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["IVNUM","IVDESC","IVCPTCD","IVPRICE1"]
["  100028","FAMOTIDINE PER UNIT","S0028",1.5]
["  100425","AMBULANCE, GROUND MILEAGE PER UNIT","A0425",14]
["  100434","AMBULANCE, SPECIALITY CARE TRANSPORT","A0434",315.5]
["  103490","MULTIVITAMIN PER UNIT","J3490",17]
["  104197","TPN SOLUTION, 74-100 G PROTEIN/ UNIT","B4197",327.5]
["  104199","TPN SOLUTION> 100 GRAMS","B4199",3058.5]
["  109999","IV FILTR PER UNIT","B9999",12]
["  151798","BLADDER CAPACITY SCAN","51798",221.5]
["  164055","SARS-CoV-2 SEMI QUANT IGG ANTIBODY","86769",63]
["  180026",".VAGINITIS/VAGINOSIS, DNA PROBE (LABCORP","87480",129]
["  188052","TRICHOMONAS VAGINALIS, NAA (URINE)","87661",52.5]
["  192950","CPR","92950",848.5]
["  200391","TSE PRIORITY 1","G0390",1393.5]
["  200392","TSE PRIORITY 2","G0390",1226]
["  200393","TSE PRIORITY 3","G0390",1068]
["  210021","FINE NEEDLE","10021",278.5]
["  210060","INCISION AND DRAINAGE OF ABCESS","10060",367]
["  210061","INCISION/DRAIANGE COMPLICATED OR MULTIPL","10061",475.5]
["  210080","I/D PILONIDIAL CYST","10061",475.5]
["  210120","FB REMOVAL SUBCU TISSUE SIMPLE","10120",276.5]
["  210140","I/D OF HEMATOMA/SEROMA","10140",1229]
["  210160","ASPIRATION ABSCESS/HEM/CYST/SKIN.SUBQ","10160",338]
["  210180","I/D COMPLEX POST OP INF","10180",849]
["  211730","NAIL REMOVAL 1","11730",252.5]
["  211732","NAIL REMOVAL EA ADDITIONAL","11732",185]
["  211740","DRAIN BLOOD UNDER NAIL","11740",186.5]
["  211750","NAIL AND MATRIX EXCISION","11750",653]
["  211765","WEDGE/EXCISION SIN/TOENAIL","11765",236.5]
["  212001","LAC SIMPLE <2.5","12001",319.5]
["  212002","LAC SIMPLE 2.6 TO 7.5","12002",364]
["  212004","LAC SIMPLE 7.6 TO 12.5","12004",489.5]
["  212005","LAC SIMPLE 12.6 TO 20","12005",496.5]
["  212006","LAC SIMPLE 20.1 TO 30","12006",689.5]
["  212007","LAC SIMPLE OVER 30","12007",1010]
["  212011","LAC FACE/EAR SIMPLE <2.5 CM","12011",315]
["  212013","LAC FACE/EAR SIMPLE 2.6-5CM","12013",351.5]
["  212014","LAC FACE/EAR SIMPLE 5.1-7.5CM","12014",493]
["  212015","LAC FACE/EAR SIMPLE 7.6-12.5CM","12015",510.5]
["  212016","LAC FACE/EAR SIMPLE 12.6-20CM","12016",525]
["  212017","LAC FACE/EAR SIMPLE 20.1-30CM","12017",545.5]
["  212018","LAC FACE/EAR SIMPLE >30","12018",652]
["  212020","WOUND REPAIR SPLIT WOUNDED CLOSURE","12020",689.5]
["  212031","LAC MED S/A/T/E <2.05","12031",352.5]
["  212032","LAC MED S/A/T/E 2.6-7.5CM","12032",519]
["  212034","LAC MED S/A/T/E 7.6-12.5CM","12034",621]
["  212035","LAC MED S/A/T/E 12.6-20CM","12035",689.5]
["  212036","LAC MED S/A/T/E 20.1-30CM","12036",756]
["  212037","LAC MED S/A/T/E >30CM","12037",872]
["  212041","LAC MED N/H/F/G <2.5CM","12041",476]
["  212042","LAC MED N/H/F/G 2.6-7.5CM","12042",504]
["  212044","LAC MED N/H/F/G 7.6-12.5CM","12044",543]
["  212045","LAC MED N/H/F/G 12.6-20CM","12045",604]
["  212046","LAC MED N/H/F/G 20.1-30CM","12046",649.5]
["  212047","LAC MED N/H/F/G >30","12047",685]
["  212051","LAC MED FACE/EAR <2.5CM","12051",379.5]
["  212052","LAC MED FACE/EAR 2.6-5CM","12052",520.5]
["  212053","LAC MED FACE/EAR 5.1-7.5CM","12053",542]
["  212054","LAC MED FACE/EAR 7.6-12.5CM","12054",621]
["  212055","LAC MED FACE/EAR 12.6-20CM","12055",689.5]
["  212056","LAC MED FACE/EAR 20.1-30CM","12056",724.5]
["  212057","LAC MED FACE/EAR >30CM","12057",1010]
["  213100","REPAIR COMPLEX TRUNK 1.1-2.5CM","13100",414.5]
["  213101","REPAIR COMPLEX TRUNK 2.6-7.5CM","13101",793.5]
["  213102","REPAIR COMPLEX EA ADDITIONAL 5 CM","13102",310.5]
["  213120","REPAIR COMPLEX SCALP 1.1-2.5CM","13120",517.5]
["  213121","REPAIR COMPLEX SCALP 2.6-7.5CM","13121",670]
["  213122","REPAIR COMPLEX SCALP EA ADDITIONAL 5 CM","13122",279]
["  213131","REPAIR COMPLEX FOREHEAD 1.1-2.5CM","13131",449]
["  213132","LAC COMPLEX N/H/F/G 2.6-7.5CM","13132",621]
["  213133","LAC COMPLEX N/H/F/G EA ADDITIONAL 5CM","13133",338.5]
["  213151","LAC COMPLEX EYELID/LIP/NOSE/EAR 1.1-2.5C","13151",683.5]
["  213152","LAC COMPLEX EYELID/LIP/NOSE/EAR 2.6-7.5C","13152",840]
["  216000","BURN TX 1ST DEGREE","16000",322.5]
["  216020","BURN DRESS/DEBRIDMENT SMALL","16020",149.5]
["  216025","BURN DRESS/DEBRIDMENT MEDIUM","16025",278.5]
["  216030","BURN DRESS/DEBRIDMENT LARGE>1","16030",365.5]
["  220103","WOUND EXPLORATATION EXTREMITY","20103",463]
["  220552","INJ TRIGGER POINTS","20552",462.5]
["  220605","ARTHROCENTESIS ASP INJ INTERMED JOINT","20605",171]
["  220610","ASPIR/INJECT JOINT OR BURSA","20610",261.5]
["  220822","REATTACH FINGERTIP","20822",671.5]
["  221315","CLOSED REDUCT NOSE","21315",862.5]
["  221480","CLOSE TMJ DISLOC INITOR SUB","21480",297.5]
["  223500","CLAVICLE FIG 8","23500",431]
["  223505","CLOSED TREAT CLAV FX WITH MANIP","23505",474.5]
["  223650","CLOSED RED SHOULDER WO ANES","23650",270]
["  223655","CLOSED RED SHOULDER @ ANESTHESIA","23655",1282]
["  224600","CLOSED REDUCTION ELBOW","24600",623]
["  224640","CLSD REDUCT RADIAL HEAD SUB CHILD","24640",445]
["  225535","CLOSED REDUCTION ULNAR SHAFT","25535",403.5]
["  225565","CLOSED REDUCT FX WRIST ADULT","25605",445]
["  225603","CLOSED RED WRIST W/ MANIPULATION CHILD","25605",431.5]
["  225605","CLOSED REDUCT FX WRIST","25605",458.5]
["  225675","CLOSED REDUCT DISTAL RADIOULNAR DISCLOS","25675",641]
["  226770","CLOSED REDUCT FINGER JOINT","26770",403]
["  226775","RED DISLOC-INTERPHALANGEAL W ANES","26775",897]
["  227250","HIP C/R MANIPULATION","27250",543]
["  227252","CLSD REDUCT HIP DISLO @ ANES","27252",898.5]
["  227510","CLOSED TREATMENT OF BROKEN THIGH BONE MA","27510",734]
["  227560","CLOSED REDUCT PATELLAR DISCLOSURE","27560",474.5]
["  227752","CLOSED REDUCT TIBIAL SHAFT","27752",403]
["  227781","CLOSED REDUCT FX FIBULAR SHAFT","27781",834]
["  227788","CLOSED REDUCT FX FIBULA","27788",834]
["  227810","CLSED REDUCT FX ANKLE","27810",449.5]
["  227840","CLOSED REDUCT DISLO ANKLE","27840",605.5]
["  227842","CLOSED RED ANKLE @ ANESTHESIA","27842",1282]
["  228190","FB REMOVAL FOOT SUBCU","28190",559]
["  228470","CLOSED REDUCT METATARSAL","28470",490.5]
["  228475","CLOSED REDUCT METATARSAL FX","28475",403]
["  228515","TREATMENT FX TOE","28515",490.5]
["  228660","CLOSED REDUCT INTERPHALANGEAL JOINT","28660",338]
["  229065","CAST LONG ARM SHOULDER/HAND","29065",411]
["  229075","CAST ELBOW TO FINGER","29075",338.5]
["  229085","CAST APP WRIST/HAND","29085",356.5]
["  229105","SPLINT LONG ARM","29105",330]
["  229125","SPLINT APP SHORT ARM","29125",286.5]
["  229130","SPLINT FINGER","29130",149]
["  229200","STRAPPING THORAX","29200",189]
["  229345","CAST LONG LEG THIGH-TOES","29345",520.5]
["  229405","CAST LEG BELOW KNEE","29405",379.5]
["  229505","SPLINT LONG LEG THIGH TO ANKLE","29505",307]
["  229515","SPLINT LOWER LEG/ANKLE","29515",293]
["  230000","E&M LEVEL 5","99285",1552]
["  230020","E&M LEVEL 1","99281",142.5]
["  230021","E&M LEVEL 2","99282",422.5]
["  230022","E&M LEVEL 3","99283",625.5]
["  230023","E&M LEVEL 4","99284",1150.5]
["  230300","FB REMOVAL NOSE","30300",269.5]
["  230901","NASAL BLEED SIMPLE","30901",293.5]
["  230903","NASAL BLEED COMPLEX ANTERIOR","30903",403]
["  230905","NASAL BLEED COMPLEX ANTERIOR","30905",416.5]
["  231500","E TUBE INSERTION","31500",820]
["  231511","ENDOSCOPY OF LARYNX, REM  FOREIGN BODY","31511",427]
["  232020","CHEST TUBE INSERTION HEMOTHORAX","32551",977]
["  232554","THORACENTESIS W/OUT IMAGINING GUIDANCE","32554",352]
["  232555","THORACENTESIS W/ IMAGINING GUIDANCE","32555",443.5]
["  232556","DRAIN FLUID F CHEST W INS OF INDW TUBE","32556",1483]
["  233010","PERICARDIOCENTESIS","33010",913.5]
["  233016","PERICARDIOCENTESIS W/ IMAGING GUIDANCE","33016",913.5]
["  236430","BLOOD ADMIN/UNIT ER","36430",959.5]
["  236556","CENTRAL LINE INSERTION >5 YEARS","36556",1099.5]
["  236569","PICC LIN INSERTION >5YR","36569",1167]
["  240831","LAC MOUTH VESTIBULE COMPLEX >2.5CM","40831",503]
["  246040","I/D ISCHIORECTA/PERIREC","46040",717.5]
["  246083","INC THROMBOSED HEMORRHOID EXTERNAL","46083",421]
["  249082","PARACENTESIS W/OUT IMAGING GUIDANCE","49082",312]
["  249083","PARACENTISIS W/ IMAGING GUIDANCE","49083",479]
["  249084","PARACENTISIS LAVAGE, W/ IMAGING GUIDANCE","49084",378]
["  251701","CATH UREATHRA STRAIGHT","51701",166.5]
["  251702","CATH UREATHRA FOLEY *WRONG*","51702",214]
["  251703","CATH COMPLEX","51703",388]
["  251705","CATH CHANGE SUPERPUBIC","51705",281]
["  252911","BRCA 1/2 COMP. ANALYSIS (BRCAssure)","81162",1894]
["  262270","LUMBAR PUNCTURE","62270",761.5]
["  264450","NERVE BLOCK/PERPHERAL NERVE","64450",511.5]
["  265205","FB REMOVAL EYE SUPERFICIAL","65205",216]
["  265220","FB REMOVAL EYE CORNEAL NO SLITLAMP","65220",363]
["  269200","FB REMOVAL EAR","69200",238.5]
["  269210","FB REMOVAL EAR","69210",98]
["  282948","ONE TOUCH GLUCOSE","82948",0]
["  286580","TB TEST AND READING","86580",0]
["  290471","INJ/IMMUNIZATION","90471",51]
["  290472","INJ/IMMUNIZATION EA ADDITIONAL","90472",52]
["  290714","INJ/TETNUS 7 YRS OR OLDER","90471",90]
["  290760","020IV HYDRATION INITIAL 1ST HR","96360",462.5]
["  290761","IV HYDRATION ADDL UP TO 8HR","96361",111]
["  290765","IV INFUSION DRUG 1ST HR","96365",431.5]
["  290766","IV THERAPY ADD HRS MAX 8","96366",102.5]
["  290767","SEQUENTIAL INFUSION ADDL HR","96367",241]
["  290768","IV INFUS ADD SEQUENTIAL","96368",102.5]
["  290772","SQ/IM INJECTION","96372",68.5]
["  290774","INJ IV PUSH","96374",221.5]
["  290775","IV PUSH EA ADD","96375",221.5]
["  291105","GASTRIC LAVAGE","43753",386.5]
["  292950","ER CPR","92950",926.5]
["  292960","CARDIOVERSION ER","92960",812]
["  296411","CHEMO ADMIN IVP","96411",229.5]
["  296523","IRRIGATE PICC LINE","96523",216]
["  299141","CONSCIOUS SEDATION ER FOR <5 YRS","99143",295]
["  299144","CONSCIOUS SEDATION ER FOR >5 YRS","99144",216.5]
["  299145","CONSCIOUS SEDATION EACH ADD 15 MIN","99145",113.5]
["  299151","CONSCIOUS SEDATION ER FOR <5 YRS","99151",295]
["  299152","CONSCIOUS SEDATION ER FOR >5 YRS","99152",216.5]
["  299153","CONSCIOUS SEDATION EACH ADD 15 MIN","99153",113.5]
["  299175","IPECAC ADMINSTRATION","99175",249.5]
["  299291","CRITICAL CARE 1ST 74 MIN","99291",1847]
["  299292","CRITICAL CARE ADD 30 MIN","99292",689]
["  451937","MATERNI-T21 PLUS CORE+ESS+SCA","81420",845.5]
["  504040","Apo E GENOTYPE ALZHEIMERS RISK","81401",225.5]
["  510001","FETAL HEART MONITOR","59025",251.5]
["  510020","TEST NON STRESS","59025",234.5]
["  510021","TEST STRESS","59051",580.5]
["  559412","EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS","59412",971]
["  600000","CIRCUMCISION","54150",101]
["  600006","INFANT RESUCITATION","99465",571]
["  600008","NEWBORN HEARING","92587",234.5]
["  700963","DRUG SCREEN CORD BLOOD, 12 PANEL","80307",121.5]
["  820552","INJ TRIGGER POINTS","20552",462.5]
["  836430","BLOOD ADMIN/UNIT OBSERVE","36430",959.5]
["  851701","CATH UREATHRA STRAIGHT","51701",160]
["  870000","OBSERVE LEVEL 2 1ST HR","G0378",861.5]
["  870005","OBSERVE LEVEL 2 EA ADD'L HR","G0378",47]
["  870006","OBSERVE LEVEL 3 1ST HOUR","G0378",936.5]
["  870007","OBSERVE LEVEL 3 ADDL HRS","G0378",63.5]
["  870010","OBSERVE LEVEL 1 1ST HR","G0378",769]
["  870011","OBSERVE LEVEL 1 EA ADD'L HR","G0378",32]
["  870020","IV INFUSION DRUG 1ST HR","96365",384.5]
["  870021","INFUSION THERAPY EA ADDL HR","96366",99]
["  870030","TRANSFUSION THERAPY PER VISIT","36430",1030.5]
["  890760","IV HYDRATION INITIAL 1ST HR","96360",462.5]
["  890761","IV HYDRATION ADDL UP TO 8HR","96361",111]
["  890765","IV INFUSION DRUG 1ST HOUR","96365",431.5]
["  890766","IV THERAPY ADD HRS MAX 8","96366",106.5]
["  890767","SEQUENTIAL INFUSION ADDL HR","96367",241]
["  890768","IV INFUS ADD SEQUENTIAL","96368",102.5]
["  890772","SQ/IM INJECTION","96372",68.5]
["  890774","INJ IV PUSH","96374",232]
["  890775","IV PUSH EA ADD","96375",221.5]
["  896411","CHEMO ADMIN IVP","96411",229.5]
["  896523","IRRIGATE PICC LINE","96523",232]
["  940012","TR-SIGMOIDOSCOPY FLEX DX W/WO COLL","45330",1369.5]
[" 1500002","AEROSOL THERAPY TREATMENT","94642",100]
[" 1500003","AEROSOL THERAPY CONTINUE HOURLY","94642",75]
[" 1500007","IPPB TREATMENT","94640",101.5]
[" 1500022","NEBULIZER TREATMENT","94664",118]
[" 1500024","CHEST PHYSIO","94667",100]
[" 1500033","VENTILATOR FIRST DAY","94002",1323.5]
[" 1500034","VENTILATOR SUBSEQUENT DAYS","94003",933.5]
[" 1500036","SLEEP STUDY BASELINE","95810",3137.5]
[" 1500037","SLEEP STUDY CPAP","95811",3449.5]
[" 1500051","SNF NEBULIZER","94664",18.5]
[" 1500355","PULMONARY FUNCTIONS TEST","94060",310.5]
[" 1550000","RT AEROSOL THERAPY CONTINUE HOURLY","94642",75]
[" 1550001","RT AEROSOL THERAPY TREATMENT","94642",100]
[" 1550003","RT BIPAP DAILY","94660",442.5]
[" 1550005","RT CHEST PHYSIO","94667",100]
[" 1550009","RT INHALATION TREATMENT","94640",131]
[" 1550010","RT IPPB TREATMENT","94640",108.5]
[" 1550011","RT NEBULIZER TREATMENT","94664",113.5]
[" 1550014","RT PEAK FLOW METER","94010",108.5]
[" 1550016","RT PULMONARY FUNCTIONS TEST","94060",299]
[" 1550017","RT SLEEP STUDY BASELINE","95810",3137.5]
[" 1550018","RT SLEEP STUDY CPAP","95811",3449.5]
[" 1550019","RT SNF DAILY OXYGEN","94642",18.5]
[" 1550020","RT SNF NEBULIZIER","94664",18.5]
[" 1550021","RT VENTILATOR FIRST DAY","94002",1323.5]
[" 1550023","RT VENTILATOR SUBSEQUENT DAYS","94003",933.5]
[" 1590136","PEAK FLOW METER","94010",108.5]
[" 1594618","PULMONARY STRESS TEST SIMPLE","94618",163]
[" 1594620","PULMONARY STRESS TEST SIMPLE","94620",163]
[" 1594640","INHALATION TREATMENT","94640",136]
[" 1594660","BIPAP/CPAP DAILY","94660",442.5]
[" 1595806","HOME SLEEP TEST","95806",690]
[" 1710002","PT AQUATIC THERAPY 15 MIN","97113",151]
[" 1710005","CPM CONTINUOUS PASSIVE MOTION DEVISE","E0936",1369]
[" 1710006","PT CARDIAC REHAB WITH MONITOR","93798",154]
[" 1710007","PT CARDIAC STRESS TEST","93017",1280.5]
[" 1710012","OT ORDER","97034",62]
[" 1710016","PT ELECTRICAL STIMULATION","G0283",86.5]
[" 1710022","PT GAIT TRAINING 15 MIN","97116",96.5]
[" 1710024","PT HOME HEALTH","G0151",228.5]
[" 1710025","PT HOME HEALTH ASSIST","G0157",223.5]
[" 1710028","PT IONTOPHORESIS 15 MIN","97033",182.5]
[" 1710032","PT MASSAGE 15 MIN","97124",96.5]
[" 1710044","PT THERAPEUTIC ACTIVITIES 15 MIN","97530",127]
[" 1710046","PT THERAPEUTIC PROCEDURE 15 MIN","97110",102]
[" 1710048","PT GROUP THERA PROC 15-60 MIN","97150",78.5]
[" 1710052","PT ULTRASOUND 15 MIN","97035",81]
[" 1710073","PT GAIT TRAINING NH","97116",96.5]
[" 1710082","PT THERAPEUTIC PROCED 15 MIN NH","97110",109]
[" 1710084","PT ULTRASOUND N.H.","97035",86.5]
[" 1710085","PT WHIRLPOOL","97022",81]
[" 1718978","MOBILITY CURRENT STATUS, 0%","G8978CHGP",0]
[" 1718979","MOBILITY GOAL STATUS, 0%","G8979CHGP",0]
[" 1718980","MOBILITY DISCHARGE STATUS, 0%","G8980CHGP",0]
[" 1718990","OTHER CURRENT STATUS, 0%","G8990CHGP",0]
[" 1718991","OTHER GOAL STATUS, 0%","G8991CHGP",0]
[" 1718992","OTHER DISCHARGE STATUS, 0%","G8992CHGP",0]
[" 1720560","PT DRY NEEDLING 1-2","20560",52.5]
[" 1720561","PT DRY NEEDLING 3-4","20561",75]
[" 1728978","MOBILITY CURRENT STATUS, 1-20%","G8978CIGP",0]
[" 1728979","MOBILITY GOAL STATUS, 1-20%","G8979CIGP",0]
[" 1728980","MOBILITY DISCHARGE STATUS, 1-20%","G8980CIGP",0]
[" 1728990","OTHER CURRENT STATUS, 1-20%","G8990CIGP",0]
[" 1728991","OTHER GOAL STATUS, 1-20%","G8991CIGP",0]
[" 1728992","OTHER DISCHARGE STATUS, 1-20%","G8992CIGP",0]
[" 1729200","PT STRAPPING THORAX","29200",159.5]
[" 1729240","PT STRAPPING SHOULDER","29240",173]
[" 1729260","PT STRAPPING ELBOW OR WRIST","29260",149.5]
[" 1729280","PT STRAPPING HAND OR FINGER","29280",145.5]
[" 1729520","PT STRAPPING HIP","29520",149]
[" 1729530","PT STRAPPING KNEE","29530",151]
[" 1729540","PT STRAPPING ANKLE/FOOT","29540",96.5]
[" 1729550","PT STRAPPING TOES","29550",72.5]
[" 1738978","MOBILITY CURRENT STATUS, 20-40%","G8978CJGP",0]
[" 1738979","MOBILITY GOAL STATUS, 20-40%","G8979CJGP",0]
[" 1738980","MOBILITY DISCHARGE STATUS, 20-40%","G8980CJGP",0]
[" 1738990","OTHER CURRENT STATUS, 20-40%","G8990CJGP",0]
[" 1738991","OTHER GOAL STATUS, 20-40%","G8991CJGP",0]
[" 1738992","OTHER DISCHARGE STATUS, 20-40%","G8992CJGP",0]
[" 1748978","MOBILITY CURRENT STATUS, 40-60%","G8978CKGP",0]
[" 1748979","MOBILITY GOAL STATUS, 40-60%","G8979CKGP",0]
[" 1748980","MOBILITY DISCHARGE STATUS, 40-60%","G8980CKGP",0]
[" 1748990","OTHER CURRENT STATUS, 40-60%","G8990CKGP",0]
[" 1748991","OTHER GOAL STATUS, 40-60%","G8991CKGP",0]
[" 1748992","OTHER DISCHARGE STATUS, 40-60%","G8992CKGP",0]
[" 1758978","MOBILITY CURRENT STATUS, 60-80%","G8978CLGP",0]
[" 1758979","MOBILITY GOAL STATUS, 60-80%","G8979CLGP",0]
[" 1758980","MOBILITY DISCHARGE STATUS, 60-80%","G8980CLGP",0]
[" 1758990","OTHER CURRENT STATUS, 60-80%","G8990CLGP",0]
[" 1758991","OTHER GOAL STATUS, 60-80%","G8991CLGP",0]
[" 1758992","OTHER DISCHARGE STATUS, 60-80%","G8992CLGP",0]
[" 1768978","MOBILITY CURRENT STATUS, 80-99%","G8978CMGP",0]
[" 1768979","MOBILITY GOAL STATUS, 80-99%","G8979CMGP",0]
[" 1768980","MOBILITY DISCHARGE STATUS, 80-99%","G8980CMGP",0]
[" 1768990","OTHER CURRENT STATUS, 80-99%","G8990CMGP",0]
[" 1768991","OTHER GOAL STATUS, 80-99%","G8991CMGP",0]
[" 1768992","OTHER DISCHARGE STATUS, 80-99%","G8992CMGP",0]
[" 1770100","PT BRACE FITTING","97760",104.5]
[" 1770101","PT SPLINT ADJUSTMENT","97762",133]
[" 1778978","MOBILITY CURRENT STATUS, 100%","G8978CNGP",0]
[" 1778979","MOBILITY GOAL STATUS, 100%","G8979CNGP",0]
[" 1778980","MOBILITY DISCHARGE STATUS, 100%","G8980CNGP",0]
[" 1778990","OTHER CURRENT STATUS, 100%","G8990CNGP",0]
[" 1778991","OTHER GOAL STATUS, 100%","G8991CNGP",0]
[" 1778992","OTHER DISCHARGE STATUS, 100%","G8992CNGP",0]
[" 1780006","ST SPEECH PATH BEDSIDE EVALUATION","92610",222]
[" 1790903","PT NERVE CONDUCT AMP/LATENCY STUDY","95903LT",245]
[" 1790904","PT NERVE CONDUCT AMP/LATENCY SENSOR","95904LT",185]
[" 1791903","PT NERVE CONDUCT AMP/LATENCY STUDY","9590350",415.5]
[" 1791904","PT NERVE CONDUCT AMP/LATENCY SENSOR","9590450",306]
[" 1795903","PT NERVE CONDUCT AMP/LATENCY STUDY","95903RT",245]
[" 1795904","PT NERVE CONDUCT AMP/LATENCY SENSOR","95904RT",185]
[" 1795992","PT CANALITH REPOSITIONING PROC","95992GP",139]
[" 1797012","PT MECHANICAL TRACTION THERAPY","97012",63]
[" 1797016","PT VASOPNEUMATIC DEVICES","97016",93.5]
[" 1797018","PT PARAFFIN BATH","97018",61]
[" 1797110","THERAPUTIC EXERCISE- 15 MIN EACH","97110",73]
[" 1797112","PT NEUROMUSCULAR REEDUCATION-15 MIN EACH","97112GP",77.5]
[" 1797124","PT MANUAL THERAPY TECHNIQUE","97140",91]
[" 1797129","PT COGNITIVE FUNCTION INITIAL","97129",32]
[" 1797130","PT COGNITIVE FUNCTION ADD ON","97130",30.5]
[" 1797161","PT EVALUATION LOW COMPLEXITY","97161",187]
[" 1797162","PT EVALUATION MODERATE COMPLEXITY","97162",215]
[" 1797163","PT EVALUATION HIGH COMPLEXITY","97163",240]
[" 1797164","PT RE-EVALUATION","97164",205]
[" 1797533","SENSORY INTEGRATIVE","97533",69.5]
[" 1797537","PT COMMUNITY/WORK REINTEGRATION TRAINING","97537",84.5]
[" 1797542","PT WHEELCHAIR MANAGE 15 MIN","97542",82]
[" 1797602","PT DEBRIDMENT WOUND","97597",71.5]
[" 1797750","PT PHYSICAL PERFORMANCE TEST","97750",131]
[" 1797763","PT SPLINT ADJUSTMENT","97763",133]
[" 1797799","PT UNLISTED PHYSICAL MEDICINE/REHABILITA","97799",76.5]
[" 1799472","PT CARDIAC REHAB W MONITOR","93798",139]
[" 1818987","SELF CARE EVAL 0%","G8987CH",0]
[" 1818988","SELF CARE GOAL STATUS 0%","G8988CH",0]
[" 1818989","SELF CARE DISCHARGE 0%","G8989CH",0]
[" 1818990","OTHER EVAL 0%","G8990CH",0]
[" 1818991","OTHER GOAL STATUS 0%","G8991CH",0]
[" 1818992","OTHER DISCHARGE 0%","G8992CH",0]
[" 1818996","SWALLOW CURRENT STATUS, 0%","G8996CHGN",0]
[" 1818997","SWALLOW GOAL STATUS, 0%","G8997CHGN",0]
[" 1818998","SWALLOW D/C STATUS, 0%","G8998CHGN",0]
[" 1818999","MOTOR SPEECH CURRENT STATUS 0%","G8999CHGN",0]
[" 1819158","MOTOR SPEECH D/C STATUS 0%","G9158CHGN",0]
[" 1819159","LANG COMP CURRENT STATUS 0%","G9159CHGN",0]
[" 1819160","LANG COMP GOAL STATUS 0%","G9160CHGN",0]
[" 1819161","LANG COMP D/C STATUS 0%","G9161CHGN",0]
[" 1819162","LANG EXPRESS CURRENT STATUS 0%","G9162CHGN",0]
[" 1819163","LANG EXPRESS GOAL STATUS 0%","G9163CHGN",0]
[" 1819164","LANG EXPRESS D/C STATUS 0%","G9164CHGN",0]
[" 1819165","ATTEN CURRENT STATUS 0%","G9165CHGN",0]
[" 1819166","ATTEN GOAL STATUS 0%","G9166CHGN",0]
[" 1819167","ATTEN D/C STATUS 0%","G9167CHGN",0]
[" 1819168","MEMORY CURRENT STATUS 0%","G9168CHGN",0]
[" 1819169","MEMORY GOAL STATUS 0%","G9169CHGN",0]
[" 1819170","MEMORY D/C STATUS 0%","G9170CHGN",0]
[" 1819171","VOICE CURRENT STATUS 0%","G9171CHGN",0]
[" 1819172","VOICE GOAL STATUS 0%","G9172CHGN",0]
[" 1819173","VOICE D/C STATUS 0%","G9173CHGN",0]
[" 1819174","SPEECH LANG CURRENT STATUS 0%","G9174CHGN",0]
[" 1819175","SPEECH LANG GOAL STATUS 0%","G9175CHGN",0]
[" 1819176","SPEECH LANG D/C STATUS 0%","G9176CHGN",0]
[" 1819186","MOTOR SPEECH GOAL STATUS 0%","G9186CHGN",0]
[" 1828987","SELF CARE EVAL  1-20%","G8987CI",0]
[" 1828988","SELF CARE GOAL STATUS 1-20%","G8988CI",0]
[" 1828989","SELF CARE DISCHARGE 1-20%","G8989CI",0]
[" 1828990","OTHER EVAL 1-20%","G8990CI",0]
[" 1828991","OTHER GOAL STATUS 1-20%","G8991CI",0]
[" 1828992","OTHER DISCHARGE 1-20%","G8992CI",0]
[" 1828996","SWALLOW CURRENT STATUS, 1-20%","G8996CHGN",0]
[" 1828997","SWALLOW GOAL STATUS, 1-20%","G8997CIGN",0]
[" 1828998","SWALLOW D/C STATUS, 1-20%","G8998CIGN",0]
[" 1828999","MOTOR SPEECH CURRENT STATUS 1-20%","G8999CIGN",0]
[" 1829158","MOTOR SPEECH D/C STATUS 1-20%","G9158CIGN",0]
[" 1829159","LANG COMP CURRENT STATUS 1-20%","G9159CIGN",0]
