 REGIONS                         $67.00         $57.28
98928           OMT - 7-8 REGIONS                         $79.38         $67.81
98929           OMT - 9-10 REGIONS                        $91.29         $77.41
98940                                                     $33.16         $28.07
                CHIRO MANIPULATION TREATMENT (CMT) SPINAL ONE OR TWO REGIONS
98941           (CMT) SPINAL THREE OR FOUR REGIONS        $46.57         $40.56
98942           (CMT) SPINAL, FIVE REGIONS                $60.21         $54.18
98943           (CMT) EXTRASPINAL ONE OR MORE REGIONS     $31.15         $27.45
99000           SPECIMEN HANDLING                           $8.34         $8.34
99001           SPECIMEN HANDLING 1                         $9.27         $9.27
99002           DEVICE HANDLING                           $13.07         $13.07
99052           MEDICAL SERVICES AT NIGHT                 $21.43         $21.43
99054           MEDICAL SERVICES,UNUSUAL HRS              $21.43         $21.43
99056           NON-OFFICE MEDICAL SERVICES               $21.43         $21.43
99141           SEDATION, IV/IM OR INHALANT              $127.61         $58.65
99142           SEDATION, ORAL/RECTAL/NASAL               $74.85         $44.76
99170                                                    $170.33
                ANOGENITAL EXAM IN CHILD W COLPOSCOPIC FOR              $114.32
99172                                                      SEMI
                OCULAR FUNCTION SCREENING AUTOMATED OR$29.66 AUTOMATED   $29.66
99172                                                       $6.46
             26 OCULAR FUNCTION SCREENING AUTOMATED OR SEMI AUTOMATED     $6.46
99172   TC                                                 SEMI
                OCULAR FUNCTION SCREENING AUTOMATED OR$23.20 AUTOMATED   $23.20
99173                                                     $14.49
                VISION SCREENING OF VISUAL ACUITY QUANTITATIVE BILATERAL $14.49
99175           INDUCTION OF VOMITING                     $67.59         $67.59
99183           HYPERBARIC OXYGEN THERAPY                $270.51        $153.88
99185           REGIONAL HYPOTHERMIA                      $30.93         $30.93
99185        26 REGIONAL HYPOTHERMIA                      $12.70         $12.70
99185   TC      REGIONAL HYPOTHERMIA                      $18.24         $18.24
99186           TOTAL BODY HYPOTHERMIA                    $97.07         $97.07
99186        26 TOTAL BODY HYPOTHERMIA                    $38.73         $38.73
99186   TC      TOTAL BODY HYPOTHERMIA                    $58.33         $58.33
99190           SPECIAL PUMP SERVICES                    $646.59        $646.59
99190   TC      SPECIAL PUMP SERVICES                    $646.59        $646.59
99191      SPECIAL PUMP SERVICES 1              $484.75   $484.75
99191 TC   SPECIAL PUMP SERVICES 1              $484.75   $484.75
99192      SPECIAL PUMP SERVICES 2              $323.37   $323.37
99192 TC   SPECIAL PUMP SERVICES 2              $323.37   $323.37
99195      PHLEBOTOMY                            $21.02    $21.02
99201      OFFICE/OP VISIT, NEW 10 MIN.          $44.84    $29.44
99202      NEW PAT OV/OP EVAL/MAN 20 MIN         $79.79    $58.06
99203      OFFICE/OP VISIT, NEW 20 MIN.         $118.64    $89.21
99204      OFFICE/OP VISIT, NEW 45 MIN.         $168.19   $132.42
99205      OFFICE/OP VISIT, NEW 60 MIN.         $213.34   $176.21
99211      OFFICE/OP VISIT, EST 5 MIN.           $26.17    $11.22
99212      OFFICE/OP VISIT EST.                  $47.11    $29.90
99213      OFFICE/OP VISIT, EST 15 MIN.          $64.51    $44.13
99214      OFFICE/OP VISIT, EST 25 MIN.         $101.27    $73.19
99215      OFFICE/OP VISIT, EST 40 MIN.         $147.66   $117.33
99217      OBSERVATION - DISCHARGE DAY           $87.63    $87.63
99218      OBSERV.CARE,LOW SEVERITY              $83.56    $83.56
99219      OBSERV.CARE,MODERARE SEVERITY        $138.98   $138.98