[" 1829160","LANG COMP GOAL STATUS 1-20%","G9160CIGN",0]
[" 1829161","LANG COMP D/C STATUS 1-20%","G9161CIGN",0]
[" 1829162","LANG EXPRESS CURRENT STATUS 1-20%","G9162CIGN",0]
[" 1829163","LANG EXPRESS GOAL STATUS 1-20%","G9163CIGN",0]
[" 1829164","LANG EXPRESS D/C STATUS 1-20%","G9164CIGN",0]
[" 1829165","ATTEN CURRENT STATUS 1-20%","G9165CIGN",0]
[" 1829166","ATTEN GOAL STATUS 1-20%","G9166CIGN",0]
[" 1829167","ATTEN D/C STATUS 1-20%","G9167CIGN",0]
[" 1829168","MEMORY CURRENT STATUS 1-20%","G9168CIGN",0]
[" 1829169","MEMORY GOAL STATUS 1-20%","G9169CIGN",0]
[" 1829170","MEMORY D/C STATUS 1-20%","G9170CIGN",0]
[" 1829171","VOICE CURRENT STATUS 1-20%","G9171CIGN",0]
[" 1829172","VOICE GOAL STATUS 1-20%","G9172CIGN",0]
[" 1829173","SPEECH LANG D/C STATUS 20-40%","G9176CJGN",0]
[" 1829174","SPEECH LANG CURRENT STATUS 1-20%","G9174CIGN",0]
[" 1829175","SPEECH LANG GOAL STATUS 1-20%","G9175CIGN",0]
[" 1829176","SPEECH LANG D/C STATUS 1-20%","G9176CIGN",0]
[" 1829186","MOTOR SPEECH GOAL STATUS 1-20%","G9186CIGN",0]
[" 1838987","SELF CARE EVAL 20-40%","G8987CJ",0]
[" 1838988","SELF CARE GOAL STATUS 20-40%","G8988CJ",0]
[" 1838989","SELF CARE DISCHARGE 20-40%","G8989CJ",0]
[" 1838990","OTHER EVAL 20-40%","G8990CJ",0]
[" 1838991","OTHER GOAL STATUS 20-40%","G8991CJ",0]
[" 1838992","OTHER DISCHARGE 20-40%","G8992CJ",0]
[" 1838996","SWALLOW CURRENT STATUS, 20-40%","G8996CJGN",0]
[" 1838997","SWALLOW GOAL STATUS, 20-40%","G8997CJGN",0]
[" 1838998","SWALLOW D/C STATUS, 20-40%","G8998CJGN",0]
[" 1838999","MOTOR SPEECH CURRENT STATUS 20-40%","G8999CJGN",0]
[" 1839158","MOTOR SPEECH D/C STATUS 20-40%","G9158CJGN",0]
[" 1839159","LANG COMP CURRENT STATUS 20-40%","G9159CJGN",0]
[" 1839160","LANG COMP GOAL STATUS 20-40%","G9160CJGN",0]
[" 1839161","LANG COMP D/C STATUS 20-40%","G9161CJGN",0]
[" 1839162","LANG EXPRESS CURRENT STATUS 20-40%","G9162CJGN",0]
[" 1839163","LANG EXPRESS GOAL STATUS 20-40%","G9163CJGN",0]
[" 1839164","LANG EXPRESS D/C STATUS 20-40%","G9164CJGN",0]
[" 1839165","ATTEN CURRENT STATUS 20-40%","G9165CJGN",0]
[" 1839166","ATTEN GOAL STATUS 20-40%","G9166CJGN",0]
[" 1839167","ATTEN D/C STATUS 20-40%","G9167CJGN",0]
[" 1839168","MEMORY CURRENT STATUS 20-40%","G9168CJGN",0]
[" 1839169","MEMORY GOAL STATUS 20-40%","G9169CJGN",1.5]
[" 1839170","MEMORY D/C STATUS 20-40%","G9170CJGN",0]
[" 1839171","VOICE CURRENT STATUS 20-40%","G9171CJGN",0]
[" 1839172","VOICE GOAL STATUS 20-40%","G9172CJGN",0]
[" 1839173","VOICE D/C STATUS 20-40%","G9173CJGN",0]
[" 1839174","SPEECH LANG CURRENT STATUS 20-40%","G9174CJGN",0]
[" 1839175","SPEECH LANG GOAL STATUS 20-40%","G9175CJGN",0]
[" 1839176","SPEECH LANG D/C STATUS 20-40%","G9176CJGN",0]
[" 1839186","MOTOR SPEECH GOAL STATUS 20-40%","G9186CJGN",0]
[" 1848987","SELF CARE EVAL 40-60%","G8987CK",0]
[" 1848988","SELF CARE GOAL STATUS 40-60%","G8988CK",0]
[" 1848989","SELF CARE DISCHARGE 40-60%","G8989CK",0]
[" 1848990","OTHER EVAL 40-60%","G8990CK",0]
[" 1848991","OTHER GOAL STATUS 40-60%","G8991CK",0]
[" 1848992","OTHER DISCHARGE 40-60%","G8992CK",0]
[" 1848996","SWALLOW CURRENT STATUS, 40-60%","G8996CKGN",0]
[" 1848997","SWALLOW GOAL STATUS, 40-60%","G8997CKGN",0]
[" 1848998","SWALLOW D/C STATUS, 40-60%","G8998CKGN",0]
[" 1848999","MOTOR SPEECH CURRENT STATUS 40-60%","G8999CKGN",0]
[" 1849158","MOTOR SPEECH D/C STATUS 40-60%","G9158CKGN",0]
[" 1849159","LANG COMP CURRENT STATUS 40-60%","G9159CKGN",0]
[" 1849160","LANG COMP GOAL STATUS 40-60%","G9160CKGN",0]
[" 1849161","LANG COMP D/C STATUS 40-60%","G9161CKGN",0]
[" 1849162","LANG EXPRESS CURRENT STATUS 40-60%","G9162CKGN",0]
[" 1849163","LANG EXPRESS GOAL STATUS 40-60%","G9163CKGN",0]
[" 1849164","LANG EXPRESS D/C STATUS 40-60%","G9164CKGN",0]
[" 1849165","ATTEN CURRENT STATUS 40-60%","G9165CKGN",0]
[" 1849166","ATTEN GOAL STATUS 40-60%","G9166CKGN",0]
[" 1849167","ATTEN D/C STATUS 40-60%","G9167CKGN",0]
[" 1849168","MEMORY CURRENT STATUS 40-60%","G9168CKGN",0]
[" 1849169","MEMORY GOAL STATUS 40-60%","G9169CKGN",0]
[" 1849170","MEMORY D/C STATUS 40-60%","G9170CKGN",0]
[" 1849171","VOICE CURRENT STATUS 40-60%","G9171CKGN",0]
[" 1849172","VOICE GOAL STATUS 40-60%","G9172CKGN",0]
[" 1849173","VOICE D/C STATUS 40-60%","G9173CKGN",0]
[" 1849174","SPEECH LANG CURRENT STATUS 40-60%","G9174CKGN",0]
[" 1849175","SPEECH LANG GOAL STATUS 40-60%","G9175CKGN",0]
[" 1849176","SPEECH LANG D/C STATUS 40-60%","G9176CKGN",0]
[" 1849186","MOTOR SPEECH GOAL STATUS 40-60%","G9186CKGN",0]
[" 1858987","SELF CARE EVAL 60-80%","G8987CL",0]
[" 1858988","SELF CARE GOAL STATUS 60-80%","G8988CL",0]
[" 1858989","SELF CARE DISCHARGE 60-80%","G8989CL",0]
[" 1858990","OTHER EVAL 60-80%","G8990CL",0]
[" 1858991","OTHER GOAL STATUS 60-80%","G8991CL",0]
[" 1858992","OTHER DISCHARGE 60-80%","G8992CL",0]
[" 1858996","SWALLOW CURRENT STATUS, 60-80%","G8996CLGN",0]
[" 1858997","SWALLOW GOAL STATUS, 60-80%","G8997CLGN",0]
[" 1858998","SWALLOW D/C STATUS, 60-80%","G8998CLGN",0]
[" 1858999","MOTOR SPEECH CURRENT STATUS 60-80%","G8999CLGN",0]
[" 1859158","MOTOR SPEECH D/C STATUS 60-80%","G9158CLGN",0]
[" 1859159","LANG COMP CURRENT STATUS 60-80%","G9159CLGN",0]
[" 1859160","LANG COMP GOAL STATUS 60-80%","G9160CLGN",0]
[" 1859161","LANG COMP D/C STATUS 60-80%","G9161CLGN",0]
[" 1859162","LANG EXPRESS CURRENT STATUS 60-80%","G9162CLGN",0]
[" 1859163","LANG EXPRESS GOAL STATUS 60-80%","G9163CLGN",0]
[" 1859164","LANG EXPRESS D/C STATUS 60-80%","G9164CLGN",0]
[" 1859165","ATTEN CURRENT STATUS 60-80%","G9165CLGN",0]
[" 1859166","ATTEN GOAL STATUS 60-80%","G9166CLGN",0]
[" 1859167","ATTEN D/C STATUS 60-80%","G9167CLGN",0]
[" 1859168","MEMORY CURRENT STATUS 60-80%","G9168CLGN",0]
[" 1859169","MEMORY GOAL STATUS 60-80%","G9169CLGN",0]
[" 1859170","MEMORY D/C STATUS 60-80%","G9170CLGN",0]
[" 1859171","VOICE CURRENT STATUS 60-80%","G9171CLGN",0]
[" 1859172","VOICE GOAL STATUS 60-80%","G9172CLGN",0]
[" 1859173","VOICE D/C STATUS 60-80%","G9173CLGN",0]
[" 1859174","SPEECH LANG CURRENT STATUS 60-80%","G9174CLGN",0]
[" 1859175","SPEECH LANG GOAL STATUS 60-80%","G9175CLGN",0]
[" 1859176","SPEECH LANG D/C STATUS 60-80%","G9176CLGN",0]
[" 1859186","MOTOR SPEECH GOAL STATUS 60-80%","G9186CLGN",0]
[" 1868987","SELF CARE EVAL 80-99%","G8987CM",0]
[" 1868988","SELF CARE GOAL STATUS 80-99%","G8988CM",0]
[" 1868989","SELF CARE DISCHARGE 80-99%","G8989CM",0]
[" 1868990","OTHER EVAL 80-99%","G8990CM",0]
[" 1868991","OTHER GOAL STATUS 80-99%","G8991CM",0]
[" 1868992","OTHER DISCHARGE 80-99%","G8992CM",0]
[" 1868996","SWALLOW CURRENT STATUS, 80-99%","G8996CMGN",0]
[" 1868997","SWALLOW GOAL STATUS, 80-99%","G8997CMGN",0]
[" 1868998","SWALLOW D/C STATUS, 80-99%","G8998CMGN",0]
[" 1868999","MOTOR SPEECH CURRENT STATUS 80-99%","G8999CMGN",0]
[" 1869158","MOTOR SPEECH D/C STATUS 80-99%","G9158CMGN",0]
[" 1869159","LANG COMP CURRENT STATUS 80-99%","G9159CMGN",0]
[" 1869160","LANG COMP GOAL STATUS 80-99%","G9160CMGN",0]
[" 1869161","LANG COMP D/C STATUS 80-99%","G9161CMGN",0]
[" 1869162","LANG EXPRESS CURRENT STATUS 80-99%","G9162CMGN",0]
[" 1869163","LANG EXPRESS GOAL STATUS 80-99%","G9163CMGN",0]
[" 1869164","LANG EXPRESS D/C STATUS 80-99%","G9164CMGN",0]
[" 1869165","ATTEN CURRENT STATUS 80-99%","G9165CMGN",0]
[" 1869166","ATTEN GOAL STATUS 80-99%","G9166CMGN",0]
[" 1869167","ATTEN D/C STATUS 80-99%","G9167CMGN",0]
[" 1869168","MEMORY CURRENT STATUS 80-99%","G9168CMGN",0]
[" 1869169","MEMORY GOAL STATUS 80-99%","G9169CMGN",0]
[" 1869170","MEMORY D/C STATUS 80-99%","G9170CMGN",0]
[" 1869171","VOICE CURRENT STATUS 80-99%","G9171CMGN",0]
[" 1869172","VOICE GOAL STATUS 80-99%","G9172CMGN",0]
[" 1869173","VOICE D/C STATUS 80-99%","G9173CMGN",0]
[" 1869174","SPEECH LANG CURRENT STATUS 80-99%","G9174CMGN",0]
[" 1869175","SPEECH LANG GOAL STATUS 80-99%","G9175CMGN",0]
[" 1869176","SPEECH LANG D/C STATUS 80-99%","G9176CMGN",0]
[" 1869186","MOTOR SPEECH GOAL STATUS 80-99%","G9186CMGN",0]
[" 1878987","SELF CARE EVAL 100%","G8987CN",0]
[" 1878988","SELF CARE GOAL STATUS 100%","G8988CN",0]
[" 1878989","SELF CARE DISCHARGE 100%","G8989CN",0]
[" 1878990","OTHER EVAL 100%","G8990CN",0]
[" 1878991","OTHER GOAL STATUS 100%","G8991CN",0]
[" 1878992","OTHER DISCHARGE 100%","G8992CN",0]
[" 1878996","SWALLOW CURRENT STATUS, 100%","G8996CNGN",0]
[" 1878997","SWALLOW GOAL STATUS, 100%","G8997CNGN",0]
[" 1878998","SWALLOW D/C STATUS, 100%","G8998CNGN",0]
[" 1878999","MOTOR SPEECH CURRENT STATUS 100%","G8999CNGN",0]
[" 1879158","MOTOR SPEECH D/C STATUS 100%","G9158CNGN",0]
[" 1879159","LANG COMP CURRENT STATUS 100%","G9159CNGN",0]
[" 1879160","LANG COMP GOAL STATUS 100%","G9160CNGN",0]
[" 1879161","LANG COMP D/C STATUS 100%","G9161CNGN",0]
[" 1879162","LANG EXPRESS CURRENT STATUS 100%","G9162CNGN",0]
[" 1879163","LANG EXPRESS GOAL STATUS 100%","G9163CNGN",0]
[" 1879164","LANG EXPRESS D/C STATUS 100%","G9164CNGN",0]
[" 1879165","ATTEN CURRENT STATUS 100%","G9165CNGN",0]
[" 1879166","ATTEN GOAL STATUS 100%","G9166CNGN",0]
[" 1879167","ATTEN D/C STATUS 100%","G9167CNGN",0]
[" 1879168","MEMORY CURRENT STATUS 100%","G9168CNGN",0]
[" 1879169","MEMORY GOAL STATUS 100%","G9169CNGN",1.5]
[" 1879170","MEMORY D/C STATUS 100%","G9170CNGN",0]
[" 1879171","VOICE CURRENT STATUS 100%","G9171CNGN",0]
[" 1879172","VOICE GOAL STATUS 100%","G9172CNGN",0]
[" 1879173","VOICE D/C STATUS 100%","G9173CNGN",0]
[" 1879174","SPEECH LANG CURRENT STATUS 100%","G9174CNGN",0]
[" 1879175","SPEECH LANG GOAL STATUS 100%","G9175CNGN",1.5]
[" 1879176","SPEECH LANG D/C STATUS 100%","G9176CNGN",0]
[" 1879186","MOTOR SPEECH GOAL STATUS 100%","G9186CNGN",1]
[" 1892507","ST SPEECH/ HEARING THERAPY","92507GN",236.5]
[" 1892521","ST EVAL OF SPEECH FLUENCY","92521",293.5]
[" 1892522","ST EVAL OF SPEECH SOUND/PRODUCTION","92522",243.5]
[" 1892523","ST EVAL OF SPCH VALUA & LANG COMP/EXP","92523",495]
[" 1892524","ST BH QAUL ANYLYSIS OF VOICE/REASON","92524",252]
[" 1892526","ST ORAL FUNCTION THERAPY","92526",272.5]
[" 1892610","ST EVAL SWALLOWING FUNCTION","92610",272.5]
[" 1896105","ST ASSESSMENT OF APHASIA","96105GN",272.5]
[" 1896110","OT DEVELOPMENTAL SCREEN W/SCORE &DOC STD","96110",18]
[" 1896112","OT DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST","96112",271]
[" 1896125","ST STANDARD COGNITIVE TESTING","96125GN",277]
[" 1897010","HOT/COLD PACK APPLICATION","97010",19]
[" 1897014","OT E-STIM UNATTENDED","97014",54.5]
[" 1897018","OT PARAFFIN BATH","97018",64]
[" 1897032","OT ESTIM APPLICATION","97032",76]
[" 1897033","OT IONTOPHORESIS","97033",189.5]
[" 1897035","OT ULTRASOUND","97035",47]
[" 1897110","OT THERAPEUTIC EXERCISE EA 15 MIN","97110",105]
[" 1897112","OT NEURO RE-ED","97112",107]
[" 1897127","OT COGNITIVE SKILLS","97127",113]
[" 1897129","OT COGNITIVE FUNCTION INITIAL","97129",32]
[" 1897130","OT COGNITIVE FUNCTION ADD ON","97130",30.5]
[" 1897140","OT MANUAL THERAPY","97140",98]
[" 1897150","OT THERAPEUTIC GROUP (2 OR MORE)","97150",82.5]
[" 1897165","OT EVALUATION LOW COMPLEXITY","97165",219]
[" 1897166","OT EVALUATION MODERATE COMPLEXITY","97166",244]
[" 1897167","OT EVALUATION HIGH COMPLEXITY","97167",274]
[" 1897168","OT RE-EVALUATION","97168",219]
[" 1897530","OT THERAPEUTIC ACTIVITY DIRECT PT CONTAC","97530",111.5]
[" 1897532","ST COG SKILLS DEVELOP PER 15 MIN","97532",113]
[" 1897533","OT SENSORY INTEGRATIVE TECHNIQUES","97533",73]
[" 1897535","OT ADLS/ SELF CARE","97535",111.5]
[" 1897537","OT COMMUNITY/WORK REINTEGRATION 15 MIN","97537",84.5]
[" 1897542","OT WHEELCHAIR MGMT 15 MIN","97542",86]
[" 1897597","OT DEBRIDMENT WOUND","97597",71.5]
[" 1897750","OT PHYSICAL PERFORMANCE TEST","97750",136]
[" 1897755","OT ASSISTIVE TECHNOLOGY ASSESS","97755",54.5]
[" 1897760","OT BRACE FITTING","97760",98.5]
[" 1897799","UNLISTED PHYSICAL MEDICINE/REHABILITATIO","97799",119.5]
[" 2000010","PFIZER COVID-19 VAC ADM FIRST DOSE","0001A",26.5]
[" 2000020","PFIZER COVID-19 VAC ADM SECOND DOSE","0002A",37]
[" 2000030","PFIZER COVID-19 VAC ADM THIRD DOSE","0003A",53]
[" 2000040","PFIZER COVID-19 VAC ADM BOOSTER","0004A",53]
[" 2000110","MODERNA COVID-19 VAC ADM FIRST DOSE","0011A",26.5]
[" 2000120","MODERNA COVID-19 VAC ADM 2ND DOSE","0012A",37]
[" 2000130","MODERNA COVID-19 VAC ADM 3RD DOSE","0013A",53]
[" 2000310","J & J JANSSEN COVID 19 VAC ADMINISTRATIO","0031A",37]
[" 2000340","J & J JANSSEN COVID 19 BOOSTER ADM","0034A",53]
[" 2000640","MODERNA COVID-19 VAC ADM BOOSTER","0064A",53]
[" 2000710","PFIZER COVID-19 VAC ADM 1ST DOSE","0071A",53]
[" 2000720","PFIZER COVID-19 VAC ADM 2ND DOSE","0072A",53]
[" 2001141","EXC BE LESION TAL EA ADD","11401",107]
[" 2001142","EXC BENIGN LESION SNHFG EA ADD","11422",107]
[" 2001203","LAYER CLOSE S,A,T,E EA ADD","12031",107]
[" 2001991","NERVE BLOCK/INJ","01991",169.5]
[" 2001992","NERVE BLOCK","01992",662.5]
[" 2010021","FINE NEEDLE","10021",267]
[" 2010022","FINE NEEDLE ASPIRATION; W/IMAGE GUIDANCE","10022",306]
[" 2010060","I&D OF ABSCESS","10060",356]
[" 2010061","I&D ABSCESS COMPLICATED/MULTI","10061",489.5]
[" 2010120","I&D FOREIGN BODY SUBCU TISS SIMPLE","12031",406.5]
[" 2010140","I&D HEMATOMA/SEROMA","10140",1183]
[" 2010160","APIRATION ABSCESS/HEMA/CYST/SKIN/SUBQ","10160",327]
[" 2010180","I&D COMPLEX POST OP/INFECT","10180",825]
[" 2011042","DEBRIDEMENT, SUB 1ST 20 SQ CM OR LESS","11042",275]
[" 2011043","DEBRIDEMENT,  1ST 20 SQ CM OR LESS","11043",500]
[" 2011044","DEBRIDEMENT, BONE FIRST 20 SQ CM OR LESS","11044",1000]
[" 2011045","DEBRIDEMENT, SUB ADD 20 SQ CM OR LESS","11045",475]
[" 2011046","DEBRIDEMENT, MUSCLE ADD 20 SQ CM OR LESS","11046",550]
[" 2011047","DEBRIDEMENT, BONE ADD 20 SQ CM OR LESS","11047",725]
[" 2011100","BIOPSY OF SKIN","11100",310.5]
[" 2011101","BIOPSY OF SKIN EA/SEPERATE ADD","11101",181.5]
[" 2011110","EXC TONGUE LESION W CLOSURE","41113",830]
[" 2011200","REMOVAL SKIN TAGS<15","11200",223.5]
[" 2011201","REMOVAL SKIN TAGS<15 EA ADD 10 TAGS","11201",214]
[" 2011300","SHAVE SKIN LESION","11300",162]
[" 2011302","SHAVE SKIN LESION 1.1 >2.0CM","11302",162]
[" 2011306","SHAVE SKIN LESION SNHFG .6-1.0CM","11306",162]
[" 2011310","SHAVE SKIN LESION FEENLM","11310",162]
[" 2011311","SHAVE SKIN LESION FEENLM 0.6-1.0","11311",162]
[" 2011313","SHAVE SKIN LESION >2.0 CM","11313",215.5]
[" 2011400","EXC BENIGN LESION T,A,L <.5CM","11400",322.5]
[" 2011401","EXC BENIGN LESION T,A,L 06-1.0CM","11401",322.5]
[" 2011402","EXC BENIGN LESION T,A,L 1.1-2.0CM","11402",340]
[" 2011403","EXC BENIGN LESION T,A,L 2.1-3.0CM","11403",322.5]
[" 2011404","EXC BENIGN LESION T,A,L 3.1-4.0CM","11404",322.5]
[" 2011406","EXC BENIGN LESION T,A,L >4.0CM","11406",322.5]
[" 2011420","EXC BENIGN LESION SNHFG <.5CM","11420",322.5]
[" 2011421","EXC BENIGN LESION SNHFG .6-1.0CM","11421",322.5]
[" 2011422","EXC BENIGN LESION SNHFG 1.1-2.0CM","11422",322.5]
[" 2011423","EXC BENIGN LESION SNHFG 2.1-3.0CM","11423",322.5]
[" 2011424","EXC BENIGN LESION SNHFG 3.1-4.0CM","11424",322.5]
[" 2011426","EXC BENIGN LESION SNHFG >4.0CM","11426",322.5]
[" 2011440","EXC BENIGN LESION FEENL <.5CM","11640",322.5]
[" 2011441","EXC BENIGN LESION FEENL .6-1.0CM","11441",322.5]
[" 2011442","EXC BENIGN LESION FEENL 1.1-2.0CM","11642",322.5]
[" 2011443","EXC BENIGN LESION FEENL 2.1-3.0CM","11643",322.5]
[" 2011444","EXC BENIGN LESION FEENL 3.1-4.0CM","11644",322.5]
[" 2011446","EXC BENIGN LESION FEENL >4.0CM","11646",322.5]
[" 2011600","EXC LESION T,A,L <.5","11600",514.5]
[" 2011601","EXC LESION T,A,L .6-1.00CM","11601",514.5]
[" 2011602","EXC LESION T,A,L 1.1-2.0CM","11602",322.5]
[" 2011603","EXC LESION T,A,L 2.1-3.0","11603",514.5]
[" 2011604","EXC LESION T,A,L 3.1-4.0CM","11604",514.5]
[" 2011606","EXC LESION T,A,L >4.0","11606",514.5]
[" 2011620","EXC LESION SNHFG <.5CM","11620",514.5]
[" 2011621","EXC LESION SNHFG .6-1.0CM","11621",514.5]
[" 2011622","EXC LESION SNHFG 1.1-2.0CM","11622",514.5]
[" 2011623","EXC LESION SNHFG 2.1-3.0CM","11623",514.5]
[" 2011624","EXC LESION SNHFG 3.1-4.0cm","11624",514.5]
[" 2011626","EXC LESION SNHF >4.0","11626",514.5]
[" 2011640","EXC LESION FEENL <.5CM","11640",514.5]
[" 2011641","EXC LESION FEENL .6-1.0CM","11641",322.5]
[" 2011642","EXC LESION FEENL 1.1-2.0CM","11642",322.5]
[" 2011643","EXC LESION FEENL 2.1-3.0CM","11643",514.5]
[" 2011644","EXC LESION FEENL 3.1-4.0CM","11644",514.5]
[" 2011646","EXC LESION FEENL >4.0CM","11646",514.5]
[" 2011730","NAIL REMOVEL 1","11730",377.5]
[" 2011732","NAIL REMOVEL EA ADD","11732",201]
[" 2011740","DRAIN BLOOD UNDER NAIL","11740",196.5]
[" 2011750","NAIL-MATRIX EXC","11750",706]
[" 2011765","WEDGE-EXC SIN-TOENAIL","11765",524]
[" 2012031","LAYER CLOSE S,A,T,E 2.5CM >LESS","12031",363]
[" 2012032","LAYER CLOSE SATE 2.6>7.5","12032",519]
[" 2012034","LAYER CLOSE SATE 7.6>12.5","12034",639.5]
[" 2012041","LAYER CLOSE N,H,F,G 2.5>LESS","12041",490]
[" 2012051","LAYER CLOSE F,E,E,N,L 2.5CM>LESS","12051",390.5]
[" 2016020","BURN DRESS/DEBRIDMENT SM","16020",134.5]
[" 2016025","BURN DRESS/DEBRIDMENT MED","16025",244.5]
[" 2016030","BURN DRESS/DEBRIDMENT LG","16030",354]
[" 2017000","DESTRUCT BENIGN PREMAL LESION 1ST","17000",322.5]
[" 2017003","DESTRUCT BENIGN PREMAL LESION 2-14","17003",112.5]
[" 2017110","DESTRUCT BENIGN LESION UP TO 14","17110",322.5]
[" 2017260","DESTRUCT MAL LESION TAL >.5CM","17260",514.5]
[" 2017261","DESTRUCT MAL LESION TAL >.5CM","17261",514.5]
[" 2017262","DESTRUCT MAL LESION TAL >1.1-2.0CM","17262",514.5]
[" 2017263","DESTRUCT MAL LESION TAL 2.1-3.0CM","17263",514.5]
[" 2017264","DESTRUCT MAL LESION TAL 3.1-4.0CM","17264",514.5]
[" 2017266","DESTRUCT MAL LESION TAL >4.0CM","17266",514.5]
[" 2017270","DESTRUCT MAL LESION SNHFG <.5CM","17270",514.5]
[" 2017271","DESTRUCT MAL LESION SNHFG .6-1.0CM","17271",514.5]
[" 2017272","DESTRUCT MAL LESION SNHFG 1.1-2.0CM","17272",514.5]
[" 2017273","DESTRUCT MAL LESION SNHFG 2.1-3.0CM","17273",514.5]
[" 2017274","DESTRUCT MAL LESION SNHFG 3.1-4.0","17274",514.5]
[" 2017276","DESTRUCT MAL LESION SNHFG >4.0CM","17276",514.5]
[" 2017280","DESTRUCT MAL LESION FEENL <.5CM","17280",514.5]
[" 2017281","DESTRUCT MAL LESION FEENL .6-1.0CM","17281",514.5]
[" 2017282","DESTRUCT MAL LESION FEENL 1.1-2.0CM","17282",514.5]
[" 2017283","DESTRUCT MAL LESION FEENL 2.1-3.0CM","17283",514.5]
[" 2017284","DESTRUCT MAL LESION FEENL 3.1-4.0CM","17284",514.5]
[" 2017286","DESTRUCT MAL LESION FEENL >4.0CM","17286",514.5]
[" 2020220","BONE BIOPSY TROCAR/NEEDLE","20220",757.5]
[" 2020552","INJ TRIGGER POINTS","20552",462.5]
[" 2020553","INJECTION TRIGGER POINT 3 OR MORE MUSCLE","20553",293.5]
[" 2020605","DRAIN / INJ JOINT/BURSA W/O US","20605",167.5]
[" 2020610","ASPIRATION/INJECTION MAJOR JOINT","20610",662.5]
[" 2020822","REATTACH FINGERTIP","20822",671.5]
[" 2021011","EXCISION, TUMOR, SOFT TISSUE OF FACE OR","21011",1060]
[" 2021012","EXC TUMOR S TISS F,S <.5CM","11400",949.5]
[" 2021485","CLOSED REDUCTION OFTHE MANDULAR JAW W AN","21485",1235]
[" 2021550","BIOPSY NECK/THORAX","21550",853.5]
[" 2021552","EXC NECK LES SC 3 CM/>","21552",1203]
[" 2021555","EXC TUMOR NECK THOR SUBCUT < 3 C.M.","21555",1063.5]
[" 2022903","EXC TUMOR SOFT TISSUE ABD WALL SUBQ 3 CM","22903",2655]
[" 2023075","EXC SOFT TISSUE TUMOR","23075",491]
[" 2023655","CLOSE SHOULDER DIS W MANIP W ANES","23655",1294.5]
[" 2024071","EXC TUMOR SOFT TISSUE UPPER ARM","24071",2688]
[" 2025065","BIOPSY FOREARM/WRIST","25065",310.5]
[" 2025071","EXC FOREARM LES SC 3 CM/>","25071",2330]
[" 2025075","EXC FOREARM LES SC < 3 CM","25075",1086.5]
[" 2025535","CLOSED REDUCTION ULNAR SHAFT","25535",392]
[" 2026160","EXCISE LESION  TENDON SHEALTH","26160",310.5]
[" 2026410","REPAIR EXTENSOR TENDON HAND PRIMARY OR S","26410",1130]
[" 2026770","CLOSED REDUCT FINGER JOINT","26770",415]
[" 2027096","SI JOINT INJECTION","27096",463.5]
[" 2027327","EXC TUMOR THIGH KNEE SUBCU","27327",1301]
[" 2027752","CLOSED REDUCT TIBIAL SHAFT","26770",403]
[" 2029075","CAST ELBOW TO FINGER","29075",355.5]
[" 2029085","CAST APP WRIST/HAND","29085",335.5]
[" 2029105","SPLINT APP LONG ARM","29105",271]
[" 2029125","SPLINT APP SHORT ARM","29125",286.5]
[" 2029130","SPLINT FINGER","29130",149]
[" 2029405","CAST LEG BELOW KNEE","29405",379.5]
[" 2029515","SPLINT APP SH LEG CALF TO FOOT","29515",271]
[" 2029580","STRAPPING UNNA BOOT","29580",200]
[" 2029581","APP COMPRESSION SYSTEM MULTI","29581",225]
[" 2030300","FB REMOVAL NOSE","30300",269.5]
[" 2030901","NASAL BLEED SIMPLE","30901",302]
[" 2032551","CHEST TUBE INSERTION HEMOTHORAX","32551",996.5]
[" 2032554","THORACENTESIS W/OUT IMAGINING GUIDANCE","32554",352]
[" 2032555","THORACENTESIS W/ IMAGINING GUIDANCE","32555",443.5]
[" 2036430","BLOOD ADMIN/UNIT OP","36430",978]
[" 2036556","CENTRAL LINE INSERTION >5 YEARS","36556",1110.5]
[" 2036569","PICC LIN INSERTION >5YR","36569",1144.5]
[" 2040490","BIOPSY LIP","40490",310.5]
[" 2040812","EXC SUBMUCOSAL TISS LIP/CHEECK","40812",322.5]
[" 2041110","EXC LESION TONGUE WO CLOSURE","11401",310.5]
[" 2041112","EXC TONGUE @ CLOSURE ANTERIOR 2/3","41112",310.5]
[" 2041113","EXC TONGUE LESION W CLOSURE","41113",830]
[" 2045385","COLONOSOPY W/LESION REMOVAL","45385",1834.5]
[" 2046040","I&D ISCHLORECTA/PERIREC","46040",696.5]
[" 2046083","INC THROMBOSED HEMORRHOID EXTERNAL","46083",433]
[" 2049082","PARACENTESIS W/OUT IMAGING GUIDANCE","49082",321.5]
[" 2049083","PARACENTESIS W/ IMAGING GUIDANCE","49083",493]
[" 2051701","INSERTION CATHETER BLADDER","51701",229.5]
[" 2051702","CATH UREATHRA FOLEY","51702",214]
[" 2055250","VASECTOMY","55250",651.5]
[" 2057455","COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/C","57455",755.5]
[" 2058301","REMOVAL IUD","58301",403.5]
[" 2059000","AMNIOCENTESIS","59000",662.5]
[" 2062270","LUMBAR PUNCTURE","62270",777.5]
[" 2062272","LUMBAR PUNCTURE DRAINAGE","62272",376.5]
[" 2062273","STEROID EPIDURAL; BLOOD OR CLOT PATCH","62273",883]
[" 2062281","EPIDURAL CERV/THORAC","62281",820.5]
[" 2062310","STEROID EPIDURAL","62310",662.5]
[" 2062311","STEROID EPIDURAL","62311",662.5]
[" 2062318","STEROID EPIDURAL","62318",822]
[" 2062319","CAUDEL NERVE BLOCK","62326",662.5]
[" 2062320","STEROID EPIDURAL","62320",662.5]
[" 2062321","CERVIAL OR THORACIC IEPIDURAL W GUIDANCE","62321",662.5]
[" 2062322","STEROID EPIDURAL","62322",662.5]
[" 2062323","LUMBAR OR SACRAL EPIDURAL WITH GUIDANCE","62323",662.5]
[" 2062324","STEROID EPIDURAL","62324",822]
[" 2064405","OCCIPITAL NERVE BLOCK","64405",662.5]
[" 2064421","NERVE BLOCK","64421",662.5]
[" 2064425","NERVE BLOCK ILOINGUNIAL NERVER","64425",792.5]
[" 2064445","SCIATIC NERVE BLOCK, SINGLE","64445",761.5]
[" 2064450","NERVE BLOCK/PERPHERAL NERVE","64450",511.5]
[" 2064479","STEROID EPIDURAL","99218",707.5]
[" 2064480","FORAMEN EPIDURAL ADD-ON CERVICAL/THORACI","64480",544.5]
[" 2064481"," EPIDURAL SINGLE LEVEL","64483",662.5]
[" 2064482","FORAMEN EPIDURAL ADD-ON CERVICAL/THORACI","64480",544.5]
[" 2064483","TRANSFORAMINAL EPIDURAL SINGLE LEVEL","64483",662.5]
[" 2064484","TRANSFORAMINAL EPIDURAL, EACH ADD LEVEL","64484",377]
[" 2064487","TAP BLOCK UNI BY INFUSION","64487",537]
[" 2064490","JOINT INJECTION SGL LEVEL","64490",1301]
[" 2064491","JOINT INJECTION 2ND LEVEL","64491",559]
[" 2064492","JOINT INJECTION 3RD LEVEL","64492",559]
[" 2064493","FACET JOINT INJECTION","64493",707.5]
[" 2064494","INJECT PARAVERT F JNT L/S 2 LEV","64494",704]
[" 2064495","FACET JOINT INJECTION","64495",707.5]
[" 2064520","LUMBAR OR THORACIC INJECT PARAVERTBRL","64520",662.5]
[" 2064633","FJN  CERVICAL/THORA SINGLE","64633",1908]
[" 2064634","FJN CERVICAL/THORA  SINGLEEACH ADD","64634",841.5]
[" 2064635","FJN LUMB/SAC SINGLE","64635",2176.5]
[" 2064636","FJN LUMB/SAC EA  ADDTL","64636",1148]
[" 2064640","PERIPHERAL NERVE","64640",339]
[" 2065205","FB EXTERNAL EYE CONJUNCTIVAL SUPERFICIAL","65205",222.5]
[" 2067810","BIOPSY EYELID","67810",310.5]
[" 2069100","BIOPSY EXTER EAR","69100",322.5]
[" 2069110","EXC EXTER EAR PARTIAL SIMPLE","69110",524]
[" 2069433","TYMPANOSTOMY LOC/TOPICAL ANES UNIL","69433",439.5]
[" 2070020","IV INFUSION DRUG 1ST HR OUTPATIENT","90774",437]
[" 2076942","ULTRASOUND GUIDE FOR BIOPSY","76942",985.5]
[" 2086580","TB TEST","86580",37]
[" 2090471","INJ-IMMUNIZATION","90471",44.5]
[" 2090472","INJ/IMMUNIZATION EA ADD","90472",49.5]
[" 2090714","TETNUS 7 YR OR OLDER","90471",274.5]
[" 2090760","IV HYDRATION INITIAL 1ST HR","96360",462.5]
[" 2090761","IV HYDRATION ADDL UP TO 8HR","96361",111]
[" 2090765","IV INFUSION DRUG  1ST HR","96365",406.5]
[" 2090766","IV THERAPY ADD HR 8 MAX","96366",97.5]
[" 2090767","SEQUENTIAL INFUSION ADDL HR","96367",241]
[" 2090768","IV INFUS ADD SEQUENTIAL","96368",102.5]
[" 2090772","SQ/IM INJECTION","96372",64]
[" 2090774","INJ IV PUSH","96374",211]
[" 2090775","IV PUSH EA ADD","96375",221.5]
[" 2092960","CARDIOVERSION","92960",828]
[" 2096365","TB INJECTION","90471",37]
[" 2096411","CHEMO ADMIN IVP","96411",229.5]
[" 2096523","IRRIGATE PICC LINE","96523",222.5]
[" 2097597","DEBRID OPEN WOUND 20 SQ CM OR LESS","97597",200]
[" 2097598","DEBRIDEMENT, OPEN WOUND ADD 20 SQ CM","97598",225]
[" 2097602","DEBRIDEMENT NON SELECT WET/DRY","97602",170]
[" 2097605","NEGATIVE PRESSURE WOUND THERAPY 50 CM","97605",170]
[" 2097606","NEGATIVE PRESSURE WOUND THERAPY < 50","97606",250]
[" 2097607","NEGATIVE PRESSURE WOUND THERAPY","97607",600]
[" 2097608","NEG PRESSURE WOUND NON DURABLE","97608",585]
[" 2099143","CONSCIOUS SEDATION ORAL","99143",285]
[" 2099152","CONSCIENCE SEDATION","99152",662.5]
[" 2099195","PHLEBOTOMY THERAPEUTIC","99195",214]
[" 2099211","002CLINIC E&M LEVEL1","99211",151.5]
[" 2099212","CLINIC E&M LEVEL2","99212",211]
[" 2099213","CLINIC E&M LEVEL3","99213",266.5]
[" 3000100","ANESTHESIA UNIT X 15MIN","00100",222]
[" 3000103","ANESTHESIA UNIT X 15MIN","00103",222]
[" 3000120","ANESTHESIA UNIT X 15MIN","00120",222]
[" 3000126","ANESTHESIA UNIT X 15MIN","00126",222]
[" 3000140","ANESTHESIA UNIT X 15MIN","00140",222]
[" 3000160","ANESTHESIA UNIT X 15MIN","00160",222]
[" 3000164","ANESTHESIA UNIT X 15MIN","00164",222]
[" 3000170","ANESTHESIA UNIT X 15MIN","00170",222]
[" 3000190","ANESTHESIA UNIT X 15MIN","00190",222]
[" 3000300","ANESTHESIA UNIT X 15MIN","00300",222]
[" 3000320","ANESTHESIA UNIT X 15MIN","00320",222]
[" 3000352","ANESTHESIA UNIT X 15MIN","00352",222]
[" 3000400","ANESTHESIA UNIT X 15MIN","00400",222]
[" 3000401","ANESTHESIA UNIT X 15MIN","00401",222]
[" 3000402","ANESTHESIA UNIT X 15MIN","00402",222]
[" 3000404","ANESTHESIA UNIT X 15MIN","00404",222]
[" 3000410","ANESTHESIA UNIT X 15MIN","00410",222]
[" 3000450","ANESTHESIA UNIT X 15MIN","00450",222]
[" 3000520","ANESTHESIA UNIT X 15MIN","00520",222]
[" 3000524","ANESTHESIA UNIT X 15MIN","00524",222]
[" 3000532","ANESTHESIA UNIT X 15MIN","00532",222]
[" 3000620","ANESTHESIA UNIT X 15MIN","00620",222]
[" 3000635","ANESTHESIA UNIT X 15MIN","00635",222]
[" 3000640","ANESTHESIA UNIT X 15MIN","00640",222]
[" 3000700","ANESTHESIA UNIT X 15MIN","00702",222]
[" 3000702","ANESTHESIA UNIT X 15MIN","00702",222]
[" 3000730","ANESTHESIA UNIT X 15MIN","00730",222]
[" 3000731","ANESTHESIA UNIT X 15MIN","00731",222]
[" 3000740","ANESTHESIA UNIT X 15MIN","00740",222]
[" 3000750","ANESTHESIA UNIT X 15MIN","00750",222]
[" 3000752","ANESTHESIA UNIT X 15MIN","00752",222]
[" 3000756","ANESTHESIA UNIT X 15MIN","62311",222]
[" 3000790","ANESTHESIA UNIT X 15MIN","00790",222]
[" 3000797","ANESTHESIA UNIT X 15MIN","00797",222]
[" 3000800","ANESTHESIA UNIT X 15MIN","00800",222]
[" 3000810","ANESTHESIA UNIT X 15MIN","00810",222]
[" 3000811","ANESTHESIA UNIT X 15MIN","00811",222]
[" 3000812","ANESTHESIA UNIT X 15MIN","00812",222]
[" 3000813","ANESTHESIA UNIT X 15MIN","00813",222]
[" 3000817","ANESTHESIA UNIT X 15MIN","00820",222]
[" 3000820","ANESTHESIA UNIT X 15MIN","00820",222]
[" 3000830","ANESTHESIA UNIT X 15MIN","00830",222]
[" 3000832","ANESTHESIA UNIT X 15MIN","00832",222]
[" 3000834","ANESTHESIA UNIT X 15MIN","00830",222]
[" 3000840","ANESTHESIA UNIT X 15MIN","00840",222]
[" 3000842","ANESTHESIA UNIT X 15MIN","00842",222]
[" 3000846","ANESTHESIA UNIT X 15MIN","00846",222]
[" 3000848","ANESTHESIA UNIT X 15MIN","00848",222]
[" 3000851","ANESTHESIA UNIT X 15MIN","00851",222]
[" 3000860","ANESTHESIA UNIT X 15MIN","00860",222]
[" 3000864","ANESTHESIA UNIT X 15MIN","00864",222]
[" 3000870","ANESTHESIA UNIT X 15MIN","00870",222]
[" 3000902","ANESTHESIA UNIT X 15MIN","00902",222]
[" 3000906","ANESTHESIA UNIT X 15MIN","00906",222]
[" 3000910","ANESTHESIA UNIT X 15MIN","00910",222]
[" 3000912","ANESTHESIA UNIT X 15MIN","00912",222]
[" 3000914","ANESTHESIA UNIT X 15MIN","00914",222]
[" 3000916","ANESTHESIA UNIT X 15MIN","00918",222]
[" 3000918","ANESTHESIA UNIT X 15MIN","00918",222]
[" 3000920","ANESTHESIA UNIT X 15MIN","00920",222]
[" 3000921","ANESTHESIA UNIT X 15MIN","00921",222]
[" 3000924","ANESTHESIA UNIT X 15MIN","00924",222]
[" 3000926","ANESTHESIA UNIT X 15MIN","00926",222]
[" 3000930","ANESTHESIA UNIT X 15MIN","00930",222]
[" 3000940","ANESTHESIA UNIT X 15MIN","00940",222]
[" 3000942","ANESTHESIA UNIT X 15MIN","00942",222]
[" 3000944","ANESTHESIA UNIT X 15MIN","00944",222]
[" 3000948","ANESTHESIA UNIT X 15MIN","00948",222]
[" 3000952","ANESTHESIA UNIT X 15MIN","00952",222]
[" 3001120","ANESTHESIA UNIT X 15MIN","01120",222]
[" 3001200","ANESTHESIA UNIT X 15MIN","01200",222]
[" 3001210","ANESTHESIA UNIT X 15MIN","01210",222]
[" 3001214","ANESTHESIA UNIT X 15MIN","01214",222]
[" 3001215","ANESTHESIA UNIT X 15MIN","01215",222]
[" 3001220","ANESTHESIA UNIT X 15MIN","01220",222]
[" 3001230","ANESTHESIA UNIT X 15MIN","01230",222]
[" 3001232","ANESTHESIA UNIT X 15MIN","01232",222]
[" 3001234","ANESTHESIA UNIT X 15MIN","01234",222]
[" 3001250","ANESTHESIA UNIT X 15MIN","01250",222]
[" 3001320","ANESTHESIA UNIT X 15MIN","01320",222]
[" 3001340","ANESTHESIA UNIT X 15MIN","01340",222]
[" 3001360","ANESTHESIA UNIT X 15MIN","01360",222]
[" 3001380","ANESTHESIA UNIT X 15MIN","01380",222]
[" 3001382","ANESTHESIA UNIT X 15MIN","01382",222]
[" 3001390","ANESTHESIA UNIT X 15MIN","01390",222]
[" 3001392","ANESTHESIA UNIT X 15MIN","01392",222]
[" 3001400","ANESTHESIA UNIT X 15MIN","01400",222]
[" 3001402","ANESTHESIA UNIT X 15MIN","01402",222]
[" 3001430","ANESTHESIA UNIT X 15MIN","01430",222]
[" 3001462","ANESTHESIA UNIT X 15MIN","01462",222]
[" 3001464","ANESTHESIA UNIT X 15MIN","01464",222]
[" 3001470","ANESTHESIA UNIT X 15MIN","01470",222]
[" 3001472","ANESTHESIA UNIT X 15MIN","01472",222]
[" 3001474","ANESTHESIA UNIT X 15MIN","01474",222]
[" 3001480","ANESTHESIA UNIT X 15MIN","01480",222]
[" 3001482","ANESTHESIA UNIT X 15MIN","01482",222]
[" 3001483","ANESTHESIA UNIT X 15MIN","01483",222]
[" 3001484","ANESTHESIA UNIT X 15MIN","01484",222]
[" 3001486","ANESTHESIA UNIT X 15MIN","01486",222]
[" 3001520","ANESTHESIA UNIT X 15MIN","01520",222]
[" 3001610","ANESTHESIA UNIT X 15MIN","01610",222]
[" 3001620","ANESTHESIA UNIT X 15MIN","01620",222]
[" 3001622","ANESTHESIA UNIT X 15MIN","01622",222]
[" 3001630","ANESTHESIA UNIT X 15MIN","01630",222]
[" 3001632","ANESTHESIA UNIT X 15MIN","01632",222]
[" 3001638","ANESTHESIA UNIT X 15MIN","01638",222]
[" 3001650","ANESTHESIA UNIT X 15MIN","01650",222]
[" 3001710","ANESTHESIA UNIT X 15MIN","01710",222]
[" 3001712","ANESTHESIA UNIT X 15MIN","01710",222]
[" 3001714","ANESTHESIA UNIT X 15MIN","01714",222]
[" 3001716","ANESTHESIA UNIT X 15MIN","01716",222]
[" 3001730","ANESTHESIA UNIT X 15MIN","01730",222]
[" 3001732","ANESTHESIA UNIT X 15MIN","01732",222]
[" 3001740","ANESTHESIA UNIT X 15MIN","01740",222]
[" 3001742","ANESTHESIA UNIT X 15MIN","01742",222]
[" 3001744","ANESTHESIA UNIT X 15MIN","01744",222]
[" 3001810","ANESTHESIA UNIT X 15MIN","01810",222]
[" 3001820","ANESTHESIA UNIT X 15MIN","01820",222]
[" 3001830","ANESTHESIA UNIT X 15MIN","01830",222]
[" 3001840","ANESTHESIA UNIT X 15MIN","01840",222]
[" 3001844","ANESTHESIA UNIT X 15MIN","01844",222]
[" 3001860","ANESTHESIA UNIT X 15MIN","01860",222]
[" 3001922","ANESTHESIA UNIT X 15MIN","01922",222]
[" 3001932","ANESTHESIA UNIT X 15MIN","01932",222]
[" 3001935","ANESTHESIA UNIT X 15MIN","01935",222]
[" 3001936","ANESTHESIA UNIT X 15MIN","01936",222]
[" 3001952","ANESTHESIA UNIT X 15MIN","01952",222]
[" 3001960","ANESTHESIA UNIT X 15MIN","01960",222]
[" 3001961","ANESTHESIA UNIT X 15MIN","01961",222]
[" 3001963","ANESTHESIA UNIT X 15MIN","01963",222]
[" 3001965","ANESTHESIA UNIT X 15MIN","01965",222]
[" 3001967","ANESTHESIA UNIT X 15MIN","01967",222]
[" 3001968","ANESTHESIA UNIT X 15MIN","01968",222]
[" 3001969","ANESTHESIA UNIT X 15MIN","01969",222]
[" 3001991","ANESTHESIA UNIT X 15MIN","01991",222]
[" 3001992","ANESTHESIA UNIT X 15MIN","01992",222]
[" 3001995","ANESTHESIA UNIT X 15MIN","01995",222]
[" 3001996","ANESTHESIA UNIT X 15MIN","01996",222]
[" 3001999","ANESTHESIA UNIT X 15MIN","01999",225.5]
[" 3002101","ANESTHESIA UNIT X 15MIN","02101",222]
[" 3020551","ANESTHESIA UNIT X 15MIN","20551",222]
[" 3020552","ANESTHESIA UNIT X 15MIN","2055251",158]
[" 3020553","ANESTHESIA UNIT X 15MIN","20553",174]
[" 3020605","ANESTHESIA UNIT X 15MIN","20605",142]
[" 3020610","ANESTHESIA UNIT X 15MIN","20610",187.5]
[" 3031500","ANESTHESIA UNIT X 15MIN","31500",472.5]
[" 3033657","ANESTHESIA UNIT X 15MIN","36576",222]
[" 3036400","ANESTHESIA UNIT X 15MIN","36400",222]
[" 3036410","ANESTHESIA UNIT X 15MIN","36410",222]
[" 3036420","ANESTHESIA UNIT X 15MIN","36420",222]
[" 3036425","ANESTHESIA UNIT X 15MIN","36425",222]
[" 3036555","ANESTHESIA UNIT X 15MIN","36555",630]
[" 3036556","ANESTHESIA UNIT X 15MIN","36556",222]
[" 3036569","ANESTHESIA PICC LINE> 5YRS","36569",394]
[" 3036573","ANESTHESIA PICC LINE W/RS&I> 5YRS","36573",394]
[" 3036600","ANESTHESIA UNIT X 15MIN","36600",222]
[" 3036620","ANESTHESIA UNIT X 15MIN","36620",222]
[" 3040790","ANESTHESIA UNIT X 15MIN","00790",222]
[" 3062096","ANESTHESIA UNIT X 15MIN","01992",222]
[" 3062270","ANESTHESIA UNIT X 15MIN","62270",222]
[" 3062272","ANESTHESIA UNIT X 15MIN","62272",222]
[" 3062273","ANESTHESIA UNIT X 15MIN","62273",593.5]
[" 3062281","ANESTHESIA UNIT X 15MIN","62281",667]
[" 3062282","ANESTHESIA UNIT X 15MIN","62311",222]
[" 3062310","ANESTHESIA UNIT X 15MIN","62310",222]
[" 3062311","ANESTHESIA UNIT X 15MIN","62311",222]
[" 3062318","ANESTHESIA UNIT X 15MIN","62318",222]
[" 3062319","ANESTHESIA UNIT X 15MIN","6232659",222]
[" 3062320","ANESTHESIA UNIT X 15MIN","62320",222]
[" 3062321","ANESTHESIA UNIT X 15MIN","62321",665]
[" 3062322","ANESTHESIA UNIT X 15MIN","62322",417.5]
[" 3062323","ANESTHESIA UNIT X 15MIN","62323",653]
[" 3062324","ANESTHESIA UNIT X 15MIN","62324",222]
[" 3064405","ANESTHESIA UNIT X 15MIN","6440559",315]
[" 3064415","ANESTHESIA UNIT X 15MIN","64415",450.5]
[" 3064416","ANESTHESIA UNIT X 15MIN","6441659",222]
[" 3064417","ANESTHESIA UNIT X 15MIN","6441759",222]
[" 3064418","ANESTHESIA UNIT X 15MIN","6441859",222]
[" 3064421","ANESTHESIA UNIT X 15MIN","6442159",222]
[" 3064445","ANESTHESIA UNIT X 15MIN","6444559",222]
[" 3064447","ANESTHESIA UNIT X 15MIN","6444759",639.5]
[" 3064448","ANESTHESIA UNIT X 15MIN","6444859",222]
[" 3064449","ANESTHESIA UNIT X 15MIN","64449",222]
[" 3064450","ANESTHESIA UNIT X 15MIN","64450",222]
[" 3064476","ANESTHESIA UNIT X 15MIN","6447659",222]
[" 3064479","ANESTHESIA UNIT X 15MIN","6447959",735]
[" 3064480","ANESTHESIA UNIT X 15MIN","6448059",402]
[" 3064483","ANESTHESIA UNIT X 15MIN","64483",787.5]
[" 3064484","ANESTHESIA UNIT X 15MIN","6448459",426.5]
[" 3064486","ANESTHESIA UNIT X 15MIN","64486",499]
[" 3064487","ANESTHESIA UNIT X 15MIN","64487",869.5]
[" 3064488","ANESTHESIA UNIT X 15MIN","64488",222]
[" 3064490","ANESTHESIA UNIT X 15MIN","6449059",636.5]
[" 3064491","ANESTHESIA UNIT X 15MIN","6449159",344.5]
[" 3064492","ANESTHESIA UNIT X 15MIN","64492",349.5]
[" 3064493","ANESTHESIA UNIT X 15MIN","6449359",584]
[" 3064494","ANESTHESIA UNIT X 15MIN","64494",311]
[" 3064495","ANESTHESIA UNIT X 15MIN","64495",308.5]
[" 3064505","ANESTHESIA UNIT X 15MIN","64505",541]
[" 3064520","ANESTHESIA UNIT X 15MIN","64520",222]
[" 3064633","ANESTHESIA UNIT X 15MIN","64633",222]
[" 3064634","ANESTHESIA UNIT X 15MIN","64634",222]
[" 3064635","ANESTHESIA UNIT X 15MIN","64635",1133]
[" 3064636","ANESTHESIA UNIT X 15MIN","64636",525]
[" 3064640","PERIPHERAL NERVE","64640",307.5]
[" 3064999","ANESTHESIA UNIT X 15MIN","64999",222]
[" 3076003","ANESTHESIA UNIT X 15MIN","76003",222]
[" 3076837","ANESTHESIA UNIT X 15MIN","76937",222]
[" 3076932","ANESTHESIA UNIT X 15MIN","76932",222]
[" 3076937","ANESTHESIA UNIT X 15MIN","76937",222]
[" 3076942","ANESTHESIA UNIT X 15MIN","7694259",256.5]
[" 3077002","ANESTHESIA UNIT X 15MIN","77002",222]
[" 3077003","ANESTHESIA UNIT X 15MIN","7700359",222]
[" 3077011","ANESTHESIA UNIT X 15MIN","77011",222]
[" 3090011","ANESTHESIA UNIT DENTAL 15MIN","00170",188.5]
[" 3092950","ANESTHESIA UNIT X 15MIN","92950",222]
[" 3094002","ANESTHESIA UNIT X 15MIN","94002",222]
[" 3094003","ANESTHESIA UNIT X 15MIN","94003",222]
[" 3094799","ANESTHESIA UNIT X 15MIN","94799",222]
[" 3099100","ANESTHESIA UNIT X 15MIN","99100",222]
[" 3099135","ANESTHESIA UNIT X 15MIN","99135",222]
[" 3099140","ANESTHESIA UNIT X 15MIN","99140",222]
[" 3099152","ANESTHESIA UNIT X 15MIN","99152",54]
[" 3099155","MOD SED OTH PHYS/QHP <5 YRS","99155",222]
[" 3099157","MOD SED OTH PHYS/QHP EA ADDL 15 MINS","99157",222]
[" 3099291","ANESTHESIA UNIT X 15MIN","99291",222]
[" 3099292","ANESTHESIA UNIT X 15MIN","99292",222]
[" 3099440","ANESTHESIA UNIT X 15MIN","99440",222]
[" 3099465","ANESTHESIA UNIT X 15MIN","99465",222]
[" 3300000","BB FRESH FROZEN PLASMA","P9017",281]
[" 3300005","BB UNIT PLATELET","P9034",1289.5]
[" 3300010","BB UNIT BLOOD PRBC","P9021",461.5]
[" 3300015","BB PRBC WBC REDUCED","P9016",710]
[" 3300020","BB UNIT PLATEPHERESIS","P9035",1903]
[" 3300025","BB IRRADIATION BLOOD PRODUCT","P9021",134]
[" 3403000","CT BONE DENSITY","77078",215.5]
[" 3403001","CT BRAIN SKULL W/O CONTRAST","70450",1222.5]
[" 3403002","CT BRAIN SKULL W/ CONTRAST","70460",1352.5]
[" 3403003","CT BRAIN SKULL W/WO CONTRAST","70470",1693.5]
[" 3403004","CT BRAIN ANGIOGRAPHY","70496",1566.5]
[" 3403006","CT MAXILLOFACIAL W/O CONTRAST","70486",1389.5]
[" 3403008","CT ABDOMEN W/O CONTRAST","74150",1463]
[" 3403009","CT ABDOMEN W/WO CONTRAST","74170",1390.5]
[" 3403010","CT ABDOMEN W/ CONTRAST","74160",1567.5]
[" 3403014","CT CHEST W/O CONTRAST","71250",1567.5]
[" 3403015","CT CHEST W/ CONTRAST","71260",1789]
[" 3403016","CT CHEST W/WO CONTRAST","71270",2045]
[" 3403017","CT CHEST ANGIOGRAPHY","71275",1917]
[" 3403020","CT PELVIS W/O CONTRAST","72192",1241]
[" 3403021","CT PELVIS W/ CONTRAST","72193",1519.5]
[" 3403022","CT PELVIS W/WO CONTRAST","72194",1743.5]
[" 3403025","CT SPINE CERVICAL","72125",1463]
[" 3403026","CT SPINE THORACIC","72128",1536.5]
[" 3403027","CT SPINE LUMBAR","72131",1536.5]
[" 3403030","CT UPPER EXTREMITY LEFT","73200",1009.5]
[" 3403032","CT LOWER EXTREMITY LEFT","73700",1190]
[" 3403039","CT NECK/SOFT TISSUE W CONTRAST","70491",1426]
[" 3403040","CT NECK/SOFT TISSUE W/O CONTRAST","70490",1389.5]
[" 3403041","CT INNER EAR","70480",1739.5]
[" 3403042","CT NECK ANGIOGRAPHY","70498",1597]
[" 3403050","CT RECONSTR OF FILM","76376",279]
[" 3403060","CT KUB","74176",1287.5]
[" 3409967","CT LOCM 300-399MG/ML IODINE, 150 ML","Q9967",328.5]
[" 3413030","CT UPPER EXTREMITY RIGHT","73200",1009.5]
[" 3413032","CT LOWER EXTREMITY RIGHT","73700",1190]
[" 3432405","CT PERCUT BX LUNG/MEDIASTINUM","32408",780.5]
[" 3432555","CT ASPIRATE PLEURA W/IMAGING","32555",630.5]
[" 3470480","CT TEMPORAL BONES W/O CONTRAST","70480",1321]
[" 3470487","CT MAXILLOFACIAL W/ CONTRAST","70487",1597]
[" 3470488","CT MAXILLOFACIAL AREA W/O & W/DYE","70488",1722]
[" 3470492","CT HEAD/NECK SOFT TISSUE  W/WO CONTRAST","70492",1784]
[" 3472132","CT SPINE LUMBAR W/ CONTRAST","72132",1697.5]
[" 3472192","CT PEL/URO","72192",928.5]
[" 3473201","CT UPPER EXTREMITY WITH CONTRAST","73201",1230]
[" 3473206","CT ANGIOGRAPHY UPPER EXT WITH CONTRAST","73206",1241]
[" 3473701","CT LOWER EXT W CONTRAST LEFT","73701",1230]
[" 3473706","CT ANGIO LOWER EXTREMITY W/O & W/DYE","73706",1811.5]
[" 3474150","CT ABD/URO","74150",928.5]
[" 3474174","CT ANGIO ABD & PELV W/O & W/DYE","74174",2404.5]
[" 3474175","CT ANGIO ABDOM W/O & W/DYE","74175",1600.5]
[" 3474176","CT ABD PELVIS  WO CONTRAST COMPLEX","74176",2319.5]
[" 3474177","CT ABD PELVIS W/ CONTRAST","74177",2927.5]
[" 3474178","CT ABD PELVIS W/WO CONTRAST","74178",3162]
[" 3475635","CT ABDOMINAL AORTA W/RUNOFF","75635",1803.5]
[" 3477012","CT NEEDLE GUIDANCE PLACEMENT","77012",1003]
[" 3477073","CT BONE LENGTH STUDY","77073",345]
[" 3600001","EKG","93005",193]
[" 3600002","EVENT MONITOR","93270",98.5]
[" 3600003","HOLTER MONITOR HOOKUP","93225",98.5]
[" 3600004",".EVENT PHYSICIAN REVIEW (CHG ONLY)","93272",91.5]
[" 3600005","HOLTER (ZIO PATCH) 8 - 15 DAYS","93246",98.5]
[" 3600006","HOLTER (ZIO PATCH) 3 - 7 DAYS","93242",49]
[" 3804002","MM MAMMOGRAPHY","77057",330]
[" 3804003","MM SCREENING COMBO W CAD","77067",409]
[" 3804004","MM MAMMOGRAM 1 UNILATERAL","77055",272]
[" 3901001","MR BRAIN W/O CONTRAST","70551",2559]
[" 3901002","MR BRAIN W/WO CONTRAST","70553",2813]
[" 3901003","MR BRAIN W/ CONTRAST","70552",2526]
[" 3901005","MR SPINE CERVICAL W/O CONTRAST","72141",2192.5]
[" 3901006","MR SPINE CERVICAL W/ CONTRAST","72142",2343]
[" 3901007","MR SPINE CERVICAL W/WO CONTRAST","72156",2555.5]
[" 3901008","MR SPINE THORACIC W/O CONTRAST","72146",2192.5]
[" 3901009","MR SPINE THORACIC W/ CONTRAST","72147",2555.5]
[" 3901010","MR SPINE THORACIC W/WO CONTRAST","72157",2802.5]
[" 3901011","MR SPINE LUMBAR W/O CONTRAST","72148",2192.5]
[" 3901012","MR SPINE LUMBAR W/ CONTRAST","72149",2352.5]
[" 3901013","MR SPINE LUMBAR W/WO CONTRAST","72158",2802.5]
[" 3901016","MR ABDOMEN W/ CONTRAST","74181",2367.5]
[" 3901017","MR UPPER EXTREMITY, LEFT W/WO CONTRAST","73220",2067]
[" 3901018","MR UPPER JOINT, LEFT","73221",2314.5]
[" 3901019","MR JOINT UPR EXTR W/O and W/DYE, LEFT","73223",2323]
[" 3901020","MR LOWER EXTREMITY W/& W/O , LEFT","73720LT",2377.5]
[" 3901021","MR LOWER JOINT, LEFT","73721",1745.5]
[" 3901022","MR LOWER EXT/JOINT W/ CONTRAST, LEFT","73725",2543]
[" 3901025","MR CONTRAST MEDIA (PROHANCE)","A9579",471.5]
[" 3902028","MR PELVIS W/ CONTRAST","72196",1994.5]
[" 3902030","MR PELVIS W/WO CONTRAST","72197",2370.5]
[" 3902040","MR NECK W/O CONT","70547",1740.5]
[" 3902041","MR NECK W/ CONTRAST","70540",1779.5]
[" 3903218","MR UPPER EXTREMITY W/O DYE LEFT","73218",1766]
[" 3903222","MR JT UPPER EXT W/DYE LEFT","73222",2543.5]
[" 3908000","MRA ABDOMEN","74185",2261]
[" 3908010","MRA BRAIN W/O CONTRAST","70544",1706]
[" 3911017","MR UPPER EXTREMITY, RIGHT W/WO CONTRAST","73220",2067]
[" 3911018","MR UPPER JOINT, RIGHT","73221",2314.5]
[" 3911019","MR JOINT UPR EXTR W/O&W/DYE, RIGHT","73223",2323]
[" 3911020","MR LOWER EXTREMITY W/& W/O , RIGHT","73720RT",2377.5]
[" 3911021","MR LOWER JOINT, RIGHT","73721",1745.5]
[" 3911022","MR LOWER EXT/JOINT W/ CONTRAST, RIGHT","73725",2543]
[" 3970336","MR TEMPOROMANDIBULAR JOINT","70336",2559]
[" 3970543","MR ORBT/FAC/NCK W/O & W/DYE","70543",2564]
[" 3970546","MRA BRAIN W/ & W/O CONTRAST","70546",2424]
[" 3970547","MRA NECK W/O CONTRAST","70547",1251.5]
[" 3970548","MRA NECK W/ CONTRAST","70548",1751.5]
[" 3972195","MR PELVIS W/O CONTRAST","72195",1994.5]