99220      OBSERVATION CARE                     $195.27   $195.27
99221      INITIAL HOSPITAL CARE 30 MIN.         $84.32    $84.32
99222      INITIAL HOSPITAL CARE 50 MIN         $139.89   $139.89
99223      INITIAL HOSPITAL CARE 70 MIN.        $194.96   $194.96
99231      SUBSEQUENT HOSP CARE 15 MIN.          $42.23    $42.23
99232      SUBSEQUENT HOSP CARE 25 MIN.          $69.14    $69.14
99233      SUBSEQUENT HOSP CARE 35 MIN.          $98.26    $98.26
99234      OBSERV/HOSP SAME DATE                $167.88   $167.88
99235      OBSERV-HOSP SAME DATE                $221.59   $221.59
99236      OBSERV HOSP SAME DATE                $276.68   $276.68
99238      HOSPITAL DISCHARGE DAY                $87.77    $87.77
99239      HOSPITAL DISCHARGE DAY OVER 30 MIN   $119.66   $119.66
99241      OFFICE CONSULTATION 15 MIN.           $61.43    $42.42
99242      OFFICE CONSULTATION 30 MIN.          $112.47    $86.22
99243      OFFICE CONSULTATION 40 MIN.          $150.03   $115.60
99244      OFFICE CONSULTATION                  $211.91   $171.16
99245      OFFICE CONSULTATION 80 MIN.          $274.38   $227.76
99251      INITIAL IN/PAT CONSULT 20 MIN.        $44.29    $44.29
99252      INITIAL IN/PAT CONSULT 40 MIN.        $89.16    $89.16
99253      INITIAL IN/PAT CONSULT 55 MIN.       $122.06   $122.06
99254      INITIAL IN/PAT CONSULT 80 MIN.       $175.81   $175.81
99255      INITIAL IN/PAT CONSULT 110 MIN       $242.39   $242.39
99261      FOLLOW-UP IN/PAT CONSULT 10MIN        $27.67    $27.67
99262      FOLLOW-UP IN/PAT CONSULT 20MIN        $56.30    $56.30
99263      FOLLOW-UP INPATIENT CONSULT           $83.53    $83.53
99271      CONFIRM CONSUL MINOR                  $47.55    $29.90
99272      CONFIRM CONSULT LOW                   $80.00    $56.46
99273      CONFIRM CONSULT MOD                  $110.83    $80.94
99274      CONFIRM CONSULT MOD TO HIGH          $149.27   $116.22
99275      CONFIRM CONSULT HIGH                 $190.57   $153.88
99281      EMERG DEPT VISIT, MINOR               $25.66    $25.66
99282      EMERG DEPT VISIT LOW TO MOD           $42.47    $42.47
99283      EMERG DEPT VISIT MOD                  $95.45    $95.45
99284      EMERG DEPT VISIT HIGH                $149.05   $149.05
99285   EMERG DEPT VISIT SEVERE                    $233.32       $233.32
99289   PATIENT TRANSPORT                          $378.65       $378.65
99290    PATIENT TRANSPORT                         $194.41       $194.41
99291   CRITICAL CARE, FIRST HOUR                  $392.57       $319.88
99292   CRITICAL CARE, ADD'L 30 MIN.               $174.69       $160.04
99293                                            $1,269.80     $1,269.80
        INIT PED CRIT CARE 29 DAY THRU 24 MOS P DAY FOR MGMT CRIT ILL INF OR YNG C
99294                                              $632.53       $632.53
         SUBS PED CRIT 29 DAY THRU 24 MOS P DAY FOR EVAL MGMT CRIT ILL INF OR YNG C
99295   INITIAL VISIT-NICU                       $1,169.95     $1,169.95
99296   SUBSEQUENT NICU                            $510.47       $510.47
99298                                              $199.79       $199.79
        SUB NICU/PER DAY - E&M RECOV VERY LOW BIRTH WT INFANT (LESS THAN 1500 GMS)
99299                                              $182.87       $182.87
        SUBSEQUENT INTENSIVE CARE PER DAY FOR THE EVAL AND MANAGEMENT OF RECOV
99301   NURSING FAC EVAL AND MANAGE 30 MINS         $91.21        $91.21
99302   NURSING FAC EVAL AND MANAGE 40 MINS        $120.95       $120.95
99303   NURSING FAC EVAL AND MANAGE 50 MIN         $149.11       $149.11
99311   NURSING FAC CARE, SUB 15 MIN.               $46.79        $46.79
99312   NURSING FAC. CARE, SUB 25 MIN               $77.63        $77.63
99313   NURSING FACILITY CARE,SUBSEQ               $109.39       $109.39
99315   NURSING FACILITY DISCHARGE DAY < 30 MINS $84.95           $84.95
99316   NURSING FAC DISCHARGE OVER 30 MINS         $112.53       $112.53
99321   REST HOME VISIT, NEW PATIENT                $56.21        $56.21