[" 3973218","MR UPPER EXTREMITY W/O DYE RIGHT","73218",1766]
[" 3973222","MR JT UPPER EXT W/DYE RIGHT","73222",2543.5]
[" 3973723","MR LOWER JOINT W & W/O CONTRAST","73723",2377.5]
[" 3974181","MR ABDOMEN W/O CONTRAST","74181",1732.5]
[" 4002001","US ABDOMEN","76700",773.5]
[" 4002002","US ABDOMEN LTD (SINGLE ORGAN)","76705",646]
[" 4002004","US RETROPERITONEAL","76770",724]
[" 4002005","US RENAL LIMITED","76770",724]
[" 4002006","US PELVIS-NON OB COMPLETE","76856",612.5]
[" 4002007","US PELVIS-NON OB LTD","76857",355.5]
[" 4002009","US PELVIS OB COMPLETE","76805",692.5]
[" 4002010","US PELVIS OB COMP MULTIPLE","76810",800.5]
[" 4002011","US FOLLOW-UP OR REPEAT","76816",432]
[" 4002012","US PELVIS OB BIOPHYSICAL PROFILE","76818",897.5]
[" 4002013","US PELVIS TRANSVAGINAL","76830",426]
[" 4002014","US OB LTD/EMERGENCY","76816",432]
[" 4002016","US HEAD/NECK SOFT TISSUE","76536",741]
[" 4002020","US SCROTUM","76870",558]
[" 4002022","US EXTREMITIES (NON-VASCULAR)","76881",348]
[" 4002024","US THORACENTESIS GUIDANCE","76942",1078.5]
[" 4002025","US AMNIOCENTESIS","76946",670]
[" 4002027","US NEEDLE BIOPSY GUIDANCE","76942",670]
[" 4002028","US CAROTID BILATERAL","93880",1048.5]
[" 4020029","US CAROTID UNILATERAL","93882",800.5]
[" 4020031","US ARTERIAL LEG BIL","93925",1008.5]
[" 4020032","US ARTERIAL UP EXT BIL","93930",1027.5]
[" 4020033","US ARTERIAL UP EXT LTD LT","93931",670]
[" 4020034","US ARTERIAL UP EXT LTD RT","93931",670]
[" 4020035","US ARTERIAL LOW EXT BIL","93923",963.5]
[" 4020036","US ARTERIAL LOW ART LTD RT","93926",646]
[" 4020037","US ARTERIAL LOW ART LTD LT","93926",646]
[" 4020038","US VENOUS UP/LOW-BIL","93970",1249.5]
[" 4020039","US VENOUS UP/LOW-UNI RT","93971",745.5]
[" 4020040","US VENOUS UP/LOW-UNI LT","93971",775]
[" 4020042","US ABDOMINAL AORTA","93978",710.5]
[" 4020050","US ECHO 2D LIMITED","93307",861]
[" 4020051","US DOPPLER COMPLETE","93320",512]
[" 4020052","US CARDIAC DOPPLER COLOR","93325",441]
[" 4020053","US ECHO TRANSTHORASIC STRESS TESTING","93350",1097.5]
[" 4020060","US VENOUS NECK","93970",802]
[" 4076604","US SOFT TISSUE NON EXTREMITY","76604",185.5]
[" 4076641","US BREAST COMPLETE","76641",520]
[" 4076642","US BREAST LIMITED","76642",495.5]
[" 4076801","US OB < 14 WKS SINGLE FETUS","76801",187.5]
[" 4076942","US PARACENTESIS GUIDANCE","76942",1078.5]
[" 4093306","US ECHO COMPLETE","93306",1421.5]
[" 4096374","US ECHO SALINE INFUSION","96374",187.5]
[" 4100020","NM MYOCARDIAL PERFUSION SPECT (CHEMICAL","78452",3140]
[" 4100730","NM CARDIOLITE","A9500",687.5]
[" 4100740","NM CHOLETEC","A9537",212]
[" 4100760","NM DTPA","A9539",268]
[" 4100780","NM MAA","A9540",240.5]
[" 4100790","NM HDP MCI","A9561",210]
[" 4100800","NM MYOVIEW","A9502",767.5]
[" 4100810","NM TC99M PERTECHNETATE","A9512",58]
[" 4100820","NM SESTAMIBI","A9500",388.5]
[" 4100830","NM SULFUR COLLOID","A9541",457]
[" 4100840","NM 201 THALLIUM MCI","A9505",184]
[" 4100850","NM ULTRATAG RBC KIT","A9560",314]
[" 4100860","NM 123 I CAPSULE per 100","A9516",227.5]
[" 4109552","NM F18 FDG","A9552",1452]
[" 4109562","NM MAG 3","A9562",484.5]
[" 4109969","TC-99M FROM NON HEU PER STUDY DOSE","Q9969",75]
[" 4178012","NM THYROID UPTAKE ONLY","78012",365.5]
[" 4178013","NM THYROID SCAN","78013",819.5]
[" 4178014","NM THYROID SCAN WITH UPTAKE","78014",1324.5]
[" 4178070","NM PARATHYRIOD SCAN","78070",1231.5]
[" 4178140","NM RED CELL SEQUESTRATION","78140",408.5]
[" 4178216","NM LIVER/SPLEEN SCAN","78216",1075.5]
[" 4178223","NM BILIARY SCAN(HIDA)W/EF","78227",1726.5]
[" 4178226","NM BILIARY SCAN(HIDA) W/O EF","78226",1629.5]
[" 4178264","NM GASTRIC EMPTY STUDY","78264",1353.5]
[" 4178267","NM H-PYLORI UREA BREATH TEST","78267",141.5]
[" 4178278","NM GI BLEED SCAN","78278",1504]
[" 4178290","NM MECKELS DIVERTICULUM","78290",1112]
[" 4178300","NM BONE SCAN LIMITED","78300",1086]
[" 4178306","NM BONE SCAN WHOLE BODY","78306",1534.5]
[" 4178315","NM BONE SCAN 3 PHASE","78315",1705]
[" 4178320","NM BONE SPECT","78320",1701]
[" 4178465","NM MYOCARDIAL PERFUSION SPECT (TREADMILL","78452",2987]
[" 4178472","NM MUGA SCAN","78472",1614]
[" 4178478","NM MYOCARDIAL PERFUSION WALL MOTION","78453",995.5]
[" 4178480","NM MYOCARDIAL PERFUSION EF","78451",1660]
[" 4178580","NM LUNG PERFUSION","78580",1113.5]
[" 4178708","NM RENAL SCAN FOR OBSTRUCTION","78708",1482.5]
[" 4178709","NM RENAL SCAN FOR HYPERTENSION","78709",1550.5]
[" 4178800","NM TUMOR LOCAL LIMITED","78800",1194]
[" 4178801","NM TUMOR LOCAL MULTI","78801",1600]
[" 4178803","NM BONE SPECT","78803",1701]
[" 4178804","NM TUMOR LOCAL SPEC","78804",2390.5]
[" 4178815","NM PET IMAGE W/CT SKULL-THIGH","78815",5850]
[" 4193015","NM CARDIO STRESS TEST W/INTERPRET & RPT","93015",909]
[" 4193017","NM CARDIO STRESS TEST W/O INTERPRET & R","93017",801]
[" 4200001","EYE-FOREIGN BODY","70030",241.5]
[" 4200002","MANDIBLE-LTD <4V","70100",241.5]
[" 4200003","MANDIBLE-COMP MIN 4V","70110",372]
[" 4200004","FACIAL BONES-LTD < 3V","70140",338]
[" 4200005","FACIAL BONES-COMP MIN 3V","70150",535.5]
[" 4200006","NASAL BONES-COMP MIN 3V","70160",304.5]
[" 4200007","SINUSES LTD <3V","70210",246]
[" 4200008","SINUSES-COMP MIN 3V","70220",372]
[" 4200009","SKULL-LTD <4V","70250",338]
[" 4200010","SKULL-COMP MIN 4V","70260",535.5]
[" 4200011","NECK SOFT TISSUES","70360",218]
[" 4200012","RADIOLOGY MISCELLANEOUS CHARGE","73610LT",0]
[" 4200016","CHEST 1V","71010",250.5]
[" 4200017","CHEST 2V","71020",304]
[" 4200018","CHEST W/OBLIQUES","71022",338]
[" 4200019","CHEST 3V W/ LAT DECUB","71035",310]
[" 4200023","RIB UNI 2V LT","71100LT",289.5]
[" 4200024","RIB UNI 2V RT","71100RT",289.5]
[" 4200025","RIB W/ PA CHEST","71101",411.5]
[" 4200026","RIB BIL 3V","71110",393]
[" 4200030","STERNUM 2V","71120",273.5]
[" 4200031","S-C JOINTS","71130",428]
[" 4200032","S-I JOINTS 3V","72202",407.5]
[" 4200034","CERVICAL 4V/COMPLETE","72050",439.5]
[" 4200035","ENTIRE SPINE SURVEY","72082",608]
[" 4200036","SPINE SINGLE VIEW SPECIFIC LEVEL","72020",278.5]
[" 4200037","CERVICAL 2V","72040",273.5]
[" 4200038","CERVICAL COMPLETE W/ FLEX/EXT","72052",541.5]
[" 4200039","SCOLIOSIS (THORACOLUMBAR STANDING)","72082",311]
[" 4200040","THORACIC 2V","72070",383.5]
[" 4200041","THORACIC COMPLETE W/SWIMMERS","72072",439]
[" 4200042","LUMBAR 2V","72100",330.5]
[" 4200043","LUMBAR COMPLETE","72110",608]
[" 4200044","LUMBAR W/BENDING","72114",446.5]
[" 4200045","LUMBAR SAC SPINE 3V","72114",441]
[" 4200048","PELVIS AP ONLY","72170",321]
[" 4200049","PELVIS COMPLETE","72190",365]
[" 4200050","PELVIS S-I JOINTS","72200",338.5]
[" 4200051","SACRUM/COCCYX","72220",393]
[" 4200052","SHOULDER COM LT","73030LT",361.5]
[" 4200053","SHOULDER 1V LT","73020LT",234.5]
[" 4200054","SCAPULA LT","73010LT",393]
[" 4200055","CLAVICLE LT","73000LT",338.5]
[" 4200056","CLAVICLE RT","73000RT",338.5]
[" 4200057","SCAPULA RT","73010RT",393]
[" 4200058","SHOULDER 1V RT","73020RT",234.5]
[" 4200059","SHOULDER COM RT","73030RT",361.5]
[" 4200060","A-C JOINTS RT","73050RT",393]
[" 4200061","HUMERUS RT","73060RT",328.5]
[" 4200062","ELBOW 2V RT","73070RT",232]
[" 4200063","ELBOW COMP RT","73080RT",304.5]
[" 4200064","WRIST 2V RT","73100RT",257]
[" 4200065","WRIST COM RT","73110RT",343.5]
[" 4200066","HAND 2V RT","73120RT",262.5]
[" 4200067","HAND COM RT","73130RT",360.5]
[" 4200068","FINGERS RT","73140RT",255]
[" 4200069","UPPER EXT INFANT RT","73092RT",318.5]
[" 4200070","FOREARM RT","73090RT",313]
[" 4200071","HIP 1V LT","73501LT",287]
[" 4200072","HIP 2V LT","73502LT",311]
[" 4200075","HIP 1V RT","73501RT",287]
[" 4200076","HIP 2V RT","73502RT",311]
[" 4200077","HIPS BIL COMPLETE W/AP PELVIS","73521",435.5]
[" 4200078","HIPS INFANT OR CHILD","73502",324]
[" 4200079","FEMUR 1V RT","73551RT",336.5]
[" 4200080","KNEE 2V RT","73560RT",289.5]
[" 4200081","KNEE 3V RT","73562RT",338]
[" 4200082","KNEE 4V RT","73564RT",345]
[" 4200083","TIBIA FIBULA RT","73590RT",336.5]
[" 4200084","ANKLE 2V RT","73600RT",267]
[" 4200085","ANKLE 3V RT","73610RT",276]
[" 4200086","FOOT 2V RT","73620RT",265.5]
[" 4200087","FOOT 3V RT","73630RT",343.5]
[" 4200088","TOES RT","73660RT",251.5]
[" 4200089","CALCANEUS RT","73650RT",316.5]
[" 4200090","FB CHILD NOSE-RECTUM","76010",394.5]
[" 4200091","KNEES BIL AP STANDING","73565",338]
[" 4200092","LOWER EXTR INFANT RT","73592RT",248]
[" 4200093","LOWER EXTR INFANT LT","73592LT",248]
[" 4200094","FEMUR 2V RT","73552RT",273]
[" 4200095","ABDOMEN AP OR PA","74000",226]
[" 4200096","ABDOMEN 1V","74000",261]
[" 4200097","ABDOMEN 2V","74010",304.5]
[" 4200098","ABDOMEN 2V  W/PA CHEST","74022",391]
[" 4200099","FEMUR 2V LT","73552LT",273]
[" 4200102","ESOPHAGUS","74220",541.5]
[" 4200103","UPPER GI","74240",507.5]
[" 4200104","UPPER GI W/SMALL BOWEL","74245",795.5]
[" 4200105","UPPER GI W/HD BARIUM/EFFER AGENT","74249",878.5]
[" 4200106","BARIUM ENEMA","74270",568]
[" 4200107","BARIUM ENEMA AIR CONTRAST","74280",768.5]
[" 4200108","ORAL CHOLECYSTOGRAPHY","74290",671.5]
[" 4200109","OR CHOLANGIOGRAPHY","74300",642]
[" 4200115","IVP","74400",770]
[" 4200116","IVP W/TOMO","74415",795.5]
[" 4200117","VCUG","74455",555]
[" 4200122","FLOROSCOPY (C-ARM)<1 HR","76000",372]
[" 4200123","FLOROSCOPY (C-ARM)>1 HR","76001",608]
[" 4200124","FLOROSCOPY (C-ARM) -EPIDURAL","77003",501.5]
[" 4200125","FLORO LOOPAGRAM","74425",439.5]
[" 4200300","URETHRALGRAM","74450",507.5]
[" 4200400","CYSTOGRAPHY","74430",475]
[" 4200500","FEMUR 1V LT","73551LT",336.5]
[" 4200501","KNEE 2V LT","73560LT",289.5]
[" 4200502","KNEE 3V LT","73562LT",338]
[" 4200503","KNEE 4V LT","73564LT",345]
[" 4200504","TIBIA FIBULA LT","73590LT",336.5]
[" 4200505","ANKLE 2V LT","73600LT",267]
[" 4200506","ANKLE 3V LT","73610LT",276]
[" 4200507","FOOT 2V LT","73620LT",265.5]
[" 4200508","FOOT 3V LT","73630LT",343.5]
[" 4200509","TOES LT","73660LT",251.5]
[" 4200510","CALCANEUS LT","73650LT",316.5]
[" 4200512","A-C JOINTS LT","73050LT",393]
[" 4200513","HUMERUS LT","73060LT",328.5]
[" 4200514","ELBOW 2V LT","73070LT",232]
[" 4200515","ELBOW COMP LT","73080LT",304.5]
[" 4200516","WRIST 2V LT","73100LT",257]
[" 4200517","WRIST COM LT","73110LT",343.5]
[" 4200518","HAND 2V LT","73120LT",262.5]
[" 4200519","HAND COM LT","73130LT",360.5]
[" 4200520","FINGERS LT","73140LT",255]
[" 4200521","UPPER EXT INFANT LT","73092LT",318.5]
[" 4200522","FOREARM LT","73090LT",313]
[" 4222510","PERQ CERVICOTHORACIC INJECT","22510",2583.5]
[" 4222511","PERQ LUMBROSACRAL INJECTION","22511",2567]
[" 4222512","VERTEBROPLASTY ADDL INJECT","22512",1446.5]
[" 4222514","VERTEBROPLASTY LUMBAR PERQ","22514",2643.5]
[" 4243752","NASAL/OROGASTRIC W/TUBE PLMT","43752",397.5]
[" 4262284","INJECTION PROCEDURE FOR MYELOGRAPHY SPIN","62284",848.5]
[" 4271045","CHEST 1V N","71045",250.5]
[" 4271046","CHEST 2V N","71046",304]
[" 4271047","CHEST 3V N","71047",338]
[" 4271048","CHEST 4V N","71048",338]
[" 4274018","ABDOMEN 1V N","74018",261]
[" 4274019","ABDOMEN 2V N","74019",304.5]
[" 4274021","ABDOMEN 3V N","74021",304.5]
[" 4274340","INTRO LONG GI TUBE MULT FLUOR/FILMS","74340",507.5]
[" 4274740","HYSTEROSALPINGOGRAPHY","74740",372]
[" 4275809","NONVASCULAR SHUNT X-RAY SERIES","75809",506]
[" 4275820","VENAGRAPH EXTREMITY UNI","75820",911]
[" 4276000","FLORSCOPY(CARM)<1 HR","76000",372]
[" 4276498","DXA BODY COMP SCAN X3","76499",100]
[" 4276499","DXA BODY COMP SCAN X1","76499",50]
[" 4277002","FLUOROSCOPIC GUIDANCE FOR NEEDLE PLACEME","77002",281.5]
[" 4277075","BONE SKELETAL SURVEY","77075",676.5]
[" 4277076","INFANT SKELETAL SURVEY","77076",537.5]
[" 4277080","DXA BONE DENSITY 2 SITES AXIAL SKEL","77080",250]
[" 4277081","DXA BONE DENSITY 2 SITES APPENDICLR SK","77081",113.5]
[" 4277085","DXA BONE DENSITY STUDY AXIAL SKELETON","77085",220]
[" 4277086","DXA VERTEBRAL FX ASSESSMENT","77086",123]
[" 4277280","THER RAD SIMULAJ FEILD SETTING SIMPLE","77280",434]
[" 4277336","CONTINUING MEDICAL PHYSICS CONSLYJ PR WK","77336",242]
[" 4277412","RADIATION TREATMENT DELIVERY 1 MEV>=COMP","77412",265]
[" 4400001","17 KETOGENIC AND KETOSTEROIDS","83586",169.5]
[" 4400002","5 HIAA","83497",199]
[" 4400003","17D HYDROXYPROGESTERONE","83498",548]
[" 4400004","ALPHA-1-ANTITRYPSIN","82103",208.5]
[" 4400005","ACETYLCHOLINE BINDING AB","83519",512.5]
[" 4400006","ACETAMINOPHEN","80329",215]
[" 4400007","ACETYLCHOLINE BLOCKING AB","83519",512.5]
[" 4400008","ACID PHOSPHATASE","84060",100.5]
[" 4400009","ADRENOCORTICOTROPIC HORMONE(ACTH)","82024",105]
[" 4400010","ACETYLCHOLINE MODULATING AB","83519",512.5]
[" 4400011","ALBUMIN","82040",59.5]
[" 4400013","ALDOLASE","82085",17.5]
[" 4400014","ALDOSTERONE, SERUM","82088",385]
[" 4400015","ALKALINE PHOSPHATASE","84075",53]
[" 4400016","ALKALINE PHOSPHATASE ISOENZYMES","84080",200]
[" 4400018","ALT","84460",22.5]
[" 4400019","AMINOLEVALINIC ACID URINE (ALA) RANDOM","82135",159.5]
[" 4400020","ALPHA-FETOPROTEIN, TUMOR MARKER","82105",159.5]
[" 4400021","AMIKACIN TROUGH","80150",234]
[" 4400022","AMMONIA ref lab","82140",173]
[" 4400023","AMOEBIC ANTIBODIES","86753",373.5]
[" 4400024","AMOSAPINE","80299",317]
[" 4400025","AMYLASE","82150",116.5]
[" 4400026","ANTI-DNASE","86215",56]
[" 4400027","ANDROSTENEDIONE","82157",593]
[" 4400028","ANGIOTENSIN CONVERTING ENZYME  SERUM","82164",176.5]
[" 4400029","ANTI-GLIDADIN IGG","83520",178.5]
[" 4400030","ANTICARDIOLIPIN ANTIBODIES IGA","86147",116]
[" 4400031","ANTICARDIOLIPIN ANTIBODIES IGG","86147",116]
[" 4400032","ANTICARDIOLIPIN ANTIBODIES IGM","86147",116]
[" 4400033","CELIAC DISEASE AB SCREEN","83520",456.5]
[" 4400034","BB ANTIBODY IDENTIFICATION","86870",214]
[" 4400035","BB ANTIBODY SCREEN","86850",109]
[" 4400036","BB ANTIBODY TITER","86886",143]
[" 4400037","ANTI-CENTROMERE","86235",298]
[" 4400038","ANTI-ENDOMYSIAL ANIBODIES IGA","86255",91.5]
[" 4400039","ANTIDIURETIC HORMONE (ADH)","84588",72.5]
[" 4400040","ANTI-DOUBLE STRANDED (DNA)","86225",86]
[" 4400041","ENA","86235",215]
[" 4400042","BB ANTIGEN TYPE","86902",282.5]
[" 4400043","BB ANTIGEN TYPE PATIENT","86905",127.5]
[" 4400044","GAD-65 ANTIBODY","83519",326]
[" 4400045","ANTI-JO-1","86235",366]
[" 4400046","AMIODARONE","80299",246.5]
[" 4400047","ANTI LK MICROSOMES","86255",119]
[" 4400048","ANTI-MITOCHONDRIAL ANTIBODY","86255",187.5]
[" 4400049","ANTI CCP","83516",112]
[" 4400050","ANTI-NUCLEAR ANTIBODY, IFA","86038",90.5]
[" 4400051","ANTI-NUCLEOLAR","86038",139.5]
[" 4400052","ANTI-NEUTROPHIL CYTOPLASMIC ANTIBODI","8625591",114]
[" 4400053","ANTIBODIES IGM SERUM","82784",76.5]
[" 4400054","ANTI-PANCREATIC ISLET CELLS","86341",417.5]
[" 4400055","ALPHA-1-ANTITRYPSIN PHENOTYPE","82104",169.5]
[" 4400056","ANTI-RNP","86235",153.5]
[" 4400057","TRICHINELLA ANTIBODY","86784",358]
[" 4400058","ANTI-SINGLE STRANDED DNA","86225",173]
[" 4400059","ANTI-SMOOTH MUSCLE","86235",206.5]
[" 4400060","ASCA IGG","86671",197.5]
[" 4400061","ANTI-SS-A","86235",131.5]
[" 4400062","ANTI-SS-B","86235",131.5]
[" 4400063","ANTISTREPTOLYSIN O(ASO)","86060",134]
[" 4400064","ANTI-THROMBIN III","85300",199]
[" 4400065","APO GENOTYPE E4#1","86849",96]
[" 4400066","APO GENOTYPE E4#2","86849",96]
[" 4400067","APO GENOTYPE E4#3","86849",96]
[" 4400068","APO GENOTYPE E4#4","86849",96]
[" 4400069","APO GENOTYPE E4#5","86849",96]
[" 4400070","APOLIPOPROTEIN B","82172",214]
[" 4400071","ASCA SACCHAROMYCES PROFILE","86671",197.5]
[" 4400072","APTT","85730",93.5]
[" 4400073","APTT-MIX","85732",206.5]
[" 4400074","ARTERIAL BLOOD GAS","82803",162]
[" 4400075","ARTERIAL BLOOD GAS DRAW","36600",25.5]
[" 4400077","ARSENIC","82175",57]
[" 4400078","BETA-2 MICROGLOBULIN","82232",157]
[" 4400079","AST","84450",34]
[" 4400080","BODY FLUID GLUCOSE","82945",75]
[" 4400081","BETA-CAROTENE","82380",109]
[" 4400082","BASIC METABOLIC PANEL","80048",100.5]
[" 4400083","BODY FLUID CHLORIDE","82438",75]
[" 4400084","BILIRUBIN INDIRECT","82247",80]
[" 4400085","BILIRUBIN TOTAL","82247",90.5]
[" 4400086","BILIRUBIN DIRECT AND INDIRECT","82248",95]
[" 4400087","BILIRUBIN NEONATAL","82247",90.5]
[" 4400088","BODY FLUID LDH","83615",103.5]
[" 4400090","BLOOD DRAW","36415",28]
[" 4400091","BLOOD GAS HC03","82803",77.5]
[" 4400092","BLOOD GAS PC02","82803",77.5]
[" 4400094","BLOOD GAS PH","82800",77.5]
[" 4400095","BLOOD GAS P02","82803",77.5]
[" 4400096","BB BLOOD GROUP","86900",59.5]
[" 4400097","CAPILLARY BLOOD DRAW","36416",28]
[" 4400098","BLEEDING TIME","85002",90.5]
[" 4400099","BODY FLUID CELL COUNT","89051",189.5]
[" 4400100","BRUCELLA ANTIBODY IGG BY EIA","86622",57]
[" 4400102","BODY FLUID CRYSTAL","89060",94]
[" 4400103","MUCIN SYNOVIAL ROPES TEST","83872",482]
[" 4400104","BUN","84520",77.5]
[" 4400105","CA 125","86304",147.5]
[" 4400106","CA 15-3","86316",139.5]
[" 4400107","CA 27.29","86316",223]
[" 4400108","CATECHOLAMINES PLASMA","82384",141]
[" 4400109","CADMIUM","82300",169.5]
[" 4400110","CALCIUM","82310",61]
[" 4400111","CALCIUM IONIZED","82330",72]
[" 4400112","CALCITONIN","82308",280]
[" 4400113","BORDETELLA PERTUSSIS PCR","87798",208]
[" 4400114","CARBOXYHEMOGLOBIN  REFERENCE LAB","82375",126]
[" 4400115","CBC","85025",98]
[" 4400116","MANUAL DIFF","85007",42.5]
[" 4400117","GLUCAGON, PLASMA","82943",31.5]
[" 4400118","CD4  ABSOLUTE COUNT","86361",98]
[" 4400119","CD8","86360",215]
[" 4400120","C DIFFICILE STOOL- REF LAB","87324",72]
[" 4400121","CEA","82378",157]
[" 4400122","CERULOPLASMIN","82390",123]
[" 4400123","CHLAMYDIA CULTURE","87110",176.5]
[" 4400124","CHOLESTEROL","82465",77.5]
[" 4400125","CHLORIDE","82435",77.5]
[" 4400126","CK TOTAL","82550",143.5]
[" 4400127","CK ISOENZYMES","82552",200]
[" 4400128","CHLAMYDIA BY NUCLEIC ACID AMPLIFICAT","87491",109]
[" 4400129","CK-MB QUANTITATIVE","82553",138]
[" 4400130","CKMB","82553",108.5]
[" 4400131","CKMB QUALITATIVE","83516",81.5]
[" 4400132","CLO-TEST","87076",94]
[" 4400133","CMV ANTIBODY IgM","86645",223]
[" 4400134","CHEM 20","80053",135]
[" 4400135","CLONAZEPAM (KLONOPIN)","80299",164]
[" 4400136","CO2","82374",77.5]
[" 4400137","COLD AGGLUTININS","86156",117]
[" 4400138","CLOZAPINE","80299",474]
[" 4400139","COMPLEMENT TOTAL (CH50)","86162",239]
[" 4400140","COLORADO TICK FEVER IGG & IGM","86790",319]
[" 4400141","COMPLEMENT C3","86160",169.5]
[" 4400142","COMPLEMENT C4","86160",239.5]
[" 4400143","COMPREHENSIVE METABOLIC PANEL","80053",167]
[" 4400144","COPPER SERUM","82525",42.5]
[" 4400145","CORTISOL, SERUM","82533",269.5]
[" 4400146","CSF TOTAL PROTEIN","84157",56]
[" 4400147","C-PEPTIDE (FASTING)","84681",151.5]
[" 4400148","CREATININE","82565",58.5]
[" 4400149","CREATININE CLEARANCE","82575",119]
[" 4400150","CREACTIVE PROTEIN (CRP) REF LAB","86140",110]
[" 4400151","CSF PROTEIN ELECTROPHORESIS","84165",158]
[" 4400152","CULTURE ANAEROBIC (W/ AEROBIC)","87075",100.5]
[" 4400153","CULTURE BLOOD (1 AEROB & 1 ANAEROB)","87040",138]
[" 4400154","CULTURE AEROBIC (LOGAN)","87070",123]
[" 4400155","CULTURE FUNGAL","87102",87]
[" 4400156","CULTURE STOOL","87045",100.5]
[" 4400157","CULTURE THROAT","87070",88]
[" 4400158","CULTURE URINE","87086",89.5]
[" 4400159","CREATININE OTHER SOURCE","82570",146.5]
[" 4400160","CYCLOSPORINE A","80158",157]
[" 4400161","KLEIHAUER BETKE","85460",105]
[" 4400162","ISOLATION","83890",72.5]
[" 4400163","CYSTIC FIBROSIS PROFILE#2ENSYMATIC D","83892",72.5]
[" 4400164","CYSTIC FIBROSIS PROFILE#3GEL ELECTRO","83894",72.5]
[" 4400165","NUCLEIC ACID PROBE","83896",72.5]
[" 4400167","INTERPRETATION AND REPORT","83912",72.5]
[" 4400168","BB DAT DIRECT ANTIGLOBULIN TEST","86880",61.5]
[" 4400169","D-DIMER","85379",155]
[" 4400170","CRYOGLOBULIN W/ RFLX","82595",375]
[" 4400171",".IDENT AEROBIC CULTURE","87077",72]
[" 4400172","DEPEKANE","80164",124.5]
[" 4400173","DESIPRAMINE","80335",379.5]
[" 4400174","DHEA","82626",220.5]
[" 4400175","DRUG SCREEN URINE INHOUSE","80305",53]
[" 4400176","DHEAS","82627",234]
[" 4400177","DEOXYCORTICOSTERONE (DOC)","82633",753.5]
[" 4400178","DIGOXIN","80162",139.5]
[" 4400179","DILANTIN","80185",141]
[" 4400180","DRUG SCREEN COLLECTION","80307",53]
[" 4400181","DRUG SCREEN DOT COLLECTION","80307",53]
[" 4400182","DPD CROSSLINKS","82523",146.5]
[" 4400183",".DRUG SCREEN MAVERICK","99001",53]
[" 4400184","EBV EPSTEIN BARR VIRUS PANEL","86930",294]
[" 4400185","E-COLI 0157:H7 CULTURE","87335",568.5]
[" 4400186","ESR (ERYTHROCYTE SEDIMENTATION RATE)","85651",69]
[" 4400187","ELECTROLYTE PANEL","80051",98.5]
[" 4400188","ESTRADIOL","82670",239]
[" 4400189","ESTRIOL","82677",56]
[" 4400190",".FIBRINGOGEN","85384",72.5]
[" 4400191","ESTROGEN","82672",189.5]
[" 4400192","FACTOR 5L #1 MOLECULAR EXTRACTION","83890",92]
[" 4400193","FACTOR 5L #2 GEL ELECTROPHORESIS","83894",92]
[" 4400194","FACTOR 5L #3 AMPLIFICATION OF NUCLEI","83898",92]
[" 4400195","FACTOR 5L #4 AMPLIFICATION OF NUCLEI","83898",92]
[" 4400196","FACTOR 5L#5 INTERPRETION & REPORT","83912",92]
[" 4400197","FACTOR VII ANTIGEN","85230",536.5]
[" 4400198","FACTOR VIII","85240",94.5]
[" 4400199","FEBRILE AGGLUTININS","86000",171.5]
[" 4400200","FECAL FAT QUALITATIVE","82705",157]
[" 4400201","FECAL FAT QUANTITATIVE","82710",333]
[" 4400202","FERRITIN","82728",81.5]
[" 4400203","FIBRIN MONOMER","85362",117]
[" 4400204","FLEXERIL","82542",295]
[" 4400205","FACTOR IX ACTIVITY","85250",540]
[" 4400206","FOLATE","82746",119]
[" 4400207","FRUCTOSAMINE","82985",70]
[" 4400208","FOLLICLE STIMULATING HORMONE (FSH)","83001",206.5]
[" 4400209","FTA-ABS","86780",101.5]
[" 4400210","FACTOR VIII INHIBITOR PROFILE, COMPREHEN","85240",581]
[" 4400211","BENCE JONES PROTEIN URINE, RANDOM","84156",165]
[" 4400212","GASTRIN SERUM","82941",239.5]
[" 4400213","GENTAMYCIN  PEAK LEVEL","80170",196.5]
[" 4400214","GGT","82977",83]
[" 4400215","FACTOR I ANTIGEN (FIBRINOGEN ANTIGEN)","86160",361.5]
[" 4400216","GIARDIA ANTIGEN","87329",77]
[" 4400217","GLUCOSE","82947",61.5]
[" 4400218","FACTOR II","85210",361.5]
[" 4400219","GLUCOSE TOLERANCE GESTATIONAL SCREEN","82950",116]
[" 4400220","GLUCOSE TOLERANCE GESTATIONAL","82951",207]
[" 4400221","GLUCOSE TOLERANCE TEST 4 HOURS","82951",196.5]
[" 4400222","GLUCOSE TOLERANCE TEST 5 HOURS","82951",196.5]
[" 4400223","GLUCOSE TOLERANCE TEST 6 HOURS","82951",196.5]
[" 4400224","GLYCOHEMOGLOBIN","83036",107.5]
[" 4400225","FACTOR V ACTIVITY","85220",361.5]
[" 4400226","GRAM STAIN","87205",59.5]
[" 4400227","GROWTH HORMONE","83003",227]
[" 4400228","HALDOL LEVEL","80173",208.5]
[" 4400229","HANDLING FEE","99001",28]
[" 4400230","HANTA VIRUS  IGG, IGM","86790",258.5]
[" 4400231","GONOCOCCUS BY NUCLEIC ACID AMPLIFICA","87591",99]
[" 4400232","HAPTOGLOBIN","83010",203.5]
[" 4400233","FLOW CYTOMETRY REPLICATE CHARGES","88185",66.5]
[" 4400234","HCG PREGNANCY TEST SERUM","84703",83]
[" 4400235","HCG QUANTITATIVE REF LAB","84702",37]
[" 4400236","FLECAINIDE","80299",159.5]
[" 4400237","HEPATITIS C GENOTYPE","87902",398]
[" 4400238","HEPATITIS B VIRUS DNA QUANT","87515",536.5]
[" 4400239","HEP B SURFACE AG","87340",148.5]
[" 4400240","HEP B SURFACE ANTIBODY","86706",77.5]
[" 4400241","FACTOR IX ANTIGEN","85250",507]
[" 4400242","HEPATITIS C RNA PCR QUALITATIVE","87521",440.5]
[" 4400243","HCV QUANTASURE DONT USE","87522",292]
[" 4400244","HCT","85014",33.5]
[" 4400245","HDL","83718",57]
[" 4400246","FACTOR XI ACTIVITY","85270",507]
[" 4400247","HEPATITIS ACUTE PANEL A & B","80074",254.5]
[" 4400248",".HEPATITIS PANEL","80074",96]
[" 4400249","HEPATITIS A TOTAL ANTIBODIES","86708",29.5]
[" 4400250","HEPATITIS A IGM","86709",169.5]
[" 4400251","HEPATITIS B CORE IGM","86705",215]
[" 4400252","HEPATITIS B CORE TOTAL","86704",199]
[" 4400253","HEPATITIS BE ANTIGEN","87350",203.5]
[" 4400254","HEPATITIS BE ANTIBODY","86707",203.5]
[" 4400255","FACTOR XII ACTIVITY","85280",507]
[" 4400256","HEPATITIS C ANTIBODY","86803",130]
[" 4400257","HERPES SIMPLEX TYPE 1/2 PCR","87529",55]
[" 4400258","HERPES SIMPLEX TYPE 1/2 IGM","86694",208.5]
[" 4400259","HERPES CULTURE","87252",232]
[" 4400260","HEMOGLOBIN","85018",27.5]
[" 4400261","CRPhs","86141",109]
[" 4400262","HGB A1C REFERENCE LAB","83036",92]
[" 4400263","HGB ELECTROPHORESIS","83020",70]
[" 4400264","G6PD","82955",130]
[" 4400265","HHV6 IGM","86790",214]
[" 4400266","HIV-1 & 2 ANTIBODIES-MOST COMMON ORDER","86703",166.5]
[" 4400267","INSULIN LIKE GROWTH FACT BIND PROTEIN 1","83519",257]
[" 4400268","B27","86812",239.5]
[" 4400269","H. PYLORI STOOL AGS","87338",119]
[" 4400270","HOMOCYSTEINE","83090",223]
[" 4400271","H PYLORI ANTIBODY (MOST COMMON, IgG)","86677",109]
[" 4400272","HEXAGONAL PHASES PHOSPHOLIPID","85732",206.5]
[" 4400273","HERPES ZOSTER IGG","86694",208.5]
[" 4400274","IA2 AUTO-ANTIBODIES","86341",523]
[" 4400275","INSULIN ANTIBODIES","86337",223]
[" 4400276","INSULIN","83525",86]
[" 4400277","INSULIN AUTO-ANTIBODIES","86337",299]
[" 4400278",".IDENT URINE","87088",85.5]
[" 4400279","IGA ANTIBODIES","82784",76.5]
[" 4400280","IGE ANTIBODIES","82785",147.5]
[" 4400281","IGF-1","84305",51]
[" 4400282","IGG ANTIBODIES","82784",76.5]
[" 4400283","IGG SUBCLASSES","86329",388.5]
[" 4400284","HEPATITIS B VIRUS SUPERQUANT","87517",668.5]
[" 4400285","IMIPRAMINE","80335",379.5]
[" 4400286","IMMUNOGLOBINS, SERUM IGA IGG IGM","82784",215]
[" 4400287","INFLUENZA A&B RAPID KIT (SWAB)","87502",133.5]
[" 4400288","INFECTIOUS MONO (RAPID)","86308",75]
[" 4400289","IRON (SERUM OR PLASMA)","83540",47]
[" 4400290","LACTIC ACID","83605",72]
[" 4400291","LIPID ASSOCIATED SIALIC ACID","84275",90.5]
[" 4400292","LDH","83615",53]
[" 4400293","LDH-ISOENZYMES","83625",250.5]
[" 4400294","LEAD LEVEL PEDIATRIC","83655",32]
[" 4400295","LEGIONELLA PNEUMOPHILE AG URINE","87449",333]
[" 4400298","LIPASE","83690",103.5]
[" 4400299","LAMICTAL","80299",294]
[" 4400300","LIPID PANEL","80061",104.5]
[" 4400301","LIPO PROTEIN A","82172",269.5]
[" 4400302","LITHIUM","80178",70.5]
[" 4400303","LIVER PANEL","80076",120]
[" 4400304","LUPUS ANTICOAGULANT W/ REFLEX","85613",109]
[" 4400305","NIACIN","84591",508.5]
[" 4400306","LUTEINIZING HORMONE (LH)","80418",176.5]
[" 4400307",".LYME DISEASE TOTAL ABS W/ REFLEX","86618",91.5]
[" 4400308","MEBARAL LEVEL","80299",388.5]
[" 4400309","MYOGLOBIN QUANT","83874",123]
[" 4400310","MERCURY, BLOOD","83825",118.5]
[" 4400311","METHYLMALONIC ACID SERUM","83921",189.5]
[" 4400312","MAGNESIUM","83735",72]
[" 4400313","METHOTREXATE","80299",161.5]
[" 4400314","MUMPS VIRUS ANTIBODY IGG","86735",120.5]
[" 4400315","MYOGLOBIN","83874",397]
[" 4400316","MYOGLOBIN QUALITATIVE","83874",81.5]
[" 4400317","FETAL FIBRONECTIN","82731",407]
[" 4400318","MYSOLINE","80188",267]
[" 4400319","MYCOPHENOLIC ACID AND METABOLITE","82542",54]
[" 4400320","NATURAL KILLER CELL ENUMERATION","86357",281.5]
[" 4400321","NORTRIPTYLINE","80335",183.5]
[" 4400322",".OB PROFILE REFERENCE LAB","80055",371]
[" 4400323","NUCLEOTIDASE 5","83915",109]
[" 4400324","OCCULT BLOOD #1","82272",53]
[" 4400325","OSMOLALITY SERUM SENDOUT","83930",101.5]
[" 4400326","OVA & PARASITES","87177",169.5]
[" 4400327","OSMOLALITY URINE SENDOUT","83935",90.5]
[" 4400328","PCR QUANT RNA HIV","87536",599]
[" 4400329","PEPTIDE B NATRIURETIC","83880",312.5]
[" 4400330","PHENOBARBITOL","80184",86]
[" 4400331","PHLEBOTOMY THERAPEUTIC","99195",143.5]
[" 4400332","PHOSPHORUS","84100",57]
[" 4400333",".NEWBORN SCREEN(PKU CHARGE)","84030",34]
[" 4400334","PLATELET COUNT","85049",77.5]
[" 4400336","PORPHYRINS, URINE","84120",153.5]
[" 4400337","POST VAS SEMEN ANALYSIS","89320",114]
[" 4400338","POTASSIUM","84132",69]
[" 4400339","PREALBUMIN","84134",122.5]
[" 4400340","PROCAINAMIDE","80190",173]
[" 4400341","PROGESTERONE","84144",43]
[" 4400342","PROLACTIN","84146",72]
[" 4400343","PROTEIN C FUNCTIONAL","85303",69.5]
[" 4400344","PROTEIN S FUNCTIONAL","85306",187.5]
[" 4400345","ZINC PROTOPORPHYRIN (ZPP)","84202",187.5]
[" 4400346","PSA","84153",135]
[" 4400347","PSA SCREENING","84153",119]
[" 4400348","PSA-FREE+TOTAL","84154",178.5]
[" 4400349","PTH INTACT(PARATHYROID HORMONE INTAC","83970",135]
[" 4400350","PTT LUPUS ANTICOAGULANT","85732",206.5]
[" 4400351","PTH-RP","83519",159.5]
[" 4400352","PROTIME & INR","85610",64]
[" 4400353","PHENYLTHIOURACIL (PTU)","82542",305.5]
[" 4400354",".PANCA","83516",186.5]
[" 4400356","NEWBORN SINGLE SCREENING KIT","83789",56]
[" 4400357","NEWBORN DOUBLE SCREENING KIT","83789",121]
[" 4400358","QUINIDINE","80194",235.5]
[" 4400359","ERYTHROPOIETIN(epo)","82668",162]
[" 4400360","RF RHEUMATOID FACTOR (IgM) MOST COMMON","86431",106]
[" 4400361","REDUCING SUBSTANCE","81005",32]
[" 4400362","RBC (RED BLOOD CELL COUNT)","85041",36.5]
[" 4400363","RENAL PANEL","80069",124]
[" 4400364","RETICULOCYTES","85044",77.5]
[" 4400365","RUBEOLA","86765",77.5]
[" 4400366","BB RH FACTOR","86901",45]
[" 4400367","PSA-ULTRA SENSITIVE","84154",106]
[" 4400368","RYTHMOL","82542",157]
[" 4400369","ROCKY MT SPOTTED FEVER IGG","86757",105.5]
[" 4400370","ROTAVIRUS-ANTIBODY","86759",235.5]
[" 4400371","ROTAVIRUS DIRECT DETECTION IMMUNOASSAY","87425",235.5]
[" 4400372","INSULIN RESISTENCE TEST #1","82951",196.5]
[" 4400373","INSULIN RESISTENCE TEST #2","82952",69]
[" 4400374","RPR","86592",53]
[" 4400375","INSULIN RESISTANCE TEST #3","83525",69]
[" 4400376","RSV (RESPIRATORY SYNCYTIAL VIRUS)","87801",133.5]
[" 4400377","17X HYDROXYPROGESTERONE","83498",314.5]
[" 4400378","RUBELLA","86762",77.5]
[" 4400379",".RUSSELL VIPER VENOM TIME","85613",206.5]
[" 4400380","SALICYLATE","80329",173]
[" 4400381","HIV-2 ANTIBODIES","86702",249.5]
[" 4400382","SALIVA ALCOHOL","80320",39]
[" 4400383","SALIVA ALCOHOL NON-CLIENT","80320",88.5]
[" 4400384","SCL-70","86235",411.5]
[" 4400385","SEMEN ANALYSIS","89320",167.5]
[" 4400386","SEX HORMONE BINDING GLOBULIN LEVEL","84270",119]
[" 4400387","STREP A (RAPID)","87651",57]
[" 4400388","SENSITIVITY BACTERIAL","87186",86.5]
[" 4400389","SEROTONIN, SERUM","84260",497]
[" 4400390","SINEMET LEVEL","80299",626]
[" 4400391","SERUM PROTEIN ELECTROPHERESIS (SPE)","84165",134]
[" 4400392","SPECIFIC GRAVITY URINE","81002",29.5]
[" 4400393","STOOL WBC","83630",94.5]
[" 4400394","SODIUM","84295",77.5]
[" 4400395","STONE ANALYSIS","82365",171.5]
[" 4400396","*T3","84480",117]
[" 4400397","*T3-FREE","84481",271]
[" 4400398","T3-RIA","84480",269.5]
[" 4400399","T3 UPTAKE","84479",59.5]
[" 4400400","T4","84436",64]
[" 4400401","T4-FREE","84439",85.5]
[" 4400402","TACROLIMUS","80197",507]
[" 4400403","TPMT THIOPURINE METHYL TRANSFERASE","82542",365]
[" 4400404","TB SKIN TEST","86580",36]
[" 4400405","TEGRETOL","80156",151.5]
[" 4400406","TESTOSTERONE","84403",130]
[" 4400407","TESTOSTERONE FREE","84402",153.5]
[" 4400408","TETANUS ANTITOXOID ANTIBODIES","86317",88.5]
[" 4400409","THEOPHYLLINE LEVEL","80198",141]
[" 4400410","THIAMINE","84425",113.5]
[" 4400411","THYROID ANTITHRYOGLOBULIN","86800",173]
[" 4400412","THYROID PEROXIDASE ANTIBODY","86376",135]
[" 4400413","THYROID BINDING GLOBULIN","84442",134]
[" 4400414","THYROID ANTIMICROSOMAL ANTIBODIES","86376",169.5]
[" 4400415","THYROGLOBULIN AB + THYROGLOB, IMA OR RIA","86800",56]
[" 4400416","THROMBIN TIME","85670",206.5]
[" 4400417","TIBC (INCLUDES IRON)","83550",95]
[" 4400418","TOBRAMYCIN, SERUM TROUGH","80200",182]
[" 4400419","THYROID STIMULATING IMMUNOGLOBULIN","84445",270.5]
[" 4400421","IGA, SUBCLASSES (1-2)","82784",250.5]
[" 4400422","TOXOPLASMA IGM","86778",29.5]
[" 4400423","TROPONIN I QUANT","84484",138]
[" 4400424","TOTAL PROTEIN","84155",59.5]
[" 4400425","GLOMERULAR FILTRATION RATE ESTIMATED","82565",30.5]
[" 4400426","TRANSFERRIN","84466",157]
[" 4400427","TRANXENE LEVEL","80346",182]
[" 4400428","PYRUVATE","84210",129]
[" 4400429","TACROLIMUS, IMMUNOASSAY (PROGRAF)","80197",217.5]
[" 4400430","FACTOR II PROTHROMIBN DNA ANALYSIS","83890",106]
[" 4400431","FACTOR II PROTHROMIBN DNA ANALYSIS","83892",106]
[" 4400432","FACTOR II PROTHROMIBN DNA ANALYSIS","83894",106]
[" 4400433","FACTOR II PROTHROMIBN DNA ANALYSIS","83898",106]
[" 4400434","FACTOR II PROTHROMIBN DNA ANALYSIS","83912",106]
[" 4400435","APC (ACTIVATED PROTEIN C) RESISTANCE","85307",293]
[" 4400436","URINE HVA RANDOM W/CREAT RATIO","82570",138]
[" 4400437","URINE HVA 24HR","83150",138]
[" 4400438","GLIADIN ANTIBODY PROFILE IGA, IGG","83516",65.5]
[" 4400439","GLIADIN PEPTIDE IGG","83516",65.5]
[" 4400440","EBV(EA)ANTIBODY","86663",101.5]
[" 4400441","EBV NUCLEAR ANTIGEN ANTIBODY","86664",101.5]
[" 4400442","EBV(VCA)IGG","86665",101.5]
[" 4400443","EBV(VCA)IGM","86665",101.5]
[" 4400444","CMV ANTIBODY IGG","86644",236.5]
[" 4400445","PARVO IGG/IGM","86747",74]
[" 4400446","PARVO IGM","86747",74]
[" 4400447","KEPPRA","80299",203.5]
[" 4400448","ADALIMUMAB CONCENTRATION AND ANTIBODY","80299",618.5]
[" 4400449","EPSTEIN-BAR VIRUS (EBV) PROFILE, CHRONIC","86663",47.5]
[" 4400450","ANTI-MPO","83516",187.5]
[" 4400451","ANTI-PR3","83516",187.5]
[" 4400452","ANTI-GBM","86255",466]
[" 4400453","HCV RT-PCR, QUANT","87522",69.5]
[" 4400454","IFE URINE","86335",140.5]
[" 4400455","STOOL ELASTASE","82656",530]
[" 4400456",".FLOW CYTOMETRY INITIAL ORDER","88184",112]
[" 4400457","MERCURY, URINE","82570",108]
[" 4400458","LEAD, URINE","82570",45.5]
[" 4400459","ARSENIC EXPOSURE PROFILE, URINE","82175",115.5]
[" 4400460","SERUM INTEGRATED 2 (AFP, MATERNAL SERUM)","82105",426.5]
[" 4400461","AMPHETAMINE  SERUM OR PLASMA","80307",134]
[" 4400462","ETHYL GLUCURONIDE/ETHYL SULFATE, URINE","80307",180.5]
[" 4400463","ALLERGEN PROFILE, FOOD","86003",39]
[" 4400464","ALLERGEN PROFILE, SEASONAL ALLERGEN FALL","86003",39]
[" 4400465","ALLERGEN PROFILE, PERENNIAL ALLERGEN","86003",39]
[" 4400466","ALLERGEN PROFILE, SEASONAL, SPRING -TREE","86003",39]
[" 4400467","ALLERGEN PROFILE, SEASONAL-SUMMER, GRASS","86003",39]
[" 4400468","BK VIRUS QUANT BY PCR (URINE)","87799",511]
[" 4400469","INFLAMMATORY BOWEL DISEASE PROFILE","86256",436.5]
[" 4400470","PROTEIN C DEFICIENCY PROFILE","85302",373.5]
[" 4400471","PROTEIN S DEFICIENCY PANEL","85305",508.5]
[" 4400472","COCAINE CONFIRMATION, URINE","80358",68.5]
[" 4400473","C-TELOPEPTIDE","82523",205.5]
[" 4400474","COMPLEMENT C4a","86160",279]
[" 4400475","PTT-LA MIX REFLEX TEST ONLY","85732",206.5]
[" 4400476","PTT-LA INCUB MIX REFLEX TEST ONLY","85732",206.5]
[" 4400477","dRVVT MIX REFLEX TEST ONLY","85613",206.5]
[" 4400478","dRVVT CONFIRM REFLEX TEST ONLY","85613",206.5]
[" 4400479","ANTICHROMATIN ANTIBODIES","86235",188]
[" 4400480","VOLTAGE GATED CALCIUM CHANNEL AB","83516",263]
[" 4400481","BUPRENORPHINE, SCRN & CONFIRMATION,URINE","80307",88]
[" 4400482","BUPRENORPHINE CONFIRM CHARGE","80307",163]
[" 4400483","OPIATES, SCRN & CONFIRMATION,URINE","80307",88]
[" 4400485","DRUG 9 PANEL, SCRN & CONFIRMATION,URINE","80307",32.5]
[" 4400486","URINE IODINE/CREAT RATIO RANDOM OR 24HR","82570",146]
[" 4400487","ALLERGEN PROFILE, FOOD-FISH","86003",39]
[" 4400488","ALLERGEN PROFILE, FOOD-SHELLFISH","86003",39]
[" 4400489","FIBROSURE, HEPATITIS C","82172",239]
[" 4400490",".DILANTIN FREE","80186",272]
[" 4400491","MYOSITIS - SPECIFIC ANTIBODY","83516",460.5]
[" 4400492","MUSCLE SPECIFIC KINASE ANTIBODIES","83519",1148]
[" 4400493","MYASTHENIA GRAVIS COMPLETE AB PROFILE","83519",928.5]
[" 4400494","MYCOTOXIN URINE TESTING","83516 X 4",984]
[" 4400495","ALLERGEN MINI PROFILE","86003",39]
[" 4400496","ALLERGEN PROFILE,FOOD-NUTS","86003",39]
[" 4400497","ALLERGEN PROFILE, PEANUT, IgE WITH REFLE","86003",39]
[" 4400498","PISTACHIO NUT ALLERGEN","86003",39]
[" 4400499","IMMUNOGLOBULIN D, QUANTITATIVE","82784",32.5]
[" 4400500","ABS 1 ASPERGILLUS FUMIGATUS","86606",183.5]
[" 4400501","ABS 2 ASPERGILLUS FUMIGATUS","86606",183.5]
[" 4400502","ABS 3 ASPERGILLUS FUMIGATUS","86606",183.5]
[" 4400503","ABS 6 ASPERGILLUS FUMIGATUS","86606",183.5]
[" 4400505","ALLERGEN PROFILE PEANUT REFLEX CHARGE","86003",256.5]
[" 4400506","ALLERGEN PROFILE, FOOD-VEGETABLE 1","86003",39]
[" 4400507","ALLERGEN PROFILE, FOOD-VEGETABLE 2","86003",39]
[" 4400508","ENTERIC PATHOGENS PANEL BY PCR","87801",333.5]
[" 4400509","URINE 24HR STONE COMBO WITH SATURATION","81003",396]
[" 4400510","NOROVIRUS GROUP 1 & 2 BY PCR","87501",715.5]
[" 4400511","ALPHA DEFENSIN (SYNOVASURE) D/C!","86140",172]
[" 4400512","PROINSULIN","84206",215]
[" 4400513","B-HYDROXYBUTYRATE","82010",117.5]
[" 4400514","SULFONYLUREA ANALYSIS, SERUM OR PLASMA","80377",153.5]
[" 4400515","ZIKA VIRUS COMPREHENSIVE SERUM AND URINE","87798",879]
[" 4400516","PLASMODIUM SPECIES, PCR","87798",254]
[" 4400517","CHIKUNGUNYA ANTIBODIES, IgG AND IgM ELIS","80500",131.5]
[" 4400518","DENGUE FEVER VIRUS ABS, IgG AND IgM","80500",93]
[" 4400519","ANTIGLOMERULAR BASEMENT MEMBRANE ANTIBOD","83516",108.5]
[" 4400520","COENZYME Q10, TOTAL","82542",57]
[" 4400521","RESPIRATORY VIRUS DFA W/REFLEX VIRAL CX","87276",337]
[" 4400522","ALPHA-1-ANTITRYPSIN GENOTYPE, REFL PHENO","82103",335.5]
[" 4400523","TRYPANOSOMA CRUZI, IgM","80500",122.5]
[" 4400524","TRYPANOSOMA CRUZI, IgG","80500",122.5]
[" 4400525","THYROGLOB AB+THYROGLOB, IMA OR LC/MS-MS","86800",143.5]
[" 4400526","FREE K AND L LIGHT CHAINS, URINE","83883 X 2",51]
[" 4400527","INFLIXIMAB CONCENTRATION AND ANTIBODY","80299",534.5]
[" 4400528","MUMPS VIRUS ANTIBODY IGM","86735",13.5]
[" 4400529","MUMPS VIRAL CULTURE","87254",269]
[" 4400530","MUMPS RNA RT-PCR","87798",479]
[" 4400531","HEMOGLOBINOPATHY FRACTIONATION PROFILE","83021",59.5]
[" 4400532","DRUG PANEL, UMBILICAL CORD QUALITATIVE","80307",396.5]
[" 4400533","GC (NEISSERIA GONORRHOEAE) CULTURE ONLY","87081",67]
[" 4400534","METHAMPHETAMINE CONFIRM, WHOLE BLOOD","80324",94.5]
[" 4400536","FIBRINOGEN (BLMH)","85610",64]
[" 4400537","24 HR URINE VOLUME","82575",0]
[" 4400538","NASH Fibrosure","82172",348]
[" 4400539","PANCREATITIS PANEL SEQUENCING","81223",2663]
[" 4400540","THROMBIN NEUTRAL APS REFLEX TEST ONLY","85598",81]
[" 4400541","dRVVT APS REFLEX TEST ONLY","85598",45.5]
[" 4400542","APPT APS REFLEX TEST ONLY","85598",62]
[" 4400543","RHEMATOID FACTOR (IgA)","86431",34.5]
[" 4400544","RF RHEUMATOID FACTOR (IgG)","86431",34.5]
[" 4400545","STRONGYLOIDES IGG QUAL BY EIA","86682",69.5]
[" 4400546","FRAGILE X REFLEX CHARGE","81243",172]
[" 4400547","TB QUANT GOLD PLUS EMPLOYEE","86480",48]
[" 4400548","JAK2 EXON 12, 13, 14, AND 15 MUTATION","81403",172]
[" 4400549","PAROXYSMAL NOCTURNAL HEMOGLOBINURIA FLOW","86356X7",406.5]
[" 4400550","FACTOR V LEIDEN WITH REFLEX TO R2","81241",419]
[" 4400551","FACTOR V LEIDEN REFLEX CHARGE TO R2","81241",308.5]
[" 4400552","BB ANTIBODY ID LABCORP","86870",143]
[" 4400553","TICK-BORNE DISEASE PANEL PCR (ARUP)","86682",451]
[" 4400554","LEUKEMIA/LYMPHOMA FLOW CELL MOST COMMON","86355",1392]
[" 4400556","ANTI-GM1 GANGLIOSIDE IGG, IGM","83516 X 2",62]
[" 4400557","CULTURE ANAEROBIC 14 DAY (LOGAN)","87073",70.5]
[" 4400558","CULTURE AEROBIC 14 DAY (LOGAN)","87073",16.5]
[" 4400559","DRUG SCREEN CORD BLOOD REFLEX CHARGE","80307",55.5]
[" 4400560","BB ANTIGEN TYPING: E/e","86905",116]
[" 4400561","LACOSAMIDE","80339",83]
[" 4400562","CORTISOL, ACTH STIMULATION","82533",109]
[" 4400563","POTASSIUM, RBC","84132",108]
[" 4400564","ALTV","84460",22.5]
[" 4400565","HEREDITARY ANGIOEDEMA PANEL","86160X2",74.5]
[" 4400566","GI FILMARRAY BY PCR, STOOL (BLMH)","87507",422.5]
[" 4400567",".RESPIRATORY VIRAL PANEL (BLMH)","0100U",370]
[" 4400568","URINE CALCIUM:CREATININE RATIO RANDOM","82340",22.5]
[" 4400569","CSF BETA-2 TRANSFERRIN","86335",145]
[" 4400570","LIVER FIBROSIS, CHRONIC VIRAL HEP (ARUP)","83883",162]
[" 4400571","ALLERGEN CHOCOLATE/CACAO","86003",39]
[" 4400572","ALLERGEN PINEAPPLE","86003",39]
[" 4400573","GM1 IgM AUTOANTIBODIES","83520",153.5]
[" 4400574","GM1 IgG AUTOANTIBODIES","83520",153.5]
[" 4400575","RNA POLYMERASE III ANTIBODY IgG","83516",55.5]
[" 4400576","MYOSITIS PANEL EXTENDED (ARUP)","83516",429.5]
[" 4400577","COMPREHENSIVE SYSTEMIC SCLEROSIS PANEL","86039",873]
[" 4400578","HEP C QUANT, RNA PCR RFX TO GENOTYPING","87522",108]
[" 4400579","HEP C QUANT GENOTYPING REFLEX CHARGE","87522",107.5]
[" 4400580","TESTOSTERONE TOTAL  LC/MS-MS WOMEN/CHILD","84403",109]
[" 4400581","JAK2 V617F QNT/ REFLEX TO CALR&MPL","81270",146]
[" 4400582","REFLEX CALR FOR JAK 2","81219",686.5]
[" 4400583","REFLEX MPL FOR JAK 2","81402",686.5]
[" 4400584","HEPATITIS B CORE ANTIBODY, IgG, IgM DIFF","86704",11]
[" 4400585","ADENOSINE DEAMINASE, PLEURAL FLUID","84311",66.5]
[" 4400587","NOVEL CORONAVIRUS (COVID-19), NAA","87635",70.5]
[" 4400588","TOXIGENIC C DIFF BY LFA REFLEX TO PCR","87324",91.5]
[" 4400589","REFLEX TOXIGENIC C DIFF PCR","87493",167.5]
[" 4400590",".EP","81403",172]
[" 4400591","HEP B SURFACE ANTIBODY, QUANTITATIVE","86317",77.5]
[" 4400592","LYMPHOCYTE SUBSET PANEL 7","86356X4",406.5]
[" 4400593","N-TELOPEPTIDE CROSS-LINKS (NTX), URINE","82523",55.5]
[" 4400594","ASPERGILLIS PRECIPITATING AB IGG","86606",575.5]
[" 4400595","INTERSTITIAL LUNG DISEASE AUTOAB PANEL","83516X9",839.5]
[" 4400596","COVID-19 INHOUSE (ABBOTT SWAB)","87635",70.5]
[" 4400597","IMMUNE DEFICIENCY PROFILE VIII","82232",403.5]
[" 4400598","F-ACTIN ANTIBODY IgG W REFLEX TO TITER","86015",50]
[" 4400599","F-ACTIN ANTIBODY IgA","86015",110]
[" 4400600",".FLOW CYTOMETRY 16","88189",95]
[" 4400601",".FLOW CYTOMETRY 17","88189",95]
[" 4400602",".FLOW CYTOMETRY 18","88189",95]
[" 4400603",".FLOW CYTOMETRY 19","88189",95]
[" 4400604",".FLOW CYTOMETRY 20","88189",88.5]
[" 4400605","SELENIUM, SERUM OR PLASMA","84255",75.5]
[" 4400606","HF PSA SCREENING","G0103",28]
[" 4400607","HF HgB A1c","83036",25]
[" 4400608","ALLERGEN PROFILE, MOLD","86003",43.5]
[" 4400609","LYMPHOCYTE MITOGEN PROLIFERATION","86353",519.20000000000005]
[" 4400610","iSTAT TROPONIN","84484",138]
[" 4400611","iSTAT CHEM 8","80048",100.5]
[" 4400612","iSTAT BLOOD GAS","82803",162]
[" 4400613","MMR IMMUNITY PROFILE","86735",0]
[" 4400614","IFE WITH FREE LT CHAINS, QUANT URINE 24H","84156",229]
[" 4400615","MONOCLONAL PROTEIN STUDY URINE 24HR","84156",162]
[" 4400616","THYROID CASCADE PROFILE","84443",87]
[" 4400617","ENCEPHALOPATHY, AUTOIMMUNE EVALUATION","83519",2904]
[" 4400618","BORRELIA SPECIES BY PCR","87798",254.5]
[" 4400619","RESPIRATORY 2.1 PANEL (BLMH)","87631",370]
[" 4400620","VASCULAR ENDOTHELIAL GROWTH FACTOR","83520",203]
[" 4400621","VEDOLIZUMAB CONCENTRATION AND ANTIBODY","80280",169]
[" 4400622","COVID-19, NAA (INTERMOUNTAIN LAB)","87635",96]
[" 4400623","URINE CATECHOLAMINES URINARY FREE RANDOM","82384",25]
[" 4400624","SSA 52 AND 60 Ro ENA Ab IGG (ARUP)","86235X2",34]
[" 4400625","ANA PROFILE 9 BIOMARKERS","86225",105.5]
[" 4400626","CYTOKINE PANEL 13, SERUM (ARUP)","83520X13",532.5]
[" 4400627","PNEUMONIA PANEL BY PCR (CARIBOU)","87632",750]
[" 4400628","ALLERGEN FOOD, MILK","86008",131]
[" 4400629","SPEP, RFX TO IFE, SERUM KAPPA/LAMBDA","84155",17]
[" 4400630","SPEP, IFE REFLEX CHARGE","84155",341.5]
[" 4400631","MENINGITIS PANEL BY PCR (CARIBOU)","87632",0]
[" 4400632","SARS-CoV-2 TITER","86769",55.5]
[" 4400634","ANA WITH HEP-2 BY IFA (ARUP)","86039",27]
[" 4400635","CANDIDA ANTIBODIES IgA, IgG. IgM","86628 x3",201.5]
[" 4400636","ADENOVIRUS GROUP ANTIBODIES, QUANT","86603",150]
[" 4400638","COMPLEMENT ACTIVITY (AH50)","86161",239]
[" 4400639","SOLUBLE LIVER ANTIGEN IGG ANTIBODY","83516",32]
[" 4400640","STREPTOCOCCUS PNEUMONIAE AB 23 SEROTYPES","86317",124]
[" 4400641","OMEGA CHECK (TM) (EPA+DPA+DHA)","82542",53.75]
[" 4400700","BB ANTIGEN TYPING: S/s","86905",116]