99322   REST HOME VISIT, NEW/PAT MOD                $79.02        $79.02
99323   REST HOME VISIT, NEW/PAT HIGH               $98.02        $98.02
99331   REST HOME VISIT EST/PAT STABLE              $49.31        $49.31
99332   REST HOME EST/PAT MINOR COMP                $63.03        $63.03
99333   REST HOME EST/PAT MAJOR COMP                $78.13        $78.13
99341   HOME VISIT, NEW PATIENT LOW                 $72.03        $72.03
99342   HOME VISIT, NEW PATIENT MOD                $106.32       $106.32
99343   HOME VISIT, NEW PATIENT                    $155.22       $155.22
99344   HOME VISIT, NEW PATIENT 60 MINS.           $203.67       $203.67
99345   HOME VISIT, NEW PATIENT 75 MINS            $252.12       $252.12
99347   HOME VISIT, ESTAB PATIENT 15 MINS           $56.03        $56.03
99348   HOME VISIT, ESTAB PATIENT 25 MINS           $88.93        $88.93
99349   HOME VISIT, ESTAB PATIENT 40 MINS          $137.85       $137.85
99350   HOME VISIT, ESTAB PATIENT 60 MINS          $203.67       $203.67
99354   PROLONGED MD SERVICE - OFF OR OP           $122.77       $117.79
99355   PROLONGED MD SERVICE - EACH ADD            $121.53       $115.66
99356   PROLONGED MD SERVICE - INPATIENT           $112.76       $112.76
99357   PROLONGED MD SERVICE - INPT ADD            $113.52       $113.52
99358   PROLONGED SERV, W/O CONTACT                $175.37       $175.37
99359   PROLONGED E&M - NON-DIRECT - ADD            $87.91        $87.91
99360   STANDBY PHYSICIAN SERVICE                  $119.27       $119.27
99361   PHYSICIAN/TEAM CONFER 30 MIN               $100.53       $100.53
99362   PHYSICIAN/TEAM CONFER 60 MIN.              $175.37       $175.37
99371   PHYSICIAN PHONE CONSUL, BRIEF               $15.92        $15.92
99372   PHYSICIAN PHONE CONSUL, INTER               $39.69        $39.69
99373   PHYSICIAN PHONE CONSUL CMPLX                $79.89        $79.89
99374   HHC SUPERVISION/15-29 MINS                  $86.33        $73.65
99375   HHC SUPERVISION/30 MINS OR MORE            $155.82       $155.82
99377   HOSPICE CARE SUPERVISION/15 - 29 MINS       $86.33        $73.65
99378   HOSPICE CARE SUPERVISION/30 MINS OR MORE   $173.49       $173.49
99379   NURSING FAC CARE SUPERVISION/15 - 29 MINS $86.01          $73.33
99380                                              $130.15
        NURSING FAC CARE,SUPERVISION/30 MINS OR MORE             $115.22
99381   PREVENTIVE VISIT,NEW,INFANT      $126.89    $79.35
99382   PREVENTIVE VISIT, NEW, 1-4       $136.90    $90.72
99383   PREVENTIVE VISIT,NEW,AGE5-11     $134.19    $90.72
99384   PREVENTIVE VISIT,NEW,12-17       $145.86   $102.40
99385   PREVENTIVE VISIT,NEW,18-39       $145.86   $102.40
99386   PREVENTIVE VISIT, NEW 40-64      $171.67   $125.48
99387   PREVENTIVE VISIT,NEW,65&OVER     $186.22   $137.34
99391   PREVENTIVE VISIT, EST, INFANT     $96.65    $68.11
99392   PREVENTIVE VISIT, EST, 1-4       $108.32    $79.35
99393   PREVENTIVE VISIT, EST, 5-11      $106.96    $79.35
99394   PREVENTIVE VISIT,EST,12-17       $118.33    $90.72
99395   PREVENTIVE VISIT,EST,18-39       $119.70    $90.72
99396   PREVENTIVE VISIT,EST,40-64       $132.28   $102.40
99397   PREVENTIVE VISIT,EST,65 &OVER    $145.95   $114.25
99401   PREVENTIVE COUNSEL, IND 15 MIN    $51.54    $32.07
99402   PREVENTIVE COUNSEL, IND 30 MIN    $87.28    $64.64
99403   PREVENTIVE COUNSELING, INDIV     $121.03    $97.03
99404   PREVENTIVE COUNSEL, IND 60 MIN   $155.39   $129.58
99411   PREVENTIVE COUNSEL GRP 30 MIN     $15.70    $10.27
99412   PREVENTIVE COUNSELING, GROUP      $23.68    $16.90
99431   INITIAL CARE, NORMAL NEWBORN      $83.58    $83.58
99432   NEWBORN CARE NOT IN HOSPITAL     $116.78    $90.11
99433   NORMAL NEWBORN,CARE HOSPITAL      $43.99    $43.99
99435   HISTORY EXAM, NEWBORN            $112.17   $112.17
99436   ATTENDANCE, NB BIRTH             $106.13   $106.13
99440   NEWBORN RESUSCITATION            $208.02   $208.02

				
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