[" 4400701","TACROLIMUS, WHOLE BLOOD (LC/MS-MS)","80197",41.25]
[" 4400702","1,3 BETA-D-GLUCAN (FUNGITELL)","87449",140]
[" 4400703","SEDIMENTATION RATE (LABCORP)","80197",69]
[" 4400728","TRIGLYCERIDES","84478",53]
[" 4400729","TROPONIN I","84512",157]
[" 4400730","TROPONIN I QUALITATIVE","84512",81.5]
[" 4400732","TRYPSIN","83519",315.5]
[" 4400734","TSH","84443",87]
[" 4400735","THYROTROPIN RECEPTOR AB (TRAB)","83520",427.5]
[" 4400736","HIGH RESOL CHROMOSOME","88230",269.5]
[" 4400737","HIGH RESOL CHROMOSOME","88262",269.5]
[" 4400738","HIGH RESOL CHROMOSOME","88291",269.5]
[" 4400739","THYROTROPIN RELEASING HORMONE","83519",271]
[" 4400740","CELIAC DISEASE ANTIBODY PROFILE","82784",196.5]
[" 4400741",".CELIAC DISEASE ANTIBODY PROFILE 2","86255",196.5]
[" 4400749","UREA NITROGEN CLEARANCE","84545",59.5]
[" 4400750","URIC ACID","84550",59.5]
[" 4400751",".URINALYSIS WITH MICRO(CHG)","81000",63.5]
[" 4400752","URINE AMYLASE 24 HR","82150",127.5]
[" 4400753","URINE CALCIUM","82340",57]
[" 4400754","URINE POTASSIUM","84133",74]
[" 4400755","URINE CATECHOLAMINES","82384",218.5]
[" 4400756","URINE CITRATE 24HR","82507",53]
[" 4400757","URINE PHOSPHATE 24HR","84105",42.5]
[" 4400758","CORTISOL, URINARY FREE","82530",50]
[" 4400759","URINE CREATININE RANDOM","82570",80]
[" 4400760","URINE EPINEPHRINE","82384",224.5]
[" 4400761","URINE MAGNESIUM 24HR","83735",47]
[" 4400762","URINE METANEPHRINES","83835",202.5]
[" 4400763","URINE MICROALBUMIN","82043",37.5]
[" 4400764","URINE MYOGLOBIN","83874",376.5]
[" 4400765","URINE OXALATE","83945",164]
[" 4400766","URINE PORPHOBILINOGEN, RANDOM","84110",28.5]
[" 4400767","URINE SODIUM","84300",50]
[" 4400768","URINE SEROTONIA 24 HR","83497",193]
[" 4400769",".URINE TOTAL PROTEIN LABCORP","84156",32]
[" 4400770","URINE TOTAL PROTEIN","84156",72.5]
[" 4400771","URINE URIC ACID 24 HR","84560",57]
[" 4400772","URINE CATECHOLAMINES AND VMA","84585",224.5]
[" 4400773",".URINE PROTEIN 24HR LABCORP","84156",32.5]
[" 4400774","IFE AND UPEP 24 HOUR","84166",94]
[" 4400775",".URINE PROTEIN/CREATININE,RANDOM LABCORP","84156",66.5]
[" 4400776","VALIUM","80299",208.5]
[" 4400777","VALPROIC ACID","80164",153.5]
[" 4400778","VANCOMYCIN PEAK REF LAB","80202",361.5]
[" 4400779","VDRL, CSF","86592",65.5]
[" 4400780","VAP","83701",100.5]
[" 4400781","RENIN","84244",361.5]
[" 4400782","VERAPAMIL","80299",235.5]
[" 4400783","VITAMIN A","84590",153.5]
[" 4400784","VITAMIN B6","84207",421.5]
[" 4400785","VITAMIN D,1,25 DIHYDROXY","82652",100.5]
[" 4400786","VITAMIN B12","82607",140.5]
[" 4400787",".VITAMIN D 25 OH","82306",135]
[" 4400788","VITAMIN E","84446",143.5]
[" 4400789","VONWILLEBRAND FACTOR ACTIVITY","85245",117]
[" 4400790","WBC (WHITE BLOOD CELL COUNT)","85048",28]
[" 4400791","WET MOUNT","87210",59]
[" 4400792","BB X-MATCH","86922",210]
[" 4400793","ZARONTIN","80168",224.5]
[" 4400794","ZINC, SERUM OR PLASMA","84630",299]
[" 4400795","WEST NILE VIRUS ANTIBODIES IGG AND IGM","86789",197.5]
[" 4400796","VARICELLA ZOSTER IGG","86787",42.5]
[" 4400797","VITAMIN D 25 OH(D2+D3 FRACTIONATED","82306",241.5]
[" 4400798","HEPATITIS C GENOTYPING WITH 1A SUBTYPE","87902",773.5]
[" 4400799","ZONEGRAN LEVEL","82542",173]
[" 4400800","YEAST SUSCEPTIBILITY PANEL","87186",202.5]
[" 4400801","NEUROMYELITIS OPTICA ANTIBODY IGG","86255",797]
[" 4400802","TISSUE TRANSGLUTAMINASE AB IGA","83516",24]
[" 4400803","TISSUE TRANSGLUTAMINASE AB IGG","83516",61.5]
[" 4400804","STOOL PH","83986",83.5]
[" 4400805","PINWORM PREPARATION","87172",59.5]
[" 4400806","H1N1 INFLUENZA BY PCR","87798",105]
[" 4400807","H1N1 INFLUENZA BY PCR PART 2(NOT USED)","87798",234]
[" 4400808","BB ANTI-M TITER","86870",77]
[" 4400810","IODINE, PLASMA","83789",281.5]
[" 4400811","CARNITINE, FREE","83789",68.5]
[" 4400813","ISOLATION OR EXTRACTION","83891",190.5]
[" 4400814","ENZYMATIC DIGESTION, EACH TREATMENT","83892",72.5]
[" 4400815","SEPARATION BY GEL ELECTROPHORESIS","83894",72.5]
[" 4400816","NUCLEIC ACID TRANSFER","83897",190.5]
[" 4400817","AMPLIFICATION, NUCLEIC ACID","83898",106]
[" 4400819","KAPPA/LAMBDA QUANT FREE LT CHAINS SERUM","83883",135]
[" 4400820","ALBUMIN, BODY FLUID","82042",59.5]
[" 4400821","TOXOPLASMA IGG","86317",29.5]
[" 4400822","TOXOPLASMA PCR","86778",259]
[" 4400823","TRYPTASE","84999",258]
[" 4400824",".STOOL POTASSIUM","84133",102.5]
[" 4400825",".STOOL SODIUM","84302",102.5]
[" 4400826","ANTI-MULLERIAN HORMONE","83516",244]
[" 4400827","BILE ACIDS (TOTAL AND FRACTIONATED)","82542",348.5]
[" 4400828","MECONIUM DRUG SCREEN","80307",165]
[" 4400829","OCCULT BLOOD iFOB1","82274",53]
[" 4400830","OCCULT BLOOD iFOB2","82274",0]
[" 4400831","THROMBOTIC RISK PROFILE, ACQUIRED (COMP)","86849",1432.5]
[" 4400832","STREPTOCOCCUS PNEUMONIAE ANTIBODIES IGG","86317 X14",122.5]
[" 4400833","AQUAPORIN-4 RECEPTOR ANTIBODY","83516",759.5]
[" 4400834","TOXOCARA ANTIBODY IGG","86682",117]
[" 4400835","PROTHROMBIN F2 G2O210A MUTAT (NOT USABLE","81240",213.5]
[" 4400836","XPTT","85730",32]
[" 4400837","XFACTOR8","85240",32]
[" 4400838","XHOMOCYSTEINE","83090",32]
[" 4400839","XISOLATION","83890",32]
[" 4400840","XAMPLIFICATION","83900",32]
[" 4400841","XNUCLEIC ACID PROBE","83896",32]
[" 4400842","XINTERPRETATION AND REPORT","83912",32]
[" 4400843","XAPC RESISTANCE","85307",32]
[" 4400844","LUPUS ANTICOAGULANT COMPREHENSIVE","85613",587.5]
[" 4400845","XRF","86431",18]
[" 4400846","XCOMPLEMENT C3","86160",18]
[" 4400847","XCOMPLEMENT C4","86160",18]
[" 4400848","XANA","86038",18]
[" 4400849","VANCOMYCIN TROUGH REF LAB","80202",361.5]
[" 4400850","OB PROFILE (BLMH LAB)","80081",371]
[" 4400851","ANTI-NUCLEAR ANTIBODY REFLEX PANEL","86038",90.5]
[" 4400852","IMMUNOFIXATION ELECTROPHORESIS GEL","86334",81.5]
[" 4400853","H PYLORI ANTIBODY IgM","86677",27]
[" 4400854","FETAL LUNG MATURITY (DO NOT USE)","84999",84.5]
[" 4400855","SELENIUM, WHOLE BLOOD","84255",40]
[" 4400856","ANTIPROTEINASE 3 ANCA","83520",220]
[" 4400857","THYROTROPIN RECEPTOR ANTIBODY","83520",255.5]
[" 4400858","VARICELLA BY PCR","87798",83.5]
[" 4400859","FACTOR V LEIDEN MUTATION","81241",131.5]
[" 4400860","THIOPURINE METHYLTRANSFERASE; NO USE","82542",403.5]
[" 4400861","ORGANIC ACID ANALYSIS","83919",322.5]
[" 4400862","BENZENE PROFILE","84600",211]
[" 4400863","TOLUENE PROFILE","84600",125]
[" 4400864","HEAVY METAL ANALYSIS","82175",754]
[" 4400865","AMINO ACID PROFILE, QUANT, PLASMA","82139",917]
[" 4400866","CORD BLOOD GAS VENOUS","82803",280]
[" 4400867","CORD BLOOD GAS ARTERIAL","82803",280]
[" 4400868","ROCKY MT SPOTTED FEVER IGM","86757",105.5]
[" 4400869","ANTI-SS-A/ANTI-SS-B","86235",131.5]
[" 4400870","ALPHA-FETOPROTEIN TETRA PROFILE","82105",0]
[" 4400871","ALPHA-FETOPROTEIN XTRA PROFILE (TRIPLE)","82105",1.5]
[" 4400872","URINE CITRATE/CREATININE RATIO RANDOM","82507",53]
[" 4400873","MYCOPLASMA PNEUMONIAE ANTIBODY IGM","86738",45.5]
[" 4400874","JC VIRUS DNA, PCR (WHOLE BLOOD)","87798",265]
[" 4400875","CRYPTOSPORIDIUM ANTIGEN (LOGAN)","87328",166]
[" 4400876","NICOTINE AND METABOLITE, QUANT (URINE)","80323",131.5]
[" 4400877","KIDNEY STONE 24 HR URINE","83935",21]
[" 4400878","ANTIPARIETAL CELL ANTIBODY","83516",26]
[" 4400879","CAMPYLOBACTER ANTIGEN","87899",45.5]
[" 4400880","KIDNEY STONE 3","82140",45]
[" 4400881","KIDNEY STONE 5","82436",16]
[" 4400882","KIDNEY STONE 7","82570",16]
[" 4400883","VITAMIN B5","84591",288]
[" 4400884","STOOL  ANALYSIS  Na, K, Cl","82438",102.5]
[" 4400886","C DIFFICILE TOXIN GENE, REFLEX ONLY","87493",203]
[" 4400887","OPIATE CONFIRMATION, URINE","80361",68.5]
[" 4400888","METHADONE CONFIRMATION, URINE","80358",68.5]
[" 4400889","ALLERGEN FOOD BASIC (7)","86003",39]
[" 4400890","OXYCODONE CONFIRMATION, URINE","80307",153.5]
[" 4400891","PEANUT COMPONENT PANEL, IMMUNOCAP","86003 X5",593]
[" 4400892","CANNABINOID (THC) BLOOD & CONFIRM","80307",130]
[" 4400893","MECONIUM, AMPHETAMINE SCREEN","80307",148]
[" 4400894","BODY FLUID LDH, LOGAN REGIONAL","83615",15]
[" 4400895","BODY FLUID TOTAL PROTEIN, LOGAN REGIONAL","84157",12]
[" 4400896","CANNABINOID CONFIRMATION, URINE","82542",68.5]
[" 4400897","URINE, FISH (BLADDER CANCER)","88120",1350.5]
[" 4400898","URINE UREA RANDOM","84540",28.5]
[" 4400899","THALLIUM, URINE","82570",59]
[" 4400900","URINALYSIS","81003",0]
[" 4400901","CBC","85025",0]
[" 4400911","CULTURE SPUTUM","87070",123]
[" 4400912","CULTURE AEROBIC (BLMH)","87070",123]
[" 4400913","CULTURE CSF","87070",123]
[" 4400914","CULTURE GROUP","87070",102]
[" 4400915","CULTURE B STREP","87070",123]
[" 4400916","CULTURE MRSA","87070",123]
[" 4400917","CULTURE OTHER","87070",102]
[" 4400918","URINE PROTEIN 24HR","84300",50]
[" 4400919","URINE CREATININE 24 HR","82570",80]
[" 4400920","URINE POTASSIUM 24 HR","84133",74]
[" 4400921","URINE SODIUM 24 HR","84300",50]
[" 4400922",".MANUAL DIFF","85007",45.5]
[" 4400923","CSF CELL COUNT","89051",303.5]
[" 4400924","*T4 REFERENCE LAB","84436",64]
[" 4400925","*T4-FREE REFERENCE LAB","84439",185.5]
[" 4400926","T3 REFERENCE LAB","84480",117]
[" 4400927","T3-FREE REFERENCE LAB","84481",84.5]
[" 4400929","HEMOCHROMATOSIS MUTATION DETECTION","81256",218.5]
[" 4400930","F ACTIN ANTIBODY IGG","83516",44]
[" 4400931","EBV QUANT BY PCR","87799",418]
[" 4400932","THROMBOTIC RISK, CONGENITAL","81240",1173]
[" 4400933","INSULIN AND C-PEPTIDE (NON-FASTING)","84681",227]
[" 4400934","INSULIN, FREE AND TOTAL","83525",121.5]
[" 4400935","B-CELL CD20 EXPRESSION","88184",350]
[" 4400936","MYELIN ASSOCIATED GLYCOPROTEIN IGM","83520",61]
[" 4400937","VITAMIN B7","84591",37]
[" 4400938","ALPHA-GALACTOSIDASE A DEFICIENCY, LEUKOC","82657",107]
[" 4400939","GGT(LABCORP)","82977",135]
[" 4400940","COMPLEMENT C1q, QUANTITATIVE","86160",25]
[" 4400941","HLA-B27 FLOW CYTOMETRY","86812",57.2]
[" 4400942","ACUTE VIRAL HEPATITIS (HAV, HBV, HCV)","80074",150]
[" 4441111","DO NOT USE","0202U",370]
[" 4447177","OVA & PARASITES (LAB CORP)","87177",169.5]
[" 4448252","VITAMIN B2","84252",270.5]
[" 4448253","PARVOVIRUS B19 DNA, PCR WHOLE BLOOD","87798",130]
[" 4450119","LUPUS COMPREHENSIVE REFLEX PANEL(ARUP)","86431",0.01]
[" 4480050","GEN HEALTH PANEL","80050",223]
[" 4480051","ALBUMIN, BODY FLUID","82042",18.5]
[" 4480052","AMYLASE, BODY FLUID","82150",125.5]
[" 4480053","HF COMPREHENSIVE METABOLIC PANEL","80053",14.5]
[" 4480054","BILIRUBIN, BODY FLUID","82248",16.5]
[" 4480055","OB PROFILE (LABCORP)","80081",0.01]
[" 4480056","ELECTROLYTE PANEL REFERENCE LAB","80051",33.25]
[" 4480061","HF LIPID PANEL","80061",8]
[" 4480084","URIC ACID, BODY FLUID","84560",56.5]
[" 4480101","DRUG OF ABUSE BLOOD SINGLE TEST","80307",141]
[" 4480150","AMIKACIN PEAK","80150",234]
[" 4480152","AMITRIPTYLINE","80335",95]
[" 4480154","BENZODIAZEPINE CONFIRMATION, URINE","80346",68.5]
[" 4480170","GENTAMYCIN  TROUGH LEVEL","80170",196.5]
[" 4480171","GABAPENTIN, SERUM OR PLASMA","80171",12.5]
[" 4480188","PRIMIDONE","80188",49]
[" 4480189","ALLERGEN PROFILE, FOOD IGE W/REFLEX","86003X12",52]
[" 4480200","TOBRAMYCIN, SERUM PEAK","80200",182]
[" 4480201","TOPIRAMATE","80201",107.5]
[" 4480202","VANCOMYCIN PEAK","80202",139.5]
[" 4480203","VANCOMYCIN TROUGH","80202",139.5]
[" 4480204","MYELIN ASSOC GLYCOP AND SGPG (ARUP)","83516",110]
[" 4480283","MAGNESIUM, RBC","83735",21]
[" 4480299","OXCARBAZEPINE","80299",164]
[" 4480301","TRICYCLIC ANTIDEPRESSANTS SCREEN, URINE","80307",98.5]
[" 4480307","DRUG SCREEN BLOOD,11 PANEL W/REFLEX","80307",288]
[" 4480308","DRUG SCREEN 11 BLOOD REFLEX CHARGE","80307",187]
[" 4480321","PHOSPHATIDYLETHANOL PEtH","80321",130]
[" 4480327","DIHYDROTESTOSTERONE, ENDOCRINE SCI","80327",189.5]
[" 4480339","CLOBAZAM","80339",122]
[" 4480340","VENLAFAXINE AND DESMETHYLYVENLAFAXINE","80338",114.5]
[" 4480342","RISPERIDONE","80342",180.5]
[" 4480343","QUETIAPINE, SERUM OR PLASMA","80342",102.5]
[" 4480345","BARBITURATE CONFIRMATION, URINE","80345",19]
[" 4480347","BENZODIAZEPINE CONFIRMA  SERUM OR PLASMA","80347",70.5]
[" 4480349","DRUG MARIJUANA, UMBILICAL CORD QUAL","80349",109.5]
[" 4480354","FENTANYL AND METABOLITE, URINE","80354",52.5]
[" 4480360","METHYLPHRENIDATE AND METABOLITE, URINE","80360",179.5]
[" 4480361","HYDROCODONE AND METABOLITE, URINE","80361",166.5]
[" 4480373","TRAMADOL  SERUM OR PLASMA","80373",134]
[" 4480375","THIOPURINE METABOLITES","82542",365.5]
[" 4480380","VITAMIN C","82180",145]
[" 4480500","PATHOLOGIST CONSULTATION","80503",15.5]
[" 4481002",".URINALYSIS W/O MICRO(CHG)","81002",68.5]
[" 4481003","KIDNEY STONE 1","81003",7]
[" 4481201","ADENOMATOUS POLYPOSIS COLI GENE MUTATION","81201",3393.5]
[" 4481206","BCR-ABL1, CML/ALL PCR, QUANT","81206",633.5]
[" 4481207",".BCR-ABL1 MINOR BREAKPOINT","81207",1.5]
[" 4481220","CYSTIC FIBROSIS PROFILE, DNA ANALYSIS","81220",843]
[" 4481229","CYTOGENOMIC SNP MICROARRAY","81229",1136.5]
[" 4481240","THROMBOSIS VENOUS RISK PROFILE","81240",435]
[" 4481243","FRAGILE X SYNDROME (BLOOD) W/ REFLEX","81243",172]
[" 4481244","FRAGILE X , PCR AND SOUTHERN BLOT","81243",413]
[" 4481260","FAMILIAL DYSAUTONOMIA, DNA ANALYSIS","81260",245]
[" 4481270","JAK2 MUTATION ANALYSIS / REFLEX","81270",669.5]
[" 4481291","METHYLENETETRAHYDROFOLATE REDUCTASE THER","81291",604.5]
[" 4481382","HLA CLASS II PANEL ARUP","81382X3",1265]
[" 4481383","ANAPLAMA ANTIBODIES, IgG AND IgM","81382X3",135]
[" 4481401","SPINAL MUSCULAR ATROPHY (SMA) CARRIER","86356",1208]
[" 4481403","NEUROSURE EPILEPSY GENE PANEL","81403 X2",3219.5]
[" 4481405","ALZHEIMERS NGS DIAG TEST","81405",2244]
[" 4481410","EHLERS DANLOS SYNDROME","81410",2121]
[" 4481420","MATERNI-T21 PLUS CORE + SCA","81420",973.5]
[" 4481421","MATERNI-T21 PLUS CORE","81420",663.5]
[" 4481422","MATERNI-T21 PLUS CORE+ESS","81420",625]
[" 4481500","OVARIAN MALIGNANCY RISK ROMA","81500",387.5]
[" 4481599","TRISOMY DETECTION, PRENATAL HARMONY","81599",1136.5]
[" 4482009","KETONES, SERUM","82009",77.5]
[" 4482010","ACETONE, QUANT","82010",95]
[" 4482030","CYCLIC AMP URINE","82030",96]
[" 4482040","ALBUMIN SERUM","82040",50]
[" 4482042","CSF ALB","82042",59.5]
[" 4482088","URINE ALDOSTERONE","82088",385]
[" 4482105","AFP FOR OPEN SPINA BIFIDA (msAFP)","82105",40]
[" 4482107","ALPHA-FETOPROTEIN WITH AFP-L3%","82107",159.5]
[" 4482131","KIDNEY STONE 2","82131",52.5]
[" 4482140",".AMMONIA","82140",87]
[" 4482145","AMPHETAMINE CONFIRMATION, URINE","80324",68.5]
[" 4482157","ANDROSTENEDIONE, ACTH STIMULATION","82157",66]
[" 4482164","ANGIOTENSIN CONVERTING ENZYME (ACE) CSF","82164",176.5]
[" 4482172","HEPATITIS C VIRUS FIBROSURE","82172",227]
[" 4482239","BILE ACIDS TOTAL","82239",109]
[" 4482271","GASTROCCULT","82271",26.5]
[" 4482306","VITAMIN D 25 OH (BLMH)","82306",135]
[" 4482340","KIDNEY STONE 4","82340",18.5]
[" 4482375","CARBOXYHEMOGLOBIN","82375",126]
[" 4482397","IGF-BINDING PROTEIN 3","82397",59.5]
[" 4482436","CHLORIDE URINE","82436",75]
[" 4482438","CSF CHLORIDE","82438",74]
[" 4482441","PCB POLYCHLORINATED BIPHENYL","82441",257]
[" 4482480","CHOLINESTERASE, SERUM","82480",224]
[" 4482492","WARFARIN","82542",220.5]
[" 4482495","CHROMIUM, PLASMA","82495",173]
[" 4482507","KIDNEY STONE 6","82507",82]
[" 4482523","N-TELOPEPTIDE CROSS-LINKS (NTx) SERUM","82523",267]
[" 4482525","COPPER URINE","82525",42.5]
[" 4482533","CORTISOL, SALIVA","82533",74.5]
[" 4482542","METHYLPHENIDATE","82542",196.5]
[" 4482570","URINE MICROALBUMIN / CREAT RATIO","82043",37.5]
[" 4482610","CYSTATIN C","82610",241.5]
[" 4482657","PORPHOBILINOGEN DEAMONASE RBC","82657",187.5]
[" 4482670","ESTRADIOL, ULTRASENSITIVE","82670",401]
[" 4482671","ESTROGEN FRACTIONATED","82671",120]
[" 4482679","ESTRONE (E1)","82679",55.5]
[" 4482693","ETHYLENE GLYCOL, URINE","82693",84]
[" 4482747","RBC FOLATE","82747",54.5]
[" 4482777","GALECTIN-3","82777",227.5]
[" 4482784","IGG-CSF","82784",70]
[" 4482785","ALLERGEN PROFILE, AREA 11","82785",148.5]
[" 4482786","MONOCLONAL PROTEIN STUDY EXP PAN SERUM","82784 X 3",162]
[" 4482787","IMMUNOGLOBULINS G SUBCLASS 4","82787",170.5]
[" 4482803","CAPILLARY BLOOD GAS","82803",280]
[" 4482873","MULTIPLE SCLEROSIS PROFILE W/ MBP","82040",229.5]
[" 4482945","CSF GLUCOSE","82945",74]
[" 4482950","GLUCOSE TOLERANCE STANDARD 2HR","82950",77.5]
[" 4482952",".GLUCOSE ADDITIONAL BEYOND THREE","82952",74]
[" 4483013","H.PYLORI BREATH TEST","83013",223]
[" 4483014",".H.PYLORI DRUG ADMIN","83014",37.5]
[" 4483018","COBALT, SERUM OR PLASMA","83018",47]
[" 4483021","HEMOGLOBIN S EVALUATION","83021",33.5]
[" 4483036","HgB A1c","83036",92]
[" 4483088","HISTAMINE PLASMA","83088",267.5]
[" 4483516","ANTI HISTONE IgG","83516",59.5]
[" 4483520","LEPTIN","83520",170.5]
[" 4483525","INSULIN RESISTANCE PANEL","83525",86]
[" 4483631","STOOL LACTOFERRIN, QUANT, SENDOUT","83631",213.5]
[" 4483655","LEAD LEVEL ADULT","83655",224.5]
[" 4483663","FETAL LUNG MATURITY FLUORESCENCE","83663",92.5]
[" 4483698","LIPOPROTEIN-ASSOC PHOSHOLIPASE A2 ACTIVI","83704",25]
[" 4483704","NMR LIPOPROFILE","83704",135]
[" 4483721","LDL DIRECT (SENDOUT)","83721",39]
[" 4483727","GONADOTROPIN - RELEASING HORMONE","83727",339]
[" 4483735","KIDNEY STONE 8","83735",20.5]
[" 4483789","CARNITINE, TOTAL AND FREE","82379",68.5]
[" 4483835","METANEPHRINES, FRACTIONATED,  PLASMA","83835",228.5]
[" 4483873","MYELIN BASIC PROTEIN-CSF","83873",56]
[" 4483880","NT-BNP","83880",260]
[" 4483883","IMMUNOFIXATION (DON'T USE)","86334",81.5]
[" 4483887","NICOTINE AND METABOLITE, QUANT (BLOOD)","80323",131.5]
[" 4483891","FEBRILE X SYNDROME DNAI","83891",190.5]
[" 4483894","FEBRILE X SYNDROME DNAII","83894",190.5]
[" 4483898","FEBRILE X SYNDROME DNAIII","83898",190.5]
[" 4483900","AMPLIFICATION","83900",10]
[" 4483901","MULTIPLEX AMP","83901",104.5]
[" 4483909","SEPARATION AND ID","83909",10]
[" 4483912","FRAGILE X SYNDROME DNA AMNIOTIC FLUID","83912",177.5]
[" 4483914","MUTATION ID","83914",104.5]
[" 4483916","OLIGOCLONAL BANDS","83916",57]
[" 4483921","METHYLMALONIC ACID URINE","83921",603.5]
[" 4483930","OSMOLALITY SERUM OR LI HEPARIN PLASMA","83930",101.5]
[" 4483935","OSMOLALITY URINE","83935",101.5]
[" 4483937","OSTEOCALCIN","83937",194.5]
[" 4483945","KIDNEY STONE 9","83945",40]
[" 4483951","DES-gamma-CARBOXY PROTHROMBIN DCP","83951",189.5]
[" 4483986","BODY FLUID PH","83986",50]
[" 4483992","PCP CONFIRMATION, URINE","83992",68.5]
[" 4483993","CALPROTECTIN, FECAL","83993",310]
[" 4484066","PROSTATIC ACID PHOSPHATASE","84066",42.5]
[" 4484105","KIDNEY STONE 10","84105",28.5]
[" 4484112","AMNISURE","84112",143.5]
[" 4484120","PORPHYRINS, QUANT, 24 HR URINE","84120",199]
[" 4484132","CSF POTASSIUM","84132",74]
[" 4484133","KIDNEY STONE 11","84133",28.5]
[" 4484140","PREGNENOLONE","84140",126]
[" 4484145","PROCALCITONIN","84145",187]
[" 4484156","URINE PROTEIN ELECTROPHORESIS RANDOM","84156",156.5]
[" 4484157","BODY FLUID TOTAL PROTEIN","84157",50]
[" 4484163","SERUM INTEGRATED 1 (PAPP-A)","84163",170.5]
[" 4484202","ERYTHROCYTE PORPHYRIN, WHOLE BLOOD","84202",194.5]
[" 4484244","ALDOSTERONE / RENIN RATIO","84244",361.5]
[" 4484300","KIDNEY STONE 12","84300",28.5]
[" 4484302","CSF SODIUM","84302",74]
[" 4484311","PORPHYRINS, SERUM TOTAL","84311",47]
[" 4484315","BODY FLUID SPECIFIC GRAVITY","84315",29.5]
[" 4484376","STOOL REDUCING SUBSTANCE","84376",32]
[" 4484392","KIDNEY STONE 13","84392",28.5]
[" 4484402","TESTOSTERONE F/T/BIO","84402",269]
[" 4484403","TESTOSTERONE FREE/TOTAL  LC/MS-MS","84402",0]
[" 4484432","THYROGLOBULIN BY LC-MS/MS (LRH/ARUP)","84432",129.5]
[" 4484439","T4-FREE REFERENCE LAB","84439",84.5]
[" 4484443","HF TSH","84443",8.5]
[" 4484478","VAP 1","84478",81]
[" 4484482","REVERSE T3","84482",63.5]
[" 4484540","URINE UREA 24 HOUR","84540",26.5]
[" 4484550","ARTHRITIS PANEL URIC ACID","84550",0.01]
[" 4484560","KIDNEY STONE 14","84560",28.5]
[" 4484585","URINE VMA 24 HR","84585",224.5]
[" 4484591","VITAMIN B3 (NIACIN)","84591",224]
[" 4484597","VITAMIN K","84597",171.5]
[" 4484630","ZINC, RBC","84630",132]
[" 4484702","HCG BETA QUANTITATIVE","84702",71]
[" 4484703","HCG PREGNANCY TEST URINE","84703",83]
[" 4484999","STOOL OSMOLALITY","84999",98.5]
[" 4485025","HF CBC","85025",8.5]
[" 4485206","HF GLUCOSE","82947",8]
[" 4485246","VONWILLEBRAND FACTOR ANTIGEN","85246",94.5]
[" 4485247","VONWILLEBRAND PROFILE","85240",84.5]
[" 4485248","VONWILLEBRAND FACTOR MULTIMERS","85247",80]
[" 4485260","FACTOR X ACTIVITY","85260",429.5]
[" 4485302","PROTEIN C ANTIGEN","85302",45.5]
[" 4485305","PROTEIN S ANTIGEN","85305",45.5]
[" 4485384","FACTOR I ACTIVITY (FIBRINOGEN ACTIVITY)","85384",361.5]
[" 4485415","PLASMINOGEN ACTIVATOR INHIBITOR ACTIVITY","85415",155]
[" 4485417","PLASMINOGEN ACTIVATOR INHIBITOR ANTIGEN","85415",255.5]
[" 4485461","BB FMHS","85461",224]
[" 4485520","ANTI-Xa LMW HEP","85520",182]
[" 4485540","LEUKOCYTE ALKALINE PHOSPHATASE","88280",36.5]
[" 4485586","VASOACTIVE INTESTINAL POLYPEPTIDE","84586",88]
[" 4485598","ANTIPHOSPHOLIPID SYNDROME (APS) PROFILE","85598",119]
[" 4485651","ARTHRITIS PANEL ESR","85651",0.01]
[" 4485660","HEMOGLOBIN SOLUBILITY","85660",80.5]
[" 4486001","CANDIDA ALBICANS M005-IGG","86001",44.5]
[" 4486003","ALLERGEN IGE","86003",39]
[" 4486005","ALLERGEN PROFILE, ANIMAL MIX","86003",39]
[" 4486022","HEPARIN INDUCED PLATELET","86022",203.5]
[" 4486140","CRP","86140",110]
[" 4486146","BETA-2 GLYCOPROTEIN 1 ANTIBODIES","86146",112]
[" 4486147","ANTICARDIOLIPIN ANTIBODIES IgA/G/M","86147",321]
[" 4486160","C1-ESTERASE INHIBITOR","86160",51]
[" 4486161","C1-ESTERASE INHIBITOR, FUNCTIONAL","86161",51]
[" 4486225","DS DNA BY IFA CRITHIDIA LUCILIAE W/RFLX","86225",28]
[" 4486226","ANTI-ssDNA","86226",203]
[" 4486235","ANTI-SMITH","86235",131.5]
[" 4486255","CELIAC DISEASE PROFILE / REFLEX","82784",26.5]
[" 4486301","CA 19-9","86301",47]
[" 4486316","CHROMOGRANIN A","83516",125.5]
[" 4486317","HAEMOPHILUS INFLUENZA TYPE B AB IGG","86317",88.5]
[" 4486331","HYPERSENSITIVITY PNEUMONITIS PROFILE","86331",143.5]
[" 4486335","URINE PROTEIN ELECTROPHORESIS 24 HR","84156",156.5]
[" 4486336","INHIBIN A","86336",313]
[" 4486340","INTRINSIC FACTOR ABS, SERUM","86340",23]
[" 4486341","ZnT8 ANTIBODIES","86341",111.5]
[" 4486352","NEUTROPHIL OXIDASE BURST","86352",361]
[" 4486355","B-CELL PANEL BY FLOW CYTOMETRY","86355",129.5]
[" 4486356","HNK1 (CD57) PROFILE","86356",139]
[" 4486359","TCELL TOTAL COUNT","86359",80]
[" 4486376","THYROID ANTIBODIES","86376",361.5]
[" 4486377","THYROID PROFILE W THYROXINE INDEX","84436",214]
[" 4486403","STREPTOZYME","86403",35]
[" 4486406","STREPTOZYME REFLEX TITER","86406",95]
[" 4486480","QUANTIFERON TB GOLD PLUS","86480",239.5]
[" 4486592","RPR WITH REFLEX TO QUANT AND CONFIRM","86592",53]
[" 4486602","SACCHAROMONOSPORA VIRIDIS, IGG","86602",39]
[" 4486603","THERMOACTINOMYCES CANDIDUS IGG","86602",39]
[" 4486607","ASPERGILLIS FLAVUS, IGG","86606",36.5]
[" 4486611","BARTONELLA HENSELAE IGG AND IGM","86611",50]
[" 4486617","LYME DISEASE TOTAL ABS IGG/IGM","86618",96]
[" 4486618","LYME DISEASE, WESTERN BLOT","86617",157]
[" 4486622","BRUCELLA ANTIBODY IGM BY EIA","86622",57]
[" 4486631","CHLAMYDIA IGG","86631",217.5]
[" 4486632","CHLAMYDIA TRACHOMATIS IGM","86632",217.5]
[" 4486635","COCCIDIOIDES ANTIBODY (LABCORP)","86635",53]
[" 4486636","COCCIDIOIDES ABS PANEL IgG AND IgM (IHC)","86635",176.5]
[" 4486638","Q FEVER ANTIBODIES, IGG","86638",49]
[" 4486639","COXIELLA BURNETTI IGG/IGM","86638X4",108]
[" 4486644","CMV ANTIBODY TOTAL","86644",119]
[" 4486658","COXSACKIE VIRUS ANTIBODY A","86658",81]
[" 4486666","EHRLICHIOSIS IGG, IGM","86666",467.5]
[" 4486677","HELICOBACTER PYLORI ABS IgA IgG IgM","86677",104]
[" 4486682","SCHISTOSOMA ANTIBODY IGG","86682",206.5]
[" 4486689","HIV 1 CONFIRMATION BY WESTERN BLOT","86689",475]
[" 4486694","HERPES SIMPLEX TYPE 1/2 IGG","86695",54.5]
[" 4486695","HSV TYPE 1 SPECIFIC ANTIBODIES, IgG","86695",27]
[" 4486696","HSV TYPE 2 SPECIFIC ANTIBODIES, IgG","86696",40]
[" 4486697","HSV TYPE 1 AND 2, IgM ANTIBODIES INDIREC","86696",42.5]
[" 4486698","HISTOPLASMA CAPSULATUM ANTIBODIES","86698",120.5]
[" 4486699","HISTOPLASMA GALACTO ANTIGEN EIA-SERUM","87385",165]
[" 4486703","HIV 1/2 RAPID","86703",42.5]
[" 4486710","INFLUENZA A&B ANTIBODIES, QUANT (SERUM)","86710",239.5]
[" 4486738","MYCOPLASMA PNEUMONIAE ANTIBODY IGG","86738",45.5]
[" 4486753","BABESIA MICROTI  ANTIBODIES, IgG IgM","86753",164]
[" 4486757","RICKETTSIA ANTIBODY","86757",160.5]
[" 4486768","SALMONELLA ANTIBODIES","86768 X 5",131.5]
[" 4486769","SARS-CoV-2 ANTIBODIES","86769",70.5]
[" 4486787","VARICELLA ZOSTER IGM","86787",42.5]
[" 4486790","WEST NILE IGM","86788",197.5]
[" 4486791","HUMAN HERPESVIRUS 6 (HHV-6) IgG","86790",34.5]
[" 4486792","HUMAN T-CELL LYMPHOTROPIC VIRUS 1,2 AB","86790",23]
[" 4486803","HEPATITIS C AB W/REFLEX TO QUAL NAA","86803",23]
[" 4486804","HEPATITIS C CONFIRMATION REFLEX CHARGE","86804",564]
[" 4486805","HEPATITIS C AB W/REFLEX TO QUANT PCR-RT","86803",23]
[" 4486828","HLA CLASS I/II ANTIBODY SCREEN","86828",153]
[" 4486860","BB ANTIBODY ELUTION RBC","86860",190.5]
[" 4486905","RBC ANTIGEN TYPING: A1","86905",116]
[" 4487015","CYCLOSPORA SMEAR, STOOL","87015",25.5]
[" 4487040",".CULTURE BLOOD (LOGAN)","87040",138]
[" 4487081","CULTURE GROUP A STREP LOGAN","87081",88]
[" 4487102","FUNGAL SUSCEPTIBILITY MIC PANEL","87186",87]
[" 4487116","CULTURE ACID FAST","87116",53]
[" 4487117","CULTURE ACID FAST BACILLUS, BLOOD","87116",116.5]
[" 4487169","PARASITE IDENTIFICATION, WORM","87169",32.5]
[" 4487186",".SENSITIVITY (ADDITIONAL CHARGE)","87186",86.5]
[" 4487205","URINE, EOSINOPHIL","87205",77.5]
[" 4487230","C DIFF CYTOTOXIN CELL ASSAY","87230",57]
[" 4487281","PNEUMOCYSTIS CARNII DFA","87281",170.5]
[" 4487305","ASPERGILLUS GALACTOMANNAN ANTIGEN, SERUM","87305",88.5]
[" 4487324","C. DIFF STOOL AG & TOXIN","87324",69]
[" 4487328","CRYPTOSPORIDIUM AG","87328",166]
[" 4487385","HISTOPLASMA ANTIGEN BY EIA, URINE","87385",186]
[" 4487427","E COLI SHIGA-LIKE TOXIN BY EIA","87427",109]
[" 4487476","LYME-PCR","87476",251.5]
[" 4487491","GC AND CHLAMYDIA BY PCR","87491",90.5]
[" 4487493",".C DIFF CONFIRMATION ILLUMIGENE","87493",125.5]
[" 4487496","CMV BY PCR","86644",370]
[" 4487497","URINE CMV QUANT BY PCR","87497",455]
[" 4487498","ENTEROVIRUS RT-PCR CSF","87498",476]
[" 4487505","GASTRO PARASITE AND MICROSPORIDIA PCR","87505",651]
[" 4487529","HERPES SIMPLEX VIRUS 1/2, PCR, CSF/SST","87529",452.5]
[" 4487535","PCR QUAL RNA HIV","87535",512]
[" 4487633","RESPIRATORY VIRAL PANEL (LOGAN)","87631",370]
[" 4487634","VAGINITIS/VAGINOSIS, DNA PROBE","87480",129]
[" 4487641","MRSA SCREEN BY PCR","87640",90.5]
[" 4487798","WEST NILE PCR","87798",580]
[" 4487799","BK VIRUS BY PCR (PLASMA)","87799",511]
[" 4487801","GI FILMARRAY BY PCR, STOOL (LOGAN)","87507",422.5]
[" 4487899","STREP PNEUMO ANTIGEN URINE OR CSF","87899",113]
[" 4487900","HIV GENOTYPE 1","87900",878]
[" 4487901","HIV GENOTYPE 2","87901",878]
[" 4488104","BODY FLUID WBC DIFF","89051",189.5]
[" 4488108","TZANK STAIN","88108",54.5]
[" 4488112","URINE CYTOLOGY","88112",215.5]
[" 4488173","CYTOPATH NEEDLE BIOPSY REPORT","88173",174]
[" 4488184","BB FHGB QUANT","88184",138]
[" 4488230","TISSUE CULTURE NON-NEOPLASTIC","88230",715.5]
[" 4488237","TISSUE CULTURE BONE MARROW","88237",340.5]
[" 4488260","CHROMOSOME ANALYSIS","88261",467.5]
[" 4488261","CHROMOSOME ANALYSIS, PRODUCTS OF CONCEPT","88261",467.5]
[" 4488262","KAROTYPE CHROMESONE ANA 15-20","88262",635.5]
[" 4488264","CHROMOSOME ANALYSIS FOR AMNIOTIC FLUID","88269",340.5]
[" 4488273","CHROMOSOMAL HYBRIDIZATION","88273",228]
[" 4488280","CHROMESOME ANAYL ADDL KAROTYPE","88280",151.5]
[" 4488291","CYTOGENETICS MOLECULAR","88291",644.5]
[" 4488300","PATH SURG LEVEL 1","88300",64]
[" 4488302","PATH/SURGICAL LEVEL 2","88302",63.5]
[" 4488304","PATH/SURGICAL LEVEL 3","88304",69.5]
[" 4488305","PATH/SURGICAL LEVEL 4","88305",50]
[" 4488307","PATH/SURGICAL LEVEL 5","88307",442.13]
[" 4488309","PATH/SURGICAL LEVEL VI","88309",121]
[" 4488311","PATH/DECALCIFICATION","88311",21.5]
[" 4488312","PATH/SPECIAL STAINS","88312",135]
[" 4488313","PATH/SPECIAL STAINS GROUP II","88313",228]
[" 4488314","PATH/HISTOCHEMICAL STAIN","88314",63]
[" 4488319","PATH/HISTOCHEMISTY ID","88319",205]
[" 4488321","PATH/CONSULT SLIDES","88321",190]
[" 4488323","PATH/CONSULT SLIDES","88323",70.5]
[" 4488325","PATH/CONSULT COMPREHENSIVE","88325",312]
[" 4488329","PATH/CONSULT DURING SURGERY","88329",106]
[" 4488331","PATH/1ST TISSUE BLOCK","88331",46.5]
[" 4488332","PATH/TISSUE BLOCK EACH ADDITIONAL","88332",87]
[" 4488341","PATH/SURGICAL EA ADDNL SINGLE","88341",65]
[" 4488342","PATH IMMUNOYTOCHEMISTRY","88342",72.5]
[" 4488346","PATH/IMMUNFLUORESCENT STUDY","88346",139]
[" 4488347","PATH/IMMUNOFLUORESCENT INDIRECT","88347",158.5]
[" 4488348","PATH/ELECTRON MICROSCOPY DIAGNOSTIC","88348",570.5]
[" 4488349","PATH/SCANNING","88349",741.5]
[" 4488350","PATH IMMUNOFLUORESCENCE PER SPECIMEN","88350",158.5]
[" 4488355","PATH/MORPHOMETRIC ANALYSIS","88355",146]
[" 4488356","PATH/MORPHOMETRIC ANALYSIS NERVE","88356",328]
[" 4488358","PATH/MORPHOMETRIC ANALYSIS TUMOR","88358",49.5]
[" 4488360","PATH MICROSCOPIC GENETIC ANAYLYSIS TUMOR","88360",87.5]
[" 4488362","PATH/NERVE TEASING PREPARATION.","88362",219]
[" 4488365","PATH/TISS IN SITU HYBRIDIZATION","88365",148.5]
[" 4488371","PATH/PROTEIN ANALYSIS","88371",53.5]
[" 4488372","PATH/IMMUNOLOGICAL PROBE","88372",54.5]
[" 4488373","COXSACKIE VIRUS ANTIBODY B","86658",307.5]
[" 4489190","SPUTUM EOSINOPHILS","89190",56]
[" 4590152","INFUSION PUMP SUPPLIES","A4222",68.5]
[" 4590153","INFUSION ACCESS CATHETER","A4300",68.5]
[" 4590154","INFUSION PUMP","E0781",459]
[" 5000001","ALCOHOL OR DRUG ASSESSMENT 15 MIN","H0001",18]
[" 5000003","ALCOHOL/DRUG SCREENING ANALYSIS OF SPEC","H0003",20.5]
[" 5000004","BEHAVIORAL HEALTH COUNSEL/THERAPY 15 MIN","H0004",18]
[" 5000005","ALCOHOL OR DRUG GROUP COUNSELING 15 MIN","H0005",9]
[" 5000006","ALCOHOL/DRUG SERVICE CASE MANAGEMENT 15","H0006",18]
[" 5000022","ALCOHOL/DRUG INTERVENTION SERVICE 15 MIN","H0022",9]
[" 5000030","CRISIS RESPONSE","H0030",38]
[" 5000031","CANS ASSESSMENT YOUTH UNDER 19","H0031",26.5]
[" 5000215","NON EMERGENCY TRANSPORTATION; PER MILE","S0215",1]
[" 5001017","TARGETED CASE MANAGEMENT","T1017",16.5]
[" 5002002","NON EMERGENCY TRANSPORTATION; PER DIEM","T2002",30]
[" 5002025","TELEHEALTH","G2025",122]
[" 5040000","PSYC-CONSULT 45 MIN","90834",223]
[" 5040004","PSYC-ER CRISIS EACH ADDITIONAL 30 MIN","90840",120]
[" 5040005","PSYC-ER CRISIS INTERVENTION 30-74 MIN","90839",223]
[" 5040010","PSYC-FAM THER WITH PATIENT","90847",223]
[" 5040016","PSYC-FAM THER WO PAT","90846",235.5]
[" 5040020","PSYC-GROUP THER","90853",118]
[" 5040025","PYSC-IND THER  60 MIN","90837",267]
[" 5040035","PYSC-IND THER 30 MIN","90832",125.5]
[" 5040040","PYSC-IND THER 45 MIN","90834",209.5]
[" 5040043","PSYCHIATRIC DIAGNOSTIC EVALUATION","90791",235.5]
[" 5040077","TELEHEATH","Q3014",102.5]
[" 5040110","CRISIS INTERVENTION 15 MIN","H2011",40.5]
[" 5040120","REHAB IND PSYCOSOCIAL 15MIN X4","H2017",32.5]
[" 5040130","TREATMENT PLAN 15MIN X4","H0032",32.5]
[" 5040135","REHAB IND PSYCOSOCIAL","H2017",40.5]
[" 5090792","PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SE","90792",334.5]
[" 5090889","PYSC-IND THER 45 MIN","90889",209.5]
[" 5099212","OFFICE OUTPATIENT VISIT 10 MINUTES","99212",98.5]
[" 5099213","OFFICE OUTPATIENT VISIT 15 MINUTES","99213",146]
[" 5099214","OFFICE OUTPATIENT VISIT 25 MINUTES","99214",219]
[" 5099215","OFFICE OUTPATIENT VISIT 40 MINUTES","99215",304]
[" 5099404","COUNSEL RISK INTVTN IND 60 MIN","99404",200]
[" 8740000","DIET CONSULT DIABETES PER 15 MIN","97802",83.5]
[" 8740001","DIET CONSULT RENAL PER 15 MIN","97802",83.5]
[" 8740006","DIET THERAPEUTIC PER 30 MIN","G0108",115.5]
[" 8740008","DIET CONSULT THERAPEUTIC PER 30 MIN","G0108",115.5]
[" 8797802","DIET CONSULT MISC PER 30 MIN","G0108",115.5]
[" 8797803","DIET/DIABETIC FOLLOW UP PER 15 MIN","97803",115.5]
[" 8797804","DIET/DIABETES GROUP CLASS, EACH 30 MIN","97804",54]
[" 9020552","INJECT TRIGGER POINTS 3/>","20552",293.5]
[" 9020553","INJECT TRIGGER POINTS 3/>","20553",258.5]
[" 9020605","DRAIN / INJ JOINT/BURSA W/O US","20605",167.5]
[" 9020610","DRAIN / INJ JOINT/BURSA W/O US","20610",584]
[" 9027096","INJECT SACROILIAC JOINT","27096",463.5]
[" 9062321","NJX INTERLAMINAR LMBR/SAC","62321",662.5]
[" 9062322","MUSCULOSKELETAL SURGERY","62322",584]
[" 9062323","NJX INTERLAMINAR LMBR/SAC","62323",662.5]
[" 9064405","OCCIPITAL NERVE BLOCK","64405",321.5]
[" 9064450","NERVE BLOCK/PERPHERAL NERVE","64450",511.5]
[" 9064480","INJ FORAMEN EPIDURAL  ADD-ON","64480",480]
[" 9064483","INJ FORAMEN EPIDURAL L/S","64483",662.5]
[" 9064484","INJ FORAMEN EPIDURAL ADD-ON","64484",377]
[" 9064486","TAP BLOCK UNI BY INJECTION","64486",723]
[" 9064487","TAP BLOCK UNI BY INFUSION","64487",473.5]
[" 9064490","INJ PARAVERT F JNT C/S 1 LEV","64490",1214.5]
[" 9064491","INJ PARAVERT F JNT C/S 2 LEV","64491",492.5]
[" 9064492","INJ PARAVERT F JNT C/S 3 LEV","64492",492.5]
[" 9064493","INJ PARAVERT F JNT L/S 1 LEV","64493",707.5]
[" 9064494","INJ PARAVERT F JNT L/S 2 LEV","64494",704]
[" 9064495","INJ PARAVERT F JNT L/S 3 LEV","64495",707.5]
[" 9064635","FJN LUMB/SAC SINGLE","64635",2176.5]
[" 9064636","FJN LUMB/SAC EA  ADDTL","64636",1148]
[" 9809970","PHA HEALTH CLUB MEMBERSHIP","S9970",287]
["15094799","PULMONARY SERVICE/PROCEDURE","94799",143.5]
["17097014","PT E-STIM UNATTENDED","97014",52]
["17097602","PT DEBRIDEMENT NON SELECT WET/DRY","97602",62]
["17097605","PT NEGATIVE PRESSURE WOUND/VACCUM","97605",56]
["18000152","OT HH VISIT","G0152",273]
["18097532","OT COGNITIVE SKILLS","97532",113]
["18907532","OT DEVELOP COGNITIVE SKILLS","97532",111.5]
["21000498","CHEMO EXTEND IV INFUS W/ PUMP","G0498",356.5]
["21096360","HYDRATION IV INFUSION INIT 31 MIN-1 HOUR","96360",328]
["21096361","HYDRATE IV INFUSION ADD-ON","96361",117.5]
["21096365","THER/PROPH/DIAG IV INF INIT","96365",389.5]
["21096366","THER/PROPH/DIAG IV INF ADD-ON","96366",125]
["21096367","TX /PROPH /DG /ADDL SEQ IN INF","96367",151]
["21096368","THER / DIAG CONCURRENT INF","96368",123]
["21096369","SC THER INFUSION UP TO 1 HR","96369",309]
["21096370","SC THER INFUSION ADDL HR","96370",119.5]
["21096372","THER/PROPH/DIAG INJ SC / IM","96372",111.5]
["21096374","THER / PROPH / DIAG INJ IN PUSH","96374",186.5]
["21096375","TX /PRO/ DX INJ NEW DRUG ADD-ON","96375",153]
["21096376","TX / PRO/ DX INJ SAME DRUG ADD-ON","96376",134]
["21096401","CHEMO ANTI-NEOPL SQ/ IM","96401",211]
["21096402","CHEMO HORMON ANTINEOPL SQ/ IM","96402",172.5]
["21096409","CHEMO IV PUSH SNGL DRUG","96409",331]
["21096411","CHEMO IV PUSH ADDL DRUG","96411",247.5]
["21096413","CHEMO IV INFUSION 1 HR","96413",579.5]
["21096415","CHEMO IV INFUSION ADDL HR","96415",183.5]
["21096417","CHEMO IV INFUS EACH ADDL SEQ","96417",244.5]
["21096521","REFILL/ MAINT PORTABLE PUMP","96521",363]
["21096522","REFILL/MAINT PUMP/ RESVR SYST","96522",377]
["21096523","IRRIG DRUG DELIVERY DEVICE","96523",135]
["21096549","CHEMOTHERAPY UNSPECIFIED","96549",107]
["23210060","INCISION AND DRAINAGE OF ABCESS","10060",360]
["23210061","I&D ABSCESS COMPLICATED/MULTIPLE","10061",520.5]
["23210120","FB REMOVAL SUBCU TISSUE SIMPLE","10120",373.5]
["23210140","INC & DRAIN HEMATOMA SIMPLE","10140",427]
["23210160","PUNCTURE ASPIRATION ABSCESS ETC","10160",308.5]
["23211010","DEBRDMNT REMOVAL OF FOREGN MATERIAL","11010",936]
["23211011","DEBRIDEMENT AT OPEN FRACTURE, SKIN/MUSCL","11011",782.5]
["23211012","DEBRIDEMENT AT SITE OF OPEN FRACTURE","11012",936]
["23211043","DEBRIDEMENT, 1ST 20 SQ CM OR LESS","11043",767]
["23211046","DEBRIDEMENT, ADDL 20 SQ CM OR PART","11046",144.5]
["23211100","BIOPSY SKIN SUBQ TISS ETC ONE LES","11100",266.5]
["23211200","REM SKIN/MULTI FIBRO TAGS TO 15","11200",228]
["23211300","SHAVE DERM LGS TRNK EXT TO 0.5 CM","11300",129]
["23211301","SHAVE DERM LES TRNK EXT 0.6-1.0 CM","11301",246]
["23211302","SHAVE DERM LES TRNK EXT 1.1-2.0 CM","11302",283]
["23211400","EXC BENIGN LES TRNK/ARM/LEG TO .5 CM","11400",241]
["23211401","EXC BEN LES TRNK/LIMB TO .5-1 CM","11401",308]
["23211602","EXC LESION T,A,L 1.1-2.0CM","11602",307]
["23211641","EXC MAL LES FACE ADNEXA .5-1CM","11641",659.5]
["23212001","SIMPLE REPAIR SCALP, NCK, AXILLAE 2.5 <","12001",304.5]
["23212002","SIMPLE REPAIR SCALP NCK 2.6 CM TO 7.5 CM","12002",372]
["23212004","LAC SIMPLE 7.6 TO 12.5","12004",480]
["23212005","REP SIMPLE SCALP ETC 12.6-20.0 CM","12005",605]
["23212011","SIMPLE RPR FACE EARS EYES ETC 2.5 <","12011",372]
["23212013","SIMPLE RPR FACE EAR EYE 2.6 CM TO 5.0 CM","12013",412.5]
["23212014","SIMP RPR FACE EAR ETC 5.1-7.5 CM","12014",494.5]
["23212015","SIMP REP FACE EAR EYE ETC 7.5-12.5 CM","12015",500.5]
["23212031","REP INTMD SCLP AX TRNK EXT X HA FT 2.5 <","12031",505.5]
["23212032","INT RPR SCLP TRNK EXTRM 2.6-7.5 CM","12032",449]
["23212034","REP INTME SCALP ETC 7.6-12.5 CM","12034",647]
["23212035","LAC MED S/A/T/E 12.6-20CM","12035",676]
["23212036","REP INTMD SCALP ETC 20.0-30CM","12036",529]
["23212041","REP INTMD N-HF/GENIT 2.5 CM <","12041",514.5]
["23212042","LAC MED N/H/F/G 2.6-7.5CM","12042",494]
["23212044","REP INTERMED NECK ETC 7.5-12.5CM","12044",350.58]
["23212051","LAC MED FACE/EAR <2.5CM","12052",458]
["23212052","INT RPR FACE NOSE LIP 2.6-5.0 CM","12052",606]
["23212054","INT RPR FACE NOSE LIP 7.6-12.5 CM","12054",706]
["23213121","REP COMPLEX SCLP/LMB 2.6-7.5 CM","13121",957.5]
["23213122","REP CMPLX SCLP/ARMS/LEG, EA AD 5 CM OR >","13122",406.5]
["23213132","REP CMPLX FACE HANDS 2.5-7.5CM","13132",801]
["23213151","REP CMPLX FACIAL ADN 1.1-2.5 CM","13151",911.5]
["23217250","CAUTERIZATION CHEMICAL WOUND","17250",204.5]
["23220103","EXPLORATION OF EXTREMITY","20103",657]
["23220552","TRIGGER POINT INJECT/ONE OR TWO MUSCLES","20552",291.5]
["23220600","ARTHOCENTESIS SMALL JOINT","20600",222.5]
["23220605","ARTHOCENTESIS INTERNEDIATE JOINT","20605",251]
["23220610","ARTHOCENTESIS LARGE JOINT","20610",304]
["23221315","MANIP/TREATMENT NASAL BONE FRACTURE WO/S","21315",845.5]
["23221337","CLSD TX SEPTAL & NOSE FX WO STABILIZATIO","21337",1070.5]
["23222902","EXCISION, TUM, SUBCUTANEOUS, < 3CM","22902",1011.5]
["23223605","RED FX-HUMERAL","23605",1479]
["23223650","RED DISLOC SHOULDER","23650",895.5]
["23223655","CLOSE SHOULDER DIS W MANIP W ANES","23655",1102]
["23224515","RED FX OPEN HUMERUS","24515",2313]
["23224605","TX CLOS.ELBOW DISLOCATION;W/ANESTH","24605",1324.5]
["23224635","OPEN TRTMENT OF MONTEGGIA, DISC OF ELBOW","24635",1865]
["23225605","CLOSE DIST RAD W/WO ULNA W MANIP","25605",1539.5]
["23225606","PERCUTANEOUS SKELETAL FIXATION OD DISTAL","25606",1460]
["23225609","ORIF DISTAL RADIUS","25609",2959.5]
["23226548","RECONSTRUCT VOLAR PLATE I-P JOINT","26548",1921.5]
["23226727","TX UNSTABLE PHALANGEAL SHAFT FX W MAN. W","26727",1343]
["23226756","RED FX-PHALANX DISTAL W PINNING","26756",1094]
["23226770","TX CLOSED IP JOINT DISLOC, ONE,W MANIP;W","26770",871.5]
["23227562","TX CLOSED PATELLAR DISLOCATION; W ANESTH","27562",1408]
["23227814","OPEN TRTMENT OF BIMALL ANKLE FRACTURE","27814",2630.5]
["23227822","OPEN TREATMENT OF TRIMALLEOLAR ANKLE FRA","27822",2873.5]
["23227829","OPEN TREATMENT OF DISTAL TIBIOFIBULAR JO","27829",1820]
["23228660","CLTX INTERPHALANGEAL JOINT DISLOCATION W","28660",226.5]
["23229085","APPLY HAND & LOWER FOREARM (GAUNTLET) CA","29085",268]
["23229105","SPLINT LONG ARM","29105",291.5]
["23229125","APPLY SHORT ARM SPLINT (FOREARM TO HAND)","29125",221.5]
["23229505","SPLINT LONG LEG","29505",219]
["23229515","APPLICATION OF SHORT LEG SPLINT (CALF TO","29515",244]
["23230901","CNTRL NASAL HEMOR, ANTER, SMPLE","30901",215.5]
["23231200","PQRS MEASURE CODE 54","3120F",0]
["23231201","PQRS MEASURE CODE 54","3120F1P",0]
["23231202","PQRS MEASURE CODE 54","3120F2P",0]
["23231203","PQRS MEASURE CODE 54","3120F8P",0]
["23231530","LARYNGOSCOPY, DIRECT, OPER, F.B. REMOVAL","31530",659]
["23243235","ENDOSCOPY UPPER GI DIAGNOS COMPLEX","43235",814.5]
["23243239","EGD W/ BIOPSY","43239",957.5]
["23243247","ENDOSCOPY UPPER GI W REM FB","43247",744.5]
["23244970","LAPRASCOPY APPENDECTOMY","44970",2524]
["23245378","COLONOSCOPY W/O BIOPSY","45378",974]
["23245380","COLOSCOPY W/ BIOPSY","45380",1010]
["23247562","LAPAROSCOPY; CHOLECYSTECTOMY","47562",3581.5]
["23247563","LAP; CHOLE W/CHOLANIGIOGRAPHY","47563",4188]
["23249505","REPAIR HERNIA INGUINAL UNIL >5YRS","49505",1989]
["23249565","REP HERNIA VENTRAL RECURRENT","49565",2724.5]
["23249568","IMPL OF MESH OPEN INCIS OR VENT HERNIA","49568",1083.5]
["23249585","UMBILICAL HERNIA REPAIR, 5 YRS & >, REDU","49585",1751.5]
["23265205","REMOVE FB EXTERN EYE CONJUNCTIVAL SUPE","65205",205]
["23265210","REMOVAL FB CONJUNTIVA EMBEDDED","65210",105.5]
["23269210","REMOVAL IMPACTED CERUMEN 1-2 EARS","69210",106.5]
["23292960","CARDIOVERSION-ELECTRICAL CONVER ARTHYMN","92960",587]
["23293016","STRESS TEST PHYSICIAN SUPERVISION ONLY","93016",220.5]
["23293018","STRESS TEST TREAD & SESTI","93018",168]
["23299213","CONSULT LEVEL III","99213",205]
["23299217","OBSERVATION CARE DISCHARGE","99217",206]
["23299218","ER OBS LOW < 48 HOURS","99218",247.5]
["23299219","ER OBS MODERATE < 48 HOURS","99219",337]
["23299220","ER OBS HIGH < 48 HOURS","99220",412]
["23299224","SUBS OBS,PER DAY,E&M PROBLEM FOCUSED","99224",97.5]
["23299225","SUBS OBS,PER DAY,E&M EXPANDED","99225",171]
["23299226","SUBS OBS,PER DAY,E&M DETAILED","99226",229]
["23299234","ER OBS LOW < 24 HOURS","99234",396.5]
["23299235","ER OBS MODERATE < 24 HOURS","99235",496]
["23299236","ER OBS HIGH < 24 HOURS","99236",594.5]
["23299281","ER STRAIGHT","99281",106.5]
["23299282","ER LOW","99282",139]
["23299283","ER MODERATE","99283",177.5]
["23299284","ER MODERTATE COMPLX DEC","99284",269.5]
["23299285","ER HIGH","99285",315.5]
["23299291","CRITICAL CARE REQUIRE PHYS PRES 1ST HR","99291",544.5]
["23299292","CRITICAL CARE REQUIRE PHYS EACH 30 MIN","99292",283]
["23299356","PROLONGED SERVICE INPATIENT OR OBS","99356",183]
["23299357","PROLONG SERVICE INPATIENT OR OBS","99357",163.5]
["23400105","COLONOSCOPY ON INDIV AT HIGH RISK","G0105",928]
["23400121","COLONOSCOPY ON INDIV NOT HIGH RISK","G0121",890]
["23405180","PQRS MEASURE CODE 155","0518F",0]
["23405181","PQRS MEASURE CODE 155","0518F1P",0]
["23405182","PQRS MEASURE CODE 155","0518F8P",0]
["23408417","PQRS 128 BMI NORMAL","G8417",0]
["23408418","PQRS MEASURE CODE 128","G8418",0]
["23408419","PQRS MEASURE CODE 128","G8419",0]
["23408420","PQRS MEASURE CODE 128","G8420",0]
["23408421","PQRS MEASURE CODE 128","G8421",0]
["23408422","PQRS MEASURE CODE 128","G8422",0]
["23408427","PQRS MEASURE CODE 130","G8427",0]
["23408428","PQRS MEASURE CODE 130","G8428",0]
["23408430","PQRS MEASURE CODE 130","G8430",0]
["23408482","PQRS MEASURE CODE 110","G8482",0]
["23408483","PQRS MEASURE CODE 110 EXCLUSION","G8483",0]
["23408484","PQRS MEASURE CODE 110 NOT MET","G8484",0]
["23408938","PQRS MEASURE CODE 128","G8938",0]
["23409196","PQRS MEASURE CODE 21 EXC","G9196",0]
["23409197","PQRS MEASURE CODE 21","G9197",0]
["23409198","PQRS MEASURE CODE 21 NOT MET","G9198",0]
["23410060","INCISION AND DRAINAGE OF ABCESS","10060",360]
["23410061","I&D ABSCESS COMPLICATED/MULTIPLE","10061",520.5]
["23410120","INCISION &REMOVAL FB SKIN SIMPLE","10120",355.5]
["23410140","INC & DRAIN HEMATOMA SIMPLE","10140",427]
["23410180","I&D COMPLEX POSTOP WOUND INFECTION","10180",440]
["23411000","PQRS MEASURE CODE 154 2 FALLS","1100F",0]
["23411010","PQRS MEASURE CODE 154 NOT EL","1101F",0]
["23411011","PQRS MEASURE CODE 154 NOT EL","1101F8P",0]
["23411042","DEBRIDEMENT,  SUB 1ST 20 SQ CM OR LESS","11042",106.5]
["23411043","DEBRIDEMENT, 1ST 20 SQ CM OR LESS","11043",767]
["23411044","DEBRIDMENT, BONE FIRST 20 SQ CM OR LESS","11044",1001]
["23411046","DEBRIDEMENT, ADDL 20 SQ CM OR PART","11046",144.5]
["23411047","DEBRIDEMENT BONE EA ADDL 20 SQ CM","11047",256.5]
["23411100","BIOPSY SKIN SUBQ TISS ETC ONE LES","11100",266.5]
["23411200","REM SKIN/MULTI FIBRO TAGS TO 15","11200",228]
["23411230","PQRS MEASURE CODE 47","1123F",0]
["23411231","PQRS MEASURE CODE 47","1123F8P",0]
["23411240","PQRS MEASURE CODE 47","1124F",0]
["23411300","SHAVE DERM LGS TRNK EXT TO 0.5 CM","11300",129]
["23411301","SHAVE DERM LES TRNK EXT 0.6-1.0 CM","11301",246]
["23411302","SHAVE DERM LES TRNK EXT 1.1-2.0 CM","11302",283]
["23411303","SHVG SKIN LESION 1 TRUNK/ARM/LEG/DIAM>2","11303",285]
["23411307","SHAVE DERMAL LES SCALD ETC 1.1-2.0","11307",169]
["23411310","SHAVE DERMAL LES FACE/EAR TO .5CM","11310",252]
["23411312","SHAVE DERMAL LES FACE/EAR 1.1-2.0 CM","11312",352.5]
["23411313","SHAVE DERMAL LES FACE/EAR OVER 2.0","11313",352.5]
["23411400","EXC BENIGN LES TRNK/ARM/LEG TO .5 CM","11400",241]
["23411401","EXC BEN LES TRUNK/LIMB .5CM-1.0CM","11401",308]
["23411402","EXC BENIGN LES TRNK/ARM/LEG 1.1-2.0 CM","11402",339.5]
["23411403","EXC BEN LES TRUNK LIMBS 2-3 CM","11403",432]
["23411404","EXC BENIGN LES TRNK/ARM/LEG 3.1-4.0 CM","11404",478.5]
["23411406","EX BEN LES TRUNK LIMB OVER 4CM","11406",718.5]
["23411420","EXC BENIGN LES SCLP/HND/FT TO .5CM","11420",318.5]
["23411421","EXC BEN LES SCALP/HAND ETC 0.5-1CM","11421",402.5]
["23411422","EXC BENIGN LES SCLP/HND/FT 1.1-2.0","11422",576]
["23411423","EXC BEN LES SCALP/HAND ETC 2-3CM","11423",494.5]
["23411424","EXC BENIGN LES SCLP/HND/FT 3.1 - 4.0 CM","11424",459]
["23411426","EX BEN LES SCALP/HAND ETC 4CM+","11426",999]
["23411440","EXC BENIGN LES FACE ETC TO .5 CM","11440",389.5]
["23411443","EXC BEN LES FACE ADNEXA 2-3CM","11443",669]
["23411444","EX BEN LES FACE ETC 3.1-2.0 CM","11444",431]
["23411446","EX BEN LES FACE/ADNEXA OVER 4 CM","11446",1071]
["23411603","EXC MAL LES TRUNK LIMBS 2-3CM","11603",668]
["23411604","EXC MALIG LES TRNK/ARM/LEG 3.1-4.0","11604",716]
["23411606","EX MAL LES TRUNK/LIMB OVER 4CM","11606",790.5]
["23411620","EXC MALIG LES SCLP/HND/FT TO 0.5CM","11620",511.5]
["23411622","EXC MALIG LES SCLP/HND/FT 1.1-2.0 CM","11622",395.5]
["23411640","EXC MALIG LES FACE TO .5 CM","11640",436]
["23411641","EXC MAL LES FAXE ADNEXA .5 - 1 CM","11641",659.5]
["23411643","EXC MAL LES FACE ADNEXA 2-3CM","11643",831]
["23411730","AVUL NAIL PLATE PART/COMP SINGLE","11730",244.5]
["23411750","EXCISION INGROWN TOENAIL PART OR COMPLET","11750",531.5]
["23411752","ECX NAIL W TUFT AMPUTATION","11752",832.5]
["23412001","SIMPLE REPAIR 2.5 CM OR LESS","12001",304.5]
["23412002","REP SIMPLE SCALP ETC 2.5 CM TO 7.5 CM","12002",372]
["23412011","SIMP RPR FACE EAR ETC 2.5 CM OR LESS","12011",372]
["23412013","REP SIMPLE FACE ADNEXA 2.5 CM TO 5.0 CM","12013",412.5]
["23412031","LACER REP INTMED TRUNK, EXCLUD HANDS/FT","12031",505.5]
["23412032","INT RPR SCLP TRNK EXTRM 2.6-7.5 CM","12032",449]
["23412034","REP INTERMED SCALP ETC 7.5-12.5 CM","12034",647]
["23412052","INT RPR FACE NOSE LIP 2.6-5.0CM","12052",390]
["23413160","CLOSURE WOUND DEHISCENCE COMPLICAT","13160",2194.5]
["23420520","REMOVE FB MUSCLE/TENDON SHEATH SIMPLE","20520",768]
["23420600","ARTHOCENTESIS SMALL JOINT","20600",222.5]
["23420605","ARTHOCENTESIS INTERMED JOINT","20605",251]
["23420610","ARTHOCENTESIS LARGE JOINT","20610",304]
["23420680","REMOVE IMPLANT DEEP WIRE PIN SCREW PLATE","20680",1526]
["23420924","TENDON GRAFT FROM DISTANCE","20924",1299.5]
["23420985","COMPUTER ASSIST NAVIGATE PROCEDURE","20985",496]
["23421012","EXCISION, TUMOR, SOFT TISSUE OF FACE OR","21012",1029]
["23421337","CLSD TX SEPTAL & NOSE FX WO STABILIZATIO","21337",1070.5]
["23421931","EXCISION, TUMOR, SOFT OF BACK/FLANK >3CM","21931",1362.5]
["23422902","EXCISION, TUMOR, ABDOM WALL < THAN 3CM","22902",1011.5]
["23423120","CLAVICULECTOMY","23120",1643]
["23423333","REMOVAL OF DEEP FOREIGN BODY, SHOULDER","23333",1229.5]
["23423334","REMOVAL OF ONE SHOULDER PROSTHETIC","23334",2410.5]
["23423405","TENOMYOTOMY, SHOULDER AREA; SINGLE","23405",1724.5]
["23423410","REPR RUPT-SUPRASPIN TEN/CUFF; ACUTE","23410",2426.5]
["23423412","REP RUPTURE SUPRASPIN TENDON CHRON","23412",2329]
["23423420","REP AVULSION SHOULDER CUFF CHRONIC","23420",2663.5]
["23423430","TENODESIS RUPT LONG, TENDON BICEPS","23430",2027.5]
["23423455","CAPSULORRHAPHY BANKART","23455",2650.5]
["23423460","CAPSUL-RECUR.DISLOC,ANY;BONE BLOCK","23460",2986.5]
["23423465","CAPSUL-RECUR.DISLOC,POST,W/WO BLOCK","23465",3070.5]
["23423472","ARTHROPLASTY SHOULDER","23472",5175.5]
["23423552","RED DISLOC OPEN-ACROMIOCLAV W GRAFT","23552",1785]
["23423585","OPEN TREATMENT OF SCAPULAR FRACTURE","23585",2204.5]
["23423605","RED FX-HUMERAL","23605",1479]
["23423615","OPEN TX OF PROXIMAL HUMERAL(SURGICAL OR","23615",2474.5]
["23423655","CLOSE SHOULDER DIS W MANIP W ANES","23655",1102]
["23424000","ARTHROTOMY ELBOW","24000",1063]
["23424105","EXCISION, OLECRANON BURSA","24105",1063]
["23424340","TENODESIS RUPTURE BICEPTS AT ELBOW","24340",1706]
["23424341","REP TEND OR MUSCLE, ARM, ELB PRI OR SEC","24341",2107]
["23424430","REPAIR NON/MALUNION HUMERUS","24430",2965.5]
["23424515","RED FX OPEN HUMERUS","24515",2313]
["23424586","OPEN PERIARTIC FRACT/DIS","24586",2783.5]
["23425071","EXC TUMOR FOREARM SUB,  3CM OR >","25071",1223.5]
["23425075","EXC TUMOR FOREARM SUB, < 3CM","25075",984]
["23425111","EXCISION GANGLION, WRIST, PRIMARY","25111",1132]
["23425312","TRANSPLANT TENDON FOREARM W GRAFT","25312",1616]
["23425405","REP. NON/MALUN N, RAD.OR ULNA;OTH GFT","25405",2662.5]
["23425447","INTERPOS ARTHRO INTER CARPOMETA JNT","25447",2084.5]
["23425607","OPEN TRMNT DIST RAD XTRA ARTICULAR FRACT","25607",2401.5]
["23425608","OPEN TRMNT OF DISTAL RADIAL INTRAARTICUL","25608",1768.03]
["23425652","OPEN TRMNT OF ULAR STYLOID FRACTURE","25652",1758]
["23425810","ARTHRODESIS WRIST W AUTOGRAFT","25810",2040.5]
["23426055","INC TENDON SHEATH-TRIGGER FINGER","26055",1083]
["23426160","EXC. LES-TEND.SHEATH/CAPSULE-HND/FNG","26160",1156.5]
["23426180","EXCISION OF TENDON, FINGER, FLEXOR, OR E","26180",1280]
["23426236","PARTIAL REMOVAL FINGER BONE","26236",1639.5]
["23426548","RECONSTRUCT VOLAR PLATE I-P JOINT","26548",1921.5]
["23426727","TX UNSTABLE PHALANGEAL SHAFT FX W MAN. W","26727",1757.5]
["23426742","TX CLOS ARTICULAR FX W META/PROX.IP","26742",976]
["23426860","ARTHRODESIS, INTERPHALAMGEAL","26860",1268.5]
["23427025","FASCIOT., HIP/THIGH, ANY TYPE","27025",2497.5]
["23427062","EXCISION; TROCHANTERIC BURSAOR CALCIFIC","27062",1311]
["23427130","TOTAL HIP ARTHOPLASTY","27130",4978]
["23427245","OPEN TX TROCH FEM FX W/IMPLANT","27245",4275.5]
["23427266","CLO TX POST HIP DISLOC W/ANES","27266",1661]
["23427340","EXCISION, PREPATELLAR BURSA","27340",1162]
["23427347","EXCISION OF LESION OF MENISCUS","27347",1391]
["23427380","SUTURE TENDON INFRAPATELLAR PRIMARY","27380",1339]
["23427385","QUADRICEP RUPTURE REPAIR","27385",1984]
["23427447","REPLACEMENT KNEE TOTAL","27447",4981.5]
["23427524","RED FX OPEN PATELLA W REPAIR/EXC","27524",1690.5]
["23427535","OPEN TREATMENT OF TIBIAL FRACTURE, PROXI","27535",3131.5]
["23427570","MANIPULATE KNEE JOINT, GEN ANESTHESIA","27570",588]
["23427599","UNLISTED PROCEDURE, FEMUROR KNEE","27599",0]
["23427650","REPAIR, PRIMARY, OPEN/PERCUT RUPTURED AC","27650",2288.5]
["23427691","TRANSFER TENDON ANT/POST TIBIAL","27691",2069]
["23427724","REPAIR NON-MALUNION, TIBIA; W/ILIAC","27724",3483.5]
["23427759","OPEN TX TIB FX W/IMPLA W/WO SCREWS","27759",3432]
["23427766","OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE","27766",1390]
["23427788","RED FX-LATERAL MALLEOLUS","27788",972.5]
["23427792","OPEN TRTMENT OF DISTAL FIBULAR FRACTURE","27792",1431]
["23427814","OPEN TRTMENT OF BIMALL ANKLE FRACTURE","27814",2630.5]
["23427829","OPEN TREATMENT OF DISTAL TIBIOFIBULAR JO","27829",1819.5]
["23427842","CLO TX ANK DISLOC W/ANES W/WO FIX","27842",1533.5]
["23428092","EXC LESION SOFT TISSUE TOES","28092",687]
["23428100","EXCIS/CURET BONE CYST/TUMOR,TALUSOR","28100",1259.5]
["23428118","OSTECTOMY CALCANEUS PARTIAL","28118",1262.5]
["23428124","PARTIAL REMOVAL OF TOE","28124",1732]
["23428160","PARTIAL REMOVAL OF TOE JOINT","28160",1786]
["23428234","TENOTOMY OPEN EXTENSON FOOT/TOE","28234",874.5]
["23428285","REPAIR HAMMERTOE","28285",1209.5]
["23428296","HALLUX VALGUS CORRECT W/ META OSTEOTO","28296",1635.5]
["23428308","OESTOTOMY META BASE SINGLE","28308",1149.5]
["23428322","REPAIR NON/MALUNION METATARSAL","28322",1639.5]
["23428445","OPEN TX OF TALUS FRACTURE","28445",2449]
["23428465","OPEN TX OF TARSAL BONE FRACTURE","28465",1705.5]
["23428496","TX CL FX GREAT TOE, PHALANX, PHALANGES","28496",801]
["23428755","ARTHRODESIS, GR TOE;INTERPHALANG. JT","28755",1059.5]
["23428805","AMPUTATION FOOT TRANSMETATARSAL","28805",2047]
["23428810","AMPUTATION, METATARSAL, W/TOE,SINGLE","28810",965]
["23428820","AMPUTATION TOE METATARSOPHALANGEAL","28820",1224.5]
["23428825","AMPUTATION TOE INTERPHALANGEAL JNT","28825",1155.5]
["23429125","SHORT ARM SPLINT APPLICATION","29125",221.5]
["23429806","ARTHOSCOPY SHLDR SURG CAPSULORRAPHY","29806",2270.63]
["23429807","ARTHOSCOPY SHLDR SURG RPR SLAP LESION","29807",2829]
["23429819","ARTHOSCOPY, SHLDR, SURG; REMOVE LOOSE","29819",1425]
["23429822","ARTHOSCOPY, SHLDR, SURG; DEBRIDE, LIM","29822",1939.5]
["23429823","ARTHROSCOPY, SHLDR, SURG; DEBRIDEMENT,E","29823",1742]
["23429824","ARTHROSCOPY, SHLDR, W/ DIS CLAVICULECTOM","29824",2278.5]
["23429826","ARTHROSCOPY, SHLDR, DECOMPRESS","29826",2267.5]
["23429827","ARTHROSCOPY, SHLDR, W/ ROTATOR CUFF","29827",2937]
["23429828","ARTHROSCOPY, SHLDR, BICEPS TENODESIS","29828",3127.5]
["23429873","ARTHROSCOPY, KNEE, SURG; LATERAL RELEASE","29873",1163]
["23429875","ARTHROSCOPY, KNEE, SURG; SYN, LIMITED","29875",1448.5]
["23429876","ARTHOSCOP KNEE W SYNOVECT MAJOR","29876",1601]
["23429877","ARTHROSCOPY, KNEE, SURG; DEBRIDE/SHAVE","29877",2092.5]
["23429880","ARTHROSCOPY, KNEE, SURG; W/ MENISCECTOMY","29880",2336]
["23429881","ARTROSCOP KNEE W PARTIAL MENISECT","29881",1628.5]
["23430440","PQRS MEASURE CODE 1 NOT MET<7","3044F",0]
["23430450","PQRS MEASURE CODE 1 NOT MET 7 TO 9","3045F",0]
["23430460","PQRS MEASURE CODE 1","3046F",0]
["23430461","PQRS MEASURE CODE 1","3046F8P",0]
["23432554","THORACENTESIS NDL OR CATH, ASPIRAT, W/O","32554",315.5]
["23432880","PQRS MEASURE CODE 154","3288F",0]
["23432881","PQRS MEASURE CODE 154","3288F1P",0]
["23432882","PQRS MEASURE CODE 154","3288F8P",0]
["23436556","INSERT NON-TUNNEL CATH, AGE <5","36556",914]
["23436561","INSERTION OF TUNNELED CENTRALLY INSERT","36561",3307]
["23436571","INSERT PERIPHERALLY CENTRAL VENOUS ACCES","36571",706.5]
["23436589","REM TUNNELED CENT VENOUS CATH W/OUT PORT","36589",567]
["23436590","REMOVAL OF TUNNELED CENTRAL VENOUS ACCES","36590",1049]
["23437609","LIGATION/BIOPSY ARTERY TEMPORAL","37609",898]
["23438220","BONE MARROW ASPIRATION","38220",211]
["23438500","BX/EXCIS LYMP NODE(S); OPEN, SUPERFICIAL","38500",961.5]
["23440400","PQRS MEASURE CODE 111","4040F",0]
["23440401","PQRS MEASURE CODE 111","4040F8P",0]
["23440440","PQRS MEASURE CODE 23","4044F",0]
["23440441","PQRS MEASURE CODE 23","4044F1P",0]
["23440442","PQRS MEASURE CODE 23","4044F8P",0]
["23443235","EGD W/O BIOPSY","43235",798]
["23443239","EGD W/ BIOPSY","43239",957.5]
["23443247","ENDOSCOPY UPPER GI W REM FB","43247",744.5]
["23443250","UGI ENDOSCOPY: REMOVAL OF TUMORS/POLYS/L","43250",373.35]
["23443760","CHG GASTROSTOMY TUBE W/O IMAGING OR ENDO","43760",242.5]
["23443762","PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTR","43762",255]
["23443763","PERQ REPLACEMENT GTUBE REQ REVJ GSTRST T","43763",255]
["23443770","LAPAROSCOPY GASTRIC RSTRC PRO, PLACEMENT","43770",4140.5]
["23443774","LAPAROSCOPY,SURG,GASTRIC RESTRICTIVE PRO","43774",2634.5]
["23444970","LAPRASCOPY APPENDECTOMY","44970",2524]
["23445378","COLONOSCOPY W/O BIOPSY","45378",974]
["23445379","COLONOSCOPY POSTFLEX W REMOVAL FB","45379",871.5]
["23445380","COLONOSCOPY W/ BIOPSY","45380",1010]
["23445385","COLONOSOPY W/LESION REMOVAL","45385",1834.5]
["23446080","SPHINCTEROTOMY, ANAL, DIVIS-SPHINCTER","46080",1061.5]
["23446260","HEMORRHOIDECTMY, COMPLEX/EXTENSIVE","46260",2428.5]
["23447001","PERCUTANEOUS LIVER BPSY; W/MAJ PROC","47001",669]
["23447562","LAPAROSCOPY; CHOLECYSTECTOMY","47562",3581.5]
["23447563","LAP; CHOLE W/CHOLANIGIOGRAPHY","47563",4188]
["23449000","EXPLORATORY LAPAROTOMY CELIOTOMY","49000",3166]
["23449320","LAPAROSCOPY,ABD PERITONEUM","49320",809]
["23449321","LAPAROSCOPY, SURGICAL WITH BIOPSY","49321",1083.5]
["23449505","REPAIR HERNIA INGUINAL UNIL >5YRS","49505",1989]
["23449507","INITIAL INGUINAL HERNIA, >5 YEARS","49507",1927.5]
["23449520","REP HERNIA INGUIN RECURRENT >5 YRS","49520",2299.5]
["23449525","REP HERNIA INGUINAL SLIDING","49525",2193.5]
["23449560","REP HERNIA VENTRAL","49560",2474]
["23449565","REP HERNIA VENTRAL RECURRENT","49565",2724.5]
["23449568","IMPL OF MESH OPEN INCIS OR VENT HERNIA","49568",1083.5]
["23449585","UMBILICAL HERNIA REPAIR, 5 YRS & >, REDU","49585",1751.5]
["23449652","LAPROSCOPY SURGICAL REPAIR VENTRAL","49652",1699]
["23451702","INSERT BLADDER CATHETER FOLEY","51702",108.5]
["23451992","LAPRASCOPY SURGICAL SLING OPERATION STRE","51992",1707.5]
["23452000","CYSTOURETHROSCOPY","52000",427.5]
["23454520","ORCHIECTOMY SIMPLE UNILAT","57260",682]
["23457120","COLPOCLESIS LE FORT TYPE","57120",1066.5]
["23457260","COLPORRHAPHY ANTEROPOSTERIOR","57260",1759]
["23457268","REPAIR ENTEROCELE VAGINAL APPR","57268",982.6]
["23457282","SACROSPINOUS LIG FIX VAGINA PROLAPSE AFT","57282",1281.5]
["23457288","SLING OPER STRESS INCONTINENCE","57288",1734.5]
["23458260","HYSTERECTOMY VAGINAL","58260",1692]
["23458541","LAPRASCOPY SUPRACERVICAL HYSTERECTOMY","58541",2724.5]
["23458542","LAP SUPRACERVICAL HYST 250G OR <","58542",2670.5]
["23458543","LAPROSCOPY SUPRACERVICAL HYSTERECTOMY","58543",3095.5]
["23458544","LAP SUPRACERVICAL HYST UTERUS > 250 G","58544",3346.5]
["23458550","LAPRASCOPY W/ VAGINAL HYST W/WO","58550",2232.5]
["23458552","LAP SURG W/ VAGINAL HYST 250G OR < W/","58552",2325]
["23458558","HYSTEROSCOPY W/ BIOPSY OF ENDOMETRIUM","58558",959]
["23458562","HYSTEROSCOPY SURGICAL W/ REMOVAL","58562",489.5]
["23458563","HYSTEROSCOPY SURGICAL W/ ENDO ABLATION1","58563",952]
["23458570","LAPAROSCOPY SURG W/ TOTAL HYSTERECTOMY","58570",2901]
["23458571","LAP SURG W/ TOTAL HYST UTERUS 250G OR <","58571",2808.5]
["23458572","LAPAROSCOPY SURG W/ TOTAL HYSTERECTOMY","58572",3587.5]
["23458600","TRANSECTION FALLOPIAN TUBE","58600",955]
["23458671","LAPROSCOPY W/ OCCLUSION OF OVIDUCTS","58671",995]
["23458673","LAPRASCOPY SALPINGOSTOMY","58673",1836]
["23464718","NEUROLYSIS/TRANSPOSIT ULNAR @ ELBOW","64718",1716.5]
["23464719","NEUROPLASTY/TRANSPOSITION:ULNAR NERVE","64719",886.5]
["23464721","CARPAL TUNNEL","64721",1482]
["23464774","EXCIS NEUROMA CUTAN NERVE SURG ID","64774",1225.5]
["23464787","IMPLANT NERVE END INTO BONE/MUSCLE","64787",795.5]
["23469100","BIOPSY EXTERNAL EAR","69100",157]
["23477001","FLOROSCOPIC","77001",379]
["23492960","CARDIOVERSION, ELECTRICAL CONVER-ARHYTHM","92960",587]
["23493015","CARDIOVASC STRESS; EKG MONITOR INTERP","93015",229.5]
["23493016","STRESS TEST PHYSICIAN SUPERVISION ONLY","93016",222.5]
["23493017","CARDIOVASC STRESS; TRACING ONLY","93017",127.5]
["23493018","STRESS TEST TREAD & SESTI","93018",168]
["23497597","DEBRID OPEN WOUND 20 SQ CM OR LESS","97597",71.5]
["23497605","NEGATIVE PRESSURE WOUND THERAPY 50 CM","97605",53]
["23499213","CONSULT LEVEL III","99213",205]
["23499214","EST OUTPT L4 DTL H&E MOD COMPLX DEC","99214",256]
["23499217","OBSERVATION CARE DISCHARGE SERVICES","99217",206]
["23499219","ER OBS MODERATE <48 HOURS","99219",337]
["23499220","INIT OBS/DA L3 COMP H&E HI MED","99220",412]
["23499234","ER OBS LOW < 24 HOURS","99234",396.5]
["30000834","ANESTHESIA UNIT X 15MIN","00834",197]
["30001712","ANESTHESIA UNIT X 15MIN","01712",197]
["30001936","ANESTHESIA UNIT X 15MIN","01936",197]
["30400045","IM AMPICILLIN 1 GM","J0290",68.5]
["34009967","CT LOCM 300-399MG/ML IODINE, 10 ML","Q9967",24]
["34072126","CT SPINE CERVICAL W/CONTRAST","72126",1576]
["34109967","CT LOCM 300-399MG/ML IODINE, 100 ML","Q9967",221]
["34173701","CT LOWER EXT W CONTRAST RIGHT","73701",1230]
["38077051","MM DIAG COMBO BILAT W CAD","77066",84.5]
["38077054","MM DUCTOGRAM ADDITIONAL DUCT CHARGE","77054",582.5]
["38077061","MM DIAGNOSTIC BREAST TOMO UNILAT","77061",70]
["38077063","MM  SCREENING BREAST TOMO","77063",43.5]
["38077065","MM DIAG COMBO UNILAT W CAD","77065",415]
["38100202","MM SCREENING MAMMO COMBO RT","G020252",326]
["38100206","MM DIAGNOSTIC MAMMO COMBO RT","G0206",332]
["38119281","MM FIRST CLIP PLACEMENT RT","19281",211]
["38119282","MM EACH ADDITIONAL CLIP PLACEMENT RT","19282",107]
["38177053","MM DUCTOGRAM RIGHT BREAST DUCT","77053",530]
["38177055","MM DIAGNOSTIC MAMMO RT","77065",323]
["38177057","MM SCREENING MAMMO RT","77067",292]
["38177065","MM DIAG COMBO RT W CAD","77065",415]
["38177067","MM SCREENING COMBO RT W CAD","77067",409]
["38200202","MM SCREENING MAMMO COMBO LT","G020252",326]
["38200206","MM DIAGNOSTIC MAMMO COMBO LT","G0206",332]
["38219281","MM FIRST CLIP PLACEMENT LT","19281",211]
["38219282","MM EACH ADDITIONAL CLIP PLACEMENT LT","19282",107]
["38277053","MM DUCTOGRAM LEFT BREAST DUCT","77053",530]
["38277055","MM DIAGNOSTIC MAMMO LT","77065",323]
["38277057","MM SCREENING MAMMO LT","77067",292]
["38277065","MM DIAG COMBO LT W CAD","77065",415]
["38277067","MM SCREENING COMBO LT W CAD","77067",409]
["38300202","MM SCREENING MAMMO COMBO BILAT","G0202",326]
["38300204","MM DIAGNOSTIC MAMMO COMBO BILAT","G0204",407.5]
["38377056","MM DIAGNOSTIC MAMMO BILAT","77066",396.5]
["38377057","MM SCREENING MAMMO BILAT","77067",292]
["38377062","MM DIAGNOSTIC BREAST TOMO BILAT","77062",70]
["38377066","MM DIAG COMBO BILAT W CAD","77066",490]
["38377067","MM SCREENING COMBO BILAT W CAD","77067",409]
["38400202","MM SCREENING MAMMO COMBO IMPLANT BILAT","G0202",326]
["38400204","MM DIAGNOSTIC MAMMO COMBO IMPLANT BILAT","G0204",407.5]
["38477056","MM DIAGNOSTIC MAMMO IMPLANT BILAT","77066",396.5]
["38477057","MM SCREENING MAMMO IMPLANT BILAT","77067",292]
["38477066","MM DIAG COMBO IMPLANT BILAT W CAD","77066",490]
["38477067","MM SCREENING COMBO IMPLANT BILAT W CAD","77067",409]
["38500202","MM SCREENING MAMMO COMBO IMPLANT RT","G020252",326]
["38500206","MM DIAGNOSTIC MAMMO COMBO IMPLANT RT","G0206",332]
["38577055","MM DIAGNOSTIC MAMMO IMPLANT RT","77065",323]
["38577057","MM SCREENING MAMMO IMPLANT RT","77067",292]
["38577065","MM DIAG COMBO IMPLANT RT W CAD","77065",415]
["38577067","MM SCREENING COMBO IMPLANT RT W CAD","77067",409]
["38600202","MM SCREENING MAMMO COMBO IMPLANT LT","G020252",326]
["38600206","MM DIAGNOSTIC MAMMO COMBO IMPLANT LT","G0206",332]
["38677055","MM DIAGNOSTIC MAMMO IMPLANT LT","77065",323]
["38677057","MM SCREENING MAMMO IMPLANT LT","77067",292]
["38677065","MM DIAG COMBO IMPLANT LT W CAD","77065",415]
["38677067","MM SCREENING COMBO IMPLANT LT W CAD","77067",409]
["39009569","TECHNETIUM TC-99M AUTO WBC","A9569",1652.5]
["39009579","GAD BASE MR CONTRAST NOS, 20ML","A9579",54.5]
["39073718","MR LOWER EXTREMITY, LEFT","73718RT",1962]
["39074183","MR ABDOMINAL W &W/ CONTRAST","74183",2575.5]
["39173718","MR LOWER EXTREMITY, RIGHT","73718RT",1962]
["39177058","MRI BREAST RIGHT W/WO CONTRAST","77058",365]
["39277058","MRI BREAST LEFT W/WO CONTRAST","77058",365]
["39377047","MRI BREAST BILATERAL WITHOUT CONTRAST","77047",612.5]
["39377049","MRI BREAST BILATERAL W/WO CONTRAST","77049",612.5]
["39377059","MRI BREAST BILATERAL W/WO CONTRAST","77059",612.5]
["40009957","US ECHO CONTRAST","Q9957",347.5]
["40019084","US ADDITONAL BREAST BIOPSY","19084",953]
["40119083","US BREAST BIOPSY RT","19083",1777.5]
["40176641","US BREAST RIGHT COMPLETE","76641",520]
["40176642","US BREAST RIGHT LIMITED","76642",520]
["40176942","US BREAST ASPIRATION RT","76942",605.5]
["40219083","US BREAST BIOPSY LT","19083",1777.5]
["40276641","US BREAST  LEFT COMPLETE","76641",520]
["40276642","US BREAST LEFT LIMITED","76642",520]
["40276942","US BREAST ASPIRATION LT","76942",605.5]
["40376641","US BREAST BILATERAL COMPLETE","76641",520]
["40376642","US BREAST BILATERAL LIMITED","76642",520]
["41000280","NM AMINOPHYLINE","J0280",67.5]
["41002805","NM KINEVAC PER 5 MCG","J2805",306.5]
["41093351","NM CARDIOVASCULAR STRESS TEST","93351",531]
["42009967","LOCM 300-399 MG/ML IODINE, 10 ML","Q9967",23.5]
["42109967","LOCM 300-399MG/ML IODINE, 100 ML","Q9967",217]
["42209967","LOCM 300-399MG/ML IODINE, 150 ML","Q9967",322.5]
["44086654","WESTERN EQUINE ENCEPHALITIS IgG","86654",31.5]
["44086655","WESTERN EQUINE ENCEPHALITIS IGM","86654",31.5]

{"sheet":"Sheet2","index":1,"n_rows":0,"n_cols":0,"rows_kept":0,"cut":false,"hidden":false,"merged":[]}

{"sheet":"Sheet3","index":2,"n_rows":0,"n_cols":0,"rows_kept":0,"cut":false,"hidden":false,"merged":[]}